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Home My WebLink About0079 SEVENTH AVENUE (HYANNIS) Ait. A _ TOWN OF BARNSTABLE BUILDIpNG PERMIT APPLICATION &n+a6t? FCC P't431 Map 41:% ( Parcel _ `t Application # ®. I 11 [�� ;� App' . 17-4 (� Health Division Date Issued y` �—' Conservation Division Application Feqs Planning Dept. \41 1 TN Permit Fee b Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis 1�Project Street Address 41- �i Village 65 V J Owner OVA Address Telephone -Permit Request 6 � � t Z ` l v.� q111- —Iff R-)o o to 3 5aartdo Square feet: 1 st floor: existing proposed 2nd floor: existing proposed - Total new ;Zoning District Flood Plain Groundwater Overlay Project Valuation t5n,n Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel:. ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑:new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial "❑Yes C o If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) ` Name jai' Telephone Number Address *0 AAA At� 1 icense# t Home Improvement Contractor# l �� 7 • Worker's Compensation # W�do 66-21 ALL CONSTRUCTION DEBRIS RESULTING FR M THIS PRO(J CT W LL BETAKEN TO SIGNATURE DATE i FOR OFFICIAL USE ONLY APPLICATION-# _,.DATEISSUED MAP I PARCEL NO. r' ADDRESS VILLAGE OWNER DATE OF INSPECTION: is OfFO.UNDATaIQNa FRAME — — — — — h h , INSULATION--'.-^, FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING — is « DATE CLOSED OUT l' ASSOCIATION PLAN NO. c I~ - OWNER AUTHORIZATION FORM (Owner's me) owner of the property located at y� yl l 7 /lug , (Property Address) (Property Addre s) hereby authorize CAPE COA -: A5Qtr4 T M (Subcontractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owneils Signature Date w Massachusetts - D6partment.of Public Safety `✓ ..Board of Building Regulations and Standards Construction Super).iscir License: CS-100988., ". HENRY E CASSIDY' 8 SHED ROW WEST YARMOUTH 4 ✓,�... " �`� Expiration Commissioner 11/11/2015 &=7 a :b Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C6n,tractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY ^— --- 18 REARDON CIRCLE ----- SO. YARMOUTH, MA 02664 Update Address and return card, Mark reason for change. .CA1 t+ 20M•05/11 Address Renewal Employment 0 Lost Card _.....-- _ _..... de tpai�h�zoaecue�c�l✓c�C�/�/lrw�ac�eraeCi .C—\ Office of Consumer Affairs& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date, If found return to: egistratlon: 1.53567 Type: Office of Consumer Affairs and Business Regulation xpiratlon:,;.;.121:15/20:1.6 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 CAPE COD INSUTATI;Q:N;INC'. 1ENRY CASSIDY 18 REARDON CIRCLE 30.YARMOUTH,MA 02664 '' �— 2va --Undersecretary N4wiut sign e ^N The Commonwealth of Massachusetts Department of IndustrialAccidents W Office of Investigations w a 1 Congress Street, Suite 100 r Boston, MA 02114-2017 www,mass,gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Or 'zation/Individual); 1k W Address; Qa �kv� V i City/State/Zip; ��GLt, Phone #; I� ' �. ' l� Are you an employer? Check he appropriate box: l,�I am a employer with 4, ❑ I am a general contractor and I Type of project (required); employees (full and/or part-time),* have hired the sub-contractors 6. ❑ New construction . 2,❑ 1 am a sole proprietor or partner- listed on the attached sheet, 7, [] Remodeling shipand have no employees These sub-contractors have 8, ❑ Demolition working for me in any capacity, employees and have workers' [No workers' comp, insurance comp, insurance;t 9, Building addition 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.❑ Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12,❑ Roof repairs insurance required] t c. 152, §1(4), and we have no employees. [No workers' 13. Other comp, insurance required,] ''Any applicant that checks box#1 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this'lfffidavil indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the subcontractors 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 t/te policy and job site Information, Insurance Company Name: 'v' Ci i�tV l? (V (, c,/ Policy# or Self-ins, Lic, Expi-ation Date; l � ite Job S Address:ss, City/State/Zip, Attach a copy of the workers' compensation policy declaration page (showing the policy number a d xpirati r 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 hi the form of a STOP WORK ORDER and a fine of up to$250,00 a day against the violator, Be advised that,a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification, I do hereby certify n r pains and penaltles of perjury that the Information provided a e Is t ue and correct, Si nature: �� Date, Phone#; Official use only, Do not write In this area, to be completed b city or town o p Y tY fflclal, 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#; 5 orry Ra4ers&Gray InsuraFax: To:+15087785735 Fax: +15087785735 Page 2 of 2 0313=015 16: AM CAPECOD-27 BDELAWRENCE ;ACORO CERTIFICATE OF LIABILITY INSURANCE FDATD/YYYY) 3130/230/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Rogers&Gray Insurance Agency, Inc. PHONE FAX -2156434 Rte 134 A Ext: No: (877)816 South Dennis, MA 02660 E-MAIL — ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:SAFETY INSURANCE COMPANY 39454 Cape Cod Insulation,Inc. INSURER c:Endurance American Specialty Ins. Co. 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP _ South Yarmouth, MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEAWL tSIJBH POLICY EFF POLICY P LTR POLICY NUMBER MMIDDIYYYY) (MMIDO/YYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE T OCCUR CBP8263063 04/01/2015 04/01/2016 PREMISES Ea ocaiirence $ 100,000I MED EXP(Any one person) $ O PERSONAL&ADVIN,AJRY $ 1,000,000' GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EOMBINlEeDtSINGLELIMIT $ 1,000,000 B ANY AUTO TBD 04/01/2015 04/01/2016 BODILY INJURY(Per person) $ ALL OWNED Ix SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS � � ( ) NON-OWNED PROPERTY DAMAGE X HIRED AUTOS AUTOS $ Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,00 C EXCESS LIAB CLAIMS-MADE EXCl0006635000 04/01/2015 04/01/2016 AGGREGATE $ DED I X I RETENTION$ 10,000 Aggregate $ 2,000,00� WORKERS COMPENSATION PER OTN- AND EMPLOYERS'LIABILITY Y/N STATUTE ER D ANY PROPRIETORIPARTNERIEXECUTIVE WCE00431900 06/30/2014 06/30/2015 E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDE D9 NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,OOo_-I l It yes,describe Under 1 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1;000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarlis Schedule,may be attached If more space Is required) - Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under th4 General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE, Cape Cod Insulation,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WTH THE POLICY PROVISIONS. South Yarmouth, MA 02664 AUTHORIZED REPRESENTATIVE 141� ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD PROJECT NAB: �` �.�Ov► `� �, �. ADDRESS: t-6&V\Vi LS PERMIT# -10Let �Z PERMIT DATE: lC>ja LARGE ROLLED PLANS ARE IN: BOX 106 SLOT Data entered rn MAPS program on: c BY, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �S® Application # Health Division *Date Issued h Conservation Division '�� tti`�LZ tVi 1? Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address Ale- Village " 4 r nn is Owner Cyn7hta.Gtzu� . l (man 0-41 Address W37/'Q�ln Telephone 3Z 'W Z - Permit Request Adx�,4un -"D A&5hn.5 Slncl o ram,t y,(jr�f A<a aL�dy_d. 47af- ('e.. Y) Square feet: 1Vst floor: existing Mproposed 2nd floor: existing proposed 60 Jotal new Zoning District R13 Flood Plain C. �"�1 O Groundwater Overlay AT . Project Valuation ZW)Q0D Construction Type &wy-_ Lot Size • 2q - Grandfathered: 0 Yes ❑ No If yes; attach supporting documentation. Dwelling Type: Single Family. -C" Two Family ❑ Multi-Family(# units) Age of Existing Structure 6.21e� �. Historic House: ❑Yes ONO On Old King's Highway: ❑Yes ONO Basement Type: A Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sgft)N 93l0 Number of Baths: Full: existing new 9 Half: existing new,) 6?�; Number of Bedrooms: 3 existing new Total Room Count (not including baths): existing new First Floor Roo Count --.