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0046 MILLSTONE WAY
, , i a' 1 _... .: u C �_ e_.. .. . �, _.,, ,, ,; _, I _._— —._ Town of BarnstableBuilding-, PostThis•,Card So�That it�sUisrbleFrom,Kthe Street-Approved PlansMust be.Retamedon Job and.'this.,Card,Must be•Kept .11BARh'$CABtE, ;rt::`; •'�- h '� �'r .:: yin � _, a - € ,•,.i ,+� a ,� _,"16,39. " Posted Unt�l,F,�nal Inspection HasBeen Matle 9 f� ; 3�. s� �° Where a,Certificate of Occupancy�is Required;such,.Bu�ldmgshall Ngtabe®ecupiedsunti!a:Fnal�lnspection has been�made� � er • �t Permit No. B-18-98 Applicant Name: ALEXANDER, MICHAELI &LORRI Approvals Date Issued:' 01/12/2018 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 07/12/2018 Foundation: Location: 46 MILLSTONE WAY,CENTERVILLE Map/Lot 251-156 Zoning District: RD-1 Sheathing: 7 x"," Owner on Record: ALEXANDER, MICHAEL J&LORRI 4 + ,Contractor Narne Framing: 1 M Address: 46 MILLSTONE WAY z Contractor License. 2 Est Pro ect Cost:CENTERVILLE, MA 02632 $1,200.00 Chimney: Description: REPLACE ONE DOOR `{. ,5 Permit'Fee: $35.00 p Insulation: Fee Paid ' $35.00 Project Review Req: ®ate 1/12/2018 Final: y _ Plumbing/Gas Rough Plumbing: '4 w �F Building Official �a Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within six�mo t'hs aft'rissuance. Rough Gas: All work authorized by this permit shall conform to the approved application antl the,approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structure shall be incompliance with the local zoning by laws and codes. final Gas: This permit shall be displayed in a location clearly visible from access straetor rotl ad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. � . y Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and'F,ire Officials are provided on this`permit. Service: Minimum of Five Call Inspections Required for All Construction Work . s ix 1.Foundation or Footing �� `; Roug h: +..zK .�_._,a ..«� M» 2.Sheathing Inspection .0 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health, Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT a, '' Town of Barnstable *Permit ,b\W%\u>i1ding Department Ex its 6 montlis from issue date RAMSTABM Brian Florence,CBO Mass9 Building Commissioner 200 Main Street,Hyannis,MA 02601 lg www.town.bamstable.ma.us Office: 508-862-4038 `l F ax: 508-790-6230 EXPRESS PERMIT APPLICATION -. RESIDENTIAL ONLY — 1�e— Not Valid without Red X-Press Imprint Map/parcel Number 7, /' / Property Address #� i&6�17-� 0t/ Ce17 Tz-1-y/ Ile eo Residential Value of Work$ 1A 00 Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 4 r/'i Y_. X 1-G{-I'l-cl- /4 l e X A'N 4 � Q. p Contractor's Name T,,phone Number O p 2 7 77,1 Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: I am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name / o,r/Cc Q C-/)6-e—r7— Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A cop the Home Improvement Contractors License&Construction Supervisors License is �CSIGNATURE C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXY W\RESIDENTILONLYEXPRESS.doc 09/26/17 t Town of Barnstable Building Department Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 snxrtsTnsLE. Mass g www.town.barnstable.ma.us i639. ♦� FD MId A Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION pp Please Print DATE: /7�p JOB LOCATION: G / <6TO AQ_ A / number / reet p pvillage "HOMEOWNER": p%cAeL _ '41?1/Q,,1 del— l'� O o2 7 2 /r7�l 2 name j home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi meowner"certifi s that he/she understands the Town of Barnstable Building Department minimum inspection pro re m a d t she will comply with said procedures and requirements. '�6i atu Homeow er 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 supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXY W\RESIDENTILONLYEXPRESS.doc 09/26/17 f The Commonwealth of Massachusetts Department of Industrial Accidents -- -" Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): Address: 1-i A �L��`t wiz W^� City/State/Zip: I U r� QVI L—L�F— M A Phone#: ��� 8 2 7: `�— Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. - 7. ❑Remodeling ship and have no employees These sub-contractors have g, 0 Demolition workingfor me in an capacity. employees and have workers' y p �'• $ 9. ❑Building addition [No workers'comp.insurance comp.insurance. uued.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.U 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.❑Ro repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' i 13. ther comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do her c ti � e�pO5'"dpenalties of perjury that the information provided /above is true and correct. Si a e. Date: / ( da,� /� /6 Phone#: Official use-only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'corn'ensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in the service of ano er under any contract of hire, express or implied, oral or written." An empl yer is defined as"an individual,partnership,association,corporation or//other legal entity,or any two or more of the for oing engaged in a joint enterprise,and including the legal represen dives of a deceased employer,or the receiver or tee of an individual,partnership,association or other legal enti ,employing employees. However the owner of a elling house having not more than three apartments and who r sides therein,or the occupant of the dwelling hous of another who employs persons to do maintenance,constriction or repair work on such dwelling house or on the groan r building appurtenant thereto shall not because of suc3�employment be.de.emedto bean employer." MGL chapter 152, §2 C(6)also states that"every state or local licens}n/g agency shall withhold the issuance or renewal of a license or ermit to operate.a business or to construct buildings in the commonwealth for any applicant who has not pr duced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 2, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the erformance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hav been presented to the contracting authority." e Applicants Please fill out the workers' compensatt n affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name s),address(es)and�phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(L C)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to c workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised th t this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance covera Also'be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the applicatio for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questio regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at `number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and pr ted le gib The Department has provided a space at the bottom of the affidavit for you to fill out in the event the/Office of Inv stigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be ed as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given ear,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the plicant should write"all locations in__(city or town)."A copy of the affidavit that has been officially stamped or m ed by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or lic uses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not r ated to any business or commercial venture (i.e.a dog license or permit to burn leaves)etc.)said person is NOT required complete this affidavit. The Office of Investigations would like t�thank you in advance for your cooper 'on and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington,Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#61.7-727-7744 Revised 4-24-07 www.mass.gov/dia r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION BUILDING DEP� �- Map ��� — Parcel `S //S/Q Application # "I U Health Division F Date Issued 7 —Z(g 16 201? Conservation Division TOWN OFBARNSTABLE Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis email r, Project Street Address m l/ S ne I�GL`F Village (_e_u+es y- 1/Q. . M q Owner Address 44P (h I) Telephone J�C76 - Z`1--)2 0a 7 Permit Request CAS. OL 4+;L ana k0ee_i_.Yi 1( SIo pe S s�vnkfl _1NSo1g_ eA UQJS't 63!Se- fo eyi5-kna -�zn /10SJ-Q_11 So�T,t VlenfS OJJ Veo-tS IQ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation A nq `15 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family l Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ 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 ��c4�nc�Q 1,C r%QeV%h Telephone Number 5(:&-S6-7 -�706 4 Address CIO move_ S I License # lO-3 nlol Fo_u R►J'e_f, (ncx Home Improvement Contractor# 19c) 7q - Email SUSS (ff f&Xsy la+e-2 Snu+e . &UST Worker's Compensation # X(,US 5(oq /S-7`/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t Eh a FOR OFFICIAL USE ONLY r_s f:. APPLICATION # 4 � DATE ISSUED MAP/PARCEL NO. Ii t7 ADDRESS VILLAGE ;.f OWNER DATE OF INSPECTION: 7 ; FOUNDATION t FRAME I:s F- c INSULATION r tr FIREPLACE ELECTRICAL: ROUGH FINAL r� PLUMBING: ROUGH FINAL GAS: . ROUGH FINAL ff r FINAL BUILDING t t DATE CLOSED OUT ASSOCIATION PLAN NO. y t` t f 3vow of arns aW ti p' Regu at®rWASS y Se •c rL . rerst Ritx+.rd alc,Drclur 'loan Perry,sustain Cummissibn a 200 M4iu Sweet,Hy} mas,M-4,02-60: -wNvwA swn:h.2rnstabl rs a:us Office- 508-862 4038 -9A��Ldket Michael Alexander i, Cr ier of - s-bj pige 4„ ._ `\on7Z \ t f'act, ..9��+. rebyaudi U,4m,,Mrs ml tiv e to vrm!k aiit m-Cd by this b rx&I�pe'-miit`?ppIjo:i6 for Adt s off o ". 