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0123 HUMMOCK LANE
��� �� �� _ _.. _ __ _ _ _ _� _. ___ � yW . _ . . � _ . . _- n ., � r . �, 7 „� ........................... Town of Barnstable BUlldlil i SAIDW� PostThis Card So That it is Visible From the Street Approved±PlansMust beRetamed on Job and this Card.Must beaKept "" Po'sted Untii Finailnspection Has Been Made " �p Wh'erea Certificateof=Occupancy is Required„such Building shall'Not be Occupied until a Final Inspection has,been made:r+ Permit Permit No. B-19-3953 Applicant Name: LONGFELLOW DESIGN BUILD Approvals Date Issued: 12/16/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/16/2020 Foundation: Location: 123 HUMMOCK LANE,COTUIT Map/Lot. 036-058 Zoning District: RF Sheathing: Owner on Record: CUMING,WILLIAM.R& RUTH D TRS -. Contractor Nam�LONGFELLOW DESIGN BUILD Framing: 1 Address: - PO BOX 910 Contractor License '176,959 2 COTUIT, MA 02635 Est.' Project Cost: $86,000.00 Chimney: I Description: REMODEL,KITCHEN TO INCLUDE "BUMP OUTS CANTILEVER.WALL. Permit Fee: $488.60 NO FOUNDATION WORK. NEW CABINETS,COUNTERS,FLOORING I' Insulation: < l fee Paid:' $488.60 TILE AND TRIM µ Final: t Date , 12/16/2019 Project Review Req: Plumbing/Gas Rough Plumbing: Building Official l _ Final Plumbing: This permit shall be deemed abandoned and invalid.unless the work authorizediby this permit is commenced within six months after.issuance. All work authorized by this permit shall conform to the approved application and theg'approved construction documents for which this permit has been granted. Rough Gas All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-lawsand codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open fo5oublic inspection for the entire duration of the Final Gas: work until the completion of the same. r ` Electrical The Certificate of Occupancy will not be issued until all applicable signatures-by"the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work Service: 1.Foundation or Footing = _ � 2.Sheathing Inspection " 3 s Rough: 3.All Fireplaces must be inspected_at the throat level before flrest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the,property of the APPLICANT-ISSUED RECIPIENT Application Numbe r....... . .............. RARNWABM MAS& Permit Pee..... ....................-.............Other F4........................ 14IG Total Fee Paid ....................................................... ...... Op TOWN OF BA164$TABME.?o1 m4lklt .......... BUILDING PERMIJ � q Permit Approval by.......(�...................On.... O'k. o % e�f ................ Map............................... Parcel. APPLICATION Section 1 — Owner's Information and Project Location Project Address Huvy%mrgi� �_n Village C CA J Owners Name TD\,N C U Owners Legal,Address City State VV\ zip Owners Cell# (o E-mail_Y�CAW,4e, Cuyy�' q�oo, ( " Section 2 —Use of Structure Use Group El Commercial Structure over 35,000 cubic feet ❑ Commercial Struq:t e under 35,000 cubic'feet '53YSgle Two Family.Dwelling Section 3 --Type of Permit ❑ New Construction ❑ Move/Relocate E] Accessor'y Structure EJ Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild ❑ Deck Apartment Sprinkler System A dition ❑ Retaining wall E] Solar Renovation ❑ Pool 0 Insulation Other—Specify . Section 4 - Work Description M,6 ► b(N OMD e c\,j CcLj4i�m Last updated: 11/15/2018 6 Application Number..................................................... Section 5—Detail Cost of Proposed Construction 'Z�(, 000 Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms*Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method '❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics EJ,Viring ❑ Oil Tank Storage ❑ Smoke Detectors t F,Pl`umbmg ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ . Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? . Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed ' y Side Yard Required Proposed k Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 4 Longfellow Design Build Cover Tel:617 548-1407 tgalliganpe@gmaii.com PROPOSED PROJECT: 123 Hummock lane`" Date: r 11 21 I9 Location: Mashpee ,: ` Design Criteria International Residential( 2015 with MA/Amend ments.(9th Edition),..4. Load Combinations(Allowable Stress Design) 6 1. D 4. D+(W or.7E)+L+(Lr or S or R) 2. D+L 5. .6D+W V 3. D+L+(LrorSorR) 6. .6D+.7E Wind: IBC Section 1609:Wind Loads and ASCE 7(Chapter 6) Basic Wind Speed(1609.3) 3sec gust 140 mph Exposure Category C Design Wind Loads Struct 6.5.15 F=lambda*Kzt*I*Ps30 I= 11.00, ` V= 140.00,' Ps30 see chart F6-3 Kzt=(1+K1*K2*K3)A2= 1.00 Lambda 1.29 Roof 3 26.56 deg slope 12. Seismic: 12 ASCE7-05 X direction Dual R 2 5 Cd=4 Y direction Shear walls R 2.5, I Cd=4 Site Class D ' Ss=l Fa= 1.01 Smb=0.22 S1= .: 0.057 Fv 1 2.401 Sm1= 0.14 Sds=2/3(Smb) 0.15 Sd 1=2/3.(Sm 1) 0.09 Vertical: IRBC Chapter 8 pages 373-435 ROOF: DEAD (description) psf Insulation Batt R30 3.00 Sheathing Plywood 1/2CDX ''1.50' . Rafters Framing 2X/@16 .3.00 Ceiling Joists Framing 2X 2.00 Covering gyp 1/2 gyp 2.50 Misc 3.00 15.000 psf Engineering Calculations Cuming-123 Hummock LN MA Page 1 of 5 Longfellow Design Build Cover Tel:617 548-1407 tgailiganpe@gmail.com gmail.com Vertical: LIVE Slope Multi 20.00 psf IBC Chapter Live Ld equ 20psf(Rl)R2 (111(area)R2 Slope R1=1 1.00 area<200sf "f="rise" R2= 1.2-.05*F R2= 1.2 SNOW Snow(1608) Pf= 30 psf governs Pg(F1608.2) 30 Exp B Ce= 0 Ct= D FLOOR: DEAD Covering, wood 2.50 Sheathing 3/4"T&G 2.20 Joists 2X 3.30 Ceiling Covering 1/2".gyp :2.00 Misc 10.00 _. 20.00 psf DECK: 10.00 psf FLOOR: LIVE(1607) General/living 40 psf Bedrooms 30 psf Deck 60 psf WALL: Plywood(exteior) 1/2"CDX 2.00 Interior Wall Covering 1/2"Gyp 2.00 Wall Insulation R19 2.50 Exterior Covering Shingle 2.00 Wall Framing 2X4's @ 16 2.00 W`OF vA 10.50. psf 7NOMAS s1s r.AwcAN OML P No 90 0- These calculations were based on design criteria provided by Owner and/or architect, The pages included within this set of . calculations contain propriety information and may not be reproduced in any manner without the written permission of the engineer. Engineering Calculations Cuming-123 Hummock LN MA Page 2 of 5 Longfellow'Design Build VA-2ND FLR Tel:617 548-1407 tgailiganpe@gmail.com FRAMING DL LL SL Carried Over DL and LL(psf) roof 15.00 20.00 30.00 wall 10.50 floor 20.00 40.00 30.00 Ceiling 10.00 10.00 Deck 10.00 60.00 E Z FJ-#1 1.00 15.00 30.00 Span 16:00 ft Trib 1.33 Loading DL 20.00 Mom= 1493.33 Rx= 373.33 Ibs LL 26.67 Sreq 17.07 Fb= 1050.00 TL 46.67 E= 1400000. Fb CHECK drr .9 Stiff CHECK Good #= 1 D=22.5*W*LA4/(EI) 0.40r L/240 test 474.61 Sa= 27.00 USE: 2X10 at ..:16 inches la= 121.50 E-2=DJ-tf1. 1.00 10.00 60.00 Span 1115 ft Trib 1.33 Loading DL 13.30 Mom= 1472.87 Rx= 523.69 Ibs LL 79.80 Sreq 16.83 Fb= 1050.00 TL 93.10 E= 1400000, Fb CHECK s GOOD "w" 2 dr 9 Stiff CHECK k Good ` #= 1 D=22.5*W*LA4/(EI) 0.20 L/240 test 684.38 Sa= 27.00 USE 2x10 12 inches la= 121.50 Engineering Calculations Cuming-123 Hummock LN MA Page 3 of 5 Longfellow`Design Build VA-2ND FLR Tel:617 548-1407 tgalliganpe@gmaii.com FLOOR ROOF WALL 2-FB-#1 ' 1.00 DL LL DL LL DL Span 9:00 ft 20.00 30.00 1S.00 30.00 100.00 cantilever"a"= 0.00 ft Trib z S.00 Loading DL 380.00 Mom= 8707.SOlb-ft Rx= 3870.00lbs LL 480.00 Fb= 2600 00 TL 860.00 Sreq 40.19 E= 2000000 CHECK GOOD "w" 1.75 "d" _ 9.25 Stiff CHECK Good r #= 3 D=22.5*W*LA4/(EI) 0.18 L/240 test 589.12 Sa= 74.87 la= 346.26 no width x depth BY 925 s FLOOR ROOF WALL 24842 1.00 DL LL OIL LL DL Span 16.50 ft 10.00 60.00 15.00 30.00 100.00 cantilever"a"= 0.00 ft Trib 7:00 8.00.' Loading DL 290.00 Mom= 32329.69lb-ft Rx= 7837.50lbs LL 660.00 Fb= s. 2600.00'< TL 950.00 Sreq 149.21 E= 2000000 CONCENTRATE"P" 3870.00 "A"= 6.50 "B"= 10.00 CHECK � � ,GOOD "w" '-d" 14 Stiff CHECK Good #= 3 D=22.5*W*LA4/(EI) w..... 0.66 L/240 test 300.07 sa= 171.50 la= 1200.50 no width x depth cK � _ 4,�• :;„ .USE, ��' ;� 3 1.75 BY 14 SEE ENERCALC FOR STEEL BEAM Engineering Calculations Cuming-123 Hummock LN MA Page 4 of 5 I r. Longfellow Design Build VA-2ND FLR s! Tel:617 548-1407 ++' tgalliganpe@gmail.com f�N Spruce-Pine.-Fir 9.bbr: -P-r Design values are in pounds per square:inch(psi) 777 I 4 4 a, Bending Tension 1Sheor amp £amp odutus of Elasticirjr � �`, ��}`aaraTleZ to �aral{ei ierp to -aor�£eE ,` " �arorrr v groin 1"roar �tagrarn Grade Size JPb lftFy }fFc peril Fc J{}E Emm .,...wry Select 2-2 11875 (1050 135 f425 1610 1,500,000 �550.000 Structural 2-4 I 2-6 1625 �910 � 1540 2.8 �1500 18410 1470' —10 1375 1770' 1400 2-12 1250F .. �700 _.... .1-do0 } Mo.1&iNo.2 2x2 1310 �675 1135 1425 1320 1,400,00 510.000 2.3 1 1 <S <6 11.35 i585 1265 -8 i1050 540 i205' 2-10 (960 �495 1150 111 t 2-12 375 450 9� 150 nto.a 2 xl . �5*0_ .. 1375 .. ... 35 _25 45 1r0P ft0,? �440.0w" these size adjusted values are intended for use by qualified designers and can be used in conjunction with " %e up?ropriote adjustment factors from-he tables in the.PDr-below.These tobles are the same as the ones choisvn on the page'Design Ualues or£onadran Spec;es used in the U.S." Engineering Calculations Cuming-123 Hummock LN MA Page 5 of 5 Project Title: Engineer: Project ID: Project Descr: Wood Beam Software copyright,ENERCALC ING 1983-2019,Build:10 19.1.27 DESCRIPTIO 2-FB-#2 (4) 1.75xl4 OR (3) 1.75x16 CODE REFERENCES Calculations per NDS 2015, IBC 2015, CBC 2016,ASCE 7-10 Load Combination Set: IBC 2015 Material Properties Analysis MethoAllowable Stress Design Fb+ 2,600.0 psi E:Modulus of Elasti• Load CombinatilBC 2015 Fb- 2,600.0 psi Ebend-xx 2,000.0 ksi Fc-Prll 2,510.0 psi Eminbend-x 1,016.54ksi Wood Species iLevel Truss Joist Fc-Perp 750.0 psi Wood Grade Microl-am LVL 2:0 E Fv 285.0 psi Ft 1,555.0 psi Density 42.010pcf Beam Bracing Beam is Fully Braced against lateral-torsional buckling '{ I D 0.29 L 0=66) y I a 4'1.75x14 I Span=16.50 ft { Applied Loads Service loads entered.Load Factors will be applied for calculations. Beam self weight calculated and added to loads Uniform Load: D=0.290, L=0.660, Tributary Width= 1.0 ft Point Load : D=3.80 k @ 6.50 ft DESIGN SUMMARY • iMaximum Bending Stress Ratio = 0.965 1 Maximum Shear Stress Ratio = 0.497 : 1 Section used for this span 4-1.75x14 Section used for this span 4-1.75x14 i fb:Actual = 2,455.84psi Iv:Actual = 141.68 psi i FB:Allowable = 2,546.06psi Fv:Allowable = 285.00 psi Load Combination +D+L+H Load Combination +D+L+H Location of maximum on span 6.745ft Location of maximum on span = 0.000 ft Span#where maximum occurs = Span#1 Span#where maximum occurs = Span#1 i Maximum Deflection i Max Downward Transient Deflection 0.346 in Ratio= 572>=360 Max Upward Transient Deflection 0,000 in Ratio= 0<360 Max Downward Total Deflection 0.694 in Ratio= 285>=240 Max Upward Total Deflection 0.000 in Ratio= 0<240 I Maximum Forces&Stresses for Load Combinations Load Combination Max Stress Ratios Moment Values Shear Values Segment Length , Span# •M V Cd CFN C i Cr Cm C t CL M fb F'b V fv F'v +D+H 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.580 0.273 0.90 0.979 1.00 1.00 1.00 1.00 1.00 25.32 1,328.77 2291.45 4.57 69.90 256.50 +D+L+H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.965 0.497 1.00 0.979 1.00 1.00 1.00 1.00 1.00 46.80 2,455.84 2546.06 9.26 141.68 285.00 +D+Lr+H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.418 0.196 1.25 0.979 1.00 1.00 1.00 1.00 1.00 25.32 1,328.77 3182.57 4.57 69.90 356.25 +D+S+H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.454 0.213 1.15 0.979 1.00 1.00 1.00 1.00 1.00 25.32 1,328.77 2927.97 4.57 69.90 327.75 +D+0.750Lr+0.750L+H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Project Title: Engineer: Project ID: ,1� f Project Descr: ' 'Wood.Beam: Software copyright ENERCALC;INC 1983-2619 Budd.10.19.1.27 DESCRIPTIO 2-FB-#2 (4) 1.75x14 OR(3) 1.75x16 Load Combination Max Stress Ratios Moment Values Shear Values Segment Length Span# M V Cd CFN Ci Cr Cm Ct CL M fb F'b V fv F'v Length=16.50 ft 1 0.683 0.347 1.25 0.979 1.00 1.00 1.00 1.00 1.00 41.41 2,173.18 3182.57 8.08 123.74 356.25 +D+0.750L+0.750S+H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.742 0.378 1.15 0.979 1.00 1.00 1.00 1.00 1.00 41.41 2,173.18 2927.97 8.08 123.74 327.75 +D+0.60W+H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.326 0.153 1.60 0.979 1.00 1.00 1.00 1.00 1.00 25.32 1,328.77 4073.70 4.57 69.90 456.00 +D+0.70E+H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.326 0.153 1.60 0.979 1.00 1.00 1.00 1.00 1.00 25.32 1,328.77 4073.70 4.57 69.90 456.00 +D+0.750Lr+0.750L+0.45OW- 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.533 0.271 1.60 0.979 1.00 1.00 1.00 1.00 1.00 41.41 2,173.18 4073.70 8.08 123.74 456.00 +D+0.750L+0.750S+0.450W+ 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.533 0.271 1.60 0.979 1.00 1.00 1.00 1.00 1.00 41.41 2,173.18 4073.70 8.08 123.74 456.00 +D+0.750L+0.750S+0.5250E- 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.533 0.271 1.60 0.979 1.00 1.00 1.00 1.00 1.00 41.41 2,173.18 4073.70 8.08 123.74 456.00 +0.60D+0.60W+0.60H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.196 0.092 1.60 0.979 1.00 1.00 1.00 1.00 1.00 15.19 797.26 4073.70 2.74 41.94 456.00 +0.60D+0.70E+0.60H 0.979 1.00 1.00 1.00 1.00 1.00 0.00 0.00 0.00 0.00 Length=16.50 ft 1 0.196 0.092 1.60 0.979 1.00 1.00 1.00 1.00 1.00 15.19 797.26 4073.70 2.74 41.94 456.00 Overall Maximum Deflections Load Combination Span Max.""Defl Location in Span Load Combination Max."