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0123 BUCKWOOD DRIVE
�aa '6m+Swood �: i 3 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9 tf >< - Map_ Parcel Application �rJ Health Division Date Issued z� Conservation Division Application Fee 36 Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address.. /.3`3 Dac&W ao ei . Village / ,Y,is,�f Owner m. >r.(i s C r j Address /Z Telephone -7 Z�—J-3&f Permit Request 1Yk1v ,4e,eF ia��t r c.r > sq` r7i o�-- i 0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation IoPd , oil Construction Type `77 6 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach:'u porting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King'. Highway: ❑_des ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other t �� Basement Finished Area (s ft ) Basement Unfinished Area (s . ) : Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 11 P_�r� A4 Rle51' 2!C Telephone Number .5 — ,f 9- Address o cX K2 of Roe� License # Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ///• �q� DATE 061 OX/.2 �>I s— FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PA'RCEL NO. ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL _ GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' DepwfterdofFna%&WAcd&v& . Office of T waffffatiaras 600 MaYngtbn Street Bostor4 HA 02M , wwtamarsgav/fiva Workers' Compensation Inslirauce A Udav&Btfldets/ContmebrsMectdcians/Plmatbers Applicant Information Please Prig Legliblp Namei� Are yun an employer? appropriate I.Q II am a employer wi a 4. [1 am a general conkac to aad T Type afP�J ( ' : er�lopees(fvIl and/cs part firm). * have hired the:� 6. ❑New c^^�+ctm 2.[[ I am a solve propdetor or pmt=-- listed an foe affwhed sheet 7. ❑Remodeling abip and have m employees Them�bane R. []De Dlft'tnl Worlrmg forme ia'sny capacify ca �3 and bave voli rs' ❑Big [No wad=2 comp,msiamco cep.insurance. 9• addition 5. We area 'IO_ ,ru�zd.] ❑ tmxpaaation and its Q Ela:tricalrepairs or additions 3. I am ahomeowner doing an work officers have exercised their IL❑Phnnbingimpain or additions myself[No W M3=25'camp. . . right of MMMptiM per MGM 12E]Pmf repass msoramce regdroi j t c.IA§I(4),and we bmm no m4dUoas.[No wa±s' 13•❑ODirr camp•insurance required-] *AIY appR=attbat ebedb box#I meat also f II outtlu ueiioa bc1oW showing$ram'=R—V-ion Fo1ic9 a&mafieit tHemeosv =who sebmitftadoa kumcr=>hg.dabgsIIWeiartdtob$soutsidewaI I =nstsab=itL= 2CMdZ&;ii icain =CJL 8v¢cbeckthis box mast attached an edditinmtil sbaSsbowmgihe mean of foe svb-em�s�ts and state whet5rt or notthese r.�iiirs haPe employees.Ifthosub-mom hat emPIDY=v-.ffi9=MitPie&=wmim&camP Paucynmmbcz I am ax anpinyer that is praseding Ivorkas'eorrrpewarSian inrr ==for nay CHTkyeen Bdov it the porky and job site &fbmzatbx . Insurance Company Name: Policy#or Self-i m Lic.#: Fxpiratio¢�Dafe,: - rob Site Addr=: Affn A a copy of the workers'campensai4au poriey det aratian page(showing the policy mnnber and e3j&x$ou date). ym-h a to secure,coverage as regnnzd under Secdm25A ofMGL o.152 can lead to the imposifiaa of aiininal penalties of a fain np to$I,SDD.DO and/ar ane.-ye ar uuprisorrment as we,Il as civil penaIties in tiic f rm of a STOP WORK ORDER and a f= of up to$250.00 a day against fhe violator. Bo advised fhat n copy of this staiZmcat may be forwarded to the Office of kv m'dgatfons of file DIA for ham==coverage,vexificafm I do h=why cafJ'under tha paves mrd pmaffes o.fperjury that the mformatjon provided above it&ue and korrerl Side: Phone1S— FF . 7— only. Do rmtxrifr ux Phis area to be carrrpkfad by city or tmm olzdxL n: pprmvi/f aerrce horify(CkFy one): E[eaM 2.B ildmgDepartmeut 3.C IVTawn Clerk 4,Rleetriralinsped:or S.Plnmhinglnspector soa: Phoneme . r aformation and Instructions Massacbnseft Geheral Laws chaptr M regmres all empk7ers to pnm&wow'compeosation for f w employees. s Pmsuanf-to this statutq au employee is deft cd as"....every person iu the service of another under any contract afhire, express or implied,oral orwiftea." An.m player is deimeci as'gym individual,dip,assodEficm,ca¢paaation.or other Iegai aunty,or any two or mass of foe fn%I*g engaged in a joint Mh pdSCe and inclndbgfhIegai of a deceased empin9a,m receiver or trustee of an kdividnal,per,association or offiea Iegal emfi%employing employees. Enwever the or o ofihe- ' house not mare than three artmeots and who resides tom, ccapaat owner of a having ap dwelling houseof anofer who eploys peons to do mafiftmncc6 cam*ncticn or repair wotic on such dwelling house or on fue gnnmds orb i1&g thearao EmUnotbeomm of m=h employment be deemed to be an employer." MGM chgftr IA§25C(6)also states fiat"every statz or local licensing agencyshan withhold 1he issuance or renewal of a license or permit to operate a business or to construct burTdmgs in the commonwealth for any applic zatvvho has not produced acceptable evidence of compliance with the bsuranca coverage required." e4rld���,MGL chapter 152,§25C(7)slabs Neithr the aweaIiin nor any of its political sobd" h.i.'ons shall entrr info airy contract for the pm fmmance ofpnblic workurtd acceptable evidence of compliance W&me ms�.. requfiQLUerda of this 6vtcrhava been presented to the coutractmg anfhouty." AppIi=xb Please fill.out fl=wario°rs'compensation affidavit completely,by checiciug the bcD=that apply to your situation and,if necessary,supply sob-=bmtor(s)name(s), addnzs(es)and phone-mmber{s)alongwithtbeir=fficate(s)of insurance. LmmitrdLiabdrty Companies(LTC)or Limited Liability Partnerships(I.LP)with no employees ofiicr than the members or pat ne s,are not required to cry wmkc&compensation,in mmce. If an LLC or IS P does have employees,a.policy is reqafted. Be advised thatfis aTxlzykmaybe salmzittmd to thr,Deparimeat of Industrial Aacidm s for corriamatim ofkmm mce coverage. "a be mr m to sign and date#he affidavit. The affidavit should be retuned to fie city err town that the application for fie permit or license is being requested,not the Department of Industrial AcddentsL Shouldyou have any gnestioms n gaidmg the law or if you.ate required to obtain a vnorl=.%' compieowhi n policy,please call the Department at the number listed bmlow Self-imscaed companies should eats their self-insurance license number on me appropriate line. City or Town Officials , Please be sure that the affidavit is complete and prided legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the eveot the Office of Investigations has to contact you regarding the aPplicant_ Please be sure to file in the pe vmitl]iceose number which will be used as a rzfm=Lce number. In addition,an applicant That must submit multiple penitlEcense applications is any givca year,need only submit one affidavit indicat oog dent policy won('if necessary)and under'Job Site Address"ffie applicant should wry"all locations in (city or town)."A copy oftheaffidavit bat has been officially stauped or marked bythe chy or town may be provided to the ' applicant as proof that a valid affidavit is an file for future penrmi s or licenses. A new affidavit must be filled of t each year.Where a home owner or citizen is obtaining a license or pm nitnofteildrd to any business or commercial veutme (Le, a dog license or peunit to bran leaves etc.)said peuon is NOT regoi and to complete this affidavit - The Office of Tnvesdgalic s would him to thank you:in advance foryour cooperation and should you have airy questions, please do not hesitato to give us a call. The Department's address,telephome and fax number: Department c�flnd�ialAccldents Office of investgatio= �� n Stt� • Basbxa MA 02I 11 TeL#617?27-4900 cit 4-06 or I-&77 MA SAFE Fgx#617 727 77� Revised za--07 .gpghfia AWC Guide to Wood Construction in High lend Areas. 110 tapir IMInd Zone .Massachusetts Checklist for Compliance(780 C\+[R53oI.Li.l�r Loadbearing Wall Connections ' Lateral(no.of 16d common nab).._........._........:........(fables 7a._..... ......_................__...._.....__.. Non-•L•aadbearing Wall Connections Lateral(no.of 16d common nails).._...........__...-......._(Table 8).........__........_...._.»..._»..».....»._.. Load Bearing Wall bpenings(record largest opening but check all openings for compfiance to Table 9) Header Spans ....._.......__...___...---_ ............. ._.(Table 9). ._.......__.............. _ft_In.511' SINPlate Spans ........._._.........»