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0439 CRAIGVILLE BEACH ROAD
�' �� _ _.___ �. I i I i I!, � 4 secure Wewnfwce.croWapp rtep'C�eEnforcemenUCaseHlstory asp 7Ud-67VI.ddngN-T 19278 ITT off°ViewNforce _ -Fu0 ryas waobawd code enrorcema t "@@ iZ lauzonj AB�.�..�.Clcse Wig In�eMonllatory Pemtlt H..h..rory."A`.��,Saga 3owHlrtory•' Inspection Hisloryfor. C-19-278 at 439.CRAIGVILLEE.BEACH ROAD,HYANNIS Send:Errta6 Pnnt Ali mspectrons - Overall Event Date Inspector Time In Tim Out Unifk Overall Inspection Comment Status '1217170/4 Mueont. 9:06:72AM 9A9:05AM i. - Prht lnepetaM Type Code Locedon.Descripdan Stet s Comment , VfoWt Uolalion PASS DUPLICATE COMPLAINT.PAUL ROMA CLOSED COMPLAINT Y162010.NO NEW CONDNIONS. Send EMaO i tnepMw Notes CLOSE RFS 1 .. ... 121]12014 le-1 9 0B:/2AN ....,:...,......,,., Sbe[ a. f wn�a�naxi6r;a 'p1 ;7 �vm.nw. A"'lYpa �'@ - .».�.«r n °�tiwiap99aN�gutlrlil^ 'mlitm;�;r"i( l o��S lrxE3=-�j ,-„i rnm ¢lntursmuon x. mu ngav x att+�i�I,�,INkbfI��I��Nlfal " ' - ., Oltoc secure�'vcew(orz'e do�app netjCadeEnf¢rcemenVCsseH sEary pima=iV ru,7No=r 19-278wft qq,�'3 e�»�aimwiam�fnaa, r�ap�ulww aro�np ».: � I� �1.�\�d���`S�kiro�,: . i ;„t�aa� °�zer�retu�l�up�plreanws,�s>xws y� : yx',� .0 6cycta weo�besetl coon enforcement � � it lauzonj: - �Inspe[[lon Nlnary _pOrryllj'Nht9!Y. ' Law N�Ietory� . S¢ntl Ema9,„t; print Au letp¢cllons Inspection History foc;C-19-278 at 439 CRAIGVILLE BEACH ROAD;HYANNI$ Overall Event Date spector, Time In Time Out Unit# Overall Inspection Comment Status 7777-7-70 17171RO13 Wuia.0 9:0677 AM'.9.09.05 AM 92191/1013 WumnV 9:09/3 A69 ' C I x, u %a'mmom've udomauan: W as4astuy >< + •"• w�-Yam•••• , ' ` f 4 C Q O Notsecure I vfewnforoe.<budapp.mt CcdeEnforce—L(Caseff ry.aspx7tid=678TradangNo=T-19-278 131L'ViewNf6rce - - Feb cycle weFbe58d cafe en1olcemont it lauzonj cle44wea4w iii��77 Inspectlon NNtory 'Pcemlt.Nbtory� �C4so Mlstory-- Inspection History for: C-19-278 at 439 CRAIGVILLE BEACH ROAD,HYANNIS Sena Ema6 Pont AO Inspections Overall Event Date Inspector Time In Time Out Unit# Overall Inspection Comment Status 17/31/1018 Munn) 9.06:32 AN 9'09.05AM - ,....- .............. .......® ..... 12211/2019 leuronj 9:09:12 AM i 0Nt9am MUzonj 2:55:03 PM' Prnl lnapattlon .. 0entl EMell Inepactor Notes Scalbped 1 c4y n'si Iled f feet at h ghest to three feel a1 bwest 4i m ddle�� � ,t Town of Barnstable , 6 t, gg Op THETO� reaj ! t .+t;1t1} I} ti Regulatory Services h O� -4- ; 4 C �-^.. : r „ Thomas F.Geiler,Director I3,> # 1 ,< B" MASS. ` Building Division y Mass. �a �1DtE1 Mai a Tom Perry Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: v Ree'd by: Complaint Name: A69 Map/Parcel Location Address: Originator Name: Street: Village: State: Zip: Telephone: �Q 1 20 cis 0 Complaint Description: N FOR OFFICE USE ONLY Inspector's Action/Comments Date: to 0 Inspector: oo Additional Info.Attached A-9 40 �' Q:fonns:complaint I i 3 z �' � 0 "�`� , 4i " .>-. ., �._- + "•.+...ram�.�y \'Sv� i�dsii Y? 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I i -'�,N.F•'gy�"y„'� .��-s;: .s'�s•',¢te� ''#?k: .s:'"'tL< x��^'„"+.;' {�;� �•� ..t ,; ..., .... #1 :..�..:� ,.,± .;.. :•sYY?s� •.*..'rTfr+`3!er•.yS.-, »eta...,. rs �,5�t- ,�'.'_ a.°»ice,".,,. ..,.s- •h, k..�..+5'�i�� - ��fs ,rg�ris;y,.,. et„ei'4r-lky 2t�.�."-`-,✓5""F �,� � a�,`.il T �.�,�,e< < U�,7„ '^ a�`�`rr,Sw•ti.^.y..,.,qt;:. '�"^'t '.NvsiltzT+�:.k+r�ixu��s.:d"n i,.+PFf.:.7+r ' 'i �,3�,' .. .: sc .. , �P o� Town of Barnstable. BARNSTABLE. ' Regulator' Services MASS. .. 039. per Building'Division ArED MA'S a. . 200 Main,Street, Hyannis;.MA 02601 Office: :508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection �. Locatio �"rC�il�C.C ' PC-P- PP'ermit Number Owner 2 Builder One notice to.remain.on job site, one notice on file in Building Department. The.following items need correcting: Ro7`70" a L�-�Y , C, R Lc, !c A c-c A4 Y 5 T-) L-A-725PA-c- I -� t tf A & R- -C Please call:. 508-862-4038 for re-inspection. Inspected by d Date �� I " TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION L Map Parcel, Applicatidn # Health Division Date Issued Conservation Division --Application ' PlanningiDept: ' 'it Fee Date Definitive Plan Approved by Planning Board Historic = OKH Preservation Hyannis i. Project Street Address 1 .,Ae Ag,0 Village q V V VV Owner 'Tr• Address ( Telephone 03 - 96g 'Ys�,3 6 Permit Request Aeatlo k- Laod new S WI A /-MY-,L_a/e f, /Square feet: 1 st floor: existing proposed—proposed '2nd floor: existing pos 1� yc& new—pro I ZoPing District Flood Plain Groundwater,,Overlay Project Valuation S Construction Type k/qt Lot Size Grandfathered: LJ Yes El No If yes, attach su rting &3) um(Atation. Dwelling Type: Single Family i.2— Two Family LJ Multi-Family(# units) r-n rn Age of Existing Structure Historic House: Q Yes 2No On Old King's Hig way: TYes 2,15o attach su rt i g. n s Hig Basement Type: 50 Full U Crawl El Walkout LJ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: LJ Gas L3 Oil Ll Electric Ll Other Central Air: Ll Yes Q No Fireplaces: Existing New Existing wood/coal stove: 0 Yes L3 No Detached garage: LJ existing Ll new size—Pool: J existing U new size Barn: Q existing Q new size Attached garage: Ll existing Ll new size —Shed: El existing U new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded U Commercial U Yes L3 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 5' YO 3 6061"ell — Telephone Number Address es Sc,,<.C4 License#_ 7 8 23:2 Home Improvement Contractor# l y6 0 4V Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO V PrOY -7 &rWe,!1 f SIGNATURE rl�,e DATE— J- d6 - 02 V } 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ` MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL li PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING I� jt DATE CLOSED OUT ASSOCIATION PLAN NO. r T'he Commonwealth of Kassa.chu-setts DepartmEnt of Industrial Accidents Office of Investigations 600 WashinVon Street Boston, AM 02111 www.m-ass.govldia Workers' Compsation Insurance f_fi rance Ada�zt: Builders/Contractors[Electricians/ '.Xumbers e>Z _A licaut Inaformatioxl Please Print Le�zbfy Nainc vidual): 5�` f e.� �J (2�/0720 -- Address: ��p Se.�ec� �•� City/StatelZip: jE /;'�70 An6 Phone.#: 7YO 6/5 8 3 7 Are you azi employer? Check the appropriate box. Type of pXoject(required): 1.❑ I am a cmploycr with 4. ❑ I am a general contractor and I 6. ONcw constrtu;tion employees r p(full and/oart-time).* havo hired the Sub-contractors ` 2. I am a sole proprietor or partner- listed on the attached shcct 7. ❑Remodeling These sub-contractors have S. ❑ Demolition ship and have no etaployecs ployces and have workers' me m,working for any cap era acity. t 9. VBuildiug addition [No workers' GQTap.-inctrranCc �mP insurance. 5. We arc a corporation and its 10_❑Electrical repairs or additions r�qutrcd ] off cers have exercised their 11.[]Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself.[No workers' comp. right of exemption per MGL 12 Roof repairs instrranee re t c. 152, §1(4), and we bavt no employees. [No workers' 13.❑ Other comp.insurance required..] *Any zpplicant thal chcckz box#1 mct also fill out the section below showing tbcu workers'corrprnsahon policy irnforrrration t Homcowncn who eubr6t this BEdaAt indimthrg they am doing all work and tbcn hire outside contrsctars must subrmt a nrw affidavit indicating slteh. XConbmrto5 that cheek this box must atbcbcd�m additional rbcet cbowing the name of the sub-cont-zcturs and stab--whether ur not tbosd mtitics leave employees. If the sub-contradnrs have anployees,they must pravidb the iw woken'mrnp.policy number. I am art employer Chat is providing workers' compensarion insurance for my employees. BeLaw is the policy and job site • inform-afion. , insurance Company Name: Policy#or Sclf--ins. Lie. #: Expiration Date: Job Sitc Address City/State/Zip. Attach a copy of the workers' corupensation policy declaration page(showing the policy number and expiration date). Failure to scone coverage as required under Section 25A of MGL c. 152 can lead to the ituposition of c-riroirial penalties of a fim tip to $1,500.00 and/or one-year iioprisonmcnt, as well as civil pcnaltir-s in thr 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 statnmerit may be forwarded to the Office of InVC9ti atians of the DIA for incnrraucc coves e verification_ Ida hereby certify under the paucs-and penalties of perjury that the information provided above L ct. �ttrue and corre Sahue Date' � yD Pbonc# POP YU GD 3 7 Offzc4d use only. Do not write in this area, tb be completed by city or town offtcW City or Town: Perm.it/Liceme# Issu.iagAutbority (circle one); 1. Board of Health 2.Buiiding Department 3. City/Town Clerk 4.Electrical Inspector 5. Plum.bing Inspector 6. Other Phone#: Contact Person: • Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: p,uguant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or irrTlied, oral or written-" An employer is defined as .,an i dividual,Parbacrship, association, corporation or other legal entity, or any two or wort or the of the foregoing engaged in a joint enterprise, and including the legal representatives of a dcccascd employer, receiver or trustee of anrndrvidual,partnership, association or other legal entity, employing employees. FIowever the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the another who emPoY ts P crsons to do maintenance, construction or repair work on such dwelling house iwcJling house of Dz an the grounds or building appurtenant thereto shall not because of such employment be decmed tD be an eiployer.' �, censia agency shall withhold the issuance or e e stag or Iocal li g g y tc 152 25 also states that v ry viGL chap r , § C(� -ene'wal of a license or permit to operate a business or to construct buildings in the commonwealth for any rpplicant Who has not produced-acceptable, evidence of compliance with the insurance coverage required." Uditionally,MGL ohapter 152, §25C(7) states `Neither the commonwealth nor any of its poli;iral subdivisions shall Inter into any contract for,the perFarmance