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HomeMy WebLinkAbout0275 GREEN DUNES DRIVE v ,-Y 9 141, a Y h -4 Aso 'v to N. n .. a .. �. .. _ 9 x F 1� y. U �y Y 4 a , a t 3f ' u o C w a o � o 0 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION-� Map Parcel EPA Application # "' O M,qr z -7h6 Health Division 2o's Date Issued S , Conservation Division r�wNa�BgRNST Application Fee Planning Dept. ABBE Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis S Project Street Address 27.5 6:r'eer7 -Oc%e Village LCV��L- Owner Y /" Address Telephone 701 Zr,-2Z5?,- 6 6 5-Z _,owa e IA:okoo,4�1 Permit Request J Lf!llgc Square feet: 1 st floor: existing��OD roposed 1�5tVnd floor: existing 4��aproposed/'�6 TTotal new �2 Zoning District Flood Plain Groundwater Overlay Project Valuatio 2 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Y' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 3/N' o On Old King's Highway: ❑Yes 9'No o Basement Type: &- ull 0 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 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 aAu No If yes, site plan review # Current Use ��ti9Q'��Cs� Proposed Use APPLICANT INFORMATION Ile (BUILDER OR HOMEOWNER) Name Telephone Number -7 Address �^ ��� ��� �aLicense# CS - O6/ -3 9 3 Home Improvement Contractor# 123637 Email �/. ���� Lo`1 o?/rncr/r (qQw5 Compensation # ALL CONSTRUCTION DEBRIS RESU TING FROM THIS gaOJECT WILL BE TAK TO SIGNATURE G' DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. a. ADDRESS VILLAGE t OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION-0 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL I-INAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 4 %MEyp� Town of Barnstable Regulatory Services snaNaxngie. Richard V.Scali,Director ,L6 9. � 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 Us n� A Builder'; [_. r as Owner of the subject property /[rS OL ' o tonmrbehalf, ' hereby u,hone t ac } in all matters relative to work authorize&Vi7 this building pen-nit application 1for: 76 &�,e e/7 D. un e /-?, (Address of Job) - **Pool fences and alarms are the responsibility of the applicant. Pools, ; are not,to be filled or utilized before fence is installed'and all final inspections are'.performed, and accepted. . w e L , � f .IAv.t .-. Si .c of Owner : Signature of Applicant Pri t Name .Print Name it- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston, MA 02111 www.mass.gov/dia F Workers' Compensation-Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /�� �' Please Print Legibly Name (Business/Organization/Individual): /�/P y! Address: City/State/Zip: � �0�� /Phone##: 7el ✓.,6 3 16ecP Are you an employer?Check the appropriate bop----,, Type of project(required): L❑ I am a employer with 4. am a general contractor and I 6. ❑ 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. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp.insurance.# 9. ❑Building addition 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 addition_s myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.n Other employees. [No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'.compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. , $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: 27ne r' ���i5 City/State/Zip: /�e,_/-_Z6��/ 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 verifica ion I do herehy certify and lie pains a pen ltie p Iu y at the information provided ove is true and co ect. Signature: 6� j Phone#: Official use only. Do not write in this area,to he 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#: i s Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL.chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass.gov/dia 4/1/2016 2:24 PM FROM: Fax 508-339-2307 CandS Insurance T0:'1-781-806-5530 PAGE: 001 OF 001 • , is .. , CO® DATE(MM1DDff" A CC CERTIFICATE OF LIABILITY INSURANCE 4/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS. CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR,ALTER THE COVERAGE AFFORDED BY, THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES-NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION 13 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 endorsements. rONT PRODUCER . 'NAME:cT Debra.Gerraughty .. - C 6 S Insurance Agency, Inc. PHONEWC,No.E (508)339-2951 FAC No:f509)339-4611 ... EariAa .Debbie@candsins.com 190"Chauncy Street/P.0 Box 406 Aotx S& INSURER(S)AFFORDING COVERAGE NAIC Mansfield MA 02048 rrcerraraa•MPrnhant:c Mntnal Tneurannra Cn an 93399 INSURED INSURERSiSafety Indemnit 33618 Gregory Rooslet INSURERC Dba Rooslet Painting INSURER F 135 Newland Street INSURERE: Norton Mh 02766-1901 INSURERF: COVERAGES CERTIFICATE NUMBER:2015 Cert of Liab WC 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'REOUIREMENT,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,e EXCLUSIONS ANDbONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LPOLICY EFF PO ICY EXP -__ LIMITS SR TR TYPE OF INSURANCE POLICY NUMBER MMIDD (MMIMIYYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE. $ 1,000,000 A CLAIMS-MADE REOCCUR PREMISES Ea occurrence $ 500,000 BOa9094924 5/22/2015 5/22/2016 MEDEXP(Any one person). $ 15,000 - PERSONAL 8 ADV INJURY $ ' GEN'L AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 - X POLICY E PRO LOC .PRODUCTS-COMP/OP AGG $ - .2,000,000 . ECT Property damage-single limit $ COMUINOTHER: LIMIT AUTOMOBILE LIABILITY - Ea accident $ •. BODILY INJURY(Per person) $ 250,000 • B ANY AUTO - --- ALL OWNED X SCHEDULED 6203041 4/25/2015 14/25/2016. BODILY INJURY(Per accident).