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HomeMy WebLinkAbout0025 HULL LANE k Ii I I I s1r� 1 f I� i I � --_ _- - - � �. ____-� �-- -p---- , { .�� � � I r, i . a '. }t ti { � - 7 {.. � - t t ors, , Town of Barnstable Permit# K/ J QExpires 6 months from issue date Regulatory Services FeeBARNSTABM 9� M639. `0�' Richard V.Scali,Director AlEO��p Building Division T Tom Perry,CBO,Building Commiss'g#�p�r 0 200 Main Street,Hyanni ; f 2 0 8 2#16 www.town.barnstable. a u • OF Office: 508-862-4038d � `- fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL MNLY n v I„ 2 Not Valid without Red X-Press Imprint Map/parcel Number V j �(/�J _ Property Address 2 /`kj/ Lti . Cc v,It . MA 02 635 residential Value of Work$ �gy> Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address gate j 1 AJQ,1'( 0.COSSQ.►1 Z4 . , MA 0263s Contractor's Name I Jv"11 /1,46W �.U���I�T.t.� Telephone Number�S �.25-9"2632 Home Improvement Contractor License#(if applicable) /J / Email: 501,ids COkpe[' Q /'1 , COS( Construction Suppvisor's License#(if applicable) Emlwl"orkman's Colipensation Insurance Check one: ❑ I am a sole proprietor ❑ Jam the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp Policy# �� Copy of Insurance Compliance CeRif must accompany each permit. Permit Request(clieck box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roif(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side 7FIRe lacementWindows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ke/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 r uired. SIGNATURE. QAWPFILESTORMS\building permit forms\EXPRESS.doc Revised 061313 The Commonwealth of Massachusetts c Department of Industrial Accidents Office of Investigations n }.' 600 Washington Street . Boston, MA 02111 T www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiom4ndividual): CAPE COD ALARM CO., INC. Address: 204 OLD TOWNHOUSE ROAD City/State/Zip:WEST YARMOUTH, MA 02673 . phone #: (508) 398-6316 Are you an employer? Check the appropriate bog: Type of project(required): 1: ✓[] I am a employer with 30 4• ❑ I 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- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me-in any capacity. employees and have workers 9: ,❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their I I. Plumbing repairs or additions Myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13. Other Cohyer+ /10d15yeko comp. insurance required:] do-kc-tovs to /ow Va �� Moan Fa *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: Associated Employers'Ins., Co. Policy#or Self-ins.Lic.#: WCC-500-5006433-2016A Expiration Dater .September 1, 2017 Job Site Address: 2S NY'114n • T tX1 rl 1`r 02.6 3S City/State/Zip: CA t�, Iq 0 ©263, Attach a copy of the workers',compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised.that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify unde he pains andpenalties ofperjury that the information provided/above is true and correct. 12 Sign re: Date: ! O /b Phone#: �_N) 2_15-5 - 2 6 S 2- 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#: i.r ti < <: OMMONWEALTH OF MkS.SACHUSETTS;;:,:;;;<:_;: a Y eoARn:or= ' °. 0him N NV@tALT<._ OF EL:IwC'FRtCIANS - -e a MTV: S ISSUESLICENSE , �>: A�3�1"� �a NG LICENSEE -- .x R'i' 1'A ,. SYST.EM':. - RACT � ...I.�S 11 E S.. QW,}�i` - GENE A CORMIER CAPE COQ ALARM'CO INC 204 O LD:7 .. 6 ESE A C t QIf N HOUSE RD J hi WEST:YA wz, RMOUTH, MA:...o2$7 ;ct - 3-1531.: - 'rJ h - X. r: 1 Rey .;y :.. Iz 1, 592 _9 - 2 - U. 31 19. 1 r 23 442 t)E T<: 1. :5>..6 Z d- 6 `'? 'den PYrvc-4--f ram) - t lug Commonwealth of Massachusetts Department of'Public Safety 5ccuril}'.S rvtc m-.-�-7_iccn.vc License: SSCO-000248 GENE cORNIIER\ 204 OLD TOR'1`tHOLiS tRD YARMoum • � MA�;d2�73i - t3,� I Commissioner Expiration:1110712016 *BprAlb1vy, SERVICJ q Auvd Mor&+oRjpjq-()f 5ECxls5rYr , md Sysr ows- (5O0) 391Y-016 off r 9043 3 98-5666 ' FAX-- 4;a+rr ml swi012 �ir� (�4�8)��0,-2 MA liemr.Nb- TYM 8/4/2916 Mass.gov Licensing and Permitting Portal �: Ste to(1�;i�r:c�i.C:Uii ..dCG-/1-'' _ i>E;1iE -•'17,5 . An Official websile of the Commonwealth of Massachusetts' - el-icensing, and ePermitting Portal Announcements I Register for an Account I Loain _Search... zaz Need Help?For technical assistance in•using this web application,please call the ePLACE Help Desk Team at(844)733-75221@ or(844)73-ePLAC between the hours of 7:30 AM-5:00 PM Monday-Friday,with the exception of all Commonwealth and Federally observed holidays. If you prefer,you can also e-mail us at ePLACE heIPdeskfcf�State.ma us.For assistance with non-technical,please contact the issuing Agency directly using the links below. Contact Alcoholic Beverages Control Commission Contact Division of Capital Asset Management and Maintenance Contact Division of Professional Licensure Translation Information-Click Here Document Attachment:In order to upload required documents,this system requires Microsoft Silverlight which can be downloaded for free here. Convenience Fee:Please note there may be a convenience fee for all online credit card transactions.There is no fee for online payment by check. Home Manage Licenses,Permits&Certificates File&Track Complaints Please refer to the Licensing Entity's website for additional information regarding the status and discipline Information shown below. For DPL Information,please visit the DPL website. For ABCC information,please visit the ABCC websile. Information Pertaining To: Systems Technician 1507 Licensee Detail License Number: 1507 Licensing Entity: Board of State Examiners of Electricians License Type: Systems Technician j Type Class: D License Issue Date: 01/0ij1992 License Expiration Date: CO7/31,20' 19 1j' Status: Current Current Discipline: Other', Discipline: Name: GENE A CORMIER Business Name: DBA Name: p i } t I r 3 4 i i I i ©2015 Commonwealth of Massachusetts. - Mass.Gov®Site Policies Mass.Gov©is a registered service mark of the Commonwealth of Massachusetts. i . https://eiicensing.state.ma.us/Cit!zenAccess/_SearchaLicense.htm 1/1 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. WCC-500-5006433-2016A PRIOR NO. I WCC-500-5006433-2015A' ITEM 1. The Insured: Cape Cod Alarm Co Inc DBA: Mailing address: Attn:Gene Cormier FEIN:**-**`3528 204 Old Townhouse Road West Yarmouth, MA 02673-0000 t Legal Entity Type: Corporation Other workplaces not shown above: See Location 2. The policy period is from 09/01/2016 to 09/01/2017 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers' Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,006 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTEA 184628 INTER SEE CLASS CODE SCHEDU E Minimum Premium ' Total Estimated Annual Premium *S�TAOTVE GOV DepositPremium CLASS 8901 State Assessments/Surcharges $27,277.00 x 5.6000% This policy, including all endorsements, is hereby countersigned by -�` 07/07/2016 Authorized Signature Date Service Office: Rogers&Gray Insurance Agency Inc 54 Third Avenue 434 Route 134 Burlington MA 01803 South Dennis, MA 02660 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. CAPECOD-54 APELL DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 9/1/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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: Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 Arc No EXt: A/c No:(877)816-2156 South Dennis,MA 02660 ADDRESS:mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC k - INSURERA:Allied World Surplus Lines Insurance Company 24319 INSURED INSURERB:Arbella Indemnity Insurance Company,Inc. 10017 Cape Cod Alarm Co Inc. INSURER C;Associated Employers Insurance Company 11104 204 Old Townhouse Road INSURERD: West Yarmouth,MA 02673 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. INSR ADDL SUBRI LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDY YY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY OC EACH CURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR 5200-1780-00 09/01/2016 09/01/2017 PREMISES Ea occurrence) $ 100,000 X PROFESSIONAL LIAB MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 5,000,000 POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 5,000,000 OTHER:when required by con - $-AUTOMOBILE LIABILITY EO accident) SINGLE LIMIT $ 1,000,000 B ANY AUTO 1020005044 09/01/2016 09/01/2017 BODILYINJURY(Perperson) $ ALL OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIREDAUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Peraccident $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A X EXCESS LIAB CLAIMS-MADE 5201-0586-00. 09/01/2016 09/01/2017 AGGREGATE $ 3,000,000 DED X I RETENTION$ 0 $ WORKERS COMPENSATION PER _ AND EMPLOYERS'LIABILITY Y/N X STATUTE EORH C ANY PROPRIETOR/PARTNER/EXECUTIVE CC-500-5006433-2016A 09/01/2016 69/01/2017 E EACH ACCIDENT - $ 1,000,000 OFFICER/MEMBER EXCLUDED? a N l A L. (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate holder is provided additional insured status for ongoing and completed operations,primary/non-contributory including waiver of subrogation with respect to general liability when required in a written contractor agreement Certificate holder is provided additional insured status with respect to auto liability when required in a written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED.IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD �SME • t�xs'ti►st€. Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division, Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign .This Section If Using A Builder I,�_(�/1✓P�/iL- ' C��J��- ,as Owner of the subject property hereby authorize CAPE C a 6 A!!+P-/n to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) AK14 Signature of Owner Date pert. Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form,on the reverse side. TAKEVIN Muilding Changes\EXPRESS PERMI REXPRESS.doc Revised 061313 Systems Contractor License#1592C Cape Cod Narm Co., Into All employees bonded and insured 204 Old Townhouse Road Protection System West Yazmouth,TA 02673 Proposal . www.capecodaIarm.com, �. ` Telephone: 1(800)4.68-8300 Fax: 1(508)398-5666 � � c:�CA . . Email:info@capecodalarm.com - ., Client Information MEMUEF WMAkF :y KAREN &NEIL JACOBSEN 25 HULL LANE Proposal Number 6123 COTUIT, MA 02635 Date 3/21/2016 Phone 1(610)246-6118 F_xt, Account Rep. C036 Joshua Ledger Email KAPJACPA(&AOL.COM *Proposal is to convert 110v local smoke detectors to low voltage monitored smoke detectors, replace door contact, and reinstate monitoring for new homeowners* Qty Description Unit Price Tax Total 1 Existing Napco 1632 Control Panel ( ) Basement closet 1 Napco GEM-RECV32-Gemini 32 Point Wireless Receiver. Used to receive wireless device signals into the control panel. 5 System Sensor-4WTA-B-Smoke Detectors O To replace existing 110v smoke detectors ( )A licensed electrician will be needed to disconnect 110v wires. O You may provide your own electrician or we can provide one for you. ( ) Electrician to bill customer separately. i Replace Hardwired Door Contact ( J Front door. Wire is in place . 2 Napco- Gemini;Wireless Transmitter/ Door Contact ( ) Slider in addition ( j Front side entry 1 Napco -Gemini Wireless Motion Detector w/ Pet Immunity ( ) Front corner of addition 1 AES Long Range Wireless Radio **No phone lines needed** This is a one time fee for the lease of Cape Cod Alarm's long range wireless alarm communicator. Also included in this fee is a plug in transformer and a 12v 4ah back up battery. **The plug in transformer will require .a NON-GFI electrical outlet. 