HomeMy WebLinkAbout0121 DUNN'S POND ROAD To n�
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Town of BarnstableBuilding
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.. '(PostTh�S`<Gard So That it is Visible F,rom_the Stt,eet;� lpp.roved;Plans Must be Retained on`7ob`and this Card Must'be Kept
'"" Posted:Until:Final.lns action Has Been Made: . ` " �£
. . . Permit C`.
Where aCertifi cat
e;oftOccupancy�sz Requ�red,swch;Bu ldmgshall Not be Occupied until=a;Finalanspect_ion hasbeenfmade Y ,
Permit N0 B-17=1996 Applicant Name: ALEXANDER M RANNEY Approvals
_-
Date Issued: 07/12/2017 Current Use::-. - Structure
Permit Type: ^Building-Addition/Alteration-Residential Expiration Date: 01/12/2018 Foundation:
Location: 121 DUNN'S POND ROAD, HYANNIS Map/Lot 270 001 Zoning District, RB Sheathing:
,
Owner on Record: ROCKWELL,TRAVIS S Contractor Name: ALEXANDER M RANNEY framing: 1
Address: 121 DUNN'S POND ROAD ContractorLicense-,CS-088595 2
HYANNIS, MA 02601 . . .a.'..." 4
_ Est Project Cost`. $20,000.00 Chimney:
Description: TURN 2ND FLOOR STORAGE INTO NEW GAME ROOM AND Permit Fee
BATHROOM _', i Y $ 152.00 Insulation:" q
'fee Paid� $152.00
`Project Review Req: TURN 2ND FLOOR STORAGE INTO NEW GAME ROOM AND •`Date: f 7/12/2017 Final:
BATHROOM
• ! ti Plumbing/Gas
r - Rough Plumbing:
°£- *Building Official Final Plumbing:
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.
e � _ - Rough Gas:
All work authorized by this permit shall conform to the approved application;and the approved construction documents for which this permit has been granted. j
All construction,alterations and changes of use of any building and structures shallbe in compliance with the local zoning by-laws and codes. Final Gas: .`
'7 nis permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the
work until the completion of the same.
Electrical
71'C1e Certificate of Occupancy will not be issued until all applicable sign lture'sby the Building and Fire Officials are provided on-this permit. Service:
Minimum of Five Call Inspections Required for All Construction Work: y
1.Foundation or Footing' a f - Rough:
2.Sheathing Inspection
3.All Fireplaces must be inspected at the throat level before firestflue lining is installed final:
4.Wiring&Plumbing Inspections to be completed.prior to Frame Inspection
5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough:
6.Insulation
7.Final Inspection before Occupancy Low Voltage Final:
Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health
Work shall notproceed until the inspector has approved the various stages of construction.: s Final:
"Perso.ns contracting with„unregistered contractors do not:have access to the guarantyfund" (as set-fortfsin IVIGL c.142A). s
Fire-Departure nt
s
4. Building plans are to be available on.site Final
All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT
t _
1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
Map 2-70 Parcel 01D Application # ,o , R�
Health Division ,. 12. 5�,' Date Issued
Conservation Division Application Fe g_6� _b 0
Planning Dept. Permit Fee
Date Definitive Plan Approved by Planning Board
Historic - OKH _ Preservation/ Hyannis
Project Street Address ������ fbND
Village v
Owner Address
Telephone
Permit Request _-Pm zed r-cwf- 5-iogAisa mm NC6 W011 (ZOA t' A P
Square feet: 1 st floor: existing proposed 9 2nd floor: existing_proposed Total new
Zoning District Flood Plain Groundwater Overlay
Project Valuation 20006 Construction Type t /'4 rr001D
Lot Size 1 X7 Ate . Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation.
Dwelling Type: Single Family &//Two Family ❑ Multi-Family (# units)
Age of Existing Structure Historic House: ❑Yes a1401 On Old King's Highway: ❑Yes
Basement Type: (&'Full ❑ Crawl ❑Walkout ❑ Other
Basement Finished Area (sq.ft.) Isd® Basement Unfinished Area (sq.ft)
Number of Baths: Full: existing new / Half: existing new
Number of Bedrooms: 3 existing 6 new
Total Room Count (note inccll ding baths): existing new First Floor Room Count
Heat Type and Fuel: �Gas ❑ Oil ❑ Electric ❑ Other
Central Air: ❑Yes El 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: I existing ❑new size _Shed: ❑ existing ❑ new size _ Other:
Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑
Commercial ❑Yes &4 If yes, site plan review#
,Current Use F Proposed Use1
APPLICANT INFORMATION
(BUILDER OR HOMEOWNER)
Name "A Telephone Number ` 73 3
Address Z3Q _V-U9 -- r License #
Home Improvement Contractor# (41f
Email Worker's Compensation # UO "q e g!�776q
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO '�AAfSrK42
SIGNATURE DATE 2 C
FOR OFFICIAL USE ONLY
•APPLICATION #
.DATE ISSUED
MAP/PARCEL NO.
y ADDRESS VILLAGE
" OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH FINAL
GAS: ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
t �
of The Commonwealth of Massachusetts .
