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0495 ELLIOTT ROAD
s r i .w. • e - Town of Barnstable Building t PostThis Card So That it is Visible From the Street-Approved Plans'IVlust be Retained on 1ob.end,this Card Must be Kept M^ Posted Until Final Inspection Has Been Made. r >. Permit a �� p y' q e g until a Final Inspection has been made. ,Where a Certificate.of�Occu anc is Re wired,such Buldin shall Not be Occupied T�Amy w Permit No. B-19-3298 Applicant Name: William Callahan Approvals Date Issued: 10/04/2019 Current Use: Structure Permit Type: Building-Insulation- Residential Expiration Date: 04/04/2020 Foundation: Location: 495 ELLIOTT ROAD,CENTERVILLE Map/Lot: 227-117 Zoning District: RC Sheathing: Owner on Record: SPRAGUE, ROBERT& DAWN MARIE Contractor Name: WILLIAM CALLAHAN Framing: 1 Address: 495 ELLIOTT ROAD Contractor License: C&095581 2 CENTERVILLE, MA o2632N Est. Project Cost: $ 12,700.00 Chimney: Description: Insulation Permit Fee: $ 114:77 Insulation: Project Review Req: s Fee Paid:. $ 114.77 Date: 10/4/2019 Final: Plumbing/Gas Rough Plumbing: r ( 4 Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after-issuance. All work authorized by this permit shall conform to the approved applicationand the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. s Final.Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open forpublic inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT S� PROJECT NAME• 1��t�5 ��✓v� (�`�ems✓' :.: ADDRESS: a F 4' PER UT# PERAM DATE:' :wrrn LARGE DOLLED PLAITS IN: i ox Data entered in MAPS program.on Z Z s � BY:: . - : - q/tivpfiles/forms/archive:.: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map.' ZZ1 Parcel Application # Health Division Date Issued /4 Conservation Division - Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 7 J EU46 1-T 4660 Village C�NI �VILL� Owner L&4F nW. j Sf g4V--lam Address S � Telephone 9 H-6-I' ` Lf- j Permit Request 6O N lA g ►?_o C>. fty Gky-PCs L W� y'YIA�i� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Lc,Flood Plain Groundwater Overlay Project Valuation 86!000 Construction Type \/4�00 c, Lot Size °� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family (# units) Age of Existing Structure I q��/ Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: U�Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 1215 Number of Baths: Full: existing new _� Half: existing new Number of Bedrooms: 3 existing fA new Total Room Count (not including baths): existing -7 new First Floor Room Count Heat Type and Fuel: ❑ Gas 8/Oil ❑ Electric CA Other HD i K2,0 Central Air: ❑'Yes ❑ No. Fireplaces: Existing 2 New 0 Existing wood/coal stove: ❑Yes E(No Detached garage: ❑//existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Wdexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ '3 Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use 5-1 APPLICANT INFORMATION_,— ' l - `-` (BUILDER OR HOMEOWNER) Name 1CH�'K �d '�1� Telephone Number n — -7- Address 155 0,UFAM,6iC.Eil!U- License # Home Improvement Contractor# 33�� Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 'r C DATE *t FOR OFFICIAL USE ONLY i APPLICATION# DATEISSUED t MAP/PARCELNO. ADDRESS ' VILLAGE OWNER RG' DATE OF INSPECTION: FOUNDATION FRAME f. F. INSULATION i62e - FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL F' x FINAL BUILDING y F s: DATE CLOSED OUT ASSOCIATION PLAN NO. x; ,per The Commonwealth of Massachusetts \ Department of Itfdustrial Accidents. Office of Investigations w' 600 Washington'Street r Boston, 02111 , www.mass.gov/dia nce Affidavit:Builders/Contractors/Eleetrician�int Le bl Workers' compensation Insurumbers a please P A licant Information e Name(Business/Orgenizatton/Individual): Address: Ltjq 15s co vi N 62&,q-1 '_ Phone# City/State/Zip: Type of project(required) u an employer?Check the box: Are y 4, [] I am a general contractor and I 6 []New construction I,Are a employer with____* have hired the sub-contractors ? "Q Remodeling Part-time), listed on,the attached sheet._ ,$ Demolition employees(full and/or Z,❑ I am a.sole proprietor or partner- 'Iliese sub-contractors have addition ship and have nq employees insurance. 9. [�Building workers+Icomp. working for me in any capacity. _ 5' ,rye are alcorporation and its Io.[]Electrical repairs or additions [No workers' comp• insurance officers lave exercised their I I.(]plumbing repairs or additions required.] " right of exemption per MOL 3.❑ I am a homeowner doing all work c,152,§;1(4),'and we have no 12.❑Roof repairs myself. [No workers' comp. ` employees.[No workers' 13.0 Other insurance required.]t comp.insurance required.] ensation policy information. ng such. •Any applicant that checks box M I must Also till out the section below showing their workers'comp Policyinformation. et showing the name of the sub-contractors and their workers'comp. t Homeowners who submit this affidavit indicating they are doing rill work rind then hire outside contractors must submit anew affidavit information. m Hom ob site ;Contractors that check this box must attached an additional s e to ees. Below is the policy andl I an:an employer that is providing workers'compensation.Insurance for my mP Y information. S G� Insurance Company Name: _ Expiration Date:self-ins 05 U Z .Lic ►� l!.} M 6b 3 Policy#or .#: l y /� City/State/Zlp:I.�NS� I�`� Job Site Address: workers' compensation policy declaration page(showing the policy number and expiration enalties of a Attach a copy of the work P imposition of criminalp Failure to secure coverage as requiredmnd80 entn s5wellfe9 cOivil penalties inthe formlead to e of a STOP dW ORK OOItDERffice otf d a fine fine up to$1,500.00 and/or one-yea p , fine up to$250.00 a day against the violator. Be advised that a copy of this statement may forwarded Investigations of the DIA for insurance coverage verification. the ales and penalties of perjury that the Information provided above is true and correct- is do hereby eerlify underp ) I ' D te' ISinatuWre: j'. Phone#: f clal Official use only. Do not write In this areal to be completed by city or town o fl Permit/License City or Town: 0 Issuing Authority(circle one): ' 1. Board of Health Z.Building Department 3.City/Town Clerk4.Electrical Inspector 5.Plumbing Inspector 6. Other Phone#` Contact Person: ,aco CERTIFICATE OF LIABILITY INSURANCE °ATE`M�D°IYYYY' 4/22/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorseme s. PRODUCER E CT Kelly Estano Rogers&Gray Ins.-Kingston Branch PHONE NX m,077-816-2150 63 Smith Lane EE-IL Kingston MA 02364 INSURE S AFFORDING COVERAGE NAIC# INSURER A Arbella Indemnity Insurance INSURED CAPEENT-01 INSURER B: Capewide Enterprises LLC INSURERC: J.P.Macomber&Sons INSURERD: 153 Commercial Street Mashpee MA 02649 INsuRERE: INSURER F COVERAGES CERTIFICATE NUMBER:1865828735 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. ILT R ADDLSUBR TYPE OF INSURANCE POLICY NUMBER INDO EFF POLICY EXP LIMITS LTR A GENERAL LIABILITY 8500050813 30/2014 /30/2015 EACH OCCURRENCE $1,000 000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PR M S S Eaoccurrencel $250,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $5,000 PERSONAL BAOVINJURY_ $1000000 GENERAL AGGREGATE $2,000,000 ' I GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $Z000,000 POLICY X PRO- LOC $ A AUTOMOBILE LIABILITY 2214 20015 BI Ea 1000 000 _. ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X AUTOS SCHEDULED AUTOS BODILY INJURY(Per acddent) E X X NON-OWNED PROPERTY DAMAGE $ HIREb AUTOS AUTOS (Per dent) $ A X UMBRELLA UAB OCCUR 4600050814 /30/2014 30/2015 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000 DED X I RETENTION$10 000 $ A WORKERS COMPENSATION 120510414 14/2014 14/2015 X STATU- OTH- AND EMPLOYERS LIABILITY LIM ANY PROPRIETORIPARTNERIEXECUTIVE Y/N EL EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000,000 1lyyS describe under DESG�RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 Leased Rented Equip LR Umh $50,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addittonel Remarks Schedule,B more space Is required) j I CERTIFICATE HOLDER CANCELLATION - I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE i ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I C�tie Ipomvncaruoealb�i o�C °°"c""°e ° License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration: 1.43358 Type' 10 Park Plaza-Suite 5170 xpiration:.--_7l8,i2':�.6 Ltd Liability Corpor Boston,MA 02116 CAPEWIDE ENTERP iIsa L�:C RICHARD CAPEN 4507 R RTE 2816 COTUIT,MA 02635 Undersecretary of valid witho ignature Massachpsetts -Department of Public safety. . Board of Building Regulations and Standards Buildings of any u which Unrestricted- se 13 p Construction Supervisor contain lag than 35,000 Cubic feet(991M )of License: C,%-089273 enclosed space. RICHARD M CpFN 122 WHIT MAR 10 lot T Cotuit MA 02639 y�'`� „•r,��' Expiration ' Failure to possess a current edMon of the Messschusefts 1112T13015 State Building Code is cause for revocation of this license. Commissioner For OPS Uceruin6lnfamaHon ylsh: www•Mrss•Gor/UPS f 110 mph Vind Zone • s; AWC U dde to Wood Construction in lh'tgh fend Areas; CMR 5301.2.1.1)1 usetts Checklist for Compliance c 0. cheek chcompliance �aSSa 110 mph -71- 1.1 SCOPE gd.(3-sec.gust)... .;:..,........................................................... . ..... ......... ........................ ...................................................................B -- WindSpa Caie ory• .............................................. osure: 9 ........ . Wind Exp stories 5 2 stories 1.2 APPLICABILITY exceeds 8 in 12 slope shall be considered a story)_y 10 g 12:12 .-••� Number.of Stories(a roof which exce .. ...............(Fig !�-1 ft S 33' — S By Roof Pitch ............................ .. ............................... (Fig 3).........,....•........ ................, ft 5 80' Mean Roof Hh,WW .........................................................(Fig 3)............... 5 3:1 ,L/�'•— t3uildih9 Width, 4) Building Length,L.............. In (Fig ... ,510 5 6'8' Building Aspect Ratio(L)W ) ............... '..' z ...................................(Fig 4)...,....................................... / Nominal Height of Tallest Open g ✓ 1.3 FRAMING CONNECTIONS connections...................(Table 2)....... ............ ....................................... General... mpliance with framing n 2.1 FOUNDATION ttn requirements of 780 CMR 5404.1 N f Foundation Walls mee 9 ....I.......... ........ ............ .................................................. Concrete......................... ........I......... , . Concrete Masonry..... �.3 ate only ��� 2.2 ANCHORAGE TO FOUNDATION I" Mechanical Anchors as an alternative.in concrete in. Anchor Bolts imbedded or 5/8"Proprietary (Table 4)......•......•........ ........ _in 5 g°-.12" - -� .. u[� aJn general .............•' ( g )........... Bolt Sp g'" late .. ........ ........... (Fig 5 ..................... .. in.z 7" A' Bolt Spacing from endroint;of p ........................(Fig 5)................... in.Z 1 .. ... 5 Bolt Embedment-concrete........ ...... ..............(Fig 5}........................................... ..... ............ .....z 3'x 3'x'/." -ruin Bolt Embedment-masonry........................................(Fig 5)............................ Plate Washer............... I 3.1 FLOORS .........(per 780 CMR:Chapter 55)........I..........�fj•5'1T ember spans checked Floor framing m. ..........:..........:(Fig t3)................ — Maximum Floor Opening Dimension............. an 2'from ExterlorWall(Fig 6).................................... ... all.Studs.etFloor Openings less than _f ft Full HelghtW. ....................� S d Maximum Floor:Joiat:Setback�alis o ............... FI •n.............................. Supporting Loadbeadfi r Shearvvail. ( 9 Cantilevered Floor Joists Shearwall. (Fig 8). ••• ft 5 d Maximum Loadbearing Walls or ) ............ .................................- W� Supporting ....................... •(Fi9.9 ..........Chapter 55)........, ............�/ .... Floor Bracing at Endwalls................... (per 780 CMR Chapter 55) f_in. Floor Sheathing Type ..........................' ,.• . .(per 780 CMR p in edge/f,�n field Floor Sheathing Thickness ...... ...(Table 2)..$.d nails at Floor Sheathing Fastening. ................. WALLS �� 510' 4.1 Wall Hei ht 10 and Table 5)......................... ft -7 g Z, �G•'ft 5 20' - Loadbearing walls...............................:........................(Fig 10 and Table 5):................... in.5 ft : o.c. Non-Loadbearing walls........ . . .................. .........(Fig 10 and Table 6)................ ft 5 d .. Wall Stud Sparing .......................(Figs 7&8)................................ / Wall Story Offsets ....... . WALLS3 in. 4.2 EXTERIOR 2x,�-�,ft�, Wood Studs .......................................(Table 6).............................2x�--�ft in. / Loadbearing walls......... (cable 5)............................. Non-Loadbearing walls.................................. Gabe End Wall Bracing . (Fig 10).......................... ..zWl3 =� Full Height Endwali Studs....................... '...............(Fig 11)........................ ..................�a 0.9W W5P Attic Floor Length.............not used). ............(Fig 11).. GYpsum Ceiling Length(if WSP ( )......................ft t t Y — and 2 x 4 Continuous Lateral Brace 6 ft.o.c...(Fig 11 .. . Acing in end j018 or f1J55 ba s 16's adng min.with 2 x 4 blocking or 1 x 3 ceiling furring strips 0 P ft Table 6). Double Top Plate ........................(Fig 13 and ............... Splice Length ........(Table 6 Splice Connection(no:of 16d.common nails)..... L. h Wind Zone h tYlnd Areasr.1I0 mp AWC Guide to Wood Construction in 1Yig �lailCe(78o cMR 530t2.1.1)1 Checklist for: Comp f Massachusetts .............. .. - Loadbearing Wall Connections (Tables')................... Lateral(no.of 16d common not ............................ 8 ..................................... . . - - onnectidns .....(Table ) Non non Wall C for cempiiance to Table 9) '16d common nails)...................... but check aN.openings ....�ft..�-in.511' Lateral(no.of. �largest opening (Table 9 ...........'........ , rin W811 Openings(rem (Ta. ).......... Load Bea 9 .(Table 9).............. ............ . ...�.1t r1_in 51 .. Siilll F ate.ader Spans ................................ ..... .... ...... .......' (Table.9)...................for compliance'to Table 9).. • check all openings Full Height studs (PO.of studs) lar est.opentngbut _ft,-_in.5 Bearing Wall Opening (. cord, g (Table 9)................................ ft rn.5 12' AIA Non-Load able 9)............. . - Sill Plate Header Spans........................ ................................ able 9)............. ............,......... ...... ........ .:.......... Full Height Studs(no.of studs). ►, ,g 6'8, Exterior Wall Sheathing 10 R esist Uplift and Shear Simultaneously 3- Minimum Building Dimension,W enin ,,........ Q- Nominal Height of Tallest Op 9 ""(note 4) 3 In. -�- Sheathing Type........" ''.'................... . . ................(Table 10 or note 4 if less)................,.. b in. -7- Edge Nail Spacing.................... ..................