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0429 CAP'N LIJAH'S ROAD
Y _ _ � ,� J . . � ;. . .. e ,.. ,� . . � s t s .d . . ,, .� a �, �� P .; v - .t.. �� ,. � ,. r � _„ .v _ � _ _ n y .. �... �, � A.4 .: .... � �. ��. - __ t +. _ � ... .. - -�- o � - - " .. @.. c e �. .. .. _ a ,. a - _ .„ L� r 4. .. a � ,. -. ,. . �, .. �. a q .. o ,. . � :. .. . s. . .:. ,. , b � � .. .. ,�. o n tl � ' _ ., C 4. � � � - ,. o �, .. .. - �. � = � . ., � .. _ - _ +r �...-a -- - � � ,. y 1 ,g _ 7 ". � - _ � r s u - ,. o � '� � aaI ''..: .: „- ,. -. 6 .. a �' � ,. ,. .� � t � -a ,, a. = �„ � - � ., .. r � - � __._� s voFt"etoy�.� Town of Barnstable $ MARNST BL& Building Department-200 Main Street 639;. Hyannis,. MA 02601 i 5` �'ATEn.MP�a Tel. (508)862-4038 s Certificate Of Occupancy Permit Number: B-18-3509 CO Issue Date: 2/14/2020 Parcel ID: 194-026-003 Zoning Classification: RC Location: 429 CAP'N LIJAH'S'ROAD, CENTERVILLE Proposed Use: Name of Tenant: Sprinklers Provided: Gen Contractor: Permit Type: Residential Land Type of Construction: Design Occupant Load: .0 Comments: THREE'BEDROOM Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition Home Energy Rating Certificate Rating Date: 2020-0210. ~ Registry ID: 791340372 Final Report EkotropeID: AvjxzxxL • � 0 • 0 Your Home's Estimated Energy Use: This home meets or exceeds.the Use[nnr3tu] annual cost criteria of the following: Heating 85.6 $1,436 201 S International Energy Conservation Code Cooling 0.8 _ $49 Hot Water 13.8 $228 Lights/Appliances 32.5 $1,880 Service Charges $0 Generation(e.g.Solar) 0.0 $0 Total: 132.7 $3,593 HERS'lndex Home Feature Summary: Rating Completed by. wor•u,•ny Home Type: Single family detached Energy Rater.%ul Graney ' Model: WA RESNETI11.2649950 "-sting xao Community: N/A rtorrtes. ,� Rating Comparry:Home Energy Raters LLC Conditioned floor Area: 5,876 ft= 180 State Rd,Suite 21.1 Sagamore Beach MA 02562 Number of Bedrooms: 3 508-833-3100 'Reference Primary Heating System: Furnace-Natural Gas•96.5AFUE .,•, g so Ratio Provider:Ener Ratters of Massachusetts Primary Cooling System: Air Conditioner.Electric 15 SEER 9 9y m Primary Water Heating: Water Heater•Natural Gas-0.7 Energy Factor 2 Wood lawn Street Amesbury,MA 0191341 W House Tightness: 1544CFM50(1.50ACH50) 978-270 3911 x 50 ~ ventilation: 91 CFM,52 CFM•18 Watts,7.7 Watts ``"` •o This Home30 Dud Leakage to Outside: 83 CFM @ 2SPa(2.16/100 s.f.) 20 Above Grade Walls: R 20 Ceiling: Vaulted Roof,R-44 (� Zero Ener HO ° Window Type: U Value:03,SHGC:03 Paul Graney,Certified Energy Rater Foundation Walls: R-14 Digita lly signed:2(12/20 at 9.58 AM WN • .. •. - ■ 2015 I ECC R-406 RESN ET Registered Energy Rating Index Red o rt Property Organ ation Energy Rating Index Information Builder:Tatiana Nobre Company:Home Energy Raters LLC RESNET Registered Rating Address: Phone: Rating No:791340372 429 Cap'n LUahs Rd, Centerville,MA Rater:Paul Graney Rater ID(RTIN):2649950 02632 f Date Rated:2020-02-10 Mare Energy Rated Home Calculated Rated Home Cost($/yr) iso Energy Use(MBtu) Existing 140 Heating 85.6 $1,436 Homes 130 Cooling 0.8 $49 Ii� uo Water Heating 13.8 $228 Reference 10 Lights&Appliances 32.5 $1,880 Home I t 90 Photovoltaics 0.0 $0 so Toni ::wr 70 Based on standard operal ng oond dons 60 .. ERI with PV:52 ao This Home ERI without PV:52 ��,; . Zero Energy �.` 10 Electric(kWh):9,028.0 CO2 Emissions(Tons):11.7 Home 0 Natural Gas(Therms):1,018.9 Energy Savings($)**:N/A you acswrr less Energy "Based on the 2015 IEC C Rd05 Ratererne destn home This home MEETS the Energy Rating Index Score requirement of 2015 IECC R-406 for Climate Zone 5. It MEETS all of the requirements verified by Ekotrope. Mandatory requirements are summarized on the 2nd page of this report, some of which are not verified by Ekotrope. Name: Paul Graney Signature: Ptd G" Organization: Home Energy Raters LLC Digitally signed: • 2/1220 at 9:58 AM 00 Company:Energy Raters of Massachusetts Address:2 Woodlawn Street Amesbury,MA 01913 Phone#:978-270-3911 a• Fax#: ' hRt91TAt�°N To determine if a provider is properly accredited go to:www.resnet.us/professionallprogramslsearch_directory (Confirmed.and tested) • '• r:3 :ar d ._ rt•-.- ,,,, k ,.,,. . -,,.ra.a>$^ 'n' x' ,q:"W e,A,o ,V ProvisionNumber Topic Compliance Decision 2009 IECC Table Bu►Iding thermal" minimum„insulation levels,and rvu b PASS 402.1.1 or 402.1.3'. maximum fenestration U factor:and SHGC fr R401.3 Post a permanent certificate listing the level of efficiencies Certificate required for CO installed in the house R402.4.1.2` Ernelope air leaykag aicimum leakage rate PASS ..�. «.......- la�requirements In Table Checklist required.for CO R402.4.1 /Tabier . Comply with air sealing and Insulation re PY 9 q R402:4.1.1 R402.4.1.1 R402 4 4 Rooms contai g fuel-bur'nng appliance's> PASS' gl R402.5 Maximum fenestration U-factor and SHGC (U-Factor) PASS (SHGC)'PA$$ a ` R403.1.2 _._ Heat pump controls PASS* R406.2 Ducts'ot tside,,of conditioned space to be insulAtedc!<to a PASSE minimum of R 6 , ' i ....-.......« a.,,.,o....„w.....,-..... �.� ¢�..ma.�M^�.,«,. .-3.t;.H�t.w......�..�,�."'", r F wWE wE'•�'" ...«.».„,..� w.a»n R403 3.2 Duct sealing on all ducts PASS* frducsiR403.33' Ducttestino nuncondtionedspace;: a• • , f •. 5�W ,: • w.r. 'mnn�..n'nw.u•.m:rm m,+es.az •. �w'-'acm..w.urmiv; ' .x ildine R403.3.5 Bug cavities not used as duds. PASS* ,R4 0 51 Heated water c�riculation and bemperaturema'intenatce � PASS;� n R _ systems R403.5.3 Hot water pipe insulated to R-3 FAIL R403.6 Nlechanicai yenhlation meeting the.r`equirements 61'Ahe IRC` F PASS" , or IMC•Outdoo'r air,and exhaust darftpers,installed : �. ....� Q.w.. . ,,,� . . . R403.7 ACCA Manual J and S conducted for all.heating and cooling, ACCA forms required for systems. permit PASS*"r.>«.. a 7R403 8 Systems serving muitlpie`dweiling:unls to rneetrthe"mechanical requirements of°IECC commeraal code �^ ^ � ��� �� nv�m+ y+wwr+xr- .#.e'...-'a. m.ne Rmwmsw^wrt+...^.�f a.*ti..e4ha'd.rt n.r..a. ;b. R}A34tNw+.db.�aw�ai� Y nw m-w+=n '• R403.9 Snow melt and ice system controls installed where applicable PASS' �R403:10 Poots and'pertnanent�spa energy c onsumpaon meet �.; PASS* requirements'for.,eaters,time clocks and covers R403.11 Portable spas meet the requirements of APSP-14. PASS* R4041 . High efi`lcacy lights instaNed in 750wof permanently ins taQed ° � PASa fiXtUreS. ry : These items have been field-verified by the Rater,Field Inspector,Code Inspector,or Builder. IECC 2015 Label 429 Cap'n Ujahs Rd Ekotrope RATER-Version:3.2.3.2358 HERS®Index Score: 52 Ceiling: R-44 Above Grade Walls: R-20 Foundation Walls: R-14 Exposed Floor: R-38 Slab: R-0 Infiltration: 1544 CFM50(1.50 ACH50) Duct Insulation: R-6 Duct Lkg to Outdoors: 83 CFM Q 25Pa(2.16 100 s.f. Intl W"&1 �7 U-Value: 0.3, SHGC: 0.3 Door: R-5 Heating: Furnace• Natural Gas• 96.5 AFUE Cooling:Air Conditioner• Electric• 15 SEER Hot Water:Water Heater•Natural Gas 0.7 Energy Factor B.t1 Id Signature: Air Leakage Report Property Organization Inspection Status 429 Cap'n Lijahs Rd Home Energy Raters LLC 2020-02-10 Centerville, MA 02632 Paul Graney Rater ID(RTIN): 2649950 RESNET Registered Cap'n Lijahs Road 429 final Builder (Confirmed) Cap'n Lijahs Road 429-Av]xvotL Tatiana Nobre General Information Conditioned Floor Area[sq.ft.] 5,876 Infiltration Volume[cu.,ft.] 61,706 Number of Bedrooms 3 Air Leakage Measured Infiltration 1544 CFM50(1.50 ACH50), ACH50(Calculated) 1.50 ELA[sq.in.] (Calculated) 84.92 ELA per 100 s.f.Shell Area(Calculated) 0.714 CFM50(Calculated) 11,544 CFM50/s.f. Shell Area(Calculated) 10.130 Duct Leakage System 1 System 2 Leakage to Outdoors 83 CFM @ 25Pa 51 CFM @ 2512a(2.5 (2.16/100 s.f.) /100 s.f.) Total Leakage Test Type Rough-In,with Air Rough-In,with Air Handler Handler Total Leakage[CFM @ 25 Ps] 83.0 S1:0 Total Leakage[CFM25/100 s.f.] 2.2 2.5 Total Leakage[CFM25/CFA] 0.022 0.025 Mechanical Ventilation Rate[CFM] 91 CFM,52 CFM Hours per day 24,0,24.0 Fan Power 18 Watts,7.7 Watts Recovery Efficiency% 0.0,0.0 Runs at least once every 3 hrs? true,true Average Rate[CFM] 91.0 CFM,52.0 CFM 2010 ASHRAE 62.2 Req.Cont.Ventilation 88.8 2013 ASHRAE 62.2 Req.Cont.Ventilation 1142.4 Ekotrope RATER-Version 3.2.3.2358 All results are based on data entered by Ekotrope users.Ekotrope disclaim;all liablity for the Information shown on this report. Building Specification Summary Property Organization Inspection Status 429 Cap'n Lijahs Rd Home Energy Raters LLC, 2020-02-10 Centerville, MA 02632 Paul Graney Rater ID(RTIN): 2649950 RESNET Registered Cap'n Lijahs Road 429 final Builder (Confirmed) Cap'n Lijahs Road 429-AvjxzxxL Tatiana Nobre Building Information Rating Conditioned Area[ftq 5,876.00 HERS Index 52 .Conditioned Volume[fi'J 61,706 00 HERS index wlo PV 52 Thermal Boundary Boundary Area[f?) 11,899 75 ':Numb Of Bedrooms �� 3 w Housing Type Singie family detached Building Shell Ceiling w/Attic None F Windows(largest) U-Value 0 3,SHGC:0.3 }.cw.wuuw+uuwwa rwyy .•a'+u+a rsw_u:.^.+ A "w+ ate'` T a '�!wbvr 77 f y . Vaulted Ceiling �`Window/Wall Ratio 015 n - )R44LDF,12°,10x16;G1,Unflrnshed l-0 02 . .ram ` rW! Infiltration 1544 CFM50 1.50 ACH50 d+ Above Grade Walls(R20,LDF,6xl6,G2 U-0.05 -Dint Lkg to'Outside 83.CFM 25Pa(21.61100 ss f) Found.Walls R21_,HDF,3.25;4x16,G1 R�14 ,, Total Duct Leakage Framed Floors(1138,FG,12x16,G2 R 38 83 CFM Q 25Pa(Rough-In,with Air Handler) Slabs Uninsulatetl R 0 Mechanical Systems Heating Furnace•Natural Gas•96 5 AFUE ,�,,,.--.W.:.�c ,�� r�*a +mm- �r�.•» *�.i x ,:�*^* '^ a ,«m -a:.;m'mr,,q-::c " 6",�" 'e�-"�"`• baa . Air Contlitioner•.Electr►c• 15 SEER •. Water Heating Water Heater• Natural Gas•0.7 Energy Factor geTh:Prorammable ostat F���YB$�.»._ ,«; ,mrr ��Y.� x"n` ""•,7�-�� " :. ktt�+ ��y�n: "�r" "� �x Ventilation System 91 CFM,52 CFM•18 Watts,7.7 Watts Ughts and Appliances Percent Interior LED 100% Clothes Dryer Fuel Electric Pe[centExtettior.LEDn•R� ;.�"'"' 100%'" x'� '` � Gothes.DryerCEF° �g,.a Refrigerator(kWh/yr) 585.0 Clothes Washer LER(kWh/yr) 105.0 iDishw is her_Etficiency 2269'kWh ��• , 4 �, Clothes Washer Ca aaty = M 4 5 ,- a-.«...,,. -w.........4. .�,.a ...n..... ,....�.:1�.t,m .,..aa:, ... �..,,—,. ....e Ceiling Fan None Range/Oven Fuel Natural Gas Ekotrope RATER-Version 3.2.3.2358 M results are bared on data entered by Ekotrope users.Ekotrope disrialms all Gabiliiy for the Information shown on this report. Mass Save RNC PFS Savings Report Property Organization Inspection Status 429 Cap'n Ujahs Rd Home Energy Raters LLC 2020-024 0 Centerville,MA 02632 Paul Graney -. Rater ID(RTIN):2649950 RESNET Registered Cap'n Lijahs Road 429 final Builder (Confirmed) Cap'n Lijahs Road 429-AAxzx cL Tatiana Nobre Annual End-Use Consumption Reference Home Rated Home Savings % Saved Heating[Natural Gas Therms] 1,707.7 1,081.4. 626.3 36.7% Heating[Electric kWh] 229.6 148.6 81.0 35.3% Cooling[Electric kWh] 670.3 488.2 182.1 27.2% Hot Water[Natural Gas Therms] 138.0 136.8 1.2 0.9% Lights&Appliances[Natural Gas Therms] 29.2 29.2 0.0. 0% Lights&Appliances[Electric kWh] 8,679.2 8,679.2 0.0 0% Total[Natural Gas Therms] . 1,874.9 1,247.4 627.5 33.5% Total(Electric kWh] 9,579.1 9,315.9 263.1 2.7% r - Electric Savings Incentive $92.10 Fuel Savings Incentive $9,19&35 Percent Savings Incentive $867.24 Rater Incentive* $350.00 Participant Incentive $3,155.69 Percent Savings 28.91% `Rater Incentive is distributed directly to Rater by Mass Save Program. Ekotrope RATER-Version 3.2.3.2358 All results are based on data entared by Ekotrope users.Ekotrope disclaims all liability for the information shown on this mpod. RESNET HOME ENERGY RATING Standard. Disclosure For home(s) located at: 429 Cap'n Lijahs Rd, Centerville, MA Check the applicable disclosure(s) in accordance with the instructions on the reverse of this page. 1. The Rater or the Rater's employer is receiving a fee for providing the rating on this home. [12. In addition to the rating, the Rater or the Rater's employer has also provided the following consulting services for this home: []A. Mechanical system design Da. Moisture control or indoor air quality consulting , LIC. Performance testing and/or commissioning other than required for the rating itself E3 D. Training for sales or construction personnel El E. Other(specify) []3. The Rater or the,Rater's employer is:. []A. The seller of this home or,their agent B..The mortgagor for some.portion of the financed payments on this home C. An employee, contractor, or consultant of the electric and/or natural gas utility serving this home E]4. The Rater or Rater's employer is a supplier or installer of products,which may include: Products Installed in this home by OR is in the business of HVAC systems Rater Employer Rater Employer Thermal insulation systems URater Employer Rater Employer Air sealing of envelope or dud systems r]Rater Employer Rater [JEmployer Energy efficient appliances []Rater Employer []Rater EjEmployer Construction (builder, developer,construction contractor, etc) E]Rater Employer t]Rater Employer Other(specify): I Rater Employer Rater Employer 5. This home has been verified under the provisions of Chapter 6,Section 603 'Technical Requirements for Sampling"of the Mortgage Industry National Home Energy Rating Standard as set forth by the Residential Energy Services Network (RESNET). Rater Certification#:2649950 To report any complaints regarding this Rater's service, please visit: http://www.energyratersma.com/Feedback_New.html Name: Paul Graney Signature: Pa 64 Organization: Home Energy Raters LLC Digitally signed: 2/12/20 at 9:58 AM. I attest that the above information is true and correct to the best of my knowledge. As a Rater or Rating Provider I abide by the rating quality control provisions of the Mortgage Industry NationaiHome Energy Rating Standard as set forth by the Residential Energy Services Network(RESNET). The national rating quality control provisions of the rating standard are contained inChapter One.4.C.8. of the standard and are posted at http://resnet.us/standards/RESNET-Mortgage_lndustry_National_HERS Standards.pdf The Home Energy Rating Standard Disclosure for this home Is available from the rating provider. RESNET Form 03001-2- Amended April 24, 2007 , r Town of Barnstable wBuilding ,«., A . +ti+ ., J S ..: Ysy Post This Card$o That it is Visible From the Street Approved Plans Must be Retained on Job and this Card Must be Kept IAAZvfTtABt.E, " . -.m" ;, " a a a ,T Permit M" Posted Until Final Irispection Has Been Made a ` n "`' cew ied-unt l.a:Finalwlns%ection has been ma`cle� 4Where a Certificate of Occupancy is Required,such Building shall Not be O. p ...: :, p. - wh. . ..M Permit No. B-18-3509 Applicant Name: LISEE;EDWARD JOSEPH &JANICE BARBARA approvals Date Issued: 12/OS/201g Current Use: Structure . . Permit Type: Building-New Construction-1 or 2 family Expiration Date: 06/05/2019 Foundation: Residential Map/Lot: 194026 003 Zoning District: RC Sheathing: N LI1AH S ROAD CENTERVILLE :„ Location: 429 CAP , Contractor Narne Framing: 1 Owner on Record: LISEE, EDWARD JOSEPH&JANICE BARBARA f Contractor Licenser 2 IL WAY >�; Est Pro�'ect Cost: 450 000.00 Address: 6607 HUNTER TRAIL J $ Chimney: FREDERICK, MD 21702 - Permit Fe'e: $2,420.00 Description: 'Build a Single Family home with a 4 bedroom;two car attached Fee Paid $ 2,420.00 Insulation: garage yeaa : ' Date 12/5/2018 Final: Project ReviewReq: 'AS BUILT'SURVEY REQUIRED BEFORE START'OF FRAME v ENGINEERING REQUIRED FOR LVLS TEMPERED GLAZING > t� � - Plumbing/Gas v 3 NEEDED FOR HAZARDOUS LOCATIONS ` Rough Plumbing: Building Official Final Plumbing: Rough Gas: ff T g Final Gas: This permit shall be deemed abandoned and invalid unless the work authorized ' ,it permit is:,commenced within six months after issuance. Electrical All work authorized by this permit shall conform tolthe approved application'and the"approved construction documents for whicl.fhis permit has been granted. I a h.the ocal,zonm b -laws and codes. Service: All construction alterations and:chan es.of use of an building and structures;shall be:m com ,liance w t. ,. g,Y ,, g Y g . p_. .._-��. f This permit shall be displayed in a location clearly visible from access street or road and shall be'mamtamed open for puEllicrospection for the entire duration o t h e ` Rough: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. P Y Final: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Final: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection Health 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Final: 7.Final Inspection before Occupancy Fire Department 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). Rk 31705 Po98 -6:-3183 MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Data_: 12-04-2018 a 11:20am Ctl.4: 395 Dor-4: E0183 Fee: $735.30 Cons: $215000.00 BARNSTABLE COUNTY EXCISE TAB: BAR.NSTA(LE. COUNTY REGISTRY OF DEEDS Dale 1 t)¢ 2i11F Fs 1,1.e20af3 ("a>�, e 57.91.t Cons' �;)i-�[IIjIi,IiSI _ r QUITCLAIM DEED We,Edward Joseph Lisee a/k/a Edward J.Lisee and Janice Barbara Lisee a/k/a Janice B.Lisee,being married to each other,of 6607 Hunter Trail Way,Frederick,MD 21702, M for consideration paid and in full consideration of TWO HUNDRED FIFTEEN THOUSAND &00/100($215,000.00/U.S.)DOLLARS, o • J GRANT to Giancarlo Nobre,individually,of 96 Tanbark Road,Marstons Mills,MA 02648, with QUITCLAIM COVENANTS, a v The land located in Barnstable, Barnstable County, Commonwealth of Massachusetts, ctogether with the buildings thereon,described as follows: Being LOT 3 on a plan of land entitled"Plan of land in Centerville MA Prepared For Robert J. Bortolotti, Tr & DSBB LLC Realty Trust Date: February 4, 2008 by Down Cape ►� Engineering, Inc.Civil Engineers Land Surveyors 939 Main Street(Rte. 6A)Yarmouthport, MA 02675",which plan is recorded with the Barnstable Registry of Deeds in Plan Book 625 U Page 37. Said conveyance is made subject to and together with all rights, easements, restrictions and y covenants of record,in so far as the same remain in force and applicable. L Grantors hereby release any and all homestead rights in the property and certify undery the pains and penalties of perjury that there are no other persons who are entitled to homestead rights in the subject premises. a a FOR TITLE,see deed dated October 31,2014 and recorded with the Barnstable Registry of Deeds in Book 28482 Page 63. p« Bk 31705 Pg99 #60183 r WITNESS my hand and seal and signed under the pains and penalties of perjury this day of October,2018. Edward Josep&Lisee, a/k/a Edward J.Lisee Commonwealth of Massachusetts Barnstable County,ss: r On this 3�day of October, 2018, before me, the undersigned notary public, personally appeared Edward Joseph Lisee a/k/a Edward J. Lisee, proved to me through satisfactory evidence of identification, which was a dt%J tLOA)a Q , to be the person whose name is signed on the preceding document, and acknowledged to me that he signed it voluntarily for its stated purpose. ' J NoWy Public My Commission Expires: -2 3 ` AL. Joanne C. M.cphee r Notary Pnbtio' COAMITALl"of aU8ncg My C*Mftlfon Expires AnrH 0° aoaa Bk 31705 Pg100 #60183 WITNESS my hand and seal and signed under the pains and penalties of perjury this day of October,2018. Jani arbara Lis e, a/k/a Janice B.Lisee Commonwealth of Massachusetts Barnstable County, ss: On this J� day of October, 2018, before me,the undersigned notary public, personally appeared Janice Barbara Lisee a/Wa Janice B.Lisee,proved to me through satisfactory evidence of identification, which was a dffl-fyj�s �0 .., to be the person whose name is signed on the preceding document, and acknowledged to me that ' she signed it voluntarily for its stated purpose. Notaiy Public My Commission Expires: �,. Joanne C. MCPh*0 r0 Notary Public COMMONWEALTH OF MASUCNUSETTS MY commission Expires April 27, 2029' F t, x ^ • , REGISTRY OF DEEDS A TRUE COPY,ATTEST BARNSTABLE REGISTRY OF DEEDS �--� John E, Meade, Register JOHN F.MEADE,REGISTER i 1 . Lauzon, Jeffrey - From: Lauzon,Jeffrey t Sent: Wednesday, November 28, 2018 9:02 AM To: gnobre@live.com' Cc: Lauzon, Jeffrey Subject: ViewPermit, Permit No:TB-18-3509 Applicant please be advised that the above application has been reviewed by the.building department and the following is noted: 1) No construction supervisor is identified as required.A purchase and sale agreement does not qualify for a home owner exemption. The application is being forwarded to the fire department for review.The application is denied by the building department pending the submission of the required documents.