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0780 CRAIGVILLE BEACH ROAD (22)
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I I I I �, ,, , .�'.I. -, - a I - " , ,�-, �� , .,� , . - -- - - -- - - -- --- --- - -- V Ji W UJ -�- t,,J jpd r dLDG �E � - �_ - - 4. tr1 Do-_: 1 Y 017 s 507 1i]-31-2D�] �5 ' BARNSTABLE LAND COURT REGIS-TRY Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal 2005-065 Special Permits -Tradewinds Inn r Section 240-94A, change of a nonconforming use to another nonconforming use C and Section 240-93B, alterations/expansions in preexisting nonconforming building or structure. . To change,extend,altevre-construct a nonconforming 46 bedroom hotel&restaurant to 21 unit multi-family development. Summary: Granted with Conditions == Petitioner: Tradewinds Inn Property Address: 780 Craigville Beach Road,Centerville,MA Assessor's Map/Parcel: Map 226,Parcel 140-1 Zoning: Residence B &Residence C Zoning Districts Relief Requested &Background: The locus is the"Tradewinds Inn", a 46-bedroom commercial hotel and 125-seat restaurant. The use of the property is nonconforming as it-is.a commercial use located within single-family zoning districts. The applicant is seeking to redevelop the property's multi-family with 21 two-bedroom townhouse units and associated site improvements including parking, a swimming.pool and tennis court: The Inn encompasses-two lots, as shown on Assessor's Map 226,parcels 140-001 and 140-002, addressed 734 and 780 Craigville Beach Road, Centerville. The two lots total 5.51 acres and are developed with four principal buildings. Both lots are owned by the Archer Realty-Trust, Alan Isenstadt,Trustee. Today, the applicant is seeking special permits for one of the two lots -Assessor's Map 226,parcel 140-001 which is the larger of the two lots containing 5.28 acres and three of the four structures—aka 780,760 and 760A Craigville Beach. The applicant'is seeking to convert those three structures totaling-16,807 sq.ft. of living area and containing the restaurant;to 21 two-bedroom townhouse units. From the plans presented,21 indoor garage spaces are proposed and 27 outdoor paved parking spaces are provided for the residents and visitors. In.addition to the tennis court, a 20 by 40 foot outdoor pool is planned and,two screened dumpsters are provided for the 21 units. Two curb-cuts, one an entrance drive and the other an exit drive, are proposed. A third curb-cut is to be gated and used only for emergency access. Procedural &Hearing Summary: This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on July . 18,2005. An Extension of the Time Limits for holding the public hearing and for the filing of the decision was executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of f Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The. hearing was opened August 10, 2005 and continued to September 14,2005, at which time the Board found to grant the special permit with conditions, Board Members assigned were, Gail Nightingale,Randolph Childs,Sheila Geiler, Jeremy Gilmore, and Chairman Daniel M. Creedon r KAM 1639:. EO lAA�� Town of Barnstable Zoning Board of Appeals Decision and Notice Appeal_2005-065 - Special Permits -Tradewinds Inn Section 240-94A; change of a nonconforming use to another nonconforming use + and } Section 240-93B, alterations/expansions in preexisting nonconforming building or structure. To change,extend,alter/re-construct a nonconforming 46 bedroom hotel&restaurant to 21 unit multi-family development. Summary: Granted with Conditions Petitioner: Tradewinds Inn Property Address: 780 Craigville Beach Road,Centerville,MA Assessor's Map/Parcel: Map 226,Parcel 140-1 Zoning: Residence B&Residence C Zoning Districts Relief Requested &Background: The locus is the"Tradewinds Inn", a 46-bedroom commercial hotel and 125-seat restaurant. The use of the property is nonconforming as it is a commercial use located within single-family zoning districts. The applicant is seeking to redevelop the property's multi-family with 21 two-bedroom townhouse units and associated site improvements including parking, a swimming pool and tennis court. The Inn encompasses two lots, as shown on Assessor's Map 226,parcels 140-001 and 140-002, addressed 734 and 780 Craigville Beach Road, Centerville. The two lots total 5.51 acres and are developed with four principal buildings. Both lots are owned by the Archer Realty Trust,Alan Isenstadt, Trustee. Today, the applicant is seeking special permits for one of the two lots -Assessor's Map 226,parcel 140-001 which is the larger of the two lots containing 5.28 acres and three of the four structures—aka 780, 760 and 760A Craigville Beach. The applicant is seeking to convert those three structures totaling 16,807 sq.ft. of living area and containing the restaurant,to 21 two-bedroom townhouse units. From the plans presented, 21 indoor garage spaces are proposed and 27 outdoor paved parking spaces are provided for the residents and visitors. In addition to the tennis court, a 20 by 40 foot outdoor pool is planned and two screened dumpsters ate provided for the 21 units. Two curb-cuts, one an entrance drive and the other an exit drive, are proposed. A third curb-cut is to be gated and used only for emergency access. _, Procedural & Hearing Summary: i This appeal was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on July 18, 2005. An Extension of the Time Limits for holding the public hearing and for the filing of the decision was executed between the applicant and the Board Chairman. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened August 10, 2005 and continued to September 14, 2005, at which time the Board found to grant the special permit with conditions. Board Members assigned were, Gail Nightingale,Randolph Childs, Sheila Geiler,Jeremy Gilmore, and Chairman Daniel M. Creedon Attorney Michael Ford.represented the Applicant before the Board. Also present was Craig Short,P.E. and Mr. Gordon Clark,Northside Design Architects. Mr. Alan Isenstadt,Trustee of the Archer Realty Trust was also present during the hearing. Mr. Ford noted that the applicant is seeking a special permit to change a nonconforming restaurant/hotel into a 21-unit condominium complex(multi-family)with each unit containing 2 bedrooms. He cited that the area of the buildings would also be altered and expanded to accommodate the new use. He presented a brief history of the property,predating it to 1929 when it was the Wainright Estate. He explained the existing conditions of the nonconformities. Mr.Ford stated that the site is located in an environmentally sensitive area and the wetland and health issues constrained much of the development. Mr.Ford stated that the change from commercial hotel to multi- family would be more compatible with the neighborhood. With reference to the initial plans presented,Mr. Ford noted that the applicant is still working with Site Plan Review and the Building Commissioner to assure all requirements are met. He presented the plans noting that the buildings on site would be raze and replaced with a series of connected buildings. The plans have been approved by the Conservation Commission and by.the Board of Health. Mr.Ford noted that more site area would be preserved as a buffer to the wetlands and that on-site wastewater disposal would be reduced from 8,700 gal. per day to 4,620 gal.per day as calculated under Title V. Mr. Short noted that the proposed septic system will treat to 15 ppm at the edge of the property. Parking needs of 95 spaces are needed and there are only 86 spaces. There was discussion about the reduction of parking on site and putting more into impervious. ,Traffic will be less than that of a motel etc. because the units will be privately owned. There would be a less intense use even during the summer. Plans for the units and buildings were presented by Mr. Gordon Clark of Northside Design. He addressed the issue of the number of stories and cited that: there will be no living space is in the attic area, there will be only 2 floors of living area, and the buildings will conform to all zoning and building code requirements for the intended use. The Board and Mr.Ford discussed the plans initially presented with the applicant. Changes were requested and the applicant agreed to investigate those changes and prepare plans for review. The Board questioned what was the applicant's plans were for the smaller lot. Mr. Ford stated that the applicant is aware that there no longer could be a nonconforming use and it would have to conform to single-family use. However,he suggested that the structure on this smaller lot could be used for affordable units as the affordable requirement would have to be satisfied prior to the issuance of the building permit Public comment was requested. Tony Balsamo,President of Christian Camp Meeting Association reads letter expressing concerns for Lake Elizabeth and neighborhood beautification. Jim Lane, President of Redly Apartment Association stated that the Tradewinds offers a positive proposal. Gabrial Facker, Clergyman, Craigville Village, also cited concerns for Lake Elizabeth. Charles Marshall, a Member of Craigville Beach Road Association sited concerns for the location and its environment. Wayne Kurker, direct abutter supported the proposal. Also speaking in support were; Kevin O'Neil,John Pendergast,Jr., John Troy,Tim O'Keefe, Stefan Seidner and Mrs. Julia Gavitt. Mr. Seidner did cite concern regarding traffic and pedestrians and Mrs. Gavitt,noted concerns for certain design aspects. The Board requested the applicant look into those issues when the plans are further refined. The hearing was continued to September 14,2005. 2 1 At the continuance, it was noted that Board Member,Jeremy Gilmore was not present and if the applicant proceeded with a four member board all of the votes would have to be in the affirmative for a grant of the appeal. Mr. Ford agreed to proceed with the four members present. At that continuance,revised site and architectural plans and a September 14, 2005 Memorandum from the Building Commissioner were received. The Board and applicant reviewed those plans and a short summary of the proposal was presented by Mr. Ford. Public comment was requested and a Mr. Gerald C. Tucke of 20 Marie Avenue spoke in opposition. He stated that he had not received public notice. The Board reviewed that issue and it was determined that he was not within that area required under MGL Chapter 40A for notification to be sent. He expressed concerns that recent improvements in the area had led to flooding in his basement and he was concern that the proposed development would exasperate the situation. The Board determined that a condition should be imposed that all drainage from the site would be contained on the site. Findings of Fact: At the hearing of September 14, 2005,the Board unanimously made the following findings of fact: 1. Appeal 2005-65 is that of the Tradewinds Inn for property addressed 780 Craigville Beach Road, Centerville,MA as shown on Assessor's Map 226,Parcel 140-1. It is in a Residence B and C Zoning Districts. 2. The subject lot is the"Tradewinds Inn", a 46-bedroom commercial hotel and 125-seat restaurant. The use of the property is nonconforming and the applicant is seeking to redevelop the property as multi- family with 21 two-bedroom townhouse units and associated site improvements including parking, a swimming pool and tennis court. 3. According to the Town of Barnstable records, the Inn encompasses two lots, as shown on Assessor's Map 226,parcels 140-001 and 140-002, addressed 734 and 780 Craigville Beach Road, Centerville. The two lots total 5.51 acres and are developed with four principal buildings. 734 Craigville Beach is developed with a single building of 2,990 sq.ft.,built in 1958. 780 Craigville Beach is developed with three structures totaling 24,686 sq.ft., apparently rebuilt in 1952. The larger structure, 18,951 sq.ft. houses hotel rooms, and a 125-seat restaurant. The two smaller structures on the lot(aka 760 and 760A Craigville Beach) apparently house additional hotel rooms. There also exists a dilapidated shed on the property. 4. Both lots are owned by the Archer Realty Trust,Alan Isenstadt,Trustee. Both have been owned by the Trust since June of 1972 as evidenced by deeds recorded in the Barnstable Registry of Deeds as Certificate Nos. 55074 and 55075. Both of the lots are also subject to the same mortgages and in December of 1987 were granted Special Permit 1987-84 to allow for the expansion of the nonconforming use. That permit was issued to Jeff Sollows and Douglas Lebel as Trustees of S.L.S Trust,however,it was never implemented. 5. The applicant is seeking a special permit for one of the two lots,780 Craigville Beach Road,containing 5.28 acres and three structures—aka 780, 760 and 760A Craigville Beach. The applicant is seeking to convert the property to 21 two-bedroom townhouse units. The proposed new buildings are described as: 3 ti • "Building A", estimated at 226 by 36 feet, converted to 8 living units within the existing footprint (Unit Nos. 1 to 8). • "Building B 1"and"Building B2"anew structure estimated to measure 136 by 40 feet. The two halves are connected by a covered roof structure and each half is to be two units for a total of 4 living units, (Unit No.s 9, 10, 11 & 12). • `Building C"is a proposed new structure,estimated to measure 96 by 40 feet and containing 3 living units (Unit No.s 13, 14& 15). • `Building D"is also a 96 by 40 foot building containing 3 living units (Unit No.s 16, 17 & 18). • `Building E"is located to the eastern side of the property and estimated to measure 110 by 40 feet containing 3 living units, (Unit No.s 19,20&21). 6. From plans presented, Buildings A through D are three level structures with parking garages on the lower level(with the exceptions of the lower level of Units No. 4, 5, 6,7, 8, and 16). Building E appears to contain garages and living area on the lower level with bedrooms above. 7. In addition to the 21 indoor garage spaces, there is one space provided in each of the.garage drives plus 27 uncommitted outdoor paved parking spaces for a total of 69 on-site parking spaces for the residents and visitors. In addition to a proposed tennis court, a 20 by 40 foot outdoor pool is planned and two screened dumpsters are provided for the 21 units. 8. Revised site plans for the development consisting of a total of seven (7) sheets have been submitted to the file. Those plans consist of Sheets 1 to 5 entitled"Proposed Construction for Tradewinds"as drawn by Craig R. Short,P.E.,dated July 26,Last revised September 13, 2005, scaled 1"= 30',plus two addendum sheets. Copies of which have been entered into the file. 9. In order to qualify as a pre-existing legally-created,nonconforming use the use must predate the 1929 inception of zoning in the Town of Barnstable. A 1922 recorded plan(Land Court Plan 8993A) shows that the lot existed at that time, and the then existing structures located upon the lot. The size of a larger building would suggest that a use other than single-family residence may have existed at that time. That lot appears to have remained until the 1952 division of the land as per Land Court Plans 8993B and 8993C. 10. Section 9-41)of the Code of the Town of Barnstable—Inclusionary Affordable Housing requires two units of housing to be dedicated in perpetuity as affordable. The applicant has agreed to meet this requirement to the satisfaction of the Barnstable Housing Committee. 11. With respect to the requirements of Section 240-94A: • On January 25, 2005,the Board of Heath approved the proposed on-site septic system. That system was approved with dimensional variances to the location of the soil absorption system. • Regarding required parking,the existing use would require a minimum of 98 parking spaces. The . proposed 21 multi-family units would require only 35 on-site parking spaces according to the Zoning Ordinance. • Traffic generations from a 125-seat restaurant and a 41-room motel would be considerably more than that generated for a 21-unit multi-family development. 4 � I The proposed change in use would certainly not result in an increase of on-site and off-site noise, dust and odors,nor increase the hours of operation,number of tenants or number of employees. 12. With regards to the requirements of Section 240-94B: the proposed new buildings meet the required front, side and rear setbacks. However,the location of two of the new structures do not comply with the required 35-foot setback from wetlands. Building A,is located as it now exists,non-conforming, in that it is only 28.4 feet off the wetlands. Building E, that is to replace an existing structure,located 10.68 feet from the wetlands,is proposed at 30.23 feet. Although not conforming to the requirement of 35 feet,it is less intrusive than that which exists. In effect,the proposed alterations make it less nonconforming and more in conformance with the Zoning Ordinance overall. 13. This application falls within a category specifically excepted in the ordinance for a grant of a Special Permit. 14. After evaluation of all the evidence presented,the proposal fulfills the spirit and intent of the Zoning Ordinance and would not represent a substantial detriment to the public good or the neighborhood affected. 15. A site plan has been reviewed by the Site Plan Review Committee and that plan can be found approvable. Decision: Based on the findings of fact, a motion was duly made and seconded to grant the appeal with the following conditions: 1. This permit is issued in accordance with Section 240-94A,change of a nonconforming use to another nonconforming use to permit a nonconforming motel and its accessory uses to change to a multi-family use and Section 240-93B,alterations/expansions in pre-existing nonconforming building or structure to permit the structures located on the site to be altered and expanded. 2. 780 Craigville Road, Centerville-Assessor's Map 226,parcel 140-001 shall be limited to no more that 21 two-bedroom multi-family townhouse units and associated site improvements including parking, a swimming pool and tennis court. Development of the site shall be in accordance with plans submitted to the Board,entitled"Proposed Construction for the Tradewinds" as drawn by Craig R. Short,P.E.,dated July 26,2004,last revision date of September 13, 2005 and consisting of 5 sheets plus two addendum sheets. 3. The buildings to be built on the lot addressed as 780 Craigville Beach Road shall be as presented to the Board in plans submitted entitled"Proposed Tradewinds Town Houses, Centerville MA"as drawn by Northside Design Associates dated 9/2/05 and consisting of 12 sheets. 4. The applicant shall comply with the requirements of Section 94D of the Code of the Town of Barnstable—Inclusionary Affordable Housing that will require two units of housing to be dedicated in perpetuity as affordable. 5 5. Unless the Barnstable Housing Committee determines that another option exists to satisfy the Inclusionary Affordable Housing requirement and subject to approval of the Barnstable Housing Committee,734 Craigville Beach Road, Centerville-Assessor's Map 226,parcel 140-002 shall be limited to one structure containing a two-family dwelling(townhouse type units)to satisfy the Inclusionary Affordable Housing Requirements of Section 9-41)of the Code of the Town of Barnstable. Those two units shall dedicate in perpetuity to affordable housing units. To only be sold or rented to qualified households in accordance with the requirements of the Ordinance. 6. All of the structures shall conform to the residential height limitations and number of stories for the Zoning District and conformity as determined by the Building Commissioner. The area of the attic space shall be structured so that it is not usable as a habitable area. 7. Each of the units shall have a deeded or assigned garage space. 8. Development of both lots shall conform to and be maintained with any Order of Conditions issued or to be issued by the Conservation Commission. 9. On-site septic shall conform to all requirements of the Board of Health 10. Development shall conform to all applicable fire and building requirements for the use. 11. All development shall conform to the Section 240-34-Flood area provisions of the Zoning Ordinance. 12. The Master Deed shall include restrictions that the attic area and the garage area shall not be converted into habitable space and that the number of bedrooms shall not be expanded beyond that permitted by this decision. The Master Deed shall-also contain all restriction, contained in this decision. 13. The units shall not be rented for less that a period of three months. This restriction shall be imposed on the applicant and incorporated into the master deed and bylaws of the association. 14. In the event that the Inclusionary affordable units are to be located at 734 Craigville Beach Road, then prior to the issuance of the 10ffi and 20ffi occupancy permits to the 21 unit development on 780 Craigville Beach Road, one affordable unit occupancy permit must be issued for an affordable unit on 734 Craigville Beach Road. 15. All mechanical equipment associated with the dwelling(air conditioners,electric generators,etc.) shall be located so as to conform to the required setbacks for the District and screened from neighboring homes and the public right-of-way. 16. During all stages in the demolition and reconstruction on the property, all vehicles, equipment and materials associated with the demolition/reconstruction shall be required to be located on-site and not within the required setbacks. At no time will any parking, storage or construction materials or items be permitted in the right-of-way of Craigville Beach Road and Marie Avenue. 6 r:'V 5��.----Thext eent of development-authorized'in this permit shall be-considered-full-build-out for the lot-and- nd `athe buildings and structures shall not be expanded in-area or in footprint nor shall.any other`- accessory structure be permitted without further_permission from the Zoning Board of Appeals. 18. This decision must be recorded at the Barnstable Registry of Deeds and a copy of that recorded document must be submitted to the Zoning Board of Appeals Office and to the Building Division before any demolition or building permit is issued. The relief authorized must be executed within one year of the grant of this permit. 19. All run-off shall be contained on-site. 20. All lighting shall conform to the guideline of the Cape Cod Commission. The vote was as follows: AYE: Gail Nightingale,Randolph Childs, Sheila Geiler,Daniel M. Creedon NAY: None Ordered: Special Permit 2004-65 is granted with conditions. This decision must be recorded at the Registry of Deeds for it to be in effect. The relief authorized by this decision must be exercised within one year. Appeals of this decision,if any, shall be made pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the filing of this decision,a copy of which must be filed in the office of the Town Clerk. Daniel M. Creedon III,Chairman Date Signed I,Linda Hutchenrider, Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of under the pains and penalties of perjury. ' Linda Hutchenrider,Town Clerk 7 Q��T - Rg4ffii ineering Page I of I AWN- Y, y • ,a Logged In As: Q�d ����� Friday, July 20 2007 Frank Schlegel Application Center Road System Reports Road System Search Options Search By New Parcels by New Parcel Map Block Lot 140...... ,S,earch-r, <Prev Next> Page 1 of 1 Add Record Parcel Location Village 226 140 OOAx 780-R CRAIGVILLE BEACH ROAD --- UNIT 1 CENTERVILLE 226 140 OOB 780-Q CRAIGVILLE BEACH ROAD --- UNIT 2 CENTERVILLE 226 140 OOC 780-P CRAIGVILLE BEACH ROAD--- UNIT 3 CENTERVILLE 226 140 OOD 780-0 CRAIGVILLE BEACH ROAD --- UNIT 4 CENTERVILLE 226 140 OOE 780-D CRAIGVILLE BEACH ROAD --- UNIT 5 CENTERVILLE 226 140 OOF 780-C CRAIGVILLE BEACH ROAD --- UNIT 6: CENTERVILLE 226 140 OOG 780-B CRAIGVILLE BEACH ROAD --- UNIT 7 CENTERVILLE 226 140 OOH 780-A CRAIGVILLE BEACH'ROAD--- UNIT 8 CENTERVILLE 226 140 001 780-E CRAIGVILLE BEACH ROAD --- UNIT 9 CENTERVILLE 226 140 OOJ 780-F CRAIGVILLE BEACH ROAD --- UNIT 10 CENTERVILLE 226 140 OOK 780-G CRAIGVILLE BEACH ROAD --- UNIT 11 CENTERVILLE 226 140 OOL 780-N CRAIGVILLE BEACH ROAD --- UNIT 12 CENTERVILLE 226 140 OON 780-H CRAIGVILLE BEACH ROAD --- UNIT 14 CENTERVILLE 226 140 000 780-1 CRAIGVILLE BEACH ROAD --- UNIT 15 CENTERVILLE 226 140 OOP 780-J CRAIGVILLE BEACH ROAD --- UNIT 16 CENTERVILLE 226 140 OOQ 780-K CRAIGVILLE BEACH ROAD --- UNIT 17 CENTERVILLE 226 140 OOR 780-L CRAIGVILLE BEACH ROAD --- UNIT 18 CENTERVILLE 226 140 00S 780-M CRAIGVILLE BEACH ROAD --- UNIT 19 CENTERVILLE 226 140 OOT 760-k'CRAIGVILLE BEACH ROAD --- UNIT 20 CENTERVILLE 226 140 OOU 760-BICRAIGVILLE BEACH ROAD --- UNIT 21 CENTERVILLE 226 140 OOV 760-CiCRAIGVILLE BEACH ROAD --- UNIT 22 CENTERVILLE http://issgl2/Intranet/Propdata/RoadEngineering.aspx 7/20/2007 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 Vo -OO( Map Parcel Application# Health Division I (R6076 3S / O Conservation Division 5�3 ' 3� �� ®/��� �� Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. /fin Permit Fee Date Definitive Plan Approved by Planning Board 145 ' 2 S~a 065- Historic-OKH Preservation/Hyannis S Project Street Address 780 Craigville Beach Road Village Centerville Owner Orbis Properties Address 1 State St., 14th Floor, Boston, MA Telephone Permit Request A new Construction 3 unit condo building with garages. (Building E A ! Square feet. 1 st floor:existing proposed ,000 2nd floor:existing proposed 3,000 '`Total new Zoning District RB Flood Plain Groundwater Overlay j - L-� { Project Valuation rI21,997 Construction Type `, < s Lot Size 43,560 Grandfathered: ❑Yes ❑No If yes, attach supporting documation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 3 ry c� r' Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑ es LMlo rn Basement Type: ®Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1,100 Number of Baths: Full:existing new 2/unit Half:existing new 1/unit Number of Bedrooms: existing new 2/unit Total Room Count(not including baths):existing new 6/unit ` First Floor Room Count 4/unit Heat Type and Fuel: ®Gas ❑Oil ❑Electric ❑Other Central Air: ®Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use _ ' Proposed'Use BUILDER INFORMATION Name John Scanlan Telephone Number 508-540-6226 Address 15 Research Road License# CS O40692 East Falmouth, MA 02536 Home Improvement Contractor# Worker's Compensation# WCI-111-258096-036 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Bourne Landfill SIGNATURE C DATE t - FOR OFFICIAL USE ONLY PERMIT NO. i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: f FOUNDATION i FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT , 1 ASSOCIATION PLAN NO. C ' .