'oc fc� c arethe rtspc�zas�bility���tip ' ���icant. fools :ire trot to bcjillcc c)r u d.before lance:-.s imstallcd ax�t3,all firial 5:;natusi~of C?anxer Sign re of ip sc at Pr Micha ' A[ex de Pint N J rry , 1 gEORnhs;ar•F�.���r„�p ti�SiW'npcx3�.S Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massac usetts 02116 Home Improvem '' tractor Registration o-.....��.�..;. Type. `Corporation INSULATE.2 SAVE , INC. Registration. 1,80741 r Esipiration., 12128//2018 410 Grove St Fallriver, MA 02720 scn t c', zor�-o��i .. Update Address-;and return card. Mark,reason.;;change. -- `— -- -- r ❑_ ddte C .Renawat ❑ Xsnp1__oymerrt ❑Lost Carr! Office �H Consumer Affairs&Suusines _Regulation HOME lM PROVEM ENT(CONTRACTOR g Registration valid for individual use only TYPE:Cor ation before the expiration date, if found return to: t , r tIon EXalMM91:1 Office of Consumer Affatrs'snd Business`Regulation �A1 8�7 � 12128f2018 Boston SO Park Piaza-Suite S1T0 INS U LATE .- MA 02116 E 2 SVE.-;it*1C ' i�. Roland Langen 440 Grove St _ � Faliriver,MA 02720,,�' Undersecretary Not valid without signature MOSSaChUsetts 00partme'at of Public Safety Board of Building Regulations and Standards: 6 i License:CS-103$t1 Construction Supervisor ROLAND LARGEVI � 56 H(O�HCAESJ ROAD FALL (VIER MA 0272� «. .• kpirdt on; Conit"11Ssioner 0,8124120 7 ` i i a Thy Gc�rnmorxrrltft �fjv ass Os el : ^, �paf�lrria 6,f Lt d ts tru l' eciiie its t' Q,J�C,,�,,���r�rtI31yG'Sttg�lQt2.5; . ra,r ,� � � t:y�; ��,,c�:- �, .: ,tt�„;�,t°.y�5 s'»� .• , 4.�,140j7YafXS�flftgtOlt. r y'ri SttaC b '_ »'°k'' .c,.- +- 4a - . ; �•• s� -iti1 vas ,Coxx% esatot � a�rceff �. � cersltrtlIcrit t'x "a d ' 7uEC sy I�Taine(BUsznes�'slOr�an aan/IId�ndu l) Ins6late2save*/ RolandIangevin ` • ,'' „p,a r # ? J'` s1�• `�a :C+d.,+ 1. r'. as'' , j"' ,, " ACtess'410•Grove'St Stte/ ' 508 5676, .670City M Y ire you an empiaper?'Chefi3c,herprur% bozo +zr 3, j` ,� Ti usr�et(regttic ) � & 4 ©' atusaxat cootxactox and IG I`aIIi a CT2I 110yCI":�Ylth, £i'Y' w �s # # i# RM S rr Y t ` r ;^^ NCWCoffi#Zt3CttOt1 }'•7 Sti'. 1#.`6,d SYlbl;. ,lStS34tt3�°S.�y '-� �� :�;...�w`a�' �v3TMy '�z�4" '�" a i '�., n::i t^ti Y �" • #t' ^z P '*# zr ��,4.y °i 4'w�vx t hstcd ane a#taclxed st f y 7 Si 4 , . am a-i6k. to ridor di artt dC } s/ a, at t a. ❑ p Tlzc�sub-:olltxact�rrs lmvle T e olttxon' ship and Have no a to ees worTn 'or ca act employeesyaztctiavecrkets , g axrp -P ty t. ctiii� trL^uradcc. (No wock�rs'comp �sur�uce 1,p Q Blec#rtt xeixs or add;ttuitss< a rPC�illS d ry.t k y 3 w"�b a N drC i mrpE1Z"s1t1C?11 II11t�YtS 3„ {' houaer dii all wcir"c'" "'*, r 5officczs have oressedgtii:c • ❑ 1. - 5 ,� " s ° 7- fi '_ �.rP�• T ` - a �'X "� "_ � "' �s t'tott, er +„� myself[Yo woxl�ers,-troi� � _erg .,;« r„, :� •+ .. ..0 �5 § (4)y ,it{7- nt7 " -q �ryry k'` , .� t'if"r TCf[Wred y g a. - r .' - e ;• 'g" i 3 V X,n. i h. `. '` �' 3'&' ff t s'* *} (ts1J>ratL recttrrxd 'sr, d2 k » "ate , x "i I' `+ ''YaPPjicarit UutcTiicic boz sfl a i at.a fli l vc#hc�ec "r�t tti stfsrovro 4 r1�or u ' ti p +�r t7csn1 rirs s idi r� z 5 _ a t Homeowners wha{submit,this a#id v t sci eatit4g they act doing a#A wr�rk�uii the }ure tsic� +a�tracuaxs mcr�t s�tireut a nauyaf i Oa nt tn8 cs ,g tContrnco[3 tft cfiec�c this tivX ri kh at3diiana3 sbr # fowtng ii ar bF'tfae svtnt�5ctars d sfite. 8icr of arczt cngse . q rt rt nx -n a w }s> ax loycrs I£d sub ccmtratkxs have.employers,UMIF-7 to t Profnde Ntnr w rker�,cnm pc�hcy izus�tbcr �, �• r '» ,.. r - �:, t�*-• ., u f ,r .+ srreso- ,..n:- s '..«+".7 «"w':-w: s •s. ''wa '�. - ''.. e� t l a l am arr.enxptay,er t&4t a: r"d nt;tvrrr/cersIW�c4rrrpexisutwtc drr urtix€ firr try erraptnyyes ,13 artv rs fltepo rrxt fv stt . a utfdrmatl'vrt. - ' � : tsutance CotnanyaYne I ibe 'Insurancet 4 „ice k .>: ;tr: ,5 , �r t; 3 s k Pnlrcy#:orSolf-xns 1�iG ;tf rXWS56"418741 �s�. a-late �' ° I- `• -� �¢+*�a,:`•�a�k°`"L�,c,. �"n<" 7oti Srte'Address 46 Millstone War 'Gity/ tateltp, Centerville`Ma 020 632 y .. .. �:�. ,is A,t#ae a eo/�v`of the workers'ctl�ut{eAsa#rgh poltp`declarattutt p. estanttfg t7� poltvyAtumti'�r and ezptrattnticlate XY mom• ,zfi `"�-.- �' 'tt'y, i ..�° s. "ay.�.'' a � ,u:a' xaNg»at.. '' w' '.c.•ar zt *rr2""x1",i' ,. ."-+., r. p Y zr; .,. �"'t:{"^�%, $ -A .E�ailure,to secure coverag as rued under Section 25 of TvCGL c:l caxt lead to teotron ofcruwnu� enaltessa , ,.� ,e#s,»'_"' +,5 '� z „,+'r 8*, <.'ah., r.y.�gpp•+�a*2r R c f9t` ".x} d als.a. i"� ttte up;o "1;500f00atlar o -year trnprtsannt,is*xetl as. tvil°pcuittissn#h f oUP.41J�{33� ` y of up tc%` 2S0.OQ a day:aatxis#t�ie vtbla#or3eavtsilttt`co'�p Qt this staterni by fe�rtattd to'i1� flfeol _, r ' M Tnvesti'�`lions a�t3te UTA'ta _�surance co�Cra e�cit�txoti_ • .-. s. _ •'._ � .-� ...-�•. .� �~ �"��°'d r'`� ��'�'� -. .a�,.. .. :•';yin Y xs F !. �y �y:' `sF�` ,��.� 'under the`arras aril malt a 'or rr drat ifre a14 n arrrrtttrorr prtlt>tded abova cr.trre a r corr tdo rtty fr n p 1 f_ r � .phsine '508 567-6706' ` n t _P affa rrsent}ra not turrte txr his rare tv be�cantpte cry tar�1Q �411"taf } �•'� r- ,,. � f � `mot, � .,` ic JCtty oro��rtt ` ` �4P�rtaat/T3ierns i;3 3 r ., w- » . , a=x {:c n.eaX.,�•�•d.�:;s::hY y'•�� ��...' � t� ��f ��^�t-,» �ZrS$QtllgrACY��7titY7t�":�C1rC�'tS.f3ftC� a" tek`4.i; tectrirctorg .-'1mbir► Trtspec#or is Bii"ard of Iieaittt:., 'BWadjilg D partxnetxt �:CttpJTovvzt _ 6 r w ns 4 DATE'(MMIDCIYXYY) Aco o�• CERTIFICATE OF LIABILITY INSURANCE 11/30/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS ' CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELYAMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 1 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.. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorserrent(s). 'RODUCER CONTACT NAME: Anthony F. Cordeiro Insurance PHo"E �M 508 677-0407 FAxExill N ; (50e) 677-0409 171 Pleasant Street "MAIL hsouza@cordeiroiiisii ance.com Fall River, MA 02721 INSUFtERiSI AFFORDING COVERAGE NAIC# INSUREZA:'Libert Mutual Insurance INSURED I NSU RER'B Insulate 2 Save, Inc.. INSURERC: 410 Grove St. INSURERD: Fall River, MA 02726. INSUREREi INSURER V �:;OVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS. CERTIFICATE MAY BE ISSUED OR.MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO`ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS:. �SR AbDL SUER , POLICY EFF POUCY EXP- LIMITS -TR TYPEOFINSURANCE p POUCYNUMBER MM/DONYYY MM/DD/YYYY A GENERALLIABIUTY y y $KS 56418741 12/10/16 12/10,/17 EACH OCCURRENCE $ 1 000 �000 DAMAGETO'RENTED 5 3OO OOO X COMMERCIAL GENERAL LIABILITY CLAIMSNIADE Qx OCCUR MEO EXP(Anyone,person) $ 51000 PERSONAL8ADVMUURY $ 1 000 000 GENERAL AGGREGATE $. 2 r 000 000 GEN'LAGGREGATE LIMIT APPUESPER PRObUCT$-COMP/OPAGG $ .2 OOO` OOO PRO- $ X POLICY LOC i ED I GI-ELIMIT AUTOMOBILE 12/10./16 12/10/17 E.%"deM $ 1 ,000.`OOO A y Y BAA 56418741 BODILY INJURY(Per person). $ ANY AUTO ALLOWNED SCHEDULED BODILYINJURY(Per a6cident) $ x AUTOS X AUTOS NON-OWNED Pe�aaa D AMA GE g— — - X HIREDAUTOS X. AUTOS A X uMBREL1AAB X oCCUR.. Y. Y. USO 56418741 1211o/ 6 1.2/10,/17 EACH. $ 2,OOQ,000 U EXCESS LIAR CLAIMS4MDE AGGREGATE $ - 10,000 Y OED RETENTION$ $ 12/10/16 12/30/17 }i: wC STATU: OTH- I A WORKERSCOMPENSATION XWS j641874,1 AND EMPLOYERS'LIABILITY Y/N, ANY PROPRIETOR/PARTNER/EXECUTIVE E.LvEACIiACCtDENr 5OO OOO ' OFFICER/MEMBER EXCLUDED' N/A EL DISEASE-EA EMPLOYEE $ 560 OOO (Mandato'ry in NH) If yyes describe under E.L.DISEASE-POUCYtIMfi .