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Home My WebLink About0056 OLD HARBOR ROAD - - ACTIVE ;I.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB NO. 1660-0008 Federal Emergency Management Agency Expires March 31,2012 National Flood Insurance Program Important: Read the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION For Insurance Company Use: Al.. Building Owner's Name Norman Chalupka,Marilyn Chalupka. Policy Number A2. Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number r56 Old Harbor Road City Hyannis State MA ZIP Code 02601 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Tax Map 325, Parcel 171 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.41°38'46.0" Long.70'16'41.5"Horizontal Datum:.❑ NAD 1927 E NAD 1983 A6. Attach at least 2 photographs of the building if.the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 2 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1550 sq ft. a) Square footage of attached garage 336 sq ft b) No.of permanent flood openings in the crawlspace or` b) No.of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade 9 within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b 1800 sq in c) Total net area of flood openings in A9.b 0 sq in d) Engineered flood openings? E Yes ❑ No d) Engineered flood openings? ❑ Yes E No SECTION B-FLOOD.INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number B2.County Name B3.State Barnstable 250001 Barnstable MA B4. Map/Panel Number B5.Suffix B6.FIRM Index 67:FIRM Panel 68.Flood B9.Base Flood Elevation(s)(Zone 0006 D Date Effective/Revised Date Zone(s) AO,use base flood depth) July 2,2011. July 2, 1992 A 10.0 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile E FIRM ❑ Community Determined ❑ Other(Describe) B11. Indicate elevation datum used for BFE in Item 69: .E NGVD 1929 ❑ NAVD 1988 ❑ Other(Describe) B12. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area.(OPA)? ❑ Yes E No. . Designation Date ❑ CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) 'Cl. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* : E Finished Construction *A new Elevation.Certificate:will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1430,V(with BFE),AR,AR/A,AR/AE,AR/A1-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item A7.. Use the same datum as the BFE. Benchmark Utilized RM-12Vertical Datum NGVD Conversion/Comments Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor)5.9 E feet ❑meters(Puerto Rico only) b) Top of the next higher floor 12.4 E feet ❑meters(Puerto Rico only) c) Bottom of the lowest horizontal structural,tnember(V Zones only). N.A_ ❑feet ❑meters(Puerto Rico only) d) Attached garage(top of slab) 10.4 E feet ❑meters(Puerto Rico only) e) Lowest elevation of machinery or equipment servicing the building 10.7 E feet ❑meters(Puerto Rico only) (Describe type of equipment and location in Comments) f) Lowest adjacent(finished)grade next to building(LAG) 9.2 E feet ❑meters(Puerto Rico only) g) Highest adjacent(finished)grade next to building(HAG) 10.0. E feet ❑meters(Puerto Rico only) h) Lowest adjacent grade at lowest elevation of deck or stairs,including 10.0 E feet ❑meters(Puerto Rico only) structural support SECTION D-SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.'I certify that the information on this Certificate represents my best efforts to interpret the data available.) _ ;understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001.E ��or MASS Check here if comments re provided on back of form. Were latitude and longitude in Section A provided by a licensed land surveyor?' ❑ Yes E No CLAM L Certifier's Name David CI rk License Number 4.1725 N '`Title Professional Engi eer / Company Name Clark Engineering LLC' A N �?f`� Address 156 Crow Roa d,iS i B City Chatham State MA ZIP Code 02633 � a� Signature Date 08-10-11 Telephone 508-945-5454 Z/(/W FEMA Form 81-31, Mar 09 See reverse side for continuation. Replaces all previous editions ,IMPORTANT: In these spaces,copy the corresponding information from Section A. For Insurance Company Use: .Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O._Route and Box No. "Policy Number 56 Old Harbor Road City Hyannis State MA ZIP Code. 02601 Company NAIC Number SECTION -SURVEY ,ENGINEER, OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation C fica for % unity official,(2)insurance agent/company,and(3)building owner. Comments A9 Garage slab i ele atio 0. 0.4 ft above base flood elevation C2e Bottom of h mg u ct c to t elevation 10.7. Base of air conditioning unit located outside and adjacent to garage is at elevation 10.9 Signature // Date 8-10-1.1 ® Check here if attachments SECTION E-BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5. If the Certificate is.intended to support a LOMA or LOMR-F request,complete Sections A,B, and C. For Items E1-E4,use natural grade, if available. Check the measurement used. In Puerto Rico only,enter meters. El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent -grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or,owner's authorized representative who completes Sections A',B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone A0 must sign here..The statements in Sections A,B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Representative's Name Address City State. , '" ZIP Code Signature Date Telephone Comments ❑Check here if attachments SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E), , and G of this ElevationCertiflcate: Complete the applicable item(s)and sign below. Check the measurement used in Items G8 and G9. G1. ❑ The information in Section C was taken,from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation data.in the Comments area below.) G2.❑ ..A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4.Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑ meters(PR)Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters(PR)Datum G10.Community's,design flood elevation. ❑feet ❑meters(PR).Datum Local Official's Name a. . Title Community Name Telephone Signature, Date Comments El Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions Building Photographs - See Instructions for Item A6: For Insurance Company Use: Buil'ding'Street.Address(including Apt.,.Unit,Suite, and/or Bldg.No.)or.P.O. Route and Box No. Policy Number b6 Old Harbor Road City Hyannis State MA ZIP Code 02601 Company NAIC Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs.with: date taken; "Front View" and"Rear View"; and, if required, "Right Side View" and "Left Side View." If submitting more photographs than will fit on this page, use the Continuation Page, following. t L , r Front r Left Side Building Photographs Continuation Page For Insurance Company Use: Building Street Address(including Apt., Unit,Suite,and/or.Bldg. No.)or P.O. Route and Box No. Policy Number 56 Old Harbor'Road City Hyannis State MA ZIP Code 02601 Company NAIL Number If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." Rear View_ l Eli p Right View . .._.�-... :- - -F- " � rY a' III �`j5:'4"v t�§'• :y`' V., - , f F. iI'j I Home Energy Raters LLc .BTorrey @EnergyCodexerp.com Box 989,E.Sandwich,Ma 02537 888-503-2233 Duct Leakage Test Address Oid Harbor Hyannis MA 02601 bate-.—May 20., 2011 Test Type — Rough-In —Total Leakage Conditioned floor area = 2455 Sq FT To comply with Section 403.2.2 Of the 2009 IECC Code in this home the Maximum duct leakage CFM = 147,CFM ( 2455./100 x6=147) Duct leakage tested 144 CFM This Home�com_pliesiwith Section 403.2.2 Of the 2009 LECC Code Test.Results 1. Measured Duct Leakage: 144.0 CFM l 27.2 sq, in. (+/-0.0'/°) 2. Duct Leakage as'a Percent:of System Airflow. 3. Duct Leakage as a.Pereent.of Building Floor Area: 5.9 4. Leakage Split; f, Supply Side:. Return Side: "5. Duct Leakage Curve: Flow.Coefficient(C):. 20.9 Exponent.(n):.- 0.600.(Assumed).. 6 Test Settings: Test Mode: Pressurization Test.Pressure: 25.'0 Pa Equipment: Series B Minneapolis.Duct Blaster Test Type Total Leakage (Duct Blaster Only) . . Contact our office with any questions, Bruce Torrey, Certified HERS Rater Home Energy Raters LLC t A v `1V V r- Swanson Structural, Inc. Paul W. Swanson,P.E. 116 Forest Street Franklin, MA 02038 508-520-1333 May 2, 2011 John Goodrich Rick Roy Construction, LLC 123A Queen Anne Road Harwich., MA 02645 Subject: Structural Affidavit for Remodeled Single Family Dwelling: Chalupka Residence, 56 Old Harbor Road, Hyannis,.MA (My job 3981) Dear John, I was retained by you to provide Structural Engineering services on the subject project. On Saturday, April 16, 2011, 1 met you at the project site for a visual inspection of the completed framing. The conventional lumber, structural steel and engineered wood products used on the project were installed according to the plans and specifications,with approved changes, and in accordance with the structural requirements of the Massachusetts State Building Code, 7tn edition. If you have any questions,please feel free to contact me. Sincerely, Q a o> PAUL W. G S1PlA;idSJPI �.s. GTURAL V+= o 353- Paul W. Swanson, P.E: Swanson Structural, Inc: r � t{{ R sag ., I 3� e fi I 0 i tj'.+i`)it Town of Barnstable BARNSTABLE. Regulatory Services 7 MASS. 16a9• a,. Building Division prED MAC 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location � L t� Hc�o21��2 Permit Number Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: O FDA-" 6"-r 7T 01r U rrr c_cS S r=v� 2c�d27�5 Please call: 508-862-/4�038 for re-inspection. Inspected byC Date e4; OFtHE t�,;ti Town of Barnstable BARNSTABLE. Regulatory Services - Y MASS. 1679• �0 Building Division plFD MP'�a, 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location S"' .f �Tlj � kFern 7tX:5 ber Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: • ��S�e �f'1 �.�� •-5r.9 `"tS)�.��w 1!�7 ( �� j''� s.- ��C, ;3�•.,, ��.-•� «. �•..... .` f � .. _ 66r 0 H 771- —r76t .. fe. 1"J tP f bra (A J ()A cT~ G S r) U /J � ' ure<7 Please call: 508-862-4038 for re-inspection. Inspected by . Date i. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map . Parcel I`7 1 Application Health Division Date Issued Z Conservation Division fl 7- 111 lcn1�'P��e� S�� Z fL,�/JU. Application Fee � Planning Dept. Permit Fee -7 co Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address S�v 0 Village J4 Y4A11V15 Owner NX204A/it /019LIN 4l �' �ig4Ul�Kl�1 Address ,A� ,n01V14k r-,0,e laX'FOO, Mq- &6yo Telephone Permit Requests 6 001 r/062 Or- IL.f rc.l44-_nJ -- 5)1v6(-E 6A-fz46C RErLJ6VY )O/J ,- 0/V F1 Af r t:Le-W A /A11V 1J1f51c_42 S E Square feet:"fist floor: existing 160 proposed iolit 2nd floor: existing 590 proposed Z11 Total new 2"3 C Zoning,District Flood Plain f} Groundwater Overlay AF Project°Valuation 1;07.,000 Construction Type Lot Size /3) S�� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure &L- ' M0 Historic House: ❑Yes )J No On Old King's Highway: ❑Yes fd No Basement Type: ❑Full J0 Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) /6 66 Number of Baths: Full: existing ,9- new -3 Half: existing new Number of Bedrooms: existing 3 new Total Room Count (not including baths): existing _(new 7 First Floor Room Count 5 Heat Type and Fuel: )o Gas ❑ Oil ❑ Electric ❑ Other Central Air: V Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes'o No ,�-* HftV6 PE fz rnA'T" Detached garage: ❑ existing ❑ new size_Pool: ❑ existing 50 new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing A new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes $No If yes, site plan review # Current Use 12� 10C_ Proposed Use /2 e-'s okXC — APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W)CY, P61 &'' 57-12-V C_W O ✓/-iC Telephone Number SOS^`f32,--60�10 Address l 23 A QUEedl 1) ✓A4--' 0 License 7/8-5 lJa 4P`Js Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS/PROJECT WILL BETAKENTO SIGNATURE DATE Zf 7 JI - 1- _ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO, Hwy. ADDRESS VILLAGE ` 1� OWNER DATE OF INSPECTION: -FOUNDATION': FRAME �. INSULATION w FIREPLACE ELECTRICAL: ROUGH ' FINAL `} PLUMBING: ROUGH FINAL-- -GAS: ROUGH FINAL ° �_• <FINAL BUILDING :�'" 77 DATE CLOSED OUT s ' ASSOCIATION PLAN NO. y r `row.h- of Barxzstabl r Regulatory Services Thomas F. Geiler;Director truss. . =6�9 Building Division Thomas Ferry, CB0, Buildiag Comaussioner, 200 Maui Stre y et, H annis M.4 02601 WWW.town,barrs ble:ma.us Officei 508-862 4038' Fax: 508=790-6231 PLAN RE VEE W Owner: N " M . .G144 L U`PkA Map/Parcel: Pzoject Address 6 4-1 Builder: .� o�/ C o kf S?, The following items were noted on reviewing, E VA- (CA TE7 Reviewed by Date: Theo COMM onwealth.of Massa ch;usetts Deparfrizenf oflndustrial`Accideizfs Office of Xtsvestigatiotzs 600 Washing ton.Street c Boston, MA 02111" www,m ass.go v/dr•a _'Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plu.mbers "Applicant Information I Pjease Print I�e�ibIY Name (Business/Organization/Individual): L/L 7'� / �'ojJ Gf'/1/ Z_G 4f1 Address: 1 Z Czty1S at p: l� l/l .l Ar-e you:a.n employer?,•Check the appropriate box: yp project. (required) T e of ] .0 I am:a employer with 4. � I am a general contractor and I have'hired the sub-contractors.. 6. Ej New construction employees'7(full and/or part-tune). - - =- - 2.❑:I.am a sole proprietor.or partner=. listed on the attached sheet. 7. Remodeling, ship and have no:employ-ees These:sub-contractors have - 'g.; Demolition. em 'lo ees-and have workers'. : . working forma in any capacity. P Y 9. [] Building addition [No.workers' comp..insurance comp, insurance. required.], 5:'0 We'iare a:corporation and its 10.❑ Electrical repairs or additions off have exercised their 11`: PTumbin re airs or additions' 3 I am'a homeowner doing'.all work g' P myself [No<workers' comp, right of exemption per MOL 12.0 Roof repairs ... insurance required.] c. 152, §1�(4), and we have no empl'.oyees. [No workers' ]3;_E] Other cornp:`instirance required,) ~*Any applicanlihat checks box fO musfalso fill out the section below showing their N o, r.kcrs'compensation policy in formation. t Homcowners who submit this:affidavitindicating..tbcy arc doing ail.w.ork and then hire oU6&contractors must submit a.ncwaffidavit.indicAing such. tContraaors thit chcck.;this box must attachcd`an additional sheet'showing the namc'of the sub-contractors and.stalc whether or.nol thosccnlitics have employees. irthe sub-contractors-have cmployccs,they must'providc%thcir workers'comp.policy number, I am an employerlhat is providing workers'compensation insurance for my employees: Below is the policy and job.sile information Insurance,Company.Name: C7Jy11��/1� — Policy# or;Self ins.Iac #,` Expiration DateZ /% Job.Site Address - City/State/Zip: /fMJf, S Attach a copy of tbe.workers' compensation policy declaration page (showing the policy'nurnberarid"expiration date).: - Failure to..secure roverage.a.s;requued.under Section 25A of MOL o, 152 can lead to the:imposition of criminal penalties of a fine up to``$;J.,500 OO;atid/or one-year imprisonment; as welh as'`civil penalties in the form"'of a.STOP WORIC,DI?DER and a fine- of up to.$250.00 a dayagainst tho violator..Be advised that-a copy.of this statement may be forvwarded.to the-Office of. Investigations of the DIA for insurance coverage verification: I do h ere by-certr rn.der the'pairts,and penalties ofperjury that the information provided above is-true and correct Si ature: a Phone#: . Offcial:.t is.e Only. Do not write in this area, to be completed by city or town'officiat City or.Town: -Permit/License # Issuing Authority.'(circle one):. 1.Board of Health:; Z. Building Department 3, City/Town CY4 rk 4. Electrical Inspector S. Plumbing.Inspector 6. Other Contact Person: Phone#: AL.utiUn„ CERTIFICATE OF LIABILITY INSURANCE DATE PRODUCER THIS.CERT.IFICATE IS.ISSUED AS A MATTER OF;INFORMATION CORCORAN. AND HAVLIN, INC/PHS ONLY.AND CONFERS NO RIGHTS UPON THE CERTIFICATE-, HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 087507 P: (866) 467-8730 F: (800) 308-5459 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 301 WOODS PARK DRIVE CLINTON .NY 13323 INSURERS AFFORDING COVERAGE INSURED INSURER A:Hartf ord Fire Ins Co INSURER B:TVin",City Fire Ins Co SWANSON STRUCTURAL; �-INC' =' wsuliERcr 116 FOREST ST. INSURER'D': FRAN:KL IN MA 02038 INSURER E: COVERAGES. THE O C S S ISSUED O THE.I S O OR POLICY O 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE.MM/DD/YY DATE'MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $1, 0 0 0 , 0 0 0 A COMMERCIAL-GENERAL LIABILITY 08 SBA PM1212 04/0 7/10 04/0 7/11 1 FIRE DAMAGE(Any one fire) js300, 000 CLAIMS MADE U OCCUR I MED EXP(Any one person) I $10, 0 0 0 X General Liab 1PERSONAL&ADV INJURY $1, 0 0 0 , 0 0 0`., GENERAL AGGREGATE $2 , 0 0 0, 0 0 0 GENT AGGREGATE l:IM1T APPLIES PER: PRODUCTS COMPIOP POLICY I I JEC I X I LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1, 0 0 0, O O O'. A ANY AUTO 08 SBA PM 1212 0 4/0 7/10 0 4/0 7/11 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X $NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY .AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY_ EACH OCCURRENCE $ OCCUR u CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND X WC STATU- OTH- TORY LIMITS ER B EMPLOYERS'LIABILITY 08 WEC KL 94 6 0 0 9/0 2/10 0 9/0 2/11 E.L.EACH ACCIDENT $5 0 0, 0 0 0 E.L.DISEASE-EA EMPLOYEE $5 0 0., 0 0 O E.L.DISEASE-POLICY LIMIT $5 0.0, 0 0 0 OTHER DESCRIPTION OF.OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Those usual to the Insured' s Operations. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE': EXPIRATION DATE THEREOF,THE ISSUING INSURER WILLENDEAVOR TO MAIL`,P 30 DAYS WRITTEN NOTICE 110 DAYS FOR NON-PAYMENT)'TO THE CERTIFICATE Rick Roy Construction LLC of Harwich MA HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS 123 .QUEEN ANNE RD # A REPRESENTATIVES. HARWICH, MA 02645 AUTHORI D E PENTATIVE ACORD 25-S (7/97) ACORD CORPORATION 1988 Jun 16 2010 '3: 30PM HP LRSERJET FAX _ P, 1 )ate* 6/W--2'010 TiLnsI 3112 FM ToI 9,1508.398.22D6 Rogers & Gray Ins, Pagel 002 Client#:62146 CHASMER ACORD. CERTIFICATE OF LIABILITY INSURANCE °6[1612010 (HIS CERTIFICATE iS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPIORTANT: the certificate holder Is an ADOMO NAL INSURED,the po cy(les)must be endorsed. SUBROGATION IS WAIVED,subject to the 1emTs and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the eertlficate holder In lieu of such endorsement(*). PRODUCER A Rogers$Gray Ins.