•� Heat Type and Fuel: V as ❑ Oil ❑ Electric ❑ Other at Central Air: ❑Yes ❑ No Fireplaces: Existing ® New Existing wood/coal stove�,u Yes` to Detached garage: 0 existing ❑ new size—Pool: ❑ existing ❑ new size Barn: 0 existing ❑ new size_ Attached ,garage: ❑existing S(new size° Shed: ❑ existing ❑ new size Other: Zoning BoariJ of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 3Io If yes, site plan review# Current Use ! k Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ThLw, Telephone Numbers Sv4 lI Z q Address �29 SOS 7Z4 License AL U•rrrt, iN Home Improvement Contractor# J1100 Worker's Compensation # &IC• 4 ZVO*4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 3UA" bYiktfa SIGNATURE �'`� �� DATE FOR OFFICIAL USE ONLY `APPLICATION# 4 DATE ISSUED ` MAP/PARCEL NO.. ADDRESS VILLAGE OWNER r t DATE OF INSPECTION: FOUNDATION- = FRAME + ' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: As" ROUGH FINAL 'FINAL B:UILDING' DATE CLOSED OUT ASSOCIATION PLAN NO. The Common►vealtlz of Massachusetts Department of Industrial Accidents' , Office of.Investigations -- — - 600 Washington Street - Boston; MA.02111 www.mass.gov/dia' Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):- Miller;Starbuek Construction Address: 766 Falmouth Rd.,D-20 City/State/Zip:Mashpee,MA.02649 ' ` ,Phone#: 'S08-539-1124 Are you an employer?Check the appropriate box: 'r " Type of project(required):° f 1.❑ I am a employer with 4. al am a general contractor and l' _ - 6. ❑New construction employees(full and/or part-time).*:' have hired the sub-contractors" `` 7. Reniodelin 2.❑ 1 atri a sole proprietor or partner listed on the attached sheet. t ❑ g These.sub-contractors have 8. ❑ Demolition ship.and have no employees - p ,working for mein any capacity workers' comp' insurance-, 9. Building'addition [No workers'comp.insurance `�s 5. ❑.We are a corporation and its required.] . officers have exercised their 10. Electrical repairs or additions 3.❑ I am a homeowner,doing all'work 'right of exemption per MGL 11.❑Plumbing repairs or.additions myself. [No workers'comp. .c.152,§1(4);.and we have no 12.❑Roof repairs insurance required.]'t - 1. f employees.,-[No workers' 13.❑ Other comp.msurancerequired.] "Anv applicant that checks box#i must also fill out the section below showing their workers'compensation policy information. *Homeowners who submit this affidavit indicating they are doing'all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp:policy information. I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 4 insurance Company`Name: .. Star Insurance Policy#�r Self-ins.Lie.#: WC'0220915. ` ` '. ;'" Expiration Dater 03-27-2013 F$� Job Site Address:-,79 7th Avenue, " City/State/Zip: W. H a�sport,MA , Attach a copy of the workers'compeis'ation 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$250.00 aday against the violator.,'Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdft under the p �a in s sand penalties of perju that the information provided above is true and correct.Si nature: / ,` / t/\. Date Abr` "' hone 508=5394124 P #: Oicial use only. Do not write in this{area,to be completed by city or,town official Aff City.or Town:,," . . ' ' Permit/License.# f.' issuing'Authority(circle one): A. Board of Realth,2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector." 6.'Otherlf Contact Person., _ Phone#: µ a, r r 4 c , w ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) a3/16/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Gwen Vosburgh Mason & Mason Insurance Agency, Inc. ;�HeExe; 781.447.553I N'-781.447.7230 458 South Ave. E-MAIL ADDRESS: Whitman, MA 02392 PUSTUMER D Gwen Vosbu rgh INSURE S AFFORDING COVERAGE NAIC$ INSURED INSURERA: Main Street America Assurance 29939 Miller Starbuck Construction Services Inc INSURERB: Star Insurance 000204 PO BOX 726 INSURER C: Falmouth, MA 02541 INSURERD: tNSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 11/12 GV built 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. NSR TYPE OF INSURANCE JR INSR WVD POLICY NUMBER MWD MIDD F�(P LIMITS GENERAL LIABILITY MPF11001 12/01/2011 12/01/2012 EACH OCCURRENCE $ 2,000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO D--I PREMLSES(Ea occurtencol S SOD,OO CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 A PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 POLICY JECTPRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ . = BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS , r (Per accident) $ NOWOWNED AUTOS $ ' $ UMBRELLA LIAR OCCUR' " EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WCO22091S 03/2712012 03/27/2013 1 we STATLL OTH- AND EMPLOYERS,LJAMUTY YIN L ANY PROPRIETOWPARTNERfEXECUTIVE E.L.EACH ACCIDENT $ 1,000 OO B OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) OFFICER IS INCLUDED E.L.DISEASE-EA EWLOYEd$ 1,000,000 If yes,describe under DESCRIPTION OPERATIONS below' " E.L.DISEASE-POLICY LIMIT $ 1,000,00 )ESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) perations: carpentry 'ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town:of Barnstable. AUTHORIZED REPRESENTATIVE 206 Main Street ' Hy nnis, MA 02601 ' lPhilip Mason 01988-2009 ACORD CORPORATION. All rights reserved. . kCORD 25(2009109) The ACORD name and logo are registered marks of ACORD /4C /1® DATE(MM/DD/YYYY) �R^J CERTIFICATE OF LIABILITY INSURANCE 06/25/2012 PRODUCER 781) 344-8578 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION C. Hollis Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 27 Glen Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton MA 02072- INSURERS AFFORDING COVERAGE NAIC# INSURED PINNACLE SITE CONTRACTORS LLC INSURER A:CNA Insurance P.O. BOX 1101 INSURER B:ACAD IA INSURER C: INSURER D: SAGAMORE BEACH MA 02562— INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY 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 ADDT POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONLTR LEM TYPE OF INSURANCE LIMITS A GENERAL LIABILITY 4034238826 10/21/2011 10/21/2012 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY / / / / PREMISES Ea occurrence $ 100 000 CLAIMS MADE �OCCUR / / / / MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,006,000 GENT AGGREGATE LIMIT APPLIES PER: / / / / PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICY PRO LOC A AUTOMOBILE LIABILITY 4029289746 10/21/2011 10/21/2012 COMBINED SINGLE LIMIT ANY AUTO / / / / (Ea accident) $ 1,000,000 ALL OWNED AUTOS / / / /s BODILY INJURY $ X 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 $ ANY AUTO / / / / OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESS/UMBRELLA LIABILITY 4034238809 10/21/2011 10/21/2012 EACH OCCURRENCE $ 5,000,000 X OCCUR_ CLAIMS MADE / / / / AGGREGATE $ 5,000,000 DEDUCTIBLE $ X RETENTION $ 10;000 $ B WORKERS COMPENSATION 20-20-002678-02 01/26/2012 01/26/2013 X TORY OEH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N / / . / / E.L.EACH ACCIDENT r $ 1,000,000 OFFICER/MEMBER EXCLUDED? F (Mandatory In NH) R / / / / E.L.DISEASE-EA EMPLOYE $ 1,000,000 B yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER IS LISTED AS ADDITIONAL INSURED IN RESPECT TO THE GENERAL LIABILITY PER WRITTEN CONTRACT. CERTIFICATE HOLDER CANCELLATION ( ) — + SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION phil@millerstarbuck.cOm DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN • NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL MILLER STARBUCK CONSTRUCTION. . IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 766 FALMOUTH RD REPRESENTATIVES. R MADAKET PLACE D-20 AUTHORIZED REPRESENTATIVE ` SHPEE MA 02649- ACORD 25(2009101) 01988-2009 ACORD CORPORATION. All rights reserved. INS025(1200901) The ACORD name and logo are registered marks of ACORD .1 z ey/24i/lbl•1 li:if7 bUb4!)/rbbU ALMLIDA & CARLSUN PAGE 01/01 -/i CCa1RD DATE(MMMMYM C TM. ERTIFICATE OF LIABILITY INSURANCE 09/2412012 PRODUCER Plume: 50R-5041e1 Felt: 509457-7eao Tag CU(FICATE 15 ISSUED AS A MATTER OF INFORMATION ALMEID'A B CARLSON INSURANCE AGENCY INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P.O.BOX UA HOLDER. 71119 CERTIFICATE DOES NOT AMEND. AND OR FALMOUTH MA 02541 � TER THE COVEWE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE ' NAIC# INSURED; INSURER A: Arbells Protection Ins Co' ! _.. CAPE CONCRETE FORM CO LLC INSURER B: TTIa Hartford 47 RIVERSIDE ROAD �' _.... _ — ....... .. .... i ... ---- MASHPI E MA 02649 ' INSURER 0, u INSURER D i w ----------. INSURER Et •--•---... —_._..... COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICYPERIOD INDICATED, NOTWIrHSTANOING 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 ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR FANC9R TYPE OF INSURANCE ...._.