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�� . 0 , . Application number................. Fee ............... ................. . ........ BARN9WTA NAS& Building Inspectors Initials........ ..... .. ................. t6l SEP 1 (9 2019 TNI N 1 J� BAK N S 1-M LE Date Issued..................... ................. Map/Parcel...... .... .. . ...... ....... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SlDfNG/WfNDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: IA�16 NUMBER TREET VILLAGE Owner's Name: Phone Number- 61V 372 Y5Zp Email Address: Cell Phone Number Project cost $ 301 did, Qu Check one Residential � Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building pe it in accordance with-180 MR Owner Signature: Date: TYPE OF WORK Siding Windows (no header change) #_E-1 Insulation/Weatherization ED,ffoors (no header change) # Commercial Doors require an inspector's review 0 Roof(not applying more than I layer of shingles) Construction Debris will be going to C'elt'l-I EEC( CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration (if applicable) # 17150e22- (attach copy) Construction Supervisor's License # I D V3 V -(attach copy) Email of Contractor /2e�yPhone number �2;7zl-_212_ - ALL PROPERTIES THAT AAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PE5MIT CAN BE ISSUED. i APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X 5 X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number 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 required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date �lP/�l� All permit applications are subject to a building official's approval prior to issuance. ACORD Client#: DATE TM CERTIFICATE OF LIABILITY INSURANCE 09/16/2019 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.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 endorsements. PRODUCER CONTACT RAPHAEL OLIVEIRA PHONE (508)771-4600 DISCOVERY INSURANCE AGENCY LLC (A/C,No,Exl): 668 MAIN ST-UNIT A EMAIL raphaeldiswveryQagmaii.com ADDRESS: HYANNIS,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURER A: ATLANTIC CASUALTY INSURANCE COMAPNY INSURER B: OCEAN LEVEL CONSTRUCTION INC INSURER C: 166 STRAIGHTWAY INSURER D:TRAVELERS INDEMNITY CO OF AMERICA HYANNIS, MA 02601 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 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 TALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRL ADDLI SUBR POLICY EFF - POUCYEXP .. TR TYPE OF INSURANCE -NSR WVD. :POLICY NUMBER MMIDDlYYWMMIDDIYYYY - LIMITS: .. A GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea a rrence) $ 100,000.00 CLAIMS-MADE IX I OCCUR MEDE%P(Any wepers) $ 5,000.00 L261002986 2/26/201 9 2/26/2020 PERSONAL A ADV INJURY $ 1,000,000.00 GENERAL AGGREGATE $ 2,000,000.00 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000.00 X POLICY PROJECT LOC B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) ALL OWNED SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per ecrJtlenl) C UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCESS UAB CLAIMS-MADE AGGREGATE DED RETENTION$ D WORKERS COMPENSATION WC STATUTORY I OTH AND EMPLOYERS'LIABILITY YIN LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICERIMEMBER E%CLUDE0 7 E 6HUB1 K85908719 2/26/2019 2126/2020 $ 1,000,000.00 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 slates 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.govfwd/workers-compensation/investigations/. General Liability:for regular and usual jobs CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE IT IS THE CUSTOMER'S RESPONSABILITY TO INFORME ANY YARDER@COMCAST.NET CHANGES OR CANCELATIONS. RAPHAEL OLIVEIRA 1 1 ©1988-2010 ACORD CORPORATION.All rights reserved. © e a l e v i e W -M Premium Report 8/23/2019 461 S County ' • Osterville, MA 1 . ' -•• 11 1 • TABLE OF CONTENTS Images .....................................................................1 LengthDiagram.........................................................4 PitchDiagram............................................................5 AreaDiagram ............................................................6 Notes Diagram...........................................................7 Report Summary........................................................8 !MEASUREMENTS. Total Roof Area =6,109 sq ft Total Roof Facets =24 Predominant Pitch =12/12 Number of Stories >1 Total Ridges/Hips =251 ft Total Valleys =109 ft Li Total Rakes =287 ft Total Eaves =352 ft In this 3D model,facets appear as semi-transparent to reveal overhangs. PREPARED FOR � f Contact: Gregory Wetmore I Company: GWW f E I Address: 93 Pond View Dr Brewster, MA 02631 1690 Phone: 774-212-1401 Measurements provided by www.eagleview.com .r , Certified Accurate www.eagleview.com/Guarantee.aspx E ©2008-2019 Eagle View Technologies,Inc.and Pictometry International Corp.-All Rights Reserved- Protected by European Patent Application No.10162199.3-Covered by one or more of U.S.Patent Nos.8,078,436;8,145,578; 8,170,840;8,209,152;8,515,125;3,825,454;9,135,737;8,670,961;9,514,568;8,818,770;8;542,850:9,244,589;9,329,749:9,599,466.Other Patents Pending. Office of Consumer Affairs and Business Regulation 1000 Washington Street -Suite 710 �S�w s Boston, Massachusetts 02118 Home Improvem4AfContractor Registration Type: Individual. Registration: 174226 GREGORY W.WETMORE ;Ww 1 " 'I'"+ Expiration: 01/14/2021 93 PONDVIEW DR BREW STER, MA 02631 i` , update Address and Return Card. SCA 1 0 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Reaist�ation,,,._ Expiration Office of Consumer Affairs and Business Regulation =1_:7422fi >,01/14/2021 1000 Washington Street-Suite 710 '•tc,�r:, .R."'-= ,�;• Boston,MA 02118 GREGORY W:WETM�ORET__,i-� GREGORY WETMORE z> 93 PONDVIEW Wi _i °,_ �� Not valid without Signature BREWSTER,MA 02631 Undersecretary' 9/17/2019 Office of Consumer Affairs&Business Regulation-Mass.Gov 9 Offiuu of Caonsumldl Affailzo and Regulation (OCABR) HIC Registration Complaints Registration 174226 Registrant GREGORY W. WETMORE Name GREGORY WETMORE Address 93 PONDVIEW DR. City, State BREWSTER, MA 02631 Zip Expiration 01/14/2021 Date Complaints Details No complaints found for this registrant_ You can also view arbitration and Guaranty Fund history. Back To Search https://services.oca.state.ma.us/hic/licdetails.aspx?txtSearchLN=174226 112 a y Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards I Constructions r Specialty it CSSL-101320 irPc �ires: 12/13/2019 GREGORY 93 PONDVIE V < BREWSTER MAi�263, .0 17 Commissioner N t_o T 4 a o K- v q 75't QD L ti � , v N I�oT 3 tf o • U . 1.33 AMES b z , hys Z 1 A Lc-r LoT 11 off n; / I Cl*AFS1 *4C Dam CERTIFIED PLOT PLAN LOCATION .OSTEP-V%Lk-E , NASS . I CERTIFY THAT THE FOUNDATION SCALE ''.= 4o DATE 6-12'7 if 8 SHOWN HEREON COMPLYS WITH THE SIDELINE.AND :SETBACK PLAN REFERENCE REQUIREMENTS OF 'THE TOWN OF BARNSTABLE AND IS NOT Lo7 LOCATED IN THE FWDO MA\� 12o Pa+2c L. I_3 f DATE : S 1.27 98 BAXTER NYE, IN ' THIS,PLAN IS NOrT� BASED ON AN REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OS T E R V I L L E MASS. OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES. APPLICANT 6A'j S%DE BuQzlQG Co. Tuc I i Ecolo 1 Spray Foam Insulation 9 The Economical Choice for Insulation,The Ecological Choice for Living KP Remodeling&Construction 19 Guilford Rd. Centerville, MA 02632 Nov 16u'2012 INSULATION AFFIDAVIT The insulation installed at 1460 S.County St.,Osterville,MA for the rear addition was installed to prescriptive minimum energy efficiency building code specifications per the state of Massachusetts and the town of Osterville. The contracted services provided to KP remodeling for the installation of the insulation for this project were provided by Ecologic Spray Foam Insulation Inc. Here is a list of the items that were installed: • 0.8 lb open cell foam insulation with an R-value of 4.5 per inch was installed in the roof assembly at a depth of 8.5"to achieve an R-38. • 0.8 lb open cell foam insulation with an R-value of 4.5 per inch was installed in the runners and blockers at a depth of 4.5"to achieve an R-20. • Kraft faced R-21 fiberglass batt insulation was installed in the exterior walls. • Kraft faced R-30 fiberglass batt insulation was installed in the basement ceiling. • Single component closed cell foam insulation to be used as an air sealant around exterior rough openings. Ecologic Spray Foam Insulation MA Registration: 157640 John Peters P.O. Box 453 Jamestown, RI 0283S Phone Number:(401)383-1589 ext 2. Fax Number:(401)244-7469 Authorized By: Title: R�r4l(w Date: Ecologic Spray Foam Insulation.,Inc. e00 401-383-1589 P.O.Box 453 info@ecologicinsulation.com Jamestown,RI02835 L www.ecologicinsulation.com 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V Parcel' I � Application # Health'Division ,Date Issued << �'.1 °•�CD Conservation Division Application Fee Planning Dept. •. Permit Fee! xo � ., � � Date Definitive Plan Approved by Planning Board !11►7 h6 Historic - OKH Preservation/ Hyannis Project Street Address 1'1 Village 6S Owner �, l��iu Address ��`12 LAW, IC61166WIC Telephone Permit Request L� QV,6-co� AL vv�i�,,s k—T?, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �� ��� Construction Type Lot Size ` Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes IVNo On Old King's Highway: ❑Yes ❑ No Basement Type: a'Full ❑ Crawl 0 Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 4 existing _new Total Room Count (not including baths): eZctric ' g new First Floor Room Count YP Heat Type anZes el: ❑ Gas ❑ Oil ❑ Other Central Air: ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Zo Detached garage: 0/existing ❑ new size—Pool: 0 existing ❑ new size _ Barn: ❑,exiting 0�w �ze_ Attached garage: ®'existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ' o 0 Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ --a Commercial ❑Yes ❑ No If yes, site plan review# o Current Use Proposed Use M APPLICANT INFORMATION (BUILDER OR HOMEOWNER)Name Telephone Number D%�a,U yy�� � Address I License # 1 Q Home Improvement Contractor# K . knAd-ra /P1WJ"6Dn - Worker's Compensation # ;J1 - - J e)`7 ALL CONSTRUCTION DEEBfR�IS� /RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE V I V 4 j S 1 11 _ FOR OFFICIAL USE ONLY it m APPLICATION# s DATE ISSUED ;MAP=/PARCEL NO:, ADDRESS: VILLAGE K § OWNER` 17 DATE OF INSPECTION: j ,' FOUNDATION - i b/&.; I � FRAME 5 Io2,ft III 3)l! �`' a`INSULATION.:; d K r Wr . . FIREPLACE ' ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL Gg;F' ROUGH K52VF Cvi: FINAL t ,�sFINAL�BUILDING = i : Wmt l DATE'CLOSED OUT::_t:L.r.l:-; ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of industrial Accidents Office of Investigations 600 Washington Street t Boston, MA 02111 sy w ww.m ass-go v/dia -Workers' Compensation Insur.g.iice Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Marne (Business/OrganizatiorAn1dividual): _ s? Address: City/State/Zip: ��-� Phone #: �d �a 0 Are u an employee? Check the appropriate box: L project (required): l. I am a employer with 4. ❑ I am a general contractor and Iew construction cmp7oyet s (full and/or -tun have'hired the sub-contractors.. 2.❑ I am a sole proprietor.or er- listed on the attached sheet. modeling ship and have no employees These sub-contractors have D Clition working for me in any capacity. employees and have workers' addition [No workers' comp. insurance comp. insurance.$ required.) S. ❑ We are a corporation and its ctrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their mbing repairs or additions myself [No workers' comp. right of exemption per MGL f repairs insurance required.) t c. 152, §1(4), and we bave no employees• [No workers' er cc)mp. insurance required.] tA.ny applicant that chcr4z box tl) must a)so fill out the section below showing their workcrs'compensation policy informaLion. t Homeowners who submit this affidavit indicating they arc doing all work and then hire oulsidc contractors must submit a new Jfidavil indicating such. tContraetors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have cmployccs. If the sub-contractors havc cmployccs,they must provide Lheir workcrs'comp.policy number. I am art employer that is providing workers'compensation insurance for my employees. Below is the policy andjob sile information. Insurance Company Name: A5s�l 1 lam/ l�1" � �-�"'' 'T'`�✓" Policy # or Self-ins. Lic. #: U) ti I' G)45OOlaNy Expiration Date: Job.Site Address: ` 11 �`^�'v ' `� �`�"' �L) City/state/Zip: 03V 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 peaalties 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 S250.00 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 eerti under the pains and penal ' r'ury that the information propided bove is true and cbrrecl. lo Si ature: a Phone #: . Official use only. Do not write in this area, to be completed by city or to71n=spec City or Town: Permit/Licens Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Ele 6. Other Contact Person: Phon information and fnstructzoPS. ; Massaehuselts General Laws chapter 152 rcquires all employers to provide 4vorkers' compcnsalion for (heir employees. Pursuant to this statute, an employee is defined as "...every person i Be of hire, n the service of another under any conir express or implied, oral or written." An employer is defined as "an individual, partnership, association, corporation or other lcga)eotily, or any two or morel of Lbe foregoing cogaged in a joint enterprise, and including the legal representatives of a dcccascd employer, or the rccelycr or truslce of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house.having ool more (ban three apartments and who resides therein, or the occupant o the f house dwelling house of another who employs persons to do maintenance, coostruc an cmploYcr lion or repair work on such d`ve or on the grounds or building appuricnaoi thereto shall not because of such employment be deemed to be pl MGL chapter 152, §25C(6) also stales 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 bui)ditrgs 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) stales "Neither the commonwealth nor any ofits political subdivisions shall cnicfinlo any contract for the performance ofpublic••ivork until acccptab)c cyidcncc ofcompliaocc with the insurance rcquiremcnls of this chapter have becnpresentcd to the contracting authority." Applicants Please fill out.tbe workers' compensation affidavit completely, by checking the boxes that apply to your sitzration and, if supply sub-conlraelor(s) name(s), addresses)and phone numbcr(s)along with their cerlificaic(s) of i Limi tcd Liability Partnerships(LLP) with no cmp)oyecs other th insurance, Limilcd Lia an the necessary, bilty Companies (LLC)or members or partners, arc not required to carry workers' ria compensation insurance. 1f an LLC orLLP dots have employees, a policy is required. Be adYiscd that this affidavit may be submitted to the Dcparlmcni of Industl Accidents for confirmation of insurance coverage. Also be sure to sign and date th-e affidavit, The affrdavic�i ld ofi be returned to the city or town thai•the appliaalion for the permit or license is being requested,not ibe Dcpartm Industrial Accidents. Should you have any qucstions regarding the law or if you•are required to obtain a,workers' compcnsalion policy,please call the Department al the number listed belo}v. Self instrrcd companies should en Ler tbci7 self-insurance license number on the appropriate line. City or Town OfTcials Please be sure tbal the affidayit is complete and printed legibly. Tbc Dcparimcni has provided a space.al Lbe bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the appli caul. cc number. Ln a Please be sure to fill in the permil/license numbcr which will be used as a•refcrend.di Lion an applic t urrent that must submit multiple permit/licensc applications in any given year, need only submit one affidavit indicating (city or policy information•(ifnecessary)abd under"lob Silc Address" Llrc applicant should write "all )o.'calbe rovided Lo the town).-A copy of the affidavit tbat has been officially stamped or rnarkcd by the city or town Y P applicant as proof that a valid a$dayit is on file for future permits or licenses. A.new affidavi l nusl be filled oLr l each year. Where a home oyrncr or 662on is obtaining a license orpermil not related to any busincssor commcrci a] venture (i,e. a dog license of permit to burn leaves etc.) saki person is NOT required to complete ibis afldavrt. The Office,of Investigations WOU.Id Me 10 r ra t;nn and shou➢d youhayc any qucstions, please do not bcsilate to give us a call. The Department's address, telephone and fax numbcr: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Te). #! 617-727-4900 exi 406'or 1-877-MASSAFE Fax # 6)7-727-7749 Revised 4-24-07 www.tnass.gov/dia I . . . . ' ` .^ A/VC �� � Y�od (�s�/�» � H� [���/�� //0 »� ��d�u� � / Massachusetts Checklist f»� /�OD]n �[LDC8 (78O CKYD �30/��/�|l ] [7� Chcck Comp6oncv 11 SCOPE ` | Wind Speed(3-sec pusU . . --------. 110 mph Wind Exposure Caegoq ---------------------- ....... ......................................................8 |�Wind Exposure Category................Engineering Required For Entire Project .......................................C 12 APPL/CA8/LO-Y � Number of Stories (a roof which eXceeds 8 in 12 slope shall be considered a story) I h s' � Roof Pitch (Fig-' -' ------ Mean Roof Height� " (Fig ^/................................................. ----' . Building Width, Yv <riJ3/ 80, BuildingLength,^eng~, ^ ..............................................................(Fig _, . . _______....... Building Aspect Ratio (-0Y) --.--------'.----(�y 4)---------' 1 _--- � �� � �O'8^ Nominal Height of Tallest Opening ---------':-'(�g 4)---------------' 1.3 FRAMING CONNECTIONS General compliance with framing cdonecUons------'(Tallo 2)----------^----.1-----. . 21 FOUNDATION Foundation Walls meeting requirements of 780 CMR5404.1 , Concrete................................. .-.'--.------------------'----.'--. Concrete Masonry ---------------��-------� ------'.--------'�-----. ---_' 2.2 ANCHORAGE TO FOUNDATION"'. 518^Ao�m8�b��d uU 50^���� Mechanical xn� x ne�n Concrete uo (Table 4) _--- uo/t Spacing from ano4nm/of plate --'--...----.\r.y o/-- _ in. 'Boll Embedment Embedmon(-concrete...................................... '(Fig 5 8cd(Embedment-masonry.................. ......................(Fig 5)----�------' 2! /o" -__- � 3^x 3^x >{^ Plate YYoohac---------------------(�g 5)---------------� _--_ 3.1 FLOORS Flonr-framingmombe/spanachecked ..................................