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Home My WebLink About0110 MEADOW LANE ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ram ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 1■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 1■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 1■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ 1■■■■■■■■■■■■■■■■■■ -7: ."Ts"Tpmum■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■ "`&&WWWWAM■■■■■■■■■■■■■■■■■■■ 1■■■■■■■■■■■■■■■■■■■■■ AUAM■■■■■■■■■■■■■■■■■■■■ I■■■■■■■■■■■■■■■■■■■■iQW"U■■■■■■■■■■■■■■■■■■■■m I■■■■■■■■■■■■■■■■■■czm■■■■■■■■■■■■■■■m■■■■■■■■■ 1■■■■■■■■■■■■■■■■■■■m m"mmm■■■■■■■m■■■■■■■■■ ®■■■■■■■■■■■■■■■■■■■■■■■■■2■■■■■■■■■■■■■■■■■■■■ 1■■■■■■■■■■■■■■■■■■wa "■■■■wam■■■■■■■■■■■■■■■■o■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®MEIN■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■i�k ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■o� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I . ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I o■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■L_ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■oI ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■, ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■� ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■. ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Op THE Tp�, Town of Barnstable . - z eAJMSTABL.% i Building Department-200 Main Street d sa 9: �•�p Hyannis, MA 02601 EOMp�a Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-619 CO Issue Date: 1/11/2018 Parcel ID: 133-024 Zoning Classification: RF Location: 110 MEADOW LANE, WEST BARNSTABLE Proposed Use: Single Family home Name of Tenant: Sprinklers Provided: Not provided or required Gen Contractor: Robert G ladonisi Permit Type: Residential- Land Type of Construction: Design Occupant Load: 0 Comments: Single Family Four Bedroom 2 Car Garage Inspected for Compliance with 780 CMR 8th edition " January 11, 2018 Building Official Date: Brian Florance A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition i Town of Barnstable i aNexsrABM = Building Department-200 Main Street ✓ Hyannis, MA 02601 n M Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-619 CO Issue Date: 1/11/2018 Parcel ID: 133-024 Zoning Classification: RF Location: 110 MEADOW LANE, WEST BARNSTABLE Proposed Use: Single Family home Name of Tenant: Sprinklers Provided: Not provided or required Gen Contractor: Robert G ladonisi Permit Type: Residential - Land Type of Construction: Design Occupant Load: 0 Comments: Single Family Four Bedroom 2 Car Garage Inspected for Compliance with 780 CMR 8th edition 2 2 January 11, 2018 Building Official Date: Brian Florance A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 8th Edition \ 332.3' \ b \ S Lot 8 \ 70 79,4161 S.F. \\ 1.8f Ac. \ \ To. Gar. \ \ Apo \\ \ Exist. Fdn. \ TOF=27.6 VD) I BUILDING \ DEP7' \\ \ JUN 14 2017 �5r TOWN OF BARNSTACke \ ledge \ STREET ADDRESS.- #17-"O=MEA_DOW:-LANE ASSESSORS MAP 133 PARCEL 24 TOWN OF BARNSTABLE ZONING OWNER. MATTHEW & DIANE O'CONNELL BY—LAW DEED REF.: CTF.#203339 PLAN REF.: L.C.C. 35113A LOT 8 ZONE : RF SETBACKS FRONT = 30' I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL SIDE = 15' KNOWLEDGE, INFORMA TION AND BELIEF THE FOUNOA T/ON REAR = 15' SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS OF THE ZONING BY—LAW FOR THE TOWN OF BARNSTABLE. PROPERTY LINES SHOWN HEREON WERE COMPILED FROM AVAILABLE PLANS OF RECORD AND VERIFIED ON THE GROUND. TERRY "A T" ANN � THE FOUNDATION DEPICTED ON THIS �A3872R PLOT .PLAN PLAN WAS LOCATED ON THE GROUND S IN BY SURVEY ON MAY 31, 2017 AND EXISTS AS SHOWN AS OF THE DATE /I BARNSTABLE, MASS. OF LOCATION. SCALE: 1"=40' JUNE 1, 2017 THIS PLAN IS FOR PLOT PLAN f, 1 '1 TERRY A. WARNER, P.L.S. PURPOSES ONLY. 22 LONG ROAD HARWICH, MA. 02645 (508) 432-8309 THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED. 0 20 40 80 PROJECT NO. 15-148AS 2015 IECC Energy Cost Compliance Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Confirmed 110 Meadow Lane 888-503-2233 2018-01-03 West Barnstable, MA 02668 Andrew Popielarski Rating No:34320 RaterID:5363711 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110_C_v_l5.big Annual Energy Cost $/yr 2015 IECC As Designed Heating 2171 2125 Cooling 214 156 Water Heating 707 698 SubTotal-Used to Determine Compliance 3092 2979 Lights l3 Appliances 1326 1227 Photovoltaics .0 .0 Service Charge 0 0 Total 4418 4205 Mandatory Requirements Annual Energy Cost Check PASSES Duct Insulation R-Value Check(per Section 405.2) PASSES Window U-Value and SHGC Check (per Section 402.5) PASSES Home Infiltration (Section 402.4.1) PASSES Duct Testing (Section 403.3.3) PASSES Mechanical Ventilation (Section 403.6) PASSES Mechanical Ventilation Fan Efficacy(Section 403.6.1) PASSES Mandatory Requirements Check Box(2015 IECC) PASSES This home MEETS the annual energy cost requirements of Section 405 of the 2015 International Energy Conservation Code based on a climate zone of 5A. In fact, this home surpasses the requirements by 3.7%. Name Andrew Popielarski Signature Organization Home Energy Raters LLC. Date 9 January 2018 In accordance with IECC, building inputs, such as setpoints, infiltration rates, and window shading may have been changed prior to calculating-annual energy cost. Furthermore, the standard reference design HVAC system efficiencies are set equal to those in the design home as specified in the 2015 IECC. These standards are subject to change, and software updates should be obtained periodically to ensure the compliance calculations reflect current federal minimum standards. REM/Rate -Residential Energy Analysis and Rating Software v15.4.2 This information does not constitute any warranty of energy cost or savings. ©1985-2017 Noresco, Boulder, Colorado. Air Leakage Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Confirmed 110 Meadow Lane 888-503-2233 2018-01-03 West Barnstable, MA 02668 Andrew Popielarski Rating No:34320 RaterID:5363711 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110_C_v_15.big Whole House Infiltration Blower Door Test Heating Cooling Natural ACH 0.17 0.14 ACH @ 50 Pascals 2.34 2.34 CFM @ 25 Pascals 669 669 CFM @ 50 Pascals 1049 1049 Eff. Leakage Area (sq.in) 57.6 57.6 Specific Leakage Area 0.00016 0.00016 ELA/100 sf shell(sq.in) 0.86 0.86 CFM50/sf shell 0.16 0.16 Duct Leakage Leakage to Outside Units Base ft 1 st duct 2nd duct CFM @ 25 Pascals 71 39 CFM25 / CFMfan 0.0520 0.0621 CFM25 / CFA 0.0344 0.0871 CFM per Std 152 N/A N/A CFM per Std 152 / CFA „i. N/A N/A CFM @ 50 Pascals 111 61 Eff. Leakage Area (sq.in) 6.12 3.36 Thermal Efficiency N/A N/A Total Duct Leakage Units CFM25/CFA CFM25/CFA Total Duct Leakage 0.0344 0.0871 Ventilation Mechanical Balanced ASHRAE ASHRAE Sensible Recovery Eff. (%) 66.0 62.2-2010 62.2-2013 Total Recovery Eff. (%) 36.0 Rate (cfm) 110 63 62 Hours/Day 13.5 24.0 24.0 Fan Watts 34.1 Cooling Ventilation Natural Ventilation ASHRAE 62.2 - Ventilation Requirements The ASHRAE 62.2 flow rates shown above are the CONTINUOUS mechanical fresh air ventilation which will meet the'whole-building' requirement under that version of the standard. Both values incorporate any appropriate'infiltration credit'. Intermittent mechanical ventilation may be used if the flow rate is adjusted accordingly. For example, the runtime can be reduced to 12 hours per day using a doubled flow rate, as long as the system provides ventilation at least once every 3 hours. For more detail, refer to the appropriate standard. REM/Rate-Residential Energy Analysis and Rating Software v15.4 This information does not constitute any warranty of energy cost or savings. ©1985-2017 Noresco, Boulder, Colorado. Home Energy Rating certificate Property HERS I.B.I Construction Company Rating Type: Confirmed Certified Energy Rater: Andrew Popielarski 110 Meadow Lane Rating Date: 2018-01-03 Rating Number: 34320 West Barnstable, MA 02668 Registry ID: 263760231 Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 57 Heating 60.8 $1838 52% General information Cooling 1.6 $88 2% Conditioned Area 2514 sq. ft. House Type Single-family detached Hot Water 12.5 $374 11% Conditioned Volume 26924 cubic ft. Foundation More than one type Lights/Appliances 24.2 $1227 35% Bedrooms 4 Photovoltaics -0.0 $-0 -0% Service Charges $0 0% Mechanical Systems Features Total 99.2 $3527 100% Heating: Fuel-fired air distribution, Propane, 95.0 AFUE. Cooling: Air conditioner, Electric, 14.0 SEER. Criteria Water Heating: Instant water heater, Propane, 0.96 EF, 0.0 Gal. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 110.00 CFM25. 2015 International Energy Conservation Code Ventilation System Balanced: HRV, 110 cfm, 34.1 watts. Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-54.0 Slab R-0.0 Edge, R-0.0 Under Sealed Attic NA Exposed Floor R-30.0 Vaulted Ceiling R-49.0 Window Type U-Value: 0.290, SHGC: 0.240 Above Grade Walls R-21.0 Infiltration Rate Htg: 1049 Clg: 1049 CFM50 Foundation Walls R-0.0 Method Blower door test Certified HERS Rating Company Energy Raters of Mass Lights and Appliance Features 180 State Road, Suite 2 Upper Percent Interior Lighting 100.00 Range/Oven Fuel Propane Sagamore Beach,MA 02562 Percent Garage Lighting 100.00 Clothes Dryer Fuel Electric 888-503-2233 Refrigerator(kWh/yr) 778 Clothes Dryer CEF 2.62 info@energycodehelp.com Dishwasher(kWh/yr) 270 Ceiling Fan (cfm/Watt) 70.40 Certified Energy Rater: �t� ` -� - REM/Rate-Residential Energy Analysis and Rating Software v15.4 This information does not constitute any warranty of energy cost or savings. 01985-2017 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. Town of Barnstable_ i111Cl1n �q."' .�/• , ..� , .�-. m'C` .sue'.,. -'�ui-.« - - .t"-Yz^h.•x' �"r.., -`` r. ,' .,9 rs..."g-` g � ,. . Post_This Card�So;That��t�is Uisible�From the Street Approved P..lars Jlust be Retainedion Job`�and�this,Cartl 1lllust be Kept Posted i •;�LLEIVA2ABdN.,e e...�°a,�,, �..' _ _ � a..�§ '2^ -i*'�3...��"- � z, -L, L s�: 3"S '°v�. Permit ;.., � .,.•� -�lhere�a Cert�ficatezof Occupancy is�Recj�uired,sw.ch_Bu�ldmg�shall Motzbe Occupied�until�a�Final Inspectipn l,as been�made• - Pei mit.No 8-17 619 _ Applicant Name: ROBERT G. IADONISI Approvals -Current Use: Structure Date Issued: 04/26/2017 f. , Expiration Date: 10/26/2017 Foundaticyi; Pe.mit Type. Building-4New Construction-.1'or 2 family f P IAI Residential •. Map/Lot: 133-024 Zoning District: RF Sheathing Location: 110 MEADOW LANE WEST.BARNSTABLE, � F � � Ll T °ContractorName: Robert G ladonisi Framing: F g O,�,ner on Record: O'CONNELL,MATTHEW D&DIANE M � � I � � �ContracLor U se:: CS-028811 Address: 126 MEADOW LANE � i F �EstiProjectCost: $9,000.00 Chimney: WEST BARNSTABLE,MA 02668 ermiFee: - � _ Pt $3,164.60 Insulation: ,7 Description: TO CONSTRUCT A NEW SINGLE FAMILY HOME.FOUR BEDROOM TWO oA4 ce4 {k l?/t Fee Paid. $3,164.60 `CAR GARAGE ATTACHED AND FINISHED BASE AVE AND Final: 1/2 BATH Date 4/26/2017 Project Review Req: TO CONSTRUCT A NEW SINGLE FAMILY HOME FOUR BEDROul, Plumbing/Gas ,. . TWO CAR GARAGE ATTACHED AND FINISHED BASEMENT MANS' . - Rough Plumbing: r I. CAVE AND 1/2 BATH _. Building Official_ Final Plumbing: . This permit shall be deemed abandoned and invalid unless the work autho b his permit is commenced within sizmontafter issuance. _�� Rough Gas: Al!work authorized by this permit shall conform to the approved apphca�tibmand 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 zoping�by laws>and codes. Final Gas: TF�is permit shall be displayed in a location clearly visible from access street or oad'and shall be maintained open fo�ublic m p coon for the entire duration of the work until the completion of the same. ,✓�(�dl_ .m Electrical Tit/% <<6 l The Certificate of Occupancy will not be issued until all applicable sig aturesby theBvildmg and Fire Officials=apro avav lied on his permit. Service: (J Minimum of Five Call inspections Required for All ConstructionrWorke T � 1.Foundation or Footing ° Rough: •12.Sheathing Inspection - r 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 a're 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 Departm7-2 Building plans are to be available on site _ Final: All Permit'Cards,are the property of the APPLICANT- ISSUED RECIPIENT o T wikW� •y � - . i�G, �r I I )TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION . Map 3 Parcel Application # Health Division 81AZID, Date Issued. 