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0120 GREELY AVENUE
ilY � � ., @ ��� �µ�Y ti i G���'�{'�.,xl,.��#'.,,.. � R�:Fh.�"""�he�-.•+.rr��., ,�.: ^"" � q.'�7,•,r '�..:.` � �,. :.8.. '� ,. • ,'tF 4 j ti. F .�. �� y., '.S°�x ,:J! ��, :: . x. .� .�. �. '.;•..r Y","-(-r .. ,. ;.zl `4 r,s..{ "r i L _ � uh;Y a �� .F6 i, o, ff� s w rr 4 n G n • �11v r L TOWN OF BARNSTABLE � B0. 1ding , 201507669 PermitB ARNSTABLE, Issue Date: i. 12/04/15 9 MASS 039. A� . Applicant: -. TROY WALLS Permit Number: B 20153494 RFD MA'1 - Proposed Use: SINGLE FAMILY HOME Expiration Date: 06/02/,16 Location 120 GREELY AVENUE Zoning District RD-1 Permit Type: POOL INGROUND RESIDENTIAL ' r Map Parcel 245016001 Permit Fee$ 125.00 Contractor TROY WALLS Village CENTERVILLE App Fee$, 50.00 License Num 044847 Est Construction Cost$ 25,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND IN GROUND SWIMMING POOL 16X34 W/SOLAR COVER HEATED PC OL THIS CARD MUST BE KEPT POSTED UNTIL FINAL ALUMINUM FENCE W/LOCKING GATE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: COUITE,THOMAS J&ANN.DOHERTY BUILDING'SHALL NOT BE OCCUPIED UNTIL A FINAL Address: PO BOX 39 INSPECTION HAS BEEN MADE. HYANNIS PORT,MA 02647 Application Entered by: JL Building Permit Issued By: THIS PERMIT'CONVEYS 09 NO RIGHT TO OCCUPY ANY STREET,ALLEY.OWSIDEWALK OR ANY•PART THEREOF,•EITHEit'T . ORARILY P NE TLY ENCROACHMENTS ON PUBLIC PROPERTY;NO. ,. SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION STREET OR ALLEY"GRADES AS LL AS DEPTHAND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF-THIS PERMIT.DOES NOT:RELEASETHE APPLICANT FROM THE•CONDITIONS OF:ANY APPLICABLE SUBDIVISION,,: RESTRICTIONS ,• - .� a F'r MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. - WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT.STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). nwlt ..WE ,.. ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2' 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health w » TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 6 Parcel © 1/ T071N OF BARNSTABLE Applicatior_C�0155Q b/ Health Division Date Issued Conservation Division Application Fee Planning Dept. _ Permit Fee o Date Definitive Plan Approved by Planning Board ±'t''is 3 b PEA 'TP Historic - OKH _ Preservation / Hyannis I Project Street Address 1 Q_0 t,�n ee/_V /9 v e- Village l y l ll Owner %hQ/°►-te s ace Address (9 eP_lY gup Telephone 5©A'- 2 75--001� t Permit Request �-j / i ® 1 �- OJLOO Cve`t , 4 /Cry( Pao/, loor Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation` J OO C) Construction Type Lot Size Gr nd f a athered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U/ Two Family Cl Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ 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 new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No IGx34- Detached garage: ❑ existing ❑ new size_Pool: ❑ existing new size — Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name F! .41LS Telephone Number Address 0^7 C A,A,U / License # C5(j 6-6 -7 { Home Improvement Contractor# Email Worker's Compensation # kx&, 560-n6bi ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ,F` DATE Li r �'� FOR OFFICIAL USE ONLY APPLICATION# ~ DATE ISSUED �'- MAP/PARCEL NO. 7 ADDRESS VILLAGE OWNER : DATE OF INSPECTION: ' FOUNDATION FRAME rF2. 43 5- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. :a _ (2 � A wommo���of Consumer Affairs and Business Regulation . 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 105179 Type: DBA Lt� « l Expiration: 7/16/2016 Tr# 255284 WALLS CONSTRUCTION & REMODELING : Troy Walls , w 4 87 CRANBERRY LANE SOUTH YARMOUTH, MA 02664 Update Address and return card.Mark reason for change. sCA I 0 20M-o5/t1 ` " [] Address Renewal ❑ Employment ❑ Lost Card &X e WlliUr oneveultX Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistratlon 105179 Type: Office of Consumer Affairs and Business Regulation xpiration 7/-16/2016 a pgq 10 Park Plaza-Suite 5170 $ a 7 Boston,MA 02116 WALLS CONSTRUCTION'&REMODELING Troy Walls ' x 87CRANBERRY LANE SOUTH YARMOUTH MA 02664 Undersecretary 60t alid hou nature Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-044847 ,., Construction Supervisor TROY A WALLS 87 CRANBERRY LANEA. SOUTH YARMOUTHA 0266d,44 .a� Expiration- Commissioner 07/05/2017 Elie CominomveaIth r fAjau sadjusetis Departiinertt of Industrial AcciderrYa Qfjke 0f17ZVes1igtzti07Zs. y 6100 Wasliriigton Street Boston,MA 02111 w; " wivii?m g.m1dili '"It trkers' Compensafian Insurance Affidavit~Bmldei-s/C,untractursJEIectricians/Plumbers. Applicant Information Please Print Leaffi Name(BasshwmtDrganiiation&Evidaal �/ `< —r• _ Ad&. '7 t-A. City/ tatel t✓. Phone c / p Are you an employer?Checkthe appr riate box: Type of project(required): 1 I am a employer vdA k 4 ❑I am a general contractor and I ., employees(full atzdforpnrt-time). * have hired the suEr-contractors 6- ❑New constcucfi 2.❑ I am a sole propdetotr orpartner- ' listed on the attached sheet. 7. ❑Remodeling slip and have ao employees These sub-contractors have g_ ❑Demolitioa• ornb Y t5` w a for me in an i . ;employees and have workers' t �: El Building adtiitioa 4. IN4[4orkBLS' Comp.insurance comp.insurartrr required-] 5. ❑ We are a corporation and its 14 El Electrical repairs or additions 3.❑ 1 aam�-``a�homeommec doing all work s offerers have esercised their 11.❑Plumbing repairs or addiiaaas nrysel£[No workm'comp- - Tight of exemption per MGL 17.❑Roofrepairs insurance rewired]i c.152,§1(4h andwe have no employees.(No workers' - 13.❑Other comzp.insurance required_]. 'elny app1fca A t cheda box P1—st sisa fa cut the sectionb9ow shmaing the¢woAeis'compevsatioa pnTicg info=2irm , Homeowners vrbo submit tills atiidavu inxficating they axe doing all wc*sad then hh-e outside caatr>rctors axnst sabxait a nem affxdaei2 indieatiaa sa h_ IConTzactoasthat rhea ibis bax must attached as additi,,m sheet showing the name of the sub-cmarz ors and state wbemec arnotthese eafr ieshave emp9oyees.If the suh-contmctaeshaveemployee%dwyamstpmvidetheir umekers,-o=p.policynumber. I ant aer etrep7py�rr Heat isprmUiditrg workers'contperesation it uaRce fur ary*enrptoy�ees Below is filepoJicy lmd job sitr informaliorL �. , Insurance Company Name: ,A i/ A AA LJ��.L. { Policy or Self-ins.Lic. C� — �"U =�`(X� S�7^?�Cy T- ExpirafioaDate (L l f o Job Site Address-- l Z�� � s Cityl'State/T=: stir a/�rI T Aftach a copy of the workers'compensationp' olicy 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$1,50D.OD andlor otie-y it impriso=ime t as well as civil penalties i a ihe fo=of a STOP WORK ORDER and a Erne of up to$250-00 a day against the violator. Be advised that a copy of this statement may.be forwarded to the Office of Investigations of the DIA for insurance coverage vrerfica#ion Ida kemby alder the pains azid petiaWes ofperjuiy tlrattrie,urformatimi•ptm,vW a is true acid correct Date: 7/ Phone D eid use only. Do not wrke in t1'ii3 area,t4.be wtnp&ted by tftp artonrn o; fciaL Chy or Town:` a`� Perwiff-Reese it Issumg Authority(circle one): L Board of$edtfi 2.Building Department`3.OYtyffown.Clerk 4 Electrical Inspector 5.Plumbing Impectar; b.Other C'omfact Person: Phone#e ormation and lastruc ions Massachusetts General Laws chapfz<r 152 regmres all employers fit provide workers'compensation far their employees. Pursaantto this sfaf ito,an rn,playw is defined as.'