+"Defl Location in Span +D+L+H 1 0.6940 8.130 0.0000 0.000 Vertical Reactions Support notation:Far left is#' Values in KIPS Load Combination Support 1 Support 2 Overall MAXimum 10.376 9.570 Overall MINimum 5.445 5.445 +D+H 4.931 4.125 +D+L+H 10.376 9.570 +D+Lr+H 4.931 4.125 +D+S+H 4.931 4.125 +D+0.750Lr+0.750L+H 9.015 8.209 +D+0.750L+0.750S+H 9.015 8.209 +D+0.60W+H 4.931 4.125 +D+0.70E+H 4.931 4.125 +D+0.750Lr+0.750L+0.450W+H 9.015 8.209 +D+0.750L+0.750S+0.450W+H 9.015 8.209 +D+0.750L+0.750S+0.5250E+H 9.015 8.209 +0.60D+0.60W+0.60H 2.959 2.475 +0.60D+0.70E+0.60H 2.959 2.475 D Only 4.931 4.125 Lr Only L Only 5.445 5.445 S Only W Only E Only H Only J 1 , 1" Project Title: Engineer: Project ID: .r' Project Descr: Steel Bean1 software copyright ENERCALC INC.198372019,Build:10 19.1.27 DESCRIPTIO 2-FB-#2 W8x28 CODE REFERENCES Calculations per AISC 360-10, IBC 2015, CBC 2016,ASCE 7-10 Load Combination Set: IBC 2015 Material Properties Analysis MethoAllowable Strength Design Fy: Steel Yield 50.0 ksi Beam Bracing Beam is Fully Braced against lateral-torsional buckling E:Modulus: 29,000.0 ksi Bending Axis: Major Axis Bending D( .8) I D 0.29 L 0.66 W8x28 I � Span= 16.50 ft t N Applied Loads Service loads entered.Load Factors will be applied for calculations. Beam self weight calculated and added to loading Uniform Load : D=0.290, L=0.660 k/ft, Tributary Width= 1.0 ft Point Load : D=3.80 k @ 6.50 ft DESIGN SUMMARY • Maximum Bending Stress Ratio 0.689: 1 Maximum Shear Stress Ratio= 0.226 : 1 Section used for this span W8x28 Section used for this span W8x28 f Ma:Applied 46.778 k-ft Va:Applied 10.372 k Mn/Omega:Allowable 67.864 k-ft Vn/Omega:Allowable 45.942 k I Load Combination +D+L+H• Load Combination +D+L+H Location of maximum on span 6.741 ft Location of maximum on span 0.000 ft f! Span#where maximum occurs Span#1 Span#where maximum occurs Span#1 Maximum Deflection Max Downward Transient Deflection 0.389 in Ratio= 508>=360 JMax Upward Transient Deflection 0.000 in Ratio= 0<360 Max Downward Total Deflection 0.780'in Ratio= 254>=240 1 Max Upward Total Deflection 0.000 in Ratio= 0<240 -------------------- Maximum Forces 8r Stresses for Load Combinations Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values Segment Length Span# M V Mmax+ Mmax- Ma Max Mnx Mnx/Omega Cb Rm Va Max VnxVnx/Omega +D+H Dsgn.L= 16.50 ft 1 0.373. 0.107 25.30 25.30 113.33 67.86 1.00 1.00 4.93 68.91 45.94 +D+L+H Dsgn. L= 16.50 ft 1 0.689 0.226 46.78 46.78 113.33 67.86 1.00 1.00 10.37 68.91 45.94 +D+Lr+H Dsgn.L= 16.50 ft 1 0.373 0.107 25.30 25.30 113.33 67.86 1.00 1.00 4.93 68.91 45.94 +D+S+H Dsgn. L= 16.50 ft 1 0.373 0.107 25.30 25.30 113.33 67.86 1.00 1.00 4.93 68.91 45.94 +D+0.750Lr+0.750L+H Dsgn.L= 16.50 ft 1 0.610 0.196 41.39 41.39 113.33 67.86 1.00 1.00 9.01 68.91 45.94 +D+0.750L+0.750S+H Dsgn. L= 16.50 ft 1 0.610 0.196 41.39 41.39 113.33 67.86 1.00 1.00 9.01 68.91 45.94 +D+0.60W+H Dsgn.L= 16.50 ft 1 0.373 0.107 25.30 25.30 113.33 67.86 1.00 1.00 4.93 68.91 45.94 +D+0.70E+H Dsgn.L= 16.50 ft 1 0.373 0.107 25.30 25.30 113.33 67.86 1.00 1.00 4.93 68.91 45.94 +D+0.750Lr+0.750L+0.450W+H Dsgn.L= 16.50 ft 1 0.610 0.196 41.39 41.39 113.33 67.86 1.00 1.00 9.01 68.91 45.94 +D+0.750 L+0.750S+0.450W+H Dsgn.L= 16.50 ft 1 0.610 6.196 41.39 41.39 113.33 67.86 1.00 1.00 9.01 68.91 45.94 +D+0.750L+0.750S+0.5250E+H Project Title: Engineer: • Project ID: Project Descr: SteBI Bealll Software copyngMt ENERCALC•INC.1983 2019 Butld:10 19 1.27``. DESCRIPTIO 2-FB-#2 W8x28 Load Combination Max Stress Ratios Summary of Moment Values Summary of Shear Values Segment Length Span# M V Mmax+ Mmax Ma Max Mnx Mnx/Omega Cb Rm Va Max VnxVnx/Omega Dsgn.L= 16.50 ft 1 0.610 0.196 41.39 41.39 113.33 67.86 1.00 1.00 9.01 68.91 45.94 +0.60D+0.60W+0.60H Dsgn. L= 16.50 ft 1 0.224 0.064 15.18 15.18 113.33 67.86 1.00 1.00 2.96 68.91 45.94 +0.60D+0.70E+0.60H Dsgn.L= 16.50 ft 1 0.224 0.064 15.18 15.18 113.33 67.86 1.00 1.00 2.96 68.91 45.94 Overall Maximum Deflections Load Combination Span Max.""Defl Location in Span Load Combination Max."+"Defl Location in Span +D+L+H 1 0.7804 8.156 0.0000 0.000 Vertical Reactions Support notation:Far left is# Values in KIPS Load Combination Support 1 Support 2 Overall MAXimum 10.372 9.565 Overall MINimum 2.956 2.472 +D+H 4.927 4.120 +D+L+H 10.372 9.565 +D+Lr+H 4.927 4.120 +D+S+H 4.927 4.120 +D+0.750Lr+0.750L+H 9.010 8.204 +D+0.750L+0.750S+H 9.010 8.204 +D+0.60W+H 4.927 4.120 +D+0.70E+H 4.927 4.120 +D+0.750Lr+0.750L+0.450W+H 9.010 8.204 +D+0.750L+0.750S+0.450W+H 9.010 8.204 +D+0.750L+0.750S+0.5250E+H 9.010 8.204 +0.60D+0.60W+0.60H 2.956 2.472 +0.60D+0.70E+0.60H 2.956 2.472 D Only 4.927 4.120 Lr Only L Only 5.445 5.445 S Only W Only E Only H Only E � Town of Barnstable Regulatory Services Richard V.Scaii,Director Building Division Tom Perry4 Building Commissioner 200 N-iairt Street,Hyannis,NIA 0.2601 www.town.barnstablema.us Office: 508-8624038 Fax: 508-790-6230. Property Owner Must �VIj49® Complete and Sign.Thisectiy If t7sing A Builder 0No10 1 ,�n.r C-LA/ ,-.Is.Owner cif the imbJeet property hereby authorize o to act on,tm behaif, in all matters relative to work authorized by thus building permit application for: C (Address of Job)' **Pool fences and alarms are the responsibility of the applicant, fools are not to be.-Filled or utilized before fence is installed and all final inspections are performed and accepted. m.� hrc of at f Applicatit w Print Name Piinr Name C l�.ttc Commonwealth of Massachusetts i� Division of Professional Licensure Board of Building Regulations and;Standards Cont��tl'"p rvisor CS-106114 Eacpires 10/18t2021 MARK R BOGOSIAN J._3 ; 367 MAIN ST °JJaror FALMOUTH MA 025+10, 4 r` 4� ri Commissioner -- Office of Consumer Affairs&Business Regulation . . HOME IMPROVEMENT CONTRACTOR TYPE:;Swplement Card RggistrAW6o t Expiration 17895± 10/17/2021. f LONGFELLOW DEMN BUILD i - JAMES BUSTAMANTE � 866 MAIN STREET OSTERVILLE,MA 02655 Undersecretary i AC40RD►® DATE(MMIDon'YYY) CERTIFICATE�OF LIABILITY INSURANCE 10/02/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE,AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF 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 have ADDITIONAL INSURED provisions or 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 endomemen s t PRODUCER Game eT Charlie Downey_ _ I Downey Insurance Agency,Inc. PHONE 508 485 0130 aA�Xc'No. (508 4 i IA/C.No.fAj ( ) ) 85-6463 190 East Main St. EWAIL ADORESS charlie@downeyinsurance.com _ INSURER(S).AFFORDING COVERAGE: NAIC 9 Marlborough MA.01752 INSURER A. APPALACHIAN INSURED ) '' INSURERS: COMMERCE INS CO 34754 Longfellow Design Build,Inc. INSURERC: CONTINENTAL CASUALTY_CO:. 866 Main St INSURERD;.APPALACHIAN UNDERWRITERS,INC. . INSURER.E�:- - - - i OsterYille. MA 02655 INSURER F II 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 THEPOLICY 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 I3Y PAID CLAIMS. INSR - ADOL( UBR .....-'._ POLICY EFF POLICY EXP .....�.,.........,.`-��"- "` LTR- TYPE OF INSURANCE' I POLICY NUMBER MMIDR= IMM1DD/YYYYl LIMITS X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE S 1,000.000- CLAIMS-MADE OCCUR {DAMAG!•T'OEa N D L„{ tt jPRE''M,�sES occurrence S 300,000 _ 1 MED FXP(Any one person) s 5,000 ( A _ BRT3A004584-00 07I2712019 07l2712020 PERSONAL BADV INJURY S 1,000,000: i GEN'L AGGREGATE LIMIT APPLIES PER. [ GENERALAGGREGATE. s 2,000.000 POLICY JECT 1 —I LOC PRODUCTS-COMP/0 AGG S 2;000,000 7 'OTHER: a AUTOMOBILE LIABILITY ) f `:-: COMBINED SINGLE LIMIT $ 1,000.,000 Eaa dent)- ANY AUTO ! ) ) 20,000 BODILY INJURY Per arson $ B OWNED v SCHEDULED I � l P ) 20,000 i AUTOS ONLY ^ AUTOS RWL621 08/19/2019 OB/1912020 BODILY INJURY(Per awdent S X HIRED X NON-OWNED j PROPERTY DAMAGE $ ( AUTOS ONLY AUTOS ONLY I( , t Per accident) p UMBRELLA LIAB OCCUR F_ACHOCCURRENCF5 $4 EXCESS LW8H CLAIMS-MADE .r AGGREGATE - S DIED RETENT ON Sr S..,.` WORKERS COMPENSATION PTATUTE FOR AND EMPLOYERS'LIABILITY — - ANY PROPRIETORIPARTNERIEXECUTiVE YIN E:L:EACH ACCIDENT s 100,000 C OFFICERIMEMBER EXCLUDED? 7N N i A 246248 09/27/2019 09/27/2020 -- (Mandatory In NH) El.DISEASE-EA EMPLOYEE S 100,000, It yes,descsibe under :DESCRIPTION OF'OPERATIONS below E.L.DISEASE-POLICY'LIMIT: s::560'.000.1 ... I Commercial Inland Marine f D j 70474G191EOF 06/14/2019 06/14/2020 1 I , DESCRIPTION OF OPERATIONS/LOCATIONS J VEHICLES 1(AGORD tat,,AdtlittonaF Remarks Schedule;may_tie attachetl it more apace ra required) -' - 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. Town of Barnstable 367 Main Street AUTHORIZED REPRESENTATIVE " ` s Hyannis MA.02601 - _... O 1988-2016 ACORD CORPORATION. Ail.rights reserved. ACORD 25(2016(03) The ACORD name and logo are registered marks of ACORD t t ' The Commonwealth of Massachuseta Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly J Name(Business/Orgmization/Individual): Address: City/ tate/Zip: C\W oml,,Mone#- (If a-ST 0 U Are ou an employer?Check the a ropriate box: Type of project(required); 1,0 I am a employer with- ,4. I am a general contractor and I ' employees(full and/or part- e).* have hired the sub-contractors 6. ❑N tishuction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' t 9. El Building addition [No workers' comp.insm-anCe • comp.insurance. required.] 5. We are a corporation and its 10.❑Electrical repair or additions ] officers have exercised their 11: Plumb' repairs or additions 3. I am a homeowner doing all work right of exemption per MGL ❑ � myself[No workers comp. �P p 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no -.. employees.[No workers' 13.❑Other comp.insurance required.] `Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors 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. Y I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1, w Policy*or Self-ins.Lie.#: -IA0 Expiration Date: j i Job Site Address: 1 2 U��v n b r.`� ��� City/State/Zip: LlskV 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 MGI.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 certi the and penalties of perjury that the information provided}abov is true and correct Si Date: Phone#• - Official use only. Do not write in this area,to be completed by city or town official [[6.iOther ty or Town: Permit/License# suing Authority(circle one): Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrical Inspector 5.Plumbing Inspector ontact Person: Phone M Information and Instructions Massachusetts General Laws chapter 152 regnues all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additional) MGL c 152 25 states"Neither the commonwealth nor an of its political subdivisions shall Y beP� �� Y enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy,information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be•provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts` Department of Industrial Accidents Office of Investigations 600 Washington Street Boft)n MA 02111 - Tel.#617 727-4900 ext 446 or 1-877-MA.SSAM Revised 4-24-07 Fax##617-727-7749 www.maw.gov/dia Application Number...................................... . Section 9- Construction Supervisor Name L 0 sx ! Telephone Number Address lob Id 1�I a►v� City m,im State _Zip 6 �, License Number C-S '( Ob License Type U Expiration Date Contractors Email D.n �'� , . L Cell # 0 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature_ AIA Date V UV Section 10—Home Improvement Contractor . . Name C^ L Telephone Number Address 1/� City _��, vv�,► �/l StateW` Zip CJ� Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation a uired 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date U L a Section 11 —Home Owners License Exemption CHome Owners Name: _ Telephone Number Cell Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date 1 Print Name ,&W y-'s �j�J��O�,V��w Telephone Number E-mail permit to: LO Last updated: 11/15/2018 C , Section° 12 Department Sign-Offs Health Department Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ! ❑.'.� #` `,"� +, Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization as Owner of the subject property hereby authorize 1 to act on my behalf, in all ; matters relative to work authorized by this building permii application for: (Address of job) Signature of Owner date Print Name t r - C, l _ t o t Last updated: 11/15/2018 Town of Barnstable Building ��' >;�, ,. ,`-"`fir, r° r,�.;.§°�;,..���, s ;�'.� �' s �.. e s;.; �. Dr ,-.r,.? ." ;��, ..,, ,�.� �.,,,.y;. �..:_ .