$ 500,000 AUTOS PROPERTY DAMAGE $ 250,000 F AUTOS NON-OVMED Peracddant) X HIRED AUTOS X. AUTOS .. - Uninsured motorist combined $ 250,000 - UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HtLAIMS-MADE AGGREGATE_ $ DIED RETENTION OT - WORKERS COMPENSATION STATUTEI ER AND EMPLOYERS'LIABILITY l ANY PROPRIETOR/PARTNER/EXECUTIVEYIN E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? a NIA A (Mandatory in NH) - ■CA9096674 6/6/2015 6/6/2016 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under -• - E.L.DISEASE-POLICY LIMIT $ - 100,000. DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERAMONS)LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) - f Painting a . CERTIFICATE HOLDER CANCELLATION (781)806-5530 . " SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE , E Ol COIIBtruCtTOII, LhC .: HE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS., 5 Salamander Way Sharon, MA 02067 AUTHORIZED REPRESENTATIVE ' Debra Gerraughty/VAL - ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) .. _ pg7E(MMIDD!YYYYI Ac CEPlTFICATE OF LIABI1..17Y INSURANCE R/pis 6 THS CER11 'ATE�°ISSUED AS*NAX=OF 1fORffiATION ONLY ME)CONFERS NO RIGHTR EJPON THE�1RCA��P�� TftAFICaTE DOER NOT AFFYilAA71VEWt.OR mWATWELY AMEItD EKM--ND OR ALTER THE CO RCS ��D BELOW. rE DOES NOT, FF9 INSUR,NCE DOER NOT CONST1 IE A CONTRACT BETWEEN THE 19SUNG MUM"MI RrNTArnE OR PRQD1lCER�AND THE GEIITIFICATE Nou7ER musf be endol5e • S 1 .subject to I the b;an INS RED,the Polioil� 1 _ is to the the teens and conditions of the pofssy.oertsln policies miry Rquire an endorsement A statement on tMs O"Ofl�tie dose nd cones certificate holder In lieu of such endo►aenfen I CT ti 1:: ri1R (5081 771-0663 PRpD11cut Schlegel Schlegel Ins Broker i (5 8 771- 8 r DDrIESS: sChl e13.nevuealrsOa 34 Main Street N e West Yarmouth, MA 02673 IN 478 IN5U7ialt A:N INS INSVRER eAIM INSURED TRACY L 0'BRIEN MR[R91 c: DBA MAC'+'S =TER TOORKS INKIRER D 339 GORWIN DRIVE It6UR19t E HANSCIN, xh 02341 IreuRetF: COVERAG'EB CERTIFlCATE NUEInBt=_R: _ EtEU181ON NUMBER: THE POLICY POWD INDICATED, N�IOTVVITNSTANDNG A REQUIREMENT.TERM CRi�CONDITION OFE WAY (CONTRACT OR (OTHER DOCUNEENT VYi1 H RESPECT TO WHICH THIS CERTD 1W THE POLICIES IFICATE MAY BE ISSUED OF MAY P'OUC IlM M17S SHOIM`I MAY P AVEBEEEN REDUCED By PAID CLAIMS,DESOWI HEREN 13 SUBJECT ro A1�•�T � E)CWSIONS AND CONDITIONS 0 p ulirTs TYPEOFINSURANCE A VU POLIMNUNBER M13MD LT 9/12/15 9/12/16 EACHOCCURRENCE B 1 00 000 A 0ENaRALUA1►ILITY MpT1026C. I EI s �!- X CONMERCIALGENERALLMILITY MEpp�(A OnpD�OA S 1 OOO CLAM MADE I x1OCCUR PeRsoNALBADVIWURY ' 6 000 000 GENERALAGGREGATE 1 2 '0 0 O00 PRODUCTS 6 2 000 00 GEN'L AGGREGATE LMITAPP LIES PEft 1_ 8 POLICY PFtO LOC ` OaeCddsNVI Im S lWTOrAp91LEUA8IllTY BODILY INJURY(Perpet9on) i ANYAUTDI BODILY INJURY(Per wAded) S MOM AU T103 ED P RfY D A NON-OWNED era S. HIREDAUTOS _AUTOS EACH OCCUFdWNCE S UMBRELLALIAD =CLAiUM:SWW:AD:E AGGfCGJ\TF =ESS U a DIED RUG-PATIONI 12/3/L5 12/3/16 WCSiATU- OfI� 8 VWRXERBaaiureIOATFDN vwC-100-6019693-21)1 100 000 AND BAKOYERW LIABILITY YIN E.L.EACH ACC( Nr ANYPROPRIEI0WPARMER1ExeCUTIVE N1 A E.L. S ion-000 IFFICERIVErJ�iE7 LIDEm pardalmyIn l FL. ISEASE OLCYLVAIT 6 500 000 Fl ION CFrOrPERAT1ON9 bebw IIESCRPTIONOFtOPERAT10NsrLOCA71ONSIVEMCLEB(AAW-hACORD101,ACWIdQnM ROM"ft1dule.ifmore:v«arequred) RS COfiQP POLICX TRACY L O F BRIEN HAS ELECTED NOT TO BE"COVERED UNDER HER CURRENT WORIO: CERTIFICATE HOLDER CANCELLATION ,SMOULDANY OFIHE ABOVE DESCRI KOTICII D POLICIES WILL BE DEUIVEREO IN ggpIRATION DATE THgW&0F, ERPO=+ CpNST>2UCTION T Yr.. ACCORDANCF`WITH THE POLICY PROVISIONS.