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. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 Jeffrey.lauzon(abtown.barnstable.ma.us s 1 . .o Appucadoaxper........................ . .......... ... ................... s BUILDING p .PT. = sw�vsrAsra. • o� . ! .. MASIL + Permit Fee..... ..... .. .............Ot�ea Fee........................ MIS !TA� ee Paid_ .................... .................................... . ...... T � �AFIN jTLit TOWN OF BARNSTABLE Permit .....................on.�.tl�I/&'....^ BUILDING PERMIT _ Map.......................................Pw=L...................» ................. APPLICATION Section I Owner's Information and Project Location Project Address 11,2 9 L i I()," ' S village Owners Name �9-r��C K i--� �1 0 �3 Owners Legal Address C' t t KS State Zip �� � � � 1- - u &mail er-�i e C(, o mCc� C� Owners Cell# 61 � ��/ z Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Struct=under 35,000 cubic feet Single/Two Family Dwelling Section 3—Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure . ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alamo Rebuild ❑ Deck " ` Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool D Insulation Other—Specify . Section 4-Work Description ���a9 �� G✓�s�vS Cv�/Li � ���� ro T act nmdaft d&n=1 9 ------------ Application Number.................................................... Section 5—Detail Cost of Proposed Construction L 15O Vn Square Footage of Project 3 , '700 S Q Age of St ucture `. . . Dig Safe Number i - # Of Bedrooms Existing ? Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas .❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply Public ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �i y)G. I an using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section S—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard_ Required Proposed Rear Yard . Required Proposed + Side Yard Required . Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last=date&2/9201 S --------------- ApplicationNumber............................................ Section 9—.Construction Supervisor Name Telephone Number Address City State Zip . License Number License Type Expiration Date Contractors Email Cell# 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 documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section-10 —Home Improvement Contractor Name Telephone Number Address City State Tip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CUR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your EUC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: r..4Q..Ccin Telephone Number r I'_j- Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts ding C . I understand the construction inspection procedures,specific inspections and documentation 0 the To of Barnstable. Si Date MPLIC A NT SIGNATURE Signature Date tO. !, . 12 Print Name C21 P�o C-Q 1ZL,o NO 3 P—- Telephone Number - E-mail permit to: C1f/U,94e 601 T nIn MAI0 Section 12—Department Sign-Offs Health Department ® Zoning Board(if required ❑ Historic District ❑ Site Plan Review(if req red) ❑ Fire Department ❑ Conservation For commercial work;please take your plans directly to the fire deparbnent for approvab Section 13—Owner's Authorization L , as Owner of the-subject property hereby 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 i Print Name Last=&dcd:2/92018 Town of Barnstable Building n Post This Ca"rd„So That it is Visible From the,Street-Approved Plans Must be Retained'on Job and this Card Must be Kept " Posted UntihFinal Inspection Has Been Made :, Permit `1 1. Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-2544 Applicant Name: NOBRE,GIANCARLO Approvals Date Issued: 68/21/2019 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 02/21/2020 Foundation: Location: 429 CAP'N LIJAH'S ROAD,CENTERVILLE Map/Lot. 194-026-003 Zoning District: RC Sheathing: Owner on Record: NOBRE,GIANCARLO Contractor Name: :, Framing: 1 p Address: 46 TANBARK ROAD Contractor License: 2 MARSTONS MILLS, MA 02648 �A Est. Project Cost: $28,000.00 Chimney: Description: Building Walls around foundation adding movie theater;office and Permit Fee: $ 192.80 bathroom Insulation: fee Paid: $ 192.80 Project Review Req: FINISH BASEMENT FOR NEW HOME(PERMIT B 18 3509). NO Date 8/21/2019 Final: SLEEPING IN BASEMENT. . jrl J Plumbing/Gas i Rough.Plumbing: -.. `.e 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�-ssuance. All work authorized by this permit shall conform to the approved application and_the:approved construction documents16r'which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures`shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or:road and shall be maintained open for public inspection for the entire duration of the Final Gas work until the completion of the same. pi Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call inspections Required for All Construction Work: Service: 1.Foundation or Footing s ` 2.Sheathing Inspection Rough: r. - 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 Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. ' '"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 Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT final: The Commonwealth of Massachusetts Department of IndusftWAccidenty Office of Invesdgations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaas/Plumbers Applicant Information Please Print Legibly Name(Business/orgmizadon/Individual): I�Cok� Address: 7,t7 )V&f� City/State/Zip: Phone#• Are you an employer?Check the appropriate ox: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached shy 7. ❑Remodeling ship and have no employees These sub-contractors have g. F1 Demolition working for me in any capacity.acitY• employees and have workers' 9. El Building addition [No workers' comp.insurance comp.incinan�t r 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ e4 ed.] officers have exercised their' 11. Plumb' airs or additions I am a homeowner doing all work � �I'eP 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 requirred-]. *Any applicant that checks box#1 must also fill out the section below showing their worker'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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-contfactms have employees,they must provide their worker;'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). . Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of an Investigations of the DIA for filmuce coverage verification. I do hereby certify PthepamsApenaldes of that the information provided above is true and correct Si store: d Date: Phone#: Fr Official use only. Do not write in this area,to be complded 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.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 permWhcense 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 Aecidents fi€ce of vavestigataons 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSAM Revised 4-24-07 Fax#617-727-7749 vww;m►m.govfdia ACORN Clientili DATE Tu CERTIFICATE OF LIABILITY INSURANCE 10/23/2019 THIS CERTIFICATE IS�, SUE, AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES N'T A_ �,IRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. FICATE THIS CERTI OF I RANCE 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 endorsemen s. PRODUCER CONTACT GuilhermeCamossato PHONE (978)7269830 DISCOVERY INSURANCE AGENCY LLC' EMAIL_ guicdimovery@gmail.com 668 Main Street - ADDRESS:' HYANNIS,MA 02601 Phone:(508)771-4600.- Raphaeldiscovery@gmail.com - INSURERS)AFFORDING COVERAGE NAIC INSURED INSURER A:UDW AT LLOYDS LONDON INSURER B:ARBELLA INSURANCE FEI CONSTRUCTION INC INSURER C:ACE Property and Casualty Ins Co 110 ZENO CROCKER ROAD INSURER D:ACE AMERICAN INSURANCE COMPANY CENTERVILLE,MA 02632 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 TALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA ADDU SUBRTYPE OF INSURANCE NSWVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY UMI75 GENERAL LIABILITY .. EACH OCCURRENCE . $ 1.000.000,00 DAMAGE TO RENTED - COMMERCIAL GENERAL LIABILITY PREMISES(Es muree;e) $ 100.000,OD CWMS-MADE I% I OCCUR - MED ExP(Myene person) $ S.00O,00 ATR/A/14349 9/17/2018 9/17/2019 PERSONAL a ADV INJURY $ 1.000.000,00 GENERAL AGGREGATE $ 2.000.000,00 GENL AGGREGATE LIMIT APPLIES PER: / PRODUCTS-COMPIOP AGO $ 1.000.00o,00 1 ,1 V)( POLICY FJ PROJECT LOc B AuTOMOBILE LIABILITY (Ee COMBINED SINGLE UMR eoriaert) ANY AUTO BODILY INJURY(Per paean) $ 20.000,00 ALL OWNEDNED scx6DULEoAUT 8HC 737220 08/08/2018 08/08/2019 BODILY IN—I-sod-) $ So.ODo,00 NONaWNED - PROPERTY DAMAGE MREOAUTOS AUTOS (PIT accident) $ 250.000,00 C X UMBRELLAUAB X OCCUR _ EACH OCCURRENCE $ 1.000.000,01) ExcEssuAe cwMSMAOE UMBMAF146229621 9/17/2018 9/17/2019 AGGREGATE $ 1.000.0oo,00 DED RETENTION$ D WORKERBCOMPENSATION YIN WCSTATUTORY OTH AND EMPLOYERS'LIABILITY LIMBS ER. ANY PROPRIETORIPARTNER/EKECUTIVE ENEL EACH ACCIDENT OFFICERIMEMBER EXCLUDED? NIA NIA 6S62U87H699465 09/08/201fl 09/0.8/2019 $ 1.000.000,00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1.000.000,00 d yes,d—&iu fe DESCRIP71ON OF OPERATIONS beau E.L.DISEASE-POLICY LIMIT $ 1.000.000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,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 daims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate ofinsurance 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 certificale of insurance).The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwdAvorkerscompensationhnvestigations/ General Liability for_regular and usual jobs. .Job address:429 Cap nLitah's Rd-CENTERVILLE MA 02fi92 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE IT IS THE CUSTOMER'S RESPONSABILITY TO INFORME ANY TOWN:OF BARNSTABLE CHANGES OR CANCELATIONS. GUILHERME CAMOSSATO 1,If 1 ®1988-2010 ACORD CORPORATION.All rights reserved. c Application Number............ -� �.. ..�.�...... MASS. 63. ' P� Cj Permit Fee.......................................Other Fee........................ Total Fee Paid..............:..... TOWN OF BARNSTABLE Permit Approval by...... On..., �? 1/..4......... BUILDING PERMIT iq y Pp_ OayMap........................................Parcel.... .............................. APPLICATION Section 1 — Owner's Information and Project Location - Project Address_ <:.d lAe' ,� Village Owners Name_ Owners Legal Address_ State /�,� Zip Owners Cell# :�. E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet Commercial Structure under 35,000 cubic,feet ❑ Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description ' a VAV A T e o.,..A.+.A• 1 1/1 QPNN Q. e ' Application Number..................................................... Section 5—Detail Cost of Proposed Construction_ ` � Square Footage of Project Age of Structure A/�1it/ Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone-Compliance Method E MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom i Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last undated: 11/15/2018 Application Number........................................... Section 9- Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell #. 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 documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip 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 Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number `W. 310- Cell or Work Number 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 documentation required by and th own of Barnstable. Signature Date 6,7F l APPLICANT SIGNATURE Signature Date Print.Name �14Y(5G, Z /VOi.1/LC Telephone Number �S�S E-mail permit to: ��(/Oi3i? C �! ��• ��O�j Last undated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application Bon (Address of job) lgnature -Owner. date Print Name 1. Last updated: 11/15/2018 Town of Barnstable Bulldin g , r ,n Post`This"Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept Q � . � "" Posted Until Final Inspection Has Been Made. Pey.nllt `l1 11i1 ` Where a Certificate,of Occupancy is Required,such Buildingshall Not be occupied until'a Final Inspection has been made. Permit NO. B-19-2616 Applicant Name: MARCOS DASILVA Approvals Date Issued: 09/03/2019 Current Use: Structure Permit Type: Building-Pool-Inground Expiration Date: °03/03/2020 Foundation: q/G Location: 429CAP_'N LIJAH'S ROAD,CENTERVILLE Map/Lot: 194-026-003 Zoning District: RC Sheathing: Owner on Record: NOBRE,GIANCARLO Contractor Name.: MARCOS DASILVA Framing: 1 Address: 46 TANBARK ROAD Contractor License: 186520 2 MARSTONS MILLS, MA 02648 1 , Est. Project Cost: $30,000.00 Chimney: i Description: INGROUND SWIMMING POOL 18'X36' HEATERD POOL FENCE DOOR Permit Fee: $ 175.00 'ALARMS'° f Insulation: Fee Paid:f $ 175.00 ) Final; Project Review Req: DOOR ALARMS OR AUTO COVER REQUIRED AS SUBMITTED. .; Dates 9/3/2019 z, 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. All work authorized by this permit shall conform to the approved application and,the'approved construction documents for"which this permit has been granted: Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws"and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for,_public inspection for the entire duration of the Final Gas work until the completion of the same. ) ~ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this,p rmit. Minimum of Five Call Inspections Required for All Construction Work: Service.: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: ' "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 r ZUCO Application Number .... ...... ' .E. �Ep� g G Pen nit Fee .. ...Other Fee . ...... ...... A .. G.13 2019 Total Fee Paid .................................. ..... E 6� TOWN ABLE Permit Approval by... . 3 5 ..... ...........on.. ....�i ...... BUILDING PERWT C� � �.. .. ......:Pare:.... C?. ... . APPLICATION , s , Section I - Owner's Information and Project Location Project Address 14 Z ti (GA-�'.ji.! �,TE!a 's Village CC�N 45P_V% Owners Name 6 pAN C"1,7 NO 13 Own g Owners Legal Address City State Zip Owners Cell# E-mail Section 2-Use of Stractare Use Group ❑ Commercial Structure over 35,000 cubic feet El Commercial?Structareyunder 3.5,000 cubic feet El Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System. ❑ Addition ❑ Retaining wall ® Solar ❑ Renovation Pool ❑ Insulation Other—Specify Section 4 -Work Description T Act nndated:2192019 Application Number..................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project Age of Structure . Dig Safe Number # Of Bedrooms Existing 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 ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply 1 Public Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes 0 No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) 5 Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required 1 Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Lasr,maatna 2/9r2019 Application Number........................................... . Section 9 _Construction Supervisor Name Telephone Number Address City State Zip License Number License.Type. Expiration Date Contractors Email Cell# I understand my responsibiliti°esutider 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 documentation required by 780 CMR and the Town of Bamstable.Attach a copy:of your license. Signature Date Section-10 —Home Improvement Contractor Name �U�S -DJ �� Telephone Number ��ON "2 LLf G 'S 411 Address Wr-) 44 City ) v i S State Zip ' D Z 6:1 0 1 Registration Number 'Expiration Date Z•rJ I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachi etts State Building Code. I understand the construction inspection procedures,specific inspections and documentation recli Town of Bamstable.Attach a-c� opy of your ILLC... jpature� Date—�g f Section 11 Home Owners License Exemption Home Owners Name. Telephone Number Cell or Work Number 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 documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date Print Name 'DP, S�,y Telephone Number 501 - z 1 G -V 611-+ E-mail permit to: 1YOS S -r i . T e..F.....i.w-a.11rnnnt0 Section 12-Department Sign-Offs ' Health Department -' ❑ Zoning Board(if required)' ❑ IFistoric District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization ' I, X :J13/ as Owner of the-subject property hereby authorize V/A to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of j ob) Signature of er` date Print Name i i Last updated:2/9C2018 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street' - Boston,MA 02111 www.mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: LIDr.1 o City/State/Zip: O%5 07—LD 1 Phone#: 501 2 L4(v - 06„4-6 Are you an employer?Check the appropriate bow Type of project(required): 1.