Department of IndustrialAccidents
I,+Congmss. theet Suite 100
Boston,MA 02114-2017
5�4
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
T ING AUTHORITY.
1V[ Ii I
Applicant Information Please Print Let=ibly
Name (Business/Organization/Individual).
i mdnay.* Imma I fatly a lnnr B1(uAFlldnt r LE
� �: -aBmx B,>L
City/State%Zip:Marstons Mills, MA 02648 Phone 9: (508) 428-7147
Are you an employer?Check the appropriate box: Type of project(required):
1.M I am a employer with 4 employees(full and/or part-time).* 7. New construction
2: 1 am a.sale paoprietor or padnashipm aad hence w empd yma vwerkimtg,tot me it,
army capacity.,[Nh workers cmp ii sanee rtq*�d)"
9: �- modzfing,.
tnalttlon�
3.nl am a homeowner doing aft worn myself.CNo workers'comp.insurance requne&yt
1O Building addition.
4.�I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole I IQ Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p
Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.❑We are a cotporatim and it o ceus)haw exemcnsedimaenrai gM ofexeMpn=,per N1GL c.
r1fi2,"�1�411,;amd aa�ee ffioter�lo�aes.�[1�10 swoilcers',csoayp:arnsurance��e¢luir•®tl� ,;.
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners whosxbmit this affidavit indicating they are doing all work and then•hire outside contractors miesi-submit anew such:
lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
informmatio&
Insurance Coat ey Name. Hartfwd(U nd(erwriYers Vnsurance Company
Policy#or Self-ins.Lic.#: UB-9F857789-16: Expiration Date: � 7
JobSite Address: 2 ��� 1 City/State%Zip: ^S..
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
&y aga t�;&e va6lator.A copy of this statement may berforwarded to Rite Of�tce of.Invesitagations of&e DIIAfor insurance
+coverage vea ificafion.
:,[,&'kerAyrertfy:under* s pennitks,ojfpeiyury.*a.l-ie:information provided above is true and correct.
Sigttature: date: �P14 7
Phone#: (508) 428-7147
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Fern iVLice>nse#;
Issuing Authority(circle one)c. .
1.°Board of Ileaitli 2 BuildingDepartinent 3.City/Town Clerk 4.'Eiec'tiicai`Inspeclor 5.Pliihibin`g`Inspec or
6.Other
Contact Person: - Phone#:
iassachdsetts t epz�t Of PtibWsA
Bc�a�rd taf.8�a�idrt�- eriDrzs,�ns9�.dair7ds
l.iccnse :�5•DSag5�6
ALEXANDER M RANNEY
239 SGUDDOR AVENUE.
' Hl*ANiVIS;MA>,Q26o.4�
m
omrrtiss,. ae rm.'M18
+ ` �itsttionS�frervi�r. � ' ,
Restricted to::
Unrestricted'-Buii'dings of any.Use group which contaih d _
less than 35,,00Q cubic-few(,9 cubic meters.}O,
enclosed:space:". �'•
E r. •
FWI{ reto•possess a ewent edWon of theMassmidwswi s .
..State,Building Code is_cause for:revocationfofthis ilce>Lse.
DPS�iGQinS11119 int'rnlatiorivisit.)MWW MATS&GMMPS
''�'r��ic-'�o�i:�,u�zc��rl��i ��aeu«ciGae,�r1�� �w ...,..•s. .�.....__�.,.,._
_ "'Ofhce of'Consumer:�kftairs. :8uainess;RagtHatles
HOME IMPROVEMENT Ct)NTRACTOR Registretlon,wild for lnclMduat umonly
Type. L1 C be�fo thg'expiration date. if 4ound return-to,
VtYFiYc V�f iWfiiYYYlar+'p0.1—Q7YMpwgulamon
pbg4ia 10 Park Plaza-Suite 517Q
1'44 11/01/2018 Boston,MA 02116
17 F
. 'Ranr,
15 Thmtdul:Lart�.
MA 02635 Undersecretary Not valid without signature
AWC Guide to Wood'Construction in High WindAreas:11 D ynph Wind Zone
Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1
S y NrD , 1 "� Z Check
1.1 SCOPE '' ' /
�,,,� ,• ,�, (y � Compliance
1.�� "
Wind Speed(3-sec.gust)............................................... ..................110 mph
.................. ...............................