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r t Vv -()Of Map Parcel A� Application# Health Division a6076 35 / U Conservation Division -Dk- Si 4 3�$ S������ (�Irv� Permit# Tax Collector Date Issued Treasurer Application Fee 1 Planning"Dept. Permit Fee Date Definitive Plan Approved by Planning Board �1> ?oo p6'� Historic--OKH P eservation/Hyannis S Project.Street Address 780�Craigville Beach Road i Village Centerville Owner Orbis Properties �,Address 1 State St., 14th Floor; Boston, MA Telephone f Permit.Request A new Construction 3 u4t condo building with garages. (Building E) 0 A I Y Square feet: 1st floor:existing proposed 3,000 2nd floor:existing proposed 3,000 Total new 6,000 Zoning District RB Flood Plain Groundwater Overlay Project Valuation ` _ Construction Type Lot Size 43,560 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. ` Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) 3 �w 4 Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑' es ❑No ' Basement Type: ®Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area-(sq.ft) 1,100 Number of Baths: Full:existing new 2/unit Half:existing new 1/unit Number of Bedrooms: existing new 2/unit Total Room Count(not including baths):existing new 6/unit First Floor Room Count 4/unit' i - Heat Type and Fuel: M Gas 40 Oil ❑Electric ❑Other Central,Air: ®Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing N❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name John Scanlan Telephone Number 508-540-6226 15 Research Road C8,"040692 Address License#, �t East Falmouth, MA 02536 K Home Improvement Contractor# Worker's Compensation# WCI-111-258096-036 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Bourne Landfill q SIGNATURE DATE Id 7 FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. the C'ommonweatzh oJmassachusetts Department of Industrial Accidents W Office of Investigations ' 600 Washington Street L' Y Boston, ALL 02111 www.mass.govldia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Dame(Business/Organization/Individual): . J.R.r Scanlan Company, Inc. Address: 15 Research Road' k. City/State/Zip: East Falmouth, MA 02536 Phone t 508-540-6226 Are you an employer? Check the'appropriate box: -Type of project(required):. 1.❑ I am a employer with 4. [� I am a general contractor and I employees (full and/or part-time). * have hired the s ab-contractors 6. New construction . 2.0 I am a'sole proprietor or partner- listed on the•aitached sheet. 7. ❑Remodeling These sub-contractors have ship and have no employees S. ❑Demolition • • working for me in any capacity. employees and have workers' 9. []Building addition [No workers' comp,insurance comp,insurance. , required.] 5. We are a officers have exercised their corporation and its 10.❑Electrical repairs or additions '3.❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per M_ GL 12.❑Roof repairs e insurance required.]t c. 152,§1(4), and w have no 13:❑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 sbowing the name of the'sub-contractors and state whether ornot those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.poficynumber. lam an employer that is providing workers'compensation insurance for my employees. Below is-the policy and job site information. Insurance Company Name: Liberty Mutual Policy.#'or Self ins.Lic.#: WCI-111-258096-036 Expiration Date: 8/31/07 lob Site Address: 780 Craigville Beach Road City/State/Zip: Centerville, MA 02632 Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as tequired under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 Off ce of Investigations of the t)IA•for insurance coverage verification. I do hereby certify under the p aiinxand penalties of perjury that the in provided above is true and.correct, Si afore: Date: April 27, 2007 Greg Iuari, Project Manager Phone#: 508-540-6226 Official use only..Do not write in this area, tb be completed by city or town official City or Town: Permit/License# I; 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 InstrBuctious y 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 = PiyPr nr=tee of an individual,partaership, 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 applicaut-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 insurr_nce 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-contiactor(s)name(s), address(m)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 maybe 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.of-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"lob 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 question please do not hesitate to give us a call. The Department's address,telephone-and fax number: e Commonwealth of Massaohustitts Depa_rtment of I.dusWal Aoei.d=ts Office of Investigations 600"Washing cai Street Boston,MA 02111 TeL#617-727-4904 ext 406 ar 1-M-MASSAFF Fax# 617--727-7749 Revised 11-22-06 w .M' =-.gQv/dia r ■e,eSEON PARTNERSLC 617 607 6848 04/23/07 10:22P P.00.1 o Teti Town of Barnstable yWp�� r o • Regulatory Sm,!ces MIrN54Antt:. \t^u Tborrras F. C:ilcr,].)ircctor - BLlll din(y Ui-N'111on 'TnmT•lcrry'; Fuilclin� Cuur:n;vsiurirr ztrG iV_ai:: to:' Hv..nn,;,T.A 0)60 �\'�\•�••.tar•u.b;u•nst:,lilc.:na.irs cc: 508-F,02-Ali'•;5 - T;ts: 5108.79O-G2 0 Pr6per y ONmer Must ComplctcJand Sign This Section If Us in,(�-rA Bui.ldcr C �✓ f, Lv j11,2 1� /�GCL� �' ��•�� /� /Zi J SU!J)CCI plC7Cl:'- allt.]cnizal Ly'tlLs lit-r CLIM-GCII]:lC'LP-c,.UGl] :C1.l', _ (Address of Job) —. 3 _ ✓lze�arvmo�uaea/,�z o�..iacla,,�oeG_Ca BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Numberr.•CS, 040692 Birthdate 09/06G1953 Ezpires08/06/2008 Tr.no: 1428.0 Resor ctecf QO z JOHN K SCANLAN, � } 15 FERNWOOD RQ NO FALMOUTH, MA-025�"ti�-' Commissioner.. i 00=35,000 cf enclosed space (MGL C.112 S.60L) i :IA- Masonry only ;1 G-1 8 2 Family Homes i !;Failure to possess a current edition of the • ;Massachusetts State Building Code is cause for revocation of this license. t DIG SAFE CALL CENTS a R, (888)344-7233' / '0 \ 1lLG {...V!(Lf(LVlL IY GLLLL(L VJ1(1 tLJJWl.74 LLJ GLLJ - ,` - {// Department of Industrial Accidents Office of Investigations . ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation hasuraace Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Pleas eTrint Legibly Name (Business/Orgenization/Individual):.. J.R. Scanlan 'Company.,'.Inc. Address; 15 Research Road' City/State/Zip: East Falmouth, MA 02536 Phone:#: 508-540-6226 Are you an employer? Check the'appropriate boa: a Type of piroject(required):, 1.❑ I am a employer with C4.,yE I am=a general contractor'and I -- — r 6. ®New construction . employees (full and/or part-time).* �h ed the stab-contractors 2.7 1 am a'sole proprietor or partner-, listeel ca the-attached_sheet' ,7. ❑Remodeling shipand have no employees T`hesesub-contractors have 8. 0 Demolition working for me in any capacity. employees and y-e— leers' 9. 0 Building addition [No workers' comp.insurance comp.insurance: required.] 'ire are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing.all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs .. s insurance required.]t C. 152 1(4), and we have no 0 eP q ] • employees. :❑ to ees.-. o workers"P Y rs � 13 Other co m , insurance e requued.] *P.ny 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. 4Z;ACantractors that_check this-box-must-attached-an additionai-sheet-sbowing the nam_e_of the'sub=contractors-and-state-whether-ornofthose entitieeS_have—•--�. employees: If the subcontractors have employees,they must provide their workers'comp.policynumber. lam an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job.site•', information Insurance Company Name: .Liberty Mutual policy#or Self ins.Lic.#: WCI-111-25809:6-036 - 8/31/07 � Expiration Date: Job Site Address: 780 Craigville Beach Road City/State/Zip: Centerville, MA 02632 Attach a eopy of the workers' compensation policy declaration pane(showing the policy number and expiration date). Failure.to secure coverage as required tinder 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 advis ed that a copy of this statement maybe forwarded to the Ofce of InvesfiQa ions-of the_DIA for insurance coveraee verification " I do herebycerdjy unde he pains penalties of perjury that thejtzformation proWded.abovg is true and.correct, - Signature: A.ltilCll2 Date: April 27, 2007 Greg Iniari, .P oject Manager ` Phone#: 508-5407-6226 Official use only..Do not write in this area, fo be completed by city or town offrciaL City or Town• Permit/License# L . Issiling Authority(circle one): 1,.Board of 11ea1th 2,Building Department 3. City/Town`CIerk 4.Electrical f sgectar 5,Plumbirg Inspector 6,Other. Contact Person Phone#: I ' .x This certificate is executed by Liberty Mutual Insurance Group as respects such insurance as is afforded by those companies. BM0068 Certificate of Insurance This certificate is issued as a matter of information only and confers no rights upon you the certificate holder. This certificate is not an insurance policy and does not amend,extend,or alter the coverage afforded by the policies listed below. This is to certify that(Name and address of Insured) J.K.Scanlan Company,Inc. 0bertX 15 Research Road East Falmouth,MA 02536-4440 ]ti I(utuiuYu is,at the issue date of this certificate,insured by the Company under the policy(ies)listed below. The insurance afforded by the listed policy(ies)is subject to all their terms,exclusions and conditions and is not altered by any requirement,term or condition of any contractor other document with respect to which this certificate maybe issued. —Expiration Type Eff./Exp.Date(s) Policy Number(s) Limits of Liability Continuous* 08/31/2006/08/31/2007 WC1-1 1 1-2 5 8096-036 Coverage afforded under WC law of Employers Liability Extended the following states: Bodily Injury By Accident X Policy Term CA,MA,NH,OK,VA $1,000,000 Each Accident Bodily Injury By Disease $1,000,000 Policy Limit Workers Compensation FBodily Injury By Disease $1,000,000 Each Person 08/31/2006/08/31/2007 YY2-1 1 1-2 5 8096-0 1 6 General Aggregate-Other than Prod/Completed Operations General Liability $2,000,000* Products/Completed Operations Aggregate Hx Claims Made $2,000,000* Occurrence Bodily Injury and Property Damage Liability Per $1,000,000 Occurrence Retro Date Personal and Advertising Injury Per Person/ $1,000,000 Organization Other Liability Other Liability Med.Pay$10,000 Fire Legal$300,000 08/31/2006/08/31/2007 AS2-111-258096-066 Each Accident-Single Limit-B.I.and P.D.Combined Automobile Liability _ $1,000,000 Each Person X Owned X Non-Owned Each Accident or Occurrence X Hired Each Accident or Occurrence C *Per project and per location combined aggregate limit of$2,000,000 with cap of$10,000,000. O Employee liability limits for CA are: 1,000,000/1,000,000/1,000,000.--Job Number:0616Project Name:Residences at Trade Winds-780 Craigville Beach Road, M Centerville,MA 02632Additional Insured:Trade Winds Residences,LLC. M E N T S *If the certificate expiration date is continuous or extended term,you will be notified if coverage is terminated or reduced before the certificate expiration date. However,you will not be notified annually of the continuation of coverage. Special Notice-Ohio:Any person who,with intent to defraud or knowing that he/she is facilitating a fraud against an insurer,submits an application or files a claim containing a false or deceptive statement is guilty of insurance fraud. Important information to Florida policyholders and certificate holders:in the event you have any questions or need information about this certificate for any reason,please contact your local sales producer, whose name and telephone number appears in the lower left comer of this certificate. The appropriate local sales office mailing address may also be obtained by calling this number. Notice of cancellation: (not applicable unless a number of days is entered below). Before the stated expiration date the company will not cancel or reduce the insurance afforded under the above policies until at least 30 days notice of such cancellation has been mailed to Office: WESTON,MA-SOUTH Phone: 781-891-8900 Certificate Holder: CLARE HALLAHAN James Walsh Authorized Representative Trade Winds Residences, LLC One State Street, 14th Floor Boston, MA 02109 Date Issued: 03/21/2007 Prepared By: KS r Bile Edit Tools Help Prerequisite Aztion Dept Needed By approved j by Stems Insp Comment ViF StatusHEALT APPROVAL M 05 =kudtt History Frerequisite HLTH-HEALTH DEPARTMENT Needed by ;ctiontype APPROVAL inspector DDES UJ 51�1,�R .IS,I Responsibledept 6590-HEALTH'DEP""MIENT Inspection type . reference 2G'05418 Status ='PR -APPROVED Applicant resp date Comment code :'approved 05/01,2307. T" 15:3 7 42 bedracrr,condo project T"t �• TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION r' Map 226 Parcel 140-00T Unit`760`A Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 760 Craigville ,Reach(Road i Village Centerville Owner Trade Winds Residences LLC Address %One State 'Street, 14th Floor.C--,.• Telephone 617-861-20b5• - Roston, MA, 02109 Permit Request Tenant Fitout _. O AJ i /�- Square feet: 1 st floor: existing proposed 1250 2nd floor: existing proposed 1157 Total new 2407 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type New- Lot Size /1 Acre_ Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family M Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes M No On Old King's Highway: ❑Yes M No Basement Type: M Full ❑ Crawl ❑Walkout W Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 1000 Number of Baths: Full: existing new Half: existing new 1 Number of Bedrooms: existing 2 new Total Room Count(not including baths): existing 9 new First Floor Room Count 7 5 Heat Type and Fuel: 13 Gas ❑Oil 0 Electric ❑Other Central Air: 23Yes ❑ No Fireplaces: Existing New 11 Existing wood/coal stove: 0 Yes M,No Detached garage: ❑existing ❑ new size_Pool: ❑ existing M new size _ Barn: ❑ existing ❑ new size_ f Attached garage: ❑ existing 0 new size _Shed: ❑ existing 0 new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ :.N€ Commercial 0 Yes M No If yes, site plan review# V l > Current Use Proposed Use Residence APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name v J.R. Scanlan Company, Inc-. f Telephone Number `508-540-6226 ' k Address 15 Research Road License# CS O40692 East Falffiouth, M& 02536 Home Improvement Contractor# Worker's Compensation # WC6-111-258096-037 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO S SIGNATURE DATE � 1 I �l I l ti FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED a MAP PARCEL NO. - t - ADDRESS VILLAGE OWNER } DATE OF INSPECTION: FOUNDATION - m FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL j PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 - FINAL BUILDING s y C , } DATE CLOSED OUT ASSOCIATION PLAN NO. i a x TOWN OF BARNSTABLE BUILDING PERMIT APPLICATMION ' r/ t IVlap �. Parcel 7 O Arr _2 Application # cPQ4_4or��7 lEtJAM Health Division ' , s a Date)lssued r Conservation Division �= 'i. Ui-+ Application Fee - S Planning Dept. � �L f?5,J6"s Permit Fee Date'DefinitiVe,Plan Approved by Planning Board,- �- Historic - OKH Preservation/Hyannis. + 1 ` Project Street Address. .� _kepi 1A 7Z>J M ;-Village Cent i ie,ffC k .� Owner C� 1Wi14a0)Resi4ence� �'-Telephone 6Ya7- 6 -2��v3 f- ' Bptttonmr,,X A0,X09 a -< S vc. L o) , , Permit Request T��attt Fitou#f'yz' �, 0AJ 7-� }- Ya . ,h Square feet: 1 st floor: existing proposed : 2nd floor: existing proposed 11'57 Total new 2407 —Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size' A Grandfathered: ❑Yes 0 No If yes,;attach supporting documentation. Dwelling Type: Single.Family M Two Family ❑ Multi-Family(# units) i Age of Existing Structure Historic House: ❑Yes 'M No On Old King's Highway: ❑Yes ® No . Basement Type: 21 Full , ❑Crawl ❑Walkout 0 Other Q1rCA.r. Basement Finished Area(sgft) 0 � Basement Unfinished Area(sq.ft) 1000 Number of Baths: Full: existing t new.' ' Half: existing '�j new Number of Bedrooms: existing 2� new Total Room Count (not including baths): existing 9 new 7 First Floor Room Count 7. 5 , Heat Type and Fuel: ,® Gas ❑Oil ❑ Electric ❑ Other Central Air: .%'Yes ❑ No Fireplaces: Existing New 4' Existing wood/coal stove: ❑Yes a No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ID new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑~existing ® new size _Shed: ❑ existing ❑ newt size)_ Other: 7 Zoning Board of Appeals Authorization j❑ Appeal # -' Recorded ❑ Commercial O Yes ® No If yes, site plan review# Current Use Proposed Use" -�� e : _ ;APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name R.51' 'i ' a ,y Imo= ' Telephone Number AddressRese zch ° 0 \ License# ..S 4 C� �, CI_7 � -. cl& / ;u i p �' ;f;fastalt lv©z 025P6 Home Improvement Contractor# Worker's Compensation # ' Tf ` � ?r =f ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �( - � �� DATE 4/ ! (� 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 Map `lam Parcel V ., Application # 6 � � Health Division Date Issued l 0� Conservation Division Application Fee . Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address m oe Village -��j�•�v!/► LLc Owner /�v/%� D A4;_ 4 Address I Z a s Telephone Permit Request AA 646 QS 24n C TV Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new, Zoning District Flood Plain Groundwater Overlay , Project Valuation Construction Type Lot Size Grandfathered:' ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) C7 ca . A 'A' Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's"ighway r',a Yeses❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ OtherPa w Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing _new (73 4. Number of Bedrooms: existing —new 0- Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ . Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) T yr' Name �i�,D��h icy �/��l �Y Telephone Number / '7�.�3 - �r'�2 6 Address /2 /31.,1 A/C-- License# es- Q h�*,a a z 332, Home Improvement Contractor# Worker's Compensation # WQW-2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE A'd 4, 3 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP L PARCEL NO. is ADDRESS VILLAGE OWNER i DATE OF INSPECTION: ;�FQUNDATIDN+a - t'f3.a, N;.i FRAME INSULATION FIREPLACE . ; ELECTRICAL:. „ROUGH - FINAL PLUMBING: ROUGH FINAL F GAS: ROUGH FINAL FINAL BUILDING, DATE CLOSED OUT ASSOCIATION PLAN NO. f— Regulatory Services i ununsrnur.e, Thomas F.Geiler,Director j YQ MASS. $- 1fnrAA�p B1I11di.tlg )}.RrlSiofl Tom ferry,Building CoIIIIIIIINS1,01101 200 Main Street, Hyannis,MA 02601 1 Office: 508-862-4035 Fax: 508-790-62:3.0. q 1 i NO ICKTO THE 13UILWNG.DIVISION Or CHANGE OIL LICIZNSEM CONSTRUCTION SUPI✓RVISOR �la i 'P C... , I, � (1 -�Ot�c'�, Yt 'CU�S owner of Property located at r-�t � C� -tJ'►�`�t- --, hercl)y ccrtil'y that is no longer CoiWe'Liction Supervisor Iisled on the Cation fol.the j)roject.under Ct MMI'LICtt011 as-authorl ed by _ ''OUP`' r b SStied-oi1 li lldl ll�j)el'nl l I( 7J� �(.`7�. �;.� M I I I Understand that the project under construction uiust CUHSe"until a Successor licensed Construction.Supervisor, is,Submitted on the records:of the Building Division. I PRO A RIN OWNI"sR DATE i i q/forms/nc++•cnmr reference R-5 780 CMR rev:1 I0410 I } i JTC CONTRACTORS INC DATE 6/25/13 RE. PROJECT SUPERVISION Trade Winds 780 Craigsville Beach Rd Barnstable Ma To whom it may concern Please let this letter'be considered confirmation that Stephen R Callahan construction supervisor's, license#CS-028119 is employed by JTC Contractors Inc.for the purpose of project oversight at the above referenced location.A copy of his license is attached. Thank you esident One Buttercup Lane South Yarmouth Ma 02664 617-538-9326 { 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): � (nGl� r✓yL '/ ZA—f C. Address: /l L City/State/Zip: Off/ Mx}- Phone#: <P17— 'S-3 J-cj 326 Are Y9u an empl er?Check the appropriate box: Type of roject(required): 1. I am a employer with 2. 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction. 2.ElI am a sole proprietor or partner- listed on the attached sheet. 7. ❑V Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [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 `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 showini the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: T('12/C_ Policy#or Self-ins.Lic.#: 2,9/G� Expiration Date: / Job Site Address: 7 eV-h City/State/Zip: �ZY.�y�✓yc/�� X/f l�' 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 her y �fyur the par d penalties of rjury that the information provided above is true and correct Si a Date: 7z Z� Phon #: 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#: t .H 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, or express implied,oral or written." P P 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 b 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: _ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel,#617-727-4900 ext 406 or 1-877-MASSAFE Revi sed 4-24-07 Fax#617-727-7749 www.mass.gov/dia f (MMIQQIYYYY) JRv CERTIFICATE OF LIABILITY INSURANCE OP ID DL [77E B 13 13 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 CONSTITUTEA CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polify(les)must be endorsed. IfSUBROGAT ON IS WAIVED,subject to the terms and conditions of the policy,certain policies;may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME• DE!bra Landry DGP-Miles Insurance Agency,Inc AIc ND.Et): 508-824-8961 (AIc,No; 508-828-191 3 School Street P.O. Box 1018 ADDRESS: dlan @d milesins.com Taunton MA 02780-0957 CUSTOMERIDO: JTCCO-1 Phone:508-824-8961 Fax:508-880-2734 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: U S S ecialt Ins CO Johnn Callahan actors J CC Inc INSURERS: National Grange Insurance Co. 1 Buttercup Lane - wsURERC: Zurich American Insurance Cc South Yarmouth MA 02664 INSURER D: INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSR WVD POLICYNUMBER (MMIDD�) (MMIDO�) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 r�RF.RTE . A X COMMERCIAl.GENERAL LIABILITY IG06C00093500 05/l7/13 05/17/14 PREMISES(Ea occurrence) $100000 CLAIMS-MADE ®OCCUR MED EXP(Any ons person) S 5000 PERSONAL BA13VINJURY $1000000 GENERAL AGGREGATE s 2000000 GEMLAGGREGATE LIMIT APPLIES PER; PRODUCTS-COMPIOPAGG 52000000 POLICY n PECOT LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT B ANY AUTO M1M29803 10/18/12 10/16/13 (Eaaccident) $1000000 ALL OW NED AUTOS BODILY INJURY(Par person) s X SCHEDULED AUTOS BODILY INJURY(Per acrident) s PROPERTY DAMAGE HIRED AUTOS (Per accident) S NON-OWNED AUTOS S ..........................._.._........-------------------............ -...................---...._........................_.........:.................-........_...._..-- -- ...._.__.._._-----:... .............._... ......,....:........:.....__.:_..:........_.._.._.... . I5 A X UMBRELLA X OCCUR : UEP500225 05/17/13 05/17/13 EACH OCCURRENCE $1000000 EXCESS UAB CLAIMS-MADE AGGREGATE s2000000 DEDUCTIBLE s X RETENTION $ O S C WORKERS COMPENSATION 6ZZUB6BO5291413 06/14/i3 Ofi/14/14 AND EMPLOYERS'LIABILITY YIN TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTk E.LEACHACCIDENT 51000000 OFFICERIMEMBEREXCLUDE07 IA (mandatory In E.L.DISEASE-EA EMPLOYE S 1000000 If yes,describe under DESCRIPTIONOF OPERATIONS below EL DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES Attach ACORD 101 Additional Remarks Schedule,if more space Is required) RE:780rCraigville Beach Rd, Centerville, MA. Trade Winds Development A,Inc. is add 1 insd.Waiver of subro 6 Primary & Noncontributory with respect to GL Cov. Proof of ins.subject to actual policy terms, conditions, definitions, limits, and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TRADEWI THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Trade Winds Development A,Inc ACCORDANCE WITH THE POLICY PROVISIONS. James Coyne CEO Old Hill Prtns AUTHORIZED REPRESENTATIVE 1120 Boston Post Rd Darien CT 06820 988- A ORPCORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are iegister-e&1Wks of 1 07 TM Tom 4.b itrnsfit ble l C dt C . ReMatory Services i V dunes rt' 6 Thomas F.GeUer,Director x639 tQ'� . Building.Wgion Tuia Perry,$tiitcInxg:Commissioncr 200 Main Street;Hyannis,MA 02601 I www.town.barnstable.ma.us Office: 508-862-4038 hay 508-790-6230 Property Owner.Must. ComplCte and Sign This Section If Using A-Builder t_�. T, ahn r-M-3C'_• as Owner of the subject'property �u ze =hczeb thou G n r to act on in b y. �O '� GLGi1rS eh..l� y in all matte.;s zelative to-work authorized by this buildingpetmit 5D MeQA U , C34�\J)1` ddress of Job) 'Pool fences and alarms are the responsibility of the a licont. Pools �P � pp i are not-to be filled•before fence is installed and pools are not:to be i u lized.until all fail inspections are,perfor-med and accepted. sigaztV Owner Signature of Applicant /0An 00,1f Paint NTazn.c Paint Name Date .. j Q:FORM&OWNERP"RASSIONCOOIS ' I I • i i r t Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supeni or License: CS-028119 STEPHEN R CALJ> AHAN-' 12BAY AVE = ' s DUXBURY MA 02332 r - �J. Y A >a s t`' Expiration 06/28/2014 Commissioner w —' Initial Construction Control Document = To be submitted with the building permit application by a _ d Registered Design Professional for work per the 8'h edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: The Residences at Trade Winds,Building E Date:July 2, 2013 Property Address: 780 Craigsville Beach Road, West Hyannisport,Massachusetts Project: Check(x)one or both as applicable: X New construction Existing Construction Project description: New 2 story, wood framed with full basement 3 unit condominium. I John J. Keenan, MA Registration Number: 4148 Expiration date: August 2013 , am a registered design professional, and hereby certify to the best of my knowledge, information and belief that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': Entire Project X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care,and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences, and procedures, and for construction safety. 4. The performance of the services shall not require any special testing or inspections unless specifically stated in the ' Code. When required by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Constr of Document'. Enter in the space to the right a"wet"or, r we,. Z electronic signature and seal: .N 14a FAl'MOUTH, s� MA53 Phone number: 508.540.0075 Email: kk.arch@verizon.net Building Official Use Only Building Official Name: Pen-nit No.: Date: Note 1. Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised. If`other' is chosen, provide a description. Trial Version 10 09 2012 r Z ` Ooze 4d iiwt4at PBatee, Roe 1301 r"r", md"dadettd 02109-1619 r Poore l617I 727-3200 Deval Patrick y` � Governor fax (617) 727-5732 Thomas G.Gatzunis, P.E. Commissioner CONSTRUCTION CONTROL DOCUMENT Project Title: The Residences at Trade Winds, Bldg. E Date: July 2, 2013 Project Location: 780 Craigsville Beach Road', West Hyannisport, Massachusetts Scope of Project: New 2 story, wood framed with full basement 3 unit condominium In accordance with SECTION 116.0-116.4.2 of the 61h edition of the Massachusetts State Building Code: I, John A. Bologna, P.E. Mass. Registration Number: 33776 being a registered professional Engineer/Architect, hereby CERTIFY that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: ❑ Entire Project ❑ Architectural ❑✓ Structural ❑ Mechanical ❑ Fire Protection ❑ Electrical ❑ Other(specify): for the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable engineering practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the documents approved by the building permit and shall be .responsible for the following as specified in section-116.2.2: 1. Review of shop drawings, samples and other,submittals of the contractor as required by the construction contract documents as submitted for the building permit, and approval for the conformance to the design concept. 2. Review and approval of the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I shall submit periodically, in a form acceptable to the building official, a progress report together with pertinent comments. Upon completion of the work, I shall submit to the building official a final report as to the satisfactory completion and readiness of the project for occupancy. H OF/.f., Signature and Seal of registered professional: o�� JOHN. qPs G A. o O No.33776 Q- cIsre�``G�`��, S�OPIAL EN r The Commonwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 1 of 2 ,w The Commonwealth of Massachusetts William Francis Galvin i Secretary of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston,MA 02108-1512 - Telephone: (617)727-9640 JTC CONTRACTORS, INC. Summary Screen Q Help with this form 7t"F quest a Certificate ' . 