_.evmy person in the service of another under auy contact ofhire, express or implied,oral or wr>fimn.." An eznp&yer is defined as"an individual,pmtacrsbip,association,corporation or other legal entity,or any two or more of the foregoing engaged in a Joint enterprise,and including the legal representatives of a deceased employer,or the receiver or traste�of an individual,padnersbip,association or other legal entity,employing employees- However-the owner of a.dweIlmg house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maim an ce,construction or repair work.on such dwelling house or on.the grounds or budding appmtenant t hereto shag notbecanse of such employment be dcemed to be,an employer-" MGL chapter 152,§25C(6)also sf:ates that"every state or local licensing agency shall withhold the issuance or renewal of a Iiceme or permit to operate a business or to construct bnHdings in the commonwealth for any applicant:who has notproduced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)stars Neither the commonwealth nor duy of ifs political subdivisions shall enter info any contract for the performance ofpublic work until acceptable evidence of compliance with thf--fin rrar,ce._ requirements of this chapter have Been presented fn the conixacting anthouty." Applicants - Please fill oil the workers'compensation affidavit completely,by checIan-g the bores that apply to your sitnation and,if necessary,supply soh-contractors)name{s), addresses)and phone numbers)along with their certificates)of murn a ance. Lmmite-dLiabi7ity Companies(LLC)orLiinited Liability-Pazbherships(LLP)with no employees other than the members or partams,are not required to cant'workers'compensation insurmce. If an LLC or LLP does have employees,a policy is regnia d. 13 e advised that this afhdayit maybe submitted to the Department of Industrial Accidents for conf iimation of insurance coverage. Also be sure to sign and date the affidavit, The affidavit should be retimmed to the city or town that the application for the permit or license is being request A not the Department of Ind s ft i al Accidents. Should you have any questions regarding the law or if.you are regnII-ed to obtain a workers' compensation policy,please call the Department at the nmuabea lisi�d below: Self-fimutd companies should enter their self-fisara ce license number on the appropriate line. City or Town Officials f - Please be sere that the affidavit is complete and printed leghbIy. The Department has provided a space at the bottom of the affidavit for you to fill out i a the event the Office of Investigafions has to contact you regarding the applicant- Pleas e b e sure t o fill in the petmit/Iicense number which will be used as a reference number. In addition,an applicant that must sabmit multiple peimWlicense,applications in any given year,need only submit one affidavit indicating cent policy information.(if necessary)and under"Job Site Addr-ms"tie applicant should write:"all Iocations is (city or_ town)_"A copy of the-affidavit that has been officially sfampe d or marked.by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses_ A new affidavit must be filled out each year.There a home owner or citizen is obtaining a license or permit not related to any business or commercial vPnfirm (Le. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you is advance for your cooperation and should you have any questions, please do not hes¢ate to give hs a call The DeR7tneafs address,telephone and fax er. T�CGmDjanweela of Massachusetts Department Gf I adusfdal Agents �it�e of Xu.�e�€igktio� 604 wasliivon.fit, Bogtaus M&o�111 Tt,-L A 617' -4 =t4€l6 or 14�77 YA&SAS Fax 9 617-727 77� .kevised 424-07 OF � s DRAWING NOT VALID INK SIGNATU vu ®ON LD P. SCHL�4CHTER PHOTOCOPIES OF I� T 'm9 A PROF: ENGINEER No. 42832 UNACOEPMBLE to °��, E� ,. � ;� O.42832 •37 FIELDSTONE DRIVE,SOMERVILLE,NJ 08878 a p 9 O 908231-1 725 voice 908-231-0451 fax 4.� •. oc� EGJ3TE'��'G���' _. MANDATORY ROPE AND FLAT 12 INCHES FROM SLOPE CHANGE fiRB "' VIEW ACROSS CENTER LINE i t, a -1 A-FRAME DETAIL DECK SUPPORT DETAIL 2' / / 13'-3 4. SHORT BRACE �. /R8' LA-rRAAF� E AN 20' 4 R8' PANEL.. R P 4 _. L @lGBRACE R4' -11 R4' STAKE HI RIZDNYAL BRACE Ib NOTE: 34' 1) DEPTH AND SHAPE OF POOL MEET MINIMUM REOUIREMENTS OF MA STATE BIULDING CODE 8TH EDITION. 2)A MEANS OF EGRESS FOR BOTH THE DEEP _END AND THE SHALLOW END OF THE POOL MUST BE PROVIDED_ IN VIEWACROSS CENTER LINE -L ACCORDANCE WITH ANSI/APSP/ICC5-5. 3)ELECTRICAL BONDING AND GROUNDING MUST. BE PROVIDED IN FINISHED 3.-4' 3'-6'PANEL ACCORDANCE WITH MA STATE BUILDING CODE 8TH EDITION.: DEPTH HEIGHT FINISHED 4)ALL A-FRAME BRACES ARE TO BE MOUNDED WITH A . .DEPTH a MINIMUM OF (I) CUBIC FOOT OF ,CONCRETE, OR A_ 6' POURED CONTINUOUS CONCRETE PERIMETER COLLAR. ; 2' SAND OR 5).4NO._DIMING' LABELS -TO BE INSTALLED_ AROUND PERIMETER. 4 �6 _VERMICULITE OF::THE POOL. 3 - 6>ENTRAPMENT PROTECTION MUST BE PR❑VIDEO IN ACCORDANCE -6 WITH MA STATE BUILDING CODE 8:TH EDITION. INTERNATIONAL SWIMMING POOLS NOTES SWIMMING POOLS ARE DANGEROUS WHEN USED IMPROPERLY. NEVER DIVE IN THE SHALLOW END OF ANY POOL. CONSULT:WITH :THE DIVING BOARD AND SLIDE POOL PERIMETER: 89'-8 1/8- I.N T E R P 0� L MANUFACTURER(S) AND THE ASSOCIATION OF POOL AND SPA PROFESSIONALS (2111 EISENHOWER AVENUE ALEXANDRIA. VA 22314 (703-838-0083)PRIOR TO INSTALLING DIVING BOARDS AND/UR SLIDES ON POOL AREA: 504 SgFt THIS POOL TO ENSURE THE POOL MEETS THE EQUIPMENT MANUFACTURERS MINIMUM STANDARDS FOR VOLUME: 21,400 APPROX. GAL. ALLOWABLE INSTALLATION OF THEIR PRODUCTCS) ON THIS POOL. INTERNATIONAL SWIMMING POOLS IS 16' X 34' SPECIAL NOT RESPONSIBLE FOR THE POOL'S INTERIOR DETAIL. RATHER THE LINER MANUFACTURER MUST 'ENSURE - �'f THE INTERIOR MEETS A.P.S.P. AND A.N.S- I. STANDARDS. IT IS THE RESPONSIBILITY OF POOL BUILDERS, TOWN OFFICIALS AND POOL OWNERS TO FOLLOW ALL SAFETY GUIDELINES OF THE a P.S.P., LOCAL DATE: !0/28/15 SCALE NONE ORDINANCES, AND EQUIPMENT MANUFACTURERS DRAWN BY: P.T. ACADREF:SDSH1634x : • • Z of • d; N 11 p ,•' � �" 4y� d i�, as y� ,,,,.a . 4 wj -• .•- a •-• � ' • - •• ' • •. : ' • •• Blue/Black Solar Cover 28 ft. Round 12 Mil -Free Shipping- SolarCovers.com Page 2 of 4 _ Options F28- Round$169.99 Item'#459628 - $184.99 . Sale $169.99 Quantity: j } Add to Cart Share f i ®Description ` Documents Blue/Black Solar Covers are the most efficient way to heat your pool. Raise the temperature of your swimming pool by anaverage of 5-10 degrees and stop 95%of water evaporation. • Utilizes best qualities of black solar covers and blue solar covers • Specifically designed for for excellent heat retention • Place cover bubble-side-down on your swimming pool Size:28 ft. Shape: Round Mil 12. Material: Resin Please allow 3 weeks for delivery. _ Name Value Pool Shape ' Round Pool Size- 28' Round Solar Cover Style Transparent Black Thickness(Mil) 12 mil http.s://www..solarcovers.com/product/blue-black-solar-cover-28-ft-round-12-mil .11/5/2015 DandD Technologies Series 3 MagnaLatch ALERT.Top Pull Safety. Gate Latch Page 1 of 3 -------------- , w My Account ; View Cart I Checkout Items in Cart:0 4AW PRIOR [SAnr!lrrr_t4 Home>•Commercial Hardware>D&DTechnologies Series 3,MagnaLatch ALERT Top Pull Lockable Gate Latch D&D Technologies Series 3 MagnaLatch ALERT,.Top Pull Lockable Gate Latch �gptggs.2'yge, Price:$175.00 !+ Sale Price:$140.00 EAnc, tt..r,�Gut Yi,«.rrmmNYnxk..axw•. Residential Grade Aluminum You Save,.$35.00(20%) Fence Sections ( CkpTttf ologc n5akxlAttp149futtxkcetxcR Item Number:OFS-MagnaLatchSer3Alert-Blk Fence Posts Single Walkway Gates «« »,n• •... •«a Manufacturer:D&D Technologies •Double Driveway Gates s.x Custom Built Gates ! Quantity: 1 add to Cart Gate Operators Hardware t T (YtY2i�.t Decorative Accents ) •Fence Section Parts Customer Special.Orders �. Email this page to a friend. Commercial Grade Aluminum Fence.Sections .w..x« axww•Ax«»� x •Fence Posts ,a+.»µ� +�*�+v-k•�.*.+�+�+ •� Single Walkway Gates Double Driveway Gates Single Driveway Gates Custom Built Gates Gate Operators Hardware D&D Technologies Series 3 MagnaLatch Top Pull Lockable Gate Latch Decorative Accents Fence Section Parts NEW Visual Unlatched Alarm Customer Special Orders NEW Audible Unlatched Alarm • 50%Stronger&100%Rust Proof - • 6 Pin Re-Keyable Security Lock • Visual Indicator Provides Locked&Unlocked Status Vinyl Products Pool Code Approved •Vinyl Fence Sections • Material:Stainless Steel&Molded Polymer Vinyl Fence Posts Reliable Latching Action Vinyl Gates Easy Installation •Vinyl Hardware 20 112"Length • - •Vinyl Handrail Systems Black Color customer Special Orders MagnaLatch®has set the standard for-child safety gate latches for more than 25 years We've sold millions of this Aussie invention worldwide.Now the �— """ MagnaLatch®ALERT models set entirely new levels for safety gates around swimming pools,childcare centres,schools,homes or wherever child •t• t safety is critical.The MagnaLatch®ALERT offers dual'electronic warnings:bright,flashing LED lights,and an audible alarm that sounds if a gate is opened or left unlatched.So you can see at glance,and hear from a distance,if your gate is not secured:The Top Pull model is ideal for all child Your cart is empty. safety applications.A'single beep upon opening warns of visitors or intruders.The MagnaLatch®ALERT is the ultimate safety gate latch,and the ideal i alert device for when you can't turn your back for a second. Email Address: tt agn t a ctt ALE... Password: You will be prompted to enter your - _ - password on the next page .. _ low - Create an account" Forgot ft • 8.B For all downloadable,printable.pdf specification sheets visit our Installation Assembly&:Specifications Page. ° Customer Service p . All of our Fence ISections,Posts and Gates are Made in-the USA with American Materials and American Labor. Plume Hours " 980.355.2749 Monday-ftiday i r Ti E to S.A. 9am•6pmESt' Saturday 10 atn-2 pm r l Related Products 4 Sunday Cloyed http;//www.onlinefencesupply.com/MagnaLatchSer3AIert.aspx 11/10%2015 Style B Residential Aluminum Fencing Page 1 of 3 My Account 1 View Cart 1 'Checkout j Items in Cart:0 �• Home>•Residential Fence Sections>Style B Residential Aluminum Fence Section Black,Bronze or White Style B Residential Aluminum Fence.Section:Black, Bronze.or White /��,�r tsaota55,2749 Price:From$57.23 to$767.46 10 ^ " !