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0071 KEARSARGE AVENUE
o r n, G d §0 S ° � 4 o, my a Town of Barnstable Building Department - 200 Main Street ,AWST"LE, * Hyannis, MA 02601 9 MASS 16 9. , (508) 862-4038 RFD MA'S A Certificate of Occupancy Application Number: 201200291 CO Number: 20130044 Parcel ID: 225018001 CO Issue Date: 05103113 Location: 71 KEARSARGE AVENUE Zoning Classification: RESIDENCE 0-1 DISTRICT Proposed Use: SINGLE FAMILY HOME Villager CENTERVILLE Gen Contractor: BAYSIDE BUILDING, INC Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature 0a/es igned f .. TOWN OF BARNSTABLE Building 20" 12002*91 pPerm -it BARNSTABLE, Issue Date: 10/15/12 -" 9 MASS. $ -1 �A i639• Applicant: A.V.L.&CO. rF0 M�►� Permit Number: B 20122512 Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/14/13 Location 71 KEARSARGE AVENUE Zoning District RD-1 Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 225018001 Permit Fee$ 35.00 Contractor BAYSIDE BUILDING,INC Village CENTERVILLE App Fee$ 50.00 License Num 005645 Est Construction Cost$ 200,000 Remarks, APPROVED PLANS MUST BE RETAINED ON JOB AND LIFT HOUSE NEW WINDOWSI..NEW FOUNDATION AND GARAGE AND PfAgTdARD MUST BE KEPT POSTED UNTIL FINAL AND REMODELING OLD SPACE,ROOF AND SIDING CHANGE CONT 10ANSPECTION HAS BEEN MADE. WHERE A ; CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record; WINK,JOSEPH L&GAIL A BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 3 JONAS STONE.CIR -INSPECTION HAS BEEN MADE. 4. LEXINGTON MA 02173 ;•.1 � Application Entered b Building Permit Issued By: y PC THIS PERM NORIGHTT00CiCUPY-ANY$TREET,ALLEY-OR SIDEWALK ORANY.PART THEREOF;$ITHER,TE ORARI.LYWWENVY., ENCROACHMENTS ON:PUBL(C PROPERTY,N07 SPECIFICALLY PERMITTED UNDERTFIE BUILDING CODE MUST BE APPROVED BY THE AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS."ME ISSUANCE OF THIS'PERMIT DOES NOT.RELEASE THE APPLICANT FROM THE CQNDITI&s,OF ANY APPLICABLE SUBDIVISION �: . 2.. "., a t•. RESTRICTIONS .y; _ ' MINIMUM-OF.FOUR CALL°INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: I'FOUNDATION OR FOOTINGS +•;. , 3 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. '-3.,WIRING'&"PLUMBING INSPECTIONS:TO BE COMPLETED PRIOR TO FRAME INSPECTION. k. P'R16R'.TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5..INSULATION. ; ,6.,FINAL'INSPECTION BEFORE OCCUPANCY. WHERE'APPLICA:BLE,SEPARATEPERMITS:ARE REQUIRED FOR ELECTRICAL;PLUMBING AND MECHANICAL INSTALLATIONS. r WORK ALL 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 GUARANT.Y.FUND(asset forth in MGL,c.142A). i " S lr BUILDING:INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL-INSPECTION APPROVALS y i2 -LvR ( '2. + 52 ) 2 e, 2 1 Heating Inspection.Approvals Engineerin Dept , f F>Ire Depth a"' 2 Board of Heal i l _ a ,1c �i �`°F' Md5` •GL=,,, ,� k" z' �._ _ ri?, f �'h;, I f _ .� ` .11 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION ' �0 I zw Ma %" Parcel _ p _ 0O 2. Appl cation A , Health„Division Date Issued � f � Conservation Division - Application Fee Planning Dept. _ =, Permit Fee O � Date Definitive Plan Approved by Planning Board _{ ( Zlj/�Z Historic - OKH __ Preservation/Hyannis Project Street Address _ �- Village Ce P1e— - Owner Address t Telephone_ J7_61"A6 17 ZLZ Permit Request — / &�T t C `A-1 ' Ls Square feet: 1 st floor: existing/Qa proposed�7fJ� rid floor: existing proposed 1 da Total new Zoning District �_� Flood Plain ,y( Groundwater Overlay _y Project Valuatio�. Construction Type Lot Size o 7� /���; f®/�� _ Grandfathere(_ es ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 00 .� Historic House: ❑Yes �No On Old King's Highway: ❑Yes ❑'@o Basement Type: C�'Fuli ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)_ 10 Basement Unfinished Area (sq.ft) Z&6 C,,� Number of Baths: Full: existing new Half: existing new Number of Bedrooms: _ Y__ existing Onew i Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: & as ❑ Oil ❑ Electric ❑ Other Central Air: t�s ❑ 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: eC�Asting ®'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) s Name Telephone Number %� � �® � Address G�' __ �. -; , �cnSe #— ,-�► — ��'. v Home Improvement Contractor# fio rr Worker's Compensation # WC 0_5J X '�d ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO ,WP We SIGNATURE DATE J I ti D FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO., _ADDRESS -VILLAGE _ OWNER f i DATE OF INSPECTION: __:.FOUNDATIOIT .(o' Nos on "81 L6I L ,• _ FRAME 'INSULATION J FIREPLACE rs. K ELECTRICAL: ROUGH FINAL F r` PLUMBING: ROUGH " FINAL ' a GAS! ROUGH FINAL v i FINAL BUILDING'' i DATE CLOSED OUT t, r _ F ASSOCIATION PLAN NO. r i s , t �ofVEY, Town of Barnstable. . Regulatory Services BAANSTABLE, Thomas F. Geiler,.Di'rector, T MASS. 1 6.a " Building Division Thomas perry, CB0, Building 'Commissioner 200 Main Street, Hyannis,MA 02601. . www.town.barnstable.ma.us Office: 508-862 '403 8 Fax: 508-790�6230 PLAN REVIEW Owner: Map/Parcel: -2-S Ol 8 6O1 Project Address 71 k CAgsARGf Builder: ttLAN' L-3-Gu08,31-- The following items were noted on reviewing: S msKIE N)STE- R-S ,hZ EDE1'1 F02. Ec LL U PGR"r-bE �I-EPc'C' ��T-ELTar43 �J Gl4-�E ' Reviewed by: Date' �TormsTlnrvw f The Commonwealth of Massachusetts Department of Industrial Accidend Office of Investigations 600 Washington Street Boston,M14 02111 www mass.gov/din Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant licant Information Please Print-Legibly mName (Business/Organization/IndividnaI): Address: �� s City/State/Zip: �® l� f . Phone#: C', 217 Are yo employer? Check the appropriate box: Type of project(required): . 1. I am a employer with 4. ❑ I an a general contractor and I 11, employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. remodeling ship and have no employees These sub-contractors have S. Demolition working for me in any capacity, employees and have workers' [No workers'comp. insurance comp.insuranCe.t 9• ❑Building addition required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their . 11.❑plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL I2 Roof insurance required .]t c. 152, §1(4), and we have no repairs employees: [No workers'. 13.[] Other comp.insurance required.] -G'✓ le;,AL! *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 them hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box mast 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: o ��. CC1.4�1 Policy#or Self-ins.Lic.#: Y1Y �1 ® ok CIL Expiration Date: Job Site Address: r / e�5� _ 1§1e City/State/Zip: Attach a copy of the workers' compensation policy declaration page(shouting the policy number and.expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be''forwarded to the Office of Investigations of the DIA for insurance coverage verification I do hereby certify e p d penalties of perjury that the information provided abov is true 3nd correct Signature: Date: Official use only. Do not write in this area, to be completed by city or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector.5.Plumbing Inspector ` 6. Other Contact Person: Phone#: ,•� a _ CHELL60 OP 10:DM DATe(Brarooff"'n CEkTIFICATE F LIABILITY INSU E 01103/12 'THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT'S UPON THE CEFMF"TE HOLDER.THIS CCCI1'lf IGAm DOE+e NOT AITInmTI my On NCOArVr-LV AMCNI3, Mr-ND OR AI.TC!'i THE 00VERADE APaPa B5' ?His P&Jall% ®GLOW. THIS CGRTIRCATir OF INSURANCE DOIRB NOT CONeTITUTE A CONTRACT 0C1WQr.?4 T(lE IOIDUINC INOUTACM(0), AUTIIOnMCD Ktt'MWtN IA FlYh UK FRUDUCER,AND THE CIEK-nFa:ATE.H=EI't. IMPORTANT: If the cortf®lic holder isp paneAWATIOpNAL YINW1REB,1the policy(les)must I e endorsed. If SU�pD[�C,AT1ION IS WAl1fECs.3ul�j�ct tc IINS lism SNA A&RAIMIsm of the 041;6y,sma:a A61•s,as J,Id' Ib�YIYY A.,vP111V1 x li,�I,la A a(otol„alPt VDO U.I.1.C1 tiff—[=JMiJ,SVt VVltt-, ,Ivl%6 W U,C certlticate hoiddr In lieu 0f such endo.sarr e s. _ PNtODU= coNTn�T 500-701-208i Paul Catt<fanl Insunae>ce Agency nrofoNE I F,rk 318 Plantation 5tneet 5ffi8'7 39- 3 Worcester,MA 01604 ; ! Paul F.Cantiani _ ArFOROING COVERAGE N=A --.._...... _.� (N$URERA I Travelans Insurance C0Mp_My v_.-.. ... .. ..._., INBURM Alan Ligucd insuasis a:The Eel P.O.Boy 904 Y agency. .._..._•._ INSURER c North Chelmsford,MA 0180 — INSURIER D:_ e ,. •,,,�-1 .___. INSUMIX E COVERAGES CERTIFICATE NLIMl3ER: RE1?lSION NUMBER: THIS IS TO CER7IFY THAT THE POLICIES OF INSURANCE. LISTED BELOW HAVE BEEN !SSUED 70 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWiTHSTANDINO ANY REQUIREMENT,TERM OR OONDITION OF ANY t;QNTftACT OR QTHER OWUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR NAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. ft"I I ISIi INA AWN CAWrilTiCiNA AF AI li IH Pill rAFA I INITA AHAWN MAY HAWF RFFs kFfil it`FI1 Fs'r PAO Ri AWA INBR AWLffiAle POLlOYEFP pomUOYEXF LTR TYPE OF INSURANCE I Ryg� ygap PA61CY NOAr t ti (MNiODKYYYI,�b1MOnnim l LiANT¢ COICnAI UAMUTV I I i i rJtC A UC l UKKki1C:C Ty t.OQ13•Q91 CO►M]INCIALrI5I1ERALUA I .RUTY i; MMM672420ACr111 V12111 1QI11&f12 rvrrcLn Ik G-_.�>;:.,,. I a ,9ti(l,tlh OL.AIM"ADE ®OOOUR i i 6hED E#F fAr pro person) 5 5.Q0 i• I PERSONAL&ADV INJURY is I ! I I GENERAL AGGREGATE S 20, OWL AGGREGATE LIMIT APPLIES PER: I i I L ngpix-,s.COMPfOP AGG 5 5_0 POLICY 7PRO- LOC $ AUT0960911.E LIAMUrY EA aeeieau) S _ A ANY AUTO !BA-M4512452.11SEL D4120111 04/20112 RODI.YINJUW(perpernon) r5 100. Al I,"UrASTI I A vcwsr9 Q rn I I ......_.._.._._........... _ AVTO$ PAUTC8 I i aWudr uvdw�i�,r,,er,,rssawxn�, a suu,u itt HIKtUAVIV; AUTOSYtlPd'ep ( i. ,� G�—,��'�� '0 ��•o UN&%&LA UA9 nrr le I I I Fd,`M nr r I lavFar F ,__l 2 _ . I EXCESS LIAg C IJMS•MADE d �.At;GREGATF S WORIfFRSCOWPENSATION I TT — —�+ — I x W . AT - IQ-rH-,5 A41)EMIDWYEW L1Al Urt ANY PROPRIf;TO"AFIT,uSr,I�(ackmve Y[3 I I OM WCC 50l0558012Q72 ! �3110b112 01104113 E.L.EACH ACCIO'eNT_ _ 5 1�,0a OPFIC�RIMEIAE 14 EXCLuvet)? NIA . . .. -. . (Mand"oty In" I I , E.I. 415645E-EA If daatrilmunder I '•F Lt T 5 . ,pd E TI N I 025CP P.TION OF OPERATIONS f LOGATKM f VEN M&S(Attach AGOW 761,AfAttfwM P+emems Scretlute.If more ewge la rMulmd) i SHOULD ANY OR THS ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERE® IN Jnaeph&call W(nn ACCORDANCE WITH THE FGLICY PROVISIONS. 71 Kare,9rg o ALI1W 9511IFORPSWATN9 Cantmvllle,lA Paul P_Csan4;�y�3' �D 1988.2010 ACORO CORPORATION, All rights meried. ACORID 25(2010105) The JACORD name and logo are regiatomd marks ofACORO 5 Jan. 20 12 ..4,�t PM As?ar AISTAR ora Ns ' 'HLEC"'Ic weAwo. OAS }r Jaiwaay 9,2012 1 I toe W+np Bnxxsr�, � "9. Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO _ Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder Joe to No as Owner of the subject property hereby authorize cc— U b to act on my behalf, in all matters relative to work authorized by this building permit application for: �eRR-safqqe- 'Rue (Address of Job) Si ature of Owner Date Print Name i If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\4STGU5QO\EXPRESS,doc . Revised 090809 Adam Piccirilli<adam@foaminsulationtechnologycom>d? January 4,2013 10:09 AM To: scrich32@gmail.com Richardson Rescheck and Inspection Doc Adam Piccirilli Foam Insulation.Technoloey.Inc. P.O.Box 1570 West Tisbury,Ma 02575 508.696.6363 Office 508.648.8406 Cell 508.629.0513 Fax 06., e o Foam P.O sox 1570 e• .. • �.i.p Insulation West Ilsbury',\IA02575 e o Technology INC. Ph 508-696-6363 508.696.6363 WWW.FOAMINSULATIONTECHNOLOGY.COM. Fx.508-629-0513 . . ,Date January 4,2013 Project Name Job#1886... Customer Name .Brian Dacey Company Bayside Building,•Inc Billing Address -1645 Falmouth Road Centerville,MA 02632' . Project Address ge Lane _71 Kearsar - - . Phone .508-771-1040 -Hyannis Port Me' " Fax 508-775-0155'.. . . _ I ti , nspec on Document Item# , Item Description Technology 1 Roof Slopes- Demilec Agribalance open Cell ` 8.5 Inches(R 38) Spmy Foam Insulation . - Exterior Walls- Da.11-Agribalance Open Cell - 2 4.5 Inches(R 20) - - spray Poem Insulation 3 _ Basement Ceiling- ;Kraft Faced Fiberglass Batts r - . . R30 - 4 Interior Ceilings- M1 1 Unfaced.Fiberglass Bans - Sound Proofing .. Interior Partitions-- Unfaced Fiberglass Batts- . . . S. Soundproofing . +. 6 Exposed Foam In Attic Roof Slopes'.'Thermal Barrier Dc315 Thermal Barrier Paint " - - 7 910 J1' 12, T Home Owner/Builder Date foam Insulation Technology,Inc. Date fs -t toa & TAYLOR DESIGN ASSOC., INC. SHEET NO. � � OF P.O. Box 1313 ' Forestdale, MA 02644 CALCULATED BY--(. DATE Tel./Fax: (508) 790-4686 ARC g. CHECKED BY 5ALC-jg_,&orG. SCALE AD v.. 'Y eK ..... ..... .. .. .... ... ... ... .. .... ... .... .. .. ..... ... ... .. �ste.. `•' f°�► .: _... _tom . r.. e ....: :. .......... ...__........ _. ................... ......................... ..............._. ..... ...._.. _.. __ :... ............................. ......._...._....:............. ..... ... . ..... .. ._.. t . . . ., . .....tom.� __........ �►.:®-...:. .... ...........��a ,�� .. ......... . .... ...t � . . . . t !® .. . . .. .... _ ... . A ff 6e :. . .. ..cis 1pt6 C ; 47 . . .i°�� . .. ..: t JOB ' TAYLOR DESIGN ASSOC., INC. SHEET NO. ' OF P.O. Box 1313 1 Forestdate, MA 02644 CALCULATED BY DATE_��°-�4^' t� Tel./Fax: (508) 790-4686 CHECKED BY DATE SCALE .�f•--: ...t - .... . ,ems .._ �...... __ .... . . _ I . ..... ... 4 . ®� C�o�.g/1o�s�� ��-'e. �e tea.N�� w'i ... ...... . ... .g - Q .. a.c:... ..71 �........ .... ........ .... Y.. . .�® � :. ... . �... .�...� .. ...�..... . . tom.... ... ►..� ... . . . .. e �. .. .d: . � ... . .._ .. ._ a} ._ .... ... - " ` _ . ........... . ............. ............. ...... ....... . . i z. ...... .. . . ........ ... ... . ..... .......... . JOBr6pE TAYLOR DESIGN ASSOC., INC. SHEET NO. � � OF P.O. Box 1313 I FOrestdale, MA 02644 CALCULATED BY � � DATE Tel./Fax: (508) 790-4686 �g y CHECKED BY DATE '71 SCALE all,N 4...c�.G: ....... IL ....... ... . .... . _ . ®.... ... .. .... .. ..... ... ...... . . .. ...�` .: . ...... a ry . ... . .:. kv.:... .... ao ..... .... ............. ....... ...... . . . ........... .. _.... .._ . ....... . _ .. t C.. . . .. _..... . 1101,._ t� .. .... . os _ ........... . ........- .. .... ... ..... .......... ........ .. ... ........................ ......... .............. ...�. ..... . ... .. ._..... ................ ....__ .. . .... .... . .. ......... ......... TOWN OF BARNSTABLE !� sE:i? cg ,t� :_ -^� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Z7 Parcel C)C, Application 6 Health Division Date Issued Conservation Division Application Fee J Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis ' fl rojeet•Street Address- �Village'""�@I'L `f � cl� A Owner"+ bldl Address - a o Telep onhonh et Permit Request Lo Ed V Square feet: 1 st floor: existing proposed 2nd fl or: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Projec Valuatio Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ 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 LJ 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 # 1 - Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) TelephoneJNumber,��: s �r-eS ' l°C _.,,Licensee#- . Home Improvement Contractor# 7� Worker's Compensation # ALL�CONST,RU TIONx EBRIS RESULTIN F M THIS PROJECTWILL BETAKEN TO l SIGNATURE ` ` "' _DAT FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. E i ADDRESS VILLAGE OWNER R DATE OF INSPECTION: t- FOUNDATION FRAME INSULATION FIREPLACE � Y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. I HE Town of Rarmtahlp- r Regulatory Services r BARNSTABLE, y MASS. . g Thomas F. Geiler, Director T-039. a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnsta ble.m a.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY h ft0.tn , Construction Supervisor License # —�®J� hereby certify that I have assumed responsibility for the project under construction, as.authorized by building permit # q , issued to (property address) 71 CffAmi I & 616gZ on , 201cl. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration (if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond (if applicable) ANS LDER IIATE q/forms/newcontrb rev:]10410 �4 ' Regulatory Services ► BARNSTABLE, y MASS. Thomas F.Geiler, Director $A Yb39. �0 lFo �A Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-$62-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR Wl NA w1� C14 I 1rJ n ,'owner of property located,at ?t kt ov 5 P-rq e � y!5T �w.0%tsV iPtf A' , hereby certify that A L (A- i is,,no,longer,Construction Supervisor listed on the application for the project under construction as authorized by building permit#� issued on o __ ' 201.E . I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. )PROPERTY OWNER DATE q/forms/newcontr reference R-5 780 CMR rev'1 10410 r+o fTiaVaBLtf'V ac�fro VV}aRf fdfffafA�/��V?