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HomeMy WebLinkAbout0045 DOLAR DAVIS ROAD 5 DOLAL bk i5 u s a ° o , a � o a c� _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `/ 7 Parcel Z Application Jo GJ�IrTa Health Division \ Date Issued A Conservation Division Application Fee Planning Dept. Permit Fee ' Date Definitive Plan Approved by Planning Board _ Historic - OKH _ Preservation/ Hyannis Project Street Address `f�J 1 y> �- �;� ;� Village _C „�fJ2 y,)l� Owner 0A ¢ t3 e_--%e:1 C k e 6�., Address Z zo Telephone c2Jx'rs nq T ti pPermit RequestWp ,2 _ 4.,0 r"e � s4" L%j Ale, 4 ]E7-Y14,,;,4 bus e ' ��sir.w �c �iN .�s/�� 1� t�/Fs�' �Jr!L �J►4o?Gt L�//;li ��PBy" Square feet: 1 st floor: existing proposed e' 2nd floor: existing proposed Total new — Zoning District Flood Plain Groundwater Overlay Project Valuation wo • Construction Type Lot Size D • 3 q Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family j Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ;°No On Old King's Highway: ❑Yes Jai No Basement Type: �11 Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) I6" Number of Baths: Full: existing Z new Half: existing new Number of Bedrooms: 3 " existing _new Total Room Count (not including baths): existing 5new First Floor Room Count s' Heat Type and Fuel: )I Gas ❑Oil ❑ Electric ❑Other Central Air: )d Yes ❑ No Fireplaces: Existing V 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: S IF I PAr.'r; .2viti3 '-77 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -' Commercial ❑Yes ] No If yes, site plan review# - r..J"I ' Current Use Proposed Use APPLICANT INFORMATION UJ (BUILDER OR HOMEOWNER) �$ Name Sj l(91 ) 11 J F Telephone Number 6 of zcy .�C�� Address [o A.0i License # SJ e Home Improvement Contractor# 13 7 7 � b Email Worker's Compensation # W C C2.,9�q 3 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO dly A r►. IL - SIGNATURE DATE �. FOR OFFICIAL USE ONLY J APPLICATION# I DATE ISSUED _ MAP/PARCEL NO. f ADDRESS - VILLAGE OWNER. • r DATE OF INSPECTION: ' FOUNDATION FRAME ��3UQ,� t INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL " i !. GAS: ROUGH FINAL { • FINAL BUILDING DATE CLOSED OUT '► ASSOCIATION PLAN NO. s Dep rtmmt of buhvsfrial Accidents - - Oywe Of Ax st affirms 60-0 Waykington Stive.t YVmvt ynassS g -,,Id a o.rkers' CompensatiunLasm-a-ace Af`fcdavit:$.uildersI on"ctors/ElecfricLans�Tlumbers Applkant lnfaimatiGn Ple2iSe Print Ugabfy Nam ,'S t Iti c, Ad&ess_ '_ _� ck- 6-2 e— CiWstat-l'Zip: _ M Ivre.6— Vb o k) s Vyv Phone Are you ab:employers`Check the appropriate boX-: -- —Tw ofproject 4_ I=—L a g�►..s--a c onfractor=i I 1_❑ I am a employer taztlf _ 6- employees �e•�aan:-�xc.��z "dill andlor time_* 7 zve hi eAthe sub-cmra�iois. ❑ { P� Iisfed tin the attached sheet !- [✓] r nod:ina 7__❑ I�a sole Proprietor of partner- s �d<haze no io eEs These sub--confractbs•s h.ve S_ T3emoli.tioa � � Y employees and bave.W&k s' worl=g �me in any capacity_ g_ ❑Bn0llii-a&�ih jNa zra ers' comp:*� ���e comp iasuranoe_: _ We are a cor-jsora6mzscd i*s 1{}_.[��ctzicai rep3srs cS acss,z;u s rcgrrtred-� _ 3_❑ Pm a hcm r doing all woz offiEe s have exercised Fb6r 1 _.❑Pl, ubirg repay cr right of eaT�mp#ion.per MGL my-'eIf. [No woriners'Ci mp- l:_.�tLoDf relsans ;:nc,xx re r z d t r._ 152, §1(4} and zee i�-ve r_�o eMployees_[Na Workers! 1 []F 1.(hq comp_insurance require_ *AiU snpbom'that ch..cjzs box r 1 ums#also MI out ti--section bel r =-non=ineir woes'compemsdo pair amRILD•ri rt•� j Eo-meownE s v,bn submit this a�idsvif ma rati they ate rinmg n arr.�c and Bien ivx2 au in'e each emirs n :s� t s w s d� si in r= = arm c artrncmrs thst r xk this bmc mrurt stmdlEd sa Addirinasl she-2t sh�the mmne o_fF flip a.-cur-KfrF,�-d sU�Vcnat�nc not t;.se F-M:jes b-q� ajzpInyees lfthe snk-contmctms ha• -e employees,the Must FX TVA:e th-eir Wtldaets'comp_policy numbs_ lax an arngL�yet iitrrtispxmdirz at on ers'canrunttb.n ircattnznc�jot r}e, vF .:�eser is 34e ua�icy an �ei� ux ut_fotmalzoat_ Insurance Company Name:A -Policy-ff or Self ins i�b Job Site�Mxe—s: SI cJ CIA-1- �-+�✓J �• Ciiy,StatelZsp=� �'n L' 6 z�:C Attach a copy of the Nmrke-rs'compensation policy de--T rztion page(sh�DNviug the policy number,and e_: ation cl:t_te). Failure to sedate coverage as squired under Section 25A of MGL c- 152 can lead to the i naposiuou of criminal penalties of a fine up to S 1,500.Oa an&c)r one-year iraprisonmeA as well as ciiRi penalties in Sze foam of a STOP WORK ORDER and a f of up to V50 00 a.day against the violator_ Be advised that:a copy of this statzmeat may be fbrvy ded to:the Office of Itrs--edigations of ttie DIA for invrrancA5-coverage verification_ I do hereblj c aprons and penraL tas a� tyury that the irr ormteian pres.7ri�d aFxrt e is trz*s ottrl carry Si�tare. _ Date: • ✓ f Phone r- --- 0 only. I-a not write in this area,#a be cauzp&ted by cfi}v or torn oficiaL City-or Town: Rrmiticezase m Ess-n7�,c uthority{drdeonq: 1.Board.of Health 2.Ruff ice;Departtuent I Ci.IFfl aw a Qerk- 4.Electrical Inspector S.Plumbing Enfp:;Zto c .6.Other Contact Person: Phone ff --_- --btu- 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant:to this statute, an ernployee is defined as"__every person in the service of another under any contact of hire, express or implicA oral or written_" An employer is defined as"an individual,paxtaership,association,corporation or other legal entity, or Pny two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased cmployer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the O'Nuer of a dwelling house having not more than three apaltnents and who resides therein,or the or_cupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such du,ell,ng house or on}ie grounds or building appu.enant thereto shall not because of such employment be deemed to be an employer." _IGL chapter 152, §25C(6)also stLtr.s that"every state or Iocal licensing agency shall-;-,tf hold the issuance or ren.ewz.1 0f a license or permit to cptrn_te a business or to const tzcf bnilc;_irgs ix the c;}rr;s_or. r 'nil iCIT'.11-1y applicant who has not produced acceptable evidence of compliance with the insurance.co,ei::.ve reo uircd." Additionally, MG`L chapter 1.52, §25C(7)states`Ne-ither the o=on vca_1 lJ nor ,ayot its political subdivisions shall tritey into any coca-act for the per oz-ranee of public work u-61 acceptable(-_ ridtacc of coinuli:ance ,,ith the insurance iuAi_irtalents of ibis chapter have Leta presented to the contracting cliu!lonN_" Applicants Please fill out the Workers' cor-apensahou affidavit completely,by c_hecklilg lime oxcs l t top- i0 yOU ,]d.r s1ty-fdoa a ,it of:GeSSary,supply sub-contractmr s)nanac(s), address(cs)? dphoa�mam_I).b:;i-(s) a1011g vH;ith t_hcll c"l in`CGa.tG'`_) Of irLlllance. Limited Liability COmpaniees(J- C) Or Limited Liability i�c<+�er5h is CLL F)vr?itl o e"ri:1C)%<<S Ouler ban i1]e intmbers Or parbacrs, arc,not required 1:0 carry Workers' GGID: ta—_�ihion Mi -si i teem U as T_.0 or t LP do-s Have employees, a policy is required_ _Nc adv sed tha_nids of idzvit may be silbm.itted to u.ie Depa=b72tnt of lnd.u_ la1 iiGcldeniS for confrinahon of 7LSL­,_-:ce nvtr ge, Also be_sure to sign anti date the a ud2vit ilG- �dUi'�i Si10iLld be retL-rned to the city or town tb ai=tie application for the pe t r or license is being estctL not:the Deparantnt cf IndcsLrial Accidents_ Should you.have any questions reg-aTdlag the 1a',Y or -i v0„are required M obta a or':ers' =oniptnson policy,please call the Depz mint at the prep her J strs' r t0',v.b ' t e, c, a-1r Led cozar_:]es sh.oald enrer their f=;,,s_i-a.:nce license number oa tbt approar',ate bane. City or Towa Off�cials -- — — Pl;:ase be sure that the al$davit is complete and printed legibly_ The Dep- -t ,tat has provided a sr:ac.:at the bouom ofihe affidavit for you to H out Tia the event the Olfficc of Invest ga ious has to contact you rcga:,r'iu_C L1 f-applicant 1 lease be sure to fill in the pelniJLcense number_whichvn?l be ustd as a r Terence number. In zc.c.itZr:.0 an.applicant l].ai m 1Si Sllbmlt mil ltzple per�tJl]censt appltCaLOns L7 anJ' 5%tn j c?S,Ilec Only.Sl1FD L Or..t a~i� a'ir t jn d a C at,11g C ul 'rlt pOhCy u forma?OIl (11 IleCtSSauy) aIld under"Job Elie AddrtsS't_r aup�?cant should V - '-"all loc-atio-nS.lit _(Cl� Or tow r)."A,copy of the ai davit that has been officiaLy stauaped or marked by the city or to;�--T inay bt pr ov-lded to the applicant as proof that a valid affidavit is on file-for'_1Ub re perm u or licenses_ A new aidavit m.lst b filled out each year_Where a home owner or citizen_is obtaining a license or permit not related to any bussess or COMDO)erclal venturt (i_e,a dog license or permit to br?rii leaves etc.)said person is NOT required to complete this of tda;-it. T"ne Office of Investigations would like to thank you in advance for yoiz cooperation and sh.ouldyou have any questions, please do not hesitate to give us a call- The Department's address,telephone a7 d fax number: ' T`ho Gom i oawtal_t o-Massac15u`set , DepacEtment of hadtxs6al lac_,ide is B as;;oz,-XIA 02111 TOL 617_7-2-74905 Qxt 406 Or 1-97 -2NfASS F.VE Fax � C 17 27- 149 i ev-ised 4-24-0 'a' x t From:M&M Assurance/Mason&Mason Ins 603 356 9290 02/11/2015 14:04 #259 P.001/001 JGILLIS-01 BDUQUET CERTIFICATE OF LIABILITY INSURANCE DAT11/2D!YYYY) �--� 21111zo15 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 CONTACT NAME: Mason 8 Mason Insurance Agency, Inc. P�HONN E 1.