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E � a c _ � �a �s&• a � � M � �'' .ss9+ ���, �g �'•._:-`i4 Esc. .. .° - .� k�. z al� >, . A o _ 'a n tiry` 3g A EXIST. DWELL IL FF 13.3' ¢.3 GARAGE . SUB EL 1�9. �\ DECK 12.0' 7.7 PLOT PLAN.: : � - . . oCE #,8-024 PREPARED EXCLUSIVELY FOR THE BUILDING DEPT.,`NOT FOR ANY'OTHER USE • LOCATION #187 BAY LANE CENTERVILLE, MA SCALE : 1" 30' DATE 6-05-19 PREPARED FOR:f 'REFERENCE MAP7186 PARCEL 11 -CHMS CALDWELL >' DEED BOOK 31032.PAGE 141 1 HEREBY: CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE.. ��,OF MIA GROUND AS SHOWN HEREON. o� . tic off 508-362-454t DANIEL cP rax eM_362-s66o �� A. I •downecpe.com ®, .. - - U' OJALA. down cope endineerind, No.doss . Civil enr ineers land surveyors �� �� ° FSs�0 ------------ • -- -- — -�=-- 939 Main. Street (Rte 6A) YARMOUTHPORT MA 02675: DATE RE - URVEYOR Town of Barnstable Building q ee'x ereR : ;Post TlisCard So That It is,,Uisible Frorn the Street; Approved Pla, ns Must be Retained on Job and this Card;Must ke Kept Permit - 6 Posted 3 Wh Permit No. B-18-3139 Applicant Name: THE UGLY DUCKLING HOUSE COMPANY.LLC Ap rovals Current Use: Structure �qp > ) Date Issued: 10/19/2018 64VA" Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/19/2019 Foundation: f Location: 187 BAY LANE,CENTERVILLE Map/Lot: 186-011 Zoning District: RD-1 Sheathing: grppX"� Ie 5 Owner on Record: NICKERSON, NANCY&SAMUEL&JANETTRS Contractor Name: ROBERT J HARRIS Framing: 1 7 Address: FELI RSA REALTY TRUST Contractor License ._CS=060160 2 NEWTON, MA 02458 Est. Project Cost: $ 128,000.00 Chimney: Description: master bedroom addition 16x22. attached 2 car garage with 2nd Permit Fee: $702.80 L �4 floor bedroom & bath. adding smoke dectectors Insulation: Z j� Fee.Paid $702.80 Project.Review Req: NOT SUBSTANTIAL IMPROVEMENT-APPRAISAL SUBMITTED Date 10/19/2018 Final: 5 cl SMOKE DETECTOR UPGRADE REQUIRED::AS BUILTSURVEY REQUIRED BEFORE START OF FRAME. Ir�c`x .r t y� - Plumbing/Gas y Rough Plumbing: ' g Building Official Final Plumbing: Rough Gas: I Final Gas: i i commenced within six,monthsafter:issuance. abandoned and invalid unless the work authorized b this permit s com a ced I This permit shall be deemed ,. y p All work authorized by this permit shall conform to the approved application and the approved construction documents,for which this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures shall be in compliance 11 witH'the IocaIi6hing by laws and codes. Y ublic'ins action for the entire duration of the Service: This permit shall be displayed in a location clearly visible from access street orroatl and shall be maintained`open.fo.,p p. P P w r i n fthesame.o kun i m leto 0 tltheco P Rough: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Health 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department' Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). 1LDING DEFT. ApplicationNmnber.......Y..:.�o..�. .� ........... t S � 212018 Permit Fcx......,� ..' .......Othea Fee........................ DdABB. ••-• Mv+" NO n�3A NS?t31-E, TOWFee Paid................ ..:................................................. f TOWN OF BARNSTABLE Permit Approval by.• ........._.. BUILDING PERMIT .... ...,1 ...............��...... , ,1.....................:... APPLICATION Section I— Owner's Information and Project Location Project Address i.97 lk-1 Village Owners Name �°X s AO&L)Z . Owners Legal Address ci Ll �� S�- Cityr� YJ State �A zip 0 L,ST /�/ , u Owners Cell# t� ' � ®�'� / E-mail CI Y W-eu�> e 6y^o4-i C.- 'Section 2—Use of Structure Use Group j' ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Siructli=e under 35,000 cubic feet 1911"Singje- /Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑'Accessory Structure E] Change of use ElDemo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty L3 Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler.System Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description k-e,Z �OVLV" Ad •�[,rZ �u,A7dv �f-i G�, Ge oz> a a ye S V,^ Lt Cam-fie. tl. - T-Rst,mdateth 2/92019 Application Number.................................................... •` Section 5—Detail Cost of Proposed Construction 16 Square Footage of Project Age of Structure _�S� Dig Safe Number # Of Bedrooms Existing 2 - Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design I Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage Smoke Detectors Plumbing ❑ Gas .❑ Fire Suppression 0 Heating System ❑ Masonry Chimney 0 Add/relocate bedroom Water Supply �PubliC . }❑ Private Sewage Disposal ❑ Municipal Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility.- � S I an using a crane ❑ Yes !r No Section 7—Flood Zone Flood Zone Designation -TK ?( IV-e,2h7(r'T " Within or adjacent to a wetland, coastal bank? Yes a No ❑ Section S—Zoning Information • 1 Zoning District l Proposed Use Lot Area Sq.Ft. L4 6*' Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required_1 Proposed Rear Yard Required Proposed Side Yard RequiredL Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last mdated.2/9201 S Y Application Number..................... Section 9— Construction Supervisor Name -l�-r'1�7 HA-�Z(Zt S Telephone Number a Address City 0e,c�,/d(e State tM�± --Zip_ aZ�e Z y License Number 0(Sd o License T S ype C Expiration Date S-9 -70 eV Contractors Email Z(2 Ce�r�(� Q � .(.a w Cell# 50S�- 576P I understand my responsibilities under the rules and regulations for Licensed Contraction Supervisor in accordance with 780 CMR the Massachusetts State Code. I understand the constrnction inspection procedures,4 Building insp pro s,specific inspections and documentation r by 780 CMR and the Town of Barnstable.Attach a copy of your license. f Signature Date 1 l�- Section 10—Home Improvement Contractor Name v �'� I�J�-t 1tiJ� 4VUV C Telephone Numb r Lf Lt(p Address f?�( -►�i1ti/S 1 City 5 i W State �- Tap 0 74COY Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Budding Code. I understand the construction inspection procedures,specific inspections and documentad quir the own ofBarnstable.Attach a copy of your IEUC... Signa Dae�r�1 � Section 11—Home Owners License Exemption Home Owners Name: ��X S HA) Telephone Number Cell or Work Number ?t'e 6 `03--IX7 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and docammentation required by 780 CMR and /the Town of Barnstable: Signature C�.,�P a-2C y�"� Date APPLICANT SIGNATURE Signature Daze ';g'i 0P ' Print Name C Telephone Number E-mail permit to: �� v C1 ( C.Lv f L-i v -e 0 eio Section 12—Department Sign-Offs Health Department © Zoning Board Cif required) Historic District ❑ Site Plan Review(if required ❑ Fire Department ❑ Conservation ' For commercial work,please take your plans directly to the fire deparbnent for approval Section 13—Owner's Authorization I, as Owne r of the-subjectproperty YherebY authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name Last undated:2/9/2018 From: theuglyducklinghouse@gmail.com Subject: IMG_0720.J PG Date: September 17,2018 at 9:21 AM To: theuglyducklinghouse@gmail.com Tno aft } Jr{I } Division of PTOfe f Board mas'aad a vt . 00 WE RD +.' . tOMMi ss oner Lauzon, Jeffrey. From: Lauzon,Jeffrey Sent:. Tuesday, October 09, 2018 10:54 AM To: 'theuglyducklinghouse@gmail.com' Cc: Lauzon,Jeffrey Subject: ViewPermit, Permit No:TB-18-3139 Applicant, Please be advised that the above application has been reviewed and the following is noted 1) Site is located in a flood zone with a base flood elevation at twelve feet. 2) The proposed work is substantial improvement as defined by the State Building Code:Substantial improvement requires the existing building and all new work to comply with the elevation requirements of R322. ' 3) Elevations of lowest floor andgrade not shown on construction documents. Existing house seems to have a basement floor below base flood elevation. 4) No copy of Home Improvement Contractor Registration included with submission. Based on the information above;the application is denied pending submission of construction documents pp p g demonstrating compliance with 780 CMR R322. And, if aggrieved by this notice;you may file a Notice of Appeal (specifying the grounds thereof)with the State Building Appeals Board within forty-five (45) days of the receipt of this notice.As always, please do not hesitate to contact the building department with any questions.Thank you. Respectfully, Jeffrey Lauzon Chief.Local Inspector (508) 862-4034 ieff rev.lauzon c(D,town.barnstable.ma.us I I 1 r Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Corporation j ? Registration: 169134 THE UGLY DUCKLING HOUSE COMPANY;LLC - , Expiration: 05/18/2019 194 MAIN ST t W.BARNSTALBE,MA 02668 ;y i - T Update Address and Return Card. SCA.1_i,_20M-05/17.__. > g ice of`C�onsumeia�re�si`ness� utation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:.Comoration before the expiration date. If found return to: Registration_ Wiration Office of Consumer Affairs and Business Regulation 1691.34 05/18/2019 1000 Washington Street-Suite 710 THE UGLY DUCKLING HOUSE-COMPANY,LLC Bost n,MA 02118 CHRISTINE CALDWELL�'_ 194 MAIN ST -= W.BARNSTALBE,NA-0266i3' Not valid without signature -- Undersecretary BUILDING f OCT 16 2010 - TOWN O } The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation ensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Naive(Business/Organization/Individual): 1 f► U�V( 4���C�"l I/UG �_N V U Address: t I Lf Al r J ST ' City/State/Zip: hone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. [3fam a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' 9 ®-uilding addition [No workers'comp.insurance comp.insurance. required.] 5' F1 � We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no ] employees. [No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractor;must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /n Insurance Company Name: 4cf- Ayl ez CA-,) — Policy#or Self-ins.Lic.#: (QS�2 �� I&Lf Expiration Date: — Job Site Address: to � City/State/Zip: el,_ 1 fall?l e ,C4 060 3� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby a fy der t n pen 'es of perjury that the information provided above is-true and correct: aim Date Phone# 7"0 � 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#: I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor 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 Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gvv/dia Client#:763109 2UGLYDU ACORN., CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) 09/19/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policlas may require an endorsement.A statement on this cerUflcate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Dowling&O'Neil Insurance Agy PHONE aM No Ext:508 775-1620 :5087781218 973 lyannough Road E-MAIL P.O. BOX 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAICS INSURER A:NGM InsurenI-Company 14788 INSURED INSURER B: Ugly Duckling House Company LLC. - 194 Main Street INSURER C: West Barnstable,MA 02668 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TRR TYPE OF INSURANCE NSRLSUBR WVD POLICY NUMBER MP�CY EFF MPS Y EXP LIMITS A GENERAL LIABILITY MPT7001 W 6/2018 06MW019 EACH OCCURRENCE s2,000,000 [1C:01A MERCIAL GENERAL LIABILITY PREMISES Eac&EDnce $500000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY s2,000,000 GENERAL AGGREGATE s4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMP/OP AGG s4,000,000 RO- POLICY X SECT X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PeROPEPROPERTYDAMAGE $ AUTOS UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$. $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITYDRYANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under 4 DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) Insurance coverage Is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained In the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of-Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE 4 ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2910/06) 1 of 1 The ACORD name and logo are registered marks of ACORD #S219182/M219181. RPSW 1 DATE(MWDD/YYYY) AC4O a CERTIFICATE OF LIABILITY INSURANCE 1 09/18/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies maysequire an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER -NAME:CT Linda Sullivan DOWLING&O'NEIL INSURANCE AGENCY PHO N (508)775-1620 A No): E-MAIL ADDRESS: Isuilivan@doihs.com 973IYANNOUGH RD INSURERS AFFORDINGCOVERAGE NAICB HYANNIS MA 02601 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: UGLY DUCKLING HOUSE COMPANY LLC INSURERC: INSURER D: 194 MAIN STREET INSURER E: WEST BARNSTABLE MA 02668 INSURER F: COVERAGES CERTIFICATE NUMBER: 315470 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. ILTRR TYPE OF INSURANCE ADDL SUBR POLICYPOLICY NUMBER MMIDD/EFF MPOMLICY EXP UMI15 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMA E T RENTED PREMISES Ea axurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY TH ANYPROPRIETORIPARTNERIEXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBEREXCLUDED? WA WA WA 6S62UB7H71178417 10/04/2017 10/04/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may attached H more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, .NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA' 02601 Daniel aJel M.CI* y,CPCU,Vice President-Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name.and logo are registered marks of ACORD �W ci a a* { �' Y�..: °q�.;=�; � . - �� ���; �' �':;; "+'vS .. a �, .. AA 111dJJJ :�� e o .� fS YY .` I T ty � �. t .7✓ ,F . u.v,:'., :? Town of Barnstable Regulatory,Services ... Richard V ScaL Director Builciing division ,.,. Toro Perry;I3wlding Commissioner . 20(?`Ma1a Street Hyannis,MA 62601 www town barnsta¢ble.ma.us Office'..508=8.62-4038 Fax: $08-790-6230 Property Owner Must Complete and Sign-This Section f U ing'A Builder I Felix Shneur. ,as Owneryof the:subject.property hereby authorize TheUgly Duckling House Company to act.on my behalf., in all matters.relative to tivork authorized by this building permit application for: i87 Bay<kane,Centerville,MA02632 `(Address of Job) *Pool fences and alarms are the responsibility of the applicant. Pools.; are not to be filled or utilized before fence is installed:and all final inspections are per£or"` d and accepted. Signature o£'...*net, Signature of.Applicant Print Name Print.Name ,L U Date' � . rrr (MM A�U FDaol/26/2 18 CERTIFICATE OF LIABILITY INSURANCE ol/2s/2o1s 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 have ADDITIONAL INSURED provisions or 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 John McShera Marshall K Lovelette Insurance Agency Inc NAME:PHON Fax 396 Main St (508)775-4559 alc,No):(508)775�577 West Yamouth,MA 02673 A��; John@loveletteinscom INSURE S AFFORDING COVERAGE NAIC# INSURER A: WESTERN WORLD INS CO INC 13196 INSURED R&R Construction Custom Homes Inc INSURER s: AEIC A0086 90 Nye Road INSURERC: Centerville,MA 02632 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD-SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER - M M INYYY LIMITS A COMMERCIAL GENERAL LIABILITY NPP1452535 01/29/2017 1/29/2018, EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE PREMISES T Ea occur $ 100,0 MED EXP(Any one person $ 5,000 PERSONALS ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY El JJERCOT- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED A. SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-0WNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50037992017A 11/29/2017 11/29/2018 STARTuTE I I ER" AND EMPLOYERS'LIABILITY — YIN ANY PROPRIETORPARITEREXECUtIVE OFFICEP/MEMBEREXCLUDED? a NIA E.LEACHA000ENT $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 N yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule;may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Ugly budding Building Company ACCORDANCE WITH THE POLICY PROVISIONS. 194 Main Street West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE .002 C 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016(03) The ACORD name and logo are registered marks of ACORD .4co CERTIFICATE OF LIABILITY INSURANCE °aTE'MD°"YYY' `.� 69/20/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT:AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE.AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S); AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER...,, . IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed:.if SUBROGATION;IS WAIVED,subject to the terms and conditions of'the policy,certain policies may require:an endorsement. A.statement on this Certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME Fred PassarO BASSARO LEVERONE&BUCKLEY INSURANCE AGENCY.LNC PHONE. i5o8j 398-2223 Fax arc No: E-MAIL' ADDRESS: fred@plbinsurahce.com. _ - 239 ROUTE 26 INSURE S AFFORDING COVERAGE NAIL# DENNISPORT MA 02639 INSURERA:,AIM.MUTUAL INS CO 33758 INSURED INSURER B i PATRICK_K ORCUTT INSURERc: P&S CONCRETE INSURER.Di 94 WEST WAY INSURER E.: MASHPEE MA '02649 INSURERF: COVERAGES CERTIFICATE NUMBER:,316886 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 ANYCONTRACT 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. ILTR TYPE OF INSURANCE ADDL U R POUCY.NUMBER . _. MMMIODIYYYY MMIDDrrYYYY LIMITS_ COMMERCIAL GENERAL LIABILITY tEACH.00CURRENCE $ CLAIMS-MADE D OCCUR DAMAGE-TO REMISESEa occurrence $P MED EXP(Any one person) $ - N/A. PERSONAL B ADV INJURY.. GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY PRO LOC PRODUCTS-COMPIOP AGG. S PRO- . OTHER: $ AUTOMOBILE LIABILITY COMBINED SIN LE LIMIT $, Ea accident) - ANY AUTO BODILY INJURY(Per person) $„ ALL OWNED AUTOS lEO OS AUTOS AUTOS NIA BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED PROPERTY.DAMAGE :$ ALTOS Per acddent $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $. EXCESS LJAB HCLAIM.S-MADE N/A ". AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'UABILITY Y f N STATUTE ER _ ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT` :$ Ij000,000' A oFFICEIilMEMBEREXCLUDEDz NIA NIA N/A' VWC10060061812017A. 10/21/2617 10/21/2bl8 — (Mandatory InNH). - EL DISEASE-EXEMPLOYEE $ 1,000,000 If yyes,describe under DESCRIPTION OF OPERATIONS.below E.L.DISEASE=POLICY LIMIT $ 1,000,000 N/A DESCRIPTION-OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 10.1,Additional'Remarks'Sctledufe,maybe attached lr more space is:required) Workers'Compensation benefits will be.paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no:authorization is given to pay claims for benefits to employees in States other than Massachusetts if the insured hires,or has hired those employees'outside of Massachusetts. This certificate.of insurance shows the policy in force on the date'that this certificate was issued(unless:the'ezpiration date on the above policy precedes the issue date of this certificate of insurance. The.status of this coverage.can be.monKored daily by accessing the Proof of Coverage:.Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/inv.esfigations/. PATRICK ORCUTT'has-elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY,OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THE UGLY DUCKLING HOUSE ACCORDANCE WITH'THE POLICY PROVISIONS. . _ .. 