❑ I am a emp to er with 4. 0 I am a general contractor and I Y employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.X 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 an c aci employees and have workers' Y aP tY• 9. ❑Building addition [No workers'comp.insurance comp.insurance. # required.]' 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L.[]Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §I(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *My applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they'are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state Whether or notthose entities have employees, if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address:. ' City/StateiZip: 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 e. 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 under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: .- Phone#• 5®� �14(0 ®�o . Official use only. Do not write in this area,to be completed by city or town of cciaL 0 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pursuant to this statute,an ertrpinyee`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,constriction or repair work on such dwelling house or on the grounds or budding 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( )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 resented to the contractor authority." f this chapter have been g requirements o ap presented Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone nvmber(s)along with their certificates)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 permitllicense 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 firiure 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 eto.)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. h 6ommcawealth of Massachusetts L?gwtmeat of Tndastrlal AecAde is Office of Investigations / 600 Washington Sleet Boston,MA R111 1 TeL#617-727-4900 ext 406 or 1-977-MASSAFE Fax#611-727-7749 Revised 4-24-07 w-m= gov/dia Office of Consumer Affairs and Business Regulation 1000 Washingtgn Street- Suite 710 Boston, Maa> husetts 02118 Home Improvement` "ntractor Registration / P Type: Individual i M Registration: 186520 MARCOS DASILVA a:v _..� Expiration: 11/27/2020 141 WAYLAND RD HYANNIS,MA 02601 } x ` SCA t Update Address and Return Card. A 20M-OS/17 �srvnarrrcea�l�tt�,/l�a<iJa�/ui7ef�1 _.,.... Office of Consumer Affairs&BusinessAegulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYP# individual before the expiration date. If found return to: F3estratlai3;'n.; Expiration ation Office of Consumer Affairs and Business Regulation 8 -= ,11/27/2020 1000 Washington Street-Suite 710 . 6.- MARCOS DASI4'.f3, - ., ,f Boston,MA 02118 MARCOS DASILVA;,_';- ';v t 141 WAYLAND RD "':i' HYANNIS,MA 02601 Undersecretary Not valid without Signature loom .+`. - ?{emu 4 �T,,w.."+�_h.�r0�• .. .o s�4E##`b��&Fwa,���°,t#i>ssv�ac�a5 „A + ' ; a"`�. 'a w,yi�. vM � . � � n� ��� �+;'�• ,. .,> �. d �1f�'a$4�fy�Eh frfQc��r�4�j.,r��� h5�' �� �5"�t�� 6 �� � .. ass ,�,�. - >awr� r...• '.ax^x'' s 1,.r a �` Yys i ?tiai l Y¢ 4s����, ; 4 ," 9's,� R4 "`,r �a� as��+�"d�r " ��� "a.•�Sk�sty '?�, �,_rm'� > i.'"+�'�"-'�7^ �s'�.' "'�`r��s»*s;5""''�' W�"S�j�. AMNp 40. r i ��✓ J l 5• d�ik i �. 1 °ca a 4 yak 'd ', k ' "t: ✓ '' p .� "" t P $ r MM f� 1r!y`iyyp{•.1. r ow r8a}rdr�y,a,�bnrk 6fE 4i 4� r�g{I - a 7 w, �.+"a y� -a MIN 'ON jyy �jlk'�.� WIN '�Pay.�y�'Sil• • !$� � T1pwY�T `"A f/-j�Ri '�d'if *'F�`ib 5} -p;Ijp1J�i :: 3"-w b..•} Y, t ix in6f 3 `#' - M115�, °p,`1 ! +t� `4fTjw p � r 'i ` � ?�" � 3. 5 • ' R. a ✓' t. Rtfa; .,tw r 36' 90 DEGREE EF INSIDE CORNER A CF 4 8 8 8 STAIR 1B -7 4' 5'-8" 8 18' 2 8 10' 40'-3" 40�� 2 DEEP DEEP 4' 6' 14' 12' 8 8 41 C F 4 C 8 8 or 8 8 CF CF--90° CORNER FILLER 4"CONCRETE DECK COPING ECOLLAR 318"0 BOLTS _ a Nuns EA. 1 51 1 1 084 THIS POOL CONFORMS TO CUSTOMER SIGNATURE REQUIRED DATE PANEL END FILE NUMBER: APSP/ANSMCC-5 2011 STANDARDS I A-FRAME BRACE FOR RESIDENTIAL INGROUND Perimeter: 108'-0" VINYL LINER SWIMMING POOLS HORIZONTAL DEALERBRACE Surface Area : 648.00 SQ FT 33 Wade Rd. tmpe�'al NAME:2"POOL Latham,NY 12110 BorroM Volume : ---- POOLS CUSTOMER ---- DRAWN 518-786-1200 NAME DRAWN nvonk n/a fax:518-786-0954 L—2'-6"OVERDIG—J BY 1 1 GENERAL NOTES: 1) POOL CLEARANCES TO BUILDINGS AND PROPERTY LINES SHALL BE IN ACCORDANCE WITH LOCAL AND STATE REQUIREMENTS. 2) THIS PLAN DOES NOT INCLUDE POOL LOCATION ON PROPERTY,GRADING, FENCING,WALLS OR OTHER SITE INFORMATION.... 3) ALL CONSTRUCTION SHALL BE DONE IN ACCORDANCE WITH ALL LOCAL AND STATE REGULATIONS. 4) CONTRACTOR SHALL VERIFY BURIED UTILITIES WITHIN SURROUNDS OF INSTALLATION AREA. ANSI/NSPI—TYPE 0 POOL NON DIVING POOL COMPLIES TO NSPI-5 ADDITIONAL NOTE IF POOL IS FURNISHED WITH DRAINS OR SUBMERGED SUCTION OUTLETS, THAN COMPLIANCE TO THE VIRGINIA GRAEME BAKER POOL AND SAFETY ACT IS REQUIRED: DRAIN COVERS ASME Al 12.19.8 2007 AT 3'-0"MIN APART AND I ENTRAPMENT AVOIDANCE MUST BE INSTALLED. CODE COMPLIANCE A. MASSACHUSETTS COMMONWEALTH OF THE MASSACHUSETTS BUILDING CODE 780 CMR(9 b ED.) INTERNATIONAL RESIDENTIAL CODE -2015 INTERNATIONAL SWIMMING POOL&SPA CODE -2015 B. ELECTRICAL&PLUMBING THE CONSTRUCTION AND INSTALLATION OF ELECTRIC WIRING,GROUNDING AND BONDING,AND EQUIPMENT ARE SUBJECT TO THE STATE CODE AND TO THE CURRENT ADOPTED NATIONAL ELECTRIC CODE REQUIREMENTS. ALL PLUMBING MUST COMPLY WITH THE CURRENT ADOPTED STATE CODE. James A.Marx,Jr. MA Professional Engineer Lic. 36365 �N OF MAS& , MARX.dR �l� Barnstable Bldg.Dept. �6365 NO• Appiwed by: Permit Insu,lation This form must be filled out and posted to"comply with,building code requirements. Meets IRC Sections N1101.3, N1101.41, and N1101.8 requirements. The following spray polyurethane foam products) hasthave been installed: [� BaysealTm OC Open-Cell Spray Foam Insulation [ j BaysealTm CC X Closed-Cell Spray Foam Insulation [ ] BaysealTm CC XP Closed-Cel.1 Spray Foam Insulation Consult International Building Code, Chapter 26=Plastic and.International Residential Code (I RC) R314 Foam Plastics for specific requirements. The spray polyurethane foam insulation system(s) has/have been installed in accordance with manufacturer's processing guidelines to provide a thermal resistance of: Area Insulated Aged R-Value Thickness* Attic Area R- At inches Sloped Ceilings R-_ LZ At inches -- Walls (Location): R- At inches Walls (Location): R- At inches Floors (over an unheated crawl space) R- _ At inches Crawl Space Perimeter R- At inches -- Basement Exterior Walls R- Z At inches Other (Location): (_-;7rP, YdA wT ' f R- At inches *Nominal thicknesses are representative of field,spray-applied foam material Jobsite Address: L (; ) ri Date of Insulation: $ 2.2 / Building Contractor: 'ck, 0 Insulation Contractor: P._S Insulation Contractor Phone: �- Installed By: c Cc INSULATION CERTIFICATE-DO NOT REMOVE -Please Post Near Electrical Panel 2400 Spring Stuebner Rd Spy TX 1.800.2213626 Tel 281.350.9000 Fax 281.288.6450 ivi%,w.spfbavermaterialscience.com - t ❑❑ HOME . B U I L D I N G P E R F O R. M A N C E T E S T I N G Duct Leakage Report 429 Capt'n Lijah's Road Test Mode Centerville Pressurization Test Pressure 07/25/2019 25.0 Pascals Braga Brothers Testing Equipment ,t 2015 IECC Energy Code Minneapolis a �,: C am tV Total CFM@25 or Total Duct Leakage Percentage 134.00 0.03 Total Square Footage 5228.00 Maximum Allowable Leakage 209.12 H_ VAC Duct Test Location S ft Served Ring CFM 25 n Gauge Duct Leakage Unconditioned 2681 C 51 �zq . 0.02 Attic PIm/. P3 f 180 STATE ROAD SUITE 2U SAGAMORE BEACH,MA 02562-(508)833-3100 ENERGYCODEHELP.COM-INFO@ENERGYCODEHELP.COM powered bygoconvos www.gocanvas.com F83A488E-C844-4139-BA9F-BB5DA7D5327D ❑❑00 HOME B U I LDI N G -PERFORMANCE T E S T I N G Location S ft Served Ring CFM 25 Gauge Duct Leakage % Unconditioned 2547 C 83 rzgcti 0.03 Basement t 180 STATE ROAD SUITE 2U SAGAMORE BEACH,MA 02562-(508)833-3100-ENERGYCODEHELP.COM-INFO@ENERGYCODEHELP.COM powered bygoconvos www.gocanvas.com F83A488E-C844-4139-BA9F-BB5DA7D5327D Town of Barnstable �fi 200 Main Street, Hyannis MA 02601 508-862-4038 - tom. Application for Building Permit ' Application No: TB-19-2251 Date Recieved: 7/11/2019 Job Location: 429 CAP'N LIJAH'S ROAD,CENTERVILLE Permit For: Building-Sheet Metal-Residential Contractor's Name: BRAGA ALEX B State Lic. No: 6717 Address: 2 MOUNTWOOD RD, MARSTONS MILLS, Applicant Phone: (608) 827-2690 MA 02648 (Home)Owner's Name: NOBRE,GIANCARLO Phone: (Home)Owner's Address: 46 TANBARK ROAD, MARSTONS MILLS,MA 02648 Work Description: Supply and install two 60k;BTU furnaces with 3 ton of cooling each to serve whole house with heating and cooling. Total Value Of Work To Be Performed: $0.00 Structure Size: 0.00 0.00 0.00" Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code;ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: BRAGA ALEX B 7/11/2019 (508)827-2690 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost: $0.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $85.00 7/11/2019 $85.00 4288 1 Check ........................................-............._......__...._.__...._.__.............__.._......._.................._._.....:_...__....i.......................................................................... Total Permit Fee Paid: .$85.00 50 OR- -Pffl- MENU Town of Barnstable �_ n Building • PostThis Card S�oThat tt�s Visible From.the Street A roved Plans:Must be Retained on lob and,#his CardMust bey Kepis � : �ARNNS'!•Kt3L& ' � ,,, �, .,� "' � �"�` � ��,1 .�", � ,,,�� �" p P, � `�� �� f� � �'� r ,,... '� ems,.:WAS& 16)9. aWPohs'�eta.e r<ed aaU nCteirlt-Ffiincaalt eIn`ospf eOcctciou n.,aHnaes Bise eRne Mu,a.trdeed su-c h�Bux.ildm.g. ..shall�Not�,be>O,ccup�edpu.n#il a Final In spectio�n�has beenmade Permit l t Permit No. B-19-2251 Applicant Name: 'BRAGAALEX B Approvals Date Issued: 07/11/2019 Current Use: Structure. Permit Type: Building-Sheet Metal-Residential Expiration Date: 01/11/2020 Foundation: Location- 429 CAP'N LIJAH'S ROAD,CENTERVILLE Map/Lot: 194-026-003 Zoning District: RC Sheathing: '« Owner on Record: NOBRE,GIANCARLO Contractor Name --.BRAGA ALEX B Framing: 1 Address: 46 TANBARK ROAD n ' Contractor License 6717 2 :,.zk 3. 4, A MARSTONS MILLS, MA 02648 y Est, Protect Cost: $0.00 Chimney: Description: Supply and install two 60k BTU furnaces with 3 ton&E,6ol ng each Permit Fee: $85.00 Insulation: to serve whole house with heating and cooling Fee Paid = $85.00 Project Review Req: zITN Date 7/11/2019 Final Plumbing/Gas �F Rough Plumbing: a„ <>�� i� Ill U111cial This permit shall be deemed abandoned and invalid unless the work authonzed'by this permit is commenced within six months after ullu Final Plumbing: 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 steuctur shall be in compliance with the local zonirttby laws*arid codes. Rough Gas: This permit shall be displayed in a location clearly visible from access str'eet or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Final Gas:- The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are,provide`d on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:a N 1.Foundation or Footing `£ Service: 2.SheathingIns Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed T - 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "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 . Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: t Commonwealth of Massachusetts .P. � rmit 0 . Date: 06/14/2019 Permit# 9UL �- 12019 /� Estimated Job Cost: $ � E Permit Fee: $ 0✓ Plans Submitted: YES F o t Plans Reviewed: YES FI NO❑ Business License# 612 Applicant License# 6717 Business Information: Property Owner/Job Location Information: Name: Braga Brothers, Inc. Name: Giancarlo Nobre Street: 110 Breeds Hill Road, Unit 5 Street: 429 Cap'n Lijah's City/Town: Hyannis City/Town: Centerville Telephone: (508) 827-4260 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES 1r L NO❑ staff I- 1 J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Il Multi-family ❑ Condo/Townhouses❑ Other Commercial: Office F] Retail F-1 Industrial❑ Educational❑ Institutional F] Other F Square Footage: under 10,000 sq. ft. W1 over 10,000 sq. ft.❑ Number of Stories: 3 Sheet metal work to be completed: New.Work:II Renovation: I I HVAC II Metal Watershed Roofing Kitchen Exhaust System II Metal Chimney/Vents❑ Air Balancing D Provide detailed description of work to be done: Supply and install two 60k BTU furnaces with 3 ton of cooling each to serve whole house.with heating and cooling. } INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes❑� No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liability insurance policy ✓❑ Other type of indemnity ® Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments 1 Final Inspection Date Comments Type of License: By aster Title ❑.Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted License Number: 6717 Fee$ ❑ Check at www.mass.gov/dpl Inspector Signature of Permit Approval �TME Town of Barnstable Building Department Services iKnea�e ' Brian Florence,CBO M�.,� Building Commissioner 200 Main Street,Hyannis,MA 02601, www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, L7 A&C.� Z A10/3i ,as Owner of the subject property hereby authorize (9i � to act on my behalf, in all matters relative to work authorized by this building permit application for: 429 Cap'n Lijah's Road-Centerville, MA 02632 (Address of job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is ins e d all final inspections are performed and accepted. 4igpna� Owner Signature of Applicant' (�Y'IAZ6�Wk A42W Print Name Print Name 06.14.2019 Date Q:FORMS:O WNERPERMISSIONPOOLS Rev:08/16/17 ACO 03/04/04/2019 CERTIFICATE OF LIABILITY INSURANCE DATE / ' 019 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 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- Gabriel DeSouza NAME: Murray&MacDonald Insurance Services,Inc. AHON No Ext: (508)540-2400 IX No: (508)289-4111 550 MacArthur Blvd. E-MAIL abriel riskadvice.com ADDRESS: 9 ' INSURER(S)AFFORDING COVERAGE NAIC# Bourne MA 02532 INSURERA: Arbella Protection Insurance 41360 INSURED - INSURER B:- Braga Bros.Inc. INSURER C: 110 Breeds HIII Rd INSURER D: Unit 5 INSURER E Hyannis MA 02601 INSURER F: COVERAGES CERTIFICATE NUMBER: 19-20 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ' INSIR AUUL1bUtJK1 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICYNUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTEr- CLAIMS-MADE Fx_1 OCCUR �.. PREMISES(Ea occunence $ 5,0,000 MED EXP(Anyone person) $ 000 A 9520052704 03 03/01/2019 03/01/2020 PERSONALaADV INJURY $ 1,000,000 GEN'LAGGREGATELIMITAPPLIESPER: GENERALAGGREGATE $ 2,000,000 POLICY ❑PRI LOC - PRODUCTS-COMP/OPAGG $JECT . 2,000,000 OTHER: Contractors Comm $. AUTOMOBILE LIABILITY COMBINED-SINGLE LIMIT $ 1,000,000 Ea accident - - ANYAUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED 1020052173 03/01/2019 03/01/2020 BODILY INJURY(Per accident) $ AUTOS ONLY I AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Pare ccident Underinsured motorist BI s 100,000 UMBRELLALIAB - "r""""" 2,000,000 CCURRENCE $ A EXCESS LIAB HCLAIMS-MADE 4600065467 .03/01/2019 03/01/2020 AGGREGATE $ DED I X1 RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICERIMEMBER EXCLUDED? ❑ tJ/A 4220052770 03 03/01/2019 03/01/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 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 Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of IndustrialAccidents I Congress Street,Suite 100 t Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:General Businesses. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Business/Organization Name:Braga Brothers, Inc. Address:110 Breeds Hill Road, Unit 5 City/State/Zip:Hyannis/MA 02601 Phone#:(508)827-4260 Are you an employer?Check the appropriate box: Business Type(required): 1.0 I am a employer with 8 employees(full and/ 5. ❑Retail or part-time).* 6. E]RestaurantBar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp.insurance required] g• ❑Nop-profit 3.❑ We are a corporation and its officers have exercised 9. ❑Entertainment their right of exemption per c. 152,§1(4),and we have 10.❑Manufacturing no employees.[No workers'comp.insurance required]* I I.[I Health Care 4.❑ We are a non-profit organization,staffed by volunteers, with no employees. [No workers'comp.insurance req.] 12.0 Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that isproviding workers'compensation insurance for my employees. -Below is thepolicy information. Insurance CompanyName:Arbella Mutual Insurance/, Insurer's Address: `'�a+9 1L �N City/State/Zip: CWCN" , nl l} Oouo Policy#or Self-ins.Lic.#422005277 Expiration Date:03/01/2020 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$250.00 a day against the.violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for i co ge verification. . I do hereby cer ' ,u the i and enalties of perjury that the information provided above is true and correct. Signature: Date: 06. Phone#:(508)8274260 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Licensing Board 5.Selectmen's Office 6.Other Contact Person: Phone#: www.mass.gov/dia Fold,Then Detach Along All Perforations t _......_................................................................................._ ................... .. . .....'. .................................... COAA-II OaNW MA LTA 0 aMA55AGHrldSE S`........ i: " ap BOAR OF 2 ✓ SHE�TMETALW©RlCERS `ky BUST d uk Y / �IM�TQR'sYMILL--S;,1Va�-2- 48 jti ' '�•�°¢Q °i. pv I Rf...... ... - Fold,Then Detach Along All Perforations �O�dMQ�N �Y�LTF6 ..® MC9dSE ......;. ....... ...................... ............ ....... ............................... . © ® ® ® ® MOW #'IS HEET N{kTL 11VOrRK' ISSUES�7IiE-IF 'LOIMNG F.ICEN$E_-''I m MAST R40MRESTRIO�T V + ti f f �S�3 ir 1IiJjBREEDS�FII>.� HYAN-N- jq MA�02601�1$64 r i�W eke. �� 6717 Q$/28I2020 �`' {Xqr, 47' �-'�` "his � { �� '• � � ��� � r t z J r r r r om t�=�'..fWAY* �n c t_}•`s� �` s '+-c R* !Ad A SES ~ .d LlGENSEz y; ZZ i B Al ,' - `� MmiFFlPOitTy MM Page 1 Residential Heat Loss and Heat Gain Calculation 6/18/2019 In accordance with ACCA Manual J Report Prepared By: Braga Bros. Plumbing & Heating For: Giancarlo Nobre 429 Cap'n Lija's Centerville, MA Design Conditions: Cape Cod Indoor: Outdoor: Summer temperature: 75 Summer temperature: 90 Winter temperature: 72 Winter temperature: 0 Relative humidity: 55 Summer grains of moisture: 100 Daily temperature range: High Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Whole House 5,728.6 sq.ft. 60,373 10,237 70,610 134,004 ( 6 tons ) First Floor 34,722 5,059 39,781. 