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HomeMy WebLinkAbout0141 SIXTH AVENUE (HYANNIS) { � l Sixes f� v� i i VIE Town of Barnsta _ ��glj�� - ty"h 0.:;:"'s .- N ,,., .".Y.°yar -r�- .«+. -..... r �...... v. -r.- .,....q.w.. .ws.�rr•.W,.d.....r } e �g 1Posf-This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this 4Card Must Kept HA Posted Until Final Inspection Has Been.Made. Permit Whe69- hre a Certificate of Occupancy is Required,such Building shall Not be�Occupieduntil a Final Inspection has been,made. Permit NO. B-19-3137 Applicant Name: Stephen Mele Approvals Date Issued: 10/08/2019 Current Use: Structure Permit Type: Building-Deck Expiration Date: 04/08/2020 Foundation: Location: 141 SIXTH AVENUE(HYANNIS), HYANNIS Map/Lot: 245-077 Zoning District: RB Sheathing: Owner on Record: MELE,STEPHEN E&SUSANNA Contractor Name: Framing: 1 Address: 10 MORRILL CIRCLE g" Contractor License: 2 WELLESLEY,MA 02482-4400 j Est. Project Cost: $4,700.00 Chimney: Description: Current Deck 16'x 16' needs to be replaced due.to,age/water Permit Fee: $ 110.00 damage. Would like to construct a new smaller deck with a ' .;Fee.Paid: $ 110.00 Insulation: platform of 10'x 5'with 4 10'stairs coming off platform. The current deck and the proposed deck with come off.the house and Date 10/8/2019 Final: v G�� into the backyard. Plumbing/Gas Project Review Req: .MUST BE BUILT TO RESIDENTIAL WOOD DECK Rough Plumbing: CONSTRUCTION MANUAL GUIDLINES: >` , '' i ,, Building Official . Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after..issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. -� Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction WorkA Service: 1.Foundation or Footing - 2.Sheathing Inspection ' ry Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lang is installed -'-' 4.Wiring&Plumbing Inspections to be completed prior to Frame inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health Final: "Per tracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). � Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable ild.l -mow � E � . . : 9 t ThisCard:So That rt is>Visible`From;;the.Street =A ' roved Plans Must be;Reta�ned on J,ob and this Gard Must beKe t �1AZtN£TfilB1Y.:• PS�` �"�.,.;rzr: >-. �/',z ,¢ .tom, ,�t ;F.,' PPt.'� ✓ M Posted Until final Inspection Has Been'�Made� Where a Certificate,of;�®ccupancy-is�Required °such Bu�ldmg,shal) Not�be Occup�ed�until a Final�lnspection�has been made x Permit Permit No. B-18-4023 Applicant Name: MELE,STEPHEN E&SUSANNA Approvals Date Issued: 03/01/2019 Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 09/01/2019 Foundation: . Location: 141 SIXTH AVENUE(HYANNIS), HYANNIS Map/Lot: 245 077 Zoning District: RB Sheathing: '.:, A ;,� >, , Contractor Name framing: 1 Owner on Record: MELE STEPHEN E&SUSANN � y.< � . Address: 10 MORRILL CIRCLE Contractor license' & yk k 3 2 WELLESLEY, MA 02482-4400 R rbjjbct Cost: $0.00 Chimney: 4 . Description: 1Ox14 � nPermitTee: p $35.00 , Insulation: Fee Paid $35.00 Project Review Req: '' �. 5 Date 3/1/2019 Final: .. .c �..� Plumbing/Gas .,` tV a g Rou h Plumbing: .' '11 Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within s x months after issuance. All work authorized by this permit shall conform to the approved application and thelapproved construction documents�fdKAhich this permit has been granted. ' Rough Gas: a £ .'. All construction,alterations and changes of use of any building and str,uctures< i Ashall be n compliance with the local zomngby laws and codes. This permit shall be displayed in a location clearly visible from access street or road'a d shall be maintained open for public�mspection for the entire duration of the Final Gas: work until the completion of the same. x Electrical The Certificate of occu p Yanc will not be issued until all applicable signatures by'the Bwldmg andaFire Officials are provided on this,permit. v ;x Minimum of Five Call Inspections Required for All Construction Work 3 _ Service: 1.Foundation or Footing 2.Sheathing Inspection a Rough: 3.All Fireplaces must be inspected at the throat level before firest flu e�lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low.Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons ing with unregistered contractors do not have access to the guaranty fund" (asset forth in MG c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: A r ice. ToN'M of Barnstable oFTHE roYyti Building .Department Services Brian Florence,CBO sARNSMABL.E. • Building Commissioner uAss. En. I. 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 PERnar# FEE: $35.00 SHED REGISTRATION RESIDF 4TTAT,ONLY 200 square feet or less f �' ` .�� ye wu;e, I Vj o Location of shed(address) Village UC Swe - --7-7r 6 a" Property owner's name Telephone number Size of Shed Map/Parcel 4 - 2 1a 7 Ll 9" Signatore Date Hy=is Main Street Waterfront Historic District? A(a Old King's Highway Historic District Commission Jurisdiction? C) You must file with Old King's Highway Consetvation Commission(signature is required) (� Sign off hours for Conservation 8:00-9:30 &3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,'THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THMS FORM MUST BF, ACCONIPANIED. 13Y A PLOT PLAN .. Q-farms-sbedm ✓" (zS / o /7 6 REV:08/6/17 G�'� ' �"' ' ' `� C.0/yLe . �`' Legend 'A, k v Parcels 245S3a F. 'Town Boundary 245 9 Railroad Tracks ` 122. t 245Q85 #a12a� Buildings a `F $ �: �� �•� j Approx.Building lTts s F r ''' s I , j Buildings Z z • Painted Lines z 2456f2 ' #129 t Parking Lots L4 Pave Unpaved _ E Driveways Paved ,,,,_.„....•-"_"" - ha �� :� � Unpaved Roads 42 t, L Paved Road - Unpaved Road Bridge Paved Median t Streams � t s2454i 4 Marsh a M Water Bodies a #14 4� 245096. E -- y2.a ( }� i 2.45Q77 tp RR ^z. - c t t11#140 Vo #� - Z'45Qks _ 245Q51 � �i 245 5'tI 24507 -W #€15 7` a Map printed on: 12/7/2018 This map is for illustration purposes only.It is not Parcel lines shown on this map are only graphic Town of Barnstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are 6 Main Street,Hyannis,MA o26oa Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 3 Y 0 42 83 an on-the-ground survey.it may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: 1 inch= 42 feet 0 cartographic errors or omissions. gis@town.barnstable.ma.us TOWN bF BARNSTABLE BUILDING PERMIT APPLICATIITN 3. Map Parcel Application # Health Division Date Issued �—/". to Conservation Division Application Fee Planning Dept. Permit Feel Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation/ Hyannis Project Street Address Village ((,)� i/l'�1/1�� Owner \'CeU�fit '(,��e Address Telephone Permit Request '�Q.�r, a�,e t' �iA_l &AA. 9-rti,., ocl t c� Square feet: 1 st floor: existing,2_73 proposed 2nd floor: existing XA proposed Total new Q Zoning District Flood Plain Groundwater Overlay Project Valuation 30,W6, Construction Types Lot Size Grandfathered: ❑Yes p No If yes, attach supporting documentation. Dwelling Type: Single Family -#V 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, ❑Y. Ds ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: a--existing O.nev size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 03 Ln Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ q Commercial ❑Yes ❑ No If yes, site plan review 0- Current Use Proposed Use APPLICANT INFORMATION — -- (BUILDER OR HOMEOWNER) - - - - -- Name o0iO✓gvr Telephone Number Address 66 d4p ll License # q Home Improvement Contractor# L� Email �� S' ��"� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 12 abL� 4c.S� 4,1 SIGNATURE DATE !2ETG� FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME SIM& EM INSULATION *a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL irwAS: ROUGH FINAL rINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i ne Commonwealth o,f Massachusetts _ DepartU[ent of lndrrstrial Accidelris Off ice of lyn--atLgadOM 9 600 Waslrineorz Street , llaston, 41A 02111 y fvMa ifss /}vld■a Markers' Compensation Insurance davit Bmlden/Contractors/EIecfi cians/Plu nbers Applicant Infarinafion Please Print Le�'b Name tl3tls�e�OrganizatianJlndi�idual} �'�ts` �t�.,.�s�.�,i Address: CItylState Zipc Phone:iu d 52 Are Jrou an employer tMeekthe appropriate box-- Type of project(requiied)- 1.❑ I am a employer with 4 ❑I am a general contractor and I 6. New consfructian full anclor art time * have hired the sub-contractors employees� P , � 7. Remodeling 2. am a sole prvpnetotr orpartner- ated on the attached sheet; ❑ g These sob-contractors have ship and haves no employees. 8. ❑Demolition wotiring far me in any capacity; employees and have workers' 9. El Building addition [Not�;orlmrs' comp.insurance comp.Tom ranml required.j 5. ❑ We are a-corpomfion and its', 10❑Electrical repairs-or additions 3.❑ I am a homeoumer doing all work officers have exercised their 11.❑Plumbing;repairs or additions myself-[No workers'comp- fight of exemption per MGL 12.❑Ro[frepairs inn ce required-]T C.152,§1(41 and we have no employees.[No workers' 13.0 Other comp-insurance required.) 'flay appBcant gnt checks'bos 91 unist also fill outthe sectionbelaw shaving their wale&compensation policy informzd= I Homeowners who submit diis of 5davu indicating tbs_-y are doing all woat and then nice outside contactors omit mbm it a new affidavit indicate sacIL rC'anttactocsthxt chea t1ds Sraa must attaclied as additional sheet shorwing the acne of the sub-contractors and state whether.or not tbose entities have eoapioyees.I€thesub-tantactmlave employees,they nustpmuide their workers'romp.policy number. I am arr erttpfo;}Yrr tferrt is prfxtaririrg ttarrkers'cantpertsrrhart irrsurarrce for rrr}*enrpinj�ees Betoty is the poiicy�rueri jata sitr_r inlf ortuat on. 3 Insurance Company Name: Policy 44 or Self-in.Iac.;k Expiration Date: Job Site Address: CitylStatel7sp: Attach a copy ofthe workers°co®.pensationpolicy declaration page(showing the policy number and expbmflon date). Failure to secure coverage as requirerlunder Section 25A of MGL c 152 can lead to the imposition of c m mal penalties of a fine up to$1,500,.OD andlar one-yearimprimnnreut,as well as civil peualties•in the farm of a STOP WORK ORDERand 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 DFA far insurance coverage veriffcation- I do hergby C ax-der thap his and penabYes afpeejrury thattlie inefonnatwupron&d above is bare and carrect Sitmature: Date: 1 ` A� PhGne ik Of efal use only. Do snot awke in this area,to be-carmpTeW by city artown official City or Town: PermitUcense 5 Emuing Authority(cirdeone): 1.