._.__......._...».... .(fable 9)_..._....._.-......_......... FLA Height Studs (no. of studs)_...__..-.._.._...............(Table 9)..........._.... ....__.......:.....»_»..._..»» Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.:................... b __.......... Sll Plate Spans.... w -(Table 9)....._»_............_..... _ft_in.s 12' Full Height Studs(no.of studs).__..__......_:..___._._».(Table 9)......._.................... ._._...»...---..... Ederior Wall Sheathing to Resist Uplift arld Shear Simultaneously'. Minimum Building Dimension,W - Nominal Height of Tallest Opening2 ••-••••-5 6`8' SheathingType_............___......_._._....._.....(note 4):t......................................_....--- able 10 or note 4 if less Edge Nail Spacing.._........._..........._......._..(T )._.._....__.__..:. in. ' Feld Nail Spacing .... able 10 in. Shear Connection(no.of 16d.common nails)(fable 10)... ........................................ Percent Ful-Height Sheathing...__:W.......:_.(Table 10)......_........ MAdditlonal Sheathing for Wall with Opening>6'B'(Design Concepts).»..»_........... Maximum Building Dimension,L Nominal Height of Tallest OpenIng2......................................................................=s 618' SheathingType..._..........._.........__......_._...(note 4)..................._.__...-._._...._....._...... Edge Nail S acm able i 1 or note 4 If less).._....._.._........- In. Feld Nall Spacing...-....._.............. ......_:......(fable 11)......... in. Shear Connection(no,of 16d common nails)(Table 11)...........a................. .:....._;.........._.._ Percent Full-HelghtSheathing_._.::...............(fable 11)..._..... ,..__._..._._._..._.:._._..-.__9� 5%Additional Sheathing for Wall with'Opening>6'8'(Design Concepts)...... ....:..»:•- Wall Cladding Rated for Wind Speed?._..._.._....._._.........__..............................._..........._...... ._..._....._............._»._ 5.1 (Z00FS ' Roof framing member spans checked?..........:.».-__,..(For Ratters use AWC Span Tool,see BBRS Website) Roof Overhang .................................... (Figure 19)............._ft s smaller of 2'-or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors 12 ........ ..:._U= plf . ....... able 12 .L= Pi Lateral........_»............._._._... -(T )...._..._..____..._._............... ...._.. able 12 S= p� • Shear. " Ridge Strap Connections,if collar ties not used per page 21...(Table 13).........................-T= _ pif ' Gable Rake Oudooker................:__........._......___(Figure.20)............._ft s smaller of 2'or L/2 ' Truss or Ratter Connections at Non: oadbeadng Walls Proprietary Connectors UPlift.............................._._._......(Table 14)................:..............._:....._.U= lb. Lateral(no.of 16d common nails)_.(Table 14).......................................L Roof Sheathing Type_......... ...............(per T80 CMR Chapters 58 and 59)............. • In.Z 7116'WSP ' RoofSheathing Thickness...........:......._»._.__._...:..... ............._._..............._...._..._ Roof Sheathing Fastening.__......._.__._»....._........_:(fable 2)_..............__.:.......:.,._.........._........» 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•5301.21.1 Item 1.If the checklist is met in its entirely then the following metal straps and hold downs ara not required per the WFCM I I mph Guide: a. steel Straps per Figure 5 b. 2b Gage Soaps per Figure 11 c. Uplift Straps per Figure 14 ' d. Ail Straps per Figure 17 e. Comer stud Hold Downs per Figure IBe and Figure 18b 2 'Exceptlon:Opening heights of up to a ft shall be permitted when 5%is added to the percent fuReight sheathing ' require fients shown In Tables 10 and i 1. 3. The bottom sill plate In exterior walls shall be a minlmum 2 in.nominal thickness pressure treated#2�rade. A FYC•Guide to )food Construction in High Wind Areas:110 inpli Hind Zorn • Massachusefts Checklist for Com'Pance(780 wr.zs3o1:2.1.1) L1 Ih=k L'omPLaace 1.1 SCOPE ' WindSpeed(3-ser,gust)..._........._.»»._.............._.».._..»__......�._»_.»»...._._.........._,._..._...110 mph WindExposure Category....».._....»_._..._.......__-_...._-_...........................:_.»................................. Wind Exposure Category................Enginearing,11squired For Entire Project.......................................0 12 APPWCABIU TY Number of Stories(a roof which exceeds 8 In 12 slope shall be considered a story) stories S 2 stories Roof Pitch....._..__..-.:.»......... _--.-_.__-.---------- .... ..(Fig 2)........-.................................. s 12:12 Mean'Roof Height-_..»»._......_._._.__._._...._.....» .._(Flg 2)_._.... .......__.............. _It 5I3' Building Width,W_..» ,...__.._..._._._...._..._.._-.._...- ._(Flg 3)_.._._......_....__...........___ _ft s BO' BindingLength,L' ......___.. _...._...................__ _....(Fig 3)__.....__....._...................._.. _ft 5 80' Building Aspect Ratio(LAtV) .............._...._..............._..._...(Flg 4). ...__........_....._....._..._.. S 3:1 Nominal Height of Tallest Opening .�.._.._..»(Fig :................._.._........• 1.3 FRAMING CONNECTIONS General compliance with framing connections......._......._.(Table 2)........._......................................._........ Z1 FOUNDATION " Foundation Walls meeting requirements of 780 CMR 5404.1 ConcrttE.............................a................................................................................................ Concrete Mason M ANCHORAGE TO FOUNDATiON1'3 - 518'Anchor Boits4mbedded or SM'Proprietary Mechanical Anchors as an alternative in concrete only Soft Spacing-general.................................»_...:.(lable4).... _.. ...._.......__..___ in. Bolt Sparing from endroint of plate...__......_.............(Fig 5). ._..._..................... In.:5 6'-12'. Bolt Embedment-concrete._.......».........__._._....._...(Flg 5). _...._.._......__......---.._....-_ In.z r Bo Embedment ft - masonry.—........,.............. (Fig5 PlateWasher......._..._..._.»...._...._._......._ _...._..(Flg 5).__._.__........_..._._...._ .....k 3'x 3 x W 3.1 FLOORS Floor•fi amin member spans chedced ..._... 9 sp ._........_._._._(per 780 CMR Chapter 55)....._.._..:...._........__. Maximum Floor Opening Dimension.».._........ .__._._.(Fig 6).. _.. ... . ........._ ...., ft 512' Full Height Wall Studs at Floor Openings less than Z from Exterior Wall(Fig 6)..:.................................... MWdtnUm Floor Joist Setbacks Suppoiting LDadbearing Wail's or Shearwall..._..__...» r 7 .................................... ff s Maximum Cantilevered Floor Joists Supporting Loadbwdng Walls or Shearwall...._.._...._(Fig 8)_.........._...._....... ft s d F1oojBracing at Endwalls-..................._.._._...._....__..._»(Flg 9)_.._.__.._.-•--._...__............_._.._. _...._. Floor Sheathing Type ...._....__.._.......:....._........_.._...._(per 780 CMR Chapter 55)........ Floor Sheathing Thidmess_......._._......._.._......_.......:..._(per 780 CMR Chapter 55).......-.............. In. Floor Sheathing Fastening_.._....................._.........._-.........(fable 2)__d nails at in edge/ in field 4.1 WAILS Wag Height • Loadb paring walls.........�......._.__....__......_....__.....(Fig 10 and Table 5)_........._.._......_—ft S 1 D' _ Non-Loadbearing walls.._...__.:---.--------....... .._...».(FIg 10 and Table 5)...................... ft's W Wall Stud Spacing .....»...._..._.:.._..:....-....__».._.......»(Fig 10 and Table 5).................—In.s24'o.c. WanStory Offsets ........»_..._.... ....._....................:..(Flgs 7&8)._...................................—ft s d 4.2 OCTERIOR•WALLS' . Wood Studs Loadbearing wall$....»._................................_.-......_(Table 0........_.................-.2x - ft—in. Non-Loadbearing walls ..:(Table 5).._...................._.... 2x Gable End Wall Bracing' Full Height Endwall Studs.—_...._.__.... ._-_--...._ .(Fig 10)_..............».. ................_.......__ _._..... _ WSP-Attic Floor Length.__ _._.... :......_.___._(Fig 11)__...._.-............................. ft kW/3 'Gypsum Calling Length(If WSP not used)..... ........ :.F Ig 11)_._.._.....». ._..........._.. _ft Z 0.9W _ and 2 x 4 Cbntinuous Lateral Brace 9 6 tL o.c._(Fig 11)....:........................ .... ..