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0286 TOBEY WAY
i i i o� so S3 �t t Town of Barnstable *Permit# 10 Expires 6 mont s from issue date s�Regulatory Servic E;BARNSTABM MAC' Richard V.Scali,Interim Director AUG ff�� � 19 Building Divisionl'®finn,, U�y ��f� Tom'Perry,CBO,Building Commissioner TABLE �� N�TA B L E 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Number..�N 7 _ Property Address YR /o b Qy AAA t/ _ �°S 7' �Y��/1 S pa)r ( 2esi n ' Value of Work$ IZ q Minimum fee of$35.00 for work under$6000.00 de ttal y3 Owner's Name&Address 1 h 0(/e S a- !1 o e I Z . •� .12006e �� In/ yang, s ��� , �`"� 0,2 G 7L Contractor's Name S o dery _�• �/i,u ��sY ENN/ O Telephone Number Home Improvement Contractor License#(if applicable) c�1732JJ� Email: Construction Supervisor's License#(if applicable) D /670 Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ 1 am the Homeowner 9 I have Worker's Compensation Insurance Insurance Company Name llU�7 t Workman's Comp.Policy# WC.- Copy of Insurance Compliance Certificate must accompany 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 ['Replacement Windows/doors/sliders.U-Value . 3<) (maximum.35)#of windows #of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement.Contractors License&Construction Supervisors License is required. SIGNATURE: TAKEVIN MBuilding Changes\EXPRESS PERMIT\EXPRESS.doc Revised 061313 CT Renewal 6?-,- /, a em �L aaeo�s YAi1de158C1. RENEWAL BY AIVDERSEN ntAV s1742+4 b - uatue ft06,9a44 WINNOW anuewnr 26AlbionRoad• Lincoln,RI02865 tiedntm-#123r t Phone 866.563.2235•Fax 401.633.6602 '`• redagf'rex to ate•ossscso Southern New Enghnd Windows,LLC d/b/a r Renewal by Andersen of Southern New Eagbad e CUSTOM WINDOW AND DOOR REMODELINGAGREE 0,NT Eursr(i)SnearAddreu.G9'SawandZfpCoQe/P.0.:Bmc. ♦ V(//� /�O a(0��� .. ' a�za (tM&YAdd HomeTdeph*-WmEA0_S_ 7k- W% 1161Te1e010neNu biti Buyer(s)hereby jointly and severally-agrees to ptuchaze the pmducts and/or services of Southerii,New England Windows;I.I;C d%b/a Renewal by Andersen of Southern New England("contractor),in accordance with the terms and conditions_described on the front and the reverse of this agreement and on the attached specification sheets)(collechyeN,this O'llLtoric:0 Condo 0 HOAT Tool Job Amount A Eitioated SuronB D+tc Method of Payment: O Check O Cash 04-ced Oeposk Received(33%} C�j //.'' - Credit Cards are accepted for d- epasteonly-rruxtinumlf3ofthe+ Baunce ai Start of Job(33%);• t�ttmired; Date protect 5osc(Fkdse see Gedt Card F*nent Farm)By siping this Agrtxmenr yoti admowledge that the 15alance at start of job and the; Balance on Subsiantt+t/ ` .? Balance on;5ubatantlal Completion of Job cannot be made by credk Comptenon of ob card and mutt be made by personal check.bank check or cash. J (33%).�� Buyer(s)agrees and understands that this Agreement constitutes the entire eii"eistandia g.between-the parties,and tlai& there ace ao verbal understandings changing any of the terms,of this Agreement.Buyers)acknowledges that Buyer , (1)has read this Agreement,understands the terms of this Agreement;and Isas received a complit' signed,`and dated copy of this-Agreement,including the two attached Notices of Cancellation,on the date firstwritten above and(2)was orally, informed of Bnyer''�right to cantxl this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BI:ANI{SPACBS.-;' _.. (Rhoda lit.d Sa/ee 0,,&)Notice o Bn"sir 1 Do not e>I` tliir ement sf of t>a nail intended fos tl►e teitnr y f ) P .a" spaces y to the extent of then available information are left blank.'(2)You are entitled to a copy of this Agreementat the tilsne you sign it.'(3)You may at any tiae'pay off`the fall mpaid balance due Dater this Agreement and to so doing you may be entitled:to`; receive s partlal rebate.of due finance and iasnriace charges.(4}The seller)yas ati right to anlawfaQy eater your premises: or.coasmiit any breaes of the peace,to reposseso goods purchased under thitAgreement.(5)You may:cancel thisAgreement' if ithas not been signed at the'snain office or a branch office of the seller,provided you notify the selleir�at his or her main _ office or branch o&ce shown m the.Agri ement by registered or certified malt;which shall be posted not,Iaier tbiin midoi<gfit. of the t kW calendar day after the day on whieli the buyer signs the Agreement,excluding Sunday and any holiday on which regotas mail del yerles are notmade Seethe accompanying notice of eaneellatiOnform`for su e:planasRion of baycr'a rights. . g , Buyers)received,the consumer education matetials.provide8 by the Rhode Island Contractors Registration Board. (Btryer'a Inihais) Renewal " South- New Fa-tglasid Buyers) Buyei(s)' B azure of Product;Manager 1g»ature Stgriatuie �Ss✓ I _T PEirti Name of l'induit Manager Print Name' ' ,'Pitnt'Namc YOU,,THE BUYSR(S), MAY CANCEL.TM9.TRANSACTION AT,ANY TUM,PRIOR TO:iMtDNIGFIT OF TIfE THIRD-: BU MESS DAYAFPL'RTHEDATBOFTHIS.TRANSACTION:98ETHEATTACNED NOTICE OF CAN CBLLATION:FOMS`R ' FOR AN EXPLANATION OF TMS l6dil[ : NOTICE OF CANCELLATION Date of Transaidin _.You may cancel Date of Transaction You:may cancel this transaction;without-any,penalty or obligaton;.within this transaction,without any'penak or obligation,within three business days from the"abaire dam:if you caitcei,arty three builne ;days from the above date:If you cancel,Any property traded in,airy payments;made bji you under the I property traded fn,am payment made..by you under°the; Contractor Sale,and airy:negotiable instrument executed; I Contract or Sate,and.am negotiable ietatrument executed by you will be returned within ten business tar .following I by,you will be roturned within ben btisii�tess da�rs following receipt-by the Seller of.your cancellation notice,and'any I Eelpt by tie Seller of your cancellation,,notice,and airy security.interest arising out of the transaction will.,he urity nterest arising out,of the'O'ansacdon will be canceled.Nyou cancel,you roust maloe,available to the Seller I celed ltyou cancel you"must man 'available to the Seller at your resideme;in su luny as good condition as when l at your residence,In substantially as good condition his when received;any goods dtlliver+ed to:you under this Contract or I received,arty goods delhiered to you udder this Cgntraet or $ale;or rota may;if you wish,cam J�lrwidt.the inatttictions of I Saie;;or you'may,it you wish;comply with the instructions of to the See wing the returtti shipment of the goods at the , the Seller regarding;dte return shipment of the goods at;the : the Seiler. and risk.if you do'- the goods available Sellerts e> artd risk If you do make the di available 11 'the Seller does'not pick them up within to ►e Se er;, n :the Seller doe�not p cit them up wittNm twenty dagra of ate date of cancellation;yo"u may-retain oe I' twenty days of:ttc•date orcdeceilaton,you may retain.or dispose_of the goods without any further obligation.It you i dispose of the goods withoutany furrier obligation If you fill to make tie goods.wai lable to the Seller,or if ran agree,[j fail to make die good;available to the Seller,or if you agree: tlte'goods to the Seller and fail to do sg then you l to return thei-Igaods to the Seller and fail to do sq;then you; liable for-performance of all obligations under the .t remain Itable.;fot performance of all obligations under the' To caned this transaction;mail or deliver a$igned Contra&%cahcsl this transaction,mail or deliver i signed and dated �Plr'ti!lhls..Cant elladon notice or any otter and dated.copy of this cancellation,notice or any,other, - written reotiee,ortend stelegram to Renewal byAndenen of, f written notee,or send a, ggram to Renewal byAi dersen;of Southern New Ettgland at 26Albion.RoAR,1�,02865,, Southern New and at 26Albion Road,Lincoln,R102865, NOT LATER THAN MIDNIGHT;OF=��� � j NOT LATERTMAN MIDNIGHT OF ate ) <HF.REBY CANCELTHISTRANSACTION. HEREBY CANCELTHISTRANSACTION.`, tiurr'a - hate tgma oft _ .. lurr"+9fOgtu++ nratN,m. T Daq r + Bu) low t2bA.Copr et SAY Yel Buyer'Copy t'fnlr: Southern New England Windows d.b.a Renewal by Andersen of SNE t.: z Massachusetts -Department of Public:Safety Board of Building Regulations and Staeidards License:CS-09SM7 BRIAN D DENNISON 7 LAMBS POND CIR �s Charlton MA 01507 '%•�..� t�ti' 't t''`� Expiration Commissioner0910a/2016 �u•¢ �J�—fZ(i ((%f1J77/J9?,fi�/2�(1t?f.G�i�/l Q l-!/I�GCLG'JGrriG%3�L(/1��/.v Office of Consumer Affairs d Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Registration: 173245 Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL Expiration: 9/1 912 01 6 _ - DENNISON BRIAN .,._._.._.... _...... 26 ALBION RD _ ----- LINCOLN,RI 02865 Update Address and return card.•tank reason for change scat c zouWu Ji Address c Renewal Employment )D I.ost Card _ \ ",at Coasemer Affairs&Rusinecc ite ulation e License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: rr office orConsumer Affairs and Business Regulation "kiu.Registration: 173245 Type. Expiration: 9/1912016 Su lemem•ard 10 Park plaza-Suite 5170 _ PP Boston,1fA 02116 SOUTHERN NEW ENGLAND WINDOWS LLC. - RENEWAL BY ANDERSON' 26ALBI ON BRIAN 26 ALBION RD LINCOLN.RI02665 Uadrrsccrctan• Vot valid e•ithout sinnature 600 WdZi :Mgf0A&Fget Bosse HA 02LIJ y ?�� www.m s goY/ p JRsLLr2nce AffiTito An-O t ho .don - Plege—Frhit Le ly Name (3nsmess/0rm=adon&dividm-d). 5& 1 • r C /Sate/zi /r � Phonek ' _. ®� - � i y�a .an employer`;Check ffie 2;--pro--rate hta= e of lartajd�: ! -1. ara a employer with sy. I am a general contacore and 1 6. New consttuctior employees(hIi and/or.part time).` have hired the sub-contractors ?fisted on the attached sheet 7. Remodeling 2.� I am a sole proprietor o rpartner� � ship and have no employees These sub-contactor have 8. Demolition 1 working for mein auy capacity. ernplgyees and have worker' 9. Building addition t - a [No worlters'comp.insr nce comp.iosnranee.� _ern�red.j - 5. Lr `%e are a corporationand 10.E]Electrical repairs or additions 3. I am a homeowner doing all work ofcers have exercised their 1-1.[]Plumbing repairs or additions myself[No workers'comp. right of exemption per M(3iI. incn=e re A� t c. 152, 7 4" IZ.�Roof repairs tltlIr,. � §_�.�,aIIL we�'!a?6 n0 employees.INo worker' 13.XOther IAJIN t.D F / � - coma.insurance required.) t/e-P,i?Z *Any applieaat that check ba;ml must also MI out the section below showing their warps'compensation palisq an 'r 3ntactoners who submit this a£Zdavit inaicatimg are doing all wank and thw kin_outside camaactam must sabmit a nEw afdavitindicaag�h. ".ontractor that disci=this bm must attached am additional shed shoving the name d dw sab-caaftactus and state--rather arnot tuose entities have zmployees. jsthe sub-caa�estnis have amloyees,the}rmUStz¢oNideiheir wmr' -'comD.poliaymimber. M-IKz7zqjW JIf-,j is-F*T)3.,LLf; wonte—s em--pewaiwaa.Zy mirance o.,my--fE_p1oye°* BP.lOFCj as&E1$(lldC�7 dlP8Clj0b 5*9 .- ia fo ,L'e 2suraY!ce CompagName: �,a 0'' '� �" vf, n, Policy#or SeLf ins.Lic.- ' ``A i � :�• Expiration Date: lob Site Address: City/Siate% p: / S !� Attach a copy of the wins leers'compensation pow deciaradon page(sIaowkg the policy number and espir-affan slate), r adore to secure.coverage as required under Section 25A ofMC-L c. 152 can lead to the imposition of aiminal 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 ctatm nent may be f warded to the Office of Investigations of the DLAfor';r-ur ce coverage;vetification. Yo hereby�' e . Dimas a pmakkr q¢Dadwy trw t� tfo ors D-ovidds1 move a�ire r077ea nature- 5— �1 C` > 0011cia use any Do aoi ha tkis ova,to be .dty OF io'',M ofa€gam C!, Town:or own: Pez aracense s gig Authority cYJ'.T(circle one). �+ i.31 0ard'Ira Health 2. n fDY�rm—tMezi t I CR-y _�ri i n P $Me k 4.E t °^i . ..� 1ec�ca.I�speti�ur 5.r fumhi�+:Wecta-" CERTIFICATE OF LIABILITY INSURANCE FDA�""'�""''''' oe/12/2014 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 INSURERS). AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the Ce"Ifiaate holder is an ADDITIONAL INSURED,the pol(Cy(ie9)most W endorsed..B SUBROGATION IS WAIVED,sublW t0 the twins and wnditions of the poles Certain Policies may require an Indorsement. A Statement On this eertificete does not confer rights to the eertifieato holder In 118u of such endorsement(s). PRODUCER Willie of Nov J elveY, Inc. C/o 26 Centasy Blvd PHONE FAX P.O. Box 305231 E IUL -877- 4 - 378 Ne -888-467-2378 Nasbville, IN 3723CS191 USA AD •certificatesewlilis.com - AFFORDING COVERAGE NAIC a BiSURERA:aelective Ineoraace of 86 39926 INSUREDSoutharn Nev England Nindowe LLC INSUR6t8:She Beacon MUtual Iasaraaca 24017 D/B/A Renewal by Anderaen 26 Albion Road wl ERC, nt ]bsureaas 19801 Lincoln, RX 02865 INSURERD: z_ INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER,'w52916o REVISION NUMBER: INDICATED. NOT THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERINOTWITHSTANDING 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. eLTR dSR TYPE OF INSURANCE POLI POLFCY EFF CY EXP X COMMERCIAL GENERALU POLICY NUMBER AIWJTY Lam EACH OCCURRENCES 21000,000 CLAIMSAWDE �OCCUR A E oamance S, 200,000 MEEP one S 20,000 GENL AGGREGATE Mr APPLIES 8 2029459 08/10/2014 08/10/2015 PRONALBADVINJURY S DAMA X � GENERAL $ LOCPOLICY PRDUC -COMPIOPAGG *3,000,000�A 6 000,000 3000,000 H AUTOMOBILE LIABILITY SOT3R: ��� uANIT S 1,000,000 I' X ANY AUTO _ a nt A ALLOWNED SCHEDULED BODILY{A11URY(Parpetson) $ AUTOS AU70S 6 20294S9 08/20/2014 08/10/20251 BODILYINJURY(Paracdito S X HIRED AUTOS X AUTOS PROPEiZTYDAMAGE $ p X UMBRELLA LIAR X OCCUR S EACH OCCURRENCE S 5,000,000 � � CLAIMS.MADE 8 2029439 08/10/2014 09/10/2023 AGGREGATE S 5,000,000 DED RETHNTION AND FJtPLOYBtS LUABILRY X PER OT►I` s STATUTE B ANY PROPWETORIPARTNCUTIVE YIN S 1,000,000 In�EXCLUDED? a N 1A EL EACH ACCIDENT 0000068028 108/2.1/2024108/21/2015 yyeess, E.L:7SE.EAEMPLO S 2,000,040 OESCRIP NOFPOPERATIONSbdow EL DISEASE-POLICYL►MIT S 1,000,000 C ostt Cory/11LLi its - W027938352394 08/22/2014 08/21/2025 .L Na. Accident - $1,000,000 IStatntory Limits - 1►C .L. Disease Polley Tat - $1,000,000 .L Din"ne 8&. amployee - $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD IDI.Addidona)Ramarke Sdm dul%m y be emm*W ff mare qwm N relrybeo CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Sonebesa 98 LLC AUTHORMED WRESENTATIVE Albion Road fd /1 cola, 1US 02865-0000 �J 01588-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2®14ffi1) The ACORD name and logo are registered Marks of ACORD SR M-662962S BATCR,Bateh 0: 79627 (:�bCZ-7 X PR Town of Barnstable. *Permit# M' Expires 6 months front issue date Regulatory Services Fee v �9. `�' Thomas F..Geiler,Director To YYIY5 pTFn Building Division Tom.Perry,CBO, Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.barristablema.us Office: 508-862-4038 Fax:.508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY (( ! Not Valid without Red X-Press Imprint Map/parcel Number,`` L Property Address a /C)L.! 9,j* jn, 09-L7 Residential Value of Work Minimum fee of$35.00 for.work under$6000.00 Owner's Name&Address ► } ��Z c�g(,� �- Contractor's Name LGL,/e 5 ; ..D ��> t�'L°-� 1 Telephone Number 77`/-75 6CtV Home Improvement Contractor License#(if applicable) ',�� Construction Supervisor's License#(if applicable) ®Workman's Compensation Insurance Check one: ❑ I am a sole proprietor: I am the Homeowner I have Worker's Ai"-,"In Compensation Insurance Insurance Company Name ' - Workman's.Comp.Policy# Copy of Insurance Compliance Certificate must.accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles).All construction debris will be taken J� �J Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) n Re-side . #of doors. El Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 'Where required: Issuance of this pennitdoes not exempt compliance with.othertown department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home-6 vement Contractors License&Construction Supervisors License is required. NATURE:SIG C:\.Users\decollik\AppData\Local\Microsotl\Windows\Temporaq Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Devised 072110 The Commonwealth ofMassachtrsetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers l A licant Inifor>lnaiiion Please Print I,etibIy Name(Business/organization/individual): Address: L) City/State/Zip: U,, _ Phone#:� - S "mil"- 7 Are you an employer?Check the appropriate box: — 1•�] I am a employer with 4. ❑ I am a general contractor and I Type of project{required): employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction 2 1 am a sole proprietor or partner- listed on the attached sheet.l 7• ❑Remodeling Ship and have no employees These sub-contractors have 8. ❑Demolition 4, ,.working for me in any capacity. workers'comp.insurance. f; -:(No workers'comp,insurance 5. ❑ We are a corporation and its 4 Building addition 3•�Jrequired.] , officers have exercised their 10.0 Electrical repairs or additions a am a homeowner doing all work right of exemption -myself P per MGL 11.❑Plumbing repairs or additions # y [No workers'comp, c. 152;§1(4),'and we have no I :insurance required.]t employees. 12•[�Roof repairs {{ t [No workers' comp.insurance required.] 13.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Ho meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp,policy information. 1ani alr°employer that is providing workers'compensatioh insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or SeIf-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: y ; t�.6�. Attach a copy of the workers'compe setion pLicyclaration 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. f do fiePeby certif under the pains andpenaldes of perjury that the information providedZabve is true and correct. Si Date: Phone ,. S FF, only. Do not write in this area,to be completed by city or town official City,,orn: . Permit/License# hority(circle one): health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector g pson:__ ___-- Mane#! ACC)R ® CERTIFICATE DATE(MMIDD/YYYY) ®F LIABILITY INSURANCE o3/1412012 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 Marsh USA Inc. NAME: 100 North Tryon Street,Suite 3200 PHONE FAX Charlotte,NC 28202 c t* A/C No: EMAIL Attn:For questions.contact:certrequest@lowes.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC# 47095-CASUA-ONLY-12-13 wsuRER A:Self Insured INSUREDLowds National Union Fire Ins Co Pittsburgh PA and Subsidiaries -:lne.' INSURER B: 9 19445 and Subsidiaries; `?. INSURER C:New Hampshire Insurance Company 23841 Box 1000 Mooresville, = Illinois National Ins Cc 23817 Mooresville,NC 28115`� INSURER D INSURER E:Illinois Union Insurance Co 27960 INSURER F: Steadfast Insurance Company Y6387 COVERAGES CERTIFICATE NUMBER: ATL-002938178-13 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER M°roDY EFF MMIDD� LIMITS GENERAL LIABILITY A X EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY Self-Insured 04/01/2012 0410112013 DAMAGE TO RENTED PREMISES Ea occurrence) $ - CLAIMS-MADE -OCCUR - MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO- LOC - AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT B X e accident 5,000,000 ANY AUTO CA4695536(AOS) 04/01/2012 04/0112013 BODILY INJURY(Per person) $ C ALLOWNED F7 SCHEDULED CA4695537 MA AUTOS AUTOS ( ) 04/01/2012 04/01/2013 BODILY INJURY(Per accident) $ B HIRED AUTOS`.,Li AUTOS CA4695538(VA) 04/01/2012 04/01/2013 P eO�PcEGRT DAMAGE $ de X UMBRELLA LIAR .' X OCCUR EACH OCCURRENCE $ 5,000,000 F EXCESS LIAB a CLAIMS-MADE IPR3792301-00 04/01/2011 04/01/2014 AGGREGATE $ 5,000,000 DED RETENTION$ WORKERS COMPENSATION X WC Y S LIMITS OTH- $ C AND EMPLOYERS'LjABILITY YIN r ER ANY PROPRIETOR/PARTNER/EXECUTIVE WC019736863(AOS) 04/01/2012 04/01/2013 2,000,000 OFFICER/MEMBER EXCLUDED? ❑N N/A E.L.EACH ACCIDENT $ C (Mandatory in NH) WC019736865(MN) 04/0112012 04/01/2013 be under;, E.L.DISEASE-EA EMPLOYE $ 2,000,000 DESCRIPD If Yes, TIOON OF OPERATIONS below WC019736864(WI) 04/01/2012 04/01/2013 E.L.DISEASE-POLICY LIMIT $ 2,000,000 . B Excess WC XWC1192490(AOS) 04/01/2012 04/01/2013 WC:StatlEL•$3mil;xs$2mil SIR B Excess WC' XWC1192491(FL) 04/01/2012 04/01/2013 WC:Stat/EL:$3mil;xs$2mil SIR DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Evidence of coverage. Lowe's self insures for physical damage coverage to rented and leased vehicles. CERTIFICATE HOLDER CANCELLATION Lowe's Companies;Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE x and subsidiaries THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Box 1000 Mooresville,NC 28115 ACCORDANCE WITH THE POLICY PROVISIONS. Mooresville, . AUTHORIZED REPRESENTATIVE of Marsh USA Inc: Diana Bentley @ 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/0 ;;. The ACORD name and logo are registered marks of ACORD 71 e=Commonwealth of��t�ssueTttdsetts DePwhnenf of indush ial Aecidents . Office of Imestigafivin s � ; 600 W(Lshtngtoae.;Street atil` ostonr V-4 02111 ��`.r•- Rti�e►�es:rrrass.got,�tlirs '%Vor uer-s' Carnpensatian Ittsnt-anve Affidavit. Builders//out-3cto3 ler.trisats/-plumbers Ap Iran*Information Please Print Le 'h Name si �'�cg ne�atiai° �diYidcasl)- �1�)F�S i�m� �j�y✓J.0�7/�/rIG�% Addxrss- A.rr you an empioz-er"Check the appropriate boxy -- 1.Eli$rn a e�lo;�r witharrr a g aj czutrsctor arad I T Qf project( � }: emsla.y.'eft(full and part-titre)_* have bared the,ub-contractacs b- ❑Ne-w S it xtion .❑ i am a sal€ptofieft or pterhm- listed on the attached sheet 7. ❑Remodeling Sbip and have no euvloyees These sub-contractors have: u for me in e l S. ❑ Demolition �� any capacity- �p��and l��sva<rlc�rs' INca os orl:'�ea:s'corers.Msufame csrrtap.inst Mme., 9. ]Dail&Ug ad&tiM ire-IS - ❑ We.we a ctsgo ation.and its WE]Electrical repairs or admits - ❑ I am a honx�owuer&jug all,4 affiiccrs haw exem;,,-d their l t.El Plumbing repairs or additiam •r' t�,�1f [No+ararbIs'caesrfp._ fag€at of es�apti�per NfGL insurance required.]7 c. 1.52.§1(4),snd we.hneno i2❑Roof repairs ew,0€ ees.[No Aork-ft-t 7 13.❑oam Ct%irp_insurance requived_] °Any amp. wt that checks box#I mast alp fill aaf s2ttiou below Shaw ng tb r Woriers'compamtson p kcy iu€atssastsom $trnteve�esc wbr s abmet&is affid-,u-dir Mg theg am doing ail orw%.aa lea bare atctfi LautraEtar�masu.sorrmi¢a mea a�zdasit catisg ate. Ki m ica s that:Fu 9i tlsss naest attae&esf an additionail t sbow�ing.thv nwrle of*m u:b-ayatrs0or-s and arm wbedwr as zit eam egtstie:..'Exo� ��`�- If ttm sub-c-amctm have MPIU�Ws,titea xuuss ruoride t3teie m orkgas'c $ xmHP Pla c. number. ana off 0►P10-s'er that isProa'd'%"tgrk-er:s'rmfsz�tnxoiim�a � itasuse�r�for�l et�das=gam BeTasa:e`s ah0 iaY ealgd�ti �,inforsifrtdiort, Polic #Sir,se -tip_Lic.it: A q Exp1E8FdI4s1.DxW r^ ,lob Site Address: tx_U0 IA Ci States Attach.a copy of the.wor ra`tom nutiorr oiiry declaration page(.howing the policy number nd rap raticen dame). Failure tar ware coverage as required ura&-t-Sectim 2.5A.of NIGL c. 152 can lead to the Mpontion of Criminal penalfies of a fie np to S L500-00 and'ar one-year irnpnscaxmk as well ag civil penalties in the foreu of a STOP WORK€RDER and a fine of up to$250.00 a day agaimsf the k iolr tu- Be ati ised that a.copy of thL--st3lerltt MaY be Emwa€€ted to the Office of lnveShgatvom of the DLA ftw rn%Lumcie ccz.Mge�,Mftcaticu. �€do lterelip t ertr;g "M er the gain es m.� r; Am ties"IfbeWataerer P'Mdad Abotae is#sire acid corn wt Phone*: Official rase anly. Do attest►fifs in this urea,to be res fated.�cit)?or tver�o�c� — City ar TM-ft. -- Per miVLicense A fssraexag-Arttltortty(car a arrr); --- I.Beard of Health. I ding Department I C'itg,�'own Clerk. 4.Electrical lw tor� 5.Plumbing I to 6.Comer Contact Person. Pita I- 6 la. f `l T i• d% _ 'x P .� t Y- - Y'� \ ..,',. �t P., 'f tc au .t CONTRACT# ,D 1X Ma�SS 4CHUSETTS EXT—ER10R SOLUTIONS]INSTALLED SALES C®N TReX4CT {' x ' ; INSTALLED SALES SPECIALIST - NUMBER J} CUSTOMER �(, ir,< i fi r w f c .l r f � d Fy r C�a� t f 3' I STORE NO. f STR.EUET ADDRESS j -+,,� r STREET ADDRES_Sg )_ ftMr cf jl G ! �I CITY { STATE' l ZIP .may !.; CITY J/- - STAlT�E/�,r.� ZIP 'J -ts i rr)I a r t5 f'l Ott 1T, r xdV/4 sl17{d 1! A,f tr.5!1 / A TELEPHONE YY?I! ! �` d:.✓ r , i ,+v-• TELEP O,QI'c f -.).rsy� P.. { D4T LG NE S HOME CENTER S,JN S MA HIC NO 148638 v't• cis . aANK f ! �F IN t5 Ov483�8 -. 4 t I CAR711 D .This sod a quo e For the marchancl a a^d serv!.,es punted b o h„games ana3reem n pdh,p men[.Upc payment the;enU a agreemer mdudIng the speufiplly cemale ed pages of this ooam n tfia term and'Coguren rn luced ivi h do um r and a_I o 5eracoe•rda antl a,achmsrts n re o shall,be referred-.to'he cm a this.'CenU `PLEAS RFAD'ALLT PMSANn vONO T10N ON rHERF RSE SID�C THIS PAGE AN FOLLObJ NG PAG°§.8 FORE IGNING,y 8 IM zF i�x. r Sya. t 1 i INSTALLATION STREET ADDRESS K"� C�� �r'! / STATE ZIP �goo B ^���'%o2C9 7 � f ,� Y� {i1,3 1� C?/c7,� ? 5 5:.�f l='tl:� f�J ✓t r#..!i`_y'., J' G'A(.l �l C'! r): ��t�ls i t�,�;> � i. �� . /? _ y Fl frt all 1 l�4,�� � _ r,,1 t ce L, ua.car r.a f<< ,?!a �/y ! • �' rY'1/ _-i; C.i�7 C'2 I,!' V;'�-.t`{f/y'oz,.f..� . TV /(,J)`!f-_,_f.dO/� r�l i?a 1 -a'jf �jr>�F �,.