$ - 500,000 OESCRIPTION OF OPERATIONS below: - - i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach.ACORD101,Additional RenerksSc edule,if'moraspeceisregiirod) +Proof of Insurance. I j r, [CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES'BE CANCELLED BEFORE,` THE EXPIRATION DATE THEREOF, NOTICE' WILL BE 'DEUVEREO' IN Town of $_arnstable: ACCORDANCE WITH THE:POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE. I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: ® 7TEMMIDDICERTIFICATECERTIFICA OF LIABILITY INSURANCE 11/30/16 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 f REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADD111ONAL 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-end orsernent(s)-. CONTACT RODUCER NAME: Anthony F. Cordeiro Insurance P11O"E 508 677-0407 FAx N (5.08} 677-0.409 171 Pleasant Street ADDRESS: hsouza@cordeiroinsurance:com Fall River, MA 0.2721 INSURER(S)AFFORDINGCOVERAGE NAIL# INSuRERA;-Libert Mutual. Insurance NSURED - INSURERS-:: Insulate 2 Save, Inc: INSURERC: = i 410 Grove St. �NSRERo: ^ Fall 'River, MA 02720 RER€: - INSURERF:_ COVERAGES CERTIFICATE NUMBER: REVISION,NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE'FOR THE POLICY PERIOD NOTWITHSTANDING YP � E OTHER DOCUMENT T CERTFICATEMAY BE ISSUED OR MAERTAIN HE INSURANCE AFFFORDD BY THE POLICIEDESCRIEDHEEIN ISUBEG TO ALL HET MS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. —"" AODL SUBR __.. POLICY EFF POUCYuEXP. TR TYPE OF INSURANCE i POUGYNUMBER MMlDCIlYYYY MMtDD/YYW LIMITS AERALUABILITY y Y 13KS 56418741 12/10T16 12/10/17 EACH OCCURRENCE $ 1 000 000 I DAMAGE TO RENTED $— 300,000 7COMMERCIAL GENERAL LIABILITY E���IS ) CLAIMS-MADE 7 OCCUR, MEO EXP.(Any oneperson) S 5 00.0 PERSO !4L8 ADV INJURY $ 1,000,000 GENERAL AGCREGATE $. 2- 0'00: 000. GEN'L AGGREGATE L MIT APP LIES PER PRODUCTS-'COMP/OPAGG S' 2'. 000 00-0 X POLICY PRO El- LOC D 12/10.J16 12/10/17 CO NE I GLELIMR A AUTOMOBILE y y BAA. 56"418741 1 EaaccidaA). . $ 000 000 BODILY INJURY(Per person) -$ ANY AUTO ALLOWNED X SCHEDULED 86DILY INJURY(Peraccident) $ AUTOS -PROPERTY DAMAGE $-,AUTOS NON OWNED Peraccid6nt ' X HIRED AUTOS X AUTOS. $ ' 12/10/i6 12/10/17 EACH OCCURRENCE $ rEXCESS 2,000, 000. I AMBRELLALIAB X OCCUR Y Y USO 56418741 LIAB CLAIMS-MADE AGGREGATE S. 101,000 DED RETENTION$ - A WORKERS COMPENSATION �{yj$ rJ6.418]41 12J10/16 12/10/17 X WC STATU-. 1 EEL OTH- AND EMPLOYERS'LIABILITY. ANY PROPRIETORIPARTNER/EXECUTNE .Y/N E.l EACH ACCIDENT' 5 5,00i0001 OFFICERIMEMBER EXCLUDED? N/A (Mandatary in NH) ( E.L-DISMA r-EA EMPLOYE $ 50'0y000 Ifyyeesdesaibaunder E.L.DISEASE-POLICY LIMIT .S 500,000 DESCRIPTION OF OPERATIONS below - i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Ana6h,ACORD 101,Additional.Remarks Schedule,if more space isregui red) �i Proof of Insurance. f I CANCELLATION, CERTIFICATE HOLDER C -- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES'BE�CAN CELLE,D.BEFORE . THE.,EXPIRATION DATE THEREOF, NOTICE WILL-BE DELIVERED AN ACCORDANCE WITH THE'POLIC,Y PROVISIONS. Town of Barnstable: 200 Main Street - Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE I OO 1988-2010ACORD CORPORATION, All rights reserved'. i ACORD 25(2010/05) The ACORD name and logo-are>registered marks of ACORD Phone: Fax: E-Mail: I CO- �I,fl1�s Co� ouealth ®f Massachusetts Sheet metai Perm°it MftpZ l Parcel pp Dale: U I I Per= # 2� Estimated-Job:Cost:.$�2 � Peifnt Fee $ RW Plans Submitted: Y]S;� NO AUG O 5 2015 .:Plans Reviewed YES . NU B,um sess License# eense � -�F BA Business:Informat ion: Property Owner/Job Locata on Ir formation Name: Name: �. I -reOASTAL StreeMEATIHG & AIR COND., INC. Street. 4 (n 1V1-ZLLS70/U/T 1039 ASH ST. Cty%T o. CitylTown C Div TC� .U.�L L E Telephone: 5o<R R 6 s ,4/ Telephone: �� O gr g� Photo I:D,requi ed 1 Copy of Photo,I.D attached: YES NO Staff I6 tilt i : M,11=uniestricted licens" ' J-21 =2-restricted to:dwelings 37stories.or less and commercial up tics 10;000 sq. ffi;/.2-96ries or less kesidemt al .1 Zfamily j.,�/ Multa fom ly: Condo t''Townl ousel Other CIAI : ;rdii: Office Retail Industrial:: Educational' _ . Fare`Iept Approval, Institutional;_ Qther. Square l~outage:; under 10,4Q:0 sq.ft. L/ ovex''10.000 sq ft. NuYmber of Sttaries; o� Sheet metal wark to co.mpleted hew Work:, Renovation: HVAC Metal'Vatershed Roofing Kitchen Exhaust;System, Metal Chimney/°Vents;. Air;Balaz�cuig Provide detailed descrptzon.ofwork<to be,: one - r- .,fiP- C_QA s 5767MS CIT s I v COMMONWEALTH OF MASSACHUSETTS • . . . . • v .COMMONWEALTH OF MASSACHUSETTS BOAgD OF • • - • • pp SHEET METAL WORKERS SHEET AL WORKERS .< ISSUES THE FOLLOWING LICENSE AS A ISSUES THE FOLLOWING .1.LCENSE MASTER UNRESTRICTED AS A BUSINESS Q PETER MERIANOS 1039 ASH ST PETER MER I ANDS z COASTAL HEATING AND AIR CONDITI0 BROCKTON,MA 02301-623.8 1039 ASH ST 47 07/28/2017 1200 BROCKTON MA 02301 232 02/08/16.. :. 119991 ;:;. CONTROL # �+ �, �� ,: !' �y CONTROL# IMPORTANT IMPORTANT If your license is lost,damaged or destroyed;is inaccurate;or If your license is lost,damaged or destroyed;is inaccurate;or needs to be corrected,visit our web site at mass.gov/dpl for needs to be corrected,visit our web site at mass.gov/dpl for instructions to ensure the proper mailing of your Renewal instructions to ensure the proper mailing of your Renewal Application and any other correspondence. Application and any other correspondence. This license is subject to Massachusetts General Laws and This license is subject to Massachusetts General Laws and regulations. Your license is a privilege,and cannot be lent or regulations.Your license r a privilege,and cannot be lent or assigned to any person or entity under penalty of law.Kee this assigned to any person r entity under penalty of law.Keep this license on your person or posted as required by law and/op license on your person or posted as required by law and/or regulations. regulations. i The e©'nrnanwealth;o,�.lt�rtssuthttsedts . ID�artent;of lndtaastrcalcctdes, D,f,}�?ce©,flhvestzgatwnr� : 600�F'ashingtan�S`Xreet Baston,eMA 02111 . ,. mass gov/dia Porkers'Compensa Lott Ji :sur ce Atfaidawitt Radexs/Cantractors/�lectraciaus('lnx>tibers AunIicantWoraaation .Please.PrintLe�'trIP Name'(BusiaesditM izati AIRCOND., INC.•Address • - 1039 ASH ST. CrtylState/Z p. Phone t q/y Are yo an employer?.:Check the appropriate:boa: _.. a of. ro ecl: r e 1 ❑ I am a employer with. 4: T am'a eral contractor and I P 3 �' employees(full and/orpart,trme).* have:hued tlze:sub-contractcss 6 New consbrochon:,:. 2 ❑::Iancca sole proprietor,orpaitner- hsted;an the atFachedsheet 7 ❑.Rezz�odeliug These,;su�rcozrtxactors;have ship and have no employees 8 ❑Demolmon wgrlang:for me m any capacitys: employees;sari have workers' [Na worltie�rs"cozap insgrance.: comp:rnsurans:e# 9 Building addition e� ' 5. [] We are a I .,or its 10❑El.'ectncal repans or additions reguu ]. homeowner;doing all rorlc officers have exercised they 11❑Plumburg:repaxrs:or additi ' ai sel€jNo:.workers'coiisp nght"`of exemption per MGL 12 t c.152;§I 4,and we Have no. . 0 Itoaf reps m rnsuranca zegazred:� , � )::. . 13,❑ OEher employees:[No workers' comp:P4urancei reclinre&l !Arty appizcantffiatcliecl¢bwr#Imust a]so fiIl oat @u section beloivahowing tlukwmicess,compensation poficy infoza lion tiFlnmeovvnets who IF" d tt tbbiffida dica fitY sing doing all-1 0.rk and kfien hire wtstde contcact4cs must'subtmt a:uew aff davttmdic�Ying such. Consracmrs8iatcheckl�fbuzmnstattach�i.an,addfhonsl;shset'showing.�enatte,ofthesab-contraciassandstatewli�oraotthose.enhtieshave. , loyees.;if tilt tub contractgss have eraploy�s,.6tey trnrst:ptondt their wo*=1 on#:0 he mmnbben, '- om $ �hvraceory eIam.an emplyerhasproviding:w m oyand job site nformadon. Insurance:Company Name: 2c -ZC� fw39c� 'E irationl)ate: P'oht:y#:or Sslf-ins Lac.#i �itJ C iq .-.-'I1q_ J7ob Site.Address: a6 Attach a:copy of the workers'com�ensgion policy declaration-page;(showusg the policy number az d expiration date); VOhgpj6o,secure coverage as req fired under Seetiou 25A ofMGL c 152 can lead:to the in�pos aa:af criminal penalties of a fiae up to$1,500:00 and/or one year imprisonment,as well as civil penaltoes i3i tbe;form of a STOP'WORK'ORDIIt and a.fne of up to:$250.OQ:a- y a t the violator, Be advzsed that a copy;of this statemeri4 may be forwarded to the Office of 7nvesti' ations. D for insurance covers "e::ve' cation I:ilo hereby the pains pen¢[tiesof perjury,that the infomatcox ptovrderl ab a is true and correct phone OfficraC use only I)o;"a Write:rn thrs;area,fo be egmpleted by.°city ar town a,fficcaL City or, Own:.TPermit/License#: .Issuing Authoizty(circle one} - _ h f^ 1 Board of Health 2`:_Budding IDepartment 3 CtI Q.v n Clsrk 4 Electx cal JEnspector 5:_Piumbing Inspector 6 Other _.. Contact Person: : .Phone,#:- f ' I Tow o r Thoiiya•F sa Building Dmil-ga xom.-PerrY.Bpildin ; mrai�stoner 2d0°1�iafa:Sliest;Hyannis,Mat:4Z40:1 ' Wtvwitde�a:bar�stabie,ma.us i OfSca: 50$-SG2�4038 Tax., -084-06 30 Proporty Ovmor must CoMple0e 010' '-Sign...T. .s .SeetiQ ?Usin f T; / �I e ly ,.ns Chvaet.o the anb)ect ro . . ,. ,.: . .: � .petty: heieiiy::authoxize L ct�W(t.