• Sale Price:From$45.78 to$133.97 Residential Grade Aluminum Spkr6eeaitmt+tuaadmmfearing•3Ae15roacdtan Manufacturer:OFS •Fence Sections .oa_,,...,w.,m,.,,..,,.,ar.�„w•sua.,,,•.�., _ •Fence Posts a«•wwrrs..•+�a.w„w.....+�«.....�......w Single Walkway Gates 1- ' r.- Product Configuration Double Driveway Gates Height: Select Height Custom Built Gates •Gate Operators , # Picket Style: Select Picket Style v Hardware r } Decorative Accents r Assembly: Select Assembly v Fence Section Parts •i Customer Special Orders ' Color: Select Color v •' •' . {. Optional.Product Upgrades P Commercial Grade Aluminum "« Ring Or Butterfly Scroll Upgrade(Std&Puppy Picket Only) Fence Sections y None v . Fence Posts ( ..m •Single Walkway Gates �• «•... •Double Driveway Gates .... �eaarw.n�www `'�` �� Ring Or Scroll Upgrade Color Single Driveway Gates P. „«^* v"'w "'• * �"* " Custom Built Gates ` """°NT6 `j�"""r"s e0 s g` °Xtp e" ' El Same color As Fence Section Gate Operators ❑Gold •Hardware Decorative Accents •Fence Section Parts •Customer Special Orders Quantity: 1O eAdd f0 Cd-rt Vinyl Products Email this page to a friend •Vinyl Fence Sections •Vinyl Fence Posts �> -•, ' •Vinyl Gates Vinyl Hardware •Vinyl Handrail Systems - Customer Special Orders Style B Residential Fence Section -"' 3 Rail Smooth To 72"Length •'• ! Available in 36" 48" 54"Flush Bottom,54",60"and 72"Heights Your cart is empty. Available in Stan rd Picket,Double Picket and Puppy Picket Designs Available in Assembled or Un-Assembled Configurations* Available in Black,Bronze or White •• sAre Ordered Separateiy Email Address: t .. Password: , You will be prompted to enter your • '-•-• - .... password on the next page; Style B Pool Code Approved Heigh tandard Picket Design:54"Flush'Bottom,60"& 72" Double Picket Design:48",54",60"&72" r 1 ote That 36"Hei uppy Picket Design Fence Sections Do Not Meet Pool Code. y "!Be Sure To a our Local Pool Codes Before Purchasing. Create an account Forgot Password? Accent Options Now Available! Rings&scrotis CLP/ A Avatlahte in Black,Brome.M and Sdd Accent Upgrades:When you add these options,assembled fence sections will ship with the rings or scrolls installed.When un-assembled sections are Customer service m` ordered rings or scrolls will ship separately. Phone Hours, S PLEASE NOTE:Rings and Scrolls Cannot be installed on Double Picket Fence Sections and Gates. 980.355.2749 i # Monday-Friday 8am-6pmESC Saturday 10 am-2 pm EST ' Sunday Closed http://www.onlinefencesupply.com/StyleBBIkBrWht.aspx 11/10/2015 Page 1 of 1 Q � PPL.Y.COtti/, ''ow Fm ulx 'I afessionaal ; ., -_--THE FENCE PROS FOR OVER 20 YeiARs _,: '�.Ms+.i:k '�, ,-,..,..„ .a cr, �,��.*,s w,�.x.t..ak .}•;;t,., Style B Residential Aluminum Fencing -_3 Rail Smooth Top. Specifications Material:6063-T5 Aluminum•Pickets:5/8"sq.x.050"Watt*Raits:i"sq.x.055"Watt•PPGo TGIC Polyester der Coating Screws:Hardened 410.Stainless Steel With Cr6 Plating&Colored Heads•At semb d Or Un-Asse d�- 7„ 3£� 4 "31 47" gg 3 ,_72"(Ail heights)• t x "7 .. -r µ � .—." 4U' 60 72'St3 .w " ,. .i 1__ 16"(36"3 4$"Heights) 2(r(54",6W&72"Heights). Standard Picket Double Picket Puppy Picket t 519" ;3 motions can rack 30"over W Eft span Style 8 Aluminum fence Sections Are Available In Standard Picket,Double Picket&Puppy Picket Designs: to accommodate hitty terrain. Standard Picket Design:Approved Heights St le B Pool Code .. sign:54°°flush Bottom,b0"& 72" • Double Picket Design.48 54",60"&72... = Please Note That 36"Height&Any Puppy Picket Design Fence Sections Do Not Meet Poot Code http://www.onlinefencesupply.com/images/products/detail/StyleBSpecsNEW2.2.jpg 11/10/2015 A TYC Grade to Wood Con an zrr Ff4g-lk Wind Areas:11O Faph Whid ZoFre Mas,3achusetts Checklist for COMFNanCe(790 c EMI c>l'ic ca-Plian= 1.1 SC-OP P. Wind Speed{3-saa.gust)---—_—__�_�_____—__—_. —. 110 mph Wind Exposure Caiagwy- - - -----------_---• -------_---__�__�_S Wind Exposure Gafegory................Engineering Re .quired For Entire Projec#_____.___.__.___-_•.----------.-- 12 APPLICABILITY -Number of S odes(a roof wbich e=eeds B in-12 slope shg be considered a sfnry) stories 5 2 stories - Mean Rocrf Height _—._----------------=-—(F9 2)----- ------ ---. - c 33• Building Width,w— ---- ------ -------(Fg 3)-- _ =-- =----=——� c BD' Building Length,L ------------------ --_--fig 3) �9 Sol Building Aspect Ratio(11M (Fg 4)___ __-_------ ---. s 3:1 Nominal Height of Tallest DpeningZ __-----•-_-,.._-_(Fig 4) 1.3 FRAMING CONNECTTDNS - Generaf compl"rance wffli framing connections__.�-=-:—(Table 2)-----_----------•--------__.------. 2.1 FOUNDA7IDhf Foundation Wa!!s meedng requirements of 780 CMR 5404-1 Conte---- .---- •• ---•-•.................. -......................................................---- -•----- Concreta Masonry... 22 ANCHORAt;E TD FDUNDATIQhita 51W Anchor Bolts*imbedded or 518`Proprietary Mechanical Anchors as an altamafrve in concreba only BoltSpacing-•general - (T ) --••_--•------------•----•------ -. able 4 Bolt Spacmig from endrIbint of plate ___- ._(Fg 5)_— _..__ in.5 B`-'12`, Solt Embedment-concm a -_(Fig 5)------—____—_•--:—.__ _in.y 7- in-2:-1 S' Plate Washer__--_— J=. --- --(Fi9 5}--- ------___.---5-.3*x T z 3.1 FLOORS FToorframing member spans checked _-_-__(per BD CMR Chapter SS)-_____-�-_-- Maxirrrum FloorO'penrng Dimension --(Fig 6)-_---------------- Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)--------------------------- -. -_. - Maxtmum FIoDrJofst Setbacks a . Suppoi ing LDadbearmg Wailk or 5hearwai(--_---(Fig 7)__ ----------.--------_+-- fit 5 d Maximum Cantilevered FTDDrJofsts Supporting Lhadbearing Warts or Shear wall_-- (Fig 8)_______..__—_-______-_:---------_$s d FloorBmcing at Endwalls—-------..__._-•_-_--------(Fig 9)-- -_----------` ----._.__. Floor Sheathing Type .-_—__.—____-____-- -(per7BD CMRCfiapter SS)Floar Sheathing Th►clmess— ---- .___—(per 78D GMR Chapter 55)-----__.-- in_ FioorSheat-fing Fasteri*ng_..._..__.--- ._-_----._._—_-.-(Tal le 2)__d nals at in edge/_in field Wall Height Loadbawing wags.—__ _---__--(Fg 1D and Table 5)_ _-- ft 51 D' Non--L.oadbWr)g walls (Fig 10 and Table 5)—__-_.=ft's2D` d _ Wall Stud Spacing -___- ------(Fig 10 and Table 5) __ _rn.s 24 a-r- Marl Story Offsets -- -- --(Figs 7 B)- —.__-_ �_ —ft s d 42 tD T OR_WALLS' • r >M Wood Suds 4. . • ._ _$_rn. NDn-L aadbearing walls.-----* Gable End YtFall Bracing i — -- Full Height Endwall Studs__.____._-__- ._[Fig - WSP-Affic FIDDr Length (Fig 11) —_- ft�:W/3 Gyp=m C&ng Length ff WSP not used --._, r 11 _ and 2 x4 CDnfinuom Laferal Bran Q B ft D.r;_'(Fig 11�------.--_._ or l x 3 ceffiing furring strips @ 16`spacing-min.Wn 2 x 4 blocbng @ 4 ft spacing in end joist or truss bays - Double Tap Flafe Spice Length -- ------ —(Fig 13andTabte 6)__— _ Splice Connection(nD.of 18d cori'rnDn narls)_—.(Table 6)__ _ -- _-- ATVC guide to FVcod COnstradiorl in jfigh TY7-adLreas: II D,urptr 1€?27d Zone ' Massa chas etts Checkli t for CoMpliance Mo C7LrRs3al.zr-r)I Laadbearing Wall Connections - Lateral (no-of 16d Mn1mDn --- NDn-Lradbearing Wall Cannec ons Leal(no.of 1.6d mmmDn nark) _—(Table B)---- ---- Load Bearing Wal bpenings(record largest Dpening but chectc all openings for coTnipGance Table 9) Header Spans — -- _ _--(Table 9)—�_. —ft—in.511' SM Plate.Spans _--_ — (Table 9)____-------•----f—m- 111 FL A Height Studs (no- Df-sfi ls)-- -(Table 9)----..