WindExposure Category.................................................................. ...............................................:.............BW
1.2..APPLICABILITY
Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 2 stories <_2 stories
RoofPitch ..........................................................................(Fig 2)........................................... (P 512:12
MeanRoof Height ..............................................................(Fig 2)............................................�ft 5 33'
Building Width,W..............................................................(Fig 3). ..................................... ... 219 ft 5 80' ,
Building Length,L ................................:.............................(Fig 3). .:�Ia ft 5 80, .
Building Aspect Ratio(LW) ...............................................(Fig 4).................................................43� s 3:1
Nominal Height of Tallest OpeningZ ...................................(Fig 4). ............................................ .L•S' 5 6'8" v
1.3 FRAMING CONNECTIONS
General compliance with framing connections....................(Table 2)................................................................
2.1 FOUNDATION
Foundation Walls meeting requirements of 780 CMR 5404.1 ���
Concrete..............................................................................................................................
ConcreteMasonry................................................................... ...............................................................
2.2 ANCHORAGE TO FOUNDATION'.3
5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only
Bolt Spacing-general ........(fable 4) in. "
Bolt Spacing from endrjoint of plate ........................:...(Fig 5)..................................... in. 6"-12"
Bolt Embedment-concrete........................................(Fig 5)................................................._in.z 7"
Bolt Embedment-masonry.........................................(Fig 5)............................................ in.>_15"
PlateWasher...............................................................(Fig 5)...............................................z 3"x 3"x Y4'
3.1 FLOORS
framingFloor spans checked ...............................(per 7780 CMR Chapter 55)....................................
Maximum Floor OpeningDimension ..............................(Fig )..................................................to ft 512' -�
Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).......................... .........
Maximum Floor Joist Setbacks
Supporting Loadbearing Walls or Shearwall.:..............(Fig 7).....,.............................................. 0 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)....................... fiNG
Floor Sheathin Thickness (Ter 780)CCha ter 55 g in.
9 (p P -)LT•/-
Floor SheathingFasteningable 2 d nails at in edge/ in field
4.1 .WALLS
Wall Height /
Loadbearing walls................:.......................................(Fig 10 and Table 5)........................... ft 5 /10' . (
Non-Loadbearing walls:..............::;...............................(Fig 10 and Table 5)....................... .: ft 5 20'.
Wall Stud Spacing ........................................................(Fig 10 and Table 5).................. in.5 2� o.c.
Wall Story Offsets ........................................................(Figs 7&8)............................................ -5 d
4.2 :EXTERIOR WALLS'
Wood Studs
Loadbearing walls..........................................................(Table 5). ............................2x G - ft in.
Non-Loadbearing walls................. ....... .. ....(Table 5). ............ ............2x1T- -1 ft-Tin.
Gable End Wall Bracing '
Full Height Endwall Studs.............................. ............(Fig 10). ..............................................
......... ...........................
.. ...... . ....... .. .....
WSP Attic Floor Length............:......................:...........(Fig 11)..........:..........................
.......;. ft 2:W/3
Gypsum Ceiling Length(if WSP not used)..................(Fig 11)............................................ ft Z 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 .........: .:....:.. (Fig13 and Table 6 .............. ft
Splice Connection(no.of 16d common nails).............(fable 6).......................................................... 3
AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone
Massachusetts Checklist for Compliance(780 CYIR 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)........................................................ 2--
Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
Header Spans ........................................................(Table 9)............................... .3 ft 0 in.511' ✓
Sill Plate Spans ........................................................(Table 9)..........:.......................Win.511' r/
Full Height Studs (no.of studs)...................................(Table 9)............................. �L
....................
Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9)
HeaderSpans..............................................................(Table 9).................................. ft V in.512' ✓
Sill Plate Spans. ......................(Table 9)............................... =ft—fin.512" ✓
Full Height Studs(no.of studs). ..................................(Table 9). ...... ...........................I............. v
Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously,
Minimum Building Dimension,W f
Nominal Height of Tallest Opening2 ........................................................................ . � 5 6'8" l✓
SheathingType.............................................(note 4)..................................................rmulw .