�' /;t G/y 4- 7r i�f�./Yji — Contract Total Are permits required ror this installation?:[��Yes ,[ ;No *applicable tax included 1 NOTICE TO CUSTOMER: Federjal law requires Lowe's to provide you ptith the pamplet Renovate Right.By signing this Contract,Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. _ PHOTO RELEASE;Customer grants to Lowe's and Lowe's employees the,right to lake photographs of all work performed at the Premises related to this Contract,and irrevocably grants to Love's all right,title and Intarest in and to the photographs for tine in all markets and media,worldwide,in perpetuity. Customer authorizes Lcvae's to copyright, usp nd publish the photographs In print and/or electronically, and agrees that Lowe's may use such photographs for any lawful purpose Inclain t not limited to,marl eling, adve :sing, publicity, illustration, training and Web content By,initialing here,Customer agrees to the foregoing. [Customer to initial to.the left).', Work is tc�cpmme¢ce upon.rgzsonable availability of Contractor and/or any special or a or a stonier made Goods)which is anticipated to be. [f!lle in date].Estimated completion date is [fill in date]. Said estimated substantial completion date is not of the essenye. A statement of any contingencies that would materially change said estimated substantial completion date is as follows: ter,—�—+/ y"] _ / (if applicable,inserter statment of such contingencies). IF THE CONTRACT TOTAL IS$1,000.00 OR LESS Customer must pay in full, (COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: ustomer to Pay in Full; OR ]Customer to use the following payment schedule: (1)Deposit $ to be pad upon sigfng contract.Deposit should be 1/3 the total contract price;and (2)Payment of$ to be paid anytime after this Contract is signed and before commencement of installation,IfWe authorize Lowe's. to do one of the following(check appropriate box,below): [ ]Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or [ )Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed;and 1(3)Final payment of$10 0 00 to be-paid upon completion of the installation and both parties'satisfaction: —. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M,G.L.c.142A LOWE'S AND OWNER HEREBY'MUTUALLY'AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING+THIS CONTRACT;THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUT> IVE OFFICE OF CONSUMERAFFfAIRS ND BUISNESS-REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVI&ED IN D!�:c 2A y 1 By: Date: 6 /E Lowe' o e tye tersrfnc / By: i t/Ca°Lx6 / ' a: . Date: y "?;Y/ �( . Owner Signature - THE SIGNATURES OF THE PARTIES ABOVc`APFLY ON'Y TO THE AGREEti1ENT Or THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BYtOWE STPURSUANTTO M C,Lltc.142A.:THEQWNER MAY BE-PERMITTED,TO INITIATE ALTERNATIVE DISPUTE RESOLUTION'EVEN WHERE THE SECTION.ABOVE-1S NO T,SEPERATEL`(SIGNED'BYTHE PARTIES.' DO NOT SIGN THIS CON`W&IF THERE'ARE ANY BLANK SPACES AND•UNTIL YOU HAVE READ THE'TERMS.AND 'CONDITIONS CONTAINED`ON T!1E REVERSE SiDE'OF'THIS PAGE'AND THE FOLLOWINGRAGES-OFTHIS`CONTRACT. BY SIGNING BELOW,YOL6'ARE;�GI(NOWLEIJAG THAT YOU HAVE READ,UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET'FORTH Ofy'THE REVERSE SIDE OF THIS PAGEAI�ID,THE FOLLOWING'PAGES OF THIS CONTRACT.YOU ARE ENTITLED TO A COPY OF THIS CONTRACT�T TT TIME OF SI NA f�% � WITNESS OUR HAND(S)AND SEAL(S)BELOW THIS DAY OF " Lowe's Specialist oeAbove _ Owner Co-owner or Witness Custom acknowledges receipt-of a true copy of this contract which was completely filled in prior to Customer's execution hereof.You,'the buyer,may cancel this transaction at any time prior to midnight.of the third business day after the date of this transaction.See the attached notice of cancellation form for an explanation of this right. Q 2004 by Lowe's.S Lowe's and the gable design S9(19R1(Rqv 19/irll PEI F E?rc?�;` are registeredtrademarkSof LF Corporation. I �tHE * ■ABNSTABLE, MASS. Town of Barnstable ArED�A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200.Main Street, Hyannis,MA 02601 www.town.barnstable.nia.us Office: 508=862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �i"5 , as Owner of the subject property t � hereby authorize Zewt _ r_eoJVLc to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address Job) Si nature of Owner . L-f g atc Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Uscis\decollik\AppData\Local\Microsotl\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 Lowas-2376- Ofike W-1 Cmnbmy Hwy.1tise me Wwcham,Ma 02571 1 C� A '� 4 ✓fie Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME,IMPRO.VEII_IiEWT CONTRACTOR before the expiration date. If found return to: Registratioft 1+ ggg Typey Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Expiration 10/V 8/2013 Supplement yard Boston,MA 02116 LOWE'S HOMES CENrLRS INC AMBER DRAHT , �- 136 TURNPIKE RD SUITE-100r` SOUTH BOROUGH,IUA''Q1772 I - �alid Undersecretary of without signature i .,} UtcnsuClri er Aff9 ir:$f, r r..�9 ' ,.r�.,2`� ? ..�.'�.Y�"'Y'` tjse'�°"..t°;c,'q "^.-`ter. •`�""S+'T .-f ,,,,,.:;. � r t rlllE IMPROV M srn r t 1 'A 3istratFon r,16 tl' COMTa4CTOR �3° `' ,,;r � ' '" r4aton v�altj for tndrvtdul use onl piration� faon dafeM if found return,to y NNET! 'KE ; 2012 � OBA=k � Affairs and$dsmesc Regul�tron IvDgLL '' R2 �rtc$A 4� is1VNET F1All 6..Fr , ' H L AIRf fitic �N, Mq s� z� 02719 . 4 r �> .; �I ►s�Ahrt,i:�tt� blcp t►tratrat tzfYPtthltc Ssifetti Y ;) i _ _� �btr+:t-cl Sri i3.u=#�itvt1#ie *tal:statrn .trail tl'� s t 5 �trtutlxr\ F is i i'✓S it I S juPcrv,scar L3Geta5r x 75153 ~ KEhNETH Di`KEtVDALL �15 WEEDEN A'' r " . 'AlRHAVEN MA:02719: Ez:pitetaon .1/12/2p1r3�' Y •. « of�r Town of]Barnstable *Permit# ti Expires 6 monthsfron1 issue date Regulatory Services Fee * BARNSUBM + - y MASS. E1639.& Thomas F. Geiler,Director -PRESS PERMIT Building Division , Tom Perry,CBO,,Building Commissioner APR 2 9 2010 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us T'OWN-OF.BARNSTABLE Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION. - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number y t4 Property Address t� T (Residential Value of Work �a, Minimum fee of$25.00 for work under$6000..00 Owner's Name&Address Z Contractor's Name , / /_f)! . _:- �G� Telephone.Number_- Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable).. <2ao a ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [J—I have Worker's Compensation Insurance. Insurance Company Name Worlcrnan's Comp.Policy# 2,0 3 Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will betaken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement•Windows/doors/sliders. U-Value"r (maximum.44)#of windows 'Where required: Issuance of this permit does not,exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. 'Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. ., SIGNATURE: aauolssimwo0 QSLZO`dW'NO:'.1 GIt11 pV 08LZ0`dW`NOlNnvi aolr�1sP�!m S 1S H13M 1S 2113M'M LZ 'M LZ p� SI3-1 NHOf S132! NNUf ONI 1N3W3Ada�Wl 3WOH ON0,k3g V 3n08d 00 uoRa� &�Al Z/91� dt3 uo11e1odjoO aluNid x LLOZ/tiL/9 :uoue�id £•L£LZ P1 X3 s1 a a Z80Z8 a3!l 09855E :uorLeA asuaa oslntadng uogowlsuoo dO.L3yalN001N3W3n1 �dW' 1,yC�H t. 08 us SOO E nSa 2u� „n' 'o ► g s jr UB �O oy I INQ8L 0 kIW 'NO1Nr)V-L • 18 2t13M 1S3M 6Z 513a l NNOf 00 :ot PahWsaa Zs= SO 'asvaml asuaol l JoslmadnS u0fl0ng9uo0 Ipjrpuk is pur s;u4HTkinLa:N ggu�IN!n8 jo FaRc►g i7a�k Jsignd jo jV;jtu3jr(1 LO /00 'd CLSZ pu04e8�anogd 69ZLLS6809 89:60 OLOZ/90/bo Lieense or registration valid for individul use only HOW-*PROVEMENT CONTRACTOR A b6fore.the expiration date, if found retprn to: RegisffatiCA: 155850 Board difCuilding Regui2ooes and Standards 14I2017 Tom.. 28rOpt AsG'iurton Place Rm 1301 e,CorpomooR $dston;Ma,a21$8 ABOVE&BEYOND W66*MOVEMENT INC qHN SrE}S uw V�R ST a....� _ �t{WON,MA 0271� Admimstr Not valid without•signature Zoe/lQ0 'd h191L' 1iun,4aq?e2,4nryN f-;�a'1?5R^nc ��. i i ann� � - ,cn f 4. officegQo License or registration valid for individul•use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to; Office of Consumer Affairs and Business Regulation' Registration* 68g 10 Park Plaza Suite 5170 Expiration 8/2011.. Boston,MA 02116 ' t Card LOWE'S HOM JOHN CABRA - 136 TURN PIKE SOUTH BOROU Undersecretary Not valid without signature ��]]' po�nmz � Dd ' License or registration valid for individul use only H /fie TO Office of Consumer Affairs&Business Regulation before the expiration date. If found return Regulation OMEJMPROVFMENT CONTRACTOR Office of Consumer Affairs and Business Reg 10 Park Plaza-Suite 5170 Registrational 4 88 Boston,MA 02116 ExpiraTfBQ1 t ai fit Card LOWE'S HOME _ JAYMI RODRIGi E � - 136 TURNPIKE R`f s` �Qo Not-valid without signature SOUTH BOROUGH /2 Undersecretary Ca *0 Department o - `rr s a ayeol ID.. qS_ .,��Street Boston �VorkersP Csm ens lion A limit. formrs R Name 031umnessloti AM �� r clityis z A Are yob NY;: ( �/V �Ployer�deck# �appp 1.01�:a:emslayer„ jh b7.7 0�• �$ iioiQ� c ►r ajsd °f proj t(r��`ed): empyecs Mnand/or part.tmne #, , 2.[�'I�. . PP�e1 car Partner die0� r bieyq caastia0on ship and have no employs ached sheet 3 wag for me m aril Thiese sub.nano ' ..;. e Y wOTft- ° '�mP ce Se °Q insurance 9 �1 aco +o a addition i 0 ' 3.0 I am a hdm�wuer db ng alt work` eat 'ref watts Or [No warkkets' insaramce r 152; f � —W oir a have G14�w4 QOf'repaIIS it *Amy�> r. i ►x � 'ri 13er Romeo fill ou S waers'wbo oA b�ia .{ Y3 � W{II[�}Ip 1Q iLL4;i(�t rCoq >�erteiec$�ustrouc �> Yaklarke�►d sa Omrp���' lam an uifo �t!Dlk�l�',�'� AfJo[j:, B�iJ, �efpl, � rOA Y In$umc S �� fs thep p /nai,�Ob srt�, Coan Name Policy#or S 1#-ims DLit#° (jam Job.Site Address: Espy Attach a Copy orffie worurs9 ce �i I. M r Fair to see 4�Y Pie( ow}w Abe 6� fine up to$1,50000 a as r o Simon 2A f c 1 � P° avert one�, �d/or ones y 2 P. Of UP ID$250.00 a day "On�as welt�s�P� nt P�aTtiea of a .ealaic�r � te071 of a S.. o€ e ILIA four e * ;�d fat a.:c opyyi s�tateme , fo pa a . -77 ice cov Y cation: mod Ldo Imby u sdertheP s mr � fP�✓ury that the in o S. F Penax ononprovtd�d ea,.t°be�o+Rd,�y et�;or t olur[. City or Town: �'ermit�.icense# a Issuing Antho,Zty� .�e one).; i.hoard of$ealt6 Z:Saiiditrg D mnbbtg C Other s!'t at`3.C 'oR' t t'k; 4 EI. �O hmspector Pl contact Petrsoin: Aei'amnwe #li b 11s�uclrusei#s l�epatmem ofn<dr�sd Aecuues'" g p o Invesh _ttnQns �i110:Washingtan Street Boston,MA 02111 wrvw massgov7dia • Workers' Compensation Iilsura>aee At 'davlif $�ui#hers/Ciractosle�ctrieain /Plturibers A licant fnforrnata© please mint Le 'bl Name ftdnesworp ization/Indivic�ualj; Address: - A City/Staie/Zip. t 4 or).. - Phone# Aria -- ' �Are you an:employer? 'heck the appropr3ate,�oa k I. 7po of ro ect r tur ❑ I am a employer wrth 4 [ I am a gebet cantracnr and l employees(fun and/orpart-tlme)." hav °ln�d tie - Q NeRr copstruction 2. .a sole pTprietor or 7. partner hsted on the::2titacheo sheet t Remgdelmg sh>p and have no employees These sab-contractors have' 8 Qeoon working for in any capacity workers' comp msutance [No a!orkeis'cornP `nsl:rance S . We 4ae a co` I3wldmg addition IpRRrdt1al and its -1 oflfcers hie eerceEl ihetr 10 1;Ie rePa�rs:or additions 3.❑ I am d homeowner doing all work GL l` t ofexeon M l [ Platnb myse#£ [No workers''co m,MXT3�m or additions : mP• c I52, 1f ) and we hake ao 2 s msnramce required.]fi 1 IZaof repairs �plaYees [ o workers' tx ;msutnaec requ:red] 13 Other, `An � M &aexmaiso.Y outtbe se�on,:beiow e>ioarmg tHomeowners wfio sabmrt•9ns affde�rtm offp�►hc�+mf xC E�et thceQ�rigY dQAag s11 work amdn hauts�d� check tins�ox mosGed�n adcLticn.l sheet shawzpg the neat�e of su anew sffidnvtf,md�tcg such ttpontracxc�rs enwgthea- ::combb-Policyorimhon am an employer that isPr�' �workers'eompensatio�rnsurance�or�y�Ps. � is the- u:fornon. Pow jio b site Insurance Co mpany Name: Policy#or SOlf ins.Lic.# .:irxpl3atxonl l .-7� cY0 Jqb Site Address: /Ste,.: 1 LiG1i►n�s�r . . Attach a copy of thevorkers'wimp Bat on poLey rleclaratio i; e" P (sl�arv�wg the po aamber Failure in secure oov . and vin date). erage as: em`®d unc}er Searon 25A:of MGM c 15�ran lead } fine up to$I,S00.00 and/or one- aaposrtion ofcr�maipenalfl ofa y P ! �t;,as well as cxvpeoes m eTbP W R and a in of up to$250.90 a r#n of a O12K ORDER�Y agamSt:#heo1�or Bo adv>$ed that a copy.of th:s:statement maybe foro►�atded.m the.tee of Investigations of the DIA for insurance . �verlticPtion. do%by ecrt:jy r the paurs and.pe, - :, es ofPerlur�' the m ermadon povrded f P above s*w and.come� S' 'F Date / Phone#: O,�uial use only. Do not w w-e in.ilrss area,to b¢�mpleted by,er[y or;town o, YctaL. Cky or Town: Perrrut/Lice nse# Author ity rHy(circle one):... 1.Board ofaealt> 2:Building DePsrtatiat 3.CtI'own Clerk 4 ;Electriical Inspector;,S Plumbing ing Inspector Contact Person: Pone V. /44 Ah w one— c� Su b- CoMl cool- Pcy L-OLve'S cif' CJo&ham cve- al)o,,,wd n,t J' j6�� Y�,S 1 0:14 5089937877 SERVICEMASTER FHVN PAGE 02/02 tRAJUMAIPW KAM Town of Barnstable Aegulatolry Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Strut, Hyannis,NIA 02641 www.town.ba rnstable.ma.tts Office: 508-862-403$ Fax: 508-790-6230 Property Owner Must Complete and Sign This Seetion If Using A Binder T4LC—&- kl�lz� °,as Owtzcr bC Llie subject property hereby authorize L CAW. /IV6 °— J"J9>'141 to act on my behalf; in ah matters relative to work authorized by this building permit application for: 2 � (A.ddresa of Job) *51aof Owr1 r �� 2 2 C. L Iaate 4ptName e verse side. Owner is applying for permit,Please complete the.Homeowners License Exemption reverse side, p on Form on the . CB"Ucs_decollik'A P➢DatatLocil�M, ero5oftW;ndowslTcmuary]ntemc Fi st ContenvisCd 100608 t.oud ootMY 7fBdif,LJp 2FSS.dck `" STORE COPY INSTALLATION SERVICES CUSTOMER CONTRACT-MWORK- INT/EXT/PATIO DOOR VALIDATION AREA FLOWE'S OF WAREHAM, MA,STORE# 376 STORE PHONE:(7 '4)678-6000 SALESPERSON: ROBERT SHURTLEFF LOWE'S REGISTER VALIDATION 421 CRANBERRY HWY,STE. 100 AREHAM, MA 02571-0000 SALESPERSON ID: 1410318 Document Print Date :04/25/2010 DISCOUNT $59.99 This is only a Quote for the merchandise and services printed below. This becomes an agreement upon payment and CONTRACT c^95132854 PAID ? $912.91$ an endorsement by a Lowe's register*4idation. Upon such payment and endorsement, the entire agreement, including the specifically completed pages of this document, the Terms and Conditions included with this document and any other *PAID AMOUNT INCLUDES DISCOUNT addenda or attachments hereto,shall be referred to herein as this'Contract." PLEASE R IRE ENT iuni i miNG.THE "TER " A 'D O 'DITTO " BEF�RF car-rug •- 2376 0014 001Lc1528 04/25/10 11:07:59 Lowe's Registration or Contractor License Number/Lowwa Contractor Name Lowe's Home Centers, Inc.'s MA HIC NO.: 148688 Lowe's Home Centers, inc.'s FEIN: 56-0748358 Customer Name S CHARLES HOTETZ Home Phone O Customer Address 508-778-0356 286 TOBEY WAY Other Phone L City State/Province Zip/Postal Code D WEST HYANNISPORT MA Installation Address 02672 T 286 TOBEY WAY O Installation City Installation State/Province Installation Zip/Postal WEST HYANNISPORT Code MA 02672 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 131203: 131203: STK 1X4X16 PRIME D FI NGER G ER JOIN T: . 1 X4X16 PR IMED RIMED FINGER 131207: 131207: STK: 1X8X16 PRIMED FINGER JOINT: 1X8X16 PRIMED FINGER JOINT: IRVING OREST PRODUCTS (MAINE)-CITY 1 147316: INSTALTAPE50: STK : PELLA WINDOW TAPE 3"X50' : PELLA WINDOW TAPE 3"X50': PELLA ( AINE)-QTY 1 39683: PRODUCT CORPO RATION ORATI SO ON - S : SOS RB COMMODITY QTY 1 TAIL ON ALL SPECIAL MODITY FBRGLS-DORFAB TC : ENTRY/EXTERIOR L ORDER ERIOR EN TRY DOOR SINGLE UNIT F S FROM 04/14/10 THROUGH FULL LITELI, INCMINI BLIND UGH *** • 2 _. 04/26/10 0%OFF RE DOOR FABRICATION SERVICES Ic QrY 1 SSore 2376 Project No. 295132854 for CHARLE S HOTETZ Page 1 of 7 Materials Price STORE COPY$572.9 INSTALLATION DESCRIPTION Stock or SOS: SOS Select Location : Back Door Door Type : Exterior Select New Door: Single Pre-hung Side Lights or Transoms : No Hardwood(Mahogany or Oak) Door: No Hidden Damage Description : None �Install Specialized Mortise Hardware : No Number of additional holes bored for accessories : None Total Linear Feet of Custom Trim to be Installed : 0 Install Storm Door: No Customer Understands Scope of the Project: Yes Deliver Door: Yes Who Will Obtain Permit: Lowe's Permit Required : Yes Additional Miles Traveled over 20: 13 Permit Fee: No Local Disposal Fee : Yes Bring Up To Code Description : None Comments : No Comment Describe Other Work.Needed : None Labor Charges $375.01 Detall Deduction -$ 35.0 Additional Specifications: Notation: Lowe's will not make structural modifications, paint or stain or remove/reinstall security system equipment. Customer is responsible to prop- erty is governed by Historic District Regulations. p advise if Additional Specifications: The Environmental Protection Agency (EPA) has requested that Lowe's notify installation customers that a lead based paint hazard may exist in dwellings built prior to 1978. See pamphlet EPA 747-K-99-001 for details. TOTAL CHARGES OF ALL MERCHANDISE AND SERVICES where applicable labor is taxable,check local tax restrictions. SUB-TOTAL $912.91 *SALES TAX $ . 0. DELIVERY $ 0. ORDER TOTAL $ 912.91 BALANCE DUE Store 2376 Project No. 295132854 for CHARLES HOTETZ Page 2 of 7 STORE COPY Work is to commence upon reasonable availablity of Contractor which is anticipated to be [fill in date]. `Estimated completion date is [fill in date]. NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s)are to be installed under conditions agreed upon at time of purchase and at the price this contract form. This assumes sound existing substructures, superstructure and points of attachments. Extra labor or material incidentto i stal at installation ne- cessitated by defective substructures, superstructure, points of attachment, or the moving of fixtures or appliances to be billed at extra cost to customer. IF THE ACT TOTAL I $1.000.00 OR LESS Cust mer must nay f�u COMPLETE THI SECTION NLY WHEN THE CO TRACT TOTAL EXCEEDS�1 000 00 [Customer to Pay in Full; OR LJ Customer to use the following payment schedule: (1) Deposit$ to be paid upon signing contract. Deposit should be 1/3 the total contract price; and (2) Payment of$ to be paid anytime after this Contract is signed and before commencement of installation, I/We authorize Lowe's to do one of the following(check appropriate box below): (a Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or j Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed;and (3) Final payment of$100.0o to be paid upon completion of the installation and both parties'satisfaction. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED IN THIS CONTRACT AND WHICH FOLLOW THE SIGNATURE PAGE(s). BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT YOU HAVE READ UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CON- TRACT AT THE TIME OF SIGNATURE. _. NOTICE REGARDIN . ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M-ML,c 1e A LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH AR- BITRATION AS PROVIDED IN M.G.L.c.142A. By: Date: Store 2376 Project No.295132854 for CHARLES HOTETZ Page 3 of 7 L w 's Hlome en ers Inc. STORE COPY By: Date:/'�k S� �U Owner By: Date: S12ouse THE SIGNATURES OF THE PARTIE AB VE PPLY ONLY TO THE A E EN F THE P R I T TE NA IV D T RESOLUTION DB W R A T Y EDT ) INITIATE ALTERNAT VE DISPUTE RESOLUTIONEVENWHERE THE SECTIONMITT .1 _ ABOVE NOT SEPE RATE LY SIGNED BY THE PART_I O. WITNESS OUR HAND(S)AND SEAL(S) BELOW THIS-DAY OF Lowe's Home Centers, Inc. ' By: (Seal) Print Name: ��� sy� U/ �-- Z � Address / Owner (Seal) Cdy State/Province Zp/Postal Code ' 'e Print Name Spouse (Seal) Print Name Customer acknowledges receipt of a true copy which was completely filled in prior to Customer's execution hereof. You the customer may cancel this-transaction at any time prior to midnight on the third business day after the date of this transaction. See the attached Notice of Right to Cancel for an ex lane this right. . p tion of Stare 2376 Project No. 295132854 for CHARLES HOTETZ Page 4 of 7 STORE COPY TERMS AND CONDITIONS 1."LOWE'S"DEFINED.Within this Contract(as defined on page 1),the term "Lowe's"shall refer to Lowe's Home Centers,Inc.,a North Carolina corporation. 2.GENERAL DESCRIPTION. By this Contract, Customer and Lowe's agree that(1) Customer shall purchase and Lowe's shall sell the goods and/or materials(the"Goods"),-and(2) Lowe's shall procure on Customer's behalf, and Customer shall pay for, the services to install the Goods(the "Installation Services") in or on the premises identified on the face of this Contract(the"Premises") for the Order Total stated on the face of this Contract(the"Price")and according to the provisions of the Contract documents.The Contract documents shall consist of(1)the face of this Contract,titled"Installed Sales Contract," (2)these Terms and Conditions,and(3)any attached sketches, materials lists,floor plans,and/or specification sheets and other addenda or attachments hereto. The Contract documents do not include an correspondence,advertisements,estimates or other documents that are not attached. 3. INSTALLATION SERVICES.Customer authorizes Lowe's on Customer's behalf to(a)arrange for the Installation Services to be performed by an independent contractor(the"Installer")(licensed when leg- ally ally required),(b) issue a work order to the Installer to perform the Installation Services, (c)have the Installers work inspected,should Lowe's in its discretion choose to do so(it being agreed that Lowe's has no obiligation to do so),and(d)pay the Installer after completion of the work and after receipt of a certificate,signed and dated by Customer,that the work has been satisfactorily completed(the"Certificate of Completion"). Customer understands that Lowe's will rely upon the Certificate of Completion in paying the Installer for the Installation Services. CUSTOMER AGREES THAT THE INSTALLER WILL PER- FORM THE INSTALLATION SERVICES ACTING AS AN INDEPENDENT CONTRACTOR FOR CUSTOMER AND NOT UNDER THE SUPERVISION OR CONTROL OF LOWE'S. Customer agrees that the Installation Services do not include architectural/engineering services or structual changes to the Premises or any other services beyond the ordinary and routine installation of the Goods as specifically provided in the Contract. Customer is responsible,at Customer's cost,for providing any necessary archltecturaVengineering services or structual changes to the Premises or any other services not specifically identified in this Contract. 4.GOODS.Lowe's will arrange for delivery of the Goods to the Premises.Any surplus materials upon completion of the Installation Services shall be the property of Customer. 5. PRICE.The Price covers the Goods,Installation Services,and applicable taxes.The Price assumes sound existing substructures,superstructure and points of attachments.The Price shall be increased b the cost and reasonable profit to Lowe's of having to provide additional Goods and/or Installation Services as a result of defective substructures,superstructures, or points of attachments or the existence any other Undisclosed Condition (as defined in section 9 of these Terms and Conditions). In the event of an Undisclosed Condition or the foregoing, Customer will execute a change order or a new replace- ment contract upon Lowe's request. ce of 6.PAYMENT. If the Price is$1,000.00 or less,payment of the Price by Customer to Lowe's is due in full upon execution execution of this contract, but Lowe's may not require Customer to do so. If the Price is over$1,000.00 and Customer does not pay in full at the time of sale, Customer Po tion of this Contract.If the Price is over$1,000.00,Customer may choose to pay in full upon payment schedule set forth in this Contract.Customer agrees to pay a deposit upon execution of this Contract equal agrees to a L less the final payment at least one dayafter the to one- owe' date this Contract is executed and prior to the commencement of the Installation Services.Customer agrees ees to m make a pay s according to the Installation Services and Customers satisfaction. Payment for a new replacement contract is payable according t payment for the balance of the price order. g o these Terms and Conditions. Payment for any change order iinal payment due eat the of that a the 7.LICENSES, PERMITS, SAFETY RULES,BUILDING CODES ZONING of that change are legally required ORDINANCES A c g y eq ed to perform the Installation Services.The Installer shall also be solely responsible ttio Customer for the Installation nstaller llSery Ices be being performed to Customer for obtaining any and all licenses which all existing buidling codes,zoning ordinances and other laws.Lowe's shall be responsible to Customer for obtainingbuilding is legally required to obtain such permits. Where Installer is required to obtain such permits then Installer will be responsible to Customer for obtaining s such p to perto e Insermits.Customershall applicable safety rules and permits will be precluded from claiming against certain state guaranty funds relating to home improvements.Neither the Installer'norts vLowe's shall I be responsible ble for any pre-exis who ting violationsat on 1Ce where rules' building codes,zoning ordinances or other laws and shall not be required to address or correct same. If prior to the completion of work a change occurs to an applicable safety rule,building coure lde,zon nr own fldg or- dinance or other law which requires additional Goods and/or Installation Services to perform this Contract,Customer agrees to pay Lowe's the cost and reasonable profit for such additional Goods and Installa- tion Services and to execute a resulting change order or new replacement contract as requested by Lowe's.No additional work will be performed under this Contract due to any change to any applicable safe rule,building code,zoning ordinance or other law that occurs after the completion of work.S.CUSTOMER'S WARRANTY AGAINST VIOLATIONS OF EASEMENTS,COVENANTS,AND THIRD PARTY RIGHTS..Customer warrants that performance of Installation Services will not violate any exist- ing real property easements,covenants,homeowner's association rules or rights of third parties holding an interest in the real property being improved. 