-So.Dennis 508 398-T980 _Route 134 C No Est: AIC,No rAWAIL P.O BOX O AOORESE South Dennis,MA 02S60-1601 CUSTOMER roA INSURERS AFFORDING COVERAGE NAIL A INBURED INSURER A;59I9ctIVe IrMUrance Company Of 12572 Chase&Merchant Inc,Cape Sand III Recyc PO BOX 5 INSURER B:Ace Fire Underwriters Dennis Port,MA 02039 INSURER C INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THEPOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDNAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OFANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ODL OLICY EFF POL CY E%P Lilt TYPE OF INSURANCE POLICY NUMBER MM.O/YY Y ll MI19 A GENERALLIABILITY S193805700 5/0512010 05/05/2011 EACHOCCURiENCE $1000000 X CONMERCLAL GENERrA-�L LIABILITY PREMISES(Ee dccu b100 OOO C1AIM&MADE DO OCCUR MED E%P Any ane person) $5 000 PERSONAL SAW INJURY j1 000,000 7 GENERAL AGGREGATE 13 000,000 GENL AGGREGATE UNIT APPLIES PER PRODUCTS-COMP/OP AGG t3,000,000 POLICY PRO• LOC $ AU10MDBILEUA91LITY A9D94204 5/05/2010 0510512011 COMBINED SINGLE LIMIT c (_a accidenQ ANY AUTO BODILY INJURY(Per person) $ ALL OWNEOAUTOS BODILY INJURY(Per acoide%) $ X SCHEDULED AU106 PROPERTY DAMAGE $1,000,000 X HIRED AUTOS (Per»ccidenp X NON-OWNED AUTOS S UMBRELLA UAR. OCCUR EACH OCCURRENCE EXCESS LIAR HCLAIMS-MADE AGGREGATE S ' DEDUCTIBLE i RETENTION 8 WORKERS COMPENSATION NWCC46302199 5110/2010 0511012011 j wC srATu- :OTH• AND EMPLOYERS'LIABILITY Y/NTORY I 1MIT ANY PROPRIETORJPARTNER/EXECUTIVE E.L.EACH ACCIDENT S1 OOO OOD OFFICER MMSER E%CLUOED� NIA (Mandatary is NH) E.L.DISEASE-EA EMPLOYEE ft 000000 It ye 0.see rrroa uncle r DESCRIPTION OF O 7 t E.L.DISEASE-Pot ICY LIMB $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS J VEHICLES(Attach ACORO 101,AdLiWanal Remarks Schedule•it more space Is mguIred) CERTIFICATE CE T 0 Da fNgn-PayMeryt SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELI EDBEFORE THE EXPIRATION DATE THEREOF,WOTICE WRL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTH DRIZED REPRESENTATIVE 0199 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(22009109) 1 all The ACORD name end logo are registered marks of ACORD ``—� #S329341M52933 AMP CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 09/22/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFOKD91) BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AvrHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is an ADDITIONAL INSURED, the policy(feS) must be en001`11e0• If SUBR AT 3 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endoraoment. A statement on this certifcate does not confer rights to the certificate holder in lieu or such endorsement($), PRODUCER NAME: Schlegel 6 Schlegel Insurance Brokers Iac PHONE(AIC,N0,Ea (508) 771 8381 ( N);(508) 771 0663 34 bd&XN STREET A ADDRESS: RIIDDL`Elr' - CUSTOMER 10 a: West: Ya=outh, MA 02673 _ INSURER(S)AFFORDING COVERAGE NAIC0 INSURED WeURERANOM 117SUR_'WC,�, Rd iKaeorta>cy EfarQscapes Inc aeauRER B LIBERTY MUTUAL 22 Sw±ft Brook Rd INSURER C: INSURER D: - South Yarinouth, MA 02664 INSURER r'i: INSURER F: . . . .. . COVERAGES CERTIFICATE NUMBER! REVISION NUMBER' THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N ED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCU ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HER IN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. I LT -' - _ LTR TYPE 0111NSVRANCE INSR WVo POUCYNUMAFR (MWDDNYYY) (MWDD/YYYY) LWmI A GENERAL UAerLITY -• DS>?J8669W 09/02/201009/02/2011 EACHOCCURRENCE 81,000,000 X cOMMERCIAL GENERAL LIABILITY -UnME TORERTED-----' PREMISES EaoccORence $500,000 CIAIMSMADE Ix OCCUR MED EXP(Fury one p¢rsori) 310,000 PERSONAL$AOV INJURY 51,000,000 I CENBRA),ACCRGgATE %2,000,000 GENL AGGREGATE LIMIT APPLIES PER; PRODUCTa-COMC,OP AGG 5 2,000,000 POUCYFI PRU JECT LOC 9 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) i ALL OWNED ALrrO$ BODR,Y INJURY(Per go re011) S SCHEOULC-0AU7P8 BODILY INJURY(Pet atcidaM) S . i HIRED AUTOS PROPERTY DAMAGE ( n 5 NON-OWNED AUTOS s i UMBRELLA LLIB S 1 EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE —_ AGGREGATE ; .DEOUCTIOLE .... .. s RETENTION S 9 g wPRrcERecoMpeNaAnoN WC1-0212975 09 18 201009/18/2011 AND EMKOYERa'LIABILITY / / OTH- ANYPROPRIETORIPARTNER,O(ECUnVE YIN TORY LIMIT, ER OFFicER(MEMBER EXCLUDED? I I NIA E.L.EACH ACCIDENT S 100,000 (Mandatory In NH) �..J It yw,dwfte under E.L.DISEASE-E4EMPLOYEE g 100,000 DESCRIPTION OF OPERATION$yslpN. E.L DISEASE-POLICY LIMIT S 500,000 DESCRIPTION or OPERATIONS/LaWT10N5/VEHICLE8(q<tacn ACORD 70),Agdrlional Remarlla 8dhodole,M more space.raquind) CERTIFICATE HOLDER CANCELLATION RICK ROT CONSTRUCTION 12SA QUEEN AM RlD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEC BEFORE TK EXPIRATION DATE THEREOF, HARWICH, MA 02645 ACCORDANCE NTH THE POLICY ROVISIONS.NOTICE WILL BE DELIVERED IN FAX# 508-432-4814 AymoarzEo ,Ivy ;; 19B -z009 ACORD CORPORATION. All rights reserved, ACORD 25(2009l09) The ACORD name and logo are regi&tared marks of ACORD U ruV. ...G V 11 .u:�� #5411 P.001 /002 CiienW.47452 HARWNEA ACORD. CERTIFICATE OF LIABILITY INSURANCE °"'E""111°°"" 1112/101/ THIS CERTIFICATE IS ISSUED A9 A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTI FICATE HOLDER CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING IN8URER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPthe certificate holder Is an ADDMONAL INSURED,the policy(Ies)must be endorsed.If SUBROGATKWTS-W—A[VED,su ject to the terms and conditions of the policy,certain policies may require an endoreement:A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). ER lager s ogers 8 Gray Ire.-So. Margaret Youngo.Dennis pHE7NE S08 3A8-7980 - 434 Route 134 No.Ext — A/C 14 : �. O.BOX 1601 ADDRESS: South Dennis,MA 02660-1601 CUBTOMERID#; allRED INSURER S AFFDRDgrG COVERAGE NAIC# Harwich Port Heating&Cooling, Inc. INSURERA!SBlective Insurance Co,of S.C. 461 Lower County Road INsuRERa!Selective Insurance Company of 12572 Harwich Port,MA 02646 INSURER C: INSURER D: INSURER E I INSURER F ;OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS fS 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 WTrH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHnwN MAY HAVE BEEN REDUCED BY PAID CLAIM BJECT TO AL NIK R TYPE OF INbURANCE POLICY NUMMM POLICYEFF OOIEXP YI Llf>aR5 t, GENERAL LIABILITY S1899090 9/01/2010 09/01/2011 kzACH OCCURRENCE s1 000 000 X COMMFItCIALGENERALLUIBILIIY ro 1 $100000 (lAIM3 MAOF a MISCS fa OCCUR MED CXP(Any nre Denson $5,000 PERSONAL S Anv INJURY $1 000 000 —•• - GGNE►tAI ACCREGATE s3,000 000 nENt AGGREGATE I MII I Ali'UES PCR� POLICY PRO LOC PRODUL;I s-COMP/OP AGG $3,000,000 I AUTOMOBLLE LWaurY A9092466 /01/2010 09/0112011 COMHINfU SINGLE LIMIT ANY AUTO (Ea acddeM) $1,000,000 All OWNED AUTOS HUUILY INJURY(Per prrvin) $ X SO W-VULED AUTOS nOUILY INJURY(Per=IdAnt) $ X IIIRFIJAuros PWtF'ERTYDAMAGC $ (Per riuddani) X NON-0WNCD AuIUS $ $ UMBRELLA I" X 0=IK SEEPACKAGE /01/2010 09/01/2011 FAl H occLJRR[NCF Ess t.I $5 000000 .. ExcAs cl almy-•MaDE utuucrleLE A[3ORECATE $5,000,OD0 X.4t=ION S 10,000 $ WOFtlCEM COMPENSATION $ AND EaaPLOYERG LIABILITY V IN WC7938097 9/01/2010 09/01/207AW 1 X we sriM S "' OrrICF I WMBER EXXC UD��'""N WA E.I.�ACHACCIDENT $500 000 (M1tandotarylrl NN)gk;MC.l.nI.StASE-EA EMPLOYEE.; $500,000 r ItxL;Alder IPTIL7N IF OPFRATIONS bobw E.L.DISFA.� -MLICY LIMIT $500.000 SCRIPTiON OF C7PERpTIpNS/LOCATIONS/VEHICLES(Altrch ACORD JD1,Addlibnal nomwj%Se tedub,N roar,spppe IS required) Workers Comp Information'" Ciudad Officers or Proprietors as Attached Descriptions) eRTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Rick Roy Construction THE EXPIRATION DATE THEREOF,NOTICE WILL Be DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 123A Queen Anne Road Harwich,MA 02645 AUTHORIMb REFRESENTATPA 01B8 -2009 ACORD CORPORATION.All rights reserved, ;ORD 25(2009/09) 1 Of 2 The ACORD name and loge are registered marks of ACORD XS82388/MS6233 MEY cnoc ro..v yin .may-1..uuvi1U1i uate. a lutu l l nme:.5:'I-I:u4 rM Page 2 of ACORD CERTIFICATE OF LIABILITY INSURANCE °ATE`MMIDDI""") TM 01/i2/2011 PRODUCER 508.945.0393 FAX 508.945.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpkin Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 697 Main Street ALTER THE COVERAGE AFFORDED BY THEROLICIES BELOW. Chatham, MA 02633 INSURERS AFFORDING COVERAGE NAIC# INSURED Eldridge Electric, Inc. INSURER A: Commerce Group - CIG001 400 Airline Rd. INSURERB: Citation Insurance Co (MA) 40274 South Dennis, MA 02660 INSURER : Hartford Insurance Group 00914 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. INSRADD' POLICY EFFECTNE POLICY EXPIRATION LTR INSRH TYPE OF INSURANCE POLICY NUMBER DATE[MMI D DATE MMIDO LIMITS GENERAL LIABILITY BCJLMP 12/24/2010 12/24/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JET LOC AUTOMOBILE LIABILITY LW8804 12/24/2010 12/24/2011 COMBINED SINGLE LIMIT ANY AUTO (Ee accident) $ ALL OWNED AUTOS BODILY INJURY B 1xxx SCHEDULED AUTOS (Perperson) $ 250000 HIRED AUTOSBODILY INJURY $ NON-OWNED AUTOS (Per accident) 500,000 PROPERTY DAMAGE $ (Per accidents 500,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT HOTHER THAN $ ANY AUTO EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION 08WECIV1559 12/24/2010 12/24/2011 AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 C OFFICE(Mandatory In BERNH)EXCLUDED? E.L.DISEASE-EA EMPLOYE $ 100,000 (Mandatory In NH) If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Electrician The certificate holder shown below is also added as an Additional Insured for Liability coverage under policy #BCJLMP. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 OAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Rick Roy Construction, LLC REPRESENTATIVES. 123-A Queen Anne Rd. AUTHORIZED REPRESENTATIVE Harwich, MA 02645 Alan R. Long, President ACORD 25(2009101) O 1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rJ3r?11.LrJ1YJ lq:n/ 5E7t34"Lby'L'1( MARK W SYLVIA PAGE 61 ACORD"'. CERTIFICATE OF LIABILITY INSURANCE DATE(MimciYYY) 03/31 I2010 PRODUCER (508)428-0440 THIS CERTIFICATE IS ISSUED AS A MATMR OF INFORMATION Mark Sylvia Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 771 Main Street HOLDER; THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED IBY.THE POLICIES.$FLOW. Osterville MA 02655 INSURERS AFFORDING COVERAGE _ NAIC 0 INSURED imsuRERA Farm Family Casualty Insurance Smith,Luke dba All Cape Plumbing and Heating — - --- 20 Cricket Lane INSURER B: PO Box 1584 INSURER C: Brewster,MA 02631 INSURER D: INSURER E:. '--....1•"--_ ._.., . ._.,. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREME OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE IN CE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LIMI S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D POLICY NUM86R POI.tCY E FFECTNE POLICY EXPIRATIONLTR LIMITS . GENERALLIASILITY EACH OCCURRENCE $ 1,000,000 A X 2001X0083 10/10/2009 10/1012010 COMMERCIAL PREMISES-(P_s_9xm $ 50,000 CLAIMS MADE LJ'OCCUR MED EXP Any v+o p22 n) $ 5,000 PERSONAL&ADV INJURY _ $ GENERAL AGGREGATE ..v $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS�COMPIOP AGG S — 2,000,000 X POLICY PRO. 7LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea aoddent) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Par Pinson) HIRED AUTOS BODILY INJURY �1 NON-OWNED AUTOS (Per seddart) $ PROPERTYOAMAGE 4 (Per amIdant) GARAGELIABILITY AUTO ONLY-F14 ACCIDENT $ ANY AUTO .._........................—•-- OTHER THAN EA ACC A AUTO ONLY: AGG $ EXC65SAJMBRELL A LtAE UTY EACH OCCURRENCE $ OCCUR CLANSMADE AGGREGATE DEDUCTIBLE I R S RETENTION 6 $ WORKERS OOMPENSA71ON AND U4O BTATU- X OTH- A EMPLOYERS'LIABILITY 2001WBO99 4/1/2009 4/1/2010 TOAY-LIbIQc ER— ANYPROPRIETORIPARTNERMECUTIVE 4/1/2010 4/1=11 E.L.EACHACCIDENT _ II 500,000 OFFICERIMEMBER EXCLUDED4 E.L.DISEASE-EA FMPLOYEt S W �500,000 If yype9 bee"antler Yes SPEC IaL PROVISIONS below E.L.DISEASE POLICY LIMIT 4 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED SY ENDORSEMENT/SPECIAL PROVISIONS PLUMBING THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR LUKE G SMITH, RICK ROY CONSTRUCTION NAMED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY POLICY CERTIFICATE HOLDER CANCELLATION (508)432-4814 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THL•EXPIRATION Rick Roy Construction DATE,THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ DAYS WRITTEN 123A Queen Anne Rd NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL �. Harwich,MA 026 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRr:mNtATIvES. AUTHORIZED REPRE=S>_NTATIVE ACORD 25(2001/08) 0 ACORD CORPORATION 1988 �'•-1 OP ID..SW DATE(MMIDDIYYYY) �.. CERTIFICATE OF LIABILITY INSURANCE 11/04/10 .. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND.OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the.policy(ies) must-be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement: A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER 608-385-2464 CONTACT Edward J.McGrath Insurance NAME,608-386-6991 PHONE pqX P.O.Box 1003 E-MAIL ArC No Dennis,MA 02638 ADDREI PRODUCER ARNOL-1 E.J.McGrath Insurance Agency INSURER 3 AFFORDING COVERAGE NAIC# INSURED Robert Arnold dba INSURER A:COMMerCe Insurance Company Fleetwood Plastering INSURER B:Liberty Mutual Insurance Group 2 George Holbrook Way E Harwich,MA 02646 INSURER C: INSURER D: INSURER E: COVERAGES'" _ CERTIFICATENUMBER: REVISION NUMBER:THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IJIMNSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP O C U LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 A X COMMERCIAL GENERAL LIABILITY M33911 02/16/10 02/16/1, DAMAGE TO REN PREMISES Ea occurrence $ 60,00 CLAIMS-MADE FX_1 OCCUR MED EXP(Any one person) ; $ 6,00 A M33911 02/16/10 02/16/11 .pERSONAI.4 ADv INJURx $ 1,GOQAO GENERALAGGREGATE $ 2,000i00 GEN'L AGGREGATE LIMrr=APPLIES-PER: PRODUCTS COMP/OP Ado, $ 2,00010.0, POIICY PRO- r. LOC $ AUTOMOBILIELIABICITY COMBINED SINGLE LIMIT ANY AUTO (Ea,accident)' $ ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTYDAMAGE HIRED AUTOS (Per accident) $ NON-OWNED AUTOS $ $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY _WC STATU- I OTH- ANY O B OFF[�OCER/A�N®EREXCLUD�EDT �� Y❑ NIA WC231S342039010 03/15I10 O3/15M1 E.L.EACHACCIDENT $ 100,00 (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ 100,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 600,00 71 (1' DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) Plastering ctor Plastering contra '.CERTIFICATE HOLDER CANCELLATION RICKR01 SHOULD ANY OF THE.ABOVE DESCRIBED POLI,CIESBE CANCELLED BEFORE R1ck;Roy Construction THE ,EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1'23A:Queen Anne Rd ACCORDANCE WITH THE POLICY PROVISIONS. Harwich,MA 02646 AUTHORIZED REPRESENTATIVE E.J.McGrath Insurance Agency ACORD 26 2009/09 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Vb/Ly/1171b 1JJJ:bJ, bOH41044 74 PALUMBO INS COTUIT PAGE 01 AC V� DATE(MMIDDIYTYY) t>r� CERTIFICATE OF LIABILITY INSURANCE 6/29/2010- PRODUCER (508)428-1943 FAX- (508)420-4474 THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION. William Palumbo Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER: THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4521 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Cotuit Mh 02635 INSURERS AFFORDING COVERAGE NAIC INSURED INSURER A_Tratl2 1.ers _Indemnity Company - 25658 I._. --- 394.94 —� _- PRIDE FLOORING INC. I.INSUREA E:Safety-Ins a 39as urnce Company 4 P O BOX 14 J7 INSURER C;xIartivrd Zns Co 19692 INURER 0; COTUTT I MA 02635 I"IN'S'*U'RERE: 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 OFSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS; POLCY EFFECTIVE ,POLICY EXPIRATION WMITS TYPEQLIt `IID6Nf�G I POLICY NUMBER DAT7;rllllMrDD _ T N ODIYYY'!1_ _ I I EACH OCCURRENCE s__ 71000,000 GENERAL UABIUTY X COMMERCIAL GENERAL LIABILITY I .pAM IS8.6_1 RENTED- ,_.PREMI$E6_(Ea,Wxurranco).-. S 300•,,000 ._. _ A I I CLAIMS MADE X j OCCUR 806927N344 6/13/201.0 6/7.3/2011 MED Ei(P(Any cn9 Pnnen) _ Q 5•,000 FER$ONAL&ADV INJURY 15 1,00 00. GENERA•L_Act;_REGAn__ ; ._ 2,000,•000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS_COMPIOP AGG S •__2,000,000 _ ». _.. - POLICY[X P F LOC AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT I$ (Ea accident) ANY AUTO H ALL,OWNED AUTOS 6210296 8/1/2010 8/1/2013. BODILY INJURY 3 250,000 (P!n parson)- X SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ 500,000 C-?xc NOWOWNED AUTOS (PerLyiderlI). t :...�_.. �_. _ ( PROPERTY DAMAGE (Per accidprd) $ 100 000 I GARAGE L IAefUTY I _AUTO ONLY•EA ACCIDENT._$ ANY AUTO I OTHER THAN AUTO ONLY: A00 I S RXCESS I UMSRELLA LIABILITY EACH OCCURRENCE,•_I.$ _• _ I,I OCCUR f�CLAWS MADE AGGREGATE._--._.. $— ...... �I DEDUCTIBLE RETENTION 3 $ C I tNORKER9 COMpErygAT10N x WC STATU- OTH- AND EMPLOYERS'LABILITY I TORY L1MITS_, FR.. ANY PROPRIETORIFARTNERIEXECUTI\M YIN ELL.EACH ACCIDENT $ SOO,000 OFFICERNr=MBER EXCLUDED? (MandataryMNH) 0 930 6/15/2010 6/15/2011 E_�DIsEASE-FJ1EMPt0YF S 50D,000, Ryyee�rtleecrlbeundm E.L,OISEASE-POLICY LIMIT S .500 000 SPECIAL:RROVISIONS below OTHER DESCRIPTION OF OPERATIONS?LOCATIONS I VEHICLFo l EXCLUSIONS ADDED 9Y ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCEL,{-ATION (509)432-i1614 SHOULDAHYOFTHEA®oVe0E8caIaBLiPOuclESeecANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE I-SUINo INSURER WILL ENDEAVOR TO MAIL LO _ DAYS wwmm NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO Dow SHALL R4.ck Roy Constsuotion IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER,ITS AGENTS OR 123 A Queen Anne Road Harwich, MA 026a5 REPRESENTA11VE5. AUTHORIZED RFPAAA'CNTATIVE ,7 LaRocca, Sr/Sr:tOGSR ACOR.D';25(20.09/01) @ 1988.2009.ACORD CORPORATION. All rights;;resorved. IN3025(zoosot).Ot The ACORD name and logo are registered marks o1 ACORD ACORD ' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) ,• 12/27/2010 PRODUCER 508.945.0393 FAX 508.945.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpkin Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 697 Main Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Chatham, MA 02633 Alan Long INSURERS AFFORDING COVERAGE NAIC# INSURED Rick Roy Construction LLC INSURERA Scottsdale XSB007 123A Queen Anne Road INSURERS: Ace Property & Casualty Ins Harwich; MA 02645 INSURERC: 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. IN SR DD' TYPE OF INSURANCE POLICY NUMBER UCY EFFE THE PO Y EXPIRA N LTR NSR DATE MM/DD DATE MM/D LIMITS GENERAL LIABILITY BCS0023728 12/23/2010 12/23/2011 EACH OCCURRENCE $ 1000000. X COMMERCIAL GENERAL LIABILITY PREMISES Ea oxurcence $ 100,00( CLAIMS MADE rx]OCCUR MED EXP(Any one person) $ A PERSONAL&ADV INJURY $ 100000 GENERAL AGGREGATE $ 200000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 200000 POLICY PRO LOC JECT AUTON0131LE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per perms) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS I (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN FA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LtABILRY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION C46288944 04/29/2010 04/29/2011 AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVEQ E.L.EACH ACCIDENT $ 500,000 B OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-FA EMPLOYEE $ 500,00 S Yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1$ S00,00 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ,eneral Contractor - Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED T�THEL , UT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATN OR LIABILITY O ANY K E OBLIGATION INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2009/01) 01988-2009 ACORD CORPO ION. All rights reserved. The ACORD name and logo are registered marks of ACORD Swanson.Structural, Inc. Paul W.Swanson,P.E. 116 Forest Street Engineering Services commercial Franklin,MA 02038-2579 residential Phone 508-520-1333 reside reside timber Fax 508-520-1334 heavy Paula SwansonStru ctural.com j ,4A} C G C I ( II � j ( ! � � � '• 4 € � i I { 1 � F E i f PN E��P• Ic� t1�',an 200 t_N_r. , -�--�-- , I --�- - -- 'T 1 ' E_Xn _b Prz�-ss✓RG'S �� / 2� I —s �cp i C' 5—t— if 144 L4__ •U-4/N.__H IF -;-- I E -_!-- ra_2Y-wt ivD` t"AS ' _ A,e li .. .1vo 2 rtt . t;Z� ✓A not _ _ _ r 3,`x 11!' 3Q A r—A LNos _ f 2 }! , -T If I/I[•¢��(__ Lif W 59 I 34 ` L' i 2C�_3=oj" oP�vr�.c,S_3 6i i=�! '• ',,�i l� i I - --% _ 4�6 j j 30 o ar;)(0.17 [ ; $ 3565' �SfT ��%c' o i 1"i� t�v2 -A.s:: E.. No►z rr�{ �� .ti-v�n vn/; ' 4 --7 4, LI I • � j j �--� j i i � � � I � � I � ! 1 i Job Name (_�(a f Vd�Q K�S • Job Number __Ty� Location 5;� old k .-bo✓' AA. ANA A yl l 5 /"VT Sheet r of Client `G)t.. kow Goh By PWS Date Swanson Structural, Inc. Paul W.Swanson,P.E. Engineering Services 116 Forest Street commercial , - Franklin,MA 02038-2579 Phone 508-520-1333 residential heavy timber Fax 508-520-1334 PaullSwansonStructural.com m1��ra r wit 1�1,?.c? 2C F _ ur�3r GEy4,t1onl ' ! _ Z IOU __� y . - - A _�` I x i5' 12- 22, ti?� tr3__;_$E �1�MS^ j �•'0 ' P }�--o{ i -'� t f j •fi/I_Vr_�.. j � :_ _;.._�_J �. .j__. 1 ; ' J -i ' �-,,_. - ' — — _ — — `— _ !-__ i /?_��►_ v�u St° _ sNDs i P _Gi_zE �i ' GyP �f436 iS [ 15w¢ -- _ �-- G��G i ( s -t2ys- .S A 31 .2 ' `�6 70 _ Nco — mot sP �ly -- - - i t I 7 r i ! 3 — , + Job Name Job Number 98J t Location Sheet of Client By . /✓(iV S Date SwanSOn Structural, Inc. Paul W.Swanson,P.E. Engineering Services 116 Forest Street commercial Franklin,MA 02038-2579 residential Phone 508-520-1333 Fax 508-520-1334 heavy timber PauRAYwansonStructuralcom I I --:- — , r— i �21 9f �I ► fi 0 Rya Gix x 2 ±'c fj u �? ?. GS ! i_ i � - — i i i i I i ; i I i j `'__"f— ' _._._t f 1 1 �•_.� S j � ' ---v,„ _sue--? --3 --- - --; — t y i $ i i • E , S i S r f, e ! Job Name Job Number 3 9 8/ Location Sheet of �f Client By PWf Date g �� Swanson Structl>Lml. Inc. Paul W.Swanson,P.E. 116 Forest Street Engineering Services Franklin,MA 02038-2579 commercial .Phone hone 508-520-1333 heavy timber Fax 508-520-1334 Paul-SwansonStructural.com j. '--- i 3 I --�tt __-{---�-!_- 1 ! I r �1 i-'---''I� � •.._--� _.._.`__._ .r,.._/1� i ! 2•�� , f�-'^'�.SS.-�-.{�-J�-.__� 4 , r _—._� i £ ' ; i 1 4 I S Job Name Job Number 3 /8 Location Sheet of Client By Date '(� l Boise Cascade Double 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor BeamlBeam 01 BBCCCALCO 3.0 Design Report-US 1 span No cantilevers 1 0/12 slope Saturday, January 08,2011 Build 440 File Name: BC Job Name: Chalupka Residence Description: Beam 01 Address: 56 Old Harbor Road Specifier: City State,Zip: Hyannis, MA Designer: Customer: Roy, Rick Construction Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 3981 2 30 `5 W ,.� ,a w i- ri r `2 rn ::rye 1y ..'€' a.. a'�.&..-`� - ta' a',: ' �a !m ., ss. ' �`��` - , Lit EEa .'i`y;h� :wn t; n,�t P t�. r sir, t < !: ' ,^t �*.;�-". y�i. ..: "� +°fl�, � acTO'u�1 2-�0;�2-00 a,. ��.Y.Rmr 3�,m �BO B1,3-1/2" LL 239 Ibs LL 248 Ibs DL 640 Ibs DL 664 Ibs SL 716 Ibs SL 744 Ibs Total Horizontal Product Length=12-02-00 Live Dead Snow Wind Roof Live Trib.