(781)447-5531 sac �o); (781)"7-7230 458 South Ave. Whitman,MA 02382 &PAAILADDREss: infoa@masonandmasoninsurance.com INSURE S AFFORDING COVERAGE NAIC 9 INSURER A:WeSterrl World 00007 : INSURED INSURER 13:NGM Insurance Company 14788 J.Gillis,Inc. INSURPRC:Star Insurance Company 00006 PO BOX 550 INSURERD: Marston&Mills,MA 02648 INSURER E: INSU RER F:• " COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELObVELAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH RESPECT TC'Jv'HICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL'HETERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.L`:hFITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVQ POLICY NUMBER Io1M,DD1'YYY M.MlDDYYYY LIPARS A , X I CON,MERCIALGENERALLIABILITY EACH 3 1,000,000 i , I IEPCLAWS-EAP.D'e X j OCCUR NPP,1375081 07!24l2014 0712/412015 aRFN1ISES(Ea occuner1y. g 100,000; MED EXF{A one rty person% ^�g _5,000` PERSONAL&ADV INJURY 14 1,000,000 I I GEN'LAGGREGATE LIMIT APPLrS PER: GEN=RAL AGGREGATE 11i 2,000,000 PRO- POLICY F J-CT C L0C I PRODUCTS-CO)AP,'OPA.GG S 2,000,000 OTHER: - is AUTOMOBILELIABILITY COIABINEDSINGLELli,11T i 1,000,000i rEa accidemy B ANY AUTO M1TS097B OBIDS12014 08/0512015 BODILY INJURY(Perpersoni j S j 1 ALL OL^+MED SCHEDULED AUTOS x AL1='05 X BODILY INJURY(Per eccicenQlS NON-01?JED - PROPERTY DANIAGE HIRED AUTOS X ALTOS (Pw axi a di S UMBRELLA LIAB. OCCUR I (EACH OCCURRENCE S j EXCESS LIAB I i CLP.IPi 5 9 4D E i I AGGREGATE _ $ 2 DED RETENTIONS I WORKERS COMPENSATION I PER OTH- STATUTE !ER i I AND EMPLOYERS'LIABILITY I C ANY PROPP,IE-GRIP:.RT4ERi= CUT]'- WC0584433 _ 01131l2015'0113112016 E.L.EACH ACCIDENT S 100,00 OFFICER.?::=PIKER EXCLUDED? N 7A i — (Mandatory in NRI E.L.DISEASE•EA EMPLOYEE S 100,00 I, cescribe under GESGI RIPTION CF OPERATIONS trlxv E.L.DISEASE-POLICY LIMIT S 500,00 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Scheduie,may be attached if more space Is required) I 3 - CERTIFICATE HOLDER CANCELLATION I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIDN DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable - ACCORDANCE WITH THE POLICY PROVISIONS. Building Department i 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD License or r- on valid for indigidul u Office o se only. �J�e lr/e o�CJ/�n�aclrc,lefi:}} f Consumer Affairs&Busmess Regdtatioa before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation t 5� 'stretion: 137a,6 Tyke: ' 10 Park Plaza-Suite 5170 t xpira - 12I20`I Individual ( Boston,MA 02116 I. ' JOHN F.G 3 '.r 1, JOHN GILLIS I. 10 LEDA ROSE LN. Qom_ of vab MARSTONSMILLS,MA 02648 Undersecretary oat signature Massachusetts -Department of Public Safety Hoard of Building Regulations and Standards t OnSiru aii,n Sunei License: CS4)51497 I JOHN F GILLIS 10 LEDA ROSE I1v g F MARSTONS p �• . . Expiration • Commissioner 11/13/2016 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration 137746 Type: Office of Consumer'Affairs and Business Regulation Expiration-02- QfE7r+ Individual , 10 Park Plaza-Suite 5170 Boston,MA 02116 JOHN F.GILLIS — ' JOHN GILLIS ` 10 LEDA ROSE LN. MARSTONSMILLS,MA 02648 Undersecretary Not vaXwitfCout signature , dal"o-y/ . Z>�4 t � -- f -rt' + t i• y i i + a 1 � i — I + ec. .SZICCe �.° % _ _ eler_�[r+.s-_�+___ ti'1�_lu1+11� 41 .�.-#_`_�_�_�.r__ ..:ter_----:p e�.._'�v/���' __�.___ '.._..'�` ��•-- 7 74 I _ --r=-�--t-1 �1f�''�.��--•{-•J'v.'�^^"'�e�.-Iv".f.FJ... a , Town of Barilstable Regulatory Services nrA3S .)Richard V.Sca%Interim Director •`� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma,us Office: 50 8-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete.and Sign This Section If Using A Builder 6 T�..J , as Ownet of the subject ptopertp heteby authorize `t to act on my behalf in 0 tnattets teladve to work authorized by this building permit (Address of Job) Pool fences and alarms ate the responsibility of the applicant. Pools are not to be filled ot.utilized before fence is installed and all final inspections afe performed and accepted. S�at to of Qwnet tote o pplica¢t Print Name - Print Name _ Date Z>/v 4a� �J p� �� , IUYYl1 U113ZL1n3LaU110 Regulatory Services Richard Y.Scali,Interim Director. f Building.Division - } g rcr�nrx Tom Perry,Building Commissioner - �3 k�� ' 200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fay 508-790-6250 HOMEOWNER LICENSE EXEmPnohi Please Print DATE: JOB 10CATION number sfr=t village "HOMBOwNER-: -- narn home phone' work phone r CURRENT MAILING ADDRESS: cityhown state' zip code The current exemption for"homeowners"was extended to include owner-occurpied dwellings of six units or less.aud to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as queer mor. DEFmrrr101y OF HOAEOwNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,' , which there is,or is irtended to be a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures--A person wLo cous i lets.more than one home in a two-year period shall not be considered a homeowner.. Such"homeowner"shall submit tl�:e bril.dzng Off Dial on a forte acceptable to the Building Official,that he/she shall be res-ponsible for all such work performed un.dcr th.,r'k i[a erinit (Section 109.1.1) The undersigned"homeQwner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. v r - The undersigned"homeowner"certifies that'he/she understands the Town of Barnstable Building Depart-mcnt minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signahu a of Homeowner Appioval ofBuf7diagOfficial dwellings containing 35 000 cubic feet or larger will be required to comply with the State Building Code Note: Three-famrl w gs g g Y _ Section 127.0 Construction Control HOMEOV�'S EXIM1TON The Code states that: "Any homeowner performing work for which a building permit is required sha11 be exempt from the provisions of this section(Section 109A.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to-do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a super-Asor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 215).Tb.i5..Lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case;our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require.,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Su:pe'r .visor. On the last page of this issue is a.farTn currently used by several towns. You may care t amend and adopt such a form/cerfif cation for use in your community. - Q:1wPFM\FORhE\bunldmgpeimitfnrn VD2RFSS.doc t ct CD �t an ? *. (fijr E�- cw e - - $ � 5 t 1V! $ t.l� _ �'.. `' Lf+p `. i �Vv'ZR RS w Kt DC', 4idI ' i — B, f 'a ,1,4E EvILu1Nu DATE FIRE uEPFrt;,., E SOT'SIG'1ATJREF ARE RE^'."R . s ahe`d+'`� - CLI IVA , '� f �. to t � i Lr 4 i I i f �•� j E It I I av lf+�orLr� Zell ri ./s 7 C�?�/`d S'F1 Pa t,a�• �i �!G'� ,S l�a l�t @ UOk. /ll�P.e.� t�'l t 8� 4Y- 3 oioiyo8 'F'�-t —ara�asis Lddd '142 'LL��_ _ . Of) v r c?W r /'UU �a .t-��c� L,3CJI'1C. 1c I� II II i it �I i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 9 Map 1 I Parcel Application Q,A ! 7 7 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis ' 1, Project Street Address ' ©�}r t_ t. vk Village 0- ' ery'oI Owner e fs eq rn o- Kea am Address ;2a �.,JJ An L Telephone rZ ,60)r _.Q) Awe Permit Request ijya QAne1_V- ;L; 4 a'' e, /Jiz.i�}�. �v,r- T vau0 ;Am,& Q—�f/o a ys&e e4i- o4,4 mom. : /6X 2zt Li ��.