194 MAIN ST AUTHORREDREPRESENTATIVE I., WEST BARNSTABLE. MA '02668 Daniel M.Cr"fey,CPCU,Vice.President-Residual Market-WCRIBMA ©1.988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2o14/01) The ACORD name:and logo are registered marks of ACORD RICHINS-04 PAMARAL ACORO° DATE(MWDD/VYYY) CERTIFICATE OF LIABILITY INSURANCE 05r0312018 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: M the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 License#1780862 RWT Stephanie Sousa HUB international New England PHONE FAX 222 Milliken Boulevard Arc,No,Ext):(508)235-2247 (Arc,No): Fall River,MA 02721 E-E :stephanie.sousa@hubinternational.com INSURERS AFFORDING COVERAGE. NAIL# INSURER A:Selective Insurance Company of America 12572 INSURED INSURER B:Selective of the Southeast 39926 Richle's Insulation,Inc. INSURER C 111 Old Bedford Road INSURER D: Westport,MA 02790 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW.HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE OCCUR S2010268 01/23/2018 01J23/2019 DREAGETO RENTED S(Ea occurrenge) $ 100,000 MED EXP(Any one arson $ 15,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 3,000,000 POLICY❑JwT El LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER: $ S AUTOMOBILE LIABILITY Ea aB EDitSINGLE LIMIT $ 1,000,000 ANY AUTO A 9095295 01/2&2018 01/23/2019 BODILY INJURY Perperson) $ OWNED Lxx SCHEDULED AURTEO�S ONLY AUUTNOSS�yN p BODILY INJURY Per accident $ XAUTOS ONLY AUTOS ONLY PROaE�R�deT�DAMAGE $ A X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 2,0001000 EXCESS LIAR HCLAIMS-MADE S2010268 01/23/2018 01/2312019 AGGREGATE $ 2,000,000 rlDED I X I RETENTION$ 0 WORKERS COMPENSATION PER OTN- ANDEMPLOYERS'LIABILITY Y/N TA T E AAQN��Y�CPREOPRIETOR/PARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $ (nnandat�ory In NH)EXCLUDED? N/A E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE The Ugly Duckling House Company THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g y 9 Pany ACCORDANCE WITH THE POLICY PROVISIONS. 194 Main Street West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD JOHN W. KENNEY ATTORNEY AT LAW 12 CENTER PLACE 1550 FALMOUTH ROAD CENTERVILLE,MASSACHUSETTS 02632 PHONE:508-771-9300 FAX:508-775-6029 October 16, 2018 Jeffrey Lauzon, Chief Local Inspector Town of Barnstable 200 Main Street Hyannis, Massachusetts 02601 Re: 187 Bay Lane, Centerville Application For Building Permit Dear Mr. Lauzon: Please be advised that I represent Chris Caldwell and The Ugly Duckling House Company, LLC in connection with an application for a Building Permit for work to be pereformed on the existing dwelling located at 187 Bay Lane, Centerville, Massachusetts. I am writing to respond to one of the reasons for denying the pending application for a Building Permit set forth in an e- mail from you to Ms. Caldwell dated October 9, 2018. Item 2 in your e-mail dated October 9, 2018 provides that the proposed work constitutes "substantial improvement as defined by the State Building Code." As you are aware, the State Building Code defines "substantial improvement" as work that equals or exceeds 50% of the market value of the building before the proposed work commences. The value of the work proposed by Ms. Caldwell is $128,000.00 as set forth on the pending application. The value of the house prior to commencement of the proposed work is $375,000.00 as appraised by Cape Cod & Islands Appraisal Group, LLC (see copy of appraisal enclosed for your review). Since the value of the proposed work is less than 50% of the value of the building prior to commencement of the work, the proposed work does NOT constitute "substantial improvement" of the dwelling. Ms. Caldwell will address the remaining concerns set forth in your e-mail directly with you and the Building Department. In the meantime, if you have any questions relating to the "substantial improvement" issue, please do not hesitate to contact me directly. Very t y yours, / ohn W. Kenney, I me for I Chris Caldwell, The Ugly Duckling House Company, LLC Oct JWK/mmc ToW 16 f ;��� Enclosure �0;:7 cc: Chris Caldwell �� h CAPE COD & ISLANDS APPRAISAL GROUP LLP Heather J.Ross,SRA,RA a.A9 B-R-E...,~a inf6@capecodappraisa1.com Jacob C.Ross,SRA .., MA Cert Gen RE Appr Lic#1434 www.cnecodUpraisal.com MA Cert Res RE Appr Lic#70585 P.O.Box 545,Barnstable,MA 02630 Barnstable 508-362-9050 — Orleans 568-255-9269 — Fax 508-375-0154 September 21,2018 Chris Caldwell . The Ugly Duckling House Company,LLC 194 Main Street West Barnstable,MA 02668 Theuglvducklinghouse@gmail.com 187 Bay Lane,Centerville,MA 02632 (Replacement Cost of the House Only) Dear Ms. Caldwell, In accordance with your authorization, I have prepared an estimate of the construction cost of the single-family home (improvements only) located at 187 Bay Lane, Centerville, MA 02632. Site improvements (dock,utility connections,septic system, landscaping,etc.)and land value are not included in the analysis. The "market value' of the real estate has not been appraised: Jacob C Ross, SRA inspected the property on September 19,2018. The intended use of this cost analysis is to'assist the client, Ms. Caldwell, with National Flood Insurance Program (NFIP) regulation compliance ("50% Rule"), by providing an opinion of the "as is" depreciated replacement cost of the existing improvements, as of the date of value.' The subject property appears to be within an AE flood zone with 13' base flood elevations (see attached FIRM map). Intended users of the report are the client, Ms Caldwell, and the Barnstable Building Commissioner, for the stated purpose. The appraiser has no duty to any parties not specifically identified as intended users of the report. The market value of the real estate has not been appraised, as defined by the most common definition of"market value" used in real estate appraisal. Market value is defined by the Appraisal Institute as, "The most probable price,as of a specified date, in cash, or in terms equivalent to cash, or in other precisely revealed terms,for which the specified property rights should sell after reasonable exposure in a competitive market under all conditions requisite to a fair sale, with the buyer and seller each acting prudently, knowledgeably, and for self-interest, and assuming that neither is under undue duress.i2 This definition includes the land, building,site improvements, outbuildings, and other man-made structures. Only the house is included in this cost analysis. The dock, septic system, landscaping, utility connections, and land value are not included. NFIP regulations do not define"market value," but do note 2 specific requirements: • "Market value must always be based on the condition of the structure before the improvement (sic) is undertaken,or before the damage_occurred." 'FEMA regulations define the required value as"fair market value."However,a review of Section 4 of FEMA P-758/May 2010 Desk Reference regulations, "fair market value" is more accurately described by the Appraisal Institute as the depreciated replacement cost of the improvements only. No land value,site improvements or personal property are included. Z The Appraisal of Real Estate,14th Edition,Appraisal Institute,2013,page 58 Cape Cod&Islands Appraisal Group,LLP 1 • "Only the market value of the structure is pertinent. The value of the land and site improvements (landscaping, driveway, detached accessory structures, etc) and the value of the use and occupancy (business income) are not included. Any value associated with the location of the property should be attributed to the land,not the building." The subject improvements consist of a 1,092 square foot(SF),wood-frame,single-family home with a full basement, originally constructed in 1955, and renovated to effectively new condition in 2018. The house is comprised of a living room, kitchen, 2 bedrooms and 1 bathroom. The foundation is a full unfinished basement with concrete block walls and poured concrete floor, interior and exterior access. New HVAC system is warm air with central AC, now located in the attic. Amenities include a fireplace, outdoor shower, front and rear entry porches. GLA is based on the dimensions reported on the property record card, and verified in the field by the appraiser. The dock is not included in the analysis. Overall,the improvements are of excellent quality construction and in like new condition, as of the date of value. Construction quality and condition ratings are based on an interior and exterior inspection of the subject property. The cost estimate in restricted report format, attached, is prepared in compliance with the requirements of Standards Rules 1 and 2 of the Uniform Standards of Professional Appraisal Practice(USPAP), as promulgated by the Appraisal,Standards Board of the Appraisal Foundation; 2018-2019 Edition, and all applicable guidelines and regulations. The attached restricted report includes an analysis of the replacement cost of the house only. It does not include the land value, or site improvements, such as the dock, septic system, utility connections, driveway,and landscaping. The cost analysis is not an opinion of the market value of the real estate. The scope of work included a physical inspection of the interior and exterior of the building and development of an appropriate cost analysis. Cost data are based on the Marshall Valuation Service manual, supported by local builders' estimates. The sales comparison and income approaches are not applicable to the assignment and were not developed. No opinion of the market value of the real estate,site value, or site improvements has been developed or provided. In this regard, the limited scope of the assignment is fully disclosed and should be clear to all readers. Additional supporting documentation for the factual data, reasoning and analysis is retained in the work file. Based on the attached analysis,the depreciated replacement cost of the subject improvements,as of September 19,2018,is: THREE HUNDRED SEVENTY FIVE THOUSAND DOLLARS ($375,000) The opinion of the depreciated replacement cost of the subject improvements reported in this letter is intended solely for use by the client;cannot'be fully understood by others who are not familiar with the property or the intended use of the report, and is invalid with out the entire report attached. Thank you for allowing us to be of service in this matter. Please contact us should you require any additional assistance. Sincerely, Jacob C. Ross,SRA MA Certified Residential Real Estate Appraiser License#70585 Cape Cod&Islands Appraisal Group,LLP 2 COST ANALYSIS Cost data are based on the Marshall Valuation Service Manual, supported by local builders' estimates. The costs used are for excellent quality Class D "Single-Family Residences," section 12, page 25 of the Marshall Valuation Service manual. Class D refers to wood-frame construction. A description of the quality rating is included below. Appropriate multipliers are applied to the base cost for the number of stories,story height, and the shape of the footprint of the building. The basement,fireplace,outside shower, and porches are included as separate line items,as they are not part of the "base cost." Finally, current and local cost multipliers are applied to adjust for the higher cost of construction in the regional (eastern) and local (Cape Cod) markets, as well as builder's profit and architect's fees. This is standard methodology when using the Marshall Valuation Service manual. Ratings and definitions from the Marshall Valuation Service manual: • "Class D Buildings are characterized by combustible.construction. The exterior walls may be made up of closely spaced wood or steel studs, as in the case of a typical frame house, with an exterior covering of wood siding,shingle, stucco, brick or stone veneer,or other materials. Floors and roofs are supported on wood or steel joists or trusses or the floor may be a concrete slab on the ground. Upper floors or roofs may consist of wood or metal deck, prefabricated panels or sheathing." • Excellent Quality: "Custom-built buildings, embodying superior materials and workmanship throughout, the best normally found,though not including special construction with unusual material and labor. Well- know architects and contractors are retained for this work." • Class D Exterior: "Half-timber,stone or bricktrim, heavy rafters,slate,tile,shakes." • Class D Interior: "Plaster,ornamental detail,fine carpet,terrazzo,slate,etc." • Lighting and Plumbing: "Some special fixture,more than one bathroom per bedroom." • HVAC: "Warm and cool air." • Appropriate adjustments (cost multipliers)for the shape of the footprint, stories, and ceiling height have been applied. Basements,fireplaces, outside shower, and porches are not incorporated in the base cost estimate and are added as separate line items. •Finally, an adjustment for architect and builder margins, as well as Current and Local cost.multipliers are applied to account for higher construction costs in the Eastern region and Cape Cod in particular. • Depreciation of 0% is based on the Marshall Valuation Service depreciation table for residential properties,with 60 years to full economic life and an effective age of 1 year,due to the recent renovation. Cape Cod&Islands Appraisal Group,LLP 3 COST ANALYSIS 187 Bay Lane,Centerville, MA 02632 'FROPERT' PE, 5�' 51NGLE FAMILY RESIC♦ENCES Building Class D/Wood-frame Quality of Construction Excellent Exterior Siding Wood Shingle Roof Cover Asphalt Shingle Number of Stories 1 Story Total GLA 1,092 SF Year Built&Age 1955/62 yrs/Renov 2018 Condition&Eff Age Average/1 year Foundation Full/Concrete Block Region Eastern Climate Moderate Sec 12, Pg 25-Class D BASE SQUARE FOOT COST $179.00 Height&Size Refinements Number of Stories-Multiplier 1.000 Story Height-Multiplier 1.000 Shape Multiplier 1.040 - Combined Height&Size Multiplier 1.040 Refined SF Cost $186.16 GLA 1,092 SF SUB-TOTAL $203,287 Additional Items(Not Included in Base SF Cost) Basement: 1,092 SF @ $22.45 /SF $24,515 Fireplaces: 1 @ $5,750 /Unit $5,750' Front Porch: 24 . SF @ $25.25 /SF $606 Rear Porch: 24 SF @ $25.25 /SF $606 Outside Shower: 1 @ $2,500 /Unit $2,500 Lump Sum Total $33,977 SUB-TOTAL $237,264 Current&Local Cost Multipliers Current Cost Multiplier 1.020 Local Cost Multiplier 1.190 SUB-TOTAL $287,089 Builder 15% Architect 15% TOTAL COST NEW OF THE IMPROVEMENTS $373,216 Depreciation Eff Age: 1 year $0 ;. A E�IA ED OST OWIN '�OVEMEN ES 73 21 } aiiQ7DED TO" k 310© ol- .. :.. ..�. wM Based on the Marshall Valuation Service Manual Cape Cod&Islands Appraisal Group,LLP 4 t SKETCH Porch (24 Sq ft] 6' I 1 4Z First Floor �O [1092 Sq ft] 0 42 6` Porch [24 Sq ft] TTAu sjewb by a L avicle,irr Area Calculations Summa IN t�mng Area € � 4 . First Floor 1092 5q ft 26'x 42 TDtal tav�ng Area(Rounded) 1092 Sq ft l �.«x. Porch 24 54(t 6 x 4µ Z4 Parch 24 Sq ft 4 x 6 = 24 Cape Cod&islands Appraisal Group,LLP 5 N+'4���� �Ni'��l Ste"� & -.- ' �',.• h'p;F?:.��'p v �6i's a:�6fsi �• _' e r TL 5'�`x c. p�•' S iTv3i�Z � �- Y�s' ON-ffm e �1°t"' �' �•�'i"3"�#k` d Y f+sr '!r ""�" � -'�' �4�` -'1 fir'.�� i z 'sq e 'a �j i, 4 n air fir. ,r ya a � q r z n —f ,7T -q 3 � C V. �k: a �' �` � � �'�""� '� �ti* � � �` �' �.. •'�.ayn�� ': � s- '"k.nt~r. 1! ik #'�-€_e.., . Az" wmn 7T '^ !•S''� '�°`� ` "C .y�"�R 4 'O n,W. �'g .� # - '•• SUBJECT PHOTOGRAPHS 21 - k Bedroom Bedroom i aR` t ii Full Bathroom Cape Cod&Islands Appraisal Group,LLP 7 WAVE ACTT ON MAP SCALE 1" = 500' 6U 0 500 1000 FEET L 3 " v ZONE AE E (Et 1^3) t� PANEL 0563J 0 a FIRM n FLOOD INSURANCE RATE MAP a BARNSTABLE COUNTY, ® MASSACHUSETTS (ALL JURISDICTIONS) nu a LIMIT •F MC�IDERATE 00 n WAVE ACTIN PANEL 563 OF 875 0 (SEE MAP INDEX FOR FIRM PANEL LAYOUT) C NNti- t G4hldl�l'JLTY t4k)I EB P2d1EL. W fJX ' MRII:TARE.F..t04Yn OF 25�0a1 GSfii J LIM[IT iFi Q MODERATE. 4 < a p I V V A'I ACTI N 1 ER 1111J NnV�NClUOC9 tl0lfiieM1 lEe OF 1H!COM1STAI BM1RRIPR " f 1 1 •t` -11 rY ' ® IHIS IARCEe)DES 1 UAI'IES Of UIIOER 51E 1MD 11e" BMn.En RE90URCE9 AC1 OF 19.2 M1N0I0R SU99EOL)t- �,� FNAR1—LEGISLATION t o User;sholuld he used h ed when Numbere Map shown placngmaporders; the E AE x Community Number shown above should be used on insurance applications for the subject COmmunly. t MAP NUMBER w 25001C0563J EFFECTIVE DATE JULY 16,2014 Gmrrgency NIm1RRenlent Agcncyj 00 CERTIFICATION STATEMENT I certify,to the best of my knowledge and belief: • The statements of fact included in this report are true and correct. • I previously prepared a cost estimate of the subject house in January 2018. 1 have performed no other services regarding the subject property within 3 years prior to the date of report and date of value,as an appraiser or in any other capacity. • The reported analyses,opinions, and conclusions are limited only by the reported assumptions and limiting conditions and are my personal, impartial, and unbiased analyses,opinions,and conclusions. • I have no present or prospective interest in the property that is the subject of this report and no personal interest with respect to the parties involved. I have no bias with respect to the property that is the subject of this report or to the parties involved with the assignment. • Engagement is this assignment is not contingent on developing or reporting predetermined results. • Compensation for completing this assignment is not contingent upon the development or reporting of a predetermined value or direction in value that favors the cause of the Client,the amount of the value opinion, or the occurrence of a subsequent event directly related to the intended use of this appraisal. • The reported analyses, opinions and conclusions in this cost analysis were developed and prepared in compliance with the requirements of the-Code of Professional Ethics and Standards of Professional Appraisal Practice of the Appraisal Institute. • Use of this report is subject .to the requirements of the Appraisal Institute relating to review by its duly authorized representatives. • Jacob C. Ross,SRA inspected the property January 18,2018. • No one provided significant real property appraisal assistance in this assignment. • This cost analysis is not intended to be used to establish the insurable value of the property. • I certify I am appropriately licensed and qualified to appraise the subject property in the Commonwealth of Massachusetts,. and that my education and experience in preparing similar assignments satisfies the competency provision of USPAP. • The appraiser is not a construction expert or certified home/building inspector. The property inspection and this report should not be relied upon to reveal any potential issues with the construction, condition of the improvements, or mechanical systems. Any issues reported to the appraiser or observed in the course of the property inspection are disclosed. The appraiser certifies the property inspection was commensurate with industry standards and all known issues pertaining to the condition of improvements and mechanical systems, quality of construction,safety,soundness,an pest issues have been reported,to the best of the appraiser's knowledge. • As of the date of the'report, I, Jacob C. Ross, SRA, have completed the requirements of the continuing education program for Designated Members of the Appraisal Institute. Date: September 21,2018 Jacob C Ross,SRA Certified Residential Real Estate Appraiser, MA Lic#70585 Cape Cod&Islands Appraisal Group,LLP 9 Format:Restricted Report—Cost Analysis This restricted report is developed and reported in compliance with the requirements of Standards 1 and 2 of the Uniform Standards of Professional Appraisal Practice-of the Appraisal Standards Board, 2018- 2019 Edition;and all applicable laws,guidelines, and regulations. The opinion of value developed is the depreciated replacement cost of the improvements only, as of the date of value. The opinion of the replacement cost is based solely on a cost analysis. The available data are adequate to develop credible assignment results, based on the property inspection and the Marshall Valuation Service manual. The sales comparison approach and income approach are not applicable to the assignment and were not developed. No opinion of market value has been developed or provided. General Assumptions . Public records are correct/accurate. . Data provided by the client, and 3rd parties are accurate and reliable. There are no adverse easements or encroachments. No contamination on the property from any source. Clear title and fee simple ownership. The septic system conforms to current Board of Health regulations and would pass inspection. The property complies with all applicable public land use regulations, including appropriate permitting of the improvements. The subject can be rebuilt on the existing footprint if destroyed by natural causes, such as storms or fire. Extraordinary Assumptions&Hypothetical Conditions Extraordinary Assumptions: None Extraordinary Assumption: "An assignment-specific assumption, as of the effective date, regarding uncertain information used in the analysis which, if found to be false, could alter the appraiser's opinions or conclusions."3 Comment: "Uncertain information might include physical, legal or economic characteristics of the subject property; or conditions external to the property, such as market conditions or trends; or the integrity of data used in an analysis. Hypothetical Conditions:None Hypothetical Condition: "A condition, directly related to a specific assignment, which is contrary to what is known by the appraiser to exist on the effective date of the assignment results, but is used for the purpose of the analysis.i4 Comment: "Hypothetical conditions are contrary to known facts about physical, legal, or economic characteristics of the subject.property; or about conditions external to the property, such as market conditions or trends;or about the integrity of data use in an analysis." 