�lf><f6fcs' Board of BuRd:ing Regufa i,ons and Standards Cun-structiun Supen isor f ; t.icerts CS-005645 BRUN T DACEY PDX X 95 f' el CENTERVMLE '0263Z r r ° Expiration Comrtt7ssicr�c 04%19/2014 Unrestricted=+Buildings of`auy use�group;^which contai'n 1`ess than 35:-;000 cu�Uic feet(991.i1')of enclosed space. FatluFe to possess a current edition of the'Massaehusefts State'Building Code i`s cause fog revocation of this'aicense: For DPS Licemsi'ng;informat on visit: wwwrylVlass Gou/.DFS I I i 41 . i Office of Consumer Affairs and usiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration y Reqistration: 113786 Type: Private Corporation - f a Expiration: 7/16/2013 Trt/ 213797 BAYSIDE BUILDING INC - BRIAN DACEY PO BOX 95/ 3 BAYBERRY SQ CENTERVILLE, MA 02632 �``` �.-.yy "`�fi- 7 4-y f Update Address and return card.Mark reason for change. Address Renewal ❑.Employment Lost Card PS-CA1 0 5CM-04/04-G10OI216 -,,� Offic olltdQ r Afa,rP s`�`>1'�f"s1A egu Ada,. License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return.to: Registration: 113786 Type: Office of Consumer Affairs and Business Regulation Expiration: 7/16/2013 Private Corporation 10 Park Plaza-Suite 5170 Boston;MA 02116 B'® DE BUILDING_INC� n BRIAN DACEY PO BOX 95/3 BAYBERRY 5 " f CENTERVILLE,MA 02632 .: Undersecretary id it ut signature _ I Department of Industrial Accidents p - Office of Investigations ' 3 600 Washington Street Boston,M4 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electrielans/Flumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): L_,5/ F_ 1`,e_1�14f(�, F Address: City/State/Zip:04974/! VlaF i0lt- Phone Are you an employer?Check the appropriate boy Type of project(required): 1.❑ I am,a employer with 4. ff I am a general contractor and I 6. �ew construction . employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet I ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required] officers have exercised their 16.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work' right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks boi#1 must also fill out the section below showing their workers'compensation policy information: #Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /�Ct4b 14 _`� 5 0 a Policy#or Self-ins.Lie.#:_ C—(A— d�� 450 IW Expiration Date: F Job Site Address: City/State/Zip: 'A"�- Attach a copy of the workers' comp0hsation policy declaration p'a.ge(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-oferiminal penalties of a fine up to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against the violator. Be advised that a copy of this statement maybe for karded to the Office of Investigations.of the DIA for insurance coverage verification. I do hereby certi nd ains and penalties of pejjury that the information provided above is true and correct. Si afore: Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or ToiNm: Permit/License 4 Issuing Authority (circle one): 1.Board of health 2.Building Department 3. City/TwAm Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other contact Person: Phone 4- Bayside Building Subcontractors 2012 C:,+tt�, °_ - + }ttx f.`F-f j t�4 `r ��'al"•.` i ,,. t`f`� ,.k Ri '1._} it�,�xx �tty�. i r � � ",! Contractors Highlighted in Yellow are Most Used r ,' General L�ab�h .: .fit.Workers Com Comments;.: a :..., �{ �. - ". F•., "i i d s. :., Sub,Contractor.. : .. t GL Start GL=End WC$tart WC End_, Villani Construction Inc 04/12/12 04/12/13 01/08/12 01/08/13 Christopher Costa,Inc. 08/27/12 08/27/13 02/06/12 02/06/13 : Walpole Woodworkers 10/15/12 10/15/13 .10/15/12 10/15/13 Botello Lumber,Co.,Inc. 12/31/12 12/31/13 12/01/12 12/01/13 Davids Building&Remodel Interior Trim Carpen. 01/01/12 01/01/13 06/14/12 06/14/13 MacDonald Concrete Finishing Cellar/garage floors 01/09/12 01/19/13 01/09/12 01/09/13 O'Fihelly,Brian 02/22/12 02/22/13 02/23/12 02/23/13 American Floors Oak floor finishing " 03/04/12 03/04/13 DBA-N/A Morse's Masonry r Mason.Contractor 03/10/12 03/10/13 10/11/12 09/29/13 Meagher Construction Roofer Framer 03/13/12 03/13/13 66/23/12 06/23/13 Pro Fence Co.,Inc. Fence 03/26/12 03/26/13 03/26/12 03/26/13 Cape Cod Insulation 04/01/12 04/01/13 06/30/12 06/30/13 Spagnuola, Anthonydba S a s 04/02/12 04/02/13 08/11/12 08/11/13 Jeffrey Lauder Bobcat 12/09/12 04/05/13 DBA-N/A Reliance Air Systems Inc 04/19/12 04/19/13 04/19/12 04/19/13 Foam Insulation Technology 04/21/12 04/21/13 11/04/02'. , 11/04/13 Falmouth Engineering 04/22/12 . 04/22/13 04/22/12 04/22/13 Co 's Brook,Inc Landsca e 04/24/12 04/24/13 10/01/12 10/01/13 Hill Construction Framer 04/29/12 04/29/13 08/14/12 08/14/13 Carpet Barn Inc 05/01/12 05/01/13 01/01/12 01/01/13 L&M Glass Co,Inc Mirrors,shower doors 05/01/12 05/01/13 05/01/12 05/01/13 Kitchen Concepts of Taunton 05/03/12 05/03/13 06/11/12 06/11/13 Baltic Security 05/07/12 05/11/13 Exempt from State Creswell Construction Steve Creswell 05/19/12 05/19/13 04/19/12 04/19/13 Toby Leary Fine W000dworking Trim Carpentry 05/22/12 05/22/13 01/01/12 O1/01/13 Pastore Excavation Inc. Excavation 06/05/12 06/15/13 10/12/12 10/12/13 VMA Electric Pool Installer 06/18/12 06/18/13 06/18/12 06/18/13 Jackson Welding 06/19/12 06/19/13 04/28/12 04/28/13 Govoni Land Services Land clearing 06/22/12 06/22/13 06/22/12 06/22/13 A.F.M.Plumbing 06/24/12 06/24/13 06/24/12 06/24/13 Cape Cod Marble&Granite .07/01/12 07/01/13 08/16/12 016/13 ML Riley Construction Framer 07/08/12 07/08/13 07/08/12 07/08/13 Cavanaro Consulting Inc 07/11/12 07/11/13 09/06/12 09/06/13 Reed,Mel Sheetrock 07/21/12 07/21/13 07/21/12 07/21/13 Triple Crown Cabinets&Millwork Framer 07/27/12 07/27/13 12/12/12 12/12/13 Arne Excavating&Paving 07/30/12 07/30/13 05/09/12' 05/09/13 Fast Glass Service 08/08/12 08/08/13 04/07/12 04/07/13 Chaves,Robert Electrician 08/13/12 08/13/13 1 12/17/12 1 12/17/13 Aluminum Products of Cape Storms,screens,gutters 08/15/12 08/15/13 08/15/12 08/15/13 F:\aaNICK\AA—Subcontractors Insurance Master 2012 1 Bayside Building Subcontractors 2012 ,.. Contractors Highlighted in Yellow are Most Used v 'Y,c .,.General.Liabih ..Workers Com ;.Comments ;Sub,Contractor ,;, t, GL„Start ,4 GL k. End,. WC Stactr WC End.:.:; ,•.. f All Cape Environmental 08/16/12 08/16/13 06/01/12 06/01/13 Berube,Craig 08/25/12 08/25/13 Campbell,William. Painter 08/26/12 08/26/13 07/13/12 07/13/13 Blueboard Specialists Plastering. 08/27/12 08/27/13 03/03/12 03/03/13. A Concrete Answer,Inc. 08/28/12 08/28/13 08/27/12 08/27/13. C&C Commercial Interiors 09/05/12 09/05/13 09/05/12 09/15/13 ` Scannell Well Drilling 09/12/12 09/12/13 09/20/12 09/20/13 Baxter Nye Engineering&Surveying 08/17/12 09/29/13 08/20/12 08/20/13 Cape Concrete Forms 09/29/12 09/29/13 08/08/12 09/15/13 MAP Insulation Insulation 10/01/12 10/01/13 10/01/12 10/01/13 Northern Sealcoating Driveway Construction 10/01/12 10/01/13 04/01/12 07/14/13 W.Vernon Whiteley Plumbing Heating Plumbing&heating 10/01/12 10/01/13 10/01/12 10/01/13 All Cape Garage Door Garage doors 10/07/12 10/07/13 06/01/12 06/01/13 DP Fucillo Inc 10/20/12 10/20/13 10/23/12 10/23/13 SMJ Ca ent -Steve Johnson Framer 10/26/12 .16/26/13, 10/26/12 10/26/13 Joyce Landscaping Landscape Contractor 11/15/12 11/15/13 11/15/12 11/15/13 Paramount Rug 11/21/12 11/21/13 '06/01/12 06/01/13 Architectural Masonry Services Bob Oliver .11/22/12 11/22/13 12/30/12 12/30/13 Central Vacuum House Central Vacuum Systems .12/01/12 12/01/13 01/01/12 01/01/13 KRC Marble&Granite Tile Installation 12/21/12 12/21/13 02/09/12 02/09/13 BSC Companies 01/01/12 01/01/13 01/01/12 01/01/13 Arede,Antonio Cornerstone Masonry) 01/19/12 01/19/13 New England Home Technologies 01/22/12 01/22/13 01/22/12 01/122/13 Cape Cod Retractable Shutters 01/24/12 01/24/13 Outback Engineering,Inc. 01/29/12 01/29/13 01/29/12 01/29/13 Wood Floor Specialists 02/03/12 02/03/13 02/03/12 02/03/13 Cape Cod Copper 02/07/12 02/07/13 04/04/12 04/04/13 Bortolotti Construction Fill,loam provider 03/07/12 03/07/13 03/07/12 03/07/13 Meajzher Bros.Construction Decks/Michael Framer 03/24/12 03/24/13 11/09/12 11/09/13 Pete's Masonry Mason Contractor 04/22/12 04/22/13 04/22/12 04/22/13 DWB Custom Interior Trim 05/11/12 05/11/13 04/03/12 04/03/13 Kitchen Appliance Mart Appliances 08/12/12 08/12/13 Out On A Limb Landscaping 08/14/12 08/14/13 02/28/12 02/28/13 Cape Cod Cabinets 01/01/12 01/01/13 Cornerstone dba Tony Arede 02/01/12 02/01/13 Creswell,Paul 06/03/12 08/29/13 LeClerc Welding Wilcox,Bruce Framer 05/25/12 10/28/13 F:\aaNICK\AA—Subcontractors Insurance Master 2012 2 j Duct Leakage `hest Form . Customer Information: Test Conditions: Narne: Bayside Building Rafe. Address: 1645 Falmouth road,Bayberry Square 1/4/13 Y rY q Time: City: Centerville IndoorTeniperahtre(F): State/Zip: Ma 02632 1 Outdoor Temperature(F): Phone: (508)771-1040 Floor Area(fl): 1436 Email: Sy stcm Airflow(cfm): 1400 Cooling Size(tons):. 3 73uildinE Address: (if different from above) pHeating Size(btu) 80,000 ... Primary.Location:of Street: 71 Kearsarge Avenue I Supply Ductwork: attiC city/State: Centerville Ma 02736 Pru amy Location of ReturnDnotwork: attic :. Comments: System located in attic serving second floor on one zone. AU joints seams and connections sealed with 3-m mastik tape or caulk; . All duct work and flexible runs insulated wl r-8 fail face insulation. System tested after rough install wrlth Mtnneapolis duct blaster. Total Leakage Test Depress }Tess Outside Leakaioe Test Depress Press Test Pressure: Via} Test Pressure.' (Pa} Baseline Duct Pressure(optional): (Pa) Duct Flow Ring Fan Press Flow Duct Flow Ring Fan Press Flow Press. a Installed a) cfm) fP a . Installed a) i:fm 25 3 60. : . Press. �. Fan ModeYW. Results: Outside Leakage(ofin):. . . Fan Model/*—. Outside Leakage as% Results: System Airflovr. Outside Leakage as% Total Leakage(efts): 60 Floor Area: i 'Total Leakage as System Airflow: Total Leakage as Floor Area: 4.2 1 ricwh[ieiey W.VERNON etic@wvwhiteleycom- • - .. S 1' INC. 28 Village Landing PLUMBING•HEATINGP.O.Box 1266 AIR CONDITIONING W.Chatham,MA02669 SING i 1952 T 508.945.1100 F 508.945.5549 wvrw.wvwhiteley com I _ ' Duct Leakage Test Form . Customer Information: Test Conditions: Name. Bayside Building Date: 1/4/13 . Address: 1645 Falmouth road,Bayberry Square Tir>e: City: Centerville 1 Indoor Temperature(F) State/Zip: Ma 02632 { Outdoor Temperature. Phone: (508)771-1040 Moor Area(fr'): 2198 Email: System Airflow(efm): 2000 _ . Coaling Size(tons): 5 73USTdizi>r Address:(if different from above) Heating Size(btu): 120,000 Prix nary:Location.of Street: 71 Kearsar a Avenue g SupPlyDucia❑rk- Basement City/State: Centerville Ma 02736 u 1 Primary Location of Ret�unDuctwork; Basement Comments: System located in basement serving first floor on two zones,Master bedroom and rest of first floor.. 411 joints seams and connections sealed with 3-m mastfi tape and caul .: All duct work and flexible nuts insulated with r-6 foil face insulation. J Systern tested after rough-Install with Minneapolis duct blaster. • J I_ Total Leakage Test Depress Press Outside LeakC 'ge Test Depress Press :. i Test Presmze: Test Pressure {Pa) Baseline Duct Pressure(optional): (Pa) Duct l?low Ring )~an Press Flaw Duct )loev Ring Fan Press Flaw Press. Pa Installed (eUm Press. a Installed a) M . . 25 3 108 J { :.Fan Model/SN: { Results: Outside Leakage Faa ModeUSN: + • Outside Leakage as Results: System Airflow: Outside Leakage as% Total Leakage(cfrtt): 108 Floor Area: _. Total Leakage as%: System.Airflow: Total.Leakage as - Floor Area.. 4.9 Eric Whiteley \N.VERNON eri t@wvwhlteiegcam 281r1lage La ding PLUMBING•HEATING P.O.Box 1206 AIR CONDITIONING W.Chatham,:N,,{o2669 SINCE im 7508.945.1100 F 508-945.5549 www.wvwhiteleycom r Fa, Roma, Paul From: Jack Sheehan [Jack@peddlers.net] Sent: Thursday, May 02, 2013 10:26 AM To: Roma, Paul Cc: Vernon Cox Subject: Winn Residence in W. Hyannisport I am writing as the Icynene New England Representative concerning the application of Icynene Classic Max in "attic" area of the Winn Residence. In the ICC ESR-Report 1826, section 4.4.2.2. takes precedence over section 4.4.2.1 so long as all noted criteria is met. In this application, additional coating or treatment is not required. Best regards, Jack Sheehan 98 Clarke St. Jamestown, R.I. 02835 Cell:401-255-0387 1 o`�,o ono o Foam O o ovoe o p P.O.Box 1570 . Insulation West Tisbury,MA 02575 Tec h n o I ogy INC. Ph. 508-696-6363 508.696.6363 WWW.FOAMINSULATIONTECHNOLOGY.COM Fx. 508-629-0513 Date April 30, 2013 Project Name Job#1886 Customer Name Brian Dacey Company Bayside Building, Inc Billing Address 1645 Falmouth Road Centerville, MA 02632 Project Address 71 Kearsarge Lane Phone 508-771-1040 Hyannis Port Ma Fax 508-775-0155 Item # Item Description Technology 1 Roof Slopes- Icynene Classic Max Open Cell 11 Inches(R 38) Spray Foam Insulation 2 Exterior Walls- Demilec Agribalance Open Cell 4.5 Inches(R 20) Spray Foam Insulation 3 Basement Ceiling- Kraft Faced Fiberglass Batts R30 4 Interior Ceilings- Unfaced Fiberglass Batts Sound Proofing Interior Partitions- Unfaced Fiberglass Batts 5 Soundproofing 6 7 8 9 10 11 , 12 - Home Owner/Builder Date Foam Insulation Technology, Inc. Date „`� t ��� �;�, . . - , . a �� .� .. .. Y-02-2013 09:19 From:BAYSIDE BUILDING 508 775 0155 To:15087906230 P.1/1 ,c Bayside Building, Inc. P-O.Cox 95 - ftyberry SquOre • 1645 Route 28 Centerville,MA 02632 508 771-1040 Rax:508 775-0155 • www.baysidebuilding.com "Qr.wh ty To Live r,By a May Z,� 3 ' ram. t ® x Mr.Tom Perry, Building Commissioner ,. Town of Barnstable Building Department cn 200 Main Street Hyannis, MA 02601 ..er rn Re: 71 Kearsage—West Hyannisport—Building Permit #B20120208 Dear Mr. Perry, Please allow this letter to service as notice that Joseph and Gall Winn agree and acknowledge that the pull down staircase to the attic will only be used for access to mechanical equipment and will not be used for storage purposes of any kind. erely, ph Winn I. I i ,NE Town of Barnstable BABNSTABLE.q' Regulatory Services 9 MASS. 0 039. Building Division prFD MAy A 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Pk Location l /CR „&4*ermit Number ti Owner Builder Or�,e notice to remain on job site, one notice on file in Building Department. g The following items need correcting: kFA i L qo c..-4E�7 S o t�r 41 CD n -Ac s7 z/,,f hr6-- o PE v C7 _77 IM Lo r K Z-- ILL. -5 G4 P/ `—• 1 v 11`/('._,_.. �:- tit.-� o ? �.. V K D—F l r r C (.J 0,ACT T NC 0 7"c It 6SD 4-- ✓n/i 5-r-Ak f) 7-4 �- l lA�-- Please call: 508-862-4038 for re-inspection. oz� �i C Inspected by � ` Date �I r TUNN Ft tt iy y Y�f[ .C li �.�:.4i ?lid 1{� LE kit rE-ou 1 1-11 Pi F 2: �! MICHELE CUDILO, P.E. Consulting Structural Enginee-r- --:—_ — 123 Cottonwood Lane•Centerville,Massachusetts 02632-1979•(508)771-7601 •Fax(508)771-7163 mcudilo@comcast.net DATE: February 17,2012 Joseph L. Winn 3 Jonas Stone Circle Lexington,MA 02420 RE: PROPOSED ADDITIONS 71 Kearsarge Ave.,Hyannisport,MA Dear Mr.Winn, At prior request,I am clarifying the following details as shown on dwg.A1.2: Foundation and Framing The framing will be anchored to foundation with Simpson FJA @ 4' O/C. The first floor joist framing will be attached to beams with Simpson H4 or better. LJH OF Wiey, �/ �� MICHCLEoCUDILOcee Cu ilo,P.1�.- c, NO.34774 STRUCTURAL y 9FrySTJEFFp n orvAL Fes' /2011-166 i Page 1 of 1 Lauzon, Jeffrey From: Michele Cudilo, P.E. [mcudilo@comcast.net];, Sent: Friday, February 17, 2012 3:12 PM To: Lauzon, Jeffrey Subject: Winn Resd.: 71 Kearsarge Ave., Hyannisport Jeff, as discussed,to clarify my letter of this date regarding anchor bolts to new foundation: the Simpson FJA is adequate for the full anchorage requirements; the 5/8" anchor bolts need not have the enlarged 3/3/l/4" plate washers MICHELE CUDILO, P.E. CONSULTING STRUCTURAL ENGINEER 123 Cottonwood Lane Centerville, MA 02632 5087717601 voice 5087717163 fax - 5087378521 cell 2/17/2012 REScheck Software Version 4.4.2 '(10 Compliance Certificate Project Title: 71 Kearsarge Avenue Energy Code: 2009 IECC Location: Bamstable,Massachusetts Construction Type: Single Family Project Type: Addition/Aiteration Heating Degree n D 'e Dais: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 71 Kearsareg Avenue Joseph Winn Brendan O'Donoghue Barnstable,MA 71 Kearsarge Avenue Ebben Creek Architecture Barnstable,MA 17 Milk Street Essex,MA 01929 brentDdonoghue@gmail.com Compliance:8.5%Better Than Code Maximum UA:437 Your UA:400 The%Better or Worse Than Code index reflects how dose to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. c Basement Wall 1:Solid Concrete or Masonry 343 0.0 12.0 19 Wall height 8.0' Depth below grade:7.0' Insulation depth:8.0' Basement Wall 2:Solid Concrete or Masonry 131 0.0 12.0 7 Wall height:8.0' Depth below grade:7.0' Insulation depth:8.0' Basement Wall 3:Solid Concrete or Masonry 352 0.0 12.0 19 Wall height:8.0' Depth below grade:7.0' Insulation depth:8.0' Wall 1:Wood Frame,16"o.c. 604 19.0 0.0 , 33 Window 1:Metal Frame:Double Pane with Low-E 22 . 0.290 6 Door 1:Glass 40 0.310 12 Wall 2:Wood Frame,16"o.c. — - — Exemption:Framing cavity filled With insulation. Window 4:Metal Frame with Thermal Break:Double Pane with 71 0.290 21 Low-E Wall 3:Wood Frame,16"o.c. 327 19.0 0.0 12 Window 2:Metal Frame:Double Pane with Low-E 8 0.290 2 '- Door 2:Solid. 