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S_� 7�0 �7.,(O, Estimated Job Cost: $ 7 OVVN OF BARIVSTrAB -- �dG1�.yD LEPerinit Fee: $ Plans Submitted: YES ✓ NO Plans Reviewed: YES NO Business License# /2�/ Applicant License# 3 6 Business Information: Property Owner/Job Location Information: Name: Name: 16D �, Street: % G�� / Street: / Gila, � t( DAc(� City/Town: 1�_, dvi � ,�� City/Town: -&�Py Telephone: 3AF-6ZI,F 11D6F Telephone: Qe- M _ V9/Z Photo I.D. required/Copy of Photo I.D. attached: YES ✓ NO ,� Staff Initial J-lOunrestricted 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 'v," Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other - Square Footage: under 10,000 sq. ft. V over 10,000 sq. ft. Number'of Stories: ,3 Sheet metal work to be completed: New Work: Renovation: MetalWatershed Roofing a -.,:.,_- Kitcheri'Exhaust System Metal Chimney/Vents i Air Balancing Provide detailed description of work to be done: the &ee e 7Z9 1��<6u�t' ��I®�y, �1 tinus� � 2� �h✓� 3e�0 �z�res, k k to 4 s• r INSURANCE COVERAGE: I have a current liability insurance policy or its'equivalent which meets the requirements of M.G.L.Ch. 112 Yes No ❑ If you have checked Y11, indicate the type of coverage by checking the appropriate box below: 1; ��t� ,1 ?(. '61 A liability insurance policy (� Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner [[ Agent ❑ Signat a of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: By aster Title ti ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Journeyperson-Restricted Fee$ License Number: 7 El Check at www.mass.gov/dpl Email: tir-r Inspector Signature of Permit Approval 1 y •T'he.Commrar n=M ofMmsiachweft Depar&mnt of In dusoialAccide& Oft Office of Inuatigodom 6#0 WaWngtm Mreet Boston„M4 02111 mmmamgorvr�dia Worlm-e Compensatim lmw=ceAffidavit:lBuMerslConftwWrs YlmtrimuMumbL-rs Applicant Information Please Print Legibly Nam Address: K-2 2�2W Ag City[StawlZap_jL, -viz dyr# Are yoga, an employer?f hwklthe app mpriat+e bo= 13W of project(required): L KJ i am.a employer'veif l b 4- ❑I am a.general ooatmctor and I 6 ❑New employees(f�ril and/or part-4=J* har,*e hoed the 7_ � ng 2.❑ I am a sole or 1rsted on the attached sheet Them so - ors have slop and have tan employee bcontract es8. ❑Demolition , woddn forme in any capacity. employees and have wormer s' 9. ❑Building additinn [No wo�ss'comp insurance comp.insutance.I 5. ❑ We are a cworatian and its 1�❑Electrical repairs or adds 3_❑ I am a homeowner doing all wor]c officers have exercised their 11.❑Plumbingrepairs or addiitiems m £ o workers' ��°fexemgtsonperl�IGL 12_❑itflofrepairs - c.152,§IQ%and we have no rid,]i 13_0Other employees_[No wori:rrrs cow.insurance wired_] `Amy a�rplirmmt cbe[kz b=*I most also fa oral the section below sb==g&&Waal KC cQmPm U=PobCY infflcm U=- �€omeowaers oho submit this afmdavit umfimmg they we doing a w ak and&m hm ouba&comitracmzx m¢st submit a new af&dseA u dwAung sa& h;au�ms that rbeck tMsb=must auched m additional sbeet dwwing the mme ofiffQe sad-caQ�and awe wbeflwr moat ton=Utmsbxm employees. If the sub-a= a car bum fees;&q musipwm&then workm'comp-pe]icr n mibw- I.am im Onplrryycr that ispravj iryg workers'compensafim insnrnnce for my enqgz ywe& Below is the poky and job site information Iustsrance,Company Name Policy*or self-ins.Lic.#} /*tt? zfGV?D3/3.2d2,D 1(5:4_ EKpirationDate: r'J Job Site Address. l�/ iQ7G /d f7�ti' CityJSt W2e p:�fr�t/T7�'✓Z Attach a copy of the workers'cOraPcasatitm palecp declaration page(showing the policy cumber and expiration+d:cte). Failure to sec€tre covw-4ge as required under Section-25A ofMGL c� 152 can lead to the imposition of criminal penalties of a fine up to$000 OD and/or one-year imgttisotment,as well as civil penshies in the frnm 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 statenumt may be forwarded to the Office of Investigatiom of the DIA for insurance coverage verifiratiarl. I,do hereby c eWfy under t -QWSandpen jqso.fFeeyury that the inforindion proriWed above is true and canlect Sim Hate: Phone OIL-iul um arri�F. Do not write in this area,to be completed bf city Of town O icaaiL City or Town: Permit/License# Issuing.Authority(circle one): L Board of Health 2.Bunding Department. 3.aWrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Odwr Contact Person: Phone ik I Information and Instructions MassachvsetFs Ge=al Laws chapter 152 requires all employers to provide workers'commpeusation for their employees. Pursuant-to this statute,an employee is defined as"_.every person in the service of another under any contract ofhire, express or implied,oral or wrid=L" An earrploye r is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a j of of eat uiprise,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 eumployment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance.or renewal of a Incense or permit to operate a business or to constraet buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor airy of its political subdivisions shall enter into any contract for the perfvlmance ofpublic work until acceptable evidence of compliance with the ias;urance.. rPm7i�ren+ents of this chapter have been presented to the contacting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addr m(es)and phone nvmber(s)along with their certificate(s)of im rrance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LU)with no employees other than the members or partners,are not mquired to cauy workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of in.s rrance coverage. Also be sure to sign and date the affidavit. The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Deparimeat of . Industrial Accidents_ Should you have any questions regarding time law or ifyou are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be size that the affidavit is complete and printed legibly. The Department has.provided a space at the bottom of the,affidavit for you to Ell out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pemmit/license number which will be used as a reference number.'In.addition,an applicant that must submit multiple pemmibUmuse applications in any given.year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fvdmre permits or licenses_ A new affidavit must.be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le. a dog license orpero it to burn leaves etc.)said person is NOT rsgnaed to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address,telephone and fax number: The Commnnwealih of Massachusetts Department of lndusftial Accidents Uffice of kvesugatio= 604 Washi ,L Street Bastes MA 01 111 Tf,-1,#617 727-4900 wa 4€6 or 1-977-MASSAFB Revised 424-07 Fax.#617-727-7744 .ma..s�;_gavjdia 16 9. Town of Barnstable i639 p�V+� ` QED MA'S Regulatory Services Richard Scali,Director Building Division Thomas Perry,CBO i Building Commissioner 200,Main Street,,Hyannis,MA 02601 www.town.barns.table.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder N I, as Owner of the subject property hereby authorize �i S i,� < / ''fit q n t In to act on rn behalf, in all matters relative to work authorized by this building permit application for: 04 q ' (Address of Job) " It A Signature of OwneK Date /t rl t y Print Name r If Property Owner is applying for permit;please complete the Homeowners License Exemption Form on the reverse side. QAWPHLESTORMS\building permit fomulsmokecarbondetectors.doc Revised 040714 k � f F �a Town of Barnstable Regulatory Services t M Richard V.Scali,Director 1639. DOTED MA'I Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 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 su ervisor. 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 y p 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 n p g 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 "st ed homeowner certifies that he/she understands tands the Town of Ba rnstable Building Department min imum 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 person(s)for hire to do such work,that such Homeowner shall act as su ervisor." I P Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for LicensingConstruction Supervisors,Section 2.15 This lack of awareness P ) often . results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\smokecarbondetectors.doc Revised 040714 DRNER'S t� 1 e 18 NAM6 MPOINT R0 r 4 E ' M 11IF OIiLl'H Icy . S a tt { Sty S H OLLOWING``L�tC �1�`��A�� I`, � h t 97� �q_ � �k 4.� ♦�c � r.�k��!m Vl Xry �U�. tad�7Y+X ..� � QA�ttt �� "k�� fTrVR ILL t:: t pLhtaU � !A G3p253b � `o ��VI .� � 4co CERTIFICATE OF LIABILITY INSURANCE DATE t4�D�09/14/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement,A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 50854M161 Fax: 508-4F-7660 CONTACT Almeida$Carlson Insurance Agency Inc. NAME: g y ALMEIDA 8:CARLSON INSURANCE AGENCY INC. PHONE FAX 508-457-7660 P.O.BOX 554 AIc No • 508-MO-6161 i AIC No: E-MAIL FALMOUTH MA 02541 ADD' ' INSURER(S)AFFORDING COVERAGE NAICt$ INSURERA :Arbella Protection Ins Co INSURED INSURER e ARBELLA PROTECTION INS CO 41360 BAYSIDE MECHANICAL CORP 497 THOMAS B LANDERS ROAD UNIT 1 INSURER :Arbeila Protection Ins Co E FALMOUTH MA 02536 INSURER a. AIM INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 31381 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E XCLUSIONS AN I O P I IES I H BE E ID CLAIMS. TYPE OF INSURANCE ADDIL SUBR POLICY NUMBER Poup EFF POLICYEXP �GENE LIABILITY8500060168 09/01/15 09/01/16 EACH OCCURRENCE $ 1,000,000X COMMERCIAL GENERAL LIABILITY REAM 8ES a $ 300,000 To CLAIMS-MADE a OCCUR MED.EXP(Any one person) $ 5,000 X BROAD FORM ADD'L INSURED PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY PRO JECT _ LOC $ ED B AUTOMOBILE LIABILITY 1020022473 09/01/15 09/01/16 ( � t)S INGLELIMrr $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X X HIREDAUTOS X NON-OWNED PROPEInYDAMtAGE $ AUTOS "t C UMBRELLA LIAR HCLAIMS-MADE OCCUR 4600060170 09/01/15 09/01/16 EACH OCCURRENCE $ 5,000,00EXCESS LIAR AGGREGATE $ 5,000,000 DED I X RETENTION$ 5,000 $ WORVEM COMPENSATION I STATU- OTN D AND EMPLOYERS' LIABILITY AWC40070313702015A 09/01/15 09/01/16 TORYLIMrrS ER $ ANY PROPRIETORIPARTNERIEXECUTNE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED?, F N i. NIA (Mandatory In NN) E.L.DISEASE FA EMPLOYEE $ 1,000,000 If om'describe tinder DESCRIPTION OF OPERATIONS belay EL.DISEASE-POLICY LIMIT $ 1r 000,000 D DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE'CANCELLED BEFORE TOWN OF 13ARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: ACORD 25(2010/05) 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i► �. Project Summary Job: Bothwell Residence BA YSIDE Date: March 26,2015 MECHANICAL CORP Upper Levels By: A Gagne Bayside Mechanical Corp. 497 Thongs B.Landers Road,Unit 1,East Falmouth,MA02536 Phone:508-548-4068 Fax.508-548-4406 Email:agagne@baysidemech.net Web:www.baysidemech.net License:Master... For. Clancy Construction 68F Nicoletta's Way, Mashpee, MA 02649 Phone: 508-265.4911 cell Fax: 508-540-6586 Email: gregclancy7@comcast.net Notes: High Velocity Hydro Air HVAC. Hydronics by plumbing contractor. Weather: Otis ANGB, MA, US Winter Design Conditions Summer Design Conditions Outside db 8 OF Outside db 82 OF Inside db 70 OF Inside db 72 OF Design TD 62 OF Design TD 10 OF Daily range L Relative humidity 50 % Moisture difference 39 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 32865 Btuh Structure 13011 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 32865 Btuh Use manufacturer's data y Ratelswing multiplier 1.00 Infiltration Equipment sensible load 13011 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 3145 Btuh Ducts 0 Btuh Heating Coolingg Central vent (0 cfm) 0 Btuh Area(ft� 2027 2027 Equipment latent load 3145 Btuh Volume(ft') 17861 17861 Air changes/hour 0.42 0.19 Equipment total load 16156 Btuh Equiv.AVF (cfm) 124 58 Req. total capacity at 0.70 SHR 1.5 ton Heating Equipment Summary Cooling Equipment Summary Make Generic Make American Standard Trade Trade UNICO SYSTEM Model AFUE 96 Cond 4TTB3024H1 AHRI ref Coil M2430C*1-B*++M2430B*1-ST2* AHRI ref 7185963 Efficiency 96AFUE Efficiency 9.6 EER, 11 SEER Heating input 32816 Btuh Sensible cooling 14140 Btuh Heating output 31503 Btuh Latent cooling 6060 Btuh Low output baseboard 600 Btuh/ft Total cooling 20200 Btuh Total low baseboard 55 ft Actual air flow 502 cfm High output baseboard 850 Btuh/ft Air flow factor 0.039 cfm/Btuh Total high baseboard 39 ft Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.81 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. „ + wrightsoft® Right-Suitee universal 201515.0.22RSU00405 2015-Nov-0408:4429 19CC3'* Page 1 ...ts\WtrghlsoftHVAC\Clancy,Bothwell 11-4-15.rup Catc=M,18 Front Door faces:N V N Level 2 27 dm Bed 2 2" II29 dm 2" M Bed 28 dm 2" 31 dm 2 30 dm 2° Star 119 dm 125 dm El 31 dm Bath 2 4 dm M Bath 33 dm Bath 3 a WIC L - 34 d 2" Hall 32 dm 2" 2" CL F31jidm 2" 2 Bed 3 2" 7" Bed 4 i Bat 4 7" 8" 8" 2" 7" 85 m 2" 7" 8" 2" 34dm 34 dm 2" 41 dm 62 dm 38 dm �'d'0°'°b0i0`2" 2" 35 dm 35 dm Job #: Bothwell Residence Bayside Mechanical Corp. Scale: 1 : 97 Performed by AI Gagne for. Page 1 Clancy Construction 497 Thomas B.Landers Road,Unit 1 Right-Suite®Universal 2015 68F Nicoletta's Way East Falmouth,MA02536 15.0.22 RS000405 Mashpee,MA02649 Phone:508-548-4068 Fax:508-548-4406 2015-Nov-0408:44:52 Phone:508-265-4911 cell Fax:508-540-6586 ...VAC1Clancy,Bothwell 114-15.rup gregdancy7@comcast.net www.baysidemech.net agagne@baysidemech.net N Level 3 25 dm E 2" 27 dm Loft 2• 30 dm E- 2" 34 dm{ a 170 dm 2" Stair Hall 31 dm- 2" 9" 32 dm 7" _ Future IFUI Job#: Bothwell Residence Scale: 1 : 97 Performed by Al Gagne for. Bayside Mechanical Corp. Paget Clancy Construction 497 Thomas B.Landers Road,Unit 1 Right-Suite®Universal 2015 68F Nicoletta's Way East Falmouth,MA02536 15.0.22 RS000405 Mashpee,MA02649 Phone:508-548-4068 Fax:508-548-4406 2015-Nov-0408:44:52 Phone:508-265-4911 cell Fax:508-540-6586 wwwbaysidemech.net agagne@baysidemech.net ..•VAC\Clancy, Bothwell11.4-15.rup gregclancy7@comcast.net TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Rpd Parcel 0 3"'S Application # i�®/50 1301 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Feel S5 •0 0 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village f zew,i'k�es�`� RTs' -F.Y Owner_ Voo Ti GJell Address Telephone / ' e7 = =a Permit Request C ', �lid Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /2 e z . p Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family g Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes �_XNo On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name f %z° e� Z Telephone Number 6 7 3 Z Address ,�i��,4�ig'i,�s� ,� License#___ /Gv 9 6y�r' Home Improvement Contractor# Email Worker's Compensation ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. """""""" Masr;,u;trusc `te; •• 1)6porfinent of RulolicsafetY•1• ..130ard'Of Building 1309ulatlons aiid Stanclards Constrnc•lion Supers i.soI, License: CS.100988. HENRY E CASSEp'j � l8 SHED ROW Q WEST YARMOUyrH � �6 I "..✓.�.» l �r�u"` Expiration Commissioner 11/11/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza, Suite 5170 Boston, Massachusetts.02116 ;• Home Improvement Co.itractor Registration Registration: 153567 Type; Private Corporation ma� Expiration: 12/15/2016 Tr# 259188 CAPE COD INSULATION, INC HENRY CASSIDY 18 REARDON CIRCLE., SO, YARMOUTH, MA 02664 Update Address and return card, Mark reason for changC, S C A 1 Co 20M.05n1 -I] Address (� Renewal Employment Lost Card ' &Xe cpo��urraoouue«�G/o�C�/��woac/tadeG�i ' Office of Consumer Affairs& Business Reguintlon License or registration valid for IndividuI use only .TOME IMPROVEMENT CONTRACTOR Before the expiration date, If found return to; egistratlon; 153567 Type; Office of Consumer Affairs and Business Regulation ,j xpiratlon• 12/15/20.16 Private Corporation 10 Park Plaza-Suite 5170 Mpi Boston,MA 02116 CAPE COD C....:— ` `. HENRY CASSIDY 18 REARDON CIRCLE-" SO. YARMOUTH,.MA 02664 Undersecretary', N• valid wi tit sign e The Commonwealth of Massachusetts . Department of Industrial Accidents j Office of Investigations f 600 Washington Street Bost* MA.02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit; Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual); Address; City/State/Zip; �:�mllm M ' ' Phone #; Are you an employer? Check th appropriate box; Type of project (required): l. ,I am a employer with 4 [❑ I am a general contractor and 1 have hired the sub-contractors 6, ❑:New.construction •� employees(full and/or part-time),* •.