� /!s�n[d/TIP 4—fi d ut;on icy be6 f;- ii��'matt,�rs.��lae:to;cant,�.�utl�oriz�dby.t�eis`:bui�dtdgp�� (Adclxese off* **Pool fenee8 arxd&larrris ire re;tesj ons b i t. of Iae appl out; rodo. n0t'`to,b d..bcfere fe� P0618 are not'to tip u Zed.0 itxl:all-£na1 ir�spectlons are pe:.formed ax�tl a c p ed� Signal a qf: S%nature.of�lp�ll>�nt P� dt Name zint.Name Q:iio�MSiQwN1�5SioNeppiS • , ; AC R CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DOIYYYY) 01/20/2015 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(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 endorsements. PRODUCER CONTACT Judy Salkovitz Bearce Insurance Agency,Inc. PHONE 670 Pleasant Street (508)586-3400 FAX Na),(508)586-3700 Brockton MA 02301 At MAIL JSalkovitz@bearce.com INSURERS AFFORDING C VERAGE NAIC 0 INSURED .Acadia Insurance Company .Citation Insurance Company Coastal Heating 8 Air Conditioning,Inc: lu$UREIR ,Liberty Mutual 24198 1039 Ash Street Brockton MA 02301 R 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 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 1 LTR! TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS C It X It COMMERCIAL GENERAL LIABILITY BKS55722745 12/05/2014 12/05/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO RENTED $ 100,000 .(Ea nimurranca) i I MED EXP An one person) $ 15,000 i PERSONAL a ADV INJURY $ 1,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 fOTHER _J PRO- POLICY PR LOC PRODUCTS-COMPIOPAGG $ 2,000,000 B AUTOMOBILE LIABILITY ZT5262 07/17/2014 07/17/2015 COMBINED SINGLE LIMIT $ 500,000 Eaacradew—___—.---------- _ t ANY AUTO BODILY INJURY(Per person) $ I ALL OWNED I X SCHEDULED I AUTOS AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X AUTOS D PROPERTYDAMAGE $ included I C X I UMBRELLA LIAR X OCCUR US055722745 12/05/2014 12/05/2015 1,000,000 � EACH OCCURRENCE $ I I EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 Ipro RFTEN A WORKERSCOMPENSATIONYERS'LIILIT WC-20 20-003793-01 9/14/2014 O9/14/2015 X I PER OTH- ZAND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE i(Mandatory In N )EXCLUDED? � N/A E.L.EACH ACCIDENT $ 500,000 I(Mandatory In NH) III es,desalbe under E.L.DISEASE-EA EMPLOYEE $ 500,000 in S13IPT E.L.DISEASE-POLICY LIMIT $ 5601000 ) DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached N more space is required) CERTIFICATE HOLDER CANCELLATION A1025896 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 70 w A ) D T• I D kS�,/1 rp/ — ACCORDANCE WITH THE POLICY PROVISIONS. l 1l! f— /fK— /�f�E-'C AUTHORIZED REPRESENTATIVE R @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD QVIE 1 Have a current ' insurance glic or its a uivalent which meets the: uirements+of M.G. Ch112 Yes�lda 0 1L P Y , q roq. i. If,you have>chec6ce i y ;indicate'the type, coverage,by checkng fhe appropriafe box below: i. A liability insurance policy Other typwof.Indomn.4y. 0 Bond 0'• OWNER'S INSURANCE WAIVER i am aware that.tfie licensee does:not have the:insuranca coverage required by Chapter.112 of the 3" Massachusetts General Laws,and that my+signa it on'this,permit-application u►a ves this r,,quiremerit i. i Checks:One Ortty; { OwRel- El Agent0 a Signature of:Owne..ror Qwmer's Agent By checking this boxO d hereby certify that all of fhe details and information t have"submitita;tl(or entered}regarding this apptieation'afe true'arid assure#e to fie my know teiige and thatatl'sheet metal work and lnsfailat�ons perfOnned un#er the,OerM!t issued for this application will be f in,compliance;with all;per6nentiprovisian af#he;M.assactiusetts Building Code and Chapter 1.12 of ttia:General:Laws.. Duct inspection requlred;prior to insulation installation YES: Pd0 Pirogress fins ec� tio»s j Date Comments- j j 3' Fnat ins, Date Comments; I I. Type`of License: 3y.. .. : aster : ❑Master Restncfed, � [�Jou"meypersan Signature of'Licensee oj6.Umeype n Restricted `tom License Number . Check at v'...'- .mass.aa tciihi ,> 6 P. I 1 nspector,Signature of.PennitAppmvat ; ,i o , Manual S Compliance Report Job: 72915 % Ats%A4:r�rfi77�c1r:c.[Hr,W1F. Date: Jul 29,2015 „xa�w.„.,, AM By: PETER MERIANOS malau�?En.a+.wt�sslx For: LORRI ALEXANDER 46 MILLSTONE WAY, CENTERVILLE, MA Phone:508-827-7787 jillill IN • • • • • Design Conditions Outdoor design DB: 90.2°F Sensible gain: 12628 Btuh Entering coil DB: 74.5°F Outdoor design WB: 76.8°F Latent gain: 2105 Btuh Entering coil WB: 62.3°F Indoor design DB: 74.0°F Total gain: 14733 Btuh Indoor RH: 50% Estimated airflow: 525 cfm Manufacturer's Performance Data at Actual Design Conditions Equipment type: Split AC Manufacturer: Goodman Mfg. Model: VSX130181 E+ARUF24B14C Actual airflow: 525 cfm Sensible capacity: 12992 Btuh 1030/6 of load Latent capacity: 3571 Btuh 1700/6 of load Total capacity: 16563 Btuh 112%of load SHR: 78% Design Conditions Outdoor design DB: 13.0°F Heat loss: 21783 Btuh Entering coil DB: 0°F Indoor design DB: 70.0°F Manufacturer's Performance Data at Actual Design Conditions Equipment type: Manufacturer: Model: Actual airflow: 525 cfm Output capacity: 0 Btuh 0%of load C3 diWance: 0 °F Supplemental heat required: 0 Btuh Economic balance: 0 °F Backup equipment type: Manufacturer: Model: Actual airflow: 525 cfm Output capacity` 0 Btuh 0%of load Temp. rise: 0 OF The above equipment was selected in accordance with ACCA Manual S. 2015 -Aug 20:07:43 ,�� VVf'igl'tt54ft' Right-Suite®Universal 2015 15.0.18 RSU12649 Page 1 � /+��+ + ...ghtsoft HVACk6 Millstone Way Centerville-t.rup Calc=MJ8 Front Door faces: N Manual S Compliance Report Job: 72915 "'WrAl,rar:ARVA Date: JUI 29,2015 '��,,,',U&CA, = AH2 By: PETER MERIANOS ��atx�tis.a[u For: LORRI ALEXANDER 46 MILLSTONE WAY,CENTERVILLE, MA Phone:508-827-7787 Design Conditions - Outdoor design DB: 90.2°F Sensible gain: 15575 Btuh Entering coil DB: 74.6°F Outdoor design WB: 76.8°F Latent gain: 4227 Btuh Entering coil WB: 62.3°F Indoor design DB: 74.0°F Total gain: 19802 Btuh Indoor RH: 50% Estimated airflow: 900 cfm Manufacturer's Performance Data at Actual Design Conditions Equipment type: Split AC Manufacturer: Goodman Mfg. Model: VSX130301A+ARUF30B14A Actual airflow: 900 cfm Sensible capacity: 0 Btuh 0%of load Latent capacity: 0 Btuh 0%of load Total capacity: 0 Btuh 0%of load SHR: 0% Design Conditions Outdoor design DB: 13.0°F Heat loss: 26177 Btuh Entering coil DB: 0°F Indoor design DB: 70.0°F Manufacturer's Performance Data at Actual Design Conditions Equipment type: Manufacturer: Model: Actual airflow: 900 cfm Output capacity: 0 Btuh 0%of load CNpa*dsdance: 0 OF Supplemental heat required: 0 Btuh Economic balance: 0 OF Backup equipment type: Manufacturer: Model: Actual airflow: 900 cfm Output capacity: 0 Btuh 0%of load Temp. rise: 0 OF The above equipment was selected in accordance with ACCA Manual S. AIIII wright Oft' Right-Suite®Universal 2015 15.0.18 RSU12649 2015-Au0320:07:43 Page 2 ...ghtsoft HVACkB Millstone Way Centerville-1.rup Calc=MJB Front Door faces: IN Load Short Form Job: 72915 rrosnrar,�sranws>ux+Yex� Date: Ju129,2015 Entire House By: PETER MERIANOS Y.LL!RR Viaxu For: LORRI ALEXANDER 46 MILLSTONE WAY, CENTERVILLE, MA Phone:508-827-7787 Htg Clg Infiltration Outside db(OF) 13 90 Method Simplified Inside db(°F) 70 74 Construction quality Semi-loose Design TD(OF) 57 16 Fireplaces 1 (Average) Daily range - L Inside humidity(%) 30 50 Moisture difference(gr/lb) 24 56 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref. n/a Coil n/a AHRI ref: n/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm. Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft=) (Btuh) (Btuh) (cfm) (cfm) AH2 1267 26177 15575 900 900 AH1 974 21783 12628 525 525 Entire House 2241 47959 28203 1425 1425 Other equip loads 0 0 Equip. @ 1.00 RSM 28203 Latent cooling 6332 TOTALS I' 2241 r 47959 I 34535 l 1425 I 1425 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. '+ wrightSOft' Right-Suite®Universal 2015 15.0.18 RSU12649 20S-Aug-0320:07:43 Page 1 ...ghtsoft HVACWl6 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N Load Short Form Job: 72915 Enswrar;nrazraaa>>€x+ na Date: Jul 29,2015 N� . AM By: PETER MERIANOS TA UWW4"4 For: LORRI ALEXANDER 46 MILLSTONE WAY,CENTERVILLE,MA Phone:508-827-7787 Htg Clg Infiltration Outside db(OF) 13 90 Method Simplified Inside db(°F) 70 74 Construction quality Semi-loose Design TD (OF) 57 16 Fireplaces 1 (Average) Daily range - L Inside humidity(%) 30 50 Moisture difference(gr/lb) 24 56 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make Goodman Mfg. Trade n/a Trade GOODMAN;JANITROL;AMANA DISTI... Model n/a Cond VSX130181 E AHRI ref n/a Coil ARUF24614C AHRI ref 7084834 Efficiency n/a Efficiency 11.0 EER, 13 SEER. Heating input 0 Btuh Sensible cooling 12040 Btuh Heating output 0 Btuh Latent cooling 5160 Btuh Temperature rise 0 OF Total cooling 17200 Btuh Actual air flow 525 cfm Actual air flow 525 cfm Air flow factor 0.024 cfm/Btuh Air flow factor 0.042 cfm/Btuh Static pressure 0.60 in H2O Static pressure 0.60 in H2O Space thermostat Load sensible heat ratio 0.86 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF OF) (Btuh) (Btuh) (cfm) (cfm) FIRST FLOOR 974 21783 12628 525 525 AH1 974 21783 12628 525 525 Other equip loads 0 0 Equip.