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Home My WebLink About0269 SEAPUIT ROAD V 0 Y o -- Top, ro 1 rowlv JAI itvSTgBC� INSULATION CO. November 17, 2017 Job Location: Arnold Fellman Building Contractor, Inc Weld 46 Cedarland Rd 269 Seapuit Rd Orleans, MA 02653 Osterville Insulation installed to specifications below: ::::. ............ ::::::::::::::::::::::::::::::::::::::::::::..............................::::::::::: :::::::::::::::::::.::::::.........................::.:::::..:.... :..................:.. ::.:.:.::::::::::::......::::: ::: :.::::::::::::::::.::::::::.::: ........................:ar ea ' ......:: ...... . . .c: : r:::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ::::::............::: ...... :a.. ? .......... . ..�..::.........�.... t.................................... Exposed Ceilings R-38-12" . Owens Corning Kraft Faced w/2'vents @eaves Exterior Walls (2x4) R-IS 3-1/2" Owens Corning Unfaced w/polyfilm Plates/Perimeter R-15 3-1/2" Owens Corning Kraft Faced Interior Walls R-13 3-112" Owens Corning Unfaced 1st. Floor Ceiling R-19 6-114" Owens Corning Unfaced Crawlspace::::::::::::::::::::::::::::::::R-30 :9-1/2.".:::::Owens Corning Kraft Faced w/support wires For foam specifications see attached documents. I hereby certify the insulation products have been installed in accordance to the specifications stated above Timothy/rott Summit Insulation Co., Inc. P.O. Box 1337 Harwich, MA 02645 (508)430-8144 - _ .. ' ,;TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map D�`/ Parcel' . VDO' Application.# Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee 0 71. Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 6q SEA PO r I 01"d, Village ��1�� -� Owner 4 NIN A VYELd Address 269 SEApoT RA. ©S jElevii(e -�Telephone -rot Permit Request PIEMOAEL KITC-H6N t MUV VMDM Aom-4 . 101 (III 'NEW 0,A8t?VJ PsPPLIAI�CE.S_ (b�uTEKS.�Ccnr�i�ci. a ,.... : ��•� c : T ��. NEW u��N�u�S RT �L:510t WAIT A-6TA116.) iW ,5AME A- 0. , kEtk) MOD QooM ZDooR -4--DEc_V Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay -ZOO OCR Project Valuation Construction Type REMDg L Lot Size Grandfathered: ❑Yes 0 No If yes, attach,supporting documentation., Dwelling Type:: Single Family 5d'� Two Family ❑ Multi-Family(# units) Age of Existing Structure 510 3 96 A - Historic House: ❑Yes Uly No . On Old King's Highway: ❑Yes l�No Basement Type: Ud'Full YCrawl ❑Walkout ❑ Other �X i ST N 9 Zc STAB INS 1 S Basement Finished Area (sq.ft.) NrA Basement Unfinished Area (sq.ft) NO Number of Baths: Full: existing 3 new Half: existing ( new 0 Number of Bedrooms: `5 existing 0 new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas I(Oil ❑ Electric ❑Other E.>«STrijq aAyS As �s Central Air: ❑ C'r�Yes (No Fireplaces: Existing New ('� Existing wood/coal stove: ❑Yes UNo Detached garage: to existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new ,size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ O new size _ Other: HO � EU CO.) C- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ `® Commercial ❑Yes 0"N'o If yes, site plan review # ti Current Use SJNWE' 4"A4/L(/ HO WE Proposed Use % AMA o rfi '"APPLICANT INFORMATION (BUILDER OR HOMEOWNER)_ r Name otrd PeLLMAP l3yiL��io� CnNTeArrc lephone Number V��"4 30 - 4003 'Address 6?146 ®2L6105 (Z.OAJ -J-t._icense# CS - as 1766 N 0 Q C,+I AR A H 1111A . 00146 0 4Home Improvement Contractor# Ab 75 a►b Email RR N OLA rE LL M ANE COIIM11C' hL NE T Worker's Compensation # MIA ND EM PL YEE.s ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO keC yC,16:1 0146 5 6 Y SIGNATURE �t � ATE Ito 4 �- �— i ` FOR OFFICIAL USE ONLY 'APPLICATION # ` DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER - . DATE OF INSPECTION: FOUNDATION .. FRAME j INSULATION FIREPLACE Ire ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL L FINAL`BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 27w CommornveaWr 00fassadlusetts. Deparkffent of radiTs-& Acciderrte r . 600 Ms agtoyz,�treet Boston,CIA 02111 Workers' Ca>mpensafimr Insurance Affidavit:Bnilder-JCuntractursMecbicL n slPjwabe AppEcant Infmm aft Please F'riut 690JOU h FEELM�� Are you an employer?Checkthe appropriate by6 T of project r I am a general confirsctmr•and I Type of ( etp�ed}: L❑ employees(fall=&or part#ime * lmve hired.the sub�aahmdors 6. ❑Idea delingt ion 2.0 I am a sole propuetor or partner- TisFed on the attached sheet. �• �� Wiese sub-coafractors have slily and have as ernplayees 9--ER-6emnlifica waddng forje in any capacity employees a share wo6m s- 9. V uddiag addifiam Lldo wades' comp.insurance comp-�uranm# reqmied-] . 5- E.] We are a i mrpor,6an anid ifs I 1 regale a adcf ass or ad& officers have exErched their :1L lmml is r airs ions 3_❑ I ama hmmeown�er daigg a1I wor3t � � eP myself o was' u�of a nggiou per MUL y � [� �F- L.❑Roof repairs • inncerewiredlY c.152,§1()6 andwe have no � i employees [Nawodoe&. 13.❑Other cones inmmm ce required)i •gay apps�t&atcbj--daboz#lmy elseffia tS�se�toabrloar da�aieawa3c�'�peasatia�pe,T�yia��sri® t Sameowaers teho sabot d9s EffidaVu im•]CStin they ag•doing Owads and then hilt outside coatrsctnrs� submit a new xfEid.-ek indicsaiae sac$ rC,outmctM1&2tchec7rt1; bmcmustattadued lax smi6unalstreetsbowbgNsemmneofthesub-cam m sad sbdevdm&etarnotil=eeadfieshare emp3o3mag.'ifthesab•contadneshi7etuaglay5L-%theyffistp=%adetbew workeis'r=p.palmy uumbm lam an emploiw. thatis prauidbw narkers'cotnperisatiaic itzsrirarxca�'or mg earplv}�ees: $elnty is dig poky artd}ob szte infor maliom Iusmmce Company Name: P�ficy or Self-ins I.io_ irau]? e: Job Site Addrem: Cifp/5tafeG�.rp: Attach a copy of the warkere compe=tioapoHgrded ratios page(showing the poficy number and e=paatioa date). Failmm to secum coverage as requireduackr Section 25A of MGL c. 152 can lead to the imposition of criminal penalises of a fine up to$UDD Oa andfor one-yearinapdsom—A as wEiR as civil penalties na the fb=of a STOP WORK ORDERand a$ae of up to$250_DO a dap against the violator_ Be adtdsed that a copy of this zbdementmaybe forwarded th the Office of Irmestegations of the DIA for insirraacff cavemge yMdfw 1w Ida fcereiiy c ��lau�r fS�r's� ' iutd psr�fies a.��¢r�t]'tlratf7Es ircfarma�orr pratzcTQed abme is bars artd cerred Si2aatur� 0- �'1. Dale: -.1 (Wo Phone� �5© �- �30-- �o� � • OJIcild use ratty. Do not wrke in tI;area,to be completed by cry artatty nIfrciaL i.rfj or'I'awn: Pertm3taicense;9 1ssxdngAuthw€ty(ch-&ane).: L Board of ffmf fi BuTdmg Degarhoient 3.#atYfrosea Clexk 4.Electrical Euspector S.Phrmbing hLvector 6.Other Contact Person: Phone#: — -- — - 6' Taformation an' (1 Tns choirs • ._ . • , �roz1-Eas'mlopens3f°n for tlf cmp,DY' p this stet,an�Ivyee is defined as.¢_everYpers°n•m.fle service of another=Icr ally contract of h cx�o=or implied,oral or wn=f Ye is d�fined as ban individual,par�eash�,AIL M7T a-ISDM 033.crnporatinn or oii�er legal e�iiy,or any ° more the fnreguing emgaged m a joint elm,animcln ag ibe legal of a deceased employer.or fie of assoGsation or ofies legal e�Y,=Ploys emPlDpees- Howevez$�e re�eive�or trustees of P 'ip� or f1e o of the- o�v=of a d�veIlru ghowm bavingnotmore thm tin-ee apartments mdwho resides , dweIImg Imuse of a &e r who ploys Pons to do maw m.ransfrac:tion or repair Wow on such dWelEMg"cause Therein shaIlnotbecause of such emTloyme�be de=edto be an employe" or on.fie gtotmds or brnl�apputf�.a� • MCL cbaptmr 152,g25g6)also sirs that¢evexy sfate or Io ca111ceusmg agency Shan w! holcd fie is==Cg or renewal of a fican r-or permit to operate a b�nPss or to const nicf bmldiogs in the� onvPealth for any applic=tw•ho has notproduced acceptable evidence of comptianmwn thin incur =.covexager� - A&R ionaIIy,MCA cbapter 152,§25CV)staS-[either-the nnr lay ofits political subdivisions shall ewer into any fin the:Pew ofpublio wmk miffacceltable evidence of crmipliancewith fle msm'mce. ems of this drafter bave bee pressed to the comer-�-Ea ioz¢y.-" AppHcaats easatipn affidavit completPlY.by g,�bores�apply to your srEuah°a anc� if PIe ase ffiI out tine worker'comp fib c�ca±r(s)of necessary, Ply sub-,,tc r(s)name(s), addresses)MiPhoneamnbez(s)alongwrth auie� or Lffitypps U)wrthno employees other Than the . msvr�ce. Lmmited I-iab�ty Comp (1'�� members or paztneas,are not rimed to C2o1Y camoCnsation insmance. If an I I.0 Q IS P does haQe �pToye�s,apolicy isi ed. Be,advisedthatthis afddzyitmaybe sn to the Depai�ae�t of lndvstrial Acrid�s for COnfitmaEM of in=m=covemgt Also be sure to sign and dafe ate affidavit The affidavit should beretnmed to fie erty or town that the applicatirm fur the permit e,license is being r nottheDepmtneaf of Ir�s�1,cT � �dyDU]gave any gnesdans regad"mg the Iaty or ifyon a�requited to des a uld.W01 cater e con?.pMsation policy,pImse call fle:Depadmeut at fie nmmber listed below Self-insured cc�aznes should ear their self-insur�ee ltee=sD itu ber on the Ime• City ar Town Officials r Please be sore that fie affidavit is complete andpri�ed le�ly. the Depa rune nthas provided a space at ff=bottom of fie affidavit for you to till o�in the event the Office ofTnv to coxdact yoaregar�g the applicant Pease be sure to ftIl is the pe I!"icense number vrluch vM be used as a recce ben In addition,an applicant i roust subrnfi m Ie pe cease appliesions many green yam,neei only mbnnt one affidavit radicatmg c==t policy m:baaation[ff ne;ms`a<y)and andrr°Tub 0e li-ddrese$e applic Fhot<ld v 6sII lacatiDns in b ho town)--A copy ofthe affidavitthathas been officially stamped orma imdbythe,city or trwn may eprovide to flee applicant as proofthat a valid affidavit is on file far fatare pMmjp or licenses. A ncW af5.davlt 7MIst be f ed orb eta' year.where EL bDme ovrner or Cfti2=is obtai:dag a license or peMrt not=e7air,-d in any businers or co � commercial v a dog license um orpemitto ble:aes v etc.)said person is NOT zeqicedto eM3p1etD 11h affidavit The Office:ofIn wouldlikatathankyouinativanceforyom coape�ionandshorldyouhaveaaygIIes6ons. phase do not hesitaiz to give m a call. The I3eparime�s address,telephone and fax tmmbes' :wwItjE of Massach - - . laostm.,Its Oil 1I T�-L 4 G1'-' -494O cmt 4-06 Qr 1477 MASSIF Fay 617'27 774 R=ised 4-24-07 5 r .4Cf3RE3' , ` DATE(MMIDONYYYH THIS:CERTIFICATE IS ISSUED:AS A MATTER°OF INFORMATION ONLY AND 1CONEERS'NO�-RIGHTS}UPON THE'CERTIFICATE HOLDER.-THIS CERTIFICATE. DOES NOT AFFIRMATWEL'Y OR'NEGATIVELY.;AMEND,-EXTEND-OR!ALTER THE COVERAGE AFFORDED"cBY THE POLICIES BELOW. THIS CERTIFICATE,OF INSURAtitCE DOES NOT�CQNST;i-FUT;E.A.C(MTRACT BETWEE%THE ISSUR+16 13r1suiaERvs)k AUTHORIZED REPRESENTATIVE,OR PRODUCER AND THE.CERTIFICATE HOLDER: -IMP -.If-tbe-certificate holde A's-an.ADDITI..NAL-INSURED;"the-policy(ies).must-have-ADDITIONAL_INSURED_provisions-or_be_endersed . . . ff-SUBROGATION?SVArVED,subject to,theftermsiand conditions of'the policy, certain policies,'may'regtiire;-an:eridorsement .A�statement,an ' this certificate.does not confer rights.-to-the certificate holder in lieu..of such endorsements . -PRODUCER. _5D&75.4m17.67 CO TAe'T`Christine_-Pwining- Sullivan,Garrity&Donnelly PHONE 508-754-1767 FAX 508-754-1885 508-754-1767 A/c,.No,.Exe: (A/C,.No). 10 Institute Rd E•MAfL Worcester,MA 01,609, I DDREss: Christine Cunning. fNSU S-AFFORDING COVERAGE NSt1tC f INSURERA:-UNDEiE'RrW�T'ER&-ATT LLOYDS-,V_0W '3l`k INSURED Arnold Fellman Building wswRER,B,.Commeree/Citation Contractor,.,lnc:. 46 Cedar Land Road INSURERC Orleans,MA 02653 INSURER D'. INSURER•.E:- INSURER.f COVERAGES CERTIFICATE NUMBER: REVISION UMBER: 'THIS'tS'T'O'CERTJFrTHA`f'7-HE'POL'ICIES' F-41NSURANCE`USTED�BELOWA.HA'1i£"BEEN IISS'UIED TO TAE4fNSURED'.NAMED>ABOVE'FOR THE POLICY PERIOD IRMCATEG. WOTAfflTRCSTIAWMNG ANY YREOWRMENT, TERM fORt-rOO 0.171ION 0F.ANY 0ONTR;AtCT 43R OTHER DOMMENT YV,(T.1:RESPECT TO;19�H3.ICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCILUSIONS A*9 CON9IT)IG dSjOF SUCH P0L1Q`ES.,IA(VUTS SHOWNAAAY-HAVE)BEEN REDUCEAABX.,PA1iD CLAIMS. INSR ' DDL SUB POLICY.EFF PDLICY`EXP LTR TYRE,Of INSURANCE 'POLICY-NUMBER LIMITS A X COMMERCIAL GENERAL LIABILITY EACH'.00.CURRENCE '$ 1°000,000 c�at6ltsNlonF a �tr �4T�3460 R123120 0$Y2312i3i8 DAMrGeT,QRENTED. =50,0.00 PREMISES. a.occure.ce'. $ r MED'EXP(Anyoneperson) $ l',000 PERSONAL SADV INJURY Y,000,000 GEITLAGGR€GAfEVN[FrAPPLIE,S PER: GENERAL'A'GGREGATE: $:= a MA011) X POLICY F�jpa- El LOC PRODUCTS-COMP/OP AGG $ 0" OTHER B AUTOMOBILE'LIABILITY: COMBINED SINGLE LIMIT $ 1,000,0,00 ANY.