�e/���8� 190--ge"A Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A5ag s4W Construction Type waga Lot Size 00 3 Grandfathered: ❑Yes ZNo If yes, attach supporting documentation. Dwelling Type: Single Family UK Two Family ❑ Multi-Family (# units) Age of Existing Structure l98'Ir Historic House: ❑Yes UrIQo On Old King's Highway: ❑Yes Colo Basement Type: mull ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) 1___1 Basement Unfinished Area (sq.ft) l 0,S Number of Baths: Full: existing 2 new Half: existing -- new Number of Bedrooms: 3 existing — new Total Room Count (not including baths): existing i_new First Floor Room Count Heat Type and Fuel: ZGas 0 Oil ❑ Electric ❑ Other ? Central Air: des ❑ No Fireplaces: Existing New Existing /coal stove: aYes ❑ No Detached garage: ❑ existing` new size—Pool: ❑ existing ❑ new size _ Barnes: existiny-P ❑ raw- size_ Attached garage: ❑ existing W-n**ew size _Shed: ❑ existing ❑ new sized Other Sirs ��� 1� � a "• Abe r�-t A w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ rn.. Commercial ❑Yes 21 to If yes, site plan review # Current Use .— Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) T Name �� � n^� ,e Telephone Number t5a— 0910 ygh/ Address y InIQd )z C_ ice, License#�, ' " C�`� 1 1 U '11� Home Improvement Contractor# I 7Y Email o ( o l i SA2 e, a A A 0A Worker's Compensation # r ��, oS8 ygf:3.3 o S'o I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f FOR OFFICIAL USE ONLY APPLICATION# D TE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER e t ' DATE OF INSPECTION: FOUNDATION QB U I lAl15 FRAME ZSACN-r G 15 Ol INSULATION OK- 4>R-o vv. q/2 7/IS- FIREPLACE ELECTRICAL: ROUGH FINAL S , PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ` r b { Hie Commonwealth o;-Massachusefs Deparhn4eitt a, riukat�t�l AC-C-7 nts Office of Investigations a 600 W-ashingtoyr&reet Boston,M,4 02111 tvmv)-nass:gotMia Workers' Compensation InsuranceAffiidavit:Bualders/ContractorsMectriciansfPlumbers -Applicant Information n Please Print Legibly Name(Busme OYymzafio &&6dnat)=Q c 0 1 1, i ri1�e-- c�.,..F� Address: 10 6a 6 ( F _ C.ityfStat2/Ap: e, Phone 4- 5 c/ Are you an employer?employer?l Check the appropriate bo - T1W of o' r nire� 4. I am a contractor and I pTIect��' 1.El am a employer with 6- [o rNew constri Lion employees(full and/or part-time)* have hireclthe sub-contractors. listed on the attached sheet y- [✓r Remodeling ?__❑ I am a sole proprietor or partner- ��sub-contractors have t ship and,have no employees 8- ❑Demolition woA g for me many capacity employees and have workers' _ ❑Building addition o workers'comp_insurance comp.instuatx 1 required_] 5. ❑ We are a corporation and its 10_0 Electrical repairs or additions 3_❑ I am a homeowner doing all work officers have exercised their 11_0 Plumbing repairs or additions rtiysrll£ [Na workers'COMP- ,_ ..e. t of exemption per MGL I2. Roof repairs 152, 1(4),and.we have no ❑ incuy=e required.]r § } 13❑Other employees_[No workers' � comp_insurance require-d *,Any sppticant that checks boat#1 vmst$Lso fill out the section below slowing rhea workers'compenratioa policy iafarmation— l HameDwners who submit ibis affiddsvA mdratmg day arg doing all-milt an4 then hag outside contractors must submit anew affidwA iudicabnn mch- =connectors that check this box must sttached sn additions)sheet ffiow ng the name of the vab-oonff3cton and sCefe whether or not those eni hies have Enipioyees. Ifthe suT�onbxctars have employees,they mast provide their warkiys'comp,policy number. I am an employer cleat isprm4dirtg markers'campensa io.n imuzrancefor rity employees. Below is Ste policy and}ob site inform atio n- bisurance Company Name:-5),W — Policy 9 or Self-ins_Ii ��d�Sf3 f�3� D 5't+�! `/b Expiration Date. ;, 3 Job site Address: `t�.�o��t- �„I '-?A City,'State.0p: 0 e'er 1 y,(1, Atfach a crops of the workers'compensatixm policy declaration page(slwving the policy number And ezpim ion date). Failure to secure coverage as.required under Section 25A of MGL c_ 152 can lead to the imposition of"cnminal 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 maybe forwarded to the Office of Iuvesfiigations of the DIA fiir insurance coverage verification_ .I do{rare tinder the pains and penalties ofpe th ury that e inforrrration protaded aboue is boa and correct Signs Date_ 10� r 7- t-1� Phone 9: © i ticia use oilly�. Do,not write in this area,to bs completed by City or fawn o, rciaL O CitR or Town:. PermitlLicense Issuing Authority(circle one): 1.Board of Health 2.Budding Deparbneut 3.CitylI`own Clerk 4,Electrical Inspector S.Pftrmbmg Inspector 6.Other Contact Person: Phone#_ 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the.foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to constrict 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 vhth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their cert,-ncatc(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 Departnent of Industrial Accidents for confirmation of insu rance coverage. Also be sure to sign and date the affidavit_ '11e affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Depar anent 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 he appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple-permitllicense applications in any given year,need only submit one affidavit indicating current policy information (if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)-"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year..Where a homy 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- 'I he 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 Industaal Aoci&e GffiQe ofkvestiotlans 600 Washington Street Boston=MA 02111 Tel. 9 617--727-4900 ext 406 or 1-877-MASWE Revised 4-24-07 Fart 617 727-7-149 www.inas&gov/dia �.� -Lek nJ a A Y� - { • �. ��i; z .� � � �, , t � i 1 ', � f i �� -"_1 E Teti Town of Barnstable Regulatory Services BARNy MASS. Richard V.Scali,Director TE1639.Mp.�A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: -508:790-0 Property Owner Must Complete and Sign This Section If Using A Builder I, e_�6 C-1 c K- ah , as Owner of the subject property hereby authorize ��a ,"s ��`►� � to act on my behalf, in all matters relative to work authorized by this building permit application for- (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. Signature0of Owner Sign ' ire of/Applicant Print Name - Print-Name Date Q:FORMS:O WV NIERPERNIlSSIONPOOLS Town of Barnstable Regulatory Services ��aFtE rocyL Richard V.Scali,Director Building Division BARNSTASLS. Tom Perry,Building Commissioner 1.a 9 ��� 200 Main Street, Hyannis,MA 02601 ArE0 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village .`HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as Supervisor_ DEFINITION OFHOMEOWNER Person(s)who owns a parcel of land on which he./she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in.a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Dote: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.1S) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORKS\building permit forms\EXPRESS.doc Revised 061313 Q r ��. Gillis Inc. a Quality Building & Remodeling JN r»j Z P.O. Box 650•Marstons Mills, MA 02648 9 �' j.gillisinc@comcast.net Jack Gillis Cell:508-280-4881 2-0 ° bwr tn32 i/ �I'&C-. yo, -4- 134.97;" Q . fell _ ,► �iper T1 61 =Rpm ft. Vlee�anr�re�uve��lCl o�c�Gla���cc�«asl.!`, License or registration valid for individul use only l Office of Consumer Affairs&Bus,ness.Wolation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOW, Office of Consumer Affairs and Business Regulation # egistration. -1377a3 Type, 10 Pavk Plaza-Suite 5170 ! xpiratton = 1l2/20_t` Individual rr Boston,MA 02116 s' JOHN F.GILLIS -1245 , I JOHN GILLIS i �. 16 LEDA ROSE LN. got valid out signature MARSTONSMILLS,MA 02M Undersecretary s: 4 Massachusetts -Department of Public Safety Board of BuildingRegulations and Standards Construction Super:-isor License: CS-051497 "IBM F GII.I,IS = 10 LEDA-ROSE Lsk6i648 MARSTONSMIY�S MA X20W `� Expiration Commissioner 11113/2016 Assessor's-map and lot number . .:.� 1... .. .�. _tr ... g 5 -73 a Q " Sewdge Perm itnumber ......................................................... Z M33TAELE. 4se number ........................Y. ............ 