Edge Nail Spacing.................................:.......(Table 10 or note 4 if less)....................... I in.
Field Nail Spacing ........................................(Table 10). ............................................. . in.
Shear Connection(no.of 16d common nails)(Table 10)..................................................... 7—
Percent Full-Height Sheathing.......................(Table 10)....................................................._%
5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).....................
Maximum Building Dimension,L p c
Nominal Height of Tallest OpeningZ SP 5 6'8" -
.......................................................................
Sheathing Type.............................................(note 4)..................................................... Z '1� ✓
Edge Nail Spacing able 11 or note 4 if less ....................... in. -
Field Nail Spacing ........................................(Table 11). ............................................. (o in. r/
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
Rated for Wind Speed?.........................................................:... ........................ ! !i>' .. .. 6�
5.1 ROOFS
Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website)
Roof Overhang. ...................................................(Figure 19)............._L ft 5 smaller of 2'or U3
Truss or Rafter Connections at Loadbearing Walls
Proprietary Connectors
Uplift................................................(Table 12)............................................U=70 plf
Lateral.............................................(Table 12).............................................L=:dE pif ,fir
Shear..............................................(Table 12)..............................................S= Of
Ridge Strap Connections,if collar ties not used per page 21... (Table 13)...............................T= plf
Gable Rake Outlooker.........................................(Figure 20)..........:.. V ft 5 smaller of 2'or L/2
` Truss or Rafter Connections at Non-Loadbearing Walls
Proprietary Connectors
Uplift................................................(Table 14)............................................U= Z lb. (✓
Lateral(no.of 16d common nails)...(Table 14).......................................L= 091b.
Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............
Roof Sheathing Thickness........................................... ............................................ _in.z 7/16"WSP C�
Roof Sheathing fFastening...........................................(Table 2). ...................................................... "Z; seff,
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 per Gage Strips Figure 11
P P 9
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.
AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone
Massachusetts Checklist for Compliance(780 CMRs301.2.1.1)t
1k
a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height
Sheathing and Nail Spacing requirements
b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows:
L Panels shall be installed with strength axis parallel to studs.
ii. All horizontal joints shall occur over and be nailed to framing.
iii. On single story construction,panels shall be attached to bottom plates and top member of the double
top plate.
iv. On two story construction,upper panels shall be attached to the top member of the upper double top
plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist
and lower attachment made to lowest plate at first floor framing.
v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d .
staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment
-V44M THIS EDGE RESTS ON
FWIAI NG USE8d MILS
ATBb.c. '
II 11
11 a 11 1
it 11 11 1
11 11
M W ,
11 11 11 � 1
1 11 1 1 •
11 I1 ,
N
1 11 11 1
• 11 O /'/ rl•t 1
• I{ m ii i{ a 1
F U I1 O
Q
it rt 1
It OQ 11 II� 1
If
W 11 V
li 11 1
e � 11 1 1 p 1
11 11 If IU 1
a u u r-r
li it ti t
• 1 �+ ` u rl 1� ,
MALSPACM
.. II Ill_—'•_ .
s 1 Ir 111 1
PANLL a �.
See Detail on Next Page
Vertical and Horizontal Nailing
for Panel Attachment
AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone
Massachusetts Checklist for Compliance(7so CMR 5301.2.1.1)1
wQ� i
a
1
r ,
i 1 1
1 r O II II 1
ID� II II
FRAMM MEMBERS r 1
I EDGE M EMASMOE I r 1 1
I r r
r ivy � S'MIFL r 1
1 1s
-- ---��
STASH 3•MML
ZNAM P'AT ERN PANEL
PA19�EDGE DOUBLE MAIL EDGE SPAMG DUAL
Detail
Vertical and Horizontal Nailing
for Panel Attachment
J
x AWC Guide to Wood Construction in High Wind Areas:110 inph Wind Zone
k
Massachusetts Checklist for Compliance(7so CMR53o1.2.1.1)1
FAQ*: WFCM Checklist
Question: I understand if a new home is built in a town in a'i10 mph wind zone
then the American Forest and Paper Association (AF&PA) Wood Frame
Construction Manual can be used to prescriptively design it. I also understand
that in some cases the home can be framed per the WFCM1oo mph Guide,If it
meets certain requirements including but not limited to aspect ratio, roof height,
number of stories, and exposure category (B). I have heard that Massachusetts
has a "modified" checklist that can be used instead of the checklist at the end.of
the Guide. Is this true and what can you tell me about this "modified" checklist?