(per780CMRChap/e/55>'----------- � // A� 12' Maximum Floor Opening Dknens�n-'---------' �/ -----`-:--------.` . Full Height WaU3�da at Floor Openings less than 2'from Exterior Wall (Fig O).----'--'----''Maximum Floor FloorJoist Setbacks yM � d Supporting Loadbeadng Ma8� cvShoonvaU-----.(�g7)-------------.----. _-- Maximum Cantilevered Floor Joists Suppnr fing Loadbeohng yYaUa*nrSheaovoU................(Fig ..................................................... () U �5 d Floo!1�r�c�gat Endwo&s----'�'`.---_------.(�g 9)---------------------- -�-� F�nr3heathing Typo '�-........ ................... ................... . 780 CMRC ---- � Floor Sheathing Thickness -----------�---�-'�er 780 Chapter --- ---_ � Floor Sheathing Fastening.................. ................................(Table d nails at m ooge/!��mvfield ' ! 1 M\4LL3 / Wall Height I if FYC Crir/e /o 61%or! Con,c7rf.(Cdou /✓c Higk 1'K11d,'(re(7s; 1/0 r111�/i 1l'irid Loir.�� Nr[as,sachusetts Cheddist for Compliance (780 CiW R'53b1.2.1.1)' Loadbearing Wall Connections n Lateral(no. of 16d common nails)................................(Tables 7).....................................................�C Non-Loadbearing Wall Connections Lateral(no. of i6d common nails).................................(Table 8)....................................................... Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9).................................. O ft_in. 5 11' Sill Plate Spans ........................................................(Table 9).................................. f _in. s 11' Full Height Studs (no. of s(uds)....................................(Table 9).................................................:...... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans...... (Table 9) �.ft�in. < 12' ..................... .................................. Sill Plate Spans.... .......................................................(Table 9)...................................-17 ft_( in. < 12' Full Height Studs (no. of studs)....................................(Table 9)....................................................... /p Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest Opening Z ............................................................................... 9 6'8" SheathingType..............................................(note 4).....................................................�ol Edge Nail Spacing ................ ........................(Table 10 or note 4 if less)........................ m. Field Nail Spacing...........................................(Table 10).................................................. in. Shear Connection (no. of 16d common nails)(Table 10)...............................I......:.. o� Percent Full-Height Sheathing...................;...(Table 10)...............................:......I...<�...�..AT0 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening ......................................................................... ( 56'8 Sheathing Type..............................................(note 4)..............................................I...... . .Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ ' 7 in. Field Nail Spacing.......................................:..(Table 11).................................................. In. Shear Connection (no, of 16d common nails)(Table 11)........................................ ..............- Percent Full-Height Sheathing ..... Table 11 ........:.......U% 5% Additional Sheathing for Wall with'Opening> 6'8"(Design Concepts).................:.. Wall Cladding Ratedfor Wind Speed?....... .................................:..:................. ..................................1 ...........vd....... r 5.1 ROOFS Roof framing member spans checked?.......:................(For Rafters use AWCIft n Tool, see BBRS Webslte) Roof Overhang ....................I.....I.........................(Figure 19) ............. s smaller of 2'or L13 Truss or Rafter Connections at Loadbearing Walls ; Proprietary.Connectors Uplift................................................(Table 12)......:.....................................U=170 pif Lateral.............................................(Table 12)................,............................ plf Shear...............................................(Table 12).............................I...............S=�pif• Ridge Strap Connections, if collar ties not used per page 21... (Table 13)............................... T=L pif 0Q Gable Rake Outlooker...........................................(Figure 20) ......:,..... G ft s smaller of 2'or L12 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.................................................(Table 14)............................................U=WIb. Lateral(no. of 16d common nails)...(Table 14)........:.............................. = Roof Sheathing Type..........................I.............I...........(per 780 CMR Chapters 58 and��59) . 1. Roof Sheathing Thickness.....................................:...... ............................................."--�/ in. - 7/16"WSP -RbOf�Jtie8� 1Ai� ✓�a5t�fl�flCj............................................ ........................................................ y as: This checklist shall be met in its entirety, excluding the specific exception noted In 2, to comply with the requirements of 780 CMR•5301:2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the.WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 1 i c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b :xception:Opening heights of up io 8 ft. shall be permitted when 5% is added to the percent full-height sheathing :ctuirerrients shown in Tables 10 and 11. he bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade.. � I terry Town of Barnstable r Regulatory Services ` MRX6TAH[..� Thomas F. Geiler,Director Building Division Tom Perry, Buildiog Commissioner 200 Main Street, Hyanais, MA 02601 www.town.barnstable.ma.us Mice: 508-862-4039 Fax: 508-790-6230 Property Owner Must Complete and Sign.Thi s Section If Using A Builder I, \ ��`\ , as Dw.uer of the subject.property hereby authorize to act on my behalf, in all matters relative to work authorized by tb-is building permit application for- MA (Address Job) 5ignat�.u-e of Owner Date Priat Name If Property Owner is applying for permit please complete. the Homeowners License Exemption Form :on the reverse side. Q:Foruas:oWNEx.PExhlrssON Town of Barnstable .: NP o Regulatoty Services B-A- 9TkBL-F- Thomas F. Geiler, Director ,� Bu.iIding Division orED Tom Perry, Building Commissioner 200 Maid•Stree>;_Hyannis MA.02601 vr'ww.toern.barnstab1e.ma.us Office: 509-862-403 8 Fax: 508-790-6230 EfO1,,EOWNER LICENSE EXEMPTION Please Print DA TE: JOB LOCATION: number s trect vi l l agc "HO M BO WNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town stair ap 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- • DEFIhhMON OF HOMEO%?\ER Persons) who owns a parcel of land onvrhich,he/sbe 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 constnlcts more than one home in.a two-year period shall not be considered a bome07MCr. Such "homeowner"shall submit to the Building.Offcial on a form acceptable to the Building Official, that he/shc shall be responsib)e for all such work performed under the building permit. (Section 109.L 1) t The undersigned "hotneownci"assumes responsibility for compliance with thet Statc Building Code and otber applicable codes, bylaws, rules and regulations. y The undersigned "homeowner" certifies that.be/shc understands the Town ofBarnslable Building Dcpar#mcnt rnj=um inspection procedures and requirements and that be/sbc will comply with said procedures and rcquircmc n ts. SignaEvc of I-Iomcowncr Approval of Building.Officia) Note: Thrce-family dwellings containing 3 5,000 cubic feet or larger will be required to con-1ply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Codc states that "Any homeowner performing work far which a building permit is required shall be exempt from the provisions of this gcction.(Scetian log.),I -Licensing ofconstruction Supervisors);provided that if the homeowncr cngagcs a parson(s)for hire to do such wor* that such Homcowncr shall act as supervisor." Many homeowners who use this rxetrrptitm arc unawzrc that they art assuming chc responsibilities of a supervisor(sec Appendix Q, Ru)cs&Regulations for Licensing Construction Supervisors,Scction 2.15) This lack of awareness bftcn resu)u in serious prob)crm,particularly when the homeowner hires un)icroscd persons. In this cast,our Board cannot proceed against the unlicensed persan as it N ou)d with a)iearsed Supervisar. 7bc homeowner acting as Supervisor is ultimately responsible. To cnsurt that tlhc homeowner is fully aware of hivbcr uesponnbi)itics, many communities mquirc, as part of the permit application, that the homeowner certify that hdahe understands the respansrbi)ibcs of a Superrisor. On the last page of this issue is a form currently used by several towns. You may care I amend and adopt such a form/ccr6freation for use in your community. Q:for7rns:homccr:crnpt Client#: 9580 2KPRE ACORD. CERTIFICATE OF LIABILITY INSURANCE ;;0010 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 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., Pb Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western World Kenneth Perry D/B/A INSURERB: Associated Employers Insurance K.P. Remodeling&Construction INSURER C: 19 Guildford Road INSURER D: Centerville, MA 02632 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATEYMM/DD/YYE POLICY) IMMIDD YY) LIMITS A GENERAL LIABILITY NPP1265297 03/04/10 03/04/11 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO PREMISES RENTED or nce $50 000 CLAIMS MADE �OCCUR MED EXP(Any one person) $$000 X COMMERCIAL Ded:500 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 000 000 POLICY jE LOC - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WCC5005450012010 06/13/10 06/13/11 X TW ",ITC s"ATu- OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 OFFICER/MEMBER EXCLUDED? _ YES E.L.DISEASE-EA EMPLOYEE $1 OO,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE ICY LIMIT �'00 0005 OTHER �< Q _n DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS IV n Kenneth Perry is excluded from the workers compensation policy. 73 Job: Dan Kelly-1460 South County Road, Barnstable, MA 3 -d= Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of (See Attached Descriptions) 0- f>r7 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 If) DAYS WRITTEN Bldg. Dept. NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA 02601 REPRESENTATIVES. AUTHORIZED PRESE NTATIVE ACORD 25(2001/08)1 of 3 #S743471M74346 LS1 0 ACORD CORPORATION 1988 mussachu§etts- Department of Public'SafON Board of Building;Regulations and Standards, Construction Supervisor License License: CS 76820 Restricted to: .00 u KENNETH O PERRY 19 GUILDFORD ROAD .: CENTERVILLE, MA.02632 Expiration: 8/28/2D11- T rtl: 1362 (bnunissiuncr BO 00II5 HOME IMPROVEMENT CONTRACTOR Registrail'o : '132282 Expiralo 12/21/2010 Tr# 278840 -Type D.BA� 1 K.P.REM®DELING k _ ' a , KENNETH PER — E_- t9.GUILDFORD RD' � CLao...� . Adri strijtor .- �� Centerville,MA 02,632 " y' i i . .. ..: ---• ` {use only valid individu to for 4 istration .. if to retur►! License or regirat- date d Standards '•' before the exp Regu{ations anl wild►ng 1301 Board°f B place R►►� one Ashburt02108 Boston,.Ma.. t signature, 1 i Sot valid withou 0 i 1 . Al Le T 4 7s'f � I s o ti jN LoT3 fl V O V . 1.33 AMSS - z • o •42't LoT 2 28¢. '7.8 LoT- 'o;U AFs1 , CERTIFIED PLOT PLAN LOCATION O:STEev LI, , NHSS . I CERTIFY THAT THE FOUNDATION SCALE �''.= 46 DATE 5"�27 if 8 SHOWN HEREON COMPLYS WITH THE SIDELINE.AND :SETBACK PLAN REFERENCE REQUIREMENTS OF 'THE TOWN OF BARNSTABLE AND IS NOT L07- l, 8r7 LOCATED IN THE FL00 MAP' 12c t'actcEl. 1_3 DATE : s �? 9aUALL' lc_l R � NY THIS.PLAN IS NOTWED ON AN ea x TE E, lac. INSTRUMENT SURVEY AND THE REGISTERED LAND SURVEYORS OFFSETS SHOWN SHOULD NOT BE OSTERVIELE MASS. USED TO DETERMINE LOT LINES. A PPL I C A N T BAy St DE BU4ZlAIG Co.' ruC i 4�7t S °FINE„�,y TOWN OF BARNSTABLE BUilding201203211 * BARNSrABLE, Issue Date: 06/07/12 Permit 9 MASS $ArEG 39. A�� Applicant: VIOLA ASSOCIATES Permit Number: B 20121309 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/05/12 Location 1460 SOUTH COUNTY ROAD Zoning District RC Permit Type: POOL INGROUND RESIDENTIAL Map Parcel 120001003 Permit Fee$ 125.00 Contractor VIOLA ASSOCIATES Village OSTERVILLE App Fee$ 50.00 License Num 146436 Est Construction Cost$ 89,790 rRemarks APPROVED PLANS MUST BE RETAINED ON JOB AND IN-GROUND HEATED 88 D 20'X40'SWIMMING POOL W'INTERIORS A THIS CARD MUST BE KEPT POSTED UNTIL FINAL I W'4'FENCEING COMBO OF WROUGHT IRON&CHAIN LINK AUTO COYNSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: KELLY,DANIEL J&PATRICIA G BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 419 CHARLES RIVER STREET INSPECTION HAS BEEN MADE. NEEDHAM,MA 02492 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER PORARILY P ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: I.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 SIX 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 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 1 ZC� Parcel'.0E3 f..e"1i' Q03 "Application # ! � 2 Health Division Date Issued Conservation Division Application Fee Planning Dept. Per Fee Date Definitive Plan Approved by Planning Board 7 )Z � l Historic - OKH Preservation/ Hyannis Project Street Address I qI,.n 4nui6C0 U n4u Road Village 1' Owner 'ban le k 5. 1!i l m Address 1460 SpA-CourA4 Rd . Telephone (q"08) 360 -'fo a2�9 _ o\ OS �V►� , N1�1 Permit Request �ea4eA 20>L-40 _,5w1mmi 0 rSa1 c.y_ A er �. -p COrn -It.an o Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District RES . Flood Plain Groundwater Overlay Project Valuation (2 Construction Type n . Lot Size 5-1 o C156+/- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. �0 Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes 0 No 1 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other 2 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new 0 Total Room Count (not including baths): existing new First Floor Rim Counter o Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other y Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove? ❑Yews 0 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing 3-new=ize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: W a Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# .Current Use.__ (1la1 Proposed Use WiMMt 64 tral g spa APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name S61a fts-1ria.-ks Telephone Number JAL 3-77 i 3 5^7 Address 16d �DS�nI License # CS '?� 3 32 htz/annl S . HA 621,00I Home Improvement Contractor# 141A 31 Worker's Compensation # '1 CAC 218O@O i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN $- OFF S ITF d T%5ftGE0 SIGNATURE DATE S 12q-))z FOR OFFICIAL USE ONLY bPLICATION# QATE ISSUED MAP/PARCEL N0. ADDRESS - VILLAGE =s OWNER . e ? DATE OF INSPECTION: FOUNDATION FRAME eooG STrEL INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL` PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 2 l 0/#, 0 o Z DATE CLOSED OUT ASSOCIATION PLAN NO: t i The Commonwealth of Massachusetts IPrin orm Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Hanle (Business/Organization/Individual): Viola Associates,Inc. Address:110 Rosary Lane, Unit A City/State/Zip:Hyannis, Ma. 02601 Phone #:508-771-3457 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓❑ I am a employer with 25 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 workingfor me in an capacity. employees and have workers' Y P h'• 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 I L E] 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 Pool -Swimming 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. :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. Insurance Company Name:Acadia Insurance Policy#or Self-ins. Lic. #:WCA0218100 Expiration Date:4/29/13 Job Site Address:1460 South County Road City/State/Zip:Ostervi Ile, Ma. 02655 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$1,100.01 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 certifyer the pains and penalties ofperjury that the in ormation provided above is true and correcit Si ature: Date: 29 Z Phone#: 5-0 -7W 7 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#: '``R& CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYY1� 5/25/2012 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 certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Northborough Construct West Eastern Insurance Group LLC PHONE (508)393-7744 alX No: 155E Otis Street ADDRESS: PRODUCER ERID 90038530 NOrthborou h MA 01532 INSURE S AFFORDING COVERAGE NAIC# INSURED INSURERA-Acadia Insurance Company 31325 INSURER B: Viola Associates Inc INSURERC: BOX 389 INSURERD: INSURER E: Centerville MA 02632-0389 INSURERF: COVERAGES CERTIFICATE NUMBER:2012 Cert 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 ADDL SUBR POLICY EFF POLICY EXP LTR D POLICY NUMBER MM/DDIYYYY) (MMIMNYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE FXI OCCUR PP0217962-15 4/29/2012 /29/2013 MEDEXP(Any one arson $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 XPOLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED AUTOS 0217963-15 4/29/2012 /29/2013 BODILY INJURY(Per accident) $ X SCHEDULEDAUTOS PROPERTY DAMAGE $ X HIREDAUTOS (Per accident) X NON-OWNED AUTOS Medical payments $ 5,000 Underinsured motorist BI split $ 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION R WC STA�TUU Tj OTH- AND EMPLOYERS'LIABILITY YIN EEL ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 500,000 OFFICE(Mandatory In H)EXCLUDED9 n CA0218000-15 4/29/2012 /29/2013 E.L.DISEASE-EA EMPLOYE $ 500,000 (Mandatory In NH) If Yyes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kelly Residence ACCORDANCE WITH THE POLICY PROVISIONS. 1460 South County Road Osterville, MA 02655 AUTHORIZED REPRESENTATIVE Rosemary Fulham/CLU1 `— ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(2oosos) The ACORD name and logo are registered marks of ACORD Y ' �ZHE iq�, Town of Barnstable Regulatory Services BAMSTABU. ' Thomas F.Geiler,Director .`erg Building Division Tom Perry,Building Commissioner j 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the sub I, IDectG. �e.