of public work until acceptable evidence of compliance with the ansuranre cquircmcnfs of this chapter have bccn prescntcd to the contracting authority." ,pplicants f Iease fill out the workers' camp cnsatioMaffidavit completely,by chzcking the boxes that apply to.your situation and, i-f ccessary,supply sib-eontractor(s)name(s), address(es) and phone numbers) along with their certificate(s)of mxnce. Limited Liability Companies(LLC) or Lim Limited Liability Partnerships(LLP)with no c a mPloYcCs other than the members or partnrrs, arc not required to carry workers' compensation insurance. If an LLC or LLP does have nployecs, a policy is required. Bc advised that this affidavit may be submitted to the Dcpa,tmcnt of ladustrial ccidcnts for conffimation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should returned to the city or town that the application for the praoit or license is bring requested, not the Department of idustrial Accidents. Should you have any questions regarding the law or if you are rcgi iced to obtain-a workers' mpcnsation policy,please call the Department at the number listed below. Self insured conopanie5 should enter their lf-iz ranro licr-Mr number on the appropriate line. ity or Toter Officials case be sure that the affidavit is complete and printed legibly. The Dcparimcnt has provided a space at the bottom the affidavit for you to fill out in the event the Office of lnvcstigations has to coutact.y.Du regarding tho applicant case be sure to fill in the permit/license number which will be used as a reference number. In addition, as applicant it must submit multiple permit/License applications in any given year, nccd only submit onp affidavit indicating etnzent licy information(if ncccssary) and undcr`Job Site Address" the applicant should write"all locations in (city or VD)."A copy of the affidavit that has bccn officially stmDpcd or marked by the city or town may be provided to the plicant as proof that a valid affidavit is on file for fuhirc permits or liccascs. A new affidavit,must be 511cd out cash 3r.Where a home owner or citizen is obtaining a license or permit not related fo any business or eor=r-rcial venture aves etc.).said persou is NOT rcquircd to complctc this affidavit a dog license or permit to bum le c Office of Investigations would hkc to than you in advance for your cooperation and should you have any questions, ase do not hesitate to give us a call Depa tMemt's address, tcicphonc•and fax number. Thu C6mmon ArQ th of Massachusetts Dq)-aXtment of Industrial Accidt<nts Office of Investigafluns 600 Washington Street Boston, MA 02111 Tei. # 617-727-49-0.0 ext 4-06 or 1-U7-MASSAFB Fax# t517-727-7749 11-22-06 www.mass.gov/dia Jc c Q��� ` . �c Op . OAD : A. �. � 1 „ i f � 10,001x S� a 29' 37" N t�-aC I No.G49D r; j �F atu4 /� CERTIFIED PLOT LAl. NEWCONSTRUCTIONONLY = Lor/ 6Airvl► F_ BEXH �t 4, TOP OF FOUNDATION IS 3.3 FEET IN El ABOVE LOW POINT OF ADJACENT ` ROAD. SCALE: !" r a!a' DATE=�'t1a ' 'g _ -11,4ELDREDGE ENGINEERING CO.IAI K CLIENT 4c .- CERTIFY THAT THfr —� SHOWN ON THIS PLAN ' 13 w " � ✓/� CMG iy7/I�CQ,yLCI{BCLL�y /yam�j/ IRIQP� Board of Building Regulations and Standards HOMEIMPROVE MENT CONTRACTOR License or re RegjStrahon before registration Valid for individul use only Expiration =146064 the expiration date. 3/23/2009 Board of Buildin Regulations found return to: "Type D8A Tr# 127543 One Ashburton g Re ulations and Standards t f rton place Rm 1301 ODONNELL CUST0114110MES;' ''f BostOn,117a,02108 STEPHEN ODONNELLz 1r1 � 40SENECA RD ;:;.. , EYALMOl1TH,MA 02536 7 Administrator —'�— a�t.�r6� Not Valid without signature dards G��o I x ofm ing. egu atio ddrd ds an✓d a° l j 'dr ervisor License ` 1 Construction Sup , License: CS 78737 Bi rthdate!,\218/1962 s Tr# 9321 i E P Fation 2181�2009 't STEPHEN J 40 SENECA . ` E Fp,LMOUTH,MA ommissioner I i � I f r it oF�KEr Town of Barnstable r 4 Regulatory Services 4 4 swxn SrANAS& Thomas F. Geiler, Director �ATFo;9. 111 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner .Must Complete and Sign This Section If Using A Builder Z Ti=•y 1; hl �5- 6qn,7Q,0. . , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: q3 q Ca Address of Job) Signature f Owner Date Print Name If Property Owner i.s applying for permit please complete the Homeowners License Exemption Form on the reverse side. Town of Barnstable op IHE rti Regulatory Services sax�srAsc> Thomas F.Geiler,Director F MASS Building Division PTF° �a Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 ,K ww.town.barnstable.ma.us Office: S08-862-4038 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 perfomvng work for which a building permit is required shall be exempt from the provisions of this section(Section i og.1..I Licensing of construction Supervisors);provided that if the homeowner engages a pmon(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 Supervisor,Section 2.15) This lack of awareness often results in serious problems,particularl y �' as it would with a licensed unlicensed person eed against the unlice when the homeowner hues unlicensed persons. In this case,our Board cannot proceed g P 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 hdshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/ceRification for use in your community. ' �3 �/J �' � 3g �-" F TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIO Map a��' Parcel 6LRd 19qr001 r , Application # pp Health'Division Date Issued ._256 � Conservation Division Application Fee Planning Dept. Permit Fee -7LD Date Definitive Plan Approved by Planning Board 61C �3o�os ty~ r, t... Historic OKH Preservation / Hyannis 'Project Street Address C'P ,�a v,�1� �u�� /V �> Village Owner %i;, �n a Address 38 HIWS:4 (411k e Or we)�4,,Aj, 615'6,3 Telephone 5 6 a ` 9 6 y `f 5Q6 Permit Request TA rtia ke 9^cX o- /a a 3 de)rbc,, Col» a f Square feet: 1 st floor: existing ldd? proposed /M? 2nd floor:'existing proposed koR Total new 1009 Zoning District Flood Plain Groundwater Overlay Project Valuation l S`B, d13a Construction Type VJOJ � Lot Size—IV C3D 1. 5, Grandfathered: ,❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Cft' Two Family ❑ Multi-Family(# units) Age of Existing Structure X Historic House: ❑Yes YNo On Old King's Highway: ❑Yes ❑ No Basement Type: Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area (sq.ft) /008 Number of Baths: Full: existing_ new 1 Half: existing / new Number of Bedrooms: -3 existing 0 new Total Room Count (not including baths): existing _new 6 First Floor Room Count Heat Type and Fuel: 2rGas ❑ 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 0 new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 5-0 9- 5-Yo--e$ 7 Address ® SQL eC4 License # G S 7 3 7 Home Improvement Contractor# yLDG�I Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE s� DATE S`^A?—6? t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS r' VILLAGE ' OWNER I I t DATE OF INSPECTION: FOUNDATION FRAME f _' 9 -b ! `- r -�`� �S 2 8� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ; . PLUMBING: ROUGH FINAL k GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT t ASSOCIATION PLAN NO. • x ,per 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/Orgattizatiounndividual): Address: YQ Se-n rA City/State/Zip: L% �GQ`rncyr��i /;1ti 01 S,?` Phone.#: J09 '5 70 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I 6 0 New construction employees(full and/or part time).* have hired the stab-contractors listed on the attached sheet. 7. remodeling I am a'sole proprietor or partner- ship 2 ,5� P oP a and have no employees These sub-contractors have g• (�Demolition employees and have workers' working.for me in any capacity. 9. [✓]"Btrilding addition . [No workers' comp.•instuanc'' comp.insurance•t requirrd.] 5. We are a corporation and its 10.❑Electrical repairs or additions . 3.❑ I.am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myselL[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c.152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance requirod.] *Any applicant that chool5 box#1 must also fill out the section below showing their workers'coropcnsation policy information. t Homeowners who submit this of davit indicating they are doing RU work and then hire outside contractors must submit anew affidavit indicating such. IContractors that check this box must attached an additional sheet showing the name of the sub contractms and state wbether or not those entities have employees. if the sub-contractors have=nployces,they moat providb their workers'comp.policy nrnnbar. I am an employer that is providing workers'compensation insurance for my employees. Below is the polity and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address:--- City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year mprisonment,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 cerfify under the pains•and penalties of perjury that the information;provided above is true and correct Date: S"/a Phone#- Official use only. Do not write in this area,tb 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 I Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or hustee of an individual,-partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states'Neither the commonwealth nor any of its political subdivisions shall enter into any contract f'or•the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.;' Applicants r,A Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies•(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insuramco license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit.must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related io any business or comzmercial venture (i.e.a dog license or permit to brim leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone-and fax number. The C.6mmonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 6.00 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 4-06 or I47?MASSAF1s Fax# 617-727-774.9 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: Sid �', � ` Site Address: �� t� ��`j� �� ,f'd prin Town: ' �(/• j� � Applicant Phone: 5'q0— 4*g 3-Z Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE, AND TWO-FAMILY BUILDINGS MAXIMUM' MINIMUM Ceiling or Slab 1 0 tion l: Basement P Fenestration exposed Wall Floor Perimeter U-factor floors R-Value R-Value 'wall R-Value AFUE HSPF S GL:R R-Value R-Value and Depth National Appliance Energy 3 5 R-3 8 R-19 R-19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or greater ns applicable Note: This form is not required if you choose either of the two versions of REScheck as.listed below. Option 2: �. REScheck Version 4.1.2 or later variant software analysis must-be completed. (790 CMR 6107.3.2 REScheck—Web which can be accessed at http://www.energ cy odes.gov/rescheck/ ADpITIONSA'6j�ALTERATZONS:TO*:EXISTING:.BUILDINGS:;OVER-5.YEARS OLD.