10 y a 6., 7 Conservation Division ��®F ,: Application Fee Planning Dept. TO AMR 2310 Permit Fee I �{ . �, Date Definitive Plan Approved by Planning Board I Historic - OKH _ Preservation/ Hyannis �llsl��C� Project Street Address / 10 M 06 0 tN �a,4, Village WTQS Ms-6b (p ' Owner Gl 17�'l� NCO n ti r? L L Address .Z 6 Lo Telephone Permit Request -TO 8aI]d JVe(A) a0010 r (7X1"', z 4ILWO car AJJfrt�SJ�dt e M6L4 c/ Square feet: 1 st floor: existing proposed ' ��2nd floor: existing proposed /(o -Total new 1t 5 � Zoning District Flood Plain. - Groundwater Overlay Project Valuation 6 I 10d Construction Type wood Lot Size L4 1 (o r 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: ,dYes ❑ No Basement Type: /Full ❑ Crawl ❑Walkout ❑ Other - Basement Finished Area(sq.ft.) R �{� Basement Unfinished Area (sq.ft) UY Number of Baths: Full: existing ,� new c--' Half: existing new 2— Number of Bedrooms: existing Vlnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ZOil ❑ Electric ❑ Other Central Air: ZYes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing onew size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ r Attached garage: ❑ existing new size Shed: Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes •❑ No If yes, site plan review# Current Use J a LovIt "`U Proposed Use IJ e`i APPLICANT INFORMATION (BUILDER OR HOMEOWNER) T Name p a�C'r —�-IJ 4 A i } Telephone Number sw F6 2- Address '7 ] Al 11 !1 �. ondwwic,� License# (f —d Z J Tamil (.JcYid' I Home Improvement Contractor# Email 1)o` : (0/in Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TOkh;> SIGNATURE " DATE R r . ;1 is - r FOR OFFICIAL USE ONLY 7 s APPLICATION # DATE ISSUED , MAP/ PARCEL NO. ADDRESS VILLAGE OWNER s I DATE OF INSPECTION: FOUNDATION o � o �3l (?R)gey— ` }FRAME Z, g -INSULATION ��< � � � 12 R K a t. FIREPLACE I' -ELECTRICAL ROUGH FINAL 4 PLUMBING:. ROUGH FINAL -GAS: ROUGH FINAL FINAL BUILDING ATE CLOSED OUT j HSSOCIATION PLAN NO. i " The Commomveakh oJfMassaclraseifs Deparhment Of fudus&id Accidelzkr Office of Investigations 600 Washuigton Street Boston,CIA 02111 • unv�v.mas�go9�dia Workers' Compensation Insurauce Affidavit:BuHdersiCantractarsMectricians/Plumbers Applicant Information Please Print �y Consirur,1110-N Address: '7 t�l< ( W ooJ uk) aA1 ; Are YOU an employer?Checkthe appropriate btu ' Type of project(required): I.❑ I am a employer with 4.,2n am a general contactor and I 6. ETNew c;=sb=tion employees(full andfor par-time)-* bave hired the sub-contractors 2.❑ I am a sole pmprietar arpartner- listed onthe attached sheet, 7- ❑Remodeling ship and have no employees . These sub-contractors have g,❑Demolition wor3drig for me in any capacity_ employee's and have worms' 9. ❑Building addition. [No`vodmm' camp-insuo„ce cep-rnsucaa l required-] 5- ❑ We are a corporatim and its 10 El Electrical repairs oral ions 3-❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additiens rnysel€[No woskoers'comp- right of won per MGL 12.❑Roof ' insurance required]i c.152,§1(4�andwe havteno repairs employees-[No wod=s' 13-ElOther caste.insuraime requiredLI 'Any applics3fdratchecksboxff1— alsofillaatiheswdanbelowsbmrLingdi&wodserecampemsaHaapaIiryiUfimmaftM #9mmeowners who submit dus of dmm M&C21mg they are daisy ell Wa¢k and dies hire outside 4ntmc�— Mbmit anew affidavit iadicatinp rnrli ICaattaci' $fiat chck e thf s boat mast attached as additional shad sbowh3g the mame of the sub:comxrctom and state whethm w not those ea ities hrm oye emples.If thesnb-caatzctms have emplayae%dLeymmstpmvidetlLeir wmtml comp.polikynumber- I atn air elrtpIayer fliatis pro ding workers'cottgxwatiarr inmiriznce for azy enrplojwes Below is fhe policy and job site informAdom Insurance Company Name: ' Policy#or Self-ins-Lic.#: Expiration Date: Job Site Address: City/Stawzip: Attach a copy of the workers'comapensatioapo]icy declaration page(showing the policy number and expiration date). Failnre to secum coverage as requiredunder Section 25A of MGL a 1522 can lead to the imposition of criminal penalties of a fine up to$00DOD andlor one-year impaismzmer t,as welt as civil peaalties,in the fora of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement sway,be forwarded to the Office of Investigations ofthe DIA for insurance coverage veciffmhan. T do lrerehy cgdjy Ritd t#e pains and penalties ofperjury diatf ie informa&n provi&d abot's is bus and correct Sitnrature: Date: 3 110 /`7 14 Phone if: OW Y/Q Z Offtiat use aidy. Do trot write air dds area,to be cainpWad by city ar to am officiaL City or Town: PermitUcense; Issuing Authority(trcle one): 1.Board of$ealth 2.Building I3epartment 3.City/Fawn Clerk 4 Electrical Easpector 5.Pluaabing Inspector 6.Other Contact Person: Phone#- - -- M 6 ormation and Iiastruefioaas 7yM,Mcar-hr.cCtts Geamral Laws chapter 152 regnnrs all en:q:Ioyers'to provide workers'compensation for their employees. ' pmMv,-ajtto this statafe,an ernplvyrz is def ned as"_.every parson in fe service of another mode-any contract of hire, expr=or implied,oral or wrhi m" An cu�Iayer is defined as'ran m�vuhA pazinership,association,corporation or other legal entity,or any two or more of the foregoing=gaged in a Joint else,and including the legal representatives of a deceased employer,or the receiver or trastee of an mdividnal,partnership,association or otherIegal entity,employing employees. However the owner of a dwelling hose having not more than tbrw apartments and who resides therein,or the occupant of the - dweIIarg house of another who employs persons to do mainfmmice,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not bexanse of such employment be deemed to be an employer." MGL'cbapt er 152,§25C(6)also states that"every state or local Picensmg 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 applicantwho leas not produced acceptable evidence of cdmplian.ce with the iT,svra_nre coverage repaired." Additionally.MGL chapter 152, §25CM st d:es-Neither the caannonwcalth nor wry ofits-poI=tical subdivisions shall enter into any contract for the performance ofpnblic work umZ acceptable evidence of campliance with the fiLmUancei._ Mq,;r emfs of this chapter have lieen presented to the M_l&�antho&" = Applicants ' Please fill out the wozl='compensation affidavit comple tekV,by checking the boxes that apply to your situation and,if necessary,amply sLd I(s)nmne(s), (es)and Phone— es(s)along with their certEcate(s)of i,-,m3m ce. Limitsd Liability Companies(LLC)or Limited LiabilityPartne=1 ips(LLP)withno ezoployees other than the members or partners,are not regtmed to carry workers' compensation.insurance- If an LLC or LLP does have employees,a policy is required. Be advised that this afa-da:vk may be submitted to the Department of Industrial Accidents for confirmation of msutmce coverage. Also be sure to sign and date the affidavit The affidavit should be-mtrmmed to the city or town that the application for the permit or license is being r'equmtA not the Department:of Tr rFn Lai A_cmde�. Should you have any gnestions regarding the law or if you are regau d to obtain a workers' compensation policy,please call the Departmext at the mimmber listed below. Self-ins companies should eater their self-insurance license number on the appropriate lime. City or Town Officials t Please be sore that the affidavit is completes and printed legibly. The Department has provided a space at the bottom of the affidavit for you iD fill out in the event the Office of Inves igations has to coact you regarding the applicant Please be sure tin fill in the pemlWlicense mnaber which will be used as a reference number. In addition, an applicant that must submit multiple pennillicense applications in any given year,need only submit one affidavit indicating cmrent p olicy information Cif necessary)and under'Job Site Adr3ress"the applicant should wzi�"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 futm 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 bmsinss or commercial ventare (ie. a dog license or permit to bum leaves efc.)said person is NOT required to complete this affidavit The Office of Investiga ions 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 Deparfinemfs address,telephone and fax number_ Thl-CaMMMvilealthE of usetls , I ' Deparlm nt c&Iii&tstdd Aocidents =Ce Of lavegtgatio= I 6Q��ashi�gtan t Tf,-1.#617' -4900�Xt 4-06 or 14M-MA S.4M Fax#617-727 7749 Revisedi424-07 w M gQ.Wdia. r Town of Barnstable Regulatory Services B"K Richard V.Scali,Director 111e• Building Division. Paul Roma,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 I16�1— b&A as Owner of the subject property hereby authorize J��+- '�� to act on my behalf, in all matters relative to work authorized by this building pertnit application for: (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. qtture l of Owner Signature of Applicant 0-r+ —1GlC�0n�, S Print Name Print Dame Date QYORMS:OWNERPERMISSIONPOOLS Town of Barnstable Regulatory Services drWE tbr._ Richard V.Scali,Director Building Division 11AJRxsrN= Paul Roma,Building Commissioner 039. 10$ 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: JOB LOCATION: number street village "HOMEOWNER": name 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. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness.often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor-. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFMES\FORMS\building permit forms\EXPRESS.doc 0620/16 r ' Affidavit of Substantial 1-inancial Interest .I. 1, Q06P-J _-TUJ04iS'( of a JVJJ\ i✓a , on oath depose and state as follows: 1. I am an applicant for a building permit for the property located at Map 13.3 , Parcel Q 2-`f . The address.of the property is (/D m OW �,aA 2 2. 1 have % legal_or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. 3. Within in the last twelve months from today's date, which is , the following individuals or entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: .Name Address 4: Within the last twelve months, from today's.date, which is , I have had art% or greater legal or equitable interest in the following properties which have been the subject of a budding-permit application: Map/Parcel Address 5. Within this calendar year, l have submitted building permit applications-for property in which I have a 1% or greater legal or equitable interest. . 6. Within the last ten days, 1,have submitted building permit applications for property in which I have a-1% or greater legal or equitable interest. 7. Within this month, I have submitted 6 building permit applications for properly in which .1 have a 1%legal or equitable interest. 8. Within this month, I have received building permits for property in which I have a 1% legal or equitable interest. Signed underthe pains and penalties of pe 'ury, this 2 day of 200')7 2001-0050/afiin 1 O/LOTTERY/AFFIDAVIT ., NEW HOUSE SUBNHTTAL SCHEDULE If Submitted By Will Not Be Issued Before* December 8-December 21,2016-------------------------------------------------------January 4, 2017 December 22-January 4,2017--------------------------------------------------------January 18, 2017 January 5-January 18, 2017-------------------------------------------------------------February 1,2017 January 19-February 1,2017-----------------------------------------------------------February 15,2017 February 2-February 15,2017---------------------------------------------=-------------March 1,2017 February 16-March 1,2017---------------------------------------------------------------March 15,2017 March 2-March 15,2017-------=---------------------------------------------------------March 29,2017 March 16-March 29, 2017----------------------------------------------------------------April 12,2017 March 30-April 12,2017--------------------------------------------------------------------April 26,2017 April 13-April 26; 2017---------------------------------------------------------- ----------May 10,2017 April 27-May 10,2017---------------------------------------------------------------------May 24,2017 May 11 -May 24,2017-----------------------------------------------------------------------June 7,2017 May 25-June 7,2017----------------------------------------------------------------------June 21,2017 June8-June 21,2017---------------------=---------------------------------------------------July 5,2017 June 22-July 5,2017------------------------------------------------------------------------July 19,2017 July 6,-July 19,2017----------------------------------------------------------------------August 2, 2017 July 20-August 2, 2017-----------------------------------------------------------------August 16,2017 August 3-August 16,2017--------------------------------------------------------------August 