9. UNDISCLOSED CONDITIONS IN PREMISES.If Installer discovers any defect,weakness or dangerous condition including,but in no way limited to,mold,mildew,rot,asbestos or infestation("Undisclosed Condition") in the Premises'structure,substructure,super-structure or points of attachment,Customer must remedy the Undisclosed Condition at Customer's sole cost and ex faction. if Customer refuses to permit inspection ' the Premises as set forth below, Lowe's may terminate or rescind this Contract without remedy or recourse by,or further obligation expressly provided below. If Customer and Lowe's disagree as to whether an Undisclosed Condition exists, Lowe's may in ' expense and to Lowe's sole satis- Lowe's sole cost and expense,and if Lowe's chooses to do so such in Y its sole discretion o to, Customer, except as t that Customer does not remedy to Lowe's sole satisfaction,or any failure by Customer to perform any other obligation of Customer under this Contract,then at services option(1)inspec L to aspect the Premises at inspector's report shall be final and conclusive as to whether an Undisclosed Condition exists. In the event of any Undisclosed Condition Con- tract and return the Price to Customer without further cost or obligation by either Customer or Lowe's d Lowe's notifies Customer of its election to rescind this Contract prior to the earlier of delivery of the Goods and the Installer beginning P ( )Lowe s may rescind this Con- 9 9 performance of the Installation Services,or(2) Lowe's may terminate this Contract without remedy or recourse by, or further obligation to Customer, except as expressly provided below if Lowe's notifies Customer of its election to terminate this Contract after the earlier of delivery of the Goods and the installer beginning Lowe's terminates the Contract as provided in this Section,then Customer may return the Goods(other than Goods that have been'custom-made")in their original,unopened condition,to Lowe's for a refund or credit.Any such return must be made within 30 days after Lowe's terminates this Contract.Customer will be charged a 15%restocking fee on any such returns.Goods not in their Service.In the event that condi- tion,and custom-made goods,may not be returned.*Custom-made'goods include goods that have been uniquely altered,color-matched,shaped,sized,cut or otherwize designed or fitted to aceomodate the requirements of a particular space or environment.Examples of custom-made of in their original,unopened this Contract as provided herein, Lowe's shall have Examples obligation Of to refund e goods include,but are not limited to,cabinets,countertops,floor and wall coverings, condition. y portion of the Price(except as expressly provided herein)and shall have no obligattiion window premises to their origin-al 10.CUSTOMER'S RESPONSIBILITIES:Customer agree to pay Lowe's according to these Terms and Conditions.Customer agrees to facilitate the location of utility lines.Customer Is responsible for identi- fying property lines. Customer agree to ensure that work area are free of vermin and pre-existing fying with access to work areas during working hours and to provide access to sanitary physical or environmental hazards,and buildin zonin denim Premises will not interfere with performance of the Installation Services.Customer agrees try o w Pay the renal costs for such facilities. Customers agreesltol ensure agrees it provide the he at the Premises while the Installer i P power t e s present. Customer agrees to control and keep po o,as applicable,climate control n,the work areas.Customer agree snot to allow unattended m Curs Cus- tomer or anyone Customer controls interferes with or delta P Pets away from work areas.Customer agrees to keep posted permits on display at all time.Customer agrees that if Cus- not to assign or transfer this Contract.Customer agrees that any claim against Lowe's or the Installer under this Contract should be made to Lowe's within thi 30 delays performace of the Installation Services,Customer may be subject to transportation/storeage charges or other resulting charges.Customer agrees becomes aware of a problem. (Lowe's will attempt resolution of any claim(s)within sixty rrryry PHYSICALLY ASSISTING WITH DELIVERY OF THE GOODS OR WITH PERFOMANCE OFTHE INSTALLof ATIONISERVICES.Customer'snotice.)CUSTOMER ASSU6AES THE RISK ANlendar D ofthe FULL LIABILITY Store 2376 Project No. 295132854 for CHARLES HOTETZ Page 5 of 7 11. MANUFACTURER WARRANTY FOR GOODS/LOWE'S WARRANTY FOR INSTALLATION SERVICES/LIMITATIONS OF LIABILITY.Custom STORE COPY the Goods sold under this Contract.The Installer will provide Customer with any manufacturer consumer warranty information accompanying the Goods, and Customer may er is entitled to any warranyty provided by a manufacturer of contacting Love's.Love's does not warrant the Goods AND EXPRESSLY DISCLAIMS ALL WARRANTIES,EXPRESS OR IMPLIED,TO THE FULLEST EXTENT PERMITTED BY LAW, Lowe's does warrant that the Installtion Services will be performed by the installer in a good and workmanlike manner. Lowe's warranty for Installation services shall extend for LAW. of onein such lnearrtaoion by earlier of(1)the date the Certificate of Completion is signed by Customer or(2)the date that Lowe's determines that the Installation Services have been completed, or for such greater period as may be re- quired by applicable law governing consumer warranties for workmanship(the"Warranty Period").LOWE'S WARRANTY THAT THE INSTALLATION SERVICES WILL BE PERFORMED BY THE INSTALLER IN A GOOD AND WORKMANLIKE MANNER DOES NOT COVER, AND LOWE'S WILL NOT BE RESPONSIBLE FOR, ANY DEFECT IN SUCH INSTALLATION WEAKNESS OR DANGEROUS CONDITION, INCLUDING BUT NOT LIMITED TO,MOLD, ROT,ASBESTOS OR INFESTATION IN THE PREMISES'STRUCTURE,SUBSTRUCTURE,SUPERSTRUCTURE' OR POINTS OF ATTACHMENT,OR OTHER PRE-EXISTING PHYSICAL OR ENVIRONMENTAL HAZARD,OR(2)ABUSE,MISUSE,NEGLECT,OR IMPROPER CLEAN NG.LOWE'S WARRANTY OR IN- STALLATION SERVICES SHALL BE IN LIEU OF ANY OTHER WARRANTY TO THE FULLEST EXTENT PERMITTED BY LAW. Customer acknowledges and agrees that Customer shall be limited to seeking recourse or remedy exclusively from Lowe's or the Installer(as applicable)and that no affiliate of Lowe's shall have an liability under this Contract. Customer must give Lowe's written notice within the Warranty Period of any warranty claim relating to Installation Services. Customer agrees that its sole and exclusive remedyagainst Lowe's for a warranty claim is reinstallation in a good an workmanlike manner,including the repair or replacement of any Goods if and to the extent resonably necessary to correct the defective Installation ity Ser- vices. CUSTOMER SHALL HAVE NO OTHER REMEDY FOR A WARRANTY CLAIM, INCLUDING WITHOUT LIMITATION REMEDY FOR LOSS OR DAMAGE CAUSED BY NORMAL WEAR AND EA st LOSS OR DAMAGE WHICH HAS NOT BEEN REASONABLY MITIGATED,OR LOSS OR DAMAGE CAUSED BY ACTS OF GOD. IN NO EVENT SHALL LOWE'S BE LIABLE FOR INDIRECT, PUNITIVE, CONSEQUENTIAL OR INCIDENTAL DAMAGES(SUCH AS, WITHOUT LIMITATION,LOST PROFITS,LOST SALES,AND INJURIES TO PERSONS OR PROPERTY), EVEN WHERE LOWE'S HAS B ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. WHERE, DUE TO OPERATION OF LAW, SUCH DAMAGES CANNOT BE EXCLUDED, THEY ARE EXPRESSLY LIMITED IN AMOUNT TO THE PURCHASE PRICE. In connection with any warranty claim,Customer agrees,at no cost to Lowe's or the Installer,to prepare the Premises and the reinstallation area in the manner described in Section 10 of these Terms and Conditions. HE 12. DISPUTE RESOLUTION FOR CLAIMS COVERED BY M.G.L. c.142A. Most questions or complaints are resolved informally. If Customer has a question or complaint, Customer agrees to contact0th f Lowe's salesperson whose name appears on this Contract and the manager of the Lowe's store where Customer entered into this Contract. If Customer has a complaint which cannot be resolved informal) The Home Impovement Contractor Law(M.G.L.c.142A may e Af- fairs and Business Regulation, as an alternative to court action. The same right s not afforded to Lowe's unless the'Notice Regarding Arbitration Agreement for Claims Cover y provide Customer with the right to request arbitration through a private arbitration program approved by the Director of the Office of Consumer Af- signed and dated by Lowe's and the owner.If allowed by statute or applicable law,the arbitrator may award statutory damages and/or reasonable attorneys'fees and expenses.If Customer fails to Lowe' in accordance with this Contract, Lowe's shall be entitled to recover its reasonable attorney's fees as provided b N.C.Gen. tat.Section 6-21.2 or other applicable law.To the fullest extent permitted b law Love's and Customer agree that no class action arbitration of an pay s of parties to the transaction covered by this Contract. If a court or arbitrator determines the waiver of the right to class action arbitration or the prohibition of joinder of panties other than y tion covered this y type may be ordered by a Court or arbitrator(s)under this Contract and,in addition,that there shall be no joinder of parties,except for joinder n a court of law. 13.ARBITRATION GREEIMENTAND WAIVER to be OF JURY then the party bringing CLAIMS NOT such action �COV ll be RE BY Muired to .G.L.such action c.142A.All�claims by Customer or Lowe's parties to the transac- formally,and which are not covered by M.G.L.c.142A or subject to the jurisdiction of a small claims court,shall be resolved by binding arbitration conducted by a single arbitrator under the current rules,procedures and protocols of the American Arbitration Association(as amended).If the dispute falls within the jurisdiction of a small claims court the claimant may,at its option,choose to cannotarbitrat be resolved in- small claims action. Any appeal of a judgment from a small claims court shall be resolved by arbitration as provided herein. Claims to be resolved by binding arbitration include,but are not limited applicable all claims directly or indirectly related to the signing of this arbitration agreement,the validity or scope of this arbitration agreement,or any attempt to set aside this arbitration agreement,(2)all federal r stat file a claims relating directly or indirectly to this Contract(including this arbitration agreement), the information Customer gave Lowe's before entering into this Contract and/or an o(1) all between Customer and Lowe's,(3)all counterclaims,cross-claims and third-party claims,(4)all common law claims of any kind including common law claims based upon contract,tort,fraud,or other intention- al law al torts, (5) all claims based upon a violation of any state or federal constitution, statute or regulation, (6)all claims asserted by Lowe's against Customer, including claims for money damages tocollect any sum Lowe's claims Customer owes Lowe's, (7)all claims asserted by Customer individually against Lowe's and/or any of Lowe's employees,agents,directors,officers,shareholders,managers,members,par- ent company or affiliated entities(herein collectively referred to as"related third parties")or the Installer,including claims for money damages and/or equitable or injunctive relief,(8)all claims asserted on us- tomer's behalf by another person,(9)all claims asserted by Customer as a private attorney directly to the disclosure by Lowe's, related third parties or the Installer of any non-public personal information about Customer,and/or(11)all other claims arising under or related to this Contract whether r y general against Love's, related third parties and/or the Installer, (10)all claims arising from or relating directly or in- not set forth above. Binding arbitration means that Customer waives:(1)any right to a jury trial;(2)any right to bring a lawsuit In a court(other than a small claims court as described above);and(3 an right o seek relief In any other forum or from any other agency.Any claim not decided by a small claims court will be decided by an arbitrator selected by the American Arbitration Association.Lowe's and Customer agree that binding arbitration provides a simple, cost efficient method to resolve disputes quickly. Lowe's and Customer therefore agree that no class action ) y may to ordered by a Court or arbitrator(s)under this Contract and,in addition,that there shall be no joinder of parties,except for joinder of panties to the transaction covered by this Contract.If a court or arbitrator de- termines the waiver of the right to class action arbitration or the prohibition of joinder of parties(other than parties to the transaction covered by this Contract)to be unenforceable thenthis entire arbitration agreement shall be rendered null and void,and the party bringing such action will be required to bring such action in a court of law. By agreeing io binding arbitration Customer and Love's valve any right to bring or participate(n a Class Action lawsuit regarding any claim. How Arbitration Works: Love's may demand arbitration by sending written notice to Customer at the address listed in this Contract.Customer may demand arbitration by sending written notice to Love's at the following address: code 2ELG,P.O.Box 1000,Mooresville,NC 28115.The arbitration shall be held in the city or county where the Premises are located or in such other convenient location as the Customer and Lowe's may mu- tually agree. 9 Mail Lowe's shall pay the filing,administrative,hearing and arbitrators fees associated with the arbitration.Customer shall not be required to reimburse Lowe's for these expenses even if Lowe's wins the arbitra- tion. u Unless the arbitrator's award specifically provides otherwise,Lowe's and Customer will each be responsible for its own attomeys'fees and other expenses,such as witness and e timely request of Customer or L.owe's,the arbitrator will provide a written explanation of the award so long as such requirement Is consisent with the rules,procedures and protocols of the American Arbitration Association then in effect. expert witness fees.At the The arbitrators award may be filed with and enforced by any court having Jurisdiction. tration If allowed by statute or applicable law,the arbitrator may award statutory damages and/or resonable attorneys'fees and expenses.If Customer fails to pay Lowe's in accordance with this Contract we be entitled to recover its reasonable attomeys'fees as provided by N.C.Gen.Stat.Section 6-21.2 or other applicable law. The parties agree that this arbitration agreement is made in connection with a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act,but if for reason� 's shall Arbitration Act does not apply,then this arbitration agreement shall be goverened by the laws of the State of North Carolina. an 14.GOVERNING LAW AND SEVERABILITY.This Contract shall be interpreted under and governed by the laws of the State of North Carolina except that the Arbitration Agreement and Waiver of Jury Federal ry Trial in Store 2376 Project No. 295132854 for CHARLES HOTETZ Page 6 of 7 paragraph 13 above is governed by the Federal Arbitration Act, 9 U.S.C. Sections 1 16. If any provision of the Contract is contrary to an law STORE COPY without invalidating the other provisions,which shall remain in full force and effect;except that,as stated in paragraph 13,if the waiver of class action arbitration,or the prohibition determined unenforceable,then the entire arbitration agreement in paragraph 13 will be rendered null and void. y to which it is subject,such unlawful provision shall be in 15. CREDIT CARD/FINANCED TRANSACTIONS. If Customer uses a credit card or obtains financing to pay some or all of the Price, then Customer acknowledgesP of consolidation ror card old it agreement or financing documents may change the total amount of money Customer must pay to the credit card provider her cardholder agreement or financing documents may have P or I that the terms of his y other terms and conditions' ender,includin an s or her cardholder ancing agreement. ditions to which Customer will be subject.Customer also acknowledges that Lowe's s not a party to any such cardholder orsfn r 16.WAIVER OF LIENS.Because responsibility for paying the Installer on Customer's behalf belongs to Lowe's,Lowe's will require the Installer,on behalf of itself and an of the terialmen or suppliers,as a condition precedent to payment by Lowe's on Customer s behalf,to fully and unconditionally relinquish,waive and release any and all mechanic's liens,materialman's liens in the Premises which the Installer or its subcontractors,materialmen or suppliers might have or acquire in the future,by operation of law or otherwise,as a result of this Contract.e ,Installer, subcontractors, her 17. UNAVOIDABLE DELAY OR FAILURE IN PERFORMANCE EXCUSED.Any delay or failure by Lowe's or the Installer in performing this Contract because a ult of fire,flood,epidemic a lien and other acts of God, inability to obtain Goods in a timely or commercially feasible manner,or any other causes beyond the reasonable control of Lowe's or the Installer shall e,excused and shall not this Contract. acts of terrorism, io ENTIRE AGREEMENT/CHANGES IN WRITING.Customer and Lowe's agree that this Contract accurately states the entire agreement between Customer and Lowe's concerning the C, be breaches of lion Services and replaces and supersedes all prior agreements and understandings relating thereto, both oral and written,and all oral agreements and understandings entered into at the s Contract.Any additions or changes to this Contract,or any waiver of rights under this Contract,must be in writing signed by Customer and Lowe's. g Dods and Installs mean- ing CAPTIONS.Titles or captions of sections contained in this Contract have been inserted only as a matter of convenience and in no way define,limit,extend,describe or otherwise affect the 19.C this Contract or the intent of any provisions hereof. same time as this 20. ADDITIONAL INFORMATION.All contractors and subcontractors must be registered by the Administator of the Board of Building Regulations and Standards.Inquiries about scope a for o subcontractor relating to a registration should be directed to the Administrator of the Board at One Ashburton Place,Room 1301,Boston,MA 02108,(617)727-8598. 21.QUESTIONS OR CONCERNS.Customer should speak with the Lowe's salesperson whose name appears on this Contract and the manager of the Lowe's store where Customer entered a contractor e- phoneg routine matters such o scheduling,any requested changes to Customer's order,or any concerns Customer may have about this Contract,the Goods or the Installation Services,at the a phone number noted on the front page scheduling, this Contract. this Contract re- phone and/or Stpre 2376 Project No. 295132854 for CHARLES HOTETZ i Page 7 of 7 F Lowe' s Companies 4/2/2010 11 : 50 : 06 AM PAGE 2/004 Fax Server ® , A� CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY)63/05/2010 I PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION MARSH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 100 N.TRYON STREET,SUITE 3200 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR CHARLOTTE, NC 28202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FAX(704)374-8500 47095-CASUA-ONLY-10-11 INSURERS AFFORDING COVERAGE NAIC# INSURED - - - INSURER A:Self Insured - .. Lowe's Companies, Inc. and Subsidiaries INSURER B National Union Fire Ins Co Pittsburgh PA 19445. PO Box 1000 INSURER c New Hampshire Insurance Company 23841 Mooresville,NC,28115 INSURER D:Illinois National Ins Co 23817 INSURER a Illinois Union Insurance Co 127960 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 1"HE 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 SHCWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSRADD' TYPEOFINSURANCE POLICY NUMBER POLICY EFFECTIVE POUCYExPIRATION LIMITS LTR INSR DATE(Mr4VDDNYYY) DATE(rMMMYYYY) GENERAL LIABILITY EACH OCCURRENCE COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ A X Self-Insured 04/01/2010 04/01/2011 PREMISES Ea occurrence CLAIMS MADE E]OCCUR MED EXP(Any one person) $ PERSONAL 6 ADV INJURY $ GENERAL AGGREGATE $ GENERAL AGGREGATE LIMIT APPLIES PER - - PRODUCTS-COMP/OP AG POLICY PRO-.. LOC JECT AUTOMOBILE LIABILITY - COMBINEDSINGLELIMIT $ 5,000,000 B X ANY AUTO CA6547501 (AOS) 04/01/2010 04/01/2011 (Ea accident) C ALL OWNED AUTOS CA6647502(MA) 04/O1/2010 04/01/2011 BODILY INJURY $ B SCHEDULED AUTOS .. CA6647503(VA) 04/01/2010. 04/01/2011 (Per person) HIREDAUTOS - 80DILYINJURY, $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTOONLY-EAACCIDENT$ - ANY AUTO OTHERTHAN EA ACC $ AUTO ONLY AGO $ EXCESS/UMBRELLA LIABILITY - EACH OCCURRENCE $ 5,000,000 B X 7 BE27471705 04/01/2010 04/01/20.11 AGGREGATE. 5,000,000 OCCUR CLAIMS MADE - $ $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND X ITWC STATU- OTH-. - C EMPLOYERS'LIABILITY ' _ WCO20342251 (AOS) 04/01/2010 04/01/2011 OR,L Llm LEACH ACCIDENT ANYPROPRIETORIPARTNER/EXECUTIVE-Y� D OFFICER/MEMBEREXCLUDED? �1�fCO2O342252(WI) 04/01/2010 04101/2011 2,000,000 _ N L.DISEASE-EA EMPIL6YEE$ 2,000,000, (Mandatory in NH)If yes,describe under SPECIAL PROVISIONS below L.DISEASE-POLICY LIMB $ 2,000,000 B OTHER Excess WC XWC4880417 -04/01/2010 04/01/2011 WC:Stat/EL:$3mil;xs$2mil SIR E TX Employers XS Indemnity TNSC46242531 `04/01/2010 04/01/2011 $8mil EaOcc/Agg;xs$2mil SIR DESCRIPTION OF 0PERATION&LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS - - - Evidence of coverage CERTIFICATE HOLDER ATL-001787259-05 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIF-S BE CANCELLED BEFORE THE Lowe's Companies, Inc. EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL and subsidiaries 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PO Box 1000 Mooresville,NC 28115 BUT FAILURE TO DO BO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. of AMarshUTHORIZED USA Inc. 7JlA�ibl- Diana Benlley ACORD 25(2009/01) 01998-2009 ACORD CORPORATION.All Rights Reserved The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION :4 G Map Parcel �Pa Permit# �6 0 - o Healli Division �� Date Issued Ci ® �/d ��/ems �' 4y� �O Conservation Division y%� ��. Fee Tax Collector �,+11Aew ZI Q" y� Treasurer .ZO Planning Dept. � O Checked in By Date Definitive Plan Approved by Planning Board �� Approved By " Historic-OKH Preservation/Hyannis Project Street Address r� Tj,(244 U J CA , r Village Owner Address C-4 Telephone C - - -3, s 6 _ II C� Fri Permit Request G,d r.1 '�' r�i� v. p� U Uri Square feet: 1 st floor: existing proposed Q 2nd floor: existing proposed Total new Valuation e Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: 0 Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family I�' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ^Full ❑Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil 0 Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:O existing ❑new size Pool: ❑existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes o No If yes, site plan review,# -Current-Use_ y— _ - — _ K :, k Proposed Use BUILDER INFORMATION ` � Name C-0�i Telephone Numbe Address 6 License# CAS 6 �J 61 S Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS R SULTING FROM THIS PROJECT WILL BETAKEN TO t✓c-JK ✓Aoy.r�j SIGNATURE'.' -, DATE S FOR OFFICIAL USE ONLY PERMi`I NO. , Ji t DATL41SSUED MAP/PARCEL'NO. ADDRESS VILLAGE ! OWNER DATE OF INSPECTION: FOUNDATION- FRAME INSULATION cst; � FIREPLACE, %d\ ELECTRICA'�L,' ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 1 FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. • 1 j a Town .of Barnstable o C, e ti o .Regul tory Services MAM _ Tho "s F.Geiler,Director �sa. 9�'°rFDMAy�'1�� Bu� c ' g Di isloII Tom Perry!I!Building Commissioner 200 Main S,'eet; Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 ,. Permit #, - Date 5 155 ;AFFIDAVIT HOME IlVIPROVEMENT CONTRACTOR LAW SUPPLEME PERMIT APPLICATION MGL c. 142A requires that the"reconstructio j� 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 tlLObur 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. I Te�of Work: Type; 1 l i Estimated Cost l l -::Ci. � � t 0 Address of Work: K S u �1 . Owner's Name: C (` les vl' Date of Application: I hereby certify that Registration is Aot required for,the fallowing reason(s): ❑Work excludedlhy law [:]Job Under$1,00;0. H [:]Building not owner-occupied []Owner pulling qwn permit Notice is hereby given that: OWNERS PULLING THEIR OWN PER114IIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HdNM IlVIPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROdi, M OR GUARANTY FUND UNDER MGL c.142A. - FI SIGNED UNDER PENALTIES OF PERJURY I hereby pp for a permit as the a t of th i' , Dat" a?ontr ctor Name Registration No. (. R Date 'Owne Name QIorms:homeaffidav r 13, s �o I' RESIDENTIAL BZjII,DING PERMIT FEES APPLICATION FEE Ncw Buildings $100.00 Residential Addition $501',00 AlterationaMmovations $n"00 Change of Contractor/Builder $251Q0 FEE VALUE WORKSHEET -NEW LIVING SPACE10 I square feet x$96/sq.foot x.0041� plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x $64/sq foot,j,, x.0 041 Plus frombelow(. aPhable GARAGES'(attached&detached) —square feet x 32/s ft.a $ q x.0041— ACCESSORY STRUCTURE>120 sq.ft. ' >120 sf-500 sf $351,00 >500 sf-750 sf 50,00 >750 sf- 1000 sf 75.60 >1000 sf- 1500 sf 10000 >1500 sf-Same as new building permit; square feet x$96/sq,foot= x.Ob41a STAND ALONE PERMTS Open Porch ' h x$30.00 m (number) Deck I; x$30.00 (number) Fireplace/Chimney x$25.00 (number) Inground Swimming Pool $60.01,0 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) New � PermitTee preeeriptlrg Packaged for Oas and T o-Fsndly Residential Bnildiaot Hated w1lh Fosea r aeo' M1NiiMLTM btAXfrAUM •1`c&&glCOollug Owns as&$ g roar Basement etes ftgpmcm =cicic? ms 11 A ) wlua� it#WU92 R-v lw� Rrvatua� well. t l,, R•.values paeks3a 3701 to 000 Hestlo D Da Nol 12l4 0.40 3E 3 I9 10 8 e . Q• 6. Normal R 12% 0.32 30 _14 t9 10 ESAftlB 9 19 10 6 $ 12%' 0.50 3E VA Narms� ._—�'_ 3E 3 ZS NIA --�--- otmsl-- --- . v iS•h OAQr 3s 19 19. 