1 Monitoring via Wireless.Radio: $33.00/month (auto-billed to credit card) or $35.00/m6nth (invoiced quarterly) or $385.00/year(11 months PLUS I month FREE) i Electrical permit(included in proposal) 1 Building permit.(included in proposal) 1 Fire permit(included in proposal) -65 Discount for door contact Iroposal 5123 vwwiv.QgeCc A1Jrfn.ccrn s • - i� 1 �uSystemsContractor License#1592C Cape Cod Alarm Co.,'.8 nc. - All employees bonded and insured rwj*' 204 01a'townhouse Road Prat ion Systenn West Yarmouth,IA 02673 Proposal @I � .pG�f ppl www.capecodalarm.com p�pJe��ry 4 p p Telephone: 1(800)468-8300 Fax: 1(508)398-5666 Email:info@capecodalarm.com e Client Information .*� �S[h48[ ro.,. F AREN &NEIL JACOBSEN 5 HULL LANE Proposal Number 6123 OTUIT, MA 02635 Date 3/21/2016 Phone 1(610)246-6118 Ext. Account Rep. C036 Joshua Ledger Email KARJACPA(&AOL.COM �9ty Description Unit Price Tax Total M , *Tax and permitsincluded* Kaaq,,� I CUID Please print name here Pleas si n name here Date Approved I have read the agreement that is attached to this proposal,a y signature accepting this proposal also constitutes my acceptance of the PROTECTIVE SIGNALING SYSTEM MONITORING AGREEMENT.***PLEASE SIGN OR INITIAL AGREEMENT ON BACK*** In order to star the permitting and scheduling'process please sign and return this proposal as soon as possible. , Cape Cod Alarm is Cape Cod's only locally owned and operated U.L.Listed Central Station. d 1 foposa 6123 11 wfy�CegyeQdA/arm.com L.Bath. Bedroom Bath Kitchen ® - Living Room r s Down —� Sunroom Dining a Up Bedroom Jacobsen Residence Legend 25 Hull Ln. SMOKE DETECTORS IIIEWEQ Cotuit /*Z vz 0 Smoke Detector 1st Floor BARNSTABLE BUILDING DEPT. D E IRE DEPARTMENT DATE BOTH SI NATURES APE REWIRED FOR PERMITTING Office Down Bedroom Open to below Jacobsen Residence Legend 25 Hull Ln. Cotuit O Smoke Detector 2nd Floor Garage Up Sitting Area s I Maintenance Closet Jacobsen Residence 25 Hull Ln. Legend Cotuit O Smoke Detector Basement �E� s Z i i T6WN OF BARNSTABLE BUILDING PERMIT APPLICATION Map dl C` Parcel i 3 ,�, ,; A plication #TAOff Health Division Date Issued Conservation Division < G ",j : Application Fee Planning Dept. Permit Fee ;:,2-7 �- S Date Definitive Plan Approved by Planning Board �s 1 t. .. .R""" "" A Historic - OKH _ Preservation/ Hyannis Project Street Address - 2-5 LC,K of Village-_ Cr,-t u 1T Owner U EZ l L- K A-eey o Address 'B y t s h L 1 s LC Telephone 6,1.0 Z LI tom.- ar:7LP./-y B ; FIB. Lt44 Permit Request A-D > I�` x 22o 5OTV Z60 rV) aA_Lhar Ur I'C. ir IZe Square feet: 1 st floor: existing i4' Aproposed 2nd floor: existing W6 proposed _Total new Zoning District R Flood Plain m_Groundwater Overlay Project Valuation li 9:5,CDD Construction Type D WaOv Lot Size t Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure (a Historic House: ❑Yes XNo On Old King's Highway: ❑Yes No Basement Type: X Full ❑ Crawl XWalkout . ❑ Other Basement Finished Area(sq.ft.) 1`49q Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new _ 0 Half: existing ( new_ Number of Bedrooms: :i existing;IK new Total Room Count (not including baths): existing &new ` First Floor Room Count Jr �sue: Heat Type and Fuel: WGas ❑ Oil ❑ Electric ❑ Other Central Air: OYes ❑ No Fireplaces: Existing d New D C �Existing wood/coal stove: ❑Yes,�&No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: coexisting ❑ 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 OR HOMEOWNER) Name C-7 P_ (�? C4-U1_6Y Telephone Number 0"o-u v� Address. / t License# (X-)9'6/ Home Improvement Contractor# Email Worker's Compensation # /LY ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE _ 4 � FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 5kek 7 Z- A- INSULATION 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. x Generated by REScheck-Web Software: Compliance Certificate Project 25 hull lane Energy Code: 2012 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: Compliance: 0.0%Better Than Code Maximum UA: 101 Your ILIA: 101 The%Better or Worse Than Code Index reflects how close to compliance the house Is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Assembly or Cavity Cont.. -Fact Ceiling:Cathedral 3P� (OTC �� �'�� '',�� 610 48.0 0.0 0.022 13 Wall:Wood Frame. 161n.o.c. 722 21.0 0.0 0.057 35 Window:Wood Frame:2 Pane w/Low-E 65 0.280 18 Door:Solid 18 0.700 13 Door:Glass 24 0.300 7 Floor:All-Wood joist/Truss Over Uncond.Space 446 30.0 0.0 0.033 15 Compliance Statement. The proposed buildingrdesign described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designe ieet the 2012 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the RE eck spection Checklists me-Tit a �J gnat e e Project Title: 25 hull lane Report date: 05/24/16 Data filename: Pagel of 8 r f , REScheck Software Version 5.5.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions"column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is itemized in a separate table, a reference to that table is provided. 01, �,p 103.1, (Construction drawings and ❑Complies ; 103.2 documentation demonstrate rya ❑Does Not [PRl)i y energy code compliance for the building envelope. ❑Not Observable ❑Not Applicable 103.1, ;Construction drawings and ❑Complies ; r . 103.2, .documentation demonstrate _.. t ❑Does Not 403.7 energy code compliance for [PR3)1 lighting and mechanical systems. - - - y ❑Not Observable ; !Systems serving multiple ❑Not Applicable dwelling units must demonstrate I compliance with the IECC - commercial Provisions. f -` Heating and cooling equipment is; Heating: Heating: []Complies ; sized per ACCA Manual S based : Btu/hr I Btu/hr ❑Does Not on loads calculated per ACCA Cooling: Cooling: i❑Not Observable Manual J or other methods , Btu/hr Btu/hr ❑Not Applicable ; Y � �approved by the code official � Additional Comments/Assumptions: h Z:. 1'High Impact(Tier 1) Medium Impact(Tier 2) ]Low Impact(Tier 3) i Project Title: 25 hull lane Report date: 05/24/16 Data filename: Page 2 of 8 no- �T I"IM ,A protective covering is installed to ;❑Complies •,.F protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in.below Not Observable ® grade. , , } ;❑Not Applicable Snow-and ice-melting system controls;❑Complies installed. UDoes Not ![-]Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 j High Impact(Tier 1) -Medium Impact(Tier 2) "Low Impact(Tier 3) j Project Title: 25 hull lane Report date: 05/24/16 Data filename: Page 3 of 8 f ' � 1 s! t �Rlg y v 402.1.1, 1 Door U-factor. U-_ ; U- ❑Complies ;See the Envelope Assemblies 402.3.4 I '❑Does Not table for values. [FR111 ❑Not Observable ❑Not Applicable 402.1.1, IGlazingU-factor(area-weighted U-_ U-_ s❑Complies ;See the Envelope Assemblies 402.3.1, ;average). i❑Does Not I table for values. 402.3.3, 402.3.6. I ;❑Not Observable 402.5 ;❑Not Applicable ; [FR211 303.1.3 'U-factors of fenestration products ❑Complies [FR411 are determined in accordance "F ❑Does Not with the NFRC test procedure ors ❑Not Observable taken from the default table. ❑Not Applicable 402.3.5 ;Fenestration in thermally isolated; U- U-_ ❑Complies ; [FR811 �sunrooms has a maximum U- ❑ Isolated ;❑ Isolated '❑Does Not factor of 0.45. ❑ Not Isolated ❑ Not Isolated ❑Not Observable ;ONot Applicable 402.3.5 jSkylights in thermally isolated U- ; U-_ '❑Complies ; [FR9]1 sunrooms have a maximum ❑ Isolated ;❑ Isolated ❑Does Not skylight U-factor of 0.70.All other;❑ Not Isolated ❑ Not Isolated sunroom skylights must meet ❑Not Observable f i code requirements. I ❑Not Applicable f a 402.4.1.1 ;Air barrier and thermal barrier ❑Complies ; [FR23]1 installed per manufacturer's ❑Does Not j instructions. ❑Not Observable ❑Not Applicable 402.4.3 Fenestration that is not site built ❑Complies. ; [FR20]1 !is listed and labeled as meeting ❑Does Not IAAMA/WDMA/CSA101/I.S.2/A440 j or has infiltration rates per NFRC t ❑Not Observable ; i 400 that do not exceed code :y ❑Not Applicable l limits. + �A IC-rated recessed lighting fixtures ❑Complies a1 €i sealed at housing/interior finish tj t ❑Does Not and labeled to indicate s2.0 cfm 4 leakage at 75 Pa. ❑Not Observable ; ❑Not Applicable 403.2.1 Supply ducts in attics are R-_ R-_ i❑Complies ; [FR12)1 +insulated to zR-8.All other ducts R_ R_ ❑Does Not I in unconditioned spaces or 1outside the building envelope are: ❑Not Observable ; ;insulated to aR-6. UNotApplicable 403.2.2 IAII joints and seams of air ducts, ❑Complies [FR13]1 !air handlers,and filter boxes are ❑Does Not sealed. I ❑Not Observable ; ❑Not Applicable dt32 3' sBuilding cavities are not used as ❑Complies ; - _ ducts or plenums. ❑Does Not + ❑Not Observable ' ❑Not Applicable , HVAC piping conveying fluids R-_ ; R-_ ;❑Complies ." above 105°F or chilled fluids i ❑Does Not ` below 55°F are insulated to aR- ; 3 '❑Not Observable ❑Not Applicable ; 11 High ml pact(Tier 1) Medium Impact(Tier 2) Low Impact(Tier 3)^j Project Title: 25 hull lane Report date: 05/24/16 Data filename: Page 4 of 8 403.3.1 ;Protection of insulation on HVAC :]Complies [FR24)' i piping. ]Does Not I i ]Not Observable ❑Not Applicable Hot water pipes are insulated to R-_ ; R- ❑Complies - p aR-3. !'❑Does Not ' ❑Not Observable ; " El Not Applicable Automatic or gravity dampers are ❑Complies ; installed on all outdoor air '+a " ❑Does Not intakes and exhausts. � - ❑Not Observable ; ❑Not Applicable ; Additional Comments/Assumptions: 1 jiHigh Impact(Tier 1), M. ---Medium Impact(Tier 2) fd Low Impact(Tier 3) i Project Title: 25 hull lane Report date: 05/24/16 Data filename: Page 5 of 8 ,All installed insulation is labeled ❑Complies ; or the installed R-values ❑Does Not provided. a` ❑Not Observable ❑Not Applicable I 402.1.1, ;Floor insulation R-value. R- R- ❑Complies ;See the Envelope Assemblies 402.2.6 i ❑ Wood ;❑ Wood- ;❑Does Not table for values. [IN1]1 ;❑ Steel. ❑ Steel ❑Not Observable i ❑Not Applicable 303.2, ;Floor insulation installed per ❑Complies 402.2.7 'manufacturer's instructions,and ❑Does Not [IN2]1 in substantial contact with the ;underside of the subfloor. ❑Not Observable ; ❑Not Applicable 402.1.1, ;Wall insulation R-value.If this is a' R- R-_ ❑Complies See the Envelope Assemblies 402.2.5, i mass wall with at least V2 of the ❑ ❑Wood Wood ❑Does Not table for values. 402.2.6 ;wall insulation on the wall < [IN3]1 ;exterior,the exterior insulation ;ElMass ❑ Mass '❑Not Observable !requirement applies(FR10). ❑ Steel ❑ Steel tlNot Applicable 5 I � ; 303.2 ;Wall insulation is installed per ❑Complies [IN4]1 !manufacturer's instructions. - ❑Does Not []Not Observable ' ❑Not Applicable 402.2.12 :Walls of thermally isolated R- ; R- ❑Complies ; [IN8]1 i sunrooms have a minimum R- ❑ Isolated ❑ Isolated ❑Does Not ;value of R 13. ❑ Not Isolated ❑ Not Isolated !❑Not Observable ❑Not Applicable 303.2 iSunroom wall insulation installed ❑Complies [IN9]1 i per manufacturer's Instructions. ❑Does Not ❑Not Observable ❑Not Applicable 303.2 i5unroom ceiling insulation is ❑Complies ; [IN11]1 ;installed per manufacturer's ❑Does Not instructions. []Not Observable ❑Not Applicable I Additional Comments/Assumptions: — N-'— 1 j'High Impact(Tier 1) Medium Impact(Tier 2) 3 Low Im act(Tier 3) Project Title: 25 hull lane Report date: 05/24/16 Data filename: Page 6 of 8 402.1.1, ;Ceiling insulation R-value. R-_ R-_ ❑Complies ;See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood '❑Does Not ;table for values. 