The URL can be used to link to this page

Home My WebLink About0022 ANGUS WAY G-U s w i I f I '1 v. 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' ` -'-? ° Ma � p 1 Parcel ' ppl�n # Health Division Date Issued 10 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board l Historic - OKH _ Preservation/ Hyannis Project Street Address ��ja�U S IJA V Village 6 ,6m � 47 Owner Pita L zA. A L, Address Telephone , Permit Request f � LLQ TiDd® JcLus ��ar"r, C,��b� ,J ET IA F_T� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation� CRjonstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) e� _q Age of Existing Structure Historic House: ❑Yes °�No On Old King's High ay: ❑Y; >do Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing -newri` Number of Bedrooms: existing _new w rn v Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION L ■y //1 (BUILDER OR HOMEOWNER) Name - " �R �� c6?S Telephone Number Sc��37._ 9� e,= Address e-311M A0�;T License # 00�9:3 Va.J A I S . Mot =6 7 Home Improvement Contractor# Worker's Compensation #I-44Z6M W1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE w6h3 FOR OFFICIAL USE ONLY i APPLICATION# DATE ISSUED -� '4 MAP/PARCEL N0. ADDRESS # VILLAGE r OWNER # ye DATE OF INSPECTION: FOUNDATION FRAME f INSULATION r �! FIREPLACE ELECTRICAL: ROUGH r FINAL PLUMBING: ROUGH FINAL • t GAS: ROUGH FINAL. : F ti FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO: �) - •fix; .` . _ • - c f, Tile CommemNeaft B,f Masmaloeft . lI offlgi oflirdrl Accid� . of ►es 600 Ntmhb*ton Street Reston,AM 02111 WWW.Bm 4sgop1db -W©rkers' ompensetion'Imuraece Affidavit$ngderslContrac#orwIleetricb=fPkmbers Please Print Legibli Name(Buemess/Oiosd�vidual)= ��+ �L�� ., cA-S'r�t� Add=&_ City/Ststerr_ - .A/l s ? phone#: 30 - f Areyog as .Chedt the � l am a employer. " 4.Q"I am a general cont ractor•and i T"e 4f�Jeci{ employees(fnli and/orpert-time)s- `have hued the Mb-tp prg 6 0 New constmcticm 2.1 I am a sole pwpd tar or-path listed on d attached sheet:_ .. 7_ R ship and have no tmocyee3 These s� have g working for me in my capacity emPloym and have I- ❑Demolitioa.. .(No wmkets'comp-*MSMMRce ;comp.insurace t 9. 0 EWU( 'g adMm 3_[3rcq d:] S.❑ We are a-conm at ioa and us 10❑Secbicai repairs as additions Tian a bomeowner doing all work -.offices have exercised d>e r myself[No worloers' of I LQ Phi mbing or add�om . � - �P��'MOL mP t 3a.❑ rnsoraQ =equu�ed-1 c�I52J I(4},and we Gave no 12.Q Rif 7 am a owner acaing as) ' employes,[No - 13 gout contiactor refrio xt -� go �' ��-j �►epp�oorrhar�bmc�lm�atsotit(aocffie t Homeownm who vharitdfta dL7 &bW A Vwod and 6= oaQactoadtatdtodcdua[rmc ati mad y yb ° ° ma�tsybm aa�a{6d�►kindieariogg CMPIaYftL Efthe hmcoq&jycm%dy==pMVj&d9drvvo*rs•cnqLFgGeY a°dstataevhsd ar=UdmMcMWmhave - aonoba Ian ON.emptopsr .j,4PrOyfift�kffs,� irtJorhrrt' '°rg' pe� g ; 1al:site Inmance EomganpNalm } Poligli w Self ins.Lic. 131i Fx ion Date: l3 6 f� Job site Addtess: 2 A a copg of fbe wwke s' Cn3' t fr t°ram.K&t om tr►!4-- FaiIute ro secm+e a PaQe9etsrstioa pose tsimrvitng the"Imy aaa*Uer and esgir�ioa date as MW Section 25A of MOL c.l32 can lean to the won aft fine I w S WO-Ma d andlor one-pear impris�t 4 as wcil as civil.pend ies in the form of a STOP WORK ORDER an f off to a25QA0 ar agaiffit the violater. Be advised that cope of this staL�neat may fora►aril to the Oil;ce of lrrvestigations ofthe DiA for n>srnance oowetage veoficatian, 7daiCOMM by thepe, Fw .ofpA!y&%athehrlorm m*mPronided ab~Isinicaad 7-AS� Offld l- attly. :Do rm;witein area lb beeomPteted by raj,or roan o.Bgdal Clw or Town Permlvucense d tuft AWhm*(tirde ones . I.Beard of Health 2:qWMWg Depsrtmmt 3.Cityf Town Clerk 4.0ectrEea{ S.Other . ° Pectr+r-5 Ph mbing lo9peetor ootacE Yersom Phene ff: Client#:18348 2E2SO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE13012D/Y 0830/2013 3 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 pollcy(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 NAME Dowling&O'Neil ac°NN :508 775-1620 No:5087781218 Insurance Agency EMAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC it INSURER A:Acadia Insurance INSURED INSURER B:Associated Employers Insurance E2 Solar,Inc. INsuRERc:Union Insurance Company Jason Stoots INSURER D 120 Chase Street Hyannis,MA 02601 INSURER E: INSURER F• COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES_ LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE I S WYDSUBR POLICY NUMBER MMIDDY EFF MP�CY EXP LIMITS A GENERAL LIASLITY CPA033453213 2212013 ON22J2014 EACH OCCURRENCE $1 00O OOO X COMMERCIAL GENERAL LIABILITY PREMISES EaEo�eeu�n . $250000 CLAIMS MADE a OCCUR MEO EXP(Any one person) $5 OOO PERSONAL&ADV INJURY $1 00O 000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY PRO-JECT El LOC $ C AUTOMOBILE LIABILITY MAA033967113 D412212013 04/22/201 E0,m, "a D s'NGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Peracciderlt) $ , X HIRED AUTOS X NON-OWNED PROPERTYDAMAGE $ AUTOS Per acddent $ A X UMBRELLA UTAB X OCCUR CUA033453413 D412212013 0*2M2014 EACH OCCURRENCE $1 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $1,000,000 DED I X RETENTION$O $ B InroRICERs COMPENSATION: WCC50050080412013A 3/16/2013 03/16/201 X oT SW MITS oTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y I N E.L EACH ACCIDENT $600 000 OFFICERIMEMBEREXCLUDED? a NIA (Mandatory In NH) E.L DISEASE-EA EMPLOYEE $500 000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD Additional Remarks Schedule,it more Paee Is re4 uired) Jason Stoots and Alison Alessi are excluded from the workers compensation policy. Certificate holder and Massachusetts Clean Energy Technology Center are named additional insured for general liability on a primary non contributory basis per written contract General Liability and Umbrella policies include coverage for independent or subcontractors and"Residential Work". Insurance coverage is limited to the terms,conditions,exclusions,other (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Barbara Ruane SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 12 Angus Way ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE 019W2010 ACORD CORPORATION.All rights reserved ACORD 25(2010105) 1 of 2 The ACORD name and logo are registered marks of ACORD #S116713IM116712 KKM 120 CHASE ST -_ --- - HYANNIS, MA 02601 - Update Address and return card.Mnrlc reason for change. ' Address Renewal �,Employment Lost Card 6 SCA 1 d3 20M-05/11 r r, License or registration valid for indivictul Ilse only f 1 . } _ Orlicc of Contiunlcv Affairs&Busifcss Regulation �r before the expiration date. If round return n'Ur 1( �q� _)+SOME IMPROVEMENT CONTRACTOR Type office or Consumer Affairs and Business Iteg"lalion q 1� 1 1�egistration: 160360 10 Park Plaza-Suite 5170 ' � ,/r :xpiration: 7116/2014 DBA Boston,MA 0211E E2 SOlAR ; JASON STOOTS 120 CHASE ST � -7� _ —� —- -_..__ . : .•_ HYANNIS, MA 02601 Undersecretary Not valid without signature , I Massachusetts -.Department of Public Safety Ir , - Board of Building Regulations and Standards 'JASON STOOTS 0nii°�u11i:l:nl "bltilCi'9F4ui' . License: CS-090293 �. .InC JASON D STOUTS .. - 1 ly Photovoltaic Installations 120 CHASE ST := _ 120 Chase Street " HYANNIS MA'02601 Hyannis MA 02601 MA CS License 090293 cell:508,237.3892 ° NABCPP 1t 93BO85 1 _ mai:Nno can0c:nuul— ollloe/lax:508.775A,985 c-' t ' 'cxpi r ati'on• Jason®e2solarcapecod.00rn www.92solarcepecod.com Commissions r 04/28/2014 c� • !i�lfi�in� e• � p � • :-.e- psolar Photovoltaic Installations E2 SOLAR INC 831 Main St. Dennis, MA 02638 0:508.694.7889 C:(508)237.3892 CS License#CS090293 Home Improvement Contractor's Lic.#160360 e2SolarPV(&amail.com Contract for Photovoltaics OWNER'S NAME: Paul Ruane PROJECT ADDRESS: 22 Angus Way Centerville MA 02632 1. PARTIES: This contract(hereinafter referred to as"Contract') is made and entered into on this 23`d day of August, 2013 by and between Paul Ruane (hereinafter referred to as "Owner"); and E2 SOLAR INC. (hereinafter referred to as"E2Solar"or"Contractor"). WHEREAS, Owner seeks to have one (1) 7.848 DC KW grid tie solar photovoltaic (PV) system. hereinafter called "the system" professionally designed and installed at the above-named project address. WHEREAS, Contractor agrees to install the systems in accordance with all local code requirements and in accordance with current National Electric Code. WHEREAS, Contractor agrees to install the systems in a.professional and courteous manner, leaving the job site secure and clean at all times. THEREFORE, In consideration of the mutual promises contained herein, Contractor agrees to perform the following work: 2. GENERAL SCOPE OF WORK DESCRIPTION 2.1.) System Specifications: The 7,848 do Watt PV system will consist of twenty four (24) Sun Power 327 Watt photovoltaic modules mounted to south facing roof area. The photovoltaic modules will be mounted to the roofs using Unirac mounting system. All roof penetrations will either 0oe- meet or exceed the local building requirements. In addition the system will consist of one (1) UL listed - - - - (240V) inverter to be installed near the electrical service panel. The AC disconnect will be located on the exterior the house, near the service entrance, with all appropriate signage posted as required by the utility. This system will connect to the electrical grid via the grid tie inverter. This system will not include a battery back up system, meaning the system will not produce power in the event of a power outage. THE EXPRESS WARRANTIES CONTAINED HEREIN ARE IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING ANY WARRANTIES OF MERCHANTABILITY, HABITABILITY, OR FITNESS FOR A PARTICULAR USE OR PURPOSE. THIS LIMITED WARRANTY EXCLUDES CONSEQUENTIAL AND INCIDENTAL DAMAGES AND LIMITS THE DURATION OF IMPLIED WARRANTIES TO THE FULLEST EXTENT PERMISSIBLE UNDER STATE AND FEDERAL LAW. 8.5 .PERMITTING Contractor agrees to apply for and secure the necessary local building and electrical permits required to perform this work. All work performed will be done in compliance with the requirements of the local officials. 