�. — POLICY NUMBER .i.__•POLICYER'ow Poue1'IDMIIIAi10N .... Lang pmwwM 1 GENERAL LIABILITY _ GSOONO674 OWM12 _ ON29013 - EACH occuRRENcE X COMMERCIAL GENERAL LIABIL „� pp6 !f 50,000 _ CLAIMS MADE OCCUR MED.F�(Any ale Person) f _ 5,000 A x I BROAD FORM A001,INS PERSONAL IL AOV INJURY —___ .._ F --._.. .. 4 s 1.000,000 __ .... -•----- a+R ;' " GENERALAGGRA[GATE Y S 000,000 0ENLAGGREGATELIMITAPPUE8PER, — —"' _ 2100 _ PRO- ...... • PROOUCIS COMPIOP AGO R 2,000,000 POLICY LOC . JECT AmmonR,E UA91un . : r I COMBINT�SINGLE LIMIT -ANY ALTO . . (Ea seddOW) f ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS ` per Pa +I f HIREDAUTOS - _----- - BODILY INJURY NON-OWNED AUTOS r a s (Pffeemwd)PROPERTY 6 DAMAGE f ' 1 GARAGE LIA8ILJTY a AU ANY AUTO TO ONLY•EA ACCIDENT„ f _ < OTHER THAN EA ACC(S AUTO ONLY: AGG—f F ICOM I I UMBRELLA LIABRIrY I r » EACH OCCURRENCE MADE ' S OCCUR CLAIMS AGGREGATE 7']Op _... RETENTION S• _ - s WORKERS COMPENSATION AND ,08WE9S5510 04117112 04117113 IM IT iTLA�NMrre on+ER fiMPLoYHW LIABILITY - - --- B OrFM NPEW RIPARTNDED7 CUTIVE E.L.EACH ACCIDENT_ f 1,000,000 OFRCEg1IMEMfl9R DICLUDED7 s _,;_� - - n EC eL,PROY NEL DISEASE•F.A EMPLOYEE. S 1,000,000 sPEC1AL vaovlsloen Mbw EL.DI9EASE.POLICY LIMIT f OTHEFI: 1,000,000 DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS b CERTIFICATE HOLDER ADDED AS ADDMONAL INSURED ONLY AS THEIR INTERESTS MAY APPEAR, CERTIFI(:ATE HOLDER CANCELLATION . a SHOULD ANY OF THE ABOVE DESCRRIED POLICIES BE CANCELLED BEFORE THE I EXPIRATION DATE TMRREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS , NaiRTHWEsr 3TARBUCK r WR N NOTICE TO THE CERTIFICATE HOLDER NAMM TO THE LEFT,BUT FAILURP,.,•. TO DO SO SMALL IMPOSE NO OBLIGATION OR LIABR.TY OF ANY KIND UPON THE INSURER_, ,AJ=NM OR REPRESPNTATIVEB. 1-+ s AUTHOR RE ESENT M' Attant(on. 50"39-1125 f t'' ACORD 25(2001108) CeW=te# 11051 ®ACORO CORPORATION 1988 CERTIFICATE OF LIABILITY INSURANCE °�'�(MMIDDrYYYY) 9/20/12 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 endorsemen s. PRODUCER CONTACT JOE DEOLIVEIRA DeOliveira Insurance Services' PHONE 508 477-3023 FAX (5oe) 636-6463 509 Falmouth Road Ar 4al Suite 6 { ADOREss: joe@dinsinc.com INSURERS)AFFORDING COVERAGE NAIC If Mashpee, MA 02649 _ INSURER A:HARTFORD FIRE INSURANCE 19682 INSURED INSURERB:ARBELLA PROTECTION INSURANCE 41360 Barber Drywall Inc• '. INSURERC:HARTFORD FIRE INSURANCE 19682 424 Main Street b , INSURER D:HARTFORD FIRE INSURANCE 19682 Harwich, MA 02645 r�,•, . INSURER E: ! INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, - EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBR POLICY EFF POUCY EXP LTR TYPEOFINSURANCE INSRPOUCY NUMBER MIDDIY MMIDD/YYYY LIMITS A GENERALUABIL17Y Y 08SBMTL2872 5/24/12 5/24/13 EACH OCCURRENCE $- 2,000,000 X CONMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 300,000 CLAIMS-MADE X OCCUR t r PREMISES(Ea occurrenrM MED OF(Arty one person) $ 10,000 x PERSONALBADVINJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENTAGGREGATE LIMITAPPLIES PER PRODUCTS-COMP/OPAGG $ 4,000,000 . F• POLICY �{ PROJEr - LOC $ B AUTOMOBILE LIABILITY ,- 50284400003 1/18/12 1/18/13 CIN DSart)INGLELIMIT ANYAUTO + BODILY INJURY(Per person) $ 250,000 ALLOWNED SCHEDULED ;� SOO,000 AUTOS X AUTOS , BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERiY DAMAGE AUTOS eracciderd $ 100,000 D UMBRELLA LIAB X OCCUR 08SBMTL2872' _ 5/24/12 5/24/13 EACH OCCURRENCE $ F�(CESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 - $ 1,000,000 A WORKERS COMPENSAT19N • x 08WECLH1841 9/28/12 9/28/13 g WC STATU- OTH- AND EMPLOYERS'LIABII L,7 Y/N .f ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACHACgDENT $ 5OO OOO OFFICERMIEMBER EXCLUDED? 7 N/A , (Mandatory In NH) y `' a E.L.DISEASE-EA EMPLOYEE $ 500,000 Ifrys,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT Is 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is regdred) DRYWALL INSTALLATION JOSEPH S BARBER IIIYIS.-LISTED`°AS A COVERED EMPLOYEE UNDER THIS WORKERS COMPENSATION POLICY SEE ATTACHED ACCORD, FOR ADDITIONAL -INSURED ller" Starbuck-AND,Northwest Starbuck�as additional insured- - CERTIFICATE HOLDER CANCELLATION. 6' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN' `NORTHWEST,STARBUCK%e L. ACCORDANCE WITH THE POLICY PROVISIONS. ' RTE-28 MADAKET a PL, ACE D-20 AUTHORZED REPRESENTATIVE "f •� . * MASHPEE, MA 02649 5_ h, JOE DEOLIVEIRA ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)4 r ;,. The,ACORD name and logo are registered marks.of ACORD r a Phone: Fax: F , _°E Mail• '� DATE(MMIDDIYYYY) ACORro CERTIFICATE OF LIABILITY INSURANCE 8/17/2012 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 . ' CONTA y gCT Courtney Fini an, CIC, CRM PRODUCER AME:� Murray & MacDonald Insurance Services, Inc. PHONE (508)540-2400 F' Nolo(508)289-4111 550 MacArthur Blvd. EADORE -MAIL ,ofinigan@mmisi.com �a x' INSURERS AFFORDING COVERAGE NAIC# Bourne MA 02532 INSURER AArbella Protection Insurance d1360 INSURED INSURER B:Travelers WC Colony Insulation Inc. - INSURER C: 28 Jonathan Bourne Road INSURERD: INSURER E: Pocasset MA 02559 INSURERF:. COVERAGES CERTIFICATE NUMBER:12-13 Master GL 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. rA ADDL S BR POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE POLICY NUMBER D GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 100,000 X COMMERCIAL GENERAL LIABILITY REMIS Ea occurrence) $ CLAIMS-MADE I—XI OCCUR B500028928 /18/2012 /18/2013 MED EXP(Any one person $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GENERAL AGGREGATE• $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY PRO LOC $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a en 11000,000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED X SCHEDULED. i 9692400002 /18/2012 /18/2013 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED a PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS # Per accident) s- Underinsured motorist BI s lit $ 20,000 X UMBRELLA LIAB HOCCUR i EACH OCCURRENCE $ 3,000,000 A EXCESS LFAB CLAIMS-MADE AGGREGATE' $ DED X RETENTION 10,000 600028929 /18/2012 /18/2013 $ B WORKERS COMPENSATION Tnpy WC I IMIT- OTH- AND EMPLOYERS'LLABILITY Y ANY PROPRIETOR/PARTNER/EXECUTIVE� N 1 A /1B/2012 /18/2013 E.L.EACH ACCIDENT $ 5OO OOO OFFICER/MEMBER EXCLUDED? C "- E.L.DISEASE-EA EMPLOYE9$ 500,000 (Mandatory in NH) R If yes,describe under D ESC RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,H more space is required) Miller Starbuck° Co. , Inc is additonali nsured with respect to general liability form CG2010 (10 01) CERTIFICATE HOLDER CANCELLATION .4 °+ + SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN e ACCORDANCE WITH THE POLICY PROVISIONS. : MillerfStarbuck Construction BOX 726 n AUTHORIZED REPRESENTATIVE Falmouth,= MA 02540 C Finigan, CIC, CRM/A ACORD 25(2010/05), ©1988.2010 ACORD CORPORATION.-All rights reserved.,. INS025(2oloos).o1 '¢ °" The ACORD name and logo are registered marks of ACORD w R 09/19/2012 10:20 5087710663 SCHLEGEL_INSURANCE PAGE 01/01 DnTE(MMIDWW YY) CERTIFICATE OF LIABILITY INSURANCE 09/19/2012 THIS No RIGHTS UPI IN THE THIS CERTIFICATE 19 ISSUED AS Em A MATTER OF WFORMATIAN ONLYDXTENND OR FALTER THE COVER GE AFFORDED C B THE ATE D POLICIES RS ATIVEL , CERTIFICATE DOES NOT AFFIRMATIVELY OR NECs BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER F th to e ConiflOate holder Is en ADDITIONAL INSURED, the pOncy(les) must tte endoreed•Is c IRf1If 8 oesnot oniferDrights)t t the s and conditions of the policy, co aln policies may requireen endorsement A Statement on tit holder In iIOU of 9uth eTTdoesoment(S). NAME; 9 ��L L INSURANCE BROURS INC NONE (508) 771 — 8381 ANe)FAX 508-771-0663 arc NnE><t STREET aoDRQE� SCSLEGELINSURANCJ,@VERIZON.NET .. CUSTOMER 101= INSURER(S)APPORDINC COVERAAE NAIL WEST YARAIOUTH, MA 02673 INSURED INSURER A GRANITE STATE Dba Blackr.fiver Contruction Edmar Lima INSURER B I Po Box 1062 INSURER C: INMMFA D: Centerville, MA 02632 INSURBIIF, nuauRER F RE✓ISION NUMBER_ COVERAGES CERTIFICATE NUMBER: TFIIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED WITH BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE. AFFORDED CONDITION OF ANY CONTRACT OR OTHER DOCUMENT RESPECT TO WHICH THIS BY THE POLICIES DESCRIBED H°REIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS1111ICTM- M —--Foam Or— LIMITS TYPE OF IN3URANCE POLICY NUMBER (MMID (MMIDT"Y'y 1 LTA INSR VWD E,CN OCCURRENCE a QBNPAAL LIABILITY tIIN'L ERCIAL GENERAL LIABILITY P IENp ceuno„eel ! CLAIM&MADE ICI OCCUR w M 5D EXP(Any one Demon) ! P 1 GM&A ADV KRJRV ! ENERAL AGGREGATHioom-ra•COMPIOP A00 s REGATE LIMB APPLIES PER: S :Y JECT LOC. AUTOMOBILE LIABILITY <OMBINM SINGLE LIMIT s (Ea ooc:eerm ANY AUTO - E ODILY IN.n.IRY(PeTPardcnl ! ALL CNYNFp AUTOS E DOILY IN.IIIRY(Pa eoeidonq. ! ScHSDULFO ALTOS I ROPUM DAMAGE 6 I per eeeldad) HIRED AUTOS + s NON.oWNPD AUT64" S UMBRELLA LIAeOCCLp1 - - ACH OCCURRENCE s — F_7 CEBs LIAR HCLAIM&I MADE - LCGREGATP ! DEDUCTIBLE S AMEINTION S RS COMPATION - NC 00809986 11/211201111/21/2012 ATE• WOpKE ENS R A TORY LIMITS ER AND BMPI.OYERS'LIABILITY Y I ry ANY PROPRIETORIPARTNERIEXEOLMVE I.L.EACH ACCIDENT ! 