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0897 MAIN ST./RTE 6A(W.BARN.)
s� UPC 12543 No. 53LOR . ,� Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept r T4 Posted Until Final Inspection Has Been Made. it 'asa •� -t 1 Jll Jlll Where a Certificate of Occupancy:is Required,such Building shall Not be Occupied until.a Final Inspection has been made. Permit Permit No. B-19-277 Applicant Name: John Vreeland Approvals Date Issued: 02/06/2019 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 08/06/2019 Foundation: Location: 897 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE_.Map/Lot: 156-007 � Zoning District: SPLIT Sheathing: Owner on Record: BUNNELL,MATHEW A&JENNIFER L I Contractor Na a-.JOHN VREELAND Framing: 1 Address: PO BOX 944 Contractor Licenser CS=107947 2 WEST BARNSTABLE, MA 02668 w Est. Project Cost: $27,308.00 Chimney: j - Description: Roof mounted solar PV installation. The system will consist of 28- Permit Fee: $ 189.27 320 watt modules connected with microinverters. Total system size i ? Insulation: is 8.96 kW DC. Fee Paid:, 5189.27 Date: •`F 2/6/2019 Final: Project Review Req: i %F (�� � Lds�svv� 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. 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 Final Gas: work until the completion of the same. � ------ -- -- -~' ,` Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: ;% Service: 1.Foundation or Footing '� 2.Sheathing Inspection —___ _ _ Rough: 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 All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: FRIEDLINE&CARTER ADJUSTMENT, INC. 436 Main Street,P. O. Box 338 Hyannis, Massachusetts 02601 ' Tel. (508) 771-3232 FAX (508) 790-2344 EPT TO: ( Building Commissioner or Inspector of Buildings DEC 2 8 2020 ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN HALL Barnstable Town Hall, 367 Main Street Hyannis MA. RE: Insured: BUNNELL, Matthew and Jennifer Property Address: 897'Main Street West Barnstable, MA 02668 Policy Number: HM00400251 Type of Loss: Fire Date of Loss: 11/25/2020 File#: 134557 Claim has been made involving loss, damage or destruction of the above captioned property,which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured,-location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. J. DEWEY Adjuster 11/30/2020 . Town ofBarnstable—- Building esrA o ,'Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept DAIPU M" p ,Posted Until Final Inspection Has Been Made. Permit ` gWhere a Ce------------__rtificate of____------Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. i ------- Permit No. B-19-1327 Applicant Name: CLANCY&CASTANO LLC Approvals Date Issued: 05/16/2019 Current Use: Structure Peymit Type: Building-Addition/Alteration-Residential Expiration Date: 11/16/2019 Foundation: Location: 897 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Map/Lot: 156-007 Zoning District: SPLIT Sheathing: Owner on Record: BUNNELL,MATHEW A&JENNIFER L Contractor Name: CLANCY&CASTANO LLC Framing: 1 Address: PO BOX 944 Contractor License: 179722 2 WEST BARNSTABLE, MA 02668 Est. Project Cost: $300,000.00 Chimney: Description: Construction of a new Kitchen and Master bedroom per plan Permit Fee: $1,580.00 I Insulation: .., Project Review Req: Fee Paid: $1,580.00` Date: 5/yl,2019 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. 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 Final Gas: work until the completion of the same. --- - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Miring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 734inal 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). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: --------- - - - ------- ............... ���~O APPlicationNumber. .✓ � I� '. I sAart ABLE, ' U Permit F ...J. ....... er Fee........................ t►snee. $ t/11 � � ,� � � ....:: Oth TotalFee Paid............................................................... ...... TOWN OF BARNSTABLE Permit Approval by.................................On... BUILDING PERNIIT mv..1510.............................Pa=l......0(a.............................. APPLICATION Section 1 — Owner's Information and Project Location Project Address p q'q- JV a;n Stre2*/(ern A e L,2 A Village W p.ca-RQ..rn, 1 p Owners Name M a4-h eAA) A. + J nru L. R n n n u Owners Legal Address__89 Main Stre �/ Ae LA , 'p.C�. CitY WREL g .rn&W bl e. State U,A 'Zip 02 fro.9 �r- Owners Cell# 508 :��(49 1,,459 E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000"cubic feef ❑ Commercial Structure under 35,000 cubic feet ® Single/Two Family Dwelling Section 3 —Type of Permit '❑ New Construction v ❑ 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 ❑ Insulation Other—Specify. Section 4 - Work Description CMS±mC�hrr) oC GAL IrL2LJ (C 4r Ks n 4 rn oLsi-Pir77 bed ra am os ix-r plan I(`PiYYL.f�.��P J Last undated: 11/152018 Application Number................. Section 5—Detail Cost of Proposed Construction 30U,000 Square Footage of Project Age of.Structure 119 U eo rS h)i 1+19 CQ)Dig Safe Number # Of Bedrooms Existing 4 Total#Of Bedrooms (proposed)�SC'•U'Y1.2) 110 MPH Wind Zone Compliance Method (g MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics Wiring ❑ Oil Tank Storage Smoke Detectors (� Plumbing Gas ❑ Fire Suppression Heating System ❑ Masonry Chimney Ad elocate bedroom Water Supply ❑ Public M Private Sewage Disposal ❑ Municipal M On Site Historic District ❑ Hyannis Historic District Q Old Kings Highway Debris Disposal Facility: 5rJ EXC o, Sb o+�) DWr1.is (VIA} I am using a crane El Yes M No Section 7—Flood Zone -A ASSESSoes WMASASE L.I$-Ts PeDPeeyAS; Flood Zone Designation f)(jn P AS pe-r GIS Mo..pS G's ZolaImGI VALUE' SPLIT WBVSD;RF Within or adjacent to a wetland,coastal bank? Yes ❑ No F1 Section 8—Zoning Information Zoning District RF Proposed Use RQcc�c�gnE of Lot Area Sq. Ft. y 3,P1` 5,Ip Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required 3 0 Proposed Rear Yard Required, 15 Proposed Side Yard ; Required_ Proposed Has this property had relief from the Zoning Board the past? ❑. Yes No Last updated: 11/15/2018 Application Number..........................................I Section 9= Construction Supervisor Name Mark- Q kayo u Telephone Number 502�,2g0yy0y Address PU.Box 2qq City a,si}} -L)e,nrL.G State MA- Zip OZ(0(0 b License Number 05:3-6 S License Type V Expiration Date ()5 109119 Contractors Email YYm mr(c.@ Clo o cy eoS- wn o . cLm Cell# 2U 0 q yc c t I understand my responsibilities der the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Mass hus e B 'ding Code.I understand the construction inspection procedures,specific inspections and documentation y 0 MR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor I Name M1C]_ ( CCL9+0,no Telephone Number .Qa 7-y0 440y Address 7.U. &,(, 249 City Sc k FVl i)P-n itl State M_Zip 02(a(�b Registration Number J--q T 22 Expiration Date 0q Lo 1 /2d2 0 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massach tts S uilding Code. I understand the construction inspection procedures,specific inspections and documentation r 'Zd7 C an !eo7wn of Barnstable.Attach a copy of your H.I.C... j . Signature Date 4 (0(1 q Section 11 —Home C* ers 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 (AOLICANT SIGNATURE SignatureIV Date __41 &I Z11 Print Name IV NA rNO, Telephone Number 26 LAO E-mail permit to: WEL? L A k a y rnALV-AW, LK Last updated. 11/15/2018 Section 12 —Department Sign-Offs ' Health Department ❑ Zoning Board(if required) ❑ Historic District. ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization L as Owner of the subject property YherebY authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner date Print Name _ pw n r s 1� z��:er�usS ccn— 9, i Last updated. 11/15/2018 r� AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7s0 CMR 5301.2.1.1)1 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(Table 5)..........................................2x6-8 ft 0 in. �( Non-Loadbearng walls................................................(Table 5)..........................................2x6-8 ft 0 in. [J( Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).................................................................. Q WSP Attic Floor Length................................................(Fig 11)............................................. ft>_W/3 N/A Gypsum Ceiling Length(if WSP not used)...................(Fig 11)..............................................26 ft>_0.9W Q and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11).............................................................. N/A or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Q Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).........................................8 ft Q Splice Connection(no.of 16d common nails)..............(Table 6)..............................................................6 Q Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Tables 7)........................................:...................2 Q Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)..............................................................3 Q Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)..........................................6 ft 0 in.<_11' Q SillPlate Spans .........................:..............................(Table 9)..........................................3 ft 0 in.s 11' Q Full Height Studs (no.of studs)...................................(fable 9)..............................................................3 Q Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans....................................................:........(fable 9)..........................................8 ft 0 in._< 12' Q Sill Plate Spans...........................................................(Table.9).................................._ft_in. s 12" N/A Full Height Studs(no. of studs)....................................(Table 9)......................................................I.......3 Q Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 .........................................................................6'-8"<6'8" Q SheathingType..............................................(note 4).........................................................WSP Q Edge Nail Spacing.........................................(Table 10 or note 4 if less)..............................3 in. [( Field Nail Spacing..........................................(fable 10).....................................................12 in. Q Shear Connection(no.of 16d common nails)(Table 10)............................................................4 Q Percent Full-Height.Sheathing.......................(Table 10)......................................................59% Q 5%Additional Sheathing for Wall with Opening>6'8°(Design Concepts)..................... Q Maximum Building Dimension, L Nominal Height of Tallest Opening2.....................................................................6'-8"<_6'8" Q SheathingType..............................................(note 4).........................................................WSp Q Edge Nail Spacing.........................................(fable 11 or note 4 if less)..............................3 in. Q Field Nail Spacing..........................................(Table 11).....................................................12 in. Q Shear Connection(no.of 16d common nails)(Table 11)............................................................4 Q Percent Full-Height Sheathing.......................(Table 11)......................................................31% Q 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... N/A Wall Cladding Ratedfor Wind Speed?.............................................................. ................................................................ Q i k : AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool, see BBRS Website) Q Roof Overhang ................................................... (Figure 19)...............2/3 ft<_smaller of 2'or U3 1Z Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)..............................................U=236 plf Q Lateral.............................................(Table 12)...............................................L=176 plf Shear...............................................(Table 12)................................................S=77 plf Q Ridge Strap Connections, if collar ties not used per page 21... (Table 13)................................T= plf N/A Gable Rake Outlooker......................................... (Figure 20).............. ft<_smaller of 2'or U2 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. N/A Lateral(no.of 16d common nails)...(fable 14).......................................L= lb. N/A Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Q Roof Sheathing Thickness........................................... ...............................................5/8 in. >_7/16"WSP 1Z Roof Sheathing Fastening............................................(Table 2)...........................................................8d R1 897 MAIN STREET WEST BARNSTABLE MEETS THE CHECKLIST IN ITS ENTIuRETY,THEREFORE;THE FOLLOWINGNOTE°APPLIES �~ y Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at-3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment j << AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)1 --MEN THIS EDGE RESTS ON PRAAIING WE&J MAU AT6'o.c. _-- - -- ------------- 11 11 11 Ir 11 1 • 11 11 1/ 1 Y 1•I 11 11 II 1 11 11 11 11 I t ' 1 11 11 11 tl 11 1 I 11 ab( 71 11 1/ i ��(( 11 I l 11 `[ 11 11 N 1 I 1 JI a I Ir r i� Ir a �I m i taD i� 1� j Z m n rl a I np 11 t r g I Q' Ir Q ii 11 p Ir 1 Ill �� �•I � 1 It W 11 li � 1 /t JZ 11 I l I 0 11 N. I I -•1 a I I � 1 II Q ii ii W 1 II V 11 11 ~ ! la T I � II II 11 ti tilr IOU O)GE2" NAILSPACING PANEt_ See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zoize Massachusetts Checklist for Compliance (7s0 CM.R 5301.2.1.])' 1 t + t za t t t i.' t t � ZQ t FRAM R NG MEMBERS EDGE dTERMEDIAT£ t t t t t �t i � t t " t t d11-N' i STAGGERED 3•MkJ AWLPATLF3iN PANEL PAWL EDGE IZ! DOUBLE MAIL EDGE SPACWG DETAL Detail Vertical and Horizontal Nailing for Panel Attachment REScheck Software Version 4.6.2 Compliance Certificate Project BUNNELL RESIDENCE Energy Code: 2015 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 897 MAIN STREET KEVIN WERNER W BARNSTABLE, MA FINE LINE DESIGN 8 WEST BAY ROAD OSTERVILLE, MA 02655 508-420-1296 kevin@finelinearchitectural.com compliance, Passes-Using UA trade-off Compliance: 3.1%Better Than Code Maximum ILIA: 225 Your ILIA: 218 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. Gross Area. Envelope Assemblies Assembly or Cavity Cont. U-F.actor UA. TOTAL CEILING:Cathedral Ceiling 864 49.0 0.0 0.022 19 TOTAL WALLS:Wood Frame, 16"D.C. 1,440 21.0 0.0 0.057 63 TOTAL WINDOWS:Wood Frame:Double Pane with Low-E 232 0.310 72 21 0.280 6 Door 1:Solid 84 0.340 29 Door 2:Glass TOTAL FLOORS: All-Wood Joist/Truss:Over Unconditioned Space 864 30.0 0.0 0.033 29 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 2015 IECC requirements in REScheck Version 4.6.2 and toicomply with the mandatory requirements listed in the REScheck Inspection Checklist. 1�-1 I ��- icl�LA ��+�t-1 'vV�� Dat Date - Name-Title Signat re Project Title: BUNNELL RESIDENCE Report date: 03aF f a filename: Untitled.rck Pagel 1 o of 9 9 f D• REScheck Software Version 4.6.2 CNJ Inspection Checklist Energy Code: 2015 IECC ` 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. :Section:.. Ln'- f;.. mod., z red..:•: ' ents/Assumptwns_, r , >:�;:.,�'„�:�•. _, �;: ;•�, ... Plans Ver�fred� ,. Fieltl Verif Complies' 3 Comm # +__ ':.P.cerins ect�on/Plan Review S ; :. : Value. •;Va u _ r - x ,� nG ❑Complies r 103.1, ;Construction drawings and � � �� F 3�^ , �❑Does Not 103.2 documentation demonstrate , , , s . , . [PR1]1 ;energy code compliance for the 3r x `��� s❑Not Observable :building envelope.Thermal pp ❑Not A licable envelope represented on ;construction documents. 103.1, 'Construction drawings and � � ', r '❑Complies s103.2, 'documentation demonstrate to ❑Does Not :• 403.7. energy code compliance for 6 � � ❑Not Observable , [PR3]1 ;lighting and mechanical systems } ` `❑Not Applicable, ; 'Systems serving multiple rr :dwelling units must demonstrate i scornp liance with the IECC :Commercial Provisions. � .,x�.,� ���.. - :F�- .-���'• 302`1` "Heating.and cooling equipment is; Heating: Heating: . ❑Complies 403,73 sized per ACCA Manual S based ; Btu/hr ' Btu/hr ❑Does Not [PR2]?' ion loads.calculated per ACCA l Cooling: Cooling: ;❑Not Observable Manual J or other methods 1 Btu/hr Btu/hr ;❑Not Applicable �approved by the code official. , �Additiional Comments/Assumptions: , y r.t ,4 1 High Impact(Tier 1) 2 t Medium Impact(Tier 2) 3 Low Impact(Tier 3) Report date: 03/14/19 Project Title:.BUNNELL RESIDENCE Page 2 of 9 Data filename: Untitled.rck ` Section , Comments/Assum tions # Foundatiorranspection: Complies. p &Req.ID 303.2.1 'A protective covering is installed to ;IComplies [F011)Z protect exposed exterior insulation ;E]Does Not . jand extends a minimum of 6 in. below FINot Observable ;grade. r ; Not Applicable 403.9. ;Snow-and ice-melting system controls;[]Complies [FO12)2 `installed. []Does Not +. 'pNot Observable,; ,E]Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium impact(Tier 2) .3,,* Low Impact(Tier 3) Report date: 03/14/19 Project Title: BUNNELL RESIDENCE Page 3 of 9 Data filename: Untitled.rck .......v.....4.._..... :c.:.�... v... .....,...:i ...:...:.. ... ,,.. Very -V cifietl,> ..:Field.._ :..:._::<:.:....:::., .,,a.,;�,F__,-..:..r:.�:�_a:;;:..v::. .,>.),�::.::• .:_. ..P.lans-. .e <.. _ - =.Complies. Comments%Ass p r _ Framin =%Rou 11i. In.Inspection _ s, _9., Value -)E Value 45 ...n .. -..:..._.. ...l.4 .. ....�. s r. 402.1.1, ;DoorVactor. U- U- Complies ;See the 402.3.4 []Does Not . ;table for values._ 1.[FR1]1 ;❑Not Observable ' ❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted U U- ;❑Complies ;See'the Envelope assemblies 402.3.1, average). ;❑Does Not !table for values. 402.3.3, ; . � • ;❑Not'Observable 402.3.6, ; • . 402.5 ;[]Not Applicable [FR2]1 i 4 ` 303.1.3 -factors of fenestration products�adr � " } r` a ❑Complies -70 er' � U p ❑Does Not Ct2 V �� (FR4]1 !are determined in accordance ggggI with the NFRC test procedure or s ❑Not Observable taken from the default tab le. Tr .t � ❑Not Applicable ? 402.4.1.1 :Air barrier and thermal barrier` � � �'� ❑Com lies ��h �� P [FR23]1 installed per manufacturer's � �q ,xret0 ❑Does Not instructions. � �a rt. �� � .��❑Not Observable . • � '� E ; ���5�` ,��� rh�`r�.� �❑Not Applicable - 402.4.3 ;Fenestration that is not site'built � � - �� � � .❑Complies [FR20]1 !is listed and labeled as meetin ¢, $ s��� ' ❑Does Not AAMA/WDMA/CSA 101/1.5.2/A440 � � x� � Mw, �'� ❑Not Observable ; or has infiltration rates.per NFRC I �� �'�7 � f ❑Not.Applicable ; :400 that do not exceed code �a � limits. , O s�- 402 4 5 ` ,IC-rated recessed lighting fixturesP�� r���f , r T ' ,❑Complies [FR16]z sealed at housing/interior finish �R �;� r„ S �" " , QDoes Not r � ¢;and labeled to indicate<_2.0 cfm � ¢< tY = ' ❑Not Observable leakage 75 Pa. �� 1 `. ` a ; r> 9 } 3 ` ' ❑Not Applicable s 403 2.1 !Supply.and return ducts in,attics 4W,04N °' om [FR12]1 ;insulated >= R-8 where duct is ' � �uo b�❑Does Not �" � t � } >= 3 inches in diameter and>_ b ' �.5 11,,E : " �� �❑Not Observable , �4_ 1s � )� P � arg it R-6 where < 3 inches.Supply and F� Rk s��� , r return ducts in other ortions of �` ?❑Not Applicable p 'the building insulated >=.R-6 for } J � ;diameter>=3 inches and;R-4.2 t Nk � r ago- �k n ,for< 3 inches in diameter. �` aa . ` � ��SFr , "Now,"MAVEN f #403 3 3x5 'Building cavities are not used as � rK � ii� ' ,- b.. 1} ry [FRl8' ducts or plenums. � � ❑Does Not � y s �1 0' uARM :�.��� � f ,� �';.�� � � ���>�.,. ❑Not Observable . ❑Not:Applicable 403'4,*,:0A';HVAC piping conveying fluids R- R- ;❑Complies p rt ❑Does Not [FR17]2� iabove 105 QF or chilled fluids below 55 4F are insulated to >_R= ❑Not Observable 3. ;❑Not Applicable ; N❑Complies ; 403.4.1 ,Protection of insulation on HVACy ? 3 [FR24]1 (piping. 1 c'� rnx ❑Does Not "� g8I r x ]Not.Observable 41. ': ❑Not Applicable 403 5 3s Hot water pipes are insulated to , R- R- ;❑Complies ❑Does Not []Not Observable ` ❑Not Applicable. ❑Comp - 403,6 (, Automatic or-gravity dampers are '3 x��� � lies ; (FRsl9]? ', 'installed on all outdoor air Aw y i � x� ❑Does Not .r.± intakes and exhausts. � '[]Not Observable z Y i � � � 'x ❑Not Applicable ; a �..•,. q��'6 �'�. .;fix n;-�.F�a`�.�u,r�..:_x*c.s=;�:�.:a._..-;� z�.v4tY. 1 Hlgh Impact(Tier 1) 2 Medium Impact(Tier 2) n3A Low Impact(Tier 3) ProjectTitle:•BUNNEL'L RESIDENCE Report date: 03/1of, 9 Data filename: Untitled.rck Page 4 of, 9 Additional Comments/Assumptions: 1 High Impact(Ter 1) 2 Medium Impact(Tier 2) ;;3 Low Impact(Tier 3) Project Title: BUNNELL RESIDENCE' Report date: 03/14/19 Data filename: Untitled.rck Page 5 of 9 -Sec do n:. '.0 4- `rifled>=Ve yr PIanS;Ver(fie _ - - �.rCom"lies ,Comments/Assumptions,; n t ,, }.• ectio a ti n`Ins �s.... ..... M. .-_., .. ..... ........,.._ - .. a .., � •Value=`� u'-�:Crac „"£'.'X' h4i i ELK rN 3a ,6,?x 303 1 f All installed insulation Is labeled � � �� f Y ❑❑Complies [IN13lz ,or the installed R-values �� rr�� �tx ' �R Does Not. ~provided. []Not Observable ❑Not Applicable 402.1.1, y 'Floor insulation R-value. ; R- R- ;❑Complies. ;See the Envelope Assemblies 402.2.E ❑ Wood ❑ Wood ,❑Does Not ;table for values. [IN1]1 Steel Steel ❑Not Observable EINot Applicable. aW;❑Com ties 303.2, Floor insulation installed per ar L * !� �� P 402.2.7 :manufacturer's instructions and �rr ,z � r� r ❑Does Not I qrWIN; ' a 5z 5 h.� s s s�! �� [IN2]1 ,m substantial contact with the ❑Not Observable underside of the subfloor,or floor N � a�� � xr ❑Not Applicable ,framing cavity insulation is in R s � ", t� �r ; contact with the to side of = ;sheathing, or continuous MN 3 �� 5z 'insulation is installed on the Wit* underside of floor framing and ;extends from the bottom to the kop of all perimeter floor framing 1 � s 3 ` -1211 402.1.1, 'Wall insulation R-value. If this is a'. R- R- '❑Complies ;See the Envelope Assemblies ' Wood ❑Does Not ;table for values. 402.2.5; ;mass wall with at least /2 of the ❑ Wood ;❑ 402.2.6 ;wall insulation on the wall Mass ;0 Mass ;❑Not Observable ; [IN3]1 ;exterior,the exterior insulation. ❑Steel Steel TINot Applicable :requirement applies(FR10). ; ❑Complies 303.2 ;Wall insulation is installed per , [IN4]1 •:manufacturer's instructions. � � ��� � ❑Does ' � � ��-������� .����)❑Not Observable. ; � - �� .� � � ��'����❑Not Applicable , ;• Additional Comments/Assumptions:, t ' S �." 1 High Impact(Tier.1) ,2 Medium Impact(TierImpact(Tier 3) Project Title: BUNNELL RESIDENCE Report date: 03/14 9 ' Page 6 off 9 Data filename: Untit)ed.rck • Y .......... ifi ,;,b, :.,. :.:;.:,.�.�,.�,..• •,.Plans..Ver�fied,-�.-,. •.,..-.. Assum tions ' ,�:,:Complies Comme /. -P,. # z:. Final Ins eetwn Provisions ,. t _ yoli - ; 402.1.1, ,Ceiling insulation R-value. R- R- ;❑Complies 'See the Envelope Assemblies 402.2.1, ;❑ Wood ❑ Wood -]Does Not table for values. 