402.2.2, Steel ' 402.2.E { ❑ ❑ Steel ❑Not Observable ; [1`I1]1 ❑Not Applicable + , , 303.1.1.1,':Ceiling insulation installed per ❑Complies 303.2 ;manufacturer's instructions. ` ❑Does Not [FI211 !Blown insulation marked every 300 ft2. ❑Not Observable ; ❑Not Applicable .,Vented attics with air permeable #❑Complies insulation include baffle adjacent ❑Does Not Ito soffit and eave vents that extend r• ❑Not Observable ' s over insulation. _ , ❑Not Applicable 402.2.4 ;Attic access hatch and door R-_ R-_ '❑Complies ; [FI311 "Insulation zR-value of the ❑Does Not I adjacent assembly. ' '❑Not Observable ❑Not Applicable 402.4.1.2 ;Blower door test Q 50 Pa. <=5 ACH 50 ; ACH 50=_ ❑Complies [FI17]1 Bach in Climate Zones 1-2,and 1EIDoes Not i<=3 ach in Climate Zones 3-8. ❑Not Observable ; _ '❑Not Applicable 403.2.2 ;Duct tightness test result of<=4 I cfm/100 cfm/100 I❑Complies ; [194]1 �cfm/100 ft2 across the system or •. ft2 ftz ❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa.For rough-in ❑Not Observable !tests,verification may need to r ❑Not Applicable ;occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated ❑Complies ; [F124]1 i by manufacturer at<=2%of ❑Does Not ! design air flow. ! ! [-]Not Observable ; - ❑Not Applicable Programmable thermostats ❑Complies installed on forced air furnaces. s ❑Does Not [-]Not Observable ! ❑Not Applicable Heat pump thermostat installed ❑Complies on heat pumps. ; ❑Does Not , [-]Not Observable -❑Not Applicable z «=?Circulating service hot water ❑Complies # systems have automatic or - ❑Does Not ! accessible manual controls. ❑Not Observable ❑Not Applicable u `All mechanical ventilation system ❑Complies—� fans not part of tested and listed ❑Does Not ! HVAC equipment meet efficacy h and air flow limits. ❑Not Observable ; fr. ❑Not Applicable j 404.1 75%of lamps in permanent ❑Complies ; 1FI611 Ifixtures or 75%of permanent �_ + - ❑Does Not ;fixtures have high efficacy lamps. x Does not apply to low-voltage k❑Not Observable ; f lighting. ❑Not Applicable 1+High Impact(Tier 1) Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: 25 hull lane Report date: 05/24/16 Data filename: Page 7 of 8 Fuel gas lighting systems have ❑Complies ; 1 no continuous pilot light. ❑Does Not ❑Not Observable ❑Not Applicable a Compliance certificate posted. ❑Complies Ak ❑Does Not n ❑Not Observable ❑Not Applicable tf ,Manufacturer manuals for ❑Complies ; [Fi8� mechanical and water heating ` ❑Does Not systems have been provided. ' 3 ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 0. { 1 High Impact(Tier 1) _Medium Impact(Tier 2) Low Impact(Tier 3) j Project Title: 25 hull lane Report date: 05/24/16 Data filename: Page 8 of 8 212 IECC Energy Efficiency Certificate 6 • ' Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling/Roof 48.00 Ductwork(unconditioned spaces): Window 0.28 Door 0.30 Heating System: Cooling System: Water Heater: Name: Date: Comments The Conzuioniverritii of-V assachusetts D7grartrn&rt cf 1ndrestrial Acciderdg Of-ce of_rJ71.estfgradWzS - 600 Washinglon Street _ y Boston,MI 0211I 'For11tma—w..gf 'Idrlt ' Nttnr-kers' Campensatien Insurance Affidavit:B.tdIders/C.unt actars/E•Iectrncians/Ph mbers' Applicant Infatina iorr Please,Print Legibly iI Natr]e($usare�,'DrganQatianllad�rsdual} � �q Address: City1Sfat9Zip- % pllone Are you an employer?Cheekthe appropriate box:, Type of project(required): I.LjYI am a employer with _ 4 ❑I am a geneial confractor and I uction New 6. constr employees(full andlor part-time)-* have hired.fhe su6,-canfractors ❑ ' 2.❑ I am a sole propnetoir orpartner- listed on the attached sheet 7. ❑Remodeling ship and have no employees. TILe3e mib-contrac#ors have g- ❑Demolition worldng ■iarme is any capacity employees andhave workers' 9. Buil addition�t afiaers'camp_isasarance comp.insuraut $ ❑ dtII g required-j 5_ ❑ We are a corporation and its 10'❑Electrical repairs or additions officers have exercised their, 3.El am.a homeou�:er doing all work 11:❑Plumbingrepairs or additions my [N8,workers'gip_ right of exeaipfion per MGL ' Mnz nce required-]i C.1:52,§1(4k and we have no 17❑Roof rep employees.[No workers' r a❑Other comp-insurance required-]' 'flayappEicaurCutchecksboxM taast also Mvotthesectioahelowsluuin rgihe¢-4 e&cumpevsatiaupalicgirfforma­i. r ;Any who submit t$is of davii indicating they Rm darns Inwa l and toes 1Tie outsidecontiactorsnmst snbIm newaffidaeat indicating sacTi FCaatzsctorst5zt checlr tli¢sbox must attacixea au additional sheet showfn9thenuaeof the sub-co is sad state whether or not["tense entitieshwe employees.I€thesub-contractaishave empleyee-s,they m lstpx vije their nrorkers'•romp.policy zmaber. I am an sllcpinj�xr fhrrt ispra�zririrg n�orkers'caniperrsrriz'are ins2irarrca fur }T cnrplaynees He£ow is the po cy and jab site irtfornza iom _ , Insurance Company Name: Ta , Policy#or Self-ius.Lic. _ �i E. •irafiosDate: R. _ Job Sita.Mdres-s _ � c�L�: C-A/ CitylStateJp: �i. Attach a copy of the workers'compensationpolicy declaration page(showing the policy number and expiration hate), Fair to secure coverage as requued.under Section 25A of MGL c 152 can lead to-the imposition of criminal penalties of a fine up to$1,500,.00 and l'or one Year imprisonu1eut,as well as civil peualties.in the form of a STOP WARS ORDERand a fine of up to$250-00 a day against the violator. He advised that a copy ofthis statemervt maybe forwarded to the Office of Imvest gations of die DIA for insurance •etage verification Ida hereby c.'rfl'uArdeer the ' sand naftiss a .eguly'taiatiffe informafimi-prat rTed a5ma i:s lrue and rarrect Sit�ature: 4,4 Bate: Official use an£y: Do jrat trrits in thb area,to be coamplited by city artown o ffreiat City or Toxqu: Permit Ucense# rwamgAufiranty(c;d one): 1.Board-of Health 2.Bufding Department 3•CRyfrown.Clem 4.Electrical hispecto€ S.Plumbing Inspector 6.Other C'aataet Person: P'h .ne#: - ormation and Mstructions, Ifassachusetts General Laws chapter 152 regFes all employers to provide workes'compensation for their employees. Pursaantto this Vie,a a anplapT,--is defined as."-.every person in the service of another under any contract ofhire, express or implied,oral or " An employer is defined as"an mdividaal,partnership,association,corporation or other Iegal entry,or any fu'o or mare of tie foregoing engaged in a Joint enterp t%and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iega1 entity,employing employees. However the owner of a dw- IIMag house having not more than three apartments and-who resides therein,or the occupant offine - dweIling house of another who employs persons to do mamteaaace,constiaction or repair work on such dwelling house or on the grounds or building app thereto shall not because of such employment be deemed to be an employer." M- GL chapter 152,§25C(6)also states ilia±"every state or local licensing agency shall withhold$ze issuance or renewal of a license or permit to operate a business or to construct btuldings mt the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage requis ed Additionally,MM chapter 152,§25C(7)states Neither the commonweala nor any of itspoIitical subdivisions shall enter mto any contract for the perf=aacc 0fpublio work until acceptable evidence of compliance with the i osmance requirements of this chapter have been presenfsd to the contrar tang aai onty_" AppHcaufis _ Please fall out the worker'compensation affidavit completely,by checking-&e boxes that apply to your situation and,if necessary,supply sob-contcactor(s)name(s), addresses)and phonenvmber(s) alongwiththDir cerifficafe(s)of iasuranct-. Limited LiabilityCompames(LLC)orL>mited Liability-Partnersbips(LLP)with no employees other than the members or partners,are not required to cauy workers' compensation inmic-aace. If au LLC'or LLP does have employees,apolicy is required. De advised that this afddayitmaybe submitted to time Department of Industrial Accidents for conkrmation of fi ei MC4,-coverage. Also be sure to sign and date-the affidavit The affidavit should be ret ume:d to the city or town tlud the application for the permit or license is b eing requested,not the Department of Ladastiial A_ccidenfs. Shouldyou have any questions regar ft the law or ifyou are regained to obtain a workers' compensation policy,please call the Departiaent at time number listed below Self-insured companies should enter their self-fits c;5 license number on the appmpriate line. City or Town.Officials Please be srse that the affidavit is complete and printed.legibly. The Department has provided a space at the bottom of the affidavit for you to fi l Dirt in the event the Office of Investigations has to contact you regarding the applicant_ P leas e b e sure to fill in time pex io / cease number which will be used as a reference number. In addition,an applicant that must submit MU14I0 pennit/licens5 applications in any given year,need only submit one affidavit indicaiiag can eat p ocy inforatio (if necesa y)and under"Job Site Address"tie applicant shoT?Id write"all locations b, (city or li m n s town)-"A copy of the affidavit that has been officially stamped or marked by the city or town may b e provided to the ' applicant as proof that a valid affidavit is on file for fofnre permits or licenses. A new affidavit must be fMtd out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venfise (ie. a dog license or permit to buaa leaves eta.)said person is NOT regmred to complete this affidavit The Of of Invesligaiions would at to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. MeDepartment's address,telephone and fax nnber: The 0D—MMMweaja of Massaahus-f--tts Depaztramt of 1adutrial AocUmtst Mce Of TxLVe&ak40---= Boston,MA CdI II Tc,-L 617-727-49QO cxt 406 ar 1-977- E Fax 617` 27 7749 Reyised424-07 p mae,zgavidi I Rightfax 112-1 11/17/2015 7 :54 : 49 AM PAGE 2/002., Fax Server DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE TUMAMIFICATE 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 UAND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to he terms and conditions of the policy,certain policies may require and endorsement A statement on this certificate does not confer rights to he certificate holder In Ileu of such endorsements. - I PRODUCER CONTACT 1 NAME: FRANK L HORGAN INS AGCY PHONE 3' . FAX 44 BARNSTABLE RD. (ac,No;Ezt) (A/C,No): HYANNIS,MA 02601 ADDRESS: ' 73K9T INSURERS)AFFORDING COVERAGE,_' NAIC ax' INSURED INSURER A: TRAVELERSPROPERTY CASUALTY GOMPANY,OF AMERICA CAULEY,GREGORY r INSURER B: INSURER C• INSURER D: 33A BAXTER AVE INSURER E: WEST YARMOUTH,MA, 02673 INSURER F: COVERAGES CERTIFICATE NUMBER: _ REVISION NUMBER: C'EATIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOT WITHSTANDING 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.LIMrrs SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DDIYYYY) (MIADDIYYYY) LIMITS GENERAL LIABILITY., ':,:'.-. EACH OCCURRENCE' $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE -- OCCUR. PREMISES(E:3 occurrence) ED EXP An`one'erson PERSONAL`&ADV INJURY: $ GEN'L AGGREGATE LIMfI APPLIES PER: ENERAL AGGREGATE $ POLICY a PROJECT LOC PRODUCTS.