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Home My WebLink About0140 WATERFIELD ROAD M1 �� _.��_�.. I ' Fo c 1 s, AGRIBALANCE® JOE) G3��0� g 4aaS # 1°� s �cg �aC � Uo � O� ^ Phone Number Co any Name Cape Cod Insulation Inc. 508-775-1214 c \ 7applic dame �e ,a Installation Date 5-19-2020 ij& site Address 140 Waterfield Rd. Osterville, MA A-Side Lot #'s PA86001994 0 � Permit Number B-Side Lot #'s P3856003320 4 } LLoc. o (W o uoe o�v • oo-o� G� Walls i - Attic Sloped Roof Line 8 5" - R-38 1000 , t a i f I p . i f . 1 WWW.Demilec.com . .• - DEMILEC _ .�` ' .� Town of Barnstable Building t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAS& Posted Until Final Inspection Has Been Made. 163a A.� Permit p r� Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-514 Applicant Name: BRUCE P MILLS Approvals Date Issued: 03/09/2020 Current Use: Structure Expiration Date: 09/09/2020 Foundation:i Permit Type: Building-Addition/Alteration- Residential Ex P� Location: 140 WATERFIELD ROAD,OSTERVILLE Map Lot: 119-019-001 Zoning District: RC Sheathing: Owner on Record: LUTZ,WALTER N TR Contractor Name: Bruce Mills Framing: 1 Address: 48 CROOKED POND ROAD Contractor License: 136003 2 HYANNIS, MA 02601 Est. Project Cost: $3,000.00 Chimney: Description: An amendment to existing permit plan to dormer out a ten foot Permit Fee: $85.00 wide left rear roof to give room (play) more 4edroom and light ect. Insulation: Fee Paid:, $85.00 r' Project Review Req: MUST MEET OR EXCEED.2015 OR 2018IIECC GUIDELINES Date: 3/9/2020 Final: Plumbing/Gas Rough Plumbing: - - - \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. I Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 4, Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,permit. Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r �;i•�" S � Application Number......../. ,1........ �..�.�................ b e— BARNSTABLE, ZIP,IP, Permit Fee........... ..... ............Zoning District........................ TotalFee Paid ............................................................... ...... TOWN OF BARMf4YgU Permit Approval by...... ................On.....7 JCj.` 1...... BUILDING PERMITS // C� //�� Map..........Il... .................Parcel...V..l..?...... ............ APPLICATION i Section 1 — Owner's Information and Project Location Project Address -1 m (,. � �p f T � < Village �S'�?t`��o C LP Owners Name aAd cS SCAN Owners Legal Address L�U CJ`0 V �,�Q- '� �'! enQ� MAR 0 9 1020 4 City t'l State 122G, Zip cl Owners Cell # �� - 6 U Q7 E-mail Section 2 —Use of Structure Use Group - ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet 5Single/Two Family Dwelling Section 3 —Type of Permit &-jNew Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other-Specify Section 4 - Work Description �x O ® ao 1` t Last updated: 1/31/2020 Application Number.................................................... Section 5 — Detail Cost of Proposed Construction42U Square Footage of Project Age of Structure AA Dig Safe Number # Of Bedrooms Existing 3 Total # Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method RMA ChecklisttWFCM Checklist ❑ Design Section 6— Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors WAA3?, ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7 — Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8.— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard . Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 1/31/2020 Application Number.......... .......... �y ..... Section 9- Construction Supervisor Name S`t2 ca Telephone Number 1 J -� Address 16 C Sac Y �o� City G State Zip G License Number O-7Y iS y7 License Type ' jl-e& (c�kxpiration Date -al q-,;) COO Contractors Email �,,s vc ,'�l 6 G/y1c�c l�Co�► Cell # 60 -;9-P0 1�� I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. t� Signature o Date J--/_ Q - Section 10- Home Improvement Contractor Name e curo_ c`�� Telephone Number Address P�/_ City w0a. State_, L Zip C 2 60 L Registration Number /3Kd U Expiration Date pp a —.9(�V I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection-procedures,specific inspections and documentation required by 780 CMR and th own of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE S ignatur Date a-y F JO Print Name f y i Q �� v� Telephone Number S G�-�b ,RD 6 E-mail permit to: �7�y c,-e /y1 C ( is 6 9 0 61k&c[ Co M Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department C Zoning Board (if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ' For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I, �U R 14'z-r as Owner of the subject property hereby authorize 13r-s, y U to act on my behalf, in all matters relative to work authorized b this building permit application for: w „ ds-4-- 1 // (Address of job) Signature of Owner date Print Name . ,1 t Last updated: 1/31/2020 z ��c�csz (� � �t.��„ ,S'ZS �-a �d ► ��6� �/�a,�/ f��'�ce.M �'1�s 6'g(� ��G'l.c� I ,v It 3 7 C%4ca T. To dofme'r ovA- 'r,,c i SCANNED MAR 0 9 2020 Barnstable 131_''� o Approved by:-.� - — Parmit#:. 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Division of Professional Licensure= J . Board of Building Regulations and Standards Const` i0bo ,.rvisor j. M-078687 Wires: 05/29/2020 BRUCE P MILLS I f 18 CROOKEDOND'RO / C HYANNIS MA bb1��1n Mp�S jo I . r, Q . Commissioner C1 '^�- . 1 ✓iee �irr�21�,zeU�au2 o�,/al�aJla,�liWe�i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Rea istt d Ecxolration Office of Consumer Affairs and Business.Regulation 1WjY= 09/24/2020 1000 Washington Street-Suite 710 BRUCE MILLS - i`T Boston,MA 02118 BRUCE P.MILLS '?7 16 CROOKED POND R�- HYANNIS,MA 0260"1^ -�% Undersecretary Not valid without signature -3,8b1SN&bg z( OZpl ®NM®� r z 6�� 0� The Commonwealth of Massachusetts d� Department of IndushWAccidents p �y Office of Investigations `lp� �p�f b1 J'O 600 Washington Street O z Boston,MA 02111 www.massgov/dia �� y Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pln c i6-" rs Applicant Information Please Print Le9bly Name(Business/Orgmibarion/Individual): 0 2P On d( Address: .14 c r o c)Le� yc;c A,j k2X j City/State/Zip: 4 . 03�6 4 Phone#: 96- ' Q` D66 Are you an employer?Check the appropriate boa: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.,�] I am a sole proprietor or partner- on me shed sheet. 7• ❑modeling i \ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers'comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LEI Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance ram]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire ontside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sbeet 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 andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.M 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains an o erjury that the information provided above is due and correct Si atrlre: Date:5 Phone M —� 0 6G Of, xial use only. Do not write in this area,to be completed by city or town of)`icial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia .�Im Town of Barnstable Building t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MASS Posted Until Final Inspection Has Been Made. Permit is Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-3022 Applicant Name: BRUCE P MILLS Approvals Date Issued: 11/18/2019 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 05/18/2020 Foundation: Loclation: 140 WATERFIELD ROAD,OSTERVILLE Map/Lot: 119-019-001 Zoning District: RC Sheathing: Owner on Record: LUTZ,WALTER N TR Contractor Name: Bruce Mills Framing: 1 Address: 48 CROOKED POND ROAD Contractor License: 3'6003 2 HYANNIS, MA 02601 Est. Project Cost: $ 150,000.00 Chimney: Description: add 1 bedroom, bath,family/dining area. 1 car garage attached and Permit Fee: $815.00 loft above in an existing 2 bedroom a up grade smokes i Insulation: Fee Paid:; $815.00 Project Review Req: Date: 11/18/2019 Final: �Ca4l)_ Plumbing/Gas - w Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afteNs an&. 'cia Final Plumbing: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. f Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire-Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Service: 2.Sheathing!nspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection _ 5.Prior to Covering Structural Members(Frame Inspection) Final: _ 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: -Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application Number...... Q,......... BARNSTAMY, MASEL Permit Fee. . ...............other Fee,....................... 059. Total Fee Paid............. ............................... TOWN OF BARNSTABLE Permit Approval by.... BUILDING PERMIT Map.........&�...................PIMI....... ....... APPLICATION I 6r^WM4-- Section 1 — Owner's Information and Project Location Project Address 441n_t4)a:tRJJj,-e I Ot ReQ Village n_S�� Owners Name. Owners Legal Address—� C-C-6 kerl AC7,4 City �—(t 16 NNA State C6) Owners Cell # 6 VT -oov E-mail Section 2 — Use of Structure W t3b co Use Group_ E] Commercial Structure over 35,Q 0 cubie-.&et 0 Cx6 fn Commercial Structure under 35,00*0 cubV fee' Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate E:] Accessory Structure E] Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild El Deck Apartment Sprinkler System R Addition ❑ Retaining wall Solar El Renovation El pool El Insulation Other—Specify Section 4 - Work Description AAA �T G CoO. 11 C9 1 ca�:-k- e-. krnt )V J-n nsa I i: 'A O . 0 r, Ca al e 0 Application Number..................................................... Section 5—Detail Cost of Proposed Construction .S Square Footage of Project ?7 1 Age of Structure 5'6 Ye�S Dig Safe-Number r . , # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors &r Plumbing ❑ Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney Add/relocate bedroom i Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: � �e r-� 1CMOvA�m&6I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation 0 Within or adjacent to a wetland, coastal bank? Yes ❑ No 1 Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. 6 Total Frontage _Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed q � �Z Rear Yard Required 0 Proposed Side Yard Required 0 Proposed `g Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated: 11/15/2018 A I y ' i g Application Number........................................... Section 9- Construction Supervisor Name 3c-c,Ce' rn i S Telephone Number Address (�, (�„rlma Q , City State Zip a(G I License Number COZ6Y) License Type UA rVS-- . Expiration Date i Contractors Email Cell I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature „�� _ Date �f"— ?6 Section 10—Home Improvement Contractor Name rZ r,,C2 mn 1 .- Telephone Number Address�6 Cf��d' City State 0o - Zip ©)60 Registration Number �(.,C�O`� Expiration Date 9 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name f,�Cc� , GL Telephone Number��-� ` �6 csl- E-mail permit to: cC��, r2 ��'I�tr�� Cowl Last undated: 11/152018 r Section 127 Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ S 6?lan Review(if required) ❑ Fire Department ❑ Conservation.: ' For commercial work,please take your plans directly to the fire department for approvak i 0 Section 13— Owner's Authorization L . Zvi as Owner of the subject property hereby , authorize <-Q- to act on my behalf, in all matters relative to work authorized by this building permit application for: 0 (Address of job) Signature of Owner date Gil Aa8 �U. /La x Print.Name _ 4 Last updated: 11/15/2018 -Lot LA- i`� C o a,eQ S a Gee e L G'c-'S�c A s Apanox MKn L,• O yb�1 c \ =-, 6(3k0 8 66 �! dv Cf )i A�C . "dncl PLoogz L& ovT' AD(2fDKAT+-6 �3Ly� IF PO I i I GJ e n 0 I I I I�/V � a I 1q' C, stgnggu act _ I I I - - - - Ad - �V -�H U 1�7 ►t�Z►J[�Z�I�Z♦I�lAM d:ULo d[slum:I[N:WN 1,',%1 D111:1 130 MPH EXPOSURE B WIND ZONE Checklist 1.1 SCOPE Wind Speed(3-second gust).........................................................................................................130 mph WindExposure Category.........................................................................................................................B 1.2 APPLICABILITY Number of Stories .............................................................. (Figure 2)............... stories <_2 stories V Roof Pitch ........ ................................................................. (Figure 19) - 5 12:12 .. ............................ Mean Roof Height .............................................................. (Figure 2)...................................I ft. <_33' Building Width,W ............................................................... (Figure 4).................................. Z ft. <_80' Building Length, L ... (Figure 4) 5 ' Building Aspect Ratio (UW) ................................................ (Figure 4)................................._a,Q6<_3.0:1 U 1.3 FRAMING CONNECTIONS General compliance with framing connections?.................. (Table 2)......................................................... 2.1 ANCHORAGE TO FOUNDATION Type of Foundation.............................................................. (Figure 5)................................. 004CO i Foundation Anchorage �- Proprietary Connectors :4 Uplift........................................................................ (Table 3)...............................`,� ,.U - �- plf Lateral.................................................................... (Table 3).................. r Jplf rPlfShear..................................................................... (Table 3).......................... a, c/ 5/8"Anchor Bolts BoltSpacing........................................................... (Table 4)................................. ; ....... in. l/ BoltEmbedment..................................................... (Figure 5)................................. ...t.. Washer Size .... (Figure 5 3 in.x 3 ink.x�in.,tftick ( 9 ) ........... � 3.1 FLOORS Floor framing member spans checked?.............................. (IRC or WFCM).............................................. v . Maximum Floor Opening Dimension................................... (Figure 6).................................... ft. <_ 12' Maximum Floor Joist Setbacks J Supporting Loadbearing Walls or Shearwall................. (Figure 7)...................................... ft. <_d !/ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................. (Figure 8)...................................... ft. <_d FloorBracing at Endwalls................................................... (Figure 9)....................................................... Floor Sheathing Type..........................................................: (IRC or WFCM)..........................T�G A Floor Sheathing Thickness.................................................. (IRC or WFCM).................... ,.......�.....3 in. Floor Sheathing Fastening ................................... (Table 2)............................g ......`.af e.l 4.1 WALLS Wall Height Loadbearing Walls......................................................... (Figure 10) ..................................I ft. 510' Non-Loadbearing Walls................................................. (Figure 10) 5 ' Wall Stud Spacing............................................................... (Figure 10) ..........................I&in.<_24"o.c. Wall Story Offsets................................................................ (Figures 7-8).................................D in. <d 4.2 EXTERIOR WALLS Wood Studs Loadbearing Walls......................................................... (Table 5)......................2x 6 - '� ft. D in. Non-Loadbearing Walls................................................. (Table 5) 2x�-T ft. in. 1L ...................... AMERICAN WOOD COUNCIL 130 MPH EXPOSURE B WIND ZONE' Bracing Gable End Walls WSP Attic Floor Length.................................................. (Figure 11)..................................I ft. >_W/3 Gypsum Ceiling Length................................................. (Figure 11).................................Di ft. >0.9W Double Top Plate a SpliceLength................................................................ (Figure 13)...........................................A ft. v Splice Connection (no.of 16d common nails)............... (Table 6)...................................................7_6 4 Loadbearing Wall Connections / Uplift.(proprietary connectors)...................................... (Table 7).......................................0= 73 lb. (/ Lateral (no.of 16d common nails)................................. (Table 7)................................................. Non-Loadbearing Wall Connections Uplift.(proprietary connectors)...................................... (Table 8).......................................0 =M lb. Lateral (no.of 16d common nails)................................. (Table 8)................................................... Wall Openings I Header Spans (Table 11) ft. in.511' ............................ ......................... Sill Plate Spans............................................................. (Table 10)......................... ft. in.<- 12' Full Height Studs (no.of studs)..................................... (Tables 10 and 11)..................................... Connections at each end of header or sill Uplift.(proprietary connectors)................................ (Table 11)........................................... lb. V Lateral (proprietary connectors).............................. (Tables 10 and 11).............................. Wall Sheathing Minimum Building Dimension, W Sheathing Type....................................................... Table 12 .............................W S Edge Nail Spacing.................................................. (Table 12).......................................... j1_-in. Field Nail Spacing ......... Table 12 ....................................... in. Shear Connection (no.of 16d common nails)......... (Table 12)................................................. 3 Hold Down Capacity............................................... (Table 12).........................................� Ib. Percent Full-Height Sheathing................................ (Table 12).............................................1 0/0 Maximum Building Dimension, L SheathingType....................................................... (Table 13)...........................................� Edge Nail Spacing.................................................. (Table 13)..........................................__Y in. Field Nail Spacing................................................... (Table 13)..........................................j 2-in. Shear Connection (no.of'l6d common.nails)......... (Table 13)...................................................a Hold Down Capacity............................................... (Table 13)...........................................:, lb. Percent Full-Height Sheathing................................ (Table 13).............................................*7% Wall Cladding Ratedfor Wind Speed?......................................................................................................................... 5.1 ROOFS Roof framing member spans checked?............................... (IRC or WFCM).............................................. Roof Overhang.................................................................... (Figure 19).......................... ft.<_2'or U3 ll Truss, I-Joist, or Rafter Connections Proprietary Connectors Uplift........................................ ............................... (Table 12).....................................0=170 lb. Lateral..................................................................... (Table 12).....................................L=Iff lb. Shear...................................................................... (Table 12).....................................S=�jlb. Ridge Strap Connections-Tension.................................... (Table 13).....................................T<JVplf Gable Rafter Outlooker........................................................ (Figure 20).....................f3 ft. ft. 2 or U2 Outlooker Connections Proprietary Connectors Uplift........................................................................ (Table 14).....................................0=L-lb. Roof Sheathing Type............................................................(IRC or WFCM).......................... LISPS RoofSheathing Thickness.............................................................................................. j�L in.It 3/8"wsp Roof Sheathing Fastening................................................... (Table 2).................................................. � r AMERICAN WOOD COUNCIL 10/11/2019 Gmail-ViewPermit,Permit No:TB-19-3022 VIa j l Bruce Mills<brucemills69@gmail.com: ViewPermit, Permit No: TB-19-3022 a 1 message Lauzon,Jeffrey<Jeffrey.Lauzon@town.barnstable.ma.us> Fri, Oct 11, 2019,'at 11:23 Ah To: "brucemills69@gmail.com"<brucemills69@gmail.com> Cc: "Lauzon,Jeffrey"<Jeffrey.Lauzon@town.bamstable.ma.us>Applicant, 1-(� I� �C�'4 I,a C—C,� S r L 000 Le C " ' U Please be advised that the above application has been reviewed by the building department and the following is noted: 1) No certified plot plan submitted demonstrating compliance with required setbacks. 