(in.) Load Summary Tag Description Load Type Ref. Start End 100% 90%, 115%, 133% 125% 1 Ceiling Unf.Area(psf) L 00-00-00 12-02-00. 10 10 04-00-00 2 Roof Unf.Area(psf) L 00-00-00 12-02-00 15 30 04-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 4,759 ft-Ibs 49.4% 115% 2 1 -Internal Completeness and accuracy of input must End Shear 1,425 Ibs 25.7% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. U261 (0.549") 92.0% 2 1 output as evidence of suitability for Live Load Defl. U436 (0.329") 82.6% 2 1 particular application.Output here based Max Defl. 0.549" 54.9% 2 1 on building code-accepted design properties and analysis methods. Span/Depth 19.8 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W) Value Support Member Material building codes.To obtain Installation Guide BO Hanger Load n/a 1,595 Ibs Unspecified n/a Hanger ( ask questions,please call 800)232-0788 before installation. B1 Wall/Plate 3-1/2"x 3-1/2" 1,656 Ibs 31.8% 18.0% Spruce Pine Fir BC CALCO,BC FRAMERS.,AJSTm, ALLJOISTO,BC RIM BOARD- BCI@, Notes BOISE GLULAM-,SIMPLE FRAMING Design meets Code minimum(U240)Total load deflection criteria. SYSTEM@,VERSA-LAM@,VERSA-RIM Design meets Code minimum (U360) Live load deflection criteria.. PLUS@,VERSA-RIMS, Design meets arbitrary(1") Maximum load deflection criteria. VERSA-STRANDO,VERSA-STUD@ are trademarks of Boise Cascade,L.L.C. Connection Diagram LI b d a • . • T PAUI v STRUCT'U�?AL Gz o. 3b3°ri + a minimum=2" c=3-1/4" b minimum=3" d= 12" ycs/JJdr; �F,v Member has no side loads. Connectors are: 16d Sinker Nails / Page 1 of 1 ©Boise cascade " Double 1-3/4" x 7-1/4" VERSA-LAM®2.0 3100 SP Floor BeamlBeam 02 BC CALCO 3.0 Design Report-US 1 span.1.No cantilevers 1'0/12 slope . Saturday, January 08,2011 Build 440 File Name: BC Job Name: Chalupka Residence Description: Beam 02 r Address: 56 Old Harbor Road Specifier: City, State,Zip: Hyannis, MA Designer: Customer: Roy, Rick Construction Company: Swanson Structural,.Inc. Code reports: ESR-1040 Misc: job 3981 > w v s ►' w v w w w .r -� w s i w `w w s s �' •i � s w s � s v E 4 n € r 4x F a. ``^.fr -'� i�i .".? .P �,� K�,,,u tt. ,[fE"rs. W'Y l d :� ,S a . 5..,. a z2 I,. 1 } Nis � ' xtE y `j t ' `s`x � Sr $"Yke x r e v 3: AR"'x � r.'i T-,- ...., ,� fe.✓.'s._t. ._?*e.,. i r...3e X...�u -3.., i�� s,-.,:..,�", 04-00-0D BO,3-1/2" B1,3-1/2" LL 240 Ibs LL 240 Ibs DL 454 Ibs DL 454 Ibs SL 358 Ibs SL 358 Ibs Total Horizontal Product Length=04-00-00 Live Dead Snow, Wind" Roof Live Trib.(in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 ceiling Unf:Area(psf) L 00-00-00 04-00-00 10 10 - 06-00-00 2 Beam 01 at bearing BO Conc. Pt. (Ibs) L 02-00-00 02-00-00 239 639 .716 n/a Controls Summary Value %Allowable Duration Case Span Disclosure Pos.Moment 1,610 ft-Ibs 16.7% 115% 2 1 -Internal Completeness and accuracy of input must End.Shear 937 Ibs 16.9% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. U3,150(0.013") 7.6% 2 1 ' output as evidence of suitability for Live Load Defl. U5,431 0.008" 6.6% 2 1 particular application.Output here based ( )Max Defl. 0.013" 1.3% 2 1 on building code-accepted design , Span/'De Depth. 5.9 n/a 1 properties and analysis methods. P p Installation of BOISE engineered wood products must be in accordance with' %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x W). Value Support Member Material building codes.To obtain.Installation Guide BO Wall/Plate 3-1/2"x 3-1/2"' 1,051 Ibs 20.2% 11.4% Spruce Pine Fir or ask questions,please call P (800)232-0788 before installation. 131 Wall/Plate 3-1/2"x 3-1/2"' 1,051 Ibs 20.2%` 11.4% Spruce Pine Fir. BC CALCO,BC FRAMER@,AJSTM', € ALLJOISTO BC RIM BOARD- BCIO, Notes BOISE GLULAM- SIMPLE FRAMING Design meets Code minimum(U240)Total load deflection criteria. SYSTEM@,VERSA-LAM@,VERSA-RIM Design meets Code minimum (U360) Live load deflection criteria. PLUS@ VERSA-RIM®,` Design meets arbitrary(1") Maximum load deflection criteria VERSA-STRANDO,VERSA-STUD@ are trademarks of Boise Cascade,L.L.C.. Connection Diagram Ll b d a T. a minimum=2" c=3-1/4" b minimum= 3" d= 12" Connection design assumes point load is'top.-loaded'. For connection design of'side-loaded' point loads, please consult a technical representative or professional of Record: Member has no side loads. Concentrated loads are not considered in side load analysis. y Connectors are: 16d Sinker Nails Page 1 of 1 Boise Cascade Triple 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor BeamlBeam 03 No cantilevers 0/12 sloe Saturday,January 08,2011 BC CALC®3.0 Design Report-US 1 span � � P Build 440 File Name: BC Job Name: Chalupka Residence Description: Beam 03 Address: 56 Old Harbor Road Specifier: City, State,Zip: Hyannis, MA Designer: Customer: Roy, Rick Construction Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 3981 s2 d i 4 I � wW W y 4", � .�.a' ��?,3 _:gs " �.v- t� . ta� �"rrgt` n " u� x+c�rt' "?,. t:�z � �a m2 �a 'ir,�a.;::.,.a.;�R.'.'':"`z°, ,�.,...;a.. 12-00-00 60 B1,3-1/2" LL 471 Ibs LL 489 Ibs DL Ibs DL 1,075 Ibs SL 706 Ibs SL 734 34 Ibs Total Horizontal Product Length=12-00-00 Live Dead Snow Wind Roof Live Trib.(in.) Load Summary. Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% 1 2nd floor Unf.Area(psf) L 00-00-00 12-00-00 40 12 01-00-00 2 wall Unf. Lin. (plf) L 00-00-00 12-00-00 60 n/a 3 ceiling Unf.Area(psf) L 00-00-00 12-00-00 10 10 04-00-00 4 roof Unf.Area(psf) L 00-00-00 12-00-00 15 30 04-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 6,628 ft-Ibs 45.9% 115% 2 1 - Internal Completeness and accuracy of input must End Shear 2,009'Ibs 24.2%- 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. U285 (0.496") 84.2% 2 1 output as evidence of suitability for 0.259" 66.0% 2 1 particular application.Output here based Live Load Defl. L/545 ( ) on building code-accepted design Max Defl. 0.496" 49.6% 2 1 properties and analysis methods. Span/Depth 19.5 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim (L x W) Value Support Member Material building codes.To obtain Installation Guide 8 ask questions,please call BO Hanger Load n/a . 2,252 lbs Unspecified n/a Hanger ( 00)232-0788 before installation. B1 Wall/Plate 3-1/2"x 5-1/4" 2,340 Ibs 30.0% 17.0% Spruce Pine Fir BC CALC®,BC FRAMER@,AJS-, ,BCNotes BOISEISTO GLULAM-,I SIMPLEDFRAMING Design meets Code minimum (L1240)Total load deflection criteria. SYSTEM®,VERSA-LAM@,VERSA-RIM Design meets Code minimum (L/360) Live load deflection criteria. PLUS@,VERSA-RIM@, Design meets arbitrary(1 ) Maximum load deflection criteria. VERSA-STRAND@,VERSA-STUDS are trademarks of Boise Cascade,L.L.C. Connection Diagram L'b d a • • • oT o c I e 0 0 0 a minimum=2" c=2-1/4" b minimum=3" d= 12" e minimum= 3" Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 ®Bois.Cascade Double 1-3/4" x 7-1/4" VERSA-LAMO 2.0 3100 SP, Floor BeamlBeam 04 BC CALCO 3.0 Design Report- US 1 span No cantilevers 1 0/12 slope Saturday, January 08, 2011 Build 440 File Name: BC Job Name: Chalupka.Residence Description: Beam 04 . Address: 56 Old Harbor Road Specifier: City, State,Zip: Hyannis, MA Designer. Customer: Roy, Rick Construction t= Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 3981 2 ! ; 3 P w w s @ 4t ` ` a f � .,�@ " !; sr�a E"�,,{:a't5 a+ t:. 2'°�v �. �'�`' E!`!, ` `3t, 3 ('� E .:� �.Sa''i `^`k F�. q g..: a ;.:a ae ...r�.. d slF N.: ..: tS.!a` £: .'.'' _!5„j• „ •n ax ?,. �'-' r #-.: 'z..y`'b+k�u Y ?x . .4. d x a r-�^r�'n`^ +`-sh . . F ! ' s"'v Gd 5*3: c,Y'f:" •' fw: arh. � .�". �i' a'-u £.. �•+ } 'F .. k'� v«q"e,..3 a. .ii .,A ... `.. 9�v«ux.,6<"4...ztu-,r.:._-,?., r',r .s_ ..€: th �qq 05-06-00 BO B1,3-1/2" LL 878 Ibs LL 955 Ibs DL 648 Ibs DL 704 Ibs Total Horizontal Product Length=05-06-00 Live Dead Snow Wind Roof Live Trib.(in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125"/, ' 1 2nd floor Unf.Area(psfi L 00-00-00 05-06-00 40 12 01-00-00 2 wall Unf. Lin. (plfi L 00-00-00 05-06-00 80 n/a 3 Weather Deck Unf.Area(psf) . L 00-00-00 05-06-00 40 20 07-04-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 2,011 ft-Ibs 24.'0% 100% -1 1 -Internal Completeness and accuracy of input must. End Shear 1,158 Ibs 24.0% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl.. U1,398 (0.045") 17.2% 1 1 output as evidence of suitability for Live Load Defl. U2,429 (0.026") 14.8% 1 1 particular application.Output here based Max Defl. 0.045" 4.5% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 8.7 n/a 1 Installation of BOISE'engineered wood i products must be in accordance with %Allow %Allow current Installation Guide and applicable BearingSupports Dim. L x Value Support Member Material building codes.To obtain Installation Guide PP ( � '_ _ PP or ask questions, lease call-. 9 ,p BO Hanger Load n/a 1,526 Ibs Unspecified n/a Hanger (800)232-0788 before installation. B1 Wall/Plate 3-1/2"x3-1/2" 1,659 Ibs 31.9% 18.1% Spruce•Pine Fir BC CALCO,BC FRAMER@;AJST"' ALLJOISTO,BC RIM BOARD-' BCI@, Notes BOISE GLULAM-,SIMPLE FRAMING Design meets Code minimum (U240)Total load deflection criteria. SYSTEM@,VERSA-LAM@,VERSA-RIM Design meets Code minimum (U360) Live load deflection criteria. PLUS@,VERSA-RIM@, Design meets arbitrary(1")Maximum load deflection criteria VERSA-STRAND@,VERSA-STUDS are trademarks of Boise Cascade,L:L.C. Connection Diagram b d a • T• • I' a minimum=2" c=3-1/4" b minimum=3" -d= 12" Member has no side loads. Connectors are: 16d.Sinker Nails Page 1 of 1 w Boise Cascade Double 1-3/4" x 7-1/4" VERSA-LAM® 2`0 3100 SP Floor BeamlBeam 05 iBCC/CALCO 3.0 Design Report US 1 span I No cantilevers 1 0/12 slope Saturday, January 08,2011 (Build 440 File Name: BC Job Name: Chalupka Residence Description: Beam 05 .Address: 56 Old Harbor Road Specifier: City, State,Zip: Hyannis, MA Designer: Customer: Roy, Rick Construction Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 3981 2 3v G k.: ?x., L .t ,ti`'" , s C3 ..t a PS €�1n a a'e�L iG„ea r r ka" t E x ez :tS � �. n t;u v £- �. `e' ` 'i 'R�' �'s . ry.' rya' ..si�YiE sue- .•..� -n .7N i`rP` ' w� 'a«` 05 0 a.....n�.,= ..... °�... ... .... ....r 0-00 BO B1,3-1/2" LL 795 Ibs LL 872 Ibs DL 586 Ibs DL 643 Ibs Total Horizontal Product Length=05-00-00 Live Dead Snow Wind Roof Live Trib.(in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 133%, 125% 1 2nd floor Unf.Area(psf) L 00-00-00 05-00-00 40 12 01-00-00 2 wall Unf. Lin. (plf) L 00-00-00 05-00-00 80 n/a 3 Weather Deck Unf.Area(psf) L 00-00-00 05-00-00 40 20 07-04-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 1,648 ft-Ibs 19.7% 100% 1 1 -Internal Completeness and accuracy of input must End Shear 1,014 Ibs 21.0% 100% 1 1 -Left be verified by anyone who would rely on Total Load Defl. U1,885(0.03") 12.7% 1 1 output as evidence of suitability for Live Load Defl. U3,275 0.017") 11.0% 1 1 particular application.Output here based ( on building code-accepted design Max Defl. 0.03" 3.0% 1 1 properties and analysis methods. Span/Depth 7.9 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim (L x W) Value Support Member Material building codes.To obtain Installation Guide Hanger Load n/a 1,382 Ibs Unspecified n/a Hanger (8 ask questions,please call BO Han g P g (800)232-0788 before installation. B1 Wall/Plate 3=1/2"x 3-1/2" 1,514 Ibs 29.1% 16.5% Spruce Pine Fir BC CALCO,BC FRAMERS,AJS-, ,BCNotes BOISEISTO G ULAM-,I SIMPLEDFRAM NIG Design meets Code minimum (U240)Total load deflection criteria. SYSTEM@,VERSA-LAM@,VERSA-RIM Design meets Code minimum(U360) Live load deflection criteria. PLUS@,VERSA-RIMO, Design meets arbitrary(1 .) Maximum load deflection criteria. VERSA-STRAND@,VERSA-STUDO are trademarks of Boise Cascade,L.L.C. Connection Diagram b Fd a I .1 • a minimum=2" c=3-1/4" b minimum=3" d= 12" Member has no side loads. Connectors are: 16d Sinker Nails Page 1 of 1 Boise Cascade Quadruple 1-3/4" x 16"VERSA-LAMO 2.0 3100'SP Floor BeamlBeam 06 BC CALCO 3.0 Design Report-US 2 spans Right cantilever 1 0/12 slope Saturday, January 08, 2011 Build 440 L-VL -/S TV 0 Dc'�"1° File'Name: BC ks` Job Name: Chalupka Residence Description:Beam 06 t6e- 57't" W8X¢a Sv Address: 56 Old Harbor Road Specifier: o Q City, State,Zip: Hyannis, MA Designer: Gv►ZX2G Saks, Customer: Roy, Rick Construction Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 3981 2 A � 3 gg v .i v 'e• Er e pr3 q ,iZ to s qk a. q' "Yn ,�,Lei .,"� F :. , 2 *�'r :,.,�a 3y {.:.'�` X p .... 4 +` �., + `& +' ''`?--,4�' .7 a € 1 'E -, p d. v 1 '': ', r' s=..:.1yv f ^av ?. `r`' xaki s t^'':... �a-xr:w �, .Ss - �„ *nt. a , z ..:..k .,. z .. ._. a o...:;.,.. aww....3.:.:> r" 17-00-00 02-00-00 BO,3-1/2" g1,5-1/4" ILL 2,584 Ibs ILL 3,151 Ibs DL 3,853 Ibs t• DL 4,764 Ibs SL 3,568 Ibs SL 4,412 Ibs Total Horizontal Product Length=19-00-00 - Live Dead Snow Wind Roof Live Trib.(in.) Load Summary - Tag.Description Load Type Ref. Start. End 100% 90% 115% :133%: 125% 1 2nd floor Unf.Area(psf) L 00-00-00 19-00-00 40 12 06-00-00 2 exterior wall Unf. Lin. (plf) L 00-00-00 19-00-00 ' . 80 n/a 3 ceiling Unf.Area(P sfl L 00=00-00 19-00-00 10 10 06-00-00 4 roof Unf.Area(psf)" L 00-00-00 1.9-00-00 15 30' 14-00-00 Controls Summary Value %Allowable Duration Case Span Disclosure Pos. Moment 40,390 ft-Ibs 47.0% 1-15% . 13 1 =Internal Completeness and accuracy of input must Neg. Moment -2,347 ft-Ibs 2.7% 115% 2 2-Left be verified by anyone who would rely on End Shear 8098 Ibs 33.1/° 0 115/o 0 13- 1 -Left output as evidence of suitability for . _ Cont. Shear 8,1-59 Ibs. 33.3% 115% 2 1 Right particular application.Output here based on building code-accepted design Total Load Defl. ; U472(0.426") 50:8% 13 1 properties and analysis methods. Live Load Defl. 2xU494(0.097 ) 72.8/o.. 13 2-Cantilever , installation of BOISE engineered wood Total Neg. Defl. 2xU-306(-0.157") 78.3% ,13 2-Cantilever products must be in accordance with Max Defl. "0.426" 42.6% 13 1 current Installation Guide and applicable Span/Depth o 12.6 n/a :• 1 building codes.To obtain Installation Guide or ask questions,please call (800)232-0788 before installation. %Allow %Allow " Bearing Supports Dim.(L x W) Value Support Member Material _ BC CALCO,BC FRAMER@,AJS-, BO Wall/Plate .. 3-1/2"x 7" 10,005 Ibs 96.1% 54.5% Spruce Pine Fir , ALLJOISTO,BC RIM BOARD- BCI@, B1 Post 5-1/4"x 5-1/4" 12,328 lbs 0.4% 59.6% Steel BOISE GLULAM-,SIMPLE FRAMING SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIMO, . Cautions VERSA-STRANDO,VERSA-STUDOare Member is not fully supported at post B1. A connector is required at this bearing. trademarks of Boise Cascade,L.L.C. Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets User specified(2xU360) Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. _ �y V i V. S X B = /$¢ ? 16s ' 43.3i�;�3045iI= 1081`` >4n.f:" ak ELT w 12X 2r% �f , ZD4 th`� >16y OK M�=. 91.5 "` �.a¢�• ��u ok Page 1 of 2 Boise Cascade Quadruple 1-3/4" x 16" VERSA-LAM® 2.0 3100 SP Floor BeamlBeam 06 BBCC/CALCO 3.0 Design Report- US 2 spans Right cantilever 1 0/12 slope Saturday, January 08,2011 Euild 440 File Name: BC ,fob Name: Chalupka Residence. Description: Beam 06 Address: 56 Old Harbor Road Specifier: City, State,Zip: Hyannis, MA Designer: Customer: Roy, Rick Construction Company: Swanson Structural,.Inc. Code reports: ESR-1040 Misc: job 3981 Connection Diagram Disclosure b d Completeness and accuracy of input must be verified by anyone who would rely on output as evidence of suitability for a • r• • particular application.Output here based on building code-accepted design c properties and analysis methods. r Installation of BOISE engineered wood products must be in• 1 • current Installation accordance on Guide and applicable building codes.To obtain Installation Guide or ask questions,please call 3 minimum=2" c= 12" (800)232-0788 before installation. b minimum.=2-1/2"d=24" BC CALCO,BC FRAMER@,AJS- Beams 7 inches wide will be assumed to be either top-loaded only,or equally loaded from ALLJOISTO,BC RIM BOARD- BCI@, each side. BOISE GLULAM- SIMPLE FRAMING Bolts are assumed to be Grade A307 or Grade 2 or higher. SYSTEMO,VERSA-LAMO,VERSA-RIM Member has no side loads. PLUS@,VERSA-RIM@, Connectors are: 1/2 in. Staggered Through Bolt VERSA-STRAND@,VERSA-STUDO are 99 9 trademarks of Boise Cascade,L.L.C. Page 2 of 2 �Bois eCascade Quadruple 1-3/4" x 16" VERSA-LAM® 2.0 3100 SP Flo6r,l3eamlBeam 07 BBCCCALCO 3.0 Design Report-US 2 spans I No cantilevers 10/12 slope Saturday, January 08,2011 Build 440 . ' File Name: BC (.V L .• lb0 O O ..L)s r .5X�- J.ob Name: Chalupka Residence Description: Beam 07, LvSX�8 ` _o�- �✓12xZ-6 Address: 56 Old Harbor Road - Specifier: City, State,Zip:Hyannis, MA Designer: . Customer: Roy, Rick Construction. '_Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 3981 3 4 - 7 8 9 1'0 i wr s s SM Fir, p�� =� a . `7+ e.5.�.� .fi:rI...AE:. 22-00-00 18-00-00 B0,3-1/2" B1,7 B2,3-1/2" LL 5,407 Ibs 'LL 14,532 Ibs LL 4,539 Ibs DL 3,158 Ibs DL 9,840 Ibs DL 2,107 Ibs ' SL 906 Ibs SL 2,647 Ibs SL 693 Ibs less 3+�yx9r�x l Hss 3%x3'��`/f 4 1a Total Horizontal Product Length=40-00-00 ' z Live Dead Snow . Wind Roof Live Trib.(in.) Load Summary Tag Description Load Type Ref. Start End 100% 90% 116% 133% 125% 1 2nd floor Unf.Area(psf ;. L. 00-00-00 40-00-00 40 12 . 12-00-00 2 Beam 03 at bearing BO Conc. Pt. (Ibs) L 03-04-00 03-04-00 471_ 1,075 706 n/a 3 Beam 03 at bearing BO Conc. Pt. (Ibs) L 10-06-00 10-06-00 471 1,075 706' n/a 4 Beam 03 at bearing BO Conc. Pt. (Ibs). L 16-06-00 16-06-00 471. 1,075 706 n/a 5 Beam 03 at bearing BO Conc. Pt. (Ibs) L `'30-04-00 30-04-00 471 1,075 706 n/a 6 Beam 03 at bearing BO Conc.. Pt. (Ibs) L 37-00-00 37-00-00 .,471,' 1,075 706 n/a 7 wall Unf. Lin. (plf) L 10-06-00 22-00-00 60 n/a 8 wall Unf. Lin. (plf) XL 25-08-00 29-02-00 60 n/a 9 ceiling Unf.Area(psf) L 10-06-00 22-00-00 10 10 06-00-00 10 ceiling Unf.,Area(psf L 25-08-00 29-02-00 10 10 '` . ' 06-00-00 11 Beam 02 at bearing BO. Conc..Pt. (Ibs) L 22-00-00 22-00-00 239. ;454: 358 n/a 12 Beam 02 at bearing B1 . Conc. Pt. (Ibs) L 25-08-00 25-08-00 239, 454, 358 n/a Controls Summary Value %Allowable Duration. Case Span Disclosure Pos. Moment 40,765 ft-Ibs 54.5% 100% 14 1 -'Internal Completeness and accuracy of input must Neg. Moment . 49,304 ft-Ibs 66.0%' 100% 1 1 -Right be verified by anyone who would rely on End Shear 7,499 Ibs 35.2% 100% 14 1 Left output as evidence of suitability for Cont.Shear 11,671 Ibs 54.8% r 100%, 1 - , 1 -Right- particular,application.Output here based Total Load Defl. U377(0.692") 63.6% 13 1 . on building code-accepted design properties and analysis methods. Live Load Defl. U552(0.473") 65.2% # 13 1 Installation of BOISE engineered wood Total Neg. Defl. U-1,698(-0.126")- . 14.1% 14 2 products must be in accordance with Max Defl. 0.692" 69.2% 13 1 current Installation Guide and applicable Span/Depth 16.3 n/a 1 building codes.To obtain Installation Guide or ask questions,please call %Allow %Allow (800)232-0788 before installation. • � ' Bearing Supports Dim.(L x W) Value Support Member Material BC CALCO,BC FRAMER@,AJS-, BO Wall/Plate 3-1/2"x 7" 9,470 Ibs 91.0% 51.5% Spruce Pine Fir ALLJOISTO,BC RIM BOARD"'" BCI@, B1 Post 7"x 7" 27,018 Ibs 0.6% 73.5% Steel BOISE GLULAMTM' SIMPLE FRAMING 62 Wall/Plate 3-1/2"x 7" 7,339 Ibs' 70.5% 39.9% Spruce Pine Fir SYSTEMO,VERSA-LAMS,VERSA-RIM PLUSO,VERSA-RIM@, ` VERSA-STRANDO,VERSA-STUD@ are Notes trademarks of Boise Cascade,L.L.C. Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria., Design meets arbitrary(1")Maximum load deflection criteria. • . � �; PAUI_err. � , STI'o'C1"UP,AL No. 35334 Page 1 of 2 �,,. Boise Cascade Quadruple 1-3/4" x 16" VERSA-LAM® 2.0 3100 SP Floor BeamlBeam 07 BBCCCALC@ 3.0 Design Report-US 2 spans I No cantilevers 1 0/12 slope Saturday,January 08,2011 Build 440 File Name: BC Job Name: Chalupka Residence Description: Beam 07 Address: 56 Old Harbor Road Specifier: City, State,Zip: Hyannis, MA Designer: Customer. Roy, Rick Construction Company: Swanson Structural, Inc. Code reports: ESR-1040 Misc: job 3981 Connection Diagram Disclosure Completeness and accuracy of input must b d be verified by anyone who would rely on a output as evidence of suitability for • r• • particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood /zi products must be in accordance with • 1 • current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c= 12" (800)232-0788 before installation. b minimum=2-1/2"d=24" BC CALC®,BC FRAMER®,AJS- Connection design assumes point load is'top-loaded'. For connection design of'side-loaded ALLJOIST@,BC RIM BOARD-,BCI@, point loads, please consult a technical representative or professional of Record. BOISE GLULAM- SIMPLE FRAMING Beams 7 inches wide will be assumed to be either top-loaded only, or equally loaded from SYSTEM@,VERSA-LAM®,VERSA-RIM each side. PLUS@,VERSA-RIM@, Bolts are assumed to be Grade A307 or Grade 2 or higher. VERSA-STRAND@,VERSA-STUD@ are Member has n0 Side loads. trademarks of Boise Cascade,L.L.C. Concentrated loads are not considered in side load analysis. Connectors are: 1/2 in. Staggered Through Bolt Page 2 of 2 | ` ' . ' REScheck Software Version 4.4.0 � � Compliance Certificate �^"��NN�� ,�� N|UNcate Energy Code: 2009 IECC Location: Hyannis,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: Compliance:1.0%eemur Than Code Maximum UA:wn1 You uA:4V7 The%Better mWorse Than Code index reflects how close mcompliance the house is based on code trade-off rules. u DOES NOT provide an estimate m energy use m cost relative m"minimum-code home. lam UJ Ceiling 1:Flat Ceiling or Scissor Truss 1393 38.0 0.0 42 Ceiling u:Cathedral Ceiling(no attic) 78 27.0 0.0 n Floor 1:AII-Wood Joist/Truss:Over Unconditioned Space 1120 210 08 49 Floor z All-Wood JoisUTmoo:Over Unconditioned Space 548 30.0 0.0 18 Wall 1:Wood Frame,1oruc. 6" 190 0.0 36 Window 1:Wood Fmm000uble Pane with Low-E 12 0.310 4 Window u:Vinyl rmmo:ovumo Pane with Low-E 122 0.280 34 Door*Glass as 0.300 11 Door o:Solid 33 0100 u Door 6:Solid 18 0.170 a Wall 2:Wood Frame, 1O^o.c. 1506 15.0 0.0 91 Window 3:Vinyl Fmmo:ooubo Pane with Lvw-E ur 0.310 o Window 4'Vinyl 112 0.280 31 Window 5:Woo ��E nz O�o 10 Door1:G�ao �>�� 107 0.320 34 Door 2:Glaso �� - an 0.300 e Door 3:Solid uO 0.160 a Wall 3:Wood Frame,16"o� — — — — — Exemption:Framing cavity not exposed. Window 6:Wood FmmvooublePene wimLow-E ca 0.320 18 Compliance Statement The proposed building design uoocmuvu xono is consistent with the building plans,opociooeuons,and calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in | nsGmo cxvo i 440 uZ,,,,r_, J'—_: � wnx x d i � | REScheck Software Version 4.4.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Cathedral Ceiling(no attic),R-27.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: 5 ❑ Wall 2:Wood Frame, 16"o.c.,R-15.0 cavity insulation Comments: ❑ Wall 3:Wood Frame,16"o.c. Exemption:Framing cavity not exposed. Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.310 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:0.280 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:0.310 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:0.280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Cl Window 6:Wood Frame:Double Pane with Low-E,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 4:Glass,U-factor:0.300 Comments: Project Title: Report date: 01/11/11 Data filename:\\SBSERVER\Users\RichGonet\My Documents\REScheck\Chalupka.rck Page 1 of 4 l - ❑ Door 5:Solid,U-factor:0.160 Comments: ❑ Door 6:Solid,U-factor:0.170 Comments: ❑ Door 1:Glass,U-factor:0.320 Comments: ❑ Door 2:Glass,U-factor:0.300 Comments: ❑ Door 3:Solid,U-factor:0.160 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-21.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 2:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. ❑ 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 and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Project Title: Report date: 01/11/11 Data filename:\\SBSERVER\Users\RichGonet\My Documents\REScheck\Chalupka.rck Page 2 of 4 Lj Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Cj Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2 pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. Lj For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Cj Circulating service hot water pipes are insulated to R-2. Lj Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Ll HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. Lj Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and—40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Li Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Project Title: Report date: 01/11/11 Data filename:\\SBSERVER\Users\RichGonet\My Documents\REScheck\Chalupka.rck Page 3 of 4 Certificate: Ll A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility • of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 01/11/11 Data filename:\\SBSERVER\Users\RichGonet\My Documents\REScheck\Chalupka.rck Page 4 of 4 r Massachusetts - Departrttcnt of Public ti,tfch Boai-d of Buil(linu Rcuulations an(I S[an(IUI'(IS Construction Supervisor License License: CS 47185 Restricted to: 1G �sAAi44 RICHARD J ROY w PO BOX 25w S CHATHAM, MA 02659 o-- J" " Expiration: 7/14/2011 ( numi .i uicr Tr#: 18528 B!rtF0 ff1'1'1t=ha an n a i v a License or registration valid for indi dul use only HOME IMPROVEMENT:CONTRACTOR before the expiration date..lf found retuirh to: Registr_U - 1.1�ggg Board of Building Regulations:and Standards 1/26/2011 Tr# 278477 One Ashburton Place Rim1301 54 ,1 � liability Corporation Boston,Ma.02108 RICK ROY CON1S'fi 1`Ipy i, i RICHARD ROY �t .{ 123A,QUEEN ANNp r � � 64b'~' signHARYICH,MA02 Administrator 44:�thoutf valid wi r 'fKEr ti Town of,Bargs' table o� F Regulatory Services HaxlfbTABL.F,- IMAB& Thomas F. .Geiler,Director B uil:ding..D<ivis io n Tom Perry,::Buldiog Co:-tnmissioner 200 Main Street Hyannis, MA 02601 www.town.b arnstab l a.ma.us Ofce: .508-862-4038 Fax: 508=790-6230 Property Ovaier Must Complete and. Sign.This Section If Using :A Builder as Owner d the sub)ect.property hereby authorize �, e�1 12d� �'�w3'T a 7)oA), G LC to act on my.behalf, m alI matteis relative to`wprk authorized"by th-i building permit application for. (Address of Job) Signature of Owner !� Date Priat Name If Propexty Owner is applying for permit please complete.the Homeowners License Exemp . n Form o:n the reverse side. Q:FORMS:OWNERPERM. jSSION r , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 2 Parcel 1 j 'Application # (( 1 Health Division Date Issued Conservation Division Application Fe Planning Dept. � . '' Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH - Preservation/ Hyannis Project Street Address C� Village Owner ^/&✓2hA-J Address L /"IoN�'"'rE � �� oy)r5" Telephone SL' cam" 33,5- 14,t Z4 Permit Request -c<v S L v14,dN,1T2a7 r^JG_0eA_,,v I 'x 7 K i Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Z �a00 Construction Project Valuation Type r - - Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family, :❑ Two Family ❑ I Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing G-hew size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existin ❑ new size _Shed: ❑ existin ❑ new size _ Other:: j l�� Z� 040 9 9 9 9 - Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ ! , , , Z_.Arnmercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use ti<� APPLICANT INFORMATION Y (BUILDER OR HOMEOWNER) Name ��'n� Telephone Number 3 �y� Address 20 2 Qt4�-J 44vvGT- 2-� License# lQ �✓TC H E M Home Improvement Contractor# 1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 14, DATE FOR OFFICIAL USE ONLY x APPLICATION# DATE ISSUED , 1 f e _ j ``MAP/PARCEL NO.. . } ADDRESS VILLAGE OWNER ti DATE OF INSPECTION: i—FOUNDATION! f FRAME INSULATION 4 ;r FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL r GAS.:, ROUGH FINAL FINAL BUILDING si j I - L i r � t DATE CLOSED OUT t ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information F Please Print Legibly Name(Business/Organization/Individual): ✓�' �^�� ooLS L� Address: Z4 2- � City/State/Zip: !�fi-5�� t_ �� U�' y Phone #: 3 Y u Are yo an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 40 4. ❑ I am a genera]contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in an capacity. employees and have workers' g Y P ty. 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]ui t c. 152, §1(4),and we have no q ] 13.[] er�Oth S:.�s�"tr-tsN� employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. (- Insurance Company Name: Policy#or Self-ins.Lic.#: Z OD U 6 Q 3 S Expiration Date: I I ' Job Site Address: �� r7LQ6`-Z- /�7G'4'-J City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the vi lator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurAce.coverage verification. /do hereby.certify under h a' enalties perjury that the information provider!abov . tr and Signature: correct. - Date: t1 27 Phone#: �� iaZ_ Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3,City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector. 6.Other Contact Person: Phone#: 10/04/2010 12:02 5084209227. MARK W SYLVIA PAGE '01 DATE"Woffmi . AcORry CERTIFICATE OF LIABILITY INSURANCE 10fimal0 THIS CERTIFICATE:19 ISSUED AS A MATTER OF INFORMATION ONL CONFERS NO RI Y ANRIGHTS UPON:THE CERTIFICATE HOLDER.THIS CERTIFICATE.DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEt� OR ALTER THE COVERAGE AFFORDED By THE POLICIES BELOW.' THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BEr4MN THE ISSUING tNSURERIS), AUTHORIZED REPRESswATNVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. I1gPORTANT: If ttfe cam holder Is an ADDITIONAL INSURED,the pollcy(IWI must be endorsed. if SUBROGATION iS WAIVED,301W to tl 0 terns and conditions of"poltey,.cwWn policies may require an sndorsemnt A stalemert on this certNteots does not confer rights no the cbrtifleate holder in lieu of such endomeme s. PROCU $Ar,"—A Fertad matk�iainsuranceAgen:.y >:Ilq'S0B !i-0!140 __i�oi;( A2771 Main Street viainurence.txmOstenrifle,MA 02555EBJ, INSURNIGIAFPORDiN6C0UERAGE NAiCfI ATLANTIC CASUR6TY INS seas® IN6URERAi_ _ Farm FamOy Casuaky ifWUMFICS' Shoreline Pools Inc �_ . . 5 Halbeark Lane INSURER C:: East Harwich.MA 02645 - INSURERO• -- INSURER E:, - COVERAGES CERTIFICATE NUMBER: R7;1fl810N 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 8E ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED 8Y THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO ALL THE TERMS EXCLUS(ONSANO CONDITIONS OF SUCH POLICIES:UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.:. I�. OL EPF POLICY E7lP LIMED TYPE Qp INSIiRANCE POLICY NUMBER IYCD A f3EN13RAL LIAeILm M154000025 2/82010 21812011: EACH.00CURRENCE s 1 000.000 T EN s 100 000 CAIti01EERCIAL GENERAL UABILITY P EIMISES.{Ee aC10Rrsl� _CLAW-ME OCCUR MEO EIIP A��artPD�m!1.' S 5,000 PERsoNALaAwINJ 1,ODO,000 D�rls_aaL AGGREGATE i Z,000.000 GENT A00 T6LIMITAPPLIESPER PRODUCr6_-COMPIOPAGG S. _ Z,000000 X POLICY PRO LDC ¢ A1/romccuUAGILITY '(,Oy{81NEOSWGLEUMTi 6 CEO eocVW) _ ANY AUTO BODILY*URY Wee Perm). > ALL OWNEO AUTOS eODILY IWURY(Pei ea105e1) 6 �_ SCNEOULEDAUTOS PROPERTYOAMAGE $ HHMOAUTOS IPerelxicentl s NON-OWNED AUTOS S ' UMBRELLALIAe OCCUR EACHOCCURRBNCE S _ AGGREGATE,p _ eiac�uas CLAIMS�MAO1 - s DROUCTIME S RIMNTiON g %WRKERSCOMPENSATION 2001W8435 yt0/2010 2102011 wCsrAT X oT,� AND EMPLOYERS LUAU T E.L EACH ACCIDENT S 1.000�000 Afff OFF(PROP ETOW XODUn1/EQ NIA _ (ter�s, ry In NNl E.L OII)EA613-6A EMPLo11E s 1000,000 o1=gCRiPn°e"nf°OFD TiONB EL DISEASE-POLICY LSNT 3 1,OOD.00D DFBCRIPITON OF OPERATIOfiS/LOCA1fON81 UENICLEB(Aftch ACORD 101.Atld9enM R1111i s Sehiantb if ream OPUS b fOONO l Swimming pool installation and service eonlractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF T1c ADM DEScjmEo nouCIES 9E CANCELLED BEFOaE TOWN OF BAR NSTABLE THE EXPIRATION OATS 'MPREOF, NOTICE WILL:BE OELIVHRED IN Building Department ACCORDANCE WITH THE POUCV PROVISIONS. 200 Main Street Hyannis.AAA 02801 AUIMORNto rip RmIffAmys Cd 118 M ACORD CORPORA=N..At(Itghts raserved ACORD 25(2009109) The ACORD name and Logo are.regisiwed milks of.ACORD ry .� r Aw .a?. This'letter confirms that'I we "ermssion to Shoreline,Pools,'lnc. of P. Harwich; MA authority to act as.,4geiqt yvO regard to the installation of a pnvate m=ground swimming pool located at the address /3 aA � Y . Any questions please n contact me at :54 `Y 2' g.. n Okrs cf f Shoreline"Pool Rep, Customer,Signature Date: Date` t - PUSH PUSH DOM SM AID GAIIE Ffw GATE FPAME.�- .....,__. _ INSERT • V SELF-LATCHINGy",,, , —� PMInside J� a Wome.Y. 1 A A GATE TO.SWING nrs�Ear BOTH WAYS �- - ----i. a p p �B) F I j PADLOCKED Vn h T7 T , pow Q�, EITHER.SIDE andalaeich } AUTO-LATCH ooir `for QRNAMENTAL_FENCE --..--; - ti- SdLIARE :SAl1dAF I l 1 ! PR=OT FRAW%ZE post 41Z _— , AUTO-LATCH MU.cu 10 . .. . .I- I Y2- for CHAIN LINK FENCE/GATES 'No.20 - 1• . : .'=2'� 2'A' PRODUCT FRAME SIZE POST SIZE No.2215 . . . . 1/.' . . . : VW tilt' . . ,11 ° No.222o 1'/4' . . 2• NO. 15o2. : . . . 1W . . . . . . . 2' No.2228 . . . . 11/•' . . . . . . 21A, • • . G%>Z •.nr.v tic . . `t%2 No. 1%7` J W . . . . . . 3" No.2526 . . I W . . . . . . . 2' t. ISM • W . . . 2 NO.9M . . . . 1' " . . 21AN No. 1566 . . 136'' . . . . 2"f�" No.2529 . . Adapter Kit No. ISM 2' . . . . . 2'•2 AUTO-LATCH No. 167s . . . . . 2< . . . . . . . 3" INDUSTRIES ,joe i cowl cr vnTE of PUSH PUSH DO MV DOM GAIE FRAME CAME FRAAAE INSERT J POBr A4gn � ® � --•fir � SELF-LATCHING � , ALL,O'WS GATE TO SWING MEW ' BOTH WAYS D Q (B) -- � t • �_ t � vti� or - sue., t�� r—��_ -�� _-�� i t II` L I PADLOCKED i _ FF�OM �CIA - • EITHER SIDE a Fftand�°poet D wtwb awanw l AUTO-LATCH 006r. N for OFV"BVTAL FENCE SOUARF SAUARF [ _ PRODUCT FRAME SIZE POST SIZE i AUT04ATCH IrU.LU 1.7 1' . . . . . . 1%2' for CHAIN LINK'FENCE/GATES No.2020 1' . . . . . : . 2" . 1' PRODUCT FRAM No. 2M5 . . . . . . . . . . .SIZE POST SIZE No.2215 . . . . 1 Ve . . . . . . 500 NO. , , . . .13fa" No.2220 . . . No. 1502 1%,, . . . . . . . 2' No.2225 . . . isle . •21he E IUn tG7G ��e:n . . . . . . w... 1►1� 7C�L you .... .... ...�.. . . . . .•• G%Y No. 1527 . . 1 W . . : . . . . 3" 140.25M .. . . . 1 W . . . . . . . 2'No. ISM 1W . . . . . . 2' No.2525 . . , . 1'�" . . . . . 21h• No. 1566 . . J W . . . . . . No.2&% . . Adapter Oct No. ism . 2• 2• No. 1575 . . . . . r . . . . . . .21h" AUTO-LATCHgAM ,-aoo-888-s7sa No. i577 . . . . . 2' . . g" INDUSTRIES ioe nAOJEcr - DATE of nd i usiness Re ulation Office of C on sume r Affairs a g 1:0 Par`k Plaza = Su4e,5170 Boston, Massachusetts.02116 I - Home Improvement Contractor,'Re lstration . _ g Registration 161240 _ n _, e: P rivate:Gor oratio T. :,.. YP pm t Expiration 1:0/7/2012` Tr# 204270 IySHORELINE POOLS INC _ __w. _ CHRISTIAN DITTRICH � 4 +� � . 5 HALLMARK LANE : E: HARWICH- MA 02645 Update Address and:return card.Mark reason for change. ti-- Address Renewal Employment F Lost Card DPS-CA1 it.50M-04/04-G1o1218 . a� ' r ton vali d for mdrvidul use onl License or re tst a Y -� Office of Consumer Affairs&BUsincSs Regulation g . ' HOME IMPROVEMENT CONTRACTOR before the expiration date `°If found:return to: TSELIl Registration y.-461240: . Type: Office of Consumer Affairs and Business Regulation Expiration: 1-0/712012 Private Corporation10'Park Plaza Suite 5170 Boston,MA 02116 E POOLS INC �i CHRISTIAN DITTRIGHx 1 5 HALLMARK LANE 1 w. E`HARWICH,MA 02645 Undersecretary ` NOV i o t signature {_., f—o'BE RM BACK P"..EL MGHT F �'INISHEIIa-t► � iiElC�i7 ' 73FPTH i'-16 �^'g r. w IIiwrm nXiS 4Fn RMIRT BMW BILL'[Y-MATERIM.S TY ' IIESCPJMCAt I BENCH SUPPUR7 I LM 33ENCH SCAT I R/H BENCH SEAT i U14 RENCH RAciE Bd�CH RACK —� - -- N T ERP❑OL D,'Mloa/K-ioi SCALE W DRAVN SYs 7.F. ACADREF,MA. Vim" . SLOP Rc S'-5 1/4" C, 5'-G 1/4" . 10 5f 8' F 9 8 1/4 ' 4 INTRPL OL W- 0 9' RAD STEP & BENCH r RAT 05618/04 SME, NEI I _ DRAWN BY. T. .ACATf3�FFinawr�n acr 9- RAO BENCH L=3'=7 ; fR=S' + i=3`-7 7/8•' BIE_L. OF MATERIAk QTY. DESCRIPTION ¢ 2 8=3/8'.FILLI' R PANEiS MY BENCM i 2 L=1'-9 1J2' RA"- L-5` _ L-3-5 1/8' 9' RADIUS l =2-z� 1/8 RA1�9` 9• REVR V2Rom E STEEL STEP t 7 L=5' B-Al)-- ' L=6, c^ I L=3'-7 71W REVRAB-5' R-gr L=6• 1 L=3'-5 SJ8' JR&411=9' R-9' L=2`2 I1W 1 L=6' lwvRAD=9' R=9a --6 L=11-9 V2` + 1 9` RAli1iJS STEEL STEP (Rkhk!2 3L! 9RAWTFP.DA, FTA Bi)!t!'G) S 9' RADIUS STEEL. BEND CIWTALLER TO 'VERIFY STEP RISER HFWjHT•S WITH gg LINER I4AWFRC7URETi1 STEEL STEPS LINER SbE WEWt PRMLE: )4-4k M-2 8'-[l ' re 14 CD CD F:pma monn c— ! E-k E]EIL A_ F 18, X36' FRE EFORM 17, STEP --- VATEI:0/iS/©4 ALL: lA�E 1 11m I$:'; T.F. ACADRE#'6tR{&FB C R/F+ . BENCH H BRGKi.3: Val RENCK BFAICH WALL PANEL AND BRACE CALCULATIONS FOR 5" WIDE FLANGE, 4211 HIGH STEEL WALL PANEL ( g 1 13) Prepared.for: INTERNATIONAL SWIMMING POOLS INC. 14C. VANDYKE AVENUE NEW BRUNSWICK, NJ 08901 w Prepared By:+ y SCHAFER ENGINEERING ASSOCIATES 1885 State Street Schenectady, .New York 12304 4_ Phone: (518) 393-4767 Fax: (518) 393-3510 v t I/ad.wOho t signature raised seaba d color atemlark. (tl�use n Master I'm it i4ipplicor;s.:yhsu No`29 6174 iratrori; ate-6/3,!/1� O2ypror Ire,latio�/ dress:Thomas BIRCH,76 Queen 1� Anne Road :. ,Harwich MA 02645 INTERNATIONAL SWIMMING POOLS INC. 5" Wide Flange, 42" High Steel Wall Panel Calculation Assumptions: a.) The panel ends provide minimal vertical stiffener reinforcement for the galvanized steel pool panels. Therefore, the critical case for calculating vertical stiffener strength occurs when a 4 foot panel is sandwiched between two 8 foot panels. b.) The concrete pour at the base of the wall (i.e., bond beam) provides 6 inches of vertical support to the panels, stiffeners and braces. c.) Refer to the last page for more Material/Installation Assumptions. Definition of Parameters: Assumed Soil Properties: (Sandy silt soil material) Wd (unit weight of dry soil) 105 lb/ft' W. (unit weight of saturated soil) 135 Ib/ft3 (D (soils interior angle of friction). 30 degrees Ka (lateral active soil coefficient) = tang (45-0/2) 0.333 yd (equivalent active unit weight of dry soil) = Ka Wd 35 Ib/ft3 Y. (equivalent active unit weight of saturated soil) = K.W. 45 lb/ft' Y. (unit weight of water). 62.4 Ib/ft3 µ (friction.factor between soil and concrete) 0.45 Material Properties and Dimensions: Panels/Stiffeners/Channels E (modulus of elasticity) 29,000 k/in2 Fy (minimum yield stress of cold-formed steel) 40,000 Ib/in2 Fb (allowable bending stress of cold-formed steel) 23,952 Ib/in2 Fb•pl.t (allowable bending stress of cold-formed plate steel) 30,000 Ib/in2 Ft (allowable tensile stress of cold-formed steel) 23,952 Ib/in2 tp (thickness of panel, stiffener, and channel steel) 0.0750 in h (height of panel) 3.5 ft hW (depth of water) 3.0 ft heff (effective height of panel) 3.0 ft b4 (maximum unstiffened 4 foot panel width) 4.0 ft b6 (maximum unstiffened 8 foot panel width) 4.0 ft R (maximum radius of panel) 30 ft Ls (effective heighttlength of stiffener= heff) 3.0 ft d (nominal depth of stiffener) 5.0 in Lc (maximum brace spacing) 10.0 ft Se,s (section modulus of stiffener) 0.6128 in bs (maximum unsupported length between stiffeners) 12.0 ft Se,. section modulus of channel)) 0.6817 to 3 voidVtt signatar ,raised seal cqfor�ratermark. Not'- in Mas erermitAppliratio`ns _Is a No.29-6174 Schafer Engineering Associates .:yato:6.0110 Onljor�nIlatiahlddress:Thomas BIRCH,76 Queen Anne Road,Harvvich MA 02645 1of 13 INTERNATIONAL SWIMMING POOLS INC. 5" Wide Flange, 42" High Steel Wall Panel A307 Steel Bolts Fr (tensile stress of the bolt) 20,000 lb/in' F,, (shear stress of the bolt) 10,000 Ibrn2 S (bolt spacing) 6 in db (bolt diameter) 0.3750 in Concrete Bond Beam Y F'. (compressive strength of'concrete) 2,500 lbfin2 t. (thickness of base pour) 6 in WC (width of base pour) 2.5 ft yC (unit weight of concrete) 145 The am (moment arm) See Calculations ' Angled Braces/Rods F, (minimum yield stress of-steel) 36,000 Ibrn2 Fa (allowable axial stress) 9th Ed. ASD pp. 3-16 ra (radius of gyration of angle) From Spreadsheet A. (area of angle) From Spreadsheet La (maximum length of angle) 44 in L • (maximum length of rod) 18 in d, (rod diameter) 0.500 in rr (radius of gyration of rod), 0.125. .in k (effective.length factor) 1.0 Analyses: 1. General Panel Configuration —.-._.._ 4'-O•' PANEL -. - - . 9 -0 PANEL 10'-0 PANEL ,„ --- -" 5._O.." PANEL — _ -- 6'-O PANEL Ln. E.0 s' I -O" O PANEL -F 8T'- PANEL WALL PANFa. - j i; out�ig�rature,: ise�l seal and-color watermark. Mas r P replications` Issue No.29-6174 Schafer Engineering Associates e:6 30/ Only For lr?Stallation Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 2 of 13 INTERNATIONAL SWIMMING POOLS INC. 5" Wide Flange, 42" High Steel Wall Panel V 2. Loading Conditions: (Calculated per unit foot of wall.) A. Dry Backfill, Pool Full Pd -- Pw Total lateral dry soil load [Pd] = rd x h2 = 35 x 3.5 2 = 214.38 Ib/ft 2 2 Total lateral water load PW = W x hW2 = 62.4 x 3.0 2 Total lateral load per unit length [P] = PW- Pd = 280.80 — 214.38= 66.43 Ib/ft Approximate distributed panel load [Pnet] = h = 66.43 =18.98 Ib/ft2 3.5 B. Saturated Backfill, Pool Full ----. .- W .i. Total lateral saturated soil load Ps = YS x h2 45 x 3.5 2 . [ ] . 2 2 = 275.63 Ib/ft - Total lateral load per unit length [P] = PW - Ps = 280.80 — 275.6 = 5.18 Ib/ft 5.18 Approximate distributed panel load [P..] = h = 1.48 Ib/ft2 3.5 V1Wd idrifli. pigna�rOqqnitA re;raiser seatond col6i.witermark. p lichoot' it No.29-6174 Schafer Engineering Associates p �6/30/10' n For Install 'onddress:Thomas BIRCH, . .- G RCH,76 Queen Anne Road,Harwich MA 02645 3 of 13 it INTERNATIONAL- SWIMMING POOLS INC.