` PLYMOUTH PROPERTIES LLC AiaTHDIRt�I REMISEtTA 5 SAhAM�IDER WAY SHARON MA 02067 til8 6.20 A ORD CORPORATION. All rights reserve( ACARD 25(ZOi W05) The AC ORD name and logo are registered mark$Of AC Phone: f�c: (781) .805-553D E-Mail: ACORd' DATE(MM/DD/YYY1� CERTIFICATE OF LIABILITY INSURANCE page 1 of 1 09/21/2015 THIS CERTIFICATEIS ISSUED ASA 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:INSURAME;DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVEOR PRODUCER„AND THE,CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. N SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the . certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Willie of Tennessee, Inc. PHONE 877-945-73 8 FAx 88-467-23 8 c/o 26 Century Blvd. P.O. Box 305191 -MAIL certificaLteo@willis.com Nashville, TN 37230-5191 .. INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER A: Zurich American Insurance Company 16535-005 INSURED INSURER B: Cincinnati Insurance Company 10677-001 NAP Installed Building Products 45 Industrial Court INSURERC:American Guarantee & Liability Insurance 26247-004' Seekonk, NA 02771-2016 INSURER D: ._ INSURER E: INSURER F: _ COVERAGES CERTIFICATE NUMBER:23573878 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 19SUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS ITRA X COMMERCIAL GENERAL LIABILITY GL0913952709 10/1/2015 10/l/2016 EDDAApC�MHq(O_CCCCURRENCE $ 2,000,000 CLAIMS-MADEa PAMISE OCCUR S aEoocurence) $ 11000,000 MED EXP(Any one arson) $ 10,000 ' PERSONAL&ADVINJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000 POLICY F_X� jERT LOC PRODUCTS-COMP JOPAGG :$ 4 000 000 OTHER, $ $ AUTOMOBILEUABILITv CAA587812.7(AOS) 10/1/2015 10/1/2016 .(EOte��,d ni) LE LIMIT $ 1y.000,000 B X ANY AUTO CAA5878131(NY) 10/1/2015 10/1/2016 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Peraceident) $ AUTOS. AUTOS X HIRED AUTOS X NON-OWNED (peracci Md.rrt AM AM $ AUTOS. $ C X UMBRELLALIAB X OCCUR AUC931420604 10/l/2015, 10/1/2016 EACH OCCURRENCE $ 10,000,000 EXCESS IAB CLAIMS-MADE AGGREGATE. $ 10,0001000 DED I RETENTION$ Retention 0 $ p, WORKERS COMPENSATION WC913952609(AOS) 10/.1/2015 10/1/2016 X AND EMPLOYERS'LIABILITY YIN A ANY PROPRIETOR/PARTNER/EXECUTWE NSA r WC913952809 (WI) 10/1/2015 10/1/2016 E.L.EACH ACCIDENT $ 1,000,.000 OFFICER/MEMBER EXCLUDED? (fig — yeSB des nbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICYUMi7' $ 1,000,000 B Excess Automobile 8XS0348418 10/1/2015 10/1 2016 $4,000,000... Excess Of $1,000,000, underlying automobile DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD101,Additonal Remarks Schedule,may be attached N 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 WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ER-POL Const. LLC. b Salimando Way. Sharon, 'MA 02067 Coll:4768832 Tpl:1991299 Cert:235 878 01988-2014&ORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD DATE IMWOOIYYYY) A►cc zr I ^ A O LIABILITY INSURANCE -C 04/04/2016 PRODUCER? THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION.. " ALPHA)NSURANCE AGENCY 1NC ONLY AND CONFERS NO._;RIGHT-S UPON THE CERTIFICATE t ''4 .. .:I HOLDER.THIS CE TIFICATE.DOES NOT AMEND EXTEND,OR - R 648 CENTRALST LQWELL MA 01852 - . .. <:�>-. . -:F :. - ALTER THE COVERAGE BY. POLICIES=BELOW..,,f•, 978-459-4547 FAX#i878<459-6131 INSURERS-AFFORDING;COVERAGE' NAIC# «: f S.."� � `t., INSURER A: WESTERN WORLD INSURANCE COMPANY CM PLASTERiNG.CORF?: ^; INSURER Is: SAFETY INSURANCE 12 HANCOCK AVE INSURER C. HARTFORD MEDFORD'MA 02155 . INSURER D: AIM MUTUAL CLODOALDO MOTA 781-760-06... I INSURER E: COVERAGES THE POLICIES OF,WSURANCE?LISTEO::BELOW HAVE BEEN ISSUED TO THE"WSURED NAMED ABOVE.FOR THE POLICY PERIOD INDICATED.NQTWITHSTAND9�IG - ANY REQUIE2EMEM TERM OR;CONDtTfON OF ANY CONTRACTOR OTHE)2 DOCUMENIT WITH RESPECTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN 7 HE ggSURANCE AFFORDEt)BYrTHE"'POWGiE5 DESCRIBED HEREIN iS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLKS;ACaYaREGA7E IIMITS:SIiOWM'MAY HAE,BEEN REDUCED BY PA)D CiA1MS:: fl"R AWL LTR: ROM -• TYPE OF INIAIRANCE POLICY NUMBER SMANSWym L1WTS A n GENERAL LIABILITY NPP8312014 07/0812015 07/08/2016 EACH OCCURRENCE g , 1,000,00( COMMERCIAL GEIERAL'LIABILITY DAMAGE TO REMO-- 100,00( PREMISES oe umme $ CLAIMS MADE ® OCCUR IutED EXP(Any one person) $ 5,00( PERSONAL SADVINJURY $ 1,000,00( GENERAL AGGREGATE $ 2.000,00E GEN`LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 1.000,00E POLICY PROJECT LOC B _ AUTOMOBILE LIABILITY 6211632 11/15/2015 11/15/2016 COMBINED SINGLE LIMIT $ I--� ANYAUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ 20,00( " SCHEDULEDAUTOS (Per person) HIREDAUTOS BODILY INJURY $ 40,00( NON-OWNED AUTOS (Per accldent) PROPERTY DAMAGE g 100.00( (Per aaident) GARAGE LI481LrrY AUTO ONLY-EA ACCIDENT S ANY AUTO EAACC $ OTHER TITAN AUTO ONLY: AGG S EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ " OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ c, RETENTION" $ $ B E O�YERS.tiA O"AND Y r N 08W ECU7140 04/05/2015 04/05/2016 TORY LIMITS ER _ C ANY PROPRIETORWARTNERiEXECUTIVE N TO BE ASSIGNED 04/05/2016 04/05/2017 E.L EACH ACCIDENT $ 500,00( OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L NSEASE-EA EMPLOYEE $ 500,00( If yyeess dewbe under - ' S�,O� SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER CERTIFICATE.HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Erpol Construction,LLC 783 Newton Street NOTICE TO THE CERTIFICATE HOLDER NAND TO THE LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR . Brookline,MA 02467 REPRESENT S. erpolyak@hotmaiLcom Fax 781 953-1588 AUTHOR PRESENTAT AC ORD CERTIFICATE OF, LIABILITY INSURANCE DATE(MMIDDmYY) 