+• r=' 2,❑ 1 am a sole proprietor or partner- listed on the attached sheet, 7, [] Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition em to ees and have workers' working for me in any capacity, p. y # 9• [] Building addition [No workers' comp. insurance comp, insurance, required.] their 5• We are a corporation and its 10,0 Electrical repairs or additions •3,❑ I am a homeowner doing all 'Work officers have exercised ork ' . � J�'l 1.0Plumbing repairs or additions.. myself, [No workers' comp. ;' right of exemption per MGL I2•[] Roof repairs insurance required,) t c• 152, §1(4), and we have no I 0A 0 employees, [No.workers' 13• Other ' comp. insurance required,] *Any applicant that checks box N 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 atta.9hed 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; Polic # or Self-ins, Lic. 4: Y t� 1 Expiration Date:t? ! 36 Job Site Address: _f ,G a/y� I��' L�C �� i�� tt /State/Zi�. f��—�.i��' Y p:,&,�, &;, z1e �Z 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 canlead 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 insuran4 covera e verification, 1 do hereby certify d the pa! an penaltles of perjury that the.informatlori provdded above is true and correct. Si nature: ° Date: /le� � Phone#: Official use only. Do not write in this area, to be completed by city or town official, City or Town;. Permit/License# Issuing Authority (circle one): 1,, Board,o,f Health 2, Building Department 3, City/Town Clerk 4. Electrical Inspector 5, Plumbing Inspector' 6. Other ( nnfnet Pa.r.cnn P6.,,o f! 7 CAPECOO.27 BDELAWRENCE ACORO" - �,.. CERTIFICATE OF LIABILITY INSURANCE EE(MMIODrY`YY) 6/30/2015 _ THIS CERTIFICATE IY 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 pollcy(les) must be endorsed,-If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s), _ PRODUCER CONTACT Rogers&Gray Insurance Agency,Inc, PHONE 434 Rio 134 FA EMA South Dennis,MA 02660 IL Arc No: (877) 816.2156 _ ADDRESS: INSVRER S AFFORDING COVERAGE NAIC tf INSURER A;Peerless Insurance Company.see LIBERTY MUTUAL INSURED INSURERB:ATLANTIC CHARTER INSURANCE GROUP Cape Cod Insulation,Inc; INSURER c': 18 Reardon Circle INSURER 0: South.Yarmouth,MA 02664 x INSURER E; . INSURER P COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TFfZ CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR P LTR TYPE OF INSURANCE POLICY NUMBER MMIOD MM/OD A X COMMERCIAL GENERAL LIABILITY LIMITS _ CLAIMS-MADE a OCCUR CBP8263063 EACH OCCURRENCE $ 1,000,OOC ` 041011201 @ 0410112016. PREMISE Ee occurrence $ 100,00_C MEO EXP(Any one person) $ 5,00C GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&AOV INJURY $ 11000,000GENERAL AGGREGATE - $ 2,000,000 aX POLICY PRO. a ' JECT LOC OTHER: PRODUCTS-COMP/OP AGO $ 2,000,000 AUTOMOBILE LIABILITY p $ CO BI D MLE LIMIT $ ANY AUTO LE accident)ALL O BODILY INJURY(Per person)OWNED - AUTOS NO*OSCHEDULED WNED BODILY INJURY(Per accident) $ HIREDAVTOS AUTOS PROPERTY DAMAGE Per a cldenl $ UMBRELLA LIAB r $ ' OCCUR- EXCESS LIAREACH OCCURRENCE $ H-CLAIMS'.'MADE AGGREGATE $ OEO RETENTION$ _ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY PER B ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCE00431901 STATUTE ER H OFFICER/MEMBER EXCLUDED? NIA 06/3012016 0613012016 E.L.EACH ACCIDENT $ 1,000 000(Mandatory In NH) Ilyes,describeunder D ESCRIPTION OF OPERATIONS.below E.L.DISEASE-EA EMPLOYEE $ 11000,000 E.L.DISEASE•POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLE$'(ACORD 101,Addlhonal Remarks Schedule,may be attached If more space is required), Workers Compensatlon Includes Officers or Proprietors, Addi(lonat Insured status Is provided under the General Llablllty and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION k. e SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE sCape Cod Insulation,Inc ,. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,,MA 02664 AUTHORIZED REPRESENTATIVE ©1986.2014 ACORD CORPORATION, All rights reserved, ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD mown,of Barnstable >� , °• Regul'atory Services SULWrAMX$ Mchard V.Scaly Director r � 6 +� I3uildYng Division f' 4 , ' Tomlerry,Building Comnusstoner 200 Main Street-Hyaanis,.MA 02601 www.town.barnstabie emus Office: 50878624038 Fax: 508=790-6230 Property Owner Must Complete sand-Sign This Section If Usxnz:ABuilder - I, v e-r (` ,3s(7wner.of the stib`ect zo en . 7 pro Y hereby:authorize I h to act on:my behalf, j in all matters relative-to A authorizedTbythis building permit application for. �`.1 L-G1in bat-Cl C-A R0D ,j cex+ v ole- {Address of--ob)-- *'Pool fences and alums are the responsibil lye of the applicant..Pools are not to.-be,fiJ�ed ruU ' d-before fence s installed and al final ixaspecuo ed and accepted. S of eL ;Signatum of.Applicant TA ri.nt Name `. Print Name _ Date , Q,FORMS:OWNF.RPEWISStONPOOLS w J CAPE C® INSULATION IIRIR OIASS 31AM LISS SPRAY FOAM SUSPINDID 8 SAM OUTTIRS INSULATION CIRINOS - 17-800-696-6611 ' s: Town of Barnstable Regulatory Services DEC 2 9 2015 Building Division OWN OF BA RfV�� 200 Main St ABLE Hyannis, MA 02601 - ' / e Date:. Dear Building Inspector . Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute' '(BPI)inspector. All work preformed meets or exceeds Federal &State Requirements: Property Owner" ' Property Address Village :T g Su.rr�,.� �or�w,�'�� /fig• .lei; /.��/l,0 s . Insulation Installed: .Fiberglass Cellulose R-Value . 'Restricted Unrestricted 2.. Y' Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors S/ /1r. (W) . Walls b iv..e►^ 6VO r 130 r,4,eaf. Sincerely ` 2H ry E ssi r, President: pe C Ins ation, Inc. S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ©S Parcel 033 Application #C701S 06 Health Division Date Issued 1012Z.lr JK Conservation Division Application Fee Planning Dept. Permit FeAM Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address q L-oA)G (f1 © �-t! Village e—A) %)R- V 1 LL y Owner (3 d l LUG �-L �08�2% Address1 Telephone (0 ,l S'cj q Permit Request U �eN J JI ✓I yN 16"2Gr�7 Square feet: 1 st floor: existing/,7a0 proposed 2nd floor: existing/.&D7 proposed Total new Zoning District Cif /-B 53-Flood Plain VE Groundwater Overlay 3 3 a 7SF Project Valuation Al 7,57000 Construction Type Lot Size �S If-GA C_ Grandfathered: yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure I C( 10 Historic House: ❑Yes Xlo On Old King's Highway: ❑Yes ANo Basement Type: )KFull ❑ Crawl )4�Nalkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 7 a c)SIc Number of Baths: Full: existing T new Half: existing l 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 ZNew Existing wood/coal stove: ❑YeOd No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ¢s&,we,T� AGd g y ; Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ - Commercial ❑Yes *)d No If yes, site plan review # Current Use D e,LEI Proposed Use S' M - - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name k Telephone Number �� /fom� J:MP2aU- / �eS'v6 Address 6 F F A) 1 Go i.e Zr i s �- License #_C S1- CS 0 FPS'a q 7 Yh _S/0-ee i M + 0J(P Home Improvement Contractor# / 7F 39(b Email CG2 G CLh�Cq 2(' fo/�-AC.A-S)--,NCrworker's Compensation # WC-C SSoyS0/3(0=79d0/`f!A ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 130 0A N'.9 SIGNATURE DATE /0,//"10 45— FOR OFFICIAL USE ONLY APPLICATION# . DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ti DATE OF INSPECTION: FOUNDATION FRAME CO 1 INSULATION l: Z 't 'S A FIREPLACE r t ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 3)31h DATE CLOSED OUT L ASSOCIATION PLAN NO. i ?lie Corrxraomveakh of-Vassachusetts DeprTknezit a,f7"udusbial Accidews i Q,face o,f"Ime-st nations. 600 Washbigtom Street Bestore,VA 02III ' " kvtvtaratr�gavfilin . Workers' Campensation.Insurance davit:BmldersiCantractursJEIectricianslPh mbers Applicant Infarmafian. Please Print f eaull Name(Buk tsA snQafionaffiv.�dna1y- G t-- G G Address- !'F /0)t;o Le? CitylstatelZip: WUI:sloP /� Phone Are you an employer?Check the appropriate box: Type of project(required): 1. am a employer with �— ❑I am a general contractor and I employees(fish andfor part timed* have lured.the sub-contractors 6. ❑Near consfrucFiam 2.El I am a sale proprietor or partner listed on the attached sheet. 7- Remodeling ship and have no employees These sub-contractors have : S. Demolition wadzing far me in any capacity employees and have worriers' 9. ❑Building addition [No❑tanners'Comp.insurance comp-insurance 1 required-] 5. ❑ We are a corporation and its 16❑Electrical repairs or additions 3.❑ I am a homeoumer doing all work officers haveexercised their 1 L❑Plumbing repairs or additions myself- o workers' t of exemption per MGL �' � - 12_❑Roof repairs insurance required.]i c.152,§1(4�and we have no employees-[No workers' 13_❑Other camp_insurance required_] #Any appBunt gmt cheda box#1 mast also MI cut the sectionberow showing their waleie amp—sad upolicyinformauaa #30ff1e0iUIl473 w170 snhCott ills af6darit lI d]=tmg they are domg 81l wad 8x8d then him outside COntI9CtCIrs mIISt mtmit a new affidavit hidiFS�such_ ZC0 ,sctors that ebeck This box mast attached as additiansl sheet showing the name of the sub-cenr suors and state whether ar not those entities ham employees.Ifthe sub-contRctorshive employees,t6eymustpxuvide their workers'camp.policy amber. I ant art ettiplopr tliat is pr4in ding tvorkers'congmLsagoit frtsrirance for irry*enrp&b,ees. Soloiv is Elie policy anti job slue informafion. Insurance CompanyNanse: frT C 014111, Policy4-or Self--ins_Lic-4: w C C /J UJ S-D J (� 7 7 U1y/ thmpira&n Date: Job site Address: I 0 q L d Q& Bzjc,� cityfstaw tp: C.e-(\.-- 14 Attach a copy of the workers'compensationpolicy declaration page(shoving the policy number and expiration date). Failure to secure coverage as required under Section 25A o€MGL a 15'7 can lead to the imposition of criminal penalties of a fine up to S 1;OD.i00 an&6r one-jrear imprisvriment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 0-00 a day against the violator. Be advised that a copy of this statement may be fmvrmded to the Office of 1mvestigations of the DIA for insurance coverage verification_ ado ltereTrp a fyrt Tie -lisare nabsafpedury that trio informa#roispm ikW abmwis bue and correct Sitmature: Date: �0 S of a/S Phone 027rial use and. Do scot write in this area,to be cr inpTetesd by city artoten oljaciat City or Town.: PermitUcense# f Issuing A,nthority(circle one): L Board of Health 2.Bu ding Department 3.CitylTown.Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I ormation and lastructions ' Massachusetts General Laces chapter 152 regairm all employers to provide workers'compensation for their employees.r a e s ce of another under contact of hire, ee is defined as. _. erson m ih eaYn �Y Pmsr�antto this stye,�.employ ��Y P express or implied,oral or writ" x An e77WToyer is deed as"aa individmI,partnambip,association;corporation or other legal entity,or any two or more of the foregoing engaged is aJoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trastee of an individual,part ship,association or other-legal entity,employing employees. However the owner of a.dve 6M rig 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 maht==,contraction or repair work.on such dwelling house or on the grounds or building appurtenant thereto shall not becanse of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also sides 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 auy applicant Who has not produced acceptable evidence of cdmplian—'eeith the insurance.coverage regmh:6 ." Additionally,MCrZ chapter 152, §25C(7)states"Neither tine commonwealth nor any of its political subdivisions shall enter into any contract for the performance of pub lic work tmtil.acceptable evidence of compli a;ace with the fimu-an ce. requinemenfs of this chapter have been presented to the contracting authority. Applicau-LS PIease fill out the wont='compensation affidavit completely,by rherT�c idle boxes that apply to your situation and,if necessary,supply sob-contractor(s)name(s), address(es)and Phone number(s) along with their certificates) of ;,cnTa„ce. Limited Liability Compames(LLC)or Limited LiabiLityPartaerships(LLP)withno employees other than the members or partners,are not regimed to cant'wolkers' compensation iasarance• If an LLC or LLP does have employees,a policy is required. B e advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of msma;ace coverage_ Also be sure to sign and date the affidavit. The affidavit should be retumed to the city or town that the application for the permit or license is being requested,not the Dep ailment of ln-ndastripl Accidents. Should you have any questions regarding the law or ifyou ale required to obtain a workers' compensation policy,please call the Department at the number listed below. Self_fi: ed companies should enter their self_fijsu ice Hce-nse number on the appropriate line. City or Town OfEidals f _ Please be sEa-e that the affidavit is complete and primed 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 pennif'lliceuse number which will be used as a reference number. In addition,an applicant that must submit multiple pennitflicense applications in any given year,need only submit one affidavit m&catrg current p olicy fi fomatian(if necessary)and under`Job Site Ad rzs"the applicant should wute"all locations in (czY or town)-"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for fuse pmmn s or licenses. A new affidavit must be f1Iled out each year.Where a home owner or citizen is obtaining a license or putt not related to any business or commercial venture` (i-e. a dog license or pemvt:to bum leaves etc-)said person is NOT required to complete this affidavit The Of of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesifate to give rs a call- The,Department's address,telephone and fax number: ThC;C_a_jrn%M of INAassac,n . Degartinent e hdr0riat Acc enta face of�,ve�[ig�tia>� . Goo wa wmgtan t $fin,MA 02111 Tf,-I.4 617' -4900 cmt 406 or i-M MA SAFE Fax 617-`27 7M Revised 4-2447 .mass-gavidia • W4®Ydnrssdzln �e J^rarr�a FA celr tAIA'} 71 14i4i ,, f3 y�It�� rcdDe.� ,� 3rC tEl��..4 . 1J33 :,� �, 3fa 33, s y, 3 33 'i �- �. X rwa� .xI11F�...ii!xiY �3�,11 S1'K�-�''� .'•P6'4 (9'�r'..W �.�164�v ri��'3 k kZ� '� y` aet,3 S td�l 133 ,. ii�unuMs rar!s d h54 j +q• ' v,rza m OS-033 _ o.+duv.ru WTI: sue+ t i LONGBEACH ROA ualay.GENTERVILLE'�'�T�"�� iu.m.maC-O-h1M� .I, R6.d l W.0912. Asbuilt SepGcScan: t�`vFSef(nfn- 3, �r�,.. ..,, -�>��J.>„ _'_� ��,3;• 3 ` �'` eE�� ,__�,, ..a._�,,..�, •.•�,<-'� �wi�Ft,Gu�` ik,1 ' a,�mw�`%,nx �.�a;� �ugt,�t awr r€ aco LLC �� N.j%BOTHWELL,�ROBERT� mea1.41:SP.4RHAWKPATH mv'MA SHFIELD-1 sr.x„M ��. ��Ziy 02050. - -��u •...µ„..,....»...,.............�.�.....� .C�.yu.J.8',Q Aver 0.45 use_ ngle=Earn-MDL-01: z«e,q CBBSB xonba0120 �� - - , ......__ _.. .. T.M.PTt ILevel :a..e aved ....._.._._,�....' uorma:Pubiic Water,Gas,Septic( s..a.o.Waterfront;Fxiel Vev: i�ctTanl yHU wI; �1 i ,,...�.�'.,.. ftd Gambrel�� "f`Woo Shingle—I auic Strw.c W.13 3374 Wng �Wood Shl le T 4Central I•�,,3s,. ?�gp ` �"� 3 l07 ;.� '��3 �� 3�rHe �s!:$ e '} atro�a� ��` e F ��. 3 ': f :.,...,....,:.,....... .w.v_ ,a..:.s .µ,..,,..Aws... .,,..,. .o.:,«. •,-,�;,;y,.. ,,,,�,M,„• z�d�..�Za" 3.�b..o;.!,:. •.