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0110 TROTTERS LANE
e LN o , C] o 6 77Y _ 33^ � 3a� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel I - Application # 0m Health Division Date Issued Conservation Division .�I� Application Fee Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 772;_70eS Z�6� Village _9 <1r. .Vs Owner lf/el7y ,,�� Address �/� R rs Gq.,.e •/����1 Telephone t—ox— Permit Request Af t 'e Y_/J-6 G&cic - SG--'V S'i -f Square feet: 1 st floor: existing ZAP° proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay I � Project Valuation fir,06! Construction Type alvocb � Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# its) Age of Existing Structure Historic House: ❑Yes : o On Old King'§-"H ghway: Ed Ye o Basement Type: U'Full ❑ Crawl ❑Walkout ❑ Other 3E�- 31 � o Basement Finished Area (sq.ft.) Basement Unfinished Area(sgft)0 I Number of Baths: Full: existing / new Half: existing I new c� Number of Bedrooms: existing _new Total Room Count (noZa,, ding baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Q'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Flo Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use _. Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��/ Telephone Number .�eap'S-70� Address �� �gGyonl � License# S' -26r N�/sLi OZG V% Home Improvement Contractor# Worker's Compensation # C ZZ 77 2-2- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I d FOR OFFICIAL USE ONLY f } APPLICATION# 3 f DATE ISSUED MAP/PARCEL NO. s ADDRESS VILLAGE OWNER ,L DATE OF INSPECTION: F r FOUNDATION FRAME INSULATION Y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t� FINAL BUILDING O I3 « l z DATE CLOSED•OUT ASSOCIATION PLAN NO. .'— i The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111' s ° www.mass.gov/dia Workers'" Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information �j ..Please Print Le ibl Name(Business/Organizatiow'lndividual): �`) �4 ✓'L Address' 171 D'Vy a City/State/Zip: �/�S��eP. �'4 G2� Phone.#: Veyo an employer? Check the appropriate bog: .Type of project(required):, 1m a employer with ?i 4. ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* • have hired the sub-contractors 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 workin for me in an capacity. employees and have workers' g Y P tY. 9. ❑Building addition [No workers' comp.insurance comp, insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions officers have exercised their 11. Plumbing repairs or additions '3.❑ I am a homeowner doing all work . . g P • myself.[No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required]t c. 152, §1(4), and we have-no }eGE� �• � employees: [No workers' 13.[�Other � ��7eP.nh 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 subcontractors and state whether ornot those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is.the policy.and job site ' information. Insurance Company Name: Policy#or Self-ins.Lic. #: � _7F—ye Z 2 7-2 Z 2 Expiration Date: tJto 3v /7- Job Site Address: /,&2/ rJ ZAI ' City/State/ZipA6gi.S;ti s- WAJ, /w '• 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' Ido hereby certify under the pains-an pena 'es ofperjuty that the information provided above is true and correct Si ature: Date: l� _ Phone#: 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#: 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 ehapter..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 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 proofthat 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 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 DepaMnent's address,telephone-and fax number:. .The Commoowl�'alih of M.assaahusetts �e�azt�rzont gf�d�stx�ai A.eGzc�emts Office of kuvestigations 604 Washingtcai Street Boston,_MA 0.2111 TO. #6.1`F-727-4900 ext 406 or 1-977-MASSAFE Fax#E17-7V-7749 Revised 11-22-06 www.mass.gov/dia ACORDr u ,i.. 1 M tie—.a _ ..___ ;.CERTIFICATE OF.LIABILITYINSU.RANCE=> .En; lit>�'a `� {,� °^ poi �OTE THIS CERTIFICATE D ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. /01/11 THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement does not confer rights to the certificate holder in lieu of such endomemen s. A statement on this certificate PRODUCER 7 COMPANIES AFFORDING COVERAGE PAYCHEX INSURANCE AGENCY,INC. COMPANY ROCHESTER,NY 14620 A GUARD INSURANCE GROUP COMPANY INSURED JAMES HEALY JR COMPANY 15 ANNAWON ROAD C MASHPEE,MA 02649 COMPANY D COVERAGES"y, ti: r.; � F`CERTIFICATE NUMBER: _ ty�� yREVISION.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. O TYPE OF INSURANCE POLICY NUMBER POLICYEFFE� D EXPIRATION LIMITS DATE MM/DD (MM/pp/yY) GENERAL LU\BILfTY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ =�:LAIMS MADE E=)OCCUR PRODUCTS-COMP/OP AGG $ OWNERS&CONTRACTOR'S PROT PERSONAL&ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ AUTOMOBILE LIABILITY MED EXP( one person) $ ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per person) NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE Is WORKER'S COMPENSATION AND $ EMPLOYERS' JAWC227722 X "'C�""'- Or"} � O6/30/11 O6/30/12 THE PROPRIETOR! EL EACH ACCIDENT $ 100,000.00 PARTNERSJ1Dl INCL EL DISEASE OFFICERS ARE: �ExcL $ soo,000.00 EL DISEASE-EA EMPLOYEE $ 100,000.00 OTHER ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks ScAedule,It more space is required) :ERTIFICATE_HOLDER', ". CANCELLATIONS x TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION BARNSTABLE,MA DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY IOND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE �t v eeRP Town.. of Barnstable.'. Regulatory Seryices Thorn' as F. Geiler, Director Building Division o �'` Thomas Perry, CBO,Building Corarrussioner 260 Main Str6et, Hyannis,MA 02601' w-".town.b arns-ta b l e.m a.us 'Officec 508-862.4'038 Fax: 508-790-6230 PLAN RE VIE W Ajjvk .�,o 6l Owner. Ie!'l�P� Map/Parcel: Project Address Builder Av- The following items were noted-on reviewing_ L o/�s�1'!/G7�or>I AliG¢S7' iL�ee d OvIga1' a—o — S' ' .S OR /c. �E�r��s Gu� off S'• e • •Sov�o S� 63J ' wr To �oisT �o �r• o� �,�.3� Goy � �GLs�:. • Reviewed by: _ „. Date: l snaxsrasu..p '""S& 1679. Town of Barnstable �100 Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 I c t C 1 ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: /1O71e--o77"s Zv- (Address of Job) Sigv6ure of Owner Date Print Name If Property.Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\L.ocal\Microsoft\Windows\Temporary Intemet Files\Content.Outtook\DDV87AAZ\EXPRESS.doc Revised 072110 1 L _ Z09ZI, :#j1 �aumssiuuuu £L0Z/4Z/b :uoilendx3 6b9Z0 VVY '33dHS` VY Qa NOMHNMd SL AIV31-1 d S3vyv 99L99 SO :a$uaoll S6uillaM4 41!wej -oMl Pue -auO asuaDI-1 JoSIAJadnS uoijonjlsuoo sp.ncpualS pur. sump IIIIAMN :uipling .lo h.iro8 kIaJeS �ilynd .lu luiuil.w(lao - sllisnrl�rszr.l,�i Office of Consumer Affairs&kusiness Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR i before the expiration date. If found return to: Registratiori '1.�5770 Office of Consumer Affair's and Business Regulation Ex 1:912.012 Tr# 293979 10 Park Plaza-Suite 5170 it p' atio_n4/= Boston,MA 02116 . i JAMES P. HEALY!SR_: <: JAMES HEALY 15 ANNAWON RD'� MASHPEE, MA 0264:9'-'..'= '` Undersecretary Not valid withou signature 8 � r � ,.