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HomeMy WebLinkAbout0034 TOMAHAWK DRIVE 3_q a&Aawk- fir. Town of Barnstable illldln I g z PostThis Ca"rd So That it is Visible From the Street Approved"Plans IVlust be Retained on Job and'this Card Must"be,Kept Posted Until Final Inspection Has"Been Made Permit _ aWhere a"Certificateof Occupancy is-Required,such Building shall Not-be occupied'until a Final Inspection has been made i �1 111it ri, n Permit No. B-19-3826 Applicant Name: TROY THOMAS HOME IMPROVEMENTS INC. Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/13/2020 Foundation: Location: 34 TOMAHAWK DRIVE,CENTERVILLE Map/Lot. 190-023 Zoning District: RC Sheathing: Owner on Record: COURTEAU, EUGENE L& LINDA W = Contractor Nam"aTROY THOMAS HOME Framing: 1 IMPROVEMENTS INC. Address: 34 TOMAHAWK DRIVE 2 - Contractor License: 185422 CENTERVILLE,MA 02632 Chimney: Est. Project Cost: $3,995.00 Description: ROOF Permit Fee: $35.00 Insulation: Project Review Req: Fee Paid: $35.00 final: _ Datea 11/13/2019 °£ Plumbing/Gas Rough Plumbing: Final Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: m All work authorized by this permit shall conform to the approved application and thellapproved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning=by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. " Electrical E Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: n z 1.Foundation or Footing - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "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 Town of Barnstable Building , z ruutiv�rn PostThis�Ca d So That it is Visible.From the Street-Approved Plans Must be Retained on�Job and'this Card Must'be Kept ` Posted UntilFinal Inspection Has;Been Made. 161416 yam ° Where a Ce`rtificate'of'Occupancy is Req;wred,such Building shall Not be Occupied until a_Final Inspection has been made. �ei lllll, Permit No. B-19-3826 Applicant Name: TROY THOMAS HOME IMPROVEMENTS INC. Approvals Date Issued: 11/13/2019 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 05/13/2020 Foundation: Location: 34 TOMAHAWK DRIVE,CENTERVILLE Map/Lot 190023 Zoning District: RC Sheathing: Owner on Record: COURTEAU,fUGENE L& LINDA W Contractor Name. TROY THOMAS HOME Framing: 1 IMPROVEMENTS INC. Address: 34 TOMAHAWK DRIVE 2 CENTERVILLE, MA 02632 Contractor. License:' 185422 Chimney: Est. Project Cost: 3 995.00 Description: ROOF � t I- i " . Insulation: _Permit fee: 35.00 Project Review Req: 1 $ Final: Fee Paid' $35.00 Date. 11/13/2019 w Plumbing/Gas lRough Plumbing: Final Plumbing: BFuilding Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application-and the`approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open-for public inspection for the entire duration of the work until the completion of the same. f Electrical Service: The Certificate of Occupancy will not be issued until all applicable signaturesby the Building and Fire-,Officials are provided on.this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing - " ., . • " - 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection)- 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "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 E Application number..............!................................. BUILDING Fee �S . op .... . . . ......................................... I DING ®EPT Building Inspectors Initials. ems. NpVY3 19 ........ .... .................... 20 TO wN OF gqR Date Issued.:...................ta. .I�..�:��....................... NSTABLE Map/Parcel.............: ......... TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION. �k Qkt�1 Address of Project:34/ d'Mn 1� �A 3g, NLTN6ER, STREET VILLAGE Owner's Name: Phone Number 09 Z7 = fag Email Address: d ,.. Cell Phone Number Project cost$ Check one Residential Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: - Date: TYPE OF WORK ❑ Siding ❑ Windows(no header change)# ❑ Insulation/Weatherization ❑ DD ors(no header change)# Commercial Doors require an inspector's review LD"Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'S INFORMATION Contractor's name O~$ &o Home Improvement Contractors Registration(if applicable)# /�s 7�a (attach copy) Construction Supervisor's License# ��P�3 �' _`' (attacl°copy) Email of Contractor Phone number ALL PROPERTIES THAT HAVE STRUCTURd OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT. YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER..........................................................t *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide-a site•plan with the location(s) of each tent Fuel source being used LP tank 20 lbs. or>Yes No if es, a as permit is required. . _ � Y g P q Natural Gas Yes. No , if yes,a gas permit is required. If food is being served at.your event please obtain a Health`Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date, APPLICANT'S SIGNATURE Signature Date All permit app'lic 'ons are subject to a building official's approval prior to issuance. AWL 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 Legibly Name(Business/Organization/Individual): /10YS I'16Yw•C 1✓�-Q/lfnKb t Address: City/State/Zip: (�ji.� Pi,.y� t� MA 4a� Phone#: a� AFran employer?Check the appropriate box: Type of project(required): l. m 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, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. ❑Building,addition [No workers' comp.insurance comp.insurance.$ ; required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeownervdoing,all work, officers have exercised their I I.0 PI ing repairs or additions myself. [No workers'•comp. right of exemption per MGL 12. oof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers', 13.❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: . /N'�`m •Fwii C .t.St� Policy#or Self-ins.Lic.#: 0c&1 W&S—d Expiration Date:. Job Site Address: Iy/d' I a k City/State/Zip: �SL� % Illle 0AYZ Attach a copy of the workers'compensation policy declaration page(showing the policy number and exdiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can.lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains Vd penalties of perjury that the information provided above is true and correct Si Mature: Date: i -/ Phone#: so? t? 43>✓ 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 M - C• „ T Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for,you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pe'rmit/license number which will be used as a reference number.•In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all 'locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address;telephone and fax number: The 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 Revised 4-24-07 Fax#617-727-7749 www.mass.gov/dia DATE IMMMW"M ACo® CERTIFICATE OF LIABILITY INSURANCE 04/30/2019 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 INSORA14CE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.. IMPORTANT: If the certificate holder isian ADDITIONAL INSURED,the pollcy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject tb the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to$te certificate holder in lieu of such endorsements. PRODUCER CONTACT Jan Davis Mark Sylvia Insurance Agency,LLC PHONE 508 957-2t25 FAX 508 957 2781 404 Main Street ADDRESS. mark marks hriainsurance:cem Centerville,MA 02632 INSURE S AFFORDING COVERAGE NAtc a 1 A: Farm Family Casualty Insurance INSURED iINSURER 0: Thomas Home Improvements LLC INSURERC, PO Box 177 ; 1 R D: Centerville,MA 02632 i 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 REgUIREMENT, 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 LICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A SUER POLdCY EFF POLICY EXP LTR - POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE $ 1,000,000 CLAIMS MADE l OCCUR IDAMA O RENTED g.100,000 MED'EXP M one g 5,000 A N 2001 X1416 5/01/2019 5/01/2020 PERSONAL&AbV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: j GENERAL AGGREGATE $ 2,060,000 X POLICY1:1 jE O- LOC i PRODUCTS•COMP/OP AGG $ 2;000;000 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ MaecdderM ANY AUTO ! BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS i HIRED NON-OWNED PROPERTYDAMAGE' g AUTOS ONLY AUTOS ONLY Per� i $ UMBRELLA LIAS OCCUR i EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE j AGGREGATE $ ED RE TIN I $ WORKERS COMPENSATION PERSTA.LITE ER OTH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN 0 EL EACH ACCIDENT $ 1,000Aoo A OFFICERNEMBEREXCLUDEDI? ❑Y It IA N 2001W8053 5/01/2019 5/0112020 (Mandatory In NH) E.LDISEASE-EAFJVTPLOY $ 1;000,000 If yes,describe under I DESCRIPTION OF OPERTIO E.L.DISEASE-POLICY LINT $ 1,000,000 below i DESCRIPTION OF OPERATIONS I.LOCATIONS I VEHICLES(ACORO 101,Additional Remarlm SChedule,maybe attached If' we space Is required) Carpentry Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived or 8xtended the coverage provided by the policy provisions. I CERTIFICATE HOLDER i CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN Town of Barnstable Building 4ept ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE a Hyannis I MA 02601 Fax: Email: I ®1986-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016/03) 1 The ACORD name and logo,are registered.marks of ACORD P f � a - r �iEe�fn»zzzzr naeP�rl/�o� jfr„uar�u.;rf�: + Oftiae of Consumer Affairs teminess.Regulation HOME4101PROVEMENT.CONTRACTORPe f ' B E�lration 22 Of3/08mm TROYTHOMAS HOW 'I INC.' TROY THOMAS }' , 499,NOTTINGHAM DR `+' CENTERVILLE,MA'0263k Undersecretary t f . Commonwealth of Massachusetts Division of Professional Licensure ' Board'bf Building RecIplationsand Standards,.x Con tucti lrl r Speclal#gl es SL-099913 s files 04J1 /2020 r „ TROY A THOMAS�, �' 498 NOTTfN(" 4 v .ENTERINLLE-Nt .p2T� � q Cofrirlssioner f' a THOMAS HOME IMPROVEMENTS PROPOSES TO PERFORM THE FOLLOWING WORK: Location of proposed work: Mr. & Mrs. Courteau 34 Tomahawk Drive * , Centerville, MA 02632 Date on which construction should begin: October/November 2019 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. , The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. r Cost for labor and materials under this contract: Proposal to install RPI EPDM.60 