402.2.2, .Steel ESteel ;❑Not Observable 402.2.E ❑Not Applicable [Fill' f. 303.1.1.1,;Ceiling insulation installed per w3Y } ` � $ �` � j❑Complies 303.2 arg 5 � �� �_ ❑ manufacturer's instructions. N y � 1s"M ,, ., Does Not [FI2]1 Blown insulation marked, n � � 5 'Y❑Not Observable'' 300 ft . A �*`= �t` `. ❑Not Applicable 402 2-3 Vented attics with air permeable (FI22]Z a insulation include baffle adjacent � a K ' F � ' " u 'St l ❑Does Not" ; to soffit and eave vents that s� �Y ��? A []Not Observable. ;extends over insulation. � � �� �` #h ? ❑Not Applicable MW 402.2.4 ;Attic access hatch and door ;t R- R- ;❑Complies [F13]1 ;insulation all-value of the ElDoes Not ;adjacent assembly. []Not Observable 1 ❑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 ;❑Does Not <<=3 ach in Climate Zones 3-8. ; ,QNot Observable ❑Not Applicable 403.2.3 Duct tightness test result of<=4 ; cfm/100 cfm/lOb 1❑Complies [F14]1 cfm/100 ft2 across the system or ;.ft2 ftz ;❑Does Not <=3 cfm/100 f:2 without air ; ; Not Observable ;handler @ 25 Pa.,For rough-in ❑Not Applicable :'tests,verification may need to occur during Framing Inspection.,I . 403.3.2 1Ducts are pressure tested to cfm/100 cfm/100 ❑Complies ; [FI27]1 ':determine air leakage with ftz: ftz, ❑Does Not ;either:Rough-in test:Total ,❑Not Observable leakage measured with a ; ❑Not Applicable pressure differential of 0.1 inch ; :w.g.across the system including :the manufacturer's air handler- : enclosure if installed at time of - nest. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch ;w.g. across the entire system ;including the manufacturer's air '•handler enclosure. . g g � A. �� x v� �� e ❑Complies 403.3.2.1 Air handler leakage designated [F124]' by manufacturer at<=2%of ��c i 3" ❑Does Not ; Fie � 'U AV - design. air flow. . ❑Not Observable ❑Not Applicable Fey ;mowrww' ❑Com lies 403 _14g Programmable thermostats P z y�� H _ � ❑Does Not (FI9]�,-�,�,��s Installed for control of primary:. ���� r�:,�c „•�,l � .� �xR -��, � xs, heating and cooling systems and �� �� � ❑Not Observable initially set by manufacturer to � � 1 ` n1r< r SiYu �,.❑Not Applicable code specifications. f Complies Heat 403 1 2{�i4s Heat pump thermostat installed FI110 { : ❑Does Not a On heat pumps. QNot Observable ; �g `�a � � ❑Not Applicable ;p" 1 � 3 9❑Complies ; 403 5 1� Circulating service hot water : `' [FI1g1]z� �systems have automatic or ,L ❑Does Not a r, >yaccessible manual controls. []Not Observable A Ottti�s § ; ❑Not Applicable r-3 to fC.,`^i .f;•�a �4.�xi,�.<„->=-�,e.�:•4.ec a�:�r.�� <Aw:^,c. `'?�'.�Rr',ra.xw,. 1 High Impactr24 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title:,BUNNELL RESIDENCE Report date: 03/14/19 Page 7 of 9 Data filename:Untitled.rck P F. - ton r -Sec �a 'rifled"'Ve 'iis e Field.. ._ , -_,...:.,...,,:.:., .,,. la _ _ Gom 1�es?� nts/Assumptions n Provisions �:: p :Comma •::;Finahlns echo . x ,:>�.�;�;; r. r., 4 V tue .:Value;'' t 1 s x w M"W-Complies 403 6 1 All mechanical ventilation system �� � Yee, Do [FI25]� ;fans.not part of tested and liste es Not d ��' �� � 1 � ❑ _ I 11M M ;HVAC equipment meet efficacy � k� Fl❑Not Observable , K "' ;and air flow limits. ��� z� ,r � F�❑Not Applicable 403 2;= 'Hot water boilers supplying heat , ` " � ❑Complies L v* 3 FI261?<y"_ throughone-or two-pipe heatin = z� "al [ 9 � � ��s� �spDoes Not s =systems have outdoor setback, 4 ram* �� 1 k P �F ",❑Not Observable ,control to lower boiler water �fsn j L � },, temperature based on outdoor � � r �Not Applicable temperature. Heated h" 403=5`l 1 Heated water circulation systems5 '¢ `T k� ❑Complies. [FI28]?, have a circulation pump.The �y� � �� � 9❑Does Not system return pipe is a dedicated "� " ^., ,� M i YyM £t ❑Not Observable return pipe or a cold water supply r � � 4 �� r �* �N ❑Not Applicable a i e.Gravity and thermos-` r -� �"�' r,yphon circulation systems are x tr � r not present. Controls for x;<< circulating.hot water system P k�pumps start the pump with signal �� �� �TRL ; {..{rfsY4for hot water demand within the ry occupancy.Controls automatically turn,off the pumpz� r, „1Fwhen water is in circulation loop " is at set-point temperature and S f f ;no demand for hot water exists. ' ; , 403 5 12°s,Electric heat trace systems ` W�olr �?-ozw3❑Complies [FI29�Z� Fz y comply with IEEE 515.1 or UL ' aI'M � -j❑Does Not 515.Controls automatically , ,� !❑Not Observable ; ;adjust the energy input to the. N rKEIR ' ncf ;❑Not Applicable 3 .heat tracing to maintain the ; °g' -'desired water temperature m the � � 5r 403 5 2 ;Water distribution systems thatc � $ y~ ❑Complies 5 5 P ,.� `" e []Does Not [FI30]?� ahave recirculation pumps that f 5 *ai r pump water,from a heated water b k "rr ' OW []Not Observable ; supply Pipe back to the heated ❑ qt, �xawater source through a cold " . �•� .� Not Applicable yr r c S g. NA ti ram, ,y water supply Pipe have ae f , gg, ,demand recirculation water. s3system. Pumps have controls. )� z ��f � � MV that manage operation of the pump and limit the temperature ` � t of the water entering the water piping to 104g F r > , f zx_ ❑Com lies,. 403354"" Drain water heat recovery units, P [FI31]Z tested in"accordance with CSA f a� ❑Does Not 3 �r t - i e . zyN 4�B55..1..Potable water s d ,.; ❑ . { L s Not Observable r, pressure loss of dram water heat tis I � ONot Applicable ; � recovery units< 3 psi for } r 4 k individual units connected to one ' � *� 'SIR 1+,� i{ or two showers: Potable water- � ! x` s3! side pressure loss of drain water � 4 ; 1 �heat recovery units< 2 ` ' fl;individual units connected to', ' Aa three or more showers. 3 ,F,Bit � , .EC: 4 sfY� f 4041 75%of lamps in permanent �h$f' ❑Complies [FI61 fixtures,or 75%of permanent ❑Does Not !fixtures have,high efficacy.lamps �' y�3 ��' 'Does not apply It low-voltage ; �� �� ❑Not Observable lighting. ,,. 1 '' ❑Not Applicable 1.1 Fuel gas lighting'systems"have � g � '❑Complies [Ft23]3�no continuous pilot light. • ;❑Does Not W,1( ����� �a❑Not Observable ' ❑Not Applicable 7)1 - . _ �. . 1 High impact(Tier 1) 2 Medlum Impact{Tier 2) 3u Low Impact(Tier3) - ' Project Title: BUNNELL RESIDENCE Report date: 03/14/19 Data'filename: Untitled.rck 'Page.8 of 9 •...,, "P,Ians:Verified : =,;Feld Verified': :<#:, s r�:Final=lns ection Provisions: :•;._- ;.::, ,: ,-..::: -OMD11 ' Comments Assumptions ::: 45- P. z. 4013: ,Compliance certificate posted. � � '�r `❑Complies ❑�7 i ,1 ������•� * '��';"�'�s"��� �`�'�- �� Does Not ❑Not Observable ' t. ❑Not Applicable 303 3" Manufacturer manuals for �"'= ❑Com lies (P11i&3 b��i mechanical and water heatin "# � �❑ p x , Does Not ��;systems have been provided. []Not Observable r i�'t` � .fit•-; E`�'^'' ��r' ��a6t�2L x.��� '�Sr49 ❑Not Applicable Additional Comments/Assumptions: d r i 1 High Impact(Tier 1) 2< Medium Impact(Tier 2) 3 Low Impact(Tier 3) ' Project Title: BUNNELL RESIDENCE Report date: 03/14/19 , Data filename: Untitled.rck Page 9 of 9 2015 I ECC Energy Efficiency Certificate Insulation . Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): �•• . • Window 0.31 Door 0.34 Heating .. Heating System: Cooling.System: Water Heater: Name: Date: Comments To n of Barnstable y f Regulatory Services . . • ones. - Richard.V.Scsli,Director. . ` Building Division Paul Roma,Building Commissioner 200 Main shr4 Hyannis.MA.02601 www.tm barnstabie mans Office: 50&462-4038 . Fa�c 508-790-6230 Property Owner Must Complete and. Sign This Section If Usinsr A Builder j' ,as Owner of the subject property 7 authorize j h to act on my beW h�ebg - � f in aIl snattess relative to work auforized by this bmldiug Peunit aPPl=4m fon (Address of Job) "Pool fences and alarms are the responsibility of the applicant.Pools ate not to be filled-or ntlized before fence is installed and all fins1 inspections are performed and accepted. - ' VOf7!mnt Owner zi/l• M A- V,- 9/ y Print Name Pant Name Date f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 kwzj www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Clancy & Castano LLC Address: PO Box 249 City/State/Zip: South Dennis, MA Phone#: (508) 240-4404 Are you an employer?Check the appropriate box: Type of project(required): 1.20`I am a employer with 5 4. ❑ 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 workingfor me in an capacity. employees and have workers' y p �'• I 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.0 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Associated Employers Insurance Company Policy#or Self-ins.Lic.#: WCC50050153852017A Expiration Date: 01/01/2020 Job Site Address: main t 1V/U1� City/State/Zip: �� (p_ rl Zi,(a 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. 1 do hereby c e t pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 0 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.Burg epartment 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-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 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.mass.gov/dia CLAN&CA-01 CLEDDUKE ACORO° DATE CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)01/04/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CNEEFT ME: Rogers&Gray Insurance Agency,Inc. PHONE Fax 434 Rte 134 (A/C,No,Ext):(800)553-1801 (FJN,No):(877)816-2156 South Dennis,MA 02660 Fd�""olE :mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC C INSURER A:Selective Insurance Company of South Carolina 19259 INSURED INSURER B:Associated Employers Insurance Company 11104 Clancy&Castano,LLC INSURER C: PO BOX 249 INSURER D: South Dennis,MA 02660 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR S 2190959 01/01/2019 01/01/2020 pRAIENAGEWSr TEaENTED $ 500,000 MED EXP(Any oneperson) $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 X POLICY❑jp&- 1-1 LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ AUTOMOBILE LIABILITYCOMBINED SINGLE LIMIT E ac'de $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILYBODILY INJURY Per accident $ AUTOS ONLY AUTO ONLY ParOaxRdenDAMAGE $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMSaNADE AGGREGATE $ r—tDED RETENTION$ $ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N WCC50050153852019A 01/01/2019 01/01,2020 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ (neFenstory IM In NH)EXCLUDED? Y N/A 500,000 E.L.DISEASE-EAEMPLOYE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached H more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE n Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tow 200 of Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 44 Office of Consumer Affairs and Business Regulation 1000 Washington Street.- Suite 710 Boston, Mass chusetts 02118 Home Improvem4.6"M ptractor Registration Type: LLC CLANCY&CASTANO LLC z ,v - Registration: 179722 E P.O.BOX 249 Expiration: 09/01/2020 SOUTH DENNIS, MA 02660 i scA i a zoMosin Update Address and Return Card. m .. ................_........................___... _.......__..._..-- .......................-_._-_.........._..............-.................. _.......... .. ... Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only LLC before the expiration date. If found return to: Regt Expiration Office of Consumer Affairs and Business Regulation n 09/01/2020 1000 Washington Street-Suite 710 CLANCY&CAST' Boston,MA 02118 MICHAEL CAST 2-G 17 AMERICAN WA�F � E V UNIT a Not valid without signature. SOUTH DENNIS,MA 02660' Undersecretary 9 OFComrrmonwealth of Massachusetts Division of Professionai,Licensure Board of Building Regulations and Standards Constrgj ti��i' *rvisor CS-057139 Ejtpires 05/09/2019 MARK:A CLANCY ter 1 1 xyY 207 SETUI KE��ROA�D' +°F SOUTH DENNlS.=1NA 02660 Commissioner CL Via Town of Barnstable Building - � .. ,- ? , � Post This Card So That it is Visible From the Street.-Approved Plans Must be Retained on Job and this Card Must be Kept 39 `b8 Posted Until Final Inspection'Has Been Made. ek Where a Certificate of occupancy is Required,such Building shall Not be Occupied until a Final inspection has been made. I Permit ~ Permit No. B-17-3935 Applicant Name: CLANCY&CASTANO LLC Approvals Date Issued: 11/13/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 05/13/2018 Foundation: Location: 897 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Map/Lot: 156-007 Zoning District: SPLIT Sheathing: Owner on Record: BUNNELL, MATHEW A&JENNIFER L Contractor Name: CLANCY&CASTANO LLC Framing: Address: PO BOX 944 Contractor Licenser 179722 2� WEST BARNSTABLE, MA 02668 T V Est. Project Cost: $35,000.00 Chimney: Y Description: REPAIR DAMAGE FROM FALLEN TREE-WE PROPOSE TO REMOVE Permit Fee: $228.50 ROOF FRAMING FROM DAMAGED AREA AND RECONSTRUCT Insulation: CLOSER TO TODAYS STANDARDS Fee Paid:° $228.50 Final: _._ Date: �� 11/13/2017 Project Review Req: �` 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. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. 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. Electrical Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: S.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. 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 THE rqY Application Number... .......�.................. ............. ....... IMMSDAB14 * Permit Fee.......................................Other Fee........................ MASS _ s639. �� � �� . •� �E� A Total Fee Paid TOWN OF BARNSTABLE Permit Approval by.. On.. �..�3....7 ................ ....... BUILDING PERMIT M �..... ..... Parcel......00.�.................... APPLICATION �'""'�' '��'�'���"'��'� Section 1 — Owners Information and Project Location Project Address 64j VV W 1 AJ K-f� ,(� Village__ �/l�• �j�gyj,U1/S j 1 1� Owners Name �/�llU- lei v�/ -� �'�/n/I Owners Legal Address ►�� f/0)C I"I City Vd. �� �.� State Zip d 107 Owners Cell# D — E-mail �f�i�nlAie- �-7n 0 tV C-s�Vl�'1 L.,.6_QYVJ Section 2 —Structural Use ET'Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify &AAa k , "A Section 4—Detail I i Cost of Proposed Construction Square Footage of Project Age of Structure lot -►' Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Last updated: 11/7/2017 Section 5 - Work Description W1g' �i2y1OD�i -m Novle:' oTyr— ►�'� v�!!� (�' ��- -r ►2�n�ar/�nZy� �oS�YL. To �a�,�-Y� �n9�>��'-✓� , Section 6-Project Specifics [Wiring ❑ Oil Tank Storage, . :, ❑ Smoke Detectors ❑ Plumbing ❑ Gas _ ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply., Public ElPrivate 9 { Sewage Disposal ❑ Municipal Ls On Site Historic District [] Hyannis Historic District [ Old Kings Highway Debris Disposal Facility: �' 1GX�D . �. ✓�811hV�S I am using a crane ❑ Yes ❑ No I 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. 419 OVo Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) 4 Setbacks Front Yard Required Proposed Rear;Yard Required Proposed Side.Yazd Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/7/2017 Section 9— Construction Supervisor Name Im&7ty-- Telephone Number o —'Ho t� Address ;�o7 aL U��� . City llj State ►�Zip DU6b License Number 05713'5 License Type L Expiration Date 1 Contractors Email MA O',K&, ewm Cell#L5aSS Z+ -Wo -4 I understand my responsibilities under the miles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachuset s State Building C e. I understand the construction inspection procedures,specific inspections and documentation requir by 7 CMR d e Town of Barnstable.Attach a copy of your license. Signature NDate 11 1� 7 Section Home Improvement Contractor M Name o 1 LL Telephone Number��j Z�D - D Address k e1 City 3.. 0jM/hn6 State M A- Zip 6 24o to b —T— Registration Number I 1 1 ZZ Expiration Date 2 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachuse State Building Ccke. I understand the construction inspection procedures,specific inspections and documentation req ' by 78 MR d Town of Barnstable.Attach a copy of your H.I.C... Signature Date It I 1 35 )'l Section 11 — ome 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 t Print Name M A-2 K- 4a,�� Telephone Number 61t� Z�o E-mail permit to: 1MA-Ve-�-- Ye4AS I)WO . d'A ` Last updated: 11/7/2017 f Section 12 —Department Sign-Offs Health Department ❑ Zoning Board (if required) ❑ Historic District 0 Site Plan Review(if required) ❑ ' Fire Department ❑ Conservation �. For commereial work,please take your plans directly to the fire department for,approval 1 j Section 13 — Owner's Authorization I, � vNN�ir, , as Owner of the subject property hereby authorize ' YM A,-(- 6444We `/ to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of job) Si e of 4wner date. Print Name Last updated: 11/7/2017 ��q h ,! "f'� x '>rxr.• ""yam!� .,� k,y J i! ilJ° - r Aim i�: - �., \ - � R���°=�.�.�`.�E�b48 ! i I'�z�r�� I �� N��.Y �J � 4:.,:. .�. 1 X'r>-+s.'t`�:�� � ... •> ..tl.^��. tr--l.y IIH�•\• �ii,4 •� n I � �•f '. i�� + y l ..` \,. A � .,is �':• .1.• -•�. I 1 :J� � .S-� v ' ��fl� •'� _ '•. 'r - �-�� � .� -• �• �,rr r � , •+� � ��a'1. �Y (y�c.A� �Yc"�. 4 IN �' + ,�;" _ J �'• ` ` ' \•fir' +, - } `'_'.�• �h-i`• �r. w. "r1i rsf�r�. r- -'� •r •.. '•. J�"r "i t. �� • '"" �' •`,\� •'i.• r •r',;' � '�` ?`"`r' 6,•%r`,.,,+ ' y�' '/., _ .fig, y Y' !' 1♦�� / �j //, AAA"' 1/f 01 40 f a � II AA tlr I � E t'1 r Office of Consumer Affairs and B 2Siness Re ul g atlon 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 179722 Type: LLC CLANCY & CASTANO LLC Expiration: 9/2/2Q18 Tr# 291217 MICHAEL CASTANO P. O. BOX 249 - — SOUTH DENNIS, MA 02660 - �..u• _- Update Address and return card.Mark reason for change. scni 0 2OMMt Address ' Renewal Employment "' Lost Card Office of Consumer Affairs&c Business Regulation!/J Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: Registration: 179722 Type: Office of Consumer Affairs and Business Regulation Expiration: 9/2/2018 LLC 10 Park Plaza-Suite 5170 CLANCY&CASTANO LLC Boston,MA 02116 MICHAEL CASTANO 21 EASTERLY DRIVE EAST SANDWICH,MA 02537 —Ctln` �` � dersecretary NOt valid thout Signature Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor CS-057138 Expires:05/09/2019 MARK A CLANCY 207 SETUCKET ROAD SOUTH DENNIS MA 02660 c^ Commissioner i CLAN&CA-01 CLEDIDUKE ACORO' CERTIFICATE OF LIABILITY INSURANCE DATYYYI� 114/201 va12o17 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER h%JJ CT Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/Cp,N�Lo,Exc: A/C,No): South Dennis,MA 02660 E DORESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:Selective Insurance Company Of South Carolina 19259 INSURED INSURERS!Associated Employers Insurance Company 11104 Clancy&Castano,LLC INSURER C PO BOX 249 INSURER D: South Dennis,MA 02660 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXPLTR MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR S2190959 01101/2017 01/01/2018 DAMAGETORENTED 100,000 MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 3,000,000 X POLICY❑ipra LOC PRODUCTS-COMP/OP AGG 31000,000 rl OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY AUTOS SSyy Ep BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLY PROPERTY AMAGE Per accident UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N S U WCC50050153852017A 01/01/2017 01101/2018 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ E.L.EACH ACCIDENT $ ?Mandatory In NH)EXCLUDED? N/A 500,000 E.L.DISEASE-FA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED_REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizatiorOndividual): Clancy & Castano LLC Address: PO Box 249 City/State/Zip: South Dennis, MA Phone#: (508) 240-4404 Are you an employer?Check the appropriate box: Type of project(required): 1.N I am a employer with 5 4. ❑ 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 8. ❑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 I LE)PPumbing repairs or additions myself ' right of exemption per MGL Y �o workers comp. 12.[JRoof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Associated Employers Insurance Company Policy#or Self-ins.Lic.#: WCC50050153852017A Expiration Date: 1/1/2018 Job Site Address: MA11� '• City/State/Zip: �- 1Q A-4, ,t 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 u r th ain an nalties of perjury that the information provided bov is true and correct Signature: Date: I A77 Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M Town of Barnstable _ _ Building Post This Card So That it is;V�sible From; Fie Street:Approved Plans Must tie3Retained on Job and'this Card Must be Kept , Posted UntiliFinal Inspection Ha"s.Been Made gyp- r x y s..: Permit ' sR Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a:Final Inspection has been made. Permit No. B-17-2098 Applicant Name: COTUIT SOLAR Approvals Date Issued: 07/12/2017 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 01/12/2018 Foundation: Location: 897 MAIN ST./RTE 6A(W.BARN.),WEST BARNSTABLE Map/Lot: 156-007 Zoning District: SPLIT Sheathing: Owner on Record: BUNNELL,MATHEW A&JENNIFER L Contractor Name: COTUIT SOLAR framing: 1 Address: PO BOX944 Contractor License: 146276 2 WEST BARNSTABLE,MA 02668 Est. Project Cost: $47,825.00 Chimney: Description: Roof Mounted Solar PV installation.Size 11.2kw.357320w modules Permit Fee: $293.91 Insulation: Project Review Req: Roof Mounted Solar PV installation.Size 11.2kW.35 320w Fee Paid $293.91 � final: ak z4 i?X modules Date: 7/12/2017 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. k Rough Gas: AN 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 zo jning by-laws and codes. 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. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and fire Officials are provided on t i,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 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 p TOWN OF BARNSUBLE Map Parcel Application # Health Division 1iUic Iv' •-5 All 11 52 Date Issued . 07 �� �/N k Conservation Division Application Fee Planning Dept. Permit Fee PIV1 10N Date Definitive Plan Approved by Planning Board �- Historic - OKH• '� 7 Preservation/ Hyannis Project Street Address q .. • Village W I '>L Owner Address Address ' Telephone a (O Permit Request o.t V4#Jxl >o PV )ftlw- 14_ or%� • �aZG ' kV 5�Aw= ca 6,44�:S, 5-- 3u LJ MA 4C ovat. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay. Project Valuation y 2�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 King's Highway: &'.Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing 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: 0 Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑existing ❑ new size _ Barn: O 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 �o�� vi'o,. L Telephone Number Address License # pour, e4vil . OZ��,s� Home Improvement Contractor# '� e P b " v1�67�O Email 1 OG� ��(�4� CI1�v`i Worker's Compensation # ALL CONSTRUCTION DEBRIS ESULTING FROM THIS PROJECT WILL BE TAKEN TO I SIGNATURE DATE B FOR-OFFICIAL USE ONLY ; APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME l INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL- GAS: ROUGH FINAL - FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 'Jlassachusetts-Department of Public Safety t 1, board of Building Regulations,and Standards Construction Supen is'nr License:CS-107947 JOHN VREELANi) 48 QUASHNET ROAp� $ r Mashpee MA 0209 Commissioner 04/25/2018 COMMONWEALTH OF MASSACHUSETTS ELECTRICIANS ISSUES THE FOLLOWING LiCENSE';,, r W REGISTERED MASTER ELECTRICIAN'•'sr� i" FRANCIS J BRADY JR In v. N COTUIT SOLAR LLCr ' - 12 MANWELLAD ` CHELMSFORD,'MA 018241624 ti,`t as m069 A 07/31/2019 169149 . . . '....:.: '... -. C��c (oonc�ucs�lrtreri�N c�cu[fna1ar�rr9e%/,t ..::. .. .. ... .... ...... ... j Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR "TYPE:Suoolement Card R��gistratlon Expiration: _ 04/0 /201 t46276 7 9 COTUIT:SOLAR LLG�- (^ �!R__�a _11r JOHN VREELAND 3800 FALMOUTH R0� _ p MARSTONS MILLS,MA'02648 Undersecretary ...... .. ... .SCA 1:0 2OM•05111... . ,. . '\ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 IFwww mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lepibly Name(Business/Organization/Individual):COtult Solar LLC Address: P.O. Box 89 City/State/Zip:Cotuit, MA 02635 Phone#:508-428-8442 Are you an employer?Check the appropriate box: Type of project(required): I.