3 USPAP 2018-2019 Edition,The Appraisal Foundation,2018,Page 4 USPAP 2018=2019 Edition,The Appraisal Foundation,2018,Page 4 Cape Cod&Islands Appraisal Group,LLP 10 Intended User(s) Definition: "The client and other party as identified, by name or type, as users of the appraisal or appraisal review report by the appraiser on the basis of communication with the client at the time of the assignment.is Intended users are the client and the town Building Commissioner,for the stated intended . use. The appraiser has no duty to any parties not specifically identified as intended users. Intended Use Definition: "The use or use(s) of an appraiser's report or appraisal review assignment results, as identified by the appraiser based on communication with the client at the time of the assignment."' The intended use is to develop an opinion of the depreciated replacement cost of the subject improvements only, as of the date of value,to assist the client with building code compliance, subject to the stated Scope of Work, purpose of the appraisal, reporting requirements of the appraisal form, and Definition of Market Value. The cost analysis is not intended for any other use/purpose. Property Rights Appraised:Fee Simple N/Ap.An opinion of market value was not developed. See cover letter. Value Appraised:Market Value N/Ap. An opinion of market value was not developed. See cover letter. Highest& Best Use , N/Ap. A highest and best use analysis is not applicable to the assignment. Definition: "The reasonably probable use of property that results in the highest value. To be reasonably probable, a use must meet certain conditions: the use must be physically possible (or it is reasonably probable to render it so); the use must be legally permissible (or it is reasonably probable to render it so); the use must be financially feasible." Uses that meet the three criteria of reasonably probable uses are tested for economic productivity, and the reasonable probable use with the highest value is the highest and best use. (The Appraisal of Real Estate, 14th Edition,Appraisal Institute, 2013, page 332) Warranties The appraiser(s)who prepared this report and/or associate appraisers, if any, are not guarantors of value, utility, condition, or feasibility. The values or range of values reported herein (where applicable) are ` opinion and are not warranted as, or representations of, fact. In the event that this appraisal is used as a basis to set a market price, no responsibility is assumed for the seller's inability to obtain a purchaser at the value reported herein. Compensation is Not Contingent Compensation is not contingent upon the reporting of a predetermined value or direction in value that favors the cause of the client, the amount of the value estimate, the attainment of a stipulated result, or the occurrence of a subsequent event. Testimony The appraisers, by reason of this appraisal, are not required to give further consultation or testimony-or be in attendance in court with reference to the property in question unless arrangements have been previously made. The report is not intended for bankruptcy proceedings and .the summary reporting format is not sufficient for court purposes. 6 USPAP 2018-2019 Edition,The Appraisal Foundation,2018,Page 5 - 6 USPAP 2618-2019 Edition,The Appraisal Foundation,2018,Page 5 Cape Cod&Islands Appraisal Group,LLP 11 Third Parties Excluded-Unauthorized Use The appraisers have undertaken this assignment with the specific understanding that there is no third party beneficiary to the contract between the client and the appraisers. This report is for the exclusive use of the client who is the intended user of the appraisal,for the purpose stated in the report. Possession of this report, or a copy thereof,.does not carry with it the right.of publication, nor may it be used for any purpose by anyone but the client or his assigns and then only with proper qualifications. Unauthorized transmittal of the report or its conclusions to third parties invalidates this report. This assignment was undertaken for the client specified herein. The appraisers do not recognize or assume any duty to persons other than that client in the formulation of this report and its conclusions. The client may make such reasonable use of this report as is consistent with the function of the report, but any third or other party into whose possession the report may come, should not assume that its rationales or conclusions will serve any other client or function unless specifically authorized in writing by the appraisers. Value Allocations(where applicable) Any allocation of the total value estimated in this report between the land and the improvements, if any, applies only under the stated program of utilization. The separate values allocated to the land and buildings must not be used in conjunction with any other appraisal and are invalid if so used. Any value estimates provided in the report apply to the entire property, and any pro-ration or division of the total into fractional interests will invalidate the value estimate, unless such pro-ration or division of interest has been set forth in the report. Illustrative Material All engineering studies are assumed to be correct. The plot plans and illustrative material in this report are included only to help the reader visualize the property. The exhibits included with this report are intended to provide visual assistance to the reader and were prepared by the appraiser for illustrative purposes only. Any sketch in the report may show approximate dimensions and is included to assist the reader in visualizing the property. The appraiser(s) have made no independent survey of the property. Legal No responsibility is assumed for the legal description provided or for matters pertaining to legal or title considerations. Title to the property is assumed to be good and marketable unless otherwise stated. The property is appraised free and clear of-any and all liens or encumbrances unless otherwise stated. It is assumed that the use of the land and improvements are confined within the boundaries or property lines of the property.described and that there is no encroachment or trespass unless noted in the report. Information Obtained From Others The information furnished by others is believed to be reliable, but no warranty is given for its accuracy. Projections and Forecasts The forecasts, projections, or operating statements contained herein are based upon current market conditions, anticipated short-term supply and demand factors, and a continued stable economy. These forecasts are,therefore,subject to changes with future conditions. Cape Cod&Islands Appraisal Group,LLP 12 f Publication Possession of this report, or a copy thereof, does not carry with it the right of publication. Neither all, nor any part of the contents of this report shall be disseminated to the public through advertising, public relations, news, sales, or other media, particularly as to the value conclusion, identity of appraisers or firm with which he is connected, or any references to the Appraisal Institute, MAI designation or SRA designation, or Massachusetts Board of Real Estate Appraisers, MRA designation, or any other designation or license without the written consents and approval of the appraisers. Disclosure of the contents of the appraisal report is governed by the By-Laws and Regulations of the Massachusetts Board of Registration of Real Estate Appraisers and by the professional organizations with which the appraisers are affiliated. The client is advised and acknowledges that the appraisal is subject to the requirements of the Code of Professional Ethics and Standards of Professional Practice of the Appraisal Institute;that the Appraisal Institute has the right to review the report. Hidden or Other Property Conditions It is assumed that there are no hidden or unapparent conditions of the property, subsoil, or structures that render it more or less valuable unless otherwise stated in the report. No responsibility is assumed for such conditions or for obtaining the engineering studies that may be required to discover them. Contamination-Hazardous Materials Unless otherwise stated in this report, the existence of hazardous materials, which may or may not be present on the property, was not observed by the appraisers. The appraisers have no knowledge of the existence of such materials on or in the property. The appraisers, however, are not qualified to detect such substances. The presence of substances such as asbestos, urea-formaldehyde foam insulation, mold, fungus, and other potentially hazardous materials or substances anywhere on the site or in the improvements may affect the value of the property. The value estimate is predicated on the assumption that there is no such material on or in the property that would cause a loss in value. No responsibility is assumed for such conditions or for the expertise or engineering knowledge required to discover them. The client is urged to retain an expert in this field, if desired. The presence or condition of underground tanks is excluded as a consideration in this study. The client is advised that the law may require owners of underground tanks which may contain petroleum or hazardous substances to report their existence to state authorities for registration. Compliance It is assumed that the property conforms to all applicable zoning and land use regulations and restrictions unless a non-conformity has been identified, described, and considered in the appraisal report. It is assumed that the property is in full compliance with all applicable federal, state, and local environmental regulations and laws unless the lack of compliance is stated, described, and considered in the appraisal report. It is assumed that all required licenses, certificates of occupancy, consents, and other legislative or administrative authority from any local, state, or national government or private entity or organization have been or can be obtained or renewed for any use on which the value contained in the report is based. Cape Cod&Islands Appraisal Group,LLP 13 Violations The appraisers assume no responsibility for detection of any violations related to conversion, pollution, environmental protection, zoning, subdivision regulations, building codes, or any other regulatory statutes, ordinances, by-laws, regulations, or other legal constraints. Computer Generated Photographs&Property Inspection The appraiser(s) certify that any computer generated photographs included in this report have not been retouched or enhanced in any way: This is to certify that the signatory appraiser(s) of this appraisal conducted the property inspection unless otherwise stated within the report. Date: September 21, 2018 Jacob C. Ross,SRA MA Certified Residential Real Estate Appraiser License#70585 Cape Cod&Islands Appraisal Group,LLP 14 "AI AA`^`AWI C'(;idde 7!: 74lood CG.yr.�F ecnw? a r��� ;K/.cry,�,argc iO ,.q),'s %�t+�l�Z13�$_ Vvr`-/' (� _Massachusetts 'Ch-e `i'lisc `e=-�.O�Pi�RP_Ce 790CNMR-svi.2.1.?)I f IN IN -- u� Q Check _ Compliance 1.1 SCOPE Wind Speed(3-sec.gust)....... ............ •. ... .. ., . .. :, .. ........ ....................... ......110 mph Wind Exposure Category....... ................... :... ..............._: .... 1.2 APPLICABILITY Number of Stories .... ...I...:.. .... , ....:.... . .. . ,.. Fig 2}...:.: :... .,::.. stories 5 2 stories Roof Pitch. ................ a Fig 2) .G�,jZ /2 2 5 12:1 Mean Roof Height .... .... : .... 1.1 ..... Fig 2) ...... .... ..... ... L,. aft i Building Width,W .......... . ............... ....: F,.ig 3) ..:. 0, ; 53 ! ft cg Building Length,L......... 7 .. .,.,..,r.. ..... .:.... Fig 3) .. ft 0 l" i < Building Aspect Ratio(UW) ...�,c .,..`...................:............ Fig 4)....................... x 5 3:1 r.. Nominal Height of Tallest.Opening .. : Fig 4): :.. ... ........� o...,�`'.,... 5 6 8 , 1. 1.3 FRAMING CONNECTIONS t General compliance with framing connections able 2). . ....: ........ ...........;............................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 54041 _ t. Concrete.........._.......... .... ................................................... ConcreteMasonry........ . ....... ...............................,........................... i 4 2.2 ANCHORAGE TO FOUNDATION''3 + _ 5/8"Anchor Bolts imbedded.or 5/8"Proprietary M c arnca Anchors as an alternative in concrete onl Bolt Spacing-general ........:.............. able 4). ........ .ink t Bolt Spacing from end/joint of plate ....... Fag 5) (2 in. s 6"—12 Bon Embedment—concrete....... ......I.. ....... . ........ Fig 5).:... in.a 7" { Bolt Embedment—mason ... Fi 5 ......... ......... in.a 15" r masonry g ) .:. Plate Washer ............ .. ... ...... Fig 5)................. .......... ;:.:......:..9 3"x 3"x Y<" ¢ . 3.1 FLOORS f Floor framing member spans checked per 780 CMR Chapter 55).....................:. ..... . ±' Maximum Floor Opening Dimension.. .. ...... .... ....' ........ Fig 6)..... ....•.: . ......... yft s 12'or U2 or W/2 ' Full Height Wall Studs at Floor Openings less than 2'from xterior Wall(Fig 6)....... ................... ........ t - Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall ..: ....,.. Fig 7)::... . .�; trL' ....... ft <_d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall ...:;. .....: Fig 8)...... .............................................='ft <_d Fi 9 i Floor Bracing at Endwalls 9 ) • ••• Floor Sheathing Type CMR Chapter 55)per 780 CMR Chapter 55) Floor Sheathing Thickness.. per°780_ ... in �a Floor Sheathing Fastening:.: .. ..: .,. ;, able 2)..�d nails at !o in edge./j in field ,1 4.1 WALLS ` Wall Height s Loadbearing walls......... Fig 10 and Table 5) .: ..G Non-Loadbearing walls. Fig,10 and Table 5)........ 5 20' Wall Stud Spacing ....... . .... ..... .. . ...:. ..::.... Fig 10 and Table 5)....... ......a in.5 24"o.c. Wall Story Offsets ............................. ..... ... ....:.. Figs 7&8)........ ......... ..............:......L Dft s d 4.2 EXTERIOR WALLS' 4 Wood Studs Loadbearing walls ...,.... 1' (Table 5) ....2x -GiOft ' in. .. Non-Loadbearing walls. .:.,(Table 5)... ..:..................:..2x ft in; .Gable End Wall Bracing' r a Full Height Endwall Studs.,............ ..... (Fi410).. ................ ................................... t s WSP Attic Floor Length-. ........ Fig 11) c .. ... ft aW/3 Gypsum Ceiling Length(if WSP not used).................... Fig 11).....:.... ( .._ft 0:9W t µ�� 2x4 Continuous Lateral�BJrace/r@6+ft.o.c� .. Fig 11):. ......,•,•••e•• • .G/.z. `��.•-�,3°. € - J�� P�t�CiH�O =, •may f r..3�. �. ..... ...... .• ..j..C >. .,') ....'-. - -- ..., 4 t K CUCTURAL �s0 , i u 5�No► a No 34'17� 01sZ � q9 9FEP�c' L /�� *O�FSSIONxN- MA Ilk ! c % i Yam-= # -W1 ne 0 `�-, e `'8E'�e�..?�`.8c � 2 _ ( �i } Loadbearing Wall Connections _. ` Lateral(no.of endnailed 16d common nails) (Table 7 ° ..... Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails) (Table 8),?', , }° Load Bearing Wall Openings(record largest opening but c eck-all:openings for compliance to Table 9) Y Header Spans (Table 9)*�..t.: t : �i .ft,r in:s11bw Sill Plate Spans ............... (Table g)6 ; Ej,,It -m:s' 1 Full Height Studs (no.of studs): . .. . ..; (Table 9) l Non-Load Bearing Wall Openings(record largest opening` ut check all openings for, pliance to Tabl � Header Spans... . .............. (Table' kf 9) in 2 SGA Sill Plate Spans. bl Full Height Studs(no,of studs).. * .,7 (Table 9i 2 ffi). Exterior Wall Sheathing to Resist Uplift and Shear Simulta eously4 _ Minimum Building Dimension,`W - Nominal Height of Tallest Oinmgz ' ' 8 - Sheathing Type (note 4) s, ' Edge Nail Spacing.......: .......... (Table,1 or•note 4 if less) _ Field Nail Spacing_,,... o - (Table 10) Shear Connection(no:of 16d common-nelils)(Table 10) Percent Full-Height SFieathmg`'. .0 Table'10) n/ 9 a' m 2i t -- 5%Additional Sheathing for Wal wi h Openin >6 8 {Design`Concepts } Maximum Building Dimension;L' ,— a = _ Nominal Height of Tallest Opening, Sheathing Type. ..'... (note 4) s 6 8' Edge Nail Spacing - Y 9 (Table 1 or,note 4 if less) n Field Nail Spacing ., (Table t Shear Connection(no,`of 16d'co mor)*nis)(Tabte,1:1) � Percent Full-Height Sheathing... (Table 11} M1 5%Additional_Sheathing for Wallwi h Opening>6'8"'(Design Concepts} .. .` N# Pr Wall Cladding p Rated for Wind Speed?. ' ` 5 s r: `g .. o r+ tti- 5.1' ROOFS r :• � Roof framing member spans checked (For Rafter's use AWC Span Tool,'.see BBRS We tsite) Roof Overhang' (Figure 19) ?� ft s smaller of 2 or U3 ` Truss or Rafter Connections at Loadbearin�q Walls �'. Proprietary Connectors � * Uplift..., (Table -J 'Lateral Z.5 .--=" (Table 12), L= ` ry Shear.... (Tabl �. .. a 12 Ridge Strap Connections;rf collar ties not used per p ge 21 .:. (Table 13) !Gable Rake Oytlooker: bl �'' � " ... {Figure 20) ft<smaller of 2'or U2' r - Truss or Rafter Connections at Non Loadbearmgl,Wal Proprietary Connectors:`.'z , ..p _` .Uplift Lateral(no of 16d common nails).: (Table 14). L= lb'F ` Roof Shea Type g yp * " (per 780 CMR Chapters 58 an 59) Roof She Thickness , ,:. 7 RV `i hSP Roof Sheathing Fastening n. 1. This checklist must be met in its entirety,exclu ' _ F ' v. h _n' ding the specific exception noted m 2;to comply with the requirements`of 780 CMR 5301.2.1.1 Item 1 1f the'ctiecklist is met m its entirety then the following metal straps and hold downs are not ° x required per the WFCM 110 mph Guide y a: " Steel,Straps per Figure 5 b. °20 Gage Straps per,Figure 11 c ',.Uplift Straps per Figure 14 f _ F fi � d All Straps per Figure,17 r s t. e Comdr,Stud Hold Downs per.Figure 18a� ° r 2 .`Exception Opening heights of up to 8 ft shall be permitted when 5/o is added:to the percent full height sheathing R zrequirements shown in Tables 10 and",11 j�c.. C � 3. The bottom sill.plate in exterio'64ls shall be a'minimum 2 in nominal thickness pressure treated#2-grade. a . -` • ':per � � � � � »t / (Ny� Z�� � � .:: `�'��F.. .� ��� �yGs '* rah. e �•`.-; i' �; � � . �, `',�ap\.Fu' • 1$ g �. nUG��Zp S �`a9�fESs10NP� _ � e � ►tic�ktti3 � . 4)CIA isC, k q -77 L 3 r N>k Pf�t'T�IJ' ,. . �" {t m►�. �. .3"_it►►µ: � I. � : . e T • ���- • _ter• �.w.a e - .