}bard,of Health 2.Building Department 3. ]Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#:. Informationctins Massachursetts General Laws chapter 152 requires all empIoyers to provide workers'compensation for their empIoyees- PurM=tto this statirte,an mp&ye--is defined as."-.every person in the service of another under aay contract of hire, express or implied,oral or wrifir<n." An 67nPrvye2-is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint enterprise,and including the Iegal representatives of a deceased employer,or the receiver c r trast=of a a iadividnA partnership,association or other Iegal entity,employing employees_ However e owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dweUing house of another who employs persons to do mai tenance,construction or repair woric on such dweIliag house or on the grounds or building appr tenant thereto shall not becanse of such employment be deemed to be an employer." MGL chapter 152,§25C(S)also sfates that"every state or local licensing agency shall withhold the issuance a renewal of a license or permit to operate a business or to construct bwldiags in the coramon wealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commaawealth nor any ofifs political subdivisions shall enter into any contract for the performance ofpublio work until acceptable evidence of compliance with the in sua-ance.. requirements of this chapter have been presented to the contracting anihoziiyf = Applicants . Please fill out the workers'compensation affidavit completely,by checking ille boxes that apply to yots situation and,if necessary,supply sub-contractor(s)nauie(s), addresses)and phone numbers) along with their certifrcate(s)of in cr„mez. Limited Liability Companies(LLC)or Limited Liability Partnersbips(LLP)with no employees other than the members or partners,are not required to carry workers' compensation i o=mce. Nan.LLC or LLP does have employees,a policy is required- Be advised that this affidavit maybe submitted to the Department of Industrial Accidents for conformation ofm nce coverage. Also be sure to sign and datesthe 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 7ndu shrial Accidents. Should you have any questions regardiag the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below Self-insured companies should enter their self-fi sarmce lccense number an the appropriate line. City or Town Offi a s t - Please be sure that the affidavit is complete and pri:> legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the pelmitJ Corse number which will be used as a reference number. In.addition,as applicant that must submit multiple peralibucens0 applications in any given yew,need only submit one affidavit indicating current p olicy information(if necessary)and under"Job Site Address"the applicant should v rite"all locations in (ciY or town)-"A copy ofthe-affidavit that has bean officially stamped or madced bythe city or town may be provided to the ' applicant as proof that a valid affidavit is oa file for fature permits or licenses Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pe mitnot related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT requ to complete this affidavit The Of of Investigations wound like to thank you iaadvance for your cooperation and should you have any questions, please do not hesitate to give us a call The DeparimenfS address,telephone and faxm=ber. Thu C�ammnjanWean of IAassaohnsm,tfs , IIepat`fnant cif lndustdal Aoci ent% Gffitce of kves?otio= (540-Wash 40,1 S't=t Bostou,MA OBI 11 Tf,-L A 617-'27-49OG Qxt 4-06 ar 1-977-SAFE Fax 9 617` 27 7749 Kevised 4-24-07 .mass-gogldia V ' • t• t'� I CJ/ze o�n?im�iausea��a- aacfroJPG� � I x Office of Consumer Affairs&Business Regulation; eL•"icense or re tstratton valid f5�s g p r dividul use only HOME IMPROVEMENT CONTRACTOR' before ttie expiration date.If fl return to » F( s Registration �164521� Type: :, Office of Cotisunier Affairs ar .Business Re ulati' "T M �" g on �N' dual 10 Park Plaza-Suite 5170 Expiration 10/1i9/2017 Individual FR%�NK DONOVON r s. Boston,M,02116 _ - �. FRANK DONOVAN � F 245 SO MAIN CENTERVILLE, MA 02632'` U _ n ndersecretary Not va i without signature Z.. Aft JIM�T Massachusetts -Departrrient of Public Safety Board of Building Regulations and Standards + Coi strZictiull Sup i i i or _ License: CS-091391 ` FRANK DONOVA14 • F i° 104 Carlotta Avenfue Hyannis MA 02601 Expiratidn "1 � Commissioner -10/28/2018 4 � To„yy Town of Barnstable Regulatory Services - ' ! 'FC[TfNCT1Rf4 E $ Richard V.Smli Direcbr Building Division TnmYerrp,$mom Co�ssianer 200 Ma_m Sireef;Hymmis,MA 02601 ' wwpP tDwnlarnstableJraa.-us Office: 508-862-4038 Far.: 508-790-6230 Property Owner Must Complete and Sign'Tbis Section If Using A Builder I, Y .,e -N �'�L� ,as Owner of the sub ect ro • J P PAY b��yauthoriTP —���C�V-4 to act on my behalf,in all miters relative to work authorized bytbis bmld penit application for. Ue _ SOU? e.;i'cf, (Address of Job) `PDOI fences and clans are the responsibility of the applicant Pools are not to be filled or Tiillmd before fence is installed and all.ftn.al ' inspections.are pedo=d and accepted_ S. of of, m At tk _ Punt Name . ;. I?ate . Q:FaRMS.OWNEFTEB1,95sI0DIPoors ' 'down of Barnstable Regulatory Services - ��rg�o Richard Y Scafi,Direcfior Bmldmg Didsion. t asap F Tom Ferry,Ewing Commissioner 200 Main,strcet Hyaenas,MA 02601 pry ww;r tMMbaMstIbII--ma-US Office: 508-862-4038 F� 508=790-6Z30 ' - HOMEOW2�g r rr�ucrc E�TIQTd • rlmsc Print PAZE: JOB LOCAIIOhL- sfoxt . nnmbcr• "SONlEO S�Tl�t: name - bomcphonc#. wo�p&onc# Cp UUNT MA=GADDRES9: _ cep/ta�ea shy zip E*& The current exemption for`� intowners"was extended to iaclpde owner-occupied dwellings of six,P.aits or Ims and to a]IOW home wners to engage an individual for hkr who does notpossess a license,piuyided thatthc owner acts as sonervisor_ DXFnr nON OR HOMEOWNER p eson(s)who omens a.parcel of land on which hCshe resides or intends to reside, on which.there is,or is intended to be,a one or two- family dwelling, attached or detached st=nctores accessory to such use and/or farm st«rctrues. A person who constructs more than one home in a two-year period shall mtbe conddm-i.ahomcawne,r- such`homeowner",shall submitto tiie B-Idmg Official an a fnun acceptable to the B- lffin Official,that he/sha shall be rmonsibID for all sash wad performed uaderthe bm7dmg permit (Section 109.L 1) The undersigned`homeowneE'assnme5 respons2hiliiy far compliance wifathe State Bu77dmg Coda and other applicable codes, 'bylaws,rules and,gulatiOns - Tlbe andrsigned`$omamwnce cedifies thathelshe uad=ta+dc the Town ofBarns•fable Bmildmg Dcpartnmt minim inspWEDn. procedures andregnH tints andihathelshe will co aplywithsaidprocxdnrrs and=T3i eUfs- . 5igaamrc of$omcatvucr ' AMaTY l ofBm@dimgOfficial Note: Zhree-f;arugy dwellings confaiamg 35,000 cubic feet or larger willbe regoaedta c mply with the Siam Building Coda Section 127.0 Consfmc:lion Control • HGWMW VS Corr a permit is required shall be exempt o which p work r wlu eQ� The Code stairs that: 9.ay homeowner performing wa ��P - tbis secfion(Section 109-U-LtceBsmg of Construction.SuperPisors),provided tTiat if the homeowner from the provisions of en es a erso s for hire to do such work,that such Homeowner shall act as sn perisor:l of a Many Homeowners who use$tis ezempfioa are nnaware.thatthey are ass�gfie responsrIMties supmvisor, (sea Appendix Q,Rules Bc Regulations for lice si g Construction Sipervisors,Section ZIS) This Lark of awarrness o$ra results in serious problems,particularly when fie homeowner hires unlicensed persons. In this case,our Boatel cannot proceed agaftLst the unIiceasesi person as if would with a Haeased Supervisor_ The homeowneractingas S uPervisar is ulfimately responsible. To ensure t=at ffLe homeowner is fully aware of his/her responsi6ilifies,many comammifies require,as part of fhe peroZdt application,that the homeowner cwtffy that he/she understands the responsibilities of a Superdsor. On tie lastpage of this issue is a form earreatly Used by.several towns- Yon may care t amend and adopt such a formleertiffcatioa for use is your community. ����.•pt�i,�tclt„T�,��peanit3n�s1�8FSs.doa ` Rzvised.061313 I� ALTERNATE RIDGE BEAM DESIGN BeamChek v2013 licensed to-Giampietro Architects Reg#7124-1030 Mele Resderc Ridge beamryin Sun Room Prepared by: LFG Date: 5/24/16 Selection9E.TJ Miccollam LVL Lu=0.0 Ft Conditions NDS 2012 � Min Bearing Area R1=3.2 in' R2=3.2 in' (1.5) DL Defl= 0.23 in Data Beam Span 12.0 ft . Reaction 1 LL 570# Reaction 2 LL 570# Beam Wt per ft 10.12# Reaction 1 TL 2059# Reaction 2 TL 2059# Bm Wt Included 121 # Maximum V 2059# Max Moment 6176'# Max V(Reduced) 1737# TL Max Defl L/240 TL Actual Defl L/495 LL Max Defl 'L/360 LL Actual Defl L/>1000 Attributes Section (in3) Shear(in2 TL Defl (in) LL Defl Actual 73.83 39.38 0.29 0.06 Critical 32.65 13.71 0.60 0.40 Status OK OK OK OK Ratio 44% 35% 49% 15% Fb(psi) Fv(psi) E (psi x mil) Fc L (psi) Values Reference Values 2250 190 1.8 650 Adjusted Values 2270 190 1.8 650 Adiustments CF Size Factor 1.009 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform LL:95 Uniform TL: 333 =A N AM t MA Uniform Load A 0 0 R1 =2059 R2=2059 SPAN = 12FT Uniform and partial uniform loads are Ibs per lineal ft. Notes Mele Res.