30,2017 August 17-August 30,2017--------------------------------------------------------September 13,2017 August 31-September 13,2017----------------------------------------------------September 27,2017 September 14-September 27,2017---------------------------------------------------October 11,2017 September 28-October 11,2017-----------------------------------------------------October 25,2017 October 12-October 25,2017-------------------------------------------------------November 8,2017 October 26-November 8,2017------------------------------------------------------November 22,2017 November 9-November 22,2017-------------------=------------------------------December 6,2017 November 23-December 6, 2017--------------------------------------------------December 20,.2017 December 7-December 20,2017-------------------------------------------------------January 3,2018 December 21 -January 3,2018------------------------------------=-------------------January 17,2018 I *The Building Department has 30 days to review permits. �1 "( ® DATE(MM/DD/YYY1) A` Ro CERTIFICATE OF LIABILITY INSURANCE 03/10/2017 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(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: MARYJO ANDERSON ALMEIDA& CARLSON INSURANCE AGENCY PHONE 508 888-0207 A No: ADDRESS: MANDERSON LMEIDACARLSON.COM 131 MAIN ST. INSURERS AFFORDING COVERAGE NAIC4 FALMOUTH MA 02541 INSURER A: AMGUARD INSURANCE CO 42390 INSURED INSURER B: IBI CONSTRUCTION LLC INSURERC: INSURER D: P O BOX 465 INSURER E: SANDWICH MA 02563 INSURERF: COVERAGES CERTIFICATE NUMBER: 133509 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 EXP LIMITS LT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any oneperson) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ J PRO- POLICY PRO LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION /� SPERTATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? WA WA WA R2WC856563 04/28/2017 04/28/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Addttlonal Remarks Schedule,may be attached If more apace 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 Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 367 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 �Dwp Daniel M.Cr y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD T,: IBICONS-01 ANDERSON .44C'4CNR0" DATE(M"D/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03110/2017 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 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 C ACT AX Almeida&Carlson Insurance Agency,Inc accNN ,Em:(508)888-0207 �'VC,No:(508)888-0550 PO Box 719 Sandwich,MA 02563 E INSURERS AFFORDING COVERAGE NAIC S INSURER A:Western World Insurance Company INSURED INSURER B: IBI Construction,LLC INSURER C: Joe Bakunas and Bob ladonisi PO Box 465 INSURER D: Sandwich,MA 02563 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 SUBR VolPOLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRA X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F_X] OCCUR NNP1452512 01/25/2017 01/25/2018 DAMAGE TO RENTED tE. $ 100,000 MED EXP(Any one arson $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS -BODILYBODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLY Pfge�acEcident AMAGE $ $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N ]STATUTE I ANY PROPRIETOR/PARTNER/EXECU I IVE ❑ N/A E.L.EACH ACCIDENT $ OFFICER/M�MBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule me y be attached If more apace is required) WORKERS'COMPENSATION CERTIFICATE WILL BE SENT DIRECTLY BY THE CbMPANY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod 5 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. 85 Route 6A Sandwich,MA 02563 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IBICONS-01 EDEMEL AC�RU° F03/2212017 CERTIFICATE OF LIABILITY INSURANCE DATEJMKJDD/YYYY) 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 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 Co ACT Elizabeth F DeMelo NA Almeida&Carlson Insurance Agency,Inc a"c°ONr o Et):(508)888-0207 FAX No:(508)888-0550 PO Box 719 Sandwich,MA 02563 Ee" .edemelo@almeldacarlson.com INSURERS AFFORDING COVERAGE NAIC S INSURER A:CNA Insurance Company INSURED INSURER B: IBI Construction,LLC INSURER C: Joe Bakunas and Bob ladonisi PO Box 465 INSURER D: Sandwich,MA 02563 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRCOMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE ❑OCCUR DAMAGE TO RENTED $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY jno LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ccidenti $ ANY AUTO BODILY INJURY Per erson $ OWNED SCHEDULED AURTEOS ONLY AUTOS Ep BODILY INJURY Per accident $ AUTOS ONLY AUTOS ONLY PER AMAGE Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND ST EMPLOYERS'LIABILITY Y/N ANY OFFICEOPRIIMT6OERIPARTNDED ECUTIVE ❑ N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT A Bonds 71889797 03/22/2017 03/22/2018 Road Bond 640 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St. 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 } Massachusetts Department of Public Safety Board of Building.Regulations and Standards License: CS-028811 Construction Supervisor ROBERT G IADONIS_I _ 7 HILL WOOD WAY " EAST SANDWICH MA02537 - f n CA-- Expiratio.ni Commissioner 05/10/2018r ' Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. e Failure to possess a current edition of the Massachusetts ( State Building Code is cause for revocation of this license. DPS Licensing information visit::WWW,MASS.GOV/DPS t r Design of Beam 1: O'0ONNELL RES Beam *4 C ' 8., INPUT Floor I Live Load ( K /Ft A2) : 0.85 I Slope 0 in 12 Code : JBC I Dead Load ( K /Ft A2) : 0.425 I Species wet use : No I Snow Load ( K /Ft A2) .: 0 ( Grade : 2.0E Rep. use : No I TL Deflection : L/300 I Trib. width : 1' -0" Lt. Cant. : N I LL Deflection : L/360 I DOL : 100 Rt. Cant. : N I Pattern Loading : Yes I side Loaded : NO SPAN DATA (Length is to center line of bearing) I SPAN 1 Length 19' -0" Actual 19' -.75" Brg. 1.5" 0" Min. 1.5" 1.5" Total Length : 9' -.75" MEMBER SELECTED Generic LVL 2.-0E-1.75x9'.-Sx3 IS MEMBER OK? : Yes CRITICAL STRESSES SUMMARY CONTROL I REACTION I BENDING I SHEAR I LL-DEFL I TL-DEFL I ( In) I ( In/Lb A2) I ( In/Lb A2) I ( In) I ( In) MAX VALUE I 5738 I 1962 I 142.2 I -0.167 I -0.251 % OF ALLOW I n/a I 64 I 49 ( 55 I 69 LOCATION I 0" I 4' -6" I 8' -2.5" I 4' -6" I 4' -6" MAXIMUM HANGER FORCES 5738 In (LEFT) 5737 In (RIGHT) ------------------------------------------------------------ I 9. 5 In. Deep ------------------------------------------------------------ I I 5738 lbs Max. 5737 lbs Max. 1912 lbs DL 1912 lbs DL 3825 lbs LL 3825 lbs LL 5.7e+003 In 5.7e+003 In General Notes 1. Beam weight is assumed to be included in Dead Load. OF 4, Load locations given are measured from the left end � Mgss of the structure. 3. Locations of maximum moment, stress and deflection are elSHpp� measured from the left end of the structure. sNo`.-",8Ac 4. Bearing across full width of beam is required. o 5. structural adequacy of supporting members must be confirmed. ��FS�C/STERED 6. Bearing lengths required may be limited by bearing stress on ;'O1 AL E supporting members. 7. A negative reaction indicates that the beam must be fastened to the support to resist uplift. 8. Cantilever deflection allowables are based on twice the span length. Design of Beam 1: 0 OONNELL RES Beam 42 INPUT Floor I Live Load ( K /Ft A2) : 0.03 I Slope 0 in 12 code : .:IBC I Dead Load ( K /Ft A2) : 0.015 I species wet use : No I Snow Load ( K /Ft Q) : 0 I Grade Rep. Use : No I TL Deflection : L/300 I Trib. width : 13' -0" Lt. Cant. : N I LL Deflection : L/360 I DOL : 100 Rt. Cant. : N I Pattern Loading : Yes I Side Loaded : NO SPAN DATA (Length is to center line of bearing) I SPAN 1 Length 126' -0" Actual 126' -.75" Brg. 1.5" 0" Min. 0" 0" Total Length : 26' -.75" MEMBER SELECTED Steel WF"- w12x26 Is MEMBER OK? : Yes CRITICAL STRESSES SUMMARY CONTROL I REACTION I BENDING I SHEAR I LL-DEFL I TL-DEFL ( In) I ( In/Lb A2) I ( In/Lb A2) I ( In) I ( In) MAX VALUE I 7605 I -1.776e+004 I 2706 I -0.678 I -1.017 OF ALLOW I n/a I 74 I 18 I 78 I 97 LOCATION I 0" I 13' -0" I 0" I 13' -0" . I 13' -0" MAXIMUM HANGER FORCES 0 In (LEFT) 0 In (RIGHT) ------------------------------------------------------------ 12.22 In. Deep ------------------------------------------------------------ 7605 lbs Max. 7605 lbs Max. 2535 lbs DL 2535 lbs DL 5070 lbs LL 5070 lbs LL 7.6e+003 In 7.6e+003 In General Notes 1. Beam weight is assumed to be included in Dead Load. 2. Load locations given are measured from the left end AT of of the structure. 3. Locations of maximum moment, stress and deflection are °° cc►A 9ns measured from the left end of the structure. s,,Qe'SH p° R, 4. Bearing across full width of beam is required. o NO.�e� 11 5. Structural adequacy of supportin members must be confirmed. F F g T � 6. Bearing lengths required may be 1 i mi ted by bearing stress on s o'SrERFD ' v/NA supporting members. L ENG\N \1 7. A negative reaction indicates that the beam must be fastened to the support to resist uplift. 8. Cantilever deflection allowables are based on twice the span length. r - Design of Beam 1: O'®ONNELL RES Beam 43 k `-` 'A��82- INPUT Floor I Live Load ( K /Ft A2) : 0.85 I Slope 0 in 12 Code : -)BC ► Dead Load ( K /Ft A2) : 0.425 I Species wet Use : No I Snow Load ( K /Ft A2) : 0 I Grade : 2.0E Rep. use : No I TL Deflection : L/300 I Trib. width : 1' -0" Lt. Cant. : N I LL Deflection : L/360 I DOL : 100 Rt. Cant. : N I Pattern Loading : Yes I Side Loaded : NO SPAN DATA (Length is to center line of bearing) I SPAN 1 Length 112' -0" Actual 112' -.75" Brg. 1. 5" 0" Min. 1.943" 1.943" Total Length : 12' -.75" MEMBER SELECTED,._____ Generic LVL 2.OE- 1 7-5x11.875z3 IS MEMBER OK? : Yes CRITICAL STRESSES SUMMARY CONTROL I REACTION I BENDING I SHEAR I LL-DEFL I TL-DEFL ( In) I ( In/Lb A2) I ( In/Lb A2) I ( In) ( ( In) MAX VALUE I 7650 I 2232 I 153.7 I -0.271 I -0.406 OF ALLOW I n/a I 76 I 53 I 67 I 84 LOCATION I 0" I 6' -0" I 11' -.125" I 6' -0" I 6' -0" MAXIMUM HANGER FORCES 7650 In (LEFT) 7650 In (RIGHT) ------------------------------------------------------------ 11.88 In. Deep ------------------------------------------------------------ 7650 lbs Max.. 7650 lbs Max. 2550 lbs DL 2550 lbs DL 5100 lbs LL 5100 lbs LL 7.6e+003 In 7.6e+003 In General Notes 1. Beam weight is assumed to be included in Dead Load. 2. Load locations given are measured from the left end ,,N 'AL oF� of the structure. 3. Locations of maximum moment, stress and deflection are a<< Mo measured from the left end of the structure. M 4. Bearing across full width of beam is required. P �eeRgc 5. Structural adequacy of supporting members must be confirmed. °F�F�, a REO 6. Bearing 1 engths required may be 1 i mi ted by bearing stress on s��NALEENOtl ,/1 supporting members. \ 7. A negative reaction indicates that the beam must be fastened to the support to resist uplift. 8. cantilever deflection allowables are based on twice the span length. -------------------------------------- Design of Beam 1: O'®ONNELL RES Beam #1 INPUT Floor I Live Load ( K /Ft A2) : 0.05 I Slope 0 in 12 Code : ,IBC I Dead Load ( K /Ft A2) : 0.025 I Species wet Use : No I Snow Load ( K /Ft A2) : 0 I Grade Rep. use : No I TL Deflection : L/300 I Trib. width : 15' -0" Lt. Cant. : N I LL Deflection : L/360 I DOL : 100 Rt. Cant. : N I Pattern Loading : Yes I Side Loaded : NO SPAN DATA (Length is to center line of bearing) SPAN 1 Length 128' -0" Actual 128' -.75" Brg. 1. 5 0" Min. 0" 0" Total Length : 28' -.75" MEMBER SELECTED Steel WF,--W14x48 IS MEMBER OK? : Yes CRITICAL STRESSES SUMMARY CONTROL I REACTION I BENDING I SHEAR I LL-DEFL I TL-DEFL ( In) I ( In/Lb A2) I ( In/Lb A2) I ( In) I ( In) MAX VALUE 11.575e+004 I -1.882e+004 I 3359 I -0.737 I -1.106 % OF ALLOW ( n/a I 79 I 23 I 79 I 98 LOCATION I 0" I 14' -0" I 0" I 14' -0" I 14' -0" MAXIMUM HANGER FORCES 0 In (LEFT) 0 In (RIGHT) ------------=----------------------------------------------- I 13.79 In. Deep I i ------------------------------------------------------------ I I 1.575e+004 lbs Max. 1. 575e+004 lbs Max. 5250 lbs DL 5250 lbs DL 1.05e+004 lbs LL 1.05e+004 lbs LL 1.6e+004 In 1.6e+004 In General Notes 1. Beam weight is assumed to be included in Dead Load. 2. Load locations given are measured from the left end IELHOP of the structure. �qs 3. Locations of maximum moment, stress and deflection are measured from the left end of the structure. srR�stio,,4 S 4. Bearing across full width of beam is required. ,° "o?TAR y 5. structural adequacy of supporting members must be confirmed. 