�, ..: a19 MIF1 PN , • $OG VV R e' = L x Y i S P ATTAC H M E . , x ' - 110T To gG�►L E. _ WOTES: Wood Smwc iral Parsels'shall be minimum thickness of 7116"and be installed as follows: is Panels sball be installed with atctugth axis parallel to studs. $ " ii. All horizontal joints'shall occur over and be nailed to fmsming.., iii. On single story,cortstructim'pmiels shall be attached to bottora'�lates and top memberpf they&uble top plate. ,. iv. On two story eonstiuetion,upper panels shall be.atsaehai to t1i top tae."of the upper double top plate and to band jaiat as bouomof paatd:Upper attacbrnettt of lower'panel shall be made to bald joist AM., lower anachituent made to lowest plate at-first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders •shall be a double row of 8d, staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Pawl Attachment fMIVO N0,0 ,, T — ` � � �' � ' r E lam/` •.i .i s • ♦ l y N I cl at 71 1 1NSP .ATTACHMENT mill,p _. N07 eTo .SGAE, I G L pR izow T. L.. G r 'Jr a w ;GENERAL NOTES AND MATERIAL SPECIFICATIONS; (ResidentiallRC-Construction). - . . ' FOUNDATIONS - SK=I . F l•All workmanship to conform totthe requirements of the Massachusetts State:Building Code,lat Y tk ; 2."For site location'and grading information;see Site Plan,by others, est edition. 3.:Assume&netallowablesoilbearin capacity,.acity q 3000sf f contact the°Engineer of Record'' s ' p , or a medium sand/gravel composition. Other soils encountered, 4. Concrete: Minimum 28 day strength,fc=3000psi,3)4"aggregate,,designed per American Concrete Institute Code lat issue,maximum slump=4": a.) Anchor bolts ASTM A307 galvanized,min:5/8'.'diameter, 12'long,'%✓/2-1/2"hook spaced per Code Checklist,or in est concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement walkout; etc.). b.) All walls to have min.2#4 top horizontal,2"clear,to prevent shrinkage cracks All walls longer than 25'shall have vertical c FRAMING ontroC joint with waterstopping between wall joint, F -. - 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. - Structural Design Loads• Dead Loads:Actual Weight of Building Components ' Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf F _ Living Floor=40 psf s Sleeping Floor=30 psf h Decks and Balconies T 40 psf ° Wind Load: Criteria used for 1_IO MPH Exposure B orC as noted per 3. Structural (as required) a. ASTM A572 Grade 50:shop paint with.rust inhibitive paint.Thru-Bolts:.ASTM A307, 1/2"_diameter ' 9/16"diameter. - b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use B70xx punched Alternatively,field weld by certified welders, electrodes. c. Deflection Criteria: L/360 total load deflection. ~ 4.Timbenp� a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=I000psi,E=1,300,000 psi,or better, b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. °"c. Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925'Psi, Fe—par=3035 psi. Parallam(PSL):All PSL shall.be min. I°9F.,ES with Fb=2900 ` E=1,900 ksi,Fv=28S psi,Fc_per=7S0 psi, Fc par-2900 si si _ =. N E _ Note that 1 9 P at Mic P 00 ksi Fv - rollam and Parallam may be used interchangeably. , 285 psi,Fc�er=750 psi,. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for% ,approval prior to materials urchasin '. 5.Metal Connectors- s p = s g As manufactured by Simpson Strong-Tie Co.shall x g 11 handled and installed per manufacturer requiremerits;with all nail holes filled,with the size nail as specified by rnfgr.or herere in, a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Soaps over top of Plywood,spaced 16" Rafter to Ridge Plate: Collar ties min. Ix6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: 6.Bolts Simpson H2.5A c. Band Joist: Simpson straps at 4'o/c: CS-14R-48"centered at band joist Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in'wood shall be 1/32"Jar er than ^ _ bolt diameter. Bolt heads and nuts shall bear on standard malleable iron washers;or square plate washers.All nuts shall be retightened at completion of job. 7. Blocking: z. a. Blocking shall be solid blocking,'2x minimum,and full depth of member.' ~b.Stud Walls:provide blocking at 8,-0"� ,maximum height. Corners to be blocked at 48"o%with plywood edge nailing •. to this blocking for the first 48"of these building corn_ers.' C.Nailine Schedule Solid Blocking to Bearing 2-8d toenails ea."side Blocking Between Studs' d; New Framin 2-10d toenails ea.end,or 2-16d end-nails ea.End.g:Provide 2x blocking foi 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach Plywood edges to this blocking 8"Nailing Schedule' • v; -, All nailing shall be Jh accordance with the'WFCM Table 3.1 unless noted he specifically: Multiple Studs. 16d C 12"staggered a.All nails shall be common o wire nails:• •. �. - _ s b.Sub-bore where;nails tend to split wood.. 9, Headers less than 4' use•2-2x6;all others per MA State Building Code. _ 4 ELEVATION VIEW SIDE ELEVATION FROM EXTI RIOR i , Extent of header(two braced wail segments) Extent of header(ono braced wall segment) ° - o ° o 0 ° Min.1000 lb tension sirapl.Strap Pony °wall shall be centered at bottom of header. � - D Ti . height'! r ° . o 0 0 m-o - o o 0 0 /INTERIOR] Min.3"xtt-1/4".not header o 0 0`o o Sheathing filler ifneeded 'oo o ° Header shag be fastened to the king Top plate continuity is ° an stud with 6-16D sinker nails',>' required per W2.3.2 ° .0 16d sinker nails in 2 12 + o °o rows ig'Y o.c.• . Max. D ° Fasten sheathing to header with ad common p D o o y total ° nalls in 3-1n.grid patter as shown and 3 in. wall o.c.'in all framing(studs and sills)typ. u , tit ght n° Wood Structuralmust rMinimum 1000 lb,header-lo-jack-stud strap shall be ," ° °° el wail to e l pan cantered at bottom of header and installed on o e continuous from lop of - bottom of wall,or from top of u. backside as shown on side elevation,each side o1 a wall to ermined splice an a b ° °D o o . opening.(SIMPSON ISTA24I" ,,+*t '' t H ° i o u a 10' o00 - o o -o Max. D o e o For a panel splice(if needed),panel edges shall occur over and be h 'ght ,° 00 nailed to common blocking and occur within the middle 24 in.of waft e e 0 e o height.One row of 3 in.o.c.nailing is required at each panel edge. 00 ° 2'to 1 a'(finished width) 00 o D Min.length based on 6:1 height-to-wi dlh ratio. D D For example:IS in min.for 8 n height.,,, ' graced wall line with Min.number of studs continuous sheathing a, 00 ;,o 0 0 o shown-(2)2x4 R802.10.5 o o D o Full-length king studs 00 = 0 0 0 0 No.of jack studs par o o °D fulldenglh king stud table R502.5(182) D o Wit"min.thickness wood D o ° Min.2"x2"XYe,plate washer.t °° D YP A. structural panel sheathing ---------------- 2 Anchor bolts per _ Y Per tab to Foundation per code R403.1.6 required R602.10.4.1.1 r , e -APA NARROW-WALL BiRACINOWETHOD �g APA �. NOT TO SCALE 1 OVER CONCRETE OR MASONRY BLOCK FOUNDATION RICHIE'S INSULATION INC. 111 OLD BEDFORD ROAD WESTPORT, MA 02790 508-678-4474 BUILDING DEPARTMENT TO WHOM IT MAY CONCERN: PLEASE BE ADVISED RICHIE'S INSULATION, INC. INSULATED THE FOLLOWING JOB: ADDRESS: 187 BAY LANE TOWN: CENTERVILLE, MA CONTRACTOR'S NAME:THE UGLY DUCKLING CONTRACTOR'S ADDRESS: 194 MAIN STREET, WEST BARNSTABLE, MA CONTRACTOR'S TELEPHONE NUMBER: 508-648-9468 THE FOLLOWING INFORMATION IS WHAT WAS USED ON THIS SPECIFIC JOB: MANUFACTURE: ICYNENE ( PRO SEAL LE IS MATERIAL USED ) THERMAL CONDUCTIVITY PER INCH:7 PER INCH AREA THICKNESS R-VALUE 'MAIN CEILING WALLS 3" R-21 STAIRWELL BASEMENT CEILING 4%z" R-30 GARAGE CEILING G.H. WALL CRAWL OVERHANG CATHEDRAL WALL CATHEDRAL CEIL PARTY WALL FOUNDATION WALL BLOCK/RUNN. SLOPES 5 %" R-38 P/V THANK YOU VERY MUCH FOR YOUR COOPERATION IN THIS MATTER. IF YOU HAVE ANY FURTHER CONCERNS PLEASE CONTACT MY PHONE NUMBER: INSTALLER: ERIC JOHNSON RICHIE'S INSULATION INC. TOWN OF BARN. / MUM 14 P� t2' QB� ,I• V°`• IL � •.Sq�T � FpUNOP, � Oly 1 /�`�/tic .s. EXNDP ON 7� � Fp 0' �oT IL FOUNDATION PLOT PLAN DCE #,8-024 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION #187 BAY LANE CENTERVILLE, MA SCALE : 1" = 30' DATE : 11-6-201 s PREPARED FOR: REFERENCE MAP 186 PARCEL 11 COTUIT B ESIGN DEED BOOK 31032 PAGE 141 �H OF M,180 I HEREBY CERTIFY THAT THE STRUCTURE o`' DANIEL yam\ SHOWN ON THIS PLAN IS LOCATED ON THE N� A. GROUND AS SHOWN HEREON. o I off 508-362-4541 f.508-362.9880 - q No.40980� downcape.com a '`r' Q" down eape engineering,inc. civil engineers land surveyors �- 939 Main Street (Rte 6A) f YARMOUTHPORT MA 02675 DATE REG. LAND SURVEYOR o IL �'?s tic FO�N F * \ • .4 FOUNDATION PLOT P LAN oCE #,8—oz4 PREPARED EXCLUSIVELY FOR LTHE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE ' LOCATION #187 BAY LANE CENTERVILLE, MA SCALE 1 = 30' DATE : 10-23-2018 PREPARED FOR: REFERENCE ,: MAP 186 PARCEL 11 COTUIT BA ESIGN DEED BOOK 31032 PAGE 141' of MA s HEREBY CERTIFY THAT THE STRUCTURE , o . SHOWN ON THIS PLAN" IS LOCATED ON THE " o DANIEL GROUND AS SHOWN HEREON." t. A. aff 508=362-4541 - OJALA' fax-"8_"2-9880 - A-N6.40980 I downcape.com 0' P down cope engineering,inc. °FE civil engineers I(� 23"1 b, S land surveyors 939 Maln Street (Rte 6A) YARMOUTMPORT MA 02675 DATE REG. LAND SURVEYOR o r _, _t o m • _ � 11� 3) jam. � a c �°.c• �155�S oN IL IL S 3 � s2. IL F�1 FOUNDATION PLOT PLAN DCE #18-024 PREPARED EXCLUSIVELY FOR THE PURPOSE OF OBTAINING A BUILDING PERMIT, NOT FOR ANY OTHER USE LOCATION #187 BAY LANE CENTERVILLE, MA SCALE : 1" = 30' DATE : 10-23-2018 PREPARED FOR: REFERENCE : MAP 186 PARCEL 11 COTUIT BA ESIGN DEED BOOK 31032 PAGE 141 OF A4,q I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE o`' DANIEL Gs GROUND AS SHOWN HEREON. A. a off 508-362-4541 OPAL cn I fax 508-362-9880 A No.40980 downcape.com down cope endi tOrind,inc, °FE civil engineers I(� 23 S R p '� land surveyors 939 Main Street (Rte 6A) YARMOUTHPORT MA 02675 DATE REG. LAND SURVEYOR Town of Barnstable Building ��11H Baxsinn r Post This Card So That it is Visible From the Street-Approved,Plans Must be Retained on Job an 'his Ca, Must be Kept hSA5S, l � � � x• Permit 163� �� Posted Until, Inspection Has Been Made x 0 Where a Certificate of Occupancy is Requiredsuch,Building shall Not be Occupied until a'Final Inspection has been made. Permit No. B-18-307 Applicant Name: THE UGLY DUCKLING HOUSE COMPANY, LLC Approvals Date Issued: 02/06/2018 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 08/06/2018 Foundation: Location: 187 BAY.LANE,CENTERVILLE Map/Lot: 186-011 Zoning District: RD-1 Sheathing: Owner on Record: NICKERSON, NANCY&SAMUEL&JANET TRS Contractor Name: THE UGLY DUCKLING HOUSE Framing: M�yzo l�OQ Address: 836 BUMPS RIVER ROAD ' COMPANY, LLC a 2 Contractor License: 169134 CENTERVILLE, MA 02632 ' Chimney: ` Project Cost: $40,000.00 Pro Description: Renovate of Interior, Increase ceiling height in living room and Est. J 4:0:7�778- kitchen, drywall repair, insulation upgrade, new 4 panel slider, (6) Permit Fee: $ 254.00 InsulationMa-t--- windows, relocate front door, relocate basement access Final: Fee Paid: $254.00 Project Review Req: Date:' 2/6/2018 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after.issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forpublic inspection for the entire duration of the. work until the completion of the same. Electrical i - Service: The Certificate of Occupancy will not be issued until all applicable signatures by the.Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Legend a. Parcels "Town Boundary _ . p `� 2Ei6 $� � � � �26 � � Railroad(road Trac s Buildings Painted Lines .. s R vl is i Parking Lots Paved. \': ? Unpaved S l � �� Driveways • - £ �,. `', � ..ate:' KA Paved Unpaved � �� _ Roads i fy. .?: �� �� ,� •. .. "� Paved Road Unpa ... x 1 .as s `-.�� E k h: •. .. Bridge Road 2�f�OQi2: 1 �� ��?y', ;�. .',•, ,� ®Paved Median 7 1s #212 Streams s ::. 1: 2 Water Bodies 03 # 00 �j ply 3 �• 2 g��g ZU*U 2A UUJ # ° Q #244 # [96 t2�O5 t$A �05025 #57: i ' 05 ti 1 Y y 5626 � fi5i82$ 159 �#i'j 63 2050 #229 �St 3 _ M1d I Ma printed on: 8 8 2018 This ma is for illustration `p p / / p� purposes only.It is not. parcel lines shown on this map are only graphic Town Of B8I'Ilstable GIS Unit adequate for legal boundary determination or representations of Assessor's tax parcels.They are Feet regulatory interpretation.This map does not represent not true property boundaries and do not represent 367 Main Street,Hyannis,MA 026o1 0 83 167 0 an on-the-ground survey.It may be generalized,may not accurate relationships to physical objects on the map 5o8-862-4624 reflect current conditions,and may contain such as building locations. Approx.Scale: I inch= 83 feet cartographic errors or omissions. gis@town.barnstable.ma.us Yhe Cotau omreaIdt o,f 1iarsadruw&. Dgparl rent qfrnd=ftidAcdde7ds 600 Waskiugion,street Boston,ALI 02111 wyv mam- gorldin Warlmrs' Campensafim Inmwance AfHdavit Builder-dCantracturs Flectdcians/Phan.hers APPUcant Tnfmmiatign //p Please Print/LOe�x"/b�Iy p /� C Name f$nc;,,Rcc►Y7rQ�� ��J�' Uct/,t�/V V W lam!1 t\V V 9" L A3dFess: � � A��V s I . • Are you an emplayer?Ch€:cktheapprapriateb T of ro'ect r L❑ I am a employer with 4 L 1 am a general.contactor.and I YPe e 1 t ad}- employees(Tan andfor part-time).* liave hired the salt-contmctos 6. ❑New oomsf ioix 2.❑ I am a sole pzopsieftw orpartaw- Hisfed outhe.attached sheet. 7. g4l5modeliug slurp and bane:no employees Mm se sob-contractors have 8-,❑Demalifiou waling for.rne is any capacity. employees andhave wogs' 4. ❑Building addition [NOSTp�lg' comp_iseauanr� Caffip.mertrarrrr� . 5. ❑ We are a cotpmation and its 1O:❑Electrical repairs or ad&ions rezed] officers have exercised their 1 L Plumbin r airs or additions 3.❑ F am a fiameovmer doing all work •. ❑ g eP • myself:[No yaokkers' - riglrf of eseurgfi per 141GL 117❑RDofrepairs tnmnancereTairedj i C 152.§1(4)6 and we have no lemployee s-ENo warn& 13_❑other cacrgr_insurance required-) •dayapgficsD2�atcher�box lmastelsafiIlairtthesectioaheIow�rntong euwadce campeasatiaupoyc9iaiaanrsoom fi ffnmeoa+ners�rbo sabot dasdae incafigg they az£doia�a1f Wa¢k 8II�tbenb]TE outside eaarmcmrsamst SajtnSlt a LeWd1YSt 1nd1C9tlno SxtrT. fCa vc{os$�td�eckthfs box msstattachedsaaddibi®al shed shatcsngtbenmeofthesob-ccn=ctDmsndadevheflietarnotthaseeafoitieshsce anxp9oyees.7ftbe suh-carat hz a emj qyw-%tfie}'amstgmvide t3»r warkms'camp.pohry number I atn au ernprq-wr trirttisprauidi n�ar7�ers'conrpertsrdzmr srirau" or any*emprny�ee ,Selaov isAeprn£icy arrd job sits FTi,�ar/af117a1L �n . -Itrs>M e;Company ifame: / `-'f- •Poky-or Self-ins-iic. l 7 V 0 l (� EV—1ndiouDate= Job Site Address:t a T LA)' C4' � LA U P cifgfstafe 4: 3 Z. Afach a•copy ofthe svarlm•s'compeasationpoHc •dechmtion page(shooing f e:policy munber and.expiration,date). Failme to.secure coverage as reguirednuder Section 25A of MGL m 152 can lead to the imposition of criminal penalties of a fim up to$UOa Oa at dfor one-yeari:mpriso as w&l as cO p—,vlges in the form of a STOP WORK ORDERand a$ne of up to$Mtl!]a dap against the violator. Be advised that a copy of this statemeflt.maybe forwarded fa the Office of In esfigadom of the DIA far imsmimce coverage'u i 'ydra rterehy a 1rcry f7rattlte infarisramtprmuled a6at is trans arrd arrrect ]3ate � - Phone ik S�-(9—L -C1,LIC 1C O&i/d use wiry. Dv not write in fds area,fit be c/rtupreted by cfty artow7l a,OaairrL CRY or Town: PermitlLicense:9 Issuing A XLOM4(c rrk one): s L Board of$ealtfr r.Ruffffing Department 3.CRyfrown Clexk 4.Electrical Itspector S.Pfixmbmg bettor CL Other Contact Person: Phone it: ' --- 6 'orm�ation and Iis�tct�ons card rr��ft5 G•e wxal Laws chaptm I52 rmzme s all M4Aoy=to prod&wolbe&c°raprusatum far'6iDir ezlployees- pm�to this statr�,an�IvyW is defined aa`�:�y Pisan m Hie service of oi3i�ceder any c° °fI empress or finp11.ed;oral or wriffinf Au_�T�yer is dc53zd as`pan ndWiamEt parta ,associst.vn,corporation or aih�a legal emiity,or aay two or mare of the foregoing=gaged is a joint eniraprise,and including the legal sepreseiives of a deceased empI°yea,or the receiver or trastee of an im d MdaA per,association or o$ie£Iegal entity,employing CKUpIDY=s- However fhe owner of EL dweIIingLoasehaving not mare than finee apaEtneats aid who residesffierem,erthe occT'ant off3ie dw lE g house of anon W D=3PIoys pemoas to dd maiftnM.ce,ceas action or repair wolic on such dwelImg horse or ou the grotmds or bmlcrmg appmECnSnt therein shall notbecanse of sack employmed be deemed to be an employ" MGL chapter 152,§25C(6)also sfaios that¢every siesta or local licensing agency Shall wiffih id tine issuance or renewal of a TceIIse or permit to operate a business or to contract bmwdi ags in the commonwealth for any applicantwho has notproduced acceptable evidence of compliiancewn the b snranmcovetagerequa-ed- Ad(ftio M TC`L chapter I52,§25C(?)states-NT i her fjie c nor�y of its political s°bdivisims shall naIIy, fable evidence of liancev.Ihe msmmmce. • crier into any contract fur the gerformance ofpnblic veurk mml accep comp . offiiis daptmhavoI;eea.presenft:din the CQnIxacting.antboI5Jy. Appltcaats r Please El Dist file wor='compmsatiDu affidavit completay,by eht--�-ffio boxes fiat apply to your situation and,if sab..conixacEar(s)name(s), addresses)andpbanemmn me s)a1°ngveidttbeircerCifi�s)of necessary,sopply or LmzitedLiabz7itY Parfne�higs(LI P)wit employees ot3�.er IhM the: instzrance. Lmmited Lbbii"Y Compawes(ILQ t in Worio�s'compensafroo insar mM If an LLC or LT2 does have members or ar[n�are no regr�ed cant' P -(went of Indusinal. employees,3-Po licy is requned. E e advised that this zf�rt may be snhmi�d to the Depac Accideds for confamaiion Df insurance cover age: Also ba sure to sign and date the a f davit .The affidavit should bDTr,t red to the city or tDwn that the application for the permit or license is being requested,not the D cpa:tment of. LoAnstiaI A-cdde:nfr qumildyou have any questions regardmg the Law or ifyou are required to obtda a worlcers' conipensationpofiey,plmsacaIltheDeparfineDfattlien=Lbealistedbelovi: self-mmaedcampaniessbould enter their ou the lee. self-insai'�ce Iicr�se number appmguai� City or Town Off1 als - r Please be sore drat the afdavit is complete andpridied.l%il I . ?lie D-p tnentl=provided a space at the both= ofth5 affidavit for you to fIl out in the event the Office oflnvestigati°3s has to cordactyouregardmgthe applicant- Please be sure t,fill in the pecmitlliceuse number which wM be used as a=6c=ce rammbcr. In addition,an applicant ffiat must submit multiple pemzhllicense applittEk=in any given yew,neej only sabmut one affidavit indicaimg e=mt p olicy mfortaation_(rf n Y)and under-lob SSfe Q-ddr�the applicamt shorid write-all locations in-(MY°L town)."A copy of the-affidavittliat has bey.officially stamped or marked by the city or town ma3'b e provided m t3ze applicant as proofthat a valid affidavit is oa file for fafnre'pe�ifs ar Iice�ses Anew affidavitrrnrst be filled,o�t each year.Whew a home ovine$or citizen is obtaining a license or permit not related in any business or commercial v�ae (ie.a dog license or permit to bum.Ieaves eft.)said person is 1�IOT�gtD�P this affidavit The Office of Iny�esfior�,'r,,,swouldh--tDthankyoum advancesforyour cooperaticat and sbonldyonhate any q O�, please do notbesifate to give us a caIL The De partmexes address,isle phase and fax Ma ber 1 GaMMMWU E Of h ch ' �of 1zid�tzzakA�d+vnts • a Invegag tLO= 4Itcr Ta4F1r�' -4 curt4€6W14 MA&& � Fax#617-727 7M 1Zevised4-24-07 p�� �-�fdi�. . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Q Application # Health Division Date Issued Z Conservation Division Application Fee Planning Dept. Permit Fee ��� •� Date Definitive Plan Approved by Planning Board ; Historic - OKH _ Preservation/Hyannis Project Street Address Village CeA)Te�2 L4 ,C ( lr Owner � 7�i n�/� S1'�fIJI�t/1 Address Telephone Permit Request I14►' V,17i lovo � �PIZ�rtz �� kec-V C—C Ate ��d-<+ [� Ll1il1 ON �(�,►�e1 stt'CtUL e W NeW Wv4sMA/s 34ocrA-e- Square feet: 1 st floor: existing tooy%roposed 2nd floor: existing proposed Total new Zoning District J Flood Plain Groundwater Overlay Project Valuation L10�tS�` Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 3"- Two Family ❑ Multi-Family (# units) Age of Existing Structure Iq� Historic House: ❑Yes alo On Old King's Highway: ❑Yes UHTo Yf`Basement Type: ull ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) �- Number of Baths: Full: existing 1 new ­119"_ 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 Er'cri I ❑ Electric ❑ Other Central Air: ❑Yes R o 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: 'AO ,i lei Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes do'N"o If yes, site plan review# Current Use t.