(Table 10). . '.......... ............. ! - -�` )(fable 10) Field Nail.Sparing....... on nails) ................... � o (no.of 16d comet ..........I..............I�� Shear Connection (Table 10).•• -� Sheathin opening:,.>6�8"(Design Gancepts) g f....for Wefl with penin Percent Full-Height o ditional Sheath ng um Building Dimension,L z . ...................... .................... ..:. Maxim of Tallest Opening ..•... 4) in. Nominal Height ........................(note ......ote 4 If less)....................• Sheathing Tyne•�•••••••""""""""'• •...(Table 11 or note .•••..,••••,•••. _(g--in. tI S act (Table l l).. .......... Edge Na P . g Spacing ...... ' able 11) Field Nail Sp g common Halls)(1' ...................................................... Ion no.of 18d .................. I.fS�.% Shear Connect ( (Table i 1).............•. ull-Height Sheathing i.....for W... with open g>g'8'(Design Concepts).................... Percent F. . 5°I°Additional Sheathing .• .............. Wall.Cladding ••••..I........• / Rated for Wind Spe WC Span Tool,see BBRS Website) s.1 ROOFS ecked?..'....................(For Rafters use A P ft 5 smaller of 2'or U3 - Roof framing member spans-checked?..' ...(Figure 19)•.......• -1-- Roof Overhang "" ...................... Walls or Rafter Connections at Loadbearing U=li pif Truss ........................ . Connectors Proprietary ...................(fable 12)..................................... L=�,Plf uplift.,.. ......................... (Table 12)........................ ....... .$=�.1 p1f Laterl..... (Table 12)..........................................T= _Pit Shear...... (Table 13) ........ Connections,If collar ties not used per Pa Figure 20) _„i. s smaller of 2' or U2 Ridge Strap / Gabler Rafter C looketons at Non-Loodbearing Walls Truss or Rafter Conned -`�`� lb. Connectors .....................U- �( lb. W Rroprietary able,.i4 ....................... =t - ...........................(r 9.....L Uplift.................... •• man Halls)...(Table 14).................................... ........................... ............ Lateral(no,of 16d corn (per780 CMR Chapters 58 ) SP f a� in.z71.16'W ✓ Roof Sheathing Type......... ... .............................0 Roof Sheathing Thickness................... .. .....(Table 2) ........................................... .. . Roof Sheathing Fastening............. with the requirements of Notes: excluding the specific exception noted in 2,to comply 1, This checklist shall bee 4 If the Bret ,itst is met in its entirety then the following metal straps and hold downs are not 780 CMR 830i.2,1:1 it h Guide: required.per the WFCM 110 mp a. Steel.Straps per Figure 5 b. 20 Gage Straps per Figure 11• c Upiift Straps par Figure 14 d. All Straps Pet;Figure 17 e. Comer Stud Hold Downs per.. 18a and Figure 18b in heights of up to 8 ft.�hall:be permdted when 5%is added to the percent full-height sheathing 2. Exceptfon:opening assure treated#z�raaB. requirements shown in Tablas 10$rid 11. bottom sill pate in exterior walls shall be a minimum 2 in.nominal ihic�ine8t 0 3. The AWC Guide to Wood Construction`in High Whid Areas 110 mesh Wind Zone Massa chusetts'�hecklist for Compliance(*ISO cn�Rs3o1.2.}:1)1 . - 1 1 wula MAL am 9%C90 rErxr Devil Vedloal and HorizontsiNOWN for Nnel Attachment i •110.mph C. Wind Zone AWGuide to Wood Construction in"High Whid Areas: Massachusetts Checklist for Compliance(780 CMR 5301-2a•1)� 4. ct Rego,determine Percent Full-Height m a. Fro Tables ib and 1i;and location of oc sheathing.and Building fipe Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum:thtakness of parallel and d installed as follows: I. Panels.shall be installed with strength axis parellel to studs e II. All horizontal Joints shall occur over and be:nail ed to framing.. plates and top mmber of the double Ill. on single story construction,panels shall be attached to bottom top plate• anels shall be attached t I the top member of the upper double top Iv, on two story"construction.upperP plate and to band joist at bottom O!pan 1. per attacht fiGor frenf of lower panel shall tie made to band joist and.(owes attachment made to I P. band v. Horizontal nail spacing at double top IuBs�belowjnVartical end Horizonta Nail Nailing oirr Panel Attachment staggered at 3 Inches on cent p 9 i • ._ usrraawms � ATG%A6 41 ' r 1 11 , Fi{ u 1 - i ppj)8urfpGE ----- IUU.Er'ACIM1K3 � I i See Detail on Nexti Pegs Verucat.and Horizontal Nailing for Panel Attachment i { Town of stable RegulAtory Services nomm F oeffer,erector Bing lion °loan Perry, ftfl&mg Conmflmdaner 200 ,Stre&, His,MA 02691 wwwAowmbanis&bIe.m&us Fax: 508-7,9,M230 Property der Must Complete and Sign This Section If Using A Builder hEmbyauthorlze �� to a on mybehalf, in A nos relative big appk=n for . 9'9S j6:74" ®iT �� ���i�c/�y����� ruff- 8aX_ (Address of job) OwnerDam i t D331S_V WI AEw T I (14 SfZ 3/q ��°`B�nea� I •� �ry �. lee r 3 Z zY L4 Q J . C o o-r P.7.) . 2 ril rc.00sz— � I 3 �A�►vt tt_-� + Kf'21.tf n1 L�J Ew�cr- 1 ' IT[ eATW 3 Z zy ti� 4q 5 or oFtHE� Sign ' AB . * TOWN OF BARNSTABLE Permit BARNSTLE MASS. 9� 16 9. '0?Fp A Permit Number: Application Ref: 201500485 20071064 .Issue Date: 01/26/15 Applicant: BELL TOWER CORPORATION Proposed Use: SHOPPING CENTER- MALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 1600 FALMOUTH ROAD/RTE 28. Map Parcel 209014 Town CENTERVILLE Zoning District SPLT Contractor PROPERTY OWNER Remarks TEMP SIGN H&R BLOCK 1600 fALMOUTH RD BELL TOWER Owner: BELL TOWER CORPORATION Address: P O BOX 1461 SOUTH DENNIS, MA 02660 Issued By: POST TINS CAItD'SO THAT IS VISIBLE FROM THE S BEET --k n elm TNE T of Barnstable °p Town arns Regulatory Services s )� 9BAMMSABLE,O Thomas F.Geiler, Director 1639. A`� Building Divisions �� 5 Tom Perry, Building Commissioner I 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# Building 011icial approving------------ Application for Sign Permit < v -v Applicant:_ � 11t_ _�L �git -------------Assessors No.---------------y Doing Business As:_1_ _ ©Ctc --------- ----Telephone No.--_N-----"! 9® Sign Location Street/Road:_ 1��D--- 11 �ts1_ c -------------- Zoning District6N:j_Old Kings Highway? Yes/011yannis Historic District? Yes Property Owner 7 7 a Name:----q dl— T-D_ugn2 its--a'` ` V--------------Fc1cpbone:��' --------— �0 Address:__?D__Qo_—3© Ce�4 ec-��(le /� r 2 '�e41v.��l� -- ----------------- illage-- ------------------ Sign Contractor Name:---------------------------------------------Telephone:------------------ Mailing Address:------------------------------------- --------------------------- Description Please follow the cover directions.You must have Huh accurate rendition of sign with dimensions and location. Is die sign to be electrified' Yes/No (iolc:IFpcs,a rr711llg'cull!!lS lC'gtlilcd) Width of building face -ft.x 10=_ _x.10 Sq !-r Check one Reface existing sign,_or New____Total Sq.Ft.of proposed sign(s)_ II you ha ve additional signs PICRse attach a Sheet&11llg-each ollc Trill!dirnclisions If refacing an existing sign please provide a.picture of the existing sign with dimensions. I hereby certify that I am die owner or that I have die authority of the owner to make diis application, that the information is correct and that the use and construction shall conform to the provisions of §240:59 through§240-89 of die Town of Ba ' stab e% h ' r Ordinance. / Signature of Owner/Authorized Agent: / _ _ ____ Date SIGNS/SIGNREQU ti - .. '74- � IU C -- _ K : „5 i< z _ i 1 � v v i� i. IHE Sign „ M . * TOWN OF BARNSTABLE Permit. EAFLE MASS. 1639. Permit Number: Application,Ref: 201500486 20071066 Issue Date: 01/26/15 Applicant: Proposed Use: SHOPPING CENTER-MALL Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 1600 FALMOUTH ROAD/RTE 28 Map Parcel 209014 Town CENTERVILLE Zoning District SPLT r Contractor PROPERTY OWNER Remarks TEMP SIGN H&R BLOCK 1/19/15 - 4/15/15 489 BEARSES WAY Owner: BELL TOWER CORPORATION Address: P O BOX 1461 SOUTH DENNIS, MA 02660 Issued By: ;;POST THIS CARD;;SO THAT IS VISIBLE FROM THE S "ET of Town of Barnstable w � 0 Regulatory �r )` �I `"R'A � Thomas F.Geiler, Director y MASS.ss. � 1� fDiNAtA,e Building Division b Tom Perry, Building Commissioner \� 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# I3uilcling OIlicial approving______------ Application for Sign Permit �^ Applicant: _Ll_-______ _______;lsscssors No. � --____-- Doiu;13usiucss As: t � ---------------1'clephone No. d �.� �=���e� Sign Location Strcct/Road:----� — e _r es--- `---'/- ------------------------------- Zoning District:�L I _Old Kings Highway? Yes Hyannis Historic District?. Ye Property e� n Nanic:_Q _ AT !............. 1'c:lcpliouc: � ----------- f Address:,,?a__l__�fcSTP---�`(��`�e--------------\'illagc:---`��-- �—r�--------- Sign Contractor Name:----------------------------------------------1'elephone:------------------ Mailing Address:---------------------------------------------------------------- Description Please lotto«•the cover directions. You nncst.have an accurate rendition ol"sign«•idi dimensions and location. Is the sign to be electrified? Ye. a'o (iVO1e:Il:res,a ff7l7llgpclnj L Is 1 quil-ed) Width of building face —ft.x 10= _x.10 Check one Reface existing sign or New Total Sq.Ft.of proposed sign(s) 11'v01111atc additional signs please atlaell a sheet listing•cach one It71h dimensions If refacing an existing sign please provide a picture of the existing sign with dimensions. I hereby certify that I am lie owner or that I have Ilic authority of the owner to make this application, that tic inlormation is correct and that tlic use and construction shall c•onlorm to the provisions of §240-.59 through 4240-89 of the Town of Bar i x able Zoi � Ordinane•c. / Agent CC' ( "` Date Signature of Owner/AuthorizedAg S%�/ —�� n �4Tr I�© u9c>,lj t t Ise r o a Ira° % h�T v,JH SIGNS/SIGNREQU d/ e r e ; is, b / t I Yti-rA - a f Gt ..y._ 7 - _- BLOCK .. _. i 77 ... _ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �_Z-9- Parcel Application 0401e60 j`''lCp Health Division ii Date Issued Conservation Division uN Application Fee 50` CA7 Planning Dept. _ Permit Fee Date Definitive Plan Approved by Planning Board Oil Historic - OKH Preservation / Hyannis Z/1 Project Street Address 7 �J� 6///D#YI as Village Owner Rol%yl et Address Telephone 4-b I Yd6 Permit Request Ruolroln ITddj f7Dp t W___) P,>c cwofyl cC c.v6J — r_VX-drJ Ti c0000— Square feet: 1 st floor: existing2,�Qb proposed 1�2nd floor: existing ),U75 proposed _Total new 42 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type f 006 Lot Size Grandfathered: U(Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family ❑ Multi-Family (# units) Age of Existing Structure lq7 Historic House: ❑Yes Q1f\Io On Old King's Highway: ❑Yes Q,I o Basement Type: VFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new _ 0 Half: existing new Number of Bedrooms: of existing 4 new Total Room Count (not including baths): existing 7 new 0 First Floor Room Count Heat Type and Fuel: ❑ Gas �9'Oil 0 Electric ❑ Other Central Air: O'Yes ❑ No Fireplaces: Existing_ New Existing wood/eaal stove: 0 Yes [(No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ ex sting ❑ new s ze_ Attached garage: Vexisting ❑ 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) Name ch�y� C - CC j,(Jtdf Snf f elephone Number 5b U77 7 Address ��� COMIK 16/ License #_ CS /i/✓� 2� Home Improvement Contractor# kf33541 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE l, /s• 13 FOR OFFICIAL USE ONLY `APPLICATION# DATE ISSUED f r MAP/PARCEL NO. ri! ADDRESS VILLAGE OWNER DATE OF INSPECTION: a 5 FOUNDATION IL ' FRAME 3 020 o r" INSULATION 31LA3 FIREPLACE i 't t ELECTRICAL: ROUGH FINAL i i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING { 1 2 4 DATE CLOSED OUT `a. ASSOCIATION PLAN NO. The Commonwealth of Afassachuseft .- Department of Industrial Accidents ' Office of-Invesdgations- -- - — - - -- 600 Washington Street Boston, MA 02111 . www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumb'ers A.PPReant Information Please Pipt Le ibly 'Name(BusinessiO a nization/individaal) .Address: Ci /StaWe Ki Are you an employer? Check the appropriate bog: Type of project(required); 1. I am a employer with` Z�. 4. [] I am a general contractor and I employees(fail and/or_ part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner-, listed on the attached sheet. 7. U Remodeling shipand have no employees - These sub-contractors have 8., Demolition working for me in any capacity, employees and have workers' 9. Buiitiin addition [No workers comp.-insurance, comp.insurance. g required.] 5. ❑ We.are a corporation and its ' 10.[]Electrical repairs or additions 3.❑ I am a homeowner doing aIl work officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t C. 152, §1(4), and we have no employees. [No workers' 13.0 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 altached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If.the sub, ; ntracwrs 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. JJ Insurance Company Name: rl (be' 11� �te c-h Q n' Co Policy#or Self-ins, Lie.#: Expiration Date: Job Site Address: "1 ��/D 1 Q City/State/ZiP: iej V l I /�f QZ(;Q 2JZ 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 'rni al penalties of a . fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP'WORK ORDER and a fine of up.to$250.00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains and penalties of perjury that the information provided above is true:and correct. Si tore: Date: Phone#: 1 �) 7 �7 Official use only. Do not write in this area, to be.completed by city or town official City Permit/I,icense# Ci or Town: Issuing Authority(circle one): 1.Board of Health 2.Building Degartmeni 3; City/Town Clerk 4.Electrical Inspector. S.Pluxnbing Inspector 6.Other Cun4cYPerson= Phone#: s F 1 ^+ Cilent#:51439 CAPEENT - ATE t ACORD. CERTIFICATE OF LIABILITY INSURANCE D MMlDcnirri%I o411sMD12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE'DOES NOTAFFIRMATIVELY 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 INSt1RER(S),AUTHORIZED REPRESENTATIVE.OR PRODUCER;AND'THE.CERTIFICATE HOLDER. IMPORTANT::Ifthe cortificate hol.dor is an;ADDiTIONAL.INSURED.,the pollcy(les)must be endorsed.:If;SUBROGATION IS WAIVED;subiect'to the terms and.conditions.of the policy,certain policies may:require,an endorsement.Astatement.on this certificate.does not confer rights to the Certificate holdetin lieu of auch.endorsement(s)'. PRODUCER. Linda Taddia Rogers'A Gray lns. Kingston: PH NE 508446-3311 63 Smiths Lane MAIL itaddia(c3�rogersgray:com 1. "' 877-816-21;56 Kingston,MA 02364-3700 INSURERS AFFORDING.COVERAGE' NAIC II 508 746-0055 iNsukiERA:Arbelia Protection Co 17000 INSURED - INSURERB: Capewide Enterprises>LLC INsuRERc; J.P:Macomber&:Sons, _ INSURER D i. PO Box:763 - - Centerville,MA 02632' 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 MAYBE ISSUED OR MAY PERTAIN, THE.INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, 'EXCLUSIO.NS ANO:CONDITIONS OF SUCH POLICIES.::LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: INSR ADD[ UB POLICY EFF POLIC t7(P ILTTRR TYPE OF INSURANCE ... POLICY NUMBER. MMID MMIDD LIMITS A okNEkALUAalwy CPP8500050813 4/30/2012 0411=101 p€AACMHpGOECTCURRENCE $1 000 000 X COMMERCIAL GENERAL PREMISES aEoNcaT%nce $250 000 CLAIMS-MADE a OCCUR: MED EXP(Anyonepawn) $5 000 PERSONAL 3 ADV INJURY 4410001000 - GENERAL AGGREGATE S2 O0O 000 GEWL AGGREGATE'LIMIT APPLIES PER PRODUCTS-COMP/OP AGG J2,000,000 POLICY PRO- JECT LO.C. $ iB► AUTOMOBILE LIABILITY 5894UODIO04 4/20/2612 04120/201 CO(Esa�ED SINGLE UNIT t,000,000 e _ ANY AUTO BODILY INJURY(Per perm) ($. ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS. X NON-0WNED PROPERTY DAMAGE HIREDAUTOS: I X:.AUTOS Per accident $' A X UIYIBRELLA:tIAB OCCUR 4600050814 4/30/20.12 0413012013 EACH OCCURRENCE $5000000 EXCESS tJA6 H.CLAIMS-MADE' AGGREGATE: $5 0.00 000 DED I X RETENTION 10000_ $ A..YIORKERS coMPENsAnotr 0054370411i 4/14/2012 04/74/201 we sTATu,' OTH- AND EMPLOYERS'UAMUTY YIN 7ltYLI11lI3 E ANY PROPRIETORIPARTNERIEXECUTIVE - E.L.EACH ACCIDENT $5OO O00 OFFICERIMEMBEREXCLUDEDT 111 N'/A. (MandatoryIm", NO EXCLUSIONS E.L.DISEASE-EAEMPLOYEE $500.000 If yyeeae,,;desalbe under ._ .. ... ... _ .. DESCRIPTION'OF OPERATIONS below' E.L.DISEASE-POLICY LIMIT $500000 DE8CRIPnION OF OPERATIONS I LOCATION8/VEHICLES(Attseh ACORD 101,Addidonal Remarks Schedule,It more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE i DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE' WITH THE POLICY PROVISIONS; AUTHORDED REPRESENTATIVE 6 198 -2010 ACORD CORPORATION.All rights reserved. ACORM2512010I05): 1 of 1 The ACORD name and logo are registered marks of ACORD' 9SB0369IM80368 CJF t � i AWC Guide to Wood Construction in High end Areas IIO mph ttd Zone Massachusetts Checklist for Compliance(78o cm 5301.2.11.01D Check Coinptianncce 1.1 SCOPE ........110 mph WindSpeed(3-sec,gust). :,,,........................................................ ........................................ WindExposure.CstegOPY..........................................1—.1...............I................... ...........................I.............B V Wind Exposure Category. . .................................."'.... 1.2 APPLICABILITY 12 slope shall be considered a story) stories 5 2 stories Number Stories(a roof whidi exceeds 8 in op 2) s 12:12 Roof Pitch................................................................... .(Fig 2) .. ....................................... ..aft 5 33' —7 Mean Roof Height .. (Fig 3)................................................ ft 5 80' Building Width,W .................... (Fig 3)...........................,.................:$b ft 5 8v Building Length,L.... .................... ................................. (Fig 4).......,..................................... S 3:1 Building Aspect Ratio{L/IIV) ... Z. .. .............�5 6'8' ..... Nominal Height of Tallest Opening ...................................(Fig 4)................................... 1.3 FRAMING CONNECTIONS (Table 2)............................................................... General_compliance with framing connections................... 2.1 FOUNDATION Walls meeting requirements of 780 CMR 6404.1 Foundation .. .......... .............. ........................................ ..... Concrete................................................. . . .................................................. Concrete Masonry.. . .. ............................................................ ................................................ . 2.2 ANCHORAGE TO FOUNDATION''3 5/8"Anchor Bolts imbedded or W Proprietary Mechanical Anchors as an alternative.in concrete onl�_in. (Table 4).......................................... " " —�. Bolt Spacing-general .... in.5 6 —12 Bolt Spacing from endrjoint.of plate ............................(Fig 5)....................................�..12 In.t 7' ✓ Bolt Embedment—concrete .:.....................................(Fig 5).. in.a 15" Bolt Embedment r.. .................................,,...mason .(Fig 5)........................................... . .(Fig 5). ..t 3'.x 3"x'/•" PlateWasher........................................................... ......................................... 3.1 FLOORS (per 780 CMR Chapter 55) Floor framing member spans checked............................... ft s 12' Maximum Floor Opening Dimension..................................,(Fig 6)... � )....................................... Full Height Wall Studs.atFlaor Openings less than 2'from Exterior-Wall(Fig8 ►�lA Maximum Floor:JoisE;Setbaeks ..........—ft S d Supporting.Loadbearing Walls or ShearwalL...............(Fig 7)......................................... Maximum Cantilevered Floor Joists ft S d Supporting Loadbearing Walls or Shearwaii.............•..(Fig 8)....................................., ...... Floor Bracing at Endwails.,.................................................(Fig 9)........................................................................ Floor Sheathing Type (per 780 CMR Chapter 55)........,... ... n. Floor Sheathing Thickness ................................................(T ) (per 780.C Chapter.55).................. .. _7- Floor Sheathing.Fastening..........................:....... able 2 d nails at L2 in edge/12 in field 4.1 WALLS ✓ Wall Height ........(Fig 10 and Table 5) �1 + ft 510' ........................... .� Loadbearing walls............................................... ........(Fig 10 and Table 5)...........................�ft 5 20' Non-Loadbearing walls.......................a................ ..... (Fig 10 and Table 5) JIQ. In.s 24'o:c. Wail Stud Spacing ft— S L WallStory Offsets ........................................................ (Figs 7&8.)................................ ........ d 4.2 EXTERIOR WALLS' Wood Studs 2x(,E -1 ft t2 in. Loadbearing walls........................................................(Table 5)............................. _-_ ..2x�-.Z ft(2 in. Non-Loadbear#ng walls. .............................................(Table 5)............................. Gable End Wall Bracing 1 (Fig 10) N f Full Height Endwaii:Studs............................................(Fig 11) ...................•.......•.......... ft?.W/3 '� TTA and 2 x 4 Continuous Lateral Brace WSP Attic Floor Length .......................................... .12.E ft a O.gW �/ Gypsum Ceiling Length{�f:WSP not used)...... .. .... .(Fig 11).... ..•.......... . .......... . ...... .. ... (a3.6 ft,o.c... Fi 11 or 1 x 3 tatting furring strips 16'spacing min.with 2 x 4 blocking @ 4 ft.spacing in end Joist or truss bays ✓ Double Top Plate (Fig 13 and Table 6)...................................3 ft Splice Length .................. .................................... able 6).............. ............... (T Splice Connection(no:of 16d:common nails)............. ' Guide to Wood Construction in High Wind Areas•-110 mph Wind Zone AWC Massachusetts Checklist for Compliance(78o CKR 53012.1.1)t Loadbearing Wail Connections (Tables 7)....................................................... ..................................•.................. Lateral(no.of 16d common nails)........... Non-Loadbeanng Will Connectlons ,(Table 8) .. Lateral(no.of 16d common nails Load Bearing Well Openings(record largest opening but check a1l:openings for compliance Table e n.5.11' (Table 9) in.51' Header.Sp9ns :(Table 9).................................._ft_ Sill Plate Spans ........................ Full Height Studs (no.o studs).. N Non-Load Bearing.Wali Openings(record largest opening but check all openings for compliance to Table ans: (Table 9).. .......I.................. — in.512' Header Sp •• •" — ....(Table ................................. Sill Piste Spans. able 9)................................................... Full-Height Studs(no of studs)........................... Exterior Wall Sheathing to Resist UPlrft.and Shear.Simultaneously Minimum Building Dimension,W '::Win. (9 _5 6'8" ✓ Nominal Height of:Tallest Opening 4�. .......... V�i _ �- e......... ....... . ..... .....0...(note in. Sheathing Type Mess ............ Nall S acin (Table 10 or note 4 rf )• •• -�` Edge N. P 9 ....................................... able 10)... ..... ............................ �4 Field'Nai1 Spacng .....................nail Shear Connection(no.of 16d common nails)(Table 10)......................................................... .. . . (Table 10).................... Percent Full-Height Sheathing.....:.................. a � •(Design Concepts). .................... 6%Additional Sheathing for Wall with opening . 6 8 9 Maximum Building Dimension,L (gs 6'8" Nominal Height of Tallest Opennng2................ ..............................•....... ...... ... WS? Sheathin pe ............................................(note 4)........................................ in• g.Ty (Table 11 or note 4 if less)....................... Edge'Nail Spacing........................................ (Table 11} .............. ................................................ k Field Nail.5pacing...... .............m able 11) ............... fi Shear.Connection(no of 18d common nails)(i"abte 11) ......I...I....... /6 Full-Hei hf Sheathing ......(T - Percent F. g ........ i 5%Additional Sheathing for Wallwith Opening>6 8 (Design Concepts).................... WaILCladding ............................. ..... II Rated forWndSpeed?................................................................ 5.1 ROOFS v Roof.framing member spans checked?..................•••.•(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...................................(Figure 19)............. ft 5 smaller of 2'or U3 Truss or Rafter Connections at Loadbeadhg Walls proprietary.Connectors .......................U= plf NL Uplift................................................(Table 12)........................... ...............i Pft 1� Lateral ...;(Table 12) plf (Table 12) $ IN Shear.............................................. plf pp g )..................... ..... T Ridge Strap Connections,if collar tags not used per page(Figure (Table 13 ft s smaller of 2'or U2 Gable Rake,Outlooker................................ .........(Figure 20)............. Truss or.Rafter Connections at Non-Loadbearing Walls Proprietary Connectors ,.(Table 14) ..I.........I..............U= lb. Uplift ib. Lateral(no.of 16d common nails) (Table 14)..... ....................... � . T (per CMR Chapters 58 and 59) Roof Sheathing Type................................................ — in z 7116"WSP .. Roof Sheathing Thickness........................................... able 2) .:.........................,.........._ Roof:Sheathing.Fastening.................... ........... Notes: to comply with the s of 1. This checklist shall be met;n f thentirety, ch ilst excluding ls m'ett In its specific nntirety thenpthe following metal straps and hold downsmaretnot 780 CMR.5301.2.1.1 Item required per the WFCM 110.mph Guide: a. Steel..Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b when 5%is added to the percent full eight sheathing 2. Exception:Opening heights of Up to 8 ft.shaiibe permitted requirements shown in Tables 10 and 11.. 3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. .t .A Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone iwi� Massachusetts Checklist for Compliance(780 e s3o1.za.><) 4. a. From Tables 10 and 1.1;and location of wali sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural.Panels shall.be minimum chic kness of 7/18'and ba installed as follows: is PanelsViali'be installed with.strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing.. Ili. on single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv, on two story construction,upper panels shall.be attached to the top member of the upper double top . plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and.lower attachment:made to Lowest plate at first floor framing. v. Horizontal nall spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal.Nailing for Panel Attachment •-wt�n r�Er�E r+�a�+ FWAWUSESdUMS AT"ra. I II 11 Na44 ti It ti M � • t� t it 1. ri o d v . 1 t1 M. { it See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment A.WC Guide to Wood Constructioas n in High Word Are . 11.0 mph Wand:Zone Massachusetts'Checklist for Compliance(1780 CMR 53o1.2.S.1)' 1 �4 i t why �a MAL MAUMALGME PAXMMM Detail Vertical and Horizontsl Nailing for Nnet Attachment P . I V fie �O� wouuecr�Clz_��C ��ac�ivaell3 Office of Consumer Affairs&Busi ess Regulation License or registration valid,for individul use only before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration: 143358 Type: Ltd Liabilit Cor c: 10 Park Plaza-Suite 5170 xpiration: 710/2:0`t4 y p Boston,MA 02116 lug, CAPEWIDE ENTERP:,�f ' i L;LC; :. -- RICHARD CAPEN �• 4507 R RTE 28 COTUIT,MA 02635 Undersecretary Not valid withou 'gnature Massachusetts -Department of Public Safety Hoard of Building Regulations and Standards Unrestricted-Buildings of any use group which (fm.lructitm Supen i.ur contain less than 35,000 cubic feet(991 m3)of License:CS-M273 enclosed space. lEbi+Gi-IMW M C PEN ' 122 t#T kAlt 1t ftTlTl lib , f Failure to' possess a current edition of the Massachusetts �•+�- ►o Expiration State.Building Code Is cause for revocation of thIs license. Commissioner 11/27/2013 For DPS licensing Information visit: www.FAass.Gor/DPS t REScheck Software Version 4.4.4 Compliance Certificate Project Title: Sprague Residence Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Project Type: Alteration Conditioned Floor Area: 0 ft2 Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 495 Elliot Rd. Capewide Enterprises Centerville.MA Maximum UA: 8 Your UA:7 Envelope Assemblies Ceiling 1:Flat Ceiling or Scissor Truss — ... ---.. -- — Exemption:Framing cavity not exposed. Wall 1:Wood Frame,16"o.c. -- Exemption:Framing cavity not exposed. Window 1:Wood Frame:Double Pane with Low-E 22' 0300 7' SHGC:0.00 Floor 1:All-Wood JoisttTruss:Over Unconditioned Space --- — — --- Exemption:Framing cavity not exposed. 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 2009 IECC requirements In REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 1 of 7 REScheck Software Version 4.4.4 Inspection Checklist 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. " T Plans Verified Field Verified 12009 1ECC Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions 103.2 Construction drawings and ❑Complies [PR1]' documentation demonstrate energy ❑Does Not Comply 14 code compliance for the building ❑Not Observable envelope. ❑Not Applicable _ 103.2, Construction drawings and ❑Complies 403.7 documentation demonstrate energy ❑Does Not Comply [PR3]' code compliance for lighting and []Not Observable mechanical systems.Systems serving ❑Not Applicable multiple dwelling units must demonstrate compliance with the commercial code. 403.6 Heating and cooling equipment is Heating: Heating: ❑Complies [PR2]2 sized per ACCA Manual S based on Btu/hr Btu/hr ❑Does Not Comply loads per ACCA Manual J or other Cooling: Cooling: ❑Not Observable approved methods. Btu/hr Btu/hr ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 2 of 7 ;Q09,1ECC Foundation Inspection Complies? Comments/Assumptions 303.2.1 A protective covering is installed to ❑Complies [F011]2 protect exposed exterior insulation []Does Not Comply and extends a minimum of 6 in.below ❑Not Observable grade. ❑Not Applicable _ 403.8 Snow-and ice-melting system ❑Complies [FO12? controls installed. ❑Does Not Comply []Not Observable ❑Not Applicable Additional Comments/Assumptions: 1, High Impact,(Tier 1) _. 