@ 1.00 RSM 12628 Latent cooling 2105 TOTALS I 974 I 21783 I 14733 I 525 I 525 t Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. WrlghftOf#$ Right-Suite® 2015-Aug-03 20:07:43Universa1201515.0.18 RSU12649 aCM ...ghtsoft WACl46 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N Page Load Short Form Job: 72915 "xa"ru,ar�nw7Aaarxe Date: Jul 29,2015 IAMZ By: PETER MEFUANOS ssw.stiiy rwi�¢u Yai.?.ucw:iaaeti For: LORRI ALEXANDER 46 MILLSTONE WAY,CENTERVILLE,MA Phone:508-827-7787 Htg Clg Infiltration Outside db(OF) 13 90 Method Simplified Inside db(°F) 70 74 Construction quality Semi-loose Design TD ('F) 57 16 Fireplaces 1 (Average) Daily range - L Inside humidity(%) 30 50 Moisture difference(gr/lb) 24 56 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make Goodman Mfg. Trade n/a Trade GOODMAN;JANITROL;AMANA DISTI... Model n/a Cond VSX130301A AHRI ref n/a Coil ARUF30614A AHRI ref 5385498 Efficiency n/a Efficiency 11.0 EER, 13 SEER Heating input 0 Btuh Sensible cooling 18900 Btuh Heating output 0 Btuh Latent cooling 8100 Btuh Temperature rise 0 OF Total cooling 27000 Btuh Actual air flow 900 cfm Actual air flow 900 cfm Air flow factor 0.034 cfm/Btuh Air flow factor 0.058 cfm/Btuh Static pressure 0.60 in H2O Static pressure 0.60 in H2O Space thermostat Load sensible heat ratio 0.79 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ftz) (Btuh) (Btuh) (cfm) (cfm) SECOND FLOOR 1267 26177 15575 900 900 AH2 1267 26177 15575 900 900 Other equip loads 0 0 Equip.@ 1.00 RSM 15575 Latent cooling 4227 TOTALS I 1267 l 26177 I 19802 I 900 I 900 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wlrlghtsoft' Right-Suite®Universal 2015 15.0.18 RSU12649 2015-Aug-0320:07:43 1�1 ...ghtsoft WACW6 Millstone way Centerville-1.rup Calc=MJ6 Front Door faces: N Page 3 Building Analysis Job: 72915 j +n+-lis+ys:*.a eWex�rC Date: Jul 29,2015 Entire House By: PETER MERIANOS :�tBw.diw!1L]41.:.W1423! IN I • - • • For: LORRI ALEXANDER 46 MILLSTONE WAY, CENTERVILLE,MA Phone:508-827-7787 � - • • • • Location: Indoor: Heating Cooling Otis ANGB,MA,US Indoor temperature(OF) 70 74 Elevation: 131 ft Design TD(OF) 57 16 Latitude: 42°N Relative humidity(%) 30 50 Outdoor: Heating Cooling Moisture difference(gr/lb) 24.3 56.0 Dry bulb(OF) 13 90 Infiltration: Dailyrange(OF) - 15 ( L ) Method Simplified Mt bulb(°F) - 77 Construction quality Semi-loose Wind speed(mph) 15.0 7.5 Fireplaces 1 (Average) • Component Btuh/ft2 Btuh %of load Walls 5.2 11966 25.0 Glazing, 36.0 9787 20.4 Doors 34.2 1436 3.0 Ceilings 2.2 3947 8.2 Floors 2.1 3905 8.1 Infiltration 4.5 10881 22.7 Ducts 6036 12.6 Piping 0 0 aaM Humidification 0 0 Ventilation 0 0 Adjustments 0 Total 47959 100.0 -Component Btuh/ft2 Btuh %of load Walls 2.2 5131 18.2 Glazing, 45.7 12414 44.0 Doors 18.1 761 2.7 Ceilings 2.0 3719 13.2 Floors 0.6 11.10 3.9 Infiltration 0.6 1397 5.0 Ducts 2251 8.0 Ventilation 0 0 Internal gains 1420 5.0 Ty Blower 0 0 Adjustments 0 � Total 28203 100.0 Latent Cooling Load=6332 Btuh Overall U-value=0.090 Btuh/ft2-°F Data entries checked. wr1ghtSO Right-Suite®Universal201515.0.18RSU12649 2015Au9032Page1 'r' Page 1 ghtsoft WAC446 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N Component Constructions Job: 72915 fii 9aer.-rA.MVP VA4F.R"ilk Date: Jul 29,2015 RIL-u-�r ,evs Entire House By: PETER MERIANOS WL u a, For: LORRI ALEXANDER 46 MILLSTONE WAY, CENTERVILLE,MA Phone:508-827-7787 Location: Indoor: Heating Cooling Otis ANGB,MA, US Indoor temperature(°F) 70 74 Elevation: 131 ft Design TD (°F) 57 16 Latitude: 42°N Relative humidity(%) 30 50 Outdoor: Heating Cooling Moisture difference(gr/lb) 24.3 56.0 Dry bulb(°F) 13 90 Infiltration: Dailyrange(°F) - 15 ( L ) Method Simplified _ _._.-�F)__.- ____.z ._._:-� :. 7 . ,.- .�..�Construcbon_quality *..._.. _._Semi-loose.��. Wind speed(mph) 15.0 7.5 Fireplaces 1 (Average) Construction descriptions Or Area U-value Insul R Htg HTM Loss Clg HTM Gain R' Bhhff-°F W-°F/Btuh BhAUft' Btuh 13h6UlN Btuh Walls 12C-Osw:Frm wall,stucco ext,r-13 cav ins,2"1 wood frm,.16"o.c. n 708 0.091 13.0 5.19 3670 2.29 1622 stud a 238 0.091 13.0 5.19 1232 2.29 545 s 772 0.091 13.0 5.19 4004 2.29 1770 w 413 0.091 13.0 5.19 2142 2.29 947 all 2130 0.091 13.0 5.19 11048 2.29 4885 Partitions 4 12C-Osw:Firm wall,stucco ext,r-13 cav ins,2"x4"wood frm,16"o.c. 177 0.091 13.0 5.19 918 1.39 246 stud Windows 1 D-c2ow:2 glazing,cir outr,air gas,wd frm mat,dr innr,1/4"gap,1/8" n 56 0.570 0 32.5 1828 20.0 1123 thk;6.67 ft head ht a 23 0.570 0 32.5 731 61.9 1392 w 11 0.570 0 32.5 366 61.9 696 all 90 0.570 0 32.5 2924 35.7 3211 1 D-c2ow:2 glazing,cir outr,air gas,wd frm mat,cir innr,1/4"gap,1/8" n 29 0.570 0 32.5 950 16.4 480 thk;50%blinds 45",light;6.67 ft head ht n 45 0.570 0 32.5 1462 16.4 739 s 45 0.570 0 32.5 1462 26.8 1206 w 34 0.570 0 32.5 1097 49.7 1678 all 153 0.570 0 32.5 4971 26.8 4102 8Acw-2w:Sky glazing,small,wood curb,no shaft Igt shaft,wd sash 29 1.160 0 66.1 1892 178 5101 Doors 11 JO:Door,mtl fbrgl type s 21 0.600 6.3 34.2 718 18.1 381 n 21 0.600 6.3 34.2 718 18.1 381 all 42 0.600 6.3 34.2 1436 18.1 761 Ceilings 16B-25ad:Attic ceiling,asphalt shingles roof mat,r-25 ceil ins,1/2" 1822 0.038 25.0 2.17 3947 2.04 3719 gypsum board int fnsh q W KS , 2015-Aug-03 20:07:43 Right-Suite®Universal 2015 15.0.18 RSU12649 Page 1 ghtsoft WAC4t6 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N Project Summary Job: 72915 FYYA.YTAA.IIIALLW:A.AI@YRiX1! I Summary Date: Jul 29,2015 �'.'" '. Entire House By: PETER MERIANOS 1f.n Ms a:.ml,!i7a " kAR 9X'daYr..ibf For: LORRI ALEXANDER 46 MILLSTONE WAY,CENTERVILLE, MA Phone:508-827-7787 Notes: RM 10, • MIR I • Weather: Otis ANGB,MA, US Winter Design Conditions Summer Design Conditions Outside db 13 OF Outside db 90 OF Inside db 70 OF Inside db 74 OF Design TD 57 OF Design TD 16 OF Daily range L Relative humidity 50 % Moisture difference 56 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 41923 Btuh Structure 25952 Btuh Ducts 6036 Btuh Ducts 2251 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 47959 Btuh Use manufacturer's data y , Rate/swing multiplier 1.00 Infiltration Equipment sensible load 28203 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-loose Fireplaces 1 (Average) Structure 4086 Btuh Ducts 2246 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft� 2241 2241 Equipment latent load 6332 Btuh Volume(f?) 18902 18902 Air changes/hour 0.55 0.25 Equipment total load 34535 Btuh Equiv.AVF(cfm) 174 79 Req.total capacity at 0.70 SHR " 3.4 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a 1 Cond n/a AHRI ref n/a Coil n/a AHRI ref n/a Efficiency n/a Efficiency n/a ' Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure •- 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. Wt9ehtlsof , Right-Suite®Universal 2015 15.0.18 RSU1 2649 201SAug032Page1 Page 1 ...ghtsoft HVACW6 Millstone Way Centerville-1.rup Cale=MJ8 Front Door faces: N Project Summary Job: 72915 C(kX►Al,IIlAk1.V6+M4/1tKl! Date: Jul 29,2015 AM f� w,�a,�a•�tat�. By: PETER MERIANOS xec xa�w:sa ' • RA • • For: LORRI ALEXANDER 46 MILLSTONE WAY, CENTERVILLE, MA Phone:508-827-7787 Notes: It • M I I Pei I RM I MIMI Weather: Otis ANGB,MA, US Winter Design Conditions Summer Design Conditions Outside db 13 °F - Outside db 90 °F Inside db 70 °F Inside db 74 °F Design TD 57 .°F Design TD 16 °F Daily range L Relative humidity 50 % Moisture difference 56 gr/Ib Heating Summary Sensible Cooling Equipment Load Sizing Structure 20167 Btuh Structure 12181 Btuh Ducts 1616 Btuh Ducts 447 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh. Blower 0 Btuh Piping 0 Btuh Equipment load 21783 Btuh. Use manufacturer's data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 12628 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-loose Fireplaces 1 (Average) Structure 1190 Btuh Ducts 915 Btuh ' Heating Cooling Central vent(0 cfm) 0 Btuh Area.