•W i , / r _ V/�uJ q I �y. P P OF r _ lo'� q nc�ior J AJ a' z PLAN REFERENCE SETBACK REQUIREMENTS h1ARSTONS MILLS. MA O CONTOURS RACE LANE - E PLAN BOOK 271 PAGE 97 ZONE RF / EXISTING - - - - - - - 50 = �, 00 ASSESSOR'S MAP: 47 FRONT 30 f t / \ MINIMAL GRADING PROPOSEDcn e o0ow o LOT:. 128 SIDE 15 ft /�' \ LOCUS rn REAR 15 ft mvoi� o '" ice' N f 10 Ln SHED (Dw IIO �' ` \ BLACKTHORN p Z ,• o w <« LOCUS MA P cn o zw o wZ Du)::) OO NOT TO SCALEowm - J N Q � \ / \o GENERAL NOTES J N W = W z I10 % / EXISTING 1) EXISTING SEPTIC TANK IS TO BE PUMPED 24 ft x 12.5 ft x 2 ft AND REMOVED. INSTALL A NEW SHOREY W 2_w} U J �, ` Y LEACHING GALLERY 20�, , PRECAST 1500 GALLON H-10 RATED SEPTIC W cr cro W Q w N PAVED pRIVEWA TANK AS INDICATED ON PLAN. > � \ 2) MECHANICALLY COMPACT SOILS BELOW z J � z SEPTIC TANK AND PLACE TANK LEVEL ON — W ;. . \ 15-0 ` A SIX INCH GRAVEL BASE. 3) REROUTE EXISTING SEWER PIPE INSIDE Lu Q � \ t o \. NEW FOUNDATION AS SHOWN ON PLAN. O N� ; ��m oft ul R LAN ; 4) PROPOSED ADDITION WILL NOT INCREASE J X M �, �X 12 wE to-o THE TOTAL NUMBER OF BEDROOMS. U z J O Z to p O \ ` l� ft D O z m N o X - ��m taN�SEWS LEGEND ~ w w \ SINE d� \ � W LL u � o � Q — � Z 0 LL Nz p �\ �� �_ z oCA *0_,O ft + \ p U O zv w 7cic m o �� ='7 O m = G 5�'S Z EXISTING ►= w< \ Zo 0 18 ° m \ 1000 GALLON o 0 Lu of o \ + O 3 ft p \ /09 s T \ s Z 3 0 6 3 \ SEPTIC TANK W Q w *15-0D-BOX ❑ O W i 3 RUNE FU MENT z W \ PROPOSED 1500 Lli o Z m WPfj p BPS DPTIDN w \ GALLON SEPTIC -®- ? ( (1 \ F4UN ` TANK Iq o x aot . Q o - W \ GA TER \ TREE W ` —NUMBER REFERS TO DIAMETER 18IN -P LLJO-OAKHES.M-MAPLER P-PINE ES TYPE w z LOT 7 , H 3 w � \ ; ,,/ - PROPOSED FOUNDATION AND . o 0 0 SEPTIC TANK RELOCATION PLAN LL ,, Z 0 I,, v c O \ i ��/ 109 - FOR EXISTING DWELLING Q + o uuw QABANGONED /- LAWRENCE & KAREN CHENIER WELL ft �SNOFMgss9 I10 TROTTERS LANE MARSTONS MILLS. MA o (0 , o \ � j.17 0 DAVID cyG o o Z ,-/ ECO-TECH ENVIRONMENTAL O D — \ �/ COUGHANOWR N 43 TRIANGLE CIRCLE SANDWICH MA 02563 o '^ �\ \ 0 No. 1o93 SOH 364-0894 o w o o BENCH MARK /� ���isTE��`° � TOP OF WATER GATE \ � �LAN AR ETE-2348 MAY 16. 2005 f�ELEVATION = 1 GAT S THIS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT BARNSTABLE GIS DATUM r BEARS THE STAMP AND SIGNATURE OF THE DESIGN ENGINEER f{ NAL PLANS SC E : in = 20 Ft C�, 24OX OF HIEALTH INT BEESIGNED�N BLUEI AND STAMPED BOARD R D. rq HOC(o-)Town of Barnstable "Permit# Expires 6 months om issue date Regulatory Services Fee sAaxsrmi.e. Thomas F.Geiler,Director A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number (0-1r-7 Z Property Address //O 7 071ZW S CiA/- `v\ Residential Value of Work 3�y� Minimum fee of$35.00 for work under$6000.00 ,n /n Owner's Name&Address [�.C�QG� f)�9�Ei✓ C-Aellurl 144 Contractor's Name�y itr„e'S itE77ty�✓A' Telephone Number �--Oe_S—Z- Oho�G Home Improvement Contractor License#(if applicable) r�s�7o Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a e le Homeowner �-PRESS PERMIT ❑ I am the Homeowner �.• have Worker's Compensation Insurance AUG` -- 2 /n i Insurance Company Name 6?.tD //ISU1'1f?7c-e Workman's Comp.Policy# '., TOWN'OF BARNSTABLE /�/Gt/�' Z Z 7`�2 Z Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Zeplace #of doors ement Windows/doors/sliders.U-Value (maximum.3S)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. "•*Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is ed. SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 i 1 the Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations- 600 Washington Street Boston,MA 02111 wrvru mass gov/dia Workers"Compensation Insurance Affidavit:Builders/Contractors/Ele.ctiicians/Plumbers Applicant Information Q Please Print 1*jdbly Name(Busin!WQga=tion&dividual)-. Address: /S-- �n/�/�IWa•✓ leD City/StateJZip: 17112 1, CZ� �A O26, Phone# S—Off SGG—G(o�G Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 2— 4_ ❑ I am a general contractor and 1 6_ ❑New construction employees(full and/or part-time)_* have hired the sub-contractors 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 w for me in an capacity employees and have workers' orinng Y Pa tY- _ 9. ❑Building addition [No workers'comp.insurance comp-insurance-1required-] 5. ❑ We are a corporation and.its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised them I LE]Plumbing repairs or additions right o exemption myself[No workers'comp- �tf tion r MGL � � 12.❑Roof repairs insurance required.]Y c_ 152,§1(4),and we have no ,,R�,,'� C employees-[No workers' 13_L`�' t7ther ��,4(�G}C/J7)�- comp.insurance re uire&] 2olT 3j OVA lot *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information_ Z Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors amst submit a new affidavit indicatng such- !Contractors that check this boa must attached an additional sheet showing the name of the sub-enactors and state whether of not those entities have employees. If the subcontractors have employees,they must provide their workers'comp_policy mmober. I am an employer that is protridvug workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy or Self-ins.Lic.ir: - Gt/C. Z Z 77 Z Z Expiration Date: 30 /Z Job Site Address- PeJ _XGAIT LA/ City/State/Zip: 411A,eJ-zz"V I A1611i ' 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 S1,500-00 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 thepains an enalties of pedury that the information protided above is true and correct Si e: Date: 2 �/ Phone 9: Official use only. Do not write in this area,to be completed by city or town official _ City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone 9- I BARNSTABM ;¢ �,0� Town of Barnstable " Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO 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 I -C Vt c e Y ,as Owner of the subject property hereby authorize � � to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) g- a �( Si ture of Owner Date e, Print Name If Property.Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollilAAppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Z09ZL. :#Al �auulssluuun� £LOZ/bZ/b :uollejldx3 � 6b9Z0 VVY '33dHStfW aid NOMVNNV 96 } Y .l_1V3H d S3W`df 99L99 SO :asuaoll I s6ulllamcl Al!wej -oml pue -aup asuaDI-1 JoslAJadns uoijonjisuo0 sp.mpur..lS pur. suuilvIll'H l)[uplin8 lu jum)'a i �l�aaS �ll4►►d.I►► lu�wl.ncda4 -sllisntl�r.�sr.l,�� :�• ' • ,'4• � ✓die �an��zovuuealC� o�✓vCaaaac`euae�a ;� '.-i?:� Office of Consumer Affairs&Business Regulation 'License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR I before the expiration date. If found return to: ' Registration I Office of Consumer Affair's and Business Regulation tj5770 f Expiration====41:1:01-2012 Tr# 2ggg7g ' t 10 Park Plaza-Suite 5170 TYP <e `� Ind vitlual ,l:1 Boston,MA 02116 j ;�=� II JAMES P. HEALY!JR -� JAMES HEALY cl 15.ANNAWON RD•;.;. MASHPEE, MA 0264;9":�.` Undersecretary >: Not valid'withoul signature . . t 6 �O ���� ' Page# � of � pages cz&�� Proposal Submitted To: / Job Name Job# Address r--- Job Location Date Z G// Date of Plans n Phone# y2 _ //d�'G� Fax# Architect We hereby.submit specifications and estimates for: f ✓ /cr /��l�u/ o / r Sim o`7 , — ` �-GG✓ /�%fP/ia! (fNv�c:� �7i/ Gr- ,_� a���TP,�/ _ �f�C' _ G /r/� / / /s/��sn/ o% i.