[Cotuit Bay Designs 114 Sixth Avenue? f( West Hyannisport, MA-- sc— BeamChek v2013 licensed to=Giampietro.Architects Reg#7124-1030 Melee Residence Beam at opng btwn Kit&Sun Rm•-^' ,Prepd`byGDa'Date: 4/16a e . Selection 1/4-i1:9E TJ,Microllam LVL Lu=0.0 Ft Conditions NDS 2012 Min Bearing Area R1=3.5 in2 R2= 1.3 in2 (1.5) DL Defl= 0.23 in Data Beam Span 10.1.2--it -BeamWt per ft 8.32# Reaction 1 TL 2282# Reaction 2 TL 850# Bm Wt Included 84# Maximum V 2282# Max Moment 3369'# Max V(Reduced) 2199# TL Max Defl L/240 TL Actual Defl L/530 Attributes Section(in3) Shear(in 2) TL Defl (in) Actual 49.91 32.38 0.23 Critical 17.34 17.36 0.51 Status OK OK OK Ratio 35% 54% 45% Fb(psi) Fv(psi) E psi x mil) Fc (psi) Values Reference Values 2250 190 1.8 650 Adjusted Values 2331 190 1.8 650 Adiustments CF Size Factor 1.036 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform TL: 100 =A Point TL Distance B=2036 1.5 No.4W ¢ Uniform Load A Pt loads: 0 R1 =2282 R2=850 SPAN = 10.12FT Uniform and partial uniform loads are Ibs per lineal ft. Notes Mele Res'/Cotuit-6ayD"e"signs 114 Sixth"Averiue �''�� ' West Hyannisport;-MA. BeamChek v2013 licensed to:Giampietro Architects Reg#7124-1030 eMele..Residence--'� Header above gable windowsi`J --F--a 7 Prepared by: LFG—D—aafe: 5/24/16 Selection (2)1=3/4x 9-1/4 1 9E'TJ Qcrolla�m V_ L Lu=0.0 Ft Conditions `NDS 2012 — Min Bearing Area R1= 1.9 in2 R2= 1.9 in (1.5) DL Defl= 0.13 in Data —Beam—Span--— - 7j:5-yftJ Beam Wt per ft 8.32# Reaction 1 TL 1237# Reaction 2 TL 1237# Bm Wt Included 62# Maximum V 1237# Max Moment 4228'# Max V(Reduced) 1192# TL Max Defl L/240 TL Actual Defl L/717 Attributes Section in' Shear in2) TL Defl (in) Actual 49.91 32.38 0.13 Critical 21.76 9.41 0.38 Status OK OK OK Ratio 44% 29% 33% Fb(psi) Fv(psi) E(psi x mil) Fc L (psi) Values Reference Values 2250 190 1.8 650 Adjusted Values 2331 190 1.8 650 Adjustments CF Size Factor 1.036 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform TL: 50 =A Point TL Distance B=2036 3.75 Cb'* � Uniform Load A Pt loads: 0 R1 = 1237 R2= 1237 SPAN=7.5FT Uniform and partial uniform loads are lbs per lineal ft. Notes Wele Res./Cotuit Bay Dew sig 6'114' Sixth-Avenues West Hyannisport,M « BeamChek v2013 licensed to:Giampietro Architects Reg#7124-1030 Mele rResidence Ridge bea�n inn Sun�Room� Prepared by: LFG Date: 5/24/16 Selection C 1-3/4x 141.9E TJMicrollam LVL) Lu=0.0 Ft Conditions NDS 2012 Min Bearing Area R1=3.1 in' R2=3.1 in (1.5) DL Defl= 0.24 in Data FBearr Span- 12.0•ft--Reaction 1 LL 570# Reaction 2 LL 570# Beam Wt per ft 6.3# Reaction 1 TL 2036# Reaction 2 TL 2036# Bm Wt Included 76# Maximum V 2036# Max Moment 6107'# Max V(Reduced) 1640# TL Max Defl L/240 TL Actual Defl L/483 LL Max Defl L/360 LL Actual Defl L/>1000 Attributes Section(in') Shear in 2) TL Defl (in) LL Defl Actual 57.17 24.50 0.30 0.06 Critical 33.26 12.95 0.60 0.40 Status OK OK OK OK Ratio 58% 53% 50% 15% Fb(psi) Fv(psi) E(psi x mil) Fc L (psi) Values Reference Values 2250 190 1.8 650 Adjusted Values 2203 190 1.8 650 Adiustments CF Size Factor 0.979 Cd Duration 1.00 1.00 Cr Repetitive 1.00 Ch Shear Stress N/A Cm Wet Use 1.00 1.00 1.00 1.00 Cl Stability 1.0000 Rb=0.00 Le=0.00 Ft Loads Uniform LL:95 Uniform TL: 333 =A i G Nb.4W FWMC * SIR G� Uniform Load A 0 R1•=2036 R2=2036 SPAN = 12FT Uniform and partial uniform loads are Ibs per lineal ft. Notes_i Mele Res./Cotuit Bay Design Avenue � 114 Sixth Avernue West Hyannispo►t, MA 1, Town of BarnstableBuilding Post This Card So That rt ' Visible From�thetRreeL� roved�Plans WE Must be Retamed'or ob and u this Gard M st be Ke t *- �nYextrrABLE, �r pp ,.�. 46 .. M^ Po�sted.tFln`til Final=Ins :action Has"°Been Made � �� �. � ' � � � � �"� • ° Wher "°a Certificate of Occu anc, is Re in a,shall Not be ccu �ed`unffl,a Final l`nsv s ' ' - er pection ha been made Permit No. 6-17-629 Applicant Name: Adam G Lepire Approvals ,w Date Issued: 03/09/2017 Current Use: Structure Permit Type: Building Smoke Detector-Fire Alarm Dection Expiration Date: `09/09/2017 Foundation: , System -, _ Map/Lot 245 077 Zoning District: RB Sheathing: Location: 141 SIXTH AVENUE(HYANNIS), HYANNIS Y ,Contractor Name. Adam G Lepire Framing: 1 Owner on Record: MELE,STEPHEN E&SUSANNA '; ', r *Contractor License 39936 2 Address: 10 IVIORRILL CIRCLE Est Project Cost: $0.00 Chimney: WELLESLEY, MA 02482-4400 4. PermitfFee: 35.00 " Y� $ Insulation: Description: install smoke detector upgrade , Fee Paid,: $35.00 Project Review Req: install smoke detector upgrade Date `e 3/9/2017 Final: y Plumbing/Gas . �, - Rough Plumbing: Buildin Official g Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized;by this permit is commenced within six months afte'issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes.OA Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. ` Electrical The Certificate of Occupancy will not be issued until all applicable signtures by the Building and Fire Officials a"re prow d on this permit. . Minimum of Five Call Inspections Required for All Construction Work: Service: s a a 1.Foundation or Footing g Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health' Work shall.not proceed until the Inspector has approved the various stages of construction. Final: "Person"s contracting:with unregistered contractors.do not have access to the guaranty'f0nd" (as set forth;in MGL c.142A) Fire Department Building plans are to be available on site - Final. 4 All Permit Cards are the property of the APPLICANT-'ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # ,! G 7-&Z77 Health Division Date Issued 3 Conservation Division Application Fe BUILDING DEPT. Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board M�I� ® � AyL S 6W-r— Historic - OKH _ Preservation/ Hy i_�RNSTABLE 3 r� Project Street Address !�71 4:11A (A� )�Mn& Village / Owner_� /(��i/��� Address Telephone :79L :727 - klI Permit Request �_� lL � Square feet: 1 st floor: existing lug proposed 2nd floor: existing �- proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Z 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 dOther Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) /&_y Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not inc luding baths): existing new First Floor Room Count Heat Type and Fu : ❑ Oil ❑ Electric ❑Other Central Air: Yes ❑ No Fireplaces: Exi sting New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name '� �r Telephone Number �7� ` / f0° '_7® Address &15_5;Ee0-vfL4_icense # 6` 7(R_ L5 5L / Home Improvement Contractor# Email 1P kc.��� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. LA ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ff l-ECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ® 3��5��� , P DATE CLOSED OUT I ASSOCIATION PLAN NO. ,f 'lie Coaiurams enM ojf-MaxYadr=etts _, .��rrx'Ey�erit�,f�'�zrstriul�lcc�de�rts - - - _— 5 OiTwe 0ATVr-%d9Q1i&715 ` 600 Wa&%zgtotx Street , -- Boston,4 0211I fPyviv maSxgigPldia Waders' Compensi atio .In ce- ffiiwit:EuRdex-dOmtractursJEli�rfriria�hers Rican#T�farmafiaa Please Print Name Address: 85 Are gnu employer?.Cfreckl3ie pprapriate bow Type of project(required): I.LU�I nut a employer�eitb ❑I am a general confractor and I G. I�e�oons�zcEiosx leave lured.the suer-contractors - emplDyees(fall andfor part--f ne).*. 2.❑ I am a sale proprietor orpartner-. listed on the attached sheet +7- ❑RemodeHng These sub-c ntac#ors have ship and have no employees. These ❑Demolition , wal-ing in any capacity emplayees andhave wodmn' [No worlers'comp_insurance• comp_mcnranm# 9. El S•niltrmg addition requured 1 5- We are a corpmafica and its lO.O Ele6f ical repairs or adcE ons officers have em=ed their 3.❑ I ata a bameovmer doing all u�orl� 11-Ej Plumbing repairs or mdcfitiom ` myself right of exemption per M(M �8 workers'�F- 1?_ORoofrepais • in uranrerequiredj i c.152,§I(4),andwe'haveno „ employees.[No workers' 13_D f}the[ camp-IIIS Mxz Mg1SUU&1 ��y apg�®f d;st chedsbos'R maQ also fiIlo the sectioabeTnwsiiassiag LhPitiilo�GPSS'��•�++,••poT�cgiufncrosa� #SameoaraersWha submit ridsxffidnniinff=mr6ia_ysmdamgalfwaalandffimhimasider,+„rrzcmmamsts¢bmitanewaffidavitindiriffin sacb- r fCaz �stchwk&sbmcmuststtedy=.additiaealsiceeYshaaagthenameoEthesubca sedstatevrhethetataat46nsee itiesha� • emplo}ees.Ift3xe5v5-coata�aesh�e emgIoftvs,tf�e3'znustgmtadet�it srarkas'imp.palicg nannlsrs I am all erripr t7iatisprm2dLrg workers'comperzsrdirrrt irrsruarrca fvr rrry enrpto}�eex SelvrP is fJte pailry antd jela site Itisurance Company Name: � � - P4ficy 44 or Self-ice Uc_ IL ®� � Fig safiou Rafe_ �' Job Siff A ddre Attach a copy oft—hew- a cbmpensationpolicy dedaration page(showing the policy number and ezph-atioa date). Failure to secures coverage as requireduader Seztioa 25A of MGL c.157 can lead to the impositim of mra nal peuaki s of a fine up to$1,50d:OU anW'or one-yearimpliso—t as well as civil penalties is fhe form of a STOP WORK ORDERand a fma of up to$?.SOW a day ab-ainst the violat ar. Be advised fhat a may of this statement may.,be forwarded fa the Office of Imresttadom of ihe D.TA for fnsi=ce coverage vedficatim- I Ida hergby cer x under and prsnaI�s gf ' ry�atf£ia irtfarr:tafro:tprmir7cd abc��is brtrs a�rd reef Siam_ i lkatke: _ �� Phone A d},gWail um a¢i£y. Da not write in tftis zFea,to be campletej by city artbirn of okiat City or Town: P f kense t€ Inmemg Aafar$fy,(code one): L Saard.of Health. 1.I mT ing Degarfineat 3.fffytTowt C[erk 4.Electrical Inspector S.Phimbing lulls 6.Other , Contact Person Phone#: Formation and Tns c bxas ' `in - 'compeosaiion far t�ir emplayees- MAsc�7,, cft Ge nmdLaws 152�an�IoY m ode Pmsna�tn.-ffii sib, .