83,331 All Rooms 1,806 sq.ft. 34,722 5,059 39,781 83,331 Infiltration 3,270 3,909 7,179 23,665 -Tightness:Avg.; Winter ACH: .7 ; Summer ACH: .4 Duct 0 0 0 3,968 -Supply below 120; Enclosed in unheated space; R-6 People 5- 1,500 1,150 2,650 0 Miscellaneous 1,200 0 1,200 0 Floor 1,806.3 sq.ft. 0 0 0 20,288 -Over unheated basement; Hardwood or tile; No insulation N Wall 302.5 sq.ft. 370 0 370 1,960 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 37.5 sq.ft. 1,012 0 1,012 2,673 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. E Wall 181 sq.ft. 222 0 222 1,173 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 50 sq.ft. 4,250 0 4,250 3,564 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 25 sq.ft. 2,125 0 2,125 1,782 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Door 21 sq.ft. 157 0 157 832 -Wood; Hollow; No storm Page 2 Giancarlo Nobre 6/18/2019 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) Door(2) 42 sq.ft. 314 0 314 1,663 -Wood; Hollow; No storm Door(3) 21 sq.ft. 157 0 157 832 -Wood; Hollow; No storm S Wall 290 sq.ft. 355 0 355 1,879 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 50 sq.ft. 2,200 0 2,200 3,564 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. W Wall 135 sq.ft. 165 0 165 875 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 75 sq.ft. 6,375 0 6,375 5,346 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 25 sq.ft. 2,125 0 2,125 1,782 -Single pane; Wood frame; Clear glass - - No inside shading; Coating: None (clear glass); No outside shading. Glassdoor 84 sq.ft. 7,140 0 7,140 5,988 -Sliding glass door; Single pane; Wood or vinyl frame; Clear glass No inside shading; Coating: None(clear glass); No outside shading. Glassdoor(2) 21 sq.ft. 1,785 0 1,785 1,497 -Sliding glass door; Single pane; Wood or vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Basement 3,071 1,323 4,394 9,184 All Rooms 1,806 sq.ft. 3,071 1,323 4,394, 9,184 Infiltration 145 173 318 1,047 -Tightness:Avg.; Winter ACH: .7 ; Summer ACH: .4 People 5 1,500 1,150 2,650 0 Floor 1,806.3 sq.ft. 0 0 0 3,121 - Basement floor, 2'or more below grade; Concrete; Not applicable N Wall BelowGr 337 sq.ft. 0 0 0 . 888 - ICF, extends to 5' below grade; not applicable; R=_16 to R-18 Window 3 sq.ft. 81 0 81 214 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. E Wall BelowGr 331 sq.ft. 0 0 0 872 - ICF, extends to 5' below grade; not applicable;R-16 to R-18 Window 9 sq.ft. 765 0 765 642 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. S Wall BelowGr 331.5 sq.ft. . 0 0 0 874 - ICF, extends to 5' below grade; not applicable; R-16 to R-18 Window 4.5 sq.ft. 198 0 198 321 r Page 3 Giancarlo Nobre. 6/18/2019 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. W Wall BelowGr 335.5 sq.ft. 0 0 0 884 - ICF, extends to 5' below grade; not applicable; R-16 to R-18 Window 4.5 sq.ft. 382 0 382 321 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Second Floor 22,580 3,855 26,435 41,489 All Rooms 2,116 sq.ft. 22,580 3,855 26,435 41,489 Infiltration 1,686 2,015 3,701 12,199 -Tightness:Avg.; Winter ACH: .7 ; Summer ACH: .4 Duct 1,075 0 1,075 1,976 -Supply below 120; Exposed to outdoor ambient; R-8 People 8 2,400 1,840 4,240 0 Floor 2,116 sq.ft. 0 0 0 0 -Over conditioned space N Wall 284.5 sq.ft. 348 0 348 1,844 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 12.5 sq.ft. 338 0 338 891 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Window(2) 4 sq.ft. . 108 0 108 285 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(3) 25 sq.ft. 675 0 675 1,782 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Glassdoor 42 sq.ft. 1,134 0 1,134 2,994 -Sliding glass door; Single pane; Wood or vinyl frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. E Wall 243 sq.ft. 297 0 297 1,575 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 37.5 sq.ft. 3,188 0 3,188 2,673 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(2) 50 sq.ft. 4,250 0 4,250 3,564 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Window(3) 25 sq.ft. 2,125 0 2,125 1,782 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None(clear glass); No outside shading. Window(4) 12.5 sq.ft. 1,062 0 1,062 891 -Single pane; Wood frame; Clear glass - Page 4 Giancarlo Nobre 6/18/2019 Building Component Sensible Latent Total Total Gain Gain Heat Gain Heat Loss (BTUH) (BTUH) (BTUH) (BTUH) - No inside shading; Coating: None (clear glass); No outside shading. S Wall 343 sq.ft. 420 0 420 2,223 -Wood frame, with sheathing, siding or brick; R-11 3 1/2 in.; none Window 25 sq.ft. 1,100 0 1,100 1,782 -Single pane; Wood frame; Clear glass - No inside shading; Coating: None (clear glass); No outside shading. Ceiling 2,116 sq.ft. 2,374 0 2,374 5,028 - Under ventilated attic; R-30 (8-9 inch); Dark Whole House 5,728.6 sq.ft. 60,373 10,237 �170,610- 134,004 (6tons ) HVAC-Calc Residential 4.0 by HVAC Computer Systems Ltd. 888 736-1101 Load calculations are estimates only,actual loads may vary due to weather and construction differences. i lA'�1.(4.Y(ff`Z.✓N� _�/1(1 l�(�1 r T1Ft V' _ I .�•yy ®i f[I I�I Y • t � I !t ,IA L _ F71 1 IJ - I3oY I r �• � D aJ I'I'� �"_ - :, l 2, 4A -•�+a�!")'��i wr _/� I'I SA��QQ q'µ - - ' �• � 1 � v. I yrY}.t;r5^- L A..� f•]TJP,=J�l'..F F'T'•h�C i /y�-'';I ��fy1 I A I .. .. .7. r K 1 QA ,! � � 3• :a- '�' �P'tixj � J�s�t, A k i 'i"� J a 4, r } fw t a r" i e � � }. .� ^y�• '"} 1 a „ ' s ice. ' t . ' I jt. ,.•I:t s. �:z y t :•ti r zrn r4. a.4•'y'(}1 faYt - ti4 H I, _, ..I , _ r x r1 t�I� i -+'�' s �\� �,, ".J.,sitE..S• Tf{ r} , --.i ( 1. 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LriL.r , �..] r IIG��N`'e,,/z.� IL ,yL t --— , --_�-- .. .• ._- 1r l y r � `_ 'Y I YY ,�. � .,� n I LqSX9' / I �' `I.18�/,�.D. •4 7:/ I�.1 AK'y`i-h 71 _._. .. _r .,_T--:. : -.::,-:_...-�. ._ � � .___�..1�.� '! e� is•. I. a: 1 3:0 ,A:C. --�_ 47•0_ ..__�__3'.0- I `.9" ( i 3'b -• -_.4.�-.O `i'=:4;d= ' _ I .9:0� . _ ''� ', ti;�'e!I ��G f . 1 4�.9 CTIVI rt , cue —crvPW 44 I x The Commonwealth of Massachusetts Department of Industrial Accidents - ' -..........= Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name(Business/Organization/Individual): r7,,,4 NG' Address: e9� �2itli /Y /212� City/State/Zip: //G Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with am a general contractor and I employees(full and/or part-time).*,, have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Bung ad dition [No workers'comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.F]Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde a and pe !ties of perjlu7ry t at the information provided above is true and correct Si ature: Date. / Phone#: Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector. 6.Other Contact Person: Phone#: 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth.of Massachusetts Department,of Industrial Accidents Office of Investigations 600 Washington.Street Boston, MA 02111 Tel. ##617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 4-24-07 vvww.rnass.gav/dia f " 1lk 28482 P963 50335 l r]�-31-2014 a 01 a 26p QUITCLAIM DEED DSBB REALTY DEVELOPMENT, LLC of 39 Redwood Circle, Mashpee, MA 02649 for consideration paid in the amount of ONE HUNDRED SEVENTY-NINE THOUSAND AND 001100($179,000.00) DOLLARS grant to EDWARD JOSEPH LISEE alk/a EDWARD J. LISEE and JANICE BARBARA LISEE alk/a JANICE B. LISEE , as husband and wife, tenants by the entirety, of 6607 Hunter Trail Way, Frederick, MD 21702 with Quitclaim Covenants The land in the Town of Barnstable, County of Barnstable and Commonwealth of Massachusetts, being LOT 3 on a plan of land entitled "Plan of land in Centerville MA Prepared For Robert J. Bortolotti,, Tr& DSBB LLC Realty Trust Date: February 4, 2008 by Down Cape Engineering, Inc. Civil Engineers Land Surveyors 939 Main Street (Rte 6A) Yarmouthport, MA 02675", which plan is recorded with the Barnstable Registry of Deeds in Plan Book 625, Page 37. For title, see deeds recorded with Barnstable Registry of Deeds in Book 23860, Page 13, Book 20228, Page 20 and Book 22080, Page 1. Certificate of Good Standing recorded herewith. Property Address: Lot 3 Cap'n Lijah's Road,Centerville, MA 02632 MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 10-31-2014 8 01:26ae4 CtI': 835 Doc': 50335 Fee: $612.18 Cons: $1791000.00 BARNSTABLE COUNTY EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 10-31-2014 8 01:26am CtT 835 Doc': 50335 Fee: $483.30 Cons: $179Y000.00 al Bk 28482 Pg64 #50335 EXECUTED under seal this 31st day of October, 2014. DSBB Realty Development, LLC By: OetSert J. Bortolotti, Manager COMMONWEALTH OF MASSACHUSETTS Barnstable, ss: On this 315t day of October, 2014, before me, the undersigned notary public, personally appeared Robert J. Bortolotti, Manager, as above-stated, and proved to me through satisfactory evidence of identification, which was a MA driver's license, to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose on behalf of DSBB Realty Development, LLC. Notary ublic: Michele ` app My com ission expires:1 16 ; r n F ' f I Bk 28482 Pg65 #50335 { M y1 F ffa"aa&"e&&021cyly yam>rancu calms Secretary of the Commonwealth October 14,2014 TO WHOM IT MAY CONCERN: I hereby certify that a certificate of organization of a Limited Liability Company was filed in this office by DSBB REALTY DEVELOPMENT,LLC in accordance with the provisions of Massachusetts General Laws Chapter 156C on September p P 1,2005. I further certify that said Limited Liability Company has filed all annual reports due and paid all fees with respect to such reports; that said Limited Liability Company has not filed a certificate of cancellation or withdrawal; and that said Limited Liability Company is in good standing with this office. I also certify that the names of all managers listed in the most recent filing are: ROBERT BORTOLOTTI I further certify,the names of all persons authorized to execute documents filed with this office and listed in the most recent filing are: ROBERT BORTOLOTTT The names of all persons authorized to act with respect to real property listed in the most recent filing are: ROBERT BORTOLOTTI In testimony of which, I have hereunto affixed the Great Seal of the Commonwealth on the date first above written., Secretary of the Commonwealth Processed By:AOC BMISTABLE REGISTRY OF DENS BARNSTAt t E c©uNry REGISTRY OF DEEDS A TRUE COPY,ATTEST r E y JOHN F.MEADE,REGISTER ^ a 4 The Hanover Insurance Company 1440 Lincoln Street.Worcester,MA 01653 1-1 rover Citizens Insurance Company of America 160 West Grand River Avenue,Howell,MI 48843 �' InSurancC Group.. Massachusetts Bay Insurance Company 1440 Lincoln Street,Worcester,MA 01653 STREET PERMIT BOND License No. Bond No. BLND732228 KNOW ALL MEN BY THESE PRESENTS, that we, GIANCARLO NOBRE Of: 429 CAP'N LIJAHS ROAD CENTERVILLE MA 02632 , as Principal, and ® The Hanover Insurance Company (A New Hampshire Corporation) ❑Massachusetts Bay Insurance Company (A New Hampshire Corporation), as Surety, are held and firmly bound unto TOWN OF BARNSTABLE , as Obligee, in the penal sum of Five Thousand Dollars , good and lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, and our heirs, executors, administrators, jointly and severally, firmly by these presents. WHEREAS the said Principal has applied to said Obligee for a license to open, occupy, cross by vehicles and obstruct a certain portion of a public sidewalk/berm, curbing, street or way in said Town or City of CENALtrv-Ak,_ 1.4 Co,o,j 1.;, rAkf NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That if Principal shall faithfully observe and honestly comply with the provisions of all Laws or Ordinances of Obligee regulating the business for which license is issued, then this obligation shall be void; otherwise to be and remain in full force and virtue. PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and effect for the full period of the license, and renewals thereof; issued to the principal above named, or until ten days after receipt by the Obligee of a written notice signed by such Surety, or its authorized agent, stating that the liability of such Surety is thereby terminated and canceled; and provided further, that nothing herein shall affect any rights or liabilities which shall have accrued under this bond prior to the date of such termination. Signed, sealed and dated,the 23rd day of October 2018 1 GIANCARLO NOBRE Principal By: (Seal) ti.U�s�saourrr,, ® THE HANOVER INSURANCE COMPANY ❑ MASSACHUSETTS BAY IN A CE C PANY By: JOHN J M HEW Attorney-in-Fact i Bond Number BLND732228 THE HANOVER INSURANCE COMPANY J; MASSACHUSETTS BAY INSURANCE COMPANY CITIZENS INSURANCE COMPANY OF AMERICA POWER OF ATTORNEY THIS Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated. KNOW ALL PERSONS BY THESE PRESENTS: That THE HANOVER INSURANCE COMPANY and MASSACHUSETTS BAY INSURANCE COMPANY, both being corporations organized and existing under the laws of the State of New Hampshire, and CITIZENS INSURANCE COMPANY OF AMERICA, a corporation organized and existing under the laws of the State of Michigan,(hereinafter individually and collectively the"Company")does hereby constitute and appoint, JOHN J MCSHERA Of M.K. Lovelette Ins.,West Yarmouth,MA each individually, if there be more than one named,as its true and lawful attorney(s)-in-fact to sign, execute, seal,acknowledge and; deliver for,and on its behalf,and as its act and deed any place within the United States,any and all surety bonds,recognizances, undertakings,or other surety obligations.The execution of such surety bonds,recognizances,undertakings or surety obligations, in pursuance of these presents, shall be as binding upon the Company as if they had been duly signed by the president and attested by the secretary of the Company,in their own proper persons.Provided however,that this power of attorney limits the acts of those named herein;and they have no authority to bind the Company except in the manner stated and to the extent of any limitation stated below: Street Permit in the amount of: $5,000.00 That this power is made and executed pursuant to the authority of the following Resolutions passed by the Board of Directors of said Company, and said Resolutions remain in full force and effect: RESOLVED: That the President or any Vice President, in conjunction with any Vice President, be and they hereby are authorized and empowered to appoint Attorneys-in-fact of the Company,in its name and as it acts,to execute and acknowledge for and on its behalf as surety, any and all bonds,recognizances,contracts of indemnity,waivers of citation and all other writings obligatory in the nature thereof,with powerto attach thereto the seal of the Company.Any such writings so executed by such Attorneys-in-fact shall be binding upon the Company as if they had been duly executed and acknowledged by the regularly elected officers of the Company in their own proper persons. RESOLVED:That any and all Powers of Attorney and Certified Copies of such Powers of Attorney and certification in respect thereto,granted and executed by the President or Vice President in conjunction with any Vice President of the Company,shall be binding on the Company to the same extent as if all signatures therein were manually affixed,even though one or more of any such signatures thereon may be facsimile. (Adopted October 7, 1981 —The Hanover Insurance Company;Adopted April 14, 1982—Massachusetts Bay Insurance Company;Adopted September 7,2001—Citizens Insurance Company of America) IN WITNESS WHEREOF,THE HANOVER INSURANCE COMPANY,MASSACHUSETTS BAY INSURANCE COMPANY and CITIZENS INSURANCE COMPANY OF AMERICA have caused these presents to be sealed with their respective corporate seals,duly attested by two Vice Presidents,this 30th day of January, 2017. The Hanover Insurance Company The Hanover Insurance Company Massachusetts Bay Ins4ance Company s+""Pq Massachusetts Bay Insurance Company Citizens Insurance Company of America "Wk=,�j Citizens Insurance Company of America John C.Roche,Eti'P and President James H.Kav%zecki, Nrice President. i THE COMMONWEALTH OF MASSACHUSETTS ) COUNTY OF WORCESTER ) ss. On this 30th day of January, 2017 before me came the above named Vice Presidents of The Hanover Insurance Company, Massachusetts Bay Insurance Company and Citizens Insurance Company of America,to me personally known to be the individuals and officers described herein,and acknowledged that the seals affixed to the preceding instrument are the corporate seals of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,respectively,and that the said corporate seals and their signatures as officers were duly affixed and subscribed to said instrument by the authority and direction of said Corporations. DIANil J. MARINO (y Ha v )4aL( Y✓Gf/ Canrddpn la�M Diane J. a w,Ncxary Public. (' !sty C<,nuniasian Cxpims March 4.2022 I,the undersigned Vice President of The Hanover Insurance Company,Massachusetts Bay Insurance Company and Citizens Insurance Company of America,hereby certify that the above and foregoing is a full,true and correct copy of the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Powers of Attorney are still in force and effect. GIVEN under my hand and the seals of said Companies, at Worcester, Massachusetts,this 23rd day of October 2018 CERTIFIED COPY Theodore G.Martinez Vice President,- L DocuSign:Envelope ID:A6E72140-3F974A82-6144-E58EFD406139 STANDARDLAND dA35AC3ES):„_T$A330GATTOAf o iBAL3VR5' PURCHASE AND SALE:AGkEEMC T.l#3051 (lfh Con#rngenc3es) The parties make this Agreement this day of 9/14/2018 126 I4. eM PDT This Agreement supersedes and replaces all obligations.made in any prior Contract To Purchase or agreemsntfoe.sale entered into by the parties. 1. PartieS. Edward J.Lisee Janice B;Lisee "SELLER," agrees to sell and Gianaaria A. Nobre jinsert`Himeji the (insert �amej, the"BUYER," agreestQ buy, the premises described iri paragraph 2;or the terms set forth'below. BUYER.may require the conveyande to be made to another person or-entity t"Nominee?