- 5" Wide Flange, 42. High Steel Wall Panel C. Dry Backfill, Pool Empty (See Material/Installation Assumptions) Total lateral dry soil load [Pd] i 214.38 lb/ft 214.38 y Approximate distributed panel load [Pt] - hd 3 5 =� 61.25 ibifrz 3. Flat Plate Analysis: (4'-0" panel length governs`as maximum spacing between vertical stiffeners occurs with this'panel. See Calculation Assumption b.) Largest unsupported panel area: 3.0 ft x 4.0 ft Modify lateral soil load to determine actual load acting on panel Pparts by taking concrete bond beam into account. (Load Condition 2c governs and assumes overturning/sliding analysis requirements are met.) d x he�2. 35 x 3.0 2 P' = 2 = 157.50` ib/ft Y 2 157.50 Approximate distributed panel load [P'net] = P = =52.50 lb /ft2 hell 3.0 P' theff2b42 52.50 x 3.02 X.. 4.0 2 F' Actual bending stress[fb] = 2 2 = 2 2. 2 ;2tP (heir +b4 ) 2, x 0.0750 x ( 3.0 +.. 4.0 ) [fb] = 26,880.00 ib/in2 30,000 F.O.S. __ Fb 1.12 > 1.0 OK - fb. 26,880.00 .,?raised seal and.poiorwa ermark. ot ew nA� Pirt�ppli©atns. IsseNo.29-6174fo.. Schafer Engineering Associates 'xoira110 Only For Installai;i.6n Address:Thomas BIRCH,76 Queen Ann_a Road,Harwich MA 02645 4 of 13 t' 1.a t f R# INTERNATIONAL SWIMMING POOLS INC. 5" Wide Flange,42" High Steel Wall Panel _ 4. Radial Panel Analysis: (Tensile hoop stress. Load Condition 2c governs and modified lateral distributed panel load [P'net ] from Section 3 applies.) Actual Tensile Stress [ft] = P'ne1 R _ tp nu �,IUF r�c�ol slug 52.50 x 30 x 112) f = 0.0750 = 1,750.00 Wine Ft 23,952.10 F.O.S. _ _ = 13.6 R 9 > 1.0 OK -- - ft 1,750.00 _-- 5. Bending along Vertical Axis at Vertical Stiffener:(See Calculation Assumption P a-) 8' WIDE PANF-1- g' 0" --— _ FLANGE VERTICL F .7. `_—WEB OR E N TA IION F L AN GE-I'=-- L1IJ I I I JA...i_L 8'—0' Modified lateral soil (P) from Section 3 applies: (Load Condition 2c governs.) Maximum bending moment [M.] = 2P'LS ( bs + b8 ) 9t3 2 2 2x157.50x 3.0 12.0 4.0 ' MS = ( + ) = 484.97 ft-Ib 9 � 2 2 Actual bending stress [fb] = SS = 484.97 x 12 = 9,496.88 Wine e's 0.6128 F.O.S. ._ Fb = 23,952 2.52 > 1.0 OK fb 9,496.88 w Void wIt "�:s�na!uT, raised::seal and color.watermark.. Not.f. e p astet Peifiait.Applicat iin . Issue No:2MI74 Schafer Engineering Associates xpipate:6%30/10 Only For Installs on Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 5 of 13 INTERNATIONAL SWIMMING POOLS INC.. 5" Wide Flange, 42" High Steel Wall Panel 6. Bending in the Top Channel: (10'-0" panel length governs as maximum spacing between braces occurs with this panel.) top FLANCT-- 17 f ' -- Ln. WFF3 r;. a C. Pbot O, An n. PAS CH'I�NNEL .{. .{..{ .{ .{._{-_{.. X-SECIION r'RA(a: ._.. iti+.nCr o (CLAN Modified lateral soil(P.') from Section 3 applies. (Load Condition 2c governs.) t p = 157.50 Load along the channel IRA 52.50 lb/ftZ 3 3 Prop L�2 52.50 x 10.0 2 Maximum bending moment[Mc].— $ 8 656.25 ft-lb r - M. 656.25 x 12 fb _ = 11,552;00 lb/in2 Se,c 0.682 4 Fb 23,952 ' ` F.O.S. _ _ _ 2.07 > 1.o.OK fb 11,552.00 sUdid wlt U,sign tuce, raised seall and color.yratermark. s Not car a inrMaSter Pecz�it'/tpplicatroris °Issue No:'29-6174 Schafer Engineering Associates [date a/ 0/1'0 Only For Installat[on(Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 6 of 13 'C; r' INTERNATIONAL SWIMMING POOLS INC.' 5" Wide Flange, 42" High Steel Wall Panel 7. Overturning Analysis: (Moments taken about point A with concrete bond beam in place. Calculated per unit foot of wall. Load Condition 2c governs.) -L_ d CJ F- r-- E Mist = Mback + M-11- = Pb am, + P.a., = Wd heft we am, + yc tc We am, 105 x 3.0 x 2.5 x 1.67 + 145 x 0.5 x 2.5 x 1.67 1,614.58 ft-lb MOT = MSaf = Pd am2 = Ya x h 2 am2 2 2 -35 x 3.5 3.5 x 2 3 250.10 ft-lb Mf1t - 1,614.58 F:O.S. _ . - = 6.46 > 1.5 OK E MOT 250.10 Noltl'withoufsjgnature ra-ised seal and dolor wArmark. Notfor ;(s 'in`Master t?errhit Applications. Issu4 K6.29-6174 Schafer Engineering Associates cpuaXl9 .�i :,6)30110' O;hiyFor ftistallatioO Add(ess:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 7of 13 INTERNATIONAL SWIMMING POOLS INC. 5" Wide Flange, 42" High Steel Wall Panel 8. • Sliding Analysis: (Concrete bond beam in place. Calculated per.unit foot of wall. Load Condition 2c governs.) r WC (F'b .IDS. E Presist =.µ(Pb + P-) = µ(Wd hkwc + y.tc-w.) = 0.45 x ( 105 x 3.0- x 2,5 + 145 x 0.5 x 2.5 ) 435•.94 + 2 ytl h� _ E PS1idin9 = Pd = - 2 a _ 35 'x 3.5 2 2 214.38 43594 F.O.S. — — _ 2.03 > 1.5 OK E PsWins 214'.38. _ r . Void H4� o ut signature,raised seal and colorwatermark. No f M4ster Perm!A.plieatrons!Issue No.29-6174 Schafer Engineering Associates� te:6I30F10 Only For Installation(Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 8 of 13 INTERNATIONAL SWIMMING POOLS INC. 5" Wide Flange, 42" High Steel Wall Panel 9. Brace (Angle Section) Analysis: (Assumes concrete bond beam in place and 10'-0" panel length for maximum brace spacing.) �._�. B 0 Ll NGLE Mx 44" GALVANIZED ANCLE e P LATERAL LOAD DIAGRAM ADJUSTABLE and STAIIONARY .AFRAMF ASSEMBLY A.) Compression Analysis: (Load Condition 2a governs.) 66AS Max force at brace level [P1] = 3 Lc = 3. - 10.0= 221.42 lb P1 221.42 Axial Compression Force [P.] = cos 0 = _ = 464.03 lb cos ( 61.5 ) 0.4772 Pax 464.03 Actual axial stress [fa] _ = = 1,578.34 IbrinZ Aa 0.294 kLa 1.0x44 _ =109.73 Cc = 126.1 Fa= 11.709 ra 0.401 Fa* 11.709 F.O.S. = fa 1.5783 = 7.42 > 1.0 OK ;i i 44 rdor wateVold a t!� natureera rmark. r 6174 Schafer Engineering Associates . 0 k. . .ot xpII t ate:640/10 Only For Installation Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 9 of 13 INTERNATIONAL SWIMMING POOLS, INC.: 5" Wide Flange,_42" High Steel Wall Panel Section Properties.of Angle Brace --VERTICAL LEG b . b= 0.075 I = 0.0500 C= ` 1.000 , A= 0.150 d = 2.000 -- HORIZONTAL LEG ' b h C. f b 1.9250 F_ 0.0001 h= 0-0750 Stop= 0.0018 C= 1.9625 Sbot= 0.0018 A= 0.1444 -- PROPERTIES TOTAL SECTION Ctotal - 1.4721 . total = 0.1182 Atotal - 0.2944 ` r,0( =. 0.6337 k = 0.07081 lu.= 0.047412 ra = 0.401324 Void witlut s'lra nature,raised seal end color watermark. Not 0!u e m!Master Perm"pplicati6nsi: Issuo No.29-6174 Ex i i 6 k a 0/1d only For Installs P,..�P�. � Y G�On Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02@Wafer Engineering Associates rr � E J 10.of 13 . INTERNATIONAL SWIMMING POOLS INC. ' 5" Wide Flange, 42" High Steel Wall Panel B.) Tension.Analysis: (Load Condition 2c governs and modified lateral load [P') from Section 3 applies.) 157.50 Max force at brace [Pi] = 3 LC = 3 10.0= 525.00 lb 525.00 Axial Tension Force [Pay] P, = P, _ = 1100.26 lb cos A cos (61.5) 0.4772 Actual axial stress [fa] Pa# 1100.26_ = 3,737.31 Wine A. 0.2944 F.O.S. = f a 21.600= 3.7373 5.78 > 1.0 OK a IVo' w�Xf� 'signatyre,raped sba4 and dolor watermark. Schafer Engineering Associates �n.f�lasterAertii�it,Appiications. 'Issue No.29-6174 ` `rl ate:,6/30/10 Only For Inst!,Vation Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 11 of 13 INTERNATIONAL SWIMMING POOLS_INC. 5"Wide Flange, 42" High Steel Wall Panel.. 10. - Brace (Threaded Rod Section) Analysis (Assumes concrete bond beam in , Place and 1.0'-0" panel length for maximum brace spacing.) A.) Compression Analysis: (Load Condition 2a governs.) 464.03 Actual axial stress [fa] P = _ 2,363:29 Ib/inz Ar 0.1963 INI/2"o BUc:K . 18" A 30 Y k Lr 1 x 18 10. loD= 144, Cc 126.1. rr 0.125 Fa = 7.20 .-. sk- Fa _ 7;20 ".. TURNBUCKLE and 11-IREAUED RO[) F.D.S. _ — = 3.05 > 1.0 OK. AFRAME ASSEMBLY fa 2.3633 B.) Tension Analysis: (Load Condition 2c-governs and modified la Section 3 applies.) teral load [P'] from Actual axial tensile stress [ft] = t Pa>� = 1100.26 _ h A, 5,603:59. Ib/inz 6.1963 F_ 2.1.6 F.O.S. ti. ft = 3.85 > 1:0 OK 5.6036 11. Steel Bolt Analysis: A.) Check Bolt Shear: (Load Condition 2c governs and modified lateral load [P'] from Section 3 applies. Refer to section 9b of brace analysis.) p 1100.26 Actual bolt shear stress f,. _ —pax F ' .. [ ] 'Ab 9,961:94 •ati/inz 0.1104 F.O.S. = F, 1.0,000 = 1.00 >.1.0 OK f, 9,961.94 F B.) Check Bolt Tension Stress: (Load Condition°2c governs and modified lateral - . distributed.panel load [P'.et].from Section 3 applies. Refer to Section'4 of radial panel , analysis.) Maximum tensile force [T] = P'net R = 52.50 x 30 _ 1575.00 Win of panel depth Actual bolt tensile stress[ft] = T S = 1575:00 x' + 6 x (1i12) _ " 713 Ab " 0.1104 0.14 .Ib F.O.S. Ft = 20;000 a 2.80 , >=1.0 OK ft 7,130.14 r , boldVVi ol}rrsignature;retsed%ealoddicolor'watermark. iJot for(11��in Master Permlt applications ;Issue No.29-6174 Schafer Engineering Associates : •ExplratlQn Date:6/30/10 Only For Installation Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 --12 of 13 - INTERNATIONAL SWIMMING POOLS INC. y 5" Wide Flange, 42" High Steel Wall Panel Materiallinstallation Assumptions • Wall panel, brace and panel/brace fastener sizes, thickness, dimensional characteristics, material properties and strengths used in these calculations were provided by International Swimming Pools, Inc. These calculations assume that these elements have uniform thicknesses, sizes, and material properties/strengths and that they are free of defects. These calculations cover o�those elements identified herein and do not cover liners, ladders, steps, slides, decks, railings, etc. This pool system is intended to be installed only by factory trained and approved distributors/contractors. 2. Soil pressures used in these calculations constitute those soils which are in their active state and have a maximum equivalent fluid pressure equal to 35#/ft3 under non-saturated conditions and 45#/ft3 under saturated conditions. See definition of parameters section for more soil type assumptions used in these calculations. These calculations do not consider the existence of expansive or adobe-type soils, high groundwater table conditions, or adjacent uncompacted soil fill conditions. If existing site soil conditions dictate a different or .potentially higher equivalent fluid pressure than those used herein, the pool Purchaser/installer shall contact a Inr+ol rZanfarrhnirrol/Cnilel Fnninaar fnr nArlifinnol no drianra onrl efinw-finn nrinr fro nnni inefoliofinn 3• Wall panel backfill materials shall consist of clean porous soils, free of roots and debris, installed and carefully tamped to eliminate voids, in layers not exceeding 12" thick. In addition, backfill materials shall not exceed the same equivalent fluid pressure characteristics identified in Item 2 above. Lastly, backfilling operations behind the pool panels must be performed in conjunction with the pool filling operations. Although these calculations show that backfill material can be placed behind the pool panels when the pool is empty, these pool panels should not be . considered capable of independently withstanding either the pool water's lateral forces or the lateral soil forces (from behind the pool panels). 4. The pool is designed to remain full of water at all times. The pool may be damaged if the water level is allowed to drop below the pool inlet. When appreciable drawdown is noticed or if it becomes necessary to drain the pool, contact International Swimming Pools, Inc. or its agent immediately for instructions. Temporary shoring of the pool panels is highly recommended 5. These structural calculations shall be considered void if not complete (pages 1 - 13) and do not contain a raised P.E. review seal, signature, and color,watermark on each page. 6. Pool system is not designed for earthquake or surcharge loading (i.e., neighboring structures, vehicles, trees, equipment, etc.). 7. Finished decks and/or grades shall be constructed in accordance with the pool manufacturer's guidelines and be sloped away from the pool copings at a rate of not less than 1/4"per foot. a• Concrete bond beam dimensions shall be 6"x 2'-6"minimum. 9. These calculations are in compliance with the following state and national codes: 1.2000 Nationally accepted International Building Code(IBC) 2. 1999 Building Officials&Code Administrators(BOCA) 3. 1999 Standard Building Code(SBCCI) 4. 1997 Uniform Building Code(UBC) 10. Refer to the Pool Manufacture's Installation Manual for additional restrictions, requirements, guidelines, and recommendations. /oitl=wtil P1r!19'tby`6/36/10'-dn'ry,F sighat+re,ra�ed s>tal and color watermark. cn.Arn W er�.PemfittApplic�tioris. 'Issue No.29 6174 Schafer Engineering Associates l , 1 F Installation Address:Thomas BIRCH,76 Queen Anne Road,Harwich MA 02645 13 of 13 DOWN Dowry oHE cam AWE INS: b-T T ® ! Po P= SELF-LATOHING r IRS[d2 E ALLOWS 0 �) AWS GATE � TO SWNG in vxr BOTH WAYS ® -- - -- I D 4 (e) 1 I 1 �� t 1 V/"•tY I7C ✓- .d_ Att F. 1�\ t—_ • t__ 1 1 t I I II�.J`► I 1 PADLOCKED + 4®rta FROM wo°"e: 3'apali�p benwen EITHER SIDE a vim+°"°�°�'poec D tW hoe wid��l l AUTO-LATCH ooivr for ORNAMENTAL FENCE , PRODUCT SOUAAF �JARF AUTO-LATCH _ FRAME 3lZE POST SIZE IVU.N 17 . . .1 T%Z-. i for CHAIN UNK FENCE/GATES - . . . . . . .• . . . . . .1' . . . . . . . 2" PRODUCT FRAM SIZE POST SIZE No. 2(M . . . . . 1' . . . . . . . 2thf No. ISM . . . . 1 . . . —�' No. 2215 . . . . 1% . . . . . . 11h■ No. 1 . . . .I%- No. 2220 . . . 1 V,0 . . . . . . . 2' ISM 1%1 . . . . . . . 2 No. 2225 , No. 1527 . . . . . . ;. _ . . . . . . 1�" w 15 i n- 1 1,�• No. 1 . . . . . . 3" No. 2520 . . . . 1 ih- . . . . . . . 2• 562 1 W . 2- No.25a 1+6- I No. ISM . . . . 1 fir' . . . . . . 21h' No. 2529 - Adep#er Kit No. IS67 tW qm NO. 1572 . . . . 2. 2' Noo. 157 [::A:UTO—LATCH 5 . . . . . 2- . . . . . . . 21h- — 1-800-688-9768 N 2° . . . . . . . 3Mtl> �, INDUSTRIES .Toe/Paa'Ecr WE of I �_+4 r' 13/ :_C'1 CI 1L.l:' :JU 04 J:JYlLf Jl..r L 1J I LLI.. -Hl;lL VY/UY q ' CDIJNECTjNq 066 ALARM TO BENBDR 61Nrrl't)NP 1ALARM READ Ti IE rJQOR ALARM W NUAL rOA INSTALLATION ON ONE D OOR Mt w THE.StYSOR WIRES ARE• G F PERMANENTLY CONNECTED TO THE DOOR ` ALARM. CONNtiC7 BOTH SENSOR WIRER COMINROM TI{F,DOOR ALARM M��pApT'Z TO THE IEN9bR FNnTCH Old THE DOOR FRAME. THEN USE THE AUPPLIEDH JV0EF WIRCS TO CONNECT TO THE SCREEN DOOM SENSOR awrrcH MEET$UL 2017 ISEr;DI GRAM BELOW)..THC 7WO SGNGOR5 SMOULD BE HODICEO UP IN T_01 hARCLLI:L WITH EACH OCHE n. - I ^II77is I/r THE r_nSTIC COVFAS*ITHE ftENSOR SWITbkI g d'sE soo I .� I I � V0.` MAGN=T MUST 0f•,REMOVED HFFORF INSTALLATION L � taon 000nauar SWITI:HES LAb ON THC rD'AME hY tHE D'b0P �" �Ie*i!� w:nGN 6'q GO ON THE DCDn ITSELF—SEE PICTURE IN MANUAL Pp�! �7 C h OUIPMENT N122020 4 — A.ONF )OOM ALARA ANb i I MOUNTINQ S09Wg `' • ;: un O.DNE 3ET OF SEN3Dn t6itCH AND SF,NSDR MA�iNETANb.!SCREWS � . rOR a00R.FRAME 8 00 7ta ,.:�,4;, � � • , , �� dNG 3FT br Sems 9 St'h7Cl l AND SFNsop MAGNET JUMPER kp?eS, I ;;• AND SCRCWS I` F•� �' - rci:SCREEN moh Fr AMC AND SCgCGN ODOR l:•!. uoau YOU HAVC ANY O 0E MON.6 CAI,I.US AT 1-800442-7163 {' MAIN )001A Sell EENDOOR --_ s Sc vSWt iWSb sPp" o DOOR Figurd 1 P°0, Thg•Born Is 85dB'ai 10 feet i o ! g LID. PASSTHRU �x SWITCH V, 0 M m The pro luct ha. been dasIq to altl ih 1he detpotfon'of U�Inwanted lw RPS f~'� HORN IrAFETI S IMID unsupervised areas. ,POOLGUARD UAph•2 19 A SAFETI ALIJ M SYSTEM AND NOT A LIFE SAVING DEVICS. II FII�Urr�5 should b:um-1 1 obnfundon wlth'the safety equipment eurrorilly In use SENSINGJ. and shoe Id not ffecl exlaiing safety procedure's, WIRES —•— ,r• *'t ¢ 3�'�.. r4 ^*3� �, " i'e..c sr,�, -`" .`N CORMInation Pressure anG:&leani y cle=Indl -alor 114 Y 9 y ? raue � ives�vlsual,lndLcation when cartrid�e filter-elements need=�learnr% tda'ap e'a-. u .'� ,..w � r `MantJalAlrRe�[2f,tsahigh, apacriy, ra`pld kele'dse .anualcrrr. rellef - ,; , . . , y xJ � valve thatrbleedstarr wLth aLqulck quarterrturnFof,theIleve ' yt Noncorros[ve ToptClosuir4ePIate*prevenIN �tselernenls from (lftfngand ` ^*,.i+-•:9`�5F `n' �^a$s-5t� >�';*' rs ' ,1,F,�ax.*K•:�•+�" ". _.e,° •F. {�,Y' �{•i'. i�.._ k tw:* qu rltered water�from backing to pool or spa dur operation y. ��#',��t , Quad.E�Cust '1 a : ,4�`a tt� o�r52 E_SKa�w fteffdge o , " . 3 oE,fllter areayand<extfa dirt holdfn capacity fordo gRfilter,c cl4 Fecfslon :a := oak •ttt ,^'}C rY+4 wF!`P '" :ask_- e >€k+�`a I ill l: `_ lli I l:l' r..J. en sneered core rovides3,e�ctra stren th drid�sulr��e for fCow �� k �:q p e-i ;gH�Rk s;ri;' Li. i:�l llll;,., lllllil�llil J a.4� •: Heavy Duty,Tamper-Proof One Piece Clamp securely,fasiens tank top and bottom together and allows quick access to cW Internal components without disturbng'pipin9 or connections. pp IIII III �' ' � `IiI II „ � Self-Aligned Tank Top and Bottom make access to servicing Quad-Cluster Yk and easy. quick elements l e cartridge . q High-Strength FilterTank is made from extra durable, glass reinforced ' co-polymer to meet the demands of the toughest applications and environmental �I�� lPlt'r r , � I III; conditions, including in-floor cleaning systems, 1 Uniform Low-Profile Tank Base Design makes removal of cartridge - elements fast and simple. Full-Size 11/2" Integral Drain provides fast dear'-out and flushing. Noryl° Bulkhead Fittings for extra strength and heat resistance. PVC Union Coupling Connection provides,plumbing options of 1 '/2" or 2" piping with 2" full flow internal piping for maximum performance. SPECIFICATIONS—SWIMCLEAR QUAD-CLUSTER CARTRIDGE FILTERS Quad-Cluster cartridge elements: FILTERTYPE - + 225,325,425 and 525 ft?total(20.9,30.2,39.5 and 48.0 m2) FILTERTANK Injection-molded glass reinforced co-polymer FILTER ELEMENTS Reinforced Polyester t PERFORMANCE RANGE 1/2 to 3 HP(30 to 150 GPM).37 to 2.24 kW(114 to 568 LPM) t C2025—23"W x 321/z"H(58 cm x 81 cm) ' DIMENSIONS C3025=23"W x 341/2',H.(58 cm x 87 cm) I *4 C4025—23"W x 401/2"H(58 cm x 102 cm) F C5025-23"W x 461/2"H(58 cm x 117 cm) PVC LInIOn COMeCtIOnS ' PERFORMANCE DATA 30 f' EFFECTIVE DESIGN TURNOVER ao MODEL FILTRATION AREA FLOW RATE* GALLONS KILOLITERS NUMBER s 1" C2025 225 20.9 84* 318 40,320, .50,400 153 191 60 . C3025 325 30.2 122* 462 58,560 73,200 222 277 YW i K C4025 425 39.5 150** 568 72,000 90,000 273 341 C5025 1 525 1 48.8 1 150** 1 568 72,000. 90,000 273 341 Pressure and Cleaning Gauge *Based on NSF recommended rate for commercial use at.375 GPM/h.z **Determined by pump size and piping system hydraulics;2'piping is recommended for flow roles equal to or greater than 90 GPM(341 LPM),Hayward doesn't recommend Flow rates above 150 GPM. Hayward,One Source.Every Pool.,and NoM are registered trademarks and www.haywardnet.com N$f HAYWARD Pool Products - Quad-Cluster,and SwlmClear are trademarks of Hayward Industries,Inc. @2009 Hayward Industries,Inc. 1-888-HAYWARD One source. Every pool Y "Cog �® To The American Consumer: eher fen "Ornamental Fence is the fastest growing ife and n° �ntenanduct in ce free ownership of an ornamental fence;erica over the last decade. No product offers the value, strength, securityr of vestment iscover that the product does not match the you get what you pay for. As the market grows, th does are some very high qualityhe numb6r fence nprodu is avai- eryone wants to get their 'slice of the pie'. W market are t, low able,there are even more that are equally as forei The late stst ems mainly Chinaries into s Many consumers arehnt falling quality products being imported from severs foreign prey to the lure of extremely low prices, only to tion,poor coating a d the need for periodic maintenance made. The fragile structure,lightweight you can choose wisely. far overshadow the cheap price paid. This brochure provides the facts, so You Can Be Proud Of A Product You Can Trust From A Companyl is first and foremost in everything we do. At Ameristar, our demonstrated commitment to product qualityexcellence of Montage is the culmination of over 25 years of demonstratedfeatures and performs manufacturing e of Montage.nnovstion. No other product on the market today offers the value, Leading The Way In Environmental Responsibility environmental responsibility. Le gthe area of Ameristar Fence Products has long Dams en and leading in all areas of manufacturing that duceanufacturer in our carbon We are leading the industry in progr practices footprint and demonstrate our commitment to environmental stewardship. • Montage is produced from 100%domestic steel • Montage is produced from steel containing up to 97% recycled content • Montage packaging msteria contains duces snd in ssome6o recycled content caseseliminates emissions of harmful gases • Montage coating process greatly into the atmosphere • Ameristar constantly monitors air emissions, storm water or�nO�� Or� pltic scrlsp, Asper and i Recycle programs for all scrap steel, scrap slum oil products • Developed programs for reduction of energy consumption rovements to Ameristar has invested tens of millions of dollars in the areas of technological conti�nue to make-these allow us to reduce our energy consumption and our carbon footprint. Ameristar will investments well into the future. , Y . } joQy JOY " ��W�Kam• - I a it IF Li Page 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION a-U bC��C9 Map Parcel 1`7/ '` Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address 56 ai-? Z14,ef©/c'_ RQ Village NY dniryl Owner�l/dXPk1d"/IIV ,Z d1g4&/P94- Address d / zNaivM&A-7- /2/R Dx�.eO, ✓�i� A'SYo Telephone 5W - 3 35-6!