�-� � Proposed Use cS'J, " - -APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �� L) �11 C�t iiU W . Telephone Number &`19_-9 L7(X_ ` o^A\'-i -CT � W, 6A�S)nULLicenser/V11 � ���� Address J� CSL — Mo1 Home Improvement Contractor# ` Email 4e y G l,6 HwV "Worker's Compensation # f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE l ��' FOR OFFICIAL USE ONLY -APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. {r. -- Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Type: Corporation � rr Registration: 169134 THE UGLY DUCKLING HOUSE COMPANY Expiration: 05/18/2019 194 MAIN STD �` W.BARNSTALBE,MA 02668 M1 � 1 Update Address and return card. Mark reason for change. SCA 1 0 20M-05/11 ..--ss���� CGl ❑ ".:.1-!..�. � n �',�.^..F;"!7! n F—..10s^'.P.l1t D LnS+!.',.*ifi! • vie t{»i�anao,o2raerr.�C�o��G�'��irJdccr.✓cufe��J - Office of Consumer Affairs&Business Regulation lr�s k a HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only 1 v TYPE:Corporation before the expiration date. If found return to: Reaistration Expiration Office of Consumer Affairs and Business Regulation 169134 05/18/2019 10 Park Plaza-Suite 5170 I B ston,MA 02116 - THE UGLY DUCKLING�HQUSEjCOMPANY,LLC -CHRISTINE CALDWELLtc� / �1� G --- 194 MAIN ST W.BARNS BE MA 02668 Undersecretary Not valid without signature DATE(MWDD/YYYY) .4C40RID0 CERTIFICATE OF LIABILITY INSURANCE 01/25/2018 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 NAME: Joanna Bednark DOWLING & O'NEIL INSURANCE AGENCY ac°N o Ext: (508)775-1620 a No: E-MAIL ADDRESS: jbednark@doins.com 973IYANNOUGH RD INSURER(S)AFFORDING COVERAGE NAIC# HYANNIS MA 02601 INSURER A: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER B: UGLY DUCKLING HOUSE COMPANY LLC INSURERC: INSURER D: 194 MAIN STREET INSURERE: WEST BARNSTABLE MA 02668 INSURER F: COVERAGES CERTIFICATE NUMBER: 233721 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 ADDLSUBRTYPE OF INSURANCE INSD WVD POLICY NUMBER AN POLICY EFF EXP LTR MDD/ MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ OCCUR DAMAGES(RENTED CLAIMS-MADE PREMISES Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO JECT ❑ LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS $ AUTOS Per a.ZI UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION /� STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? WA WA WA 6S62UB7H71178417 10/04/2017 10/04/2018 (Mandatory in NH) E.L.DISEASE-EX EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Felix Shtl@Uf ACCORDANCE WITH THE POLICY PROVISIONS. 44 Hood Street AUTHORIZED REPRESENTATIVE Newton MA 02458 ` _-p G � i Daniel M.CrcW�y,CPCU,Vice President-Residual Market-WCRIBMA @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD I ��-�2 �i BSc L✓� — ��`� c���—�—C— f oiC aj oy-a y r From: theuglyducklinghouse@gmail.com L Subject: Bob Harris Date: January 26,201 Bat 9:01 AM To: Ug Duck theuglyducklinghouse@gmaii.com u ''a 3 r f. % A saiet Gs� s4pe ea, lto�sa�nd , . A j fit, An q €bass- B....1idtn3,R �> 73�i;,. .` �g,Q�if ' a•*a R 0.: + 1.P wu .'Y'*' y " fi °~ . y r R PqV € v'r: t �Ak RI$, * ' R 1 4 ice' a! gp �tYl ' MA p26k ILI=F ' 3 , 'Y'F. 06lol .140 �,. K# ,ra' A' =„ t+ •�a Y�' r, 'J ef, alo All of Ni a�� 4•'����•�• ��d� '� �. .�rQ. g(' h� *�,�flk d ! in may+ '�N `• f •li s • '�„ k '. •;'•�' 4 ,fe` Y �BL""fMr,Y,' n,, `L ":.' „Y 'd'� r j,� k ; _�.-v " `•' ' O#fic f Consumer.A.ffa>Irs:&.Bus ices NN HOME IAIPROV8M' ENT CflNTRACTCIR f ,.-. b91ttra41, tt;On � tJt9�' d '` 3 S 4 '4 ■ b � ` ExplrattO�r � 4dt2018 r late v 4 i� Ora p • m r IsTRUCTIaN CUSTQM }gip c p� z ., a 4?0E8 7� � fr � Q ` .�'w B � 'R;I ;! !,YtYa.,�.... '� f�" A4�#. `� x fENTERV LE,.lilp,-fl63 1 tary fr t i.�, ,, •W r ,i¢ c�� ;` m y';. xM ':g� ACORD® DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 01/26/2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER CONTACT John McShera Marshall K Lovelette Insurance Agency Inc NAME` 396 Main St acoN o Ext• (508)775-4559 j IC No):(508)775-4577 West Yamouth,MA 02673 ADDRESS: John@loveletteins.com INSURE S AFFORDING COVERAGE NAIC# INSURER A: WESTERN WORLD INS CO INC 13196 INSURED R&R Construction Custom Homes Inc INSURER B: AEIC A0086 90 Nye Road INSURERC: Centerville,MA 02632 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. I ADDL�R TYPE OF INSURANCE D POLICY NUMBER MM LICY EFF POLICY EXP LTR /DD/YYYY MMM/DD/YYYY LIMA A COMMERCIAL GENERAL LIABILITY NPP1452535 01/29/2017 01/29/2018 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE � PREMISESS OCCUR DAMAGE (Ea oxur RENTEDrerxz) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accdent ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accdent) $ HIRED NON OMED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLANS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION VVCC50037992017A 11/29/2017 11/29/2018 PER oTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPMETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFRCER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 H yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LQNIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Ugly Duclding Building Company ACCORDANCE WITH THE POLICY PROVISIONS. 194 Main Street West Barnstable,MA 02668 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ICUP iO� CERTIRGATE OF UABILITY INSURANCE 11K1> 17 s � Fe';S fi,=; r CATS".S IISSIUED A5 A IdATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS RTU3CATE DOES NOT AFFML4MELY OR NATIVELY AMEND, 'EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES . BM-OW. THIIS 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 02063-001 NAME CT Branch 2063-2 Schlegel&Schlegel insurance Brokers Inc AJC0"N,E,: (508)771-8381 a/c.No.: (508)771-0663 34 Main Street Rt 28 EMAIL West Yarmouth,MA 02673 ADDRESS: INSURERS AFFORDING COVERAGE I NAIC# INSURER A: A.I.M.Mutual Insurance Company 33758 INSURED INSURER B: Vanderlucio Pascoadasilva Vabder Silva Drywall & Plastering INSURERC: 2 Holly Lane INSURER D: East Sandwich, MA 02537 INSURER E COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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. I� I TYPE OF INSURANCE INSR NND POLICY NUMBER MM/DDIY Y FF POLICY M/LDI DIY EXP YYY LIMITS GENERAL LIABILITY EACH OCCURRENCE I S —- COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED S PREMISES Ea occurrence CLAIMS-MADE ❑OCCUR MED EXP(Any one person) S ' PERSONAL&ADV INJURY S GENERAL AGGREGATE S PEWL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S 1 OLICY UECOT OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident) S f S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS MADE AGGREGATE S 'RKKDEEERRDgg ppMM R��E77TpENnnTppIONNN S 5 AND EMPLOYERS LIABILITY X TORY LIAMITS ER AN PR�M ECUTIVE Y/N E.L.EACH ACCIDENT 5 100,000.00 A of ICEE �e% ctdS NIA AWC400-7036394-2017A 3/9/2017 3/912018 (Mandatory in NH))a� E.L.DISEASE-EA EMPLOYEE S 100 000.00 DESCRIPTION 9F OPERATIONS below E.L.DISEASE-POLICY LIMIT S 600,000.00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) The workers compensation policy does not provide coverage for Vanderlucio Pascoadasiiva CERTIFICATE HOLDER CANCELLATION The Ugly Duckling House Co Attention:Chris Caldwell - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 194 Main Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN West Barnstable,MA 02668 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD _ _ it 53911.509740 ' CDA4C8E9-8B36-41 F7-AFA9-3 I ODF32C9B I D.JPG https://mail.google.com/_/scs/mail-static/_/js/k=grnail.main.en.n51S-... .t. I Town of Barnstable =. Regulatory Ser""ces S RieGard V.Seati,Utreetnr ter` l Building Division Pau]Hnma Buildiat Cnwmbsioner 200 Mein stud Hyannis. MA OR! www.tawn.lurariahle.ma-us ' Fax 508-790-6230 Office: 508-862-4038 Property Owner Must Complete and Sign This Section Ii 4irW A B d r 1 t- f // l';1 j as Owt cr of the subject property hereby authorize rl' 1_' --_ -- _ i ` to act on my behalf. in all matters relate a to work authorized br this building pertnit application for. - ,' L i �r,,.,ft - i .1 t�t of� i.• ., J (Address of Job) **Pool fences and alamis arc the responsibility of the applicant.Pools are not to be filled or utilized before fence is installed and all final inspection~are pecfarnyd and accepted. Signature of Owner Signature of Applicant Print Name Print'game (" Date Q:FORwI:OWNERYERMMSIOh'P00LS 1 i a - PIER5 A,til)UOCKJ:nr<u.-••-.-. j CANNOT PULL O � 1e must cotnptete the forms issued by the Aeronauuc,.�•••••• f n Projects requiring the s of a cron { �....' ti TeleAhone Number I of 1 1/31/2018, 1:27 PM Town of Barnstable Building "` 'a.*-�,` w;+� .�.^. Post'This Card So,That rt is Visible From,,the Street Approved Plans Must lie Retametl on:*Job and this.Card Must be Kept '•.HARHiSTABI.E, _++ �+ v ., sir. ;r r .w ;i u- • Posted Until Final Inspection Has Been Made h x ,bs� , m . % Permit Fob" Whe"re a Certificate of Occupan'cyis Requi such B Idmg shall Not bye Occupied until,a Final Inspection has been m I'de. Permit No. B-18-623 Applicant Name: THE UGLY DUCKLING HOUSE COMPANY, LLC Approvals Date Issued: 03/01/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 09/01/2018 Foundation: Location: 187 BAY LANE,CENTERVILLE Map/Lot 186 011 Zoning District: RD-1 Sheathing: It Owner on Record: NICKERSON,NANCY&SAMUEL&JANETTRS" Contractor Name'-,,.,,THE UGLY DUCKLING HOUSE Framing: 1 Address: FELIRSA REALTY TRUST n � ' COMPANY, LLC 2 .'Contractor License' 169134 NEWTON, MA 02458 Chimney: Description:- reroof(stripping old shingles) Est Project Cost: $8,500.00 PermitFee: $43.35 Insulation: Project Review Req: *`{ , Fee Paid: $43.35 Final: ' Date:* 3/1/2018 r Plumbing/Gas Rough Plumbing: Final Plumbing: Building Official � Ai r7, z Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six,months after issuance. All work authorized by this permit shall conform to the approved appl cation"and the"approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street of road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. F � Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Budding and Fire Officials are provided 'A The permit. Rough: Minimum of Five Call Inspections Required for All Construction Work. n „, 1.Foundation or Footing � Final: 2.Sheathing Inspection ection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Y ; �- (��3 �TNE� Town of Barnstable *Permit# Tres 6 monthsr rom issue date Building Department ee BARN8rABLF, : Brian Florence,CBO MASS9cb 1 ,0�' Building Commiss WMF,% 000;IR "I 5,!2 iOtFD MAr A 200 Main Street,Hyannis,MA 02601 - v www.town.barnstable.ma.us FLE3 2 Office: 508-862-4038 TOIAjAj c j Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY D t] Not Valid without Red X-Press Imprint Map/parcel Number Property Address EI Residential Value of Work$ `3 6W Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address f'�L l d` / S 4A/15�AZ— Contractor's Name yV LL4L/C_'<,(-1wG 4wse Co, Telephone Number Home Improvement Contractor License#(if applicable) y Email: 41t Q�l iy ctye�L�y t ty�e P&-Az t Construction Supervisor's License#(if applicable) EKO'rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensna'ti/o- C n insurance _Insurance Company Name , e4z +`'IY, /x,& Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each pe it. Permit Reques (check box) 0 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 (maximum.32)#of windows #of doors: '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 A4�C7SIGNATURE: - QAWPFILESTORMST)CPRESS2017 The Comuiromvea7Yh of Musad fuse rs Department cif Industrial A.cciderrts - - Office oflnvestigadons ' 600 Washington Stmet _ Boston,MA 02M ' tv�vt�m �,ov/dta lNTurkers' CampensafianInsurauc+eAffidavit Builders/C.:antrac#ursMecbr cians/P'lumbers APpHcamdInfwxqafiuu Please Prat fe�blY ubtLt ,�,0Lcjc1,4.,,,wb Co_ Address: rI`'t ✓',,A;^.i S - City/Stater W-�,A;Z t LZ QZ Phonei- StC"fie Are you an employer?Check the appropriate b� Type of project(required}: I.❑ I am a etnployer.�ith 4. [2� a a general contractor and I 6. ❑New canstructi(m employees(full andfor par time)-* have luredthe sub-contractors 2.❑lam a sale proprietor orpartuer- Usted on the attached sheet. I ❑Remodeling ship and have no.emplayees These sub-cordractars have 8.,❑Demolition woring forme in any capacity. employees and hne wod=s' 9. Buildia additia [No wormers 'comp.insurance comp-msuranmi ❑ required-] 5_ ❑ We are a corporation and its llt❑Electrical repairs or additions 3_❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself 8 wog=' �_ t of exemption per 1�irfGL 12 ai ep insurance &]i c.152, §1(4),andwe haven r employees.[NO workers' 13.❑Other comp-insurance -] ;Any appN=ntfatcbedr b=ft1wm peHcjrinfoamXUm3- 1dmeovmers who submit dtis zEH=rir im&katiag they are doing RU wale agd&moire outside cout<actecs sohmit anew afida-&indiearing SUCIL I03nlnicio6Ast cbedrtYu box mm=attached as additional dwid sbmingthemmneof die surccotrsct�aod stdp-whether or mat fhnse eWldesbne -Vkr ees.Iftbemb-conmid sbaceEmployees,iheymnstpmvidetheir srorkes c=1).pormynmatrer_ I am an elrtpIay�rr fiiat is pra}� workers'cotrrpensrdian i�esrtrarzcs f or nxyT e�rrpFay�es Befoaa is*lie pa cy acid jab site information. 7 ' Insurance Company Name: liCC �e "� r✓t,/C •Poficy err Self-ins Lie_ WflZj 6,-T Fxpiration.Date: Job ReAddtess: l - CifplS#aWgip: Attach a:copy of the workers'compensation policy-declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MQL a M can lead to the itnpasifoa of criminal pensttbes of a fine up to$1,MD.0a andror one yearmq=onmeut,as well as civil penalties in the form of a STOP WORK ORDERand a fine of up to$250-0.0 a day agaimst the violator. Be advised that a copy of this statement maybe forwarded to the Of rice of Investigations o€the DIAL for imsm mcs coverage v oa I do hereby as ' s 411,51l ofperj,uxy thattrle inforuca#'imrl-prmzrIed above is bars and c-arrect Si Date-- Phaae i %�-C7 LI cps O,fIMid um writs. Do irrst acute in dds urea,€rr be campfeted by city artown ofJieraf City or Town: Permiff&ense* Issuing Authority(ca de one): L Board of Himdth 2.Building Departnant 3.C tylFown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person Phan#: 1haformation, and Instructions '. Maccacl,�e#ts Cre�aeral Laws 132 regvhes all euVIoyers'Lo provide warisers'comp easation for their employees. p=SaM3t-tD this stye,an employee is defined as."__sverry person in Ihe service of anger under any contract of hire, express or jplied,oral or writh:u._" Azti ezzrployer is defined as'pan indiyidaal,parineasb�,association,corporation or other legal entiy, or any two or more of the foregoing engaged is a Joint Vie,and including the legal representatives of a deceased employer,ar the receiver or trastee of an individual,partnership,association or other legal entity,employing employ- However the owner of a dwelling house having not more than.three apmtments and who resides therein,or the occupant ofthe - dwellIng house of another who employs pemons to do mace,construction or repair wow on such dwelling house or oa the grounds or building appurteaantthereto shall not because of such a mployment be deemed to be an employer." MGL chapter 152,§25C 6)also states that"every state or local licensing agencY shall withhold•hie issuance or renewal of a license or permit to operate a business or to construct buildings is the comtaonwealth for any. applicant who has not produced acceptable evidence of cdmpfiance with the n,s• ce coverage required_" Additionally,MCTL chapter 152,§25C(n slates-Neither the comm=wealtli nor ary ofits political subdivisions shall. enter into any contract for the perfomo.auce ofpubho worklmtll ac czptable evidence of compliancewith the;ns„ra„ce:. requirements of this chapter have been presented to the contacting auihorhty"" Applicants Please fill oirt the wo&eas'compensation affidavit completely;by checking 1he boxes that apply to your situation and,if necessary,supply sub-co�r(s)nane(s), addresses)andphonen— m(s)alongwiththeir=tficee(s)of fiance. Lzmzted Liability Corapames(LLC)or Limited Liabl7ity par[netships(LLP)with no employees other,than the are not to workers'compensation msmance. If an LLC or LLP does have mcmb=s�r rz�rrs, reel �y empIoyees,a policy is required. Be advised that this affida-vit maybe submitted to the Department of Industrial Accidents for confsmation of insurance coverage. Also be sure to sigh and date the affidavit. The affidavit should beTuInmed to the city or town that the application for the penni.t or license is being requested,not the Department`.of . L dast[Ml A rQd�±ls. Shouldyou have any questions regarding the law or ifyon are recp�ed obtain a workers' compensation policy,please call the Deparlmeataftliennnber listed below. Self-msuredcompamr-sshonldentertheir self-filman ce license number on the appropriate line. City or Town Officials f - Please be sine that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fM out in the event the Office of Invas-Eigaflons has to comet you g the applicant Please,be Brae to fill in the penmitlIicense number which will be used as a reference number. In addition,an applicant that must submit multiple pemifiUcense applycations in any given year,need only submit one affidavit indicat ag=M t policy information(if necessary)and tinder`Job Site Address"the applicant should wane"all locations in (�'or town)--A co of the-affidavit that has been officially stamped or mareed by the city or town may be provided to the PY . o "censer_ Anew a$idavitmust be filled oilt each is on Me for fatm-e em_IL�s r Il applicant as proof that a valid affidavit p year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture Cie_ a dog license or pemit to bum leaven etc.)said person is NOT required to complete this affidavit r ou cooperation and should you have any questions, The:Office of Inve:stigatioas would like to thank you.m advance fa y op . please do not hesitate to give is a ca.Il. The DeF 7tn ifs address,telephone and fax comber. Degaliaent G€li&Isf da AmUenft Off ce of ltvesti&tio= 4 n St �asI1�A E11� Fax 9 617'27'749 Revised 424-07 m c gagldia DATE(MWoD/YYYY) r ACOR" CERTIFICATE OF LIABILITY INSURANCE `� 1 01/25/2018 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 CONTANAME:CT Joanna Bednark DOWLING&O'NEIL INSURANCE AGENCY (AH/8N;M : (508)775-1620 (FAX AIC No: E-MAIL ADDRESS: jbednark@doins.com 973 IYANNOUGH RD INSURER(S)AFFORDING COVERAGE NAIL# HYANNIS MA 02601 INSURERA: ACE AMERICAN INSURANCE CO 22667 INSURED INSURER 8: UGLY DUCKLING HOUSE COMPANY LLC INSURERC: INSURER D: 194 MAIN STREET INSURERS: WEST BARNSTABLE MA 02668 INSURER F: COVERAGES CERTIFICATE NUMBER: 233721 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. LTR TYPE OF INSURANCE ADDL SUER wVo POLICY NUMBER POLICY EFF PMMMD/EXP LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE T6 RENTED CLAIMS-MADE 0 OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑ PRO ❑ JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY MBINED SINGLE LIMIT EaCO accident $ _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ v $ WORKERS COMPENSATION /! STATUTE H ER AND EMPLOYERS'LIABILITY Y/N — ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICERIMEMBEREXCLUDED? WA WA WA 6S62UB7H71178417 10/04/2017 10/04/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts ifthe insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage Coverage.Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Felix Shneur ACCIDA"NCE WITH THE POLICY PROVISIONS. 44 Hood Street AUTHORIZED REPRESENTATIVE Newton MA 02458 Daniel-M.Cr ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD � l ® YYY) A�R� CERTIFICATE OF LIABILITY INSURANCE . 