-AUTO, 1TMMB.BVT76: 10130/20.16: 10/30/20.17 B.ODILYINJURY Per: son, 9r OWNED' 'SCHEDULED.' AUTEO�SONLY X AUTOS' BODILY INJURY Peraccid6nt $ X AUTOS ONLY X AUTOS ONLY PROPERTY tDAMAGE S :UMIBRELL'fi,;LIA:B 'OCCUR ,'EACH d CZURR'ENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE .$ DED I RETENTION$ ;S WORKERS.COMPENSATION I PEAT TE OTH- AND EMPLOYERS'.LIABILn'Y 2Y1 N ANY PROPRIETOR/PARTNEWEXECUTIIVE EL✓EACH ACCIDENT S OFFICERI IMBER MEXCLUDED7' NqA Mandato E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERAT10NS;P LOCAtTIQNS:(Y(EHICLFS-(ACORD101,.Addltlonal Remarks Schedule,may beattached IP•more space Is requlred) ' Operations Of Insured:Contractor per-policy-forms,conditions and exclusions. CERTIFICATE HOLDER CANCELLATION S*ObL•D ANY.OF THE-AB'OVE•DE$CRIBED POLICIES BE�CANCELLED BEFORE THE ;EXPIRATION 'DATE THEREOF., 'NOTICE "MALL 'BE DELIVERED IN Tom"&Nina'weld- AG ORDANCE-WITH-THE POEICY-PRDVISt0NS.. 269 Seapuit Road Osterville�MA.026.5'5 AA TIIowzlo REPRESENTATIVE .-A,CORD 25"(•2@i O3:) @'tggg=2Oi5:AC-OFtD•!CGRPORAT.I©I -Aff,rights-reserved: The ACORD name"and fogo-are registered'marks of ACORD r C.ERTIRGAT-E OF UALERILITY 1MRANCE t nA'rEffsnrYi THIS`CERTMATE.IS ISSt1ED AS:A MATTER OF INFORMATION ONLY.AND'COtNFERS Na RIGHTS.UP"OWTHE-CERTWICATE'HOLDEP, THIS CERTIFICATE DOES NOT.AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND'OR ALTER THE COVERAGE AFFORDED BY'THE POLICIES -BELOW. T-HiS-GERMtFIGATEOF-iNSURAf4P-E-D&ES--NOT-CONSTRUTE-A3-GE3*TRACT--BUVV,,EE- T`HE-ISSIIING' lA60REft-ALFFHGRNM# - REPRESEitl.TAmtlE'oR PROD.UCER;,AND:T'HE,,CERTIRCATE HOLDEA, IMPQRTAdNT�,-.If•the certificate:holder is.an,A•DDITIONAL"INSURED„the:paiioy(ies) must have-ADDITIONAL..INSURED provisions.o-tie endorsed. . .If_SIMRQGATJO Y_fS_WAW.9D)-,wWedto-tlte_terniT-wd_conditto.tta of the-policyr,.certain:paircreest4Psyrl�es�ibe.an:ar�te:�mec t.:A,sta#ernentJcin this certificate -does Ti t ts`to the cart fiicate holder in'lieu of such endorsements• PRQI NCO NT CT Rogers&Gray tns.. -'Denrus'Braneh PHONE 508-398-7980 TAX , . 6�7,8�6-2?S6 3'4.I~tte 13?I th Dennis N1A-2 WO �''� .��cogersglay:cc3mA INSMEFi 'AVFMAkG COVERAGE ArkA6 Rya F ancry :Cos aat>E e, m 'ar7 .•-t: fi =921. INSURED `EF.V/INSL 01 . INSURER B Altmerica financial Benefit Insurance-C.om an '41840 E F U,lir+slow.Plumbin•g.,& fing,.In INsu��Re:'Y r °lllut0al-L,ialiil lnsl�rance;Com I1,33F# 8'Reardon GSrde - South Yarmouth MA U66.4 INSURER 0:. r. -INSURER E: _._... ....— i INSURER`F; C COVE'M"s C1rR'YIF'I'CAiTENu'IIiI'Bm 121135,176z' R W'151Ofl4ritl 8� 3 TT IS AS TO CERTIFY THAT TKE•'POUCIIES OF ANSURANCE MSTE•D BEIZOW,i4AVE,BEEN ISSUED.T0 THE MW,RED 14"lED ABOVE.FOR THE POLACY PERIOD :YHDICATED.- NO'TW-T-H1KANDING,ANY REaWREMENT, TERM OR.•GONDI`ION 40E-ANY'.C.DNTRACT OR,OTHE91.DQ0UMENT VOTH FESPt�T'O-WHIC4A THIS, CERTIFICATE MAY.BE ISSUED, OR MAY PERTAIN„THE INSURANCE AFFORDEDAlY THE POLICIES.DESCRIBED•HEREJN IS.SUBJECT TO ALL THE'TEAMS, EXCLUSIONS AND CONDITIONSOF SUCH POLICIES:LIMITS•SHOWN MAY HAME=BEEN REDUCED 9WIDA ZLAIMS ! INSR, POLICY'EFF POLICY:ERIT :LTR TVPrDK1IiSFIRi 3F,E. 1MSD tiYTiD PQLYC7rilC[IR7BEA 1 A9IID7Y.YY MAVDDNYY. ' jjmrm: ,A 1 X 'COMMERCIAL GENERAL LIABILITY � ZBNA787020.01 i2/1/2016 12/1/201.7 I � '1 EACH OCCURRENCE $1 00'D;D'00 CL`AtMS MADE' OCCUR' DAMAGE TO RENTED PRE7lIGSES�Ea aauxcesusal '$1 DO;DDD `MM EYP(Any one person)—(S",ODD PERSONAL&ADV INJURY $.1.,000,000 GEM.1_AGGRE.GATEVMKAixPME$*E3 GENERALAWRE ATE S 4EY0„ 4L4f•> -POLICY. No PRO {.LOG JECT I_1 PRODUM- -�COMF'7OPAGG '$2A09..0W OTHER: l g, - .,;AUTDM0BILE141481L•nY R fill7Hfi636 1 1't�1fr. 12Y1fiZU1 t€ asaderiz7 "$"rtIFD44D. _ ANYi.AUTO i BODILY:INJURY..(t?er.pecson) $, -OlNNFE�D, (X-SCHED.ULM AUT'OS,ONLY AUTOS ) 643(]Itl°INilURY°(P�,rasadent);$- FiIRED _ NON.'.OWNE® X AUTQS'ON@Y "ALIT,OSONLY' P(Per aceidLm DAMAGEROP TY1 $' l $ iA IJA4B✓fi1A*&IAB x..I i�COUR, ! I I AkJAIFt7J�]D22 IJr A2/N?01 E A2J Pf2IS?? �EACH OCCURRENCE Szomm00)' ES S•11Kt3; { CLA MS..44AL7E AnGGRETnATE�- S2'�000i000,. DED RETENTION,50 ' C rWORKeRS-COMPENSATIO . ;18S6R J 1.x1,l2Dt7' l/lir2(Ti8 PER 1AND�EMPLOYERS t1ABILTrY I I STAYUTf :ER AWPROPRIET.DRIPARTIAERIECECUrIV= �Y7N-� OFFICERRAEMBER-U3 CLUDFD7 J'N I Yds/:A E•L.f-AC+i,ACCIDENT Mandl tory hTIR) � �{I £1 DISEASE-FA EaViPl I71 SSDD,bDD U.6describe ur der $CRIRTSNOF,0RERATIONS'below EL:DtSEASE-POLICY,'Jurr $500;000 i• i DESCRIPTION OF OPERATIONS,tLQ,CAnt)NSfVeHICLES-(AEORD1D1,yAdditlanal"RJar=ks- cft9duWrTtgy.bantlachedifrnw apameisrequirerl) Pltilrnt3ing Heating osstTacti3r... -C7ehtra5Vaeuurn"i a diriisiot>'n# l\sfilts4ow Pita ing&Heatrng InC. Certificate holder is.automatically an additional insured with respect to general liability and auto Liability when required by.,arwritten agreement', or.contract.. CERTIFICATE,HOLDER CANCELLATI0W.. SH0ULD:AY4Y-0F`HE1 A8WE DESCRtBED'POLICIES'BE CANCELLED BEFORE ;ARNOLD F.ELLMAN THE EXPIRATION DATE THEREOF, NOTICE :WILL BE 'DELIVERED IN 2$6'ORL-FA ST20AD 'ACCORDANCE'WITH THE POLICY PROVISIONrs N..QHA.-T.H VI MA'[92680�- At1: IZED'REPRESEN TATWE 6 i =2M4_!%� .f .A€:Ftz�I: aAfCi;'3 �' J ' OR� aet-'sfs�Iee�� ' '. MXIAt ?A'RF?T � WMCAT OFU- ABILIT YOSURAME r 7r s THIS.CERTIFICATE IS ISSUED.AS.A MATTER- OF INFORMATION.ONL'Y AND OOK ER.S NO RIGHTS.UP.ON�HE CERTIFICATE HOLDER.THIS CERTIFICATE:DOES 'NOT .AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR .ALTER THE :COVERAGE:=AFFORDED BY THE•POLICIES BEt-M, THM CERTWRIZ :TE OF WSDIRkNGE,DQE%,14M•CON TI,Ttit M A CoWpAr-T-SE rT MEW THE WA 4 6 t>AMMR jS-AUTIAZEIGEM REPRESENTA.TTV,E'ORPR.t3DU ANVTHE;CER71RCAkkTEHOLDiE17L. .IMMR.TAKT:: _ItAhe-cestiflwte:folder_-.Fs_an:AiDD1T1ONAL..INS:URED,the-policyTe#.musthave.AMTIONAI-JNMREDpmuistons-or-be..endamed.. . . -If:=SItHROGATiOI�-i.S-1A�1YIitEi3;;'�rJbject-tnr.ths:terms.�rnd:arrrsJftb>lsof`'tha:Qoftgy;:fe�t8tri-pt5itct�rr��re�utreran4errdozse�rrenL";A�.sta't®rnex�t�oR this certificatedoes not confer rights to lboterttficato holder In Il.eu.otsuch endorsementts3. PROEUEER- ;�:�ACY Ftogers&Graff lrmranaeAgency,-Inc. PHONE — j FAX 434•Rte 134 �SiV ,ntn.Exsr (ABC, tn): South Dennts,'MA 02660 wurlKr sS I ` �.__ �esF�E�sZnxtlG.Gv>��RRaoe. —_ '• Ica_ )INSURER A:Main_'Street America'A:ssurance:Com.pany J29939 4Nsw o _mrsu,ass_a AssocEaled > l e _Iassur ce=Cca a p�1 . 04 :11tta%F x[Iment t......... t dba JImentPlumtiing _ ,Services- — - 15Julia.Grace,Ln. INSURER D_---- — --- "HarWJCh,-MA'02646 ;tNSUREIa:e_ INSUAER.F,_ -- COVERAGES :CERTIFICATE-AUMBE : REVISION NUMBER: TRIS IS TO CERTIFY 1 HAT XM POLLICIES.OF f£i ARAt$1 E LISTED,BaOW HAVE WS�T£9i'WE f MR'ED NAMED ABOW FOR THE-1PODICY PERIOD, INDICATED, NOTWITHSTANDING i4ti1NY RFsG1UREfrMENT, TERM-(R'CONDITION QF ANY CONTRACT,-OR,OTHERDOCUMENT`NITH RESPECT TOVVHICHiTHIS, CERTIFICATE MAY BE ISSUED OR.MAY PERTAIN, THE INSURANCE AFFORDED: BY THE POLICIES'. DESCRI$ED�HEREIN,IS:SUBJECT TO-ALL THiETERNISi, :E;?C{1t.�l6LD1'LS A�O�i31T�t�S.'CDF'S9JC,�d P_OLICIES�..Id!IOIT�:SHOI1?lN'I±lL4.Y�9Aitil�BEE{d.fIED:UCEfl..'BY.�PEID f�1:�11MS.. SYPFaFA RANCE i — -POCIEY NLYMB£R Pori�,V 6FF poLIDY E�XF� ' LTRU64FT8 JA `X ..COMMERctALGENERAL LIABILITY EACH OCCURRENCE_ S '°000,000 CIAINtS tM1'ADE I X' OCCUR 8��Y 1OJO�ZOIS` SO�OSTZDI7 I DktiAGEEt6RENTED --- 500"'0©0 - I i 1 I iPREANSES(Ea occurrence). i 1 1 'MED EXP(Any one person) j S 10;00 1 I 4,000,000 j t F PE RS.OyvILL 8 AESN h?AWI6.11 _$ i rEN'LAGGREGA.TEIOMRAP'PLIESPESt S I !GEMERI?E FE t r s i ]POLICY F_l Ap,9F I I.LAC i PRODUCTS GOMPIOP AGGG I$ 22 000,000 .OTHE'FE 5, AtTFOR60Bi1811AB1Ln Y t AO�BINEp StN�E Llm(T ANY NAUTO- AUTOS ONLY AUTOS Ht� $OOfl1PLY1dFW}iJDRAYM fkPGte�E UESONLY A 2 Cddt�[EIIi SS t U6 MEU-ilZ=: acciuR ERL77 IIGCURRENCE EXCMUAB- CLAIFNS-roADEI ! ( I AGGREGATE IS I DED. RETENTION$ B FVrt9RKElt'9COFAFENSATIDN' PER' 1OTH- I ND ErAPLOYERS'LIABILITY STATUTE.' — W. CC5005009544201.6A 10llM01B'10I1S'2017 100,000 ;ANY PROPRIETORIRARTNERIEXECUTIVE I E L EACH AL?CI©ENT $ FICER/tfll1VBEREXC000E37' rN�al', - — - I:Ey Visvmier I I i E.L.D.ISEASE-EAEMPI OYEEI S I,DESCRtPTfGN'OF�OPERATiONS bebw i I 1 E.L.OtSEASE-POLICY LlMtT WON �HCfZlP.i10D9a6fd=+OP,.EHAT3GIt{87•ISOt�:�1DHSf+1fiEiJICI•ES�,,ikt'3�nAn:�dtf ttirnaL:B�onkrFe,>�Iu.6eat�eDcgditPiwcesie�i�+�pafis�c CERTIFICATE HOLDER. CANCELLATION :SHOULD•:ANY OF THE ASOME DESCRIBED'POLICIES BEtAN.CELLEDB.EFORE Arnoidfeliman$triiliti,�#Ci43,,fnC . THE 'EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN A�GCDRDANC -WfTH-THE+OLIC'Y-PROV4SIONSL- ;a4s�clearls:R,Qad 77+leor.�a.Cfaa�bai>z,�tia 0 IlUlIiOAF�ED REAAt�ENTA7`IV�'E At:OfM 25MUM C�' `8= 5 i~[C+D�,1tt�s' 31i.•4tlfl s s?Ye�. _TI> fLb[10F•�i�ie ibl2lee `i[far S,d I �"WE, Town of Barnstable Building Department Services n•R"'AM Brian Florence,CBO Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder X I, as Owner of the subject property hereby authorize to act on my bebA in all matters relatives to workauthorized by this 9building permit application for: (Addres of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and.all final �aspecdons are performed and accepted. r /` Signature of Owner Signature of Applicant x Print Name Print Name Date Q:FORMS:M4ERPERMISSIONPOOIS Rey:0&/16/17 Town of Barnstable Building Department Services Brian Florence,CBO ' Building Commissioner 200 Main Street; Hyannis,MA 02601 asp www.town.barnstable.ma.us 16S9. Office: 508-862-403 8 Fax: 508-790-6230' HOMEOWNER LICENSE EXEMPTION Please Print DATE:--�=T JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns'a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildWg pe t (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. . Q:\WPFILES\FORMS\building p=nit fomu\EXPRESS.doc 08/16/17 ¢ ��n 'O'CZ 10 AYE �0 3 r Massac�ruseis �e¢}ai4ment.bf Pubtic Saf-4y ErbardiofguildingkK%Vlati"s and<Standards. iw Uc rs��•4IIf R7�a6..:, >` fi sty F 46 CEDARLAND 62D _ s �• Ci4ii.Et11'i1S,MA;0;2QSi�' ' �' ;; - . �. :/ 2 yP ��aD�s7.3t��r �t3S/264E�i�8 • ..... "..,,. .C91d�5�Arr?.$}sP1�31SN :abt.!x� SC�i'y1.,r.'a'�t"'�+.-°�,ea'•3.""...+.cws�ka.xc..,�lt ssr.f �'� T.,^+w�-,rh.t*r T. x 1'FC TOW. n �r ARNOE.P:� Li aN I It[x1t 1 �3 Rf :• 9 . � ;_ I �' �a�rs�ru�tivr?�u�ervi�ar.Restricted-to... - Unrestricted-Buildings-of.any Aise group which contain lessthar35,U00cubic-fLet•(99a bicri3eters)of %K 4 Failure to possess a current edition-ofthe Massachusetts �State Building Code is cause for revocation of this License. Eix�sio�it�an�6rna�- a : i.tcens�or reaw.atratlon valid for iitt dual ase Daly 1. before the eW_stion,dste. if found ret i ra fie: d"- ll�steu,l5 NO-tvulid without-sioature ' I r ' Jon Cowen,PE Project Title: 269 Seapuit Rd,Osterville Cowen Associates Engineer: Project ID: 17.347 29 Vesta Rd Protect Descr: Natick,MA 01760 Printed:14 SEP 2017,7:54M.4 Steel'Beam• - File=C:Uon1ENERCA-1117347--1.EC6 ENERCALC,INC.'1983-2017;Build:10.17.8.29,Ver.10.1Z8.29 KW-06001081 Licensee:COWEN ASSOCIATES Description: Clear span beam over kitchen FC6DkA FERENCES 1 Calculations per AISC 360-10, IBC 2015,ASCE 7-10 Load Combination Set:JTC [Material Properties. Analysis Method: Allowable Strength Design Fy:Steel Yield: 50.0 ksi Beam Bracing: Beam is Fully Braced against lateral-torsional buckling E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending l n 11 0.131 S 0.131) e i W 10x45 Span=22.0 ft 1 i I Applied LOadS -; '_ Service loads entered.Load Factors will be applied for calculations. Beam self weight calculated and added to loading Uniform Load: D=0.0120, L=0.030 ksf, Tributary Width=8.50 ft,(2nd) Uniform Load: D=0.1310. S=0.1310 k/ft, Tributary Width=1.0 ft,(roof load from setback walls) t•..DESIGN SUMMARY` . --- y .. • l Maximum Bending Stress Ratio = 0.251 : 1 Maximum Shear Stress Ratio= 0.088 Section used for this span W10x45 Section used for this span W10x45 Ma:Applied 34.334 k-ft Va:Applied 6.243 k Mn/Omega:Allowable 136.976 k-ft Vn/Omega:Allowable 70.70 k Load Combination +D+0.750L+0.750S+H Load Combination +D+0.750L+0.750S+H f Location of maximum on span 11.000ft Location of maximum on span 0.000 ft Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward Transient Deflection 0.284 in Ratio= 928>=360 Max Upward Transient Deflection 0.000 in Ratio= 0<360 Max Downward Total Deflection 0.489 in Ratio= 540>=180 Max Upward Total Deflection 0.000 in Ratio= 0<180 Overall:Maxi Deflections -^- 3 Load Combination Span Max."Defl Location in Span Load Combination Max.W Defl Location in Span +O+Lr+L+S+W+E+H 1 0.4888 11.063 0.0000 0.000 r, Mertical,Reactions r—— -- Support notation:Far left is#1 Values in KIPS Load Combination Support 1 Support 2 Overall MAXimum 7.304 7.304 Overall MINimum 1.441 1,441 D Only 3.058 3.058 L Only 2.805 2.805 S Only 1.441 1.441 W Only +O+L+S+W 7.304 7.304 Nq`s qc FREDERICK i VMCENT m CnWEN y o ,F No.26617 O FG/STE�� 44' ASS/ONAL Jon Cowen,PE Project Title: 269 Seapuit Rd,Osterville Cowen Associates Engineer: Project ID: 17.347 29 Vesta Rd Project Descr: Natick,MA 01760 Prini°d:74 SEP 2011,7:549A St@e� B@8n1 - File=CMon1ENERCA-1117347--1.EC6 ENERCALC,INC.19a2017,Build:10.17.8.29,Ver:10.17.8.29 0.rr r: Description: Transfer over kitchen-clear span option [CODE REFERENCES _ Calculations per AISC 360-10, IBC 2015,ASCE 7-10 Load Combination Set:JTC [Mat reat taLP roperties '` Analysis Method: Allowable Strength Design Fy:Steel Yield: 50.0 ksi Beam Bracing: Beam is Fully Braced against lateral-torsional buckling E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending 0(1.187)11S(1.484) D(3.058)L(2. 