-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO , LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS (Per accident) BODILY INJURY $ NON-OWNED AUTOS PROPERTY DAMAGE- $ (Per accident) UMBRELLA LIAB OCCUR ' EACH OCCURRENCE $ _ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ _ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-2E927454-15 10/28/2015 - 10/28/2016 LIMITS ANY PROPERITORIPARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ 100,000 (Mandatory In NH) E.L.DISEASE.EAEMPLOYEE $ 100,000 II yes,describe under E.L.DISEASE-POLICY LIMB $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE:. - f ! THE WORKERS"COMPENSATION POLICY,DOES NOT PROVIDE COVERAGE FOR CAULEY,GREGORY. .r ... .._... CERTIFICATE HOLDER„ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED -IN ACCORDANCE WITH THE POLICY PROVISIONS. a AUTHORIZED REPRESENT"VE ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD CORPORATION. All rights reserved. Fs- t.�- /` 1 of 2 A WC Guide to Wood Construction in HighWind AY�as: 110 mph Win Zone Massachusetts Checklist for Compliance (780 cVIR 5301.2.1.1)'. Check Compliance 1.1 SCOPE Wind Speed(3-sec.Category Exposure gust)..................................... ............:::.........::... .................................................110 mph Windg ry...................................:..................:........... ..............................................I.. ...........B 1.2 APPLICABILITY Number of Stories ..............................................................:(Fig 2)..............................—L stones 5 2 stories Roof Pitch ... .....................'..................................................(Fig 2) .........................................P Z ?�12:12 MeanRoof Height .......................................:.................:....(Fig 2)............................................ .k ft <_33' (Fig ✓.eft 580' Building Width,W......................................................... ( 9 3)................................... BuildingLength,L .................................................... .........(Fig 3).................................................2'8 ft 5 80' b$<3:1 ..................................: Fi 4 Building Aspect Ratio(UVV) .........2 ( 9 )....................................:......... � > Nominal Height of Tallest Opening ...................................(Fig 4)................................................ 5 68" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.......................................:....................................................................................... Concrete Mason 2.2 ANCHORAGE TO FOUNDATION',3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4) btr� -rD... .i -`a in. Bolt Spacing from end/joint of plate ............................(Fig 5).................................... 2 in.<_6"—12" Bolt Embedment—concrete.........................................(Fig 5).................................................2 in.z 7" Bolt Embedment—masonry.........................................(Fig 5)............................................ -_ in. z 15" PlateWasher...............................................................(Fig 5)...............................................z 3°x 3"x'/ 3.1 FLOORS Floor framing member spans checked ............................. (per 780 CMR Chapter 55).................................... Maximum Floor Opening Dimension...................................(Fig 6)............................=ft 5 12'or 12 or W/2 Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................ Maximum Floor Joist Setbacks Az Supporting Loadbearing Walls or Shearwall................(Fig 7).................................................... ft 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)....................................................=ft :5 d FloorBracing at Endwalls...................................................(Fig 9).................................................................... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).......................... ,....in. Floor Sheathing Thickness ...:.............................................(per 780 CMR Chapter 55).....................� in. Floor Sheathing Fastening..............................:...................(Table 2)..__0 d nails at in edge in field r 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)...........................�ft <_ - Non-Loadbearing walls.:..............................................(Fig 10 and Table 5)....................:..ly�ft 5 20' in.<_ Wall Stud Spacing ........................................................(Fig 10 and Table 5)...................�..(�. 24"o.c. WallStory Offsets ........................................................(Figs 7.&8).:..........................................=ft <_d 4.2 EXTERIOR WALLS' Wood Studs ' Loadbearing walls.................... ...................................(Table 5) .... ..2x�- ft�in. Non-Loadbearing walls................................................(Table 5) ..... ....2x_(a_L�3ft —in. Gable End Wall Bracing' Full Height Endwall Studs.........:..................................(Fig 10). ..:....... WSP Attic Floor Length................................................(Fig 11). ... .. •`!.. ... ....N.. 'ft" Gypsum Ceiling Length(if WSP not used)...................(Fig 11). ............ ft>09W 2 x 4 Continuous Lateral Brace @ 6 ft. o.c. .. (Fig 11). .... ............ ;.. .. ,• oc MA Top Plate ft I ' m1GMELE e Length ......:..................................................(Fig 13 and;Table 6).Z$..( '....�..:: GUDtLO L e Connection (no. of 16d common nails)..............(Table 6)..............:......................................:. , o STFUGS 77174 �190��GISZECj� FSSIONP\- J�ci s � 25 JLj_ L . C 07V r� da'�,� 2 ©� A WC Guide t mood Construction in High Wind Areas: H mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7)...............I......sVP1. .._AIA.... -. Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8)........................ ............................... Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)..................................3 ft — in.s 11' Sill Plate Spans ........................................................(Table 9).................................. 3 ft_in. <_ 1`1'� Full Height Studs (no. of studs)...................................(Table 9)........................................................Iif Non-Load Bearing Wall Openings(record largest opening but check all openings for complia ce to Table 9) HeaderSpans.............................................................(Table 9).................................. ft=in.<_ 12' SillPlate Spans...........................................................(Table 9).................................. ft - in.<_ 12„ Full Height Studs(no.of studs)....................................(Table 9).............................................. ...... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W Nominal Height of Tallest Openingz ` SheathingType..............................................(note 4)...................................................... Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing..........................................(Table 10).................................................j Shear Connection(no.of 16d common nails)(Table 10)......................................................... Percent Full-Height Sheathing.......................(Table 10)......................:............................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension, L Nominal Height of Tallest O enin z .................................................. 6'8" SheathingType..............................................(note 4)...................................................... AU P Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in• FieldNail Spacing..........................................(Table 11)................................................. Shear Connection(no.of 16d common nails)(Table 11)........................................................�1 Percent FulkHeight Sheathing.......................(Table 11).............'......................................._% 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Wall Cladding Ratedfor Wind Speed?.............................................................. ................................................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ................................................... (Figure 19)............G!rift<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors 6 — Uplift................................................(Table 12)....................................I.......U= Lateral............................ �A. Ap Shear...............................................(Table 12)............................................S=_ Ridge Strap Connections, if collar ties not used per page 21..... (Table 13). ..a.......#`A......T= Gable Rake Outlooker......................................... (Figure 20)..........: ft s smaller of 2'or 02 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)................... .....................U= r lb. Lateral (no.of 16d common nails)...(Table 14).................. ....................L= — lb. Roof Sheathing Type...................................................(per 780 CMR Chapters 58 an 59).................. Roof SheathingThickness........................................... ................ . `Z in._>7/16" SP Roof Sheathing Fastening ...........................................(Table 2)... ..............�1¢....1� �. ..9LA-p Notes: 1. This checklist must be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5%is added to the percent full-height sheathin requirements shown in Tables 10 and 11. 1,k0F_ti'4ss 3. The bottom sill plate in exterior walls shall be a minimum 2'in. nominal thickness. pressure treat d#2-grade. 2y�`� q0, a MICHELE �N CUDILO 0 STRUCTURAL No 34774 A9 9FGISTE��O��� o�FsslONAL a i i AWC Guide to Wood Construction in High,Whirl Areas. .110 oaph Winn Zoiie Massachusetts Checklist for C®mplian-ce (780 CM'R 5301.2.1.,)i 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over•and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper doublet p plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. i v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment i ! i -WHEN THIS EDGE FMM ON PRAAAING USESd NAILS AT 15-b _T_ __ 11 11 11 11 1! 1 ll IY 1 Y 1-1 11 11 11 I 11 11 11 11 11 11 11 1I 11 11 1 1.1 1•I 71 11 I O I 1 11 I I o 11 11 II II ( II N 1 /1 II.F 1 11 I l a 1 11 ' J I I l 2 cISo 4 II V2 li 11 1 11 lI It � fl If- I I 41 '1 1'1 I It � - II 1 1 4 11 r Y.j 1 a II J I I d 1 1 7 1 W 1 DOUSMOXX II n ll 1 II li 11 1 ' I-0 t I �tl I I I.1 11 11 1 11 tl t MAILSPACpdCa PANkt_ S v See Detail on Next Page i Vertical and Horizontal Nailing i for Panel Attachment i l ! • I f AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist'.for. Compliance (Igo CM 5301.2.1.1)' 1 i r r � $TAGGEi�D � _ AIAlLPATfEFiAI PANEL PAW-EDM "il DOUBLE FOUL EDGE SPACING DETAIL Detail Vertical and Horizontal Nailing for Panel Attachment i GENERAL NOTES AND MATERIAL SPECIFICATIONS: (Residential IRC Construction) SK-1 FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimtin 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor°bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced per Code Checklist,or in concrete piers w/Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage,Basement,etc.). b.) All walls to have min.2#4 top horizontal,2"clear,to prevent shrinkage c.) All walls longer than 25' shall have vertical control joint with waterstopping between wall joint. FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf Decks and Balconies=40 psf Wind Load: Criteria used for 110 MPH Exposure B;or C as noted per plans 3. Structural Steel: (as required) , a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. . b. Welds: Shop weld cap and base plates to columns;shop weld beax ing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing: Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with.Fb=l300 psi,E=1;600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fe_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi;E=1,900 ksi,Fv=285 psi,Fc_per-750 psi, Fc_pai-2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,0366 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16"o/c; Rafter to Ridge Plate: Collar ties min. 1 x60a 16 o/c at top:or Simpson Straps over top of plywood spaced 16"o/c b. Rafter ends to top plate: Simpson.H2.5A c. Band Joist: Simpson straps at 4'o%c: CS 14R-48"centered at band joist 6.Bolts: Bolts in wood framing shall be standard machine bolts unless rioted otherwise.Bolt holes in wood shall be 1/32" larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7.Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b. Stud Walls:provide blocking at 8'-0"o/c,maximum height. Congers to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners.. c.Nailing Schedule: Solid Blocking to Bearing 2-8d toenails ea.side Blocking Between Studs 2-.10d toenails ea:end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with the WFCM Table 3.1 unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall'be common wire nails. b..Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code. . . Mass�ach.usetts oard of 8u1;t1;n9Ze rtment of Public SWe ty Construction Su {fations land Sta40a,rds Lice Pertiisor nse: CS-009013 • G `�,t.r r,ti 33 BURY LE W y�MTR AV_; _M E CAA CUT$kA = Commissioner Expiration 05/11/2016 Unrestricted=Buildings of any use group vrrhich Z contain less than 35,000 cubic feet(99.1m3)of enclosed space. Failure t possess a current edition of the Massachusetts SLate Bu(idirig Code mis cause for revocation.of this license. . For.DPS 6censing information visit: www`Mass Gov/DPS-r l Office of Cons!!�aw Affairs& o ` Business Re�.`.1 HOME IMPROVEMENT CONTRACTOR Registration:: 73822 z iration: i..� Type: Ex P 461- 9/2016 VGRGORY Individual _ M.CAULEY t_ ...�ir GREGORY CAUL'Ey-- 33A BAXTE t RiAVE.i;? W.YARMOUTH, MA'026Ts_.,;,.. Underse--�� cretary r v yr 1,•":' NAUGHTON RESIDENCE COTUIT, MA. . .owaolo WONT nvi.wm GENERAL NOTES: aw.� - roeeeuiv NEW KITCHEN' ININ G j 1.aRu {tcl p oir r 4 r nw..naa. I II L—❑ 4 �I �A D - _mmvc rm'wa Yr-nrraao— iv'. - _ NEW BASEMENT i I I /. Joy u "= ma 6 Io Q roµ�al .ova) I Lj y NS" rut BASEMENT NEW BASEMENT . NEW .. � �OO11p' - iWN. I i I Ir mil, ! mnr BUILDING SECTION —C— - - _ - BUILDING SECTION —B— - - BUILDING SECTION —A= - - SCALE: 1/1=C-0" - SCALE: 1/47=1'-0- - SCALE: 1/4-=1'-O- + I DOREVE. NICHOLAEFF / ARCHITECT, INC. i osTERVIUE.MA ! romNmea . i eomr .woucs BATH OOM - o .EKISTING - °v - SITTING AREA r�r eovnr �� - EKISITNG - BEDROOM anm « b EAVE DETAIL-A- EAVE DETAIL-B- SCALE: I• = 1'-0" SCALE:1• = 1-Or � .• REVISIONS: W- 7 DESCRIPTION 509 . BUILDING SECTIONS -- SCALE:1/s'=1'-O' EAVE DETAIL-C- EAVE DETAIL-D- SECOND FLOOR/ROOF FRAMING -PLAN DATE: MAY 141997- SCALE: I• = 1'-0• SCALE: I• = 1•-O- SCALE: 1/{" =1 ' 0"\ awroec rut n aum . A- 4 NAUGHTON RESIDENCE' �1 r� COTUIT, MA aLuu mor_[n-'v l<-lc�_-• ___' _ __n N_�_'__� ' ----___�-nv-ew�I aaeanrtvm_la<m.m vN_naa®[e --II _"�EBvnI_TsIImlR_0lc0_1(-S[i• f \/ ///• ©1m nllY.m@a<rr.E)UMN om.lo G.ME..N�=E•^R. AL NOTES:l STTING AREA ——————— ————————————————— ——— —————————————— mEXSTNG BEDROOM IL —______-- Hillo -------- y L�mma - " pEl 1 • I _____=__— rr I I i • SECOND FLOOR DEMOLITION PLAN SCALE: l/4 =1 '-O' ( -• 4� LQ> SECOND FLOOR PLAN YY SCALI:1/C =1'-O•• - - 'DOREVE NICHOLAEFF ARCHITECT, INC. . OSTER"LLE.MA -_____- -_-�_-_ �-- ---�me1mNA--- 4-4 . _ I aaaua m m p y 1 NEW BEt�-I r, f r{ NEn BATHE 1 e I : p{ I UI pII`'i, `DINING D ` 3 I EXISFING BEDROOM �' I i i W •'I �-':: . o, n F �R Y 6R A�YIL ooM " REVIStONS: N 11 I 'LNBtG Y ; 1 r-r r-r Y-v \ U�i' II Off. w. b I I I NEW DECK PRQI.NO.9809 NEW BEDROOM _ AI -� 'yl a< e•d r-r OESCRIPBON 1 3__� _`'Z_S___ ==% I "_ \� __ -• - FLOOR PLANS O Or __- ___ — _ r___ amm<rtaeroL y - . a m<zmer< � • SCALE:1/4 7A_ DATE:MAY 11 I997 FIRST FLOOR DEMOLITION PLAN w SCALE: 1/4' =1 '_� 1_-_..-•r -'-. e --'._-. - ---.-..--— A -� FIRST FLOOR PLAN � euA ae aarad SCALE-- 1 1 =1 ' � rn aua z<s nmr _ i Y r' NAUGHTON RESIDENCE COTUIT, MA Is 1 I l- I I I I GENERAL NOTES: nn armnK®m wl ���wprt..�man 1 � mb M MwM�m OJ O O h O O A O P I� - ---------- ---------------I---------------------- ----- --------------------J---------J ----- ----------� NORTH—EAST ELEVATION NORTH—WEST ELEVATION - SCALE: 1/1"=1-0- SCALE: 1/4=l•-o' . .. DOREVE NICHOLAEFF ARCHITECT, INC. - .OSTERVILLE,-.MA —F—I l I REVISIONS. ' tr �� 11 1 I ,i� I Imo. i I ��i � I; � - I 1 i �`® � i � I '� �I ml � - --�_ PROD. NO. 9609 LJ DESCRIPTION _ _ ueom r r._ --ELE9AnONS I TTI � I I I melao'wo� ....eemal SCALE:1/t=1•-0' _____1__Il_ _ _ _ _ ___—_—___ GATE: NAY 11, 1997 . SOUTH—WEST ELEVATION SOUTH—EAST ELEVATION I SCALE: 1/A=1'-0 A_ 2 N I i NAUGHTON RESIDENCE COTUIT, MA WINDOW SCHEDULE EW m ICH EX NEW/i NEI/ - -- GENERAL-NOTES: BATHROOM O EXISTING.BEDROOM_ DINING AREA r>;Ir n1a �' ,.r...a.a�w •n.e • - 1 rvr •Ira �`m.w a w�un�ierl, T's uxswp+'puK +s F _ Oww�s�w m e.r0 aN ' - WINC ROOM 1 Elf FWil v 1.00 d •..:4 v.m a�.a Oivw Oa ©tm� O b .aamc KgmC a�®[ u4s[ I •I 1 I -N611 BEDROOM E • •{ nand I a�m FIRST FLOOR FRAMING PLAN SCAM:a{- -1•-O' _ DOREVE NICHOLAEFF — — i ARCHITECT. INC. I ----7 i OSTERVILLE.MA — — I rlla ue• POL -- --- ---`- TI REVISIONS: All LZLI, I T�r r I I --------------- a —� 1 �. PROJ. NO:9808 ijilr ao.clun A - DESCRIPTION FOUNDATION PLANS J --- -- ur•mllcmi� FRAYING PLANS - DATE:MAY II, 1997 FOUNDATION—PLAN ,. • m.ua n.wmr ySCAiE: 1 . =I •_IT Luc• Lunritiunitlealllr Of AfassaclfusctLs ` J :='1 zr Depart»irnt of Industrial Accidems 011lceolllriresllgollalls 600 11 a du ►tun Stree Ruston,A1ass. 02111 Workers' Compensation Insurance Amdavit A51icant nfornratio`n; name: location, F. city nhonc# ❑ I am a homeowner performing all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity (2 1 am an employer providing workers'compensation for my employees working on this job. company name: Silvia & Silvia Associates, Inc. nddresse 619 Main Street city: Centerville, MA 02632 �..�, (508) 775-1442- insurance co. Lens Mutual Casualty # 1BY00253900 ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comnnny name, address, tth•: hone Ei insurnncc co. policy d ..t �;•J �..��;��— � KJ�7t••T-.••,�. "LR•�7Y71i�i~ :: �� s••. _.-^ -- - -- -- -- 3. '� •� �}'ZC7'M�ir�.°S47�a`���'^�.,"'C"�'Oyi}M�sT^^'!.';S trimnany name: address: tih•• - phone He insurance co. ��# - • ;Attach additional sheet if aeees����[/�tre}.;�I`•!-dr^_Ks� -�:r: 1�1�I..:. :f. ��..�a � s,�.; .�..���•��� Eailnrc io scenic cot ctage as regnircd nader Section 25A of t11GL 152 can tend to the imposilioa of t rimiaal peaaldes of a fine np to S1S00.00 and/or one rears'imprisonment as well as ei�ii penalties in the form of a STOP�vORK ORDER and a fine ofS100.00 a day against tna 1 naderstand that a copy of this statement mar be fornarded to the 011iee of Im cstigatiaas of the DIA for earerage verification. l do hereby c rrndr / p s ud petralties of prrjuty that the information prmided above is true and correct Signature Date ILz� —2 7 Print name ROnald J. Silvia, President phone# (508) 775-1442 onic121Ilse only do not write In this area to be completed by city or town oracial city or town: permit/license 11 r1guilding Department �Ucensing Qaard cheek if imtncdiatc response Is required C3Scieetmen's Office ofteallh Department contact person: phone q; nUthcr l.' t«..kd s v.PJAI t.:.:. ,.............. ;4;:''t:3:':; ISSUE DATE•��. iMIDD':� (M k / c �:A� 1 r:/1 }� 08 25 97 :;PRODUCERvti�:•rr:.;:r:.:;>r:::o:::•:�>:.;:::.::.;:.::.::.::.>:.::.::.;»::.>:.;:.;:::;.;:.;:.;;:.;;:.;:.;::;.;:.:::;.::�:.::.::;;:.>;;::::;.;:.::.::.::::.:::::::•::::.::::::::::::::::::::::::::::::::::::::::::::::•::•::•::•::•::•::•::•>:a••::•::•::•:x•:;•:•::•:•::.>::•::•:::•:•:•::•>:.::.::.:: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND he Fair Insurance Agency, Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P.O. Box 430 619 Main Street POLICIES BELOW. enterville, Ma 02632 COMPANIES AFFORDING COVERAGE (508) 775-3131 OOMPANY A LETTER LUMBERMENS MUTUAL CASUALTY COMPANY COMPANY B INSURED LETTER MARYLAND CASUALTY ilvia / Silvia Associates Inc COMPANY C 19 Main Street LETTER COMPANY D Centerville MA 02632 LETTER ( ) — COMPANY E LETTER ::::::::::::::::::::`•:::i::::::;:;:::':::<:'::':s2::::::: : :: S3ii::::;:::s::i:::::::::>isiiii:: i:::::: :;:::::':::::i::------------------ ::::iii::::i::iiii:#:::?:>?:>;rii::i::::::i:::::?EEi: :;;:;:;i:::::::•:;:::;:::;::::::::::::::::::;::;::;::;: ................. ;: 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. CO TYPE OF INSURANCE POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) 04TE(MM/DD/YY) OENERALLIABILITY GENERAL AGGREGATE s2MIL COMMERCIAL GENERAL LIABILITY PRODUOTS-0OMP/OP AGG. s2 MI L CLAIMS MADE X l occuR. W 7 D 3 4 7 7 3 8 0 8/01/9 7 0 8/01/9 8 PERSONAL&ADV.INJURY s 1M I L OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE s 1 M I L FIRE DAMAGE(Any one fire) $5 0 0 0 0 MED.DIPENSE(Anyoneperson),s5 0 0 0 AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $500000 HIRED AUTOS CA 9 0 517 2 4 4 0 8/01/9 7 0 8/01/9 8 BODILY INJURY NON-OWNED AUTOS (Per�denq $1M I L GARAGE LIABILITY PROPERTY DAMAGE $500000 EXCESS LABILITY EACH OCCURRENCE $ UMBRELLA FORM / / / / AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION 3BY00253900 04/01/97 04/01/98 EACH ACCIDENT s50000.0 AND DISEASE—POLICY LIMIT s 5 0 0 0 0 0 EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE $5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE own Of Barnstable EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Building Inspector MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE outh Street LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO.... OBLIGATION OR yanni s MA 02601 LIABILITY OF ANY I(IND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. *i*i AUTHORIZED REPRESENTATIVE 1 i i r ' 1141571 DEPARTMENT OF PUBLIC SAFETY 141571 ONE ASHBURTON PLACE, RM 1301 r BOSTON MA 02108-1618 CONSTRUCTION 'SUPERVISOR LICENSE Number: Expires: CS 016932 11/18/1999 Restricted To: 00 RONALD J SILVIA 619 MAIN 'ST CENTERVILLE, MA 02632 "f Keep top for receipt and change of address notification. 141571 OEPARTkENT OF PUBLIC SAFETY Restricted To: to CONSTRUM0 1UPERVISOR LICENSE 10 - None Nube � Expires: 16 - 1 6 2 Family Homes rz Failure to possess a current edition of the Massachusetts State wilding Code ` is cause for revocation of this license. RUl1A�,0`sT:':SILV,Ih` 619 MAIN ST" 1 CENTERVILLE, NA e2632 t i � ✓fie �ain�uUea� a��/�aac��ucae� t HOME IMPROVEMENT CONTRACTORS REGISTRATION ' oard. o.f. Building Regulations and Standards One Ashburton Place — Room 1301 Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 101627 Expiration 06/26/98 Type — PRIVATE CORPORATION GTE HOME IMPROVEMENT CONTRACTOR Registration 101627 SILVIA & SILVIA ASSOCIATES , INC . Tree - PRIVATE CORPORATION Ronald J. Silvia Expiration 06/26/98 619 Main Street Centerville MA 02632 SILVIA & SILVIA ASSOCIATES, I Ronald J. Silvia ;¢ Main Street ADMINISTRATgR enterville MA 02632 i a � i Assessor's ma and lot number p. j. .. .:j:4 .................. 