—_— ---- NDn-Load Bearing Wall Openings (retard largest opening bbt check all openings far rzumpBance to Table B) ft--in'S1Z' Sill Plate Spans--__— _-; ---__(fable 9)_-- --- _ft_in._<12` Full Height Studs(nD.of studs)__.—___ __(Table 9)-----___---___—_ ------- EX±E�rior Wall Sheathing to Resist Uplift and Shear Simultaneousty4 Minimurn Bullring Dimension, W NDminal Height ofTallestOpeningZ ..........___..._ ------ Sheathing Type--_ — _ --(note 4)----------------:-- Edge Mail Spacing--- -- ---(Table 10 Or note.4 if less)-----.•--____-- m Feld Nail Spacing-----_—_ ------_----(Table 10)______________--- Shear Connection (DD_of 16d common nails)(Table 10).__--J—._.--------- Percent Full-Height Sheathing.____' ___.-(Table 10)----------------r-------•--°� 5%Additional Sheathing fnr Wall with Opening>.13W(Design Concepts)--------- Maximum Building Dimension,L Nominal Height of TallestOpeningz------------------------------------------------------- ----`6'6� Sheathing TYPe----------------(note 4)------ Edge Nall Spacing _ _ (Table 11 or nDtt9 4 if less)__--_—_-__-_-- in. Feld Nail Spacing�—----- ----(Table 11)__ -- -- in- Shear ConnetiSDn(no. of 16d cDmmDn nails)(Table 11)___. _ - Permnt Fu&Height Sheathing—_ (Table 11)__---- — ----°� 5%Addrdonal Sheathing for Wall wrifn'apening}B S'(Design Concepts)-------- Wall Cladding _ Rated for Wind Speed?----- ------_—---- -— — -— ---- 3.1 ROOFS Roof framing member spans checked7_ .(FDr Rafters use AWC Span TD_oL see BBRS Website) RQDf Overhang _-------------------.---------(Figure 19)____—_--_ft smaller of Z.or L/3 Truss or Rafter Connections at L.aadbeari ng Wags - Proprietary Connectors - Uplilt -- --- ---- (Table 12)------------------ U= plf - •Lateral_-----------------(table 12}---------�_._ ---L= Ptr Shear------ (Table 12)------- -- —S= Ptf- Ridge Strap CDnnectiDns,if collar ties not lased per page 21--- (Table 13)_—__---—_---T= Plf Gable Rake Oufiooker-_-_--- ---;--------.-------(Figure 2Q) ._--.---_ft<_smaller of Z or L2 ' Tnrss Dr Rafter Connedions at Non-LDadbearing Walls Proprietary Connectors Uplift--____��_---.(Table 14)_-- —_— ---U= lb. Lateral(no_of 16d cnmmDn na►ls)__(Table 14)-----------------------------------—i-= lb. Roof Sheathing Type—__--:_-- _-__---(F e 7aa CMR Chapters 56 and S9)............ RDof'Sheafhing Thickness----__-- — _—___-- —_ —in-?7116'WSP Roof§heathing Fasb:-,ning (Table 2) — NDtPs: -1. This cyst shall be met in its entirety,exc[uding the spe6fc exception noted in 2,to comply with the nequiretnents of TBO CMR.53D1.21.1 Item 1. ff the checkfM is met in its entirety then the following metal straps and hold downs are not required perfhe WFCM 110 mph Guide: - a- Steel Straps Per Figure 5 b, 2b Gage Straps per Figure 11 Uplift Straps per Figure 14 d_ Ali Straps per Figure 17 E- Comer Stud Hold Downs per Figure 1Ba and Frgura 1Bb 2 'E ception:Opening heights Dfup iD 13 ft shall be pemftied when ST.is added to the percentfull-height sheathing requirernerds shaven in Tables I and 11. 3_ The bDttnm sad plate in edetiDr walls shaA be a minimum 2 in-nominal Hckness pressure ireeated#Z-grade. ' — '� -ATVC Guide for Flood Cb mv&aa oft is Zl�h frYrzdAreas- 110 ffzpff IY77trd Zc,ae Massachusetts Checklist f6r �`omp�iance(7�o c�iRs3.at�r:�)t 4_ ' a_ From Tables 113 and 11 and location of wall sheathing and Building Aspect Rasa,determine Pert Fulf-Height Sheathing and M Spacing requirements b. Wood Structure!Panels shall be minimum thidmess of 7I16'and be installed as follows: L Panels shall be installed with strength axis parallel to studs Ti. All horizmntal joints shall o=ur over and be nailed to flaming. uL On single linty construction,panels shall be afiached to bothm plates and top member of the double" top plate. fir. On two story camtruabon,upper panels shall be attar-led to the tflp member of the upper double top plate and to band joist at botfom of panel Upper atbthment of lower panel shall be made to band joist and lower attachment made to lowest plata at fast floor framing. v. Horizontal nad spacing at double top plates, band joists,and girders shall-be a double row of Bd staggered At 3 inches on center per figures below:Vertical and Horimntal Marl-ing for Panel Attachment 5- Glazing protec�on:a)'new house orhoriznntal addifion—required if prnjad'is i mile or closerto shore(generalfy,south of Rte.23 or north of Rte 6) b)Vertical adCrtion—not requlred unless there Is axtensive renovation to the first floor c)rreplacementivMdows—needs energy conservation mmplian�only(chap 93) 6.Wceod Frame Construction,Manual (WFCI�i)for 110 MPH, Exposure B maybe obtained from the American Wood Council (AWC)wabsite. WENTMIDGEFESrSDR _F?A�UsEsd IJA3L$ _T • ar u i , - al tt II CA-.�II ii Ile• _ — t �•>v - I rl ra 1 [ F+ t tl • fl l`i - 4 t `Z y.fT I t o L [ i t ( i l EDGE U l i L} tI7 ii It i .. E 1 1 fa al q t t IZ - •tL u [ p I it "• \ I [ S 11 II J l L 1 l [ rt Sr • fI fill ' " ---f� — — — NAS—�?+4Ck 1 14AXPATTEFN Z P1.R13 rA1h�E61A�SxES�RRV�LETAL . See Detail on Next Page Vertical and Horhzorr[al hlaTng Dei�fl• _ ; for'1?anel Aftachm�nt V=rilrral,3rkd Nofi�anthI Nailing' • _ faE l�el At�rhrn�nt _ . r .. o� Tayy To n of Barnstable t Regulatory Services Mess$ Richard V.SmIi,Director .59. A, Building Division TomPerrp,Biding Com**„'-sdoner 200 M ill Street;Hyannis,MA 02601 www.town.b arustable.ma_us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing "AA Builder C.l!7e as Owner of the subje ct property herebyaurhorize to act on mybehalf, in all matters relative to work authorized by this bolding permit application for. jag (Addres of job) ool fences and: alarms are the responsibility of the a licaat. Pools are not to be filled or utilized before fence is installed and all final,' inspections are performed and accepted. Signature of Owner o Applicant AriatoN Same Pant N atne Dare . Q:F0RMS.0WAIEWEFIMSI0NP00LS y x _ _ r r f!' f, � ✓ter_ �- . \ � �'!.. � } .. � ....., '•'`�-�'_ .. o sty r �f x� owner-s:_;. -THO,-IA.S: COUI:7- �Ej Z-S./� yF p 1 40 �R 7-E 2D Sa P'7" r } TtFY T.,.+�aVT �f/E Bt1/L.pty� t * 'ct E kj OA . TWE `* '!ERE .�utln .��'.�.�✓ov+rv.t��ld'�oAJ 7' .Ts-"E l�A! CO.t/s:YG/CTEi�. A�. 13230% ?. _. ,%y r q J� G AFi. J. i ol is F �t�ners TyfoMHS: COU.'7-& k Fogg DftTE.0- S�.PT. Ian .Z N ���Y C�'.�7/F.,Y r.�✓a�DT �k �vlA-0 6� 'S'ct;+t ros✓.cv o .r�,ris ��.:qv, Is Locs'7-Zta O. 4C- �1sRL 7-"A?T Zoe .moo 7-OWA.1 t7F A,4 V ,_ ✓ 'GY t ,y j ^ k� t S}� T1x Comynortivealth of-Massachusetts Depar'trnent of£rulrrytrialAcciderrts - f3,—re of£nvestigatiarns z { 600 Wasliurgton Street Boston,?CIA 02111 Wymnnia_,gov1dia ""Tarkers' Campensatian Insurance Affidavit:Builders(Contractors/EIectri;cianslPlumhers Applicant Iufarmatian Please•print Legg Name(BustnessADrganrzahouflndi�idnal} � j�8�/�,�LLS Address: ©I C.fZ.t &K=0R j L _ City/Sfate(Zip Phone-_ $'3,,:7 -r— Are you an employer:'Check the appropriate bom: Type of project(required).: IKI am a employer with. i 4 ❑I,a general c.onfractor and I * have lured.the sub-contractors 6- ❑New consfia3ctiag employees(full and(or part-time).* _ 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7_ ❑Remodeling These sob-cau ractors have slip and have no employees. 8_ ❑Demolition working for me in any capacity_ employees and have workers' [No Workers,comp_insurance comp.Tnsl ranc�_-1 g_ Building addition required_] 5_ ❑ We are a corporation and its 10_❑Electrical repairs or additions off'scers have exercised their 3.❑ I am:a hameoumer doing all work 11_❑Plumbing repairs or additions set€ o-workers' right of exemption per MGL �' � - I2.❑1Zoofrepairs . imm nce required.]i 9-152, §l(4},andwe have na employees_[No workers' 13_❑ other comp.insurance required_] *Any applicautmatcfieckshai 91omit also 5lloutthe section below shntviagdmkwoikere compensation policyinfbmsaao_ #Homeowners who submit dais zmdaa u-&—t-.9 they sae doing all wank and then hie outside contractors must submit anew affidavit indic=n,such . fC'antaactors that check ibis box must attached am additional sheet shouting the name of the sub-camtractms said state whether or not Those entities bane employees.7fthesub-cmtnictmshaveemplUeeg tfieyn=pmv-detheir workers'romp.policy camber_ lam an eiifplgvr fltat isprot�idiag markets'congreresrrizi�rt insurance f or my*entpiny�ees :Below is fire policy curdiah site hiformmtitus. Insurance CompanyName:* ALA,& Jl✓l�tsl'./a 1-- Policy f or Self--ins.Lic-4, EGG- 5-cr>`t i 16 ZUf V- Fkpiration Date: I Lo Job S"iteAddress: city/stateJ2ap: Attach a copy of the workers'coampensationpolicy 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$1,50D OD andfor one-yearimprisonmeut,as w6ll as civil peaelties.in the form of a STDP WORK ORDERand a Eme, of up to$250-00 a day against the violator- Be advised that a copy of this statement maybe forwarded to the Office of - lmvest gations ofthe DIA for insurances coverage verification. Ida hereby ceWffr tzrtd tha,)7 andpenahges ofpri urp thatflTie in;formadon provacd a bmw is.tmw and correct Si�ature. Date: t- Phone Ojffpal use only. ,Do not write in thb area,to be crrinpleted by city arton-n afjiciat City or To am.- PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C tyfrown Clerk d:Electrical Inspector 5. 1umbing lnspertor, , 6.Other Contact Person Phone#: 1hnrarmatian and instructions 0- . 'q :. .. Massar-I setts Gelncral Laws chater 152 recpaa-es all employers to provide workers'compensation for their employees. parsaaatto this stye,an errq7Ioyee is defined as-7 —every person in the service of another under any contract ofhira, express or implied,oral or written." An Moyer is defined as"an individual,partner,association,corporation or other legal entity,or any two or mare of the foregoing engaged is a joint enterprise,and naclnding the legal representatives of a deceased employer,or the receiver or t ustee of an iadividnml,parbamship,associafion or otherlegal entity,employing employees_ However the owner of a.dwelling house having not more than three apartments and who resides therein,or the occ¢pant of the - dwelIing house of another who employs persons to do mairtm ce,coushuction or repay work.on such dweEing house or on the grounds or building appurtenant f acmto shall not becanse of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states brat"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings ur the comm onwealth for any applicant who has not produced acceptable evidence of compliance with the insurance,cove)-age required_" Additionally,MGL chapter 152, §25C(7)states'Neither the commaawealth nor any of its political subdivisions shall enter into any contact for the performance ofpublic work until.acceptable evidence of compliance with the i„SUrance.. requirements of this chapter have been presented to the contracting ar>3aodty:" Applicaais . Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sib-conttactor(s)name(s), address(es)and phone number(s) along with their certificate(s) of incr nc.e. Lin:t LiabrZity Companies(LLC)or Limited Liabr7ityParfnmships(LU)withno employees other ffim the members or partners,are not required to carry workers' compensation i„sm-a„ce_ If an LLC or LLP does have employees,apolicy is rega:in4 Be advised that this affidaykinaybe snbmitted to the Department of Industrial Accidents for confrrmafion of in emu,ce coverage. Also be sure to sign and date the affidavit The affidavit should be retnmed to-Ee city or town that the application for the permit or license is being request not the Department of LadLTLtcial Accidents" Should you have any gnestions regarding the law or if you are reqaired to obtain a workers' compensation policy,please caIl the.Deparfmmt at the number listed below Self-insured companies should enter their s elf-in saran ce license number on the appmpriatE line. City or Town Officials f _ Please be sire that the affidavit is complete and printed legibly. The Department has provided a.space at the bottom of the affidavit:for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pe�itllicense number which will be used as a reference number. In addition, an applicant that must submit multiple permitiUcense applications in any given year,need only submit one affidavit indium current policy imtomation t if necessary)and under"lob Site_A_&-,,ss"tie applicant should, aII locations in (city or town}_"A copy of the affidavit that has been officially stamped or masked by thD city or town may be provided to the applicant as proof that a valid affidavit is on rile for furore permits or licenses- Anew affidavit must be tiIled out each year.Where a home owner or citizen is obt iii ing a license or permit not related to any business or commercial venture (Le- a dog license or ptmak to bran leaves etc.)said person is NOT regn to complete this affidavit The Office of Investigations would bike to thank you in advance for your cooperation and should you_have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: C�Dmmmwmja of Massac z &:tts ,- Depa CMMt c&1ridust ak Aocid nits Office of jIIVegUntio.-� 604 wasbivou S#rf�tt Baste MA 02111 Tf,-1.4 617-T27-4.'M Qxt 4€6 or I-aW-MASWE Fax 9 f 17-`27 7M Revised 4-24-07 mango-Tjdia_ I TOWN OF BARNSTA LE R I S E Y !0 !6 Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island 02910 DI�siS�O�$� May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 120 Greely Avenue has been inspected by a Building Performance Institute (BPI)`certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor of Installations, BPI certified Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 110753 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION U s ;. Map '� I Parcel Application # Health'Division Date Issued Conservation Division ', Application Fee . Planning Dept. . Permit Fee Date Definitive Plan Approved by Planning Board CC- Historic - OKH _ Preservation/Hyannis �(L Project Street Address 120 Greelev Ave ue Village Q Owner Thomas Couite Address PO Box 39 H annis ort MA 02647 Telephone 508-775-0019 Permit Request air sealing, insulate attic Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 3984 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family .,,❑ Two Family ❑ Multi-Family(# units) s C7# e Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's"iHighway ' ❑Yes ❑ No r Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other �J Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) tier� Number of Baths: Full: existing new Half: existing nevv Number of Bedrooms: existing _new , Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-794-1700 Address ' 1341 Elmwood -Ave, Cranston, RI 02910 License # 100459 Home Improvement Contractor# 120979 Worker's Compensation # -ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t e I ZJ LE Erik erst eimer tor RISE FOR OFFICIAL USE ONLY, APPLICATION# DATE ISSUED } MAP%PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT Y ASSOCIATION PLAN NO. The Commonwealth of Massachusetts - Department of Industrial Accidents - Office of Investigations 600,W ashington Street Boston,Mass. 02111 www.mass.gov/dita '®r ers' Comperlsati®n Insurance Affidavit: Builders/C®>arse>t® °s/Electrici,ans/Plumbel-s_ Applicant Information Please Print Legibly Name - (Business/Or .aniz_a.tionA.- ndiv_idual): RISE Engineering� a divi sion 'of Th lelsch Engineering . e Address: 1341 Elmwood Avenue y. City/State/Zip: Cranston, RI 02910- Phone#: (401)784-3700 or 1 :800-422-5365 Are you an employer?.Check the appropriate box: 'Type of project(required): 1. M, I am an employer with 4: ❑ I am a general contractor and I "6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 2. ❑ 1 am a sole proprietor or partner- listed on the attached sheet.' 2• ❑Remodeling ship and have no employees These sub-contractors have & ❑Demolition . working for me in any capacity. employees and have workers'T. 9. ❑Building addition [No workers' comp.insurance comp. insurance. $ b required] 5.0 We area corporation and its 10, ❑Electrical repairs or additions 3. ❑ I am a.homeowner doing.all work officers have exercised their myself [No workers' comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions. insurance required] t c. 152,.§ 1(4), and we have no 12. ❑Roof repairs employees. [no workers' 13. N Other Insulate comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all wort:and then hire outside contractors must submit a new affidavit indicating such. tContactors that check this box must attach 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'co .policy number.'.. lam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information, Insurance Company Name: The Preston Aoeric _ Policy#or Self-in.s.Lic.