112 0.310 35 Wail 4:Wood Frame,16"o.c. 654 20.0 0.0 34 Window 3:Metal Framebouble Pane with Low-E 76' 0.290 22 Wall 5:Wood Frame,16"o.c. — — — — — Exemption:Framing cavity filled with insulation. Window 5:Metal Frame:Double Pane with Low-E 70 0.290 20 Wall 6:Wood Frame,16"o.c. 134 20.0 0.0 7 Window 6:Metal Frame:Double Pane With Low-E 22 , 0.290 .6 Floor 1:Slab-On-Grade:Unheated 87 12.0 58 Insulation depth:6.0'' Floor 2:All-Wood JoistlTruss:Over Unconditioned Space — — — — Project Title:71 Kearsarge Avenue Report date: 10/17/11 Data filename:71 KEARSARGE AVENUE.rck Page 1 of 6 Exemption:Framing cavity filled with insulation. Floor 3:All-Wood Joist(Truss:Over Unconditioned Space 750 30.0 0.0 25 Ceiling 1:Cathedral Ceiling 750 38.0 0.0 20 Ceiling 2:Flat Ceiling or Scissor Truss — — — — Exemption:Framing cavity not exposed. Ceiling 3:Flat Ceiling or Scissor Truss 1397 38.0 0.0 42 Compliance Statement The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4A.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date J t Project Title:71 Kearsarge Avenue Report date: 10/17/11. Data filename:71 KEARSARGE AVENUE.rck Page 2 of 6 REScheck Software Version 4.4.2 Inspection Checklist Ceilings: ❑ Ceiling 1:Cathedral Ceiling,R-38.0 cavity insulation Comments: ❑ Ceiling 2:Flat Ceiling or Scissor Truss Exemption:Framing cavity not exposed. Comments: ❑ Ceiling,3:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑Wall 2:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. Comments: ❑ Wall 3:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments: ❑ Wall 4:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments: ❑ Wall 5:Wood Frame,16"o.c. Exemption:Framing cavity filled with insulation. x Comments: ❑ Wall 6:Wood Frame,16"o.c.,R-20.0 cavity insulation Comments: Basement Walls: ❑ Basement Wall 1:Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul,R-12.0 continuous insulation Comments: ❑ Basement Wall 2:Solid Concrete or Masonry,8.0 ht/7.0'bg/8.0'insul,R-12.0 continuous insulation Comments: ❑ Basement Wall 3:Solid Concrete or Masonry,8.0'ht/7.0'bg/8.0'insul,R-12.0 continuous insulation Comments: Windows: ❑ Window 1:Metal Frame:Double Pane with Low-E,U-factor.0.290 For windows without labeled U-factors,describe features: #Panes - Frame Type Thermal Break? Yes No Comments: ❑ Window 4:Metal Frame with Thermal Break:Double Pane with Low-E,U-factor.0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Metal Frame:Double Pane with Low-E,U-factor.0.290 Project Title:71 Kearsarge Avenue Report date: 10/17/11 Data filename:71 KEARSARGE AVENUE.rck Page 3 of 6 For windowg without labeled U-factors,describe features: s #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 3:Metal Frame:Double Pane with Low-E,U-factor.0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Metal Frame:Double Pane with Low-E,U-factor.0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 6:Metal Frame:Double Pane with Low-E,U-factor.0.290 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Glass,U-factor.0.310 Comments: ❑ Door 2:Solid,U-factor.0.310 Comments: Floors: 0 Floor 1:Slab-On-Grade:Unheated,6.0'insulation depth,R-12.0 continuous insulation Comments: Slab insulation extends down from the top of the slab to at West 6.0 ft.OR down to at least the bottom of the slab then horizontally for a total distance of 6.0 ft. ❑ Floor 2:All-Wood Joist/Truss:Over Unconditioned Space Exemption:Framing cavity filled with insulation. Comments: ❑ Floor 3:All-Wood JoistlTruss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ` Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)'a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiiing/soffit is substantially aligned with insulation and any gaps are sealed. (a)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. Project Title:71 Kearsarge Avenue Report date: 10/17/11 Data filename:71 KEARSARGE AVENUE.rck Page 4 of 6 (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (I) Comers,headers,narrow framing cavities,and rim joists are insulated: (9)Showedtub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: 0 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: O Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. 0 Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. Duct Ipsulation: Q Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are Insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or UL 1 BIB and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: Where the primary heating system is a forked air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: 'Circulating service hot water pipes are insulated to R-2. Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: y ` Heated swimming pools have an on/off heater switch. Project Title:71 Kearsarge Avenue Report date: 10/17/11 Data filename:71 KEARSARGE AVENUE.rck Page 5 of 6 r Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: Lj A minimum of 50 percent of the lamps in permanently installed fighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent -(c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Lj Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is failing,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: O A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) a , Project Title:71 Kearsarge Avenue Report date: 10/17/11 Data filename:71 KEARSARGE AVENUE.rck Page 6 of 6 r 2009 .IECC Energy Efficiency Certificate Ceiling/Roof 38.00 Wall 20.00 ' Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.29 Door 0.31 NA Heating System: Cooling System: Water Heater. Name: Date: Comments: ?�" ��lr �Sw ���H c "ci`S��a_ jP-"`°rrs IN}�1}i a � ,A�� .. •ly`.'k!,�'Y�P'O'k34.Y+.'M.. ,k�4Y.- l•,W�y"P-1�,urt�Nn`�x•� .$t i N - 1mi���'^. wK.. '... x• .��f- � i� C A.L,.cx.�. Y•° nq'L,•lEL t t �•}? 6--; r,. , 110 W1PH EX f3URE � WIND ZONEV j tj� �Sp�{`{oDtttC�l11 G 7(NY c Checklist WindSpeed (3-second gust).......................................................................................................:.110 mph Wind Exposure Category....................................... e}WFC� Number of Stories ............................::................................ (Figure 2)............... stones <-2 stories RoofPitch ........................................................L.l Z.!.i ....(Figure 19) ....................... Mean Roof Height ............................................�..33........(Figure 2)...................................U ft. <_33' Building Width,W ..................................'..............7 I ....(Figure 4)................:..........:.....�2,A Building Length, L ..................................................Zj�.J.....(Figure 4)......... .....................tom ft. 5 80' Building Aspect Ratio(L/W) ................................. .....(Figure 4)............................... 3.0:1 General compliance with framing connections?.................. (Table 2)........................................................ Type of Foundation ..........(Figure 5) Foundation Anchorage Proprietary Connectors Uplift. .....(Table 3) p Lateral............ (Table 3) . L= plf Shear... ....................................................... ... (Table 3)......¢.7j - S- plf 5/8"Anchor Bolts e j - �c Bolt Spacing ........5.-�.-..-(.... ..... �'��.... (Table 4).�ZZ��S..S SID l B ��R�SiD� �� l Bolt Embedment.................. ........... (Figure 5).................. ................... .. .Z in. Washer Size............................................................(Figure 5)..........:. in. x in..x in.thick Floor framing member spans checked?......................... (1RC or WFC........................................... ..................: .......... • ..... ... ... . ..... Maximum Floor Opening Dimension...................................(Figure 6).................................. am?-ft. <_12' M ........... Maximum Floor Joist Setbacks n Supporting Loadbearing Walls or Shearwall..................(Figure 7)......................................=ft. <_d Te Maximum Cantilevered`Flow Joists r Supporting Loadbearing Walk or Shearwall.................(Figure 8).:....................... ..........: T ft. <-d H Floor Bracing at Endwalls............................ (Figure 9)....................................................... -1 Floor Sheathing.Type..........................................................(!RC or WFCM)........................ W< E Floor Sheathing Thickness.................... (tRC or WFCMn........... .................3�in. Floor Sheathing Fastening .....: ...........(Table 2).........� samp.e.......... ng 9• 1 Z i✓lo Wall Height , Loadbearing Walls.......... ... (Figure 10 ` Non-Loadbearing Walls.................................................(Figure 10)................................. <-20' Wall Stud ca ...........(Figure 10)..........................-L in.5 24 o.c. Spacing............ .................................... WallStory.Offsets.:.................................. . . . ....................(Figures 7-8)............................:...=in. :5 d vi OF Wood Studs N 9� Loadbearing Walls .......... o. .....0 p1L .. ti� .. (Table 5).....................2x ft. in. Non-Loadbearing Walls... Na,3q� 4.. (Table 5) ....... 2x in. . . . .. . . ........ .. STRUCTURAL co A jays. -.•:v?..�..p.. (( ..� 'ri�:.�'•��o �r{y� .F ip �� -+w1..�a "�. �.. _ _, 41 E `#�' ON. ? 1 0 llti P f-f EXPOSURE L1i 9�� 2:��E. �(�M' �SD I• r'i,��IFI�faY�oP Nil Bracing Gable End Walls WSP Attic Floor Length............................�j3............... (Figure 11).�/f( l�I-..:?.. LWcj ft. z W/3 Gypsum Ceiling Length.............................. ...................... .Z.�...............(Figure 11 . A.. ft. >_"0.9W Double Top Plate I i Splice Length.....?�? �.�1b, .....:�...........7r................ (Figure 13)....�.(�...S!,A�::........... . ... ft. Splice Connection(no.of 16d common nails) ...e........ (Table 6)................................................. I Loadbearing Wall Connections S 15 4,x1(33 Uplift. (proprietary connectors)...................................... (Table ).................................. .U=Z 5lb. Lateral (no.of 16d common nails) ................:Z........... (Table :5,5o4..................................... Z Non-Loadbearing Wall Connections Uplift. (proprietary connectors)...................................... (Table U�5(-Ib. .......................... Lateral(no. of 16d common nails) 7.............. (Table , 1- .. Wall Openings i H7, G ft. 2 in. <_11' Header Spans............................................�. ...........(Table Sill Plate Spans............................................ �.......... (Table ......................... ft: 2 in. <_ 12' Full Height Studs(no.of studs)....................�.!. .......... (Table ..................................................f]w Connections at each end of header or:sill Uplift. (proprietary connectors)...................-.......... (Table ........................................ 1 lb. Lateral (proprietary connectors) .........:......-........... (Table Wall Sheathing 1 w' SZ,s! Minimum Building Dimension(m) k 3 7A SheathingType......................................................(Table ................................... . �' EdgeNail Spacing.................................................. (Table 1 ......................................... 3 in. Reid Nail Spacing . (Table 1 12- Ind Pa 9 ........... - Shear Connection(no.of 16d common nails)........(Table 1 ).............................................. Hold Down Capacity ................................(Table 1 )..... ........................ - ,N. lb. pa rty............... Percent Full-Height Sheathing..J..Z.i.Q.......0��.... (Table 1 ).....i i� t t..EA-, Maximum Building Dimension 23,1 3,i ableil )......................................... Sheathing Type.......................:... ..:.......................(T ). EdgeNail Spacing..................................................(Table ).........................................._ 3 in. Reid Na it S cin ..................(Table ) ..... .. 2 in. Shear Connection(no,of 16d oommon nails) ...... (Table ) ............................................... �( Hold Down ...... . (Table ) ................... . ..................I� Ib. Percent Full-H Sheathing, ��?�.1 . Ql�- (Table .................... U a eTj Wall cladding Z� Ratedfor Wind Speed?....................................................................................... ............................... Roof framing member spans checked?.... ......... ..... (IRC-or WFCM).............................................. Roof Overhang.:...:..................................... ...:................... (Figure 19).......................... ft.<_2'or U3 Truss, Wow,or.Rafter Connections at Loadbearing Walls Proprietary.Connectors 5P� A 3, 2is Uplift. .........................................if3 ................... (Table 1 )....................................U= lb. Lateral.................. .............. ... .. (Table 1 ) . L=24f2 lb. Shear .......... ..........................:J.° n(a�=.1 G�'.. (Table 1 )............. ... S= Zlb?`1.25- � ...... Rdge Strap Connections-Tension . ..:.�� .. {Table v r(o plf Gable,Rafter:0utboker............ ......................... ..(Figure 20).................... --ft. ft.<_2' or U2 , OutlookerConnecaons at Non-Loa ring Walls Proprietary Connectors Uplift.................. ........... ............... (Table 14) ............ ..................U= .... . ................ . . .... r_acerar..............................:... ............ t raaie 141....................................L= ro. 'oof Sheathing Type................... s"OF Mq ........(/RC or WFG.. jpj:S P Soot Sheathing Thickness........ ��...AIC �`�tiW .................................... .......... in.>_ "wsp . �' k Roof Sheathing Fastening......... o......CUDIi.t�......�� ... (Table 2)OG�.e.�...®14. S�E'....*.f. APZ No.34774 Cn STRUCTURAL iSN�LFC�\ 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double to late. PP • iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. R' v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment G wmw THIS EDGE RESTS oN' FRAMING USE Sd NAILS AT -- - --- ---- tl " t ' tt 11 11 1 II II 1/ 11 _11 11 • 1/ 11 1 O A Il t Q 11 if t to t lu It u t Z n 1 pp t L p tt II 'DOUBLE EDGE -_-'-- I NAIL SPACING I PAN0.. t 1 See Detail on Next Page Vertical and Horizontal Nailing I for Panel Attachment 1056 780 CMR-Seventh Edition- 12/28/07 (Effective 1/l/08) n G 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES ul Z o t � a ` ` 1 1 �t .1 1 Z Q tJ Q t ` FRAMING MEMBERS a o I 1 EDGE INTERMEDIATE 1 1 1 , 1 3/8a , 3 MIN. STAGGERED 3a MIN. NAIL PATTERN Z PANEL a PANEL EDGE DOUBLE NAIL EDGE SPACING DETAIL Detail Vertical and Horizontal Nailing for Panel Attachment . 12/28/07 (Effective 1/1/08) 780 CMR-Seventh Edition 1057 Full Height Studs. hull heightIstuds shall meet the same requirements as exteripr wall studs Double Top Plate selected in Table 5 (Seepage 11).The minimum number o ill hei htl studs at j'Sa C S Z 2 C each e of the header s ail goG be less ` �UpliftT ¢� o�c than halt the number of studs replaced (p�»or15) by the opening. in accordance m6th Table --- '� 9. Full height studs shall be permitted to rlDouble Header replace an equivalent number of,jack t')1. 22 studs.when adequate gravity connections Full Jack Stud '�� Meader Uplift StropHeig � are provided. Stud Window Sill Plate Refer to Table 9 Window Sill Plates. Maximudi spans for i window sill plates used in extetior walls shall - .� not exceed the spans given in Table 9. PA sorb Strapte--- p � I.,:.�ndatl Connections around Wail 01�enings. 5�� p .... u M•'�g;®ifs Header and/or Girder to Stud; Connections. Headers an girder to . _ y stud connections shall be in accordance J / ��- L with the requirements give in Table 9. Bottom Plate' Window sill plate to stud connections shall be in accordance with)the requirements given in Tabi 9. Top and Bottom Plate to Full`Height (.. Figure 17. ds and Headers Around Wall Openings Studs. Each full height s d shall ' be connected in accordanc with the requirements given in Tabl 9. Table 9. Wall Openings—Headers in aiti�am►g Walls , Meader of ft: _ .. . z �. MR-He"Shift, � Lateral(Ib.) �fib-) Y� a: in Loadbearing Wallis 2 2 -2X4 1 277 132 3 2- 2�' 4 2 416 198 4 2-2X4 : . 2 554 264 5 2- 2x4 3`: 693 330 6 2-46. 3 y..: 831.. 396 7 2-2 8 3 970 462 . 8 2=2)12 3 1.108 528 9,1 3-2 q1'0 : 3 1,247 594 10 3-2X12 4. 1,385 . 660 11 4- 2)410 4.. 1,524 726 i 'xvn_o-s a_ ail 1 d i GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code, latest edition'. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf.,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter. 12"long,w/2-1/2"hook spaced_"o/c,or in concrete piers w/ r141 f Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage.Basement,etc.). IA FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Desian Loads: Dead Loads:Actual Weight of Building Components Live Loads: Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for 1.10 MPH Exposure B.unless noted otherwise 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter:punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use.E70xx electrodes. Alternatively,field weld by certified welders. c. .Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. C.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi.Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi, Fc�er-750 psi, Fc_par-- m 2900 psi. Note that Microlla and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. l x6@ 1,6"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c: CS-14R-50.5"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7. Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Comers to be blocked at 48"o/c with plywood,edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. �Qy114 of M: Multiple Studs 16d @ 12"staggered � -��, a.All nails shall be common wire nails. ,Fo MICHELE \ b. Sub-bore where:nails tend to split wood. o CUDILO 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Tabl 5502.5O)and 2), 7 NO.3477- ' ( IC/� STRU;TUs :<L l.. ;: MIC ELE CUDILO ! l�tv'r 1�W bV Consulting Structural En 123 t[onwooa Lane, centirvlue. Yoseochusetts 02 ;�i'�v Drown By: MC Dote: rp D r awi n g AvL ale: AS NOTED Rev. p l 44- tG — c K Fila Nome: Project No r. -1r''T''V ,Ar%-' . l',e.,, .'"';Z''4�:5.��-,�^�'..:.��'{��~.S}fs;��'}a•'-.?S�'`:. ..,.J.YI•"�,1fR„:i� .h."?.';?rt.+.7t_c,• �uu..a :,<�Y��e:t,o-.-,M.',a:,. :�.n�:::-:,.e.�:.=„ .t.: �:.,..-� � �.}�".�`��._t�`'��'2P+ks��Yr'n"r'su','�t''�"f _ `i��� -LL...�.t�.��w..1�i�3��.-:..:°s �,� t -: ,� .. •, `i`�.:.,_r-o.�C�so� .' ' 410 T1,gPH EXPOSU RE )d WIND ZONE W � �SP �OD�Ftt�Tlf Checklist I o WindSpeed (3-second gust).........................................................................................................1 mph WindExposure Category...........................................:.............................................................................� Number of Stories . .......................................L..:. ........ (Figure 2).. .... _stories <-2:stories Roof Pitch ........................................................ (Figure 19) .................. r 2 S 12:12 Mean Roof Height ............................................�'.A3........(Figure 2)................................... ft. <_33' Building Width,W ..................................................:6 (Rgure 4).................................5 2'5ft. <-w Building Length, L ............................................... L1.... (Figure 4)............................... ft. S 80' Building Aspect Ratio(UW) .................................1A.. .L....(Figure 4)...............................(j2 S 3.0:1 General compliance with framing connections?..................(Table 2)........................................................ Typeof Foundation.............................................................(Rgure 5)................................. Foundation Anchorage Proprietary Connectors Uplift. ..... ........................................... ............ (Table 3) ....................................U= plf Lateral.. .................................................. (Table 3)... . .. .L= pif Shear... .................................. . . (Table 3) ...... .7. -::.�r.'�.a� S- pif 51W Anchor Bolts S 14 K Bolt Spacing.....................-.. ... .... �..... (Table 4).�ZZ��S�; Bolt Embedment.............:...................... ............(Rgure 5)............................................ —in. Washer Size .. 5(Rgure Fi in.x in.x'� in.thick ( g )............. Floor framing member spans checked?............................. (!RC or WFCNI).......................................... .. _ Maximum Floor Opening Dimension.................................. (Figure 6)..................................��?-ft. <-12' M Maximum Floor Joist Setbacks f7 Supporting Loadbearing Walls or Shearwall.................(Rgure 7)..............f........................=ft. <-d To Maximum Cantilevered Floor Joists r Supporting Loadbearing Walls or Shwrwali.................(Rgure 8)...................................... -ft. <-d Floor Bracing at Endwalls....................................................(Rgure 9)....................................................... Floor Sheathing Type..........................................................(1RC or WFCII#).......................... W SE Floor Sheathing Thickness..................................................(!RC or WFCM)............. K. .............3A in. Floor Sheathing Fastening..................................................(Table 2)..... .. °.. ....GD00.......... Wail Height Loa&earing Walls ....... ............................... ...........(Figure 10)................................ ft. <101 Non-Loadbearing Walls................................................(Rgure 10)................................LZo ft. S 20' Wall Stud Spacing.......................:.......................................(Rgure 10).......................... in.S 24'o.c. Wall Story Offsets...........................:....:... . . . ....................(Rgures 7-8)................................=in. <-d f ,.Y4s�F.L �yTH OF 1i_ Wood Studs �o�� MICHEL.E Loadbearing Wails . o .....EI,p1Lry tiw . (Table 5).... �c ft. `L in. Non-Loadbearing Waits... No,3gg�4.. . . .. (Table 5) ... .. .....2x:- ft. —in. STAUCTURqL 9F��SrEAE° r '._�. t n�ray Y y .p';.�,: € .p,,. :q.,- �s�'- .t .r� �[;r.ax �f��i�l�d:`::,—.•.�...i r •. n� 9'�.� T�{ �L It Pv1 7.' '°t�,�••q}��ra"�ti. ..h 7,� c��'3.. .!� t4, § t tr � ? 10 MPH EXPOSURE WiND ZONE V�(l�l� AE�-5D11 14'0-1)IF16A-rl�w Bracing Gable End Walls 5G '2� e) 3....:.......... (Figure 11 .�fWI�C ..-?. WSP Attic Floor Length............................ ( g ) _.C�;l. ft. z W/3 Gypsum ' YPs Ceiling Length gtlt....................:........2..�...............(Figure 11).......FyAf`'jkI.>..qAaLe ft. >_0.9W Double Top Plate i 1 Splice Length.....?r?�.5lbl;,- ...:�........... ...........:....(Figure 13)...... ...�.........� 1, :............ .... ft. Splice Connection(no.of 16d common nails) ..QI...... (Table 6) .................................a........... Loadbearing Wall Connections A 41 1134.x 1133'e Uplift. (proprietary connectors)............ (Table ....................... ...... .U =2 i5lb. . . . ...... . Lateral (no.of 16d common nails) Z .....(Table :5., -F Non-Loadbearing Wall Connections L �2Ir3 Uplift. (proprietary connectors).......................................(Table U=35 -I b. ..................................... Lateral (no,of 16d common nails) ............... .............. (Table r .?r,. .E�..................................... -2- Wall Openings i A HeaderSpans..................................:......GL.a...........(Table ......................... -ft. SillPlate Spans............................................ .......... (fable .........................-�ft. 2 in. 12' Full Height Studs(no.of studs)....................�.�. ..........(Table Connections at each end of header or sill Uplift. (proprietary connectors)................ (Table ........................ Jul Ib. Lateral(proprietary connectors) ...............:-.......... .(Table ..............................................=Ib. Wall Sheathing SZr s Minimum BuRdin9 Dimension(M) = Z,D,(o 1 7A SheathingType......................................................(Table ................................ .JLlLi" Edge Nail Spacing............................:.................... (Table 1 3 in. Reid Nail Spacing. (Table 1 12 in. Shear Connection (no.of 16d common nails) ...... (Table 1 ) ............................................... Hold Down Capacity................................................(Table 1 ) ......... lb Percent Full-Height Sheathing../.�i.Q.......:�_,_ ... (Table 1 ) 1 GL t.(.. :.. Maximum Building Dimension = �-3 11 3,I L =�P(o t Sheathing Type......................:...............................(Table 1)................................._....... EdgeNail Spacing..................................................(Table )........................................ .3 in. Reid Nail Spacing...................................................(Table 1 ).........................:............... Z in. Shear Connection(no.of 16d common nails)........(Table 1 )...........................:...................off( Hold Down Capacity....... .........(fable 1 )..........................................N_f$ Ib. Percent Full-Height Sheathing...."�10-15 O�. (fable 1 ).............................................. &U 9,Pa Wall Cladding L Z Rated for Wind Speed?.................... Roof framing member spans checked?...............................QRCor WFCM).............................................. Roof Overhang....................................................................(Figure 19).......................... ft.<_2'or U3 Truss, I-Joist,or Rafter Connections at Loadbearing Walls Proprietary Connectors SPA 2¢` ,�3, s -96A Uplift..........................................ltxf........:............(Table 1 )...................................U lb.- LaterLateral .... (Table 1 ) L= lb. al............................... .... ............................... Shear........................................ .x..1��..1 GR..:::...(Table 1 ................ = t� G25� Ridge Strap Connections-Tension. .......�� ... ............(Table 3 �°..... 1<. l : T= plf Gable Rafter Outlooker............... ...........,..................(Figure 20)..................... ft.s 2'or U2 Outlooker Connections at Non-Loa ring Walls Proprietary Connectors Uplift... . . ................... ......... ................ (Table 14) ..................................U= lb. ............:. . C [t91�1f................................:: ............(Ta le 14)............................... ..... = _ lb. 'oof Sheathing Type.................. � ySN OF Mq � (IRC or WFCA#).. ....... roof Sheathin j Thiclmess........ ...�IC �.. yw in.>3/8'wsp . .. _ �' k Roof Sheathing Fastening......... o......CUDJLD....... ... (Table 2)g� .�...a�.4:: <� ...t. :j.� U No.34774 cn STRUCTURAL • ' 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to banal joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at fast floor framing. v. Horizontal'nail spacing at double top plates,band joists,'and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment WHEN THIS EDGE RESTS ON' FRAMING USE ad NAItS ATW*Ac -- - - - -- wit-= W - 1t Y- 11 11 IJ 1 ii tl 11 11 11• 1 11 - i o ri II Q rl J 1 1 Q ii ii n 11 - . 11 ,1 it 11 1 p a 11 itW 1 11 11 ' 1 tt 11 t 11 it tU - 'DOUBLEEDGE WULSPACING PANEL t t See Detail on Next Page f Vertical and Horizontal Nailing I for Panel Attachment 1056 780 CMR-Seventh Edition 12/28/07 (Effective l/1/08) 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES 1 1 t Lu�0 1 / t ZQ 1 t 1 t , 1 1 - 1 1 ` FRAMING MEMBERS EDGE KITRMEDI 1 , t 1 tL` 3•MIN. 1 4- STAGGERED NAILPATTERN z PANEL PANEL EDGE DOUBLE NAIL EDGE SPACING DETAIL Detail Vertical and Horizontal Nailing for Panel Attachment 12/28/07 (Effective 1/I/08) 780 CMR-Seventh Edition 1057 Full Height Studs. lull heightfstuds shall meet the same requirements as exteribr wall studs Double Top Pie selected in Table 5.(Seep_age 11).The minimum number of uil heig studs at each end of the header shall nod be less plate e�Uplift 0 1C than half the number of studs replaced (a20l4or15) by the opening,in accordance v►fith Table --" 9. Fuli height studs shall be peripitted to , Double Header replace an equivalent number of jack 22 studs.when adequate gravity connections Fullt Jack Stud � Reeder Uplift Strap are provided. Stud Window Sul Plate Refer to Table 9 Window Sill Plates. Maximwil spans for window sill plates used in exterior walls shall - : 1 PA PSpr� not exceed the spans groan in Z?able 9. , Stra_�ty— RD V a Wall nin f'L Connections round ,� t� 9s _— 5� p lA , Y Header and/or Girder to Oud: _ _ ' (D EM Connections. Headers a4or girder to stud connections shall be iri accordance - - �R. 7L�P'°t with the requirements give>l in Table 9. Bottom Plate f Window sill plate to stud connections shall be in accordance with the requirements given in Tabl 9. Top and Bottom Plate to Full Height Figure 17. ds and Headers Around Wall Openings Studs. Each full height stud shall be connected in accordance-with the A I` requirements given in Table9. / j c r `,y e vF1=' ti>J 7 i Table 9. Wall Openings-Headers in idtiearing Walls MM header SO=(11L) -. j of ` un-Ndght Shcds tlplliR nb:) t.ateral(Ib.) .: . . : w.: 2 2 -44 .` 1 277 132 i.. ..........,.. 3 2-2K4 . 2 416 198 4 2-.2X4 2 554 264 _... 5 C6 2-"2x4 3. 693 330 6 2-Z : 3 831 396 7 2-2�8 3. 970 462 8 2=2Xi2 3 1.108 528 3-2)(10 3 1,247 594 .._ . . 10 3-2x12 . 4 . 1,385 660 11 4-2)610 4 1,524 726 ' 1 y I 1 ♦: POSTS OR m 1 (2)2a STUDS i 1 I S/rs'RATED SHEAMNO 1 I w/Sd NAILS 1 I I O S'oa 1 I j I I b CAPACITY IL A, TIE ANCMR 1 � - 1 t 1 1 1, I- �I A.IL y i (2)2%PLATE 2: P.T.SILL A PLATE . ' f� b ACTM .. / i DUA 1 PANEL AT FLOOR�PONY WALL i. I.ALL S11W IHOIAODMNS stALL BE t*fx LD Put MAHUFAm"wmrlrATION. MCLUORIO COMM IN iTTTAAA=K TWO,NDLOOOVIIIS CAN K USED AT EACH OORNEM TO MEET REQUIRED LOAD L AVERMATE TYPES OF APPROVED NOLDDOWNS CAN BE USED IN PLACE OF STRAP NOLDDOVRL SUBMIT WALS FOR APPRDAL. . 1 i j x GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf..fora medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code.latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized.min.5/8"diameter, 12"long,w/2-1/2"hook spaced_ o/c,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage.Basement,etc:). V FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B,unless noted otherwise 3. Structural Steel: (as required) a..ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter:punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively.field weld by certified welders. c. Deflection Criteria: U360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2 with Fb=I000psi,E=1,300,000 psi.or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi.Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1.900 ksi,Fv=285 psi,Fc�er-750 psi. Fc_par--2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,U360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c: Rafter to Ridge Plate: Collar ties min. 1 x6@ 16"o/c at top or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c: CS-14R-50.5"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blockina: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.'side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. paZH OF k i Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. �� MICHELF ._ b.Sub-bore where;nails tend to split wood. O CUDILO 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Tabl 5502.5(j)and(2);. U NO.34774 STRUC^TtIRnL 1r MICITFIF CUDI1.0 Consulting Structural En in � .E /r 123 nw000 Lane, centervilb, Masaochueette 02 Draws By: MC Date: 6 �Xr t Drawing . Cole: AS NOTED Rev. "bt;��11 t 5�j✓'r� d��� SK- File Nom f`e: '4 Project No.:00 I Alan Liguori 16 Stedman Street Lowell MA 01851 January 4, 2012 Barnstable Building Department Barnstable, MA A To Whom It May Concern: This letter is to inform you that Robert J Ball; 16 Patricia Dr., Tyngsboro MA 01879 is a full time employee of Alan Liguori. He is the Job Supervisor on the job during construction for the property located at 71 Kearsage Ave., Barnstable(Centerville) MA. Sincerel , Alan 16 Ste Street Ae Lowell MA 01851 t �� Massachusetts -Department of Public Safety Board of Building Regulations and Standards ('un.tructiun SielurNi+ur License: CS-080734 II. ROBERT J BAf, , 16 PATRICI.-DR.:. TYNGSBOR�MA 01879 !' y . Expiration Commissioner 05/24/2013 �A I r" KtF., � M 9// Qp ���� .._..... Office of Consumer Affairs&B smess Regulation License or registration valid for'individul use only _ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return'to: F _ Registration .110694 Type Office of Consumer Affairs and Business Regulation Expiration: 11/3/2012 Private Corporati in 10'Park Plaza-Suite 5170 A•G .,&COMPANY INC,+,' Boston,MA 02116 ALAN LIGUORI ` 39 WILBUR ST BOX 3 z LOWELL, MA 01851 Undersecretary t valid wi o signature f Departme-ut 6f Public Boait(I of Building Regulations and Stant9;rda Construction Supervisor Specialty License License: CS SL 101103 Restricted to: RF,WS,DM ALAN. LIGUORI 15 PROCTOR ROAD CHELMSFORD, MA 01824 Expiration: 9/23/2012 l „nnsi<sinatz t 1103 Tr#: 10 �x 3� t1 h .i -f I t �r ,m 7,1 Kearsarge Ave' Centeur iII r' r y 12/28/2 I , i L a fr- L 4 1 A M y fir. to d.i terville 12/28/2012 ti .. LL u. n r y� F• $ I 3 � t E i i Lia- A 4 I y t x P� f fi r s ; Ave, Centerville =1-2/28/2012 e - r 1 71� Kearsar � e Ave, Centerville ' 12/28/2012 , • t Wk Now IL m • m � i a � r n , y �V i i y E , 4 77 .._.�, AA 15 4 .F imeIS .._ 3` 1 � � + � a , �a (,ate], r F e r � 17 " ✓ ',, 3aY .d 4 71 KearsargedAve, Centerville 12/28/20 � F • a _ -.� - `o � r - - _..�s4 ram_ .+.g,a_+'�T-•- .. ?4' ._ —r r r r „ g 1.. 1 it A 1 6 n , t c i ii F � - .. sy 1 �� � •: a 11 g Centerville ;, _ • µ 12/28/2012 71 Kearsar e Ave, t � 3 ti .. � •,�aYe' 1� ripe'.'� 5 [ { � �1' ` R 71 Kearsarge,A_v-e ,°Centerville ` 12/28/2012 - � a • .. tit �. to '. f r t x w.e • L. r'Se�4 . • 3 4 � - Y Caic a - V ..�•v+M'y�"•iy::�.r- *•F" � yew, yy * �J yea*�� �����1'� + � '� ` -. .?