=jT&yee is defmrd ss 6.sYezy personin ffie seavice of maffim udder'any=±ract ofbfi-e, express or finpliecl,oral or wri=-" An�rrpiny8•is derfined as`��mdrnidual,Parfn �, association,coapor�ion or other Iegal entity,or any two or more of the fi=going is aloint a bxprise,and inchtdmg fbe legal refseseatafives of a deceased employer,or the receiver or trustee:of m inddvidnal,p ,associafi or otherlegal entity,employing emPIOY=r I5oweves the owner ofa•dWtDi0ghonsehavmgnotmoretipthreeaparimeuisaad horesidestherein,ortheoccopaIItoftbe- dwnlli g house of anofer wIM en:IPl°YS Pesons to do manffmanm,consftuction or repay wad on smh dweIImg house or on.the grotmds ar bm7ding apPr� therein shallnotbecama of such emplapmentbe deemedto be an eoployce M—M chapter 152,§25C(6)also sues that"every sinfa a IocaI Ticensnag agenCy shah Wiffih old$ie i=ance or renewal of a ficease or permit to operate a bUSkess or to construct buffdings in the enmmonwealfi�for any applicant who has not produced acceptable evidence of cdmpltance with thhe h5m anre coverage required" AddifionaIly,M(ff chapter I52,§25C(7)sfefes-leaf m the nor auy ofits poIHcal subayi lions shall enfpr into any contract for the pace 0f2ubhG W033C UUtil.acceptable evidence of compIiancewifh the;ncrn ance. enfs of this chaj�have been presm ed to the cnntcad anfhomty. rffImrCm Applicants - ' Pl�se fill oizt the wo33=1 comp eosation affidavit cornpleteSy,by g boxes t aPPIY to Yo=srinatraa and,if necessary,mipply snh�ctor(s)naln*), addresses)and phone,nmmber(s).along w1athea cmtifcate(s)of rn�nce_ Limed LiabilrLy C=Pames(LLC)or LimdtedLiabUityP Fs ff j2)ono =3plo7ees other ffim ao members or paztae%rs,are not reggire to caay wmix s' caoPensation msorance- if an LLC or LLP does have �Toyees,a.policy iS required. Be advisedthaf this affida:Vkmaybe sabmf�d to the Department of Industrial Accidents mr confianafion of fi=mce coverage. Also be sure to sign and date-the-f davit The affidavit should be retrmZed to ffie city or tDwnihat the application for the pe=it or license is being m not flee Department of ; ms the law or ifyou are rega a to obtain a workers' Irk t�ccide Shauldyon have any.quEs`h regar�g antes should enter their comp=safionpohey,plmse call f1 eDepartmeotati l--==berlisted WOW. Self-ksored-- s elf i sorance license number an the appropriate Ime- Gify or Town Oifxdals f Please be spa that fhe affidavit is complete and printed legibly. TheDepnimmfhas provided a space at,fffbottom of the affidavit for you to f01 ort is the event B=Office oflnvestiga has to conbr-tyourcgardiag&e applicant. Pleasebe sureto fiIlinthep�Jlicensenunaberwhichwii]lbcusedas amfrrmcenumber. In-addition,an applicant that must submit nrubf ple p�ldceose applications m any givenY�.need only sabmrt one affidavit indicating dent policy inl�rnation Cif njwzssazy)and under"Job S`1fe ArT�i ess"the applies should wzif��aII Iooatiti ns n (�Y oT- tnwn)"A copy of the-affidavit that has bey officially stm3ped or marked by the city or tau may be provided is the ' ' ' applicant as#roof that a valid affidavit is on file for fad= psi?s-or licenses Anew affidavit must be fiIled out each ere a hone owner or citizen.is obtaining a- cen lise or permit not to any business or commercial vie year.Wh . Cie.a dog license orp�mit to btnn.Ieaves eft_)said p=cm is NOT req�edta cor�Iete this affida-dt 'the Of OfIUVt dgEdi s viouldhke to thank you in advance for yonor cooperation and should you have any gam-ti ems, please do not hesifnfe to give us a caIL i The Drpartmenes address,telephane and fax= bet: - fG=j0n f of M&&S@ )1Uszem • �4f Ian�GQt�-�.� af 1A 02111 Fax4P 617'27 7749 Revised 4-24-07 �g Town of Barnstable j Regulatory Services P HARNEMABMPIAM Richard V.Scali,Director, 6;. 16 Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I a00f the subject property l P pertY hereby authorize &4'atl ict on my be}ia.lf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence.is installed and all final inspections are performed and accepted. Signature Signature of Applicant rint Name Print Name Date QTORMS:OWNERPERMISSIONPOOLS ' Town of Barnstable Regulatory Services �SHB Richard V.Scali, Director Building Division w ALAI ASS.{f.Y- Paul Roma,Building Commissioner 16 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: S08-862-4038 Fax: S08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,.or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be,considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 3S,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the-provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a Iicensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. AGRIBALANCEOIQ* - - - • D - • . • : . Company Name Cape Coq Insulation Phone Number 508-775-1214 Applicator Name Installation Date Jobsite Address 16T6th Ave. Hyannis Port A-Side Lot #'s Permit Number B-Side Lot #'s Location of Insulation Thickness Total R-Value Approximate Sq. Ft. Walls Attic 5" R-22 200 Attic lift R-49 990 Slopes 5 1/2" R-24 360 Intumescent Coating Used Location Thickness / Coverage Rate Blaze Lok Thermal Barrior Attic 23 Mils Wet www.Demilec.com 11 �• + DEMILEC 1 F+:M 11: 2 7 Town of Barnstable ' Building 9�y f ` Post This Card So That it is Vis�bleiFrorn„the Street;ApprovedPlans..Mu"st be=Retained on,Job andthis Card-Must be Kept' L11RNA&t.E, • ..fir-� _' r'i ',. z • sb34 Posted Until--.Final Inspection3Has Been Matle ;, Pe r ° Wfiere a Gertificateof Occu anc ..is Re aired,-such Buildin shall Not°pe Occu led un#al a;F nahlns ection has been='made f z. P Y,, q z ......: � wv xg .. <,... p ..<P ..�. rz A..a. E. Permit No. B-16-3556 Applicant Name: CAPE COD INSULATION, INC Approvals _ Date Issued: 12/12/2016 Current Use: Structure Permit Type- Building-.Insulation-Residential Expiration Date: 06/12/2017 Foundation: Location: 141 SIXTH AVENUE(HYANNIS),HYANNIS Map/Lot: 245-077 Zoning District: RB Sheathing:_ Owner on Record: MELE STEPHEN E&SUSANNA , r°Contractor Name: CAPE COD INSULATION INC Framing: L V , Address:. 10 MORRILL CIRCLE �� 3 Contractor License .,153567 2 ME 5 WELLESCEY, MA 02482-4400 M1,Project Cost: - $4,100.00 Chimney: Description: weatherization F 'i Permit Fee: $85.00 Insulation: Project Review Req: weatherization Fee Paid.' $85.00 Final: Date 12/12/2016 - g vc �cri. Plumbing/Gas �? Rough Plumbing: b ; Building Official Final Plumbing: g This permit shall be deemed abandoned and invalid unless the work autho�¢edbyths permit is commenced within six months afterissuance. Rough Gas: All work authorized by this,permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and stru6tue6,shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or `oad a'nd shall be maintained open for;public inspection for the entire duration of the work until the completion of the same. cr Electrical The Certificate of Occupancy will not be issued until all applicable signatures b­l fficialsla�re provided on this permit. Service: Minimum of Five Call Inspections Required forAfl Construction Work ` 1.Foundation or Footing Rough: 2.Sheathing Inspection z; • �_�.., .. :,` .,..0 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have:access to the guaranty fund" (as set.forth in MGL c.142A). - Fire Department Building plans are to be available on site. Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT p � a-t"k TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Q Map Parcel' . Application # s S Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fees Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address /�d mix f� /� ✓� VillageVi A1,41 Owner���r �i�' ,19 te/e Address �1?� Telephone ;2t�` 2 .7^s-e 3v� Permit Request d��//' z 2- j/ P,Z, /7w; Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3�/6,3A Construction Type j G. 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 ANo On Old King's Highway: ❑Yes Q 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: "UILDONG DEpr Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ DEC 02 2016 Commercial ❑Yes ❑ No If yes, site plan review# "OWN OF BABNSTAgU Current Use Proposed Use APPLICANT INFORMATION ®- - (BUILDER OR HOMEOWNER) Name ,��_�� /��,��%� �� Telephone Number _,V f ',2,5 Cam/ Address / 'G �i�lJ�s' �/� License # G) Home Improvement Contractor# O s"�3 SSG 7 Email Nid4,0.Ii'ai 4OZZ d1e�,9s�, G�W Worker's Compensation # 0� �r� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO iv SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r tau of Oarns���iXe . Zato'ry Services s►n.*isrea y ntt$. g; Micharts"V.Scnl,;Dr�lor.. t63tt: �0 ! - Buzltlg Divisiot: - •r �7 f tom�'e . Bwlding{.timtmssiorics' 200 Mafia Strzet:HyaiWn Mk,0260i www it bari4stabiei lrmus Office: 5W8624038 f Fax. Piopexyyt?wz ex Must. �asrnple�e��nd�Sigri:T'`f�s_Scc;�.ox� f Us�n A BuiIder k as'«mPr r the si bird propetly hereby xtrrhQriz _ Pam` Ud. _ ill S;r 1 u��o au,mg behalf;. Go ace in all:matters=relative to workauthonzed_by this;badi g.pern it appkation for. IL1 �S; X4 A u er v (AA&ts s ''Foal fences and as ae shespoua' ty���the;applcar3t Pt��ls . are notto�be;f�ed:or utlized'lefore�fence is: nstall�d`aud all=fi1 im9ecuoli-sl are performed and.:acceptec . S` •uattue of•- . u er s naiurt:of Ap} lieani c-tip n Pzin t Name Pint Na'. Date. Qols:oti�TxrautrsstoNpuois `'S ° The Commonweal th of M«sachusetts Departm.enl of Intlustrzal Accidents I Congress Street, Suite 100 ,e Boston, MA 02114-2017 ° rvww,mass,go v/dia a, 11'urkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers, Applicant Information TO BE FILED WITH THE PERMITTING AUTHORITY, Please Print Le ibl Name (Business/Organization/individual): 1/1 O Address: � f City/State/Zip: -, Phone #; < Are you an employer? C eck the appropriate box; __ F7. pe of project(required): � I. am a employer with ✓ employees(full and/or part-time),' ' 2.©(am a sole proprietor or partnership and have no employees working for me in ❑ New Construction any capacity.(No workers'comp. insurance required.) g."D Remodeling 3.[]1 am a homeowner doing all work myself. [No workers'comp. insurance required.)t I 9. Q Demolition � 4.[]1 am a homeowner and will be hiring contractors to conduct all work on my property. (will l0 [] Building addition ensure that all contractors either have workers'compensation insurance or are sole proprietors with no employees. 1 I,[] Electrical repairs or additions 5.Q I am a general contractor and I have hired the subcontractors listed on the attached sheet. 12. Plumbing repairs or additions These subcontractors have employees and have workers'comp, insurance.) 13.❑Roof repairs 6.]We are a corporation and its officers have exercised their right of exemption per MGL Q. 14. ra / 0ther 152,§1(4),and we have no employees. (No workers'comp, insurance required.) 'Any applicant that checks box kl must also till out the section below showing their workers' r Homeowners who submi('4his affidavit indicating they are doing all work and Then hire outsid compensation policy informati on, —`" IContraoors Thal check this box must attached an additional sheer showing the name of the sue contractors must submit a new affidavit indicating such. bcontractors and state whether or not Those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. am an enWloyer that is provirling workers' compensation insurance for ray e information mployees. Below is.