'I The exact name of the Domestic Profit Corporation: JTC CONTRACTORS, INC. Entity Type: Domestic Profit Corporation Identification Number: 001025114 Date of Organization in Massachusetts: 03/29/2010 Current Fiscal Month I Day: 12/31 The location of its principal office: No. and Street: 1 BUTTERCUP LANE City or Town: SOUTH YARMOUTH State: MA Zip: 02664 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: Name: JOHN T. CALLAHAN, III No. and Street: 1 BUTTERCUP LANE City or Town: SOUTH YARMOUTH State: MA Zip: 02664 Country: USA The officers and all of the directors of the corporation: Title Individual Name Address(no PO Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code of Term PRESIDENT JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH,MA 02664 USA TREASURER JOHN T_CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH,MA 02664 USA SECRETARY JOHN T CALLAHAN IV 1 BUTTERCUP LANE SOUTH YARMOUTH,MA 02664 USA DIRECTOR JOHN T CALLAHAN IV 1 BUTTERCUP LANE SOUTH YARMOUTH,MA 02664 USA DIRECTOR JOHN T CALLAHAN III 1 BUTTERCUP LANE SOUTH YARMOUTH,MA 02664 USA http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 6/19/2013 The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 2 of 2 business entity stock is publicly traded: The total number of shares and par value, if any,of each class of stock which the business entity is authorized to issue: Par Value Per Share Total Authorized by Articles Total Issued Class of Stock Enter 0 if no Par of Organization or Amendments and Outstanding Num of Shares Total Par Value Num of Shares. CNP $0.00000 275,000 $0.00 100 _ Consent _ Manufacturer Confidential Data Does Not Require Annual Report Partnership X Resident Agent X For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: ALL FILINGS Administrative Dissolution ' Annual Report Application For Revival ] Articles of Amendment ;µ Viev✓,Ftlings'4� New.Search Comments ©2001-2013 Commonwealth of Massachusetts All Rights Reserved Help http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True... 6/19/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z Parcel �3�' Application #. �l Health Division Date Issued q'S—!"7 Conservation Division Application Fee / l lqv Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board off,� C 01 / / ��Historic - OKH _ Preservation/ Hyannis r` Project Street Address Village Owner v Address Telephone Permit Request l Square feet:/1st floor: existing proposed [ 2nd floor: existingproposed " Totaiznew 6"5f Zoning District f C-15 ' ood Plain 46�_ Groundwater Overlay r Project ValuatjR Construction Type11.1 Lot Size Grandfathered: XYes ❑ No If yes, attach supporting doc`u/megtation. Dwelling Type: Single Family Two Family ❑ Age of Existing Structure Historic House: ❑Yes XNo On Old Kin 's Highway: ❑Yes ,,XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other' ! Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)� �Fk Number of Baths: Full: existing new Half: existing new Number of Bedrooms: lk existing0 new ./2J'____� Total Room Count (not including baths): existing _�S new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other Central Air: XYes ❑ No Fireplaces: Existing_0 New Z Existing wood/coal stove: ❑Yes lyo Detached garage: existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: 60 Zoning Board of Appeals Authorization ❑ Appeal # Recordecl�' Commercial ❑Yes No If yes, site plan review# > Current Use Proposed Used Pu 42��t�� APPLICANT INFORMATION '(BUILDER OR HOMEOWNER) d � � - � Name Telephone Number Address License # C_.5 n0 _ . _21� 01 Home Improvement Contractor# X.Email Worker's Compensation # 8 ' 5 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i - FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL PLUMBING- ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING !c f DATE CLOSED OUT ASSOCIATION PLAN NO. M4 0211 sflRrfri�i _ bers Were C,Pe 7asMce Piease F Iafarmaf�a . v r?fhr&tb--b� Tgis °f Pzal�t E : Axel as c�ci�$ac�I ' 4, Q Iaffia []Newc 'L lmna * brebiredfisa �- Fes)- listed cnthe $ Q I❑ I=a sole pw6dor OrRWtMw- TbWe � � [J n s and.ham rsn e� emVlayeevn 9- ❑BrOcrin a wading mein - 6-El MadicalmPaimcrad m 0 eraoms mpelf LNa=Tb3re C=V c.1.52, iM aad�¢eba�rea¢ ' coutT. � .gBy &scc�baoc€1.amst akais�a�9�e �aars��ffi�r�saa�' °01' t �sa�3 �a�afthe �`� `�aaa � - i8dsecic�ris boa psitmd ffi�dl shy s I ass� �tisgrcui�iv�g�varkets tic ari �.1�'� 3` $daovisfitsgv�cy aad fah ss�s . ah°rL Bch a ruff Qf'*mar aagnl t PcY Sew 2s�off c.L`rZ i�Ie�d fati�e� Qf cpeasllaes of a Fai=to ss as cs 1 ssz ft o of a S M OaMERand a fine floe up to$L5nOD=CvM. van afgiss ffig. c toWSW a&F gea _ ;tac a ps agPF�ct$ia s¢fary eal i4 ous tired rxtrFect cut u�ar ti _.. ,Pbmie Wd ass Do st f bw�by c*srir� citF ar'awm (ch-dcOw): MM asp � ° &o€ C Fer�oa: 6 Client#:40507 2ANNABELLESCH CORD;,_, CERTIFICATE OF LIABILITY INSURANCE DAM ID s' .CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CE TIFICATE 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 INWRER(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 rrtsy require an endorsement.A staWment on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER cT Dowling&O'Neil Insurance Agency t�wling&O'Neli 973 lyannough Rd,PO Box 1990 `` 775-1620 I N,: 5087781218 Hyannis,MA 02601 col@doine.com 608 775.1620 INSURER(S)AFFORDING COVERAGE NAIL INSURER A:The Hartford INSURED _ I INSURER 8 Heritage Realty&Development,Inc. INSURER c: P.O.Box 170 INSURER D West Hyannisport,AAA 02672 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSR LTR TYPE OF INSURANCE j POLICY NUMBER LIMITS GENERAL LIABUTY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY ii jES S CLAIMS-MADE OCCUR j I MED EXP(Any one person) S PERSONALBADVINJURY S I GENERAL AGGREGATE S GEWL AGGREGATE LIMIT APPLIES PER; + PRODUCTS-COMPIOP AGG S POLICY JECT PRO LOC S AUTOh40B�E LLABILnY i C BNED SINGLE LIMIT Ea uti ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS ! BODILY INJURY(Per W*01t) S NON-OWNED ER Y DAMAGE S HIRED AUTOS AUTOS S UMBRELLA LIAS OCCUR ( EACH OCCURRENCE S EXCESS LAB CLAIMS-MADE 1 j AGGREGATE S DED RETENTIONS S A WORKERS cOMPENSAT*N �08WECCRO057 DV24=1 d 07/24(2017 X Iwe sTATU• I JOTH- AND EMPLOYERS'LIABRM Y!N TORY LIMITS ER ANY PROPRIETOR/PARTNERIEXECUiIVE� I E.L EACH ACCIDENT SS00 600 OFFICERMEMBER EXCLUDED t �v;I N/A (Mars { I E.L DISEASE-EA EMPLOYEE S=0W DESCRIPTION Of.OPERATIONS EL.DISEASE.-POLICY LIMB SSOO 000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101,A.dit,* l Rm=M Schedule,if mWe space to requited) RE:350 Bradford Street,Provinoetoavn Insurance coverage Is limited to the tennsconditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION BP.JC LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN .PO BOX 786 ACCORDANCE WITH THE POLICY PROVISIONS. Chatham,MA 02633 �A, AUTHORIZED REPRESENTATIVE 01 OW2010 ACORD CORPORATION.All rights reserved. ACORD 25(201=6) of 1 The ACORD name and logo are reglst red marks of ACORD #S182587/1W182%1 CAD Town of Barnstable Regulatory Services • ski. ` Rickard Y.Scab,Oftu Or Building Division Paul Roma,BadWg CommiWoner 200 Maia Street,Hyannis,MA.02601 www.town.barustable.ma.ns Office: 509462-4038 Feat 508-790-6230 Property Owner Must Complete and Sign Th s Section If Using A Builder er of the s*ed pmp=tY g authozize to act on my behalf; hereb e44 in aIl snattess re tie Work au ho by this bmldiag pit application for. (Addms of job) - .Te�,� . **Pool fences and alarms are the'responsibility of the applicant Pools are not to be filled or fifth before fence is installed and all final . inspections are performed and.accepted. o.A licaut of Qwaer Pp rw Priest Name - Prat Name Q:Foxa�ss:owrmssid�oois f z, meSatetY nt of Pub1gtan,lards chu5es gepa ulations a^d Q- Massa3 Building Reg r r Board Off CS Ui c'e n5e' Su Construc . 6HUGLO OgD I ' 02 ppRE J i CEO • 1 _ am^ (� A , ;. 0811312017 loner CommisL s r , S k �Y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r _ _7a1 Map Parcel . Application Health Division Date Issued S Conservation Division Application F Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH Preservation/Hyannis Project Street Address - 2�V�2 �Z4"nlia Zk14 Village Owner =C1 ,�- 1 ,�,✓� fAddressG4&,2eC I h1 Telephone Permit Request W 's Square feet: 1 st floor: existing proposed 1�/2nd floor: existing g7_propose d> Total;nevV-1: Zoning District lood Plain Groundwater Overlay Project Valuatio A570onstruction Type4 f ve✓ ® Lot.Size Grandfathered., I Yes ❑ o If yes, attad supporting Wcum4Vtatibn. Dwelling Type: Single Family /1K Two Family ❑ Multi-Family(# units) I-P7 i%i2< T u 1 �X►`�' Age of Existing Structure Historic House: ❑Yes On Old Ki 's Highway: ❑YesNo Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other '01 l� `�\ Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) ✓ Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing 0 new 7� Total Room Count (not including baths): existing new —5— First Floor Room Count Heat Type and Fuel: as ❑ Oil ❑ Electric ❑Other Central Air:'�Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑YesXNo Detached garagem existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ O her: /roe✓- 1 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ (' a�-tc�� Commercial ❑Yes No If yes, site plan review# Current Use ' ICI Proposed Use r - GrAI� APPLICANT INFORMATION -- -- --- (BUILDER OR HOMEOWNER Name Telephone Number — �2DO Address �2 . License# Home Improvement Contractor# Email _ / Worker's Compensation # ALL CONSTRU TION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE " DATE FOR OFFICIAL USE ONLY APPLICATION # E . DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. 1 r =-ram --�.... . .. 77 ublic Safety assachu5et{s D Re9u tenons anartme d Sandal M t u ildin9 mot. o Board License:CS �,�,�ir" ' Construign Sum . EBEL AS W p0UG1 AY.WA ftD. /� � Expiration: l J�� 0811312017 ioner Commiss r j - i Yhe C meat qfrkdkY&idA of 600 W BwWY4 MA#2HI Wmim& C=qpeniai Lnm=c%Affuhvit- ers APPYgmt Iutarmatiou Phase FHmd ;I�'aa4e -2&A �l .Aidress:._ p C/�►1�,�10 ram G"BEY / Are m as Employer?Qae&the agpmpdate b cM Type of pro Ems- L I a�a 4. ❑I New aadfor * byehh-edgm I[] I am a sale or Pined��te s 7- ❑RemodeHrg s} and Save �. ❑Demal� wmidnff forms is nay cagacifg empk7ew andhaa wodmre 9. 0 -I s. ❑ Waare a cmpo ad s 16-p Meticalr or 3.(]I ama h=anmar doing ail wcnk F=diagrepe=ar M&ej aus mysd€LNC worknor COMP- of PWUGL a Iina£segais r I t c.M.11(4�aadwe$we no [ram �Ca��m��edr8a,baa�t 0csd��� gt�naaeaf t� �t�e �a�a�a�e sr� ff�S a TTs�ve cm=Mgt gmiact-fir Ism m . isgras ifg ta�rkets' ,fnr awe c3 $ isiiSaPV&7 can jab sib I�aase� l�'am� � . •' . Pc&cg4orSef-fto .Uc- oo J6bMaAas � �✓� t� acW afthewwlpws°cbmP==fimpancy&MEwaflon pap(Amwing ffiePormy er Faihn�fia sect as zunder Sec25f10€It3.c.I5�iu Iead fo tfse im�asiu of c perms of a fimr up�a$l,S4a t?4 eadtor awe-�rim�isa ,a�v�as cigsl peaal�.sst$ie farm a€a SIP�Ti}R���sad s� of up to a&g azaRmt ffie'dobtM ge S& sed Md A c opfo€f2is of ofte M&for immba=comp F y cerl &SPa3ns and ffudift&ftr=m*wpvv&W abon is fr"md correct SiMMVIUMvZ .>/ Pb=ik Q.Fddwaanry. Da not .fa ff&=w,&bs wwpTz&i by c Uy artam M'or Toga: Zieesse# (chtle Ong)e I.Saar+daf Mal& :.Bmikrmg Depwuacz& 3.cuyf rovm awk 4, IFtar S. hmpecisr *O&W C=bkd Persons Pbow#: b Client#:40507 2ANNABELLESCH ACORD. CERTIFICATE OF LIABILITY INSURANCE 12/21/2016 THIS_CER'f F CATE 1S ISSUED AS A MATTER OF.INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER..THIS CER'TIF1C61T.E 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 poitcy(les)must be endorsed.If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an end orsement A statement on this certificate.does not confer rights to the certificate holder In lieu of such endorwrnent(s). PRODUCER Dowling&O'Neil Dowling&O' Neil insurance Agency 508 775-1620 ( N,, 5087781218 973 lyannough Rd,PO Box 1990 E Hyannis,MA 026Q1 AE�► SS, coi@doins.com 508 776.1620 Elts<!i s AFFORDING COVERAGE INSURER A:The Hartford INSURED Heritage Realty&Development,Inc. a ENSURER B INSURER C R.O.Box 170 West Hyannisport,MA 02 INSURER D672 . 11tw—RER E: INSURER F COVERAGES CERTIFICATE NUMBER: . . REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF.INSURANCE LISTED BELOW HAVE BEEN fS$UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD. INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH `'HIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS SUBJECT TO ALL THE TERNS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES., LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE i I POLICY NUMBER. LIMITS GENERAL LIABtLRY EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY {{ PAEM(SESENTED s CLAIMS-MADE OCCUR ; i MED EXP Any one person)Lp S PERSONAL&ADV INJURY ,$ i ! , GENERAL AGGREGATE S I GEN L AGGREGATE LIMB APPLIES PER: PRODUCTS-OOMP/OP AGG S POLICY PRO• LOC q 5 . COMBINED AUTOMOBILE LIA13LLlTY # i BODILY Iid.IUR SINGLE(Per LIMIT ANY AUTO peraon) 3 ALLOWN ! AUTOS ED AAUTOS ED 1 BODILY INJURY(Per aoowent) S SCHHIRED AUTOS AN AWNED �PERTY DAMAGE S S UMBRELLA LiAR OCCUR EACH OCCURRENCE S EXCESS LEAS j CLAIMS-MADE AGGREGATE S DED RETENTIONS a I WORK COMPEAi$ATiON I i WC STATU JOT" A MY EC / Q18 07/24P201 : X, AND EMPLOYERS'LIABILITY YlPI I ANY PRpp AI ETOR/PARTNER/EXECUTNE I EL EACH ACCIDENT s5Q0 OOD OFFICERIMEAABER EXCLUDED? C N!A (Mandatory In I EL DISEASE-EA*EMPLOYEE,MPLOYEE S5o w I( If.yes dewbe under DESCRIPTION OF OPERATIONS W,, }. E.L.DISEASE.-POLICY LIMIT SS00 000 i I . f � i DESCRI TIoN oR oPERATi.m/LOCATIONS!VEI1c,m{Attach ACORD 101,AdditiwW Rameik8 Sdteduk,if more space Is requi.r4 At:360 Bradford Street,Provincetown insurance Coverage Is limited to the terms;conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATiE HOLDER ` CANCELLATION ?b BPJC LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 89FORE THE EXPIRATION DATE THEREOF, NOTICE WILL .BE DELIVERED IN PO BOX 786 "ACCORDANCE WiTH THE POLICY PROVISIONS. Chatham,MA 02633 AUTHORIZED REPRESMATIVE I rs. p 1 NS-2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD dame and logo ere registered marks of ACORD #5162587/M182584 CBD Town of Barnstable Regulatory ServCes . - RWmrd V.Sc4 Director JKAM Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable m&Us Office. 509-862-4038 Fax: $08-740-6230 Property Owner Must Complete and Sim This Section If Usinp A Builder er of the subject,property O % to act on my beh4. hereb authorize g --� e�� CC U' '! �-�vw rk author=e tiv to`" o by $Pt aPph=tian foin an matt� b (Address of Job) RZe_ v **Pool fences and alarms are the'responsibility of the applicant Pools are not to be filled or utihi before fence is installed and all final . ections are erfo=, ed and a ted, snsP p. ccep - of Owner o. PPt Print Name Ps utNwne � � Date = TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ,:2 Q6 Parcel Application # 0 5 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Feed Date Definitive Plan Approved by Planning Board Historic -.OKH. Preservation/ Hyannis Project Street Address Village Owner�r =�, J ��' �iC�D j�� �► ddress 4► 4 Telephone Permit Request R tF Square feet: 1st floor: existing proposed ' 2nd floor:existing proposed /� 20 taIprw Zoning District n n,,"M73lood Plain -Az Groundwater Overlay Project Valuation &truction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) M2e �klm 00J A7 Age of Existing Structure Historic House: ❑Yes Xho On Old King's Highway: ❑Yes )4No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) e17 Basement Unfinished Area (sq.ft) OD._ Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existingo new �- Total Room Count (not including baths): existing _0new_ First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: >(Yes ❑ No Fireplaces: Existing New �� Existing wood/coal stove: ❑Yes)INo Detached garage:)&isting ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: G�� d1e-,q Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ � � Commercial ❑Yes XNo If yes, site plan review# C Current Us Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number o. Address License # Home Improvement Contractor# ZA= Email len5v Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l - l� i SIGNATURE 09 DATE d j I FOR OFFICIAL USE ONLY or APPLICATION # s s DATE ISSUED MAP/PARCEL NO. Y`i Y Y ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME = INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J i The CommomweaM Department qfhdks*U Amid Mice O- '.. 600 W=Mq taA&'eet • c a[FJ�Il�lYlfi Ufr[�l .. . AppUcami huformafrrm Please Prim Addmw Zd2 cit ls Z7 PhMe -Are II as emplal*er? ecktbe app pratee b= , L' lama l �i 4 El wn a gemcal c=ftwtm and I Tglse of erect(required): * bavebiredtfie 6- El ts New empkoyees(full atsdfor gad4ime). 2.❑ I am a sole propdatar orprat� listed c""-a s� 'f- ❑R odeEng slip and have no employees Thew s&c=ftRcft=has=e l- ❑Demoli6ii waling Emma is any emplayees andbave wadier ' g- ❑ $ � jATc ttia s•camp,.i ce cosag.�,�,�.I .Rqlim -1 5. ❑ we are a,cmporat=and its lam❑Eleddcal repairs or adds o$saets have eserctsed 3.❑I ataa daigg air v� ,, 11-❑PbnA�repaiss or a .tsns mpmi€[No woikere omp Twof pe MGL I?❑I{nafrepais. i c- ,§l aadvsre2�essa employem(Na wmix& •Aap dust Mmawalsosnomttheocff=heraar Is�eir cee'�pes�aupeTcg fCammaasButc2aec7�9asbosEst sntsddi6�shutshauingthem—afthe md st'devhegm araatfhweeaf sfi • emp�yees,If tbem5-cI�e e�ia��s,�ieYamstgm�ide-S�a'or�s'gyp•gaTicg abet � , I am ma euiplvpsr that is pravhUng lvm*ers'aam saffott snsnr=w jvr my enqAup Berm is fate palscy aid jah Sao iH�arraafraa - I IaeComgaayRFatae: 'Policy-,'*Qr SeN-im Iim;k a13a1�= .� 1 Job feAd&em o C glStafrJF Afta d3 a eaPe Qf t`he t$Qr� cb�pe»satiQagnIicF dsclasa4iaa page fshanisg flic paficp m�er and ex kilfon data}. Fad=to seatttu covaesge as requimduader Sew 25A of MGL¢L52 cm lwd to the iimposilina of a itmbtal prTmkies of a fine up to$L50D-OD asdf'or one-gearsmpdsogmcnk as vmn as civil pet as ffie fam of a ST F WGRK€RDERand a Eme of tip to$5OM a day a ffie violator_ $e advised ffid a copy oftbis s snag ba to the Office of 1mvcsfig4=offlie IT4 for h2smmw cavmp ved5cabotLt Ida hff, y ce dffi,under&a and pw""'�rj " ffwf a u�aisna€ihaprnti�d abaMs i g bm and correct Date /77/ Pbaae lk to a* Da not wrkr in ffis wwa,€a be=zW&Ad by C4 ar;bwn Offzfi& Cky arTama: P mMicetase f F(ode ose) I.Board of 1 Buffirmg Dq=tmtmt s.e:Uyr awncawk 4.aechical kV=tnr S.Pkmbhig hmpwW �.O&W Coaf;ct Person: Fhow 6 ! f 11 f f 1 1 1 f01f f tea- r!■:t.i� size 1.1� .I ii/■t. • iR 7■ .1 • t.- •••1•A�R r■Ittt•�'.!Y:rm•n l■' [•' ■ .11t1■ • tl Y■YI/1 !. •7 not i■ L • n.lt ..■ �.l) ■:ir1.�• :i -•�' •'�R•71 tl i■ ■ :1■I a■ ■1■l :1■ r•nn•:r I: �.•.: �t • ■•.1■ �• air: ■] •••IOC!. ■ I� l I . ■i3[tf�. : -n a■•■ Ott: •t:■ 11�.R\t1• :1.'ti.r1Yn O■ r•1 .• :[\•/r ■1 ■■!�' �•'J: :■ttt • •1 :./• ••• ■7 tt■1 ■■ • ■t- t•: poll �.••_J: :■ ■■ •till �f■Iai' ■1■IA' _.I• (■ .tt■.l._ 1.' - .1 �.. •IY■•w • : ■ f �• :IIa■r ••r •I • ■ . lam- • :n n n• n.r_ •.n-we rR at1. .[.�■.lrn u. n •i■ -_r laln �■■u •• n_ -+•n■ •• :••• i1- • •.� ri _ ■►•• 1 ■•• t•1 ■-•n' a. n a u at iu o- .n:I .n�.1■. ai,■ ••■u v.=•- is a �In a i■ a rrn■.ut • n' �r..-,1 n- ■.•/. • :n•is� ••[• .;nu ■• (�.R n■ n ■■ u:nn■�1.n r •n . 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UI •.O r•.•:S ./■•n at• ■■r • •■ i • d■ •.w■•11 tt- O r.:l w.?r[ : .a ..a. t �■■•n' .n• r.• non• 1.iltfl Ir1 i t i !Ilj:.`71•s to ]i_t ►3 - y Client#:40507 2ANNABELLESCH ACORD. CERTIFICATE OF LIABILITY INSURANCE MMWNM 12/21/2016 TH _'CERTIFICATE.IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER..THIS CE '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:H the certificate holder Is an ADDITIONAL INSURED,the poiky(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A stathmeM on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Dowling&O'Pfeil Insurance Agency a Dowling&O'Neil 873 lyannough Rd,PO Box 1990 E�61ANL E"`SWT75-1620 i ff,:5087781218 Hyannis,NIA 02601 col@do€ns.com 775.1820 INSURE S AFFORDING 0MRAGESoo INSURER A:The Hartford INSURED Nedtage Realty&Development,Inc. ws�RER B INSURER C P.O.Box 170 . West Hyannisport,MA 02672 MUR D M INSURER E: i INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES. OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF 04WRANCEON WV01 POLICY NUMBER. LIMITS GENERAL LIABI M EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY S i CLAIMS-MADE 7 OCCUR I f MED EXP(Any ons person) S ! i 1 PERSONAL&ADV tNJURY $ t GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: I ( PRODUCTS-OOMP/OP AGG S POLICY PRO LOC AUTOMOBILE LWBFt 1rY COMBINED E8 SINGLE UMIT ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per acddeRt)'S ! HIRED AUTOS At WNEb PROPER Y S S UMBRELLA LIAR OCCUR I EACH OCCURRENCE S 1 DICESS LIAB I CLAIMS-MADE I AGGREGATE S _ IS DED . RETENTIONS A WORKERS coM>�ENsATICN I { 08WECCR0057 !2V2016 07/24*01 X we sraTu OTH-r AND EMPLOYERS'LIABILITY YIN I' ER I ANY PROPRIETOR/PARTNER/EXECUTNE i E.L.EACH ACCIDENT $500 OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yK dese under DESCRIPTION OF OPERATKM beiaw .. EL DISEASE-POLICY LIMIT S5w 000 1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHK I ES(Attach ACORD 101,Addl *W Rmwke SdWuls,if Biota spew to regtdredj RE:350 Bradford Street,Provincetown Insurance coverage Is limited to the terms,,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy ptovisione. CERTIFICATE HOLDER ` CANCELLATION BPJC LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN, PO BOX 786 -ACCORDANCE WITH THE POLICY PROVISIONS. Chatham,MA 02633 AUTHORIZED REPRESENTATIVE i - 419M2010 ACORD CORPORATION.All rights reserved. ACORD 21;(2010105) 1 Of 1 The ACORD Herne and logo are registered marks of ACORD #S182587/M182584 CBD Town of Barnstable Regulatory Ser vices Richard V..Smn,Director NAM Building Division Pans Rb=4 Badiamg Commbdoner 200 Mafia Street,Hy=2*MA 02601 WWWADwn.barnstab1 m US Office: 505-962-4038 Fax: 508-790-6230 Property Owner.Must Complete and Sign This Section If Vsuzg A Builder er of the sublea.PropeftY to act oa my behalf herebg LV authorize in an matters=e &d m Work autha&by this building permit aPplicatioa for. _ (Address of Job) **pool fences and alarms are the responsibility of the applicant Pools are not to be filled or u lized before fence.is installed and all final mspections are performed and accepted. of owner o APPh=t Print:Narn Print Name Date Qoiu :owxrss�000is - public Safety tts D Re9 atnon Stand s and S ass Building . . u►ldin9 t, Board°f B CS-0� x ,a.. license: r ConstruiSun pOVGAS W�E L gE1 5 HAAftD ROAp 0;263Z Expiration'. • /� � 0811312017 Commissioner - r s. ` TOWN OF BARNSTABLE BUILDINGPERMIT APPLICATION 4 Map / � Application # f'W� Parcel ,� / pp Health Division & —qt9 4 Date Issued,�,—02'—/(,,, P/C2 p fa�obs OAo�1a o� . Conservation Division 9/ / ���s 7'/.a(� tou tAKT�� Application'Fee io CC' 41 - Planning Dept. Permit 4 ` -- Date Definitive Plan Approved by Planning Board 3 , / Historic - OKH _ Presery ti nnis Project Street Address C°r e Village �— Owner c " Address 4 ® r �4 Telephone /7 - Dig T7 Permit Request a �� 1 i f4 - 0 , Square feet: 1 st floor: existing propose44V:2:nd floor: existing e�) proposed,,RTotal new Zoning District &9®-6)5W_ Flood Plain f&�E/ Groundwater Overlay Aer,4` Project a tion 0,QQ Construction Type Lot Size �a �z c��y Grandfathered: ❑Yes ,&,No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Fa ily Multi-Family (# units) Age of Existing Structure - oric House: ❑Yes No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑Crawl ❑Walkout Other f:5��w Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 2 new Half: existing 9�) new er Number of Bedrooms: 5 existing u/new 6 Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: I Gas ❑ Oil ❑ Electric ❑Other Central Air: Yes ❑ No Fireplaces: Existing New _� Existing wood/coal stove: ❑Yes XNo a Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ App al # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use/12 � &t2, � Proposed Use c APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ NameQ � 1 Telephone Numbers Address 372 q !1 00!5i 11 'L'Cr— License # V49/_.;2 S� Home Improvement Contractor# Email � �01 �9 1�� C Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Af SIGNATURE DATE 44 r .4 FOR OFFICIAL USE ONLY S - . ! APPLICATION # DATE ISSUED t MAP/PARCEL NO. ADDRESS VILLAGE OWNER t y' DATE OF INSPECTION: t L , FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL -' FINAL BUILDING r f DATE CLOSED OUT ' ASSOCIATION PLAN NO. ?Tie Commonwealth a,f 1Massadjusetts. Department afr'ndus&id Accidents i� @,}ice o,f lmw igatiam. 600 Washington Street Bastuni MA 02111 � wivan rnasmgriv/din Workers' CampensafionInsuranceAftdavit:BmldersiCantractursJEIec{ricians/Phunbers ficant InfarmafiQn Please Print E,elI Tame(BusmesstDrganiza6ionl�v3dnal� Address: Phone Are u an employer?Checkthe appropriate box: Type of project(required).:' 1- I am a employes 1;ith 7 4. I am a general contractor and I employees(felt andlor part-time) # have hired the sub-contractors 6. ` ew const ucti4m 2.❑ I am a sole proprietar or partner- listed on the attached sheet. 7. Remodeling slop and have nG employees. 3 These sub-contractors hate g_ ❑Demolition walking for me in any capacity employees add have workers' INo workers'Comp.insurance . comp-insi rancel 9_ ❑Building addition. . rewired-] 5- We are a corporation and its` '16❑Electrical repairs cr additions 3.❑ I am a homea caner doing all work officers have exercised their IL Q Plumbingrepairs or additions. € o workers' right of exemption per MGL � �P- 13.❑Roafrepairs insurance rewired.]Y c.152, §1(4),and have no employees-[No workers' I E Other comp-insxanm required-) f •Arty W5cmCff=t cbed s box#1 nmst also filloutthe section belowshmning the¢wodsere compessatinupanu informaciom #Honmewnem wrho submit dris affidavit M&C't ng t3wy die doing all WC*anti then hiM aUside caniractars nmst sdhmit a new affidavit imdicatiq;smcb ZOan'tractorsfut chest ihfs box must attached au additional sheet shev ing the nameof the sub-cemrxctm aad state whe&er or not those eaddeshave employees.lEthesubtontactntshave employees,they=stpm-.ide deir nrorkers'camp.policy number- I am an enipInyvr that is pr4nfding nrorkers'con tsadan Lfnwrance,for my employees DelosIv is the poticyT andiab srte ircfarmrrtion Insurance:Company Name: 4c Policy Alf'or Self-ills-Lic.4 '� `' Ir�piratio'nI}ate.' f Job Site Address- �G /J itylState/Zio: v.�.. Attach a copy of the workers'competsatienpolicy 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$U.00.00 an&or one-year imprisodmenta 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 maybe forwarded to the Office of Imrest gations oftlle DIA for insurance coverage yerfficadon I d'a hemby certify Under thepruris and penafties'o:fFeuu?'thatilie infornzadvirprmz&dabmw is true mid carrec-t Sat�attn e: b.V , Date- Phone o osdid use only. Dv not tvrHe in 616 4weai ter be-colnpkteet by tdty ortoirn offs at City or Town: PeriidtU ease 4 Inning kathoritty(tilt~one): L Board of Healtll 7.Bading Department 3.City1rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . y aformation antd Instructions ., Massachusetts General Laws cbaptE r 152 requires all empIoyees to provide woll-,erg,compensation for their employees.. pmsuaotto this sty,an employee is defined as."