Membrane on back upper dormer roof $3,995.00 Proposal to install GAF architectural shingle roof over front breezeway&entire garage would be $3,286.00 Proposal to install white cedar siding on south side gable cheek wall&upper main cheek wall , would be j $2,315.00 I In the event that while stripping the roof or find rot that needs;to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$65.00 for a carpenter and$45.00 for a carpenter's laborer, plus the cost of materials. -Roof to be stripped and cleaned of all old asphalt&debris -High density fiberboard to be installed -EPDM membrane to be fully adhered to fiberboard -White residential metal to terminate entire flat roof area . -10-yard dump trailer will be needed on site;and will be removed at completion of the job -Contractor will be responsible for-all building permits needed at the property NOTICE REQUIRED BY LAW With the agreement of the contract$500.00 of estimate is due. Further payments under this contract areas follows_: t, 1/2 of the estimate due at the start;and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in. this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. " The contractor warranties the workmanship•completed under this contract for a period . of ten years from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment,but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form,content,and notices contained in this contract are intended to comply with the applicable portions of the Mass.General Law Chapter 142A, and regulations promulgated there under. in the event of any instance of non-compliance, only such ' portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any ° such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. , Signed as a sealed,instrument on this date: Date: Homeowner Contractor 'A LTE-:,R' -A-T•11-E W EAT H'E-R IZAT•I O N : ., lG- .�G� l� Date Town of Barnstable Building.D.Nislon 200 Main Styr >� �", ;;c= _ Hyannis,MA 02601 Y'?S:,i.•%k�+`.. Vt ' !.: J! . The insulation work at .'h r has been completed in acco AMR L .. _a:c- � ::;r;..:.•,,. •'F�x'r1•°�r; r .�, ,:>d.;:f° ,.,•) n'�i'ril'"-a�i'{;.: '.�:uJ,)�.]�.�"i�(:' ,3e1..;�2`1::.`:•, •_w;,•. �7� '�4r r, •:: .sy;,��l ,.rt.• _y)S J�'u': ii; "..1+='1.^::�'S;:: ���;.' ;�"✓F.�i '•,�:N•..r.w'•!x 1.N'!:.: "J,•�.�;a:'.1;.y.:,,:' _ ri(,"ri.':;i" , ,J-T�•,1=:_z;. .�,�': '.i,_,y, .'r�;; r:.� .ds:c;y_ •.'=c;;�..�. .r;, ...• ,Y:;r ,!r!�.M,.,y:''-�.�Y,'-•y.: :r;:•'.7•'r,'f:?v?., ). ,:°::• r>Y, } yfy,2�f.}:r��� ��')�*1<)p,.<{ }`:i:pi�:'. - '� � •�'�-'y,=�;i,-n7^r ,.f..: ,:4r ��'r'•i ,i�:.�;.•,• .rtr.: :..-5:: �F?•":i-s:o<-:�e#'�y^;:4rar•19': 1r.�!% �.L:,: ../.;'w.fc�:�iy:;[_ih�r r,' '•p;l4.'",., �,:,:;!;q•':.5•+;.a1�" �+)'� ..•�:r••., :.i�:r;i�, •"r'�,rn:'+1.i'i y, :•.C'..'.':4:�":'� 'i:r�i.,':.•n11 Y,2_'Cti's.� �:�.^:'r4". - .'.•s,^. .:)..J.;1�':j_y,;. ,r 4•S "~�.° '.{._�r�..,r:`,: :)fi'i_vi=. - •r`x.>�••-k:r�;'�*' •;i;••:�''?iiy+.,:'`.<:':.i�.1.+y ,:>.?''%4:�:•'c::a.»T i't�''' - ,:.r s:•.•.''d_;,L':,:, ��:?'s: is�7.+ �. :.d:a .rl. •' zY;...'4„ •'�•:_'Fr,*.'•+;,�v�'� Q.'/.:ti'�:�.��'.�:rr ,'�i� �IYJ ' �•yt��•'�'•"�'}''� J''� :':iJ': �f"4';•':.'•.0 05, '•r'oF•v rEi;:.a` .;J' 'lg'r�:;V i„`. ,�.�',:r, _ r°'� .Y:=+n :-i:-r��,., •}y• .r=.., :r,h.:^'• ,'u:.'.h:� ^2,::iS.j;i Cif ;,],.i.. ti-✓%?.`�•, •4,, "^�,,;,L:. �:}.. Yam,;�'•>•'-x'.ft. .,:'. YYr_ r,^''Me _r., j:�:.'Y�i s•A:.�. .y'V ,: �'•'. .�•�::• `�:: _ ':t'.r �s.'V+,.=L.�}'^:�• )r•.. :i� �y:s'�P+t �.rg�:'r},.�y„✓ .;,��+:{T Ypiyr�,rytKyeJ," ,i;u y: s'vi c>= :n•'!'" - `•'r:•:�tj'':��"'2A;'..; :Fair.4���.�`r'•'..�r'-2 . -•' �,�},�„• ��'P.•L�."i"',,�'y...p�' `r.Y..:;:zn(f'.>n���Itjp`� z.h t'..ti�a':,w,,�h�.• 'i.,r )„rj'� `"�:'y,:�i .5� r-tiiji�!%:'•"t'r�rs, r, "�,'��N;?^�'r'�T+it)i�{� Otll r •;ifrGy :7 J .9 11'+-5' Y �'Tm¢yFL«'� Yr sT� q; tyJ ti President „�,;x '' '��,� ✓,•) '�� . , CSL I05454 M 58 DICKINSON STREET FALL RIVER,MA 02721 1 (508) 5.67-4240 1 ALTERNA17VEWE-THM..G GMAI)_.COM TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map C1 D Parcel OZ3 Application 4"E Health Division Date Issued Conservation Division Application fee t s Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project treet Address,A U�VI Vl� ri l Village v Owner C� uO Address l✓m /rl/,�`��I�/!� Telephone Permit Request l�l �tl Z1.U ^ r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �-�7'L Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other lk Basement Finished Area (sq.ft.) Basement UYjnished" (sq.ft) Number of Baths: Full: existing new '�017, 1alf: Abfi 1` new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new Fi�sq�gr Room Count 4s, 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 Telephone Number Ed9 Z/Z41d Address L S f License # MI-11fl- -FrA 2- Home Improvement Contractor# 7S�`� m�n���ye�l�tl�'►ZG� �I Worker's Compensation # Q a 7`7n �� tllv ALL CONSTRUCTION DEBRIS RESULTING ROM THIS PROJECT WILL BE TAKEN TO dn 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. THE r Town of Barnstable Regulatory Services M .sur: Richard V.Scab,Director o,us Building Division Tom Perry,wilding Coaur issioner 24�3 Main Sueet,Icy is;VLA 02601 imtown.barnslable.ma.us Office: 508-8624038 fax: 508-790-6230 Property Owper Must Complete and Sign` 'his Section 1, Gene Courteau _�_... .............. _. ,,,..........,........ ,aOwner'o le Subject prorxlry to act onrwy behalf, M ad znaL ras rc3aTivc to work,aut wir Icy this17 1z�in,pemut applicaf.�c�n.for: 34 Tomahawk Drive Centerville, MA 02632 Address cif Qh) ool fences and a.� are the resperr>_� aility:�.f the applicant. c3lils are not to be filled, or u6L'ed.before fence is 'M' St Aed and all fuaai inspectiorLs are performed and.accepted., i;rat re cif'. �vrT r na r f r p icAnt. ' � t e Print Name not Narne U% at D ARR 1 4 2016 tZ:Ft�r.T�3.S:t7;v':ofieri;;�?�?TSSIi)3tiPt:.{�iS Fed0ral 10#SSdtA 009 RISE 1 4000139 Rl Coritractor Reglstra'on Flo s,as" A Corrtees R ' tY 42fl93'9". " A division of Thielech Engineering CT gontractar RQgli,trailon ritsi 6204M ENGINEERING S.UupoiitAvenue,South Yannouth,NIA 0260 p 508-SWI926�C62i15 1FAX5t18.W1933 , PROGRAM'. ,►as caxr�tr'4a�tJTEai�V,istrcaErriFENt . tCLC-HES �>u #+ tusror sti T rawmaisx PRUEi ,» �oaie_ - count � vro�co�Ea Gene Cotuteau (S08)71S=30Cr 0920616 10 "0 00004 SE&VIC£:ZMET HILtiItYii STRE£T Y 34,Tomahawk Drive 34 Tomahawk tar -ffiEIi1Ne£rbTv rgfiAT£.biK�_...._�.-µ,.V�µ. SUa3Ntt en`r,STATE,t ''. - Centerville,MA.02632 Ceit�rville,MA 02632• JOB DE5C`R PTION _ MR.SEALMIG:.Provide labor and materials to sea!=us of your home Winst,vrastefbl,excess air leakage. This work will be pt4ortped in concert.With theuse of spexia#tools and diagnostic tests to assure ft at your borne.will"bye left wfth a healthful level of, aitekoltattge Lind"ind o,rair quality,lviateri6ls to hem[a sty#'your horrte can#ncludc ettulks,,foants,weatherstri +ing and tither . products. Primary.areas for Scaling inc)ude.air#eekaje to altics,bascigpts,attached garages and 6ffier utilteated areas(windows are riot generatly adorers a l.) (4)jvrorking hours. A reduction in cubic feet pet minute(cftri)of air inftitratiai will oceur,but the.actoal nutnbor of'cfm is notguarantecdl- $308.Ofl AIR SCALTNG::Petavide labor and matctials.tti install'.( ion vreatherstT'ipf ing and ie tt0MWeCp to(1)do;Q to restrict sir"le kage., ME67A"Er SLOPE:;ov#de labor arid;aiatcrial;to 704111 R- 9 unfacod fibtrglass to(33d)square f i afwalf. "13teri isi ll " rigid board in5utation. Scar all seams with FSK tape;; S1,293.6(} iG .WALLS:S:Provide tabor and m vials to i"WI It 1 y faced fiberglass to(35)square fax aFkneewull,Thera insfa112"iigtd bb4d insulation.Saul all a wif l�St{tape; $42.1'0 " Vl NT1i Afl(71�1:Provide ttlbtlT-anti rttattrsots to iTtslbtl vent#latfon 17 is(29)rafter bays.ta iriaitreain aiTllaw. S10t.2t" tiAS1 M o7 f CEt1.(h#G:Providts and'maleritls to insiull(37)linear fott of R-tt3 w ifece l Ot ass instalaiRcn zn tlte:pei ritcter of die baserneat ceiling at the house sill. $ LM, (3 rF1t1fi1ldG:"Provide.lab ti arni materials to insra119"R-33.densely pecked C lam I Cellulose insulation,to(a0)squifit'feet of exterior avcrhsng#cicatctl btdow a ltea2ed`fl'c area,by drilling holes in the overhang fmrn Clow. Halestl Iled will be plugged.: flags will scaletl'1"vith exicrior grade spackle.aril left.in a rtilatively smmiwth eondirion.Fh sanding and tauc#>ttP priminglpa#nting will bc•ihe tustcunner's responsibils`iy. Sg0.0fl STORAGE BARRIER:"Home<itivtier is res g ' panstbte forthe removal afthc stared items b#ockin #ta.inataltatian atweathi�rl3�tion .work in the crawl eco. lternoval mttsi'occur prior iti the scheduled work start rr � INCENTIVE:RISE�Vacering w�apply alI applle�lo-eligible intentiives 10 this rantraeta Ytau Swll bbc billed sadly the Idet Curtenily,for eligible mcasiaris;the Capss`Ltgt+t'Corrspartoffers 7S°fb'inaeative,rio!to tyxc zd".54.0(l{l Ct,ctslt di year,.aitd an € ineeative of 1 Qt>°lo ror the Air_Sailing meastsrrs: For the"salary and Walt) your home's indoorair quality,we will be conducting a biawer door diagnostic of the tlovi in s' V; " your home bot13 bufpre the work is dun,and after rite waatherization work is complete We"wilt alit conduct.it ditanostic: aasssesstno a oft#te conrltustion fcutxes in theexhaust.flue ofyour.hcatitg system and water hatter.This. as a valueaf.S9il and is at tsaa :. cost to you: g _ FDQETRI ill g S$-0YL$p ' PJSE Engi~nt erin Rl;ttaaGacta Re$tstiatlon No 8t&&.,. .. MA Contras Wr Rl*iA 06"NO 112I 79 4jjWoU ofThit CchEnglion"i g C CaNfweds t�gistra ar+l�ab24?#20 ENGINEERINY S'UugontAWout,South YArmouthvAIIA0,." ONTRA"CT, 508=S 84#26 Y-6705 FAX 50&568-t933 . Page 2 PROGRAM T cowry is rnwjw�pOiyo es?M#"ttpe CLC-HES: T aisTor iaRvx+ Cns. DAYSM _ .fib ..., Gene Courteau. 008)775,o3063 03M/2016 1.03990 : 00004 STREET - $ERVECE - 34 Tomahawk Drive 34 Tomahawk Ur' ....,..-.-_..»a:W_.. - PIi1.INC CiYY ffi .�''CA?8 SaRvwE MY.STATE:OP - - - I Centerville;MA OU32 Centerville,MA 62632 JOB DESCRIPTIQI1 TtBal: 72;94 ' Program ncentive. $9 746.A6' bus oraanr TOM:,: �424.40 WE OREE'H TolvRfmm�ER1/M CO4owt4 iN dcC;:LlR AAICE t�RtN ASt�E VEtl*VlAM'MS;FOR THE SUI41 OF —Four Hu"dre d Twenty-fpur&4WjOQ„noll�ir$ $424.