100 O OFRCERNE!MBrJR EXCLUDED? 17X N I A 3L.DISEASE•2A EMPLOYEES 100,000 (Mnndmon III NNI II Yee,46oetleo uneeT _ P.L.DISEASE•POLICY LIMIT s 500,000 DESCRIPTION Of OPFRATiON^a Oelaa DESCRIPTION OF OPERATION:I/LOCATIONS/VFJIICLES IAjWh ACORD 101,Addmo,ml Remarks Schedule,p,nmo npoe IF mqutrod) EDMAR LIMA HAS ELECTED NOT TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSAT:E')y POLICY CERTIFICATE HOLDER CANCELLATION NORTMMST BT/ARBUCR` SHOULD ANY OF THE ABOVE DESOAIBBD POUCIES.BE CANCELLED BEFORE ' PO BOX 726 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE MATH THE POLICY PR-)VISIONS. FALMOUTH, MA 02541 AUIH"MID RFPRESENTMNE - rAR 5 1-508-539-1125 01988.2009 ACORD CORPORATION, All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD r 1 /4/2012 1: 36 : 315 PM. .8935 ® 02/02 'CERTIFICATE OF LIABILITY INSURANCE DATE 01 OM2012Y) THIS CERTIFICATE IS.ISSUED AS A MATTER or 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 DOESNOT CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURERS)., AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(iss) must be endorsed. If SVBROGATIOH IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A .statement on this certificate does not confer rights.to the certificate holder in lieu of such endorsement(s). PRODUCER - _ CONTACT - Farrell BAcklund Insurance PHONE �• [AI Agency LLC (A/c.NP. ENus E-NAIL P 0 Box 509 ADDRESS: PRODUCER - Taunton", 2-A 02.780 r CUSTOMER ID.. INSVRED(S) A[[ORDIND COVERAGE - ITAIC R IRSURED - " INassEN A: A.T.M. Mutual Insurance Co, - 33758 INSURER B: William R Valadao 395 Sandwich Road y , - � _ .INSURER C: East Falmouth, MA 0253E INSURER o: INSURER[: - - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW RAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. ' N07WITHSTANDING 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 cONDITION$ OF.SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ''POLICY NUMER POLICY EFF _ POLICY EXP LIMITS . .. Aer TYPE OF INSURANCE cw/DD/rTnl ,m 19111 Tn ` GENERAL LIABILITY. - EACH occvaasre - S - MCOMMERCIAL GENERAL LIABILITY. , r , DAMAGE TO RENTED PREMISESM—ccarrence)- .❑CLAIMS MADE ❑OCCUR.• - RED ESP (Any one pereen) $ . '- PERSONAL A ABU INJURY. S . - ❑ .. L +'GEN'L AGGREGATE LIMIT APPLIES OR: GENERAL AGGREGATE S`6.. � r ' POLICY PROJECT,❑LOC e. PRODUCTS- COW/up ABU S AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT nARY.AUTO - lea accident) P{` ❑ALL.OWNED AUT04 BODILY INJURY (per person) .8 - .. ., .. j - - nSCHEDULED AUTOS .�. • BODILY ISJURYIper nmldeet/, f HIRED AUTOS } _ PROPERTY DAMAGE _ - . Iper ecridentl -❑NOR-OWNED AUT03 ❑UMBRELLA LIAB .00CUR - - EACH OCCURRENCE 8 :DR.—LIAB 1:1 CLAIMS MADE AGGREGATE • F]DEDI)CTIBLE e �.[:]RETRNTION f WORKERS COWENSATIONGTx- AND-EM LOiiiS LIABILITY '_® roarLffii5 eR . THE.PROPRIETOR/PARTNERS/ - - 'A EXECUTIVE.OFE'ICERS,A e.L. EACH ACCIDENT RE � 100,UUO ❑ incl ® excl ` 7015995012012 E.L. DISEASE -POLICY LIMIT s 500,000 01/63/2012 01/03/2013 E.L. DISEASE-EA EMPLOYE S 100,000 C@mBUYS DESCRIPTION OF OPERATIONS OR LOCATIONS: - h WILLIAM R VALADAO;I'S NOT COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE`HOLDER, a CANCELLATION " ;NORTHWEST STARBUCK MILL FARM LLC, - - .SHOULD.ANY OF.THE ABOVE DESCRIBED POLICIES'BE CANCELLED BEFORE THE ' . EXPIRATION DATE. THEREOF, .NOTICE WILL HE DELIVERED IN ACCORDANCE-W1'PH THE 'P 0 BOX 726 POLICY PROVISIONS. . AUTHORIZED REPRESENTATIVE FALMOVTH, MA 02540`x List of Subcontractors— 79 Seventh Ave • Pinnacle Site • Cape Concrete Forms • Colony Insulation • Barber Drywall • RJ Painting „ • Black River Construction ` • WR Valadao Electric e • Braga Brothers Plumbing • Air Doctor - - !_ °. - � s. � .•• . it r d t .. is . -4 .. - a , � • ` P rn ._a, a r. � t • `6• + __ f AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist-for Compliance (780 CMR 5301.2.1.1)1 79 SEVENTH AVE (MAIN ADDITION) W HYANNIS PORT, MA Q Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust).....................:........................................................`....................................110 mph WindExposure Category................................................................................:.................................................B Q 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) .......2 stories 5 2 stories Q RoofPitch.................................................:.........................(Fig 2) ......................................................8<_ 12:12 MeanRoof Height.......................................':............................(Fig 2):.....................................................23 ft s 33' Building Width,W..................................:.............................(Fig 3)................. . 29 ft <_80' Q ................................. Building Length, L...............................................................(Fig 3)....................e:..............................43 ft 5 80' Q Building Aspect Ratio(LNG ................:...............................(Fig 4)................................................... 1.5 5 3:1 Q Nominal Height.of Tallest Opening2 .......................................(Fig 4)........................:...........................6'-8"5 6'8" , 1.3 FRAMING CONNECTIONS General compliance with framing connections.......:............(Table 2)...................:..................::.............:......... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry....................:.........................................................:.... ............. .............................. ........ 2.2 ANCHORAGE TO FOUNDATION',3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ...................c........._...............(Table 4).................... ::. 32 in. N/A Bolt Spacing from end/joint of plate'.............................(Fig 5)................:.:...::.................12 in._s 6"-12" N/A Bolt Embedment—concrete......:..................................(Fig 5)................. ..............................7 in.•>_7" . N/A Bolt Embedment—masonry........................................:(Fig 5)................:.:..............:..:....... in.a 15" N/A Plate Washer.............................:..................................(Fig 5)......................:........:...............a 3"x 3"x'/<" N/A 3.1 FLOORS Floor framing member spans checked.....................:..........(per 780 CMR Chapter 55)...................................... Maximum Floor Opening Dimension....................................(Fig 6).... .................................. ..:...._ft s 12' N/A Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6):..,:..._......:..........:....:....,.... N/A Maximum.Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.................(Fig 7)..................................................... ft 5 d N/A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall.................(Fig 8).................................................... ft 5 d N/A FloorBracing at Endwalls.....................::.....................,.......(Fig 9)...............,..................................................... Floor Sheathing Type .......... ............................... ........(per 780 CMR Chapter 55)......... ........`. ............ Q Floor Sheathing Thickness....................................:............(per 780 CMR Chapter 55).................. ..........3/4 in. Floor Sheathing Fastening...............................:...................(Table 2)............8 d nails at 6 in edge/12 in field .4.1 WALLS Wall Height Loadbearing walls......:..................................................(Fig'10 and Table 5)............._...........8' 0"ft <_ 10' 10 Non-Loadbearing walls.................................................