- ,,.,,�„. ,��ii� L DATE (MMIDDIYYYY) .acoizn® CERTIFICATE OF LIABILITY INSURANCE 12/0112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED.BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT, If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In ileu of such endorsement(s). PRODUCER Phone: 508-540-6161 FaX: 508-457-7660 cONEACT Bob Allietta ALMEIDA&CARLSON INSURANCE AGENCY INC. PHONE Ax P.O.BOX 664 C No 608 888-0207 c N (608)888.0660 E-MAIL FALMOUTH MA 02641 ADDREss rallietta@almeidacarlson.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER :Essex Insurance Company INSURED INSURER AEIC GREG CLANCY CONSTRUCTION INC 68 F NICOLETTA'S WAY INSURER MASHPEE MA 02649 INSURERD: INSURER E INSURER F .. COVERAGES CERTIFICATE NUMBER: 29004 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L SUBR POLICY EFF POLICY EXP TYPE OF INSURANCE INSR W%ID POLJCY NUMBER (NMDNYrn fMM1DD1YYYYlLIMITS A GENERAL LIABILITY 3DW7926 11/16/14 11/16/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY AGE TO RENTED PREMISES(Ea occurence) $ 100,000 CLAIMS-MADE F OCCUR MED.EXP(Any one person) $ 6,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 PRO- POLICY LOC $ AUTOMOBILE LIABILITY - COMBINED SINGLE LIRT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS UTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ UTOS (per accident) $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ 4EXCESS,LIAB CLAIMS-MADE AGGREGATE $ [)ED I RETENTION$ $ WORWC STATU OTH B AND E s COMPENSATION WCC600601267920141A 11/16/14 11/16/16 TORY LIMBS AND ER $ EMPLOYERS' LIABILITY - ANY PROPRIETORIPARTNER/MMCUTNE �Y'IIN''I E.L EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? IN ] NIA (Mandatory in NN) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. - AUTHORIZED REPRESENTATIVE I Attention: Bob Allietta ACORD 26(2010/06) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and.logo are registered marks of ACORD i J �VE • EMJQ TABLE ,�� Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO . Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 ,' P Fax: 5.08-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder f I, /RU -4-elz Z 0/A Lye �- ,ks Owner of the subject property hereby authorize _ �� C1- G t /� to act on my behalf, in all matters relative to work authorized by this building permit application for: / 4 Lc)N G- (Address of Job) lu s lao l y Sign e ot Owner Date v R 7), 30,-,AA 1.y e(_L Print Name } If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the. reverse side. QAWFILESTORWbuilding permit forms\EXPRESS.doe Revised 040215 Town of Barnstable Regulatory Services. ♦ oFT tAy,` Richard V.Scali,Director Building Division s * &UWSTasre. ' Tom Perry,Building Commissioner MASS. 1639. �� 200 Main Street, Hyannis,MA 02601 'OrEv www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE MPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS:- city/to state zip code The current exemption for"homeowners"N as extended to incl a owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hir who does not po ess a license,provided that the owner acts as supervisor. DEFE14M s N OF HOMEOWNER Person(s)who owns a parcel of land on whic a/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structur accessory t such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be consider d a homeo er. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she s 1 be re onsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibi 'ty r compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she erstands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will co with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containin 35,000 cub feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEO R'S EXEMPTION The Code states that: "Any bomeo er performin work for which a building permit is required shall be exempt from the provisions of this section(Section 10 .1.1-Licensin of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work, hat such Home,wner shall act as supervisor." Many homeowners who use this exe ption are unaw a that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for L ensing Construc on Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly wh the homeowner ires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it ould with a license, Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fu y aware of his/her ponsibilities,many communities require,as part of the " permit application,that the homeowner cert ify that he/she under tands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by seve al towns. You may re t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.d c Revised 040215 Massachusetts -Department of Public Safety Board of Building Regulations and Stanaa us onstructio"5upei isor License: CS-085247 I IN GREGORY J CIA 68F Nimletta's Wo 71 Mashpee MA 02649 vW • ��,,,,�� art+%X` • Expiration 03/02/2017 Commissioner = r e., .O��rajcrclevae License or re istratio. valid f or individul use only Office A Consumer Affairs&Busi' "Regulation g , .. P, OME INiPFs6WEM1=MT CONTRACTOR' beforgahe.eyCpiration date y.�f f4und return to:, _* Office of Consumer A1air's an us s e ulation e+E�trat�on. 17896 Type. �, g ;cxpiratlon 5/5/2016 Corporation ��0,?arlc�Plaza=Suite 5 �d1c1� :nodsvgx3 11 i., a;n;.: <; Boston,MA 02116 GREG CLANCY i,;OKjSTRIJCTIC?N INC. 3VA,VSITOU 7T86100 YOXAtj0 a3>ti:: 47 GREGORY CLANIOY OoAjO YqOa3,.,: 68 F I-IICOLETTA S WAY �.�,-.-/�P� _ � 2 ATi ?_,001r;?38 MASWEE,MA 02649 ,. :Undersecretary N t'valid without si a urea � l ®J A�Ro " CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 8/18/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 CONTACT LesleyGarri us, CIC NAME: g Murray & MacDonald Insurance Services, Inc. PHONE t (508)540-2400 AAX No;(508)289-4111 550 MacArthur Blvd. E-MAIL lesley@riskadvice.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC p Bourne MA 02532 INSURERA:Arbella Protection Insurance 41360 INSURED INSURERB:National Liability & Fire Insurance Colony Insulation Inc., D&W Realty Trust INSURERC: 28 Jonathan Bourne Road INSURER D: INSURER E: Pocasset MA 02559 INSURERF: COVERAGES CERTIFICATE NUMBER:15-16 Master GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN.ISSUED TO-THE INSURED-NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/ D POLICY EYYY MM/DDFF Y EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTRD_ A CLAIMS-MADE5Z OCCUR PREMISES(Ea occurrence) $ 100,000 8500028928 8/18/2015 8/18/2016 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $. 2,000,000 X POLICY❑PRO JECT ❑LOC PRODUCTS-COMP/OPAGG $. 2,000 000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED 1020005705 9/18/2015 8/18/2016 BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS Per accident Underinsured motorist BI s Id $ 20,000 X UMBRELLA LIAB X bccUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I X I RETENTION$ 10,000 4600028929 8/18/2015 8/18/2016 $ WORKERS COMPENSATION X STATUTE I ERH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y/N NIA E.L.EACH ACCIDENT $OFFICERIMEM 500,000 B (Mandatory H)EXCLUDED? V9WC516109 8/18/2015 8/18/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 -----'- If"yes;-describe under-----'_, DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Greg Clancy Construction THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 68F Nicoletta's Way ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee, MA 02649 AUTHORIZED REPRESENTATIVE C Finigan CIC,CRM,CMI I "-- ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) ACf3/2L7►' DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 04/13/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s PRODUCER CONTACT NAME: tlder Risk Specialists PHONE AX nsurance Agency,Inc. M No A No: 'O BOX 115 EAR IEss, 'ataumet,MA 02534 `PRooucER TAMES W.RIDER c R Ds•TOBEY-1 INSURERS)AFFORDING COVERAGE NAIL 1 NSURED TOBEY PLASTERING INSURER A:MESA INSURANCE PO BOX 223 IKSURFR8:TRAVELERS INDEMNITY SAGAMORE,MA 02561 INSURER C:PROGRESSIVE INSURANCE COMPANY INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR B POLICY EFF O E7(P _ .. JR TYPE OF INSURANCE POLICY NUMBER MID MWD LIMITS GENERAL LU4BILITY EACH OCCURRENCE $ 1,000,00. A X coMMERcw GENERALLIABarrr M30006001019782 06/26/2014 06126/2016 PREMGEETT000Arw $ 100,00 CLAIMS-MADE OCCUR MED EXP IkiIr one rson) S 5.06 PERSONAL 8 ADV INJURY S 11000100 GENERAL'AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00 -XI POLICY PENT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Es accident) ANY AUTO BODILY INJURY(Per person) $ 50,00 ALL OWNED AUTOS BODILY INJURY(Per.aeciderd) S 100100 C X SCHEDULED AUTOS 01806646 08/2412014 08/2412015 PROPERTY DAMAGE X HIRED AUTOS (PER ACCIDENT) S 60100. X NON-OWNEDAUTOS $ a uMBREt lA L1Ae OCCUR = EACH OCCURRENCE $ EXIT LlA9 CLAIMS-MADE AGGREGATE. S DEDUCTIBLE $ RETENTION S S WORKERS COMPENSATION X WCSTATU OTH AND EMPLOYERS'LIABILITY B ANY PROPRIETORIPARTNER/EXECUTIVE YIN N 1 A UBSB86456 03/13/2015, 03/13/2016 E.L EACH ACCIDENT s ,__1,000,00 OFFICERIMEMBER EXCLUDED? E (Mandatory in NH) L DISEASE-.EA EMPLOYEE $ 1,000100 It yes describe undue E.L OISEASEr POLICY.LIMIT $ 1,000;00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Atlaoh ACORD 101,Addld&W Rsmwkb Sohedm,'It more space Is nqulsd) �{E SOLE PROPRIETOR,`MARK TOBEY,HAS ELECTED TO BE.-COVERED UNDER WORKERS' .OMPENSATION ?MAIL info@clancyappralsal.net, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFfiHE A80 DE RIBEI) LICIES BE C BEFORE THE'::EXPIRATION,:DA THE , F, TICE L EL 0 IN GREG CLANCY ACCORDANCE 00TH 'POLICY: 22 GLORY LANE AUTHORIZED REPRESENTATIVE EAST FALMOUTH,MA 02536 JAMES W.RIDER 01988.2009 ACORD'CORPORATION. All rights reserved. ACORD 26(2009109) The ACORD name and logo are registered marks of ACORD r� 'elephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: C\04T, JOB-SITE ADDRESS:_ (�� °` vi\\t �A f DATE: R-VALUE ARE THICKNESS Ceiling y Cathed al Ceiling Garage Ceiling BasementCeiling Slopes Exterior W all a " Garage Hse. Wail W alkout Wall. Cathedral W all. B lockers Overhang Stair/Risers All R-values and thickness measurements are deemed to be accurate by the following installers: TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM ` i x Ja ?r Arnthane ' - ThermalGuard CC2 TECHNICAL DATA SHEET PRODUCT NAME PHYSICAL CHARACTERISTICS Pro e Value Test Method �� Density(nominal): 2.0 lb/ft3 'ASTM D-1622 ``R-valuer 7/inch . ASTM C-518 Thibrma/Guard CC2 . Compressive Strength: 35 PSI ASTM D 1621-94 Tensile Strength: 70 PSI ASTM D1623-78 PRODUCT DESCRIPTION I Dimensional Stability: <4%0 - ASTM D 21,26 Closed Cell Content: 96% ASTM D 2856 ThermalGuard CC2 is a fast set,closed- Air Permeability: 002 L/sm2(@ 75 Pa @ I") ASTM E283 celled„245fa-blown spray polyurethane VaporPermeability: .8 Perms @ 2" ASTM E96 foam(SPF)insulation designed for use Fungus Growth: None ASTM G21 i in residential&commercial structures, Service Temperature: •250 OF(120°C)* I exterior foundation or perimeter i insulation,below grade applications, *Service temperatures will vary depending on application. Contact yourArnlhane Technical Representative for i recommendations and limitations. Always test nerma/Guard CC2 for suitability for yourpardcular application in exterior.tank/pipe insulation and etc. a.safe manner.' ThermalGuard CC2 is applied as a LIQUID PROPERTIES i liquid and expands 25x in seconds to fill Property Value Test Method and seal building cavities of any shape Viscosity(A) 200-250 CPS ASTM D-2196 j and size. It exhibits superior thermal Viscosity(B) 1100-1300 CPS ASTM.D-2196 j insulation,air-barrier,and sound Weight Per Gallon(A)- 10.25 lbs/gal .ASTM D-1475 attenuation properties compared to Weight Per Gallon(B) 9.4 lbs/gal ASTM D-14751 conventional insulation materials. REACTIVITY PROFILE Once fully cured ThermalGuard CC2 pro e ue remains rigid maintaining significant Cream 2-31 seconds @ 25°C(77°F) structural strength and thermal Rise Time: 12-16 seconds @ 25°C(77°F): insulation properties in.adverse conditions across a wide variety of COMBUSTION PROPERTIES applications. Property Value T est Method � Flame Spread Index: :525 ASTM E-84 MANUFACTURER Smoke Development: <450 ASTM E-84 ThermalGuard CC2 is manufactured PACKAGING&STORAGE exclusively by ! Drum Weight(A) 551 lbs ! Drum Weight(B) 500 lbs Arnthane Inc. Total Set Weight 1051 lbs 1002 West Main Street Storage.Temperature Range(STR) 60—80 OF Richmond',MO 64085 %Shelf Life at STR 6 months P.816.776.3015 F.816.776.3215 *Do not allow material to freeze: Do not pre-heat or recirculate(B)material as it ivill cause frothing.and loss of Www.arnthane.com. _ blowing agent. Storage at temperatures above or below STR may shorten sheljlife and carve degradation or loss of blowing agent. Cold material will develop higher viscosity which can cause during processing such as pump CORROSION cavitation and poormlxture of(A)and(B)components. For best processingperfon»ance during application(A) ! and(B)drum temperatures be between 60.F—80 F ThermalGuard CC2 is chemically& PROCESSING PARAMETERS physically compatible with all common Processing Pressure Range: 900-1400 PSI*, I building materials including electrical Processing Temperature Range: 115—145°F* wiring,wood,metal,concrete,plastic Substrate Temperature Range: 35—.105 OF (PVC),copper,vinyl,and glass. Ambient Temperature: 35—105°F Substrate Moisture Content: <19% INSTALLATION Yield: 3800-5000 Board Feet Per Set* Maximum Lift Thickness: 4 inches** TliermalGuard. 2 hes CC must be spray • _. -. -applied using approved equipment.Use `Processingparamerers&yields can vary widely depending on substrate temperature,type condition,ambient I 1:1 ratio proportioning system that can temp ty,erature,elevation,humidt 'eq uipment e ui ment and other factors: During installation the applicator must observe the. achieve the specified temperature and qualiryand characteristics ojthe foam and adjust equipment temperature.&pre,,tsuGe settings as needed to accommodate these variables in order to ensure optimum yield,proper adlresion,proper cell structure,and pressure requirements. performance of the foam. "ALWAYS test TherrealGuhrd CC2 at desired thickness in a safe manner prior to insulating structure to ensure that it can be safely i stalled at the desired 1h thickness without risk of charring or combustion. It is the exclusive responsibility ofthe applicator to achieve proper lh thickness jar safe application. Safe lift thickness may vary I from application to application. 1002 W M ®. Richmond,M P 816. F a16. www.arnth Arnthone j a r 4„ 1f"J =urn2 ThermalGuard ThermaliGuard ThermaiGuc CC2 OC1 005 & OC.5R Nominal Density: 2:0 Ib/ft' 'Nominal Density: 1.0 Ib/ft3 Nominal Density.5 Ib/ft' CC2 R-value` 7.0/in R-value: 5.24/in 0C.5 R-value: 3.8/in Compressive Strength: 45 PSI Compressive Strength: 7 PSI OC.5R R-value: 4:3/in Vapor Permeability: 0.8 Perms @ 2" Vapor Permeability: 3.6 Perms.