- .. ';"�' .a-',y„-.r r` _ +s.. - �:.�' -�� � .. tea^"" _ ��,1�' •� r W .;y `,y ^ •- �.-. "'� � - �"�,3-".� ,�.d � ,. ��� _,A �} � yap -w y a r y ,.e 4 �.n F ,ate•-�-. t�- }T ffi M'a earsarge Ave,' Cent rvilLe� _ I 2/28/ 12gfi,{ .. •p u n r em 1 J ' k f, i rc� ..- -E y F r r z . . .......----- . _... _. /ter 6! 0.00 �- t 0 is r� o e 0 I cvo. ! Z A y to 2`$Z:I ¢.p SY2°973aE_ 1 Cl i •3 00'- rp. t r tSs. a F?o `4o s000*� !b�' �4 = o �0 � � x f � R APPROVAL NOT REQUIRED UNDER O�iAV THE SUBDIVISION CONTROL LAW: O TOWN OF BARNSTABLE - PLANNING BOARD�. . - DATE P /i4v r6 . Mgy '3— PLAN OF LAND I IV N.a,"'• .WEST WYANNISPORT. MASS•.- . ,a y PROPeRTY .,. OP 'Y NR508 f11 /e s tifARSE' �f { RL LAW 4/NjLNNSTAE{LL O" S. G R E E R . C: UX'. REG3M IIY Q3 DEEDS SCALE.I IN-dO Fr-"Apm251968 yunvE`OQ QIAv 1619b9 N6150N 8EA956-RICNARO LAW.SuPwaYORS CENTERVILLE• MASS. RDED I Note Pnrs j0'3fo6e ncorpgprr^ap7`eo�t{yvi/fiPoree/*/ Porce7"3 ass�own doesnod.0ernp/Yw��h exiS nt��'on�nc/Yec�uirem6n�8 :551'5456-254e-129$ 62Z( x' ' # qBOOK PAGE c.H R C4 } Lo-•�5-' ,� KANTUCI:E.T �I. LOCUS . MAP MAP Zz5 PCL_1Ey S>� �. �y � wqr t P. �`o o%s•�� c S•tJ•=Z2, f ol , y S FM E C8 0�o7 ai J1MAV.. a @s / 20,00o sc�.F T 0 l 'tlq ia 1V 00 O s+ A' O PQco PO CE.e•T1F`f -rHA'C T{d1S PLAt.I C HAS 13MMM PIZgGA2.ED IN 1% J� COKFOQMI'c`( WITH T"S P_UL65 AMVI fLEGUI AYlOtfs OF" -rNE 44 RE,GIS Fes¢ Os- p£ t�5• J � BAQNSYABI.tr LAMWIWG 130ARD APMOVA1- Vt.10E.iZ TldB 5USOMS.10M Cowl t 2oL L / h40 EQV IRED. 1 tom► tr ^�` `'•xN 4At�13S'TAE;L�NYANu Po2'i� I��A 5� • r. `r F'o R. Sly S A-'t SCALE 1'= 40 OCT.29,lq 81 iw o uQ,, WILUAU jar.Ce1ST1LQ6.D LAWO SU2VEYOlZS a N.Y£ C S1f EZV%%-Wr. MASS. t 9 ft'19334 0 H ate �6o? 1 q 0 i Bk 17853 Pg 234 #125686 ZZ - Exhibit 8K Parcel 1: A certain parcel of land on Kearsage Ave_shown as Lot 1 B on that plan eniiUed,"Plan of Land In Barnstable, West Hyannisport, Massachusetts for Susan M.Carr dated October 29, 1981 Baxter&Nye, Inc., Registered Land Surveyors,Osterville, Massachusetts°,which plan is recorded with Bamstable County Registry of Deeds in Plan Book 392,Page 34. Parcel Z: An undivided 1/8 interest in a certain parcel of vacant lend having frontage on Nantucket Sound and bounded and described as follows: BEGINNING at a point on the Easterly side of Lincoln Street 35'southerly from a stone bound on the easterly side of Lincoln Street and 85'southerly from the southwest corner of Parcel#1 on a "PLAN OF LAND IN WEST HYANNISPORT, MASSACHUSETTS, PROPERTY OF DON S. GREER et ux dated April 29, 1988 by Nelson Bearse and Richard Law,Surveyors, Centerville, Massachusetts": THENCE S. 51° 58'E. 10.73 feet; THENCE S. 17° 12' 30"W, 52.11 feet; THENCE S. 61° 66' 30" E. 23.11 feet; THENCE S. $80 04' 30"W. 70.02 feet; THENCE S. 51° 66' 80" E. 30.00 feet; THENCE S. 38" 04'30"W. 90.06 feet more or less to the Mean High Water Mark of Nantucket Sound; THENCE Westerly along said Mean High Water Mark to the southeasterly corner of land now or formerly of Edward Kurker; THENCE N. 389 04'30" E. along said Kurker's eastarly line 90 feet more or less to a concrete bound; THENCE continuing along said line 60.02'to a concrete bound; THENCE N, 610 65'3V W.20 feet to a concrete bound; THENCE N. 170 12'30" E. 42.81 feet to a concrete bound; THENCE continuing inothe same direction 20 feet to the place of beginning. being shown as Lot;,t3 on the "PLAN OF LAND IN WEST HYANNISPOKT, MASSAChUSETT5, PROPERTY OF DON S. GREER et ux dated April 29. 1968 by Nelson Bearse and Richard Law, Surveyors, Centerville, --Massachusetts'with-Barnstable County-Regist�of-Deed I Plafi--- Book 220, Page 37. ;. SECTION N91 PLAN OF. . SEASHORE LOTS BELONGING TO:THE s HYANNIS BEALHASSOCIATION: , ON VkNEYARD SOUND BAR9ST4,0LG.Mass �t J 4 4 I Y •� , [ Y se ,� � I y v 4 ro 4 `y p eI y A e v Y I ° ✓• t Yoo 4 V• vev V• � , 0 9 '4♦°e • � °•J J v.., Jut ,y u.> 9. ' ' ,. °> .Y°., V♦,.-. L> Jaa Le a .-.. � ,,. fie•4eee `4)3{ , yYa)' � 4, y >'.,,�, �•> Vu• a3 V Y.,�4 Y )t '� '.� - ' >v Lre a 9c :V.. t 41 v.. JVJt l V 3'4•^ �J _ I iYo L`>J• Yy•L ,J'! 'Y°e �° 4 sti_ J 4e° V4•O Ys° `� '•>,° 4>. > i 4. J lYsee° .•'4 \ , • ee JJ> h aJ Yeee' a 4♦::• J _ .... ..... , t Y•e• N J I V•,.'1�, .'J'••. �y• t V.ee 2:y r.>2 1 v° 4ae> ♦VJJ J V > J V 4e U 400e+ h > > 4°. 4ee 'aP v� aR J{ JJf Y a ^• - Y°° Y.0 I.4 °•4 t v `JYj'0 f Yee•° {r . � ^: J e J Vu•> Ji> ys°° � Y>e y,e• �J1 i» Ye,,•3 + Jy t• \ 4se ` YJ.`I JJ,,/� Yt• t� 3> y �,. c. 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WH ITE. •5:GH-E�MATIC PLAN•Or•TLIG4TS-of:•WAY TO- SGA .Ls",; .1 ,' 3:0'1 . .13t-AcN•10TS-8TO12•18CLU51V • T•o•be.recorJe4-wlil • A!2ree.rnent, 4ofe-A Oat•{3jg4o- pp•befwaen. fi'v� 3- Re\er���Q is{c•and.�/yi�e� , k O E a io zp \ p ♦ice ../ _. X./ � • .'i� c LE1. ui N� 6 ptE �r.N.R�s k� iki?.I.WS�elBS.£ \z.,r PLAN OF LAND IN WaST FIYANNISPORT,BARW74,61e MASS& 1 t\OV 30194b 6--.— To _LL_a ' a_,; i NA R OL o F. F U L.rz SccAL611..cN=30'Fr Nov.9.1945. Bw k Kewooa. C—L F.&—. _ Ce,+renvi��e,Mass. ..... I - €dword Kurker-' f � ' -i e•E. Go. I � ! A EA Fl�r�`i .� .•�STg86.L, rn Co., Y 0 ` Q ;1U) aka � I sq V t .914E.Y9Z973aE j 06 t0' y:.� i S t Z O vk ' bw (y S2.SOO to A✓ey.20p ' a 5000t� ay APPROVAL NOT REQUIRED UNDER THE SUSDIVISION CONTROL LAW - TOWN OF BARNSTABLE -PLANNING BOARD DATE �� ate""" FLAN OF LAN O I" MMAY o Q WEST 14YANNISIPORT, MASS OF— Op b[Fn;E Cj , nLA. DJLANSTADL� �D_oN S. GREE-R, G}UX - `• 9 s lAw - o° e o N REG3STIIY 47 DE£D$ 4��0 SUa t1°P yNo s,ea�oa 1dAY 1 G19G8 . .SCALE 1 W-AO Fr'APR 29.I9G5 SURt Lt&3�a1°�a NLLsoN6eAusa•RwwARv4.w,SurmY°Rs RDED C6NTERVILL.E, MASS. i Note naCCEE���3fobe//ncorpp7��eo� ifhOotrz/'�/ pp lAOroces 'J ayshown doe9no ceir.p/y wi�h Cxts//ng��'ontng regutrernenfs :sst-Sa56-25d5-f23g 62 P '7( /2 ' � Q , BOOK PAGE p ce416 } Locus-' - ` NANTUCKET 'I >LOCuS GMAP C�9 MAP 7-25 fOdek °/ \ �� 20 OOO GQ.F Os� co FAl� F PC ♦ � s9 s�.. N \tea• �� � j � � i • � ham. /4/ �• / / • o}•� AIM 1 g 1t OUSE ^a �. o o 11, p 41* J GE2TtF`{ TN AT 'TI-tls PLAhI C HAS T3Et:N PREOAIZED Ihl coNFOQMITK WITH TN£ 1ZULE.S - AND SQE•6ULAYtONS OF" -IAF. BA2NSTA8L6 LAtS1J1►.IG '[iOASLD APP20VAL UeSDESZ T"Sol SUBOt�510N CONTQOL L / NO £QU12ED. - - • - DAY 1 uXH gAR1�iSTASL�Y NN POQY MAS S • r_ � wK :. a 7w^ SUSArI . C/kRp. - sCA�E ocT 29,198I tN 0 YqS s� BAXTE Q f, vA o"Lc. rr�cuw 12ECeIST!TIED L.A>•10 SuRveyo25 n.r¢ og i ERvtLL_s MASS. dice.I9031� va . ' I I BOOK Sa. `. PAGE \ �l o s¢ : cf,�"n z.83•vo .�i7' 07 `— 451��-,►- �y.a N� _ LO) II � i 250.00 N/7!! 0 R.Bic?2 R�/o 3S .urrh o{/o 11 4//yGo�,/c/ T GMrl c- 77.14r 7XIS PZ47/11A. . FW PAZ-,Mi4&7� /N 6V1,QleV17y 44'1779 7W,7Ulf"'.u- "4 0,,-XVL477GW$ o-77/�- e--4iS ,Rr.a-,aEmS A Ob u of 71le UA/ES 014'1!J/NQ ISUI/07WO 4:WVZ -V'i1A5 4W o EDAARD y 7/,CE G/NES of-s 7S,gwG W8Y1 ;5//.W//4e--T/1°f� srotve Ofi VPALf i4Z//J 1/mol- J x Gle W-4YS.44900Y o No.28880- 9 ? r /Y�4N�bY/WyS A. `v/JWti! s�o�CiST �+ OF EY/S7/•trG l�tG(/EPfyYI' GI2 FoR t ko • �J,J vY.4 20 /-�, ca`7aN�- ,T�.[.S��S9�D �d'T.C'. � v.y o7e00000 00 , WW/ 5T f�Y.�ti!N/SPD.eT 4o go 920 / b F�zc-�Fo2 peo/o4 7. BYo A-54 5, ' ,rzEt-EZEry�,Gs off&- soes : .5'�T zZ5 Pis?•e f9,eys>��c�Co. 12Fy.y7rY a AA 1757451- 329 AlRX 392 /d * 3¢ 7v S/ 27¢ ZZo 37 i 53%3 Z36 *7Z 55 Sol S3"2 - 9z'o8 45S S4z? -SAO r Barnstable, Massachusetts Form A: Application for Determination that Plan does not Require Approval To the Planning Board of the Town of Barnstable:_ hereb submits the accompanyinglan ro osed' division of.land in Barnstable The undersigned y P P P which, for the reason below stated, he believes does not require approval under the Subdivision Control Law. Said land is described as follows: T3 -I C EE� (.-A 0(--,Ct.: O U Reason: ,14 �e,�z� YJ wit T 1�)►1�1 /k36L.U)',) A-)6 ;S C kV-YV'6&9 The undersigned hereby requersts'-the .Planning Board to determine that, the proposed divisior does not require approval under said law. ry . D Submitted this ........................... ......... .........day 19z.. . : w..:. .. .................... Signature 41 coo ... _- .... .. as i O� ,E ; PROJECT NAME: ADDRESS: PERMIT# PERMIT DATE: l M/P. LARGE ROLLED PLANS ARE IN: BOX j SLOT CLj, Data entered in MAPS program on:` I BY: q/wpfiles/forms/archive �� , Commonwealth of Massachusetts parcel ; aa501`boo I Sheet-Metal'Pernfit XPRi � ® � �T � Date: I) 2) 2 Permit# Q Estimated Job Cost: $ ��,�� DEC -6 2012 Permit Fee: $ h el, 11 Jr�� Plans Submitted: YES. NO �' Plans Revievred: YES NO, / TOWN OF BARNSTABLE n Business License# �iD� Applicant License Business Information: Property Owner/Job Location Information: . Name:. Urn on Loh -�ej . I ci Name:. W Ih n Street: D V) I Lam Street: 1 I �arsar ue . Ci /Town: W � ty �h' 1.�1�'LQ�'VI , ;Ci rI'own: Telephone: 509' qy5.-"I l 00 , Telephone Photo I_D. required/Copy of Photo I.D. attached: YES NO stare indtiai J-1 /M-1-unrestricted.license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to .10,000 sq.-ft./2-stories or less Residential: 1-2 family , Multi-farruly Condo'/Townhouses Other Commercial: Office Retail Industrial Educational Institutional" Other Square Footage: under 10,000 sq.ft. ✓ ,ovenlo 000 sq. ft' :Number of Stories: Sheet metal work to be completed: New'Work: Renovation: t/ . HVAC_ V Metal Watershed Roofing *Kitchen Exhaust System 2 ;a a Metal Chimney[Vents Air Balancing -, Provide detailed description of work to be done:, �.� 1 One 12c� cc a -Purn6rE 1 � x 5 f Ge�l 'h a Vie ' - Cl0007'1� .80 00D 72� Jv�nac On : or zo - dtu Vi1dl'K M ;.> C -�IWEALTI, OF IdASSACHUSETTS SHEET lTFTAL VdORKERS 4 AS A BUSINESS 1SSUES THE PBOVE LICENSE TO: ' ERIC 'T WHITELEY` z yJ VE NION WHITELEY PLBG AND +IT I G, 28 VILLAGE LANDING r P:o BOX 1266 �\ ' W CHATHAM MA 02669-'00001,\\� 16C� 12l22/12 97:0052 CON141ONWEALTH OF tOASSACHUSETTS SHEET METAL WORKERS AS A )MASTER-UNRESTRICTED ISSUES THE ABOVE LICENSE TO: ERIC T WHITELEY s PO BOX 248 WEST .CHATHAM MA 02669-0248 2967 02/28/16 11942-5 _- ;r.. 6 .Fold,Than Detach Alono All + The Commonwealth of Massachusetts M.. Department of Industrial Accidents - Office of Investigations s - 600 Washington Street Boston, MA 02111 www mass gov/dig Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �W Ve a t. -e + n Address: Po t ox City/State/Zip: `Ue s U-4 P,4_1.A m Phone#: 9 y Are you an employer?Check the appropriate box: general contractor I a am I Type of project(required): 1.)4 I am a employer with '�9 4. ❑ g .employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheei. 7. Remodeling - ship and have no employees These sub-contractors have - g. Demolition - working for me in any capacity. employees and have workers' 9. []Building addition [No workers' comp.insurance comp.insurance.! required.] 5. We are a corporation and its, " 10.❑Electrical repairs or additions re q ] 3.❑ I am a homeowner doing all work officers'have exercised their I LE]Plumbing repairs oradditions myself. [No workers'comp. right of exemption per MGL. 12.F Roof repairs insurance required.]' v c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other' . comp.insurance required.].- *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. 1f 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: W A u s A LA -1 4 t S �,;�,,,L A�` Co Policy#or Self-ins.Lic.#: W C_.e — Z /1 - a o o 3 O ) :1-_ Expiration Date: Job Site Address: U A�;o.ws' City/State/Zip: 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 insuran coverage verification: -` I do hereby certify unde p :ae, o perjury that the information provided above is true and correct Signature- Date: 7 Phone#: �Gg� 9 y iJ.o o Official use only. Do not write in this area,to be mpleted by city or town official. . Citv or Town: ermit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3 City/Town Clerk.4.Electrical Inspector`5.Plumbing Inspector '. 6.Other Contact Person: Phone#: " Client#:48736 VERNWHI DATE(MM/DD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/01/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF,INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies.may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTNAME ACT Karen A.Walther,CISR Rogers&Gray Ins. (AJCcN,o Exc:508-760-4630 ac No; 877-816/2156 434 Route 134 ADDRESS: kwalther@rogersgray.com South Dennis, MA 02660-1601 508 398-7980 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Arbella Mutual Insurance Compan 17600 INSURED INSURERS:Wausau Underwriters Ins.Compan W.Vernon Whiteley Plumbing &Heating INSURER CArbella Protection Co 17000 Company, Inc. &Chatham Sheetmetal,Inc P.O.Box 1266 INSURER D:. - INSURER E: ' West Chatham, MA 02669-1266 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL7SRR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP IINSR WVD POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY 8500052832 10/01/201210/01/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED _ PREMISES occurrence S300,000 CLAIMS-MADE a OCCUR - MED EXP(Any one person) s 15,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE Y 52,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X PRODUCTS-COMP/OP AGG S 2,000,000 POLICY 7X PRO- LOC S JECT AUTOMOBILE LIABILITY 1020006346 10/01/2012 10/01/2013� EC Oa MBINED accident.nl SINGLE LIMIT - S 1,000,000 ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED - AUTOS X AUTOS - BODILY INJURY(Per accident) S- NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS X AUTOS Per accident S A X UMBRELLA LIAB OCCUR 4600052833 10101/2012 1 O/01/201 EACH OCCURRENCE s4,000,000 EXCESS LIAB HCLAIMS-MADE - - AGGREGATE s4,000,000 DED I X RETENTIONSO $ B WORKERS COMPENSATION WCCZ11260053011 10/01/2012 10/01/201 X we sTAT T OTH- AND EMPLOYERS'LIABILITY _ ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT S500,000 OFFICER/MEMBER EXCLUDED? IN N/A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) - - Plumbing, Heating, HVAC service&installation. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 Of 1 The ACORD name and logo are registered marks of ACORD #S88017/M87928 TLH Town of Barnstable ti 0 Regulatory Services ` HAIiN6TA�L.� � 'U6 g Thomas F: Geiler Director Building Division Tom Perry, Building,Cotnmissioner 200 Main S&66t;Hyannis,,.MA,02601 W-%w_town.barnstabf e.ma.Us' Of cc: 508-862-4039 Fax: 509=790-6230 Prop erLy OwterMu.st Complete and Sign This Section If Using ABuilder P► � rem , 0 &��)d ; � � IcyQ0o) as Owner of the mect subject 1 p petty hereb_ autho77 7P , Y 1-0 ?-Cr on Lay beh lf, In a1=i-,t-te.rs_rzlative to irk authorized by this budding permit application for. (Addres of job) 5ib•-nanue of Owner Date Print Na at If Propea Owner is applying for pemait please complete the Homeowners rs License Exemption nForm o p on 'the reverse side, Q:FORMS:o 1ANEuERhi3S5)ON TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map Parcel: 0 i �C)o � Application #t. 6J �-� ✓�Health Division Date Issued l t JConservation Division '�C/ Application Fee • k2 Planning:Dept. Permit Fee. Date Definitive Plan.Approved by Planning Board g/4stonc . OKH _ Preservation/ Hyannis LVAA Project Street Address J Village C Owner 0 aI Y v Address Telephone c� " Permit Request �� o6 et Z9 Ald fi® C f 5•it NrAfet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations Construction Type Lot Size Grandfathered: O'Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family ((## units) _ Age of Existing Structure s Historic House: ❑Yes C�t'IQo On Old King's Highway: ❑Yes 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 stovet ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing 4 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 ® C APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) - �� c Name fil- — Telephone Number , a Address ' S"Fe�,�, l� License# � rt �/�� Lo � A (p) ' 5�—S (i Home Improvement Contractor# J-w Worker's Compensation # ALL CONSTRUCTION DEBRIS LILTING FROM T IS PROJECT W L BE TAKEN TO ' SIGNATURE DATE FOR OFFICIAL USE ONLY r APPLICATION# y DATE ISSUED a MAP./PARCEL N0._ ADDRESS ' VILLAGE t - OWNER . DATE OF INSPECTION: s FOUNDATION - FRAME t .'-'INSULATION ! a ' FIREPLACE ELECTRICAL: ROUGH -FINAL PLUMBING: ROUGH FINAL GAS:.;-• ROUGH FINAL ..FINAL BUILDING', DATE CLOSED OUT ASSOCIATION PLAN NO. L The Commonwealth of Massachusetts Department of Industrial Accidents 0j,%ce of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/FIectricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Orgatuzation/individnaI); /V Address: City/State/Zip: Phone#: 7 S Are you employer?Check the appropriate box: Type of project(required): . LB I am a employer with c� 4. ❑ I an a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- fisted on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. E� emofition working for me in any capacity. employees and have workers' [No workers' comp.irmuranCe comp.im;uran0e.t 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.