[D I am a employer with 12 employees(full and/or part-time).* 7. []New Construction 2.F1 1 am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 9. El Demolition 3.E]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 E]Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12.EJ Plumbing repairs or additions 5.M 1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.� p Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 14.❑✓ Other Solar PV Installation 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travellers Insurance Policy#or Self-ins.Lic..#/:6HUB-4988P868-16 Expiration Date:3-26-2017 Job Site Address:? M1,;t.S�. City/State/Zip: P. lu A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify-finder the p 'ns and penalties of perjury that the information provided above is true and correct. Si nature: / Date: 9—zo-17 Phone#:508-428-8442 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#: ® DATE(MM/DD/YYYY) ACC:)R EP CERTIFICATE OF LIABILITY INSURANCE 03/23/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Lauren Bunker DON BUNKER INS. AGENCY P"CNNo Ext: (781)312-7206 ac No: -ADDRESS: Lauren@donbunkerinsurance.com P.O BOX 221 INSURERS AFFORDING COVERAGE NAIC# HANOVER MA 02339 INSURERA: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B: COTUIT SOLAR LLC INSURERC: INSURER D: 3800 FALMOUTH RD I INSURER E: MARSTON MILLS MA 02648 INSURERF: COVERAGES CERTIFICATE NUMBER: 136850 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 ADDLTYPE OF INSURANCE INSD SUER POLICY NUMBER POLICY EFF POLI MM DD CY EXP LTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ UA-MAGETO RENTED CLAIMS-MADE DOCCUR PREMISES Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY El PET LOC PRODUCTS-COMP/OP AGG S OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED L SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS N PROPERTY DAMAGE $ HIRED AUTOS AUUTOSTOS D Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ PER $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED7 NIA NIA N/A 6HUB4988P86817 03/26/2017 03/26/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Conrad Geyser ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 8s AUTHORIZED REPRESENTATIVE Cotuit MA 02635 Daniel M.Cro ey,CPCU,Vice President—Residual Market—WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD A o• CERTIFICATE OF LIABILITY INSURANCE �061091201177 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER HIE Lauren Bunker Don Bunker Insurance Agency PHONE pgt)3/2-7206 FAX 51 Mill Street A/C No): Building F EfL . Lauren@donbunkerinsurance.com Hanover,MA 02339 INSURER(S)AFFORDING COVERAGE _ NAIC e INSURERA: Hartford Insurance INSURED Cotuit Solar LLC INSURER a: Scottsdale Insurance 38W Falmouth Rd Marstons Mills,MA 02648 INSURER c: INSURER 0: INSURER E; __ _• . INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS INSR' TYPE OF INSURANCE tAM -§UBR PdUCY•EFFF�POLICY E7(P....- - -— -V� LTRI 1 POLICY NUMBER . MMM MMID A COMMERCIAL GENERALLIABILm i 08SBMTP1768 106/0112017 06/01/2018 EACH OCCURRENCE S 1,000.000 Di+L�iAGErDRENTED - "f 1,000,0DO _CLAIMS MADE OCCUR PREMiSE$_LEsoctsxrence)_, _ r�MED EXP(AM one person)— S---- 10.0_00 -� PERSONAL S ADV INJURY_-S J 1,000,000 GEKL AGGREGATE LIMIT APPLIES PER I I GENERAL AGGREGATE :f 2.000.000, �I POLICY EEC _�LOC i i PRODUCTS-COMPK}P AGG .S 2.000.000 OTHER I t A AuroMosiLF LIABILITY j08UECAA9714 04/30/2017 �U4/30/201 B I COMBINEDSINGLE LIMITs v 1,000,000 i i ANY AUTO , I BODILY INJURY(Per person) S I OWNED SCHEDULED BODILY INJURY(Per acaoam) S AUTOS ONLY AUTHIRED OS I om f---- - - AUTOS ONLY AUTOSNON-OWNEDONLY I I .I�PTirOio +tj AMnGE -- — --- »! I S B ( �UMBRELLA UAB OCCUR �XLS0102465 �D6/01/2017 �06/0112018 t EACH409S1 RENCE 's _2.0_00.000 EXCESS UAB CLAIMS•MADE I i f�REGATE _ F�`DI RETENTI —S 2.000,000 DED ON S i I S WORKERS COMPENSATION PER OTH. Y/NSTATUE M__�ER f AND EMPLOYERS'LIABILITY ANY PROPRIETORJPARTNERIEXECUTIVE `I'-- E L EACH ACCIDENT Is �OFFlCERJMEMBEREJLCLUDED7 El i , -- "`— - - (Mandatory In NH) i E L DISEASE•EA EMPLOYEE .S I It yes describe tr4or 1 1 E L DISEASE•POLICY LIMIT f DESCRIPTION OF OPERATIONS bdo-w I I I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sdtedu}s.may be attmMed It mom space Is required) Solar panel/heating contractor and their related electrical work CERTIFICATE HOLDER CANCELLATION Conrad Geyser 3800 Falmouth St SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Marston Mills.MA 02648 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THf.POLICY PROVISIONS. AUTHORIZED REPRESMATIVE 0 19 20 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of A ORD JAMES A . CLAN Cy PROFESSIONAL ]ENGINEER NATIONAL PARK, NJ 08063 (856) 358-1125 FAX: (856) 358-1511 Construction Code Office Date: June 18,2017 Re: Cotuit Solar LLC,3800 Falmouth Rd.,Marston Mills,MA 02648 Subj: Jen Bunnell Residence,897 Main Street,West Barnstable,MA 02668 We have provided an inspection and review of the residence roof construction of the above named property in regards to verifying the capacity of the existing roof for installation of a new Solar Panel Array. We have found the residence to be of wood frame construction bearing walls with a truss framed roof system. The main roof is of 4x8 @ 32" o.c. with 4x6 collar ties for every rafter pair and is sheathed with 1" board sheathing and a single layer of composite shingles. The existing roof structure bears directly upon the exterior stud framed wall system. The existing rafters as installed meet the required load/span ratings with sufficient capacity to carry the minor additional load of 4 #/sf imposed by the proposed solar array per the details below. Installation of solar rack systems shall be as follows: Each panel row shall be supported upon 2 mounting rails. Rails shall be screw anchored through roof and directly to rafters below. Rail attachment points to rafters shall be staggered each row with exception to the first fastener row from the gable end which is attached to two adjacent rafters. Silicone caulk shall be applied between the angle foot of the mounting system and the existing roof shingles at each foot location. Typical mounting detail sketch attached. When installed per the above specifications the system shall exceed 110 MPH wind & 30 PSF snow loads as required by Massachusetts 780 CMR table 1604.11. Should you have any further question or comment please feel free to contact our office. Respectfully, OF RUES A. Gcn N C Y .46775 y James A. Clancy Professional Engineer )NAL � MA License#46775 s s A r" � �• 897 Main Street Cotuit Solar LLC Project: system: Array Placement Plan 508-428-8442 Jen Bunnell 11.2kW DC PO Box 89 897 Main Street 35 - 320w LG modules Revision: June 19 2017 COTUIT SOLAR„ Cotuit, MA 02635 West Barnstable, MA 35 - S280 microinverters 02668 r (12) 320W Modules _ 1. Warning: Dual Power Source Voc=40.1V, Isc=9.93A Second Source is PV System Utility 12 Enphase S-280 Roof Top 2. Photovoltaic AC Disconnect Service 280W, 1.13A, 240Vac ]unction Box UL 1741/IEEE 1547 3#12,#12gnd 100A (12) 320W Modules MLO - 200A AC Voc=40.1V, Isc=9.93A Combiner Revenue Grade Main Panel (1) (1) (2) PV meter Line side tap 12 Enphase S-280 Roof Top O (distance<=log) 280W, 1.13A, 240Vac Junction Box 2 Pole 20 UL 1741/IEEE 1547 2 Pole 20 200A Main 3#12,#,2gnd 2 Pole 20 3#e,Ognd-1°c Breaker (11) 320W Modules Voc=40.1V, Isc=9.93A 11 Enphase S-280 Roof Top 280W, 1.13A, 240Vac Junction Box UL 1741/IEEE 1547 3#12,#12gnd MCotuit Solar LLC Project: System: Solar Riser PV Wiring detail Jen Bunnell 11.2kW DC � 897 Main Street 3 508-428-8442 89 Revision: June 19 2017 ® � PO Box 5 - 320w LG modules Cotuit, 02635 West Barnstable, MA 35 - S280 microinverters Eversource ISA: 2217026 COTUIT SOLAR,u 02668 ,So R MoDY P Zar-wL A-roe 0 )W)f Now 9tt�t�N4 -9�y GM.v. 4tG ---�+ swao PAPMOL - ' MoVNcsn16 Fo PV ph,• s S A. yGm CY 75 y James A. Clancy, PE ,off 9Fo T 601 Asbury Avenues National Park, NJ 08063 Massachusetts PE Lic#46775 Cotuit Solar LLC Project: System: Attachment Plan Jen Bunnell 11.2kW DC 508-428-8442 Revision: June 19 2017 35 PO Box 89 897 Main Street - 320w LG modules West Barnstable,COTUIT SOLAR... Cotuit, MA 02635 012668 35 - S280 microinverters i (a) LG • Life's Good LG NeON:",z Brack LG's new module,LG NeONT"^2,adopts Cello technology. Cello technology replaces 3 busbars with 12 thin wires QT n OVEoeFooucr to enhance power output and reliability.LG NeONT"^2us 60 Cell demonstrates LG's efforts to increase customer's values Intertek beyond efficiency.It features enhanced warranty,durability, performance under real environment,and aesthetic design suitable for roofs. Enhanced Performance Warranty L High Power OutputT"LG NeON'"'2 Black has an enhanced performance warranty. Compared with previous models,the LG NeCIN '2 Black The annual degradation has fallen from-0.6%/yr to has been designed to significantly enhance its output 0.55%/yr.Even after 25 years,the cell guarantees 1.2%p efficiency,thereby making it efficient even in limited space. more output than the previous LG NEW'2 Black modules. Aesthetic Roof O Outstanding Durability LG NEON'2 Block has been designed with aesthetics in With its newly reinforced frame design,LG has extended mind;thinner.wires that appear all black at a distance. the warranty of the LG NEONT°"2 Black for an additional The product may help increase the value of a property with 1; 2 years.Additionally,LG NeONT°"2 Black can endure a front its modern design. load up to 6000 Pa,and a rear load up to 5400 Pa. •O• Better Performance on a Sunny Day Double-Sided Cell Structure LG NeONT'"2 Block now performs better on sunny days The rear of the cell used in LG NeONT"2 Block will contribute to thanks to its improved temperature coefficiency. generation,just like the front;the light beam reflected from the rear of the module is reabsorbed to generate a great amount of additional power. About LG Electronics LG Electronics is a global player who has been committed to expanding its capacity,based on solar energy business as its future growth engine.We embarked on a solar energy source research program in 1985,supported by lG Group's rich experience in semi-conductor,LCD,chemistry,and materials industry.We successfully released the first Mono X°series to the market in 2010,which were exported to 32 countries in the following 2 years,thereafter.In 2013,LG NeON'"(previously known as Mono X°NeON)won"Intersolar Award';which proved LG is the leader of innovation in the industry. LG NeON"'2Black Mechanical Properties Electrical Properties(STC*) Cells 6 x 10 Module LG320N1 K-A5 LG31 SN1 K-A5 Cell Vendor LG Maximum Power(Pmax) 320 31 S Cell Type Monocrystalline/N-type MPP Voltage(Vmpp) 33.3 32.9 Cell Dimensions 161.7 x 161.7 mm/6 inches MPP Current(Impp) 9.62 9.58 0 of Busbar 12(Multi Wire Busbar) Open Circuit Voltage(Voc) 40.8 40.7 Dimensions(L x W x H) 1686 x 1016 x 40 mm Short Circuit Current(Isc) 10.19 10.15 j 66.38 x 40 x 1.57 inch Module Efficiency 18.7 18.4 { Front Load 6000Pa Operating Temperature -40-+90 Rear Load 5400Pa Maximum System Voltage 1,000 Weight 18 kg Maximum Series Fuse Rating 20 Connector Type MC4 Power Tolerance(%) 0-+3 Junction Box IP68 with 3 Bypass Diodes STC(Standard Test Condition)Irradiance 1.000 W/m',Ambient Temperature 25"C,AM 1.5 Cables 1000 mm x 2 ea The nameplate power output is measured and determined by LG Electronics at its sole and absolute discretion 'The typical change in module efficiency at 200 W/m'in relation to 1000 W/m'is-2.0%. Glass High Transmission Tempered Glass Frame Anodized Aluminium Electrical Properties(NOCT*) Certifications and Warranty Module LG320N1K-A5 LG315N1K-AS Certifications IEC 61215,IEC 61730-1/-2 Maximum Power(Pmax) 236 232 UL 1703 MPP Voltage(Vmpp) 30.8 3.04 i IEC 61701(Salt mist corrosion test) MPP Current(Impp) 7.67 7.63 IEC 62716(Ammonia corrosion test) Open Circuit Voltage(Voc) 38.0 37.9 ISO 9001 Short Circuit Current(Isc) 8.20 8.17 Module Fire Performance(USA) Type 2 NOCT(Nominal Operating Cell Temperature)Irradiance 800W/m',ambient temperature 20-C,wind speed Im/s Fire Rating(CANADA) Class C Product Warranty 12 years Output Warranty of Pmax Linear warranty— Dimensions(mm/in) ••1)1 st year:98%,2)After 2nd year:0 55%annual degradation.3)25 years 84.8% o e Temperature Characteristics s s NOCT 45 t 3°C Pmpp -0.37%/eC Voc -0.27%/'C Isc 0.03%/°C TF Characteristic Curves tl Q. 1000W c Scow f U 600w 40OW 20OW - i 2 ...... of p! . . . . . Vohego(v) a� aI bt 0 - is 15 2C 25 i 4C �l �) 7 x m120.._...:. ___ ._. __..._._ _.._._.. _........ ..__. E a Isc H pmaa { 60 0 40 .........._._._ ___.. .... ...... .__.__....... -_.....-_ { <., Tempe—(Y) -40 25 W North America Solar Business Team Product specifications are subject to change without notice. LG LG Electronics U.S.A.Inc Life's Good 1000 Sylvan Ave,Englewood Cliffs,N107632 '►r� Copyright©2017 LG Electronics.All rights reserved. Innovation for a Better Life Z4 Contact:lg.solar@lge.com 01/01/2017 www.lgsolarusa.com a■ i j i Enphase Microinverters EnphaseS280 f . J r l i Designed for high-powered, 60-cell modules,the advanced grid-ready Enphase S280 Microinverter- is built on the fifth-generation platform and achieves the highest efficiency for module-level power electronics along with cost per watt reduction. With its,all-AC approach,the S280 simplifies design and installation for 280 VA installations, and delivers optimal energy harvest.The S280 is compatible with storage systems, including battery management systems. I The Enphase S280 integrates seamlessly with the Enphase Envoy-S' communications gateway,and Enphase Enlighten' monitoring and analysis software. PRODUCTIVE SIMPLE AND RELIABLE ADVANCED GRID READY -Optimized for higher-power, No GEC needed for microinverter -Complies with fixed power factor, 60-cell modules -No DC design or string calculation voltage and frequency ride-through -Maximizes energy required requirements production -More than 1 million hours of testing -Remote updating to respond to -Minimizes impact of shading, -Industry-leading warranty, changing grid requirements dust,and debris up to 25 years -Configurable for variable grid profiles like Hawaiian Electric Company (HECO) Rule 14H,California Rule 21 � SP® EN PHASE. us Enphase S280 Microinverter H DATA INPUT DATA(DC) S280-60-LL-2-US,S280-60-LL-5-US Commonly used module pairings' 235 W-365 W Maximum input DC voltage 48 V Peak power tracking voltage 27 V-37 V Operating range 16 V-48 V Min/Max start voltage 22 V/48 V Max DC short circuit current 15 A OUTPUT DATA(AC) 208 VAC 240 VAC Peak output power 280 VA 280 VA Maximum continuous power 270 VA 270 VA Nominal voltage/rangez 208 V/183-229 V 240 V/211-264 V Nominal output current 1.30 A 1.13 A Nominal frequency/range _ 60/57-61 Hz 60/57-61 Hz Extended frequency range 57-63 Hz 57-63 Hz Power factor at rated power 1.0 1.0 Maximum units per 20 A branch circuit 21 (three phase,balanced) 14(single phase) Maximum output fault current 663 mA rms,100 ms 663 mA,100 ms Power factor(adjustable) 1 /0.7 leading...0.7 lagging 1 /0.7 leading...0.7 lagging EFFICIENCY 208 VAC 240 VAC CEC weighted efficiency 96.5% 97.0% Peak inverter efficiency 96.8% 97.3% MECHANICAL DATA Ambient temperature range -400C to+65°C Connectortype S280-60-LL-2-US:MC4 S280-60-LL-5-US:Amphenol H4 Dimensions(WxHxD) 172 mm x 175 mm x 35 mm(without bracket) Weight 1.8 kg(4 Ibs) Cooling Natural convection-No fans Enclosure environmental rating Outdoor-NEMA 6 FEATURES Compatibility 60-cell PV modules Communication Power line Integrated ground The DC circuit meets the requirements for ungrounded PV arrays in NEC 690.35.Equipment ground is provided in the Engage Cable.No additional GEC or ground is required.Ground fault protection(GFP)is integrated into the microinverter. Monitoring Enlighten Manager and MyEnlighten monitoring options Compliance UL1741/IEEE1547,FCC Part 15 Class B, CAN/CSA-C22.2 NO.0-M91,0.4-04,and 107.1-01 1.Suggestion only,inverter self limits DC inputs. 2.Nominal voltage range can be extended beyond nominal if required by the utility. To learn more about Enphase Microinverter technology, visit enphase.com u E N P H AS E, ©2016 Enphase Energy.All rights reserved.All trademarks or brands in this document are registered by their respective owner. January 2016 z professional ET� ProSolaro RoofTraco SOLAR � �s products�� Intertek Bonding and Grounding Guide aW7217 UL2703 (Patent Pending) Applies to GroundTrac®and SolarWedge® mounting systems which utilize the RoofTrac® rail/clamp design. For RoofTrac®Rail Bonding Splice No buss bar • Drill 1/2"holes at bottom of rails with 1/2"1110 Irwin Unibit®using the rail support as a hole location guide. • Insert 5/16"bolt through support holes and hand a. thread into thread rail splice insert. Fasten to 15 ft-Ibs. i a i For Bonding Module Frame and Clamps to Support Rail Green lock washer indicates • Fasten pre-assembled mid-clamp assembly to module electrical bond frame,to 15 tt Ibs. Module Frame Design: double wall,aluminum, 1.2"-2.0"tall,0.059"-0.250" thickness, UL1703 or equivalent tested module. UL467 standard tested bonding equipment for use with Professional Solar Products(ProSolar®)support rail. Bonding of module to RoofTra&rail via ProSolar®rail channel nut using buss bar. Bonding of RoofTrac®rail to RoofTra&rail via ProSolar® UL467 tested universal splice kit(splice insert and Assembled Self-bonding splice support). Self-bonding Mid Mid Clamp With SS Bus Bar Clamp Fastened on Rail Grounding of RoofTrac®rail via Ilsco SGB-4 rail lug. (solar module not shown) System to be grounded per National.Electrical Code(NEC). See NEC and/or Authority Having Jurisdiction(AHJ)for grounding requirements prior to installation. See final run(racking to ground electrode)grounding equipment installation instructions for specific installation information. COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTra&and FastJace are registered trademarks for PSP and are covered under U.S.patent#6,360,491.RoofTra&bonding designs patent pending. ProSolar®UL2703 Bonding and Class A Fire Rating Page 1 of 4 professional SOLAR ProSolaro RoofTraco products Bonding and Grounding Guide (Patent Pending) Can be placed under module to hide connection if desired For Grounding Connection • ILSCO SGB-4 rail ground connection Basic Wiring Diagram RoofTrac°Universal Rail Bonding Splice / Grounding Lug Grounding Lug COPYRIGHT PROFESSIONAL SOLAR PRODUCTS 2015:All information contained in this manual is property of Professional Solar Products(PSP). TileTra&is a registered trademark for PSP and is covered under U.S.patent#5,746,029.RoofTra&and FastJack®are registered trademarks for PSP and are covered under U.S.patent#6,360,491.RoofTra&bonding designs patent pending. ProSolarO UL2703 Bonding and Class A Fire Rating Page 2 of 4 I � Intertek Listing Constructional Data Report (CDR) 1.0 Reference and Address Report Number 100779407LAX-003 Original Issued: 14-Se -2012 Revised: 28-A r-2015 Standard(s) UL Subject 2703-Outline of Investigation Rack Mounting Systems and Clamping Devices for Flat-Plate Photovoltaic Modules and Panels. Issue#2: 2012/11/13 Applicant Professional Solar Products, Inc. Manufacturer Professional Solar Products, Inc. Address 1551 S. Rose Avenue Address 1551 S. Rose Avenue Oxnard, CA 93033 Oxnard, CA 93033 Country USA Country USA Contact Stan Ullman Contact Stan Ullman Phone (805)486-4700 Phone (805)486-4700 FAX (805)486-4799 FAX (805)486-4799 Email s(i�prosolar.com Email s@prosolar.com Page 1 of 63 This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client. Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party, other than to the Client in accordance with the agreement,for any loss,expense or damage occasioned by the use of this report.Only the Client is authorized to permit copying or distribution of this report and then only in its entirety.Any use of the Intertek name or one of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek.The observations and test results in this report are relevant only to the sample tested.This report by itself does not imply that the material,product,or service is or has ever been under an Intertek certification program. ProSolar®UL2703 Bonding and Class A Fire Rating Page 3 of 4 Report No. 100779407LAX-003 Page 2 of 63 Issued: 14-Sep-2012 Professional Solar Products, Inc. Revised: 28-Apr-2015 2.0 Product Description Product Photovoltaic Racking System Brand name ProSolar The product covered by this.listing report is a rack mounting system. It is designed to be installed on a roof. It will be secured by means of Fast Jack or Tile Trac attachments, depending on the type of roof it is intended to be installed upon. The Rooftrac mounting system is comprised of support rails and top-down clamping hardware. This device can be used on most standard construction residential roof-tops. This system is in compliance with the mounting, bonding and grounding portions of UL Subject 2703. This system has the following fire class resistance ratings: Class A for Steep Slope Applications when using Type 1 or Type 2, Listed Photovoltaic Modules. Class A for Steep Slope Applications when using Type 2, Listed Photovoltaic Modules with or without the wind skirt. Class A for Low Slope Applications when using Type 1, Listed Photovoltaic Modules when a minimum of 12"gap between the roof surface and the bottom of the module is maintained. Class A for Low Slope Applications when using Type 2, Listed Photovoltaic Modules when a minimum of 14"gap between the roof surface and the bottom of the module is maintained. RoofTrac has different types of bonding and grounding, below is a list of them: Bonding of module-to-Roof Trac rail via Weeb PMC Description Bonding of module-to-RoofTrac rail via ProSolar rail channel nut using buss bar Bonding of module-to-Roof Trac rail via Ilsco SGB-4 lugs Bonding of Roof Trac rail-to-Roof Trac rail via Weeb Bonding Jumper-6.7 Bonding of Roof Trac rail-to-Roof Trac rail via Ilsco SGB-4 Lugs Bonding of RoofTrac rail-to-RoofTrac rail via ProSolar UL 467 tested universal splice kit(Splice Insert and Splice Support) Issuance of this report is based on testing to PV module frames with a height of 1 1/4 inch to 2 inches The grounding of the entire system is intended to be in accordance with the latest edition of the National Electrical Code, including NEC 250: Grounding and Bonding, and NEC 690: Solar Photovoltaic Systems. Any local electrical codes must be adhered in addition to the national electrical codes. This product investigation was performed only with respect to specific properties, a limited range of hazards, or suitability for use under limited or special conditions. The following risks and other properties of this product have not been evaluated: electric shock, Ultraviolet light exposure. Models RoofTrac Model Similarity N/A Fuse rating: 20 A Mechanical Load: 30 PSF Fire Class Resistance Rating: Ratings Class A for Steep Slope Applications when using Type 1 and Type 2, Listed Photovoltaic Modules. Class A for Low Slope Applications when using Type 1 and Type 2, Listed Photovoltaic Modules Mechanical load was tested using 60 Cell Canadian Solar Modules model CS6P with 40mm Other Ratings frame height and maximum span of 48 inches using 4 inch and 6 inch TileTrac or FastJack posts with 1-1/2 inch tall RoofTrac rail. And maximum span of 72 inches using 4 inch and 6 inch TileTrac or FastJack with 2-1/2 inch tall RoofTrac rail. ProSolar@)UL2703 Bonding and Class A Fire Rating Page 4 of 4 ED 16.3.15(1Jan-13)Mandatory Town of Barnstable ermit: Regulatory Services ( O j ate; of r r°ky� Thomas F. Geiler, Director Building.Division MAla ' Tom Perry, Building Commissioner �A %6_19. 