✓ir. a'aw /mac/vGto�' /�/ t. S7s ad a, S1141-/-17 �,�c� /���i�;�Lfi✓off '{?r h?Ci �•� �' ��/ci f�/C' �4r�J J/�G/vc�cf- 1,��S o•r�J d;� a�d S�i�! �s-�e/y��C __ /a;�I/ Cc s�' Z/�I.S� %SP,S•► G/Gf Gt/OG�/�1 �,2/c.y�� �a�i,/ �c ST G,50 ✓e,;t /ter�/ Cosy zz t -- /�/6 /`11T!CP // !r/�P �� / ��XN� 4d,C /f/ //!C/u ,e/G"s ' i We propose hereby to furnish material and labor—complete in accordance with the above specifications for the sum of: $ Dollars with payments to be made as follows:Any alteration alteration or deviation from above specifications involving extra costs will be Respectfully �——— executed only upon written order, and will become an extra charge.over and submitted ` / above the estimate.All agreements contingent upon strikes,accidents,or delays beyond our control. Note—this proposa ay be withdrawn by us if not accepted within Gc days. 01cceptance of Vropo� The above prices,specifications and conditions are satisfactory and are Signature hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature s k3819 " , " _ acoRn TM CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) 0101 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER PAYCHEX INSURANCE AGENCY,INC. COMPANIES AFFORDING COVERAGE 150 SAWGRASS DRIVE COMPANY GUARD INSURANCE GROUP ROCHESTER,NY 14620 COMPANY INSURED B JAMES HEALY JR COMPANY 15 ANNAWON ROAD MASHPEE,MA 02649 COMPANY D 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 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. O TYPE OF INSURANCE POLICY NUMBER POLICY ME�OCTIVE POLICY EXPIRATION LIMITS ( 1YY) DATE(MMIDD/YY) GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE $ CLAIMS MADE OOCCUR PRODUCTS-COMP/OP AGG $ OWNER'S&CONTRACTOR'S PROT PERSONAL&ADV INJURY $ EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP one person $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (Per person) NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ EXCESS LIABILITY AGGREGATE $ UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND X 1NC STAT $ oTrt EMPLOYERS'LIABILITY JAWC227722 06/30/11 06/30/12 THE PROPRIETOPJ EL EACH ACCIDENT $ 100,000.00 PARTNERsrEXECUrrvE INCL EL DISEASE-POLICY LIMB $ 500,000.00 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE 1$ 100,000.00 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,U more space is required) -CERTIFICATE-HOLDER_ CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BARNSTABLE,MA DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ,, � �. p� 0 , � �" �� � �" � � � V� � . � � �- � v � ��C .g q� �� �<< �____ RESIDEN ADDITIONS OR Al If located: ❑ North of Route 6 - any work visible fr ❑ In Hyannis - If work visible from outs ❑ Hyannis Historic Waterfront District ❑ If ZBA relief(Special Permit or,Variance is req ❑Copy of ZBA Decision ❑Documentation proving that decision was re ZBA decision date. APPLICATION PACKAGE MUST INCLUDE: ❑ Map/parcel number Approval Sign=offs from: f ❑ Health ❑ Conservation(if exterior work) ❑ Tax Collector ❑ Treasurer ❑ Street address ❑ Owner's name & address ❑ Permit request - full description of proposed prof ❑ Square footage -proposed project ❑ Estimated project cost ❑ Complete Dwelling information for Assessor's j �t14E r .- TOWN O F BARN STAB L� .. i ti Buildng Application Ref: 20061439 p Permi BANSTABLE, Issue Date: 06/29/06 '. t R 9 MASS. FO 339. ok Applicant: FAVULLI,MICHAEL J. Permit Number: B 20060536 Proposed Use: Expiration Date: 12/27/06 Location 110 TROTTERS LANE Zoning District RF Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 047128 Permit Fee$ 335.43 Contractor FAVULLI,MICIIAEL J. Village MARSTONS MILLS App Fee$ 50.00 License Num 002987 Est Construction Cost$ 150,000' Remarks APPROVED PLANS.MUST BE RETAINED ON JOB AND NEW MASTER BEDROOM&BATH,NEW BEDROOM&BATH HAND CAfHIS CARD MUST BE KEPT POSTED UNTIL FINAL i RAMP, OMIT EXISTING BATH&WIDEN HALLWAY INSPECTION HAS BEEN MADE. WIRE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: CHENIER, LAWRENCE F 8r KAREN BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 110 TROTTERS LN INSPECTION HAS BEEN MADE. MARSTONS MILLS,MA 02648 G , // Application Entered by: LB Building Permit Issued By: � G� TH1S',PERIYIIT CON\'EYSNO-.RIGHT;T.O OCCUPY ANY:STREET ALLY OR SIDE.WAJLK OR ANY PART THEREOF"EITHER;TEIvIPORARILY,ORPERMANENTLY; E1�TCROACHEIvIFN7S ON P:UBLIG PROPERTY;N01`SPECIFICALLY PERMITTLD;I�NDER:THE BUILDING 6)L'MUST BE, TAOVED BY TfiE'�,URISDICTION. STREI T QR�ALLY'GTtADIS AS;WELL AS DLPTH AND LOCATION OF FUBLIC•SEWERS MAY BE.OBTAINED FROM THE DEPARTMENT OF;PUBLIC y�ORKS TEIEISSUANCE Oi `PHIS PERMIT DOES NOT-.RELEASE THE APPLICANT FROM THE`COITDITIONS OF ANY APP,L]CABLE>SUBDIVISION'RESTRIC71ONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIB:MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 7 r8 obi[0 2 lug c iz810 2r � ®S� 2 lor &!I6 3 1 Heating Inspection Approvals Engineering Dept d IC © � Fire 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel r1eOrr6W5 1-4 , Application# d dd Co/'yam �j Health Division Conservation Division Permit# Tax Collector Date Issued l l� Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address j/o Village A174/7 s7-rA/s >7i/LLS. Owner 4 A-Lu am.�-w c E e/4 N`Address T2a i'Td;4-5 Z-0-A16=. Telephone 3'1:�Ir� Permit Request 7'0 13 lei 4_,0 Il EGA 1-67t 6"A,00M 4 /3/97"h,,ANP fV A1,FW 66W40CW CQ(T/f a*T/`/, aid r 0-X 1 .9 Tr W 6; R A-7-H S., ¢' P.0 1 D 6;,v 94 LL Ur7 4 ye¢T2F1 H6257�e./42w-/2 SF sF. sT�Lor�,e. s� Square feet: 1 st floor:existing proposed,��fir:existing proposed N jA Total new/ Zoning District Flood Plain Alo Groundwater Overlay Project Valuation Construction Type 2= AA*e h3ti,.117 ` x /sa`X 134.92-'x i_C0 Lot Size o204 s Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structurea5 2S. Historic House: ❑Yes *9No On Old King's Highway: ❑Yes &60, Basement Type: ®'Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 4 s F Basement Unfinished Area(sq.ft) & 6 0 7-01"' �.p. Env 5"W4 • �A,— Number of Baths: Full:existing - on4lllew QL—Td 2E,0C-� Half:existing / m�'��riew Number of Bedrooms: existing 2i3��v�0.-- To P-C,"C r 6 X" STI.,JC . Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ;4 Gas ❑Oil ❑Electric ❑Other Central Air: aYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes gNo Detached garage e�tinges❑new size Pool:❑existing g ❑new size Barn:❑existing 1❑new size At 0 AJ� � 1 Attached garage:❑existing Elnew size Shed:1"existing ❑new size Other: ! rt Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes C(No If yes, site plan review# Current Use Proposed Use _ /A7 l C ff��1 e-1 FI-9 V u L L- BUILDER INFORMATION l r Name A F /3u- % /d e 2 S Telephone Number .S'O go S-Cfy ela7,-S Address.3 S4 Z e /�14(L.15 o 2 9 a-A, License# O O a 9 ( 7 ���T /'/� C-�v►v ce Tl� 1h A O d S 3.6 Home Improvement Contractor# / , Co d O S Worker's Compensation# e- b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0-A/ 4 0(f SIGNATURE '/ DATE U ` 07�. Dh FOR OFFICIAL USE ONLY PERMIT NO. .t DATE ISSUED MAP/PARCEL NO. , AD�RESS VILLAGE,. OWNER DATE OF INSPECTION: FOUNDATION i' `Q 4 O(Q o f2 �e� �SY C � FRAME 7 • INSULATION FIREPLACE 1 z ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING W !? U l0 ��►"`�� DATE CLOSED OUT ASSOCIATION PLAN NO. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE-• r F• New Buildings $100.00_ Residential Addition $50.00 ✓ Alterations/Renovations $50.00 Change of Contractor/Builder $25.00 i FEE VALUE WORKSHEET NEW LIVING SPACE to oo square feet x$96/sq.foot= S%Co —x .0041= o)36, A. plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE o?� square feet x$64/sq.foot= x .0041= G S_�'7 ✓ plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq. ft.