2, M..e..dwm impact(Tier_2) 3 Low Impact,(Tier 3)_ Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 3 of 7 Plans Verified Field Verified 2009 IECC Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions d 402.1.1, Glazing U-factor(area-weighted U- U- ❑Complies Seethe i table for 402.3.1, average). ❑Does Not Comply 1aUM 402.3.3, ❑Not Observable 402.5 ❑Not Applicable [FR2]1 303.1.3 U-factors of fenestration products are ❑Complies [FR4]' determined in accordance with the ❑Does Not Comply NFRC test procedure or taken from ❑Not Observable the default table. []Not Applicable 402.3.5 Sunrooms enclosing conditioned U- U- ❑Complies [FR8]' space have a maximum fenestration ❑Does Not Comply U-factor of 0.50 in Climate Zones 4-8. [—]Not Observable New glazing separating the sunroom []Not Applicable from conditioned space must meet code requirements. 402.3.5 Sunrooms enclosing conditioned U- U- ❑Complies [FR9]' space have a maximum skylight U- ❑Does Not Comply 34, factor of 0.75 in Climate Zones 4-8. ❑Not Observable ❑Not Applicable 402.4.4 Fenestration that Is not site built is ❑Complies [FR20]' listed and labeled as meeting ❑Does Not Comply AAMANVDMAICSA 10111.S.2/A440 or ❑Not Observable has infiltration rates per NFRC 400 ❑Not Applicable that do not exceed code limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housingfinterior finish and ❑Does Not Comply labeled to indicate 2.0 cfm leakage at ❑Not Observable 75 Pa. (:]Not Applicable 403.2.1. Supply ducts in attics are insulated to R- R- ❑Complies [FR12]1 R-8.All other ducts in unconditioned R- R- ❑Does Not Comply spaces or outside the building ❑Not Observable envelope are insulated to R-6. ❑Not Applicable 403.2.2 All joints and seams of air duds,air ❑Complies [FR13]1 handlers,filter boxes,and building ❑Does Not Comply y, cavities used as return duds are []Not Observable sealed. [_—]Not Applicable 403.2.3 Building cavities are not used for ❑Complies [FR15]3 supply ducts. ❑Does Not Comply ❑Not Observable _ ❑Not Applicable 403.3 HVAC piping conveying fluids above R- �R- �❑Complies [FR17]z 105 OF or chilled fluids below 55 OF ❑Does Not Comply are insulated to R-3. [-]Not Observable [:]Not Applicable 403.4 Circulating service hot water pipes are R- R- ❑Complies [FR18]Z insulated to R-2. ❑Does Not Comply ❑Not Observable []Not Applicable 403.5 Automatic or gravity dampers are ❑Complies fFR19]2 installed on all outdoor air intakes and ❑Does Not Comply exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High..lmpad(Tier 1)._! 2„,rMedium.lmpact,(77ker.2) _ 3 Low Impact(Tier M. Project Title: Sprague Residence x :' Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 4 of 7 Field Verified 2009 IE Plans Verified CC Insulation Inspection Complies? CommentslAss urn ptions Value :303.1 All installed insulation is labeled or the ❑Complies (IN13]2 installed R-values provided. ❑Does Not Comply []Not Observable _ (:]Not Applicable 402.1.1, Floor insulation R-value. ��— R- _ R- ❑Complies See the tine Assemblies table for 402.2.5, ❑ Wood ❑ Wood ❑Does Not Comply value§. 402.2.6 ❑ Steel ❑ Steel ❑Not Observable [IN1]' []Not Applicable 303.2, Floor insulation installed per ❑Complies 402.2.6 manufacturer's instructions,and in ❑Does Not Comply [IN2]1 substantial contact with the underside ❑Not Observable of the subiloor. ❑Not Applicable 402.1.1, Wall insulation R-value.If this is a R- R- ❑Complies See the Erivelane&sembl?es table for 402.2.4, mass wall with at least%of the wall ❑ Wood ❑ Wood ❑Does Not Comply values. 402.2.5 insulation on the wall exterior,the ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior insulation requirement Not Applicable applies. ❑ Steel Steel ❑ 303.2 Wall insulation is installed per ❑Complies [IN4]' manufacturer's instructions. ❑Does Not Comply ❑Not Observable ❑Not Applicable 402.2.11 Sunroom wall insulation has a R- R- ❑Complies [IN8]1 minimum R-value of R-13.New walls []Does Not Comply separating the sunroom from ❑Not Observable conditioned space must meet code []Not Applicable requirements. 303.2 Sunroom wall insulation installed per ❑Complies [IN9]' manufacturer's Instructions. ❑Does Not Comply ,. ❑Not Observable ❑Not Applicable 402.2.11 Sunroom ceiling minimum insulation R- R- ❑Complies [IN10]1 R-value of R-19 in Climate Zones 14, ❑Does Not Comply y, and R-24 in Climate Zones 5-8. ❑Not Observable ❑Not Applicable ........._._._—__........._.............—_..............__.._._.._......................._...................__...._._........_..._.__._,...,...._._...............__........_ .............._......_.-._..........__....__—....._..... _ _.... - -.....__............_.._._....._._... ...-------.: 303.2 Sunroom ceiling insulation is installed ❑Complies [IN11]' per manufacturer's instructions. ❑Does Not Comply ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low impact(Tier 3) — Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Sfebel\Sprague.rck Page 5 of 7 20091ECC Final Inspection Provisions Plans Verified Field Verified Complies? Comments/Assumptions Value Value 402.1.1, Ceiling insulation R-value.Where>R- R- R- []Complies See the Envelone Assemblies table for M 402.2.1, 30 is required,R-30 can be used if ❑ Wood ❑ Wood ❑Does Not Comply values. 402.2.2 insulation is not compressed at eaves. ❑ Steel ❑ Steel ❑Not Observable [FI1]1 R-30 may be used for 500 ftZ or 20% ❑Not Applicable (whichever is less)where sufficient space is not available. 303.1.1.1, .Ceiling insulation installed per ❑Complies 303.2 manufacturer's instructions.Blown ❑Does Not Comply [FI2]1 insulation marked every 300 ft'. []Not Observable s% ❑Not Applicable 402.2.3 Attic access hatch and door insulation R- R- ❑Complies [FI3]1 R-value of the adjacent assembly. ❑Does Not Comply a . ❑Not Observable ❑Not Applicable 402.4.2, Building envelope tightness verified ACH 50= ACH 50= ❑Complies 402.4.2.1 by blower door test result of<7 ACH ❑Does Not Comply [FI17]1 at 50 Pa.This requirement may ❑Not Observable instead be met via visual inspection, []Not Applicable in which case verification may need to occur during Insulation Inspection. 402.4.3 Wood-burning fireplaces have ❑Complies [FI8J2 gasketed doors and outdoor ❑Does Not Comply combustion air. [—]Not Observable ❑Not Applicable 403.2.2 Post construction duct tightness test cfm cfm ❑Complies [F14]1 result of 8 cfm to outdoors,or 12 cfm ❑Does Not Comply across systems.Or,rough-in test -❑Not Observable result of 6 cfm across systems or 4 ❑Not Applicable cfm without air handler.Rough-in test verification may need to occur during Framing Inspection. 403 1.1 Programmable thermostats installed ❑Complies [Fl9]2 on forced air furnaces. ❑Does Not Comply: ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed on ❑Complies [FI1012 heat pumps. ❑Does Not Comply []Not Observable ❑Not Applicable 403.4 Circulating service hot water systems ❑Complies !'.[Fill? have automatic or accessible manual ❑Does Not Comply controls. ❑Not Observable ❑Not Applicable 403.9.1 Readily accessible switch on heaters ❑Complies (FI12]3 for swimming pools. ❑Does Not Comply []Not Observable ❑Not Applicable 403.9.2 Timer switches on pool heaters and ❑Complies (F119]' pumps are present. ❑Does Not Comply ❑Not Observable []Not Applicable_ 1403,93 Heated swimming pools have a cover. ❑Complies _ [F120J3 Covers on pools heated over 90 OF ❑Does Not Comply are insulated to R-12. ❑Not Observable ❑Not Applicable 404.1 500 of lamps in permanent fixtures ❑Complies [FI6]1 are high efficacy lamps. ❑Does Not Comply ❑Not Observable ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) _a3JLow Impact(Tier 3) Project Title: Sprague Residence 'x� Report date: 01/15/13 Data filename: C:\Documents and SettingslShawn\My Documents\REScheck\Siebel\Sprague.rck Page 6 of 7 20091ECC Final Inspection Provisions Plans Verified Field Verified Complies? Comments/Assumptions Value Value 401.3 Compliance certificate posted. ❑Complies [FI7]2 'm ❑Does Not Comply a E ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for mechanical ❑Complies [FI18]3 and water heating equipment have ❑Does Not Comply been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sprague Residence Report 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 7 of 7 Q• BAMI?rABLE, 61 A MASS. i6J9' Town of Barnstable � �fD MA'S Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:.508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property LJ hereby authorize Mr e � � Lzc. to act on my behalf, p J in all matters relative to work authorized by this building permit application for: (Address of Job) 1o73W 13 Si nature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 05301.2 1 r`! ► of Barnstable *Per it# of ����s ��� � Ex the f,o,n issue Regulatory Services F i BARN9TABLe,MASS. MAY 01 2013 1 � Thomas F.Geiler,Director �fC Mp'I A i -OVI/(V Building Division ®F BARNa� ,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number L nZJ I I Not Valid without Red X-Press Imprint Property Address T epj0� /GcJ� , Ce_*7 ta VI He M I`f QZCo 3 Z [Residential Value of Workl1,57 OP Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address f/�1 ��c1 IN f.-Y1 �,�11`_62Q fit 195 cIll'vtt Rd cc Cent i >lP MA dzce3�z Contractor's Name R I�' �&r4 C4IY)t4 l C(,(.►�0LV1C1fIQ tN k r ft ep`lione Number J 20—/177 -60-�^l Home Improvement Contractor License#(if applicable) 3 3� Construction Supervisor's License#(if applicable) C a — of Z [2<orkman's Compensation Insurance Check one: ❑ I am a sole proprietor k am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 111 fx I Iq, -&ry-` rl l:�:q ' S «rAJ"1ce Workman's Comp.Policy# p v ) 0-t 1 2— Copy of Insurance Compliance Certificate must accompany each permit. Permit R st(check box) D -, eqMRe-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing-layers of roof) VRe-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: r � — C:\Users\decollik\AppData\Local\MicrosoMWindows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 Assessing As-Built Cards Page 2 of 2 CAPEENT-01 DCOSTELLO DATE(MMIDDIYYYY) ,a►co�zo CERTIFICATE OF LIABILITY INSURANCE412212013 IS T IS HISCERTIFICATE IS ISSUED AS A MATTER OF OR NEGATIOVEILY AMEND,ATION LY AND E TEND CO ERANFEL TER S NO THE COVERAGE AFFORDED BY THE POLICIES IGHTS UPON THE CERTIFICATE HOLDER. ATE DOES NOT AFFIRMATIVELY THIS CERTIFICATE OF INSURANCE DOES NOTCONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED. NTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. NT: If the certificate, holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION IS WAIVED,subject to and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the holder in lieu of such endorsement(s). CONTACT .PRODUCER NAME: Rogers&Gray Insurance Agency,Inc. PHONE No Ext: FAX No 434 Rte 134 E-MAIL South Dennis,MA 02660 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Arbella Indemnity Insurance . INSURED INSURER B: Capewide Enterprises LLC INSURER C: J.P.Macomber&Sons INSURER D: PO Box 763 INSURER E: Centerville,MA 02632 INSURERF: 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. POLICY EFF POLICY EXP LIMITS INSR TYPE OF INSURANCE INS WVD ADD POLICY NUMBER MMIDDIYYYY MWDD/YYYY LTR 1,000,000 EACH OCCURRENCE $ GENERAL LIABILITY 250,000 8500050813 4/30/2013 4130/2014 PREMISES Ea occurrence $ A X COMMERCIAL GENERAL LIABILITY 5,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMP/OP AGG $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: $ POLICY JPRO- LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident g 1,000,000 A ANY AUTO 58944400004 4/2012013 412012014 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE $ NON-OWNED PER ACCIDENT $ X HIRED AUTOS X AUTOS X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAB CLAIMS-MADE 4600050814 4130/2013 4130/2014 AGGREGATE $ 5,000,000 DED X RETENTION$ 1 O,000 WC STATU- OTH- WORKERS COMPENSATION X TORY LIMITS ER AND EMPLOYERS'LIABILITY 9120510412 4114/2013 4/14/2014 E.L.EACH ACCIDENT $ 500,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN NIA 500,000 OFFICER/MEMBER EXCLUDED? a E.L.DISEASE-EA EMPLOYE- $ (Mandatory In NH) 500,000 If yes;describe under. E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) With regard to general liability,blanket additional insured and blanket waiver of subrogation apply if required by executed signed contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD http://www.town.barnstable.ma.us/assessing/HMdisplay.asp?mappar=088001&seq=1 4/22/2013 Town-of Barnstable• -Wgulatory'Services a " Thomu F.Geller,Director' Building Division 116mss Perry,CBO :Building.CommEssloper 200 Main Street, Hyannis,MA:02601 www.town.barnstabiema.us Office:.303.9624038 Fax: 5.0.84904230 Property Owner Must Complete.;and Sign This Section If Using A►Builder as Owner of the subject property hereby authoaze! ".'. ' " 'to aci on my behalf, in all.thatters relative to work authorized by this builduig permit application for. (Address:of Job) a9 RPn- r 3 & Owner. Date e 2oh4 w.i '��dta'' uwtlj Piing Name Iffroperty Owners applyinefor permI4 plesse complete the Homeowners Licep.sa Exemption Form on;the reverse side. CWxmlQew.11ikUlppDWAXL*UhMi=wtt VrmdowslTempmo tntemet FOesTenemOudooNQRFAZUHNMPRESS.dw Revised 053012 Hie Caffeasranansmah p - assadhisetfs e,uartr east Accidents 09we of Irarestigationas . , 00 WIiiihin tiara SMeet Boston,MA 02111 avtcfre arrrasrre 'dia NV orkejW Compensation Insurance Affid..avit:Baders./Conti-acttar lectaicilansJPlu hers Applicantlif i7m Please Print Legibly Name(Bttst0azati 'Iaadividaal p�r C'�'I G�/ / C�i7� 6 � i'� �" i1 CitylState�`Z Phone '`��'����i� r�la-e-p an emulaper?deck the appropriate box: Type+afgxeject(rewired)_ 1 L� I axr a era to wig �. 4_ ❑ I aeu a gea�rai contractor anti I: P y 6. ❑New constiuctioll eeiployee (fall aadCorpa time).* have hired the sib contractors ❑ I Am a sole prop #an or panther listed on the attached sheet_ 7. ❑Remodehug slip and live no employees These sub-contractors have g ❑Demolition vi €or me in.an t employees anal have seers' asinra� . y t3` 9 ❑Building addition jFYu�vorkus'enmp �� nee comp:st once 1 d 5. ❑ €fie are a corgrrattcsn sad its 1f}_❑Eltrical sepai or additions ❑ r N j ohs Katie evert ised they i 1I_ Pluxnbin errs or additions I a horrieca�dsaaug all woalr ❑ £ n worlrers' r*ht©f ea gTti .per�1GL eparr gyp" 1 Rtoofr insurance r irctl j 1 c.15.2 1(4 And we hAve no 13_dOth Si i wa comp.insurance regti sid] &rant that cheel s lros#1 ems#also fill out the section beloty shnasing their.0 leers':eompensetion policy infer an. 3 Vp;..: >Ifameoauacss whn subxn►t ase Hiring slE wa¢k and du a}Tire outside contra toes nu t svkait a new affidavit iodicsting suck, �antsactors tbat check this must ettached an additianel sheet�the sae of fhe saris-camtractors and stare�rhether at not thase entities Bsve eloyeeE:.Ifthe sub cant�setooss etstpla9s t& �tst x �} pmvida,t3cesa aoskers'romp,palicynumbeI_ _..... I am u€a emptuer.