9� MAM .... 1639. .� i°�•Q YFY TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO �� .�...... � � � " ' - �/............ ....................... ....................................................................:.......... TYPE OF CONSTRUCTION .............?�.....v.::� � /.... �' , .......,1....: ..............19 i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ap/plies for a permit according to the following information,, _ Location ....... ...v..�....�........ .. ! � .x........... a '! �� l`� � L�/ /�� Proposed Use ZoningDistrict ................. ...............................................Fire District ............ ... ......................... ................. Name of Owner �lr / a ..... .....Address �v / ......I......1 � �✓,���'��S 3....................�. . Name of Builder:. l:.`... ��..f../�.� .. ........Address ........ .................................................... . .................. Name of Architect NP..� ?..G�. ..i .C"...t ..F.�.�...).ekVIAddress ( [�. ....��.Q /"�? .1. ��............... ;...:... . .. . .. . 10 Number of Rooms ..................1 ...........................................Foundation .. .., r U T—e p J Exterior ...... .......................................Roofing .................................... .................................................Interior ............ Floors .... G... Heating ............................ ...........<................. ........ .Plumbing ............ �,•CJ`/•,�il�/��..? /91 Fireplace .................... ..... ..................... ........................Approximate Cost .... .J ...................................... � . Definitive Plan Approved by Planning Board ______7/ ________19 Z. Area Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH �e �6 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ........ .............................. V / Construction Supervisor's License /�. 1.. �y�.... S L S TRUST A=-1-7i-2'07- 71- ... Permit for .... S.UXY............... .........Single.. ....pW.P,.Il ing................... ...... . .. .. . ...... Location .....LQ.t J).olar..Davi-&..Road ....................Qqmt.,xvlllp.................................... Owner ....S.Je...$ ................................... Type of Construction .....Frame........................... ............................................................................... Plot ............................ Lot ................................ Permit Granted ,..September 11,........19 85 ............................. Date of Inspection ....................................19 Date Completed ......................................19 TOWN OF BARNSTABLE Permit No. 28408 Building Inspector Cash ------- 16)9. OCCUPANCY PERMIT Bond x Issued to S L S Truj3t Address Lot 631, 45, Dolar Davis Ro6d, Centerville Inspection date Wiring Inspector � Plumbing Inspectoi Inspection date A Gas Inspector Inspection date 0 No v xEngineering DepartrZent j Inspection datoe�—/s Board of Health-- ,�' -, Inspection date 2 THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. zr�-f ....................................................... . ............................. ..... ............. ......................... Building Inspector �•� TOWN OF BARNSTABLE BUILDING DEPARTMENT ' L D68dlT i ~I rua TOWN. OFFICE BUILDING i619 HYANNIS, MASS. 02601 MEMO TO: Town Clerk FROM: Building Department ''✓- DATE Z 5 Aj o J X 5 An Occupancy Permit has' been .issued for the building authorized by Building Permit $k -_-2 JP 416 � _ _ �_,. ...:...... issued to a �/,4? S- /.... -�... 09 'w '✓�?°�-!!_ Please release the performance bond. SITE PLAN sHEEr I of 2 .SCALE: l„= 20' ti z"+ ® 5 z vc4- 0 AJ s h i'G 71G TA�4K 'q / 3-71&Of I i �4k MLLIAMM. y� s WARWIC+tt H No..19771 � '�fGrSTE��� �Al 1d910 REGISTERED LAND SURVEYOR FOR- ' �'" ��--•�--0 '� r--h442G ZONE M A. 2S PLAN REF. DATE e, I BENCH MARK DATUM Al `' 6 u^'� 16 17 WM. M. WARWICK 8. ASSOC., INC. DOMESTIC WATER SOURCE Y`'4�L J w /3,T F BOX 80/ - NORTH fA L MOUTH 11 n✓I FLOOD ZONE. G MASS. 02556 - (6/7) 56 3 -26 38 13 s i t � — s Z ZI I r I Hod ► 4- i 1 39 , *7. 1 'j -'zL ti.1 d G r4 O 42 p t 066 On the basis of my knowledge, information and �Z.vd D belief, I certify to The Town of Barnstable, C�i►J"r� .../ L L M �,�5. The Boston Five Cents Savings Bank and Ticor Title Insurance, Co. that as a.result of a survey made on the ground on 85, I find that: tr' j►GK ,K.5hoG,IKJG, The structure (s) are located on the site as w i �JO, .un�v'ra , iv�b.5►5, shown. Tn compliance with the Town Zoning By-Laws The title lines and lines of occupation of the �y%`� i�sti ' site ate as shown hereon. or \ The site is situated .in -Flood ..Zone 1W7-,�0 Community_ .PAne1_Mo. Date: Date: William M. Warwick,RLSs � Assessors¢ map-and lot number .......171 .. } THE _73�o ��� �L QyDiTp�1 Sewage Permit number SEPTIC SYSTEM MUST 8� 'I'NSTALLED IN COMPLIAN BABBSTAKE, House number ................ .. ......................................... WITH TITLE 5 90 rasa po,i6}q. \0� ;.NVIRONMENTAL CODE Ah� �FaYPYh. TOWN OF BARN O'q'E BUILDING . INSPECTOR APPLICATION FOR PERMIT TO �.`,��- �' �✓ � ....... .............../. .,.............................. n TYPE OF CONSTRUCTION .............1./lam.. .. ...... rl ........................................... ��... ... .../.. .............19 . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....::��".�..).......4%.3.... f........ ......//1 ` ......... 7T. .1.. ... ...... ... Proposed Use ..... .( / .l ........................... .......... Zoning District ................. ..�....................... :............Fire District ............�....1/ g ................. Name of Owner ). Address yl v�l Name of Builder� c ........... ............ .............. R;ta) ,��..�1.........Address .............................:... Name of Architect .....�. �/.�` ... v� q Address Number of Rooms ................... ...Foundation Exierior ...... (?..�`...� .. Z�...��........................................Roofing ........C . ........................................................... Floors .��.......... ..........................................................Interior ............... ............` ......Lr��P�✓......�� ........ ........... Heating :.... .✓...............................Plumbing ..............��f. .�..� _ Fireplace ..........................................Approximate. Cost .....,1 ..............;............ ......... . ... Definitive Plan Approved by Planning Board ______ ____________19 __ Area ...................... ...... ?I Diagram of,Lot and Building with Dimensions Fee I.t ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable re arding the above construction. Name .. : ........ .. . ........................:....... Construction Supervisor's License � 1. .... S L S TRUST ... Permit for lZ Story ;s Single Fa t`ly Dwell" " ... .. . ......f .................... ............................ r . Lot 631, 45 Dolar Davis Road ' 1 Location Centerville +c. Owner ......5...L..S.....Txus.t.............. �...... , Type'of Construction ......Fxame....................... - - Plot ............................ Lot ................................ r ' tember 11 85 Permit Granted ..........Se Date of Inspection, -Z.....:rQ9 L' O �r -Date Completed .•. � 1 , A . .-; C; . �7 xr i� Uj w ell ��'. /`��$`c�!e�-.t..c�.e.__ .. �h ._'fi. � _3�r.� ..Ia�,ts .-� •✓., _ e v�. 