01/19/2018 t>r rRos�ER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMAT N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Habig&Magoon Insurance Agency }COLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND 95 Belmont Street ALTER THE COVERAGE AFFORDED OR HE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# South Easton MA 02376 e Company INSURED David Anderson Electric Company,Inc. INSURER/l Commerce Insuranc 394 PurChaS@ Street INSURER B: Citation Insurance Com an south Easton,MA 02375 INSURER Q Associated E io rs.lnsur>a rlca CO INSURER D: INSURER E: COVERAGES ISSUED TO­THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOI S DI THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN OR T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT MAY PERTAIN, THE INSURANCE AFFORDED SY THE POLICIES OESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, OCCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOLICED BY PAID CLAIMS. P.FFECTIVE POLICY TION UMIT9 INSR POLICY NUMBER a. EACH OCCURRENCE $2,000 000 OENSIAL LIABILITY DAMAGE%RENTED E;100,000 A X COMMERCIAL GENERALLIASILITY HTM110 01H7/2016 01/17/2017 CLAIMS MADE OCCUR MED EXP Om son $S OQO PE SDNAL&ADVINJURY $2000,000 GENERALAGGREGATE S 2 000 000 GEN'L AGGREQATE LIMTT APPLIES PER: PRODUCTS-COMPIOP AGG 20000OO POLICY PRO LOC pUTOM0a1L8 LIABILITYCOUBINED SINGLE LIMIT $ B ANY AUTO 138HQBV 10/2$/Z01B 10/28/2016 (Eaaceiaent) ALL OWNED AUTOS ' BODILY INJURY $100,000 (Per P— ) X SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $300,000. (Psracada X NOWOWNED AUTOS PROPERTYDAMAVE $100,000 (Per ae kIM) AUTO ONLY-EA ACCIDENT II GARAGE LtWLrFY EA,ACC ANY AUTO OTHER THAN AUTO ON)Y: AGG $ ` EACH OCCURRENCE $ EXCESSNMBRELLA UABtUTY ` $ AGGREGATE OCCUR CLAIM MADE DEDUCTIBLE $ RETENTION , , X. WC STATU- OTH- FR WORKERS COMPEIMMON AND C EMPLOYERS'LIABILITY WCCSMO07832-2016A 01118/2016 01/18/2017 E L EACH ACCIDENT 1�•� qNY PROPRIETOR/PARTNER/EXECUTNE E L.DISEASE-F-A EMPLOYE 100,000 OFFICERMffArBER EXCwDED4 In 500 000 s�'aesori� PoucY LIMIT OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED,BY ENDORSEMENT I SPECIAL PROVISIONS.: CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION HE ISSUING INSURER WILL ENDEAVOR TO MAIL 0 DAYS WRITTEN. ETiC POlyak DATE THEREOF.T , 5 3aiamender Way NOTICE TO THE CERTIFICATE HOWER NAMED TO THE LEFT,BUT FAILURE TO DO so SHALL IMPOSE NO 08LIGATION OR LIABLITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR . Sharon„MA 0"67 REPRESENTATIVES. CDC> AUTHORIZED REPRESENTATIVE PORATION 1988. ACORD 25(2001108) i l (MM/DD/YYYY) CEPTIFICATE OF.LIABILITY INSURANCE F31;72016 , 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: B the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate.holderin lieu of such endorse s. PRODUCER �E C Pat Hudson H@rlihy Insurance Group PHONE 508-756-5159 FAX 508-751-5747 51 Pullman Street Worcester MA 01606E-MAIL ADDRESS,certificates@hedihygroup.com INSURE S AFFORDING COVERAGE NAIL A INSURER A:LibertyMutual Insurance Company INSURED JWCAMPB-01 INSURERB:Traveiers Insurance Company J.W.Campbell Construction, Inc. INSURERC: 86 Milk Street Blackstone MA 01504 arsUREn° INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1046634752. ON.NUM R: 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. NSR R TYPE OF INSURANCE POLICY NUMBER LILY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY BKS671998DO 3/22/2016 3/22/2017 EACH OCCURRENCE $1,000,000 CLAIMS-MADE FX OCCUR PREMISES occurrence $100,000, MED EXP Any one person $16,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000. X POLICY❑JJECT LOC . PRODUCTS-COMP/OPAGG $2,000,000 OTHER: $ A AUTOMOBILE LUMSiNGLF LIMIT � BAS57199800 3/22/2016 3/22/2017 O oci'MBINa $1,000,000 ANY AUTO` - BODILY INJURY(Per person) $ AL TOOSS X SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE X HIRED AUTOS X AUTOSWNED Peraoddent $ $ A X UMBRELLA"As X OCCUR US657199800 3/22/2016 3/22/2017 EACH OCCURRENCE $1,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I X I RETENTION$10,000 $ B WORKERS COMPENSATION JPJUS5B33998814 4/5/2016 4/5/2017 X STATUTE ERA AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E E.L EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? N❑N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEe$1,000,000. tf yes desciibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Sehedute,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION 10 days for non!-payrnent SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE' THE EXPIRATION',DATE. TFMREOF, :NOSICE.;WILL :-BE .DELIVERED IN Erpoo)Construction ACCORDANCE WITH THE.POLIGY PROVISIONS. 5 Salamander Way Sharon MA 02067. AUTHORIZED REPRESENTATIVE 01988-2.014 ACORD CORPORATION. All rights reserved. Massachusetts Department of Public Safety Board of Building Regulations and Standards License:CS,0673.93 Construction Supervisor. =r ERNST POL.YAK 6 SALAMAfi1iaER SHARON MA 92-b67 ` 21 l .. '!. t Irv.. • - (�—AA . Expiration: Commissioner 06/12/2018 ucluue�s _ _ C-1r'Affai5 Br.BuSiess REgu • r ��1'�4GTAft tlt�n `1 st f „ s • I I . . . „ , ,, F. 4 _ ,�..'