6. Bearing lengths required may be limited by bearing stress on %q�STERED supporting members. 7. A negative reaction indicates that the beam must be fastened to the support to resist uplift. 8. Cantilever deflection allowables are based on twice the span length. PLAN OF LAND IN BARNSTABL3 04 Nelson Bearse - Richard Law, Surveyors , , August 27, 1969 CIO n y, .•�• r 7P0t _ •• g90 Poo.'o �40`E 86T•Ob' Yo'L t" ab 6 r u 4 1'oo,ep e• Q� ` osse•.s4o sae;05, a G • O p S ge. S6"oo"E i.i O y o Q Z °` • oo t 1 81 1� lapqt V O i r.u�. SBt• ` � 6•y9�ti E BARNSTABLE COUNTY REGISTRY OF DEEDS 6 os sep: i A TRUE COPY ATTEST ,y "':"`'•-gee oa- �' / ob +�N1r� JOHN F.MEADE,REGISTER N�.i✓a6.o�,.s�.ss: �.• eq b° ten• Lotus 6omprlaos Stole ., `•b� FAO loft /—Afinel. 00@0 ! CqW e/p&n`of plan a5//8 A j f➢k4!n•--� 10) LOND REGISTRATION Of'FICE Scale of this Alan ZOO feet to an;nCh R.L Weoo'hary,fggineer I6r Cburt•4 f Doc: 1s245P642 05-13-2014 3=36 Ct f T=203339 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED I,Kathleen Brack,Trustee of the 110 Meadow Lane Nominee Trust,under Declaration of Trust slated March 10,2004,being filed in the Barnstable County Registry District of the Land Court as Document No. 960,012,with an address of North Carolina, for consideration paid of One Hundred Ninety-Five Thousand and 00/100 Dollars ($195,000.00), ai grant to Matthew D. O'Connell and Diane M. O'Connell,husband and wife,tenants by the entirety,of 126 Meadow Lane,West Barnstable,MA 02668 C3 N With QUITCLAIM COVENANTS a� a� aThe land situated in Barnstable,in Barnstable County,Massachusetts,bounded and 3 .b described as follows: o NORTHWESTERLY by Meadow Lane, one hundred sixty(160)feet; NORTHEASTERLY by Lot 9,about four hundred ninety(490)feet; o SOUTHEASTERLY by land formerly of Joseph Smith,being a line along the a edge of upland;and SOUTHWESTERLY by Lot 7,about four hundred eighty feet(480)feet. Said land is shown as LOT 8 on Land Court Plan No. 35113-A r Said land is subject to restrictions as set forth in a deed given by John W. Gilbert to Thomas J.McGurl,Jr. dated February 1, 1971 duly recorded in Book 1498,Page 761. i Meaning and intending to convey the premises set forth in Deed filed in Barnstable County Registry of Deeds District of the Land Court as Document No. 960,013 in Certificate of Title No. 172325. The undersigned hereby certifies under the pains and penalties of perjury as follows: 1. Kathleen Brack is the Trustee of the 110 Meadow Lane Nominee Trust,dated March 10,2004. 2. The Trust is in full force and effect and has not been amended or modified,except as provided above,and has not been revoked as of the date hereof. 3. The undersigned has full power and authority and has been directed by the beneficiaries of the Trust,none of whom are minors or incompetent,to enter into a transfer for a purchase price of not more than$195,000.00 with respect to certain premises situated at 110 Meadow Lane,West Barnstable,Barnstable County, Massachusetts('Premises"),and in connection therewith to execute and deliver,on behalf of the Trust,any and all documents with respect to said transaction,including, but not limited to,a deed by the undersigned conveying the Premises to Matthew D. O'Connell and Diane M. O'Connell,together with any other agreements, assignments,certificates,affidavits,settlement statements and documents as may be necessary or desirable in effectuating said transaction. { Witness my hand and seal this_day of May,2014. D-11 lb 13A Kat een Brack,Trustee of 110 Meadow Lane Nominee Trust STATE OF NORTH CAROLINA County: On this day of May 2014, before me, the undersigned notary public, personally appeared Kathleen Brack, Trustee of aforesaid, and proved to me through satisfactory evidence of identification, which was N�1.-�u= NUaRaIS to be the person whose name is signed on the preceding or attached document, and acknowledged to me that she signed it voluntarily for its stated purpose and who swore or affirmed to me that the contents of the document are truthful and accurate to the best of her knowledge and belief. r of W U-,'GCS' state of North hCerotiiia-. ca C On this day of o ry lic 49. ac CA Z�� y Commission Expires Personaly appeared before me and p7gR.,,'4 j, he/ft executed the foregoing instrurtret rtc¢ a o.- i►�omm.Exp. My commission ExpiresZ018 MASSACHUSETTS STATE EXCISE TAX L8 G BARNSTABLE LAND COURT REGISTRY COUP Date: 05-13-2014 8 03:36pn GtI4: 1245 Doc:: 1245642 Fee: $666.90....Cons.' $193 000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE LAND COURT REGISTRY Date: 05-13-2014 8 03:36po Ctl:: 1245 Doc.`: 1245642 Fee: $526.50 Cons: $195.000.00 L RNSTABLE COUNTY EGISTRYF DEEDS TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DEEDS N F.MEADE.REGISTER • i i Atlas Insulation Co., 0C. 116`Danlelson Pike i North Scituate,Rhode Island 02867 (401)647:2500 FAX(401)647-2545 www:atlasinsulation.com { t i Ener 9Y Certificate - License#649: i Date: 14-Sep-1.7 f -- I Street Address: 116 Meadow Lane { CityITown: Barnstable, MA i _ I Area Material Thickness R Value ( Flat.Ceiling Open,Blow Cellulose insulation 15.:' R49 Slopes Two Pound Density Closed Cell Spray Foam 7'" R49 a Garage.Ceiling Kraft Faced Fiberglass Batts 9.5 R30 q l Basement Ceiling(Unfinished C'Kraft Faced Fiberglass,Batts 9.5" R30 First Floor Breezeway Cold Cell Two Pound Density Closed Cell Spray Foam.. 7" R49 Exterior Walls Kraft.Faced Fiberglass'Batts 5.5" R21 Stairwell Walls Kraft`Faced Fiberglass Batts 3.5"t 5.5" R15/R21 Stairwell Under Kraft.Faced.Fiberglass Batts 9.5 R30 { f Garage/House Wall Kraft_Faced Fiberglass Batts 55" R21 Garage Walls Kraft Facedfiberglass Batts 5.5 R21 Walkout Walls Kraft Faced Fiberglass Batts 5.5" R21 p Blockers Two Pound Density Closed Cell Spray Foam 3" R21. Party Walls(2nd,Floor). :Kraft Faced:Fiberglass Batts backed w/Tyvek :5.51' R21 Party Walls(Basement.2x4) Kraft Faced Fiberglass.Batts 3.5 R15 Party Walls(Basement 2x4) Rigid Insulation Board illR7 Party.Walls(Basement 2x6) Unfaced Fiberglass Batts backed with Tyvek 5.5`' R21 Low expansion foam.around windows and doors I Energy Star Vents i Air Seal Caulk around top and bottom`plates and all penetrations Firestopping of all vertical penetrations Paul Catanzaro; Pres.` I Atlas Insulation Co.,:Inc. i i i { 41e�1014kj 1 1 1 - i I INSULATION' =SEAMLESS GUTTERS . CLOSET SHELVING FIREPLACES Mckechnie, Robert From: Mckechnie, Robert Sent: Thursday,August 31,2017 4:09 PM To: 'ibisandwich@aol.com' Subject: Frame Inspection Hi Bob, As promised I have the list for you: House and Garage: (vec--k'Straps required on each side of garage doors header to attached jack stud. 0XV2.) Vacuum inlet in garage needs to be fire protected or removed. BK-3-rGable end blocking missing in floor frame and roof frame. Check all areas,should be in ft two outside bays per code. Horizontal penetrations not foamed with fire rated product per electric code and building code. 5.) Chases need to be sealed at each diaphragm (ceiling,floor) all levels.'inee-P phrs 4r-ndcne m Steel beam must be attached to support posts per engineer's specifications. ,#r—moire block above front dormer window missing. 8.) Basement stairway missing stringer fire blocking. v,14-WJoist under bathroom compromised right front bathroom. pje-d10.)Screen porch framing does not meet wind code construction requirements. 11.)Deck does not meet the requirements of the"Prescriptive Residential Wood Deck Construction Guide based on the 2009 IRC. I will send you the electronic copy in my next email. This must be followed or an engineer or architect can sign off on it. Pictures of the attachments on the screen porch are acceptable for the frame, but the posts to the bottom plate attachments are not code compliant. I feel that an inspection must be done after these items are corrected before the insulation is installed. You should make time for the reinspection. Thanks, Bob RobertMcKechnie Local Inspector Building Department Town of Barnstable 200 Main Street Hyannis, MA 02601 cil, -7 508-862-4033 • 1 f ` Commonwealth of Massachusetts Sheet Metal Permit Date: `�'� /-2 INk" Permit# — Estimated Job Cost: $ ��/©�U AUG 15 2017 Permit Fee: $ Plans Submitted: YES NO T1,!11� YES NO Business License # Applicant License # Business Information: [ Property Owner/Job Location Information: Name: fZ T /JL�-�i Name: Co S j"��r k Street: l Z`l Street: 1 U l�P�i�a�' �, tJ'1 City/Town: L"G �cc ve City/Town: Telephone: �� ' �6 y —��ll� Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO . Staff Initial J-1 / restricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional) Other Square Footage: under 10,000 sq. ft. ✓ over 10,000 sq. ft. Number of Stories: 2— Sheet metal work to be completed: New Work: ✓ Renovation: HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System- Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: 'Pl.P 1'�n�� U- C INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box , hereby certify that all of the details and Information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General S. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type o icense: By Master Title ❑Master-Restricted City/Town ❑Journeyperson Signat�yJre of U ensee Permit# / /„ 7 ❑Journeyperson-Restricted I/ C% LicVNumber. Fee$ ❑ Check at www.mass.aov/dpl Inspector Signature of Permit Approval AWE� Town of Barnstable HAWSTAMA• Regulatory Services MAM Richard V.Scali,Director Building Division. Paul Roma,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 UL im A Builder ,\ �O Ili as Owner of the subject property hereby authorize PS r 1t° (� g r #'r'/-:s, �to act on my behalf; in all matters relative to work authorized by this building permit application for. %l© A PaclPe. (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. *SignatureOwner S' a of Applicant • Pant Name Print Name �17 ' Date Q:FORW:OWNERPERMISSIONP00i S „q`pi 0�® CERTIFICATE OF LIABILITY INSURANCE DATE 99 (MM/DDryYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER1THIS 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 Ileu of such endorsement(s). PRODUCER CONTACT Cheryl hO111B C.L. HOLLIS INSURANCE NAMEPHONE (508)295-9500 FAx 140 Marion Rd c o:1508)295-9898 DDREs ;cheryllee@insurehollis.com Wareham INSURERS AFFORDING COVERAGE NAIC 4 MA 02571 INSURERA:Safet Indemnit INSURED JAMES DIEDE DRT HEATING & AIR CONDITIONING DHA INSURERB:Safet Indemnity INSURERC 7tiVin CityKira Insurance Co PO BOX 666 INSURER D: INSURER E: BUZZARDS BAY MA 02532 INSURER F COVERAGES CERTIFICATE NUMBER:CL156202364 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. rACLAIMS-MADE ADDL S BR F INSURANCE POLICY NUMBER PO/LIICCY EFF POOLICDY EXP GENERAL LIABILITY LIMITS EACH OCCURRENCE $ 1,000,000 rx-1 OCCUR DAMAGE T RE TED PREMIS (Ea occurrence $ 300,000 BMA0024109 9/12/2016 9/12/2017' MEDEXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑JET LOC OTHER: PRODUCTS-COMP/OPAGG $ 2,000,000 AUTOMOBILE LIABILITY EPLI $ 10,00000MBINED SINGLE LIMIT Eaecctlent $ 1,000,000 H X ANY AUTO ALL OWNED ISCHEDULED BODILY INJURY(Per person) $ AUTOS X AUTOS 6233263 5/4/2016 5/4/2017 BODILYINJURY(PeracGdent) $ X HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ PeracGlent) UMBRELLA LIAB OCCUR EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $ AGGREGATE $ DED R ENTION WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N OFFICER/MEMBER EXCLUDED? y❑ N/A E.L.EACH ACCIDENT $ 500,000 C (Mandatory In NH) OBWECTK6573 9/13/2016 9/13/2017 If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 St. ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Cheryl Hollis/CHERYL -_'- ✓ e? ` �— ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 tmwil I ,tae'OM MONWEALTH OF MAS.SAOHUSE RS BOAR s� " 1 4rt 600ZS1d0� ' SHEET M67AL WbRKERS r k, �astaziz6oati s' ' ` ISSUES THE FOLLOWING MENSE 9Z"4119ZO VW WVH3aVM i 0 Oa N�3N 1 e MASTER UNRESTRICTED "'` �i K6 V3a�tst y x gr �— �r� h °C � , W S31wlVf z JAMI`S M DIEDE E:. '✓� �. -7r 30310 E L:s F-r �y 'yi' •'.BOX 666 r F rl r o w''»s� 3NON DRT HEi4TlNG&,4/C iM �86.6,£0 BUZZARDS BAY,MAs 4�532-066 999ZZ06ZS Yj r J iZFJ� r i�mvnN Ptl3N(W s. 101 b`"% r> Q4/28/2019 259060 I vsn4 - '_'-- - - --- -, s,83nIaa ss �sn f�xs��zi r<, C �'Li fiCCt i p' (7 James M Died e ,. Certiried byVGI - . -veers CPS E PA'prarnin !I po Technician TYed PE UNIVE September3o,to93 J C UNIVERSAL � ?Fy""ed G y 40 e�2 .12 s t ► ' '2308147 8/11/2011 {� E ,. �rtMcete Number President vol rralning.pry )f j i 77m Comwomveakh of Massaclrtrsetts Department of lfndustrid Acddm& Office ofbnwittgadom ' 600 Washington,Street Boston,CIA OZIII rnimmassgovId a Workers' Compensaffin Insurance Affidavit:Bidlders/ContractursJEIec&icians/Plumbers lKan#Inform ataon Please Print LeMMV Name A&4 Address: 2S City/State( .2 /'k-P-PG A/� Are TOO an employer?Checkthe appropriate box: Type of rnject(ret aired}: I.