= x .0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500'sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >.1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet.x$96/sq.foot= x .0041= STAND ALONE PERMITS Open Porch x$30.00= (number) / Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 r - ToWm of Barnstable Regulatory Services t wsrnsc•E, = Thomas F.Geller,Director v� 167 �r+9. Building Division. Tom Perry, Building Commissioner 200 Main Street, 1�yaanis,MA b2601 Www.town.b arnstable;ma.us ffice: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, 6!jLfAll C/le lul e i'z. ,as.Owner of the subject property /Yl F;4vc _t-L� hereby,authorize K.�- F' 8 u r'ld e e2- s to act on my behalf, in all matters relative to work authorized by this building permit application for. J. //0 77-o//edS Zo-,,,, AAg S'nm.!S A, rs (Address of Job) Signatur of Owner Date ail- Print N=e Q:FORMS!0WNBRPERMZSS10N �bl N Department oflndustrial Accidents Office of Investigadons 600 Washington Street Boston, MA 02111 wr+r►v.mas,&gov/dia• Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeObly- NaMe (3usiness/Orpnization/Iadividu4: Address: 311- C 2 e e-N 0 2 20 f4 �✓ , City/State/Zip: • E, -?oJnl o y y�;Y�t a od s 3(, ' Phone#: •sue s��o Ufa s Are you an employer? Check the•appropriate box; Type of project•(required): 1,❑ I am it employer with 4• EK I an a general contractor and I 6. ❑New construction employees (fun and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or pmtaer- listed on the attached sheet : 7. ❑ Remodeling ship and have no employees These sub-contractors have & ❑ Demolition worlemg for me in any capacity. workers' comp.bsuranee, 9. ® Building addition [No workers' Gump.insurance• 5. ❑ We are a corporation and its exercised their 10.❑ Electrical repairs or additions required.] officers have e 3.❑ I am a homeowner doing all work right of exemption p er MGL 11•❑ Bbambing repairs or adtiitiors myself.(No workers' comp, c. 152,§1(4),and we have no 12.❑Roof repairs insurance rcquired:]t . employees.(No woAM, 13.❑ othercamp.insurance required.] *Any applicant that ehecka box#1 naast nlso fill out the secdcm below showkg lhrir wod=1 oompenwiioa polieyzafotma#ion: ' t Herneowncn who submit this affidavit indicating they are doing an work sndffieu hire outaide eoatractors mast submit a new affidavit indicatiug u=b. ;Contractara that check this box must attacbed an additional cheat showing the name of the eub-contracture and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for.my employees. Below is the policy and,i'ob site. Information. ' •Iasi rEco Company Name: policy For aei4ni Lac. lob Site Address: City/5tatti/Zip: Attach a copy of the workers' compensation pa llcy declaration page(showing the policy number and aspiration date). Fajurc to secorG•coverage w requaed undei Section 25A of MGL c. 152 can lead to$ie imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisoIIment,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 DU for insurance coverage verification, I do hereby certify under the pains andpenalties of penury that the information provided above b true and correcit Si tore: Date: a 6 phone#: V 1, S'10 offic-:41,asE vw. DO xg t M,his inc,to be c d 4'city M tM iftid City or Town, 7 ermit/Li cease# I.sssuing Authority (circle one); 11.Bozrd of B.e&,Lh 2.Bullding Department 3.City/Town Clerk a.Electrical Inspector 5.Plumbing ILspeetor 6.Other Cau�actPerson: Phone#�: I Contractor: K & F Builders 34 Green Harbor Road East Falmouth, MA 02536 508/540-4256 Zurich-American Policy No. 6ZZUB810X374A05 Expires: 10/30/06 Excavator: Daluze Excavating 668 Queen Anne Road Harwich, MA 02645 508/432-3176 Liberty Mutual Policy No. 347509-026 Expires: 3/24/07 Foundation: Frank Silva- 27 Misty Harbor Lane East Falmouth, MA 02536 Norguard Insurance Policy No. FRWC600815 Expires: 12/29/06 Frame: Small Town Trades 123 Sam Turner Road Hatchville, MA 02536 508/564-5534 Liberty Mutual Policy No. WC2315311626015 Expires: 8/25/06 Electric: John Cullivan —Sole Proprietor 19 Mayfair Road So. Dennis, MA 02660 Liability—Arbella Indemnity Policy No. 8500033940 Expires: 5/8/07 May-08-06 10:56am From-MURRAY & MACDONALD 15084573101 T-008 P-01/02 F-04 ACORD GhK 111-IUA 1 c ur wp%DiLi i i ��rv.J6V+6•.r�, UVARI/Auuo MUCER (508)S40-2400 (508)299-4111 R7 S CE FICATE S SSUED S A MA OF I ORMA gray & MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 06 Jones Road ALTER THE COVERAGE AFFORDED 13Y THE POLICIES BELOW. almouth, MA 02540 INSURERS AFFORDING COVERAGE NAIL 4 ouglas MacDonald ,URED My c ael Favul l i tt'sURERA New London County 14826 DBA: K and F Builders, Inc. INsURERB; Essex Insurance Company 34 Green Harbor Road INSURERC; Zurich-American East Falmouth, MA 02536 IHSURERD: INSURER E' OVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUFFED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT wrrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY I PER AGG THE REGATE LIMITS INSURANCE AFFORDED BY HOWN HAVE BEEN REDUCED BY ED CLAIMS.SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH TYPE OF INSURANCE POLICY NUMBER DATE MMID DA MMIDD IIMTf3 R NSRXN EACH OCCURRENCE S GENERAL UAINUTY 2SD36673 02/28/2006 02/28/2007 1.000.0001 X COMMERCIAENERAL LIABILITY PREMIS En occurs c S0000 L G CLAIMS MADE a OCCUR MEP EXP(Any one Person) S 590001 PERSONAL&ADV INJURY 16 1 000.00 1 GENERAL AGGREGATE S 2 000,OOO 00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGc3 6 1,000.0 POLICY j LOC AUTOMOa u LIABILITY COMBINED SINGLE WM Irr 6 (Em eccldeN) ANY AUTO ALL OWNED AUTOS BODILY INJURY S (Per person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY S (Per wi 4enll NON-OWNED AUTOS PROPERTY DAMAGE $ (Per a=dent) AUTO ONLY-@A ACCIDENT S GA OF LIABILr11r EA ANY AUTO OTHER THAN ACC AUTO ONLY; AGG S EXcEsSIuMBRmt.A LIABILITY a9672 11/04/2005 ]1/04/2006 EACH occuRRENCIi 3 OCCUR CLAIMS MADE AGGREGATE S 5 B S DEDUCTIBLE S RETENTION $ WORKERS COMPENSATION AND 6ZZUB81OX374AOS 10/30/2005 10/30/2006 I.Tvov5yb LI rrs EMPLOYERS'LIAMUTY E.L.EACH ACCIDENT $ ZOO 0O C ANY FRERO�PRIIET �%CLUD[EXECUTIVE E.L.DISEASE-EA EMPLOYEES IAO OO OFFIf yes.EcsvE BER E.L.DISEASE-POLICY LIMIT $ SOO 00 SPECIAL PROVISIONS Delow OTHER DESCRIPTION Of OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIRFA POLICIES 89 CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAUL _20_DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDE3t NAMW TO THE LEFT, Lawrence Cheni er BUT FAILURE TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIGATION OR LIABILITY 110 Trotter's Lane OF ANY KWD UPON THRINSURER.ITS AGENTS ORR£PfWSBNTATIV". Marstons Mills, MA 02648 AUTHORIZED REPRESENTATIVE ,Douglas MacDonald ACORD 25(2001/08) FAX: (508)S40-4256 OACORD CORPORATION 1988 I Jun-13{ .-06 07 :52A P_01 AMR DATE(MM/DD/YVYY) CERTIFICATE ESE LIABILITY INSURANCE 6 13/2006 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIOM >s Sheer. I1aeT�raace ., 1 ; , ONLY AND CONFERS NO RIGHTS UPON THE CEtTiEICATE HOLDER- THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Te1.4 ec3 . 31;rE€.i� Ss1�&� TS r'YtJ$}M= S-EL U. �V�—�LG-9C1f 1• �iNStfifEff.Yi i►rr�?it17(lYG �V1%tliAfit �I(IA1G11 INSUReO Daluae Excavating Services, Inc. E ws.H!7 A:.Libgr.ty. "utua-1 �.f..R. Alt eae/w. S.ti+.Sl4 2�?.eyl-_ �.�c.•.,c..c. .. faCii ut'L Gtt, CfL'I 'az^$sr`�' �11'l3ilnGii'U: � I ISUlf�"ti;G�J1.