1 2) Construction documents are incomplete. No Massaousetts compliance checklist or engineering submitted V demonstrating compliance with wind load requirements!Floor plans indi ate a loft, but no floor for said loft. Basement size and smoke detector locations not shown for existing basement. The application is denied pending the submission of the above.And, if aggrieved by this notice;you may file a Notice of Appeal(specifying the grounds thereof)with the State Building Appeals Board within forty-five(45)days of the receipt of this notice W4-3 �1 �Oc-) C-Cj�J�� (LV Oe W Respectfully, - C oPP �an Ct/i. S Ina Jeffrey Lauzon Chief Local Inspector (508)862-4034 jeffrey.lauzon@town.barnstable.ma.us � t -90 httos://mail.a000le.com/mail/u/0?ik=f33lal32aa&View=of&saarrh=all&narmthirl=thrwarl-f%'AA1R4711ingfid,)7AdQARlRsimnl=mcn-f0/ZA1RA71iiog A7 k6A 1 Zo f ► t� o �+-c�r ti i 1f� A C O t co a ._ m 00 . i --� E:l m - HmlsiP v t I � 1 1 view hc- ccoms i.kb�c&,p►a 8 MII if 11111 fit 7K IEII a lr4P6ca- S�c .e 1 sit�v► � —� - a cmn hecr ec a s. UjoszC/ nCKciv ri ► t/ m eAcx q�,a i r I t 1 r EQ �h....ern..�...�n....._..•nv._.nAti,.�.LL.J�,\ �+..�v.. - .y. n '•y.'._J ......�-.._mow_ ....+. /' 1 I _ ° e will 9XID1 t� A AtI IPOU a I I �,�Fro v►end and 1 � y �\ 17 la i t � I + -,G�r: ' I f I t 6�rej w i i I• I ! a 16 i It 13 ( I:w ice_ I f - v � ! l�n '-1 o v �. a►s��J-� �s �•n<� ..�f-�1 of �© �l�-E�21'�l� c�. C}S� . Lrh %4 /-jiXAA—±ak1 ��DflOat r�tUeC� I . ------------------------ A A I r rtt -7ry i xvi l'i1c, Jiro Flog r i I �(��e.s z it IN V �\Alt, [�e Cl Il L�TC� t V •�.i L. 0 4- CV- 1 46o v-c, I i , i IV I� A 0 i ^C� A.+ivA I � 1 �I f i � , Z ' GO i s 17 I � I is ; f - � Q d Or'J �f�:s� !6'l�. ��L 1/�r 11 l 1J/®�i'- f //1 7r�i _.l�� 1 6.• a 0 I �O�•J t3e low a E I 1 -3/Y Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Friday, October 11, 2019 11:23 AM To: 'brucemills69@gmail.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-19-3022 Applicant, Please be advised that the above application has been reviewed by the building department and the following is noted: 1) No certified plot plan submitted demonstrating compliance with required setbacks. 2) Construction documents are incomplete. No Massachusetts compliance checklist or engineering submitted demonstrating compliance with wind load requirements. Floor plans indicate a loft, but no floor for said loft. Basement size and smoke detector locations not shown for existing basement. The application is denied pending the submission of the above.And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof)with the State Building Appeals Board within forty-five (45) days of the receipt of this notice Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzo n(&-town.barn stable.ma.us 1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR. Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: Re-gishiti'On Expiration Office of Consumer Affairs and Business Regulation. 09/24/2020 1000 Washington Street-Suite 710 BRUCE MILLS Boston,MA 02118 BRUCE P.MILLS 16 CROOKED HYANNIS,MA Not valid wce- ithout si nature Undersecretary 9 i y Commonwealth of Massachusetts. el y®� Division of Professional Licensure'- Board of Building Regulations and Standards Constr � �tS' rvisor ,. �; CS=078687 - f h' e 1Pires: 05/29/2020 BRUCE P Mills %0 18 CROOKED hONi) HYANNIS MA di) Commissioner l/z � REScheck Software Version 4.6.5 Compliance Certificate Project New Addition Energy Code: 780 CMR 51.00: Massachusetts Residential Code, 9th Edition, Energy Efficiency Location: Osterville, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 140 Waterfield Rd. Bruce Mills Osterville, MA 02655 16 Crooked Pond Rd. Hyannis, MA 02601 Compliance: 1.1%Better Than Code Maximum UA: 95 Your ILIA: 94 The%Better or Worse Than Code Index reflects how close to compliance the house Is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 520 38.0 0.0 . 0.030 16 Wall 1:Wood Frame, 16"o.c. 760 21.0 0.0 0.057 39 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 58 0.300 17 Door 1: Solid 20 0.270 5 Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 520,, 30.0 0.0 0.033 ,17 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 780 CMR 51.00: Massachusetts Residential Code,9th Edition, Energy Efficiency requirements in REScheck V r ion 4.6.5 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. _/ Name-T le t �l Signature Date — Project Title:.New'Addition Report date: 09/11/19 Data filename: Untitled.rck Page 1 of10 y REScheck Software Version 4.6.5 Inspection Checklist, • Energy Code: 780 CMR 51.00: Massachusetts Residential Code, 9th Edition, Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For,each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. r Section Plans Verified Field Verifie d ' # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Re .ID 103.1, ;Construction drawings and ❑Complies , 103.2 !documentation demonstrate ❑Doe`s Not [PR1)1 ;energy code compliance for the 4 :building envelope.Thermal []Not Observable ; envelope represented on ❑Not Applicable construction documents. 103.1, ,Construction drawings and ❑Complies 103.2, ;documentation demonstrate ❑Does Not 403.7 :energy code compliance for [PR3)1 ;lighting and mechanical systems. []Not Observable ; 4 ;Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ;compliance with the IECC ;,Commercial Provisions. 302.1, Heating and cooling equipment is: Heating: Heating: ;❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr a ❑Does Not " [PR2]2 on loads calculated per ACCA Cooling: Cooling: ;❑Not Observable , Manual J or other methods Btu/hr Btu/hr approved by the code official. ; ❑Not Applicable r r r r 103.1 ;Solar-Ready Roof: New detached ❑Complies [PR4)1 i one-and two-family dwellings, DDoes Not and multiple single-family ❑Not Observable ;dwellings(townhouses)with >_ ; 1600 ft2 (55.74 m2)of roof area ❑Not Applicable j oriented between 110 degrees and 270 degrees of true north ;comply with sections AU103.2 ;through AU103.8(RB103.2 'through RB103.8). Additional Comments/Assumptions: '1 0 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Addition Report date: '09/11/19 Data filename: Untitled.rck Page 2 of10 Section # Foundation Inspection Complies? Comments/Assumptions & Req.ID 303.2.1 protective covering is installed to ❑Complies[FO11]z JA protect exposed exterior insulation :❑Does Not and extends a minimum of 6 in. below (grade. ;❑Not Observable; ❑Not Applicable 403.9 (Snow-and ice-melting system controls;❑Complies ; [FO12]2 installed. ❑Does Not .J ;❑Not Observable UNot Applicable Additional Comments/Assumptions: 4 - ' f r� r f / , 1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:New-Addition Report date: 09/11/19 Data filename: Untitled.rck Page 3 of10 Section Plans Verified Field Verified # Framing'/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1 :are determined in accordance 1' _ ❑Does Not !with the NFRC test procedure or J �J � +.: � � ❑Not Otiseivable ;taken from the default table. ; ❑Not Applicable ; 402.1.1, ;Glazing U-factor(area-weighted ; U- U- + ' . . ❑Complies r •,;See the Envelope Assemblies.': 402.3.1, average). :❑Does Not ;table for values. , 402.3.3, 402.5 - ,❑Not Observable ; [FR2]1 ;❑Not Applicable 402.1.1, ;Glazing SHGC value(area- SHGC: ; SHGC: ;❑Complies ;See the Envelope Assemblies 402.3.2, weighted average). ❑Does Not ;table for values. 