0 DATE(MMIODMM/DD/Y8 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER "um Nicole POitras Legacy Insurance Agency Group, PHHCONrEo E : 508-295-1315 ac,No 213 Main Street ADDRESS: Wareham,MA 02571 SS: nicole.poitras@legacyinsurancegroup.com - INSURER(S)AFFORDING COVERAGE NAIL# INSURER A: Northfield Insurance Company INSURED INSURERB: AIM Mutual BHI Exteriors LLC INSURERC: 91 Boardley Road INSURER D Sandwich,MA 02563 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 MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 TR TYPE OF INSURANCE INSO WVD POLICY NUMBER MM/DD/YYYY MIDD FUJULSMIK POLICY EFF POLICY P LIMITS '1 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS MADE a OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any oneperson) $ 6,000 A WS292690 04/02/17 04/02/18 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 ROTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per aoc dent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STAT ER ANY PROPRIETOR/PARTNERIEXECUTIVE Y/NTE E.L.E EACH ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? NIA AWC-400-7035372-2017A 03/07/17 03/07/18 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OPOPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedute,maybe attached U more space is required) Adam Boegel,as sole owner,IS covered under Workers Compensation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Ugly Duckling Builders ACCORDANCE WITH THE POLICY PROVISIONS. 194 Main St W Barnstable,Ma 02668 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORII CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD II 53911509740,CDA4C8E9-8B36-41F7-AFA9-3IODF32C9B ID,JPG https://mail.google.com/ /scs/mail-static/ /js/k=gma l.main.en.n5lS-... CPS- Ij rowu of 'Spv y 7, ..- k.' ,..r. wsto. Li T• Y v. '� ICI NAM T3ttil['ltng ThVlSili�7 _ 5, PrnlRomo EaildinComannttslonw ZO J Ma1n SdEa4 tlY&O Q2G41 rTw�to.a barnstablama w i Offic?a: 508• 62.403d must V„, Propen ChVD Complete and Sign Ttl s Section j _ _ hczcbg wt wzize fi psi"-r'/,{ {< r r s Y to act yin sr,�r be,% im.49 malms M104 E to v rtc;a,Vh,m by t}ais,'-wing Permit aiapkiudan{or,, y (Adxixess of IA) �c'kFooi fruces:and alarms etc the iesppnsibi ip of the aplilicant Fools are not toxbe filled or utilized bef fence as ixlsrelled std.alb taai, inspzctioq> ue p = and accepted £ ,, cr C?ovrter » " 9tgttatttr C of APpIiCxStt Pratt Name 1'ztnt N�we :Pp1t1d5`:OR3EIN315S1C11��Si+JtS � gr,�. r�t 1'E'f RS AhD t'1ClCO i-At-v A L.a P rye( (�.Nt Uy tV�f(� �y�j .. thO CaEt`"O1 O"':3 1iG14 >. •-: - - 3, ICttS ft;Ctttiill�tIIC`USC P ft p,Titne trtuSl Ctl✓;?ptl'lE tliE{pTtn$t54UCd t)y . as.r.rx�a✓xva• •v. }. I of! 1131/2018, 1:27 PM [Ty Massachusetts Department of Environmental Protection ^^ / Bureau of Water Resources —Waterways Program BRP WW 24 rof Registry of Deeds Use Chapter 91 General License Certification Transmittal Number: X281O43 A. Certification Information Important:When t ® the General License for Coastal Structures filling out forms 1. I am applying for Certification under: Elthe General License for Inland Structures on the computer, use only the tab 2. The applicable General License for my structure dated 4/4/93 is recorded at the Barnstable County key to move your Book 3246, Page cursor-do not use the return 3. My structure meets the eligibility requirements of: -® General License Section 1(A)and(B)and key. ❑ General License Section 3.2 for Great Ponds and navigable rivers/streams- tab B. Applicant Information Felix Shneur Printed Name of Applicant 44 Hood St. Newton MA 02458 Mailing Address/City/State/Zip Code 617-966-0774 felix.shneur@gmail.com Phone Number Email Address Printed Name of Authorized Agent(if any) Contact Information C. Project Location Printed Name of Property Owner(if different from Applicant) 187 Bay Lane, Centerville MA 02632 Project Street Address!City/State/Zip Code Using Section C in the Instructions, provide the following geographic coordinates: 41°38'19.5"N F 70021'37.9"W Latitude Longitude 186/011 186011 Barnstable Tax Assessors Map/Parcel Number Parcel/Lot Number County Property Recorded at Registry of Deeds: 31032 141 Book Page 3 4 139/95 Or Certificate of Title Number Or Probate Number Type of waterbody,as described on page 6 of the Instructions,the type of water body in which the project site is located(check all that apply): ® Private Tidelands ❑ Great Pond ❑ Commonwealth Tidelands(seaward of MLW) ❑ Non-tidal Navigable River or Stream(Inland) Bumps River Name of the water body the project site is located on D. Project Plans I have attached plan(s)drawn in accordance with the locations shown and details that meet the list of Requirements for my coastal or inland structure(page 11 of Instructions). ® .Hand-drawn Plans ❑ Professional Engineering Plans Number of pages: 1 ww24.doc•1/2018 BRP WW 24,General License Certification•Page 1 of 3 4 BRP WW24 Transmittal Number: Coastal Structure(s)General License Fee Calculator-Tidal Waters X281043 This Fee Calculator is provided for your convenience. you can choose to submit your own calculation Applicant Name: Felix Shneur worksheet or contact the Waterways Regulation Staff at(617)292-5929 or dep.waterways@massmail.state.mo.us. Landowner Name(if not applicant): Mandatory Baseline General License Processing Fee:$75.00 Directions:Sections that you need to fill out for this Fee Calculator are highlighted in Yellow. Step 1)Remainder of Term Ending on 4/13/2045:Use drop-down list to select the year that you submitted the GL Certification Application. Step 2)Tidal Range: Select your Municipality(Note:The municipality determines the tide range value used for the displacement volume calculation.) Displacement Calculations(Steps 3&4) Step 3)Pile/Post Sizes: Select from dropdown menu the closest size of the Piles/Posts. (If you have varying pile sizes/shapes,add a row for each;if pile size is not available in drop-down menu,pick the closest size.)* Step 4) Number Piles: You must enter the number of piles proposed. Step 5)Structures: Select from the Dropdown Menu&Add Rows if needed.* Step 6)The Length of the proposed structure(s)in units of feet,that is seaward of Mean Low Water. Step 7)The Width of the proposed structure(s)in units of feet,that is seaward of Mean Low Water. *Note:If you add a row in step 3 or step 5 by mistake leave the fields for that row blank so that unnecessary fees are not added into the calculation. Remainder of Term Ending on 4/13/2045(Step 1) Select Year You Are Applying (You Select the Year) Remaining Years 2018 127 Tide Range Calculation (Step 2) Municipality(You Select the Town) Tide Range(Feet) Barnstable(Nantucket Sound) 1 3.5 Displacement Calculation (Steps 3 &4) (Step 4)Number of Piles Total Displacement (Step 3)Piles/Posts(You Select the Type) Displacement Volume(yd3)per Pile/Post (You Enter#) Volume(yd3) 4"x 4"Square 0.014385 10 0.144 Add Row for Additional Piles/Posts Total Displacement Volume(yd3) 0 Rounded to nearest whole yd3 Displacement Fee Rate $2.00/yd3 Total Displacement Fees $0 OD Commonwealth Tideland Occupied (Steps S.6, &7) (Step 6)Length in feet seaward (Step 7)Width in feet seaward (Step 5)Structures(You Select the Type) of low water(You Enter#) of low water(You Enter#) Occupation Area(ft) Piers 9.5 4.51 42.811 Add Row for Additional Structure r z St uctures Occupation Area(ft) 42.8 Piles/Posts Occupation Area(ftz) 0.0 Total Occupation Area(ft) 42.8 Total Occupation Area(ydz) 4.8 Occupation Fee Rate $1.00/yd2/year Total Occupation Fee ': $128.40 Subtotal of Displacement and Occupation Feel"' $12840 Mandatory Baseline General License Processing Fee $75.00 Type/Write in Your Check/Money Order Number Total Fee Paid 203 40. f J General License Plan Template (Required for Certification) General License Certification No. For Registry c;t C'Cl'c l=: 1..! e Only Approved by Department of Environmental Protection Date: 517'TYP, � T F 9 1'U&Wo.PLES TYP. - SEASONAL 7'PLNAf WALK L r. UPLAND 'y MV W'O.BEAU UII.W. I U.K'N, I P i BOT10U BOliCvl SECTION ^UIT51 A PHQml;.91 1 A' A 16, A A I , 1 \ \ G `r , 1 \ I ER /`FAQ1464 / \ o\: \ k \ \ \ SOUNDINGS tNFEET Plan:.accompanying Project Description: S 4 p This plan conforms to the �/C requirements of the �/' Petition of: / Deed lndking Standards for the F—(f— !` �E—�/l/ L () Commonwealth 9f Massachusetts— January 1,2008, Section 6d: q4 HOOD .sli-I At: 187 13AY Plans as Attachments to Other Documents. /V 1� 02~J County of:LA�— 33714 Sheet—L of Date: O /O TO1 —24.0oc•112018 - BRP WW 24,General License Certification'Pape 3 of 3 [Ty Massachusetts Department of Environmental Protection ~^ Bureau of Water Resources —Waterways Program BRP WW 24 For Registry of Deeds Use Chapter 91 General License Certification Transmittal Number: X281043 E. Certification I hereby make application for certification under the General License authorized by the Department and signed by the Governor on April 13,2015. Upon my signature, I agree to allow the duly authorized representative of the Massachusetts Department of Environmental Protection to enter upon the premises of the project site at reasonable times for the purpose of inspection. I hereby certify that the information submitted in this Certification and on the attached plans is true and accurate to the best of my knowledge,and is in conformance with the eligibility requirements as outlined in Section 1(A) and (B)and Section 3.2 of the.General License.And, upon my signature,that I have read the General License and agree to the terms and conditions set forth therein. I hereby certify that any change in use or structural alteration of the project described herein will require that I request recertification in accordance with 310 CMR 9.29(4)(e). I hereby certify that I have sent the required fee to MassDEP, and have attached a copy of the completed fee calculation (Check all that apply): ® Ch.91 Applicant Fee ® Tidewater Displacement Fee ® Tideland Occupation Fee ❑ Great Pond Occupation Fee I hereby certify I have submitted this certification, and provided the opportunity to comment,to the following officials for the municipality in which the project is located(check all that apply): ® Planning Board Notification Date ® Conservation Commission: if approved, identify 06/14/1993 SE3-2404Date of Order or Determination DEP File#,if issued ® Board of Selectmen ❑ Mayor and City Council ® Harbormaster ❑ Landowner(if not applicant) ® Zoning Enforcement Officer(for Coastal Structures only) In accordance with 310 CMR 9.29(4)(c)a 07/13/2018 Barnstable Patriot public notice was published on Date In Name of publication Original signatures equi,, d for all a icants, property owners, authorized agents,and zoning officer(if applicable).The r sign all future application correspondence for applicant or property owner. Applicant's Origins Property Owner's Original Signature(if different from applicant) Authorized Agent's Original Signature(if applicable) (For Coastal Structures only) I hereby certify that the project described above and in the attached plans is not in violation of local zoning o inances and bylaws. Failure to record this Certification Printed Nfle of Zoning Ey forcement Officer/Titl /Date within 60 days of (� � the date of __ lf•�;�1(5ti� approval will Original igna ure o Zoni nforcement Officer Municipality render this For MassDEP Use Only Certification void. y ww24.doc•1/2018 BRP ww 24,General License Certification•Page 2 of 3 RICHIE'S INSULATION INC. 111 OLD BEDFORD ROAD WESTPORT, MA 02790 508-678-4474 BUILDING DEPARTMENT TO WHOM IT MAY CONCERN: PLEASE BE ADVISED RICHIE'S INSULATION, INC. INSULATED THE FOLLOWING JOB: ADDRESS:. 187 BAY LANE TOWN: . CENTERVILLE, MA 02632 CONTRACTOR'S NAME: THE UGLY DUCKLING CONTRACTOR'S ADDRESS: 194 MAIN STREET, W. BARNSTABLE, MA 02668 - CONTRACTOR'S TELEPHONE NUMBER: 508-648-9468 THE FOLLOWING INFORMATION IS WHAT WAS USED ON THIS SPECIFIC JOB: 3.1 MANUFACTURE: ICYNENE �o CD M TYPE: PRO SEAL LE THERMAL CONDUCTIVITY PER INCH: 7 PER INCH -AREA THICKNESS R-VALUE ROOFLINE 5 1/2" R-38 WALLS EXT. 2X4 3" R-21 STAIRWELL BASEMENT CEILING GARAGE CEILING GABLE WALL 3" R-21 CRAWL OVERHANG CATHEDRAL WALL CATHEDRAL CEIL PARTY WALL FOUNDATION WALL BLOCK/RUNN. 2" R-14 - t SLOPES P/V THANK YOU VERY MUCH FOR YOUR COOPERATION IN THIS MATTER. IF YOU HAVE ANY FURTHER CONCERNS PLEASE CONTACT MY PHONE NUMBER. INSTALLER: ERIC JOHNSON RICHIE'S INSULATION INC. Commonwealth of Massachusetts Sheet Metal Permit Map Parcel Date: `1 I I Z,� of Permit# �6 1039 Estimated Job Cost: $ o �� ' at APR 0 9 2018 Permit Fee: $ (06 Plans Submitted: YES L) NO=N OF BARNS viewed: YES NO Business License# 35 Applicant License# Business Information: Property Owner/Job Location Information: Name: &S`AA �C � CU Name: C Street: U :X AL Street:119_� . City/Town: �CLA)M DU_tk �OR` City/Town: C,Ln-tkSz y 1 wt Telephone: IL NI'S'5S Telephone: ';C)g 6 q'� R UI g Photo I.D. required/Copy of Photo I.D. attached: YES NO Staff Initea! J-1/ )I westricted license i J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less J Residential: 1-2 family ✓ Multi-family. Condo i Townhouses Other ` k Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other. Square Footage: under 10,000 sq. ft._,..) over 10,000 sq. ft. Number of Stories: Sheet metal wor to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System I Metal.Chimney/Vents Air Balancing Provide detailed description of work to be done: rat J*jf�c 3 t INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the'requirements of M.G:L.Ch.112 Yes C�No ❑ If you have checked Yja indicate the type of coverage by checking the appropriate box below: t i A liability insurance policy Other type of indemnity ❑ Bond ❑ # OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. E Check One Only `�— Owner ❑ Agent ❑ Signature of Owner or Owner's Agent # By checking this box[],I hereby certify that all of the.details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will be Iin compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO ' s�ecti is Date Comments Fines ecdarn Date Comments • S Type of License: 3y []Master rifle ❑Master-Restricted '.iiyrrown []Joumeyperson Signature of licensee permit# ❑Joumeyperson-Restricted License Number. :ee$ ❑ Check at www.mass.a aylllw nspector Signature of Permit Approval Town of Barnstable _ Regulatory Services { Thomas F.Geiler,Director Building Division , Tom Ferry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 T Property Owner Must Complete and Sign This Section If Using A Builder ,as Owner of the subject property -�.��hereby authorize - I.0- `�o`.��,-�---� to act on my behalf, in alfmat ters relative to work authorized by this building permit (Address of job)` { **Pool fences and alarms are the responsibility of the applicant. Pools. are not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed aiid accepted. S" �tuie of Owner Signature of Applicant � '� PP J, 3/-1 C CJI�, Print Name Print Name Date Q:FORMS:OWNERPERMLSSIONPOOLS The Commonweath of Massachusetts DI IDepart►rtent of IndustrialAccWe $ Congress Street,Suite 100 up. Boston,Mao 02114-2017 www.mass govIdia Workers'compensation Insurance Affidavit:General Businesses.. TO BE FILED WITH THE PE N f rMG AUTHORITY. Applicant Information Fr' t `blv Business/Organization Name � "' . Address 2 L i S r City/State/Zip: '� '1 Phone 5 363 Are you an employer?Cbeck the appropriate bon: Business Type(reilaired): 1 [] I am a employer with employees(full and/ 5 Rstaal or part-time).* 6. []RestsurantBar/Eating Establishment: 2 I am a sole proprietor or partnership and have no 7 OOffice and/or Sales(incl:ieal estate,;auto;etc)' employees working for me in any capacity. ' S. O-1Von-profit (No workers'comp.insurance required,. 3.0 We area corporation and its officers have ekercisal 9. Entertainment their right of exemption per c. 152,§1(4),and we have 10. Manufachu* no employees.(No workers'comp.insurance required)* 11. Health Care. 4.,[] We are anon-profit organization,staffed'byvolunteers, with no employees.[No workers'comp.insurance.req.1 12•[]Other `Any applicant that checks box#3 must also fill out the section below showing ftir workers'compensation policy in Ot •if the corporate officers have exempted thernselvcs,but the earp"afi-has oth-r—ployees,aworkers'comp ensatioa.policy is required and such an organization should checkbox#1: f am an employer that is providing tuorkers'eonipensauin insurance foamy employees: Below is the poll lnfoe"Wtion. Insurance Company Name: . Insurer's_Addressi City/Stawtip: Policy#or Self-ins.Lic.#t l°��, i --Expiration Date. _ M i Q 4 i R- Attach a copy of the workers'compensation policy declaration page(showing the policy number and`exptration date). Failure to secure coverage as required under Section 25A of MGI.c."152 can lead to the imposition of criminal penalties of a fineup-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 agaiiast 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 pau>z,s penaMes of pedury that the nfort on,provided ebm'ie tare and Correa. 1 Y" o F6&0tber use only. Do not write in this area,to be completed by'eity.or town ojwd Town:' - _ Permit/License Authority(circle one): d of Health 2.�E adding Department 3.City/Town Clerk d.Ucoasing Board 5.Selectmen's Office t Person: Phone 0: WWWX sas.w/dis a%COMMONWEALTH OF MA_�SirrtCHt SETTS; <`<__'> Lel 9 Ke I a u wol a Ic BOARD'OF SHEET METRE WORKERS; ISSUES THE FOLLOWING UCENSE ' MASTER-UNRESTRICTED PETER J HASSETT WASSETT PLUMBING&HEATING INC W 6 SKIPPER YARMOUTH PORT,MA. 02675-1531 3111 02/28I2020._.., 425818 v::COMMONWEALTH OF MASSACHUSETTS BOARD'OF PLUMBERS AND GASFITTERS ISSUES THE FOLLOWING LICENSE ' -REGISTERED PLUMBING CORP PETER J HASSETT HASSETT PLUMBING AND HEATING INC W 68 WINTER STREET .: y YARMOUTH,MA 02673_:, �: 3606 05/01/2018;:. 425700 Popejoy Inc. cristina 203 S. 10th St. -Fairbury, IL 61739 187 bay lane 815-692-4471 -beau@popejoyinc.com centerville, ma Sales Consultant: 508-648-9468 Job#: 187 bay lane Date: 04/02/2018 System I (Average Load Procedure) Design Conditions Location: Falmouth Area, Massachusetts Elevation: 132 ft Daily Range: Medium Input Data: Outdoor Dry Bulb Indoor Dry Bulb Latitude: 410 N Design Grains: 38 Summer: 82 70 Heated Area 854 Sq.Ft. Winter: 14 74 Cooled Area 854 Sq.Ft. Heat/Loss Summary (July Heat Load Calculations) Gross Sensible Latent Area Loss Gain Gain Walls 1363.2 4346 923 0 Windows 114 3363 4554 0 Doors 0 0 0 0 Ceilings 855.234 3848 1411 0 Skylights 0 0 0 0 Floors 856.234 5679 1411 0 Room Internal Loads 0 2860 400 Blower Load 1707 0 Hot Water Piping Load 0 0 Winter Humidification Load 0 0 0 Infiltration 6165 647 .1266 Approved ACCA Ventilation 0 0 0 MJ8 Calculations Duct Loss/Gain EHLF=O ESGF=O 0 0 0 AED Excursion n/a 0 n/a Subtotal 23391 13513 1666 Total Heating 23391 Btuh Total Cooling 15179 Btuh 46 Linear ft.of Hydronic Baseboard *Calculations are based on the ACCA Manual J 8th Edition and are approved by ACCA.All computed calculations are estimates based on building use,weather data,and inputted values such as R-Values,window types,duct loss, etc. Equipment selection should meet both the latent and sensible gain as well as building heat loss. Adtek AccuLoad Report Version 17.3.5 Page 1 -Z,u LC nn� . . .......... I h y' U. � U,U Ic- I ! i I I 1 i ' 1 � _ UUU 1 Town of Barns`filh `e. Expires 6 ntontbs front issue due .Regulatory Service' s. FeeBAENSMIX �3 S v� NAM Thomas F.Geller,Director.1639. nno+°1 Building Division' PRESS PERMIT , Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 NOV - 2113 � -.www.towri.bamstable.ma.us Office: 508-862-4038 art Fax: 508-790-6230 x EXPRESS PERMIT APPLICATION RES11bB A TALE Not Valid without Red X-Press Imprint Map/parcel Number 4: f r -Property Address' X Residential Value of Work$ (36YZ .� Minimum fee of S35.00 for work under.$6000.00 Owner's Name&Address _ . / Q Contractor's Name P URI .Telephone Number - `7/7"G Home Improvement Contractor License# if applicable) •. /EmaiL Construction Supervisor's License.# (if applicable) :(OO_77,x Workman's Compensation Insurance 4 • Check one: ❑ I am a sole proprietor ❑ I am the Homeowner RI have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box), 0 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) r WReplacement Wmdo ws/doors/sliders.U Value "S (maximum.35)#of windows - - 6,s #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 Own a `r of Permission. A`copy of the Home Improvement Con to License&Const etion Supervisors License is' qu.red. SIGNATURE: C:\Users\decollik\AppData\Local\Mici-osbft\Windows\Temporary Internet F' s\,o t. tlookW70MMEXPRESSAdc Revised 061313' _ , J.