#:_373096140 17 - Expiration Date: 1/l/11- Job Site Address:��'_'-- _ _. City/State/Zip: S��- 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 152 can lead to the imposition of criminal penalties of.a fine up to$1,500-00 and/or one year impriso_n..i?zent as.well as civil penalties in the form of a STOP WORK ORDER and'a fine of $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. Ldo herby certi rand-the dins en'Ides ofperjury that the information provided above is true and.correct. S'iznature: Date: -- PrintName: Erik Nerstheimer_ Phone#.(401_ ,784--a7Q0 oz'.`1-800.-422- 65._�x ff aciaX use only Do not w ite int,':s area to be completed by city or to>vaa off — ,. {.tg or Towsl Permit/license fssumg Authority(circle one): LBoard of death ; �2. Builditag Department - 3.City/1"own Clerk 4.FlectriCal Inspector 5:Plumbin Inspector i 6.other Contact person:�� - -_ —- ' - - Phone# ,x ------------ r� AC®RD CERTIFICATE OF LIABILITY INSURAIVCE � aPID 97 DA'�,MMDDn�n, " THIEL-1 04/13/10 The PR THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, INC. ONLY AND CONFERS'NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES.NOT AMEND,EXTEND OR PO Box 81*0 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI" 02818-0810 Phone: 401-886-8000 Fax;401-885' 1700 INSURERS AFFORDING COVERAGE NAIC.# INSURED - INSURERA: Zurich-American Ins CO. I" Thielsch Engineering, Inc INSURER B:. wor.lcn n t�;rant.• a ll+b/l'lty H i Tech Group Inc. INSURER North American Capacity Hi Tech Raalty Inc. -- 195 Frances Avenue INSURERD: Hartford Insurance Company -Cranston RZ' 0291.0 r - INSURERE: COVERAGES 14E POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOT/WTTHSTANDING' .ANY REQUIREMENT,TERM OR CONDITION OF At4y CONTRACT OR OTHER DOCUMEN-r WITH RESPECT TO WPIICH THIS CERTIFICATE MAY BE ISSUED OR WAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS A.0 CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -LTR iNSR - TYPE OF INSURANCE POLICY NUMBER,. ..DATE(MM/DDlYI') DATE I� M fyy) LIMITS GENERAL LIABILITY * '' EACH OCCURRENCE z. $_1,O O O.,O O O A I K COMMERCIAL GENERAL LIA81LITY-. 3730962-00 04/01/10 01/01/11,'PREMISES(Ea occ��weence)- .13'00,000- CLAIMS MADE" D OCCUR" MEDEXP(Any one person) g 10,000, _ .PERSONAL.&ADVIN.;URY g.1",000;000 - - - - - - - - GENERAL AGGREGAIE S 2,0 0 0,O 0 0 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP'AGG" $ 2,0 0 0,0 0 0.. POLICY X � - - - -- JET Lor 1, , " AUTOMOBILE LIABILITY Emp Ben. 000 000• �• � - - - .^ _ � COMBINED SINGLE LIMIT, g`2. OOO,000 �k X ANY AUTO 3730963-00 04/01/10 O1/01/11 (Ea accident) ALL OWNED AUTOS - - -`- --. SCHEDULED AUTOS - BODILY INl.IURI' (Per person) HIREDAUTOS - BODILY INJURY - NON-OYvNED AUTOS - - (Per_cvdurd) , PROPERTY OAI CAGE _ + ?Par WrCluud)' GARAGE LIABILITYI------ - Aul0 ONLY-EAACCIDENT g ANY AUTO - - JI..-IR Ti_•A1a ER.ACC IUIO.CNLY:'.. -AGG -- EXCESSIUMBRELLA.LIABILTTY• 1.0_,O"OO,000 - B X OCCUR �CLAIMSNWGE UMB 9263637-00 04/01/10 01/0',/11 rPOGR GATE. $ 10,000,000 DEDUCTIBLE �--- — ---- — - - X RETENTION 11D,0 0 0 - — --- — WORRERS COMPENSATION AND • - .X�FJ< ��- EMPLOYERS'LIABILITY ITUK J.1MI751�.-r, F. ANY PROPRIETGR/RARTNEP./EXECUTIVE 3730961-00 04/01/1O I 01:j01./1l EACH ACCIDENT _ 51_000;000 OFFICEWMEMDER EXCLUDED? DI.,�AbE En EMPLOYEE $ 1 OO 0,0 0 0 _- -.. Ifyes,aesc(ibe.undef ..: , , -- --- -- ---, ---- SPECIAL PROVISIONS belvv- - E-L.OiSEASL-FCI,r_i LIMIT :T 1,000,000 I --�OTHER C Professionial Li'ab DVL00 002 6 80 0 r . 04/01/1J Oi/O1/-ll Prof :Liab `2,000,000 - D Leased/Rented Egp 021TUNT05678'` "' 1 04/0.1/J.0.LJ3/JL/11: Equxptnent 100,000_ DESCRIPTION OF OPERATIONS I LOCATIONS I.VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIp.I PRO-\18IONS - CERTIFICATE HOLDER CANCELf Al'ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEPORc THE EXPIRATION - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 1.O 0AYS WRITTEN . NOTICE TO THE CEFiT1FICA1"E HOLDER NAMED TO 1'HE LE'rT,BUT FAILURE TO 00 SO SHAH - IMPOSE NO OBLIGATION OR LIABILITY OF ANY mNO UPON;1E INSURER,ITS AGENTS>OR � .. ,J - _ REPRESENTATIVES. s AUTNORQPO REPRESF v _--- - - - - II o Fj d `RCORD 25 � X ra: x ai7fC 2001/ODI ( ORDCORPORATIOi1"t9B'3 Pj,.i 11 4 i d1Si"f IfINU�tEDRSrtAME�aTliiresLhinee , ag�'�� n¢� Yrr;tlfll YtOPID 271� y 1 f1$ DAT,E 04/12/10 Also for . RISE Engineering, a division of Thielsch Engineering, Inc.. Gaskell As-sociates; a division of Thielach Engineering,, Inc. BAL Labo.ra.tory; .a division of Thielach Engineer,i:ng, Inc. ESS Laboratory, a division of Thielsch Engineering, Inc. , ALCO Engineering, a division of Thielach Engineering,`Inc.. ; Water Management Services, a division of Thielach Engineering, Inc. I .. ;- .. 1 e� �. ` �an. O ���t;onsumler gfa�a usli_I'+t �ra:tt4i4 n . Y 0 Park P1a�a- Stine 5170 '_ :. Boston, ssachusetts 02116 a Hone Improve ��,ontractor-Reg strati6n r -- Registration: 120979 Type: -Supplement Card; z - w Expiration: 3/25/2012 : THIELSCH ENGINEERING ERIK NERSTHEIMER 1341 ELMWOOD AVE. x r., .. . CRANSTON, RI 0291*0 , ,Q Update Address and return card.Mark reason for change. Address Renewal` Employment :Lost Card- PPS-CAI 0 50M-04/04-G101216 /Te C�anvnwoziire¢ i ✓l2aaeac�u�ael� `Office of Consumer Affairs&Bu iness Regulation License or registration valid for individul use only, OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to. Office of Consumer Affairs and Business Regulation ' Registration �79 Type: 10 Park Plaza-Suite 5170, Expira 12 Supplement Card Boston,MA 021I6 THIELSCH EN(A f` ERIK NERSTH 1341 ELMWOOD _ CRANSTON; RI 029f� �'� Undersecretary Not.valid without signature ; _ _._.. -- ... - - - -------- - .... -.... _. rapt 1 0I 1 The Official Website of the Executive Office of Public Safety and Security (EOPS) Mass.Gov Home Public Safety y Department of Public Safety Licensee .,Complaints License Type Construction Supervisor License## 100459 Restriction WS C 1 .. Name Erik Nerstheimer ` - 4 City, State, Zip North Scituate, RI, 02857 Expiration Date 3/2 8120 1 2 Status Current No complaints found for this Licensee $' Back To Search e \ 0-�u;.1:J�rLmolnuretiz`l� o�'�rcdwuetl6 - _ _ - _ . f $oar d o .eQulations a7d Sta1,dari6 ;• L.Lense or registration valid for individtil use only HOME IMPROVEMENT CONTRACTOR I before the expiration date. If found retus n to' r i Reoistr4t-!P i:, 120979 Board of Building Regulations and,Standards ' Explrat on 5/2010 t I" One Ashburton Place Rm 1301 iTYRe Suplemen#Card .41 -=.L NCH EfJGINtc [n r K NERSTHEIfv1 F 1 EL��IINOOD-F�� a .. �NSTON,RI 02910 .Adrn nisi-At6 I � No t valid without sign tz�re hrtp://db.s`�ate.ma.us!d�s/l "A a`• } z. � v r`„r s NMI # l ` ' HUIgm NAT-24 1 - 1 RISE ENGWEERING Federal ID#05-0405629 RI Contractor Registration No 8186 A division of Thielsch Engineerin MA Contractor Registration No 120979. CT Contractor Registration No 620120 1341 Elmwood Avenue,Cranston, I z. {{��'' ®®Ag (401)784-3700 FAX(4 710 C%^J N T 1%P%C 6 ' ,, AN 116 201G Page d: IS THIS CONTRACT 18 ENTERED INTO BETWEEN RISE ENGINEERING AND THE CUSTOMER FOR WORK AS E N(;IN E E IR I Nr- DESCRIBED BELOW CUSTOMER P DATE Client# ' Thomas J Couite ` . (508)775-0019�' .06/10/2010 110753 . SERVICE STREET BILLING STREET 120 Greeley Ave P O Box 39 SERVICE CITY,STATE,LP _ `-:BILLING CITY,STATE,ZIP West Hyannisport,MA 02672 Hyannisport,MA 02647 JOB DESCRIPTION �{ RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that youi home will be left with a healthful level of au exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. l Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials.and testing. 24 man hours. $1,584.00 RISE Engineering will provide labor and materials to install a I V layer of R-38 Class I Cellulose added to 2000 square feet of open attic ' space. f.`. �,"'� t-1 y d U�I���'!�..it. LA3 i L,.+. .. ¢ f $2,400.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible, measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year.Includes all of the air sealing costs: -$3,384.00 i WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Six Hundred&00/100 Dollyrs.. $600.00 x. UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAIDSALANCE AFTER 30 DAY .SEE REV RSE FOR IMPORTANT INFORMATION ON GUARANTEES,:RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. . DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLAW SPACES -- AUT. R6f.ED SdG E- ^E ENGINEERING CUSTOMER ACCEPTANCE NOYE:Yq CAJTRACr MAY 8F WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE r !. ACCEPTANCE OF CONTRACT•T ABOVE PRICES,SPECEFICATION3 AND(.''DNDITONS ARE SATISFACTORY TO US AND ARE H REG I s,CCEPTRD.YOU ARE AUTHORIZED TO DP THE WORK• ' Yi.