* *Buildings under 5 years old must use option#1. or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall &Ceiling Area equals Formula: (100 x b=a) SF 100 x — _ % of glazing (b) Glazing area equals, SF b a If lazing is'<;40A% use'.the chart below. If..glaziri is�-:40`?/o proceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING + LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM Ceiling and Wal] Floor Basement Wall Slab Perimeter Fenestration Exposed floors R-Value U-factor R-Value R-Value R-value R-Value �and De th ` .39 R-37 a R-13 , R-19 R-10 R-10, 4 feet a R;30 ceiling insulation maybe used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e. not compressed over exterior walls, and includingan access openings). SUNROOM=An addition or alteration to an existing building/dwelling unit where the total F glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition, y.: Note:. Owner to fill out Consumer Information Form found in Ap endix 120.P r A YVC Grride to Wood Construction iit Hi,h 1'Vind Areas: 110 mph Wind Zoiae Massachusetts Checklist for Compliance (7s0 CNIR 5301:2.1.1)' Check Compliance 1.1 SCOPE = WindSpeed(3-sec.gust)....................................:............................. ...............:................................ 110 mph WindExposure Category.................................................................. ..................:..........................................B / Wind Exposure Category................Engineering Required For Entire Project .......................................0 1.2 APPLICABILITY J Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)J_stories 5 2 stories. RoofPitch ....................:.........::...........................................(Fig 2) .............................................. ;52512:12 �L MeanRoof Height .....................................................:........(Fig 2).................................................� �ft 5 33' Building Width,W .............................................................. (Fig 3)..........:................................Z:1. 'ft 5 80' BuildingLength, L ...:..........................................................(Fig 3)........................................... a: ft._<80' Building Aspect Ratio(L/W) ...............................................(Fig 4).................................................. 1 _ .<3.1 Nominal Height of Tallest Opening2 ....................................(Fig 4)................................................ Z d"<—6'8", ✓ 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)..............................................................: 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry .................................................................... ............................................................... 2.2 ANCHORAGE TO FOUNDATION1'3. 518"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ........................................S.(Table 4)................................ ........ in. Bolt Spacing from end/joint of plate..........................:. (Fig 5)..................:................. in. <_6"—12" Bolt Embedment—concrete.........................................(Fig 5)................................................. in.>_7" Bolt Embedment—masonry.........................................(Fig 5)............ ............................... in.>15" PlateWasher................................................................(Fig 5)..............................................>3"x 3"x%` 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)................... Maximum Floor Opening Dimension...................................(Fig 6)................ .�' ft<_12' ' A/ .................... ...... ..... . 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)......................I.............................. 'ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)..................................................... 'ft 5 d .Floor Bracing at Endwalls....................................................(Fig 9)................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)................................... Floor Sheathing Thickness ...........................................:.....(per 780 CMR Chapter 55)....................... in. v Floor Sheathing Fastening ........ Table 2 .. a d nails at 6' in edge/14.in field 4.1 WALLS Wall Height , Loadbearing walls..........:.............................................(Fig 10 and Table 5)...........................�-4ft 5 10' Non-Loadbearing walls ........(Fig 10 and Table 5) ...IL ft 5 20, Wall Stud Spacing ..........:...............:.............................(Fig 10 and Table 5)...................IL in.5 24"o.c. Wall Story Offsets .....(Figs 7&8)...............................................Lft 5 d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls........................................................(Table 5)..............................2x qi -7 ft yin. T Non-Loadbearing walls....................:............................(Table 5)..............................2x_V --ft in. Gable End Wall Bracing FullHeight Endwall Studs............................................(Fig 10)................................................................. ............. >W/3 WSP Attic Floor Length..............:..:................. (Fig 4 L ft( 9 11)............................................. Gypsum Ceiling Length if WSP not used ...................(Fig 11 'f.t ft>_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 bays Double Top Plate Splice Length ...........................:.........:..................(Fig 13 and Table 6).................................... &ft Splice Connection (no. of 16d common nails)..............(Table 6)........................................................._ID AWC Guide to Wood Construction ht High Whid Arens: IIO,mph Wind Zone Massachusetts Checklist for Compliance (780 CNIR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)............................'....(Tables 7)...................................................:. Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... g ✓ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans (T )........................................................ able 9 .................................. ft_m.s 11' L� Sill Plate Spans ........................................................(Table 9).................................. ft_in.s 11' Full Height Studs (no.of'studs)....................................(Table 9).................................................,...... 3 �. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9). Header Spans.............................................................(Table 9).................................. 3 ft_in.s 12' L, Sill Plate Spans...........................................................(Table 9)..................................'3 ft_in.5 12" i Full Height Studs(no.of studs)....................................(Table 9)........................................................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ..............................................................................�<6'8" Sheathing Type..............................................(note 4)....:................................................. " jr Edge Nail Spacing..................................:......(Table 10 or note 4 if less)...............:. .. 3 in. ✓' Field Nail Spacing..........................................(Table 10)..............................:.................. z i Shear Connection(no. of 16d common nails)(Table 10)....................................................... f, Percent Full-Height Sheathing...................:...(Table 10)....................................................W%a 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... _✓ Maximum Building Dimension, L Nominal Height of Tallest Openin92.........................................................................0 g<6'8" J SheathingType..............................................(note 4)..................................................... Edge Nail Spacing able 11 or note 4 if less ........................ 3 in. Field Nail Spacing.......................................:..(Table 11).........:....................................... i( m. Shear Connection(no.of 16d common nails)(Table 11) .. ...................................................... Percent Full-Height Sheathing.......................(Table 11)..........................,. ...... . . ................... 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... 5.1 ROOFS Roof framing member spans checked?..:.....................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19) ............. I' ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)......:.....................................U= plf Lateral .....(Table 12)......................................:......L=42k-plf ........................................ Shear....................... ..(Table 12).................. .S=�2 plf....................... ......................... Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= plf Gable Rake Outlooker..........................................