�`Y3 Permit Request 1'14 tom rf L- QF-mOLK,ff or 6,xl,5TIn06 CA12466 `.f. DlA1/V6 f200/P Square feet: 1 st floor: existing 7-K proposed 1-19Y 2nd floor: existing 180 proposed Total new iSZ Zoning District 96 Flood Plain AE Groundwater Overlay Project Valuation 3000 Construction Type c� Lot Size /34 5-90 Grandfathered: ❑Yes ❑ No If yes, attach supporting ddcumentation. Dwelling Type: Single Family . 14 Two Family ❑ Multi-Family (# units) n Z-, F v^i Age of Existing Structure OWL-T 1`t63 Historic House: 0 Yes )4 No On Old King's Highway:`')Ye�n-'❑ No Basement Type: ❑ Full $0 Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: tid Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes DO No Detached garage: ❑existing ❑ new size_Pool: ❑ existing " new size _ Barn: ❑existing ❑ new size_ Attached garage: (,4 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 0 EM-p Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 4 No If yes, site plan review# Current Use Res ►be P" Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) - Name Qa;/ aitiSTr,/C1QoA-/ Telephone Number 30' F 3a -w/PY0 Address 12.3: Oui1 Cn/ 44/yg RO License# y7l9-5 14A9:uItc-14 M d 12a(,15 Home Improvement Contractor# f!I I Worker's Compensation # c zt(,7-6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 54-j SIGNATURE DATE 410 t FOR OFFICIAL USE ONLY P L APPLICATION# DATE ISSUED + *= ..MAP/PARCEL N0. ti ADDRESS VILLAGE nt , OWNER DATE OF INSPECTION: J.:' FOUNDATIONS FRAME ` INSULATION _ Y FIREPLACE ELECTRICAL: ROUGH FINAL f PLUMBING: ROUGH FINAL ' ,j GAS_ �,q�,; RO_ UGH;ice .M" x FINAL � = S.F�INALBUILDING �� wf. fY y { k_-DATE CLOSED OUT y 1 ASSOCIATION PLAN NO. Massachusetts Department.of Environmental Protection Provided by MassDEP: Ll Bureau of Resource Protection-Wetlands MassDEP File#:003-4.911 WPA Form5Order of Conditions eDEP Transaction#:350297 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 City/Town:BARNSTABLE G. Recording Information This Order of.Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall.also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTABLE Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission .... . ............ ...... .. ............................................. ............... ..... .......................... ......... .. .. To: BARNSTABLE Conservation Commission ' Please be advised that the Order of Conditions for the Project at 56 OLD HARBOR ROAD 003-4911 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: , County. Book Page ' for.. - Property Owner NORMANA4ARILYN CHALUPKA and has been noted.in the chain of title of the affected property in: Book Page ; In accordance with the Order of Conditions issued on Date If recorded land,the instrument number identifying this transaction is: ` e NOV .2. 20i0 InstnmentNumber ffregistered land,the document number idea' this. trfy;ng transaction is: Document Number •(}o�_= 1 s 1.c3 a,853' 11-227 2e31r7 5' 51 T 1?ARNSTAL?LE` L-AND COURT REGISTRY Signature of Applicant Rm arvzmo Page 9 of 9*ELECTRONIC COPY BARNSTABLE REGISTRY OF DEEDS Daa: 1s153s853 11-22-2010 9251 BARNSTABLE LAND COURT REGISTRY Massachusetts Department of Environmental Protection Provided byMassDEP: Bureau of Resource Protection-Wetlands MassDBP File#:003-4911 WPA Form 5-Order of Conditions eDEP Transaction#:350297 L City/Town:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 A. General Information 1.Conservation Commission BARNSTABLE 2.Issuance a. W, OOC b.f Amended OOC 3.Applicant Details a.First Name NORMAN/MARILYN b.Last Name CHALUPKA c.Organization d.Mailing Address 24 MONUMENT DR e.City/Town OXFORD f.State MA g.Zip Code 01540 4.Property Owner, a.First Name NORMAN/MARILYN b.Last Name CHALUPKA c.Organization d.Mailing Address 24 MONUMENT DR e.City/Town OXFORD f.State MA g.Zip Code 01540 5.Project Location a.Street Address 56 OLD HARBOR ROAD b.City/Town BARNSTABLE c.Zip Code 02601 d.Assessors Map/Plat#325 e.Parcel/Lot# 171 f.Latitude 41.64601N g.Longitude 70.27833W 6.Property recorded at the Registry of Deed for: a.County b.Certificate c.Book d.Page BARNSTABLE C.191846 P.7615-B L.107& 7615-L L.156 7.Dates a.Date NOI Filed: 10/29/2010 b.Date Public Hearing Closed: 11/16/2010 c.Date Of Issuance: 11/18/2010 8.Final Approved Plans and Other Documents a.Plan Title: b.Plan Prepared:by: c.Plan Signed/Stamped by: d.Revised Final Date: e.Scale: SITE PLAN C ENGGININEERING LLC EN DAVID A.CLARK,P.E. OCTOBER 18,2010 V=20' B. Findings 1.Findings pursuant to the Massachusetts Wetlands Protection Act Page 1 of 9*ELECTRONIC COPY .Massachusetts.Department of Environmental Protection Provided-.byMassDEP:, # .11. Bureau of Resource Protection-Wetlands MassDEP File 003-49 WPA Form 5-Order.of Conditions eDEP Transaction#:350297 r Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 Gity/Town BARNSTABLE A. General Information 1.Conservation Commission BARNSTABLE 2.Issuance_ a.., F- OOC b.r Amended OOC 3.Applicant Details a First Name NORMAN/IVIARILYN b.LastNarne CHAT•UPKA c.Organization d.Mailing Address. 24 MONUMENT DR P.CiVrown OXFORD If.State MA g:Zip Code o1540.' 4.Property Owner a First Name NORMAN/MARILYN b:Last Name CHAI,UPKA C.Orpnization.. d.Mailing Address: 24;MONU1,ENT DR. e.City/Town OXFORD f.State MA. g.Zip Code 01540 5.Project Location a.Street Address 56 OLD HARBOR ROAD , b.City/Town BARNSTABLE C.Zip Code 02601 d.Assessors Map/Plat#325 e.Parcel/Lot# 171. Latitude 4164601N ._. g.Longitude 70.27833W 6.Property recorded at theRegistry of Deed.for: a.County b.Certificate c.Book . d.Page BARNSTABLE C.191846 P.7615-B'L107& 7615-L L.156 7.Dates a.Date NOI Filed': 10/29/2010 b.Date Public Hearing Closed `11/16/2010 a Date Of Issuance: 11/18/2010 81inal Approved P1ans.and;Other Documents " a.Plan Title: b.Plaii Prepared by:' c..Plan Signed/Stampedby: :d.Revised Final Date: e..Scale', SITE PLAN = CLARK DAVID A.CLAP ENGINEERING LLC K;,P•E•'. OCTOBER 18,2010 " 1"=20' B. Findings _ 1.Findings pursuant to the Massachusetts Wetlands Protectibh Act - Page 1 of 9,*ELECTRONIC COPY 1 Massachusetts Department of Environmental Protection Provided by MassDEP: ~, Bureau of Resource Protection-Wetlands MassDEP File#:003-4911 WPA Form 5-Order of Conditions eDEP Transaction#:350297 City/rownBARNSTABLE t Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 t Following the review of the the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing,this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. r Public Water Supply b: r Land Containing Shellfish c.F:Prevention of Pollution d. r Private Water Supply e. r Fisheries f ry Protection of Wildlife Habitat g. r Ground Water Supply h. i✓ Storm Damage Prevention i r Flood Control 2.Commission hereby finds the project,as proposed,is: Approved subject to: a.r The following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above,the following General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifications,or other proposals submitted with the Notice of Intent,these conditions shall control. Denied because: b.f.The proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations:Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards which the proposed work cannot meet is attached to this Order. c. r The information submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests identified in the Wetlands Protection Act Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the interests of the Act,and a final Order of Conditions is issued.A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). 3.r Buffer Zone Impacts:Shortest distance between limit of project disturbance and the wetland resource area specified in 310CMR10.02(1)(a). a.linear feet Inland Resource Area Impacts:(For Approvals Only): Resource Area Proposed Permitted. Proposed Permitted Alteration Alteration Replacement Replacement 4. r Bank a linear feet b.linear feet c.linear feet d.,linear feet 5.r Bordering Vegetated Wetland a.square feet b.square feet c.square feet d.square feet 6. r Land under Waterbodies and Waterways a square feet b.square feet c.square feet d.square feet.. e.c/y dredged f.c/y dredged 7:.r:Bordering Land Subject.to Flooding a square feet b:square feet c.square feet d:square feet Page 2 of 9*ELECTRONIC COPY Provided Massach.usetts.Department-of Environmental'Protection ;byMassDEP - Bureau of Resource Protection Vetlands MassDEP File#003-4911 Ll WPA Form 5 -Order of Conditions rs eDIT T ransaction .:350297 City/Town:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 �, . Cubic FeetFlood Storage - e.cubic feet: f.cubic feet g,cubic feet h.cubic feet 8.r'Isolated Land Subject to Flooding a.square feet b.square feet Cubic Feet Flood Storage c.cubic feet d.cubic feet e.cubic feet £cubic feet 9.r Riverfront Area _ a.total sq.feet b.total sq.feet Sq fI within 100 ft C.square feet'.; d.square feet e:square feet w-;F f square.feet Sq ft between 100-200 ft 3 g.square feet h.square feet i.square feet j.square feet Coastal Resource Area Impacts- Resource Area.. Proposed Permitted Proposed'' Permitted ; Alteration' Alteration Replacement.'Replacemerit s 10.r Designated Port Areas Indicate size under Land Under the Ocean,Below 11.F_Land Under:the:Ocean a square feet b.squae.feet' c.c/y dredged d.c/y dredged 12.r•Barrier Beaches Indicate size under Coastal Beaches and/or Coastal Dunes below 13.r•CoastalBeaches. a-square feet b.square feet c.c/y nourisbtn A c%y-nourishment 14.r•Coastal Dunes a square feet b.square feet. c.cty nourishment d.dy nourishment r Coastal Banks a.linear feet.- bAinear feet 16.r•Rocky Intertidal Shores a.square feet b.square feet 17.r'Salt Marshes ; a.square feet b.square feet c.square feet d..square feet 18.f Land Under Salt Ponds a square feet b:square feet c.,c/y dredged d.c/y dredged 19.f Land Containing Shellfish t a square feet b,square feet c.square feet d square feet Page 3.of 9*ELECTRONIC COPY, Massachusetts Department of Environmental Protection .Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File 003-4911 ~ eDEP Transaction M35029Z \ WPA`Form 5-Order of Conditions s� City/PownBARNSTABLE . Massachusetts Wetland's Pr otection Act M.&L,c..131; §40 Indicate size under Coastal Banks,inland Bank,Land Under the 20:f Fish Rims _ . Ocean;and/or inland Land Under Waterbodies and Waterways, above c.c/y dredged d.c/y dredged 21.r Land Subject to Coastal:Storm Flowage 5500 a square feet b.square feet 22. r Restoration/Enhancement(For Approvals:Only) If the project for the purpose'ofrestoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c&d or B.17.c&d above,please entered the additional amount here. a.square feet-of. BV W. b:square feet.of Salt Marsh 23. F.Streams:Crossing(s): If the project involves Stream:Crossings,please enter the number of new stream crossings/number of replacement stream crossings. a.number of new stream crossings b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects 1. Failure to comply with all conditions,stated herein,and with all related statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order... 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights: 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable:federaL state;or local'statutes,ordinances;bylaws;or regulations:.: 4. . The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply, a.the work is a maintenance dredging project as provided for in the Act;or b.the time for completion has been.extended to a'specified date more than three years,but less than five years,from the date of issuance.If-this.Order is intended to be valid for more than three years,the extension date.and the special circumstances warranting the extended time period are set forth as.a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon.application to the issuin.&.authority at least3.0..days prior.to.the expiration.date of the Order. 6. If this Order'conshtutes an Amended Order of Conditi ''this Amended Order of Conditions does not exceed the issuance date of the original Final Order of Conditions. 7. Any fill used in connection with this project shall be clean'fill.Any fill shall contain no hash,refuse,rubbish,or debris,including but not limited to lumber,-bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of any of the foregoing. 8. This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an appeal has been taken,. until all proceedings before-the Department have been completed 9. No:work shall be undeitiken.until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in whicb the land is located,within the chain of title of the affected property.In the case of recorded land, Page 4 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection. Provided.byMassDEP. Bureau of Resource Protection-Wetlands MassDEP File#003-4911 177 WPA Form 5 Order of Conditions eDEP Transaction#:350297 f r City/rown:BARNSTABLE Massachusetts Wetlands Protection Act.M.G.L.c>131,§40 the Final Order shall also be,noted in Registry's Grantor Index under the name of the owner of the land upon which the, proposed work is to be:done.'In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is:done.The recording information-shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, Prior to the commencement of work.. , 10. A:sign shall be displayed at the site not less then two.square feet or more than three square feet in sim bearing the words,' Massachusetts Department ofEnvironmental Protection" [or'MassDEP"]< +, File Number:"003-4911" 1.1. Where the:Department of Environmental Protection is requested to issue a Superseding Order;the ConservationCommission shall'be a party.to all agency proceedings and hearings before Mass DEP. r 12. Upon completion of the work described herein,the applicant shall submit a Request for Certificate of Compliance(WPA-Form 8A)'to'the Conservation Commission - 13. The work shall conform to the plans and special:conditions referenced in this order. 14. Any change to the plans identified in Condition#13 above shall require the applicant to inquire of the Conservation.Commission in writing-whether the change is significant enough to require the filing of a new Notice of Intent' 15. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall.have the right to enter and inspect.the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order;and.inay re ` the submittal of an data deemed necessary b the Conservation 4�,.y . ,y Y :- ary X Commission or Department for that evaluation. _ • 16. This Order of Conditions shall apply to fany successor in interest or successor in control of the propeity,subJ t to this Order.and to any contractor or other-personperforming work conditioned by this Order. 17.,Prior to:the start of work,:and if the project involves work adjacent to a Bordering Vegetated Wetland the boundary.of the wetland in the vicinity of the proposed work area shall be marked bywooden stakes or flagging.%Once in place;thewetland boundary;markers shall be maintained until a.Certificate;of Compliance has been issued by the Conservation Commission 18. All sedimentation barriers shall be,maintained in good repair until all disturbed areas have been:fullystabilized with vegetation or other means.At no time shall sediments be deposited in a wetland"or water body.During constraction,.the applicant.or his/her_ designee shall..ins' the:erosion controls on a daily basis.and shall remove accumulated sediments as needed.Thee applicant shall immedrately.control.any erosion problems that occur:at.the:site and:shall also immediately notify the Conservation. Commission,which reserves the.right to require additional erosion and/or damage prevention controls it may deem necessary. S6dimentation.barriers shall serve as the Emit of work unless another limit of work line has been approvedbytl Order.. NOTICE OF STORMWATER CONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated,with this Order(the"Project")is(1) r is not(2)r subject to the Massachusetts Stormwater Standards If the work is subject to Stonnwater Standards,then the project issubject to the following.conditions;a)- All work,including site preparation;land disturbance,construction and redevelopment;shall be implemented in:accordance with the construction,period,pollution prevention and erosion and sedimentation control plan-and,if applicable;the Stormwater Pollution Prevention Plan.required by the National Pollutant Discharge Elimination System Construction General Permit as required by Stormwater Standard 8.Construction penod.erosion,sedimentation and pollution control,measures and best management practices(BMPs)shall remain in place until the site is fully stabilized b) No stormwater runoff maybe discharged to the post-construction stormwater BMPs unless and until a Registered. Professional Engineer providesa Certification that:i.all construction period BMPs have been removed or will be removed by " a date certain specified in.the Certification For any construction penod'BMPs intended to be converted to post construction operation for stormwater attenuation,recharge;and/or treatment;the conversion is allowed bythe MassDEP Stoumwater: Handbook B1VIP specifications and tlat the BIVIF has been properly cleaned or prepared for post construction operation, including removal of all construction period sediment trapped in inlet.and outlet control structures;ii..as-built final construction: : BMP plans are included,-signed and stamped by a Registered Professional Engineer,certifying the site is hIly stabilized,iff. any illicit discharges to the stormwater management system have been removed,as per the requirements of Stormwater.� Page 5 of 9*ELECTRONIC,COPY ` r • Massachusetts Department of-Environmental Protection Provided byMassDEP;>. Ll Bureau of Resource Protection-Wetlands MassDEP File#003-4911 WPA For.m 5 -Order of Conditions eDEP Transaction#:350297 Massachusetts Wetlands Protection Act M.G.L.c. 131, §40 City/Town:BARNSTABLE Standard.10;iv.all post-construction stonnwater BMPs are installed in accordance with the plans(including all planting plans)approved by the issuing authority;and have been inspected to ensure that they are not damaged and that they are in proper working condition;v.any vegetation associated with post-construction BMPs is suitably.established to withstand erosion c) The landowner is responsible for BMP maintenance until the issuing authority is notified that another party has legally assumed responsibility for BMP maintenance:Prior to requesting a Certificate of Compliance,or Partial Certificate of Compliance,the responsible party(defined in General Condition 19(e))shall execute and submit to the issuing authority an Operation and Maintenance Compliance Statement("O&M Statement')for the Stormwater BMPs identifying the party responsible for implementing the stormwater BMP operation and Maintenance Plan("O&M Plan")and certifying the following.i.)the O&M Plan is.complete and will be implemented upon receipt of the Certificate of Compliance,and ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the stormwater management BMPs and implement the Stormwater Pollution Prevention Plan d) Post-construction pollution prevention and source control shall be implemented in accordance with the long-term pollution prevention plan section of the approved Stomiwater Report and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Multi-Sector General Permit. e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes responsibility for maintaining each BMP.To overcome this presumption,the landowner of the property must submit to the issuing authority a legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BMP,and thatthe proposed responsible party shall-be treated as a pemrittee for purposes of implementing the requirements of Conditions 19(f)through 19(k)with respect to that BMP.Any failure.of the proposed responsible party to implement the requirements of Conditions 19(f)through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stormwater BMPs that are serving,more than one lot;the legally.binding agreement shall also identify the lots that will be serviced by the stormwater BMP&A plan and easement deed that grants the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement fl The responsible party shall operate and maintain all stormwater BMPs in accordance with the design plans,the 0&M Plan, and the requirements.of the Massachusetts Stormwater Handbook. g), The responsible party shall: 1.Maintain'an operation and maimenance log for the last three(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement-of the stormwater management system or any part thereof and disposal'(for disposal the log shall indicatethe type ofmaterialarid the disposal location); 2.Make the maintenance log available to MassDEP and the Conservation Commission("Commission")upon request;and 3.Allow members and agents of the MassDEP and the Commission to enter and inspect the site to evaluate and ensure that the responsible party is in compliance with the requirements for each BMP established in the O&M Plan approved by. the issuing authority h) All sediment or other contaminants removed from stormwater,BMPs shall be disposed of in accordance with at applicable federal;state,and=local laws and regulations: i) Illicit,discharges to llid stormwater management system as defined in 316 MR 10.04 are prohibited.. j) The stormwater management system approved in the Order of Conditions shah not be changed without the prior written. approval-of the issuing authority. k) Areas designated as qualifying.pervious areas for the purpose of the Low Impact Site Design Credit(as defined in the MassDEP.9tormwater Handbook,Volume 3,,Chapte.1;.Low Impact Development Site Design Credits)shall not be altered without the pnor written approval of the issuing authority. nAc cess for maintenance,repair,and/orreplacement of BMPs shall not be withheld Any fencing constructed around,: stormwater BMPs shall include.access gates and shall be at least six inches above grade to allow for wildlife passage:. Special Conditions: » Page 6 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided byMassDEP: `�- Bureau of Resource Protection-Wetlands MassDEP File#003=49:11•. WPA Form 5-Order of Conditions eDEP Transaction#:350297 ` Massachusetts Wetlands Protection.Act M.G:L:c. 131,§40 City/rownBARNSTABLE D. Findings Under Municipal Wetlands Bylaw or Ordinance I. Is a municipal wetlands bylaw or ordinance applicable?r Yes r No ?