9. ENTIRE AGREEMENT, SEVERABILITY.AND MODIFICATION This Agreement represents and contains the entire agreement between the parties.Prior discussions, verbal representations or written memoranda of any kind by Contractor or Owner that are not contained or referenced in this Contract are not a part of this Contract. In the event that any provision of this Contract is at any time held by a Court to be invalid or unenforceable, the parties agree that all other provisions of this Contract will remain in full force and effect.Any future modification of this Contract must be made in writing and executed by Owner and Contractor in order to be valid and binding upon the parties. The parties have read and understood, and -agree to, all the terms and conditions contained in this Agreement -S 27 13 Date Jason ots for E2 Sol&Inc, Contractor /3 pal ku0�4 ate aul Ruane Photovoltaic Contract Page 9 of 9 E2 Solar Inc.,Contractor Paul Ruane,Owner S U N POWE R E20/327 SOLAR PANEL 20% EFFICIENCY O SunPower E20 panels are the highest E efficiency panels on the market today, SERIES providing more power in the some amount of space MAXIMUM SYSTEM OUTPUT Comprehensive inverter cornpahbtlity ensures that customers can pair the highest efficiency panels with the highestefficiency inverters, maximizing system output REDUCED:IN'STALLATIgN COST More ower per panel means fewer panels per install This saves troth,time and money 3 5 x RELIABLE AND ROBUST DESIGN . SunPower's unique Maxeon'"^cell THE WORLD'S STANDARD FOR SOLARTM technology and advanced module design ensure industry leading reliability SunPower'"' E20 Solar Panels provide today's highest efficiency and performance. Powered by SunPower Maxeon'"4 cell technology, the E20 �f series provides panel`conversion efficiencies of up to 20.1%. The E20's x low voltage temperature coefficient, anti-reflective glass and exceptional low light performance attributes provide outstanding energy delivery per peak power watt. " SUNPOWER'S HIGH EFFICIENCY ADVANTAGE j . I 20% s. . 1'5% •1-0% 5% .� ® THIN FILM ' CONVENTIONAL E E 0 W"M TMCELL SERIES SE�RIEJS SERIES TECHNOLOGY sunpowercorp.com Patented all back contact solar cell providing the industrys highest C O - efficiency ancJ reliability UL us S U N POWE ' •/327 SOLAR PA MODEL: SPR-327NE-WHT-D ELECTRICAL DATA I U CURUE 'Measured at Stand rd Test Cdnd a ns(STC)-irr d an ofi000W/ AM1 5 nd ell)e pe N 25.C Peak Power(+5/-3%) Pmax , 327 W "-TWO- m ate C b — Cell Efficiency ry 22.5% j 5 - - } Panel Efficiency ry 20.1 % a 4 t Rated Voltage VmPP 54.7 V 1 3 i Rated Current ImpP 5.98 A u 2 ~soo W/m= t _� Open Circuit Voltage Voc 64.9 V - 200 W/m= Short Circuit Current Isc 6.46 A 0 — ----- Maximum System Voltage LIL _ 600 V ; 0 10 20 30 40 50 60 70 Voltage M t Temperature Coefficients Power(P) -0.38%/K i ] Current/voltage characteristics with dependence on irradiance and module temperature. Voltage(VOC) -176.6mV/K I Current(Isc) 3.5mA/K - �-- TESTED OPERATING GONQITIONS NOCT AY C+/-2a C I �` Series Fuse Rating 20 A Temperature -40"F to+l 85a F(-401 C to+85a C)1 13 psf 550 kg/m2(5400 Pa),front(e.g.snow- ) Grounding Positive grounding not required i Max load w/specified mounting configurations MECHANICAL DATA 50 psf 245 kg/m2(2400 Pa)front and back I (e.g.wind) Solar Cells 96 SunPower MaxeonT"cells { Front Glass High-transmission tempered glass with Impact Resistance Hail: (25 mm)at 51 mph(23 m/s) anti-reflective(AR)coating_____-- �� Junction Box IP-65 rated with 3 bypass diodes I 1 i WARRANTIES AND CE'RTIFIGATIONS } Dimensions: 32 x 155 x 128 mm Output Cables 1000 mm cables/Multi-Contact(MC4)connectors �~ Warranties 25-year limited power warranty Frame Anodized aluminum alloy type 6063 (black) ; 10-year limited product warranty t Weight 41.0 Ibs 18.6 kg) Certifications Tested to UL 1703.Class C Fire Rating DIMENSIONS n _ 2X 11.0[.431 MM (A)-MOUNTING HOLES (B)-GROUNDING HOLES 2X 577122.70) 180[7.071 (IN) 12X 06.6[.26] 1 OX 04.2[.17] 3D[1.181 322[12.691 4X 230.8[9.091 - I [B)� i - v tB BRIH N o ENDS N 1 • I cv o N ji N- " 1 9[61.39] � 46[l.81] �— (q) 915[36.021 -� 1200[47.241. 12[.47] 1535[60.451 Please read safety and installation instructions before using this product, visit sunpowercorp.com for more details. ©2011 SunPower Corporation.SUNPOWER,the SunPower Logo,and THE WORLD'S STANDARD FOR SOLAR,and MAXEON are trademarks or registered trademarks s V n p o W e rc o r p.C o m of SunPower Corporation in the US and other countries as well.All Rights Reserved.Specifications inducted in this dotasheet are subject to change without notice. Document#001-65484 Rev'B/MEN CS 11 316 . STANDARD . RAIL _ • � , i-1 V' � , III ® I L FOOT 3/8-16 X •3/c - HEX HEAD BOLT 4 3/8-16 FLANGE. NUT 0" � 48 • � �. � , .. a .. a. .. a - 00 o d 000 .,4 O Installation Detail ,.©2008 UNIRAC, INC.,, - Solar Mount Rail M_VD ME L-Foot Connection AiBUQuEmuz mm -87102 WA UPHME CA 2€2-641 T RAC- URASSY-0002 . "CE A" x. F i� ii. �-. . L'+J.1.y t,.�•�2.�`r .i�1�f�'j''� ✓�Lfi.EV� _• . .. - L-Foot material-One of the following extruded aluminum alloys:6005-. T5,6105-T5,6061 T6 = Ultimate tensile:38ksi,Yield:35 ksi Finish:Clear or Dark Anodized L-Foot weight:varies based on height:-0.215 Ibs(98g) • Allowable and design loads are valid when components are assembled with SolarMount series beam_s according to authorized Bearri� UNIRAC documents, L-Foot For the beam to L-Foot connection:' J •Assemble with one ASTM F593 3/°-16 hex head screw and one ena d ' _ ASTM F594%'serrated flange nut Flange u •Use anti-seize and tighten to 30 ft lbs of torque \\ Resistance factors and safety factors are determined according to.par 1 section 9 of the 2 -005Aluminum Design Manual and fh►rd party test• , Y = results from an IAS accredited laboratory NOTE: Loads are given for the L-Foot to beam'connection only;be, X sure to check load limits for standoff,lag screw,or other attachment method 3.01 Applied Load Average Safety Design Resistance ' ,Sl aov FORt Direction Ultimate Allowable Factor, Load Factor, r lbs(N) Ibs(N) FS Ibs(N) tD Sliding,Z± 1766(7856) 755(3356) 234 1141 (5077) O.W Tension,Y+ 1859(8269) 707(3144) 263 1069(4755) 0.575 Dimensions specified in inches unless noted CompressiDn.Y- 3258(14492) 1325(5893) 246 2004(8913) 0-61 S Traverse,X1 486{2162) 213(949) 228 323(143fi) 0.664 L - r.r �] -:[c.::-- �:r�—mn:]I:s.T.=::•r - — .�i r-:]: :Z• •r_a�2'=..:.—,:,.:zz::z_pr ._- _ lYr--• - :t- — Z'' S_ _ r - t r; - - __ _ ter==""�-�Z`_t•_.—�Zz�_—_.�'=��Y—=-�—_,.: _ ____-- _—_-� — �: - FLANGE NUT END CLAMP OP MOUNTING FLANGE NUT CLAMP a MID CLAMP T—BOLT UGC-1 CUP A T—BOLT SOLAR MOUNT_�� , RAIL T—BOLT. ► . - UGC-1 - CUP , �------RAIL s - 00.0 O • , lnstallafion ©etail a OO ©2008 uNIRAC. wc. SolarMount Rai! -44 WMADW SWO NE To tin Clam AMUGUMM, NH 87102 ISa � Mounting - �? PHONE 505.2�11 Universal Grounding Clips uN,RAr—COae r URASSY 0006 �I�+in: Rsnl-tSw—i CGp—Top Uzuni CWmp_dyq. /22/2D :a?:w? :�i6 < QLAFoot—Product Guide Cut Sheets:QFL-812 IV f avi' • 4 03/8"� 6 12 3" r I } t I 9/16". ►4 j. � � I 877-859-3947 Committedto the Support ofRenen•ableErterg�0Ec.-TastenSelar'All content protected under cop;ri9fit.41 idtiteserred02,2812013 3.3 a - . r•.u.r. .I::,n.. ,.. r. n.nn,•• .r.,• � ,... � • u.uo..� i',�.,.1. :�,: ��F.I(Ill+.. '•Ilµ(i _ - 11 � �� I ' { .44 i,•';; � �'�'J\i't a.'`(;.�I+`; :}d '' - .. 1 -. .. ., - ', ' y'�'? ,r 1(Jt;iSlr'"•',�t��q4��, ,1'^� f1'r.` T is �s to ce atJason 't I _ "i 1 r R'. F120 Chase Street Hyatuais; MA 02601 i •I,' I '11'11i11111 'dl li i has sUccessful'O completed.the 8-hour course ,.1,,;•I '1��;= `,, �.',',;,,. .�.i 1,t, 1., �;1- Renovator Initial �[E lisla - 1, Pursuant t'o 40 CTR Part' 745.225 art Course Location l'j Shepley Window Showcase. 