@ 5" 'Compressive Strength: 0.6 F Vapor Permeability: 4.2 Perms Product Description Product Description Product Description ThermalGuard CC2 is a semi-rigid, fast.set, > ThermalGuard OC1 is a soft, fast-set, ThermalGuard. .00.5 & OC.5R ar closed-celled, spray .polyurethane foam open-celled, 100% . water-blown spray low-density, open-celled, 100%water-blov (SPF)insulation system designed for use as. polyurethane foam (SPF) insulation system polyurethane foam (SPF) insulation a high performance thermal Insulation, designed for use in residential & commercial designed for use in residential&commerr wall,attic,�and roof-deck applications. attic, and roof-deck applications. Both f ThermalGuard CC2 is a spray-applied can reduce energy consumption by up to 5 ThermalGuard OC1 can reduce energy insulate & air-seal the structure in a sing system suitable for a variety of insulation gy ThermalGuard OC.5R is a bio-renewable co applications including in plant, tank & consumption in structures by up to 50% mpared to conventional insulations stems that exhibits superior fire-resistance proper- pipeline, residential & commercial y increased R-value. ThermalGuard OC.5 construction, foundation and below.grade because it insulates&air seals in a single step. optimized for..insfallation in cold tempE ;applications where compressive strength or down to 150 F. ThermalGuard OC1 is applied as,a liquid and impact resistance are desired: expands over 40x in approximately 8 seconds to ThermalGuard OC.5 & 005R are applies fill and seal building cavities of any shape and liquid and expand over 100x in approxim '�ThermalGuard CC2 is applied as a liquid size, It exhibits superior thermal insulation, seconds to fill and seat building cavities and expand 25x in a approximately 12 air-barrier, and sound attenuation properties shape or size. They deliver superior t. seconds to form.a smooth, durable surface over conventional insulation materials and has insulation, air-barrier, and sound alter perfect for the application of primers or been proven to improve indoor air quality & proPerties.compared to conventional ins finish coatings.: comfort. materials and contribute to a healthy indo( )utdoor environment. Email: Commonwealth of Massachusetts SheetMetal Permit . A2 � Parcell� _ Date: 3 k o 41i S X-PRUS PERMlyermit • e Estimated Job Cost: $ cg ;OrTa•eo MAR 2 7 2015 Permit Fee: $ Plans Submitted: YES ✓NO TOWN OF �ARNk$T gewed: YES NO Business License# - 12-1/ Applicant License# 3Ub'7 Business Information: Property Owner/Job Location Information: Name: Name: el ftVc�( �i�T3 cccnaatl Street: Street:- 1 9i Cet/�� cid R oc� City/Town: q4✓WaL6-3G' City/Town: CMG: Telephone: LdA e Telephone: 57 - Z6s= if mi 11 Photo I.D. required/Copy of Photo I.D. attached: YES ✓ NO Staff Initial J-1 M-1- estricted 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-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional_ Other J. Square Footage: under 10,000 sq. ft. lover 10,000 sq. ft. Number of Stories: 27- Sheet metal work to be completed: New Work: Renovation: -Z HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: OuJ�r2 riJ,-tom - ff�G� 1��7 t r�itJ izL �z7h 5A�4` 1� � a8LO� L&z2 — Aar 14kdrvm 1 v NSURANCE COVERAGE: have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes[jj'No ❑ - 1 f you have•checked Yes, indicate the type of coverage by checking the appropriate box below: ' I k liability insurance policy Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only 2G Owner El Agent ❑ Sig re Unw, ner or Owner's Agent y checking this box[],I hereby certify that all of the details and information 1 have submiffed(or entered)regarding this application are true and ccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be i compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments I Type of License: Master le ❑ Master-Restricted y/Town ❑Joumeyperson Signatureof Licensee rmit# ❑Joumeyperson-Restricted License Number. 33?7 Check at www.mass.govldol pector Signature of Permit Approval The Commanwealth of Hassachusetts Department of_Tndustrzal Ac dMfS Office of Investigations- • � 'b00 Washington Street` ' . Boston,MA 02111 www.mass.gov/dia ' Workers' Compensation Insurance Affidavit;Builders/Contractors/Flec iiciam/Plumbers A P-PEcaut Information Please Print Ley. bIY Name(Business/orgaoizai?Qn/fr ;rl„a1);. tSI�,Z d !%C'.A1 /'� °, Address: k�T 1 gl�=LDS �S L,AN�028 �QQ / GI'(y/Sta&ZiP: ohf, AM OZ6 W Phone.#t` Are ya an employer?Check the appropriate bon , 4. I am a -Type of project(req i ed):; 1. I am a employer with� ❑ . general contractor and T . * have hired�e snbLca�actors 6• ❑New construction . employees (fall and/or part titnel, . 2.❑ I am a'sole gmprietor orpartaer- listed an the-attarhPri sheet 7. [4iemodelmg ship and have no employees These sub-car<tr=bzs have working for=in:arty capacity, employees and have wogs' S' ❑Demolition [No workers' camp.in.s� comp,.inst¢ance.$ 9• ❑Ba g addition recltmed.] 5•- ]'We are a carpoiatinn and'its 10.E]Elechzcal repairs or additions 3.❑ I am a homeowner doing a 1•wurrk officers have exercised their 11-❑Plumbing repairs or addaians Iyselt: [No Warms' com'P. �of exemption per MGL 12.E Roof repairs manrance requrired.J t r. 152, §1(4), and we have no employees, [No warms' 13.[] Other CIIIl�},incur xnrr�gpaed,j *Any applicant ducks baz#1 nmst also M out do section below showing thdswmk=,cm3peosaiioa policy information. t TT m=n nera Who snhn��s of davit mdic�ng they art doing all work and then him outside conlsadors mtist submit anew ajndavit g such --i mcIr a That check this boa Est attached an additional sheet showing the name of ine sub-conhaciars Mad stata Whew ornot those entities have —P� ff the sub-cont�el�bane—Plays,they mnstPcovid-e the¢•ors'camp.policy�bM I am an employer the is providing 7Porkers'compensation insurance fur my employees Beiary is thepalicy and job site rnformadon. Iusmsnce Company Name: Policy#or self-ins.I;ic.#`_ � 07 7�3/3d1id/� Date:_ Job Sit,Address: Attach a copy of the workers' compensation poficy-declarafton page'(sho�?mg the policy nnmbez and expiration date). Failure.to.sectme co7erage as regmed under Section 2 a of MQ,c. 152 can lead to the imposition of criminal penalties nf'a LL a&tip to $1,500.00 and/or one-year=qm 0 n'� as WeIl as,civil penalties m the form of a STOP WORK ORDER and a fe of'up to$250M a day against*7iolatm Be advised that a copy of this statement may be forwarded to the Office of I=esti>rations of the DIA far mstsance coverage Y fmzdon• I'do hereby ca#f ruder the pains-and penalties of'pm jwy azat the bVbrMagon provided above is true and correrG sie: d Date: Phone k — -- 0.9kial use anFy,.Do not write in this area to be completed by CftJ'or-fawn official City or Town: Permitucense •IssidmgAuthority(circle one): -I.Board of Health 2.Bufidiag•Department 3.My/Town C xk 4.Eectrical Inspector 5.Plumbing Inspector 6,Other Contact Person: Phone#: s i it 1 �I ^-. .�r' - J %�ItNSTN11.E,r MAM Town of Barnstable Reg -y Services Richard V.Scaly interim Director Riiilding Division I'ht,mas Perm,CRa Building Co)nmiesioner 3D11 Main`Jrcel. I l:•a)nlis.NIA(12601 _ q-t{•{SSIUtI'll.11aril�hltlll•.n)a.tlA i i"?ll:cc: �i?ti_$b^-;t15 Fis: _`.QS-'14-h'3St ! i Property Owner Must CatrzpIete and Sign. Si:ctian j if U i £'.A Builder i 64� W-tC),vncr=,!ti=.,-subicct property It17C('.b1'A'+.ICb(i!'1"li'- t�r��_r tC.n L_Lt�:Jti'�=~.`'� -f\C_M ACC Oil fits in all mnai'ri rela C?rt it;o;ttrk:1.1:iah i;;ir:fci b', il;ts bu!"I!ilit"it::rinit'alpplifatlr)n fist': ,Address of.f;b." I}titit Mime If Property Owner is applying&tr perruii,please compleic the Hmilemmers Liceitsc E{ emption Form on the reverse side.. i i T:'.ii?c\%R_Dliini?Jin_Chanveai:iPRFSti!'F.lt:Ll�l`.1•�T'ItISS.dn:; � _ Revised ilb 13 i DATE (MMIDDIYYYY) ACCORV' CERTIFICATE OF LIABILITY INSURANCEF03/26/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 Phone: 508540-6161 Fax: 508 457-7660 NAME:CONTACT Aimelda&Carlson Insurance Agency Inc. ALMEIDA&CARLSON INSURANCE AGENCY INC. PHONE FAx P.O.BOX 554 AIc No Ed: 508-540�161 ac No: 506-457.7660 E-MAIL FALMOUTH MA 02541 ADDRESS: INSURER(S)AFFORDING COVERAGE NAICO _ INSURERA :Arbeila Protection Ins Co INSURED BAYSIDE MECHANICAL CORP INSURER 'ARBELLA PROTECTION INS CO 41360 497 THOMAS B LANDERS ROAD UNIT 1 INSURER :Arbella Protection Ins Co E FALMOUTH MA 02536 INSURERD: AIM INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 29839 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCHP LICIES.LIMI S SHOWN MAY HAVE BEEN REDUCED BY P ID CLAIMS. liTR TYPE OF INSURANCE DD' py eI POLICY NUMBER POLICY EFF POLICY EXP LIMBS _ MMIDD MMIODNYM A GENERAL LABILITY 8500060168 09/01/14 09/01/15 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY 5AMAGETORENTED 300,000 PREMISES(Ea ourence) _ $ CLAIMS-MADE LV cc OCCUR MED.EXP(Any one person) $ 5,000 X BROAD FORM ADD'L INSURED PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY P 4-- LOC_---- — — $ B AUTOMOBILE L[MLITY 1020022473 09/01/14 09/01/15 COMB NGLE LIMB (Ea accident)dent) $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDF LEDBODILY INJURY(Per accident) $AUTOS NED)( HIRED AUTOS PROPERTY DAMAGE — $ (per accident) C UMBRELLA LAB JOCCUR 4600060170 09/01/14 09/01/15 EACH OCCURRENCE. $ _5,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED.J_X RETENTION$ ----5,000 ---- -$----J-- D WORKERS COMPENSATION AWC40070313702014A 09/01/14 09/01/15 TORYTLIMITS ER $ _ AND EMPLOYERS' LABILITY — ANY PROPRIETORMARTNERIEXECUTWE YIN E.L.EACH ACCIDENT _ $_ _ 1,000,000_ OFFICERIMEMBER EXCLUDED? NIA E.L.DISEASE-EA EMPLOYEE $ — (Mandatory in NH) 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD qs j , r , VFG4�rk pVFR gWWIT :, SAG Y�61+` 'tILvOYS.Y•D8r'xk.� t , i•:r/._•.::; ;x 1 *416 4 r au i ra .'�'! �O'4•,y��•5�r �#Jr �A �T�-0ll..O Iy�wM2..N �Y 1I.^. �� S,' ��. ��. ,� �� r 5�� Project Summary Job: Bothwell Residence v G J Date: March 26,2015 MECHANICAL CORP Lower Levels By: AI Gagne Bayside Mechanical Corp. 497 Thomas B.Landers Road,Unit 1,East Falmouth,MA02536 Phone:508-5484068 Fax:508-548-4406 Email:agagne@baysidertech.net Web:www.baysidemech.net License:Master.. For: Clancy Construction 68F Nicoletta's Way, Mashpee, MA 02649 Phone: 508-265-4911 cell Fax: 508-540-6586 Email: gregclancy7@comcast.net Notes: High Velocity Hydro Air HVAC. Hydronics by plumbing contractor. D - • • e Weather. Otis ANGB, MA, US Winter Design Conditions Summer Design Conditions Outside db 8 OF Outside db 82 OF Inside db 70 OF Inside db 72 OF Design TD 62 OF Design TD 10 OF Dailatly range L Reive humidity 50 % Moisture difference 39 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 23025 Btuh Structure 9956 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 23025 Btuh Use manufacturer's data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 9956 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 1055 Btuh Ducts 0 Btuh Heating Coolingg Central vent (0 cfm) 0 Btuh Area(ft� 1396 1396 Equipment latent load 1055 Btuh Volume(ft') 12560 12560 Air changes/hour 0.40 0.19 Equipment total load 11011 Btuh Equiv.AVF (cfm) 85 40 Req. total capacity at 0.70 SHR 1.2 ton Heating Equipment Summary Cooling Equipment Summary Make Generic Make American Standard Trade Trade UNICO SYSTEM Model AFUE 96 Cond 4TTB3018G1 AHRI ref Coil U1218*-1ST*E** AHRI ref 7185962 Efficiency 96AFUE Efficiency 9.4 EER, 11 SEER Heating input 35600 Btuh Sensible cooling 11060 Btuh Heating output 34176 Btuh Latent cooling 4740 Btuh Low output baseboard 600 Btuh/ft Total cooling 15800 Btuh Total low baseboard 38 ft Actual air flow 377 cfm High output baseboard 850 Btuh/ft Air flow factor 0.038 cfm/Btuh Total high baseboard 27 ft Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.90 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. S + wrightsoft Right-SuiteD Liniverwl 201515.0.14 RS000405 2015-Mar-26 20:36:17 A, Page 1 ...tslWrightsofthNAClClancy,Bothwell 3-25-15.rup Calc=Nl,� Front l�oorfaces:N BAqvc c Project Summary' Job: Bothwell Residence r VID ' 7 Date: March 26,2015 . MECHANICAL CORP Upper Levels By: Al Gagne Bayside Mechanical Corp. 497 Thomas B.Landers Road,Unit 1,East Falmouth,MA02536 Phone:508-548-4068 Fax:508-548-4406 Email:agagne@baysidemech.net Web:www.baysidemech.net License:Master... I For: Clancy Construction 68F Nicoletta's Way, Mashpee, MA 02649 Phone: 508-2654911 cell Fax: 508-540-6586 Email: gre0clancy7@comcast.net Notes: High Velocity Hydro Air HVAC. Hydronics by plumbing contractor. D - • o e Weather. Otis ANGB, MA, US Winter Design Conditions Summer Design Conditions Outside db 8 OF Outside db 82 OF " Inside db 70 OF Inside db 72 OF Design TD 62 OF Design TD 10 OF Daily range L Relative humidity 50 % Moisture difference 39 gr/lb _ Heating Summary Sensible Cooling Equipment Load Sizing Structure 30100 Btuh Structure 12805 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 30100 Btuh Use manufacturers data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 12805 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 3140 Btuh Ducts 0 Btuh Heating Cool in Central vent (0 cfm) 0 Btuh Area(ft2) 1964 10 Equipment latent load 3140 Btuh Volume(ft') 17672 17672 Air changes/hour 0.42 0.20 Equipment total load 15945 Btuh Equiv.AVF (cfm) 124 58 Req. total capacity at 0.70 SHR 1.5 ton Heating Equipment Summary Cooling Equipment Summary Make Generic Make American Standard Trade Trade UNICO SYSTEM Model AFUE 96 Cond 4TTB30241-11 AHRI ref Coil M2430C*1-B*++M2430B*1-ST2* AHRI ref 7185963 Efficiency 96 AFUE Efficiency 9.6 EER, 11 SEER Heating input 32816 Btuh Sensible cooling 14140 Btuh Heating output 31503 Btuh Latent cooling 6060 Btuh Low output baseboard 600 Btuh/ft Total cooling 20200 Btuh Total low baseboard 50 ft Actual air flow 502 cfm High output baseboard 850 Btuh/ft Air flow factor 0.039 cfm/Btuh Total high baseboard 35 ft Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.80 Calculations approved byACCA to meet all requirements of Manual J 8th Ed. !� V1l1'1 htsoft® 2015•Mar-26 20:36:17 C+� AC.:. 9 Right-Suite@ Universal 20l5 l5.0.14 RS000405 Page 2 wwrightsott HVAC\Clancy,Bothwell 3-25-15.rup Ca Ic=W8 Front Door faces:N N Level 1 23 ch 26 ch 26 ch 23 ch 2" 2" 2" 2- Di ni ng Living 23 cfin 28 cfrn ® En6ertainment 2" 2" 2" 2" 2" 2" 2" ® r4c 30c 32 ch 32 ctin29 cfm 31 ch R;en 22ch 2" 2" 7" Laundry 25ch Bath PDR 377ctm Job#: Bothwell Residence Bayside Mechanical Corp. Scale: 1 : 103 Performed by AI Gagne for: Page 1 . Clancy Construction 497 Thomas B.Landers Road,Unit 1 Right-Suite®Universal 2015 68F Nicoletta's Way East Falmouth,MA02536 15.0.14 RS000405 P Mashpee,MA02649 2015-Mar-2620:36:34 www.baysidemech.net agagne@baysidemech.net Phone:508-265-4911 cell Fax:508-540-6586 hone:508-548-4068 Fax:508-548-4406 ...VAC1CIancy,Bothwell 3-25-15.rup gregclancy7@comcast.net _ i N Level 2 27 ctm Bed 2 2" 129 cfm 2" M Bed 28 cfm 2" 31 cfm 2 ' 30 cfm 2" Star 121 cfm 127 cfm VI 0 Reuse 2nd floor return 31 cfm air grills and boxes Bath 2 34 cfm M Bath 33cfm Bath Q WIC 34 c 2- Hall 32 cfln 2" 2" CL 31 cfm 30 ch 2' 2" _ Bed 3 57" " Bed 4 j XBa 4 8" 8"2" 89c 2" 34ch ------------ 34 cf7ch 7 41 ch 65 cfm 38 cfm �06°0°°°'2" 2 35 ch Job#: Bothwell Residence Bayside Mechanical Corp. Scale: 1 : 103 Performed by AI Gagne for: Page 2 Clancy Construction 497 Thomas B.Landers Road,Unit 1 Right-Suite®Universal2015 68F Nicoletta's Way East Falmouth,MA02536 15.0.14 RS000405 Mashpee,MA02649 Phone:508-548-4068 Fax:508-548-4406 2015-Mar-26 20:36:3 4 Phone:508-265-4911 cell Fax:508-540-6586 wuwwbaysidemech.net agagne@baysidemech.net •••VAMClancy,Bothwell3-25-15.rup gregclancy7@comcast.net N Level 3 25 ch E- 2" 27 ch F Loft 2" 30 cfm 2" 33 cfm r 137 cfm 2 Star Hall 2 31 cfm 30 cfm 7" 8" Job#: Bothwell Residence Bayside Mechanical Corp. Scale: 1 : 103 Performed by AI Gagne for: Page 3 Clancy Construction 497 Thomas B.Landers Road,Unit 1 Right-Sufte®Universal 2015 68F Nicoletta's Way East Falmouth,MA02536 15.0.14 RS000405 Mashpee,MA02649 Phone:508-548-4068 Fax:508-548-4406 2015-Mar-2620:36:34 Phone:508-265-4911 cell Fax:508-540-6586 www.baysidemech.net agagne@baysidemech.net •••VAC\Clancy,Bothwell3-25-15.rup gregclancy7@comcast.net N Lower Level Cellar '! 75 ch 15 ch Garage Utility Crawl 12" Job#: Bothwell Residence gayside Mechanical Corp. Scale: 1 : 103 Performed by Al Gagne for: Page 4 Clancy Construction 497 Thomas B.Landers Road, Unit 1 Right-Suite@ Universal 2015 68F Nicoletta's Way East Falmouth,MA 02536 15.0.14 RS000405 Mashpee,MA 02649 2015-Mar-26 20:36:34 Phone:508-265-4911 cell Fax:508-540-6586 Phone:508-54net ag Fax:508-sidem ch VACOancy,Bothwell 3-25-15.rup gregclancy7@comcast.net wwwbaysidemech.net agagne@baysidemech.net 39-D fi � 1 �HE TOWN OF BARNSTABLE Building 17 Te' rrnit 201500839 BARNSTABLE, * Issue Date: 02/27/15 MASS. �ArFO 3�a�� Applicant: CLANCY,GREGORY J Permit Number: B 20150383 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/27/15 Location 189 LONG BEACH ROAD Zoning District LBSBPermit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 205033 Permit Fee$ 1,224.00 Contractor CLANCY,GREGORY J Village CENTERVILLE App Fee$ 50.00 License Num 85247 Est Construction Cost$ 240,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REMODEL FIRST FLOOR-NO CHANGE TO FOOT PRINT.REPLACE I VINfMS CARD MUST BE KEPT POSTED UNTIL FINAL WS&DOORS.NEW HEADERS,REMOVING ONE BEDROOM MAKE IT0121 TCTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: WITCO LLC BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 2070 ABERDEEN LN.,UNIT 203 INSPECTION HAS BEEN MADE. NAPLES,FL 34109 Application Entered by: JL Building Permit Issued By: THIS PERMrr,CONVEYS•NO RIGHT TO OCCUPY ANY STREET,ALLEYOR'SIDEWALK OR ANY PART THEREOF,EITHER TE RARILY Otfio A7 ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION...'STREET OR ALLEY,GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS,MAY BE OBTAINEDTROM THE DEPARTMENT OF PUBLIC WORKS.:.