§ I am a employes veitlr 4_ ❑I am a general coaf�c r and I 6. Vem eonst ruction employees(fall anaor paalme).* have lured the suer-contractors 2.❑ I am a sale proptietor or partner- listed on the attached sheet 7- ❑Remodeling strip and have no employees . Thew sub-contractors have 8-.❑Demolition warldng for me in any capacity. employees i and have wodwrs' 9. ❑Building addition c[NO VVDrIMM, amp.insurance comp-tnaararttr 5- ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself[No tivoiloers'cromg- right of ememphon per MGI. 12.❑Roofrepaiis . insurance required.]T c.I52,§1(4),and we have.nD employee's-[No wods' 13.❑Other core_insurance required.) Azyap Hcz3tHeatchezisbaspl—dalsoMoutthesectionbelowsbawmgthe¢vodexec®paL%tinapor¢yinfnmmaidaa li ameowners who submd this aftidam8 in g they ate data.-all weak and then]tire outside contmctots—st mobmit a new affidavit in&catm9 sack ICoattac I that check this boat mast attached tm addiiiaoal sheet showy the name of dhe sd-causcmm and state wheflM or not those entities have employees.If the snh-caatactuts have employee%dLeymotst provide thek warkas'anmp.palicynumber. lam an eiifplayer that is prouidbW workers'cot sadoti insrurance f br mp enrplo jwes Below is 1110 panty arced job ske inInsurance Company Name: � "Policy 4 or se f--ins-I.ic_t � 2 © / EkpirstianDate: 7 Z �� Job Site Addre= 6 ✓"P4�®� City/State zip: Attach a copy of the workers'compensatioitpolicy-declaration page(showing the policy amber and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a flue up to$1,SOa 00 and/or one-year imprisonment,as well as civiil penalties in the form of a STOP WORK ORDER and a tine of ng to$750_00 a day the violator_ Be advised that a copy of this statement may be forwarded to the Office of Irrvesfigatioas ofth9MAY&insurance coverage verification. I do tier c as the ' s d perrafties o,fpaj'ury thatflre inforuu mrpmtmitW abm a is true arrd correct i Date- Phc4k `7 `vIV Y/Mr 'd use only. Do not wrke in thb area,to be completed by city artotrn o,,ffreiQL City or Town: PermidUcense# Ling Authority(circle one): 1.Board of Health 2.•Building Department 3.C9tyfrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: -formation and lastructions NMa,,ccar_]nett Geheaal Laws chapter M mguires all errpIoyers b provide wows'compensation for their empIoyees. Prrsaantto this sty,an esrplayee is drfned as.`�_.every peason in the service of another under aoy comkad ofhire, express or implied,oral or writira." An ernplayer is defined as"an individnal,paxlnership,association,anporation or other legal entity,or any two or more Of.the foregoing imaged is a joint eobxprise,and including the legal representatives of a deceased employer,or the receiver or trastee of an individual,pmtoership,association or other legal entity,employing employees. However the owner of a dweIling house having not more than three apartments and who resides therein,or the,oc�rt oft - dwelling house of anolher who employs persons to do maint man=,construction or repair work:on such dwelling house or on the grounds or building appurtnoz:ot thereto shall not becanse of such emplaymeut be deemed to be an employer"" MGL chapter 152,§25C(6)also sfdcs that"everysfate or local Iicensbzg agency shall withhold$re issuance or renewal of a license or permit to operate a business or to construct bw1dings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally.MGM chapter 152,§25C(7)slates"Neither the commonwealth nor i�oy of its political subdivisions shall enter into,any cantrart for the pafor nance ofpublic wont umtd acceptable evidence of compliance with the msurMce.. requirement s of this dupt!x have been presented to the contracting aurtholaty." = Applicants v ' Please fill out the,workers'compensation affidavit completely,by checldng the boxes that apply to your sitnation and,if necessary,supply sub-contiactar(s)name(s), address(es)and phone number(s)along with their catd—acate(s)of insurance. Limited Liability Companies(LLC)or Limited LiabilityParinenhigs(LLP)with employees other than the members or parfaeas,are not rbqumed to cagy workers' compensation insurance- If an LLC or LL.P does have empIoyees,a.policyisre,#ftt . Be advised that this affidaylt maybe submitted tothb Department oflndustrial Accidents.mr confirmation of insurance coverage. Also be sure to sign and date;.he affidavit The affidavit should beretvmed to the city or town that the application for the peanit or license is being requested,not the Department of T 2dusfrial Accidenfs. Shouldyou have any questions regarding the Iaw or ifyou are regmred to obtain a wormers' compensation policy,please call the Department at the number listed below. Self-rosined ca33panies should entear their s elf-insurance license number on the appropriate line. City or Town Officials Please be sin:a that:the affidavit is complete and pri>ated legibly- The Department has provided a space at the bottom of the affidavit for you to till out in the event the Office of Investigations has to contact your regarding the applicant- Please b e sure to fill in the penm;1 license number which will be used as a reference number. In addition,an applicant that must submit multiple,pennitllicense applilmfians in any.given year,need-only submit one affidavit indicating cua-ent policy information(if necessary)and wader`Job Site Address"the applicant should write"all locations in (may or town)-"A copy of the affidavit drat 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 fatal peumi s-or Hcennses- A new affidavit must be tilled out each year.'Where a home owner or citizen is obtaining a license or permit not relabu d to any bmi,=s ar commercial venues(ie. a dog license or permit to bum leaves etc_)said peuson is NOT regnnred to complete this affidavit The Office of Investigati ons 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: Thu COMMMweattt of Mksmchuwtls , Depalimmt of 1'ridmtdd Accidents �Ce of�t,� fio� �man Sfr>� B MA 0�1II T6-L#617 -4900 laxt 406 or 1-�977-MA&SAM Fax#617-727 7M Revised 4-24-07 RW V-In ga vldia Home Energy Rating Certificate Property HERS I.B.I Construction Company Rating Type: Projected Rating Certified Energy Rater: Chris Mazzola 110 Meadow Lane Rating Date: 03/16/2017 Rating Number: West Barnstable,MA Registry ID: Projected Rating: Based on Plans - Field Confirmation Required. Estimated Annual Energy Cost Use MMBtu Cost Percent HERS Index: 55 Efficient Home Comparison: 45% Better Heating 66.8 $1124 42% General information Cooling 1.9 $100 4% Conditioned Area 3145 sq. ft. House Type Single-family detached Hot Water 12.2 $195 7% Conditioned Volume 30805 cubic ft. Foundation More than one type Lights/Appliances 23.7 $1282 47% Bedrooms 4 Photovoltaics -0.0 $-0 -0% Service Charges $0 0% Mechanical Systems Features Total 104.6 $2702 100% Heating: Fuel-fired air distribution, Fuel oil, 90.0 AFUE. Cooling: Air conditioner, Electric, 13.0 SEER. Criteria Water Heating: Integrated, Fuel oil,0.83 EF, 80.0 Gal. This home meets or exceeds the minimum criteria for the following: Duct Leakage to Outside 123.00 CFM25. 2012 International Energy Conservation Code Ventilation System Balanced: HRV, 57 cfm, 30.0 watts. 2015 International Energy Conservation Code Programmable Thermostat Heat=Yes; Cool=Yes Building Shell Features Ceiling Flat R-38.0 Slab R-0.0 Edge, R-0.0 Under Sealed Attic NA Exposed Floor R-30.0 j =� O Vaulted Ceiling R-37.5 Window Type U-Value: 0.300, SHGC: 0.300 'n Above Grade Walls R-21.0 Infiltration Rate Htg: 2.50 Clg:2.50 ACH50 -vs� Foundation Walls R=12.0 Method Blower door test Certified HERS Raters 03 Energy.Raters of Mass Lights and Appliance Features 180 State Rd Suite#2 upper =3 m Percent Interior Lighting 100.00 Range/Oven Fuel Electric Sagamore Beach,Ma. 02562 .:F 1113 Percent Garage Lighting 100.00 Clothes Dryer Fuel Electric 508-833-3100 ° Refrigerator(kWh/yr) 600 Clothes Dryer EF 3.01 Fax N/A Dishwasher(kWh/yr) 270 Ceiling Fan (cfm/Watt) 0.00 Certified Energy Rater: REM/Rate-Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. m 1985-2016 Noresco, Boulder, Colorado. The Home Energy Rating Standard Disclosure for this home is available from the rating provider. 2015 IECC R-406 Projected RESNERESIDENTIAL ENERGY SERVICES NETWORK Energy Rating Index Report Property Organization Energy Rating Index Information Builder: I.B.I Construction Company Company: Home Energy Raters LLC. Projected Rating Address: 110 Meadow Lane Phone: 888-503-2233 Rater ID:8873503 West Barnstable,MA Rater: Chris Mazzola Date Rated: 03/16/2017 HER nd0 . Estimated Annual Energy Consumption* n More Energy' Rated Home Calculated Rated Home Cost($/yr) Energy Use(MBTU) iao; Heating 66.8 1124 Existing: .: - i3o:. Homes," Cooling 1.9 100 - �zo »o Water Heating 12.2 195 Standard Ioo Lights&Appliances 23.7 1282 so Photovoltaics -0.0 .0 Total 104.6 2702 ThIs Home 55 eo. 'Based on standard operating conditions 46 ERI with PV: 55 30i zo ERI without PV 55 Zp "EneFgy' 10: Home: Annual Estimates Less;Energy: Electric(kWh): 7970 rCO2 Emissions(Tons): 11 Fuel oil(Gallons): 559 nergy Savings ($)": 1750 "Based on the 2015 IECC Energy Rating Index Reference Design Home Maximum Energy Rating Index: 55 . This Home's Energy Rating Index: 55 PASS This home MEETS the Energy Rating Index Score requirements of Section 406 of the 2015 Internation Energy Conservation Code based on a climate zone of 5A. Iri.addition to the Energy Rating Index other mandatory measures must be met. (See Mandatory Requirements on second page.) Name Chris Mazzola Signature Organization Home Energy Raters LLC. Date 21 April 2017 Provider Data and Seal Certified HERS Raters Energy Raters of Mass 180 State Rd Suite#2 upper Sagamore Beach,Ma. 02562 508-833-3100 Fax N/A To determine if a provider is properly accredited go to: www.resnet.us/professional/programs/search_directory REM/Rate-Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. 0 1985-2016 Noresco, Boulder, Colorado. • 'L.s 2015 IECC R-406 Projected RE E S Y RESIDENTIAL NERG SERVICES NETW O.NET Energy Rating Index Report Climate Zone 5A Mandatory Requirements - Requires Field Confirmation Provision Number Topic Compliance Decision 2009 IECC Table Building thermal envelope.minimum insulation levels and maximum fenestration PASS 402.1.1 or 402.1.3 U-factor and SHGC R401.3 Post a permanent certificate listing the level of efficienceies installed in the Certificate required for house CO R402.4 Envelope air leakage maximum leakage rate (3 ACH50 for CZ3-8) PASS R402.4.1/Table Comply with air sealing and insulation requirements in Table R402.4.1;1 Checklist required for CO R402.4.1.1 R402.4.4 Rooms containing fuel-burning appliances ' R402.5 Maximum fenestration U-factor and SHGC PASS R403.1.2 Heat pump controls R405.2 Ducts outside of conditioned space to be insulated to a minimum of R-6 PASS R403.3.2 Duct sealing on all ducts " R403.3.3 Duct testing for ducts in unconditioned space N/A R403.3.5 Building cavities not used as ducts R403.5.1 Heated water circulation and temperature maintenance systems comply R403.5.3 Hot water pipe insulated to R-3 PASS* R403.6 Mechanical ventilation meeting the requirements of the IRC or IMC. Outdoor air and exhaust dampers installed R403.7 ACCA Manual J and S conducted for all heating and cooling systems ACCA Forms Required for permit R403.8 Systems serving multiple dwelling units to meet the mechanical requirements of Does Not Apply the IECC commercial R403.9 Snow melt and ice system controls installed where applicable R403.10 Pools and permanent spa energy consumption meet requirements for heaters, ` time clocks and covers R403.11 Portable spas meet the requirements of APSP-14 ' R404.1 High efficacy lights installed in 75%of permanently installed fixtures PASS 'Rater has verified that all systems are in compliance with IECC rules. REM/Rate-Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. 