€itatirpravir t►fcrriz 'conrrasalion ir�sxtrrr►tce for iat errtpoyx :Before is:fitepoiic 1144 job rite aiafareatctlrarr: �< Ins�suarnt a Co OAny 14an e: 11, 1,�G1 d rl i 1 ris i.J� Ercpustion Date_ Job site Add: �I�r lS �' ate- City/State/Zip:�'�in rx)l9 /l U7C�4 ") rich a espy tsf:the nor.k,�rs'campenstion policy dearatir�n page(dhausir►g the palicg nnanler and e�piratiin rlai ) Fair to secure cos erage as rewired under Section 25A'of MGL C. 152 can lead to the imgosition of criminal penalties of a fine up;tc>$1 500 00 andl�r one-year imprisonment as well as civil penalti s ifl the fonn of a TOP WORK'ORDER and a free cif up;tv:.$25U:t °a day against.the:sriolator: Be advised chat a copy of this statement May be f&%rarded to t1 Office of Investtigatats of:the DIA for snsurance ccnrerage vercation_ I, hereby c hitAiethig pains andpandwes of perjarry tihat die infortrtafimrt pt�vt d aboxae is Prate and r�rrrect Signature Date. 4/3o i 3 #_ -4-1 usr gniy. Do not arrttts in this arra,to be completed ba.cif}'ar toavn a ciai I -i :w:. osvn Permit/l cense Issnuig�ntltoa� (cir�one): 1 ECoord of HeAM y:8uiicl ag Department 3.Cityfrov Clem 4.Electrical Insgertor 5.Phtrnhing Insp actor 6.fl#hrr� Confect Person. Pane it: _ _ _ 6 C6e W"V"Wruueal.C/z or registration istration valid for individul use only Office of Consumer Affairs&Business Regulation g MENT CONTRACTOR before the expiration date. If found return to: OME IMPROVE , OM E Office of Consumer Affairs and Business Regulation egistation: 1 IMPROVEMENT Type: 10 Park Plaza-Suite 5170 xpiration: 74/2014 Ltd Liability Corpc: Boston,MA 02116 CAPEWIDE ENTERi?:ili ' ; L;L;Cs RICHARD CAPEN 4507 R RTE 28 COTUIT, MA 02635 Undersecretary Not valid with ou ignature t. Massachusetts- pepart r3ent of Public Safety Board of 1 00dinsg Regulations Wid Unrestricted-Building s of an X use Sip which (nn.lructiun Supcn i.ur contain less that 35,000 cubic feet(991M )Of License:CS W 73 enclosed space. l ICHAs1tl.D'i�'I Cr1P1aIV, nr 122 Wk{1TlkF1 1 �R G0,11T1.T 141;t t1Z6 = Failure to possess a current edition of the Massachusetts ��'�'""' " �•' `� Expiration State Building Code is cause for revocation of this lkense. Commissioner 11/27/2013 For DPS Cicensina information vfsk: www.Mass.Gor/DPS Assessor's Office ist floor. Mg` OY 7 Lot 6 / _ Permit# Conservation Office 4th floor 90 Date Issued Board of Health Ord floor � . r-' 49EE En ineerin De t. 3rd floor HousePlanning Dept. (1st floor/School Admin.Bldg.):Definitive Plan A roved Plannin Board 19 SEPTIC SYSTE BONO LED IN C (Applications proce 8:30- : 0 a.m.& 1:00-2:00. .m. wnmus ENVIRONMENTAL CODE AND TOWN OF BARNSTAf IREIGULATI®NS Building Permit Application Project Street AV5fo .',e4e Villa CZ44 YZ.a Fire District .CS fhvner _ Address Telephone Permit Request: Zoning District Flood Plain Water Protection Lot Size _ Grandfathered Zoning Board of Aoveals Authorization Recorded Current Use Proposed Use Construction Tvne / Existing Information Dwelling T e: Single Family v Two famfly Multi-family Age of structure Basement type p Historic House Finished Old Kings Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Tvne and Fuel Central Air Fireplaces _Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone number .36 ez / Address-_� ! � � License# VA 7� Home Improvement Contractor# /0 Worker's Com nsat►on # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost Feeel— SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T -743 5/17/9 5 -51-tTo--' FOR OFFICE USE ONLY �i. 227. 117 •ADDRESS 495 Elliott Road ; VILLAGE Centerville Julius _Palley OWNER , DATE OF INSPECTION: s FOUNDATION _ FRANE 1 • INSULATION 7 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGI F'. FINAL FINAL BUILDING DATE CLOSED OUT. Ano ' to ;'. ASSOCIATE PLAN NO.j '" It a} z t , i ailYra�uPosseasocurront COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _ ; massacosotts StatoBufldiai OF ONE ASHBORTON PLACE ��0 codoiscaussforroracaQ1°� MASSACHUSETT BOSTON,MA 02108 = atthisi9ooAso• �a'�� '9 CAUTION EXPIRATION DATE` FOR PROTECTION AGAINST EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS PRINT IN APPROPRIATE BOX ON LICENSE. x ° - BLASTING OPERATORS MUST INCLUDE PHOTO. i PHOTO(BLASTING OPR ONLY) -FEE: t NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER }' . DOB: ' q JUL U 7 1993 THIS 1DOCUMENT.MUST BI- « SIGN DFULL AB�YESIGNATURCARRIEDONTHEPERSONOF SIG UR FLE SEE ' (''^J\ t'l~'•u I THE HOLDER WHEN EN OTHERS-RIGHT THUMB PRINT GAGED IN THIS OCCUPATION NE`: av' �i e 7 au o�✓uamac�i 777a�s . : HOMEI4PR,O,-iw q CONTRACTOR Registraton104499� ._. 10 TyPe�PRIVATE CORPORATION f ExRirai ion �07/14/96 DolgoffBui,lding/Rem Art odeli tozi0olgoff ��f fG� � � 9McCormlcCDr9 ` r3 1� N Y '�7 d, �aoMw(s TOR ' w a 'Ia AbleM 1A 02672 z �tlXt t :j Ilz. ,��� ` i�d,.+x.,a-„-xs,y.'w•`w,''r��szt+>;s . The Town of Barnstable 6 s6sp. g Department of Health Safety and Environmental Services �e + ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790.6227 Ralph Crossen Pc.` mit Date �S AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMITAPPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair;mode:niratioa,conversion, improvement, remo%al, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or'to 911 a-Ymes which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work:�iu�i�.� 7����s �.7' Est Cost - /S a C7 Address of Work: Jc► �/r (� Qaner Name: Date of Permit Application:_ .��zz lg I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-oocupied Owner pulling own permit N'ot;x is hcrcbc given t.=,: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HONE IMPROVEME-IN7 WORK DO NOT HAVE ACCESS TO THE RE:n4:TION, OR GUAE.hNTY I UNTI)UNDER MGL c. 142A SIGtiED UNDER PENALTIES OF PERJURY I hercby apph•for a permit as the agent of the owner: O Date eontractor name Registration No. ' OR Date Owner's name 1 11/02.94 17:02 %Y6177277122 DEPT IND ACCID a 001 r�- / � Conunonc.uea tli, o W�Jaclzudetb a1�a�ctrtinenE o�.,}'ndudEriaL�ccaden[� 600 1/V uk nybn. ht t James J.Campbell &hon, Mmac" 02f f f Commissioner Workers' Compensation Insurance Affidavit (tlomseMpetmnree) with a principal place of business at: (cLristAWzIP) do hereby certify under the pains and penalties of perjury, that: 0 I am an employer providing workers' compensation coverage for my employees working on this job. zoo %/o Insurance Company 'Policy Humber 0 l am a sole proprietor and have no one working for me in any capacity. O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Dumber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number O I am a homeowner performing all the work myself. I ur!derst<nd that:;copy of this statement will be fo- arded to the Office of Invesbsr2tions of the DIA for coverage verification and that failure to secure coverage as req:,ired under Scction 25A of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to s 1,500.00 and/or ere years' imprisonment as well as civil penalties in the form cf a STOP WORK ORDER and a fine of s 100.00 a day against me. Signed this ( day of 0 19 , Licensee/Permittee Building Department -- Licensing Board Selectmens Office Health Department j 7 7 7 d TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 TOWN OF BARNSTABLE BUILDING PERMIT # l� fi Q r [ , N. � t� '111� m �d. Red Lllly AL Pon Locus IIf v AL a. C� villa Centerville Bed f?d Harbor LOCATION MAF SCALE: 1"=2083' M Teakwood Realty Trust Cen tervill e, Ma. 02632 ,1z ro ert Ltne L 0 Q 4 0 . � I 0� a o Oyster Bay Resident Assoc. iD , �. G P.O. Box 2040 Cen tervill e, Mo. 02634 -60 Lam• -0 15 .30 0 AL i N OF A/ASb' $V• • T CHgIcTOPHER P.JOLLY m d CIV y . _ v 9 No.J5854� �► �° ,gyp Elevations" Are Based On M.L. W. Plan Accompanying Petition Of Julllus A. Palley J,- 3 Maintain A Pier, Ramp, Float, And l es On Cen tervill a River. 6�p L'j Cc(( t°SS S dz�A 6 o (Barnstable County Cen tervill e, Ma. P/" (fie t� r YP_ U b, 14, 1992 A.M. Wilson Assoc., Inc. 13410 �0 (SS J"xe eet 1 Of 3 Job No:2 05 5.0 TOWN OF BARNSTABLE Permit No. ___19906 t Building Inspector � rua Cash _------- OCCUPANCY PERMIT Bond _ _ "No building nor,structure shall be erected, and no land,building or structure shall be used for a new, different, changed,or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Robert J. Nardone Address Centerville lot #15 495 Elliot Road, Centerville - Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department N/A Inspection date 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. ........................_............................. 19... _ ...... ........................... ._...._.......... Building Inspector G oop O F'�I v \ _ x, p�� a � � � o o �- oT ��.�?:J.grj-ids /�f4/Z.Oo.✓ .Ae<D�.0 C E R T I F I E D PLOT PLAN L O C A T 1 0 N* y�GG e, `JIASS _ f SCALE: � �� DATE�'9� /8, /9�8 R E F E R E N C E : /4s •-51/-7/ p,✓ .o,�.q ✓,E'er�0.�0 E� A�', �.7,e.vsTAc3GE .eEU/ST"2y o� ��Et�S � �� 78 �Z / D A T E 1 HEREBY CERTIFY THAT THE .8UIL DING REG. LAN D SURVEY R SHOWN ON THIS PLAN 15 LOCATED O N THE GROUND AS SHOWN HEREON AND Grr S fw_lw THAT IT CONFORM TO THE ZONING SETBACK REQUIREMENTS OF T H E T O W N O FA.E? WHEN CONSTRUCT E D . c m S ASSOCIATES , INC . 5 , 1 'R E G I S•T E R E D EN G I N E E R S d' LAND SURV E Y O R S MlD -CAPE . OFFICE BUILDING - 126S ROUTE 28 7'7�5-3 SOUTH YARMO UTH, MASS. 02664 I Assessors map and lot-'number u S6wage�Permit number � ��� APPROVAL OF _ ER "t._ CONS VATION IIMISSION "ETo�o Cl- W TOWN' OF �BA 'ABL_E Z BAR-I9TLB% i �+ C SYSTEM MUST BE 'pb qa`e Bel <Del G I 0 NSPEC LED IN COMPLIANCE °ypY RTICLE II STATE COD SANITARY E AND TOWN REGULATIONS. APPLICATIONFOR=j PERMIT TO t .. ..... ...................................................................................... r TYPE OF CONSTRUCTION ............. ........................................................................................ y ....... 1917. TO THE INSPECTOR OF BUILDINGS: . . The undersigned hereby applies for a permit according to ;the following information: Location1.... ,, .. (.. `r......................... .........................'...... ...................+ ..�t....................................... ProposedUse ....... e t .. ................................................................................................................................ Zoning District ........................................................................Fire District .6ee^. ....1 .e. ................................. Name of Own e � /'i l�G.:o f�i � / / P� ............��'............ ..............Address ........................................ Name of Builder l ..............� 000, /F ............. .......................................Address .............................................,...................................... ' d , Name of Architect P � .v:. i .......Address f�. .. ®tea !..d?�I... � ......... ........oc � Number of Rooms .............................Foundation .. r�� � �� .................. ............... ................. Exterior ... /. �.. Aq..r-s�.Iz�. .'/4sRoofing ....�. ............................... .�-�........... O Floors e...... ..............................Interior ..... � .. ...�............................. ' Heating J ...:.................................Plumbing .................................................................................. Fireplace N. ............................. �i/ ...:.�� .....Approximate Cost ......... ► ¢„ C%/.............................. ... Definitive Plan Approved by Planning Board --------------------------------19--------• Area E ..... 1...... Diagram of Lot and Building with Dimensions Fee .........1Q..1.,. SUBJECT TO APPROVAL OF BOARD OF HEALTH 7% SAO I hereby .agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above. construction. Name .. .......................... Nardone, Robert J. 19906 for .......two...a to.r.y.........;.Noy................. Permit ...... ...... . .. AT siftle family dwelling . .......... .................................................................... Location ..495..E.11io.t..Road. ...................... . ...... .. ........ .. .... . .. . .........:...............C.........ente.........rvil..l.e............................... .. Owner ............Rober.t...J.....Nard.o.ne................ ........... . .. . ........ . .... Type of Construction .............ft.4mo.................. ................................................................................. Plot.............................. Lot ............#15.................... January 18 78 Permit Granted ......... Date of Inspection ........19 /1 6 Date Completed .......19 PERMIT REFUSED .......... ........ ...... .. ................... ............. 19 i. ............ . ........................... .................. ........... ..... . .. ....... ... ....................... ............... . ............................... ....................... Y.y ............ 'Appro�;ecl............... 19 ................... .............................................. ............. ......................... ' , NE TOWN OF BARNSTABLE 1639, M BUILDING INSPECTOR TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Number of Rooms 7 :VO,4 Exierior Heating SUBJECT TO APPROVAL OF BOARD OF HEALTH 7/7 ` | hereby agree to conform to all the Rules and Regulations of the Town of Rornuhz6|a regarding the above construction. Name ��z:��.�..—.�.--:--------------. ' | K | U ' Nardone, Robert J. A=227-117 19906 'two story, iNo ................. Permit for ......................... ......... singz .family dwelling .......... ........ .`........................................................ Location 495 Elliot Road .......................................... Centerville ............................................................................... Owner .............Robert. . . ..J.....Nardone....... . . .. .. . ...... ........................ Type of Construction frame .......................................... ................................................................................ #15 Plot ............................ Lot ................................ /J.................... anuaryPermit Granted ... 18...........19 78 Date of Inspection ..................19 Date Completed ................ ..................19 PERMIT REFUSED .....:.... ....I............... 19 ................_...... ............ `:;./..7 ...................... ..................................................... .................. p. : !.� .... ....f.,!�....!6 ................ V Approved ................................................ 