10 95 ASX .. -- ..,•1ST/:'::• , ;:0.44 h':;�. 93;; � �!3`. . ?3 � .NIA q1 15% O.S2 30 19 .. 19 10 i " orrtial g IE'h 034' 3E [13' 23 VA NIA MIA Nomsal y 18% ' 0.42 3E 19.: 29 �40A 1 90 AF1J6 Z 18% 0.42 3E 13 19 90 AnM AA 1E'/. 0.30 30 :19 1 19 10 6 1.-ADDRESS OF PR W MA �I 1 _ . 2• SQUARE FOOTAGE OF ALL EXTBRI"R WALLS:: • .OF ALL C#t.AZIt�?a: � �� ; ��� • ...• 3. SQUARE FOOTAGE . D 4. GLAZING AREA(#3 DIVIDED BYE#2): �' % 0 5. SELECT PACKAGE(Q .-AA-sea ch t above): .. "NOTE: OTHER MORE INVOLVED b {-HODS OF DETERMMG ENERGY REQUMENMTS ARE AVAILABLE, ASK US FOR THIS INFORMATION. BVII,DINa JNSPECTORAPPROVAL� i NO. q•tbcros•580303a • i � i d The Commonwealth of Massachusetts Department of b ditstrial Accidents ' Office.of Investigations- a ; 600 Washington Street < Boston,MA 02111' www.mass.govAdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaass/Plu�bers A licant Information ' please Print Le 'bl Name (Bud nessiorganizationvabdividuaD' . Address: (� Ci. /State/Zi �;cti�.ov Phone .City/State/Zip:.p: Are you an.employer? Check the- ropriate box:. Type of project(required): 1�I am a employer with Z 4. ❑ I am a general contractor and I 6• ew coostraction , (full'and/or part-time).* have hired the sub-contractors 7. remodeling employeeslisted on the attached sheet $ 2.El I am a sole proprietor or parluer- andhave no employees These sub-contractors have ,S. �� Demolition ahsp working forme in any•capacity. workers' comp.insurance. 9• ❑ Building addition (No workers comp.insurance 5• ❑ we are a corporation and its 101-1 Electrical repairs or.additions required] officers have exercised their ri t of ex lion er MGL 1'1.❑ Plumbmg repairs or additions 3.EZI am a homeowner doi_tig all work p c. 152,§1(4),and we have no, 12.[] Roof repairs myself;[No workers comp. • - • insurance required-],t employees. [No workers- 13 [:1 Other comp.insurance required.] An applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Hezneowners who submitthis affidavit indicating they ase doing all-work sad then hire outside cofactors must submit anew affidavit indicating such $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their wworkers'comp,:poliwinforilatioa. nsation insurance for my employees.'Below is the policy and job site. I am an employer that is providing workers'compe information. - Insurance•Company Name: Policy#or Self-ins.Lic.#: C. �z� Expiration Dater Job Site Address: a �e W(A City/State/Zip: rk• r 1 VO, Attach a copy of the workers' compensation poll y declaration page(showing the policy n bar and• iration date). Failure to,secure coverage as required under Section 25A of MGL c. 152 caii lead to the imposition of criminalpenalties of a fine up to$1,50000 and/or one-year imprisonment; as well as civil penalties in'le form of a STOP'WORK ORDER and a.fine of up to$250.00 a day against the violatAr. Be advised that a copy of this statement maybe forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify uP e• ,Xe ns and enalti of perjury t t t inf rmation provided a Ov iY true and correct. Si azure , Date: -•- 3 S -• off. �� Phone#• D Official use only. Do not write in this area,to be completed by city.or town official. City of Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building(Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other ContactPerson: Phone#: ' d Instructions. n rrn ati 0 na In fo • to ees. Massachus�General Laws chapter'152 requires all employers to provide workers compensation for their emp y to this statute, an employee is defined as ,...every person in the service of another under arty contract of hire,' Pursuant. oral or written." Y express or implied, oration or other legal entity,or MY two or more is defined aS:'`'`4 bdivi¢lial,.pamerslo,..association, pore to' or the An employer ,and including the legal representatives of a deceased emp y of the for engaged in a joint enterprise Ho�teYer.tl#e receiver or trustee of an iudividaal,partnership, association or other legal entity, employing employees.ant of the owner of a dwelling house having not more than three apartments and who resides therein,or.the occup dwelling house of another who employs persons to do maintenance,construction or repair worKtin such dweIling house grounds or building appurtenant thereto.shall not because of such employment be deemed to be as employer." or on thegr h ter 152,§25 C(6)`also states that"every,state or local licensing agency shall withhold the issuance or L cbuildings in the commonwealth for any MG chapter er mh too erate a business or to construct •TeUiWal of a license or p P applicant who not produced acceptable evidencevf compliance with the insurance coverage required. Additionally,o chapter 152,§25C(• )states"Neither i.e commonwealth nor any of its-political subdivisions shall until accep In evidence of compliance with flee insurance enter into any contract for the performance of public work iequiremeirts of this chapter have been presented in the contracting an ty Applicants Please fill out the workers' co�i ensatiou affidavit completely,by checldng the boxes that apply to your situation and,if. necessary,supply sub-contractors)uame(s),addresses)and phone numbers)along with,their certifieate(s)other Limited Liability Companies(LLC)or Limited Liability Partnerships(L•LP)with no employees other than the insurance. members or partners; are not regnued to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit maybe submitted to the Department of"ndustrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit shoal . • ' or town that the application for the permit.or license is being requested, not the Deparfinent of be returned to the city uestions regarding the law or if you are required to obtain nwor�ers Industrial Accidents. Should you have any q compeIISationpolicy,please call the Department at the number listed below.. Seff-insured companies should ent+ertheir self-insurance license numberon the appropriate line. City or Town Officials 't is complete and printed legibly. The Department has provided a space at the bottom Please be sere that thear affidavit mp t of the affidavit for}►on to fill out in the event the number office w$1 be used as a reference number ct youI In additionean applicant• 'cease ai the ermit/h tin current Please be sure to fill P submit one affidavit indicating in an en year,need only that must subnritmultiple permit/hcense applicationsY gn' and under"Job Site Address"'the applicant should write"all locations in (city or policy information(if necessary) ed or marked by the city or town may be provided to the yin)."A copy of the affidavit that has been officially stamp roof tb at a valid affidavit is on file for;future p ermits•or'liceaases.•Anew affidavit mot bfilledve applicant asp . , , business or co year.Where a home owner or citizen is obtaining a hcens n is NOT required to complete this affidavit es etc. said person , (i.e. a dog license or permit to burn lean :) P . The Office of Irivesti�uons would like to thank you in advance for your cooperation and should you have any questions, please do nothesitate to give us a call. The Department's address,telephone and.fax number_ The Commonwealth of Massachusetts I,teepartment of Industrial. Accidents 'gattons • .. .. .. �, • � . ,office of Itrve sti .- . . . • .. 600-Washington Street V , Boston,MA 02111. Tel.#617-727-4900 ext.406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.govldia i . n . N Town of Barnstable OETHE T� P� o� Regulatory Services Thomas F.Geller,Director Building Division �'°�Fo �► Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.townb arnstable.ma.us Mce: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print S DATE: 2�-6 wG Gir JOB LOCA ON vi age - number str .------ "HOMEOWNER': work phone# name home # CURRENT MAU JNG ADDRESS: ?lD/// �fiw 4t , t, Ila r1II/ city/tow state zip code The current exemption for"homeowners"was extended to include owner-ocMied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license provided that the owner acts as_ supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be *P�*+�nstMe for all stick work performed under the bttildvap vermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner )� Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. "� HOMEOWNER'S EXEMPTION The Code States that Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board•cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns, you may care t amend and adopt such a form/certification for use in your community. n.e.•1,m•nPrxemnt Engineering Dept. (3rd floor) Map r Parcel Permit# i�77 O� _o& House# Date Issued A-/6-9 Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Fee ---- Conservation Office(4th floor)(8:30-9:30%1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE Definitive Plan Approved by Planning Board 19 ' BARNSTABLE. �rfD MPS A`dv TOWN OF BARNSTABLE Building Pe ilication 01 Project Street Ad r ss 4G1"I l { Village . , Owner _ Address 28 10 ra 0MA LL Telephone ✓(1t'l Permit Reques A ' , _ /OLT— Gljj�ik _ge r First Floor / 3�-�J square feet Second Floor square feet Construction Type Estimated Projec Cost $ Zoning,District PZ— I '_Mood Plain Water Protection Lot Size��.q � Grandfathered ❑Yes ❑No Dwelling Type: Single Family "" —Two Family ❑ Multi-Family(#units) Age of Existing S;Full ctu a &)CX--��) Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Crawl' ❑Walkout ❑Other Basement Finished Area(sq.ft.) _ A/UT Basement Unfinished Area(sq.ft) 3� Number of Baths: Full: Existing_ New — Half: Existing -0 ' New —C> No. of Bedrooms: Existing New Total Room CoUlit-(not including baths): Existing New — First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑i Electric ❑Other Central Air ❑Yes 'Co Fireplaces: Existing _I-New Existing wood/coal stove ❑Yes MIN- - Garage: ❑De ached(size) Other Detached Structures: ❑Pool(size) Attached(size) Alf PA ❑Barn size ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If ye , site plan review# - Current Use Proposed Use �r —�--- Builder Information � Name /�f�l L�' Telephone Number � �0 Y/ Address I A. License# CA)o ,�7 Home Improvement Contractor# Worker's Compensation# 0(, ),X9 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBPCMCU RIS RES 'LTIN R THIS E WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED '� I MAP/PARCEL NO. a — ADDRESS I VILLAGE OWNER 5 DATE OF INSPECTION: FOUNDATION _ FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL, - PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _r i FINAL•BUILDING DATE CLOSED OUT 3 ASSOCIATION PLAN NO. Engineering Dept. (3rd floor) Map r�W Parcel Permit# 77 9` House# �� Date Issued 1�" Board of Health(3rd floor)-(8:15 -9.30/1:00-4:30) Fee Conservation Office.(4th floor)(8:30- 9:30/1:00-2:00)' Planning Dept.(1st floor/School Admin. B'dg.) a THe r Definitive Plan Approved by Planning Board 19 rBARNSTABLE, �lfD MA'S p�� TOWN OF BARNSTABLE f Building Perm Application Project Street Address Village U fl(iJWM M W 0 Owner a„�.h Address ; Telephone P//e�� AAY_ 001F— G / �'rmit Request A / (', J/� (.�.d ` �" 460 Y First Floor . square feet Second Floor square feet Construction Type \` Estimated Project Cost $ Zoning District - Flood Plain Water Protection Lot Size 'Grandfathered ❑Yes ❑No r Dwelling Type: Single Family p Two Family ❑ Multi-Family(#units) Age of Existing Struc�e 13C 4_2) Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: LS Full ❑Crawl ❑Walk//out ❑Other --- Basement Finished Area(sq.ft.) — I�JM Basement Unfinished Area(sq.ft) Number of Baths:,. Full: Existing 1 New Half: Existing --0 NewNo. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas 3116il ❑Electric ❑Other Central Air ❑Yes 'Co Fireplaces: Existing N- p g � ' New -- Existing wood/coal stove ❑Yes ®? o Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Q Attached(size) ❑Barn(size) ^" ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - - /� Current Use �h�: ,�iy-�'h Proposed Use /,� Builder Information Name 1 /,, /16W L Telephone Number ' Address (11�1 a� /,/ License# c. '' �� f-�! Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 'a FOR OFFICIAL USE ONLY . PERMIT NO. DATE ISSUED r MAP/PARCEL NO. ADDRESS VILLAGE + OWNER - ! DATE OF INSPECTION: ! ' FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ' ROUGH FINAL , PLUMBING: ROUGH FINAL ` GAS: , ROUGH FINAL FINAL BUILDING DATE CLOSED OUT - t ASSOCIATION PLAN NO. r�.0 .J�26 �O�77L/78Q'J2f({CCGGUl• O,f..,•((!/JJllf�.[LJP�IJ '? DEPARTMENT OF PUBLIC SAFETY r CONSTRUCTION SUPERVISOR LICENSE Number: "` Expires:- =' Restric:ted To 00 TIMOTHY PEARSON r CENTERVILLE, NA 02632 -co HOME IMPROVEMENT CONTRACTORS REGISTRATION s n Regulations and Standards , ' Board of Building One Ashburton Place — Room 1301 i Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR r" • � ' Registration 100871 Expiration 06/24 i. � �,�� „��� Type — PRIVATE CORPORATION "HOME IMPROVEMENT CONTRACTOR Registration 100871 Type - PRIVATE CORPORATION MARKWOOD CORP Expiration 06/24/98 TIMOTHY M . PEARSON 110 BREED 'S HILL ROAD UNIT 10 MARKWOOD CORP HYANNIS MA 02601 i. TIMOTHY M. PEARSON � 10 BREED'S HILL ROAD UNIT 10 ADMINISTRATOR HYANNIS MA 02601 COMMONWEA LTH OF MASSACHUSETTS -- - DEFAM - ENT OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET ames Car^�oec ' BOSTON, MASSACHLTSFM 02111 :ornn:ssione WORKERS' COMPENSATION INSURANCE AFFIDAVIT 1 (liccnscc/permincc) with a principal lace of b arcs residence �/cc> , (Gry/Scat -p) do hereby certify, under the pains and penalties of perjury,that: `N 1 am an emplover providing_the following workers";compensation coverage for my employers working on this lob. Insurance Company a Policy Number 4 [) 1 am a sole proppaor'and have` no one working for me- 1 am a sole proprietor,general cont.maor or homeowner(eirde one)and have hired the cunt_raors fisted bcou who have the following workers' compensation km rnee polid = Name of Contractor ' ' Insurance Company/Policy Numbs: n Name of Contnaor Insurano:Company/Policy Numb€: Name of Contnaor 2 Insurantx Company/Policy Numbs: 1 am a homeowner performing all the work myself. ° 4' NOTE- ricuc be aware that while homeowners who employ persona to do maiatcnaDa,'toa:truaioa or repair work on: dwc-ling of not more thin three unrn in'whicb the homeowner also resides or on the,grounds appurtenant thereto arc not gcner: y considered to be eraploycrs under the`Workers'Compensation Act(GL C 152,sect, 1(5)),applieatiori by a homeowner for a lice=sc or permit may cvidcncc the legal auto:of an employer under the Workc.s'Compensation Act 1 uncle emend th2t a copy of thisiuceme�t will be forwarded to the Deparzne:•of Industrial Aeadeaa'Ofnee of lnsuranir for coverage I've i:ication and th:t failure to iccure coverage as required undo Section 25A of.k4GL 152 can lead to the imposition of arirtiinal pcnx:--es 4. R .. corsistint of a;finc of up to S1500.00 and/or imprisonment of up to on yG and dual pcnalda in the form of a Stop Vork Order arl-a fine of S 100.00 a day ajains:me. 41,4 Sifncd this day of 19. r '1 LICC: � Cl Licc:uorIpermitrot DATE TOSUBJECT ffz..:.._................................. ...................... ......_......................................................... ..............................................................._..............._.............._...................... ._......_..................................._.............................. ...................../_7............._................._........................... ._...... �. ......................_..................................._......................................................................................................................................................_.............._...................................................._............. ..................................... ..._...__............................................... ........../`�%. ......... ................ .......... .... _ ... .... ......... .................fir................................. � ................. ...... ......................... �A"..,,�L._. ................ ..... .............. ............ .......... ........... ......... ......... ......... _..... .... ....... .......... ...... ......... ......... ..... ................................................................................... ............................................................................... ......................... ........................................................................................................................................................................................................................................................... /✓1�� Cyr. ... ...... ... G ................... ................................... :....... .. ... .... ......... ......................... . ..._..._...._.. .............C ..................................................... �' .......... .. .. ........................................................ ................................. ................................... .... ............ .. ..... /............. ..................................................................... ..... ..... ..... ...: .................................... .. .. ............ .. . ........................ .... .... .... ...._... _.......... ..... ...... .. ......... ..... ..... ..... . ......._............_................................... 10, SIGNED PLEASE REPLY F-I NO REPLY NECESSARY i 12/17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, PAGE 01 V/ JAGMINAS PLUMBING & HEATING INC . MASTER LICENSE 08820 P .O _ BOX 1613 . SAGAMORE BEACH , MA 02562 ( 508-888-3221 ) FAX # ( 508-888-3050 ) FAX TRANSMITTAL DATE COMPANY ATTN � FROM Gad PAGES TO FOLLOW, COMMENTS G 12/17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, PAGE 02 THE FIELD CONTROLS CO. CK-60 & 61 CONTROL KIT �s • t., •°.::�, it tWrryWlyy■�YYi ..n Ii l W •i•'��';}i• .ter'% DO NOT DESTROY THESE INSTRUCTIONS MUST AEMAIN WITH EQUIPMENT 41& MELD .. ONTROLS 2308 ,airport Road 0 Kinston, NC 28504 12/17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, PAGE 03 MODEL CK-60 i 61: 120 VAC SYSTEM CONTROL KIT INSTALLATION INSTRUCTIONS: Designed for use on SWG Series Power Vent Hoods for controlling oil-fired heating appliances with 120 VAC controls. Items included in kit: 1) Junction box with mounted pressure switch and solid state post purge control 1) 1 Ft. Length of V4 inch aluminum tubing 1) L4 inch tubing connector 1) Flexible conduit connector 1) WM0-1 Secondary Safety Switch (CK-al Only) MOUNTING JUNCTION BOX: The junction box can be mounted at the venter or remotely mounted away from the venter. (See Fig. 1 & Fig, 2) FIGURE 1 FIGURE 2 JUNCTION Box C 0 ° OldO I= • o �tra s swc VENTM 1. Remove one of the knockouts from the side of the junctlon box where the pressure switch Is mounted, Install the flexible conduit connector onto the CK-60& 61 Junction Box and secure with fastening nut. If remote mounting the CK-60 or 61 Junction Box, mount the flexible conduit Connector onto a 2"x 4",installer supplied Junction box. 2. Fasten the flexible conduit from the SWO Venter Into the conduit connector. Mount the CK-60& 81 Junction box or in- staller supplied Junction box onto the wall or floor joist without straining the flexible conduit,Fasten the CK-60 or 61 Junc- tion Sox through the four dimpled locations on the base of the box. (See Fig. 3) 12/17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, PAGE 04 PF43SJ:F- SW CH / FIGURE 3 POWs Ve4r X= Q CONDUIT ° I F'T.AWMNUM 'rllt WG 0 O O FIGURE 4 VENT poK OIL FIRED SECONDARY SAFETY SWITCH: (CK-81 Only) SECURING //--PIERCI Installation of a SECONDARY SAFETY SWITCH Is recommended for NUT smir,61A detecting flue gas spillage from a blocked flue system and/or Inadequate HOLE draft. 1. Pierce a 5/8" dia. hole Into the vent pipe near the appliance outlet. SAFETY Remove one of the securing nuts from the pipe of the safety switch. SWITCH DISTANCE CLOSE Tighten the other securing nut onto the pipe as far as possible (See AS POSSIBLE Figure 4). APPLIANCE 2. Insert the threaded pipe end into the pierced hole, then Install the securing nut, which was removed In Step 1,and tighten securely(See Figure 6). 3. Wire safety switch In series Into one side of the burner circuit. Refer to Unit Wiring Instructions. CAUTION: If for any reason the system has shut down during operation, VENT P" the cause of the system failure should be investigated and Corrected before FIGURE Ili resetting the safety switch and restarting the system, MINING NUT—X MFM 1WMA AP►LIAKE 3 12/17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, - PAGE 05 WIRING INSTRUCTIONS: Wire the venter motor and controls In accordance with the National Electrical Code, Manufacturer recommendations and/or applicable local codes. UNIT MUST BE GROUNDED. Check ground circuit to make certain that the unit has been properly grounded.The wiring should be protected by an over current circuit device rated at 15 amperes. CAUTION must be taken to insure that the wiring does not come into contact with any heat source.All line voltage and safety control circuits, n the venter and the appliance,MUST be wired in accordance with the National Electrical Code for class one wiring or equivalent methods, Route the venter motor and control wiring with an appropriate wiring method. Refer to the Wiring Diagrams A through C. I DIAGRAM A POST PURGE TIMER CONTROL (I to 5 Minutes) THERMOSTAT CAD CELL o ' jib c (TYP.) } I 1 HONEL R81840 LLBLACK ` 1 �1WHITE L2 FACTORY WIRING LINE VOLTAGE FIELD WIRING — FIELD VOELDLTAGE L4W VOLTAt3E * CI�NNGCTIQ NG GREEN/YELLOW BUZINER IGNITION 3W(li POWER yENTF.R E?Wmn140 PILLAGE SWITCH (OPTIONAL) 4 12/17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, PAGE 06 POST PURGE TIMER CONTROL (1 to 5 Miautes) DIAGRAM 8 CAD CELL THERMOSTAT t � 111 0 _ T T FF SWITCHING � t (TYP.) RELAY L2 ° 11 111 ° HONEYWEU its1 1 1 R8184G L, LT —'LINEOVOLTA,GENG MELD WI NG LINE VOLTAGE —PIE DOLTAGNG LOWFIELD WIRING CONNECTION DURNER IGNITION SWG POWER VENTER GBEEN/XF�IS�OW iiMO-1 SPILLAGE SWITCH (OPTIONAL) DIA43AAM C POST PURGE TIMER CONTROL (I to 5 Minutes) THERMOSTAT 1 1 ° WITCHING RELAY 0 1L1, � o I iI L Lz FACTORY WIRING LINE VOLTAGE Ll FIELD WIRING L2 UNE VOLTAGE FIELD WIRING LOW VOLTAGE t RNER GNITION SWO POWER VENTER WMO-1 SPILLAGE SWITCH aFy"/Ul_T OW (OPTIONAL) 5 12/17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, PAGE 07 PRESSURE SWITCH SENSING TUBE INSTALLATION: 1. Attach the Y4 inch tubing connector to the pressure tube on the SWG Venter, (See Figure 3) 2. Connect the supplied V4"aluminum tubing to the tubing connector. Route the tubing to the OK-80 or 81 Junction Box and connect the tubing to the pressure switch. When routing the tubing avoid kinkingthe tubing b bending the t sharply. g Y 0 tubing too For remote mounted CK-80 or 61 Junction Box,use a V4"OD copper,aluminum or plastic tubing and route the tubing to avoid contact with any heat source. Refer to the SWA Venter installation Instructions for setting system olrflow. PRESSURE SWITCH ADJUSTMENTS: PRESSURE SWITCH ADJUSTMENT With the venter air flow set and the ap- :MAZSEMPC P ESSURE pliance operating at the best operating FIGURE 8 JNCREASE SENSING.pfEc&A't efficiency, adjust the pressure switch by, rotating the adjustment screw clockwise until the burner shuts off, then rotate the adjustment screw NMWE MOM PaES"E counterclockwise until the burner fires. a UNTIL t sft1TS oFF.Tka Rotate the adjustment screw an adds- unrrIL euEA JUST COWS oK THEµ DEWEAM ACWStWNT tonal Y4 turn counterclockwise to in- a AN aaor<� OF A sure proper switch setting.