(Fig 10 and Table 5)........................;.8'-0"ft _<20' 0 Wall Stud Spacing ..........................................................(Fig 10 and Table 5).....................16 in.<_24"o.c. Q Wall Story Offsets .................:'.......................................(Figs 7&8).........:...................................._ft s d N/A ' AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)I 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang,...' '**........ verhang............ ................:........ (Figure 19)........:......2/3 ft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)..,..........:.................................U=236 plf Q 'Lateral....:.........................................(Table 12)...............................................L=176 plf Shear...............................................(Table 12).......... ....,........... ......................S=77 plf Ridge Strap Connections, if collar ties not used.per page 21... (Table 13)...:............................T= plf N/A Gable Rake Outlooker.........................................(Figure 20).............._ft s smaller of 2'or U2 N/A, Truss or Rafter Connections at Non-Loadbearing Walls ' Proprietary Connectors Uplift.................................................(Table 14).............................................U= lb. N/A Lateral(no.of 16d common nails)...(Table 14).................:.....................L= lb. N/A Roof Sheathing Type....................................................(per 780 CMR Chapters 58 and 59) ............ 0 Roof Sheathing Thickness............................................................................................5/8 in. >_7/16"WSP Roof Sheathing Fastening ....... .............................(Table 2)............. ...................... ..................8d r ` �79 SEVENTH AVE (MAIN ADDITION) W HYANNIS PORT,-MA-MEETS THIS CHECKLIST IN-IT'S_ENTIRETYI (THEREFORE THE FOLLOWING NOTE APPLIES:�_ Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1:1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11' c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs.per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. 4. , a. From Tables 10 and 11 and location of wall sheathing and Building_Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii.All horizontal joints shall occur over and be nailed to framing. iii.On single.story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. . V. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment r � AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMx 5301.2.1.1)' -WIiEN THIS EDGE RESTS ON F3WIIING I;i5 W MAILS AT6b.c. ' _��- •f1--'_fr____- lr n 1! u n 1 • /1 n u 1 u 1.1 91 11 11 1 11 1/ 1.1 11 1t I I 11 11 11 11 11 N 1•I ,[ ' 9 n!! n i 1141 1 1 F - Ir.F is of m J1 IL . Ie CO to II 'II- Ir ! a. 11 11 1.1 1 II I W ii 11 �1 r It x /t 1 I1 O r I! Q it f Y{ 1 I Q II II ll W i (� f 1! 13�„ I1 / N f • 1'"I�'1 II to 11. 1 11 Uwe„ a 11 - 11 40UMEEDCE MAILSPACWG i i PANEt .�1 ry - See Detall on Next.Page Vertical and Horizontal Nailing -for Panel Attachment AWC Guide to Wood-Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)' luo 9 a - e Ti t � � t I _ a a a .tl Il FliMgING MEMBER$ i i 1 EDGEWERMEIMT£ e 1 t t t _ _ S'TAGGEREO MAIL PATTERN � PANEL PANP—EDGE DOUBLE NAIL EDGE SPAC14G DETAIL ' Detai l f Vertical and Horizontal Nailing for Panel Attachment f AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' 79 SEVENTH AVE (GARAGE) W HYANNIS PORT, MA Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust)...........:...........................:.:.:............:.................:.....................:...................110 .mph W1 WindExposure Category..................:...............:...........................................................................................:......B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) ..:.... 1 stories <_2 stories Roof Pitch ................................... ....................:..................(Fig 2)........................:............................8s 12:1�2 Mean Roof Height.........................:...........................................(Fig 2).......,..............:..............................16 ft <_33' _Building Width,W............................ :...........................(Fig 3 ... ................. 16 ft s 80' Building Length, L.............................................:..........._.....(Fig 3)..................:.....:...........................24 ft 5 80' , Building Aspect Ratio(L/W) ................................................(Fig 4).................................................. 1.5 <_3:1 K Nominal Height of Tallest Opening2......................:....................(Fig 4)..................................................6'-8"s 68' 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2).......................:........................................ Q , . 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 F ' Concrete.....:........................:................................................................................................ ConcreteMasonry.................................................................................................. ....... 2.2 ANCHORAGE TO FOUNDATION',3 - 5/8"Anchor Bolts imbedded or 5/8" Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4).......................................:........... 32 in. " N/A Bolt Spacing from end/joint of plate.............................(Fig 5).........................................12 in.<_6"—12" N/A Bolt Embedment—concrete........................................(Fig 5)..................:..........:..................7 in.>7" N/A Bolt Embedment—masonry.........................................(Fig 5)............................................ in.>_15„ N/A Plate Washer............................... (Fig 5)....:.........:................................a:3„x 3„x,/4„ N/A ................. 3.1 FLOORS , Floor framing member spans checked ................................(per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension....................................(Fig 6).................................................. ft<_ 12' N/A Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).......................I.......:........ N/A Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.................(Fig 7).........................,.........................._ft <_d N/A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall.................(Fig 8)............................ Floor Bracing at Endwalls....................................................(Fig 9)............. ............................... .......................`. Floor Sheathing Type .............................:...........:................(per 780 CMR Chapter 55)................................... Q Floor Sheathing Thickness............:....................................(per 780 CMR Chapter 55).................:........314 in. Q Floor Sheathing Fastening..............................:............:.......(Table 2)............8 d nails at 6.in edge/12'in field 4.1 WALLS ' .' Wall Height s Loadbearing walls......................................... .........(Fig 10 and Table 5).........................8'-0"ft.< 16' _ Non-Loadbearing walls....................................:............(Fig 10 and Table.5)..:.......................8'-0"ft s 20' s . Wall Stud Spacing .........................................................(Fig 10 and Table 5).......................16 in.s 24"O.C. .2rYWall Sto Offsets . .........................................................(Figs 78t 8)............................................. ft s d N/A ' ' .. -• � is .. '- AWC Guide to.Wood Construction.in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist.for Compliance (780 cMR 5301.2.1.1)i 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls.........................................................(Table 5).........................................2x6-8 ft 0 in. Non-Loadbearing walls........:.............::..:.......................(Table 5).........................................2x6-8 ft.0 in. Gable End Wall Bracing' Full Height Endwall Studs...............:.",...........................(Fig 10)................................>.................................. WSP Attic Floor Length...........:....................................