05)S(1.441) W10x22 - Span=15.250 ft . I Applied LOadS r Service loads entered.Load Factors will be applied for calculations. Beam self weight calculated and added to loading Load(s)for Span Number 1 Point Load: D=1.187, S=1.484 k(d)5.0 ft,(existing beam) Point Load: D=3.058, L=2.805. S=1.441 k 010.50 ft,(2 span beam) DESIGN SUMMARY ' .. ( Maximum Bending Stress Ratio = 0.378: 1 Maximum Shear Stress Ratio= - 0.107 :_1 Section used for this span W1 Ox22 Section used for this span W10x22 Ma:Applied 24.543 k-ft Va:Applied 5.220 k I Mn/Omega:Allowable 64.870 k-ft Vn/Omega:Allowable 48.960 k Load Combination +D+0.750L+0.750S+H Load Combination +D+0.750L+0.750S+H Location of maximum on span 10.501 ft Location of maximum on span 15.250 ft Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward Transient Deflection 0.177 in Ratio= 1,035>=360 Max Upward Transient Deflection 0.000 in Ratio= 0<360 1 j Max Downward Total Deflection 0.316 in Ratio= 580>=180 i Max Upward Total Deflection 0.000 in Ratio= 0<180 I _Overall Maximum Deflections rt �- Load Combination Span Max.'•Defl Location in Span Load Combination Max.°+°Defl Location in Span +D+Lr+L+S+W+E+H 1 0.3156 7.974 0.0000 0.000 rVertical Reactions Support notation:Far left is#1 Values in KIPS Load Combination Support 1 Support 2 Overall MAXimum 4.238 6.072 Overall MINimum 0.874 1.479 D Only 1.918 2.662 L Only 0.874 1.931 S Only 1.446 1.479 W Only +O+L+S+W 4.238 6.072 SH OF At, o FIR EDERICK yG ' VINrrNT q CD CO'M�N y A 1p No.26617 O �sS/OVAL f Jon Cowen,PE Project Title: 269 Seapuit Rd,Osterville Cowen Associates Engineer: Protect ID: 17.347 29 Vesta Rd Protect Descr: Natick,MA 01760 Printed:14 SEP 2017,7:55A.4 Steel Bealrn`` File=C:Uon1ENERCA�-1117347--1.EC6; t '. ENERCALC,INC.1983.2017,Build:10.17.8.29,Ver.10.17.8.29'• IT-T,I 1: Description: Replacement transfer over living room _ CODE_REFERENCES Calculations per AISC 360-10, IBC 2015,ASCE 7-10 Load Combination Set:JTC Material Pro erties Analysis Method: Allowable Strength Design Fy:Steel Yield: 50.0 ksi Beam Bracing: Beam is Fully Braced against lateral-torsional buckling E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending D(3.058)L(2.805)S0.441) i r" sa 4";'.•;z �n :':xxi,�:. L5"'-r 4. - ...t ,,a,' ,,,i."st.a- e� �; ��„�- ,.... 1 _ W10x15 i r 1 Span=13.50 ft Applied.Loads. _ _ _ _' '' x-. Service loads entered. Load Factors will be applied for calculations. Beam self weight calculated and added to loading Load(s)for Span Number 1 Point Load: D=3.058, L=2.805, S=1.441 k(a)10.50 ft,(2 span beam) DESIGN SUMMA_ ,- ,- Maximum Bending Stress Ratio = 0.371: 1 Maximum Shear Stress Ratio Section used for this span W10x15 Section used for this span W10x15 Ma:Applied 14.791 k-ft Va:Applied 4.957 k Mn/Omega:Allowable 39.920 k-ft Vn/Omega:Allowable 45.954 k Load Combination +D+0.750L+0.750S+H Load Combination +D+0.750L+0.750S+H Location of maximum on span 10.491 ft Location of maximum on span 13.500 ft Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 l Maximum Deflection r Max Downward Transient Deflection 0.120 in Ratio= 1,351>=360 Max Upward Transient Deflection 0.000 in Ratio= 0<360 Max Downward Total Deflection 0.212 in Ratio= 765>=180 Max Upward Total Deflection 0.000 in Ratio= 0<180 ._Overall Maxi um m Deflections, Load Combination Span Max. Dell Location in Span Load Combination Max.W Dell Location in Span +O+Lr+L+S+W+E+H 1 0.2117 7.599 0.0000 0.000 VertlCal_ReaCtions. i. =,: Support notation:Far left is#1 Values in KIPS Load Combination Support 1 aSupport2 Overall MAXimum 1.724 5.782 Overall MINimum 0.320 1.121 D Only 0.781 2.480 L Only 0.623 2.182 S Only 0.320 1.121 W Only +D+L+S+W 1.724 5.782 _ '(H OF MRS�P �o FREDERICK z VINCENT C11WEN No.26617 O ?O.cFCIST£�t�• �<v FSSfQR°AL f'�� ,lon Cowen,PE Project Title: 269 Seapuit Rd,Osterville Cowen Associates Engineer: Proiect ID: 17.347 29 Vesta Rd Project Descr: Natick,MA 01760 Pdrited:14 SEP 2017,7:55M.4 WOOd,Bea lm File=C:Uon1ENERCA-tU7347--1.EC6 ENERChC,INC.19a2017,Build:10.17.8.29,Ver.10.17.8.29 Lic.#:KW-06001081 Licensee:COWEN ASSOCIATES Description: kitchen sliding door header a CODE_REFERENCES- - ! ? Calculations per NDS 2015, IBC 2015, CBC 2016,ASCE 7-10 Load Combination Set:JTC Material Properties Analysis Method: Allowable Stress Design Fb+ 2,600.0 psi E:Modulus of Elasticity Load Combination JTC Fb- 2,600.0 psi Ebend-xx 2,000.0 ksi Fc-Prll 2,510.0 psi Eminbend-xx 1,016.54ksi Wood Species ;Trus Joist Fc-Perp 750.0 psi Wood Grade :Microl-am LVL 2.0 E Fv 285.0 psi Ft 1,555.0 psi Density 42.Opcf Beam Bracing : Beam is Fully Braced against lateral-torsional buckling Repetitive Member Stress Increase D(0.2)S(O.25) ° D( .08259 L(0 165) tt I i l i I 2-1.75x9.25 Span=9.50 ft I Applled'L'08ds = - Service loads entered. Load Factors will be applied for calculations. Beam self weight calculated and added to loads Uniform Load: D=0.0150, L=0.030 ksf, Tributary Width=5.50 It,(2nd) Uniform Load: D=0.020, S=0.0250 ksf, Tributary Width=10.0 ft,(roof) [�DES/GN_SUMMARY. = _ _ _ . • Maximum Bending Stress Ratio = 0.4761^ Maximum Shear Stress Ratio 0.340 : 1 j Section used for this span 2-1.75x9.25 Section used for this span 2-1.75x9.25 i fb:Actual 1,636.04psi fv:Actual = 111.43 psi FB:Allowable 3,438.50psi Fv:Allowable = 327.75 psi f Load Combination +D+0.750L+0.750S+H Load Combination +D+0.750L+0.750S+H Location of maximum on span = 4.750ft Location of maximum on span = 8.737 ft t Span#where maximum occurs = Span#1 Span#where maximum occurs = Span#1 Maximum Deflection Max Downward Transient Deflection 0.166 in Ratio= 688>=360 Max Upward Transient Deflection 0.000 in Ratio= 0<360 Max Downward Total Deflection 0.282 in Ratio= 403>=180 Max Upward Total Deflection 0.000 in Ratio= 0<180 i __OveralhMaztmum Deflections• '; �J Load Combination Span Max. Defl Location in Span Load Combination Max."+'Deft Location in Span +D+Lr+L+S+W+E+H 1 0.2823 4.785 0.0000 0.000 Vertical'Reactions 77 Support notation:Far left is#1 Values in KIPS Load Combination Support 1 Support 2 Overall MAXimum 3.358 3.358 Overall MlNimum 3.358 3.358 D Only 1.387 1.387 L Only 0.784 0.784 N OF Ssq S Only 1.188 1.188 W Only FREDfRICK N +D+L+S+W 3.358 3.358 VINCENT COWEN No.26617 QL O� GIST& FSSJONAI ENG i 1 I Cowen Associates MEMBERS.-: A.S.C.E. -Fellow N.S.P.E. CONSULTING STRUCTURAL ENGINEERS A-C.s.E.(President 199e-7) I. 29 Vesta Road N.C.S.E.A.(MA Delegate) Natick, MA 01760 LICENCES/REGISTRATIONS IN: Telephone(508)655-3976 Massachusetts(Structural) New York Facsimile(508)655-4284 Illinois-SE District of Columbia jon@cowenassoc.com Maryland Missouri www.cowenassoc.com Vermont New Hampshire Rhode Island FRED V. COWEN P.E., S.E., S.E.C.B., FASCE, President New Jersey Virginia JON COWEN-P.E. Florida Kentucky(inactive) Pennsylvania September 14, 2017 Ohio Oklahoma Connecticut Structural Framing Affidavit S.E.C.Board Certified /6- B68011t,xs ate.REU"IUTY '' PROGRAM Mr. Michael Collins D.M. Collins, Architects 21 Eliot Street Natick, MA 01760 17.419 — Sorbo Residence, 8 Hunters Run, Sudbury Dear Mike: The undersigned has visited the above captioned property on this date for the purpose of inspecting the framing repairs and revisions. Reference is made to drawings and details by this office. The framing for the above captioned project appears to conform to the aforementioned documents. It is therefore the opinion of this office that, to the best of my knowledge and belief, the framing for the repairs and renovation meets or exceeds the structural provisions of the Commonwealth of Massachusetts State Residential Building Code, 780-CMR, 8th Edition. If there are any questions regarding this matter, do not hesitate to call. Very truly yours, SN Mq Cowen Associates FREDERICK tiN Jon Cowen P.E. vINCENr ' COWEN A �No.26617 o Q- ISTV—" ' �sS�ONAL ENG\ ARNOLD FELLMAN BUILDING CONTRACTOR, INC. Arnold L. Fellman arnoldfellman@comcast.net 246 Orleans Road 508-930-4083 North Chatham, MA 02650 ��FpT Job Location: 269 Seapuit Road, Osterville, MA TO/,�,NOF®fir®�Zo,, Job Description: eARNS $ 90,000 Remove existing kitchen cabinets and replace with new. T�e�F $ 6,000 Remove and replace 3 windows at sink wall and use same R.O. No new structural framing required. $15,000 Remove existing LVL carry beams in Living/Dining/Kitchen area ceiling. Replace with new steel beams. Engineering stamp included. I $ 3,500 Remove mud room door and re-install to new location per plan $ 2,000 Mud room floor area to be raised to match up with kitchen floor elevation $ 5,000 Patch in existing oak finished floor and refinish $ 3,500 Plumbing work, heating work to be minimal, to accommodate the new kitchen cabinet layout only. Sink stays in general location, kitchen heating to be all toe kick heaters under cabinets. n/a Existing heating zoning and equipment to stay as is. --------------- $125,000 Amendment to Project Total Cost: Permit application states project cost $ 200,000 Deduct for major upgrades to heating/cooling and plumbing systems ($ 75,000) ---------------- New project scope and cost $ 125,000 Arnold Fellman, Builder ate (Osterville Q 10-3-17) ' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION C) Map Parcel v ®b A�pricafion # Health Division Date Issued Conservation Division 'J Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address MaN 9 SBapo4 Village DS4er�1I I Owner :]*el t Kw,, J e d Address '5 4'w1,e Telephone ` Permit Request KeWModat goCp Jec k /Za Sia d 0144) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay _N*Project Valuation •• Construction Type 2x Fe,*P -e c� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach ysupportin%0ocur-r�entation. to Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King' Highway: ❑Ygs ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other -- Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) co M 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: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� Telephone Number - 7'3 7 157LI 0 Address 3 7(r q(&6 S f-e License # CS DB l 3 Z I Home Improvement Contractor# 1 79; 7 q Email: Worker's Compensation # WC✓ S7-2 773 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO TURE R DATE l FOR OFFICIAL USE ONLY APPLICATION# " DATE ISSUED MAP/PARCEL N0. ` ADDRESS VILLAGE } OWNER F DATE OF INSPECTION: F . FQUNDATION'J.L?, 5- g0b'b 6-15- 'l v FRAME INSULATION Y FIREPLACE 3 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL )' A • N GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT a ASSOCIATIONS PLAN NO. The Commonwealth of Massachusetts Department of IndustrialAccidenis Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit:-Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): C( il(✓j Address: 3 n - Ia,kes Le p�ii• City/State/Zip: SDK o�„a i G�. Phone#: $eft 737 167J O Are you an employer?Check the appropriate box: Type of project(required): 1.El am a employer with 4. [R/I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp. insurance,# 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself ' right of exemption per MGL Y (No workers comp. 