(See Figure Tt 8) =SSURE SWITCH POST PURGE TIMING ADJUSTMENT: S'IME T MEW To adjust the post punpe time, nests the timer adjustment on the timer clockwise to Increase the operation FIGURE 7 time. To decrease the operation time, rotate the timer adjustment DECREASE INCREASE counterclockwise. (See Figure 7) TYpical post purge time should be bet- rr } b TIMER wean 3 to 6 min. s a 071 ADJUSTMENT a to SYSTEM CONTROL CHECK OUT PROCEDURES: 121 I. Adjust the thermostat to call for heat and observe 7� Fel - the' power venting' system for proper operation ILn sequence (Repeat It necessary). F07 a. Thermostat calls for heat b, Relay Is energized and venter motor starts, C. Pressure switch closes and burner starts, d. Thermostat Is satisfied, burner stops and venter motor should operate for approximately 3 to 8 minutes, 2. While system is operating,disconnect power to the venter motor.This should open the pressure switch contacts and stop burner operation. 3. (If WM0-1 switch Is installed)Allow vent system to 0001, Disconnect the vent pipe between the venter inlet and the ap- pliance outlet. Block the vent pipe with a noncombustible material. Activate the heating system with the main burner operating, Allow approximately 2 minutes or less for the secondary safety switch to deactivate the burner. Reset safety switch and repeat, 8 12i17/1997 13:00 508-888-3050 JAGMINAS PLMB + HTG, PAGE 08 TROUBLE SHOOTING HINTS: 1. Main burner does not fire when thermostat calls for heat with venter operating. a. Chock pressure switch adjustment. b. Chock fuel flow. c. Check wiring connections between pressure switch and burner. d. Check pressure switch for continuity across terminals,during venter operation. 2. Venter does not activate when thermostat calls for heat a. Jump wire the terminals L1 and M to ensure motor operation. b. Check wiring. 3. Flue gas odor. a. Check system draft. b. Check post purge venting time. c. Chock for negative pressure in building. MAINTENANCE: 1. Motor: inspect motor once a year, and motor should rotate freely, 2. Wheel: Inspect venter wheel annually, for oil fired heating systems, clear any soot, ash or coating which Inhibits either rotation or air flow. Remove all foreign material before operating. 3. Vent System; Inspect all vent pipe connections annually for looseness and for evidence of flue gas leakage. Seal or tighten pipe connections if necessary. DO NOT DESTROY THESE INSTRUCTIONS MUST REMAIN WITH EQUIPMENT INSTALLATION INFORMATION MODEL No,: INSTALLER'S NAME: INSTALLER'S COMPANY: INSTALLER'S PHONE No.., DATE OF INSTALLATION: 7 JAGMINAS PLUMBING HEATING INC . MASTED LICENSE #8820 P .O . BOX 1613 , SAGAMORE BEACH , MA 02562 ( 508-888--3221 ) FAX # ( 506 -888-3050 ) FAX TRANSMITTAL DATE L2 COMPANY ATTN L FROM (C."o PAGES TO OLLOW COMMENTS I 60 39Vd 'DiH + gW-ld SdNIW9Vf 0906-888-809 00:6I L66T/L VZI POWER VENTING SERVICE GUIDE (For Oil Fired Applications Only) PVAE SERIES VENTERS SWa SERIES VENTERS FIELDCONTROLS 2308 Airport Road * Kinston, NC 28504 TECHNICAL SUPPORT (800) 742-8368 01 39dd `9iH + SWId SdNIWJCI' 090E-84b-809 00 :ET L66T/LTIZT POWER VENTER SERVICE GUIDE L VIS ALL IN80mg-TTNE C'�NERAL 8YSTEM OPERATION: 1. The thermostat (wall thermostat, or aquastat) calls for heat starting venter motor. 2 After the venter motor has come up to speed, the pressure switch closes. This closes the circuit to the burner and allows the burner to operate. This occurs in approximately t to 2 seconds. 3. After the heating requirement satisfies, the thermostat circuit opens and deactivates the burner and power venter circuit. 4. Oil venting systems require a post purge device, During the post Purge period after the burner has shut off. This is to purge remaining flue g cycle the venter operates for n Longer chamber. Typical post purge times are 3 to 5 minutes. L gases and io cool the combustion on system Installation. r purge times may be required depending 111. INSPECT110N ANg MAINTENANCE MS• 1• Motor: Inspect the motor once a year. it should rotate freely. To prolong the life of the motor, lubricate with- six drops of SWG Superlube, Part 0 46226200,annually. Use of any other type of lubricant may cswse prem&tum motor failure. 2. Wheel: inspect the venter wheel annually to clear any soot, ash or coating which inhibits either rotation or air flow. Remove all foreign materials before operating. 3. Vent System: Inspect all vent connections annually for looseness, for evidence of corrosion, and for flue gas leakage. Replace, seal, or tighten pipe connections it necessary. Check the venter choke plate to Insure it is secured in place. Check the barometric draft control to insure the gate swings freely, 4. System Safety Devices: With the heating system operating disconnect the pressure sensing tube from the pressure switch on the CK Kit. This should stop the burner operation. Re-connecting the tube should relight the burner. Ill. BLUIRN� E�MD VgNTING 8YSTEM OPERATIONAL INF.__ ORMATION List the following for each operating appliance on the sidewall venting system, as a guide for tuneup or service information annually. DATE: [FOR OIL FIRED EQUOMENT 6VMr Nc 0 Sin 011 t3umar 0 Pressure Eme rd Vacuum Pressure Smoke Number Over-fire Draft E I I Outlet Flue des Temperature Co:M+awre-"M TT 39bd `9iH + HW7d SVNIWDVr 050£-888-805 00:£i L66I/LZ/ZZ INSTALL G12ADUAL CK IV. SYSTEM SETUP AND TEBTIPlG SWG REDUCER AT VENTED CONTROL POWER INLET, IF NEEDED KIT VENTER Figure 1 shows a typical oil fired appliance 9 tYP and the expected ranges of several BAROMETRIC readings taken at various locations In the DRAFT CONTROL GATE A system, Note: If a vent pipe reducer is HALF OFEIT$PPRpX. APPROX, 200'F MINIMUM MAXIMUM required, use a smooth walled gradual FILL SWING INLETaTEMPERATURE reducer. Place it at the venter inlet as 7�1 shown in Figure 1, APPROX, O.D4' W.C. DIFFERENTIAL I FOOT MINIMUM MAXIMUM ADXSTABLE VENTER ABOVE FINIiHEO EFFICIENCY INLET CHOKE PLATECRABE 1. Set the choke plate in the power AT ZERO SMOKE venter, or extension k1t, to its full open position. Set the draft — — control adjustment weight to Its = — \\ \\\\ MANUFACTURER'S =\\\\= midpoint position. SPECIFIED OVER- _ — \\\TEVA THE-FIRE DRAFT -\\\\_ 2. Adjust the thermostat so that the =_ — _ %Wam\ unit will run continuously. Allow the unit to operate for 5 to 10 TYPICAL OIL minutes to ensure stack FIRED APPLIANCE temperature stabilization. 3. Find out the manufacturer's Figure I recommended over-fire or breeching draft. Close the choke plate on the SWG until the draft above the draft control reads approximately 0.040 w.c, greater than the recommended breeching draft. Example: If the appliance manufacturer recommends a 0.02' breech draft, adjust the choke plate to get an approximate 0,06" draft above the draft control. Ao, 4. Adjust the barometric draft control to obtain the manufacturer's recommended draft over-fire or at the breech. The draft control gate should be open approximately half its full swing during normal operation. This allows the gate to swing open or closed depending on changes in atmospheric pressure or operating conditions. 5. If the proper draft can not be obtained at the breech or if the gate does not open as described, then adjust the choke plate in the SWG to reduce or increase the airflow. Re-adjust the draft control to obtain the required draft since moving the choke plate will change the system draft. 6. Once proper draft is achieved, measure CO,and smoke level. 9 necessary, adjust the intake airflow at the burner to obtain the hiahest possible CO, reading, with a zero smoke reading. As the intake airflow is increased or decreased, the draft may change. Repeat steps 3 through Q to wadjust the draft control and choke plate More attempting any other adjustments, 7. Measure combustion efficiency and exhaust gas temperature at the venter inlet. Combustion efficiency should be adjusted to maximum attainable at zero smoke. Exhaust gas temperature at the venter inlet should range between 200'F and 550"F. 8. If maximum efficiency and zero smoke yields a temperature below 200"F at the inlet to the venter, the following suggestions must be considered. A. Use a larger oil nozzle or higher oil pump pressure to relse the firing rate of the burner. Repeat steps 3 through 7 until all combustion parameters are within the specified ranges. B. Reduce the length of the duct from the appliance to the venter which will increase the venter inlet temperature. C. Insulate the vent pipe to minimize heat loss. d, Seal the vent pipe joints to reduce uncontrolled dilution air. ZT 39dd `JiH + SWId SdNIWDVf 050E-888-80S 00:6T l66T/E TIZT V. DRAFT C914TROL INSTALLATION NOTLI; In the event that an installer must make their own collar or use a generic Tee for mounting the draft control, certain considerations must be addressed. The collar must be long enough to provide for adequate movement of the gate without allowing the edge of the gate to protrude Into the smoke pipe. 11 the pivot is located below the center of the draft control gate, the upfiow of the products of combustion in a vertical flue strike the gate and will not allow the draft control to open adequately. Refer to Figure 2. This results in more air being drawn through the combustion chamber and fuel being wasted. If the pivot is located above the center line of the draft control gate, this same force c,$uses the gate to open excessively, thereby reducing the over-fire draft. in oil-fired furnaces or boilers this causes carbon deposits to form on the electrodes or the nozzle, as well as causing smoke to back up Into the room. The table below shows minimum collar lengths for the most common size draft controls. Minimum Collar Langths p1*ra1on W PROPER COLLAR TOO SHORT COLLAR TOO SHORT COLLAR DESIGN SEARING BELOW BEARING AOM CENTERLINE OF GATE CENTERLINC OF GATE Oran contra Size „A„ t ON 76 r RC 1 7/8' 2 ti/8' 1 yl$' M. 5' 6 1/4' 6 U, `� 1 1` 1 rt1 y 1 1 1 1 1 1 � ► � 1 1 1 ` 1 1 � 1 i Figure 2 VI. TROUBLE 8H0Q]ING QUJDE 11 Venter not A) Venter motor Dad. Jump wire terminals Li and M to activating on tut for motor operation, Replace Call for heat. if detective. B) Loose connection inside CX kit, Check internal wising for loose connections. c) Bad relay on cR-62 or bad relay/timer on CA-60/61. on a call With 120 VAC detected across A i a for heat, relay contacts 'J b 7 on the CM-69 or 1 0 2 on the CX- on CX-62 relay or across 4 A b on 60/61 should close so terminal K gets power to operate the venter CX-50161 relay/timer, make sure motor. terminal K Me 120 VAC to ground. If no voltage is present, replace relay or relay/timer. 2) Burner and A) Pressure switch not adjusted properly. Adjust pressure ignition not switch. starting on a call for heat 6) Loose connection tram pressure switch to burner and ignition. Check for loose connections. with venter operating. C) inadequate amount of vacuum to close pressure switch. Remove 1/4" tube from pressure switch. with venter operating, check vacuum to ensure vacuum is greater than 00" W.C. It not, consult factory. G) Bad pressure switch contacti. Jump wire pressure switch terminals. It burner operates, replace pressure switch. 8) Tripped WHO-1 switch. Reset switch. EZ 39Vd `EuH + SWId SdNIWDVf 050E-888-809 00:E1 L66i/LVZZ 3) Plus gas A) Not enough system draft. Long term effects may include Check system draft, Increase flow odor. premature motor bearing failure. from venter using flow damper. a) Power venter too small. Aster to power venter aiming information in the instructions. With oil fired systems the venter most be sized to max. *PH input not actual firing rate. Replace with larger venter. C) Not enough post purge tier. May cause premature motor bearing Post purge time should be 3 - 5 failure. minutes after burner shutdown. 0) Insufficient make/up and/or combustion air into the structure. Kofar to Make Up and/or Combustion Air Problems section is this manual. 4) Premature A) Venter too small• check venter sising. motor bearing failure. B) Post purge time too short or no post purge at all. post purge time should be 3 - 5 minutes after burner shutdown. C) Burner met up improperly. Could result in excessive soot Using combustion equipment, net up accumulation on the blower wheel in a short period of time. burner according to manufacturer's specifications. D) Not enough make up and/or combustion air. Aster to Make Up and/or Combustion Air Problem section in this "Anal. 6) petroleum based lubricant used instead of 8WO suparlube part I To prolong the life of the motor 46226200. other substances mixed with factory lubricated synthetic use only awe superlube part i oil could produce a reaction. This reaction could result in build 46225200. up in the motor bearings. d) Burner w) Venter too amali. Check venter sizing. cycles 0n and Adjust pressure switch. oft on call for 3) Pressure switch out Of adjustment. j heat. M110-1 A)) Check system draft. increaam flow from venter using 6)secondary flow deeper and adjust draft rY control. The draft control should safety switch remain open inwardly at a 30 degree a! trip* and draft angle or more during burner control remains operation. closed during burner Check venter sizing. operation, B) venter too small. 1) When using A) Boma appliances come equipped electronic primary controls that use a Field controls Company model the CK-60/51 produce a bleed voltage. This voltage is usually detected when the AJx-6 isolation relay. with a solid appliance is not calling for beat. it is enough to energise the state primary relay and turn on the venter. control, venter cycles on and Off when the appliance is not calling for heat. VI1. IHTEDNI�WIRING CK-62 CK-60, 61 INTERNAL HIRING INTERNAL VIRING L) M/1/60 L2 _*� POST Alit PRESSURE ,SPST PUNER VENTER � POWER PURGE S11. CH L 10/1/60 VENTER TIIiER 811 CK WHITE �r .. . I,�......... NCH['C`X`,lYl 1...8L ......,..3 4 GREEN ` (I '1'� PRESSURE GREEN '� T►Ti JAIR SWITCH _.__.._......_..._.._.._. APPLIANCE CONNECTION Ti T3 CONNECTION VT 3Jdd `DiH + HWId SdNIWDVr 050E-888-809 00:ET L66T/LT/ZT Vlll. MAKE UP AND/OR gQMQy$TlQN46 For the proper operation and venting of gas or oil heating appliances, a sufficient supply of outside air must be supplied to the structure to make up for the air lost from venting heating appliances, fireplaces, clothes dryers, exhaust tans and other buikitng air losses. Insufficient combustion air can cause major problems for proper draft and operation of both gas and off heating systems. For years It has been assumed that when a heating appliance was located In an unconfined area, that there was sufficient air for both ventilation and combustion. Today in most cases that Is not true) The reason is that with new construction standards for building insulation and energy efficient windows and doors reduced the amount of air changes per hour. The combustion and make up air requirements in the codes are based on 1/2 air changes per hour. For newer homes and conversion of electrically heated homes, the air changes could be reduced down to 113 or less air changes per hour. Air problems are usually most notable on the coldest days when heat loss is the greatest and there Is less of a chance that windows or doors are opened for an extended period of time. When installing new equipment or troubleshooting problem equipment,the first determination that needs to be made is the equipment located in a confined or unconfined space, In accordance with NFPA 31 and NFPA 54, an unconfined space Is defined as follows: UMQMNED SPACE• Any space whose volume is equal to or greater than 50 cubic feet per 1,000 BTU (or 20 BTU/Cubic Feet). This is calculated on the sum of the total input ratings of all fuel burning appliances installed in that space. Only areas connected to the space that have no doors or with fully louvered doors'can be considered part of the unconfined space. -Note: if the actual free area of the louvers is not known.Wood louvers are assumed to have a 20%to 25%free opening. Metal louvers or grills are assumed to have 60% to 70%free opening. Example: A room 30 foot by 30 foot with an 8 foot ceiling height. In that room a 10 foot by 10 foot storage room exists with a door that.is not fully louvered. Calculated space SOLID pools W x 30' = 9W sq.ft. 117 x 10, = 100 sq.ft. ----10' Net volume = (000 sq.ft. - 100 sq.ft.) " 8 ft. = 6400 cu.ft. Maximum BTU heating appliance allowed : 64=60 = 128,000 BTU 120.000 VIVER HEATING Since the maximum of 128,000 BTU is greater than the 120 000 APPLIANCE 9 , BTU/HR used, this space Is considered as an unconfined space. SOLID DOOR If this space was calculated as a confined space (less than 50 cubic feet per 1,000 BTU) provision to the room would have to be 30' made to allow a greater volume of usable air. To add air from an adjacent room, two openings between the room could be made 12 Inches above the floor and 12 inches below the ceiling. The size of these openings is based on 1 square inch per 1,000 BTU input. To add air directly from the outside of the structure, two openings could be made. The size of these openings Is based on 1 square inch per 4,000 BTU input. The above requirements are based on guidelines In NFPA 31 or NFPA 54, if operating In an unconfined space additional air can be added by a duct sized on i square Inch per 5000 BTU input. 9Z 39dd `91H + SW-Id SGNIWDVr 090E-888-809 00:8Z Lb6t/LI/zt IX. CHECKING FOR INSUEEICIENT AIR EROBLEMS• The above recommendations are based on a structure having at least 1/2 air changes per hour. Since current new construction and energy conservation practices stress tighter building construction, considerations of adding combustion air and make-up air become more Important. The need to determine 0 adequate air is supplied to the heating equipment, becomes more a requirement. Procedures to follow are contained In Appendix H of NFPA 54 code book or follow an abbreviated version below; 1. Visually Inspect the venting system for proper size and determine that there Is no flue gas spillage, blockage, restriction, leakage, corrosion, or other deficiency which could cause an unsafe operation. 2. Insofar as practical, close all building doors, fireplace dampers, windows, and all doors In area in which the appliance Is located. Turn on clothes dryers, any exhaust fans, such as range hoods and bathroom exhauster$ so they operate at maximum speed. Do not operate a summer exhaust fan. If, after completing Steps 3 through 7 it is believed sufficient combustion air is not available, refer to the National Fuel Gas Code A.N.S.I.2223.1, or any applicable local codes for guidance. 3, place in operation the appliance being inspected. Follow the lighting instructions and adjust thermostat so appliance will operate continuously. 4. Determine that the pilot or burner is operating properly and that the main burner ignition operates satisfactorily, by interrupting and re-establishing the electrical power of the appliance in any convenient manner. Test the pilot or burner safety device to determine if It is operating properly by extinguishing.the pilot or disconnecting the flame safety circuit. 5. Visually determine that the main burner Is burning properly; i.e.,no floating, lifting, or flashbacks. Perform a smoke test on oil-fired systems, the burner should operate at a zero to trace smoke. This can indicate reduced avaiiable combustion air to burner. 6. if appliances are equipped with high and low flame control or flame modulation, check for proper main burner operation at low flame. �. 7. Test for spillage at draft hood or barometric draft control opening and burner inlet air location after 5 minutes of main burner operation. Use a draft gauge, flame of a match or candle, smoke from a cigarette, cigar or pipe. If spillage occurs, adequate air Is not available. Shut off heating appliance thermostat and check for spillage or air flow reversal around the draft hood, barometric draft control or burner inlet air location. If a flow reversal is notice, house de-pressurization is occurring and make up air and combustion air is required. For oll-fired systems, this may be noticed by oil furne smell after the burner has been off for 5 to 10 minutes. 8. Turn on all fuel burning appliances within the same room so that they will operate at their maximum input, Then repeat Steps 5 through 7. 9. Return doors, windows, exhaust fans, fireplace dampers and any other fuel-burning appliances to their previous condition of use. 91 39bd `JiH + OW-1d SdNIWJdC 050E-888-809 00:ET L66TILTIZT X. MAKL UPICON TIO p 1= � i011IHLf CAU11 co JIFFM man xw 1) Ylue can or. suifur A) Air clew reversal through the vent system causing Add combustion and/or make up Smells after burner inoreosed noxile drip, shuts off. air. H) j�al2 yentino� Slight air flow reversal, oausing short post purge time and xncreose minimal nogsln cooling. Typically 3 to 5 minutes needed. combustion purge time and add oebuslSon and/or make up air. ( i Can happen on boilers with domestic hot water systems.) 2) Air flow reversal A) Cause* sulfur 110e118 in building. through the vent system Add combustion and/or male* up when burner is not H) eidewall yent4481 air, operating. 1) After power venter stops, face gas or sulfur smells in Add aomhu*tlon and/or make up the building. ale. .. x) Moisture buildup causing a freeze up of motor or blows Add combustion and/or make up wheel. freeze up of the and of the ressure *►nsing tubs. air. 3) VOtting Of the air After drip caused by air flow reversal through vent system. Add combustion and/or make up cube of the burner and coking or the nozzle. air. a Signs or soot around High negative pressure can causs spillage Of flue gases from Add combustion and/or make up or otheric openidraftngs eintrol opening in the vent system. or other openings into air. the v®nt system. 5) Repested and irsquent Changes In the combustion characteristic of the burner Add combustion and/or make u soot up of heat during operation caused by change* in available air to the p air.vxchapger. burner. 6) Nigh ©mounts•.ef Al Reduced or minimal••air flow through the vent system A eorro®lon in vent Causing high Condensation. ) Add combustion and/or make up system. air. H) Adjust or Increase air flow through vent system. H) System opsrating ih an anvironlsnt with Corrosive Add Combustion and/or make up materials. sir. NOTEi For more information refer to FORM WS 4199,4157,4129,4/55,4126, 4162, as well as the SWG and PVAE power venter instruction manuals. P/"46262000 Rev. A LT 39bd `9iH + SW-ld SGNIWJdf 080E-888-809 00:ET L66T/LT/ZT ' TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 247 246 GEOBASE ID 35605 ADDRESS 286 TOBEY WAY PHONE (508)778-0734 W. Hyannisport ZIP - LOT 11 BLOCK LOT SIZE DBA DEVELOPMENT ° DISTRICT HY . PERMIT 22117 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#19921) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 THE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY * BABNSTABM ; MA83. � OWNER MARKWOOD CORPORATION, 1639' A� ADDRESS 110 BREED'S HILL ROAD �ED SUITE 1.0 BUI=Q& ;PI N HYANN I S, MA BY DATE ISSUED 03/31/1997 EXPIRATION DATE THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINALS) Im A- , L DATA �L >NE•;C; ,. 1_`_:�t.�:sN::I:.LY __ .? t J. l'>~,'I>r+',I.�UF'i• 1a'N'1' 15..`.;'�'J�+ t', I'i` 4;K i 'T t 00 V t,'Ac r.. DWr;t,l. ,idr .�F:J_ 1't.±' . `+. ti `A i'E,:'s }_'i ' i;j i �'..'J'i:r`, A:r.'4J tii''�Jr�' .'tt�, : , ,,� �.,,✓�,: ',Tr Department of Health, Safety and Environmental Services )�•'t� 'r E�rJ "A, 1411.1b. AS& 1M6 AJ.JUR[I.1jS- Lt► ` •.�. t't: i I',i., rt0A1 MA'S BUILDING.DIVISION BY t;�iT�� '�� .�� i2/12/199-6 EXPIRATION DATE [.� �� . .� " ..... THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPJECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �mJG ' 0-.*1-lcrd 7/�Ze AL --3 ev,&v7G-' "View scv~.e-e_ G j~ 10, 2 2 2 / �S� w � / �� 1 HEATING INSPE TIO APPROVALS ENGINEERING DEPARTMENT 7 . 