19 ............................................................................... ............................................................................... r` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Tolv�j. Map Parcel // AppiItor ,,, 3-V, Health Division N hdte;ilpfd,,. Conservation Division s Application Fee Planning Dept. ,F Per..rit Fee U oZ , ; Date Definitive Plan Approved by Planning Board o� Historic - OKH — Preservation /Hyannis Project Street Address95 ///d7� �DQOI Village eently/11,-,P Owner / l a Address Telephone Permit Request i Square feet: 1st floor: existing 2A) proposed nd floor: existing 1,0?Sproposed 6 Total new �. Zoning District Flood Plain Groundwater Overlay Project Valuation �J���l� Construction Type WO&'tl Lot Size �} Grandfathered: OXes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family G/ Two Family ❑ Multi-Family (# units) Age of Existing Structure M Historic House: ❑Yes Q'No On Old King's Highway: ❑Yes ®'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 new Half: existing / new Number of Bedrooms: J existing 0 new Total Room Count (not including baths): existing 7 new First Floor Room Count Heat Type and Fuel: ❑ Gas L2/0II ❑ Electric ❑ Other Central Air: Ind Yes ❑ No Fireplaces: Existing 2 New _� Existing wood/coal stove: ❑Yes &(No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: Zexisting ❑ 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) Name Rl Chard n4y.M Telephone Number Address I5-3 cS-r License # C5_ U cI 2-7 11)149 62&:l Home Improvement Contractor# Worker's Compensation # 65- ,376`t1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE TTM��� DATE } FOR OFFICIAL USE ONLY f • , '� APPLICATION# M DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER 17 DATE OF INSPECTION: t FOUNDATION .� FRAME INSULATION FIREPLACE F ' r _4 ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING R P DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UT 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): C.a �.U/�� �// �r�r�SC S ` LC Address: /53 s7rW_�_ City/State/Zip: V& 0/1 Phone#: Are,�°u an employer?Check the appropriate box: Type of project(required): 1.L9d I am a employer with 22 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.I 7• [ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE]Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.0Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ LEI Potec-.1loyl Co Policy#or Self-ins.Lic.#: Cj 10 b �UQ6'DO 2'J 3 Expiration Date: � � 310 e Job Site Address: t9ad City/State/Zip:CenktV)11e. ^162--tQ 32 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the Information provided above >is true and correct. Signature: _ Date: / ' / �J / 3 Phone#: 1 �� ��1 ' ��3 7 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Client#:51439 CAPEENT ACORD.. CERTIFICATE OF LIABILITY INSURANCE D TEWIDIDD/ 2012 THIS CERTIFICATE 13 ISSUED AS A MATTE.R'OF:INFORMATION ONLY ANO CONFERS.NO RIGHTS UPON.THE`CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEI:Y AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY'THE:POLICIES BELOW:THIS CERTIFICATE OF WWRANCE DOES NOTCONSTITUTE A CONTRACT BETWEEN'THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR.PRODUCER,AND`THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder-Is an ADDITIONAL,LNSURED,.the policy(fes)must;be,endorsed.:lf:SUBROGATION IS WAIVED,subject to the terms and conditions-of the li po cy,certain policies mey:require;an endorsement.A statement on this certificate.does not confer rights to the Certificate holder In lieu of such endorsement(s). PRODUCER. .. E; Linda Taddia Rogers&Gray Ins. Kingston: Ext;508.746-3311 Na;877-816-2156 61.SrnIths Lane: e.r RIL..8: Itaddia@rogersgray.com Kingston,MA 023643700 506 74G-OO55 INSURER 8 AFFORDING COVERAGE' NAIC A INSURERa.Arbella Prot@ction Co...... 17000 INSURED INSURERS: Capewide Enterprises:LLC - INSURER C: _ J.P Macomber&Sons: PO BOX<76$ INSURER D E. Centerville,MA 02632 - - - - .:... COVERAGES CERTIFICATE;NUMBER: REVISION NUMBER;' THIS. IS TO CERTIFY THAT THE POLICIES:OF INSURANCE LISTED:BELOVY HAVE'BEENISSUED70THE INSURED.NAMED ABOVE FOR THE PDLICY.PERIOD INDICATED. NOTWITHSTANDING: 'REQUIREMENT.TERM OR CONDITION.DF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT.TO WHICH THIS CERTIFICATE.MAYBE:ISSUED OR MAY PERTAIN, THE-INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;, EXCLUSIONS AND:CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMSS. 3R POLICY EFF ADDL UB .POUC .EXP tMrR TYPE OF IN8URANCEIm ma POLICY NUMBER: MMfDD LIMITS A GENERAL CPP8560050813. 4/30/2012 04/30/2013 EACH OCCURRENCE a 1 00.0 000 X.COMMERCIAL GENERAL LIABILITY ENTED I excurrance $250;000 CLAIMSMADE a OCCUR MEO EXP(Any oneperson) $6 000 .: PERSONAL S'ADV INJURY E lr,00%000' GENERAL AGGREGATE t2 000 D00 GENL AGGREGATE:LIMITAPPUESPER:: PRODUCTS-,COMP/OP AGG E21000,000 POLCY PRO- JECT LOC E -. 4 'COMBINED SINGLE LIMIT A .AUrOMOBLE LIABILITY 58944400004 4/20/2012 04/20/201 1,600,406 ANY AUTO BODILY INJURY(Perpown) t5: ALL OWNED X SCHEDULED BODILY INJURY.(Per acddant) S AUTOS, r�lNO-OWNED PROPERTY DAMAGE X HIRED AUTOS: X .AUTOS Per aWdent 8' S A X:I hiaRELLA'wle OCCUR 46000508/4 DOW2012 041301201,3 EACH OCCURRENCE 15 000 000: EXCE8811A6 HCLAM&MADE AGGREGATE: E5 OOO`OOO _ .. . ;:DED I X RETENTION310000. E: A WORKERS COMPENSATION 005437041/ 4/14/2012 04/14/201 ` we STATu, OTH AND EMPLOYERS'LIABILITY [ ER ANY PROPRIETORIPARTNEfi/EXECUTNE Y!N E.L.EACH ACCIDENT E500 000 OFFICERIMEMBER EXCLUDER? NIA (Mandatory In:". NO EXCLUSIONS E.L.DISEASE'-EA EMPLOYEE $500 0011 Kyyeeee,,deacAbe under. . DESCRIPTION OF:OPERAT16NS below _ ., E.L.DISEASE:-POUCY'LIMIT E500 000. DE8CRIPTIGN OF OPERATION$,!LOCATIONSabE"ICLE8(Attach ACORD 101;AddlUonal:Remarks 8chedule,If mom..spece Is inquired) 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, AUTHORUED REPRESENTATIVE AL IZZ ®198 -2610 ACORD CORPORATION.All rights reserved. ACORD 25(2010105): 1 of 1 ThOACORD.name andslogo are reglstered:marks of ACORD' SS803691M80368 CJF f • h i�nd Areas:110 mph Wind Zone AWC Guide to Wood Construction in Htg " sachusetts Checklist for ComplianCe(7so CMR 53o1:Z.I,�)t Mas [ Check Compliance V 110 mph -� 1.1 wind Speed(3-5eC,gust)... ..... .....................................................................................................8 Wind Exposure Category..................... . / stories s 2 stories 1.2 APPLICABILITY (a roof which exceeds 8 in 12 slope shall be considered astory) — s 12:12 Number of Stories ............ (Fig 2) ...................................... .. . ft 5 33' Roof Pitch ................................................ ...............(Fig 2)............................... ft 5 80' Mean Roof Height ................ ....................... ................(Fig 3).......... ft S 80' _ Building Width,W ........................................... (Fig 3) 5 3:1 Building Length.L ..............................................................(Fig 4)............................................ Building Aspect Ratio(Lim .........•....... Nominal Height of Tallest Opening •.•••••••••••••••••••••...........(Fig 4).................... 1.3 FRAMING CONNECTIONS (Table 2).......................................>..................... .. General compliance with framing connections 2.1 FOUNDATION Foundation Wails meeting requirements of 780 CMR 5404.1 ..................„•................ Fours ..... .� .................................................. ........................... Concrete..................... .............. Concrete Masonry.. . . ••••• ANCHORAGE TO FOUNDATION" ors as an alternative in concrete onl 2.2 AN imbedded or 5/8"Proprietary Mechanical Anchors _ , 518-Anchor Bolts general .......(Table 4)................................ ...Bolt s 8"-1i2' spacing-g ................................ Bolt Spacing from endloint of plate ............................(Fig 5).................................... ........-j 2 in.z 7" ✓ -concrete. ................(Fig 5). ....................................... in.z 15" Bolt Embedment •••••• """" Bolt Embedment-masonry......................... PlateWasher................................................................(Fig 5).................... 3.1 FLOORS .(per 780 CMR Chapter 55) ........................ 51?' Floor framing member spans checked•••••••••••• .....(Fig 6)...................................................r .. __._N...� Wing Dimension ........................ Maximum Floor Opening """" Full Nelghf Wa11 Studs at Floor Openings foss than 2 from.Exterior Wall(Fig 6) N JA Maximum FloorJoist;Setbaeks ft s d ll................(Fig'�...................................................,..__. Supporting Loadbearing.Walls or Shearwa Maximum Cantitevered Floor Joists ......•-_...ft d Supporting Loadbearing Wails or Shearwatl................(Fig 8)...... ....... Floor Bracing at Endwalis............................................. .................. ............• (per 780 CMR Chapter 55) ......•••• �"' Floor Sheathing Type ............................................... (per 780 C Chapter.55)...................... field �- Floor Sheathing Thickness (Table 2) d nails at L2 In edge/12 in Floor Sheathing Fastening...................... 4.1 WALLS ft 10, Wail Height (Fig 10 and Table 5)........................... -�- )..................... ..._ft s 20 Loadbearing walls................................. .•••.• ...... (Fig 10 and Table$ in.s 24"O.C. 'T Non-Loadbearing walls.......................6...... ..... (Fig 10 and Table 5)................... Wall Stud Spacing ............................................. (Figs 7&8 Wall Story Offsets .............................. 4.2 EXTERIOR WALLS' _1 ft to In. Wood Studs (Table 5).............................2x�E Loadbearing walls....................................................... )....................:........2x� Z ft in. walls. ... able 5 Non-Loadbearing .r .......................................... 1`f/i� Gable End Wall Bracing ... (Fig 10) ................................................................ Full Height Endwall Studs.......................................• •(Fig 11).......................................... It zW/3 WSP Attic Floor Length ...I.......... J1A It z 0.9W ).............. (Fig11) .....I.............................. GYpsum Ceiling Length(if WSP not used 6 ft.ox. .( l 11) ........................................................ and 2 x 4 Continuous Lateral Brace g i 4 ft,spocin in end Joist or truss bays ' or 1 x 3 ceiling furring strips a 16'spacing min.with 2 x 4 blocking @ 9 Double lop Plate (Fig 13 and Table 6)................................: .3 ft 7v Splice Length ...................common nails).............(Table Splice connection(no.of 16d ........(fable 6).......:............................................... {fL ;a h Wind Zone A WC Guide to Wood Construction in Hltgh yyind Areas: 17s MP CMR 5301:2.1.t)1 Massachusetts Checklist for Compliance Loadbearing Wall Connections (Tables 7).............•• Lateral(no..of led common nails).............................. ........... ..... V nn Wall Connections (rable 8)........................... Non-Loa Lateral ( ' 9 on nails compliance to Tabee 9) ............................ nin s for co P Lateral(no.of l6d comm . opening but cheek all openings Jr- ft__._ , U in s11 Load Bearing Well openings(re largest P............:.... able 9)••••••••••••••••••••••""' =• s� able9).................................. _-- 1' HeaderSpans .I..... ... ......... ................................... (Table g) Sill Plate Spans , 1 a� (no.of studs) all o enings for compliance'ta Table 9) � Full Height Studs rd lar est opening but check . P . Wall Openings(record 9 it.—in s 12' �y'A Non-Load Bearing ................(fable 9).................................._.ft_in.s 12' Header Spans:.. ......................................................(fable 9) ........... ................. (Table 9} Sill Piste.Spans.......... ... ....,.... ...... ........................ Full Height Studs{no.of studs .....••••••••......... y, Exterior Wail Sheathing to Resist UPM and Shear Simultaneousi �' s 6 8' Minimum Building Dimension,W W--� V Nominal.Height of Tallest Openings .•••• note 4).... ........:............................... in. � Sheathing Type•............................................(Table 10 or note 4 if less).......................�in. Edge Nail Spacing......................................•., able 10),.. . ..... ............................... :ff 4 able 10) Field Naii Spaang................... on nails .... �a/o Shear Connection(no.of 18d common )(T ).......... ....................................... (Table 10 �/ Percent Full-Height Sheathing Inn-....... all-••. >8!8•(Design Concepts).......•.••••• in for Wail with Opening 5%Additional Sheath g s.8• Maximum Building Dimension,L enin a:...................::................................................. �1S Nominal Height of Tallest Op g note 4) ..................... ..........." " '' Sheathing Type...............•............... ........(Table 11 or note 4 If less).... ................ ( i Edge Nail Spacing...................................... (Table 11)................................................ ...'L Field Nail.Spacing.............................of 1 ed common nails)(Table 11 j o/, Shear Connection.(no ....(rabie 11) ....... Percent F:uli-Height Sheathing 5%Additional Sheathing for Wall with Opening>6!8'(Design Concepts).•............ Wall.Cladding Rated for Wind Spee d?........................... pan Toot,see BBRS Website) 5:1 ROOFS select?.......................(For Rafters use AWC S ft s smaller of 2'or lJ3 Roof framing member spans ch (Figure 19)........ • _... Roof Overhang .. beadn . ........................ Truss or Rafter Connections at Loadbearing Walls If Proprietary Connectors (Table 12)...................................... .U= P Uplift............I......I...............................(fable 12)........................................ .......................... , ...........L= p,f Lateral...................:................:..... (Table 12 Shear...... ........:........... ................... . if ......... page 21... (Table 13) ........ - P N Ridge Strap Connections,if collar ties not used per P (Figure 20)............. ft s smaller of 2 or L12 Gable RakO.OutlOoker ............... Truss or Rafter Connections at Non-Loadbearing Wells Proprietary Connectors .....(Table 14)............................................U= lb. ELL Uplift.......................................... L=�_lb. Lateral(no.of 16d common nails)...(Table 14)........................... NO (par780 CMR Chapters 58 and 59):............ KI Roof Sheathing Type......................................... .. ........................................ in.z 7/16"WSP Roof Sheathing Thickness.................. ..........................(Table 2).................................................. .......... .......... ................. ...... Roof SheathingFastening Notes: excluding the specific exception noted In 2,to comply with-the requirements of 1. This checklist shall be met in its entirety, then the following metal straps and hold downs are not 780 CMR 5301.2.1.1 Item 1.if the checklist is met in its entirety required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 :Stra s per.Figure it b. 2.0 Gage p . c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception.Opening freights of up to 8 ft,shall-be permitted when 5%Is added to the percent full-height andBathing requirements shown in Tables 10 and 11• m 2 in.nominal thickness p ressure treated$2"g 3. The bottom sill plate in exterior walls shall be a minimu AWCGuide to Wood Construction in High Wi�id Areas: 110 mph Wind Zone Massac husetts Checklist for ComplianCe c7so CiwR 5301.2.1.01 4' ables 10 and t ;and location of wall.sheathing and Building Aspect Ratio,determine Percent -Height Full a. From T requirements Sheathing and Nail Spacing of-711W and b. Wood Structural.anelbe installed with streng hness azis parallel to studsinstalled 89 follows* i; Panels ii. Ahall or over and be nailed to framing. ii horizontal joints,sccu t iii. On single story construction,.nl Panels shall be attached to bottom plates and top member of the double top plate. upper anels shalt be attached to the top member of the upper double top IV, on:two story construction,uPP: P attachment of lower panel shall be made to band joist plate and to band joist at bottom of panel.Upper and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double tetPfigurestbelow:Vertical and Horizontal ail Mailing o double Panel Attachment staggered at 3 inches on car p -wtsa+n�mta:re�ao+ ' nau�ad►�-s AT".