{NED ABOVrS AS SPECIFIED.PAYMENT WILL OF MADE AS C3U TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION,,, Map ' Parcel , d „ ;'Application # ~t ., . Health Division °Date Issued Conservation Division ' ,Application Fee- Planning,Dept, -' "Perm it Fee _ -- Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis ' Project Street Address 'i t Village Owner Via: CO V.\ � e. Address i �® �'9�'''e-C%� AN �. Telephone O`t�'-1-1 S ®o \1\ Permit Request i Square feet: 1 st floor: existing�` oposed i b 2nd floor: existing proposed r-1 Total�3new Zoning District. Flood Plain Groundwater Overlay Project Valuation � 6606 Construction Type m Lot Size g(1 _0� Grandfathere'd: 1 lies ❑ No If yes, attach supporting deeumeR#ation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) w F_ Age of Existing Structure Historic House: 0 Yes ANo On Old King's Highway: ®Ye4 No Basement Type: )$.Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)_ ao8 0 Basement Unfinished Area(sq.ft) 9,O C� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count (not including baths): existing �- new C� First Floor Room Count Heat Type and Fuel: ❑ Gas )Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ` No Detached garage: ❑existing U new size—Pool: ❑existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage:�111,existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No Ikf yes, site plan review# � e Current Use �' Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name % Telephone Number Address License# (>`�,���`"( e % Home Improvement Contractor#SO I a--rV J\- Worker's Compensation # - ~'S ALL CONSTRUCTION DEB S RESULTING FROM THIS PROJECT WILL BETAKEN TO CA6 Q SIGNATURE DATE j 0"J'9 —®!'( I FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE •-OWNER ' DATE OF INSPECTION: FOUNDATION b l 1 0 09 FRAME 5 INSULATION I//slo g FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING rQ�(ollho R r DATE CLOSED OUT ASSOCIATION PLAN NO. f 14 ENERr,Y CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE; AND TWO-FAMILY DETACHED RESIDENTIAL CONSTRUCTION (780 CMR 61.00) Applicant Name: r� _ Site Address: -1c J3v� print Town: Q @,iV`S`�-�"V Applicant Phone: S0 _�1g_ 16 6 Applicant Signature: _ Date of Application: NEVI CONSTRUCTION: choose ONE of theirfollowing two'o tions 78.0 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab Option 1: Basement Fenestration exposed. Wall Floor Perimeter AFUE U-factor floors R Value R-Valu R-Value e wall R.Value 1ISPF SEER R-Value and Depth National Appliance Encrgy .35 R-3 8 R-19 R:-19 R-10 R-10) Conscrvation Act(NAECA)of 4 ft.- 1987 as amended,minimums or eater as applicable Note: This form,is not required if you choose either of the two versions of REScheck as listed below. ❑ Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.33) 7 REScheck—Web which can be accessed at http://www.cnergycodes.goy/rescheck/ ADDI•TXONS:OR ALT�RA.TZONS.TO EXISThN` G'UIC.DIl�IGS.-O VER 5 YEARS OLD* *)3uildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula: 100 x b_a) SF 100 x ' _ % of glazing (b) Glazing area equals . ?�1.5 SF b a If glazing is<-40616.uge the chart below. If glazing is > 40 % rpce6d to"SUNtROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM h ovfUM Fenestration Ceiling and .Wall Floor Basement Wall Slab Perimeter U-factor Exposed floors R-Value R-value R-Value R-Value R-Value and Depth .39 R-37 a R-13 . R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). ' SUNROOM-An addition or alteration to an existing building/dwelling unit where the total El glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to Will out Consumer In ormafion Form found in Appendix 120.P The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 w4 �' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers APPUcant Information Please Print Legibly Name(Business/Organization/Individual): 1-hVe Address: City/State/Zip: �� � �` �� �� Phone.#: '' �� Are you an employer? Check the appropriate box: general contractor and I Type of project(required): 1.$LI am a employer with • 4. ❑-I am a g employees(full and/or part-time). * have hired the sub-contractors 6. New construction h d h-h on the-attached sheet. T. � Remodeling .2.� I am a•sole proprietor or'partner-' listed _ ship and have no employees These sub-contractors have g•'❑ Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'.comp.-insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions �3.❑ I am a homeowner doing all work officers have exercised their I L EI Plumbing repairs or additions myself. [No workers' comp. . right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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 subcontractors have employees,they must provide their workers'comp.policy number. lam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Ar Policy#or Self-ins. Lic. #: Expiration Date:_ — _60 _ZO_\p Job Site Address: O City/State/Zip: VJ. _ J3 Attach a copy of the workers'compensationTNcY declaration page(showing the policy number and a iration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the'imposition of crimirial penalties of a fine tip to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against.the violator. Be advised that a copy of this statement maybe forwarded to the'Office of Investigations of the DIA for insurance coverage verification. 1-do hereby c under the nd p 'aloes ofperjury that the information provided above is true and correct Si store: Date: ��"• Phone#: Io V r -13 J4 A.r, Official use only. Do not write in this area,to be completed by city or town offtciat City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health '2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions 1, Massachusetts General Laws chapter 152 requires all employers to provide workers'rcompensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or tiustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the do maintenance, constriction or repair work on such dwelling house dwelling house of another who employs persons to or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for•the performance of public work until acceptable evidence of compliance vzth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-confractor(s)name(s),address(es)andphone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions*regarding the law or if you are required to obtain a workers' compensation policy,please-call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy 'information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related fo any business or commercial venture (Le.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: The C6mmonwealth of Massachusetts Depariznent of tndustrid Accidents Office of Investigations. 600 Washington Street Boston,MA 02111 TO. #617-727-4900 ext 406 or 1-$77-MASSAFE Fax# 617-727=7749 Revised 11-22-06 www.mass.gov/dia I t -j Town of Barn-stab le Regulatory Services . • ,wxats-r,►sLe, NAM $, Thomas F.Geiler,Director o1�� Building Division Tom Perry,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 ABuilder I, \6 Y-k,- ;�� �� � , as Owner of the subject property hereby authorize �� ��,�..Ey to act on my behalf, in all matters relative to work authorized by this binding permit application for. (Address of Jo ) f Signature of Owner Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side, Q:FORMS:O WNERPERM ISS ION 'THE tj Town of Barnstable Regulatory Services.P O ' y .w s � Thomas F.Geiler,Director isess: 1639. .`bg Building Division PrfD Tom Perry,Building Commissioner 200 Mairi-street,-_Hy_annis,MA 02601_. www.town.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINMON OF HOMEOWI\'ER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Budding Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1:1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code stata that Any borneowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they arc assuming the responsibilities of a supervisor(see Appendix Q, Kulcs&Regulations for Licensing,Construction Supervisors,Section 2.15) This lack of awatsness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully swure of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/cerlification for use in your community. Q:forrru:homccxcmpt REScheck Software Version 4.2.0 Compliance Certificate Project Title: Couite. Residence Energy Code: 20001ECC Location: Hyannis,Massachusetts Construction Type: Single Family Glazing Area Percentage: 18% Heating Degree Days 6137 Construction Site: Owner/Agent: Designer/Contractor. 