%d I INSURER E: �1 COVERAGES IL 9.,^J 1.-��__.K y� a .nr .c+r.. ��a{�..T __ . Ir n)r• LrN r1.CMUI IYI.1 IW\111IANI'A I rvu..i ,..r.vleGn 1 ILA IFI,.DILLIIi.— 1 npTFnl.lRTI'"I 1 III,JIIIti 1 1 I C:FNFRAI I IARII rTY I 1 1 1 r_nru r.rr.�oaaure 1 e 1 I I (.UHINNI:iL'IU RENT ED �, '"-' COMMERCIAL GtNtA-A!LIPEt!!!?r li CLAUASMADE CI OCCUR MEDEXP(Anyoneperson) S PCRSONAL&ADV INJIJRY S -_— GENERAL AGGREGATE $ GEN'LAGGREc.ATFIIMII APPLIES PER: PRODUCTS-COMP/OPAGG g POI ICY - PR�. '— -• - - JE�1 LOC AUIOMOBILELIABILRY I COMBINEU SINC:LE LIMIT ANYAUTO (LaacciCent) g ALLOWNED AUTOS Ll0DIIYINJURY ; SG IEDI IL fD AUTOS (Per person) HIRED AUTOS AOORYINJURY g NON-OWNED AUTOS (Pereccidenl) PROPERTY DAMAGE ; (P,,racodenl) GAHACELIABILITY AUTUONLY-EAACCIDENT ; AHYAUTp OTHFRTHAN EA ACC S AUTOONLY: AGG $ EXCESSIUMBRELIAIIAHILIIY EACHOCCURRENOE ; OCCUR LI CLAIMSMADC AGGREGATF S ; OEDUCTIME $ REItNIION $ •• g WORKtRSCOMPENSATIONAND ]C T YjjMI1S T ANY f'ROFtiffT0WPARiIRTWSAIFkECU11VL _ EMPLOYFR 347509-026 03/24/06 03/24/07 E.I..FACHACCIDENT $ 100 000 TOtUP A 0FRCSRNFMBFR EAGLutn.m E.L.DISEASE-EA EMPI OYE( ; 100,000 U SPECIAL ISIO E.L.DISEAS•F-POLICY LIMIT $ 500,006 SPECIAL PflOV 1310NS below OTHER )ESCRIPTIONOr OPERATIONS/LOCAIIUNS/VEHICLES/EXCLUSIONSAUULDBY ENDORSEMENT/SPECIAL NHOVISIONS :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF TI IE ABOVE ULSCRIBED POLICIES RF CANCtLLED BEFORE TILE Expi"rI0 R F Builders DATE THEREOF.THE ISSUING INSURER WILL FNULAVOR TO MAIL10 DAYS WRITTEN 34 Green Harbor NOTICE TO Tw CERTIFICATE IIOLDE MED TO THE LEFT,BUT raiLURE TO DO SO SIIAl1. B Falmouth, KA 02536 IMPOSE NO OR]ICATION OR LIADI fTY OF ANY KIND UPON T14F. INSUREFiL ITS AGENTS OR 508-540-4256 R R NTATIvtS. ALqH AlZED EPRES i t kCOR025(2001/06) (DACORD CORPORATION 1988 r CIieM#:2811s R1 VFRA1 ACORD,- CERTIFICATE OF LIABILITY INSURANCE 01110106° '"' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 434 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660.1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. NorGUARD Insurance Company Frank Silva INSURER B: dba Frank Silva Concrete Forms INSURER C: 27 Misty Harbor Lane- INSURER D: East Falmouth,MA 02536 INSURER E: COVERAGES THE POLICES 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. POLICY Fx FEOTMVE POLICY EXPIRATION LIMITS LTR NSWY TYPE OF INSURANCE POLICY NUMBER DATE Y D GENERAL LIABILITY DAMAGE OCCURRENCE $ DAMAGE TO RENTED f COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR MED EXP(Any are Person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEML AGGREGATE LIMIT APPLIES PER PRODUCTS-CAMPIOP AGG $ POLICY j RO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO ALL OWNED AUTOS BODILY INJURY $ (Per Person) SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Pa acdderd) .H - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $_ OCCUR CLAIMS MADE AGGREGATE $ f DEDUCTIBLE s NTION $.. . _ _ _ _. .._ . _ .. . . . -. _. s _.. . A WORKERS COMPENSATION AND FRWC600815 IZ29105 IZ29= x we STAB I 10X EMPLOYERCS,,LIABILITYY E.L.EACH ACCIDENT $W0 000 VE OOFFFFICERIMEMI BER p(LUDDEDD?�� E.L.DISEASE-EA EMPLOYEE $500 000 It yes,describe der E.L.DISEASE-POLICY LIMIT $500 000 SPECIAL PROVISIMS.below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Michael Favulli DATE THEREOF,THE ISSUING INSURI3N WILL ENDEAVOR TO MAIL _l0_ DAYS WRITTEN 34 Green Harbor Rd. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT-FAILURE TO DO SO SHALL East Falmouth,MA 02536 IMPOSE NO OBLIGATION OR LUUULITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REP TIMES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S20096/M20086 MEE 0 ACORD CORPORATION 192 Jun-13-06 08:52am From-MURRAY & MACDONALD 15084573101 T-408 P.01/02 F-886 DATE IMMIPOMM) ACO6 , ,CERTIFICATE OF LIABILITY INSURANCE 6/13/2006 IODUCER (SOS)540-2400 FAX (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MacDonald Insurance Services ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES .NOT .AMEND, EXTEND OR 06 Jones toad ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. almouth MA 0254E INSURERS AFFORDING COVERAGE NAIC# SURED jNSURERAkssex Insurance Cem an mall Town Trades, DBA: Scott CaxettQ INSURER0;Sc'lifet Insurance 39454 23 Sam Turner Road mISURERc:Li.bert L-ritual Ins Co ,NSURER D: atchville MA 02536 iNSURERE: OVERAGES 'HE POLICIES OF INSURANCE LISTED RROw 14AVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CON i RACT OR OTHER DOCUMENT WITK RESPECTTO`WKCHT 6i CER'RFICATE MAY BE(S&UEi3 0k AkY'FERTR,t;N "hr: tNISURANGE At-FORDED by HE Y'aGLiCiES DE-35CWED--HERSW * SURJECT Ta ALL 'PRE--TER.V.S; &NCL.`S}£)T1S AND CL)FJDT O%S OF SUCK FOLICI-wS. k�36RSGATE UN*F*5 SHOM MAY.MAVE.Br_-9At REDUC60,SY PAb0-CLAWEL TYPE OF INSURANCE POLf0V N[f61BSIt OA7E(iAA00D YY) OA' �ON Iws IR N9RD _ GENERAL LIABILITY EACH OCCURRENCE $ X eTu 50 000aEMcSE'S aacu° COMMERCIAL S :t�a�8itt c :.�rrr'(� 9¢3Q-1 fl./x5/3QQ�a 6/$5/2006 14595P ft .orsq, �. excluded __R5a9AL&AQV't1UURr 3 b'09A.,000.: GENERAL AGGREGATE 1$ 27,DCO,000 GEWL AGGREGATE LIMITAPPUE_S PFR-- l PRODUCTS-COMPIOP r+GG IS Y+QQ6r QQQ X- ➢DLlCY P sOc.. L Av--v*BILE L.%N m E 87rvcr k,,,tT S I.(PaesrJIIsnu ANY AUTO I 1 3 I L ALL OWNED AuTOS }1509569 T4iI /Z'ft0'6 }I/14"4uv I i BopILYINJURY I� 25f1,Q40. l l X SCHEDULED AUTOS ( I (Per p`"i - - - 15 i�w',uwl l H.NvNuvvNCN IW 106 PROPERTY DAMAGE I s 100,0001 ..� I I t1(�rra�eratf tAUTOONLY-EAACCOENT,Is AUTO OtmN: AGG b EXCMSIUM0RFj IA LIABILITY E C $ OCCUR D CLAIMS MADE AGGREGATE S S DZEDUC7MLE i RETENTION S S WORKERS COlIPENSATION AND ORY 1 0 EAW6AYwLIA61LflY 100 000 ANY PROPRIEMPjPARTNUtV(FCLMVE EAk EACH ACGIPF-NT $ + OFFICERIMEM IEREXCLUDED? WC231 311626OLS 8/25/ZO05 8/25/2006 FL.DISEA8E-EAEMPLoYEES 100,000 Uycz,Cesato ceded 500,000 SPECIAL PROVISIONS�zm E.L DISEASE-POLICY UMIT S OTHER ESCRUMON OF OPERraTtotm ACATl( L%,D CLC$i=LUSIOM ADDED BY ENOORSEMENTISPECIAL PROVISIONS r TID �,3E 4i0�1 CANCELL ATtak 5I}8}5+0-4255 SllO4. W AW SW TM ABovf pESMW.D, sWolt U CAM:F_1.= WWM Tft Yc & P"Builders Inc. OP90Ma9'I-.PATE- TIFF:.TrrE- rss im-,rasumi wa ENDPavowTC mxt: Kichael Yavulli 10 *Ays WRIT/iN NOTICE TO THE CE;mFIG►TE HMOM NAMED TO THE LEFT.BUT 34 Green Frarbor Road FAILURE TO 00 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE East Palmoutb, NA U2538 iB64URES,tLB LAJ ORREfRESENTAltYES_ 4UTHORI2>`D RE ENTi -ORO 25(2001/08) CORFQRATIQW 1980 S025(Ofoe)ao AMS VMP MonBago Soudan;.Ina,(00 327.050 Pape I of 2 06/15/2006 THU 13:15 FAX 508 564 5531 BOUCHIE INSURANCE IM001/001 ATE ACORD 06115/2006 CERTIFICATE OF LIABILITY INSURANCE D1DD/6/15 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Robert E. Bouchie Jr. Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1352 Rt 28A HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO Box 400 Cataumet, MA 02534-0400 INSURERS AFFORDING COVERAGE NAIC# INSURED JOHN CULLIVAN INSURER A: Arbella Inderrin"y Insurance Company 10017 19 MAYFAIR ROAD INSURER B: SOUTH DENNIS,MA 02660 INSURER C. INSURER D. 