4 ^'B" TI 9 'l# UST BE Sewage Permit number ... :........... ....... .... ............... cc� e SAI.x 11��..R_ trC��}'1�ya+9�Lf' AND TOWN •N RET yoFTMEro�y TOWN OF, BARNSV11BLE i BASB9TABL i F "b 9 Fb O YPY BVILDING - INSPECTOR �'' f APPLICATION FOR PERMIT TO . :pOlkN:....o. �.....:R!i'Ih ... OJ 5 ........................................... TYPE OF CONSTRUCTION ............." !C? ?. ...........;... ..&l ............................................................................ ............... .0 r..1.�§............ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ .....0 ?.Q ..... ��.� .... �., .... .��-r�o -...:-.......69 Fr WA ,w .... ..... ProposedUse ..........I...el. t.4A/......42.m.t........................................................................................................................ ZoningDistrict ........ ...:.......................................................Fire District ....... .................................................. ���� p 4,f S 1 AhjSoal Oov4`I Name of Owner .......Y..!tr ..............Address .l..FAA, Name of Builder ......6Obk7 .....�1^ .��l �.! 5.........Address .......�=8td .0 . a I L .n `r................... Nameof Architect ..........e5A.M.#...........................................Address .................................................................................... Q _ Number of Rooms ........ ..................................Foundation .....P0.A : �...... .4! � , ....................... A I ` Exterior ....... .424,4.4 .1 fi n Floors (s9bo� t �..........................Interior sj.f �rQ ...................... ... 2P ' Heating ......<�.!4$..-..Not f.:k A. g &+s..HC Fireplace ......?Aut.K.....6Pt.W�.......................................Approximate Cost .......39 Q.!...(Z>.Q............................. Definitive Plan Approved by Planning Board ------_/_jz!�-------------- �.`If Diagram of Lot and Building with Dimensions Fee ..�6... ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH 27aAe) 4o-r A tk,4 2©,ofyZ 5F, o �%z S►''—o�2f Ioa`,CAL 1000 W�r�lt 114 5'90 /�/3k00 j r , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the 'above construction. Name .'yam`... ..............:Cf:/ rC!.... ........................... Victor Bodlen Sewage 420 Noll. :7..? Dwe 11 inn .......... Permit for ................................... N♦ i Location C .............................. O.tU ................................... ` Owner Vic n �-1 ......:....tor....Boden.................................:............. ., �, Wood Frame r Type of Construction t �3 ................................... s Plot ......19.................. Lot .......1.6.1.................. •,� is � +,,� �s w � r �, Permit Granted Oct'. ... .... .... 15 74 ............. l 9 � Date:.of`Inspection .. .. . ..... ..................� � Date Completed .y...l.... ....``........... r+r C PERMIT REFUSED 1.4 19 ` 1 .57 ........................................................ ................. .....................:............................... . ................. et.................................................. ... �......... Q .�. y' � r,�-✓s✓ ............................................................................ rr `Approved ........................................................................................... 19 ............................................................................... ............................................................................... ' Assessor's map and lot number .....a...-'..... Sewage Permit number ....... .............. .........:....... :..... , T"Et°� TOWN OF BARNSTABLE Z B)HHSTAMLZ i "6 BIUILDfNG O INSPECTOR , CE YPY M1 � i APPLICATION FOR PERMIT TO ....... �(�j.1. G . t_. -Fd a�J..� ►o...� ........................................... .................................................... �IJCa ra A� TYPE OF CONSTRUCTION ...........:..............�.........................�............................................:................................ rrIr DGT IS 9.... ........... . '!..TO THE-INSPECTO'FCOF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Sc�vY� �It,k �!"rt�?..... {Uhl•.....�?/�/t ....::...�—� UTc��.�' ....'......�©.F�... A/�/W...S�....... ..... ..... ProposedUse ..........�....�!.�1.�.,4�........�..�.!�'.t.�.�...............................:........................................................................................ Zoning District . Fire District c(7TUIT' ...................................................... .............................................................................. Name of Owner .......vj.CT(ot2......1j, 80�/,IJ ...............Address ... !�-...,P! ,ltt!.5..: �!Cl�.. r_X/.l. Name of Builder �� <t/.....PaM r 6. :Q/5 ..........Address ......P-K 4A La3... ....�� r.,r Nameof Architect ........`_> � k<..........................................Address .................................................................................... Number of Rooms ........ ..... ^...................................Foundation .....!:?.u. ..... ,c�cJ'.L�.!k°7" ........................ Exterior .. kt2.......&!Nbtofing ........... :PAA .................................................... Floors CAP, k .Interior I ....................................................................... .............F. /��....:._." ............................. Heating �AS 40 .....................................Plumbing Fireplace ...... .....4..r?n► k,1........................................Approximate Cost ,.c0 , t ............ Definitive Plan Approved by Planning Board ------1_�zQ______________19.73_. Area :..... .. .?.. ................. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH z'7 a,4 e) 4c.-r A or. �So � 1 Ii� sTa,q - 1oaoC„� Iwo C,4k_ SEV'1'�C I.b�y�,vG '30 I '® Yq i II �U3.00' tA k I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. XName �� ........................... �y � --v--� � Victor ----- Se,.%Toge 420 � No 17372—.. Permit for .Ibaell^ .................. � --------------------------' 1-7 Location .�oll''%aap-e............. Cotolt --------'------------------ Ovvner —.�hntar..Baden................................... ^ � Type of Construction ......MPuud.JFr^.me............. ---.—~--------------------.. Plot ---l9----.. Lot --..163.................. � Permit Granted ......Ool:-15^................. g74 ' Date of Inspection ------------lg - Date Completed ------------..lq PERMIT REFUSED -----_—.------------- lP � '-------------`-----`------- ^----^'—^^^—^—'--------------- ' - � ^^^--~---'---^~---^--`^'~---'~'' � '---^----------'^^^—^^^^^-----^ Approved ................................................ lg ^ -------'-------------~----- --'-----------------^-----^' THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A , L DATA FEE a TOWN OF BARNSTABLE, MASS. 19 0 to c.q o� THIS IS TO CERTIFY THAT A PERMIT IS HEREBY GRANTED TO IS CD � _.................................................................._.....__......_............._______.___._......._......................... ..........._...............................__........_......_............_................ _ _ O JI (PROPERTY OWNER) (ADDRESS) dl cs To .............._.................... ........_............................................. _ ................•J o _........... Ed , .q•C (BUILD) (ALTER) (REPAIR) �Adrn a \V O (TYPE OF BUILDING) (APPROXIMATE SIZE) O ~ °'op LOCATION ................._....................................._..................................................... ..._..._._...___........................................................._..................._......_......._._..__. y (STREET AND NUMBER) (VILLAGE) NAME OF BUILDER OR CONTRACTOR __...._._.....___............................._._..................................................._..._........._....................._..............._..... _ d o° APPROXIMATE COST �y 1.) mcs I HEREBY AGREE TO CONFORM TO ALL THE RULES AND REGULATIONS OF THE TOWN y OF BARNSTABLE, REGARDING THE ABOVE CONSTRUCTION. oW >a 0 a _....._ .. __.._.._.__._.._..................................................................._ _...................._.......................................................................................................................... .. A 0) h (OWNER) (CONTRACTOR) � 0ao O U __......_.............._................_.___......................................................................................................................... BUILDING INSPECTOR Subject to Approval of Board of Health. / ,� J.k��: r 4+' ^-..,3� 4 7.i5 #^�+�',r,• Ya's`K -` �°�' '.. r,� - f �'4°" * ♦i'. � fY'..I°a y:, 'a.1'T ytt.L -'`p ��R �F�.� �-,.a,.:a L�� P i r y a -cam aw.. TOWN OF BARNSTABLE BUILDING.PERMIT APPLICATION.,. Map OI 9 i �'3 Parcel wt3 Application# 2 0 I 7 r Health Division Date Issued O a`� O Conservation Division Application fee 0 Tax Collector " . Permit Fee • �� Treasurer Planning Dept. Date Definitive a e Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village ��V Owner `J�C­�r'r1 y �d� Address Z-5 0 V L--43 a' Telephone C9\-7- y -707 k' Permit Request (� i�17 "3 JaC" wq-06y--) >TV 't n C` (�-C k, Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation o0e), Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ' Two Family. ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: _aGas ❑Oil ❑ Electric ❑Other T Central Air: 'aYes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Ye� ❑-No IZI Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑newer sizet�. _3 Attached garage existing ❑new size Shed:❑existing ❑new size Other: c,• Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ r� Commercial ❑Yes�--❑ No�� If yes;life-plan review#- - - `-- `- -_._-- - Current Use Proposed Use UILDER INFORMATION n � Name4A .Telephone Number Ad ess License# Home Improvement Contractor# Worker's Compensation# CONSTRUCTION EBRIS RESU G ROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE i Y t . FOR OFFICIAL USE ONLY r APPLICATION# DATE-ISSUED MAP/PARCEL NO. �y ADDRESS VILLAGE OWNER I' DATE OF INSPECTION: FOUNDATION kQ"Of FRAME of B o 11 o? INSULATION K FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' • FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Town of Barnstable Regulatory Services ` B"R',,�`E' Thomas F.Geiler,Director iOrED � Building Division Thomas.Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: � Map/Parcel; (63 Project Address -+ce- tA*Jr Cr Builder: gyAm The following items were noted on reviewing: �a�c.e 6 z-es X� lei Reviewed by: G Date: l Q:Forms:Plnrvw °Ft►,E, Town of Barnstable ° Regulatory Services vanxh�s�IE$,` Thomas F.Geiler,Director , 16 ,39.A�a`� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 _ Office: 508-862-4038 Fax:'508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: p1�-,t2csm ��I k >< �5�d Estimated Cos,0,,/8 v6o,-- Address of Work: 2 S' Oil L L I-��� Owner's Name: i Date of Application: kO- l(v- 07, I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded bylaw ❑Job Under'$1,000 OBuilding not owner-occupied" []owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED RPENALTIES O ERJURYI hereb app for a permit asthe agent a bafe Contrac or Registration No. OR Date Owner's Name Q:forrmhomeaf day •` Tani!J3:Z1D�cuauaae� •. . Prs seripdre Packages far 06 and T;*wY mi ttd With•F`asru-rpe13. 14iAXtl�itlM MINIMUM _ Glxdn Glazing Ceiling Wall Floor Hiscmrmt Slab HeatiaglCcwling Air(M) U-value= R-valuer R-vslut� R-rnlue° Wall I'airnrks F�uiPm=a Mirnc� Pie R-valor' R-value MI to 6500 Heating Degree Dayv' 0.40 33 13 19 119 Normal R [Zy. 0.52 30 19 -. 