� UPON FIHAt..tUSPECTtDAiRND APAROdAL SY.RiB£�JvCINEERtNO.CUST,t35tER A6R.EE3 xo REMrT ANl017NY DUE Nl FUiL,itYlERE.9T,Cf 1X 1RALJ,BE Ci4ARGBD,MGNTNLY aN ANY WIPAIDSAt31�TC>+Ai:TE#",d,;3DAY8.8' �R-iM60RYA?1TttA"33RlAAT4LTI#+�i fyyltNANTt"E$,�!1NT3C_�.RP-CISYGN,SCI�EI�tIL4Alfl A�#O:Ct1tITMiAC`fGRTtE618TRATIC!#3....y ...,,m ._ ... cb NOT SIGN'MM CO!lT12ACT IF THE12E ARE ANY a'L SPAce$ NOTs:TIRS caurRAcT a�+AY se Ya�TstnRAYtN eY Us I�Haysac�s�Tso+rnTxtia OATE"OF AcaEOTrWC - - AGCE➢TANM aF:CDNMACT,-TNE ADDVE PRICES,Sf!ECIFRCATf S AN4-CCNOPLiCMARW - 3� - _ SAjOFACTaRY TO�AUD�ARE S;ER£BYACCEP7£a..YAU ASEAUriiDRUPD TO 6C,7�LE WDRIi .DAYS. AS spec M PAYMENT W71.i.gE:NADE.AB OUT,vC}ED ABaVS The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 Vev'< www massgov/dia «'orkers'Compensation Insurance Affidavit:.Builders/Contractors/Electricians/Plumbers. . TO BE FILED WITH THE PERMITTING AUTHORITY. Avplicant Information Please Print Legibly Name (Business/Organization/Individual):ALTERNATIVE WEATHERIZATION, INC. Address:2 LARK ST City/State/Zip:FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction 2. 1 am a sole proprietor or partnership and have no employees working for me in ❑ 8. Remodeling any capacity.[No workers'comp,insurance required.] IM I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. Demolition ' 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'.compensation insurance or are sole 1 1.❑Electrical repairs Or additions proprietors with no employees. 12. Plumbing repairs.or additions 5.r7 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.[—]Roof p repairs These sub-contractors have employees and have workers'comp.,insurance.t 6.❑We are a corporation and its officers have exercised their.right of exemption per MGL.c. 14.�✓ Other INSULATION 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:STAR INSURANCE COMPANY Policy#or Self-ins.Lic.#:0849257 00 Expiration Date:02/26/2017 Job Site Address: �q M wo WIA [�, h^ l City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expirati n date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the'Office of Investigations of the DIA for insurance coverage verification. I do hereby certify fhe p;ira �certify es of perjury that the information provided above is true and correct Signature: Date: Phone#:508-56164240 Official use only. Do not write in this area,to be completed by city or town official City or Town: ' Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: `� �'G•Pi C�i't2%%����;�r!d'G � `�}!L�C�.1�J�C%��J�Q�J� Office of Consumer Affairs and Business Regulation l 0:Park:Plaza =°Suite .5.1.70 ,. Boston, Massachusetts 02116 Home Improvement ontractor Registration: _ ... Re gistration: 175683 _. Type.: :Corporation • Expiration: 5/29I2017 - Tr#. 265489 ALTERNATIVE WEATHERIZATION, iNC TIMOTHY CABRAL.. . 2 LARK ST FALL RIVER, MA 0M1 update Address and return card.Mark reason for change. - ::Address Renewal, Y" Em to ment ;:•Lost Card :Employment --� v 'a/ srriirairmcrr1111,n/..'�(ir_ rr�t1 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only RROOMIE IMPROVEMENT CONTRACTOR before the expiration date. If found return to:' ,07;11,gegistrat 175683 Type'. 0 Park P aza ConsumerOffice of Suite 517ps and Business Regulation Expiration:.;. 5/29l24r7 Corporation . Boston,MA 02116 ALTERNATIVE:WEATHERIZATTON INC.: _ / I TIMOTHY CABRAL 2 LARK ST FALL RIVER,MA 02721 - Undersecreta ry 1 I :'o valid wit ut signatu r _ iG4assciusefts Qe artrne�f afttil�c Safet y ofQutBcttng€te�ala�astsanr3S#aa�cfasds�$�,' �,��. vxi N T rti I" .5$DIGI�RIN s � r s M1 -Fall Inver MA 0�12i W ,�j� , fflOR': �k Comd's IolIEK w Q8�2017 ALTEWEA-01 TRAMIREZ ACORO' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 3/17/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT.CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder is an ADDITIONAL INSURED,the policy(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). CONTACT PRODUCER NAME: Mason&Mason Insurance Agency,Inc. PHONE /781 447-5531 FAX No:(781)447-7230 A/C No Ext:\ 458 South Ave. E-MA Whitman,MA 02382 ADILDRESS:info@masonandmasoninsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Star Insurance Company 00006 INSURED - INSURER B: Alternative Weatherization,Inc. INSURER c 2 Lark Street INSURER D: Fall River,MA 02721 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 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. ATimsm POUCY EFF POLICY EXP LIMITS IN SR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ I MED EXP(Any one person) $ I PERSONAL&ADV INJURY $ ' GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JECT LOC PRODUCTS-COMP/OPAGG $ POLICY❑ OTHER: COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY Ea accident $ BODILY INJURY(Per person) $ ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTNON-0VvNED PROPERTY DAMAGE $ Per accident HIREDAUTOS AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION PER ERH AND EMPLOYERS'LIABILITY Y/N C 0849257 00 02126/2016 02/26/2017 E.L.EACH ACCIDENT $ 500,000 A ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ N/A - OFFICERlMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYE E $ 500,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ $00,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS/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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN National Grid ACCORDANCE WITH THE POLICY PROVISIONS. 40 Washington St Westborough,MA 01581 AUTHORIZED REPRESENTATIVE f ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING-PERMIT APPLICATION MAIN OF SARNSTABLE Map � 0 Parcel I 13 Application # r, ° d.! � ' , � '3 Date Issued Health Division 11 EE_• _. 2-Ahk Conservation Division Application Fee Planning Dept. k E A _- Permit Fee ,;. :_ S.j Date Definitive Plan Approved by Planning Board Historic- OKH _ Preservation/ Hyannis Project Street Address 3 To M q hA w k 0 r; d C. Village Cen+f✓Vi&, Owner t U A e v\C_ C rvue-+e c' cA Address 3q Telephone 3 06 3 Permit Request �v►sl-aL'! +�o� 0_� o�`� -� 1 ;?Go yo rH /616a"(-o _Zs� fooWn-Q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size + Ll Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure G Historic House: ❑Yes UdNo 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 NCQ f����,1{� Telephone Number S-0d 7Y� G, �7 Address 7 S p r'1 1- �� �`va License# O U Ion r— Home Improvement Contractor# f 7 _ Email M try Sol G✓ �i S I h n c+ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �p�n�I�� I�'�r+s��✓ SIGNATURE DATE /rgl I FOR OFFICIAL USE ONLY s APPLICATION # r t -DATE ISSUED 1 MAP/ PARCEL NO. `s - r ADDRESS VILLAGE OWNER V� DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. uocuoign tnveiope iu:attres iarH Sola-r Property Owner Consent Form Y Owner: Eugene Courteau Address: 34 Tomahawk Drive Town: Centerville State: MA Zip: 02632 Phone: 508-775-3063 I hereby give permission to Solar Rising llc. and their representatives to pull the required permits for a solar installation'on my property. e�Dmuftn by: 1/19/2016 3226BD11BNC4A5 - Property Owner Date Solar Rising Date 9� - `�� ,, # ' fI , e �f�®n ar- -l ffa - aid �u ir ass R�gulat�® r {ram � I „ t{ t '. 10 Par1 Playa.' Smote 517 , �j �. ®st ,. assahases 02116 . �memprvernenwnt �ct®r l egiseatr®r .. R . eglstratlgn. "175578 Typ® Supplement Gard. ES�prcattori 5/2kbi SOLAR RI.SIG LLC. f�EAL HOM REi�; 7S9-FALMOUTH R® AAASHPEE _ 026 , ;, -'__ -- - update Address aaq return card R3artrreason tAr chang�.'f:_�.:..�I�:�.Ir.-I:.i�..�,:,. { rni }.i, +o, :s3" Address dieaeewa9 Gta! o eat fl.ost C9rd i � a � � r P >act t :Sr F a 7t itf'Sr E f7`3 4t{K{' K Ohke ce1'Cai i"er r4ftairs&Be�s�saes tbegelaiion 14 scense or regasirawn vaatd ffor iadivadul use aaty {�` "`" (f Fi[)139P i{St1P6dOVEMERiT COtdTt2AG i befi►e�ttae"exge�ration date flf found reteira to � :�!t f :,. . .. : �. ,4'A,i � Y Owlt 4 Cozesuetter Atf�►rs aad�uvtness fli¢gutnteaa 5 Re8is4rai6on '17557$ Type fl0 Parts P. '"' Suite5fib %t> .: Exptsatton 612812016 Suplotement Gard. =!,,sf6a,A/t11 026 DG 4 .. S&t kRISiNG U G ;, HEAL HOMGREN � e . sox �--- `I MASHPEE AAA tYd&4S ., % __ _." ltui! rsecret,ry, ]�tok;r�aled edithaut sigieatnre. ., W?i4Jci., ��t.#�d _.l.�.,l).. ,'. t 'i F{�k=�tC�i7£1k4t - ss, ssc3trsr i u�¢ctsft . xii! � } f'r ., Ls en. CS-.008929 € ` tdEi91 F"OLN RVN 78'SPt2lAlG Fttli 120;: ' �+` � BAST SMOWICN MA 3. ° s . 1. #it, Ertt�t Ii91931Z017.. . .1�.�L,.'-1­�;-:,.-.-�,_:-:"�...��.--1 A.�.'I.:� .,.':.��" I ,. 1. ..: : .-,� .::�:' ..:.,. I ..�_-',� �::,.�::'':' .­'.f,,­'':�':�: '��'�_::�'::` . _ - - :..�� :::��: �_ ,:%��'.'.:�':,,� :.1_':�.'_,:I.Z�. . � :�:.:.�f .'. '-A 1".1 — — Grid Tied Photovoltaic System �c DO Ratiog 6:24kW Eogerio Courtea:u f 34 Tomahawk.brivO f 4 St Details: _ Ali irk �" be In 06lrvtM r1� e with:' Solar Rising Phall Install e 6.24 kW Grid t+ed s 2014 National Eiectr!oaiCode (NEC) Photovoltdio s stOm cane nsed of 24 H undai.260 21 C` 2�0 International kae id entail Code IF C) Y. p ( ) . y _ 3 Modules vriith ( 4) Enphase Energy 5250-2LL 2069 International building Code (IBC) Micro-Inverters. The Modules will be flush n ountod to the 2012 International fife Code.(iIFC) ' Asphalt roof: MA 780 0MR 811 Edition ASGE/ANS('7-EJS MirEirnum Deign Loads for Buildings and other Stfuctures. ` uip: ent S ci �tIon - N bdula§: (24) Hyundai 260N1b-A3 lnverWa 6 (24) Enphase Energy:8259-60-21 L j Racking: Unirk Solar MpUnt Attachments: Ecol~asten,Flasl ing with 4" Stainless 4<, Steel Lag Belts Q t a Roof p� afic ti®1� � _Y ' Roof � a P _ 2X8 R fters 16" Ot, III Pitch: a° AA the 175 A >' r { A 1 Cep SH ;e Spocrcat ®no Oocupancy: ll • r w W _ �.. Design Wind ;speed .110 MPH Moan Roof Helght: 22ft Ground Snow Load: 35 PSI: w i 5 t` a �s � Solar Rasing Beaildotg Permit P6ar�sY.._._.____._._.., j Solar using LILC 1'roJect: Eoge a Oourteau.. �-- 54 744-6284 Y D 0- Po Boy 26z 34 T°omaHaWK Drive - Revision: 1/19/15 si r _5cale� Mons ^— -- ------ P end Me MA 026.3 Drawn s Neal-Holm rer ^+ Mash ee Ma; 02649 1 _ _ _ 1m_ ___y: .