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0030 STUDLEY ROAD
¢, � l� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel pplicatio � �5 D4 Health Division Date sue(00 Q Conservation Division V 11 - g Dept. Fee S� 'L Planning pi`t 'e v F �(f�. Date Definitive Plan Approved by Planning Board /'7'/� �l� _0 I et� IZk-oo Historic - OKH _ Preservation/ Hyannis 1A 7 , 5� Project Street Address Village /►) Owner - Address<TM A r 30 57w n4p Telephone e D -5;� 1lItT '^ /(`IcJnq&,z_ q_ 776 7603 LC Permit Request JNS7W - I2Wcc-FIO SJW g cOFSSgW B,�r,(ozj 6PIM6 bZ� l�fc Q-1036 Cl Square feet: 1 st floor: existing proposed 2nd floor: existing proposed - Tota`ne� Zoning District Flood Plain. Groundwater Overlay Project Valuation Construction Type ICI E Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sgft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Rol m Counter -� Heat Type and Fuel: Ell Gas ❑ Oil ❑ Electric ❑ Other `'' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name B&P oj,_P 2301106(s /AJC Telephone Number ?74 9&-/3S 7 Address f Q- Sdk 2-) License # O-S 76 3 32 Home Improvement Contractor# Email ketl/h(a�CaiJeCCty. CO'1y1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN%f OFF' 37 �e_ i� SIGNATURE DATE lS /J`✓ i 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 y FINAL BUILDING n DATE CLOSED OUT ASSOCIATION PLAN NO. Dept gfIM&sft*dAcd&7zfs { Office of Inmagadorts 600 WasfinVton Sirmt Bostm MA 02M . www.mass gnvldia Workers' Comp ensafion Insurance A Ndavif:Eaders/ConiracforsMecfricians/PlimmbeIrs Applicant Information Please Print Ledbbr' Name Address:g?O � X �—/• • . to vt� Phone#k Are you an employw7,Check the appropriate bow Type ofprojecf(required): I.❑ I am a e oplayrr wig 4.Q'I am a general cad actor and I ePloyees(M and/or part time). 6. New comst actim * havehiredthe� 2.Q I mn a sole prop idw or partner- listed on the affacbed:beet . 7. ❑Ranodelmg ship and have no employees TbCM�bate S.LJNZeMolificm for me in employees cod have works' BPS' $ 9. ❑Btnlding addition i [Na 'Camp,ineitranrr_ COmp.inset nrr ell - S. El We are a c apmation'and its 10-[]Blect ical repass or addfhbns 3.❑I am alanmeowner doing aIl Work offieecs bane exm sed their ILEI Phtmbingrepairs or additions Mpse1£ [No wo¢3 s'comp, right of mm=pticmperM(M 12.E]Roofrepairs msarmwe revired_]t a IA§I(4),and we have no employees.[No wart=, 13. -'� carap.msorz c e reqmied_] 'Amyappliaatthateha box#1=stalsofiaai¢ihesection1xmshawiag&irwad='eamPmssti=Policyi�n�fion t 1�meoovners who Snbmitihis e�dayit mdi g they axe doing aII wad and bias Trim onf9de cantraclna mast sabmitanew afadvk indicating sflrr• tCoaha�ih9 cbeckft box mmt nftached an edditianml sfimtsbowiagibe==afthe mh-c�and statz whetfic ar not base cities'hays employ=:.Ifthc mb- bm cmP>Y=T1 f q M`tPM a their WMk='camp•PORRY a®b= I am an ea�loyer that is prawidnzg workers'competrsatian�far�'ea�Taye� $elaHI is the po&cy�job site ` information. - Insmance Company Name: Policy#ar Self-ins.Lie.#: ExpirationDafe: rob Site Addizss:- q �i� Y �P= oZ—/ Attach a copy of the workers'compensation policy deelumflon page(showing the policy number a.nd azpIMfion date). Faihaeto Secure coverage asrCgUiitdT nti SecfiacLZA ofIvMOL e.152 canlmdtn the impositionof citinalpenalties ofa fne up to$I,5(1A.00 and/or ono-year biprisoneat,as wmU as civil penalties in the four of a STOP WORK ORDER and a fne of p to$250.00 a day against the vio.idor. Be advised that a copy of this statnme�may be Exwmded t)the Office of Investigafions of fhe MIA for iosmmmoe cavccago voifrcation. .fP�3'that the informadion I do hereby certify the pains and percaTlies o provided above' t5 see and carrert S Date: J S� Phone# - 011id l use only. Do not write in this array to be cozVkfed by city or town q,OjciarL City or Town: Permifcehse# - Issuing Authorffy(circle one): L Board oflEealfh 2.B7n'ldmgDepartment 3.City/ToWn Clerk 4.Eledricallnspeetor 5.Pb mbingInspectar 6 Other ContactPerson: Phone , Information and Instructions Yassachnseffs Gc=al Laws cbspirr 152 mqm=all employ=to provide workers'courpeasaticm for fficir eoploy=. Pmsoant-in this sb&tr,an m playee is defined as_.every persoa in fe service of another under any comtrm t ofhhe, express or implied,oral or writtc u." An.z7nv&yer is defined as'Em mdividnaI,psrinersfiip,associafiaq carpmatimt or other legal entity,ar any two or more of tine foregoing engaged in a joint enftgaisey and kchiding the legal representatives of a deceased employer,or the receiver or trustee of an in&idnal,pmtnr rship,association or other Iegal entity,employing employees. However the owner of a dwelling house having not more than fire apartnerrts and who resides fbereir4 ar the occupant of the . dwelling house of anofl=who employs persons In do maintenance,construction or repair work on sack dwelling house or on the grounds or building appmtmant 1herelD sb&U not because of such employmmrt be deemed to be an employer." MGL chapter I52,§25C(6)also states that"every State or IocaI Iiceasing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings*the coramonwealth for=Y applicantwho has not produced acceptable evidence of eduipIlance with the insuranm coverage required-" Additionally,M(M chapter 152,§25C(7)stairs aWaither the carm aawealth,nor ally ofits political subdivisions shall ___... ear into any contract for the perfaffiauce ofpublio work mrE acceptable evidence of oompli mm with the km ancd.. requiu eoief of this cllapfea have been preseunfEd is the cozdraci>ng authouity." a Apph=its Please fill out $,e worn= ,compensation affidavit completely,by checlang the boxes that apply to your sitnation and,,if necessary,supply sub-c�s)name(s),address(es)and phone numbers)along whh their certif cate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Parinersbips(LLP)with no employees oilier than the ` na= m—s or parf=-%are not required to cry wor3cers'compensation insorfmce. If an LLC or LLP does have employees,apolicy is regnnzd. Be advisedthatthis affidayitmaybe submitted to the Department of Industrial Accidents for confirmation,ofmsmance cove 7RgM Also be sere to sign and date the affidavit The affidavit shounld be retmaed to the city or town flu±the application,for fhe permit or license is being requested,not the Deparlunent of Iudnsbdal Accideots. Mmuuldyou have any qunstionis regarding the law or ifyou are required to obtain a workers' compensaton policy,please call the Department at fhe n amber listed below. Self-insured companies should eater their self-insurance license number on the appropriate line City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the evert the Office of Iuvestigatitms has to contact you regarding the applicant Please be sure to fll in the permii/Iicemse number wbich will be used as a reference number. In addition,an applicant that must submit multiple paonitlIicrose appli=fic ns in any given year,need only submit one affidavit indicating==t policy iuformation(if necessary)and under"Job Site Address"the applicant should write"all locations in ' (city or town)."A copy of the•affidavit that has been officially stamped or marked by fie city or town may be provided to the applicant as prooffhat a valid affidavit is on fle for fht=permits or licenses A new affidavit must be filled out each year.Where a home at or citizen is obtaining a license;or permit not selated to any business or commercial vent= (Le. a dog license or pcmmit to bum leaves etc.)said person is NOT regrind to complete this affidavit The Office of Investigations would hike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Departmefs address,telephone and fax number: .ha Cbmmcmww1th of MmachuseM Depad mmt of IE Ao iAaats Qfice of 1,vewpuck= �Q4�`a�hmgtan . Bastoz MA O�111 'Ta#617-?27-49W eat 406 or 1477 MA SSAFE Revise 424-D7 Fa:#617 727 77� v .ma.mpvldia Client#:41374 2EARTHST ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDNYYY) 04/15/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dowling&O'Neil a/c°NNo Eli:508 775-1620 ac No): 5087781218 Insurance Agency E-MAIL 973 lyannough Rd., PO BOX 1990 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC! . Hyannis,MA 02601 INSURER A:National Grange Mutual Insuranc INSURED -Earth&Stone,LLC INSURER B:Citation Insurance Company P.O.BOX 422 INSURER C: Dennisport,MA 02639 INSURER D: 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 CONTRACTOR 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. �TRR ADDLSUBR TYPE OF INSURANCE NSR WVD POLICY NUMBER POLICY M DDNEFF MM/DDD/Y1/EYYY LIMITS A GENERAL LIABILITY MPF8735Y 2/08/2015 02108/2016 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PR EMISESOEaEo"caurrence $500 OOO CLAIMS-MADE EX OCCUR , MED EXP(Any one person) $1 O 000 , PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT JECT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- -] LOC $ B AUTOMOBILE LIABILITY 15MMBGDNKX 2/08/2015 02/08/201 (Ea aocideDtSINGLELIMIT . 1,000,000 ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $. NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ A X UMBRELLA LIAR X OCCUR CUT8777P 2/08/2015 02108/2016 EACH OCCURRENCE $1 OOO OOO EXCESS LIAR CLAIMS-MADE AGGREGATE-_ $1 000 000 DED I X RETENTION$10000 '"- A WORKERS COMPENSATION WCF8735Y 12/02/2014 12/02/201 X WC STAT,U; OTH- ^-- AND EMPLOYERS'LIABILITY _ IER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 OOOi OFFICER/MEMBER EXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE1 EA EMPLOYEE $500 060 If yes,describe under -- q DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT °$500,000- .�.. `--7 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) . Certificate Holder is Additional Insured with respect to General Liability per written contract. na. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION ANY B&D Realty Development, Inc. THE SHOULD EXP RATTIIONH DATE ABOVE THEREOF,DESCRIBED NOTTICEIES WIBLL CANCELLED BE DEL VEREDO N PO BOX 21 ACCORDANCE WITH THE POLICY PROVISIONS. 1050 Main Street West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S149320/M149319 JM1 SUBCONTRACTOR LIST EXCAVATION&SEPTIC Earth&Stone Contact:.Michael Takach Phone: 508-776-.7003 PL ING Cape Co aster Plumbers `. tact: Tim troy hone: 508-317-5525 R ` LECTRI L !/ A O' illy Electrical e �l" Conta an O'Reilly t P e: 50 48_9127 • i - .......... . v i I . • I U Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor License: CS-076332 it V.I.I s KEVIN BOYAR = - F PO BOX 716 West Barnstable 16IA d - J.�... Expiration i Commissioner 09/05/2015 • _ VfLe (0007LIltLYILCII6CLGLJG 6��%C�GQJQCCCILC[QP.C� Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR l' egistration: [62150 Type: I xpiration: -.4/26 201_5:_: Private Corporatic' B D CUSTOM BUILDERS;-INC KEVI BOYAR 1Q50 N STREET WEST BA STABLE,MA02668 Undersecretary License or re istrati valid for indivfdul use only k_ before the a piration d e. If found return to; Office of nsumer Affai and Business Regulation 10 Park aza-Suite 5170 Boston, 02116 I=. .. j Not valid without gnature t I� I ' E ' � ;��ie Cpomvnio�rccueaLt�i,a�Coac�iurteG� j e _ _ _ f5ce of Consumer Affairs&Business Regulation j License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: ,_1;ti21:50 f Type: Office of Consumer Affairs and Business Regulation `Expiration; 1/26/2017 Private Corporatioi:; 10 Park Plaza-Suite 5170- t. Boston,MA 02116 B&D CUSTOM BUILDERS]INC KEVIN BOYAR � 1050 MAIN STREET WEST BARNSTABLE,MA 02668 Undersecretary of valid without ' nature i 1 of �c�z i 3; — �';1tklY hS kSS,AI..k:.7��'1 T� =634 �m0i' Tomm of Barnstable Regulatory Services Rkhaul VAIAls,i;iit' clr�r Buildidy; Dir'isimi Building£;rmmti�. ,sii>uca' Property rrn plete anti `hyn IlAs Section ;_ 1 \IG .~./",,"',,.,:r\✓`� ., ,. ....... 5 a R hm"urs uh; . l a Alw- Dart: y Ow'nc w js applying rtst pq: ,n il,s'ls a�c:c r,.ml'i,i'n tl-,c lfomust°Y'e 1 l.xmn�<° y . .>'8S dl',633 PoolguardAlarms pool alarm,door alarm,gate alarm,pool safety,child safety http://www.poolguard.com/door.asp y. ``.h�LUA�{' HTA ��UY PALRitT�D'}'PFt�DtYCT-Ii1+wfI11�5�3.MARRYQIT�RE6I�TRR1SInN:f t..�.,. y.