3 t iY. DATE (NwnomrY) A CERTIFICATE OF LIABILITY INSURANCE 02/03/2015 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 WANED, 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 endorsemerd(s). PRODUCER Phone:508-540-6161 Fax 506-457 7660 cOt7rACr NAMe Bob Alletta ALMEIDA&CARLSON INSURANCE AGENCY INC. PHONE Ax P.O.BOX 554 c Ho Ed• 508 88"207 (508)888.OM FALMOUTH MA 02541 AmRm rallietta@almeidacarlson.com INSURER(S)AFFORDING COVERAGE NAIC# wsURERA :Arbella Protection Ins Co INSURE D P FUCCILLO CONST INC INSURER a 'Hartford Underwriters Insurance Co 648 THOMAS LANDERS RD wsuRat c :Arbella Protection Ins Co E FALMOUTH MA 02536 wsmmD ARBELLA PROTECTION INS CO 41360 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 29450 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 SUCHPOLICIES. MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LLTTRR TYPE OF INSURANCE � WVp POLICY NUMBER POLICY W EFF AD W VM LIMITS A G"BtAL uAwurY 8500045173 10/20/14 10/20/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAt.ETORENFED 300,000 PRIWISER(Eaomuen�e) $ CLAIMS-MADE FX OCCUR, MED.E XP(Any one person) $ 5,000 X BLANKET ADDITIONAL INSUREDS PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2.000,000 GEN-L AGGREGATE LIMrrAPPLIESPER: PRODUCTS-COMPIOPAGG $ 2,000,000 PoucY EIJ O- FJ LOC $ D AUTOMOan c LraeltlrYCOMBINE 102000S316 09108114 09108115 _,.0 tNCIE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per per-n) $ ALL OWNED SCHEDULED AUTOS X OS BODILY INJURY(Per accident) $ X HIREDAUTOS X ON-OWNED PROPERTYDAMAGE $-- AUTOS 0-ao�ent) C UMBRELLA Una OCCUR 4600061736 10/20/14 10120115 EACH OCCURRENCE $ 1,000,000 X EXCESS LU1B CLAIMSMADE AGGREGATE $ 0 DED X RETENnON$ 10.000 $ -- — wow�RsahsATunh WCSTATU OTH B AM �o� LIABILITY58659382 10123/14 10123H5 TORY r IMtrs ER $ ANY PROPR1ETORmARTMERfE3w:cunVE YIN EL EACH ACCIDENT S 500,000 OFFICEaumeBER OCCLUDED? El EL DISEASE-EA EMPLOYEE $ (Mandatory In NH) NIA 500,000 ff DESCRIPTION OF OPERAnoNs nra.. EL DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Aftadh ACORD 101,Additional Remarks Schedule,if more space is regidred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE J GILLIS INC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 650 ACCORDANCE WITH THE POLICY PROVISIONS. MARSTONS MILLS,MA AUrHORROM REPRESENrAIWE Attention: Vi �-- Bob Allietta ACORD 25(2010105) 01988.2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 03/25/2015 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 certfiCate holder is an ADDITIONAL INSURED, the policy(ies) must be B...... 1IFSeu. if SUBROGATION IS WAIVED, subject to the terms and conditions of the Policy, certain Policies may require an endorsement. A statement on this certificate certificate holder in lieu of such endorsement(s). does not confer rights to the PRODUCER CY SCHLEGEL INSURANCE BROKERS INC NaME: PAUL SCHLEGEL PHONE 508-771-838I Fax — — 34 MAIN STREET Inc NO E I)' (A/C,Noy508-771-0663 -- — WEST YARMOUTH MA 02673 ADpREss: SCHLEGELINSURANCE@GMAIL_COM INSURERS)AFFORDING COVERAGE _ ----- "-NAIC n --_ INSURER A:PHENIX MQT[JAj, INSURED Scott Horrigan Dba SSS Building And Remodeling INsuaERB:ACE AMERICAN it Carver Drive INSURERc, - -" — Sandwich, MA 02563 INSURER E COVERAGES IJSURERF: CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THgT THE POLICIES OF INSURANCE LISTED BELOW INDICATED. NOTWITHSTANDING HAVE BEEN ISSUED TO THE INSURED NAMED A80VE FOR THE POLICY PERIODANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE•AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY WF go IC Y EXP -----._. A GEN-- LIABILITY (MM/DDlWYY) (MM/DD/YYYY) WHITS CPP0716932 08/16/201 0//16/2015 EACH OCCURRENCE s 2,000,000 I x 1 COMMERCIAL GENERAL LIABILITY _ CLAIMS-MADE a OCCtlR — PREMISEs(Fao unence) 3 50,000 -- _---"-_ MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY $ 1,000,000 I—N--- S GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE 2,000,000 _._ POLICY PRO PRODUCTS-COMPVOP AGG S 2,000,000 JECT LOG j AUTOMOBILE LIABILITY g : (Ea accident) S ANY AUTO BODILY INJURY(Per person) g -- - ALL OVMdED SCHEDULED _ AUTOS AUTOS BODILY INJURY(Per accident) $ -HIRED AUTOS NON-OWNED �- AUTOS _ PRO ERTV AMAGE S —'--_- _ (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ r EXCESS LIMB CLAIMS-MADE - .. ------- - -- - AGGREGATE $ DED RETENTION $ --------- S B WORKERS COMPENSATION WC- 03/21/2015 03/21/2016 STATUS o -AND EMPLOYERS'LIABILITY �,I N 70RY LIMITS ER_ ANY PROPRIETOPJPARTNERIEXECUTIVE i E.L EACH ACCIDENT $ ZOO,OOO OFFICER/MEMBER EXCLUDED? NIA A I(Mandatory in NH) !If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS below --- E.L.DISEASE-POLICY LIMIT 5 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101.Additional Remarks schedule,it more space is required) - SCOTT HORRIGAN HAS ELECTED NOT TO BE COVERED UNDER HIS CURRENT WORKERS COMPENSATION POLICY J GILLIS INC IS LISTED AS ADDITIONAL INSURED BY WRITTEN CONTRACT CERTIFICATE HOLDER CANCELLATION J GILLIS INC PO BOA 650 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MARSTONS MILLS MA 02648 ACCORDANCE WITH THE POLICY PROVISIONS_ AUTHORIZED REPRE E ATIVE J_GILLISINC@COMCAST_NET ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marU.- CORD d AC R" CERTIFICATE OF LIABILITY INSURANCE DATE /30/201m5) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsement(s). PRODUCER THE GETCHEL COMPANIES INS SERVICES INC NCNTACT AME: 183 GREAT ROAD UNIT 15 PHONE FAX PO BOX 844 AIC NO: STOW, MA 01775 ADDRIESS: INSURE S AFFORDING COVERAGE NAIC II INSURER A: LibertV Mutual Fire Insurance 23035 INSURED INSURER B: R& H CONSTRUCTION INC ALL CAPE CONTAINER INC INSURERC: ALL CAPE RECYCLING INSURERD: PO BOX 511 INSURERE: MARSTONS MILLS MA 02648 INSURER F COVERAGES CERTIFICATE NUMBER: 23275642 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE!NSURED NAMED ABOVE.FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADD SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MIDD MMIODNM LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE To RENTED CLAIMS-MADE OCCUR PREMISE Ea oval nce $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN1.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 jECT LOC PRODUCTS-COMPIOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per acadent $ UMBRELLA UAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC2-31 S-390256-014 4/15/2014 4/14/2015 �/ STATUTE ERA AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT $ 500000 OFFICER/MEMBER EXCLUDED? �N N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500000 [flea describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers'compensation coverage CERTIFICATE HOLDER CANCELLATION J. GILLIS INC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 10 LEDA ROSE LANE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN MARSTONS MILLS MA 02648 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Liberty Mutual Fire Insurance suj(r 0 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD CERT NO.: 23275642 Didi Dangas 1/30/20;5 1:42:25 PM (SST) Page 1 of 1 SILv �---� CERTI 11 F 11 ICATE OF LIABILITY INSURANCE A� OP lu:Mc CER fin:is Issu®as a MATr�of u�oReuanoN ONLY AND �04M6 1s C6R71FlCAT'E DOES NOT AFpR111AnVELY OR NF-GATIVELY AMEND, EXTEMDC p��RIGH7S UpQN BELOW, nits cER IRCA E OF THE CERTIFICATE HOLDER TNIS REPRES®VTATWE OR PRODUCER DOES THE COVERAGE AFFORDS BY THE POUCIES Ct0'i.AND THE NOi'CONSTITUTE A CppTRACT g 6SUING IANPORTANT: iP Ule CERTiRCAi E HOLDER, °SSA AUTHORIZED _ cer61'icabe holder is an ADDITIONAL 111DURED.tlta c a holdeand n' to n s itions of the policy, •Certain p0licft mw mquJre an endo cy(�)m�ba endorsed. If SUBROGATION IS WgryEp PRODUCER orSerrt S rsernenL A slaterrrBrtt on this C wWf;le does not COrlfier rightstD ft 1046 Malrr Street HE � 28-ti999 Ostervllle,MA 02655 — INSURED Slhra Pro Str+est 3u 66 1 Inc $:� m World Instance 0"M tam e 1aine Im O ervi11%MA 026M C, DAD. a7Slpipr E COVERAGES CERTIFlCATE NUMBER' uar3e F THIS 15 TO CERTIFY THAT THE POUpES OF INSURANCE LISTED BELOW HAVE g� CERTI TID. NOTWR}isTA ANY REQUIREMENT, 138UED TO THE INSURED roN NUMBER. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TERM OR CONDITION OF ANY CONTRACT OR OTHER FOR THE POLICY PERIOD RESPECT TI) V"CH THIS EXCLUSION3�(;pN OF SUCH POLICIES INSURANCE Sfiovm AYHA�BEEN THE REbUCED gGY POLICIES DESCRIBEDC �N SUBJECT TO ALL THE TERMS• A X OOmIGEMBtALLUUMjlyPOLOVCLANUMM cAar pip M �s 0 OCCUR X NPP1374475 EACH SCE s 300 llrlormla llnazols om ® s 100,00 OWL I MEp D�la�q_AATELnmTaPr 5, — El PRo- Pz:asoNAL a apv s 300, a �LOc AGGREGATE s 600,00 LIABILITY PRODUCTS-COMProPArc s 300. a ALiOWNm S AUTOS AUTOS BODILYNQURYOWPOI i AUTOS AUTOS BODILYIPIOW(Psrawww* S eot i a I�uupg OCCUR ElfCE8SLJA8 f1ADE EACH OCCtIRRFTICE a Den �Dlri ABATE AND 0rrwyH{SCO��1►it�l i ANY LIABI IEOLrriVE Y/N PER i MEMBEREXCUI NIA 71"9 � E-LEACHACCIDENT S ON OF A7t0Ay�below EL DISEASE-EA ELVI g EJ-DISEASE-POUC amr i DESCRPTTOMoPOPBTA7 ILpCg7lONS1 101,AdtWom lm dq beat�heeBmaae ere CERTIFlCAT E HOLDER CANCELLATiO MILLIS J.GILLIS INC. SHOULD ANY OF THE ABOVE DESCROW poLICIM BECANCELLEo BEFORE 10 LEDA ROSE LANE THE EXPIRATION DATE n+EREOF. NOTICE w(LL RE Dommm IN NS MILLS,AAA 02848 ACCORDANCE W TH THE POLICY oW AU7NOIqM� SO REPRZftWAj.Vc 1 � ACORD 26(2014M) ©49"4 ACORD CORPO name RATION hbe r�ry�.