---______g _. - ---� _ sk a lh r A i wi h N. t i ( 1 1 -Quantity of attachments m 35 @ 48 O.C. Maximum UniRae Rail span = 48"O.C. Maximum Allowable Cantilever = 16" j -Racking and Att4chm nt: UniRac Solar Mount with -log screw, Hex head, 16-8 8S 6/16"x 4" Length ! -Array Installed According to the UniRac Solar Mount Code-Compliant Installation Manual. I ' Solar Rising LLC 'rO�eCt: Euger SOU ; Solar Rising Building Permit Plan rea U �° 508-744-6284 I Rev ision: 1/19/16 Po Box 2623 I 34 �TornHawk ®rive 1 kale: Nona Mashpee, Ma 02649 Ceil` E rvlOie, IviA 02632 Drawn By: Neal Holmgren� Cyr— -- i i { i ! I SpeSies�Sp n7e F Y j u Grade( Na 2ry i r 18ember 7hpe (Rafteks(Snow,ioad} ! Deftecteou Limit 14 i J 18Q W P r tYy ~spacing(In)�t'E1 5 Y ` r✓,�' r T i R-.--. � ..R tLet service conditions' 7,77-7114, Exterior E Exposure 1 t Incised tuthbee { SOOSVLoad{pelf) 35 I Dead La1d CbPcuPateMayctmuenban µ4$�l�Pan °�� - I /`� ii°I'`'`✓ I � � I G �`Ca Span::9ptia� n��a(cutaCor for`Nlootl.Ja�sts�S RafCers� ,..�' The,-Ma.:imum Horizontal Span xs 10 witli a minimum Bearing length of.0.67,W.: j required at each end of the member. I j ( 1 fl i t tlt Val t 77' lSteaa rs $trn�e Piesrt i`y ��laeh>lus of£iastecrn.(E1 4#3ttiif4 psi ` tlSheariStrengde(F,) 1t psi F Solar Rising Ong,LLC Projeot Eugene Courteau _ Solar Rising Building PeeMit Plans ®10�lr 5®$-744-6284 ?4 °®maH wk ®rive _ Revision, _ ,r�g�1 /e r ra " PO Box 262$ I j Scale: None - -- Y Mashpee, Ma_0264Jerter'V�lle� /� 02632_ _Drawn 6y: Neal Hoimgren i I i a 9 j � !Grr�nfxsteta'Gfi VrotiutiG,x�e ful5�eets.Gf1-L ' yt I a 3 ar r i i iw^v.+.,+^' ".w:..... mw:Am!...... � •' a..:. ::.. cwcYlip*'°^�'*s F:Wr , :� - . i 6 F. C I A d s SECTION A-A i } �j y F t pt " '- - � c�'.63�,8<i Cae�t.n✓,+e.S�rowrs,(§nawaWcrnz4-[dot..Sdu a3mtena:IX�*irdc�°�{+i��K.R2rWS.es�r+a3:3k;i t.3 3.- i i i i Solar Modules to be Push mounted to existing roof structure and set above shingles 4" i j j Solar Risin L.LC i solar Rising Building Permit Plans g Project: Eugene Coourteau SO5Q$-744-6284 i Revision, 1/19/16 03.4 `TornaHawk ®rive , scale: i r a �))Mashpee, PO Box 2623 None y ( Ma 0264911 CerlterV'I`le, IVI/-� 02632 ' Drawn By: Neal Holmgren s Grid Tied Photovoltaic Systern � I DC Rating 16.24kW a Eugene Courteau j 34 Tomahawk Drive Site tails: With- All Wc� Tee `Ibe in C� p9ia�ce I Solar Rising Shall install a 6.24 kW 0rid-tied. 2614 National Electrical Cade (NEC) Photovoltaic system comprised of (24) Hyundai 260.21C- 2009-International Residehtail Code(IRC;) 83 Modules with (24) Enphase Energy S250-2LL 2009sinternational Building Code (IBCj- Micro-Inverters. The Modules will be flush mounted to the 2012 International Eire Code (IF'C) Asphalt roof. MA 780'C.MR 8th Edition ASCE%ANSI 7.05 Minimum Design.Loads for Buildings and other. Structures, Euit'net Specifications: Modules: (24) Hyundai 26ON1C-A3 i Inverters: (24) Enphase Energy.S250 60-24L Racking: Unirac Scalar Mount ! Attachments: EcoFasten Flashing with 4" Stainless a Steel l ag_Bolts - 4 °,' Roof Specifications*. � � � � � ~ k 1• w`w T Ka 'w.s 4 i Fry} ^ .2 '��a , { i Roof Asphalt 2X8 Rafters 6" O/C A ' Pitch: 300 At-Muth: 175° a 1 ' �Z' Site Specifications: � Occupancy: 11 Design Wind Speed: 110 MPH Mean Roof Height: 22ft j Ground Snow Load: 35 PSF ? i L.LC I ; Solar Rising $uildin,g Permit Plans Solar Rising Project: Eugene C ®urteau Sole 508-744-6284 34 TomaHawk Drive Revision: 1l19716' i r` r" r 7 PO Box 2623 _ _ _ I Scale: None __.. Mashpee, Ma 02649 ; Centerville, bUiA 02632 � D-yawns Neal Holm ren i i 4 �a t s 1 i Ikx t 1 1 I j .-Quantity of attachments 36 @ 48" O.C. OMaxiri um UniRac Rail spare = 48"O.C. I Maximum Allowable Cantilever = 16" Racking and Attachment: UnlRae Solar Mount with -to g screw, Hex Head., 18-8 SS 5/16" x 4" Length 'Array Installed According to the UniRac Soler Mount Code-Compliant Installation Manuel. f i • i * 661ar Rising Building Permit Plan Solar Rising LLC � 'roj�Ct. Eugene COUrtea'U Solar508-744-6284 ! 34 TbmaH wk ®rive i ale: ": 1 '9'16 fc' r` r"": PO Sox 2623 Sale: None -- Mashpee, Ma 02649 Centerville, MA 02632^_ � Drawn lay:Neal Holrngren �^ CAN y i I Species�Space Pine Fif �z.� - �: S[ze 13 2ic8 Grsdc lVo ? x 77 +v �2eertber 7Fpe�t Rafters(Snow'Loadt �, �w� f Dvnectiou Lim.it Ui8q !t I 1 (� Spacing(.imD i 16 —w7:�77�:��•.. � o. I! 1"4et senice coudanoscs?— i' .`---- ——,_ w.�•- �_.I No, Exterior Exposure Incised lumber?i �Snow Load(psf) Detid Load a. a Calculate Maximutre Oiorizonta!Spy�w,:,.`..,. �� � �" � , t i �o:.tn 5p8n`Optyons C lat4t foWaod Joists&�•fiafter.5 ,i '""J � r "`� ~\•,"`". � � a i The:Maximum Horizontal Span is; 14 ft. in* �I 2x'I O Mill a minuttum bearing length.00.6,1:n. t% reciuieed of each end aS the member: I i � pcK _. sarc 4i, i t ' I i �o ilusofEla (ED' �i #t ps s I i IIendv� Su'enh i r.t Sfi.S sa Bearing Sneneth Ffp f�25 psi Shear Strength(T (1��'f 3 0 . ' f Project: .Eu e'ne C®urteau 1 Solar Rising 5WIding Permit Plana 6 Solar Ruing LlLC g :r SOIc7)�)Mashpee, 508�-744-6284 � I Revision_--1/19/'16' M _ Po Box 2623 34r T'omaHawk Dr ve A 1 Seale: None. ° s �' MSi02649 L Centerville, MA 02632 prawn By: Neal Holmgren Gm-nFashni GF 1-Produ;t GuW CW Sheets:Gf i-1 it 01 A �r xi:e i SECTION Cyr^{/�T e A-A U 1 Pw �y"�. ;S.*^ % � S,*�a..'f�ar.m.�+rkra.+5;�;��7x+u'.r(u!ee+nly f,�:y��.l-Yw�feaS,As�Gieu+fentPcot�4,.drotc�,„?s;;l�7np:2 es<m+eA N%'�71P._• »:f� i i t i Solar Modules to be flush mounted to existing roof structure and set above shingles 4" �t�iar Rising L.LC Solar Rising Building Permit Plans Project: Eugene Cour"te u Solar508-744-6284 ( ( Revision: `(11W16�_ PO BOX 2623 34 'TornaHawk ®rive j kale: f2 i sin ] __ None Mashpee, Ma 0264. 9 ; Centerville, MA 0232_ 1 Drawn ray: Neal Holmgren r t `�• ) www.iiyunclaisolarcom l ' isn It Po y-cry—stallhieTy I: HiS-M230MG j HiS-M233MG)HiS M235MGI HIS7M238MG{'HtS M240MG 1 HiS M245MG]HIS-M250MG MG-S ries mono-erystaffineType' HiS-S240MG,I Hi5-S243MG�HiS-5245MG HiS-S248MGj His-5250MG�'MiS S255MG Mechanical Charactensfics h t 1 983�iim(38.7')(W)x 1645 mm(69 76)(L)x 35 mm(1 38)(H) 47Wr Approx 1i9;0 kg.(41i.91bs) 60 ells in series(6 x10 matrix) F-77 , y- 4 mm2(12AWG)cables with polarized weatherproof connectors, !K certified(t1L listed).Length 7.0 m(39.4°) r�F , lP65,weatherproof,IEC certified(UL fisted)': - w i? 3 bypass diodes to prevent power decrease by partial shade Front High transmission low-iiorrtempered glass 3:2 mm(0126' c Encapsulanf:EVA Back Sheet Weatherproof film t3 Clear anodized aluminum alloy type 6063 High Qualtity F IEC 61215(Ed 2)and IEC 61730 byTUV Rheinland UL'listed(UL 1703),Class C fire Rating Output power tolerance+3/-0% •ISO 9001:2000 and 15014.001:2004Certified Advanced Mechanical Test(5,400 Pa)Passed(IEC) " t 5 z� /Mechanical Load Test(401bs/ft2)Passed(UL) st •Ammonia Corrosion Resistance Test•Passed r : IEC 61701(Salt Mist Corrosion Test)Passed �r `, ( ) st an inexpensive � f� tt •�pa .kl 4 Delivered ready for connection i r .;Pre-confectioned tables IEC(UL)certified and weatherproof connectors a Integrated bypass diodesIr Limited V41arranty 10 years for product defect . :. 10 years for 90%of warranted min,power N 25 years for 80%of warranted.min:power- ~ ¢. 1. s x t ponantiNotice on Warramy fi r The warranties apply only to the PV modules with Hyundai Heavy Indust es Co,Ud1s PP Y Y Y vY x rw' logo(shown below)and product serial number on it. PV CmOS 1®t 'u:s'! LE/ ®�{la}E' ®C �Ti :' . ",_ ' l I -' ,,�, " L--- C---- HEAVY INDUSTRIES CO.,LTD. Poly-crystalline Type - A..w ..-.' ..-...,.-. w ,.,- ..,......,,.,�..•_�r.., u.T...�. } _�.-_,..Z s«,.F:� Y.,..,,,,., 'k � ..«.,.Ma Nominal output(Pmpp) W 1 230 f 233 1 235 {{ 238 i 240 245 G 250 Voltage at P-ax(Vmpp),_.:. ::,;U 30.1 t 30.3 G , 30.3 :f 30:4'; 30.5 30.7 30,9. Current at Pmax(Impp) A 1 7.7 F 7.7 7.8 t 7.8 I 7.9 8.0 8.1 Operr;circuit voltage{Voc) V i 37.1 ' 37 3 314 37'A 37.7 3$.0 38:2 Short circuit current(Isc) A ( 8.2 8.2 8.3 1 8.3 j 8.3' 8.4 8.6 Output tolerance ' % +3/-0 No of cells&connections PCs 60 in series 6 Cell type Poly-crystalline snhcon ` 44 Module efficiency 2 % l 14.2 14.4 i 14.5 14.7 i 14.8 15.2 i 15.5 t ' Terraperaturecoeffraentof,'Pmpp .`.%dK i 4.43 p -0.43 ; -043 -0.43 -0.43 -0.43 1 0.43 Temperature coefficient of Voc %1K o -0.32 # -0.32 -0.32 i -0.32 -0.32 -0.32 -0.32 Temperature.coefficieniaflsc .;:%/K 0.048 3 0.048 )' 0.048, ° 0.048. 0,048 0.048 0.048 X All data at SIC(Standard lest Cnrxlitions)-Above data may be changed without prior notice. ,Mono-crystalline Type r ' Nominal output(Pmpp) W 1 240 243 »I. 245 248 I 250 255 Voltage at'Pmax(Umpp): V 30.1 +'.` ..30.1 # 303 30.3 30.5 30.8 Current avlarnax(Imiap) A 8.0 ; &1 ( 8.1 l $:2 $.2 8.3 Open circuit voltage(Voc):, a V .>? 37.3 373 37:4 1 37.5 37.5 37.7 Short circuit current Usc) l A f 8.5 8.6 8.6 8.7 8.7 8.8 f output tolerance: t '. % +31-0. No.of cells&connections PCs t 60 in series Celftype ± 6"Mono crystallinesiilcon Module efficiency r % i 14.8 15.0 ° 15.2 } 15.3 15.5 15.8 Temperature coefficient of Pmpp i - %/K r, 0.45 -0.45 .. -0.45 -0.45 0.45 -0.45 lemperaturecoefficientofVoc %!K 0.33 f 033 0.33 -0.33 j -0.33 -0.33 Temperature coeffrdientofisc ; ' %/K 0.032 1 0:032 0:032 0.032: 0.032 0.032 X-All data at STC(Standard Test Conditions).Above data niT)be Changivt without prier notice.. Module Diagram( (unit:min,inch) I IN Curves a�,�tra ;a a � m 5 $ it (+) 83 033 a fnrki load,:Lc07W7m7. k �, -uttl-,r39In ipOo-4'93r, _ DETAIL .j +UI>eratm9 CellTanpe SC i mn'CABtr& 4-ICABrE& UpeahIC61T-P-2TC CikN2KIGi CC4A4CrOk a. 4075L07 SHRU t -0pHAW ITc-mp=45C c r. -....ODttaltq.Ce;lTanD=SSC ( i, 117 GNOQNDIAM CVtt rt[Al - ValtagelV) ]D DETAB.B 9` Id I rNt 9�W7 � nclihrda W/m'-.. s a J _ CfF_ 60R.4) WAI1�WY fl A3'I I65iQ6S') a Inca hial=7ilOW/m A c s 10 a W n w is iu lrfstallaton,Safety Guide 4()'C t 2 , •Only qualified personnel should install or perform maintenance. ^� # * r -40.85"C -Be aware of dangerous high'DC voltage: � DC 1,000 V(IEC) Do not damage or scratch the rear surface of the module. I�_ n DC 60ov(t)Lj Do not handle or install modules when they are wet 15 A I Latest update:!uly 2012) ........... SANEL SOLAR-SANEL NV-SANEL BV ' �nreaonrsc•tfied Antwerpsesteenweg 491A-2500 Lier-Betgie e Ron*aavD4 Sacramentsbogerd 21-3343 8P Hendrik-ldo-Ambacht-Nederland asc HEAMY MDUSMES CO-,LTM T(BE):+32(0)3 451.21.54-T(NL)+31(0)78 682.20.44 www.sanel-solar.be-www.sanef-solanni'safes@sanel-sotar.be-sales@ sanel-sofacnt call UNIRAC O a 1 �g Q ®� SolarMount Technical Dataaheet Pub 1to8116-atd vr:o august 2011' SolarMount Module Connection Hardware.................................................................. 