� J 2�` � _� l property . hereby authorize ��-� SSOCI� to act on tap behalf, in all matters relative to work authorized by this building permit Go dl (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools ....-are not to be filled before.-fence is installed and pools-aie not to be utilized until all final inspections are performed and accepted. Signature of Owner S ture of Ap ant e- ` 2. Print Name Punt Name S v Date Q:FORM&OWNERPERMISSIONPOOLS :Massachusetts - Department of Public Safeh' Beard of Building Re�-ulutions and Standards Construction Supervisor License License: CS 76332 KEVIN BOYAR PO BOX 716 - W BARNSTABLE, MA 02668 = z Jam- fit—` Expiration: 9/5/2013 ('umm issiuncr Tr#: 4529 Office of Codst3fh�Pds�c"Bllsine eon uaetta E IMPROVEMENT CONTRACTOR gistration: �b 146436 Type: Expiratiorrimmv201'3= Supplement C VIO SSOCIATES^ _�? _ KEVIN BOYARi P.O. BOX 389 .�, CENTERVILLE,MA 0263 Cfir` Undersecretary i . License or registration valid for individul use only before the expiration date. If.found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 rd Boston,MA 02116 gel Not valid without ' nature i s y i I � B Fes. uffi�. 4 f 3r a ,LifeAVer Pool Fence: Self-Closing,Self-Latching Gate Ultra-Reliable Latc ing System. The Life Sav r Self-Closing gate uses only the most proven latch and hinge system. The Magna-Latch has been tested to more than 400,000 cycles. MAGNA-LATCH gate latches " are magnetic ally triggered safety devices that have revolutionized the safety, reliability and child-resi stance of swimming pool, childcare and household gates. The unique o erating principle is brilliantly simple. As the gate swings shut, a powerful 'permanent , iagnet draws a latch bolt from one housing into the other, latching it securely. No; mount of shaking, pushing or pulling can disengage the latch. The concept " is so advan d it boasts international awards for design excellence. The latch ha been designed to meet strict international safety codes, including all codes relating to s ` mming pool gate safety. The dangerous problem of a gate "resting on the latching mec anism", appearing to be latched, is eliminated when using MAGNA-LATCH. The quiet an reliable latching action means MAGNA-LATCH incurs no mechanical L resistance to,closure, and so suffers none of the sticking, jamming and sagging problems associated w th 'mechanical' gate latches. Tru-Close Hinges Quality TRU-CLOSE gat hinges are the latest technology in djustable, self-closing g to hinges for swimming pools, households rMI0l and other safety gate app ications. '� il> + - These strong, revolutlona hinges are Injection-molded from a special lend of glass-fiber reinfo ced polymers, which means they never rust, bind, wear, sag or stain. . �- The superior strength an rust-free performance of TRU-CLOSE means the hinges offer d uble the life expectancy of any comparable product. The internal torsion span Is made of high-grade stainless steel to ensure smooth, powerful 'losure and long life, even in the harshest seaside or acid environm nts. he patented, spring-loa ed adjustor within most TRU-CLOSE hinges allows instant, incremental tension adjustment using my a screwdriver. Quick and easy! This clever adjustment feature http://www.poolfence.com/gate.htm L a Life i&er Pool Fence : Self-Closing,Self-Latching Gate overcomes the typical spir ng fatigue problems associated with fixed-tension gate hinges. TRU-CLOSE hinges have .been independently tested to comply with a range of international safety standards, especially tho a relating to pool fences and gates. The hinges are designed o outperform all comparable gate closing devices. They are the only safety hinges offering a lifetime arranty against rust or corrosion 7 l 'i t } •t tl 3 U h "y r http://www.poolfence.com/gate.htm Poolguard Alarms-pool alarm,door alarm,gate alarm,pool safety,child safety http://www.poolguard.com/door.asp HOSAIEI:cdNTACi I14"I6U/POl]rgUARDIPit00l1CTWaIUiLS IVYAitRAHT`C:RE(S15riiAYDN 2.9 ffAABOUT. 00 @0gu@1uldo O FAKES OtJ .<,IILl tTn] I1J oiotuet�rlt J Poolguard Alarms: DOOR ALARM-Model DAPT-2 •In-ground Pool Alarm •Above Ground Pool Alarm •Gate Alarm .... Door Alarms-NEW ^� •Door Alarm-DAPT-2 ' rr i (Sounds in 7 seconds) •Door Alarm-DAPT-Wi ssN e �. (Sounds Immediately) ` Other Information: -.�_. ._. Contact Us •Buy Poolquard •Product Manuals •News From Poolquard •Warranty Registration POOLGUARD/PBM INDUSTRIES,INC. -UL Listed to UL 2017 has been manufacturing pool alarms,door •Important Safety Feature [arms,and gate alarms since 1982.All Complies With Building Codes Poolguard products are proudly Made in Simple To Operate the USA.Poolguard Door Alarms comply Automatic Reset with all building codes and are UL Listed Battery Powered it FP w n under UL 2017.The majority of children Easy To Install that drown in pools go out the back door 85 dB Hom At 10 Feet first and Poolguard's Door Alarm can help •Pass Through Feature For Adults protect those doors. Low Battery Indicator �Loo2 0 POOLGUARD DOOR ALARM 0 0 p(• 1 Year Warranty LF�,,,3G y _e A AW low �t • The Door Alarm will sound in 7 seconds when a child opens the door, and the alarm will continue to sound until an adult comes to the door and resets the alarm. • Poolguard Door Alarm will sound in 7 seconds e%mn if a chid goes through the door and doses it behind them. • The Door Alarm is always on and will automatically reset under all conditions. • Poolguard Door Alarm is equipped with an adult pass through feature that will allow adults to go through the door without the alarm sounding. • Optional screen door kits can be purchased for the alarm,this kit allows you to get air through your screen door without the alarm sounding. • Poolguard Door Alarm uses one 9-volt battery,(not included)with a battery life of approximately 1 year. • The Door Alarm is equipped with a low battery indicator that will audibly alert you when your battery is getting low. • Poolguard is the orgy door alarm that is UL listed under UL 2017 for water hazard entrance alarm equipment. Door Alain PDF manual I of 2 10/6/2009 3:07 PM 0 HOME � HOT TUB COVERS 0 ACCESSORIES 0 COMPANY 0 CONTACT US i s 15 J 0 DEALER LOCATOR SUHSTAR COVER COLORS _ k' 111 Sri ny1 Plot tub and spa cover 1 i R colors to match any i rderi or or backyard decor, SUNSTAR HOT TUB COVERS (a[9f'i T41s *Ha aer 4a ah$nge hattie an imr War _ ii The gunstar Hot Tub Cover takes the strength of \Argin Cura Foam cores with an R s I value of 14.3 and tapers the foam from 4"to 2.5"to allow accumulated water to easily run off. We then strengthen the channel hinge with 20 gauge galvani2ed steel and add a full length heat seal gasket (optional on all hinged covers) with the ;Antaeus 2000TM' 'Vapor heat seal for the strongest heat seal in the industry. L. .- me=-.....' I gunstar 2 Pound 8 P 3 Upgrade 3 t oil For a minimal up charge you can add to the insulating factor of your spa cover with 2 lb. EP3 foam giving you an even higher R value, This is a great option when concerned with the environment and rising energy costs. L�LuI 3lunstar Atlas Hot Tub Cover The Atlas hot tub cover is fitted with strong and durable marine grade vinyl constructed with 1 500hr tested Uhl and mildew inhibitors dramatically extending the life of the cover. The Atlas' foam tapers from 5"to 4" giving you an R value of 10.8, Al of our hot tub and spa covers come standard with a C low profile drain groin-met and are ASTM and UL safety classified for your family's prbteotion. 4 - i,R 1 3unstar Atlas spa covers can hold up to 1,000 ibs of static weight, and are highly recommended for COVE Pi� Pool Cover Benefits Pool Cover'S-gterr, it Cover Your Pool CustomizQ Your Cover r ]rover's Center Lover Connection ......... ........... ... . ...... >' _y r Y , a. 9 Kit; Perot Craver Benefits A Cover-Pools pool cover saves lives. _ tet:;t pool cover offers ntarrserru benelits for swirnrritng pool ever-Pcufs pool cover feiiy are independently owners,but the benefit that trump-s f#-�em;all is that they reelent Safety Certifications ' off certified to emeed the rC14'S�,17 requirements of the Pool Safety Plan American Socieb/for f As a safety deyir�,the cover acts as a Testing and 6Raterials(ASTAa7 Cana�errience _ �� horizontal fence,completely sealirrcl off the f•t346-91),which sets.tht standards for Easier Nlai nterr race pool and preventing accidental access to the safety pool cove. Water Conservation3,°gig _ pmol vateter by abiWren,pets,any!unint�tted ,- . visitors. Chemical RedLmlion Cover-Poots piool covers are UL listed(U 1_ file Energy Efficiency And-,xhalethere's no substitute fca proper supenfision,your pool can be E62641)ftrrA.S T.b4 safety and eleeltical Three Covers in One proteded even when you're not eround.It's the ulimate safety barrier sta rod ards. that no pool should be WAI'MUt. Mndrnum Enjoyment PPoo.l Safely (CPSC vvebsitel Return On Irrrestrnent r SPECIFICATIONS ------------ Review system details for Save-r covers. Fabric Mechanism Covers •5-year limited prorated standard warranty • Standard 12"aluminum lid with •16 oz.,23 mil Herculite premium bonded vinyl either 4"or 6"hinge •Low-stretch rope and webbing(2000-lb.break) • BezelTm lids, 16"and 18" •9 standard colors:dusky blue,royal blue, • Vanishing LidTM trays, 12"-24"wide with light blue,aqua,forest green,beige,tan, stainless-steel trays and stainless-steel gray,and black adjustable brackets •35 custom colors • Fiberglass deck-mounted mechanism ends •20 oz.,28 mil Herculite premium-plus fabric with • Bench bracket frames limited prorated 7-year warranty,available in light blue,dusky blue,and beige Safety • Exceeds ASTM F1346-91 requirements Track Styles * Full UL listing •7-year limited warranty on all * Bonding included with all systems aluminum extrusions * Automatic water-removal cover pump included •All aluminum extrusions are 100%anodized •Undertrack,universal or recessed track * NOTE: •Safety-Lock track channel Some cover manufacturers treat cover pumps and •Top-mounted track channel for concrete bonding as options for their systems. A solid safety and fiberglass pools cover without a pump is NOT approved to ASTM • Inverted track channel for concrete or F1346-91 safety standards.The installation of an deck-on-deck applications automatic cover system without bonding is not a •2-piece channel system for vinyl pools UL-listed product. • 1-piece coping channel for vinyl pools •Reusable coping forms Other Options •45-degree vanishing-edge pools • Painting—all extrusions can be painted to match most •90-degree vanishing-edge pools deck surfaces or fabric colors • Designer Series®cover—custom graphics can be Mechanism painted onto the fabric surface •Lifetime limited warranty on mechanism • ABS recessed box •100%anodized aluminum frame and components •Stainless-steel hardware •Stainless-steel drive components •Positive-shift system •Standard units include either heavy-duty slip clutch or auto-shutoff with amp limiter • Exclusivel independent or locked rope reels •24-bearing#440 heavy-duty pulleys Power and Controls Standard items are in bold type. •3-year limited warranty on all electrical •3/4 hp waterproof electric motor • 1 %hp/2000 PSI hydraulic system •Safety lockout key control •CoverLinkTm touchpad control •Low-voltage auto-shutoff with key switch •Low-voltage touchpad •Low-voltage water-feature shutoff r FEDERAL AGENCY AND NATIONAL COMPLIANCE LISTINGS Cover-Pools is committed to producing the safest and highest quality pool and spa covers in the world. We are your partners in providing-a reliable additional layer of safety for your pool. UNDERWRITERS LABORATORIES INC. LISTING The Cover-Pools Underwriters Laboratories listing number is 181T-File#E52841 WBAH Covers for Swimming Pools and Spas Power Safety Cover, Model Save-TO 3, Classified in Accordance with ASTM F1346-91 WDDJ Swimming Pool and Spa Cover Operators Electric Pool cover operator, Model"Save T ASTM(American Society for Testing and Materials) Designation: F 1346-91 (PSC, MSC, OC) Cover-Pools products Save-T cover and Step-Saver have been manufactured and are in full compliance with ASTM F 1346-91 Standard Performance Specification for Safety Covers and Labeling Requirements for All Covers for Swimming Pools, Spas and Hot Tubs. FCC ID: P8G-50306 Save T Cover Wireless 50305 Note:This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of the FCC Rules.These limits are designed to provide reasonable protection against harmful interference in a residential installation.This equipment generates, uses and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However,there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception,which can be determined by turning the equipment off and on,the user is encouraged to try to correct the interference by one or more of the following measures: •Reorient or relocate the receiving antenna. •Increase the separation between the equipment and receiver. •Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. •Consult the dealer or an experienced radio/TV technician for help. Note:This equipment has been tested and found to comply with the limits for a Class 1, Class 2, and Class 3 Radio equipment and systems under Title: ETS EN 300 683 :97 and ETS EN 300 200-1 (RES)(EMC) (SRD)operating on frequencies between 9 kHz and 25 GHz. These limits are designed to provide reasonable protection against harmful interference in a residential installation.This equipment generates, users and can radiate radio frequency energy and, if not installed and used in accordance with the instructions, may cause harmful interference to radio communications. However,there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception,which can be determined by turning the equipment off and on ,the user is encouraged to try to correct the interference by one or more of the following measures: Reorient or relocate the receiving antenna. Increase the separation between the equipment and receiver. Connect the equipment into an outlet on a circuit different from that to which the receiver is connected. If you have any additional questions please contact Cover-Pools at 1-800-447-2838. i 23 Town of Barnstable oF1ME r Regulatory Services �p do Richard V. Scali, Director • Building Division BARNSTABLE BMWSTABM • wa.s:.wt•omrtsvuc•conm•m5.5ns MA9S 4FS 65 MILLS•Oil AN1 F•MS d255L B E 9c� i639. �0 Thomas Perry, CBO 16J9.301a �F01A0�A Building Commissioner 575 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 May 6, 2015 Viola Associates Attn: Kevin Boyar PO BOX 389 Centerville, Ma. 02632 RE: 1460 South County Rd., Osterville, Map: 120 Parcel: 001-003 Dear Mr. Boyar, This letter shall serve as notice that the building permit for building permit application number 201203211 to install an in ground pool has not been completed and in fact has not been issued. The permit remains at this office and is still,awaiting an `as-built' survey to be provided showing the location of the pool and demonstrating compliance with local zoning. Please provide this office with the required document(s)to resolve this matter. Thank you for your anticipated cooperation. Respectfully, 1112 " L. Lauzon • Local Inspector jeffrey.lauzon@town.barnstable.ma.us (508) 862-4034 •r . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O Parcel ��I Application # 40_ Health Division Date Issued Conservation Division "� Application Fee �V Planning Dept. Permit Fee,' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis cProject'Street,Address:--- o Owe nerd 1 Address Tee-lephc 9 G Permit Req�ester d C� �� f 11 1 3 O -x>cJ4 54 g SCA C)V\ , 6 = I S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ,Projec�t�Valuation 17a d Construction Type Con A Lot Size ���� � S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family :JL Two Family ❑ Multi-Family(# units) Age of Existing Structure o� �'�� Historic House: ❑Yes gNo On Old King's Highway: ❑Yes')RNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floo0oom Count o Heat Type and Fuel: `%Gas ❑ Oil ❑ Electric 0 Other Central Air�Yes ❑ No Fireplaces: Existing New Existing w and/coal sto e: Res CKNo �o Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: LI existing ❑ new size_ cn Attached garage:,Rexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: p -3 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes WNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Named Q !!�_-Tele hone_Number � V� v A�ddress�^�~� �� c� license=#AC;--_S ���a e) Home Im�pr~ovem nt'`Contractor�.Yl3 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO O I SIGNATURE : DATE �� I top t FOR OFFICIAL USE ONLY APPLICATION# , 3? t DATE ISSUED • MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: k - . FOUNDATION 605 1113 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING' ' DATE CLOSED OUT ` ASSOCIATION PLAN NO. - s _,0 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 'bl Name(Business/orgmizarion/Individual): . Address:— !,)A City/State/Zip: 62 \ ` Phone.#: AG a-O Are you an employer?Check the appropriate box: Type of project(required):. 1.%1 am a employer with f 4. ❑ I am a general contractor and I * ❑New construction .. employees(full and/or part-time). . have hired the sub-contractors 6. 2.❑ I am a•sole proprietor or partner- listed on the-attached sheet. 7. Remodeling ship and have no employees These sub-contractors have '8. ❑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 1 l.