- .. �:'� 1 A PObuWARD FAKES Niull Poolguard Alarms: DOOR ALARM-Model.DAPT-2 •In-ground Pool Alarm •Above Ground Pool Alarm •Gate Alarm Door Alarms-NEW ,; •Door Alarm-DAPT•2 (Sounds in 7 seconds) , Door Alarm-DAPT-WT (Sounds immediately) , Other Information: •Contact Us ' •Buy Poolguard •Product Manuals •News From Poolguard •Warranty Registration POOLGUARD/PBM INDUSTRIES,INC. -UL Listed to UL 2017 has been manufacturing pool alarms,door •Important Safety Feature alarms,and gate alarms since 1982.All Complies With Building Codes Poolguard products are proudly Made In Simple To Operate the USA.Poolguard Door Alarms comply Automatic Reset with all building codes and are UL Listed Battery Powered under UL 2017.The majority of children Easy To Install that drown in pools go out the back door •85 dB Hom Af 10 Feet first and Poolguard's Door Alarm can help •Pass Through Feature For Adults protect those doors. Low Battery Indicator POOLGUARD DOOR ALARM 1 Year Warranty MS • The Door Alarm will sound in 7 seconds when a child opens the door, and the alarm will continue to sound until an adult comes to the door and resets the alarm. . • Poolguard Door Alarm will sound in 7 seconds even•it a child goes through the door and closes it behind them. • The Door Alarm is always on and will automatically reset under all conditions. • Poolguard Door Alarm is equipped with an adult pass through feature that will allow adults to go through the door without the alarm sounding. • Optional screen door kits can be purchased for the alarm,this kit allows you to get air through your screen door without the alarm sounding. • Poolguard Door Alarm uses one 9-volt battery,(not Included)with a battery life of appropmately 1 year. • The Door Alarm is equipped with a low battery indicator that will audibly ' Wert you when your battery is getting low. • Poolguard is the only door alarm that is UL listed under UL 2017 for water hazard entrance alarm equipment. 1 Door Alarm PDF manual I of Z I0/6/2009 3:07 PM i `1 ' I PG DAPT-2 Manual 122208:Layout 1 5/14/09 12:42 PM Page 1 - -� — • I L 5. LOW aN SWIMMING POOL SAFETY TIPS 6. INSTALLATIONOF OPTIONALDOOR KIT DOOR ALARM When the 9-volt battery Is low,the door alarm horn will chirp once every •Supervise children at all times. CONNECTING DOOR ALARM TO SENSOR SWITCHES ' 10 seconds his means it Is time t0 install a new battery.Battery life Is •Never permit swimming alone.Never leave a child alone,even READ THE DOOR ALARM MANUAL FOR INSTALLATION ON ONE DOOR FIRST. Installationans approximately 1 year.Test yourdoor alarm weekly by opening the door to answer the telephone. - THE SENSOR WIRES ARE PERMANENTLY CONNECTED TO THE DOOR ALARM.CONNECT BOTH SENSOR WIRES COMING FROM THE DOOR ALARM and allowing the alarm to sound. -Always remove the entire solar cover from a pool before TO THE SENSOR SWITCH ON THE DOOR FRAME.THEN USE THE SUPPLIED MODEL DAPT-2 SIGNAUNG swimming. MEETS UL 2017 JUMPER HARES TO CONNECT TO THE SCREEN DOOR SENSOR SWITCH WARRANTY • I REPAIRS •Remember that l.areal end Water safety da rat mix. (SEE DIAGRAM BELOW).THE TWO SENSORS eHOULD BE HOOKED UP IN �__ -Have your pool area fenced and the gate locked to prevent pgRELLEL WITH EACH OTHER o ``(5FI _ Unauthorized entry to the pool,and Install a gate Warm. .� - •THE PLASTIC COVERS ON THE SENSOR SWITCHES A SENSOR POOLGUARD Is sold with a limited warranty to cover defects In pane -Lock and secure all doors in the house which permit easy MAGNET MUST BE REMOVED BEFORE INSTALLATION and workmanship for One year from date of purchase.(Retain proof of access to the pool,and install a door alarm. •SWITCHES GO ON THE FRAME BY THE DOOR - LIJ,ED purchase).0Poolguard exhibits a defect,please call our Customer _•Have a responsible adult teach Swimming and Water safety t0 •MAGNETS GO ON THE DOOR ITSELF-SEE PICTURE IN MANUAL 'Service department at 1-800-242-7168.Unauthorized returns wig not be your children. EQUIPMENT NEEDEDaccepted.Proper repair Is only ensured when the unit Is returned to the •Maintain dean,deer water In the pool. A.ONE DOOR ALARM AND 2 MOUNTING SCREWSrn811UlaChlfar. VI81t our wehsite at WWW.ool Uard.COm to Og out Our •DO not 8WIm dWln electrlCel storms. B.ONE BET OF SENSOR SWITCH AND SENSOR MAGNET AND 4 SCREWSP 9 Y 9 waranty registration information. •Do not permit bottles, glass, Or sharp objects IO b0 used FOR DOOR FRAME 6 DOOR . . uC.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET,JUMPE ,around the pool. AND 4 SCREWS l7"`Ask your pool dealer 'how you can Improve your pool -FOR SCREEN DOOR FRAME AND SCREEN.DOOR safety—they will be glad to assist you. IF YOU HAVE ANY QUESTIONS CALL US AT 1-800-242-7167Above all: remember that common sense, awareness, and MAINDOOR SCREEN DOOR caution will allow you to enjoy your pool. SENSOR m SoR swrcN swrur DOOR ALARM Figure 1 0 D 0 :Peul9ps_, The horn Is 85cIB at 10 feet PEiM INDUSTRIES,INC.P.O.Box fisfi `` IMPORTANT LEDC • PASSTHRU NORTH VERNON,IN 47265 Aolguard ' SWITCH a ••a •' 612.44&2648 The product has been designed to aid in the detection of unwanted o - '' JUMPER" HORN Intrusions Into unsupervised areas. POOLGUARD DAFT-2-IS PBM INDUSTRIES,INC.Poo guard � � www.poolguard.COfl'1 WIRES SAFETY ALARM SYSTEM AND NOT ALIFE SAVING DEVICE. It MADE IN THE USA should be used In conjunction with the safety equipment currently In use ~ REV.5-09 Figure 5 SENSING/. and should not affect existing safety procedures. ,,. WIRES - - �- If ' i The Life Sa ver Self-Closmi ate uses only the most proven latch and gg Y hinge system.The Magna-Latch has been tested to more than 400,000 cycles.MAGNA-LATCH gate latches are magnetically triggered safety devices that have revolutionized the safety,reliability and child-resistance of swimming pool,childcare.and household gates. The unique operating principle is brilliantly simple.As the gate swings shut, a powerful 'permanent' magnet draws a latch bolt from one housing into the other, latching it securely. No amount of shaking, pushing or pulling can disengage the latch. The concept is so advanced it boasts international awards for t design excellence. . The latch has been designed to meet strict international safety codes, including all codes relating to swimming pool gate safety. The dangerous problem of a gate"resting on the, latching mechanism",appearing to be latched, is eliminated when using MAGNA-LATCH. The quiet and reliable latching action means MAGNA-LATCH incurs no mechanical resistance to closure, and so suffers none of the sticking,jamming and sagging.problems associated with 'mechanical' gate latches. Tru-Close Hinges Quality TRU-CLOSE gate hinges are the latest �AiDliX3Xi�Td � . technology in adjustable, self-closing gate hinges forIra , swimming pools, households and other safety gate applications. F These strong, revolutionary hinges are injection-molded from a special blend of glass-fiber reinforced polymers,which means they never rust, bind, wear, sag or stain. The superior strength and rust-free performance of TRU-C LOSE means the hinges offer double the life expectancy of any comparable product. The internal torsion spring is made of high-grade stainless steel to ensure smooth, powerful closure and long life, even in the harshest seaside or arid environments. The patented, spring-loaded adjustor within most TRU-CLOSE hinges allows instant, incremental tension adjustment using only a screwdriver. Quick and easy!This clever adjustment feature overcomes the TRU-CLOSE hinges have been independently tested to comply with a range of international safety standards, especially those relating to pool fences and gates.The hinges are designed to outperform all comparable gate closing devices. They are the only safety hinges offering a lifetime warranty against rust or corrosion 'yqi �F 1 t �. t ` - s A d .a .. N � 4 . � use s < �k A .y, �..Y�„,y .t` as z� �' •. t E ; .-s��Ms - .ate ".. r El �.3'"s d`� i t � a } ' u x o> a :r RD iwx Xx E Al \4 e o; cn 'r y R � 3 — � Y , to � � ��• �� G+ . HA YWA yak � k ME ys�p�#�F -�' `,tcr�'i"- ws� �^� s-z-n� ��sa.y.�-:;u�'�' �a-1� °� "uu� - ,�.4.u�. - 5; `•,,e - { �t' �`"� �� e�' .4 .� ���"'` Sdr�.J��'r3 a�„ � ut'-.,� `• s,ry,�;c.n,� �4 +'� � E; x ����i�r'�"'�s'a'�"�.i�."��`�.4, ,+.-..t•�.', �y�t 3t_._ y � _ ` "'�'�'�"� �+9�.,. `_ >< M lT'4�`? M1 d-• •? tY�'Ct�R'1''A y 4,{' t yt� .. �...., .a P �:.t,,.., k ,,,�:t »<s n x �;., �c�r`. :�s s� .-w' o: .��, k.• ' ,,�'�'' � yk A'` 4 fta t � �.��� �i� 3 � .r.''x �'�ty.,��' 4k'�'`,X&��'h' _ •,� �4�"��"�3t�Y �•*`� .5 a v::". L v. q, L fr h'� [ •si$ram� �'` # t 4y%^x 3._ �Z= `3 -'� `.. i � '2 t § _ 1 } �y3L f.. 5` ��i"- .Y S �j`� ttr'r'.• "Fc x s � oral System: Purn,ps t tFilters .I ilea#in,g I Cleaners :I Sanittz2aion t :A`utorn°t� •� `� � • F T an-awl � a_i.onx�l -Lr htmg °I 5afet .t ��Nh'i#� SPFC1vK . �R�►Kt c..� I It�}��,r,r /�F' f0i I t:A T �f AL1 m /m f z). Land �culpture - W _. ___ v a tt 1 �.S E,$ + �— "v_�'-== ✓1 r aIC i_.r,�Q2 ,G f` r,�r�r�a�Y �1 )`I" �� 'TvB C. ' ar-3--..r^---s—rJ.u,s+^�c _ ~F' - .t^ _{�-•,�r.,. i I)JI r �.(, f< ICMe I of 1 un1AAl��at�dti�ul 1 i` 51.x� 5it,t."N uAl SPA _.. ,hcx.;e,.'�k'rc,cfiin°e ropf eac�.e r I %-one, potiO .. 51.rir�e steP5. _ r I -. r�arrxrP. I OtiTTSWINb 5e"t.F'' 1 o clos tNb-�A�E w 1 C DE Ccviru R►sT CAS CSPAXL; Electronic Spa Heater ft ; J f 1 ,T 304 stainless tteel tank w 304 stainless steel threaded head, electronic.heating element ` Heater on indicator light UPS shippable 3 a Spa Sizing Determine your spa capacity in gallons(surface area x average depth x 7 Y2) The reference table lists the time required in minutes to raise the temperature of the spa/hot tub by 30OF This guide can be adjusted for other temperature rises. For example, if you desire a 15OF increase in temperature, simply divide the time for 30OF rise by the ratio of 2. Spa sizing is based on an insulated and covered spa, Always cover your spa or hot tub when not in use to minimize the heat loss and evaporation. Example Increase the temperature of a 300 gallon spa to go from 70OF to 100°F in 120 minutes, 100°F subtract ---> 70OF , 30OF Requested Temperature Rise Recommended CSPA Model Heater-CSPAXI11 Specifications CSPAXI Electronic Spa Heaters ae t e° re° ens. J J CSPAYJ55 5.5 240 1 Y2" CSPAXII I 11,, 240 1 W Recommended CSPAXI Models = ca CSPAYJ55 160 240 320 400 480 560 640 720 800 CSPAX111 80 120 160 200 240 280 320 360 400 To take a closer look at Hayward Heaters or other Hayward products,go to888 www.hayward.com or call 1- -HAYWARD HAYWARU 620 Division Street I Elizabeth,NJ 07201 3 u HaywaNkereylsiaedtrademark A offtwadhidus W,Isa CM 2 Hayward WxWes,hic. - LRCZSPAI2 ACTUAL COLOR SAMPLES. ��.M.-;Y.,t tir=,� ;l'�,�f� r ��'�'�" ti i43 .. - 3�" r�•4yw�ut�-J' '� a911.Y;�.Lrr�l -"?S?" 1 i�it �.0 � n -hk,Y;' !• ,! a . - F'v 1 L33�f"tsY �e�.`` s �'t y�*3 se ,� } Y .V! s Yn�.5'X 7. ::•5 '! >K J '•i:: nY.-F r .g•� 11t,,�y �''✓ i kfJ��rS�.A���.w.tb,n.1E,'��y� '`�iik?' :ii s �� } f r �, 4t '-^.d..rs Yj,.ri r" t.. i'k:'*�h.•s�'vi y"" irk y3 'r iar- 'ER ��E .j?rd,a, 5i. r a xsf�; -"*.x-t1•a3�}''++lr+i', yy� G4 '"*€' x '�.. i f '} t s" �}YY '�t�rP • �+ `` yR,rgj,°p4�'�µ F�,.�s„�r��f�ttr�'�. rtt �#���,p��� �7'�'� � a 't? x: >>:�i','6 L y 4 �' :�.d rx „�• v, t�.� �..1 ;�(7-� -� '+: d ,E "'�"-,�.�. 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'se•S�✓��xr-:.:r,!s..3ktTt7: t`,s'.�yq,^f"'.,�`. s '�)pp'{f.ptt*d! en;'�ip: r's'T'Mr. «t a �� Y4.. 77 �, Y .,+e,.`� Y '^'t r:w-i 4 xr� '+ "4' $t '+u tia'nt- S;er d 4�r. �'¢•t vv��.. #r ,:t %� i',,. i`rit,�-�.uy? Viy[•..f .dt�r �' `1itke�.rr��•:t� .t7$4:>.»*,r?'"�'.i;�,.r?. i�`1'.''++y�yi'y'i':•�. 'tN s:�;sl.;Y��'`�.�,..•n7 :1�r,t,..s 1 .� J {;r ,^.°4s s. r a �t:i 't, r ^•,'�r+. n h t x�a fin. `�� �.. '�� �S *d tCzb.;3 y R- k98.r C,'k �ryt d. �i: r T�:t 1. xkV �K�;'r•_i� ^`.ri+t �1 v��. o.s r�» �`���� w�`{ �wi �";�,y3, >a yy „��' •xy.��,`? ;.�` •� ' =.„P•;(.y,;.; T r�a �'�,v 21' ' WATER COLORS WATER COLOR AT$�L d�Olt - WATERiCOLOR ,� WATER'C0LOR �'.Ss r^ >t..�fie' "�'Y i+h � Y i �;of d 4t. ue �Fd-• 5a ...,� ,. H:•.: .. ?',' "fit . • %r?Pl ��A6 -n xRc .as .F c• t` .1!��?"t� �m� ,�-.i==^_"""c—..tom'`_:xsl '... i _c � t'-®�,--- _ •� �•• • —17 �T'� h r ro,..:�r_.,-�A...._•.w,.r�•.a-.r�c,^fi e` 1 ?. I � e wti • - - • h+�tT @..+.r„+Y"� �:13, �F'�isu'�x� �g.a9 F7 4,���•r� � `s�"; - - • - •• - ���df�� wit w. 'S G +t � �t !i � it�.is Cog t�'''`g`�:t'^ .��s�r'�"'�'Oa�3�. n• �; • tt,��xt`.°„F, ,�:(��'''3•r; "ro" -. t 'a�� N 'tv".�*'n ",4"i.� Y a%I'�'.IW-:J°t' � � d���zbt ��' .�' .E �✓' ru'x� �'e�jrt.�•.�.J r„ A ��� �t�. »+t e,.:��"`.ih. • '„t`. .�+� �� 3t'/R4lS� '�""''t�'�ti yr^ •�'4w" .� "vV. GN .r,. :�l"� i - •-• - • • • - .•• • • ••• ''vJ w' 0. t,, „rt` .,s *+..v. ,gas-.