{j TOO ACOM and INp am MgbWW"Oft 41!t�ACORD Ri°ghtfax N3-1 4/16/2015 8:23:42 AN PAGE 2/002 Fax Server CERT1FICATE OF LIABILITY INSURANCE N [DATE t1AWOD/YNY) ATE IS iGSl1m AS A NIATTEI OF iW-OpMTM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFfCATE HOLD TNiS CERTiFiCATE DOES NOT AFFMIMMMY OR NEGATPJMY AMEND,EXTEND OR ALTERTHE COVERAGE AFFORD@ BYTHE 1OL1X8ES gbOvy_ HIS CERTiF1CATE OF INSURANCE DOES NOT CONSTIME A CONTRACT B6TN/EEN THE lSSUti�a iNE3UR O ERM,A1111K)RI ED REPRMWATM PORTANT:If the 08"Uhuft holder is an ADDITIONAL DMURE%the PoRwAles)must be endorsed. N SUBROGATION 1S Vit and oondEBons of am po0cy,certain Policies may require and endarsetnerrt A t on th ate, to the cafe hoker in[lei of such certiRc¢Ite does not Comm rahts to the PE30DipcER CONTACT � NAiIE: SUI1dVAN GARRTPY&DONNE 1 i MAIN ST PHONE FAx OSMI V111.E,MA 02655 r-Mpil 7802N ADDRE M INSKIRERi easuRt 1 A�RMO COVERAGE NAlcd SILVAPROPERTYBeROVEMMrINC �uRRA: WAVE133tsI COMPAN rOFaM�etc- MLSURER� INSURER C. 1046 MAIN ST STE 13 INSUEiER D: OS'1�VRLF MA 02655 INSURER E: MSURER F: COVERAGES CEIT11FICATENEMMEC 0 of REVISION NUlmsM ANYR r"TERMOiCONaiIMIG ANYCONFRAGTO CYINER NAi®ABOYEWR7fE Na)CA7@ N fWRNRPSPEGTTOWNCRTN� POLIGYPEROD AFfaft�BYTHEPOL S IO�iSSUBJEt,TTO/LL17!$ OUCH KSYBE691®ORNAYPEMAN TNEMMIRJMM PAD CLARiB T E>�IANDAIS AND r P�L�OMMM MAY NAYEBB "RE DUCED BY ENSR AE�D (NEAURAYERT] (UME OATS LTR POUMEFFDME TYPE OF L R POLI yMUMER GENERAL LIABILITY YYYh Lam DIAL GENERAL LIASI ITY ZZCURRENCE .CLA[AI.S MADE �OCCUR $ (Ea oopme (GEML AGGREGATE LMrAPPLIE S PEEL L&ADVUWURYPOLICY r]PRomar Ej LOC AGGREGATE $ S-tJOp AGG $ AtfilDIIlOBRBLLABu iy ANYAUTO 1COM13NEDSNGLE $. ALL OWNED AUTOS LWIi'(r:a as f) SCHEDULE AUTOS E30DiLY IMdURY $ HFMD AUTOS. P-Pam) ICY TLURY $ NON-0WN@ALROS per aecEderd) PROPERTYDAHWGE $ Perms) UM RMALWB OCCU11 DECESS LEAS CLA54S- DE EACH OCCURR@NCE $ DEDUCTIBLE AGGREGATE g RETBiirOtt$ $ WORKERIS S A E MPEAYE3l'S LiABiLRY A� WC rmrORY OiHER YM US-2!$E7112-15 03281�15 0912t yg X L�� ANY PROPERITORIPARM OFR E7(C!!� ®NSA E.L EACH ACCU)@tT EEyEnNtq $ 10 000 "ye&daanMendw EL.DISEASE-EA EMPLOYEE $ JOA000 DESCRWFM OF OPE RATEMSt E.L.DISEASE-POLICY Lw $ 500,000 rTMS �nmOFOPERA7IONSAAWAMONSIVEHICLEWRESaRCM ECEALITEMS RBE'.A=ANYPRMC�R VWA78L4SEJl�TOTI B CE MRrA'MIlO.DMAFPRCEiMWORMISCOWCOVBRAM CERTITCATE HOLDER CANCELLATION ).GII.iiS INC SHOULD ANY OPTiIE ABOVE DEscMEp POLICIES EE CANCELLIM 10IEDAROSELANE BEFORE THE EXPIRATION DATETHOW",NO= W0! HE DELIVERED IN ACCORDANCE iM7H 7HE POLoy PROVISIO ESQ MAIZSTONS MILAA MA 02655 aftittoRf>� . ACORD"(2♦11Q105) The AL'.ORD nae�end are regh;Zered minks of raJ. '= 'a... 1 10 ACORD CORPORATION All,r�hts . ADVAELE-01 BOUQUET AC CERTIFICATE GAS , TE OF LIABILITY INSURANCE arisws THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATWELY OR NEGATIVELY AMID, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTMM A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the cwtl cats holder M an ADDITIONAL INSURED,the poltcy(ies)must be sndolsad. H SUBROGATION WAIVED,subject to the tenlm and corRdO[orw of the Percy,Rw wn��mw require an eedorsoment A anent on this csrdftab does not confer rights to the wNi610 holden in Neu of amb s). PRmucet Mason&Mason hmnanm AgenW,b t�+ww (7$1)447�i531 458 South Ave. ne. (781�447 7230 tWhitlrtan;MA 02362 AmnRUa�lnft&=mMWmmmlmumnce com eu (8)AFFORRUSCOVEPAGE tAICO a=IffiMA:Travelers Ins.Co.of America 19046 IUrSURED u e:Travelers Indemnity Of America 2 Advantage Eleetrie,Ine. INSURERS: P.O.Box 355 Hyannl ,MA 02bM ° D MUM E- n 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. NOTU9THSTANDM ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCumENT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESC EXCLUSIONS AND CONDITIONS OF SUCH pOUCIES.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANS.RIRI6ED HEREIN USIIBJECrTOALL THE TERMS LTRR I iYPEOF&OWRMCERIM POLCYNwMt A X LtlaTs AI GL3a3tALLIABOJr11 EACHOCCURRENCE S tm.0001 aAmf6AnApE �X OCCUR 6803689X83A1542 02I01rAM6 OMM12m16 p $ 300, 000 M®IW(MroaPam+) S 5,00 PERSONALSAINKIM S 1Aw, n rLIAGGREGA7E LUAITAPPLIES PER - PRa GW8%ALAGGREGATE S 2.000.00 m'cy❑M Lox o I TH r PLROLxUcis-cx»vrPtOP 000 arre S 2, . AUIOi ELuuftfTY $ S NY 1,000. A a. AAUTO 15SEL 02MIM5 021Mr M5 BODLLYQLIURY(PerPewm) S �,QQQ ALL OMED m SCHWULED AUTOS AUTOS BODILY KRW jP amwem S 40,000 X HIRMAUTOS NO S it E Uf1A LIAR $ OCCUR EACH g EIRCESSLIAB CLAIIbS--EQAQE AGGREGATE $ D® REMMMS wo compa s mm S STATUTE Efi YIN B AWPRbPR1EFOWMTMR0MCUFrVE 8425U41MIS O2mims O2I011ZM6 OFF ReBER Dt NIA EL FACH ACCIOENi $ 100. ff I ryife wider EL Dom-EA eMpL0 S 1 w,00 OESCRIPTLON OF OPERATIONSbekm EL OUWASE-POLICY LTT S 500. r Btu NP1NONOFOPERA7mMILOCAyW=IV8gMj g(AMMIKAdMonditWhen gp�ge.�Ypg dlrmoTe OBIgl�piled) red dy vaftn conba,J.GWS,b-, fo tecogntmd as add lono hlsmmd as respegs general ffobf Ly kmum ee fer the ongobg OP@rM1pns of the it sured on tielalt of the additional insured per the terms and coed"onat of form CG D2 48 ed.OBt M and ee DO 37 ed.oaf2M i 4 t CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR93ED POLnCLEB 13E CAfUNRJ W BEFOnu: j J.Guns,hre. THE EXPIRATWN DATE THEREOF, NOTICE YraL BE DELIVERED IN s PA.Boa Goo ACCORDMICE WITH THE POLICYPROVISKW. 11819tOTw Mild,MA 02648 AUTIMMDREIMSENTAINE z 01888-2014 ACORD CORPORATION. Ail dghtg r�ryed ACORD 25�(2014/01) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE 03PZ3P1015 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 AN1END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERI ft AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate haNer Is an ADDITIONAL INSURED,the PORVAies)must be endorsed. If SUBROGATION IS WAIVED, subject to the fermi and conditions of the policy,certain policies may require an endorsement. A statement on tht certificate does not confer rights to the certificate holder in lieu of such wwomementiej. PRODUCER I ACT Kam McHugh Arthur D.Caifee Insurance Agency,Inc. PHONE 540-m 508 4571715 t1mw.caifeel6surance com EarAII karen ePansurance.com 336 Gifford Street WSWERIS)AFFORDINGCOVERNMNAIL# Falmouth MA 045A0 I :Arbella Protection INSURED :Liberty Mutual Albert J.Perry,III 10 Heron Circle IINSUF4M Mashpae MA 02MUM18 INSU F: COVERAGES CERTIFICATE NUMBER: REVISIOa 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. RiSR f TYPE DIRIlRANL� ADDLSUSR POLICY EPF POLICY FXP LTRLIMITS GOAL LIABUTY EACH OCCURRENCE $1,000,000 A X commmcm GENERAL LIABILITY DAMAGE TO RENTED 1INI 000 cIA wmAoE XQ OCCUR 8500042125 02/O6i2015 02I06=6 MED Exp 5 0W PERSONAL&ADV muuRY $1000 000 GENERALAGGREGATE s2 000000 GEN'LAGGREGATE LIMIT APPLIESPER: PRODUCTS-COMPKIPAGG s 000000 X POLICY PRO LOC $ AUTOMOBILE LUIBILRY COMBINED SWGLE u r dealt-, ANYAUTO BODILYINJURy0wPew) s ALL OWN® SCHEDULED BODaY IPLRIRY(Perao�er L) AUTOS AUTOS s HIRED AUTOS ALIT PROPERTY DAMAGE $ UMBRHLA LIAS OCCUR EACH OCCURRENCE S EXCESS LIAB 8 MApE AGGREGATE S DIED RETRITIONS $ WORKERS COMPENSATION X WC STAAND EMPLOYERS'LIABILITY TU OTH OPRIETORIPARTN YIN ANY PR B OFFICPWABM ZEx" 100 NIA WC5 1W8472W5 01)24l2015 01f24016 ELEACHAtxmENT 000 If(Mandeltbry In T_L OISEASE-EA 100 000 DESCRNMONOFOPERATIONSbalow EL DTSEASE-POLICY LIMIT 50O 040 DESCPAMM OF OPERAIMNS I LOCATIONS I VEHMM OnWh ACORD IDr.Add R Sdwdul%K more space is n gWroM i The Workers Compensation policy does not provide any coverage for Albert Perry You will rec l the a replacement Certificate for Workers Compensation directly from Uberty Mutual. _ CERTIFICATE HOLDER CANCELLATION d Gillis Inc SHOULD ANYOFIMABOVEDEACPMMPOLte DECANCV.JED GWORE P 0 Box 650 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION& Maarsstons Mills,MA 02848 lwnwRwwmmwawmva�� <EPM> Phone: i_I Fax: 508 20-Q567 0 IS M 2010 ACORD CORPORATION. All ftfAw reserved. ACORD 25 t201010al The ACORD name and logo are reglstered nwrks of ACORD ek l���is 5, 00, g, G 0 A, � �X/S T/✓VG ' /G n iV`w"—'- co cap C.� r v; Ali OYL�,111 r a i /�A/5 ZD ��/�'/✓`� ✓D///�/ .c'�1�,%'!�� PL.S SDI-SG3-/9�} /7� CG O✓��f/�L Gf/i9Y I ao GENERAL NOTES:A. 1. Before final Drawings and Specifications are issued for m construction,they shall be submitted to all governing building L agencies to insure their compliance with all applicable local and national codes. If code discrepancies in Drawings and/or U Specifications appear,the Designer shall be notified of such LA discrepancies in writing by Builder or building official,and �— allowed to alter Drawings and Specifications so as to comply V with governing codes before construction begins. U 2. Upon written receipt of approval from the governing official, ;Iapproved final Drawings and Specifications shall be submitted to the Builder by the Designer. 