� # �"��"� ��,,;i 5 �: :° Post This Cartl�So That�it is Visible From°the Street Approved 1?Ians.,Must be Retained on Job andthis.,Gard Mustbe Kept M" Rostecl UntilFinal inspection Has Been Made ;- x y ° �e�s� ,, . _ •.. yam s Pei mi 1. Where�a Certificateof Occupancy�s Required,such�Bwldmg shall Not�be Occupied until a F nal Insp Permit No. B-18-580 Applicant Name: A.G. MAGGIORE CONSTRUCTION Approvals Date Issued: 02/28/2018 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date': ' 08/28/2018 Foundation: Residential Map/Lot 036-058 Zoning District: RF Sheathing: Location: 123 HUMMOCK LANE,COTUIT Fts <f Contr�ac m�torNae A.G. MAGGIORE CONSTRUCTION Framing: 1 OK - Owner on Record: CUMING WILLIAM R&RUTH D TRS �Cont actor Ucense102838 2 Address: PO BOX 910Project Cost: $67,362.00 Chimney: COTUIT, MA 02635 , 41Permiitt Fee: $393.55 Description: REMODEL AND UPDATE 2 BATHROOMS AS PERLAN P Insulation: t Fee Paid, $393.55 :�. ) ry ) Date .2/28/2018 Final: Project.Review Req: V. Plumbing/Gas 8 Rough Plumbing: r` Building Official final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. '° Rough Gas: All work authorized by this permit shall conform to the approved application and the%approved construction documents for which this permit has been granted. g All construction,alterations and changes of use of any building and structures hall be in compliance with the local zonmg',by laws and codes. V Final Gas: This permit shall be displayed in a location clearly visible from access street or,road and shall be maintained open for public mspection for the entire duration of the work until the completion of the same., 5 Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Building antl Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work ;yy y Service: . 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT .� OF �ARNSTABLE ApplicatlonNumber.....�>- .... ..................... MASS. TER 2 6 � Peraut Fee..... ... ..... .:. .....Other Fee........................ TotalFee Paid........................... .............. .............. ...... TOWN OF$ARNSTABLE Permit s try.. BUILDING PERAHT 0.. .. ...............pal....... .. .. ................. 1vTap...... APPLICATION Section 1 — Owner's Information and Project Location Project Address ra.? ,V01V11oC/z AA avff village Owners Name ti G U Owners Legal Address City State Z1P Owners Cell# E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000.cubic feet 9�—Mgle/Two Family Dwelling Section 3 —Type of Permit New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck- Apartment ® Sprinkler System ❑ Addition ❑ ReWning wall. ❑ Solar renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description T Act imdatEd-2/9/201 S Application Number. ... ....................... Section 5—Detail 17 Cost of Proposed Construction Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) . 110 MPH Wind Zone Compliance.Method ❑ MA Checklist 7 WFCM Checklist'❑ Design Section 6—Project Specifics E'QVuing ❑ Oil Tank Storage ;❑ Smoke Detectors [ Plumbing ❑ Gas �❑ Fire Suppression ❑ Heating System El Masonry Chimney ❑Add/relocate bedroom Water Supply lic ❑ Private Sewage Disposal ) Municipal ❑4 On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I amusing a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? G. . Yes.❑ . No �— Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required - Proposed Rear Yard , Required Proposed Side Yard Required Proposed Has this property had relief from the.Zoning Board in the past? ❑ Yes ❑ No Last undated:2J9/2018 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Indivi dual): ,)QWff,1YQX)y r Address:/ S AAIVY City/State/Zip: Av9r, 02eJZ Phone �-s°- Are you an employer?Check the appropriate box: Type of project(required): 1. a employer with 4. 0 I am a general contractor and I - employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, Q Demolition working for mein any capacity. employees and have workers' insurance.: 9. ❑Building addition [No workers comp.comp,insurance p• required.] 5. We are a corporation and its 10.E]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself, [No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 1 52;§1(4),and we have no employees.[No workers' 13.0 other comp.insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that isproviding workers'compensation insurance for W employees. Below is the policy and job site information. Insurance Company Name: _ (� �gC Policy#or Self-ins.Lie.#: hAX-- 00 " 7d .C7, — .2y/6 A Expiration Date: a� Job Site Address ? f�e��1OG/Le�9tU� City/State/Zip:- 66,�`2 f l— Al fi Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c..152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u he pains and penalties of perjury that the information provided above is true and correct Si afore: Date: Phone#: Cl 7 eP'7,2 a,j S Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance;construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not producedacceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitilicense number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would bite to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bostvn,MA 021 It TeL#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www.mass..gov/dla 0 m 03 o - L C Q CUMING LL RESIDENCE MASTER cBATHROOM &I tl',UOOlLL t'IAIL' CAN CE. KOK Ho9r, �� t TnwT.!Lhf f7� `� DAUGHTERS n f BATHROOM IF 'I ati.95.��•CNfY', _- wr13Grr Tf Ii Scale 3/8"-1' LD m Il j w I i.i. -- - - Date: l 2-201 i Ld NOT FOR - N -- CONSTRUCTION In muL-we lcw VH'Wiy,r{�:. 1 MRLL;'�T l'C_. 'HOOK ( I lt0.�i INP. ^ i. .E,EI:CM ♦ . r �a!wyTB'Q - MAS 7P TOW704K lSti 5 f .:&4M FLOOR. � 2 Y ILK m TJ I' 8tr -E Wd 9G 833' MZ } rn 'rx 4i,r^^;•f Interiors a 319d1SNUS AO NMOI 0 c Application Number........................................... Section 9-.Construction.Supervisor Name_ afJAaZo / Telephone Number Cl;-P-7d-o2Os-s Address_/1/' iGW�/61-r L City State N,#: Zip .na0y? License Number CS-o/9o(? License Type cS Expiration Date Contractors Email 1� r=o,eo�yp" , ccM Cell# 61/,7 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts State Building Code. I understand the constriction inspection procedures,specific inspections and documentation required 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature,,, Date a/2G/ao�� Section.10 —Home Improvement Contractor Name_ Telephone Number i�'/7 P yL,2--oss' Address)/6!?a ,Z Ae rVZ City_&gJ5�;gely State &A Zip (3,aO,�, Registration Number zb oz&2f- Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required b 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature - Date Section 11 —Home Owners License Exemption Home Owners Name: p Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date4 c Print Name Telephone Number 7 P7; d-arf E-mail permit to: 'P2�'7 2 a o'Ally v o v T...w....A..a.A.'tin nM 0 Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) El Historic District ❑ . Site Plan Review(if required) El Fire Department ❑ ; Conservation For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I, as Owner of the-subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit applidation for: (Address of j ob) Signature of Owner date Print Name Last undated:2/92018 i A.G.MAGGIORE 9 Sons 11 FARM HILLS LANE `°n"—fi°° HINGHAM,MA 02043 PROPOSAL.. � ' P:(781)E43-1799 F:(781)741-5157 email:info@agmagglore.com r LICENSED AND.INSURED CUSTOMER - - NAME: JO N AND PAM COMING DAT JANUARY 5,2018 ADDRESS 123 HUMMOCK LANE CITY COTUIT STATE MA ZIP 02635 PHONE 617-520-6602 617-875-4676 REMODEL 2 EXISTING BATHROOMS MASTER BATHROOM AND DAUGHTERS BATHROOM AS PER PLAN AND DESIGNS SUBMITTED 1. APPLY FOR BUILDING PER 2. GUT ENTIRE BATHROOMS INCLUDING EXISTING CLOSET AND CORRIDOR WALL TO ALLOW FOR NEW POCKET DOOR SETUP AND CREATE MORE SPACE FOR NEW'BATHROOM LAYOUTS 3. ALL ELECTRIC TO CODE INCLUDING RECESSED LIGHTING-SHOWER LITES-AND EXHAUST FAN LITES(WALLS SCONCES AND SURFACE MOUNT FIXTURES SUPPLIED BY OTHERS) 4. ALL PLUMBING TO CODE(ALL BATH FIXTURES SUPPLIED BY OTHERS) 5. REFRAME WALLS FOR NEW BATHROOM LAYOUT AND POCKET DOOR FRAME (UNSEEN ROTTEN FLOOR JOISTS AND FRAMING MEMBERS WILL BE ADDRESSED AND DISCUSSED WITH OWNER AS NEEDED) 6. INSULATE,BLUE BOARD AND PLASTER ALL WALLS AND CEILING 7. DURAROCK AND WATERPROOF ALL AREAS TO BE TILED(SHOWER WALLS BASE AND BATHROOM FLOORS) 8. TILE ALL WALLS AND FLOORS AS SHOWN IN DESIGN(TILE AND GROUT SUPPLIED BY OTHERS) 9. INSTALL ALL VANITIES-CABINETRY-MOULDINGS-WINDOW AND DOOR TRIM AND BASEBOARDS AS SHOWN ON DESIGN PLANS(ALL CABINETS AND MOULDINGS FOR CABINETS SUPPLIED BY OTHERS) 10. SUPPLY AND INSTALL GLASS'SHOWER DOORS AND WALL PANELS AS SHOWN ON PLANS(ALL GLASS TO BE LOW IRON STAR FIRE NON STREAKING GLASS) 11. PAINT ALL WALLS CEILINGS AND WOODWORK ONE COAT PRIMER,TWO COATS FINISH 12. WALLPAPER ENTRY WALL TO SAMMIE'S ROOM,MATERIALS SUPPLIED BY OWNER 13. SUPPLY AND INSTALL MIRRORS AS PER PLAN/EMAIL , TOTAL PROJECT OF ABOVE LISTED MATERIALS AND LABOR $ 67,362.00 Authorized Signature . Note: This proposa��be f Fawn b us if not accepted with660 d ys. G� INSURANCE INFORMATION FURNISHED UPON REQUEST Payment to be made as follows: A 1/3 deposit is required upon acceptance of proposal Payments to be made weekly,according to job progression All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes;accidents or delays beyond our control. It is further agreed that all fees shall be due in the time set forth in the above"PROPOSAL." It is further agreed .that if said fees are not paid when due as per the times indicated in the"PROPOSAL",A.G.Maggiore Construction reserves the right to begin civil action to collect such fees and it is further agreed that in the event that such action is necessary,the owner will be responsible for payment of reasonable attorneys fees incurred by A.G.Maggiore Construction with regard to such action. of Pmposal-dte above prices,spec'dicafions and conditons are satisfactory and are hereby a pted. You era Auttror'¢ed to CO/M9Je wplc as�eL7iad.Paym m-,a be made as outlined above. S�na4ae_ f 3 Ali /`Z-4,0M THANK YOU FOR YOUR BUSINESS 3j® Commonwealth_of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr-uEt�t6ri§dpervisor CS-019037 E-Apires: 01/20/2020 ANTHONY MAGGIORE 11 FARM HILLSLANE HINGHAM MA 02043 Commissioner —L Vhe tparyrunwr6uleaCC�o�C? ac�ir III` Office of Consumer Affairs&Business Regulation.i HOM E IM PROVEM ENT CONTRACTOR. TYPE:Corporation I . _l~edistration Expiration 07/02/2618 ANTHONY G. O liffh( D/B/A Home Irtlgrevemenvueneral'Contractor Anthony Maggiore 11 Farmhills Hingham;MA =43`_: Undersecretary i Construction Supervisor -- Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed}` space. t Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)7274200 or visit www.mass.gov/dpl Registration valid for individual use only j beo the expiration date. If found return to: ! befre t fo e' Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 afi wit out Signature l 1.4 ID V _ LI.V� AW 1 Town of Barnstable *Permit# T ,o Expires 6 months from issue date _ Regulatory Services Fee 3 s• 00 • anxxsTesis. MASS.9 Thomas F.Geiler,Director� i639. Building Division" Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 i`= - _ Fax: 508-790-6230 " EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY V I Valid without Red X-Press Imprint Map/parcel Number v(�J Property,Address' 1 3 E-} LLMM OClK— LA4E Go u-. i Residential Value of Work a o o d - Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 5 - Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) A®Tv LL 410 University Avdnue Construction Supervisor's License#(if applicable) WeSiMAMadI&amwice 01CM1007 [�orkman's Compensation Insurance DEC 0 2014 Check one: ❑ I am a sole proprietor TOW O F B p p B LE ❑ N I am the Homeowner I /°1 rl 1 NSTl�1 I have Worker's Compensation Insurance Insurance Company Name I�G A'h f4 k tiP�' eo Workman's Comp.Policy # ��- Copy of.Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side _. #of doors ❑ Replacement Windows/doors/sliders:U-Value (maximum.35)#of windows or'smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Leftep4permission. A copy of the Home Improvement Contrac icense&Construction Supervisors License is ---- - required. SIGNATURE: *^ L Q:\WPFIL.ES\FORMS\building permit forms\EXPRFSS.d Revised 053012 al Accidents Department of Induyt - " Office of Investigations` 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit:Builders/ContractorsXlectricians/PIutubers Applicant Information Please Print LeEibly Name(Business/organMona T'Lual)' A.Da Address: 4.1 0 University Avenue - Westwood,MA 0�0 ' City/State/Zip: Phone#: Are you an employer?Check the appropriate bog: Type of project(required): I.[6-I am a employer with I S 4. ❑ I am�renht eral contractor and I 6. New construction employees(full and/or part-time).* have d he sub-contractors 7. E]Remodeling 2_❑ I am a sole proprietor or partner- listedte attached sheet. ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity: workers' comp.insurance. 9. Q wilding addition [No workers'comp.insurance S. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their t of exemption er MGL ILEI Plumbing repairs or additions 3_El I am a homeowner doing all work right p p myself. [No workers'comp. c.152,§1(4),and wehaveno 12.0 Roof repairs insurance required_]i employees_ [I`To workers' BE(7fher {�>,�tt~�. — comp.insurance required.] *Any applicant that checks box A must also fill out the section below shgwing their wm-kras'compensation policy mfo-im on- fi Homeovmers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new af5 davit indicating such 'Contractor that check this box must attached an additional sheet showing the name of the sub-contractms and their workers'comp.policy infbimafion I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information_ °t``PAM Insurance Company Name: Policy#or Self-ins.Lic.#: 4t`� Job Site Address: l�3 p tom..M M o G u' I..A,4 C City/state;/Zip:Attach a copy of the workers' compensation policy-declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500.00'and/or one-year imprisonment;as Well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerli under the p ' p Perjury that the infonnation provided above is true and correct Date: Io t ! Phone#: �l� Ss- _ Fi only. Do not write in thin area,to be cotgleted by city or town ojjkid n: PermitlLacense# thority(circle one):—- - ector-.5.Plumbing InspeL5L-- _ -f Health 2.Building Department I-CitytTown Clerk4.IIectzicalerson: Phone . �C�✓I� I� CERTIFICATE OF LIABILITY INN( NCE =- �D51�t4 r � - - r� THIS CERTIFIG14TE 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 CONSTITum-A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTI{ORt7F0 'REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT.- If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. if SUBROGATION 15 WAIVED,subject to N t ha terms and conditions of the policy,certain policies may require an endorsement" A statement on this certificate does not confer rights to tie certificate holder in lieu of such endolsement(s). CONTACT PRODUCER NAME Marsh USA Inc PHONE F ND I. 1560 Saq a:s CorpDlale Pkuy,SuIIE 300 Sunrise,R 33323 , aDo�RFSs: INSUgENSI.AFFORDING COVERAGE C Zurich American In g--Company 16535 D48953-ADT-GAW-13-14 - INSURER A: 40142 INSURED INSURER a-ADte�ican Zuridl lnst>ranCe Company . ADT, INSURER ADT Seaudy Services INSURER c 1501 YanratD Rd INSURER D Boca Raton,FL 33431 INSURER E- INSURER F: - COVERAGES CER-11F1CATE NUMBER: AFLOD32872.32-W REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURID NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM-OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WiiH RESPECT TO WHICH THiS CERTIFICATE MAY rSSUED OR MAY PERTAIN,.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEIIF7N IS,SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR. DL SUB P OLICY I}F POLICY DCP LIMITS ,- LTTR' TYPEOFINSURANCE PDUCY,'WMSER MMIDD MMIDD - 2,DC-0,DDD: A GENERAL_LIABuTY GLD 5095899 02 1 WO1014 IWO1015 EACH OCCURRENCE DAMAGE TD RENTED $ X PREMISES ocraarenrs COMMERCIAL GENERAL LIABILITY1 D,ODD MED E{•P(Any one person) $ CLAIMS MADE OCCUR 2"L'D,000 • PFJ25DtdAL.B,ADVINJURY $ GENERAL AGGREGATE $ 4,DEUDD PRODUCTS-COMP/DP AGG $ 4,DDD,00D GEN'LAGGREGATE DMITAPPLIES PER $ X POLICY PRO- LOC ECT 10D712015 COMBINED lSINGLE LIMIT B AUTOMOBILE LLABtLnY SAP 5D95900 02 10D72D14 B 1,OGD,ODD$ BODILY INJURY(Per person) 5 X. ANY AUTO -ALL OWNED' SCHEDULED - - - BODILY INJURY(Peramdent) AUTOS AUTOS. PROPERTY DAMAGE - $ NON-OWNED IPr arzi HIRED AUTOS AUTOS $ EACH OCCURRENCE $ UMBRELLAIJAB OCCUR AGGREGATE $ EXCESS UAB CLAIMS-MADE $ Dm RETENTION$ WC STATU- nTM- g WORKERS COMPENSATION 1M1r 5D95897 02(ADS, 1010112014 �r=n12D15 X I- 2 DDO,ODD i A A.N-D EMPLOYERS'LIABILITY YIN WC 5095898 02(M 101D11YD14- 1012015 EL EACH ACCIDFNr $ 000,DDD ANY PROPRIErDR/PknNIRIIX URVE Z DFFICE3R/MEMBE3REXCWDED? N NiA FIDISEASE-F1+ETA 1) $ (Mandatory In NH) 2,DJOpOD If M deso-be undue F1 UMr $ DISEASE-POLF CY DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS 1 LOCATIONS I vEmrLEs(AtlachACCORD 1D1,Additional Remarks Schedule,ff more space is reqjir"l) t ` CERTIFICATE HOLDER OANCELL NTION- ADT LLC EULDY OF THE ABOVE DESCRIBED P13UCIES BE CANCFLL-ED BEFORE Atl1iTOML� ATiOhi DATE THEREOF, NOTICE 1'dlll BE DF1lVEREO iN410UNNERSITYAVENUE CEY�'ffiiTHEPOLICYPROVISIONS - WESTINDDD,Mk 02D90 - - - —--- — -- - — R)saiTATiVEnGherjee - ©193&2Q1D ACORD CORPORATION. All rights reserved. ACORD 25(20101DS) The ACORD name and logo are registered marks of ACORD _ _ = oa. MM G'FM t I5.sUE REp Sys!--. COhI1:AA���:4�" { & C p6A �T` ELIJRIn -� 1t=j of lrillh! : tlY 2A 33 i �mmorswealih Of y��ssachusei}5 , Dapartreli*n#Public= flay _ _ ��yrgcT�mc-l-liascc - . 41-0 . • Wed��� � � ,bff Expiration: ; i cmmiis7one- Q5Itbf111Z E . s pp tHE t . snaxseABLE # 1' : ,m� Town of Barnstable �y Regulatory Services Thomas F. Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street,. Hyannis,MA 02601 www.towri.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 tY Must s Property Owner M t Complete and Sign This Section --Jf" C O>u t p,,A C_�v(� LA- as Owner of the subject property hereby authorize A Ol to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) -3 Si l `tu�e'o f©caner D to Print Name _If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. QAWPHLESTORMSIbuilding permit forms\EXPRESS.doc Revised"070110. MA 1i t 11 i t A-111-11 v IIL..AAAiiii' } I j 1 ( I ol J - -41 bwt 4:H T77111,111 1 -pit, ;�!� , D ��6.-fL { � J , i dkt D�E�'8CT®RS f EVIEI�+E7 { -- - BUDDING DEPT, '� 11 DALE , ' � - C - 1 >J , FIRE DtPARTMENT t DATE 1 BQTEi.�SIG-N�ITUR S ARf REQUIRE FOR PERRfI1T1NG �- i 1lJ J- 1 - -�- 1 , . h ,t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,... Map- Parcel` . A hcatior� ;i� 3 Health Division 'Date Issued Conservation Division A lcation Fee 7 pp {" ,Permit Fee Planning Dept,, - Date Definitive"Plan Approved by Planning Board Historic -,OKH': Preservation/Hyannis i Project Street Address Ln 'A Village � y�,t-- ��a►�"1 Owner A..tA e% Address Telephone i Permit Request Y ; Square fee . 1 st floor: existing ' proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater:Overlay Pr oject Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl U Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existin _new A u by Total Room Count (not including baths): existing new First Floor Room Count= 9 Heat Type and Fuel: ❑ Gas i❑Oil ❑ Electric Other Central Air: ❑Yes ❑ No Fireplaces: Existing ew Existing wood%coal stogy: ❑a'es ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑ existing new size _ Barn: ❑texisting'1111 nears' size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ w size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # ecorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# r Current Use Proposed Use N APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �* Telephone Number g1 Address 0 License# Home Improvement Contracto # X7 w _ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO I ` I SIGNATURE DATE " t • FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL N0. ,t1 ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL W. r r FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. -�' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA-02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ! Address: City/State/Zip: VQcN-,& Tx� Phone #: 60%- 7 44 T-t 7 r Are you an employer?Check the appropriate box: Type of project(required): ITN am a employer with 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 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions. myself. (No workers' comp. c. 152, §1(4),and we have no 12.❑Roof reams insurance required.].t employees. [No workers' 13.10ther Iona C comp. insurance required.] *Any applicant that checks box#I 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: is Policy#or Self-ins.Lic.#: W; 6,eR. �C Expiration Date: h'slog Job Site Address: ix; �Ay uo" 4.KN City/State/Zip:�,�') 6 t VA Va6 ss 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. ]do hereby certify and e p ' .and penalties of perjury that the information provided bove 's true and correct.' Signature: Date: Phone#: 5cAr 7L(TI 7 l o� 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#: ACORD TMCERTIFICATE OF LIABILITY INSURANCE UODC 07-31AT2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HARTFORD FIRE INS CO/PAYROLL ASSOC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER:THIS CERTIFICATE DOES NOT AMEND,-EXTEND OR 250760 P: (8 7 7) 2 8 7-1316 F: (8 7 7) 2 8 7-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 308 FARMINGTON AVE FARMINGTON CT 06032 INSURERS AFFORDING COVERAGE INSURED INSURER A:Twin City Fire Ins Co ..INSURER B: SPERRY TENTS CORP. INSURER C: 11 MARCONI LN INSURER D: MARI ON MA 02738 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH.THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE,TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS: INSR - - POLICY EFFECT/VE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICVNUMBER, DATE.(MM/DD/VY) DATE MMIDD/YY1. L/MITS. GENERAL LIABILITY _ EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE OCCUR MED fXP(Any one person) $ PERSONAL.&ADV INJURY S GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES_ PER: - PRODUCTS-COMP/OP AGG $ POLICY .PECT RO- LOC J ' AUTOMOBILE LIABILITY " COMBINED SINGLE LIMIT( $ ANY AUTO (Ea accident) . ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS - - - - (Per person) S HIRED AUTOS BODILY INJURY $ - NON-OWNED AUTOS - (Per accident) .. PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - OTHER THAN . EA ACC $ • AUTO ONLY: - AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR '❑ CLAIMS MADE _ AGGREGATE $ DEDUCTIBLE S RETENTION $ - - - $ WORKERS COMPENSA T/ON AND - X: WC STATU-. OTH .T RY LIMITS-I I ER A EMPLOYERS'LIABILITY 7 6 WEG PR5 2 4 2 10/15/(08 ..10/15/0 9 E.L Z ACH ACCIDENT �.$10 0, 0 0 0 • •E.L.DISEASE-EA EMPLOYEE $1 0 0, 000 E.L.DISEASE-POLICY LIMIT s500, 000 OTHER DESCRIPTION OF OPERA T/ONSILOCAT/ONSIVEH/CLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPEC/AL PROVISIONS Those usual to the Insured' s Operations : CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: 'CANCELLATION SHOULD ANY O THE ABOVE DESCRIBED POLICIES BE CANCELLED,BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE(10 DAYS FOR NON-PAYMENT)TO THE CERTIFICATE Portia Gold HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 12.3 HUMMOCK LN REPRESENTATIVES. COTUIT, MA 02635 AUTHOR/Z EPRESENTAT/VE _• //- - ACORD 257S (7/97) °ACORD CORPORATION 1988 01/14/2000 23:41 5084370308 GOLDS PAGE 01 Town of Barnstable - ,"�' _ e ulatory Services Dom"F.Geiter+Tlirccior Building Division 'Thomas ferry,�� , . swk inn Commissioner 200 Main saeat, F13mu'i9i MA 02601 .w.wwU.barn>t.obI9 mans. Fad- 508-790.6230 OPbcc: 50t:-862.4*8 property O*ner Must Complete and Sign This Section -If Using ABwiIder as Cww of the subject PIMPOny T . I� s to acc on my behalf, c here °�= by nth .,�. in all MMers relative to work auchoriud by t#,is building percent appiicatioa for. . ( dress o joate b) l t Signature OffJ/��ner � p N N ; FOR �?V r/I Cy�'yiiNG- Q:\VJl'�S•FdRI�tiS�bu�din�P�ittb��GXP'R�S.doc �, v - R,e"isc02010f3 l'd L66E 9dL 90S W Il di,tr:60 60 6e Inf Certificate, ®f Flame itance c . Manufacturer Number 1J �' Sl�s Date of Manufacture p �Y 585 5-Mar-09 a�:, ni Lane Mar>on, MA 02738 (508) 748 2581 This is to certify that the`materials described have.been flame-retardant treated or are inherently non flammable and were supplied to Name: Sperry Tents:. City: Marion 02738.. State: MA Certification is herby made that a: The articles described on this'`c'rtificate have`been treated with a flame-retardant approved chemical and that the appli,c ion said chemical was done in conformance witlfi California Fire-1!'larsfial Code equal to or exceeding NEPA 701, CPAI 84 Method of Application: Coated Fabric Color,Type and Weight: Oyster Pol ester 7.2 oz. Description of Item Certified: 46x65 ft Pole Tent Flame-Retardant Process Used Will Not Be Removed By Washing And is Effective For The Life Of The Fabric Name of Applicator of FIR Finish Signed Kolon S, IN, A j �►�� - ,� IV�arcwS, :02'7�8 - _ 11�;amon, viceb:SperrYsalls cam '* �awii:sDcr�Y�ls�cape. of mom mud*.&WO number Yhis is to cer `Y ia4�e gals described have bees ,moailammablej ata mherentlY. . . flame-retardant treaded 4 1' el to - And were supp NAME. CITY , 1 on is hereby made that- a i Cerhf'icati have:been treated with The articleSffiIs certE application of said �� ��mal and that the flame-retardant app - �1Kornia Fire Marshal' chemical was dome sn 66a16rnlance with Code, equal to or exceed K1<PA e4, CPA1: ' 1 Method of applic"aw- rype,colors and weightof canvas - o� p� o of item �` �� • s- e Z Re#ar�lan# Rn :e tied Flame For The LAe Removed By 1AIb�n9 Of TheR tbn Name of � - v i ' gtance CSC r t ii ate (,.g)f Date of Manufacture Manufacture Number 10/09/00 4177 �� E�L�l� Box 21.5.' 