[I Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those cntities have employees. If the subcontractors 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 j6k site information. r Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u e and penalties of perjury that the information provided abov true correct. Si mature: / Date: Phone#: Official use only. Do not write in this area, to be completed by city or.town official City or Town: PermitUcense# 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#: X F+•....,..�..--..._�__--'---._. ...- GA71 AGm CERTINCATE OF LIABILITY INSURANCE IL apn�u�ea T UIRTIFICA I'm is lmeu@D At A PEATTOX OF ltdpo;tf" Tm ON�.Y ANa�N�EA�AND 3llor�Tt a.�a 1'HE C!!R'TI�iCATE 8r[:ui Cers�L:an3 �1�11rr►ttCO R�IriCg 1+Oi9�.TMM C�RTlmcm DOER K0T AMEND,WIND OR 318 p w ivu Street uan AlTr10 Tflt.gOViMa"Pon=IV 4HE pOL,9c"m mKow. Hare teEor 1& 01604 INAIkRgRaAff�Q!lONtO COVIRAOl lIAtC>f FLoas+B: �08-7��.-.�0@8c:306-759-0�62 wo "'� _ tliSUR>aNA: fNwtA�IF sMYN1M6� �er����i�► °gore sdn► alaEs Irvaa Ct�YbROfQ►>oA rw r:3 J�IM9uRAN BELOW Am Wx 183Ula To fMl Ifs( RW NAWO ANVE POAMPMV POROD!NGrCATEO MorAf"TAN Ma`f Re4uIR4MktiT,T#RM oR COtKi *N OF•ANY GONM4T QP OT)Alk 00MMINT WJTK AEGK i To WMIGN THR ciNTIP GAn MAY"IMSOOR WAY PIRTA10-TM@'are11 046 At004101Y!HE POI.l01"4190NbID mtAlIN 16 3L%W'MALL"TWA 194L ONO A*60Nf>ITI"OF M .POUGI�.AGUREOATE�JitIT19MDWt+!NA?4AJlIfFHNNIISNCB�t't PAID CLAIMS. .,......_I 1111 . ..._.,.. won `, ? e I •Yb61CYNUMiNR� oehdaL LfAOILl1"� I eacw occuRaebce a�4Q 00'00 }; i 16�0?11�72470A�1S�L 10/18/�� 10/122 A i �eE►Is.awhlx.l_-+1�►►3600-0-0-0 OCCUR eLANAAOi R' 0 0-0— I v►Aw�w.►Ac�►lar v 1000000 I ,;saaNrsLAoe�aAt>i ►7900000 moue"•aoeevto Am 1 e 20000D4 i.;&N L AGONiGAT1:LM14 ARKIN m:1 ! . mxy I I A11T01N LlAMLRY ; 40ma"m SIMOLe LIMIT !► i (� :._ ANY KT"u ALL GwNw Auras f sL >,300°00 ` � ;x�sc eaul+:oau'�► ! y!A•E680p132�11�8EL 04/20/11 04/20/12 ; s +X 1 tOReC Aur09 I t�ai N�y `!300000 j .NON.0 ^lEE0AlR18 a�1 >__E�...... ..... .. ...., tR 9Plp?YCM/tACe! 16100000 j A►ACTtlOAIj aoaAoe Lw�.rrr � avTo ty17�Y•a a*Aeoi++T ;e 1 �AWAVr I p,y�g� qN BAAGG!e �. NLY' A60 A i (9trassuIeee�ti A Lwwrry Ras11 ocCURNeNCE i ...� Loi I i `��1wcT�LE fl ---•------- I ' Novena ea+' 4a0 X . ; 8 �OPLOY9Rli,ls sry C ,7643 OL/04/11 91/04/12 lL,i o�aewT c100.000 ANYPpoOne+4 A',�T�N Fctii lovcrCikna�waE."LdcCav�l� , e.L,Qis`IeAIE IA EMPLayp e100.000 e.t.o1ae•Peucr Le,RT e" 11 T g pf0' tt LOCR 1 6 + 1ii 0 it i i00>� YtNT r i PN will NowAllklm- $MOULDMOULD ANY 0i 1MI ANOUI OBSCIMILM SbL10119®E 00M."No®vw4 TMe MI NAMM . BAltl TMe1N>�ov,T'N!100SM0 +Z YMl,L B•V0llAYOR too Mut l Q 0A'rB TIRiTfEM" NpT10{t'Q T'1�0,l6Ne'ICt►Trt IIOLOSR►iRY40 Tp Yk8 LR>�.iUtlAtlRt TtS AO i0 eHRi.l - IYMdIt N0 0�11f1011�iR 11abIUTtl OiAN'�f�h01iPM1 SN1fi N1ALR�1;RBAQEM'18 ow 28 01 !i 001twaRATION li9l M r _ THE r � "Town of Barnstable a Regulatory Services a 9a MSTA.BM Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623� Property Owner Must Complete and Sign This Section If Using A Builder r e V A( /I N Owner of the subjectproperty I � , as Own 1 hereby authorize N ki C,l)C> '� t to act on my behalf, in all matters relative to work authorized by this building permit application for S V (Address of Job) 02 igna of Owner Date t. Toe- WINV Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. C ' Town of Barnstable of THE 7', o Regulatory Services Thomas F. Geiler, Director riArtxsTAsrs, 9 MASS. 059. a m Building Division rEo � Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b arnstable,ma,us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner. Approval of Building Official 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 states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed . Supervisor. The homeowner acting as supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that heshe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. I t _ Office of Consumer Affa�u�-n`ess eaac�iuvelta ---` - _ smess Regulation License or registration valid for individul use only a HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: ,�110694 i Expiration: .:1.1/3/2012 Type' Office of Consumer Affair s and B -- Private Corporati n 10 Park Plaza_ usiness Regulation Ay &COMPANY ING 4 Suite 5170 Boston,MA 02116 ALAN. LIGUORI = - 39 WILBUR ST BOX 3 ' LOWELL, MA 01851 + Undersecretary t valid wi to signature �tlssachusettn Department of.public Sal. Board of 136ildino Rc"ulations and Standards Construction Supervisor. Specialty License License: CS SL 101103 Restricted„to,: RF,WS,DM ALAN. LIGUOR"I '15 PROCTOR ROAD CHELMSFORD, MA..01824 Expiration: 9/23/2012 t�nnmissiuner Tr#: 101103 I h r, LOCUS 1= 10001 NORTHERLY PROP, LINE DETAIL ---- NOT TO SW CB/DH FND� 160-00'qEC f•:.. ca0 22.F1 'a ! / / ro CB/DH FND DETAIL ABOVE (N.T.S.) l l I I l AM 225- Pd018 0UX. / L \ VINCENT B. LARGAY, LOT to \ \ BOOK 392 PAGE 34 PLA\ \ \\ PLAN BOOK 527 PAGE 52 8-FOOT WIDE EASEMENT 63 KEARSARGE AVENUE PLAN BOOK 392 PAGE 34 ! ,GAS GATE PK NAIL FND BARNSTABLE WATER COMPANY 10-FOOT MADE TAKING PLAN BOOK 39 PAGE 73 PLAN BOOK 72 PAGE 35 \ LOCATION APPROXIMATE- SCALED r �� p�8•W. ` �- — '' W/ DEED BOOK 468 PAGE 455WATER I ,'I,+/ ,r / I\�M\1N`. • _ —i "' —— IV 'a• ;SHUT-OFF WATER METER ,r� I G.F.E=23.7f A>I i 26 i oe , MAN'OLE �u i/ WpITTR ! UP h / .. �4a4I '',+ 2 .I:t.'reg. R I ;5 .6 'EXISTING r8 3! ++ NOr v. > STRUCTUR y/ ro BENCHMARK: i 1 , 7LB " AT ROAD I Cy 7/ ; � .'; ROD FOUND }.'/ `�7 SIDELINE ! Ci V8 S 82'52'15•E / 1 150d ,-0 T K / 4 59.37 \ J.a ,I ( (� ,Ir ?B4 MAti OLE Q APPRD TE J r� CRIGA110H Go ONTROL ~ / LOCO ON P11CBOX RIGAl10N;;•,\ / g + N L A ACED IT'• \.\ P A ! I BRUSH - r\1 / I` ;r.l;i\•. i,. qy / (LOCATION( • TION SEE NOTE 10) t`, '` j / '� OryB.i: • / / 1 =` I �i : FLAGPOLE I ELECTRIC METER i MAF• 225%PARCEL`,,09 , �'� / LOf. 1B 527/521+ d / ! . F x i 20 0 ••00 SQ. FT. t � I 1 1 0.46 ACRES` \\\ UP 208-7 ur BOX D 4O f FFk. '- i 6�, + ' 2• /S� \,4 1g—f ®fir ''1 ' /Q�., OOT *�\ \•w 180 E��04r 327 PAGE 5272 TE 2 /W L --i----- UTILITY EASEMENT y . !g \\\•/ DEED BOOK 10,425 PAGES 245- 247 AM 225- Pd 017 / FyIZABE A.LIGUORI L \ LOT 2 PLAN BOOK 220 PAGE 37 �\ PLAN BOOK 523 PAGE 47 \/ • 95 KEARSARGE AVENUE John P. Busa JOB � � �0 � � � Licensed Electrician #23742 15 Picasso Place Osterville, MA 02655 (508) 428-2021 '' o - El DAY WORK El CONTRACT TO /(D�� 0�` y �l�Z PHONE STARTING DATE TERMS: 71 p`C�"�.(��a �✓ y DES.CRIPTION;OF WORK. QTY: MATERIAL:. `'. PRICE AMOUNT c- TOTAL MATERIALS LABOR HRS. RATE AMOUNT TOTALLABOR TOTAL MATERIALS cJ fftCL41,0 1 OAtl TAX TOTAL Town of Barnstable • snnxsrna�. Growth Management Department MAW .Barnstable Historical.Commission o www.town.bamstable.ma.us/histodcalcommission Jo Anne Miller Buntich, Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Jessica Rapp Grassetti,Chair George Jessop,AIA,.Vice Chair Marilyn Fifield,Clerk Nancy Clark -' Len Gobeil —4 03 Nancyo -n Shoemaker October 13, 2011 Q 7 CD Joseph &Gail Winn 3 Jonas Stone Circle Lexington, MA 02173 INITIAL DECISION of the Barnstable Historical Commission, pursuant to the Code of the Town of Barnstable ss 1124through ss 112-7;an application for DEMOLITION of property as follows: 71 Kearsarge Avenue, Centerville, MA Map 225 Parcel 018.001 The Barnstable Historical Commission considered the above referenced application for demolition of the house at the above referenced location at their meeting of October.11, 2011:. The Commission found that in accordance with Chapter 112:§ 3 D that the Bamstable Historical Commission does not find that the building located at 71-.Kearsarge Avenue, Centerville, Map 225, Parcel 018-001 intending to be demolished,or portion thereof, is a'Significant Building in accordance with the Definition in Chapter 1.12, §2B. Present and voting.were: Jessica Rapp Grassetti, Nancy Shoemaker, Marilyn Fifield, George Jessop Si rely, J ssica Rapp Grassetti,.Ch` rman Cc: Tom Perry, Building Commissioner Linda Hutchenrider,Town Clerk Al Liguori, Contractor 200 Main Street,Hyannis,MA 02601 (o)508-862�786,(fl 50N62-4784 367 Main Street,Hyannis,MA 02601(o)508-862-4678(f)508-862-4782 �:-- s � � .. � � `� t • �' 1 10/20/2011 71 Kearsage Ave Centerville'MA.02632 Dear Building Department -s- Please approve this application so we can-remove garage and porch now, so structural engineers can observe.clearly main house to determine what needs to be done to rebuild porch and garage to conform with new codes. Additionally, this will keep men busy while we are awaitingtnal building and structural plans: Once structural plans are completed the owners will be filing for additional permits for new front porch, garage.and addition.: When permits are ready please call 508-331-5968 or 978-937-5600. Thank you. ` �oFTHE r� Town of Barnstable *I'crmit # Expires at rthsj�u+-issnedate BARNSTABLE, Regulatory Services FCC_ / J y MASS. $ i6.9• ��� Thomas F.Geilcr,Director HIED MAC A � Building Division Tom ferry, Building Commissioner Office: 508-862-4038 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number r �� S 6O 1 Property Address q1 VY—A k—'&iqC e- AV Met L(Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 7QP , V J i n n rq ` 14p a f t G jAy --T ya,t-, Contractor's Name I� ULfs `p C� Tele lio e H CAy p n Number�'—,()() q 2b l Home Improvement Contractor License#(if applicable) L U U—7(4 V Construction Supervisor's License#(if applicable)___'—] l L4 U �Worlcman's Compensation Insurance Check one: ❑ I am a sole proprietor X-PRESS PERMIT i❑ I am the Homeowner I have Worker's Compensation Insurance AUG — 9 2007 Insurance Company Name ,�,oqevs, TOWN OF BARNSTABLE Worknian's Comp.Policy# l c �_ Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U-Value (maximum.44) W *Where required: Issuance of this permit does not exempt compliance witli other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. signature !:Fotms:expmtrg amp evise063004 v GA P L Z 2 Home f Improvement Enc.. I Gary Gustafson 'Productionmanager Of Capizzi Home Impr-'ovem.,.. ent, hereby authorize Lisa Haworth,to sign on:my,behalf for perriut applications filedahrough the'town> y' w. f k `Signed .A- 71 . "Gary G stafso Date: h Date. - 1645 Newtown Road Cotuit, MA 02635 (508) 428-9518 (800) 262-5066 FAX (508) 428-1547 I Yam, Page 7 of 7 CAPIZZI HOME IMPROVEMENT INC. SPECIFICATIONS AND ESTIPQATES STATE OF—MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, OWN THE PROPERTY LOCATED AT IN Msr 6A/nll(S0/KMASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CNIR, THE MAS.SACHUSETTS STATE BUILDING GQDE. --! UIE 1i��I' PEIZtVtISSC�l�(1U LESSEE TO APP�Y FOR A BUILDING PERMIT IN ACCORDANCE WITH 780'CMR, THEy1ASSACHUSETTS ^ a - �- SIGNATURE OF OWNER: �',._ �� � � _� ✓ 4 '' OWNER'S ADDRESS: OWNER'S TELEPHONE: a LESSEE'S-SIGNATURE. LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APPLICANT'S SIGNATURE: _ APPLICANT'S ADDRESS: I _ Ne -town Rd.. C.,'o w tuit, M,/k 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE{OFFICER ''' y"F -_»�,;� ,4r •'z+ v�' �. .�d.,+.�,�,N,�yyj��,�,x g•a'�'n tr� ".r _��_".,, ea y�: '�J`�'�� `5{"�� is s #�`r.�,'r `''�' .,.� rt�y :>� x t ti .t �f � i'351,�. ly;�rrt. ,1 �3b'L d?'4+^� `` "La'4 MEN '+. �• } ' 'RESPQNSIB'LF�OFFCER� ' s D � ''- � .����'s�` -- �.X' Cii>nt�•4729.3 CA?!H0NI ACGRD,� CERTIFICATE OF LIABILITY" INSURANCE CeKT1s!C^ IS rSSU AS�,,1 0=j RogBr&Gray Ir.s. Age;ncy,(n I ONL`f A - A 1 c i U_F ,-mA, I ND CON;=-;RS 90 RIGHTS UP N`;-IEC=RTI;ICATE i 43; Route 1.3-4 iOL__^�.i rifS C_nT 1=1CATc DOES NCT AhlENE",�_ND OR j P. O. Box!6C1 I A!_I- !�O CuV_RAG-AFFO°_ 0 S`(I rC PO!J^tCS 3c!_OYv. INSUFREPS AFFORoINGCOV==AG= NAiC ! P I:�su�e,=._: I�Ia:ional G Gngs a:!ns. C .Ca Izzi Home ir�rv=1;-�ent,Inc. , I INSURE.=.3: American!n*amaz!ona! , Capes; E„�,rprises, Inc. ; i kS:1RER- f I 1645 Ne•.!fevrn Road ! COt it, r'4lA- 02635 ! COV=RAGES 7=c r'CLIGcS CF CISUR 1NCc L!S_ ;D Bi:LOIN HA% SE GS =D TO?;{c INSURED igA&!ED AsOV= -,f? +'_.CIO i dv7 i U 1`.J A G Ai."'R=.��UIR�,4En!T,i=RP,I 0;c CONDriCN 0 ANY CONTRACT OR OT='c DOCUVc,��T'N.H;RESPEC( TO HiCH THIS CE'-{Ti�iCAT=M'AY SE ISSUED OR MAY PERTAIN,THE iNSURr i CE A„CFD_BY TY.E?^UCIcS D'=SORISED ,ERE IN ISSUE'ECT TO A THE T +S. C USIONS AND CONOlTlCNS OF SUCH FCti ICES.AC-GR-Gn E-UMFFS S:aOWN MAY r.AL'E 9_ ,N;:Rc EDUCED 3Y EAiC CLAfMS. No A}J+ L?R irtq TYPE GF;NSURAN CE POLICY NUr33ER POLICY=F==CTPlE POLICY=X?f?47;ON AT=L51;i/D f ! LINTS A I,GcYZ2Al L;A31Lr(Y �Pl1PG1Q7Q! Q4jf 08iL6 1 Q1rlfl23iQ7 H^.I;CUR:E�CE � ' I x i COIA•+ERCIAL GENERAL LIABILITY 1 r� I c!�:(ScS:cs C;.zlr:=rcel 3Jr iiQ,aQU I_ I CLAIMS;WAGE - L(,SEO EG(Anv=na aers.ni 31 Q QQQ I--' !?�SCN;,L 3::GV aI�VRI' 131,{}OQ jjQQ S=71'LI GENERALAGGREGATE X2,Ofl0OQt? I` tGGt=GA-c U1�nT;.a;=UES FER: I -R60u CTS C,^..y a/:F,:GO 32,U0.r},QQQ (IECT LGC AU-0W BiLE LIABILITY I I�4NY AUTO �`_461NEv SINGLE LIMIT 13 IEz aco!dcct} L7.a1L OYWIED ALTOS . CHLD ACS 31M LY INJUR Y JHfAa(p n) 3 HIRED AUTOS NON-OWNED AUTOS 3CGILY(N/UR.)' (3 (Par am d_q� 1 f PROPERTY DAMAGE �3 1 , I iP:rac f I�GAAP-AGE LA31LRY 1AU TO ONLY.EA ACCIDEIJT NY AUTO ER THAN EA.ACC I S AUTO ONLY: .act 3 I EXCESSIU LAMBFU LIABILITY \.^.EA�ri OCCURREE I a I 71 El OCCUR CLAWS MADE 3 AGGREGATE f B YfORKERS COM.�SATION AND 1%6A953 12( X6 I1Z-25JG7 r�sTaT L'• GTH- EN?LOYER3'LIh37LITY. Tvi4 I,b11T' ?.=cOPROR:PARTN E.RrcX ECU T l V E (E.L.E..CH ACCICEi1T ; flO,QOfl GFF:CER/1H SER E}.CLUDEi, tf jtt.dasc'a under E.L.DISEASE•:EA EMPt,YEE 53flQ,OQfl SFEC[AL PROVISIONS t�cw OTHER E.L❑tSEASE•PGUC'r UbI17 3Jr LQ,�iQQ DESCRIPTION OF OPERATIONS;LOCATIONS;V=HICLES(D_CLUSWNS AoOS.D BY ENOORSE6IENT I SPECIAL PROV!StONS it CERTIFICATE HOLDER GANGc"L.LAT40N SHOULD ANY OF THE ABCV<_DESCRIBED?CLICIES 9E CAtiC ELLED BEFORE THE EXPRArics DATE T:iE.SGF,TH3 I SSUIN G I N S U tZR W?LL EX 0EAVOR T O N.AfL fir_ DAYS WRITTEN I NOTICE TO THE RT!FICA TE HOLDE:R,RAM ED TO THS LEFT,BUT FAiLURETC OO SOSHALL WPOSE NO OBLIGATION OR!LABILITY OF A:N Y KiNO UPON THE INSURER,i7S AG ENTS Oft R�FRES--_�'1T.iT!VE3. AU'40R7Z-_D RE?R=SENT A7jV- _ ' � sj Y ACORD 25(200114C-8) 1 of Z -'26433 DT MI' 0 ACCRD CORPORATION 1938 } � ine uomrnonweutztz oj!Yiassacnuse-tts Deparlmeniofl`ndustria- accidents f Office of l'nv estib azons 600 Washington Street c� Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affdavzt: Builders/Contractors/ .1ectricians/Plumbers Applicant Information Please Print Legibly IN {dns sJOra ;� tion/I=dMdual): Address: �fl45 Newtown Road : /State/Zi Tel. a?8.95i8l i-800.262-5D6D Ci. tY P Pfion 11 e F: e ou an employer? Check the-appropriaie bog` Type of project(ret}uired): I am a employer Vvi _ 4. ❑ I am a Several contractor and I 6. New constriction e 10 ees roll and/or art tune .* hadehire .tb6 snb=coatractors f 7. 3eodelin� 2.0 I aia a.sole proprietor or partaer- listed.on ihc.attached she,.t � b Ship and Ila��z>?o.employees these sub contractor;Have S_ . .Dertioiition working.forme in any capacity. workers' comp. msivance. 9. [� Build na addition IN. workers' comp_ m 24ice �: Q Te e a co�ora�onalid its b 10. Electrical air requii l l omcers have ekercised tlieir � s or additions 3. I.ant ahoideowner doing all work #kht of eie tiprioa pet MGL 7 I.Q Pbinabing repairs or additions my$eIf Flo workers' pomp. c 1s2,:§1(4),an'dwe.�ave.0 12.:0-Roofie€iaas insurance requized_7 t _.empZoy�es No woa-;,zs' 13 Omer compcz„-:,�ce regni«d {4uy avpIic t fit hem;cos 1 mt also It.out fie section below showing.`lieu wor'ceis'comnrn on pah iiiformaiion r i£omeowners�vhb o n seisvit mdic8hng erase damg sIl woik and fi�u line outde�anirac ors must st mit s raw ei3s334�vitcating such Conk actors fiat cfi ck this bow must it ache _en'addinopij, sheet snowing the nee offie s o-contM ctcr;and t'nes.woi'�^rs'co o pglicy o ion Imo.max eriz�loyerthcrc isprovidang workers',compensarion,znsurancP for my ErizpZayees ejo3v is thepalicY�zrzrll+�hsiye crsformarzon_ 7 r,r` r, - n Policy it or.Self-ins. Lic. r: �Cy� ��� Egp • lion Date: Tob Site Address;. CitylStatelZip: attach a copy of fhe workers' compensation policy declaration page(shotiyingthe.policy unxuber and epiratzoia date). iailure fo secure coverage as required under Section 25A ofMGL c. 152 cm lead to the imposition of criminal penalties of.a ine..up to S 1,500-00 and/,or' one-year imprisonment, as well as civ-il:penalties in the form of a STOP ti QRK flRDER;a id a_fine )fUip to$? 4-00 a:clay ab�inst the;vio r.`:Be advise that a copy of this sta'temtnt may be forwarded to the Oi=fice of nvesdga&ns of the;DIA foi ce coverage verificatzon do hereby.cs. .` under the` ,ains i d, enaliies o . e. thiif the Fnforn,anon provuied above is true and correct- 4 Y .. f�.. ' ._; i: . iiatuie` Date: hone T: Official use only. Do not write in this area, to he completed by city or town off dial. City or Tom: Permit/Li ceases Issuing Authority (circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4_Electrical Inspector 5. Plumbing Inspector 6. Other .Contact..Person:_._..........._............ .. ....--Phone T:....... .:. . :. . _._. . _.. _...._-.. .. .... ...