(Figure 20) .............0 ft s smaller of 2'or U2 ✓ Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= 4/7lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= Ib: ✓ Roof Sheathing Type.......:............................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness.....................................:..... ..........................................:...�in. >_7/16"WSP H Roof Sheathing Fastening............................................(Table 2)..................... .............. ....................Lly. 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. i+ 04/23/2008 WED 14: 58 FAX 508 947 6844 GAMMONS INSURANCE 12001/001 - - ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP1D °ATE(MMro°'m"' IDEAPLl 08 14 07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gammons Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 1235 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ` 328 Bedford Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lakeville MA 02347 phone: 508-947-3460 Fax:508-947-6844 INSURERS AFFORDING COVERAGE NAIC# 1 INURED INSURER A: Mass. Bay Insurance Co. INURERB: Safety Insurance Company Ideal Plasteringg INSURERC: 4revelere Ineesanee Company Barry D Araujo DSA 8 Birdsong Hill Road INSURER01 Sagamore Beach MA 02562 - INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUtREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE KWRANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITION OF SUCH POLICES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR N TYPE OF INSURANCE POLICY NUMBER DATE M DATE TI LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 RENTEET COMMERCIAL GENERAL LIABILITY PREMISES Eaoaerence $50000 CLAIMS MADE QOCCUR mmEXP(Any one Person) $5000 B X Business Owners BP00007753 12/30/07 12/30/08 PERSONAL&ADVINJURY $1000000 GENERAL AGGREGATE s 2000000 GEML AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/oPAGG $2000000 POLICY M LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ A ANY Auto ADN867180000 04/30/08 04/30/09 (Eaacddent) ALL OWNED AUTOS BODILY INJURY $100000 X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $300000 NON4WNED AUTOS (Per acddent) PROPERTY DAMAGE $100000 (Per acddent) GARAGELIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ EXCESSNMBRELLALIABILITY EACHOCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ s DEDUCTIBLE $ _ RETENTION $ ITH_ $ WORKERS COMPENSATION AND X TORY 1MITS ER EMPLOYERS'LIABILITY C ANY PROPRIETORIPARTNER(ElfEcurivE 6KUB839X468A07 04/15/08 04/15/09 E.L.EACH ACCIDENT $100000 OFFICERIMEMBEREXC.UDED? E.L.DISEASE-FAEMPIDYE $S00000 HPEC describe under S IAL PROVISIONS below E.LOISEASE-POLICYLIMR $500000 OTHER PROPERTY 5000 DESkF n0NOF OPERATION I LOCATION 1 VEHICLES I EXCLUSION ADDED BY ENDORSEMENT I SPECIAL PROVISION 2005 Chevrolet Silverado Pickup 1GCHK29235E204721 Plastering CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATIO - DATE THEREOF,THE ISSUING INSURER INILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Steve O'Donnell IMPOSE NO OBLIGATION OR LIABILITY OF ANY NNE)UPON THE INSURER,ITS AGENTS OR 438 Craigville Beach Rd Hyannis MAL 02601 REPRESENTATIVES AUTHORIZED NNTATNE RosedQKAWM49 ACORD 25(2001/09) ®ACORD CORPORATION 1998 Client#:4597 CCINSUL ACORD- CERTIFICATE OF LIABILITY INSURANCE 0DATE 4/23/08D1YYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis, MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Peerless Insurance Cape Cod Insulation Inc INSURER B: Insurance Company of the State of PA 455 Yarmouth Road INSURER C: Hyannis, MA 02601 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS DATE MMIDD/YY DATE MMIDD/YY A GENERAL LIABILITY CBP9587416 04/01/08 04/01/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES f R TED E occurrence) $100 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY 7 PRO JECT 7 LOC A AUTOMOBILE LIABILITY BA8274906 04/01/08 04/01/09 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $250,A0Q X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $500,000 PROPERTY DAMAGE $100�000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ TH $ B WORKERS COMPENSATION AND WC6846890 06/30/07 06/30/08 X WC STATUS FIR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 ANY PROPR!ETOR/PARTNER/EXECUTIVE -- OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 OOO OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION f O'Donnell Custom Homes DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Ifl DAYS WRITTEN 40 Seneca Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Falmouth,MA 02540 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S35597/M35188 CBR © ACORD CORPORATION 1988 RightFax C1-1 4/21/2008 6:47:36 AM PAGE 3/003 Fax Server ACORD. CERTIFICATE OF INSURANCE DATE(MM\DD\YY) 04-21-08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HORGAN INS AGCY INC HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 44 BARNSTABLE RD B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 250 COMPANIES AFFORDING COVERAGE HYANNIS,MA 02601 COMPANY 28XBF A TRAVELERS DIRECT ASSIGNMENT INSURED COMPANY B LABRIE CONSTRUCTION INC COMPANY PO BOX 2373 C MASHPEE,MA 02649 COMPANY D COVERAGE THIS IS TO CERTFYTHAT 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. _ CO POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DATE(Mt&00\YY) DATE(MM\DD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL&&ADV.INJURY $ OWNER'S&&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY(Per Person) $ SCHEDULE AUTOS BODILY INJURY(Per Accident) $ HIRED AUTOS PROPERTY DAMAGE $ NON-OWNED AUTOS GARAGE LIABILITY ANY AUTOS AUTO ONLY-EA ACCIDENT $ OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGREGATE $ EXCESS LIABILITY UMBRELLA FORM EACH OCCURRENCE $ OTHER THAN UMBRELLA FORM AGGREGATE $ WORKER'S COMPENSATION AND A EMPOLYER'S LIABILITY UB-0117B113-07 10-31-07 10-31-08 STATUTORY LIMITS X THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE INCL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: X EXCL DISEASE-EACH EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIRESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THECERTIPICATE HOLDER AFFECTING WORKERS COMP COVERAGE JOB:438 CRAIGV[LABBEACH RD CENTERVIL.LE,MA 02632 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE STEVE O'DONNELL EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 40 SENECA RD FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. EAST FALMOUTH,MA 02536 AUTHORIZED REPRESENTATIVE ACORD 25-5(3193) Charles J Clark m 23 08 05:57p ODONNELL CUSTOM HOMES 1508#540#6837 p.1 r � 2000 JUN 24 AM 7: 39 DIVISIN Fax Date - U From:. O'Donnell Custom Homes Phone and fax #, 508-540-6837 To: J e OrrLG✓z�� Attn: Fax #: 36 Pages to follow. ezz C-5- (f 42. J fr'6c5'` - 3 c v;(Ile Jun 23 08 05:58p ODONNELL CUSTOM HOMES 1508#540#6837 p.2 Double 1-314"x 9-1/2"VERSA-LAM® 2.0 3100 SP Floor Beam\1st Flooili BC CALC®9.5 Design Report- US 5 spans No cantilevers 10112 slope Thursday,June 12,2008 17:00 Build 91 File Name: 0806109 Job Name: OB06109 Description:Beam for Main Girt Address: 438 Craigville Beach Rd. Specifier: Ted Cooper Ciiy,State,Zip:Hyannis,MA Designer: Ken Goodwin Customer: Steve O'Donnell Company: National Lumber Company, Inc. Code reports: ESR-1040 Misc: 15 Needham Street Newton,MA 02461-1615 t CRI 0s-CO.00 07-00-1Xo pB-0o-00 0"0-00 08-00.00 07-00-00 ' BO.4" Bi„5-1/4' 82,8' 83,8 B4,8" 65,6" B6,4" LL 1392lbs LL 3511 Ibs LL 96531bs LL 9223lbs LLS594 Ibs LL 5992lbs LL 1689 Ibs OL 3861bs OL 955 lbs DL 410111 DL 3814 Ibs OL 50641bs DL 3314 Ibs DL 271 bs Total Horiaontal Product Length=43-00-00 Load Summary Live Dead Snow wind RoorLive_ Tag Description Load Typo Ref Start End 100% 90% 115%. 133% 125% Trlb. 1 Standard Load Unf.Area(psf) Left 00-00-00 43-00-00 40 14 12-00-00 2 4-2xl0 Beam for 262 Conc.Pt.(Ibs) Left 11-06-00 11-06-00 3OD4 1340 n1a 3 2-200 Beam For 2133 Conc.Pt.(Ibs) Left 28-03-00 28-03-00 513 951 n1a 4 3-2x10 Beam for 261 Conc.Pl.(Ibs) Left 33-08-00 33-08-00 800 ,1719 n/a 5 2nd Floor Load(Rear Section)Unf.Area(psf] Left 11-06-00 33-08-00 40 14 05-00-00 6 Interior Wall Unf.Lin.(ptl) Left 11-06-00 33-08-00 0 65 n(a 7 2nd Floor JOk-.I Load w/Attic Unf.Lin.(pif) Left 11-06-00 28-03-00 341 164 n(a 6 2nd Floor Joist(no Attic) Unf.Area(psf) Left 28-03-00 33-08-00 40 14 67700-00 Load Disclosure Controls 5u rnmary Value %Allowable Duration Casa Span Location Completeness and accuracy of Input must Pos.Moment 7276 ft-lbs 52A% 100% 14 5-Internal be wrilled by anyone who would rely on Neg.Moment -10013 ft-Ibs 71.7% 100% 24 4-Right output as evidence of suitability for End Shear -1221 lbs 19.3% 100% 16 6-Right particular application.Output here based Cont.Shear 5280 Ibs 83.6% 100% 26 5-Right properties bulging and code-accepted d design Uplift 10 Ibs n1a 16 1-Left properties and analysis methods. p Installation of BOkSE engineered wood. Uplift 268 Ibs n1a 14 6-Right products must be in accordance with Total Load Dell. U679(0.141") 35.4% 14 5 current Installation Guide and applicable Live Load.Defl. U955(07101") 37.7% 14 3 building codes.To obtain Installation Guide Total Neg.Deft. -0.06" 12.0% 14 4 or ask questions,please call Max Dell. 0.141' 14.1% 14 5 (886)234-0056 before Installation. Span/Depth 10A n(a 0 3 BC CALCD,BC FRAMED.AJS", ALLJOISTO,BC RIM BOARD-,BCI®, %Allow %Allow BOISE GLULAMTM,SIMPLE FRAMING Bearing Supports Dlm.ILxw) - Value Support Member Material SYSTEM0,VERSA-LAKIG,VERSA-RIM BD WaIVPlate 4'x 3-1)2" 1778 Ibs 0.1% 16.9% St �9 eel PLUS©,VERSA-RING, ' B1 Post 5-1(4'x 3-112'" 4466 Ibs 0.2% 32.4% Steel VERSA-STRAND ,VERSA-STUDD are B2 Post 8'x 3-1/2" 13954 Ibs 0.5`Ya 66.4% Steel trademarks of Bose',Noad Products, „ L•L.C.. B3 Post 8'x 3-112" 13038 Ibs .0.5% 62.1% Steel B4 Post. 8"x 3-112" 14659 Ibs 0.5% 69.8% Steel B5 Post 6"x 3-112' 9306 Ibs 39.1% 44.3% Douglas Fir B6 Wall/Plate 4"x 3-112' 1960 Ibs 0.1% 18-7% Steel Cautions Uplift of 268 Ibs found at span 6-Right. Column at Bearing 31 analyzed for beating only,column analysis has not been performed. Column at Bearing B2 analyzed for bearing only,column analysis has not been performed. Column at Bearing B3 analyzed for bearing only,colurrin analysis has not been performed. Column at Bearing B4 analyzed for bearing only,coltmin analysis has not been performed. Column at Bearing 85 analyzed for bearing only,column analysis has not been performed. Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(L/360)Live bad deflection criteria. Design meets arbitrary(1')Maximum load deRecllon criteria. Page 1 of 2 The engineer's approval is for structural Engineer Lumber Products(ELP)only and is based solely on the information provided National Lumber by the Customer. Nelfonal Lumber is not responsible for checking the validity of this information or to ascertain what further factors may be taken into consideration. It is the �ZN OF Customer's responsibility to satisfy themselves that the imforrratlon and configuration shown Is correct and satisfactory ter the given structure and all parties Involved. o`' LAWR E - L C �- �ST TUkAI U P � Lt�Fj.% A 301460 0 ``•0;s-r ENGINEERED WOOD DIVISION � fL`ffAL�V 65 Maple St,Mansfield,MA 02048 (508)339.8020 06/13/08 LSC-37995 1lnMrv111vwrkNWork20o8WW6_JunlOSD6lO9kPublic Submissiotrcllnstall Documents'ELM0806109 W 6.13,08.pdf Jun 23 08 05:58p ODONNELL CUSTOM HOMES 1508#540#6837 p.3 Double 1-314"'x 9-1/2"'VERSA-LAM®2_0 3100 SP Floor Beaml1st Floor11B1 BC CALC®9.5 Design Report-US, 6 spans No cantilevers 10/12 slope Thursday,Jose 12,2008 17:00 Build 91 File Name: 0806109 Job Name: 0806109 Description:Beam for Main Girt Address: 43EI Craigville Beach Rd. Specifier: Ted Cooper City,State,Zip:Hyannis,MA Designer: Ken Goodwin Customer: Steve O'Donnell Company: National Lumber Company, Inc. Code reports: ESR-1040 Misc: 15 Needham Street Newton,MA 02461-1615 User Notes Disclosure B1 -B5:3-1l2"16ga Lally Column wl 6x8 Plates Completeness and accuracy or Input must BO B6: PT Plate in Beam Pocket be verified by anyone who would rely on . output as evidence of suitability for Connection Diagram particular application,output here based on building code-accepted design b d properties and analysis methods. - a Installation of BOISE engineered wood • r• • products must be i-%accordance vAh Tcurrent InstalaBon Guide and applicable • c building codes.To obtain Installation Guide or ask questions,please call • (888)234-0056 before Installation. •BC CALC&,BC FRAMER&,AJS-, � ALUDISTS,BC RIM BOARD-.SCI®, - a minimum=2" c=E-112' BOISE GLULAM-,SIMPLE FRAMING b minimum=3" d= 12' SYSTEM®,VERSA-LAM®.VERSA-RIM Connection design assumes point load is'top-loadec'. For connection design or'side-loaded'point loads, VERSm,'JERSA• .l VE RSA-STl1D0 are please consult a technical representative or professional of Record VERSA-STRAND, Member has no side bads, trademarks or Boise Wood Products, Concentrated loads are not considered in side load analysis. Connectors are:lad Common Nails 6 Page 2 of 2 The engineer's approval is for structural Engineer Lumber Products(ELP)only and Is based solely on the information provided National Lumber by the Customer. National Lumber is not responsible for checking the validity of this Information or to ascertain what further factors may be taken into consideration. It is the N OF M - Customers responsibility to satisfy themselves that the infomizitlon and configuration shown is correct and trt" satisfactory for the given structure and all parties involved. r� y 0 13iWRE .E C T 1��sil�ggw o i�ST TURAL y �syea r ,d 30146 . G/STEP ENGINEERED WOOID DIVISION SSiONAL Edv� 65 Map(e Sr,Mansfield,MA 0204B (508)339-8020 06/13/08 LSC-37996 1N1serv111wor(kWork200&10806_Jun108t6109%Public Subm®sionsllnstailt DocumenlslELFV806109 MA 6-13-08.pdf BO � Triple 1-/4"x 9-114"VERSA4 ANI®2.0 3100 SP Floor Beam=l SC CALL®9.5 Deep Report-US 1 soul(No cantilevers(0112 slope Wednesday,April16,200812.08 SUN 91 File Nome: OM141.BCC Job Name: 0804141 O'Donnell Residence Descripbon:381 Attic beam Addraas: Ctaigviile Beast Rd. Specifier Ted Cooper Cly.Stella.Zip:Cen(wWle,MA Designer. M S.McCNeil Clrstomer. sum OUonnell Company. Netionsl Lumber Company Code reports: ESR-1040 Misc: 85 Maple SL Mansfield.MA 02048 1 so,3-Ur01,3.1R" LL law un LL 18001bs OL 1002Ibs OL 10021be TON HOAeontal Product Lend. 16-00-00 Load Summary Lire tread Snow Nmld Root Live Tag 0eeeeladw Lead TVpe Rat Start End 100% 90% 116% 133% 125% TAb. 1 Attic UM Area(pet) Lett 00.OD-00 15-00-W 20 10 12.00.00 Controls Summary roles %AOOwable Duration crass Lautlom Disclosure � Compineness and eoararyorlrputmoat Pos.Moment 9677fblbs 49.0% 100% 1 1-lntemal bevenaedpy anyone thwtvauldmlyon End Shear 2405 the 26.1% 100% 1 1-Left ouIpuasaldenoeb1subabinylor Total Load Defl. LJ321(0.54311 74.7% 1 1 building Odin based Live Load Dell. U500(0.34V) 71.9% 1 , an Mex Doff. 0.64r 54.3% 1 1 pnopei fion Ofes 'a„�aredv ood Span/Depth 18.9 Ida 0 1 0n stBOIS produab rrwl be In s000rdenee with cwrora hsteltason Guide and applicable %Allow %Allow b MV codes.To obtain Inslalalon Guble issllons Beerkm 3upe r>)8 Din IL x" Yaw S Mem upport ber NataAN cr0 4 W_ weluPlaba 3-itr x 5-W 2802lbs 35.9% 20.3% Sp,uce-Pina-Fly344M b'd°'°N'°°ree"°". Bi Weluplabe 3-1fr x 5-19' 2602 lbs 35.9% 20.3% Spruco-Pins4• r 8C CAL09,BC FRAMERS.AJS/e, ALLJOISTS.BC RIM BOARDw,BCItb, BOISE GLULAM=.SIMPLE FRAMlr4S Maus SYSTEMS,VERSAIAKO VERS443M Resign meets Code minimum(L1240)Total load deteWon cxlteria. PLUSS.VERt.4AWS, Design meets Code minimum(LJ9S0)Live load deflection oriteda. VERS+411TRANDa,VERSA-SIUM ere Design meets arbitrary(1")Maximum food deffafta Criteria Vaderne tre of Bale Wood PreducIA L.L.C. User Notes Use 3.2x4"SPF posts at bearings 80 and B1. Connection Diauram �b a a s o� v c e O c C a minimum=2' C=4-1W b minimum=3' d-12" a minknum=T* a. Nablng adledds apples to both sides of Iw member. Member has no etas toads. Cooneclom ale.led Coiamm Nate " Page 1 of 1 The sruinesra approval a Tor strudurel rngtr,eer Lumber ProeLrele tEi P1 only and Is based solely oaths hfmmation pfaMed Natlo W Lurfoer by g*Custanw. Nalbnel Lu ftar Is not responsible for chaddng the vaulty at fits irdbrrrwtlon orto ascaten that firmer faxlom maybe Won IMo eorIsldandlon,Wells OF t.ustorrrer"areapondbilyrosa0eytlremaelveatlradrotMomrsUonand configuration down Isce -and seUdaday for the Shan sbuctua and an paws Involved. LAWN E 1G i ST TURIIL .30146 ENC,YNEHtED WOoOMSION yAL, 65 Maple 54 hand lot.PAA 02048 /16/08 LSC•35019 Wdsw1lV%vrMWak200B10800_1pA0604141Wubne SubmlesonsVrrofau DobanentAELP10004141 MA4-1646.pdy l'd 80Zb6M09 Jsd000 P81 B90:80 80 8l JdV i SSE- Triple 1-31C x 8-11r VERSA-LAM®2.0 3100 SP Floor 89=%21212 BC CALF 9.5 Design Repon-US 1 span(No cantilevers 10112 slope Wednesday,April 18.200812.06 Build 91 File Name: OW4141.8CC Jot)Name: OOD4141 O'Dwrial Residence Dasctiption:202 for 11'0"dear span(Left) Address: Crelgvile A%i A Rd. SPsciller. Ted Cooper Clay,Stele,Zip:Centerville,MA Designer. Michael S.MacNeil Customer. Steve O'Donnell Company: National lumber Comparry Code reports: ESR-1040 Misc: 65 Maple St.Mansfield,MA 0204E s 80.3.1/2• LL 4170 bs LL 4/70Ibs OL 2120 Ibs OL 2128 ibs Told Hodzurdal P oduct LwVM.11-07-00 Load Summary Llw Dead Snow wind Root Lava Ts0 OeseAptlon Load TWO Rat. sun End 100% 90% 116% 133% 126% TAB. 1 2nd floor Unf.Area Lefl 00-00-M 11-07-00 40 14 12-00-M 2 Wail Unf.Lin,(p tl) Leff 00-00-00 11-07-00 0 66 We 3 Attic Unf.Area tips+) Lad 0040-00 11-07-00 20 10 12400.00 LAnd Controls Summari w as ho %Allowable Ouran Case spanLoWlan Ckunpeete essand,a„raq sfinput must Pos,Moment 16617 R-Ibs 80.3% 100% 1 1-Internal be verified byanyone who mdd rely an End Shear 51181bs 54.0% 100% 1 1-Left outpul as erWanps of euarbilh for TOW Load Dell. LI267(0.499") 59.8% 1 1 Pabulklft � �based Live Load Del L 14M(0.331") 69.2% 1 1 Max Del DAW 49.9% 1 1 Instalprapalation o1 BO�s wow Span!Depth 14.1 nia 0 1 p Ky ftw9 bo In e— --rm wlYh aired lnsteldfim Oulds and applicable BearingS4lpports cunt(LaYll( Value Support Member Matenat br@*gwesdolWo To ObtainhsWlaYaeGlide or ado r,hrw5orheh vtaaaa ad 80 WALPlale, 3.1WxSAW 6296The W.6% 45.7% Spruee-Pina•flr (W2344105Bbefka Installation. 81 Wall Plete 3.1R"x 5.1l4" 6296lbs 80.6% 45.7% spruce-Pine-Fir 9C C LCO.BC FRAMERO,ate, BC RIM BOAROft BCW. SE GLULAM=,SIMPLE FRAMING Notes SYSTEM.VERSI4AMa.VERS"N Design meets Code minimum(1,1240)Total load deflection c iteds. PLUS®.NMRSi4RIM0. Design meets Code midnon,l(L/380)Live load deflecion criteria VERSA'STRANDO.VERSAST UDO we Design meets arbitrary(1"j Ma)6mum load deflection criteria Media, dwar Babe Wood Products, L.L.C. User Nabs Use 4W 0.Fr columns at bearings 60 and B1. Conractlim Mlagram b �•--d aTa c k a minimum=2" c=411Z' b minimum=3" d=12" e minimum=3" wYinq schedule tipples to 4oM fides M M member. Comeetors we:16d Consnon Nab Pegs/Of 1 The engtneer•s approval Is Or sbuctural Engine"Lumbw Products(ELP)only and Is based softly on Me inb...alm phOtAda'NadondLurrfwby4roCuskmer.National LuiimIs not responsible brdwddnilhe vstidily of lids adorrnatlhah or to eaoertah after tYstlhar taetors may W Wean into amdderatbn. h Is ft Custarn Res responsibWty b saWy themsehoes met the bnior milan and mri sho wn own is=red and 11ti OF i44 sadallod y for Me Cron sawtrse and all parties smoked U1ViRE yG�, C i ST TURAL y .30146 G EPO��Q ENGNEFRED WOOO DIVISION iIp,HALE 65 Me*St,MareseW,MA 02M (50SM"020 04116/08 =35021 1lrhftarvi i%mkU*e4008WW4_Apea%1411Puble SuWn)BslontdndA Docrww&IELP10i04141 MA 4-le-M.pol R £'d 90Zb6£5809 Jed000 Pei 890:90 80 9l Jdy I ` Double I-W x 8-11r VERSA LAM®2.0 3100 SP Floor Seam%2133 SC CALL®9.5 Design ReW-US 1 span I No cantilevers 10112 slope Wednesday.April 16,200812M Build 81 Fie Name; 0604141.BCC Job Name: 0804141 O'Darotell Residence Description:283 traneler beam for 361 Address: Crai9vile Beach Rd. Specifier. Ted Cooper City.state,Znp:Cenbrotls,MA Designer. Michael S.MacNeill Customer. Steve O'Donnell Company: National Ltimber Company Code reporta: F_SR-1040 Mia¢ 05 Maple S1.Mansfield,MA 02048 - - - - - - - - - - t 80.3-1re 81,3.1rC LL eta ins LL 1739 Us ` DL 4391bs DL 9381be T•1el NOnmatd Product Length a 144400 Load Summary LM Dead Snow Wind RoorLive Tan Description LoadTva• Rai Start End 100% 94% 1111% I=% 125% Trio. i 2nd floor Unf.Area(paf) Left 0040-00 14-MM 40 14 01-0"D 2 Reaction from DesigneMl a...C[mc.Pt.