}upon notifcallbri In rVri#ing to SELLER at least five business days=prior to the date for performance set"forth in:paragraph 5 DesignaVo.h of,a Nominee stiall not -.discharge the BUYER from any,obligation under this Agreement and BUYER hereby agrees to guarantee performance by the"Nominee. 2. Descrintio,n Cif Prerrrnisg . The premises (the°"Premises, consist;of Iatid containing approximately acres, more or less, described-"as i129 CaWn Lilah's Load Centet;ale pia 02632 as more specifically'describedd in a;deed recorded to-the Barns able County Regis of Deeds at' Book 25482 T Page. 63 [Certificate No. choose oneJ attached. ],a'capy of which ] �_,`s n 3. Pura--hale_ rice. The purchase price for the premise's is $ 215,QOp 00 dollars of which 1.000 00 were paid as a deposit nrRh Contract To Purct'ase;and . 4 000.00 are,paid with this Agreement;and> 210,000 0p are to be paid at the tune for performance 6- bank cashier's or certified check or by uvlre $_. 2.16:000.00 Total' i .. or Ma. At torriey 6LTA check 4 Escrow• All funds deposited or.paid by the BUYER shall be held in a nnn-inferest.bearin Strawber HiN Rest EstateER -agen g esorovr account, by ect this Agreement and shall be paid or otherwise duty accounted for at the t me or for perfornce,subi)f a dispu#e arises . between tiie BUYER and:SELLER:concerning to whom:escrowed funds should be paid, the.escrow:agent.may retain all escrowed funds pending written instructions mutuatl agent shall abide by=any Court decision concerning to.whom thetfunds sELLER Th h 8 be pat and`:sha BUYER and"the H not be made a Part to a lawsuit solely'as a result of holding escrowed funds.Should.the escrow agent be made a party In'.violaflon of r this paragraph, the escrow agent shall be dismissed and the a pay the agent's reasonable:attorneys'fees:andcosts. p rty asserting a claim.aganst the;®scraw'agerit=shall. < r, 5. Time For Perforrrian e. ` The SELLEFZ shall deliver the deed and the BUYER shall pay the balance of the purchase.price at 2.00 .o'clock :F, m. on the 30th dayof ,October 2018 at the Office of Ca a Cod Title&E�,straw Regis#ry of Deeds;, or at such other tirne:and place as;ts mutt aAy agreed TIfv1E IS OF THE ESSENCE AS TO EACH PROVISION:OF TEAS AGREEmENT.. Unless the deed:::and other documents required by this Agreement are recorded at the-time for performance, all documents and funds ate to be.held in escrow, pending.prompt rundown of'the title and recording (or regis#ration in the:case; of registered. land). SELLER'S attorney"or other escrow agent may'tlisburse funds.after 500 p m:`of the Hex#business:day BUY-ER'S Initials: BUYER'$(r►itials'' BtlYER`S In ifials S ,LLERS Initials SE ER""5 rlitials SELLER'S fnitlals MASSFORMS'- stgtPWW$51=dard TWQ late eo,� O 1999,20m M2:2012 hifASSACHusETTs ASSOC1ATl�iV OF RFAI TORS®' Su'aerbCiT"FTiU RE:]6U W.�IAio Street It" 'tA 1G8.1 -.FOmt 5 ABRtF3r1'>STECHt. - Prowced with-4 on .'Fltone:(308)773.8602 Fax: PF bynPW9Nc'1&1TO FlRBeg fu$s.R4atl:Fri er.M' 4Zp Ca{r n U3ah's Bawd: DocuSign Envelope ID:A6E7214D-3F47-4A82-8144=E58EFD44B139. following the date for performance, provided that the recording attorney has-not reported a problem;ouWde the recording attomey's control. 6. Title/Plans. The SELLER shalt convey the,'Premises by`a.good and sufFicient;guitdaim,deed running to the BUYER or to the.BUYER'S nominee, conveying,good and clear record.and marketable.title to the Premises,free from liens and-encumbrances,except: (a)Real estate taxes assessed on the.Premises which,are'�n#yet;due ar+d payable; (b)Betterment assessments,if any,which are not a.recorded lien on the date of this Agreement; (c) Federal,state and local"laws, ordinances, bylaws, rules'and regulations regulating use of land,.Includmg building codes,zoriing bylaws, health and environmental laws; (d)Any easement, restriction or agreement,of record presently in force which does not rr terfere with tha,(easonable use of the Premises few as rresently used (e) Utility,easements in the adjoining ways, (9). i. (insert.)n(g).references to any other easement,resfrictian,!ease or encumbrance which may continue after title is:transferredj If the deed refers to a plan needed to be recorded with it, at the time for performance,the.SELLER shall deliver the Plan with the deed in proper form for recording or registration. 7: Title lnsqrangC BUYER'S obligations are contingent upon the av8I] N,ty (at normal premium `rates}.of an owner's-title insurance policy insuring BUYER'S<title to the premises without exceptions other:than the standard_ exclusions from coverage printed In the curront American Land Title Association (PAL golicy;cover,-the standard, printed exceptions contained in the ALTA form currently in use for,:survey,Matters;and real'estate taxes (which siyail only except real estate faxes not:yet due and payable) and those exeeptioris,permitted by paragraph 6 ofi;this Agreement. 8, Closing_Certif(cations and DQct�me U- The SELLER shall execute and deliver simultaneously with tfie delivery of the deed such certifications and documents as may customar►ly and reast�nably be required by`the BUYER'S attorney, BUYER'S lender, BUYER'S lender's attorney,or any tjtie,Iin corripany irtsunng the BUYER'S title to the Premises, including,without limitation, certifications and documents'relating to.,(a}parties:Possession of the Premises; (b) t€ a creation of.mechanics' or matenaimen's liens,�(c) the underlying firiancial terms of the purchase and.sale;'M the citizenship.and resid h of:SELLER; and (e) inforrrlatfon :required to perm -the closing agent to report the transaction to the Intemal'Revenus Ser lce. At:the time of delivery of the deed, the SELLER may use monies frorrr, the purchase.to clear the title, provided that.all documents .related thereto are recorded with the deed or within a reasonable'dine thereafter<acceptable to the BUYER and;provided further, that discharges of mortgages from` banks, credit unions, irt5urance companies and other institutional lenders .may be recorded within a reasonable birn6 :after recording of the deed in accordance with "usual conveyancing practices 'The SELLER'S spouse. 'hereby. agrees to:release ail' statutory, common aaw orother rights or interest In he Pre'raises and,to execute the deed, if necessary. 9. 'PossessianAnd Condition Of Plen!set At the time:for performance the Premises also spat!cornpI with,,tire requirements of_paragraph 6 and there shai(,be no outstanding notices of violation of any',zoning, health, environmental or other law, bylaw, code or regulation, except as agreed The BUYER shall have the.right to examine the Premises with€nfomy-eight (48}.•hours'poor:to•the.time for performance or such other:t€me as`may be agreed and upon reasonable notice to,SELLER fortl a purpose of determining corrtpliance"with,tl7ls paragraph., Bl1YER'S init€als BUYER'S initials BUYER'S€nit€4l5 SELLER'S Initials SE R`S nrtials SELLER'S Initials SWSF OR^" g�1999 2000,;2002;2t?12 MASSACf 1USELTS ASSDCIATIO sucecrtae sauanrarret estate Fosma: N OF REALTORSC9 .: Form No;605 Produced-,Mth zipForm18 by 4LoS#.18070 M46 Mee Rogd,Fm;4r,MiGltgan,-08028 syaiiv rt oa v ^m I DocuSign.;Envelope ID:ABE7214D-3F47-4A82-B144-E58EFD40B139 10. Extension Of Time For Perfor►riance, if the SELLER cannot convey title as.requlred:;,b}i this Agreement or cannot deliver possession of the Premises as.agreed, or if at, the time:of the delivery'of the deed the Premises do not conform with the requrements.set1orth in this Agreement,:upon written notice;given no later than the time for performance from:either party to the otharj the time far performs l;ce shall.be. automatically . extended for thirty (30) days, except that if-BUYER'S mortgage commitment expires or the terms will materially and adversely change in fewer than thirty (30) days;'the dine forperformance set forth'in paragraph 5 shalt be extended to one business day before, expiration of-the mortgage.commitment. SELILk'shafl use reasonable efforts to make title conform or.#o deliver possession as agreed,.or to.make the':Premises conform to the requirements: of this Agreement. Exciudin.g discharge of;mortgages.anti liens, about which the SELLER has actual knowledge at the time of signing.this:Agreeent, the.SELLER:shali riot be;requlred fo incur casts, or expenses totaling in excess of {� ) to make the title or the premises canforrrl or.to deliver'possession as agreed If at the expiration of the time for performance, or if there,has been an extension, at the expiration of the :time .for performance as extended,the SELLER,despite reasonable efforts ,Garino#make the title or Premisesconfar+n, as agreed, or cannot deliver possession, as,agreed, then;.at the:BUYER'S election, any payments made by the. BUYER pursuant to this Agreement shall be immediate) returned. Upon return:of,ail such funds, ail.obligatlons.of: the BUYER.and SELLER shall:terminate and this Agreement hall automat)cally'become voEd antl:neither the BUYER nor SELLER shall have further recourse or.remedy against the,other. 11. Acceptance of Deed. The BUYER shall have the right to accepfi such title to the Premises,as the SELt.ER'oan deliver at the time for performanae::and if extended; sha11 fiave.sU,ch right at the time for performance as extended The BUYER shall also Have the rtgit to accept t!i'e Premises°En the then current condition and to pay Elie purchase price With reduction of price. Upon notice in writing of BUYER'S decision to accept the Premises and tl0e; the SELLER shall convey title and deliver possession: Acceptance of a deed by the BUYER ar BUYER'S no -if any, shall constitute full performance by the SELLER•and;shall be deemed to release and diseharge;the 5ELi:ER from every duty and obligation set forth in.this Agreement, except any duty or obligation,o€th`e SELLER that the . SELLER has agreed to:perform after the,b me,far"perfonnance. Notwithstanding ttte foregoing„all warranties rrtade: by the SELLER shall survive delivery of the deed.. . 12.. justmenfs. At the time for performance of this Agreemerit.acijustments`sha(i ba made as of the date of performance for current real estate taxes. The net total of such adjustments shall'be added to or deducted fmm the purchase price payable by:the BUYER at the time for performance if the real estate tax rate or.assessrrient has not been established at the time for performance, apportionment of real estate taxes shall;be made;on.the bases of'fhe tax for the,,most recent tax year with.either party`having the right to request apportionment within twefve.nian#hs of the date that the amount of the current year!s'tax is established. 13: Acknowledgment of a`Aa ntte Broker The 'SELLER and BUYER aclazowledge that ':a fee. of Seventeen Thousand Two'Hundred xx/100 (_$17 200.00 )for professional services shall"be;palL by:the SELLERto StraWberry Hill Real Esta_te _ , ttie'"BR0KEW;atthe tiM6'for performance.ln;;the,event of a conflict between the>erms`of this'Agreement And:a prfor:fee.agreement with BROKER;:the terms of the prior fee agreement shall control unless BROKER has expressly agreed "to a-change ih writing. The BUYER and SELLER acknowledge receipt of a notice from'BROKER, pursuant to 254 of the Code of Massachusetts Regulations.Section 3.0 (13), regarding any agency relationship of the BROKER with the BUYER'and/or the SELLER:The BUYER and SELLERunderstand:that Genturv1 Cobb Eieal Estate jMSMnacrteJa real estate broker;;is seeking a feefist- of$8 600.00 4�/a from.Strawber Mill P_ (name of listing broker, seller ar buyer, rf applisabteJ for services rendered as a se{ i1t XI'6uyer's a�pent(ehoo"se oni The BUYER further represent7: .. warrants that:.there is no other broker with whom BUYER has:dealt in. connection with tine purchase:of the=Premises. 3' BUYER'S'initiais BUYER'S.Ir►itiats BUYER'S Initials R'S Iri al LER' initials SELa_ER'S,tnitlals A S lJ'R1Q 1988,2000;,2002,2012 MASSApHUSETrS A53oCIATION.OF F7FJ1LfORS® a Sratcwlde Stsadud Rtar relate PQrats . Form N0:505 Praduced with ilpPorm1�.bfbPL08.x 18D7DFlhaan'M'OeRoad.f2ser.{r1ichiW:46028 u+wrzi urmr�;, DocuSign Envelope IDa A6E7214D-3F47-4A82-B144-E58EFD40B139 14. Buyer*s Default. if the BUYER or i3tJYER'S nominee breaches this Agreement, all escrowed funds paid or deposited by the BUYER shall be paid.to the SELLER..as Iiquidated damages. Receipt of such payment,shah constitute the SELLER'S sole remedy, at law, :'[n equity or otherwise; for BUYER'S.Aefauit. The 'BUYER,and SELLER agree that in the eventt of default by the:BUYER the.amount of damages suffered by the SELLEWW' ill not be easy to ascertain with certainty and; therefore,.BUYER and 'SELLER agree`that tyre amount of the BUYER'S deposit represents a reasonable estimate of the damages-likely to be suffered. [{-- finene5Fig--l- lay nFid all ii lit 16.. TestslSurvev, (Delete if Walved)The BUYER'S obligations'urider this Agreement a,re.subject to BUYER'S right to obtain test(s), inspection(s) and„a survey of the Premises or any aspect thereof; including,: but not hmI#ed to,. percolation,.deep hole,,.septiclsewer, water quality,:and.water,.dra[nage;`by consultants)`regularly tnthe business of conducting said.test(s),,ipspectons and'surveys, of BUYER'S:own choosing; and at BUYER'S sole cost within days after SELLER'S acceptance: of this.' agreement.-::O. the resuits are not satisfactory to BUYER, in BUYER`S sole discretion,;BUYER shall have fhw tight tor give written notice received'by the SELLER or.SELLER'S agent by 5:00 p.m. on the calendar'day after,the date se#forth-above;'terrninatirtg this:agreer ant. Upon receipt of such notice this agreement shali be void and:all ironies deposited byrthe'BUYER skull be returned Failure to provide timely notice of termination.shall'constit'ute a waiver. In the event that Elie BUYER does not:exercise the right to have such test(s), inspections)and surveyor to so terminate, the SELLER and;.the lising broker are each released-from claims relating to the size suitability or condition of the Premises:that the BUYER or.the BUYEf2'S consultants could reasonably have discovered. 17. Warr riles And Reprentation,; The SELLER es further.represents.and warrants that SELLER has,fup` authority to enter into (his Agreement. The, BUYER acknowledges-,:that. BUYER has not relied upon :any warranties or representations other than,those incorporated in this Agreement,,except for the following additional warranties and.representa#ions, if any,made by either the SELLER ar:any:real-estate agen#':Nbcte jlf done,state"none 7fany listed,indicate by whore the waranfy.or rep'ressntatron.was iiia dej 19. tic All notices required+,r permitted'to be made under this Agreement shall be [n writing and delivered . In hand, sent by certified mail, return receipt requested or sent bji United:States Postat;Service;overnight Express Mail or other overnight delivery service,. addressed.to the BUYER or'SEL.LER,or their authorized.re tative. at the address set forth in this`paragr" oh .Sdch riotlee shaW be deemed to have been'given`upon delivery or, if sent by certified.mail o Ahe date of delivery set forth'in'the r6ceipt.or in the absence of.a.receipt three business days after deposited or, if sent by, overnight mail or delivery, the next business day after deposit with:the 4 � ; BUYER'S initials BUYER'S Initials BUYERS Initials SELLER'S initials SEL R S l itials SEi LER'.S fn[tlals 9999,2000,2002,2GU MASSACHUSE7TS ASSOCIATIQN OF REALTORS@ `. 9Eahw3de$pndaxd Real Falote Forms, Form i[o.505 �Produc6d with zip irorrrPd:bybpl-N 18070 i=atlaen We Road,Fro"r,rochtgop 48026 m—=x2L ix cum 429 Cyp u GRaMr DocuSign Envelope ID:A6E7214D3F47-4A82-B1447E58EF040B139 overnight mail or delivery service, whetheror not a signature Is'required Acceptance of.any notice, whether by delivery, or mail, shall be sufficient if accepted or signed;by a,person having express or'rnpiled authority to;receive same. Notice shall also be deemed adequate if given 111 any other,form permitted by law. :. BUYER: Giancarlo A. Nobre SELLER`:Edward°J.Lk, Janice B..Lisee . 96 Tanbark:Road 6607 Hunter Trail Way Marstons Mills.Ma. 02648 F.:Federick,MCY'Z1702=2986 19. Counterparts ! Electronic Delivery ! f Agreement, Alf documents related to this transaction may be delivered electronically; including by: encrypted email or.facsimile,:and;steal! have.'the same effect as delivery of an original. This Agreement shall be construed as a Massachuseft contract;;is to-take effect as a sealed instrument; sets forth the entire agreement between thepartie's;'is binding upon'and is'.intended to benefit the BUYER and SELLER.and each,of their,respective heirs, devisees .executors, administrators, successors°and assigns; and may be canceled, modified or amended only bY-a wntten-agreement executed by bofh the SELLER and the BUYER. If two or more persons are named as BUYER their obligatsons are laint.and several. i f lte SELLER or BUYER is a trust, corporation, limited liability company or entity whose representative'execues this Agreement in a representative or fiduciary capacity, only the principal or the trust or estate represented shaft be bowed, and neither the trustee; officer, shareholder or beneficiary shall be per-sonaIly liable for any obligation, :express or implied. The captions and,any notes are used only as a,natter. of Convenience and are.not to 6e considered a part of this Agreement and are not to be used in determining the intent of fhe partiss:;Any matter or practice which'has not been addressed in:this Agreement and which is the subject:c a Title Standard or,>Practice,Standard of'fhe Massachusetts Conveyancers Association at the time for performance shall be governed by the Standartls and Practices of the Massachusetts Conveyancers A.ssociatian. 20. .Additional Provisions, Subiea;t to Buyer obtaining a permit from the Town of Barnstable to build a five bedroom home prior to Glosin q See Addendum Aattached hereto and incorporated herein, UPON SIGNING,;THIS •DOCUMENT WILL BECOME A LEGALLY BINDING AGREEMENT. IF NOT UNDERSTOOD, SEEK ADVICE FROM AN ATTORNEY o«sc na ELER.Ed see d p ae BUYER40 q� Date S. orspouse Janice .Lisee Date BUYER Date SELLER;for spouse Date Escrow Agent. By signing below, the escrow ageinf agrees to a rm ' rd a t oes not otherwise become a.party, to this Agreement. S r erry Il eat Este Date BUYER'S Initials BUYERS Initials bUYER'S Initials SEL ER MASS��'/4i^t initials S&�.:,$ELIXR'S1nrtials .Statewide SUW_(l Red EStata Ftrcms ©'I944 2000,2002 2012 MASSACHUSETTS':ASSOCtATiQN OF:REAtTORS�, s: :. . Produce+!:.nth zl06m4 by xigo&.A8970 rifturl hide Road,rmser.fdicht3an 46026 viw :o - fan No.505 r�Rm f DocuSign Envelope ID:A6E72'l4D-3F47AA82-B144•E58EFD44B139 Addendum A To'PuWiME ANDSAt.AGREEMENT 1. This Addendum supersedes, modifte"s, amends and is:hereby, incorporated into the Standard Form Purchase and Sale Agreement between SELLER and;BUYER;in the'event of-any conflict between thls Addendum and'ahe said;Standard Form Purchase and Sale Agreement,the terms of thisAddenduiri shall control. 