___... _ or 1 x 3 ceiling furring strips(di 16'spacing min.with 2 x 4 blocking @ 4 ft.spacing in end Joist or truss bays Double Top Plaf. - Splice Length ..___......_:._...__.....»_...._. (Fig 13 and Table 6)................._...._._.. _ft - Splice Connection(no.of 15d common naits)..-.•.__...(Table 6).__.__._......................... f r AWC Guide to Wood Construction in Hir, 11'ind.4reasr 110 ntplr llrxrriZone Massachusetts Chec.1 list for Compliance(7s0 CIAR 5301.2.1:1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nall Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be Installed as follows: L Panels shall be Installed With strength axis parallel to studs. ff. All horizontal joints shall occur over and be nailed to framing. ill. On single story construction,panels shall be attached to bottom plates and top member of the double top plate• Iv. On two story construction, upper panels shall be attached to the top•member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band Joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nall spacing at double top plates,band joists,and g'Wers shall be a double row of ad staggered 9t 3 Inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection:a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,south of Rte.28 or north of Rte.6) _ b)vertical addition—not required unless there is extensive renovation to the first'fioor c)replacement iukidows—needs energy conservation compliance only(chap 93) G.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)webstte, yTli6l3K;ERESTS DN Inkh wMEWMILS 'ATV= JC 6 H ; i Mal i I It ill a t I 11 ,1•{r�•• 1 it l l [ FAarairts MEUta�S .,1 I ff If ' � 1 l3�Eti1FAI.It�bITE II a.� 11 •� l� /'� 1 i . i � � 1 1 1 I• t � .. _ 3'W61 i i 1144 xERED . DD1190.SP�4� y■ STJt l+tAf�'SPACMJ[�PRNl3 �j N06i1 PY1TrEit,1 X P1WH. PAW—EDU DOL®LENAILEDGESPACMDEML See Detail on Next Page Vertical end HDftn[al Nailing Detail •- for Panel Attachment Vertical find Horizontal Nailing for Panel Attachment ofTME Town of Barnstable Regulatory Services ' MAWL ' « Richard V.ScA Director Aiwa�, Building Division Tom Perry,Bolding Commissioner 200 Main Street,Hyam is,MA 02601 www.towmbarnstable mans Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and,Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf in all matters relative to work authorized bytbis building permit application for. (Address of Job) '-Pool fences and alarms are the responsibility of the applicant. Pools are not to be fled or utilized before fence is installed and all fvial inspections are performed and accepted Signature of Owner, Signature of Applicant n Print Name Print Name Date 1 - 1 oYPIl orbarnsmie Regulatory Services - ~ `oF �ryy Richard Y.Sca%Director Building bivision $ IMMISTAIM Tom Perry,Building Commissioner KAM 1. 200 Main Street; Hyannis,MA 02601 . w VO w towmbarnsiable.maus Office: 568-862-4.038 Fax: 508-790-6230 HOhfOWNM UCIEM EXEMTTON DATE s��o�e3 JOB IACAIIOl1 /�' % / / b�CiJf ✓ number Strad VWhC HOMEOWNER': /ram #a n Ai/r D4-=�s� car-• 779 j:197 name home phone ig work phone CURREIVTMAWNGADDRFSS: - --• •--- ----•----- 114 A - --------:Dom.f,© / —•-- --•--•--- -• cityhmm stab: zip Bodo The current exemption for"homeowners"was extended to include owner-og n lied dwellings of six units or less and to allow " homeowners to engage an individual for hue who does notpossess a license,provided that the owner acts as supervisor. DEFlNMON OFROIAOWNER Peison(s)who owns a parcel of land tin 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 farm acceptable to the Building Official,that he/she shall be responsible for all such work performed under the bn0ding permit. (Section 109.1.1) The umdeusi.gaed".homeowner"ass ucs.responsibM4 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 ofBarnstable Building Departmentmmimur inspection procedures and requim=_;ts and that he/she will comply with said procedures and requirements. Signature of homeowner Approval of Biu7ding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Budding Code Section 127.0 Construction Control. HOMEOWNER'S M0Q2n0N 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 Z.IS) This Lack of awareness often results in serious problems,particalaxly 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 My aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt stick a form/certification for use in your community. Q:IWPFII-ESFORMSVnnldmg permit f=IEXMW.don Revised 061313 Town of Barnstable Geographic Information System June 8, 2015 27209, #107 272082 r r 272090 ,w y.* d x 6 y'• * Ir' - ' #116.E "yp., ,�; �' .};.,,�►: ,,,,ice "" ZIA dF yr' v2os9+� a w �Q80 #12? d � as 9 M a - 272087 272079 XR #137 #132 DISCLAIMERS This map is for plannmg purposes only. It is not adequate for legal Map:272 Parcel:089 N boundary determination or regulatory interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established map accuracy standards. The parcel lines on this map Owner:DRESSER,RICHARD M& Total Assessed Value:$277600 are only graphic representations of Assessor's tax parcels They are not true property Co-Owner:DRESSER FAMILY TRUST Acreage:0.25 acres Abutters 1l -t E boundaries and do not represent accurate relationships to physical features on the map Location:123 BUCKWOOD DRIVE such as building locations. Buffer Aerial Photos Taken April 28,2001 w ' .*►M • ' r � 1 ' ,i M • `t j t 4or Ok ;Al IL a ►• �1 sum ! 1 IM i d N� ► � �f i O 41 jai l4b. Is It J � i �, �; _ ,'{ � � - •; �, ,•.ram s � � y ► <4 r How To Build A Deck -Stairs&Steps-Decks.com 5/18/15 7:16 AM jj i Gtippabk-Flendrfil ). �- - t 34 - 78"yuar i. if height abovo slab nusinq,i a� n Nil, � V 9 F ♦' R t , littp://www.decks.com/printarticle.aspx?articleid=67 Page 2 of 2 17C Installation: w, • •For end conditions,specify ECCQ N. •Install Simpson Strong-Tie SDS};"x 2y"screws,which are provided with °the column cap,with a X"hex head o `` 3Cn driver.SDS screws install best with a ro low speedy"drill. CC ® ECC OBeam depth must be a minimum 7Typical CC Q Installation A ECCQ Installation: u's •For end conditions,specify ECC : 42 c5 •Bolt holes shall be a minimumX2"to a maximumys"larger than the bolt diameter. E c Dimensions(in.) ZZ No.of SDS Y°"x • Contact engineered wood manufacturers for connections that are not through the Model No. Beam L1 2%"Screws wide face. r Width W1 W2 H • Beam depth must be at least as tall as H1. u b z CCQ ECCQ Beam Post Typical CCQ E y Installation Dimensions(in.) Machine Bolts I a rN I> CCQ3-6HDG 3118 31/4 5112 11 8112 7 16 14 Beam 0 E Model No. L Beam z CCQ44HDG 4x 3 518 3 5/8 11 8 112 7 16 14 Width W1 W2 CC ECC H1 Dial. CC ECC Post m t> CCQ46HDG 4x 3 5/8 5 1/2 11 8 1/2 7 16 14 z E> CC3-114-4HDG 3 1/8 3 1/4 3 5/8 11 7 112 6 112 5/8 4 2 2 »ED w CCQ48HDG 4x 3 518 7 112 11 8 112 7 16 14 CC3-114-6HDG 3 1/8 3 114 5 1/2 11 7 112 6 112 5l8 4 2 2 f D CCQ66HDG 6x 5 1/2 5 1/2 11 8 1/2 7 16 14 _ $N � C044HDG 4x 3 518 3 5/8 7 5 112 4 5l8 2 1 2 CCQ68HDG 6x 51/2 71/2 11 81/2 7 16 14 p CC66HDG 6x 5112 51/2 11 7112 61/2 518 4 2 2 1.mb indicates connector is available in stainless steel.Replace HDG in model 1.1 indicates connector is available in stainless steel.Replace HDG m model number with rr when ordering, number with SS when ordering. 2.Refer to current Wood Construction Connectors catalog for additional information. 2.Refer to current Wood Construction Connectors catalog for additional information. D14 CCQ, ECCQ Post Caps D15 CC, ECC Post Caps ,Z O Y P v oerscZ N O � 0 • °4' j4r . �j s�e�r O .a 2.SZ • , t O Typical H1Z ° `� p' n O and H2.5Z � H2.5Z t77 p Installation ° LSCZ LSCZ Typical 00 Installation 0 Installation: s Installation: N •Use all specified fasteners. Cn H 1 Z °,° •Before fastening,position the stair stringer with the LSCZ on the carrying member to verity where the bend C should be located. N O •Tabs on the LSCZ must be positioned to the inside of the stairs. Q U Fasteners •The fastener that is installed into the bottom edge of the stringer must go into the second-to-last hole. E O L Model •A minimum distance of Y4"measured from the lowest rim-joist fastener to the edge of rim joist is required. Cn •'•' No. Nails SD Screws H8Z fill. �- To Joist To Beam To Joist To Beam Fasteners �O Model Nails SD Screws N H1Z 6-8dx1'/z 4-8dx1Yz 6-SD#9x1Y2 4-SD#9x1'h No. ' ° Rim Joist Stringer Stringer Rim Joist Stringer Stringer cc H2.5Z 5-8dx1Yz 5-8dx1'/2 5-SD#9x1'/2 5-SD#9x1'/z °°° Wide Face Narrow Face Wide Face Narrow Face Q L HE 5-10dx1'/z 5 10dx1'/z 5 SD#9x1%z 5-SD#9x1Yz ' 'W I] LSCZ 8-10dxi'/1 8-10dx1'/z 1-10dx1'/z 8-SD#9x1Yz 8-SD#9x1Y2 1-SD#9x1%z O O Y 1. indicates connector is available in stainless steel.Replace Z in model number 1. indicates connector is available in stainless steel.Replace Z in model number with SS when ordering.Stainless steel ;.., in SS when ordering. models must be fastened with nails. cC M 2.Refer to current Wood Construction Connectors catalog for additional information 2.Refer to current Wood Construction Connectors catalog for additional information. N D16 1H Hurricane Ties ID17 JLSC Stair Stringer Connector Installation: Installation: • •Install Simpson Strong-Tle SIDS •BCS:Install dome nails on' N W� S Y°x 2"wood screws,which are ° � beam;drive nails at an S .. H • provided with the column base, " 0 0 ° angle through the beam y z W2 3°Min. • _ with a Ye°hex head driver.