120 Greeley Ave. W.Hyannisport,MA Compliance:0.0%Better Than Code Maximum UA:75 Your UA:75 awe Mars M= wftw Ceiling 1:Flat Ceiling or Scissor Truss 404 30.0 0.0 14 Wall 1:Wood Frame,16e o.c. 445 13.0 0.0 30 Window'1:Wood Frame:Double Pane with Low-E 78 0.280 22 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 185 19.0 0.0 g Compliance Statement. The proposed building design described here is consistent vyith the building plans,specifications,and other a uiti s submircz 1LA-h th--pemit apY ication.The proposed building has been d. igned to meet the 2000 IECC requirements in Coy: \Ae ' •_. •__ Me: Data fi�iar�iri'�:i;:ir�i�a`rsaia ilicsi�Pae:taZuz�ir'iiFsr:SZ'sirzi lily tr.`x �,.,.r i �•a• I � i REScheck Software Version 4.2.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R 30.0 cavity insulation Comments: Above-Grade Walls: ❑Wall 1:Wood Frame,16"o.c.,R-13.0 cavity insulation Comments: Windows: ❑Window 1:Wood Frame:Double Pane with Low-E.U facto:0280 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Woad Joist/Truss:Over Unconditioned Space,R-19.0 cavity insulation Comments: Air Leakage: ❑ Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. ❑ Recessed lights are 1)Type IC rated,or 2)installed inside an appropriate air-tight assembly with a 0.5"clearance from combustible materials.If non4C rated,fixtures are knWiled with a 3"clearance from insulation. Vapor Retarder. Installed on the warm-in-winter side of all non vented framed ceilings,walls,and floors. Materials Identification: ❑ Materials and equipment are installed in accordance with the manufacturer's installation instructions. ❑ Materials and equipment are identified so that compliance can be determined. ❑ Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ❑ Insulation R values and glazing Ufactors are clearly marked on the building plans or specifications. -� invulatico is ina ailed according to manufacturer's Instructions,in substantial contact with the surface being insulated,and in a manner that aci�ivves ire rated Rslue without compressing the insulation. D4cl insE.-latlor,: `_i �i: y if ii�z =r z7iCrgYf_e -:r-nsE1iaiea i{}al4_ �L- .r-io✓Out--de the nu!1::j- rr.nuai. m a-zdt o ::ms on dum—nn,�rgfir�t;i�nc} 7 r:r}ti -i i ._....__ ...::-^;.zx.�:•„^. r�3'.,=-.;':.3.3ui;Siai ....v..0 _ •.uvss..uau:. i._t=a xumn rip_. -_._...__._..._._an.. -y .. meuun date:uarz.vtPA II c Circulating hot water pipes are insulated to the levels in Table 1. Circulating Hot Water Systems: Circulating hot water pipes are insulated to the levels in Table 1. Swimming Pools: All heated swimming pools have an oNoff heater switch and a cover unless over 20%of the heating energy is from non-iepletable sources.Pool pumps have a time clock. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to the levels in Table 2. Project Title:Couite Residence Report date:09/23/09 Data filename:C:1Program Fi1es1Check1REScheckXCouite.rck Page 3 of 4 Table 1:Minimum Insulation Thickness for Circulating Hot Water Pipes Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature("F) Up to 1" Up to 125" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-169 0.5 0.5 1.0 . 1.5 100-139 0.5 0.5 0.5 1.0 Table 2:Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Range("F) Piping System Types 2"Runouts 1"and Less 125"to 2.0" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Loa Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant and 40-55 0.5 0.5 0.75 1.0 Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD:(Building Department Use Only) Project Title:Couite Residence Report 09/23/09 Data filename:C:Vrogram Files\Check\REScheck1Couite.rck page 4 of 4 From:Kathy Geddis FaxID:Northwood Insurance Page 2 of 3 Date:9/23/2009 11:37 AM Page:2 of 3 9/4/2C09 11:00:02 AM PST (GMT-8) FROM: insurancevisions.com-TO: 15083932955 Page: 2 of 3 ACORO , CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD1YYYY) 9/4/2009 PRODUCER NORTHWOOD ESHBAUGH INS AGCY INC THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 540 MAIN STREET SUITE 9 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HYANNIS, MA 02601 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. (508)540-1223 INSURERS AFFORDING COVERAGE NAIC# INSURED DEAN F STANLEY BUILDING CONTRACTOR INC INSURERA: LIBERTY MUTUAL 359 CAPT LIJAHS ROAD INSURERS: CENTERVILLE MA 02632 INSURERC: INSURER D: INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATIONTYPE OF INSURANCE DATE(MM!DDIYYYYI UNITS GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENT915-- COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS MADE OCCUR MEO EXP An one erson $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGO $ POLICY F7 PRO- JFQT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGO $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION WC1-31S374314-019 8/31/2009 8/3112010 ,� WCSTATU• oTH• AND EMPLOYERS'LIABILITY Y I Njms ER ANY PROPRIETOR/PARTNERIEXECUTNE •" E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? Y . (Mandatory in NH) E.L.DISEASE.EA EMPLOYEE $ 100000 Ifgs,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS The workers'compensation policy provides coverage only for the state of MA as noted in section 3A of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF BARNSTABLE DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 7 DAYS WRITTEN 367 MAIN STREET NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL HYANNIS MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE f a 11 fs and Standards Bo�d o Buy i d ng Re�o°5 and Standards License or registration valid for individul use only. HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration:,.132149 One Ashburton Place Rm 1301 Expiration 1.1/2812010 Tr# 278086 Boston,Ma.02108 i lugTYPe Individual t' 't .DEAN F.STANLE r'' DEAN STANLEY --' 359 CAPT.LIJAH RD� � �j Not valid without signa ur CENTERVILLE,MA 02632 Administrator ------------ �/lze �ammeoozu�ea a�./l�aaaac�iuoelta :Board of Building Regulations and Standards Construction Supervisor License r License: CS 35037 , Expiration j / 010 Tr#-12342 :Restncho ODs " i ":1"UR l�W a� 3 r DEAN F STANLEY' Y' ' 359 CAPTAIN LIJAH ? CENTERVILLE,MA 02632 i gl Commissioner " Ilk) n f � ' /60 J 1 � p opc sed P/ )e G E IL h . 1, -. . . qj zo, 043 sf , s oWtnerS: THoMAS CC)u/TE E L 51 �. SLVa �cq�'vo.v: Gt/� ST HYANN�S,PoreT /✓It9 SS. 8E./tt/G Fob 4ew sit. tosvv a.v rs/ts d=4 sa,v is .c.ocAr�t7 o,v rs✓E "C'"A CI AS 3.�doYV,V Nam` �oov .ca.vD TWg7` o tT V�RF�7 � E S co lYCK EY... ,--LAlNS o.- rs t� 7bw.v of /E.V 13230 Fit i 1 • � t mry do•e•..rmrorod°ormro mam�p _ —_ — �m�r mm0a•r•um0°•a•d�v�ar�•mdwvm�d�iomi me __—__ _ — — _— __ �_ _ - v/ Posdamm•�.w•waw dr ra vmp� Im � — m�v�rmeirbrmcp°mvvmmlV - drosq•vmydlabumrbamdy 1 •a Ov�Pq mCw Ulu•wiruWmEW. - _ __ a Wmrm.nvomdm�vvwevn P.bormmpdncw, —_—'-- gpa.rmd tr•MwW9pvmorbmumb�mdroe --___ matipw4ras. am•dwvrrw�v.vmlmvmvwmmuw� ___ __�__ pmv.°upvtlm Wmeb wt dowauMavm ' 4 �vnWmWo•w�us n�rWa�reMm.cM1rP•+sWvCb bud dw — ' � _ •w �wms �ydb�.m _ w dwm�•vrdMam.�daibm.V•Md _ .,md�...m�rwm.dm•e. g .Pw mod." m �d�a.mma z Aff ❑ �A waWu�d�mW�w'Mbrd/v — _ J am ay.gwt m�nw.em•ecmnmvnwudw• ML I co ry�awnmuvrmaovamnvdm• •wambmooarwawnr ❑ FRONT ELEVATION z Clow a J � Q ® z ED 2 _ N Ll HI 'o z zrR r��L� Q ... 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I . rn.vw.m. � rtinwr 2 W d z TYPICAL SECTION U Bj NTS • i Q W yqy S meuoa� •mac •ewrtre- - FOUNDATION - U) -_ W N -----------------ND FOUNOA - Q m 2 W Z ro.u,e.A..m _. Cc a _ a o �3 TCHE FOUNDATION PLAN m""'--o PLAN DATE:90/09 R DRAWN Sy: PAS -- - REVISIONS: BASEMENT EXISTING BASEMENT _ SCALE:1/4'=1'd B UNLESS NOTED cn SECTION A S1 COPYRIGHT SPB DESIGNS 2D09 �• - UI O CEIUNO.IOISTS p I4 O.C. EXTEND EXISTING RAFTERS ON AWN ROOF u ' �vran vio,vwa �$ _ O • b O b o z - ry e pzZ� � o 5 A G `13 a rn \ \ �F�� I a„ o mcr tt krt - w � o , pp'- a i G o a � g 7 , O z VO 0 - '-- --- ----------• -----------_-__-_---- o s --------- z w f i i c c ao Moms -• _________ __________ ______________':----._-..___..____.._..______.__.__....; W N Iyy N > ----------------------- -----------____— ..-__..__-..___._. .. ___ 2 W z co W W z cr - O 7 COY FLOOR FRAMING PLAN a S 3 - PLAN DATE:9/09/09 ROOF FRAMING PLAN DRAWN BY: PAB. REVISIONS: SCALE:1/4'-I'-W - UNLESS NOTED - - S2 y - COPYRIGHT SPB DESIGNS 20D9