❑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. TContractors that check this box must attached an additional sheet showing the name of the sub-contractois 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site information Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declara n 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 insuranetzaggrage verification. I do hereby,c fy under the pains and pan rjury that the information provided abov is tr and correct Simstare: Date: 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): .L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#• . i Client#:9580 2KPRE DATE(MM/DDM'Yl) CORD,. CERTIFICATE OF LIABILITY INSURANCE 05/30/2012 Zr 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Dowling&O'Neil PHONE508 FU AC No Ext - AIC No): 5087781218 AIL Insurance Agency ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC A Hyannis,MA 02601 INSURER A:Western World INSURED INSURER B:Associated Employers Insurance Kenneth Perry D/B/A INSURER C: K.P.Remodeling&Construction INSURER D: 19 Guildford Road INSURERE: Centerville,MA 02632 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, .THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR TYPE OF INSURANCE ADDL SUB POLICY EFF nPERSONAL LIMITS LTR INSR WVD POLICY NUMBER MM/DD A GENERAL LIABILITY NPP8014991 3/04/2012 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY ISES Eao&Errence $50 OOO CLAIMS-MADE F OCCUR EXP Anyone person) $5 000 X BI/PD Ded:500 &ADV INJURY $1,000 000 T GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 POLICY PRO LOC AUTOMOBILE LIABILITY E°MBINED accident)SINGLE LIMIT $ BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $. AUTOS PROPERTY DAMAGE HIRED SAUTOS NON-OWNED per accident $ AUTOS $ UMBRELLA LIAB OCCUR PE.L. OCCURRENCE Is EXCESS LIAB CLAIMS-MADE EGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC5005450012011 6/13/ C Y I WITS I OTH- TU- B AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N L. ACH ACCIDENT $1 OO OOO OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) ISEASE-EA EMPLOYEE $10O 000 If yes,describe under ISEASE-POLICY LIMIT $SOO,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Kenneth Perry is excluded from the workers compensation policy. 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Daniel Kelly THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1460 South County Road ACCORDANCE WITH THE POLICY PROVISIONS. Osterville,MA .02655 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S96560/M96559 LS1 r n �/ze �omvr. zurealC/ � aaoaelucaetld — I> Office of Consumer "- &Bdsiness Reg wa ion �. t ;sense or rcgistr atinu -slid for individul use only WME IMPR MEIVT CO TRACTOR_ i. before the cspiration.date. If found return to: IZegistratio "y.132282 Type: i Office of Consumer Affairs and Business Regulation Expirati 12/23%2012 DBA 10 Park Plaza-Suite 5170 E - _' Boston,MA 02116 K:P.. EMODELIN-8 J. KENNETH PERRY-IS-- '19 GUILDFORD RD��\ ;'' r �¢s' I 'Centerville,MA 02632����=� C Un&rseeretary p I` Not valid wi ature I� -• - iN1assachusetts-Department.of Public Safety Board of Building, Regulations and'Standards Construction Supervisor License License: CS 76820 -- --- ,II KENNETH O PERRY 19 GUILDFORD ROAD CENTERVILLE, MA 02632 - Expiratio 8/28/2013 ('runmissiune,• T 3806 Town of rnstable • .Ba _. z► ► Regulatory Services Director �.g Thomas F.Ceiier, Building Division May Tom Perry,Buiiding Commissioner. 200 Main Street,Hy�us,MA 02601 4 www.town.barnstable.ma.us I Fax: 508-790-6230 Office: 508-862-403 8 Property Owner Must Complete and Sign This Section If Us• A Bu-i1= as O wner of the subject prppeY I, to act on my bebalf, hereby authorize l �ma�=elattve to work authorized by this building pelt all D (A(jdress of Job) of the applicant. Pools **Pool fences and alarms are the responsibility Dols ate not to be ed before fence is metalled.and-p aie not-to be.. . erfotmed and accepted ed deal inspection are.p._... - .._._-__.._. ---....... _ -...: utl]sz -- Signature of Applicant Signature of OWner.. �- print Name print Name Date Q:FOWS:OWNERPE M�SIONPOOLS X_ -A-x.L) �,V �-(A � 6N 4 4 2;;X- IV a� �o `� s• �' \ k6 z tlob I -� � f� r - - i' �? O ® N Lo p � -ra 1 —1 CO rT+ i I I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parce W V Application Health Division ��1 �� � Date Issued lo�. �m Conservation Division lC� Application Fee Planning Dept. Permit Fee 17�-1 S Date Definitive Plan Approved by Planning Board �11.S�/2 Historic - OKH Preservation / Hyannis _ U Project Str t ddre U Village cmOwner Address d Telephone " v f Permit Request :af Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type. Lot Size t "l?j Grandfathered: ❑Yes )(No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes /.No On Old King's Highway: ❑Yes ANo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Nik Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Rootn Count'' Heat Type and Fuel: AGas ❑Oil ❑ Electric ❑ Other C 1 v� Central Air: ,KYes ❑ No Fireplaces: Existing New Existing wood%coal stove: ❑1(�)<No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e'fisting 0=new�ize_ Attached garage:(existing ❑ new size _Shed>(existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes >Alo If yes, site plan review # Current Use - Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number L Address License # _0.5l l��C:�(U V � Home Improvement Contractor.,# Worker's Compensation # ALL CONSTRUCTION 9EBRIS RE U TING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE. U i r" FOR OFFICIAL USE ONLY APPLICATION# . s DATE ISSUED .� — — MAP,/PARCEL NO. , -ADDRESS VILLAGE . w OWNER._ DATE OF INSPECTION: xa FOUNDATION FRAME S S 1I)It " 3 h'L INSULATION-: FIREPLACE ELECTRICAL: ROUGH ' FINAL PLUMBING: ROUGH FINAL GAS: ROUGH '`•FINAL i FINAL BUILDING : LlJl. 1 i ' DATE CLQSED.OU,T ASSOCIATION PLAN NO. I The Commomvealth of Massachusetts - -• Deparbneig of fndusirid Ac' ciders Dfflce of Investigations -6000 Washington Street _ Boston,MA 02111 www.mass.gov/dia Workers' Compensation fngrrgnce Affidavit:Bu-Mers/Contractors/Electricians/Plumbers 4ppliem't Information Please Print L b Name -Address: 44,1 lid City/State/Zip: Phone.#: L.; 31 . Are you an employer?Check the appropriate bo= -Type of project(requir4:: 1. I am a employer with � �4. � I am a general contractor and I . employees(EL and/or part-Vie).*. have hired toe snb=contr ctors 6• ❑Newconst uc;k,t, 2.❑ I am a'sole prctprietar or partner- fisted an Si�e'att-dched sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me�any capacity. employees and have 19vCO3 s' [No workers' comp.insurance 9. XRmUng addition recltmed.] :1 5. ❑ We are a-coipoiation and its 10.[]Electrical repairs or adchtions '3.❑ I am a homeo doing in-work officers have exercised their 11.n prig repans.or additions myself [No workers' comp. right 6f exemption per MGL 12. Roof insurance required.]t c. 152, §1(4), and we have no mPens employees. [No worms' 13•[] Other ' comp.insurance required_] . • tAny applicant that chinks box#1 Est also a out the section below showing thci workers'compensation policy infarmafioa. Homeowners who subs fbis affidavit nuhmIfing they me doing all work and then hire outside contracims.must submit anew affidavit indicating such �Confract ors that check this boa most attached as additional sheet showing the name of the sub coniracinrs and state whetiza ornot those entities have employees. If the sub-confxactMM have eo>ployees,lhey Umstpr vidt their wmk= comp.pDbcyn®ber. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Inst=cc Company Name: /olicy#or Self-ins.Lic.# - Expiration a Job Site Address• Ctr/State/Ztp.Atfa ch a copy of the workers' compensation poli dB afion page'(showing the policy number and expiration date}. Faze,to.secure coverage as required under Section 25A of MGL c. 152 can lead to me imposition of�a1 penalfies of'a fine up to$1,500.00 and/or one-year m3pmammen� as,.weIl as civil penalties in the form of a STOP WORg ORDER and a fine of up in $250.00 a day against the violator. Be advised that a copy of this statemeuf may be forwarded to the Office of Investigations of the DIA for msmmice co veIIfication I do hereby wader the pain • en edwy that the information provided above is ue and correct e Date: 1` Phone#: �. D.zcW use onty. Do not write in this area, to be completed by city or.town afficiaL City or Town: PermitUcense# 'Issuing Authority(circle one): .'1.Board of Health 2.Bm'Iding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �' Et old • r Client#:9580 2KPRE ACORD,. CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DDNYYY) 05/30/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NA C ME: Dowling 8r O'Neil PHONE 508 775-1620 FAX AIC No xt E : A/c No): 5087781218 Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:Western World INSURED Kenneth Perry DIB/A INSURERS:Associated Employers Insurance K.P.Remodeling&Construction INSURER C: 19 Guildford Road INSURER D: Centerville,MA 02632 INSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE NSRLSUBR WVD POLICY NUMBER MM/DDY EFF POLICY EXP LIMITS A GENERAL LIABILITY NPP8014991 3/04/2012 03/04/2013.EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE T RENTED PREMISES Ea occurrence $SOOOO CLAIMS-MADE Ex-1 OCCUR MED EXP(Any one person) $5,000 X BI/PD Ded:500 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident AUTOS AUTOS ( ) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per a.ZI $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WC5005450012011 6/13/2011 06/13/201 X TO Y LIMIT OTH- AND EMPLOYERS'LIABILITY ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $100 000 OFFICER/MEMBER EXCLUDED? F-Y] N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Kenneth Perry is excluded from the workers compensation policy. 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 Daniel Kelly SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1460 South County Road ACCORDANCE WITH THE POLICY PROVISIONS. Osterville,MA 02655 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S96560/M96559 LS1 ` r �ZHE Town of Barnstable Regulatory Services BARN Thomas F.Geiler,Director MAM .1639. 16 Building Division r Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us , Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must - Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 1<e VN ?e-c to act'on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools --are not-to be filled-before4ence is installed and pools ate not to be utilized.0 a11 ntil _final.inspections are performed and accep __ ted. Signature of Owner -Signature of Applicant � ` Print Name Print Name Date -Q:FORM&O WNERPERMISSIONPOOLS A FYC Guide to Wood Construction in High Wind Areas:110 tnpk brind Zone Massachusetts Checklist for Compliance (7so 01115301:2.1.1)' Check 1.1 SCOPE Compliance Wind Speed(3-sec-gust)......................................................_.......... ....... 110 mph Wind Exposure Category........................................----............... Wind Exposure Ca&gory................Engineering Required For Entire Project . C 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be'considered a story stories s 2 stories RoofPitch )._..._...-_............:........_...--.............................(Fig 2) ..._.:.................................... c 12.12 MeanRoof Height ...............................................:.......:...._(Fig 2)................................... ft 5-33' BuildingWidth W .............................................. _...-- -•(Fig 3).......................................__..._.. ft s 80' BuildingLength, L _....................._........ .... ..(Fig 3)................................................. -ft s 80' Building Aspect Ratio(L/W) .......:......._..........._:....._......:....(Fig 4)....................... �_:5 3:1 Nominal Height of Tallest O enin z ,. 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2) 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..................................................::.....:............... r \ ................................. Goncrate Masonry.............---..--.-__-----------------------..-............ 22 ANCHORAGE TO FOUNDATION''' . 5/3'Anchor Botts4mbedded or 5/8'Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ........................ (Table 4)................................ `� . -...... .. �in. Bolt Spacing from end(oint of plate.............................(Fig 5)................._................... in.c_ Bolt Embedment—concrete................ ----------_.._-- (Fig 5)..................................-------------...2_in. 7 Bolt•Embedment—masonry..................:..... (Fig 5)............................................. in._>15' PlateWasher..:............. ..........................._....._. (Fig 5)................... >3•x 3�x+/- 3.1 FLOORS Floorframing member spans checked ...............................(per 780 CMR Chapter 55)....... ............:....._..._.._. M ' Floor Opening Dimension...................................(Fig 6)......_........_. /G. ft c_12' ..........._ Fullll Hei Height Wail Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... M�mum Floor Joist Setbacks Supportng Loadbearing Wail's or Shearwall...._..........(Fig 7)............... ft c d ............................ ...... Maximum Cantilevered Floor Joists_ ... Supporting Loadbearing Walls or Shearwall................(Fig 8)..........._......_. ft s d Floor Bracing at Endwalls..................................0......_. (Fig 9).. Floor Sheathing Type ........:...................:..........._...._.._....... —� (Per 780 CMR Chapter 55).:...............:_... Floor Sheathing Thickness..............................................:.....der 780Ct Chapter 55rvr in.. Floor Sheathing Fastening..........::...................................... able 2).. d nails at in edge/ in eld 4.1 WALLS Wall Height Loadbearing walls......:...:.....................::......................(Fig 10 and Table 5)........................... . ft —c 10, Non-Loadbearing walls.............................0..._..._._........(Fig 10 and Table 5)................... l_ft's 20' Wall Stud Spacing 9. .......(Fig 10 and Table 5)_........... in_<24"o.c. Wall Story Offsets ...............................:..(Figs 7 8:8)............................................ ft s d 'j 1 4-2 E)CTERJ OR•WALLS' Wood Studs Loadbearing walls.........--•--.........................................(Table 5}.:............................2x� Non-Loadbearing walls................................................(fable 5)...............................2x Gable End Wall Bracing — ' Full Height Endwall Studs............................................(Fig 10)......................,.................._.............. _. WSP-Attic Floor Length................::..............................(Fig 11) ...-,-_...._.............. ..._..:..._ ft zW/3 'Gypsum Ceiling Length(!f WSP not used).....................(Fig 11)..................... >_0.9W and'2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11)........................... or 1 x 3 ceiling furring strips @ I E'spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Double Top Plate Splice Length ...................................................•...(Fig 13 and Table 6) .......................... ft Splice Connection (no.of 16d common nails)..............(Table 6)..................... \ ATVC Guide to Wood Construction in High Wirzd Areas: 110 mph Krrd Zone u Massachusetts Checklist for Compliance (7so cMR.S301.2.1.1 Loadbearing Wall Connections i ' Lateral(no.of 16d common nails)................................(Tables 7) { I T— Non-Loadbearing Wall Connections \. Lateral(no.of I5d common nails)......................_........(Table 8)..........__..............._..........:..._....._.._. Load Bearing.Wall Openings(record largest opening but check all openings for conipflance to Table 9) Header Spans _ .......................(Table 9)..._._.._.................._.... ft a in.c 1 i' SIP Plate Spans ' .................._....................._.............(Table 9).... ..�ft in.<IV Full Height Studs (no..of studs)...................................(Table 9)....................._.................................. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans............ .•----..-.:.........................-....._....(Table 9). ....._......._................._ft_in.512' Sill Plate Spans _p .......................................................(Table 9)..-•---•--•-•-------=-•----......._ft_rn.<12' Full Height Studs(no.of studs)..............................-....(Table-9).................................................. .... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest OpeningZ ......................:..................................._...............•_5 Big- Sheathing Type................................ ............ note 4JIS Edge Nail Spacing...........................................(Table 10 or note 4 if less) in. Feld Nail S akin P 9..........................................(Table 10)........................................... in. Shear Connection (no. of 16d common nails able 10 Percent Full-Height Sheathing...................:... able 10 5%Additional Sheathing for Wall with Opening>6V(Design Concepts)..................... Maximum.Building Dimension, L // ' Nominal Height of Tallest Opening2...................................... 6-1- 5 6'8. SheathingType......_......................................(note 4).................................................... jE Field Nall'Spacing p g............._._......:...:....._..._:..(Table 11 r note 4 if less)................_.... in. d e Nail Sparing ) Fi S aan Shear Connection(no, of 16d common nails)(Table 11 \\� Percent Full-Height Sheathing.......................(Table 11)..........................................:------av% 5%Add(ional Sheathing for Wall wfth'Opening>67(Design Concepts).................... Wall Cladding Rated for Wind Speed?.................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Webslte) Roof Overhang ...................................................(Figure 19) _ft 5 smaller of 2'or L(3. Truss or Rafter Connections at Loadbearing Wallis Proprietary Connectors Upfift........................................-.......(Table 12)..........................................._.U= plf _ Lateral............................................(Table 12)................................. ............L= pff Shear................................................(Table 12)..........--••-••--...................--_:..S= .pft Ridge Strap Connections, if collar ties not l.ised per page 21... (Table 13)...............................T= If P � Gable Rake OudDoker....................:......................(Figure 20) ....... ft_<smaller of 2'or U2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)......._._.........._------..._:.........._U= lb. Lateral(no.of 16d common nails)...(Table 14).................. L= . lb. Roof Sheathing Type................:..................................(per 780 CMR Chapters 56 nd 59) ......... ... .3 Roof Sheathing Thickness................................_._:.....:............._._......__........_...._...�TTXj' in:?7/16'W, , Roof Sheathing Fastening............................................