(ft� 974 974 Equipment latent load 2105 Btuh Volume(fF) 8766 8766 . Air changes/hour 0.48 0.21 Equipment total load 14733 Btuh Equiv.AVF(cfm) 69 31 Req.total capacity at 0.70 SHR 1.5 ton Heating Equipment Summary . Cooling Equipment Summary Make n/a Make Goodman Mfg. Trade n/a Trade GOODMAN;JANITROL;AMANA DISTI... Model n/a Cond VSX130181 E AHRI ref n/a Coil ARUF24614C AHRI ref 7084834 Efficiency n/a Efficiency 11.0 EER, 13 SEER Heating input 0 Btuh Sensible cooling 12040 Btuh Heating output 0 Btuh Latent cooling 5160 Btuh Temperature rise 0 °F Total cooling 17200 Btuh Actual air flow - 525 cfm Actual air flow 525 cfm Air flow factor 0.024 cfm/Btuh Air flow factor 0.042 cfm/Btuh. Static pressure 0.60 in H2O Static pressure 0.60 in H2O . . Space thermostat Load sensible heat ratio 0.86 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. 2015-Aug-03 20:07:43 Right-Suite®Universal 2015 15.0.18 RSU12649 Page ghtsoft WACk46 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N Project Summary Job: 72915 Eakysru.n€.i.uta..unmvrt Date: JUI 29,2015 �ms,ta. - AHZ By: PETER MERIANOS rrc szve�ur • • • For: LORRI ALEXANDER 46 MILLSTONE WAY, CENTERVILLE, MA Phone:508-827-7787 Notes: RM Il • • Weather: Otis ANGB,MA, US Winter Design Conditions Summer Design Conditions Outside db 13 OF Outside db 90 OF Inside db 70 OF Inside db 74 OF Design TD 57 OF Design TD 16 OF Daily range L Relative humidity 50 % Moisture difference 56 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 21756 Btuh Structure 13771 Btuh Ducts 4420 Btuh Ducts 1804 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 26177 Btuh Use manufacturer's data y Rate/swing multiplier 1.00 Infiltration Equipment sensible load 15575 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Semi-loose Fireplaces 1 (Average) Structure 2896 Btuh Ducts 1331 Btuh Heating Cooling Central vent(0 cfm) 0 Btuh Area(ft� 1267 1267 Equipment latent load 4227 Btuh Volume(ft3) 10136 10136 Air changes/hour 0.62 0.28 Equipment total load 19802 Btuh Equiv.AVF(cfm) 105 47 Req.total capacity at 0.70 SHR 1.9 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make Goodman Mfg. - Trade n/a Trade GOODMAN;JANITROL;AMANA DIST[... Model n/a Cond VSX130301A AHRI ref n/a Coil ARUF301314A AHRI ref 5385498 Efficiency n/a Efficiency 11.0 EER, 13 SEER Heating input 0 Btuh Sensible cooling 18900 Btuh Heating output 0 Btuh Latent cooling 8100 Btuh Temperature rise 0 OF Total cooling 27000 Btuh Actual air flow 900 cfm Actual air flow 900 cfm Air flow factor 0.034 cfm/Btuh Air flow factor 0.058 cfm/Btuh Static pressure 0.60 in H2O Static pressure 0.60 in H2O Space thermostat Load sensible heat ratio 0.79 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. Wt9ght raft' Right-Suite®Universal 2015 15.0.18 RSU12649 2015-Aug-0320:07:43 Page 3 ...ghtsoft HVAC446 Millstone Way Centerville-1.rup Calc=MJB Front Door faces: N I AED Assessment Job: 72916 .axre< u.es+c?.a Date: Ju129,2015 Entire House By: PETER MERIANOS, re:!ems aca+ , Igo •M1lillue • Ill For: LORRI ALEXANDER 46 MILLSTONE WAY, CENTERVILLE, MA w Phone:508-827-7787 Location: Indoor: Heating Cooling Otis ANGB,MA,US Indoor temperature(OF). 70 74 Elevation: 131 ft Design TD(OF) 57 16 Latitude: 420N Relative humidity{%) 30 50 Outdoor: Heating Cooling Moisture difference(gr/lb) 24.3. 56.0 Dry bulb(OF) 13 90 Infiltration: Dailyrange(OF) - 15 ( L ) - Wetbulb(°F) - 77 , Wind speed(mph) 15.0 7.5 Fh*Cadng Load , 18,00 16,00 14,00 r , 12,00 10,00 8,00 6,00 4,00 2,00 0 8 9 10 14 12 13 14 15 16 17 18 19 20 r4vaiDa� - .. /AED AniX Maximum hourly glazing load exceeds average by 23.8%. - House has adequate exposure diversity(AED),based on AED limit of 30%. AED excursion: 0 Btuh 2015•Aug-03 20:07A3 �`++=`Y`y' ��llk 19htS0ft` Right-Suite®Universal 201515.0.18 RSU12649 Page 1 .�i�c�.m'1 ...ghtsoft WAC%46 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N �J h1141Pik7x1 , , Right-M Worksheet Job: 72915 Entire House Date: Jul 29,2015 By: PETER MERIANOS 1 Room name Entire House AH2 2 Exposed wall 286.0 It 180.0 It 3 Room height 8.4 It 8.0 It 4 Room dimensions 5 Room area 2241.0 ft' 1267.0 ft' Ty Construction U-value Or HTM Area (ft') Load Area (ft') Load number (Btuh/ft'-°F I (Btuh/ft� I or perimeter (ft) ( (Btuh) I or perimeter (ft) ( (Btuh) Heat Cool Gross N/P/S Heat Cool Gross N/P/S Heat Cool 6 '.12GOsw 0 091€ € n 519 2.29 838 E E 708 3670 16222281 1008 1 Dc2ow 0 570 Erl n€€E 32€49 19.06' E€€ 56 0 1826 1123€ I€€€�€ €56 0 1828 1123 1 Dc2ow 0 570 n 32 49 16.42 4� €E" E€"0€ 950 480 E( 0 0 € 0 0, m ... 1Dc2owd_ _ 0570 __n.__. 3249 », .5ii .00 1462 11 12GOsw 0.091 a 5.19 2.29 260 238 1232 545 224 202 1045 462 t—C„ 1 Dc2ow 0.570 a 32.49 61.87 23 0 731 1392 23 0 731 1392 V+/ 12GOsw 0 091 E E s 519 €€, 2 29 E 838 ` 772 4004E 1770 498 496 2573 I 113T lL—.pG 1 D•c2ow" 0€570 I s - E 32 49 E E 26 75, E 145 0((€€ 1482 1208E €0 € !0 I 0 :11J0 11.800:., s = 34 20„Mull,,18.12' E.°-.,,.E€(2t 21 718 381 0 Rtrr '0 0`,i III ;M, Vj! 12GOsw 0.091 w 519 2.29 458 413 2142 947 224 213 1104 488 1 Dc2ow 0.570 w 32.49 61.87 11 0 366 696 11 0 366 696 1 D c2ow u_._ 0 570 w 32 49 49 7t 34 » 0 1,097 1678 „„ 0 0 0 0 Fj 12GOsw -! 0091 519 1:39 198 177 918 246 0 0 `11Jo,. " 0.800 "n" 34.20:<.,,.18.t2 21 _Ea<... 718 0 .«..... 0 21 0 ¢ G 16B 25ad 0.038 2.17 2.04 t851 1822 3947 3719 1267 1255 2718 2561 O HAcw 2w 1 160 66.12 178.24 29 0 1892 5101 12 0 793 2139 F a� 19A'19bvli`p <tw t).049 E E_.�. .�.t2.19 E€€I' t 0:82' '8T4 € 0 (. 0` 974 0,11NU '` 606 " F _ 19A 19bvhp a, 0 049 219 0.62 757 757 1657 471 757 757 1657 471 0`049 019 0 28 � .,12_0118. .Po120 Y 118 33 -Sim ii . Mii, E .� .t.:f E € .€ E TE ri ixx ..........:. ..._.,._..._ ._..______m..._,.. ._ .._...._ .. _ E«a �E«R<<... _ u.� ,.SL«< .... ,Miiitt. ..,. .. €t>f. .. p E€ €h €€ Et EE A 115 _.,.mew. ..,.,,....,. ,., ert, ,,,..,... _.......,... ........ ., .,,.,....M.. a ...«......,.,. I f €nit€n<c E H, 1, ;i.NE€.t. 4'21,i 6 c)AED excursion 1 0 0 Envelope loss/gain 1 31042 23135 1 1 15211 11511 12 a) Infiltration 10881 1397 6545 840 b) Room ventilation 0 0 0 0 13 Internal gains: Occupants @ 230 4 920 4 920 Appliancestother 500 500 Subtotal(lines 6 to 13) 41923 25952 21756 13771 Less external load 0 0 0 0 Less transfer 0 0 0 0 Redistribution 0 0 0 0 14 Subtotal 41923 25952 21756 13771 15 Duct loads 14% 9% 6036 2251 20% 13% 4420 1804 Total room load 1771I I 5751 Air required(cfm) I I I 47959 1425I 28203 1425I I I 269001 159001 Calculations approved by ACCA to meet all requirements of Manual J 8th Ed. wrii jlf'ft-90ft 2015-Aug-03 20:07:43 AM Right-Suite®Universal 2015 15.0.18 RSU12649 ghtsoft HVAC\46 Millstone Way Centerville-1.rup Calc=MA Front Door faces: N Page 1 N -3W i Level 2 ...... ............_ ... 150 cfm 150 cfm 150 cfm 7 300 d ': 7 10 .......:: 10 7 .. 7 7 SECOND FLOOR 2 1 150 cfm 150 d 606 M':. i Pn 150.cfm A Job#: 72915 Scale: 1 : 104 Performed by PETER MERIANOS for: LORRIALEXANDER Pagel 46 MILLSTONE WAY RightSuite®Universal 2015 CENTERVILLE,MA 15.0.18 RSU12649 Phone:508-827-7787 2015-Aug-03 20:09:46 ...Millstone Way Centerville-1.rup N Level 1 �'Now «„ r. _ 14 x 8 s20 8 y ��1'4 x 8 UNHEATED GARAGE No r 9 05 efm 210:cfm 7 ww m 105Cfm Job#: 72915 Scale: 1 : 104 Performed by PETER MERIANOS for: LORRIALEXANDER Paget 46 MILLSTONE WAY RightSui te®Universal 2015 CENTERVILLE,MA 15.0.18 RSU12649 Phone:508-827-7787 2015-Aug-03 20:09:46 ...Millstone Way Centerville-1.rup Duct System Summary Job: 72915 Date: Jul 29,2015 AM B PETER MERIANOS YdL For: LORRI ALEXANDER 46 MILLSTONE WAY,CENTERVILLE,MA Phone:508-827-7787 Heating Cooling External static pressure 0.60 in H2O 0.60 in H2O Pressure losses 0.40 in H2O 0.40 in H2O Available static pressure 0.20 in H2O 0.20 in H2O Supply/return available pressure 0.079/0.121 in H2O 0.079/0.121 in H2O Lowest friction rate 0.063 in/100ft 0.063 in/100ft Actual air flow 525 cfm 525 cfm Total effective length(TEL) 318 ft Design Htg Clg Design Diam H x W Duct Actual Ftg.Egv Name (Btuh) (cfm) (cfm) FR (in) (in) Matl Ln(ft) Ln(ft) Trunk FIRST FLOOR c 2526 105 105 0.074 7.0 Ox 0 VIFx 16.0 90.0 st4 FIRST FLOOR-A c 2526 105 105 0.071 7.0 Ox 0 VIFx 21.0 90.0 st4 FIRST FLOOR-B c 2526 105 105 0.063 7.0 Ox 0 VIFx 25.0 100.0 st4A FIRST FLOOR-C c 2526 105 105 0.078 8.0 Ox 0 VIFx 11.0 90.0 st3 FIRST FLOOR-D c 2526 105 105 0.071 8.0 Ox 0 VIFx 21.0 90.0 st3 Trunk Htg Clg Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in)-. (in) Material Trunk st3 Peak AVF 210 210 0.071 475 9.0 0 x 0 ShtMetl st4 Peak AVF 315 315 0.063 578 10.0 0 x 0 ShtMetl st4A Peak AVF 105 .105 0.063 393 7.0 0 x 0 ShtMetl SIM ai � - • Grill Htg Clg' TEL Design Veloc Diam H x W Stud/Joist Duct Name Size(in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening(in) Matl Trunk rb1 Ox 0 210 210 156.0 0.078 602 &0 0x 0 VIFx rt4 rb2 Ox 0 210 210 166.2 0.073 385 10.0 Ox 0 VIFx rt5 rb5 Ox 0`. 