200 Main Street, Hyannis, MA 02601 'r www.town.barnsta ble.ma.us Office: 508-862-4038 TOWN OF BARNSTABLE Fax: 508-790-6230 SOLID FUEL STOVE PERMIT Owner:- 1►l! Otb-- Phone: Install at: Village: Map/Parcel: Stove Date;_ l2, �j 12 A. New/ B. Type: sed adiant/Circulating . C: Manufacturer: I�JU P �►fl�A/1 c WUA O-Lab. No. D. Model No.: D Chi A. ' ew xisting (If existing, please note date of last cleanin B. Flue.Size } N C. Are other appliances attached to Flue? �(O r o ---i D. Pre-fab Type and Manufacturer nt1� ► �� _ — E. Masonry: Lined/Unlined R Hearth cn A. Materials: 4. B. Sub Floor Construction co M Installer Name: Address: Phone: Location of Installation: H.I.0 Registration# Construction Supervisor# OR check Homeowner Installing, no license required. APPLICANTS SIGNATURE APPROVED BY: I 7/ Please make checks payable to the Town o Barnstable *This constitutes on.official stove permit after inspection,photographed, and approved by the Building Inspector. The-CoininonwettZth.ofMassachusetts . Departme7zt oflndustriaZ.4cddents Office of InvestiaPations 600 Washington,Street Boston,M4 02111' www.mass.gov/dia Workers} Compensation Irtsurnnee Affiddvit: Builders/Contractorsalectricians/Plumbers Applicant Information Please Print LeEibly Name(Business%Organization/Individual): Address: City/State/Zip: IN GUN 5.tILk-f, Phone.#: ��$ O' �oH S-q Axe you an employer? Check the appropriate.box :Type of proj7edd) 1.❑ I am a employer with 4. [� I am a general contractor and I ti. ❑New c .employees (full and/or parttime).* • have hired the slab-contractors2.❑ Tama'sole Proprietor or partner- ' listed•on the'attached sheet 7. ❑Remoship andhaveno.ernployees These sub-co�ractors have 8. []Demo'�orldng far me in any capacity. employee4 and have workers[No workers' comp.lasu=ce comp, insurance.$ 9. ❑Buddi�] 5. We are a corporation and its 10.❑Blectri additionsofficers have exercised their3. I am a homeowner doing a71 work . 11.❑Ph�bmgprsor additions ' myself [No workers'comp. right bf exemption per MGL 12.❑Roof repairs b=ance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.[] Other comp,ir�„ce reg6.i red.] *Any applicant that cheeks box#1 must also M out the section below showing their warkcrs'cotapensaiion policy i�dm. t Ho ncowoers•who submit this affidavit Indicating they are doing all work and their hie outside contractors must submit a new affidavit indicating such. tcvatractors that check this box must attached an additlbaal sheet showing the name of the sub-contractors and state whether ornotthose entities have emp(ayees. If the sub-contractors have employers,Iheyinust pnrvidt:then- wort rs'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below isihe policy and job Site, information.. Insurance Company Name: Policy#or Self-ins. Lic.TA Expiration Date: Job Site Address: _ G`ity/State/Zip: Attach a copy of the workers' compensation policy declaration page'(shovving the policy number and expiration date). Fanlure•to secure coverage ag required ender Section 25A of MGL c. 152 can lead to the imposition of eriminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the forest of a-STOP WORKDRDER and a fine of up to$250.0 a day against the violator. Be advised that a copy of this statement maybe forwarded to the-office of Investi aOons of the DIA for;rim„•anc r coverage verification.. I do hereby certify Linder the pains•and enalties ofperjury that the inforrnatian prgvt'ded above is true and correct 6;"Si lure: V6111,01AkW • Date: ,. 12 �.Z Phone / w 'I�lb (Oq6 Ofjtcial use only. Do not write in this area tb be completed by.city-or torn Ofadaz City or Town: yermitUcense# Issuing Authority(circle one): .-I.Board of Health 2.BuildhirDenartment 3. n'tv/rnwn ('ip.-b d V1-4,4,...1 t r Town of Barnstable Regulatory Services BnMMEIM : Thomas F.Geiler,Director 9 MA9S. 1639 •�� Building Division lfn►�ta't a . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: l� • I�� ( y JOB LOCATION: ��� Y���4.1.1l� J� y" �Q��J►�i Yl c number street / village "HOMEOWNER": I Wt/Vl 'IJW ��I L+� {O. 69 meJ�! home phone# work phone# CURRENT MAILING"ADDRESS: tl� city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF 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 building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. SiV_ofH;meo16er 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a fom✓certification for use in your community. Q:forms:homeexempt THE Town of Barnstable -: Regulatory Services y�3q.STABI E Thomas F.Geiler,Director s6 iOTec 30 & Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnsiable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete'and Sign This Section ' If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work.authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:F06MS:0WNERPEFMSSI0NP00LS 6/2012 + TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION DO Map Parcel nq Application # Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation /Hyannis Pr_oject_Street Address Q gO M k I Q Village Vimf _ kUVeV �� �JUNN� Address �� �Q'�' �d•PAN—MCE tTelepho e (o— ��J P—ermit-'Request u�st 0 2 �D� 1, t��l b tit r t- 10 Deqn�p Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay ,Rroject_Valuation�OCD 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 King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _newcm o �, 1E Total Room Count (not including baths): existing new First Floor Room Co_,unt � Q 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: 0 existing ❑ n& 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) <Na- me ��JN�l �DII�J� /LTeleph e Numbeer --16 p' i ---. . �Addre"ss- '"`Y'�• �`t"I License # N 6 C Home Improvement Contractor# W, 4- d I FoA& 1\* Q1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE'—=4 DATES-8'j �2 r.! ' FOR OFFICIAL USE ONLY 4 .:APPLICATION# DATE ISSUED - MAP/PARCEL NO. ' ADDRESS VILLAGE r ' -OWNER ' DATE OF INSPECTION: FOUNDATION 3 FRAME f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL GAS: ROUGH - FINAL . ' FINAL BUILDING l 6 Y DATE CLOSED OUT ASSOCIATION PLAN NO: ' . �\: t ae �,uirernurctveustn u�lrltta's•ucaus'eus' - - Department'of IndustrialAccidents Office of Investigations - 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl ONM'e Business/Orgmizafion/Individual): . oCity/State ziPAN i E P G Phone.#: Are you an employer? Check the appropriate box: -Type of project(required):• 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ElNew 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 '8. ❑Demolition working for mein any capacity'. employees and have workers' [No workers'comp.insurance comp.insurance. t ' 9. ❑Building addition K;elf. quired_] 5. ❑ We are a corporation-and its 10.❑Electrical repairs or additions a homeowner doing all work officers have exercised their 11.❑Plumbing repairs s or.addition .' [No workers' comp right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below.showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new at5davit indicating such. xContractors that check this box must attached an additional sheet showing the name of the sub-contractor's 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$1,500.00 and/or one-year imprisonment, as-well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be.advised that a copy-of this statement maybe forwarded to the Office of Investigations of the DIIA for insurance coverage verification. I do-hereby certify under the pains•and penalties of perjury that the information provided above is true and correct S��F - _Date:* 9 -7 -A II,': Official use only. Do not write in this.area, to be completed by city or town official.- City or Town: Permit/License# Issuing Authority(circle one): .'L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Pearson: Phone#: . OF THE Tp� Town of]Barnstable yP� "�. Regulatory Services SARNSfASLE Thomas F.Geiler,Director y HAss. =639• .�� Building Division . lFD Mp't A � Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print cos_LocArloN 111 ' �f LC number street village "HOMEOWNER": me Q � home phone work phone# , TM__.URRENAILING DDA DDARE 61 SS: �V (;y(/N 4 l�u�K04F�ue� Uk b'Lrp, city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF 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 building Dermit (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. CS _ re of Hom weer 1= 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 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. Q:forms:homeexempt °FTHE rqy Town of Barnstable ti Regulatory Services v MAss.. g Thomas F.Geiler,Director �A 1639. �0 TFn w,A�" 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 as Owne f the subject property hereby authorize to act on my behalf, in all matters relative to work authoriz by this ding permit. (Addre of Job) **Pool fences and ala s are the responsibility o e applicant. Pools are not to be filled or tilized before fence is installed a all final inspections are per rmed and accepted. Signature of9lker Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 6/2012 ct ug 10 12 11:43a Matthew Bunnell 1-508-362-9896 p.1 V REScheck Software Version 4.4.3 Compliance Certificate Energy Code: 2W9 I ECC Location: Barnstable,Massachusetts Constriction Type: Single Family Glazing Area Percentage: 1- Heating Degree Days: 6137 Climate Zone:. 5 Construction Site: qAj ilvjiLo S Owner/Agent:-QjV(Vj v'j&b(_ Designer/Contractor. W"I R"5r'tgt F Arid g, trade-off Compliance:0.7%Better Than Code Maximum UA:1624 Your UA:1612 The%Better or Wma Than Code Index reflects how Nose to oorrolance the house b based on code trade-off rules. h DOES NOT provide an estimated energy use or oust reladve to a mhdnumcode home. Gross Cavity Cont. Glazing UA Assembly Area or --Value or D•• Perimeter - Ceiling 1:Cathedral Ceiling 2000 30.0 0.0 6B Wall 1:Wood Frame,16"o.c. 1650 19.0 0.0 70 Window 1:Vinyl Frame:Double Pane with Low-E 200 0.310 62 Door 1:Solid 210 0.350 74 Door 2:Glass 76 0.460 35 Floor 1:SlabOn-Grade:Heated 1780 6.8 13M Insulation depth:2.5' 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 2009 IECC requirements.in _4: REScheck Version 4.4.3 and to comply with the mandatory requirements listed In the REScheck Inspection Checlsl@t. ` C (I ail CL�tqk�\ tl 0 1 j U me-Title i nature Dale° `'� ':1 t1 O 0- Project Title: Report date: OBM9112 Date filename:Untitled.rck Page 1 of 4 I Aug 10 12 11:43a Matthew Bunnell 1-508-362-9896 p.2 RESchbck Software Version 4.4.3 Inspection Checklist Energy Code: 2009 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Glazing Area Percentage: 17% Heating Degree Days: 6137 1 I Climate Zone: 5 �� ^ �(Ole Ceilings: ❑ Ceiling 1:Cathedral Calling,R-30.0 cavity Insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19-0 cavity insulation Comments: Windows: ❑ Window 1:vinyl Frame:Double Pane with tow-E,U-factor:0.310 For windows without labeled U-factors,describe features: #Panes_Frame Type Thermal Break?-Yes_No Comments: Doors: ❑ Door 1:Solid.U-factor.0.350 Comments: ❑ Door 2:Glass,U-factor:0.460 Comments: Floors: ❑ Floor 1:SlabOn-Grade:Heated,16 insulation depth,8-6.8 continuous Insulation Comments: Slab insulation extends down from the top of the slab to at least 2.5 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 2.5 ft. Air Leakage: ❑ Joints(Including rim joist junctions),attic access openings,penetrations;and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior wags behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of Insulation on the surrounding surfaces.Where Loose fill insulation exists,a baffle or retainer is Installed to maintain insulation application. ❑ Wood-taming fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air Intakes and exhausts, Air Sealing and Insulation: ❑ Building envelope air tightness and Insulation installation complies by either 1)a post rough4n blower door test result of less than 7 ACH at 50 pascals OR 2)the following Items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable Insulation and breaks or joints in the air barrier are filled or repaired. Project Title: Report date: 08/09/12 Data filename:Untltled.rck Page 2 of 4 Aug 10 12 11:43a Matthew Bunnell 1-508-362-9896 p.3 (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with Insulation and any gaps are sealed. (c)Above-grade walls:Insulation is Installed In substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of Insulation. (a)Plumbing and wiring:Insulation is placed between outside and pipes.Batt Insulation is cut to fit around wiring and plumbing•or spiayed/blown insulation extends behind piping and wiring. 0) Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Showerltub on exterior wall:Insulation exists between showersAubs and exterior wall. Sunrooms: Q Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-lactor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal errvefope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Q Insulation R-values and glazing LLfactors are Dearly marked on the building plans or specifications. Duct Insulation: j] Supply ducts In attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are Insulated to at least R-6. Duct Construction and Testing: 0 Building framing cavities are not used as supply ducts. 0 All joints and seams of air ducts,air handlers,litter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or .UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal duds have a contact lap of at least 1 12 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially Inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welled and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). 0 Duct tightness test has been performed and meets one of the following test criteria: (1)Postoonstruction leakage to outdoors test:Less than or equal to 138.4 cfm(8 elm per 100 112 of conditioned Floor area). (2)Postconstrudion total leakage test(including air handler enclosure):Less than or equal to 207.6 cfm(12 cfm per 100 ft2 of oonditoned floor area). (3)Rough.-In total leakage test with air handler Installed:Less than or equal to 103.8 dm(6 cfm per 100 it2 of conditioned floor area). (4)Rough-in total leakage test without air handler installed:Less tharl or equal to 69.2 cfm(4 cfm pet 100 t12 of conditioned floor area). Temperature Controls:. Where the primary heating system is a forced air-furnace,at least one programmable thermostat Is Installed to control the primary heating system and has set-points Initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary etectrlPresislance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an Inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: 0 Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Proied Title: Report date:08/09/12 Data filename: Untitled.rck Page 3 of 4 Aug 10 12 11:43a Matthew Bunnell 1-508-362-9896 p.4 y` I] HVAC piping oonveying fluids above 105 degrees F or chilled fluids below 55 degrees Fare insulated to R-3. Swimming Pools: Ej Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches an pool heaters and pumps are present Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum Insulation value of R-12. Exceptions. Covers are not required when 60%of the heating energy Is from site-recovered energy or solar energy source. Lighting Requirements: 0 A minimum of 50 percent of the lamps In permanently installed lighting fixtures can be categorized as one of.the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (C)40 lumens per watt for lamp wattage r_15 (d)50 lumens per watt for lamp wattage>15 and 40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice melting systems with energy supplied from e service to a building shall include automatic controls capable of shutting off the system when a)the pavementth temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature Is above 40 degrees F(a manual shutoff oontrol is also permitted to satisfy requirement'o. Certificate: A permanent certificate is provided on or In the electrical distribution panel listing the predominant insulation R-values;window 1.1•tactors;type and efficiency of space-conditioning and water heating equipment The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Me: Report date:08/09/12 Data filename: Untitled.rck Page 4 of 4 i Aug 10 12 11:43a Matthew Bunnell 1-50&362-9896 p.5 2009 IECC Energy Efficiency Certificate ;-Insulation Rating R-Value Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 6.80 Ductwork(unconditioned spaces): D. Windaw 0.31 0.29 Door 0.35 0.39 ,Heating . Cooling Pleating System: Cooling System: Water Heater: Name: Date: Comments: QON ' MASSACHUSETTS UNIFORM APPLICATI&N FOR PERMIT TO DO PLUMBING (Print or Type) 20 t t b--�,, -;\�0 Ik r►.► s�-�c bl r� , Mass. Date .5-- 23 1�9 2.011 Permit# Building Location 992 M ,,, Si- Owner's Name [flri+}Kv-W i(>c>n t-� > , r�sJ �,�•� Type of Occupancy 'P-Q-5 . New 12� Renovation ❑ Replacement ❑FIXTURES Plans Submitted: Yes ❑ No ❑ z z ZGO CIO GO 0 sg� d wG AGO :�,- Ud 09 z ww J CA W W _ C ~ d Go � C= Cl) LL Q z 0- d a U d UZ ❑CmC� CAW >- d � zod � � a � 0 � W d cA aC _ � I- Oo = � c" °C � -' zoo= 0 -j U -C 1: O = C_ z cn O cn z z d Lu O '� _ �C J m w 0 0 J =GO C6O I-cc O O 0 D d 39 C= m 0 SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOG 3RD FLOG 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Check one: Certificate Installing Company Name :(ti .30, Corporation Address -12S ❑ Partnership ❑ Firm/Co. Business Telephone °} - Name of Licensed Plumber INSURANCE COVERAGE: _ I have ace rrent liability or its substantial equivalent which meets the requirements of MGL.(3h. 1j ls�If you have checked yes, please indicate the type coverage b checking the a r.; YP 9 Y 9 ppropriate box. A liability insurance polic�.� Other type of indemnity ❑ Bond' ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the`insurancq coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit=application waives this requirement. Signature of Owner or Owner's Agent Check one: '� Owner ❑ Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P bing Code and Chapter 142 of the General Laws. By r Title Signature of Licensed Plumber City/Town Type of License: Master Journeyman ❑ APPROVED (OFFICE USE ONLY) License Number �7_�p I q1 OD MASSACHUSETTS UNIFORM APPLICATIdN FOR PERMIT TO DOPLUMBING (Print or Type) � Mass. Date - - Z-3 I;q Zo I I Permit# Building Location 99:7 o:in S-t-- Owner's Name Lrlct-F-FKe-w LI Type of Occupancy -5 . New Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES zGO z GO W Z � d O W Y J GO 0 `C W z W W 0 � GO F— W 2 ~ 0 GO CC LT- G GO O Z Z -j () CcF- 0 , ctGO ua- C_ zads ~ GO .3 d = O GO F- � � �GO Ou_ � V N!f Ili Ne -j - = F- c0iC'3Zod3gortn0 SUB-BSMT. BASEMENT l 1ST FLOOR ��. 2 2 I v 2ND FLOG RR 3RD FLOO 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name Check one: Certificate _ � ��` Corporation Address \ ► \\`'\ `�� 'L Q --� ❑ Partnership o ❑ Firm/Co. w_ Business Telephone �. ' `�- r� Name of Licensed Plumber w INSURANCE COVERAGE: I have a c Arent liability •-- � =- `�}}�� ': y policy or its substantial equivalent which meets the requiremehts'of MGL Ch-- 42' ' Ye`s— No ❑ If you have checked yes, please indicate the type coverage age by checkingthe a N ^ ppropriate box. A liability insurance polic�"� Other type of indemnity ❑ Bond' ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurances coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit-:.application waives this requirement. —t Signature of Owner or Owner's Agent Chei;k one: I hereby certify that all of the det � Owner ❑ Agent�L V si ails and information I have submitted (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts Statebing Code and Chapter 142 of the General Laws. By ' r Title Signature of Licensed Plumber City/Town APPROVED (OFFICE USE ONLY) Type of License: Master Journeyman ❑ License Number �� Map Page 1 of 1 r Town of Barnstable Geographic Information System New Search Home I Help Parcel Viewer Custom Map Abutters Map Size ■■ Zoom Out�, �,"' In n Q ® 19 R JPG Map: 156 Parcel: 007 Full Property t66023W Location: 897 MAIN ST./RTE 6A(W.BARN.) Info ® Y 886 166058 158030 166034001 N35 Owner: BUNNELL,MATHEW A&JENNIFER L Y 837 N880.& 160055 /21 1. location Information ��� t5eg2egpl 158054 Map&Parcel 156007 0.ga 0857 4* 9002 Location 897 MAIN ST./RTE 6A(W.BARN.) I y0� Acreage 1.01 acres ® 155038 ® �914. YB1 4# Icurrent Owner 8T Mailing Address BUNNELL,MATHEW A&JENNIFER L 1Y 8818 RTs PO BOX 944 166020092 158007 WEST BARNSTABLE,MA 02668 t Y 35 Y 807 t f� I Appraised Value(FY 2012) Extra Features $12,300 {:$; Out Buildings $4,200 ikti Land $231,500 ti 156034 Buildings $116,100 1 Y0 Total Appraised $364,100 i•,ti ,ti4ti 158027 Assessed Value(FY 2012) k`i 155023 Extra Features $12,300 y� e 80 155039 Out Buildings $4,200 > 1 14 02481 Land $231,500 R ® Buildings $116,100 y' $ : Total Assessed $364,100 Set Scale 1"= 162`J I Aerial Photos _IW MAP DISCLAIMER Copyright 2005.2010 Town of Barnstable,MA All rights reserved.Send questions or comments to GIS BarnstableMA v1.2.4379[Production] http://66.203.95.236/arcims/appgeoapp/map.aspx?propertyID=156007 8/7/2012 Page 1 of 1 Ww } k , i t � 1't 1 is a;. � ■J...1.n.. 2(U RM � az- file://\\isvisions\images\00\06\10\05"jpg 8/7/2012 1 MMAPPrication Prereciuisne Text «« |RJ Edit, T Insert ¥ \\\\ " ` ° . -, • ! . . . . : . � , . _ . . bedrooms/». Nob±emVivi space b garage. Garage can only b used aagEme tDrmeW_e workshop(non-com_@q No bedroomsViving aillowed/gar mEy �. , . � . � z � . � . � ; �. . � � � . � . � � [? � . � � . ; CheckS g G�9 F HML ` ^ \ § . \ —/ \ < �, \ - . \ < \ � ' . • � 2 w �k6p �o DI cQ- SOP +tlla� s� # � - o �(� vovR- I.Z :b Wd L- 9 ►� ZiOZ ��g�1StVYtlB J0 Nmoi JA . I w oyfAk �PRO v 1Z TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ;Application # Health Division Date Issued Conservation Division 's Application Fe ) 06- Planning Dept. -'. Permit F, Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address Village VV• f L-157 Owner MA——* JN I Ae° L-L Address' i'D ODk VV, ?744q Telephone 6W i Permit Request /ZxmznoLT ME-d 0"tAenq 67— Squaresfeet.,st floor: existing proposed (111 2nd floor: existing proposed 1 Z Total new 26 0 Zoning Dist`iet Flood Plain 6 Groundwater Overlay Project Valuation ®o abo Construction TypedVA Lot Size J A L Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. C) Dwelling Type: Single Family.:,-.