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no Deg- employees. [No workers' 13.❑ Otlier��pl comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50-0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb ce u er the ains and penalties of perjury that the information provided o e is true and correct Si ature: `�G C.�J��lt►�. 3 L 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): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions �,rr Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartmbnts'andwh6resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such.employment be,deemed to be an employer." MGL chapter 152, §25C(6),also states,that"every state or local licensing agency shall`withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance: requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of.the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass.gov/dia ® CERTIFICATE OF LIABILITY INSURANCE DATE IM07/201 YYY) TW&GERTIFICATE,IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS rTC01R ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. IS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE 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 and endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTACT NAME: HUMPHREY COVILL&COLEMA PHONE FAX P O BOX 1901 (A/C,No,Ext): (A/C,No): E-MAIL NEW BEDFORD,MA 02741 ADDRESS: 26WMK INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA ZARTHAR,S1AD F DBA SY&SONS INSURER B: INSURER C: INSURER D: 15 MARION RD INSURER E: W YARMOUTH,MA 026733319 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 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 ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS GENERAL LIABILITY LACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $ CLAIMS MADE �OCCUR. REMISES(Ea occurrence) HED EXP(Any one person) $ ERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY F]PROJECT[::]LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB 0 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X =STATUTORY OTHER EMPLOYER'S LIABILITY YIN UB-2E008216-14 Ot/30/2014 01/30/2015 ANY PROPERITOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 IF yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIRESTRICTIONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ZARTHAR,SIAD F IS COVERED BY THE WORKERS COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION PATRICK CRONIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 376 LAKESHORE DR BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. l� SANDWICH,MA 02563 AUTHORIZED REPRESENTOIVE . ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Town of Barnstable o� Regulatory Services MAMs Thomas F.Geiiler,Director ram'' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable-ma.us Office: 508-862-4038 Fax 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ro,as Owner of the subject P PAY hereby authorize S C`� /alGL CrOT-1 to act on my behal f m all matters relative to work authorized by this building permit (Address of Job) ' 1 Pool fences and alarms.are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. xr2 V-VW/11 Signature of Owner Signature of Applicant �A CD Print Name Print Name Date Q:FORMS:OWNERPERhMSIONPOOL•S 62012 Town of Barnstable Regulatory Services • • Thomas F.tamer,Du'ertur MAM _ Building Division Tom Perry,Budding Commissioner 200 Main Street, Hyannis,MA 02601 ; www.town.barnshablemaus Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEM TYON Please.Print ; DATE JOB ' VA `. nrmlber street + -HOI%MWNM": jc. hone � wor e home phone# ,p CURRENT MAW NG ADDRESS: dlyhown %St m zip code The current exemption for"homeowners"was extended to include owner-oceMied dwellings of six emits or less and to allow # homeowners to engage an individual for hire who does not possess a license,Rrg ded dig-the owner acts as supervisor. DEFIIUMN OFHOMEOWNER' Person(s)who owns a parcel of land on which he/she resides or intends-to reside,on which there,'is,%or iS:int tided to be,.a one or two- family dwelling,attached or detached structures accessory to such.use and/or farm structures.,A.person who conshvcts more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall'submk to the Bmlding Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildink permit (Section 109.1 1)7 . The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. , The undersigned"homeowner"certifies that he/she.mmderstands the Town of Barnstable Building Department minimum inspection proved requires that he/she will comply with said procedures and requirements. Signahm of Homeowner Approval of Building Official , Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building'Code Section 127.0 Construction Control HOMEOWNER'S EXEMpITON The Code states that: "Any homeowner performing work for which a bwlding permit is required shall be exempt from the provisions of this section(Section 109.L1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Mapy homeowners who use this exemption are unaware that they are assuming the responsibr7i ties of a supervisor ^ .. (see Appendix Q,uules.&Regulations for Incensing Construction Supervisors,Section 215) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed pbrsuns.� this'case,onr,Board.;cannot. proceed against the unlicensed personas it would with-a licensed:Supervisor. The:houtl wrier acting as Supervisor.. ultimately responsible. of the To ensure that the homeowner is My aware of his/her responsibilities,many communities require,as Part permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decoUW AppDWa\Locd Mraosoft\Vmdows\Temporary Internet Fges\ContentoutlooMQRE6ZUBN\FXMBS.doe Revised 053012 o Massachusetts -.3%pa�rtment of Public Safety �p �,�,to,cureo l/c.o�C�/d�irr�cc/ccrelli . Board of Building Regulations and Standards Office of Consumer Affairs&Husi ess Regulation Construction Supervisor OME IMPROVEMENT CONTRACTOR License:'C&081321 _ egistration: ,;172274 Type: xpiratio DBA PATRICK S CROtAN Q c,+ CRONIN CONSTR6'fl N 376 LAKESHORtDR� SANDWICH MA%02563 `�� PATRICK CRONIN " 376 LAKESHORE DRIVE ,�— J,,�,,, 'rite. Expiration SANDWICH,MA 02563 . — Undersecretary. Commissioner 07/15/2015 I I i Lamar Bullock 508-746-0601 p.1 'tri cted=Buildings Of any use group which license or registration valid for indiviJul use only less than 35,000 cubic feet(991m)Of before the expiration date. Iffoumd return to: Spam: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,iVU 02116 iilure to possess a current edition of the Massachusetts ate Building Code is cause for revocation of this license. Not valid out signature' r DPS licensing information visit. www.Mass.Gnv/DPS. - lase 4C- 064f0l(e r,ivt S09 777 1�0 a �o . . E ®� - g _ cn • A G c v - FT- oll OF t : .-j OR, t � tttF li � ZZ �C Ar A s Z Cot it ,rl , R o n ; Go `i P'Yt R i 2� till at i Ml I i � '4 5 �? Avv 'i�/ tom: ' �^ Cc Ct L iug t j[5 lb �•. 1 �{ I c� �F �a zi. 5� f }. i � e R - 5 •. �.i t q a 1 f' � � t Y �� c �� 3� � "�' r � ; � o _.-2�� l�} ;. �� _ _ �� !�, �� ►i 'S � �® . �., � � .� A .^ �� ! � � � A� �- � n � E�� .� it --� 7 a �� w� P _`h i � �~ s i # TOWN OF BARNSTABLE BUILDING PMIT APPLICATION «r STA op Map Parcel OO v � jZ ZI - afafApplication # Health Division •� Date Issued Conservation Division C �"°""^• r.,x Application Fee L Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address t26 � c e qo ul II Village EYU Lll Owner TO n 1 V I`A 51 Address Telephone / Permit Request�'> ms 4.// 3 e y au t n awa 4 ► ri ss e Oc-d t,,5 r�r� /.S Van Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation !�a,000 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family LK Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes VNo On Old King's Highway: ❑Yes W-Mo Basement Type: YFull IrCrawl ❑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 l5 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: Igexisting ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) �r� �� pls C,;# _ Name Aeds' , Telephone Number y A (91W(D �4 a � � ygS4b Address ��bnn � � � License # C... �� '�r�t+ Home Improvement Contractor# 1! to4d'SZS Worker's Compensation # ?al to S S ALL CONSTRUCTION DEBRIS RE ULTI FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL'USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE "OWNER t a s a z DATE OF INSPECTION: 'FOUNDATIONS FRAME 4W �a k INSULATION: i FIREPLACE . '{ ELECTRICAL: ROUGH FINAL. e PLUMBING: ROUGH FINAL -GAS:. ROUGH FINAL :FJNAL BUJLDING�-,, r DATE:CLOSED.OUjT' ASSOCIATION PLAN NO. J , Town of Barnstable f Regubitory Services e ThLe ma F.0~1 Dreftr Banding DrvWon TM PuTy,.BuU&q Conan asw 200 Main Street,BFyenafs,MA 02601 W WW bwu bu%dRWma.r Officer 509-962-4038 Fax: 50&79U230 Property Owner Must Complete and Sign This Section If Usin-&A Builder Owner of the subject ptopwty h=by authorize to act on my behalf in all matteai nt]ative to wotk anthori�.ed by this bvildag permi.� as(fAVLda (Address of Job) "Pool fences and alarms are the responsibility of the applicant. Pools are mot-to be filled before fence is i wtalled and pools are not to be utilized until all final inspections are performed aad accepted. s4na im of Owner " SiVa tare o Xnh=at NW Name Pau:Nm= M 3 � Date Wd «8600596£OZ :)ll'5r0suPV933 9010 It-SOILOZ . The Commonwealth of Massachusetts Department of Industrial A ddents O, ce Winvestdgatdorrs -600 Washington Street' Boston,Mgt 02111 x".mass gayldda " Workers' Compensation Lns>zrnn.ce Affidavit;Builders/Contractors/Electricians/Plumbers A-Ppliem.t Information Please Print Le b Name A.A>'J� Address: City/State/Zip: $`(� C 'Y� 11 PhoneA �L 1 �0 AWou an employer? Check the appropriate boo 1. am a employer with •4• ❑ I am a general contactor and I Type of project(requn-eri):: employees(full and/or part-time). have hired fhe snb=coutrantam 6• ❑New conct,ucti•,., 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. i_�deling ship and have m employees . These sub-contractors have 8. ❑Demolition working for me fir any capacity, employees.and have works' [No Workers' comp.msnrance eamp...�ance.$, g ❑ g won required-1 5. ❑ We are a•corpotatkm and its 10_0 Electrical repairs or adations 3.❑ I am a homeowner doing aIl-work officers have exercised the 1LE]p��repaits.or'additions xyself [No wanes' comp, right bf exemption per MGI, 12 insuranm req�ed]t c. 152, §1(4), and we have no ❑goof repass employees. [No workers' 13.❑ Otter comp.insurance req�redj ti Airy applicant that r —Ln box#1 most also M out the section below showing tics wm=.compensation policy infmmation. Homeowners who submit this ofnd-At indicating they are doing ali work and tth.bbs outside mnto3c.�s must submit anew affidavit indicating such. tConhact m that check Obis box most attac'hed ea additional sheet showing the name of the sub-contract o,and state whether ornot those entities have employees. If the sub-cenhactnr;have employees,ffiey mustprovidt their work=;comp,poticynmmber. : lam an employer that is providing workers'compensation insuran information. ce for my employees. Below is the policy and job site TnTance Company Name: Nay �j Policy#or Self-ins.Lie.#k �p D��'� 1 4� 1 2. Expiration.Date: l— (CS — I Job Site Address: Clly/s awzsp: Attach a copy of the workers' compensation policy declarmfion page'(showing the policy number and expiration date). FaRam-to.secme coverage as requireduader Section25A ofMGL c. 152 can lead to$�e imposition of c�uiaal fine tip to $1,500.00 and/or one-year m �r ipnson as wen as'�p�fies in the farm of a STOP WORK ORDER ands a ime Iof up i jjon,q$250. 