01985-2016 Noresco, Boulder, Colorado. Page 2 of 2 .: LLCORS . �IN, ' PERFORMANCE TEST Please find attached a Simulated Cost Performance report form REMRate for the project at 110 Meadow Lane, West Barnstable, MA Per 780 CMR 51.00 8th Edition effective 01 JAN17 "Buildings shall be designed and constructed in accordance with the 2015 IECC, as amended by 780 CMR 51.00 sections N1100.1 through N1111.2, as amended" The Concurrency period provision ended 01JAN17, so all new permits must comply with 2015 IECC. 780 CMR 51.00 Section N1101.13 Compliance states that completing section N1105 (R405) and the provisions of sections N1101.14 through N1104 labeled Mandatory satisfies the energy efficiency requirements of 2015 IECC. Section N1105 of 780 CMR 51.00 (2015 IECC section R405) permits using the Simulated Performance Alternative energy analysis as an accepted method of demonstrating performance-based compliance. Section R405.4.2.1 details the items required in the compliance report included with the application for building permit. This report is in compliance with the requirements in section R405.4.2.1. Regards, r tr,, � �' o C. Christopher Mazzola c Certifed HERS Rater# 8873503 `9 o HERS Provider ID ERM-1998-136 fv rn Chris@energycodehelp.com 508-833-3100 II80,•STATE ROAD SUITEIU SAGAMORE BEACH, MA.02562 (5.08) 833-3100`• ENERGYCODEHELP.COM: • INFO@®ENERGYCODEHELP.COM "Ho E EKERGY TE LLC BUILbING PERFORMANCE TESTING. Home Energy Raters LLC We provide energy modeling, building performance testing, energy consulting and rebate administration for customers throughout Eastern Massachusetts and Rhode Island. We have been providing full HERS analysis since 2011 with 9 full time RESNET certified raters with another 6 support personnel to ensure unprecedented levels of support to our customers. Our customers range from homeowners striving for net zero energy buildings to some of the largest production builders in the region searching for the best value in code compliance. We also provide duct leakage testing, infiltration testing (blower door), ASHRAE 62.2 compliance testing, infrared scanning and other diagnostic testing to a variety of contractors throughout Southern New England. We welcome the chance to help you with your projects. 160 STATE ROAD SUITE'2U SAGAMORE BEACH, MA:02562 • ($08) 833-3106• ENERGYCODEHELP.COM: • INFO@ENERGYCOOEHELP;COM BuildingSummary Y Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.big Prapget�y%Bi�i�d' r�infor�na�a�on � `� " Building Name Meadow Lane 110 Owner's Name I.B.1 Construction Company Property Address 110 Meadow Lane City, St, Zip West Barnstable, MA Phone Number Builder's Name I.B.I Construction Company Phone Number (508)888-4102 Email Address ibisandwich@aoLcom Plan/Model Name IECC 2015 Community/Development UDRH2017 Permit Date/Number Organization Name Home Energy Raters LLC. Address 180 State Rd Suite 2U City, St, Zip Sagamore Beach, MA 02562 Phone Number 888-503-2233 Website www.EnergyCodeHeLp.com Rati�g%RESNE�i` fl�for=raatf�i, ,u � �"` Provider ID 1998-136 Sample Set ID 0000 Registry ID Rater's Name Chris Mazzola Rater's ID 8873503 Rater's Email info@EnergyCodeHelp.com Rating Date 03/16/2017 Rating Type Projected Rating Reason for Rating New Home Rating Number REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute.any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Building Summary Property Organization HERS 1.B.1 Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.bIg ._ Genarai�! Bu�ldn'�g nfor�ifni°►tion= Area of Conditioned. Space(sq ft) 3145 Volume of Conditioned. Space 30805 Year Built 2017 Housing Type Single-family detached Level Type(Apartments Only) None Floors on or Above-Grade 3+ Number of Bedrooms 4 Foundation Type More than one type Enclosed Crawl Space Type 'Unvented Number of Stories Including Conditioned Basement 3 Thermal Boundary Location REM Default Foand tior� 1Ma ]n ,anon Name= Library Entry Location Length(ft) Total Depth Height Uo Value Uo Value Height(ft) Below Above Combo" (wall only) Grade(ft) Grade(ft) >garage R121 Uncond 18.0 7.7 6.7 1.0 0.053 0.078 bsmt->garage/gmd Uo Value Combo combines wall;airfilm, and soil path lit Foundation Wall: R121 Type Solid concrete or stone Thickness(in) 10.0 Studs None Interior Insulation Continuous R-Value 12.0 Frame Cavity R-Value 0.0 Cavity Insulation Grade 1 Ins top 0.0 ft from top of wall Ins Bottom 0.0 ft from bottom of wall Exterior Insulation R-Value 0.0 Ins top` 0.0 ft from top of wall REM/Rate- Residential Energy Analysis'and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 2 of 11 1 Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.bIg Ins bottom 0.0 ft below grade Note Added AP 11/14/05 Name Library Entry Area(sq ft) Depth Below Full Exposed On-Grade Grade(ft) Perimeter(ft) Perimeter(ft) Perimeter(ft) slab on grade Uninsulated slab" 204 0.0 80 40 40 slab below grade Uninsulated slab" 298. 1 6.7 88 0 0 Ell IN; Lfibarl~st Slab Floor: Uninsulated slab** Slab Covering Tile Perimeter Insulation (R-Value) 0.0 Perimeter Insulation Depth (ft) 0.0 Under-Slab Insulation (R-Value) 0.0 Under-Slab Insulation Width (ft) 0.0 Slab Insulation Grade 1 Radiant Slab Yes Note lECa_ ,8.t'fI O Ir f i on Name Library Entry Location Area(sq ft) Uo Value >basement R30,FG,12-16 Btwn cond ft uncond 1063 0.035 bsmt >garage R30,FG,12-16 Btwn cond It garage 676 0.035 >ambient R30,FG2,10-1.6 Btwn cond ft ambient 72 0.041 91. Floor: R30,FG,12-16 Information From Quick fill Screen Continous Insulation R-Value 0.0 Cavity Insulation R-Value 30.0 Cavity Insulation Thickness (in.) 10.0 Cavity Insulation Grade 1 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page,3 of 17 Building Summary Property Organization HERS 1.B.1 Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.1 Construction Company Meadow Lane 110 Pre-REM.bIg ZONE Frarne�Ftoo Li �aty Joist Size Size (w x h, in) 1.5 x 11.3 Joist Spacing (in oc) 16.0 Framing Factor- (default) 0.1300 Floor Covering HARDWOOD Note Entry for confirmed REM reports Floor: R30,FG2,10-16 Information From Quick Fill Screen Continous Insulation R-Value 0.0 Cavity Insulation R-Value 30.0 Cavity Insulation Thickness (in.) 10.0 Cavity Insulation Grade 2 Joist Size (w x h, in) 1.5 x 10.0 Joist Spacing (in oc) 16.0 Framing Factor- (default) 0.1300 Floor Covering HARDWOOD Note Name Location Areal ft) Continuous Framed Cavity Ins Joist Insulation Uo Value Ins Cavity Ins Thk(in) Spacing Grade 1st>2nd ft Blcokers Cond -> 36.00 0.0 20.0 5.5 16.0 2 0.055 ambient 1st>2nd ft runners Cond -> 46.00 21.0 0.0 0.0 16.0 2 0.040 ambient A{i;\/♦ �i{�� i�' �. n � �I - 8 .i Yen - d.p .� - Name Library Entry Location Exterior Color Areal ft) Uo Value AWGs. 1121,FG,6-16 Cond -> ambient Medium 1713.90 0.058 >garage R21,FG,6-16,G2 Cond -> garage Medium 145.50 0.064 fd wall above grade R21,FG,6-16 Cond > ambient Medium 528.70 0,058 gable walls R21,FG,6-16,G2 Cond > ambient Medium 353.70 0.064 >attic R15,FG,4-16,+5 Cond > attic Medium 33.00 0.053 >unfinished base R15,FG,4-16 G2 Cond > uncond bsmt Medium 460.00 0.084 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. 0 1985-2016 Noresco, Boulder, Colorado. Page 4 of 17 Building Summary Property Organization HERS I.B.1 Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.big Atsove�-Cade �; alt�b�braryy�List -� � � _ _ Above-Grade Wall: R21,FG,6-16 Information From Quick Fill Screen Wall Construction Type Standard Wood Frame Continuous Insulation (R-Value) 0.0 Frame Cavity Insulation (R-Value) 21.0 Frame Cavity Insulation Thickness (in) 5.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 5.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note Entry for confirmed REM reports Above-Grade Wall: R21,FG,6-16,G2 Information From Quick Fill Screen Wall Construction Type Standard Wood Frame Continuous Insulation (R-Value) 0.0 Frame Cavity Insulation (R-Value) 21.0 Frame Cavity Insulation Thickness (in) 5.5 Frame Cavity Insulation Grade 2 Stud Size (w x d, in) 1.5 x 5.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note Entry for confirmed REM reports Above-Grade Wall: R15,FG,4-16,+5 Information From Quick Fill Screen Wall Construction Type Standard Wood Frame Continuous Insulation (R-Value) 5.0 Frame Cavity Insulation(R-Value) 15.0 Frame Cavity Insulation Thickness (in) 3.5 Frame Cavity Insulation Grade 1 Stud Size (w x d, in) 1.5 x 3.5 Stud Spacing (in o.c.) 16.0 r REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. ©1985-2016 Noresco, Boulder, Colorado. Page 5 of 17 Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.big Above Gll=ade 1Naltkib aryst Framing Factor- (defined) 0.1900 Gypsum Thickness (in) 0.5 Note Entry for confirmed REM reports Above-Grade Wall: R15,FG,4-16 G2 Information From Quick Fill Screen Wall Construction Type Standard Wood Frame Continuous Insulation (R-Value) 0.0 Frame Cavity Insulation (R-Value) 15.0 Frame Cavity Insulation Thickness (in) 3.5 Frame Cavity Insulation Grade 2 Stud Size (w x d, in) 1.5 x 3.5 Stud Spacing (in o.c.) 16.0 Framing Factor- (default) 0.2300 Gypsum Thickness (in) 0.5 Note Entry for confirmed REM reports Overhang Interior Adjacent Name Wall Orient U-Value SHGC Area Depth To Top To Btm Winter Summer Winter Summer Assignment (sgft) (ft) (ft) (ft) Shading Shading Shading Shading Front AGWall1 South 0.300' 0.300 13.50 0.0 0.0 0.0 0.85 0.70 None None Front awning AGWall 1 South 0.300 0.300 21.30 0.0 0.0 0.0 0.85 0.70 None None Front shaded AGWaLL 1 South 0.300 0.300 10.10 6.0 0.0 4.0 0.85 0.70 None None dh Front shaded AGWatt 1 South 0.300 0.300 20.80 5.0 0.0 3.4 0.85 0.70 None None fixed Right AGWall1 East 0:300 0.300 26.90 0.0 0.0 0.0 0.85 0.70 None None Right fd AGWaLL 3 East 0.300 0.300 28.70 0.0 0.0 0.0 0.85 0.70 None None windows Right gable AGWatL 4 East 0.300 0.300 13.50 0.0 0.0 0.0 0.85 0.70 None None dh Rear AGWall1 North 0.300 0.300 73.00 0.0 0.0 0.0 0.85 0.70 None None Rear shaded .AGWatt 1 North 0.300 0.300 10.20 14.0 0.0 4.0 0.85 0.70 None None dh Rear sliders AGWaLL 1 North 0.300 0.300 207.50 0.0 0.0 0.0 0.85 0.70 None None REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information,does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 6 of 17 r Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.big W�f)t� �t1�Oifi18��3- - Overhang Interior .Adjacent Name Wall Orient U-Value SHGC Area Depth To Top To Btm Winter Summer Winter Summer Assignment (sgft) (ft) (ft) (ft) Shading Shading Shading Shading Rear fd AGWall 3 North 0.300 0.300 11.10 0.0 0.0 0.0 0.85 0.70 None None windows Rear fd AGWaII 3 North 0.300 0.300 7.10 0.0 0.0 0.0 0.85 0.70 None None awning Rear I'd slider AGWaLt 3 North 0:300 0.300 124.50 0.0 0.0 0.0 0.85 0.70 None None Left gable dh AGWatt 4 West 0.300 0.300 13.50 0.0 0.0 0.0 0.85 0.70 None None Name- Library Entry Wall Assignment Opaque Uo Value R-Value of Storm Door Area(sq ft) Opaque Area Front ThermTruOpaqueF w/o AGWaLL 1 40.0 0.131 6.7 No Rear ThermTruOpaqueF w/o AGWall1 20.8 0.131 6.7 No bulkhead>ambient ThermTruOpaqueF w/o AGWatt 3 20.0 0.131 6.7 No >unfinished base ThermTruOpaqueF w/o AGWa116 16.7 0.131 6.7 No >garage ThermTruOpaqueF w/o AGWalt 2 17.8 0.131 6.7 No Name Library Ceiling Roof Exterior Radiant Type Uo Value Cement or Roof Tile Entry Area(sq ft) Area(sq ft) Color Barrier Clay Tiles Ventilation Attic flat R38,CE10,10-1 1267.00 1583.75 Medium No Attic 0.030 No No Vaulted R34,LDF1,10-1 1477.00 1477.00 Medium No Vaulted 0.029 No No ceiling 0"" Ceiling: R38,CE10,10-16, Information From Quick Fill Screen Continous Insulation (R-Value) 2.0 Cavity Insulation (R-Value) 36.0 Cavity Insulation Thickness (in) 10.0 Cavity Insulation Grade 1 Gypsum Thickness (in) 0.500 Insulated Framing Size(w x h, in) 1.5 x 10.0 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 7 of 17 Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.1 Construction Company Meadow Lane 110 Pre-REM.big SIR RoafLil%rary tint Insulated Framing Spacing (in o.c.) 16.0 Framing Factor- (defined) 0.1312 Ceiling Type Attic Note Ceiling: R34,LDF1,10-16,C 0** Information From Quick Fill Screen Continous Insulation (R-Value) 3.6 Cavity Insulation (R-Value) 33.9 Cavity Insulation Thickness (in) 9.3 Cavity Insulation Grade 1 Gypsum Thickness (in) 0.500 Insulated Framing Size(w x h, in) 1.5 x 9.3 Insulated Framing Spacing (in o.c.) 16.0 Framing Factor- (default) 0.1412 Ceiling Type Vaulted Note quick-fill by MP 12/15/05 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 8 of 17 Building Summary Property Organization HERS 1.B.1 Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.big Meat. nice qupflaent Number of Mechanical Systems 4 Heating SetPoint(F) 68.00 Heating Setback Thermostat Present Cooling SetPoint(F) 78.00 Cooling Setup Thermostat Present SystemType Fuel-fired air distribution Fuel Type Fuel oil Rated Output Capacity (kBtuh) 100.0 Seasonal Equipment Efficiency 84.0 AFUE Auxiliary Electric 971 Eae Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 100 r System