402.3.3, 402.5 ; ;❑Not Observable [FR3]1 T❑Not Applicable 402.1.1, ;Door U-factor. ; U- ; U- ;❑Complies ;See the Envelope Assemblies 402.3.4 :❑Does Not table for values. [FR1]1 ; E]Not Observable ; ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR23]1 :installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3 ;Fenestration that is not site built ❑Complies [FR20]1 :is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA101/I.S.2/A440 ,or has infiltration rates per NFRC ❑Not Observable ;400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate :s2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.3.1 ;Supply and return ducts in attics ❑Complies [FR12]1 :insulated >= R-8 where duct is []Does Not 1>= 3 inches in diameter and >_ 1 ;R-6 where < 3 inches.Supply and []Not Observable return ducts in other portions of ❑Not Applicable the building insulated >= R-6 for ;diameter>= 3 inches and R-4.2 ; ;for< 3 inches in diameter. ; 403.3.5 Building cavities are not used as ❑Complies ; [FR15]3 ducts or plenums. ❑Does Not Bj + ❑Not Observable ❑Not Applicable 403.4 HVAC piping conveying fluids ; R- R- ;❑Complies ; [FR17]2 above 105 QF or chilled fluids UDoes Not below 55 QF are insulated to>_R- 1 ,� 3 ; :[]Not Observable ❑Not Applicable 403.4.1 ;Protection of insulation on HVAC ❑Complies [FR24]1 piping. ❑Does Not ❑Not Observable ❑Not Applicable 11 High Impact(Tier 1) 2: Medium Impact(Tier 2) •3 1 Low Impact(Tier 3) Project Title: New Addition Report date:' 09/11/19 Data filename: Untitled.rck z t Page 4 of10 i Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Re .ID 403.5.3 i Hot water pipes are insulated to ; .R- R- ;❑Complies [FR113]2 I>_R-3. ❑Does Not eJ ;❑Not Observable ❑Not Applicable 403.6 Each dwelling unit of a residential ❑Complies [FR19]2 building provided with []Does Not continuously operating exhaust, supply or balanced mechanical ❑Not Observable ventilation that has been site ❑Not Applicable verified to meet a minimum �- airflow per Section N1103.6.- - Additional Comments/Assumptions:v+t r a r ram_ 1 C1 J1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:New'Addition Report date:•'..09/11/19 Data filename: Untitled.rck Page 5 of10 i Section Plans Verified Field Verified. " # ',. Insulation Inspection.: Value Value Complies?, Comments/Assumptions & Req.l D ' 303.1 All installed insulation is labeled ❑Complies'L: [IN13]2 or the installed R-values ❑Does Not 3 provided. [-]Not Observable ❑Not Applicable 303.2 ;Wall insulation is installed per ❑Complies ; :+ [IN4]1 :manufacturer's instructions.- - ❑Does Not ❑Not O6servabie s ❑Not Applicable , 303.2, ;Floor insulation installed per ❑Complies"r 402.2.7 ;manufacturer's instructions and ❑Does Not [IN2]1 :in substantial contact with the [:]Not Observable ; underside of the subfloor,or floor ' ;framing cavity insulation is in ❑Not Applicable contact with the top side of sheathing,or continuous ; ;insulation is installed on the I underside of floor framing and extends from the bottom to the ;top of all perimeter floor framing members. 402.1.1, ;Wall insulation R-value. If this is a: R- ; R- ;❑Complies ;see the Envelope Assemblies 402.2.5, :mass wall with at least 1/2 of the Wood ❑ Wood :❑Does Not ;table for values. 402.2.E (wall insulation on the wall ;❑ Mass ❑ Mass :❑Not Observable [IN3]1 ;exterior,the exterior insulation ; g !requirement applies(FR10). ;❑ Steel ❑ Steel :❑Not Applicable ; 402.1.1, ;Floor insulation R-value. ; R- ; R- _ ;❑Complies ;See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood :❑Does Not ;table for values. (IN1]1 ❑ Steel ❑ Steel ;❑Not Observable (`� 1 ❑Not Applicable Additional Comments/Assumptions: 1'I High Impact(Tier 1) 2 1 Medium Impact(Tier 2) 1.3 1 Low Impact(Tier 3) Project Title: New•Addition Report date:' 09/11/19 Data filename: Untitled.rck Page 6:of10 i Section Plans Verified Field Verified # - Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 303.1.1.1, ;Ceiling insulation installed per ❑Complies 303.2 ;manufacturer's instructions. ❑Does Not, [FI2]1 Blown insulation marked every 300 ftz. ❑Not Observable ; ❑Not Applicable 303.3 ,Manufacturer manuals for ❑Complies ? [FI18]3 !mechanical and water heating ❑Does Not !systems have been provided. QNot Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [FI7]2 ❑Does Not ❑Not Observable J❑Not Applicable, 402.1.1, ;Ceiling insulation R-value. ; R- ; R- ;❑Complies ;see the EnJ006 Assemblies 402.2.1, ❑ Wood ;❑ Wood ;QDoes Not table for values. 402.2.2, � 402.2.E ; ;❑ Steel ❑ Steel :,❑Not Observable [Fill' ; UNot Applicable 402.2.3 'Vented attics with air permeable ❑Complies [FI22]z ((insulation include baffle adjacent ❑Does Not Ito soffit and eave vents that []Not Observable extends over insulation. , ❑Not Applicable 402.2.4 ;Attic access hatch and door ; R- R- UComplies [FI3]1 ;insulation >_R-value of the - ' I :❑Does Not :adjacent assembly. ,❑Not Observable ; ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50= ;❑Complies [FI17]1 ;ach in Climate Zones 1-2,and ! ElDoes Not <=3 ach in Climate Zones 3-8. 1 y ;❑Not Observable ; :❑Not Applicable 403.1.1 (Programmable thermostats ❑Complies t [FI9]Z }installed for control of primary ❑Does Not cheating and cooling systems and []Not Observable E initially set by manufacturer to } . . Jcode specifications. I❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not ICINot Observable } i❑Not Applicable 403.2 Hot water boilers supplying heat, ❑Complies [FI26]2 (through one-or two-pipe heating ❑Does Not systems have outdoor setback control to lower boiler water ❑Not Observable ; temperature based on outdoor ❑Not Applicable (temperature. 403.3.2.1 ;Air handler leakage designated ❑Complies [FI24]1 :by manufacturer at<=2%of ❑Does Not ' design air flow. I AF.. ❑Not Observable ' ❑Not Applicable 1 High Impact(Tier 1) 2, Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Addition Report date: 09/11/19 Data filename: Untitled.rck Page 7 of10 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID , 403.3.3 ;Ducts are pressure tested to cfm/100 cfm/100 ;❑Complies [FI27]1 determine air leakage with ft2 ft2 :❑Does Not, either: Rough-in test:Total leakage measured with a ;❑Not Observable pressure differential of 0.1 inch ❑Not Applicable ; :w.g.across the system including ;the manufacturer's air handler enclosure if installed at time of $test. Postconstruction test:Total r ;leakage measured with a pressure differential of 0.1 inch ;w.g. across the entire system ; :including the manufacturer's air , handler enclosure. Post- construction or rough-in testing. ,and verification done by a HERS ;Rater, HERS Rating Field Inspector, or an applicable BPI ;Certified Professional. ; 403.3.4 ;,Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 :❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable ;tests,verification may need to ;❑Not Applicable ;occur during Framing Inspection. 403.5.1 1Circulating service hot water ❑Complies [FI11]2 systems have automatic or ❑Does Not accessible manual controls. []Not Observable ❑Not Applicable , 403.5.1.1 Heated water circulation systems ❑Complies [FI28]2 have a circulation pump.The ❑Does Not system return pipe is a dedicated ; return pipe or a cold water supply ❑Not Observable , pipe. Gravity and thermos- ❑Not Applicable syphon circulation systems are not present. Controls for circulating hot water system pumps start the pump with signal t for hot water demand within the occupancy. Controls automatically turn off the pump when water is in circulation loop, c is at set-point temperature and no demand for hot water exists'. 