15 Ben Franklin Way'Hyannis, MA 02801 I + _June 7, 201.0 fi .Lune 07, 2010 { Course Dates Rgminedlon'Date /' _ ` R-Iw18398.10M0t~i939 `V��i�� 7, �lf�'i5 1iY�-,-- - .. _ f CertlPlcatoNtimbor ..,,�.1 _�.:.._.., � ..� phation D7to Tralnlncg Dlrector i ll U.Ptor.i I.1rIve, Vullrelin ton? MI.\ O1 0 r i�V' �' '\ u ', ' 1 9 r ,.2/�, l I ', '•i1' ;,., .. .,`„ •.� r 'lldi:i/ /''/ 'd!i.�17•,Jd?U171': i7�{,t.l5��,..�,ti../b, V44VbH,lti'•k?la'clll'l:i•C.tJI'll ' jl 'I ,f,. I,1.� \'• I.l' ,. , ,j5,.., .y IJ•}1 tit , .. ,I ;•;:.,�.4! •'/•1'�ry'/' '•1' III .. ,�' +. r' rl) I I• t 1 t 'i.• � , , •9 IY Ii • • -•• LL co • . c • -•• • • • -•-• '• •. • © • PLANS & -•-• .• .. • - - mmom,//////ME A 1 -.. • • -•• / • • • . PLANS & RIVER A� • - •• • • • -•-• •. • Q • • �i r Q -•• oFzT Town of Barnstable Expires 6 month rom issue date Regulatory Services Fee 04 snrtivsr�sY-E. MASS' Thomas F.Geiler,Director plFD MPt IN � �R /b Building Division V Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY j Not Valid without Red X Press Imprint Map/parcel Number l o Property Address us, U11M Ce&lc V)lle- Mv 0 Residential Value of Work c _ . —Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address RR I/ RU &Ive- -er . Contractor's Name a/Y7 es MCC/l/ -Telephone Number Home Improvement Contractor License#(if applicable) Cons ction Supervisor's License#.(if applicable) 0 �� Workman's Compensation Insurance Check one: - ;,.P RESS PERMI"T ❑ I am a sole proprietor DEB ® 2.2010 am the Homeowner❑ have Worker's Compensation Insurance R@1STABLE -TOWN oF BA Insurance Company Name Workman's Comp.Policy.# � 10 . Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) r ❑ Re side (/ #of doors .�/Replacement Windows/doors/sliders.U-Value O. S (maximum.44)#of window *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property.Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required:. SIGNATURE:. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 090809' The Commonwealth of Massachusetts . Department of Industrial Accidents, Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organizatio vidual): J ifs OM/ Address: lr. City/State/Zip: a�• P� V /Phone#: G� `� `(670 Are an employer?Ched the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑Ne construction 2.❑ I am a sole proprietor or partner- listed on the attached.sheet. 7. emodeling ship and have no employees These sub-contractors have g. ❑Demolition working for mein.any capacity. employees and have workers' comp. insurance.# 9. ❑Building addition i [No workers'comp:.insurance p• required.] . . 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions self.m o workers' right of exemption per MGL . Y � comp. 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. XContiactors that check this box must attached an additional sheet showing the name of the sub-contractors and"state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation in rance r my employees. Below is the policy and job site information. Insurance Company Name: @#cw/ U Policy#or Self-ins.Lic.#: ��.-- �ID Expiration Date: ( V l v Job Site Address:" 03 vv City/State/Zip: Ce elvl P ` Attach a copy of the workers' compensation po licy4ec,aration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year.imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator..Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provide" bove is a and correct. ` Signature: Date: , `�0 Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): . 1.Board of Health 2 Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:. From:Shaunna RobirY-4fon, Hunter Insurance At:Hunter Insurance,Inc. FaxID: To:Denise Glode Date:9/23/09 09:45 AM Page:2 of ACORN CERTIFICATE OF LIABILITY INSURANCE OPID s DATE(MM/DD/YYYY) MOONA-1 09/23/09 PRODUCER' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY.AND CONFERS NO RIGHTS UPOMTHE CERTIFICATE Hunter Insurance, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 389 Old. River Road, P.O. Box 1 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Manville RI 02838-0001 Phone: 401-769-9500 Fax:401-769-9502 INSURERS AFFORDING COVERAGE NAIC# INSURED Moon Associates Inc. DBA Gutter Helmet INSURER A: National Grange Insurance co. 14788 DBA Renewal by Andersen of RI INSURER B: Beacon Mutual insurance co. DBA Gutter Helmet Roofing DBA Moon Works m INSURER C:' 1137•Park East Drive wsuRERbi .Woonsocket.RI 02895 - - INSURER E:. - - - - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR.THE POLICY PERIOD INDICATED..NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER D06UMENT,WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,TIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - LTR NSR- TYPE OF INSURANCE - POLICY NUMBER DATE(MM/DD/YY) -DATE(MNt/DD/YY) LIMITS - GENERAL LIABILITY EACH OCCURRENCE $ 1 0 0 0 Q 0 O. A X COMMERCIAL GENERAL LIABILITY MPS26619 09/16/09 09116/10- PREMIS�ESEaoccurence) $500000 CLAIMS MADE OCCUR - - - MED EXP(Any one person) $.10 000 PERSONAL&ADV INJURY - $ 1000000 GENERAL AGGREGATE $2 0 0 0 0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 O 0 0 0 0 O" POLICY JEOT LOC - AUTOMOBILE LIABILITY A, X ANY AUTO B1526619.;;.,_1 COMBINED SINGLE LIMIT $ 10.0 0 0 00 709/16/09 09/16/10 accident) ALL OWNED AUTOS SCHEDULED AUTOS. BODILY INJURY_. - - _ (Per person) $ HIREDAUTOS - - - - - - - BODILY INJURY - NON-OWNED AUTOS - (Per accident) $ - ` PROPERTY DAMAGE, - $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT- $ ANY AUTO , . - OTTER TRAN EA ACC $ . . .. _ AUTO ONLY: AGG $ . EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1000000 A X OCCUR a CLAIMSMADE CUS26619 09/1.6/09 09/18/10 AGGREGATE- $ RDEDUCTIBLE RETEMION $10 0 0 0 _ $ WORKERS COMPENSATION AND - vvub - EMPLOYERS'LIABILITY - X TORY LIMITS ER B ANY PROPRIETOR/PARTNER/EXECUTIVE. 28586 10/01/09 10/01/10 EL EACHACCIDENT $500000 OFFICERIMEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYEE $500000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION BUILDIN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WR[TTEN Building Administration Cont. Reg Board Dept. of NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL One Capitol Hill IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Providence. RI 02908 REPRESENTATIVES. Al EPRESEN D R TATIVE ACORD 25(2001/08) 0ACORD CORPORATION 1988 Mmaz e or . o0liiu —."Aems. �as zegME.IMP wo- 47 izt aOn Inse. , Try# -285438 OrA on MOONAV a 113?7 PA • err - � .W tm. R Wnt on €�. t ? v SP,a lbald via � $4 AIto passim A to-'anal� .of the �. &-,u f . „.ni: iAWe r piwl Q Custnmcr Name:&'�AS. O_IV A h_l Year Built: Renewal Address. _'21. 034n;4-' 1 �9 Customer 10#: Cant Cod Andcrxn of Rhode island& Sales Agreement T 1n bAndersena City,State,Zip: C j -e t, per s, Ordcr Numbcr: 113: Park East Drivc wrfeoory REPIACEeISPIT anArNkre+c;aa{anY � Phone-Home: 90'P '-wo ' ;113 Woonsocket,RI02895 Phone-Work: Page: I of 1)att: Z t) _V _�— •_ license tt RI-30839 RI Email: 12259 MA- —" 119535 C r-5G2725 . f j�R�ts7`�lSuGl jyn.., Tedmical Measure ! UNITS Dimensions gg GRIL4E5 _��_ to oeRsaiftuon � � � � a k ` 3 a# a = _� �� N = N s PRICE s € o t �►� Ltd 7L U I � � cow. � � 3 �' 3 �-- � 1 ! r 2-- U ,.S 3 -. i I •S 4Y S3 1 ! 3 2- 3 2. &017411 d4+� w 7 0 Co 1. V) , 2 7 7 1 a 1§ eat:A .'t Mist ll o �se SIB Total t ' fit/ U I{+!the aknsve rnnthm',mrJ alnon nr ha• nsrd<J limbs on+J xrru+utu yr teJ in t a uy,rternam.The C C U� Ctil", r E% — Pnae 1 � h t pn+pyaal wJl r•mwn vxliJ Iia t yr unal a art n+nwptanro hp Ihnh t;r+reontar xnsl Rnaw:d by A+plursa•n hfxnytrr a* (Staining.Wtalf,act",19rornMlnn,etc.) 1t8ytlteflt iVlethOd prvviJ<J hcl.w y,� - - - SItA TOUII Adds.sra•e ❑- t) / w S p 3 1?rnrrlptian!Notes t 31 . 8 Check uan J AnJars<n Sale Rrptrsrnuln•e sig...rr Eft—t��s C o Vh r) 19��4• JQ } C� Sub TOWS wrh� 5_t�Ls'p Customer ACct t ¢:Ynu nro hrehv oud—ml ur Iiamsh AI uuhluw.'ohl d xid rrspurcd to aunpkrc d+is Milt Credits w ExpM/tf r} � Credit Card xl,reenune f�a which ntktsi{:Mvl a!(rcer to pyy iM+xnumm Amrcd in rl is iµ;_rocr t mhl"'cording p+nn•n•msa hennr. •, ,J:)a See Reveres Side for Terms and Conditions of Sale.You,the buyer,may cancel Tote) � this transacrlon it any time trior to midnight of the third business day after - the date of this transaction. lease a attached notice of cancellation for an d Sales Teti ._.. orate dash ordp explanation of this ti�lf� `J�'J„��' lbtal Misecllann+ut t:redin(u Fslxnxs adbuonatOr�rtermtAlta<Md AcsnJ,ted! •)o'� - (sorry urer wlal u+m'nc.