--- _..._.. f 9 ✓�ze T�a.ninacrcus%a`� r���ataac�ivaeG�a Board of Building Regulations and Standards License or registration valid for individul use only V HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100740 Expiration: 6/23/2008 One Ashburton Place Rm 1301 Type: Supplement Card Boston,Ma.02108 CAPI=I HOME IMPROVEMENT, I tARY GUSTAFSON 1645 Newton Rd. k j Cotuit, MA 02635 Administrator t valid with t sig tore Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement.Contractor.Registration Registration: 100740 Type: Supplement Card Expiration: 6/23/2008 CAPIZZI HOME IMPROVEMENT, INC : :. .,..::_. GARY GUSTAFSON 1645 Newton Rd. COtU It, MA 02635 Update Address and return card.Mark reason for change. Address Renewal ❑ Employment ❑ Lost Card ��ze "{Damima�rtcuea�t �✓��aaaczozuset!a Board of Building Regulations and Standards Construction Supervisor License License: CS 74640 Expiration: 11/29/2008 Tr# 6430 '`- Restriction: 00 - GARY GUSTAFSON 8 SHORT WAY SANDWICH, MA 02563 Commissioner �_ _� t 4 Town of Barnstable *Permit# W7 v� lvl R W C Expires 6 mont r m daer— p 207 Regulatory Services Fee r Director ::.>�����r(,��ei,E, • Thomas F.Geile , 5) ' �;83 aARNl Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numb er0?0�5W/$Qo / l Property Address -;ZZ 15?Residential Value of Work/O PLO.GO Minimum fee of$25.00 for work under'$6000.00 Owner's Name&Address Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) eo�� Construction Supervisor's License#(if applicable) / ��zzo� ,'�]{Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name 6,4 S )A— Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file.. Permit Request(check box) ❑ Re-roof(stripping'old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) r ❑ Re-side Replacement Window doors Iiders. U-Value (maximum.44) • ; *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc., ***Note: Property Owner must sign Property Owner Letter of.Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:buildingpermits/express Revise091307 / Page 7 of 7 j CAPIZZI HU'vIE IMPROVEMENT IDtC. 1 1 SPECIFICATIONS AND ESTIMATES STATE OF-MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERT HT OWN THE PROPERTY LOCATED AT IN � Ng.,,Vpf MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780,CMR;.THE-MASSACHUSETTS STATE:BUILDING CODE. ! GI�F NlI PER1ViISSIGiy O _ _ LESSEE TO APPLY FOR A BUILDINGPERMIT IN ACCORDANCE WITH 780 CI R THE MASSACHUSETTS TTBUi1DCL�OD __�s� — - /AJwSIGNATURE OF OWNER: OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE LESSEE'S ADDRESS: LESSEE'S TELEPHONE:: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1%645 Newtown Rd:, C;otuit, MA 02635 = APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER , t RESPONSIBLE}OFFICER==ADDRESS f r �"` � .� ' � MAIN •'" s - ' sK s,t. 4k... s n t `a,a' . l RESPONSIBLE OFFICER TELEPHONE. '' '` L f _ s I P z GA I HOME IMPROVEMENT I, Gary Gustafson, Production Manager of Capizzi Home Improvement,Inc.,hereby authorize Jan Donnelly to sign on my behalf for permit applications filed through the town. Signed: Gary Gus s 6ate an Donnelly Date 1645 Newtown Road, Cotuit, Massachusetts 02635 • Tel. (508) 428-9518 Toll Free (800) 262-5060 Fax. (508) 428-1547 • Email: chi@capecod.net Website: www.capizzihome.com Date: 10/4/2007 Time: 12:26 PM To: @ 9,1,508.420-0318 R&G Ins. Agay. Page: 001 Client#:47298 CAPIHOM ACORD,. CERTIFICATE OF LIABILITY INSURANCE 08/1320 7'Y' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.0.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Mutual Ins.Co. Capizzi Home Improvement,Inc. INSURER B: American Home Assurance Capizzi Enterprises,Inc. INSURER C: 1645 Newtown Road INSURER D: Cotuit,MA 02635 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. POLICY EFFECTIVE POLICY EXPIRATION LTR INSR1 TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS A GENERAL LIABILITY MP010707 06/08/07 06108108, EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY - DAMMG ESO RENTED $500 000-PREI - s occurrerroal CLAIMS MADE Q OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POUCY PRO- LOC JECT 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: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WC1764953 12/25/06 12/25/07 WORY e IIMIT FR EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $5OO O00 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $50O OOO If yyes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER. DESCRIPTION OF OPERATIONS J LOCATIONS 1 VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS "*Supplemental Name t' First Supplemental Name applies to all policies-Capizzi Home Improvement Inc&Thomas Capizzi,Jr. Policy#MP010707-:Thomas Capizzi,Jr. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR03ED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town Of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAR. 10 DAYS WRITTEN 200 Main Street NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE To DO SO SHALL Hyannis;MA 02601 IMPOSE NO OBLIGATION OR LIABILn'Y OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES- AUTHORUED REPRESENTATIVE s ACORD 25(20011.08)1 of 2 #S30375/M30374 DD ©ACORD CORPORATION 1988 L �� ✓� V�/YI/I�2��LGlG ���G/NCQU'iC6 . . Board of Building Regulations 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 Ex piration:_ 6/23/223/2008 Registration: . 0• One Ashburton Place Rm 1301 ' : Boston,Ma.02108 Type:.:Supplement Card . CAPIZZI HOME IMPROVEMENT, I CHARY GUSTAFSON 1645 Newton Rd. C. Cotuit MA 02635 Administrator t valid with t sig tore --- - ----_ . . i � _62 Board of Building Regulations and Standards One Ashburton Place - Room •1301 Boston, Massachusetts 021 U8 Home Improvement,Contractor Registration J _ t L 3)A 3 4 5, C. tF4 ht`.�' �• r -�' 1,� -,5, F :_-�S f R � 5.: . .. -•.,. �.::. ,:..:_ _.. - '. iS ratio'' "`100740 : ... Type: Supplement Card - ':: Expiration: 6/23/2008 GARY GUSTAFSON 1 645 Newton Rd. COtU It, MA 02635 Update Address and return card.Mark reason for change.' Address Renewal 0 Employment ❑ Lost Card ✓fpp ie 't�ar�uma�ruvec�ltr<i c�„�� cue�Zis r of Building R2 gulahons gand Standards ri'on S� (� rvsoLice sex ,. ir � � mac;-: C' aatL vfg'' s.i:sue p t 5< tL xry � rX .'a'?{ �" a Y-.b+ " •r' t'�r.+,..? 4 ,'�'z'--K m,,:-2yS" A�• .�i f .�"` �,... 't' E' ze^ :.,1 r k 'i J r_..4^-s..�,, t,r �'4 14,31 License;TCS ;• F cZ�`R-_�,+ r« .. ¢-, t- xj --p'iv it',x F?, Kip..-- ++� :s s`w t'w.r*y� 5R x 1= ,5,xi.... ::.x 3 p. Tst 3 ail yr K. 'k ; l�, , "x 4,'�. g.?ys� ,•,�`'J' �t.53 ' y,��.v T .!<r t 4.r�.Y t '�<s�`� Y `w't,'Y4 a -y;. yxy , ,2 h 54 3 8 4w �C' L.h..h s.. 1 tr. c6.� W t 12 ;, gs' v Expirafion �1j/29/2008T� Tr# B430 � ma y , fn 5 + , r (F �R ;tcJ1` 'tea_rn 't r s w c: StrlCtlQ `OQ., O -,�• r� ..53^.fi" .�5.,,;sti,..ti•'t`,� "&s ue�'`�M`L &�F NIA '°�% 5s fA7srt' a r5t - r .;-`^+- r: GARY GUSTAFSON B:SHORT WAY..:. "' SANDWJCH MA 02563 Commissioner i ,.•.,.�,o ,, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �• Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/individual): C anizzi Home Improliement Inc 1645 Newtown Road Address: Cotuat, MA 92636 Tel.428.9518 800.2 2.5060 City/State/Zip: iP�hone#: Are you an employer?Check the appropriate box: general contractor and I Type of project(required): 1. I am a employer with 4. ❑ I am a g employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. ..7. ❑Remodeling ship and have no employees These sub-contractors have 8- ❑DemoL+'.tion working for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp,insurance comp.insurance.t required.] S. ❑ We are a corporation and its ME] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑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 am 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 subcontractor;have employees,they must provide their workers'comp,policy number, Iam an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. -�) /l Insurance Company Name:_T1a Ie S `,�'tg,4 y -7AI-5 . /Q /11C y Policy#or Self-ins.Lie.#: j 7 G T .5. Expiration Date:1�� Site Address: City/State/Zip: --- ----------- --- 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 S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Si ature: Date:01 Phone FOther nly. Do not write in this area,to be completed by city or town official : Permit/License# ority(circle one): ealth 2.Building Department 3:City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Contact Person: Phone#: J t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION M11 ap Parcel d 00 Permit# 7 _ Health Division o ,.Z'rc 3v Date Issued 9 aZ Conservation Division Application Fee o2� Tax Collector � c 0�-- Permit Fe vZ Treasurer SEPTIC SYSTEM MUST EE Planning Dept. ;IIZ3 INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board dIi�TH TITLE 5 ENVIRONMENTAL CODE AML Historic-OKH Preservation/Hyannis TOWN REGl1UMONS Project Street Address Y�i �r-► Village h1 1 Owner .l rsoutz_t Address T S reS"ft-6c A VC Telephone �f` T Permit Request rc1-:0CA •f &-g-R S� Fzcx�rL �icPcr�e�'' �O cis 11>3 C X 16 ` D6CX _W1 S M6e Square feet: 1st floor: existing 1ADO proposed ' 2nd floor: existing proposed Total new Zoning District R-D I Flood Plain Groundwater Overlay o Project Valuation QCV Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes V 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 `7 new First Floor Room Count Heat Type and Fuel: t�yp GZN as El Oil ❑ Electric ❑Other Central Air: ❑Yes Fireplaces: Existing New Existing wood/coal stove: ❑Y(s ' ; to .Detached garage:❑existing ❑dew size Pool: ❑existing ❑new size Barn:❑existing ❑new sizeI U Attached garage: existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes,site plan review# -Current Use _ Proposed Use BUILDER INFORMATION Name oue:-RS 'Fe-ozzem (A-VA' __TeIephone Number S©,9 3S / 5-5767 Address ;�218� NJI RLC R O License# CS (0 C��CA c S ®4 Home Improvement Contractor# 107 71 I1/-3& Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO MACaf )615p- /JuAPSrEe t SIGNATURE DATE Aq U�Z I , FOR OFFICIAL USE ONLY PERMrIT NO. :• ' r-a ' DATE-ISSUED MAP/PARCEL NO. ADDRESS �' r VILLAGE OWNER Ij DATE OF INSPECTION: j FOUNDATION FRAME INSULATION - r" FIREPLACE rl ELECTRICAL: ROUGH ': FINAC-t PLUMBING: ROUGH FINAL GAS: ROUGH- 0 11= Wi* C' FINAL' FINAL BUILDING, DATE CLOSED'OUT- t G f ASSOCIATION PLAN NO. k "'�__ �-The Commonwealth of Massachusetts - Department of Industrial Accidents Office oflarestieatiens - - t 600 Washington Street -- cam; Boston,Mass. 02111 'Workers' Com ensa+;on Insurance Affidavit %''""`��� ���: %%%%/�%%%%%%%//////%%%%%%�/////%�� I //////////%%lffllffA/OffAg%%///%%%/O////%%%%%%%%%%%%%%%%///%/ name: - . location . city phone# ❑ I am a homeowner performing all work myself. . ❑ I am a sole r rietor and have no one worku in ca acity %%%%/%%/%%% %/%%%%����%%%/%%%/%%%��%%%%/G%%% %///�l%%/%%%%%%%%��/%%%%%/��%%���%/G%%/�%�%%%%/G%%%/�%%%%%/%%%%%%�% ❑ I am an employer providing workers'compensation ftir.my employees working on this job. :i�A1MF1A�1 �;.. ......... . :.,7... ,.�.:�: .:.:.:,:�:.:..:�..- ..�: ...�.�:... .....-.-.-..-...... ...............I.-....... - - . . .... '*M ::.s::.>:.:..::::::.:::::.:::::::::::.:.:::::::.:..............:.::::::.::::..:.::..::.::�..::::...:..............: ..�::.�:.::.::::.�::::.:.:.:::: /1tV' ::::.::...::.::.:. �l :::::.::............... .... . . .... ....:::..... of # > ''« «' ':`: <` `: ;::.;....:.;:.:.;:. ::.:. 1113t11'8II'CC CU: ...::;::':>::>: %/ . ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who . have . the following workers' compensation polices: . �i�lx: wi�:i���4 ....: : -.-' ::.. ci3nioanv name .. . address::>:>:;::::..::>.;:: :.:;:><. '> mow'' `;; ��� ��:';::<::; ' <<i > >> < >< << <>' < >' < < < `><> >< <><> `<;>i> < «``% < <>>'<<><<> _,.�.� -- ...................... .::::.:::.:: ::. :.::.:::%:.:::<:.::.:::.::::.:::::.:::::.::::::::::::::.::::: .Um % nsltra�rce:taa:::>::: >::::: ro/i/ii//�I :. .. --'---.,--.-*-, N' . . . :::::::>::>:::::::;::. .................. . add-1:;»::; h::;;;.:.;:.;:.;;. ............:::::.:.::.........::::::..:..::::::.:: :::::::::::.:.:::::::::::::. : :< #:<;: ��*,......................"",.................-.........,...,...,...'...,...l....-..-..-..-...,..-...-...-...-..*,..--,.---....-..-..-..-..* .... �- .. im. . .� ::. oll :»>: frnmtce. Fail=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 years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincation. I do hereby certify th pains and penalties of that the information provided above is tru e d eo ed Signature c Svc ,`���� Date l� ®0. _ Print name ��ea l s x A�'���' ( , , Phone# 56� 3?, •"7(I . of vial use only do not write in this area to be completed by city or town official . city or town. permit/license# OBufiding Department . ❑Licensing Board ❑checkif immediate response is required ❑Selectmen's Office (]Health Department contact person phone#; — �Other,_� Owned 9/95 PW . • 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", 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 section 25 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,neither the political subdivisions shall enter into an contract for the performance of public work until commonwealth nor any of its po y P acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits 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. City or Towns 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. The affidavits may be returned tr the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you 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 Otflce of Invesugailons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 RESIDENTIAL BUILDING PERMIT FEES .' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 — FEE VALUE WORKSHEET NEW LIVING SPACE square feet x S96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x S64/s foot=l ;Q O-CQ} x.0031= plus from below(if applicable) --- ACCESSORY STRUCTURE>120 sq. >120 sf-500,sf S 35.00 >500 if-750 sf 50.00 ' >150 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x S96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x S30.00= (der) Deck =x S30.00= (number) >i iireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Fee pmjcost "rriptfrs Psckilo far 6"sad Tn+�•sm''F1 Ra�dea�at B • 1y�IMUM �rs�s�...�'�B. Q1crinMg G1+aaS Ccsl'°% Wall r mowWJLu Pew F�sap� Fed Arta(•!.) I1-'.clot' . R-vsl� R-vslws P�"iiII 8'7'OI to 65G0 Hester D�rss 13:1''� 2� 10 19 . N tI Q 1Z;4 0.40 3= 19 19 10 6 V AFUE g iZ•f: OSZ 30 13 19 to , 8tssi 13 2 N � — T iS%. 036 . 3s 19 10 6 tsAFVE .Is'/. o.46 33 19. ?vA I7 . 13 23 W/A r AFI.TE v 1S+/. o.4�4 31 10 • i 3O S9 19 N W 15Y• O.SZ 13 73 WA WA N� 3s !YA WA ' •3s 19 23 6 90 AFUE :. Y 1E'/0 0.42 !3 14 10 90 AFVE y 11% . OAT 30 3s 19 19 10 f 1, ADDRESS OF PROPERTY: , 2. SQUARE FOOTAGE OF ALL 'FAIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4, a/a GLAZING AREA(d#3 DNIDF.D BY#3): AA.sec chart shave):` ` SELECT PACKAGE(Q . . DRep LcQ Sit n�S w • OTHER MORE INV OLVED METHODS OF D G ENERGY REQLr�M�rs . NOTE: ' ARE AVAILABLE. ASK U5 FOR THI5 'ORMp,TION. BUILDING INSPECTOR APPROVAL: YES NO: q�forms•f98�3o3a , AS Footnote's to Table'J5.2.1b:' Glazing area is the ratio of the area of the glazing assemblies (including sliding-class doors, skyliahs,`and basement windows if located In walls that enclose conditioned span m but x:lIude frnrn thdoors) e U value req to the uirement. area. expresspd as a percentage. Up to I/o of the total glazing aria Y area. For example;3 ftz of decorative glass may be exciirded from a building design with.300 f�.cf glazing = Afrer January 1, 1999, glazing U-values-must be tested and documented by the manufactures in accordance with the National Fenestration Rating Council (NFRC) test procedure, or'takea:from Table 11.5.3a. U-values arc For whole units:'center-of-class U-values cannot be used. full The' ceiling R-values do riot assume a raised or oversized truss cotz,5tt'Uctrou• If °'insuIation achieves the - :8 insulation thickness over the exterior walls without compression; R 30 instrlatian may be substituted for R3 insulation and R-38 insulation may be substituted'for R49 insulation- � g de representum be plc d between insulation plus insulating sheathing (if•used). For.ventilated ceilings,. the conditioned space and'the ventilated portion of the.roof. if used), Do not include* Wall R-values represent the sum of the wall cavity.iasulatica plus insulating sheathing (� exterior siding, structural sheathing, and ihterior'drywall,For tximple, an R.19 requfrzment could meet lTHE o by R-19 cavity' insulation OR R-13'cavity iasuiatien plus R-5 insularing sbe�& w �4 n. Y wood=frame or mass (concrete,,anatomy,log)wall.constructidais,but do not apply to metal=fume construction. The floor•'requirements apply to floors over unconditioned spaces (such as unconditioned crawlspaces,basements, or garages). Floors over outside air must meet the ceiling requizzmeass• r'The entire opaque portion of any individual basement wall with an average depth less than dcorseaf conditioneda mc_t the same R-value requirement-as above-grade walls. Windows and sliding gl bc.,erne with nts must be included h the other glazing. Basement doors must meet the door V-value requirement d-scribed in Note b. The R-value requirements arc for unheated slabs,Add an additional R Z for heated slabs. If the building utilizes electric resistance heating use compliance approach 3; , the r S. If uo Plan t with theto llowest' than one piece•Of heating equipment or.mor•e'•than one piece of cooling equipment, equipment efficiency must meet or exceed the efficiency required by the selected Package. For'Heating'Degree Day requiremdntts of the closest city ortown sea Table J53.1a. ROTES: a) Glazing areas and U-values are maximum acceptable•IeveIs-Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structaral ccmpl 0 ent Door U-values must be tested b) Opaque doors in,the building envelope must have a U-value no � ordu or taken from the door U-Value and documented'by the manufacturer in.aecgrdaaee with U- c test> °rzdng r re that door i5 not available, include the in Table ]1.5.3b. If a door contains glass and an aggreg. glass area of the door with your windows and use the opaque door U-value to determine coriipliant:c of the door.' One door may be excluded from this regiiirement'(Lc,may have a V-value greater than 035). c) If a ceiling,wall, floor,basement wall,slab-edge,or ciawi space wall component mpo ceR incluue des greater than or equal different insulation levels, the.component complies if the area-weighted .rag the R-value requirement for that carrip°ncnt. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0,35 for doors)..' _ 43 �OFZHE�° Town of Barnstable Regulatory Services BARNS''BLE, ' Thomas F.Geiler,Director Mass. 9q, 039. Building Division ATfp��p g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. C, i� TH Estimated Cos 75 Type of Work: t 3 �� .��c)''�E IL ���� �� Address of Work: �{�'t��1=�G� C� ✓�tst✓ Owner's Name: G 6u\e-` Date of Application: I Let � oLpC6 S( 1 d S I hereby certify that: I Registration is not required for the following reason(s): Work excluded by law ❑JPb'Gnder$1,000 EZB'uilding not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply or a permit as the gent of the owner: 167 -71 D e ontractor Name Registration No. I OR i Date Owner's Name Q:forrmhomeaffidav f. .-. Board'of Building Wptati,na and Standards' HOME IM PROVEMENT CONTRACTOR Registr3Lcn: 110771 apiratjgJt: 1't7 pp2 TYI.e: DBA C A FRUZZETTI CONST.Co. CURTIS FRUZZETT( 28 FERNDALE RI?. HYANNIS,MA 02E01 �- -• ��r L..� Administrator ! �� r �i �i�e �jovrvneaieu�a�t� °�•./�aaaac�zetael,! BOARD-OF BUILDING REGULATIONS License CONSTRUCTION SUPERVISOR Y II Numtte .Cs. 019379. }} ' i �Expires 03/05/20`04 Tr.no: 18512 , K CURTIS�Pi FRUZ2:ElT1- � � 28 FERNDA LIE: RD HYANNIS, MA 02601 Administrator i FROM FRX NO. 19799379541 Sep. 19 2002 09:26AM P2 CERTIFICATE OF LIABILITY INSURANCE OPso 'u' of/loin Irlaq�l THE Ww"T11MIM, AG A NATTY OP 1 RsrNATM�N CWLY/WD CWSm ow IUWM UPON THE Cs17tTf"V2 !Gt>✓ioorism it ass jllsiaa =gins-os�co IfA1 OM THS C.11 MVIDAT9 PDO NOT AMCMO�Ci'WW OK Ksr oozes s ma$4 µTI RTHE COVO A AFFOMBO ByTHC MOL n 0"W. %osrost vo ra"t*' MI► OL605 uISL11Lv!!S AOPDNNG OOv M99 !boast $04.756-5729 Iftal i08�7lt-�563 „oo„m . k ansoatalad raAwtxisa Ot I�sss I�IanA AN U ATZ sIA Off. c Y N —ll s ITS r"a®cv /1rJ10[I: oovew► s. 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'_' .:. :.:.q.t.i..�•'. .:.i.: '_ :..•: _ ••Tr.. ;y •„•'::-%a:-r s.r.{..3...r.b•j. -°.-�"f: ;-f. 4• S:i i : 44- 44, R� Viet l mom. : FAX NO. : 19709379541 Sep. 20 2002: ®i:4F PM P1 PLAN REFERENCE,'BARN STAW-E CC U YY R iGISTRY OF DEEDS PLAN BOOK 302,PAGg 3,4, W IA octo , Oi�J16L tnrr arJ Udap�f f .� CPS 9rr � r LOT 1s r� .AIM W— �� . w. -.... .�+. �IrGI ww.� wow ,ilr� .r.w ■� d• 1S'Wlesla�a�errleat I hWftY 0010 gait fAa"11rV It i=t W an t*hound U s Salon,and thdihe dwW*ld 14 WAN In Flood Zone V, asu" abla,shom on tm 2M i OM 1py� 0,to Town a 08M2 MAP: a pr►IR: o�mi LOT, i a Hal£,:671 Nom"GRaft" 1i8 DATE FROM FAX NO. : 19769379541 Sep. 20 2002 0i:46PM P2 ro LOT 1 B, #71 KEARSARGE AVE SCe BARNSTABLE.Nomen +MA. DA10E:: AIJC. 26, 2002 10 Marsh Vbw Read POD!NO. : C-'T83 Est Falmouth, Me. �I Assessor's offioe (1st floor); 7�r. ©/ y- p*TWETO Assessor's map.and lot number ............................................ �o Board of Health (3rd floor): 7_ Sewage Permit number ....................................... Z 13AHd9T4DLE. i Engineering Department (3rd floor): �o rasa o t639 House number 9 APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00- P.M. only, TOWN OF BARNSTABLE BUILDING INSPECTOR ' APPLICATION FOR PERMIT TO p� ..p c . .................................... .. ............. TYPE OF CONSTRUCTION � Tf �� ..... !, ..........................,.................. ........................................................ ..........................2..._..........,9. 3.E i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / /-��1.� Location �c_; +1 tL-'_r1C; I<'E7 l`!. .......�f.A.9,N.6.rC/;h..l... 1 Proposed Use _f r .- �.. . Zoning District ............../../,,. ........1..................................Fire District ............... ...... 1�//J Name of Owner ... :�..r1 I�i. '.....l.......�� + 7 ►�t rJ..........Address ....... .......1�-FA �h1/0".(r R// Name of Builder ..p 1z-......F...... .`.jKt .......Address ... .........4.1&4,...4! ....... 071�gJ Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ......... VtFN....................................Foundation ......... ,/S�� ........................................................... Exterior ....... ....................:...................................................Roofing ,.. P,a�,!_.. Floors .............FINE..........................................................Interior ....... /�WAL.�. .............................................. Heating ......!. ! .� f" �._ O/vE 40 L 10 .................................................Plumbing ......... ................................................................. Fireplace ....�..+..........{,?.lr..i.�.G .............................................Approximate Cost .. f` �Q� Z7,P00,00 ................................ ... ..... Definitive Plan Approved by Planning Board _______________________________19_______ . Area �.!��.. �-.�� ....�f 1-46 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Bar able r gar ing the above construction. Name . .. .......?... �. `............................... Construction Supervisor's License 3 O'BRIEN, MARK T. A=225-018-001 No 30540 . Permit for ...Remodel .............. Sin 71 Family... wel ling........... Location .. ..Kearsage Road Crx Owner .......Mark T. O'Brien ...................................................... Type of Construction .........F);.AMQ................... ............................................................................... Plot ............................ Lot ................................ Permit Granted March 2.3, 19 87 ....................................... ,y Date of Inspection ....................................19 Date Completed 19 b- Z�f'dIIZ Foundation Certification in West Hya.nnisport, MA . , Y Prepared For Joseph L. Winn, et ux Assessor's ,Map: 225 Parcel: 018-001 Baxter Nye Engineering & Surveying Community Panel Number 250001 0008 D Registered Professional F.I.R.M. Map Zones: B & C Engineers and Land Surveyors Plan Reference: Plan Book 527 Page 52 — Lot 18 Easement Plan 78. North Street, 3rd Floor Plan Book 392 Page 34 — Lot 1B Hyannis,' MA 02601 Deed Book: 18048 Page 289 Phone — (508) 771-7502 Fax — (508)-771-7622 Owners: Joseph L. Winn, et ux Job Number. 2011-027-1 Scale : 1" _ 20' Date : 02-15-2012 8—FOOT WIDE EASEMENT PLAN BOOK 392 PAGE 34 S 8252#15" E PK NAIL \ \ FND BARNSTABLE WATER COMPANY 10—FOOT WIDE TAKING PLAN BOOK 39 PAGE 73 PLAN BOOK 72 PAGE 35 LOCATION APPROXIMATE — SCALED ►� DEED BOOK 468 PAGE 455 to N � �n "' J ww 0 0 w lie � � Qti 0 0 2� h ,• M �e m m 70o co .10 _BENCHMARK: �-, q`S� 4. ROD FOUND h �0'���peGi( ?S9. Q A EL = 10.24' > NAVD88 3>0 S 82.52-15' E tea' 59.371 MAP 225/PARCEL 018 /. LOT 1 B 527/52 3j NOTE: THIS PROJECT PROPOSED TO •O• 20,000 SQ. FT. f RAISE AN EXISTING STRUCTURE AT THIS 0.46 ACRES f SITE AND CONSTRUCT A NEW 8" FOUNDATION UNDER THE EXISTING COTTAGE AND RESET THE COTTAGE ON ° THIS NEW FOUNDATION. Q THIS EXISTING STRUCTURE WAS ORIGINALLY AT THE ROAD SIDELINE AND GARAGE 19.9' FROM THE ROAD SIDELINE AT POINTS SHOWN HEREON. \\ _ WHEN THE COTTAGE IS POSITIONED,ONs \\\ THE NEW,FOUNDATION' TWO REFERENCE CORNERS WILL BE IN THE SAME \ LOTION AS LOCATED AT THE CA °—TIME-OF \ I . \\\ �THE,,ORIGINAL SURVE �Y: ;' ` N , • rS,F00r p A�O0k 110\\ ?5?,1g. WIOE CA 3 M 600k '5 gs�q e \\\ W 160 00, £ FNT 2� 4GE 272 \ \\ c- r O ' c h F ° ° 7 , I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS ° LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL �ti 0f FLOOD HAZARD AREA. 4 THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. ELL g814 REGISTERED PROFESSION L LAND S VEYOR - BAXTER NYE ENGINEERING & SURVEYING DATE N 0 7,017 FIFA I MM 9: 1I6 *Y y, At .t, Lo z000 cus a.. N� . 'r a � Ytt �5^ .�:� ... .._ .. i Y u��'�3 �• 1. � ♦ y S e AC7 ?��0 2OGG,`O,, ``OCR Si�.FT.� M1 e well oo 17 Ya r o �` a. • � � �� � O/ = °ram • % +. - ,�� o A ti �s1 -i6 - 47 �. r O 0,11- camp Os � : • r4 �- - o ril 6� 47 S QL:A N kS Z3EE11 P2EpA.SZED 1N �d' �`.J '` v " ��FoQM1-r�f wI.T TWE Ql)LES , 1= t7 QEGIJL A1 ONS O ggQNsTABL� LA►Nt-tIw& �3oAQ. rm. r APP2.OVA�- U►.1DEfL .4-1Er 5UB�►�/t5lo►�1 '. �° -ONAT2,o>_ LA NOT 2EQV 12E D. . ; e • ARMISTABLEr-H 1(AN M t5 POr?.T • r AL ", �`. -T S Qt.1`�"�. ►fitC . .a y�, s BAXTER Nv`7 vki m Y r � z ENGINEERING & a r SURVEYING k Q Registered Professional Engineers re, and Land Surveyors CO 78 North Street 3rd Floor x F plk 'A r 0, Hyannis, Massachusetts 02601 Tit491 '{p ' � nn.� s;YA�, . . = 33 0 / Phone - (508) 771-7502 10 o" °Ce�bl/ � Fax - (508) 771-7622 .., I S P A At.e k 9 www.baxter-nye.com y i 1,; yyr .a4�'�S 47 i41 R•w GENERAL NOTES . STAMP STAMP ,.,e�:.,�..mYtia,•L.mWtua. p^ , 3 .,m:a ;, .I l Qr ►i i 1.) THE INTENT OF THIS PLAN IS TO IDENTIFY EXISTING AND PROPOSED NEW CONSTRUCTION AT LOCUS. Q�+�-' Locus Map Scale 11000 JOH LOCUS pC_) 2.) OWNER: JOSEPH L WINN, ET UX APPLICANT: JOSEPH L WINN, ET UX. �L ►.a t ERLY C/O CAPIZZI HOME IMPROVEMENT P P. LINE / 1645 SANTUIT-NEWTOWN ROAD • COTUIT, MA, 02645 ��'"►, At LJ F* � r •'' / 3.)LOCUS AREA IS COMPRISED OF BARNSTABLE ASSESSORS MAP 225 PARCEL 011I3-001 M- / PLAN BOOK 527 PAGE 52 - LOT 1B - "EASEMENT PLAN" CB/DH FND DETAIL PLAN BOOK 392 PAGE 34 - LOT 10 CONSULTANT NOT TO SCALE DEED BOOK 18048 PAGE 289 - 121191200. PARCEL 1: LOCUS PARCEL 2: 1/8 INTEREST IN VACANT PARCEL ON NANTUCKET SOUND. THIS CONSULTANT PARCEL IS NOT SHOWN ON THIS PLAN DEED BOOK 2729 PAGE 238 - WETH TO CAI?R - SEPT. 27, 1973 CONVEYS CB/bH FND`, 1e0• . --_____ A RIGHT OF WAY OVER LOT 1 AT PLAN BOOK 220 PAGE 37 (THIS LOT WAS \� SUBDIVIDED TO CREATE LOCUS) TO LOT 2. TH!S RIGHT OF WAY WAS AN EXISTING DRIVEWAY AND IS NOT SHOWN ON THIS PLAN. SEE ALSO PLAN BOOK 392 PAGE 34. � PA / CB \ 4.)ZONING INFORMATION: RD-1 (RESIDENTIAL) PREPARED FOR . CB/D FNDCURRENT MINIMUM ZONING REQUIREMENTS Joseph L. Winn, et ux DaAHABOVE / (N.T.S) AREA = 43,560 S.F. C/O Thomas Capizzi, Jr. MIN. LOT FRONTAGE = 20' Capizzi Home Improvement LOT WIDTH = 125' VINCENT B. LAR ` 225 - AR 01GAY, / FRONT/SIDE YARD = 30-110" J San ult- a on Road E ETT UX. AM 225 - Pd 022 LOT 1 A MARGARET RISK CAMPBELL 1985 TRUST Cotult, . PLAN BOOK 392 PAGE 34 VARIOUS LOTS 5.) SITE BENCHMARK. ROD FOUND - EL = 10.24 (NAVD88) PLAN BOOK 527 PAGE 52 PLAN BOOK 26 PAGE 113 63 KEARSARGE AVENUE 8-FOOT MADE EASEMENT PLAN BOOK 159 PAGE 123 6.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. IF DETERMINED PLAN BOOK 392 PAGE 34 64 KEARSARGE AVENUE TO BE NECESSARY, A TITLE SEARCH SHALL. BE PERFORMED BY OTHERS. _ J / 7.) TOPOGRAPHIC SURVEY DETAIL PERFORMED BY BAITER-NYE ENGINEERING do \ S g ,. GAS GATE SURVEYING ON JUNE 2 AND JUNE 6, 2011. BUILDING DIMENSIONS AND PK NAIL / / OFFSETS TAKEN FROM WOODEN SIDING. �-----� / �D BARNSTABLE WATER COMPANY _ 1 .7 / // 8.) COMMUNITY PANEL NUMBER 250001 0008 D (TOWN OF BARNSTABLE) , WI/ 10-FOOT DE TAKING ---------- _ 1 24 i THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONES B / dt C / PLAN BOOK 39 PAGE 73 / PLAN BOOK 72 PAGE, 35 ;�� % `�` 24•0 / _ OVERLAY DISTRICTS: AP N LOCATION APPROXIMATE - SCALED ° 8' • �- 1 / C LO , r' "��% _ -- _ / 9.) ENVIRONMENTAL INFORMATION: / DEED BOOK 468 PAGE 455 4� / I MA/H W 2 \ `� W • I � � �� - • SITE IS NOT WITHIN AN AC.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). � a 0- ^ / ' I i / 3P 'Oq WATER S - `_ • SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE I- cV / / �, 1 / Q �` / as )SHUT-OFF / / PER NHESP MAP OCTOBER 1, 2010 •ESTIMATED HABITATS OF RATE 0 M / _ .�C ; x 1 .5 O s % / °`` / / / ~" -� WILDLIFE' FOR USE WITH THE MA WETLANDS PROTECTION ACT .� REGULATIONS (310 CUR 10).' N 23.3 \ WATER 27.2 • I 0 0 / ! o %/� �� 3^ METER /� SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 00 m / �,� 1 e `'�.7. y z z I` / PROPOSED NEW � �� ® /� 2010 "PRIORITY HABITATS OF RARE SPECIES' FOR SPECIES UNDER THE �' C a a CONSTRUCTION s �� x MASSACHUSETTS ENDANGERED SPECIES ACT REGULATIONS (321 CURIO). -J J / Al i j 'a' �' ti OAT! fQ -V EXISTING WALL CL CL o a TO BE REMOVED / up �, I 23, 1s 6 W MA HOLE /� k/ \``\ / • SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP 8 s �� � A / / OCTOBER 1, 2010 'CERTIFIED VERNAL. POOLS.' w *w 0. 0. r'�5.5 PIT / \ J BENCHMARK: ) �'� i� T p� 6 IXISTING /4' �/ \ / • SITE IS NOT WITHIN A STATE APPROVED ZONE it GROUND WATER ;2 ROD FOUND �� eta. STRUCTUR �5/ `��, / RECHARGE PROTECTION AREA ►- C PROPOSED g z AT ROAD / .� / C / EL = t o.24 ? �, • SITE IS NOT WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY :,, � \ I- � NAVD88 NEW '�a _ SIDELINE / EXISTING WALLS TO BE ELEVATED, �. _ CONSTRUCTION '� i SAVED AND RESET ON NEW FOUNDATION (BOH 360 45). Van ' y.. W / 10.)UTILITY INFORMATION SHOWN HEREIN: O S 859 2,150 E / ,11500 G LPL TANK h 25.7 r?� �7 �/ - n. 37 q ; , � �{.� Y , * i �.' •THE CONTRACTOR SHALL CONTACT DIG SAFE (AT 1 888-DIG-SAFE) APPROX ATE IRRIGATION -&y AND UTILITY COMPANIES TO LOCALE ALL EXISTING UTILITIES, AT LEAST / $ LOCATION OF ,SEPTIC �. 72 HOURS PRIOR TO THE START OF CONSTRUCTION. THE LOCATION OF CONTROL EXISTING UNDERGROUND INFRASTRUCTURE, UTILITIES CONDUITS AND / h _ 4 ��� / ;COMtsONENTSz.o t S�c\ s BOX �4 4' �Q AM 225 - Pd 021 LINES ARE SHOWN IN AN APPROXIMATE WAY ONLY MAY NOT BE LIMITED Z RIGATION 4, e "`'% /i LILLIAN C. WOO REALTY TRUST o v i / TO THOSE SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE �ONT�. � /� LOT A ` ASS IT', Bo Fot P /� UNRECORDED PLAN AVAILABLE UTILITY RECORDS NOTED HEREON. THE CONTRACTOR AGREES a BRUSH / �!;' / / PARTIALLY SHOWN: PLAN BOOK 159 PAGE 123 TO BE FULLY RESPONSIBLE FOR ANY AND ALL DAMAGES WHICH MIGHT - 80 KEARSARGE AVENUE m 1 Q�4 (LOCATION SEE NOTE 10) ���� ' �`Tz8 0 • / BE OCCASIONED BY THE CONTRACTORS FAILURE TO LOCATE SAID ' / imnVSTRUCTURE AND UTILITIES EXACTLY. IF FIELD CONDITIONS DIFFERS co ' FLAGPOLE / FROM PLAN INFORMATION w THE CONTRACTOR SHALL NOTIFY THE ENGINEER Li, ELECTRIC METER ,�` , Jp 1 / IMMEDIATELY FOR POSSIBLE REDESIGN. o 2 i i I • WATER LINE SHOWN IS A COMBINATION OF LOCATED STRUCTURES AND 2 X 27.5 W�\ ;; / INFORMATION RECEIVED FROM THE C-O-MM WATER DEPARTMENT (SERVICE / � CARD C-525-0, DATED 912188). co 1 1.9 I '� 1; 1 �� ,'`, ro ', -7, 1/27.5 `� UP 208-7 ELECTRIC ; ST 1 ro 4 �v? ��/ NOTE. o Box opt 2 " •GAS LINE SHOWN AT LOCUS IS APPROXIMATE AS PER NATIONAL GRID MAP �- /�` THIS PROJECT PROPOSES TO RAISE THE EXISTING STRUCTURE S02714. GAS METER WAS LOCATED BY EIAXTER NYE ENGINEERING SURVEYING. m l \ 1��. B ,; �, h /�`i CURRENTLY AT THIS SITE AND CONSTRUCT A NEW 8` 1 / t*N 72� , oor '�Vy 1 5 ;4'` �, yQ� / FOUNDATION UNDER THE EXISTING COTTAGE WITH PROPOSED • NSTAR ELECTRIC MAP AND EMAIL DATED 6/2/11, INDICATES THAT THE SECONDARY z \ 1e � � C 5?� Aq�?'? i 1 0� / ADDITIONS AS SHOWN ON THIS PLAN. WIRE ENDS AT POLE 208/5 AND THE SERVICE' FOR HOUSE 171 IS FED UNDERGROUND co 00 THE EXISTING PORCH AND GARAGE WILL BE REMOVED PRIOR OFF A HAND HOLE FROM POLE 208/7 ALONG WITH SEVERAL OTHER SERVICES COMING SHEET TITLE 4Q TO FOUNDATION INSTALLATION AND REBUILT. OFF THE SAME POLE. UTILITY EASEMENT S GATE Prop000%ed�23.7 t' S J DEED BOOK 10,425 PAGES 245 - 247 h SEPTIC COMPONENTS SHOWN ON THIS PLAN ARE VERY APPROXIMATE PER AS-BUILT INSPECTION SKETCH NOT SPECIFY SWING TIES DATEDTO OTHER COMPONENOWS TIES TO TANTS. THEREFOR KLOCATION OF PIT S COVER ONLY, BUT DES AM 225 - Pd 017 \ / Welff Counsellud"10m ASSUMED AS NOTED ON SKETCH. ACTUAL LOCATION OF ALL COMPONENTS SHOULD BE ELIZABETH A. LIGUORI w LOT 2 VERIFIED PRIOR TO COMMENCING WORK AT THIS PROPERTY. SHEET NO PLAN BOOK 220 PAGE 37 y / / PLAN BOOK 523 PAGE 47 \`' \ • COMCAST COMES IN FROM BEHIND 71 KEARSARGE AVENUE. COMCAST HAS NO DESIGN } .,, r 95 KEARSARGE AVENUE I� 01 GOING DOWN KEARSARGE AVENUE. PER GENE' LIGHT, PROJECT COORDINATOR, OUTSIDE PLANT / \ S. YARMOUTH, MA., 20664, VIA E-MALL DATED JUNE 3, 2011. MAP 225/PARCEL 018 `'�\ D A T E : 09 28 2011 LOT 18 N 527/52 `�\ / • VERIZON INDICATES NO CONDUIT FOR KEARSARGE AVENUE VIA E-MAIL DATED JUNE 3, 2011. 20 0 20 40 20,000 SQ. FT. 0.46 ACRES f Waft \ SCALE IN FEET N SCALE : 1* 20' ♦ / DRAWN/DESIGN BY: WU CHECKED BY: JRE J O B N O: 2011-027-1 C A D D F I L E: 2011-027-1-EC. N