1 SELLER shall cooperate with the BUYER.by allowtng entry upon the premises at,reasonable times by an ekl leer.or.I nd surveyor for the purpose of plotting bounds and taking measurements. 3. ENCROACHMENTS: It is understood and agreed by the parties that the.subject premises shall not be in conformity`with the provisions of this Agreement.unless: A. No buildings,structures or Irliprovements of any kind belonging to any other person or,entity shalt encroacK upon or under said premises, B. Title to:'the premises is insurable 'fat the benefit.of the Be yer, tn,a fee owner's•po,licy of title insurance, at.. normal premium.rates, without exception other.than the standard printed,`.jacket";:exceptions contained in: the American Land Title Association;:form currently in:use and those exceptions set forth in Paragtaph:4 of this; Agreement,it.is agreed thavin the event of a title matter for which u ntie Insurance companyas willing to issue' so-called"affirmative coverage"over a known Idefect or problem, BUYERS may elect to accept swine lout shall not be required to:do so;and stiali Eave the right,at the option of their counsel,to deem title to the premises unacceptable or,unmarketable and to terminate this Agreement C: The subject premises abut or has access to a duly accepted public way, by the city,or town, or Iegai and; recorded access via a private.way to`a public'way,in,which said,prem'ises ate:jocated. 4. Seller states-that: A. too written or oral'notice or comriiunicatiorihas been received by Seiler from any pubiicauth'ority tha' i)the: property,is.not zoned for,its-present use;orJ11)that there exists with respect to the property any condition which violates any federal;state or locaienvironmental sanitary,health or safety statute,ordinance;code,by- law,rule or reguiarion wh,ch has not,heretofore been rectified:or is In-the process of being recttfled. 5. SELLER represents,to the best oftheir knowledge;to the 6UYER.thatthe SELLER has never disposed of any hazardous waste or material {excluding ordinary household waste}on.or about th'e prerriises duffing the;period of,:SELLER'S,ownership,and that the Seller is not aware of the disposal of such waste.on or about the premises by anyone else.during said:period of: ownership. SELLER.also represents,to the best oftheir knowledge, tJiat SELLER-ha s not placed,aril SELLER is not aware of any placement:by others,of underground storage tanks on the premises. 6. Clause 10 shall further state"This Paragraph.shall.be construed to apply to matters affecting"title,fhe,physical condon;of the Premises and compliance of the. Premises with Tnuhiopal,;county, state or: federal codes,,ordinances, statutes or regulations concerning the premises and to which the,premises are subject under,the terms of this,;agreemerit. Tins:: Paragraph chaff not,however,'be construed to:excuse S€LLER from vacating the,premises.at the time 5et;fol'performance hereunder for reasons such as.unavailability of movers,166onvenience or other such delays. rip performarice:hereunder." 7. Any matter or practice arising under or relating to this Agreement which is the subject of a practice standard of the.: Massachusetts Real Estate Bar-Association. steal{ be governed.by such standard to the extent applicable and if not: superseded by subsequent case law, S. Execution of Deed:. In the event that SELLERis a natural person,SELLER shall execute the deed"personally,it is agreed that a deed executed under a Power of Attorney shall not constitute a'satlsfactory deer! under..;paragrapti 4: Any spouse;of the:: seller must also,execute the deed: Addendwzz A,'page DocuSign Envelope ID;A6E7214D-3F47-4A82-B144-E58EFD40B139 9. If the Premises are affected,by an Order.of Conditions,speck to the property, issued by the Conservation Commission for- the Town in which the Premises are situated SELLER shall provide BUYER df lender's c0unsel with a.t ertiftcate of cornpliance for said Order of Conditions prior to closing. 10. lJotw'rthstandinganyLhing else in this Agreement to the contrary,SELLER represents.that;as"0f the date of this Agri?emerit - and.the date of the delivery of the deed.- A. there are no contracts,oral or written,involving the Prenises which SELLER has negotiated'or contracted or Which will be binding upon BUYER on affect file Premises in any manner after the closing except forthose contracts; expressly permitted by this Agreement;' B. :SELLER Is.not a "foreign person" as that term is°used inInte4 mal Revenue Cod4lectiori 1445 and:the regulations Promulgated thereunder;and-accordingly BUYER-Is not.required to withhold any taxes upon the dis:' ftion of ' Premises to the BUYER; C. SELLER represents, to the best of their knowledge that there is no" pending SELLER. bankruptcy, mortgage foreclosure,con templated.town/city betterment or assessment,or,othe.r proceedings.or circumstancesthat;rrtight Impact adversely,on the SELLER'S abititiy'to perform on;the closing date; and that the'rnortgage and other lien payoffs will be for less than the sales price.. %D. SELLER warrants and represents.to BUYER that.they"a`re,not aware of any litigation pending or threatened regarding the property„either by a"Tenant or anyone else_4* paragraphahali'suryive the delivery:of the Deed, 11. The SELLER and the BUYER each represent to the other that they: ve not dealt with any real estate broker in connect+on with this transaction, nor were they directed to each other as a,result of any services or�facilities of"any real estate broker: except the Brokers set forth herein. The SELLER and BUYER agreeto indemnify and.hold the other harmless fir am_any loss,' damage,cost(including without limitation,attorne s'fees or ilabilf which either' a Y ) fY p rty may incur as a consequence of any claims for a commission or fee arising from this transaction asserted against either"party by any broker;other.than"the broker named herein,with whom either;party�has dealt:,This paragraph shall survive delivery of the deed. 12. All.riskof loss shall stay with the SELLER until the.recordingof the deed 13. All notices required or.permitted to be given hereunder shall be in writing and delivered by:hand, by;certified mail,postage prepaid,return receipt requested;by express courier service or by facsimile`transmission,to;the parties: (A)to BUYER'S attorney., (9)to SEELER's attornnev;: Stacey A.Curley;Esquire Christopher Collins;Esquire Cape Cod Title&Escrow PC Collins&C2brat;P.C.. ' 3261 Main Street,Suite 6 1047_I almouth Road P.O.Box 1262 Hyannis;MA 02661 Barnstable,MA 02630 50"15-3422/fax 5087463-4777' 508.744.7539/fax 508.744.7219 ccollins@collinscabral.coin stacev(a caoecodtitl andescrow com 14, Seller represents that the sales proceeds from these premises will be.sufklenf to fully pay, off and/or discharge all mortgage(s), UCC Financing Statements, construction loans and/or equity Iine(s) of record. Seller agrees to fully and promptly disclose to Buyer's attorney and/or Ouyeei Lender's attorney mortgage payoff informatJoinz for,.all Mortgages of record,:including but not limited to:(I)aender narre(s),addresses)and"phorte number(s),(i)mortgage account,number(s); and(40 Sellers'social security numbers. 11 By executing this Agreement the-BUYER and.the SELLER her. grant to their attorneys the actual:;authority to bfndthem for the sole limited purpose of allowing them to grant extensions for any paragraphs in this.Agreement,and the•SELLER and. Addendum A;Page 2 ---, " DocuSign Envelope ID:A6E7214D-3F474A82-B144-E58EFD4ODI3g the BUYER shall be able to rely upon the signatures-of said attorneys as binding unless they heve;actual knowledgethat the principals have disclaimed the authority granted herein.ao bind"them: , 16. Prior to closing,the SELLER shall maintain and,servlce the premises and its appurtenances.,at the same level of effort and: expense as the SELLER has maintained or serviced:the premise's, for the::SELLER's awn account prior to;the'date of this Agreement. 37. This Agreement may be executed in multiple counterparts, by electronic docu sign technology, and may initially be Y g g g w,'and as$6 executed shall constitute one;document. executed b facsimile si nature with an.ori 'nal si nature to follo , WITNESS our hands and seals - SELLER Date OMS1:.neaby .. LLER; i. Date ocea4: ff mate "— - Add6nduni Page 3 -- — — ,, .. A WC Guide to 6Wood Constructiot7 ih High Wind Areas:410niph Wind Tone Massachusetts- Checklist for Compiindee (7so cmR 5301..2.1.1)' Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust).....................:.. .... 110 mph WindExposure Category...............................................................................:...............................:...............B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 2___stories s 2 stories .Roof Pitch—. (Fig 2) .........................................._ 1 s 12-12 MeanRoof Height ..............................................................(Fig 2).................................................E ft s 33' Building Width,VV .................................I..............................(Fig 3)..........................,......................�LL ft 5 80'. Building Length, I................................................................(Fig 3)..................................... .,..{.4 ft S 80' Building Aspect Ratio(LO) ...............................................(Fig 4),,........................................,...... 7,(40:9 3,1 / Nominal Height of Tallest Opening ...................................(Fig 4)......................................I.,.......T,�],5 B'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATEON Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete. ... . . .......... . ........ ............. ........................................ ........................ ConcreteMasonry ......................................... .... .......... .......................................... ................... 2.2 ANCHORAGE TO FOUNDATION'," 5/8"Anchor Bolts Imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4)........................................',—, _=In, ... Bolt Spacing from and/joint of plate...... ....................(Fig 5).-_.............,......,..y,....,,._LZ in.s 6 12' Bolt Embedment—concrete.........................................(Fig 5)...... ........................:........__......�In. a 7" Bolt Embedment—masonry........................................:(Fig 5)..,......................................... 'in,?15" PlateWasher................................................................(Fig 5).......,......................................a 3"x 3" x'X" ✓" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter a5).........:........... Maximum Floor Opening Dimension...................................(Fig 6)...............................................,..'�ft S 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)_...................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall............._(Fig 7).............,...................................,,,Q ft 5 d Maximum Cantilevared Floor Joists / Supporting Loadbearing Walls or Shearwall..............:.(Fig 8)................ ................ ft 5 d ✓ FloorBracing at Endwalls....................................................(Fig 9)......,................,..,........................................ Floor Sheathing Type ......................4. 11...........—..............(per 780 CMR Chapter 55)............................. Floor Shmathing Thickness r• ...............................:.................{per 780 CMR Chapter 55),...._.,.,._......,...,�E„in. Floor Sheathing Fastening............................................._...(Table 2)..&,d nails at min edge/L:L in Held 4.1 'afi!'ALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)......................... ft s 10' / Non-Loadbearing walls................................................(Fig 10 and Table 5)................. ..... 1 ft 5 20' Wail Stud Spacing .......................................,,......(Fig 10 and Table 5)..............,._gZin.s 24"o,c. Wall Story Offsets ..................I.............,.......................(Figs 7&8)........................ .... ......,.aft s d 4.� EXTERIOR!MALLS' Wood Studs Loadbearing walls............................................ .........(Table 5)................................2x -_Ift l in. Non-Loadbeadng walls................................................(Table 5) ..............2x - /- „ft in. Gable End Wail Bracing.1 . Full Height Endwall Studs............................................(Fig 10)...........,......,."............,......I,—........... ,.,.,..,. WSP Attic Floor Length.......................................,..,...,.(Fig 11)............................................. ft?W/3 .- Gypsum Ceiling Length (if WSP not used)..................:(Fig 11)............................................_ft�:0.9W and 2 x 4 Continuous Lateral Brace Q B ft.o.c. ..(Fig 11)...............................:........... or 1 x 3 ceiling furring strips @ 16"spacing min,with 2 x 4.blocking Q 4 ft. spacing in end joist or truss bays F Double Top Plate / r ,/Splice Length ........................................................(Fig 13 and Table 6)....................................2L ft , Splico Connection(no,of 1£d common nails)..............(Table 6).........................................................7 AF€C Cur fa aac r arzst�-frr.z`�or�[r� r h F nr e r �J�€,plt R Md OJ7 : ✓ ir�v;15�cnnirrEDn .......{TaTalas 7 � . q w-aff Co11nec5ons / 4 - f:c.c5f';vd cammal7 narks), .-.. ... ._.. .-�(T le B)--• _-- / L.zald .�V M3€-6peniogs(ra�ord 1 gast Dpa ing but chaia all opar fts for Mr ipriance fm Table 9) ---..(Table 9). _��_. .._. ...� .. lid.L r 11' _ads (no.of��" •----_�....�__•_•-_-� -.��..._._...(TaLbrte 9)��...'.t..:.._......:.........�i��in.�'!3' -.!�i�.^illl SF )........ ..... ^:� u Wiring Wall Openings(record largest opening bbf chile'all openings far compliance to Table 9) :,-��moans,--.....__�.................�._......�.................[Tabla�).�._......_...__...._..__•�,tT,�irl,�'[Z` • i Ieagi7 Surds(no-of studs) (Table 93•- - --- - T--�� ._. r"Or W4 Sheathing to ReiisE Upfrt and SJTear Slmufiani DUS 4 Feff 7n1.6i -9 11 ding MtlC'nworl,W NDMInal Height of T'allas#Dpgningz ......._....... .�._:.,__..._�_.�......_. ��G`8" ►/ •.Sf�eathing T'ppa ,,........r.T_...(nob--4,y.. .,................---.-.---.._... 'Edge Flail Spacing CT able'i D or note 4 it less)..... _....:. irk RMId N2U Spacing__ Shear C:annec5lon(no.of 15d rx�mrrr'on nails)(TaNe 1 a):.....`.:..............._... �. in rJ Perr�nCFul�HaightSheathing---_...:.............{Table'iD)......_.�......._........._....._ ___.:'�9� • 5%Additional SIvz1hing for Waif wid7 Dperibg>6'B"pasign Conmpts) - . �+:a�tnUm 13�n7rl-tr,g f�imerxsian, � • ' �, ' Norrfmal Height U TaIlest Dperrint --- --•--- _._....,�_.......................... .. Sheathing {nate�).___......W.._............•.,..._.-.�..._..._....-:lP.�. ijge Nal Sparing------------- Field Na7 (Table'11):� Shear GonnecZan (no.of 16d rDmmDn nos)(Table 11)............. ...._...-.._ . .�..�......f`�`� �/ _ Percent FvIW-feightSi�ea��g_m.,.�--_,.._,,,--.(Tapia 1�i)^_,_.,r.,...__..,,-,.-_...,.;.,...,,.,;.--�.�% �• She Adcrrt3anal Sheaifirng far Wall wRh Opening>Va"(Desigtr?,nz�f•orWind .................. _.._.._..___..._...�.._............_.�._ ` B-arcing raembcr spans check-aff7...... (For Rafters u_re MVCC SW Tool,see aEIRR3 Wabsitp) RDDF Overhang „----------- (Figure 19)_,- .,��'w�s smakc of 2'ar L13 or RaiTar Connar-fions at Loadbearing Walls - pmprleta Connemara C.aferal..----�--•-�------�_.�.....(1'abTe 12)._.�..�-----�.....�..���_�� ptF c/ - -Sheer.,,,,.,,,,"_,, dg8 Strap CpRnac:flons,PF=Uarbas not used par page 21.., (i'abla 13)-- t IF G=Ia R2(ke 20) __------ U--mailer Qf Z of L12 i= cr RaFar Connec5orAs at Ncn-Lmdbs.,Tring Walls propriety Conneckars U TAT_......._..._...:........_.__.�._.. able 14 1/ Lateral(=cf f 6d mrnrnon nails)_.(Table 14)................. -Ioaf qh,�Ihing Type (p2r 73D f'MR chapttm I5a a. d sq),.. ..,...., .�✓ Ruo f StreattiTng Thickn .,.._. --.._ --__� _r.._�. . . .- .,...- irk it�l'f&"L�SI f Rae;Sheathing (Table f. :T•�is c,hr 15f shall be met In its enfirAty,exctudlrtg ft SPKffiiC.exo*r7an naL-t in 2,,to rDMDtY withlfha regL tEmmts of• 13❑GiV RS3D1.2.1.1 Item 1, If the checldist is mgf in itx erlt%*then tine IbIlowng maW straps and hold da[vns arm twat aqUft-Dd per the VvFC;&4110 mph hside: a. Steel Straps Per Figure� - • 6. 2b Gage Scraps per Iagure i 1 a. Uprcft Straps per Figure 14 w CL All Straps per Figure 17 n _..., '=�-Ebrcrn.�-`Stud-Ffrsld-F3a -par-C'-rg�y��a-gnd-Frg[�re-�8b-�. i=. epf Dn:Dpming hefahis of up to a fL shall be perm7lh�d when 5%Ts added b the pe=t full--iiright shaaUiing regrAT_-rF shriven in Tables 1 Q and 11. T'ne bothin Stll Fiats in vtiii r walls Shall ba a rr-ilriirt=2 im trorr�l thickrilaszt]Pasts treated �a�e. A.WC Guide to Wood Consirutdorr in High HIMd Areas: 110 rnph Wind Zone Massachusetts Checklist for Compliance(no cmv.poi-2.1u),. 4. a. From Tables.10 and 11 and location of wail sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7115"and be installed as follows: , i. Panels shall be installed with strength axis parallel to studs. I All hofi7.ontal joints shall occur ovl?r and be nailed to framing. lit. On single story eonstructitm,panels shall be attached to bottom plates and top member of the double top plate. } iv. On two story constfuction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist • and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches an center per figures below'Veffical and Horizontal Nailing for Panel Attachment -ws'fa rtrf fa eofar ROs ON Zi unuGMEW WW-It rt"bc. 1 n J •& 11 ak IJ 11 1 •t 11 n 11 ' II It n 1 1 71 11 IA 11 T 1 Q JI 1 to 1 11 1 u 11 1 4 is eu 1� .J To 1/ a =1� 1: b jj ii i IA 1 11 to 11 1 1 See Detail on Next PW Varticel and Horizontal Mailing for Panel Attachment -AWC Guide to Wood Comtructiorr in High Wind Areua:110 mph Wired Zone Massachusetts Checklist for Compliance C78o cmr>Et 53ox.2.m)I 1, T k L 1 1 iFWAM NOAMPS d tl �1 t k ��i1F31 •' !F t 1 1 k k i r _ r k ; AA&FRIMPA PAML I'A4VE Eo�E DOUM'MNAvLWWS*M DUAL Mail , VeMic al and Hoftontal Nailing for Panel iAttachtnent i Table 2 General Nai?ing Soheduk JointNumber of Number of Description spacing common NailsSox Blod Brig to:Rafter,(Toe-nailed) 2-Bd 2-1 Od eadlti end. d1 Rim Bojwd•to Rafter:(End-rral!t�d) 2-16d 3-16d each end M 'f'o l�f :.aLllltdri .''