-.every person in.fire service of another under any contact ofhi m, . express or implied,oral or wCitten" An c:"TIoya is defined as"an in iyidna.I,partnership,association,corporation or other legal exftfty,or any two or more of the foregoing=gaged m a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trastee of an individual,partimsbip,association or other legal entity,employing employees. However the owner of a.dwelling house havmg not more than tbree apartments and who resides therein,or the occupant of the - dwelling house of anoiner who employs persons to do maintenance,construction or repair worm.on such dwelling house or on the grounds or budding appurE the:mto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sues that"every sfafa or local licensing agency shall wit5hold the issuance or renewal of a license or permit to operate a business or to construct bu-ildhigs in the commonwealth for any applicant-who has notproduced acceptable evidence of cdmplianre with the ksurance.coverage required" Addrin naIIy" ,MGLo ter 152,§25C(7)states`Neither the commonwealth nor a'ny of its political subdivisions shall � enter int[) any contract for the performance of public wont u ma acceptable evidence of eomphanee with the fi ISU=6. regttiremenfs of this chapter have been presented to the contracting mthozity." Applicants Please fDI oirt the workers'compensation affidavit completBly,by checI®g&e boxes$at apply to your sitaation and,if es)and ph one numb s with their ertif cate(s)of necessary',supply sob�ontractor(s)name(s), address( �() along. � c ;,-,s�rce. LimitEdLiability Companies(LLC)orL>mitedLiabilityParfnerships,(LLP)wrthno employees other than the members or partae=rs,are not required to carry wolkers' compensation i saranee If an I LC or LLP does have employees,a policy is required. Be advised that this affidavit may be snbmif -,d to the Department of Industrial Accidents for conformation of firm nice coverage. Also be sure to sign and date the afudzvit. The affidavit should be retx=ed to ffie city or town that the application for the permit or license is being requested,not the Department:of La-dustrialAccidmfs. Shouldyou have any questions regarding the law or ifyou are regoired to obtain a workers' compmsationpolicy,please call the Department at the n=.ber listed below. Self-fimj[ed companies should enter their self-io��ce license number on too appropriate Line. City or Town Officials Please:be smie that the affidavit is complete and printed legibly. The Departmenthas 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 Plr,ase be sure to Ell i a the peu it cense m ber which will be used as a reference number. In addition,an applicant that must submit multiple penitUcanse applications in any given year,need only submit one affidavit indicating r�t policy infb=ation(if necessary)and under"Job Site Address"the applicant should writeaII" locations in (may or town) "A copy of the affidavit that has been officially stamped or marked by Ahe city or town maybe provided to the - applicant as proofthat a valid affidavit is on file for fatare permits or licenses_ Anew affidavitmust be filled out each year.-Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial ve ntzc (Le. a dog license or permit to bum leaves eta.)said person is NOT�d to complete this affidavit The Office of Invesiigah�would I ke to Thank you in advance for your cooperation and shopld you have any questions, please do not hesitate to give us a call. The Dq�mtn fs address,telephone and fax m=ber. 'he C:G>MI0UWMttir of Mas . usztbl Degarimefi cif lactnstdal Accidents ice of JItVegtfgktio-� 5tred -Tf,-L .4617-727-49WVxt4O6Qrl477-MAI">IRAM Fax 6 617-727 7M . Revised 4-24-07 masgctgf c�ia f Town of Barnstable Regulatory Services SARMMUE, MAsa. Richard V.Scali,Director Et;Ma•�� Building Division , Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79.0-6230` Property Owner Must Complete and Sign This Section -If Using A Builder I, Trade Winds Development-A,Inc.by Kim Hopkins,secretary as Owner of the subject propert%, hereby authorize Douglas W.Lebel to act on my behalf, in all matters relative to work authorized by this building permit application for: 780 Craigville Beach Road,Centerville,MA- Building E (Address of Job) - **Pool fences-and.alarms are the responsibility, of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. *,de O� er Signature of Applicant i,�Yve toPnzv+J= 4, Inc. Print`Name Print.Name Dat ` Client#:40507 2ANNABELLESCH ACORM 'CERTIFICATE OF LIABILITY INSURANCE D TE(MMo1°s) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CON TACT Dowling&O'Nell insurance Ag PNAHorEle 973 lyannough Rd,PO Box 1990 E-MAIL. e Ext:508 775-1620 AX,No): 5087781218 ADDRESS: Hyannis,MA 02601 HOB Hyannis, 0 INSURER(S)AFFORDING COVERAGE NAIL If INSURER A,Liberty Mutual INSURED INSURERS:The Hartford Annabelle's Children's Boutique,Inc. INSURER C and Heritage Realty&Development Inc. P.O.BOX 170 INSURER D INSURER E: West Hyannisport,MA 02672 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP 1 SR WVD POLICY NUMBER WDD/YYY AND LIMITS A GENERAL LIABILITY BZS1756212158 D7/24/2016 07/24/2017 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY RAVAC�FET ERENTEO I 9 a oxurzence $300 000 CLAIMS-MADE 51 OCCUR MED EXP(Anyone person) $15 000 X PD Ded:250 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICYF—I P4CTRO- LOC $ AUTOMOBILE UABILIT( COMBINED SINGLE LIMB Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY Oaccident)PE YDAMAGE $ HIRED AUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTIONS $ B WORKERS COMPENSATION 08WECCR0057 7/24/2016 07/24/201 X WC sTATU- OTH- AND EMPLOYERS'LUIBILRY Y/NANY PROPRIETOR/PARTNER/EXECUTIVE N] E.L.EACH ACCIDENT $5OO OOO OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEEI$500 000 If yesdbe under ES6descDRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $500 OOO. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarke Schedule,N more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of Insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 .of 1 The ACORD name and logo are registered marks of ACORD #S174362/M174361 CBD Massachusetts Department of Public Safety Board of Building Regulations and Standards License: C-0081?4. ' Construction.SupeNmiior DOUGLAS W L.ESEL s HAYWARD ROAD, 0 A CENTERVILLE MA 02632 r � r� t! . nn}'� l� Expiration: Commissioner. 08/13/2017 I Initial Construction`Contr61 Document To be submiitted with the building permit application by a > Registered Design Professional for work per the a edition of the See Massachusetts State Building Code,780 CMR, Section 107 Project Title: Trade Winds Units #2 0 2 1 , 22 Date:: 7 / 12/ 16 Property Address: 780 Craigville Beach Road, West Hy'annisport , MA Project: Check one or both as applicable: N'New construction I Existing Construction, Project description: Foundation existing . Construction of 3 - . 2 BR condominium building as shown in the attached drawings.. Architect to provide necessary documentation and certification of compliance from subcontractors and engineers prior to installation and/or issuance of certificate of occupancy . I Steven C . Hayes MA Registration Number: 4 3 18 Expiration date:_8 %3 1 / 16 ,am a registered design professional,and I have prepared or.directly supervised the preparation of all design plans, computations and specifications concerning: [ Architectural g] Structural [X] Mechanical [X] Fire Protection ] Electrical ] Other ' for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I,(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the- contractor in accordance with the requirements of the construction documents: 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its.responsibility regarding the provisions of 780 CMR 107. When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. lrD A„ Upon completion of the work,I shall submit to the building.official a`Final Constru ��✓ , h ent': h�N18 m Enter m the spaceto the right,a `wet"or o.43 ,< � � yam.-�� . • electronic signature and seal: +� V ' !/'fl or Phonenumber: 1-6 1 7-694-502b Email; shayes . cap comcast . net. Building Official Use Only Building Official Name: Permit No_- Date: Version 06 11 2013 i a REScheck Software Version 4.6.2 Compliance Certificate Project Trade Winds Building E Middle Unit 2 Energy Code: 2012 IECC Location: Centerville (Barnstable), Construction Type: Multi-family Project Type: New Construction Conditioned Floor Area: 2,340 ft2 Glazing Area 14% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Centerville, MA Steven Hayes Steven C. Hayes Architect PC P.O. Box 621 Brewster,MA 02631 508-240-1411 shayes.capecod@comcast.net Compliance: 1.2%Better Than Code Maximum UA: 371 Your UA: 367 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies � an Floor 1: All-Wood joi st/Truss:Over Unconditioned Space 1,227 30.0 0.0 0.033 40 Wall 1 South Front:Wood Frame, 16"D.C. 763 19.0 0.0 0.060 37 Window 1 DH:Vinyl/Fiberglass Frame:Double Pane with low-E ill 0.310 34 Window 2 Awning:Vinyl/Fiberglass Frame:Double Pane with Low-E 35 0.290 10 Wall 2 East Right: Wood Frame, 16"D.C. 774 26.0 0.0 0.052 38 Door 1: Glass 42 0.300 13 Wall 3 North Rear: Wood Frame, 16"o.c. 774 19.0 0.0 0.060 31 Window 5 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 105 0.310 33 Window 6 Transom:Vinyl/Fiberglass Frame:Double Pane with Low-E 15 0.290 4 Door 2: Glass 134 0.300 40 Wall 4 West Left:Wood Frame, 16"D.C. 774 26.0 0.0 0.052 39 Door 3: Solid 20 0.500 `10 Ceiling 1: Flat Ceiling or Scissor Truss 1,182 38.0 0.0 0.030 35 Ceiling 2: Cathedral Ceiling 80 30.0 0.0 0.034 3 Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 I� Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Pagel of 9 Compliance Statement. The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: Middle Unit Project Title: Trade Winds Building Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 2 of 9 0 REScheck Software Version 4.6.2 Inspection Checklist Energy Code: 2012 IECC 1"Vf Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, Construction drawings and 7 ❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the ;building envelope. []Not Observable ❑Not Applicable 103.1, ;Construction drawings and ❑Complies 103.2, '!documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 'lighting and mechanical systems ❑Not Observable Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ;compliance with the IECC :Commercial Provisions. 302.1, {Heating and cooling equipment is; Heating: ; Heating: ;❑Complies 403.6 sized per ACCA Manual S based 1 Btu/hr Btu/hr ;❑Does Not [PR2]2 on loads calculated per ACCA Cooling: 1 Cooling: ❑Not Observable Manual J or other methods Btu/hr Btu/hr :[]Not Applicable approved by the code official. 1 1 i i i 1 Additional Comments/Assumptions: i 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 3 of 9 Section # Foundation Inspection Complies? Comments/Assumptions & Req.IDI T 303.2.1 A protective covering is Installed to ;❑Complies [FO11]2 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below grade. :❑Not Observable; ❑Not Applicable 403.8 Snow-and ice-melting system controls;❑Complies [FO12]2 installed. ;❑Does Not . ❑Not Observable; ❑Not Applicable Additional Comments/Assumptions: 4 t • , 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 4 of 9 Section Plans Verified Field Verified # Framing/ Rough-In inspection Value Value Complies? - Comments/Assumptions & Req.ID 402.1.1, ;,Door U-factor. ; U- U- ;❑Complies ;See the Envelope Assemblies 402.3.4 10Does Not ;table for values. [FRl)1 ;❑Not Observable ❑Not Applicable 402.1.1, Glazing U-factor(area-weighted ; U- ; U- ;❑Complies ;See the Envelope Assemblies 402.3.1, average). ❑Does Not ;table for values. 402.3.3, :❑Not Observable ; 402.3.6, ; ; s ; , 402.5 ; ;❑Not Applicable ; [FR2]1 a a a a a i t s a 303.1.3 ;U-factors of fenestration products `' [ Complies [FR4)1 are determined in accordance []Does Not ;with the NFRC test procedure or []Not Observable ,taken from the default table. ° ❑Not Applicable ; 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR23]1 :installed per manufacturer's ❑Does Not ;instructions. []Not Observable ❑Not Applicable ; 402.4.3 Fenestration that is not site built ❑Complies [FR20]1 ;is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ❑Not Observable ; 400 that do not exceed code ❑Not Applicable limits. 402.4.4 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm leakage at 75 Pa. " [:]Not Observable ❑Not Applicable 403.2.1 ;Supply ducts in attics are R- R- ;❑Complies [FR12)1 insulated to zR-8.All other ducts } R 3 R ;❑Does Not ;m unconditioned spaces or ; :[--]Not Observable outside the building envelope are: ;insulated to>_R-6. ;❑Not Applicable ; 403.2.2 ;All joints and seams of air ducts, fi - [ Complies 1 [FR13)1 ;air handlers,and filter boxes are ❑Does Not sealed. ❑Not Observable ❑Not Applicable 403.2.3 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not 9 ❑Not Observable ❑Not Applicable { 403.3 HVAC piping conveying fluids ; R- R- ❑Complies ; [FR17]2 above 105 QF or chilled fluids ; ;❑Does Not below 55 QF are insulated to 2t_R- 3 ; ; ;[]Not Observable ;❑Not Applicable 403.3.1 ;Protection of insulation on HVAC ❑Complies ; [FR24]1 �piping. ❑Does Not ; ❑Not Observable ❑Not Applicable 403.4.2- Hot water pipes are insulated to ; R- R- i0complies [FR18]2 z11-3. ;❑Does Not ❑Not Observable ;[:]Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 5 of 9 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 403.5 Automatic or gravity dampers are ❑Complies i [FR19]2 installed on all outdoor air y ❑Does Not intakes and exhausts. ] i ❑Not Observable , ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 6 of 9 Section Plans Verified Field Verified # Insulation Inspection Complies? Comments/Assumptions & Req.ID Value Value 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not provided. QNot Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies 402.2.6 ❑ Wood ;❑ Wood ❑Does Not E table for values. [ ]1 ;❑ Steel ❑ Steel '[]Not Observable , ❑Not Applicable 303.2, Floor insulation installed per ❑Complies ; 402.2.7 ;manufacturer's instructions, and ❑ [IN2]1 in substantial contact with the I Does.Not underside of the subfloor. ❑Not Observable ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a; R- R- ;❑Complies :See the Envelope Assemblies 402.2.5, :mass wall with at least lh of the ❑ Wood ;❑ Wood ;❑Does Not :table for values. 402.2.6 ;wall insulation on the wall ❑ Mass ❑ Mass QNot Observable [IN3]1 ;exterior,the exterior insulation I requirement applies(FR10). ;❑ Steel ;❑ Steel ;❑Not Applicable ; 303.2 ;Wall insulation is installed per ❑Complies [IN4]1 manufacturer's instructions. []Does Not ' ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) f 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 7 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions &Re ,ID 402.1.1, ;Ceiling insulation R-value. R- R- ;❑Complies ;see the Envelope Assemblies 402.2.1, ; j❑ Wood ;❑ Wood ;❑Does Not itable for values. 402.2.2,402.2.E ;❑ Steel ❑ Steel ;❑Not Observable [FI1]1 ; ;❑Not Applicable a 303.1.1.1, ;Ceiling insulation installed per I❑Complies 303.2 manufacturer's instructions. []Does Not (FI2]1 ;Blown insulation marked every ;300 ftz. ❑Not Observable I J❑Not Applicable ; 402.2.3 Vented attics with air permeable v❑Complies [F122]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. []Not Observable ❑Not Applicable ; 402.2.4 ;Attic access hatch and door R- R- ;,❑Complies [FI3]1 :insulation zR-value of the :❑Does Not adjacent assembly. ❑Not Observable ; ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ;❑Complies ; [FI17]1 ;ach in Climate Zones 1-2,and ;❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.2.2 Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies (FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air E handler @ 25 Pa.For rough-in ;❑Not Observable ;tests, verification may need to ; ;❑Not Applicable ;occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated ❑Complies [F124]1 by manufacturer at <=2%of ❑Does Not design air flow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [Fl9]2 installed on forced air furnaces. s❑Does Not ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not .D _ ❑Not Observable ❑Not Applicable 403.4.1 Circulating service hot water " : $❑Complies [FI11]2 systems have automatic or ❑Does Not accessible manual controls. -]Not Observable IE]Not Applicable 403.5.1 All mechanical ventilation system ❑Complies [F125]2 fans not part of tested and listed []Does Not_ HVAC equipment meet efficacy []Not Observable and air flow limits. ❑Not Applicable 404.1 i,75%of lamps in permanent ❑Complies ; (FI6]1 Ifixtures or.75%of permanent ❑Does Not Ifixtures have high efficacy lamps. 'Does not apply to low-voltage ❑Not Observable lighting. ❑Not Applicable .; 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier:3) Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 8 of `.9 • Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 404.1.1 Fuel gas lighting systems have "' ❑Complies [FI23]3 no continuous pilot light. []Does Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [f17]2 =❑Does Not [--]Not Observable t ❑Not Applicable s 303.3 Manufacturer manuals for ❑Complies [F[18]3 mechanical and water heating _ ❑Does Not systems have been provided. ❑Not Observable F. 1EINot Applicable Additional Comments/Assumptions: • 1 High Impact(Tier 1) 12.1 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Middle Unit 2 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds Middle Unit.rck Page 9 of 9 �J( 2012 IECC [energy Efficiency certificate Above-Grade Wall 26.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Window 0.31 Door 0.30 Heating System: Cooling System: Water Heater: Name: Date: Comments r REScheck Software Version 4.6.2 Compliance Certificate Project Trade Winds Building E Typical End Unit 3 Energy Code: 2012 IECC Location: Centerville (Barnstable), Construction Type: Multi-family Project Type: New Construction Conditioned Floor Area: 2,350 ft2 Glazing Area 17% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Centerville, MA Steven Hayes Steven C.Hayes Architect PC P.O. Box 621 Brewster, MA 02631 508-240-1411 shayes.capecod@comcast.net Compliance: 0.3%Better Than Code Maximum UA: 391 Your UA: 390 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies WOW QL Floor 1:All-Wood joist/Truss:Over Unconditioned Space 1,232 30.0 0.0 0.033 41 Wall 1 South Front:Wood Frame, 16"D.C. 779 19.0 0.0 0.060 38 Window 1 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 107 0.310 33 Window 2 Awning:Vinyl/Fiberglass Frame:Double Pane with Low-E 33 0.290 10 Wall 2 East Right: Wood Frame, 16"D.C. 774 19.0 0.0 0.060 40 Window 3 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 70 0.310 22 Window 4 Awning:Vinyl/Fiberglass Frame:Double Pane with Low-E 14 0.290 4 Door 1: Solid 20 0.500 10 Wall 3 North Rear:Wood Frame, 16"D.C. 775 19.0 0.0 '0.060 31 Window 5 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 105 0.310 33 Window 6 Transom:Vinyl/Fiberglass Frame:Double Pane with Low-E 15 0.290 4 Door 2:Glass 134 0.300 40 Wall 4 West Left:Wood Frame, 16"D.C. 774 26.0 0.0 0.052 38 Door 3: Glass .42 0.300 13 Ceiling 1: Flat Ceiling or Scissor Truss 1,205 49.0 0.0 0.026 31 Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 1 of 9 v Q? 997MIM M Ceiling 2: Cathedral Ceiling 47 30.0 0.0 0.034 2 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. l-IftYES) i4 2cye�' max ,-.� - Name-Title Signature Date Project Notes: Typical End Unit Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 2.of 9 REScheck Software Version 4.6.2 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that Is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, ;Construction drawings and ❑Complies 103.2 documentation demonstrate ` Q ❑Does Not [PR1)1 ;energy code compliance for the ;building envelope. [:]Not Observable ❑Not Applicable 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate ❑Does Not 403.7 ienergy code compliance for 3 [PR3)1 'lighting and mechanical systems. ❑Not Observable j :Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ;compliance with the IECC !Commercial Provisions. 302.1, Heating and cooling equipment isi Heating: ; Heating: ;[ Complies 403.6 sized per ACCA Manual S based j Btu/hr Btu/hr ;❑Does Not [PR2)2 on loads calculated per ACCA E Cooling: Cooling: Manual J or other methods ; :,[]Not Observable approved by the code official. E Btu/hr Btu/hr 1❑Not Applicable• ; 1 1 1 f 1 1 Additional Comments/Assumptions: R 1 High Impact(Tier 1) 2 Medium impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 3 of 9 I Section # Foundation Inspection Complies? Comments/Assumptions & Re .ID 303.2.1 A protective covering is installed to ;❑Complies ; [F011]2 protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below grade. F❑Not Observable; ❑Not Applicable { 403.8 Snow-and ice-melting system controls;❑Complies [FO12]2 installed. ;❑Does Not 9t ;❑Not Observable; ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 4 of 9 Section Plans Verified Field Verified . # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, ;,Door U-factor. ; U- U- ;❑Complies ;See the Envelope Assemblies 402.3.4 ; °❑Does Not ;table for values. [FRI]' ;❑Not Observable ;❑Not Applicable 402.1.1, Glazing U-factor(area-weighted `, U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, average). ; E❑Does Not ;table For values. 402.3.3, ;❑Not Observable 402.3.6, ; 402.5 ; ; ;❑Not Applicable ; [FR2]1 I 1 i i i 1 I i I f 303.1.3 U-factors of fenestration products ❑Complies [FR4]1 ;are determined in accordance ❑Does Not with the NFRC test procedure or ,taken from the default table. ❑Not Observable ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR23]1 installed per manufacturer's ❑Does Not ;instructions. ❑Not Observable 1 ❑Not Applicable 402.4.3 ',Fenestration that is not site built ❑Complies [FR20]1 :is listed and labeled as meeting ❑Does Not !AAMA/WDMA/CSA 101/LS.2/A440 or has infiltration rates per NFRC ❑Not Observable ; 400 that do not exceed code ❑Not Applicable limits. ' 402.4.4 IC-rated recessed lighting fixtures j❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm leakage at 75 Pa. ❑Not Observable ❑Not Applicable 403.2.1 ;Supply ducts in attics are R- R- ;❑Complies [FR12]1 Hnsulated to zR-8.All other ducts f R_ R_ ;0Does Not in unconditioned spaces or ,outside the building envelope are; ;❑Not Observable linsulated to zR-6. ; ;❑Not Applicable ; 403.2.2 ;All joints and seams of air ducts, B ❑Complies [FR13]1 lair handlers,and filter boxes are „]❑Does Not sealed. I ❑Not Observable l (❑Not Applicable ; 403.2.3 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. - " ❑Does Not 1 ❑Not Observable ; ❑Not Applicable 403.3 HVAC piping conveying fluids R R- ;❑Complies ; [FR17]2 above 105 QF or chilled fluids UDoes Not Q below 55 QF are insulated to>_R- 3 ; ;❑Not Observable ; 3 ;❑Not Applicable 403.3.1 Protection of insulation on HVAC ❑Complies ; [FR24]1 'piping. ❑Does Not i ❑Not Observable ; ❑Not Applicable 403.4.2 Hot water pipes are insulated to R- ; R- 1❑Complies ; [FR18]2 >R-3. ;❑Does Not l ❑Not Observable ;❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 5 of 9 f Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions &Req.ID 403.5 Automatic or gravity dampers are ElComplies [FR19]2 installed on all outdoor air f ❑Does Not intakes and exhausts. _ r ' J❑Not Observable ONot Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 6 of 9 f Section Plans Verified Field Verified # Insulation Inspection Value Value Compiles? Comments/Assumptions &Req.ID 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not i provided. QNot Observable ; ❑Not Applicable , 402.1.1, Floor insulation R-value. R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.6 s Wood ❑ Wood ;❑Does Not :table for values. [IN1]1 Q Steel '❑ Steel ;QNot Observable ; ❑Not Applicable 303.21 ;Floor insulation installed per ❑Complies ; 402.2.7 i manufacturer's instructions, and ❑Does Not [IN2]1 ;In substantial contact with the underside of the subfloor. ❑Not Observable ; ❑Not Applicable 402.1.1, Wall insulation R-value. If this is a,; R- R- ;❑Complies ;See the Envelope Assemblies 402.2.5, mass wall with at least Y:of the Wood ;❑ Wood ;❑Does Not a table for values. 402.2.E ;wall insulation on the wall ;Q Mass ❑ Mass QNot Observable [IN3]1 exterior,the exterior insulation Steel [] Steel I❑Not Applicable erva :requirement applies(FR10). ; 303.2 :Wall insulation is installed per ❑Complies [IN4]1 !manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 7 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Re .ID 402.1.1, :Ceiling insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, ;❑ Wood ❑ Wood ;❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel :❑Not Observable 402.2.E 1[FI1]1 t ; :❑Not Applicable 303.1.1.1,;Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions. 111Does Not [FI2]1 :Blown insulation marked every 300 ft2. []Not Observable i ❑Not Applicable ; 402.2.3 Vented attics with air permeable ❑Complies ; [FI22]2 insulation include baffle adjacent "❑Does Not : to soffit and eave vents that : extends over insulation. ❑Not Observable ! ❑Not Applicable ; 402.2.4 ;Attic access hatch and door R- ; R- ;❑Complies [F13]1 :insulation all-value of the : :❑Does Not : :adjacent assembly. ;❑Not Observable ;❑Not Applicable 402.4.1.2 i Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50 = ;❑Complies [FI17]1 :ach in Climate Zones 1-2,and tDoes Not <=3 ach in Climate Zones 3-8. ;❑Not Observable ; ' ;❑Not Applicable , 403.2.2 ;Duct tightness test result of<=4 ; cfm/100 ; cfm/100 ;❑Complies [1`14]1 cfm/100 ft2 across the system or ft2. ft2 j❑Does Not <=3 cfm/100 ft2 without air ;handler @ 25 Pa. For rough-in ; ❑Not Observable :tests,verification may need to : ;❑Not Applicable ; ;occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated ❑Complies [FI24]1 ')by manufacturer at<=2%of ❑Does Not {design airflow. ❑Not Observable ; ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [F19]2 installed on forced air furnaces. ❑Does Not ❑Not Observable s 111Not Applicable 403.1.2Heat pump thermostat installed ❑Complies [FI10]2 #on heat pumps. ❑Does Not []Not Observable ❑Not Applicable 403.4.1 Circulating service hot water ❑Complies [FI11]2 I systems have automatic or ❑Does Not : `accessible manual controls.. : ❑Not Observable ; ❑Not Applicable 403.5.1 'All mechanical ventilation system ❑Complies [F125]2 Mans not part of tested and listed " ❑Does Not HVAC equipment meet efficacy and air flow limits. [:]Not Observable ❑Not Applicable 404.1 ;75%of lamps in permanent ❑Complies [FI6]1 'fixtures or 75%of permanent ❑Does Not (fixtures have high efficacy lamps Does not apply to low-voltage []Not Observable lighting. ❑Not Applicable ; 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 8 of 9 Section Plans Verified field Verified I? Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 404.13 Fuel gas lighting systems have ❑Complies {FI23] no continuous pilot light. s[]Does Not ❑Not Observable ❑Not Applicable—,. 4013 Compliance certificate posted. ❑Complies [FI7]2 ❑Does Not ❑Not Observable ]❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not systems have been provided. g ❑Not Observable ; ❑Not Applicable Additional Comments/Assumptions: 3 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report dater 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 9 of 9 C4 2012 I EEC [energy �J( Efficiency Certificate' Above-Grade Wall 26.