Type Air conditioner Fuel Type Electric Rated Output Capacity (kBtuh) 18.0 Seasonal Equipment Efficiency .13.0 SEER Sensible Heat Fraction (SHF) 0.70 Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 50 Water Heater Type Integrated Fuel Type Fuel oil REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. © 1985-2016 Noresco, Boulder, Colorado. Page 9 of 17 Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.blg . Meck� nc�t �quipment - E, Energy Factor 0.77 Recovery Efficiency 0.84 Water Tank Size (gallons) 40 Extra Tank Insulation (R-Value) 0.0 Note Number Of Units 1 Location Uncond bsmnt/enclosed crawl Performance Adjustment 100 Percent Load Served 100 System Type Air conditioner Fuel Type Electric Rated Output Capacity (kBtuh) 18.0. Seasonal Equipment Efficiency 13.0 SEER Sensible Heat Fraction (SHF) 0.70 Note Number Of Units 1 Location Conditioned area Performance Adjustment 100 Percent Load Served 50 All bath faucets Et showers<=2gpm true All DHW pipes fully insulated >= R-3 true Recirculation type None (standard system) Farthest fixture to DHW heater 57 TOTAL Pipelength for longest DHW run 87 DWHR unit present? false DHW Diagnostics dhwGpd 49.39 peRatio 0.92 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 10 of 17 I Building Summary Property Organization HERS I.B.1 Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.big D Efcieeoil dishwasherGpd 2.44 clothesWasherHotWaterGPD -0.09 EDeff 0.97 ewaste 27.03 tmains 56.80 dwhrWhlnletTempAdj 0.00 pumpConsKwh 0.00 pumpConsMmbtu 0.00 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 11 of 17 Building Summary Property Organization HERS I.B.1 Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 1.B.1 Construction Company Meadow Lane 110 Pre-REM.blg Name 1st duct Conditioned Floor Area(sq ft) 2065.0 #of Returns 2 Heating System Oil Hyd-air,_, 84% Cooling System ACC, 18K, 13 SEER Supply Duct Surface Area(sq ft) 209.1 Return Duct Surface Area(sq ft) 77.4 Duct Leakage Qualitative Assessment Not Applicable Duct Leakage to Outside Supply+Return 82.00 CFM @ 25 Pascals Supply Only Not Applicable Return Only Not Applicable Total Duct Leakage 82.00 CFM @ 25 Pascals Duct Tightness Test Postconstruction Test Type Location Percent Location R-Value Supply Unconditioned basement 50.0 6.0 Conditioned space 50.0 6.0 Return Unconditioned basement 50.0 6.0 Conditioned space 50.0 6.0 Name 2nd duct Conditioned Floor Area(sq ft) 1080.0 #of Returns 2 Heating System Oil Hyd-air,_, 84% Cooling System ACC, 18K, 13 SEER Supply Duct Surface Area(sq ft) 109.4 Return Duct Surface Area(sq ft) 40.5 Duct Leakage Qualitative Assessment Not Applicable Duct Leakage to Outside Supply+Return 43.00 CFM @ 25 Pascals REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 12 of 17 Building Summary Property Organization HERS I.B.1 Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.bIg IiP DutYsems: Supply Only Not Applicable Return Only Not Applicable Total Duct Leakage 43.00 CFM @ 25 Pascals Duct Tightness Test Postconstruction Test Type Location Percent Location R-Value Supply Conditioned space 100.0 6.0 Return Conditioned space 100.0 6.0 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. ©1985-2016 Noresco, Boulder, Colorado. Page 13 of 17 Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.I Construction Company Meadow Lane 110 Pre-REM.big In it ra o and Nl _hanical VNK' 3t do „ Whole House Infiltration Measurement Type Blower door test Heating Season Infiltration Value 3.00 ACH @ 50 Pascals Cooling Season Infiltration Value 3.00 ACH @ 50 Pascals Shelter Class 4 Code Verification Tested Mechanical Ventilation for IAQ Type Balanced Rate(cf m) 57 Sensible Recovery Efficiency(%) 66.00 Total Recovery Efficiency(%) 33.00 Hours per Day 24.0 Fan-Power(watts) 30.00 ECM Fan Motor false Ventilation Strategy for Cooling Cooling Season Ventilation Natural Ventilation REWRate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 14 of 17 Building Summary , Property Organization, HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 1.B.1 Construction Company Meadow Lane 110 Pre-REM.bIg IF); s,and A_1p11a � en Rating/RESNET audit Ceiling Fan CFM / Watt 0.00 Refrigerator kWh/yr 600 Refrigerator Location Conditioned Range/Oven Fuel Type Electric Induction Range No Convection Oven No Dishwasher Energy Factor 0.00 Dishwasher kWh/yr 270 Place Setting Capacity 12 Clothes Dryer Fuel Type Electric .Location Conditioned Moisture Sensing No Energy Factor 3.01 Gas Energy Factor 2.67 Clothes Washer Location Conditioned LER (kWh/yr) 96 MEF 3.410 Capacity (CU.Ft) 3.810 Electricity Rate 0.11 Gas Rate 1.22 Annual Gas Cost 11.00 Qualifying Light Fixtures Interior CFLs% 100.0 Interior Fluorescent% 0.0 Exterior Lights% 100.0 Garage Lights% 100.0 REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. ©1985-2016 Noresco, Boulder, Colorado. Page 15 of 17 Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 I.B.1 Construction Company Meadow Lane 110 Pre-REM.big a- IECC Requirements Verified IECC 04 false Verified IECC 06 false Verified IECC 09 false Verified IECC 12 true Verified IECC 15 true Verified NY-ECCC 2010 false Verified IECC MI false EPA Requirements Rater certifies that the home complies with the following requirements for: None Rater Design Review Checklist(National) Rater Field Checklist(National) HVAC Design Report HVAC Commissioning Checklist (optional) ENERGY STAR Version 3 Appliances Amount Refrigerators 1 Ceiling Fans 0 Exhaust Fans 0 Dishwashers 1 ENERGY STAR Version 3 Basements Basement Wall Area 50% Below Grad: false Basement Floor Area 0.00 2009 IECC Prescriptive Requirements for ENERGY STAR v3.0 false Slab Insulation Exemption: false Indoor airPlus Verification Checklist false EPA Field App ID REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 16 of 17 Building Summary Property Organization HERS I.B.I Construction Company Home Energy Raters LLC. Projected Rating 110 Meadow Lane 888-503-2233 03/16/2017 West Barnstable, MA Chris Mazzola Rater ID:8873503 Weather:Barnstable AP, MA Builder Meadow Lane 110 1.B.1 Construction Company Meadow Lane 110 Pre-REM.big 00. ero Energy Ready Hame ' hMEMM Home Builder ID Number Mandatory Requirements Verified Fenestration false Verified Insulation false Verified Duct Location false Verified Appliance false Verified Lighting false Verified Fan Efficiency false Verified Water Efficiency false Verified EPA Indoor airPLUS false Verified Renewable Energy Ready Solar Electric false Optional Home Builder Commitments for Recognition Certified under the EPA WaterSense for New Homes Program No Certified under the IBHS fortified for Safer Living Program No Followed the DOE Zero Energy Ready Home Quality No Management Guidelines The buyer of this home signed a waiver giving DOE Zero Energy No Ready Home access to utility bill data for one year. lax- Ye Solar _ System Type None Collector Loop Type None Collector Type None Collector Orientation None Area(sq ft) 0.0 Tilt(degrees) 0.0 Volume(cu ft/gal) 0.0 EftW has been 'Rater Reviewed-Does Not Apply" REM/Rate- Residential Energy Analysis and Rating Software v15.3 This information does not constitute any warranty of energy cost or savings. O 1985-2016 Noresco, Boulder, Colorado. Page 17 of 17 A{-VC Guide to Wood Construction in High Wind Areas: 110 ntph Wind 'lone Massachusetts Checklist for Corn liance (780 CMR 5301.2.1.1)' BUILDING DEPT 0 Check Compliance 1.1 SCOPE APR 0 7 2017 WindSpeed(3-sec.gust).................................................................. ................................................ 110 mph Wind Exposure Category..................................................... B TOWN U��f31�1��VSTAi�Ct........................... 1.2 APPLICABILITYie- ''y'= Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories 5 2 stories ✓ ✓ RoofPitch ..................................................:........................(Fig 2) .................................1p.. . 12:12 it Mean Roof Height ......................:.......................................(Fig 2)..................................2a ...... _te ft 5 33' r/ Building Width,W ...............................................................(Fig 3).................................2..4?.....3 1—ft s 80, Wiz✓' BuildingLength, L...............................................................(Fig 3).................................:Uv........ _ s 80, Building Aspect Ratio(L/W) ...............................................(Fig 4)....................................I........ .1, _3:1 7 Z►O Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................L-b s 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... V�z 2.1 FOUNDATION j Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........................................................I..................................................................... V 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)........................................4.A. Z ) in. Bolt Spacing from endloint of plate.............................(Fig 5).................................... to- in.5 6"-12" ✓ ✓ Bolt Embedment-concrete..................,......................(Fig 5).................................................-7 in.z 7" f_sue Bolt Embedment-masonry................... (Fig )............................................ in.a 15" Plate Washer................................................................(Fig 5)..............................................?3"x 3"x'/4" ✓ i� 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)............:...................... , Maximum Floor Opening Dimension...................................(Fig 6)............... .......................... .....FO ...........=K1ft 512 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................... ✓ / Maximum Floor Joist Setbacks ✓/ Supporting Loadbearing Walls or Shearwall................(Fig 7).....................................................a ft s d f" Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... Oft s d Floor Bracing at Endwalls....................................................(Fig 9).................................................................... ✓ Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).......................*ifi .Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55 ....................... in.Floor Sheathing Fastening..................................................(Table 2).. 6 d nails at in edge/ << eld 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)................R7n.k..$�ft s 10, Non-Loadbearingwalls................................................(Fig10 and Table 5 !rn`....E7 ft s 20, c/ ✓� Wall Stud Spacing ...................:....................................(Fig 10 and Table 5)...................i C e in.s 24"o.c. ✓ ✓/ Wall Story Offsets ......:................................................(Figs 7&8)............................................ Oft s d c/ 4.2 EXTERIOR WALLS3 Wood Studs L/ Loadbearing walls........................................................(Table 5)...2xc.......�.- 2x_6,- Oft I in. Non-Loadbearing walls................................................(Table 5)..............................2x to- '2 ft T in. Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)................................................................. WSP Attic Floor Length................................................(Fig 11)............................................. ft 2:W/3 Gypsum Ceiling Length(if WSP 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 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bay0 Double Top Plate Splice Length ........................................................(Fig 13 and Table 6).................................... ft Splice Connection(no.of 16d common nails)...:..........(Table 6)............................................At 0......C AWC Guide to Wood Construction in High Wind Areas: I10 niph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' Loadbearing Wall Connections G Lateral(no.of 16d common nails)................................(Tables 7)..................................................... _tL Non-Loadbearing Wall Connections / Lateral(no.of 16d common nails)................................(Table 8)....................................................... �/ V Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. g ft o in.5 11' ✓Sill Plate Spans ........................................................(Table 9)................................... c ft LZ in.5 11' ✓✓ Full Height Studs (no.of studs)....................................