0 a day against the vim a dvised that a copy of this statement may be forwarded to the Office of uve ons of the WA for insmanc verific ' I do hereby certify p s• of wy that the information provided above is trio and correct • - Date: �_ --1� Phone Y1 (C) Offzcial use only. Do not write in this area, to be completed by city or.town official City or Town: PermitUcense# Issning A�or7_� e o .'1.Board of HemlDepartment 3.City/Town Clerk 4.Et lectrical Inspector 5.PIUMbing Inspector 6. OtherContact Person Phone#: var car cult iu+� �: vi rev+ jvo vcv JVV0 i,cuuaau -i ua ui auvc nycu+;Y �vv.r vv. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual insurance Company • 54 Third Avenue,Burlington,Massachusetts 01803 (800)876-2765 NCCI NO 26158e' POLICY NO. AWC 7016215012012 PRIOR NO. I AWC 7016215012011 ITEM 1. The insured Mark Herbst Mail Address: 35 Peep Toad Road Centerville ;: MA 02632 Street No. Towm or City = Counry State Zip Code FEIN xxxxx2887 ®Individual []Partnership ❑Colporatlon OJoint Venture OAssociation []Other Other workplaces not shown above: 2. The policy period Is from.01/10/2012 to 01/10/2013 12:01 a.m.standard time at the Insured's mailing address. 3. A. . Workers Compensation insurance:Part One of the policy applies to the Workers Compen"Whi:Law of the stag listed here; MA B. Employers Liability Insurance:Part Two of the policy applies to work In each state fisted in it6M 3:A. The limits of our Lability under Part Two are: Bodily Injury by Accident$ 100.000 each accident Bodily Injury by Disease $ 500.000 policy-limit Bodily Injury by Disease $ 100.000 each employee C. Other States Insurance:Coverage Replaced By Endorsement WC 20 03 06A 0. This policy includes these endorsements and schedules:SEE SCHEDULE 4. The premium for this policy.will be determined by our Manuals of Rules,Classifications,Rates�and Rating plans. All information required below is subject to verification and change by audit. ClassIfIcati0o Premium Basis . Rates Cale Esttmamd Per$= Estmsted No. Total Antwal Or Ammwl Remuneration . RerrAmemian Preftm INTRA 150148 SEE E CrENSION OF INFORMATIC N PAGE Minimum premium$ 500.00' Total Estimated Annual Premium $ _ As Indicated interim adjustments of remium shall be made: Deposit Premium $ - ® Annually ❑ Semi Annually [] Quarterly []"Monthly MA Assessment Chg. $1,649.20x 5.9000% $97.00 This policy,including all endorsements,is hereby countersigned by 12/12/2011 Authorized aomt ffe Date GOV GOV KIND PLACING CLAIM NAME SAFETY Leonard Insurance Agency Inc STATE CLASS AUDIT OFFICE OFFICE CHECK GROUP 683 Main Street Suite B MA - 5645 2 704 Osterville,MA 02655 WC 00 00 01 A(7.11) Im lodes oopyrighted material of the Nast W Cowe;O on Canperaadan msurarm, used with @s perewslon. 1, . r �ie fJmnvnzaozca °� � � License or registration valid for individul use only Office of Consumer Affairs&B6siness Regulation i g, y HOME IMPROVEMENT CONTRACTOR before the expiration-date. If found return to: - Reg istration:Y-:,l26480 Type: Office of Consumer Affairs and Business Regulation Expiration: 6/8/2012 Individual ? 10 Park Plaza-Suite 5170 Boston,MA 02116 MA K HERBST ttt - _, •� - MARK HERBST.1 ; '., •+ `. I 35 PEEP TOAD RD CENTERVILLE MA 02632 r ,Y Undersecretary. Not valid wi o t signature VL0Z/LZ/L0 Jaaoislwus so0 uoitejidx3 Kt .+aye � t/11WNA `'L1i TI IIA2ITLNT�� J Q2I 4+O.L L U S£ .� o- •ram e..- �.,.,.:> -7i 1kgam Q mum 9b9800-S3 :asuaorl �. locLUadnS uou�nJl%uo3 �k. spiepue;s pue suoitelnBaa Buiplin8;o pjeo8 fjateS oilgnd;o luawliedao-s}49snyoessew X y.: E' led lErl,-S Old/= d Jg Ci e� 4 C V i � � M i F t f i s 4 a a: f s 1 - ram: ii`. i i E f' T _ .'. �c .mil&- _ _ . X 2 Y 6 • f g OF My File Edit , Tools Help Year/Type/bill No. Customer Account Information History....... 2012 RE R . 28415 � 374384 L�3 Detail Property Information VVELD,THOMAS G&NINA K 59 RIDGEVIEW AVENUE Parcel ID 095-005-002 GREENVdICH, CT 068.30 Orig Bill -- Alt Parc Effective Date Prop Loc 269 SEAPUIT ROAD ( �Ihr�Special Conditions/Notes , Lien/Sale Scan Bill Installment Information Int Dt Billed Abt/Adj PmtfCrd Interest Unpaid bal `Quick Entry 08/02/11 10,540.60 r .00 11 10,540.60 .00 _ 00 11f02f11 10,540.60 _ .00! 10,540.60 � .00 7 00 Utility Acct _ - 02/02/12 1 11,364.37; 1 00 11,364.3T _ 00 00 Customer 05f02/12J 11,364.36 10017 11,364.36 ' _ Y .00 Name Fees/Pen _ .00 � __00 ;� _ _.00' _ - ,00 ' .00 Totals 43,809.931 00 _43,809l93� .00 00 Parcel I — _—— - ' Prop Code -Notes/Alerts Due 06.101,12012 .00 Bill Dates ]AN 1 Owner: WELD,THOMAS G&NIN Per Diem .00 Int Paid 00 Bill Audits __ _ Total Paid 43,809.93 1Aew prior unpaid.bids Bill Events Reprint _ _ I Preferences Diagnostics 1 of 30 , ;F Attachments(0) Display transaction history for the cu—rreJnt bill. Ovvv I �J �b V I\ l - � s Pr a _ is�-Cv,S 1\4 Poo se w r . p i s . i v � 0 :. ................:.................. ....... .... _-.. S, r .s l i 777 OF . '::.. w. �u C*. AL ............. 1 ' ® 7 r1 1 �S7 . i ! t 4 _ 797979 - ' ry�ga I Z (0030a 1 P�oFIKME Town of Barnstable *Permit# O Expires 6 month r m issue AaLrN j Regulatory Services Fee SnRNSTAELE, ' Tbomas F. Geiler,Director PrED AAAy A Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyaianis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 41 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address �C A, t1 �� Residential Value of Work — Minimum fee of$25.00 for work under$6000.00 Owner's Name& Address s:Ai `e ' /;7-/4f Contractor's Name Telephone Number 77 Home Improvement C ntractor Lice e#(if applicable) PERMITPRESS ,Construction Supervisor's License# (if applicable) ns SUN 17 2010 Workman's Compensation Insurance J Check one: TOWN OF BARNSTABLE ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance / Insurance Company Name Workman's Comp.Policy# m 'Y Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) [ Re-side 6dltitQ�'" U� # of doors Replacement Windows/doors/sliders.U-Value (maximum .44)# of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. 'A copy of the Home Improvement Contractors License & Construction Supervisors License is, required. SIGNATURE: Q:\WPFILES\FORMS\building i s\ExP doc Revised 090809 ,A0QBD- CERTIFICATE OF LIABILITY INSURANCE 06/0ir2010Y'"' 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 g y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. lyannough Rd., PO Box 1990 nnis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Mutual Insuranc C.J. Riley Builder,Inc. INSURER B: P.0. Box 382 INSURER C: Osterville, MA 02655 INSURER 0: 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. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD/YY DATE MM/DD/YY LIMIT'S A GENERAL LIABILITY MPOS9664 05/02/10 05/02/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES fFa occurrence) $500 OOO CLAIMS MADE a OCCUR MED EXP(Any one person) $10 000 X BI Ded:500 PERSONAL&ADV INJURY $1 OOO 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PE° F LOC A AUTOMOBILE LIABILITY M9059664 05/02/10 05/02/11 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY $ X 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 FI CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ TATU A WORKERS COMPENSATION AND WC059664 05/05/10 05/05/11 X WC LIMIT OTH- EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 OOO OFFICERIMEMBER EXCLUDED? fVO E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Tom&Nina Weld DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 269 Seapuit Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Osterville, MA 02655 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S69906/M69905 LS1 0 ACORD CORPORATION 1988 Massachusetts- Department of Public Safety Board of Buildint, Re4rulations and Standards Construction Supervisor License i License: CS 66147 Restricted to: 00 CRAIG J RILEY PO BOX 382 OSTERVILLE, MA 02655 , E Expiration: 2/5/2011 Commissioner Tr#: 10398 Office of Consumer Affairs&Business Regulation or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration:z�12579g 10 Park Plaza-Suite 5170 Expiratlon ,'=4/30/2012 Tr# 291903 Boston,MA 02116 Type:,, Private Cor'.or'ation C.J. RILEY BUILDER iN r CRAIG RILEY 10 B WIANNO AVE.. OSTERVILLE,MA 02655 Undersecretary LWot va wit t si afore i ' The Commonwealth of Massachusetts Y Department of Industrial Accidents • �' Office of Investigations 600 Washington Street t� Boston, MA 02111 yy www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Ise ibl Name (Business/Organizati on/l ndi vi dual): Address: City/State/Zip: 4 Phone #: ` Are you an employer?Check the appropriate ox: Type of prtyject (required): 1. I am a employer with 4. I am a general contractor and I ❑ einployees'(full and/or'paft-time). * e hired the sub-contractors.. 6_ New construction 2.❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for mein any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LM Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 1.2.® Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' • comp.insurance required j "Any applicant that checks box#] must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. . I am an employer that is providing workers' compensation insurance for my employees. Below is thepolicy and job site information. ° Insurance Company Name: x/ Policy# or Self-ins. Lic. Expiration Date: y� Job Site Address: City/State/Zip: Attach a copy of the workers' comp sation policy declaration page(showing the policy number and expiMna , Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal pa fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. LPhone#: ertify tin er the pains and p Iti of perjury that the information provided above is trice and correct. //40Date: C� D 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#: 1 information and hStructions all employers to provide workers' compensation for their emplo• Massachusetts General Laws chapter 152 requires Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written:" An employer is defined as "an individual, partnership, association, corpofes'enl liveon or s'of aer edeceased employer, orgal entity, or any two olheore of the foregoing engaged in a joint enleypnse, and including the legal p . employees. However the receiver or trustee of an individual, partnership, association or other legal entity, employing or the ccupant of the owner of a dwelling house having not more than three r c o e apartment an who resides hereiir work ono Such dwelling house on dwelling house of another who employs persons to d or on the grounds or building appu of such employment be deemed to be an employer. rlenanl thereto shall not because the uance MGL chapter 152, §25C(6)also slates that"every state o.