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 CONDMON 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. INSR ADDIL POLICVNUMBER POUCYEFFECTIVE POLICY EXPIRATIONTYPE OF INSURANCE DATEEMMMOrM LIMITS A GENERAL LIABILITY 8500033940 5-8-06 5-"7 EACH OCCURRENCE $ 1,000,000 TO COMMERCIAL GENERAL LIABILITY a office ene $ 100,000 CLAIMS MADE OCCUR MED EXP(An one Pemmr) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGG S 2,000,000 POLICY PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea actJdecd) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (P-Person) $ HIRED AUTOS BODILY INJURY $ NON,OWNED AUTOS (Per aoDdent) PROPERTY DAMAGE S (Peraoddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC 5 AUTO ONLY: AGG S EXCESSIUMBRELLALIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- O W EMPLOYERS'LIABILITY ANY PROPMETORIPARTNEWEXECUTIVE E.L EACH ACCIDENT S OFFICERNELIBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S If W describe under SPECIAL PROMSIONSbe'aw E.L DISEASE-POLICY UMIT S OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS Electrician CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION K&F Builders DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN 34 Green Harbor Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR East Falmouth, MA 02536 REPRESENTA AUTHORIZED N ATNE Fax 508-540-425644 MA,is a AIPORD 25(2001108) PORATi0A11988 FINE�qy, Town of Barnstable Regulatory Services vMAsa. .g Thomas F.Geiler,Director �'OTF 639A�,e 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 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Estimated Cost /6-O,00 0 Address of Work: // 0 7-FLe tteX S L q iu e /YI A2S In J G s Owner's Name: k19w tZ L',v C 2 e AJ CPe-N/ ele- Date of Application: G ' .2- -O G 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 . El 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: ate tractor Name Registration No. OR Date Owner's Name Q:wpfi les.forms:homeaffi d av Permit# Permit Date s REScheck Software Version 3.7 Release 1 b Compliance Certificate Project Title: New Bedroom/Bath Additions Report Date:05/02/06 Energy Code: Massachusetts Energy Code Location: Marstons Mills,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 9% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 110 Trotters Lane Larry&Karen Chenier Frank D. Ciambriello Marstons Mills,MA 02648 110 Trotters Lane K&F Builders Marstons Mills,MA 02648 302 Setucket Road Dennis,MA 02638 508-398-9298 • • • ems] r .• Cavity Assembly - - • �•• Ceiling 1:Flat Ceiling or Scissor Truss: 346 30.0 0.0 11 Skylight 1:Wood Frame:Double Pane: 26 0.430 11 Ceiling 2:Cathedral Ceiling(no attic): 252 30.0 0.0 9 Wall 1:Wood Frame, 16"o.c.: 764 13.0 0.0 55 Window 1:Wood Frame:Double Pane with Low-E: 72 0.340 24 Door 1:Solid: 20 0.220 4 Floor 1:All-Wood Joist(Truss:Over Unconditioned Space: 594 19.0 0.0 28 Furnace 1:Forced Hot Air:87.2 AFUE Compliance Statement:Statement of Compliance:The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.7 Release 1 b and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Company Name Date Project Notes: REScheck by Cape Cod Insulation,Inc. 455 Yarmouth Road Hyannis,Ma. 02601 1-800-696-6611 #5538 New Bedroom/Bath Additions Page 1 of 4 REScheck Software Version 3.7 Release 1 b Inspection Checklist Date:05/02/06 Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Skylights: ❑ Skylight 1:Wood Frame:Double Pane,U-factor:0.430 #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.220 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:87.2 AFUE or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. ❑ When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1• Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2• Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfrn(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture shall have been tested at 75 PA or 1.57 Ibs/ft2 pressure difference and shall be labeled. Vapor Retarder. ❑ Required on the warm4n-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment must be identified so that compliance can be determined. New Bedroom/Bath Additions Page 2 of 4 r ( b ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: ❑ Ducts shall be insulated per Table J4.4.7.1. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. ❑ The HVAC system must provide a means for balancing air and water systems. Temperature Controls: ❑ Thermostats are required for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: ❑ Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: ❑ Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: ❑ All heated swimming pools must have an on/off heater switch and require a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps require a time dock. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F must be insulated to the levels in Table 2. New Bedroom/Bath Additions Page 3 of 4 a �* Table 1:Minimum Insulation Thickness for Circulating Not Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature("F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range("F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) New Bedroom/Bath Additions Page 4 of 4 . ' y fee "(/JIYI�I�)eOduuBCt�U[ c�✓f�a:luc/1116dtj - ' �f y BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 002987 B irthdate: 04/14/1944 1 Expires: 04/14/2008 Tr.no:. 23388 Restricted: 00 MICHAEL J FAVULLI 34 GREEN HARBOR RD E FALMOUTH. MA 02536 Commissioner .J iIP. '(J/YIJUIItO'J7.(J/P.2��� O����pdJfLIJ/LC[dCIC(1 _ Board of Building Regulations and Standards r= HOME IMPROVEMENT CONTRACTOR Registration: 136005 Expiration: 5/30/2008 Type: Individual MICHAEL J.FAVULLI MICHAEL FAVULLI 34 GREEN HARBOR RD. E. FALMOUTH,MA 02536 Deputy Administrator i Town of Barnstable Regulatory Services ` Thomas F.Geiler,Director NAM Eo;g, � Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: 0V T 2 l Kf �3c.as Project Address /l0 TnzTc-rzs' �� Builder: The following items were noted on reviewing: 7-00 /3C? No T AE C e nZ 5 lk-a o.e Cc,� Gye r�&c- AFQ it r R c`aLc tdl7-+/ 0:19-14 )3atj Momol (hc �- Reviewed by:' Date: Q:Forms:Plnrvw Assessor's map and lot number i SEPTIC SYSTEM MUST BE INSTALLED IN COMPLIANCE w """ """""""'Sewage Permit number "z ""' ' WITH ARTICLE II STATE SANITARY CODE AND TOWN �FTHETO °_� TOWN OF BARIN w Z EARN TA3LL i ^' 9° rb 9• BUIILDI:NG ' INSPECTOR O0 MPY a�9 0 V f= 0 APPLICATION- FOR PERMIT TO .: �? ��1�....�i.�. J....��1J.:.SI�CpG�.`.��.......J�.��.'�.�... D TYKEOF CONSTRUCTION .:: .Iglllda�l (.{�t,a.. : .......................................................................................... L CIJ TO THE INSPECTOR OF BUILDINGS: ! The undersigned hereby applies for a permit according to the following information: , Location .1iC1.7.........�..~�............. ./..��ff5T S......&Vir. �I�.�.r��fCa.f�.�.L`-�....................... ProposedUse ................s.l.`t7CJ' '............... .t .. .......1................................................ ZoningDistrict .... .j ......`......................................................Fire District .............................................................................. Name of OwnerZ—Kt(k)Aou-,4 ..1v-e....61-& .........Address ri.. .v;ITB4J.44..... :... Nameof Builder ......... .......:...................................Address ............................................................... Name of Architect ...�,J~CI k JA1....T4Z./�Ci ......................Address .[ 4 Z6,- <('. 0 j......... Number of Rooms ...... .........................................................Foundation Pauad9d - �. � G�: �7---- ` Exterior � (? Q .�. �................................................Roofing ...4A'L:l.............. ............................ Floors %L. c�on.(3......... ..f!