Answer: You are correct on the items that you have noted. MA has modified the
checklist in several important ways. The MA version allows a roof with a pitch up
to and including 8 in 12 to not be "counted" as a story. Further it does not require
steel hold downs and straps in many locations if full height sheathing is used as
defined in the MA checklist. Further, if the building will have furring strips
installed in the ceiling abutting the gable wall then 2 x 4s installed on top of the
ceiling joists are not required. There are other changes as well that were not
noted here.
The MA version of the checklist was formulated in recognition of the highly
d regarded framing methods used in MA for many years and wood framing that has
been used in North Carolina over the past io to 15 years which has performed
well in severe hurricane weather in that state.
*Answers to FAQs are opinions of the BBRS Staff and do not reflect official positions or code interpretations of .
the BBRS.
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" ® CERTIFICATE OF LIABILITY INSURANCE DAIS imN DDNYYY)
01111112016
dLS.CERTI ICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I
CERTIFICA DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY,THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE
IMPORTANT if the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to
the certificate holder in lieu of such endorsements.
PRODUCER CONTACT
NAME: `
ROGEY &GRAY INS AGCY PHONE FAX `
434 RTEi 134 (A/C,No,Ext): (A/C,No):
IE-MAIL
SOUTH DENNIS,MA 02660 ADDRESS:
2342X INSURER(S)AFFORDING COVERAGE NAIC#
INSURED I INSURER A HARTFORD UNDERWRITERS INSURANCE COMPANY
RANNE iY•&RI IINGTON CUSTOM BUILDING LLC INSURER B:
i INSURER C:
I
INSURER D:
PO BO 1816
INSURER E:
MS MILLS,MA 02648 INSURER F:
COVERAGESt CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING
ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 19SUED OR MAY PERTAIN.THE INSURANCE
AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY
PAID CLAIMS.;
INSR ADD rus POLICY EFF DATE POLICY EXP DATE
LTR I TYPE OF INSURANCE L R POLICY NUMBER (MMIDDIYYYY) (MMWDIYYYY) LIMITS
GENERAL LIABILITY EACH OCCURRENCE $
COMMERCIAL GENERAL LIABILITY AMAGE TO RENTED $
CLAIMS MADE OCCUR. REMISES(Ea occurrence)
1 ED EXP(Any one person) $
I a ,
ERSONAL 8 ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $
POLICY ❑PROJECT❑LOC PRODUCTS-COMP/OP AGG . $
AUTOMbBILE LIABILITY. COMBINED SINGLE $
Y AUTO LIMIT(Ea accident)
I OWNED AUTOS BODILY INJURY $
S8HEDULE AUTOS (Per person)
HI�ED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
1 PROPERTY DAMAGE $
I - (Per accident)
UU BRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
05DUCTIBLE $
R�`T ENTION $ $
A WO R'S COMPENSATION AND X -WC STATUTORY OTHER
EMPLO RSLIABILTTY YIN UB-9F85778&16 08106)2016 08/06/2017 LIMITS
ANY P PERITORIPARTNfitIDCECUTIVE NIA E.L.EACH ACCIDENT $ 100,000
OFFIC MSER EXCLUDED? '
(Mandat fy in NH) EL DISEASE-EA EMPLOYEE $ 100,000
If yes,deWbe under
DESCRI ION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTIOIo OF OPERATIONSILOCATIONSNEHICLESIRESTRICTIONS!SPECIAL ITEMS
THIS REPLACIES ANY PR10R CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE.
THE wswt. ,st&WORKER3 COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BENEFITS FOR CLAIMS
MADE BY THE INSUREDS MA EMPLOYEES IN STATES OTHER THAN MA.NO AUTHORIZATTON IS GIVEN TO PAY CLAIMS FOR BENEwS IN STATES OTHER
r
THAN MA IF INSURED HIRES,OR HAS HIRED EMPLOYEES OUTSIDE OF MA THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA"
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
1 IN ACCORDANCE WITH THE POLICY PROVISIONS
AUTHORIZED REPRESENTATIVE
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPMTHWAtYlohis reserved. -
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Town of Barnstable t
Regulatory Services
` � + Richard V. Scab,Director
Building Division.