(Lag 90 into the post below. 1" • screws will not achieve the same ° •BC:Do not install bolts Into d Sidecever pilot holes. load.) ¢ •Allow concrete to cure before ° /I nstallation of the post. p •For full loads,a minimum of 3" 011 a side cover shall be provided. BCS i 81 TyyppigI (BC Similar) Typical BCS — - 1 CBSQ44 Installation(BC Typical CBSQ Installation Similar) s f Post Dimensions(in.) Number of $ Model No. Dimensions(in.) Fasteners Size W1 W2 D H SDS Screws F - Model No. Nails SD Screws D CBS044-SDS2HDG 4x4 3 9/16 31/2 7 1/8 8 3/8 14-SDS''/e"x2" W1 - W2 Ll L2 H7 H2 Beam Post o p CBSQ46-SDS2HDG 4x6 3 9/16 5 5/16 713/16 811/16 14-SDS''/<"x2" Flange Flange Beam Flange Post Flange Z z "y�� " 13 BC4Z 3 9116 3 9/18 2 7/8 2 7/8 3 3 6.16d 6-16d 6-SD#10x1Y. 6-SD#10x1Y. CBSQ66-SDS2HDG 6x6 5 1/2 5112 6 7/81r 8 3/4 14-SDS x2/a " BC6Z 5112 51/2 4 3/8 4 3/8 3 3/8--3 318--12-16d--12.16d'" '-"�� CBSQ86-SDS2HDG 6x8 7 1/2 53/8 1 6'1/8 811/16 12-SDS'/<"x2" p BCS2-2/4Z 3118 3 9/16 2718 2718 215I16 215116 810d 810d 8-SD#9rQY, 6SD#9rQ%a Wzz W CBSQ86-SDS2HDG 6x8 7 1/2 7 3/8 1 6 1/8 8 11/16 12-SDS Y°"x2" p BCS2-3/6Z 4 5/8 15 9/16 14 3/8 12 7/8 13 5118 1215/16 1 12-16d 1 6-16d 1.D indicates connector is available In stainless steel.Replace SDS2HDG in model 1.E>indicates connector is available in stainless steel.Replace Z in model number _ number with SS when ordering. - with SS when ordering. 2.Refer to current Wood Construction Connectors catalog for additional Information. 2.Refer to current Wood Construction Connectors catalog for additional Information. D 10 CBSQ Post Bases D 11 1 BC, BCS Post Caps Installation: U N •Install in pairs. W installation: v v ✓r ` •For LCE4Z installations on qW ?Installation •For end condition, 4J O r mitered comer conditions, p ' A O refer to www.stron he com specify EPC g •Use all epedfiedO O for more information. fasteners.al •Do not Install bolts wInto pilot holes. F� _ YYpp Q! O AC LPCZ LCE4Z f o w Installation PC N Dimensions(In.) Fasteners C Model No. W L Nails SD Screws E Dimensions(in.) Fasteners rL p Beam Post Beam Post t Model Post Nails SD Screws p AC4Z 3 9/16 61/2 14-16d 14-16d 14-SD#10x1 Y2 14-SD#10x1'/2 No. Size Wt W2 L1 L2 L3 Bearl Beam `O AC6Z 51/2 81/2 14-16d 14-16d 14-SD#10x1Y2 14-SD#10x1Y2 Post PC EPC Post PC EPC y LPC4Z 3 9/16 3 1/2 8-10d 8-10d 8-SD#9x1'/2 8-SD#9x1'/2 PC44-16Z 44 3 9/16 3 9/16 2 5/8 11 7 5/16 8-16d 12-16d 8-t'd 8-SD 12-SD 8-SD #10x1% #IOx1% #10x1% d LPC6Z 5 9116 5 112 8-1 0d 810d PC46-16Z I 4x6 3 9/16 1 51/2 2 5/8 13 91/4 8-16d 12-16d 8-16d _ LCE4Z 5 3/8 14-16d 10-16d 14-SD#10x1'/2 10-SD#10xl% PC66-16z sx6 51n 51/2 a s/1s 13 s 1/a 6-16d 12-16d 8-16d C 4: 1.r>Indicates connector is available in stainless steel.Replace Z In model number 1.Refer to current Wood Construction Connectors catalog for additional information. A CO) with SS when ordering. — U- • 2.Refer to current Wood Construction Connectors catalog for additional information. cc -a C D12 AC, LPC, LICE Post Caps 0113 1 PC; EPC Post Caps How To Build A Deck-Attaching the Ledger Board-Decks.com , 5/18/15 7:15 AM Print This Page How To Build A Deck - Attaching the Ledger Board Attaching a ledger board to the house rim is the most basic and best option of all the ledger board applications. Hold the flashing in place as you lift the ledger board into position.Use a 4' level to make sure you apply it perfectly straight.Using your pencil marks as guides; install your fasteners through the ledger board,through the house rim board and directly into the ends of the floor trusses or wall studs.You should install two fasteners every 16" on center alternating top and bottom. M e _ s 1 i f. Once the ledger board is in place; bend the flashing over the top and around the corners to provide drainage for water away from the house.Use silicon caulking to seal all opening where water could potentially enter the house especially where flashing overlaps and at the corners and bottom of the ledger board.Never nail or screw decking through the flashing through the top of the ledger board.These punctures can allow water to easily penetrate the flashing and pour into the house. Pay attention to every detail when applying the ledger board.The ledger board and the footings are the two most important and sometimes complicated components of deck construction. http://www.decks.com/printarticle.aspx?articleid=25 Page 1 of 2 • r 5� oFtNE Town of Barnstable *Permit# Expires 6 months om issue date Regulatory Services Fee BAMSrABLE, � MAC' Thomas'F.Geiler,Director 1639. pjFD MA't s . Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bainstable.ma.us Office: 5088- 62-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY ta(ot Valid without Red X-Press Imprint Map/parcel Number Property.Address [residential Value of Work ® Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name! T Vv " av [&;Iq JWNd;,Olj Telephone Number O t Home Improvement Contractor License#(if applicable) 3 " pp Construction Supervisor's License#(if applicable) 0q-7 o ! X-PRESS PEA' M EgW/orkman's Compensation Insurance MAY 02 2011 Check one: ❑ I am a sole proprietor 0 ILAm the Homeowner TOWN OF BARNSTABLE LEI have Worker's Compensation Insurance Insurance Company Name ®" Workman's Comp.Policy# l 9 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ' Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #'of doors EReplacement Windows/doors/sliders.U-Value _(ma ximum .35)#of window ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and,inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department_regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is equired. SIGNATURE: 0:\WPFILES\FORMS\building permit forms\E3PRESS.doc The Commonwealth of Massachusetts Print Form_ - ! Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): 5,6XJ4e.//l0 V&U Lq LG Address: /6N ft-O City/State/Zip: L/N001t, Phone#: Ars�e,/yyou an employer?Check the appropriate box: Type of project(required): 1.LPI am a employer with o2 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. —]New construction 2.❑ I am a sole proprietor or partner- listed on the attached'sheet. 7. ❑.Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers'comp.insurance comp.insurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.9-10ther .p�c.(>�Q +✓ comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: o 4 /V r-CLsJ �h1 Policy#or Self-ins.Lic..#: zrl 7d- Expiration Date: S AF 13 �@ `n Job Site Address: I 2 tC, 14W190.0 P Li o Q C/ City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi er airs and enalties gCgUrgP that the in ormation provided above is true and correct Si ature: !. ___..__ _ a__.. _._ ...__.. _ _. _...