3. If code discrepancies are discovered during the construction process, Designer shall be notified and allowed ample time to remedy said discrepancies. 4. All work performed shall comply with all applicable local,state E E and national building codes,ordinances and regulations,and U all other authorities having jurisdiction. Following is a partial $ 6 list of applicable codes in force: A a 00 N �+ N B. All contractors,subcontractors,suppliers,and fabricators,shall be w responsible for the content of Drawings and Specifications and for ® � z rn the supply and design of appropriate materials and work performance. o C. All manufactured articles,materials and equipment shall be applied, a installed,erected,used,cleaned and conditioned in strict LEI] accordance with manufacturers recommendations. D. All alternates are at the option of the Builder and shall be at the Builder's request,constructed in addition to or in lieu of the typical construction,as indicated on Drawings. cA E. ARCHITECTURE by SPB LLC is not responsible for any plan discrepancie . Builder&Homeowner to review plans before start of construction, a i O m REFER TO 2009 IRC �� � T & 8TH EDITION MASSACHUSETTS CODE PROPOSED FRONT ELEVATION � � cn r � N T Z REFER TO WFCM 110 MPH d Q EXPOSURE B WIND ZONE GUIDE ° Q MEO J 3 r t,r uE BUiL, ,NG DEPT. DATE Un RYryIE DEPARTMEN DATE � BOTHgar:'�' + t� � F� PQJ,F n FORPERMITTING CflT cc p m oc e j � C Oz o � 11111111111 � m PROPOSED REAR ELEVATIONA I o a 10 l � I Q j s8 ac ion w� O d c N -,.ow 0o v E a 0 R fa W V I � i 111 11 11 11 11 Hilljj m T i FRAMING NOTES PROPOSED RIGHT ELEVATION ; r FLOOR BRACING Ul BLOCKING&CONNECTIONS SHALL BE PROVIDED AT PANEL U Q EDGES PERPENDICULAR TO FLOOR FRAMING MEMBERS cp Q Q IN THE FIRST TWO TRUSS OR JOIST SPACES AND SHALL BE SPACED AT A MAXIMUM 4 FEETON CENTER.NAILING REQUIREMENTS ARE:BLOCKING TO JOIST--2-8d FOR j COMMON NAILS&AT EACH END. FOR FURTHER INFORMATION REFER TO PG.7 TABLE 2 OF THE WFCM 110 MPH EXPOSURE B WIND ZONE(GUIIDE). FLOOR SHEATHING FASTENING NAILING REQUIREMENTS ARE:3/4"T&G CDX PLYWOOD OR EQUAL. NAILING TO BE 8d FOR COMMON NAILS WITH SPACING AT 6"EDGE/12"FIELD. FURTHER INFORMATION REFER TO PG.7 TABLE 2 OF THE WFCM 110 MPH EXPOSURE B WIND ZONE(GUIIDE). I WALLS Q i LOAD BEARING WALLS TO HAVE A MAXIMUM HEIGHT OF 10'-0" ROOFS NON-LOAD BEARING WALLS TO HAVE A MAXIMUM HEIGHT OF 20'-0" WALL SPACING TO BE 2X4 @ 16"O.C. ROOF OVERHANGS TO BE V-0"OR LESS. C/3 CQC WALL AT GARAGE DOORS TO 2X6 @ 16"O.C. HURRICANE TIES TO BE SIMPSON H2.5A. C RIDGE STRAP CONNECTION TO BE SIMPSON LSTA15 Q W 1/2"CDX PLYWOOD FASTENED WITH 8d COMMON NAILS @ 6"EDGE-1 2"FIELD. EXTERIOR WALLS 0 m � GABLE END WALL RAKE W/LOOKOUT BLOCKS TO BE 8d COMMOM NAILS WOOD STUDS:LOAD BEARING WALLS TO HAVE A MAXIMUM HEIGHT OF 9'-9" @ 4"EDGE-4"FIELD. Q NON-LOAD BEARING WALLS TO HAVE A MAXIMUM HEIGHT OF 9'4" BLOCKING TO BE PROVIDED IN FIRST TO RAFTERS/ROOF TRUSSES @ 4'-0"O.C.. Q WALL SPACING TO BE 2X4 @ 16"O.C. J (f) j WALL AT GARAGE DOORS TO 2X6 @ 16"O.C. NOTE:THIS CHECKLIST SHALL BE MET IN ITS ENTIRETY.IF THE CHECKLIST IS MET IN ITS ENTIRETY O Z STUDS IN GABLE END WALLS:ADJACENT TO CATHEDRAL CEILINGS THEN THE FOLLOWING METAL STRAPS AND HOLD DOWNS ARE NOT REQUIRED PER THE WFCM 110 MPH GUIDE: L11 SHALL BE CONTINUOUS FROM THE CEILING DIAPHRAM OR TO THE ROOF DIAPHRAM. A.STEEL STRAPS PER FIGURE 5 DOUBLE TOP PLATE:SPLICE LENGTH =4FT.MINIMUM WITH 14-16d COMMON Lo Q B.20 GAUGE STRAPS PER FIGURE 11 coNAILS EACH SIDE OF SPLICE. C.UPLIFT STRAPS PER FIGURE 14 WALL OPENINGS:HEADERS TO BE 2X10 WITH 3-FULL HEIGHT STUDS(UNLESS NOTED). D.ALL STRAPS PER FIGURE 17 EXTERIOR WALL SHEATHING:SHEATHING TYPE TO BE 1/2" NAILED 4"O.C.EDGES/12"O.C. E.CORNER STUD HOLD DOWNS PER FIGURES i8A AND i8B IN FIELD.SHEATHING(FULL SHEETS)TO SPAN FROM RIM JOISTS/BOTTOM PLATE TO TOP PLATE. i o a 5'-6" 5'-6" 2-6" 13'-6" ol Li 3'-0"x 6'-8" d 1 i 2-2x8 ' R,O.3'-3"x 6-91/2" r oo 0 bR.O.6'-a'x 6-8" s 2-2x8 ; 00 X E E Ica. �0 72X80 SLIDING FRENCH 2 O 3 96 �OZ I ONN c , I O T 91 A C:dQ O N C V0 i lo ; Q N ,1) IS E GARAGE Q CI�) 1 , ------ ---------------------------------------------- 4 SUNROOM Ili I ————————————-———————————————————— 1- F41 I Z, I � l I =I W Do x (K 2042 DOUBLE RUNG 1 ' m' l Q 2-2x8 ' , o I N 0 m o 2�0 R.O.2'-o"x q'-6" ; ac ;— r I xl ED TOO NX6"-8-1 EXISTING HOME T M a'4 i 2X6 FRONT WLL i LU ar' x 1 4'-5 29/32' '5'-6" 8'd" 8'-01, ol ----9'-11 7/8" 16-0" ol j i I i 0 cn C PROPOSED LAYOUT Q w om � Q Oz Lo o � Q O A I 13 16-0" ul •------------------------------------------------- - 8" d ' t . �,Ra I 4 � P• Pd D d r � P• Pd D d r � P• Pd ! �2 ' 4 -------------------------------------- ' 1 r- • t 1 1 '. (2)#4 REBAR CONT, Eo E 1 p 1 1 L----- ---a ' 1 -4 I �•> U p �,' P• P d D d r I' Pv P d p d •�r i �' e,.,D.oCL cc cr tf , D • , 1 . I 1 I y r,e. ,. , I 1 r I I • I n 4. D �{g N 7.y 4"CONCRETE SLAB W/6X6 ��^..< in L I o W1.4XW1.4 WWF OVER 6 MIL 1 t > 'o r ¢ c� E T MOISTURE BARRIER OVER ; ? ; .V.•,` @a 4"GRAVEL FILL. '4 ; ;Q;.D. (2)#4 REBAR CONT. GARAGE N v 4 UNEXCAVATED AREA •' ' -------------------------------------- ' '= ' ---- 10" e'a` >o.• ;.�' (2)#5 REBAR CONT. 1 1 r I + � � 1 !t oP•4 era Y � � ' I 4 1 i i 20- I o TYPI CAL GARAGE 9M ra ; FOUNDATION WALL �— g �i a SCALE; 1/2"=V-0" v-------------------- co (' 1 I r ANCHOR BOLTS TO BE 5/8"AT 45"MAX.SPACING. ijj Z ' --- -------------- --- c , BOLT EMBEDMENT TO BEi"MINIMUM, WASHERS TO BE 3'X3'Xi/4"THICK. a BOLTS TO BE 6"-12"FROM END OF PLATES N Q A 1 , •---------------------------------------- I 1 . I — — — — — — — i 2'i11 R.O. — — — — — — — � a 1 1 — — — — — — — — — — — ..- — — ' r- ---------------------------------------------- -� I I ' 8'-0" 8'-0" j i 16'-0" I 0 � cn Q FOUNDATION PLAN Q J 0 m � Q g 0 � z i Lom i 2X10 RIDGE Li 10 2X8 RAFTERS 2X4 TIES @ 16"O.C. 1/2"CDX ROOF SHEATHING HURRICANE TIES H2.5A 0 2X10 CEILING JOISTS m —--———— Q 1 , HURRICANE TIES H2.5A 2X1 U P.T. FLOOR JOISTS i 1 I � - - -- -- -- --- qE �_ 0 GARAGE 2X4 WALL 0 @16"O.C. Tt�d �i W/1/2"ZIP WALL _ z EXT.SHEATHINGcli -''\\`, ; °C¢ •�' APPLIED VERTICALLY \\` cc 2 1ZW 1Tf g OE c0 L \ � I a 4"CONCRETE SLAB O H { n n \ m 1 \\ 1 fn { ° s• 4 °gym'� 4 `, 1 SECTION A I i \ I 1 a. ` 1 2X10 RIDGE _ 1 - -- -- --- - - - -- '- r 2X8 RAFTERS ` ' ; 1 4 4 10 1/2"CDX ROOF SHEATHINGQ^L (� ' - 2X4 TIES @ 16"O.C. ,' `, I `'----- _ HURRICANE TIES H2.5A ' HURRICANE TIES H2.5A \ \ — — 2X8 CEILING JOISTS vi 2X8 HEADER 2X8 HEADER Z SUNROOMci '- FLO OR FRAMING PLAN Q > � 3/4"T&G Q W — — — FLOOR SHEATHING 2X10 P.T.FLOOR JOISTS 4 MINIMUM 4 MIL.VAPOR BARRIER W/3"OF 3/4"AGGREGATE O z v° a° Dm C .s Lo < SECTION B o a m NAIL ROOF SHEATHING �} 4"O.C.EDGES L1I 2X8 RAFTERS/CEILING JOISTS @ 16" O.C. AT GABLE LEE F- GA END WALLS a U UP TO 4 FT.IN FROM EDGES 1 ' I 1 1 O 1 , W O C ♦ 1 1 , V1 As 04 ♦r r \\ r '' 1 R') ID r ♦ \\ r ' ♦r 11 1 w ♦♦♦' `,` ',r , O Q In td L W ; ; ; 1 r0 O \\ 1 1 ' a -eWRIDGE -� \ 1 1 ' 1 W w \ , % \ 11 , l O Lu - , W�y, C W V+ tz r ED N r �Qr co w ♦ 11 11 N � 1 ' r, NAIL ROOF SHEATHING 4"O.C.EDGES SEE 110 MPH OPENING DETAIL \`, 4"O.C. FIELD `� AT GABLE END WALLS \\`� UP TO 4 FT. IN FROM EDGES `,` , r ♦ r� ♦' r Q ♦' Lim r' n C \` ' ♦, ROOF/CEILING FRAMING PLAN o � m U, o � o s m I W 780 CMR: STATE BOAR OP B WG R EGULATIONS AND ST"[ S ~ SSA S STATE B CCODE • ' 780 CMR: STATE BOARD OP BUILDING REGULATIONS AND STANDARDS� APPENDICES , A`i�'C G to Wood Ctat s v in High Fla g�Y IXP3 Mph rctl Otro bearin Wall Connections :. N &useM Ch for Coo Dance C78® 301-7-1.1)' Load bearing Lateral(no.of l6d common nails).........(Tables 7)...,,,.... 2 ' Non-Loadbearing Wan Connections 2 Chet Lateral(no.of l6d common nails)....... (Table 8) .. . COMPN Load Beating Wall Openings(record largest opening but check all openings for comphance to Table 9) 1.1 S /` Header Spans..... ..., . {Table 9) .............. 3 ft 0 in_s i i' binds (3-sec.gust) ....... .................... .. .,. 110 Mph ! Sill Plate Spans .......................(Table 9) .............. 