242 11q14Iarcoru.I n �j LV1LdY YiJH1 � � /7•Ib4381eox 7�C:;fax 5pfi/.T4&3plr s a �ceh_cF rtysalls��m,* e-mil spOosaflAkapecpd:net This is to certify that the matenals descnbed have been ;enretardant treat, d (or ace.inherently nonablflomMe) And were supplied„to: NAME: Sperry Tents CITY: Marion STATE 027313 Certification is hereby made:that The articles described on this certficate have been treated::w�th a flame-retardant approved che mical and that-the applcafion of said chemical:was done in confor mance with California Fire {Marshal Code,.;:ec�uai:fo �r exds �FP�!70'I• CPAI 84 Method of application: Coated Type of cloth:. Polyester t l ; FR,WR Color and weight of cloth 7:2 Oz Blue: Description of item certified 24 x 44 ft Funcfion Tent Flame Retalydant Process Used Will Not Be Rel�e;�aed 13� �nJasi ing l4nd Is Effectl- For The Life Of The Fabric Name of Applicator of Flame Resistant Finish:, Kolon Industrie.s :Signed: Town of Barnstable *Permit "X-PRES �� HERMIT Expires G mon Jrs jrom issue date Regulatory Services Fee leaA'-.� SEP 19 2007 Thomas F.Geiler,Director a�^ TOWN OF BARNSTABLE Building Division S'l Tom Perry,CBO, Building Commissioner ��,• 200 Main Street,Hyannis,MA 02601 �J www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ;1 Map/parcel Number Property Address I Z J /l/(/�!�'�� C_� /--.x Gael Residential Value of Work LT:e2!_,,1,-9 e Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name _Y/��/r,� �r Telephone Number Z16 Home Improvement Contractor License#(if applicable) T Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor -I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name z 4A 9` /foi�11�1 Workman's Comp.Policy# // Copy of Insurance Compliance Certif ate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to ��� 27-W ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side . ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 z 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations UV. 600 Washington Street Boston,MA02111 www.mass.gov/dia Workers"Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bI NaMe (Business/Organization/Individual):. % �o Address:_/!Z ,& lS•7JVZ1 w City/State/Zip.- 17'711W Phone*: '2 Are you an employer? Check the appropriate box: Type of project(required) 1.�am a employer with 4. 0 I am a general contractor and I . employees(full and/or -time)." have hired the stab-contractors 6. ❑New construction . 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9 E]Building addition [No workers' comp.insurance comp.insurance.#' required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11. lambing repairs or additions rn sel£ o workers' co right of exemption per MGL y c. 152 12. Roof repairs insurance required.] t ' §1(4)'and we have no . ,13.❑ Other employees. [No workers' comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must pravidb their workers'comp.policy number. ; I am an employer that is providing workers'compensation insurance for my employees Below isthe policy and job site information. -- Insurance Company Name: /,o0tX11ZY7,Zs)P Policy#or Self-ins,Lic.M Ole 1k ��� �? Expiration Date: Job Site Address: f z 3,y jw yI,6 City/State/Zip, � .Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),, Failure,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment; as well as civil penalties in the form of a STOP WORK.ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify rend r the pains•and penalties of perjury that the information provided above is true and correct: Sisnature• Date: Phone# Official use only. Do not write in this area,'tb be completed by city or town offciaL 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#: V JHE �y 'down of Barnstable. Regulatory Services sARNSTABLE. • s MASS. $ Thomas F. Geller,Director $'°JfDhw+ Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508=790-6230 Property Owner Must Complete and Sign This Section If Using ABuild'er 1, L'1z Lvv-,2 C/� / l / ,as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: . (Address of Job) io �U Signature of Owner Date L' ZAf1,47 &22 2d✓�IA)&'-- Print Name Q:F0xMS:0VNM1PERM1SS10rr Date:7/27!2007 09:30 Ah1 Sender's Fax iD:Northwood InSL:ranoe Page 6 of 6 L ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID K DATE(MKI:Dr:.TfyY DAVID--2 07/27/07 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis t4h 02601 Phone:508-771-1.632 rax:508-393-2955 INSURERS AFFORDING COVERAGE �NAIC9 "SAD N.IJPER.A The Norfolk & Dedham Grow IN>URER 1Yi�elety Irerueanee Company - David Cox, Inc. INEUREP-: P. 0. Box 401 NSUREIR_, S Yarmouth MA 02664 IfvSURER= ' - COVERAGES THE POLICIES OF!NS3,1RANCE L!-,T°D 3FLCW HAVE BEEN ISSUED TO T-IE INSUREC rJAMED A.B0%/E=OR THE POLICY PER:OD INDICA ED.",CTA'IT4ST ANDING ANY REQU!',EMENI,T=RM OR CON_i-HON OF ANY CONTRACI OR 01HEP D0CI.R/b4T`P+ITF;PESP`rCT TC WHICH-HIS CERTiFICAIE%tL Y BE IS.a,ED OR MAY PERTAIN,THE NSURANCE AFFDFCED EY THF_PCIUC ES DESCRIBED 4EREN'I;:SU3IEC7-0 ALL 74E-ERMS,EXC_GSD'rS AId'i CONDITiOVS-CF SUCF POLICIES AG9REC•A'E UI•ATB CrK.M'I MAY HAVE BEEV RECOCED BY PAID CLAWS POLICY NUMBER LTRNSR TYPE OF INSURANCE LIw,R3 DATE(MM/DD/YY') DATE i('IMIDO:YYI GENERAL LIABILrry EACH OCCU;RENC:E s$1,000,000 COh161ERC!A1-GENE=.AL—_:��BI_ITY I PREMISES;Eaeccumncej s$50,000 i '-LAYS MADE I I OC-UP ! I i A!ED=XP(Any rn;person) ;$j'0 00 A X !BusinessOwners R00309545 I 03/14/07I 03/14/081PER:CNAL8A_\'IN,UR s$1,000,000 • I GENEFALA.GGREC;ATE S$2,000,000 +EP':AGGP.EG.A�.LIMTAFF_iES PER : PSO�u^TS- $2,000,000 ='0!lCf r—jc T LOC i AUTOMOBILE LIABILITY J F i j COh!B'NED SINGLE LIMIT S --I ANf AU-0 I (E?,acaden:) ALL OYNV C'AJT0S I - BOGIL''IPLA!4f c SCHEDULED ALT(Y3 I 1 lPsr p a sor i HIRED AUTOS BODIL"INJ,J.Y NON-OWNEO AUTOS I I P?OFEFTY CA,/AGE S I (Par accident: GARAGE LIABILITY I F.UTO ONL,-EA?,CCID='JT S . �-1 ANY AU-0 � EA.ACC I �OTFER TFWN AUTO ONLY: GG EXCESSUMBRELLA LIABILIT( EACH OCCLRPENCE $ r OCCUR CLAIr,1S MADE i I AGGREGATE --- S --- i S DEDUCTIBLE � I S RETENT ON WORKERS COMPENSATION AND EMPLDYERS'LIABILITY TCP.Y UMTS ER B 16KUB91OX742207 07/15/07 ! 07%15 J08 EL.EACF Ac D=1T s$100 000 ANY FR;A=R!ETOP'PA.4TNc--,ExICU,JE I r C4==ICERRr1EI,4Bc9.E:CLLCED? DISEASE AE'!r_U'YEE S$100 OOO If yes,- scrbe under %_C pL CgCViSI,DNS balo4 E L DISEASE-POLICY LIMI-i IS$500,000 OTHER I DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CAt-MLED BEFORE THE EXPIRATION DATE THERECF,THE ISSUING INSURER WILL ENDEA%jCR TO MNL 10 DAYS INRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,9UT FAILURE TO DO SO SHALL 367 MAI TOWN IN STREET B STREET BLE IMPOSE NO O6LI3ATION OR LIABILITY OF AN(KIND UPON THE INSURER,ITS AaFNTS OR HYANNIS MA 02601 REPRESENTATIVES. AUTOO D R-PRESE ACORD 25(2001108) t:ACORD CORPORATION 1988 Board of Building Regulations and Standards i License or registration.valid for individul use on y HOME Ih1P,ROVEMENT CONTRACTOR ;. befor%the expiration date. If.found return to: Reg istra.ion'.100497 i Board of Building Rceulations and Standards E One Astbw`ton Place Rr 1301 618/2005 Boston,ma..02108 Yype PrvMe Corporation DAVID COX INC David Cox 19 LA'lENDER LN _ W.YARMOUTH.MA 02673 a>_Deputy Administrator ' Not valid with signature e .y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �n Map 6 3(e Parcel O S8 Permit# Health Division ✓ Date Issued Conservation Division Application°Fee Tax Collector Permit Fee 3 r Treasurer V Planning Dept. r Date Definitive Plan Approved by Planning Board - Historic-OKH Preservation/Hyannis Project Street Address 12 > yV M M OL K L.sa E Village G o Tu r 7— Owner /"2 G v ^4 1—JIL Address Telephone 2 8 - C, Permit Request /Z,E PC.,4e- AE-96 -,Z S Square feet: 1st floor: existing tv proposed 2nd floor:existing Z/8? proposed —c i' Total new f p Zoning District Flood Plain Groundwater Overlay / Y Project Valuation 30, cD a,-aa Construction Type Lot Size 3. R-&c, Grandfathered: ❑Yes �o If yes, attach supporting documentation. Dwelling Type: Single Family CEr-- Two Family ❑ Multi-Family(#units) Age of Existing Structure 76 Historic House: ❑Yes 43�No On Old King's Highway: O Yes Basement Type: ❑ Full 01crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 'A� Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new $ Half:existing -6L new Number of Bedrooms: existing new Total Room Count(not including baths): existing Z! new First Floor Room Count 7 Heat Type and Fuel: ❑Gas DWCOil El Electric ❑Other Central Air: ❑Yes CSQa Fireplaces: Existing 3 New —6-1-- Existing wood/coal stove: O Yes —\ Detached garage:Cl existing ❑new size Pool:QNe sting ❑new size 20A 36 Barn:O existing ❑new size Attached garage:i'existing O new size rYxz Shed:D existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ . Commercial O-Yes, If-yes, site plan review Current Use /ZESv04-4cX' Proposed Use S 1.049-arf BUILDER INFORMATION Name 6.f. Telephone Number Address Hy5 w. /3r92NST+9-r6 r20 License# c5s7 E-e v rr- - Q.1 e. 15' Home Improvement Contractor# BOO t 3 y Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATU E�/ DATE �1 D FOR OFFICIAL USE ONLY PERMIT NO. ' DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION R FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL, GAS: ROUGH FINAL FINAL BUILDING��� DATE CLOSED OUT ASSOCIATION PLAN NO. 4 HERMIBoard of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100134 Type: Private Corporation Expiration: 6/9/2006 ROGERS & MARNEY, INC. Charles Rogers P.O. BOX 310 Osterville, MA 02655 Update Address and return card.Mark reason for chang Address Renewal ❑ Employment Lost Card DPS-CAt a� 501,1.04104-Glt)1218 ,,�o� ✓/ee TDom»�lincuea�C� C�./Claksac%uaetGi n\ 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: vvi Registration: 100134 Board of Building Regulations and Standards Expiration:..6/g/2006 One Ashburton ce Rm 1301 Boston,Nia.0 Type:_Private Corporation ROGERS&MARNEY,INC. Charles Rogers 445 WEST BARNSTABLE ROAD w--4—, 'lsterville,MA 02655 Administrator Not valid wi out signature BOARD OF BUILDING REGULATIONS ;. License: CONSTRUCTION SUPERVISOR Number CS 01.6174 { Birthdate 05/07k,1:939 Expires 05/07/2008 Tr.no: 22326 Restricted 00 CHARLES D ROGERS , PO BOX 310 OSTERVILLE, MA 02655 �t Commissioner HE,p� Town of Barnstable ti Regulatory Services BAy_%STABM ' Thomas F.Geiler,Director 9 MASS. g f 639. 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 11YIPROVEMEN-T CONTRACTOR LAW SUPPLENIEN T TO PERIHT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernisation,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: /��On�u�,�-r a=N ice— Estimated Cos o0o. Address of Work: 12.R /St uMM o G,eC- [.,4'y 4E Owner's Name: Z"4. [Q 1%4 t,-j G Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner puling own permit Notice is hereby given that: 0NKN7ERS PULLI`i TG THEIR OWN PER, OR DEALL\G WITH L N-REGISTERED CONTRACTORS FOR APPLICABLE HOME RYIPROVEMEN-T WORK DO NOT ELkVE ACCESS TO THE ARBITRATl:0\PROGRAM OR GUARANTY FLED UNDER INIGL c.142A. SIGNED UNDER PENALTIES O PERJURY I hereby apply for a permit as the a7ent of the owner: v C- ,ana Dzte Con ctor Narne Registration Nc. OR Date Owner's Name Q:fcrns'hc-ea5iidav ' oFIME l Town of Barnstable NAP` ti� Regulatory Services • BA&NSfABLE, v MASS. Thomas F.Geiler,Director lEn 39. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A b Builder i'M , as Owner of the subject property hereby authorize ROGERS Si MARNEY, INC. to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) Y Signature of Owner Date rint Name Q:F0PNS:0WNERPERN11SS10N Engineering Dept.(3rd floor) Map es Parcel �EF FA Permit# �P d House'# a"jS �. Date Issued f Board of Health(3rd floor)-(8:15 -9:30/1;00-4:30).. Z.-7 7� Fee �Ep 7.J- Conservation Office.(4th floor)(8:30-9:30/1:00-2:00) �V T�L��� 41 ` L Clanning Dept.(1st floor/SchoolAdmin.Bldg.) 5 /� Definitive Pla proved b oard 19 6y LE, gg gAIV 1659. OWN OF BARNSTABLE Building Permit Application Proj Stre ess 123 aAjv-A%m tic �:.vV y- ft-)N L6 1 Village �,��, Owner Address S 4"4<— Telephone - ( 0 r 8 , Permit Request .1.v 4M KI-e- vtc d vt`,L o vi o ed ItAq bYfe2�IA14 First Floor 23 4h square feet Second Floor square feet Construction Type ,,,d �rawi,G, Estimated Project Cost $ 29 C', Zoning;District Flood Plain Water Protection Lot Size 3,ts- W-. Grandfathered ❑Yes ❑No Dwelling Type: Single Family A Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes W No On Old King's Highway ❑Yes P[No Basement Type: 9 Full ❑Crawl ❑Walkout N Other Sla►.� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) s/O Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: p Gas ❑Oil ❑Electric ❑Other ` Central Air ❑Yes ❑No Fireplaces:Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes N No If yes,site plan review# - Current Use Proposed Use Builder Information Name F-oa-eK, A Wla^e,e!:4 - 'QC- Telephone Number t'D 8- qZ es 6(v6 Address D. "fix 3 i o License# 07s�C^v 11 I-c . iM fd�. ffZ&rT- Home Improvement Contractor# 10013:1 Worker's Compensation# Lt'r_ 919 7 9 go b 3 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 �c{ INS •, e Co. SIGNATURE DATE BUILDING PERMIT DENIED IkR THE PA LLOWING REASON(S) ..y � Y FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED � 7r• ' � t'i -. - - i` �l '��n -� '�' MAP/PARCEL NO. ADDRESS i 14 VILLAGErj OWNER DATE OF INSPECTION:? FOUNDATION Nl- ., FRAME (? t/V INSULATION36� _ r . FIREPLACE ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH } FINAL; %•. - = ' GAS: '.ROUGH FINAL' FINAL BUILDING 7 i lk DATE CLOSED OUT ASSOCIATION PLAN NO. Engineering Dept. (3rd floor) Map Parcel Permit# 3`-(O House# Date Issued Board of Health(3rd floor)(8:15'-9:30/1:00- Conservation Office(4th floor)(8:30-9:30/1:00,-'2:00) INS `S7"����j ' � n Planning Dept.