<rtdit!expense ndumn oe rlghtl lNOrll PatDs{t COA lMte C wmrr ppnnrot: sawn �� IP�++•elyde all tbm+PPh) A«<ptd Sprcial Order Now, Total Amount of Agrewnentrn 1 o"Move MY Door Pam Dom Strom Dean �t Darc Rc�-ul hr Arnksson U.nauvr pia ran+n• Deposit Required V �/ SpttbtttVPoknw ,ara�yapnnWp,stainhe w Renewal Iry AMrrran Avowvd and rakwatation please naq the we wr taunts ro 6id on rapal bq wally OZranch r"", roes rot puaantee tM o1 window<wa<MMs are an(unseen Aamapr.nowesw,tl a unum Oemsge t, V Balance Due ens Complittlon - br nrMen htrot intbrd<d 11t o1 orip+nal trbdow tal<Ir da nspanslainy of k a+uavared dining 4nugason wt wig<amphtr N ddsapiearnem Dane+ <ovw+ngs agar haw units Ore[mtoilRl uldess end<aaresyau la eM•rosin upon tour approval. price ina9ualts labor.matnlat<,inarallatinn, spedlkaty noted a bow. oelmtdird. otne*nan"ted Nthe end of thajob nil comeunbn deoibwa he price induic Ja nt.mat nniuinre ltio . /� removed Ane we walr4en pu+new windowr ar,d White-Renewal by Andersen Yellow-Installation Pink-Romeovmer 1 of P P d customer (astomer (�y,F dx imulW7onnee Inidak: sl Initlats: initials: a 'W 1a.Jl.MM.,..i'uW,br NnnwJln AnJra:,:.p,...auMrvab.W MarnieaaTa..,r�A.�iaa�a,a�{p,l�t�„m�r.,J�-W Nw.J.i MN In,.0 1 s =Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel U S � _� Application# 10 v Z Z Health Division Date Issued l Conservation Division Applic n Fee s A Tax Collector r Permit Fee Treasurer I,c, ��Z��o�d- Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village (,L�177312V t �l� I ! Owner RN/_ 1ZU ftl Address �/ W L l a 141 L rr 22 ` /Z3N6 Telephone T 6AAD1 Permit Request ?1114-P �� '�C�$ r�c1 e-1 4) / yx y fl-s� c�7L�n�� '?cs2rtij�� L1� JYgi✓1�S' — Square feet: 1 st floor:existing 0 proposed 366 2nd floor:existing proposed Total new�G r7 Zoning District Flood Plain Groundwater Overlay Project Valuation 1-2-0, 00 • UCH Construction Type mod Lot Size , 3 q Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 14 Two Family ❑ Multi-Family(#units) Age of Existing Structure !qy Historic House: ❑Yes *'No On Old King's Highway: ❑Yes 4 No Basement Type: C*Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) o Number of Baths: Full:existing .3 new Half:existing new -- Number of Bedrooms: existing new 6 Total Room Count(not including baths):existing 7 new / First Floor Room Count Heat Type and Fuel: 4Gas ❑Oil ❑ Electric ❑Other 4 Central Air: IYes ❑No Fireplaces: Existing ® New Existing wood/coal stove: ❑Ye' 4 No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑net—size-21 Attached garage:Allexisting ❑new size Shed:❑existing ❑new size Other: L 1 L'J Q > Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ V Commercial ❑_Yes-- No .-If yes, site;plan review-# -- -- — --_, -_ __o co _ N rn Current Use �e_S�J.h,cP, Proposed Use BUILDER INFORMATION Name &t 6&,ftbjyh f Telephone Number Address /3 k/ 6X1. License# 1oZG2 S�v? rOJ7,- aft D?G3 Home Improvement Contractor# c27 4 8 33 Worker's Compensation# 4J ALL CONSTRU N DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 'I/,10 t FOR OFFICIAL USE ONLY ,'APPLICATION# t DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE ` OWNER DATE OF INSPECTION: FOUNDATION 4 IlloV (45a0b5J�� cap FRAME SAcAmRn4jr. oEi f D /0'�g os� INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ?� PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING (:oaZ)qla9g9 DATE CLOSED OUT ` ASSOCIATION PLAN NO. r� �OFTKE:b�Y Town of Barnstable . Regulatory Services saxxsTasr�, 90 Mass. g, Thomas F.Geiler,Director Ea;a�a�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize 1110 k to act on my behalf, in all matters relative to work authorized by this building permit application for: Uo UJ . (Address of J ) 94 signa.tur of owner Date Print Name Q:FORMS:O WNERPERMISSION The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation I.nsurance.Affidavit:.Builders/Contractors/Electricians/PIumbers Applicant Information - - Please Print Le 'blv Name(Business/Organization/Individual): ML La S -9 U I Cl>I A Address: City/State/Zip: � �� 071 Phone#:_ ( V �- �zg�—.�1� 7 Are you an employer?Check the appropriate box:_ Type of project(required): 1.C4 I am a employer with 12- 4, ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors F 2.❑ I'am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship acid have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. Building addition o.workers' comp. insurance 5. We are a corporation an❑ d its e p 10.�]Electrical repairs or additions required.] officers have exercised their. P 3..❑_1 am a homeowner doing all work right-of:exemption per MGL 11.7 Plumbing repairs or additions myself. [No workers'comp. c.152;§;I(4);.and we have no 12.❑Roof repairs insurance required.] t employees.[No workers' 13 eomp insurance required:]. Other. •Any.applicant that checks box#1 must also fill out the sectron below showing iherrworkers compensation pohc information t Homeowners who submttthts aff dav�t7ndi;gnng tltey are"dpmgall wgrk andthen himDutside contractors must submits newof davit indtcatingsuch. ,r:tContractors that checktlus box'mttsrattached:an addthbnal sheetshowttrg thcnamgof•tfie sub=writractors arid.thctr worker; comp,policy information. I am an employer chat tsproviditeg workers'contpensatton insurance for my employees Below is the policy and joG site r a Ltrfoltnation Insurance-Company Name: - G V Policy#or Self-ins. Lic.#: C M 91 '7 Expiration Date: / Z Q_Q____ Job Site Address: - g City/State/Zip: 7l�'LUI��- Attach a copy of the workers' compensation oHey declaration page(showing the policy number and expiration date). .Failure to secure coverage as required under Section 25A of MGL c.. 152.can lead to the imposition of criminal penalties of a tine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations o e.DIA for insurance coverage verification. I do/t eb rt'y t Lder tl:e in m penalties ,f perjury ilia the information provided above is trite and correct: Sig*nature: Date: l l] Phone-#: t') Y28— yo 97 Official itse only. Do not write in this area,to be completed by city or town offciaL City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: 6000 ZA4 L%; 1*0 rtala wu _u .i�uu +acurupa.w iLiD Yi pLLL,G Ay GLab 2' 1(jvv,&/VUl. CERTIFICATE OF LIABILITY INSURANCE 02/0MIODIYYYY) 02/OS/200I =P (508)428-6921 FAX (508)420-5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ,nard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Wi anno Avenue ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. 0 Box 494 lstervil le, NA 02655 INSURERS AFFORDING COVERAGE NAIC 0 ASURRD Lagadinos Building & Design, Inc. INSURERA: National Grange Mutual Ins Co. 14788 13 Thankful Lane INSURERB: AIG XSB009 Co'tui t, MA 02635 INSURER C: INSURER D: INSURER S COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR hDDi TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY MSB87460 01/01/2009 01/01/2009 EACHOCCURRENCE $ 11000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS MADE a OCCUR (Any one person) S S00 000 MEDEXp 10,00 A PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY SETEl Loc 2.000.000 ` AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO (Eaaeddent) $ ALL OWNED ALTOS BODILY INJURY SCHEDULED AUTOS (Perperson) $ HIRED AUTOS BODILYINJURY NON-OWNED AUTO8 (Peraccident) $ eOPcdd ,AMAGE $ GARAGE LIABILITY AUTOONLY-EAACCIDENT S ANY AUTO EA ACC $ OTHERTHAN AUTO ONLY: AGG $ EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S DEDUCTIBLE RETENTION S $ WORKER$COMPENSATION AND WC6983341 01/02/2008 01/02/2009 WCSTATU- OTH- j EMPLOYERS'LIABILITY B ANY PROCER MREMBER IETORfPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ If yyes,describe under E.L.DISEASE-EA EMPLOYEE $ SPEGAL PROVISIONS below E.L.DISEASE-POLICY LINIT $ OTHER DESCRIP71ON OF OPERATIONS f LOCATIONS!VEHICLES f EXCWSIONSADDED BY ENDORSEMENTI SPECIAL PROVISIONS SRTIFICATE HOLDERAN LLATI N _SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Barnstable BUT FAILURE To MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIA13MM 200 Main St. OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 F4Na UTHORIZED REPRESENTATII/E nc cHenderson LEONHI ACORD 2S(2001108) FAX: (508)428-7709 ©ACORD CORPORATION 1988 . �� , ,��K�midptw Wood Cmms�mo*om6n�nigm TfimdAmrav 110inph WindZone, � Massachusetts Checktist for C0x &�cen80CM0�5301.�1�)x ' ' ' [M Cbcdc ' CunipUuux 1.1 SCOPE Wind Speed / .�---'---.�-------------' ---_``-..��-------..—�]10n�ph ` �L_ Wind Exposure Category..... .............................................`.............. ........................ ....................................B . XL_ ` � 1.2 APPLICABILITY Number ofStories ..............................................................(Fig 2>............................. otohau :52stories XXL_ Roof Pitch ----------------_-------.yFig2>.-------------. m :512:12 XX_ MeanRoof ..............................................................(Fig 2)................................................18 _# :533' XXL_ Building Width,VV-----_--------------�(Rg3}----'-----------��__� �0I x: ' � � �0J ��—' Building Length, L --------------------'(�Q3)----^---_-----_—.--- ` _—_ Building Aspect Ratio VL/N} --- ----'-------.(FiQ4)-_—'----------_—�.33L_<3:1 ' xxL_ Nominal Height of Tallest Opening2 ................................... (Fig 4)................................................6-8- s6'13^. Xx__ 1.3FRAMUWG CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ XX_� � �] FOUNDATION ` ' Foundation Walls meeting requirements of788 CMR 5404.1 . ` Conce��-----.