__ ___. ._._ Date Phone#: qo l a �,pov Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other . Contact Person: Phone#: Client#:30124 SOUTNEW ACORD,. CERTIFICATE OF LIABILITY INSURANCE I DATE(MMIDDNYY`) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA 1/02/2013 TE 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 Willis of New Jersey,Inc. NAME: Anita Little PHONE 1015 Briggs Road E cL Ext:856 914-4660 A/c N.: 856 914-1881 PO BOX 5005 ADDRES • Anita.LitUe@willis.com Mount Laurel,NJ 08054 INSURER 8 AFFORDING COVERAGE NAIC S INSURED INSURER A:Selective Insurance Co of the S 39926 Southern New England Windows LLC INSURER B:Argonaut Insurance Co. 19801 D/B/A Renewal by Andersen INSURER c:Beacon Mutual Ins.Co. 24017 1137 Park East Drive INSURER D: Woonsocket,RI 02895 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT 1 HE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIR=MENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERT/.IN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT 10 ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDISUB LTR TYPE OF INSURANCE POLIC EFF POLIC EXP WVQ POLICY NUMBER MsMvIDOD MM/DD LIMITS A GENERAL LIABILITY Y S202945900 8/10/2012 08/10/2013 EEAACCHH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITYPREMISES �513 ESO OOO CLAIMS MADE OCCUR MED EXP one rson) s5,000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE � j2 000 000 GEN'L AGGREGATE LIMB APPLIES PER: POLICY PRO- LOC PRODUCTS-COMP/OP AGG s2 OOO OOO A AUTOMOBILE LIABILITY $ S202945900 8/10/2012 08/10/201 °a ED SI LE LIMIT UA S11,000,000 SCHEDULED BODILY INJURY(Per person) j NON-OWNED AUTOS BODILY INJURY(Per accident) j S X AUTOS PROPERTY DAMAGE (Per ecddent $ uA8 j OCCUR S202945900 8/10/2012 08/10/201 EACH OCCURRENCE ES OOO OOO B CLAIMS-MADE AGGREGATE E5 000 000 RETENTION B WORKERS COMPENSATION $. AND EMPLOYERS'LIABILITY AIC927698352394 8/21/2012 G8/21/201tDISEASE OTH- C OFFICERO/MEMBER EXCLUDED?Ectn IVE YINN I A 68028 8/21/2012 08/21/201 T $1 OOO OOO (Mandatory In NH) N yes,describe under MPLOYEE $1 000000 DESCRIPTION OF OPERATIONS belowICY LIMIT j1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,11 more space Is required) Cart holder is Included as additional insured regarding work performed by the named insured. CERTIFICATE HOLDER i CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE P ACORD 25 2010/05 9 9 01988-2010 ACORD CORPORATION.All rights reserved. ( ) 1 of 1 The ACORD name and logo are registered marks of ACORD #S213748/M213024 Southern New England Windows d.b.a Renewal by Andersen of SNE Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Super%kor opft1 License: CS-095707 BRIAN D DENMS40N_1 1 I• ,,// 7 LAMBS POND CIRC s Chariton MA 01507 Expiration Commissioner 09/08/2014 Office o onsumer A scan �usinesasiegml-t'iort 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplemen Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9111112014 DENNISON BRIAN ---- 1137 PARK EAST DRIVE ---- WOONSOCKET,Rf 02895 Update Address and return card.Mark runs.for change. ac•r 4 mu+un, C]Address E]Renewal [ Employment Lout Card COEE of Gossamer ARaln A Badnw RegdatloaLicene or regbtration valid for Indivldul use only IMPROVEMENT CONTRACTOR before the aphadon dal,tr found return to: tiatlorc t73245 Office of Com.mer Affairs and B.sinea Regulation - 7YOu 10 Park Plea-gape 5170 F�IMbni 11%111I2011 Supplement::a:d Boston,MA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. - RENEWAL BYANDERSON OENNI BRIAN (� _ 1137 PARK FAST DRIVE 411—� - WOONSOCKET.RI 02895 Uedersareury Not valid without signature 1VIvn�,rvtul RIL�t#36079 MA Uceoa A 173245 bvi�ndersen. ENEWQI: Y�NDERSEI�I cr')ia =do6U555 WINDOW REPLACEMENT mAnd r Cgl"M 1137 Paris East Drive•Woonsocket,RI 02895 Lesd firm 1287 Phone 866.563.2235.-Fax 401.671.6262 f 1Taa<tnnas-0ssssso Southern New Englaaa H'wdows,LLC d/b/a' Renewal by Andersen of"Southern New England• CUSTOM WINDOW AND DOOR REMODELING AGREEMENT "r(s)Na 1 t?am cfpgr--u-t Buyer(s.)r GWntAddr .Giy,Snte,and 7JpCode 7J Z 0 EMallkWress Home Telephone Number WarkT eNumber . 53 Buyers)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England("Contractor"),in accordance-,yith the terns and conditions described on the front and the,reverse of this agreement and on the attached specification.sheets)(collectively,this Agrecmeat"). Total job Amount Estimated snrting t}ate Method of Payment; a Check U Cash anted Deposit Received 3%: Credit Cards are accepted for deposit only-maximum 1/3 of the Balance at Start of Job(33%): project cost(Please see Credit Cord Payment Form.)By signing this Est4mated Completion Data Agreement,you acknowledge that the Baance at Start of Job and the Balance on Substantial4�%��L- Balance on Substantial Completion of job canna be made by cre'dit Completlon of Job(33%); card and must be made by personal check bank check or cosh. Buyer(s)agrees and understands that this Agreement constitutes the entire understanding'between the parties,and that there are no verbal understandings obsnging any of the terms of this Agreement.Buyer(s) acknowledges ileat'Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and(2)was orally informed of Buyer's tight to cancel this Agreement..DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to Buyer.(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the timeyou sign it.(3)You may at any time.pay off the full unpaid balance due under this"Agreement,.and in so doing you may be entitled to receive a partial rehate of the finance and,insurance charges.(4)The seller has no.right.to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement.(5)You may cancel this Agreement if it has not been signed at the main of ice*ors branch offibe of the seller,provided you mlot*the seller at his or her main office or branch office shown in the Agreement by registered or certidied mail,which shall be posted not later than midnight of the.tbird calendar day after the day on which the buyer signs the Agreement,'excluding Sunday and aiay bo"on which . regular mail deliveries are not made.See the accompanying notice of cancellation form for as explanation of buyer's rights. " Buyers)'received th er education materials provided by the Rhode Island Contractors Registration Board. (BWes.meals) Renewal by d Southern New England Buyer(s)D Buyer(s) Si at of duct r Signature Signature. p�GFF.4��? .11zr Print Name of Product Mzn x Print Name Print Name YOU, THE BUXER(S), MAY CANCEL;TWS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER TEE DATE OF THIS TRANSACTION.SEETHE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. = - -"'- - - - - - - - - - - -Je- - — — — - - - - - - 4.0--- — — — — - — - - — — — — — � NOTICE OF CANCEPATIQN K NOTIr Q!'CANCELLATION Date of Transaction Ia rA&r1w Von*may cancel Date of Transaction You may cancel this transaction;without arty penalty or obligation,within this transaction,without any penalty or obligation,within three business days from the above date.If you cancel',any l three business days from the above date.If you cancel,any property traded in,any payments made by you under the I property traded in,any payments made by you under the Contract or Sale,and any negotiable instrument executed I Contract or Sale,and any negotiable instrument executed by you will b`e returned within ten business days"following I by you will be returned within ten business days following receipt by the Seller of your cancellation notice,and any I receipt by the Seller of your cancellation notice;and any security interest arising out of the transaction will be security interest 'arising out of the transaction will be canceled.If you cancel,you must make available to the Seller I canceled.If you.cancel,you must make available to the Seller at your residence,in substandaliy as good condition as when 1 at your residence,in substantially as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or Sale;or you may,If you wish,comply with-the instructions of I" Sale;or you-Iflay,If yoti wish,comply"with the instructions of the Seller regarding the.return shipment of the goods at the the Seller regarding the return shipment of the goods at the Seller's expense and risk,if you do make the goods available• Seller's:expense and.risk.If you do make the goods available to the Seller and the Seiler does not pick them up within to the Seller and the Seller does.not.pick them up within twenty days of the date of cancellation,,you,may retain or ( twenty days of the.date.of cancellation,you may retain or dispose of the goods without any fuit her obllgadon.Ifyou I dispose of the goods without any.further obligation.If you fall to make the goods available to the Seller,or If you'agree ( fail to make the goods available to the Seller,or if you agree to return the goods-to the Seller and fall to do so,then I to return the'goods to the Seller and fall to do so,then you remain liable for performance of all obligations under - you remain liable for performance of all obligations•under the Contract.To cancel