`h l - HOME iNIPROVI~NI NT CONTRACT Sold,Furnished and Installed by: PLEASE READ"PHIS CONTRACT THD At-Home Services,Inc. d/b/a The Home Depot At-Home Services 908 Boston Turnpike Unit I,Shrcwsbury,MA 1545 Toll Free 8779033768;Fax 8009863610 Branch Name: Boston South Date:10/14/2013 ME Lie#C 02439 RI Cont.Lie# 16427 Branch No: 31 CT Lie#H1C.0565522 MA Home Improvement Contractor Reg.# 126893 Federal ID# 75-2698460 Installation Address: 187 bay In Centerville MA 02632 City State Zip Purchaser(s): Work Phone: Home Phone: Cell Phone: MIM sam nickerson (508)775-5767 Home Address' 187 bay In Centerville MA 02632 (If different from Installation Address) City State ` Zip E-mail Address (to receive project communications and Home Depot updates): Marketing emails will not be sent from The Home Depot. Project Information: Undersigned("Customer"),the owners of the property located at the above installation address,agrees to buy,and THD At-Home Services,Inc.("The Home Depot")agrees to furnish,deliver and arrange for the installation("Installati on")of all materials described on the below and on the referenced Spec Sheet(s),all of which are incorporated into this Contract by this reference,along with any applicable State Supplement and Payment Summary attached hereto and any Change Orders (collectively,"Contract"): Job#:(Internal Reference) Products: Spec Sheet(s): Project Amount 7160476 Windows 7160476 $3,642.34 Minimum 25% Deposit of Contract Amount due upon execution of this contract Total Contract Amount $3,642.34 Customer agrees that,immediately upon completion of the work for each Product,Customer will execute a Completion ' Certificate(one for each Product as defined by an individual Spec Sheet)and pay any balance due. As applicable,each Customer under this Contract agrees to be jointly and severally obligated and liable hereunder. Pavment Summary: The Payment Summary# 7160476 ,included as part of this Contract,sets forth the total Contract amount and payments required for the deposits and final payments by Product(as applicable). GENERAL TERMS AND CONDITIONS Responsibilities: The Home Depot:will provide the Products identified above,make arrangements to have the Authorized Service Provider perform the Installation services in a professional and workmanlike manner,and arrange proper insurances. Unless otherwise expressly provided for herein,Authorized Service Provider will obtain required pen-nits and provide'permit numbers. Customer:will identify any property lines,easements,covenants,underground or overhead utility lines,pre-existing physical or 1IM12-SA Page 1 of 14 Measure Tech Signature: 1 It the Contract was previousiv amended,use the amended Contract Amount(not the original Contract Amount). . 2 If required by state or local regulations. f o M/M sam nickerson(Oct 14,2013,11:00 AM) Accepted by:jacampbell(Oct 14,2013,11:01 AM) t _ 11/dW12•SA Paoe 6 of 14 I The Commonwealth of Massachusetts Print Forrrt Department of Industrial Accidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114 2017 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers AyRficant Information Please Print Legit Name(1?us:ness/Organi*,—ionAidividual): Address: 9qs5 wc�s LF-, o Ci /State/Zi Oft - 3 33 Phone#: ty p- Are you an employer?Check the appropriate bpi: Type of,project(required): n ,__-_ .,,L 4. (�I am a general contractor.and I 6. New coaastru -or 1.1J I am a employe rraua _ employees(full and/or part-time).* have hired the sub-contractors listed on the attached'sheet. 7. ❑Remodeling 2.❑I am a sole proprietor or partner- These sub-contractors have S. []Demolition ship and have no employees employees and have workers' .working for me in any capacity. 9. ❑Building addition o workers'coin insurance comp'insurance.:corporation - [N p• 10.❑Electrical repairs or additions required-] 5: ❑ We are a corporation and its � 3.❑ I am a homeowner doing all work officers have exercised their 11-El.,lambing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roofrepairs = insurance required.]t c.152,§1(4),and we have no 13, .Other <� employees.[No workers' comp.insurance required.] $Any applimd that checks box 01 must also fill out the section below showing their workers'compensation policy information f owing the Homeowners who subunit this,i Mift Indicating they are name of the sub-contractors and stye doing all work and then hire outside contractors must submit a new affidavit indicating such. whether or not those entities have ;Contractors that check this beat must attached an additional sheet showing their workers' of number.number.employees. if the subcontractors have employees,they must providecomp.policy I am an employer that is providing workers'compensation insurance for my employeeL Below is the policy and}ob site Information. J Insurance Company Name _ � . ., r / Policy#or Self-ins.Lim#: j ' 5 7 y Expiration Date' ' ! Job Site Address: 6,A City/State&ip: !'V NA tion lit declaration page(showing the policy number and expiration date* m sa of the workers'.co Po Y Attach a copy1� Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a r—....M 41 400.00 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 Once o Investigations of the DIA for msuranc ovej4ge verification. I do h Gerd under the airs ties o u that the in ormodon provided above is true and correct to . . ... . Si lure' . Phone ' I use only. Do not write in this area,to be completed by city or town glJiclaL ,ereby tcia yfty or Town• Permit/License# uing Authority(circle one). A >a laotrinsl Tnenorfnr S•Ptun,bing Inspector 1.Board of Health 2.Buildng Department 3.city'1 l Vwn%.ICA n ,.•....• •-»•----r - 6.Other Contact Person: Phone#• q-7/wOice oo s 4 i c ume a an 1 usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improveftion ontractor Registration Registration: 126893 Type: Supplement Card Expiration:. 8/3/2014 The Homy: Depot At-Horne Serves ANDREW SWEET �: -, M."i, :• : ; .; - — 2690 CUMBERLAND PARKWAY'�UI ATLANTA, GA 30339 Update Address and return card.Mark reason for change. Address D Renewal ❑ Employment ❑ Lost Card DPS-CA1 0 EOM-04/04-d101216 Office Q&Ifmrr x s us�ese at on License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration:.4?0693 Type: 10 Park.Plaza-Suite 5170 ExpirAlgn "rii 2b14 Supplement Card Boston,MA 02116 TTHomne Depot,-AM4,,izoivkos a a> ANDREIN SWE9+, - • 2690 CUMBERLAIdI PAf1 AAY-S A 'N?A,GA 30339 Undersecretary al 1t on signature i - w . spy i �, .� :. `.''° _, �, ' yyr;a'' ga:Aa'e-m't'u..ny,��..yy t,�,� 'S. s :�Z",�idi,:b ' a &.., �•... '�ysuY. �T rI' ,:Y'"Y ��r. � i�-"T ,i;.,., u - - �,.':fi r �F �, �. �' .i'R''.. •. '. �'+x .,. a... -..:� ,� -.'�' a ���;, '�, "Y ��,a>� ,xy�,' a o. ^,F r• _ .;a ate,.v� �Jx,- :fix .;:•�y u, SwH'' ,•�. ,�' �`'' ,�'''ir 'ri�•4 " %. z�;�"',: "+; ,.2 •t,.'...�" D' �r .;'. i_°y�":,� ,� ., � r,r,'��R w:y ".n��`, N '�:�-. 'rm ae! ,a>;�; m, , �'x�..-.,S A�x,�° ���'',X - -� G' .4 '.,� ti r �. 3. � � s3:: 5� .� '*�'z+ �#i 4�gw ;x �'°'•� �� ��'' „ a o � '� ,�.�.'. �v # r '�� z: �,,.: ,,•,^. ,.�^ '-:;s , � " ;�-_ 'ram E�� ,' -^�,��# ( r ��� �`• .r+"�t` � � �rna . 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THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHOR12ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. B SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statementon this certificate does not confer rights to the certificate holder In Ileu of such endorsemenl s. raooucER PAUL 8 SULLIVAN INS AGCY INC 1467 S MAIN ST PHONE FALL RIVER,MA 02724 E-MAILD 1. . INSURERS AFFORDING COVERAGE "0 � INSURER "S EPH DUARTE&JOHN DALEY wsu ■: DBA J&J REMODELING NSURERC: 15 WILSON WAY URERD• MIDDLEBOROUGH MA 02346 NsuREttE: NU0. 0. COVERAGES CERTIFICATE NUMBER: 15914016 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 REOUIREMENT,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. MR L Type OF INSURANCE IN POLICY NUMBER N Ef Y Y Ex LMns GENEMLNeILrrY I EACH OCCURRENCE II RENTED COMMERCW.OENEIYA CM1LITY S G e°ccw0ce f CLAPAS•MADE.a 000IfR AED D:P Arryane oven) PERSONAL.t ACV INJURY ! GENERAL AGGREGATE I GENT.AGGREGATE LIMITAPPL(ESPER; PRODUCTS•COMPIOPAGO f POLICY PECTRO. LOG : . AUTOMOMILUAM11Y - eerimenl f . ANY AUTO . - BODILY INJURY(Per perim) s �O k GINNED OEOOUIED acalLYINJURY(Pat wAftM) 8 143"WNEO eel A GE _ HIRED AUTOS AUTOS ere UrdeREU.A LNa OCCUR EACH OCCURRENCE t. - EXCESSUI6 H11.CtALIS-MADE : AGO""" { . 060 weWON f • S A wORvwCONPR"TIoN WC5.31S-384800-013 2W2013 21212014 �N ' iuio EirPLorsas uAearrY ANY FROPRETORRnRTNE IEXECU RE YIN I.L.EACH ACCIO Nr ';:: f 100000 _ OFFICfROAMOCRExCLU0E07 iY N/A - tr4nd�bry In WH) EL DISEASE•EA EMPLOYE f 0 Vi es,deaase under DESCRIPTION OF OPERATION bw E.L DISEASE•POLICY LIMIT >i 500d00 i OESCRIPTION Of OFEMTIONS I LOCATIONS JVENICLEa AIbaA qrD 10T,AddNo Rm,oAu lchedulo: ,roro epeoo b•requlredJ Workers compensation insurance covsmge applies Orly to the workers compensation laws of the slate of MA. NO PARTNERS ARE COVERED BY THE WORKERS'COMPENSATION POLICY. CERTIFICATE. HOLDER^ N . SHOULD ANY OF THE ABOVE DESCWBED POLICIES BE CANCELLED BEFORE THE EXPIRATM DATE TH OP NOTICE HALL BE DELIVERED IN THD AT HOME SERVICES INC.AND E ERE N nc , THE HOME DEPOT ACCORDANCE WITNTHEPOLICYPROVINONB. 2690 CUMBERLAND PARKWAY SUITE 300 .ATLANTA GA 30339 AUT100RUMD REM11581rATIME fjaAA Jeff Eldrid e 01588.2010ACORD CORPORATION. All rights reserved. ACORD 25(2010/00' The ACORD name and logo art registered marks of ACORO fis"O+tert}i f,eate ca`"Tnce�s'anrdllsupers"ae�s �f,pz=v(oui: rjiSuoi?ee°rtjticetes. 0 z " May 11, 2013 Barnstable Building Dept. The following is a list of our approved sub-contractors for The Home Depot: Ericsson Torres — CSSL # 100546 HIC # 163528 Michael Viola — CSSL# 099403 HIC # 140993 Vincent Smith - CS # 106837 HIC # 165927 Timothy Thomas . CS # 51 899 HIC # 152121 Ronaldo Solano — CSSL# 101027 HIC # 152206 Joseph Duarte - CS # 70077 HIC # 132349 Douglas Szynal — CSSL# 103950 HIC # 146142 Brian Laroche —CSSL# 100478 HIC # 152612 Joseph McKeon — CSSL# 98863 HIC # 132614 If you have any questions please contact Mike Bedard our permit coordinator at 508-962-6942 or myself at 617-438-9017. S' erel uss one Bra Installation Manager THD At-Home Services, Inc. 908 Boston Turnpike- Unit 1 -Shrewsbury,MA 01545 Phone:774-275-2139-Fax:508-845-6076-Toll Free:800-657-5182 i 42' + NOTES: --------1 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 1 &DIMENSIONS IN THE FIELD 6'7" 1 12'-10" --`--- 1 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, q 12'0"x6'6'ioous�Le---� DETAILS, &FINISHES IN THE FIELD WITH OWNER Al DOOR FRENCH SLIDING 3'5" A 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT ' FIRST FLOOR TO MATCH EXISTING RAILING I � T1"x 3'5"TRIPLE �. CASEMENT WINDOW EXIST. 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 3K,2J ) 3 ,2J ---i _ STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 2-1 3/4"x 7 1/4"LVL HEADER - W/1/2"x 7"STEEL FLITCH PLATE ®I ow 1 \ 5.) 110 MPH EXPOSURE C WIND ZONE 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, REMOD. I OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING I------i i ; KITCHEN 3° 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD REMOD. 1 1 j (VERIFY KITCHEN I EXIST. I--__ LAYOUT W/OWNER) I O BEDROOM 8.) SEE CERTIFIED PLOT PLAN FOR ALL EXISTING&PROPOSED DETAILS LIVING IILn I ----- -I I I O� w 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR.INSTALLATION OF I I 1 Il DOUBLE FLOOR ALL SIMPSON COMPONENTS INFILL STAIR OPENING I f•---o 7 JOIST UNDER NEW RANG - W/NEW JOISTS TO i�- -� -� lI i ISLAND 3'-6" 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS MATCH EXISTING---rr- i i �.————— I I TO BE 3000 PSI , VERIFY ALL PLUMBING 7 RE i ® - 11• DURING FRAMING CON&ELECTRICAL DETAILS W/OWNERS ON THE SITE r- - „--- r ) CONSTRUCTION I NEW 2 x 12 RIDGE BOARD ABOVE L L_ 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE _ _____ - -- `�—�- � LINE OF FLAT CEILING PULL-DOWN 7W m - 13.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY I I 'TRIPLE 2x 10CEILING I STAIR EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION K (VAULTED CEILING) JOISTS I I 0 INSTALLER/CONTRACTOR. w ____ _ L---J IF-------------- f \1 EXIST. REMO . I CL S. BEDROOM BUILDING DEPT. x DININ REMOOCO.- W JAN 31 2018 BATH y - -' TOWN OF BARNST/A6' II o l�l ih NEW 2 x 12 RIDGE BOARD 2K,2J 21 2J I 2K,2J — - IIIARVEY HARVEY HARVEY EXIST. EXIST. x 6's 16"D.C.. 4-5" - 2'6"x 4'5" 2'6"x 4'5"I 2'6"x 4'5 - �H DH DH NEW MASONRY I I PLATFORM MIN. 12 NEW BATT INSULATION(R49) A L---- -----J L36"DEPTH EXIST . Al . NEW 2 x 10's @ 16"O.C. TOP OF PLATE ------------------------ ------------------- % -, — ---------------L ----- ------------------- ------ T 2" 2 9" 2'-9" 8'4,. NEW 112"GYPSUM BOARD INSULATION(R49) ' NEW SPRAY FOAM ON 1 x 3 STRAPPING AT 16"o.c. _ REMOVE EXIST. J 6C.C.J. - 42'0" � a. 2 x N FIRST FLOOR PLAN DINING LIVING r - , LEGEND: - FIRST FLOOR ... SUBFLOOR 0 EXISTING WALLS 7 t0 0000 2x6's@16"o.C. 11 2x6's@ 6 - CONSTRUCTION TO BE REMOVED INSUSPRAY ER FOAM EXIST.5-2 x4GIRT L--J IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS ® NEW CONSTRUCTION EXIST.LALLY COLUMNS CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION .. BASEMENT TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) ®SMOKE DETECTOR _ - - .EXIST.CMU FOUND. FENESTRATION SKYLIGHT I CEILING WOOD FRAMED WAL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL - WALL$ U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE ®CARBON MONOXIDE DETECTOR 0.30 MASS. 0.55 49 20 o,13•5 30 15/19 10(4 FT.DEEP) 15/19 # AMMEND. . - NOTE& 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR - tr•- OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF-THE BASEMENT WALL ' (^ - - 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS ��\ SECTION V D I�' �/�I\/I AI, ' 4.13+5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR - A � `w ���111 v 1 ,v &R13 CAVITY INSULATION - Al NERSHALL ®�® COTUIT BAY DESIGN, LLC NEW REMODELING FOR• CONSTR TION.THEBUI DING ONIRAY SCALE : DRAWING NO. . ERRORS OR OMISSIONS ARE FOUND ON THESE DRAWINGS PRIOR TO START OF CONSTRUCTION.THE BUILDING CON EN TOR 1/411 1 1-011 �] � WILLS RESPONSIBLE FOR THE CONTENT 43 BREWSTER ROAD IN THESE DRAWINGS IF CONSTRUCTION COMMENCES WITHOUT NOTIFYING THE MAS H P E E MA. 02649 1 R 7 DESIGNER OF ANY ERRORS OR OMISSIONS. ,/ BAY LANE THESE DRAWINGS ARE SOLELY FOR THE USE DATE : Gc OF THE OWNER NOTED.ANY OTHER USE OF PH. (508) 274-1166 - - TH ESE DRAWINGS REQUIRES THE WRITTEN 1/17/2018 FAX (50$) 539-9402 CENTERVILLE, MA CONSENT OF THE DESIGNER UNDER THE Al ARCHITECTURAL COPYRIGHT PROTECTION t ACT OF 19M 42'-0" NOTES: -------- 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS 1 1 , &DIMENSIONS IN THE FIELD 6'-7" 12'-10" ------- 1 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, q 1201,x6'6"iDoue�e---i DETAILS,&FINISHES IN THE FIELD WITH OWNER Al FRENCH SLIDING 1 DOOR I I 3._5" 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT RAILING I 1 7'1"x 3'5"TRIPLE FIRST FLOOR TO MATCH EXISTING CASEMENT WINDOW Exlsr. 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 3K,2J 3 ,2J i---i STATE BUILDING CODE, 9TH EDITION AMENDEMENT&IRC2015 2-1 3/4"x 7 1/4"LVL HEADER J SINK W/1/2"x 7••STEEL FLITCH PLATFyn, ®� DW I 5.) 110 MPH EXPOSURE C WIND ZONE ,° I 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, liT_01 REMOD. OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING KITCHEN7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD REMOD. i i ;; (VERIFY KITCHEN I EXIST. L___ LAYOUT W/OWNER) 1 BEDROOM ~ 8.) SEE CERTIFIED PLOT PLAN FOR ALL EXISTING&PROPOSED DETAILS LIVING I II I H____ , 1 X 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF II DOUBLE FLOOR Ob W ALL SIMPSON COMPONENTS INFILL STAIR OPENING I'r---o 7 -1 JOIST UNDER NEW .RANG1= W/NEW JOISTS TO I�--- � , ISLAND 3•-s - 10.)-ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS MATCH EXISTING + I ———— 1 TO BE 3000 PSI 11 — IL __ _____1 REF ® 11.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE DURING FRAMING CONSTRUCTION 1 I 7 o I I NEW 2 x 12 RIDGE BOARD ABOV L 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2•GRADE " o E L__________ - -- -�--' 13.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY LINE OF FLAT CEILING PULL-DOWN TRIPLE 2x 10CEILING 1 STAIR °o I I EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION X (VAULTED CEILING) JOISTS I - I r-:] c _ INSTALLER/CONTRACTOR. W L - -- r�-------------- II I EXIST. 1 REMO i i CL S. BEDROOM w DININ i i N Loji ms w REMO I BATH a aApo N 312d� " ����NSTpg�E NEW 2 x 12 RIDGE BOARD 2K,2J 21 2J 2K,2J — - T 1 0WN 0 p ARVEY HARVEY 1 HARVEY EXIST. EXIST. NEW 2 x 6's(a)16"o.c. 2'6"x 4.5' 2'6"x 4'5"I 2.6"x 4'5' - I�H DH DH NEW MASONRY NEW BATT INSULATION(R49) I I PLATFORM MIN. 12 A L---- -----J 36"DEPTH EXIST. Al _ NEW 2x 10's@16"O.C. '.. TOP OF PLATE ------------------------ -------------- ---- ---- -- --------------- -------- ------------------- ------ T-2" 2'-9" 2'-9" 8'-4" NEW 1/2"GYPSUM BOARD. NEW SPRAY FOAM - INSULATION(R49) ON 1 x 3 STRAPPING AT 16"O c. REMOVE EXIST. 2x6C.J. FIRST FLOOR PLAN A DINING LIVING LEGEND. FIRST FLOOR SUBFLOOR 0 EXISTING WALLS 2x8'S@16"O.C. 2x6s@1 •'o.G. Dool - CONSTRUCTION TO BE REMOVED NEW SPRAY FOAM ExIST.S 2x4GIRT L--J IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS ® NEW CONSTRUCTION EXIST.LALLY COLUMNS CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION BASEMENT TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) ®SMOKE DETECTOR _ EXIST.CMU FOUND. FENESTRATION I SKYLIGHT CEILING WOOD FRAMED WAL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL - WALLS U-FACTOR U.FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE ®CARBON MONOXIDE DETECTOR 0.30 MASS" 0.55 49 2D or 13+5 30 15/19 10(4 FT.DEEP) 15/19 " AMMENO. NOTES: 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR 13=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS �A S C T I O N a D I N I N.G/L I V I N G 4.13+5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR - � &R13 CAVITY INSULATION Al THE GNER SHALL I ( COTUIT BAY DESIGN: LLC NEW REMODELING FOR• - CONSTRUCTION. CTIO.THE BUILDING IEDCO TRAC SCALE DRAWING NO.IL-�\ F ANY ERRORS OR OMISSIONS ARE FOUND ON THESE DRAWINGS PRIOR TO START OF ; WILL BE RESPONSIBLE FORT ECONT NTTOR 1/4" - 1'-0". 