Paul Roma,Building Commissioner
200 Main Street,Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-403 8 Fax: 508-790-6230
Property Owner Must
Complete and Sign This Section
If Using A Builder ,
�
� as Owner of the subjectproperty� 6VL � l
hereby authorize � �' �� to act on my behalf
in all matters relative to work authorized by this building permit application for. ,
12-1 DJAJAI5 ?J-d;,) �
(Address of Job)
**Pool fences and alarms are the responsibility of the applicant Pools
are not to be filled or utilized before fence is installed and all final
inspections are performed and accepted.
ignature of er Signature of Applicant
Print Name _ Print Name
Date ,
QYOR MOWNERPERMISSIONPOOIS
i
Town of Barnstable .
Regulatory Services
o�x roiir Richard V.Scali,Director
°* Building Division
t . t .Paul Roma,Building Commissioner
� e 200 Main Street, Hyannis,MA 02601
www.town.barnstable.ma.us
Office: 508-862-4038 Fax: 508-790-6230
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE:
JOB LOCATION:
number street village
"HOMEOWNER":
name home phone# work phone#
CURRENT MAILING ADDRESS:
city/town state zip code
The current exemption for"homeowners"was extend to include owner-occupied dwellings six units or less and to allow
homeowners to engage an individual for hire who doesFn t possess a license, rovided that th owner acts as su ervisor.
DE ON OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she reside �r intends to reside,on which ere 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)
r
r
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: " homeowner performing work for which a building per 't is required shall be exempt
from the provisions of this se 'on(Section 109.1.1-Licensing of construction Supervisors);pr vided that if the homeowner
engages a person(s)�eowners
i e to do such work,that such Homeowner shall act as supervisor."
Many ho who use this exemption are unaware that they are assuming the responsibilities of a supervisor
(see Appendix, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lackof awareness often
results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot
proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is
ultimately responsible.
To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the
permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On`the last page
this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in
your community.
Q:\WPFILES\FORMS\building permit forms EXPRESS.doc
06/20/16
1
R s • .
AA'J
MBLU 270-001 g
121 DUNN'S POND ROAD Lp O
HYANNIS, MA
0
TANK
DWELUN 6.9
EX.
DECK '
00
00.
•0�,
SEPTIC FROM ASBUILT
ON FILE AT THE TOWN
HEALTH DEPARTMENT
BUILDER TO CONFIRM -7
CERTIFIED PL 0 T PLAN
ROCKWELL RESIDENCE
1 CERTIFY THAT THE IhfPROVEMENTS'St10tNN �.�� of 121 OUNN'S -POND ROAD
wss
HAVE BEEN LOCATED BY A FIELD.,SURVEY. ,��P A HYANNIS, MA90
ea tiI DATE: MAY 22, 2017 DRAWN: RBS
= ROBB �, JOB f: S320
o SYKES SCALE: 1"=-50' DWG. CPP
N 35418 y EASTBOUND
'SsF ��� *LAND SURVEYING, INC.
` 5 6 - 7 P.O. BOX 442
ROBB SYKES, P.LS. DATE
° n FORESTDALE, MA 02644
508-477-4511
Telephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559
CLOSED-CELL FOAM INSULATION SPEC SKEET
CONTRACTOR: � VV eiL 1
JOB SITE AD RESS: (/' '��
DATE: a I3
AREA " THICKNESS R-VALUE
Ceiling
Cathedral Ceiling
Garage Ceiling
Basement Ceiling
Slopes pp 5
Exterior'W all
Garage Hse. Wall
Walkout Wall
Cathedral W all
B lockers
Overhang
Stair/Risers
All R-values and thickness measurement eemed to be accurate by the following installers.:
1?6 4 f Z_
L/
TECHNICAL DATA FOR MATERIALS TS . "TIED TO THIS FORM
L�
ThermalGuard CC2
� a TECHNICAL DATA SHEET
PRODUCT NAME I PHYSICAL CHARACTERISTICS
Pro e Value " Test Method
AL AL.Arm"��� Density(nominal): 2.0 lb/ft3 "ASTM D-1622
R-value: 7/inch ASTM C-518
Tf1ePAfa�GUaf[l CC2 . Compressive Strength: 35 PSI ASTM D1621-94
ASTM D1623-78
Tensile Strength: .70 PSI
PRODUCT DESCRIPTION Dimensional Stability: <4%0 ASTM D 2126
Closed Cell.Content: 96% ASTM D 2856
ThermalGuard CC2 is a fast set,closed- Air Permeaility: .002 L/sm2(@ 75 Pa @ 1") ASTM E283 j
celled,245fa-blown spray polyurethane Vapor Permeability: .8 Perms @ 2 ASTM E96
foam(SPF)insulation designed for use Fungus Growth: None ASTM G21
in residential&commercial structures, Service Temperature: 250 OF(120°C)*
exterior foundation or perimeter
insulation,below glade.applications, recommendations
temperatures will vary depending on application. Contact your Arnihane Technical Representative for I
recommendations and limitations. Always test ThermalGuard CC2 for suitab.ilityforyourparticular application in .I
exterior tank/pipe insulation and etc. a safe manner. i
ThermalGuard CC2.is applied as a LIQUID PROPERTIES
liquid and.expands 25x in seconds to fill Pro e Value Test Method
and seal building cavities of any shape Viscosity(A) 200-250 CPS ASTM D-2196
and size. It exhibits superior thermal Viscosity(B) - 1100-1300`CPS ASTM D-2196
insulation,air-barrier,and sound Weight Per Gallon(A) 10.25 lbs/gal ASTM D-1475.