( rtl` N... :H .. N. •' � .y �..i.: •':..:.;.. : is Wie�lider�'. ,B�l�i">(.P�G�"' Joist to Sill,Top Plate or Girder-(Tbe called)(Fig.14) 4-8d 4-10d per joist, fA Blocking.to Joist(Toe-nailed) 2-8d 2-10d' each end Q Blocking to Sill or.Top Plate(Toe-nailed) 3-16d 4-16d' each block 2 to Ledger Strip to Beam or Girder(Face-nailed) 3_16d 4-led. each joist Joist on ledger to Beam (Toe-nailed) 3-8d j 3-10d per joist Bond Joist to Joist(End-nailed)(Fig. 14) 3-16d 4-16d per joist Band Joist to Sill or Top Plate(Toe-nailed)(Fig-14) 3-1$d per foot Wood Structural.Panels rafters or trusses spaced up to 16'o.c. Rd 10d 611.6dge/6"field ratters or trusses spaced over 16"'o.c. 6d 10d 4"edge[.40 field gable endwalt rake or rake truss w/o gable overhang 8d 1'0d W edge!6"field gable endwetl rake or rake truss w/stru ctural 8d 10d 60,edge/6"field outlookers gable eridwell:rake or rake truss wt lookout blocks ad 1 Qd W. edge]4"field = Wood Structural Panels studs spaced,up to 24"'o.e. 8d 1Od 60 edge/12"field 1/2"and 25/32"Fiberboard Panels 8d1 3"edge/6"field 1/2"Gypsum Wallboard 5d coolers 7"edge!10"field Wood Struuttiral Panels 1"or Less $d 10d 6"edge l 1.2"field greaterthan 1" iOd 16d 6"edge!6"field t Corrosion resistant 11 gage roofing nails and 1e gage staples are permitted,check IBC for addlilonal mquirements. ` Nails.Unless otherwise s .dad,sizes gi'ua17 for nalls are c m1wwn vrire sizes.Box and pneumatic nells of equivalent diameter and equal or greater length to tho speedeied c0mwwn malls Wray be substiwt¢d uniew ofivwwWo prehibdfed. AMERICAN+LEST&PAPER ASSOCIATION ACORN Client#: DATE ' TM CERTIFICATE OF LIABILITY INSURANCE to/zs/zo><s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT 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 endorsemen s. PRODUCER CONTACT Guilherme Camossato PHONE (978)726 9930 DISCOVERY INSURANCE AGENCY LLC EMAIL guicdiscovery@gmail.com " 668 Main Street ADDRESS: HYANNIS,MA 02601 Phone:(508)771-4600 TT Raphaeldiscovery@gmail.com - INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURER A:UDW AT LLOYDS LONDON INSURER B:ARBELLA INSURANCE FB CONSTRUCTION INC INSURER C:ACE Property and Casualty Ins Co 110 ZENO CROCKER ROAD INSURER D:ACE AMERICAN INSURANCE COMPANY ' CENTERVILLE,MA 02632 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 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 TALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRL ADDU SUBR - - TR TYPE OF INSURANCE NSR WVD "POLICY NUMBER MMIDD/YYYY MM/DDIYYYY" LIMITS A GENERAL UABWTY - EACH OCCURRENCE $ 1.000.000,00 - DAMAGE TO RENTED - COMMERCIALGENERALLIABILITY .. PREMISES(Ea courence) $ 100.000,00 CWMr-MADE IX I OCCUR - MED EXP(My we persm) 5 5.000,00 - ATR/A/14349 9/17/2018 9/17/2019'.;PERSONAL&ADV INJURY $ - 1.000.000,00 - GENERAL AGGREGATE $ 2.000.000,00 fEN'L AGGREGATE UMIT APPLIES PER: PRODUCTS-COMP/OP AGG $. 1.000.000,00 POLICY PROJECT LOC B - COMBINED SINGLE LIMIT - AUTOMOBILE LIABILITY (Ea kiere) BODILY INJURY(Per person) ANY AUTO S 20.000,00 ALLO$ SCHEDULED 8HC 737220 08/08/2018 08/08/2019 AUTOS AUTOS BODILY INJURY(Per accWad) $ 50.000,00 . NON-OWNED _ PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accidw) $ 250.000,00 C X UMBRELLALIAB ICLAIMS-MADE OCCUR EACH OCCURRENCE 5 1.000.000,00 UMBMAF146229621 9/17/2018 9/117/2019 AGGREGATE $ 1.000.000,00 LIED RETENTION$ 1 D WORKERS COMPENSATION YIN -' WCSTATUTORV OTH - AND EMPLOYERS'LIABILITY U. SR ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT. OFFICERIMEMBER EXCLUDED? FN N/A N/A 6S62UB7H699465 ' 09/08/2018 09/08/2019 ' . 5- 1.000.000,00 - (Mandatory In NH) - E.L.DISEASE-EA EMPLOYEE $ 1.000.000,00 If yes,describe utla DESCRIPTION OF OPERATIONS bebN - E.L.DISEASE-POLICY LIMIT $ 1.000.000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,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.govAwd/workers-compensadonlnvestigations! - General Liability for regular and usual jobs. ,Job address:429 Cap'n Lijah's Rd-CENTERVILLE-MA 02632J , CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - 'EXPIRATION DATE IT IS THE CUSTOMER'S RESPONSABILITY TO INFORME ANY f TOWN OF BARNSTABLE,' CHANGES OR CANCELATIONS. GUILHERME CAMOSSATO 1. 1 ©1988-2010 ACORD CORPORATION,All rights reserved. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,/� Please Print Legibly Name (Business/Organization/Individual): LTII(/��C�11� Address: i/ ZC` AJO City/State/Zip: . -'V 7G�t 111A Z(v Phone#: 7 Are you an employer?Check the appropriate box: Type of project(required): I.E�'I am a employer with 4. ❑ I am a general contractor and I * have hired the sub-contractors 6. '®New construction employees(full and/or part-time). ' 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• # 9. ❑Building addition [No workers' comp.insurance comp.insurance. 10.❑Electrical repairs required.] 5. El We are a corporation and its ep 'rs 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 contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have ` employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy andjob site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.'Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi under the pains and of perk that the information provided above is true and correct Date: /0 Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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. 1 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 ofluvesfigations 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.gvvfdia Inspection Schedule ;".• `.T Y3t'%xRtt $�:.. *x"`Y +'4A'.�' $'=i F:dtiYY'+Y .q .. r .u•.a i...eas nGk.r.;x+area wnmaevewr a uve-cxay.Ra... •••• - .t Request for inspections — two-week lead-time! Home Energy Raters will be unable to perform any final, Code Compliance Inspections or Diagnostic Testing on any project that has not had an insulation or duct test. Our third party quality control process mandated by RESNET is very specific and allows no exceptions. Pre-emptive duct and frame inspection This onsite visit is not a requirement, but can be beneficial to identify any issues that could present a problem at the final inspection. Contact us when you anticipate the duct system being 100% roughed in. (All Duct systems must be tested to receive rebates—maximum total duct leakage is 6%regardless of system location) Mandatory insulation inspection Contact our office to arrange for the mandatory insulation inspection. A few days notice is preferable in order for us to schedule a timely inspection and avoid delays with the wallboard installation. An initial LED light bulb order will be placed, based on what fixtures we see during the insulation inspection. Additional LEDs can be ordered up to the final inspection Mandatory Final Inspection Includes blower door and duct test (unless ducts had been previously tested) The home does not have to be 100% completed, only the items below. • All insulation and major air sealing details completed • Mechanical systems in place • 24-HR Bath fan control in place and power to bath fans LEDs installed. Additional bulbs are available until final paperwork is processed • Energy Star Refrigerator and Dishwasher in place. • Permanent utility meter(s) must be in place. Please be aware of the building code that is being enforced in your town. Reaching the mandatory infiltration rates are difficult and require advanced air sealing. As a builder you must hire a insulation or weatherization contractor that will guarantee you will pass. Good Luck! Re-inspections are invoiced $250 per visit= Failure to comply with all requirements $700 incentive fee repayment. Please call to confirm the status of your project. Your account representative can be reached at 508-833=3100 YOU WILL NEED BALANCED VENTILATION TO COMPLY WITH THE NEW CODE On 1/1/2017 a new energy code and a new ventilation code took effect(IECC2015 and ASHRE 62.2 2013). The net result is if you are going to comply you will need a balanced ventilation system, which recovers energy from the exhaust stream and preconditions the incoming fresh air. There are multiple ways to comply. HVAC contractor may have a preference. Here three of many options Better (homes <-4.,000 sq. ft. or less, reasonable price system) Panasonic FV-10EC1 very nice unit that has low energy use (DC motors) but does require minimal ducting can move up to 110 cfm http://business.panasonic.com/FV-10VEC1.html. You can eliminate a bath fan (in some houses 2 if they are next to each other) you pull humidity from one floor (typically a bath) and push fresh air to another floor and recover —70% of the energy from the-outgoing air stream. Improves Indoor Air Quality and prevents condensation or mold issues. We can balance it for you. The unit runs approx. $700 plus labor costs for duct work. https://www.youtube.com/watch?v=IgUQgOjbgO8 BeSt (Larger homes or clients that would value advanced filtration and guaranteed fresh air to improve Indoor Air Quality) (installed prices range significantly depending on the feature set —$2000 to —$4500 is common) Install a fully ducted HRV system,,which will draw exhaust air from bathrooms or kitchens and provide fresh air to a living space. Significant energy is recovered from the exhaust air. Advance filtration is available including HEPA filters to ensure your incoming air is clean. BroanNenmer, Lifebreath, Zenhdar and others offer complete systems and some design support. For most houses Broan has a product that can accommodate your needs, and reasonable prices http://www.broan.com/fresh-air-systems In some cases you can eliminate some bath fans Budget(homes <-2.,000 sq. ft. or less,budget system) One Panasonic ERV(FV-04 http./lbusiness 04lEl.htmi (has two ducts (fresh air in and exhaust) it recovers 66% of the energy from the exhaust to pretreat the incoming air) (Price at EFI.org is ~$327*) PLUS one additional exhaust only fan controlled by a humidity sensor(either a Panasonic FV-05-11 VKS2 with the condensation module or a Broan Z110 fan with humidity control) Price at EFI.org is ~$200*. You could add a humidity switch to any fan for —$40 http://www.broan.com/prod ucts/p rod uct/2d 442f67-2a2d-4c45-8cc2-2881 5f3946a 1 *Both can be sourced where you choose EFI is just a reference. The ERV can go in a hallway, an outside wall, a laundry room, or a powder room. It cannot go in a bathroom with a shower or bath that has high humidity. Home Energy Rating Certificate Rating Hate: Registry ID: Unregistered - Projected Report Ekotrope ID: AvjxzxxL r : Your Home's Estimated Energy Use, This home meets or exceeds the Cost criteria of the following: Heating 80.7 $1,027 2015 International Energy Conservation Code Cooling 0.7 $38 Hot Water 11.6 $142 Lights/Appliances 27A $1,478 Service Charges $0 Generation(e.g.Solar) 0.0 -$0 Total: 120..4 $2,696 a Home Feature Summary: Rating Completed by: M.E.N. dome Type: Single family detached Energy Rat r.Chris Mazzola so; Conditioned Floor,Area: 4,089 sq.ft RESNET ID:887 i503 Us Dumber of Bedrooms: 3 Primary Nesting System: Furnacelaturai Gas=95 AFUE Rating Conapany:Home Energy Raters,LLC- aaa i$0 State R}Suite 2 Upper Primary Coaling System: Air Conditioner-Electric,13 SEER 50 -833 3100 aoc Primary Water Heating: Water Heater•Natural Gas-0.95 Energy Factor House Tightness: 2.7 ACH50 Rating RrovidenEnergy Raters of Massachusetts I 2 Woodlawn Street Amesbu MA 01913Ventilation: 40.0,13.4CFM-23.0,8.7 Watts ry178-270-3911 60� Duct Leaakage to Outside: R4 CFM25W 1 Above Grade Walls: R-21Ceiling: Attic,R-50 Window Type: U-Value:0.3,SHGC:0-3 Foundat on Walls: N/A 4.4. o 1. Chris Mazzola,Certified Energy Rater - Date:10/24/1&at 10:06 AM � a a IECC 2015 Performance Compliance Property Organization 429 Cap`n Lijahs Rd Home Energy Raters, LLG Centerville, MA 02632 508-833-3100 Inspection Status Chris Mazzola Results are projected Cap'n Lijahs Road 429 Pre Cap'n Lijahs Rd 429-AvjxzxxL Builder Tatiana Nobre Annual Energy Crest Design IECC 2015 As Designed Performance Heating $1,451 $1,347 Cooling $131 $105 Water Heating $256 $256 Suk�"o1 1 s l jc►+d+ rrnij rt►pC nc? . '. x....,. �..� x $1.,B T ,. IR Lights&Appliances $1,182 $1,182 Onsite generation $0 $0 n 406.3 Pertormanmbased compliance Air Leakage Testing Area-weighted avenge fenestration passes by 7.1% MaRiary Mcklist Area weighted average fenestration Lighting Equipment Efficiency l!Factor Design exceeds requirements for IECC 2015 Performance ompllsnce by 7.1%.. As a 3fd party extension of the code jurisdiction utilfizing these reports.I "that this energy code compliance document has been created in accordance with the requirements of Chapter 4 of the adopted international Energy Conservation Cade based on Climate Zone 5.It rating is f3tojected,I certify that the binding design described herein Is consistent with the building plans, Specifications, and Other Calculations submitted with the permit sppllcaWrl, It rating is Confirmed, I certify that the address referenced above has been inspecteditested and that the mandatory provisions of the IECC have been installed to meet Or eXCeed the intent of the IECC or will be verified as such by another party. Name: Chris Mazzola Signature: Organization: Home Energy Rafters, LLC Crate: 10124/18 at 10:06 AM Ekotrope RATER-Version 3.1.0.2031 fECC 2015 Performance compliance results a teulafed using Ettctrnpe's a nergy allterithro,which is af3ESNET Accredited HERS Ra ling Told. ECC2015 Building UA Compliance Property Organization 429 Cap'n Ujahs Rd Home Energy Raters, LLC Centerville, MA 02632 508-833-3100 Inspection Status Chris Mazzola Results are projected Cap'n Lijahs Road 429 Pre Cap'n Lijahs Rd 429 AvjxmL Builder Tatiana.Nobre Building UA Elements IECC Reference As Designed Ceilings 68.1 56.7 Above-Grade Walls 194A 180.8 Windows.Doors and Skylights 249.2 234.2 Slab Floor: 0.0 0.0 Framed Floors 82:3 107.7 Basement Walls 0.0 0.0 Rim Joists 10.1 8.7 Overall UA(Design must be equal or lower): 604.1 588.1 Mandatary Requirements Total Ua aftemaUve for insulation and Air Leakage Teatime Area-weighted average fenestration fenestration SHCC Mandatory he Area-weighted average fenestration Lighting Equipment Efficiency U•Factor Duct Testing foot water pipe:insulation Design exceeds requirements for iECC 2015 Prescriptive compliance by 2.6°/0. Name: Chris Mazzola Signature: Organization: Hoge Energy Raters, LLC }ate: 10/24/18 at 10:06 AM Ekotrope RATER-Version 3.1.0.201 Building Summary property ss 429 Gape Loahs Rd one Energy Rattans,LLG Centervive,MA OMZ =833» 1Qt# Inspection Status Gap`n Ujahs Road 429 Fire �tSAr's MazzolaRemits aro Pralwed Gap=n Ujahs Rd 429•AVIXWL S u9de r TWan Nobre a "u"rrttser Cif BBdtim5 - Nurnber Of Roars _ Candttlprt�rJ�rizea[ qt , y4 t�$ ', x UncondiDoned,attached garage? Yes Gdtclttt¢ !�roiijtn�F�cu ft�xN, �:.- „ 7,.��8 :�n.Y Total units in Butldli t Ftetde? < . � €i [etrtity., hw. y < Model Climate Zane •:, None Present None Present WE 0 Mane Present Nrsne . N m e Library Type CWpatR _ Ploor Orasde Starla�a Area t aratt an >ba&ament . R Lk=I Ct,IOXI&0 y AP a'taraY ! 1,8930 K tt. UWsutated U o ed �atitttdn ...................� .._ - _ ......,:. _.., >trasement stair.; fftF#,�Ca,t4 te,63 _ t Abdo t3rat WO sq.it Ustr�tttatett nc�andttiaf atr(nget Liastsmerttf _ _________- ___ _ ._.._... _--------_____ >garage Mt3tt, C4,1€ t#,£ 1 At v Ctrar $41.0sq rt Uta nditioned aft had' 9: w , ,.,,.,.♦. ..._. _....,.,,..,...............,...__., ,,. ,u;� , ,,,,,,, ,,,,,,.., .,,,v,,. ..,,.... ....�, _ Building Summary Property OrwAIz9l ,. 429 Capp Ujahs Rd terse Enatgy Rstars,LLC; Centenvi6e,MA U632 5II$»$33 100, " CtAs Mazzola inspection Status Csp'n Ujahs Road 429 Pro Results are pm1wed a CWn Lijahs Rd 429-AvjxzxxL Sulde r Tanana tyre tdsd3e ti vAlus ., , R3ti,i G,tt?x16 Cs2 234r s tVser►rs LtbrarY TY assrtace Area Locatkm t9• t63.?sq.tt. Eed'Exterior: .. w... _ ».........."..,_............. >gatago 3a. aq.ft. Lt rrnd(tioned,ati4i r e tR-uaiue R2tY 2d, - _ ..... Nan* Library Typ or _ Surt a Area Location n4[ant, {fir t> Ci Mediu ExposedEactor�ir »» t4€c �21,E x,$xtl$tot Medium: 2 �aq tt.= dttic .. .....»... ....... .. �..... ....." .,.w_� ..� o. ►age Ft21, a,$xi6,xt:: tvtunt 3325 tt.! Urvcontl(tsoted,attactd 8 ...._..: an,.vw�.......+n.....vww..�.vmm»v ........ .......: .............m.............m..�m...vw..v...+.mwu.. ....:.....�...... .a.» >unhns edFrasettserri ttb,at: Medium 19$4 'tt,UnineuiatedUnoonditionedBasement obis alis r., R27, i 'xI61 t ....am ttu,e, ,,,, „' v»uu»v .. , 9 tz Medium 295.4 s>,q.6. Exposed Exii i . Building Summary Property Orpaindon 429 Capin Ljahs Rd Home Energy Rags,LLCM Centerville,MA OM2 •833 100 Inspection Status ap'Cn Ujahs Road 429 Pro Chris Mazzola Rewas are projecied Cap'n rajahs Rd 429-AvjxzxxL Sunder TatlanaN bre ........ ,,. a •n „ ;�,,.� ;van ,,:,,, �,., �,.,.... , .. _. .. ...... , Name -value R15,Ft4x1(3,Gt tar r r t 1421,FGx 60%G1 18,31 Name Ubrwy Wall Ass*unent Basement Fall OveThastg Ovestaan9 Ft Overh na t Orlefflatktn Satface Area a Franc tl:tY3ft, HQC:O >arr7blertt 0 rt 0 South 45,0 sq,R. Front fixed;U O,SH C 0.3 t3 >ambient 0 q',. 0 Soulh 411 s%ft. ..... _....... ..... . Front gable dh'U.t1.3£P�SWGOt gable walls 0 Cl `svr€Th 9.t? }.#e Front shaded awning lJ 0 3tf.SHQ ,0, &rttblant 8 0''; 1 South 21,0 sq,ft. W. ... ....:__ ......».� ......»: _.....»» Front shaded fted;U W,SHGC:03Q >amolant, 8 1 8 Smith T2 5 sq.ft. La#t;EJ:Q30StNQ :0.30 rrbtent 0:-'. L7: 0 West 42A sq.ft. t Left awning;U:tl3tt,SftL i030 »rnblanv 0 0: 0 West 29.5 sq.fL Left gable dh;U=tt 30,5H(C.0.30 gabjm ssalt8> »» tt b, 4 West 22.5 sq.ft ._.i ......_i .._.................:.............. :. .._______ ....___�___ R$ar<t1.0 t, HCN .O 1 >ambsent 0 _b. 0 North, 1363 sq, ...: .....»,:..».�.. ..: ..».,»,. ................ ........ ......».i Rear awnEng tI 0 30 HG C tfd3: bleat 0 0',' 0 ttsntr 38.0 sq.ft. Rear casUhOZOA Nt .0:3t1 "amblenz & C 0North 14.0 sq.1E ' Rear stld$r:17:U,3tl,SltCC0 t3 >errtbrent 0 0 0 North, 120.Osq, t. Rear shdw'tj'= >ambient 0 »»0 0 East,, 40.0&q.ft. ____________�______ ___________________________._.___.._-____..