2 eqARq OF Fj kLTH OTHER: w,W SITE PLAN REVIEW APPROVAL. �L oILVU0 WORK SHALL NO PROCEED UNTIL PERMIT WILL BECOME NULL AND.VOID IF CON- INSPECTIONS INDICATED ON .HIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT TO D T� TIME n TAM P , PM H F AREA /CODE O OF!7�; NO. N EXT E m o E M s E s A M G p E SIGNED CALL PHONE BACK CALL RETURNED❑ SEE YOUO AGI AIN ALL❑ WAS IN � URGENT Fcom; Tim Pearson, Fax: (5eo)772-0770 To: Buddy iaain, Pax: 7�0-62_10 Page 1 of 1, Mon Dec 15 1997 11:32:a8- MEMORANDUM TO GENE JAGMINAS - JAGMINAS PLUMBING & HEATING CC BUDDY MARTIN - BARNSTABLE BUILDING DEPT. FROM TIM PEARSON - MARKWOOD CORP. DATE DECEMBER 15, 1997 LOG NO. 97:660 RE LOT 11, 286 TOBEY WAY, WEST HYANNISPORT As you know, you replaced this power vent. Please provide the Building Department with the specification information for the power vent that was installed, so that they can inspect it. The Building Department is awaiting your fax. TP:eh Via facsimile Law Offices of GOLLINGER & LANGONE, P.A. 106 Concord Avenue P.O. Box 136 Belmont, Massachusetts 02178 (617) 484-4555 Fax (617) 484-5155 John F. Gollinger C. William Langone November 24, 1997 Mr. Ralph Crossen Building Commissioner The Town of Barnstable Department of Health Safety and Environmental Services 367 Main Street Hyannis, MA 02601- RE: Walsh - 286 Tobey Way, W. Hyannisport, MA Dear Mr. Crossen: At the request of Thomas Walsh, enclosed please find copy of correspondence received from Markwood Corporation concerning the above-referenced matter. Very truly yours, C. William Langone angoneCWL/gr Enclosure �a MARMWD C O R P O R A T f 0. N 110 Breed's Hill Road, unit 10 e Hyannis, MA 02601 508/78-0734*FAX .508/778.07 70 Nwemberl3, 199? C.William ,Esg 106 Cbncord Aveme P.O.Boat 136 Belmom,mA n178 M Walsh-'286 Tway Way,W.HymuopM MA Dear Bill, 1�ia tstst tespa�too y�letserth�ISmtlly received via�imite. The Fig and email wrif�en sectiaos did not come cieariq. First,m tie>gmion of bow trio Ynaaat power veat a=talled,I spoken with the Bmlcfmg b2pector. He lvw laid me dmt ant ooiy to&e Fire Depmuem not responsible to cemmmmta approve or disapprove but also does not have ter cgtcsdst to do so. 713 is is the raapom-mil*of the Building DeparMoelL Ibis has been told amurom times to Tom Walsh Jr. Secondly,ws were going to occon modats the Walsba rigid away The con4wW waa wlednted to do what was needed,but Tom WRIT,Jr. raeh d in to do note I3e was not worried about the preseat Mt m bm slatted that he ds d wt wit the type of nown at alL Third.this va is dace mplady ott lea vwithow a" tnw»frrgtiace chumey. To do aay odor type oisy would be uwommcm ,fit the same time to this ioatrae wets boiw*built I did ave y similar ranch home is Sandwich the same way. If the Welshes arould I"to upgrade or chmV die venting of tbow baiter,I give dwm dse option of a a*& I the power vent&q bairn navy,bw*aPm to act them,Tboy would havrto pay far nay aditonl cast of the opgade. Thim wan relayed to Tom Walsh Jr. Bill,my de Wdobw here had have been mi&v and immediataip Cacld ym get back to sae ou whet amy watt to do? sincere - Tim Peason President Lop no.: 97:323 TOTAL F.L-127- Z 203 495 444 US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse Mto / Stfeet�&Number Post Office, te,& IP ode W - Postage V $ o2. 7 Certified Fee Special Delivery Fee LO Restricted Delivery Fee Return Receipt Showing to Whom&Date Delivered n Return Receipt Slowing to Whom, Q Date,&Addressee's Address 0 TOTAL Postage&Fees $ M Postmark or Date 0 LL Cl) a. If f Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service m window or hand it to your rural carrier(no extra charge). ai 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the Q) return address of the article,date,detach,and retain the receipt,and mail the article. cc L 3. If you want a return receipt,write the certified mail number and your name and address rn on a return receipt card,Form 3811,and attach it to the front of the article by means of the _ gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article II RETURN RECEIPT REQUESTED adjacent to the number. Q 4. If you want delivery restricted to the addressee, or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 000 I 5. Enter fees for the services requested in the appropriate spaces on the front of this I receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. li 6. Save this receipt and present it if you make an inquiry. 102595-97-13-0145 d I SENDER: I also wish to receive the ,v_ ■Complete items,I and/or 2 for additional sarvices. M w ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. d ■Attach this form to the front of the maiipiece,or on the back if space does not Z > 1. ❑ Addressee's Address permit. d I d ■Wnte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery N I 6 ■The Return Receipt will show to whom the article was delivered and the date TL c delivered. Consult postmaster for fee. 0 z 3.Article Addressed to: 4a.Article Number i E ` c��� 4b.Service Type r d o ❑ Registered ❑ Certified or W '�� ❑ Express Mail ❑ Insured c pa ❑ Return Receipt for Merchandise ❑ COD c 7.Date of Delivery z Z/ lq7 p 5.Received By:(Print Name) 8.Addressee's Address nlyi requested W and fee is paid) t g 6.Sign ture:(Addressee orAgen ~ 0 PS Form 3811, December 1994 102595-97-8-0179 Domestic Return Receipt '—Mj4 I I Mail UNITED STATES POSTAL SERVICE 4 , AMIN p m It Uj o CL CD 0 (lid • Print your narl"a ;s nd ZIP Cooet.j. n Town of Gamstauai Building Divis'lon 367 Main St. Hyannis, MA 02601 'rl-17�71 I 2 a-6 73 IME . . ; The Town of Barnstable ELAMSTMM 1 Department of Health Safety and Environmental Services ArFDMA'lp Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 19, 1997 Mr.&Mrs.Thomas D.Walsh 286 Tobey Way West Hyannisport,MA 02672 RE: M-247/P-246 Dear Mr.&Mrs. Walsh: It has been brought to our attention that a problem exists with the method with which the furnace vent system was installed at the above referenced location. I have spoken with your builder regarding this matter and he notified me that he is waiting for your approval to correct this alleged problem. Unless this matter is solved immediately this office has no choice but to remove the occupancy permit for this dwelling. Please call this office if any assistance on this matter is required. Sincerely, ti Al Ralph Crossen Building Commissioner RC:lb g971119a THE The Town of Barnstable BARNSTABLE, • 16A39.. Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner November 19, 1997 Mr.&Mrs.Thomas D.Walsh 286 Tobey Way West Hyannisport,MA 02672 RE: M-247/P-246 Dear Mr.&Mrs.Walsh: It has been brought to our attention that a problem exists with the method with which the furnace vent system was installed at the above referenced location. I have spoken with your builder regarding this matter and he notified me that he is waiting for your approval to correct this alleged problem. Unless this matter is solved immediately this office has no choice but to remove the occupancy permit for this dwelling. Please call this office if any assistance on this matter is required. Sincerely, Ralph Crossen Building Commissioner RC:lb g971119a -9/ , /00 , •'•.•.. Remember Lujean Printing for all your printing needs! 428-8700 0 4507 Falmouth Road (Route a8), Cotuit NOU-18-1997 08:28 FROM 5087760770 TO 7906230 P.02 MmavlooD C O R P O R A T I :O N 1.10 Breed's Hill Road, Unit 10•Hyannis, MA 02601 .508/778-0734•FAX 508/778.0770 November 3, 1997 C.Willi=Lattgoste,EX4 106 Couk;ord Avenue P.O.Box 136 Belmont,MA 02179 RE: Walsh-286 Tobsy Way,W.Iiyw=sport,MA Dear Bill, This is in response ib your letter drat I finally received via facsimar, The piftm and atwall wi%m gectiom did not come thr+o*clearly. First,on the question dhow tar P Pow Y"d is imWe4 I spolmu with*e B it ft He bw told me that ant only is the Fire Dept got responsible to=arena t,appruve or disappe"be also dose not bave the e*ettim to do ao. This is the responsibility of ete Buildiq This to bm told n=wm tium to Tam Waist Jr. fieomdly,we were Pb*to wCoam ochre She Waldw rood warm}'. The COOMWW wtme gcheduled to d®vtt was weeded,but Tom Walsk jr.MWGC*d us to do sot In& He was not vsonried abed 9be pr�i 87do thoht stated OW he did trot ward dtet type of system ai alL 'Third,this ven is done regularly 00 bums wiideout a-�mmowry type,&eplaae chitratey. To do may outer *'Pe of oamem would be mcommm At Ise same gm that Chia borne wag being built,I did a vay similar raacb home in Sandwich the sense way. If the Watebes mould like to%Wade or dke v of dwir boiler„I give the option of a credit for the power vent they have flow,here Men to accmodate%em They would have 10 pep„for ay akldit Gow cost of the uppmde. This was relayed to Tour Walsb 3r. Hill,any concerns dw Watches have had have been addressed immediably, Coald you het back to me on what tbcy wad to do7 Sincere i Tim Pearson President TP:eh Log no.; 97*323 HYANNIS FIRE DEPARTMENT 95 HIGH SCHOOL ROAD EXTENSION HYANNIS, MASS. 02601 PAUL D.CHISHOLM,CHIEF FIRE PREVENTION BUREAU LT. DONALD H. CHASE,JR. LT. ERIC HUBLER Inspector Inspector July 28, 1997 286 Tobey Way Side Wall Vent System The following items were found to be deficient in the installation of the boiler and side wall vent at the above address and reference the instructions at the end of this document: 1) evidence of burner malfunction and burned paint on outside of view port. see photo enclosed. (photo #1) 2) evidence of lack of high temperature sealant or aluminum vent tape on joints - pressure side of vent pipe. see photo enclosed. (photo #2) 3) evidence of vent termination not the required distance (1 ft.) above grade. see photo enclosed (photo #3) 4) evidence of distance to combustibles for the vent pipe not at the required measurement. see enclosed table. (item #4) 5) evidence of flooring timber cut to accomodate non-code metal sleeve around vent pipe. - Mass. State Building Code 780 CMR see photo enclosed (photo #5) The history of this problem goes back to the initial inspection for occupancy. While inspecting the property for new smoke detectors, I observed the oil burner tech working on the heating system. I noticed the items above and questioned the tech as to the burns on the outside of the unit. His reply was that the unit (new) had malfunctioned and created a fire in the fire box. He stated he had not done the initial installation but was there to fix the unit. Business 508-775-1300 Emergency 9-1-1 Fax 508-778-6448 I Gln 4 i � I t pg 2 cont. - 286 Tobey During a subsequent conversation with the engineer at Tjernlund Products, Inc., the manufacturer of side wall vent systems used in this installation, the above mentioned deficiencies were discussed. The engineer concurred with my findings and sent me the latest set of installation instructions. (REV. #6 5/97). The manufacturer of the side wall vent system, Tjernlund, does not recommend and stated that installation of the vent pipe inside a metal sleeve of this type does not reduce the distance to combustibles to 0 inches. In fact, the factory representative stated that an installation of this type is contrary to factory provided installation instructions sent with each unit. The recommendation of the factory representative is to change the vent pipe to an "all fuel" type of vent and then comply to the code as to clearance to combustibles. (see enclosed chart / table included on next page). From what I read, the clearance can then be reduced from 18 inches to 9 inches or whatever the manufacturer of the vent pipe recommends. I am still at a loss as to why, in the first place, a power vent unit was needed for this installation. The manufacturers requirements for installation are found on pages 4- 6 of the manual. (enclosed) The wiring of the unit follows on pages 8 -19. Similar installations of this type utilize the "SideShot" side wall vent system (SS1 & SS1 C) found in section 4 of Tjernlund full product manual. Our recommendation would be to either correct the deficiencies noted or to move the unit to take advantage of the existing flue and chimney in the other part of the cellar and re-install the unit there. If you need any further information, please don't hesitate to call. Lt. Donald H. Chase, Jr., CFI Fire Prevention Officer cc: file, bl . dept, Jagminas, 286 Tobey, State Business 508-775-1300 Emergency 9-1-1 Fax 508-778-6448 pg 3 - 286 Tobey PHOTOS and TABLES 286 Tobey Way photo #1 _ I y' j II^I 5 4 III N;n photo #2 a .. SEEE.. Business 508-775-1800 Emergency 9-1-1 Fax 508-778-6448 pg 5 - 286 Tobey photo #5 I 1 Business 508-775-1300 Emergency 9-1-1 Fax 508-778-6448 I NOU-18-1997 88:=8 FROM 5887730770 TC) 7906230 N.83 MEMOEAKQW TO RALPH cROSSEN cc BUDDY MARTIN FROM TIM PEARSON DATE = AUGUST 26, 19,9 LOG NO, 97:420 RE - POWER VENTT- LOT 11, 2)86 TOBEY WAY; W, H° MNISPORT To give you are update, the homeowners want to go from a power vent to a regular flue on their furnace. This Is the main problem. The questions the Fire Del)8 ent came up with are so close that all Jagminas has to duo is change the brand of power vent to resolve all questions with specs. Hopefully, this will be resolved within two weeks. i will keep you updated. 1`P:eh Via facsimile pg 4 - 286 Tobey photo #3 RS , table x clearances to combustibles Z223.1-57 VENTING OF EQUIPMENT 54-57 Table X Clcarances for Connectors Minimum Distance from Combustible Material Listed Type L Listed Type B Vent Single-Wall Factory-Built Equipment Gas Vent Material Material Metal Pipe Chimney Sections Listed equipment with draft hoods and equip- ment listed for use with- Type B Gas Vents as listed as listed 6 inches as listed Residential boilers and furnaces with listed gas conversion burner and with draft hood 6 inches 6 inches 9 inches as listed Residential appliances listed for use with type L cents not permitted as listed 9 inches as listed Residential.incinerators not permitted 9 inches 18 inches as listed Listed gas-fired toilets not permitted as listed as listed as listed Unlisted residential appli- ances with draft hood not permitted 6 inches 9 inches as listed Residential and low-heat equipment other than those above not permitted inches 18 inches as listed %tedium-heat equipment not permitted not permitted 36 inch s as listed For JI units: I inch=2.54 cm *These clearances shall apple unless the listing of an appliance or connector specifies different clearances.in which case the listed clearances shall apply. �. Business 508-775-1300 Emergency 9-1-1 Fax 508-778-6448 i // t �� `i // �� l� x ,� -� HOV-19-1997 09:29 FROM 5397780770 TO 7906230 P.01 MM-�KVIWQ. G O R ' P O R A T 1 0 N 1 I O Breed's Hill Road, Unit 10 9 Hyannis,MA 02601. 508/778-0734 o FAX 5081778.0770 FACSIMILE TRANSMITTAL TO FROM FACSIMILE: (508) 778-0770 DATE DISTRIBUTE COPIES TO : COMMENTS Coeel h/",Jo-, TRANSMITTINV PAGES, INCLUDING TRANSMITTAL SHEET. IF THERE ARE ANY PROBLEMS, PLEASE CALL (508) 778-0734. THANK YOU. pg 4 - 286 Tobey photo #3 �n w table x clearances to combustibles Z223.1-57 VENTING OF EQUIPMENT 54-57 Table X Clearances for Connectors Minimum Distance from Combustible Material Listed Type L Listed Type B Vent Single-Wall Factory-Built Equipment Gas Vent Material Material Metal Pipe Chimney Sections Listed equipment with draft hoods and equip- ment listed for use with- Type B Gas Vents as listed as listed 6 inches as fisted Residential boilers and furnaces with listed gas conversion burner and with draft hood 6 inches 6 inches 9 inches as listed Residential appliances. listed for use with type L sents not permitted as listed 9 inches as listed Residential.incinerators not permitted 9 inches 18 inches a,listed Listed as-fired toilets not permitted as listed as listed as listed Unlisted residential appli- ances with draft hood not permitted 6 inches 9 inches as listed Residential and low-heat equipment other than those above not ermitted g inches 18 inches as listed \tedium-heat equipment not permitted not permitted-----a 36 inches as listed For 51 units: 1 inch=2.54 cm 'These clearances shall apple unless the listing of an appliance or connector specifies different clearances.in which case the listed clearances shall apply. Business 508-775-1300 Emergency 9-1-1 Fax 508-77 -8 6448 REV. 6 5/97 ® TJERNLUND PRODUCTS, INC. 1601 Ninth Street•White Bear Lake,MN 55110-6794 T PHONE(612)426-2993•(800)255-4208•FAX(612)426-9547 Onri 1 p FOR NATURAL GAS, LP OR OIL MODELS HSUL-J HST-J UO L HSUL-1 HST-1 HS115-1 HSUL-2 HST-2 H S 115-2 OWNER INSTRUCTIONS, DO NOT DESTROY Recognize this symbol as an indication of important Safety Information! NOTE: FLUE GAS TEMPERATURES MUST NOT EXCEED 600OF AT VENT SYSTEM INLET. A WARNING THESE INSTRUCTIONS ARE INTENDED AS AN AID TO QUALIFIED, LICENSED SERVICE PERSONNEL FOR PROPER INSTALLATION, ADJUSTMENT AND OPERATION OF THIS UNIT. READ THESE INSTRUCTIONS THOROUGHLY BEFORE ATTEMPTING INSTALLATION OR OPERATION. FAILURE TO FOLLOW THESE INSTRUCTIONS MAY RESULT IN IMPROPER INSTALLATION, ADJUST- MENT, SERVICE OR MAINTENANCE POSSIBLY RESULTING IN FIRE, ELECTRI- CAL SHOCK, CARBON MONOXIDE POISONING, EXPLOSION, OR PERSONAL INJURY OR PROPERTY DAMAGE. D• NOT DESTROY. READ CAREFULLYKEEP,• • : • . FUTURE REFERENCE".. Copyright 01997,Tjemlund Products, Inc. All rights reserved. PM 850-0738 HOO-19-1997 09:29 FROM 5087780770 TO 79a52ZO P.aa MANDUM TO TOM WALSH JR. CC GENE JAGMINAS FROM TIM PEARSON DATE AUGUST 25, 1997 LOG NO. 97:421 RE POWER VENT- LOT 11, 286 TOBEY WAY First, I wart to make it clear that all problems and comments must be addressed in writing. At the time of the closing,your Attorney, ®RI Langone, agreed that this would be done so as not to have any confusion Over any and all concerns. For example Tom,you told me that the Fee Department just happened to stop by to do an inspection. This visit occurred even though they signed off on the home. Gene Jagnfts was told by the Fire Chief that this call to come to the home was in reference to a call made by you or yaw parents on the odor from the system, two totaly cwerert stories. Now the claim is that Gene Jagminas told you most heating contractors;refuse to Install a power vent because of the wmg It creates and because of this comment, i as a binder Should have told you this. Even if it would have cost you up to$3.000.00 more, you should have imtown, in taitdng to Gene Jagminas he never said this. In my opinion he said without a masonry fireplace the route to go is a power vent, which You have and he has installed in numerous homes. Again,a different story. I installed the exact some system on a very similar Ranch at the same time this home was tieing done , They have no problems. These are the proposed sokdions that we have: 1- Replace power vent with other one as outlined to you. 2. install a triple wall metal chimney either inside through a closet or outside along the home. If you choose number two a credt of$400.00 can be given for the power vet that you don't like. any and all other casts you wig pay. I look forward to hearing from you. TOTaL P.ea - N o U) co vp a . � •ps Qom' '��' • LOT it EO DISTURB AREA TOTAL : 27950 f S. 7e'S4,0/ ► E WETLAND: 580 + S.F. " ► /00,00• a ► N ► 3 66•t ORAINAo —�'50•: ► fASEyENT �try mo ' 1 ► � O CONCRETE ► FOUNDATION ( f 0 0 . .w ter' °'• a� o? 82..73• N R•ST,SO 1�1•ol pp ' 00 w 5h= T OBEY. ZONE R B I CERTIFY THAT TO THE BEST OF MY PROFESSIONAL KNOWLEDGE. INFORMATION AND BELIEF THE DWELLING SETBACKS SHOWN HEREON CONFORMS TO THE HORIZONTAL SETBACKS FRONT - 20'- OF THE ZONING BY-LAW FOR THE R-B DISTRICT. SIDE - l0• REAR - l 0' tHOf PROPERTY LINES SHOWN HEREON r rep' Ci. �yG WERE COMP I LED FROM AVAILABLE FRANK r PLANS OF RECORD AND DO NOT � 1NHITING N .� No.29869 Q REPRESENT AN ACTUAL SURVEY �Q A` ON THE GROUND. �►STEaD441 LAI} � _el �I -(- PLOT PLAN THE DWELLING DEPICTED ON THIS PLAN WAS LOCATED ON THE GROUND 7 IN BY SURVEY ON JAN. 6. 1997 AND BARNSTABLE. MASS. EXISTS AS SHOWN AS OF THE DATE OF LOCATION. SCALE: I'-40' JAN. 8. 1997 THIS PLAN IS FOR PLOT PLAN EAGLE SURVEYING 8 ENGINEERING.INC. PURPOSES ONLY'AND NOT FOR $23 Route BA RECORDING. DEED DESCRIPTIONS Vdrxouthport. RA. 02e7S OR ESTABLISHING PROPERTY LINES. (508) 362-8/32 (508) 432-5333 THIS PLAN IS VOID IF NOT STAMPED AND SIGNED IN RED, 0 20 40 80 PROJECT NO. 95-240-11 JQ!�e Assessor's Office(1st floor) Map Parcel Permit# Conservation Office(4th floor)(8:30- 9:30/ 1:00-2:00) Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:45)/�4Vf /a-I/ fG ClFee (� 61 Eng' ring Dept.(3rd;floor) House# 114E Pla ' Dept.(1st floor/School Admin. Bldg.) efi iti Plan Approved b Planning Board u x 19 �/. SEPTIC SY T BE PP Y g _ IN� ANCE TOWN O BARN, STAB N CODE ANu �%.' Building Permit Ap lication TO GULATIONS z7W�� Pject Street ddress � V6,V Village _Owner (� Address y Telephone � .:Permit Request 7- �' / G i ,First Floor � � square feet Second Floor — square feet Estimated Project C st $ 2 ?j Zoning District 4C :"/ Flood Plain Water Protection Lot Size 0?7ccs- Grandfathered ? Zoning Board of Appeals ?uth rizatio Recorded P Current Use J/` / - Pro osed Use /b� �- Construction Type C!i Commercial Residential C� Dwelling Type: Single Family Two Family Multi-Family Age.of Existing Structure - Basement Type: Finished Historic House _ Unfinished Old�King's Highway Number of Baths Q� No.of Bedrooms Total Room Count(not iincludin baths)) First Floor Heat Type and Fuel/— Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other / ilder Information Name 4Ll y!7 Telephone Number Address `J J License# 6VS� Home Improvement Contractor' # Worker's Compensation# Wl. AA-,l NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)jSHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESU T G FRO HIS OJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED • { MAP/PARCEL 4N0. ADDRESS -A r VILLAGE OWNER a a f DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` PLUMBING: RC ( FINAL - GAS: RC '+.�► FINAL ogFINAL BUILDING v DATE CLOSED OUT — ASSOCIATION PLAT ' M ` r t t ��''tel: , � � • i 3 � ' f 5. Power Venter to vent pipe connections and all joints on the outlet side of the Power Venter must be sealed with high-temperature silicone sealant or aluminum vent pipe tape to prevent flue gas leakage,(See Diagram E). 6. Oil installations gguire the use of a barometric draft control. Draft control must be installed between the appliance outlet and the Power Venter inlet,(See Diagram E). Oil installations should use the same diameter pipe on the inlet and discharge side of the Power Venter. 7. Allow for a minimum straight section of pipe equal to 3 times the diameter of the vent pipe being used when installing elbows on the discharge side of the Power Venter. For example,if using 4"pipe,allow for 12"of straight pipe before using an elbow,(See Diagram F). DIAGRAM E DIAGRAM F ALL SEAMS ON THE POSITIVE POWER VENTER SIDE OF POWER VENTER TO BE ELBOW SEALED WITH HIGH TEMPERATURE SILICONE CAULK EL80W DIRECTLY ON NEGATIVE POSITIVE PRESSURE PR SURE DISCHARGE PIPE DRAFT CONTROL LOCATION 0 o 0 APPLIANCE POWER VENTER MOUNTING 1. Slide the outlet of the Power Venter over the inner sleeve of the Vent Hood and connect them together using a tapered transition fitting if necessary, (See Diagram G). If you are unable to make a direct connection to the Vent Hood,vent pipe may be installed between the Power Venter and Vent Hood. However, all vent pipe connections after the Power Venter must be sealed with high temperature silicone caulk or aluminum vent pipe tape to prevent flue gas leakage, (See Diagram E). 2.To facilitate installation and reduce vibration we have included 2 mounting brackets,2 rubber isolaters and 2 rubber grommets.One of the brackets may be used temporarily as a"third hand"while positioning it for permanent installation. 3.When installing the Power Venter for horizontal mount, install one of the brackets to the electrical box using the nuttscrew provided. Install the other to the damper rod as shown below. When installing the Power Venter for vertical mount,only one bracket is needed. This bracket should be mounted to the motor as shown below. Temporarily support the Power Venter using wire or a ladder and assemble the mounting brackets, (See Diagram H). DIAGRAM G DIAGRAM H FLOOR- .II'II:1 INSIALLER SUPPLIED PLUNAIER'S o STRAP FOR RIZO.TA1. J N1AIN1 HI I - �^ MOUNT 4. Verify required vent pipe diameter from"Power Venter Selection"on Page 1. Verify that a full sized barometric control has been installed on appliances not equipped with a draft hood or draft diverter. 5. Install properly sized vent pipe sections from Power Venter inlet to appliance outlet avoiding elbows wherever possible, using only tapered transitions. In most cases a reduction in vent pipe diameter from that of the appliance flue outlet will,be necessary. 6. Using four holes as guides, attach vent pipe to Power Venter inlet collar using sheet metal screws. 7. Support vent pipe in accordance with vent pipe manufacturer's instructions. P 8. All necessary vent pipe connections after the Power Venter will be under positive pressure during operation.These connections must be sealed with high-temperature silicone sealant or aluminum vent pipe tape supplied by the installer, (See Diagram E). 6 POWER VERIFY POWER VENTER MODEL SELECTION USING TABLES ON PAGE 1. CODE REQUIREMENTS The Power Venter installation must be done in accordance with the following requirements of the latest Edition of the National Fuel Gas Code(NFPA#54): • All portions of the vent system under positive pressure during operation (on the outlet side of Power Venter) shall be designed and installed so as to prevent leakage of flue or vent gases into the building, • All appliances must enter the vent system on the inlet side of the Power Venter, • Provision shall be made to interlock the appliance(s)to prevent the flow of gas to the main burners when the draft system is not performing so as to satisfy the operating requirements of the equipment for safe performance. See"Electrical Wiring"section of this manual for details. INSTALLATION RESTRICTIONS DIAGRAM A 1. Power Venter must be installed as close as possible to the termination of the vent system to obtain optimal appliance efficiency and to prevent flue gas leakage, (See Diagram A). 2.The Power Venter may be mounted in any position as long as the shaft of the motor remains horizontal,to prevent motor bearing wear and to ensure proper Fan Proving Switch operation, (See Diagram B). OIL HOLES 0 Q . 