(Table Z) „�0 Notes: .............. ` 1. : This checklist shall be metin its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e Comer Stud Hold Downs per Figure 1 ea and Figure 1 eb Exception:Opening heights of up to 8 f.shall be permitted when 5%is added to the percent fulkheight sheathing requrredents shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thidmess pressure treated 92;-giade, . r~ ... AWC Guide to Wood Construction rJi Hig k-14 ind Areas: 11 nzplr 1�?xrd Zone Massachusetts ChecUIist for Compliance (780 CNIR5301 2-1:1)' 4. a. • From Tables la and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116'and be installed as follows: I. Panels shall be installed With strength axis parallel to studs. Ti. All horizontal joints shall occur over and be nailed to framing. li. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels,shall be attached#o the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lowerpanel shall be made to band joist and lower attachment made to lowest plate at first floor framing.. v. Horizontal nail spacing at'double top plates, band joists, and girders shall be a double row of ad staggered at 3 Inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required if project is•1 mile or closer to shore (generally,south of Rte. 28 or north of Rte. 6) b)vertical addition—not required unless there is extensive renovation to the first floor c)replacement wiridows—needs energy conservation compliance only(chap 93) 6.Wood Frarrie Construction Manual.(WFCM) for 110 MPH, Exposure.B maybe obtained from the American Wood Council (AWC)website. —wriadTHS EDGE RFSI ON nEG r1sE8d N(tiLS AT6�t II 11 It . 71 11 11 , + N 11 - I Ir n t it it / Q� `•i 1 G t r 1 t 1 a 1 v it .�.T t I t LL d , 1 m n ii = ` z i I d f I to 1 11 it li. LU 1 11 t'`� it U� t j 1 � � •'ll �1 ' LI 1 11 I �F ®UITE II LI t It it W 1 I � 1 • [ � 11 Il� 1 1 1 � 1 1 I n LI DOil81E�GE _T- , STAB 3`MR UULS1 A ' _ — { T[4L PATTERN PAM EL FMtLx $)C;E DoLlsuWaIH]GESPACMDETAL See Defall on Next Page Vertical and HDri¢ontal Nailing Detall for Panel Attachment Verfical and Horizontal Nailing for Panel Attachment _ , ;.', . � � - - . . .. i . . � Massachusetts- Department.of Public Safety Board of Building Regulations and°Standal-ds Construction Supervisor License License: CS 76820 KENNETH O PERRY 19 GUILDFORD ROAD CENTERVILLE, MA 02632 I --�- �y Expiration: 8/28/2013 ('ununisviimcr Tr#: 3806 ` ✓/ie °�`/ a°°ac�>t�°ea° l;i ense.or.:rc registration valid for individul use onl Office of Coirsuiher Affairs&c B siiness Regul ,ion g y l IOME IMPROVEMENT CONTRACTOR.! ' before the expiration date. If found return to: Registration: 1432282 Type." } Office of Consumer Affairs-and Business Regulation Expiration: 12/2112012 DBA 10 Park Plaza-Suite 5170 Boston MA 02116 K.F. EMODELINGti Oil 1 , �. KENNETH PERRY., j, '19.GUILDFORD 6enterville MA. 2632 =5:,:� n ,. 0 \P Undcrsecietaiy' Not valid w� ature Al 4 O K v - j cv- alt co W c�rae, z N LoT 3 a 284. '78 Lod' 2 LoT" 17 , f '4C{tA AXTER �QZaWA % 9 _ . ` CERTIFIED PLOT PLAN LOCATION •OSTE2vIUZ , NASSi I CERTIFY THAT THE FOUNDATION SCALE 111.= 4o DATE 6-1 2-7/f 8 SHOWN HEREON COMPLYS WITH THE SIDELINE.AND :SETBACK PLAN R E F E RE 11C E . REQUIREMENTS OF 'THE TOWN OF BARNSTABLE AND IS NOT Lo`j' -5 .c. "i(o W7 LOCATED IN THE FLAO si. DATE : S �? 9a i " `c` BAXTER HYE Ilia THIS.PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE ' OSTERVILLE^- MASS. OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES. APPLICANT L AY SI DE &I DIIJ& -Co.- Ti3C JOB- j&prx-rt to TAYLOR DESIGN ASSOC., INC. SHEET NO. OF P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY TE_Co-zr-- Tel./Fax: (508) 790-4686 CHECKED BY 1A Of SCALE ........................... . .... ............. ............. .................................................. ......................... ... ....................... ........... .......................... ...................... ............................................................................. .................................(V ......................................... ......................................... ...................... .............................................. lip"f :............. .............. ........... ...........t .......... ............................ ........................... .................... ......................... ............................. .......................... ....................... ........................................................................ ......................... .. ............. .. .......................................... ...................................................... ........... ................ ............................................................................................................ .............. ............................ ............ ........................................ ........................... ......... ............ ........................... ........................................ . ........................................................ ...................................... .......................... .................................................................................i.......................... ... ............ ............ ...................................... . . ...... ....................................... ............... ................................ ............. ............ .......... .......... ............................ . . ............................................................................. 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I............ ............. ........... ........... .......................... ... ........................... ... .................. ........................ .......... ......... p ..................... ....................................... .................................................................................. ..................... ..................................... ............... ............. ............ ............ ........... ................................. 0 ............................ ................................... ............I............................ ............ .......... ............... ...... ............ .................... .................... .... ................ ............................................................................................................. ................ ....... .................... .............. .............................................................................T.... .1 ........................ ....... ... .......... .............. ............. ..... .. .. .......... ......................................................................................................................... ................................................... .... .... ...... ;4r ............................................. ..... ...... . q Official Website of The Town of Barnstable- Property Lookup Page 1 of 1 I Select Language 10 Assessing Division Property Lookup Results - 2012 367 Main Street,Hyannis,MA.02601 <<BACK TO SEARCH<< APrh Owner Information - Map/Block/Lot: 120/001/ 003 - Use Code: 1010 Owner Owner Name as of 111112 KELLY, DANIEL J&PATRICIA G Map/Block/Lot GIS MAPS 419 CHARLES RIVER STREET 120/001/003 NEEDHAM, MA.02492 Property Address Co-Owner Name 1460 SOUTH COUNTY ROAD Village: Osterville Town Sewer At Address: No Assessed Values 2012 - Map/Block/Lot: 120/0011 003 - Use Code: 1010 2012 Appraised Value 2012 Assessed Value Past Comparisons Building Value: $319,100 $319,100 Year Total Assessed Value Extra Features: $84,800 $84,800 2011 -$926,400 Outbuildings: $ 12,800 $12,800 2010-$860,000 Land Value: $519,000 $519,000 2009-$946,000 2008-$983,600 2007-$ 1,038,100 2012 Totals $935,700 $935,700 2006-$ 1,029,600 Tax Information 2012 - Map/Block/Lot: 120/001/003 - Use Code: 1010 Taxes C.O.M.M. FD Tax(Residential) , $ 1,338.05 Community Preservation Act Tax $236.36 Fiscal Year 2012 TAX RATES HERE Town Tax(Residential) $7,878.59 $9,453 Sales History - Map/Block/Lot: 120/001/003 - Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: KELLY, DANIEL J&PATRICIA G 8/20/2010 C192237 $1100000 ONEILL, DONALD J SR&SALLY A 1/12/2010 C190506 $1 ONEILL,SALLY ANN TR 10/29/1998 C150661 $650000 DACEY, BRIAN T TRS 8/15/1993 C130971 ' $675000 Sketches - Map/Block/Lot: 120 /001/003 - Use Code: 1010 Constructions Details - Map/Block/Lot: 120/001/003 - Use Code: 1010 http://www.town.bamstable.ma.us/assessing/propertydisplayscreen 12.asp?searchparcel=12... 6/2 8/2012 Official Website of The Town of Barnstable -Property Lookup Page 2 of 4 SQ'I 'rQK RAI ^.OP` AS 20' BAS21 l lB CSZ T2° 13 - _3a ;BBAS., O-� tRX"i (9 0 5-6 1' sPilo l :FAT Swsa{� 5 24.. / As Built Cards:Click card#to view:Card #1 1 Building Details Land Building value $319,100 Bedrooms 3 Bedrooms USE CODE 1010 Total Improvements Value $343,140 Bathrooms 3 Full+ 1H Lot Size(Acres) 1.33 Model Residential Total Rooms 9 Rooms Appraised Value $519,000 Style Cape Cod Heat Fuel -Eleet* S P 5 Assessed Value $519,00( Grade Average Plus Heat Type Hot Water Year Built 1998 AC Type Central/Half Effective depreciation 7 Interior Floors HardwoodCarpet Stories 1 1/2 Stories Interior Walls Plastered Living Area sq/ft 3,807 Exterior Walls Clapboard Gross Area sq/ft 9,310 Roof Structure Gable/Hip Roof Cover Wood Shingle Outbuildings & Extra Features - Map/Block/Lot: 120/001/003 - Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value BMT Basement-Unfinished 2740 $47,600 $47,600 SH132 Shed w/Elec 140 $2,800 $2,800 FOP Open Porch-roof-ceiling392 $11,700 $11,700 WDCK Wood decking 748 $10,000 $ 10,000 w/railings FPL1 Fireplace 1 story 1 $3,500 $3,500 FPL2 Fireplace 1.5 stories 1 $4,000 $4,000 GAR Attached Garage 720 $ 18,000 $ 18,000 Sketch Legend http://www.town.bamstable.ma.us/assessing/propertydisplayscreen12.asp?searchpa.rcel=12... 6/28/2012 AMP ■nmu■ Town Boundary S•( 0/V C n .,.✓` lz3ase Parcels FY2012 p m Pp�1D a1z34 Address Street Numbers SEAP_UI.T_RD Z M ti � Buildin Is GINGata i KI Z rD� - nZ Q �. Coleman rli Approximate Locations of t�• New Buildings from Plot Plans Dyt• m \20 /� '9/�YL� Q �r Pond Decks/Patios O Q� Above Ground Swimming Pools (� Z 20.�m� Z 11CCD y =_ O0 In Ground Swimming Pools O Z O �O < �2 \� CD VZ V\ ® Walkways Improved Walkways Unimproved ` - - Paths Stairways �P! SSQM SpUTN F 0 OPT\ OiILL�` Paved Roads g\Q INGER'O 9 ry f Unpaved Roads OQ LN O Paved Driveways •:>. :? Unpaved Driveways { Painted Lines Paved Parking Lots 'G I 0 Unpaved Parking Lots 9 W ® Bridges SUNSET� R , Railroad co � X Fences �Q T Guardrails East Bay �— Retaining Walls T `'� �P ©oo Stone Walls CROS yQO 9N O FyS QQ Sports Areas ��� 5�0P. y �eA'YRD :_J Golf Areas l7+ G l Docks/Piers Z r Q © Boardwalks Z Jetties < In O �/•. �- �• z m ti�> ^^"...,.�. Streams — — - Drainage Ditches �� y� OG 9 O < qy�< 1z i rMarsh Areas Water Bodies X Spot Elevations(NAVD88) O y �O Me Q O Topo to ft Contours(NAVD88) �3) I�// Q LE F9'9p � P X Catchbasins r, / Monuments uy`� PO Lamp Posts Manholes ® Towers Satellite CF Parker. Neck Pond S O Utility Poles PO �I O \ `IS =� ' nd Crystal7 �!V Signs ON Fuel Tanks m Lake Go Water Tanks W��N� �- Flagpoles Utility J Boxes 3 Q Posts J J Foy • Pilings P Gj Town A>�Barnstable Data Source Human-made features, Disclaimer This map is for planning purposes only. It is 1 inch=963.o9 feet �N A hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination — Fee Conservation Division may from 20o8 aerial photographs and representations of Assessor's tax parcels.They or regulatory interpretation.This map does no may have been updated from more current are not true property boundaries and do not represent an on-the-ground survey. 0 245 490 980 1,470 �t _�dh� http://wwwv.town,barnstable.maus snnrrec. PnrrP.l liras%+ divifi>ed from `~Z— Q'i TECHMCAL DATA SHEET • SEALECTION Agribalance DEMILEC(USA)LLC. Spray Foam Insulation POLYURETHANE SYSTEMS MANUFACTURER SEMI-RIGID SPRAY APPLIED POLYURETHANE FOAM SEALECTION Agribalanceo is a two-component,open cell,spray-applied,semi-rigid polyurethane foam system that contains more than 20%renewable agricultural based materials(refined vegetable oils)in the resin.This product is a fully water blown foam system having a low in-place density with excellent adhesion to various substrates including on to itself. SEALECTION Agribalance®incorporates the single-phase solution technology developed by DEMILEC(USA)LLC for extended shelf life and easy processing. PHYSICAL PROPERTIES ' ASTM Description Values D 1622 Density 0.60-0.80 lbs/ft3 C 518 Thermal Resistance(R-value per inch) 4.45 ft.2h.OF/BTU E 283 Air Permeance @ 75Pa(25 miles/hr. wind) <0.02 L/s.m2 for 3.5", 5.5", 7.5"and 10.5"thick sample Air Permeance for 3.5in thick sample @ 500Pa 0.003 L/s.m2 @ 1000Pa 0.006 L/s.m2 @ 15001?a 0.011 L/s.m2 @ 2000Pa 0.018 L/s.m2 D 1621 Compressive Strength,parallel to rise 1.86 psi D 1623 Tensile Strength 3.87 psi D 2126 Dimensional Stability(28 days) @ %Volume Change 158°F(70°C),97%R.H. 3.16 E 96 Water Vapor Permeance, 5" 4.95 Perms E 84 Surface Burning Characteristics(5-6") Class I •Flame Spread Index 15-20 • Smoke Development 400 D 2856 Open Cell Content 98% D 2842 Water absorption properties, 15.27%Volume SWRI Southwest Research Institute Crawl Space Test on 05-01 assemblies with foam thickness 10"underside Roof deck(no ignition barriers) Pass 5'/2"on vertical surface(no ignition barriers) The information herein is to assist customers in determining whether our products are suitable for their applications.We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. Nothing herein shall constitute a warranty,express or implied,including any warranty of merchantability or fitness,nor is protection from any law or patent inferred.All patent rights are reserved.The foam product is combustible and must be covered by an approved thermal barrier.The exclusive remedy for all proven claims is replacement of our materials. 2925 GALLERIA DRIVE ARLINGTON,TEXAS 76011 PHONE: (817)6404900 FAx: (817 633-2000 www.DEMILECUSA.COM INFOCA)-DEMILECUSA.COM Page 1 of 2 Rev.08/08 TECHNICAL DATA SHEET • SEALECTION Agribalance •� DEMILEC(USA)LLc. Spray Foam Insulation POLYURETHANE SYSTEMS MANUFACTURER LIQUID COMPONENTS PROPERTIES PROPERTY ISOCYANATE A 500 RESIN AGRIBALANCE Color Brown Transparent Yellow Viscosity 770F,cps 180-220 250—450 Specific gravity 1.22-1.25 1.08-1.12 Shelf life* 6 months 6 months Mixing ratio volume 100 100 *Drum unopened,consult MSDS for more information. All Properties were measured on core samples processed with the parameters listed below: PROCESSING PARAMETERS Type of machine Graco Fusion Gun AF 5252 with Wall Stud Kit#249421 Primary heater A&B 125°F 52°C Hose temperature 125°F 52°C Components A&B Pressure 1200 psi 8274 kPa Ambient temperature 77°F 25°C Thickness,one pass Full depth of application Full depth of application Substrate Cardboard REACTIVITY PROFILE Cream time,s Gel time,s Tack free time,s End of rise,s 1-2 3-4 6-7 6-7 RECOMAMNDED PROCESSING CONDITIONS Imperial units Metric units Primary Heater 110—125°F 43—52°C Hose temperature 110—125°F 43—52°C Pressure of mix 1100—1500 si 7.6—10.3 MPa Substrate&Ambient temperature >23°F > -50 C Curing temperature >230F > -50 C GENERAL INFORMATION: It is recommended that the foam be covered with an approved thermal barrier in accordance with the local and national building codes when used in buildings. This product should not be used when the continuous service temperature of the substrate is outside the range of-60°F(-51°C)to 176OF(800C). 2925 GALLERIA DRIVE ARLINGTON,TExAs 76011 PHONE: (817)640-4900 FAx: (817 633-2000 WWw.DEMILECUSA.COM INFOCUD-DEMILECUSA.COM Page 2 of 2 Rev.08/08 0 0 0 dip TR.AINING CER'T'IFICATE Presented to Joy Votes Eco Logic Insulation Mas Successfudy Completed a Bridge Training Course For SEALECTION® 500, HEATLOK SOY® and ® SEALECTION Agribalanceo at DEMILEC (USA) LLC®. 00 'resented this Day March 24, 2010 .4 DEMILEC (USA)LLC. SEALECTaION"500 Dave Lall Vice President & General Manager ` ' E ATLO K%''AgribalanceSEALECTION 500 >PRAL Spray Foam Insulation Spray Foam Insulationw 0- AM 0 p 0 1 CICC EVALUATION C SERVICE Widely - and Trusted ICC-ES Evaluation Report ESR-2600 Reissued February 1, 2011 This report is subject to re-examination in two years. www.icc-es.orq 1 (800)423-6687 1 (662) 699-0543 A Subsidiary of the International Code Council® DIVISION:07 00 00-THERMAL AND MOISTURE product is a water-blown foam with nominal density PROTECTION of 0.7 pcf(11.2 kg/m3) and installed density of 0.6-0.8 pcf Section:07 21 00-Thermal Insulation (9.6 - 12.8 kg/m). The polyurethane foam is produced in the field by combining a polymeric isocyanate (component REPORT HOLDER: A) and a resin (component B). The products have a shelf life of one year,when stored in factory-sealed containers at DEMILEC USA LLC temperatures between 40-<F and 100-<F(4.5�C and 38;C). 