. R M.AP - Installed 'd ld ng 'roducts 4S In1 .dustrial cf SeekoA MA:i}2771 , C}ftl a ,;5a$ 336=5440 Fay.-5� - 36 9610 d d To.wltom it may'ccancern: t We at Map lnstalled Buildna'g Prflducts have been hired1. by Plymouth I3eYelprnert to firms and°.install the insulation on their proacct located at 275 Green.Dunes Estate Hyan' MA. On this project we "ristalled clo ka cell spray.foam manufactured by Dernilec:Any exposed;foam>was painted II Atli intumescent coatmn manufactured,by TPR2. As well as fiberglass nsulatzon.manufactured by Owens Cora�ng R.00fl ne,rl�Fioox ceding, - . ck rs anti R-', '-§;Closed eell;.5 P-.R. 38.E Dernilec 4 1. :Garage ceiling 2X1Q DP R-3 7 05 down C:ellulose Exterior, "arage House, Ate wa11s, tr will walls, R.15 Yl.Sx93 Isaf :. Fiberglass Batts LI. ROoflirre Pa�,nt- .PRz :; I. rai don yexina ; Riskati Safe y Assistant Manager Foam supe , , sor `' { 1vxAA ' Installed:Burilcl ng I'roduets a Sy 3 �. ki Y v 2 .. ar t .. f .. v a' f. : .t o : �. :? a ,:,k 4 .. v ., . e .: F .- '. ..� .'. .z. .. Y: r Y , C - Z? V T Y 6 P - 4 4 a # D' 2 $ +T K. 'n f : 'X .s" 3 4 ,' 't A v 5 ^ t 1 y $ X I a 'y r k Y a '.:r a :� ,,, .... ra w3 r :e � r. o n -' :r .�{ .'fit >. , ... .,< ,: m ..,, .... . .. ..... 4. µ . i. . . _ e : . .. ^, , 1. ,-. �, - 3 , Color Brown. E33ue-Green ' Viscosity @ TT F.C25°G) 180-220 cps- ', -55Q;cps. Specific Gravity 1.2 9.4 1.18 121 x Shelf Lice o#,unopened drum Properly st`orsd 12 months 6.months;, 9. Storage.Temperature 50-100aF(10 ;3$°C) �:7p',.F(2°C) Mixing Ratio(volume) :.. I. 1: 1.1 .'.See SAS#or mare information. �;< x _: 11 n r a a �r . y .,. °—11 u - initiai Primary Heater S9tpolntTernperature ' % 110°F .11 ; 43 C initial Hose Heat Setpoint Temperature 110°F 43°C, Initial.Processing$etpol Pressure . 1200 psi9. 8274 kPe . Substrate Temperature.:: I 501F " i 10°C Moisture Content of Substrate, s 19% s 1Si% Moisture Content of Concrete. ' Cane - fete-rlt st b curetl dry and free'of dust��and`forrn release ' is 19 Foam application temperatures�and pressures can vary cdeiy depending on temperature,humidifiy,elevation,substrate,�equipmentand� her factors.''White processing',the applicator must 9 9.continuously'otsserve the characteristics o 1.f; he sprayed foam and adjust processingaerriperatures Ali), "pressures to°maintain pcopef�,ceii structure,ap ion cohesion and generalfoam quality,It is the sole;respons'cbility of the applicator to process,antl apply Hea'ttoi�Soy;20 Ptus;within specificatE<sn ", General Requfcerrients,.Equcil'pmont must be capable ofAetivering:the proper ratio(11'by volume)of polymeric isocyanate(PMDI19)and polyol blend aC:adequafe terriperatures•and spray pressures.S 7 strate,must be at;least 5;degrees above deW port,with best processing results wh®n ambient humidity cs below 804 .5uhstrate must also`be free o#moisture(dew or,,pst);,grease oil,solvent"s and other niateriais that':wouid;': adversefy affect°adhestoh of ttie;polyurethane foam Due;tia the°exothermic reacttorf of`the'Isocyarjatea 'a—'"oi blend.mixed components. shouici.be applied in-layers(rriaximurn 8":;theekness per layer).'Aitnw foam'to co9.ol completely,before applying successive.laye, . . Heatlok Soy 2t)0 Pius must be separated from the citterior of the.-twiidcng'ty an approved�the'rmai barrier or an approved fil6ith matenat , . equival2nt to a thermalLLL:karrrer in=accordance'with applicable codes„Heatlok Soy 2fi0'Plus must besprayed at a rrnimurri thscknessaof 1 per .:pass.This product rnust'not be'used Whenthe'contlnua�tis servlce temperature of-the substrate or,foam:is gel6 : 6o°F( StaC)ar akin"ve 1__ r ' (82°C)."Heatloi('Stiy.200 Pius should nat':be used;ta cover fiexcbie'ductwark 1_, Disclaimer The`information herein•is to assist customers,in determihing.w hether isur products are suctable,for theirappl cations We request . that custonlers;itisp,- and test-+our products,,before use�_and satisfy themselves as to contents and sustakiiiity.Nothing hdfein shad oohs#itute a warranty expressed or,implied,:inciudifigiany:wa9..,.. 1.;of merchantability or fitness nor is protect an from any,law or patent Inferred "I't patent rights are reserved The foam product Is;combu"Stible and must be protected 4tcordance ivith'appiccabie'cotles.Protect foam direct fiarne,and sparlt csptact 'a rid hot work for example Th!-?ie lusive"re`rneciy t`or-all'proven claims•"is,rep,acement of our,materlals - k k, a 1. M' ��""QLJR , 9 ,� ", �,I�e, "" I'� i 11 ,I , ,,, t wh � � " � , ME 'k 1�_L w , ari� TI -Iv < d £ - t ,� - - t:. }' t 3 ,13"L '� b .f d s.' '� '2 G = / . rj, x # .i �,i: j �As £, e� nJ f.- 1 '5G .y f # i p € { r n C 5 ; 9 7Y° d $ @ ^ y: j. P� . r. _ $315 E.biwsian Street Arimgtorr,TX^76a11.