+-. r �.:r. - •- - • J � 0`1 S` Ston'aE y ............... Homeowners deserve the peace-of-mind that comes from knowing their swimminc pool is built with the best materials—to the highest standards-.providing years of trouble-free enjoyment. For over 12 years Trilogy Pools has offered the best-solid surface finishes available in :t the composite and swimming pool industry.Already a market leader with state-of-the- art research and development capabilities, Trilogy continues to develop new surface technologies. The result of its continued drive for excellence: HydroStone, the most beautiful and durable finish ever. HydroStone pushes Eool lce�, technology to the next level. HydroStone is:a proprietary blend of engineered based''r`esins combined with the highest performing colored particles available. In addition to its superior durability, independent lad testing reveals that ldrm�Sto e;'O 'ov Iles unsurpassed: Blister-ResistQ" � e SSUVU Jib NMOi h. • Fade-Resistance- . • Chemical,-Resistance Anti-Yellowing r Protection from the Long-Term Effects of UV Exposure r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M �/ P r I 0l r licat on� ap . ace pp Health Division Date Issued I `Zo—�3 p�2 Conservation Division Application Fee Planning Dept. Permit Fee 1 d0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 30 SNDLEX RD . Village 14 kagus Owner MI K 3btAfg5 Address 30 SIuWID4 R . Telephone G'b 4ET'A-& S`PWF- f45 ouskO S R : (TOR) -77(, -7603 Permit Request .S)5tWt pre-A:a a SDa C8Ge55ei balm 8 jade UI2k �c 12Acc'h!t da *inc1. se.1 -cIosi.nfisWZAb 6a wi code caw�►�1taA'�" 6aJ-_ lades. Saa_ i3� be. he r-d 4-b to3°, -bexx alarms 4n be-added 4a eyasfi'n 6Aev w-- Jppeee� n QP Ink-E, s - area., Square feet: 1 st floor:'existing� P a proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation S 20 1C Construction Type6�-aSS Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor RooAZ ount Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other o 0 Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/c `al stove�7 Ye�%❑ No.' Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ e fisting [mew ;;size_ �i Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: `� a y rn 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 ' e&75Td M. $y a' ,. U .V-, Telephone Number Ce_\k' -774 -44- [3 6-7 Address P,0 - BOX 2-1 License # CS�(o3:�2. :jar()stables 02.1v(og Home Improvement Contractor#'tA 62156 Emaio I a Worker's Compensation # h1a, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TfD OFF SITS V[f�1 SIGNATURE ��-- DATE 7f IS 13 Gub 8 L..�28, !al.0. t >% pppp- FOR OFFICIAL USE ONLY APPLICATION# k DATE ISSUED MAP/PARCEL N0. ` ADDRESS VILLAGE OWNER '. DATE OF INSPECTION: _ '4y x._FOUNDATION_ . . FRAME n' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING t _ DATE CLOSED OUT ASSOCIATION PLAN NO. Poolguard Alarms.pool alarm,door alarm,gate alarm,pool safety,child safety http://www.poolguard-com/door.asp �NOME'I CtlNTACT us(9uv-P,OOLGU'ARDj PrttlDllCT MANU$LSIwAkRANTrY REGISTf2AYtON l r• w _� y ABOUT G UARtI FAKE'S lA- w POOL Poolguard Alarms: DOOR ALARM-Model DAPT-2 •Inground Pool Alarm •Above Ground Pool Alarm •Gate Alarm Door Alarms-NEW y Door Alarm-DAPT-2 (Sounds in 7 seconds) Door Alarm-DAPT-WT (Sounds immediately) w Other Information: Contact Us Buy Poolguard y •Product Manuals •3 ° •News From Poolquard S "' } Warranty Registration POOLGUARD/PBM INDUSTRIES,INC. -UL Listed to UL 2017 has been manufacturing pool alarms,door •Important Safety Feature alarms,and gate alarms since 1982.All •Complies With Building Codes Poolguard products are proudly Made in Simple To Operate the USA.Poolguard Door Alarms comply Automatic Reset with all building codes and are UL Listed Battery Powered under UL 2017.The majority of children Easy To Install that drown in pools go out the back door •85 dB Horn At 10 Feet first and Poolguard's Door Alarm can help •Pass Through Feature For Adults protect those doors. Low Battery Indicator POOLGUARD DOOR ALARM 1 Year Warranty ' �A; _ i`, • The Door Alarm will sound in 7 seconds when a child opens the door, and the alarm will continue to sound until an adult comes to the door and resets the alarm. • Poolguard Door Alarm will sound in 7 seconds even if a child goes through the door and doses it behind them. • The Door Alarm is always on and will automatically reset under all conditions. • Poolguard Door Alarm is equipped with an adult pass through feature that will allow adults to go through the door without the alarm sounding. • Optional screen door kits can be purchased for the alarm,this kit allows you to get air through your screen door without the alarm sounding. • Poolguard Door Alarm uses one 9-volt battery,(not included)with a battery life of approximately 1 year. • The Door Alarm is equipped with a low battery indicator.that will audibly alert you when your battery is getting low. • Poolguard is the only door alarm that is UL listed under UL 2017 for water hazard entrance alarm equipment. Door Alarm PDF manual I of 2 I0/6/2009 3:07 PM t PG DAPT-2 Manual 1222081ayout 1 5/14/09 12A2 PM Page 15. — LOW BATTERY FUNCTIONPOOL SAFETY TIPS 6. INSTALLATIONOF OPTIONAL SCREEN 1••'KIT DOOR ALARM ECTINGWhen the 9-volt battery is low,the door alarm horn will chirp once every •Supervise children at all times. CONNALARM DOOR ALARM S SENSOR SWITCHES Es 10 seconds-this means it is time to install a new battery,Battery life is -Never permit swimming alone.Never leave a child alone,even READ THE OR WIRE ARE AN INSTALLATION TE ONE DOOR FIRST. InstallationInstructions approximately 1 year.Test your door alarm weekly by opening the door to answer the telephone. THE SENSOR WIRES ARE PERMANENTLY CONNECTED E THE DOOR -Always remove the entire solar cover from a pool before ALARM. ENSORSWITONNECT H ON THESOR WIRES COMING THEN USE THE SUPPLIED MODEL DAPT-2 end allowing the alarm t0 Sound. Y TO THE SENSOR SWITCH ON THE DOOR FRAME.THEN USE THE SUPPLIED _ MEETS UL 2017 SIGNALING swimming. JUMPER WIRES TO CONNECT TO THE SCREEN DOOR SENSOR SWITCH O •Remember that alcohol and Water Safety do not mix. (SEE DIAGRAM BELOW).THE TWO SENSORS SHOULD BE HOOKED UP IN -`- WARRANTY I REPAIRS Have your pool area fenced and the gate locked to prevent PARELLEL WITH EACH OTHER. unauthorized entry to the pool,and Install a gate alarm. •THE PLASTIC COVERS ON THE SENSOR SWITCHES&SENSOR e POOLGUARD is sold with a limited warranty to cover defects in parts •Lock and secure all doors In the house Which permit easy MAGNET MUST BE REMOVED BEFORE INSTALLATION ,I SENSOR DOOR ALARM a •SWITCHES GO ON THE FRAME BY THE DOOR SLYIT[H and workmanship for one year from date of purchase.(Retain proof of access to the pool,and Install a door alarm. LISTED purchase).If Poolguard exhibits a defect,please can our Customer •Have a responsible adult teach swimming and Water safety t0 •MAGNETS GO ON THE DOOR ITSELF-SEE PICTURE IN MANUAL ` _�'' -:P?oora Service department at 1-800-242.7163.Unauthorized returns will not be your children. EQUIPMENT NEEDED accepted.Proper repair is only ensured when the unit is returned to the •Maintain clean,clear Water In the pool. A.ONE DOOR ALARM AND 2 MOUNTING SCREWS manufacturer. Visit our website at www.poolguard.com to fill out your -DO not swim during electrical storms. S.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET AND 4 SCREWS I ® �vnrcnO warrant registration information. -Do not permit bottles, glass, or sharp objects to be used FOR DOOR FRAME&DOOR O y 9 C.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET,JUMPER WIRES, r around the pool. ANO 4 SCREWS I -Ask your pool dealer how you can improve your pool -FOR SCREEN DOOR FRAME AND SCREEN DOOR safety—they will be glad to assist you. IF YOU HAVE ANY QUESTIONS CALL US AT 1-800242-7163 •Above all: remember that common sense, awareness, and MAIN DOOR SCREEN DOOR sexsix caution will allow you to enjoy your pool. vnREs SENSOR SENSOR swrrcx swrrcx DOOR ALARM Figure 1 I i0 T The horn is 85dB at 10 feet PBM INDUSTRIES,INC. sLEDP.O.Box 658 o PASSTHRUNORTH VERNON,IN 47265 . loaguard ,. W SWITCH - . • •-• •' • A'812-346-2648 Y '�7 irll ON,: The product has been designed to aid in the detection of unwanted Je JUMPERS HORN intrusions into unsupervised areas. POOLGUARD DAPT-2 IS A POO'ryuQ rM PBM INDUSTRIES,iNc. yylll„11,,PO0I9U8fd.COrr1 WIRES SAFETY ALARM SYSTEM AND NOT A LIFE SAVING DEVICE. It 7 USA should be used in conjunction with the safety equipment currently in use MADE IN THE ~ REV. HE Figure 5 SENSINGI. and should not affect existing safety procedures. WIRES .. ... IF _ f I Ultra-Reliable Latching System. The Life Saver Self-Closing gate uses only the most proven latch and hinge system.The Magna-Latch has been tested to more than 400,000 cycles.MAGNA-LATCH gate latches are magnetically triggered safety devices that have revolutionized the safety,reliability and child-resistance of swimming pool,childcare and household gates. The unique operating principle is brilliantly simple. As the gate swings shut, a powerful 'permanent' magnet draws a latch bolt from one housing into the other, latching it securely. No amount of shaking, pushing or pulling can disengage the latch. The concept is so advanced it boasts international awards for design excellence. The latch has been designed to meet strict international safety codes, including all codes relating to swimming pool gate safety. The dangerous problem of a gate"resting on the latching mechanism", appearing to be latched, is eliminated when using MAGNA-LATCH. The quiet and reliable latching action means MAGNA-LATCH incurs no mechanical resistance to closure, and so suffers none of the sticking,jamming and sagging problems associated with 'mechanical' gate latches. Tru-Close Hinges ` ¢ Quality TRU-CLOSE gate hinges are the latest technology in adjustable, self-closing gate hinges for £ ' swimming pools, households and other safety gate applications. These strong, revolutionary hinges are injection-molded from a special blend of glass-fiber reinforced polymers, which means they never rust, bind, wear, sag or stain. The superior strength and rust-free performance of TRU-CLOSE means the hinges offer double the life expectancy of any comparable product. The internal torsion spring is made of high-grade stainless steel to ensure smooth, powerful closure and . long life, even in the harshest seaside or and environments. The patented, spring-loaded adjustor within most TRU-CLOSE hinges allows instant, incremental tension adjustment using only a screwdriver. Quick and easy!This clever adjustment feature overcomes the , TRU-CLOSE hinges have been independently tested to comply with a range of international safety standards, especially those relating to pool fences and gates. The hinges are designed to outperform all comparable gate closing devices. They are the only safety hinges offering a lifetime warranty against rust or corrosion f f 1 4 x. P � � � a➢ c �Q �''. A4 EE � ' E ',� ��. ' 1/.,� lam, `-�•�:� 'N"t+,Y`�` �€ .aa � ` >� t.- E � � 1 ,.. _..x `.. �� 544E •' � � :f :.. 3 z �1 E .,O �iil 4• SS � r �� y7 t•,� j� 1. y 4 � � 5T 3. i r _ 1 D + Spa Heaters CSPA SERIES HEATERS NUES a Hayward spa heaters contain all of the sophisticated features and capabilities of heaters twice their size.The electronic heaters r` w fit into compact spaces—even under spa :w skirts or steps.Like all Hayward heaters,they are easy to install and service. A - � Ski t . ro 5 r � x, - 4t k a� .',`4 .� � � "f°, �}.;bhp•4 `n�a ?� >2 +��� `"Y v" d a-- 6 � �' �� `` � :� .4 a -s ;, sF �` a ` ;ti "a xW ::;t" °• +.:. y. "`sy .:: '��. �?. s7. ' ,t',wv ,,�" #ti '.:: " a ' -.: � �7 ,. w - i � � `# .� ems• �� r�a � �•: r s *, f ,.-..+" s A �. • '"t�k•jrWfire ! ' .oaf a '"• y'a,t" '' - "�Lr.�. FPO a ''m.+are .�....;, }+x— ry •. _ Wew.�pwa ° _. ,' p @ .�-0 U nn w M � 01 pp UUft u I n ��r YIA�I��y� 1 t E yr S •ggy Al Ln klmkv co i' r � 4 !;, • w-1 � ;� a�S Q 4 ga ktl y j{j f+• 5� M ''�a 'C' 4.,� 3 w1 Nxd t S t XU:3, WX tr lql y x y. a K r � ;Y C % a PooGo F r� Y E Wr 4 e i w I . . IM s /EGA MONACO BFSCOTTI RIVER ,'O'CK MYSTIC LAKE STELLAR v _ .tic �a .ar* "� � n� ND Innovative Durable .................................................................................:........... ........................................... In our drive for excellence, we develop and test new materials. Over the past There is no product available today 12 years Trilogy has pursued new product innovations and surface finish that surpasses the performance technologies.After exhaustive testing,the result—HydroStone''. Low-maintenance of HydroStone. With a unique """"'"'"'"".""'"""""""""""' blend of base resins coupled with HydroStone has the look of high- the highest performing colored end "pebble" finishes without all of Th particles available, HydroStone the maintenance. is finish gives "`"` _ � - '' Trilogy Pools a stunning visual. excels at fade-resistance, anti- - ' - texture combined with a smooth yellowing, blister-resistance, and t - protection from the long-terms - _ '= and maintenance-free surface. effects of UV exposure. Best Value Beautiful . � � ................................. ......... ...... ............................... , "���._ Choose HydroStone as the finish for The HydroStone finish is available yo ur swimming pool. You deserve in twelve excitin colors specifically g designed for swimming pool . ' y the peace of mind that comes with zz iFw: r s knowing that your pool was built applications. Only Trilogy Pools Y _ . _ =J - with the very best the industry has PO111 ,•-�. ,. �N`F i. F tl: w,,,, '"mow»K..,4.x4...r..v... ...es..N.