19 Norrsral S 12•/a 0.50 38 I3 19 15-AFUE T ISYa 036 . 38. 13 25 NIA N[A. Normal U I5%. 0.46 38 19 19 10 6 Mom y Is% 0.44 38 I3 25 NIA N/A 13 AFUE W 15% 0,52 30 19 19 10 6 85 AFUE IS% 032 38 13 23. NIA NIA Normal y 18%. 0.42 38 19 25 NIA N19 Norm4 Z 13% 6,47 33. 13 19 10 6 90 AFUE AA 1 a/. 0.50 30 19 19 10 6 90 ARTS i, ADORES S OF PROPERTY: 2, SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 4 3. SQUARE FOOTAGE OF ALL GLAZING: 1 4, %GLAZING AREA(#3 DIVIDED BY 92): 5. SELECT PACKAGE(Q--AA-see chart above); .NOTE. OTHER MORE INVOLVED METHODS OF DETERN24ING ENERGY REQUIREME-NTS ARE AVAILABLE. ASI •US FOR THIS INFORMATION. r BUILDING INSPECTOR APPROVAL; YES: N0. q-farss•950303a F • The Commonwealth of Massachusetts Department of Industrial.ri i dents Office oflnvestrgations 600 Washington Street Boston, M4 02111 . www.mass.gov/dia Workers`Compensation Insuran Affidavit;.Builders/Contr.actors/Electricians/Plumbers Applicant Information 12 dease Print e 'bI Name (Business/Organization/Individual):. •Address: City/State/Zip: / Phone.#: Q Are you an employer? eck the appropriate box: Type of project(required):, 1.❑ am a employer with 4. [] I am a general contractor and I 6. ❑New construction . . employees(full and/orpart;time).* have hired the shb-contractors 2. I am a'sole proprietor or partner- listed on the'attached sheet. 7. 0 Remodeling. ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp. insurance comp.insurance.t required.] 5..❑ We are a corporation and its 10,[]Blectrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 11.D Plumbing repairs or,additions myself [No workers' comb. right df exemption per MG•L 12,❑Roof repairs insurance required.]t c• 152, §.1(4), and we have no employees. [No workers' . •13.0 Other comp,insurance required.] , 'Any applicant mat 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. rContractors that check this box must attached an additional sheet sbowing the name of the sub-contractors and state whether or notthose entitles have employees. rf the sub-contractors have employees,they must provide their workers'comp.policy number. , I am an employer that is providing workers'compensation insurance for my employees Below is.the'policy and job site information. Insurance Company Name: Policy#or Self-ins.Li S 5 ExpirationDate: le Job Site Address: Jz S City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),• Failure_to secure coverage as required under Section 25A ofMGL 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 maybe forwarded to the Office of Investigations of the I7IA for insurance coverage verification, Ido hereby ce under thepains•andpen ' s ofperjury that the information provided abov 4is tru and correct: Simature: 4, Date: Phone#• Official use only. Do not write in this area,Yo be completed by city or town acial City or Town: Permit/License# Issuing Authority(circle one):' I.Board of Health 2.Building Department 3. City/Town CIerk 4.Electrical Inspector S.PlumbingInspector 6. Other Contact Person: Phone#: 7HEray Town of Barnstable.. °"' Regulatory Services $,INSTABLE, s MASS. $ Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 - Fax: 508--790-6230 Property Owner Must Complete and Sign This Section If Using A Builder subject bj as Owner of the su property . J P P riY �/'n m G�fv�rt`��crt �o�n . hereby authorize to act on my behalf, in all matters relative to.work authorized bytbis building permit application for: . 2,�5 �lc�L� L p►� C6tu t M A , (Address of Job) Signature of Date Print Name Q:FOR-M S:0 WnRPERMIS S I0N c i, oard of Building Regulations and,Standards onstruction SuperSisor License i 1I License: CS 75376, � = Tr# 15926 Upiration 7/3ILQt09 I' Restrict.on OO�i t I ROGER E BYAM ^ �J PO BOX 1793 %yam HYANNIS,MA 02601 Commissioner 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: 132560 Board of Building Regulations and Standards Registration: One Ashburton Place Rm 1301 Expiration 2/27/2009 Tr# 126482 Boston,Ma.02108 -'-Type:- Individual ROGER E. BYAM '•} - ROGER BYAM rr 504 PITCHERS WAY,* ti i"` " Not valid without ignature HYANNIS, MA 02601 `- Administrator TOWN OF BARNSTABLE � r CERTIFICATE OF OCCUPANCY PARCEL ID 019 163 GEOBASE ID 752 ADDRESS 25 HULL LANE PHONE COTUIT ZIP - LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT ' PERMIT 31592 DESCRIPTION REMODEL & ADDITION TO BLDG. ( PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 Ox THE CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY + BARNSTABLE, MASS. i63� A,O� FD MA'I BUI�LM S N . B YYI DATE ISSUED 06/16/1998 EXPIRATION DATE `-_ THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) M A�C(, I DATA 9 i.., {., == Department of Health, Safety ' and Environmental Services * BARMABLY, • MA83. ><639. A�O� FD INIr►I - BUILDING DIrVISION-_:- , BY THIS PERMIT CONVEYS NO.RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART.THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WbRKS'::THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF,{i YM.fLICABLE SUBDIVISION RESTRICTIONS. 'MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH):• PANCY IS REQUIRED,-SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILD INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS OD I 2 2 VV14 2 1 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD SHEALTH OTHER: SITE PLAN REVIEW APPROVAL fIR� 96P1• _ f �f 0�:� P. WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS.STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. Engineering Dept. (3rd floor) Map 19 Parcel I 6� 3 v.)s, Permit# House# Date Issued Board of Health(3rd floor)-(8:15 -9:30/ 1:00-4:30)/� i e__7 % �ee Conservation Office (4th floor)(8:30-9:30/1:00 Planning Dept.(1st floor/School Admin. Bldg.) _SE - MUST BE Definitive Plan Approved by Planning Board 19 MIL ANCE f3Dt AND TOWN OF BARNSTABLE tow AT10FIR Building Permit Application Project Street Address 25 Bull Lane Village Cotuit Owner Jack & Fran Naughton Address c/oM/619 Main St. Cente1Xi1J_e_ Telephone 508-775-1442 Permit Request XRMCtM Remodel existing house. Reshinale roof and sidewall Replace all existing windows. Add new addition per plan noted as Phase 1 625 sq. Ft and 250 sq. ft. deck Phase 2 pending ' 625 addition First Floor square feet Second Floor 0 square feet Construction Type Wood frame Estimated Project Cost $ 175,000 Zoning District Flood Plain Water Protection Lot Size 43 , 560 Grandfathered ❑Yes ❑No Dwelling Type: Single Family U Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 1980 Historic House ❑Yes N25 No On Old King's Highway ❑Yes Xj No Basement Type: [Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) 625 Number of Baths: Full: Existing 2 New 0 Half: Existing 0 New 1 No. of Bedrooms: Existing 2 New 0 1 Total Room Count(not including baths): Existing 5 New First Floor Room Count Heat Type and Fuel: Yeas ❑Oil ❑Electric ❑Other Ventral Air ❑Yes IffNo Fireplaces: Existing New Existing wood/coal stove ❑Yes UNo - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) Fxisting ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) " ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes Flo If yes, site plan review# = Current Use Single Family Proposed Use Same Ronald J. Silvia Builder Information Name Silvia & Silvia Associates Telephone Number 508-775-1442 Address 619 Main Street License# 016932 Centerville, MA 0263.2 Home Improvement Contractor# 101621 Worker's Compensation# 3BY00253900 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO trash removal co actor SIGNATU DATE BUILDING PERMIT D ED FOR THE FOLLOWING REASON(S) � � - ` AM �- FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. — ADDRESS VILLAGE .OWNER DATE OF INSPECTION: r {' . n FOUNDATII'ON 10?"� F2 FRAME •'' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL 412 GAS: 1GI FINAL tFINAL BUILDIN ° ,DATECLOSED A ASSOCIATION F ?�NOBS z�. y rD '! TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 0]'a9 163 GEOBASE ID 752 ADDRESS 25 HULL LANE PHONE COTUIT ZIP _ E LOT 3 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT :31592 DESCRIPTION REMODEL & ADDITION TO BLDG. PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of Health Safety ARCHITECTS: P ' and Environmental Services TOTAL FEES: BOND CONSTRUCTION COSTS $.00 �TME �'r 756 CERTIFICATE OF OCCUPANCY BARNSTABLE; � MASS. 163 EC MI►� , " NBUILD '��I' IS B �. DATE ISSUED 06/16/1998 EXPIRATION DATE Y -`•M `�i BOILDINIC, PERMIT PADRCEL.. ID 019 1.88 GEORA.SE ID 782.CUTUIT ZIP w - r ' LC, r 3 3 0€.; wt SI'zl� DBA DEVESLOPMRNT` DISTRICT RICT CT . ,, PiRMIT 272,88 DR8C RI!PION R MODEL AND ADD TO DWELLING. PERMIT TYP .VADDI TIC' X, .cUI LDTNIJ E MIT .KDl'3;E'`l.`ION• . . , CON' RACTORS; S I L T g RONAA D •J. Department of.Health;.Safety and Environmental Services TOTAL FEE .V842.50 N. BOND. 1U 00 CONESTRU I}XoN CdcTs $1~16-"Ooo:00. 484. !�F'BID AT?D/A3, �C �VV., 1 , F'.��Iil,f�'$'L+ F,;*I?�I , t MAIM-.. yK •BUILDING DIVIS ON DATE ISSUFI:'�' 1_-1/21/1.'99 i �::�P:��..E�'I=IOA� ,DA`4' THIS PERMIT CONVEVS*N0 RIGHT TO OCCUPY ANY STREET,ALL dR SIDEWALK OR ANY PART,THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON 1?091_IC.PROPERTY,NOT SPECIFICALLY PERMITTED°UNDE•R'THE,.BUILDING COD)=,MUST BE APPROVED BY THE'aUqISDICTION.STREET OR ALLEY GRADES AS WELL ASbEPTH AND LOCATION OF PUBLIC SEWERS MAY-BE OBTAINED FROM THE DEPARTMENT OP PUBLIC wbkS.THE ISSUANCE OF THIS PERMIT DOES NOT JHE APPLICANT FROM THE CONDITIONS;OF f{1c1Y%PPLICABLE SUBDIVISION RESTRICTIONS. ; '> "MINIMUM OF FOUI9 GALL INSPECTIONS REQUIRED 71 _FOR ALL CONSTRUCTION WORK: APPROVED'PLANS.AAUST BE RETAINED ON'JOB AND THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, .SEPARATE J1.FOUNDATIONS OR FOOTINGS HAS BEEN MADE.WHERE A CERTIFICATE SP CTION PERMITS ARE REQUIRED .FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS ELECTRICAL,.PLUMBING AND MECH- (READY TO LATH).- 'PANCY IS REQUIRED,-SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL'•INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILD INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS r11 2 2 1 n) 2' 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD QFHEALTH OTHER: SITE PLAN REVIEW APPROVAL ROO WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR'BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. BUILDING PERMIT /� l �� The Hanover Insurance Company r . NOTICE OF CANCELLATION Town of Barnstable October 6 1998 Department of Public Works Highway Division 382 Falmouth Road Hyannis. MA 02601 BOND NO. BLN-1602037 WHEREAS, on or about the 20th day of October 1997 THE HANOVER INSURANCE COMPANY, as Surety, executed its bond in the penalty of One thousand and 00/100----- ----------------------------------------------------- Dollars.($ 1,000.00 ), on behalf of Silvia & Silvia Associates, Inc. of 619 Main St. , Centerville, MA as Principal, in favor of Town of Barnstable, MA _ as Obligee (Nature of risk Street Permit Bondy — Location:-` 25-Hull. Lane, Cotuit,. MA,/ and WHEREAS, said bond, by its terms, provides that the said Surety shall have the right to terminate its suretyship thereunder by serving notice of its election so to do upon the said Obligee, and WHEREAS, said Surety desires to take advantage of the terms of said bond and does hereby elect to terminate its Liability in accordance with the provisions thereof. NOW, THEREFORE, be it known that THE HANOVER INSURANCE COMPANY shall at the expiration of 10 days after receipt of this notice be released from all liability by reason of any default committed thereafter by the said Principal. Signed and sealed this 6th day of October . 