-------------------'_'--------------- Xx-- ConcreteMasonry.......... ................................................ ........ ----.................................................... XX-- 22 ANCHORAGE TORO0VDAT%JN" _ 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors asan alternative in concrete only Bolt Spacing—general ..........................................(Table 4)............................................... m' in. XX_ Bolt Spacing from end/joint of plate ............................(Fig 5).....................................6- in.:56^-12^ XL__ Bolt Embedment—concrete.........................................(Fig 5)................................................` in.�:7^ XX _ Bolt Embedment—masonry.........................................(Fig 5>............................................____in. � 15^ XXL__ Plate Washer...............................................................(Fig 5)...............................................2�3^:3^»1/4" XXL- 3.1 FLOORS Floor framing member spans checked ...:....... — .............(per 78VCMR Chapter 55)............................. ...... XX _ Maximum Floor Opening Dimension...................................(Fig G)...........................u___ft:512'orU2orVV/2 XX__ � Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)�9�.................................. ' XXL_ � Maximum Floor Joist Setbacks � Supporting Loodbeo ring,Walls nrGheonwo|................(Fig 7)....................................................0ft 5d XX _ Maximum Cantilevered Floor Joists Supporting Luodbaahng Walls orSheanwoU................(Fig 8>.........-.------...... ..............0ft :5d xx__ . FloorBracing o1Endwols...................................................(Fig ............................................................ xL_ Floor Sheathing Type ........................................................(per T8OCIVIR Chapter 55).��!Mpx-------- xx__ Floor Sheathing Thickness .................................................(per 78OCMR Chapter 55).------.o° in. XX_ FlmxSheathing Fastening-----`—_—.—.------(Table 2)`8d nails at 6. in edge/12infield, -XX-- 4] WALLS Wall Height LoadboohngvaU --------._---------(�g1OandTeb�5)--------'7�^ � �i� ��__ � walls................................................(Fig 1D and Table 5)..........................7-8- _M :5 20' XL_ Wall Stud Spacing ........................................................(Fig 1O and Table 5)------.16"_m. :5 2ruc. XX__ Wall Story Offsets ...........:............................................(Figs T&8>...........................................Pft :5d xL_ 4.2 EXTERIOR WALLS' Wood Studs Loodbeahng walls........................................................(Table 5)......... ....................2x 6 '7' ft 4. in. XX�_ Non-Loadbearing walls ----'(Table5)---------'2x___'7- #4- hn. XX�_ � Gable End Wall Bracing' Full Height EndvaU Studs............................................(Fig 104-----.-----'----------. XXL_ � VVSP Attic Floor Length................................................(Fig 11)---------.9RI�r�--� ��VN3 �__ Gypsum Ceiling Length(if VVSP not used)...................(Fig 11)---_--.-----'--. �uO�VV �__ 2x4ConUnuouoLo��|8�ce6�0fLo.� ' (Rg11)----'-----� .............................. XX�__ Double Top Plate Splice Length ...... ......... ............... ......... --'(Fig13 and Table 8)—'---.......... ---_4' ft XXL_ Splice Connection(no.of15d common nails)..............(Table t)............... .......... ........... .......... --� XX _ � � ' ' N � | . . ^ . ^ � ATVC Guide hvWood Construction imIAgh WimdAreox: .110mmph fVindZono 'Massachusetts Checklist ��m� (700 CMR 5301.2.1J)` ' Loodbeohng Wall Connections Lateral(no.of endnoUed18d common nails)..............(Table 7)........................................................2 »» Non-Loadbearing Wall Connections Lateral(no.ofondnailed 1Gd-common nails)...............(Table 8)..............-------'---- 2-_- ' XX_ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Toble9) Header Spans ............. ..........................................(Table S)..................................6ft_0_in. :511' XX__ Sill Plate Spans ........................................................(Table S)..................................cMu__in.:511' XX__ Full Height Studs (no of studs)...................................(Table S)........................................................3 XX__ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeoderSpono.............................................................(Table 9)..................................2ft 8 in. stZ XX__ Sill Plate Spans...........................................................(Table 9)..................................2 ,_ft ahn.:512^ XXL_ Full ofotudo ---- ------------------�--- XL_ EmehorVVaU8heo��gmReo�tUpUftondGhao GknuU�nooua�` ` Minimum Building Dimension,W NnmimdHo�htofTaUeo Opening -------.-----_'------------/nr_18'8^� (note 4)......................................................1/2'Cdx_ XL-' Edge Nail Spacing.........................................(Table 10or note 4if leoo --------4m. ' XX__ | Field Nail Spacing..........................................(Table 1O)................................................. 12L_i6. XX_ | Shear Connection(no.uf1Gd common nails)(Table 1O)........................................................ MF XL_ Percent Full-Height Sheathing.......................(Table 1O)...................................................v6_%. XX__ 5%Additional Sheathing for Wall with Opening>6'8^(Design Concepts)..................... XX_ Maximum Building . mommo *o�h ovToneo opon��............... 6'8"<6'8r XXL_ Sheathing Type................................ ............. ......................................................1/2'cdx-' XX_ Edge Nail Spacing.........................................(Table nor note 4if leoo -----,--4in. XX__ Field Nail Spacing..........................................(Table 11)................................................. 12 in »« Shear Connection(nuof1Ud common nails)(Table 11)........ -------- ..................� XX- Percent .......................(Table 11)....................................................18%`% NX _ _ 5%Additional Sheathing for Wall with Opening^6'8^(Design Concepts)................... XL_ Wall Cladding Ratedfor Wind Speed?............................................................... ................................................................ XL_ � � 6.1 ROOFS � Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) »: Roof Overhang ................................................... (Figure 1Q)..............8- ft:5 smaller ofZorU3 XX__ Truss o,Rafter Connections o1LoadbeohngWalls ` Proprietary Connectors Uplift................................................(Table 12)............................................ XX _ Lateral.............................................(Table 12>.............................................. plf XX__ Shear...............................................(Table 12)............................................ XX _ Ridge Strap Connections, if collar ties not used per page 21.....(Table 13).............................. =____plf x» Gable Rake OuUooker.........................................(Figure 2D).............. ft:5 smaller cf Zoru2 »: Truss or Rafter Connections otNon-'vodbeorngWalls. Proprietary Connectors Uplift................................................(Table 14)....................................... .....U=0lb. XX__ Lateral(no.nf18d common nails)...(Table 14).......................................L= lb. XX__ Roof Sheathing Type...................................................(per 78OCIVIR Chapters 58and ...... XX__ � Roof Sheathing Thickness........................................... ..............................................1/2"_in.�:7UO^VVGP XX__ Roof Sheathing Fastening ...........................................(Table 2).......................................................-`8D XL_ Notes: | 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply With the requirements of . ! 780CIVIR53012.1.1 Item 1. |f the checklist io met in its entirety then the following metal straps and hold downs are not required per the VVFCk811O mph Guide: a. Steel Figure b. 20 Gage Straps per Figure 11 u Uplift Straps per Figure 14 � d. All Straps per Figure 17 . e. Corner Stud Hold Downs per Figma190 ` 2 Exception: Opening heights ofuphn8 ft.shall bo permitted when 5&is added 10 the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum2 in. nominal thickness.pressure treated#2-grade. � AWC Guide to Wood Construction in Nigh Wind Areas; 1.10 rnph TEind Zolie Massachusetts Checklist for C® pia cc(78 CMR 5301Z.1.1)r 4. a. From Table 10 and location of wall sheathing-and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. . Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists,and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment I ATfTC Guide to Wood Construction in High Tfind Areas:.1.10 mph ff'ind Zone Massachusetts Cheekiist for Co pliance t7s0 CAIR 5301.2.1.1}� -WHEN THIS EDGE REM ON Fi'tAAAING 415E 8d NA" .....-N T___ _T--_-- --- - - U 1-1 i I 11 1 I 1 - 1 . - I t �S 11 Y I•r 1 O J1 1! F IL 11 I r d 19 .i i u'COD III 1 - YI 11 I Y W 1 ii 1 g I 1 - t ! it a pj 1 d II Q If i! W 1 p u t 11 F, 11 1 I Y 11 t Y � 1 u Y I1 II fl JI Y n _ 11 Y - 11 rl Y . AL 0 UME 9f?GE WAIL SPACING +, PANtt _ y See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment I Ayf'C Guide to Wood Construetion in High Wind Areas: 1.10 rnph ff%ind Zone Massachusetts Checklist for Compliance (780 CMR.5301.2.1.1) a �a t -Za u 0 1 Q aI Il + � FRAMING MEMBERS EDGE gTrERMED ATE - ' 3•MIN. r r.--.- dh STAGGERED 3'M� XML PATTERN PANEL y PA%E EDGE DOUBLE NAIL EDGE SPACING DfiTAL Detail Vertical and Horizontal Nailing for Panel Attachment vi. 1 ......... .� `.�:� y'• Board of Building �ns and Standards.. ,l Construction Supervisor License License: CS 12653 Brrtbdte;_.Z/:;16/1954 zpSratioti=`7162009 Tr# 15610 tR0e�tioi;DD NICHOLAS A 13 THANKFUL LAf�fE<\w:�`>' •: ' �y�jc 'i COTUIT,MA 02635 Commissioner 71. Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: g Board of BuildingRegulations and Standards Registration,`104804 Ex matron 7/:15/2010 Tr# 270833 One Ashburton Place Rm 1301 N - rr, Boston,Ma.02108 _ ype Private Corporation LAGADINOS BUIWI:NG..&.DESIGN,INC Nicholas Lagadinos I' 13 Thankful Lane Cotuit, MA 02635 - Administrator Not valid witho signature G,o Aft- REScheck Software Version 4.1.4 Compliance Certificate Project Title: Ruane Additon Report Date:08/11/08 . Data filename:C:\Program Files\Check\REScheck\Ruane Addition.rck Energy Code: Massachusetts Energy Code Location: Cotuit,Massachusetts Construction Type: 1 or 2 Family,Detached Heating Type: Other(Non-Electric Resistance) C"0 Glazing Area Percentage: 11% Heating Degree Days: 6137 Construction Site: Owner/Agent: Designer/Contractor: 22 Angus Way Paul Ruane Nick Lagadinos Centerville,MA 02648 22 Angus Way Lagadinos Building and Design Inc. Centerville,MA 02648 13 Thankful Lane Cotuit,MA 02635 508-428-4097 lagcon@capecod.net Compliance:21.1%Better Than Code Maximum UA:123 Your UA:97 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 421 38.0 0.0 13 Wall 1:Wood Frame,16"o.c. 751 19.0 0.0 40 Window 1:Wood Frame:Double Pane with Low-E 43 0.300 13 Door 1:Glass 40 0.300 12 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 400 19.0 0.0 .19 Compliance Statement., The proposed building design described here is consistent with the building plans,specifications,,and other calculations submitted with the permit application.The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 4.1.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist.The heating load for this �iIding,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Cod .The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 80C 1310 and J4.4.� Name- itle Signature Date Project Title: Ruane Additon Report date: 08/11/08 Data filename:C:\Program Files\Check\REScheck\Ruane Addition.rck Page 1 of 1 f 7 &,, fi E l 'sit' � [ Bt1ILDIk1�lT� �I) ►JIV11 13 Thankful Lane Cotuit,MA 02635 Q� 508-428-4097 Fax: 508-428-7709 "I email:lagcon@capecod.net August 11, 2008 Barnstable Building Dept. Re: Energy Calculations 22 Angus Way Centerville, MA Window R.O. Total SF U Value TW2446 30"x 57" 11.875 s.f .30 TW2446 30"x 57" 11.875 s.f. .30 TR2415 30"x 20" 4.17 s.f. .30 TR2415 30"x 20" 4.17 s.f. .30 AN61 72 1/2"x 21" 10.57 s.f. .30 Total 42.66 s.f Addition Doors FWG6068 72"x 80" 40 .30 Dormer Windows C135-3 72 3/8"x 41 3/8" 20.8 s.f. .30 AW251 24 7/8"x 24 7/87 4.3 s.f. .30 AW251 24 7/8"x 24 7/8" 4.3 s.f. .30 AW251 24 7/8"x 24 7/8" 4.3 s.f. .30 Total dormer 33.7 s.f. Windows Nick Lagadinos SMOKE DETECTORS REVIEWEn CARBON MUS BE IINSDTALLED PER ALARMSYJDE 1� �r MASSADHUSETT6 BUILDING CODE BL UIIDIJDIE I TT DATE - FIRE DEPARTMENT DATE - BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I q 1j .. � . i'� ..:—=L - u '.I 11 Ili ICI 111 f �''ilf✓ - �w.� .F II I11:1 IJr V I - AlSlxf EtE\!nYlo*J N•�-"-) � - r � .. - .. III I I i LL SECT oN _ T\�0- A— hoorrio,- •.. -. �. II_-`( �.IrF'I I �_I i �; � -- I I �'II �TI[ . ��i j ��.:.� I RUQE DGVCEN DESIQNS .. l d A�1ER/.fwNS errATHnM,Mn. y... (A�� s n f '-'y � � ,v,�.ui su!vK}E5 .•i.w"_ � - \��\� •• •— .I•a �••S e=� lyuf nnnf5 no R!w.�—�n__eaMwq �„y�Mo,twN . � I �I: t . t s ,' I•iw wf, • ,-..REAR Ell=V.CJYON C/.!.o�') ._,_. -- _—� BR1/CE.DEUUN.DESIgNS. CHAVAN,HA. 114'20yy1SD ez_/lZ 4 UL�AtNe,cerefutctiuE :0.0'• _ FOVNnn'(ICIN PV,N n. o CfJ.vL 6P- 71 - _... e.acw�yq �HHH , .33 y I Y N�aJL•It. `�I r. r-Rn—NCI BRUCE DEVGfN DESfGNS All'`qhl,a ALfo, v._ m MATUAH,HA. - - �. ))4•zD9.9�so e_.Q',�„�,,.�A,.,�: «,:1��.,�Ilt, :. ' mul[.ehq•fe..aR�ev•uui..evhev,°x.vR /.:4.F$• ..n�i...•. M•..r•.�na�.,.•.••,. - /.,)f)1'IlfiiJS rLl tl'i'ili+,Ji r.n .. _.__..._. _.. __.. n - � S^LICE DEVGN DESfGNS _...�w-.,�- �•__.... ,..��`� CHARIAM,MA. ))4.205.5)SD 3'�Sl•1�n—�n�,IG�cI:nISEi^n„ F� f .♦ 1- .._ _— /,I — __ _. � �� I .. � —_i.. r<a,v/s T 9u P •n.nnr'[. r r 't 'ix rr v4 4 ` k rxt.i rrrt•,•.s r .. I 61=L— ROOF.F FP,m,Nci .. i. - ------------ i ` FPIICE DCVGN DC51QN50- CHATHAM.MA. 'J)�{^201'1�SQ Zz,�tNusut'dE ceN-fL=Pvt�.�• - 64'-3112" - • 81 - 16-1"_ 21'-0 1/2" - 3'-11"-+ - 22'-0 1/2" �. L) w 0 JN - f6 'o DECK.. - .CM 3 c a co f6 0) - C l6 . - 26150H .z8150H - r 111 -0° .. KrCHEN ,.. - _ - - Yes-3• to'-v .. - � � � - GARAGE41. 0 I I Q r m C a . - oL_- ING .. : BEDROOM N - aar-r BED^ r - •.- c ` �.. NMSDH ..Y6150H' F.•�•I .. - T LIVING - ..I. - ' - - zsasrnt atsrx zuswt - � ._ 6'_7. 2'-0314" 16'-11/4" - 241-0" 81 ... - First Floor Existing Layout o z 1216 sq ft 40'-3 1/Z..' 9'-9 3/4" 6'-4.1/2" 1 1/ T-0 1/2" 16-2 1/4" 2. 2640 H 2635DHOD CLOSET O - Mv N O •m C m - O 2668) 2668 CD G '0 N - _ 7 Ej Hm v SP 13-5.,os� p Ern • ____._._____ G C - .. N Ca • ® o N co o BEDROOM BEDROOM- o F 3'_6" : .. rn I � .C" ___ 1168 2668 O Cn BEDROOM I. 13'-4"x 12'-5" N y ... 3'-7 7/8"1 2'-7 7 3'-6" 13'-7 7/8" 5 /8' 19'4 1/2" 43'-8 3/4" c N Existing Second Floor Layout 904 sq ft Az PROJECT NAME: m �J ADDRESS 664�gs , W aTX- 4/ PERMIT# PERMIT DATE: M/P• / LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: BY: �' /'�, L...� 0 0 q/wpfiles/archive 4 . r� FTC� Town of Barnstable *Permit# ' (9 23 y, p� Expires 6 months from issue date ,AMsrAB,e, : Regulatory Services Fee ,Ou M"� i63 9. m� Thomas F.Geiler,Director A � Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X'PRESS PE4 Office: 5.08-862-4038 Fax: 508-790-6230 JUN 0 2003 EXPRESS PERMIT APPLICATION RESIDENTd"A= Not Valid without Red X-Press Imprint ARN S TAL,Lj: Map/parcel Number � Property Address 6,1-�ZIY1111�7 residential Value of Work Z AD•00 Owner's Name&Address Contractor's Name A-)i c ec,-o h kip rr. -�r vv\S c Qf nw.wi l Telephone Number .Home Improvement Contractor License#(if applicable) 1.3316-5 � 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 Compensation Insurance Insurance Company Name L 16 r h A u 14 4 1 I V13 L't YE,W ye 1 Workman's Comp.Policy# Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) 5tRe-side ❑ Replacement Windows.,U-Value (maximum.44) ❑ Other(specify) *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. Signature F Q:Forms:expmtrg ; Revised121901 , Liberty Mutual Group PO Box 8094 LibertyWausau,WI 54402-8094 A1C 1� Telephone(800)653-J893 � 1 Fax(715)943-2650 December 11,2002 t _ TOWN OF BARNSTABLE BLDG DEPT 367 MAIN ST HYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance Insured: NICKERSON HOME IMPROVEMENT INC PO BOX 2476 ORLEANS,MA 02653 Policy Number: WC1-31S-318102-022 Effective: 11/6/2002 Expiration: 11/6 l2003 Coverage afforded under Workers Compensation Law of the following state(s): MA i Employers Liability: Bodily Injury By Accident $ 1,000,000 Each Accident Bodily Injury by Disease: $ 1,000,000 Each Person Bodily Injury by Disease: $ 1,000,000 Policy Limits As of this date,the above-referenced policyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the - policy listed above, t If this policy is cancelled before thestated expiration date,Liberty Mutual will endeavor to notify you of such canccllation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP :Ihs Certificate is executed by LIBERTY MUTUAL INSURANCE GROUP as respeds mdr iz=mlce as is afforded by those compmues. CC'.Insured: -. Producer of Record: NICKERSON HOME IMPROVEMENT INC PIKE INSURANCE AGENCY INC PO BOX 2476 PO BOX 1658 ORLEANS,MA 02653 ORLEANS,MA 02653 ivlorzooz NICKERSON HOME IMPROVEMENT, INC. P.O. Box 2476 s' HYANNIS, MA 02601 (50,8) 790-5880 Fax (508) 255-5107 P Ft,ON E �o U udv Leventi ai L. ?:-_. a: 3: ,r ,n_-.. 99 Angus Wa,,/ JOS NA0AE r`LCti:'&i✓N.