(Fig 11)..........................:.................. ft>_W/3 N/A Gypsum Ceiling Length (if WSP not used)...................(Fig 11).................7...............................15 ft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).............................. N/A or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Q Double Top Plate Splice.Length .........................................................(Fig 13 and Table 6)..........................:.............8 ft Q .Splice Connection (no.of 16d common nails)..............(Table 6).............................................................6 Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..............................................................2 Q Non-Loadbearing Wall Connections Lateral(no.of 16d common nails).....................:..........(Table 8)....................................:............:............3 Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .........................................................(Table 9)..........................................:.Oft 0 in.<_ 11' Q SillPlate Spans .................................................:.......(Table 9)............................................Oft O in.<11' Q Full Height Studs (no.of studs)...................................(Table 9)............................................................3 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...............................................................(Table 9)..................: ............2 ft 0 in.<_ 12' Sill Plate Spans............................................................(Table 9)..................................—ft_in.s 12" N/A Full Height Studs(no.of studs)................:................:..(Table 9).........................................................::..... N/A Exterior Wall Sheathing to Resist.Uplift and Shear Simultaneously° Minimum Building Dimension,W Nominal Height of Tallest Opening2 .........................................................................<_6'8" NIA SheathingType...................................:..........(note 4)..........................................................WSP Q Edge Nail Spacing..........................................(Table 10 or note 4 if less).............................3 in. �( FieldNail Spacing..........................................(Table 10)....................................................12 in. Shear Connection(no.of 16d common nails)(Table 10)......................... Percent Full-Height Sheathing.......................(Table 10).....................................................:..30% 5%Additional Sheathing for Wall with Opening>6'8.. ..................................... N/A Maximum Building Dimension, L Nominal Height of Tallest Opening2......................................................................6'-8"<6'8" Q SheathingType..............................................(note 4)..........................................................WSP Q Edge Nail Spacing..........................................(Table 11 or note 4 if less).............. ...3 in. Field Nail Spacing..........................................(Table 11)....................................................12 in. Shear Connection(no.of 16d common nails)(Table 11)............................................................4 Q Percent Full-Height Sheathing.......................(Table 11)........................................................15% Q 5%Additional Sheathing for Wall with Opening>6'8.. ..................................:................. Wall Cladding Ratedfor Wind Speed?............................................................................................................................... AWC Guide to Wood Construction.in High Wind Areas: 110 mph Wind.Zone Massachusetts Checklist for Compliance(780 CM..R 5301.2.1.1)I 5.1 ROOFS ,. Roof framing member spans checked?... ............:.......(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ............................................°:.......(Figure 19)......::....::..2/3 ft<_smaller of 2'or U3 Q Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift: ......... ......... ......... .........(Table 12) ........ ...................................U=236 plf Lateral .....:....:.....:...........................(Table 12) ......... .................. . .........L=176 plf Shear...............................................(Table 12)......... .. . ......'. '.......................S=77 plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13)..-... ..............:..........T= plf N/A Gable Rake Outlooker:.................°:.....................(Figure 20)..............!ft s smaller of 2'or U2 N/A Truss or Rafter Connections at'Non-Loadbearing Walls Proprietary Connectors Uplift......................... 1 .........(Table 14) .. ........ .. ...:.. ..... .::. .........U= °, lb. r .: N/A ...................... Lateral(no.of 16d common nails)...(Table 14) .. .:: ......... ....: ........L= 1b. • . _ N/A Roof Sheathing Type.... ......:...................................(per 780 CMR Chapters>58 and 59) .......... "WSPRoof Sheathing Thickness........ ................. ........:............. .. .. .... 8 in-z 7/16: Roof Sheathing Fastening..:...... ..... .......' .........(Table 2) ......... ......... ......... .......8d �79 SEVENTH AVE (GARAGE) W HYANNIS PORT, MA MEETS THIS CHECKLIST IN ITS ENTIRE 1 ` ITHEREFORE_THE FOLLOWING NOTE APPLIES:' Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the,requirements of 780 CMR 5301.2.1.t Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not, ' required per the WFCM 110 mph Guide: a. Steel Straps per Figures b. 20 Gage Straps per Figure 11 „ c. Uplift Straps per Figure 14 d. All Straps per Figure,17 Y e. Corner Stud Hold Downs per Figure 18a and Figure 186 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to'the,percentfull-height sheathing - requirements.shown in Tables 10 and 11. 3. The bottom sill plate in,exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. 4. .a. From'Tables 1O and 11 and`location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail'Spacing requirements R " 'b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: 'i. Panels shall be installed with strength axis parallel to studs. ii.All horizontal joints shall occur over and be nailed to framing. m iii.On single'story construction, panels shall be attached to bottom plates and top member of the double m top plate' ".. iv.'. On two story construction, upper panels shall be attached to the top member:of the upper double` top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band „. joist and lower-attachment made to lowest plate at first floor framing: rt v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8dY1 staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for.Panel Attachment v x • I , AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind.Zone Massachusetts Checklist for Compliance (78o CMR 5301.2.1.1)' -MEN THIS EDGE R NMDN FRAMINGUMSd NAIL$ ATsb c • 11 er II Ir rl 1 1 1 u u r M 1•I �3( • Y 11 11 11 V 11 n -i 41 1 i II u • Ir`F is �i am l i CD h 2 1 S IL I:, all �4L r 11 • Ir $ li u � r 1 1,1 n it W .. le a Ir r. W . 1T 1 K '1 IJ 11 1 11 11 t W&SPACWG S t a See Detail on Next-Page M Vertical.and Horizontal Nailing for Panel Attachment s r 'A AWC Guide to Wood Construction.in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)' , Q' 1 i 1 .. '• •t I ! 1 x U1 {1 1 i / 1 4 ra II. I1 x a + 1 FRAMING MEMBERS . i a EDGEldiERMEDIAT£ r 3"MIN: 1 1. STAGGERED J*MNJ MLPATfERN � PANEL r PAWL EDGE ' DOUBLE NAIL EDGE SPACING DUAL ` - Detail ; Vertical'and Horizontal Nailing for,Panel Attachment -, IV 71 I ^ a _ , , :1 s aid n . •' .. * t �.' • d .=t • ,p'ry ,c • . , z r a T y ` t r r� -. � of .. ra ., f..i x�a,* � .Y r. � , �•. _ � 4 REScheck Software Version 4.4.1 . Compliance Certificate Project Title: ADDITION Energy Code: 2009 1ECC Location: Barnstable,Massachusetts Construction Type: Single Family Glazing Area Percentage: 27% Heating Degree Days: 6137 _ Climate Zone: 5 Construction Site: Owner/Agent:, Designer/Contractor: 79 SEVENTH AVE MILLER STARBUCK W HYANNIS PORT,MA Compliance:3.3%Better Than Code Maximum UA:241 Your UA:233 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Gross • Assemblyor or D•• Perimeter • TOTAL CEILING:Flat Ceiling or Scissor Truss 886 38.0 0.0 26 Skylight 1:Wood Frame:Double Pane with Low-E 15 0.340 5 TOTAL WALLS:Wood Frame,16"o.c. 1296 '21.0 0.0 54 TOTAL WINDOWS:Wood Frame:Double Pane with Low-E 245 0.340 83 TOTAL GLASS DOORS:Glass 105 0.340 36 TOTAL FLOOR:All-Wood Joist/Truss-Over Unconditioned Space 886 30.0- 0.0 29 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications;and other' calculations submitted with the:permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4'.