@ Two Family ❑ Multi-Family (# units) Age of Existing Structure IN VjV> Historic House: ❑Yes ❑ No On Old King's Highway: Qes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing 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 mew size3kyY�6 Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial 0 Yes 34o If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION ^/�L i rplyvlo DER OR HOMEOWNER) Name le hone Number 6D2 �30 2,:500 Address &ygtaN JYYnl95F License# 33-,�t, YW�I L D 24, f!� Home Improvement Contractor# 132� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE i /it FOR OFFICIAL USE ONLY r t, ,j APPLICATION# :DATE ISSUEDI ��ff+, 4MAP/PARCELrvNO.�;C:L ,; f - ;' ADDRESS.!- VILLAGE OWNER DATE OF INSPECTION: rPFO.UNDATION FRAME _-INSULATIONI' J FIREPLACE } ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL FG'AS +. . ; ti ROUGH KWIV-f FINAL s . Xf / Vr- �'6tts 2�e .�h. error nls(�O c-r9� /[lt�R.tJbic� �u. jqq&cLlre `z _ DATE CLOSED.OUT Ll;,;. ASSOCIATION PLAN NO. '; PIS FLARBOR WOOD PRODUCTS 326 Yarmouth Rd. I Hyannis,MA 02601 1 508.77.1:5007 1 Fax 508.771.7070 I hyannis@pineharbor.com 259 Queen Anne Rd. I Harwich,MA 02645 1508.4,30.2800 1 Fax 508.430.1115 I info@pineharbor.com 1.800.368.SHED I Customer Service'1.866.SHEDKIT I www.pineharbor.com WeA f tag, 17&ffle 174ilZ'1W1 12, M(Z`-�Y, � i j I �G /� 7,4 � ap 13 oar o : ui ing egu]ai`on s an ' an a One Ashburton Place - Room 1301: Boston,.Massach- st.tts 02108 Constz:4etionis: :r. license .. . Massachusetts - Depa.rtment of Public Safety Board of.Building Regulations Mind Standards i'•� rx Construction Supervisor License — License: CS 73865 JAMES*R MCGRATH' Restricted to: 16 2.04 CRANVIEW RDcl 8REWSTER, MA 02631 _ JAMES R MCGRATH 204 CRANVIEW RD BREWSTER, MA 02631 )PS-CAI i5•50M-07/07-PC8490 - ��� "J/� Expiration:. 3/1 4120 1 2 T rf+: 19385 Office of Consumer Affairs and 2usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massac- setts 02116 -Home Imptov ment ' sk*tor Registration 1 Registration: 13205 Type: Private Corporation �I Expiration: 10%31/2012 Ti# 204.604 MCGRATH POST & BEAM CO. JAMES MCGRATH. Irn }n 259 QUEEN ANNE RD. r�> HARWICH, MA 02645 if Update Address and return car'd.Mark reason for change. �.J OPS-CAI i� 50M-04/04-G101216 Address Renewal Employment Lost Card 92. Office of Consumer Affairs&B siness Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration,date. If found return to: Registration:e132935 Type: Office of Consumer Affairs and Business Regulation Expiration: 4-Of(2012 Private Corporation 10 Park Plaza-Suite 5170 Boston 02116 Mc TH POSTtZ) `i f =i; . l; JAMES MCGRATH,_ _-- h 12g I / 259 QUEEN ANNE D`.,ff���=' HARWICH,MA 0264a'\ '� Undersecreta / �\ �..: ry Not valid,vithout signature I� jlle Go1nmon3yea1fh`0fMas..sacliusefts. Department of Indusirial Accidents Office. of Investigations 600 Washing-ton Street Boston, MA 021'11 tvriw.mass•gov/dia Workers',.Cornpensation Insurance Affidavit: Builders/Contractors/Electrician /Plumbers ApplicnDt Information Please Print-Legibly Name (Business/0r� �ation/Individual): Harbor Wlj Address: � • I nucr_n* Anne- City/State/Zip: Nai'U)IChi 62(oj�4.� Phone #: 80c) Arree you an employer? Check.the-appropriate box: Type of project (required): Lrl 1. I.am a employer with 25 . 4. 0 Lam a•geneial contractor and I 6 ❑ New:construction employees (full and/orpart-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. I �• ❑ Remodeling ship and have no employees These sub-contractors-have 8. ❑ Demolition working forme in any capacity. workers' comp. insurance. 9_ ❑ Building addition [No''workcrs' conrp. 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 11.❑ Plumbing repairs-or additions myself_ [No workers' comp. c. 152, §1(4), and-we 12.❑ 12oof:re insurance.required.] t employees. [No workers' pairs 13.[] Other ;comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: Homeowners wbo submit.this affidavit indicating they arr Aoing all work end then hire outside contractors must submit a new a$idavii2ndicating such Contractors that check this box must attacbed en additions!sheet showing the nerve of the subcontractors and.thrir workers'cbmp,policy'information 'am an employer that is-providing workers'compensation insurance for my employees Below is the poliry..a`nd job site nformation Msurancc Comp any Name: ?olicy tt or Self-ins. Lic. n: 1'+ ?j 8 Q Expiration Date: Q Job Site Address: •Ci /Statc/Z• ry rp A.ttach.a copy of the'workers' compensation policy declaration page (showing the'.policy number and expiration date). Failure to secure coverage as regtiired'i mder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment, as.well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to 5250.00 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. Uo:hereby. •e fy under tl� pg'm enal - erjury that the information pr��g s true.and correct , Si ature: ��� 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 Healib 2. Building Department 3. City(roNvu Clerk 4. El-ectrical Inspector 5. Plumbing Inspector 6. Otber Cootact Person:. Phone " All C AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone 017 Ko-'cia 4A D0DIL.0 t; No.34i'74 !r:. ...,Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)t Ns �'► I <C1 STRUCTUF.'.':!. i.- I OF 2- Ilk- SF�rsrEP� � 0 Check Compliance IndSpeed(3-sec. gust).................................................................. ................................................ 110 mph WindExposure Category.................................................................. ........................... ...........B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)�Z stones 5 2 stories RoofPitch ...........................................................................(Fig 2) ..........................................L 2',J25 12:12 MeanRoof Height ..............................................................(Fig 2).................................................t_u ft s 33' BuildingWidth,W ...............................................................(Fig 3)................................................20 ft 5 80' Building Length, L............... ................................................ ig3).................................................eft s80' Building Aspect Ratio(L/W) ............................................ ..(Fig 4)................................................. 5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)............... .. ...........................16'6t' s 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry .................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION'•3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ........................................ .(Table 4).". .10.AP45.. �.�'4 aS 5 ✓> � Bolt Spacing from endloint of plate.............................(Fig 5)................................. G/2 in. 5 6'-12" Bolt Embedment-concrete.........................................(Fig 5)...... ..............................................Z in. a 7" Bolt Embedment-masonry.........................................(Fig 5)................................. ........ � in.a 15" PlateWasher................................................................(Fig 5).................................................z 3"x 3"x Y4" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension...................................(Fig 6)............... . 1 512' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................ Maximum Floor Joist-Setbacks .............. Supporting LOadbearing Walls or Shea►wall................(Fig 7).................................................... - ft 5 d Ma)dmum Cantikwered Floor Joists SUPPorting Loadbearing Walls or Shearwall................(Fig 8)...................................................._ft 5 d Floor Bracing at Endwalls....................................................(Fig 9).... ................................................ Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)................... ......... ..... Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)................ . Floor Sheathing Fastening 9 9 .................................(Table 2)..--ad nails at_4p_in edge/ in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig10 and Table 5) :G ft 510' Non-Loadbeari ........................... ng walls (Fig 10 and Table 5).......................... Wei Stud Spacing ........................................................(Fig 10 and Table 5).....�v42,4!�5 in.5 24'o.c. Wall Shay Offsets ........................................................(Figs 7&8)................................. . ....... _ft 5 d 4.2 EXTERIOR WALLS3 7FU RU pi 5,Wood Studs 1 Loacbearing walls.....................:t.................................(Table 5)..............................2x -_ft_in. Non-LOadbearing walls.....:....... .(................................ able 5 ---ft—in. Gable End Well Bracing' (T )..............................2x - Full Height Endwell Studs:........................................... Fi WSP Attic Floor Length.... (Fig 10)................................................................. orpavt,carrrng cartgkn Cm vvsP not used)...................(Fig 11)............................................=ft a 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11)................. or 1 x 3 ceilingfurring strips 16"sad � sp "•"" '.�9�M spacing min.with 2 x 4 blocking(d 4 ft. spacing in end joist or truss bays Double Top Plate - �j Splice Length ............................ ...... . . ... ... ........(Fig 13 and Table 6).................................... LI' ft Splice Connection(no. of 16d common nails)..............(Table 6)......................... -"........... pjd AWC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone gr 7 p_A4M 64 Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' MA Loadbearing Wall Connections 2 of 2 Lateral(no. of 16d common nails)................................(Tables Non-Loadbearing Wall Connections S " " [Hf Lateral(no. of 16d common nails)................... ............(Table 8)..................... 20 Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................ able 9 Sill Plate Spans R )"' """"" ft=in. s 11' .. . . . . . .. . ... ..... .. . .... . ................(Table 9)..................................�j ft=in. s 11' Full Height Studs (no. of studs)....................................(Table 9)............................. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................41 ft in.s 12' r Sill Plate Spans.... .......................................................(Table 9)................................!!�a ft_in. s 12" Full Height Studs(no.of studs).................................... (Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W= 31-' u Nominal Height of Tallest Opening2 ................................................................ ..... .......(o'$s 6'8" Sheathing Type..............................................(note 4)...................1.. ..�.2....ViA:f �. Edge Nail Spacing.........................................(Table 10 or note 4 if less)................ ....�in. Field Nail Spacing......................� ....................(Table 10)............................... ................. in. Shear Connection(no.of 16d common nails)(Table 10).. ......... ... . Percent Full-Height Sheathing.......................(Table 10)..'**............/ Q. }.;..rj�'Q....t %=58Vx A. 17,3 5%Additional Sheathing for Wall with Opening Maximum Building Dimension, L >6'8"(Design Concepts).................... ' �}Q, Nominal Height of Tallest OpeningZ.........................................................................Ls 6-8- Sheathing Type............................. ................(note 4)............................................llytz Edge Nail Spacing.................................. (Table 11 or note 4 if less)............... ...... Field Nail Spacing '•"" in P g....................................... ..(Table 11 i Shear Connection(no. of 16d common nails ) (Table 11)........................ Percent Full-Height Sheathing.......................(Table 11) Wall Cladding 5%Additional Sheathing for Wall with Opening>6'8°(Design Concept .................... Ratedfor Wind Speed?..................... . .................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ft s smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls 2�•� r� Proprietary Connectors Uplift................................................(Table 12)............................................U= Lateral................................. Shear...............................................(Table 12).............. ..............................L=ate ........ ...(Table 12)......................... S- ................... - Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= P ),za =21* Gable Rake Oudwker..........................................(Figure 20) ......... ft s smaller of 2'or Ln Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).................. Lateral(no.of 16d common nails)...(Table 14 ...............L lb. Roof Sheathing Type..................... ... ..(per 780 CMR Chapters 58 and 59) _ lb. ...... ... ... Roof Sheathing Thickness....... W�Cr�y.. ZP Roof Sheathing Fastening. ....................2 ..............I•x• Z in.Z 7H6'WSPt (Table 2) ..1.`t. .�.!1-� kcY Notes: - c �fiHb....4 k� 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to corgi with� ct`� 780 CMR 5301.2.1.1 Item 1. If the checklist Is met in its entire then the followingmetal requirements of required per the WFCM 110 mph Guide: straps and hold dorms are not a. Steel Straps per Figure 5 t& LL`, v4 L•t;ss Por-)-/gM, b. 20 Gage Straps per Figure 11 60 At4zC--M01{4 MCA•6e c. Uplift Soaps per Figure 14 d. All Straps per Figure 17 e. COrne�r�Stud Hold �--Downs per Figure 18a.and Figure 18b �a��°F�SSgc tc t PoGCnl lull-net rM r n y requirements shown in Tables 10 and 11. gIELE 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2 a CUD1L0 =-t . P No.34774 STRUCTURAL 14,I3�/!/ A RFcisTE�`�.�'� ` SSIUN.AI- l� r GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS • 1. All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered. contact the Engineer of Record. 4. Concrete: Minimum 28 day strength, fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min. 5/8"diameter, 12" long,w/2-1/2"hook spaced "o/c,or in concrete piers w/ Simpson ABU-series base; SPACED 2'o/c for slab-on-grade construction(i.e.Garage, Baseme t,etc.),.'.'Qr O, t�, FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load : Criteria used for 110 MPH Exposure B.unless noted otherwise 3. Structural Steel: (as required) a. ASTM A572 Grade 50,shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307. 1/2"diameter.punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams: use E70xx electrodes. Alternatively, field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a. All new timber framing:Spruce-Pine-Fir No. 2 with Fb=1000psi. E=1,300,000 psi,or better. eot-'"h44 1/l t tL b. Pressure treated timber(P.T.): Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. W AtA--5 Fq:14 Cat'trc. Laminated Veneer Lumber: All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi•E=1,900 ksi, Fv=285 psi, Fcpsi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi, Fc_per--750 psi, Fc_par--2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load, L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5. Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c: Rafter to Ridge Plate: Collar ties min. I x6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c: CS-I4R{0.5,'centered at band joist U,0.tt. 6. Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise. Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers•or square plate washers.All nuts shall be retightened at completion of job. 7. Blocking: a. Blocking shall be solid blocking,2x minimum,and full depth of member. b. Stud Walls:provide blocking at 8'-0"o/c,maximum height. Comers to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea. End d. New Framing: Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all ed of tan�a Y�.•,1 plywood edges to this blocking = �tCIrk 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. CUp A 74 1`�1 y Multiple Studs l6d @ 12"staggered o "0•3 ":� i`t a.All nails shall be common wire nails. C L) S•�AU � iLl� b. Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1) )' t y41UN+j' �/ It MICHELE C DIL .E. J,014 1✓L� j j2� Conesultinglwnwood anStruce. �tural Engineer 123 q 7 ,J S-7 Drown By: MC Dote: Drawing �>�"" Scale, AS NOTED Rev. 0 w7 K— r" File Name: Project No.: I Date: 10/19/2010 Time: 9:17 AM To: 9,15084301115 Rogers & Gray Ins. Page: 010 Client#:20245 MCGRPOS ACOR& CERTIFICATE OF LIABILITY INSURANCE D09/( o") THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If S RO A ION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not Confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER cNAOWNTA:cT Donna White Rogers&Gray Ins.-So.Dennis PHONE 508 760-4609 434 Route 134 No Ell: Alc No P.O.Box 1601 AODREss: whitedo@rogersgray.com South Dennis,MA 02660-1601 CUSTOMERIDB: INSURE S AFFORDING COVERAGE NAICti INSURED McGrath Post 8 Beam Corp INSURER A:Travelers Prop.Casualty Co.of dba Pine Harbor Wood Products INSURERB:ACE Property&Casualty Ins.Co 259 Queen Anne Rd INSURERC: Harwich,MA 02645 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY 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. UL TYPE OF INSURANCE POLICY NUMBER IIM E FF fMM=EXP LIMITS A GENERAL LIABILITY 16602016N498TIA10 3113112010 01/312011 EACH OCCURRENCE $1 000 000 DAMAGE TUTTRTMr-- X COMMERCIAL GENERAL LIABILITY PREMISES a occurrence) $100 000 CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $5 000 PERSONAL a£ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GEUL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 X POLICYF—j PRO- LOC $ A AUTOMOBILE LIABILITY BA4487B68610SEL 1/31/2010 01/31/2011 CECOMBINEDSINGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIREDAUTOS (Paracddent) X NON-OWNED AUTOS $ UMBRELLA L IAO OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ B WORKERS COMPENSATION C46328607 7/08/2010 07/082011 X C -YLJ IERHOTI AND EMPLOYERS'LIABILITY ANY OFFIIN CERPRIIMBEREXACLUDEDXECUTNEY� �A E.L.EACH ACCIDENT $10()000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100,000 If yes desalts under DESCRIPTIO OF RATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addibnal Remarks Schedule,i more space Is requted) (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE i 0 198 2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 of 2 The ACORD name and logo are registered marks of ACORD #S56479/M55091 DMW PINE HAUOR WOOD PRODUCTS 326 Yarmouth Road • Hyannis, MA 02601 a 508-771-5007 o hyannis@pineharbor.com 259 Queen Anne Road . Harwich, MA 02645 0 508-430-2800 . info@pineharbor.com 800-368-SHED (7433) • www.pineharbor.com I Owner's Authorization Iv11 r��U , as owner of the ro erty P P located at gq-7 4-re; 6.4 ( Property Address ) authorize 4C�A�n-+ to act on my (Name of Contractor/Agent) behalf in all matters relative to work authorized by this building permit application. Owner's Signature i nature Date: Town of Barnstable BARE. Regulatory Services 9 MASS. 1639. Building Division p�FO MPS a 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection �/ � Permit Number Z �l Location (� Owner Builder . V Dom,. One notice to remain on job site, one notice on file in Building Department. G� The following items need correcting: �� IRYIAJKJ& E-Q P E-:v( NZ�P�u�=wiz •�� �x� �'l����u5®0P��r�r'�y�� T XV LAC, e5�) 14" 7- koy -4pioxou" P4 211-,'11K R6vtcX- 4 033 727 Please call: 40=38-for re-inspectio Inspected by Date 7 o 7 TOWN OF BARNSTABLE CAPE COD 7012 APR 17 AN 10: 19 INSULATION c� ES N IIEEE OLASS SEAMLESS l.EI1TIOAM SUSPENDED pIVISit��� EETTS OUTIFE! 1"111 AT10N CENINOS 1-600-696-6611 Town of ' ✓Yt S �Lt'�'� Regulatory Services Building Division Address - Address 2 - Date: 5�l}-I// D�— Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed& completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Villa e l�►�` 'P ��n�e q7 Min 5)- LJ c�nSd h 1� Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( X), 03 ) Slopes ( ) ( ) ( �� ) Ok ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ( ) ( ) ( ) ( ) ( ) U Sincerely Henry E Cassidy Jr, President Cape Cod Insulation, Inc. �1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION AA Mapes 1ri1 Parcel Application . 2 Health Division Date Issued 3 ( ce� u;)-, Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board (r 0 Historic - OKH Preservation/ Hyannis Project Street Address Iql k Village Owners uh�r � Address Telephone 3k7 Permit Request6 fk&ov elC�Gtt � Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Zj 006, Construction Type U __ 10 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 King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Numl3er of Baths: Full: existing new Half: existing °= new ` C) Number of Bedrooms: existing _new , Total Room Count (not including baths): existing new First Floor Room"Count x' c:ra Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: -O Yes-;O 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 WJo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION r�LDER U OR HOMEOWNER) o-� Name Telephone Number8 7JI��T Address SUd P7X ' k. License # / �V g I , 4- g z�6/ Home Improvement Contractor# eS 3�16 7 � 59 /Worker's Compensation # 5� Z, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROt,J�CT WILL BE TAKEN TO SIGNATURE DATE Z FOR OFFICIAL USE ONLY APPLICATION# v DATE ISSUED . MAP/PARCEL NO. ADDRESS VILLAGE OWNER I r z DATE OF INSPECTION: r , FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL . ,. PLUMBING: ROUGH FINAL J . GAS: ROUGH FINAL FINAL BUILDING e DATE CLOSED-,OUT ASSOCIATION'PLAN NO. .-� IY 'tWCi'(7 �!I�JYIrSF��I1G� d ld1�Y��� F! 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Cu.txactor Registration _. Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 Update Address and return card. Mark reason for change. U Address Renewal I-_� 13nlploynacnt I I L•wl Card A. i; aUd.l-ItrLQI lliuiZtu 011-CC y�,ufif�unicr:\ffairs sync:altegul.-Regulation License or registration valid for inl:vulu! HOME IMPRbV�f(/I�`�`1`1`��N1`R2AtT(� `cc�uie!!a before the expiration date. If found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation 1 Expiration: 1 211 5/201 2 Private Corporation 10 Park Plaza-Suite 5170 -�, 'Boston,MA 02116 p'OD INSULATION, INC _NRY CASSIDY / 5 YARMOUTH RD. (ANNIS,MA 02601 �— ---- - -'- —' - ..-- - Undersecretary t 81id i[h [Si tore '� I�1assachusctts Drllurtntcn[ of Public Safct% Board of Building, 12c;;ula(iuns anti 1t;tntla -LIs Construction Supervisor License License: CS 100988 . x r ' HENRY CASSIDY 8 SHED ROW WEST YARMOUTH, MA 02673 { Expiration: 11/11/2013 l'noun issiu°r1' Tr#: 7620 Client#:4597 CCINSUL 'ACOPD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/°D/YYYn 2/02/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTAN 1:It e certiticate holder Is an Awl I IUNAL INbUKlz1U,the po Icy les must be endorsed. ,Subject o the terms and conditions of the policy, certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Margaret YOUng Rogers&Gray Ins.So.Dennis [PHONE -- -FAX 434 Route 134 j�IAI.N .EXt►:508-760-4602 (AIC, NA:.•877-816-2156 ADDRESS:youngma@rogersgray,com.. . . IL P.O.BOX 1601 PRODUCER South Dennis,MA 02660-1601 CUSTOMER ID a:. INSURE S AFFORDING COVERAGE NAIC q INSURED INSURER A:Peerless Insurance 18333 Cape Cod Insulation Inc INSURERB:Ohio Casualty.Insurance Company 455 Yarmouth Road _ _ _.. . _ ..._-._•. .