- Centervil le M 0206 3 '. Same JOF3 NUMBER j iQti ptac;j-- I . sidle-Wall Strz PXiSt1nCi s_dewaI L''om rear dormer, rear oi- lelt _alZd burn o't?t, 2 B ahl e of main house :1�.enail any loose boards Caul.- and flash as necessary nstall tyve t>r eguivalent house wrap on stripped areas lr!stal1 wl-site cedar sidewall shingles on stripped areas All trash and debris will be removed and diseased of properly All materials, labor and dump fees $2950. t00 -----"r� ? Paint mouse trim "'.errro ve and reset storm ,windows ;crape trim to remove any loose or flaking paint , Prime all bare wood Instal' 1 coat of stain or paint to entire house trim eje4pr opIpA i�aT Scrape and paint bulkhead u;tr z 5 1�4 6 All trash and debris will be removed and disposed of prop">eriy ��t- ►c � All materials, labor and dump fees $3670. OCR,. Estirn,ate does not include painting of shutters Oniy items specified above are included in this proposal, this does !W';Y include any rotted wood repair here,y to t4 risn material and labor—complete in accordance with the above specifications,for the s: of: dollars;S Payment to be made Fk5 ictio`t;s. - _ _—...—..- S500. 00 deposit upon signing, progress payments upon -request, -b ala::.ce ..tip`-: completion A0 material is io be as sp5ciiied- All viork to be completed in a professional manner accord'ie to standard practices. Any alteration or deviation from above speciiica- Authorize ions involving ex a cows will be executed only upon written orders, and wll become an Signature — est;a charm over and abowe the estimate Ali agreernenis contingent upon strikes,accidents or delays beyond our control. D,vner W carry"ire.mirnado,and otter nacessan,, insurance.Our N- a This proposal may be -ueidsrs are toffy covered by Workers Compensation Insurance. V withdraLv _n by, if not accepted within � O FR:?POSAL.—The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized signature — ._do the%voi' as specified. Payment'wilt bs! made as outlined above. Signature Ua-.o of Accopianca. Town of Barnstable Regulatory Services * snxxsrABLE, • MAASS. Thomas F.Geiler,Director �pTED n�A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax:. 508-790-6230 Property Owner Must Complete and Sign This Section _. -- If Using A Builder I, y j ' , as Owner of the subject property hereby authorize/If/G/ y- a(�a� �� --�- �o act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ignature of Owner Date AJ Print Name Q:FO RMS:O W NERPERMIS S ION ' •' • .' - g[Vldu111ce only vagd for return to'- " e etx�do date. u found ,('��r:.�.��< �l¢ense �elatfona and Stwndarda before explrntton o»iNrcrit{�i"" gta�►doTd$ ;u%dfa%vLc0 d .fie u►ettons�►nd R Of nrtonQlne A Roardo4gu11 toMTCQN� O pne !OS ab .006oa,itapvto n' J33861 'NPn ifto'nt sf�+►a�re p11CK�RsV ,ON •�"'Cry" „ ��`RSQ�}CH 53 RD pdmlalst+ratoT 286 oio ppT4$AAA 0 TOWN OF BARNSTABLE BU LDING PERMIT APPLICATION ,.f;j Lp Parcel Permit# SOO Q� r Health Divisions 7— 36/�� 1�/_® � Date Issued 2[IQ© Conservation Division Fee L DCo. 6 n Tax Collector'�� ya g�e�,�w✓ - A/O w-ald l �Gw ; ��u'�I� ��STEI� US z BE Treasurer t-r 2_ . I b 11�' I�b©>;j INSTALLED IN COMPLIANCE ' WITH TITLE 5 i rove y t tNVIRONMENTA CODE D N TOWN REDO PFes ann 'Project Street Address Village �`DGr/��rr �- ,J yD yLy�/f/�L Us ly�a Owner Y� s Address Z Telephone �,'s' (� Permit Request 1 /��ly �02. /noDCrL/ Ca'isT�s %fGvQ ��D/�oo�S /�T6 s Square feet yv: 1 st floor:: existing proposed�Qg 2nd floor: existing proposed Total newt� Valuation GDI Q I Zoning District Flood Plain Groundwater Overlay Construction Type &ea o Lot Size em �� Grandfatliered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family, ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Xo On Old King's Highway: ❑Yes _XNo Base t Type XFull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) IU Number of Baths: Full: existing new O�G� Waif-extstirrt�1 — Number of Bedrooms: existing J'_ new—/ IV- �Oj/3� Total Room Count(not including baths): existing new First Floor Room Count — Heat Type and Fuel:#Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes KNo 'Exestenywoodtodst.... a—Yes El No Ba . Attached garage:❑existing)(new sizeZZXz Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes, site plan review# Current Use 4 - Proposed Use ` BUILDER INFORMATION Name //,��/� j ` Telephone Number ZKOZ Address,/� L y License# ..yZ, Home Improvement Contractor# jam-�o�s`^' Worker's Compensation#ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ) ! �v s QSf� SIGNATURE DATE /�- � a r Y `�_• i :. FOR OFFICIAL USE ONLY r _ PERMITNO. - r DATE ISSUED • � �_ 1 f ' -- ``'_ � _ y , ,f ., ., t MAP/PARCEL NO. it '• �i ..' JR i ADDRESS r. t ' VILL'AGE.OWNERP g, f DATE OF INSPECTION: ; FOUNDATION FRAME _ s INSULATION 1 FIREPLACE _ t L ELECTRICAL: ROUGH j FINAL ,• I ' E t;f f I . PLUMBING: ROUGH fit' FINAL a GAS: ROUGH,, " > '� FINAL FINAL BUILDING r 4 DATE CLOSED OUT ASSOCIATION PLAN NO. r • f i LIVLNG SPACE (high end construction) square feet X S115/sq. foot= ' 92 (above average construction) Z square feet X S96/sq. foot= (average construction) square feet,X S57/sq. foot= GARAGE (UNFINISHED) square feet X S25/sq. foot= 13 00. square feet X S20/sq. foot= DECK square feet X S15/sq. foot= . r,.. OTHER square feet X S??/sq. foot= Total Estimated Project Cost Q f { ' For Offlee Use Only • f IM& Iona Afford b/e Housin 17 Fes ❑ Reside n ' ❑ Commercial" Property Owner's Name Project Location Project Value P 't Number "Existing Sq. Ft. **proposed Sq.Ft. Fee S t IAHFORNI 113100 • rr srAer.e. The Town of Barnstable • 9�A , ; Regulatory Services 'Eo►��° Thomas F. Geiler, Director Building Division Ralph Crossen, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work Eva �,�� ,S+/�s�� p�� m �- D�aasn Estimated Cost Address of Work: XAli52445-. Owner's Name G lyky//v 0-. V.D Date of Application: �40_�/dp I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the/owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts -� -_ Department of Industrial Accidents office of/osesu atfeos _ O 9 _ 600 Washington Street - - ; Boston,Mass. 02111 -- Workers' Co m ensation Insurance davit i location/® � i01`s L/V- citV phone#acity %%%%/��%%%%��%%% __ _%%%/%%%%%%/G%��/%%/%%/%%%%%%/%/%%/%G/%%%%%%��%%%%/%%%%/////%/%//////%%/ rs loyees working on this job. :: ::::::.: :: . :: t .:::::. ::.:::.:::::::::.....::::::::::::: a "an :name• " :!t► .1 . .. ... :: . :: .....:.:....... :: .: ::;..:.. :......:;..:::;•;;:.;;;;;•;::.;:.:;:;.;:.;:.:;.;:: , ::' . .: .. .ph Insurance tcv:# ,:. '� ....._... . . ❑ I am a sole proprietor eneral contract or homeowner(circle one)and have hired the contractors below who .:: .:::.: :.:.:.:......:.::.: the following workers'compensation polices:::::::...,.. :::.::.::.............. ..............::..:::..:.... dress.'arI IXX. ..... ............................................ _..,.._ ...... ......... :. ........ ................. .......:... .............................. .ate.. .. ...............................:........... X. .......:.::...::....::.....:.::....:.;.:.:.....::......::..........:.:::.. ............................................... : ............ xx naltfance.ca. . ..aft" ......:.....::.:.....:::.....:.....:.::.::.;:...... ............ ...:::.:..:. .::: .::.::.: :tee: . ... .. _ lp_ ... .:.:. ... addtesss � .fit. �::.�::......,....:>:.: :»at ,... nsnrance.co.,:: ... :.. :. �/. 01, Fafiare to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a nm up to$1,500.00 and/or one years'imprisomaent as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand fhat a copy of this statement may o to the Office of Investigations of the DIA for coverage verification. I do hereby certify e p ' of perjury that the information provided above is trr.and coned Sianntine �� q/ y Print name // VG�. ,LZ�// Phone# 7f/b' t�0 oindat use only do not write in this area to be completed by city or town official city or town* permit/license# CIBuilding Dept ❑Licensing Board ❑checkif hmnediste response is required ❑Selectmen's Ofiice (3Hadth Depsr6nett contact person. phone#; _ ❑Other ------------- Oevind 9/95 PJA) Information and Instructions { Ma ssachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is°defined as every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth'for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants tl` Please fill in the workers' compensation affidavit completely,by checking the box that applies to.your situation and supplying company names,address and phone numbers along with a certificate of;ns,*ance'as all affidavits maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and a date the affidavit, The affidavit should be returned to the city or town that the application for the permit or license is Accidents. Should you have any questions regarding the"law"or if being requested,not the Department of Industrial you' are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavitfor you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the perautllicense number which will be used as a reference number. The affidavits may be returned fr the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number- The Commonwealth Of Massachusetts Department of Industrial Accidents OIt1co of Inllestfgatfons _ 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 �C1 61 41(AVOOP $,r. ®40 . a USAf�f 0 Iry W.0 ra IPA. Al. r®Al CZ ova- —t ®,�-PAID .forif 1-n©v1"Il Appaiea! i Tabit.lSZlb Prna ipdre Padka'rs for 06 and Twa•Fans*RaidmtW BaiUIM Seated with F=W Fads MAXIMUM B+INVaHIJlVf (lladag (Oasm ceiIiag wall Floor Batsmmt slab Hmwvcooliag At='(%) U-rdae= R vaiwl R.vdaa, IGvdu2 wan P amipm= Emci= fl Paei aIIe R.valwo Rwalm 5"1 is 6300 HeaeiesjDegm Darr' Q 12% 0A0 38 13 1 19 1 10 + 6 Noem i R 12% 0S1 30 19 19 l0, 6 NmamI S 12•/- 040 38 13 19 A0 . 