(Ile policy and job site Insurance Company Name: Policy # or Self-ins. Lic. #: --- —� Expiration Date: Job Site Address: ✓`i" — sly - Attach a copy of the workers' compensation policclaration pageGshowin City/State/Zip. num Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punt scy hable, by ea fad expiration date). and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER anda fine ofup to $2550:00 a day against the violator. A copy a('.,this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. /rla hereby certify under the pains and penalties of perjury that the information provided above is true and correct, Signature: Phone#: � Date: �7 7 Official use only. Do,111'0t write In this area, to be-completed by city or town ofJlcla/ City or Town: Permit/License # Issuing Authority (circle one): 1, Board of Health 2, Building Department 3, City/Town Clerk 4, Electrical Inspector SEInspectol, Plumbing 6, Other Contact Person: Phone#: Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-100988 Construction Supervisor. HENRY E CASSIDY'� 8 SHED ROW WEST YARMOUTH h' 0 Expiration; Commissioner 11/11/2017 G / - r Office of Consumer Affairs and Business Regulation 10 Park Plaza -' Suite 5170 Boston, Ma ab usetts 02116 Home Improvemetatrx`C.o ,tractor Registration r-21 Type: Corporation � _f Registration: 153567 Cape Cod Insulation, Inc n; i.�= Expiration: 12/14/2018 18 Reardon Circle y~ a So. Yarmouth, MA 02664 J J ^" Update Address and return card. Mark reason for change. 3CA 1 0 20M-05/11 (9%1e W-11 zar eveal6f elb-Iff"ackae6ifa Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Type,; Corporation before the expiration date. If found return to: Office of Consumer Affairs and Business Re ==_==Z2=Led_istration Ex irp Expiration Regulation 9 13 7 12/14/2018 10 Park Plaza-Suite 5170 ri +1 Boston,MA 02116 Cape Cod Insula#�=nJ1 � . Henry Cassidy``;, 18 Reardon Circld� k..cG�----- So.Yarmouth,Mk1; 286y C� `` a' Undersecretary Not valid without signature CAPECOD-27 DEATON ,a`coRo� CERTIFICATE OF LIABILITY INSURANCE DAT/2912DIY 729/2016 6 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 434 Rte 134 c No E • A/C No):(877)816-2166 South Dennis MA 02660 E-MAIL ADDRESS:mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC If INSURER A:Peerless insurance Company INSURED INSURERS:Safety Insurance Company 39454 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 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 ADD SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FK OCCUR CBP8263063 04/01/2016 04/01/2017 PREMISES Ea occurrence $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY❑PRO- JECT LOC PRODUCTS•COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident B ANY AUTO 6232707COM01 04/01/2016 04/01/2017 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ X UMBRELLA LIAB X JOCCUR EACH OCCURRENCE $ 2,000,000 C EXCESS LIAB CLAIMS-MADE EXCI0006635001 04/01/2,016 04/01/2017 AGGREGATE $ DEC) X RETENTION$ 10,000 Aggregate $ 2,000,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCE00431902 06/30/2016 06/30/2017 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? El N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CLEAResult,Eversource and National Grid are listed as Additional Insureds on this policy on a primary,non-contributory basis. CERTIFICATE 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. AUTHORIZED-REPPRIESSEENTATIVE ©1988-2014 ACORD CORPORATION. All rinhts rwcwrvart CAB . Commonwealth ®f Massachusetts Sheet Metal Permit Date: 00 l 1(p "PRESS l� Estimated Job Cost:$ 1�• 2 j'�� oo AUG 12 2011permit Fee: $ o0 Plans Submitted: YES V NO rO WN O F YES NO Business License# 60— Applicant License# Business Information: Property Owner/Job Location Information: Name: OYar, vtC Name: /� t 3��v e v Street: l I c� /�Y�Y s 1 I vo( Street: I k 1 S ;kt. et ve . City/Town: C /Town: ty Telephone: 74 y_ V j3 }_ 017c( Telephone: 1-81- Photo I.D. required/Copy of Photo I.D. attached: YES [/ NO /M-1-unrestricted license Staffi°`hal J-2/lid-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family C/ Multi-family Condo/Townhouses Other Commercial-. Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft.L—l", over 10,000 sq. ft. 1Vuaaal➢er of Stories: Sheet metal work to be completed: New Work: 6'� Renovation: HVAC Metal Watershed Roofing• Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: a V "s 4 1 / vrrtace .0 ' •" The Casmmonveaalth ofMa ssach Department ofindusmal Accident a Office R fIayestlgsion 600 Waashingtgn Streegt. �F Boston.7.tom 02111 w.wa ssgavldaa ' Workers' tComPensatio n Insurance A davltt A >4 Qr� inn Please PIifIlnQE ° Name(Businessiorgaiization/individuai)• ` Address: tylSt�telp: � Phase.#:Are you an emuloyer?Check t e approprizate hoax �f p oyect(required):; 1. i'am a employer with •4.-[] I am a general contractor and I -Type New Ject(eq-.constr=ti n employees(fall and/or par :Eime), have bred the mb.contractors 6. 2.❑ Tama'sole groprietar or partaer- fisted on the"attached sheet 7. [ Remodeling 914 andhave no employees These sub-cofactors have S. Q Demolition working for m--in any capacity, employees and have workers' 9. ❑Builc}:irtg addition [No workers'comp.insurance comp.insurance.-t required.] ' 5• Q We are a gorporation and its 10.0 Electrical repairs or additions .3•❑ I am a homeowner doing all.work , officers have gnercised their 11.0 Piing repairs or additions myself[No workers'comgi. right of ei`em tion.per MGL 1�,0 Roof repairs insumnev regraired.]i c. 152,§1(4),and we have no . employees:[No workers' . 13. Other comp.insurance re.cfuired] 'Amy applicant that chcoks box#1 imst also fill out the section below shoring them workers'„compensation poSicy informatimn. t Homeov,uer who submit this Tu-day it indicating they aim doiing all work:and thm hire outside contrators must submit a new affidavit indicating such. }Contractors that check this box most attached as additimnal sheet showing the name of the sub-contractors and state whether ornot those entities have employees. If the sub-contracton pave employees,they mastprovide their wbrlcer,'comp.polipynamber. lam an e zployer th9t as pMIPada�g-wor°,kerrs'compensation insurancefor my employees. Belolp is the policy Eand,iyob site - a�farr�¢tzora. � - lumnazrceCompanyName:-LA—LW � �,( " Chi n J Policy#or Self ins.Lic.4- 4o _ C� I _ l;xpzrationDate: lob Site Address: tl,r. } City/5tatelzp a n h rj wt' (08( Attach a copy of'the workers, compensatian poUcy declafa-flon.pa.ge'(sho ng the policy iiv?mber anal expiration ate), l~ailuze,to secure coverage as required under Section 25A of_MGL c. 152 can lead to the imposition of criminal penalties of a fine asp to$1,500.00 and/or ore-year imprisonment,as well as 6:rR penalties in the roan of a STOP ©?Z 1ZI7EP and a ffie of up to$250.00 a day against the violator. Be advised that a copy of this state, mezii may b:forwarded to tlxe©face of Investigations of the DIA for' sMca ttoa I do hereby cewf 1 a er ' ra' n Ui'fies of perjury that the Myla atior prgvided above is true and correct- none#: 50 q — `f (0- o ! f (t _LI — 1119 Qjflcial use or 47.'DO not write in this area,to be coWleted by city or town r7f'CjaL City or Town: Pwr?<aitfLicetase#� J[ssuing Authority(circle one); .I.Bbard of Health 2.Bu lldlug Department 3e City/Town Clerk C lectrical Inspector S.Plumbing hspec.tor 6.Other Contact Person: Phone P. r CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDNYYY) 3/21/2016 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 NAME CT Allana Notaro Murray & MacDonald Insurance Services, Inc. PAHicON(J Ext: (508)540-2400 AXNa:(sos)2a9-4111 550 MacArthur Blvd. E-MAIL ADDRESS:allana@riskadvice.com INSURERS AFFORDING COVERAGE NAIC# Bourne MA 02532 INSURERAArbella Mutual Insurance 17000 INSURED INSURER B: Braga Bros Plumbing & Heating Inc. INSURERC: 2 Mountwood Road INSURER D: INSURER E: Marstons Mills MA 02648 1NsuRERF: COVERAGES CERTIFICATE NUMBER:16-17 Master 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 I ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE D D POLICY NUMBER MMIDD MMIDD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE Fx_1 OCCUR DAMAGE TO RENTED 50,000 PREMISES Ea occurrence) $ 9520052701 01 3/1/2016 3/1/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X PRO- POLICY 7JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident A ANY AUTO BODILY INJURY(Perperson) $ 1,000,000 ALL OS SCHEDULED 1020052173 3/1/2016 3/1/2017 BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ Underinsured motorist BI split $ 100,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I X I RETENTION$ 10,000 INEW UMBRELLA 3/1/2016 3/1/2017 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE _ E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N I A A (Mandatory in NH) 4220052770 01 3/1/2016 3/1/2017 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE -Town of. Barnstable THE EXPIRATION DATE THEREOF, 'NOTICE WILL BE DELIVERED IN Building Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE S Harrington, CIC/SMH �1•"e' ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025 0014011 Please visit our web site at http://www.mass.gov/dpl/boards/SM ALEX B BRAGA BRAGA BROS INC (SM) 2 MOUNTWOOD RD MARSTONS MILLS,MA,02648 t Fold,Then Detach Along All Perforations 0 9!/9 OM09VVll�e��TH OF�M�4�MGM E. Mll ,3`Lz xt,h 'L' Y e' 1�4JAD w - SHEE 1117ALWORO�ERS P � 3 �13SUES�TH�FOLLO„,WING LIO�NSE�A�S�`A'��` BUSINESS "U"sty s �� „'' r?.