& 11 it 11 l; ll 11 to N / 11 If•�, 1 d ii �i Q 1 n T 1 1 a /l. 1 i 1 n tt{ See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment i • 110 mph end Zoue 4 AWC Guide to Wood Construction'in High Win Ce Aso cm 5301.2.13)1 Massachusetts'Checklist for.Compliance t i i I it wr e= a .ia L oo u� s MT" Detail Verwai and Horizontal Nailing for Panel Attachment REScheck Software Version 4.4.4 Compliance Certificate Project Title: Sprague Residence Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Project Type: Alteration Conditioned Floor Area: 0 M Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 495 Elliot Rd. Capewide Enterprises Centerville.MA o e - Maximum UA: S Your UA:7 Envelope Assemblies _ e Ceiling 1:Flat Ceiling or Scissor Truss �- Exemption:Framing cavity not exposed. Wall 1:Wood Frame,16"o.c. - -- Exemption:Framing cavity not exposed. Window 1:Wood Frame:Double Pane with Low-E 22' O300 7 SHGC:0.00 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space --- Exemption:Framing cavity not exposed. 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 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist L /eT',�� �/�SSD�'lBG/F �/6� •9��Name-Title Signature Date Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 1 of 7 s REScheck Software Version 4.4.4 Inspection Checklist 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. plans Verified ��, derified2009 IECC Pre-InspectionlPlan ReviewValue ue Complies? Comments/Assumptions 103.2 Construction drawings and ❑Complies [PR1]i documentation demonstrate energy []Does Not Comply code compliance for the building ❑Not Observable envelope. ❑Not Applicable_.____-- 103.2, Construction drawings and ❑Complies 403.7 documentation demonstrate energy ❑Does Not Comply [PR3]1 code compliance for lighting and ❑Not Observable mechanical systems.Systems serving ❑Not Applicable multiple dwelling units must demonstrate compliance with the commercial code. _ _ ------- — -- 403"6 Heating and cooling equipment is Heating: Heating: ❑Complies [PR2]2 sized per ACCA Manual S based on Btu/hr Btu/hr []Does Not Comply loads per ACCA Manual J or other Cooling: Cooling: ❑Not Observable approved methods. Btu/hr Btuthr []Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Titlb: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 2 of 7 � �X 20091ECC` Foundation Inspection51, �€ Complies? CommentslAssumptionse 303.2.1 A protective covering is installed to []Complies [FO1112 protect exposed exterior insulation ❑Does Not Comply and extends a minimum of 6 in.below ❑Not Observable grade. ❑Not Applicable __..........._. 403.8 Snow-and ice-melting system ❑Complies [FO12f controls installed. ❑Does Not Comply []Not Observable []Not Applicable _ Additional Comments/Assumptions: 1 11 High Impact(Ter 1) 2 Medium.impact(Tier.2) 3. Low Impact(Tier 3) Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 3 of 7 2009 IECC Framing 1 Rough-In Inspection Plans Verified Field Verified Complies? —Comments/Assumptions Value Value ...........____...__.._ ........ ____ _ � 402.1.1, Glazing U-factor(area-weighted U U- ❑Complies See the Envelope Assemblies table for 402.3.1. average). ❑Does Not Comply values 402.3.3, ❑Not Observable 402.5 ❑Not Applicable [FR2]1 303.1.3 U-factors of fenestration products are ❑Complies [FR4]1 determined in accordance with the ❑Does Not Comply *, NFRC test procedure or taken from ❑Not Observable the default table. ❑Not Applicable -.... -----__......._._._.___-__.._..__ 402.3.5 Sunrooms enclosing conditioned U- U- ❑Complies [FRS]' space have a maximum fenestration ❑Does Not Comply., U-factor of 0.50 in Climate Zones 4-8. [-]Not Observable New glazing separating the sunroom ❑Not Applicable from conditioned space must meet code requirements. 402.3.5 Sunrooms enclosing conditioned U- U- ❑Complies [FR9]' space have a maximum skylight U- []Does Not Comply {, factor of 0.75 in Climate Zones 4-8. ❑Not Observable ❑Not Applicable ................_....._.__...__...__......._..........._..---_. _._.--_..-......_..__------ _...__.._._.... 402.4.4 Fenestration that Is not site built Is ❑Complies [FR20]' listed and labeled as meeting ❑Does Not Comply AAMANVDMA/CSA 101/I.S.2/A440 or ❑Not Observable has infiltration rates per NFRC 400 ❑Not Applicable that do not exceed code limits. 402.4.5 IC-rated recessed lighting fixtures []Complies [FR16]2 sealed at housing/interior finish and ❑Does Not Comply labeled to indicate 2.0 cfm leakage at ❑Not Observable 75 Pa. ❑Not Applicable 403.2.1 Supply ducts in attics are insulated to R- R- ❑Complies [FR12]i R-8.All other ducts in unconditioned R- R- ❑Does Not Comply spaces or outside the building ❑Not Observable envelope are insulated to R-6. ❑Not Applicable 403.2.2 All joints and seams of air ducts,air ❑Complies _ [FIR 13]' handlers,filter boxes,and building ❑Does Not Comply cavities used as return duds are ❑Not Observable sealed. ❑Not Applicable 403.2.3 Building cavities are not used for ❑Complies ❑Does Not Comply [FR15]' supply ducts. ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids above R- R- ❑Complies [FR17]2 105 OF or chilled fluids below 55 OF ❑Does Not Comply are insulated to R-3. [-]Not Observable ❑Not Applicable 403.4 Circulating service hot water pipes are' R- R- ❑Complies [FR18]2 insulated to R-2. ❑Does Not Comply ❑Not Observable [:]Not Applicable 403.5 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air intakes and ❑Does Not Comply. exhausts. []Not Observable ❑Not Applicable Additional Comments/Assumptions: _.._.. ..._ ._.. .......... .._. 1 High lmpad(Tier 1) �,2 Medium lmpact,(Tier 2) Low Impact,(Tier 3) c� Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 4 of 7 Plans Verified Freld Venf�ed Complies? Comments/Assumptions 2009 IECC Insulation Inspection Value sYUalue p ._ 303.1 All installed insulation Is labeled or the ❑Complies [IN13]2 installed R-values provided. ❑Does Not Comply ❑Not Observable ❑Not Applicable 402.1.1, Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies table for 402.2.5, ❑ Wood ❑ Wood ❑Does Not Comply values. 402.2.6 ❑ Steel ❑ Steel ❑Not Observable [IN1]' []Not Applicable 303.2, Floor insulation installed per ❑Complies 402.2.6 manufacturer's instructions,and in ❑Does Not Comply [IN2]' substantial contact with the underside ❑Not Observable of the subfloor. []Not Applicable 402.1.1. Wall insulation R-value.If this is a R- R- ❑Complies See the Envelope Assemblies table for 402.2.4, mass wall with at least%of the wall Wood ❑ Wood ❑Does Not Comply dues 402.2.5 insulation on the wall exterior,the ❑ Mass mass ❑Not Observable [IN3]' exterior insulation requirement ❑ Steel ❑ Steel ❑Not Applicable applies. 303.2 Wall insulation is installed per ❑Complies [IN4]I manufacturer's instructions. ❑Does Not Comply ❑Not Observable []Not Applicable 402.2.11 Sunroom wall insulation has a R- R- ❑Complies [IN6]' minimum R-value of R-13.New walls ❑Does Not Comply separating the sunroom from []Not Observable conditioned space must meet code [-]Not Applicable requirements. 303.2 Sunroom wall insulation installed per ❑Complies [IN9]' manufacturer's Instructions. ❑Does Not Comply ❑Not Observable [:]Not Applicable —......._._.______..._--__.__.__—...--.--------_._._.---.__.__________.._.............._..._........ 402.2.11 Sunroom ceiling minimum insulation R- R- ❑Complies [IN10]' R-value of R-19 in Climate Zones 1-4, ❑Does Not Comply �, and R-24 in Climate Zones 5-6. ❑Not Observable El Not Applicable ---.................................._.................................--.............. � 303.2 Sunroom ceiling insulation is installed ❑Complies [1N11]' per manufacturer's instructions. ❑Does Not Comply ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 5 of 7 2()09 IECC Final Inspection Provisions Plans Verified Field Verified Complies? Comments/Assumptions Value Value 402.1.1, Ceiling insulation R-value.Where>R- R- R- ❑Complies See the Envelope Assemblies table for 402.2.1, 30 is required,R-30 can be used if -❑ Wood ❑ Wood ❑Does Not Comply values. 402.2.2 insulation is not compressed at eaves. ❑ Steel ❑ Steel ❑Not Observable [FI1]1 R-30 may be used for 500 ft'or 20% ❑Not Applicable (whichever is less)where sufficient space is not available. _ 303.1.1.1, .Ceiling insulation installed per _ ❑Complies 303.2 manufacturer's instructions.Blown ❑Does Not Comply [F12]1 insulation marked every 300 ft'. []Not Observable Al" ❑Not Applicable 402.2.3 Attic access hatch and door insulation R- R- ❑Complies [FI3]1 R-value of the adjacent assembly. ❑Does Not Comply []Not Observable []Not Applicable 402.4.2, Building envelope tightness verified ACH 50= ACH 50= ❑Complies 402.4.2.1 by blower door test result of<7 ACH ❑Does Not Comply [FI17]1 at 50 Pa.This requirement may ❑Not Observable instead be met via visual inspection, ❑Not Applicable in which case verification may need to occur during Insulation Inspection. -- 402.4.3 Wood-burning fireplaces have ❑Complies [FI8]2 gasketed doors and outdoor ❑Does Not Comply combustion air. ❑Not Observable []Not Applicable 403.2.2 Post construction duct tightness test cfm cfm ❑Complies^� [F14]1 result of 8 cfm to outdoors,or 12 cfm ❑Does Not Comply across systems.Or,rough-in test ❑Not Observable result of 6 cfm across systems or 4 Y ❑Not Applicable cfm without air handler.Rough-in test verification may need to occur during Framing Inspection. _ 403.1.1 Programmable thermostats installed ❑Complies[Fl9]2 on forced air furnaces. ❑Does Not Comply ❑Not Observable _ _..._... .....�.......__..__........... ._ ❑Not Applicable 403.1.2 Heat pump thermostat installed on ❑Complies [17I10]2 heat pumps. ❑Does Not Comply []Not Observable ❑Not Applicable 403.4 Circulating service hot water systems ❑Complies [FI11]2 have automatic or accessible manual []Does Not Comply controls. []Not Observable []Not Applicable 403.9.1 Readily accessible switch on heaters ❑Complies [FI12]' for swimming pools. ❑Does Not Comply ❑Not Observable [-]Not Applicable 403.9.2 Timer switches on pool heaters and ❑Complies [FI19]3 pumps are present. ❑Does Not Comply ❑Not Observable []Not Applicable 403.9.3 Heated swimming pools have a cover. ❑Complies [F120]3 Covers on pools heated over 90°F ❑Does Not Comply are insulated to R-12. []Not Observable ❑Not Applicable 404.1 50%of lamps in permanent fixtures ❑Complies [FI6]1 are high efficacy lamps. ❑Does Not Comply []Not Observable []Not Applicable 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) Low Impact(Tier 3) Project Title: Sprague Residence Report date: 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 6 of 7 2009 IECC Final Inspection Provisions Plans Verified Field Verified Complies? Comments/Assumptions Value Value 401.3 Compliance certificate posted. = Ili B ❑Complies [FI7]2 s ❑Does Not Comply ❑Not Observable ❑Not Applicable 303.3 _ _ ^Manufacturer manuals for mechanical �^ _ ❑Complies [FI18]3 and water heating equipment have [Does Not Comply been provided. (-]Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Sprague Residence Report 01/15/13 Data filename: C:\Documents and Settings\Shawn\My Documents\REScheck\Siebel\Sprague.rck Page 7 of 7 �FTNE • r r * BARNSfABLE, * MA3s Town of Barnstable i63q. ♦0 QED MA't A Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403$ Fax:.508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Iaher� �S' rQ , as Owner,of the subject property hereby authorize / cue �ror����s Lac to act on my behalf, in all matters relative to work authorized by this building permit application for: s -95 �IIi ��ad, C fetlllyli� (Address of Job) gnature Owner Date Pots '- sp&ftcAte- Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 �e�pomamwouueal�/i a,'� ��Q��LWe�� License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date, if found return to: OME IMPROVEMENT CONTRACTOR Type. Office of Consumer Affairs and Business Regulation egistration: 143358 10 Park Plaza-Suite 5170 xpiration: .7/8% 094 Ltd Liability Corpc: Boston,MA 02116 CAPEWIDE ENTER*0 L;6;C;. c- RICHARD CAPEN 4507 R RTE 28nature COTUIT, MA 02635 Undersecretary C=:6d withou g 1 Massachusetts -Department of[public Safety 1,.. Board of l3ui1ding Regulations attd Standards Unrestricted-Buildings of any use group which (un%tructina Supcn i.or contain less than 35,000 cubic feet(991m)of License:CS09273 =1 enclosed space. n Failure to possess a current edition of the Massachusetts tit Expiration State Building Code is cause for revocation of this license. Commissioner 11/27/2013 F-DPSlkensinsinformationvisit; www.Mass.Gov/DPS 164" 29 e' 36" . 18" 30" 24" 24" 1, , wP3-3O nFxv y hs3 ., 3 �wr jca skt w z { k 'ins{ 3xa} r �,r�' 'Lr -i�: ..A,4rkws..li tssk.z+y ;v.fuxtvx o�,fi' -------------- .--'- �5, "�'" .'`, " — - i we 0 `NI �r N G55cF5310-L PRGO Z4D15HW �24 15P3 0 ........ .... ................. ........ ................. WASTE 5"0—I Z4° Dw 15A5KET SPAGE D Pam✓, 3D�18, OPENING P�27 ROLL- TS - - �u OSGM �I) 30° OVEN CD3o84 s w w DOUf51-E s DK/RGT 10, o m�: SPAGE - RAYS OD a 3On COOKTOP - - . . SPAGEF MICROWAVE. 1- cn NJm?. HGT=72� SPAGE ~ 3v63o-1DwR w 73O1. ' ----- SPRAGUE DE51CyN 827 0 0 0 0. G55GP� / CAPEWIDE ENTERPRI5E5 PLAN s I DW3&IZ - — - - . DEGEMRER 7. ZOIZ W2730 W3OI2 V153O-L. DCW24C, REG 484 RECP 2454 36" � �E -R — Z„ 27" 30" 36", 1378 All dimensions-size designations This is an original design and must Designed: 12/7/2012 given are subject to verification on ® "�'LOGS not be released or copied unless Printed: 12/8/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Sprague Design All Drawing#: 1 ti Note: This drawing is an artistic 20201 Designed: 12/7/2012 w interpretation of the general TECHNOLOGIES Printed: 12/8/2012 appearance of the design.It is not meant to be an exact rendition. Sprague Design All Drawing#: 1 130 p.. o0 00. Ll .. j o Note:This drawing is an artistic 2 � .' Designed: 12/7/2012 interpretation of the general TECHN`'LOCI Es Printed: 12/8/2012 appearance of the design. It is not meant to be an exact rendition. Sprague Design All Drawing#: 1 �Q ro o m FE LILI m . Note: This drawing is an artistic 20205 Designed: 12/7/2012 interpretation of the general ~®`OG Printed: 12/8/2012 appearance of the design. It is not meant to he an exact rendition. Sprague Design All Drawing#: 1 i 1 i i I i i i L=-j t c� O COP IML z� Note:This drawing is an artistic 207 Designed: 12/7/2012 interpretation of the general recHNowcies Printed: 12/8/2012 appearance of the design. It is - a not meant to be an exact rendition. Sprague Design All Drawing M 1 i� s a 0 EC FM I ®e o 00 np oo llLL O D b t Note: This drawing is an artistic 20 2 Designed: 12/7/2012 interpretation of the general TECHNOLOGIES Printed: 12/8/2012 appearance of the design.It is not meant to be an exact rendition. Sprague Design All Drawing M 1 129 a 11 3r � -IN L1NEN�GAP�INET TVS�2421-IL o N LOCATION? ...................... .