6 U AFUE � Tr=155% 036 38 13 21 WA WA Normal I U U6 38 19 19 10 6 Natmat V 044 38 13 2S b WA WA U AF11E W 032 30 19 19 10 6 U AFUE X 18% GM 38 13 22 WA WA Normal Y 18•A 0.42 3$-- 19 25 WA- WA Nm W Z 18•/ 0A2 38 13 19 10 6 90Anm AA IS•/. OJO 30 19 19 10 6 90AFEM I. ADDRESS OF PROPERTY: •Al 4aU m •il��/��`Za/ 2. SQUARE FOOTAGE OF.ALL EXTERIOR WALLS:„ 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a , 780 CMR Appendix J Footnotes to Table J5Z.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space, but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fl of decorative glass may be excluded from a building design with 300 fl of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R 38 insulation may be substituted for R49 insulation. Ceiling R values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. •Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall For exam 1 p e,an R 19 requirement could be met EITHER by R 19 cavity insulation OR R 13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall consuuetions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces.(such as unconditioned crawlspaces, basements, q or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. The R-value requirements are for unheated slabs.Add an additional.R-2,for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected p4ckage. 'For Heating Degree Day requirements of the closest city or town see Table J52—Ia NOTES: vets. a)Glazing areas and U-values are maximum acceptable levels. Insulat#on R-values are minimum acceptable.le R-value requirements are for insulation only and do not include struruual components. b)Opaque doors is the building envelope must have a U-value no gre than 035.Door U-values must be tested ater and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1S.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the. glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may.be excluded from this requirement(i.e.,may have a U-value greater than 035). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes.two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-.weighted average U- value of all windows or doors is less than or equal to the U-value requirement(035 for doors). 43 i c - v �� ,� C� S�� r-- �._� � _..�._T - f -- �, i , T I - I ��X� ��lam^ ,�6G/' �`y . . .. ZZ /Ji go-,-5 Gr/,y WHALEN CONTRACTWO (�aNI�`►'l�/�/� /�7� ® '.-3�- 108 MOSS LANE - 2 SR€WSTER.1►A 02831 fo ® 5iv �---- Xr , Ca do,; I, 1 - FIN T' 0 0 CEDAR 5 H I W 4zrs� � I RIGHT ELF-VAT1 0 N _= _- mwvnlEUSNMM J` .�LB't7M sot IMTM Vy}pj.iEN CONTRACTING Joe MOM LANE BRBVSM MA 02831 f re �sr � col/fir t��S V/�/�- rtid' t� Iry • _ •C• � _ 'f,2.'�`%. c� �f'3 s�.;s'IFQ,TOOf7MN4'MdD[ilI/8 y�: f a , HOME IMPROVEMENT-`CONTRfi0 K, . ti a' ��`� Reylstratlon 115205 htYpe �`DBA , 1 g`� �Expiration 01/06/00 F kr ramp a DAVID WHALEN CONTRACTING 7t R �F WHAGEN 4. flUASONS'PkIH 1 v _� nonniNisnaa,�t �, REWST�R MA 02631-Tr � �r `` I ✓/ie �onvinovuaea�i �`'��,aaauc�iuvel2a BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 002782 + Birthdate: 10/15/1956 Expires: 10/15/2001 Tr,no: 8185 :-Restricted To: 00 DAVID G WHALEN _ 108 MOSS LANE_ : BREWSTER, MA 02631 Administrator r- • Az S 5 i£ wyy "7 h S" 4..i gLIN . l icense or registration"valid for tndtvidual use only before ,expiration date If :found return to:One`Ashburton Place Boston Ma 02108 ` r y t 00-35,000 d enclosed space (MGL CA 12 S.601.) E 1A-Masonry only 1 G-1&2 Family Homes r' Failure to possess a current edition of the t Massachusetts State Building Code !' is cause for revocation of this license. s' + I DIG SAFE CALL CENTER: (888)344-7233 t r ! f ! 3 i : i + ( Xf iij Of NORM LEVI `ST GIN Lo o f , t1� (y An i , �y;M1 .,� "� .�:�• I ;/dog ao; ; �t94?. (7/4 i 17 3d i I ILL� I k - l ; ..,,`_Ki r•'i.-4%•:�.. 3' t,,d;?-1,f ', d {.. 3:�:':{- i " i - - f� .I• I !_i_!_ -_i Fit D V i A ACCESS COVERS MUST BE WITHIN 9- MINIMUM. INVERT ELEVATIONS : DESIGN CRITERIA : GENERAL NOTES : 6' OF FINISH GRADE 102.6/ FIRST TO 3' MAXIMUM COVER INVERT AT BUILDING: 99. 1 DESIGN FLOW: BE LEVEL MIN 2' OF PEASTONE INVERT IN 559T/C TANK:: 98.75 4 BEDROOMS AT 110 G. P.D. PER I. THIS PLAN /S FOR THE DESIGN AND CONSTRUCTION INVERT OUT SEPTIC TANK: 98.5 BEDROOM EQUALS 440 G. P.D. OF THE SEWAGE DISPOSAL SYSTEM ONLY. �' DI vIP 314" - 1 112 D1A. INVERT IN DIST, BOX: 98.2 2 %0 DOUBLE WASHED STONE INVERT OUT DIST. BOX 98.03 NO GARBAGE GRINDER 2. VERTICAL DATUM 15 ASSUMED. FOR BENCH MARKS SET, SEE SITE PLAN. 75 : Q0S . 0 INVERT IN LEACH CHAMBER: 98.0 DAFFLf SEPTIC TANK REQUIRED: 3 OUTLET 4-3050 INFILTRATOR CHAMBERS BOTTOM OF LEACH CHAMBER: 96.0 440 G. P.D. X 20OX - 880 GAL. J. ALL CONSTRUCTION METHODS AND MATERIALS AND W/4 ' STONE AROUND. 12'. x 36 ' 1 x 2 'd ADJUSTED GROUND WATER:: N/A D-BOX SEPTIC TANK PROVIDED: 1500 GAL . MIN. MAINTENANCE OF THE SEPTIC SYSTEM SHALL 1500 GAL OBSERVED GROUND WATER: N/A CONFORM TO MASS. D.E. P. TITLE 5 AND LOCAL SEPTIC TANK 6' CRUSHED STONE OR BOTTOM OF TEST HOLE •2: 90.5 SOIL ABSORPTION SYSTEM REQUIRED: BOARD OF HEALTH REGULATIONS. COMPACTED BASE DESIGN PERC RATE l 5 MIN/INCH PROF I L E NOT TO SCALE SOIL TEXTURAL CLASS - 1 4. ALL SEPTIC SYSTEM COMPONENTS LOCATED UNDER I EFFLUENT LOADING RATE - 0. 74 GPD/SF AREAS SUBJECT TO VEH/CUL AR TRAFFIC OR GREATER 440 GPD / 0. 74 GPD7SF - 595 S.F. REQUIRED THAN 3 IN DEPTH SHALL BE CAPABLE OF WITH- STANDING H-20 WHEEL LOADS. PROVIDED: 4-3050 INFILTRATOR CHAMBERS W14' STONE AROUND. A-625 S.F. 5 ALL SEWER PIPE SHALL BE SCHEDULE 40 OR 625 S.F. x 0. 74 - 461 G. P.D. APPROVED EQUAL . 6. SEPTIC TANK AND D-BOX SHALL BE REINFORCED SOIL TEST PIT DA TA & PRECAST CONCRETE AND WATERTIGHT. D-BOX SHALL rm I ND I CATES _� INDICATES BE WATER TESTED TO CHECK FOR LEVEL WHEN THERE PERCOLATION = OBSERVED IS MORE THAN ONE OUTLET. TEST - GROUNDWATER P#12223 7. BEFORE CONSTRUCTION CALL 'DIG-SAFE- . TP sl TP s2 1-888-DIG-SAFE AND THE LOCAL WATER DEPT, - 0' 101.O 0' HORIZON TEXTURE COLOR I00. 5 HORIZON TEXTURE COLOR FOR LOCATION OF UNDERGROUND UTILITIES. H^ LOAMY /OYR ^H LOAMY /OYR 8. SEPTIC SYSTEM INSTALLER SHALL NOTIFY THE 5' 100.E 7' 99.9 O j SAND 372 SAND 372 DESIGN ENGINEER TWO DAYS PRIOR TO CONSTRUCTION • _ _ 0 OF THE SYSTEM TO ALLOW FOR SCHEDULING OF THE 0 p LOAMY /OYR p LOAMY /OYR CONSTRUCTION INSPECTIONS. pp D SAND 578 D SAND 578 LOT 49 `S 3O- 98. 5 30- 96. 0 15000 S. F. C MED-COARSE IOYR C / MED-COARSE /OYR 9. EXISTING CESSPOOLS TO BE PUMPED DRY . REMOVED SAND AND 516 SAND AND 516 AND BACKFILLED WITH CLEAN SAND. GRAVEL ' GRAVEL 's /0. THE SEWER L /NE FROM THE DWELLING TO BE MOVED BU CORNER OF TO THE LOCATION AND ELEVATION SHOWN 1 . �p. �� \ BUL KNEAD. EL-102.5J SO I !. NO DETERMINATION HAS BEEN MADE AS TO p A` COMPLIANCE WITH DEED RESTRICTIONS OR ZONING REGULATIONS. I T SHALL REMAIN THE CLIENTS 10 +��' rv.I RESPONSIBILITY TO OBTAIN ALL PERMITS. SPECIAL NO WATER NO WATER PERMITS. VARIANCES ETC. FOR THIS PROJECT. 120' 9► . 0 120' 90.5 UP a ----- oo y° Oa �1 ADN FND ��` `�+\ DATE: MAY 27, 2008 12 IT SHALL REMAIN THE CLIENT'S RESPONSIBILITY TEST BY: STEPHEN HAAS TO HAVE THE PROPOSED BUILDING FOUNDATION `o rP•2 WITNESSED BY: DONALD DESMARAIS DESIGNED TO ACCOUNT FOR THE EXISTING GRADE CESSPOOLS CSIDN FNO PERC RATE: l 2 M/N/I NCH AND SOIL CONDITIONS AT THE LOCATION OF THE tP PROPOSED BUILDING. 4 Pp G�Pp� 1NOf Ste. 0 r'. a►� 1500 GALLON r y�, { Ak SEPTIC TANK 3 � ti � � 35461 h I E$ 4AW SHRUB / ` ep 4-J030. INFIL rRArOR / 50 ^ /� � CHAWERS W14• STOW �� S T E P L ,4 / V O F L A //V 0 / 5 22 A /VGUS WA Y . " A P 2.5 / PA R CEL -5 / poll B.4R /VS T,46L E < CE/VTERV / LLE > "A yell PREPARED FOR COIDN FND L EGEND P ,4 vL BA R BA RA R CAA A/E L OCUS 1 ; ■ CB CONCRETE BOUND -W- WATER LINE SC.AL E / - 2O JU/VE 2 2008 rEGUAOVEr �� O LAKE HYDRANT ",F� -G GAS LINE EAGLE SURVEY I NG , I NC OHW- OVER HEAD WIRES V. LIGHT POST _ 923 Rou t e 5A -E- UNDERGROUND ELECTR I C L I NE Y a r mo u t h p o r t . MA . 02675 (\ -T- UNDERGROUND TELEPHONE LINE/ice/�I��II\�� 508 362-8 1 32 -CTV- UNDERGROUND CABLEV/SION LINE �� / I 508 432-5333 + 40.4 SPOT ELEVATION Rp�fE 2E __40-, EX 1 S T I NG CONTOUR � PROPOSED CONTOUR LOCUS MAP 0 r o 20 40 FJOB NO: 08-03/ FIELD:CFW/EEKTCALC: SAH/CFW CHECK: CFW DRN: SAfl