---+^' :-'^".`. MAW -0 ) [n LI -11 X ffo 4y " - v1PPs rn,M^' -of--mind that comes from knowing their swimming Homeowners deserve the peace pool is built with the best materials—to the highest standards—providing years of trouble-free enjoyment. Al For over 12 years Trilogy Pools has offered the best solid surface finishes available in f _ the composite and swimming pool industry.Already a market leader with state-of-the- art research and development capabilities, Trilogy continues to develop new surface technologies. The result of its continued drive for excellence: HydroStone, the most A.4*011Ii' g� beautiful and durable finish ever. HydroStone pushes pool surface technology to the next level. HydroStone is a proprietary blend of engineered based resins combined with the highest performing r colored particles available. In addition to its superior durability, independent lab testing reveals that HydroStone provides unsurpassed: �z • Blister-Resistance • Fade-Resistance • Chemical-Resistance r • Anti-Yellowing • Protection from the Long-Term Effects of UV Exposure { Y i +. P CSPAXI Electronic Spa Heater R Features a 304 stainless stder.t6nk t o 304 stainless steel threaded head, electronic heating element d Heater on indicator light FF 3�, O UPS shippable , y 1T Spa Sizing Determine your spa capacity in gallons(surface area x average depth x 71/2) The reference table lists the time required in minutes to raise the temperature of the spa/hot tub by 30OF This guide can be adjusted for other temperature rises. For example, if you desire a 15°F increase in temperature, simply divide the time for 30°F rise by the ratio of Ih5= 2. Spa sizing is based on an insulated and covered spa. Always cover your spa or hot tub when not in use to minimize the heat loss and evaporation. Example Increase the temperature of a 300 gallon spa to go from 70OF to 100°F in 120 minutes. 100°F subtract 70OF 30OF Requested Temperature Rise Recommended CSPA Model Heater-CSPAXI11 Specifications CSPAXI Electronic Spa'Heaters CSPAYJ55 5.5 240 CSPAXI11 11 240 1 Y2" Recommended CSPAXI Models r e. is• i' - ,, CSPAX155 160 240 320 400 480 560 640 720 �800 CSPAX111 80 120 160 200 240 280 320 360 400 To take a closer look at Hayward Heaters or other Hayward products,go to www.hayward.com or call 1-888-RAYWARD CzlLa��LaG�D® 620 Division Street I Elizabeth,NJ 07201 Hayward Is a registered trademark of Hayward InUb*s,Nc. ®2012 FiaywaN trbushles,lam. LfrCZSPAl2 } r 70 v �,. �,.• `+ ��. _ b �u raj ` LA tth r io 1. f ` ✓ �.{ ; ' a call ' 51.1 s w DOD 0 a. 0. 0.0'71 _ - r I V The Commonwealth of Massachusetts y +y. Department of IndustrialAccidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit;Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): C V SIZY`tl 'EjU)1_Qe15 , n4C. Address: P O City/State/Zip: -f>a r r15Jalb le. , M A Phone#: -7 72 4 - gt R-4 - 13 S 7 Are you an employer?Check the appropriate b X: Type of project(required): 1.El am a employer with 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 ship and have no employees These sub-contractors have g• []Demolition working for me in any capacity. employees and have workers' insurance 9. ❑Building addition [No workers'comp, insurance com P• required_] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself ' right of exemption per MGL Y �o workers comp. 12.0 Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[] Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp•policy number, I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: r> 2� Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 30 9 J d ka PJ W 2d1 fl J, ,.._H to City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,50-0.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify n r thepains andpenalties of perjury that the information provided above is true and correct. Signature: Date: 11 115,1 11.3 Phone#: 77 4 444 /3557 Official use only. Do not write in this area,to be completed by city or town q f)"zciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: rj1 �;fit Information and Instructions f Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not,more than three,apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor dny of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided'a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only, submit'one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone,and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 W 406 or 1 877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 w .mass.gov/dia SUBCONTRACTOR LIST EXCAVATION& SEPTIC Earth& Stone Contact:Michael Takach Phone: 508-776-.7003 L ING [�f . •V .- 4 _ Cape Co aster Plumbers~ 7� yC�r�tact: Tim troy Phone: 508-317-5-25 LECTRI L /� r AlO' 111y Electricalr`��"' "�, �7 1�/S Conta lan O'.Reilly ' RP e: 50 48-9127 . i i Client#-41374 2EARTHST {A,C D.. CERTIFICATE OF LIABILITY INSURANCE DA,037 2/2 112/20 tUiT3 - 3 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TFiS 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 endomement(s). PHODUCEK NAME: Dowling&O'Neil PHONE 508 775-1620 Fnz 5087781213 Arc Nv E,dt: aIc Nn Insurance Agency E-MAIL .. ADDRESS: 973 lyannough Rd., PO BOX 1990 INSURER(S)AFFORDING COVERAGE tvRlC 8 Hyannis, MA 02601 INsuHEHa:National Grange Mutual Insuranc INSURED - INSURER B Earth& Stone, LLC P.O. Box 422 irusuKEH c " Dennisport,MA 02639 INSURER D: - -- INSUHEH E: - INSUREP.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 CONDITIONOF ANY CONTRACTOR 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 i C)LICIE-S.'LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF m5ultaNCE ADD 'UBR ' POLICY EFF POUCY EXP LIMITS LTR INSR wvD P.OUCY NUMBER - MM;DDIYYYYI MMIDDIYYY p, GENERAL LIABILITY MPF8735Y. 2/08/2013 02/0812014 EACH OCCURRENCE $1 000000 X C(MMI-HC-:IAI (*-NFNAI IIAHII IIY - - NA,NAcit- 10 HhIU IFI) I PREnnisE.{E ;_u11�1 ba $500,000 CLAMS-MADE 7 OCCUR IVIED E\—r(Any,yln ilwwn) $10 000 NF HC:n NAI Y.At) IN.IIIHY :1,000,000 GENERAL AGGREGATE - $2,000,000 fit-N•I AA(iH1-CiAI I-I IM!I APPI IF^n FF.H: .. FHOI)11C;r( .Cnk4FxiF ACi[i :12,000,000 POLICY FFt") LOC $ AU I OMOBILE LIAdLLII Y CnW1HINFU'=;'I•)Iil F I IM11 (Eel n;a;i;nls() ANY AUTO - BODILY INJURY(Pn1 mro ull) $ ALLOWED SCHEDULED F.OUIIYIN.RW (Prrarseyrnt) b AM OS A1110£ • - NnN1)NJNFU - FF.C)f°FH 1'Y UAfv1A(iF - H!HFU Atll n: AUTOS. " - - (r•a1 dc�ddrsi!I UMBRELLA UAB nCCx I FA(:H O(`.UHFRI-N0-. ExCESS uAe CLAIMS-MADE r AGGREGATE b I)FI) KF IFNIION$ WORKERS-COIMPENSA.I[ON--. ..—._�_�.,�-d....._„,Q,..._�_,. w_,—__;. __..;—. _ ._-INC,;^.4A.I U-. O.I H. AND EMPLOYERS'LIABILITY ELI Y;N' TORY LIMIT ANY PROPRIETORlPARTNEPJEXECLrrNE w 1-.1.FAC-:H ACCIDENT 01-+CF•KflW-MHFH F•xCa III)")? I � �N i A - (Mandatory In NH) E L:DISEASE-EA EMr'LDYEE $` DESCRIPTION OF OPERATI DNS Leluw DESCKIP IION OI.OPEHA IIONS I LOCAIIONS/VEHICLES(Attach ACOKU 101,Addltlonal Hamarkx Schatlula,If mora%pacalc raqulrad) - - Insurance coverage is"limited to the terms,conditions,exclusions,other limitations and endorsements. - Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. r - CERTIFICATE.HOLDER CANCELLATION 6& D Reality Development,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 21 ACCORDANCE WITH THE POLICY'PROVISIONS. West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE i ..•n�faw,.,K•� 6ti".I,i"•. C,.4-.e4....n.:�:;av,':�n IL 1988-2010 ACORD CORPORATION.All rights reserved, ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S 108622IM 1 a8621 LS 1 ...............- BTS FAX !/10/LU1:3 .5 41 : 1'—J 1 Lv1 YdStrG GI vvl_7 A [All CERTIFICATE OF LIABILITY INSURANCE'^ pAT tM °p "YY' �,,, ' 7/15/2013 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 TNSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER, IMPORTANT; If the certificate holder is an ADDITIONAL INSURED,the pollcXles)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certaln 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 - NaM Berldey Assigned Risk Services Miller McCartin Inc t AIC.No.Ezl 800 634--0589 IA+C.No): $66 215-8118 Dowling&Oneil Ins 973 L annou h RD ADDRESS PolicySeMoes@berkleyrisk.com Y g INSURERS AFFORDING COVERAGE NAIC II 549 9is MA 02601 IN INSURED Earth&Stone LLC INSURE C., - - INS tRER C - . 210 Queen Ann Rd Unit#7 INSLRERo Harwich,MA 02645 INSURER E: I NS LRGi F, - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES 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 POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TIDE OF INSURANCE iNSR WVp POLICYNUMBF.R MMIOO/WY MM/D DIYYYY "LIMITS - TYPE . . AUTOMOBILE LIABILITY - - $ WORKERS COMPENSATION - - INC ST ATU- OTH- - AND EMPLOYERS'LIABILITY YIN T ORY LIA!ITS FR ANY PROPRIETORIPARTNERIEXE CUTIVE a E.L EACH ACCIDENT $500,000 A 0FFICE/MEMSER EXCLUDED? NIA D WC-20-20.002561-03 1ZI02/2012 12/02/2013 (Mann alory In NH) . 1 A- -FA EMPLOWE S 500,000 11 yes,describe on a, - DESCRIPTION OF OPERATIONSeelow IFt 1 A -POLICYLIMIT S 5001()OD DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES{AUacb ACORD 101,Addi[ionel Remarks hodula,I more space is required) Coverage Election Category Elect,Status Name. State(s) All Entitles/Locations Other Include Michael 3 Takach MA Earth&Stone LLC 210 Queen Ann Rd Unit#7 Harwich,MA 02645 C FICATE HOLDIEER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE. THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN B D ReaRy Development Inc A CCORDANCE W UN THE POLICY PROVISIONS. 8 ' ' '' PO Box21 ` : West Barnstable,MA 62668 r1gmture:' i ACORO 25(2010/05) BRAC 3139 From +1.508.898.3631 Thu 25 -Apr.2013 09:06:15. AM EDT, ID #5449677 Page 1 of 2 I to 41 CERTIFICATE OF LIABILITY INSURANCE ..,_.. 4/25/13 r " ,n UPON E CERTIFICATE-OLDER- T�� TGs_ _-ER:4F::pS^� C tiSS_1Fr)w�A ATScR OF INI OR���TIOr'+_'�OC.ILY AN CGC1:E.2S C: RIGHTS 'rYS j1 CERTIFICATE DOES -NOT AFFiRMA-fTVEI2 OR NEGATTVEL:Y AMEND,.E.XiEND OR ALTER Tr E CaVErRAGE;aFFORDE,D oY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED j REPRESENMATIVE OR PRODUCCER,&ND THE CERTIFICATE HOLDER. I IUIfiF'O AW: it the celtincate voider is an ADDIMONAl IivSUiicu,iiie poficy(ies� iSriisY he eil�iGrafOCi. it SU^oROGATivt:ij i:,,l;tE�,SiivjFv,to the terms and conditions of the policy,certain policies may require an.endorseme it. A statement on this certificate does not confer rights to the ce Hficate holder in lieu of such endo-swrie ntis). PRODUCER FAME =r PAUL MALONEY Dolan 6 Maloney Ins. Agcy. LLC PHONE FAx f508) 89a-3631 AK-Nn Et). (508) 366-4894 ua NoU: ..A r:•p?.-.. a Road j Westborough., MA 01581 f! •INSUFE S AFFORDING COVERAGE _ -_- NAICR f 1NSLRE ev,A;nraRVj_AND CAC C'0 l UR-TCH CRP) lIaLRED Alan R O'Reilly INSURER c 12 Lentel l St, iWURERU .. - >.andw iol-,, Me. O2,163 INSURER E: �INSURER F: C'OvER:G=S CERTiF1CA� 2UM.B,ER: •+.=rE's�. MU "6ER: THIS IS TO CERTIFY THAT THE POLICES 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 ' CE. IFlr�n.1` Y BE iSS iED __ f,kG u-Tfa�mi iniv�'w_iaiui i.�t'T-Li_rF_r es T.j'_' FrJ a.1ES DES---%;BP i HERE nd 1S 8i 8.1R.-I TO,A�_L 7— r—1— EXCLUSIONS AND COND T IONS OF SUCH POUCiES.LIMITS SHOWNtvini HrrVE SEEN REDUCM BY PAID CLAI 1S. I A S I - AODL SUBR� = P YEFF LTR TYPE OF INSDRJWCE IhSRI NIVD Policy NUMBER E(MM1llD!YYYY) lNMIDUYYYYJ -Lffi1TS G8N0!ALwBIL;-.' - - i - i i..,....- .., 1'i-sn�io a!i-ai ^^v^v R '{ l 2' 4� !�L' :`+ I -.-I 12/2� ^ri.^,COuiRc'i c a 1 .v'iO.v X COMMERCIAL GENE�IABILiTY I - DAtJV1 Gt IV Ftl:NltU ' IySEStEa„r s 1.�000.DDO CAAIW8 A� X OCCUR. hrt`D EXP U.rarone oersan) S 10.000 HI { £OWL&ADVI`. Y i r'0O On' r G NERALAGGRFGATE s 2'000,000- I Go'LAGC�RFaan cLiynTAr u`c3i=cR ! ,r _. � .. I on�inUr��_rr ,PAr�:,i•y .V�n ti0,i . 1 i x I POLICY I I PP,ROT �.-1 Lx ..�AVTOMOSILELIASIUTY - eaccl�PI IS@•tGLE LRdIT S - ANYAUW I I .F - ; 16C^lLY ai I�rPV(Pe. 1 g ALLONMED SCHEDULED a �.BODILYINJURY(Peracclderrt)j 5 j I AUTOS AUTOSNON-OVOIED _ I .I - # �. { PROPERTY DAMAGE IitIZeDA'v'TOS Au,OS l Pw ar�rarrt) UMBRELLAUA13 OCCUR � � - EACH OCCURRENCE S DED - RETENTION$ WC STATU•EIOPLOYERV I .11Y FIR 0PR; i,•w,o.oT1`E?rE rECUTpe I i I • i. cL.EMw Ae-OVEW OFFICEMEMBER EXCLUDED? 