-..... INSURER C:Atlantic Charter Insurance Hyannis,MA 02601 INSURER D:Commerce Insurance Company 34754 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY 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. NSR ADDL SUBR POLICY EFF POLICY EXP A :GENERAL LIABILITY CBP8263063 04/01/2011.04/01/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea oau-mnpe) $I00,OQ0_ CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 ..GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG '$2,000,000 1 PRO D AUTOMOBILE LIABILITY 11 MMBCKVMK 04/01/2011 0410112012 COMBINED SINGLE LIMIT $ (Ea accident)ANY AUTO 1,000,000 BODILY INJURY (Per person).$ ALL OWNED AUTOS BODILY INJURY(Per accident) .$ SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ B UMBRELLA LIAR •X :OCCUR f !0001254514645 04/01/2011.O4/01/201ZEACH000URRENCE- $1,000,000 EXCESS LU1B CLAIMS-MADE AGGREGATE $1,000,000 DEDUCTIBLE X RETENTION $ 10000 C WORKERS COMPENSATION WCA00525902 O6/30/2011 WC STATU- AND EMPLOYERS'LIABILITY Y/N 06/30/2012 X. .TORY LIMITS.. _.ER .. ANY PROPRIETORIPARTNER/EXECUTIVEI ��� E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? L.�,�l NIA (Mandatory in NH) E.L.DISEASE..EA EMPLOYEE$500,000 If s,describe under O 00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if nwre space is required) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE f 01988-2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S77368/M68179 MEY t • .�LIIGQY fi4 ass save s P R !!s "++o.:tioum eerov +taonc: PERMIT AUTHORIZATION FORM I, 6 ,l ✓ t.✓11� _ owner of the property located at: (Owner's Name,printed) (Property Street Address) (CitylTown) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. J",-/ z Owner's Signature c all-- - t C )i Date FOR CSG OFFICE USE ONLY Conservation Services Group has assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: Inc , J Participating C ntractor Date Rev.12132011 X-PRESS PERMIT 7 a of r N 312012. Town of Barnstable ' *Permit# dge Regulatory Services ,A , BARNSTABLE ,fib him Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.bamstable:ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION — RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number yy� Property Address b�1 mvn� Residential Value of Work J of D_:>3 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address MV a t 6-mVlt& Contractor's Name Telephone Number (�b%1-l-16 Vj Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# 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 f ❑Re-roof(not stripping. Going-over existing layers of roof) Re-side #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. IGNATURE: . II�tJ� 1WPFII.ES\F0RMS1bm7ding permit rms1EXPR.ESS.doc :vi sere 070 1 In The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 •W www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . \t44�t�L✓ V Address: on City/State/Zip: Oa'w-x)Lk, Phone.#: ��'1 Are you an employer?Check the appropriate box: Type of project(required):.- 1.❑ I am a employer with ' -4. ❑ I am a general contractor and I 6. ❑New construction . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY t' 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 l l.❑Plumbing repairs or additions yself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.(No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must providt:their workers'comp.policy number. lam 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$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.-Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ojperjury that the information provided above its true and correct. Si Mature: - Date: Lit. Phone# Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): .1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s),address(es)and phone number(s)along with their 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 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-$77-MASSAFE Revised 11-22-06 Fax## 617-727-7749 www.mass..gov/dia .1 �t T Town of Barnstable Regulatory Services • a i B"NSTMX, * Thomas F.Geiler,Director 9�A 16 ••� Building Division rED MA'I� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION 2 Please Print DATE: I J I I JOB LOCATION: 1( q 1 �T W �`(f/1/st&4 9 \number street (�' c village 7 ("� fC HOMEOWNER": N/I�E l/tM `�LJ�-- b V� (pZ "10�� 1 0)0� 1 l� 11�"I J 7 me n �( I /(horne phone# work phones e# CURRENT MAILIN c�L[G ADDRESS:. O . ` 1 —1 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF 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 building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. / 4Situreof Home caner 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, I 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. Q:forms:homeexempt 1 BIKE , Town of Barnstable r' Regulatory Services • a�axsr,�si.E. MAss. Thomas F.Geiler,Director s6;q ' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section , If Using A Builder as Owner of the subject property hereby authorize to act on ray behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS EP/Ol/2010HU 08:22 AM Carl F. Riedell+Son FAX No, 5084200180 P, 001/001 Jennifer&Matthew Bunnell (508) 776-6459 897 Main Street P.O. Box 944 West Barnstable;MA02668 Town of Barnstable Tom Perry, Building Commissioner August 31, 2011 Dear Commissioner Perry, We are writing this letter,per your request, and subsequent to our previous letters dated March 2, 2011 and March 17, 2011 to further define our intentions with the newly constructed barn on our property. The barn will be for our own personal use, If you have any questions,please do not hesitate to contact us. Best Regards, ')"' r u� Jennifer&Matthew Bunnell NOIS=CIO Eh :8 HIV I - d3S 1101 370v1Sftwe J0 fV11,101 OF{NE fps Barnstable Old Dings Highway Historic District Committee B.IRY$fA$iP 200 Main Street, Hyannis, MA 02601, TEL: 508-862-4787 Fax 508-862-4784 • 9Qp ��`00 O tEO MPS APPLICATION, CERTIFICATE OF APPROPRIATENESS Application is hereby made,with four(4)complete sets,for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470,Acts and Resolves of Massachusetts, 1973,for proposed work as described below and on plans,drawings,or photographs accompanying this application for: Check all categories that apply; 1. Building construction: E New ❑ AAdition ❑ Alteration 2. Type of Building: ❑ House LJ Garage/barn ❑ Shed ❑ Commercial ❑ Other 3. Exterior Painting, roof ❑ new roof ❑ color/material change, of trim, siding, window, door 4. Si n : ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 5. Structure: ❑ Fence ❑. Wall ❑ Flagpole ❑ Retaining wall ❑ tennis court ❑ Other 6. Pool ❑ swimming ❑ Other man-made pool Type or Print Legibly: Date: Z 2p v Address of proposed work: House# 0 1 Street: fi-11 l ,�1 E Village W J_�iryl�y Assessors Map Lot# �d 0 Description of Proposed Work: Give particulars of work to be done: 3> i rn s, f. —A . v Agent or Contractor(print): Ride 46 0,!X_ Telephone#: 56 4D 2_2S a61n Address:' l/ l u, Contractor/Agent' signature: NOTE All applications.i ust be slgu rl by the currer caner G Owner(print): fV 1 ,tl— 1/ �I(n rVAA Telephone#: Owners mailing address: V.D. V5N 6H14 W A, l J-C Owner's signature: For committee use only. This Celia is h by APPRO /DENIED D2 M Membures lull V n DEC 2 0 2010 An conditions of approval: -TOWN OF BARNSTABLE JAN 12 2011 Town of Barnstable Old King's Highway 1 CA Documents and SettingsldecolliklLocal SeuingslTemporary Internet FilesIOLKIIOKH Ceri Appropriateness 1 aq pmittee 1' i 4 a I Town of Barnstable Old King's Highway Regional Historic District Committee CERTIFICATE OF APPROPRIATENESS SPEC SHEET Please submit 4 Copies Foundation Type: (Max. 18"exposed)(material -brick/cement, other) Siding Type material: ✓ 417-e e Color: Chimney Material: ',/ Color: Roof Material: (make&style) LA Yuen 1 k- �Y Ody1�Ll�� Color: 24/#'�7" Trim material 124P V�6� �i✓E Color: lilt 7 Tg- Roof Pitch: (7/12 minimum) /y Window: (make/model)�r►�/✓A'(�L,E material A color ► 6✓ 715_ Size(s): � Door style and maker material f i Color: W1 /112F� Garage Door, Style O Size la X Material Y//14�7 Color t<✓d'1725�_ Shutter Type/Material: Color: Gutter Type/Material: Color: Decks: material Size Color: Skylight;type/make/model/: - Color: Size: M Sign size: e at�ials: Color: Fence Type(max 6' ) Styl erial: Color: UU DEC Retaining wall: Material: Lighting, freestanding TOWN OF1 MN illuminating sign HIS-TO Please provide samples of co ors"and manufacturers brochure of style of iV Coors, garage door, fences, lamp posts etc /�PpR®® ADDITIONAL INFORMATION: A 1 Y arnstable ol d KingS vjignvYdV 0 Signed: (plan preparer) print name tel. no. 5il 7 7 o Location of lication: Street no.i7�97 Street flEL4 Village W 2 C:IDoczunents and SeitingslclecolliklLocal SellingslTemporocy lnternel FilesIOLKIIOKH Cert Appropriateness O7.doc Town of Barnstable Geographic Information System r 156031 December 27,2010 #825 156023 Mq�N #866 15#6D56 STD ja Rr� 156024001 6,q #886 1#5 030 �P� 156055 #21 = 156029001 156054 v #857 #902 v 40 .� ® 156036 ® #918 _ 156025 156028 #960 #881 156007 #897 156029002 41* #35 c' 155034' #0 156027 #905 155023 #0 155014 O t`56Feet 155039 Feet #2481 DISCLAIMERS:This map is for planning purposes only.It is not adequate for legal Map:156 Parcel:007 boundary determination or regulatory interpretation. Enlargements beyond a scale of A Selected Parcel 1'=100'may not meet established map accuracy standards. The parcel lines on this map Owner.BUNNELL,MATHEW &JENNIFER Total Assessed Value:$388300 are only graphic representations of Assessors tax parcels. They are not We property Co-Owner: Acreage:1.01 acres Abutters. W boundaries and do not represent accurate relationships to physical features on the map such as building locations. Location:897 MAIN ST./RTE 6A(W.BARN.) Buffer ` r 1je- pen t S i From: "Michele Cudilo, P.E."<mcudilo@comcast.net> Subject: Bunnell Barn: 897 Main St.,Barnstable Date: July 11, 2011 3:33:04 PM EDT To: "Mark Clancy"<realclancy@gmail.com> Per our site meeting this date, in response to the Town of Barnstable inspection items as follows: 3.A. Instead of 6x8 plate beams, 2x6 were as-built;to this will be added bearing plates to make up this difference in column depth for full lateral bracing, Le. 2x4 plates on the flat of column,fastened w/2 timberlok min. 3.6. Gar.Opening: See stamped Calcs. previously provided to client 3.C. 2nd floor framing beam,6x12 Workshop: See stamped calcs. previously provided to client 3.1). Front 46 loft wall posts at 3'o/c: at stair opening the column below will have a2x6 bearing plate added 30"long w/min.6 timberlok into 6x8 column below;also 4 timberlok into the end grain of 6x14 beam 3.E. Shed rafters at front: supported by ledgerlok to ledger and face timberloked,which is adequate MICHELE CUDILO, P.E. CONSULTING STRUCTURAL ENGINEER 123 Cottonwood Lane Centerville, MA 02632 5087717601 voice 5087717163 fax 5087378521 cell i ' O c� O r _n 2r 9sr s i � 1 LO gp � # 03 O M OFAtgSSP q o� MICNELE tic oCUDILO r.4 No.34774 N STRUCTURAL S�OfVAL E i 2 hdr @ access PERP by Weyerhaeuser 3 PCs of 1 3/4" x 11 7/8" 1.9E Microllam® LVL TJ-Beart(g)6.36 Serial Number:7005107030 User:2 4/4/2011 10:08:53 AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Pagel Engine Version:6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED D, ,0 6 2V Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width: 1' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 10.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(lbs) Floor(1.00) 500 150 9' - Point(lbs) Floor(1.00) 500 150 15' - SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplitt/Total 1 Stud wall 5.50" 1.50" 987/480/0/1467 Al: Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam®LVL 2 Stud wall 3.50" 1.50" 973/473/0/1446 Al: Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam®LVL -See iLevel@ Specifier's/Builders Guide for detail(s):Al: Blocking DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 1444 1370 11845 Passed(12%) Lt.end Span 1 under Floor loading Moment(Ft-Lbs) 10328 10328 26772 Passed(39%) MID Span 1 under Floor loading Live Load Defl(in) 0.517 0.587 Passed(U546) MID Span 1 under Floor loading Total Load Defl(in) 0.749 1.175 Passed(U377) MID Span 1 under Floor loading -Deflection Criteria:HIGH(LL:U480,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 24'o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevel@. iLevel®warrants the sizing of its products by this software will be accomplished in accordance with iLevel®product design criteria and code accepted design values. The specific product application,input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel®Associate. -Not all products are readily available. Check with your supplier or iLevel@ technical representative for product availability. -THIS ANALYSIS FOR iLevel@ PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel@ Distribution product listed above. -Note:See iLevel@ Specifiers/Builder's Guide for multiple ply connection. SN OF A,G9� MICHELE`'��tiN CUDILO 0 No.34774 PROJECT INFORMATION: OPERATOR INFORMATION: STRUCTURAL for: Bunnell Michele Cudilo RFCIs�L\�� Michele Cudilo, P.E. ss��r,;•1 FN Phone:5087717601 Fax :5087717163 mcudilo@comcast.net Copyright O 2009 by iLevel®, Federal Way, WA. Microllam® is a registered trademark of iLevel®. C:\Program Files\Trus Joist\Job Files\2011-15pINEHARBORbarnst2HdrAccess.sms i 2 hdr @ access by Weyerhaeuser 1 3/4" x 11 7/8" 1.9E Microllam® LVL TJ-Beam®6.36 Serial Number:7005107030 User:2 4i4n01110:05:23AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version:6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED 0� ;0 Product Diagram is Conceptual. LOADS: Analysis is for a Header(Flush Beam)Member. Tributary Load Width:4'6" Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 10.0 Dead SUPPORTS: Input Bearing Vertical Reactions(Ibs) Ply Depth Nailing Detail Other Width Length Live/Dead/Uplift/Total Depth 1 Timberstrand LSL Beam 1.50" Hanger 484/136/0/620 1 11.88" N/A H1: Face Mount Hanger None 2 Timberstrand LSL Beam 3.00" Hanger 506/143/0/649 1 11.88" N/A H1: Face Mount Hanger None -See iLevelS Specifier's/Builder's Guide for detail(s): H1: Face Mount Hanger HANGERS:Simpson Strong-Tie®Connectors Support Model Slope Skew Reverse Top Flange Top Flange Support Wood Flanges Offset Slope Species 1 Face Mount Hanger IUT9 0/12 0 No. N/A N/A N/A 2 Face Mount Hanger IUT9 0/12 0 No N/A N/A N/A -Nailing for Support 1: Face:8-N10,Top N/A, Member:2-N10 -Nailing for Support 2: Face:8-N10,Top N/A, Member:2-N10 DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 591 -363 3948 Passed(9%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) 758 758 8924 Passed(8%) MID Span 1 under Floor loading Live Load Defl(in) 0.009 0.128 Passed(U999+) MID Span 1 under Floor loading Total Load Defl(in) 0.012 0.256 Passed(U999+) MID Span 1 under Floor loading -Deflection Criteria: HIGH(LL:U480,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 5'6"o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevelS. iLevelS warrants the sizing of its products by this software will be accomplished in accordance with iLevelS product design criteria and code accepted design values. The specific product application, input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevelS Associate. -Not all products are readily available. Check with your supplier or iLevelS technical representative for product availability. -THIS ANALYSIS FOR iLevelS PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevelS Distribution product listed above. tH OF� PROJECT INFORMATION: OPERATOR INFORMATION: for: Bunnell Michele Cudilo ��� MICHELE X Michele Cudilo, P.E. �` CUDILO Phone:5087717601 NO.3074 STRUCTURALFax :5087717163 mcudilo@comcast.net Copyright O 2009 by iLevel®, Federal Way, WA. Microllam® and TimberStrand® are registered trademarks of iLevel®. , Simpson Strong-Tie®Connectors is a registered trademark of Simpson Strong-Tie Company, Inc. I • e loft LHS bm • by Weyerhaeuser 4 PCs of 1 3/4" x 11 7/8" 1.9E MierollamO LVL TJ-Beams 6.36 Serial Number:7005107030 User:2 4/6/201110:32:16AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version:6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED a, a d 21T i Product Diagram is Conceptual. LOADS: Analysis is for a Drop Beam Member. Tributary Load Width:5' Primary Load Group-Residential-Living Areas(psf):40.0 Live at 100%duration, 10.0 Dead SUPPORTS: Input Bearing Vertical Reactions(Ibs) Detail Other Width Length Live/Dead/Uplift(Total 1 Stud wall 3.50" 1.50" 2400/876/0/3276 L1: Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam®LVL 2 Stud wall 3.50" 1.50" 2400/876/0/3276 L1: Blocking 1 Ply 1 3/4"x 11 7/8"1.9E Microllam®LVL -See iLevel®Specifier's/Builder's Guide for detail(s): L1: Blocking DESIGN CONTROLS: Maximum Design Control Result Location Shear(Ibs) 3230 -2926 15794 Passed(19%) Rt.end Span 1 under Floor loading Moment(Ft-Lbs) 19111 19111 35696 Passed(54%) MID Span 1 under Floor loading Live Load Defl(in) 0.781 0.789 Passed(U364) MID Span 1 under Floor loading Total Load Defl(in) 1.066 1.183 Passed(U266) MID Span 1 under Floor loading -Deflection Criteria: HIGH(LL:U360,TL:U240). -Bracing(Lu):All compression edges(top and bottom)must be braced at 24'o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel®warrants the sizing of its products by this software will be accomplished in accordance with iLevel®product design criteria and code accepted design values. The specific product application, input design loads,and stated dimensions have been provided by the software user. This output has not been reviewed by an iLevel®Associate. -Not all products are readily available. Check with your supplier or iLevel®technical representative for product availability. -THIS ANALYSIS FOR iLevel®PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel®Distribution product listed above. -Note:See iLevel®Specifier's/Builder's Guide for multiple ply connection. I �l�H OF ASS ti qc 2� MICHELE Gcr �a f CUDILO -� o Ho.34714 m PROJECT INFORMATION: OPERATOR INFORMATION: U STRUCTURAL PINE HARBOR Michele Cudilo Recls� ' 1� BARNST Michele Cudilo, P.E. _' rIcm4� Phone:5087717601 Fax :5087717163 mcudilo@comcast.net U Copyright O 2009 by iLevel®, Federal Way, WA. Microllam® is a registered trademark of iLevel®. �• C:\Program Files\Trus Joist\Job Files\2011-15pINEHARBORbarnstLHSbm.sms OLD KING'S HIGHWAY HISTORIC DISTRICT i S P E C S H E E T FOUNDATION Cement SIDING TYPE Cedar shingles COLOR Cape Cod Gray CHIMNEY TYPE Brick COLOR Red ROOF MATERIAL As halt Shingles COLOR white & Gray PITCH Gable pitch 10 Dormer pitch 3 W I NDOWS SIZE 30"x50" TR I M COLOR Colonial Gray DOORS wood COLOR Colonial gray SHUTTERS GUTTERS White a l imi mom DECK GARAGE DOORS COLOR ` r D �0 s : Fill out completely, including measurements and r materials/colors to be used. *4? / -h ree copies of this form are required for submitt Tp I&� f an application, along with three copies each of <pNp� "�� 0 the plot plan, landscape plan and elevation plans, KiN eggNS when applicable . 'yic rqg "Plot plan need not be "Certified but should show ����F all structures on the lot to scale. f- Application to f l� Old King s Highway Regional Historic District Committee in the Town of Barnstable for a CERTIFICATE OF APPROPRIATENESS Application is hereby made, iri triplicate, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings or photographs accompanying this application for: CHECK CATEGORIES THAT APP Y: 1. Exterior Building Construction: ❑ New Building ❑ Addition Alteration Indicate type of building: M House ❑ Garage ❑ Commercial ❑ Other 2. Exterior Painting: 2 , 3. Signs or Billboards: ❑ New sign ❑ Existing sign ❑ Repainting existing sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other Roof and same shingles (Please read other side for explanation and requirements). TYPE OR PRINT LEGIBLY �^\ DATE 5/5/92 897 Main Street ADDRESS OF PROPOSED WORK ASSESSORS MAP NO. I OWNER Elliott E. Wilke ASSESSORS LOT NO. HOME ADDRESS 13 Mansion Road, Wakefield MA b 0 TEL. N0. (617) 245-1197 FULL NAMES AND ADDRESSES OF ABUTTING OWNERS. Include name of adjacent property owners across any public street or way. (Attach additional sheet if necessary). Sullivan Family Trust 905 Main Street W. Barnstable Alan Clark 886 Main Street, W. Barnstable Elise Owen 881 Main Street, W. Barnstable William L.E. Latourneau 639-1177 AGENT OR CONTRACTOR -.-- TEL. NO. ADDRESS 27 Heritage Wall, Marblehead MA �Iq: `--'/ DETAILED DESCRIPTION OF PROPOSED WORK: Give all particulars of work to be done(see No. 8,other side), including materials to be used, if specifications do not accompany plans. In the case of signs, give locations of existing signs and proposed locations of new signs. (Attach additional sheet, if necessary). a Signed Owner-Contractor•Agent ce ittee use. e ► Certificate 's hereby a��/o e `r �" 01 TO l Approved tMPORTANT: It Certificate is approved,approval is subject to the 10 day appeal period provided in the Act. Disapproved ❑ Assessor's office(1st Floor): ` Assessor's map and lot number Conservation • + � e� Board of Health(3rd floor): ` Sewage Permit number siaseT&ai Engineering Department(3rd floor): House number I �o UP 6. 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 B LD NG INSPECTOR APPLICATION FOR PERMIT TO 917�1 C9 sill r' TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use F.";4 Zoning District Fire istri Name of Owner I / D VV 1 �� Address Name of Builder Lress Name of Architect Address Number of Rooms Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace d P Approximate Cost Area Diagram of Lot and Building with Dimensions Fee I - OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable' ding th above con traction. Name Construction Supervisors License WILKE, ELLIOTT No 35146 Permit For Reshingle Roof Single Family Dwelling i4 Location 897 Main Street 6 West Barnstable Owner Wlliott Wilke - Type of Construction Frame Plot Lot v Permit Granted . June 22, 1"911 92 Date of Inspection 19- _ Date Completed �" 19 o - rs T EXIST. MHB DWELL S'9 �S DRIVEWAY EXIST. O SEPTIC TANK SHED f �s LOT AREA 44,045 SFt G� S• N pp CONCRETE FOUND. 