�olo construct bulicensinildings in the commonwealth sfor any r renewal of a license or permit to operate a businessAo applicantwho has not produced acceptable evidence of compliance with the insurance coverage required.' Additionally,MGL chaplet 152, §25C(7) states"Neither the commonwealth nor any of' ts political subdivisions shall enief into any contract for the perfoiri�ance of public work until acoceptable evidence of compliance with the ins�uance requirements of this chapter have been presented to the contract�nb Y Applicants '. . Please fill out.the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), addresses)and phone numbers)along with their certificale(s) of an the with no employees oh in Limited Liability Companies (LLC)oLiability Partnerships(If an)LLC or LLP does h vte er th r Limited Liabili members or partners, are not required to carry workers compensation employees a policy is required. Be advised that this lso'davit be surge to signay be banldled to the date the aaffidavit ntThe affidaviilsho0 Accidents for confirmation of insurance coverage. A be returned to the city or town that the application for the pen-nit the law or if ou are required to obtain uested, n Dt the le workers't of Industrial Accidents. Should you have any questions regarding Self-insured companies should enter their compensation policy,please call the Department at the number listed below.. self-insurance license number on the appropriate line. City or Town Officials ed a space at Please be sure that the affidavit is complete and pnnted'lof InvestT atihe lonshas to contact yorartment has aregarding the the of the affidavit for you to fill out in the event the Office g Please be sure to fill in-the.permiUlicense number which willbe used as need only submiencc t one,affidavit indicater. In addition, an png�currrent that must,submit multiple permitflicense applicalaons�n y g Y _(City policy information (if necessary)and under"Job Site .stamped the or marked by the should ty or town maytbe provided of t or town),''A copy of the affidavit that has been officially stampout each applicant as proof that a valid affidavit is on file for future rm LS armiot not related ton any br licenses w usiness or commercial venture year. Where a home or owner or citizen is obtaining a license p (i,e, a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Office of Invesligalions would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Depart ment's'address, telephone and fax number: The m Comonwealth of Massachusetts Department of Industrial Accidents Office of Investigations . • 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617427-7749 Revised 4-24-07 www.mass.P-ov/dia r scM: CJ May<cj@cjriley.com> , Permision permit applleation e: June 15,2010 3:40:48 PM EDT Tc: Mina Weld<nweld@optonline.neb Cc: Tom Weld<tgweld@optonGne.neb 1 AttaahmeM 196 KB Hi, Torn of Barnstable °, Regulatory Services ��:�e,vc+srwu-.g! 7'hamasF.C:eiler,Director r..s- °jq . B g dldin Division "�Fo w. Tom Perry,B'jlldiog Com.—t:ssio- 206 Maio S•.rte.,Hya=is,, " Or,:CI -^j"Y.t o svn.b a re s to b l e.m e.u s Fax- 508•79:-62?0 o.fine: 5n-862!,;:3K Property OwnerlV ust Complete and Sign"I'his Sccton If Using_A Builder • — v as C)wne'o:the subject propeiry herebyaurltorize �yY `�" / /�` �2�.1...to act onnti ehilE, in al matters:-1a� VAcc worts aurh b t!s buijdL�g pe!Ycit ap L:a•ion ie c 2+ 5e,6vo 4sfe� (Address f job) i �ignaeue o:aan e: — — Dare — pru:r Tram= If PrepertyOwneris applying forpermit please ccmplete the I3omeowners License Exemption Form cn the tewerse side. Could one of you sign this and fax or email back? • Thanks, L'd 128ti:80 06 61 unf • Technical Product Per*nce Data Summary • Customer Information: SHEPLEY WOOD PRODUCTS 216 THORNTON DRIVE Ea ems. winnows 000as an Andersen Company HYANNIS MA 02601 Job Name: Quote: 700264 Rated Units: Unit Unit Weighted performance Qty Line Position Unit Type Width Height Unit Sqft Total Sqft U-Value SHGC VLT Contribution Class to Entire Job 1 100 1 CLAD DOUBLE HUNGS 26 48 8.6667 8.6667 0.34 0.27 0.46 2.947 1 100 2 CLAD DOUBLE HUNGS 26 48 8.6667 8.6667 0.34 0.27 0.46 2.947 1 100 3 CLAD DOUBLE HUNGS 26 48 8.6667 8.6667 0.34 0.27 0.46 2.947 1 200 1 CLAD DOUBLE HUNGS 26 48 8.6667 8.6667 0.34 0.27 0.46 2.947 2 300 1 CLAD DOUBLE HUNGS 34 54 12.75 25.5 0.34 0.27 0.46 8.67 2 400 1 CLAD DOUBLE HUNGS 30 57 11.875 23.75 0.34 0.27 0.46 8.075 2 400 2 CLAD DOUBLE HUNGS 30 57 11.875 23.75 0.34 0.27 0.46 8.075 2 400 3 CLAD DOUBLE HUNGS 30 57 11.875 23.75 0.34 0.27 0.46 8.075 1 500 1 CLAD DOUBLE HUNGS 30 57 11.875 11.875 0.34 0.27 0.46 4.038 1 500 2 CLAD DOUBLE HUNGS 30 57 11.875 11.875 0.34 0.27 0.46 4.038 1 500 3 CLAD DOUBLE HUNGS 30 57 11.875 11.875 0.34 0.27 0.46 4.038 2 600 1 CLAD DOUBLE HUNGS 30 57 11.875 23.75 0.34 0.27 0.46 8.075 2 600 2 CLAD DOUBLE HUNGS 30 57 11.875 23.75 0.34 0.27 0.46 8.075 2 700 1 CLAD DOUBLE HUNGS 34 54 12.75 25.5 0.34 0.27 0.46 8.67 2 800 1 CLAD FRENCH SLIDER 71. 82 40.8576 81.7152 0.33 0.27 0.46 26.966 1 900 1 CLAD FRENCH SLIDER 71. 82 40.8576 40.8576 0.33 0.27 0.46 13.483 1 900 2 CLAD FRENCH SLIDER 38 82 21.6389 21.6389 0.34 0.24 0.41 7.357 1 1000 1 CLAD DOUBLE HUNGS 32 48 10.6667 10.6667 0.34 0.27 0.45 3.627 1 1100 1 CLAD DOUBLE HUNGS 32 48 10.6667 10.6667 0.34 0.27 0.46 3.627 1 1200 1 CLAD DOUBLE HUNGS 32 48 10.6667 10.6667 0.34 0.27 0.45 3.627 2 1300 1 CLAD CASEMENTS 26 60 10.8333 21.6666 0.31 0.3 0.5 6.717 2 1300 2 CLAD CASEMENTS 26 60 10.8333 21.6666 0.31 0.3 0.5 6.717 2 1300 3 CLAD CASEMENTS 26 60 10.8333 21.6666 0.31 0.3 0.5 6.717 1 1400 1 CLAD DOUBLE HUNGS 32 69 15.3333 15.3333 0.34 0.27 0.46 5.213 Page 1 of 2 Tot• 496.5867 165.66318 _. Weighted Average 0.3336 Non-Rated Units with Applied default U-Factors: Single Double 2006 IECC Table 102.1.3(1) Glazed Glazed Operable(including sliding and swinging glass doors) 0.95 0.55 Fixed 0.95 0.55 Unit Unit C Weighted Performance ontribution Qty Line Position Unit Type Width Height Unit Sqft Total Sqft U-Value SHGC VLT to Entire Job Class Totals: Weighted Average Job Total With Applied Default U-Factors on Non-Rated Units: 496.5868 165.6638 Percent of Job Non-Rated: 0 % Weighted Average: 0.3336 Quote is valid for 30 days from date of issuance. Page 2 of 2 ?.41ot numg..�?�5 *THE 0 I number .....Sewa r ................................. 33AR33TAXLE. Housenumber ................................................................. MAO pp %63 . TOWN' OF ,-BA.RNSTAB'LE SUBJECT TO APPROVAL OF . ISPECTORBARNSTABLE CONSERVAT16h BURDING ICOMMISSION APPLICATION FOR PERMIT TO .......... Ldlm............................................ TYPE OF CONSTRUCTION .......Q't". .............................. ...........lipoxx.�. ..,.4 ............. ..,...................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a per it according to the following information..`=4��'?.� 0 Location ....... . ..........................................*............................. Proposed Use ........................ ...................................................................................................................................................... Zoning District ................................... ....................................Fire District Name of .......Address .A4---1L-4Q10Ck Name of Builder/40AJ11-11, . ... ... .. ............ .........Address ... . . ............. Name of Architect ........ ....... X...................................... -Ae QL........I Foundation .. 1. ...... . A 41 Number of Room . ... ^n-.. .Foundation ....OR -a ............. ........... -t..........r... Exterior . . . .......................................Roofing -.0 - ..................................... n -A Floors . .............................................................Interior ................... .............................. Heating ....................................................Plumbing A .. ........ ................... Fireplace ... Approximate Cost ......... . . ...00.................................. J. A�D Definitive Plan Approved by Planning Board ---------------------------- Area 4Q0.A....... ...... Diagram of Lot and Building with Dimensions Fee ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. QQ Name 4. Mattbi000eu, G. C. . . ` ~ . "20881 add to dwelling,NNJ.).:............. Permit . for ..................... . ^ nd remodel ---------------------.. ' Pine Island --..^—.----------------. ' . . ' Oaterville , � ...------...-----~---,-------. ~ � ' G. C. Mattbiaoaen Owner ----.-----------------.. frame . . Type of Construction -------------- . . . ��,�� Pkot -------.-- Lot ----------.. ' ' ~ . , ' ' Permit Granted ..... ............1V ?8 ` Date of Inspection ,/��'��—._--.lg ~ � Dote Completed ---lg ' PERMIT . , . ' . . REFUSED 1A , . ----.�_—.--.---.------- `.----.--.,.—.---------------.. ' .—.---.—.,.—..._.—._-........L--_..^"— —.--.--.--.----_..�—..--..`—...—.—, .—.—.—.--.--....^..—..—.—~,...~.---, ' Approved ................................................ lV ' . ' , ` '--------'----`--^—'--'—^'--'-- ' -------''----------~—^^^'^—'~—' �, J it f Assessor's map and/Ot number .............: �oF"INE rot Sewage N`rft•ji /M"ber ........................................................ v Z SAWSTADLE, i House num vo ran& ber ................................................... p 1639• 0� MAY A, ' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ............:................................................................................................................ .. TYPE OF CONSTRUCTION ........ .......... ....... ^`................ .... ......� ... ...Y:..........'� ............................ Ap .................... ...........................19....... " TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the followinginformation: Location ..........J...'..:...........:` I................................................... !..V. ..................................:............ ProposedUse ......................................................................................................................................................................:...... Zoning District ................................................Fire District ..(.)n•.^••Un'f-.. ., ` �.le i •. a'n� ,>_• Name of Owner .:k.....................,� �+ t< Pr :, �.._ -Address ... .....^...° `�tt..... ,_ !/. ........................................ �i/................................... ) .......... Name of Builderl�4.....:::^^ ••• - .�..�.:'............�..... ! �'.:"?.?�...........Address ........��.......................�..r.�.rt�`:..:..�........................... a � Name of Architect ...........'................�......_.. ,. N... ..h!1 Address /.... .r• .... .................. ..................................... X • , 4 � ��rl,4ie Number of Rooms ..... .... :...........�:..� ......... ...Foundation A^... ^ t Exieriorrr �?........................................Roofing ...i ...................... .......................................................................... J o Floorsr.r...r' ' Interior !'.................................................................... .......................,.......,...................................................... Heating ...............�..........................................Plumbing Fireplace ..r..�.:.y.j........� i n Yi n;J Approximate�Cost........................, ....................... Definitive Plan Approved by Planning Board ------------------_-_ ...tj...S'.•....•.•��k.i;• a - -------19-------. Area .......... Diagram of Lot and Building with Dimensions Fee L) SUBJECT TO APPROVAL OF BOARD OF HEALTH " P I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. , Name ........................... ................................... Mdtthiessen, G. C. A=95-5 br9,- 1 20881 /add`to dwell" No ..?.............. Permit fob................................... 4 and remode,2' Loca#i?n ....................................................... 1 Osterville f................ .................................................... Owner .........G. C. Matthj. j§ssen ........................ ..:............................. f name Type of Construction .......... ............................... ................................................... .......................... Plot ............................ Lot .. .................... Permit Granted .........Ilecemh®r...l••.......19 78 Date of Inspection ............ .......................19 , Date Completed .... .................19 PERMIT REFUSED K�.................................. ...................... 19 !.l'�..'.".. ! ...................... .G. .... ........................... .... ........ .. ...................................... ..... ...................... ................................. Approved .....'........................................... 19 ' ............................................................................... ..................... .......................................................... %' - .•.R .. ��/ • t � _ ` � ' ' ... t � _ ` f .. � .. . r .. - .. e � .. - t �. 1 .. �. \, �, . _. , . ._ _ ,_ .. . �� .. c a: � e �� . , i � ��,r ,� - � � �, � • ,• � �. ` •_ �. r ..j 1 _ .. o :z --_-� .'�r...K,y„g':�.8.�,=.b13.iiN�"."�ir�' � 1NEY'.5�i'�v"�a ` '"�',"� '�`'.�v6iNF.Y3��'.�R�;`ii{rt;f;Y+_.'"•Y�..,s,V '�rt"�4�k �a"�"g�'snx,�s,�-e++.�e'�rtiYkr�v+�Pl�, Assessor's 'office-.(1st floor):'�I � Assessor's map'and lot number ......... ................................... Board of Health (3rd floor): Sewage Permit number ... Engineering Department (3rd floor): / r� roc rasa ♦� House number ..::....: [�' � i639 • :...."