11. 1 I I(Nardatmy in NH) - I �. ..• .L� - i `El.DISEASE-EA EMPLOYEEI It m.describe under D wRIPTION OF 0R5R;':.IQN'Stte^_` - 1'. I -r cL.DISEASE-POLMYLI-1, I E. 13E SCRIFTION OF OPERATIONS I LOCATIONS I V EHICL S.(Ailech ACORD 101,Additional Remo rks Bch edute,if more spa ce is re gti red) (CERTIFICATE -FAXED TO: BARBARA HEBERT./ BUILDERTRAK / 508-927-9227 'sER "I%t{TE Fiee_�sER CA".CE;_L T,O:. ` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ` « i T*=s s Fiic4Tivli uATc THcZc^v^F. 'NOTICE L�iL� SE .D LI—PElZ I?] I B S D REALTY ACCORDANCE WITH THE POLICY PROVISIONS. j PO BOX 21 II {I I 1PATTL. E MALONEY, CPCU .98 52,..L ACORD CVFSPO L..i_N. AN ri-hiS ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Ptirr!C: Fax: E-10all: i . I I From +1.508.898.3631 Thu 25 Apr 2013 09:06:15 AM EDT„ ID #5449677 Page 2 of 2 Rightfax N3-1 4/25/2013 6:03:04 AM PAGE 2/002 Fax Server � 0F' 1AB1 E'er` HUSUR NICE :. ATTE(MMIDDirml 51-2013 FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICA •HOLDE04rR. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE.COVERAGE AFFORDED BY THE POLICIES BELOW. ■ jjiS CERrLnC'ATe.^,P INSUZANC2 DOES NOT CONSTITUTE k CONTRACT GCE NrEEItl�eEE 9 SUING IINSURER(Sh AUTHORIZED REPRESENTATIVE OR PRODUC R AND THE CERTIFICATE HOD R. IMPORTANT:B the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subjectto 'imP P7rtiC - s ai...DoIIc%v,cg— in Policies.may r� d n ri.—m «.�y..,F,, «...r,... Ier...«•,regul.A and�l_._.__...e t, st ter[?er.t Vn this Ice 1iricate z'cas.snf cerfeT rghts t^ the certificate holder in lieu of such endorsementl(s'. PRODUCER CONTACT DOLAl. &ALQ1�L3''Y 114 S AaCY PHONE ..A- 141 TUP34PTE RD tAlC,No,F)ty ' tAlG,No): WESTBOROUGHJ14, 01521ADDRESS: ) 75YP{ INSURER(S)AFFORDING COVERAGE NAIC4' INURED '1P:S:'RE.RA RAVEL.a�sLtiLUE TY== F "i'7F �n hs x O'REILLY,ALAN R INSURER B IVINSURERD:12 L—NiBLL S"r SURER E COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: r P TO C._r r lw A7 l.iE_i1-niL.en u F rNSUR 02 w,ry o�0:.:lAVE 9UU::SS EDTOTHE!rc,-o_uenaui ABOVE FOR THF_POLICY PERIOD INDICATED. - ' NO`TrT=TAN[)'4G AY.Y Y.ECL:P:_NT.T�-M 4RGC�15L�tfi7O�i OF ANY CONT.-AC7 irR OTi¢rt D0CiwGNTV.1Th RES-FECTIOMugu TMS CEF51FICATP MAY-EEI_+J1 L+.-W � PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TOALL THE TERMS,EXCLUSIONS AND CONDITIONS OP SUCH PMKIES.LmS b ShUVM t i- I HAVE BEEN REDUCED BY PAID CLAIMS. nTC r,LfFYN L�If t �dS.R• DDio.16 i .. 1�`::�'EFF L'.., I: _ tTR PE OF INSURANCE L R FOLK:i HUN-ER inm u7uM1"(Y�� (A:M-^.`S`•YYYYS _.i!ATS GEENERALI-MILITY ACHOCCURRENCE 1�l>II�IA9LRl•1H1 LIA2L— lL i lY1VCRf { { ! s^64WIAGETO PEW ED j CLAIMS MADE Q OCCUR i I ) ) EMISES(Ea occurrence) I F t! ED EXP(Any one person) 3 /S.MW.�J,1Uic'4 13 I E GENL AGGREGATE LIMIT APPLIES PER: - 1 r CDU��TSCCOMPYJP D.t�G 5 POLICY M PROJECT (�LOC ` AUTOMOBILE LIABILITY ( { (' OMBINED SINGLE �$ I ANY AUTO I I IV-IT(Fa accident) ALL oym, _l1 Ai-F.Cis -- P in SCHEDULE AUTOS Y: URY ' �'S RpHdderd)p W REQ AUTOS , !::PR--r'ERTY DAMAGE 5 { �Fcrcadent) - iUMBRELLA LURE V.Ai Vr I H EXCESSLIASCLAIM WADE I".: �: ' I ~GGGRGATE $ S F S' p {_ED ICTIELs t { RETaTrICPJ $ WORKER'S COMPENSATION AND wo STATUTORY oTLW L Off Ei R. A - - Ir111$77M77¢1� '1.171'1tJO'13 04113t-01-0. LIL4lTS - ANY PROPER17'DRFARiri R) -1-CuTr1' A OFFICER1WL0&=REXCLUDED? ] ' ' �(1NarlgaRcrymNH1 I - I EL DISEASE-EAEhIPLOYEE $ 100,000 Mew c ,niSEASE__G C, nn-` ? '0E3,—R;F vr.yr."ii {-.� - s DESCRIPTION OF OPETRATIONS!LACATIONSJVEHICLESJRESTRICTIONSJSPEGAL ITEMS- - TLIM pSore=aae ANY PB1rtR C.F.P.TTFMCATE T LIED TO THE r-MTOLATE HOLDPR AFFECTING WOMRS COMP COVErILAOE �T KE-1s`OLE—ES:T:Vh o—,WYTN1 \ ✓Rl J2tl'vOY (SC rVAP:r AN { { CERTIFICATE HOLDER CANCELLATION ll LL. ■ Si OU"Lli ANY OF THE ASOi'€0vw_'"RISED POL-ICIES BE CANCELLED .Je ae .-... �. •=°"—•---;rir_,Te•r YELL ac':L3.;.crn�-:. PU$OSC 21 A IN ACCORDANCE WITH THE POLICY PW,5 L4 ONS. _Ol_ITHORQEDREPRESENTAXAVE e✓I vr''niti�iv✓TAu-i:i,zAA 0266$ ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1988-2010ACORD CORPORATION. All rights reserved. A CERTIFICATE OF LIABILITY INSURANCE DATE" DD/YYYY) 8/16/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY-AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT-BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 'If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may'require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER _ �- - CONTACT MELANIE KEEFE - - ., NAME: C.L. HOLLIS INSURANCE PHONE (508)295-9500 ac No:(sos)z9s-9s9e 140 Marion Rd E-MAILADDRESS:MELANIE@insurehollis.com INSURER(S)AFFORDING COVERAGE NAIC# Wareham MA 02571 INSURERA:Sentinel Insurance Co, Limited 11000 INSURED INSURER B:Allmerica Financial Ins 10212 CAPE COD MASTER PLUMBER INC INSURER c'Hartf ord Fire Insurance 19682 N INSURER D: - - 107 PINKHAM RD INSURER E SANDWICH MA 02563 INSURERF: COVERAGES CERTIFICATE NUMBER-CL1353100537 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 CONTRACTOR OTHER DOCUMENT WITH.RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN.MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY .LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence 1,000,000 A CLAIMS-MADE FXI OCCUR 8SBMPZ1591. 05/30/2013 10/16/2613 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY •• 5 1,000,000 t• GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 $ POLICY PRO-JPCT LOC $ AUTOMOBILE LIABILITY, - - _ COMBINED SINGLE LIMIT Ea accident $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ B ALL OWNED $ SCHEDULED WN9773170 11/26/201211/26/2013 gODILY•INJURY(Peraccident) $ - AUTOS AUTOS $ NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ HIRED AUTOS $ $ UMBRELLA LIAB 4 OCCUR - EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ — C--WORKERS COMPENSATION---,--- WC STATU----- OTH- .AND EMPLOYERS'LIABILITY $ TO SER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT - $ lOO 000 OFFICER/MEMBER EXCLUDED? N/A : ' OBWECCLO437 05/30/2013 10/15/2013 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER" CANCELLATION timtheplumber552513[gmail.co SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN B & D REALTY &' DEVELOPMENT ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 21 WEST BARNSTABLE, MA 02668 AUTHORIZED REPRESENTATIVE Melanie Keefe/MFK ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. WgIII25 mmrinss m Tha A(r)Pr)namn a 1 Inn^aro raniefararl mnri—of Ar(1Rr1 U , Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-076332 '° ]KEVIN BOYAR = - PO BOX 716 West Barnstable 16IA ti `%s:.,.pia • " "� Expiration Commissioner 09/05/2015 ! a _._ �e�pomvr�uazarealG�a�C> ac�zcc�eG�I Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR egistration: 1.62150 Type: xpiration: 1/26/2015 Private Corporatic B&D CUSTOM BUILDERS iNC m f KEVIN BOYAR i 1050 MAIN STREET WEST BARNSTABLE,MA`02fi68 Undersecretary License or registration valid for individul use only before the expiration date. If found return to; Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 Not valid withou gnature f ��t r Town of Barnstable *Permit# Expires 6Ynondis froiaiss9e date ry Services Fee �+ BMWSTABLE, mnss. �° Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner TOWN OF f 3 RN reet,Hyannis,MA 02601 VQW,wn.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION e RESIDENTUL ONLY Not Valid without.Red%Press Imprint Map/parcel Number Property Address 30 f fUP/r L/ 14 lay,4/✓N!l at 7.2 [Residential Value of Work •/,��®°yd Minimum fee of$35.00 for work under$6000.00 1 Owner's Name&Address .4ifC, Ill Ale /zA- 4oe. Aorzr /aaDeilwle- -7-qa/ Contractor's Name co 6d®r441i,1ry "� t�lZe 1�U/�l� ele�o�te Number �U�Y��%��� Home Improvement Contractor License#(if applicable) / Construction Supervisor's License#(if applicable) e S' 0�,ydPY® ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner EVI have Worker's Compensation Insurance Insurance Company Name /�f/�// �� `` �`®���� �/U�• �� Workman's Comp.Policy#_ ►'V ��- U �0 1 U'5"Y 712©/ 3 A Copy of Insurance Compliance Certificate must-at ompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side rep/QL e. #of doors [Replacement Windows/doors/sliders.U-Value ► 3 3 (maximum.35)#of windows ❑ 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 c py of the Home Improvement Contractors License& -on'struetion Supervisors License is nirp SIGNATURE: C:\Users\decollik\ArpDatakLocaKMicrosoft\Windows\Temporary mr/eIIIdL..yes\Content.Outlook\QRE6ZUBNVr M110"N IV Revised 053012 6 1-1- y U LIJ f k"'V k-4 Cam. CAPIHOM-01 APELL � n DATE(MMIDDNYYY) CERTIFICATE OF LIABILITY INSURANCE s/4/2014 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 terns 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 Si Gray Insurance Agency,Inc. PHONE 434 Rte 134 JAIC, Ext: ac N.:(877)816-2156 r South Dennis,MA 02660 E-MAILDRESS: INSURER(S)AFFORDING COVERAGE NAIC ti r INSURER A:Main Street America Assurance Co. INSURED INSURERB:Associated Employers Insurance Co. 11104 Capiai Home Improvement,Inc. INSURERc: Capiai Enterprises,,Inc. 1645 Newtown Road INSURERD: Cotuit,MA 02635 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. ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE NSD V. POLICYNUMBER IMMIDDIYYYYI (MMMDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE a OCCUR MPB1075H 06/08/2014 06/08/2015 'A AGrS RENTEDPRE $ 500,00 MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 POLICY RI N LOC PRODUCTS-COMPIOP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident A ANYAUTO M1M28044 06/0812014 06/08/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S 500,00 X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ - AUTOS Peracddent S X UMBRELLA LAB X OCCUR A IXces—I CLAIMS-MADE CUB1076H 06/08/2014 06/08/2015 EACH OCCURRENCE $ 5,000,00 AGGREGATE $ DED X RETENTION$ 10,000 Pers 8�Adv Inj $ 5,000,00 WORKERS COMPENSATION _ AND EMPLOYERS'LIABILITY X STAPERTUTE EORH B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCC50050105472013A 12/25/2013 12/25/2014 E.L EACH ACCIDENT $ 1,000,00 OFFICERIMEMBER EXCLUDED? NIA , (Mandatory in under E.L.DISEASE-EA EMPLOYE $ 1 000 00 If yes,describe u ander > > DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe 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 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601-0000 AUTHORED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet(99'n'3)of enclosed space. 9. Mlassachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-074640 , possess a current edition of•the Massachusetts ,. Failure to p �.; state Building Code is cause for revocation of this license. GARY GUSTAFSO 8 SIl(GR-r WAS For DPS Licensing information visit. www.Mass.Gov/DPS SANDWICH MC-0250VI.r, )riix>� Expiration Commissioner 111/2912014 c Cif C��e rno�rerxa.n�ae�r�f�a�C�/�jaJJzrc��cJeCC . License or registration valid for individul use only office of Consumer Affairs�c Business Regulation before the expiration date. If found return to: �I POME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and business Regulation registration: 100740 Type: 10 Park Plaza-Suite 5170 '' Supplement Card Boston,MA 02116 Expiration: 6/23/2.016 CAPIZZI HOME IMPROVEMENT, INC. GARY GUSTAFSON 1645 Newton Rd. No valid' it out signature Cotuit,MA 02635 Undersecretary -- 3 0 Ad �.F The Commonwealth of Massachusetts Department of Industrial Accidents . h Office of Investigations ' d I Congress Street,Suite 100 Boston,MA 02114-2017 d `�M s.•v' www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Capizzi.Home improvement Inc Address: 1645 Newtown Road - - City/State/Zip:Cotuit, MA 02635 Phone#:508-428-9518 Are you an employer? Check the appropriate box: Type of project(required): L❑■ I am a employer with 40+ 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.El am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand have no employees' 8. These sub-contractors have ❑ Demolition working: forme in any capacity. ..employeesand have workers' 9. ❑ Building addition [No workers' comp. insurance comp.insurance.#. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions - _officers have,exercised,their._ ...... ...1d: Plumbin re airs-or additions -3:❑ I am-a homeowner doing-all-work ❑ g p myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no . employees. [No workers' 13.