10.5' -O ,JQ DCE #10-290 FOUNDATION PLOT PLAN PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION 897 MAIN STREET WEST BARNSTABLE, MA SCALE : 1" = 60' DATE : MARCH 11, 2011 PREPARED FOR: REFERENCE ASSESSOR'S MAP 156 PARCEL 7 PINE HARBOR PLAN BOOK 439 PAGE 30 ` o 0 DUCTS I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE a DANIEL tiGN GROUND AS SHOWN HEREON. o A. off M:362-4541 OJALA rn fax 508-362-9660 ,� No,40980 downcapaxom O ,p P wn cope endineeiidd,iAc. 1 OFF s S 0�' civil engineers 1 gL land surveyors �� ------— __— —_____— 939 Moln Street (Rio 6A) -- -- YARMOUTNPORT MA 02675 DATE REG. LAND SU VEYOR i MARK CLANCV Post& Beam Sheds Construction Supervisor Barns&Garages PINE FOR WOOD PRODUCTS 1-800-368-SHED(7433) www.pineharbor.com 259 Queen Anne Rd.,Harwich,MA 02645 508-737-4075 mclancy@pineharbor.com Complete line of Quality Outdoor Wood Products t . I Jennifer & Matthew Bunnell 897 Main St. / P.O. Box 944 West Barnstable, MA 02668 Map / Parcel # 156/007 March 2, 2011 To Whom It May Concern, We would like to request that a second electric meter be installed at our property in addition to our existing electric service to our home. The new electric meter would service a new barn which is being constructed at our location. Our existing electrical service will not be adequate to service the new barn structure which over 300' from our existing home. Could you please advise me as to how to proceed in this matter. Best Regards, Jennifer & Matthew Bunnell �aq S-k Jennifer&Matthew Bunnell 897 Main Street ? ;( i"; 181 22 P.O. Box 944 West Barnstable,MA 02668 Town of Barnstable Tom Perry, Building Commissioner March 17, 2011 Dear Mr. Perry, We are writing this letter subsequent to our previous letter dated March 2, 2011 requesting permission to install a second electric meter at our new barn. We would like to take this opportunity to further explain the need for a separate meter,as well ' as inform you of our intended use of the barn. Our current 100 AMP service is located in a portion of our house that was l � previously a garage. There is no access under this room. We had great difficulty upgrading the panel in 2002 due to the inability to access beneath the panel. In order to have a 100 AMP panel in the new barn,we would have to upgrade the current house service to 200 AMP. This would be nearly impossible given the access restrictions. Our intentions with the new barn are twofold. First and foremost,it will serve as a "shop" for our fishing business. Matt is a Commercial Fisherman and desperately needs indoor space to work on fishing gear. Secondly,we plan to use a portion of the barn for storage. Our home is without an attic or basement. Essentially,we have zero storage space. It is extremely important to us,with a young,growing family,to have a place to store things. In closing,we would extend an invitation to you to visit our home to see first hand what we are up against as far as the current electric service as well as the need for storage. If you have any questions, please do not hesitate to contact us. Best Regards, V Jennife�Matthew Bunnell i ' t oFrru rgy 'Town of Ba>r-nsta ble ��;it �o tr' ti+ L:rp/res 6 rnrrrhe• roar •• e rinre Regulatory Services Fee #ASS. 160-A Thomas F. Geiler, Director ATE7 µp`t . Building ,Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.to'wn.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Yalid without Rer/X-Press lirrprirrl Map/parcel Number '�� Vt� Property Address L n ��• � �T � Residential Value of Work 1 060 • 6U Minimum fee of S35.00 for work under S6000.00 Owner's Name & Address ,1,�Y�.Y�1.1/ Contractor's Name F Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: . 'P S,S PERMIT ❑ I am a sole proprietor ❑ I am the Homeowner NOV — 5 Zola ❑ I have Worker's Compensation Insurance Insurance Company Name TOWN OF BARNSTABLE Workman's Comp, Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request (check box) ❑ Re-roof(hurricane nailed) (stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed) (not stripping. Going over existing layers of rood ❑ Re-side 9 y�.,,� Replacement Windows/doors/sliders. U-Value """ "" �,obb #.ofdoors(maximum .35) #of windows 1 *Where-required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Flisioric,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. .A copy of the Home Improvement Contractors License & Construction Supervisors License is VAAAAM� required.SIGNATURE: V� '1•lvin rn .-m cnDAA CIf.,d id fan nn.r. , f....-..•1Cvnn ror �__ The Commoirwenitlr of.Afassachuselis t~ - _---- Department ofIndttstrial Aecide nts —�+- Office ofInvestigalious I-. 600 Washrlrgton Slreef k Boslon, AL 10211-1 -� IVIVIR nrass.g01'1dia NVorlcers' Campensah.on Insurance Affi.da,,t: Builders/+Conti-zctorsJElechzc ans/PhImbers Applicant Information Please Print Legibh Name (&tsiness/Organizotiougndividnal): 1MA Address: City/S1ate/Zip. Phone Are you mi emp.loyer? Check the appropriate boa.: Type ofproject(required): l..❑ I am a employer tiiith 4. ❑ I azn a general contractor and I etuployees(full and/or part=time). * have hired the sub-contractors 6- ❑.New constcarctiou 2.❑ I am a sole proprietor or partner- listed on.the attached sheet. 7. ❑Remodeling ship anti have no employees These sub-contractors have 8- ❑.Demolition working :for me in any capacity. employees and have workers' coo insurance.., 9. ❑Building addition '[No workers' comp,insirrt•nce p- re aired. 5. ❑ We ase.a cotporation.and.its 10.❑Electrical repairs or additions cf ] 3: I am a.homeolim.er doing.a1l work afire m have wcercised thew 11..❑Plumbing repairs or additions yself. (No workers'comp. right of ecemptiou per 14GL 12.❑Roof repairs insurance xequired.] t c- 152, §1(4), and.we have n•o employees.;{No workers' l 3.9 Other W fkld D"'U comp.:insurance.required.] k PP I(kL Any applicant that checks box#1.nwst also fillout the section below'sbo win g the lrSVOrkers'conrpeusa:tion policy info nmtian. Y Honteowmers who submit this affdsvit imitating they are doing all work Rud then hire outside contractors must submit a new affidavit indicating such- "Contractors that check this boat blast attached an additional:sheet showing the name of the sub-coutractars sad stare wbether or not those entities-have eniplayees. Ifthe sub-contractorslave employees,lheym=provide their wurkers'comp.policy number. I am art utplo}er tlirct is prop idirrg lnark�rs'corrrpartsal�on ir:tsrrm.rrce for racy e.�tcpla�ees. &.lore is the policy and job site irtforrn atiott, Insurance Company Name: Policy#or self-Ins-Lic-#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of.the i-vork-ers'compensation policy declarationpage(sho«dng the policy number and expiration da.te). Failure to secure coverage as required uncles Section,2.5A of MGL a 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 ciZ41 penalties in the form of s STOP 6VORP•ORDER and a fine ofup'to$250.00 a day against the violator. Be advised that copy of this statement may be fomarded to the Office of Investigations of the D.IA for insurance coverage verification, I do Jtere.by certify wt.der the pains anrtpenalh'es ofprarj►rry that the informationvided a bona is trine and correct. Sims I ture: Date: -2,b d Phone#: 0O Official use.only'. Do not+mite in this area,to be contphrted by cih'or tovn.o�ciat Cott or Ton-n: Permit/License# IssuingAuthwit)'(61-cleone): 1.Board of Health 2.Building Department 3. C`itg/ITown Cleric 4. Electrical Inspector S. Plumbing Inspector 6. Outer ct Person: Phone#: O f THE rp� Y a s � DARNSTAD[.E, >KAs i6J9: Town of Barnstable �� ' ATFD MAC p Regulatory Services Thomas F. Geiler, Director Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.mn.us Office: 508-862-4038 Fax: 508-790-6230 Property ®wrier- .Must Complete and Sign This Section If Using A Builder- as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this btulding permit application for: (Address of Job) Signature of Owner Date I Print Name If property Owner is applying for permit, please complete the Homeowners License Exemption Form on the reverse side. L QAWPFILESIF0RMSlbui1ding permit formslEXPRESS.doc 1 0I► r o Town of Barnstable Regulatory Services. B.Aj�STABLE, Thomas F. Geiler, Director .619• A im Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.ma.us Office: 518-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION nnj ,l Please Print DATE: JOB LOCA•noN: number g� street`' village "F(OMEOWNER" IM-1 irtr�t� home/ph ne N kwork hone N CURRENT MAILNG ADDRESS: �' ". ��/'/1 I"l W Sl-ale (jam A city/town state zip code The current exemption for"homeowners" was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF 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,atlached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures-and requirements and that he/she will comply with said procedures and requirements. Signal e f 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 EXEIVIPTION The Code states that: "Any homeowner performing work for which it building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing ofconstruction 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 ofe 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. QAWPFILESIFORMSIbuiiding permit formslEXPRESS.doc Ra ;. 4 rn)t 10 __ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U d� Permit# Health Division ,?y' Date Issued *�Z D � Conservation Division �e �a�o/ Fee . D l� Tax Collector o�- �•° � U, SEPTIC SY S`'E`,1.a L,: 011 INSTALLED IN CUa°GPL�`� Treasurer O( WITH TITLE 5- Planning Dept. ENVIRONMENTAL CCU_. A'ND TOWN tREGUL� O Vise Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Aql Village `Ulf, rJGV1.�S 1 �e OwnerJZAV16 WhitWACA MAI 60MAddress CD d / 0'600rIWbU_,7. Ivvt Telephone Permit Request (0 _ Square feet: 1s floor: existing- proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type , Lot Size b � Grandfathered: O Yes o If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) y Age of Existing Structure Historic House:XkYes O No On Old King's Highway: ,<Yes O No Basement Type: ❑ Full ACrawl O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: IFull: existing 9 new Half: existing new Number of Bedrooms: existing "t new Total Room Count(not including baths): existing new First Floor Room Count • Heat Type and Fuel: kGas 0 Oil ❑ Electric ❑Other Central Air: ❑Yes A- No Fireplaces: Existing l .� New Existing wood/coal stove: O Yes O No Detached garage:O existing O new size Pool: 0 existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# s Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use NameW �j,/ }n, BUILDER INFORMATION n't"V L "" � Telephone Number Address D. qu'Q / License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 8 1WJ 6 1 t FOR OFFICIAL USE ONLY PERMIT NO. �. DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE w ELECTRICAL: ROUGH-- FINAL PLUMBING: ROUGH�a FINAL GAS: ROUGH FINAL . FINAL BUILDING d�C -� _ �vc��D C c'40 Ti� P .. Ile f , DATE CLOSED OUT F ASSOCIATION PLAN NO. 7 t h I THE tq,_ The Town of Barnstable 9� S, g Regulatory Services �Eot,,,�► Thomas F. Geiler, Director, Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 0260.1 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Skt) 4bK t Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law OJob Under$1,000 []Building not owner-occupied ner pulling own permit , Notice is hereby given that:\ OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. ORj bi Date Own is Name q:forms:A ffidav:re v-07 0601 The Commonwealth of Massachusetts w ............. Department of Industrial Accidents office alfOresdARMODS _ — 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance davit U �N�`�� � G3U na� name: � location W .g��c le MR Dhone# 05 -am a homeowner performing all wore myself. 1/0 1 am a sole proprietor and have no one working in anv capacity din workers compensation for my employees working on this job.:];):>:; .....:...::<:>:<:::»»::> 1 am emp Dyer providing .:::::.::.::::::::....::.:::::::::..:.:::....::::::.::::::...::::::::::.::.:.::::::::.::.......::.::::::::.::::::::.::.:: .:::::::.::::::...::::::.:::::::. .. . cam :.....::::::::.:.}..:.:::);:.:_;:.;::.):{:}:.>::<.;:_;>::>::-»<: »:::::;:::»:«:»::>:.»::::>:::<:>:»:<:>:«: :.........»::::«:>::::> II ``aye s II >� Hon X. ol fcv i❑ I am a sole proprietor,general contractor,or homeowner(circle one and have hired the contractors listed below who have ..................Po.:li.::c:.�e:.s:the following workers' «« i s m i k%:r�::;•::{::;::::?;}:;y:'::r:�:ism::r::i::::i.'{}2::i:•];:y;:;;:;•}]:;•t:}]],>)::•}:•:{•::::::::}:•:.;:•:.;.;-::;:.]+••}'•:t:::::,:+••:�•tr::;:................................. ........................ ;t->: ,. --:.....:•:-:.,;-::.�':i:•:�):•x]:•:•:t•;:::::`:;:;;:�;]>;:;:{}]}])::?:}:x•;�•:�::::;:;>:::�rr;:::;::•.................:::.Y:t:•)):?•r):-:<•>:;�:;•}):t:{•):•�t;•):•}:•;:;:�•;}]:.:{.:::............................:..:.... .................. address .... .................... z�...... ..................,,tr]:s.... r.•fy:•:.:;•;)•t�,r•::::•.r.....:vi-•:•r..:..r.:.. ,..{-.�{.:: .... ..... fir. .,...... n:. �( n.., ..:.......... .:............v.........,n.r.............•........ ....... v, r. ............ ........ ..,......... ...........................n......•:,.........,...,...........,r.....:...,. ..v.,-�:•�• ....�..v::vv. :r.vn......... •xv:::::n•rv::,:x::::.�::......... .............n....• .............•.....................:::::::::w:.v•: ......:::lv.v:.v. w::::-•. ...:. ��.t�::::::............v:::::::::::•.v.v?•:::}x:)i::i•)}:.;}:::::.;:v: ... v ....• .................:w:::::::.v::................:.v.r.:•:v............}J........ ...}:..;:n:, .. .::.....:i.�'...r.. .................... ................................................... ...... ..........n. Y{...n. .n+.......:..:{n}••}J}]]:4}}]:•)Yw:..:. ` h::'•.:-----'•i-----:::::.{4:.v::v:::-'••.U3:{;:::".}}:•:j:;;}`:vt; ...................................... ..................... .....,.............. ..............,...L.,.YAW ..... :.,.,..r:n...v.v {:v:.-:'::' �•:••:........ -• {•}....:...,..Y.+,-:•v::•.}:�:v}J v.: ...............r. ......,....n.• ............4.0.., ........H.v ...}:::::::::.::::::.v::;vvv.,.,.r .:.,. .... ... ... ... ..-........,..... ...... .. `C:�)}....,.. vr::::::::::::::::: .:.. .v:::::.v:v:.,{v::.,,:v:.v:::::::::.v:::wlww}::....:............ .�......... •?.;ti>.,.t•..•.�:::::::-::::?r.•.r....,,r.,.......,y,t� ...,•r•::?::.r„J+. .3w�?•:::::....... Alttttdt . ........:.....:::.:•.�:::+•::::..: «dies s ...::......... .................r{.::::::.:::::::..:.;:{:•2xtr•:{::>:•:;.):•:{.;;:'t:::r:::;:]::Y:::%::;5:::;:;:}:•}r]:>:;•}:•).........:.......................�::.:::::::::::.:.)•.•....... :::::;.;:.;•--;:-:-:--------a: .. ........ . . e as under Section 2SA of MGL 1S2 can lead to the imposition of criminal penalties of a Sae up to SI.S00.00 and/or Fanure to secure eoverag required out yam,imprisomnent as well as dva penalties in the foam of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand fhat a copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. I do hereby certify under the Pairs*mid penalbics ofpe1Jur9 that the irrfonnation pro►zded above is true mid coned � � w��- Date M n l b( ofndat use only do not write in this area to be completed by city or town official pe�t/licente 0 ❑Building Department dty or town• ❑Licensing Board j ❑selectmen's Office check if immediate response is required ❑Health Department ❑(?titer contact person: phone 0; (muted 9/95 P1�U r , Information and Instructions efts General Laws chapter 152 section 25 requires all employers to provide workers* compensation for their Massachus in the.service of another under any contract employees. As quoted from the "law", an employee is defined as every person of hire, express or implied. oral or written. ' to er is defined as an individual, partnership, association, corporation or other legal entity, or er or the y two or morecre of An emp y the foregoing engaged in a joint enterprise. and including the legal representatives omf to deceased However the owner of a trustee of an individual, parmership, association or other legal entity, employing employees. house of dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling on.such dwelling house or on the grounds or another who employs persons to do maintenance , construction or repair work building appu thereto shall not because of such employment be deemed to be an employer. ter 152 section 25 also states that every state or local licensing agency shall withhold thane issuancea cnt r has enews MGL chap in of a license or permit to operate a business or insnca�ace coveragecommonwealth quir d. Additionally,neither not produced acceptable evidence of compliance � for the performance of public work until � commonwealth nor any.of its political subdivisions shall enter into any P acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the cow authority. . . " Applicants completely,by checking the box that applies to your situation and Please fill in the workers' compensation affidavit comp l company names,address and phone niunbers along with a certificate of insurance ash affidavits to sign and be supplying °� of insurance coverage. submitted to the Department of Industrial Accidents for canfirmatian lication for the permit or license is date the affidavit The affidavit should be ret<irned to y'or town that the app the slaw„or if you b requested, not the Department of Industrial Accidents. Should you have any questions regarding reque easatioh policy,please call the Department at the number listed below. are required to obtain a workers' comp City or Towns Tinted legibly. The Department has provided a space at the bottom of the -Please be sure that the affidavit is complete and p ans has to contact you regarding the applicant. Please affidavit for you to fill out in the event the Office of InvestigatL be retun ned to be sure to fill in the pein i license number which will be used as a reference mimber. The affidavits may the Department by mail or FAX unless other arrangements have been made. ons would like to thank you in advance for you cooperation and should you have any The Office of Inve questions• stigati 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 Ofitce of lmlesugatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 I '. Of ZME fps . . ° The Town of Barnstable • awrtxsresr.e. MASS, g Regulatory Services i639' Thomas F. Geller, Director . Building Division Peter F. DiMatteo, Building.Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4638 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �j (�L-- 6Please Print DATE: " 1�� l v'f sfi JOB LOCATION: )01 1 Lk�n numnber�Q�� n���Y/� street�n village "HOMEOWNER": 'number, JU�t�� , �Vi��IM work hone# name home phone# p CURRENT MAILING ADDRESS: v. I ola AW v .,v g L4 city/town state rip 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 building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. pvllw� i �,fmeol�� 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 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. Q:FORMS:EXEMM N Application to 1 9 �'S ®Ib Ringo JbigbWap Regional J�iotoric �Diq;trict C itte.e. In the Town of Barnstable ':. . CERTIFICATE OF APPROPRIATENESS t ? 2. Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: New ❑ Addition ❑ Alteration Indicate type of building: House ❑ Garage ❑ Commercial Other Sh�u f U, 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORK MT Ian S+• W:`JWm&%SESSOR'S MAP NO. � J OWNER (A/UI (junnttiln� r uy� � P' ASSESSOR'S LOT NO. ®� HOME ADDRESS M7 S-1' q qq W•W4 `*l TELEPHONE NO. FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) MR") WA." S+: WLYMM -t , VA MS. "I 6a,rO87iAe 1VWh Qom: 3 A lcu(I Si-. A4f)Lt& a� aZbo 1 K c{Y1 6 A M . il s'r. o AGENT OR CONTRACTOR SWtSPrq 5�DS TELEPHONE NO. o- l G ADDRESS a 3 (4 rut VVV oeuo oD DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used:,, Please include locations of proposed signs. Ste S kw— Signed wrier-Contractor-Agent F_or Committee Use-Only----- R _ R I %.` _ I Thr. Certificate is hereby Date i $ Approved/Denied J U L 1 2001 ��) Commi a Members Signatures: Town of Barnstable s Old King's Highway Historic District Committee 00 i SPEC SHEET FOUNDATION SIDING TYPE COLOR n �� Q OW CHIMNEY TYPE I COLOR ROOF MATERIAL / � � "�� e� COLOR PITCH ¢�fl� i, ptiMblc N w nc�w WINDOWS COLOR SIZE Li TRIM COLOR l firms S L dA41-C 1,eC 2 DOORS � COLORS SHUTTERS COLORS ' AA(& GUTTERS COLORS All VZ""i DECKS MATERIALS GARAGE DOORS r1� l� COLORS _ SKYLIGHTS SIZE G;OLORS" - • JUL SIGNS COLORS f� FENCE COLOR NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable.. SPECSHT Revised 11/98 I_ I JuI-IJ-UI IU:4Jam trom-GKUWtLL/HUWtJ - t-UV • N � it s il.!� go33 jfd G > <o s5 � k4l0 I �Q ALP' o,p0 a 17VV 1 ` Y certify that this property is located in Flood Hazard Zone C (out- side the 500 year flood) as identified �;`�r,► by the Department of Housing and Urban Development (HUD) . Date TG. 9 Zoa/ _ _ CERT{Ft�D PLOT PLAN LOCATION . . G3y-4F� "A/s7',At3L 3 Zcol �R s r PLAN REFEI4ENCE l a � i �t � { Fs�'�fc►srEaE� .S.�QFv.v, I o•�•' . .rJ.�. B.rl-. .�3,�. . . . . j r.. .. _..._. .i.`5 �f4�3LE,NS : . . . . . . . . . . . . . I certify 1;o its tfitle insurance company THE LOCATION FTHE ORIGINAL OWELLING that there are no visible encroachments SHOWN HEREO ,EITHER WAS IN COMPLIANCE or easements except as shown and that this WITH THE LOC L APPLICABLE ZONING BYLAWS plan was prepared under my immediate IN EFFECT WH�N CONSTRUCTED (WITH RESPECT TO JORIZONTAL bIMENSIONAL supervision. REQUIREMENTS ONLY),OR EXEMPT FROM VIOLATION E FORCEMENT,ACTION UNDER M.G.L. Q TITLE VII ,CH PTER 40A, SECTION T,UNLESS -TAB OTHERWISE NFTED OR SHOWN HEREON. ScrapbookTitle Page I o r SALT New Custom OPTIONS TO Salt Box Even Asphalt SPRAY Shed CUSTOMIZE Designs Pitch Shingle gns SHEDS photos YOUR SHED: Design Colors Sitemap I Scrapbook I New C Salt Spray Sheds : Scrapbook Custom Shed Day & Night Shots Custom Shed Scrapbook Salt Spray Sheds Office#(508) 398-1900 R�;t 235 Great Western Road South Dennis MA , 02660 t' saltspray@mediaone.net y � �f u http://www.nvo.com/saltspr.../view.nhtml?profile=scrapbook)&UID=10009&Direction=Nex 7/13/2001 F� � Application to Oib Ring'o 30igbWap Regional 3Oi5toric Misuict �orrtrlTittee . .:iv .tom: If\ In the Town of Barnstable 2,,001 • M CERTIFICATE OF APPROPRIATENESS Application is hereby made, with four complete sets, for the issuance of a Certificate of Appropriateness under Section 6 of Chapter 470, Acts and Resolves of Massachusetts, 1973, for proposed work as described below and on plans, drawings, or photographs accompanying this application for: CHECK CATEGORIES THAT APPLY: 1. Exterior building construction: New ❑ ❑ Addition ❑ ❑ Alteration �L�� ful 16 Indicate type of building: House Garage Commercial Other r1 2. Exterior Painting: ❑ 3. Signs or Billboards: ❑ New Sign ❑ Existing Sign ❑ Repainting Existing Sign 4. Structure: ❑ Fence ❑ Wall ❑ Flagpole ❑ Other f TYPE OR PRINT LEGIBLY: DATE ADDRESS OF PROPOSED WORK W+ kAa'In 9+' UV ''`�WStA SSESSOR'S MAP NO. 5 OWNER MIA &npW Jornk yi vY m, ASSESSOR'S LOT NO. HOME ADDRESS M-7 fib(L^ Sr boy qqH W,6"k I*`TELEPHONE NO. �62-VvI n� FULL NAMES AND ADDRESSES OF ABUTTING OWNERS, including those of adjacent property owners across any public street or way. (Attach additional sheet if necessary.) (VIvA►" KA_rI I t S. WA-ttr� Sf: N7 lfi�c-ref, rvlP� .U2SS`1 C7rz e 1VWn a QAU- 3b I-kaAf1 St. c IM; 02601 arl C vnA M A-i A St. M A d AGENT OR CONTRACTOR Sft-rSVrq 91vns TELEPHONE NO. �' l G 6D ADDRESS rat WU T yYl�' �R� - S•'DE S� MP1 01(0(DD DESCRIPTION OF PROPOSED WORK: Give particulars of work to be done, including materials to be used. Please include locations of proposed signs. Ste Ott- � [t Signed wner-Contractor-Agent bF6r'"Gon mittAUse\�dnl� Ltl� This Certificate is hereb IUW Date - -D J U L 1 � 2001 y Approved/Denied TOWN OF BARNSTABLE O ittee Members' Signatures: OLD KING'S HIGH VI AY A Town of Barnstable 2 -®0 1 , 1 5 9 Old King's Highway Historic District Committee Q SPEC SHEET FOUNDATION C�J� SIDING TYPE �O( � t)(!