attenuation properties compared to Weight Per Gallon(B) 9.4 lbs/gal ASTM D4475
conventional insulation materials. j
REACTIVITY PROFILE i
Once fully cured ThermalGuard CC2 Property Value
remains rigid maintaining significant 2-3 seconds 25°C 77°F
g g gm �. Cream Time: @ ( )
structural strength and thermal Rise Time: 12-16 seconds @ 25°C(77°F):
insulation properties in adverse
conditions across a wide variety of COMBUSTION PROPERTIES i
applications. Pro e Value T s Method
Flame Spread Index: <25 ASTM E-84 j
MANUFACTURER I Smoke Development: <450 ASTM E-84
i
i
ThermalGuard CC2 is manufactured I PACKAGING&STORAGE j
exclusively by. Drum Weight(A) 551 Ibs
Drum Weight(B) SOO lbs
Arnthane Inc. Total Set Weight 1051 Ibs
1002 West Main Street Storage Temperature Range(STR) 60—80 OF
Richmond,MO 64085 Shelf Life at STR 6 months
P.816.776.3015 .
F.816.776.3215 *Do not allow material to freeze. Do not pre-heal or recirculate(B)material as it will cause frothing mrd loss aJ
wrvw.arnthane.com blowing agent. Storage at temperatures above or below STR may shorten shelf life and cause degradation or loss of
blowing agent. Cold material will develop higher viscosity which can cause during processing such as pump
cavitation and poor mixture of(A)and(B)components. For best processing performance chrring application(A)
CORROSION and(B)drum temperatures should be between 60 F—80 F.
ThermalGuard CC2 is chemically& PROCESSING PARAMETERS
physically compatible.with all common Processing Pressure Range: 900-1400 PSI*
building materials including electrical Processing Temperature Range: 115—145°F* i
wiring,wood,metal,concrete,plastic Substrate Temperature Range: 35-105 OF
(PVC),copper,vinyl,and glass. I Ambient Temperature: 35-105 OF
Substrate Moisture Content: < 19%'
INSTALLATION i Yield: 3800-5000 Board Feet Per Set* !
Maximum Lift Thickness: 4 inches**
TliermalGuard CC2 must be spray
applied uSlrig approved equipment.Use *Processingparameters&yields can vary widely depending on substrate temperature,type&condition,ambrent
temperature,elevation,humidity,equipment and other factors. During installation the applicator must observe the
1:1 ratio proportioning system that can
p p g y quality and Characteristics ojthe foam and adjust equipment temperature&pressu;e settings as needed to
achieve the Specified temperature and accommodate these variables in order to ensure optimum yield proper adhesion,proper cell structure,and
pressure requirements. performance of the foam.
**ALWAYS test TherMajdtiard CC2 at desired thickness in a safe manner prior to insulating structure to ensure
that it can be safely installed at the desired li thickness without risk of charring or combustion. It is the exclusive
responsibility of the applicator topchieve proper Ili thickness for safe application. Safe li thickness may vary
from application to application.