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION ,,�•' RESTRICTIONS, `-• ., _ . MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). h , IR 0 s,# BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS k 2 2 2 3 1 Heating Inspection Approvals Engineering Dept I Fire Dept 2 Board of Health i S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- d5 Parcel O 3 Application # 0 J �/ Health Division Date Issued ZZ I S Q Conservation Division Application J Planning Dept. Permit Fee A. a d y Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation /.Hyannis Project Street Address I ct /-0 AJ �7- Q--e-A&ff �0 6-b Village Owner t o ltr,�eLL_ Address Cf/S, Ah4wK_ ®47/f,�L1�SI��eG/� Telephone Permit Request R-e `no ®e L R-e-P L W/,A A©W S -j- bOC)P. 5 IV New ff,(0_4Ae. -Se2r 6P,AWiA) & A, 0% jy.-�e-7--,&i L_ , Remove / ?- _D2000i - AUL,,f-ce q1z17ckA). Square feet: 1 st floor: existing i`E3 proposed 1 2nd floor: existing) DO proposed F)4-0 Total new Zoning District G f3'�)L13 5 Flood Plain t VE Groundwater Overlay Project Valuation A 4101 D 00 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 I q Historic House: ❑Yes �kNo On Old King's Highway:'❑Yes�No Basement Type: Full ❑ Crawl Walkout ❑ Other Basement Finished Area (sq.ft.) �' Basement Unfinished Area{s'q:ft) Number of Baths: Full: existing new Half: existing "new v� � Number of Bedrooms: existing new Total Room Count (not including baths): existing /S new First Floor Rt om C0014tsl Heat Type and Fuel: kGas ❑ Oil ❑ Electric ❑ Other 4' H-A-- Central Air: Yes ❑ No Fireplaces: Existing a New ® Existing wood/coal stove: ❑YesANo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:)existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes XNo m If yes, site plan review # , Current Use 4-1NG Proposed Use 6� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �f e� C.�a h GtP� Telephone Number(-026--qcj �) Address (_73F EJ i c-01 C+" A�s (.,�a 4 License # L5- O 'b Home Improvement Contractor# Email %J - C(a•,c u ® C 8-N c G S+-/mot Worker's Compensation # wCl S t-9b I A Gs` ZONA ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO v n4 SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ; ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t aw askm,HA a2 Wav F .gr rIrra W(H ex L mr- ceAA Haw I tiersfC�mfac[�rsMectricians[Plrmbers I c a Please hia zbF� Na= r C sAdd c SAS CYE*fStat p_ "a s Phc3nf-- - an ezaplayer?Cfteck&uppmpriafebtrk. T afpFa ect Gaza a eacpleryrr vriffc6.1� ❑I apt a $I rir�tc(�r�d L ❑I4Te =4Aoyees(fall andlorpa�_iime * hc �e sn#corsxs I am a sore prcpaetnr orpartaer- SisteZ an ire aftac5:ed she X gg ship and haze no.euzglayees These sab a�txac tais have gIiilau forme is emplayees andha�wosfcess' T'f�T $ 4_ $uil�mg addiiian . L`'o-WQI�.CIS� C{3IDp_7n�Tranre Cep_mcnr�rrrr- „ I S- ❑ We are a corparadiaari its regat8 or addians _❑ I am a ham Truer Bering au v GdFL ham=r'sed their' 1��1'lambing repairs err addi}oa& if [No.Wad='.temp;. rsght afemmpfioa per 1vICx2 ._ U-0 Rngfnpaim . n,�rxAnr-�TF�fitt�d_I.T _ �1.5?s §1(�yavd�*eFrs��;ego.. - �oy�-[No Worimm �C?ther ��xry�apl�ranfthxt checks barrla ct-LwSIlantisseclionheTa��h� r Bwo��'coam�nssfioxlpot i uci firumPuarne:s x}�,.�t�'-3vs�daYu„-+,r-n-,•��y;.�T�m�`]j•.c-��_.,r thy*h�*e an]s�contraccnsmnsl snhsa[an.�zs�d.-cRt m"�sac�t �'�1LIl113 Znsl rhx'F rlI25 w/�ID'II'St S1�C}te(�sff SdrTifirtnai S11.2�'S}3U'KIDbl-b.e�OF�e S�7-Cffi�dl}`6milSf31'`i 1ThEtI1ECgCII[lt'�}I15E Ilz-'F=- - amplQyees_ If the -have en�&gya—,meg�st gmuidP thin v�arl�s'camg.p�m�b� lam erre Iv r ihrt ispMizHU911rarl ers'rOnT9rur ban;rz 4rartca far MY mq;iay Hefintp zs ffie puHcy aad job sztf zr�arx�m�iati � Tncm Ri�rp Go�pa $meS$6 cl^i CM/)I C -i erg- 3�d:r<r,t Cam( PoELy ram#err Seff-ins Lim� �LL S o� ,�> 12 C��2 �l`I A ExpiratiDnDate_ 1 f 1 Sobs I, LOn�; AttacTf acopy elffh-TMrkers'compeusaidhnpaaRcydec�ratiohpage-(shtwng thepolrynurm er OrdeN tioriEste}: Faihue fa 75 can Tend to t3re. nfcamir al pmahies of a fine up to.�L50a_0Q andfor ave-yearimpuso as wp-LU ax civil pr-aalfies in the fada of a STC71?,WGFX ORDER_and a:EnP of up to 50_00 a day agaia_st fht violater_ Be advise-dlbat a copy of this stdeme„t mU be ceded to,the Office,of Iuve:&,E ations:of the DIk for in an moo coverage v 147.bereDy r5r sn�ias of t:dwy diatfh�infornzaiianprmc dgd abava7 is h'ua and mrrect zlp� _ Daft Z i cLd LrS8 ml�y. Da riotWr�.ir�fkis area, z ba caarfpi��d b `rz ixrr�n u ciaL i Q'±T or To- P�r�;tlr,9cense# L Daar i ofHezbft 2.RuidffingIle� r a..t C HVFQwa O=k 4_Dec�al Easpec-fur CKher 6 Ii�iassacl��s r-feral.Laws chaptEx 152 ii- ui es all m mloyeas to provide worker '=:bDca afian for(Herr ersiployee Prnmautto this stare, an mpbyee is defined as'--may peism in fire service of�noi��nn e�any contact oflz , express or implied, oral or wdtimn-" . Aa mr vroye:ris defined as individual,partueaship,association,corpora==®or other legal eutZiy,or any.tFvo ormarz ' es of a decease d 1 er-or the - a�aiirrt en and 1g the I re resentafry emp°Y. > m � offhe foregoing®gaged 1 �s�> . . p . emPIo ees- However the receives o tr r ust =- of ad mdrvidnal,pa toeah;p,association or other Iegal enW,�PIDY y owner of a dellmghonse having not more than ire apardnents and Who resides therem, err the occant of the crwellmg house of another who employs peasons to do main ance, cons action or repair worm on such dv effiag house -or on the grounds or building appurtenant iherato shall not because of such employment be deemed to be van employer." _MGL chapter 152, §2SC(6 also stains thk'every state or local licensing agency shall withhold the issuance Or- renewal of a Iicense or permit to uperate a business or to constrmagt buildings in the corn monrwcalth for any applicant who has not p mduced acceptable evidence of coiapliauce with tie insurance-coverage requ yr-d.y Additionally, MGL chapter 152, §25C(7)states-Neeitirer fhe commonwealth nor any of its political subdivisions shalt enter m-to arty contract for the performance of public vrorkimtil acceptable evidence of compliance with the i cn rant- requimmcmts of this chapter have been preseniad to the contacting an�oritj.} Applicants please i�out the pwmiccLs'compensation affidavit completely,by checking The boxes that apply to yc�rr siiva cn and if necessary,supply sob-contractnr(s)name(s), addresses)and phone nunber(s)along with they c-riSc.tc{s) °f. rasurarice- Limittd Liability Companies(LLC)br Lim tedLi.abMty Partnerships(LLP)withno employees other mnthe members or par teas,are not required to carry workers' compensation insurance- If as LLC or LLP does have employees;a policy is requires Be advised that this affidavit m.ay be submitted to the Department of Industrial Accidents for confrrniaiion ofianaance coverage. Also be sure to sign and date the affidavit T11e anda)at shotLd be, t-med to the,city or town that the application for the_pennit or license is being requested,not the Depalznent of Industrial-Accidents- Should you have any questions reg� - i�ie lave or if you are required to obLin'a vrorkers' compensation policy,please call i`he Department at rise number listed below. Selz insured companies should enter their_ s(--lf-n,arrance ficense ninber on the appropriate line. cityor Town Officials Please be slue 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 oflnvestigatzons has to contact you regarding tbenplicant Please be sure,to�I m the peur�it/Iieense ntnnber vd?ich-wM be used as a reference number: In add= oa-an applicant that must submit multiple peanitlEmme applications err any given year,need only submit one aihdavit lumcanng cirri-nt policy infornraiion(if necessary)and under'Job Site Address''the applicant should write"all locations in (city or . town).-A co of the affidavit that has berg officially stamped or marked by to city or tDvrn may be pro tided to the applicant as proof that a valid affidavit is on fsle for future permits or licenses- A new affidavitmust be.i)Iled o irL each yea:.Where a home owner or citizen is obtaining a license or permit not related'to_any business or commercial Venture (Lt.a dog license or pewtD bum leaves etc.)said-person is NOT req to complete this afadavZt `I51e Office of lnvestigaiions would 17ce to thank you in adivaace for your cooperation and should you have any qt s ions please do not hesitate to give us a caII The Department's address;.tElephoat and 5xntimber Dt AA=at of JnLd al Ac,—dM�: - - a1an �Washingtm St=1 - ) -a ZYfA 02I11 Revised 4-24-0 T The Commonwealth o h olth Massachusetts ,. \. f Page 2 Department of IndustrialAccidents Office of Investigations b�0 Washington.Street Boston MA 02111 www.mass.gov/dia Workers' Compensation.Insurance affidavit: General Businesses Applicant Information Please Print LegibI� �'-�-a �;..r.`t4��i:��s,�.^c��r`�"•.-.�'Y'-�`��"«.�'`3-''r''"t��S.'.a�s� _...r �t.,.,e.,.cs,c rTi� teE ,.��v^'t7;»� �✓�T .r I�y� �Z'E,��-.5� jj�� A`�5.�.� '�£:ae:.�K:Vs�_ "L;Ss��.�Y.u.s.r�i4e�.:.- ti�.��:�'1.e'1�3'.SfY' �J�ur.-s'�•�3�.�r��,�G�C�x�iL�N� �X�ewaxrv"Yia�W-w� Name: Address: City (� �/� State r•t/'� Zip (Ja6 Phone Work site location full address) R b C 71*t Vl(,{,1 �_- .,..-:,�' �L:�.;,� � :,4r`�:.,"sS iJ� '"x^r.,;z? .�h.,.��s....ra�'�-•'..�,"��•��-��>.:.,�� ''�5 '��-.,r,'.ra�4a"'i^...r..,'�� '�t �?.a��.4:, i Company name: Excavation Address: City Phone Insurance Co. Polic #I ' w'.................. ': L ; Company name: z Foundation Address: City Phone Insurance Co. Polic # a`c w Y. -- 7- k . T— Com an name: Frame . Address: , //� , City 4'V Iv we e NI/J r 'Phone Insurance Co- Policy#! `-- :F_.�.:,a•�'�....=,ta-rs,n"�w� ...�v 'Y.�r'�... ,n,--a,- _.�xr.�-�;.�� ,.:s ti 4ui.�. '"��as-'fi �.-'�='r' ° .'`�-�.e�i.$:. 7•wu'��,s ?,m..cC.z.e� �,. 'w..:�..c.. � .,��,.5h�,.�` •G�m �`,�'�ade �sP� Company name: O-o L-e1'►�-t] Insulation Address: City Phone Insurance Co. Policy# Company name: C (i //r` Drywall Address: City Phone Insurance Co. Policy cam--. a Com an name: Finish Address: p city V UO �-,.- _ Phone .. Insurance Co. Po1ic n f kt- Ya, ,�i a.. . �. �.J' i 4r +v.7a.� ' >Y .� '` ,)��tJtb }f,;I> � AC 0 - _ DATE WWW.mxY) U ;CERTIFICATE:OF LIABILITY INSURANCEµ . 1 „: s8lzr%2oi4a '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 AFFORDEDrBY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT'.B.ETWEEN THE ISSUING INSURER(S), AUTHORIZED "' REPRESENTATIVE,OR PRODUCER,AND THE CERTIFICATE HOLDER. IV, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If.SUBROGATION IS,WANED;�subjecf'to� the terms and conditions of the policy,certain policies may require an endorsement A statement-on this cerUftcate"does not:confer rights to the c� certificate holder in lieu of such endorsemen s). PRODUCER NAME•CT t EiII Courney igan Murray & MacDonald Insurance Services, Inc. PMONE F,, (508)540-2400,.. FAX (SOB)2E9 4111 ;+ _. 550 MacArthur Blvd: - EMAIL AnF3Rrrq:cfiniganQmm1:si.com INSURERS AFFORDING COVERAGE NAICf Bourne MA 02532 INSURER A:Arbella Protection. Insurance INSURED INSURERB:National Liability & Eire e". Colony Insulation Inc. - - INSURERC: 28 Jonathan Bourne Road INSURERD - - INSURER E Pocasset MA 02559 INSURERF: COVERAGES CERTIFICATE NUMBER Master 14-15 REVISION NUMBER: . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY`PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUBR POLICY EFF POLICY EXP LTSRR TYPE OF INSURANCE POLICY NUMBER MM DD/YYYY MMIDD OMITS GENERALLIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO N 100,000 X COMMERCIAL GENERAL LIABILITY PREMISE Ea occurrence $ A CLAIMS MADE a OCCUR 8500028928 8/18/2014 8/18/2015 MEO EXP( one person) S 5,000 PERSONAL 8 AOV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMP/OP AGG S 2.,00 0,0 0 0 7X POLICY PRO- LOC S AUTOMOBILE LIABILITY (Ea ac dent 1NGLE LIMIT -1,000,000 BODILY INJURY(Per person) S A ANY AUTO ALL OWNED X SCHEDULED 1020005705 8/18/2014 8/18/2015 BODILY INJURY(Per accident) S AUTOS AUTOS PROPERTY DAMAGE NON-OWNED Per cdent S X HIRED AUTOS X AUTOS UndernsuredmotoristBlsplit S 20,000 X UMBRELLA uaB OCCUR EACH OCCURRENCE S 3,000,000 A EXCESS LIAS CLAIMS-MADE AGGREGATE: S DED X RETENTIONS 10,00 600028929 8/18/2014 8/18/2015 H- S bVC STATU- OT B WORKERS COMPENSATION AND EMPLOYERS'LIASIUTY Y/N ANY PROPRIETORrPARTNERIEXECUAVE EL.EACHACCIDENT S 500 000 N OFFICER/MEMSER EXCLUDED? IA 80114BLNDWCNLP ' /18/2014 8/16/2015 (Mandatory In NH) EL DISEASE-EAEMPIOYE S 500,000 If es,descnbe-under _ E L.DISEASE-POLICY LIMIT S 500,000 DESCRIPTION OF OPERATIONS baba+ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD+ot,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION s :. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN . ACCORDANCE WITH THE POLICY PROVISIONS. Greg Clancy Construction 68F Nilettars Wa u, co y AUTHORIZED REPRESENTATIVE E .Mashpee, MA '02649 i tit S Harrington, CIC/SMH ACORD 25 2010/05 ©1988-2010 ACORD CORPORATION All rights reserved �L ..INS025i2o+aosjo+' )� The ACORD name and logo are registered marks of ACORD a � Aco CERTIFICATE OF LIABILITY INSURANCE DATE (M201 YY1) 12/01/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON.THE CERTIFICATE HOLDER.THIS + CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Phone: 508-540-6161 Fax: 508-457-7660 CONTACT. Bob Allietta - ALMEIDA&CARLSON INSURANCE AGENCY INC. NAME:PHONE FAx /C No Ea: 508 888-0207. >( c No, (508)888-0550 P.O.BOX 554 E-MAIL FALMOUTH MA 62541 ADDRESS: rallietta@almeidacarlson.com INSURER(S) AFFORDING COVERAGE NAIC# - INSURERA :Essex Insurance Company INSURED - - GREG CLANCY CONSTRUCTION INC wsuRERe :gE1C 68 F NICOLETTA'S WAY INSURER MASHPEE MA 02649 INSURER D: INSURER E INSURER F - COVERAGES- CERTIFICATE NUMBER: 29004 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE.NSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADO'Li SUBRI POLICY EFP POLICY EXP LTR TYPE OF INSURANCE INSR r WVD I. POLICY NUMBER IMMIDDIYYYY) (MM/ODIYYYY) LIMITS A GENERAL LIABILITY I j 3DW7926 1111 /15 4 11/15/15 EACH OCCURRENCE $ 1,000,000 k DAMAGE TO RENTED ' X COMMERCIAL GENERAL LIABILITY PREMISES(Ea accurence) $ 100,000 one person) $ 5,000 CLAIMS-MADE 17 OCCUR MED.EXP(Any, - PERSONAL&ADV INJURY $. 1,000,000 GENERAL AGGREGATE $ .2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY JECT LOC I $ _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i (Ea accident) 'ANY AUTO I BODILY INJURY(Per person) $ - - ALL OWNED SCHEDULED AUTOS I. 'BODILY INJURY(Per accident) $ 'HIJREDSAUTOS NON-OWNED I t PROPERTY DAMAGE $ ----- AUTOS I I I I (per accidenq , I , _ UMBRELLA LIAB f I OCCUR EACH OCCURRENCE $ EXCESS LIAB j CLAIMS-MADE AGGREGATE $ DIED I RETENTION$ $L - e RYrU sAru- B WORKERS COMPENSATION WCC500501267920141A 11/15/14 11/15/1 w 5, I rOMITs I o ER rH $ AND EMPLOYERS' LIABILITY - ANY PROPRIETOR/PARTNER/EXECUTIVE YINI E.L.EACH ACCIDENT I $ 1,000,000. OFFICERIMEMBER EXCLUDED? N:1,1 NIA _ - I E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory In NH) If yes,describe under I - DESCRIPTION OF OPERATIONS below - '. I .L.DISEASE-POLICY LIMIT $ 1,000,000 - I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required). CERTIFICATE 'HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: Bob Allietta ' I ACORD 25(2010105) ©1988-2010 ACORD CORPORATION., All rights reserved. The ACORD name and logo are registered marks of ACORD .:yy ';ay+x,lnJ (i'..:'<A 5. .