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date F r.r. Project Title: ADDITION Report date: 09/20/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\SEVENTH AVE.rck Page 1 of 4 REScheck Software Version 4.4.1'` Inspection Checklist r Ceilings: ❑ TOTAL CEILING:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ TOTAL WALLS:Wood Frame,16"o.c. R-21.0 cavity insulation Comments: Windows: ❑ TOTAL WINDOWS:Wood Frame:Double"Pane with Low-E,U-factor:0.340 ' For windows without labeled U-factors,describe features: ' Y #Panes frame Type Thermal Break? ° Yes No' '. Comments: Skylights: ❑ Skylight 1:Wood Frame'Double Pane with Low-E,U-factor:0.340 , #Panes' Frame Type Thermal Break? ' Yes No Comments: Doors: • TOTAL GLASS DOORS:Glass,U-factor:0.340 . Comments: , Floors: " Li TOTAL FLOOR:Ali-Wood'Joist/Truss:Over.Unconditioned Space,R-30.0 cavity insulation } ' Comments:, Floor insulation is installed in permanent contact with the underside of the subfioor 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.,.,, 4 + ❑ 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. w ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. "" $ ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts ❑ 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-oh the surrounding surfaces.Where loose fill insulation exists;a baffle or retainer is,installed to maintain insulation application. _ Air Sealing and:Insulation: ❑, Building envelope air tightness and insulation installation'complies by either 1)a Post t 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 x repaired. .. (b)Ceiling/attic::Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps'are sealed. ` (6)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building'envelope air barrier. g ADDITION Pro'ect`Title• t 4•. ° Report date: 09/20/12 Data.,filename:C:\Users\Fine Line Design 1.\Documents\REScheck\SEVENTH AVEI,rck Page 2 of 4 (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) Corners,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 r specifications. _ A Duct Insulation: LI 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: Ll Building framing cavities are not used as supply ducts. 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. fl Exceptions: r 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). ❑ Duct tightness test has been performed and meets one of the following test criteria: 0)Postconstruction leakage to outdoors test:Less than or equal to 70.9 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 106.3 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 53.2 cfm(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 35.4 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: ri 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: ❑ Circulating service hot water pipes are insulated to R-2. , ❑ 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: '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: Project Title:ADDITION Report date: 09/20/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\SEVENTH AVE.rck Page 3 of 4- Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Lj 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 F (d)50 lumens per watt for lamp wattage>15 and ='40 - - (e)60 lumens per watt for lamp wattage>40 4 Other Requirements: ❑ 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'c'). Certificate: ❑ 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) . k _ E r Project Title' ADDITION Report date:,09/20/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\SEVENTH AVE.rck 'Page 4 of 4 2009 IECC Energy Efficiency Certificate Ceiling I Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.34 0.34 Skylight 0.34 0.34 Door 0.34 0.34 Heating System: Cooling System: Water Heater: Name: Date: Comments: 3 � t I Nl assa chusetts- Department Of Public 1iFfen St>ard o $uildin�ftt��ut:afir►i»t.Yuri Stinthirct� Construction Supervisor license License: CS 43338 PHILIP M`;MILLER PO BOX 726 FALMOUTH, MA 02541 ' -- - - ^� Expiration: 3114/201.3 ; • tumiissirnae• Trot' t0515 - r i t ♦ F k • • 4 f ,° faar�"�aea License or registration valid for individul use only Office of Consumer Affairs&B seness Regulation g y Y HOME IMPROVEMENT CONTRACTOR before the.ezpiration date. If found return to. Registration 110373 Type: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration 1 012 0/2 0 1 2 Private Corporation i Boston,MA_ 021.16 MILLER STARBUGK CONSTRUCTION, INC. PHILIP MILLER;Ji:. +, 40 MILLPOND WAY1'0 t-7 EAST FALMOUTH MA 02536 , Yam, .Undersecretary Not valid without signs e , Town of Barnstable Regulatory Services i Thomas F.Geller,Director M"s Building Division.. Tom Perry,Building Commissioner 200 Main ftve4 Hyannis,MA 02601 wwwAawn.barnstable.ma.us Office:: 508-862-4038 Fax: 508-790-6230 Property Owner:Must Complete and Sign This Section If Using A Builder I, �.-/ ► '� ��► �s Ownet of the subject property hereby,authorize 114 1/Atr Shax bLj Gk to act on my behalf, in all matters relative to work authorized by this building permit , 7q sevenf-h Ave, l�ya n n i;S . (Address of job) 4-0 *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled before fence is installed and pools are not to be utilized until all.final inspections are performed and accepted. �jnatare of et of Applicant Pi6t Name Print Name DA I. Q.1 :0WNW - Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee 7z : .ARNM.t , K"a Thomas F.Geller,Director Xs®RE SS PERMIT 9 Building Division Tom Perry,CBO, Building Commissioner 9 201Z P 200 Main Street,Hyannis,MA 02601 JAN www.town.bamstable.ma.us Office: 508-862-4038 t -E EXPRESS PERMIT APPLICATION - RESIDENAR O LO A Not Valid without Red X-Press Imprint. Map/parcel Number • Property Address 3eve A'1, P iVe 3cs� 14 A t,s oG.f,t- MA n e 7 I -Residential ValueofWork J a 5 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 2>t e,e7 irl Aran 0 nr r► An,0 09Le7j Contractor's Name Sprinkle Home Improvement -Telephone Number 508 775-1778 Home Improvement Contractor License#(if applicable) 103757 Construction Supervisor,s License#(if applicable) RIWorkman's Compensation Insurance Check one: ❑ 1 am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation.Insurance Insurance Company Name As.Sneiatgd InduStrips t7f MA Workman's Comp.Policy#_AWG 700494301?n3.a Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) to-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to�Gi wylc, C` \ l A�d1Sr S �c>'1 ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors pTkReplacement Windows/doors/sliders. U-Value . 03a (maximum.35)#of windows R •Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. , a - , ***Note: Property Owner m gn Property Owner Letter of Permission. ° A co o o mprovement Contractors License&Construction Supervisors License is t requi t SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPPESS.doc Revised 072110 s Z`O O Ba�'IIStaXe Regulatory Servnces } Thomas$,.."ie..bkector [ 4 Tom Perry,$uniting Commissfi her 2 00Maiap" MA"02601 wvw favrn:baritstable tna.us Offioe 508-862-4038 Fax:.'508-790-6230: Properly Owner 1VZus . . :Cotriplete and:Sxgu'xhs .Section If Using A Builder, t ' as Owner of the subject property i hereby au thorazc IPr► tV-- c to act on my behalf; in all tnatteis relative to;wc�rk av�harized byth�s bu�duig permit;appltcatioa for:' (Address.6f:j6b) S �.of Owner Dke :Print Name If Pro ed*Owned is,appXying for perna�t i r~ase coarnplete tl e Homeowners License'Exemption Forn on the reverse side, . Q FORMS-6VYN diPERM1SSION'.` s R 7ie�Commonwealth of Massachusetts a• _Print Form ..Department ofindustrial Accidents . -- u - far Office of Investigations > I.Congress Street,Suite`100. :Boston,MA 02114-20I7 www mass.gov/dia Workers Compensation Insurance Affidavit: Builders/Contractors/Electrieiaas/Plumbers AAPplicant Information Please Print Legibly Name:(Business/brganization/Individual): , Sprinkle Home Improvement Address? 