(Table 9)................................:...................... "_7 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) / Header Spans.............................................................(Table 9)..................................=ft — in.512' Sill Plate Spans...........................................................(Table 9)..................................=ft=.in.s 12" Full Height Studs(no. of studs)....................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Cl/ Nominal Height of Tallest Opening2 .............................................................................( s 6'8" ./ SheathingType.... .........................................(note 4)..................................................... y t/ Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................1, in. ;/ ✓� Field Nail Spacing..........................................(Table 10)................................................. in. ✓-� Shear Connection(no. of 16d common nails)(Table 10)............................................ . _ r/ Percent Full-Height Sheathing.......................(Table 10)........................................: .. ...rJ % 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... L_�1'_/ Maximum Building Dimension, L Nominal Height of Tallest Opening a......................................................................(� 5 6'8" SheathingType..............................................(note 4)....................................................lax ✓ . Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................1,0 in. Field Nail Spacing..........................................(Table 11).................................................In- in. Shear Connection(no. of 16d common nails)(Table 11)......................... ......................... l4/ Percent Full-Height Sheathing.......................(Table 11)...........................................:.:3.....:1 % ✓ell 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. .........:..................................................... ✓ V 5.1 ROOFS � .1-1/ Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ...........V ft s smaller of 2'or U3 ✓✓ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)..................` ..............U='k� pif I/i✓ Lateral............................:................(Table 12).............................................L=FTU Pff Shear...............................................(Table 12)............................................S= pif 7 Ridge Strap Connections,if collar ties not used per page 21... (Table 13).........VT...................T= " pif _ Gable Rake Outlooker..........................................(Figure 20) ............. 6 ft s smaller of 2'or U2 v Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift...:............................................(Table 14)............................................U= lb. Lateral(no. of 16d common nails)...(Table 14).......................................L= lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 aN 59)............ Roof Sheathing Thickness........................................... ............................................5!a in.z 7/16"W^SP Roof Sheathing Fastening.............................................(Table 2)......................................................... .S& 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. Comer 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. SMOKE DETECTORS EVIEUVp C' BARNSTABLE BUILDING DEPT. DA E - _ I FIRE DEPARTMENT DATE EM BOTH SIGNA7URFS Af'E REQl1lRED FOR PERMI MNG Emil EHB 'SoO:t3'O'S�-tiZeVS 1. 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I r cl `: sl In r L Z 4 s I� .n S. is �O ! V, ;'�. !� ;` kl K�. x •� UU ,� U aU u u;� .� U � � . m rl Z Z Z T z i,i Lt. rT 81 N •N 'N W ItP a N "�; N � � I''1 ° - i r � _ i oG IX c ..� `P - oZli� 0 p I � D � Ebro .0 •' e r� u u�''�3 'I •L»!; !��• ND-°,� - Z$�rS ��N , y a � mm � r ' � �i• �-0{ npI .1 31 — c sr s F I ,. � o� 6�� aft IQ � ..' I (A�' ��x o�� ',� C, � cfn is Iq I; i�,,gin- I,, m@ p •0 �j I'q �, 'f Q��, c .� ✓0� I C0 I' III =stl 10 fp m m o�' S i -asp �.n cr n O F I f r� m� J •'� p� L � f .h D f s � � .�!9 � � i s i �SI• � f r t n ULu ! �• � I Z� a.�in N ,� s � i� � f 4 MEADOW LANE 22.52 22.22 Edge 22.35 of 2238 Pvrsnent eoa0 22.51 4�• 2281 CB 4 K ND _ 22.19 N 5142 20' E 160.On' 7. 6 LOCUS N BENCHMARK PROPOSED WELL 4.1 ` ` , n Spy TOP CONC. BOUND 12' (GREATER THAN 150' c D Ft`tD49Ati,, '� �od�O EL=22.41 TO ANY ABUTING WELL) y \ ' -�t cK�ooe �� /--2 ��a�iy�`t`7Ft L P�ael ego �,oey 22.77 x 23.Saeio �Lo t x 24.6 Q x 2•Q4e S� U x 25.10 �oQ�e 79,416t S.F. /2 1.8t Acre x 90 MBLU 133-024 LOCUS MAP x 25.23 � NOT TO SCALE Z ••x 5.9 1LEGEND x 25.63 _-16 -- EXISTING CONTOUR ivo 2� . N \ x 14.32 EXISTING SPOT GRADE O oo p v DRINKING WATER WELL o .4I W PROPOSED WATER SERVICE 24.76 ° -\/--TOP COASTAL BANK x 26.89 TP-4 ----- COASTAL BANK BUFFER TP-2 2 .63 •� ----- WETLAND LINE & BUFFER x TP-3 "•Q` BVW-7 x � x :.'.3 1 • WETLAND FLAG c. 27b� 27.58 :" x 26.80 .1I I. TP-1 - WETLAND SYMBOL P TEST PIT R gDIUS 27.90 OOSfO o ' PROPOSED S.A.S. OP x 25.02 x 28.3s7� 12•8' 3-500 GALLON CHAMBERS x� ? SURROUNDED W/4' STONE PROPOSED I� z iv ,RESERVE S.A.S. 27.13 OM ' o o p1U5 FR .. 1 � L �� •' •� M x•.. r> 1g0' STING YrEV- INST �J NS rKaM 7Q AT MID POLL INT OFTO ROE Rp0L CB DN FND UP .3 SPIKE T �� G 4.37 \x25.91 8.i1 ;;Lai 15 �1N 81 CB DH FND GND 6.44 �h 0` \ F�M V 100' RINS G , EX. S.A.S. EX1 ;c:27,o (� 23.82 25.94 �O EX. S.A.S. ,op`�\S�� o 2 37 x O k` 25. 4.02 4.93 _ O OP ' �. q ...s .G;.�i:i`.. w•r. "°:'-. 24.43 t£ , EX. SEPTIC TAN HOUSE#94 Yr ;- 84. x 334 �3 t .65,1 • a: qt �..tiy 17- I :,,•:^Z,.' k•=" a-z' : ti'� f:'• it ,-yam Xt _'r k�Ra=. L+-•1t�. �„ti.'•�'!•'�i.:•-'{![� .'.:> 7� ::;tin"`.{r. oTOP .:a�-�r'- .� .r'=.:--•:� ;`�.._ .�.;^� :,:.�.-,,:'• EX. S.A.S. WORK LIMIT(TYP.) 1 0 '°'� '� W -:r•r. _ _}: HOUS �. "' MADEP OAST " ~-. PO C. GARAG ,w�32'1, '� EXIST. WELL E126 EXIST. WELL -.4 " � T.O.S.=27.4 PER SEPTIC AS-BUILT PROPOSED x 2"•3 :''' �' 23.11 ydOUSE 19.83 s-'r i:�' -1 -\ ::::� U1' 1 T.O.F.=2 .2 POR _. s:• '*'jM`; Ass, o '3 TERRY cyo ,�=`? DECKANN ` 4`>• .�j�y�y.;, rn o WARNER � '.:;_ -,� •; oo `� ,n• =. .':,`.�'0 4 �i_•; :�:.:..•_� .w -�.•K'_'.y22.44 ti o No. 38721 =� ti li ` • ti " PROPOSED CLEARED AREA ,`� '' � SOU ��.,-. ' =��::- -_1- '•.`c��p- •'yap::•�••' "�='s•!:•� FOR LAWN & LANDSCAPING F1 'QfG/STE � x 17.22 MODE., TO.� 1 C � j ,6 "- �•ate :•_�(,:,,.-, ' < / �•20.2h� /i-v+:�yi=h^•. •. --r�'-� � � :r'_ :' =,r �;=A�•� WORK LIMIT(TYP.) x 17 D.c\ �l•^.:-sro`•'.'` .9.83:: �:. F•:'+� 'v �' ti(�. ` ffgg 'TRANSECT NQP SET 2� �.y,1•:\`:: -,o:=;,> 62 � 11 ANSECT` Y•' i,AR 4 ;.�;c o PETER T. McENTEE o0 .6.31, 16.os `P y,..:, :as• F / -• C7 `C3 CT ND.1 v CIVIL "' CIO, TRE`•`\7 S�� -J� / ` x 18 1 No. 35109 ,yq��p ST �: REPSTE �� BVW+O 10 EN?"---- pC�/C r' 1-1x 163�� `y,�/?93 I153 BVW 9 y \ TRANSECT 1 I• Q `4 � q.40 C •\ Z0N 4.- ^/C 15.42• 15.35 RANSECT / BVW-0 START FLOOD DESIGNATION mob �Eo, 'C � f MAP NO. 25001 CO534J / \ o / x 13.a ,12/ EFFECTIVE DATE: JULY 16, 2014 `;' ' 1BVW P• ZONE AE(EL14) & ZONE X > �c�. rRgdsELt' - f /"sVW z TRA S T WATER ELEV T ��'T 9.66 ��!! ' ZONING CLASSIFICATION: ZONE RF \ \ �co WETLAND CONSULTANTS ' '-•-� SETBACKS: FRONT YARD=30' SABATIA, INC. \ /i0.3s� N� ./'�. 107Da Biols SIDE/REAR YARD=15' 21 Observatory Hill Rd MAXIMUM BUILDING HEIGHT = 30' Pocasset, MA 02559 BVW s WIND EXPOSURE CATAGORY: Exposure B (508) 563-5349 x*7.05 9.85 VEGETATED WETLAND TRANSECT-0 WATER ELEV Engineering by Surveying by: SCALE PRAWN gag NO. PROPOSED SEPTIC SYSTEM SITE PLAN � Engineering Works,Inc. WARNER SURVEYING 1"=40' P.T.M. 170-15 12 West Crossfield Road 22 Long Road Forestdale, MA 026" Harwich, MA 02645 DATE CHECKED SHEET N0. 110 MEADOW LANE WEST BARNSTABLE MA (508) 477-5313 (508) 432-8309 12/5/16 P.T.M. 1 of 2 Prepared for: Matthew O'Connell, 126 Meadow Ln., W. Barnstable, MA 02668 A I NOTE: TO PREVENT BREAKOUT, THE PROPOSED FINISH GRADE SHALL NOT BE < EL:23.7 FOR A DISTANCE OF 15' AROUND THE PROPOSED SEPTIC TANK PROPOSED D-BOX PERIMETER OF THE S.A.S. INSTALL RISERS & COVERS OVER INLET AND INSTALL WATERTIGHT RISER & PROPOSED S.A.S. OUTLET. SET TO 6" OF FINISH GRADE. COVER SET TO 6" OF GRADE. PROVIDE ONE ACCESS MANHOLE TO WITHIN 3" INSTALL CLEANOUT TO GRADEJ OF FINISH GRADE FOR INSPECTION PURPOSES. T.O.F.=28.2 AT MID POINT OF PIPE RUN F.G. EL: 27.3t F.G. EL.-27.4 F.G. EL.=26.8t F.G. EL: 27.0t MAINTAIN 2% GRADE (MIN.) OVER S.A.S. L = 24' L = 109' L = 23'(MAX.) ® SCH4 (MIN.) p S=1% (MIN.) p S=1% (MIN.) 4"SCH40 PVC _ 4"SCH40 PVC 4"SCH40 PVC 6" to"I . as as ME 14. 6 aaa�maa aaaamaa INV.=24.95 48" LIQUID amaaama LEVEL 4' 4.8' 4' 25.20 GAS' BAFFLE ' INV.=23.60 PROPOSED INV.=23.43 . . INV.=24.70 D-BOX EFFECTIVE WIDTH = 12.8' AM • INV.=23.20 PROPOSED SEPTIC TANK 3-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN H-20 RATED TOP CONC. ELEV.=24.3f BREAKOUT ELEV.=23.70 INV. ELEV.=23.20 OUR Baca mama ff mamma amass mama mamma NOTES: BOTTOM ELEV.=21.20 1) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND TRUE 4' 3 X 8.5'=25.5' 4' TO GRADE ON A MECHANICALLY COMPACTED 6" CRUSHED 5' MIN. ABOVE BOTTOM .OF EFFECTIVE LENGTH = 33.5' BASE, AS SPECIFIED IN 310 CMR 15.221(2). T.P. EXCAVATION OR G.W. 2) INSTALL INLET & OUTLET TEES AS REQUIRED. LEACHING SYSTEM SECTION NO GROUNDWATER, EL.=16.2 - 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 3/4' TO 1-1 2 DOUBLE AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. / WASHED STONE 3" LAYER OF 1/8" TO 1/2" SEPTIC SYSTEM PROFILE DOUBLE WASHED STONE (OR APPROVED FILTER FABRIC) N.T.S. GENERAL NOTES: SOIL LOG 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: APRIL 24, 2014 (REF#14,340) 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL EVALUATOR: PETER McENTEE SE#1542 OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE WITNESS: DONNA MIORANDI R.S. LOCAL RULES AND REGULATIONS. HEALTH AGENT 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER. ELEV. TP- 1 DEPTH ELEV. TP-2 DEPTH 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING - FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 27.2 A 0" 27 5' A 0" ENGINEER BEFORE CONSTRUCTION CONTINUES. LOAMY SAND LOAMY SAND 5. ALL ELEVATIONS BASED ON NAVD88. 26.5 10YR 4/2 26.8 10YR 4/2 B 8.. B 8., 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF LOAMY SAND THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF LOAMY SAND 8 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 10YR 5/8 10YR 5/8 7. WATER SUPPLY PROVIDED BY PRIVATE WELL. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 24.7 30" 24.8 32" C C PERC 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS 26'/44' AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE DIRECTED BY THE APPROVING AUTHORITIES. 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY F-M SAND F-M SAND THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING 2.5Y 6/6 2.5Y 6/6 CONSTRUCTION. 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE INSPECTED BY A LICENSED SOIL EVALUATOR PRIOR TO BACKFILL. 16.2 132" 16.5 132" 13. ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC IN. SYSTEM COMPONENTS NOT SHOWN ON THE PLAN. PERC RATE <2 MIN/ ("B..&"C") HORIZON) DESIGN CRITERIA ELEy. TP-3 DEPTH ELEV. TP-4 DEPTH NUMBER OF BEDROOMS: 4 27.3 A 0" 27.5 A 0" SOIL TEXTURAL CLASS: CLASS I LOAMY SAND LOAMY SAND 266 10YR 4/2 .. 26 8 10YR 4/2 . 8 DESIGN PERCOLATION RATE: <2 MIN/IN g g 8" (0.74 GPD/SF LOADING RATE). LOAMY SAND LOAMY SAND DAILY FLOW: 440 GPD 10YR 5/8 10YR 5/8 DESIGN FLOW: 440 GPD 24.7 31" 25.0 30" GARBAGE GRINDER: NO C C PERC LEACHING AREA REQUIRED: (440 GPD) = 594.6 SF 24"/42' .74 GPD/SF PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY PROPOSED DISTRIBUTION BOX: 1 INLET, 3 OUTLETS MED. SAND MED. SAND USE 3-500 GALLON LEACHING CHAMBERS IN SERIES 2.5Y 6/6 2.5Y 6/6 SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES SIDEWALL AREA: 2(12.8' + 33.5') X 2 = 185.2 S.F. BOTTOM AREA: 12.8' x 33.5' = 428.8 S.F. TOTAL AREA:..............................................................614.0 S.F. 16.3 132" 16.5 132" DESIGN FLOW PROVIDED: 0.74 GPD/SF(614.0 SF) = 454.4 GPD PERC RATE <2 MIN ("C" HORIZON) NO GROUNDWATEE RR ENCOUNTERED Engineering by: Surveying by: SCALE DRAWN JOB. NO. PROPOSED SEPTIC SYSTEM SITE PLAN Engineering Works,Inc. WARNER SURVEYING N.T.S. P.T.M. 170-15 12 West rossfelds�d a �h For tdole, � 02 HrwMA02645 DATE CHECKED SHEET.NO. 110 MEADOW LANE WEST BARNSTABLE MA (508) 477-5313 (508) 432-8309 12/5/16 P.T.M. 2 of 2 Prepared for: Matthew O'Connell, 126 Meadow Ln., W. Barnstable, MA 02668