105 105 193.0 0.063 301 &0 0x 0 VIFx rt5A " Bold/italic values have been manually overridden °. 2015-Aug-03 20:07:44 Wright soft' Right-Suitee Universal 2015 15.0.18 RSU12649 Page 1 ...ghtsoft WAC\46 Millstone Way Centerville-1.rup Calc=MA Front Door faces: N ' i • Trunk Htg Clg Design . Veloc Diam H x W Duct Name Type (cfm) (cfm) FIR (fpm) (in) (in) Material Trunk rt4 Peak AVF 210 210 0.078 270 9.5 8 x 14 ShtMetl rt2 rt5 Peak AVF 315 315 0.063 578 10.0 0 x 0 ShtMetl rt2 rt5A Peak AVF 105 105 0.063 135 7.6 8 x 14 ShtMetl rt5 rt2 Peak AVF 525 525 0.063 473 13.8 8 x 20 ShtMetl Bold/italic values have been manually overridden ' V911iOtSof#' Right-Suite®Universal 2015 15.0.18 RSU12649 2015-Aug-0320:07:44 ghtsoft WAC446 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N Page 2 Duct System Summary Job: 72915 °naKrarrnranaaw>>cttrxhxn Date: Jul 29,2015 N�a* 5wrc AH2 By: PETER MERIANOS a�w,.ii+,rwi�a For: LORRI ALEXANDER 46 MILLSTONE WAY,CENTERVILLE,MA Phone:508-827-7787 Heating Cooling External static pressure 0.60 in H2O 0.60 in H2O Pressure losses 0.30 in H2O 0.30 in H2O Available static pressure 0.30 in H2O 0.30 in H2O Supply/return available pressure 0.140/0.160 in H2O 0.140/0.160 in H2O Lowest friction rate 0.145 in/100ft 0.145 in/100ft Actual air flow 900 cfm 900 cfm Total effective length(TEL) 207 ft Design Htg Clg Design Diam H x W Duct Actual Ftg.Egv Name (Btuh) (cfm) (cfm) FR (in) (in) Matl Ln(ft) Ln(ft) Trunk SECOND FLOOR C 2596 150 150 0.223 7.0 Ox 0 VIFx 8.0 55.0 st2 SECOND FLOOR-A c 2596 150 150 0.163 7.0 Ox 0 VIFx 21.0 65.0 st2A SECOND FLOOR-B c 2596 150 150 0.145 7.0 Ox 0 VIFx 31.6 65.0 st1A SECOND FLOOR-C C 2596 150 150 0.187 7.0 Ox 0 VIFx 10.0 65.0 st2 SECOND FLOOR-D c 2596 150 150 0.178 7.0 Ox 0 VIFx 24.0 55.0 st1 SECOND FLOOR-E c 2596 150 150 0.185 7.0 Ox 0 VIFx 11.0 65.0 SO Trunk Htg Cig Design Veloc Diam H x W Duct Name Type (cfm) (cfm) FR (fpm) (in) (in) Material Trunk st2 Peak AVF 450 450 0.163 825 10.0 0 x 0 ShtMetl st2A Peak AVF 150 150 0.163 561 7.0 0 x 0 ShtMetl st2 st1 Peak AVF 450 -450 0.145 825 10.0 0 x 0 ShtMetl st1A Peak AVF 150 150 0.145 561 7.0 0 x 0 ShtMetl st1 Mom- Grill Htg Clg TEL Design Veloc Diam H x W Stud/Joist Duct Name Size(in) (cfm) (cfm) (ft) FR (fpm) (in) (in) Opening(in) Matl Trunk rb4 Ox 0 300 300 110.0 0.145 550 10.0 Ox 0 VIFx rt3A rb3 Ox 0 600 600 67.0 0.238 764 12.0 Ox 0 VIFx rt3 Bold/italic values have been manually ove►►ldden • A wll•ightsoft" Right-Suite®Universal 2015 15.0.18 RSU12649 201 SAug-03 20:07:44Page3 ...ghtsoft WAC446 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N I , J Trunk Htg Clg Design Veloc Diam H x W Duct Name Type (Cfm) (Cfm) FIR (fpm) (in) (in) Material Trunk I rt3A Peak AVF 300 300 0.145 550 10.0 0 x 0 VinlFlx rt3 rt3 Peak AVF 900 900 0.145 645 16.0 0 x 0 VinlFlx rt1 111 Peak AVF 900 900 0.145 645 16.0 0 x 0 VinlFlx 44 2015-Aug-03 20:07: wrightsoft" Right-Suite®Universal 2015 15.0.18 RSU12649 P07: 4 h+ ...ghtsoft WACb46 Millstone Way Centerville-1.rup Calc=MJ8 Front Door faces: N glFlo q A AA ov- pFtHE Town of Barnstable *Permit# 7832q p Expires 6 months from issue date 1J1R1,,�„ , : Regulatory Services Fee M"S& $ Thomas F.Geiler,Director �ED1 `p Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: Sob-862-4038 TD JUG 2 8 ?off IT Fax: 508 790 6230 w, 4 EXPRESS PERMIT APPLICATION - RESIDENTIAL 01 L e qR/V 0 C, Map/parcel Number Not Valid without Red X Press Imprint �,qeC Property Address uto/f'S - lu"' U t!/ Ili W (L "residential Value of Work .Q Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address . q1,0 C.UL&O/ L ma eu�z- Contractor's Named)/� 1Lli' IYLt�1 Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) [Aw000anan's Compensation Insurance Check one: ❑ I am a sole proprietor �] I am the Homeowner �I have Worker's Compensation Insurance Insurance Company Name flea V4[U6 �Y"1 Workman's Comp.Policy# n'? Copy of Insurance Compliance Certificate'must be on file. Permit Request(check box) �e-roof(stripping old shingles) All construction debris will be taken to Y,ax ❑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 department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improve ent Contractors License is required. Signature Q:Forrns:expmtrg Revise063004 co� Board of Building Regula 'ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 134313 Type: DBA Expiration: 10/24/2005 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. SANDWICH, MA 02563 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card �l:e�n�noouaeald�o�../�aaaac�iuorlta Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 134313 One Ashburton Place Rm 1301 Expiration: 10/24/2005 Boston,Ma.02108 Type: DBA DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD. C,,r, Ae SANDWICH,MA 02563 Administrator Not v i wi out signature i David Sawyer Construction 318 Meiggs Backus Road Sandwich, MA 02563 (508)-539-1992 Proposal Submitted To: Work Place: Date � IIS � rip, Remove, and Haul Away all old rooNhingles. SUPPLY&INSTALL: 3o atDkt � c- ' WaL oC644aa i wuP4 S<14)IaM G-0 ,O 5ro,- a�c Vff 1�- P 0'f- k 'ce-" CLEAN&REMOVE ALL DEBRIS FROM WORK PLACE AFTER JOB IS COMPLETED. ALL DEBRIS TO LANDFILL. . �.._ Up TOTAL INVESTMENT FOR MATERIAL&LABOR$ All material is guaranteed to be as specified,and the above work to be p rformed in accordance with the specifications submitted for the above work and co ,cQ pleted in a substantial workmanlike manner. Payments to be made as follows Pool o kh�q cmo(i6 Any alteration or deviation from the work specifications involving extra costs will be executed only upon written drder,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. 10YEAR LABOR WARRANTY/PLUS MANUFACTURES SHINGLE WARRANTY. NOTE-This proposal may be withdrawn by us if not accepted wi 30 days. Respectfully submitted ACCEPTANCE OF PROP SAL The above.prices,specifications and conditions are satisfactory and are hereby acceptedi Nou are authorized to do the work as sp ed.Payments will be made as outlined above. I Assessor's office(1st Floor): ("PMC SYSTER111 M1.11V7 Assessor's map and lot number®'i�]I° , I`. G � ®0���OET+ FLOSU,.]t`�"E �CF IN ETC` Board of Health (3rd floor): WITH TITLE:5 Sewage Permit number 1 `j 1 MENTAL C00C rZM1 Z DAHI9'AXE Engineering Department(3rd floor): "� MAI TOWN REGULATIONS �o Mass House number 'f o Definitive Plan Approved by Planning Board 19- �o �r d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BAR.NSTABLE BUILDING . INSPECTOR APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION yv O 0 �JZQ/1�1r 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ar _ Proposed Use Zoning District Fire District��,Vt Name of Owner�• 4mY c�G.c.lGi'✓�N7 w�Tam Address � i✓ W Name of Builder Spy)L Address 5}�M Name of Architect Address Number of Rooms Foundation rrzk r1" Exterior 5I-�114 l(l eV260417 Roofing Floors_ �rS /�ir>t�� ►ri Z�(,J, Interior Heatin '-> Plumbing 9 2, Yo- Nireplace ry�� Approximate Cost 76, 00c Area A� 6 Diagram of Lot and Building with Dimensions 16 12 7 ,- Fee - �— 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 ov- Construction Supervisor's License RASPANTE, FRANK. & LUCIANO � r .i No 33805 permit For 1 z Story 'r Single Family Dwelling Location 46 Millstone. wav Centerville WOwner,' Frank & Luc-i ann Raspy-p e _ l Type of construction Frame Plot Lot Ai --� . Permit Granted . June 12, 19 90 €`" Date of Inspection ► 19 1 ,- � r= r i Da e C mpl`to 19 L ' 1 y r - ,*THE TOWN OF BARNSTABLE Permit No. .338.05 BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash N� �� i6T9• HYANNIS.MASS.02601 Bond .... ....4-41 CERTIFICATE OF USE AND OCCUPANCY Issued to Frank & Luciano Raspante Address Lot #1, 46 Millstone Way Centerville, Mass. USE GROUP - FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL:NOT BE VALID,.AND THE BUILDING SHALL_, BE`OCCUPIED UNTIL SIGNED BY THE BUILDING.:INSPECTOR. UPON SATISFACTORY..:COMPLIANCE: WITH°'TOWN- --.. REQUIREMENTS'AND;IN;ACCORDANCE;WITH;SECTION 119.0 OF:THE_MA5SACHUSETTS;STATE:` BUILDING CODE .....Apr..l......j. 19 91 Building Inspector : • • !M�11n al•{ ..4• i-� w_i !C*v:' li' f .5'. J '.3�:up�^.. `� i.,..:.R - ,.-Gav '1:M,31".+�.: 1... '•yl����-..h!�ti-�yi .Z a'"il' ' 1"k�.. •Y.✓F�� �AI "Yi .. .+ 1 • A.:...a.•. •�-II" •'P�, RNSTABLE, MASSACHUSETTS • BUDDING IT ,. Q n� DATE . e13'r �.J� 19 C)l1 PERM IT•NO. � — NT Q�yiitr�r 74DDRESS T� j "+ ��cx .At.liC)W ` Owner " 0.) (STREET) (CONTR'S-LICENSE) UMBE(iM1 OF T TO R•Y; }�1i1d 11yA*�'1 1incj (� ) STJORY C` i (- a J)\fit:i� 1n4WELLIRNG UNITS TYPE OF IMPROVEMENT) ,NO.. (PROPOSED P USE) AT (LOCATION)" V I •Lnt' 'i �� ) 1 can` Way, Cent. edit/ ll� D:IOWING$TR CT �lj t - fN0 ) .. '"e > 15TREETI; £` x (. .BETWEEN 'L. ' >'wf"y.. ` f'S o "i'.