�. x Heatiok Soy 20o Pius T'c 'j6'aLData Shest Phone(817),�a0 4800 To1GFr8',($77)336-4 3 F .; Last k6vision 5=24 i ax(817)6 3-21 , tnf,, , mifec.eom.wwwabernilec " ' L,LL Z. Pate 2•of 2 S � , % - I F. i , I . 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I __ I I I I , � ,� , I I ,­ I . :1 11 , . . I - -- I : 1. 11 . ;,� �i�.. .., _. I 11 � - 11 -,--:�1�­j��,�;�,-�--�', 11�11,- -I- �---�-.�`1;1-11 I I 11", I I �;�,-�--�, - 11 .. � - . 111. .I -.. .1'.. . 1.11-1-11 ..."'., I I . I . . ; , W, - I � . I . . � .. - 1. . '.... 1. .... "....... i.-�.�, . .. :, ::. - - I . . - . . ...�. I . 1. . . . . I � . - I .. � I I I I... . . �. Heatiok SoyO:200 Plus lsa tyro component,closed CeB,spray appkfed,rigid polyurethane foam sysem`This'product uses recycled plagtiC materials rapidly renewab#e soy o€is,and°;the biowing agent has zero ozone depie#'ing potent#aL H'eaticik Sny 200 Plus complies with the;Intent 1. of the iniernationai Code Council,'s resident#a€and commercial bti lding codes and<€s commonly used as a th. : ai'insulatldn aIr barrier,vapor retarder and'water resistive,bar ler in above grade,below,grade„interior and exte'or,applications: . ASTM Q 1622 Density: ; ,21 ib(ft'> 336 kiVW 11 Init. laI Thermsl:Resistahee(R-value @ 1#rich} ASTM C 518 7:A ft2h°F%BTU 1:3*W/4V II See,ESR for addit€one#'..value-informatton . ASTM:E 283 - Air Leakage tWia 75 Pa�1 <0 02.t.Jsm1 ASTM E 2178 Aar Permea'nce 75 Pa 1".11" <0 02 Usm' Water Vapor Permeance 142' 1 perm .<eS7.2 ng/Pa•s-m . ASTM;E 96 c. Qua€ifies as a Class ll'v6por barrier per,IB�C Sect#on 202 p,_= ASTM D 1621' ., Compressive Strength 28.7 ps€ 198 kPa ASTM,Q,1,623 Tensile;Strength. 46.2 psi 3 9 kpa,- ASTM D1.2126 ;Dirnens onai Stabitity 758°F(70°C)9795 R.N. (%volume change) (168 hrs,samplewithout any substrate) -i 37/:-042./+.0;27 Greenguard Gold VOC Emissions h99- Garnpharit' .. ASTM'C,1338> ,.Fungi Resistance No fungal growth 0 1 ,4 "I ASTM a 2$56 ;Closed�Geli Content -=90� ', r, M .. . . ,,,: Surface Burning Cha'r8cteriStic5:4"'thick G€ass€ r. ASTM.E 84 Fiairie.Spread intlex .,` ...! 20 Smoke`:Developedr. 9. .490 Igrntian Barrier-Compliant with 2{)06,2009&2012 IBC.and IRC and ICC ES AC-377 NFPA'286 Appendix X for use in attics.and crawl spaces without a;prescnptive:#gn€t#on barrier thermal. Pass barrier"or+niuniegCeist•coating..; Thermal btrrler:-Compliant with the 2006,2009&2012.IBC and:IRC>as an#nterior finish 1 NFPA;286 ' Pass w€thoyt a 1'S minute therr rmal barrier with-Biaaelok'"TBX`at 11 mii��dry filmAhickness. AST r;r J929 Ignition Propert es(spontaneous ignitio temperature) . 1010°i;(543°C) , , , _ . % .. _.. ,. qq� 4 v r. ;< ..- Polyols Conain�ng Recycled'anc#Renewab#e Contentr. '4D Renewable Content � r 13 S90 . 4 .. - �, ..R Crersrn Tlin2: r C el T€tile ' *k rye T€me' y End of Rise 0 7:5econds 2' 4 seconds 3 5 seconds 4='6 seconds �: r r a xs ,r� r na. 4 i 1 9 4 ti L 6 �' ,:+. " � �. r Y F ,. , �, r - s ka a& :,. x w%$.S'.S✓z 'a _ ' ?"P° v J i"" y4a^*- e x i ""F c n? nr r"L so- ` r s y: .. + L:rL i 3315! D+v+lion Sheet Arl+ng#on TX 76011 - � 9. Meatiok5oy 200 PCus Technical Oats Sheet Phone,(8173,64p= 9Oo Tail,Frye(87y7, 336 4 32 Last �ev+sfon�6 2a 15 Fax.(817j 533=2AOA inf<ifg 17®rntlec.com wwwOem+scam q page 1 of 2. r .. .::.- . . . r _ - REMOVE ' EXISTING i ^ : 7 a n ADD RIDGE VENT CHIMNEY , a ci i ADD RIDGE VENT ADD RIDGE VENT SMOKE DETECTORS REVIEWED o in NEW ASPHALT NEW ASPHALT NEW ASPHALT LE B DING DEPT, I ATE ARCHITECTURAL STYLE SHINGLES ARCHITECTURAL STYLE SHINGLES ARCHITECTURAL STYLE SHINGLES3 FIRE DEPARTMENT ATE BOTH SIGNATURES ARE REQUIRED FOR PEA VIrrING �' --------------------------------------- ------------------------------------------------------------- ------------------------------------------------------------------ o REPLACE ® A 28 ® EXISTING REPLACE REPLACE O m REMOVE' REMOVE EXISTING EXISTING W REPLACE WINDOW EXISTING W/NEW EXISTING EXISTING EXISTING WINDOW WINDOW gg� S Tn 2 WINDOW WINDOW WINDOW EXISTING ®� MAIN HOUSE W/NEW W/NEW z MAIN HOUSE _ - ? + A H �9 FRONT ELEVATION - x �tl 6 E�g I DENOTES WINDOWS & CHIMNEY TO BE REMOVED 1.4 U E a CUL .. I EMSO G V I x ADD RIDGE VENT I CHIMNEY ADD RIDGE VENT NEW ASPHALT NEW ASPHALT ARCHITECTURAL STYLE SHINGLES ARCHITECTURAL STYLE SHINGLES ADD RIDGE VENT rEn NEW ASPHALT E � ..........T""'- - .-•'•----------- ARCHITECTURAL STYLE SHINGLES a U W Mw NEW K IXSiTG K A M� �/t/lO� N N DORMER N SZEO EG S w Z� b zeaz zeaz zeaz DEGS W---- --WIN W---- A W. w w a zsss EXISTING zsss zsss a DORMER I- ce ------------------------------------------------------------------- ------------------------------------------------------ ---- --------------------------------------- a F I © F EXISTING _ H I Q Q to EXISTING 0 I MAIN HOUSE sasiu +o -- zess less zess J Z GARAGE I .