................. :........: Definitive Plan Approved by Planning Board ________________________________19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. ,and 1:00-'2:00.P.M. only TOWN, 'OF BARNSTABLE BUILDING INSPECTOR CIAO— i y?PEOF N'FOR PERMIT TO .................................: �� 'A............................................... .............CONSTRUCTION WnOp' \ZszS►��T�� ................ ............................................................................................. _ o I .� ............................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap lies for a permit according to the following information: P„�e 1 1oS informatio n: Location ..... .�T........ ............................ .... .. . ...........Z ` S T.... .t.L....�................... Proposed Use ..... Zoning District ..... � — '.................. Fire District .......... " LLE . ............... G � `Name of Owner �.. �D.......�... =.��!... ........ Address ...........S.P."1........................................................... { n Name of Builder ....E..:. .. x T 1C') ................Address ....y.d�....1`US1r (L�'...�r4.1?.@ ..j...�-�..V,.Q!�?►.�.e$.... iName of Architect .....E..:.J ..SX C"1("1L.� ................Address ..............5:A�-2....................................................... Number of Rooms ............ .....................................................Foundation ....... .............................. Exterior ....WOE...... .�.!� .fie.........................................Roofing .............W09'f�....�H.!!1?.j.to.............................. Floors .......Cd!-?Cc�2 4.......................................................Interior ..............Q.".%." 4�e ...... Heating �O1-3l-- ....................Plumbing O0►�- Fireplace ...... . d W pp UOu ............. ..L.. ..........................................................A Approximate Cost ................�.�• p i Area ......LA-A o ........................ Diagram of Lot and Building with Dimensions S �..d...................ee ... . ... OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above l construction. 4 Name ..... ........_......._. ................................................ �ooZs� ... Construction Supervisor's License .......... . .....:.......... GOWANS, LEE R. A . No ,33372 permit for .,Build 2 Car Garage Accessory to Dwelling Location ....269 Seapuit Road ........................ Osterville ............................................................................... Owner Lee R. Gowans .................................................... Type of Construction Frame Plot ............................. Lot ................................ Permit Granted ....NOvemb.er 20,,....19 89 Date of Inspection ....................................19 Date Completed ......................................19 , { 1 '� r,^rf i I � ``� .\=� •.� :') ,` ' ,/ �r /..ram' 1I il'• t l• _ YYYY1 . no f• ' N lY \ 1 fA )01 c •v� ^�;,, �i � { i c 'r�: 'fir j \ .� • , �. ,ate•� � ?P I;.� / W ;�,:: ;_ • i r \ f Assessor's offioe (1st floor): (}(� tN.E P T Assessor's ma and lot number ....1>..�` ........................... V" ,"�41 SISTEM MUST BE- Board of Health (3rd floor):. h!;LLED 6N COMPLIANCE Sewage Permit number ......&-7:.a cy....................... .... 1511 A H TITLE 5 i BaaaszsnLE, . Engineering Department (3rd floor): ..\JV",T�Z�9 EMTAL CODE AV'D �O� , r6}9• \e� House number �' W �Fp ypY a• APPLICATIONS PROCESSED 8:30 9:30 A.M., and 1:00-2:00 P.M. only A P P x ° ";E °T N OF BARNSTABLE Ba sta a Con rvatioA Co>tm � �p. UILDIHG INSPECTOR Si nod Date APPLICATION FOR PERMIT TO ...... .....0.0.... .....EX�.STI.!' ......I�.::?2S..L1.... .............................. TYPE OF CONSTRUCTION WpG)1!�... . . 4L-S.1 .! fnW�........................................................................... ........Lz ......................... Al.1 TO THE INSPECTOR OF BUILDINGS: The undersigned hereb 19 applies for a permit according to the following information: Location .....L4r.. .......1"OD�?�.....�.�1. �- ..... U. T' 0.Xk- .. �. .. . ............... . ...... _1 ProposedUse ....PAr4.iAC -!.rA.1.�....................................................................................................................................... Zoning District ....( :V. ......................................................Fire District .....UST Vl.4. ............................................ Name of Owner ..............Address ` 1 Name of Builder ... ...................Address ..................... Name Name of.Architect .T00mr—\.S..... ..................Address ....P,A(L-!(!.�-.Q-�. 1.... ?, L4h4- ....................... Numberof Rooms ....... .......................................................Foundation ..... ........................................................ Exterior ..... ......................................................... .. ........1A1.aCAI1j............................................................. Floors ......P.L..Y.Wod ............................................................Interior ..... OveA .......................................'.................... cleating ...Q.l4-..-'.. r. ......I..........................................Plumbing ....N.Q.►.�_............................................................. S Q-0 Fireplace ....OOK14. ..............................................................Approximate Cost ........kUpf.0 q?........................................... w Definitive Plan Approved by Planning Board ________________________________19________ . Area 00 ............'.............. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...,EY- : . �................................................. . _ Construction Supervisor's License ...�0�2-�....................... ' GOWANS, [9TLLTt'�N & LEE. ra z.,• cv No 31464 permit for, B i,.=1d Addition SingleDwellin Location ....Lo-i_. #7,,�8 2g9...PinP...1sland • Ostervi�lle Owner ...William's &..Lee Gowan ................... ....... .... .. .j Type.of.Construction .. Fra mew,� .........,.:b........................ -; -_• • , s .................... ......... .�............................. Plot ............................ Lot ................................ Permit Granted D'e°c:ember 4;, 87 f ...............................:........19 t - ryDate of Inspection ......... .....................:::.19 Date Completed ..............f... .................19 qoc- Nb �z. 41 �� r •� {� .i�� '`-�.,- ''dP � /pl'Zo40 fir•' .. ... •� wF �tiL .. Assessor's office Ost floor): O 0 cam tV �' 0 0 INC Assessor's map and lot number ..> ...�........................ .. it �` Board of Health Ord floor): �/y� ��'�Q.� . ^•^, (�`"Us Sewage Permit number .... rvIFcc// Aee w, Engineering Department (3rd floor): �/ ry WIT ;,I oo �6S `ems House number ..... ........................................ .............. E�;��/��/�n, � ''�c r a �" •�D@OY6 CODE YP Definitive`Plan Approved by Planning Board -----------_____ �G APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN RZaULATIONS TOWN OF BARNSTABLE APPROVED AVILDING INSPECTOR strnatable C�P - m >ao-� y R PERMIT TO ......... -,.... A.*�Qi�..................�t-'tWt-�-�k.........�. .7,d TYPE OF CONSTRUCTION Wc?,O!...... ''.........S id•Q.uT..4t— �..� 'a.......................,19.11 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby or lies for a permit according to the following information: 1 _ n Location ......�-�7T..... .. �... �"1►��......�5 ... Q.� .c'1.4114 ..........3,�0�...5+2.0.PVtT..2 ................. t...... Proposed Use ......k5`.44-1 pc�r.......................................................................................................................... .............. Zoning District 9--,� I. .............................Fire District ....�rE s,Z.,J.1y.. ..I...%Ta,V�.LAR........ Name of Owner .l ' ,......Qr..(�:!.OL A S...................Address ..........SAT-1.e....................................................... ... ti. Name of Builder .................Address ....LAS.... .P.SA(LI-1...�►UQ,..t..y.Y.�►1:?!J.�.S.... I 0 Name of Architect .....rz..'.� ;T ?. T1.T:1eyL................Address .............. ...................................................... Number of Rooms ............ .....................................................Foundation .......POvfta....C40-3(A. . ........................ Exlej for .....k-0Q.00:....S .1!J ...........................:.............Roofing WOOD....41+,k?.. 1 .................................. ., Floors .Q ......................................................Interior .............VF14��S . .... ............. ...................................... * Heating .....�30m ..................................I.............................Plumbing ................!IS , l ±.................................................... Fireplace N.Q�"1� .........................Approximate Cost ................,. �.OPP AreaOp...................... I Diagram of Lot and Building with Dimensions Fee T ..........•�.!.......................... u OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bo nstable regarding the above construction. Name ..... .. ... r ....................................... Construction Supervisor's License r✓ �GOWANS, LEE R. No ..3.337.2.. Permit for Buifd ?;,"Car Garage :13 r: Acces.sory...torv,Dwe11itKq . Lot 78 269Sea uit Road Location ............�......,...............::........ Ostervilleo ........................................... .�... ........ .............. ; ,• Owner ...Lee...R.....Gowa-ns® ....... ................ 5 Type df .Construction Framer- V .; ............ • ................................................... .... �............. ; .` • • 1 � � Plot ............................ Lot ................................ t November 20 89 � Permit Gran ed .......... ..................... ....�.19 s �- Date of Inspection ..................................J 9 Date Completed ........ . . GENERAL NOTES: ' •r _ - - These drawings and specifications - - shall remain the sole and exclusN - - property of D.Michael Collins Architects as Instruments of .. - - - service.All drawings,sections of ' ' - - - - drawings,detalls,and design - - concepts shall be used only for .. .. _ the.purpose Intended by the BUILDING I LD I p p G D E PT Architect and shall not be copied e IV amended or reused'at.another site without the expressed written consent of the Architect. SEP 2 8 1017 it is the responsibility of the Contractor to review these . � - drawings and.report any errors or discrepancies on the drawings, " - TOWN /� - shop drawings:,details.or - .. . O BAnNSTABLE associated sketches to the Architect before construction has .commenced:Do not scale drawings. LO•E OF ROOF ABOVE - Li AR EXISTING - .' �y�G1{AEI,C. .EXIBTOJG - _ EXISTING `'EXISTING 21tlIhGt IBA@H I ' IRDOM .I REVISIONS: EXISTING EXISTING IF .. .. . . - _ POWDIE8 - �STUDY, ISSUE-0ATES: ".• . EXISTRJCa - 'EXISTING . . FAMILY.ROOM. ,I I• _ K�I> .. - - 91920171SSUED FOR PERMIT - EXISTING EXI - _ .. .. TRELLI6 - . . .. - .. - - - - - - - - -21 ELIOT STREET NATICK.MA 01760 '.DMCARCH.COM P-F508651.7099.. WELD' RESIDENCE 269 SEAPUIT ROAD ' - .. . . OSTERVILLE;MA�•' .. _ - �"_DRAWN BY:, 'DATE: 9.19.2017, .. - . DESCRIPTION: . Existing F'rsf Floor Plan Ex 1 • GENERAL NOTES: These drawings and specifications shall remain the sole and exclusive property of D.Michael Collins Architects as Instruments of service.All drawings,sections of drawings,details,and design concepts shall be used only for the purpose Intended by the Architect and shall not be copied amended or reused at another ` site without the expressed written consent of the Architect. It is the responsibility of the Contractor to review these drawings and report any errors or EXISTW.FLOOR disaeponcies on the drawings. FRAMING TO REMAIN shop drawings,details,or associated sketches to the ' Architect before construction has commenced.Do not scale DEMO AND REMOVE drawings. EXISTING DOORS AND WALLS DEMO AND EXISTING DEMO AND REMOVE EXISTING I — REMOVE EXISTING I I I GARNETS CABINETS I AN I EXISTn Y EXISTING FXISTtt C I I DEMO AND ,� II�SH II I I REMOVE EXISTING "NO' WALL FOR LDEMO AND �'fJ I POCKET DOOR REMOVE Of EXISTING POST DEMO AND SEE S 1 FOR REMOVE EXISTING NEW BEAM STAIR I I I REQUIREMENT I I I DEMO AND REMOVE E - I 1 I I I XISTNG WALL 1 — ---- —�-1 I k— — I 1�-- yr--- 1I I I 11 11 I�• °�M EEDEXISTING REVISIONS: --------------- TOILET,SNOLLER LEXISTNG 1_L 1 AND SINK EXISTING II I I 1 II-1 M STUDY REMDE SAND I •L J 1 »22t1,1J 1( EXISTINGJ— II WALL&AND II I ----------� EXIST Q I I CABINETS 1 I I EXISTING 1 DEMO AND I I DEMO AND - FAMILY ROOf'1 REMOVE EXISTING I REMOVE EXISTING I I I I 1 CABINETS 1 I WINDOW ISSUE DATES: 1 1 I 1 9.19.2017 ISSUED FOR PERMIT II II I I -----------j EXISTING DOORS TO REMAIN,PROTECT AS REiQUIRED EXISTING 2EfdS DEMO AND REMOVE EXISTING ❑ WINDOWS CUT NEW OPENING ❑ ❑ IN WALL FOR NEW WNDOW 21 ELIOT STREET NATICK,MA 01760 DMCARCH.COM P-F 508.651.70" WELD RESIDENCE 269 SEAPUIT ROAD OSTERVILLE,MA - DRAWN BY: ' DATE: 9.19.2017 DESCRIPTION: FIRST FLOOR DEMO PLAN DWG.