1 Bottom Up Module Clip......,..::':........................:............................................................1 MidClamp ............................................................. ..........2 EndClamp....................................................................................................................2 SolarMourit"Beatn Connection Hardware......................................................................3 L-Foot...........................................................................................................................3 SolarMountBeams............................:............................................................................4,. SolarMount Module Connection Hardware SolarMount Bottom Up Module Clip Part No. 302000C iNasher B® ®m Up Clip material:One of the following extruded aluminum Bottom NUf (hidden she alloys: 6005-T5,6105-T5,6061-T6 up Clip � a Ultimate tierts9 9:a:38ksi,Yield:35 iksi Finish: Clear Anodized 1 Bottom U,P Clip weight: —0.031 Ibs(14g) Beam It Allowable and design'loads are valid When components are assembled with SolarMount series beams according to authorized UNIRAC documents - • ' Assemble with one'/d'-20 ASTM F593 bolt, one'/4"-20 ASTM F594 serrated flange nut,and one'/4"flat washer F Use anti-seize andtighten to 10 ft4bs of:torque - Resistance factors and safety factors are determined according to ., F ; part 1 section.9 af:the 2005Alumicturrt:Design:Manual and,third- party test results from an IAS accredited laboratory Y Module edge must be fully supported by the beam * NOTE ON WASHER:'lnstall washer on bo}t head side of assembly. " DO NOT install washer under serrated flange nut J �M Applied Load Average Allowable Safety Design Resistance Direction Ultimate Load Factor, Load Factor, orbs tra9 abs{N) 1=S tbs( ) }; Tension,Y+ 1566(6967) 686(3052) 2.28 1038(4615) 0.662 +:. M a E Transverse,X± 1128'(5019) 329(1463)= 143 497(2213)� 0.441 Sliding,Z± 66(292) 27(119) 2.44 41 (181) 0,619 Dimensions specified in,inches unless noted J, 000U N I RAC .�i, O [ O OCJ SolarMount Mid Clamp Part No.302101C,302101D,302103C,302104D, 302105DI 302106D .� Mid clamp material: One of the following extruded aluminum NrrPa `' Bolr alloys:6005-T5,61;05-T5,606-1_-T6 Clamp Ultimate tensile: 38ksi,Yield: 35 ksi Finish: Clear or Dark Anodized 'laid clamp weight:-0:0502lbs(23g) Allowable and design loads are valid when components are assembled according;to,authorized UNI:RAC documents • Values represent the allowable and design load capacity of a single mid clamp assembly when used with a SolarMount series beam to retain a module in the!direction.indicated • Assemble mid clamp with one Unirac'/4'-20 T-bolt and one '/<"-20 ASTM F594 serrated flange nut • Use anti-seize and tighten to 10 ft-Ibs of torque - q 9 Beam Resistance factors and safety factors are determined according to • :part 1 section 9 of:the 2005 Aiuminum'Design Manual and third- party test results from an IAS accredited laboratory Applied Load Average Allowable Safety Design Resistance I AD 0 fSTArxfo Direction Ultimate Load Factor, Load Factor, A.. {�...._�... ,Ibs(N) lbs c(N) FS Ibs,(N) 4 Tension,Y+ 2020(8987) 891 (3963) 2.27 1348(5994) 0.667 Transverse,Z± 520(2313) 229(1017) 2.27 . 346(1.539) 0.665 Y Sliding, X± 1194(5312) 490(2179) 2.44 741 (3295) 0.620 0X Dimensions specified in inches unless noted SolarMount End Clamp Part No,30200!C,302002C,302002C,302003C, 302003D,302004.C,302004D,302005C,3020051), 302006C.302006D,3020070;302003u,302008D, 302009t-,,302009D,302010C,302011C,302012C End clamp material!: One of the following extruded aluminum alloys:6005-T5,6=105-T5,6061-T& . R'` oIt Ultimate tensile: 38ksi,Yield:35 ksi m Finish: Clear or Dark Anodized End damp weight:vanes based on:height:--0.058 xbs(2'Eg) End Clamp Allowable and design loads are valid when components are Serrated: assembled according:to authorized UNIRAC documents Ftange.iVut Values represent the allowable and'design load capacity of a single end clamp assembly when used with a SolarMount series beam to retain a;module In-the direction indicated Assemble with one Unirac'/4"-20 T-bolt and one 1/4"-20 ASTM F594 serrated flange nut -' Bea , • Use anti-seize and:fighters to 10 ft 16s of torque Resistance factors and safety factors are determined according to ;part 1 section 9 of the 2005 Aluminum Design Manual and third- Y party test results from an IAS accredited laboratory 1 Modules must be installed at least 1.5 in from either end of a beam rx Applied Load Average Allowable Safety Design Resistance a"YU"" Direction Ultimate Load Factor, Loads Factor, fibs(N) Ibs(N) FS Ibs(N) 4) Tension,Y+ 1321 (5876) 529(2352) 2.50 800(3557) 0.605 inifo,wim Transverse,Z± 63(279) 14(61') 1 4.58 21 (92) 0.330 Y .....<:...il - Sliding,X± 142(630) 1 52(231) 1 2.72 79(349) 0.555 :Dimensions sped Jed n anchas;ur�less iaoied x oo o "" o ® "'UNIRAC SolarMount Beam Connection Hardware SolarMount L-Foot Part No. 304000C,304000D • L-Foot material: One of the following extruded aluminum alloys:6005- -. T5,6105-T5,6067-T6 Ultimate tensile:38ksi,Yield:35 ksi r Finish:Clear or Dark Anodized ° L-Foos weight:varies based omheight &.215 Ibs(98gj, Allowable and design loads are valid when components are Bea assembled with SolarMount series beams according to authorized Bolt UNIRAC docurnents L-Foot For the beam to L-Foot connection:' •Assemble with one ASTM F593 W-16 hex head screw and one errate or, ASTM°F594 Wserrated ffange nut Flange Nu •Use anti-seize and tighten to 30 ft-Ibs of torque Resistance factors and safety factors are determined according.to part 1 section 9 of the 2005 Aluminum Design Manual and third-party test Y results from an IAS accredited laboratory 'NOTE: Loads are given for the L-Foot to bearer connection onty,be 11 X sure to check load limits for standoff,lag screw,or other attachment method.. } ¢, Applied:Load, Average Safety Design, ; Resistance =x ,roeIj Directfon Ultimate ' Allowable Load' Factor, Load' Factor, � '+tirrc Ibs(N) Ibs(N) FS Ibs(N) 0 Sliding,Z± 1766(7855) 755(3355) 2.34 1141(5077) 0.646 Tension,Y+ 1859(8269) 707(3144) 2.63 1069(4755) 0.575 Dimensions specified:in inches unless noted- Compression,Y 3258(14492), < 1325(5893)s 2.46 2004(8913). 0.615 Traverse,X± 486(2162) 213(949) 1 2.28 323(1436) 0.664 - r ® 747 ' ' � . U N I RAC SolarMount Beams Part No.310132C, 310132C-B, 310168C, 310168C-B,310168D 310208C,,310208C-B,310240C, 3;0240C-B,31024GD, 410144M,410168M, 410204 i, 410240M Properties Units SolarMount SolarMount HD Beam`Heig'hit an 2.5 3.0 Approximate Weight(per linear ft) ptf, 0.811 1.271 Total Cross Sectional Area in' 0.676 1,059 Section Modulus(X-Axis) in3 0.353 0.898 Section Modulus(Y-Axis) iW 0.113 0.221 Moment of Inertia (X-Axis) in 0.464 1.450 Moment of Inertia(Y-Axis) in 0.044 0.267 A Radius of Gyration(X-Axis) in 0.289 1.170 Radius of.Gyration(Y Axis) Jn 0.254 0.502 E2: SLOT FOR T-BOLT OR 1.728� �4" HEX HEAD SCREW SLOT FOR T-BOLT OR !/4 HEX HEAD SCREW _T 2X SLOT FOR SLOT FOR BOTTOM CLAP 2.500 ;BOTTOM CLIP T3.000 SLOT FOR ' HEX BOLT SLOT FOR 1.385 Us' HEX BOLT .387 .750 , 1.207 Y Y 1.875 ON-X X SolarMount Beam SolarMount HD Beam Di=nensions specified in inches unless noted. ' � T � rsen Architects Planners. Construction Official January 25,2016 Buildniag Department for project at: 34 Tomahawk Drive Centerville, MA 02632 Re: Solar Panel Installation Courteau Residence 34.Tomahawk-Drive Centerville;MA 02632 Dear Sirs; I've reviovej.the prdposed aolar panel installation at.this locatioiI to evaluate the existing roof structure and the connection of.the;paneis tolhe%roof. Criteria: Applicable codes. 8'n Edition;Residential Code(200910ternational Residentiat Code with Massachusetts Amendments) 2`001 Wood Frame Construction Manual Design roof load: 35:psf live load:_`10 ps.f dead load.45 psf total:toad Design wind.load: 110 inph,35 psf, Cxposure Category 13' My findings are as follows. 1. The new solar panels will imply an additional dead'load of! psf. The existing roof structure (2xg roof rafters @ 16"`o.6.,with 2x1-0 ridim span'--+f- l?'-10")`is sufficient to bear this additional:'load. '2. The solar panels are attached'to the roof the So:tarMount-I rack system bye UN IR C. The rack system, roof connections and connection.spacing are-rated for t l0 mph. This project requires the larger Solar Mount 172.5 beam,(2.5"h.igti)-andspacing of flange foot connection to roof at 48"o.c.maaam[ini. Plaii,gc footing connections to the rail are not required to be.staggered.` The flange tocrconnectins to fhe'roQfare 5/l-6"diameter x 4" tong 1ag:bolts. l therefore.certify that this installation complies with the applicable codes and desi n'loads mentioned above atid'is acceptable for approval. Please.let me know if you have aatiy-questions on this information.. Thanks'? Si rety_yours, 5 O� 'PN �.a n tz- 1R3o.31621 Z � Tom Petersen °� HOWELL, it oy NJ. J" Cc: Neal.Nolmgren, Solar Rising LLC �i�44rk of N!PS�R 6.Couhtity I:ane°Howell,New fersey 0773,1:•Telephone 732-730-1,763.Fax 732-730-1783 _E 'r. N SpeCles.�3 SpIUc+tlfnEw Frt �.. v- . Grade g faq t 13' - 1 z iiehtber T.pP, ttaftee5'{�+rinb=,t oart� �r Deitectiou Limit g Q tSt3 v Clog(in) r 'i 44et setEYce ondetian ,..�.. ..-_. - z , {Exterfa�ExpasurPt, Incised ttunhet? f, Sow-Loadipsfi 3 t ,fM-r »F u�ra•^sa 2 rt Mcc. Y +n „ i 3 Dead Load(psf)�, 16 �' { Cdi ui4Zte idnxixtiurn NAri 'untai Stan ti n .,y'Ccs.tsr:Spin QRkons C�lc4ilak4r fol 4Ur7rxd Joists R ft�fg,,kx � _ - ; k •� The Ma\i1num HotizontatSpau is; 14 ft. 3 In. 2X10 wi!b1 o titirfilikf rit beadflx.� length:t'a1 C;61 111 f h � C tvgtli ed at«telt qnd oflfi�tt�>rtf�i v �3'it>fret:•r� ... 31"[►!;tics E4ffc'ies . ., 4 ef'U t ihttr; "is,w ,. . A �t.� t wS s RED A/Z 1lae9tllns.al cissatca t cs; lEa )4Cst } F \��F p���1✓j� {, $3encGlr{ Surc3t)itk:; $i k k5 fsae C7 �QS F�lp tC% Bcaran@Sutukttfi 4 Est ' ,p tJi _ F N 5ltryr St:caurlt Fv:yc No.31 1 621 H0 ELL. w I � N J x. of VAN$ j t � k Soler. RaSin� Lt , Pr®j ot. �ug-ehe ourteau solar Riding euuding Permit Piano „ 508-7�4-6284 Revision' 1/19N8 So Wr 34 Tor �Hav�k Drive `P© Box 2623 t Scale; None nnasnpe , Ana 026 Centerville, MA 02632 ... Drawn By, Neal Ho►mgren i -i--�------'-;�--�7-'--, ,,..,----. - -- -� ----"-,- "-`--��---'" - `,---l-.