(1st floor/School Admin..Bldg.) Ei1 �0 ;cz Definitive Plan Appro___ y Planning Board /V �' 19 ���/� t AND TOWN OF'BARNSTABLE �FDMA� S Building Permit Application ` Project Street Address 23 L, ,,, OAinc_� Village C-0 F Owner t,\r. 1 ,);`` aHn (,mb", Address SoviM,� .Telephone 4Z 93 G 1 b C� Permit Request (�_ s�r 0c vk C,h'•�-e. �a a-o I �?C First Floor (,,3Q square feet Second Floor square feet Construction Type Estimated Project Cost $ Z31 obo Zoning District _ 1z F Flood Plain Water Protection Lot Size A,ts- Ae, Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑' Two Family ❑ "Multi-Family(#units) g 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 No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: A Gas ❑Oil ❑Electric ❑Other ' Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: evPool(size) 14 IC `fS ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes J§No If yes, site plan review# / Current Use Proposed Use Builder Information Name R�C& 11V��c�1e�, '�K`,. Telephone Number S'2>S — 42 ^6!0(, Address Q& 3/0 License# GS n 1 l'7 4 0r,&r--y'Xt. 1AAC'- in2GSS' Home Improvement Contractor# te2nk3l t Worker's Compensation# k )e - 9C7 2$003 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 �v SIGNATURE DATE (—S— 9 S BUILDING PERMIT DENIED R THE FOL^LOWING REASON(S) 7\/ C V l FOR OFFICIAL USE ONLY '? ` PERMIT NO. — DATE ISSUED MAP/PARCEL NO. >r •'a � - :' ,, 't F ., ,1. `�;. ` ADDRESS_ ` w VILLAGES _t . - 1 -?' 71 OWNER DATE OF•INSPECTION: FOUNDATION { ft I FRAME t INSULATION FIREPLACE } ' r3 ELECTRICAL: ROUGH / FINAL•,' t 1 4 fit' • ' t PLUMBING:, -ROUGH ' FINAL . GAS: -' 'ROUGH rs FINAL-, FINAL'BUILDING DATE CLOSED OUT (ASSOCIATION PLAN NO • ` - The Commonwealth of Massachusetts Q`-- (_7. Department of Industrial Accidents >_ . Ofllce ofh7Yes&gativas 600 Washington Street Boston,_ f , Aiass. 02111 Workers' Compensation Insurance Affidavit �t2oliCorit:nl arm"ation: 1:--_;�:_ ease PR NT-1Vjhly: - - - - - ' n-anc: lor-+nr,7 cis. ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity LX I am an employer providing workers' compensation for my employees working on this job. :ROGERS & MARNEY, INC. : SomDany name: . . addres P.O. BOX 31.0s: P :.. cr.; OSTERVILLE, : MA .d2655 '.< phone (508) 428-6106 insurance co. policy :g I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who hav: the following workers compensation polices: .-COM03ns• name: SEE ATTACHED SHEETS ^ddress: ciCV: phone=: insurance co. Policy.` - comnin%, name• address' city: Phone=: insurance co Policy= •'Arachaddidonalsh_e-_of¢ecessa�.•-.--:....��,�---.�.r-- :. ,.-�.<:..;_.�_:_, -:-_ •.- .•:. .._. . —_ : .c. ._ .�,.` - _- Failur_ to secure eoyerage as required under Section 25A of:`IGL 152 can lead to the imposition o(cri ninal penalties or2 fine up to 51-500.00 and/or one years'imprisonment as Mell as civil penalties in the form ara STOP WORK ORDER and a fine orS100.00 a da%.a;ainst me. I understand that cope or this statement may bt ror- arded to the OMce of In.estigations of the DIA for co-enee verification. I do hereby eerr:f-under tr.e pcirts artd peraities ofperfur•that the irforrratior prodded cbove is tree er.d c rrect. . ROGERS & MPRNEY ee r •- Pr:nt nanc p;;cn; _ (508) 428-6106 - official use or.lv do not »ritt in this arta to be completed b} eir:or town orricial s gin or io»n: Perniclice^se= _iBuilding Depar--": CLic;r.sin;Board t ❑ eh;c�i[imm:diat; r^-'sp ons; is required C�e(ect :n's 0M. - [Health D:partm:n: contact Person: phone�t: rlOth;r r ACQAR . CERTIFICATE OF LIABILITY INSURANCE CSR KG CATE�1'''WDLi n*Yi ROG?rR-2 OS/32/Q6 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood Eshbaugh Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Bain Street LALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Hyannis ;-M 02601 1 Phone: 5C8-771-1532 Fax_508-778-1789 --- INSURERS AFFORDING COVERAGE �NAIC" INSURED - - INSUPER A: �tUE:A:.CA:uAB^r IK;7FAu�.0 rp I L _— NsuFea 211TERNATIONAL Rogers & Harney, In:. j 'NSURERC i)sterv111e10 02655 �r�-fR — — ---- -----—----------------1._..-- ----— i COVERAGEE 7HE FOLi C;_5 JF INSLFp JCE LISTED BELOW HAVE BEEN ISE%JEG TO THE iNE:JREJ NlIdED=FSC.:,E FOP TnE?i-!C`:F_RI'0.\n�r1gTE_.YOTa•nTFC.TM-N:I;;, i;NY REQUIREp1ENT,TERM OR.CONDI T IC1,1 OF AN1"CGniTR?.CT OR 0--ER DOCUMENT'',-'H RESPECT klAY EE I.C=!ED r,R VA PERTAIN,Tr4E IS SUBJECTTO AL L THE TEWS. POLICIES.AG(R GA.iE LIMITS S!ti7+iN wtAY rr;VE BEEN REC.SEC SY PAID CLAIMS. IN LTR IJSR7 TYPE OF INSLRSNCE POLI:"NUM?ER Y �r`:TCCERI tATfOi I — 1 CATS(MM;Drrn, , DATE(%lf'DlY'i I I LIMBS GENERAL LIABILITY i i I��� ,$1000000 L�IFIA X ':,e.WER(DAL3ENEPALL;IZ".*r CCIG395621 j 03/20/06 03/20/07 OFFm,sEs(F,`'I urN:cz! d5� 0000 _� 0,-,INS"MAX ��r OCC,R i NOD_xF i n ,r:e person) - 1 I I - A r_ rsoni_ I s_5_000 FERgOaJAL E AO V,N,(!-P r_ j-10 0 0 0 0 0- _ GENERAL A--GREGA7 i s 2000000 — 'EPI_:A6_R LIMI'.APPL!ES PER. i F-Pr_';DUCT>-COMPiUr AGG $2000000 P4J- -i LOr -- E T AUI LIABILITY T— I F-� Cu'MEL\'Fp CIn�OIc'-at!T ANYA Ti: 1 I I :Ea a:r•jent) $ I AJ_L 0WNED.AUT�DS I SCHEDULED AUTOS I- i >er persnrj 1 HIr<EDAlros I gLrD!Ly InIJC'R., 140M.,"WJNE AUT:.'S i iPer aCcil]ent) -- I �.- ---_---'— II PFAPERTI'DAMA(OE .§ 7 I j �(Pa:au:itlnnZj I I GAR AGE LIABILITY ALI?O ONLY-EL A,CGIDE!`iT i$ - I AN Y ALTO I cTHER r:AM1I EA A.i?: $ I j AU70 OrL%'. $ EXC 339lUM2RELLA LIA:W7Y I _ E H C "JRREPiCE $ OCCUR r I C:-AII„T3'e1ADE - - + t-.;';F.EG4TE $ . LIE 1-1,jCT!BLE r-- f $ RE'!ENTIOtJ T $ WORKERS COMPENSATION AND T— r"ri^.'crP J B IEMPLOYEF S'LIABILT( 11'i Ir:Y LI"J:I 5 aciY IWC8934800 v1/01/O61 01/01/071_!.E,aC-HACC:DEIrl $500000 o2oPulETawa.4RTNe -EYECLrIF•E OFFCER/;;Ei,�SER EX,UJDED? ENFLJ`rEE'$500000 I'yes.deecibe order L= - - SPECIALP?CNIS:DNS)VON E._.DISEAEE-r0'_ICY'LIM'i $500000 OTHER I DESCRIPTION OF OPERATIONS I LOCATIONS,'VEHICLES/E:CCLUSiONS ADDED B'r ENDORSEMENT/SPECIAL=ROVIWO.P;S i � 1 CERT!F!CATIc HOLDER. CANCELLATION TOt"TNBAR SHOULD ANY OF THE ABOdE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATiDN CATE THEREOF.THE ISSUING INSURER WILL ENDEA`i_R TO?,I.IL 20 CAYs NP,Ii EN NOTICE TO THE CEP-11FICATS HOLDER NAIMED TO THE LEFT,BUT FAILURE TO DC 50 S-ALL '.COT!(N OF BAPUNSTABLE IMPOSE NO OBL17ATION op Lael irr OF ANY K'r42 UP)ri T.iE INS:-,RER.7S AGENTS OR :167 MAI1I STREET HYA-XTHIS 1-A 02601 REPRESENTATI =_s. AuTHOgI - 'cPR SENTA7P•2 W. ACORD 2512101108) (�\A.CORD CORPORATION 1988 °FIME The Town of Barnstable • snxxsrABM • 9 � Department-of Health Safety and Environmental Services �`�rEDN1o'�► Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW --v Owner: �`� P G Map/Parcel: v Project Address: I � , I inn Builder: The following items were noted on reviewing: 21 C r � f Please call 508 862-4038 for re-inspection. Inspected by: / C, o Date: I ' b ( I/ q:building:forms:review f MAScheck COMPLIANCE REPORT y Massachusetts Energy Code Permit # MAScheck Software Version 2 . 0 Checked by/Date CITY: Hyannis STATE: Massachusetts HDD: 5973 CONSTRUCTION TYPE : 1 or 2 family, detached HEATING SYSTEM TYPE : Other (Non-Electric Resistance) DATE: 11-9-1998 DATE OF PLANS : Sept . 25, 1998 TITLE: Pool House Addition PROJECT INFORMATION.: Mr-.William Cuming-<Re-sidence 12 3 Hummock _Ln.. rotuit, MA ' COMPANY INFORMATION: Rogers and Marney Inc . COMPLIANCE : PASSES Required UA = 615 Your Home = 598 Area or Insul Sheath Glazing/Door. Perimeter R-Value R-Value U-Value UA ----------------------- -----------------------------------------'-------------- CEILINGS : Raised Truss 2880 30 . 0 , 0 . 0 92 WALLS : Wood Frame, 16" O.C. 1888 19 . 0 3 . 0 102 GLAZING: Windows or Doors 371 0 .400 148 GLAZING: Skylights 72 0 . 600 43 SLAB FLOORS : Unheated, 0 . 0" insul . 204 0 . 0 213 HVAC EFFICIENCY: Furnace, 90 . 0 AFUE HVAC EFFICIENCY: Air Conditioner, 10 . 0 SEER ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design represented in these documents is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code . The heating load for this building, and the cooling load if appropriate has been determined using the applicable Standard Design Conditions found in the Code . The HVAC equipment selected to heat or cool the building shall be no greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . Date Builder/Designer MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 . 0 Pool House Addition DATE: 11-9-1998 Bldg. Dept . Use CEILINGS : [ ] 1 . Raised Truss, R-30 Comments/Location Insulation must achieve full height over the exterior wall . WALLS : [ ] 1 . Wood Frame, 16" O.C. , R-19 + R-3 Comments/Location WINDOWS AND GLASS DOORS : [ ] 1 . U-value : 0 .40 For windows without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SKYLIGHTS : [ ] 1 . U-value : 0 . 60 For skylights without labeled U-values, describe features : # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location SLAB-ON-GRADE FLOORS: [ ] 1 . Unheated, 0 . 0" insul . , R-0 Comments/Location Slab insulation to extend down from the top of the slab to at. least 0" OR down to at least the bottom of the slab then horizontally for a total distance of 011 . HVAC EQUIPMENT EFFICIENCY: [ ] 1 . Furnace, 90 . 0 AFUE or higher Make and Model Number [ ] 2 . Air Conditioner, 10 . 0 SEER or higher Make and Model Number THERMOSTATS : [ ] Adjustable thermostats required for each HVAC system. AIR LEAKAGE : [ ] Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. Recessed lights must be type IC rated and installed with no penetrations or installed inside an appropriate air-tight assembly with a 0 . 5" clearance from combustible materials and 3" clearance from insulation. VAPOR RETARDER: [ ] Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors . MATERIALS IDENTIFICATION: [ ] Materials and equipment must be identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. Insulation R-values, glazing U-values, and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications . DUCT INSULATION: [ ] Ducts in unconditioned spaces must be insulated to R-5 . Ducts outside the building must be insulated to R-8 . 0 . DUCT CONSTRUCTION: [ ] All ducts must be sealed with mastic and fibrous backing tape. Pressure-sensitive tape may be used for fibrous ducts . The HVAC system must provide a means for balancing air and water systems. TEMPERATURE CONTROLS: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. HVAC EQUIPMENT SIZING: [ ] Rated output capacity of the heating/cooling system is not greater than 1250 of the design load as specified in sections 780CMR 1310 and J4 .4 . MISC REQUIREMENTS : [ ] Refer to 780 CMR, Appendix J for requirements relating to swimming pools, HVAC piping conveying fluids above 120 F or chilled fluids below 55 F, and circulating hot water systems . ----NOTES TO FIELD (Building Department Use Only) ------------------------- . , a' . ��`� �. j ` 1 c �,�.�� �� ' ��� . �� TOWN OF BARNSTABLE BUILDING PERMIT P42CEL ID 036 058 GEOBASE'.JD-: 2197 ADDRESS 123 HUMMOCK LANE PHONE COTUIT "` ZIP - LOT . 16 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 34607 DESCRIPTION 30'X78'POOL ENCLOSURE(FOUNDATION ONLY) PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: ROGERS AND MARNEY Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $697.50 BOND $.00 CONSTRUCTION COSTS $225,000.00 434 RESID AD'D/ALT/CONY . 1 PRIVATE MASS. 039. Ep�l BUIL I IS B DATE ISSUED 11/06/1998 EXPIRATION DATE 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 MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND 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 M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL 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. G " °FTME The Town of Barnstable + BAMSTABL& • MAC Department of Health Safety and Environmental Services i639• iOrEn5.18%. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner PLAN REVIEW Owner: ��✓� Map/Parcel: �j d��g Project Address: I7�3 M y Cl< Builder: " �S 1 ✓�. i V The following items were noted on reviewing: Please ca11508 862-4038 for re-inspection. Inspected b P Y: Date: q:building:forms:review s The Commonwealth of Massachusetts. Department of hidustrialAccidents •-� � `Olf�Ceo1/nves�gations F . ,600 Washington Street -Boston,Mass. 02111 1, II� -Workiirs�' Compensation insurance Affidavit - ,�• �'A•I'n• rl. _ _..fI:ii,•- tt, t �. r:' X /, i. 'o E. ��1 aaqq��+•.,.•.•. ttalllt' - - WCa Li—I- cilyhll ❑ 1 am a homeowner performitt-all worl,myself. ❑ II;;am a sole proprietor mid have no aone �yworking in any capacity a mast NW Fi 7�n Salt� �1���+�1N'.'nYi+"ut�IC1. '96'�t1LPA=+4��,1;3:�VIIi'SdtG'G`aril'Li'�:ly{Ti'YIWT•�w1:5.61X1eutcnCn'i�uB,xxcllU'LCSotJ.G1d2'U�'a1i'�V�'Gk�':�C'F/. 1J a 'f+a"1�7l�V+LncrilA�.triIA1lw'1l 1k7 ��SY.t[eaw•r�`e arri an employer providing workers' compensation foi•my cmplovees working on this job. - snnlpsnyn;Ame CL',ne 06 1111iu^IL M,4 c \` C C olio N ! �" �.��:�7`r3?�" � :, iG�i"���. � ` " t'' , • 1 a�• '.'.l���',�?Bl,4:k5'.