2925 GALLERIA DRIVE ARLINGTON,TEXAS 76011 Sealection Agribalance spray foam insulation is an ARLI6GTON, air-impermeable insulation in accordance with Section www.demilecusa.com R806.4 of the IRC, based on testing in accordance with ASTM E 283. EVALUATION SUBJECT: 3.2 Surface-burning Characteristics: SEALECTION AGRIBALANCe SPRAY FOAM The insulation at a maximum thickness of 5.5 inches INSULATION (139.7 mm) and a density of 0.6 pcf (9.6 kg/m), has a flame-spread index of less than 25 and smoke-developed 1.0 EVALUATION SCOPE index of less than 450 when tested in accordance with ASTM E 84. Thicknesses up to 9/4 inches (235 mm) for Compliance with the following codes: wall cavities and 14 inches (356 mm) for floor/ceiling ■ 2009 International Building Code®(IBC) cavities are recognized, based on room corner fire testing in accordance with NFPA 286, when covered with ■ 2009 International Residential Code®(IRC) minimum '/2-inch-thick (12.7 mm) gypsum wallboard or an ■ 2009 International Energy Conservation Code®(IECC) equivalent 15-minute thermal barrier complying with, and installed in accordance with, IBC Section 2603.4 or IRC ■ Other Codes(see Section 8.0) Section R316.4,as applicable. Properties evaluated: 3.3 Thermal Resistance, R-values: ■ Surface-buming characteristics The insulation has thermal resistance, R-values,at a mean ■ Physical properties temperature of 75:!F (24:5C), as shown in Table 1. Heatloko Soy 200 has a thermal resistance R-value, at a mean ■ Thermal resistance temperature of 755F(24!r-),of 7.4 per inch. ■ Attic and crawl space installation 3.4 Air Permeability: ■ Air permeability Sealection Agribalance® spray-applied polyurethane foam 2.0 USES insulation, at a minimum of 3.5 inches (89 mm), is Sealection Agribalance®spray foam insulation is used as a considered air-impermeable insulation in accordance with nonstructural thermal insulating material in Type V-B Section R806.4 of the IRC based on testing in accordance construction under the IBC and dwellings under the IRC. with ASTM E 283 and ASTM E 2178. The insulation is for use in wall cavities, floor assemblies, 3.5 BlazelokTm 1B4 Intumescent Coating: roof/ceiling assemblies or attics and crawl spaces when BlazelokT'4 164 intumescent coating, manufactured by installed in accordance with Section 4.4. Under the IRC, TPR2 Corporation, is a one-component,water-based liquid the insulation may be used as air-impermeable insulation coating with specific gravity of 1.3. BlazelokTm 1B4 is when installed in accordance with Section 3.4. supplied in 5-gallon (19 L) pails and/or 55-gallon (208 L) 3.0 DESCRIPTION drums and has a shelf life of one year when stored in 3.1 General: factory-sealed containers at temperatures between 45:5F (7:C)and 90:!F(32�;C). Sealection Agribalance®is aspray-applied, semirigid, low- 3.6 No-Burn®Plus XD Intumescent Coating: density, cellular polyurethane foam plastic that is installed as a nonstructural component of floor/ceiling and wall No-Burno Plus XD intumescent coating, manufactured by assemblies. The material is a two-component, open-cell No-Burn, Inc., is a translucent aqueous liquid in 1- and spray-applied polyurethane foam plastic system. The 5- gallon (3.8 and 18.8 L) pails and 55-gallon (208 L) I CC-ES Eval uati on Raportsi are not to be construed as representi ng aesthetics or arry other attri butes riot specifically addressed,nor are thel to be construed o` as an endorsa ren of the subject of the report or a reomwendation for its use There is no warranty by ICC Evaluation Service;LLC,egaess or it plied,as `Z to any fi ndi rig or other.ratter i n thi s report,or as to any product covered by the report Copyright©2011 Page 1 of 4 ICC EVALUATION c c SERVICE IMES SAVE: Verification of Attributes Report" VAR-1006 Issued September 1, 2009 This report is subject to re-examination in one year. www.icc-es.org/save 1 1-800-423-6587 1 (562)699-0543 A Subsidiary of the International Code Council® DIVISION: 07—THERMAL AND MOISTURE PROTECTION 3.0 DESCRIPTION Section: 07 21 16—Building Insulation SEALECTION AgribalanceTm is a two-component system Section: 07210—Building Insulation with a density ranging from 0.60 to 0.80 Ib/R3 (9.60 and REPORT HOLDER: 12.80 kg/m3). The polyurethane is produced by combining the two components on-site. Water is used as the blowing DEMILEC(USA)LLC agent and reads with the isocyanate, which releases 2925 GALLERIA DRIVE carbon dioxide and steam, causing the mixture to expand. ARLINGTON,TEXAS 76011 The mixture is spray-applied to the surfaces intended to be (817)640-4900 insulated. www.demilecusa.com The insulation contains a minimum percentage of infoOdemilecusa.com biobased content as noted in Table 1. EVALUATION SUBJECT: 4.0 CONDITIONS See ICC-ES evaluation report ESR-2600 for compliance of SEALECTION AGRIBALANCETm SEALECTION AgribalanceTm with code requirements. 1.0 EVALUATION SCOPE 5.0 IDENTIFICATION Compliance with the following evaluation guideline: The SEALECTION AgdbalanceTm spray foam insulation described in this report is identified by a stamp bearing the ICC-ES Evaluation Guideline for Determination of manufacturer's name [Demilec (USA) LLC] and address, Biobased Material Content(EG102),dated October 2008. the product name (SEALECTION Agribalance), and the 2.0 USES VAR number(VAR-1006). SEALECTION Agribalance"m is a semirigid, low-density, cellular polyurethane foam plastic insulation that is spray- applied as a nonstructural insulating component of floor/ceiling and wall assemblies. TABLE 1—BIOBASED MATERIAL CONTENT SUMMARY %MEAN BIOBASED CONTENT METHOD OF DETERMINATION 10%(+/-3%)' ASTM D 6886 'Based on precision and bias cited in ASTM D 6866. ICC-ES Verification of Attributes Reports are issued under the ICC-ES Sustainable Attributes Verification and Evaluation Program(SAVE).These reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for Gam! its use.There is no warranty by ICC Evaluation Service,Inc.,express or implied as to any finding or other matter in this report,or as to airy product covered by the report. Copyright©2009 Page 1 of 1 ESR-2600 I Most Widely Accepted and Trusted Page 2 of 4 drums. The coating has a shelf life of three years when must be consistent with the requirements for the type of stored in a factory-sealed container at temperatures construction required by the applicable code, and must be between 40OF(4.5°C)and 90°F(321C). installed in a manner so the foam plastic insulation is not 3.7 Heatlok Soy°200 Coating: exposed. Sealection Agribalance® insulation as described in this section may be installed in unvented attics in Heatlok® Soy 200, manufactured by Demilec USA LLC, is accordance with IRC Section R806.4. a spray-applied foam used as a coating over the 4.4.2 Application without a Prescriptive Ignition Sealection Agribalance® foam insulation, as described in Barrier: Section 4.4.2.4. The Heatlok® Soy 200 coating is a two component, closed-cell polyurethane foam plastic 4.4.2.1 General: Where Sealection Agribalance insulation with a density of 2.1 cad (34 kg/m� that is insulation is installed without a prescriptive ignition barrier installed as a nonstructural component in walls and in attics and crawl spaces in accordance with Sections floor/ceiling assemblies. The foam plastic components 4.4.2 and 4.4.3,the following conditions apply: have a shelf life of one year when stored in factory-sealed a. Entry to the attic or crawl space is only to service containers at temperatures between 59�F and 77:!F (15--C utilities and no storage is permitted. and 25:C,). The foam coating has a thermal resistance, b. There are no interconnected attic or crawl space areas. R-value, of 7.4 per inch, to a maximum of 2 inches (51 mm), at a mean temperature of 7W (24�C); and c. Air in the attic or crawl space is not circulated to other qualifies as Class II vapor retarder under the IRC when parts of the building. applied at a minimum thickness of 1.2 inches(30.5 mm). d. Attic ventilation must be provided when required by the 3.8 Sustainable Attributes: applicable code, except when air-impermeable insulation is permitted in unvented attics in accordance See ICC-ES VAR-1006 for determination of biobased with Section R806.4 of the IRC. content. e. Under-floor (crawl space) ventilation is provided when 4.0 DESIGN AND INSTALLATION required by IBC Section 1203.3 or IRC Section R408.1, 4.1 General: as applicable. f. Combustion air must be provided in accordance with Sealection Agribalance® spray foam insulation must be International Mechanical Code®(IMC)Section 701. installed in accordance with the manufacturer's published installation instructions and this report. A copy of the 4.4.2.2 Application with BlazelokTm 1134 Coating: In manufacturer's published installation instructions must be attics, Sealection Agribalance insulation may be spray- available at all times on the jobsite during installation. applied to the underside of roof sheathing and/or rafters; and the underside of wood floors and/or floor joists in crawl 4.2 Application: spaces as described in this section. The thickness of the The insulation is spray-applied on the jobsite using a foam plastic applied to the underside of the wood floor and volumetric positive displacement pump as identified in the roof sheathing must not exceed 11 /4 inches (285.8 mm). Demilec application manual. The insulation can be The spray foam insulation applied to vertical wall surfaces installed in one pass to the maximum thickness as in attics and crawl spaces must not exceed 91/4 inches specked in Sections 3.2 and 4.4.2. The foam plastic must (235 mm) in depth. The foam plastic surface must be not be used in electrical outlet or junction boxes or in covered with a minimum 5-dry-mil [9 wet mils (0.23 mm)] contact with rain, water, or soil. The foam plastic must not thickness of BlazelokTm 1134 intumescent coating as be sprayed onto a substrate that is wet, or covered with described in Section 3.5.The intumescent coating must be frost or ice, loose scales, rust, oil, or grease. Sealection spray-applied over the insulation in accordance with the Agribalance®resin (component B) must be stored in areas coating manufacturer's instructions and this report at a rate where the ambient temperature is between 40-,F and of 1 gallon (3.38 L) per 175 square feet(16.3 m )to obtain 100!F (4.5!r- and 38!r-). Sealection Agribalance®must be the recommended minimum dry film thickness noted in this used in areas where maximum ambient temperature is section. Surfaces to be coated must be dry and dean, and equal or less than 180_�F (82:9C). The insulation must be free of dirt, loose debris and any other substances that protected from the weather during and after application. could interfere with adhesion of the coating. 4.3 Thermal Barrier: 4.4.2.3 Application with No-Bum® Plus X Intumescent Coating: In attics, Sealection Agribalance Sealection Agribalance® spray foam insulation must be foam insulation may be spray-applied to the underside of separated from the interior of the building by an approved the roof sheathing and/or rafters and in crawl spaces. The thermal barrier of 1/2-inch-thick (12.7 mm) gypsum insulation may be spray-applied to the underside of wood wallboard or an equivalent 15-minute thermal barrier floors as described in this section. The thickness of the complying with, and installed in accordance with, IBC foam plastic applied to the underside of the top of the Section 2603.4 or IRC Section R316.4, as applicable, space must not exceed 111/2 inches (292 mm), and the except when installation is in attics and crawl spaces, as thickness on vertical surfaces must not exceed 91/2 inches described in Section 4.4. Thicknesses of up to 91/4 inches (241 mm). The foam plastic surface must be covered with (235 mm) for wall cavities and 14 inches (356 mm) for a minimum nominal thickness of 6 dry mils (0.15 mm) floor/ceiling cavities are recognized, based on room comer [10 wet mils (0.25 mm)] of the No-Bum® Plus XD fire testing in accordance with NFPA 286. intumescent coating described in Section 3.6. The 4.4 Attics and Crawl Spaces: intumescent coating must be spray-applied over the insulation in accordance with the coating manufacturer's 4.4.1 Application with a Prescriptive Ignition Barrier: instructions and this report at a rate of 1 gallon (3.38 L) per When Sealection Agribalance®insulation is installed within 160 square feet (14.9 m',) to obtain the recommended attics or crawl spaces where entry is made only for service minimum dry film thickness noted in this section. Surfaces of utilities, an ignition barrier must be installed in to be coated must be dry and dean, and free of dirt, loose accordance with IBC Section 2603.4.1.6 or IRC Sections debris and any other substances that could interfere with R316.5.3 and R316.5.4, as applicable. The ignition barrier adhesion of the coating. ESR-2600 I Most Widely Accepted and Trusted Page 3 of 4 4.4.2.4 Application of Sealection Agribalance® with 5.8 The insulation has been evaluated only for use in Heatlok Soy 200 Coating: Sealection Agribalance foam Type V-B construction under the IBC and non-fire- insulation may be spray-applied to the underside of roof resistance rated assemblies in dwellings under the sheathing and/or rafters; and the underside of wood floors IRC. and/or floor joists in crawl spaces as described in this 5.9 Jobsite certification and labeling of the insulation must section. The thickness of the foam plastic applied to the comply with IRC Sections N1101.4 and N1104.4.1 underside of the wood floor and roof sheathing must not and IECC Sections 303.1.1 and 303.1.2, as exceed 9 /2 inches (241 mm). The spray foam insulation applicable. applied to vertical wall surfaces in attics or crawl spaces must not exceed 51/2 inches(140 mm) in depth. Sealection 5.10 A vapor retarder must be installed when required by Agribalance® foam insulation applied to all surfaces must the applicable code. be covered wit® 200 spray foam coating as described in a nominal thickness of 2 inches (51 mm) of Heatlok Soy 5.11 The insulation is produced in Arlington, Texas, under Section 3.7. a quality control program with inspections by Intertek Testing Services NA Ltd.(AA-647). 4.4.3 Use on Attic Floors: Sealection Agribalance® spray-applied insulation may be installed exposed at a 6.0 EVIDENCE SUBMITTED maximum thickness of 91/2 inches (241 mm) between and 6.1 Data in accordance with ICC-ES Acceptance Criteria over the joists in attic floors, when covered with the No- for Spray-applied Foam Plastic Insulation (AC377), `Burn® Plus XD intumescent coating described in Section dated October 2010, including testing in accordance 4.4.2.3. Sealection Agribalance® spray-applied insulation with Appendix X. may be installed exposed at a maximum thickness of 6.2 Reports of room comer fire tests in accordance with 9/4 inches (235 mm) between and over the joists in attic floors, when covered with the BlazelokTm IB4 intumescent NFPA 286. coating described in Section 4.4.2.2. The foam plastic 6.3 Reports of air leakage tests in accordance with ASTM insulation may be installed at a maximum of 51/2 inches E 283. (140 mm)between and over the joists in an attic floor when covered with a nominal 2 inches (51 mm) of Heatlok Soy® 6.4 Reports of air permeance tests in accordance with 200 coating as described in Section 4.4.2.4.The insulation ASTM E 2178. must be separated from the interior of the building by an 7.0 IDENTIFICATION approved thermal barrier. The ignition barrier in accordance with IBC Section 2603.4 and IRC Section Components of Sealection Agribalance® spray foam R316.5.3 may be omitted. insulation are identified with the manufacturer's name (Demilec USA), address and telephone number; the 5.0 CONDITIONS OF USE product trade name (Sealection Agribalance; use The Sealection Agribalance®spray-applied foam insulation instructions; the density; the flame-spread and smoke- described in this report complies with, or is a suitable development indices; the evaluation report number alternative to what is specified Testing ed in, those codes listed in (ESR and the name of the inspection agency Section 1.0 of this report, subject to the following (Inteek Testing Services NA Ltd.) conditions: Each pail of BlazelokTm 164 intumescent coating is 5.1 This evaluation report and the manufacturer's labeled with the manufacturer's name (TPR2 Corporation), published installation instructions, when required by the product name and use instructions. the code official, must be submitted at the time of No-Bum® Plus XD intumescent coating is identified with permit application. the manufacturer's name (No-Bum, Inc) and address, the 5.2 The products must be installed in accordance with the product trade name,and use instructions. manufacturer's published installation instructions, this Heatloko Soy 200 coating is identified with the evaluation report and the applicable code. The manufacturer's name (Demilec USA), address and instructions within this report govern if there are any telephone number, the product trade name and use conflicts between the manufacturers' published instructions. installation instructions and this report. 8.0 OTHER CODES 5.3 The insulation must be separated from the interior of In addition to the codes referenced in Section 1.0, the the building by an approved 15-minute thermal products described in this report have been evaluated in barrier, except when installation is in attics and crawl accordance with the following codes: spaces as described in Section 4.4. ■ 2006 International Building Code (2006 IBC) 5.4 The insulation must not exceed the density and ■ 2006 International Residential Code®(2006 IRC) thicknesses noted in Sections 3.2, 4.4.2 and 4.4.3 of this report. ■ 2006 International Energy Conservation Code® 5.5 The insulation must be protected from the weather (2006 IECC) during and after application. ■ 2003 Intemational Building Code®(2003 IBC) 5.6 The insulation must be applied by contractors certified ■ 2003 International Residential Code®(2003 IRC) i by Demilec USA. ■ 2003 International Energy Conservation Code® 5.7 Use of the insulation in areas where the probability of (2003 IECC) termite infestation is "very heavy" must be in The products comply with the above-mentioned codes as accordance with IRC Section R318.4 or IBC Section described in Sections 2.0 through 7.0 of this report, with 2603.8,as applicable. the revisions noted below- ESR-2600 I Most Widely Accepted and Trusted Page 4 of 4 ■ Application with a Prescriptive Thermal Barrier: See IBC or Section R806 of the 2006 and 2003 IRC, and Section 4.3, except the approved thermal barrier must crawl space ventilation must be in accordance with be installed in accordance with Section R314.4 of the Section 1203.3 of the 2006 and 2003 IBC or Section 2006 IRC or Section R314.1.12 of the 2003 IRC. R408 of the 2006 and 2003 IRC,as applicable. ■ Application with a Prescriptive Ignition Barrier: See ■ Protection Against Termites: See Section 5.7,.except Section 4.4.1, except attics must be vented in use of the insulation in areas where the probability of accordance with Section 1203.2 of the 2006 and 2003 termite infestation is "very heavy" must be in IBC or Section R806 of the 2003 IRC, and crawl space accordance with Section R320.5 of the 2006 IRC or ventilation must be in accordance with Section 1203.3 of Section R320.4 of the 2003 IRC. the 2006 and 2003 IBC or Section R408 of the 2006 and ■ Jobsite Certification and Labeling: See Section 5.9, 2003 IRC, as applicable. Additionally, an ignition barrier except jobsite certification and labeling must comply must be installed in accordance with Section R314.5.3 with Sections 102.1.1 and 102.1.11, as applicable, of or R314.5.3 of the 2006 IRC or Section R314.2.3 of the the 2006 IECC. 2003 IRC,as applicable. ■ Application without a Prescriptive Ignition Barrier: See Section 4.4.2, except attics must be vented in accordance with Section 1203.2 of the 2006 and 2003 TABLE 1—THERMAL RESISTANCE(R-VALUES) THICKNESS(INCH) R-VALUE'(SF.fe.hBtu) 1 4.5 2 8.9 3 13.4 3.5 15.6 4 17.8 5.5 24.5 6 26.7 7.5 33.4 9.25 41.2 9.5 42.3 10- -44'5 11.25 50.1 11.5 51.1 14 62.3 For SI: 1 inch=25.4 mm;14:.fe.h/Btu=0.176 1104(.m2/W. 'R-values are calculated based on tested K-values at 1-and 4-inch thicknesses. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel &V Application# D 160 n Q]9 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Q Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address _Jgt,6 Village Owner/�U.na xA U��,)� 1 Address q&1) &bilA�h �ALf1-�,1 RCI Telephone 2 FS l$7 Permit Request / X I Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay C Project Valuations Construction Type Lot Size Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Q Dwelling Type: Single Family 0 Two Family O Multi-Family(#units) Age of Existing Structure Historic House: O Yes O No On Old King's Highway: ❑Yes ❑No Basement Type: Cl Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new ,Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:O existing O new size Attached garage:O existing ❑new size Shed:O existing Xnew size !oX Other: i __Zoning,.Board of Appeals.Authorization 0 Appeal# - -Recorded O c' Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION `- Name� (1r�S m�� rA�-� Telephone Number Saks 2 Address C[Arl uleLI) 2 d License# 7 3 V aS S -err fY\A O 2(o3 1 Home Improvement Contractor#. /c3Z 93�— Worker's Compensation#(A)C _ ?i 7411W Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2— veers Q � SIGNATURE v i FOR OFFICIAL USE ONLY r}_ ,HERMIT NO. �- DATE ISSUED i f MAP/PARCEL NO. i F ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION 9 + Ce, r , i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL > FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. r Dater 8/18/2006 Time: 4:23 PM Toe R 9,1,5087717070 R&G Ins. Agcy. Pagel 001 Client#:20245 MCGRPOS ` ` ACORa. CERTIFICATE OF LIABILITY INSURANCE 81181osATolrrrr) PRODUCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.Agency,Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0.Box 1601 South Dennis,MA 026604601 INSURERS AFFORDING COVERAGE NAIC it INSURED INSURER& St.Paul Travelers Insurance Company McGrath Post&Beam Corp INSURERS: American Home Assurance dba Pine Harbor Wood Products INsuRERc: 259 Queen Anne Rd Harwich,MA 02645 INSURERO: 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 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PA®CLAIMS. LT SR TYPE OF INSURANCE POLICY NUMBER P ATE I M1=1YYI DATE(MWDQIYYI POLICY EXPIRATION LIMITS A GENERAL LIABILITY 166003848 00TIL06 01/31/06 01/31/07 EACH OCCURRENCE $1 00O 000 �( COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 000 CLAIMS MADE M OCCUR MED EXP(Any one person) $5 000 PERSONAL d ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMPIOP AGG s2,000,000 X POLICY PRO- 7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea aociderd) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED ALTOS BODILY INJURY NON•OWNEDAUTOS (Peracddard) $ PROPERTY DAMAGE $ (Per eccderd) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT S ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSNMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC8947347 07/08M6 07/08/07 X I WCOR WITU OTH. EMPLOYERS'LIABILITY E.L.EACH ACCIDENT S1 OO OOO ANY PROPRIETORIPARTNEREXECUTIVE OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $100 000 IfymcfewAbounder SPECIAL PROVISIONS below E.L.DISEASE.POLICY LIMB $500 000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORBEMENT 1 SPECIAL PROVISIONS Re: Donald O'Neil,1460 South County Rd.,Osterville CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER VALL ENDEAVOR To MAIL IQ_ DAYS WRITTEN Building Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Mein St IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis,MA 02601 REPRESENTATIVES. AUTHORIZED REPRESEW ATIVE I ACORD 25(2001108)1 of 2 #S238231M23007 DMW 0 ACORD CORPORATION 1988 I v.r V./ �vvv �v•-v -•mow ----- -----r ��•�•.r•.vr � r •w�v.�.w� r n �V •�� L yr Office of,investigations 600 Washfngton Street l Roston,JIM 02111 FelW.masSgoY/dia Workcrs' Compensation Ijosnrance Affidavit; Build'ers/CtintractorS/,EIOcWciaus2lufnbem , AppIican' Xn Oo a#ion Bease I'llptLe MIY • Z�aU1C()3usiaas/OrganiTal3oA/Individua.n: �(�}''If' �� • a /Sta.t6`Zi .-,--� - tS` p• 17 �tl~�` },r �ho�ae#: , Are yoit AA employer? Checkdhe'appropriate box: 'I�pe ofjecf(required): I_ I am a c>:ap7oya with "- 4._0 1 am a general contractor ari�3 I- cmgloy,:ts(full andl'orpart tirrac).* blavc•biru'thc sub-coinmciors 6 O;�c onst2.❑ I mna s Ac.pr opri ctor or pariacr- .WGod on Ibc attacba3 shcct '7.' modclizt); ship ape have no erriployccs - These sub-matrictors bavc e. Q p=ov6o,U woilldn for roc•,in an ca aci tivnrkcrs' comp. insurance € Y P tY •9. E BuildiAg additio>i [No.worl:txs' comp:insurance .5 ❑ We arc a wrporatian and its ri gutted,) ofl5cem bavc cxcrciscd Iheir 10•0 EIectrical•rcoirs or additions 3. 1 am a•h,:moowner doingall yrork righti of exerrilation per MCr� 11-D Plaarabyag repairs oradditiots myself. ]No-Workcrs' co' a 152, §I(4), add we have Tin I2 insurance p.lti rcquirccL)•t cmyt workers'es. (No ❑ Rbof repairs _ � corr>p,irxsurancc rcq `irk X 3•� Other ti •Any nppliccnt(fiat-Ave a rr,box#I ast also bt)qut the s cdm below showing rbtir wprl`crz'eorr9m SaUori iia}jay in(ofrnaf7aa: . t Hii'mccaviicrs wTio submit thi!a�dati(u% hating thcy doing n11 work and then hire outside oorrC odors must aldMut a Red/s$(davYt iodic�se wch • cb4ne(brs'tha(rhrek this box_mvst attmbed ao additioriul sheet showing-tbe name of the sub-6 trw:tors and their*0*4c 'wtTtp,ppjih,iqfomwioa `�-- I am dh employer that is providing workets'eompensarion insurance for my employees Pclow is the polity and job site injormatio>ti - ,Insbnr ce Cons;viy NaTUc: A rnP,t'f(aQ�fr1 �1�f1'1 E Polity#or Self ins.L is V: LY, y 3+-{'7 )~xpiiation)date: 7r `(�� • ,Iob,Site Addrrs:: � •City/StsCe/zip ����u0� Attach a copy of the wprkers' coMptDsetion policy de�Iaratioa page(sbovejng the.policy aumber and expiration date)'. ):ailure;•tn iearrr coverage as required undcf Section 25A of MGL c, 152 can lead to the inoposit on ofcrjntiAal penalties 0-fa 5neup io$3,50U,00 AMd/.qr oauryear i;fipa;sp=ell� as well as civil penalties in thr,f6r.Mof2 STOP WORK ORDERud a fine of up to 5250.00 a day against•thr,violator. De a6vised'that a copy of this statetncst maybe forwardcd,to%c Office oC Iavcstigadons of the DIA.for insurance covcragc venficatioA• I do hereby rYJ tinder the p p�af " v erj t at the irrforrrrutiora provided above is free rind'correc> Si: aturc: � r otc: . . 0 icial use o,rly_ Do not write in t'h' area,to be completed by city or town ofjicial City Or Tovrrr: permitll,icense#, IssraiAg Authority (circle one): 1.BbzM of R=lth'Z Building Dcpar-(ment 3_City/Town Clerk 4.Electrical Inspector 5,Plumbing 1ospedor 6:Otb cr Contact Ycrsz•n: Phone a I °F114E,p� Town of Barnstable ti Regulatory Services ` UAAN3rABLE Thomas F.Geiler,Director y nu+ss. fo Sig, 6.0 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. 1 Q Type of Work; 0 5 " Estimated Cost Address of Work: /y(go Owner's Name: e2' n- Date of Application:�;z -� f I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT.WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date `� Contractor Signature Registration No. S`b, 701 Date Owner's Si afar Q:wpf11es.forms:homeaffidav Rev: 060606 Town of Barnstable Regulatory Services tea +$ Thomas F.Geller,DirectorNAM ' Building Division. �r Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 W"Aown.b arnstab l e.m a.us office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and $ign TWs Sc tion, If Using A Builder I, sS9 A 41ve , as er of the-subject property hereby authorize e C to act on my,behalf, in all matters relative to work authorized this b ing permit application for, S t ll� (Address of Job Signature of e e Print Nam Q:F0RMS:0WNMERMISSI0N' ' 'r FRAMING: (Full.Dimension Pine) CHAT' LOFT 2"x 4"Rafters CCU 2'on centers PINE O� (2x6 for i2'shed widths) WOOD PRODUCTS POST and BEAM SHED . 2"x 4"Loft Joists @ 4'on centers Its all about the wood (2x6 for i2'shed widths) • 4"x 4"Top Plate Beams • 4"x 4"Center Support Posts Yr • 4"x g"Corner Posts are 6Y'tall • 3"x 4"Comer Braces f �« �' • 2"x 4"Wall Purlins r: z • 2"x 4"Door and Window frames ' = ti'` • 5/8"CDX plywood flooring (Pressure Treated is optional) • 2"x 6"PT Floor Joists @ 16"o.c. (zx8 PT for 12'shed widths) • Rough Pine Trim(primed pine or red cedar is optional) 8"x 8"Aluminum Louver Vents :. � � • Standard Board and Batten Siding — clapboards or white cedar shingles #1 =4 are optional ROOFING: • 5/8 CDX roof sheathing '` `` • Choice of shingles and colors :- -- _ FREE Pressure Treated Ramp � NOTES: • Stock and Custom doors and windows are available • Concrete Block or optional Sonotube footings are available with a roof pitch of zo/r2, and including a 4 foot storage loft, this is the perfect style for the`pack rat': The loft provides storage space for small and seasonal items such as beach chairs and hoses, while maintaining optimal wall and floor space. This design adds New England character! A/ Ioo' LoT .4 < J Ll \ '75 f QD 00 LoT 3 V . l 33 AMES \b � rr • h � o 42 t N 284. 79 nor i� • i% v exry„A� OF �• � ' � CERTIFIED PLOT PLAN s,Y- L ,�. LOCATION .0 sTEe.v t Ll- , ►y A S S I CERTIFY THAT THE FOUNDATION SCALE 111.7 40' DATE 6-12'7 I q 8 SHOWN HEREON COMPLYS WITH THE. SIDELINE AND 'SETBACK PLAN REFERENCE REQUIREMENTS OF :THE TOWN OF BARNSTABLE AND IS NCrT L o7 LOCATED IN THE FLOODPLAIN. MA\"J' 12o t'RrlcEt- �_3 DATE 95 BAXTER f NYE, INC. THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS INSTRUMENT SURVEY AND THE OS T E R V I L L E MASS. OFFSETS SHOWN SlHOULD NOT BE USED TO DETERMINE LOT LINES., 1APPLICANT SAV S%DE BU4.DING Co . 'rQC ' vv/avI avvv aV.vv •'ias aVvv7V vi iiV Pface e ulations Board of Building One Ashburoa 02108-'�61830,) BOS Oft, Sirthdatte. 0311411@70 4lcanaQ: CONSTRLICTION SUPEFMSOR LICENSE ReatrTcted 70: 1G Number. CS C73665 Expirss:03/1412005 JAMS R MCGRU.TS. _ 204(RANVIEW FO — gggWSTM MA 02631 ' 'ft.ntr. 15987 Keep top for rwcalol and"nga of addhts not[flcatton: Board of Bwldin$Regina ons and standards , - One Ashburton Place -Room 1301 husetts 021.08 Boston Masspc� domeprovernet &�actor RejzYstratxon - FfeAtatration: t3z83b Typm Private Carpotat(on . f�er•._ t.-- � MCGWH POST BEAM GO. JAMES McGRATFi �� 269 QUEEN ANNEE END: 7 a��t� HARWK"H.MA 02646 �� ;Ne �`C: 4�i U attr 1ul lr�sx aad return earQ.Mark rtasan W thanes Addrrstr O Rtatwal C3 Employm At [] lmat Card .` HoardatBaudiosR u='v*116 for lndhidul•usea0ly attwr and Standards t.icttass or ROMPtMFtROVEMENY CONTRAGMR bslorttha ezpiratlpva 4 ' if fana0.redlm t0. Hoard of BaTTdioe RegutatI015 and Standards R. .strq to- 29= OasAtDburton PlaceRra 1301 � FrM ? raooe 8oscont raa.01.106 carpomWn Mct#RI►1H Pov41 JARIES WZRATN �'•t, ��" � 259 OUEEN PNNE RISi,+it 2�i- _�C'�• MARwtrH,MA 02US �(Jnytotstrator NOt valid.wthr+ut slgrtatnre • ContutPcrson: Phone q: Assessor's Office(1st floor) Map. /p`� 0 Parcel 64611- O113 Permit# a:� 06, 7 Conservation Office(4th floor)(8:30-9:30/ 1:00-2:00) Date Issued 7^`� Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) Fee Q Engineering Dept. (3rd floor) House# Planning Dept.(1st floor/School Admin. Bldg.) �}iUle Definitive Plan Approved by Planning Board — .3 19 A N A Poe TOWN OF BARN STABLE r4 o 4 Building Permit Application ,9 50 Proj ct a ddress /2© C 3J Village Owner ,Q.G!,QP Q✓jt� Address 0_AAYZ4 Telephone Permit Request �� n 12 19&44 .nZ4- 0. . �ry1�.�- Tc.� � .�•e��-mac ✓=�� First Floor ;14, I LI square feet 1 Second Floor t"y Y square feet Estimated Project Cost $ ©©C R Zoning District C Flood Plain Water Protection W P Lot Size 57, 0 Y? Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use U(,U`,j' _Af� Proposed Use Construction Type Wuh� `Z� Commercial — — Residential V_ Dwelling Type: Single Family k/ Two Family Multi-Family Age of Existing Structure AV 9 Basement Type: Finished Historic House R Unfinished /DW/10 Old King's Highway Number of Baths 3 a No.of Bedrooms 7 Total Room Count(not including baths) /Q First Floor 7 Heat Type and Fuel4" Central Air Y dd Fireplaces Garage: Detached Other Detached Structures: Pool —� Attached Barn None — Sheds Other &4444 Builder Information Name Lid y✓l� Telephone Number 7_7/ '/0'16 Address V AV q 5 License# 66 S 6 I S Home Improvement Contractor# Worker's Compensation# WC/ 3 7 Y d/3 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. .�— e ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I A&l=4gw SIGNATURE DATE ,9 /-24 Lq 7 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. '• ` ADDRESS VILLAGE OWNER s r DATE OF INSPECTION: FOUNDATION FRAME INSULATION - a" FIREPLACE' ELECTRICAL: ROUGH FINAL " PLUMBING: RQUGH FINAL GAS: R FINAL Vol, FINAL.IiUILD ld , DATE CLOSED OUk% ASSOCIATION PLAN O'% to u i TOWN OF B,fP.NS�,BLE __._. .--_-_______-_..- PARCEL ID 120 :001 003 GE®BASE ID42982 ADDRESS 1460 SOUTH COUNTY ROAD PHONE OSTERVILLE ZIP - LOT 3 BLOCK LOT SIZE DBA - i DEVELOPMENT DISTRICT CO PERMIT 34371 DESCRIPTION SINGLE-.FAMILY HOME BUILDING PERMIT #22087) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY' CONTRACTORS': Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND '$.00 I THE CONSTRUCTION COSTS $.00 i 753 MISC. NOT CODED ELSEWHERE . f * BARNSTABM * ' 1639. i BUILDINGIDIVI BY DATE ISSUED 10/28/1998 EXPIRATION-.DATE )ING PARCEL ID 120 001 003 i. 'ASL ID 42982 ADISRESS 1460 SOUTH COUNTY ROAL PHONE Ostexville ZIP - LOT 3 .r BLOCK LOT SIZE _ DBA DEVELOPMENT DISTRICT CO PERMIT 22067 DESCRIPTION TWO STORY SINGLE FAMILY DWELLING PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLDG PMT CONTRACTORS: BAYSIDE BUILDING, INC Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $638-01 BOND $.00 Tt1E CONSTRUCTION COSTS $205,810.00 434 RESID ADD/ALT/CONV 1 PRIVATE P:4,:?BARN3TABLE, MAS& 039. OWNER DACEY, BRIAN T TRS ED IIAf�I� ADDRESS 'THE PARK TRUST . 3 BAYBERRY SQ MA BUILD'ING D�I L•4N CENT.ERV I LLE � , ` BY c DATE ISSUED 03/27/1997 .EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN N MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 7409' S 5. 0' . � 2 2 � 6 � - 3 1 HEATING INSPECTION APPROVALS E GIN ERING 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL ld 9 WORK SHALL NOT PROCEE UNTIL PERMIT WILL BECOME NULL AND�VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES'OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. .,. - r. .. .. - � - `` ,_'vie P ,. -. .•I - fy r - ^ D�SIG� DATA .. - �i�s✓.ET I ol= Z- '511`1&LE FAMILY � 43�RG�K �� Pt-a.ti1 oN BA41L 14GIZ OF �n GARPgL'� GW►J�r�. p�,•r�v�lw 2A4u-f FZ.ow = 4 )c IIo =44o6PD LoT 3 Sigma Cn�urY pan S1�PT1G TANL - MO X?cam =850&Pb — - �- -- - - —� U�F_ ISoo GAL. �► 2- 4'w x 2 v x Sr L TrzGWCAG5 LEK 'd No 4T-y-1 CATION AMA 2GO'D. p,s r — —7;e�104 AZLO GPD 4 0•14 /5F - S9 S $OK1-L 51tEWALL AAA= �-,W L oF L r=Ar-41Ql- TzurkEs; �IiPTTOM -TarAL, AMA s 0 32 S :, OK rre ,3 Dr=¢�oI.1►TIr�J �d.TE L c,�tt1��11 4 "'2; l8'_Yz st0+ ,OIL aA.f5 � � g I��: sTo►1G PETER , qK HARP l SULLIVAN n+ �—A f BAXTM 1- g NO.2r?733 vo aaae `� CIVIL '15--rI0N or QIMS�. '0 9 is LOP R,-Z41 FII39 A s�'PSOII. $ ►N 1u -4— U4. Ul It 5au� L•�QALJa •. TAIL C 4, `QQ �I Sn�Jp �'VE� P�OFIL� OD v � 1=J--='LPG i Igo WeLTo?— Lo,- TIg4 O�,T�-�✓,��i� g121 VM,6: IL) ,I q.93 �'= 2a 'DAM MArZ.1, Iq-i-7 Pizo poSe-,t> i 1 z:FZT1.r-V Tt14AT 1'146- F-ounh�,AT 1014 SµO f4 PLAI,1 IZE ENL�- W ,ctMpt`e 4 o � ' -1�H� �TB"v— 2 u IZEM&WT I)F Tl,(E Toµ 4 OF If �a2��� AQV 1s NoT LO ATED wIT4IN A MAP I20 Paecr=L `I 5P6e.I AL.. 'FwCv HAZAtt� zOH r=, NyE I I•iG 'I. n LAUD 15UfNi:YC26 - aq& "EV4 �� MA�1ca4 '1, Iq97 G c � OSTEe�/II_L. MASS. II �p�F5L�1'"� �V-0M $l�I(.D1 t�l� S{•�O�X�� NOT B 1� U6m .,to I��{'T7s►B�.I�N Pf�0�EiZT`/ LIIJEas, Af'Pu caNT: ���5 IDI 13 u lc-bI U(, CO �N� per ' �SID6 T3UILhIU(, Co 5�aL,& I'=6e M a¢. -7•'i9a 7 Zo�E 2C- 2a/io/io wr lb q_j — - P Qr ,r2,Gr�O►� 'Z 44 oJu i • . .�D�rnd Go�N T—/ �oA n OF ell No a4048 BAJM i. G•'f rat i [3 V 1 F oo �o PO C!] N \, PQ tra co ►-1 m pAa O m crn a --. .c g ow O pal, PQ CS> m a �i'�l- l3.� � tma t� •� �C � �l O 1 P�7 1-1 pr1 C O� pn -O' a- P4 N Pq ;\ O � "ey L17 �v u a~•. cm MP cs;l 4-1 U A a ►+ C.> C a V� U pci > 04 � Iv` CCC/D f/ I A . c COMMONWF ALTH OF MASSACHUSETTS +_ DEFAI :viF1N'T OF INDUSTRLkLACCID.UM 600 WASHINGTON STREET . BOSTON, MASSACHUS= 02111 fames Ganpoei: Dmr-ussrone' WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensee/permirree) with a principal place of business/residence an (Grylsctte ip) do hereby terrify, under the pains and penalties of perjury,that. [) 1 am an employer providing the following workrm' compensation coverage for my employees working on this job. 5��L /7 V t�/ 3 Insurance Company Policy Number ( ) I am a sole proprietor and have no-one working for me. ( J 1 am a sole proprietor, neral contractor r homeowner (cirde one) and have hind the contractors listed below who Fuve the following wor c:s compensation insurance policies: Name of Contractor Insurance Company/Policy Number +.. Name of Contraczor Insurance Company/Policy Number Mme of Contractor Insurancc Company/Policy Number 0 1 am a homeowner performing all the work myself. NO TT-. Please be aWuc tLv wbIIc bomco»•ocrs w io cmoiov persons to do muntcnancc. cons truatoo or repair..etic on a d-Tiiinc of not wore Liman caret unit.; in Wntea tic dome-o•wer aiw resider or on tic Frouods appurtenant tbcrcto arc not eeoenils• constacrcd to be cr_oio.Tn under tic Woriccn- Cornperuauon Act (G"- C 152, sect. 1(5)). appi1e.2tioo by a bomeowner fnr a license or txrmtt may rnccocc tat iCPJ sutus of an cmpiovcr unocr the Workers' Compcnution Act 1 unoc-ssand :nest : eooN•or ties scat=-rnt will be for,-arced to cite Deounnncnt o(Indura-iaJ Aeodena' OFncr of lnsurznar tot mar Ycn-i s:ton an.- :ns: :ai u iurc to ieeurc eovcrc u rccuircc unae- Seeoon _'5A of V1GL 15 tin osiu : lead to the imoon of cri=aL Dcr- txnstsnne of: ftnc of ue to S1 500.00 and/or impnsonm.cr..t or up to one .n and a,•ii penaiues Ln the form of a Stop wiom t7sor. an° ' fine of S100.rG a 67v ifL'ns: me. s i SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) ' COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006CO023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) .EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 1 r . INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS.- C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 ! STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 TILE INSTALLER: TONY AVERINOS: (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 A Ei TNE RJR W:OO.'D PRO-DUCTS fts all about.the wood.�,� i CHA774, LOFT SHED -. 10 x 14' (Elevations - Scale: 114". = 1) LEFT REAR Lo FLOOR FRAMING.SPEC Fn FRONT IFICATIONS (2.x 8 'Pressure :Trea.ted @ 16" o c) i _ .., � h , .. � _ ���t�------ � �� �� ,�_ �-=-- � J �`����. � ,,_,�.,._.,_,,...,_..r..