[ Other ul i t Dd d 11exle 0m e I comp. insurance required.] !8Noff *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state.whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is tile policy and job site information. Insurance Company Name:Associated Employers Insurance Co. WCC50050105472013A Policy#or Self-ins. Lic. #: Expiration Date: 12-25-2014 Job Site Address: 3 J 6 ' d City/State/Zip: Q 41 M if All Attach a copy of the workers co ensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification: I do hereby certi nde the pains.and penalties of perjury that the information provided above is true and correct. Signature- Date:: : 0t / . /y Phone#:.. 508-428-951 Official use only. Do not write in this area,to be completed by city or town official.: City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4..Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: L Page 7 of 7 Capizzi Home Innproyement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION.TO.APPLY FOR A BUILDING PERMIT WE,MARY&MARC JONAS,OWN THE PROPERTY LOCATED AT 30 STUDLEY ROAD IN HYANNIS,-MAS SACHUSETTS. ]HAVE AUTHORIZED' CAPIZZI HOME:IMPROVEMENT TO ACT AS MY AGENT TO APPLY FORA BUILDING PERMIT;IN;ACCORDANCE WITPI 796 CMR,THE MASSACHUSETTS>STATE BUILDING CODE. I GIVE MY PERMISSION*TO LESSEE TO.APPLY FOR A BUILDING PERMIT ACCORDANCE WITH 790`CMP,THE MASSACHUSETTS STATE BUILDING'COD SIGNATURE OF OWNER: y OWNER'S ADDRESS: 548=534-9259 OWNER'S TELEPHONE; 30 STUOLEY ROAD,HYANNIS,AMA 02601 ., LESSEE'S SIGNATURE; LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT°S ADDRESS.. 1645 Newtown Rd.;Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508-4�28=9518. RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: i PROJECT �1 � Zhd NAME: A�.dt-�Ova ✓►�i I�v�4,rJe. r ►''') ADDRESS: 3a PERMIT# 0L40'7 0 l.p 09 a PERMIT DATE: 05 M/P: LARGE ROLLED PLANS ARE IN: BOX 'j SLOT Data entered in MAPS program on: oz-jz-e � BY: q/wpfiles/archive i 75.00' EX. GARAGE SEPTIC SYSTEM IN REAR YARD BH o � 0 0 o i o o EX. o DWELLING CH M $ �a ' z . ►� 21.47' 23.0' PROPOSED 2ND FLOOR N ADDITION AND 1ST w FLOOR FARMERS PORCH N 75.00' LOT AREA 7500 SF EX. DWELLING AREA= 1446.SF EX. GARAGE AREA= 281 SF PROP. ADDITION AREA= 179 SF CERTIFIED PL 0 T PLAN MARC AND MARY JONAS I CERTIFY THAT THE IMPROVEMENTS SHOWN of �- 30 STUDLEY ROAD ��`' Ass , BARNSTABLE, MA ARE LOCATED ON THE PROPERTY AS ��" 9�y i o DRAWN: RBS INDICA TED. ROBe s DATE: DEE- -2009 JOB #: E00864 c SYKES �, SCALE:1"=20' DWG. CPP No. 35418 EASTBOUND Dom , LAND SURVEYINC, INC. N P.O. BOX 442 ROBB SYKES, LS. DATE FORESTDALE, MA 02644 I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel N& Application # � o� Health Division v 2 "��� Date Issued Conservation Division V44W�N-, Application Fee Planning Dept. Permit Fee � Date Definitive Plan Approved by Planning Board v �� Historic - OKH _ Preservation / Hyannis Project Street Address �� ! S-�ur) I�CA) Village )( u yl 1 S Owner 64adc— Sty n Cs_s Address Z3 C1 S'W ��b d'�C► �, -- Telephone 5 _3 �� ? G L 3 30 zq Permit Request a-j/) b-m!!:::) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed J��oZ Total new Zoning District a6 Flood Plain fVo Groundwater Overlay Project Valuation Lin6, onstruction Type Lot Size Grandfathered: ❑Yes d'No If yes, attach supporting documentation. Dwelling Type: Single Family','Rk Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ?�No On Old King's Highway: ❑Yes 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 0nnew Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Oil ❑ Electric ❑ Other��n� I Central Air: 04es ❑ 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: ,y r it Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ � ' Commercial ❑Yes If yes, site plan review# .Current Use Proposed Use ca im CD APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number r900 't 2-r'/S_/r Address 0 License # 7 69 to QC A I.P 14 �� ��� Home Improvement Contractor# Ix N Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r� ,A FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE m r' OWNER DATE OF INSPECTION: FOUNDATION FRAME 3)1IIj�_ Ic 3llbllo Q� INSULATION (0341101k, FIREPLACE T ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . Address: n �—J 42LD y./2i1� [��d City/State/Zip: Phone.#: Are on an employer?Check the ap r priate box: Type of project(required):. 1. a employer with 4• El am a general contractor and I employees(full and/or p rt-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' comp.insurance.)� 9. ilding addition p• [No workers' comp.insurance required.] 5. ❑ We are a corporation and its' 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t ,c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing-their workers'compensation poli:y 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 Insurance Company Name:_ -6r �(� 66 t , Policy#or Self-ins. Lic. 6Expiration Date: Job Site Address: [� V �TI�U� � 6 City/State/Zip: Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' ce coverage verification. ' I-do-her-eby-eertif}1 der..-th ins a-zd enalties-ofperjuy-that-the-inf-ormation-provided-above-is-true-and-cor-r-ect Si ature: Date: Phone#: — N - Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing use (circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• wm ACORD- CERTIFICATE OF LIABILITY INSURANCE /DDIYYYI� - 05 1071007/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis, MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Mutual Insurance Co. Capizzi Home Improvement,Inc. INSURER B: NATIONAL UNION FIRE INS. Capizzi Enterprises,Inc. INSURER C: 1645 Newtown Road INSURER D: Cotuit,MA 02635 4 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR_OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED:BY PAID CLAIMS. S D POLICY EFFECTIVE POLICY EXPIRATION LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE(MM/DDrM LIMITS A GENERAL LIABILITY MPB1075H 06/08/09 06/08/1 O EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TER RENTED $500 OOO CLAIMS MADE a OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $2 000 000 POLICY X JET LOC ' A AUTOMOBILE LIABILITY BPOl0786 06/08/09 06/08/10 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $500,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGO $ A EXCESSIUMBRELLA LIABILITY CUB1076H 06/08/09 06/08/10 EACH OCCURRENCE $5 000 000 X OCCUR CLAIMS MADE AGGREGATE $5 OOO 000 $ DEDUCTIBLE $ X RETENTION $10000 $ B WORKERS COMPENSATION AND WC006957000 12/25/08 12/25/00 X OR STATU- FR EMPLOYERS'LIABILITY. ANY PROPRIETOR/PARTNER/EXECUTIVE �.,. E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? S E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT I$1,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL __Jo_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Hyannis,MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR PtEPRESENTATIVES. • AUTHORIZED REPRESENTATIVE AZA ACORD 25(2001/08)1 of 2 #S43470/M43449 KW 0 ACORD CORPORATION 1988 f Board of Building Regulations and Standards License or registration valid for individ;ul.use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: rik", Board of Building Regulations and Standards Reg1str .ta9D; 100740 One Ashburton Place Rm 1301 ^pJtea.lW n_6.23/2010 Boston,Ma.02108 =_ t<,_ .,I$plement Card : I CAPIZZI HOME i =_ M: C;lll�ti bARY GUSTAFSOt 1645 Newton Rd. Cotuit, MA 02635 Administrator lYo vali itho, - `' nature a `»ia.+ti:tti)+t.;itt - 1)tl)t►l-tinclit tat'public — " - f3ta:tt'd tat"Butildin" Reolliation and st°.ttatfi:artt Construction Supervisor License j License: CS 74640 { Restsicted.to: 00 3✓ M1�s T GARY GUSTAFSON 8 SHORT.WAY i SANDWICH,MA U563 ��_ � J Exlitratirrs: 11/29/2010 rrt 7755 f� east cape engineering, inc. 44 Route 28 P.O. Box 1525 CIVIL ENGINEERING Orleans,MA 02653 LAND SURVEYING WATER RESOURCES LAND COURT ENVIRONMENTAL 508-255-7120 PHONE SITE PLANNING SANITARY CERTIFIED PLANS STRUCTURAL 508-255-3176 FAX WATERFRONT WEB SITE: www.eastcapeengineering.com December 9, 2009 Mr. Gary Gustafson 3j Ca izz Home Improvement 1645 Newtown Road .e�>v Cotuit, MA 02635 7 1)q4 t r::: RE: Wind Requirements for Porch, Jonas Residence,�tudley Rd. Hyannis, MA Dear Mr. Gustafson, East Cape Engineering, Inc. has completed a review of the plans for a proposed second floor addition for the Jonas Residence located atY- Studley Road in Hyannis. The purpose of this review was to provide requirements for wind resistive construction for the proposed farmers porch and roof deck portion of the work. Based on our review,the following connection requirements need to be utilized in order to resist the design wind pressures for the 7th edition of the Massachusetts Building Code for wind speed of 110 mph in exposure B: l. The deck girder must be connected to the sonotubes with Simpson ABU66 post bases. 2. The wood posts must be attached to the girder below with inverted Simpson AC/ACE/LCE post caps. 3. The wood posts must be attached to the girder above with Simpson AC/ACE/LCE post caps. 4. The porch roof rafters must be connected to the girder with Simpson H2.5A or H6 rafter clips. 5. The ledger must be attached to the building with 3 —Timberlok or 3- 1/2" lag bolts per 16" staggered between the top and bottom of the ledger. 6. All roof rafters and floor joists to be attached to ledgers/girders with Simpson. HUS28 joist hangers. If there are any questions, feel free to give me a call. OF�ass�c Since ly, p� MARK A. c NZIE IVIL No. Mark A. McKenz " Treasurer, East Cap Rg nc. f REScheck Software Version 4.2.0 Compliance Certificate Project Title- Jonas Energy Code: 20061ECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: —30Stude►y rd Capizzi Home Improvement Compliance:4.8%Better Than Code Maximum UA:62 Your UX 59 WGAMW WNW Ceiling 1:Flat Ceiling or Scissor Truss 552 30.0 0.0 19 Wall 1:Wood Frame,16°o.c. 525 19.0 0.0 29 Window 1:Wood Frame:Trip►e Pane with Low-E 14 0.220 3 Door 1:Glass 32 0.240 8 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been d igned to meet the 2006 IECC requirements in REScheck Version 4.2.0 and to comply with the mandatory requirements listed in ' REScheck Inspection Checklist. Name-Iltle Sign a Date 4 Project Title:Jonas Report date: 12/11/09 Data filename:C:1Program FileslCheck\REScheckWonas.rck Page 1 of 3 REScheck Software Version 4.2.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Triple Pane with Low-E,U-factor:0.220 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: ❑ Door 1:Glass,U-factor:0.240 Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air I akage are sealed. ❑ Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5"clearance from combustible materials and a 3"clearance from insulation. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: ❑ Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: Materials Identification: ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. ❑ Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulation: ❑ Ducts in unconditioned spaces or outside the building are insulated to at least R-8. ❑ Ducts in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: ❑ Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fittings are sealed and mechanically fastened. ❑ All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems.Tapes and mastics are rated UL 181A or UL 181 B. i Project Title: Jonas Report date: 12/11/09 Data filename: C:\Program Files\Check\REScheck\Jonas.rck Page 2 of 3 Building framing cavities are not used as supply ducts. .s Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliance with the international Mechanical Code. y Temperature Controls: Thermostats exist for each separate HVAC system.A manual"or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor is provided. Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation I;(-values;window U-factors;type and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) f Project Title: Jonas Report date: 12/11/09 Data filename:C:\Program Files\Check\REScheck\Jonas.rck Page 3 of 3 s j 20061ECC Energy Efficiency Certificate mom Ceiling/Roof 30.00 Wall 19.00 Floor/Foundation 0.00 Ductwork(unconditioned spaces): R—MOOMME" Window 0.22 Door 0.24 NA Water Heater: Name: Date: Comments: l nV , A PVC Guide to Wood Constructim hi High YVind Areas: 110 tjiph Whirl Zolze Massachusetts Checklistl foi- Conlp'liance (AHD C11-1R 5301.2.1.1)' Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. ................................................. 110 mph Wind Exposure Category ......... ..................:...........................................B Wind Exposure Category Engineering Required For Entire Project .......................................0 * 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) _stories s 2 stories RoofPitch,.............:.............................................................