/.ul�..,,�L ..o,..�ts Interior . .. ... . ,t� y t�te�Gl -........................................................ Heating .4/Z........ ..................:............................Plumbing ........................................................... Fireplace j(W..(C.A;�...........f340a!-:�.......................................Approximate Cost/� C/'ZT-� p� 6� Definitive Plan Approved by Planning Board ---------------____-----------19________ . Area ....4��L�......... � .1....... Diagram of Lot and Building with Dimensions Fee � -01 SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. v � Innovative Builders ~ . . � �����1^ ' ' �v -�-.--- Permit for ..........P.WA.11imm........ ` ' ( ................L..AX.9sy................................................�p� 7 Trotters ���e Location --'�.---__--_____..,,`~__. Mars tons..������_----------' ' - . ' �o���w�m Owner ---����������y�---------_-. .� Type 'of Construction -.�����--------.. , . - ----.-.--------------------. _ � ^ . ' ' Pkot -----.---.. �t -..JL.�7-�IZ8-- ' ' ' . . Permit Granted .............. ...... g77 . ~ ` Date of Inspection //): ...... Dote Complef66 lg ''�f^°'+'°'�°----- ' . . PERMIT REFUSED ............................................................ g /----~--~..—..-..�.---.-�-,----~- .~-.----.^----..-..-------.--. ...-------.--.....-_..--..~-.---. ' ~ ---..----~------.....-.------.. . . � ` ---------------.. lA ' . . . . ^ `---------------^^^^--------' ` . -----------^---'~^^---^-'^^^^^'' � i q 5 � JG �4tZ ( ti nx {r!• -'1� ,,.t. { J'J �!�.t, 'r--�--r--- , sG �} 1' �I , i ...�`• "t f h 1 36 t ' rNi • 't\ .�t 1��. !��err`I,! +M � 1`~ ;.1... 25 , + ' �., !' +� 1`',,.! �. � �''J•'. Ll-7--. —7, ( . ! et ;1,,• •I ,V r J. Y^ 41 ISO U O *<5� .c3 & v J 14...! ! r�a.... _^ ��•2� ROBERT `K(� a, ;•rr a!' / a I P. " I BI,INIKIS' ' a ' f t a• OISTf•R�O Q 1�, O 0 suiak4 • t vt V 1 CERTIFIED PLOT PLAN L,-v 7 Tfc»T -�s LQ�1/F Nc►Y_rns;cTl;ICTIO'N, 0!�LY - _ y%vJ,AR57Z?��.�_ TOP i OF .FOUNDATION IS FEET • IN ABOVE, LOW POINT, OF ADJACENT SAABSTA'SL M.SSo ROAD.", SCALE: 4 D DATE - 9/z�/77 • LOREDGE ENGINEERING CO.IN9) I CERTIFY THAT THE F0vN✓pA7;OW . CLIENT SHOWN ON THIS PLAN IS LOCATED. , E018TERIFD REGISTERED. JOB NO. ON THE GROUND AS INDICAUI •,AND' CIVIL I LAND I� 4 9`. ENGINEER SURVEYOR DR. BY: ��` '4). ,CONFORMS TO THE ZONING LAWS ' OF BARNST B , MA S 33 NO. MAIN ST 712 MAIN ST. CH. BY -' '�.,3' /� �,� � � .. t , S0. YARMOUTH, MASS. HYANNIS MASS. / �- - SHEET OF DATE " RES. LAND SURVEYOW �� ✓ , Assessor's map and lot number .......'. .................... Sewage: Permit number-,......................... ..`:....................... �OFTNEt��♦ TOWN OF BARNSTABLE b�Q O i ii • i BAWSTADLE, i "b BUILDING INSPECTOR �0UPYa• ; !� APPLICATION FOR' PERMIT .TO .. .� ��>��/�„ �1....L„�A/�� 4J��.��.��......�.................... TYPE OF CONSTRUCTIONi ?;�rc .................. . .................. .... ............................................. rill.t'sa.. u....?.' ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: , Location .! h........ .. ............... 1�..................:<.....I-Ne � /��!$1��� ,r l I �.C.�� ,r Proposed Use ...................-i-4.t;r..(,: �!.................... F4',�2�..1.�....<'.....�........................ Zoning District // ............................................Fire District Name of Owner .:l.a lAh.l.J.. Rf ^F .... .:.......Address 7 ?o a, Q F..B...I..................�.l. .....t... Name of Builder C" !$P�a��p, I.............Address ....C!a f............................................................... Name of Architect ..:y' ,}�?..."G"! r:.� Address b /j✓1�?d!� !..fin%! cX'.�n' t,�,. i �1�i1/ ' .V.i ..................... ... ,, .'>' .........6.......... . ... .. ..... ... ...... . Number of Rooms ......tr......................................................Foundation !1►.pR7 � � ,.��z. ?,n ....�.......:�.....,....�......................................... Exterior .R' „ ................ g �i 477.......r�A,, dt�{s/..Cn Roofs n r Floors d •, L ::: ::.;1......... -T" Interior ....................................................... Heating .� l!.� ...............................:........Plumbing .. t?? ' ,.5.....................:..................................... Fireplace ......... Cr4/!.......................................Approximate Cost �� �/ r f ........ ..� .... Definitive Plan Approved by Planning Board ________-____________-_____--19_______- . Area ( .��... .i ....... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH o� r ,C I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above I construction. Name! �'.:...... r % �� ..... Innovative Builde No �9A�!...... Permit/for .................. 1 stoy.............. r ......... ..................................................... Location .....Lot 7 Trotters.. .............. .............. MgX.* Mills ............................ Owner .!,qnqvatiy.e...Bu.i.kder.s................................... ...... . .... . . ...... . Type ;of'Construction?....... Frame ......... ......................................... ........ .......... Lot Plot ......................... .. Lot ......A..47...128........ Permit Granted ... .......... Oct 5....................1977 Date of Inspection ................ ....................19 Date Completed ........ .............................19 PERMIT REFUSED ...................... ......................................... 19 ..................... . ................ .................. ................ ............... .. .... .......... .. .... ... ..................... ......................................................... ........... .. ........... ......... .................. Approved ..... 19 .............. ............................................................................... ................................................................................ oF1 MET Town of Barnstable *Permit# 7l O� Expires 6 months from issuehdate snxxsreet.e, : Regulatory Services Fee 9 039. $ Thomas F.Geiler,Director �A'ED M`r Building Division Tom Perry, Building Commissioner � .Ss 200 Main Street, Hyannis,MA 02601 A(� � I Office: 508-862-4038 TOE/ � 2 8 2003 i Fax: 508-790-6230 N OF B N fi EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY gR�STgg Not Valid without Red X-Press Imprint CE Map/parcel Number '0 Property Address l/ o -Fro. r-5 L n • MarS- o&5 j�'18 a . 0�6 s' ❑Residential Value of Work $, `3 ,Dno Owner's Name&Address Q l^�/"1 /�� � e.4 ruff�s 1-h . G C5&n.s 115 ; Na— Contractor's Name Telephone Number 1� Home Improvement Contractor License#(if applicable) / Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Permit Request(check box) P•Re-roof(stripping old shingles) All construction debris will be taken to (JS+C�— ❑Re-roof(not stripping. Going over existing-layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature QTorms:expmtrg Revise053003 `pF IME ip The Town of-Barnstable BA MAS,g.BLE. • Department of Health Safety and Environmental Services MASS i67q. �0 'rFo MPS° Building Division 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection G4 C i p Location �to � K-o��S �Tfi elf iZk f(/?7 Permit Number 2 O0 � 7 Owner Builder One notice to remain on job site,one notice on file in Building Department. The 1 wing iitemss need correcting: "E Tr�- z s-~ - /010 A--1-7 7. 