��� ❑ Z a[n a sole propriet .general contractor 0 Cowner(elrele one)and have hired the contractors listed below who have the following workers' compensation polices: ll)SUr�lice co' •• .. . .•. •.'.: ;..:..'•:•. .' •prili�%'l}• .:' '. ... .. . ., -, , tpmlJany name: z. •. sdtlre.c ; cih•- � .. nlione•tt• Failure to accurc coverage as required under Sccnon 25A of MG[.152 can iced to tnc impoaifion ul'criminnl penalticY o(a fine up to�t,SU0.00 and/or • o nnc yenrs'impriggn111rn1 ss A+•cll qg civil pcnaltici iu ttJt form nra STOP R'oRK ORDER and a lint or�100.00 a day against mc.•T andcrytand thnt a Cn(ly 0�tlt1Y MtatCmint InAY bl.'rnrwarded lU the O(f t!OP 1nVtStlRatlnn$(1((ht yL�rQr COVCrn�C YCrI(ICatiOn. -' - - 1 do lrerrAv certify under rht pains and pen l of per rliat Ul, informnlion provided above is trur and eorroct signature i l o Pr Data Print nunic_ 6,42� t' V t7f7 Phcnc i! �7iC7 n t� n�ci:d uac Ginty do not write Ill Allis]area to be eonipleEed by city or town utficiat city nr towns perali0icensC N nBuiIding Dcpartnlenl �t,ieenaiag Bnard - dleck irimmedlntt response is rtgUirrd h OSclectrntnit.O11icc t OHcaith nepnrimcni ronhct peraun: phnne A. nothcr 9 ' (reviied Atli PJA! - ...... ..... ................................. .............. .......... .... ... ... .: '> _ -: ' ` !. isi5::,'..':::.`:::::;:.:;'i;::.:3::i`? :"'';;..........::::ISSUE DATE"(Mlvl%bbn'Y) .....:. al.11i.i�® :;CERTIFICATE C3F INSURANCE ::: ::. ...................:.::...:..>....:...::..:. 05-14-98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE PREFERRED INS AGENCY INC DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 10 NEW ENGLAND BUSINESS CENTER POLICIES BELOW. SUITE 303 4 ANDOVER MA 01810 COMPANIES AFFORDING COVERAGE , COMPANY LETTER A' THE CHARTER OAK FIRE INSURANCE COMPANY � 00715 COMPANY B INSURED LETTER AMERICAN SWIMMING POOLS CORP. COMPANY C ` - LETTER & AMERICAN GUNITE POOLS 540 ARCADE AVENUE COMPANY _ r LETTER D SEEKONK, MA 02771 COMPANY E LETTER ' bV FOR THE POLICY PERIOD O IC S Of INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED A E L Y THIS IS TO CERTIFY THAT THE P L IE INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT�ITH RESPECT TO WHICH THIS CEP.T!FICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN S SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ ' CLAIMS MADE OCCUR. " . PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ . v MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIMIT $ ALL OWNED AUTOS X BODILY INJURY SCHEDULED AUTOS (Par Person) s $ HIRED AUTOS ` - BODILY INJURY NON-OWNED AUTOS (Per Accident) $ GARAGE LIABILITY -` PROPERTY DAMAGE 5 EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS A WORKER'S COMPENSATION F 9041<7485^ 07-01-98. 07-01-99 EACH ACCIDENT $ 000100000 AND DISEASE-POLICY LIMIT - $ 000500000 EMPLOYER'S LIABILITY DISEASE-EACH EMPLOYEE $ 000100000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS ' y THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATEHOLDER AFFECTING WORKERS COMP COVERAGE. :«:>;::.::::::>::`;::»:::»:;>`.>;:: .::: CANC �L�tX1bN::::`::<:;:. »:;<:>::::::»::>::>:>::>>:::;:>.....:;:: :;:...........;::::::::::;:<::<; CEI# 1F..lCA CE.H01.REf#................:.....:..:..:.::.:..::.::::::.::::::::::::::::::::::..::::..:.::::................................:................................................................................................................................... ROGERS MARNEY, INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE P.O. BOX 310 EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO s MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTOTHE OSTERVILLE MA 02655 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE :...:...::::....:.:::.:::::.:::.....::..:''':::::.' i,:';::':i`.:;'.`::::`1:iri:ii':?'2i;::;:i::::i/ i:i:•;.y:.:::... . .:...Z.""i:i.: C.;.,:;.:;.. •.:;..;...,...;::::..:::>;:.:::::;.:::>:<.:::...;. AGOAb; S 5;.(7l9D) ::;:::• ACORD CORPORATIAN 199D. '• NS 5087.71 1258 F. 01 Aam CERTIFICATE OF LIABILITY INSURANC pm® 02 DATE"JDIYY, M 10 3a 99 I Rl'OOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Olrlingame Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE R�beltt Burlingame HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20D Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville MA 02632 _ _ COMPANIES AFFORDING COVERAGE Robert Burlingame 'COMPANr - - - - A Vermont Mutual Insurance Cc •- INSURED COMPANY - - B Kemper rnsurance •- COMPANY - i"os C Barger. PO Box 219 COMPANY - - - -• .- - - -•° -_ - - Cotuit mA 02635 D CGVF.RACES // . THIS 13 TO CERTIFY THAT THC POLICIES OF INSURANCE LISTED 8FLOW HAVE RCEN ISSUED TO TIIC INSURED WOO ABO'JE FOR THE.POLICY I'ERIOD INDICATED,NOTWITI I STANDING ANY REOUIRMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WIT{{{{{{RESPCCY TO WI IICH THIS CERTIFICATE WAY 89 ISSUED OH MAY PERTAIN.THE INSURANCK AFFORDED BY 1HF.POLICES DESCRIBED I LERFIN It SU JFCT TO ALL THE TL:RNS. FXCLUGIONS AND CONDITIONS 09 SUCH POLIWCD.I WITS SHOWN MAY IIAVE MEN REDUCED R_J PAID CIAIMS. — — — — _ —• _ COI TYPE Gf INSURANCE POLICY NUMBER POLICY EFFECTIVE IPOLIO•EXPIRATION pATE(MM1DMYY% 1 OAT (MMtODfYY) I LLMTS TR OI EMERALL!ADILITY — -- GENFRALAGCREGATE Z-1L000rOaO. p �}(IyCOMMERCIALGENERALLIAOILIYY 5PI7013142 09/26/98 09/26/99 PRODUCTS-COMP,' 11,000�000. ClAIMSMADE LKj OCCUR i PER DNAI&ADVINJIIRY� s 5001 000 — OWNER'S S CONTRACTOR'S PROI I EACH OCCURRENCE — $500 1000 — FIRE UAMAGO;Any Doll Ere) E 50,000- - — MED EXP(A)y one person)�f 5 r 000 AUTOMOBILF LIABILITY I � COMBINED&INCI F LIMIT I$ MYAUIO _ _ };ALL OWNED AUTOS I x BOU LY 1FilURY SCHEMA ED AUTOS (For person) s,; HIRED AUTOS I BOOILY INJURY — ` (Per acdMnt) s i 1 NON•OWNF-DAUTOS' — — — — — + PROPERTY DAMAGE. j s IMMA AUTO ONLY•UAC�GE LIABILITYANY AUTO OTHER THAN AUTO 04LY'FACMACCICFNT SAGGRECATESXCESS LLAOILIIVEACH DGGURMI NGE` I s I UMNRILL.AFORM I AGGREGATE — OTHER THAN UMDRELIAFORM - s -- —'^— C STA'U• S�H• r WORKERS CO0WFNCATIONAND - - - jORY-LMAITyS i ,.�I.:,- — EMPLOYEHu IIAEILITV " EL UCH ACCIDENT I S 100,000_ THE PROPRIETORI IINCL TO BE ASSIGNED 10/09198I 10/09/99 ELOI4E4Sf POLICY LIMIT JS500_000 _ a PARTNERVEXECUTIVIE I I I€L DISEASE EA FMPLOYEE I 1100 000, OFPICERSARE- EXCL I _--�— OTHER OESCRIFTION OF OPCRATIONSHIOCATIONSNEMICI r-51SPECIAL ITEMS a Masonry CERTIFICATE HOLDER CANCELLATION ROGZRS1 5H3ULD ANY OF THC AROVE gESCRIBEU POLICIES 4E CANCFL.LEO REFUPCTHG. s'. EXPIRATION DA.TL THFRCOF•THE ISSUING COMPANY iJILL F4DEA-VOP TO µo Rogers 6 Marney 10 _DAYS WRITTEN NOTICE TO TNC CFR71FICATE HOLRER NAMEU TO TIIE I EFT. r F #508-4ZO^3550 .- OUT FAII URE TO MAIL°r(IGII N<?TICF 811ALL,wo3C wu OPI v:AY.nw.AR LIAHILRr PO Box 310 \� OL3t@=V7-L1® MA 02655 OF ANYk;NCUPONTILCCOMM+�.LIY.ITSA�>CNTSORR[PRECfKfATJVC". I AUTHORIZED REPRESfNTATIVF Robert Burlingame " ACORD CORPORATION 19E8 ACORD 26-S(i195) � 1J The Town of Balm'stable MASS $ Department of Health Safety and Environmental Services Building Division ' 367 Main Street,Hyannis MA 02 I Office: 508 790-6227 r Ralph Crosseu Face 508-775-3344 Building Comm For office-use only R �µ Permit no. Date AFFMAVTT t , HOME RVII ROVEMEHT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. I42A requires that the"reconstruction,altem ions,renovation,repair;modernization, conversion, improvement..remrnaL demolition_ or consuucion of an addition to any pm-mcisting owner occupied building containing at least one but not more than four dwelling units or to suucm=which are x4accnt to such rt5idmocor building be done by registered contra=rs, with certain exceptions, along with other requutmcats- Type of Cost Address of Worst: 123 M W%6 e14 W Ovmcr.Namc: Date of Permit Application: 11 —5- 8 I hcscb}•certify that: Rcgisuation is not required for the following reasan(s):; Work esduded by law Job wader SL000 Building not owner-oc=picd Owner pulling own perzn i y Noticx is hereby given that: OWNERS FULLING THEIR OWN,PERMIT OR DEALING WITH UN CONTRACTORS FOR APPLICABLE HOME RAPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL C. 142A r SIGNED UNDER PENALTIES OF PERJURY I hcscby apply for a permit as the agent of the ourncr. V►/Ic,Ati f ( v v 4 Date 'Contractor name Regis=ion No. C� V_/(/V -V�/�'i�%'V//(/l/"/�%�i�/'Z%Wf/L�/V• Q� V ���I.�'l�(/✓'✓"tiW/I���,�%�1�/�2/VJ'. - •� 1 Id �� � 6J DEPARTMENT'01=. PUBLIC SAFETY 176992 O1If A.I If UR I ON F'LAi;I_,, 1th1 .1zi491:, . I30S1"ON - I'•1A 4)21G78-a013 - „ CONSTRUCTION SUPERVISOR LICENSE 'Y Number: Expires: rLpdaye: CS 0161.71 . OS/07/2000 001(47/1939_'.'.. Restricted To: 00 - •. � `� Mho i` ,19�U CHARLES 0 ROGE:R ; " 2 300 BAXTER NECK RU - MARS'1`ONS MILLS, NA 02610 u . .. Keep top for rece.i py and _ch ange of addr,c ss not::i'(ac. l jorl. _ _-- .I._ _ _ -_ _ ✓1ze Vo��m�uuea� oo���/Ga��czcic�rse�d ;� Y ' • HOME IMPROVEMENT CONTRACTORS• REGISTRATION I -_ I Board of Building Regulations and btaridards ! One Ashburton Place - Roo&1301. I Boston; _Massachusetts 02108 I HOME IMPROVEMENT CONTROCTOR t Registration 100134 Expiration 06/69/00 Type - PRIVATE CORPORATION ' I _ ! - HOME IMPROVEMENT CONTRACTOR _ - Registration 100134 ROGERS « MARNEY , :,TNC §' I ." = Type .,PRIVATE CORPORATION Charles D . .Rogersm I - Expiration 06/09/00 445 OSTERVILLE PO . BOX 310 I , . Osterville .MA 02655 j ROGERS & MARNEY, INC. f 'les 'D: Rogers G�cEn�o 445 OSTERVILLE PO BOX 310 ! ADMINISTRATOR ! Osterville'MA 02655 " POOLS If located in okh,fence only requires certificate of appropriateness If located in Hyannis Historic Waterfront District,pool&fence need certificate of appropriateness Sign-offs from: Health Conservation Tax Collector Dimensions Estimated Cost Owner's name&address Complete dwelling information for the Assessor's dept. Applicant's telephone number Signature Construction drawings or factory brochures&specifications Certified Plot Plan Workerman's Comp. form Fee In-Ground pools 0--,CV gt Home Improvement Specialists License OR Homeowner's license exemption Home Improvement Contractor Affidavit Above ground pool-no license required-(18' or more needs a building permit) NOTE: INGROUND POOLS MUST BE FENCED WITH A 4' HIGH,NON-CLIMBABLE FENCE WITH A SELF-LATCHING GATE. FISH PONDS . Any pond equal to or more than 24" deep MUST BE FENCED WITH A MINIMUM 41,NON-CLIMBABLE FENCE WITH A SELF-LATCHING GATE. q-forms-PERMITS 1 Rev 2/10/98 The Town of Barnstable M Department of Health Safety and Environmental Services , Building Division .367 Main Street,Hyannis MA 02601 Office: 508 790-622? Ralph Cross= F= 508-775-3344 Building COMM For office use only . Permit no. Date AFFMAVIT HOME EWPROVE 1ENTCONTRACTORLAW SUPPLEMENT TO PERMIT APPLICATION ` MGL c I42A requires that the"reconstruction,alterations;renovation,repair,modernization, conversion, imprvvemcnt,.remmal, demolition_ or construction of an addition to any prt-odstmg owner oc=pied building containing at lent one but not more than four dwelling units or to sauctnres which are ari}accnt to such residence or building be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: e,,A al oa w c 56 Fst. Cost Z2S. Addrrss of Work: t Z'?, u HALM o c. 0v6mr-r.Namc. lk r_ . W'.l t,k�'� G OVA A e, ' Date of Permit Application: L l I hc=Ln-ccrtifv that: Rcginration is not rc#rcd for the following rmson(s): 3 Work excluded bylaw Job uri4G�L S1,0W 9 Building not owner-oc=pied ' Owner pulImg own perm L Notux is hereby given that: � ,4 OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH CONTRACTORS FOR APPLICABLE HOME,, llviPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAMOR GUARANTY FUND UNDER MGL c. I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the cum r. Date ntrauor name Registration No. The Commonweal r tl of MassaclrusetYs - " dustrial Accidents 'Department of In • Off X- 88111IMPSI&MMS 600 Washington Street Boston,Mass. 02111 2�� Workers' Compensation Insurance Affidavit SWC L1CI:I..• D! _ __4tt.FC,'r91SY tt. WWI I T. lL1fn t' city ❑ I am a homeowner performiti;all worl,(myself. r ❑ I am a sole proprietor and have no one working in any capacity i'7.F''`�T . ,?..t '�,'�lk�ri t� MM i Sfii�''+�til!iyr4l�i �MMi ,1MI ==MM �:1�Sa 2n1 an employer providing workers'compensation for my employees working on this job. Sampan n . 6?4ZP-) 06• ' .. s insur:•i to r S ce, .. �,• � olfc}�a, tJU'C.: ��''�• � `�'Q(� �tolr3' $�'�1tia�.��!' $S$>a„�'d� �. �' ' '�fl�����'cl. ��C�3iti. i�"ko1�, 't "• t���;,t�";•�i�°�"�^�'��i�,�1�$�,.klit� i am a sale propriet .general contractor omeowner(elrele one)and have hired the contractors listed below who have the followinn workers' cor►tpensation polices: gQn�any n•t e' c `�Q 'f� � r fptt►ltan Sore; �, � cih•: . . photiett• in,ur a cQ. it,�y�,et �� tt7777„t Wyi44t�tt ,, �t•,��rt ool��ll'• a1�P 1! DT1II RI�tM,AM 1a��'tt9i�umw � !' �'I ' s*�e�� ira0S��P� � 1 . o:f��r����1u�Failure to secure coverage as required under Section 25A of MGl.152 can lead to the imposition of criminnl penalties of a fine up to$1,500.00 aud!or nnc years'tmprtanumrnt us welt;ls civil pcnaltiq in the furor ora$TOP WORK ORDER and u line of S100.00 a day aeninst arc. J uoderstnnd(lint a copy of Ibis rtatcment inity be forwarded to the OMce of love�stigatinnv of the 1)L4 for cowtrnge verification. I do hetehy certify under th•pains and enaltics per/ury that flee iq/ortrtation provided above is true and co4oct:' signature Date Print numc C, Phcnc rt '4� 6(6E, oflici:d uac only du not write In this urea to be completed by city or town ufriciat city nr rosin: perMI(Aiccnac riBuilding Departmbnl „• ❑Ucensiog Board Q check if Immedintt rcnpansc is require) Qsclectmat'p O11icc oHcalth deportment contaet person. phnne A; -Other (milts u95 PJA! . ........................................... ss a .. ... .. .... 