# D 1 .0 �• GENERAL NOTES: ., These drawings and specifications shall remain the sole and exclusN property of D.Michael Collins Architects as Instruments of service.All drawings,sections of drawings,details•and design concepts shall be used only for the purpose Intended by the Architect and shall not be copied amended or reused at another site without the expressed written consent of the Architect. it Is the responslbmty of the Contractor to review these drawings and report any errors or discrepancies on the drawings, shop drawings,detalls,or associated sketches to the Architect before construction has commenced.Do not scale drawings. N�F 0,0 tb.6909 O EXISTNG EXISTNG UP CHIMNEY 0011),EY NEW HSS 35 x NEW M - 35 x i COL. F COL. - CRAB UP SHALLOW CRAW @,�ENL J SPAGE 6P8GE--- REVISIONS: NEW 3'-0°X 3'-0°X 1'-O911A4 CONCFRETE ABANDONED . FOOTMG WINFORCED W CHIMNEY - (4)-4 BARS EIU. - TO BE - REYIOVED . VERIFY FOOTNG LINDER EXISTING CHIMNEY - ISSUE DATES: 9.19.2017 ISSUED FOR PERMIT NEW NEW COL. COL UP UP 21 ELIOT STREET NATICK.MA 01760 ❑ ❑ DMCARCH.COM P*F 508.651.7099 WELD RESIDENCE 269 SEAPUIT ROAD OSTERVILLE,MA DRAWN BY: DATE: 9.19.2017- DESCRIPTION: FOUNDATION PLAN DWG.# A 1 .0 • GENERAL NOTES: These drawings and specifications shall remain the sate and exclusive property of D.Michael Collins Architects as Instruments of service.All drawings,sections of drawings,details,and design concepts shall be used only for the purpose Intended by the Architect and shall not be copied amended or reused at another site without the expressed written consent of the Architect. It Is the responsibility of the Contractor to review these drawings and report any enots or discrepancies on the drawings, shop drawings,details,or associated sketches to the Architect before construction has commenced.Do not scale drawings. STEPS AND LANDING EXISTNG 'I NEW CABINETS BY DrNNraOTHERS BAR NEW CABNETRY I iv ` I NEW FLOORNG �p�t GNAEC, LAUND EXIBTMG' I � ,� dEl4! I W t1o.SWY '-�' 2BtIIffi ROOM- 1 I T D T—INE F-K'T D Of I .LDOOR TBD. O NEW HARDWOOD NEW STAIR FLOORNG EXISTNG FLOOR TO REMAN NEW BEAM ABOVE _�T 1 _ _— REVISIONS: REF NEW FLOOR ,r LT L ANITY,LIGHTING, ` AND SINK N Vie. II IL---------ra EXISTING LOCATION �I I I" 'I EXISTING I I II — i FAMILY Roca I I _ II I 1 I II I L— ®� EXTUDY Ig TW. Ir— EXIST!! II KITCHEN (Be104 ISSUE DATES: BEE KITGFN BABE CABINET ——IL— CABIIETRY 09 NEW WINDOW 1 9.19.20171SSUED FOR PERMIT WITH TV ABOVE I I 1(— DRAWNGB <> II __ —JL— 05"DEEP - - UFT'ER FOR GLASSES-TBD EXISTING EXISTNG EXISTING SLIDER SLIDER SLIDER I I I I I II IID3 I I NEW WINDOW EXISTING 100 laal Im2 NEW WNDOW NEW WINDOW . ❑ ❑ 21 ELIOT STREET NATICK.MA 01760 DMCARCH.COM P-F 508.651.7099 Window schedule WELD Number Description Manufacturer R.O. Remarks U-Factor:Kitchen ion RESIDENCE 100 ICAP 4147 Marvin Integrity 3'-5"X 3'-115/8" Fixed Casement en 101 ICAP 2547 Marvin Integrity 2'-5"X 3'-115/8 single lite Casement en 102 ICAP 5747 Marvin Integrity 4'-9"X 3'-115/8- fixed Casement 269 SEAPUR ROAD 102 ICAP 5747 Marvin Integrity 4'-9"X 3'-115/8" Fixed Casement en OSTERVILLE,MA 104 ICA 2535 2W Marvin Integrity 4'-1"x 2'-115/8" 2-1 lite Casements h _ DRAWN BY: DATE: 9.19.2017 Exterior Door Schedule DESCRIPTION: Number Description Manufacturer Unit Size Remarks U-Factor Proposed First Floor Plan 4lites over 1 panel,narrow OG,"b"scoop panel,paint DI PL-104 Trustile or equal grade,clear glass DWG.# Al . l - GENERAL NOTES: - ., - - These drawings and specifications - shall remalri the sole and exclusive- property of D.Michael Collins Architects as Instruments of _ service.All drawings,sections of - drawings,details,and design concepts sholl be used only for - - - - the purpose Intended by the • - - - Architect and shall not be copled ' - - - - amended or reused at another -site without the expressed written - . consent of the Architect. • - It 6 the responsibility of the Contractor to review these - ., - - - - - drawings and report any errors or - discrepancies on the drawings. • - - shop drawings,detais,or - - • associated sketches to the Architect before construction has commenced:Do n of scale _ O . ' NEW ❑ s..110.5909 . UP D OL. @P . . ..UP'I SWALLOW C RABJLLOL CRAWL. ACEBASEMENT U � . .. :. REVISIONS: © 'NEW. . NEW 9 . up, co D o UP "rl ISSUE DATES: 9 19.20171SSUFA FOR PERMIT , ❑ "❑ 21 ELIOT STREET NATICK,MA 01760-. DMC RCH.COM P+F508 651.7099. . RESIDENCE' 269SEAPUR ROAD O TERVILLE:MA . .DRAWN BY: .. .. .. _, .. -. •. DATE: 9.1.9.2017. DESCRIPTION: - - - _ FOUNDATION GENERAL NOTES: These drawings and specifications shall remain the sole and exclusive property of D.Michael Collins Architects as Instruments of service.All drawings,sections of drawings,details,and design concepts shall be used only for the purpose Intended by the Architect and shall not be copied amended or reused at another 'I I site without the expressed written IDIN1 consent of the Architect. XIBTIRJG L e_ _ I I '{� 7' "'^I'` If Is the responsibility report a the EXIBTMG Contractor to review these I drawings and report any errors or I' �� LAUNDRY I discrepancies on the drawings. shop drawings,details•or associated sketches to the XIS ING 2X 0 J IST I I I Architect before construction has V F (2)2t(2) X 10 I I commenced.Do not scale drawings. _:XI. b x STL z L. I I I I I �is i i STLL-L � . 1 - 0 x 5 F I VERIFY BEARMG - =r-Ex19TNG_Ou+LL_ 1 onineR �O�`_GWrE(OGCi EXISTIPKi JO STS ¢I I �d1 ,T Np ypq AS MD 6 I I I I I 11 EXISTING AM ASffilh�D Of if — EXISTNG - VERIFY INFIELD STUDY. Iilll I I I I I ®® H 35 x NEW HSS 95 x 1 BTL L. REVISIONS: I � 1 1 EXISTING. 2EfdS ISSUE DATES: 9.19.2017 ISSUED FOR PERMIT ❑ ❑ Q Dabo � ® GilQ@a)UO@G��3 USE 2 x -NAILER IF STUD WALL OCCURS ABOVE BEAM STEEL BEAM .. 21 ELIOT STREET NATICK.MA 01760 -SEE STRUCT.PLAN:::\ GAP DMCARCH.COM P-F 508.651.70" 2 X 10 LEDGER AND WELD JOIST HANGERS EXISTING 2 x EsLouclNG ATTACHED 2X 10 RESIDENCE JOISTS W1 2 ROWS J"O THRU BOLTS (STAGGERED) _ _ 269SEAPURROAD OSTERVILLE,MA DRAWN BY: • DATE: 9.19.2017 DESCRIPTION: Proposed TYR FLUSH MAMF�USH MAMDETAIL SECOND FLOOR SCALE:1"• I'-0" - FRAMING PLAN DWG.# c 1 1 V 1. 1 , • • - r'r �ro may.,..... .:�•_"",.._, 'h'y' �, : t __.. _::. � - ' �, �._"_1C'7 ...5►;41ICAAIrrY.Cf ..__ tJ ��` ..�.'' t _ 4 x._4_ . uGQQki2 SZc10 !"W7 . E�A- AAc:X:>o ek4q`� GPI. Y zp ov , AT 5 d I ,y _._. • , ry I j If f, .. �,,/ T�tE LG'�.�L k vv►J Irc! 1�2 PL1 =GUc7�jam' i 1 I I 1 I I I Ile _ -77 - ufZ) GaVEQ,4C AD IC`�U7ICt.Ysu w!t 1r10 T �I vE ��ESA fl�i'1 tC Win/P`�C-> Pit ,�. - _- - -- - -- CdMU v1�c♦I�'I V7�LU7rhE DC � E-f't:� c��ER -,FANS OC'U I r CNt0 I��trT, _ 1; _ GP-a�r-tIrK04_NUIGE -- ✓ TT 11'�GIG }I� ;. COr RPt_�rEl_7 Yo.� w� =r-+ �rIZNrCS ENc) f-4 I u,1'iQQAN I rTI TIH E 0059E I ZED "fi L_ aYQV� 0� EL_IPTICA� or'�r+Irlco. Ov C\2 LY)�¢wCc f 5 (1PoEC cCru><�E c c t-•x_.arlr(Irr— I I _.-------•- I .1 � C r>• j^ I CAP i I _ 1 S T.n4G�Q • � I 2 � x 2 �if5 AS St-10�n/r^I _ - ALL a 1� EA-n-rEt-I E-D i� _ADEQtJATC. 5WA-f !t-+ THE, Aja�rIcy OP per- I I vq j to j �t� I wcxclD J �-._ � j SGtt< �C�¢ �rLL.S ! "l1�trt'.'T' .•., { + ._ , f- Ct.-Mt..-Ioh._ r�L31�R5 wmr r M 1 N ! M CS b�J�tN w r.-PS 1 I ' \� N x kx � I ; dm n I , ' I -4 •g �or_��.rit,.�•. rLe�o2 'tca Q -- -- - - -_ __ g o -I/`c" I I c ,�7.'!%&AS - } C 0 1-,r-T ' _t?Ed 1�L�C.Qr1�i1.�1-Z_-'sJ-._ � t Imo- •' O O V.,-%R P\4" ,G T / �'� Y i✓ Y`Y'i:. <°day S�t;' lA t WI. r� t r• , _ �+;,�+.-�-ty.. - ter , , C..KK-1. t:larr. � • �`4. � L`. �.'..'" �M r t' ��, ,, ,l of `�� J,5' k ... - - ,. • , 49�♦ ,may W.M ,�.,.('-, ICE Revisions: 4 � VqL� R N Locus lt:� VIT RD MIDDLE POND ,s � SEAP T 'AL \ NORTH BAY , �y FLOL: r EBB / LOCUS MAP < F � . Existing Conditions Survey By: F ND. ` \ / ZONING STEPHEN J. DOYLE AND ASSOCIATES ZL \ �_�. �, r �, !.- _ / 42 CANTERBURY LANE ` \ ASSESSORS MAP 95 PARCEL 005/002 EAST FALMOUTH, MASSACHUSETTS 02536 TELEPHONE: 508 540-2534 sjdsurvey®AC REFERENCE CERTIFICATE: 76992 sjdsurvey®AOL.COM REFERENCE LC PLAN #5725-32 '\12 � ` ZONING DISTRICT: RF1 WF SALT MARSH -3 1 , OVERLAY DISTRICT: -AWN \ 10 AP, RPOD AND ESTUARY Z.O.C. Project Title: WF O•. L; '��' �g,L� \ r ti FEMA ZONE: "A11" (BFE 11) �• ` ), ,�, D`. .r--•;G ''-`�t' wit>; - rl BM: Top Cc3 �\ ° %sri , �\ / �•�~ '�, -, �-- L D-Box �� ( ) I;�F:;� \ �•�, o '- - I •! <� FIRM PANELE2.50001 0018 D ' �'` =� H(2d) LOADING < `� do E.L. 1U. ►� 2, �� . ,\ WF 8 MAP REVISED: DULY 2, 1992 10 r 0 DATUM: NGVU \.� C \ � \�,�, C� ��. `/'c�sr -r�\ �1� HEDGES TO BE REMOVED #269 vc�- 7 LOT AREA: A �XI�; 1500 GALL N 68,899f S.F. , - F,�` , \<�� r� `�� WF `" SEF�TIC T K LOT AREA TAKEN TO MHW t _ , � i MIN. LOT AREA: 1 ACRE e. - x 7.4 - C7 .J-- < \ / v - _ t `� 'S'w FRONTAGE. 20 `� EXISTIN CESS POOLS '12 DIA. PINE GARAGE �) \ \, '`""-- ' \ �\ \ /i- ,1�� F 5 MIN. WIDTH: 150 a TO BE REMOVED I + I _ 1 �_ l_. _ - - 4:� TOE ABANDOI�D 54 �I r \ , .8 - -�t \ FRONT YARD: ' C r, \�° mod,.,, ' SIDE + REAR YARD f 4� pal fit_ (15\)CULTECC (�C4). CHAKIBERS sterviiie ` H(20). LOAQING D SITE BENCH MARK P OF FOUNDATION PROP. _ t: ° g�> a ` "7 \� WF .4• / L.L. 11.3 (MAIN HOUSE) \ \ 40�1IL�LIINER -\ ! ' \ `1 ` DATUM: NGVD FNo. \ �_\ ! 1l.37 / (�� c.�7 � / � WF 3 LANDSCAPE NOTES `�zo '` ,1 ` ,, ', 1 ' ' ur �, �`�� A �, ,, ` 1,' 1' �--.., �.3' o't 1. TREES TO BE REMOVED BY CUTTING TO GRADE Prepared For: ,till ' , w J ` AND GRINDING STUMPS. \ .\ \ NE y17 r 1,t,EXI S Ti tit t1�� 1 1, , WF B , , ` N G D WE 1, !! ,1 ra TOM AND NINA ,, .LING t , , �1 1, � m � 2. REMOVE INVASIVE VINES THROUGHOUT BY #26 9 , -- ,, , • �� l�, 1, t�'` , 1V 11\1'�,��h 1� ' 1 , 1 '1 ° ' WF 2; CUTTING TO f12°+ AND PAINTING STEM WITH ' .,1: ,,t1 ,� AR (POISON IVY BITTER SWEET WEW . , ` "`, ROUNDUP OR SIMILAR , t ''• ---_--_-. --, �-•- � HEDGE , � � 1�, �, 1,, '\ 1 _ _ , S �' PER AND WISTERIA. •' __ _ ._ --- — '��• _ \. �l t o 1p �, - � - VIRGINIA CREEPER ) �___ _ -- __ —• - � . TO BE REMOVED 0 1� '' 1 , 3 °' `` J MHW '" WF C �— • \ 1 l r MAY INCLUDE: ~ , �s 3. NEW SHRUB BUFFER PLANT MATERIALS M �._ O 1... TOP �,,,�\ �,+ DECK ,i\ d 20 Rascally Rabbit Roac •J'�- o, v , t `N LOW BUSH BLUEBERRY BAYBERRY, POTENTILLA, ROSES, y -� —�' @q ;\�1 0\ M� ' Marstons Mills, MA " < �� -- �` ~�- Nk Cj, �� 1 ` WF 1 VIBURNUM, SWEET FERN OR SIMILAR. MLW `�1,lLT MARShi ��. I 0 RE REMOVED ozsae TREES T MLW 4. REPLACEMENT TREES SELECTED FROM: WHITE OAK BLACK PINE SPRUCE RED CEDAR } �. ---_:. �•. � ,/" l'�XI.�TIt�IG l_/��ld^I �G ;1/ � � rah`.•: ;:.1•: :uF Y HAWTHORN HORNBEAM AND BLACK CHERRY. 110 PLANT T BE IN CONSULTATION WITH REPLACEMENT TREES A. M. !f!lds�n E 5 PLA SELECTION 0 Associates TO BE INSTALLED WF E _ ``� _/, CONSERVATION STAFF. WF F _. ._c =�,� f :. _ 608 420 0792 / FA�,,4 .910 S` , �1� .� - r f ` - 1 6. PRUNE BRANCHES OVERHANGING ROOFS AND RUBBING AGAINST BUILDING. , N oR REPLACEMENT TREES REMOVE BITTER SWEET LIST OF VARIANCES TO BE INSTALLED • Drawing Title-. y,,, TITLE 5 PROVIDED f 5 w SAS TO FOUNDATION 20' 10.0't d c ` Tj p Permit qL � Plan Scale: 1 "=20' 0 10 20 30 40 50 FEE' Date: June 26, 2010 Drawing Nc Desi n• R.D. Check: A.W. Drawn: R.D. Job. No.: 2.1620.2 I test Rev -