19 98 THE HANOVER INSURANCE COMPANY _ - - - BY Louise M: Day FORM'141-0709(6/92) cc: Silvia & Silvia Associates, Inc. The Fair Insurance Agency, Inc. , Centerville, MA (3201160) Reason: Job completed. TOI&IOF ARMST,g8LE 0" iR� A +-s;Pt � �. �a`�} �: `6 Ail , 5 q R F�c�sr rSoJSE -------------------.._..--- -\, \ Exar Ks icHt=fJ Hl El E I ` I — — � � I t,;Xb ?DSTD (�H)�- r 1 t i I I NFw CpvC:fC F'p C-TITr•`I NEB/`/ SuN P 00 M' ,x JN kk1 Sr. 7EC�� \ST D✓aG r � � II I 8, 6 t-� NEw BECK z^Z� ST^IP,S NMO bJN RDJm 0-4c R . F Ko)14 T _ELE\/A--TZON —.-.__.... ft�6 H T S r F LEV+-TI PlZo�v�El3 NFI( �Rc�pso-N APVROVED Br: . DRAW N Br DATE: j (� !L * REVISED Co c f�A- DRAW IND NUMBER ELEv`iT,owi S .41 OF 3 P� REtR 2 E C EVA-Ti01-t -------------- ! I i I � I I ; I � ;� is ► I, — I s I[ i I I I I I I I N E\" 5 0 nI V OL)'M Cx 6Tl N 6 rt o v 5 E NCIL --ThcoR,soA3 sc 1 c: yy-'= I FttT AViHOVED ST: DRAWM By DATE: $ REVISED �5 Hi)Ll, LhvJC Co7v vT, vMh DwwwIMG nUMBER RL-P,& ELEXI A— I N! k Z csf 3 9 NEW FrtKMtR3 i 0 1 1 New pow Ex 1ST. K 1TCN Eld NFw suu rc;,oM 1 1 BEAMi Lc,JUDLr —} 4, II KTcrr[N yt aAm c -- 1,1 — LR SuraR�orN 12 i ad.rm I7r� 4yI 4, N 6.W SVNaocw% Ek15TIN6 1 Sr 'FL OLP- 1-t4 4 PL. Y- PLA'4 7"o F-L.P- LAN I.,- wlL i :1 �-1 Qv CEILING NE1� t v-"rm 7k�oasa>► G LO SCf ` Yo,• 1 Tt+Or Iw�vaovm sr: Dwwww 8t DATE: 25 IG nEv�sm 215 FIULL LANE cot 0,T ✓ A. DwAw1N6 uuweEw FLoo,2 ►��w-N9 A3 QE •�. ti !t Zu , S" tmactt Scti� - E{ovst 2/2Y It' Rroae 2 r I Xy'"x (6� LvL 5/(j' cD� sneer-rraiAlt� LA-1 oveiz u ----. Ds4��i 2�16"xI,(� rv� ns�►,a�+ sNIN�c�S R,osE a . ---- y x(, coLLAIL TIES Co Li-*4-, ,1 ES IL' F=1r6MC-,LA-SS R y8 2 x\2 'RA-FAR-s Is°o.C. i I - 2x,D 16 OC lo' � 1 1,Ye LvL -- 31 ix i D h ✓ed�e, 5 ZxL F2n-nnE 1G�o.0 fN - � (2-L1 F.3Ei�6LhS5 ax5 2xg FLU>z Sa\ST5 t2�2x' D._ 2�2x1o�E� 3I2x Iu P_T- 3tUA-vt1 2 Y 10 PT- 3L*-YA - LLrpPatR Ta5�j -t f rq. L ck S�C.of-,nSzeCtv�tS� I NQtI Soho TuSE'S lJL-..rT 7a FxtsT1>16, t-� rt-�V Ta 3 M')tW W/ hBU 44 w -IT.YZ 5 ti I►/\. NEIL Tnco3So/J SCALE: ,I 1 t\ I1PiR0VE0 M: ORwMM S1' DATE: Yo 1(� REVRKD 25 ri Jtl t_dl r • ORwW W6 MUYOER �e �rwss s CcTtoN s K- i c NEw f UM 9DoM FLtx* FAA- 11m T"',l) ha NUma�[D EX15TINb DECK 1=R.4MF t, rr" m0pIFIC-tn 1-- 2/2x 10 PT v0.RA'E aEY+MS wl -4 (o Pxrg — Ehl5f7N4. j ON 10" x Y' $ONO TU9EZ., 6,14&LC zx 10 L 6-DCto? l✓I (Pook D romc-RETE) Q s rzsi ls!fT' Zn e> P.T. . __........, ... _. . 7C j� a O N E cn1 3t74ry1 3�2 X 10 K lz'C�e N '3>Y � I • SVA{0 Tv5E LAjwIDRyAS------------ ►JEk7 12" go,�� 7u3E ava 24" 'BlbFvv� MUCnu� New 10" 5,"a TLL PDWN 22� T 1 ' I \\ ` 1 12c SGNO 7t/�3E orJ Zy� - _11- � 11 I it ' DlN wlif G k $ 3/Zx l0 8�r�n i x n I a � NG*j. 1C." Salo WSE - - G Niel 12u .SUItsD 7uBE NEU n.'� So'uo fvbC o►J �4„ L Ceu`Tt� �1p6t. "3 1b Ti,%>T 1, 4,104w, I 1 1 I I 1 i I I I I I 1 1 A� R�6ri"r 9.OE C�-EY+rTlot.( - Ex�9T. NEIL Tf}CoBsl��u y-i"-- I F.T w►►woveo sr: owAWN 9Y owTe: 5 (G 1 b acviseo Z.5 H U Lt_ L.A-NC Co Tu 1T', OAA we wurecw Fx 1''T. GJH 17 I n emS oRww dF - -_ ------ — - PEw Svr+ Kvo(VI F(R5.T FLa* F--PA-mIMe ISTIIN6 DECK IF RAME' W rr- WI0pIF,c-"llor"d y4.. I Fool -- — Z/2x Ia YT 60.kJF 3EW-M5 wj 4*(0.P—n — E>115DW4. IO,X Y, SONO lvBEZ!, - 6 w r LC p 'L 96G)Z �-o 0 R E U Ca"C--ErE) a p.T. p N ei.J iNEAM 3/1 X I o - - g � New t0" SonvJ N86 uW I R i -_ MEW5o.au 1u3E BIE. hNcn 12° ova VA Fiiv u C. E I� o _....... _. _. � N� ID" 5a.1 TL3t' �W 8 zz, �y Ncnil Ii' So .to -rviw zy,. PINING is 117 j _ li y ;f � 3�Uttio Bt�tvv� q N cu) j 2" . $ONo TL) 6 I ; - [� N�w rr," duo �bC o►J z y "J3 I(9 T,wr.I A yuWoa / r a I ' I I R \ I��Gr�r SIDE EIEYk11o11 C-x�9T. Y � . OF MPSSACHpS� - .. P°��� �� VEIL T/Rco�s�n► 00.5 e�° eedp� *CALM: y'1..: I F.T w�wovm ter: owwwN.�r QW Y�jg own: 5 (.116 oevuw S/!9 l!i 25 H u LL L-�c Co'�UIT, AAA owwwrw NUMBER E)C15 T CJN{7 lT-1 O1JS o� n E{ovs ' Z/2> to TT21 --T�-fY�^� c2o�5 ��To►�5 5�9" CDN Sl1t1A-TN)llb R,o15E 3cv+w5 i~2� �6" i vL Rrt Iran 5 �. t PeYt IL ' t,4E2G�tkSS 4b li Z x'12 A-f-TVV-S 16°-0•C zxln 16"�G-3 I � 3/19/y. 4 YL lv L { ;I i Po4 E T21 w4• heacle✓s icS/11� I' �i 1G'O.0 F,.'"E,LA-ss ax �2�zxto 2/zx10(EI 3'2xto PT. 3tIR�Hbm. Z'�8 Ftcve �a�srs 4/2 K )o ?'r w�5 tcU�ca IKA I ( = 2 z11 0.0 yx G I--Its ,w"4� � �I I I ( _ 4" R.4 G Its F1 301E�I[F4�t K-jo Fouatip c erScle t-rE 24" A-Kart e cS s,w,�sav '�usT c.a-I� taut�Q c I-c+�C s ' N¢.1 Soho 1v8E5 N>�T ?a Fx,SrN6, F-5 rt-U Tp 3 C*t In W 1 Ik3l)44 ,v/ RT.y2'` 5 ti 1 M ,Of L � �otrit gEG15tEPb��. NEIL S�"Co�Soft.) P- / , IIW66tlb 215 HJLL La-IC CO'n�1T- iMk - 01111WtlV0 MVMKR F2,h-vv� CR,v55 S EGTIo►�I S�r-� of 2 4413 J.t I U I AL F'KU ULD LAL PERCOLATION RATE < 5 MIN./INCH SOIL CLASS 1 S6 46'09., E CB FND CB FN D OFF . • 0 0 � NOTE: ; Catch basi\ , ABANDON,PUM �& FILL l '� CB FND S EXISTING SEPTIC SYSTEM. N875 7,28,E ed Of `��'�� 46 pg x \ 9e. E 114,52' t c W„ \meat 0 p tree`! r X ak X CB FND S Uyt/O ° " t s 6g°46 ol�j f ST• �' r " dr°°ne �+ �,\143 O9`E \ ' ?` o v ' sting 00 20,062 S.F. tc spruc0 o u = CHM ARK. ELEV. — 34.9 CB FN D x 35.8 PROPOSED '- h S 0 1 �� N V ti i �(�:%• ��� 201.48, 1�p � �DDITION DE EXISTING D G 3 36. 2' x 35.1 i GARAGE F.F. EL. = 26.86 � kD co o ZOT- 4 NOTE: ALL SEPTIC COMPONENTS I SUBJECT TO VEHICLE LOADS >>00- SHALL BE H2O. I N6g° -9,� COVERS LOCATED TO WITHIN =.F. ELEV. = 12" OF F.G. 36.82 I -Ev.=35.8. F.G.— 35't ' F.r, -34'± TOP of - �,� \ LZ'' ��Y� FOUNDATION •, 440 I U I AL HKU VIL)LD "k PERCOLATION RATE < 5 MIN./INCH SOIL CLASS 1 S6g. 5 4g 09.'E CB FND C8 FND 10 OFF 0 0 NOTE: catch- basin' V ABANDON,PUMRI\ & FILL � CB FND E EXISTING �EPTIC 'SYSTEM. �� S690 N875728' x �d9e f 46�9�e 114,52' / -gP& pQL\w 4 x dine vry f ent` I 800, . BOX-- trees X aka q - CB FND Stine - . Co 20,062 S,F, � o ,;:x �' e.xisting r •, dr��e � •'`1430 de " •\ UZ tic spruc o rn D,46 Ac, x 34.7 C* 3 \ R i \ g _ FN �CHMARK. ELEV. - 34.9 " ` �• �o� CB FND I I A s f ,- -� I-21 PROPOSED 48- p�. ADDITION f& DECK N>I o26 ' x it— Cr EXISTING DWELLING x 35.1\. F.F. EL.= 36.82' 3 GARAGE F.F. EL. = 26.86 `r c� �Dco CD CD TA NOTE: ALL SEPTIC COMPONENTS SUBJECT TO VEHICLE LOADS SHALL BE H2O. >>00, N69, COVERS LOCATED TO WITHIN 4� 49„� =.F. ELEV. = 12" OF F.G. 36.82 ELEV.a35.8 F. 35 t TOP OF F.G.-34'f FOUNDATION LA LA Yfi- INV. s _ I_ !_py t� 33.0 IN e _15Q0 UAL r------ 4" DIAA r T ca nuiein nu w► caccc ' I L - i I NAUGHTON RESIDENCE COT UIT, MA -- ruffi as-:orca sz-ua rcZ • ia�z st - - EI E f oc z: TD6c GENERAL NOTE_: rs „�- .e ..,,a:. am prop d Do o.. r m or .--p4 .:as r—Ir G rd EE• ns TES -� , 3s' f2C !'oT. •y-� +•e+e,c_ ada. a.s .a-! e+.n ' I � � f1s •e b i� '•i y,;i`!I�i± � •l � -� I' R AF ,; I �., e i I I C-^�'se+.�I I�I �� Ill �I •i -I. ( ,I FF�1:� ` � -fL.+�..�o.� se `s 'J. gar at +.� �_ I�• •,l If ! I '7aS! . 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V -..rr-.��r�,»,..w.�•r.._.w-_�...v.r.»Ya..�y...._.p..� a'�i.» _,+ b ._._.. +.r.-3. � � } ; ^y�e.�% ^.^'._.:.....'rows,..-..—..-+,-�.: � lPw._•.._.w._a. �'r:r.awy�.�'_'�-' �"'__' /f E 1 , p r � t � 1 I d ' F 12' SCH00 STREET (ISLAND D cm1w �G F DEMGx _. ° ` ACC FlLL DESIGN DATA GRAPHIC SCALE carulT 3' MAXIMUM v� BAY ' iMrEMMER MR PEASTONE SINGLE FAMILY- 3 BEDROOMS z vvvvvvvvvvvv ♦vvvvvvvvvv 0 20 40 S �Q vvvvvvvv• ••vvvvvvvv NO GARBAGE GRINDER: ALL PIPES TO BE SCHEDULE 40 PVC PERFORATED .vvvvvvvv vvvvvvvv 3/4• TO 1 1/2 • NTH CAPPED ENDS vvvvvvvv vvvvvvv• • vvvvvvvv vvvvvvv DAILY FLOW = 110 X 3`" 330 G.P.D. BLUFF PT. USE 1 - 4" DISTRIBUTION LINE IN 3 RECHARGER UNITS v.vv.vv .vv.vvv DOUBLE � N vv vvv vvvvo vv WASHED STONE SEPTIC TANK = 330 X 200% = 660,G.P.D. COTUIT BAY IN A 12'X 25' WASHED STONE FIELD AS SHOWN USE 1500 GAL. SEPTIC TANK Z LEACHING AREA REQUIRED 52 Lu 2�i Q 330 G P.D./.74 = 446 S.F. END SECTION p SAMPSON 2(25 + 12) X 2 = 148 S.F. SIDEWALL AREA NO SCALE COTUIT ISL (12 X 25) = 300 S.F. BOTTOM AREA HIGHLAN S NANTUCKET 448 S.F. TOTAL PROVIDED SOUND PERCOLATION RATE < 5 MIN./INCH SOIL CLASS I S69 4s 09„ LOCUS MAP 5.pp, F GB FND SCALE 1 : 25,000 ASSESSORS Ca FND iMAP 1 PAR ZOTA? ZONES 9 PARCEL 3 Z❑NES o A.P. � o o � RESIDENCE F NOTE: catch basin �l'�. MINIMUMS G.�' ABANDON,PUM & FILL x : AREA GB FND 1V 43,560 S.F. , �t \ \ FRONTAGE = 150 EXISTING JEPTIC SYSTEM. �� S6g, FRONT SETBACK = 30' \ 1 " : 9' of �� �g F SIDE SETBACKS = 15' 114,52 / p4�e 480 REAR SETBACK = 15' x pine x \`den � D4 t BUILDING HEIGHT = 30' BOX, tree9 ak x 4 o x ZOT 3 x CB FNDoStun 46 � °` oo �� existing drive 14 F `t 20,062 S.F. vz septic spruc o 0" rn 0,46 Ac, x 34.7 7k�T _--BEN�CHMARK ELEV. = 34.9 m 2 x `3Q.g�, �p�\ CB FND r. ; _ f d Q • x 35.8 2 n PROPOS 7 _ u, p0, ADDITION DECK I N,� EXISTING DWELLING x 35.1 F.F. EL.- 36.82' 3 GARAGE F.F. EL. = 26.86 C'7 �O �I � � ZOF 4 NOTE: ALL SEPTIC COMPONENTS SUBJECT TO VEHICLE LOADS SHALL BE H2O. 4 COVERS LOCATED TO WITHIN g„ SITE PLAN OF LOT 3W F.F. ELEV. _ 12" OF F.G. 36.82 AT #25 HULL LANE ELEV.-35.8 I G.- 35'f 'T•�- (N TOP of � F.G.-34't �� FOUNDATION c LA Yam► (C O T U I TINV. 1500 GAL 4" £L*y� 33.0 tNv - M R T LEACHING CHAMBERS TANK INV. - SCHEDULE PV32.E DIST. .C. BARNSTABLE MASS . INV. . Box .......:• IN v 32.0 INV. = 31.8 0 0 0 0 0 0 0 0 0 0 0 o F O R 10.00' . •.�....: •• :^.i: O O O O O O O O O O O O ! C MIN. o 0 0 0 0 0 0 0 0 0 o Mom• BOTTOM ELEV. EL = 29.8 s�,�� J O H N N A U G H TO N � SCALE: OF �,t 1 "= 20' DATE: NOV.3,1997 ,��.. STEPHEh ` ALLVN REV.: N O V.18,19 9 7 WILSON ?I a,S _ IUD No.se216 ATM ROFILE I4a Wl �No 24M BAXTER & NYE INC, NO SCALE REGISTERED LAND SURVEYORS CIVIL ENGINEERS a <{ —�AGE 105.P OSTERVILLE, MASS, - #9 711E `. LLJ .1 cra ;! m C Z- U �sT t-loJS� _ ---.._..- -- ------ — --- % KNEW Po K d o R OC>F HBI CV 21 I io" 2x8 - 1 L_ �IkG �'oSts CLA -b-jr 1 14 N Fw Zovrm Vt.) a.l''t'I N K C)Or-,\ I I I 5T. 7EC� bN. �x1ST. 'v�CK LC !D EC(< NL'AJ SJN NbOAA OvC--K Ex 5 T 1 N rh `vEC 6C F A-11 ON ____ �.._ R G F l T S 1 t�7 E C L�V�Tt c�►,� - - Pzo�v�ct7 NEIL A-00 3sa.N APPROVED BY SCALE: �i.f � !�.�- DRAWN BY DATE: j (, (� REVISED 2.`5 H U L lr 1. ✓-r I t DRAWING NUMBER I j 1 IETFI It ' 8" I � I Z, f N Ew 5ON Roofi1 Lx i Snw� rf � vSE� N e L �1.1►-c4D P-A-s o x) SCALE: y;{I�= ( �j� APPROVED BY: DRAWN BY DATE: :57617. REVISED OAA- DRAWING NUMBER P E vA/ f7o N R oc>ryl F-t P--9—1 FLwg FL T FX I'5T lt4 6 �Ecv- V-kAmc iFooT 2/2x 10 -p-r C:7KIV�-c 3t7pM5 W/ Y ,,(, ON to x 50NO T-0 3F-5 /W &L U- Z` 0 L-ff-D&tD?- C UN (-R ETF) 5 CZOAJ S1 F:r a P7, -v T-0 tlD x t K f7c HEN 3 1 ok rfq Newmo TV) 19 *B t 6, Rvo7 A-Ne- ti o 7%k5F zz —(Dq At--k) 1?-' S6hjo TVs cO Z 4 7i3 T1 V1 N IN 3/Z-x 65)A,-vv\ Law 4,AJ6 lVif e4 1> 1 G ckj n", E7 TZR-)-r -v MASS40 'Dwo G\3 c 6-e�s LI) SCALE: y APPROVED BY: DRAWN BY S100, DATE-, 1 REVISED U L-L- L-A-NE Cc�Tu 1r, V\A DRAWING NUMBER T-, 4c C> IC1`.)6 c1Z S Cr t- JS > it) i 2►, LA Cbx srcaArri �� 16 v Ic, _..-_.._ D.f E II 2�►to" x t C Vt, - --- -- ------___ _ _ .. _— _ - --- --- j1 k c, I i- s R t N(a( S R t5 F 3 u4-w\ �2� t(fl" t+v x' C,,) L+k7L TI (_(_4 it ES F, 3CZ C:nL4-SS, i vl/ i 3/ tgfyx qYz L 14L 1Z-2-1 r630k16LA-ss -- �—a/ 2-xtO 2�2xto (E) 3' 2xty 1-T. 3cycim lb W a>J LCM b CQ- 'f�' tfu y/2 . 1'D I�1' 43�Yj-v►'1 W/ �t1��c� tuck I / 7, yx sfis Zit, �alCkri IZI� V C ( qll �/� �� � i � I � � i� I ( �' � 1 I �out C�nC+2 t✓� ,(\of MASs4l GV0�o 1lRP� m o gSFiHC,;g7�A � No FOATE: A 9EGIS�� o� SIONP�� l+ _ APPROVED BY:y t�tif(" DRAWN BY 1 REVISED �. DRAWING NUMBER T=L J�-Vy1 E c rLo S S S ocm oN 5 )o ` ', .•