(lbs) Leh 10-00-W 1046-00 18DO 1002 We Load C04Itr01a Stipllt118fi Naha 9G AlpwabM Dureaan Disclosure So-Location Convieteneaa and soersev of input mead Poe.Moment 8317ftdba 59.6% 100% 1 1-Internal bevenfledby anyone Mawoud rely an End Shear Z607 lbs 41.3% 100% 1 1-Right orW w eviderm of subbilly for Total Load Dell Lf352(0.48T) 68.2% 1 1 PINWIV apPyC61hn•Outputhere based on bulMbp codo4weptod design Live Load Dell. UA545(0.2W) 66.1% 1 1 proper and analysis ndtiaods. Max Defl. 0AW 46.2% 1 1 Inslaleeon of BOISE snowered Hood Span J Depth 17.1 No 0 1 pwdaeb nest be in aowrdatw with current btdtlatioo Guide and applicable %Allow !i ARow building coos.To I- I Indat"on Guide Bearing Supports Db.ILxYIl) yaiw Supaat Nbmba 100181121 oroakquestions,please call BO Walb7late 3-1rZ"x 3-117 1246 Ibs 23.9% 1&5% Spruce-Pine-Fe B1 ~Plate 3-U2'x 3-W 2695 be 51.8% 29.3% Spruos-Pine-Fir SC CAI=BC FRAMERO.AJS-. ALLJOIST0.SC RIM BOARDw.00I®. BOISE GLULAMw.SIMPLE FRAMNG Natea SYSMIA16.VERSAPLARO VERS"IM Design meats Code mWmLun(WAO)Total bed deflection aherfa. PL.USID.VERSA-RIMD, Design,, Code miNmLsn(LA380)Live load deflection criteria VERSASTRkM.VERSA-BTtK*era Design meets arbitrary(I)Maximum loud deedi eon criteria, b.dslnedrs Of sobs wood Proaucb L.L.C. User Notes Use 2-rx4"S F post at bearing 80. Use 3-ZW SPF post at bearing 61. Cannecdon Dinamn LID . —d—.. _ E a n*dnwm=2" c-5-Ur b mkdrttum a 3" d=12" < Canedondesip amines point bed Is loplosded.For connection design of Vde4oaded'pant bade, please cor"a ledrdr l repmsantative or p mfesslond of Reoad Memeer has no Bide bads. Conoe+Mteted loads are not considered in side bad ensiya s. Connecivro are:16d Connon Nele , Pegg 1 of 1 The eng mes eppovd is for dnmtww Engineer Lumber Produgs(ELP)only and is eased solely on the Mormedon provided National Lurnber by the Cudaeer. Nations]lumber is not responsible for dteaking in vetidily d rib ittfomrallon or b setertaln What fnstllerfacare malt tie,alter,IrAo mnsidtadton It fa the OF Ctnlomera reepondbiNy to seesy etemseNas Ural ate mton,talon and amfipurarion shown is rx end 9@00srsery for the giver,dnrdtse and all pestles bndved LAWR C ST WRAL .20146 ' ENGINEERED WOOD DIVISION AL� 65 Maple SL UwAdd MA 02D46 (soe)3�ao2o 041 6/08 LSC-=0 llttwery111worMWarb200P0804 Ap iM41411PubRo 8sbmissiorOdneW DowmeMatE AW04141 MA 4.18-08-pdf Z'd SM16£9809 aed000 Pei e90:90 80 8l JdV Beim- Double 1- /4"x 9-1/2"VERSA-LAM®2.0 3100 SP Floor BeamUB1 BC CALL®9.6 Design Report-US 1 span 1 No eam➢evars 10112 elope Wednesday,April 18,2008 12:08 Build 91 File Nemec 0804141,BCC Job Name: 0604141 O'Donnell Residence Description:281 for 11'-W dear span(Right) Address: Craigvlb Beach Rd. Specifier. Ted Cooper City.Stale,Zip:CenWAIle,MA Designer. M?"S. WNeYl Customer. Steve O'Donnell Company: National Lumber Company Code reports: ESR-1040 lliec. 65 Mae SL Mansfield,MA 02048 �tmao BO,9.1/Y 91,3-1M LL 27801bs LL 27801bs DL 1027 No OL iMT IN Tole)HortacrMal Product Length-11-0 -M Load Summary LIw bend Snow wend Roof Live Tea Dftcdpden Load TYp• Rat. stM aw 100% fe% 115% 133% 126% TMd 1 2nd floor Unf.Area(psi) Left OD-00.00 1147-00 40 14 12-OD-00 Lead Disclosure Ctxltrols8ummary Valu• %AaawWe a Duration core• span Louden Co pletenessand accuracy ofr9tanwt Pos.Moment 10170R-bs 7z9% 100% 1 1-Internal bevwtRWbyenfronawhpwouarelyon End Shaer 3095 bs 49.0% 100% 1 1-L.eR output as evidence of suDebgty for Total Load Deft. L/295(0.453') 81.4% 1 1 an�buding P��gn Dae'd Live Loped Dell. L1404(0.331') 89.2% 1 1 pvropene•and ansl ab madicds. Max Daft. 0.45r 45.3% 1 i Inslsfatimt of BOISE en inaerodmad Span r Depth 14.1 n/a 0 t products must be In aceordence Vft ' amen)Yratalelan Cwida end applceble %Allow %Alaw lot e"oodea.To abtairr bratelation Guide 6e8_dM SUPPOM Dim.tL x VA Veil" Support Member Material_ oral�k quert 68 apt BO WaWlate 3.1fr x 3-1W 9*7135 73.1% 41.4% Spruos-Pine•F'ir 81 %%IVPlsbe 31fr x 3-1r7' 3807 We 73.1% 41.4% Spntoe-Pine-Pr BC CALM BC FRAMERS.aS-, ALUOIST®.BC RIM BOARD-,SC0. SOISE GLULAM"',SIMPLE FRAMWG Notes SYSTE MO.VERSM AM8:VERBA-RIM PLUS®.VERSAAMS, Design meets Code minimum(LI380)Live l load deflection criteria. V�STRAMM.VERSASTLOO sm Design meets Code minimum(L/990)Live load dellecf)on criteria. reaeemsks of Bobx+Vyood 14oduda, Design meets arbitrary(1'�Merdmum load deflection criteria. L.L.C. User Notes Use 4-2"x4"SPF posts at bearings BO and B1. Connection Diegrarrt 'b' Ind a r c a minimum=2" C=5-1r2" b minimum=3 d=IT Conneclma ate:red Box Na/a Page 1 of 1 The engineers approval is for sWaurai Engineer Lumber Products(ELP)c*and Is based solely on the bikmvWan pnmAdad Natlmd Lumbarby fw Customs.National Lumber land reapoestbb for cl cldno the validity of this Information or to ascanan what Mars factors may be Won Imto consideration.ft Is,Oro tH OF kl Customers resimsiDillyto wletylhemseNas OW Imo iMonnedw and eorrAguait shown b corroU and .� sathdatlay for the riven strteMe and all perdu brvoNed. $`'�LAWR E yG Si T11RAL a r ' .30146 ..___.. ..._ pr Tflpb� We ENGINEERED WOOD DIVISION —QONAL ad Mope St.Mansfield,oMA 02o4e 04/16/08 LSC35022 tWservl1UvodAWwk2000WW_ApMM141Wublk SubmissioneNrstol DowmantMELPW804141 MA4-1SOW b'd 9MVISC9909 aad000 Pal 890:90 90 9[ Jdy 03 08 10:04p ODONNELL CUSTOM HOMES 1508#540#6837 p.1 <w v not JUN -4 Am 7, 21 �, ----—pIVISIOf Fax Date From: O'Donnell Custom Homes Phone and fax #, 508-540-6837 TO: old ��lS�e�c.lor 6v, ,, Attn: -3 f CKrrey Z-Xv2.o i Fax #: 549- Pages to follow. TO Jun 03 08 10:05p ODONNELL CUSTOM HOMES 1508#540#6837 p.2 a .fie 41--iK- rck4lr-- On' le -I C ' �'7eicFr nOl� Glnd �Q� elln gal, &, "�`" C-,&IXV 6o�ey I' : cq i ------ _- -___J 1 ----------- ___ ,___-_-; ...-______... C CO 2'-7"' i o U-) i � j i i CD 2_p"DIA i — i i i „�,a � � 5 7 - , 1 mew .. � �` 1 )2'--0"DIA J J w i z i i- z i o U o,ie � 0 00 i o j .1 : - - — - 42 -p�► — - — — -------- --- -- --- - I - - ------- -- -- - ----- - --- - --- ------ - ---- --- .. - i REScheck Software Version 4.1.4 Compliance Certificate Report Date:05/04/08 Data filename:Untitled.rck Energy Code: Massachusetts Energy Code Location: Hyannis,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) Glazing Area Percentage: 13% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 438 craigville beach rd. cooney . . Compliance:2.9%Better Than Code Maximum UA:350 Your UA:340 Ceiling 1:Flat Ceiling or Scissor Truss 1008 38.0 0.0 30 Wall 1:Wood Frame,16"o.c. 672 14.0 0.0 44 Window 1:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 2:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 3:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 4:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 5:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 6:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 7:Vinyl frame:Double Pane with Low-E 12 0.360 4 Window 8:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 9:Vinyl Frame:Double Pane with Low-E 16 0.360 6 Wall 2:Wood Frame,16'o.c. 672 14.0 0.0 49 Window 10:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 11:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 12:Vinyl Frame:Double Pane with Low-E 9 0.360 3 Window 13:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 14:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Wall 3:Wood Frame,161 o.c. 480 14.0 0.0 34 Window 15:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 16:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 17:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 18:Vinyl Frame:Double Pane with Low-E 12 0,360 4 Wall 4:Wood Frame,16"o.c. 480 14.0 0.0 31 Window 19:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 20:Vinyl Frame:Double Pane with Low-E 12 0.300 4 Window 21 Vinyl Frame:Double Pane with Low-E 12 0,360 4 Window 22:Vinyl Frame:Double Pane with Low-E 12 0.360 4 Window 23:Vinyl Frame:Double Pane with Law-E 9 0.360 3 Door 1:Solid 18 0.360 6 Door 2:Glass 18 0.370 7, Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1008 19.0 0.0 .47 Furnace 1:Forced Hot Air 94 AFUE Heat Pump 1:Air Source 7.7 HSPF,13 SEER e.q Project Title: Report date: 05/04/08 Data filename: Untitled.rck Page 1 of 7 i Compliance Statement. The proposed building design described here Is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code.The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified In Sections 780CMR 1310 and J4.4. Name-Tito Sign r Date Project Title: Report date: 05/04/08 Data filename:.Untitled.rck Page 2 of 7 REScheck Software Version 4.1.4 Inspection Checklist Date:05/04/08 Ceilings: dCeiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: O'Wall 1:Wood Frame,16"o.c.,R-14.0 cavity insulation Comments: @'Wall 2:Wood Frame,16"o.c.,R-14.0 cavity insulation Comments: [Mall 3:Wood Frame,16"o.c.,R-14.0 cavity insulation , /Comments: © Wall 4:Wood Frame,16"o.c.,R-14.0 cavity insulation Comments: Windows: ❑ Window 1:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Window 4:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comm": ❑ Window 5:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 6:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: El Window 7:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Project Title: Report date: 05/04/08 Data filename: Untitled.rck Page 3 of 7 ❑ Window 8:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 9:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 10:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 11:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 12:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 13:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 14:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 15,Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 16:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 17:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: r #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 18:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 19:Vinyl Frame:Double Pane with Low-E,U-factor.0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 20:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: Project Title: A Report date: 05/04/08 Data filename: Untitled.rck Page 4 of 7 4 zr #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 21:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 22:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 23:Vinyl Frame:Double Pane with Low-E,U-factor:0.360 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.360 Comments: ❑ Door 2:Glass,U-factor:0.370 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:94 AFUE or higher Make and Model Number: ❑ Heat Pump 1:Air Source:7.7 HSPF,13 SEER or higher Make and Model Number: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ When installed in the building envelope,recessed lighting fixtures#meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 Us)air movement from the the conditioned space to the ceiling cavity.The lighting fixture has been tested at 75 PA or 1.571bs/ft2 pressure difference and shall be labeled. Vapor Retarder: ❑ Installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts are insulated per Table 6106.4.4.3. Duct Construction: ❑ All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,are sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions.Mesh tape may be omitted where gaps are less than 1/8 inch.Duct tape is not permitted. Project Title: Report date: 05/04/08 Data filename: Untitled.rck Page 5 of 7 The HVAC system provides a means for balancing air and water systems. Temperature Controls: ❑ Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Heating and Cooling Equipment Sizing: Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 6106.4. Circulating Hot Water Systems: Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: All heated swimming pools have an on/off heater switch and a cover unless over 20%of the heating energy is from non-depletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 120 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title: Report date: 05/04/08 Data filename: Untitled.rck Page 6 of 7 i Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Non-Circulating Runouts Circulating Mains and Runouts Heated Water Temperature(°F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2.Minimum Insulation Thickness for HVAC Pipes Insulation Thickness in Inches by Pipe Sizes Piping System Types Fluid Temp.Range(F) 2"Runouts 1"and Less 1.25"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 , Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 05/04/08 Data filename: Untitled.rck Page 7 of 7 05/12/2008 14:09 FAX 6175324630 PENFIELDS Q002 May 12 08 12:50p ODONNELL CUSTOM HOMES 1508#540#6837 p.2 Town of Bairustable �. Regulatory Services = Thomas F. Geder,Dirmto r NAM Building Division Tom Perry, Building Commissionet 200 Main Street, Hyannis,MA 02601 www.town.ba rusts blr-ma-us Office: 508-862-4039 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder b f , �crVIVL�', ,as Owner of the'subject propert:r hereby authorize 5 e, to act on my behalf, in.all matters relative to work authorized by this building perrsut application for: 3? (A Actress of Job) a Sigaa a of O x ate Priat Name If Property Owner is applying for permit please complete the Homeowners Ucease Exemption Form on&C reverse side. ~a` IV, of u° 'ing egVuCatio�is anyStandards i �. , Construction Supervisor License License: CS 78737 4 Birt!14 tW;M/1962 #ExPir do�_2 812009 Tr# 932] e ,} Restricti'_�.n- 00 STEPHEN J ODOIVELL 40 SENECA RD E FALMOUTH, MA 02536�r Commissioner i Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registrafion'__1.46064 One Ashburton Place Rm 1301 =_ - TExpiraton-3723/2009 Tr# 127543 Boston,Ma.02108 ODONNELL CUSTOM HOMES fi a STEPHEN ODONNELL 40SENECA RD Not valid without signature E.FALMOUTH,MA 02536 Administrator f THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY OR6GINAL (S) M A- , r nATA •,• 1° - 6g81 I0 `.'--'�'••..• '''• ''O ,J ''•• <-s�.. ��/ o AL ov ow wa ol S 0�' ob �Dy y0 r t 4 14 CN, 37 posawy _ x r. i I gtl9b�?b[YJ ` al i Na. /1 CERTIFIED PLOT PLAN CIE CO�ISTRUCTIOPI .®�§_,_ FEET 4 : 'SOP OF FOt6NDATIO OF ADJACENT . 3���IA �91 POINT A{ ®VE L0 : SCALE ►" z ate/ DATE ROAD. . f 0�4�E1NG CO. id I CERTIFY THAT T6�E L® �E ��G La-aa. f CLIENT �-- SHOWN 0N THIS PLAN CL NATIONAL LUMBER HAS SIZED ONLY THOSE FRAMING MEMBERS FOR WHICH CALCULATIONS HAVE BEEN �* r.*? 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A' 71�c� _ .. _....¢, - NATIONAL LUMBER HAS SIZED ONLY THOSE FRAMING a_ -- MEMBERS FOR WHICH CALCULATIONS HAVE BEEN PROVIDED.ALL OTHER FRAMING SHOWN HAS BEEN SIZED r o r v �6 BY OTHER PARTIES AND IS NOT THE RESPONSIBILITY OF �►,� ; 0 o NATIONAL LUMBER. dr APR 15 hiol co Q LSC-35024 lMtservl llwork%Work200810804 Apr1080414lTublk Submisslonslinstetl DocumentslELp10804141 MA 4-16-08.pdf N . 33-0" 9'=9 -- =----------- 8_-L]!2"-- ----- ------ ----- -- - -- = , C � a O zr 2�'=6" za,aa zs,e•-e- T�� ey- co to • Zo 00 -6n ----------------- ----- ---=-----------------_-----r o--- - ------------------------- -` --- --- ------ -- - --- -- - --- ------ ------- --- -- -------- -- 6-21/2" t--- --- 18 4n 5 4n1 , —- 4210n t M 5 f. s } --- --- 33=0" -- --- $'z-? "----------- ---------------1o'=9"--- -- "'------ — -- -- -------------- - - ----------------------------- - =-- ------ --=-- -- -- - --------------- ---------- - Y-0'x 1:8' SD Z4,xrr Cb ^., _ m 2 raxe'F rsxas � � 14'5" - b � � e co �b1 LO •� rn r, Go co a ' 6 - ------------ -------—___-----------------_ —v.'__ ___ ____ ____ _____----------__ 5'4 1/2" 42'-0" TOWN OF. BARNSTABLE Permit No. ______=_ Z �10 Building Inspector t r 4 Cash6,0 - --— #k OCCUPANCY PERMIT Bond -X �1�•�/8 "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or.enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until'a certificate of occupancy has been issued by the Building Inspector." Issued to &arnlstable Holding, Co._,- Address lot #1 439 Craigvill.e Beach Road, West Hya misport Wiring Inspector - Inspection date Plumbing Inspector'/n .,. Inspection date Gas Inspector L /�» #�s'-.. .` "Inspection date jyi d N {� , eEngineeiing Department ��?i1_ ,�, Inspection date "` f f THIS PERMIT WILL NOT BE VALID,.AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Building Inspector f y f t � 1 r , 1 0 Ab , _ M 890 4 v a L/-L}•'O CN �7 -z s 1 337" 1 s f �y , a yx: BVLIt=(k3 f w CERTIFIED PLOT �LA�! it NEW CONSTRUCTION ONLY = LorI"CAMe,V# F- B Wjt RZvt� 1N TO OF .FOUNDATION IS 13 FEET ADOVE LOW POINT OF ADJACENT AAAhSlAip� r. - ROAD. 'D F f SCALE= t" r. � ATE LO EDGE ENGINEERING CO.INO I CERTIFY THAT,"'THE.,` i CLIENT �� y SHOWN ON TNI& <Pt 1` ilk d +�, E®ISTERED REGISTERED JOB NO. �o iw7 ON THE OROUNO .AS .IND1', CIVIL I LAND CONFORMS TO THE .`�URI �ENGINtER SURVEYOR DR.®Y= OF' 9ARNST#fiL CH. �Y= / _- _71Z=IVtAiN' S?.- 4DA- rHYANNIS, MASS. SHEET I OF. TE' REB. ;';Lid Ass ssor's'map and lot 'number ......r�: ........ .. THE r ..... � Q�oF ropy Sewage Permit number( . �_ row A"STAD E i House number '�Tt� rasa L B . ............................................... . ALLE61 .�N 8OWIP!IAIV '°? a war a TOWN. O F , BAR �TT , BODE AN® ^ REGULATIONS ' BUI`LDINO` INSPECTOR APPLICATION FOR PERMIT TO Z.S�......"`+ ..................... .. ............................................. TYPE OF CONSTRUCTION ... . r 2.-✓........................................:................................... of . .. ........19... TO THE INSPECTOR OF BUILDINGS: The undersigned,hereby applies for a permit according to the following information: Location .....�........z. ...............G�� `�1 Ili.. ....... ......... ....... ProposedUse �....1�...../..���-°ri�G...' ................................................................................................................. Zoning District ........... �:..................... Fire District ...... . /1 .............................:................... I Name of Owner ,,�O�W—flr(-W�4�4......Address ....... ........................... Name of Builder ....... : .. .....................................Address ................ .......1 c�...w.: . Name of Architect .....Address '.� Cs ✓ Number of Rooms ..............................................:...................Foundation .........1�...r`."'R..`-�..�........................................:.... Exieriorf✓.••- � Roofing ` ............................ Floors li. ..cf.'r....1' ' L.... ..�rr�`...�f, ,.......Interior ..... . ........... Heating ...... . ..... ...........................................Plumbing .......f:... ...le:.........l S...............:'p 00�" ... 779 Fireplace ........./�. 4...................9..............;......Approximate Cost ......... ,d.... ........: ............... - Definitive Plan Approved by Planning Board ________________________________19________. Area J.0 4 .........Is......................... '2 Diagram of Lot and Building with Dimensions �— SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the To of Barnstable regarding ,the above construction. Name ...... .............................................................. BARNSTAiLE HOLDING CO. q,22880 for ....................................One Story ... ............ Permit Single Family Dwelling .............................................................................. Location ....Lot t...#.1......439. . ...C.r.ai.gvi.1.le.. Beach Rd. .. .. .... ....... .. .... w.................... ................... Owner Ba'rnstable Holding Co, Type of Construction .......Frame........................ ................................................................................ Plot ............................ Lot ................... Permit Granted ..�....March 2,...........19 81 Date of Inspection ... . ...... .............:::.......19 Date Completed .............................I.........19 M PERMIT REFUSED W co .............L ..................................... 19 ............. ..................................................... ............... .......................................................... ................................................................................ ............. .......................: ......................................... Approved f............... .............................. 19 ............................................................................... ............................................................................... F ' Assessors map and lot number _/ THE P I Sewage Permit number..?.��.................................... la^ w`� R °� 33AUSTAM E. i ,. House number L�;, .......................... ro NAG& O 1639 9� p MPy A,\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ef" ''t'�' � `.............,................................................................................. TYPE OF CONSTRUCTION �'�� �'�r'' C .................... !...:� ...........19... % TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....: ........................fr................... /?.G ✓". lG......./ ......... f..G-:........ ProposedUse ................ f y� !'✓................................................. ............................................................... Zoning District ...........!:�J!t......................... ........................Fire District ...........7*—**— - — ,...... r .................................... Name of Owne ..'J,.,,....s!'`it ..........:r. ...........`!..`... ......Address ..... �a'21 Gt/, �J. ,�,•�........................... Name of Builder .........-' 4'%z� .. ..................................................... Name of Architect ....Address °�. " ..:................................. .......................:............'.Y.................. Number of Rooms .................:::c:............................................Foundation ..........e ' .................................................. Exterior �- /,/' ,1 Via: f ............................. Roofing ............ c .l.......:z;:............................................... o 1 s /Floor .. ................................. Heating :/�T/f� ....... y ............................................Plumbing ......./.,. ........ / '��a 't..S .. ...................... Fireplace .............. 1 ...- �'�.....................................Approximate Cost .....................................................................r� Definitive Plan Approved by Planning Board ________________________________19________. Area {"� t. Diagram of Lot and Building with Dimensions J�.. g 9 Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..��� ......................................�.......�... BARIL:�,T,A.Ba6E HOLDING CO. l A 246-184—/ V�� B�each No ..� g.8 .. Permit for „One St Sing.le..Family Dwelli Location ....Lot„#1. 4 39 Craig Rd. West Hy,annisPort.................... .............. Owner ...Barnstable Holding..Co.. .................... Type of Construction Frame . .......................................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .....March 2, 19 81 Date of Inspection ....................................19 Date Completed ......................................19 PERMIT REFD ........................................... . .................. 19 ........................... .................. ...... . . ........................ Approved ................................................ 19 ............................................................................... ............................................................................... sessor'sOffice(1st floor) Map Parcel J Per Date Issued 3d Fee Engineering.Dept.(3rd floo Cffouse# �� dF t"E BARNSTABLE, ` k MAB6. 19 , 059. peg QED MAC i TOWN OF BARNSTABLE {�z Building Permit Application c Y. 1 roject Stre ress illage- ' ✓, U ner `' ddress� y P1 lam, Telephone T Xermit Request i 6 A, — < ffIA16L i First Floor square feet G�/ Sec nd Floor square fee `6 stimated Project.Cost $ 00.0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential C(t1(G V7/ leg2Ccch Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMI �DIED FOR THE LI WING REASON(S) FOR OFFICIAL USE ONLY PERMI NO DATE ISUD , } _ MAP/ R L NO. ADDR S- , VILLAGE 1 OWNE DATE F I SPECTION: — J ( - FOUN ATION t FRAME ` ! _ s INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t" + r PLUMBING: ROUGH FINAL I GAS: ROUGH FINAL - _ FINAL BUILDING DATE CLOSED OUT ' r c S ASSOCIATION PLAN NO. The Commonwealth of Alassachusetts •�si� -__-��;:� Departtnenl of Industrial Accidents ` exceol/Aves02fions 600 !rash inl;ton Street Boston.Mass. OZll l ^ ' Workers' Compensation Insurance Afridavit .�Rnitcant tn:;r���atir���• .. . i'le'ase PR1NT�le�ibly :. : �'�` am a homeowner performing all work myself. 1 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. company name, address: _ city: phone#: insurance co ItolicL# 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name, address: Citx• phone#: insurance co policy# �,"�= _ -..:�_ - Y '" - •-r+�-�f�-+*��•�--;�.•e-*a.�--:�w-�:r..�*rs�•�:r�-�-ti•t =-���:�-�-•��sa�*a•�•,•-••---;ter Company name- address• city• phone#• insurance co policy# _ Atiach additional sheet if rieeessary�� :is :- y:� s_r•t'wJr t^ata±i{e +R;.t�.« i£:••e•••6��=•Y� — v"'v^" ~ ws tiai: Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or unc years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. �!do hereht crrtij r tier t%p and penalties of pery'ur�•that the information provided aboveis true and corrector ./ Signature /Tint name e-VJ hone# b (2"f V 7 jO_ r -f icial use on1v do not write in this area to be omplctcd by city or town official city or town: permit/license# 77M��JBuilding Depa[3Licensing Boacheck if immediate response is required ❑Scleetmen's O[3llcalth Departcontact person: phone#; nUlher (revised R95 PJA) : . The Town of Barnstable K g Department of Health Safety and Environmental Services 1659. •` Building Division 367 Main Strut,Hyannis MA 02601 Ralph Cmuen Office: 508 790-6227 Building Commission Fax: 508 775-3344 For office use only Permit no. Date AFFIDAVIT HOME MOROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,.removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to saucmres which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. ,Type of Work: �,� Sal 6-L /A/6- Est. Cost Address of Work: f Otte Ck �Oc�ner.Name: TM011'iq T CO 0 VI e �'aJ Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 uilding not owner-occupied Owner pulling own permit Notice is hereby given that: - CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WI'Ia;UNREGISTERED FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the owner. 0.. r Contractor name Tp o' Date Registration N OR K_a; j Owners name . -- -mate f o TOVB6tl OF BAR STABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P ease print. DATE. LOCATION -Number Street address Section of town • I Naffie Roue phone Work phone . .. �PRESEN� MAILING ADDRESS C40 l/lr�:_ . cis -e r-- .. •Q`�'o. 1, .y .town State Zip cod The current exemption for "homeowners" was extended to include ownerr®occup ng dwellis of six units or less and to allow such homeowners to engage an i dividual for hire who does not possess a license, provided that the owner acts as supeis®r. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to . side, on which there is, or is intended to be, a one to six family dwelliii, attached or detached structures accessory to such use and/or farm structure A person who constructs more than one home in a two-year period shall not considered a homeowner. Such "homeowner". shall submit to the Building Off: on a form acceptable to the Building Official, that he/she shall be respon: for all such w®rk performed under the building ptrmit.. (Section 109.1.1) The undersigned 1homeowner" assumes .responsibility for compliance with the Building. Code -and other applicable codes, by-laws, rules and regulations. The undersigned "homeowners certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requireme% and that he/she will compl with s procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be require to comply with State Building Code Section 1274, Construction Control. HOME OWNER°S EXEMPTION The code state that: "Any Rome Owner performing work for which a--9'uildi permit is required shall be exempt froggy the provisions of this section (Section 109. 1. 1 ® Licensing of Construction Supervisors) ; provided that Home Owner engages a person(s) for hire to do such works that such Rome shall, act as supervisor. " � Many Rome Owners who use this exemption are unaware that they are assumi the responsibilities of a supervisor (see Appendix Q, Rules and Regulati for .licensing Construction' Supervisors, Section 2. 15) . This lack of awa. often results in serious problems, particularly when the Rome Owner hire unlicensed persons. In this case our Board cannot .proceed against the inlicensed person -as it: would with licensed 'Supervisor. The Rome " .. . er: as supervisor is ultimately responsible. To ensure that: the ,Rome Owner is fully aware of his/her responsibilities Communities require, as part of the permit application, that the Home *Owl certify that he/she understands the responsibilities of a supervisor. Or last page of this issue is a form currently used by several towns. you r care to amend and adopt such a fora/certification for use in your communi 3 r a A 1 - p NUR9lCgJV "4;rLE0 ) WHITE .cfDhA . 5Hxlu�lEs IMPORTANT - UPGRADE REQUIRED STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS REVIEWED SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. _ .._. �R D v __ ... - bCo l 4ROlft'BUILDIN DEPT. DATE TdOTE: A SEPARATE PERMIT"15-REOjIfREO FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL PERMIT DOES NOT SATISFY THIS REQUIREMENT. FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING „ � CARBON MONOXIDE ALARMS - ..._�_.. _ __ - _-...y3 9.-ZAA Ial.LE. Q.E/4 cfl. SCALE_�0.._ .-._ !� Pp� � , MUST BE INSTALLED SBUI PER MAS a � i 1 LL- I - . Wjaj:F CFI)Ai& BACK b y , I WOirm WHITE -!lMN.10 �i L E-F 'T i t _w r Rr��l r ` "s.rx.o-X "9-,rx"o-,s „s,rx"o-,e i — - — -...._7 — ..................._........... — - .._.._.... . .......... . . . aJ� ........_... -._T_..._. 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