3 ft 0 In.s 21' Wind _ re gory..... ...B Fall Height Studs(no.of studs)....... ...(Table 9) ........... .... .. ..... E E Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9 tL! $ ' 1.2 Header Spans (Table 9) ..............3 ft 0 in.s 12' a ai Number of Stories(a w e 8 its 12 be a s2 y) SiII Pirate Spans.._ _.__..._ (Table 9) _......... 3 ft 0 ° st 5 2 in.s 12" ............................. .,. ............. Full Height Surds(no.of stods)...........(Table 9) ,_... ..,.. ? cc o a°i c RodPisch (F{g 2) 10 5 12:12 Exterior Wall Sheathing to Resist Uplift and Shear Simultaneouslya cc 8 2) 14 #�s 33' Mimnumt Building Dimension,W i B 1? W ........... 3) ..........., 27 ft s 80' Nominal Height of Tallest Opetting1.. .. s 6'8" z y Building L enA L .... ....(Fig 3) .. —ft s Sly Sheathing Type., ._ °... (note 4) .._. _...... ��OSB ¢co °D � o Building o ........,. g 4) ... .. ......... 1.25 s 3.1 Edge Nail Spacing , ..._.... ,.......(Table 10 orate 4 if less) ........ 4 in. ee a of Talley t 4 s 6'8" Field Nail S cina able 10 .................... m. o g ... Shear Connection(no.of 16d common nails)(fable 10) ... ..,_3 v eaCL 1 3 GGenexal CO CnO7NS framingpliance with connections,,.(Table 2) Percent Fall-Height Sheathing (Table 10). .., 60 %a y $ 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)........... 2.1 FOUNDATION Maximum Building Distension,L Foundation Falls•meeting requirements of 780 54041 / Nominal Height of Tallest Opening..................................... ................. s 6'8" Q Concrete V Sheathing Tye (note 4). .CD OSB Concrete ....................................................... Edge Nail Spacing __._........._. (Table l i or note 4 if less) ........ 4 in. N 2.2 O) GE FO1 ATION'°a Field Nail Spacing .. .............(Table I 1).... 12 in, } "Anchor Bolts iimbcdftd cw W Proprietary Medialtical Anditom as an alternative in corgi only Shear Connection(no.of l6d common nails)(Table l I) . _ ......._.. ' � Bolt .. ......... (1 4) ... 45 percent Full-Height Sheathing ..........(Table l l) 43 ° — . Bolt 3 ,nt Of plate g 5) 6 in_s Er'°p 12 590 Additional Sheathing for Wall with Opening>6'8"(DesigtiConcepts),_.._...... 1 ............. (Fig 5)-..,................ . -7 1n,a 7" �- watt Cladding c m �• - Rated for Wind Speed? .............._..............._......._..._._.......... Bolt L ..............(Ftg 5) .... iat.a 15" r d plaw gar .,.....•........ ........(Fug 5) ..,,............-.. a 3"x 3"x 44"' r 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Tool,see BBRS Website)3A FLOORS V ' .. .. ....... (Figure ) .... ller of 2 L13 Floor fmcning me -Aw spans checked .........(per M 55 00) t oa e / r CV Roof Overhang... ,,. , ,,. ..°,� r 19 . 8'� ft s aura 'or v Maximum Floor Opening Dimension. ., , ..(Fig 6) .. __ ft 5 12' Truss or Rafter Connections a L db acing Walls ,.. Fan Freight Wall Surds at Floor less than T frow, oT Wall(Fig 6) ............. Proprietary Connectors Uplift .. (rabic l2)................... U_203 if _j � lU rrtFioorJoist Setbacks Lateral ......,.. ... (Table 12)..... L=7�lf 'a d I-- SupportingLoadbearing Walls or Sherawall .(Fag 7) ....................... —ft s d Shear.... ..........._......(Table 12).................... S= 77 i f Q RidgeNfaxamm cantilmad Floor ion" S Connections,if collar ties not used r 21 able 13 ......,. T=130 P f Q St g Wn11s or rwall . S ..°..... .. ., A s d per page (T ) - —F N Q fig ) •, ... .. Gable Rake Outiooker ..............°......(Figure 20) .. —ft s smaller of 2'or L/2 .aG. Roos,BracingatEndwalls .........(R$9) ,.. ._ _.. Truss or Rafter Connections at Non-Loadbearing Walls Rear SheathingType .......... .. (pet 780 CAM 55.00) . Proprietary Connectors T1ti .................(per?80 55.00) ,6., 3/4 Uplift ................. ... ...(Table 14).... 41 . _ U= ..................�Cr 2.} 8 d nab at in edge 1 12 in � Lateral(no.of l6d common nails) ......(Table 14).,.. .._. ..... L=176b• ' 4.! WALLS Roof Sheathing Type ... ........., .(per 780 CMR 58.00 and 59.00)....,....... Waft Roof Sheathing Thickness .. .. ...... ..... .. _in.2 WSP --y g is..................... 10 T 5). —8'-Oh 5 I Roof Sheathing Fastening ............ .... (fable 2} ,... .••. 8d �G N 10 and Table 5).......... .JUft s 20' Notes: Wall Stud S ........................ l0 'I ... .,. 16 in.s 24"o c. 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the Wan stay offmis,••,,,,,................(Figs 7&8) ................... ft s d _ requirements of 780 CMR 5301.2.L l Item 1.If the checklist is met in its cntirety then the following metal straps 4.2 £1R W and hold downs are not required per the WFCM 110 mph Guide: � ... . . Wood Studs a. Steel Stings per Figure S / b. 20 Gage Straps per Figure l I Loadbearing walls.....................(Table$) ,.. ...2x 4 8 ft in. vZ-tle c. Uplift Straps per Figure 14 Non-Loadbearing walls .................(Table 5) ......2x.4_-—5--ft.•Q in, d. Ali Straps per Figure 17 0 Cable End Wall Bracing' Finn l ...............(pig 10) ..... .. .......... shalt permittedrwhen 5 t added to the pen full height sheathing Cn e Comer Stud Hold Downs per 18a and 18b WSPAUkRoorLength ---•--•- 2 Exception:Opening heights of up to 8 ft. be %`s ens - ........... ....(Fig 11) ............. . —fk aw/3 .,_ ., requirements shown in Tables 10 and 11. C ........ f420 e' Cif �.-- 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. orIx3c B �6ingmin 2x4ll) . ling°..,..,spaci in _ � 4• a. FronaTables70andII and locationofwallsheathingandBuildingAspect Ratio,determine PerccmFull-Height W 1 x 3 16" g swills 2 x 4 g 4 fL in Sheathing and Nail Spacing requirements Q J ijoist or am to lays . ...................__...,,,,.... ..,.......,. Double Top / Q Splice Length........... ............(R&13 and Table 6).... ....., Splice Connection(no.of 16d n nails)(Table 6)..........................'. 4 CD OZ 1054 780 C -Seventh Edition 12/28/07 (Effective i/1/ 12l28/07 (Effective I/1I08) 780 CMR-Seventh Edition 1455 Q ' CO � r DI 1 I 1 i 3 PLY 11 7/8"CONT.HEADER 2X6 TOP PLATE 2X6 TOP PLATE 10 FASTEN SHEATHING TO HEADER WITH 8d COMMON NAILS IN 3"GRID PATTERN .... ..... ..... . .. . . ... ........... .. .... . AS SHOWN AND 3"O.C.IN ALL FRAMING c� cryP) 16d NAILS IN 2 ROWS 3"O.C. �� � 1,000 LB.HEADER-TO-JACK STUD MID-WALL ' STRAP ON BOTH SIDES OF OPENING IF APPLICABLE ; J = ���� Q V (TYP). (INSTALL ON BACKSIDE AS SHOWN m , w c ,,�, ON SIDE ELEVATION REF.NO.LSTA24) _ F 2X6 STUDS FRAMING MEMBER a '�'� i EDGE INTERMEDIA i i� MIN.3 KING STUDS � MIN.1/2"EXTERIOR SHEATHING � ' 3/8" z APPLIED VERTICALLY.IF PANEL z 3/$'=►'tr ' SPLICE IS NEEDED IT SHALL ; ; Jill 0 Ny OCCUR WITHIN 24"OF MID-HEIGHT -_-``---- ^ -- 3'MIN ',,:-- �., WITH BLOCKING. 3"MIN E E r STAGGERED z U v NAIL PATTERN PANEL EDGE PANEL y DOUBLE NAIL EDGE SPACING DETAIL O a 2-2X6 P.T BOTTOM PLATES 2-2X6 P.T BOTTOM PLATESccco Z c m fA Detail coo R Y Vertical and Horizontal Nailing Q Q U, 0 for Panel At tachment ttachment IL c SEE FOUNDATION PLAN y FOR DETAILS AND ANCHOR BOLT SPACING j g o m j OUTSIDE ELEVATION SIDE ELEVATION __ _ ;2" OPTIONALTWO ROWS r a -- -- -- STAGGERED,IFROWAN E'H PLATE '" "" II r I— )� N 8d NAILS @ 4"O.C. 6d NAILS @ 12"O.C. (Q I ALONG PANEL EDGE IN FIELD OF PANEL 110 MPH GARAGE DOOR DETAIL = _" �= - t ;� -"= a I-1•__ NAILS I I I I TWO ROWS OF 8d Q Q { Oa 4'O.C. NAILS @ 4"O.C. SCALE:1/4"=V-0° I I I I I I I I I I U ROWS 1E/2"PART II II II II II � WHEN THIS EDGE RESTS ON I I I I I"I 1"1 I I 11 z FRAMING USE 8d NAILS I I I I I I I I I I I I t=- AT 6"ox. II n n I 11 N LU z II 11 II I II w z II II II H H II 9 4 J IJ W I II II II II � w o q� x II II (I II 1) U U II Ina j I I I f I I c I I co I I I I I 4,4' I I I I I I w I I I"I I"I ry I I NEL WID I I U) I 0 I ¢ n 11 I III II II II II II CQC v II II c7 n n nn > G I H H Z w I I 11 I I I I Q W a — w 5/8"ANCHOR BOLTS& 0 q IJ w, LL iv a — 8d NAILS SILL PLATE m 3'X3"X0.229"GALV. I I Z I I I I I( M m� @ 4"D.C. STEEL PLATE Q a q o�CO WASHER(MIN.SIZE) �-- II a II II W II + -- - - - - - -- @16"O.C. (n I I ir g I i n _� I I Vertical and.Horizontal Nailing �- ^�D ° p p p' D � G p� D p� D p D D p� > for Panel Attachment ° � ° ° 11, Lo Q FOUNDATION cd 4 o D,o D'o D'o u.o u.o D.o D.o D% 1 ONE-STORY WSP DETAIL FOR DOUBLE EDGE COMBINED UPLIFT & SHEAR NAIL SPACING �+ � - PANEL SILL PLATE OPTIONAL DOUBLE SILL w TWO ROWS OF 8d NAILS @ 4"O.C. PLATE2 STAGGERED IN DOUBLE SILL PLATE 1 ROW IN EACH MEMBER i