� F�/� ' COLOR )G1,`�•tnGLQ CHIMNEY TYPE I� COLOR ROOF MATERIAL" ' " . U "r eS COLOR PITCH 0 I I Z PI blt h wti-r�. L, 1.rl"W WINDOWS COLOR�V L SIZE-1 TRIM COLOR 27 s I d�[ec DOORS � � COLORS SHUTTERS COLORS GUTTERS COLORSc Irn-)n DECKS MATERIALS GARAGE DOORS COLORS �n Irn SKYLIGHTS SIZE COLORS v� -rOW OF SIGNS COLORS ni nN_. HAY M FENCE I COLOR I NOTES: Fill out completely, including measurements and materials/colors to be used. Four copies of this form are required for submittal of an application, along with Four copies of the plot plan, landscape plan and elevation plans, when applicable. SPECSHT Revised 11/98 Jul-13-01 10:43am From-CROWELLMOWES T-176 P-02/02 F-047 o r, N , A k*10 9 I s I 4�/a o '� C1p pDDD MR l certify that this property is located in Flood Hazard Zone C (out- nn side the 500 year flood) as identifiedj� D by the Department of Housing and Urban Development (HUD) . Date •TGX 9 Zoe-1 . CERTI Ff�D PLOT PLAN SCALE ./i�� o'. .... DATE'Ly. 9.4001. IE L� '- R� 6s r PLAN REFERENCE AQ ,� e, - VFI � JUL 1 � 2001 U ass�fcrnE�E�� . . . . . . . . TOWN OF BARNSTABLE . . . . . . . . . . . . I� KING',i� yS HloQ tAsVt.itle insurance company THE LOCATION DF THE ORIGINAL OWELLING that there are no Visible encroachments SHOWN HEREO , EITHER WAS IN COMPLIANCE or easements except as shown and that this WITH THE LOC L APPLICABLE ZONING BYLAWS plan was prepared under my immediate IN EFFECT WH N CONSTRUCTED (WITH RESPECT TO JORIZONTAL bIMENSIONAL supervision. REQUIREMENTR ONI_Y),OR EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER M.G.L. nn TITLE VII ,CH PTER 40A, SECTION 7,UNLESS M�TT/`�CLV �• /3r/N,c/�ZL/�T`IL —!'�T- OTHERWISE NFTED OR SHOWN HEREON. «Previcusimage Index • I: ' ' �I/ •s �_, �^3t..i q•$tx?�,3 �w�� ��n.e e �`� k�e t £ ro*�k ��� � i���r*� f a s �,.; a -� 1•"s`A' �� "�' -�Fc4- � v�.w e�"° �$: •. . �.6§� ' s `tc t...E Y�� ,�"yer`'F�9� tis & s4 t ap'Xf p`? sSt`,4' szi^ n Ai Mq £� I . . d#ate '`� •H m� +��:�gi�a vQ y'�''. t • • -• . • s�;. ,� d #, � z .e`�4+a TI , 2A.0 Ohl < +� �°:.�`�. � b � ", yam ,T..„, .,§�• � �,��¢�<a��"55 .y�Mi �c �, ,'s ��"•dad 7+ ,��.�'T��s'�'A��` ��bt�rb vrk,j'�':.��u�' �rrs�^'Y�� Z���z� '- ��„"`� ��" +" t � .a<X t,.,v�,�4 Ex�"TC�,zC� : .Te..�x4' E'ykab��`' F^.`"v3 .a• kk�,r�, .i { !w s>< s7k x w Ia 4 E {�a U� " ' 3 NIN �xJ trx -n§ . g 1". • zap f> � ��, `�a :a �"��^� �� �. � �` v^r�#'fib'3� ��✓en>. �4 �.�,* f k'ok >e5�,yy��'j�s�`�§ `as �.� M'` 'TMxx� gxLJ Am ,-go i`sa ,F �.::' • • • • • • . •••• 111•: • 11 1 1 � ��, �� �./ � � Imo♦ �� I ♦ 1/ I � �i � � / CI I / -mi.Ow-4s,W-A hm INS I OKH # MAP 156 PARCEL 007 Bunnell & Whitemore S ��``'` `♦, `': 1�' ��� � ��..�-�j� L'�to \ .-� •ems ,� ►► �� � 1 ' r • irrr rr 1 parcel r graphic :i 1lit f ai• r r iii:.r r i r i of property it ur are ou i and it i 11 � Stan i nr i ai ii r represent rd rrelationships i i s.ci rr r 451141411111i r n r i i-n r a : r 11 'i r: r r r:n i lill r r r vri : •�:�i n rr i Town of Barnstable "'FPer #� 6c� a3 oF� Expires 6 mont rom issue Regulatory Services Fee BAMSTABM 059. �e� Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis, MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTLAL, ONLY Not Valid without Red X-Press Imprint Map/parcel Number J`f i Property Address L�� Wk,0 J g�'l�yLS ��jI �Residential Value of Work o oo -- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address S 'o; Mf l.h1 6myl U(. 0. 6X 94-4 /ji P.2141 InSfa- tVA� Contractor's Name �(/l Telephone Number J ?X02 �O Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor U Cz + I am the Homeowner f TOWN OF BARNSTABLE I have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# 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 #of doors Replacement Windows/doors/sliders4 . U-Value 3 U (maximum .44)#of window *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 permit forms\EXPUSS.doc Revised 070110 The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): m to Address: XQ� ��-�-1,U� St City/State/Zip: �,.�,�j(ji/ll�l� ,��-(� M Phone #: (0c Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 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 8. ❑ Demolition working for me in any capacity. employees and have workers' insurance.$ 9. ❑ Building addition comp.[No workers' comp. insurance P• equired.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.❑ Other employees. [No workers' 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.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 and penalties of perjury that the information provided above is true andcorrect. Signature: �` / ✓i r Date: \ 1 Phone#: i )U� 1 3'4j2 "���L� 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#: �OFSHE r Town of Barnstable " Regulatory Services BARNSTABLE, Thomas F.Geiler,Director y MASS. 1639• Building Division lFOy Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 K ww.town.bariistable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": IN4-w1,r', ` w r'1n UA nafAe home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF 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 building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signa r o f•o eo r 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 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. Q:fomrs:homeexempt �oFTHera,� Town of Barnstable Regulatory Services r r r • BAMSTABLF, y MASS. $ Thomas F. Geiler,Director �A i6sq. �� i lEn 39 A Building Division Tom Perry,Building Commissioner 2.00 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 as Owner of the subject property hereby authorize to act on my behalf, . in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERM IS S ION i �r{ ' FINELINEdesign 4,y - r ST8 WEST BAY RD �„1 OUVILLE,MA 02655 508.420.1296 �f NOTE5: FOR CONSTRUCTION . N ------- 1 X E%ISTWG / EISTIN G 1 1 1 SAAH I ,rows® Tza w n 1 ic—') . S I 1 i Exlsrwc 21 f 1. 1 -- 36, oEac Exlsrwa a ♦— �--y-T j mA'0" ' J AaEa= .ass¢Fr. ////-- 1�' LlJ LLi LU J6_Y71 PARCElb 15EOD7 / 1 K Q FLU m STING c Co: I \ pRNEN'AY ' p /�.V' fIo: 1 1 Z i LL Z Z� 1 —J I z w 1 M -------------am.W 1 ---------------------------------: 1 o ,a za 10 RENOVATION i PROPOSED SITE PLAN SET ISSUE DAMS GATE ISSUE SMO E DETECTORS REVIEWED y'y'B `�° ` aE,nswxs ` o DATE oEsaovnoa B STAB UIL G DEI DATE FIRE D ARTMENT DATE 1 BOTH SIGNATURES ARE REQUIRED FOR PERMITTING Barnstable Bldg. Dept. Approved by: SITE PLAN j--- Permit #: �T- SHEET#20F 11 C-1 YIL,9 r i r ANELINEdesign 8 WEST BAY RD OSTERVILLE,MA 02655 508.420.1296 NOTES: FOR CONSTRUCTION ONOOOR SHNY[[ Lu r -- W w Lu KITCHEN Ip NING BATH ED m STACK • w wno a_So• _ W Ln B r " E z BED z :. MAM HD w < cc Z N Lu co d v I: I1 LOUNGE H i N RODM Fi Z:L BED r2 BED 13 RY• ENT I y N EMNG ROOM ._,., ...., . ... .... RENOVATION ; o BATH SET 6Su•DATES EM � rs 3AU19 PERMG SET PNIAONS o z <• e o z s D ATE DUaPT*N EXISTING FIRST FLOOR PLAN EXISTING SECOND FLOOR PLAN 1 SCALE:, _ ,'-0' EXISTING FLOOR PLANS 30E9 A-1 DAZE:3f=9 ADQRION FINELINEdesign 'j& 'I Ruo• `- 8 WEST BAY RD OS ERVIL E,MA 02655 verso I i I ram• I 508.420.1296 I NOTES: - 3 3 e e E �t a £ i S I 16 DE r= �_�. Daatt am, elvvri FOR CONSTRUCTION 5 TE r;EORooM i Ob`lING IMNG . t. RDNVrRO UB' _•GASP. b Rp J0l2'W 1/E' I I-0IDV! 1/r dl I rl .d 1hEl EFAM MOYF 0.USN _�_— - Y• J � I ' MASTERCLOSE1 F_ t 'DNiNID 1 - 1 VroN1.1z I fnlnNc Noow 1 .� S-t I I S-1 5-1 AI tT9 S•1 i � N4Dy5D ilr � � SO IDVd'u01 - . BD1DyB 1�r I IF W a i ,�qq�I qq Z m l MASTER BATH 0 v.VrD.ia to W W W va n �______'____-__ o D _______F____.__ I ®I® 1 S°°° Rose xeea ea �� M. W Ln F- W J t•I IfITCHEN - � F- m m+ ol-e AlINJ <-nW m? °ow�il) m 3 sMK i ,I /. �•fDVUi2-MY —�. , I I I [O1°VB_p * NOTrp• -_. 1 MO! GOl°VL1b i/6' 4 I g� I -I T 'Q1m14VG VRIDO+! 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O BATH NEW FLOOR PLANS 1 - sHEETE!aB zvs• I_zvy :e•o A-2NEW FIRST FLOOR PLAN r e SECOND FLOOR PLAN _ - g 1 SCALE:1 d' = 1'-0' SCALE:1/4' = 1'-0' DAZE;iABR019 FINELINEdesign 8 WEST BAY RD OSTERVILLE,MA 02655 508.420.1296 I NOTES: i _ umFx�x.ao sengs,sure Dorn wwrre uwmns a Trmn Mpl°E°NRAIA°FWLLT°MW°lE° ro wTCM Fx¢Tua ,CFLYIM°IGNEa°WO ML WBi°°W9 T°9°w1014 A,®FAHEN MO ,awHrte wore aun° eauFs wrm a,m�uu . ,awwrt°sEcoxo wnmw rowam,ewsniu"Trerw ro wTcri°xemo 4� \ w FOR CONSTRUCTION TOIA�T°X E%DT010 12 TO To vmrre uwr,wenTnw \ I i I I I J I V It TIN ADDITION ISTjN.I EXISTING ZLu LJ.I W = Co lPl F- Q NEW REAR SOUTH ELEVATION z e � a Q Lu co Z r Z Cco LN m 0 Ure FIB°0.°IASS a]OR MMFE Numw°e 1RW /--1 � 1 . �\\ RENOVATION fET 651h OATD r trvN vDumsD T €a (� REVQ= I ®im R 19, � UAiF NEW DECK ADDITIDN i EXISTING ( EXISTING J. NEW REAR&LEFT ELEVATIONS NEW LEFT EAST ELEVATION z SHED F SOf 9 A-3 OAIE i/I22°N FINELINEdesign 8 WEST BAY RD OSTERVILLE,MA 02655 508.420.1296 all NOTES: ® ® FOR CONSTRUCTION a .�. EXISTING . EXISTING Lu Q U z w Lu LL Lu J ,� NEW FRONT(NORTH ELEVATION z o N SCALE:II4' = 1'-0' Lu� zz J Q CK: J Q LJJ co Z � � Z 00 Ln m RENOVATION sET i9su-wrEs 9E MA9 FE9Mff LT ® � ® ❑�FV�EM DE . 9EVBWtR 1 DATE DESORMN I EXISTING{ <� J a EXISTING ADDITION NEW DECK f NEW FRONT& RIGHT ELEVATIONS 2 NEW RIGHT WEST ELEVATION �Y D i scALE:Irb• r-0• 60T9 A-4' DATE:30-(M FINELINEdesign B WEST BAY RD OSTERVILLE,MA 02655 508.420.1296 NOTES: ADJUST RAFTER PITCH TO AVOID HEIGHTFOR CONSTRUCTION OF ADDITION RIDGE EXCEEDING HEIGHT OF EXISTING RIDGE (2)13/4'x iB•STRUCTURAL LVL RIDGE P.ROOF 2x10's 016'O.C. R49 CLOSED CELL FOAM INSUL 5/8'COX SHEATHING ARCHITECTURAL ASPHALT SHINGLES 12 OC MATCH E%LSTINO SOFFR RIGID WIND WASH BARRIER REQUIRED AT EXTERIOR EDGE OF PLATE EXTERIOR WALL ]\ I I I I AND W0.LLTOPE \1 p III III�III III SIMPSON H2.S FASTENERS AT ALL ee� RAFTER/TOP PLATE JUNCTIONS TYP. (1 MASTER CLOSET b I{ 1 W Q 2 I V LU ELL Z LLJ Lu __j 0 MATCH ETIND SECOND FLOOR __ __ coXIS MATCH E7(1511NG SOFFTT _________? ______ _ _GUSSET EA SIDE Of IJ01 i b GUSSET EA SIDE Of I•JOGT N InI"— q il/1'xit T/B'a$25 F1015i5®1Y O.C. z In XrJr �• _ ®q W m b a EXTERIOR WALL __ Z a EXT.STUDS 0 16'O.CJ .s co w M21 F.G.INSUL,/ C EN Vr PLYWOOD SHEATH4NGI KITH e m TYVEK WRAP/ W.C.SHINGLES b q I 61— � b _EXISTING SUB FLOOR FIRST FLOOR__ ____._______ __ _ _____ STEP SUB FLOOR ADDIitON FIRST FLOOR __`_____ F.G.INSUL ..� / •.'�V/.�// � '.h�'. .. i.�'/,.n .A ..� /. /ca .�.,� '../'/. . n. // B••1 O L E TYP.FOUNDATION WALL 1 (3)2x10 GIRDER P.T.SILL ANCHORED 32'O.C. '•.I I 10"AB•CONC.WALL W/LEDGE CRAWL SPACE — 2•AS IT BAR TOP&BOTTOM ` 2'CONCRETE DUST CAP 70'x 10•CONTIN000S FOOTING —� W/10MIL VAPOR RETARDER NOTE: 5/8 ANCHOR BOLTS RENOVATION EMBEDDED7• - — SPACED 32'O.0 12'FROM CDRNERS `B• WASHERS 3�•xV4' SET SSA DUES 0. I ' 3/IUD PFRMO SET CROSS SECTION OF THE ADDITION 1 SCALE:3B' = I-- �vBONs 4 DATE DESCRIFIIDN SECTION H OF ATgs," 131�5 o� ERT W. 3I DE I CNML SHEET*70F 9 .q, 13834 u.o Cog �s9/ORAL EH6� S'l DATE 3A29 FINELINEdesign 8 WEST BAY RD OSTERVILLE,MA 02655 508.420.1296 NOTES: F � R.•o• I 6,6 P.T.POST GALV.METAL P ST ANCHOR 9_ T o ' 10"SONO TUB'PIER W/ 2B"BIG FOOT.FOOTING TYP. zm FLOOR DECK ABovE i 2M FLOOR DECK ABOVE FOR CONSTRUCTION ---------- -------------------- ----------- x 1 I I I I of + I BM CT XI j ? 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I I I 1 •;: I UN-0(GVARD i UN FAGVAIED UN-FA ATED i : i UN-0[ VANC - Duo roc• o � n �� —— —j J-- — ———————————————`e'cmu BUDLw/16�Ao'Faonvc TO DEPIM OF NEW CRAWU'ACF RENOVATION SET CUE DATES DATE 3n219 PERMIT SET a(STING FOUNDATION EMSTING FOUNDATION RMS06 / DATE CNEW FOUNDATION PLAN n NEW FIRST FLOOR FRAMING PLAN scale:va• = r-0•• 2 scALE:va• = r-0• li NEW FOUNDATION &FIRST FLOOR C' FRAMING 0P6 ��IS 02� R06ERT W ,s p m 91FFTF 80F9 S PAL .13934 "> S w u0 FGIST'EP�WSP _L] ASS/OVAL ENS' DATE 3/IPM • j PB• EPJ' y rP.• ,•=I, . FINELINEdesign • f31 m zYn eM � PT bQ LEDGER 8 WEST BAY RD ATTACHEDW/(2 W - - — - - I OSTERVILLE,MA 02655 STAGGERED LAG FA JOIST SAY RIM)015T ON THIS 6 END END IS 508.420.1296 ,3/4•rn/8•L1M1 m 2XTP: TE•o.. 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H2.5 Q EA.RAFTER 0 po TOP PLATE FOR CONSTRUCTION WIND ZONE WALL COMPLIANCE: - WIDTH=59%OF EACH WALL RUN VERTICAL SHEATHING WITH BE NAILS 3'EDGE/12 FIELD O RAFTER TO PLATE CONNECTION 'FIELD 2 (4)18E NAILS PER FT BOTTOM PLATE SCALE:N.T.S. LENGTH=31%OF EACH WALL RUN VERTICAL SHEATHING WITH - 80 NAILS 3'EDGE/1T FIELD - (4)160 NAILS PER FT BOTTOM PLATE DOUBLE ROW STAGGER NAILING INTO BOTH PLATES 2ffi DEL TOP PLATE W Q Z F— w I w ww co J Q w Q NAILED STRUCTURAL COMMON - - - wN U/ 0 W O.C.EDGE - LL Z Z AND 12'IN FIELD _ LL J Q Q W J 0] - _ Z 00 JOINT DESCRIPTION NUMBER OF NUMBER OF NNLSPACING VERTICAL — COMMON NAILS BOX NAILS DOUBLE ROW STRUCTURAL PANELS GER NAILING BREAK ON SECOND FLOOR STAG INTO BOTH PLATES - - RIM JOIST ROOF FRAMING - 2.6 DSL TOP PLATE r :- BLOCKING 70 RAFTER ROE HALED) 2dE 2-1D0- EACH RIM BOARD TO RAFTER(END NAILED 2.18E 3-16E EACH WALL FRAMING �... r TOP PLATESATINTERSECTtDNS(FACE LAMED) a18E 11. ATJOWTS _ - - SECONOFLOOR STUD TO SAID(FACE NAILED) 2-tlb 2-164 24'O.C. HEADER TO HEADER(FACE NAILED) 18E 18E 24'O.C.ALONG EDGES VERTICAL VERTICAL STRUCTURAL PANEL _ STRUCTURAL PANEL -.#- FLOORFRAMING NAILEDUCOMMON - _ NAILED BE COMMON ®3'O.C.EDGE ®S'O.C.EDGE - " - JOIST TO S"L,TOP RATE OR GIRDER(TOE NAILED) 4-BE 4-10E PER JOIST AND 1T IN FIELD -- AND I IN FIELD BLOCKING TO JOIST(TOE NAILED) 2-0d 2-IW EACH END _ _ BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3Iw 4-16E EACH BLOCK RENOVATION LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 316E A-1w EACH JOIST JOIST ONLEDGERTO8EAM(TOE"LED) 38E 310E PER JOIST - - - - BAND JOIST TO JOIST(END NAILED) D.Iw 416E PER JOIST BANOMtITTO SILL OR TOP PLATE(TOE NAILED) 2.16E 318E PER FOOT "-T ROOF SHEATHING DOUBLE Row DOUBLE ROW SET ISSUE DATES STAGGER WOOD STRUCTURAL PANELS INTO BOX AN SILL - STAGGER NANNG INTO BO%AND SILL DATE ISSUE RAFTERS OR TRUSSES SPACED UP TO I B'O.C. 8a 1W 6'EDGFl6'FIELD II _ ___ 3112JIB PERLUT SET RAFTERS OR TRUSSES SPACED OVER IB'O.C. 8E 1DE A-EDGEX FIELD GABLE ENDWALL RAKE OR RAKE TRUSS v Q GABLE OVERMAN G w Iw 6'EDGEW FIELD GABLE ENOWALL RAKE OR RAKE TRUSS W STRUCTURAL SE Iw S'EDGEIE FIELD REMSIO S - OUTLOOIO:R9 GABLE ENDWALL RAKE OR RAKE TRUSS.LOOKOUT BLOCKS BD t0E 0'EDGEH'FIELD I I I DATE DESCRIPTION CEILING SHEATHING I it GYPSUM WALLBOARD 6E COOLERS - TEOGE/iV FIELD WALL SHEATHING WOOD STRUCTURAL PANELS STUDS SPACED UP TO 24'O.C. BE tOE 8'EDGEIIT FIELD _ /j'AND y'FIBERBOARD PANELS w T EDGEW FIELD �'GYPSUM WALLBOARD 6E COOLERS - T'EDGEJIWFIELD • FLOOR SHEATHING FULL HEIGHT SHEATHING-MULTI FLOOR WOOD STRUCTURAL PANELS 3 FULL HEIGHT SHEATHING-SINGLE FLOOR A _ V OR LESS 84 10tl 8'EDGVI FIELD O SCALE:N.T.S. 'i SCALE:N.T.S. DETAILS GREATER THAN 1' 1DE 104 T EDGEAT FIELD _(� 'A OF o� BE y MEE1A110Flt IS JR. m ' RUCTURAL ti Na 1.-,B34 e'90 9FG/eTEPF��� /�—�. �asS/ANAL ENJ V O 512/1p i .1f:Cl�r'� Q�.' : ..� rvii +. .. ..` q °° o ° o 0 0 ° o ° ° o ° o o ° o ° o 0 0 00 �,5�1e 0000000000000o0o;o;o;o;o °� 1% .0000000000000000000°0°0°0°0°0°0°0°0°0°0°0°0°0 °°°°°°°°o°°°°°°°°°oo°Oo°°°o ^O°O°O°Or0°O^O.?O 000°°°°°°c,°r Gr?,?,? ?,)O0000 . ° o 0 o n r_n_r_�_�_7.0 ° SLOPE PROP. 2 INLET/3 OUTLET H-10 D'BOX (REPLACES. EXISTING D'BOX, MATCH EXIST. INVERT ELEVATIONS) 6" CRUSHED STONE OR MECHANICAL COMPACTION: (15.221 [21) PUMP I D' BOX ST 23' CHAMBER — — 27 9.22 EXIST. VVE11 LOCUS MAP SCALE 1"=2000'f WATERPROOF COVER TO GRADE ASSESSORS MAP 156 PARCEL 7 f MHB 100.2 ^ 1oo.2a ,9 LOCUS IS WITHIN FEMA FLOOD ZONE C 98.12 EXIST. 99.41 DWELL t-8jr—_ 10 S 2- PRESSURE LINE 04 100.69 + SLOPE TO DRAIN BACK TO PC 99.7 0.25' WEEP HOLE 98. 8 CHECK VALVE 8 85 DECK / { 6T ZONING SUMMARY MYERS SRM 4 Os, 7.15 \ / �99.75 �\ SUBMERSIBLE 4 10 HP PUMP SYSTEM (OR. EQUAL) �L�L .az 99 43 ZONING DISTRICT: RF ' 99.70 99.62 c o �� H 100.62 SIP CHAMBER 81 99.46 0 MIN. FRONT SETBACK 30' N MIN. SIDE SETBACK 15 (NOT TO SCALE) 5.43 WATERPROOF/WATERTIGHT MIN. REAR SETBACK 15' 99.08 •99.13 99.39 rn 8s /, 99.03 99.51 SITE IS LOCATED WITHIN AP DISTRICT o , TOWN WATER NOT AVAILABLE EXIST. SE C TANK pc' rr /,/ \ , 96.6' PROP. 1000 GAL. LOT AREA: INVERT /% / H-10 PUMP CHAMBER 44,046t sf OUT 90 8.83 OWNER OF RECORD , r MATTHEW AND JENNIFER BUNNELL PROP. 1500 GAL / a� / 897 ROUTE 6A H-10 SEPTIC TANK 03 WEST BARNSTABLE 4.55 PROP. 2 ,/ �� REFERENCES Q , DO OUTLET H-10 ,/� P/ o D'BOX , DEED BOOK 21358 PAGE 231 (REPLACES ,/ �/ PLAN BOOK 439 PAGE 30 95 G �0 EXISTING) 5.17 UT AT EL 95.0 �y�' �� ,/' , 7.91 SYSTEM DESIGN. (BARN ONLY) SEPTIC SYSTEM AS—BUILT CARD �Al Q�Q // /rCD oo DOWN CAPE ENGINEERING TITLE 5 PLAI lk ,� GARBAGE DISPOSER IS NOT ALLOWED 96 5 ` -- BARN UNDER ��' � / 672 CONSTRUCTION DESIGN FLOW: WORKSHOP BATHROOM/STORAGE SITE PLAN TOP FNDN. / 9 ELEV. 97.25 \\_ ,' 6.61 USE A 1500 GAL. H-10 SEPTIC TANK. SHOWING PROPOSED BARN 9 ' �,r' VAcaHr USE A 1000 GAL. H-10 PUMP CHAMBER AT USE AN H-10 2 INLET/3 OUTLET D'BOX `99 ,9 \ // RE—USE EXISTING LEACHING FIELD 897 MAIN STREET \ ' (BASED ON 4 BEDROOMS) 08 ' ' = CURRENT REGS. WEST BARNSTABLE 6 BOTTOM ONLY: 44 x 14 (.74) 455 GPD (UNDER CURRE ) \ PREPARED FOR TOTAL: 616 S.F. 455 GPD ���j 7 IS T. t • V 1 1 S JJy'"s S l K` ( ahSe .F,�lA:l �s 7i•�f:JXA �i w i 36 ' Pe-v,pD St�+2ls =n rh srrl tJl{ � t3vN rJl,1� 6 k , W �A t�lSri? E , AAA•- • SCAIE: If APPROVED BY: DRAWN BY ML DATE: t2I 1?) LQ - REVISED �7I r� l o e- a Pep o L)6 c • DRAWING NUMBER C 3 6 y 2 /Ts P►rti tit ` a - 7t " ti I - '� � � 1...1 i �. �.� 1 � '. �ZX.�. ,k}.. ��rtr� � Mt`��- t ,, ,gy#f �.� .�5^.-, �.? ° - I t• ". ;;Y /�., wa�y b� •.f t Y3" t: •pY iPi,4' -(:'! .4. 1 .s(f , .b.} II !, 1 _ • - t � � tA V4 4 1 /t APPROVED BY: DRAWN BY 1� SCALE: DATE: 1 2-I f77 I b REVISED • - DRAWING NUMBER �ft"S i �V�✓/k'd J� 2 c ' r x 16 it a t�� air . ,r xgz ra n � r 5 t.. .10>r•F.sF�a .to�.d '""�✓.,,.�� � ,i � Ell Mo4--,l r3 r�. Fi ..- r a is a m S 5 le _ SCALE: q S I Ip 'r APPROVED BY: DRAWN BY 1'V� DATE: �Z'1�9. lp REVISED DRAWING NUMBER • .. s � rP 1.;, •: �P1 ���, I rid! rfu+f f ai p'.:.;) - i t . 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SCALE: I ,1 ��. + r7 DRAWN BY DATE: Imo. �:) I�p REVISED t'art r' �-►�-2-�. - Vf+s�t� ��•v�/��`e� / DRAWING NUMBER - LbTk` I f� JJliOhl� l a� 12 —_._... --. ...__...._ .......... 47 ---- ._...------- h L 4 � � ��` �_-_- rat-Sf�rJ �•+� i;'`•rrM�2�. [� �� d' F,�t.r �° .,lf v f I F'L A P ✓- d' _l'G� /1'-i tY+ -T pn.t • 1. .. -----__... r•,, •�; Ir yf 3 iz I,. F1r19 `"' v,v I �if(� A�7yQ�"rr✓ i:_ �i I )Z X_/��" l0/8 SPnr�l�llr . 15•- . / I8 1rE1- ANtr, (o K Q Go2AI �ns i ti i I i2os 1 Vf ZJH' Ll Iler0. r t - hl MPSot Z FIB C�ONGr..�Ttc Fc�b2— ' l ��2nPoS1f9 g�•f'--hi q=aR- (AA-'it' 4- �aoF'�AS n1rJrl� r3✓Nn/�LL _ Go N rl*!✓o�y7 aye ram, MICFiELE G-�v I/1 � /'U- ( � o CUDILO ` � SCALE: /�v• _ I , �l APPROVED BY: DRAWN BY PL O. 34774 D STRUCTURAL r ) DATE: REVISED •o I i�i'Ita • 9FG;STEP�\��� }�* � \�/ n ._ti�i 9 �/.:•'� ����"`�• / DRAWING NUMBER - �� G�.o��: �• �/Z/'•r(d�f f�C S.�G�I CIS - �. 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GRADE WATERTIGHT COVER TO GRADE � OCR TOP FOUND. EL. 97.25' '� MINIMUM .75' OF COVER OVER PRECAST PUMP CHAMBER) sy spa 95.0 95.0' PROP: TEE {FROM PRECAST H-10 PRECAST H-10 RISERS (TYP.) TUF-TITE EF-4 RISERS (TYP.) 2'm 4'�bSCH40 PVC - EFFLUENT FILTER PIPES LEVEL 1 ST 2' �a (OR EQUAL) op Sp' W/MOLDED IN GAS *95.0'f 10" 1500 GAL H-10 14" DEFLECTOR 10" 1000 GAL H-10 92.75 '" TEE SEPTIC TANK TEE 92.0' TEE PUMP CHAMBER TO EXISTING SAS Locus 92 5' 1Ki11 �� . SEE DETAIL og000g000goo s" MIN. SUMP oQ\z ' 00000�o�o ' 12' MIN. INT. DIM. 95.6' 95.43' ee / 4' LIQ. LEVEL (ACME OR EQUAL) . MIN. �Zt -`' JOO O O O .O O•O O'O.O O O O `O O•O O O O O Off•(. J00 O O O'.O`O•O O'O O O.O O••O'O••OO O• O O O•L o�a�o�o�o�o�a�n�o�O�o�o�o�O�O�o�o�o�o�o�0�0�0 1% 000�000�000�00000�0�000000o�O�o�O�O�o�o�000�0 �0000^00OCO000,�0'00000000000�,O�On0�0D0000C OO. '10000,0-0- On070700000000000,O�OnO�O^0700000. MIN. - SLOPE ' PROP. 2 INLET/3 OUTLET H-10 D'BOX l 2% 6" CRUSHED STONE OR MECHANICAL (REPLACES EXISTING D'BOX, MATCH EXIST. INVERT ELEVATIONS) SLOPE COMPACTION. (15.221_(2]) PUMP -- 'FOUNDATION 16' ST 23' 27' D BOX CHAMBER - - EXIST. WELL 9.22 A, s LOCUS MAP ALARM AND CONTROL PANEL WATERPROOF COVER TO GRADE 8. 0 �O SCALE 1"=2000'f TO BE INSTALLED INSIDE `'� BUILDING. ALARM TO BE ON 1X//' 100.33 ASSESSORS MAP 156 PARCEL 7 SEPARATE CIRCUIT FROM PUMP �[ MHB 100.24 INV. IN 92.0 98.12 EXIST. s9.4, LOCUS IS WITHIN FEMA FLOOD ZONE C i000 GAL H-10 S r PRESSURE LINE DWELL ALARM ON 700 GAL.+ SLOPE TO DRAIN BACK TO PC 04 100.69 (FLOAT SWITCH RESERVE 0.25" WEEP HOLE 99.7 SETTINGS: PUMP ON CHECK VALVE 7 98.B `DECK,/ P a+s e WORKING RANGE 8` MYERS SRM 4 t5 \X99.75 ��' ZONING SUMMARY 4" SUBMERSIBLE 4 10 HP PUMP . PUMP OFF 8 SYSTEM (OR EQUAL) 99.43 a 9.42 ELL 99.�0 99.62 ZONING DISTRICT: RF PUMP CHAMBER H599.$, ,00.62 99.46 (NOT TO SCALE) o - MIN. FRONT SETBACK 30'' WATERPROOF/WATERTIGHT 5.43 Q " MIN. SIDE SETBACK 15' 99.oa .99.13 99.39 MIN. REAR SETBACK 15 .89 99.03 99.51 . SITE IS LOCATED WITHIN AP DISTRICT �_.. r_ i __.. __ EXlST...SE IC TANK - -- - - - - T 96.6' E 0 A.! B, PROP. 1000 GAL LOT AREA: NV-2T // / `�fl H-10 PUMP CHAMBER OUT. rr 44,046t sf .90 OWNER OF RECORD 8.83 r PROP. 1500 GAL H-10 SEPTIC TANK i <� r MATTHEW AND JENNIFER BUNNELL 897 ROUTE 6A 4.55 WEST BARNSTABLE O , Pr PROP. 2 / �� r INLET/3 , I �. REFERENCES �. 0 OUTLET H-10 �s o F3�F1 D'BOX �� �'� DEED BOOK 21358 PAGE 231 95 �`o EXISTING), , PLAN BOOK 439 PAGE 30 _ 5:17 tik' ' PROP. INVERT OUT AT EL. 95.0' 1.91 " SYSTEM DESIGN" (BARN ONLY) SEPTIC SYSTEM AS-BUILT CARD DOWN CAPE ENGINEERING TITLE 15 PLAN D. 2/29/88 GARBAGE DISPOSER IS NOT ALLOWED BARN UNDER �O' i , CONSTRUCTION 6:72 DESIGN FLOW: WORKSHOP BATHROOM/STORAGE TOP FN7.2 SITE PLAN ELEV. 97.25' � i , s> ,i 6.61 USE A 1500 GAL. .H-10 SEPTIC TANK. 06 err VACANT USE A 1000 GAL. H-10 PUMP CHAMBER SHOWING PROPOSED BARN 3; 99 g USE AN H-10 2 INLET/3 OUTLET D'BOX AT 100.80,100 , ��� // RE-USE EXISTING LEACHING FIELD (BASED ON 4 BEDROOMS) 897 MAIN_ STREET r WEST BARNSTABLE . s.os BOTTOM ONLY: 44' x 14' (.74) = 455 GPD (UNDER CURRENT REGS.) TOTAL: 616 S.F. 455 GPD PREPARED FOR 7.63 MATTHEW & JENNIFER BUNN LL . 101. _ off 508-362-4541 110 JANUARY 24, 2011 fax 508-362-9880 .9• REV.V. 5/12/111 t(EFFLIUEN�F ILBT )). 1 downcope.com © 8.53 tCN OFMgss for DANK down cape engineering) inc. A. »- ci vi/ -engineers � OJAI� � - Scale:l - 30 No.4098i? land surveyors �, �. .,. t00.7o ! oFss� , 0 15 30 45 60 75 FEET 939 Main Street ( R to 6A) �.q a YARMOU THPOR T MA 02675 �--/v) " uRv f • yy DATE DANIEL A. OJALA, P.L.S. l k 10-290 - 3r .:W„ t Qe - i 0 0� 6q e0a o � Locus ego 9.22 tine Ir 5 98.40het yL� 98. 5 O/ , Site 100.33 100.24 98.12 EXIST. 99.41 DWELL. .04 100.69 8 99.7 98 8.85 DECK LOCUS MAP / � 7.15 \\ // 99.6 S X99.75 ems' SCALE 1"=2000'f LO � ELL 99 43 ASSESSORS MAP 156 PARCEL 7 NS 100.62 99.46 LOCUS IS WITHIN FEMA FLOOD ZONE C o 0 5.43 99.08 99.13 99.39 rn ZONING SUMMARY .89 / 99.03 99.51 0 / / ZONING DISTRICT: RF EXIST. SE IC TANK 00 / MIN. FRONT SETBACK 30 MIN. SIDE SETBACK 15' .90 > / 8.83 MIN. REAR SETBACK 15' J / �� ,/ � SITE IS LOCATED WITHIN AP DISTRICT 4.55 P�/ TOWN WATER NOT AVAILABLE , PROP. 48' x 36' BARN (ON SLAB) 95 OWNER OF RECORD 5.17 G\�G 7.91 MATTHEW AND JENNIFER BUNNELL 897 ROUTE 6A o WEST BARNSTABLE ss p'��' , - REFERENCES 96.72 �i / 9> DEED BOOK 21358 PAGE 231 . (0/ / 661 98 PLAN BOOK 439 PAGE 30 99 `'' i SEPTIC SYSTEM AS-BUILT CARD 00.80700 DOWN CAPE ENGINEERING TITLE 5 PLAN D. 2/29/88 6.08 SITE PLAN SHOWING PROPOSED BARN 1 7.63 AT -10'�, 897 MAIN STREET 8.53 WEST BARNSTABLE PREPARED FOR MATTHEW & JENNIFER BUNNELL 00.70 JANUARY 24, 2011 off 508-362-4541 fax 508-362-9880 I downcape.com © �k{OF4mf • ��1`�4 ASS 9 dowo cope engineerin8, inc. �� D��II c� . civil engineers v OJALA Scale:l = 30 land surveyors q th40980 INS NO 939 Main Street ( Rte 6A) �F � �p� r 0 15 30 45 60 75 FEET YARMOUTHPORT MA 02675 .. t _` DATE DANIEL A. OJALA, P.L.S. 10-290