403.5.1.2 Electric heat trace systems ❑Complies [FI29]2 comply with IEEE 515.1 or UL ❑Does Not 515.Controls automatically adjust the energy input to the ❑Not Observable heat tracing to maintain the ❑Not Applicable ; desired water temperature'in theti piping. 403.5.2 Water distribution systems that ❑Complies [F130]2 have recirculation pumps that ❑Does Not pump water from a heated water supply pipe back to the heated ❑Not Observable water source through a cold ' " ❑Not Applicable water supply pipe have a demand recirculation water system. Pumps have controls ; that manage operation of the pump and limit the temperature of the water entering the cold water piping to 1044F. 111 High Impact(Tier 1) 2 Medium Impact(Tier 2) 1,3 1 Low Impact(Tier 3) Project Title: New Addition Report date: 09/11/19 Data filename: Untitled.rck ' Page 8 of10 Slection Plans Verified Field Verified # Final Inspection Provisions. Value Value Complies? ' Comments/Assumptions & Re .ID 403.5.4 Drain water heat recovery units _ ❑Complies • [FI31]z tested in accordance with CSA El Does Not '•-1 t !B55.1. Potable water-side i ! ;c pressure loss of drain"water heat ❑Not Observable recovery units < 3 psi for - ❑Not Applicab_le individual units connected to one Jh or two showers. Potable water- � , side pressure loss of drain water L heat recovery units< 2 psi for individual units connected to ., T ;three or more showers. ; 1, 403.6.1 All mechanical ventilation system ❑Complies [FI2512 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy Jand air flow limits. ❑Not Observable �. S ❑Not Applicable 403.6.2 ;Installed performance of the ❑Complies. Y` ' [FI32]3 'mechanical ventilation system ❑Does Not tested and verified by a HERS I Rater, HERS Rating Field ❑Not Observable Inspector,or an applicable BPI'i ❑Not Applicable ;Certified Professional,and - + measured using a flow,hood,flow. ; r i •. 4 I grid, or other airflow measuring device in accordance•with either ' 1 RESNET Standard Chapter 8 or 1ACCA Standard 5. ' F 403.6.3 Ventilation devices and n, r [ Complies (FI33]3 equipment are tested and ❑Does Not certified by Air Movement and Control Association("AMCA") or ❑Not Observable ; !Home Ventilating Institute ❑Not Applicable 3("HVI")and the certification label �is afixed to product.Where tmultiple duct sizes and/or `exterior hoods are standard 'options,the minimum size shall not be used. 403.6.4 ;Sound ratings for fans used for ❑Complies ; [FI34]3 ;whole building ventilation are ❑Does Not i !rated at a maximum of one Bone. ❑Not Observable ❑Not Applicable 403.6.5 'Owner and the occupant of the ❑Complies [FI35]3 dwelling unit provided with ❑Does Not ! information on the ventilation ❑Not Observable ,design and systems installed, including instructions on the ❑Not Applicable I proper operation and maintenance of the ventilation t systems.Ventilation controls ; {shall be labeled with regard to their function. 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Addition Report date:' 09/11/19 Data filename: Untitled.rck I , : Page 9 of10 Section Plans Verified Field Verified # • Final inspection Provisions. Value Value Complies? Comments/Assumptions & Req.ID 403.6.6 ;All ventilation air inlets are- ❑Complies ; [F136]3 !unobstructed and located a• ❑Does Not + �. minimum of 10 feet from other 1 t ivent openings that constitute ❑Not Observable ; ,known contamination sources. ❑Not Applicable,, 4 Outdoor forced air inlets are covered with rodent screens..A whole house mechanical ,ventilation system does not !extract air from an unconditioned basement unless approved by a registered design professional. Where wall inlet or exhaust vents. 1 are< 7 feet above finishedgrade in the area of the venting an , r !identification plate is permanently mounted to the ,exterior of the building at a >= 8 ;feet above grade directly in line ;with the vent terminal.. 404.1 75%of lamps in permanent ❑Complies [FI6]1 fixtures or 75%of permanent ❑Does Not fixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable ;lighting. ❑Not Applicable j, 404.1.1 !Fuel gas lighting systems have ❑Complies [F123]3 Ino continuous pilot light. ❑Does Not ❑Not Observable,: ` ❑Not Applicable Additional Comments/Assumptions: ,a b 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Addition Report date: 09/11/19 Data filename: Untitled.rck I ' Page 10 of 10 780 C M R 51 .00: Massachusetts Residential Code, 9th Edition, [energy [efficiency [energy Efficiency Certificate .insulation Rating ...R-Value Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): D.. Window 0.30 Door 0.27 Cdoling Equipment Efficiency Heating System: Cooling System: Water Heater: Name: 9:—Q // I ti �, S Date:�� cj Comments I i @ Cape Cod Insulation,Inc. Estimate 18 Reardon Circle Print Date:0911112019 Page I o 2 Estimate#: 602814.00 . South Yarmouth,MA 02664 Date: 09/11/2019 P: 508-775-1214 Terms: Net 30 "> PO#: F: 508-778-5735 Plan ID: E: r Sales Rep: Christopher Legere Phone#: 508-775-1214 W:www.CapeCodinsulatlon.Com y'Email: chrislegere@ca ecodinsulation.com Customer Name: Job Name: Mills,Bruce 140 Waterfield Rd. i 16 Crooked Pond Rd. 140 Waterfield Rd. Hyannis,MA 02601 t Osterville,MA 02655 brucemills69@gmail.com brucemills69@gmail.com P:508-280-8266 P:508-280-8266 A: F: -_ - Description ADDITION INSULATION PACKAGE: Package Accepted(please circle one) YES / NO Flat Ceiling w/12"R38 Kraft Faced Batts(16 OC) Attic Flat 16"Accuvents installed around perimeter of Flat Ceiling Walls Exterior w/5.5"R21 Unfaced Batts installed (16 OC) Walls Exterior w/4mil Polyethylene Vapor Barrier Stairwell w/3.5"R15 Kraft Faced Batts Installed (16 OC) Basement Ceiling w/10"R30 Kraft Faced Batts (16 OC) Basement Ceiling 16"Metal Support Rods ADDITION INSULATION PACKAGE TOTAL: $2,590.00 (Package Is Included In Total) i P. - I Cape Cod Insulation, Inc. Estimate Print Date:0911112019 Page 2 0 1 18 Reardon Circle Estimate#: 602814.00 - -- South Yarmouth,MA 02664 Date: 09/11/2019 P: 508-775-1214 Terms:#: Net 30 J, POF: 508-778-5735 Plan ID: E: Sales Rep: Christopher Legere s!! Phone#: 508-775-1214 IV:www.capecodinsulation.com Email: chrislegere@capecodinsulation.com Customer Name: Job Name: Mills,Bruce 140 Waterfield Rd. 16 Crooked Pond Rd. 140 Waterfield Rd. Hyannis,MA 02601 Osterville,MA 02655 brucemills69@gmail.com brucemills69@gmail.com . P:508-280-8266 P:508-280-8266 A: F: M i , t,,. Thank you for your business! CCI Cape Cod Insulation Inc.expects all areas being insulated to be broom dean and free of debris,prior to work commencing.It is the responsibility of the customer to heat the building to at least 50 degrees to avoid foam shrinkage.Spray foam insulation cannot be installed when the exterior surface temperature is below 32 degrees. When installing spray foam insulation, it is imperative that you consult with your HVAC contractor as CCI is not responsible for improperly sized HVAC units and the damage that may occur. Customer is responsible for removing or covering anything that you don't want covered with overspray. CCI in not responsible for the damage that may occur from overspray. *It is recommended that house be evacuated for 24 hours after the spraying of foam insulation.CCI is not responsible for any health issues due to inhalation of spray foam insulation. 