(Fig 2) ........................................... (0 512:12 ✓ MeanRoof Height .....................................................:........(Fig 2)..................................................oN ft s 33' e/ Building Width, W ...............................................................(Fig 3)................................................2y ft s 80, Building Length, L .............I.................................................(Fig 3)..................................................ia,ft 5 80' Building Aspect Ratio(UW) .............................:.................(Fig 4)................................................. / 5 3:1 Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................ <_6'8" 1_3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. ConcreteMasonry.................................................................... ..........................................I.................... 2.2 ANCHORAGE TO FOUNDATION1'3, 5/8"Anchor Bolts4mbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only ' 1 Bolt Spacing from n nrd/joint.of. plate ...............:............(Fig 5)4.)..............:...................... a..in.52, Bolt Embedment—concrete...........:....:........................(Fig 5).................................................2 in.>7 Bolt Embedment—mason in.>_ 15" masonry....................:....................(Fig 5)..,..:....:.:.......................... r r PlateWasher............:..................................................:(Fig 5)...............................................>3"x 3"x'/." 3.1 FLOORS Floor framing member spans.checked ...............................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension....:....................:..........(Fig 6).....,............................................. O ft:5 12 ✓ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... ✓�a Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)......................................................aft 5 d ✓ Maximum Cantilevered Floor Joists_ Supporting Loadbearing Walls or Shearwall................(Fig 8 ft _<d o. Floor.Sheat at End walls 7 ...................pter....�............ ��... . � 9 (Fig ) Floor Sheathing Type (per 780 CMR Chapter 55 ....:..................... I Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)........................X in. Floor Sheathing Fastening...................................................(Table 2).._�r d nails at�in edge/ZZ�in field ✓ 4.1 WALLS Wall Height . Loadbearing walls.......... .............................................(Fig 10 and Table 5)........................... ft <_10' Non Loadbearing walls............:....................: � 5 ..............(Fig 10 and Table 5)........................... ft 20' Wall Stud Spacing ......:.................................................(Fig 10 and Table 5)..................._Zle in.:5 24"o.c. Wall Story Offsets ........................................................(Figs 7&8)............................................4�2 ft 5 d _ 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls......:............. ....(Table 5)..............................2x"V- ft ® in. Af- Non-Loadbearing walls..........................................:......(Table 5)..............................2x_,V - tr ft o in. ✓ Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)..............................................:. ........:....... +i WSPAttic Floor Length.................................................. .................. . .. ..(Fig 11)........................ j: "ft>_W/3 Nw 'Gypsum Ceiling Length(if WSP hot used)....:...............(Fig 11).:..:.........................`.............. s✓ft>:0.9W / and 2_x 4 Continuous Lateral Brace @ 6 . o.c. .. (Fig 11).........................:................................... h/Q ft or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays // Double Top Plate Splice Length ................:......................................(Fig 13 and Table 6)............I........................ —,ft _ .✓ o ails .............. Table 6)................. AIVC Guide to 1'Vood Corrstrcrctiou t'n High 1,17ind Arens: 110 mph Wirrd Zone Massachusetts Cheddist for COO PlifIllce (780 0.11Z 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..................................................... 4� ✓ Non-Loadbearing Wall Connections Lateral(no.of 16d common'nails)r^.................. ::.(Table 8)....................................................... C? !/ Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)...................................... ft D in.5 11' ✓ Sill Plate Spans Table 9 .................................. 7 ft o in. -< 11, Full Height Studs (no. of studs)....................................(Table 9).............................................. .... ✓ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9)..................................eft in. -< 12' Sill Plate Spans...: .......................................................(Table 9).................................. &ft a in.5 12" ✓ Full Height Studs (no. of studs)...........................:........(Table 9).............................................. ..... 0 +/ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W < Nominal Height of Tallest Opening2 ..............................................................................._ 6'8' SheathingType..............................................(note 4)...................................................... Edge Nail Spacing .............. Table 10 or,note 4 if less ....................... Field Nail Spacing..........................................(Table 10).................................................-in. ✓ Shear Connection (no. of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing........................(Table 10):................................................... % i✓ 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest O enin z _ 9 P 9 ......................................................................... -=5 6'8' ei SheathingType..............................................(note 4)......................................................_/ Edge Nail Spacing..........................................(Table 11 or note 4 if less)......................... o in. ✓ Table 11 Field Nail Spacing...........................................( )................,........................,....... Shear.Connection(no.of 16d common nails)(Table 11).........................................I..............._2 . Percent Full-Hei ht Sheathin Table 1 t ...................::..:..........................33% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Wall Cladding Ratedfor Wind Speed?.............................................................. ............................................................... !� 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) ✓ Roof Overhang .........(Figure 19} ft<_smaller of 2'or U3 .......................................... ............._ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift ( )......:..................... =�3 p lf ................................................ Table 12 Lateral...........................:.................(Table 12)..............................................L=A�_, plf ✓ .. ( ).......................: ..........S=--m Of . Shear.................:..........:............... . Table 12 .......... Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T=L?.7-plf Gable Rake Outlooker................:.........................(Figure 20) .............;g�ft 5 smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U= lb. Lateral(no. of 16d common nails)...(Table 14)...................... ..... L= Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) .........fie 1G !� Roof Sheathing Thickness............................................ ..............................................fain.->7/16"WSP ✓ Roof Sheathing Fastening _............................................(Table 2).....................:................................... Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-gr6de. A AIVC Guide to IJ/ood Coiistructroii hi Hl h 141hid Areas: 110 mph 1Yixid Zone IY assaclltlsetts C�i�ecl:list for C�olnpliance t780 Ci IR 5301.2..l:1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below: Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,south of Rte. 28 or north of Rte. 6) b)vertical addition—not required unless there is extensive renovation to the first floor c) replacement windows—needs energy conservation compliance only(chap 93) 6. Wood Frame Construction Manual (WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. .-WHEN THIS EDGE RESTS ON FRAMING USE8d NAILS AT6•o t — - ...�f• 11 11 u 41 tl �1 11 1 Q - 11 11 11 1 it 11 11 1 1 I .�a � l 11 11 11 1 Z= - / IFZtJ 11 1l II Y 11 rl, 1 1 r 1 1 O M I.1 �'•. .1 1 I 1 1 Il 11 • 1 4 1 t f f1 j 1 Ir 11 41 to11 to . 1 1 1 1 r Ed A.I 't} 71 1 1 1 z 1 1 ,Z W Il ii 1! 1 a 1 t Q t i i i t� 1 1 1 EFU/h01Hi•�MEMBERS y W ii EDGE 6dTE AAEDIATE II i1 11 W -li 11 1 1 it/ 1 I1. 11 Ir V3 1 t t 6. IJ IJ27 1 Z 1 II f II it W 1 1 1 ` r 1 1 . 3 - , � 11 rl 11 1 ♦ 1 1' 1 ME STAGGEREfl DOLLNAIL. AVSPACCa `------- �• NAIL PATTERN PRNEL PANEt_ PANEL EDGE DOUBLE NAIL EDGE SPAC14G DEAL See DoWl on Next Page Vertical and Horizontal Nailing Detail • for Panel Attachment Vertical and Horizontal Nailing for Panel Attachment 75.00' EX. GARAGE SEPTIC SYSTEM IN REAR YARD BH 0 0 0 0 i 0o EX. o0 DWELLING CH 00 21.47' 23.0' II PROPOSED 2ND FLOOR N ADDITION AND 1ST w FLOOR FARMERS PORCH N 75.00' LOT AREA 7500 SF EX. DWELLING AREA= 1446 SF EX. GARAGE AREA= 281 SF PROP. ADDITION AREA= 179 SF CERTIFIED PL 0 T PLAN I MARC AND MARY JONAS I CERTIFY THAT THE IMPROVEMENTS SHOWN of.MAs 30 STUDLEY ROAD ARE LOCATED ON THE PROPERTY AS ��P� s90 L- o- BARNSTABLE, MA Z tiI -10, 2009 DRAWN:. RBS INDICATED. DATE: DEC � ROBB � �� SCALE:1"=20' JOB #: E00864 c SYKES DWG. CPP No. 35418jzz o EASTBOUND o`' o��s �� LAND SURVEYING, INC. ro P.O. BOX 442 ROBB SYKES, LS. DATE FORESTDALE, MA-02644 CAPIZZI HOME ROPROVEMENT INC. Page 7 of 7 SPECIFICATIONS AND ESTIMATES STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I,MARC JONAS, OWN THE PROPERTY LOCATED AT 30 STUDLEY ROAD IN HYANNIS, i MASSACHUSETTS. a I HAVE AUTHORIZED CAPIZZI HOME A BUILDING PERMIT IMPROVEMENT TO ACT AS MY AGENT TO APPL IN ACCORDANCE WITH 780 CY FOR CODE. MR, THE MASSACHUSETTS STATE BUILDING I GIVE MY PERMISSION TO TO APPLY FOR A BUILDING PERMIT IN ACCO LESSEE STATE BUILDING CODE. CE WITH 780 CMR, THE MASSACHUSETTS I SIGNATURE OF OWNER: OWNER'S ADDRESS: T 2391 SW 180 AVENUE, MIRAMAR,FL 33029 OWNER'S TELEPHONE: 508-564-9259 I LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit,MA 02635 APPLICANT'S TELEPHONE: 508=428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: ZESPONSIBLE OFFICER TELEPHONE: { AJTOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel % r7 I O f U 13 t,P$fS1 ABI E Permit# G Y Health Division - 2%/� /U" `OC Date Issued y =� �A4 j 1 nn �' t � Y M' Conservation Division / '� T l � � ` Fe� Tax Collector Treasurer C"I V!S 10 fd Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address , l) �� / ✓� Village f MILIxil.S Owner c;k MANA�/�1f Address Telephone/ /E60 27T_ Permit Request C O— opus d -� Fie/ A Y Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family'� Two Family ❑ Multi-Family(#units) Age of Existing Structure 37D Historic House: ❑Yes No On Old King's Highway: ❑Yes No Basement Type: X Full ❑Crawl AWalkout ❑Other Basement Finished•Area(sq.ft.) / Basement Unfinished Area(sq.ft) /,;5�0 .1 , (Number of Baths: Full: existing new Half:existing i • �4'' n w ` Number of Bedrooms: existing new (AcC c,P (, •�r��--- Total Room Count(not including baths): existing new c First Floor Room Count Heat Type and Fuel: A-Gas ❑Oil ❑ Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:(existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage: ❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# .Current Use Proposed Use i BUILDER INFORMATION ► w —v Name (' ZG' y C/`Jr.�Iwa;Z� .:7�k• Telephone N tuber w Address _ fir,j� �. `j' /'s5 iZl 7, icy �? 3 License# , S - J ii S L'c�d fLi f I „.C%i daG wr� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a-L .,N&VA � MNATURE DATE Irl/",;t � fi FOR OFFICIAL USE ONLY r ' PERMIT NO. s j DATE ISSUED ' MAP/PARCEL NO. f/ ' ADDRESS VILLAGE OWNER.