199 Barnstable`Road City/State/Zip: Hyannis; MA 02601 yPhone# =508 775=1778 Ext: 10' Are you an.employer?Cheek the appropriate bog: Type of project(required): l. I am a employer with 10-12 . . 4 ❑.I am a general contractor and I employees(full and/or part-time) * : have hired the sub-contractors 6. .❑New construction . 2.❑ 1•am a sole proprietor or partner ,.`' listed on the`attached sheet: �` 7.`:.❑,Remodeling These sub-contractors have. ship.and have no employees 8: ❑ Demolition working for me in any' capacity :employees and have workers' 9: ❑Building addition ' [No workers' comp:.insurance comp: insurance. - , �5. W. are a co oration and.its 10.❑ Electrical`repairs or additions required.]. : ❑ . rp 3.❑ I-am a homeowner doing�all'work. officers Have exercised their,xi 1.L❑Plumbing.repairs or additions ` myself. [No workers,,comp: ., right of exemption per Mb 12.❑ Roof repairs insurance required:]t' C. 1.52,'§1(4),and we have no ,, r employees, [No workers'. -comp.'insurance required.] ; 'Any applicant that checks box#1 must also fill out the section below showing their.workers'compensation policy informati6nL. t Homeowners who submit this affidavit indicating they aie doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractois 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: Associated Industries of MA /A.I.M Mutual Insurance Co. Policy#or Self-ins.'Li Lic # 7004943012012` 'Expiration Date. . .01/01/2013 lob Site Address: ` Y�✓ �V2. City/State/Zip: } Vd�n is a,- •M4 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.aday against the.violator.•'Be•advised that a'copy of this statement maybe forwarded to the Office of, Investigations of the DIA for insurance coverage verification: I do hereby certi u er nd,enaldd o er u that the information provided above is-true and correct Si ature: - . . D .._...-- _ ate :_ --- -- Phone#:. 508 775=1778 Ext`10 Official use only. Do not write in this area;to be completed by city or town offciaL City or Town: 'Permit/License# Issuing Authority - le one): ' 1''Board of Health.2.Building Depart ment.3.City/Town Clerk. 4.El ectrical1nspector.5.>Plumbind4nspector 6.Other.. Contact Persona Phone#: F . . 12/20/2011 9 : 35.: 33. AM 8740 2 02/09 'CERTIFICATE'OF LIABILITY INSURANCE D"'E`'1V/2"' 12/20/2011 THIS CERTIFICATE IS ISSUED AN A MATTER OF INFORMATION ONLY AND CONFERS 90 RIGHTS UPON THE CERTIFICATE HOLDER. ?HIS CERTIFICATE DOES HOT AFFIRMATIVELY OR NEGATIVELY AMMSD;,MMED OR ALTAR THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A'CONTRACT BETMN INS ISSUING IHSURER(S), AUTBORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE SOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL IHNWRND, the policy(les)zmust be andorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of tba policy, cortain policier may.require,an andonsement. A statement on this certificate does not confer ri is to the certificate heldar In lieu Of such 41ndoriemnt(s). Pao • _ p OMean Bsyden & Sullivan Ins Agency Roo: !.! Inc 89 Falmouth Road sMeDas, PR�tIQ[R Hyannis, Imo► 02601 tmemR IW. •° - - m 49).WP•RDao eomams - RRIC D Is••RtD IiwDn,a, A.I.M. Mutual Insurance Cc 33758 Sprinkle MGM Improumment Inc .. MOM=D, 199 Barnstable Road tora„o,C, Hyannis, bA 02601 mDDn D, • ntsvasa c, COVERAGES CmIEICATU NUIMER:. wREVISION HOMER: wn a To commy aWAs m ramrcm or mauxam m L>ximm;Fm-w NAss axis Isnn To THE sasvesa Ssrm Ames Fos THE mmm Pmrm mmmim. maWrastA ANY Hsommmo rr, SWps OR con nun or ANY carnmr os ow(DOM7 117111,REM T SD Wsrci SAS/ cmrrzrmSW my,ss Issom ON MAY P>t'at♦, SO mus0Aas0 urosHSD sY THE roLnam onseRam RORZ• Is,smnm SO ALL SSR,isssa, ssCLesross Am o07ssrmNs or SUCH-ro=cm. Lmm snows INKY s•R Am >DO�CED s RY PAID CM&M. ... ._ - - - - . POLrCY Huesca ANT POLICY M. TPPN or INSURANCE ,ruw,rnT, - �MIIDURR, LZMZ'Ps - . . aaQAL.LIARarrr ` ... � EfA'R'oetTiaRzteR { �COIDItRC IAA 0{RU1AL LLtDD.ITT - D1o•R TO®M • Pffliftf li...awrc.wul - ❑CLAIIO{'IMDD �OCCOR M®ses (YW.r D.igwl • OEt•L AGOREOAlt LDIIT AFFAIRS DR: OE®DL 100O0iTs { OPCLICT �DAOJtC?�fAC PRODOCT{- Com/W am { aPlornsa,N LiARtLITY CONCEDED SUGAR LIMIT ART AUTO , . 0..Oai4wt) { ALL 4e6D AUO DODILT DOUR! (R.-P—) { 1:12CDSDOltD AUTOS UGIL! nw(Mr—m—t) { ' �RIR{D AOIOf - PYPERT!DaoOt - - O.OR-ODmim,AUTOS* OIeRRLL►T. OCCUR - - sun DCCO•REtCS - • 13ElC933".LIAD a-CLADO MLDD _ ROOIEDRTR { LIVIDUCTIOLS .. ORRIEPSION'•.I - .. • WOifas COMPENSATION ® AND CLOYS= LIABILITY ..too ynpn p, TF� PROPRIETOR/PARTNERS/ - -- ' EXECUTIVE OFFICERS ARE: R.L. {aeR•ecnuDT ER { 500,000 - ,A ® incl' 0 excl 7004943012012 X.L.DlssasE -POLICT LIMIT • 500,000 01/01/2012 01/01/2013 . _ E.L:..DIIERlE -EA OQLO>EE ,{ 500,000 taYOTS INSCRIPTION W,WWATIDO W LOCUTION, - - WORKERS' COMPENSATION'COVERAGE "PLIES TO MUSACNUSETTS nOLOYEES V CERTIFICATE HOLDER CANCELLATION pR001r OF INSURANCE ' ssovw ANY or SHE ARM oR mnn Poll = Ni.CAiCQ LHD amn m - :NSIDIATION DAWS THIS=, 'ZOTSCX WILL "SH DELZMMm I•.A000RnN1Cs WITH TOM POLICY PROYI/ICAS 5289 It'hll101 I1, 1) I^IliIIl 'r!1 Knal'11 d Ruililin_ h _nIi11,•ul� ,ul l �l.In,i.l ;i. rconsumer: 1rs iuess�{lrcgulahon Construction SUo;rvISOr License �`4 HOME IMPROVEMENT CONTRACTOR ! Y ''Registration: 103757 Type: `" > Expiration: 7/9/2012 Private Corporatic SPRINKLE HOME IMPROVEMENT, INC. BRAD K SPRINKLE 190 LOTHROPS LANE t Brad Sprinkle W BARNSTABLE, MA 02668 199 Barnstable Rd. Hyannis, MA 02601 y Undersecretary .n,nn.::.:•u,h 6004 License or registration valid for individul use oniv Failure to possess a current edition of the before the expiration date. If found return to: .Massachusetts State Building Code Office of Consumer Affairs and Business Regulation is cause for rev6cation of this license: ..l, III Park Plata-Suite 5170 Boston.MA 02116 Referto: WWW.Mass.Gov/DPS , I Not valid without sign^ ore } LEGEND , NOTES 99— EXISTING `CONTOUR 1. DATUM IS NGVD 29 0`ey X 99.1 EXIST. SPOT ELEV. 2. MUNICIPAL WATER IS EXISTING h Croigville Beach Rd. Smit [ � CONTOUR L cu 99 ' ' 3. THIS PLAN IS FOR PROPOSED WORK ONLY. AND NOT TO P�POSED [98.41 PROPOSED SPOT EL. BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. - TH1 4. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING TEST HOLE DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION ■ CATCH BASIN OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO UTILITY POLE COMMENCEMENT OF WORK. ' FIRE HYDRANT ' 5. ALL GUTTERS AND DOWNSPOUTS TO BE DIRECTED TO AL WETLAND PLANT DRYWELLS. Nantucket • LIGHT Sound S o WATER SHUTOFF C GUY WIRE W WATER LINE A G GAS LINE LOCUS MAP OHE OVERHEAD ELECTRIC EXISTING DWELL _ REMOVE.LAWN AND PATIO NOT TO SCALE r NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING REPLACE WITH NATIVE EXISTING DRIVE TO PLANTINGS IN,THIS AREA BE REMOVED AND ASSESSORS MAP 246 PARCEL,150 1110 S.F. f VEGETATED WITH 609 S.F. OF NEW NATIVE GRASS CONSTRUCTION IN LOCUS IS WITHIN FEMA FLOOD ZONE C & A10 50—100 OFF COASTAL BVW FLAGS STATE COASTAL BANKOFF TOWN EL. 11 AS SHOWN ON COMMUNITY PANEL gY HqMLrn COASTAL BANK BANK CONSULTING EXISTING ( #2500010008D DATED 7/2/1992 DECK TO BE I REMOVED ( ZONING SUMMARY #1 `'' ZONING DISTRICT: RB RESIDENCE B DISTRICT 0 50.00 `° r s.7 APPROX. 3 13R MIN. LOT SIZE 43,560 S.F. Co 0. 3 PROPOSED SEPTIC \ , ADDITION MIN. LOT FRONTAGE 20 4 ` , LOCATIN PER ' l -� 'li' i TIE CARD MIN. LOT WIDTH 100 sFA JIBMIN. FRONT SETBACK 20' mAL V % MIN. SIDE SETBACK 10' D MIN. REAR SETBACK 10' A i cn ;NEW 30' -� -; ROOF % MAX. BUILDING HEIGHT D I DECK W \ SITE IS LOCATED WITHIN IPROTECTION OVERLAY DISTRICT O o 1` ,� � AP AQUIFER EXISTING HO!SE AL OAK DEC T.O.F. 17.SAL EXISTING �lfl PROPOSED OWNER NER OF RECORD w OODUTDOO DRIVEWAY 1 #4 do 0 REUSE PR POSED �� o m RELOCATE A GE o CYNTHIA S. GRAY & DAVID B. COWAN 1137 PALM COVE DRIVE ORLANDO, FLORIDA w ,� 32835 C ,36 — m CREEK 1-2 160.00 y 0 1N REFERENCES DEED BOOK 26252 PAGE 76 SETBACK LINE ' PLAN BOOK 34 PAGE 23 ANS T —60 S.F. NET S�1 HARDSCAPE IN �+ 0'-50' OFF COASTAL • w Q v BANK i PROPOSED ADDITION EXISTING DWELL IN HYANNIS, MA 79 SEVENTH AVE PREPARED FOR „ CYNTHIA GRAY & DAVID COWAN <<; DATE: MAY 17 2012 off 508-362-4541 REVISED: JULY 18, 2012 �ON OF Mgs&9 0\A OF Mq$S9 fax 508-362-9880 �� Cy downcope.com { �p DANIEL G ego DANIEL , down cope 07 IN04V n Inc. A, o OJALA p � OJALA � CIVI �' � O� O980 4 502 A o°^ ss\a civil engineers „_ . n� Gr R� Scale.1 — 20 land surveyors -7 vE s►�n��'� '-` 939 Main Street ( Rte 6A) YARMOUTHPORT MA 02675 0 10 20 _30 40 5'0 FEET DATE DCE #12-131 DANIEL A. OJALA, P.E., P.L.S. �y 12-131 MILLER—STARBUCK.DWG