this transaction, mail or deliver l the Contract.To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any I ci signed and dated copy"of this cancellation notice or any other written notice, or send a.telegram*to Renewal by I other written notice, or send a telegram to Renewal by Andersen of Southern New England at.1137 Park East.Dr., I Andersen of Southern New England at 1137 Park East Dr., Wo n ke , V9S,NOT LATERTHAN MIDNIGHT OF I Woonsocket,RI 02895,NOT LATERTHAN MIDNIGHT OF Datl NE Y LTHIST,RANSACTIQN. I I HEREBY CANCELT1ilSTRANSACTIOM sdy6Ps Blgnatum Print Name •Date Buyers Signature Print Name Date RbA Copy:Whke Buyer Copy.Yellow Buyer Copy:Pink Renewal RENEWAL BY ANDERSEN #1zz59,30538 Cr ril atc.o56a725 l ldelsen. MA H,N 119533 siRRRxr RenRaeRiCtr .A.,do:m�xy 1137 Park East Drive•Woonsocket,It102895 Lead Hazard Control nrra Phone 866.563,2235-Fax 401.671.6262 laoenx:#Ilia-0059 }:derOl Tex ID#46.0UWW SPECMCATION SHEET Buyer(s)Name pate of Agreement 1 The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services list below,in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,of which this Specification Sheet is a part. WINDOW DEfAIIS 1. Cz!rac will Install a total of windows in Owner's home,using the following individual quantities: Double Bung(DD) KEqual sash❑ Cottage sash(1/3 top,2/3 bottom) ❑Oriel sash(2/3 top.1/3 bottom) Casement(CM ❑ Hinge right❑hinge left(as viewed from exterior) Double Casement(CAW) Casement/Picture/Casement(CPW) ❑ 1:1-1 or❑ 1:2:1 2 Lite Gliding Window(GW) Glider/Picture/Glider(GPW) ❑ 1:1:1 or ❑ I:2:1 Awning Window(AW) Picture Window(PW) or Bow Window Patio Doors(see separate Poor specification Sheet) 2. Yes ❑ No Qty of Windows to be Custom fit Replacement: S. ❑ Yes ❑ No Qty of W13 to be replaced by Contractor.Y_ 4. ❑Yes❑No Qty of Windows to be New Construction Full frame(includes new interior&exterior casings): Exterior casinpE Pine❑ Maintenance-free material❑ Factory applied 908 fibrex brickmold 5. Glazing to be: Lower 4 714 ❑ Other If other,please specify: 6. Exterior color to be:�Ohre❑ Sand❑Canvas ❑Terratone Exterior Only: ❑Cocoa Bean ❑Dark Bronze❑Forest Green 7. Interior color to be: plor e d❑Canvas ❑Terratone❑ Pine❑Maple❑ Oak Note Interior only bwhite,wood or same color as rxterior. Wood interiors need to be finished by Owner. 8. Hardware: ❑ Whitne ❑ Canvas ❑ Brass Double hung: 9- ❑Yes Cl No Install Lifts with D Jk ng Windows 10. Screens: windows to have: fflialf or ❑ Full screens Screens to be Fiberglass ❑ Aluminum ❑TruSeene GRILLE DETAILS 11.Windows have grilles: ❑Yes No If yes:❑ Grille Between Glass(rsG)❑ Removable Interior Wood(ttitv)❑ Full Divided Light(ieu QriT. W. Qh'- Qh"- Qty- QtT. Qty-. ON OH DM aH CW1F'icue Glider fTN or Draw grille patterns above °Use additional sheet if needed Owner approved(initials):( ] ADDITIONAL WORK DETAILS 12. ❑Yes g_Gontracwr will remove metal frames of windows. Qty of Units: 1S. ❑Yes ElKo Contractor will install new paint-ready or stain-ready casings. I easing city of openings: Exterior casings qty of openings: ❑Pine❑Maintenance-free material 14. es ❑No Contractor will install new paint-ready or stain-ready inside or outside stops qty of openings: Interiors ty of openings: Exterior stops qty of openings: ❑Pine❑Maintenance-free material IS. ❑Yea 2NG Contractor will wrap exterior casings with aluminum coil stock of color: _Nft Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. 16_4IY_,s-❑No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 17. 1ff & ❑No Clean up all job related debris including old windows will be removed.Vacuum nightly. 18. Y No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 19. �e�3 o Bu'd' Permit�antractor will secure any and all necessary permits. The fee for the permit(s)is OR to the Contract Price 20. o All current promotions and discounts have been applied to the above agreement amount-any future discounts or sales are not applicable to this agreement. 21. Owner is aware that Contractor does not do any painting. c R�1 1 Owner Initials 22. Owner is responsible for the removal and reinstallation of arty existing alarm systems. Owner to call alarm co. 23. Owner is responsible for the removal and reinstallation of any window AC units. 24. Ownrr=11 responsible for the removal and reinstallation of window treatments&brackets. 2S.Additional job details: _.. _ 26.JIfes ❑No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No final payment shall be dentdnded until the contract is completed to the satisfaction of all pw*e& It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR.RZM013ZLING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings or modifying any of the terms.This Specification Sheet may not be changed or its terms modified or varied in any y u s such changes are in writing and signed by both the Bayer(&)and Contractor.Buyer(s)hereby acknowledge at Bu s)has read this Specificatipn Sheet. lleaewal by ode f Southern New En Buyer Buyers) BY: �_ � tact Motager Slgnattlre signature Print 14me of Product Manager Print Name Print Name White Copy RBA Yellow Ow Customer 1 1 � i I r r. . a i ie' i' •r � . . • � ) I �rrr r� ��.����rrrr�rrrir ��r���r� �� • ,� �rrr��r� ��:�r rr■r�r�rr�\��c��w �r�r■rrrr rr rur err rrr�r rrr �rrrr ��rrrrrr��rrr rrr� �rrrr�rr�rir ��rr r■rrrr��rrr� �rrr ■rrrrr�r�rrrr� �rrr rrrrr�r�rrr� '' �rrr rr�rrr�rrr�rr rrr rr��urr�rr�rr r�rrr rrr r■■r�r rr�rrr�rrr�rrrrrr ���r�rrrr■r�r�r��r —ter rrrrrrrrr��rrr —rrrr �r�rrr�rr■�rrr rrrr� vrrrrrrr�rrr�r�r TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Ma !/ Parcel i . p Application Health Division Date Issued l Z-- Conservation Division Application Fee Tax Collector Permit Fee S Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village \ A ink Owner Address Telephone 50 Permit Request `k WA P61111yme Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count H4at Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other ' o Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood stove: C�'es No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:� sting ❑4aw s Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: = _ r•-- Zoning Board of Appeals Authorization- ❑ Appeal,# Recorded❑- ---- ---�,� --,-��,— Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name ! ' M Telephone Number 6• Address License# t Sl Home Improvement Contractor# VW J�ll Worker's Compensation# I � 6451 . ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 's s x• FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP%PARCEL NO. I ADDRESS VILLAGE OWNER 7r DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i � FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I G—,,{{ y q•,„„/',t ,jCe�x[g - License or registration valid for individul use only { !r o{pce�f•l°oosu'mer. a rs&B smess egu a ion '; before the expiration date. If found return to: NT 5 _ , HOME IMPROVEMENT CORACTOR Type , office of Consumer Affairs and Business Regulation `{Ey Rogistration •f161773 Private Corporal t0 Park Plaza-Suite 5f70 1 e Expiration 11MV2012 Boston,NIA 0. 6 fi j F NIAL,HO?KINS Bt1,L0ERS 1NC4�„ _•. -. NIALL HOPKINS t s t _ 21 G fRUEAN AVE: but val'- vithout signature H YARMOUTH MA 02664� - Undersecretary ,i -t"' lilassachUSUh•Department of Public Safct% 1 Board of Building-R(,ulalinns and Standards, -Construction Supervisor License } Licjge:CS 84916 NIALL) HOPKINS -BOX 231 SO.YARMOUTH.MA 02664 - o„L Expiration:Al2r2013. '. • 'Tr#: 1�504 i I - ACORN® DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 09/09/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Mark Sylvia Insurance Agency PHONE FAX 771 Main Street A/c No Ext: 508 428-0440 A/c No): 508 420-9227 ADDRESS:mark@marksylviainsurance.com Osterville,MA 02655 INSURERS AFFORDING COVERAGE NAIC If INSURER A:Farm Family Casualty Insurance INSURED INSURER B: Niall Hopkins Builders,Inc. 118 Lakefield Road INSURER C PO Box 231 INSURER D: South Yarmouth,MA 02664 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 MM/DDIIYYYY LIMITS LTRWVD A GENERAL LIABILITY 20011-6275 1.0/30/2010 10/30/2011 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $ 100,000 CLAIMS-MADE �X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY 7 PRO LOC $ A AUTOMOBILE LIABILITY 2001 C53575A 6/25/2011 6/25/2012 COMBINED sINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS 1,000,000 NON-OWNED PROPERTY DAMAGE $ 1,000,000 HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION 2001 W6459 9/8/2011 9/8/2012 WC STATU- x OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED' N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry,Electrical CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD g OWNER AUTHORIZATION FORM I, (Owner's Name) owner of the property located at (Property Address) G�iYV1�.1 (Property Address) hereby authorize I4 I'n '' (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property, Owner's Signature - - �J . I9, Date CME: NOV 1 2011 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/ rganization/Individual): A* Address: 1 City/State/Zip: S 4 6� Phone #: _6M 0 019 00'3 y kulpuan employer?Check the appropriate box: Type of project(required): 1.29.I am a employer with_ 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet. $ ❑ Remodeling ship and have no employees These sub-contractors have. 