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 49.00 Ductwork(unconditioned spaces): Window 0.31 Door 0.30 Heating System: Cooling System: Water Heater• Name• Date: Comments I f � r . r CREScheck Software Version 4.6.2 �J( Compliance Certificate Project Trade Winds Building E Typical End Unit 3 Energy Code: 2012 IECC h Location: Centerville (Barnstable), Construction Type: Multi-family Project Type: New Construction Conditioned Floor Area: 2,350 ft2 Glazing Area 17% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Centerville, MA Steven Hayes Steven C. Hayes Architect PC P.O. Box 621 Brewster, MA 02631 508-240-1411 shayes.capecod@comcast.net Compliance: 0.3%Better Than Code Maximum UA: 391 Your UA: 390 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies OEM= Floor 1:All-Wood joist/Truss:Over Unconditioned Space 1,232 30.0 0.0 0.033 41 Wall 1 South Front:Wood Frame, 16"D.C. 779 19.0 0.0 0.060 38 Window 1 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 107 0.310 33 Window 2 Awning:Vinyl/Fiberglass Frame:Double Pane with Low-E 33 0.290 10 Wall 2 East Right:Wood Frame, 16" D.C. 774 19.0 0.0 0.060 40 Window 3 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 70 0.310 22 Window 4 Awning:Vinyl/Fiberglass Frame:Double Pane with Low-E 14 - 0.290 4 Door 1:Solid 20 0.500 10 Wall 3 North Rear:Wood Frame, 16"D.C. 775 19.0 0.0 0.060 31 Window 5 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 105 0.310 33 Window 6 Transom:Vinyl/Fiberglass Frame:Double Pane with Low-E 15 0.290 4 Door 2: Glass 134 0.300 40 Wall 4 West Left:Wood Frame, 16" D.C. 774 26.0 0.0 0.052 38 Door 3: Glass 42 0.300 13 Ceiling 1: Flat Ceiling or Scissor Truss 1,205 49.0 0.0 0,026 31 Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Pagel of 9 REScheck Software Version 4.6.2 Compliance Certificate Project Trade Winds Building E Typical End Unit 3 Energy Code: 2012 IECC Location: Centerville (Barnstable), Construction Type: Multi-family Project Type: New Construction Conditioned Floor Area: 2,350 ft2 Glazing Area 17% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Centerville, MA Steven Hayes Steven C. Hayes Architect PC P.O. Box 621 Brewster, MA 02631 508-240-1411 shayes.capecod@comcast.net Compliance: 0.3%Better Than Code Maximum UA: 391 Your UA: 390 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum code home. Envelope Assemblies m Floor 1:All-Wood joistlrruss:Over Unconditioned Space 1,232 30.0 0.0 0.033 41 Wall 1 South Front:Wood Frame, 16"D.C. 779 19.0 0.0 0.060� 38 Window 1 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 107 0.310 33 Window 2 Awning:Vinyl/Fiberglass Frame:Double Pane with Low-E 33 0.290 .10 Wall 2 East Right:Wood Frame, 16"D.C. 774 19.0 0.0 0.060 40 Window 3 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 70 0.310 22 Window 4 Awning:Vinyl/Fiberglass Frame:Double Pane with Low-E 14 0.290 4 Door 1: Solid 20 0.500 .10 Wall 3 North Rear:Wood Frame, 16"D.C. 775 19.0 0.0 0.060 31 Window 5 DH:Vinyl/Fiberglass Frame:Double Pane with Low-E 105 0.310 33 Window 6 Transom:Vinyl/Fiberglass Frame:Double Pane with Low-E 15 0.290 4 Door 2: Glass 134 0,300 40 Wall 4 West Left:Wood Frame, 16"D.C. 774 26.0 0.0 0.052 38. Door 3: Glass 42 0.300 13 Ceiling 1: Flat Ceiling or Scissor Truss 1,205 49.0 0.0 0.026 31 Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 1 of 9 C GtL] M MM Ceiling 2: Cathedral Ceiling 47 30.0 0.0 0.034 2 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: Typical End Unit Project Title:Trade Winds Building E Typical End Unit 3 Report date: '06/07/16 Data filename; C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 2 of 9 CREScheck Software Version 4.6.'2 �(J Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Re .lD 103.1, Construction drawings and ❑Complies 103.2 :documentation demonstrate []Does Not [PR1]1 !energy code compliance for the ;building envelope. ❑Not Observable s ❑Not Applicable 103.1, f Construction drawings and °❑Complies 103.2, :documentation demonstrate ❑Does Not 403.7 energy code compliance for [PR3]1 ;lighting and mechanical systems. []Not Observable Systems serving multiple '` ❑Not Applicable. ;dwelling units must demonstrate compliance with the IECC iCommercial Provisions. , 302.1, Heating and cooling equipment is; Heating: Heating: ;❑Complies 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ;❑Does Not E [PR2]2 on loads calculated per ACCA l Cooling: Cooling: :❑Not Observable Manual J or other methods Btu/hr Btu/hr ❑Not Applicable approved by the code official pP i , f , , Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building Typical p E T ical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 3 of 9 r Section # Foundation Inspection Complies? Comments/Assumptions & Re .ID 303.2.1 A protective covering is installed to ,❑Complies [FO11]2 protect exposed exterior insulation UDoes Not and extends a minimum of 6 in. below � f 10 grade. CNot Observable; :[]Not Applicable 403.8 Snow-and ice-melting system controls;❑Complies [FO12]2 installed. ;[]Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 FHigh Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 4 of 9 i Section Plans Verified Field Verified # Framing/Rough-in Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, ;Door U-factor. ; U- ; U- ;❑Complies ;See the Envelope Assemblies 402.3.4 �❑Does Not ;table for values. [FRI]1 ;❑Not Observable ; ;❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted ; U- ; U- ;❑Complies ;See the Envelope Assemblies 402.3.1, �average). ❑Does Not ;table for values. 402.3.3, 402.3.6, 3 ;❑Not Observable ; 402.5 i ; ;❑Not Applicable [FR211 f , 303.1.3 ;U-factors of fenestration products #❑Complies [FR4)1 !are determined in accordance ❑Does Not j with the NFRC test procedure or ;taken from the default table. ❑Not Observable ❑Not Applicable ; 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR2311 ;installed per manufacturer's ❑Does Not ;instructions. ❑Not Observable k ❑Not Applicable 402.4.3 Fenestration that is not site built !❑Complies [FR2011 is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/i.S.2/A440 or has infiltration rates per NFRC :. [❑Not Observable ; 400 that do not exceed code ❑Not Applicable limits. 1 402.4.4 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm I leakage at 75 Pa. ❑Not Observable ❑Not Applicable ; 403.2.1 ;Supply ducts in attics are ; R- R- ;❑Complies [FR12]1 :insulated to aR-8.All other ducts s R- ; R- ,❑Does Not :,in unconditioned spaces or i outside the building envelope are; ![]Not Observable insulated to aR-6. ❑Not Applicable ; 403.2.2 ;Al joints and seams of air ducts, .; ❑Complies [FR1311 lair handlers, and filter boxes are ❑Does Not ;sealed. ❑Not Observable ; ❑Not Applicable ; 403.2.3 Building cavities are not used as ❑Complies [FR15]3 ducts or plenums. ❑Does Not ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- ; R- ;❑Complies [FR17]2 above 105 9F or chilled fluids 1❑Does Not below 55 QF are insulated to >_R- < ;❑Not Observable 3. ; ;❑Not Applicable 403.3.1 ;Protection of insulation on HVAC ❑Complies [FR24)1 1piping. ❑Does Not ( ❑Not Observable ❑Not Applicable 403.4.2 Hot water pipes are insulated to ; R- R- ;❑Complies ; [FR18]2 aR-3. ❑Does Not ❑Not Observable ;❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 5 of 9 Section Plans Verified Field Verified' 11 # Framing/ Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 403.5 Automatic or gravity dampers are. #. ❑Complies E [FR19]2 installed on all outdoor air []Does Not intakes and exhausts. ❑Not Observable ; ❑Not Applicable Additional Comments/Assumptions: F 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 6 of 9 r Section Plans Verified Field Verified # Insulation Inspection Value Value Complies? Comments/Assumptions &Req.ID 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values []Does Not provided. ❑Not Observable ❑Not Applicable 402.1.1, ;Floor insulation R-value. R- ; R- :❑Complies ;See the Envelope Assemblies 402.2.6 ; ❑ Wood ;❑ Wood ;❑Does Not ;table for values. [ 1]1 ❑ Steel ❑ Steel ;❑Not Observable ❑Not Applicable 303.2, ;Floor insulation installed per [ Complies 402.2.7 manufacturer's instructions, and ❑Does Not [IN2]1 in substantial contact with the underside of the subfloor. []Not Observable ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a: R- R- ;❑Complies ;See the Envelope Assemblies 402.2.5, :mass wall with at least 1/2 of the Wood ;❑ Wood ;❑Does Not :table for values. 402.2.E ;wall insulation on the wall ;❑ Mass ❑ Mass ❑Not Observable (IN3]1 exterior,the exterior insulation Steel :❑ Steel :❑Not Applicable :requirement applies(FR10). s 303.2 Mall insulation is installed per n �❑Complies [IN4]1 (manufacturer's instructions. ❑Does Not x ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 7 of 9 I Section Plans Verified Field Verified # Final Inspection Provisions `6 Value- Value Complies? Comments/Assumptions & Req.ID . 402.1.1, ;Ceiling insulation R-value. ; R- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, ;❑ Wood ❑ Wood ❑Does Not :table for values. 402.2.2, I � � 1 402.2.6 , ❑ Steel Steel ❑Not Observable , 1 i [Fill' ; 1;❑Not Applicable 1 1 1 1 t S 1 303.1.1.1,;Ceiling insulation installed per `X ❑Complies 303.2 manufacturer's instructions. 4❑Does Not [F12]1 :Blown insulation marked every 300 ftz. ❑Not Observable ; j❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. []Not Observable . J ❑Not Applicable ; 402.2.4 ;Attic access hatch and door R- R- ;❑Complies ; [F1311 insulation all-value of the :❑Does Not ;adjacent assembly. ;❑Not Observable ; ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ; ACH 50 illComplies ; [FI1711 Itach in Climate Zones 1-2,and ; j❑Does Not <=3 ach in Climate Zones 3-8. j❑Not Observable ❑Not Applicable 403.2.2 Duct tightness test result of<=4 ; cfm/100 ; cfm/100 ;❑Complies [F1411 :cfm/100 ft2 across the system or ft2 ; ft2 ❑Does Not <=3 cfm/100 ft2 without air handier @ 25 Pa.For rough-in ❑Not Observable ;tests,verification may need to : ;❑Not Applicable ;occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated ❑Complies [FI2411 by manufacturer at<=2%of ❑Does Not ;design air flow. " ❑Not Observable 4. " ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed on forced air furnaces. ❑Does Not a , ❑Not Observable $ ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. t ❑Does Not ' []Not Observable g, ❑Not Applicable 403.4.1 Circulating service hot water ❑Complies ; [FI11]2 systems have automatic or ❑Does Not 6 accessible manual controls. []Not Observable ; ¢ ❑Not Applicable ; 403.5.1 All mechanical ventilation system ❑Complies [FI25]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy < and air flow limits. ❑Not Observable ; � ❑Not Applicable s.. .l 404.1 175%of lamps in permanent ;; ❑Complies [FI611 "fixtures or 75%of permanent ❑Does Not IIfixtures have high efficacy lamps. Does not apply to low-voltage ❑Not Observable lighting. ❑Not Applicable ; 1 High Impact(Tier 1) 12 1 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 8 of 9 Section Plans Verified Field Verified a # Final Inspection Provision'§ Value Value Complies? Comments/Assumptions & Re .II) 404.1.1 1 Fuel gas lighting systems have ) I❑Complies (F12313 no continuous pilot light. []Does Not ❑Not Observable . ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies, [F17]2 ❑Does Not ❑Not Observable ❑Not Applicable 3 303.3 Manufacturer manuals for ❑Complies ; [FI18)3 mechanical and water heating ❑Does Not 3 systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Trade Winds Building E Typical End Unit 3 Report date: 06/07/16 Data filename: C:\Users\Sue\Documents\REScheck\1601 Trade Winds End Unit.rck Page 9 of 9 I 2012 IECC' Energy Eff 1cuency certificate • c� c�ra Above-Grade Wall 26.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): d ... TOM Window 0.31 Door 0.30 Heating System: Cooling System: Water Heater: Name: Date: Comments s � N e L 6 � s . • . 110 MPH EXPOSURE B WIND ZONE 'UX�,DE WINDS eA10 UN17`5 c2D #L,?�2 CheCkliSt 1.1 SCOPE WindSpeed(3-second gust)........................................................................................................110 mph WindExposure Category.........................................................................................................................B 1.2 ,APPLICAMBLD T Y Number of Stories ..............................................................{Figure 2)...............__G_PP. stories 5 2 stories RoofPitch ................................................................,..........(Fgure 19) ........................... I 512:12 Mean Roof Height ..............................................................(Figure 2)............ .....&t!:%q jit. 5 33' Building Width,W ................................................................(Figure 4)............. .fie.'(P..,..'�,3G�/0�, 5801 BuildingLength, L .................................................. . .......(Figure 4).................................��it 5 80' Building Aspect Ratio(L/W) ...............................................(Figure 4)................................. 5 3.0:1 1.3 FRAMING CONNECTIONS General compliance with framing connections?..................(fable 2)..........................................Y . ..... 2.1 ANCHORAGE TO FOUNDATION �jvc,�E7Zc Type of Foundation.............................................................(Figure 5)................................PA I»Q11, Foundation Anchorage Proprietary Connectors Uplift.......................................................... ..........(fable 3).....................................U=_Wpff Lateral........................................ ........................(Table 3)......................................L=j&2-plf Shear.................................. ...............................(table 3).....................................S=,-3! plf 518"Anchor Bolts BoltSpacing...........................................................(Table 4)............................................:46 in. Bolt Embedment............................................ (Figure 5)........................ ....... .a in. Washer Size...........................................................(Figure 5)............. , in.X f�1 in.xin.thick 3.1 FLOORS 0Floor framing member spans chedced?..............................(IRC or WFCM)..................... .... ............. 0 Maximum Floor Opening Dimension......................... .... (Figure 6)...... ................/.R', " fL 512' m Maximum Floor Joist Setbacks (� Supporting Loadbearing Walls or Shearwall.................(Figure 7)......................................�! . 5 d Maximum Cantilevered Floor Joists 4 Supporting Loadbearing Walls or Shearwail.................(Fgure 8)....................................../ 5 d FloorBracing at Endwails.............................. .... ....:.......(Figure 9)....................................................... Floor Sheathing Type................................................. . ....(IRC or WFCM)....7.0.4;....elL:Yy o Floor Sheathing Thickness......................I...........................(IRC or WFC" ... ... .............. ....'*in. Floor Sheathing Fastening...... . .....................................(Table 2)....1-d......l.o..'.4?4E...12,!.F_.,erLD 4.1 WALLS Wall Height �. ..`�.....r..1 ,4... t if. r Loadbearing Walls..�..... (Figure 10)....................:I:Llif .�. �ft. 510'Non-Loadbearing Walls................................................(Figure 10).................... ft. <_20' WailStud Spacing. .............................................................(Figure 10)..........................&in.5 24-o.c. Wall Story Offsets.......... ....................................... ... (Figures 7-8)................................A}in. 5 d 4.2 EXTERIOR WALLS Wood Studs LoadbearingWalls........................................................(fable 5).....................2x�-. L fL in. Nan-Loadbearing Walls ........................................(Table 5).....................2x - ft.fivjin. AMERICAN FOREST&PAPER ASSOCIATION r.r.r.-�_ .t........��../o..r.•.... _ ..It'1.o....a.... •- � .. .. _. ...:k`. rc J.�(.r...v.. r t• .. .,r ...a.......�. • 1 1 l 1 / 1 1 1 Ir ' 1 / 1 � Y / STAB NAIL PATTERN PAWL PAWL SOM WUG E MAB.W"SPAG=OEr" Detail Vertical and Horizontal Nailing for Panel Attachment r 110 MPH EXPOSURE B WIND ZONE Cal D U B J;T CON T.a Bracing Gable End Walls WSP Attic Floor Length................................................ (Figure 11).................. ...... .AA ft. z Wl3 Gypsum Ceiling Length................................................ (Figure 11)......................:iW* 'ft. �t 0.9W Double Top Plate SpliceLength..................................................... ..... (Figure 13)......................................... ..f ft Splice Connection(no.of 16d common nails) ............ (Table 6)...............:................................ . Loadbearing Wall Connections Uplift. (proprietary connectors)......................................(Table 7).....................................U=_PM Ib. Lateral (no. of 16d common nails)................................(Table 7)................................................_a2 Non-Loadbearing Wall Connections Uplift. (proprietary connectors)..................................... (Table 8).....................................U— jL9lb. Lateral (no, of 16d common nails) ................................(Table 8).................................................. Wall Openings HeaderSpans............................................................... (Table 9)......................, ft. D in.511' Sill Plate Spans......................... ..................................(Table 9)....................... ft.&_in.512' Full Height Studs(no.of studs).................................... (Table 9).................................................. Connections at each and of header or sill Uplift. (proprietary connectors)................. _ ......... (Table 9)........................................1AI5 Ib. Lateral (proprietary connectors)............................. (Table 9)...........................................(eWIb. Wall Sheathing Minimum Building Dimension,W Sheathing Type...... ... . . .......... ... .... (Table 10).......................... !t'�..r. Edge Nall Sparing.J2'<:C7.......� lehWYk.145........ (Table 10).......................................... in. Field Nail Spacing...................................................(Table 10)....................................... . in Shear Connection (no.of 16d common nails)........(Table 10).................................. HoldDown Capacity...............................................(Table 10)................................... ...... —lb. Percent Full-Height Sheathing. .Jl/. AI.Fr.--5......... (Table Maximum Building Dimension, L 7�j� Sheathing Type....... ... ......(Table 11)............................... Edge Nail Spacing. ...AFEPI ...11.iA.S........ (Table 11)....................................... .. in. Field Nail Spacing .................. able 11 in. Shear Connection (no.of 16d common nails)........ (Table 11)...........................I....... .. .......... Hold Down Capacity............................................... (Table 11).................................. 44 lb. Percent Full-Height Sheathing....... l9/.6_.5.......(Table 11)......�.... Alel�ZN�iS .r/° Walt Cladding Ratedfor Wind Speed?...............................:......................................................................................... 5.1 ROOFS Roof framing member spans checked?.....:........... ......... (IRC or WFCMI).... ..wkv4D t. .v$?..1.�..a���Q' Roof Overhang. ................................................................. (Figure 19)...... ...........1!I:t ft.5 2'or U3 Truss, I-Joist, or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................ .................. (Table 12)........... . ...................U=55w lb. Lateral.................................................................... (Table 12)............................ ....L=,,gU ib. Shear.................................................. ........... . (Table 12)...................................S=-1!G lb. Ridge Strap Connections-Tension................................... (Table 13)....................................T A pif Gable Rafter Outlooker........PPrk-0,01r...0.L.�.hS........... (Figure 20).... .......... .eft, ft.5 2'or U2 Outlooker Connections at Non-Loadbearing Walls Proprietary Connectors Uplift....................................................................... (Table 14)...................................U lb. Lateral...................................... .......................... (Table 14)....................................L=jAylb. Roof Sheathing Type..........................................................(IRC or WFCMI)..............A.YA40D Roof Sheathing Thickness............................................................................................._5ZOin.z 3/8"wsp Roof Sheathing Fastening............. 46............. (Table 2)........ AMERICAN WOOD COUNCIL 4. a. From Tables 10 and 11 and location of watt sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shalt be minimum thickness of 7/14r and be installed as follows: L Panels shag be Installed with strength axis parallel to studs. ii. All horizontal joints shag occur over and be nailed to framing. iiii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. Iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and,to band joist at bottom of panel.Upper attachment of tower 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 tad staggered at 3 inches on center per figures below'.Vertical and Horizontal Nailing for Panel Attachment • —•-•-ws�r�rnstrisrsrsoH r anixnxatrsead04" AT6'bt:. Y 41 N tt t1 It R Ii It tt v tl F O N Q •` F Jt ft id J a6 Iry 1'1 IFPu A _ it it It lT V U i it 3 Y 4t 1{ • II Jt. BAN% y Y See Detail on Next Page \/orlinsll 9nr1 lJnrf�+�tdel rtia:li.+n I GUIDE:T.O...W .• • rCO e r 110 MPH EXPOSURE B WIND ZONE 7 9006 W 1 ND ti IDD1.,6- VN I T VJE'�7' lfyx� rl�sP�AZT, nib Checklist 1A SCOPE Wind Speed(3-second gust).........................................................................................................110 mph WindExposure Category........................................ ....... ......................................................... .B 1.2 APPLICABILITY Number of Stories ..............................................................(Figure 2)...................2-stories 5 2 stories Roof Pitch ................ ...................... ............................(Figure 19) ................... _ 9' <_12:12 Mean Roof Height ..............................................................(Figure 2).....................3Q.Lq.;Vft. 5 33' Building Width,W ............................................................ ...(Figure 4).......................31(0,:.&.ft. S 80' Building Length, L ......(Figure 4)...................................�ft. <8U Building Aspect Ratio(L/W) ...............................................(Figure 4)..................................1,1,425 5 3.0:1 1.3 FRAMING CONNECTIONS General compliance with framing connections?................. (Table 2)..........................................Y ..�.r...... 2.1 ANCHORAGE TO FOUNDATION Type of Foundation............................................................. (Figure 5 .................................Ab&::�&ZWT Foundation Anchorage Proprietary Connectors . Uplift....................................................... .......... (Table 3).....................................U=/,S7pff Lateral.....................................................................(Table 3)......................................L��2 If Shear......................................................................(Table 3)................................:...:S= plf 5/80 Anchor Bolts BoltSpacing...........................................................(Table 4).............................................1J in. Bolt Embedment..................................................... (Figure 5)...........................................�in. . Washer Size.......................................................... (Figure 5)........... ..6�-in.x J in.x*in.thick 3.1 FLOORS Floor framing member spans checked?............................. (!RC or WFCM)...................... .. ............... _ Maximum Floor Opening Dimension......................... . .... (Figure 6).................. .../.,Q.�.Bo" flL <_12 M Maximum Floor Joist Setbacks 1 n Supporting Loadbearing Walls or Shearwall.................(Figure 7)....................... 1 ft. s d r Maximum Cantilevered Floor Joists r Supporting Loadbearing Walls or Shearwall.................(Figure 8).......................................Mft. <_d H Floor Bracing at Endwalls.................................................... (Figure 9):.............. ................ . ...................... .... Floor Sheathing Type......................................................... (!RC or WFCM). .....................l°LyWDU17 Floor Sheathing Thickness.................................. ...... (1RC or WFCM) .. ......... .............. .....%�in. Floor Sheathing Fastening..................................................(Table 2).......d.....&.....4PA4'J.Z"..E1 4.1 WALLS Wall Height /$4.. „i( �� 91 I s �...... ..... :.. ......(Figure 10 '�.. ft. <_10' Loadbearing Walls.... ............ .. ... .. ... ( 9 ).......................... Non-Loadbearing Walls................................................(Figure 10)....................... �-.�r ft. s 20' Wall Stud Spacing. ........................ . .............4. ............(Figure 10). ...................... .. in.<_24°O.C. Wall Story Offsets...............................................................(Figures 7-8) .........................1Y-.&.in. 5 d 4.2 EXTERIOR WALLS Wood Studs LoadbearingWalls........................................................(Table 5).....................2x _.�ft.� in. Non-Loadbearing Walls........... ................................(Table 5).............. ....2x,_, ft.$` AMERICAN FOREST &PAPER ASSOCIATION CHIECKLIS .'.: 110 MPH EXPOSURE B WIND ZONE !yi 1 PLC' vet 1T COST'D Bracing Gable End Walls WSP Attic Floor Length........ .. ............................. (Figure 11)..............................."ft. >W/3 Gypsum Ceiling Length................................................. (Figure 11).....................31,:--,Cft. >_0.9W Double Top Plate SpliceLength............................................................... (Figure 13)......................................... ..!f-ft Splice Connection(no. of 16d common nails)............... (Table 6)..................................................jam Loadbearing Wall Connections Uplift. (proprietary connectors)..................................... (Table 7). . ..... .. ..................... .U ®?�lb. Lateral (no. of 16d common nails) .. (Table 7)..........:.... Non-Loadbearing Wall Connections Uplift. (proprietary connectors)...................................... (Table 8).....................................U=.&2 lb. Lateral (no.of 16d common nails) ................................ (Table 8)............... Wall Openings Header Spans............................................................... (Table 9)......................... /oft. O in.<1 V SillPlate Spans............................................................ (Table 9) ........................__I ft.,g—in.S 12, Full Height Studs (no.of studs)..................................... (Table 9)......................:......................... Connections at each end of header or sill Uplift. (proprietary connectors)................................(Table 9).......................................W.lb. Lateral (proprietary connectors)............................. (Table 9)......... ....................... .64ua lb. Wall Sheathing Minimum Building Dimension,W SheathingType.............................................. .... (Table 10) .................. .7/............. Edge Nall Spacing..Xip�E... ..... (Table 10).................. ................... FieldNail Spacing. ................................................ (Table 10)...............I.............................. in. Shear Connection (no.of 16d common nails)....... (Table 10) ................................... Hold Down Capacity................. .... (Table 10) . .. .. .. _ —{b.`N Percent Full-Height Sheathing. .....V�JP�.l.�`�-....... (Table 10)...,1��.......��. ..4.5._/° Maximum Building Dimension, L / Sheathing Type....... ... (Table 11).........................?11k..... .Y�SP Edge Nail Spacing. ..... r "..:ni�'��N��.`�..... (Table 11)........................................._fz-in. Field Nail Spacing................................. ................ (Table 11)................................. ... .1j�in. Shear Connection (no. of 16d common nails)....... (Table 11)................................... ... 3 Hold Down Capacity................... ...., (Table 11).. 1r0 Ib. Percent Full-Height Sheathing. ....