•ti4J;,'{ ;";•, � d.hr. an.'fiq;r..t[ .'Ye % ,/:. r `e a• a p ,1, ,F 'r� d k i,m-t a ;p„�y'•y fi.-"k„r.. ++,,,,.+,. !S; } r�i'�.tii F,+.�. BELOW _. ,_ ,�r�[,`�.:,7>•. x,� .;. :.wi::�`2 S �; .-:.ta. t.I�St .t�t '�rn�. c,a rt, ;.ax a�':�'•: •i ":t:^ t �, a f .x: �"�' tr, ��.y. r 'l�v✓- t �� ,rq t � :}i I r�. r Y xr d f i,4 iru �< {, ya,t w M:mc:. ,�, < r 4y. ,+�a..[Y.it ".,z.,r�49; �{f`P+F�✓ ."t<=�3F n,},fin {w S..iia- 'l k'tily>a-.iAr ` j a. Ti ' ` -4 vs�".23r� � .,�'z! �. ,.,�t+�^�,s,� v:*i?"� I c °.r• g.r� i,�:, d 'C'�.. v .� R,v �a - 2S+ ,�e.+y `;' t +{R�.-' g• , • - ;; , ,>•^°.-. 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''�"�'� -,;x F�::: �t ��r�'''''��:�it�f �i ''s� � �:��t�,.'��'� n7; ��,�s, � �ti,�.,+ � tit.7: ,�s�clv�r•;�Ss�d�r,,.P.i��'��;� �V"�� *,`" � �o-:��tS�S'�a�'��4°�'z,.:��1�.:�'.,:€+•�':� t;?':'./,R3. xr! :hG'�v:k, ,h.._M'r. ,+s••+-u"� J f f Cons'n' /,tul dc< J.ttoneGf . .License or re istration v lid f Office of Consumer Affairs&Business Regulation g, ,,;.Or,indrvidul•use only OME IMMPROVEMIENT CONTRACTOR' beforgithe ei:piration date.;�f�fpund return'to: t.:r-.. t•J y t )n ^ 3I;W ltt � egist7ation' •t7��g6 a `% 'Type: Office of Consumer A fags anBlibiog�s^Aegulation 5/5/20tt3 Corp f1Q ParktPlaza-Suite �Q1d�a xpiration oration .r,ci,siigx] Boston,MA 02116' GREG CLANCY CONBTkR-ffiON ik. ;':IT^U,iT361J0 YC✓t ;J GREGORY :MNJO YrIOaS,^u 68 F NICOLETTA'S WAYS Pi1ASHPEE,MA 026.4p., - _ ;Undersecretary ;: Not'valid without si a urea^"� ,'39H2.-''•`� ( s Massachusetts -©epartment^of Public Safety Board of Building Regulations and Standards Cons trucriott Supervisor I License.: .CS 685247 GREGORY J CLA,k�YCY `- 68F Nicoletta's Wa} Mashpee MA 026.19 " L - Expiration. ii "Commissioner 03/02/20161. ViE Town of Barnstable ` regulatory Services t 9anxrrMASSsrE� Richard V.Scali,Director i6;9 �m `'rEn►aa�a Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 'Property Owner IVlust Complete and Sign This Section If Using A Builder e�'t7 -e i I , as Owner of the subject property hereby authorize are G('e-� �� ion. In c. to act on my behalf, mall matters relative to work authorized bythis building permit application for Iq . l_n.(N ►3taz,k Z)a ( ddwss of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. , Signature of Owner Signature of Applicant Print Name Print Name Date f Q:FORMS:O WNEUF-RMISSIONPOOLS Town of arnst4bf Regulatory Seme.es aFe r Richard V_Scali,Director o BT1IYdII1g DTVISI07Z W..axsrAsrE . Tom Berry,Building Commissioner y°o �� 200 Main Street; Hyannis,MA 02601 www.town_barnstableana.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATIOK- number streeet 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 laud 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 erformed under the P p p rh budding permit- (Section 0 _1.1 9 1 The undersigned"homeowner"assumes responsibility for compliance vith 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 Deparhnent minirmum 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 wiih 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 q P from.the provisions of this section(Section 109.1.1 Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,RuIes &ReguIations for Licensing Construction Supervisors,Section 2.I5) 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 Iicensed Supervisor_ The homeowner acting as Supervisor is ultimately responsible_ To ensure that the homeowner is fully aware of his/her responsibilities, many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities. of a Supervisor. On the Iast page of this issue is a form currently used by several towns. Xau may care t amend and adopt such a formleertification for use in your community. QAWPF=\FORMSIbuiIding permit forms\EXPRESS.doc Revised 061313 tom; Town of Barnstable Permit Expires 6 monthsfrom issue-date Regulatory Services Fee �— kieaiXst ;';_ . Thomas F. Geiler,Director ArEO�L Building Division -PRESS PERMIT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 O C T 2 2 7 0 j 0 www.town.bamstable.ma.us -Office: 508-862.4038 'TOWN Xxs 4T6%-E EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint C�10 i/ 2v Map/parcel Number 205 - 0 33 Property Address 1$9 Lo nq PC`PA Co k-k rat (I-e MA ($(Residential Value of Work'" 'r 7 `/ Minimum fee of$25.00 for work under$6000.00 l — Owner's Name&Address t-)it N LLB on70 Abe U v,_� L,nJ ao3 leS FL 3410c( Contractor's Name �Ci►*t �� C1U✓Y1� �vv�(�rGy� dVl E.n Telephone Number 5OV- -7 -7.5--i 1,`1.8 Home Improvement Contractor License#(if applicable) 10 3 .7 5 Construction Supervisor's License 9#(if applicable) CS (p(s y •� Vorkman's Compensation Insurance ` Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑-have Worker's Compensation �-Insurance Insurance Company Name� O Gi C -� ..t_vl&L. S�r "CIS (Yl� Workman's Comp.Policy# 1)L,) 7(7U`�9 4 3 U 12,00 7 Copy of Insurance Compliance Certificate must accompany each permit. 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 #of doors Replacement Windows/doors/sliders.U-Value 3a (maximum.44)#of windows '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. ome Improvement Contractors License&Construction Supervisors License is ' SIGNATURE: qreerd , QAWPFM\FORMSIbuilding permit fonns\EXP doc Revised.090809 TIME Town of Barnstable Regulatory Services Thomas F.Geller,Director MAM �Fo 16 Building Division Tom Perry,Buildfng Commissioner 200 Main stroct,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 . Property Owner Must Complete and Sign This Section If Using ABuilder I c ilk ,as.Owner of the subject property hereb authorize 16LT to act on my behalf, Y mall matters relative to work authorized by this building permit application for: `1 Lvn e&cln Ro - r c .(Address of rob R' 3G-lb Signature of Owner Date Print Name If PropertvC ler is applying for permit please complete the Homeowners License Exemption Form on the reverse side. n-PnR MR-n VIWRR PFR MT.CC1OW I The Commonwealth of Massachusetts Department of Industrial Accidents Off ice of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Aaplicant Information 1I Please.Print Legibly Name(Business/Organization/individual):S A r;y)IG..12 7—m rbV _r)ne_nf — Address:- Kf �14e_ Po City/State/Zip: i Oa(pQj Phone#: 60 Ff- -7 7.5 l-713 Are you an employer?Check the appropriate box: Type of project(required): -,� 4. I am a general contractor and I 1.I r� 1 am a employer with � 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, (]Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers'comp.insurance comp.insurance.= required.] 5. � We are a corporation and its . 10.❑Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. plo a s.[ and we have no � 1 t employees.[No workers' 13.❑ Other. 1cucQ .-.,1' 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 coetnrctors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities 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 poUcy and Job site Information. Insurance Company Name: QSS06-ia�&AS�nc�u5 (tGS t5"t'" m�► Policy#or Self-ins..Lic.#:PLAX, 700 9 9 q &aj jtb(n Expiration Date: nt Ot Job Site Address: V0 L0 A u BP.QCJ\ ROS A City/State/Zip: Ckvder�t Ae-. MA- (o 3J,, Attach a copy�of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to sdoiie coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1;300.00 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 insuniQ coverage verification. 1 do hereby eerti nder e s and penalties of perjury that the information provided above is true and correct. Siena y O — Phon #: Official use only. Do not write in this area,to be completed y city or town official, City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: RATE(MMIDDIYYYY) Rai® CERTIFICATE OF LIABILITY INSURANCE OPID DS 3PRIN- 1 Ol 05 10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Bryden S Sullivan ins Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 88 Falmouth Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 Phone_: 508-775-6060 Fax:508-790-1414 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Associated Industries of MA _ INSURER B: _ Sprinkle Home Improvement Inc: -INSURER C 199 Barnstable Rd INSURER 0 Hyannis MA 02601 - --- -- - 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 6E 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. LTR NSR TYPE OF INSURANCE POLICY NUMBER - DATE MMIDD/YYYY DATE MM/OD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES Ea occurencee) $ _ - CLAIMS MADE OCCUR I , MED EXP(Any one person) $ PERSONAL&ADV INJURY $ I GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: I I PRODUCTS•COMP/OP AGG $ POLICY PRO• LOC JECT AUTOMOBILE LIABILITY j , COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS i I BODILY INJURY $ SCHEDULED AUTOS (Per person) HIREDAUTOS I BODILY INJURY NON•OWNEDAUTOS I (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ ]DEDUCTIBLE _ $ RETENTION $ $ WORKERS COMPENSATION - AND EMPLOYERS'LIABILITY TORY LIMITS ER _ A ANY PROPRIETORIPARTNERIEXECUTIVEO AWC7004943012010 01/01/10 01/01/11 E.L.EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? L__I — (Mandatory In NH)' E.L.DISEASE.EA EMPLOYEE $500000 If yes,describe under SPECIAL PROVISIONSI,elow E.L.DISEASE-POLICY LIMIT $500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS' CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION SPRNKHO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Sprinkle Home Improvement, Inc IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Fax #508-775-1350 REPRESENTATIVES. Margo Mack AUTHORIZED REPRESENTATIVE 199 Barnstable Rd. Kelley A.Sullivan annis MA 02601 ACORD 25(2009/01) 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Officef`Co m a�Es fsines` ao or registration valid:for individul use only License HOME IMPROVEMENT CONTRACTOR before the expiration.date. if found return to: Registration:=1.2 57 Type: Office of Consumer Affairs and 96usiness Regulation Expiration: Private Corporatic! 10.Park Plaza-Suite 5170 = Bostoa,MAM116 VSKLIE`Hoym P NC. Brad Sprihkie --77 Hyan`n�s,h/1?F 026i �w � Undeisecretairy Not validithou#sign tune M.t`s:iehusetts- Department of Public $afeo Restricted to: 00 Board of Buildinlg Regulations anIsm d Sfxnd:trds 00- Unrestricted Construction Supervisor License 1G-1 2 Family Homes License: CS 6643 Restricted to: 00 BRAD K SPRINKLE ' Failure to,possess a current edition of the ' 190 L0TI4R0PS LANt< `' Massachusetts State Building Code W BARNS LE, MA 02668 I is cause for revocation of this license. B M1+. i =x: i Refer to: WWW.Mass.Gov/DPS Expiration: 10/8;2011 ('unnnissiuner Tr#: 5478 cFTME ' 'own of Barnstable. *Permit#,:W+j Expires 6 months from Issue date Regulatory Services Fee 00 s �08 Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner X-PRESS PER 200 Main Street.Hyannis,MA 02601 Office: 508-862-4038 MAY 2 7 2005 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTUMWVARNSTABLE Not Valid wltltout Red X-Press Imprint vlap/parcel Number 'ropertyAddress_ /,93P' A"C1/1/ ( MDf7ZW/LC& VResidential Value of Work ,-S,, 0 Minimum fee of.$25.00 for work under$6000.00 .)wner's Name&Address contractor's Name_ i�!% Telephone Number come Improvement Contractor License#(if applicable)__ &V 'onstruction Supervisor's License.#(if applicable) ]Workman's Compensation Insurance ' Check one: ❑ I am a sole proprietor ❑ I am the Homeowner , VI have Worker's Compensation Insurance insurance Company Name Vorl=an's Comp.Policy# :opy of Insurance Compliance Certificate must be on file. 'ermit Request(check box) 9�rRe-roof(stripping old shingles) All construction debris will be taken ❑Re-roof(not stripping. Going over existing layers of roof) Re-side [] Replacement Windows. U Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town departn=t regulations,i.e.Historic.Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement tractors License is required. ignature "•Forms:expmtrg evise063004 F-- all, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street, e Floor Boston,Mass. 02111 orkers'Compensation Insurance Affidavit:Building/Plumbing/Electrical Contractors H 5A, I—————H a_P X-RV IF, name: <_7-- �-IAO e4K address: city zzz I��6 state: 42-4 zip: nh one# work site location(full address): &=A? X2 I am a homeowner performi'rg all'work myself Project Type—: New Construction VIRemodel I am a sole proprietor and have no one working in any c�pacity. Building Addition an employer providing workers'compensation for my employees working on this job. company name: address: Zz� C I ity: phone 0: _:Zz_f Z2 5 insurance co. W,,5— lwlicy# ./,� E] 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: company name: address: city: phone insurance co. policy# comipany name: address* city: phone#: insurance co. policy U 1211"to 3'T K Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one 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 maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under;hepains andpenaftie�soperjury that the information provided above is true and correct. Signature Date Print name Phone# official use only do not write in this area to be completed by city or town official f !a us fil c Fle o n dorMn write in this area to be 'y ot city or town: permittlicense# []Building Department ElLicensing Board if im i't is C3 check if immediate response is required [:]Selectmen's Office []Health Department contact person: phone#; (reviscd Sept.2003) —[:]Other— M`J 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 commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. 6;T'.JI;T!+.�• 'ir'!P-y. k...,�" .7A,a 4'n: L.iy.�'.':7�`�� {t:i-� �.. .: .'."£ '��~'.:•t��i ..yS4 f:4T��a.....! 3'%:�'.':':;.'.,'^.'y i- : Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, 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. yBS .. '!:TiA' •'.T'7F•e::'.a .@ e•v'.�:RR'Ty- C:, _ -.:l.r'G;�l:^': 3. 'S.Vt.I: -YP*:'i;CTi .bey;F.S*� F •.:.?.;'k T'1 'E /� aPl �aY.. - ,+;t�N.: '. r. :i%^ '.:;. •..;M.•.,.'- .l{,ice!.!`:. .. �g$a ;nr _ ti.rr:' :` ,G: , ',i-• - -^,'.:F'•: V� :�,. -,. -.:S?a�:3.a'.- is i.t','•.^.'+.r` .f:` 'd...F•.. � p .eA'�'.w NS: �:4,. ..¢ ..n .. `. "s.' '-".� i7� .: ,,,"';.kG:. R�•��ri•. :.z:-•.:iS: Y,eiY�a _.2$a' Y t~u�a'�kC+i1,`"F- �`R kL f 4-.`'s�-t�kt"y `cy R "fir s'�f+tikn.3�N"' 'Yq, 0.:a•4.:'l "�31 ':L.- k' f 4 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 to 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. :.. y ..?ks��;.,?a, ';'l^ ;��?;• ..;n��'�;:. 'sh':;;. .Y-<:: .� "i;C....r .a...riY:tk�::;+r-.., il�:o-,`.:z-�T.1. .^T-;. •.b�::;-# `n"yAG` }p "F_ t.t ..�;•4a-•k.7.'•2..� - _ ,L1_. .iF�.: N.:�.:p':,,c- .,i.Kx...k;;�.+a' ;�.. -.:5... .� r� C x3{%' +: vk^, i:C.: 'd��: ,ems � 3 r ,Y F x'�>�� :.r^ '0? *s,..+�Nt?. �-o.�i p•.£�k u "'� � x#tw��` 4. �.p.=b-€... ,�arr�`"X...��•�* �'L-�'...x�%`�x' �";i3 ><+- t= ar.. .,�-.w"2�.. ^'�._ 'e�>, .,;a,;.;b, The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7"'Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 I - - /fit i• Town of Barnstable y0f�Tojy� ' �.� Regulatory Services LA omw F.Geger,Director Building Division '°TanMp'� TomPerrh Building Commissioner 200 Main Street, jjyaanis,MA 02601 w.townbarnstable;ma.us Fax; 508-790-6230 ' Office: 508-862-4038 Property owner Must Complete and Sign This Section If Using ABullder as Owner of the subject property to-act on my behalf; 'herebp authorize in all fitters relative to work authorized b7this building pemrit application for' (Address �JO 1 afore of D Owner a g Print hTame ' I A • 04 r ^�_._. . ••--mot_____..,., .. ._;_•___._ ... t A/te leamrreo�zuiea" a�✓�aaaac�usaelCa'' �'' i Board of Building Regulations and Standards . y r HOME IMP OVEMENT CONTRACTOR Registry�100497 2006 to Corporation DAVID COX,IN " (` David Cox 19 LAVENDER LN W.YARMOUTH,MA.02673 Administrator Administrator ., 1,R,..3-4f, tfy +%-,,d' tt r ''�4'` 4..IPw,.,u'+:*ti:..: 'C'.�E.nt:.,.