______________________________________ ____________ V,, DR152I k `. FOGKET cn rn DOOR —G4" e 0" TVSRZ421-iRfi 24" —32..........f 66 " �4T� �F MWE M FRAGUE DESIGN ' MASTER BATH TOILET-1 FLAN\ Zi i - �` DEGEMRER 8, Zo12 g rx; `s"�t a3u.x r. yw 'f�'x, .g .,'" i lea a � in 00 n 00 IN �-2711' t N �'P 3 A g i LAUND(zY ROOM x� p SHOWER AREA Aw � n W2o3o WZ-93o � �f t�` -�.. �.x?�•- ���. 3,.m,-a..Lw.....e?'v��5�ik��=� �`�'�����-;"'+ka ��'�,�.�:����'s `�' ,��"" � .,"tk';.�.�i i'�•�_` �' s�,�:':a= " `��`ti.'� 7 WF -30 WF o 152" 29" 152„ 32'-6' 32tt-6' 0" 11 65 8 r 11 All dimensions_size designations 20' !, This is an original design and must Designed: 12/8/2012 given are subject to verification on TECKNOLOGIES not be released or copied unless Printed: 12/8/2012 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Sprague Vanity 12712 All Drawing#: 1 { F-1 .. Y' Note:This drawing is an artistic ZD*10� Designed: 12/8/2012 . interpretation of the general TECHNowcies� Printed: 1218/2012 appearance of the design.It is not meant to be an exact rendition. Sprague Vanity 12712 All Drawing#: 1 r F� t Note:This drawing is an artistic LV 2 Designed: 12/8/2012 interpretation of the general TECHNOLOG155 Printed: 12/8/2012 appearance of the design.It is not meant to be an exact rendition. Sprague Vanity 12712 All Drawing#: 1 d Pam. Note:This drawing is an artistic 20 Designed: 12/8/2012 interpretation of the general TECHNOLOGIES Printed: 12/8/2012 appearance of the design.It is not meant to be an exact rendition. .Sprague Vanity 12712 All Drawing#: 1 ® .IT Town.of Barnstable *Permit# 0 SPERM Expires 6 the om issue date, Regulatory Services. Fee sAuvsrns 18 2012 9 s �m Thomas F.Geiler,Director BARNSVABLE Building Division. TOWN-OF V Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.maxs Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not VaUd without Red X-Press Imprint Map/parcel Number Property.Address S �l I y 1-f �(� Ctn ter ui1(-e— N Residential Value of Works I ���?` Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �o fu-vl�(e- Contractor's Name C ode Wi�-Q �` g Telephone Number - Home Improvement Contractor License#(if applicable) r"�3 Construction Supervisor's License#(if applicable) C> a-'1 3 [XWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner , I have Worker's Compensation Insurance Insurance Company Named � I Workman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each-permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side _ 3 #of doors ® Replacement /doors/ ide .U-Value '3D (maximum.35)#of windows._ ❑ Smoke/Carbon_Monoxide detectors 4 floor plans marked with red S.and inspections required. .. Separate Electrical&Fire Permits required: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. i SIGNATURE: . I QAWPFILESTORMS\building permit formsUVRESS.doc I; Revised 053012 Client#:51439 CAPEENT ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMMDNYYY) 04/16/2012 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 1NSURER(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 Ileu of such endoreement(s). PRODUCER Linda Taddia Rogers&Gray Ins., Kingston PI��r�ot;508-746-3311 63 Smiths Lane a nwL. Nc;877-816-2156 DREss: Itlddia@r;)gersgray.com Kingston,MA 02364-3700 INSURERS AFFORDING COVERAGE NAIC III508 746-0055 INSURER A:Arbella Protection Co 17000 INSURED INSURER B t Capewide Enterprises LLC INSURER : J.P.Macomber&Sons PO Box 763 INSURERD: Centerville,MA 02632 INSURERE: 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. tRj R TYPE OF INSURANCE ADDLSUBR POLICY EFF POLIC EXP POLICY NUMBER MMIDD MMIDD LIMITS A GENERAL LIABILITY CPP8500050813 4/30M12 0440/2013 pWffiSpp�RyEACC�HHpOEECTCURRENCE $1 000000 A X COMMERCIAL GENERAL LIABILITY P M encg s250 OOO CLAIMS MADE ❑X OCCUR MED EXP(Any oneperson) $5 000 PERSONAL&AOV INJURY $1.000 000 GENERAL AGGREGATE S2 000 000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMP/OP AGG E 2,000,000 POLICY PRO- LOC $ A I1UTOMOBILE LIABILITY 58944400004 4/20/2012 0412012013 cEoa a E�DISINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED r—v-1 SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS N UTO-OWNED PPerr a Ud mDAMAGE $— A X UMBRELLA Line OCCUR 4600050814 4/30/2012 04130/201 EACH OCCURRENCE $5 000 000 EXCESS LIAR CLAIMS-MADE AGGREGATE $5 00O 000 DED I X RETENTIONS10000 $ A NfORKERSCOMPENSAT1oN 0054370411 4114/2012 04/14l201 WC - OTH- AND EMPLOYERS'LIABILITY TORY _..._ ANY PROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT E50O 000 OFFICERIMEMBER EXCLUDED?- [R N I A (Mandatory In NH) NO EXCLUSIONS E.L.DISEASE-EA EMPLOYEE $500000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WrrH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ®198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered.marks.of ACORD #S80369/M80368 CJF •r' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' CompensatiodInsurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/rndividual): y Address: 15 3 (D W City/State/Zip: (V\0,5�1 p-, M 0a ql Phone#: SO ?r q-7 7- 86 77 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a with employer �— 4. ❑ I am a general contractor and I �—* . have hired the sub-contractors 6. ❑New construction employees(full and/or part-time). 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp.insurance.$ 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. W I✓�O W fQ0 10ic 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. //�� I Insurance Company Name: A - K/-e I ' — Policy#or Self-ins.Lie.#: V y Su 3-70"[ I I Expiration Date: 4 Job Site Address: 4 C4 5 �'e l I ►p�1 I l� City/State/Zip:Ce-Y1 kyV l/r Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true land correct Signature: Date: l �— Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: C�lze�oanvrrzaruvecalC�i a0�ijarkweff License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR Type. Office of Consumer Affairs and Business Regulation egistration: 143358 10 Park Plaza-Suite 5170 xpiration: .7/6/2014 Ltd Liability Corpc: Boston,MA 02116 CAPEWIDE ENTERPiI81 s; L C RICHARD CAPEN 4507 R RTE 28 COTUIT,MA 02635 Undersecretary Not valid withou 'gnature Massachusetts Department of Pubitc S3#et Board of Buiiciing Regulations and SOMA irds Unrestricted-Buildings of any use group which (unorudiun Supvni%fir contain less than 35,000 cubic feet(991M )of 3 License: Cg.089273 enclosed;;' ,�, Pam• 141CHAR111 M CA:PEN nr Failure to possess a current edition of the Massachusetts �,�... . ►+t `� Expiration State Building Code is cause for revocation of this license. Commissioner 11/27/2013 For DIPS Ucensina Information visit: www.Mnss.Gov/DPS M * BARN3TABLE, s '""SS.1639. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, E S ,as Owner of the subject property hereby authorize Rt krd( ©( W-e-WlcQt C:'n�LrIOy164Sto act on my behalf, in all matters relative to work authorized by this building permit application for: �a5 0114 -kd r n V1)J16' (Address of Job) Si Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 The Town of Barnstable i BAR["""` ' Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner January 12, 1994 Betty R. DeCarolis, CSR Rome Insurance P.O. Box 2688 Fitchburg, MA 01420-1002 RE: �495_Elliott Road, Centerville Dear Ms. DeCarolis: Enclosed, as per your request dated January 10, 1994, please find copies of the Flood Area map for the above referenced property. Very truly yours, C&h ard R. Bearse Building Inspector RRB/gr r R--' t. z l �r r t J A"':• f }. R, } .t, - .. ..s .pY.. - . , r a r - •� s' < . I E . I- . -� -1, _` - -��, " 11 I , , i", �_ �. _ - . � - I - U , ' , , �; r1` j `�_ , _ January 10,', 19 9 4 t m " `.� n1. �� 1,�s v. 3 -_r •fi�'•f'e y" ,� N r i' 4..a f f+ �,.,x ,Y i�� H;. '{: sC, ^+..� t x �.>�,rj - s....11 r _''� , M ' tx ` - i5` t PJG ,,Y�i ; i r 5 ^rY x 'f °, S , w .�'` e •ri. "" -> " I ', �: ,. C 1 ;r t f z - 4, Town of:,:Barnstable f .t , s ,' . f rs F '. r` x r t + { t h 'Building,Department d ;, r � � A,,Al _ e11" s,:. ,..;f t , r # x,�y b >.^' 'S , tat i ., g / 6 x y. s r -.a 's.\. 367 Main'.Street ; _' ; a A �, w= _ .;4 t ^ t , � = n: Hyannis;,, MA`40�2 601 s r*. 'C., fip t , . �# ' - ;, z "{ f Lp >, ,>� { Attention Mr ,Richard Bearse `y�t >,s x' y s Y * , r Jn, r•',' tC +-ilr ,t Ljr, 1 r rS t 't .,T 4 4` , ,: t, ,s.; s, s; C y,1L ..7 t a7 t �'t It ' .'+✓ •'� f'•.y ,'' ett h e ,3 11 , r� �y � !y ;RE Julius & -Elaine Palley't P ~ "f ti t; {,� t . ` r 'Y >y495 .'Elliott,'Rd: !, = + ',,� k.ff> r .4 y.{'s` i f"•� I sj' ,,,Lr r't'"t4 S ,'�,Centerv' -lle,�`MA02632 "� +e 1j r , 4 i• - -' t ;,S I. M1 + f> 7 E 1, ' �{'S +%t y t'ti tl + '" r, ^ t T .r i r A .4 Dear;Mr Bearse ;:; _ F� I t -,tgL ,� ,€ w , rr ' -. d. >; " } xc,C f, ''ins ft.�,".�. 3r I, �,px. r t� .i ,� Vr' *',- 41, m' s .z ' {" • I Thank ou for faxn over ;f; >. y g theL. maps of, the above �,propert aoncerni ng=the rf lood area - ¢z ; : ' Y, y2 r;x k -It "did` not come ,through`very clear > I would appreciated i'f you' y L f � would ;send us the' cop1. ries by mail. Maybe, yJ=I willrbe able tos _ clear. this matter- up. , "4 s .,� s,r �- r r4 �., ^.. t .e� ;w ,a` #+ry w-r� r - 5 { , ¢ ` vrt v rt :Again, Thank :;you' for ':`all `the a help ryou have �been't with°.. t - is.t � f '',r �' . account J L ; � - 1 ,` a 5.!•.s a 's K. .,, a a. { a., 5h y` u j V ,.fir r A Very'�truly yours, f; . � A _, - �. r i .>t .J I c e i tY = { _ , .r't t ' '�+ r f .s 0. r r r <{:, ,1 Rome Insurances Agency, `Inc , ,L r< ` Nu ` �k= -,O., t y .c x,+ , , r ,`� "• , F s +_ t e� 't } By ,' ,,.�4 !..`.; �s � , n ! h , 7 ��'{S x` ` < x x r, u f bm�8ett R Carolis 'k kCSR t` r" t ., ;� �;{ . 5} �j s 4, -,`+ .ft 'h xy ,, § 1 , o e':y -4 "fit, a. < C d ' ¢tic ,A . tf !_7 P�'` I 4) }•+v�� t yei �' - Y -,P a �, s `� i fry A< <t Rome % r cs a;i 2 a 4 :4 rs;, " ;; r,. t t i .k Insurance t t , t ` I r� o i +R.,I, �I,• r r �$. ,f {T Agency Inc: ae. w y 't r v ; ,e T; 't 'r t t r -i ¢ : s j t r �• 4 r t f _<� y i, ly 769 ,,- a yi - 'r ,� + t3" -+ y '..L i t r- r¢ f >*„ 7;Ai a + nt `�'i ¢a t f '<'1 , r'~- r ,. 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I ssachusefts r J }. ¢/' 'S, y +.e r'{*!�',1.- s. <.t ` i by.Y n i5 .41 - sw c'' ,; , iX,,r '.� Q,,4 F�'G9 .r i. ^j P i '.� 'f r. ,,t i"'OI420 0d2 ''i i . ,� ti ',f C,y, s r y,, �y s >-<t+)r -vt a .�"t. > r.d'` , �i` t e, .ar., y t. ;, t .'{ 'a-A v t. .;.p w _ .. f ,. N' '. t,,Yr�'� �(Y 7' �,t x1 ,J�. . . -I .1,r?{ °'� 1 y " 4:t ♦ xr._ - {. d:' ; - �, 5r r;' ,'`3 a F .1 i v. h 'I,.t n�. e { } r 1.s �. t s "Ieleph0[le`l =k r, ,. t;.")t "^ j " :'q N J F•,ykY� , P . ti t- ,9, �J .y",. , t�' s\ r_ 'r4 " t + 5 , r `a i .;j:. i ;t + , ,, f v ',` ,, z a wr;t r € f r ;�,r< ,(508)�:t r �'. ` ° -ff r l ,3'42 6056' r 1. ` r , y S. j , `{s ,\ 1 '^f ,-1 t I [r f i,,' t `�.. 'a ' 3'45.2766`� a r f.{ s 1 y.'�, r ! 1. f - , ' , K t.. RC �' t a fxtit s �r 'j �� 'r fit. r r 5 t = r y s , k a h. , n mce nH'm„M TOWN OF BARNSTABLE GENERAL NOTES: A. 1. Before final Drawings and Specifications are issued for � E construction,they shall be submitted to all governing rbZiilding F ''3 _ ,t �� O REFER TO 2009 IRC agencies to insure their compliance with all applicable f r 6'�. 0 national codes. if code discrepancies in Drawings andlor O 8TH EDITION MASSACHUSETTS s - Specifications appear,the Designer shall be notified of such discrepancies in writing by Builder or building official,and t6 allowed to alter Drawings and Specifications so as to comply C with governing codes before construction begins. 2. Upon written receipt of approval from the governing official;"''""'"`^'�+-^�.w4,,.�..,e,,, C approved final Drawings and Specifications shall be s bb0,.dT S T 1 •y to the Builder by the Designer. N 3. If code discrepancies are discovered during the construction process,Designer shall be notified and allowed ample time to p_ remedy said discrepancies. 4.All work performed shall comply with all applicable local,state N and national building codes,ordinances and regulations,and N all other authorities having jurisdiction. CL B.All contractors,subcontractors,suppliers,and fabricators,shall be responsible for the content of Drawings and Specifications and for the supply and design of appropriate materials and work performance. C.All manufactured articles,materials and equipment shall be applied, installed,erected,used,cleaned and conditioned in strict - 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. ZF E. SPB Designs is not responsible for any plan discrepancies. Builder&Homeowner to review plans before start of construction. H C rCI)J DO Ld mN oz Q0o � CD z °6 a _n W ` I o fn W ® 'I'� �II'I�IIII I'''1 3 -0E10 — HBEI WHIM 7: O Z Ud PROPOSED FRONT, ELEVATION 0C Z W p U � W Q O 0 � f] Q W CrJ 0 Cr F J C/) O i Il W H Z W a a) Q SCALE 114-.1--V DATE 1/14/13 DRAWN BY PAB REVISIONS: DRAWING NUMBER COPYRIGHT SPB DESIGNS 2013 Al F ------------- i NEW WALLS= EXISTING RAFTERS _------ - EXISTING WAILS= U O O ------------- EXISTING FLOOR JOISTS •----------------------------- ----------- rn EXISTING FOUNDATIONcn HURRICANE R-38 EXISTING CEILING JOISTS z 16- a TIES H2.SA _ Lmz 00 O O zt N ' y O Q H Sy O R-21 Q w a 0 w F LL F 3 NEW FOYER 3 EXISTING BEDROOM z (� Z ow" X� 'u3 u'S CS 15 a w w o W i Z w . 3/4•T&G zz y R-30 NEW FLOOR JOISTS FLOOR SHFJITHING i U w= EXISTING FLOOR JOISTS zz = Z - -- -— z0 2_2X8 P.T. i ¢ 3 MATCH NEW FLOOR JOIST o SILL PLATES z z y ELEVATION W/EXISTING O0 , ¢ i FLOOR JOIST ELEVATION zF o ?o MATCH NEW FOUND. i O= i X.� o, - - a O .� w j ti j ' i ELEVATION W/EXISTING ' r wGo z 1 .. i ____________________________________________ Z � < � n w FOUND.ELEVATION p 6 Z T zIll , I -j z<; i w fn O O cq iclJ 11 SECTION A CRAWL SPACE : ___ - < Q coCD - -- --- --- --- --- --- --- — d uJ i Y 3/4'AGGREGATE W/ ' � Q ' 6 MIL VAPOR BARRIER i i 2X10 FLOOR JOISTS @ 16"O.C. n w I p — B•XV-0•CONCRETE WALL _ BELOW GRADE W/20•X70• w cr- CONT.CONC OOTING NOTE:BUILDER TO VERIFY -----------; BASTING&NEW DIMENSIONS FLOOR FRAMING PLAN FOUNDATION PLAN EXISTING EDROOM Z O SHELF 1 9 SEE LOCIO=4 DETAIL w Z. HOOKS BENCH Z w Go O w Q FOYER Z Al- 05 0 p 4 i Q w Q w EXISTING ENTRY EXISTING :v v 9-71/2' p Q ~ J FRONT VIEW SIDE VIEW w w O > 9ST LIVING ROOM p -1 wSPRAGUE LOCKER DETAIL NEW!NOTE: TW2442-214•SI z-r 3'a1/r 5-0• p � Z > P•R. TBD § d N v 0 0 N z ' i SCALE 1/a'=1'-0' S NEW WINDOW NEW BOXED OUT WINDOW A -- DATE 1/14/13 b TW21038 UILDER TO VERIFY -- T—[ NEW WALLS= ® DRAWN BY PAB EXISTING&NEW DIMENSIONS 1 zo• [ 1a-0•TW21-W EX O STING WALLS= REVISIONS: �, zy� FIRST FLOOR PROPOSED DRAWING NUMBER COPYRIGHT SPB DESIGNS 2013 A2 1' l : , , • 4. U d. ., .. 4 : , a m a : _ , , : - , - O 1. UO .r. m ao m F- cy o O' m QU , : f QQ W _.. — J. • Lij W i N X : t - MA TEH$A S TH ,' A M STER BEDROOM ElLlhl: , G JOISTS. PLMo :. 'F Q .. -. . . `: W cr W•,' 'U , : Ld Lu Lu W-. cr- Fm Z �O C3• O m (L- Lij r scue 1/4•m1'4)• one1/14/13 pm REvspes , I)RAWING NUMBER , , - 3 , : : -r