0 MOTOR O SHAFT PRESSURE VERTICAL SWITCH DIAGRAM B ® HORIZONTAL I I HORIZONTAL VERTICAL DISCHARGE DISCHARGE WRONG 3. The Power Venter housing is single wall. A 6"clearance to COMBUSTIBLE MATERIAL combustibles must be maintained for gas and 18"clearance for oil DIAGRAM C applications, (See Diagram C). If the appliance nameplate speci- Z z fies a vent connector clearance greater than 6 inches,the greater : clearance must be used. Refer to NFPA#31 for Oil Burning a o Equipment. J NOTE: Clearance to combustibles may be reduced. Please refer to < Clearance Table VI in NFPA#54 and your local code authority. Q ° :2 ° POWER VENTER 6" GAS MIN. O O o0 0 4. Vent pipe transitions,where necessary,must be gradually tapered, Uj m s" cIL MIN. o (See Diagram D). V) �� D .O m 0 U Z Z DIAGRAM D CID UD COMBUSTIBLE MATERIAL 5 iINSTALLATION VENT SYSTEM TERMINATION Before installing Power Venter determine location of vent system termination. TOOLS REQUIRED •Saber Saw or Cement Drill •Drill •Wood or Masonry Chisel •Blade Screwdriver or 1/4"Nut Driver • 1/8"and 1/4" Drill Bits •Wire Cutter/Stripper A WARNING For oil installations do not terminate HS-Series Power Venters on vinyl siding because temperatures can easily exceed 150°F. The SideShot@ is the only Tjernlund Power Venter recommended for termination on vinyl siding when using oil. NOTE: Termination of a Side Wall Vent System with a device other than the Tjernlund VH1 Series Vent Hood could affect system performance and result in a possible safety hazard. Consult Vent Hood instructions for complete installation details. If possible, locate the Vent Hood on a wall that does not face the direction of prevailing winds. This will diminish the possi- bility of appliance interruption during periods of extreme winds and prevent oil odors caused by backdrafts. If possible, locate the Vent Hood no closer than 3 feet from an inside corner of an L-shaped structure. CODE REQUIREMENTS Terminate the vent system so that proper minimum clearances are maintained as cited in the latest edition of the National Fuel Gas Code(NFPA#54) and the latest edition of NFPA#211, as follows: • Not be less than 7 feet above grade when located adjacent to public walk ways. • At least 3 feet above any forced air inlet located within 10 feet. • At least 4 feet below, 4 feet horizontally from or 1 foot above any door, window or gravity air inlet into any building. • At least 12 inches above grade. • So that the flue gases are not directed so as to jeopardize people, overheat combustible structures or enter buildings, and • Not less than 2 feet from an adjacent building. 00 SIN A SIN TJERNLUND VENT HOOD TJERNLUND VENT HOOD MUST SpF IN MUST BE MOUNTED FIT BE MOUNTED ONE FOOT MINIMUM 4 4 FEET MINIMUM AWAY ABOVE DOORS AND WINDOWS HORIZONTALLY FROM DOORS AND WINDOWS k TJERNLUND VENT HOOD E k, y11N D R , � PNN�DtD P �E pIR M' TJERNLUND VENT HOOD MUST ah \ �VAI fall BE'_OWUNIED WINDOWS. FEET MINIMUM HE FD0RPDE DeD�E A -�2 4 Maloney Kathy From: Schlegel Frank To: Maloney Kathy Subject: RE: address help Date: Tuesday, January 07, 1997 10:55AM Kathy, This change was a result of a resubdivision of this area. Map 247 Pcl 246 is now#286 Tobey Way,Hyannis. It is OK to change your records. These corrections would come through to your files if only Info Systems would roll over the updated info from our accounts to yours! From: Maloney Kathy To: Schlegel Frank Subject: address help Date: Tuesday, January 07, 1997 8:48AM Priority: High Lot 11 Tobey Way, Hyannisport You folks said map/parcel 247/246 and street#286. My database has street#274 attached to that map/parcel no. Page 1 Id -r TLC : NT_U.EVATl0_hl-_- SCKE DATE 508.428.6191 l4Sevl i n -�semirsanrcit @ u s to m u es Igns Copyright 1994 All Rights �y{ Res ery etl w J —LE F -VUY' T -Fq — j to _ p Prefrmtnary plans and layouts by OC.D.are for the use of their customers oniv An..nrn.r S 1 { �I 'i I" as.0 iupa. ._.....—KEnR ECEV1STf�r7` ,� SDALE DATE __-- \ N 508.428.6191 -- (Aevi i n occ.:xwT nca.,rQaT _:. @ustom COPY fight[O fr ht o 1994 All Rghts .. Reserved Twr Preliminary plant and layouts by OC.O.afe for'the use of their Customers Only.Any other use is St fittly prohrbite n -yo' i 0 ' � 701 . I Q SU.LE DATE l 508.428.6191 Y&q ns — -—._...... Calevl i n - l @ustom b a esigns copyright O 1994 N All Rights Nj Reserved ILU OD �' mo .. .:..... ... ix z preliminary plans and layouts by DC.D.are for the use of their customers only.Any other use a strictly proniDrte - I r — 1e ,m�rrhEu _.._ o Il I q I f 1 — I _mom __-t7 �noar - <w - i eo8•428•6191 v 6ustom ,ttfib7N9 p esigns a�.tr�,npctiw.fs._.. . Copyright O 199I 'y, y v All Rights p 1 RtilfylC ' i J ;^ .0 .. ..To. ! c'a. -. ,vaf...... :-Na:... .. 41.o.... aa•. ..,_. �o... :..... :.... ....:.: .to,o'..:... _......:..........,...- av,• � � i'�� preliminary plans and layouts by DC D.afe for the use of their Customers only.Any other use is strictly prohrbite I — ►uta"5mw4t:�f=_:_:__._.__...._ �. ,.. :uPo�t['iSthtitLi'__—_—'..-- I , ETmI'7i-Q''t-tcc'�-e . Ivy t - - • '' — scA DATE worti 4nuC._.._. 508.428.6191 �t 71:301/CKXMML" IN - i (Eo STOn1 J 'u esigns . COPYtight tiaYYtiY®[T_ All Rights PI Reserved ..nur�traMAaXlU--4 __- - _. �ria� I -7- —aofa�cr�-- Preliminary plans and layouts by DC.D.Are for the use of their customers only.Any other use is Sl,ictl rohibite I HAMLYN CONSULTING 70 Hilary's Cartway, Brewster, KA 02631 Phone & Fax: (508) 304-5803 November 6,4996 Barnstable Conservation Commission Barnstable Town Offices 367 Main'Street Hyannis, MA 02601 Reference: Wetlands File No. SE 3-3085 Markwood Corporation, Lot 11 Tobey Way, Centerville Dear Commission Members: Enclosed please find the receipt for recording the Order of Conditions at the Registry of Deeds. Yours truly, (5 Lynne Whiting Hamlyn Environmental Consultant cc: Markwood Corporation Conservation Commission Issued By so—aaa*sl This Order must be signed by a majority of the Conservation Commission. October' 19 9r . before me On this 18th day of Audrey Olmstead . to me !mown to be the personally appeared person described in and who executed the foregoing instrument and acknowledged that he'she executed the same as hislher free act and deed. MYC011 1ISSION EXPIRES SEPT.27.2002 • ��� My commission expir Notary Public es '*'we licant,the owner.any Person aggrieved by this Order.any owner of land abutting the land upon which the proposed applicant. ereby notified nf their work is to be done or any ten residentight s eQu�tyty-or tE gineering to Tissue a Superseding Ord rovidm6 the request is to request the Department of Environmental the date of issuance of this Order.A COPY made by certified mail or hand delivery to the Department wiail or thin de4 d ery to the Conservation Commission and the apP cant. of the regno,t shall at the same time be sent by certified nz Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. To Barnstable Conservsition Commission(Issuing Authority) Lot 11 Tobe v Wav. PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT AT W. Hyannis port , FILE NUMBER GF� �n4� . HAS BEEN RECORDED AT THE REGISTRY OF E3k 1 0469-3 .2 63379 .._ 9��6 x 12 = 04 ON (DATE) 1 —�r-� 1 If recorded land. the instrument number which identifies this transaction is If registered land. the document number which identifies this transaction is v Signed App4icant �� J 23542 ' P Q U D �s�acf. = a a; EPARTMENT OF PUBLIC SAFETY 2 3 5 4:a ' ONE ASHBURTON PLACE, RM 1301 B0 TON, MA 02108-1618 1 3 Q i�[ 3 2 CONSTRUCTION SUPERVISOR LICENSE , Number: Expires: � " Restricted To: 00 TIMOTHY PEARSON m _ peach bottom, fold sign on POBX 519 ;back, and laminate license card. CENTERVILLE, MA 02632 =-`. :;_.Keep top for receipt and change .. �-of address notification. � �fze 'Pa7nmo�ruueaCC�i a�✓L�1ac�au;:etl<i I - - ----_---- 23542 L^3 5 4^ Q �= Restricted To: 00 DEPAR 011 OF PUBLIC SAFETY a% CONSTRUCTION SUPERVISOR LICENSE 00 - None Number: FYpires: 1G - 1 & 2 Family Homes Festric,ed To: "5 Failure to possess a current edition of the Hassachusetts State Buiilding Code �THO" 'sn.",SOR is cause for revocation of this license.POK CENTFRVT'r•F, HA 02632 COMMONWEALTH OF "SACHUSETTS DEPAJUMENT OF 11NDUSTRIAL ACCIDF_NTS 600 WASHINGTON STREET ames Ca-.=ec BOSTON, MASSACHUSETTS 02111 � �pr.;'�:SS+One• _ ORKERS' MPENSATION INS CE AFFIDAVIT (licensce]pctminee) with a princi al plan busi :7ira v J/ (CirylScatclL:p) do hereby ccrrify; under the pains and penalties of perjury, that: l am an employer providing the following workers' eompensaaon coverage for my employees working on this job. 62L �J - (�Y Insurance Company Policy Number [j I am a sole proprietor and have no one working for me. [] I am a sole proprietor,general contractor or homeowner(circle one)and have hired the eontraors listed b=ow who have the following workers'compensation insurance police" Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Corripany/Poliey Number I am a homeowner performing all the work myself. NOTE Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on dwc'ling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto arc act gcoerJ• considered to be employers under the Worken'Compensation Act(GL C 152,seen 1(5)),application by a homeowner for a licc+sc Of permit may Mdence the legal tutus of an employer under the Workc.s'Compensation Act_ 1 undcrstznd that a copy of this statement will be forwarded to the Dcpu-s.:cr.:of Industrial Aeddcna'Ofnec of lnsu=cr for eovcaE: vc-i:ic:tion and that failure to secure coverage as required undo Section 25A of.MGL 152 can lead to the imposition of criminal pc.::_rs consisting of a fine of up to S1500.00 and/or imprisonment of up to one yc and OM penalries in the form of a Stop'07ork Order a:� fine of S 100.00 a day against mc. Sifncd this day of_ 0,0, , 19 ------------ ---- Licc:uor/Pcrniirtoi 7. - 3t0 CMR 10.99 „x -...Form 5 = OEOE SW No. SE3 3085 (To ae a woo ay oEOEi Barnstable Commonwealth ° City.Town : of Massachusetts i ZMAM ? Markwood Corp. H. .: •a� n' t659. Order of Conditions Massachusetts Wetlands Protection Act G.L c. 131, §40 TOWN OF 13ARNSTABLI3 OFMMNCBS, ARTICLE X vII From Barnstable Conservation contmissinn TO Markwood Corporation Funding'Services, Tn c. (Name of Applicant) (Name of property ownerl 110 Breeds Hill Rd. 1600 Falmouth Rd. Address Hyannis, MA 02601 Address Centerville, MA 02632 Map Number 247 Parcel Number 246 This Order is issued and delivered as follows: ❑ by hand delivery to applicant or representative on (date) by certified mail.return receipt requested on October 18, 1996 (date) This project is located at Lot 11 Tobey way, w. Hannisport The property is recorded at the Registry of Deeds in Barnstable• Book 9048 Page 270 Certificate(if registered) The Notice of Intent for this project was filed on SEptember 11, 1996 (date) The public hearing was closed on October 16,1996 (date) Findings The Barnstable Conservation commiqcidnn has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project.Based on the information available to the Commission at this time.the Commission has determined that the area on which the proposed work is to be done is significant to the following interests in accordance with the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the Act(check as appropriate): ❑ Public water supply Flood control ❑ Land containing shellfish ❑ Private water supply 0'**'Storm damage prevention ❑ Fisheries ❑ Ground water supply ❑-Prevention of pollution Ga""Protection of wildlife habitat Total Filing Fee Submitted $250.00 State Share— $112.50 CltylTown Share $13 7.50 (Y:fee in excess of SZS) Total.Refund Due S CityfTown Portion S State Portion S ARTICLE 27 only: rh total) (W total) ---.— ❑ Public Trust Rights '❑ Agriculture' Grimsion control ❑ Aquaculture ❑ Recreational Effective 11/10/89 ❑ Historic Q*'Aesthetic Therefore, the Barnstable Conservation Commission hereby finds that the fcllowiuq conditions are necessary, is accordance with the performance standards set forth in the regulations, to protect these interests checked above. The Commission orders that in work shall be performed accordance with said conditions and with the Notice of intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice , of Intent, the conditions shall control. . General Conditions: 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this order. Z. This order does not grant any property rights or any exclusive Privileges; it does not authorize .any injury to private property or invasion of private rights. 3. This order does not relieve the permittee or any other person of the ascsssity of complying with all other applicable federal, state ar local statutes, ordinances, by-laws or regulations. 4. The work authorized hereunder shall be completed within three Years from the date of. this order unless either of the following apply: a) The work is a maintenance dredging project as provided for in the Act; or b) The time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance and both that date and the special circumstances warranting the extended time period are set forth in this order. i S. This order may be extended by the issuing authority for ons or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the order. i 6. Any fill used is connection with this project shall he clean fill, containing no trash, refuse, rubbish or debris, including but not Limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts of any ' .of the foregoing. g g 7.. No-work shall-be undertaken until all administrative appeal r periods from this order have elapsed or, if each an appeal has ' been filed, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land court for the , ff district in which the land is located, within the ahafn of title of the affected property. In the case of recorded. land, the Final order shall also-be noted in the Registry•s Grantor index ender •th name of the of the k is be land work upon 'c nod up which the P�po to be done. The recording information. shall be submitted to the Commission on the form at the and of this order prior to commencement of the mark. ' 9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words, •Massachusetts Department of Environmental Protection, File Number SE3-3085 .• j 10. Where the Department of Envirormental Protection is requested to make a determination and to issue a superseding order, the conservation Commission- shalI be a:.party to all agency-proceedings and hearings before the Department. 11. Upon completion of the work described herein, the applicant shall forthwith request in writing that a certificate of Compliance be issued stating that the work has been satisfactorily completed. 12. The work shall conform to the following plans and special conditions. SE3.3085--Markwood Corp. Approved plan=October 17, 1996 Revised site plan by Stephen Haas,PE Special Conditions of Approval: 1. General Conditions 1-12 on the preceding page are binding,and demand both your attention and compliance. • 2. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition number 8(preceding page)shall be complied with. 3. The applicant shall pay for their legal advertisement as invoiced. 4. This permit is valid for 3 years from the date of issuance, unless extended at the request of the applicant. 5. The work limit shown on the approved plan shall be strictly observed. 6. The work limit line shown on the approved plan shall be staked in the field by the project surveyor/engineer prior to the start of work. 7. Prior to the start of work,staked haybales backed by trenched-in siltation fencing shall be set along the approved work limit be. Effective sediment controls shall remain until the site is stabilized with vegetation. S. The haybale/siltation fence line shall be adjusted(toward the house side)around any trees+4"in diameter that fall exactly on the work limit line. 9. There shall be no disturbance of the site,including cutting of vegetation,beyond the work limit. This restriction shall continue over time. 10. Upon completion of the foundation(s)for the house and garage,project surveyor/engineer shall provide in writing to the commission verification of the proper siting of the foundation(s),and of the location and condition of the sediment controls deployed at the site. 11. All areas disturbed during construction shall be revegetated immediately following completion of work at the site. No areas shall be left unvegemted or unmulched for more than 30 days. 12. All proposed lawn areas shall be underlain with a minimum of 6 inches of organic loam. 13. This approval is contingent upon the approval by the Board of Health of the subsurface sewage disposal system. 14. Drywells or graveled trenches along the drip lines shall be installed to accommodate roof runoff. 15. Prior to the start of work,the applicant or successor shall provide all project contractors with copies of the Order of Conditions and approved plan. 16. A gravel driveway is suggested for the site. 17. It is the responsibility of the applicant, owner and/or successor(s)to ensure that all conditions of this Order are complied with. The project engineer and contractors are to be provided with a copy of this Order and referenced documents before the commencement of construction. The foregoing condition shall not be consaued t0 exempt project contractors from ` ility for Performed in deviation with provisions of the Order of Conditions or Mponsbdetail f the plans _.... an y work of record. 18. The Conservation Commission,its employees,and its for compliance with the agents shall have a right of entry to inspect provisions of this Order of Conditions. 19. At the completion of work,or by the expiration of the present writing a Certificate of Compliance for the work hereinfit'the applicant shall request in xh laps stain �i�' Where a project has been completed in accordance wi p stamped by a registered professional engineer, architect, landscape architect or land surveyor,a written statement by such a professional person certifying substantial compliance with die plans and setting forth what deviation; if any, exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. 1 -a. Issued By Conswvadon Qmmiaaon This Order must be signed by a majority of the Conservation Commission. On this 18th day of October 19 9r before me personally appeared Audrey Olmstead , to me known to be the person described in and who executed the foregoing instrument and acknowledged that he/she executed the same as his/her free act and deed (1 'VYCC:"WISSIM EXPIRES SEPT.27.2002 Notary Public �l/ My commission expires The applicant.the owner,any person aggrieved by this Order,any owner of land abutting the land upon which the proposed work is to be done or any ten residents of the city or town in which such land is located are hereby notified of their right to request the Department of Environmental Quality Engineering to issue a Superseding Order, providing the request is made by certified mail or hand delivery to the Department within tan days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and the applicant. Detach on Dotted Line and Submit to the Issuer of this Order Prior to Commencement of Work. d To Barnstable Conservation Commission(Issuing Authority) PLEASE BE ADVISED THAT THE ORDER OF CONDITIONS FOR THE PROJECT ATL-ot 11 Tobey Way, W. Hyannisport . FILE NUMBER HAS BEEN RECORDED AT THE REGISTRY OF . ON IDATEI If recorded land.the instrument number which identifies this transaction is If registered land. the document number which identifies this transaction is Signed Applicant t - 'EXIST• -ftOOF_S�jaLq�+-.. _ - - - y 't�Er-�ASP1th1..T SFt1�Cwi-ES(TO - r 1�♦ P.SPHo.>-T 51-11�Gti.es(ro I'1P2rC.Y1�U����OI+3o� ,IPffG A IE'-' 30 1t BJIwh1c;FEISof{s/a"ExT 14DI{rr r��T of Sao" I (yFSF*>� s�yl.loon .._ F-xT• cTR�oE. Pl-yl.loo� - " r- av z 8 41-M lr'I -fo "AM4i -- - - tivcrc-H Of FxlsT J Q z 'Tb 11AcrC.Ft FSCISTII{r.T U ma. �lFd �TF -- �rl co�deR W^4-c s Ta 0 U W n a foP o� dr i o f�T Of}y.�'1�CTRADE InI-Ir-Ir 75 y � F G PI-. klo0o - - �f. YY" I _ zit _ F I ' Q U� SIP 1 Ptr— - a # 1 EXIST_Isr_F�:1 E LEA - I�F�•I IFa- I - o�>�tl at l -SST to �llt a�-{xI>I71'.��D_9- -._ - � r _ _. '7�41'-�•-�-__ __. .-- .IOW fiVl71T10� - / -. ,.�klsrtdcr. ---""- ` £wsTlr�C*•- kOL1�--. .. • - 1 . 4 _ a Q :. O _ U DIVISION 1-GENERAL REQUIREMENTS - DIVISION 2•SITE WORK AND UTILITIES I - V) The Architect's services do not indutle Construction Phase N (n Services.The Client shall be solety responsible for interpreting the Site Cleadna:Protections:Protect adjacent properties as required_ - _ O O Q contract Documents and observing the work of the Contractor to Protect existing trees re and vegetation which a to remain from discover,correct,or mitigate,errors,inconsistencies,or omissions. physical damage.Coordinate with the Owner regarding specific If Client authorizes deviations,recorded or unrecorded trom.the - trees to be saved and protected. documents prepared by the Architect,the Client shag not bring any - - cl Im against the Architect and shall indemnify and hold the • Site Clearing:Remove trees,shrubs,grew.and other • �7 Q CD - Architect,its agents,and employees harmless from and against vegetation as required for construction,and in coordination - v^> - 00 (n claims,losses,damages,and expenses,including but not limited to with the Owner. I .� 04 Z defense costs and the time of the Architect,to the extent such claim, . Footing Drain SVstem:Provide and"install sump pump loss,damage or expense arises out of or results in whole or in part foundation drain system designed by others.Coordinate with from such deviations,regardless of whether or not such claim,loss, the owner regarding requirements. L - damage or expense is caused in part by a party indemnified under N r this provision. • � Excavating.Filling and Grading:Call DioSafe Prior to - Buildina Department Note: performing eny excavation work. The Architect has not been engaged for construction supervision of _ any kind and assumes no responsibility for construction conforming - . Excavate for structures to elevation and dimensions shown, - -with these plans,no responsibility for construction means,methods, extending excavation a sufficient distance to permit placing T�F.i1 techniques,sequences or procedures,or safety precautions and and removal of other work and for inspection.Trim bottom to - -(� rat - - - programs in connection with the work.There are no warranties nor required tine and grades to provide solid base to receive - - -" - any merchantability of fitness for a spec use expressed or implied concrete.' in the use of these plans. F..! Contractor and Owners Note: - -' > + I FfiPCI Sd��£ If k the contractor responsibility to ensure that all work and ( - -g�l,y� • 15p5rtAIT _ construction meets ell current federal,state,and local codes, ordinances,and regulations,etc.Current federal,state,and local L• I -���` '� - I I -- try H.1 codes,ordinances,and regulations shall be considered as part of - R the specifications of the building and shag be adhered to even if they _jo I I are in vadance with the plan. a I — The information contained within these Camino det documents is - issued to show design intern and basic(reining details. It is'tha cont rectors responsibility to provide standard construction detailing r - and practices which will provide a structurally sound and - 77 -- weatherproofed finished produce.The contractor shall notify the — — Architect of any discrepancies or problems observed or perceived I - PROJECT NUMBER: prior to starting construction of such. z9 - � 17-2005 Regardless of what is shown or noted an the drawings,all work must - - 1 ISSUED: meet or exceed all local and state building codes and by-laws. ' K OS Errors.On and Intent of Drawings and Specifications: _ .° DRAWN BY: In ruse of errors in the drawings or specifications,the contractor - - shall notify the Architect,immediately,in writing,Should • - REVISED: discrepancies or conflict occur,consult the Architect for a decision. 1 The Contractor or Subcontractor is responsible for checking and - - �'= 9 7-OS verifying ell levels,heights,and dimensions. - The General Contractor shag meet or exceed all local and federal '--' codes and regulations. Scaffolds Conform with slate and local codes.rules.regulations and requirements. �. �1=.ObR �1-Ate• Al CvF•3 ,• I — _ i ridcT FsQor-e=7o1�0.-- �RoJlyr- opa4t lys •fc> z..s,uD wAL,_ � , R-15 INSULATION EXTERIOR GRADE PLYWOOD - - - �ILS71tICr DEFT fie"� - ' --- ---- _ :CT}3ftGSol 5�1..y%JODo PRESSURE TREATED PLYWOOD P.T.PARALLAM BEAM W Q O - JOIST HANGER(PROTECT FROM = J �-2� I�IsJ�r oHl DIRECT CONTACT WITH PARALLAM � BEAM) V=T a 1 Z SIMPSON G.L.B.BEAM SEATS 10•0 CONIC FILLED SONOTUBE � Y FOUNDATION U W p - FkIRRIGA.�E. Gl-IPS APPROX LINE OP GRADE - a ZZZ N 'CyJ'r'rETiS A'DOME 1}SPDa'f5 .. dZ-. J � 8 811L2 a{�cl� �)?rl zs f ro ryP(Ut Tausri}c� ?a�1 a o .�ft'01-1 14 -]- I - -- e ASua.Tb gArrZ41�LIS(I46C - � H36 � o 6-4£R vtAaS 1-D.1yPTfu 1 FOUNDATION D TAI w 6r P{-'.Woo l� _FI 51 DIII��fO ry61fUi (Ise. -- a sT -Fl CIE- oa Ism ahLnl�15 fl? T 04 9 I I- SrS'tFw.l To QbISTS I -."'I,'-VX7 . i--'y MIDDt� - , 4 ' PT P1 71IoDp slhPsor1`CL-B B15-4 s£A-f m .•'Fi-oOF-'< DISTs �sEE -I - 15oao7 1 o--ri":r� . _ 1i 1911{s.J�ams� I >=ooT' Fnor��lrr� --- �+sr'fS _ - '�c>sn•{� - / �xl-s-tl�l� � _-bI�IJ,�oltlo�{ I I - WOCOT31� N co Q Z m V) 0 o a 0 a 0 vi CV Z Z 1 .HT_ oP Fxl n�tT+IoJ� } W-ooF EwSraCt foad�fID{ _ I<lo Yr I Fbr(ER o' ,o Pr I�oc�T 'So4st)�r�s +�'olst ttArl�ets � I � IES IIvI�,(�• I ' 1 —Tlal�� of 11� f .