� f� 4.f.Zyvr„ .c x �"��sL;J4SVL'N,�. .'aSM NS.3�.S9 dfi.y;l s;rAr. i v.F.w �)':¢j,,.:•G .4�:a�.._. . L.'Y+.. . IY�.L .Assessor's office, (1st floor): s J Assessor's map and lot number ...... '-tee... .��...-may... ..... SINE Toy♦ Q Board of,Health (3rd floor): Qh ��/ ti/r -!� / /�j fO� Sewage Permit number ��/ `"I U.!....::. .... (.3(.7 " f r .....•..... i i b Z NAUSTaD4L;'i J , :.' rasa f.. Engineering Department (3rd floor): ,f, o House number ..............................r..i....................................... .: c�AYa`_ Definitive Plan'Approved by Planning Board --------------_-----------------19-------- . APPLICATIONS PROCESSED 8:30-9:30 A.M. and" 1:00-2:00 P.M. only TOWN OF BARNSTAWBL BUILDING INSPECft;d1-R� (ZF-i1Yl o jaL.- APPLICATION FOR PERMIT TO ....... A1 ?�. G� -... 44I ....;F . r .....,....F ...: ./ TYPE OF CONSTRUCTIONoo� .y .. .............19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ .o. ....Gff�Cs...�� C .AI... v.!r�,l .........Lt��„ ,i��, -rC ..............t�.v..'(J.� ...... ProposedUse ........ fir 5�� I ` .................................................................................................................................. Zoning District .....".........- ••.......................... ....0 +!1/, �r 0 ��................................ Fire District 166 wry.14 L Name of Owner D(17a.�(:.�... .r .��...........................Address ..f o..l. /V' �'! /�,L2/ ..a.....S.L�. .�t�� v� Name of Builder r....0,4RW'.Y.:F i<Address ..t2X...3/0.....Ge.,.... � -��-r............... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ......../.........................................................Foundation ....................�.......-....................................... r / Exterior ..........`5A :.................................................Roofing .....E! .�a �!Gr%.................................................. Floors ................". .'.~.................................................Interior .......4!✓fd_�� ) . ........................................................... Heating E,t~ r 1�� ® 1��'.��...........................Plumbing ....... ................................:........................... C70 Fireplace ............Approximate Cost Q .................... Area . ..... .:..... f. .......... Diagram of Lot and Building with Dimensions Fee od'4- g 0♦/ L006 alFAC-4 ice, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... �' ...........`% - .............. ` /tructio'n ��Con Supervisor's License�.j. � WADE, -;DUDLEY A=205-033 No ...3 3.9.71. Permit for ...Ad d.i.t.i.Q TA... ...Remo.de 1 .......S. Dwell.i rig......... Location ...... L.oag...B.e.ac.h...Road........ ....................... ..................I......... Owner ........Pqdle-Y...W.Ade.............................. Type of Construction Frame........................... ............................................................................... Plot ............................ Lot ................................ Permit Granted .... 1.4.,...19 90 Date of Inspection ....................................19 Date Completed ......................................19 /U PERMIT c?n- 0/b COMPLETE ',Assessor's office.(1st'ifloor): THE Assessor s r5ap. and lot number ....... . ... - ••• • SEPTIC SYSTEN11111U�T Board of Health (3rd floor): Sewage Permit number ..... W.7 ♦aasTsnte, Engineering Depertment (3rd floor): s M 0� M6 i679 Housenumber ......................................... .............................. o YaY a� Definitive Plan.Approved by Planning Board ------------------------_-------19-------- .TOM REGIJLWNS APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only b P P R 0 Y E D TOWN OF BARNS At* ervation Commisslo. ri BUILDING - INSPE -- �� t2 mp , �'igud®A� Data APPLICATION FOR PERMIT TO ....... j�. .Lu. ..84751*.................... TYPE OF CONSTRUCTION ..... ....Da ... .......!..... 4.............................................................:........................... i � • "Sir �:.t p TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ....... .P1.1.....L'C�l�w...%3.....•!T.��T... :.6......... ............ e71.....: ProposedUse 2 � ......... .................................................................................................. Zoning District ........Fire District .... �C `CI �L- ,�i 6e. wo1 u� Name of Owner Duw eq...W/ IS.T ..........................Address .I..( .. / G�.. I�/ ... ........ �C�.. orName of Builder .. cl.�sv...AU4R. A. Address ..2. ...3/0..... .� -..................... / (�l Nameof Architect .............................................................'....Address .:...:.............................................................................. ,Number of Rooms ..................................................................:Foundation Exterior ...:...:.? A115 ,��...................................................Roofing .... ./.lC[/ Floors '�—......................................................................................Interior ........�JO.�d. b........................................................... Heating . ...........................Plumbing ....... _Fireplace .......:.........................................................:................Approximate Cost ......... .......°..............................:... Area .... ... . ...g..................... Diagram of Lot and Building with Dimensions Fee �- !` t� Lo,N(o aeAatt OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I ,hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above r construction. Name . ... ...... :... ...... ... .......... ............ .......:...... Construction Supervisor's Licenseo-3. WADF,, -DUDLFY . i q 3397.1 for ....Additio. . . n.... ... & Remodel.N�ti..............._. Permit ....... .... .. .... .. .. -Sin le FamilyDwellin ................g..........%......... ......................9......... 1'89 Lon Beach Road Location g........................................ ...................... `. .................f.Centerville.......... v 1. Owner .......Dudle.Y.. Wade..................'............ '" !�1 � �•;- •� r " .. _ . ,,..�_--_- - - —_. - , - , Type of Construction .Frame - �. ............................... ................... .... .......... !•' f l' i. ,! s : . Plot .......... ............. Lot .................. Permit Granted .....Se.ptember•..1'4 90 r Date of I spection .. . ll`3� / .. ..'19 I Date Completed ... t.......... . i' 719 • 'r :✓ c� La 14 C7 [ �r "+ L. r i c i PROJECT Nam: VVA t ADDRESS: 'PERMIT# PEST DATE: k Z CS Mrn 3 v3 LARGE DOLLED PLANS A IN., O SLOT Data entered in MAPS program oxi. a % B i . q/wpfiles/forms/archive.. — Bothwell i —��,.�7 +✓L� Residence . &e,� , Centenrille,Ma. 1 Floor Plan Existing I R AK Rvo r n4 rM mc+or na . S rtrrco ti<ro wo.arm EA m - s,a K.Kws,l". s,P,enx,w K.CEP wo - .. ern Rw wwPon. s,at arr suwno. _ WQXE K. „ NEW ENGLAND LIFESTYLES DESIGN AV� Hingham.AA. LIMNG ROOM ROOM Sm WO mat. - ° lY i ao.rsPREP U. . I PIS-ONI➢� I �IR38f _ . I ,n,sadw ou.oc cor,sa,w,: :-�= a�1• We *- R . . . II rr .0 Kr anmo°sa°n i en A%W S OGe6 t Cos • �ry .. . - n i I .I IUS KITCHEN XWC6 SWIN FOR _ .. LAUNDRY }_� ryr3 s1 tk PORCH L .' _ J vie. a :;•': _ � 3$y �JJ��pdiW� �p��J3�� yep 1 i7 \ :• rtwSd,S: ... - ` - JJua� JJ ' J� \ • � is ° O 0.> r 0 r ' - wovnrntn�a,xs . KXSw f First Floor Plan .. o.m 13 February 2015 Note:Drawings are not for construction.Drawings are for informational purposes and cost estimating only and to show design ,cwE: 1/4-1-0 options options when presented. Al dimensions to be field verified by ocsa n-:tom NaIOneY . contractor. msm r[wr.Brenda Yearn New . Floor Plan - A-02 1 i . - l I Bothwell G Residence Centerville, Ma: Floor Plan, Existing; s BEDROOM CL oh - - BATH C BATM � CL H LIFE 5 CL nomm AA. �� _ .S [aw�rrr CL . . . .:.. ...`... ::. REDROON 9EDROOM . _ �1 BATH . .............. . . ... N Existin Second Floor Plan 3 Ex r-ar Note:Drawings are not for oonstruction.Drawings are for Informational purposes and cost estimating ordy and to show design options when presented. AU dimensions to be field verified by contractor. ..m 13 February 2015 1/4•-1•-0. . - arse.n—Tam Moloney OrB rzr:Brenda Yeara Existing - Floor Plan. . y,rcT xueca: 'i101 Ae 03 t i i X Bothwell Residence Centerville, Nfa. Floor Plan Existing - ac.a carts scam. y sJ. 0 0' m„ to res s IA �' 0 G - .aa .c"rDu7r o . W.I M"TO WC. Oacne a.aiwcm. ;BAN{BAN F� _ - iN.lmr — - .can nmg �BEDROON h-- a super .erg .em uNEW Dcao. —. mAS R tJ na iawoa - i. i-a '• -- 9EDRDOM . .O '[..mmDa m rup MK u rime - oDFOLO ED'rM S ro:mw _ romnw •sxs. m w KEW ENCLAND LIFESTYLES DESIGN _ t oa+.c mamc�n VIMra NLW ..... - ' r' -- - _ �? $ i T BATH ILL. ' L — COr+aTwrT. i .. r- iwaa�D.mir rr ru.m S. O _S .cams ir.ro[vD. ® ME - .. .. e�c n¢sw•stArs 0r9sa c (' O BED OON gEQ..PQ caom9wn rs sca - - • BATH _ SL O O O O O r. .eU - wd¢9W a<Dr� IN-New Second Floor Plan t! t Drawings are not for construction.Drawings are for informational purposes and cost estimating only and to show design Daro 13 February 2015 options when presented. All dimensions to be field verified by s<Kr t/s'-V—o' contractor. ocss..Tcm:Ton Moloney rtw:Brenda Meora . - S+art ME New Floor Ran van rwe[a: A01 - A.04 Bothwell Residence Centerville, M, t 60 Before&After i Elevations n _._ _._. ------------ -------- - - ------------------------------ - --- -------------------- ------------------------------- , --`----------------1----•------p� ---- ---- - - - - NEW ENGUND LIFESMES DESIGN I Cp', m Front- North Elevation - SIN . _ - ,OR IStGJRo IKFN6�O . rj&,bCM Z K rew ----------------------------------------- ____ _____--------- --__ .-.._ _ _ _ MIR .. ._ ... - - - re.ems .._...._..-._....___-...-._............. ............................._....................................-........ - � .. os 13 February 201 ocsa.re..:Tom Maloney . _ Y ocs TEm-grentlo Nearo _ _ _ _ ___ __ _ .—_ Front I --- —_—'—'—'---•---- '—)e Jh—_ __ss"i •—' —'n�i�'—' __._.-.—.---._.—__._ — _ North Elewtfons - I[. A-01 i BK[.[.r[Mi.[¢StuL OOM - �K[cae�MCnG.�. y(Ci wwetn: : o H SCPaL[➢•1.1RL6 Pte,fle IIIi ... _._ I n •o...rts[o x .[w A,05 New Front- North Elevation - Bothwell Residence F1 F1 Centerville, Ma. tJ ... ....... .. ......:....... Before 8 After . Elevations B —.—_.---_—•—•---•—---------------------------- ------- - .—. — ........ -. ........ ......r .... --: ..-..... ._. .... _ g - - ( i j Ei - ---•-•----•-•---- i ( I i - -- - ------- ----- --=---- --------•-•---•-•r'------------ =--- - •--------------- -------'- ------'-- 1 -.- i i i 3i i •� .j ! = LIFESTYLES DESIGN d C_Existino Reor- South ElevationEl - 1p - s l� 8 �eoNs Nn vu u - - �r swecNrs to a ralo --_ _ usbNs: ..-. ...-. . ILJLJLIJ .� = r,o• ------------ - ....._..---...,....._.__...I , _ . . c.X 13 February 2015 - O' xw.+[..:Tom Maloney _-----------_ ' - xvo.n-:Brenda Neom --- ---- -- - -............. - --I -- - - -•---------•-•-----•---•-•---.L•-.` - - - - - - --------•-----•-----------•----- _ --_—.—.—.---•—_—.—_—•-- ...... •——_ ---_— - .L(R NIIL - - - ----- --------- — — ----- _ Beoeheide _ .. _ - South Elovotione - --_.__.....__..._-__....,_-_-__. A ..sa 01 __.---__`---__—.-_..—..--._.-. .._..........._---....__- --._.—___..—..-_ --_—______________—._.—..._.__...----__---:.-_..___._._______..... �,New Reor- South Elevation A.06 Bothwell Residence Centerville, 11Ia. 0 77 ......... ... :.....:.... Before&After _ .evauons B Y . . .._. - ------------------------------------------- ------------------ -_—.—.—•—•-------------------•---,-------' ... .. __ .. - _.—_—_—_----------------------------—.—.�_ .j -—'—'---• - _-------•---------------•---------•---------'----!'---'—'—=---'—'—'—'-'- —_—_— NEW ENSLAND LIFESTYLES 0ESWN . { is Hingham.MA. �ZExistina Rear- South Elevation - if. r-ar - .......... _ ___._...__.............._._..__ ........ --.. os 13 February 2015 . ocaa.R-Tom Maloney . -•--- —'—---------'— ec — _ ..— - • - - vo.rt..,Brenda Meara --------- --------------------_—_—_—_—'— ----•— — — — sRET ME: .. .—_—_---_—_—_—_—_—_—.— —,—_—_—_. .—_—_— — _---_—_—_— --_—— —_—_— - .Beochaide - - . — - South Elevations scn.caeca: A01 - - .- —....—......_....—................... _......_......—............. �..:_�__� - _............ .........................._.-___ .--._-.____.—.i_..-...-__....................___._..._ _ New Rear- South Elevation Bothwell Residence Centerville, Ma. I a.".:.:...... Before& after Elevations .. ............. .............................. .. - ................................. _.. QnC•a rro2i _....................-.-.............................................-................................_..................:_::::::�..... ..................................._...._...... .............._............._..._..-...............-....-.-_........... ...._.__..............._....._...............-.._...__........................._..................._.._...._.-................. ..f. ........_............-.._... _-._.. - f::::. ::::::::::_::- — ——------- :::::::. -----------•—•----------- _._ .......-..-. . ... - _......_..._.. —•-----•—•—--- ° ` 3 • - '� ------------•---j!•---•------- ----•------ -------•---------•--------- NEW ENGUND UFESTYUS DESIGN s �1Existina East ode Elevation _ r yr ___ ------- _ _-_ _--•--.._.-.._ __ _ - ----------=- .._...._...._-... _.._............ - - _ --_-_ -- -- -- ---- ----- :: - - -- - - - _-:- -.-_ -. - ....................... I .... .. ... .:: :::: 'r �.re 13 February 2015 K.WIWI mi—n.:Tom Moloney . — ........ ---'—•— — — rCw2Clpta YX[S ®rondo Mooro - - _•—•--- _---_— —•—_— —.._. --_— —_-- •—_T.—.—_—_�.—.��---_—_—_—_---_—. _---__ —•—_ ----------- ------- —•——•—_ 5:(Ci t11LL: - —•t-'—•—•---•--- •—'---•—'------- --•—•— Eost Elewtione AXI - _..._ A.07 3 New East Side Elevation '4, I....-.. r ., r 4^ •L 1.Wi. 4. .« % ��y` ... , .V_y ice;. -.:,. _ _ ti'uK�.- '.'P �c ..•-. .... a. .4. ..,.. .-,. .., v. ..-.. �. n ir. .wrt:. ',:n -.-' dvtie: 'A:,, ...:a ,, '-::.. a r:. �&Av--"-. tl.. .. ':Yee _ •.S,"4•P_ .7' ._ .w • Bothwell Residence ' I Centerville,Ma. 1 fore&After . Be e r Elevations 7. .............. ......... :....."1,",........... - _...........................................................................__...................................._.._-_......... .......................„............_.........�...._...._.................._...................................._........................................_......................_.........-................_......._..._ ...-....._ ..._.....-..-....-____... _ e .. _—_—_ ---•---•—•—•—•—•—•----- - I ! f ? ----•— ------------------------ ------•—•-----•---•—•—— -—-— ---•-- —•--- ----•-----•----- NEW ENGLAND LIFESTYLES DESIGN - . existing West Side Elevation _.._. - -.._....._. ® -_ - .............................................................- ' QMRR,MgdarRl OF e �00�6 wro SAES u _ .. . -. .. . _ .. ........._....._.._.._....._......_......_..._................_....- -........._:_::-_::_-:_ _._...__._....._..__.._......_.--_....._. am 13 February 2015 w.s n—Tom Moloney . ---,---------- -----_ _ ccva n.y:Etrenda Meoro .. _— . —.—.—.—_-------•---•--Fj I ---___ —._-�..—_—_—_—--- _—_— .—_—_—.—.—_—.—_—._ Y.c[r nnc: ---•----- -----------•--•---•---------------- —•---— ----------— — —-—-—-—-— West • .. - , - � Oamttorro Y¢n woue[R: A01 T -.....-..... —.....-.................. ....-..... - .... - -. -�---------- - 4 New West Side Eleva —tion ' _ :.a+f-. .i1- ,....w .. n, ,.s.- r: .. ..�. -m •.. � .:i .rY`.--n„x5t1S.r.L`_...h�dolo.r..�3 i.r3 t.`.^.�. .a. - �I..n� . ....k.t.. : - -. Y ' .. . - 4 .k[S _4 - - sue.. t:• _ e. _ - .. .. -. .. ❑ender,itA 026te - �\ ^\ --RFifCIIP,001t-ENr�INEI:rZfNT;--..--..._-__ __ -___- �;,j q , , 1 / 107 BEAC4 STREET - j•; _ "•t._ . PrgscY BOTIIWELL/4toretion3 B(�tl1�Jel� S1C•Z i �^ �� DF.NNIS,NA OZ6JH MotectNo; Pf3.19 �; i �� WBayw iI• 1SGB-3d5.9682 TTT Date: 14 Febnse '«? ry 2015 cam_- --- •.ENElU1t ns3:.nl DS taN Dwsirnar -Tna rmtnnay _ '....6t,..d.. Residence . 