•. The:Conservation.Commission hereby(check one.that:gppl es a. r. DENIES the proposed work which cannot be conditioned to meet the.standards set forth in a municipal ordinance or bylaw spe�thcalll" a c Municipal Ordinance or Bylaw 2.Citation , Therefore,work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides , measures which are adequate to meet these standards;and a final Order or Conditions is issued.Which are necessary to comply with a municipal ordinance or bylaw: r APPROVES the proposed work,subject to the following - additional conditions. 1.Municipal Ordinance or Bylaw TOWN OF 2.Citation S.237-1 237-14 p y BARNSTABLE 3. The Commission orders that all work shall be performed in accordance with the following conditions and with the Notice of Intent referenced above.To.the extent that the following conditions modify or differ from the.plans;specifications,:or other proposals submitted with the Notice of Intent,the conditions shall control The special conditions relating to municipal ordinance or bylaw are as follows: SEE SPECIAL CONDITIONS PAGES 7.1-7.3 ` Page 7 of 9*ELECTRONIC COPY SE3=4911 Name: Norman and'Marilyn Chalupka Approved Plan= October 18,2010 Site Plan by David A.Clark,P.E Special Conditions of Approval I. Preface Caution: Failure to comply with all Conditions of this Order of Conditions may have serious consequences. The consequence may include: issuance of a Stop Work Order,'fines;requirement to remove un-permitted structures;`requirement to re=landscape to original condition; inability to obtain a'-Certificate of Compliance, and more. . The General Conditions of this Order begin on Page 5 and continue through Page 8. The Special Conditions contained herein and all:.Conditions require your compliance.. II. Prior to the start of work,the following.conditions shall be satisfied: 1.. Within'one month of receipt of.this Order of Conditions and prior to the commencement of any work approved herein,General Condition Number 9(recording requirement)shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of Conditions and approved plans(and any approved revisions thereof)to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the Commission prior to the start of work: 3. General.Condition Number 10(sign requirement)shall be complied with. 4. The Conservation Commission shall receive written notice one(1)week in advance of the start of work. 5. The work-limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer. 6. Staked strawbales backed by trenched-in siltation fencing shall be set along the approved work-limit line. Effective sediment controls shall remain until the site is stabilized with vegetation,then they shall be removed. III. The following additional Conditions shall govern the project once work begins: 7. General Conditions,Numbers 14 and 15 (changes in plan)shall be complied with. 7.1 8: General Condition Number 18(maintaining sediment controls)shall be complied with. 9. The work limit shown on the approved plan shall be strictly observed. 10. The Conservation Commission,its employees and its agents shall have a right of entry,to inspect for compliance the provisions of this Order of Conditions: it. Unless extended,this permit is valid for three years from the date of issuance. 12. After stockpiling,excess fill shall be removed from the site and appropriately disposed of. . 13. Construction shall conforinto the requirements of the State Building Code and the Town of-Barnstable Zoning By-Law Flood Area Provisions for construction within the coastal floodplain.TWork shall ensue only after consultation with the Building Commissioner: 14. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof-runoff. 15.. The driveway shall be constructed of pervious material(gravel'or shell),or alternate, as approved by the Conservation Commission. Animpervious surface on the steepest section may be allowed,in consuliation with the Conservation Agent. 16. The pool shall be disinfected by ozone injection or alternate method,as approved by the Conservation d Commission. Drawdown water shall be sent to an appropriately sized leaching basin. Upon installation,a - letter's hall be submitted by the installer verifying that disinfection and'leaching basin requirements have been met,The location and capacity of the basin shall be verified and the means by which drawdownwill be directed to the basin shall be described. 17. During construction,no'area shall be left un-mulched or un-vegetated for more than thirty(30)days.'All areas disturbed during construction shall be re-vegetated immediately following completion of work at the site. Mulching shall not serve as'a substitute for the requirement to re-vegetate disturbed areas at.the conclusion of work IV. After all work is completed,the following condition must be promptly met: 18. At the completion of work,or by the expiration of this Order,the applicant shall request in writing a . Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form`C shall be completed and returned alone with the request for a Certificate of Compliance and appropriate fee. Where a project has been-completed in accordance with plans stamped by a registered professional engineer;architect,landscape architect or land surveyor,a written statement by such a professional shall be submitted,certifying substantial compliance with the plans,setting forth what deviation(s),if any,•exists 72 - with the record plans approved in the Order. This statement shall accompany the request fora Certificate of Compliance.and fee,along with an updated sequence of color photographs of the undisturbed buffer zone. f 7.3 Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau d Resource Prdfec ion Wetlands SE3-491.1 MassDEP File# Lii WPA form 5 - Orde"rofConditibni Massachusetts Wetlands Protection Act M.G.L. c. 131,.§40 eDEP Transaction#; Barnstable City/Town E. Signatures Important Thit-0rder:is valid for three years, unless otherwise specified as'a special No , 8 2 1O . When fining out forms on the condition pursuant to General Conditions#4,from the.date of issuance. 1.Date of.lssuance computer;use - Please indicate the numtieFof members who will sign this form. , only the tab key This'Order must be signed by a majority of the Conservation Commission. 2.Number of Signers to move our cursor-do not The;Order must be mailed by certified mail (return receipt requested)or hand delivered to use the return key. the applicant.A copy must be mailed,hand-delivered`or filed electronically at the same time with the at MassDEP Regional Office. , rab Sign ures: . ' IL i2L(ae. . .y hand'delivery on ® by certified mail;return receipt requested,on NOV.18 �n�n Date Date F. Appeals The applicant,the owner, any person aggrieved by this Order; any owner of land abutting the land subject to this Order, or any:ten residents of the.city or town in which such,land:is located, are hereby notified of their right to request the appropriate MassDEP Regional Office to issue-a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7) • within ten business days from the date of issuance of this Order.A copy-of the request shall'at the same time be sent'by certified mail or`hand delivery to the Conservation Commission and to the applicant; if he/she is not the appellant. Any appellants seeking-to appeal-the.Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation:in the-permit proceeding means the submission of WrittenInformation tothe Conservation Commission,prior to the close of the public hearing, requesting a Superseding Order,or providing written information to the Departmentprior to issuance.of a Superseding Order. r The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act'(M.G.L. c..1311:, §40'); and is inconsistent with the wetlands regulations(310 CMR 10:00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Actor regulations, the Department has no appellate jurisdiction. wpa5slgs.doc• rev.02/25/2o10 Page of Massachusetts Department.of.Environmental Protection Provided byMassDEP: Bureau of Resource Protection-Wetlands- MnsDEP File#:003-4911 WPA Form 5--Order of Conditions eDEP.-Transaction#;350297 Cityaown:BARNSTABLE Massachusetts Wetlands Protection Act M.G.L.c. 131; §40' E. Signatures This Order is valid for three years from the date of issuance,unless otherwise specified 11/18/2010 ,pursuant to Genefal Condition#,4.If this is an Amended Order of Conditions,the Amended 1:Date of Original Order Order expires on the.same date as the original Order of Conditions: Please indicate,the number of members who will sign this form:This Order must be signed by 6. , a majority of the Conservation Commission . . _. ---- 2,Number of.Signers.. ..._ The Order must be mailed by certified mail(return receipt requested)or hand delivered to the applicant A copy also must be mailed or hand delivered at the same time-to the appropriate Department of Environmental Protection Regional Once;if not filing electronically;and the property owner,if.different from applicant Signatures: SCOTT BLAZIS ^ DENNIS R.HOULE LAURENCE MORIN FAT PIU(TOM)LEE LOUISE R_FOSTER PETER SAW.OU F by.hand"delivery on F_by certified mail,return receipt requested,on Date Date F. Appeals., The applicant,.the owner;any person aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the,city or town in which such land is located,are hereby notified of their right to request the appropriate MassDEP Regional Office to issue a Superseding Order of Conditions.The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee and a completed Request for Departmental Action Fee Transmittal Form,as provided in 310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to.the Conservation Commission and to the applicant;if helshe is not the appellant Any appellauts'seelting to appeal the Department's Supersedin&Order associated with this appeal willbe required to demonstrate prior participation in the rMew of this project Previous participation inthe permit proceeding means the submission of written information to the Conservation Commission prior to the:close of the public hearing,requesting a Superseding Order,or providing written information to the Department prior to issuance of a Superseding Order. 'The request shall.state clearly and concisely the:objectionsto the Order which is being:appealed and how the Order-does not contnbute to the protection.of.the interests identifiedin the Massachusetts Wetlands Protection.Act.(MG L.C.131;§40),and is uiconsistent wath the wetlands regulations(310 CMR 16:dq To the extent that the Order"is based on a municipal ordinance orbylaw, and nofon the Massachusefts,Wetlands Protection Act or regulations;the Department has no appellate jurisdiction.. Page 8 of 9*ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-4911 l W eDEP Transaction#:350297� PA Form 5 -Order of Conditions City/TownJ3ARNSTABLE 1 Massachusetts Wetlands Protection Act M.G.L.c. 131,§40 G. Recording Information This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order.In the case of registered land,this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions.The recording information on this page shall be submitted-to-the Conservation•Comnussion-iistedteio . — ---------. BARNSTABLE Conservation Commission Detach on dotted line,have stamped by the Registry of Deeds and submit to the Conservation Commission. ........................................................................................................................................:.................................................................. To: BARNSTABLE Conservation Commission Please be advised that the Order of Conditions for the Project at: 56 OLD HARBOR ROAD 003-4911 Project Location MassDEP File Number Has been recorded at the Registry of Deeds of: County Book Page for. Property Owner NORMAN/MARILYNCHALUPKA and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land,the instrument unent number identifying this transaction is: Instrument Number If registered land,the document number identifying this transaction is: p Document Number Signature of Applicant Rm 4nrz010 Page 9 of 9*ELECTRONIC COPY. F Eldridg&-F4ectric Inc. 400 Airline Rd, So Dennis,NIA 02666 Phone 508-385-2400 Fax 508-394-1494 To Whom It May Concern: This is to verify that all electrical service and wires at the following property have been disconnected from the garage and dinning/sitting room and the demolition of that portion of the building may begin safely. Chalupka Residence 56 Old Harbor Road Hyannis, MA Please feel free to contact me for further information if necessary. Regards, Joe Eldridge Eldridge Electric Lic#A10040 & E 25454 508-385-2400 Office 505-221-1165 Cell i LUKE G. SMITH dba ALL CAPE PLUMBING AND HEATING P.O. Box 1584 Brewster Ma. 02631 508-896-6024 Re: Chalupka Residence 56 Old Harbor Rd. Hyannis, Ma. To Whom It May Concern: The water and gas has been cut back and capped to the garage and dining room at the above referenced property. That portion of the building is ready for demolition. L e G. Smith ��, /�`7 �lassuchusctts - Dcpartriunt of Puhlic S�tfch • Boal•d of Buildinu Rc,,ulations anti St.tntIjil.' Construction Supervisor License License: CS 47185 Restricted to: 1 G RICHARD J ROYY' PO BOX 25 S CHATHAM, MA 02659 � Expiration: 7/14/2011 (' niniiai ncr Tr#: 18528 Bo�"To ut 1negu&oCs an an a License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 1.11696 Board of Building Regulations.and Standards icplratton 1/26/2011 Tr# 278477 One Ashburton Place Rm 1301 ` - Boston,Ma.02108 Type �1f4lability Corporation RICK ROY CONSTRUTIOy RICHARD ROY 123A.QUEEN HARWI CH,'MA 02645 Administrator 40t valid without sign f Tile Commonwealth ofMassachresetts / Y Department of Industrial Accidents J Office of Investigations ` / 600 Washington Street . t Boston, MA 02111 .�yy www.mr�ss.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeEibIy Name (Business/organization/Individual): CA- Z-G Address: 1 Z City/State/Zip: Phone M SO,— 9 r 9/0 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 1 6 New construction have'hired the sub-contractors.. - employees(full and/or patt-time). -` - 2.❑ I am a sole proprietor.or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These.sub-contractors have g, 0 Demolition workingfor me in an capacity. employees and have workers' y p ty• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.1 required.] 5. 0. We are a corporation and its 10.❑ Electrical repairs or additions 3.0 I am a bomeowner doing all work officers have exercised their 1 Ito Plumbing repairs or additions right of exemption per MOL Myself [No workers'-comp, 12.❑Roof repairs insurance required.] t c. 152, §1(4),.and we have no employees. [No workers' 13•❑ Other comp. insurance required.] 4Any applicant that checks box#) must also fill out the section below showing thcirworkcrs'compensation policy information. t Homeowners who submit this affidavit indicating tbey arc doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the.name of the sub-contractors and stale whether or not those entities havc employees. If the sub-contractors havc cmployecs,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 jab site information Insurance Company Name: 61_19 A56� `1L Policy# or Self-ins.Lic. #; eg &2 f�qLf y Expiration Date: Job.Site Address: �� flA City/State/Zip: 14/yy¢d!W)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 Section 25A ofMOL.c, '152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-yeas imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded td the Office of Investigations of the DIA for insurance coverage verification. I do hereby eerti ruder the pains and penalties ofperjury that the information proNided above is true and correct. Si ature: -a Phone#: - l� { Official use only. Do not write in this area, to be completed by city or town offrcidl-* { City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health Z. Building Department 3, City/Town Cle k 4. Electrical Inspector 5. Plumbing Inspector L6. Other Contact Person: Phone#: ' f�formadon and fnstructzoPS Massachusetts CcneraJ Laws chapter 152 requires a)) cmploycrs to provide workers' compc.nsalion for their employees, ` Pursuant to this statute, an emplo),ee 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' oo�e ore of the foregoing engaged in a joint enleiprise, and including the legal representatives of a deceased employ receiver or lrustce of an individual, partnership, association or other legal entity, employing employees. Ho"Yever the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the a other who employs persons to do maintenance, coristniction or repair d work on such welli dwelling house ofng house or on the grounds or building appurtenaol thereto sha1J not because of such employment be deemed to be an employer." MGL chapter 152,'§25C(6) al§o_states that "every state or local licensing agency shall withhold the issuance or l` . renewal of a license o:r.,,permit`to operate a business or to construct buildings in the commonwealth for any ;.. applicant jyho has notpro ced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7) slates "Neither the conunonwealth nor any ofits political subdivisions shall enter into any contract for theperforrirance ofpubbc-work until aceeplablr evidence ofcompliancc with the insurance requirements of this chapter have beenpresented to the contracting authority." Applicants Please fill out.tbe workers' compensation affidavi[ completely, by checking the boxes that apply to your sihoahon and, if necessary, supply sub-contraetor(s) narne(s),.address(es)and phone number(s)along with their cerlificatc(s) of n the insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP) with no employers other [ha members orpartners, 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 lodustilal Accidents for confirmation ofinsurance coverage• Also be sure to sign and date th-e 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 you have any questions regarding the law or if you,are required to obtain a,workers Industnal Accidents. Should ' compensation policy,please call the Department at the number listed beloy. Self insured companies should enter their self=insurance license number on the appropnate line. City or Town Officials Please be surd that the affidavit is complete and printed legibly, The Deparlmcnt has provided a space al the bottom of the affdavil for you to fll out in the event the Office of investigations bas Lo contact you regarding the applicant. Please be sure to fll in the permiUlicense number which will be used as a•refererrce number, In addition,an applrGu�tent that must submit multiple permit/license applications in any given year, need only subrnil one affidavit indicating city or policy information(if necessary)and under"Job Site Address" the applicant should write"a]) ], ahons in_ town)."