--,-..-"---'.-�-.�---..�-,--,,-,--,-�---, "�-"`--"' -"'i. ���--' -,-, !-." ---"�,-- � "-�z_.- --,-",-�.--�'."'�-., ."---." -:," .",r .,-"f-,,,----_---,,"-''-"'-----,-" -,-.--,-"---,,-,..'. '--�- .--,,-.-----��-..-----,.,�-.����.::-",-."-,---.--����,,�--',-�.�-'.-,�,.-'�-,-,.-.-�.,.-i--.-�,,�- --,--il - *- -- 'l-'�."",--..�l-.��l"..--�-.11..'.,.".-- --,"�', -,.'-,---,---."*..,-' , ..'-,-.-'.-,, 7""... -'-,..-, '� "... - ---- , � - -�::. ` The Cammonwealtle of Mressachusetts j r Department of Inlcestrzal Aeecdents - 1 Congress Street,Suate 100' r' Boston, MA 0a114 2017 " www n . gOV�iiln Al of Lers'Compensation Insurance Affidavit ButldersfCantractars/Electricians/Plumbers TO"BE FILED WITHTHE PGR IITTil , AUTHO ,T Applicant Information t?tease Print Legibly Naive(Btisitiess/OrganizatiO'fil. tvtdual� Solar Rtstng LLC - - ,; Address 759_Falmouth tZoadnrt'8 City/State/Zip _ Mashpee�MA.026ii9 Phone#. 508 744�6-284 :-�.';,.�-��M.�.,. are you an employer"Checl.the appropriate boz Typ¢Of proj¢Ct(r¢qulred) l,�_i am a employer wttti employees(full and/or part Late)* 7 New cons.CruettOn ��'�.-1,-.-',-".-':�-,�.",-"-��".I.-''-�,,:,�.�-,-.,,L.-�-".-;��''---.---I.-,-�-.,--'..��;.2.-'�� i am a sole proprietor or partnership and have no employees working forme to ❑- 8 Remodeting .,l,.-.%-�:��q...---,:.:.,."-.i���:�...'.:17 1�'-,I��,".�-.��.,,—,�-:'.-I-�,'-''�-,�1,�..;.1:-�11.I..----,,:�.--'.--I�,,-..�--,."�:,r-,.'--'-l.-.-:�-,-�-�'-,.-.",.1.-.�'..:I"-....,�,�w....'.-.''--,.'-"-.—'..,,--.''-.,'--�"-�---�-.r--�,-'.-..��.�.,---..-.-..,�,-.-"�--------.-�-' any capacity [�,, workers comp insurance regwred) 3 O[am a homeowner dbinF all work myself Itvo workers comp insurance required)r 9 ❑Demottttoii 10❑Bulidmg addition 4 [am a homeowner grid will be F¢mg contractors to conduct a1lwork on my property, I will .:.--.�.,-.-.Y�,- ❑: ensure that all contractors either have workers:compensation insurance o�are sole l l bl 6461 rep i?i U[addtttonS proprietors with no employees t P!"umbtn�repairs o[additions ❑{am a general contractor and I fiave hired the sub contractors fisted on the attached sheet j 3 Roof repairs These*'""'tr"cro have employees and have workers comp tnsuranc e ❑ - 14 �Qther Solar y oration and its officers have'exercised their n t oY eeem tibn er MGL c 6�:We are a-core gh p;,, P 15� §1(4);and we have no employees:[." workers-comp insurance regwred) *Any applicanrthat checks bbx fi must also till out the section below showing their workers compensation policy mtormanon r'Homeowners who s4,!pa this affidavit indicating they are`domg all work andahea hire otitside contractors must submit a new affidavit utdicating such iContractors that check this 6oY must aitached an additional=sheet sho»'mg the name of the sub contractors and SGtte whef6ei or notihose entities.have employees. If the,sub contractors hayeemployees they must provide their workers comp.policy number 1 am gin employer thnt:s provrrltns workers'compensation insurance jor my employees Below:is the policy anriob site cnforriu:tion ,"I,�'::�%..�.�,.�:,-;M-��-,�l..,"'',11; 4 [nsura"rice Company Name Travelers to.pm.t. Company_` Poitcy`#or Self ins Ltc # l!B 5B�77050 1`5 Ecpiration Date 11/Q211?5 991 nn Job Site Addiess. 3 �e►��G' I t✓ City/State/Zip, Attach a copy of the workers':compeisahonpoliey declaration page(showing the policy nuriiber andexpirafion date} Failure to scenic coverage as regutred under MGL c i 5� §25A'is a criminal violation punishable by a fine up to$t �00 00: -' andJoc one year tmpnsonment as well as civil penalties<m the form of a STOP W. ORDER and a fine of up to$2-0 O(?'a day against the violator A copy of this statement may be:forwarded to the Oftt-- . trivesttgations of the D[A for insurance;. coverage verifi,catton 1,do hereby ce uniler the pions aiiil pennlhes of perjury that the informahoii`provi4 aboveris true ncl correct S t nature. . Date 11/fl2!t 5 Phone:#. Ofcia!useonly Do not wrote cn this area,lo be completed by crry or tawii official City or Town Permit/License#" Issuing Aufhonty(circle one) i Board of Health,2 Builtlmg Department 3 City'/T4 Clerl. �:Electrical Inspector 5 Plumbing Inspector b Other Contact Person Phone# Town of Barnstable *Permit 6 �� 6� b Expires 6 m hs om issue date Regulatory Services Fee � i• + BABNSPABLE. • MAC' � Richard V.Scali,Interim Director i639 ,� OMA�� Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Q Not Valid without Red X-Press Imprint Map/parcel Number 9.6 Property Address 04a/Y. /VIA [residential Value of Work$ ��� /f Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address .. , (�ovw f�'twr Contractor's Name 4<'z.', fw A—&S 6 4,72on- Telephone Number Home Improvement Contractor License#(if applicable) Email: ®p�`4 Construction Supervisor's License#(if applicable) ��/ XWRE PERMIT 2<orkman's Compensation Insurance Check one: OCT 10 2013 ❑ I am a sole proprietor ❑ I am the Homeowner have Worker's Compensation Insurance TOWN OF BARNSTABLE Insurance Company Name Workman's Comp.Policy# � Z�✓?S�S 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) e-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the.Home Improvement Contractors License&Construction Supervisors License is required SIGNATURE: Q:\WPFILES\FORMS\building p nnit formS\EXPRESS.doc o Revised 061313 p as The Commonwealth ofMassuchuseffir Deparhmmt of Iar strial Accidents ..... Office of In estigations ' 600 Washington Street Boston,MA 02111 wn mynasmgoWdia Workers' Compensation Insurance Affidavit:Builders/Contractors/FlectricianslPlumhers Applicant Information Please Print Legibly Name MusmeW0zpnizationQn&Muan: e,�, . V Af Address: ae, City/StatrJZip: Phoned �46; Are you an.employer?Check the appropriate box Type of project r 4_ I am a contractor and I � � l ����� f.�am a employer with ❑ 1� ti_ ❑New emsbnictson employees{full and/or part-time).* Have hind the sub-contract m 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: w for me in an capacity employees and have workers' oriung Y � t5` 9_ ❑Building addition [No workers' comp-insurance comp-insurance l 5. El are a corporation and its 10..❑Electrical repairs or additions d officers have exercised ter 11..❑Plumbingairs or additions 3.❑ I am a homeowner doing all wade h id hi repairs , myself [No warkers'comp. right of exemption per MGL 12..❑Roof repairs insurance required_]T c-152, §1(4),and we have na employees_[No workers' comp-insurance required-J *Any appUc=that checks boot#1 mast also fill out the section below show tag their Workers'compeasatioaz poliep infirm:[ T Ffomeo wners who submit this afaidavit indicating they are doing all work and then hire outside contractors— subatit anew affidavit indicating socIL tCaatoctors thst check this box nmW attached an additional sheet showing the name of the sub-ca mftw tm and state whether ornot these eatitks have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'co►t>peruation insurance for iny employees: Belau is Ste poTicy and job site information_ Insurance Company Name: Policy:9 or Self-ins.I.ic- �� �' f t�/ FxpirationDate: 'at'-,�CV I Job Site Address: . `/ — /d w• Lc�- �t � City,'State/Zig: Attach a copy of theworkers'Compensation policy declaration page(showing the policy number and eximm ion date).Failure.to secure coverage as required udder Section.25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonvaent,as well as civil penalties in the farm of a STOP WORK ORDER and a fine of up to S250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Im-estigations of the DIA for insurance coverage verification_ I do hereby CM6"the pains andpenakies ofperjuty that the information prosided above is bare and correct Si tune: Date: %a �>' Phone# !�� T�v )6 71 O ial use only. Do not write in this area,to be completed by city or town offiiciaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health. 2.Budding Department 3.Cityff own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Ph-one#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant-to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter 152, §25C(6)also states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s)along with their-certincate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to cant'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 con£rmation of insurance coverage. Also be sure to sign and date the affidavit_ The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly, The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call, The Department's address,telephone and fax number. The Commonwealth of Massachusetts Depaitm(_,ut of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877 MASWE Revised 4-24-07 Fax# 617-727-7749 www,.mas&gov/dia iR oFE ram, Town of Barnstable F Regulatory Services 9sniuv .tEg► Thomas F.Geiler,Director q, �63s� 039. 6. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862403 8 Fax: 508-790-6230 Property Owner Must . Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 62012 1 , �tHE� Town of Barnstable Regulatory Services 9 KABS. Thomas F.Geiler,Director `b�Eo;;,�•`0 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 supervisor. DEFINITION OFHOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a 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 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. C:\Users\decollik\AppData\Loca]\Microsoft\Windows\Temporary Internet Files\ContenLOWook\QRE6ZUBNIEJI?RESS.doc Revised 053012 i7 508-328-1635 SPECIALIZING IN ALL FORMS OF ROOFING & SIDING doyleandthomasconstruction.com P.O. BOX 168 eBs. CENTERVILLE, MA 02632 Fully Licensed & Insured Construction Supervisor Lic# 99913 Doyle and Thomas Inc.Proposes to perform the following work: Location of proposed work: Mr. & Mrs.Courteau 34 Tomahawk Drive Centerville, MA 02632 Date on which construction should begin: November 2013 The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that.cannot be avoided by the contractor shall not be considered as a violation of this contract. The contractor agrees that when such delays become known to the contractor,the contractor will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. The total cost for labor and materials under this contract: Install of James Hardie cement board 5 exposure on the front of home $2,963.00 Install of AZEK PVC trim(4 front corner boards,2 doors&garage door,garage rake) would be an additional $985.00 Thank You For Giving Us The Opportunity To Help You Improve Your Home In the event that while stripping the siding we find rot that needs to be replaced,the homeowner then has to agree and authorizes said replacement or restoration,then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$45.00 for a carpenter and$30.00 for a carpenters laborer, plus the cost of materials. -Siding area to be papered with tyvek house wrap -Install of James Hardie plank siding in accordance with the best practices and installation manual. -PVC to be installed with CORTEX hidden fastener system -Contractor to install PVC blocking for all electrical and plumbing extrusions as discussed. -5 yard dump trailer will be needed on site;and will be removed at the completion of the job -Contractor will be responsible for all building permits needed at the property NOTICE EQUIRED BY LAW With the agreement of the contract$500.00of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start; and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract. Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties their workmanship completed under this contract for a period of five years from the date of completion. During the stated warranty period the contractor shall be responsible for the service of the repair or adjustment, but the contractor shall not be responsible for the normal maintenance, repair due to abuse, misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ownership in order to activate such warranties. Homeowner failure shall not create any responsibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form,content,.and notices contained in this contract are intended to comply with the applicable portions of the Mass.General Law Chapter 142A, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be in full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended meaning to the maximum extent allowed under such law and regulation. Signed as a sealed instrument on this date: Date: Homeowner Contractor CERTIFICATE OF LIABILITY INSURANCE DAT / 10/07I07/2013 Y) 013 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 NAME: Debbie Mark Sylvia Insurance Agency,LLC PHONE FAC. X508 957-2125 ac No: 508 957-2781 404 Main Street E-MAIL ADDRESS:mark marks lvialnSUrance.com Centerville,MA 02632 INSURERS AFFORDING COVERAGE NAIC# wsURERA: Farm Family Casualty Insurance INSURED INSURERS: D&T Construction,Inc. wsuRERc: PO Box 168 Centerville,MA 02632-0168 wsURER D: INSURER E; A 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. ILR SR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICYNUMBER MMIDD MMIDDIYYYY LIMITS A GENERAL LIABILITY 2001XO485 7/21/2013 7/21/2014 EACH OCCURRENCE $ 1,000,000 470MMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 50,000 CLAIMS-MADE �X OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ Included GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X1 POLICY PRO-IECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO - - BODILY INJURY(Par person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ RED RETENTION$ $ A WORKERS COMPENSATION 2001 W7501 7/25/2013 7/25/2014 we STATLU X oTH- AND EMPLOYERS'LIABILITY Y/NER ANY PROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? ❑Y N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY.LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry The workers compensation does not provide coverage for Troy A Thomas and Shawn M Doyle. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE D&T Construction Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 168 ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE q ' ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD i Massachusetts -Department of Public Safety Board of Building Regulatio'n.s andStandards CunstruCuun Super�iNor Specialt% License: CSSL-099913 •-F _� fir: TROY A THOD6S 499 NOTTINGHAA DRIVE} CENTERW LE MA 02.632 ; 11A`` Expiration Co Mnmissioner 04/13/2014 \ Office of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR t3egistration 145954 Type: ? xpiration: 3/15/2015 Private Corporation DOYLE+THOMAS CONST INC TROY THOMAS 499 NOTTINGHAM DR 40 CENTERVILLE,MA 02632 undersecretary Town of Barnstable *Permit# <DC)o ®I Co� �' a,. Expires 6 w hs from issue date Regulatory Services Fee �S •�� + sARNSPADIX " AIn9.S Thomas F.Geiler,Director Building Division IT Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 MAR 2 1 2007 www.town.batnstable.ma.us Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 1�/'1{�1(41 ` Residential Value of Work 5000._ Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address oo y— Telephone Number SO&Contractor's Name ����'�ze/J.�,� "4� I,-I Home Improvement Contractor License#(if applicable.) Construction Supervisor's License#(if applicable) WWorkman's.Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner -;ZI have Worker's Compensation Insurance Insurance Company Name C--, C Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) I Re-roof(stripping old shingles) All construction debris will be taken to , ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *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 Improvement Contractors License is required. SIGNATURE- Q:Forms:expmtrg Revise071405 The Commonwealth afMassachusetts 1 Department of Indu.5trial Accidents K�I; ;= Office of Investigations 600 Washington Street ;", Boston,MA 02111 c w www mass.gov/dia Workers' ('ompensation Insurance Affidavit: Builders/Contractors/Elecfi.*icians/Plumbers Applicant Information _ Please Print Legibly Name(Business,'C?;ganization/Individual): Address:�� 1. ✓ �1,n, City/State/Zip: ST .(`1/l (.� -e ZNiione #: 5o R 14 2P ` AFou an employer?Check the:appropriate box: Type of aPsoject(required):I am a employer with Z 4. ❑ 1 am a general contractor and I 6. ❑_New construction. employees(full and/or part-time).*' have hired the sub-contractors 2.❑ I am a sole proprietor or partner- fisted on the attached sheet. 7• ❑ Remodeling ship and have no employees •These sub-contractors have 8. ❑Demolition working for me in any capacily. workers'comp. insurance. 9. ❑Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] . officers have exercised their 10.❑ Eli arical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I LE]Awnbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12'tR Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.0 Other - *Any applicant that checks box#I must also till 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: _e. 'I S Policy#0�r Self-ins.Lic.#: epoco 6-0 1�A-U lcl Expiration Date:^ 1,0107, 7 Job Site Address� � 'Tor')dg--�� ,t �� � r� City/State/Zip: Attach a copy of the workers'compensation.policyAdeclaration,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 civi1.penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerdfj rider the wins and penaltie f perjury that the information provided above is true and correct. Si nature: Date: —7 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.F4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: . Property Owner Must Complete & Sign This Form If Using a Roofer/ Builder. I (print) G' CAI E (!fv q/Z i eW&f , as Owner / Agent of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. to act on my behalf, in all matters relative to work authorized by this building permit application for: Address of.Job Tv•�,g,r,�A�vlc n ez �€',v ,t��/. dip Signature of Owner . Mailing Address of Owner Telephonel# S� � �7 � a,g � Date 3- J- 020 -7 (Please return this form to Cazeault roofing along with your signed contract; It is needed for us to obtain the building permit required by your town, to complete your roofing project, thank you)fax#508-420-4555 3 ......... 71 C) �INSIlI �' �� 0 M\ D\ ATE(M s D YY) PRODUCERTHiS GERL1FICATE IS iSSl1ED ,.lS A MATTERItW ;r,►c,u„� DOWLING & 0 VEIL INS AGC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222.Y:L;ST MAild .STREET. HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND`OR P,O.BOX 1990 ALTER THE COVE RAGE AFFORDED BYTHE POLICIES BL-LOW_. HYANNIS PIA 02601 COMPANIES AFFORDING COVERAGE 12 LGR ccur.Avr. A TILAVh;LF;RS PROPERTY CASUALT'i COMPANY OF AMKR.ICA IN _ COMPANY PAUL J CAZEAULT G SONS INC. B 1031'I4A.IN STREET OSTERVILLE "MA•02655 COMPANY C COMPANY `GCJVEFAB r,:: p zt ii a.�z:•. ...•..•.., ,..�,.:.�i :r:..... ...: is ;•THIS 1S'To CERTIFY THAT THE POLICIES-'OF INSURANCE LISTEDvBELOW INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF CONTRACTOR OTHER DOCUMENT WITTHE'INSURED NAMED' VHE FOR T14C RE P CT O POLICY CHERI IS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, "EXCLUSIONS AND CONDITIONS OP SUCH POLICIES.LIMITS SHOWN MAY-HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY EFFECTIVE 'POLICY EXPIRATION' LTR POLICY NUMBER- " ` DATE.RSAD➢1YY) BATE(MWIlu YY). LIMITS GENERAL LIABILITY COMMER(AAL GENERAL1.111NILIIY ' GI(NCIIAL AGGIILGATL y P;tIJt)IIC Iy-L;1)ty1Y100 AOG, y CLAIMS MADE OCCUR. ^"— PI:Ii50NAI-RADV.INJUnY y fbWNPH'S 8 tivN7HAt TuHS PH07. CACTI OCCUITRGNCC S FIRE DAMAGE(Any one tire) y AUTOMOBILE LIABILITY MED..EXPENSE.(Arry•one person) y, I. ANY AUTO COMBINED SINGLE g LIMIT ALL OWNED AUTOS SCHEDULED AUTOS HOPIEY INJURY (Pcr Person) Y HIRED AUTOS NON-OWNED AUTOS CIODILY INJURY (Per Accident) 3 PROPERTY DAMAGE g GARAGE UABIUTY AUTO ONLY r EA ACCIDENt' y-ANY AUTO OTilER ThAN AUTO ONLY, EACH ACCIDENT. EXCESS LIABILITY AGGIILGAIL g UMBRELLA FORM EACH OCCURRENCE . y OTHER THAN UMUHELLA FORM AGGREGATE g WORKER'S COMPENSATION AND. A EMPLQYERSUABIUTY (LIB-0095869—A-06) 08-10-06 08-10-07 STATUTORY MITS THE PROPRIETOR/ EACH ACCIDENT PARTNERS/EXECUTIVE v INCL y OFFICERS ARE: EXCL DISEASDIME- E—POLICYLIMTT g DISEASE—EACH EMPLOYEE g D L IT TIIIS REPLACES ANY PRIOR CERTIrICATC ISSUED TO TILE CEC.TIFICATE IIOLDET. AFFECTING t40R[:ER;, OL COMP C OVERAGE-. —.