I
ThermalGuard CC2
TECHNICAL DATA SHEET.
appropriate PPE as required by OSHA, intended for use by nonprofessional
ThermalGuard CC2 demonstrates NIOSH,and state/local safety applicators,or those who do not
excellent adhesion to various substrates regulatory agencies. purchase or utilize this.product in the
when installed according to normal course of their Business. The.
manufacturer specifications. It is the applicator's responsibility to potential user must perform any
comply with all job site safety pertinent tests in order to determine the
ThermalGuard CC2 resin(B)does not requirements set forth by OSHA, product's performance and suitability in
require agitation. Do not pre-heat or NIOSH,and state/local safety the intended application,since final
recirculate resin(B)as doing so will regulatory agencies. determination of fitness of the product
result in the"boiling off'of the 245fa for any particular use is the
blowing agent which will result in poor LIMIATATIONS responsibility of the buyer.
yield and poor foam performance.
ThermalGuard CCf should not be left All guarantees.and warranties as to the
ThermalGuard CC2 should be installed exposed to sunlight,as UV light will products supplied by Amthane shall
.t a maximum thickness of 4 inches per rapidly degrade foam. Do not use near have only those guarantees and
pass with a minimum of 30 minutes high heat or open flame:. warranties expressed by the
between passes It is the applicator's manufacturer. The buyer's sole remedy
responsibility to test lift thickness for a ThermalGuard_CC2 must be covered as to the material claims will be against
particular application prior to with an approved 15-minute thermal the manufacturer of the product. The
commencing installation to ensure that barrier when used as insulation for aforementioned data on this product is
the product can be installed safely at the residential or commercial buildings. to be used as a guide and is subject to
desired thickness. Installation must comply with all change without notice. The information
applicable building codes. herein is believed to be reliable,but
SAFETY&ENVIRONMENT unknown risks may be present.
Do not install ThermalGuard CC2 at a
ThermalGuard CC2 is installed by thickness exceeding 3 inches per pass NO WARRANTIES,EXPRESSED OR
independent SPF contractors. It is and do not apply subsequent passes IMPLIED,INCLUDING PATENT
recommended that building owners within 30 minutes of the previous pass. WARRANTIES OR WARRANTIES
verify that the SPF insulation contractor In rare cases doing so may cause OF MERCHANTABILITY OR,
maintains proper credentials,insurance, charring and combustion. FITNESS FOR USE,ARE MADE BY
ARNTHANE INC.WITH RESPECT
and licenses and is properly trained to
safely install SPF insulation products. It is the applicator's responsibility to TO PRODUCTS OR INFORMATION
test lift thickness for a particular SET FORTH HEREIN.
ThermalGuard CC2 achieves a Class I application prior to commencing
Fire retardancy rating and meets or installation to ensure that the product Nothing contained herein shall
exceeds minimum building code can be installed safely at the desired constitute a permit or recommendation,
requirements for fire safety. thickness. to practice any invention covered by a
patent without a license form the owner
ThermalGuard CC2 has low odor during Please contact your technical sales of the patent. Accordingly,buyer
application and produces no toxic _ representative for recommended assumes all risks whatsoever as to the
equipment configurations and for use of these materials,and buyer's
vapors after application.
recommendations for your particular exclusive remedy as to any breach of
Always read and follow all Material application. warranty,negligence,or other claim
Safety Data Sheets provided with all shall be limited to the purchase price of
shipments.Additional copies are DISPOSAL&CLEAN UP the materials. Failure to adhere to any
ended procedures shall relieve
available upon request from Amthane recomm
Inc.or your technical sales Cured/reacted product may be disposed Amthane Inc.,and the manufacturer of
representative. of without restriction.Excess liquid W all liability with respect to the materials
and'B'material should be mixed and their use thereof..
Basic PPE safety equipment is required together and allowed to cure,then
for personal protection including,but disposed of in the normal manner.
not limited to:long-sleeve chemically Product containers that are"drip free"
resistant overalls,rubber,nitrite,or may be disposed of according to local,.
latex gloves,splash shield or safety state and federal laws
glasses with splash guards,rubber or
leather boots w/covers,full-face air- WARRANTY&DISCLAIMER
purifying respiratory.(APR)with ® Arnthane
appropriate cartridges or full-face The data presented herein is subject to
supplied-air-respirator(SARI,and other change without notice and is not Amthane Inc,
1002 W Main Street
Richmond,MO 64085
P 816.776.3015
F 816.776.3215
www.arnthahe.com
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2nd Floor Proposed Floor Plan
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tVea�shl�athin�,wn�;toe 't�t;.ar�d. '
end floer�tpgtherrdown y: ,
the emstii�g siil.pt-4 that ar+ 3I4"''CCX'ptyw.aad„glue to-joist
bolted to a #ing foutdatcrn
A11awlndaw,;and door head+er�
refer to�Nrkz6 ,� lit
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