43 BREWSTER ROAD IN THESE DRAWINGS IF CONSTRUCTION COMMENCES WITHOUT SNOTIFYING FOR TH �]c A A DESIGNER OF ANY ERRORS OR OMISSIONS. MAS H P E E ,MA. O''649 \� LANE N E THESE OWNER N ARE SOLELY FOR THE USE DATE cG OF THE OWNER NOTED.ANY OTHER USE OF PH. (508) 274-1166 - A THESE DRAWINGS REQUIRESTHEWRITTEN 1/17/2018 FAX (508) 539-9402 C E N T E RV I L L E 1 M/ � CONSENTTU THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION Al ACT OF 1990. C A7 Barnstable Bldg.Dept. SMOKE DETECTORS REVIEWED Apprav+edbµµy: 2T-0.. •t.i4: 3) - 2V-0" 26'_0" BeBBUILDING DEPT. DATE3'-01/2" 9-11 3'-01/2" FIRENT DATE A B ')TH SIGNATURES ARE REQUIRED OR PERMITTING I q� NEW A7 --- DECK ' 4'-111/2" 4'-111/2" 26'-O ar-o'• 4'-6" 21'6" - BALCONY _ U ANDERSEN I I FWG80611 - 2 x 6'8"'0" - —-) SINK L — I FRENCHWOOD ELECTRICAL DW PANEL I CLOS. - � I I 2'0"x 68" EXIST. I EXIST. KITCHEN i REMOD. ANDERSEN - _ I f--- LIVING 0 BEDROOM RELOCATED A251 RANGE O v BEDROOM o (VAULTED CEILING) I L_---- NEW RE pill THIS WALL TO REMAIN SHEATHED GARAGE �L - - s,_5„ I AS A SHEAR LL#2 0 � THIS WALL TO REMAIN SHEATHED (A AS A SHEAR WALL#1 y I I ANDERSEN ■`(a4Fi�'1 (v{y5) 2'6"DOOR I I TW24310 � 11 i r II ANDERSEN ` UP + a 2 RAT O A251 � FIRE RATED I 3'x 5' DOOR 4,3, i LE q re xs6° EXIST. CL S. s o I N NEW DOOR DOOR I • o DININ I,I � W.I C. _ a III 00 © 0 f EXIST. I 9'0"x TO"O.H.DOOR 9'0"x TO"O.H.DOOR'N BATH - LIN. 1 r J REMOD. - CONc BATH APRON ANDERSEN 4 - - - TW24310 W/ A21 ON GABLE ABOVE A7 I I A7 T-U" 9--o" IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS FIRST FLOOR LA N CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL LEGEND: D-FACTDR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE p 00_ME 0.55 49 20 a'13 5 S0 15,19 10(<FT.DEEP) 115119 ' AMMEND. ®SMOKE DETECTOR NOTES, EXISTING WALLS ' VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. ®CARBON MONOXIDE DETECTOR -� CONSTRUCTION TO BE REMOVED 2.15/19 MEANS R=I5 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR -J® p� OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL HEAT DETECTOR N E,✓y CONSTRUCTIONS 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS 4.13+5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR &R13 CAVITY INSULATION THE DESIGNER SHALL BE NO1IFIED IF ANY COTUIT BAY DESIGN. LLC NEW ADDITION/REMODELING FOR: tYOFMASS4C IERRORS OTION.I HE SCALE DRAWING NO. : �P 'SG THESE DRAWINGS PRIOR TO START OF a3 MIGHELE N� I ONSTRUCTION THE BUILDING CONTRACTOR 1/,^11 _ 1' 0" 43 BREWSTER ROAD C CUOILO 'WILL BE RESPONSIBLE FOR THE CONTENT Y 18 7 BAY LANE g CT 174 IN THESE DRAWINGS IF CONSTRUCTION O y-fR0 TTA COMMENCES WITHOUT NOTIFYING THE MASHPEE MA. 02649 No O S DESIGNER OF ANY ERRORSOR OMISSIONS DATE : 4. .THESE DRAWINGS ARE SOLELY FOR THE USE PH. 508 274-1166 q 9FGISI OF THE OWNER NOTED ANY OTHER USE OF ` - S$10 PL�G THESE DRAWINGS ITH THE DESIGNER ER UNDE THE R g/1 g%2018 I�FAX (50�> 539-9402 Al CENTERVILLE, MA %'' ti .t 1 Ci DFE990 COPYRIGH PROTECTION I L� NEW ASPHALT ROOF SHINGLES TO MATCH EXISTING - TOP OF PLATE IDE101M, o c 12 I 11t D NEW PVC FASCIA,FRIEZE, / \ S.F. &SOFFIT BOARDS TO - SUBFLOOR MATCH EXISTING 12 TOP OF PLATE ' .. ll ._.I...] L _L ._I1_ ..ILI_..1_..._I1... A.. El 110 mH 19, 11,n ML-1' Innn TT L III Will III TOP OF FOUND. uuu I NEW CARRIAGE HOUSE STYLE NOTES: O.H.DOORS VERIFY ALL DETAILS V FRONT E L E VAT I O N i ®TES. W(OWNERS , 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD 12 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, 12 1z DETAILS,&FINISHES IN THE FIELD WITH OWNER 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT 12 TO MATCH EXISTING 4 NEW PVC RAKE BOARDS ( _ FIRST FLOOR TO BE 6'-11"ABOVE SUBFLOOR e� 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 5.) 110 MPH EXPOSURE C WIND ZONE 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, o / \ NEW PVC CORNERBOARDS OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING TO MATCH EXISTING NEW PVC 1 xarRlM w� 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e L/360 LOAD 2"SILL 8.) SEE CERTIFIED PLOT PLAN FOR ALL EXISTING&PROPOSED DETAILS MJA XTCIS, NEW W.C.SHINGLE SIDING I I � - 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF TO MATCH EXISTING ALL SIMPSON COMPONENTS 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS � LJjjJJI U1111 III It Mill III - TO BE 3000 PSI TOP OF PLATE _ II 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE DURING FRAMING CONSTRUCTION 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE Z- NEW AZEK OR rn CEDAR BRACKETS I 13.)FOLLOW ALL REQUIREMENTS OF THE 110 MPH CHECKLIST SUPPLIED x 11 (SEE DETAIL) NEW S.S.CABLE RAILING w W/P.T.4 x 4 POSTS&PVC 14.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY CASING EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION INSTALLER/CONTRACTOR. - FIRST FLOOR 15.)ALL HEADERS TO BE 3-2 x 8's UNLESS OTHERWISE NOTED 11-6FLOOR - 16.)THIS PROPERTY IS IN AN AE FLOOD ZONE ELEVATION 12.0' RIGHT E LEVATION COTUIT BAY DESIGN. LLC NEW ADDITION/REMOD" FLING FOR "THE DESIGNER ION.TH BUILDING CONTRACTOR SCALE DRAWING NO. . IED WARY I ERRORS OR OMISSIONS ARE FOUND ON 43 BREWSTER ROAD TIIESE DRAWINGS ESPONSPRIOR TDSTART OF WOILL BERESPONS RESPONSIBLE FORIT E CANTENT�R 1/411 - 1' 0" ' IN THESE DRAWINGS IF CONSTRUCTION 18 7 BAY LANE DDMMENDES WITHOUT NOTIFYING THE MASHPEE MA. 02649 {DESIGNER OF ERRORS OR OMISSIONS. DATE : 8) Y.ESE DRgW NGS ARE SOLELY FOR THE USE OF THE OWNER NOTED.ANY OTHER USE OF PH. (508 274-1166 THESE DRAWINGSREOUIRES THE WRIFEN 9/18/2018 FAX (50 ) 539-9402 C E N T E RV I L L E, M A I ACCHITECTOr LIRAL DESIGNER U ROTECTE IIA2 ARCHITECTURAL COPYRIGHT PROTECTION a TOP OF 'r PLATE - ILLDn NEW ASPHALT ROOF SHINGLES - I TO MATCH EXISTING , ' I I I I YhTh NEW PVC FASCIA,FRIEZE, II - &SOFFIT BOARDS TO S F - - SUBFLO R MATCH EXISTING - -TOP OF - PLATE Jill I Ill it 11 I I I fill I I it 11 li 1111 11 1 Hilly ! 0 Hu I I TOP OF 1 - 44 It I., FOUND. El 11 SINGLE SMARTVENTS I NEW ACCESS DOORS -FOR CRAWLSPACE LL_-_--�� REAR ELEVATION -CC 12 NEW PVC RAKE BOARDS q TO MATCH EXISTING 12 TOP OF 5 PLATE _ - ' l i NEW PVC CORNERBOARDS ' TO MATCH EXISTING I I NEW PVC 1 x 4 TRIM W/ il_ I 12 2"SILL I it I I NEW W.C.SHINGLE SIDING I 12 TO MATCH EXISTING 1lhillilTil Jill v ^ S.F. SUBFLOOR I - .. TOP OF 1 I. I - - PLATE_ Ill Will Will Hill 11;111 Iiiii 1 I f I I I 1_ I \ \ v a ��s-���>>y�thabcA+� I I I I 1 I t TOP OF FOUND. I' LEFT ELEVATION COTUIT BAY DESIGN, LLC NEW A®®ITION/REM®®FLING FOR THE DESIGNER DRAWIGSPRIORTOTIFIE STARIFANY SCALE DRAWINGNO. : I.ERRORS OR OMISSIONS ARE FOUND ON �THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD ILL BEUCTIONSIBLEF FORDING 1/4"WILL BE RESPONSIBLE FOR THE CONTENT IN THESE DRAWINGS IF CONSTRUCTION (]q�]7 /� I�COMMENCES WITHOUT NOTIFYING THE C 1 �+ • BAY LANE .DESIGNER OF ANY ERRORS OR OMISSIONS. DATE IA' MAS HPEE MA. 02649 ,THESE DRAWINGS ARE SOLELY FOR THEUSE i �� OF THE OWNER NOTED-ANY OTHER USE OF PH. (508))274-1166 THESE DRAWINGS REQUIRES THE WRITTEN 9�18/2018 FAX (508) 539-9402 C E N T E RV I L L E NIA n CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION - jl ACT OF 1990. 6-12'• INSTALL 518 ANCHOR BOLTS A7�2/`0lo MAX ` �D " { W/SIMPSON BPS 5/8-3 BEARINGP.IdI`fES1 FROM END PLACE BOLTS WITHIN 6"-15"OF EACH - " OF PLATE CORNER AND TO A 8"MINIMUM DEPTH A' F-'--------------- j ' Ir I I e - �j P.T.2 x 6 SILL W/SEALER 1 21'-a' 21'-0" - g 24"n.c, a d N O D T'0,. T'0„ .�.0„ �.. LL O o 2 Ci Z t 10'DIA.CONCRETE SONOTUBES C' W124"DIA.BIGFOOT FOOTINGS UNDERNEATH TO 4'0"-BELOW - - - GRADE.USE SIMPSON ZMAX FASTEN JOISTS TO BEAM 01 ABU66 POST BASE W/5/8"DIA. C W/SIMPSON ZMAX H2.5A J-STYLE BOLT - A] TIES - - 3-P.T.2x88EAM o ' NEW ADDITION ANCHOR BOLT DETAIL \ \ / _N SCALE: 112"=T-O" B @ 16"o.c. o - A7 %N BLOCKING v 42'-0" 16'-0" N 2,g" 3.6.' 1 9" 3'-0 12" 9'-11' 3'4D 112" A A7 j� s NEW P T.2 x 8's 11T o.c. ,F/ ---I—_--_,------ --- — -- — -- ,- Wl MID-SPAN BL CKING � V" v'L _ — q I 11 -------- -------- 5'_0" 6'-01 4.1112" DROP TOP OF WALL _ AT ENTRY DOOR I SM T IIT OO S AOARD SCREWED TO y- SP.OLID BLOCKING W2 x 10 LEDGER/(2)L DGER OK SCREWS I , T 16"o.c.W/ZMAX LU210 JOISTS HANGERS T-6" T INSTALL SIMPSON DTT1Z I i W TENSION TIES AT(4)LOCATIONS NEW 8"CONC ETE FOUNDATION )Uf7� FROM HOUSE TO DECK JOIST N - r (1)EACH END I- i I I WALLS W CONCRETE � � _ I FOOTINGS TO4'0"BELOW GRADE V BASEMENT INSTALAT TOPL 40i@ B OF WALL,2'CLEAR(2)#4 HORIZONTAL BARS 0 I I I o � I 8' I I I I NEW ` I I I GARAGE I I COLUMN W/30"x 30"x 10' I I q I I I I N CONCRETE FOOTING - ' I i 6 x 6W WFETE SLAB N THE / 2 x 4 GIRT TOP 4 y - - - c' I rsi 5- W �RT I?0 SLOPE TOWARDS O.H.DOORS I I W/10 MIL POLyYy,U�ND�ER v I 4'-6" - _—_____9—_—_—_--0_ _____�—_—_—__9 _____ BEAM I I I EL..12.0' rc{/1�•L 1 �' ABU66 POST S BASE&I ACE I I ___ NEW P.T.2 x 10's G�16"o.c. 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DATE . PH. (508 274-1166 FGIStE ii THESE OWNER NOTE ARED ANY HER THE USE �SIONA> Of THE OWNER NOTED,ANY OTHER USE OF . THESE DRAWINGS REQUIRES THE WRITTEN � A4 � '� �� II NUERIHE ARCHFILCTURAL COPYRIGHT PROTECTION N ENT OF THE DESIGNER 9/18/2018 FAX (50�) 539-9402 CENTERVILLE, MA �:�� ;j ACT OF IWO I 26'-0" SOLID BLOCKING IN THE A % - I " NAILING SCHEDULE OUT TWO JOIST BAYS A7 i 110 MPH EXPOSURE C WIND ZONE AT 48"O.C. . I INSTALL FLASHING UNDER 3-2x6HDR. - I HOUSEWRAP&DECKING ' JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING ROOF FRAMING. I I.DECKING BLOCKING TO RAFTER(TOE NAILED) 2-ad 2-10" EACH ENO 2 JT 2 ,1J �° RIM BOARD TO RAFTER(END NAILED) 2-16 tl 3-16d EACH END _ WALL FRAMING'. FLOOR JOISTS TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS i T.2 x 8's @ 16"O.c. STUD TO STUD(FACE NAILED) 2-16 d 2-1 Bd 24"o.c. _ HEADER TO HEADER(FACE NAILED) tad 16d 16"o.c.ALONG EDGES 2 x 10's 16"o.c. W/MID-SPAN BL CKING - FLOOR FRAMING', I JOIST TO SILL.TOP PLATE OR GIRDER(TOE NAILED) 4-8tl 4-10d PER JOIST INSTALL PEEL&STICK BLOCKING TO JOISTS(TOE NAILED) 2-6d 2-1 Od EACH END RUBBER MEMBRANE BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3:160 4-16d EACH BLOCK BETWEEN LEDGER& LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-l6d 4-16d EACH JOIST SHEATHING JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d 3-1 Od PER JOIST _ BAND JOIST TO JOIST(END NAILED) 3-1 ad 4-16d PER JOIST P.T.2 x 8 LEDGER BOARD SCREWED TO BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3-16d PER FOOT SOLID BLOCKING'W/(2)LEDGERLOK SCREWS - 16"O.C.W/ZMAX LU210 JOISTS HANGERS ROOF SHEATHING. 21'-9" 4'-3" INSTALL SIMPSON DTT1Z WOOD STRUCTURAL PANELS(PLYWOOD) 6 x 8 WOOD BEA TENSION TIES AT(4)LOCATIONS RAFTERS OR TRUSSES SPACED UP TO 16"o:c. 8d 10d 6"EDGE/6"FIELD UNDER EACH FROM HOUSE TO DECK JOIST RAFTERS OR TRUSSES SPACED OVER 16"o.c. 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II_ ti • 26-01, 47-0" 16'-01. 2 0 24-4 (SHED DORMER) 3K.1J 3-2x 8HDR. m., 3K1J 3-2x H R. 3K,1J o III -2-1 3/4"x 7 114'LVL HDR. 3K,1J 3K,iJ Z Z DO - _ THIS WALL TO REMAIN SHEATHED W^fn< - p�0 i ; I AS A SHEAR WALL#2 ¢'aa� O �5 Xp I I THIS WALL TO REMAIN SHEATHED W h F N O z AS A SHEAR WALL#1 /o'' i 0 V •j r w y1�f Xa z O= - 4 x 4 POST FROM RIDGE 003¢O _ L----- DOWN To 2-1 3/4"x71/4"LVL x O w¢ - HEADER UNDER EACH END .. Ip�2 W Y �^ �,_D --�-- OF NEW RIDGEBEAM / NEW 3-1 3/4"x 18"LVL OR yl�C b 4-1 3/4"x 16"LVL RIDGEBEAM Q j�g OST FROM RIDGE y - - ____ - DOWN TO FOUNDATION EXISTING RIDGE BOARD - NEW 2-1 3/4"x 11 718"LVL RIDGEBEAM - _—_—_______— Y N I n I j � 1J x K.1 SOLID BLOCKING IN THE OUTSIDE TWO RAFTER BAYS AT 48"D.C. of A a A7 ' (SHED DORMER) 26-0" `- 42'-D-D„ ROOF FRAMING PLAN TYPICAL ASPHALT NOTES: ROOF SHINGLES 1.) ALL ROOF RAFTERS TO BE 2 x 10's UNLESS OTHERWISE NOTED ��\ 15#5/6"FELT PLYWOOD SHEATHING 2 x 1D RAFTERS 15#FELT PAPER 2.) USE SIMPSON H2.5A HURRICANE CLIPS USE SIMPSON H25A HURRICANH CUP$ AT ALL RAFTERS ENDS WIND WASH AT ALL RAFTERS ENDS 3.)VERIFY GUTTER,TYPE/LAYOUT BARRIER 3'0"WIDE ICE/WATER SHIELD W/OWNERS - ALUMINUM DRIP EDGE 1 x 3 STRAPPING Wl t x 8 FASCIA BOARD 1 P1'•GYPSUM BOARD — I x 4 SOFFIT BOARD 1 x CONT.VINYL SOFFIT VENT i x 3 SOFFIT BOARD DETAIL AT WALL TYP 2 x 4 WALLS 1 3/4"CROWN 1.6 FRIEZE BOARD SCALE: 1/2"=11-0" COTUIT BAY DESIGN. LLC NEW ADDITION/REIVIO®FLING FOR; OF�a 'i THE DESIGNER DRAWISHALL SPRIORNOSTARIOF SCALE : i'DRAWINGNo.: tY 1 ^W I�ERRORS OR OMISSIONS ARE FOUND ON 4QV i.TNESERUCTION.THE BUILDING i0 START OF 2 a'1DNEl� tnN WILL BE RESPONSIBLE FORIT E CONTRACTORONTENT 1/4" — 43 BREWSTER ROAD a GUp\L F11� IN THESE DRAWINGS IF CONSTRUCTION MASHPEE ,Ma. 02649 187 BAY LADE 4 SS NO�Y1�0 DTHESE DRAWINGS EESIGNER OF ANY ERR ORS A COMMENCES IORIOMISSIONS - q gfDISZ�P�� OF THE OWNER NOTEDSANLY OTHOER USE OFE PH. (5O8) Z74-1166 DATE : •TE - I //�� �S6roN :THESE DRAWINGS REQUIRES THE WRITTEN /y GNER UNDER HE FAX (508) 539-9402 CENTERVILLE, MA �� lG' ffvAl�" ACONSENT OF Ci OFE990URALECOEPYiR COPYRIGHT PROTECTION /1 HILOIO it • 2x6's@16"o,c. - 12 4 _ TYP. ROOF CONST. 5 1� ITI(P/112 - ` -2 x 10 ROOF RAFTERS @ 16"D.C. -5/8"CDX PLYWOOD ROOF SHEATHING ASPHALT ROOF SHINGLES "GYP.BOARD \ \ TOP OF PLATE , -15LB.FELT PAPER / /ON 1 x 3 STRAPPING \ \ SPRAY FOAM INSULATION / / -@ 16"o.c. \ \ 12 - @ SLOPED CEILINGS(R=49) / / \ 12 2-1 3/4"x 11 7/8"LVL RIDGEBEAM -2.1 314"x 16"LVL RIDGEBEAM -SIMPSON H 2.5A HURRICANE CLIPS AT ALL RAFTER ENDS -ICE!WATER SHIELD AT BOTTOM T-0" / NEW \ \ - _ NEW 2 x 6's @ 16"o.c. 3'0"OFROOF / GAMEROOM \\\\ 1 - -PROP-A VENT BETWEEN RAFTERS - 12 " -WIND WASH BARRIERS / \ .\ ALUMINUM DRIP EDGE i 3/4"T 8 G PLYWOOD \ eL-- � SOLID BLOCKING SOLID BLOCK( GSUBFLOOR-GLUED&NAILED NON-BEARING FRAME OPTIONAL 2 x 6 WALLS \ SECOND FLOOR ATTACH TO STRAPPING SUSFLOOR Wl ONE TOP PLATE - /'+ 2 z 10'S @ 16"o.c. 1p 2 x 10'S @ 16"o.c. TOP F PLATE TOP OF PLATE TYP. WALL CONST. TYP. WALL CONST. f43- 'BATT INSULATION(R=30) 1.2 x 4 STUDS @ 16"o.c. 1.2 x 6 STUDS 16"D.c. 5/8"FIRECODE GYP.BD. 2.1/2"PLYWOOD SHEATHING @ "x 11 7/8" - 2.1/2"PLYWOOD SHEATHING LVL HEADER ON 1 x 3 STRAPPING @ 16" C7 3.(R=20)SPRAY FOAM INSULATION 3.6"(R=21)BATT INSULATION _ Z 4-1 3/4"x 16"LVL BEAM o.c.IN GARAGE F - 4.1/2"GYPSUM BOARD 4.112"GYPSUM BOARD 5.W.C.SHINGLE SIDING - - 5.W.C.SHINGLE SIDING 6.TYPAR EXTERIOR VAPOR BARRIER 'GARAGE w BEDROOM 6.TYPAR EXTERIOR VAPOR BARRIER NEW S.S.CABLE RAILING (4"CONC.SLAB FIRST FLOOR FIRST FLOOR SOLID BLOCKING I VERIFY DECKING MATERIAL PITCH TO O.H.DOORS SUBFLOOR - SUBFLOOR I W/OWNERS - WI 6 x 6 W WF EMBEDDED —___ AE FLOOD ZONE B.F.E.EL.12.0' TOP OF FOUND,EL.12.5' •EL.12.5' 2 x @ 16"o.c. . . P.T.2 xs @ 16"O.C. -—-—- AE FLOOD ZONE B.F.E.EL12.0' ___ __- _ _3-2 x 10G_IRT - - 3-1 3l"x 5 112"LVL HDR. NEW SPRAY FOAM o INSULATION(R30) ALL MATERIAL IN THE FLOOD ZONE NEW "CONCRETE FOUNDATION P.T.6 x 6 POST W/SIMPSON (n TO BE WATER RESISTANT W!P.T. WALLS W/10"x 20"CONCRETE o CRAWLS PACE ABU66 POST BASE 8 ACE6 ' FOOTINGS TO 4'0"BELOW GRADE 'v - o POST CAP ^' WALL FRAMING INSTALL(2)#4 HORIZONTAL BARS P.T.2 x 6 WALLS AT TOP•"M%E OF WALL i✓ (T)SECTION @ GARAGE CONCAL30"x OTINGIr CONCRETE FOOTING 4"CONCRETE SLAB W! 4 A7 10 MIL POLY UNDER i - I I P.T.2 x 8 LEDGER BOARD SCREWED TO SOLID BLOCKING W/(2)LEDGERLOK SCREWS I 16"o.c.W/ZMAXLU28 JOISTS HANGERS B SECTION W.I.C./BEDROOM I INSTALL SIMPSON DTT1Z TENSION TIES A7 - AT(4)LOCATIONS FROM HOUSE TO DECK - JOIST(1)EACH END INSTALL FLASHING UNDER I HOUSEWRAP 8 DECKING ` P.T.RAILINGS 8 DECKING i DECKING I I I FLOOR JOISTS b P.T.2 x 8's @ 16"D.C. _ -;r 2 x B's @ 16"o.c. PVC 1 x 8 FASCIA INSTALL PEEL 8 STICK -— 3-P:T.2 x 10 BEAM RUBBER MEMBRANE 4AEZFLOOD ZONE EL.12.0' BETWEEN LEDGER 8 SHEATHING •P.T.4 x 4 KNEES FASTEN JOISTS TO BEAMS W/SIMPSON ZMAX H2.5A P.T.2 x6 LEDGER BOARD SCREWED TO TIES - SOLID BLOCKING Wl(2)LEDGERLOK SCREWS EL.6.0' 16"o.c.W/ZMAX LU210 JOISTS HANGERS INSTALL SIMPSON DTT1Z TENSION TIES AT(4)LOCATIONS FROM HOUSE TO DECK JOIST(1)EACH END,EQUALLY SPACED v ' DECK DETAIL - / - P.T.6 x 6 POSTS ON 10".DIA.CONCRETE - FO l•�SECTION 1(�J DECK UNDERNEATH TO 4'0"BEBLOWGRADEOUSES l�� SIMPSON ZMAX OR S.S.ABU66 POST BASE /47 W/518"DIA.J-STYLE BOLT 8 AC6 OR ACES - POST CAPS OR LPC SERIES Ea Q NEW W A D D I T I O N I R E IVI O D E L I N G FOR• THE DESIGNER SHALL BE NOTIFIED IF ANY SCALE : COTUIT BAY DESIGN. LLC SYGFMA$� ERRORS OR OMISSIONS ARE FOUND ON ;DRAWING NO. : F?\" F �$/' I'TONSTRUCT1ON.THE HESE DRAWINGS PRIOR BUILDING CONTRACTOR 11 43 BREWSTER ROAD ' = Mi6"I�a w WLLBE RESPONSIBLE FOR THE CONTENT 1/4 - 1 0 187 BAY LANE Q GUOTU{PL N IN DRAWING IF CONSTRUCTION MAS H P E E MA. 02649 SSRVC3A TA 4 DESIGNER OF ANY ERRORS IORIOMI OMISSIONS. PH. (508) 274-1166 NO �O THESE IHEOWN RNOTED.MY THERUSEUSE DATE 8 �9�,R�cGls(� OF IHt DRAWINGS ARE SOLELY FORT USE Or P FAX (50 ) 539-9402 CENTERVILLE MA 9p°�SS THE SIONP 1.CONSENT OFITHE DESIGNENGS R UNDER THE 9/18/2018 A7 ' /%,Jy i` / ) /qDy Lam -ARCHITECTURAL COPYRIGHT PROTECTION , } 0 0 o NEW STONE FACED o 0 0 FALSE CHIMNEY 0 0 0 0 0 0 0 12 EXIST. 6'_8" 12 NEW GABLE ROOF COVER LE �6f W/BRACKETS ❑ ❑ NEW AZEK OR Ll CEDAR BRACKETS (SEE DETAIL) IL L— LEFT ELEVATION FRONT ELEVATION 0 0 0 i o 0 0 0 0 0 0 0 0 0 0 j 12 EXIST. L-1 L ❑ ❑ RAILING AT NEW DOOR woo LEFT ELEVATION- irrn-niii - - 2 x 6 RAFTERS @ 16"o.c. 2 x 8 RIDGE BOARD --- W/PLYWOOD GUSSETS REAR ELEVATION 2x8'sW/1x8AZEK FASCIA AZEK BEAD IL A � $ Y BOARD SOFFIT p o DEP 0 6 MAR 0 6 2018 � AZEK 1 x 8 FRIEZE T'a.J'9SVi6lJ� ��a��7�°..-rT€�mS��....` AZEK OR CEDAR 3" THICK BRACKET BOLTED TO HOUSE OVERHANG DETAIL W/SCREWS REWS TLOK 2'4" TO SOLID BLOCKING SCALE: 1/2" = 11_011 2'-8,. qv THE DESIGNER SHALL S NOTIFIED IF ANY SCALE DRAWING NO. NEW ADDITION/REMODELING FOR; ERRORS OR OMISSIONS ARE FOUND ONCOT�'T BAY DESI N L LCTHESE DRAWINGS PRIOR TO START OFR[� T Q CONSTRUCTION.THE BUILDING CONTRACTOR 1/4 11 1 1-011 43 B 1 \E{/►/S 1 E 1 \ ROAD D WILL BE RESPONSIBLE FOR THE CONTENT V V /"� IN THESE DRAWINGS IF CONSTRUCTION 187 B n Y L ^ N E COMMENCES WITHOUT NOTIFYING THE MASHPEE ,MA. 02649 DESIGNER OF ANY ERRORS OR OMISSIONS. DATE E THESE DRAWINGS ARE SOLELY FOR THE USE PH. (508 2 74-1 1(�V(�V OF THE OWNER NOTED.ANY OTHER USE OF FAX (� (� CENTERVILLE MA THESE DRAWINGS REQUIRES THE WRITTEN Q 1 AX (50 ) 539�9402 CONSENT OF THE DESIGNER UNDER THE 3/1/2018 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990. NOTES I 1. DATUM IS 2. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO Road _ BE USED FOR LOT LINE STAKING OR ANY OTHER gumP s R�et a c ! PURPOSE. oco 0 3. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE : LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES PRIOR TO COMMENCEMENT OF WORK, Qa 4. EXISTING SEPTIC LOCATION PER TIE-CARD ON FILE WITH TOWN. PASSING REPORT, NO INCREASE IN FLOW. so6i�� Locus a` aw 5. DRYWELLS PROPOSED FOR ROOF RUN--OFF FOR EXISTING DWELLING AND PROPOSED ADDITIONS low t1P� oyla Sal 6. FLOODRESISTANT FOUNDATION DESIGN WITH FEMA Main Q�h Road COMPLIANT GRADING REQUIRED. DESIGN FLOOD � Sti' on pe #9 'LG. 0 S ELEVATION = 13.0 AT HOUSE. � w • IL « °%r�R Nantucket w w STAKED SILT °" m RIPgRi • W FENCE WORK , g qN ZONES ©u nd s0 LIMIT LINE A LOCUS MAP jV♦ W . OAKS RE ,� S SCALE 1"=2000't • W w W W i W W o O� s ASSESSORS MAP 186 PARCEL 11 • 1 {REM VE LOCUS IS WITHIN FEMA FLOOD ZONE 'AE (EL12 & 13) AS SHOWN ON COMMUNITY PANEL #25001CO563J IC, 7 1 �`r,7_ �'�� c� DATED 7/16/2014 .- , Y. � 1-� o`'? i/ ` � �\LP t ENTIRE SITE IS WITHIN THE RiVERFRONT RESOURCE i " ��1 '� pwl \ AREA ' CEDAR`'� Q p PROP. ROOF (REMOVE) cy \ OVER STOOP �L `. � � PAVED OWNER OF RECORD EXISTING DRIVE W W DWELLING j FELIRSA REALTY TRUST IL #6 w w TOP FNDN. = FELIX SHNEUR & IRINA GLUSKINA, TRS. ELEV. 12.5' / 44 HOOD STREET w + ( 36e f NEWTON, MA 02458 a w w � SALT MARSH �.+ W � w � W W� � r� �•• r REFERENCES + W ROPOSED ® PROPOSED RAc �, �o,JQ MITIGATION RELOCATE _. D BOOK 31032 _PAGE 141 w W PLANTINGS � . OFc �pv; AND PLAN BOOK 139 PAGE 95' _LOTS 3 & 4 Z ° RE-PAVE J,500 S.F.t - DRIVEWAY PASSING SEPTIC SYSTEM INSPECTION REPORT D. 2017 # W W W / • ° ' \ \L IL R w o K �J FO REMOVE CRABAPPLE ove ZONING SUMMARY AND REPLACE WITH WIN w + 3 NATIVE SPECIES WITHIN 10' OFF � `Ny <y + + + ORIGINAL LOCATION -.� \�� ZONING DISTRICT: RD-1 DISTRICT p REQUIRED: EXISTING: PROPOSED: + + + MIN. LOT SIZE 87,120 S.F. 33,142 S.F.t 33,142 S.F.± F� \` MIN. LOT FRONTAGE 20' 210' 210' I { W V W � • � MIN. LOT WIDTH i 25' 210, 210, V / Q h�^� MIN. FRONT SETBACK 30' 24:2' 24.2' y�J �/ '• �ryry MIN.` SIDE SETBACK 10' 36.6' 10.9' LOCAL BUFFER REGULATIONS + - �� MIN. REAR SETBACK 10' — — 1 �N�7. #4 .a• � �� / / � � MAX. BUILDING HEIGHT 30' MITIGATION CALCULAT O 1 SITE IS LOCATED WITHIN THE RESOURCE 'PROTECTION OVERLAY DISTRICT _L HARDSCAPE 0-50' 50-100' // #3' W \jj/ w w y� / SITE IS LOCATED WITHIN THE AQUIFER PROTECTION OVERLAY DISTRICT W I w Q' EXISTING: 7 SF 1367 SF � w w + �/a/ SITE I5 LOCATED WITHIN ESTUARINE WATERSHEDS FOR POPPONESSET BAY, THREE BAYS, RUSHY MARSH, AND CENTERVILLE RIVER PROPOSED: 136 SF 2281 SF w / INCREASE. 129 SF 914 SF REQUIRED MITIGATION : 129x4 + 914x3 = 3258 SF '� (3,500 SFt PROVIDED) �2 SITE PLAN �y �' *SEE LANDSCAPE PLAN SY ELAINE M. JOHNSON V � �� bra � i DATED DUNE 2018, INCLUDED AS PART OF THE OF NOTICE OF INTENT FILING .<C1 / \ #187 BAY LANE (CENTERVILLE), BARNSTABLE off 508-362-4541 BK. s521 PG. 179 �ti+OFMgs ��N OF M,q fox 508-362-9880 i gayc aa`�p s9c PREPARED FOR I dawncape.com O INTERIM APPROVAL #3246 ° DANIELA. �mo`' DANIEL p °JAB' �' A. C(�TUIT BAY DESIGN WOWN CQ 0 en,�'illee�iag, int. cy`° a :, `' CIVIL OJALACn � No.46502, 0• -a q No.40980 civil engineers °� ��rT � °F oa lQ'nC� surveyorst���a � NQsu REV.: JUNE 22, 2018E(CONSERVATION COMMENTS) 939 Main Street ( R to 6A) ✓I ° YARMOUTHPORT MA 02675 J ` Scale: 1"— 20' DICE �5--�24 DATE DANIEL A. OJALA, P.E., P.L.S. --- --- 0 10 20 30 40 50 FEET 18-024