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �w Vm-& Insurance Company Name: Ff w�LL n n Policy#or Self-ins.Lic.#: T Expiration Date: I-V�ez- Job Site Address: City/State/Zip: f 1C f� Attach a copy of the workers' compensation policy declaration page(showing the policy numb and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations Klt e DIA for insurance coverage verification. I do hereby e y der the pains and penalties of perjury that the information provided o nis true and correct. Signature: Date: Phone#: EVV Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 4a i RISE ENGINEERING Completion A division of'Thie1sch Engineering Certificate 3i 1341 Elmwood Avenue,Cranston,R102910 PROGRAM (401)784-3700 FAX(401)784-3710 CLC-RCS CASE 122150 Page 1. fl4tG!lif 6 klNG ' CONTRACTOR 0043 NiallHopkins' CONTRACT DATE STARTi'DATE ADDRESS 1:1:/11/2o a 1/10/2012' AUDITOR CLIENT NAME Richard M.Dresser Do.ug.B.rown ADDRESS 123 Buckwood Drive Hyannis,MA 02601 CASE 12?759 HOME (508)775-5389 WORK () X- PROJECTNO. CELLFAX RIS-81-11-0035A220 Air Sealing Completed Start CFM50 __.._..._...,_........ End CFM'50� 70%OF BAS CFM50 Combustion Safety Testing Worst case depressurization number—pascals CAL limit pascals Spillage failure: Yes or No Draft failure:: Yes :or No CO levels: pass or fail The following areas were scaled,as directed by the RISE Engineering Energy Specialist:: Basement.-Crawlspace Attics-Kneewall Spaces hiving Areas —Sill/Rim Joist Wall Top Plates Plumbing Gaps Plumbing Gaps v Plumbing Gaps Door Sweeps Wiring Gaps _Wiring Gaps Door Weather-strip �.Chimney Chase Chimnev Chase _fireplace/Wall seam Basement Door Attic HatchDuct Register Gaps Crawlspace,Ducts Joist Transitions Air Con.Cover Kneewa l I-latch Attic Ducts Bterior Items Sealed: Other Items Sealed; - - _....._�_._..................................._..........................___......... Comments: Perform 12 1nan-hours of air sealing to include all appropriate blower door tests,combustion safety tests RISE ENGINEERING Completion division of Thielseh Engineering Certificate 1341 Elmwood Avenue,Cramton,R102910 FROG RAM II I S E (401)784-3700 to\.(401)784-371.0 C LC'-RCS CASE' 122759° Page 2 81dGnJ�6t1ldC. and procedures. Energy Specialist's NOTES:no access into KW's,seal brat.sills Install a 1'0"layer of R-35 Class 1 Cellulose added to 176 square feet of open attic'space.YELLOWIGREEN Install prop-a-vent chutes to all soffit bays,using fiberglass dams as needed. A bag count must..be recorded The total. bag count must meet the insulation manufacturer's recommendations for coverage. Insulation must be installed evenly throughout the attic to a consistent depth. Dams must be provided around any Non-IC rated recessed light fixtures and all attic hatches,chimneys,flues,fans and vents, Keep any A/C condensate drain pans clean. Install a 13"layer of R-45 Class 1 Cellulose added to 264 square feet of open attic space.YELLOW Install prop-a-vent chutes to all soffit bays,using fiberglass dams as needed. A bag count must be recorded: The total bag count must.meet the insulation manufacturers recommendations for-coverage. Insulation must be installed evenly throughout the attic to consistent depth. Dams must be provided.around any Non-IC rated recessed light fixtures and all attic hatches,chimneys;flues,fans and vents, Keep any A/C condensate drain pans clean. Install a 9"layer ofR-30 unfaced fiberglass batts to 80 square feet of attic space as walkway dams.PURPLE Install a new,finished plywood,attic space access hatch. The hatch will.be held closed by eye hooks. See sketch. Install ventilation chutes in(60)rafter bays to maintain air flow. Install 4 4"x 16"soffit vents as indicated on the sketch. Energy Specialist must specify the COLOR:WHITE Insulate the back ofthe basement doocleading'to the bulkhead with 2 rigid foarn board that meets the sections R- 316..5.4 and 316.6 requirements of building code. Seal all edges and seams with FSK;tape. Install R=19 unfaced fiberglass blockers to the sills. 28 square feet.BLUE Frame-in existing;opening to accept a new hatch. I confirm•that the:measures listed,above have been completed to my satisfaction.1 have received a copy of.the Certificate of Completion .and hereby authorize the release of any final payments,to thc'Contractor. I understand that this Authorization of Completed Work does `not in any manner voi&,any',warrantiesprovided tome by the Contractor. . ... _ ........... ..._. _ .... ....._. _.. ........ Inspector's Signature. Customer Signature ............_..._-------- .........-. . . DATE DA I°I 1212912011 7:-20:09 M1 , RISE ENGINEERINGFederal ID It05-0405629 RLContractor Registration No 8185 A division DfTlticlsch Engineering, MA Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenuc,.Grauston;l21 019,1"0 pp*�++�y��rr-p- �e (4(11)7134 3300 T.1X(401)7li4-3710 CON ll C I Page 3 - PROGRAM THIS CONTRACT IS ENTERED INTO BETWEEN RISE. .. I �./ _CLC_RC,S, _ENGINEERIMO AND THE CUSTOMER FOR WORK AS ENGIN•EEPUNG _ DESCRIBED BELOW CUSTOMER PHONE DATE client# Richard M Dresser (508)775-5389 10/t 1/20t t 122759 _J__.__ __.___-._._.....................___..._.___. ______... ............... ...._,,. ...._............................ SERVICE STREET B=NG STREET 123 Buckwood Drive 123 Buckwood:Dr __._..__..__.__... ........_............_... .,_. . ,...._ ,.,...., SERVICE CITY,STATE,ZIP 3IWNO CITY,STATE,ZIP H yan nis;MA 02b01 [•(,yanttis;MA 02601 JOB:DESCRIPTION i Provide labor and materials to sent areas of your home against wastcrut,exa:ss air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful.level of air exchange and indoor air quality. Materials to be used fo seal your home can include caulks;foams,weatherstripping and other products. Primary area:for scaling-include air leakage to attics,basements,attached garages.and other unheated areas.(windows are not generally addressed.) $84000 Provide labor'nnd materials to install a.1 V layer of R-35 Glass I Cellulose added to 176 square feet of open attic space. $228:80 Provide labor and materials to install a 13"layer of"1t=45 Class lz Cellulose added to 264 squaw feet ofopen attic spacer WIN., Provide labor and rnatcrials to install a 9"layer of 1110 unlaced fiberglass halts to 80 square feet of.attic space as walkway dams. $126,40 Rrovide labor and materials to installanew;finished plywood,attic space access hatch. Prime coat and/or paint is not included. $120;00 Provide labor and materials to install ventilation chutes in(60)rafter hays to maintain air flow. $19200: Provide labor and inate6als to install 4 4'X 16".rectangular aluminum soffit vents to increase ventilation in attic areas. $1.04.00 Provide laborand materials to insulate the back ol'the basement door leading to(lie bulkhead with 2"rigid foam board that meets the sections R-316.5.4 and 3 t6.6,requirements of.building code. Seal all edges and seams with I;SK tape: $46 00 eovide labor anti'materials,to inswi128<square feet of missing R-19 tin f ced fiberglass insulation to the.perimeter of ttrebitseinem ceiling sit. the house sill, $50A0 �j 4 2011 RISE;ENGIN EER-IN FBdDratli�r�os aoss2s RI Contractor Registration No 8188 A division o! i Iliclscb Engineering Contractor Registration No 120979 CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston,Rt 0291-0 r t (401)784-3700 JFAX(461)784-3710 CONTRACT Page 2 - ''. FltOGRAM. THIS CONTRACT IS ENT£REDfNTOBETWEENRi9E .. C,LC-RCS ENGINEERING AND THE CUSTOMER FOR WORK AS ENGINEERING. OESCRtaED eELbW _.