'No other trades can work on-site while Cape Cod Insulation,Inc is Spraying foam products.Respirators are required while foam products are being sprayed. Cape Cod Insulation,Inc.is fully protected by Worker's Compensation,Liability and Automobile Insurance.Materials are guaranteed by the r Manufacturer and CCI's workmanship is guaranteed for 1 year. All agreements are contingent upon strikes,accidents or delays beyond our control. - Terms:Payment is due within 30 days of invoice.Payment can be made by Cash or Check. Any checks returned for insufficient funds are subject to a $25.00 service fee.Payments not received within 30 days are subject to 1.5%monthly finance charge.In the event that payment is not received within 60 days of the invoice your account will be turned over to our Attorney for collection.All collection costs,Including attorney fees,incurred by CCI will with be charged to customer. Note:this proposal may be withdrawn if not accepted within 30 days. Sales Rep Date Acceptance of Proposal:CCI is authorized to do the work as specified. Customer Signature Date aF! AUTHORIZED SALES SIGNATURE DATE Subtotal: $2,590.00 GrandTotal: $2,590.00 SIGNATURE PRINT NAME DATE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations it 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information M Please Print Lezibly Name (Business/Organization/Individual): G(,UCQ,1r 16�\� Address: (� c� _Qcg,�� (c2,� City/State/Zip: 60 k Phone#: !�'d — C5 iAre you an employer?Fbeck the appropriate box: Type of project(required): 1.❑ I am a employer with' 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.14 I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10. Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs t c. 152,§1(4),and we have no insruance required] employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-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 isproviding workers'compensation insurance for my employees. Below is the polky 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p2ains7�7n alties jperjury that the information provided above is true and correct Si store: p� Date: Phone#• [Official use only. Do not write in this area,to be completed by city or town qfficia[ ity or Town• Permit/License# ssuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person:- Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the la 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 constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public mork until acceptable evidence of compliance with the insurance requirements of this chapter have.been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Indtmtr l Accidents Office of ljnvestiptions 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877- ASSAFE Revised 4-24-07 Fax#617-727-7749 www:maw.gov/dia i DSc TO'lm OF BARNISTABiE RI S E Division of Thielsch Engineering,Inc. 2013 114 Y 10 AN ,I: 17 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 140 Waterfield Road has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor of Installations, - BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 - 401-784-3700 •800.422-5365 •fax 401-784-3710 TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION 1 D Ma 61 w "' �1 P Parcel 1 Application # Health Division Date Issued l Conservation Division Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board o 1 2Ji)Loy Historic - OKH Preservation / Hyannis Project Street Address Village Owner ( � G�CAt�C�r/a l y l P(,(� Address_Tf1 unQ (�(�fa Telephone Permit Request jnsaj- / 061"ML / D V Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ) Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kirf- Highway, ❑ ❑ No Basement Type: ❑ Full ❑ Crawl 0 Walkout ❑ Other L Basement Finished Area (sq.ft.) Basement Unfinished Area (q,) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new 90 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: 0 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 LID) so ' /�_ -3�n� . 2 Telephone Number Address U License # J ©D (Lrofuh)/) / RV 6L9 Home Improvement Contractor# ` �( �`l. C Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1V J2LWLj,-- has SIGNATURE _ .DATE I l (Q x FOR OFFICIALUSE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER. DATE OF INSPECTION: f FOUNDATION - FRAME , INSULATION _ P' FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT- ASSOCIATION PLAN NO., RISE ENGINEERING Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielseh Engineering MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,RI 02910 (401)784-3700 FAX(401)784-3710 OCI L CONTRACT Page 1 RI S E THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER PHONE DATE Client tt Casandra Thew (508)294-8058 10/14/2009 104646 SERVICE STREET BILLING STREET 140 Waterfield Road 140 Waterfield Rd SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Osterville,MA 02655 Osterville,MA 02655 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can nclude caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 6 man hours. $396.00 RISE Engineering will provide labor and materials to install a I I"layer of R-38 Class 1 Cellulose added to 672 square feet of open attic space. $806.40 RISE Engineering will provide labor and materials to install insulation and weatherstripping to 1 attic access hatch(es). $25.00 RISE Engineering will provide labor and materials to install blown in Class 1 Cellulose to 832 square feet of exterior walls through a surface drill and plug method.Plugs will be spackled and left in a relatively smooth condition.Finish sanding and touch-up priming/painting will be the customer's responsibility. As an added service,RISE Engineering will return when weather permits to check for any voids with an infrared scanner. Any major voids that may be found will be filled at no additional cost. $1,372.80 RISE Engineering will provide labor and materials to install 104 square feet of R-19 faced fiberglass insulation to the perimeter of the basement ceiling at the house sill. $114.40 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. $2,000.00 t, Cr WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Seven Hundred Fourteen &60/100 Dollars $714.60 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF I%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES )I- r LAzk ,0,yk,Ti�1/ yU AUTHORIZED SIGNATURE-RISE ENGINEERING CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE (o C' I o g '30 ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE 5 71 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone #: 401-784-3700 or 1-800-422-5365 Are you an employer?Check the appropriate box: Type of project(required): 1.❑X I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LEJ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof rep irs insurance required.] t employees. [No workers' 13.