9i46"' - I 1 Narca tJ we: 2 Story Vra-C,sy at:ng .Snyngla 6 SMkn v/ Y:st Gee!Nv:ga. Centerville, Ma. 'pen 3 •.Lr '� haler Nwaorw.l i.ng! r LnlarGed tsaow/S_ ..aye a � - 1 rtr ul 1 7� }yn L . iP�I r��•�i ri.w.wirl _I 1 _ ;, \ry./%r_ri�n� _..1 v�. ��+/J • at_m: 3CY.HN61L. '99 tcg iW ]ama. .r is llo. MA a 3H1CS Before&After SK 1 _ Upwtaira Bathroom p uwbing waeCa 4 supply nand• to be to rkw FICvaClon$ avowed 2 n.ar;,ai.r. of 1.751a 5.S- 1:1 tr_.rtwar�. TM in'.TinId - 1 y ••. `". 3 !!q v `Jt I j� - .moo' ••� S1e/ter ryndo kip ow bate,abovo, impact for stay'lees_non - _ ^^ �rf7 _ ;V s•�, F fJ N ltl IS double-Hung Hadar /2• 10 2z 6" SP?r/ 112• C=flitch plats. - • �/" L' kr4 .V i�- R'- -/ �,• /� �/ - Provyoa 2 Kanq studs 4]Jack stud t2- i mono.Readers; 2 2.6"=SPF v/1/2-(SR fli tdf plat. run rceC•a,torts, - 1.. hm�f tha full length Provide 2/2.^r 41'Xb SPr.full jack e'tuds and-e w- i ;rrrvlaC ,I 2 fling studs . .� I. I I f I :•_•'.:^qo wow a•+wf II I3 000.�nside?feadorp 1 ....I �• i ^� .t /� - Exist:ng-aCSr10'stwi brim r/fuir of A-i 4•D-r-z is Posy - I. 3oads_s; 2 as 1.75^s 9.5-Lit,mmtots. rsston pSys - A • - _ .v/ 2 cows of 3-3/d s- ^Trilok serves spaced 12' dinoL-sat -,' 1 KT J I - IS P-tit: of port., 3/2't 3- 2_r pilaster within 2-a 3-s^.ad..all - .46 '¢misting-Header; run dry-line and ver:fp dwflar'a: UJi-prasene. . . a I.i,I. ! 1 �.1 ` i' •= ._- . _ - per non-esistant hwadarw - saw 17 bolo' . 1 ' o rt �:.. 17 New Used-; 2/2'a 8^1m SPP v/]/'2^llaceh v/ ern 1-i T (-� �'I 1 ,1 61 'V',v ,'i vas es ..., - - - 16 Pere`.Mil 9aadar; 06.25 stool Doan r/ _ gla w! :ryas _ ae _ y l0'1 1 I Post', solid block to Deal/coiusn DoioYi no op,ica torlosdacUs S'x 10-in floor below t without upgrades to that h6em. i4t1N11fiY �111 t (' Wb62$ (awl. `19 Patio Oder/Pictures Unit Hyadats'; 2 w 1.75'm 9.5 L7L'e_esbors. - . - _ ( `:3 Yi•W".. _ .. I r#eac!'2Provide`33King sru'�-c 2 JaclystuGa a wd 32 rows IL ic ..s r ]^of SK-3 'feels > Str i rwaeo'. waa 1. -1 l < �• _,. _�' ...rf \^�F "let - into arzisticq kitehharP+vof ... oor'lopel floio to za- •tabl D!1 1bo1 010. Ysi.tinq 2 2 r_7! trimmer floor-joists.. Qpgr asr3 flaw by as Old .• _ �O'°p.. ._T - .. nga6'n 166,"im girt/ews 6'a:�a..eenaai�'la aaZosns-, .. Ta �. k. i11 II lky iS:variPy load patho'baauo/ lms:at,thin 7;oeatim . aaea>on o£ _t lZoos (2-x s m SW a 12!'0/0) will�D ne w, et1. - - has iasrt stairway to.grad•-ia.raaevaii - NEW EN6LAND LIFESTYLES DES16N . I14 _ 8aaovw'oast ilea.G PA .. Igh .MA. am• t .. -'r"' - this loosu r%2 ew 11 sir S.S.ILVL'asapars,�pssto i.ply:r/ - Hiyn Kr L I 2 Yof p o!3 3/8'rrisa.lolr s¢ s+Pa-ad 12 .oIo w 17:off-ssi . �'ZYe-k•.� / i18u '4YY (a - .I �1s' nme..ev6 Wa3aa S poeziaq: _F. I3A, >su !. _ - . - . 2 m 6 .floor. Spr - Poe lt-pleca tiksners.aa 2 aa61.775511.S 5 rLVG amhics. 'A j-a4 - . , -- - anti-:esaaably at 5-1'frua-lek ' :'.atiars.P- d 12 o/e O .- -_ - . se—ear -.- caning elipa sll aaebdrs,'ap inboa-A'ladgo _ -":� i1:6s`°"''�ata]D stmpsofLS')a E� as-as: Sao am m.- - .. p• toasV.lwaf: a • _ , www•Fr D me atom moo. �: n'• f-1-- (D :..Y Sj 11.e �.� d• HIN&f .m°v'm ' ( ' G) _ I ,�t �1, �rw.f� i.�.w �l •�-•4o 66.n t /er' N ra _ - •_- - _ - _ �i -NIT- � atwsowc i I , •-r ( H gT02N 1 vas eels Rea: �: ItOIE;M dimensions"and Anderaan code/to be ws6ed W1ars ard•ring. IdIS..+�Y4itF 1 > - :, p� (Mtuy' +. stw tns - .. .. PORCH St.m - - w. la•Pooa1 o 0 `` ,a•,ea•r /1pJ .. _ qo• N - - 13 February 2015 .. - -- .q .sal•. i'/ �../ �I BA 0 Y H� �� .. M. -p' _ '(-:Torn Moloney Brenda Macro . SKIT ME: - - naw Sections- . -iwo'c rtauc rtaat Wwvdoa Schedule 3 New Building Section ® Stair A. 09 fe- + _. ,:. .^. .,.-.. .. . « t... ... w... ,•. ...t,..."' ..�.,i:"1.,,..?k• ;d�-.r...ia,._ a-�.;.n.,•...._., a-..'•�'"...r ..4`«-.£:�.xhk <. _. �- ..,_. ,...... .«. .._ -�.�,...r.,,,. ':s"' ,d.. z=.t�:.',�Y".z;. z-,.;x.�, .. .•.._.a....a�,..�r.. ..,. :.:,.. ..,. .. .... ...• �.. .-'.F�.?`. «-.t •R z-mom"-a':. a•, t} Bothwell Residence Centerville, Ma. Floor Plan Existing T . . --'i. .. .. P N .._. _..... -- - .. - .. - . ... - °36 1R »3/4 41 3/4 x I R 36 4. ee try I - _ - g - _ - NEW EPICa1.AND LIFESTYLES DESIGN - ININ li INN ROOM ROOM i - CL 8F2R42y _ it - r t KITCHEN PORCH OOnI 1 TORAc BATH A 3 I. ........_. T . • � �a Existinq First Floor Plan 13 February 2015 Note:Drawings are not for construction.Drawings are for , scwE: t/a'=1'-0' informational purposes and cost estimating only and to show design OPdons when presented. All dimensions to be field verified t)y ocaa a—Torn Masonry contractor. ' oEva rc—Brenda Mearo WEI ME: Existing Floor Plan wccr xu..9Ev: A01 Bothwell Residence Centerville, Ma. Floor Plan Existing "NEI•L W2S -- . ._. I .. PO�CH e. m a IwE RFNEY(6 MS Sr/Y tl r/AP C-S PEEP S(IllEnal.I(/DER.(rq) ? NG rE[OfD 0.0 W O � �r { 5 rEEL S IIRVII or ININ eoolvss MA LIVING • s - NEW ENGLAND LrFE5ME5 DESrGN - .. - - ... .. PEP' 4; m - - ..a,moss nESs-,NPD aaoR f I.E i i : PRDI�. ;: _ I / ' a.move sear POE E a.IaarSp '- - - ... .. ra.oEcnra•WKS s� KITCHE r�uce..t N A M Ws OEM :aos - - - - _ - car f .. .. J .]Is1JJJJ ':: �:.:�:::::::::.C: 4 _ J;J�JyJJj xi s...ix' $ JtliL'6XllIJl �LPORYl J JJJJJ j L=Nl E- YTAT Y fRp(OI (;1New First Floor Plan r/a Note:Drawings are not for construction.Drawings are for informational purposes and cost estimating only and to show design ..NE: 13 February 2015 Options when Presented. Al dimensions to be field verified by contractor. xALE: 1/4'-1•-0' . 0—a.+:Tom Maloney . ocv-rE,.:Brenda Meora 9:ECf RRC: N— Floor Plan .Ell nVw M /lol , A.02 Bothwell Residence Centerville, Ilia. Floor Plan Existing II CEnEH4 NOSEY ....... ....------- ....__.....................ROOM __._.....__........-..._.. . _.. QED ................._..... --_...._......... ... 9EDROOM QL m/s QAPi PEW EwLAN LIFEsr&E . BATH _ D sDEst6N HALE _ IGrgbrtb MA. - - .. CL . __ .. IfCL : BEDROOM - —=_. _ __... _ BEDROOM ----- ----" --"- --- - --. _ . .t-- ---.. :.._�:... u _. IL. - _...: M .. ., . 1,. :. :i: 1•: i � LExistino Second Floor Plan r/s 1-O' Note'Drawings are not for construction•Drawings are for lnfonnatianal Purposes and cost esb=t1rg only and to show design options when Presented.All dimensions to be field verified by aonbador. 13 February 2015 xva.Rd.:Tom Maloney OE4(N R.u.Brenda Meara L EEi ME: Existing Floor Plan 5 EI Nu..eE. A.01 A. 03 Bothwell Residence Centerville,Ma. Floor Plan Existing - [tn(aµ rrOrEY wW01r _ x ris. 0 (DMa Oe MK Eauaucrp, N W Oaa. --m0 AT Tc9 ROM •su er km :: NEW [ mArAx . i MASTER BEDROOM O [vs„c wrs,wcura[ • �,E,r vYln,gxS ro wtd .. NEW ENGLAND lffE5ME50ESVSN BATH SFDIKSD wp O y!r 1�13/e ' • . •Y,OES ,. 3 - __ � � uA�f s a — d BATH S`NALL L cL. QL — _ _ - 3 . .... . -nO.1 .r.POSSM "M WSW UAW. 1 L Oc 1 eEOuaEU. CL .. _..._. R M -mo.s-re.nmsn.,. .. .. • -,-,.,._.fit�._ ` BED 00 BEDROOM u,ovr[cnrtc.soea NEW BATH 1:i sr w CL O p p p O r-fir �,'�New Second Floor Plan "°MEET( A 1/4 Note:Drawings are not for construction.Drawings are for informational Purposes and cost estimating only and to show design options when presented. Al dimensions to be field verified by o.a: 13 February 2015 contractor. - OEYW rr—Toni Maloney OESN�rEW:Brenda Meura SrKEf n,U: New Floor Pon L•EEr xU+RErr: ADl A.04 Bothwell Residence ....... Centerville, Ma. Before&After Elevations ao o _o 0 o a o 0 ... ... t l MtE4 Q .. :'. —•-----•——_-------------------------------—-— a .... - i . .. .. _ .. ... —-—-——-—-—-—-—-——-—-—-------•---.---.— f� E -- -- --- --- -- --- -1--•-----.—.tee.----- — - - ------ -- ---------- ' —.— •—•-----_—•--- j i 1 NEW EN6UNb LIFESTYLES DESIGN -i • - ti ��xistina Front— North Elevation _ ......._ 1q,E•HCOMtlD EOGD}K n0 . vIl�AS Na 9II3 4L _ KAWE(F1+R 10 eE EIID. . —.—. —— — —_ —'——— _—•—_—_—_—. WRFM —_—.—.—•—•-----•---•---— ---_----- --—•---------•-----------_-----• -------•—•- -_— —-—-—-—-—-— ——•---------------—-— .. — ... - - - „ ............. o m� 13 February 2015 .E•.rc.cw maul ssrz. F -� - - u.E: 1/4•=1•-0• - _.. v '•I - uvo.m—Tom Maloney _—.—l----—•---------.--• ---_—_—.---.— ---.— ---.—.— EE .1 • ... I \ I O[LG R.�:Ekenda Meow L—.T'--Si/i---I�--78T/—.— ----------•------------- E front � t �T-- T 0' North Elmations .E•.mnus srtt[.u. - B.SA EE o E•Kmy�eort M'.CM.GF aUr.Uartu[E .._ _......................................... __-_- .......... sn . New Front— North Elevation Bothwell Residence Centerville,NIa. o®a Before&After Elevations a o �_ Q ®a r _. _ _ -------- .—..—_—. —_ .—_— .. .. . —.—.—.—. .— — — —— — — 1 ------------------------------ Li -- - -- --- - --- ---------- --- ------------- ---- ------------------- --- - - _:- -- --- -- LIFESTYLES DES1:6N &Existina Rear— South Elevation - - . •GwrryENrs ro�rpp , raa4oxi" •. i 'hiK1ED. -� ...._........ 13 February 2015•_ ---------- i i .:1 : ofvur M.x:Tom Maloney —.— --------- - ---- Brenda Mears—..1.—.—._ _ _ _ _ _ _ _ — — — — — —.—--— — — — ——— — — — — — — —— ---"-----------•— --- ------- — —.L. — — —— —— —— — — - - -- — Beochirde . - - South Elevations -------------------- Ot ,New Rear— South Elevation r/a -r__ o Bothwell Residence Centerville, Ma. Before&After . E evatims ._:.° - - ' Eno xOrES -0 0 - - - - - -- - - - - -- - - - - - --- - - = .------------------------- -- - - - - - - -' -- -0 --------•-------•--------- - � - - -.. .. 0 0 ---- - -- f .—•—•---• ii - ---------•— — ---- ---- - - ---- -:------ -----=---- - -- - ——- .—_——_—_—Ti—'—•----i"•"—'—.-------_-------..-------.—.—.+ .. { 1 I { NEW EN6LNVD LSFE$ME$DESI6t'1 FGrglbm ALA. Existing East Side Elevation - { : Y z 1 � ii �DCRCNUE♦SERS ._ . awuf arRAWIfxr OF — vas cu - rFASucaC.r4 N(f MD ._ I :_ f `1�I -' --------------------------- a- r 1 -----------•-----..—. i .._ .._ _....._ 7-1: ..;..;_.._._._�__—.. u.¢: 13 February 2015 rc.'anoaoa sic.En u%.m—Tom Maloney CEV M—Brenda Mears _ -----.-----•---.— -------- ------------—__ _ICCnnuLaSERfS'. —_—.—.---_—•---.—. —.—.—.—_---.— -----_—.------- — ---- -- -------•-- 1—•—'--_-._ ---•—'---•—•—•—•------- East iElevatiom i01 ------------------ va� ...-..__-_................ ..:.....-..._....._....__.---......--'--_.-..---...--._: .. ....................-_..-................... ......._'_---._-_•._.-.—._. A.07New East Side Elevation E.-o- i o Bothwell Residence ill f Centety e Ma. Before&After ---_ Elevations ..--........._.. 0 ...:: .. ....................._._..._........._...__.... :._..._... a.Ean xorzs .-_-'A.._ — —. ... .. _—.—.—.—.—_—.—.—_—.—.--- - - 7 — ---•--------- — - -— —— . ---------------•-------— —_—_---_-----_—_—• .—......ram.—.—.—•—•—_—•—_—_—•—•—_— _ . . ' . j - NEW ENH.twD LLFESMES DESI6N FGrg�om,MA. ii - Existing West Side Elevation G)tH •t-c - _ 4 P --- - - - EE EfHID s —.—. -- 4. -- FR-..... ! - -— — — — — —— •—------------•--- — — o.rz: 13 February2015 u+Ef: 1/4'-1'-0' oo.a—Tom Moloney .—.—._.---------_---•— ---------"---.—.—.—.—.—_—_—._.—._.—.—.—.—. OE9CN R.r.Brenda IIeOM -------.------ .—.—�..Y.---.--•—_—.—_—._ —.—.—_— "Cl n%E: —_—.—•—.-----.------- .`y..—.—.—.—;.t.—.—._...—.—.—.—.—.—•_.—.— West OavaUwa ............................................................... ��__.._...........�..�i... --•__...__i........................... --...................................................... 4 New West Side Elevation A. 08 mEng. i Const :,. _ - _ .. 107 Beach Street Dennis,89A 02638 •S 107 BEACH STREET Project; BOTHWELL Alterations '. ° DENNIS,MA 02 Project No: P13-19 -' . . .-�..- 3 636 � Bothwell Pt .19 `1 1-508-385$682 • ' Date: 14 February 2015 tom. I Residence �ZS°FA`�� - sza645 GENERAL,DESCF.IFTION ` -Designer Tom Maloney ' �p,IA OF U4,y. `' 4. y Narrative: 2 Story",Pre-Existing Shingle 5 Shake w/ Flat Roof,Wings: Centerville, Ma. a��! qC •'-'... -,.. ., s-' z'-� .. .wa /v, a•a __________ tdajdr'Remodeling Por' en,Enlarged Op Space/Stairways , 9G n ° T VARNUM N wxmewwaa - -- - • Y N8A NEmm mE m ;. 'i t� ,. a 1 1 ,� RtWEM f6 ie, 7 sn°cnwA.�mEn um � �: *� �( Location: ' SOTHWELL 189'Long Beach Road, Craigville,-MA PHILBROOK ; ° Hsu - CA ., " - MECHANICAL O M I , DESIcti No1es:. Before �L After i WowF n°R°E ° o No•30690 U d "� O gl(-2%. INl.; Upstaire.Bathroom plumbing waste 6 Supply neads'to be:re-worked Elevations rV� -' 8 f ^5 ;. around.2,new.paira of 1.75"x.5.5" LVL,..trimmers. .,•THD in,Field.'.. It `. ,xs 5:>• d7 '` ° x floor'' )N21- `.Shallow window tielow balcony above. ImpactPor.etaar;location: _ 11 �N IN NC - VIN - �$l• Double Hung Header;,2/21x " tm 8 ' SPB w/�1/2 CDX.� a.fltcA'plate - OMAL - , � 0 '� Provide 2 Xidg studs..6 1 Jack studNEW - ' AVONECRRILA i _ t2 Transom Headers; 2/21,x 6" Im SPF w/ 1/2""COX-flitch plate run, , GENERAL NOTES. r �� V .z_N��i/a/°L O - V .. ww i ..O the•'full length.' Provide 2/21•x 4„ [0)..SPF mull jack studs and orcx xcs ai studs 43 Ocean... d Ha ders: Existing•- W8x10 steel beam iw/ pair of 4 x 4" 13-Fir Jack Post:s; - fi 04 Stairwell Headers; 2 ea 1 75'!x''9.5" LVL members. Fasten plys . .'. " ' `'rev eooxag _. " •.._7't -_: f'' w/12.rows of^3-3/8" T MS-lok"screws:spaced'12" o/c w/'.111•off-set p1 #5" °Bartition':Suppor .3/2' r pil d:wall-. 3" F aste within�2 x "'.stu N ... -` Y6 xisting Header•trun' x lineiand verify deflection 3<1/4" present:' - " EFor non existant headers':-1 see $7 below, - ' -- -•• mw --- ------- ' °" " " X7 New Header;;,.2/2'x.8" tm SPF w/:1/2".flitah w/-single jack studs , a 1 uw Nava moon - - amP wows A.05,16 I NS. -Porch Wall Header; W6x25 steel be= /`pair of 4"x 4"-D-Fir Jack o IKTCHEN. $ I�i m ..�••. jA1OI" I `Poets. Solid block to beam/column:below. No'option to load the 6"x 10" in-floor below without upgrades to that beam I... - '99: Patio Door/Picture Unit Headers; 2ea 175"x`9.5".LVL.membera.� - - WbAr,25 ,(rdtw� ten plys...v/ 2 rows.of 3-3/6" Trus-lok surewa 'spaced 12" c/o= LAUNDRY - -- }; +n w/s1" off-sat. Provide 3 King'studs 6.2 Jack'`studs - -. - O - -`. L. Ini,..� ;j, ;yj{'{.��., m. ' -n• \ - SK-3 )!To to=> Strip 8 remova'weatherproof floor,to're-establish floor level j let, into existing kitchen. , floor. .�•`--"-i __ I ''. 010 Existing 2/211x 7" trimmer floor joists. upgrade each-side by t -- -- — - - _ _ add4m9"1.75"x 7.25" LVL sister member. Fasten assemblies w/' 2.rows of 5" Trus-lok screws spaced 12" c/o w/ 1" off-set - -v'o' '- Nil Existing 611x 10" main girt w/ 4" dia'. concrete lally columns . 'wnmrvs-row ei°Drs°x - N12 from A8 - verify load path to.beam/column at this location This section o£ floor (2"x,6"+ ID SPF @ 12" o/c)..will be new ' + LIFESTYLES DESIG ' 3 •, .. ,, :,. ,.,. _ ,, ., � when inset stairway to grade s�removed 4., _ r'joist at.' NEW am,MA. q Remove castiron 6 PVC Piping. Sister cut off'floo Hingham, . this location w/ 2ea 1.75"x 5.5" LVL members. Fasten plys'w/l 2 rows of 3-3/8" Trus-lok screws spaced 12" o/c w/ 1" off-set = :815� Remove PVC piping 6 wiring. Rebuild.existing 21-x 6" floor - • framing. Provide sister.2"x 6" KD SPF for single joists. - roc For*fireplacetrimmers as 2 ea 1.7511x 5.511.LVL members. Sorew' 107 Beach Sheet - .r...' •. •: .-. - `. _ entire assembly w/ 5-1 "Trus-lok screws spaced 12" c/o w/.1 - Denn iff,MA 02638 '1 13'�9 off-set. _1"—ti16—11nstallSimpson L870 framing-clips all members at inboard ledger-- CONWLTANT: O u ,wc • + /M - ' 1D now a5R'r-6 nie - A+ 1 31s1 .. 9 MIlOD PE 10� n!n➢el 10' a -a ON&I PIPEMr ,.nx,wi �.' ' _ O - uxc Q zmi aw smww.. - e •tabnM, aa°xc o. .. ...: '. ° wm°ns 1 .. If 01NINC u\MNc O 1 PA _wwm - A ROOM °AtlVm ffleelea Paw tl O PAIR RoOR-MIUM 9090 - a-"'/:; 11 j —N�prxw O REVISIONS. Oft mr i NNp owva I:_ n •° ! NOTE: All dimenelone and Anderson code # to be verified before ordering.CL , bi I!T " TC ®owu { ] i wmn:r. ( NfRIRE NEW LIGHT RLV STAIR OPENING TO m yr 7 ; I r A= MUM AND STAIR TO MATCH LIAIN STAIR DET14L Al UNORY NEW POOCET0 13- - -- _ - --- — - a DOOR TO SEIROOM d. 40, j F� NEW LOCATION DATE: 13 February 2015 WWHEEL HIPSBALCONYHALL SCALE. 1/4•s7'_0" N DESIGN TEAM:Tom Maloney 15 DESIGN DE9 lEAM•Bronda Msara SHEET TITLE: Sections— K` s Ax+ OEIM Hart Window Schedule ueowG HEIGHT C I SHEET NUMBER: A.01 a A. 09: New Buildin SectionO Stoi