—.._...... .._. ._...._.____..,..,....__....................... ....._-m_M____...,...___ _ ................_......._ .... , ......._._._....... _., __..... ------__..__._ — .__ -_�. .,.....,.,.___ CUSTOMER PHONE _- DATE cirenta Richard M_Dresser (508)775-538:9 10/1.1/2011 122759 ....... ...... __.._._............................_...__._..:_.___. _... ._................._.....__,.__.___---___......... .............___.._____.__......... .... ._ ...... _ SERVICE.STREET BILLING-.STREET 123 BuckNvood Drive 123 Buckwood Dr ........__----- _..._ ._..,_. ..__........ __._..__.................................,. ._..._w........ ....................... ....... ._._._............................................... _.._ ,,. ..... SERVICE CITY,STATE,ZIP BIL.UNG CITY,STATE,ZIP Hyannis,MA 02601 Hyannis,MA.02601 ;BUR DESCRIPTION Provide labor and materials to frame-in the existing attic overhead hatch opening in order to accept a new unit. �lvs:tlb RISE Ettgincering.will apply all applicable,eligible incentives to this contract: You will be billed only the Nei.amount Currently,for cligiete measures,,theCtipe light Compact often 75%incentive,not to exceed$2,000 per calander year,. 41,016.55 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only:the Net amount. Currently,for air sealing measures,the:Cape.Light Compact offers a 100%incentive. -$8Ab.0b WE:AGREE-HEREBY TO FURNISH SERVICES.-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM,OF ***Three Hundred Thirty-right 8L 851100 Dollars $338.86 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREED TO REMIT AMOUNT DUE IN FULL:INTEREST OF I%MLL BE CHARGED MONTHLY ON ANY _ UNPAID DAIANCEAFTER14 DAY$:BEE REVERS£FOR IMPORTANT INFORhIATKIN ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REOISTRATION:. OO NOT SIGN TtIIS CONTRACT IF THERE ARE A,NY�BLANK SPACES AUTHORIi;ED-5KINATU RI$@sENGINE£RINO -• •.... .. CUSTOMER ACCEPTANCE..: •:: NOTE:THIS-CONTRACT tMY OEWITHDRAYlN.BVUSaF:NOT E%£CUTEU 4111Tfi1N DATE OF ACCEPTANCE .(�a.7.`.-(/ ..,_ ;, ,.., ,/..................._, . ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CDNDnmN$ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED,YOU ARE AUTHORIZED TO-DO.THE WORN _,..:.....„...,,... DAYS. AS SPECIFIED.PAYMENT WILL BE.MADE AS OUTLINED ABOVE r CLIENT NAME: DRESSER FILE# 122759 BUILDING AIRFLOW STANDARD RISE GNCIN494imc Please enter the information as requested to describe the house and your measurements. What is the type of Heating System? E_Electric G=Gas H= Heat pump P= Propane O=Oil W=Wood GT'=Geothermal heat pump: K=Kerosene Is the house Air Condioned? Y=Yes N= No How many stories is the House? 1, 1.5, 2, 2.5,. .or 3 t 2, Enter the dimensions: House Length House Width Average height per story This is the estimated volume of the house b Co. ft. OR._ f there are additions or other reasons why the actual volume is different, calculate the total correct volume by hand,and enter here: 22160 cu. ft. What is the actual number of occupants? 3 What is the total number of bedrooms in this house? Calculated LBL"N"factor 14.985 What was the Blower Door Measured ) „", ;CFM50? 2526;CFM50 Present AC H -0.46 The Building Airtightness Standard for this house is � CFM50 This BAS:number cannot be decreased, but can be increased teased on auditor's observations of household conditions;and to ensure that combustion safety house depressurization limits.are not exceeded, New ACt 0.35 You must recommend ventilation capable of continuous operation if the reading is above , That ventilation must be capable ofsupplying to the living spaces up to: »,,.., I c m o res arr. b� t€.you are performing shell measures, you must install ventilation capable of continuous operation ifthe reading is at or below ,, NCFM50 That ventilation must be capable of supplying to the living spaces: 1 67 m o res air. t 7 CLIENT&e- ss� y �79 / PRE-TESTING PRE-WORK TESTER v t 4 DATE l V :�I-A01` INFORMATION START C� POST-WORK TESTER DATE CFM P- . RISE INCI IMINC COMBUSTION SAFETY PROTOCOL PASS FAIL f Zero the Carbon Monoxide meter outdoors. 2 Record ambient CO POST LIft areas Kitchen �— CAZ t CAZ 2 3 Male combustion urt . � E IImlace wood stove Other Comment If any are In pon Chde Heat FUEL: Ohl < N r'al Propane Electric Other Circe DHW FUEL: Oil Neturel Gas Propane Elect tc Other l.,••d/retie" 4 Record quantity of various exhaust appliances: OTY. OTY. Air Handler(heat and/orAIC) Central vacuum Kitchen exhaust i Whole House fan Bathroom exhaust a. Attk exhaust fan Clothes Dryer , Other 5 perform Worst Case Dae"Mr-b atlon teats• IPRE POST (Set up house In I*tte'conditions and turn all combustion appliances off.) �J Record Baseline Pressure: Ali exhaust equpment ON and adjust doors as needed c (arid adjust doors as needed) Air Handler AND exhaust equipment ON (readjust doors as needed) Air Handler ON only (medNst doors as needed) Record the actual WORST CASE depressurbs;tion number (adjusting the highest pressure difference by the Baseline Pressure) „� I a CAZ Depressurization Limits(you must circle the pfoper Um Venting Condition Limit ascals Orphan natural draft water heater hrd outside ch 2 Natural draft boiler or furnace Common vented with water heater 3 .Natural draft boiler or furnace with vent damper commonly vented with .8 water heater Individual natural draft boiler or furnace Machantcally assisted draft bow or furnace commonly vented with 5 water heater Mechlin assisted draft boiler or furnace alone 45 Exhausto chimeny-top draft Inducer, .60 High static pressure flame retention head oll burner, Sealed Combustion appliances. 6 Perform Sob�a�e estseat$ (Performed with CAZ In Woret Cass for depmesurbzadon) Monitor ambient CO In the zone throughout the tent. If thvo combustion appliances are vented together,start with the smaller sppilance. Use your stop watch: Is there evidence of Flame Rollout? Y I Does the flame distort when the Air Handler fan stags? Y ! N Under Worst Case after 60 seconds of CPO ration is there any s ills e? PRC-W TEST POST WORKTEST Sma1 fiance Smaller appliance Lawr apprtanoe Yea es No Yes No Yes No F P FAI PASSES FAILS PASSES FAILS PASSES !F SPILLAGAESTiS A FA! REAT WORST CASE;REPEAT UNDER NATURAL CONDITIONS AND RECORD: After 60sww*of operatian wider na oils is ftm any soap? Pro-Wo►k Test Yes Post Work Test Yes No 7 graft Tests PRE POST Record Cie appmxlmate outside temperance: PRE WORK POST-WORK DRAFT PaWfail DRAFT Pass/Fail Heaf system 04 S 2n d Heating system Water Heater d Other— Acceptable Draft Test Ranges Outside Tern rMire(dearee M]ntmum Kraft Pressure Standard Pa < 2.5 (outside temp/40 -Z76 -0.5 8 Carbon Manoxide Tests Measure the undiluted flue gases and the ambient sk in the zone(s). PRELWORK POST-WORK Undiluted Flue Gas Ambient CO in Vndiluted Flue Ambient CO in CO the zone Gas CO the zone Heating system Aug5,1j i 2nd Heating system Water Heater N d f Gas oven Gas stove top Other 00 CONCERN: If ambient readies 35 ppm cease teats,open windows,Inform HO and evacuate until clear.If the CO In any appliance is measured greater than 100,or if ambient CO in the home emeeds 35 ppm then appliance clean and tune must be in the scope of work. Combustion Safety Test Action Levels C4—pp-M /Or Spillage and Draft RetroRt Action R Test Results 0.2Passes ProcaW with work 26. Passes Recommend that the CO problem be fmd 26. et worst Recommend a service can for the appliance aridlor repairs to the home to correct the problem 100.400 Or IFINwormilemist6ral $ o Worts Work may not proceed until the system is serviced and the problem is corrected ppm conditions >400 And IPasses -Stop Work Work may not proceed until the system is serviced and the pmblern Is corrected 11400 ppm And Falls under any I Shut off fuel to the appliance and have the homeowner can for service Immediately •CO meastuements for undiluted flue gases at steady state 9 Conclusions: Chda the appmptrlata results and retrofit actions on the Ctterd Form. Discus health and safety problems,concerns,recommendations and resolutions. Obta In client signature and leave a copy with the client. IMPORTANT POgT •Return hot water tar&to nnomial settings `rum ftci switch am 'Matte sure heating system Is onloperaft. I CLIENT#. 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