© OtherZr(�- • comp. insurance required.] Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy infumiation. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins. Lic. #: RJL(A Expiration Date: 04/01/ 10 Job Site Address:)qV W aHr� �'l e,1 j 9 Q d_d City/State/Zip:©R/fryd 1 P 1 m19 01&S j Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi un r the ins an enalties of perjury that the information provided above is true and correct Si nature: Date: U Erik Nerstheimer for RISE Enggineering Phone#: 401-784-3700 or 1-800-422-5365 Ext. 133 Official use only. Do not write in this area,to be completed by city or town official, CityTown: or Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I / icensee Details Page 1 of 1 The Official Website of the Executive Office of Public Safety and Security (EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City,State,Zip North Scituate, RI,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search r,,.. ._ . . ... _. ..... �ilie.i�a�n�rno�z�uea/.Cli o�✓�aa�u.,cetta � 'if:::,•::...:;: ;_ . Board of Building Regulations and Standardsf , _ i License or registration valid for individul use only _ HOME IMPROVEMENT CONTRACTOR i. before the expiration date. If found return to: Registration,:. 12097g Board of Building Regulations and Standards Ez_plration_= One Ashburton Place Rm 1301 ;3%25/2010 ! YRes=:Supplement Card ! �'stctn,.laa.021,0$ THIELSCH ENGINEERING-- +�,<. ERIK NERSTHEIMELsi_ 't -' 1341 ELMWOOD.AVE.` ':.:`'t �' .. CRANSTON, RI 02910 .:_�._ '�� ,... •-- -- •— ------._ Admrnisti:uor Not valid without signat.re http://db.state.ma.us/dps/licdetaiIs.asp?txtSearchLN=CSL100459 Q/7/I/)AAC) ACORD CERTIFICATE OF LIABILITY INSURANCE OP IDTHI M- DATE(MM/DD/YYYY) THIEL1 11 05 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Underwriters Ins. Co Thielsch Engineering, Inc INSURER B: Hartford Casualty Insurance Co T Group Inc. Hi Tech Realty Inc. INSURER C: Liberty Mutual Insurance Group Hi Tech 195 Frances Avenue INSURERD: North American Capacity Cranston RI 02910 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. 1NbKLTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MNUDD E DATE MN UD 0 LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A N,r--o:Im MERCIALGENERALLIABILITY 02UUNTD5678 04/01/09 04/01/10 PREM ISE S EaoccuE 're�nce $ 300,000 CLAIMS MADE �OCCUR MED EXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 JEC LOC Em Ben. 11000,000 POLICY �( AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 B X ANY AUTO 02UF.1=4850 04/01/09 04/01/10 (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN _EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 B X OCCUR CLAIMSMADE 02XHUUF6573 04/01/09 04/01/10 AGGREGATE $ 10,000,000 DEDUCTIBLE $ X RETENTION $10,0 0 0 $ WORKERS COMPENSATION AND X ITONYTTIMATITUi I I ER EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUTIVE WC2-Zll-259874-019 04/01/09 04/01/10 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liab 2,000,000 A Leased/Rented Eqp 102UUNTD5678 1 04/01/09 1 04/01/10 1 Equipment 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Division IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis MA 02601 REPRESENTATIVES. AUTHORIZED REPRESEjfffi= ACORD 25(2001/08) ©ACORD CORPORATION 1 , i SMOKE DETECTOr'S f�re: l'L:.uVED 5 ly I A -ILDIDEPT. DATE rn ` I <._ = . j hRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING C> instable Blg.Dept- 1 Ba Approvedby• 9 -3b p Ynit#: , e3o 90 © o S r go cc H a � i -71 ' t � f3a+� . � O t OH 2° ------------- LEGEND OSTERVILLE . eru& ` — 6� PROPOSED CONTOUR LOCUS ® PROPOSED SPOT GRADE EXISTING CONTOUR 2 96.52 EXISTING SPOT GRADE I W— EXISTING WATER SERVICE 4 p cam-(. TEST PIT SCALE: 1"=30' i NORTH \\` BAY ` LOT 5 AREA = 43561 sf+— � \ PLAN BOOK 494 PAGE 27 \\ \\ LOCUS MAP Lu. U ASSR MAP 119 PCL 19-1 \\ \\ a °O 36, LOCUS INFORMATION um PLAN REF: 494/27 Q M TITLE REF: 28108/007 :an = \\ �`\ ' `\ PARCEL ID: MAP 119 PAR. 019/001 0 \\ `\ \\ ZONING: "RC" FLOOD ZONE: "X" COMMUNITY PANEL: 25001CO544J DATED:07/16/14 Q C== SEPTIC SYSTEM J REPAIR PLAN LOCATED AT: TH BENCH MARK 36 140 WATERFIELD ROAD PAINT SPOT ON r OSTERVILLE, MA. GONG PAD CORNER 3 \, TN PREPARED FOR UM A 37 111 � USGS DATUM ASSUMED \ \\ o � , - .,%-2 QQp WA L TE R LU TZ TR S T \ p ` {7� ` s GENERAL NOTES: b \ s FEBRUARY 17, 2017 1\ I 3a \\ \� _ `` i 1 I 1• ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. `* Of UOSJ9 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE. TITLE V. AND ANY APPLICABLE �G LOCAL RULES AND REGULATIONS. D RE 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE t 34 DESIGN ENGINEER. 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 10 St O i , 1 FROM THOSE SHOWN.HEREON SHALL BE REPORTED TO THE DESIGN �/STr p / i ENGINEER BEFORE CONSTRUCTION CONTINUES. a� + SINITA 1\z�9 ti �x - � � ; s. ALL ELEVATIONS BASED ON assuMEo DATUM. 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF ` THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL. BOARD OF DRAIN® '\ o HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. n Z _ i i �OrRAIN I o� ' 6'Z 0 i 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 8.ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED MEYER & SONS, INC. o \�E PROP. 1,50Q j TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. o• P\�µ` „�- p ` \ ,�. SE"e-TANR ( 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE P.O. BOX 981 1 THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING W ' a� ` '+ • •' CONSTRUCTION. ATER PAID�� /._., / i i i GATE s , , , , ,, - -- 10. EXISTING CESSPOOLS TO BE PUMPED, CRUSHED AND FILLED PER TITLE 5. EAST SANDWICH, M A. 02537 GASGP DRY wAY _ l� � /'�' -' 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION GATE ,��-- ;1 - PH: (508)360-3311 O �' �' " 12. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY FAX: (774)413-9468 , / � 34 13. NO PRIVATE WELLS WITHIN 150' OF PROPOSED LEACHING. 514. NO WETLANDS WITHIN 100' OF PROPOSED LEACHING. meyerandSOrIS{I{Ie5®gmall.COm (UTILITY 38 36 ! 15. ALL PIPING TO BE 4" SCH 40 O 1/8"/FT (UNLESS SPECIFIED) WWW.meyerandsons.COn1 Q POLE 39 SHEET 1 OF 2 J 1807 S84°14'00"E PARCEL lo: OSTERVILLE 166.42 119/038 IROUTE28 Ro pPARCEL ID: Q�119/019-0012aAREA=43,559t S.F. Q�� fj •� N N LOCUS MAP PLAN REF: 494/27 TITLE REF: 28108/7 PARCEL ID: MAP 119 PAR. 019/001 00 ZONING: "RC" "WP" SETBACKS: 20'F-10'S-10'R NOT IN 1 MILE WIND DISTRCT 00 FLOOD ZONE: "X" N COM PANEL: 25001CO544J DATED:07/16/14 00 PARCEL ID: E� CERTIFIED PLOT PLAN P 119/019-003 �R (FOR ADDITION) PARCEL ID: LOCATED AT: 119/019-002 10' 10, 140 WATERFIELD ROAD I I OSTERVILLE, MA. PREPARED FOR: Ld I— 1 Q w to BRUCE MILLS 01 z w lc:; c°I N ICD o OWNER: Q w ICNInJa I-4--U' z MATTHEW G. & CASSIE 14.12 �N% OF j14 MEDEIROS �av S4 S88'26'44"E ,,,,,,, o�� EDWARD yes - - - � o A. O(o STON H NOVEMBER 6, 2019 I oM I o to #140 q i.2 9 MacDougall Surveying N 18.0, Wv X DECK 67.3' & Associates WATERFIELD ;�v ,� CAR ADDITION N P. O. Box 2428 PARCEL ID: I �`' 20.0 22 0� 0 GRAPHIC15 SCALE 60 M a s h p e e, Ma. 02649 119/019-004 ROAD I 20.5 0) PH. (508)419-1086 I 0 CELL 774-327-0617 email: PARCEL ID: IUPOOLE 1 =30 macdougalIsurvey@comcost.net 119/018 -7 PARCEL ID: N88'26 45 W 128.39 119/020 J#2141 �Y v� q^ i r4- 3 e . 6