__.______.___._.__-_____--__. Rrght U.O ,SHk t7'3tf >atnbrertt 0 A 0 East NA sq.ft, Right awning;Lt 030 HCC 0 3tg > attblent 0 East 14.3 sq,ft. i Building Summary Property trtitirx, 429 Caph L.ijahs Rd Home Energy Raters,UkC GeMervilie,MA 02632 308.833R3100 Chas Mazzola Inspection status CWn LEjahs Road 429 Pre Results are projected Gap'n Ujahs Rd 429-AvjxzxxL Suddar Tat[ana Nobre Name U Q30,SHGGU 30... 4s3! 01300 �+IrrrreP'rernl Norge Preseni .. .... .... . ..: . ... edame Library type Wall Assigrtment 8aseinerrt well Em tGnce Solar gurface Color SurOce AM Location Assignment Ataeorptance >basement optt a t 3 xrnfl tshed . 0 8 0 75. Medium 1&0 sq.ft. Exposed Exterior �as�ment --- � - >front°tltermaTruApaque >amtrient 0 9 ..... {I:76 Medsurn 40.0 sq.ft. Exposed Exterior wt2 wed,409 _...., �.. - .. ..�,.... � ...... M � ... >garago I tartrtaT , paw >garage 0 9 0.75;, Meditan 18,0 s"q.lt. Exposed Exterior a. ......� a�..a... M w....... w ....,.... a...... �.,.o Name R-value T]termaTru,t?pagire 7..43 ThermaTru,Qpaque w12 side iltes; 8 Viol partal,3 3 t 3 4 Building Summary Property Organization 429 Cap n Lijahs Rd tuna Ermfgy Raters,LLC CaMenriile,MR 62632 508.833«3100 Ms Mazzola inspection Status Gap'n Ujahs Road 429 Fire Results are pmjemed Cap'n Ujahs Rd 429-AvjxwL Bulder Tzttana Nobre Name Library Type RoolwDecti Area(sq.ft.1 Clay or Concrete Roof Surface Color Surface Area Location Tiles AMC Hatch R7 f1,XPS Ci t 7 5 No Madlum 6 4 sq Yt: AiS(c AttlO flat FiAB BFG t tfixt t3'{ti': 2 7tS{! tdtj: Medium 2, 24 Q sq.fE RUIc Sloped ca1Nngs`FI41,t9PHFQ#(y,ttixl6,C 389 Medium 359g sq ff Vau xi Root IN Name Was Radiant Satvter E value RtO,XFS,-°Gt; tt. s R41,t3P8FG,tD iftxt0,fi ........ 36.026 R49,sFG,#8",1Oxt6 Lit No 49�}2 infiftretlon M®aButetnent Type 8he##er Glaea 2,T AGH at 5E#Pa Alotvt dooa [dd, 4 Ventii7ERV.::::;:;;;;..:1 sartti#st#on Rate(Cum nFeet� Operas#one#hours per day Fen Watts Runs once every Energy Recovery Percent 4tC: 24 ! Yes 6_Ext t3A 24 t$ Yes .._4 %#nterltsx Flu ll�� %interlot LED Lighting �Crttettor Ftuore �8\ �Exteiior#.Et)'t'.lgtrting... °�Garage PIu Lrieshhcerpt 90 Garage LED Ltgh�€rtg 0 . ate; a tub Building Summary Property t3rtnlrotloar 429 Caph Ljahs Rd home Enal Raters,LIX Centerville.MA 02632 508.833-3100 Chris Mazzola Inspection Status Cap n Ujah&Road 429 Pro Sell are prpjecled Cap'n Ujahs Rd 429-AvjxWL Sulde r Tatlana Notrre None Present „ None Present „ None Present . None Present _ BOOM Name Library Type H st t Percent Load Coal ing Percent LOBO Hot Water Percent Load .. . AC{1} r`sC,24K,13EtsR AC(2): AGG,24iC....-- Fi t3°r� DHW, I[Sa`1"ATiTAM1tEC}11�a,EFBeRI ....Cite t1�. ,,. 1(ICt Pomace{I j° ~i 19RFdAC,E AFl1E8t NO'' ��� Sit o t}�ro Q°w ............_... Furnace{2} F RNA E AEltEr3 ,N _...,...... . Distribution Type Forced Air it9t#orT�0,f: K � #8 Steed(PSCx �x ` Cooling Efficiency 13 SEER ' - 6 Building Summary Property Or"nizow 429 Capin LLigahs Rd tuna Enemy Raters,LLC Contervii6e,WA 02632 NO.833-3 00 CM6 Mazzola Inspection Status CWn Lijahs Road 429 Pro Resufts areprojetied Cap°n Ujahs Rd 429-AvixwL Sulde r Tat[ana Nobre o MINIM, 1M'' Aw Dl strbtltion Type ..... _ Forced Air y Heating Efficiency 5 AFUE tin Use default EAE Yes "01 ON r'F pn Type Hydronic Deiivsryr�E#icinG <' ,., t}4 f? Yes } Building Summary Proper OrWizetion 429 Capin 1.4ahs Rd Home Energy Rotors,LLC: CerrterVIRG.MA 02632 6064 W-3t00 GNU Mazzola inspection Status Capin Ujahs Road 429 Pre R"IIts are prpjec tw Capin Ujahs Rd 429-AvjXWL Bulde r Tatlana Wbro ®ttrlttutt4n Typo, ' l t?rc#'Alr ;b , Heating Equipmen# Furnace 1 Sq.Feet Served Ism FisEunn GNeeZ, SuW]i NO R ValueeN 6 x Rfl4tlrn[?uc1Ft,VaiUex� y`` .. ,,,,,zry� IM ..� .,.�� ..,•.:,=�:y ` , Supply Duct Area(sq.if.] 51#.11 Return Dut;,Ary ' Duct Leakage to Outdoors(CFM25) 72 Tat #Geakege( FM$�nDspk &nktstt2i?aj� �-> F �F 'Val Leaka}�g�ej D ( ,u(�f Tie�st Conditions Post-Construction Petault Flow �# y ��� �� v. x � ��� F ✓ Duct 1 Duct locatlarYx x,% , B $ erAt([ssHatedaseri€ce�ioru Percent Supply Area 100 Percent Return Arai .,. emu„ y.,;• t f9p k ,• �xr �' �%r , Duct 2 Elttc€LvCak30rt h �Cvrldttotdper3r x Percent Supply Area 0 gg Duct 3 ,one PrtGB• �� ..•. F Percent Supply Area: #} _ Percent Re urniArea F r A Msa x nDltCt Lo�etlQn� ,,,,<��.,.�Llitit7tr8Ct, 6e Percent Supply Area 4 FPert rtt Return Area '' max, El �� Duct S . Percent Supply Area tt F?orcc3rt Return Arm Duct B C} af Location x '' rtdttar,�riedSpace �. >Percent Supply Area 0 ''Percent Return Area �� � � ,. Building Summary Properly fltrttmtLon 429 Capp Ljahs Rd Huns Energy Raters,LL.0 Cantervi[Ie.MA DM2 308.833-3100 Chris Mazzola Imspeotlon Status CWn Ujahs Road 429 Pre Results are pmjectrd Cap'n Ujahs Rd 429-AvixmcL. Budder Tanana Notare ._..._ i D[$tributrgn T e � Y� f grC84 Atr .:,.,. .; Heating Equipment Furnace(2) pplenguiprn�nt rgm�AC,( ) ' ,N,.. �,� ' Sq.Feet Served 2196 #.Feturt�Cri[l®ate ' � � ;I � Supply Dust R Value ...��fr,..� .`' Supply Duct Area(sq.ftj 692.92 Return DuGt'Area(sty �' ...,�_, ,�.zF„ .xsa�us.u�r ;�.<,., .._XXs�<Fz,�sza���rFx':2s�K�.v.•,:,,:,�va. <.4� Duct Leakage to Outdoors(CFM25) 84 Tttaf Leakage FMtp>�8n6ap2aP�� Im� y Total Leakage Duct Test Gonditlons Post-Cw4ruction Duct t FMI, Locaba Attic v�elf t+etat t ' n .,srvx x,�s.;;x a✓,- ,.,, 5.( ,..x:r ,., x1, s. Y..xu.. .".v mx!' ' Percent Supply Area 50 "raer►t*Return Area v Duct 2 �t i t LgCatton r Atkc{retl vanted,urir�ar�nst�lat�tn Percent Supply Area 5{t FP"e" Return Area` .�..�n�:axx Duct 3 Ctuct locate n rsdafton S, "o ' x Percent Supply Area {! Duct 4 Percent Supply Area 0 Perter�t Return Area5 �. � . Dui t ac tl '„ ' d tip►e a yW-.r ' Percent Supply Area tt Percent Retdf Ar,06 .w Duct 6 ',tulct'LgcattgnF' carsed'SpaCe ' Percent Supply Area CCtr3i _ i i fiats Celirn -Fan � .✓� �._ Cfm Per Watt 7OA2264 Water k, . .n , Use 4Default list Water Pipe Length c Yes A.t LeaSt Pipelrtstfta#tgny x ^� e$ F �,• Hot Water Recirculation System? No R?crcilrtign ystrtt Pie L '. .. Drain Water Heat RecovW. NO 9 s t Building Summary Property �r{gsntzIon 429 Caph Ljahs Rd Home Energy Raters,LLC Centerville,WA 02832 50-833.3100 Chris Mazzola Inspection Status QWn Lljshs Road 429 Pro Retells are prcletted Cap°n Lilahs Rd 429-Avjxz=L Gulder Tattana Notre �I Usi Typ6 ✓ r.�.. Caz r, , Cef 2.617 _. .......... __................. ............... Lat�slrEnerc3y Rahrig Y.T Wk 'E Year Electric Rate $U8tk h ACiflUEtl C,as Bate..... $(s'.S$CTtierrlt Imef 0.33053 MINOR- ''I 1111- ii ,I I ❑shwasherSiz "�,'✓ tntiartt ,.' � :<. , �F=hw <... Dishwasher Efficiency 0.46 EF Ftangelt}rett FUAfIOCtr#.Fa r x ; Convection Oven? NO frSffiiGt}[t3ngBy2 Ww,k k Refrigerator Consumption 691 Kiihtti`ear Errors and Warnings have been Rater Reviewed, 10 q:S' 2a v I I , I '2•.o I II•.(. .. LI:O� '`9 '`Gi ItlG� '2- ` _ 4-.a wn.PMA—F- ('c..c.) '4 C; 'Dept. -�— j ;----�- Barnstable Bldg. Approved Y L4,t' 25 y permit#• � I IZ I o _ k 11 -, _ N` b / 2,v 1 /%IL FR'.•'>FOE ` co—, U111.L.nNS I ,1� I it I 1� DEpT "UQC n 1-c",r'. ; BUILDING N a AUG 0 6 2019 9 To owN OF gARNST e Q L cnMa,x � I r r., u B'zu�,.coat..w.•, a a'..b - I � w�3'.3".0-rsJIt,S1T._.Gi.4'[E WAS�±FAS. 'I SMOKE DETECTORS REVIEW IED UILDI DEPT. DATE ,M FIRE OE RI MENT (D .. .• - I go- UNATUPES ARE REQUIRED FOR p T E • s ERMl777N..r � ......-- — �., 3 : f St @ 1 Barnstable Bldg.Dept ,.. .. :. ..__ .__...._. i.... ..._.._ I f nut#: er Approved by: q i[ • - t � � �C,.is:L`C.C1S'. �� � 9 r 9' .._... _..... ' I F t E a ED ......... 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E- S • �� [ 1 _y .......,_ 3 t } . .......................................................... ..�.. .. j yl 1 BU/ D/NG DSpT OCT 2 6 2018 TpWIV'OFLRARIVS7A13 .€ - � - ;.. - I ` f E ( 11 E f u € 111 gg .... . r - Ei 1 f : Ali v An TI t:{ ..................................... ------ ........ ..... ........... .......................... ............ 1 � E ; I i I � � s , x Ile_ Zi Dar— rz,°°t, t 1 ,, I. i - E -- [[ [ 1 1 E - : e __ .. t i Y 3 �� _«...................._ J u >i�o��.iii cues:)rVe•, :.„.�....' .__ __ _.�. c�.r„xr — —�_��_�..:��� AAi �: c .._+:., .2.."� f-•i.:t . U'e15�.`.�.''•.... f♦�C -;ryK> SYSTEM PROFILE NOTES LEGEND (NOT TO SCALE) 6 1. DATUM IS NAVD 88 e R 99— EXISTING CONTOUR 2. MUNICIPAL WATER IS AVAILABLE SYSTEM DESIGN: " �� Seth X 99•1 EXIST. SPOT ELEV. __ \ TOP FNDN EL. 128.5' 3. MINIMUM PIPE PITCH TO BE 1/8 PER FOOT. —[99]— PROPOSED CONTOUR GARBAGE DISPOSER IS NOT ALLOWED 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS [98.41 PROPOSED SPOT EL. DESIGN FLOW: 6 BEDROOMS ® 110 GPD = 660 GPD To BE AASHo H-jD TH1 — USE A 660 GPD DESIGN FLOW � 5. PIPE JOINTS TO BE MADE WATERTIGHT. TEST HOLE '. 124.0' USE EXISTING 6 BEDROOM LEACHING 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH WeQuaQuet *123.0' ' EXISTING INSTALLED 11/5/2015 310 CMR 15.000 (TITLE 5.) 2% SLOPE OF GROUND SEPTIC TANK: 660 GPD (2) = 1320 1500 GAL H-10; Lake SEPTIC"TANK 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO UTILITY POLE USE EXISTING 1500 GAL. H-10 SEPTIC TANK �,; BE USED FOR LOT LINE STAKING OR ANY OTHER �' FIRE HYDRANT LEACHING: . . .,...:.•.. PURPOSE. Q° JDo0000000000000000000000oo0o0Q0o0o0o0o0o00G1 0 0, 000000000000000000000000000)00000000000000 0 yY° *THE INSTALLER SHALL VERIFY THE o 0 o 0 8. PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. o NOTE: NOT ALL SYMBOLS MAY APPEAR IN DRAWING USE EXISTING 6 BEDROOM LEACHING LOCATIONS OF ALL UTILITIES AND ALL 2.5 WI COMPONENTS NOT TO BE LLED OR CONCEALED �oKe INSTALLED 11/5/2015 BUILDING SEWER OUTLETS AND ( pt % SLOPE) WITHOUT INSPECTION BY BOARRDD OF HEALTH AND ELEVATIONS PRIOR TO INSTALLING ANY LEACHING PERMISSION OBTAINED FROM BOARD OF HEALTH. PORTION OF SEPTIC SYSTEM FOUNDATION— 24' SEPTIC TANK EXIST. D' BOX EXIST. FACILITY 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP PRIOR TO COMMENCEMENT OF WORK. 11. ANY UNSUITABLE MATERIAL ENCOUNTERED SHALL BE NOT TO SCALE REMOVED 5' BENEATH AND AROUND THE PROPOSED LEACHING FACILITY. ASSESSORS MAP 194 PARCEL 26-3 \ i ZONING SUMMARY 728 � � 126 24'197- , `\ ZONING DISTRICT: RC RESIDENTIAL DISTRICT 30.00 RPOD OVERLAY DISTRICT (2 AC.) \ N 6 L= 451 MIN. LOT SIZE 87,120 S.F. MIN. LOT FRONTAGE 20' 124 MIN. FRONT SETBACK 20' 728 MIN. SIDE SETBACK 10' MIN. REAR SETBACK 10' 1?=60.00 MAX. BUILDING HEIGHT 30' R REFERENCE PLAN OF LAND BY DOWN CAPE ENGINEERING, INC. DATED 2/4/08 '06 720 SITE IS NOT LOCATED WITHIN A ZONE II mod,\ 1220 \ 118 I 725 130 12a N W EN AND TEL TEL C D l/ER ZON OP TY TA �o D PT P 80 152 06 75 15-2 06 7015 LOT 3 N \87,476 S.F. _ Z 01f Ac. gel 371ne �CP 1 1L DECK l' a " Ic CO SITE PLAN PROPOSED DWELLING u'�q OF - - - -,- TOF = 28.5 N N �} \` �+ 00At N LIJAHS ROAD PORCH `'' MA O --i PREPARED FOR , J '\-- - •� J w a \\ ,2 ""ImATIANA NOBRE o N13 53 20 I o _ 78.52 \ DATE: OCTOBER 9, 2018 >> 122 lJ ------------ - ----------s,1_ SHAPE Ll E �� r`' Scale: 1"= 20' ------- ----------------- ® ® BENC ARK — —__ 2.00 AC. , \ y MAGST , EL. a 125.15' ,1 �N= �� 0 10 20 30 40 50 FEET cy� NUF�ASDP,NIEI_A. s� oDANlEI e\ OJALA (40 Wl To wry Wa , Pa ve d 2 Wide)e> `� 508-362-9880 ,�� {c I. sr s: off 508 362 4541 \ °23.78' �'� G41 o N a ---------------N i ------------------- ------------------ �\ 1, wn ------- ------------------------------- _ o c co � � fox 1 No. '� 2 O ^� p O No 40980 25.00 SS\SA� �0FFSS\� oQ & down cope engineering, inc. _ _ \ engineers civil engin : ' land surveyors 939 Main Street ( Rte 6A) DATE DANI?EL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 DICE # >8-382 18-382 - f �SYSTEM PROFILE NOTES I' LEGEND Nor TO SCALE) i 1. DATUM IS NAVD 88 0' Ice Rd. 99— EXISTING CONTOUR SYSTEM DESIGN. TOP FNDN EL 128.5' 2. MUNICIPAL WATER IS AVAILABLE Se X 99.1 EXIST. SPOT ELEV. \ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. —[99]-- PROPOSED CONTOUR GARBAGE DISPOSER IS NOT ALLOWED 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS l98.4J PROPOSED SPOT EL. To BE AASHo H-1Q DESIGN FLOW: 6 BEDROOMS ® 110 GPD 660 GPD TH1 — USE A 660 GPD DESIGN FLOW - " f' S. PIPE JOINTS TO BE MADE WATERTIGHT. TEST HOLE 124.0' USE EXISTING 6 BEDROOM LEACHING 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH a Wequaquet *123.0' EXISTING 310 CMR 15.000.(TITLE 5.) 2� SLOPE of cRouND SEPTIC TANK: 660 GPD (2) _ 1320 1500 GAL H-10 INSTALLED 11/5/2015 Lake I USE EXISTING 1500 GAL. H-10 SEPTIC TANK SEPTIC TANK UTILITY POLE 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO yam° BE USED FOR LOT LINE STAKING OR ANY OTHER ,w FIRE HYDRANT LEACHING: - •�f p pip p p p pap p.p p p p p p p p p p p p p p PURPOSE. T� Jp°OpOpOpppppppO°OpOpOpO°p°p°�°O°O0OOR-1pp` O O .lop°p°p°,.°„°n°.1°.1°p°p°p°p°p°POt.il'OR O-0. OR . 0 NOTE: Nor N.,L. SY BOLS MAY APPEAR IN ow►wiNc *THE INSTALLER SHALL VERIFY THE ' - - ' 8. PIPE FOR SEPTIC SYSTEM To SCH. 40-4" PVC. ��„ o0 USE EXISTING 6 BEDROOM LEACHING LOCATIONS OF ALL UTILITIES AND ALL �0Ke� 0� INSTALLED 11/5/2015 BUILDING SEWER OUTLETS AND x SLOPE) WITHOUT INSPECTIION BY BOARD of HEALTH CONCEALED ELEVATIONS PRIOR TO INSTALLING ANY PERMISSION OBTAINED FROM BOARD OF HEALTH. PORTION OF SEPTIC SYSTEM FOUNDATION— 24' SEPTIC TANK EXIST. D' BOX EXIST. LEACHING FACILITY 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE ASSESSORS MAP 194 PARCEL 26-3 ZONING SUMMARY 126 24'19'E. I ZONING DISTRICT: RC RESIDENTIAL DISTRICT 30.00 RPOD OVERLAY DISTRICT (2 AC.) o 'mood L= 45' MIN. LOT SIZE 87,120 S.F. MIN. LOT FRONTAGE 20' 124 MIN. FRONT SETBACK 20' MIN. SIDE SETBACK 10' MIN. REAR SETBACK 10' L=27 R= 7 MAX. BUILDING HEIGHT 30' 4T REFERENCE PLAN OF LAND BY DOWN CAPE ENGINEERING, INC. DATED 2/4/08 0 '06 � 720 SITE IS NOT LOCATED WITHIN A ZONE II 118 124 6 126 11� 128 o 130 N w EN AND TEL 7FL TP TY TA1T BO 152 06 110 / 14NG, 75 15-2 06 _ - LOT 3 Pr °6 87,476 S.F. �, N S.F.- 1' 110 11 `9 11 ti�� N aXP »a CK �2J PO ° e zepl CAT , 1 �. J 1 � PROPOS r--" DWEL G N T0� 128.5 SITE PLAN 21.7, , 00 � ►� OF PORCH - o LOT 3 CAFN LIJAH'S ROAD V24 W CENTERVILLE, MA . PREPARED FOR - \-"'-- i aJ �� 4 ,2 N135320 TATIANA NOBRE 0 o 'ern 78.52' ►, cn DATE: OCTOBER 9, 2018 -„ 122 3 ; W REV. JANUARY 2, 2019 (HOUSE LOCATION) I,y �0 14 cn -714 � N f; 126 a, -- --- ----Lml ------------- ------ ------------ - ------- SHAPE LIE i �'' Scale:1"= 20' -------------- -- -- 2.00 Ac. , R, / MAG S BEN ARK - \ � S � EL.� 125.15' - �, •��of M 0 10 20 30' 40 50 FEET \ 4 a ��� ASS9C �. A�F MASS 2 ti �P q \ , /moo DAA. G��� o�' DANIEL A. cyG� t �, off 508-362-4541 \ (40 'p wi Town wa , Paved 2 wide> �3 0 o _ ------ ---------- o� LA \ -----=-------- -----------------a ---------------N --- ----- - --- --------___ `�23.78 ��21 • `�.� o NO 0980 " CIVIL N fox 508-362-9880 ------------------- ------------------ ------------------------------ ---__--` � R� .po a� � No' 46502 �: downcape.com ------- FEss1� a Po �F �� �``' • 5 At cISTE� �a down cope engineer'ng, Inc. n Ci vi/ engineers . land surveyors 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT MA 02675 LICE # 18-382 - -- - 18-382 - SYSTEM PROFILE NOTES LEGEND (NOT To SCALE) 88 N AVD ' 1. DATUM IS -d .oc ice R 99---- EXISTING CONTOUR 2. MUNICIPAL WATER IS AVAILABLE Se X 9 SYSTEM DESIGN: TOP FNDN EL 128.5'9.� I EXIST. SPOT ELEV. \ 3. MINIMUM PIPE PITCH TO BE 1/8" PER FOOT. [99]-- PROPOSED CONTOUR GARBAGE DISPOSER IS NOT ALLOWED 4. DESIGN LOADING FOR ALL PROPOSED PRECAST UNITS TO BE AASHO H-ZQ 198-41 PROPOSED SPOT EL. _ DESIGN FLOW. 6 BEDROOMS 10 GPD 660 GPD TH] ,.• 5. PIPE JOINTS TO BE MADE WATERTIGHT. USE A 660 GPD DESIGN FLOW rEsr HOLE 124.0' y USE EXISTING 6 BEDROOM LEACHING s. coNSTRucTION DETAILs TO eE iN AccoRDANCE WITH Wequaquet *123.0' EXLSTINc INSTALLED 1l 5 2015 310 CMR 15.000 (TITLE 5.) 2!• SLOPE OF GROUND SEPTIC TANK: 660 GPD (2) 1320 / Lake SL ,• i50b GAL H-10 SEMC TAINK! 7. THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO y>° 1500 GAL. H-10 SEPTIC TANK ,. UTILITY POLE USE EXISTING. ...:._ - „ BE USED FOR LOT LINE STAKING OR ANY OTHER .o �� '. PURPOSE. -r•- a •;• FIRE HYDRANT LEACHING: ".'o0Q- 0- .0100160.o 0"'0-4-0 6"ago"o _ _ _ _ _ 0000D000000000000000000"ODoeoDe000a0000000000 O *THE INSTALLER SHALL VERIFY THE o . o a oe�oo NdTE: trot ALL SYMBOLS MAY APPEAR IN DRAWMIG OM LEACHING 8. -PIPE FOR SEPTIC SYSTEM TO SCH. 40-4" PVC. r USE EXISTING 6 BEDROOM LOCATIONS OF ALL UTILITIES AND ALL �� 0{ 9. COMPONENTS NOT TO BE BACKFlLLED OR CONCEALED INSTALLED 11 5 2015 BUILDING SEWER OUTLETS AND (1.5% SLR WITHOUT INSPECTION BY BOARD OF HEALTH AND ELEVATIONS PRIOR TO INSTALLING ANY PERMISSION OBTAINED FROM BOARD OF HEALTH. PORTION OF SEPTIC SYSTEM FOUNDATION— .24' SEPTIC TANK EXIST. D' BOX EXIST. LEACHING FACILITY 10. CONTRACTOR SHALL BE RESPONSIBLE FOR CALLING DIGSAFE (1-888-344-7233) AND VERIFYING THE LOCATION OF ALL UNDERGROUND & OVERHEAD UTILITIES LOCUS MAP PRIOR TO COMMENCEMENT OF WORK. NOT TO SCALE ASSESSORS MAP 194 PARCEL 26=3 ZONING SUMMARY ` H2a I ZONING DISTRICT RC RESIDENTIAL DISTRICT VERLAY.•.DISTRICT (2 AC.) _ 0 45•; � RPOD O MIN.: LOT SIZE 87,120 S.F. '22 MIN. LOT FRONTAGE 20' P24 MIN. FRONT SETBACK 20' MIN. SIDE SETBACK 10, MIN. REAR SETBACK 10 R=60 / ��� 00 . MAX. BUILDING HEIGHT 30' a T o L_27.47, REFERENCE PLAN OF LAND BY DOWN CAPE � ENGINEERING, INC. DATED 2/4/08 SITE IS NOT LOCATED WITHIN A ZONE II l 126 ,^ 128 , �3o N WEN AND TEL TEL A- C O !/ER ZON OP TY TA PT P BO 152 06 110 / i//NG 75 15-2 O6 r C L OT 3 87,476 5.F. t 2.0111 A . _ �N 1 Cb z,z ti� rn o o g+ 11? rn ToCP '`- _116IL f , 11�3 CK PROPOS DWELLc G TO_,,� 128.5 21.7 �. t � I Rr N SITE , - I Li z , r. OF PORCH —12q R LOT 3 CAP.'N LiJAH S OAD N� o �. CENTERVILLE, MA PREPARED_ FOR 0 a CPI34 a N135320 - TATIANA NOBRE o 78.52' y cn --� DATE: OCTOBER 9, 2018 - -- _.__ 122 �_- ��`_ �-�, - , )w REV. JANUARY 2, 2019 HOUSE LOCATION W o - G 2 6 _ f , -� __---------� _ GS1� SHAPE L/ E i r'' Scale:l"= 20' -------- ---------------- "' >_ ---- ------------ `_ 2.00 Ac. �" ® � BEN ARK _ MAG 5 "--- ^� 0 10 ?0 30 40 50 FEET EL - 125.15' w OF MAI \ q a3��� JSgCS �P�tN OF h!gSS9 o DANIEC T A.: CANEELA. G`rc� off 508-362-4541 !�}' r i" ;= OJALA to QJAl�I 4 0 YY l To W17 YY a ,t Pa Ve d 2 YYid e> r, `2.3 7 �'.,2 ^'t Na 40980 :t� VIL � fax 508-362-9880 �� ------------- --------------- ---------------- -------------- --- -_-r�- ----------------= - - C! , -------------- _ — -- ----------------- -- -- ------- --------- nc""'----_�__ �. �- \; '� � E 5 � Nir.48502 dow ape corn p �� _ �N -k �FSS,oNAdoa►n cape engineering, ift. - civil engineers land surveyors 939 Main Street ( Rte 6A) DATE DANIEL A. OJALA, P.E., P.L.S. YARMOUTHPORT AM 02675 DCE # 18-382 ]8-382