-e,�' r I AND s. arr�S '� N '�.:. •'"° '' '-*rt y4s__ t ,' .rt!'„cr' r,sr• (CROSS ST.RE ET) �' ,;s.,,_ .q(C R O S S,'ri Sx R E E T) `LOT ! "1 }t ? "r,�` 4 'a, 4- rr..xa, }* T•r SUBDIVISION. � '- Aax�x. " � ''� a.-,.t, '�� �` LOT BLOCK BUILDING IS TO BE FT WIDE BY, •FT LONG BY F17; IN HEIGHT gNO;SHALL CONFORM'IN CONSTRUCTION YO-TYPE * USE GROUP BASEMENT WALLS OR FOUNDATION ', ••r ��' �^ _ - (TYPE), .. i f REMIMRKS. ' S�wacF •1 �59•-?�.4 - _ _ 4. Bond AREA OR 78 OUO 'OU PERMIT Q" VOLUME 1620 �q, t . ESTIMATED_COST • FEE 93• •. (CUBIC/SQUARE-FEET) '• - OWNER IartlYlk &. Lldci Lno [c sr)Gatil,Ee BUILDING DEPT. j-, _ ADDRESS 65"•Mi.11stone Weer, Contervilie BY I �. TyIS,PERMIT CONVEYS N0_RIGH7�T0".00CUPY ANY "STREET, ALLEY OR SIDEWALK OR ANY PART THEREO'$. EITHER TEMPORARILY OR I P.ERMANEI`JTLYfENCROACHMENTS'ON:PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER'THE BUILDING-CODE, MUST;BE AP- PROVEDeBY THE..JURISDICTION.'I-SYREET10R-ALLEY GRADES AS.WELL AS DEP"TH-AND LOCATION OF PUBLIC-SEWERS MAY,:BE OBTAINED :FRQMTHE`llEP-ARTMENT OF_PUBLIC WORKS.;THE,ISS*UANCE-OF PERMIT DOES NOTIRELEASE tHE.APPLICANT FROM THE CONDITIONS ' A 0FiANY�APPL`ICABLE SUBDIVISION-RESTRICTIONS > ' 1 MINIMUM 'OF- TI REE,�...CALL APBROVED:-PLANS MUST BE RETAINED ON,JOB AND. THIS. ,WHERE`APPLICABLE SEPARATE t jNSPECYIONS'REQOIRED FOR -PERMITS"ARE..-REQUIRED --FOR I _—ALL:GORSTRVCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL PLUMBING AND I. FOU YAT.H)NS OR'FOOTINGS MADE--WHERE':A.CERTIF.ICATE OF OCCUPANCY IS"RE MECHANICAL INSTA LATIO.NS. 2:.PR1OTo COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT•BE OCCUPIED UNTIL •; ME BF,RS(READY TO'LATH) FINAL INSPECTION HAS.BEE!N MADE. - i£:•• ="'3. FJNA, INSPECTWN BEFORE e, -` POST •THIS CARD SO IT IS VISIBLE 'FROM . TREfT' $DItt�ING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS' /till 3' p — HEATING INSPECTION APPROVACS ENGINEERING DEPARTMENT J' OTHER BOARD OF HEALTH t �' .. WORK SHALL NOT PROCEED UNTIL-THE INSPEC- - pERMJT w!LL BECOME NULL AND VOID IF CONSTRUCTION I INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE'VARIOUIJS STAGES OF rFPERMIT.IS ORK IS NOT'STARTED WATH14 SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. c ISSUED AS NOTED ABOVE.— NOTkATION. .:'+•l i. - ,4,-..�WS :.I } .4 ---;-s—•---�-^r-;Tv,"-'rrr�r^1'Z•.'?'.:r�'F. ���'1J'�•.� <e'e. r ram. <n 'r - 'e.-..•..cr.. ,. .r T. I N I . • i - 1 Alm rz } - -- /� 1;LEVATION RIGH? SLEVPTIOp' +Li ' TTL :. IJ T t' IAfp}U.LT iNINGIl.�a K001`- .+RONI R:G.GLAreo^RO 4.fT.W. . I..,Y '• -. :�iRrGK�(.}rrnN[Y 4'l�Trttai. __�. W.G�NIUG}LGs-GLca¢-41flLs�4 ReAR .• � , 4 LRG f1CONT'DOOR' i'ILI'OI fC7=OPO.H-4A%Z-v¢ .. s + :Tr :Y A {111 14. 14 I. }' YD}.ICG 1 ` LEFT E.LE-VATION ' JaAR FL F,VAT10N r ff GE IL IN LI A44E MIL( R= 20.67 W7W.cp pR.Q G.W.A. NET W.A. u- .0¢e N Z.g. zo.zs E58 445-Z , AR5A= `/2OO•SF• lzEAV 7o-% 72.50 960 816!:6 FLOOF A44EMP5L�( :R 21.IQ A'IG N7 Z1.25 - - 4650 44M.7+f. Gr2 l-O�z ZB�On �i SEA Rr1.CAM-174 9&4T LIVI1 ILI' V a •07(o LEp( G175 /i'7.0 559.2 <ifACE f 5285.E AR.+140 hQ FT �lR>79GK AREA.=. f73G. -TOTAL 32. •7 .O 3 xuc ennweo er: on.ww er. 0. I WALL Ari4Er1SLY y,.. '; ' �; •07 FEN'r�fY.ATION'- 12.3 PRAWN fOZ'• G.W.A.s 2640 t.p. ; . - - EL,EVATIOIJ'G o.w�nwowweee , Y IN�ULA r1011 tiELTiON OF 4- yc�2RiGijE IG'OG. B-Gp lail-Gr II'>pd I r vz,GCDK1OVM YZ'LDAtiLY ikAfi�ctP 6fF.4. r+lri. 1xa/offrT T 'ma�cc/ I1,140L.R-19W� *r r I //�/,SZ R.4YfBRi 9_4r 13!I r SEYDNR.. -4 A KNre Z%4tAlscv , ' yL_ T•lALL 04, -' SE9ROOH 9 >lAh. 7rLrG.rRaoGEiL ' I v BATH SE17ftGk7H U1-Ln.FZ F - �y .ONX9 I ffiRA97r, u/2-ie.10° 1 VAULTER 1 I i1 -1(7..X loft_ -, Q _ O. . .13aX.n� f�41A NaEr ,'..�•,cf�p- L`L¢�L.0 uwam 41 _ a44*TUM .. _� .. VZ"GUES rLfZ. F I NiiO4 rti !G[O ?� 1 R-II• a,1 fiomoHvw 'Zx to zxw buu e c LIN e0 .O. fa . Z•ZX4 ., Ox 10. �.� uk Af.po�x ?Lett NpIIuRJ� I w �LIVIN4 fW orl (WALL ----N — �°. ZM' ON`i 31r2'ICOhY. i 1 'I I GONG. BELOW) _ - .w1G rL fILLCV.f -i-y LLIAIERR2llOf - g II -R. 1 ' 4'0 .. 'f fzw� -----J ( N* TYQICAL $UILVING ��GTIDN � GECONDLOD43 i'LAN GZ'd x Z8�:0�'3.SEp Mi.'GA?F- spALr 4 5zed GArza4e t.lno. L� cK . . . _ nrxe:AHLI?TFT7 umovm n: oa.we er: vre ' oar[ O•YEYP e[v+an ..n" .. - 'y. . 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':. 9Y'toa?RiD.WD.9EGK 6 Z''QN r' t - 4 �� `�' ::.. . - �''U° G 1(vl'brut..... 10-9 Yiq' ;. ._. •, ' Me,WA ' I - r t_, DINING JCITGN6N .... ( Q $ATNI r 14."Yc I44'x9w... D LAUN . >� 11 ':LF) a it• 4'-bl O ("°I 4�41 dr} txhfb'/r hLN 4K49t%T �wn nc • fJt•1 �m 9 .. - � Tr1 8cwi 7 FIAL L y - 4y?,lA41t1�J 0 WA"$Geri" O LrvING 13com :o _ No i LI`Ix II(�1ULTED 1p I I .IG�:x_Jr�O. .9A Woff G r HIQ � 7=s° 719' -5'-9 A!o GZ=O'x28'--O" %EEOf3OOM "AP5 e, 173E LIVIWG AAVA,a5MIpGARA(E +140 N0017P.'GK ., I617T ri-ooff •PLAN scAu: 6 A"Mvzgby: Dn.wMnT: �. DATE: ur EED �r 'GRLw N.Vcw FIR LOO 1R� AN D,u.wDwurau 1 TVJ �L��lAT1UM<i Z OF l} v LOT ONE + m 1 . • � � Cave�.\� t7� 2`/ �}, • . ° ,�iwoA170AI 26.\° Z ° /G " 33 !k WA Y I HEREBY CERTIFY THAT`THE STRUCTURE ON LOT I' HEREBY CERTIFY THAT WHAT IS SHOWN DOES CONFORM TO THE SETBACK REQUIREMENTS ON THIS PLAN IS AS IT EXISTS ON THE OF JHE ZONING BY-LAWS OF THE TOWN OF GROUND. CERTIFIED PLOT PLAN FOR: -Z Vcl qA/O E fi?ANk R,+s v-�4n/TE of M sq LOT: / A1,4Y JONN cyc TOWN OF- P. cDATE: 1994 r.. � DOYLE,III : /�1.9Y 30 SCALE: No.33589 9F� �o FLOOD PLAIN ZONE C AS DELINEATED ON "FIRM"• PANEL N0.Z5wO tG STV DOYLE ENGINEERING ASSOCIATES INC. - 000sc 1 530 THOMAS B. LANDERS ROAD P.O.BOX 595 WEST FALMOUTH, MA. 02574 TOWN OF BARNSTABLE t BUILDING DEPARTMENT ' HOMEOWNERLICENSE EXEMPTION Please print. F DATE ov Zq JOB;.LOCATION GS r um er treet a ress Section o town "HOMEOWNER" • rao �S t ame — 392 3 Home phone ryu, K plione PRESENT MAILING ADDRESS S AM E -------------- t1 t4,ti 1tY own � State' ipco ..e The current exemption. for ;"homeowners" was extended to inc.lude. :gwner-oc dwellings: of six:.unjts .or ess an o al low'such 'homeowners: to en a e anupied.. ivi ua for hire, who. does not possess a license; provided that theeowner" acts'. as supervisor. (State Building Code Section :'DEFINITION OF HOMEOWNER: �Persob(s) who owns a parcel of land on which he/she resides or:'side, on which there is, or is intended to be, a one to six familtedwde to re 'attached or detached structures accessory to such use and/or farm ystructures. A person who constructs more than one home` in a two-year period ;considered a homeowner. Such "homeowner" shall submit to theBuildil not ibe s on.a. form- acceptable to the Building Official, that he/she shall be responsible ,for all such work performed under the building ermi re ponsi le p ec ion p Ie :The undersigned "homeowner" assumes responsibility for compliance with • Building Code and other applicable codes, by-laws, rules and regulations. the State ;The undersigned "homeowner" certifies that he/she understands Barnstable Building DepartmentAinimum inspection procedures andthe Town of and .that he/she will comply with said procedures and requirements4;uirements HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet l to .compl with ar , Y State Building Code Section 127 9er, will be required .0, Construction Control . a ... , - .. .r y _ Y 1 I QI • .. r " • • • • _ 333YI 000 HOME OwNER'S EXEMPTION The Co a state that : "Any Home Permit Owner Perform ing I s required shallg work fo which b � a bull In (Section e exempt from the provoisi/ons of thus g 9.1 .1 - Licensing of Constructio ✓ section Home Owned e a es n Supervisors / i �r 9 a persons) for hire to do such work, ) �that'suclhdFlometOw%neJo r shalt act as\ ervlsor. " • ! s Many Home Owners wh ' use" "af.; `this.exempt Ion are unaware th t the the responsibllitle`of a supervisorJ(see A are assuming. for. L 1 cans I Licensing Construct on Supery I s_ors, Sect in-2tl1.5 Q' Rule I es and Re u Y,,/ w 9. Iations;; often. results In serlows ':oblss ems" ``� �` " / ��� '� unlicensed persons. ' particu,lariy'when thel /Homek Own hires unlicensed In this case our/ Board ca not Person as It woul with Ilcensed Supervisor. TherHomedOwg Inst •the pervisor is ultimately re onsible, n r actin :-._.. ... .. _... .__. _.._.._ . . g To ensure that the'Home, Owner`' ,Is i I �- ' 'communities require' ' Y aware`of his/he. responsl,bliiles, many certify that he/she,understandsfthe� rpermit sponslbpplicatlo , last 9 that 'the. Hgme Owner pa a of this Issue is a form curr ntl tles of a supervlsoro On the care to amend and adopt such a f ,rm/car Iflcation for u e Y used by sev ral towns. � You may ,In your co munity. y , i - 1