�1 1.Fr ....... (Table 11) .. .. I E'/ ... _% - Wall Cladding Ratedfor Wind Speed?. . ......................... . . .......... .. ............................. . ...................... 5.1 ROOFS Roof framing member spans checked?................. C. p .............. (!RC or WFCM).......�lloa....�a�...��. Roof Overhang. .......................................................... (Figure 19).................. .j. 'ft.<_2'or U3 Truss, I-Joist, or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift..................................................................:.... (Table 12)...................................U lb. Lateral............................... . ................................ (Table 12)....... .....................L _ Ib. Shear........................................... ... . .............. (Table 12)................. .S=/1( _lb. . ..... .... .... ... Ridge Strap Connections-Tension ................................... (Table 13).............:...................... = NA p ff Gable Rafter Outlooker.......PVrk.0P.,.....?P"..Acl........ (Figure 20).................. . l5f ft. ft.:9 2'or U2 Outlooker Connections at Non-Loadbearing Walls Proprietary Connectors Uplift. (Table 14)............I......................U-�Ib. Lateral.................................................................... (Table 14)....................................L= ib. Roof Sheathing Type............................ ...........................(IRC or WFCM).............. )0G.XWc wO Roof Sheathing Thickness........................... ................................................. ..............5_7B,in.z 30 wsp Roof Sheathing Fastening..................jLd.../.dA?i,S........(Table .......1.;?�. .F..!AI AMERICAN WOOD COUNCIL V� r. .r_u a .l..._.....�a J..I t�•.\... �. .9,f. ..o....u.....L v .. .. _. .r.:6�. r J.;i<.t...o� � r.f .. t.J a t.......t � � � S + + 1 1 +t f 1 + Ed + FAAMINGMF. 1 + EDGE 1 ; 1 1 STAGGERD + NI P UAfL AM ATTEliN � PJ+1NEi. PAWL EDGE DOUBLE NAIL EDGE SPACING WrAL Detail Vertical and Horiaontal Nail" for Panel Attachment r 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shalt be minimum thickness of 7/1(r and be installed as follows: i. Panels shall be installed with strength ads parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story c onstrudion,panels shall be attached to bottom plates and top member of the double top plate. Iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of tower panel shall be made to band joist and lower attachment made to lowest plate at fast floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shaft be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment -ws-KNUMEDIMMrsoN vW.W ta#" AT 81ba u 41 1 tt !1 N H QAt li.n ft 17 F 1 � tt it Q 1 p� to if 1 �ipD h 1"1 . pT �t Il 1 tL Fu 1 (Qj17�J 1l l T Q 1 IL to i1 UALSPACM ' 11 tl 1 See Detail on Next Page Varlinnl tan�a I-Inrf�n.vlal I�ln:li.+.. Parcel Detail 1�(( � Page 1 of 2 6 v mm.. Logged In As; Parcel Detail rsday,September zoib Parcel Lookup Parcellnfo _ Parcel[ Condo ID(226-140-00V unit I m ,.I comond Iex15970 uilding� Locatlon1760 CRAIGVILLE B'EA FrontaPr_ ...e... ._ .. Sec Road Se Fronta Villag F....,, _.�._. ..,�.. ...:, ..,N...:........... Fir d. C O Distn MM Town sewer exists at this address N0 _ Inde „7777 nteractivMa /fir 6 v Owner Info _....... ownergTRADE WINDS(RESIDEI owner �0 PATRIOT GROUP III streets�1�120 POST RD,2ND�•FL��streetz City DARIEN I State CT- I zip 6:820 �I Country ................................. ..: ....... Land Info � .... ..... .. .. ... ........ Ades 0 use Condominium MDL-01 zoning CBDCRNB Nghbd 10001 Topography I Road Utilities ) Location I Construction Info ....... _ .... ......... ......... ......... Building 1 of 1 Year 2016 Roof �. �, Ext.,, Built` Struct Wall r Living 0 Roof Central Area Cover. Type Style(Condominium I"t Drywall J sea�2 Bedrooms I Wall�,,,,,m ..., ...... ,.,,. .Rooms .,. gym. ,,,,, m�� ,..,",..� ......,.,, Model Res Condo Floor Carpet Rooms r3 Full 1 Half Grade .< nl neat Hot Air Total Type Rooms s Stories 3 Stories.,,,,,, wei(Gas Found. IConc. Slab Gross� ,�—--.,. Area � Permit History Issue Date jPurpose 1permit# Amount insp Date 1comments http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=107788 9/8/2016 I Parcel Detail Page 2 of 2 Visit History Date lWho Purpose Sales History_ Line Sale Date Owner Book/Page Sale Price TRADE WINDS (RESIDENCES AT) 1 6/16/2014 CONDOMINIUM C382 $0 Assessment History Save Year Building XF Value OB Value Land Value Total Parcel # Value Value Photos http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=107788 _ 9/8/2016 From: Ruggiero, Amanda a Sent: Friday, September 09, 2016 10:10 AM To: Shea, Sally; Peterson, Taryn Cc: Lauzon, Jeffrey; 'MacNeely, Martin (mmacneely(&commfiredistrict.com)' Subject: RE: 760 CRAIGVILLE BEACH ROAD Hi all, I met with Martin and Mike at the end of July.We concluded tha:t`Bu lding�"`E will be 78&Craigville Units Ft=F�i� was waiting for assessing to add in the condominiums and I didn't follow up with the addressing. I will update those now.Sorry about that. Thank you Amanda Amanda Ruggiero, PE Barnstable DPW-Assistant Town Engineer Office: 508-790-6400- CeN: 774-487-2834 Amanda.Ruggiero(atown.bamstable.ma,us From: Shea, Sally Sent: Friday, September 09, 2016 10:06 AM To: Peterson,Taryn; Ruggiero, Amanda Cc: Lauzon, Jeffrey; MacNeely, Martin (mmacneel commfiredistrict.com) Subject: 760 CRAIGVILLE BEACH ROAD Taryn, Thank you for your help with this address. Just a recap from my call yesterday. I am unable to assign a permit number for this address as there is not a 760 Craigville in Viewpermit. It is however in parcel lookup. The contractor states this was updated weeks ago so I don't know why we are not seeing it in the viewpermit system.. I'm not sure what happened here. Thank you for your assistance. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 41 r 2 ® GAM/DATE(MDD/YYYY) RLI CERTIFICATE OF LIABILITY INSURANCE OP ID DL 06/10/13 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 ORALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOTCONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(Ies)must be endorsed. BR G I S WAIVED,subject to the terms and conditions of the policy,certain policies may requile an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER WNIAUI NAME: Debra Landry DGP-Miles Insurance Agency,Inc A/C,No Ex : 508-824-8961 (A/c,No): 508-828-191 3 School Street P.O. Box 1018 ADDREss: dlandry@dgpmilesins.com Taunton MA 02780-0957 CUSTOMERID#: JTCCO-1 Phone:508-824-8961 Fax:508-880-2734 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: National Grange Insurance.Co. JTC Contractors Inc INSURERS: Zurich American Insurance Cc John Callahan 1 Buttercup Lane INSURER C: U S Specialty Ins Co South Yarmouth MA 02664 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/OD;NYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 C X COMMERCIAL GENERAL LRBILITY IG06CO0093500 05/17/13 05/17/14 PREMISES (Ea occurrence) $100000. CLAIMS-MADE F_x1 OCCUR MED EXP(Any one person) $ 5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $20000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG s2000000 POLICY PRO JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000 (Ea accident) A ANY AUTO M1M29803 10/18/12 10/18/13 BODILY INJURY(Per person) $ i ALL OWNED AUTOS - BODILY INJURY(Per accident) $ X SCHEDULEDAUTOS PROPERTY DAMAGE $ HIREDAUTOS (Per accident) NON-OWNED AUTOS $ $ C X UMBRELLA LIAB X OCCUR UEP500225 05/17/13 05/17/14 EACH 00�2 RfENCE ',:11004400 EXCESS LIAB CLAIMS-MADE AGGREGAT k $200,, OO DEDUCTIBLE L-�$ X RETENTION $ O .a: .'5 � B WORKERS COMPENSATION - TBD 06/14/13 06/14/14 .".. ' - AND EMPLOYERS'LIABILITY y/N ITORYIM9TS E ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH A•rCIDENT 1 O0*91000 OFFICER/MEMBER EXCLUDED? IA ryry rr{{ (Mandatory in NH) E.L.DISEASq-EA EMPLOYE'$ 10 v OO If yes,describe under ... DESCRIPTION OF OPERATIONS below - E.L.DISEAS -POLICY LIMIT J 10 00 9 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 2007 HAUL UTIL TRAILER T 5BSCB18257CO20254 Contractors-Executive Supervisors or executive superintendents Proof.of insurance subject to policy terms, conditions, definitions, limits, ` and exclusions CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN. ACCORDANCE WITH THE POLICY PROVISIONS. Mr John Howe D&E, LLC - .,..-. Old Hill Partners .LLC AUTHORIZED REPRESENTATIVE 1120 Boston Post Rd Darien CT 06820 L-1 988- A ORP 9,ORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are eegistere ks ofl 007 f i, 1� L' ...k '" '� i `�*' g ,' ` i 'r, ' y , rodt 4 ' n F 'y�,` ' e File* Edltz.ToolS, Help t 6 t# r k t� i z '` = <* rG '' r•mk id KR";dFy, 11x t i h, Orpl C �- i 4=l lI'M «€ n %s }r , * '�' y � b *ems. J` Pre wsite:_ FAckion De t N:ee B A r4 edB�F; Status �lnspyComment .�,,` n , _q =r � . p 5'.y PP �. y r jT WF Status CONSE APPROVAL 6701 05/0212007 DKAR APPR 3- -Audit History} FIRE APPROVAL 6300 c .. ,. l Tx x: _,. PLANN APPROVAL 4100 05/02/2007 TBRO APPR 2 S�r���s-��2N15 SITE APPROVAL 6303 05/02/2007 ESWI APPR SP�Q(p�'06 - TAX APPROVAL 6300 05/02/2007 SSHE APPR ¢ <+ w WORK SUBMISSION 6300 05/02/2007 SSHE APPR " vs " d ; Prerequisite HLTH° HEALTH�DEPARTMENT fi Needed byI" I� a Actiiir�type APPROVAL' d Y4_ y Inspector; ;s SSHE�,� ', ' SHEA-,SAL t t „T p type p ,p Res onsible de t 6500 HEALTH DEPARTMENT Ins ection. a.� reference 200641E _ Status APPR ''APPROVED # f - s:*." V A f Applicant resp t �€ � 't T date 7, 0510212007 fi y a=,`�'� �# ^"` 8` d �d,� d aF.y hi-�hb 3 "99 7A aCommentcode�e ` � a:f � r� Approved- 0510212007 .13:5 � ..R.. SIGNING;OFF F.O� R DON DES AS,I HAO�TO RE INPUT DATA,,wt; ter r KrF � ,sTeRt .x dw-r,,.,.� s w '�' { ' { ' r2 a z we 1 trr�. K- ..�-''�. r•,.. -�a gR.,y"�:: s`,�� �'.,. ,'�. �° e' Ty i .,e�.4.'.' fi a" ` d '", - :"=`' AyAti no, r-�4 .� '�C! 4fi7 ` �. T "�F it �` ...w "_" ,3. ^ tjil.k - ,RCA 1 �Jt': TS` +-�a�' ' y°�" r 8 ri ' ''*�c'�y� 61 dzim ;. t� x gn 71 F# 1 a. i r s I� — - w m ` i > '' a�Yni * arodrLwh tws 3 r fir'„ ag,, c y'??s�� ,F �# s -..#t r ,r icy s «^y+. y - '.. tF' ..,� a +r ....;,x .G ' ut "_ J=„a, 3-yyFo�:ti" e *.^;S" Xk` q, �ms � a Ada�, t aSr '4 4 uJxrl . s #z v Volt ` pp a kn*. ��7�,. tvl 3,m.i�•` ..a..,,, .e,,. `.maw... b1 ..es*,d�«:o .a,`.,,,',a 'saa. :., .n.�,r ..:, ;, .`�t,,.s�.sz :�iJ.. "�- �:a:,� v h. :3`.tow.r4 w i OASTAL NGINEERING r . zIn7a�� r4 . �a OMPANY, INC. 260 Cranberry Highway(Rte. 6A),Orleans,MA 02653 � www.CoastalEngineeringCompany.com Orleans 508-255-6511 Provincetown 508-487-9600 Hyannis 5111'v7 =9 0 Fax 508-255-6700 STRUCTURAL FIELD INSPECTION REPORT #35 To: Barnstable Building Department Project: Trade Winds Residences Job No: C16684.01 t `Location: 780 Craigville Beach Road Date/Time: December 7, 2007, at 9:00 AM Barnstable,MA Weather: Sunny, 35'Ff Present at Site: Jon Downing, Coastal Engineering Co.,Inc. (CEC) Ray Devita, J. K. Scanlan Co., Inc. (JKS) C O� David Robbins(JKS) C A field inspection was made at the request of Ray Devita(JKS)to verify foundation wall form geometry and rebar placement for the southeast foundation walls atltBuildingg Building«E» • All wall forms appeared to be sized and placed according to CEC plans. • All vertical rebar appeared to be-#5 bars spaced at 16"O.C. and centered in wall as specified. • All horizontal rebar appeared to be#5 bars spaced at 12"O.C. and centered in wall as specified. • It appears that(2)horizontal#5 bars run continuous at the bottom of the wall as specified. A single horizontal bar located at the top has,been,previously approved by CEC. • It was noted that several of the horizontal!rebars had some concrete coating on them. David Robbins and Ray Devita were both informed of this and due to the bars' locations and number of bars (less than 20 percent),it was acceptable for-this pour.only. David Robbins informed CEC that the bar at the top of the form with the concrete on it would be replaced prior to the pour. • Ray Devita informed CEC that they are planning on pouring the walls Saturday, 12/8/07. • It was noticed that one of the top corner bars was tied in place at both ends;however, it was cut at the bend. Ray Devita added a.new.corner bar at this location. • CEC informed both Ray Devita and David Robbins that the ground(frozen at the time of inspection) ,would,need to be heated (thawed)and dried prior to placement of the concrete slab. CEC was t mformed that due to the temperature-that the slab would not be placed until the spring. <. 't ,. ul,z�..,.,•t t�. tF t ..�S. °�, l ir'C"i, �^. ,.;.". ° 3i' t; x ' - .. l .. ,p,T., ! ...�� Y, t� ',1_lr..� „`,` r, a�°-4•t f4s12 #2� .,�..* ! ) Sir.... ' .�.� !`?r 41 ._. ':.; .• `ui. .. .w...._........r........-......—..„....•-.� ....J.......��n...�. _..........�...__......�..........�._...,._........... »...... .... .,ter_.... ......._r.-......e_,u...+........._. —_..r_... ___........_.�... ......... ....... ■Providing solutions for the benefit of our clients and community■ ,r ;,. f Trade Winds Residences Page 2 of 2 December 13,2007 Buildings"B"&"C" • CEC observed that Simpson A23 angles were attached to the 4"x6"post-to-beam connections on the entry porch. CEC noted that there was one post with no connector, one post with one connector , missing, and a third post with no nails in the top portion of the connector. David Robbins had the framer place the missing connectors. The framing contractor informed David Robbins that the connector that was missing the nails on the top portion could not be nailed because he could not get his nail gun in that space.David Robbins informed the contractor to nail the connector in with a hammer. Upon leaving the site, all the entry porch columns had Simpson A23 angles attached to the column beams with the proper number of nails. • David Robbins informed CEC that they will have an answer on if the truss can support the mechanical unit on the bottom chord in a few days Submitted by: Jon Downing JMD/dlb - cc: J.K. Scanlan Co., Inc. Keenan&Kenny Architects James Walsh John Stewart D:IDOCICl66001166841166840/IInspectionslField Inspection Report 35.doc r �_..� A�a yak''✓ ' '� I r 4sf "� II1111t1 I I I!PtlCdl" l SZ OG f ' IOIEtlI6��19Z1Z 9�`s.\• ,.., M... a •5 ' , 1'y t 1 �a c YP �, `�x ,y,;. r'•£ ,..�,i...1.a ..t\n.;.�.a� k sue;`{� '%'`�:,s�Xw'."'.'k.. .. '' ,;, ilk r '°• �� �� .. t e* rt �' �. ,*+ �•+N P,R it � >y �104" Frozen ground at Building "E". Typical vertical bar spacing at 16"O.C. diT Wall reinforcing. Note the �'x, rebar with a coating of Corner bar tied at both concrete. i ends, but cut at the b w end. 14 C16684.01 12/7/07 JMD/dlb 1 4i f 10 r f he column. � Typical angle connector with the proper number of nai ls. Typical angle connectors on both sides o t p p vP � yr � a fr'1614d�t'X�^T i Rebar at the top of the at dy ^ Angle connector on wall with a concrete { coating. Building "B"with L�+ missing nails. ya C16684.01 12/7/07 JMD/dlb 2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 5 Map 226 Parcel 140-00U Unit 760-B Application # Health Division Date Issued Conservation Division Application Fee 6? Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic'- OKH Preservation / Hyannis Project Street.Address 760 Craigville Beach Road Village Centerville Owner Trade Winds Residences LLC Address, One State Street, 14th Floor Boston, MA 02109 Telephone 617=861-2055' 00 Permit Request Tenant Fitout. Square feet: 1 st floor: existing proposed 1246 2nd floor: existing proposed 1180 Total new 2426 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type New Lot Size 1 Acre Grandfathered: ❑Yes M No If yes, attach supporting documentation. Dwelling Type: Single Family, M Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes M No On Old King's Highway: ❑Yes M No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 1000 Number of Baths: Full: existing new 3 Half: existing new g% 1 Number of Bedrooms: existing 2 new Total Room Count (not including baths): existing new 9 First Floor Room Count 5 Heat Type and Fuel: M Gas ❑ Oil ❑ Electric ❑ Other Central Air: ®Yes ❑ No Fireplaces: Existing New i Existing wood/coal stove: ❑Yes ® No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing M new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: j 'e?:a rtrt Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ i :n ` ->; Commercial ❑Yes M No If yes, site plan review# -; N) , i3! N Current Use Proposed Use Residence i - F s� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J.R. Scanlan Company, Inc. Telephone Number 508-540-6226 - Address 15 Research Road License# CS O40692 East Falmouth, MA 02536 Home Improvement Contractor# Worker's Compensation # WC6-111-258096-037 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ,/� DATE 49 i s s FOR OFFICIAL USE ONLY APPLICATION# t . DATE ISSUED , MAP/PARCEL NO. ADDRESS VILLAGE ,y OWNER x 3 DATE OF INSPECTION: , FOUNDATION ) FRAME It INSULATION FIREPLACE ELECTRICAL: ROUGH _FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t 1 DATE CLOSED OUT x ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- 226 Parcel 140—OOU Unit 760—B Application Health Division Date Issued Conservation'.Division Application Fee ?y" Planning Dept. f Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis 760 Crai ille° Bead')load. . Project Street Address 8� Villa a Centervilley " 9 Owner Trade Winds Residences LAC Address One State Street, 14th Floor Boston, MA 02109 -Telephone 617-861-2055 .. 3 �s5. ,�a ,dv a • Permit Request Tenant Fitout Square feet: 1st floor: existing proposed 1246 2nd floor: existing proposed 1180 Total new 2426 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type New Lot Size 1 Acre Grandfathered: 0 Yes © No If yes, attach supporting documentation. Dwelling Type: Single Family. M Two Family ❑ Multi-Family (# units) Age of Existing Structure ' Historic House: ❑Yes ® No On Old King's Highway: ❑Yes M No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)f �� Basement Unfinished Area (sq.ft) 1000 fi ,Number of Baths: Full: existing new 3 Half: existing new %8 1 Number of Bedrooms: existing 2 new Total Room Count (not including baths): existing new 9 First Floor Room Count 5 Heat Type and Fuel: ©Gas ❑ Oil ❑ Electric . ❑ Other ti Central Air: M Yes ❑ No Fireplaces: Existing New 1 Existing wood/coal stove: ❑Yes ® No Detached garage: ❑existing ❑ new size_Pool: ❑ existing M new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size —Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 91 No If.yes, site plan review# Current Use Proposed Use Residence ff' - ! N.) .3 APPLICANT INFORMATION (BUILDER OIt HOMEOWNER) F t � P Name J.R. Scanlan Company, Inc. Telephone Number' 508-540-6226 i Address 15 Research Road License# CS O40692 East Falmouth, MA 02536 Home Improvement Contractor# Worker's Compensation # WC6-111-258096-037 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ' ` ` ' '' " } - DATE 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION Map 226 ' Parcel 140-00v Unit 760-C Application # 0?6096 d�3 Health Division Date Issued Conservation Division _ Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation/Hyannis Project Street Address 760 Craigvilie Beach Road Village Centerville Owner Trade Winds Residences LLC Address One�State Street, 14th Floor Boston, MA :02536 Telephone 617-861-2055 Permit Request Tenant Fitout L)A) I Square feet: 1 st floor: existing proposed 1241 2nd floor: existing proposed 1148 Total new 2389 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type New Lot Size 1 Acre Grandfathered: ❑Yes E No If yes, attach supporting documentation. Dwelling Type: Single Family 91 Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes W No On Old King's Highway: ❑Yes M No Basement Type: W Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 1000 Number of Baths: Full: existing new Half: existing new 1 Number of Bedrooms: existing 2_new , Total Room Count (not including baths): existing new 9 First Floor Room Count' 5 Heat Type and Fuel: M Gas ❑ Oil ❑ Electric ❑ Other Central Air: W Yes ❑ No Fireplaces: Existing New 1 Existing wood/coal stove: ❑Yes ❑ No {jry Detached garage: ❑ existing ❑ new size_Pool: ❑ existing M new size _ Barn: ❑esting ❑new `-size_ i rJ ;% Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: r` Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes M No If yes, site plan review# Current Use Proposed Use Residence APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J.K. Scanlan Company, Inc. 508-540-6226 Telephone Number Address 15 Research Road License # CS O40692 East Falmouth, MA -02536 Home Improvement Contractor# KKKNOMM Worker's Compensation # WC6-111-258096-037 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE ` L DATE U� i(J'f FOR OFFICIAL USE ONLY '.APPLICATION# DATE ISSUED MAP/PARCEL NO. a ADDRESS VILLAGE OWNER DATE OF INSPECTION: 7 FOUNDATION z FRAME J INSULATION a FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M1 Map 226 Parcel 140-009,-Unit 760-C. Application # 26 0 RO,)(/cl-3 Health Division Date Issued 1� �U Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address 760 Craigville Beach Road Village Centerville Owner Trade Winds Residences LLC Address one State Street, 14th Floor Bosodn, MA . 02536 Telephone 617-861-2055 Permit'Request RTenant Fitout a 7- �'_, Square feet: 1 st floor: existing proposed 1241 2nd floor: existing proposed 1148 Total new 2389 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type New E Lot Size 1 Acre Grandfathered: ❑Yes ® No If yes, attach supporting' documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes M No On Old King's Highway: ❑Yes 0 No Basement Type: M Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) 1000 ,Number of Baths: Full: existing new 3 Half: existing new i Number of Bedrooms: existing 2 new , Total Room Count (not including baths): existing new: 9 First Floor Room Count 15 Heat Type and Fuel: ® Gas ❑Oil ❑ Electric ❑Other f ` Central.Air: ®Yes ❑ No Fireplaces: Existing New 1 Existing wood/coal stove❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing M new size _ Barn: ❑existing ❑'riew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Ln t- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes M No If yes, site plan review# Current Use Proposed Use Residence APPLICANT INFORMATION (BUILDER OR HOMEOWNER) J.R. Scanlan Company, Inc. 508-5404226 � . Name Telephone Number 15 Research Road CS O40692 Address ' License # East Falmouth, MA -02536 Home Improvement Contractor# Worker's Compensation # WC6�111-258096-037 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1 FOR OFFICIAL USE ONLY .;APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ct Name. `Probe �-� Address:___—______ _ Permit#:__ - -r�� ----- Permit Date:___ ' I LARGE ROLLED PLANS ARE IN: BOX: 3 SLOT: Date entered in MAPS program on: By:_— Building Air-Tightness Test Form Customer Information: Building&Test Conditions: Name: Doug Lebel Address: PO Box 170 Date: 4/4/2018 City: West Hyannisport State/Zip: MA/02672 Phone: (508)776-3600 Time: 4:00 P.M. Email: Douglebel@gmaiL.com Building Address:(if different from above) Street: 780 Craigville Beach Rd (Unit 20) F t Floor Area (ft'): 2368 s.f. City/State: Hyannisport, MA Comments: Standard Level Accuracy- High Wind Conditions Mechanical Ventilation: Exhaust-Only Bath Fan with 24-Hour Programmable Timer - 68 CFM = Tested Flow Rate= 31 Min./Hour MINIMUM run-time in f accordance with ASHRAE62.2(2013) Test#1 Depress: _ Press: Test#2 Depress: Press: Pre-test Baseline Pressure: -0•3 (Pa) Pre-test Baseline Pressure: - 0•5 (Pa) Bldg Press. Flow Ring Fan Press Flow Bldg Press. Flow Ring Fan Press Flow (Pa) Installed (Pa) (cfm) (Pa) Installed (Pa) (cfm) -50.3 A -50.6 1079 -50.4 A -50.9 1074 -50.5 A -50.8 1076 -50.6 A -51.1 1076 -50.0 A. -50.3 1091 -50.2 A -50.7 1085 -50.4 A -50.7 1085 -50.4 A -50.6 1094 -50.4 A -50.7 1088 -50.4 A -50.9 1086 Post-test Baseline Pressure: -0.4 (Pa) , Post-test Baseline Pressure: -0-4 (Pa) Fan Model/SN: Minn BD 130927 Fan Model/SN: Minn BD 130927 Results: Results: CFM50: 1083.8 CFM50: 1085.0 ACH50: 3.0 ACH50: 3.0 HERS Rater Name and Cert.#: Chris Plcariell0 Cert.#: 6397177 HERS Rater Signature and Date: 4/10/2018 Developed by Advanced Building Analysis,LLC Buildiniz Air-Tightness Test Form Customer Information: Building&Test Conditions: Name: Doug Lebel Address: PO Box 170 Date: 11/22/2019 City: West Hyannisport State/Zip: MA/02672 Phone: (508)776-3600 Time: 3:30 P.M. Email: Douglebel@gmail.com Building Address:(if different from above) Street: 780 Craigville Beach Rd (Unit 21) 1=Z Floor Area (ft): 2340 s.f. City/State: Hyannisport, MA Comments: Standard Level Accuracy Mechanical Ventilation: Exhaust-Only Bath Fan with 24-hour programmable timer 70 CFM = Tested Flow Rate 33 Mini/Hour MINIMUM Run-time in accordance with ASHRAE62.2(201.3) Test#1 Depress: Press: Test#2 Depress: V Press: Pre-test Baseline Pressure: -0•2 (Pa) Pre-test Baseline Pressure: - 0•3 (Pa) Bldg Press. Flow Ring Fan Press Flow Bldg Press. Flow Ring Fan Press Flow (Pa) Installed (Pa) Wrn) (Pa) Installed (Pa) (cfm) -50.2 A -50.4 1030 -50.1 A -50.4 1028 -50.3 A -50.5 1028 -50.3 A -50.6 1031 -50.5 A -50.7 1025 -50.4 A -50.7 1026 -50.0 A -50.2 1035 . -50.4 A -50.7 1033 -50.1 A -50.3 1036 -50�0 A -50.3 1035 Post-test Baseline Pressure: -0•3 (Pa) Post-test Baseline Pressure: -0.3 (Pa) Fan Model/SN: Minn BD 130927 Fan Model/SN: Minn BD 130927 Results: Results: CFM50: 1030.8 CFM50: 1030.6 = ACH50: 2.9 ACH50: 2•9 HERS Rater Name and Cert.#: Chris Plcariello CeltA 6397177 HERS Rater Signature and Date:(Y_4 11/23/2019 Developed by Advanced Building Analysis,LLC 1 a . ` Building Air-Tightness Test Form Customer Information: Building&Test Conditions: Name: Doug Lebel Address: PO Box 170 Date: 11/22/2019 City: West Hyannisport State/Zip: MA/02672 Phone: (508)776-3600 Time: 4:30 P.M. - Email: Douglebel@gmaiI.com Building Address: (if different from above) 780 Crai vllle Beach Rd Unit 22 Floor Area (ftZ): 2350 s.f. Street: 9 ( ) City/State: Hyannisport, MA - Comments: Standard Level Accuracy Mechanical Ventilation: Exhaust-Only Bath Fan with 24-hour programmable timer 68 CFM =.Tested Flow Rate = 33 Min./Hour MINIMUM Run-time in accordance with ASHRAE62.2(2013) Test#1 Depress: Press: Test#2 Depress: Press: Pre-test Baseline Pressure: -0•1 (Pa) Pre-test Baseline Pressure: -0•2 (Pa) Bldg Press. Flow Ring Fan Press Flow Bldg Press. Flow Ring Fan Press Flow (Pa) Installed (Pa) (drn) (Pa) Installed 1 (Pa) (Cfm) -50.0 A -50.1 1055 -50.1 . A -50.3 1057 -50.3 A -50.4 1058 -50.3 A -50.5 1060 -50.1 A -50.2 1060 -50.2 A -50.4 1058 -50.1 A -50.2 1062 -50.4 A -50.6 1054 -50.2 A -50.3 1057 -50.0 A -50.2 1062 — &A Post-test Baseline Pressure: -0.3 (Pa) Post-test Baseline Pressure: -0-3 (Pa) Fan Model/SN: Minn BD 130927 Fan Model/SN: Minn BD 130927 Results: Results: CFMSO: 1058.4 CFM50: 1058.2 " ACH50: 2.9 ACH50: 2.9 HERS Rater Name and Cert.#: Chris Plcariello Cert.#: 6397177 HERS Rater Signature and Date: aL�� ��/23/2019 Developed by Advanced Building Analysis,LLC `"ETy Town of Barnstable LUuvsrAste. • Building Department-200 Main Street �p Hyannis, MA 02601 lEn Mai' Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-702 CO Issue Date: 2/13/2020 Parcel ID: 226-140-00T Zoning Classification: CBDCRNB Location: 780 BLDG F UNIT 1 UNIT 20 CRAIGVILLE :Proposed Use: BEACH ROAD,CENTERVILLE Name of Tenant: Sprinklers Provided: Gen Contractor: Douglas W Lebel Permit Type:' Commercial - Multi-Family 3.or More Units Type of Construction: Design Occupant Load: 0 Comments: TWO BEDROOM. BASEMENT 1S.NOT A GARAGE. Building Official Date: A Certificate of:Occupancy is.Required Prior to Occupying Space Building Code: 780 CMR 9th Edition °FtHEr � Town of Barnstable s_RNSTABLE. «;, Building Department- 200 Main Street '; r 9 amp Hyannis, MA 02601 lEn Mc�° Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-701 CO Issue Date: 2/4/2020 Parcel ID: 226-140-00U Zoning Classification: CBDCRNB Location: 780 BLDG F UNIT 2 UNIT 21 CRAIGVILLE Proposed Use: BEACH ROAD, CENTERVILLE Name of Tenant: Sprinklers Provided: Gen Contractor: Douglas W Lebel Permit Type: Commercial - Multi-Family 3 or More Units Type of Construction: Design Occupant Load: 0 Comments: TWO BEDROOM. BASEMENT IS NOT A GARAGE. Building Official Date: A Certificate of Occupancy is Required Prior to Occupying.Space Building Code: 780 CMR 9th Edition r • °ET"ETA Town of Barnstable swxxsrwBre - Building Department-200 Main Street Hyannis, MA 02601 'OrEn Ma's e. Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-17-705 CO Issue Date: 1/7/2020 Parcel ID: 226-140-OOV Zoning Classification: CBDCRNB Location: 780 BLDG F UNIT 3 UNIT 22 CRAIGVILLE Proposed Use: BEACH ROAD, CENTERVILLE Name of Tenant: Sprinklers Provided: Gen Contractor: Douglas W Leber Permit Type: Commercial- Multi-Family 3 or More Units x Type of Construction: YP _ Design Occupant Load: 0 Comments: TWO BEDROOM NO GARAGE BELOW Building Official Date: A Certificate of Occupancy is Required Prior to Occupying Space Building Code: 780 CMR 9th Edition w. ti 1VD 5tiG�4 FEMA National Flood Insurance Program ELEVATION CERTIFICATE AND INSTRUCTIONS FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 1 of 15 DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency NATIONAL FLOOD INSURANCE PROGRAM OMB Control Number:1660-0008 ELEVATION CERTIFICATE AND INSTRUCTIONS Expiration:11/30/2018 Paperwork Reduction Act Notice Public reporting burden for this data collection is estimated to average 3.75 hours per response.The burden estimate includes the time for reviewing instructions,searching existing data sources,gathering and maintaining a valid OMB control number is displayed on this form.Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management,Department of Homeland Security,Federal Emergency Management Agency,1800 South Bell Street,Arlington,VA 20598-3005, Paperwork Reduction Project(1660-0008).NOTE:Do not send your completed form to this address. Privacy Act Statement Authority:Title 44 CFR§61.7 and 61.8. Principal Purpose(s):This information is being collected for the primary purpose of estimating the risk premium rates necessary to provide flood insurance for new or substantially improved structures in designated Special Flood Hazard Areas. Routine Use(s):The information on this form may be disclosed as generally permitted under 5 U.S.C.§552a(b)of the Privacy Act of 1974,as amended.This includes using this information as necessary and authorized by the routine uses published in DHS/FEMA-003 -National Flood Insurance Program Files System or Records Notice 73 Fed.Reg.77747(December 19,2008);DHS/FEMA/NFIP/LOMA-1 -National Flood Insurance Program(NFIP)Letter of Map Amendment(LOMA)System of Records Notice 71 Fed.Reg.7990(February 15,2006);and upon written request,written consent,by agreement,or as required by law. Disclosure:The disclosure of information on this form is voluntary;however,failure to provide the information requested may result in the inability to obtain flood insurance through the National Flood Insurance Program or the applicant may be subject to higher premium rates for flood insurance.Information will only be released as permitted by law. Purpose of the Elevation certificate The Elevation Certificate is an important administrative tool of the National Flood Insurance Program (NFIP). It is to,be used to provide elevation information necessary to ensure compliance with community floodplain management ordinances,to determine the proper insurance premium rate,and to support a request for a Letter of Map Amendment(LOMA)or Letter of Map Revision based on fill(LOMR-F). The Elevation Certificate is required in order to properly rate Post-FIRM buildings,which are buildings constructed after publication of the Flood Insurance Rate Map(FIRM),located in flood insurance Zones Al-A30,AE,AH,A(with BFE),VE,V1 430,V(with BFE),AR,AR/A,AR/AE, AR/Al -A30,AR/AH,and AR/AO.The Elevation Certificate is not required for Pre-FIRM buildings unless the building is being rated under the optional Post-FIRM flood insurance rules. As part of the agreement for making flood insurance available in a community, the NFIP requires the community to adopt floodplain management regulations that specify minimum requirements for reducing flood losses. One such requirement is for the community to obtain the elevation of the lowest floor (including basement) of all new and substantially improved buildings, and maintain a record of such information.The Elevation Certificate provides a way for a community to document compliance with the community's floodplain management ordinance. ` Use of this certificate does not provide a waiver of the flood insurance purchase requirement. Only a LOMA or LOMR-F from the Federal Emergency Management Agency (FEMA) can amend the FIRM and remove the Federal mandate for a lending institution to require the purchase of flood insurance. However,the lending institution has the option of requiring flood insurance even if a LOMA/LOMR-F has been issued by FEMA. The Elevation Certificate may be used to support a LOMA or LOMR-F request. Lowest floor and lowest adjacent grade elevations certified by a surveyor or engineer will be required if the certificate is used to support a LOMA or LOMR-F request.A LOMA or LOMR-F request must be submitted with either a completed FEMA MT-EZ or MT-1 package,whichever is appropriate. This certificate is used only to certify building elevations.A separate certificate is required for floodproofing.Under the NFIP, non-residential buildings can be floodproofed up to or above the Base Flood Elevation(BFE).A floodproofed building is a building that has been designed and constructed to be watertight(substantially impermeable to floodwaters)below the BFE. Floodproofing of residential buildings is not permitted under the NFIP unless FEMA has granted the community an exception for residential floodproofed basements.The community must adopt standards for design and construction of floodproofed basements before FEMA will grant a basement exception. For both floodproofed non- residential buildings and residential floodproofed basements in communities that have been granted an exception by FEMA, a floodproofing certificate is required. Additional guidance can be found in FEMA Publication 467-1, Floodplain Management Bulletin: Elevation Certificate, available on FEMA's website at https://www.fema.aov/media-library/assets/documents/3539?id=1727. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 2 of 15 DEPARTMENT OF HOMELAND SECURITY Federal Emergency Management Agency ELEVATION CERTIFICATE 08 IMPORTANT: FOLLOW THE INSTRUCTIONS ON PAGES 9-16 OMB Control Number.11/30/01 Expiration:11/30/2018 opy all pages of this Elevation Certificate and all attachments for(1)community official,(2)insurance agent(company,and(3)building owner. SECTION A-PROPERTY INFORMATION FORM INSURANCE COMPANY USE Al. Building Owner's Name Trade Winds Residences,LLC Policy Number: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC 780 Craigville Beach Road(Building F)Units 20-22 Number: City Barnstable(Centerville) State MA Zip Code 02632 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Assessor Parcel 226-140:L.C.Plan 8993-B Lot 1 :L.C.Certificate#C382(Master Deed)multi Unit Condominium A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude: Lat.41.637822 N Long.70.331541 W Horizontal Datum: (jNAD 1927 (t?NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. AT Building Diagram Number 7 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a)Square footage of crawlspace or enclosure(s) 3406 sq ft a)Square footage of attached garage sq ft b)Number of permanent flood openings in the b)Number of permanent flood openings crawlspace or enclosure(s)within 1.0 foot in the attached garage within 1.0 foot above adjacent grade 18 above adjacent grade c)Total net area of flood openings in A8.b 2022 sq in c)Total net area of flood openings in A9.b sq in d) Engineered flood openings? (:,,Yes (`,,No d) Engineered flood openings? (;;Yes No SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1. NFIP Community Name&Community Number B2. County Name B3.State Barnstable 250001 Barnstable MA B4. Map/Panel Number B5. Suffix B6. FIRM Index Date B7. FIRM Panel Effective/ B8. Flood Zone(s) B9.Base Flood Elevation(s) Revised Date (Zone AO,use base flood 250001CO564 J 7/16/2014 1/25/2018 AE depth 12 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: (':FIS Profile ( -FIRM (''Community Determined (;,Other/Source: B11.Indicate elevation datum used for BFE in Item 139: (;NGVD 1929 (:;NAVD 1988 (')Other/Source: B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? (.-)Yes No Designation Date: (^-CBRS COPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl.Building elevations are based on: (',Construction Drawings' (;`Building Under Construction' (t)Finished Construction C2.Elevations -Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/Al-A30,AR/AH,AR/AO. Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only,enter meters. A new Elevation Certificate will be required when construction of the building is complete. Benchmark Utilized:TOPCON RTK GPS Vertical Datum:NAVD88 Indicate elevation datum used for the elevations in items a)through h)below. ('NGVD 1929 r•NAVD 1988 (';Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used: a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 9 60 (,feet ()meters b) Top of the next higher floor 18 - 15 (:feet (7)meters c) Bottom of the lowest horizontal structural member(V Zones only) NA - Ofeet ( meters d) Attached garage(top of slab) 9 - 60 .)feet ()meters e) Lowest elevation of machinery or equipment servicing the building (Describe type of equipment and location in Comments) 12 55 (;;feet (,meters f) Lowest adjacent(finished)grade next to building(LAG) 9 20 (:,,feet (-.meters g) Highest adjacent(finished)grade next to building(HAG) 14 55, (J,feet (—,,meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including structural support 9 37 (;;feet rmeters; FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 3 of 15 i "EL.EVATION CERTIFICATE OMB Control NumWt•166&66 `Expiration 11/30l2018't 780.Cratgvilfcii,eachkoa,(buildingF.,,)!Jniis20-22; liamsiWc(Centu ilfc): \fiA OiG32i 3ECTION D-;SURVEYORS ENGiNEER,'OR ARCHITECT CERTIFICATION;. _. Thts cerGfiption is to be"signed and sealed bya land surveyor,engineer or architect authorized by few to certify elevalion;inforrriation 1 ceArry," that the inlomtalion on-Uris Certificate represents;my best eNorts to interpret the data avaitatile.,l"understand that any false statement maybe; ` staff—= punishable by lint#or rrifpnsoriment unaer i8,U.S.Cede„Section.tuuf. 'Were latr(ude and,longitude in Secbori A NTH GF 7dq S Check here if attachments: provided by a licensed land surveyor ('Yes F.Nd, STEPHEN Gam. Certifiers Name, License NUM15er Stephen Di:Matson- #46345 Massachusetts' MATSO.N- N; civil r Title Company Name Civil Engineer Baxter-Nye Engineering"&.Surveying: �p f' Address Ctty< State, i Zip Code; 78.North Zffeet ` _r Sign ure Date Telephone 5/9I2018; 0(508j 171;75,02 Copy boi•sides of:this Elevation Certificate for(i)community official,(2),1 -1 ranee agenUcompany end(3)building ovine: ,Comments(including lype;of equipment and location,per C2(e),ff applicable) Lowest machinery spe-ih in C2e}is an electrical servrce,pane1 located on astair well w,alI in the center'of lhe'basemenl:of Umt#2t: :. This,st[ucture'rsa`mulU unitcondomioiurn Please-refer to"attached sheet for equipment detalis'- Signature; Date SECTION E=BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED):FOR ZONEAO AND;ZONE A(WITHOUT BTE),' For Zones A0 and'A(without.BFE),complete Items E1-E5.if the Certificate is intended tosupport aLOMA or LOMR-F-request,complete: Sections A,'B,and:C.For"Items Et-E4;ruse natural grade,If:available.Check'ttietimeasureriient•used:ln Puerto Rico ohlyenter meters: El.Provide elevation Infomialion forthe followtng'.and check the appropriate.boxes•to show;whether the"elevationls above orbeldw lhe! highest adjacent— d (HAG}and>th6l ' st adjacenl,grade(LAG): a)Top of bottom.floer(including basement,,crawispace;: above or ❑belovrihe-HAG: or enclosure).fs.;; !-feat (`meters". ❑-.... b)Top.of bottom floor(including';ba_sement7_craw}space„ _ f feet meters, ❑above or ❑below'thetAG;; or enclosure)Is' E2:ForBullding ptagrams 6:`6 vnlh Permanent-flood=openings provided in Section A,ltems 8 and/or9`(ses pages 8 9 of Instructloris);<the nett, hlgherfloor(elevation C2'.b,in the tliag"rams)of the butidYing is _- ('feet meters ❑,above or ❑below:the'HAG E3.Attached garage(lop ofstab)s; Cfeel- r meters ❑;above or' ❑below the HAG: E4 Top;of platform of machinery and for equfpmenli servicing the,bulfding.Is, ("feel; (:""meters ❑above.or ❑belowthe HAG E5.Zono,AQ only:If no=Todd depth number is;avallable is;the top of:ah6 bottom floor elevated in accordance with the communs floodpleih. man6gernant ordinance? (,,,Yes (—;No C Uhkriown.,The local-officiaPmust certify this"Information in Section G.: SECTION F'--PROPERTY OWNER(OR'OWNER'S REPRESENTATIVE),CERTIFICATION` The property owner or oWrib?.s authorized representative who completes Seclioris,A,B,a.nd E for"Zone A(vrithout a FEMA.'•issued'or community-Issued:;BFE)or2one AG,Must sign here.The statementsin Sections A,B re,and E a correct to the best of myknotvledge. Propertj Owner orOwners,Aulhorized Represeritaliv©s hame Bazle�Nye Engineenng`&Surveyingi.Stephen D Mats:n;.P.E.- Address; Cly State? ZIP Code, 78 Nortwstfaa' Hyannis:' _ Masgacliuselts. ;,02601, S re Date _.� . -Telephone, i �'1 .--• 05 09.2018` (508)J71=7,502 Check:h`ere•iF attachments; } cr_e�e';c�..:,-nac:n nn ror�c,* n....r..:.�. I�:....., z .....+.,,� .;•. Dann 4.rir 1F Section D Comments Equipment within the building is listed as follows: Unit#20: • Electrical panel -el. 12.66 • Hot water heater—el. 13.26 • Air handier—el. 15.53 • Expansion tank— el. 15.71 Unit#21: • Electrical panel —el. 12.55 • Hot water heater—el. 12.88 • Air handler—el. 14.75 • Expansion tank— el. 15.60 Unit#22 • Electrical panel— el. 12.64 • Hot water heater-el. 12.99 • Humidifier& controls —el. 13.89 • Air handler—el. 14.72 • Expansion tank— el. 15.59 I OMB Control Number:1660-0008 Expiration:11/30/2018 SECTION G -COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8- G10.In Puerto Rico only,enter meters. G1. ❑The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer, or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) GZ ❑A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. The following information(Items G4-G10)is provided for community floodplain management purposes. G4. Permit Number r 5.Date Permit Issued G6.Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: (•New Construction (— )Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: Meet (J"meters Datum G9.BFE or(in Zone AO)depth of flooding at the building site: r'feet `meters Datum G10.Community's design flood elevation: 'feet meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments f ❑ Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 5 of 15 f BUILDING PHOTOGRAPHS See instructions for Item A6 OMB Control ybggWr,.J��� 9q% IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. 780 Craigville Beach Road(Building F)Units 20-22 Policy Number:city . Barnstable(Centerville) -State MA Zip Code Company NAIC 02632 Number: If using the Elevation Certificate to obtain NFIP flood insurance,affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front view and Rear view';and,if required,'Right Side View and"Left Side View." When applicable,photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. ", sue- +$ h r v .(e t'• FRONT OF BUILDING 11 ..............«,. a �, kE Al loll ON b REAR OF BUILDING FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 6 of 15 i BUILDING PHOTOGRAPHS Continuation Page OMB Control Number.1660-0008 Expiration:11/30/2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FORM INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 780 Crai ville Beach Road(Building F Units 20-22 City State Zip Code Company NAIC Number: Barnstable Centerville MA 02632 If submitting more photographs than will fit on the preceding page,affix the additional photographs below. Identify all photographs with:date taken;"Front View"and"Rear View"'and,if required,"Right Side View"and"Left Side View." When applicable,photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. 44 41 "..✓�yG.+Y�"`� y^OVA*d� S �,s., ' y E. a, s' r � - till . �t H`,h vs k REAR OF BUILDING ..wok . C H r+m+e e II� 5 I f� WEST ELEVATION FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 7 of 15 I Instructions for Completing OMB Control Number:1660-0008 National Flood Insurance Program the Elevation Certificate Expiration:11/30/2018 The Elevation Certificate is to be completed by a land surveyor,engineer,or architect who is authorized by law to certify elevation information when elevation information is required for Zones Al -A30,AE,AH,A(with BFE),VE,V1 430,V(with BFE),AR,ARIA,AR/AE,AR/Al-A30, AR/AH, or AR/AO. Community officials who are authorized by law or ordinance to provide floodplain management information may also complete this form. For Zones AO and A(without BFE), a community official, a property owner, or an owner's representative may provide information on this certificate, unless the elevations are intended for use in supporting a request for a LOMA or LOMR-F.Certified elevations must be included if the purpose of completing the Elevation Certificate is to obtain a COMA of LOMR-F. The property owner,the owner's representative,or local official who is authorized by law to administer the community floodplain ordinance can complete Section A and Section B.The partially completed form can then be given to the land surveyor, engineer,or architect to complete Section C.The land surveyor,engineer,or architect should verify the information provided by the property owner or owner's representative to ensure that this certificate is complete. In Puerto Rico only,elevations for building information and flood hazard information may be entered in meters. SECTION A -PROPERTY INFORMATION Items Al-A4.This section identifies the building,its location,and its owner.Enter the name(s)of the building owner(s),the building's complete street address,and the lot and block numbers.If the building's address is different from the owner's address,enter the address of the building being certified. If the address is a rural route or a Post Office box number,enter the lot and block numbers,the tax parcel number,the legal description, or an abbreviated location description based on distance and'direction from a fixed point of reference. For the purposes of this certificate,"building"means both a building and a manufactured(mobile)home. A map may be attached to this certificate to show the location of the building on the property.A tax map,FIRM,or detailed community map is appropriate. If no map is available, provide a sketch of the property location, and the location of the building on the property. Include appropriate landmarks such as nearby roads, intersections,and bodies of water. For building use, indicate whether the building is residential, non-residential,an addition to an existing residential or non-residential building,an accessory building(e.g.,garage),or other type of structure. Use the Comments area of the appropriate section if needed,or attach additional comments. Item A5. Provide latitude and longitude coordinates for the center of the front of the building. Use either decimal degrees(e.g., 39.5043°, -110.7585°)or degrees,minutes,seconds(e.g.,39°30'15.5",-110*45'30.7")format.If decimal degrees are used, provide coordinates to a least 5 decimal places or better.When using degrees,minutes,seconds,provide seconds to at least 1 decimal place or better.The latitude and longitude coordinates must be accurate within 66 feet.When the latitude and longitude are provided by a surveyor,check the"Yes"box in Section D and indicate the method used to determine the latitude and longitude in the Comments area of Section D.If the Elevation Certificate is being certified by other than a licensed surveyor,engineer,or architect,this information is not required. Provide the type of datum used to obtain the latitude and longitude.FEMA prefers the use of NAD 1983. Item AS.If the Elevation Certificate is being used to obtain flood insurance through the NFIP,the certifier must provide at least 2 photographs showing the front and rear of the building taken within 90 days from the date of certification. The photographs must be taken with views confirming the building description and diagram number provided in Section A.To the extent possible,these photographs should show the entire building including foundation. If the building has split-level or multi-level areas, provide at least 2 additional photographs showing side views of the building..In addition, when applicable, provide a photograph of the foundation showing a representative example of the flood openings or vents.All photographs must be in color and measure at least 3"x 3".Digital photographs are acceptable. Item A7.Select the diagram on pages 7-9 that best represents the building.Then enter the diagram number and use the diagram to identify and determine the appropriate elevations requested in Items C2.a-h. If you are unsure of the correct diagram, select the diagram that most closely resembles the building being certified. Item A8.a Provide the square footage of the crawlspace or enclosure(s)below the lowest elevated floor of an elevated building with or without permanent flood openings. Take the measurement from the outside of the crawlspace or enclosure(s). Examples of elevated buildings constructed with crawlspace and enclosure(s)are shown in Diagrams 6-9 on pages 8-9. Diagram 2,4,or 9 should be used for a building constructed with a crawlspace floor that is below the exterior grade on all sides. Items A8.b-d Enter in Item A8.b the number of permanent flood openings in the crawlspace or enclosure(s)that are no higher than 1.0 foot above the higher of the exterior or interior grade or floor immediately below the opening.(A permanent flood opening is a flood vent or other opening that allows the free passage of water automatically in both directions without human intervention.) If the interior grade elevation is used, note this in the Comments area of Section D. Estimate the total net area of all such permanent flood openings in square inches, excluding any bars, louvers, or other covers of the permanent flood openings, and enter the total in Item A8.c. If the net area cannot be reasonably estimated,provide the size of the flood openings without consideration of any covers and indicate in the Comments area the type o cover that exists in the flood openings. Indicate in Item A8.d whether the flood openings are engineered. If applicable,attach•a copy of the Individual Engineered Flood Openings Certification or an Evaluation Report issued by the International Code Council Evaluation Service(ICC ES), if you have it. If the crawlspace or enclosure(s),have no permanent flood openings, or if the openings are not within 1.0 foot above adjacent grade,enter"0"(zero)in Items A8.b-c. Item A9.a Provide the square footage of the attached garage with or without permanent flood openings. Take the measurement from the outside of the garage. Items A9.b-d Enter in Item A9.b the number of permanent flood openings in the attached garage that are no higher than 1.0 foot above the higher of the exterior or interior grade or floor immediately below the opening.(A permanent flood opening is a flood vent or other opening that allows the free passage of water automatically in both directions without human intervention.)If the interior grade elevation is used,note this in the Comments area of Section D.This includes any openings that are in the garage door that are no higher than 1.0 foot above the adjacent grade.Estimate the total net area of all such permanent flood openings in square inches and enter the total in Item A9.c.If the net area cannot be reasonably estimated, provide the size of the flood openings without consideration of any covers and indicate in the Comments area the type of cover that exists in the flood openings.Indicate in Item A9.d whether the flood openings are engineered. If applicable,attach a copy o the Individual Engineered Flood Openings Certification or an Evaluation Report issued by the International Code Council Evaluation Service (ICC ES),if you have it.If the garage has no permanent flood openings,or if the openings are not within 1.0 foot above adjacent grade,enter "0"(zero)in Items A9.b-c. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 8 of 15 r Instructions for Completing the Elevation Certificate Continued OMB Control Number:1660-0008 Expiration:ll/30/2018 SECTION B -FLOOD INSURANCE RATE MAP(FIRM)INFORMATION Complete the Elevation Certificate on the basis of the FIRM in effect at the time of the certification. The information for Section B is obtained by reviewing the FIRM panel that includes the building's location.Information about the current FIRM is available from the Federal Emergency Management Agency(FEMA)by calling 1-800-358-9616.'If a Letter of Map Amendment(LOMA)o Letter of Map Revision(LOMR-F)has been issued by FEMA,please provide the letter date and case number in the Comments area of Section D or Section G,as appropriate. For a building in an area that has been annexed by one community but is shown on another community's FIRM,enter the community name and 6-digit number of the annexing community in Item B1,the name of the county or new county,if necessary,in Item B2,and the FIRM index date for the annexing community in Item B6. Enter information from the actual FIRM panel that shows the building location, even if it is the FIRM for the previous jurisdiction,in Items B4,B5,B7,B8,and B9. If the map in effect at the time of the building's construction was other than the current FIRM,and you have the past map information pertaining to the building,provide the information in the Comments area of Section D. Item 131.NFIP Community Name&Community Number. Enter the complete name of the community in which the building is located and the associated 6-digit community number. For a newly incorporated community, use the name and 6-digit number of the new community. Under the NFIP, a"community"is any State or area or political subdivision thereof, or any Indian tribe or authorized native organization, that has authority to adopt and enforce floodplain management regulations for the areas within its jurisdiction. To determine the current community number, see the NFIP Community Status Book, available on FEMA's web site at https://www.fema.gov/national-flood-insurance-program national-flood-insurance-program-community-status-book,or call 1-800-358-9616. Item 132.County Name.Enter the name of the county or counties in which the community is located.For an unincorporated area of a county, enter"unincorporated area."For an independent city,enter"independent city." Item B3.State.Enter the 2-letter state abbreviation(for example,VA,TX,CA). Items B4-B5.Map/Panel Number and Suffix.Enter the 10-character"Map Number'or"Community Panel Number'shown on the FIRM where the building or manufactured(mobile)home is located.For maps in a county-wide format,the sixth character of the"Map Number'is the letter "C"followed by a 4-digit map number.For maps not in a county-wide format,enter the"Community Panel Number'shown on the FIRM. Item B6.FIRM Index Date.Enter the effective date or the map revised date shown on the FIRM Index. Item B7.FIRM Panel Effective/Revised Date.Enter the map effective date or the map revised date shown on the FIRM panel.This will be the latest of all dates shown on the map.The current FIRM panel effective date can be determined by calling 1-800-358-9616. Item B8.Flood Zone(s).Enter the Hood zone,or flood zones,in which the building is located.All flood zones containing the letter"A"or"V"are considered Special Flood Hazard Areas.The flood zones are A,AE,Al -A30,V,VE,V1 430,AH,AO,AR,AR/A,AR/AE,AR/Al -A30,AR/ AH,and AR/AO.Each flood zone is defined in the legend of the FIRM panel on which it appears. Item B9.Base Flood Elevation(s).Using the appropriate Flood Insurance Study(FIS)Profile,Floodway Data Table,or FIRM panel,locate the property and enter the BFE (or base flood depth)of the building site. If the building is located in more than 1 flood zone in Item B8, list all appropriate BFEs in Item B9.BFEs are shown on a FIRM or FIS Profile for Zones Al -A30,AE,AH,V1 430,VE,AR,AR/A,AR/AE,AR/Al- A30,AR/AH,and AR/AO;flood depth numbers are shown for Zone AO.Use the AR BFE if the building is located in any of Zones ARIA,AR AE,AR/Al-A30,AR/AH,or AR/AO. In A or V zones where BFEs are not provided on the FIRM, BFEs may be available from another source. For example,the community may have established BFEs or obtained BFE data from other sources for the building site.For subdivisions and other developments of more than 50 lots or 5 acres,establishment of BFEs is required by the community's floodplain management ordinance. If a BFE is obtained from another source,enter the BFE in Item B9.In an A Zone where BFEs are not available,complete Section E and enter N/A for Section B,Item B9.Enter the BFE to the nearest tenth of a foot(nearest tenth of a meter,in Puerto Rico). Item B10.Indicate the source of the BFE that you entered in Item B9.If the BFE is from a source other than FIS Profile,FIRM,or community, describe the source of the BFE. Item 1311. Indicate the elevation datum to which the elevations on the applicable FIRM are referenced as shown on the map legend. The vertical datum is shown in the Map Legend and/or the Notes to Users on the FIRM. Item B12.Indicate whether the building is located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA). (OPAs are portions of coastal barriers that are owned by Federal,State,or local governments or by certain non-profit organizations and used primarily for natural resources protection.) Federal flood'insurance is prohibited in designated CBRS areas or OPAs for buildings o manufactured(mobile)homes built or substantially improved after the date of the CBRS or OPA designation.For the first CBRS designations, that date is October 1, 1983. Information about CBRS areas and OPAs may be obtained on the FEMA web site at https://www.fema.gov national-flood-insurance-program/coastal-barrier-resources-system.- FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 9 of 15 Instructions for Completing the Elevation Certificate Continued OMB Control Number:1630/2008 Expiration:ll/30/2018 SECTION C -BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Complete Section C if the building is located in any of Zones Al -A30,AE,AH,A(with BFE);VE,V1 -V30,V(with BFE),AR,AR/A,AR/AE, AR/Al-A30,AR/AH,or AR/AO,or if this certificate is being used to support a request for a LOMA or LOMR-F.If the building is located in Zone AO or Zone A(without BFE),complete Section E instead.To ensure that all required elevations are obtained,it may be necessary to enter the building(for instance,if the building has a basement or sunken living room,split-level construction,or machinery and equipment). Surveyors may not be able to gain access to some crawlspaces to shoot the elevation of the crawlspace floor. If access to the crawlspace is limited or cannot be gained,follow one of these procedures. •Use a yardstick or tape measure to measure the height from the floor of the crawlspace to the"next higher floor,"and then subtract the crawlspace height from the elevation of the"next higher floor."If there is no access to the crawlspace,use the exterior grade next to the structure to measure the height of the crawlspace to the"next higher floor." •Contact the local floodplain administrator of the community in which the building is located.The community may have documentation of the elevation of the crawlspace floor as part of the permit issued for the building. •If the property owner has documentation or knows the height of the crawlspace floor to the next higher floor,try to verify this by looking inside the crawlspace through any openings or vents. In all 3 cases,provide the elevation in the Comments area of Section D on the back of the form and a brief description of how the elevation was obtained. Item C1.Indicate whether the elevations to be entered in this section are based on construction drawings,a building under construction, o finished construction.For either of the first 2 choices,a post-construction Elevation Certificate will be required when construction is complete.I the building is under construction,include only those elevations that can be surveyed in Items C2.a-h.Use the Comments area of Section D to provide elevations obtained from the construction plans or drawings.Select"Finished Construction"only when all machinery and/or equipment such as furnaces,hot water heaters,heat pumps,air conditioners,and elevators and their associated equipment have been installed and the grading around the building is completed. Item C2.A field survey is required for Items C2.a-h.Most control networks will assign a unique identifier for each benchmark.For example,the National Geodetic Survey uses the Permanent Identifier'(PID). For the benchmark utilized,provide the PID or other unique identifier assigned by the maintainer of the benchmark.For GPS survey,indicate the benchmark used for the base station,the Continuously Operating Reference Stations(CORS)sites used for an On-line Positioning User Service(OPUS)solution(also attach the OPUS report),or the name of the Real Time Network used. Also provide the vertical datum for the benchmark elevation.All elevations for the certificate, including the elevations for Items C2.a-h,must use the same datum on which the BFE is based.Show the conversion from the field survey datum used if it differs from the datum used forithe BFE entered in Item B9 and indicate the conversion software used.Show the datum conversion,if applicable,in the Comments area of Section D. For property experiencing ground subsidence, the most recent reference mark elevations must be used for determining building elevations. However, when subsidence is involved, the BFE should not be adjusted. Enter elevations in Items C2.a-h to the nearest tenth of a foot (nearest tenth of a meter,in Puerto Rico). Items C2.a-d Enter the building elevations(excluding the attached garage)indicated by the selected building diagram(Item A7)in Items C2.a -c. If there is an attached garage, enter the elevation for top of attached garage slab in Item C2.d. (Because elevation for top of attached garage slab is self-explanatory, attached garages are not illustrated in the diagrams.) If the building is located in a V zone on the FIRM, complete Item C2.c.If the flood zone cannot be determined,enter elevations for all of Items C2.a-h.For buildings in A zones,elevations a,b, d, and a should be measured at the top of the floor. For buildings in V zones, elevation c must be measured at the bottom of the lowest horizontal structural member of the floor(see drawing below).For buildings elevated on a crawlspace,Diagrams 8 and 9,enter the elevation o the top of the crawlspace floor in Item C2.a,whether or not the crawlspace has permanent flood openings(flood vents).If any item does no apply to the building,enter WIA"for not applicable. emwnasori euie>wNowira �En�awGourau� SUE avSEMENB FIENS OdLAWfANS A ZONES V ZONES C2.8 A ZONES V ZONES- C2.a / AZONES _ 1 c C2.a C2.c BASE FIDOO ELEVATION C2.0 ';r:: ';:i. A AOJAGENr G4AOE TION .. .-it FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 10 of 15 Instructions for Completing the Elevation Certificate Continued OMB Control Number:1660-0008 Expiration:11/30/2018 Item C2.e Enter the lowest platform elevation of at least 1 of the following,machinery and equipment items: elevators and their associated equipment,furnaces,hot water heaters,heat pumps,and air conditioners in an attached garage or enclosure or on an open utility platform that provides utility services for the building.Note that elevations for these specific machinery and equipment items are required in order to rate the building for flood insurance. Local floodplain management officials are required to ensure that all machinery and equipment servicing the building are protected from flooding. Thus, local officials may require that elevation information for all machinery and equipment, including ductwork, be documented on the Elevation Certificate. If the machinery and/or equipment is mounted to a wall, pile,etc., enter the platform elevation of the machinery and/or equipment. Indicate machinery/equipment type and its general location, e.g.,on floor inside garage or on platform affixed to exterior wall, in the Comments area of Section D or Section G,as appropriate. If this item does not apply to the building, enter"N/A"for not applicable. Items C2.f-g Enter the elevation of the ground,sidewalk,or patio slab immediately next to the building. For Zone AO,use the natural grade elevation,if available.This measurement must be to the nearest tenth of a foot(nearest tenth of a meter, in Puerto Rico)if this certificate is being used to support a request for a LOMA or LOMR-F Item C2.h Enter the lowest grade elevation at the deck support or stairs. For Zone AO, use the natural grade elevation, if available. This measurement must be to the nearest tenth of a foot(nearest tenth of a.meter, in Puerto Rico) if this certificate is being used to support a request for a LOMA or LOMR-F. SECTION D -SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION Complete as indicated.This section of the Elevation Certificate may be signed by only a land surveyor,engineer,or architect who is authorized by law to certify elevation information.Place your license number,your seal(as allowed by the State licensing board),your signature,and the date in the box in Section D.You are certifying that the information on this certificate represents your best efforts to interpret the data available and that you understand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001..Use the Comments area of Section D,on the back of the certificate,to provide datum,elevation,openings,or other relevant information not specified on the front. SECTION E -BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) Complete Section E if the building is located in Zone AO or Zone A (without BFE). Otherwise, complete Section C instead. Explain in the Section F Comments area if the measurement provided under Items E1-E4 is based on the"natural grade." Items E1.a and b Enter in Item E1.a the height to the nearest tenth of a foot(tenth of a meter in Puerto Rico)of the top of the bottom floor(as indicated in the applicable diagram)above or below the highest adjacent grade(HAG). Enter in Item E1.b the height to the nearest tenth of a foot(tenth of a meter in Puerto Rico)of the top of the bottom floor(as indicated in the applicable diagram)above or below the lowest adjacent grade(LAG).For buildings in Zone AO,the community's floodplain management ordinance requires the lowest floor of the building be elevated above the highest adjacent grade at least as high as the depth number on the FIRM.Buildings in Zone A(without BFE)may qualify for a lower insurance rate if an engineered BFE is developed at the site. Item E2.For Building Diagrams 6-9 with permanent flood openings(see pages 8-9),enter the height to the nearest tenth of a foot(tenth of a meter in Puerto Rico)of the next higher floor or elevated floor(as indicated in the applicable diagram)above or below the highest adjacent grade(HAG). Item E3.Enter the height to the nearest tenth of a foot(tenth of a meter in Puerto Rico),in relation to the highest adjacent grade next to the building,for the top of attached garage slab.(Because elevation for top of attached garage slab is self-explanatory,attached garages are no illustrated in the diagrams.)If this item does not apply to the building,enter"N/A"for not applicable. Item E4.Enter the height to the nearest tenth of a foot(tenth of a meter in Puerto Rico),in relation to the highest adjacent grade next to the building,of the platform elevation that supports the machinery and/or equipment servicing the building. Indicate machinery/equipment type in the Comments area of Section F.If this item does not apply to the building,enter"N/A"for not applicable. Item E5. For those communities where this base flood depth is not available,the community will need to determine whether the top of the bottom floor is elevated in accordance with the community's floodplain management ordinance. SECTION F -PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION Complete as indicated.This section is provided for certification of measurements taken by a property owner or property owner's representative when responding to Sections A, B,and E.The address entered in this section must be the actual mailing address of the property owner or property owner's representative who provided the information on the certificate. SECTION G -COMMUNITY INFORMATION(OPTIONAL) Complete as indicated.The community official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Section C may be filled in by the local official as provided in the instructions below for Item G1. If the authorized community official completes Sections C, E, or G,complete the appropriate item(s)and sign this section. Check Item G1 if Section C is completed with elevation data from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information.Indicate the source of the elevation data and the date obtained in the Comments area of Section G. If you are both a community official and a licensed land surveyor, engineer, or architect authorized by law to certify elevation information,and you performed the actual survey for a building in Zones Al -A30,AE,AH,A(with BFE), VE,V1 430,V(with BFE),AR,AR/A,AR/Al-A30,AR/AE,AR/AH,or AR/AO,you must also complete Section D. Check Item G2 if information is entered in Section E by the community for a building in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. Check Item G3 if the information in Items G4-G10 has been completed for community floodplain management purposes to document the as- built lowest floor elevation of the building.Section C of the Elevation Certificate records the elevation of various building components but does not determine the lowest floor of the building or whether the building,as constructed,complies with the community's floodplain management ordinance.This must be done by the community.Items G4-G10 provide a way to document these determinations. Item G4.Permit Number.Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for the building. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 11 of 15 Instructions for Completing OMB Control Number:1660-0008' the Elevation Certificate-(Continued) Expiration:11/30/2018 Item G4.Permit Number.Enter the permit number or other identifier to key the Elevation Certificate to the permit issued for the building. 4 Item G5.Date Permit Issued.Enter the date the permit was issued for the building. Item G6.Date Certificate of Compliance/Occupancy Issued.Enter the date that the Certificate of Compliance or.Occupancy or similar written official documentation of as-built lowest floor elevation was issued by the community as evidence that all work authorized by the floodplain development permit has been completed in accordance with the community's floodplain management laws or ordinances. Item G7. New Construction or Substantial Improvement. Check the applicable box. "Substantial Improvement" means any reconstruction, rehabilitation,addition,or other improvement of a building,the cost of which equals or exceeds 50 percent of the market value of the building before the start of construction of the improvement.The term includes buildings that have incurred substantial damage,regardless of the actual repair work performed. Item G8.As-built lowest floor elevation. Enter the elevation of the lowest floor(including basement),when the construction of the building is completed and a final inspection has been made to confirm that the building is built in accordance with the permit,the approved plans,and the community's floodplain management laws or ordinances.indicate the elevation datum used. Item G9.BFE.Using the appropriate-FIRM panel,FIS Profile,or other data source,locate the property and enter the BFE(or base flood depth) of the building site.Indicate.the elevation datum used. Item G10.Community's design flood elevation.Enter the elevation(including freeboard above the BFE)to which the community requires the lowest floor to be elevated.Indicate the elevation datum used. Enter your name,title,and telephone number,and the name of the community.Sign and enter the date in the appropriate blanks. h FEMA Form 086-0-33(7/15) Replaces all previous editions. -Page 12 of 15 Instructions for Completing the Elevation Certificate (Continued) OMB Control Number:1660-0008 Expiration:11/30/2018 Building Diagrams The following diagrams illustrate various types of buildings.Compare the features of the building being certified with the features shown in the ' diagrams and select the diagram most applicable.Enter the diagram number in Item A7,the square footage of crawlspace or enclosure(s)and the area of flood openings in square inches in Items A8.a-c,the square footage of attached garage and the area of flood openings in square inches in Items A9.a-c,and the elevations in Items C2.a-h. In A zones,the floor elevation is taken at the top finished surface of the floor indicated;in V zones,the floor elevation is taken at the bottom of the lowest horizontal structural member(see drawing in instructions for Section C). t DIAGRAM 1A DIAGRAM I All slab-on-grade single-and multiple-floor buildings(other All raised-slab-on-grade or slab-on-stem-wall-with-fill single- than split-level)and high-rise buildings,either detached or and multiple-floor buildings(other than split-level),either row type(e.g.,townhouses);with or without attached garage. detached or row type(e.g.,townhouses);with or without attached garage. Distinguishing Feature-The bottom floor is at or above ground level Distinguishing Feature-The bottom floor is at or above ground level (grade)on at least 1 side.` (grade)on at least 1 side.` C2.b t'i2.8 i NE)CrHIGHER i FLOOR C2.b C2.a NEXT HIGHER ` FLOOR ,/ . GRADE BOTTOM FLOOR i \ BOTTOM FLOOR GRADE, r s ^h• C2.f h (ae(ermureczy B>dBGrsggfade} 3, h� } ^r .may ? C2.f-h DIAGRAM 2A DIAGRAM 213 All single-and multiple-floor buildings with basement(other All single-and multiple-floor buildings with basement(other than split-level)and high-rise buildings with basement,either than split-level)and high-rise buildings with basement,either detached or row type(e.g.,townhouses);with or without detached or row type(e.g.,townhouses);with or without attached garage. attached garage). Distinguishing Feature-The bottom floor(basement or underground Distinguishing feature-The bottom floor(basement or under ground garage)is below ground level(grade)on all sides.` garage)is below ground level(grade)on all sides;most of the height of the walls are below ground level on all sides and the door and area of egress is also below ground level on all sides.` C2.a C2.b NEXT HIGHER C2.a NEXT HIGHER FLOOR FLOOR GRADE BOTTOM FLOOR GRADE BASEMENT -- ----------- BOTTOM FLOOR Ik BASEMENT C2 f hde n9 9 ) ' � C2 f—h (determinerl,dr `A floor that is below ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office,garage,workshop, etc. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 13 of 15 r Instructions for Completing the Elevation Certificate (Continued) OMB Control Number:1660-0008 Expiration:11/30/2018 DIAGRAM 3 DIAGRAM 4 All split-level buildings that are slab-on-grade,either All split-level buildings(other than slab-on-grade),either detached or row type(e.g.,townhouses);with or without detached or row type(e.g.,townhouses);with or without attached garage. attached garage. Distinguishing Feature-the bottom floor(excluding garage)is at or Distinguishing Feature-The bottom floor(basement or underground garage) above ground level(grade)on at least 1 side. is below ground level(grade)on al sides.' C C C2.a Cz.b HIGHER C2a GRADE FLOORS C2 b NEXT HIGHER BOTTOM FLOOR FLOOR HIGHER BASEME FLOORS NDC7 HIGHER GRADE 9G1"ro0.4 FLOOR. OOR cz.f-n fnanaw C f $fe_GJ ) DIAGRAM 5 DIAGRAM 6 All buildings elevated on piers,posts,piles,columns,or All buildings elevated on piers,posts,piles,columns,or parallel parallel shear walls.No obstructions below the elevated shear walls with full or partial enclosure below the elevated floor. floor. Distinguishing Feature- or all zones,the area below the elevate Distinguishing Feature-For all zones,the area below the elevated floor is floor is open,with no obstruction to flow of floodwaters(open lattice work enclosed,either partially or fully. In A Zones,the partially or fully enclosed area and/or insect screening is permissible). below the elevated floor is with or without openings—present in the walls of the enclosure. Indicate information about enclosure size and openings in Section A s Property Information. NEXT HIGHER ' i _ NEXT HIGHER i - FLOOR ' i FLOOR - C2,a C2.a C2.b ELEVATED - ELEVATED FLOOR � FLOOR • A8.a-c GRADE GRADE EN OStJRE etu enclosure size& openings,it any. (aerenninea „G2,f—h ... A6fmsn6a C2.f—h existinggrade) '( only) exla8nggrade) :� ... ) 9 ) C2.C For V zones onl) Y �•C '(Far V zones only) 'A floor that is below ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office,garage,workshop, etc. "An"opening"is a permanent opening that allows for the free passage of water automatically in both directions without human intervention.Under the NFIP,a minimum of 2 openings is required for enclosures or crawlspaces.The openings shall provide a total net area of not less than 1 square inch for every square foot of area enclosed,excluding any bars,louvers,or other covers of the opening.Altematively,an Individual Engineered Flood Openings Certification or an Evaluation Report issued by the International Code Council Evaluation Service(ICC ES)must be submitted to document that the design of the openings will allow for the automatic equalization of hydrostatic flood forces on exterior walls.A window,a door,or a garage door is not considered an opening;openings may be installed in doors.Openings shall be on at least 2 sides of the enclosed area.If a building has more than 1 enclosed area,each area must have openings to allow floodwater to directly enter.The bottom of the openings must be no higher than 1.0 foot above the higher of the exterior or interior grade or floor immediately below the opening.For more guidance on openings,see NFIP Technical Bulletin 1. FEMA Form 086-0-33(7115) Replaces all previous editions. Page 14 of 15 i Instructions for Completing the Elevation Certificate (Continued) OMB Control Number:1660-0008 Expiration:11/30/2018 DIAGRAM 7 DIAGRAM 8 All buildings elevated on full-story foundation walls with a All buildings elevated on a crawlspace with the floor of the partially or fully enclosed area below the elevated floor.This crawlspace at or above grade on at least 1 side,with our includes walkout levels,where at least 1 side is at or above without an attached garage. grade.The principal use ofthis building is located in the elevated floors of the building. Distinguishing Feature-For all zones,the area below the elevated floor is enclosed,either partially or fully. In A Zones,the partially or fully enclosed Distinguishing Feature-For all zones below the first floor is enclosed by area below the elevated floor is with or without openings"present in the solid or partial perimeter walls.In all A zones,the crawlspace is with or without walls of the enclosure.Indicate information about enclosure size and openings"present in the walls of the crawlspace.Indicate information about openings in Section A-Property Information. crawlspace size and openings in Section A-Property Information. I f Clb C2.a C2.b NEXT HIGHER FLOOR Wwr t FLOOR GRADE C2.f 4+2 C2.f WALKOUT LEVEL C�'9 C2.f \(ENCLOSURE) A8.a lW AB.b� A8.b c A8.a PENINGS" OPENI OPENINGS- DIAGRAM 9 All buildings(otherthan split-level)elevated on a sub-grade crawlspace,with or without attached garage. Distinguishing Feature-The bottom(crawlspace)floor is below ground level (grade)on all sides.`(If the distance from the crawlspace floor to the top of the next higher floor is more than 5 feet,or the crawlspace floor is more than 2 feet below the grade(LAG)on all sides,use Diagram 2.) r i C2.a ' I C2.b .NEXT HIGHER GRADE FLOOR C2.g C2.f Joe oveonkGs• A floor that is below ground level(grade)on all sides is considered a basement even if the floor is used for living purposes,or as an office,garage,workshop, etc. An"opening"is a permanent opening that allows for the free passage of water automatically in both directions without human intervention.Under the NFIP,a minimum of 2 openings is required for enclosures or crawlspaces.The openings shall provide a total net area of not less than 1 square inch for every square foot of area enclosed,excluding any bars,louvers,or other covers of the opening.Alternatively,an Individual Engineered Flood Openings Certification or an ' Evaluation Report issued by the International Code Council Evaluation Service(ICC ES)must be submitted to document that the design of the openings will allow for the automatic equalization of hydrostatic flood forces on exterior walls.A window,a door,or a garage door is not considered an opening;openings may be installed in doors.Openings shall be on at least 2 sides of the enclosed area.If a building has more than 1 enclosed area,each area must have openings to allow floodwater to directly enter.The bottom of the openings must be no higher than'1.0 foot above the higher of the exterior or interior grade or floor immediately below the opening.For more guidance on openings,see NFIP Technical Bulletin 1. FEMA Form 086-0-33(7/15) Replaces all previous editions. Page 15 of 15 6 DATE: _ T September 2006 0 GUARD RAIL, TO EXTEND ALONG N �. LENGTH OF RETAINING WAL STAINING WALL ". FIELDS FACED / RETAINING X v. WA LLS,` �� J 0) j FCIICE ON t` ,2 FIELDSTONE V m O GUARD RAIL,TO t2Ca A,-ED '.lam W 00 TRANSFORMER O. F.Nl, EXTEND ALONGEiAINiNG m P.T. WOOD LENGTH OF CS18B 7 _ YYV 1� As.L =RNo 11 STEPS (THIS SECTION P.T. WOOD \ / U-5 iy ¢ sq 12 ONLY) es N N �, 1c V 14G 'CJ / 2��Nm ` W I` to. // Y mmoy f0 O O by . : 2G J `.'•- .,4 �+ GUARD RAIL, TO a DEXTEND I __. ALONG W N 2 ° LENGTH OF ,�], �• o° ,'s RETAINING WALL W p y U L)ING 'C' \ TRIO 4p _. az 'J-8" GUARD V •f(may °° O ET 5co FENCE \�Y" �� P.T.OD FENCE ON TRANSFORMER o•rrP, " WO FIELDSTONECO CRE _ TEPS FACED RETAININ 1 WALL WALK 17H 18 CONCRETE BUILDING 'D' CURB ^ AL �' STEPS --- ` ■ CURB •< � LECTRIC �� TERS - - y V '.6• -` R ..% s BUILDING " ELECTRIC - \ 03 °�m '" -- METERS •j1 RETAINING ` m� 5m POOL SHOD -- _ -A •;` .,/� O. •��� - - \ C C$.4' ___ WALL O'. ... _ RETAINING op ,�• \\\\/) WALL o Q POOL FENCE ... .. n - V TAIN LLING POOL --V.'. � 9fn n RANI'.E CUR p RANITE CURB KEY m- p ---------'-' p 0 - A BUILDING LETTER U p p ° -- "-___�_ o O UNR NYMBER o !:ANITE CURB 5 Q ° _____.____- /VO 7aF14�157�'n. P�iq.2 s 0 I L ., _ r Jfti GARAGE NUMBOi ° ' I-0 CONDENSER 2/UNR Q CM - ate �_ - - _ / LI ;(),YL . GAS METER,./WIfT UGHTS 1_ev r,-,� - STREET LIGHTS - _ GO BOLLARDS - BUILDINO MOUNTED FLOODS SCALE DRAWING N0. AS-1.1