-... .�.._- -� � � ' , f r �,, L I ' Nv O EXISTING HOUSE !�� \ w EXISTING BASEMENT GREAT= ACCESS ro xn 2CL4 I r*cn ass as s., =o I I I I I �l W 25 3H'x 65 9/O RO Ins/.•. - I I I I I I 1 1 1 1 CRAWL SPACE I ':' 111 f� 1 I I 2'CONC.DUST CAP I I. I MOTE: I I r EMBEDDED 4O 7OBOLTS to DECK o o :':I°I I �, I 12' FROM CORNERS i.1 WASHERS 3°x3"xl/4" Q \ V 2x10's I 2x10's b 2s s,•,cs yr no �. I I I I - 'j°�—N v,• o I I I _ /-(1� e•xac•coNcae�c w F au - � IL•n0'CONTINUOV9 00(I ..>..:�.,.•...:�,.....,... ..�..,:...is..:...-.._..:'... 1"TRAN9C•2 ABOJE [2)P^n 25 '. ^/� 2G]x4'x fB 3/,'RO 25 3I<'x G•J 9/,'FO 1' 1 1 n ADDITION--_----I - � 30 NEW REAR PLAN NEW REAR PLAN � cod SCALE: 1/4" - 1'-0" SCALE: 1/4' . I'-O" 1 TYP 2z12e P 1�6°O.C. BAYSR FROM GABLE WALL Lo i 'Q•'' [ I.....5.. r'"'y9 - R30 F.G. INSULY 5/6'PLYWOOD SHEATHING/ SIMP�OJ N2.5 _ I ASPHALT SHINGLES O I LL RIDGE ALLE FASTENERS AT N (2)11 7/5' V RAFTER/TOP PLAT O JUNCTIONS TYP. O <� IZB FASCIA/Ix4 5ECOND MEMBE pL CONTINUOUS W1 4 SOFFIT O L 2A° FRIEc. ZE Ix8 FRIE BD.ID.W/BED MOULDIN 7� I _ O TrP ExTERIOR wA tl.� J (n / _ _ -I r--p 1 I f � --� I>•^r"^ �•-•{ 1 FM� I I I I I I I I d (�-�-+I 2z6 EXT.STUDS P 16 O.C./ O (y O .ip... I 1 I I_I_ 1/ R21 F.G. INSUL./ `.y I_. I I wl I I 1 I I 'h ' 1, I i Ii I - I/2°PLYWOOD SHEATHING/ CL LI TYVEK WRAP/W.C.SHINGLES Ill - _t� 6 E I L' - j - .. J _ •`Q (� 1.•L - ----- 2xI0e @ 16'O.C. R30 INSUL I I - (3)24COLUMN I 3 1/2°CRAWL SPACE2'CONC. DUST CAP ^I' 32'O.G.CONCRETE PPROOF BELOW GRADE xib°CONTINUOUS FOOTING SHEET 2 OF 2 NEN REAR ELEVATION NEW SIDE ELEVATION SECTION SCALE: 1/4" = i'-O" SCALE: 1/4" 1'-W SCALE: 1/4" 1'-0" 'I - -L J. T - i Jos: IseoH DRAWN BY: ,KW DATE: 5/Iq/12 1 P ley �- r I i r L t] I i ! I ! F- I I d o I °- la n n I I I r-• T1111F I Ir I 5 � -- -_:__ r--- ---- -- - T I I•I �.� s,. t• r Of P , f LL n. I T r II I L r I , °L>: I•- cy; .. ------- --- I-' I ---- -- ----------- c �aa -- uds t— n r, 4L 02 Fp �r� ti iti" 0 $6 l tc � g �Ir V$ )4 1 _•o c I \ ---- ___•�- �I ..------ 141-p1 ---- � ' IJI tq � ..Lpi �1. •I i •L.y4��1� o�•S>Q alti I� ci• f 14 �� " \I�-?�—I I i --- F� �- -- -• -�--i -- --- I- ��- l�.aJ'•,� S'i'iy� ::•G'i L•LF CC 1119; �pIy u �CwT N- '. I '4 I ... 1- IL I J I t.i �o c.�Y •-v.J1C I t --- I .. .._.- -._._� I I 0 \ �-j—#- FI CS .1111 �� `.�� i�,o /Jr- I i I• � i ppVV hU �.le cpvy I pppVVV nt ,n J S_ • I I l i I ' I' a ; I 2 ? v Archi Teeh Aee.U.te.,InG hereby i�C H I-TECH A 5 5 0 C(/ATE 5 � o S 'o �I•;-_E.`< KSIGENG- e.prewy rewn,ee W wpyNghe M thew dr.Mng..cc.rdl-d tp W •ArchltecWr.l W.rt. 19 "'"-" :r., oc.-e.c:__e' rw c.W ht rr.WU< Aet• °' a r C h I t e C t U r a l d e 5 1 n, i n j t; 1990. Any copy. .I[er.p.n. g. e. W rep oduc4on w dl.wb°tbn of W.pl...MthWt W e.pr ."tk^ convent .f Archl•Tech 1550 route 28,unit 4 tel: 508-771-3900 I..n InMng.• Centerville,ma o2632 fax:508-775-1945 ' � mcncM Wt.cc (p 1 m �+ ki s I I ['FA -I —7 ep�o/ •�o/ r " JeI 1 Doti•*'.►; - 8 I e O . . of �l sr.znw — 'p 0 _ /o/41�•Sa � 10 AID ° � ) i= 0� _ � I I(yy]\y D•=4_G.G. ells/ ' t If> _--- -- --- I _ alsl LI_LI �I_,st �"ol I •H I AI-ol ._g1-41L LI-el III, O''!il II D'_6t -JI_LI ,I_to 1 . •t+ I - i DL-4a4 (Tel',I.IMF wN) — a t I I I Q� � I• �7W.741. � � �� � Z U I I O I41-OI j O 1 a Q 11 I 1 p �:9434 T�r•r�.1-0IJCR]w>I-f� J � t ' , - tr_ I I-► "/1_71 GI_61 yl_c!Ln �I-ol — Itl_�1 d -- ib1 V _ t41_o 1 + IBI-41 r� � .2,----------------- I w I i • I I r 0 Ii � I '— II I Ji4 CiO • � � s I ^ n. ,�to I �--°"'.'�— = v �— • � i c •�.� ih o_ t• I I �' � �,j� yj y%'J`-` I I I _ _�5'.0l C- 1 �i �..:. IIII I' •a 6 lfJ� ..itt.41 V� • Al �a 6 G -� t �I +� o')R I o R : P A cW.Teeh AeeoU.ee.ne.hereby A 1�C H I—TECH A 5 5 0 C f ATE 5 °'J � g S•�-_mot rc=s!D=�G=_ apee.y r<xrn.V.coy�nAht •• " .. c '�" of these nr..4 rge.ccording to ST., 03;!Kvt�L� the •Aroh1wcwr.1 worts L \t > ITV. Co"ht Protection Act" of 19W. C'O"• ,Ikr,Um architectural d e 5 i g In, i ►, c. N7 CI ,t rcprodwtlon w oleAlbUtIm of W. AL o�e pre.. tel: 5oa-•ni-;3 11' N written c..1... o/ Arthl-Tech 155n route 25,unity o !%!•ems" PLnJ'. P_.A':'; G C..� -_ Mcacletes,IK.,le.n Ct:Y11 GYVIIIP Y11a 026:52 { a. �,_��-. ment of th.t ccL '. ax:5077- 1 1_�. - r i it I Z II MMI 1 T7777i 11CFn11 D Vz ' � IIII I • . I I I:. � I - . . i jll ❑; id;0 •. ❑1❑EIIETEI I I I ID :11:11 Li013 ❑ I Arc I " I � i III i r Ir, I I J -IA I . li f11,�;• an • � II f� i - .:-- � 61 lob ��------•— ---- ._.__. I I . I I I i I � I I _ - I g opN lch-theWpAq AKCH1-TECH A550CIATE5 �l_'_E!R 2=5 -\G- o!Vine-d,".eocording.to .. the 'Archl[ecWrel Woke - o '9 ;, efcoc�9:.• o3T=¢n:L� MA `°p e"` IMUCUM ""' of a r c h i t e c t u r a l d e S i g n, i n C. ar�, copy, .lf avon. l� the.e plena Muaec the exproes ti .,icon coneenc of Archl-Tech 1550 route 28,unit 4 506-771-3900 :Ls �eeoe.ue.I le.e lemnee-of That c centMiIIC,M 02632 fax:508 775-1945 merit ac I p I i I - ❑ v I � , j I p FA I ' I j Q II I j I� j �j i , i I I i � � � : : @ Q nrcm-tech neeodeke.Inc.heroby s o -__, ,�=51p=^ efreeey reeervee the Of theca drM�p,s eccording to dine to ARCH 1—TECH -ASS 0 C I ATE S � --- _ the *Au hltecwrel wort. M^ CWI'� Wt - of ,9W.h dw architectural design, inc. repro.Wc or dietrlbuGM of ueee pane»tnaet the el-T.h 155o route 28,Unit 4 ' Ir .A.—I co,1... d /vchl•Tah tel. 508-775.1945 Meotleke,Int., le en InMrige• n4int 0 theteet Centerville,ma o2c,32 fax:5o8-775.1945 nt 9 I I r F - 9 r LO Z Le r47V, ; I • . I a s r• I O I1-4i I `I L Ic I a Q I C y, ; - a i I > t[ afT ! Z.r I .... I I� I � IR I L��6• I I ! 1 - O I 1 0 I l F I �A /-�.Le IN.. I i •N � I f- I I CBI-OI i l I � • I i l i I . p- i 2�I�E\c= Ach.TcchAeeeG.ue.lnc.jr4ht ARCH—TECH A550CIATES _ ��a � -J vf., the 'Archltecwnl Works ^tpro °°^ .1 V of architectural design, inc. 1990. AnT copy. centJon, rtp Jw-tlon w aletAbutlon of these pl.ne rIthout the e,pr— wi� cane of Archl-rt-h 155o route 28,unit 4 . l 50b-771-3900 A Inc. h7 eeoWtce, .le en Innge- w mentorth.t- centerville,ma 02632 fax:508-a75-1945 ip,} �e p � , .�� ,r � .... r i \, , �' . � - _. �. .: -� i i � ' i!ij;;!; i' D o j ii!I€:il ;l y rrj is ii '!lii Z II.!li jiii(I!i ii X Ilil !lil'•'.'!!illlj!I \ 111i!II!t Jil \\ I t !i li �i iil.��I!ijlli�lii{i"i`. itt; ! !j • 'lii Willi 1 l it ll!il!I!Iliil !;i, Il1i;! il! ii� I!ii I.i{iiily!;ili hit jij(!iilljl !I ii l!1( ii!iii ! I 111 (iI� !ii !i! (Ili !!! I• •, I I I�IiI�Illlilf iliill�l liijliljlliliil�lll . iiiIII iil�'liil�lliiill:i Iii ili i!ji :!' 'ill, It 1 !'li!t'li l � ljfjl!"IiII i N i ,• iii' • i N = m � � rn �I rn !� < ill to =i ,illI ;i • liil7 !i:�i!ilji !Ij;l! ':Iliilill !!ijili i ! it l lij l!" Iilllii. ' v IIi ill,'1!I! i!ij l il!:ii :,!I!H I .� ,I�' , I !;...! it I l.�it;iil!ilil! !! PROJECT: 1460 SOUTH COUNTY ROAD FINFLINE ARGHITEGTU-PAL DES.I .GN OSTERVILLE, MA . 8 WEST BAY LOAD OSTERVILLE MA 02655 —� ELEVATIONS PHONE: 508-420-1236 o . 60"x12" TRANSOM ABOVE.TOP PLATE _ _ , `w'•i: n5-rr"•u '.Y..'Y': •N,Sc:r ————— —— er: I (— I L 7 I I llii II I I x x NOTE: — — u 5/8" ANCHOR BOLTS EMBEDDED 7" I .':. I I — SPACED 45" O.C. I NEW I 12" FROM CORNERS I .` I Q CRAWL "x3"xi/4" I I WASHERS 3 �` --- I I SPACE I �: I I NEW MASTER = 2° GONG. DUST GAP CLOSET I I VAPOR HARRIER IIN— ADDITION - I ;. I I 1 ° I 's — - I ;`' I 10°xl6" CONTINUOUS FLOOTINGI ,. � I I I I � � � UI I I I ''1 �[ P�KJT w 2668 �GREATE = ACCESS `v i r ... ............. ..... .... ...... ..__.._... ._.. _... .__ _.... .... ..._. .__. ._.. ._.... � v O 2068 MAS ER BIEDROOM m EXISTING o. EXISTING o EsATWROOM 10 FULL Q 2068 BASEMENT Ln 2668Li V l o LL'.,1 i 2668 O . o ' c i FOUNDATION PLAN SCALE: 1/4" _.I'-0" Q: Q C RIGID WIND WASH BARRIER REQUIRED AT.IXTERIOR EDGE OF IXTERIOR WAL EXISTING o TOP PLATE RIDGE VENT TYP. ROOF STUDY 12 2x1ze @ 16" o:c. SIMPSON H2.5 q R38 F.G. INSUL./ ) LLI FASTENERS AT ALL 5/8° PLYWOOD SHEATHING/ —J RAFTER / TOP PLATE MATCH EXISTING SHINGLES W O . B S @ 16 O. JUNCTIONS 'fYP. ---- -- s � � . r TYP. EAVES d � � Q' . Ix8 FASCIA / Ix4 SECOND MEMBER 'w CONTINUOUS VENTING SOFFIT J z 1x8. FRIEZE BD. W/ BED MOULDING N BLOCKING W-0"O.C. O w TYP. EXTERIOR WALL ' B FIRST TWO JOIST 2x6 EXT. STUDS @ I6" O.C./ BAYS FROM GABLE WALL u 6" R21 F.G. INSUL./ 1/2" PLYWOOD SHEATHING?. 7'-6" 7'-6" 3'-4" 9'-0. 4'-2" TYVEK WRAP/W.C. SHINGLES 3/4" TaG OSB SUHFL R 15'-0" IT-O" AILED 4 GLUED TO IST FIRST FLOOR PLAN RF.G°INS L. SNEET.2 OF 2 30 SCALE: 1/4 = I -0 r. T� ILL-I. - CRAWL u-m_+-II- SPACE i—I —Iir {' 2" CONG. DUST GAP 1!111 VAPOR BARRIER 1114' SECTION SCALE: 1/4" = I'-0" JOB 1017 DRAWN BY:. KW ' I r)ATF: In/7/10 F ZH O ROAD 28 LOT 4 N CHERYL A. WEBSTER CB/DH ` CB/DH FOUND FOUND N64`32'400E 273.34' � •— � � R/ �pp0 R.R. ¶E.S_ 1. ..,. PROjECT PLAY HOUSE SOUTHOCOUNTY AREA IN '` ROAD Opp °'- LAWN : Q) o a ear m KO'+ LOCUS MAP mm POW) N � o Scale., 1'=2000' m �i �:�o�o 0 20" LAWN PINE LAWN ENCLOSED ZONE: : R C z cgRgG'f p� PORCH •3 LOT6 FLOOD ZONE. C ,� � N/F 123.3' o' m JOhf'�N F. Pcn e/ No. 250001 0016 D DECK m LYNCH FLAN REFERENCE. 7687E S 0 TONS C A wq zo--0„ e; x Z co ! ®` r "I CERTIFY, TO THE BEST OF MY KNOWLEDGE, THE STR RES SHOWN (A STONE DRIVEWAY C` ON THIS PLAN ARE SHOWN AS THEY EXIST ON 'HE G D". 00 rn VER WALKWAY EDGE ® DA "®: /2g/2r P�'— _ EXISTING _ 2�°.p' u m a FLAG HOUSE J POLE #1460 a VT®Mf�Y tG REGISTERED PROFESSIONAL LAND SURVEY O C.V R . F f LAWN _ __ SEPTIC 2-9 _d v -- TAANK Q , TREE rtr'v n..s AT nac !Ron a1!7 IN r!(??D HAZARD 7fNJF v BASIN Qv �, � o ` EXISTING SEP IC C. AS SHOWN ON COMMUNITY NEL NUMBER 2E0001 0018 D AND THAT o SYSTEM FRO FLOOD D ZONE C IS O ASP IAL FLOOD HAZARD ZONE. `\ AS—BUILT TIE-' 16" � /20 2. LOT 3 D.BOX� BULK CARD OAK \` Q 57,950f S. HEAD.F. I RAMP 11.4 REGISTERED PROFESSIONAL LAND SURVEYOR DATE dW OF NLA � ! SHED = POOL �N `icy l m � C3ARY GJ STONE EDGE ( O VIpgY,pyT'v i m m S. —n LAWN COVER LABRIE 0) 9 N B a7' A-� � LEACH �;� "�Fc.4OW9 tsT���® m 0 m N ) + FIELD GARDEN .ice ss®o AL LAO C7 9 - C3 �� ! Gra-rt m N CER 77FIED PL 0 T PLAN z R.R. TIES FOR Q CB/DH FOUND N64.32'40"E LS64 32'40"W Ju 104.66' _ 180.12' DA NI EL KEL L Y LOT 1460 SOUTH COUNTYROAD N F1 LOT 17 # VINCENT P. & ROBERTA E. N/F OSTERVILLE, IVA DAMORE NICHOLAS S. & JOY A. MATAS Scale: 1 "=20' Dote: MAY 23, 2012 GENERAL NOTES: Xarwick Associates Inc. MA WV er. c.Mw, R J W vAW 5A.Y/12 83 County Road Box 801 1. HOUSE NUMBER: 1460 North F lvzout/4 Mass 006758 pD Bl�' 60 SST 1 or f 2. ASSESSOR'S NUMBER: MAP 120, PARCEL 001, LOT 003 20 0 10 20 40 3. LOT COVERAGE BY EXISTING STRUCTURES: 5,056 S.F./58,067 S.F. = 9.0� (508) 583 — 7'7'7'7' P.'�LQ►ld PJro/fl�cta 7of)4fi VA17�OIOIS�dwgfjrre7�20iA8'C�D.dwg SCALE: 1 INCH = 20 FEET i IO"wa1 s I'-2 2 GENERAL SPECIFICATIONS 1-gll 5" floor 10" SIZE. DEPTH. raw ..,.....,.M..m 21 I REFERS NCE NUMBER: 8 toe ledge' I z,s , I I TILE: COPING: I I 3' I B _- i -- -___---__ __ __® - . a _---- -- -- ®_ _ DECK:TYPE: -15 12 F HAND RA I L EXISTING PATIO: NIA , , I _ I 4 - 6 r :TYPE: € I I FINISH I PUMP:TYPE: STARITE SIZE: TBD I tC? I slope � FILTER:TYPE: SIZE: TO BE DETERMINED auto cover toe ledge I I E HEATER:TYPE: SIZE: a , SKIMMERS: I _....,,.._m . ....,..... _'__ ..._... ; LIGHT:TYPE: REQ D: 40' POOL CONTROL: I I _ CLEANING SYSTEM: —81I SANITIZATION SYSTEM: OTHER: N w ' SPA SPECIFICATIONS 1 TI c�PA 51 DE SIZE: ELEVATION: 20"x 10' l .. REMOTE THERAPY JETS: THERAPY PUMP: bench , I _...,..._, . ! m-..__.. _,.,,,... ,.._...„ ,,,,.,._.._. I I _ i T CONTROLS: LIGHT: 5" toe ledge I g f� , ...... .�.._�.._�._meµ. .._. ..._..... ..., I � � . , o..w. ..e._�.. SPILLWAY: I I "7 — . W_ . l OB_alI OTHER: JETS ADDITIONAL #5 C� 12" O.G. \/ERT. BEYOND TRAN51 T I ON PT. STAY 18" BELOW TOP OF BOND BM. DOWN # 5 12" O.G. E.1N. THROUGH OUT ENTIRE THE G011E LAP f' 8" MIN. POOL WALLS #4 DNL. ® 12" O.G. TYP. INTO FLOOR AREA. (3) #4 CONT. TYP. 10" 5HOTCRETE WALLS I, # 4 ® 12" O.G. E.W. 5TRUGTURAL NOTES 1. All construction 'Is to conform to the Massachusetts T RO H T ENTIRE H UG OUT E E POOL FLOOR ADDITIONAL #5 5;-0 E.W. state building code and all applicable product and design ® FLOOR TRAN51TION PT. standards. Absence of specific items from these PLACE I" FROM TOP OF 5LA8 drawings does not infer that the contractor is relieved HYDROSTATIC RELIEF \lAL\/E from the statutory code requirements. 2. All materials and methods of construction shall INSTALL PER MANUi=AGTURER'S conform to the approved,rvles an 5PECIFIGATION5 d standards for I*%OF materials, tests, and requirements of accepted o MARK A. engineering practice as listed in Appendix A of the M ENZI , Massachusetts State Building Code. (5) #4 CONT. TYP. Cl XS Pool Notes: - ` I. Assume maximum safe soil bearing pressure 2,000 F �a I sg, NAI # 5 12" 0.0. E.W. 2. All pools are to be laced on natural undisturbed �7 THROUGH OUT ENTIRE p p 5PA NALLS material or compacted granular fill.. 5ub5oil bearing strata shall be free from all vegetation, loam and organic material. 5. Do not p lace bockf i l l against pool walls until all wa l is C NS KELLY RES. DR0 PER MANUFACTURER'S LIEF VALVE have obtained -7 day cure strength. NAME: 4 @ 12 O.G. E.W. 4. All pool floors shall be placed on a I -6 layer of THROUGH OUT ENTIRE crushed stone compacted to 15% standard proctor 5PEGIFIGATION5 ADDRESS: SOUTH COUNTY RD POOL FLOOR - densityat the optimum moisture content. G p CITY: ZIP: 5hotcrete 1. 5hotcrete mixture, form-work, delivery, placement and RES.PHONE: BUS.PHONE: \ reinforcement shall conform to all requirements of ACI 506.2-15 ( latest edition), unless otherwise noted: 2. Concrete materials shall be ASTM G Type I Portland cement. Sand and gravel aggregates shall be normal CUSTOMER SIGNATURE: DATE weight and conform to A5TM 055 Standards. Aggreate T T not meeting A5TM C55 standards may be used provided VIOLA pre :construction tests demonstrates the shotcrete can ASSOCIATES meet specified requirements. All concrete shall be 110 ROSARY LANE, UNITA, air-entrained. Concrete compressive strength, (f'c) in 28 HYANNIS, MA02601 days, All concrete Work- 5,000 psi (508)771-3457 VIOLAASSOCIATES.COM DRN.BY- DATE: REV.NO.: DATE: APRIL 4 2012 SCALE 3118"=V I � i � C9dS'6 �.rl ------------ ELL ELL] 11li-Ai JLL AA - -- ---- --- -- 111 (3) 2"x10u I L!� V— Ll ----- ----- I i I I 10E ]EE j - - - � A V i I � I r- i 10�- � v i II Ii II DE :1E :1L LLL 4uxoii 4"x6" 4ux611 4ux(ou - - - - - - - - - - - - - - n u 4 x6 CONTINUOUS TO RAFTER TYP L — — — J C� 10 -0" W N N SIDE FROFOSED REAR ELEVATION O 11 SCALE: 1/4" = i'-0" SCALE: 1/4 - 1 0 T rT OD b- Ln NOTE: Lo Lu g.P> 5/8" ANCHOR BOLTS EMBEDDED 7" (N LU EXISTING MOUSE EXISTING BASEMENT SPACED 32" O.C. O 12" FROM CORNERS WASHERS 3"x3"x1/4" BLOCKING 4'-o"O.C. IN FIRST TWO JOIST AND RAFTER (� `9 cPEATE BAYS FROM GABLE WALL v ACCESS S MPSON H2.5 t � I - FASTENERS AT ALL �J (2) it 7/8" LVL RIDGE RAFTER / TOP PLATE `Q I JUNCTIONS TYP. PCM 2565 PCM 2565 25 3/4'flx65 3/4" RO 25 3/4"x65 3/4" RO I CRAWL. SPACE I 12��� O. ' x12s �4�� TYP, ROOF— 2" CONC. DUST CAP I ,c�25 O.0 2x10 s @ 16 O.C. 1--1 - I I I R38� F.G. INSULY Lu —.— — — — — — — — .9 _ ( (r I 5/8 PLYWOOD SHEATHING/ ,n / / ASPHALT SHINGLES V / (6) FS GOB DFI 7282 DECK o o / I (3) 2XI0 21"x54 7/16" RO� — —I— — — — — — 72"x82" RO I I / I o 1 o CONTINUOUS HEADER TYP. EAVES L - - - - - J L - - - J I 12x1o's 2x1o's — � I � ix8 FASCIA / ix4 SECOND MEMBER — _ — I I '�_ I I 0 CONTINUOUS VENTING SOFFIT °. — .- - - - - - 1x8 FRIEZE SD. W/ BED MOULDING—' @-16"O.G. 1 @ 16"O.G. I I TYP, EXTERIOR WALL L — — — — — -J L —. - -. - - J I � � I 2x6 EXT. STUDS @ 16" O.C./ 6" R21 F.G. INSUL./ 1/2" PLYWOOD SHEATHING/ I- — — — — — -I I- — — — — — -I I '� I 8"x46" CONCRETE WALL I - PCM 2565 PGM 2565 I TYVEK WRAP/W.G. SHINGLE I 1 16"x10" CONTINUOUS FOOTING �➢ " 25 3/4"x65 314" RO p — — — — — — — 1� a 25 3/4 x65 3/4 RO _ � — — — — — — J .,;' � 2xi0s @ i6 O.C. - - - - - - - - - - - - - - -_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - - �� (2) PCM 2565 17" TRANSOM (2) PCM 2565 R30 INSUL (3) 2xi0 GIRT — _ _ 25 3/4"x65 3/4" RO ABOVE 25 3/4"x65 3/4" O =III II II=III' 3 i/2" LALLY COLUMN ' IIII III=III=III=' 111 -1i1 lil—lil_ T 1 OF 1 Tln�lll CRAWL SPACE llllllil llllllll ,'' 2" CONC. DUST CAP . LIIIII 16'--oil TYP, FOUNDATION WALL ADDITION 16 -10 P.T. SILL ANCHORED 32" O.C. 30" 8"x7'-q" CONCRETE (2) #5 REBAR TOP * BOT 16'-10" DAMP PROOF BELOW GRADE 10"x16" CONTINUOUS FOOTING NEN R .BAR FOUNDATION FLAN SECTION�' �'.O�'OS � D REAR � 1�OOR � �.AN _ SCALE: 1/4" == 1'-0" SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0" JOB: 1208 DRAWN BY: KW DATE: 6/26/12 o n EXISTING HOUSE EXISTING BASEMENT GREATS ACCESS I f I Io L -i- J I PGM 2565 I PGM 2565 25 3/4"x 65 3/4" O I 25 3/4"x 65 3/4" Rd I I CRAW O L SPACE I I I 2° eoNc. DUST CAP I NOTE: V- 5/8" ANCHOR BOLTS I I I I I EMBEDDED 7" I _ I DFI 7282 = 72"x 82" RO _� I -} I SPACED 45" O.C. DECK o , 12" FROM CORNERS 21"x 54 7/1611 RO ---- I - - ---� I I I f �' I ►_ — _ _ I 1— — — — --1 ( I ( L I J I I WASHERS 3"x3"x1/4" �--- I 2xi0's 2x10's I I ,• I 0. 8°x46 CONCRETE WALLPGM 2565 PGM 2565 25 3/4"x 65 3/4" 16 x10n CONTINUOUS FOOTING TING 25 3/4"x 65 3/4" PO 1O - - — _ _ — — — I ' �' f - - - - - - - - - - - - - - - - _ _ - - - - - - - - _ - - - - _ - (2) PGM 2565 17" TRANSOM ABOVE (2) PGM 2565 25 3/4"x 65 3/4" RO 25 3/4"x 65 3/4" RO ui Ln I(o'-10" V- i(ol-loll h• ADDITION Z NE REAR PLAN NEN REAR FLAN. SCALE: 1/411 = 1'-®" SCALE: 114" = 1'-0" rT IF _- - __- -_-- _ __ BLOCKING 4'-0"O.C. - -- -- - - TYP. ROOF IN FIRST TWO JOIST ��� �� -- -- - 2x12s @ 16" O.C. BAYS FROM GABLE WALL Lo I-J_ R38 F.G. INSUL.J Lo - _ --- - -- ----- 6/8" PLYWOOD SHEATHING/ 51MP50N H2.5 - --- - -- -- _ -- _ _- __ " ASPHALT SHINGLES FASTENERS AT ALL �-- - _ - - _--- -- ---- - __ (2) 11 7/8 ILL LVL RIDGE RAFTER J TOP PLATE JUNCTIONS TYP. --- - - - - - -- ---- ---- --- --- -- TYP EAV E5 Ix8 FASCIA / 1x4 SECOND MEMBE 2xJ C� ��� CONTINUOUS VENTING SOFFIT @ O lx8 FRIEZE BD. W/ BED MOULDINGV - - C FM - --� - -- u t ----- - - — 1-- -- -- -- = TYP. EXTERIOR WALL -- �DE > W 2x6 EXT. STUDS @ 16 O.G.J n, a -j-- LIE6" R21 F.G. INSUL•/ �' 1/2" PLYWOOD SHEATHING/ -- - TYVEK WRAP/N.C. SHINGLESit (� -- — -- `-' FIRST FLOOR Li IF FE 11 L ------------- --------------- - — — — — — — — — — — — — — — — - — - R30 INSUL (3) 2x10 GIRT -111 III=111-III 3 1/2" LALLY COLUMN IT II- 111=III=7 -IiI=III=1il CRANL SPACE lil-lil-lil- L — — — J -111 I -III " I-III 2 CONC. DUST CAP III-I Q 17'-0"+ TYP, FOUNDATION WALL w P.T. SILL ANCHORED 32" O.C. BollWx7'-W CONCRETE lbi-,Ou DAMP PROOF BELOW GRADS 10"xi6" CONTINUOUS FOOTING SHEET 2 OF 2 NEN REAR L VAT I ON NEN SIDE ELEVATION. SECTION SCALE: 114" = 1'-0" SCALE: 1/4" = 1'-011 SCALE: 1/4" 1'-0" JOB: 136OH DRANN BY KN DATE: 5/lq/12 I I