0 I �197`l /�GZ�PC e15/6/n/G- /!U 1044 7��-5 ZZ )flAll�;'11 Z:�k /-0 K "a ACtOW,, 4- -7�;/XA 50640 -r 6e il Es s 14-0 CA-c b t{-09-yE /St�, .4J / )s Please call: 508-"8662-, for re-inspection. Inspected by ' L cl2t. x!C Date. Vo6k� i PLAN REFERENCE SETBACK REQUIREMENTS CONTOURS MARSTONS MILLS. MA RA CE o LANE ,�� PLAN BOOK 271 PAGE 97 ZONE RF /' w EXISTING - _ _ _ _ - 50 w 00 ASSESSOR'S MAP: 47 FRONT 30 ft /' \ MINIMAL GRADING PROPOSED 0<w LOT: 128 SIDE 15 ft /� \ LOCUS ��� 0; REAR 15 ft ( / ' m o U) o In Iri w ,M 13�92 jr/ SHED \ w M 2w //0 /� i S ' .\ —\' BLACKTHORN QJ< �'ATH ::: w<� /� LOCUS AP —w <: :.: : o �zo M s:::::>::; -)<o \ NOT TO SCALE O w a, ,7. o o U)0 \ ' rN z //o / \� GENERAL NOTES J wi `N �w = W z % EXISTING 1) EXISTING SEPTIC TANK IS TO BE PUMPED w o c�3 U J ►_ = / 24 ft x 12.5 ft x 2 ft AND REMOVED. INSTALL A NEW SHOREY =w> J X WAY LEACHING GALLERY 20 ft PRECAST 1500 GALLON H-10 RATED SEPTIC j Co W Q w N PAVED DRIVE I ; TANK AS INDICATED ON PLAN. 2) MECHANICALLY COMPACT SOILS BELOW z SEPTIC TANK AND PLACE TANK LEVEL ON W = LLJ 15-0 A SIX INCH GRAVEL BASE. Q o 3) REROUTE EXISTING SEWER PIPE INSIDE NEW FOUNDATION AS SHOWN ON PLAN. W' O w} jLon {t \ 4) PROPOSED ADDITION WILL NOT INCREASE ,N< z J m z \ X' 12 0 wER ` Io o \ THE TOTAL NUMBER OF BEDROOMS. O \ \ o z o I X o W _ R�Ro�tE; O \ � �I\ � � � �SWE > wo w m O \ �, XNEIN o w ; LEGEND dz -A Z -pa O v0 ZU W ZW O �� v' *0, 5 ft U' m 7 O 5 EXISTING ►- � Z m V V Z < cn \ l8 0 c Lu ww \ Jr p o Cn 1000 GALLON O O /09 O cO�'CO T\ \ Z v o 6. \ SEPTIC TANK J < ` 3 w D-BOX O w � E W + � 3 \ ER Q SEM �pN � •�, - \ PROPOSED 1500 � o Z m\ wPT/ 'o BP NpPT w GALLON SEPTIC o CR N v FOU {t TANK In p x ao �J � \ / 0 J o WATER TREE �� Q \ GA TE w ` -abiA NUMBER REFERS TO DIAMETER 18 P WI w wla W z \ L OAT 7 O-OAK -MAPLER P-PINE ES TYPE I w co O z \ L m J Q AREA = '20256 s f LL 3 w Q \ ; I ,,/ PROPOSED FOUNDATION AND 0 0 o cD u \ ii SEPTIC TANK RELOCATION PLAN O J - FOR EXISTING DWELLING w Z o I :: ��/ /09 \ QABANGONED /-' LAWRENCE & KAREN CHENIER 0 � O — \ WELL ;.� � /5 ft ZN pFlygssq 110 TROTTERS LANE MARSTONS MILLS. MA o Z ; /,-� '3 � DADVIE cyG� ECO-TECH ENVIRONMENTAL I, 43 TRIANGLE CIRCLE SANDWICH MA 02563 Iw N z o BENCH MARK \ \ \ / / ` U cotvo 1093 HANowR N 508 364-0894 LL o \ i� L N ���,STE�N ETE-2348 MAY 16. 2005 I/I TOP OF WATER GATE � ELEVATION - 109.30 �} rA �S THIS PLAN IS TO BE CONSIDERED A DRAFT PLAN UNLESS IT BARNSTABLE GIS DATUM r BEARS THE STAMP AND SIGNATURE OF THE DESIGN ENGINEER S C.'�L E l�' In = 20 I 1 �l�qY ��i ORIGINAL EALTH WILL BE SIGNED NTENDED OIN BLUE AND STAMPED BOARD TO THE OF H IN RED _ �j O O N �G �/yGRTF`�RS0 RFAC�O . /�CR,y9��sFpq FA,NC �rF,RFs FRF ti /ReO GpGQ�/RFO ol Ck OCA i . .L3iC P O.y7. r . U. ILLM ErU is T. I . 1, _ } f r J:;g. r s; .....n .:...:.., :. ...5 AO.._/.,<c APPROVED B?_ZS /I DRF NBY 'fin r :. DATE: ------------- ._....__....+� ._:.i.!'..:_:.•::: .,/_._._-.� DRAWING kUe.•IBER' •_.___3i-/..vim::. � � � �� � --- / l 77- -77 i - i�P {l . eLL. bin/ �Lud -- LL - • .!•>z..G 9'%'T/b^r �.t'� �. EXl� T..7iC�Ci� ... ..._:G_.�}%_Z'�L%_.. .._..---.._ - _.. s ALL DIMENSIONS A E PLUS ON FIELD LrINUu AC Rulidii'i'C YOl' iESTF oc _ —..._-....._.._._ _ N 8�SUG , CODES [R % G:W 0Nis DICTATE T: — ... — 'I'I ti'AS PIER AV?AU. BILL+Y .. .: ... . _ JCS �f3JILDEI�. QU ALITY ' — P�:F I /�r...,.n �'� .i � . .:•�..:,..-... : ,' ,.;..,.:.. � _._ - >`1LL'i�;�P�i;rP1S,Ef)i1!;.a uES;•y" : -- --- SC LING OR DABS w �. _......__......_......_._ ..........._............ . Li. I L_. .ate^lc✓7nD2L=2 O:�Ec :_ . .I ... .. , _ ,_ ... 1. 1c.,, l � ,. ;..:. ... �" `. '. •..; ��.-- .. .. ..:.G ONS_T%L.11_�["T/O;%i�::.:P4'!cCN.. _...... . t S.. _ ...... I I f _............__ ._...-' - -... -............_......._.. _.._............ ... L 1 aL 1 %QIJ./._.Z!_;O://..___ ._.._..-- -._-::_. SCALE ! N APPNGVED BY - D WN BY DATE: L. REVISED' Z. O , 'r: - 1 L •z J ...... .. ..... . .. ........:...... 'DRAWING NUMEER I a PPi L/. _ : - _ - •_ ALL OlMEW'SIOidS ARE PLUS OR MIWUS ACCORDING TO � ,Ll 1_1 I`— FIELD 6 MATERWL CONDITIONSe III � u_.Ll =— . / D SUMMED$' v SV AI.RG o D4:uAl8 LAYOUT — G/[xPens..�;r-vESTED oc: Y'ANDISSUBJEGT`TOCGRANGE ONC AS CODES &FIELD CONDITIONS, •9 0 0✓c. . _-. DICTATE SOME MATEPRAL MAY BE SUBMTUTED WITit EQUAL QUALITY AS PER AVAII 101L11Y I ; AS P'ER•BUILDER. ;r ckl =LL— i I _. �/� ��� � �,:� � \ � I •i: .. � - - - - 2�$-•-' Viz.... '1G • \ V i �3 t .: f ". �i '.::< .- .-.•.•'.�` .....'" �fE t 1. r.. � I ' .. � .'; �.' : ,� .,h:I. ... ✓J'71,.fj'?L'4.%i:::fr���`.:�;�'i1fr�=:�iZ,�iD'KLiJ.�::C%�CN�G',e;' , � i � �oW.l � ..,//O nL0��25' >;-� I,YL'P,Cz,Sldiysi;ll✓cGS.�..f✓/7� o.Zc.96.. �• WN SCALE / O 1;A VED HV. , IA— DATE:'.'•.'.r— Y..._� —�� I..I�. :/.ALL' /. i PPRO DATE,:' - DRAWING IIUM9HR� t . - • f 2 i 1; I / i .I I:: - :.:zJC'.A 71 Z72 W.'C=..__ __;'•_..t-.__.. . h 4l_ Dr: _ - r 1 _ 1ILL n J. _ 1 ow i ;+ 1 - ,� /:'�•Q�`_C QFl.C.,.. GN6. VI/t�L.L �Q. :I' i�� -:iT'Oue✓J.`:`3`'TGH.•:Ex/Sr7iNG.: '�:.�:•� — i r, Q : :a ww .•. '-. :' v ALL DIMMSIO dS'ARE PLUS OA.MINUS ACCORDING TO FIELD•rI t1AATERIAL CONDITIOICS., r "t� 1 Al L®B✓ PJ$BDPlS SUP SCALING SUGGESTED SU';JECTTO CNANGI • � LAVO ONLY-ARID IS AS'COA.ES &.FIELD CONUITION;3 DICTATE tPAE.-MATERIAL. MAY l3k. StlB TITUTED WITH EQUA4ti o QUALITY ASsPER AWLA®ILI�' R:8U AS ILDER. 112 c. �..._...=..r_._..... ' .o.:.T2.OT7Z��:f 1p ..Nlr,�.2STo K.,.S(t�iG�S -•{Ie1H ozr..9.8... . .. _ .. .. �.. : � .. ..; r a. .::'....:.'• � SCALE:I EO BY. ..:• 'APPROV� RAVJH DY, v - DATA:Gp`"./—�/ ..REVISED _ —_.......... -..._,....-._-.__...._......._.._.—..-.. .. _. Lt, m: ep ALL DIPENSIOINS ARE PLUS OR MIWS ACCORDING TO F*L-D A MATERIAL CONDITIONS. e LAYOUT IS ISUGGESTEO ONLYAND IS SUBJEOTTO CHANGE AS CODES & PIELD CONDITIONS DICTATE SOME MATERIAL MAY BE;- SUBSTITUTED IMITH EQUAL: QUALITY AS PER AVAILABILITY AS PER BUILDER.' Ion i3,L„ rr G G° . .. b e ; �tkt9E di�L A /E NS10�,p SUPERGEDg _:1'c•i�L-29.9_L.:.. ..:.c �:.. ..'_:._:_'..:._:.r:. :c._.:_�.:.:.':_7_':/A!.=2.9_4.G'.7:_ _':—' .Tc7:; 'ct:`__`IIY._294'G::-'i:c:';:•__ ..^....::r..:.'..:__ .. .. . CALdNO 7 OR OWNSn 61 . 21-Grrt ki .i • .. .. Sl�t:.:D.....C...iT/'7Fi�1 C:,.021-7,L' /4 S.K ' � \ f 1 1 i' •`;q 31+-_.__."' ..:C.E%Cl/N.'iC�ri<6. i C bo i F<m n N _ O' ..J.-.•ELF,� I Af .fi aX ' N :[4�iFoev1; 4:. N i o : II I • -,__-�,>_r.�ca�� � ., ... ,. - ... I 7 SrYE;:�E5 � /Lpty�:6w - I i.�1ev.YLoua � � •,A,a� m I AI .. r -- • �. ..:•..'.A-O.�:..:::..".. �. 'Y EI" O.C. CD __.._ :/4"a" o r N Lf Z. I - . ... .......... _ _.__a_r�_n_o:✓:F._g'!L_-1rzr1�7��"�`.;K�?��'r�:'..C'tLE✓�Z.c..:.._:. .__...... ' SCAIE:.I r it APPROVED:BY: my DATE: TA/_/._O./,. REVISED - ' DRAAING NUMBER Enb_.. h I , 13 A. I ' I - I - i au 4 .TT�:.. .:.:fit• : - i L I w.v E.� trvc.v 2 71 - rffyfl - - SOARS.&AaTER'IAL A4 w sE - •. _.. t: _ ;:.ze.... SUBSTITUTE® WITH EQUAL QUALITY AS PER AVAILABILITY AS PER BUILD -- - SUPER_. � gCAblldn OR�+�„ QED • LAYOUT IS ISUGGtS7ElT ONLYAND IS SUBd£�TTO CHANGE. ELIa S CODES.A.rI CONDITIONS . _ DICTATE - NCI_✓'r1F_C:G__G2" Tu.;?-�. ..:•:�._ / ,�. ALL f)1MEPd310FdS ARE PLUS OR Ad INUS...: .. r ACCORDING 70 I;,�.. OELO 8 M.ATgRIAL CONDITIONS, ,TO%S•T/+'>r%✓G.6re S, ?",Y/•r7T.' . ,... .. ...�.-.,t.::.::. ....,�. ....-.v.R.,. N;b SCALE: - / APPROVED BY r r +.: ...:......:'... .... ......... .. ...... ...,.........._._.._-... -�1f �( ._�_ ^ I .�.. � 4L DATE:2 RM.ED 0 _ _ io�i --- - �q/ ---- - - = --- - - ---... _75 --.. � - /- / .� •- DRAW E t1