�_ ..A..,:n:nv,v::f:ti:n.i.,v,'.:,,:..,ay ::::•:it�'vj::: ....... ... SHOULD ANY OF THEABOVE`DESCRIBED P F•:' ••c a•.;. OLICIES,•DE CANCELLED aBEFORE THE r Paul J.Cazeault S Sons EXPIRATION DATE THEREOF, THE ISSUING COMPANYWILL ENDEAVOR TO MAIL 1 Roofing,{;'1C. 0DAY,, WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 1031 Ma1•l Street LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR I,IADILITYGFAMY,lilt•1DUPuN77TECAAk",,$,ITSAC. -iS.GiigGi+RESEyL7bTIYTrS. . Ostervillo, MA 02655 AUTHORIZED REPRESE AUTH NTATIYE ' n>: .+>;1 00l1?MRPt1RATJOA(1:�93. Client#:W 89 2CAZEAULTPA DATE(MM/D A�;ORD. CERTIFIC ,TE OF LIABILITY INS RANCE 0519106°�n PRODUCER THIS CERTIFICAY IS ISSUED AS A MA I: OF INFORMATION Dowl ig$O'Neil Insurance ONLY AND CONKERS NO RIGHTS UPON' CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NO+? ND,EXTEND OR ALTER THE COVERAGE AFFORDED BY4 POLICIES BELOW. 222 West Main St. PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Western"Norld Paul J.Cazeault$Sons Roo. ag,Inc. INSURERS: 1031 Main Street - Osterville,MA 02655 INSURER C: -- INSURER D: _ INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAF'"BEEN ISSUED TO HE INSURED NAMED ABOVE FOR 11 1E POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF API' CONTRACTOR OD:'ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY TI- POLICIES DESCRU ED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAV. ;SEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR NSRC TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDD LIMITS A GENERAL LIABILITY NPF 312091 04/30/06 04/301w17 EACH OCCURRP $1000000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RUN: mce $50 000 CLAIMS MADE 51 OCCUR MED EXP(Any on �.on) $2 500 X BI/PD Ded:1,000 PERSONAL&AD'. URY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $1 000 000 POLICY JER LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS - (Per accident) .PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY _... .� AUTO ONLY-EA AG_':DENT $ ANY AUTO 07HFJ2 THAN j±ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRI"�� �,! $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STA7`V OTH- EMPLOYERS'LIABILITY YU, ANY PROPRIETOPJPARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 01-FICEPJMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCk,I TION OF OPERATIONS I LOCATIONS I VEHICLES I E-,CLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Certificate of insurance will be issued dil e:;.tly by.the insurance carrier. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION .Informational purposes only DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO V.AlL _1L DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,PUT FAILURE TO DO Sp SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TI src INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R PRESENI ATIVE ACO :D 25(2001108)1 of 2 #42866 LS1 CORD CORPORATION 1988 - _ Board of Building Regulati ns and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 103714 Type: Private Corporation PA UL J. CAZEAULT & SONS', INC Expiration: 7/9/2008 ---- Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card. Mark reason for change. DPS-CA1 Ca 50M-05/06-PC8490 Address ,C� Renewal I: :j Gmploymcnt Lost Card ,per ✓/LC -V/00J7�)tOOt(I/!'.CLI.UL O�✓I/CQ60�tUGCI.Ib , —\ 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: Registration: '103714 Board of Building Regulations and Standards Expiration::,:7/9/2008 One Ashburton Place Rm 1301 T' Boston,Ma.02108 Type: Private Corporation PAUL J.CAZEAULT'8=SONS;INC Paul Cazeault /`+ 1031 MAIN ST , -- OSTERVILLE,MA 02658'`` `•�``✓ ------- -- - Deputy Administrator Not valid without signature �� -� Board of Buildinq egulations One Ashburton Place, (gym 1301 Boston, Ma,,02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE :x; Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2007:;. Restricted To: 00 PAULJ CAZEAULT } 1031 MAIN ST OSTERVILLE, MA 02655 Tr.no: 7696.0 50M-04/05-PC8698 S-CA1 C� Keep top for receipt and change of address notification. i ✓�te T0077YII247t�' !� O��'�ivaelta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR I Numbt 026325 � Btrt�date 10/20/1959 t:xpires 1 .t2042007 Tr.no: 7696.0 rss ¢ Restricted 00 PAUL J CAZEAULT,,-,:j.,,. > 1031 MAIN ST �— Assessor's off ioe. (1st floor)' z /� �_ 7NE P: T ' Assessor's ma ' and lot number ....1............... SEPTIC SYST151cA . V o s .: . Sewage' Perlmit( number T.............'..... �.�^. .��� NSTAI.�,E®�IN COI�I�LI Board of 0 g WITH TITLE t 33ARI9TAXLE. Engineering' Department (3rd floor): q. pC,fS' ""}9_7 House number ..:...........` ........ G "T® N n�aY �I�@/II�®R9�EIc9TAL. C®� APPLICATIONS PROCESSED -8:30"9:30 •A.M. .and, 1:00-2:00 P.M..only# , I w: TOWN,, :OF BARNSTABLE t BVILDIHG INSPECTOR . APPLICATION FOR'PERMIT TO ' . .. ..... ........ . c. TYPE OF: CONSTRUCTION .....:...W.0 A. ........ �^^.��........................:............................................................. r c- ......... ..............................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: . Location ........ar�..l....,:...� �.�tlC:.t.1, Io.�........�;y7 . ..L.v... ...�...�.�� T`....'.�.f.�?.T............... .)....................... Pro ..Use ��/....rk p .1�! �.............................................:.... ................................... Zoning District . Fire District ` p�- �. .�°.:...... �. �.Ca..f. � l /1r....................... Name of Owner e4..�e .C<a i:-va,••F• .. z �L......Address .....c •r / p er.. �2.1..v "........... I, F L - , Name of Builder ....D. 'tl.!.►�.i..C.�.r(�..�.,°„ ..(..#.......Address ....'..A..A � rr t � � �......................:...: Name of Architect ........Address # Number of. Rooms ..................................... .......Foundation .... ....A, .t. Q -Exterior ............ :.!9. . ..................'...................................Roofing :............ �' I ........................................ Floors ................ . +A..` ..,................................................:.....Interior ........... '!.....�...............:.. .. • .�.. ..... Heating ..........T242..r11.S.;!-.. .................:. Plumbing '!l/3 �/f; ......... .. ........ ...................................:....;.!� u Fireplace .............n. �Y.J..e.:....................,...............................Approxi mate,Cost ........ r................................. Definitive Plan Approved by Planning Board---------------------------------19-------- .. .. . `Area S- l .................................. Diagram of Lot and Building with Dimensions I Fee SUBJECT-TO APPROVAL OF. BOARD OF ''HEALTH 3 14 o e 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 q• v ,.,. ................... Construction Supervisor's License . COURTEAU, EUGENE No ..:z ,Permit for ...SUN ROOM.............. _ t Single Fami.1v ,gelling ; ..... .......... '' 21''Tomahawk Drive' _- :; Location .. .. ................................................ y�.... n � Centerville .............~.. .......................................... " . z Owner .....Eugene Courteau R . ................................... a T e of Construction Frame ...... - Ty TM. _ � Plot ..�.:.1...fi1�............ Lot.................................... . + . .. .' � - M1 .,, 1 • t li Permit .Gran'ed .......Au$ust....26.,......,.,19 86 s y _ Date of.Inspection ...... r....... .......19 4 '� Date Completed ,.M..........'......19 4 ' S 1 j It F" 1 ti Qt rf•j 1 t r .0 • t r - 1 ' Assessor's offioe (1st floor): /90 _ 0�3 � o 0 Assessor's map and lot number ............. e�Q.. F THE T ♦� Board of Health (3rd floor): Sewage Permit number ......... ' BlHdST&BLE, i Engineering Department (3rd floor): rasa House number 4,s,�679• 0 MO APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO APj.At .....�JA-Ii.,:)?� !......................................................... TYPE OF CONSTRUCTION p A il..:..��.�.`!�� .................................... ...........19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......... ..A..........d r� � rf.t.,A,,.1,4( ...... . ?.4�� .......Cc A T .......I�.. . T....�.. r�.�. y........ /............... Proposed Use i i `N �.....R.w t4-4.....v . .. . ................................................................... ZoningDistrict .............. ..........................................Fire District .............................................................................. Name of Owner � f .�.... ...0?.f ..�.,v......Address . . . ar .................................. Name of Builder �.!'y'lt.�?.1.E::.►' ...> d..t.!.`. {Mtt.J..d.......Address ..... �c' ..!................................. Nameof Architect ..................................................................Address ..................................................................................... Number of Rooms ...:................. ...........................................Foundation .... / .F1'. '..........Chlriif". . ':.f..�rA................. Exterior ............ ,la, ....................... ...Roofing �.. ��.t. .. ..............: Floors !� .........Interior....................................... .. . '. t' d1 ' I Heatingr�+ r? trf' g .........T.:..�:*:...........�-�.........:.......................................Plumbing ...................,............. • Gl Fireplace .............11 ��.�r�. >.....................................................Approximate Cost U.�.........>............... f Definitive Plan Approved by Planning Board _______________________________19_______ . Area ... ....................... Diagram of Lot and Building with Dimensions Fee :..:.P....................... SUBJECT TO APPROVAL OF BOARD OF HEALTH i `2 1 � 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 . riz. r .t_ f t, i.Am J r................... Construction Supervisor's License .. .a.��. ............... C0DRTEAO, EDGENE A=190-023 � Single dwell — -- ------ ~_~ Location —.e�� �Driv�__ ___ _ ' � Centerville � ---------- ----------.1�---- � � Ovvne, — ..Cor t e.a.0............................... Type of Construction --�rame......................... --------------------------. . Plot ............................ Lot ----------' �u � 26 8� Permit Gnon|o6 --.�u4��a---�---]V � Date of Inspection ------------ly � � � Dote Completed ------------'lV � � � � '