� ✓ � �f ppgl BRAGA BFiOSINOOt � u d tY 2 IVIOUI TWOOD ROAD KI MARSTONS MILLS,MR:02648 ' DRI,VER;S "LICENS t ' x * 4a"1ss1 �a ENq` qd NuntaER 2"20rZ tNONtIi �, 6' r alp oe t t Q, q4 i " �•�, Wv AgS S io•RES SIX '}�,.J'fl6 HGT"�5-t66 I' j i{g �RNONE 5 2 �y' z Sty t $ z�RLEXtg x x rio9 ti.1fl4 .Y - _ ��g�� MARSTONS MI�CgLS MA 0 62 48 21 r P +yam o0 oe tazo�7 Revaz 1,ioao f�1":` f ; ' � awl Page 1 Residential Heat Loss and Heat Gain Calculation 8/5/2016 In accordance with ACCA Manual J Report Prepared By: Braga Bros. Plumbing & Heating Air Conditioning For: Steve Mele 141 Sixth Ave Hyannis Port, MA Design Conditions: Cape Cod Indoor: Outdoor: Summer temperature: 68 Summer temperature:' 90 Winter temperature: 74 Winter temperature: 0 Relative humidity: 55 Summer grains of moisture: 100 Daily temperature range: High Building Component _ Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 1,207.6 sq.ft. 22,802 4,223 27,025 60,965 ( 2.5 tons ) First Floor 22,792 4,211 27,003 60,900 All Rooms 1,208 sq.ft. 22,792 4,211 27,003 60,900 Infiltration `2,420 3,061 5,481 16,282 Tightness:Avg.; WinterACH: 1 ; Summer ACH: .5 Duct 1,085 0 1,085 5,536 -Supply above 120; Exposed to outdoor ambient; R-8 People 5 1,500 1,150 2,650 0 Miscellaneous 1,200 0 1,200 0 Floor 1,207.6 sq.ft. 0 0 0 13,941 -Over unheated basement; Hardwood or tile; No insulation N Wall 259.7 sq.ft. 481 0 481 1,730 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 10 sq.ft. 238 0 238 367 - Double pane; Vinyl frame; Clear glass No inside shading; Coating: None (clear glass); No outside shading. Window(2) 8.8 sq.ft. 209 0 209 323 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(3) 36 sq.ft. 857 0 857 1,321 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(4) 7.5 sq.ft. 178 0 178 275 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Page 2 Steve Mele 8/5/2016 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Window(5) 7.5 sq.ft. 178 0 178 275 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Door 18 sq.ft. 248 0 248 892 -Wood; Panel; No storm E Wall 327.5 sq.ft. 607 0 607 2,181 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 10 sq.ft. 728 0 728 367 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 10 sq.ft. 728 0 728 367 - Double pane; Vinyl frame; Clear glass - - No inside shading; Coating: None (clear glass); No outside shading. S Wall 258.7 sq.ft. 480 0 480 1,723 -Wood frame,with sheathing, siding or brick; R-11 3 1/2 in.; none Window 10 sq.ft. 388 0 388 367 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 10 sq.ft. 388 0 388 367 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(3) 10 sq.ft. 388 0 388 367 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(4) 10.2 sq.ft. 396 0 396 374 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(5) 10.2 sq.ft. 396 0 396 374 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(6) 10.2 sq.ft. 396 0 396 374 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(7) 10.2 sq.ft. 396 0 396 374 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Door 18 sq.ft. 248 0 248 892 -Wood; Panel; No storm W Wall 292.5 sq.ft. 542 0 542 1,948 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 4 sq.ft. 291 0 291 147 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 10.2 sq.ft. 743 0 743 374 Page 3 Steve Mele 8/5/2016 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(3) 10.2 sq.ft. 743 0 743 374 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(4) 10.2 sq.ft. 743 0 743 374 - Double pane; Vinyl frame; Clear glass. - No inside shading; Coating: None (clear glass); No outside shading. Window(5) 10.2 sq.ft. 743 0 743 374 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(6) 10.2 sq.ft. 743 0 743 374 - Double pane; Vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Ceiling 1,208 sq.ft. 4,111 0 4,111 7,866 - Under ventilated attic; R711 (3 - 3.5 inch); Dark . Whole House 1,207.6 sq.ft. 22,802 4,223 27,025 60,965 ( 2.5 tons ) { HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. Please visit our web site at http://www.mass.gov/dpl/boards/SM ALEX B BRAGA (SM) 2 MOUNTWOOD RD MARSTONS MILLS MA 02648-2111 Fold,Then Detach Along All Perforations ' -COMM oNw ►LrH-,,, �Ma��5A�F6US��fS 4BUARW9fl1` a SHEEN METALWORKERS S`$UES°THEFOaLLOWI NG LICENS°E , X h, 0' A"M/1STER " RLEX B BRAYGA x f i 1—. a s a f ar Fj' 1LU �2 "Of' "b-A- ,`.` MARSTONS�'t�I�l�EtS �A�0264'8 2�1J�1��,,� � � I `� • Sf-✓L M e,1--- 1kL S ; A.k o.Ve . i�ya�„;IP47A, 6 v itvY n a c e- 3 torn CC2 w1" .2•5 ton L@no4 r AwEXQfS°T ;I J r • I -- - - JN_EW AZEK?RIM �- _ :IE_XISTINC�, _ 1 l4 • I l:_ 20 SHINGL'E•SID_ING, - - - '` :i - - 3 . "TOIMATCKEXISTING .. - • - - _ 3 3 2'=9 .2 9 1, EX1ST. FIXED{PANEL;' �'� ---'"- _ --..EXIST._ _r. ::., • �.__ ---_ 20":FOL~11NGI DGGR I --_� N ;PKT TOOOR••' : I A 14 I. REMO;f 20 Xr A -.�, �:+'x.)P _ I I � .. � � �� f• - ^ '.I���THI , WNING 1 I =1 1 2gi600R DH WIt(JOW µ n E'DRO'O_}M 6 26 x4 A F - 16 2K2 j I ' I 2K;2J ;2J J I tDH WINDO DHWINDOW c,i_osI }p ��FOLDIIG - 'lll6 I: �:2K 2J I i •. - i'SHE- EST ' Iltll� , { I'`DH WINDOW I26 x4=�•' 3 X:5 i.i } - -I TABLE DH'V7INDOW: }.• II _�®I - _ r , -1 _ IIII N o - { TRANSOM 2.6 "x 4'_1:. j li :J. �RaEM;OID ABOVE 'J_ ml J 1 FLATc�iuiG = i IN,ROO'M '2! 7 .1 UH'MOAND i S•X'} .I,I„ - N,. 7 ->• 1'I - FILING) OM 11.�1 N - OVEI m 2J; rn DH'WINOOW i1 ,I I, I I �-t CH END OFIBEAMw l' SOM 26"x4'-1" I 1T ' . �R?EMODI.. QI rlS►/i 1 ,—� s II ': L .: �. . 1(1��1'IAY Vi (11% I �CP�'ISLP:ND� r •! .� , j : _ �I OH WINDOW l k I II- � � �t ,RANGE !x� I.( 12.6"x 4'_1 17 ''�f l� I�VI .12K2J o r r \ (VER FY ITCHENi l ` NEW!30 x:6;8" A ' '•�, IIAYOl9TW/OWNER), Ow" i;II I SIfSK i/ -. �!i to t 11DH WINDOWS 'DHIWINDOW Ilk - - I - IL •�la�Ir �f 1�10 x4 1 \•-910 x41''s"t; - -- - - - - - ' T _ I II _�`r' �1 •, � ..i H i�+��„\I 1i 11 .: � 82 111 1=�_., - ;1z0 'Town .of Barnstable o Replatory Services �arestx, s a`� Toms F.Geller,Director Building Division Tom Perry,wilding Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign TIAs Section �f-=Z.A Mulder as Owner of the subject ptopeq Q n t hereby autbodze 'VQ q UroS. Ne ►7fP•k 13 q —��---- �. .—to art on my behalf, in ali Matters relative to work authorized by this building petmit. (Address of Job) Pool fences and alarms are the responsibility of the applicant. 'pools are not to be fi31ed before fence is installed and pools are not to be utilized until ' fin inspections are performed and ac pted. Sign of caner Signature of Applicant Print Name Pont Name Data �. WORMS:OVRMPMUSSIONPOOLS • ,J INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes M/No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy (� Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only s, Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By Ly"/Master Title ❑ Master-Restricted City/Town ❑Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number: Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval Town of Barnstable *Permit# KVires 6 monLftsftom issue date Regulatory Services Fee S. IMMSTABI.E. : - � MASS. Thomas F.Geiler,Director AtED MA't� Building Division JUL 3 U 2013 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us TOWN OF BARNSTABLE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �y ®7 Not Valid without Red X-Press Imprint Map/parcel Number Property Address 51X:Tfl [ Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address S-tt'>Iti 4 Contractor's Name owjae- Telephone Number 5O% S<)LI L4 b4® - Home Improvement Contractor License#(if applicable)`04- ' f 51 Email: 06CZ u.-N(52 C04cofY r,AJer Construction Supervisor's License#(if applicable) qq 107 13<rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [+ I have Worker's Compensation Insurance Insurance Company Name Vt-e'er-V4 aW4L- Workman's Comp:Policy# &X—`6 51 S Copy of Insurance Compliance Certificate must accompany each permit. Permit Requ t(check box) C3 Re-roof(hurricane nailed).(stripping old shingles) All construction debris will be taken to g4P-M 00!q JaA VS ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑. Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: " ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:IWPFILESIFORMS\building permit forms\EXPRESS.doc Revised 061313 y.I OFVE Town of Barnstable Regulatory Services saaxsrwsz.E, • ,.M►as g Thomas F.Geiler,Director 1639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must , Complete and Sign This Section If Using A Builder I, Q WA. 46 U-o� ;as Owner of the ero subject P p riY _ hereby authorize_OL,.J 1 a- UY u24 to act on my behalf, in all matters relative to work authorized by this building permit x U (Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant �u s oc 'q Q. /� �� jet LL Print Name . Print Name R aA a0l Date QTORM&OWNWERMISSIONPOOLS 62012 r. _ Town of Barnstable Regulatory Services n�XAS&us ' Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityRown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or faun structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form. acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buiiding_permit. (Section 109.1.1) The undersigned"homeowner!assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor. (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in ;your community. C:\Users\decoUlc\AppData\Local\Microsoft\wmdows\Temporary Internet Files\ContentOutlook\QRE6ZUBN\EXPRFSS.doc :Revised 053012 ;.; %co CERTIFICATE OF LIABILITY INSURANCE °AT�`MM.D°'"YY' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 9ERTIFICATE 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 pollcyt certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. ooucER DOWLING &ONEIL INS AGENCY INC CONTACT NAME: 973 IYANNOUGH ROAD PHONE Ne: HYANNIS, MA 02601 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC S INSURFRA: LIBERTY MUTUAL INSURANCE INSURERS: OLIVER KELLY :)BA KELLY ROOFING INSURERC: 3 RHINE ROAD INSURERo: YARMOUTH PORT MA 02675 INSURERE: INSURER F )VERAGES CERTIFICATE NUMBER' 15208514 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO-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, D(CLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE iA LlsueRl P011CY NUMBER PO aCDY EFF MM1OUCU EXP iIwqQ I GENERAL LIABiLrrY EACH OCCrURRENCE S 1 COMMERCIAL GENERAL LIABILITY PREPARES Ea ooairrence) S CLAIMS-MADE D OCCUR MEOEXP(Any one arson) IS a j PERSONAL&AOV INJURY S GENERAL AGGREGATE S -. GENT AGGREGATE LIMIT APPLIES_ PER:PER: ` ' PRODUCTS-COMPIOP AGG S 17 POLICY PRO 1 I LOC 1 S AUTOMOBILE LIABILITY Ea acclde0 51 GLE LIMIT S ANY AUTO ( BODILY INJURY(Per person) S :AUTOS ALLOWNED `SCHEDULED i BODILY INJURY(Par accident) g HIRED AUTOS AUT NON-OWNED I I PerOamd1 AMAGE S - I IS UMBRELLA LIAR' OCCUR EACH OCCURRENCE S I EXCESS LIAB H CLAIMS-MADE AGGREGATE S. 1 - . OED RETENTIONS S. WORKERS COMPENSATION WC5-31S-338844-022 12/28/2012 12/28/2413 sTATII- 07�{ AND EMPLOYERS'LIABILITY YI N f T MlTS i ER t N0 YECU(IVE7 E.LEACHACCIDENT S 10004C 6 UCERM072DEO? NIA=OF (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 5 10000 It yes,describe under DESCRIPTION F OPERATIONS betow I (E.L.DISEASE-POLICY LIMIT,s SOOOOC i SCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more apace is required) orkers compensation insurance coverage applies only to the workers compensation laws of the state MA. fE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR OLIVER KELLY. ` ERTIFi ATE HOLDER C NCE L TI N SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE OWN OF YARMOUTH' THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1146 ROUTE 28 ` ACCORDANCE WITH THE POLICY PROVISIONS. 