---- - --- __ - m 0 11GLASS OOR TE RED TEMPERED - 1T]I RED ^ df a EXISTING \ F > :.r MAIN HOUSE ZO J r W 11 W Q � G REMOVE EXISTING WALL ® PORCH REAR ELEVATION Z 4 ®ADD HEADER & COLUMNS 0 !'n� 4a r T o I REMOVE ! i REMOVE I 0 el � ! EXISTING I I EXISTING I CHIMNEY CHIMNEY C4 x I I d a o 'n o ! - ! NEWb DORMER r-- � E C EXISTING -� K I. EXISTING DORMER DORMER S I /NEW ziN Wtie� 11 ill I N WINDOW EXISTING WINDOW W/EGRESS WINDOW 1-1 ❑I REMOVE I REMOVE i i REMOVE EXISTING W I EXISTING P ❑ EXISTING EXISTING GARAGE O WINDOW O WINDOW WINDOW c) 5 j i p� zKu H Agog LEFT SIDE ELEVATION RIGHT SIDE ELEVATION a wx� U CONFIRM ALL WINDOW TYPES, AMOUNTS & WINDOW SCHEDULE DIMENSIONS PRIOR TO ORDERING WINDOW NOTES: eAtIY PERFORMANCE DATA WINDOW SIZES SHOWN WITHIN AREA BASED ON GENERIC SIZES UNLESS OTHERWISE SPECIFIED. THE CuLvo (� MK NO. TYPE MANUFACTURER SIZE NOTE: RESCHECK MUST BE RE- OWNER AND/OR GENERAL CONTRACTOR SHALL CHOOSE THE WINDOW MANUFACTURER. WINDOW SIZES �K CALCULATED FOR ANY SUBSTITUTIONS SHALL BE VERIFIED BY THE GENERAL CONTRACTOR PRIOR TO ORDERING. THE WINDOW MANUFACTURE SHALL PROVIDE ROUGH OPENING SIZES. R AO ANDERSEN OR U31 SHGC-.32 1 DOUBLE-HUNG SIMILAR 2836 =. WINDOWS SHALL MEET THE FOLLOWING CRITERIA FROM THE MASSACHUSETTS STATE BUILDING CODE: It A) GLAZING CLOSER THAN EIGHTEEN (18) INCHES TO THE FLOOR AND EXCEEDING SIX (6) SQUARE V]W 1 CASEMENT CN12 U=.30 SHGC=.34 FEET IN AREA MUST BE TEMPERED GLASS 0o. Z 0 B) EMERGENCY EGRESS: SLEEPING ROOMS SHALL HAVE AT LEAST ONE (1) OPENABLE WINDOW OR «] 5'.7'. EXTERIOR DOOR TO PERMIT EMERGENCY EGRESS OR RESCUE. A REQUIRED WINDOW MUST BE Q d © TRIPLE C335 U=.30 SHGC=.34 OPENABLE FROM THE INSIDE WITHOUT THE USE OF SEPARATE TOOLS AND SHALL CONFORM TO I CASEMENT THE FOLLOWING: z DO pa P4 Ma 2 DOUBLE-HUNG 24210 U=.31 SHGC=.32 1) SILL HEIGHT SHALL BE NOT MORE THAN FORTY-FOUR (44) INCHES ABOVE FINISH FLOOR E SLIDING GLASS O 6068 U= = 2) THE WINDOW SHALL PROVIDE A CLEAR OPENING AREA OF 3.3 SQUARE FEET WITH A a .32 SHGC .28 ,�.I DOOR RECTANGLE HAVING MINIMUM NET CLEAR OPENING DIMENSIONS OF TWENTY (20) INCHES WIDE a, 1. z DOUBLE BY TWENTY-FOUR (24) INCHES HIGH. IF A DOUBLE-HUNG UNIT IS `� N Z OF 2 CASEMENT CW26 U-.30 SHGC=.34 USED, SUCH DIMENSIONS SHALL APPLY TO THE BOTTOM HALF OF THE WINDOW a C © I PICTURE P5060 O 1 DOUBLE 20310 U-.31 SHGC-.32 DOUBLE-HUNG TRIPLE U-.31 SHGC=.32 N DOUBLE-HUNG Z 2 0 2 DOUBLE-HUNG 2846 U=.31 SHGC=.32 > W (� 3 DOUBLLLE-HUNG 2446,2446 U=.31 SHGC=.32 W © 1 DOUBLE-HUNG REPLACE W/ U31 SHGC-.32 W =. EXISTING SIZE o N MO 1 DOUBLE-HUNG REPLACE W/EXISTING SHGC=.32 EXISTING SIZE CQ 3 DOUBLE-HUNG 2832 U=.31 SHGC=.32 Z N 3 _ c ti I I o ' 011 d f9 Q m G N G 18'-8" 12'-10" R 1 TEMPERjS_E_Af_ � Lw HEADER REMOVE IXISTI G WALL r—TEMPERED + t �i+r►��i(L�i9 Q? o? �2 I I pig A M7 REPLACE Ea$RNC SNfXE WINDOWS REPLACE EX ISM WINDOW OOI PORCHW/iNPIE WNDOW O W/DOUBLE WINDOW H '�^ COVE D-- PORC II � Lw HEADER ---------- yyylll � I - 2- i s/s'xn 1 3 13'-5" oFftEFSfNIpNO lUB ADD Lw BELOW WALL N sz FAMILY 6' S IDER ova o a NOTE: BUILD DOWN CEILING I O BATH W/,EXCEPTION OF 3'1 ROOM E w O SHOWER/TUB PERIMETER I I O b FIREPROOFING NOTE: C/Z io FOR LID DOWN:LIGH I H o MASTER ;I N .I, N BASEMENT OR GARAGE SHALL O E°� p� z g p 9 iv FIREPROOFED TO CODE N GLAS z BRKFST - .' BEDROOM x ° I� m liz P� 13 X,s -4 >® 5'° s�0 NOOK 9 RR P E A g �� o F GARAGE �,. I►�y t0 W iV 4`` FWSH-iRANED L. ATE -I N 1/II{�I� a 3 3-1.75x9.25" LVLs 2 1.75"x9 5 0 1 FLUSH-FRAMED STEEL EAM �' y WBx28 FLUSH-FRAMED STEEL BEAM - Q cV o w _ _-.-. _ - _ _ _ 110 WBx3 B 3 REMOVE EXISTING WALL ° M �T I REMOVE 1511NG FP 1 RE OVE EXISTING WALL�Wgx31 FLUSH-FRAMED STEEL BEAM REMOVE EXISTING 6x8 BEAM ��� C4BAR a E-I 1 d c o e m 'i I ---- --� a W S y az3 I n �# d'�.--------------__.26,68rI m CUBBIES ------ s o ----------------------- ----- I-U-.1I I i £ ------ \ -----JMdL!!BY'f<---------------- ID W U o 1 II m 11= I c �� I II _ II N MUD i LO_- I "a 11 WALx-IN j I i ;; z WORK 6. 1 1 I I C 2668 ; ISLAND gg ROOM 0 d I $F„ II 11 DISTO NEW rQ 1` I A II Y U KITCHEN z A D DQ I CONFIRM HEADER SIZE CONFIRM HEADER SIZE F U O7 W s -a 14'-2 1/2" 30 i ao x ------------------- ---------------- ---------------- �E A DW U � o q E W a19 _ o Tn REMOVE CS REMOVE A Pa. L` EXISTING WN S EXISTING WINDOW WINDOWCQ 6'-10" 9'-2" 3' 6'-8" 13'-2 1/2" 8'-5 1/2" 3'-10" 3'-4' 3'-4' 6'-1" 9' S'-7" per, 19, 28'-4' 31'-2" FIRST FLOOR PLAN s © f d =__=i DENOTES WALLS/WINDOWS TO BE REMOVED SMOKE DETECTOR OVED �o C ® DENOTES HEAT DETECTOR f C DENOTES WALLS TO BE CONSTRUCTED DENOTES SMOKE k CARBON MONOXIDE DETECTOR .1vr•�Q —-— DENOTES STRUCTURAL BEAMS TO BE ADDED ® emu smNM W � M ZIL V 3 _ c o 1 N Y ., p d � a m c vvi c R gill g 8 � lwn : 2 26'-4" 6'-2" 23 2 3'-11 3/4" 8'-1 1/2" 8'-0 3/4", 2'-10" ww 3 nnxw1 s © W rA n O JADD SHED DORMER N W (0 0 5 rn EXISTING 9-4 ;/2" ,3'-7 ,i2• o rx o EAVESBEDROOM w - . ----- ------------------ C4 Z N A SLOPED CEILING xl 2s _ I W a« zN o Lug 0Lu• WALK-IN o� BEDROOM A v g CLOSET p I ----------- a1 S n 0�' 15'x 5'-2 L--- I--I E70ISTNC SHELVING i _ : �O(j ~S I A m ® g N• r tl ODVAULTED CEILING 1 Q I `D g d 8'-8" CEILING HT u i SLOPED CEILING G J I _ p p G 1 I s � g _ cWi F N o z O LVL RIDGE W/RIDGE VENT - I I LOFT REMOVE