- - �olsT ++ r�s -• I �r- I - I..Irls of 1{EI�} - -' , + I - ApolT'1oH PROJECT NUMBER: fA�oltiorJ IFfE 4 io"h co>♦c �1i�F� 17-2005 c>-rlh5,E:s. _ 04 ISSUED: ---.. "�PRhl-1-�{ :I'�MPso�} --— --' - �[3i�"FnoT'i=ooTl �^�•0S I � C7•L,13,�Ehl-I SEATS - � "-� •.� � ,, _.._.. � iIE�} uEuc 1lEJ �y-oor� - u . _ DRAWN BY: Id-o�1IJ I I!v'-o°°{ NCI I I REVISED: ��E(..K:-a: �!-_.CUR �i-��ti 1 r�G-�J•��1. ...... - _ < . ttv4z-rIoo LAA A of 3 1 1 2 DIVISION 3-CONCRETE Framing"of National Forest Products Association(N.F.PA). Do not splice 32'o.c and PL-400 glue. Locate one row near top edge and other near bottom r i structural members between supports. edge. Locate end joints in members over supports;for continuous members, ComPresstve Strewth Recommended: stagger ends at quarter points between supports. Tvue of Construction Required in PSI Slump Anchor and nail as shown,and as required by the Massachusetts State Footings 3,000 3 Building Code Prmide wood posts of the sizes shown. Provide metal anchoring and. ' Foundation Walls 3.000 4 attachment devices as shown.. - s _ Slab-cm-Grade 3,000 2 Fires tor,concealed spaces of wood framed walls and partitions at each floor Miscellaneous Concrete 3,000 4 level and at the ceiling line of the top story..Where firestops are not Board Sheathing and Sub flooring' Install boards with end joints staggered automatically provided by the framing system used,use closely-fitted wood over supports,and with each piece extending over at least 2 spaces between �+ Finish: Provide a smooth finish for all exposed-to-view surfaces. Remove fins blocks of nominal 2"thick lumber of the same width as framing members. supports.Nail with 8d common nails,spaced 2 per support for board widths of and projections and patch defective areas with cement grout. Consolidate 6"and less,3 per support for widths of 8"and more. a concrete surfaces by hand troweling,free of trowel marks,uniform in texture Stud framing: � and appearance,and level- General: Provide stud framing of size and spacing indicated.Arrange studs so Cover sheathing with building paper,lapped and nailed with roofing nails. ii < o that wide face of stud is perpendicular to direction of wall or partition and ~ p D • Pilch Garage floor slabs 118"per foot towards garage doors. narrow face is parallel-Provide single bottom plate and double top plates using FINISH CARPENTRY I U • Saw cut control joints in concrete slabs between column supports,and 2"thick members with widths equaling that of studs;except single top plate may - column supports and concrete walls- be used for non-load-bearing partitions. Nail or anchor plates to supporting Exterior running and standing Wm,soffits and panels: _ Q O o • Provide a minimum of 4'concrete rise between garage slabs&house construction. C U in floor. • Standing and Running Trim:Match existing for all items. - U • r0 • For exterior walls provide 2"x 4"wood studs spaced 16"o.c. of w Forming and Placing Concrete: Formwork:Construct so that concrete For interior Partitions and walls provide 2"x 4"wood studs spaced DIVISION 7-THERMAL AND MOISTURE PROTECTION z Z 0 members and structures are of correct size,shape,alignment,elevation and 16"o.c. Kraft Faced Mineral Fiber Blanket/Bah Insulation: Cathedral Ceilings: 8"R28 Ix < Z position,complying with ACI 347. Forms shall be free from defects. bat[, Flat Ceilings: 10"R30 batt, 4"walls:3 1!2"R15 batt < d Construct comers and intersections with not less than 3 studs.Provide • Footing forms shall be placed on undisturbed soil,or mechanically miscellaneous blocking and framing as shown and as required for support of - Installation: Comply with insulation manufacturer's Instructions for installation of F = compacted sub-grade prior to placing concrete. Install footings on clean facing materials,fixtures,specialty items and trim- insulation. Provide and Instal Styrofoam baffles between rafters in cathedral U U granular material free from top soil.sub-soil.and clays. ceilings. Y ! G • Slabs: Install concrete slabs on 6'compacted gravel.All installed gravel Provide continuous horizontal blocking row at mid-height of single-story < Q fill shall be compacted in 8 inch lifts max.Compact gravel to 95% partitions over 8'high and at midpoint of mufti-story partitions,using 2"thick • Install batt insulation in all exterior walls L) m compaction. members of same width as wall or partitions. • Install batt insulation in all walls separating heated and unheated spaces . Joints:Provide construction,isolation,and control joints as indicated or • Install bait insulation in all ceilings separating heated and unheated. required. Frame openings with multiple studs and headers. Provide nailed header spaces • Installation of Embedded Items: Set and build into the work,anchorage members of thickness equal to width of studs. Set headers on edge and • Install batt insulation in all floors over unheated spaces devices and other embedded items required for other work that is support on jamb studs. • Install baft insulation in all Bathroom walls - attached to,or supported by cast-in-place concrete. • Install batt insulation in Master Bedroom walls • Coordinate with other trades: Provide and install openings and recesses For nonbearino Partitions,provide double-jamb studs and headers W required by other trades- not less than 4"deep for openings 3'and less in width,and not less ASPHALT SHINGLES:Architectural asphalt shingle to be selected by the O • Concrete Placement Comply with ACI 304,placing concrete in a than 6"deep for wider openings. Owner,and approved by development associations. Install as recommended y continuous operation within planned joints or sections- Do not begin For load-bearing Partitions,provide double-jamb studs for openings by the shingle manufacturer. - to - placement until work of other trades affecting concrete is completed. V and less in width,and triple-jamb studs forwider openings. • Consolidate placed concrete so that concrete is worked around Provide headers of depth shown,or if not shown,provide as Warranty: 40 Year reinforcement and other embedded items and into all part of forms. recommended by N.F.PA-"Manual for House Framing". • Protect concrete from physical damage or reduced strength due to Provide diagonal bracing in stud framing of exterior walls,except as Provide ice Protection undertavment of Bird ice and water shield at all eaves, C - weather extremes. _ otherwise indicated. Brace both walls at each external comer,full ridges,hips,and valleys. Install as recommended by ice protection - story height,at a 45 degree angle,using either a let-in 1 x 4 or 2 x 4 manufacturer but not less than 36"beyond face of exterior walls,12"each side Cold Weather Plaeina:Protect all concrete work from physical damage or blocking or metal diagonal bracing of valleys,and 18"under shingles and up wafts ate intersections with vertical - - - - reduced strength which could be caused by frost,freezing action,or low surfaces. temperatures,in compliance with the requirements of ACI 306. Floor foist framing: Provide framing of sizes and spacing shown. Install with support ends of each Ridge Shingles: Manufacturer's standard factory precut units to match existing • Do not use frozen materials or materials containing ice or snow. Do not member with not less than 1-1/2"of bearing on wood or metal,or Won shingles. - - place concrete on frozen subgrade or on subgrade containing frozen masonry. Attach to wood bearing members by toe nailing or metal connectors; materials. frame to wood supporting members with wood ledgers as shown,or it not Roofing Accessories: Provide and install nails,flashing,adhesive,and other - shown,with metal connectors. Frame openings with headers and trimmers materials,as recommended by the roofing manufacturer for a complete weather Hot Weather Placing:When hot weather conditions exist that would seriously supported by metal joist hangers;double headers and trimmers where span of tight installation. impair the quality and strength of concrete,place concrete in compliance with header exceeds 4'. Do not notch in middle third of joists;limit notches to 1/6- (n ACI 305. depth of joist,113 at ends. Do not borehole*larger than 1/3-depth ofjoist or SIDING: Match existing siding V) Water-Vapor Barrier. 6 mil poly under all slabs. locate closer than 2"from top or bottom. Provide solid blocking(2"thick by Air Infiltration Barrier. 15#asphalt saturated building felt. depth cf joist)at ends of joists unless nailed to header or bearing member. V) Removal of Forma: Removal of forms shall be in a manner to insure safety of JOINT SEALERS: Compatibility: Provide joint sealers,joint fillers and other Q structure and prevent damage to concrete surfaces.Allow concrete to cure for Lap members framing from opposite sides of beams,girders or partitions not related materials that are compatible with one another and with joint substrates Q 3 2 72 hours before form removal. less than 4"or securely tie opposing members together. Provide solid blocking under service and application conditions,as demonstrated by testing and field (— U _ (2"thick by depth ofjoist)over supports- experience. Q Anchor Bolts: See Drawings - fn >_ (n Under iamb studs at openings provide solid blocking between joist - Z m (n • Metal strap anchors will not be accented. Metal strap type foundation DIVISION 8-DOORS&WINDOWS O 0 < anchors are NOT to be installed Under non-bad-bearing partitions.provide double joists separated by solid Coordinate with the owner regarding all windows and doors. blocking equal to depth of studs above. G FINISH HARDWARE: Coordinate with the Owner regarding type, p (n DIVISION 6-ROUGH CARPENTRY - Provide triple-joists separated as above,under partitions receiving ceramic manufacturer,and operation of all hardware.(See Allowances) Q DO _ Preservative Treatment All pressure treated lumber to be'Wolmanized".40 the and similar heavy finishes or fixtures,unless otherwise indicated. N Z lbs./cu.ft.retention. _ DIVISION 9-FINISHES: Coordinate with the owner regarding all finishes Z - Provide bridging between joists where nominal depth-to-thickness ratio exceeds Q B - • Pressure treat the following: Wood cants,nailers,equipment support 4,at Intervals of 8'. Use bevel cut 1'x 4"or 2"x 3"wood bracing,double- MECHANICAL&PLUMBNG SYSTEMS:To be designed and installed by the, bases,blocking,strapping,and similar members in connection with crossed and nailed both ends to joists,or use solid wood bridging 2"thick by subcontractors. Coordinate plumbing heating and electrical work with the = roofing,flashing,vapor barriers and waterproofing.Wood sills,sleepers, depth of joist,end nailed to joist Owner and work of other trades. Install Systems to meet or exceed local and - blocking,fuming,stripping and similar concealed members in contact with state building codes. All gas piping to be done by this plumber. Include masonry or concrete.Wood framing members less than 18"above - connections to gas range,cook tops,wall ovens,dryers,furnaces,boilers. It grade.Wood floor plates installed over concrete slabs directly in contact Rafter and ceiling moist framing: water heaters. Coordinate with the owner regarding other items which may with earth. Wood members in contact with ground.Wood members in Ceiling Joists: Provide member size and spacing shown,and as previously require gas hookup. Install hard wired heat and smoke detection and warning contact with fresh water. specified for floor joist framing,or it not shown meet the requirements of the system to meet orexceed curent code requirements. Massachusetts State Building Code for ceiling joist spans. Face nail to ends of Structural Limber. parallel rafters. Structural Framing,and rafters: ELECTRICAL SYSTEMS: To be designed and installed by the electrical ' Southern Pine,No.2,Fb=1,000 psi,(repetitive) Where principal ceiling joists are at right angles to rafters,frame additional subcontractor. Coordinate electrical work with that of other trades. Install short joists from wall plate to first joist;nail to ends of rafters and to top plate Electrical Systems to meet or exceed local and state building codes- Miscellaneous Lumber:Provide wood for support or attachment of other work and nail to long joists or anchor with framing anchors or metal straps. Coordinate with the owner regarding the design,layout,and capacity of the including cant strips,bucks,nailers,blocking,furring,grounds,stripping and Provide 1 x 8 or 2 x 4 stringers spaced 4'o.c.crosswise over principal ceiling electrical system,as well as location of aft factures,switches,outlets,panels, similar-members. joists. meters,and services. • Subfloor:APA RATED 3/4"THK T&G, STURD-I-FLOOR,plywood. Rafters: Provide member size and spacing shown. Notch to fit exterior wall All wire ppef PECIFICAITO Screwed and Glued floor joists with PI-400 Glue. plates and toe nail or use special metal framing anchors. Double rafters to form Provide vide a minimum of one duplex outlet per wall spacing not to exceed • Waft Sheathing: 1/2"exterior grade,APA rated sheathing headers and trimmers at openings in roof framing(if any),and support with that required by code. • Rppf Sheathing: 5/8'exterior grade,APA rated sheathing metal hangers.Where rafters ahut at ridge,place directly opposite each other • PPi wood Underlavment for Carpet 112"APA UNDERLAYMENT particle and nail to ridge member or use metal ridge hangers. - board. • Plywood Backing Panels: For mounting electrical or telephone At vallevs,provide valley rafter of size shown,or if not shown,provide rafter equipment,provide fire-retardant treated plywood panels with grade' twice as thick as regular rafters and 2"deeper. Bevel ends of jack rafters for - PROJECT NUMBER: designation,APA G-D PLUGGED INT with exterior glue,in thickness full bearing against valley rafter. - 17-2005 indicated,or,it not otherwise indicated,not less than 15/32'. - ISSUED: Provide special framing for eaves,overhangs,dormers and similar conditions. '9 -a Install blocking in walls at areas to receive plumbing accessories,cabinet,and - curtains. Provide wood beams and girders of the size and spacing shown.Install with DRAWN BY: A crown edge up and provide not-less than 4"bearing on supports. Provide A Building Paper.Asphalt saturated felt,non-perforated,15-lb.type. continuous members unless shown;tie together over supports if not • CHECKED BY: continuous- Vapor Barrier. 6 mil polyethylene film,installed on warm side of walls. r _ Where beams or girders are framed into pockets of exterior concrete or FILENAME: masonry walls,provide 1/2'air space between sides and ends of wood Wood framino.aeneral: members and supporting wall. Provide framing members of sizes and on spacing shown,and frame openings as shown,or it not shown,comply with recommendations of"Manual.for House Where built-up beams or girders of nominal 2"dimension lumber on edge are s - shown,glue and fasten together with 2 rows of 20d nails spaced not less than A3 1 2 3 4 5 O'1-7N ACCESS COVERS MUST BE WITHIN I �j r I _ n r, _ _n r� GENERAL NOTES : 29.0 12' OF FINISH GRADE 1 �I V'�11 / C L 1''r-� / lJ/ V : LJC S i G VI � �l 1 Tr--R I Q : FIRST 2' TO BE LEVEL INVERT AT BUILDING: ��b__.8. DESIGN' FLOW:I I. THIS PLAN /S FOR THE DESIGN AND INVERT IN SEPTIC TANK: '6,-5. _. __BEDROOMS T_ 0 CONSTRUCTION OF THE SEWAGE DISPOSAL 4' PVC 'MIN. 2' of - r .-G. P, D. PER - i-- PEAS TONE INVERT OUT SEPTIC TANK:_-_=�6,25__.._ BEDROOM EQUALS _3 O_G. P. D. SYSTEM AND WETLAND PERMITTING ONLY. S\�CHEDULE 0 INVERT IN DIST. BOX: 25._8.5 2. ALL CONSTRUCTION METHODS AND MATERIALS 3/4' - 1 //2' D/A. - 5 INFILTRATORS W/4 ' STONE INVERT OUT DIST. BOX: _ _25. 68 - NO _GARBAGE uRiIJDER AND MAINTENANCE OF THE SEPTIC SYSTEM I OUTLET WASHED STONE SHALL CONFORM TO MASS. D.E.P. TITLE 5 AROUND. 39 'X I1 ' OVERALL !0' MIN. 1000 GAL D-Box INVERT IN LEACH CHAMBER_ 25._5 SEPTIC TANK REQUIRED: AND LOCAL BOARD OF HEALTH REGULATIONS, SEPTIC TANK BOTTOM OF LEACH CHAMBER_ 4• 6.. _ J3(/ 1 i50X 495 r v P. D. - _GAL . J. ALL SEPTIC SYSTEM COMPONENTS LOCATED ADJUSTED GROUND WATER : 16. 9 SEPTIC TANK PROVIDED:_ l000 UNDER AREAS SUBJECT TO VEHICULAR TRAFFIC PROFILE : NOT TO SCALE - - - ----GA` OBSERVED GROUND rt'A TER: __ 12 5 GR EATER REATER THAN 3 ' IN DEPTH SHALL BE - OR E of WITHSTANDING H-20 WHEEL LOADS. r'\� I BOTTOM OF TEST HOLE I ,' . �_! 3_ SIZE OF LEACHING FACIL I TY RE-JUIRED (AA ) : ���/ r£srr�, INDEX WELL M1 W 29. ZONE C DESIGN PERC RA T� 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 �' Ew 14 / �' ' OR APPROVED EQUAL. % 16 / I 4/95 READ I NG-9. 0. 4, 4 ' ADJUS TAIE NT 330 GPD / 0, i'S - 440 S. F. / 10 �� 1 LOT 10 5. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. PRO _5 i�; l L TRrI TORS t'✓�' r ' �, TONE �' ti4 �0 I-800-322-4844 AND THE LOCAL WATER DEPT. 0_ VE_R_A_LL / � // / , �� I � 39 'X I ! FOR LOCATION OF UNDERGROUND UTILITIES. AA- )Xl 6. VERTICAL DATUM I$: ASSUMED j/ Is15 7. FOR BENCH MARKS SET. SEE SITE PLAN. / ��' % do j ys��• ' // j �1 r � 7 ; 8. NO DETERMINATION HAS BEEN MADE AS TO / 1 / / �' / 1 T D / T // I / / ,-- , �J i L- ' I r l I r I COMPLIANCE WITH DEED RESTRICTIONS OR ZONING REGULATIONS. IT SHALL REMAIN 1 ! / / / INDIC,�;�� , _ 1NDl�.�TES \ei 1 \ // \\ ! PERCOLAT!ON OBS=RVEC THE CLIENTS RESPONSIBILITY TO OBTAIN w/l6 i 1 too.P 1 = / \ 1 5c9 TEST _ GROUNDWATER ALL PERMITS. SPECIAL PERMITS. VARIANCES l 6 r I l q 1 I , \ __ ; P-B490 P.0T. I ETC, FOR TH/a PROJECT. �wFl i' I / LOT IO TP•-LGT I / i b (/ 1 1 , - �{ I �� \ �� / CArcH BASIN GRND E'L .__. � 4 GRND EL 23. 3 9. IT SHALL REMAIN THE CLIENT'S RESPONSIBILITY �°� q°� \ \ ( 1 I� 1 \ / _ \ \ N �� \ \ I 7" �. w.EL . _ N�a G. W.EL , -12.5 TO HAVE THE PROPOSED BUILDING FOUNDATION ti � I \` \ 1\ _ h h 1► j \�� / ! \� 1 1 /pp 4 �/ .�_ /' ! �' _ TGPS01_ DES/GNED TO ACCOUNT FOR THE EX/ST I NG GRADE I \\ \\ 23. 3 _ pp wti I SUESUIL AND SOIL CONDITIONS AT THE LOCATION OF THE �, 17!o FILL �\ \\ \\ \ � \�?6- _ � \ \ PROPOSED BUILDING. .5 H lr\1 \ !0. THIS SEPTIC SYSTEM DESIGNED /N ACCORDANCE / _ _ ^ I _ „ , I ' WITH 310 CUR: 15. 005: (5) . THE SUBDIVISION WAS //' Ew /a\1 Qr_ \\ d I/ TOPSOIL � - _._. . . --- k. \ TESrP 4.7 1 SUBSGI L hlED1 Ul•f ENDORSED BY THE PLANN,01G BCARD ON AUGUST 8. I99�i. 16,I�fIi• IB i �\ �, 6s's 1 ^' I 1 0 ! I I --32 '�\ tv 1 7'---. - - a. 9 -1 SA//D .AND ,i `�-�5p / 2 J f I ( ca ` fED/UrN GRAVEL /I. UNSUITABLE MATERIAL (TOPSOIL. SUBSOIL \6' 18_1 O ' .�' DECK - - - �/ I h 1 �`� - SAND AN& - i FILL ETC. ) ENCOUNTERED BELOW THE INVERT / LEACH PIT LOCATION °r 'L� ! ti / ,' ��� ' � �i' I / / P�'R•-RQ�tD AS-BUILT PLAN,' aD O B '_w TRAVEL [ ' 9 _-' OF THE LEACH CHAMBER TO BE REMOVED FOR A // �� �.20•- ��% DISTANCE OF 10 ' AROUND THE CHAMBER DOWN TO � �' �' -` I 8 . 22' _ __ __�' / ' / \\ _ THE CLEAN SAND LAYER AND REPLACED W/TH IS.Ij 6w'ao �/ // -- - pROPOSD --ZB, ,,�f / I �, r11 ,; i �ft�lUhl J/ , // ��' ,Z� ��' ,� pOpM C EZfl.Oo \- L ' 1 ��? !I ! ~ dE_ UM r FINE SAND CLEAN MEDIUM SAND. ra -yo_ _ p` \1 .1 `�' FINE SAND l 0.8�_�Z_ 12.5 12. SILT FENCE AND/OR HAYBALES TO BE PLACED ALONG .•b / ci' ,�-` �/' - ��' �= _ `` �r� r / ti / 24 ------26--' �' /! Aoc ' \�_�� 1 �'/ 1 l I 13_ 1 NG WATER !B. 9 12 --- - ---- 1 /. 3 THE WORK L IM/ T PRIOR TO CONSTRUCTION. / -- �- 0 7 / S INFILTRATORS ao. II ` l DATE: APR I L 18. 1995 13. ROOF RUNOFF TO BE DIRECTED TO DRYWEL L S OR / / `ram o= ' � r \ �' W/4' STONE AROUND j - E STL1_: HAAS STONE TRENCHES ALONG THE DRIP LINE. 1,5 2 H/ TES T R Y L -__ _ _ y W/ TNESC BY: BARRY / 14. ALL DISTURBED AREAS TO BE MULCHED OR, / / / \ oa �` 1 / D-Box \\� ---� - / L 0 T I I / PERC RATE:._ _�_.2 '.lIN'/I�1CN LOAMED AND SEEDED FOLLOWING / / / ! I :\ y � 1 CONSTRUCTION. 14.6 / / / I 27. 950t S. F. = \ �� A - Er a i / / I f 4 v $ 1 I000 DAL SEPTIC TANK RESERVE ... ............ ...� o +�2. 73 , \ / \ I- i S � . S /, - � \� ;' �_ S /' r�/ V ! 7.SO > \ '. ------------ --� WATER s£RvicS � 05 TO B Y , ;' >' 24.94 6 R /V S TA f3 L �'1✓I,4 . Sf' OR T <8. 73 Pf? EP -; f?EG FOE? L 0 T 12 "28 \ 27.52 1 CATCH BASIN \ \\ S l O /V O �.'.E-Al E/ r CATCH BASIN 1� 0 Y \\\ '� GL SUR I 'E'YI NG �'1VG I N��F_ R I NC . I NC . _ r / 1 I \ �9 2 3 R O u t e 6' Al a C_5 0 /0 20 40 JOB N0: 95-240 I FIELD:RVB/PDR CALC: SAH/CFw-F CHECK: CFW DRN: SAH ACCESS COVERS MUST BE WITHIN GENERAL NOTES : 29.0 FIRST 2 ' TO 12' OF FINISH GRADE INVERT EL EVA T l ONS : DE S I GIti' ,� i TER I a �( 1. THIS PLAN IS FOR THE DESIGN AND I BE LEVEL INVERT AT BUILDING: _- _?6._.g. DESIGN FLOW: CONSTRUCTION OF THE SEWAGE DISPOSAL o ��_ _ INVERT IN SEPTIC TANK: _ 6.,.5__ _ _._�._BEDROO,�1S AT-_�i-G. P. D. PER LL:zl VC _MIN. 2' OF - SYSTEM AND WETLAND PERMITTING ONLY. SCHEDULE 0 PEASTONE I LAVER T OUT SEPTIC TANK 26. 25 BEDROOM EQUALS _330_G. P. D. lI- INVERT IN DIST, BOX: 25`85 _ 2. ALL CONSTRUCTION METHODS AND MATERIALS26, 5 INFILTRATORS W/4 ' STONE 3/4' - 1 1/2" DIA. _ �R /NDER AND MAINTENANCE OF THE SEPTIC SYSTEM INVERT OUT DIST. BOX. 25, 68 _-_ __NO _GARBAGE ' - SHALL CONFORM TO MASS. D•E.P. TITLE 5 3 OUTLET AROUND. 39 'X !! ' OVERALL WASHED STONE - 10 MIN. 1000 GAL D-BOX INVERT IN LEACH CHAMBER: 25• 5 SEPTIC TANK REQUIRED: AND LOCAL BOARD OF HEALTH REGULATIONS. - SEPTIC TANK BOTTOM OF LEACH CHAMBER_ 24. 6 330_G p p { ISUx 3. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER AREAS SUBJECT TO VEHICULAR TRAFF/C PROF / L E : NOT TO SCALE ADJUSTED GROUND WATER : _ SEPTIC TAi;, PkOVIDEG :_ I000 _GAL . OBSERVED GROUND I•vA TER: 12. 5 OR GREATER THAN 3 ' IN DEPTH SHALL BE ---- 2.------- CAPABLE OF WITHSTANDINGH-20 WHEEL LOADS. / ,'\� I BOTTOM OF TEST HOLE * ll : 11 . 3 L'E OF LEACrII�'v FACILITY REQUIRED (AA1 ,� // resrPl�rj INDEX WELL MI W 29. ZONE - DE0/GN PERT: RATE 4. ALL SEWER PIPE SHALL BE SCHEDULE 40 1 % 16 Er /t /' /// ,/IL I V �/95 r �I 3'i:) (vPD 0. %5 - 44d OR APPROVED EQUAL. / // ti� I READ I NG-9. 0. 4. 4 ml f US TM_,v T S. F. 5. BEFORE CONSTRUCTION CALL 'DIG-SAFE'. LOT lO/ / r/ //' FRC v i+QED: _5 /NFIL TRATORS W; l _ STONE 1-800-322-4844 AND THE LOCAL WATER DEPT. j // /.7�` I 5'� V I ! '-OVERALL _FOR LOCATION OF UNDERGROUND UTILITIES. -- % cp �\ _AA - (39+ 0X( 11 + I ) -480 S. F.lp _ 6. VERTICAL DATUM IS: ASSUMED , /7 / ✓ A�� // �`v \\ 15 7. FOR BENCH MARKS SET. SEE SITE PLAN. / /// \� r'/ ,�o/ Pys�° • /' �// 11 I 8. NO DETERMINATION HAS BEEN MADE AS TO .'5 G I L T: T P I T -1 �H COMPLIANCE WITH DEED RESTRICTIONS OR ZONING REGULATIONS. IT SHALL REMAIN / /✓ �/ / I /� I\ I I D; ATE - IN^!CATES THE CLIENTS RESPONSIBILITY TO OBTAIN / / \e \ ' ' l / \ - - PERCC! AT/ON ORSERVtG w(Id / 1 900• 1 __ / \ j TEST -_ GRGUNDW'ATER ALL PERMITS. SPECIAL PERMITS. VARIANCES / I 6 I // F9oy I I / \ P-8490 ETC. FOR TN`6 PROJECT. !�, I / 1 I wFl 1 I / o \ 1 P-84.91 I 1 1 N _ 7 - I �� ! \ I J TPA LOT !O TPw_=GT I l-- - b I I / ► _' 1 �� \ �� / CATCH BASIN GRND EL ._-�l _ GRND CLIENT'S RESPONSIBILITY °I °� I \ ( _ I \ E . w.EL . _ _ G. w.EL . __1_2__5_ 9. l T SHALL Rc MA I N THE C� � � �, I I �• � \ l \ - \ 6- 1 Ir/A DESIGNED TO ACCOUNT FOR THE EXISTING GRADE I\ I \ .5 ! I \ \ N 1 TO HAVE THE' PROPOSED BUILDING FOUNDATION I ! ti I o' \ \ 1 _ I \ 1 / 4 O/ E // f -� TOPSOIL i AND SOIL CONDITIONS AT THE LOCATION OF THE \\ \\ \\ \ = I \� \J \ DO. 0p . J PROPOSED BUILDING. s \ \ �= I \�?6-� _ I\ \ �ti j FILL tSUR50IL I 10. THIS SEPTIC SYSTEM DESIGNED IN ACCORDANCE // \\ \\ II v_ !� r` h �� J \I I fRq/Nq S -- �6.9 J.5%-_- - - -- --- 19.8 WITH 310 CMR: 15. 005: (S). THE SUED/VISION WAS / / EY' 19 -- _ TES _ ,w. ,.r l I I i SURS011 arE^l0., ENDORSED BY THE PLANNING BOARD ON AUGUST 8. 1994. -- /�_� es : ! I i I I �)`__32 `� _ _ l6.1 / T// -- y-�� 1 1 r ti I \`� 4i _n - 4. 9 -a 'Al"),. AND Aso' 0' 2 .a J I ! A - I1 . UNSUITABLE MATERIAL (TOPSOIL. SUBSOIL \b'' 18-' �-, �\ %' DECK i �/ h h y y iRAV L �.�N- A,% FILL ETC. ) ENCOUNTERED BELOW THE INVERT / // /// ' _ J / f LcACH PIT LOCATION * p ilK4V�L i� _ P D AS BUILT PLAN, • ~ B OF THE LEACH CHAMBER TO BE REMOVED FOR A /�/ �/ Zp-__ � /_- ` // \ e l DISTANCE OF I 0 ' AROUND THE CHAMBER DOWN TO /' // // 22' - _// / I ! - 8 -�-- - ------- 15.3 THE CLEAN SAND LAYER AND REPLACED WITH IS'I20 ' ' �� _ 3POSE�El om--?B / 1. I '1 -� .Z �� _ PR DLINO ��- �/� 1 \ NE_ Il.'d MED1U6! CLEAN MEDIUM SAND. // 6 / /' / 4 /-fEDR>ONz9,00 L �// j `^�1�� h ll r FINE SAND i \ / tof;- F 1 Nt SANO 10.8 ' I SZ._ 12.5 12. SILT FENCE AND/OR HAYBALES TO BE PLACED ALONG // ✓ // �' �= THE WORK L iM/ T PRIOR TO CONSTRUCTION. --� 26•-' NO WA_TER --- 'fugAQE I �L.� I _ 16. 9 12 11.3 13. ROOF RUNOFF TO BE DIRECTED TO DRYWELLS OR // // // / `r /� I� �= / \� r-/ \ N S INFILTRATORS _X!a /4 Jo•�I ` `I L; Tt: APR I :_ l8. I_9_95 3�= /�� I r/4' STONE AROUND STONE TRENCHES ALONG THE DRIP LINE. IS,z� N/ / / o \ _ / 4, 1 / o -- -' I �, i TES T Y:..S TEPHEN -HAA S_ \ = �,� 1 ED BARRY" 14. AL DISTURBED AREAS TO BE MULCHED ORS. cp. 1 = D-BOX r �- i ---- - L 0 T I �-� / PERC RA ;�: LOAMED AND SEEDED FOLLOWINGL __- / CONSTRUCTION. I/ Er o / ' / ' I 27. 950t S. F. = \ QQ� y ! 1000 OAL / SEPTIC TANK pESERVE L-82. 7,3 A \ ...... o. R-57.50 \ S r_ f I HATER SERV Ce.\ TO Y ® '/ �, bo 24.94 "A . 26\1 J 28 S C,4 L F . a R �- L' / S ECG C� C TO z'3 �-R / / . / _ .9 6 CATCH BASIN \ lj(jA L \\ R _ L ' / L NO Imo' 1Em ► � CATCH BASIN i L'L�'YI1VG csc �-_1ti'G I:\'�'�F_ R I1VC I Ar67 21 �, Ycz r m o u t h1v p r t 1�•Icz `� z 6' �' S 0 10 20 40 / JOB NO: 95-240 FIELD:R VB/PDR CAL C: SAH/CFW CHECK: CFW DRN: SAH