3)OUTH YARMOUTH MA 02664-4492 ' AUTHORIZED REPRESENTATIVE Jeff Eldridge ` 01988-2010 ACORD CORPORATION. All tights reserved. :ORD 25(2010105) The ACORD name and logo are registered marks of ACORD J ro.: 1520951a CGZS&T CODE: 1329955 Bane a. 2/26/2013 5. 6:33-aX ? e '-r + - - I 1 "tAL previously issuer ce_t• -cares. s certi icate cance s era superse es Y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + kip 600 Washington Street ..Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Anolicant Information Please Print Legibly Name(Business ownizatioa/Individual): T Address:`�6 6atA City/State/Zip: ® �r Phone#: S- 01�S Vic( q(�>y Q Are',you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with Z 4. ❑ I am a general contractor and I employees(full and/or part-time).*. have hired.the sub-contractors - 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. .7. ❑Remodeling 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 1 I.❑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 3a.❑ I am a homeowner acting as a employees. [No workers' 13.❑Other general contractor(refer to#4) comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensatiofi�oticy 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 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 provrdutg workers compensation insurance for my employees.. Below is the policy and fob site information. Insurance Company Name: Lt� t"lh.��i•f�ri,�- <� Policy#or Self-ins. tic.#: t✓� aj� ?�� 'i -02 Expiration Date: 0Z.' 2%;.. F Job Site Address:1't 5,&g c City/State/Zip: L44- S.o 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 S 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 S250.00 a day against the violator. Be advised that a copy of this statement.may be forwarded to the Office of Investigations of the DMA for insurance'coverage verification. I do here er the pains and penalties ry t at the information provided above is true and correct i ..1 Da -0 '�- LjF Ofj3eial use only. Do not write in this area,to be completed by city or town official '"k City or Town: Permit/LIcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other w Contact Person- Phone#. Office of Consumer Affairs and Business Regulation { 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration P Registration: 128957 Type: Individual ` Expiration: 6114/2015 Tr# 240963 Oliver Kelly Oliver -Kelly 8 Rhine Rd Yarmouthport, MA 02675 Update Address and return card.Mark reason for chat SCA t v 20M•05/11 .� t Address Renewal, Employment Ej Lost �-• Ofrice of Consumer affairs&Business Regulation License or registration valid for individul use only 6 _ ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: registration 128957 Type: Office of Consumer Affairs and Business Regulation Expiration: 6/14/2015 - Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 Oliver Kelly Oliver Kelly _ 8 Rhine Rd. ` Yarmouthport,MA 02675 Undersecretary Not valid without signature 11i.ttru*;Itu.etts- Bellarhetrnt of Public 5i111et; +8tutr_!of Builtiirl_Re;;ulttti+uf.,tnet 5tttntl:tt•t! ` - . License: CS SL 991$7 Restrlcted to: RF,WS •OLIVER KELLY 8 RHINE ROAD YARMOUTHPORT,MA 02675 t Expiration, VAC013 t �uuui,•i«n�r Tr: $is$ _ f _� - --- ----_.- 3 _ f r 6�' Aj � i 1 SMOKEDETECTORS REVIEWED TOWN OF BARNSTABLE NEW CUPOLA,VERIFY ALL DETAILS W/OWNERS A BLE BUILDING DEPT, D TE 13 �� �: 55 IRE D PARTM�EQUIRED NT DATE. �� BOTH SIGNATUR S ARE FOR PERMITTING j ,jo.j ❑ ❑ ® ® � , EXIST. Fm a a DECK NEWA TO MATCH CHK TRIM EXISTING I _ r 12'-0" NEW W.C.SHINGLE SIDING T-3" 2'-9" 2'-9" 3'-3" FRONT E L E VAT I O N FIXED PANEL TO MATCH EXISTING WIDE EXIST. EXIST. FIXED_ �W-o ' 2'0"FOLDING t -ODORCLOs' X4"x6'6' NEW A . PKT.DOOR ZO"x 2'" � � REMOD. BATH AWNING BEDROOM ®_ 27600R O DH WINDOW !/I 2'6"x IND QQ / 2K,2J 2J 2J 2K,2J 3'-10" DH WINDOW DH WINDOW I Z6"x 4(,v '-1" 2'6"x 4'-1" NOTES: FO ' 3-0 4 r+ �FOLDI G% I e - IiL.OS. � � III 2K,2J / III DH WINDOW 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS sHE ves / sT I IQ z's"xa'-1" w/D - 3•x s I I= &DIMENSIONS IN THE FIELD ` TABLE I I III 2J 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, i iJ 2's"x SO DH WINDOW DETAILS,&FINISHES IN THE FIELD WITH OWNER o i i� TRANSOM 2'6"x4'-1" ,, IIIx REMOD. ABQVE 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT j �_ a ili SUNROOM 2J FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR ! SIX�1 (FLAT CEILING) I I 2'6"x SO '6 WINDOW 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS \ 1 I� (VAULTED CEILING). ABOVE 2's"xa-1" q 11 - j, 3'-6" 3'E" III2� ABOVE _ a STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 I 2J 5.) 110 MPH EXPOSURE B WIND ZONE EACHNEW x6POST UNDER 2'6"x SO '6 WINDOW 13'-0" BEER I EACH END OF BEAM TRANSOM 2'6"x 4'-1" _ REF. I REF ==k= ABOVE 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, REMOD. o - __J I OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING ITT xq1 EXIST. < 2J cp 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e,L/360 LOAD __ LIVING ISLAND _ Z6 WINDOW DH x WINDOW RANGE 8.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE L—`y`� *� - REMOD. O� F RANG DURING FRAMING CONSTRUCTION KITCHEN 2K,2J o 9.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE (VERIFY KITCHEN NEWO a 10. FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY DOOR 3'D"xs's" LAYOUT W/OWNER) ` ��� DOOR EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION ��� I Dw lO 1o"xb DH WINDOW OH WINDOW INSTALLER/CONTRACTOR. r '-r' r1o"xa'-r' _ <V 11.)ALL HEADERS TO BE 3-2 x 6's UNLESS OTHERWISE NOTED - -" J NEW 2'6"x41" A ..-...._- .-- CASEMENT IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS FIRST FLOOR PLAN CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION . TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) 12'-0" FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR SASEMENi WALL BASEMENT SLAB CRAWL SPACE WALL U-FACTOR 1$FACTOR R-VPLUE RNALUE R-VALUE R-VALUE R-VALUE R-VALUE LEGEND: 032 0.60 49 m 30 15/19 10(2FT-DEEP) IW13 NOTES: EXISTING WALLS 1,R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. CONSTRUCTION TO BE REMOVED 2.15119 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR L__J - OF THE HOME ORR=I5CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL ® NEW CONSTRUCTION 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS THE��/J ERRORS RO OMISSSHALIONS SAREF UN ON SCALE : SCALE : DRAWING NO.: I < COTUIT BAY DESIGN, LLC NEW REMODELING FOR: CON , STR CTION.THE BUILDING CONK Ili\ THESE DRAWINGS PRIOR TO START OF WILL BERESPONSBEFORI7HE CONTENT°R 1/4" - 1'-0" 43 BREWSTER ROAD INTHESE COMMENCES WTN IF.CONSTRUCTHE MASHPEE MA. 02649 COMMENCES WIT"OUT SOLEYFORTH p M E L E RESIDENCE DESIGNER ERNOARE TEDAERRORS OR OMISSIONS. DATE PH. (508 274-1 166 TOF HESE DRAWINGS RE06R SOTHER THE THE USE FAX 508 539-9402 CONSENT TOFTHE DESIGNER UNDER HE OF c 141 SIXTH AVENUE WEST HYANNISPORT, MA ACTQF;M..INOSREOURE9TEWRRTFN 5/3o/2o1s Al CONSENTTU THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION y .6 ' - ' NEW CUPOLA,VERIFY TOV' II OF BARNSTABLE ALL DETAILS W1 OWNERS 3 Yet 1 ' EXIST. DECK NEW A TRIM TO MATCH EXISTING I NEW W.C.SHINGLE SIDING 3'41" 74' 2'-9" T-3" FRONT ELEVATION TO MATCH EXISTING 1'6"WIDE EXIST. I I EXIST. FIXED PANEL 2'0"FOLDING 1 iq DOOR r CLOS 2'4"z6'6" NEW A al REMOD. - PKr.DooRBATH ro"x2 " A2 AWNING BEDROOM 2'¢ 000R O DH WINDOW 2'6"x 4'+" Bo j 2K,2J 2J 2J 2K,2J 3'-10" DH WINDOW DH WINDOW 2,6"x 4,-1„ 2'6„x 4,-1„ f g'e^� 3'-4" I 4 CLOS. i FOLDING IIII 2K,2J NOTES: DH WINDOW 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS SHE Es �' sr q 3' I 26~x4'-1" ,� x s �IQ W &DIMENSIONS IN THE FIELD " TABLE I I= jlj� 2'6"zi'7" DH WINDOWF71I L S' 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, I — I I� c TRANSOM 2.6"x4'•1"ABOVE DETAILS,&FINISHES IN THE FIELD WITH OWNER I "� REMOD. � �1\ I I I x 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT I i iM SUNROOM 2J N FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR I i S k �- (FLAT CEILING) )I 2'6"x 1'7" DH`x 4'-1 W o � '�` III� (VAULTED CEILING) TRANSOM 2'6"x 4'-1" 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS III" ABOVE m 3'-6" 3'•6' I I w STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 " `` _ i iz 2J NEW 4 x 6 POST UNDER 2'6"x 17' DH WINDOW ^' 5.) 110 MPH EXPOSURE B WIND ZONE 13-0 BEER EACH END OF BEAM TRANSOM 2'6"x4'-1" REF. REF ==k� ABOVE 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, _ I ` __J OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING i �aZ EXIST. REMOD. < zJ 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD_., •^^ ,r LIVING ISLAND DH WINDOW L c 1, J` \� RANG 2.6„X4,-1, 8.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE - J - OD. 00 DURING FRAMING CONSTRUCTION KITCHEN 2K,2J 9.