EXISTING CHIMNEY P�y Co IL H/T2w I j al rEr w I N p 0 C,� /�r�, EXtSMc SHMANG I � `► m BIFOLD ------------------------------- I P 6' BIFOLD I I 1W►��1I a 6' BIFOLD 6' 8IFOLD CLOSET CLOSET U -- ---tip/7\ --- -- SLOPED IUNG --------------------- SLOPED CEIL ING CLOSET SLOPED CEILING SLOPED CEILING 8-3 3 4 7-2 3 4 15-7 1 2 i-4 .EAVES 0 EAVES •� o �U r W a N A EAVES EAVES x aE 0 a to C 28'-4" 31'-2" 78'-6" alp 0 0 SECOND FLOOR PLAN �� 4 = • . % �_ o5 � ��. z a N .. ca z • CIL tl i i I o F, e I IJ c \ ci Lc a m O N O oom,ml 59'-10" t9 w�yW M ci F�-I U o o 055 FIREPROOFING NOTE: O ANY COMPOSITE OR STEEL COMPONENT Fi 1 IN BASEMENT OR GARAGE SHALL BE J o FIREPROOFED TO CODE. Z d q Ch& x' c> a 19'-6" W �- 18'-4" 09 STEEL SPAN ABOVE O 1ST FLR CEILING E�'.�1 " `� 7'-6" °14Po ���� +^b 6' 6 o N W o yoQ o� +�\ r------- 3\ 4.To r c� O + W 1 r-- r -1 i -- l 'j'Y_-, 1_ r- -1 = �`.Y'Y a ►F-4 gW N ° IXISTG 7x153M - I 1 I I EXISTG 7k15.3� II I EXIST 7x,5.3ff c 13-1.75"x5.5 LV ��`'� I 1 1 5 w w U—r-�t- -�- Ir - - -L_. - -----� -I I m M n TO REP 1 EXISTd I IXISTo 7x15.3A I I I II I I- AOD BEAM aA IXISTG 7g15.3�j I I W L---J L _J 1 4 _J L_ j C NCRETE BASE 1 I !REMOVE EXISTING COt C! _ -- 3'-5" '-5" 2'-8" CHIMNEY BASE' r- -� __S Bx _# ! I IXISiC 6x 2.5/t rA 7' -,0 5'-8" I I I J �—- , ci NOTE: NEW LALLY COLUMNS a O TO HAVE 30"X30"X15" I c n FOOTINGS UNLESS OTHERWISE o SPECIFIED 0 ;c o I �1 z O �Onl < i� Ur� TWiI , r �� to a z� mx z W W -a z O �l W a X Z W O 0P4 Lz Lo a c1l 29'-2" 30'-9" - d 4 �o z FOUNDATIONPLAN =____= DENOTES WALLS/WINDOWS TO BE REMOVED �y DENOTES WALLS TO BE CONSTRUCTED Li z —-— DENOTES STRUCTURAL BEAMS/POSTS TO BE ADDED o O Z u � 3 I I o ' i Y 1 O a m o � o E INSTALL NEW RAL STYLE ASPHALT SHINGLE ROOFING O ALLCHITEEXISTING ROOF AND NEW DORMER ROOF ADD RIDGE VENTS EXISTING RIDGE TO BE REPLACE W/LVL RIDGE W/RIDGE VENT t llifl� \ lI 12 R31� DORMER ARNEW 200 EA O 16' O.C. NOTES: W '• a 10 r 2x10 TIES 1 ' R21INSULATION - ALL NEW 2x6 EXTERIOR WALLS DIMENSIONING STANDARDS USED WITHIN THE DOCUMENTS _�_ ___ ARE AS FOLLOWS, UNLESS OTHERWISE NOTED: 2.10 JOISTS a BATH&WJ.L eE�oyo>� MAINTAIN A MINIMUM OF 6'-8' HEIGHT A) EXTERIOR DIMENSIONING AT BUILDING CORNERS _ `� \ %ISTING AT ALL STAIRWAYS, AND A MINIMUM WIDTH REPRESENTS AN OUTSIDE OF STUD DIMENSION ` \\ DORMER OF 3'-0' ALL HALLS & STAIRWAYS. B FURR OUT EXISTING 2x8 RAFTE)26` \. SM ALL WALLS & CEILINGS TO BE 1/2' BLUEBOARD B) EXTERIOR DIMENSIONING AT WINDOWS, DOORS AND i TO RECEIVE R38 INSULATION Q W/SKIMCOAT PLASTER INTERIOR PARTITIONS REPRESENTS MEASUREMENT TO TO W/BAFFLES I 2x6 EXTERIOR WALL THE CENTER OF THAT ELEMENT, FROM THE CENTER F+1 CIO, R21 INSULATION SMOKE, HEAT & CO DETECTORS TO BE INSTALLED OF ANOTHER ELEMENT, OR FROM THE OUTSIDE OF A. BEDROOMI 1/2' PLYWOOD SHEATHING ACCORDING TO MASS. STATE BUILDING CODE THE STUD TYVEK OR SIMILAR HOUSE WRAP SHINGLE SIDING TO MATCH EXISTING BEDROOM WINDOWS SHALL MEET BUILDING C INTERIOR DIMENSIONING AT STUD WALLS REPRESENTS A Qi W IATE CODE REQUIREMENTS FOR EGRESS, SILL HEIGHT ) MEASUREMENT TO THE CENTER OF THE STUD E„1 2x6 STUDS WSHOE & DBL TOP A / SHALL NOT BE MORE THAN 44'ABOVE FINISH R21 INSULATION FLOOR, AND SHALL PROVIDE A NET CLEAR DESIGNER ASSUMES NO LIABILITY FOR ANY HOME EXISTING 2x8 RAFTERS OPENING OF 5.7 SQUARE FEET (MINIMUM NET ►rl �+ & 9DCNING CLEAR OPENING SIZE OF 20*X24' IN EITHER CONSTRUCTED FROM THIS PLAN. IT IS THE RESPONSIBILITY M W ----9Lsat1 OF THE PURCHASER OF THE PLAN TO PERFORM THE W HEM 2.10 Jd515 567FRFD to IIl REPLACE E%ISTING 4x10 BM LVLL DIRECTION. FOLLOWING PRIOR TO CONSTRUCTION: Em NC bib JOKIS 1!'O.C. W/LVL BM KITCHEN WINDOW LOCATION MAY REQUIRE I� E.i g uauulroN 1. CONTRACTOR MUST VERIFY ALL SIZES & W ADJUSTMENT IF CABINET LAYOUT IS CHANGED. DIMENSIONS AND NOTIFY DESIGNER OF ANY ALL HABITABLE ROOMS SHALL BE PROVIDED DISCREPANCIES, AMBIGUITIES OR INCONSISTENCIES\—NOTE: ADD BEAM TO �1 REINFORCE HEADER GARAGE PRIOR TO START OF CONSTRUCTION WITH AGGREGATE GLAZING AREA OF NOT LESS iv THAN EIGHT PER CENT OF THE FLOOR AREA W V n IF NEEDED OF SUCH ROOMS. ONE-HALF OF THE REQUIRED w EXISTING 2x4 EXTERIOR WALL 2. CONTRACTOR MUST VERIFY COMPLIANCE WITH Q+1 n AREA OF GLAZING SHALL BE OPENABLE. ALL STATE & LOCAL BUILDING CODES V I FlREPROOFING NOTE: THE GARAGE SHALL HAVE 5/8 INCH GYPSUM ANY COMPOSITE OR STEEL COMPONENT BOARD ON THE GARAGE SIDE OF WALL OR FLOOR 3. PLANS INDICATE LOCATIONS ONLY, ENGINEERING IN BASEMENT OR GARAGE SHALL BE ADJACENT TO THE HOUSE, AND WHEREVER THE ASPECTS SHOULD INCORPORATE ACTUAL SITE FIREPROOFED TO CODE. ATTIC AREA IS CONTINUOUS BETWEEN THE GARAGE CONDITIONS AND THE HOUSE A FlRESTOP OF 5/8 INCH GYPSUM BOARD SHALL BE USED TO FORM A BARRIER TO SEPARATE THE GARAGE AND HOUSE. _ I I THE FLOOR LEVEL OF ALL DOOR OPENINGS BETWEEN H THE GARAGE AND HOUSE SHALL HAVE A MINIMUM T70STINO FROST WNl j j FOUR INCH RAISED SILL (�Q w� P.: q O L--� , z g AW A CROSS SECTION Aa o oa � z a, CQ a • cUa L o i, U n N Y Vl N Li O a U c Z �Q