•A copy of the affidavit that has been officially stamped or marked by the cily or townY be provided to the applieanf as proof that a valid affidavit is on file for future permits or licenses. Anew affidavi lSnust be filled oti l each ner or citizen is obtaining a license or permit not related to any businessor commercial venture year, Where a home oyr id person is NOT required lo.eomplete this afidavtt• (i,e. a dog license of permit to burn leaves etc.) sa The Office of lnvesligabons Would Me o an�uri�� r-j`0� �rat;�n and shou➢d youhave any questions, please do not besitate to give us a call. The Department's address, lclephorrc and fax number: ' The Commonwealth of Massachusetts' Department of industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02 11 l Te). # 617-727-4900 exi 406'or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia �H•=. n„e.c.Ycao rlVI Page 2 Of 2 ACOI�D . CERTIFICATE OF LIABILITY INSURANCE DATE(M�°mrn PRODUCER 05/03/2010 508.945.0393 FAX 508.945.4048 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Eldredge & Lumpkin Ins. Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 697 Main Street HOLDER.THIS CERTIFICATE DOES NOTAMEND,.EXTEND OR Chatham, MA 02633 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . INSURERS AFFORDING COVERAGE NAIC# INSURED Ric Roy Construction LLC 123A Queen Anne Road INSURERA: Scottsdale XSB007 INSURERB: The Commerce Ins. Co. 34754 Harwich, MA 02645 INSURERc: Ace Property & Casualty Ins 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. R MYL LTR INSIRE TYPE OF INSURANCE POLICY NUMBER DATE MEEFFMIDD DATEY M/DD ON LIMITS GENERAL LIABILITYBCS0021104 12/23/2009 12/23/2010 EACH OCCURRENCE X COMMERCIAL GENERAL LIABILITYRENTED $ 1000000 PREMISES Ea occurrence) $ 100 000 CLAIMS MADE a OCCUR A MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1000000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 200000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2000000 AUTOMOBILE LIABILITY VN9110 04/24/2010 04/24/2011 ANY AUTO COMBINED SINGLE LIMIT ALL OWNED AUTOS (Ea accident) $ 1,000 00 X SCHEDULED AUTOS BODILY INJURY $ B (Per person) X HIRED AUTOS L.X NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION C46288944 04/29/2010 04/29/2011 $ AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE C OFFICERIMEMBEREXCLUDED9 E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 It yes,describe under � i SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ 500 LOO DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT!SPECULL PROVISIONS General Contractor CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED-BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE R. Lon ACORD 25(2009/01) FAX; 508.945.5163 Alan Presi dent The ACORD name and logo are registered marks of AC RDORD CORPORATION. All rights reserved. FEB-04-2010 16-:.38 Fr,om:MCSHEA 5084209011 To:5084324814 P. 1/1 'CERTIFICATE OF, LIABILITY INSURANCE DATC(MM/DO/VYYV) PFlOpUCER A4 THIS CERnFICATE IS ISSUED AS A MATTER OF INFORMATION -MCShea Insurance Agency, Inc. ONLY AND CONFER$ NO, RIGHTS UPON THE CERTIFICATE i HOLDER, THIS CERTIFICATE DOES NOT .AMEND, EXTEND OR _19 Main Stroe't, Suito#H ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW. Sterville, Me. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAIC# waL1nE0 Peter W. McYntire & Sons, LLC INSURCRlc travelers Ins Co. INSl1RFR R AifletiCtan MOme Ar(curance Compan 50 Martha Kendrick Drive INGURFH 1: —' Chatham, Ma 02633 INGUREN�. -' - 0 4 _ 6 IN6UFlER.C;. .. COVERAGES THE PULICIES OF INSURANCE LISTCD BELOW HAVE BEEN ISSUED TO THE INSURED NAMED AROVF FOA THE POLICY PERIOD IN0ICATFI7 NATWITIJSTANDING ANY REQUIREMENT,TERM OR CONDITION Of ANY CONTRACT OR OTHER DOCUMEN I WITH RESPECT TO WHICH THIS CERTIFICATE MAY RF ISSUED OR MAY PERTAIN.THE INSURANCE AFFOAr)rD D�(THE=POLICIES DESCRIBED HEREIN(S SUBJEOT TU ALL THE TERMS, EXCLUSIONS ANO GONDITION3 OF D OR POLICIES.AGGREGATE LIMIT$'SHOWN MAY HAVE©GFN REDUCED 9Y PAID CLAIMS. �TIH iNegp l TYPE :INSLIFkANCE VULICY NIIMRF.R DAT FC'f�EFFlvr t+gLICYEXt'I A I I DATE MMltl(1 I IMITA '1 GCNCRAL LIAtlIUIY CACI•I.00CURRENCF i• .l. 000 000 X i COMM12FlCIALGCN6RA( LIABILITY _ "• I —1 C•LAIMSMAD@ I X OCCUR PRFMISFA(Ee,oeeurgn�,;*) S 30Q�000 MED EXP(Any nne person) $ 5�0 0 0 A I 1-680-264SCS78 1/26/2010 1/26/201 i PEkNONAL5AOVINJURY S 1 000•,,000 GENEHAL AGGRFGATE Z 2_,000 ,000 I GEN'L AG 'RC(3AT6 LIMI I APPLIES PFR F'HbfII IC:TR•CnMP/OPAGO 9 OOO 000� PRO- F anucY LOC _. AU)OMORII F LIABILITY ANYAU I U OOMOINCD tiINULF Lima Ria ermidnnl) I ALL OWNED AUIUK -- X ArHEOULEDAUTO:; BODILYINJIIRY (rerporavn) S 100,000 A HIREDAUTOS BA-3033C705 _ FlOUILY INJURY NUN UWNI•OAU'1'0E ` (Nnr nrrltleflt) 4 300, 000 x 1.500. ded comp PROPERTY UAMAUt 500 ded toll iPerneoiaent) 5 100,000 cAFlAGCLIADILITY AUTO ONLY•LAACCIDENT R i I ANYAIITn — -� UIHEWTHAN — AIITOONLY: A(D.0 $ tXGESSAJMRRFIIALIABILITY EACHOCCIIRAPNGF 5 1 OOO,OOO X•I u(x:uH (_I CLAIMSMADE AGGRF('All $ 1 ,OOO ,OOO 3012Y545 1/26/10 1/26/11 $ —XI RETENTION 10 000 a WORKEuCOMP[N&ATIONAND X Tf1 � CR'l CMPLOYERs'LIABILITY ANY Pn(-IPFlIETilrtPAfITMLMILALCUIIVt �WC8951460 02/02/10 02/02/11, �I.,tACM ACCIDENT _ 3 500,OQ0 .I li I utl•I(�kiLMULH LXCLUDDD7 ! II g i] ;'ilwooc(ur E.L.DISEASE FA F.MPI OYF 1 YY 50 Q � 00 ShECIAL F�ROVISIUNS velvw U1 HFN C,L,U15EAyt•POLICY LIMIT 500 ,000 A ! Inland Marine QT6603080B3S4 1/26/10 1/26/11 I $509,775. OESOIIU'TION Or OPCRATIONSI LOCATIUNS I VLHICLES/EXCI.IISIONS AOnF_D BY ENDC f1;EMCNT/SPCCIAL PROVIGICJN9 ! I I 1 I I I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OC THE ABOVC DCSCRIDCD POLICIES BE CANUFLI.FIa HFI.OWF THt NXPIRATION 1 DATE THEREOF,THE ISSUING INSURCR WILL CNDCAVOR TO MAIL30 Rick Roy Construction DAYS WRITTEN NOTICE TO THE CFRTIFlrATF HOLl'MA NAMFn TO THE LEFT.BUT FAILURE TO DO;aO GI ALL INIWO4F NO()t1L1(7ATI()N OW LIANILI•rY nF ANY KIND UPON THE INSURER,ITS AGENTS OR RLPHLBLN'TATIVtS. AUTHORIZ"D PRESENTATIVE IFAX: 508-432-4814 ACORD25(2oo1JOs) 0 ACORD CORPORATION ISe0 i o Town of Barn-stable � o Regulatory ula y for r l..5pp rvzces • 1AR1f67ASI..� E , v % Thomas F. Geiler,Director °rEo � BuiI,ding Division Tom Perry,,Buildi,ng.Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b arnstab I e.ma,us Office: 508-862-4038 Fax, 508-790-6230 Prop erty Owner Must Complete and Sign.This Section if using A.wilder h,; �VonM ra,a' C J�r}l yi°xl9 , as Owner of'the sabject"property hereby authorize 12, c y, goy C,��yS'T Y1 T7y�/, L LC- to act 011 Mybeh2Y, in 21I matters relative to -wprk authorized by this building permit application for. (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the revers-e side. Q:FORMS:OWNERPERMIS3)oN . .�5 ' .s�s^�f-r'�Y .f ..-''y t,p.....N'� r _�t...,y,,.,.T�KnF.,,„J4��a'�7 .,•-F-�.�K:J'»L'�-w+....'^'•Y`r!' .��;d' 4.._ .Y.f�" � �.. .. Assessor's office(1st Floor): d dssessor's map and lot number 5 J / ��" Hof THE>o� 'Board of Health(3rd floor): J ,n, /' �7 e�Q ♦°, Sewage Permit number (9/'( �l ol ' B1BII9TODLL Engineering Department(3rd floor): G /f , MAes House number t tJ.:. C�W� o 1639. \®�' Definitive Plan.Approved by Planning Board " 19 �or�Y A, f APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE 0' BUILDING INSPECTOR APPLICATION FOR PERMIT TO 0,3 YYt P r( 4-Q ��4 TYPE OF CONSTRUCTION tAj 0 0� 19 S� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use e Zoning District Fire District Name of Owner Address (3 /J(� 4 p'�fJ Olt �o� � yya-ww+S •Name of Builder �/� V19�4ic/ �U1'✓S"r�� t o"j Address1�5 U .� Name of Architect Address Number of Rooms Foundation � f Exterior r� k 9 v (,a-a Roofing. 3 � Floors +I� U w or, �. G r-K Interior l� ►Z�' w t"If r Heating �— I—� ly y Plumbing _(�1 _Fireplace �f t �� r� Approximate Cost / / 7000J Area /1/O f44P4- C- 00A Diagram of Lot and Building with Dimensions Fee` OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS .I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name Construction Supervisor's License r HUDSON, KEN MR.. & MRS. A=325-171 No 3 3 4 2 0 Permit For ADD DORMER Single family dwelling Location 56 Old Harbor Road Hyannis Owner Mr. & Mrs. Ken Hudson Type of Construction Frame Plot Lot Permit Granted December 19 , 19 89 Date of Inspection 19 Date Completed 19 PERMIT OMPLETED 1/1/. �a j Assessor's office(1st Floor): ssessor's map and lot number 5 J J of THE t0 f ;'Sewage Board of Health(3rd floor): �y �1,7 .T-t� S MUST CONNECT TO TO ' Sewag a Permit number r�� ( J/ 'S , _ �� Z BAH L, i Engineering Department(3rd floor): MAB&� rasa House number °o 'bso Definitive Plan Approved by Planning Board 19 ��MAI d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only 1 TOWN OF BARNSTABLE BUILDING INSPECTOR I y, APPLICATION FOR PERMIT TO � -DO 6L►pt Q d �.�11 4</C TYPE OF CONSTRUCTION 1A.3 0 0 v"C a 19 Q I TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location�� Proposed Usea- �/ t Zoning District Fire District C/ltl,ft�Aoolk S Name of Owner/I �e Address V (3 /+',6 aA AY101MS Name of Builder U�IVInAl �0`1/S49L't 10'j Address Name of Architect Address Number of Rooms ( C7 J Foundation Exterior WIC , 1�k i`' J-0-0 Roofing 3 ��"� S'�yl✓+1 Floors P y�`'®a t-K Interior Zit Heating l-i 1k C-1 evS Plumbing Fireplace Approximate Cost L /. Q Area No �4X A- C-4 Ttl— Diagram of Lot and Building with Dimensions . Ff�0 . 4 f 4' r OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name "j?,.C,/ Construction Supervisor's License C) 1 6 0 z HL'DSOT�Tn.,.:K�Tv��1R: & N1R - i t 'No 33420 Permit For ADD DORMER Single Family Dwellin Y Location 56 Old Harbor Road Hyannis Owner Mr & Mrs Ken Hudson Type of Construction Frame Plot Lot Permit Granted December 19 , 19 89 i Date of Inspection 19 t Date Completed Z�� 19 a ; I VVl l CD . 4 , 1 - - w —' C.ICr.U N E. 4 FILM KtAEE L8 pgrmIuz..RhF7ER 617.428-9213 Nkiv2,lO R4-TEK5 - (Eevi i n Custom _ -- -- ��.z SUE.r�,o✓x Codes igns EXISTIi4c, RArTER ._ "r,Q Copyright C) 1980 r,r All Rights NE v4' I4�4 KtJLEwy-I- Reserved ' Lxt STIVy FLQC'FS �. �. i s�. , pPV Rrj Y•.F`ti. rs,C,, � f. I �' I'Q1•-2" r " ,' S.p �! 2'-10" •r ui a �Ll EXI�'T 4 R It a r r l 4 R r c .�. -NE\�i PRtcl� LHLk.tYEY- ` aLn RCOF.LiNL z44;XV} 2442n/ r .. 1UN17E , RTC,NT ,ELLVAT C n M�eV ll — — „ ML IacxFEx?sN7soN C�UStO • es°ign Copyright ©` All Rights Reserved -TT4'1 i =i'I NOW uopad-u16uiplm8 319V IN pj ^„ S39NHHO 310N Eli I 24a2\y .2aA2\Y ' d ,V r I �� C24�v •�l� r�x rams x:. ;•.,.;... tw- �3xxn R, •R#A"i.�' ;„_",:,Es__- ( `!.•_i<�"�"` :.tr- p'".�.f: :�l `�S..�F`t�4; hJ4R-5i1�. �S . In9 cCUQnIE�"'SOARO 1 LE F T ESE V/ T l C)l-� --- _ lx�t-t_ ALL t,,Al KCr-wtWf aw's Zo S k 1 t I _ _ C3 4\V Q44.2 v' 45•so42-!8 VROFa T-ELEVA-7»Nr_ ..-__-.. - - - relim V1 T T7 if !OD - 1 f j 14- P - I LA 3 . Ex _ y Q 1 y N c s r. i - - �Ir - J I In -to' 617•'4281-. IL I � (-evl i r gusto copyright.0 y All Rights ' I Reserved r t ✓ i L FLU A NE Ar%R Assessor's map and lof:•number � 0".� d/1 ' CG'"' 7 SEPTIC SYSTEM MUST BE .... �:� INSTALLED IN COMPLIA NCE :Sewage Permit number . ............. . , a. . f WITH ARTICLE II STATE V f 1 r: 5�1. TTOYANt THE T TOWN OF �B A R � = �i T®wlv e f.' -5;' � B98H9TODLS, i 'i `f4:: � �• ' 9� " ` z6 9 -BU�I1I) MG ! INSPECTOR : `0 s ` i 4, C' �APP A LIC TION�FOR•PERMIT TO .. ... ..... .... . ............................................................................... J4 TYPE OF CONSTRUCTION ....:.:...... ..........................:.................................................:.......... r a,- ..... .' ...............` ...................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appli s for permit according .to the following 'nformation: Location .....:.....Ci'.... . ....... ..... ................. .. ry.......................................................... ProposedUse ............ .................................................................................................................................................. ZoningDistrict ................................. ...................................,.Fire District .............................................................................. Name of Owner. ............Address .. .. ... ... . ...... Name of Builder ��?. .. .... .Address .. ..... . .... Nameof Architect `..... ........................................................Address ....................::.................................................... Number of Rooms $—' ...... ......................................................:.Foundation ......................................... . ................... Exterior ....... ..... .............. ... ...... ..........................................Roofing ....f .. 1-r�.1... Floors ....................................................:.Interior ................:.......................................:........................... Heating .................................:..................Plumbing ......... Fireplace ..... .........................................Approximate Cost .......... ....................................... Definitive Plan Approved by Planning Board -----------______-----------19_______. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH cof�( � 1 I hereby agree to: conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Nametl ........................ ................................... Hudson# Kenneth No 19474. . .... Permit for .....en.c.lok.....porch. . ...... . .. .... . ...... ...... . .. ;Jr 61d Harbor Road Location� ................................................................ Hyaimis ............................................................................... Kenneth Hudson Owner .................................................... ........... f rame'. Type of Construction .............................. ........... ......................................................... Plot ................ Lot ........................ ....................... Permit Geantec(...............Angus.................... .. .....1977 Date of .Inspection ...... ..............19. j ............. ..... . - Date -Ccirn'pleted ... .19 --PERMIT"REFUSED ................................................................ 19 ........................... ........... ........................................ ......................................... - _ rr t� ........................................ ...................................... ................... ................... ................................................................... A:Pproved ................................................ 19 ................................................................................. ............................................................................... PROJECT NAME: ADDRESS: 5�O D cl - /�aL ems.( PERMIT# � I O O I PERMIT DATE: M/P: LARGE ROLLED PLANS ARE IN. O cI Z SLOT Data entered .in MAPS program on: BY: T Hyannis. south x Mass. O ;\E NCH MARK.• ter Sewer Manhole* (;---- -- HYANNIS 4.4 N.A.1�D. (88) o�� = HARBOR sed on FEMA Bench Mark [� -12, `conversion —0.8') :. • Ne LOCUS PLAN LO ZONING REQUIREMENTS Zone RB ,. ? •�. �� . Q V N Minimum, Area 43,560 S.F. Minimum Frontage 20 Ft. Minimum Lot.Width 100 Ft. 1 ��• Front Yard Setback 20 Ft. 11 Ni Side and Reor'Yord Setbacks 10 Ft.' p / Maximum Building Coverage 20 Maximum Building Height 30"FL Q ` or 2-1/2 Stories,.whichever is less ' Overlay District Aquifer Protection (AP)., `� 43 p o Assessors' Map 325, Parcel 171 ' \\ //. O o c � , OWNER OF RECORD: R� \ j co O o h Norman Cholupko ' \��9, 4° h rrnj Marilyn Cholupko Certificate No. 191846 Land Court Plan 7615-8, Lot 107 Land Court Plan 7615-L, Lot, 156 Existing Foundation ' IL oLO UZI < o � o Q .-LOTS 107 & 156 w m L° Computed Area=13,580 S.F f w or 0.312 Ac.f tA ! certify to Norman & Marilyn Cholupka and Thomas Perry, Director of �►°B�ii frig Deportment for \� ; the Town of a q.lam the foundation shown hereon is to d� �� n the ground. LLD �g�� y . / Date: �06-2011 Dote \` Scale 1» —7.0' 20 40 '60 Drawing No:: P.L.S. N,y h o.. 000000OA �3510 Sheet N -"�SU��E�° 1 of 1 • F r • =�..�f .-j a=le.er� �?�:s�.z•,a�x:•:s"��a,...s�+a�i�ri:•-rs•_-:�'�r._:n:�-x��`ems:•� -'=�sa ., -:sr�z. _ _. ... , r ' :':i �• ' e ';• f � n d rr :a>+a Y�' "t Y , f� � - "-s.-r.C f� i. { - rl ti i /� d _ "�`5•.✓.i f.� � .. .t dr. � t� r '1.. k �. 4 i 1w'+f � ?' .% - .l r :.`^ 7 CJ^'% �.,, C],�, .i.} ti `•3 y a i }}} „ „ r Ic 41 or Sk 7 �1 r + • " •'F to. t 1- rt All,r ` t ACd r CA 40 ol h - it Y `•� +d :� s `"V"�• �F' �'� �t i. .. r }: .•M'=Lt r�� .7�q1 ^._ l.i AM ':.i+..o 1`L i . � V iS�iJ a �k3Ss�L �2 .� ` s z ��Jr fir,/ i� •.,... ,:`�. ^'i,.�._:1',r p*JG� �;i1L','1�' `?. �n4:•ti'`�t�':3�'`f�� ,%:}"V �� •'.,'.�' �..,i_ v u1 � ,i.'3•f,�, t?6 ••�;.tly \C.t4 _ .�.`rt!`:� ki'. T.rm'iuor"3 A ooa, rr- tSio'. .�3Y0: (;;'',i t� �f .• �} `�"�.. �'� �'`�• -v-+.r 3 .^c'1r ?ar, r�' wp .r 4 ti.:lx- .l,s ,�'i',�F;1 . i 3 ,s .r.:'} .,,a' "S�+ i> - fe:�1'_�.�"'�'�"��.'.,�„",".;� .' i'='�'a`.-. -'-.,.�`t'...�=.�'_�r'�:..�-»... ...._.- "�'Y�"•n'.�..i: ..•+.,w��"..�.wv-'".'C3�"'-�'7?'T.4-'a�'S. .:�._4-?��`.`�C.."^"..�1L"'•. - .. ..> '';"�+t'..`•a.=3^: ...-__ q_p• -- .. , , , L) Xm m N 3 Y -I------------- - � G� z m � p z -, z cn X DTp - cn m - >-n oCrn is C z z v �p�3 Zi 70 0 -170 70 m r Zm2 O z 2 3 mX �,• mX DN mm X yN Z� 11 n J z2 r- m X Tm Co :1X -j n c, 70 _ 3 r m } >WX _ z>N U 70=z 0 m CA m mX mX C) � 0� O --j O-4 Oz _ pz d Rick Roy Construction LLC NORNAN .f,'NAILYN CHALUPK�4 123a Queen Anne Rd. �. Harwich, MA 02345 a S6 OLD HARE30R RD. HYANNIS, NA Tele: 508-432-6840 Fax: 508-432-4814 rroycon@comcast.net LEGEND NO T Hyannis, Lot located entirely within Land Subject to South St. MOSS. -� - Existing contour Coastal Storm Flowage. �\ Proposed Contour ` x 37.5 Existing Sot Grade one A9 G.V.D. 29 Z 43.� Proposed spot Grade Bose Flood Elev ation 10. 0 0 N.G , 9.2 f' N.A.V.D. (88) i w Water Service ` (� o� lt,--- ohu- Overhead Utility Line(s) � ` -- HYANNIS u ' Underground Utility Une(s) ; \\ ` HARBOR O ` 9 Gas Line ' �! Concrete Bound (CB) � Utility Palo Ufili o . , 1001 ® Catch Basin \ / �- _-------- rim Hydrant y \ \ Tree or Hedge Line LOCUS PLAN \ 4.4 4.9 10 i .,, 4.8 \, ZONING REQUIREMENTS 'U. 1 Zone RB 1 Minimum Area 43,560 S.F. s:i :7 1 Minimum Frontage 20 Ft. J 1 Minimum Lot Width 100 Ft. 4.4 7.0 or \ Front Yard Setback 20 Ft. a BENCH MARK: Side and Rear Yard Setbacks 10 Ft. r Sewer Manhole Maximum Building Coverage 20 J 7.1 Center 9 9 r - El.-4.4 N.G.VD. (88) Maximum Building Height 30 Ft.* 'o \��\��\ ``• 7a (based on FE'MA Bench Mork * or 2-1/2 Stories, whichever is less i RM-12, conversion -a8) Overlay District Aquifer Protection (AP) �o. of 1 7.5 x ��` j , \ �� Assessors Map 325, Parcel 171 4.4 lop-- ' „-0�.. 1 Qr �� s� a� w o'` �/°,� . �i 4.3 > _ Owner o Record. 1 ,�\\ 1� Q ` �96, e7,,:. Norman Cholupko s.so Ott 4.3 \\ Marilyn Cholupko 0 \, F <i \ \ t 4.8 \ / 5'�� U.P. � Certificate o. 191846 Certif c e N .o _ - o .2 Jy; \ G 1 6• G 4.3 1 7 \ Court Plan 615 B Lot 0.�• and C rt 7 6' jftj 4.4 \ Land Court Plan 7615-L, Lot 156 l .8 Sediment Tra r Install S p \\ li uy�a 7.s ` wln Catch Basin Manhole ` \ ff.: uch as "Doody Bog".01 ' 1109 -_ , 4l \ .• Proposed5.8 x 7.0 / i I)ALIJ A Proposed Ho ale Siltation . Equip. ` fi. cu P / \ s o F '\\ 4 N ;� c 5 7. Z62 xits of Work _ Pro osed s\ ey Barrier L/m .. P ' �Double Row in Stock ile Area) - Addlti P 4.7 Slab El. 86� .:s� Barnstable RoadbPE`: SM Stockpile 4.1 t ``� i, Area 4.3 \6.1 \ `� Bound (Held to - ✓ ✓- - . x5.0 - A/, , - - LOTS 107 & 156 4 M°PI h� NORMAN CHAL UPKA \ Computed Area-13,580 S.F_* 24' i 11, or a312 Ac.IN.3 MA RIL YN CHA L UPKA BUILDING CO1/ERAGE 7 CLIENT OF RICK ROY CONSTRUCTION \ Existing Dwelling 1,622 SF. �'= 10 M "1 `,\ `\ RK or 11.9 X 3.4 \+ CLA ENGINEERING LLC 156 Crowell Rood Suite B, Chatham, MA. 02633 3,5 Existing Dwelling (to Remain) 1,060 S F. X Tel.: (508) 945-5454; Fax.: (508) 945-5458 Proposed Addition 935 S.F. ' TOTAL 1,995 S.F. 3.6 -30'-- or 14.7 .`3. OUTERMOST LAND SURVEY, INC. 3904 Main Street, Brewster, MA 02631 4 e \ ;•�\ Tel.: (508) 255-0477; Fax.: (508) 255-0577 NOTE:• LT The abutting topographic and planimetric in- "�l l Phil formation shown hereon was prepared by ;Y- , 56 Old Harbor Road, Hyannis, MA using aerial photography methods. �\ Rev. # Description of Revision Dote I hereby certify that the existing structures +� and physical fegtc, �depicted on locus as l \. shown here cf't �F d as they exist on , \\ the group Date ` ) WNr 32662� , ' ,` t Date: 10-18-2010 Drawing No.: j " 0914010E P. �., '�st��•aE: � � � Scale: 1 - 20 Sheet No.. - ------- 1 of 1 .