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE O 4 (VERIFY KITCHEN NEW 3'0"x 6'8" LAYOUT w'OWNER) 10.)FOLLOW ALL REQUIREMENTS OF THE IECC2012 RESIDENTIAL ENERGY I" DOOR J EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION I ii —— DW SINK DH WINDOW DH WINDOW INSTALLER/CONTRACTOR. n I 9 +'10 x4-1" r+a'xa'-1" 11.)ALL HEADERS TO BE 3-2 x 6's UNLESS OTHERWISE NOTED - J A NEW 2'6"x 41" A CASEMENT IECC2012 RESIDENTIAL ENERGY EFFICIENCY DETAILS FIRST FLOOR PLAN CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION I SKYLIGHT CEILING WCOO FRAMED WALL FLOOR EASEMENT WALL BASEMENT SLAB CRAM SPACE WALL U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE LEGEND: 0.32 O.SD 49 20 30 15119 10(2 FT.PEEP) 1W13 NOTES: 0 EXISTING WALLS 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS, CONSTRUCTION TO BE REMOVED 2.15119 MEANS R=1 _ 5 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR r L _J OF THE HOME OR R=I5 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL NEW CONSTRUCTION 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS THE NOTIFIE IIIII ``//\\// ERRORSIORO SHALL OMISSIONS REFOUDND ANV SCALE : DRAWING NO. : ®lam® COTUIT BAY DESIGN, LLC NEW REMODELING FOR: WILL EOROMISIBLE FOREFOUNDON THESE DRAWNGS PRIOR TO START CF CONSTRUCTION.THE BUILDING CONTRACTOR NTENT 11411 — 1'-011 43 BREWSTER ROAD WILLBERESPON GSI FOR THF INSTRUCTION IN THESE ORAWINGE IF.CONSTRUCTION MASHPEE MA. 02649 TH BED A NTH OUTNOLELYIFO TH Al M E L E RESIDENCE HE DESIGNER OF ANY ERRORS OR OMISSIONS. DATE THESE DRAWINGS ARE SOLELY FOR THE USE SE 01 PH. (508))274-1166 THESOF E ONMERNOTED ANYOTHE THER ITTE FAX(508)539-9402 141 SIXTH AVENUE WEST H YA N N I S P O RT, MA ARCHITECTURAL ECTUR GS REQUIRES PROTECTION 5/30/2016 CONSENT OF THE DESIGNER UNDER THE ARCMTECTURAL COPYRIGHT PROTECTION ACT OF ISM. NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING ROOF FRAMING: NEW CUPOLA,VERIFY BLOCKING TO RAFTER(TOE NAILED) 2.8tl 2-10d EACH END ALL DETAILS OWNERS RIM BOARD TO RAFTER(END NAILED) 2-16 d 3-116d EACH END WALL FRAMING'. TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS STUD TO STUD(FACE NAILED) 2.16 d 246d 24"O.C. HEADER TO HEADER(FACE NAILED) 18d 18d 16"o.c.ALONG EDGES FLOOR FRAMING: 12 JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-8tl 4-10d PER JOIST BLOCKING TO JOISTS(TOE E 210 2-8d - d EACH ENO EXIST. BLOCKING TO SILL OR PLATE (TOP PLATE(TOE NAILED) 3-16d 4.16d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-1 Bd 4-16d EACH JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3-0d 3-10d PER JOIST BAND JOIST TO JOIST(END NAILED) 3.16d 4-16d PER JOIST BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3-16d PER FOOT ROOF SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) RAFTERS OR TRUSSES SPACED UP TO 18"o.G 8tl tOd 8"EDGE/6"FIELD LLIJ RAFTERS OR TRUSSES SPACED OVER 16"o.c. 8d 10d 4"EDGE/4"FIELD NEW W.0 SHINGLE SIDING GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 1Dd B"EDGE/6"FIELD TO MATCH EXISTING ® [H] ® ® ® GABLE END WALL RAKE OR RAKE TRUSS 8d 1Dd 8"EDGE/6"FIELD ! W/STRUCTURAL OUTLOOKERS \ GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8tl 10d 4"EDGEl4"FIELD NEW AZEK WINDOW TRIM TO MATC H EXISTING CEILING SHEATHING: GYPSUM WALLBOARD 5tl COOLERS -- 7'EDGEItO"FIELD NEW AZEK 1 x 4 TRIM WALL SHEATHING: W/2"SILL L L L ) STUDS SPACED UP TO 24"o.o, ed 10d 3"EDGFJI2"FIELD 1/2"825/32"FIBERBOARD PANELS 8tl — 3"EDGEl6"FIELD 1/2"GYPSUM WALLBOARD 5tl COOLERS — T'EDGEIIV FIELD FLOOR SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) 1'OR LESS THICKNESS Btl 10d 8"EDGE/12"FIELD GREATER THAN 1"THICKNE88 tOd 16d 8"EDGE16"FIELD 12'-0" RIGHT ELEVATION TYP. ROOF CONST. A -2 x 12 ROOF RAFTERS @ 16"o.c. A -518"COX PLYWOOD ROOF SHEATHING CONT.SOFFIT VENTS -ASPHALT ROOF SHINGLES -1518.FELT PAPER -11"HI-R BATT INSULATION SLOPED CEILINGS(R=38) 2.1 3/4"x l l 7/8"LVL -11"BATT INSULATION OR(1)1 3/4"x 14"LVL @ FLAT CEILINGS(R=38) 2K 2J RIDGEBEAM -2 x 12 RIDGE BOARD NEW 4 x 6 POST FROM -SIMPSON H 2.5 HURRICANE CLIPS RIDGE DOWN TO HEADER AT ALL RAFTER ENDS 2 x 6's Q 16"o.c. -ICE/WATER SHIELD AT BOTTOM 3'0"OF ROOF -PROP-A VENT BETWEEN RAFTERS I 1/2'.GYP.BOARD 12 -WIND WASH BARRIERS w 2J ON 1 x 3 STRAPPING EXIST. --Lv NEW 4 x 6 POST FROM p 16"0.0 EXIST.2 x 6 RAFTERS W/ % I RIDGE DOWN TO HEADER 2.1 314"x 9 117'LVL HDR. SPRAY FOAM INSULATION (R38)FOR 600 S.F.OR 2J TOP OF PLATE ® LESS AREA _(2)1 3!4"x 11 7/8"LVL RIDGEBEAM _ 3 OR(1)1 314"x 14"LVL RIDGEBEAM % c, ® ® ® ® ® EXIST.2 x 4 WALLS A Z L EXIST.2 x 6 RAFTERS N I 2J SPRAY FOAM INSULATION TO REMAIN Z 71 (R20) 3 N z w 21 REMODELED FIRST FLOOR S U N ROOM SUBFLOORIQ EXIST.2 x B's @ 16"O.C. 2K 2J EXIST.6 x 8 GIRT EXIST.CONCRETE BLOCK FOUND. WI 20"WIDE x 6"DEEP CONC.FTGS. TO REMAIN q A SECTION @ MASTER SUITE TYPTWA@LL CONST. 2 I I A2 2.1/2"PLYWOOD SHEATHING 3.6"(R=20)BATT INSULATION 4.112"GYPSUM BOARD 6.W.C.SHINGLE SIDING ROOF FRAMING PLAN REAR E L E VAT I O N 6.TVVEK VAPOR BARRIER 7.6 MIL POLY VAPOR BARRIER R SHAU BE NOTIFIED IF ®Q® COTUIT BAY DESIGN, LLC NEW REMODELING FOR: CONSTRIGNEN.THEBILDINGCONTRNV SCALE : DRAWING NO.: ERRORS OR OMISSIONS ARE FOUND ON THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD CONSTRUCTION.RESPONSIBLE 1/41'= 1'-0'1 WILL BE RESPONSIBLE FOR THE CONTENT M E L E RESIDENCE IN THESE DOF MY S IF CONSTRUCTION MASHPEE MA. 02649 COMMENCES A2 DESIGNER OF MY ERRORS OR OMISSIONS. DATE . PH. (508 274-1166 OF TE OPAERNOTEDfi ANY OTHER THE OF USE FAX (508) 539-9402 141 SIXTH AVENUE WEST HYANNISPORT, MA AR A BTUERNOTEYRIGH PROTECSEN THESE DRAWINGS REQUIRES THE NRITTEN 5/30/2016 CONSENT OF THE DESIGNER UNDER THE AR COPYRIGHT PROTECTION ALL SYSTEM COMPONENTS SHALL BE SYSTEM PROFILE MARKED WITH MAGNETIC TAPE OR T PROVIDE MIN. 20" DIAM WATERTIGHT (NOT TO SCALE) COWARABLE MEANS FOR FUTURE LOCATION. NOTES ��- I Y _- ACCESS COVERS TO WITHIN 6" OF FIN. GRADE - CONCRETE COVERS TO WITHIN 3" GRADE 1. DATUM IS APPROX. NGVD ( _ 2" PEASTONE OR GEOTEXTILE ! - TOP FOUND. EL. 15.4' -�T � FILTER FABRIC OVER STONE I -rj�hey l 2� SLOPE: REQUIRED OVER SYSTEM 2. MUNICIPAL WATER IS EXISTING \ � t . 14.0 � CIP MINIMUM .75'�OF COVER OVER PRECAST __ -- --- 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. �T / f'ea_�h Rd. A--, PRECAST H-10 BLOCKS OR I _ _ c 4. DESIGN LOADING FOR ALL PROPOSED PRECAST RISERS (TYP.) - - PRECAST RISER 2'0 4"OSCH40 PVC MORTAR ALL H-L0 UNITS TO BE AASHO H- A3.59 PROP. TEE PIPES LEVEL 1ST 2' COMPONENTS 4' (TYP.) NV'S1.0' 4' ENDS - SIDES 12.0 5. PIPE JOINTS TO BE MADE WATERTIGHT. �- -- - - 10" EXISTING ;,�' z TEE SEPTIC TANK** TEE PER [�®�LE� ��®Do _®®�® 'o�oo0 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE f " T.- 2.119f * ° ° ° ° ��{ j ((�} } ((�, � WITH 310 CMR 15.000 (TITLE 5.)°°°°Q°° 6" MIN. SUMP °°°o°o°�>' 1�1 L�l � �I�tVI� ®®m , ° o °° ° °°°°°°° occ ° ° '-' O O camGAS BAFF °°°° 12" MIN. INT. UIM, c� ;o° °° � , mML-Am pF.3 CAI 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND° ° ° J ` 9.0' NOT TO BE USED FOR LOT LINE STAKING OR ANY OTHER PURPOSE. Nantucket 3/4"-1-1/2" DOUBLE WASHED STONE 4' MIN.LH-20 500 GAL SoundLEACHING CHAMBER BY ACME PRECAST OR EQUAL. 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. ALL AROUND PRECAST STRUCTURES (2) UNITS REQUIRED 6" CRUSHED STONE OR MECHANICAL OVERALL DIMENSIONS TO OUTSIDE OF STONE: 25' X 12.83' CONCEALED WITHO9. COMPONENTS NOT TO $E $ACKflLL BOARD OR #41 COMPACTION. (15.221 [2]) � HEALTH AND PERM` INSPECTION Y ISSIONOBT OBTAINED FROM OF HEALTH. _ ( 1 SLOPE) ( 1 % SLOPE) EXIST. 10. CONTRACTOR SHALL BE RESPONSIBLE FOR FOUNDATION- EXIST. -- SEPTIC TANK 5' - D' BOX 5' LEACHING 4.0' BOTTOM TH-1 & 2 CALLING OIGSAFE (1-888--344-7233) AND LOCUS MAP r` FACILITY NO GROUNDWATER FOUND VERIFYING THE LOCATION OF ALL UNDERGROUND & 'THE INSTALLER SHALL VERIFY THE LOCATIONS OF ALL "INSTALLER SHALL CONFIRM MINIMUM SEPTIC TANK SIZE AT OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF •..; UTILITIES AND ALL BUILDING SEWER OUTLETS AND ELEVATIONS 1000 GALLONS AND ITS SUITABILITY FOR RE-USE. REPLACE WORK. NOT TO SCALE PRIOR TO INSTALLING ANY PORTION OF SEPTIC SYSTEM WITH 1500 GALLON SEPTIC TANK APPROPRIATE TO SITE 11. ANY UNSUITABLE MATERIAL ENCOUNTERED •T CONDITIONS IF NOT SUITABLE ASSESSORS MAP 245 PARCEL 77 SHALL $E REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. 'VARIANCES FOR SEPTIC SYSTEM REPAIRS WHICH MAY BE f 12. EXISTING LEACHING FACILITY SHALL BE PUMPEDAND REMOVED OR PUMPED AND FILLED WITH CLEAN IMMEDIATELY GRANTED BY THE BOARD OF HEALTH AGENT OR SAND. LEGEND BY HEALTH INSPECTOR --_ - 99 - EXISTING CONTOUR PAPERWORK AND HEARING REDUCTION PROPOSALS APPROVED ' X 99- EXIST. SPOT ELEV. BY THE BOARD OF HEALTH REVISED DURING A PUBLIC --(�99]--- PROPOSED CONTOUR HEARING HELD ON AUG. 4, 2009 198.41 PROPOSED SPOT EL 2) FAILED SYSTEMS ONLY : SEPTIC SYSTEM COMPONENT TO FOUNDATION SETBACK, IF AN IMPERVIOUS LINER IS DESIGNED TH1 AND INSTALLED (10' OR GREATER ALLOWED). 4;i } TEST HOLE SYSTEM DESIGN: 2% SLOPE OF GROUND GARBAGE DISPOSER IS NOT ALLOWED `zz' UTILITY POLE FOREST STREET DESIGN FLOW: 3 BEDROOMS ® 110 GPD = 330 GPD -��a ,r�Ra�: -�. ._ _ _ T-,__, "" - __ .71 _ _ �_ _ _ L- --- _ GP DESIGNFLOW l� NOTE ��NOTALUL PPEAR IN DRAVANG 6 SYMBOLS MAY A731 - - J 3. 7 1O � , 15834 16 s6 1e �� -� _ -' - _- - - - _ - - - 1��o x �•1 CT SEPTIC TANK: 330 GPD (2) = 660 UP A=23.57' 25 - - : 0' 15. ��� I ** TEST HOLE LOGS R=15.o1' RE-USE EXISTING 1000 GAL. SEPTIC TANK �1 --- r 14 ) 4.28 10" HOLLY LEACHING: ` '`'' `s SIDES: 2 25 + 12.83 2 // 74 112 GPD ENGINEER- PETER MCENTEE PE HOLL `� PROVIDE APPROX. 35' OF 40 MILLINER AT ) (.7�)_ - �- ®15'� 14,1f3 �, . D. DESMARAIS, RS 24" OAK , �� I c( , �' sus �- 5' OFF SAS IN AREA SHOWN. TOP AT BOTTOM 25 x 12.83�74Z_= 237 GPD WITNESS. - 4 9� I i__ < ; 6�,¢ ELEVATION 11.8% BOTTOM AT EL, 7.8't 7�25/12 - r �_ 1 �. TOTAL: 472 S.F. 349 GPD 3.37 DATE: 5. 4R� c�q SOLID C. BASIN PERC. RATE = . < 2 MIN/INCH t.5_ 14. BENCHMARK: USE C. BASIN AT USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR EQUAL) .71j� ' ' ', I ELEVATION 14.3' WITH 4' STONE ALL AROUND (H--20) CLASS I SOILS p#13706 - co ;.53 15' 5.53 EXISTING 3 BR 1 .4 Go rn ELEV. ELEV. o DWELLING / I u` ` 0" 1 4.0 0" 1 4.0 TOP FNDN. 15.4' .', i �� 4 / A A /'(� - � EXIS#• x 1_ j w J -i J 4.98 -- ------- ----- -------------- , MA LS LS 1 ; _ ,� 9{� _ %f f � APPROVED DATE BOARD OF HEALTH 10YR 4/2 10YR 4/2 �eY �x' 1- �1 - w_ 15 11..E$� .1 ___._c- -����,��01 i 10 10 , � __ '-- 10' �,,' TITLE 5 SITE PLAN 12.s2 _ a OF LOT AREA o LS LS 1; 7,952±SF i J 30" 1 OYR 5/6 1 1 .5' PERC ]OYR 5/6 t CAUTION: GASLINE, IN AREA OF 141 SIXTH AVENUE 32 Nd'� �.. 100,00" PROPOSED LEACHING FACILITY C1 C1 /\ PROP. VENT WITH CHARCOAL FILF4?Tt5 `t6 WEST HYANNISPORT AND BUGSCREEN (FINAL PLACEMENT BY MS MS S �� CONTRACTOR WITH HOMEOWNER PREPARED FOR �^. CONSULTATION) WATERLINE TO BE RE-ROUTED TO BE MIN. 2.5Y 6/4 2.5Y 6/4 [\ 10' FROM SEPTIC COMPONENTS, OR SLEEVED WHERE WITHIN 10' OF B&B/BAILEY gg" 6.0' 96" 6•Q� � f COMPONENTS ;/�, - . f AUGUST 27, 2012 C2 C2 ,yflN off 508-362-4541 OFi, aJ fax 508-362-9880 {� � `` c`� � -.A. \ �` DAMSEL A. ti� { downcape.com LS LS 9 Y� 6 ecs 10YR 5 4 r 10YR 5/4 - - r:�I�I�L G �l I / 1 if �.F I � ; � t �� �_ 7�r31 C))611A 1� ��` O�dll�1 I C �r 6��! � .v _ ,� `��r���. � �z ��►� �vn cape en4f1neer�ng, /nc, 120 4.0' 120 4.0' z„ r n >, ,.K ,r� � v, ,\� �� �� G � civil engineers WATER ENCOUNTERED Scc(e: 1"= 20' � - � ' � "s �� ��" � ' '' � '""` E s��; Fsi fst land surveyors NO GROUND UY�� %y �t1<�;, �� rs y t`:L{< UNA L l4 i 939 Main Street ( Rte 6A) DATE �DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 �- �� 0 10 20 30 4-0