- DATE OF INSPECTION: F FOUNDATION - FRAME G //rri? �n O/ � ¢ INSULATION' ,lam/n/S U O k dW FIREPLACE Y E ELECTRICAL: ROUGH FINAL s ' PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL - FINAL BUILDING ;��ii✓ 711,16ZQ� Z&? '7/eta/Q 3 D Y S. ry • DATE CLOSED OUT'-- ASSOCIATION PLAN,NO. The Commonwealth of Massachusetts Department of Industrial Aeeider"sts __ I 0lflcrollaias a�foa6 --_ - 600 Washington Slrcet _ Boston,Mass 02141 — _ workers ��tiavif Com ensation Insaraace n name: IAVAP�41-9- locationD city phone# ❑ I am a homeowner pezftmzxiag all worst myseim ❑ I am a sole 'etor and have no one Making in aav tP ' I 11 I II I I �j��� aII 1h1S job. DWI W I am for °v1 my ::. •{{:.K}::?:.};.}•:::::•n.::..:{:::.::nK.:.r:::..:xwvn.•naM%:::::.ww}.._,,wvtr. ....x... .... a.,:w:♦ Pd<w}X•:'w"ICC^.'.<... n r......n,+ .......0:.•::n::•:::::x;f:+.::.v:,. .... ..nv........ ..... ..... •:.:v.v.v:w:.....,.....n........v.:........ ........ a: .:::.,:.::i��i:.ii:?' .ua.......Xa}x.::{:,...,r.�:�`{i::3'i'TY' .n. .::}:Nfw:.v::•m.. cr::•�.}'.rc::�:::::.... u\h 4....v.}f .... ::..,:{•�:: :nv:::�.. 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Fxamm to seaas eaneap ti regateed ondar Seed=2SA otM(L IS a imi to t!n tmpeattlm cftdad VIM14 a ota ema up to S1.S)0.00 mWar aae yeaw b pr6oasaat m we0 as eivG penatttes to the totm of a STOP 0ZM d a fim di100.00 a dmW*ga=t ma Ind cW o aW of ada atatemeat mq be tormaded to the Mcc otIateadVedc m of ft=ALor.� I do horby cvmify undo the pma mrd pmak n ojp otiau provided abot+r it trine mid ca cd Priat namt: Emil otIIdai me o* do not weita in thb am to ba eompieted bF difor taws cMWd dtf or towns 'M ❑ �pep' t ❑m=Eia=B-rd p chaki lame.diats rmpan a is reams psdsemua'a omca l pHealthDeps=cut contadperson: phosett; - ❑o�"" (recto 9/93"i Information and Instructions ' Massachusetts General Laws chapter. 152 section 25 requires all employers to provide workers' compensation forth:ir emplovees. As quoted from the"law", an employee is defined as every person in the service of another under=Y�� of hire, e:cpress or implied, oral or written.. An emplover is defined as as individuaL partnership, association, corporation or other legal entity,or nay two or more of the foregoing engaged is a joint enterprise, and including the legal represeamtives of a deceased employer, or the reccre'er trustee of an individual-,partnership, association or other legal entity, employing employees. However the dwelling h of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do amak=ance, eonstrueticm or repair work on such dwelling house or on the e_mtmric cr building appurtenant thereto shall not because of such employment be deemed to be employer. MGL chapter 152 section 25 also stales that every state or iocal.lieeasiag agmey shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any appllcsat who has insurance.covet Additionally,narthrrthe not produced acceptable evidence of compliance with the rote required- commnnweaith nor any of its political subdivisions shall enter it o nay coal=for the performance of public work until acceptable evidence of compliance with the insurance requires of this chapter have been presented the com—cti authority. -Applicants ' Please fill in the worirors' campensation affidavit completely,by 1+�]aag the.bmc that applies to.your sitr Qa and names,adres ds and phone numb=along with a= if c -of insmaace as all affi may be supplying Also be sure to sign and - snnbmitted to the Departmec of Industrial Acddc=for of msurana�8e. date the affidavit The affidavit vhm ld be.resumed to the city artawnthatthc application for the permit cr license is being regnested,not the Depart:a=of Industrial Ac©dents- Should you have any questions regarding the"law"or if YOU are required to obtain a worlo~rs'compensation policy,please call the Department at the number listed below• In City or Towns has - Please be sure that the affidavit is complete and printad legibly. flue Department providcd a space at the bottom of the affidavit for yoti to fM out in the event the Office of has to cmd2ct you regarding the a0li = Pl=0 be sure to fill ia�e pe�mk/license number which will be used as a t<efm ca niii6cr. 11ie affidavits racy be reannea t^ the Department by mail or FAX unless other a===rnft have bemmade. The Office of Juvestigations would like to thank you in advance for you cmvm-zdm and should you have any questions. please do not hesitau to give us a call. M19's address,telephone and fax Ebm: The Commonwealth Of Massachusetts Department of Industrial Accidents oQ1ce of Wesduadons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 4069 409 or 375 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 �— Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE / square feet x$96/sq.foot= A0 x.0031= pluifrom below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x W/sq.foot= `�� x.0031= v �� plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.f , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >150 sf- 1000 sf 75.00 j >1000 sf-1500 sf .100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee a a d, projcost TableJS21b(condbussO Prescriptive Pacimgm for Oaa aad Two-family Redd.ondal BatWlap Head with Food Fnda MAXIMUM N@1Q1iUM Glaang Gla=g Ceiling Wall Floor Baaemeat Slab °Oi1IIB A '(�•) U=co- te lt valu2 Revalue' R.valad Wail E WaiencY' Paci;aae R.vahnt &vaiuW 5"1 to 6500 Hach;Degeea Days' Q l2!'. 0.40 3E 13 19 10 6 Normal R 12% 032 30 19 19 10 6 Normal S 129.1. 0.50 3E 13 19 to'. 6 95 AFUE T 15% Q96. 3E 13 23 WA WA Nottaai U 15% 0.46 33. 19 19 10 6 1 Notmai V 1S-/. 1 0.44 3E 13 25 WA WA 0 AFUE W 15% 032 30 19 19 10 6 ES AFUE X 18% 032 3E 13 25 WA WA Nmtnal Y 12% 0.42 3E- 19 25 WA WA Normal Z 18% 0.42 3E 13 19 10 6 90 AFUE AA 18% 030 30 19 19 l0 6 90 AFUE 1. ADDRESS OF PROPERTY: ()( a-D 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. LL 4. %GLAZING AREA(#3 DIVIDED BY#2): G ti U S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-t980303a Il Footnotes.to Table J5Z.1 b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyiiehts. and basement windows if located in walls that enclose conditioned space,but exciudirig opaque doors)to the gross wall area. expressed as.a percentage. Up to.1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft'of decorative glass may be excluded from a building design with 300 fl of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. if the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywalL For example,an R.19 requirement could be met EITHER by R-19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-flame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawispaces,basements, or Garages).Floors over outside air must meet the ceiling requirements. 'TI:e entire opaque portion of any individual basement wall with an average depth less than 50%below grade must me=t the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned br..,ements must be included with the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R 2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4,or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment,the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city ortown see Table J5Z.la NOTES: a)Glazing areas and U-values are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U-values must be tested and documented by the manufacturer.in accordance with the NFRC test procedure or.taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(Le.,may have a U-value greater than 0.35). c) If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component: Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). _ 43 ` q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: % /dK Estimated Cost Z90D Address of Work:_ -.Z D Owner's Name: 'y C f l4-y?S Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED t CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby ap y for a permit as the agent of the owner: 03 �3 � D Contractor Name Registration No. OR g1orms:AfFidav :rev-122001 I . µ c7l >°ammzoozuiea�/o��/�ciaaactu.6ed` BOARD OP BUILDING REGULATIONS h, License {CONSTRUCTIONISUPERViSOR Number GS 057122 Birthdate J06/a2/,1965 ! Expir s,06/12/2003 Tr.noa low'. + RestHcted�r00 '1' ' THOMAS.:S COHEM ' 160 HIGHLAND AVE (; COTUIT, MA 02635 Administrator �rig I ✓k r�orivnzoozurea�� a�/ aat�c/u�aetla I U9 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR`'" Registration: 110363 Expiration: 10/20/2004 TYPe: Individual j THOMAS S COHEN THOMAS COHEN 160 HIGHLAND AVE COTUIT,MA 02635 � __. .-.... a,. i a 46'-0° 231-Oo — — 231 0° 21-911 41 ° 21 n 4'- n cn 51 loll Qi ^II � � O !l V J 41 i 11 II ql 11 li �1 O b 2-41 = 3_2 4'-0" SLIDING lLl-oY I I SLIDING Lo p _ - 2' U 21 2-V rn N -Y UT 9 43 W - - W 6 11 `I-�1191 2'-9 4-0ll '-211 4'-011 3' C Sl�� 131-0° 46'-011 14'-0° 2'4 13$a I 1 i I 5EnROOM 03 Q BEDROOM 02 I =n 1 BMOKE*� I 6MOKE pETECTO'R I DETECl r° SMOKES� — BENCH — 3 DETECTQR _ O -0n '-O 2 z c� FOYER HALL BATH o open to above 4 c 'm SMOKE DETECTORS O.K. -, i Q o • i ❑ br-0 r UP 3 60 BARNS-TABLE BUILDING DEPT. - _ - - `v Q KITCHEN f3'-1I'� n 10'�ir` it � � I ' I Ivlf.lr 1aOOM - _ On 611 CONCRETE 2 SL AB ON GRADE: NEW SMOKE DETECTOR REQUIREMENTS C 3]1 314"K 111l8'LVL BEAM OVER 4'X 6'LAMIN.P05T FATINGa AREA ARE-NOW LAW. EVEN THE ADDITION OF A NEW BEDROOM WILL TRIGGER AN UPGRADE OF THE SMOKE DETECTORS FOR THE WHOLE HOUSE. YOU MUST PLAN ACCORDINGLY I'THEAPPROPRIATE ND HAVE YOUR ELECTRICIAN TAKE O 15'-4° PERMIT AT THE FIRE DEPARTMENT. 24'-O" lU 30'-0" E• _L BATHS 2'-9 X-0" T"rFiCAL EXTERIOR WALL i Q Q MATCH EXISTING HORIZONTAL SIDING n® ' -TYYECK DOUSE WRAP ' I - 1/2" EXTERIOR SNEATµING- 4 m -2" x 4" 57UDv'a) I&" O.C. C10KE h -HEADER5/DOUBLE 2"x12" Wi l/2" PLY U I) D OR -R=15 Il1GPI DENSITY BATT INSULATION MA5TeR BEDROOM cp ln -6 mil POLY VAPOR BARRIER 3, - 1/2" BLUE BOARD W1 Va $KIM COAT PLASTER _ y 8M xE"� r il'$" _ - -PAINT INTERIOR 3 COATS,EXTERIOR 3 COATS n I O PET'ra I o n� -FIRE PROOF ALL WALL PENA T RATIONS TIECAL FLOOR PALL -3/4" T4 G PLYWOOD SUBFLOOR SCREWED GLUED TO o �n���lOw 3 6 BATH r -2"x12" FLOOR JOISTS Q 16" 0,- p MM -Oa Q� -2"xl2" SOLID BRIDGING & 5OLID WOOD FIRE BLOCKING CL. LIN. m -DOUBLE FLOOR JOISTS UNDER PARTITIONS 4 EXTERIOR WALLS -( BASEMENT FL )Rz1'3 GATT INSULATION 0 3 -FIRE PROOF ALL FLOOR PENATRATIONS GENERAL d SUB CONTRACTORS SHALL VERIFY ALL DIMENSIONS PRIOR ORDERING MATERIALS d 6TARTN6 CONSTRUCTION,ALL STATE d LOCAI BUILDING CODES SHALL BE ADHERED TO.ANY DISCREPANCIES SHALL I BROUGHT TO THE OWNER OR ARCHITECTURALS ATTENTION, DO NOT FIELD MEASURE DRAWINGS FOR LAYOUT PURPOSES.ASK DUES' M ATTPEWS ADDITION yq�� PLAN /�( tf SCA€ae°•t•o' DRAWNBY CD CALHOUN ORAWixa NO. NEW G�� FLOOR\ I L A I Y DdtE 9/5/2042 `:Ev19ED TITLE NEW SECOND FLOOR PLAN CONTIN.RIDGE 4 SOFFIT VENTING: a"xa" P.'DGEBOARD 2"xI0" RAFTERS e Ibl' o c. -FIBER GLASS ASPHALT SHINGLES - OVER # 151b5 FELT BUILDING PAPER �------- 211X6" COLLAR TIES �@ I6" O.c. 1/3 DOwU FROM RIDGE MAX. ------ - 1/2"ROOFINGS PLYWOOD 2"X10" GEILG JOISTS ae 16" o:c. -CONTIN.ALUM.DRIP EDGE R30 BATT INSUL,UJ/ 4 MIL POLY V.B. -MATCH EXISTING TRIM,FASCIA,SOFFIT 4 RAKES R=I5 HIGH DEN5ITY FACED INSULATION -CONTIN,SOFFIT VENTING 6 mil POLY VAPOR BARRIER -MATCH EXISTING SIDINCs I/2" FLUE BOARD UJ/ I/S" SKIM GOAL PLASTER -0 15lb9 FELT BUILDING PAPER PAINT INTERIOR 3 COATS, EXTERIOR 3 COATS - 1/2" EXTERIOR SHEATHINGS WOOD BASE BOARD -2 x 4 5TUD5 q 16 O.C. �I II II FINISH FLOORING 2"X12" FLOOR JOISTS /$ I6" O.G. IUDOD BASE 50ARD FINISH FLOORING • II a GRADE *GENERAL d SUB GONTRAC ORDERING MATERIALS d f BUILDING CODES SHALL B BROUGHT TO E OWNER i DO NOT.TT. IELD MTHEABURE D MAM v 6G ALE 1"s".f•0" DRAMO; -A— wmnnnz I REVTatD TYPICAL FLOOR 5Y5TEM - 3/4" T4 G PLYWOOD 5UE3FLOOR SCREWED 4 GLUED TO - 2"x12" FLOOR JOISTS awl 16" O,C. - 2"x12"SOLID BRIDGING &SOLID WOOD FIRE BLOCKING - DOUBLE FLOOR J0I5T5 UNDER PARTITIONS EXISTING FIRST 1 EXTERIOR WALLS FLOOR BEARING - (BASEMENT FL 7 R-19 BATT INSULATION PARTITION BELOW - FIRE PROOF ALL FLOOR F ENATRATfONS LUMBER SPA. USE #2 OR BETTER SPRUCE f PINE !FIR KILN DRIED 1000 &E = 1,300,000 W/Fb ELOOR FRAMING *GENERAL t SUB CONTRACTORS SHALL VERIFY ALL DIMENSIONS ORDERING MATERIALS t STARTING CONSTRUCTION,ALLSTATE t BUILDING CODES SHALL BE ADHERED TO,ANY DISCREPANCIES BROUGµT TO THE OWNER OR ARC41TECTUPALB ATTENTION, DO NOT FIELD MEABURE DRAWINGS FOR LAYOUT PURPOSES.ABI N A m P�X O X z X tD A --r rn rn r Z r 7fi m x � A if ®O ® O 0 0 3m �z cs�m O� z r -n Z o' Pig e mm', N0Xm � A�� muj m�l �'� C) o o{�i � (lC> 77I0 CI, 7, n cn -i M -n r— -1� {rrX_ n P3ii''=z� j> mmGls�' zX3 T► -+ (P �wc—o �mApO A 70M ' �tn� A� -0D z� � 0�00�pz �X o R ommoc. 'XIF =m1y21 z(P m zpS�oz �a4 a a 9AA C) moO:z $�' Q 014 -ammo n /U a 3imp �N m��m O �Giyo rl Cal _ Z