1. ... Sun DA0TE9/0M9/9D8"M INOAX.1 I I PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ROGERS & GRAY INS. AGENCY, INC HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 434 ROUTE 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. O. Box 1601 COMPANIES AFFORDING COVERAGE SOUTH DENNIS MA 02660.1601 t COMPANY. A Eastern Casualty Ins. Co. INSURED COMPANY Cape Cod Insulation Inc B COMMERCIAL UNION INSURANC 456 Yarmouth Road COMPANY Hyannis MA 02601 C COMPANY D ... .................. ............. ............ ............... ............. ............................................... ............... 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 POLICY EFFECTIVE POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE. (MMIDDNY) DATE (MM/DDNY) XUMrrS B GENERAL LIABILITY ABR592480 04/16/98 04/16/99 GENERAL AGO EGATE S 300,000 X COMMERCIAL GENERAL LIABILITY PRoDurr(COMP/OP AGO S 300,000 , , CLAIMS MADE Ex OCCUR PERSONAL&ADV INJURY $ 100 000 OWNERS&CONTRACTOR'S PROT /EACH OCCURRENCE $ 100,000 FIRE DAMAGE(Any one fire) $ 50,000 MED EXP(Any one person) 5 5,000 AUTOMOBILE LIABILITY CBXB26919 04/10/98 04 1 /99 COMBINED SINGLE LIMIT ANY AUTO ALL OWNED AUTOS BODILY INJURY 100,000 X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Par accident) 300,000 PROPERTY DAMAGE $ 100,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND 70—AIR7 EMPLOYERS'LIABILITY A WC95657123 06/30/98 06/30/99 _EL EACH ACCIDENT $ 500,000 THE PROPRIETOR/ INCL PARTNERSIEXECUTIVE EL DISEASE-POLICY LIMIT $ 500,000 OFFICERS ARE: EXCL _EL DISEASE-EA EMPLOYEE S 500,000 OTHER DESCRIPTION OF OPERATIONSiLOCATIONSNEHICLESMIECIAL ITEMS Insulation Installation. 4 ........ ..... ............. ... ............ ............................... .. .... . ......... ........ .. ... ..... .. ... ...... ... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Rogers & Marney, Inc. EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL P.O. Box 310 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Osterville MA 02655 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPREWMIng CRAY INSAIRA 401"', AGENICI INC. .. . .... ... ..... . ..... .. `xj: ......... ...... .... ...... ...... .... .... ..... ........I . .... ....... .......... 0399 -- :.. ... DATE(MM/DD/YY) AOORD,v CERTIFIO�A►TE O LI BIL aTY INSURANCE 4/ 6/9s PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION W. H . E s h b a u h Insurance s u r. a n c e Agency ,n c I n C . ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 9 9 y , HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. y a n n i s , MA 02601 COMPANIES'AFFORDING COVERAGE COMPANY A Trust Assurance Co`. INSURED..,. _ .. - ,COMPANY Harmon Painting , Inc . e . . Eastern Casualty 707 Mai n Street . .� COMPANY Osterville, MA 02655' c COMPANY D , �..l.m COVERAGCS 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 POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DDNY) !_DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $_ > UUU > UUU _X COMMERCIAL GENERAL LIABILITY / PRODUCTS-COMP/OP AGG $q��� /0�O-0 O-O-O_ A <;; CLAIMS MADE OCCUR Tm Y 9 0 0 0 3 3 6 4 9 H I 9 9 PERSONAL&ADV INJURY $ I—, V O O , 0 0 0 OWNER'S&CONTRACTOR'S PROT / l EACH OCCURRENCE _$1 1 O OO 10_O 0 FIRE DAMAGE(Any one fire) $ 5 0 00-O� [T MED EXP(Any one person) $ J U O O AUTOMOBILE LIABILITY ANY AUTO ;, I, COMBINED SINGLE LIMIT $ ALL OWNED AUTOS .x r BODILY INJURY "$ SCHEDULED AUTOS 1 r ^(Per person) / HIRED AUTOS BODILY INJURY.. I - NON-OWNED AUTOS (Per accident) $ -- PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ -- --- -- ............ ....m,... ANY AUTO OTHER THAN AUTO ONLY: ----- — 1 -— -- EACH ACCIDENT $ .. AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ " UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ y, WC STATU- OTH•..':. WORKERS COMPENSATION AND ,,, TORY LIMITS ER ^ EMPLOYERS'LIABILITY — --- - O 0-'O n -7 n n EL EACH ACCIDENT � Sl B THE PROPRIETOR/ INCL W C 9 7 Z 9 8 0 0 7 /a q R /4/M 7 9 PARTNERS/EXECUTIVE -_.-_. I - EL DISEASE-POLICY LIMIT $5 0 0 ,-O O 0 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER , 50 DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIALITEMS . . >. m L . .. .C TQ4R F i . LT:,.: . .Fogers & Marney , I n c . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE . O • BOX 1 3 1 O EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL•� I 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, bsterville , MA 02655 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE C � ACQRq 25 S(1/95) ,. ©ACO ORRQRATtOCJ 198$` °—� . V:: V::: ....V_.. V V:: V C:::::. " V.... q:::; �;` V= II V'4•V '. ► Q.J V-h". .d%,. 11%11 Rene -la tt: 12/12/97 ------------=-----------=---=-------------------------------------------------- Ptolucer: I' ,rhIs cerlIIicale_is issues as a matter of inIoraaIion only a a I confers no rilhls�elee the cerlilicale-Geller. [his cerlilicale leer not amens, SOUTHEASTERN INS AGCY extent of aller the coverafe allorltl ly the policiesrletow. _ PO BOX 261E _ _ =--==................................. 641 MAIN ST fOYP4111Ef AFFOR0111f COYEME - ' HYANNISMA 82681 I--- ---- -- ----- ----------------------------- ----- ---------------=- fole: tnl-tale: I 'e:o,tlr a:` ARBELLA PROTECTION ------------------------- Insures: I fo tlr B: Ic .c_ - ---- - '- --- HOLCOMB PLMB & HTN6 f ttr t: DAVID HOLCOMB -- ----=------- ------- ------------ 38 PERSEVERANCE WY c°•,.t'r °`' GREAT AMERICAN` HYANNIS MA 82681 I--------------------------------------- ---------------- -----=------- f0 tlr E: COVERAGES Ihls it to certify I h a I policies of insurance IfIIeI Ielew have ltea issuel, t0 the insureA name m ova I o r I e policy i t r i o I ielicaIt1 rt01wiIAs1anIial arty reIuir two aI sera or tonAili0a el any eoa racl or other tocumrel itiIh.,resyec to whits this, certificate may le fssutI or may torIaift the insuranct allorlel ly the poIIciet,ItstriItI,her 0in is.,sulje 1 to a f the leans, . txcl03i0nI, and con/ili0as of such policies. b ails sh0N0 ray have leer - ' re1Uce a_f aims. ---------r--------------------------------------------- ------ y--------------------------- ------ ------ --------- -------- Co PoIIc Polity s - ttr ly to el Insurance �� Policy numler �� tIIecrfte IaIe � txliraIi0 la',t limits in IhouIaa/s ---I-------------------------------------i-- ----------------- ----------------------------------------- ------------------- � iENERAt tlABltlir ORDERED ! 12/1.8/97 I 12/18/98 ileneral ails salt: --- Commercial deneral .IiaIIIiI I I I;m IProlu<Ir-co p/o►r addred: flaunt male IX] Occur I I I (Personal/a veIIIsiItI Iaji Owner's A rontr:clerII pros I I �, Each ecc react: 2,(BBB i �} Fire la ape; s 51 i ,. ` sYe/ica txpente 5 ------------------------------------------------------------ --- --- ------------ - --- ------- - ----- ------- --------------- F , AUYOYOdItE 1.1itItIIY Ir Any auto I I^ Indle knit: spot awls elfly injury s s fchelulel autos � ' � (Ftr yet ton): Rired antos id01ily i'rtjury a Non-smneI IUiot s s (Per atciieat): I Parade lialflily "s _ i• s i s I.. IPreltrfy lanais: ----------------------------------------------------------------------------- ---------------;-------------------------------------- �EX{Eff tIABltl1Y h OicuIrente AIIrefalt' If Other IAa u a I r e I I a dorm -------------------------------- NORKER'f cOYPENfAl1ON � flalulory D � ANd � ORDERED � 12/18/91 � 12/18/98 � �---------------------- ------- laB (Ea(h a(tllenO EYPtOYERf' tlAdltllY _ l i 588 .('Disease-policy limit) i i s (Disease-mash employee) ------------------------------„----------------------- ------- ---- --- -- ------- - --- -- ----- - - - - - ------------------------------------------------------------------------------------------------------------------------------------ Description e! operalieer/!°calf°rtr/reAicltt/ceslriclieet/sjecial ieans: ANY AND ALL PLUMBING AND HEATING OPERATIONS ------------- -------------------------------------------------- -------------------------------------------------------- -------- CERTIFICATE HOLDER CANCELLATION i fh0aII any e! the I10ve 4 t I c r i I t I policies le ta#(tileI Ittoto the i expiration dale Ihereol, IAe is3ulilt company will endeavor I nail 18 lays written notice 10 the cerIiIicIIt hot1tr namel to 1 h t ROGERS A MARNEY INC scat, fur IaIIvre,I# mail such notice shall impose no eIIijalion or ° P 0 BOX 310 tialitily or any dint Ulan the company, its afents or reiresenlaiives. OSTERVILLE MA 82655 I-----------------------------------------------------------------=------- Aulheriae/ re,presentative: r_ i SCOTT W LOWE JA ----------------------------------------------------=-----------=-------------------------------------------=----------------------- AIR4 DATE: 02/12/90 TIME: 12:54 ?M TO: 420-3550 PAGE: 002-002 :: :•:< alL �" �'" ': :�F ix ':. :;�E;:: :�ti1':Fi •'. �: :; .! iODUCER THIS CEI is ISR[ nAS TER OF INFORMATION `(508)540-2400 FAX (508)540-6671 rra $ MacDonald Insurance Services ONLYAND CONFERS NO RIGHTS UPON THECERTIFICATE Y HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR )6 ]ones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, •1mouth, MA 02540 COMPANIES AFFORDING COVERAGE i ................................,:........... '.•COMPANY.......Trave_ 1 er5 Ins CO - , in: CIC, Maureen Souza Ext: A ............. .......................................................................................... .n. . ...................... ...•. SURED COMPANY Randall C. Agnew Electrical Contractor Randall C. Agnew . ..... .... .... ...............:... -..... 1 94 Furlong Way COMPANY COtUi t, MA 02635 ....................... ........ COMPANY . . D - LISTED•:. :x•:•: . ••• PERIOD, THIS ISTO CERTIFY THAT•THE�?OUCIES OF INSURANCE LL� ED BELOW HAVE BEEN ISSUED TO•THE INSURED NAMED POLICY PC INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RE'SPEOTTO 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. ...................................... . . TYPE OF INSURANCE POLICY NUMBER :POLICY EFFECTIVE:POUCY EXPIRATIOII t LIMITS R; DATE(MM,DD/YY) ; DATE(MM/)D/Y+) GENERAL UABIUTY 3EMEAAL AGGREGATE Is ,p 2,000,000 X:COMMERCIAL GENERAL LIABILITY PRODUCT •COVFIOF A 4 2,000,000 ;PERSONAL&ADV INJURY 5$' 1 0OG 000 {s,:;• ,CLAMS MADE : X;CCOIR'680602Y4557 01/16/1998 � 01/16/1999 • '+ OWNERS IS CONTRACTORS'PROT :EACH OCCURRENCE $ 1 000,000 FIRE DAMAGE(Arty uie fire) 300,000 $ MFD Er;(an f mc.Puw) s 5,000 AUTOMOBILE LIASIUIY _ . SAED SINGLE.OAT $ ANY AUfC - ALI.9/JNE AUTOS BODIL Y!NJ.IF b: 80 tEDULED AUTOS er D 'n).. ............... HIREDAUTOS B-:01-Y N IURY i NON-OWNED AUTOS '. - .,: • .. PROPERTY;.+IMAGE GARAGEL-LARLI1Y AUTO ONLY EA ACCIDENT ;$ ANYAUTO OTHER THAN AUTO ONLY: FACHACCiD^ENT;$. r ' AGGREGATEi� EXCESS LIABILITY OCCURRENCE '$ .... ... UM3RELLAFORM :AGGREGATE $ c OTHER THAN'UMBRELLA FORM I WORKERS COMPENSATION AND :79?YLINYTB: ER E :' i E >:'; '::'t?{?['•?: EMPLOYERS'UABIUTY : : F EACH ACCIDENT $ 100,000 :10UB602Y449498 : Ol/16/1998 ; O1/16j1999 ;-� THE PROPRIETOW ;Ntt :EL DISEASE-PvUC Y LIMIT ,$ " 5()0,000 PARTNERS,'EXECUTIVE ?•..; OFFICERS ARE: : :EXCL', * I EL DISEASE-EA EMPLOYEE'$ 100,000 OTHER :SCRIPTION OF OPERATIONSiLOCATICNSNEHICLES!SPECIAL ITEMS - ectrician AAR N. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE "< EXPIRATION DATE THEREOF,THE ISSUING COMPANYWILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HCLDER NAMED TOTHE LEFT,, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR UABILITY & Marney OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENT, Rogers fax: 42 3550 AUTHORIZED REPRESENTATIVE CIC, Maureen Souza/MA5 1E. INS 5087711258 P. 01 �4coRD CERTIFICATE. OF LIABILITY INSM-M �� 02 D10/3ATE 0/9 '� is �0 9a I RWOUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION I,�- `'T�Lrlitlgame Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 90beYt Burlingame HOLDER.THIS CERTIFICATE DOES NOT AMEND.EXTEND OR 20D Post office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BE LOW. Centerville MA 02632 — _ — _COMPANIES AFFORDING COVERAGE Robert Eurlingame r COMPANY — — — - — — A Vermont".Mutual Insurance Co Phuu-No. 506-171,_9105 Pe>tN_.50Q,-771�1258 - _- -• - - -- •- INSURED COMPANY B Kemper insurance COMPANY James C Barger. PO HOK 219 COMPANY ICotuit M 02635 COVERAGES / THIS iS TO CERTIFY 1HAT THE POLICIES OF INSuRANCC LLSTCO 8FLOW NAVE RCEN ISSUED TO JRC INRURED NA IFf)ABOJR THE POLICY I ERIOO "♦ INDICATED,NOTWITHSTANDING ANY REOUIREMENT TERM OH CONDITION OF ANY CONTRACT OR OTHER DOCVMCNT WIT{f{ff{RERPCCY TO WIIICH.THtS, CERTIFICATE MAY BE ISSUED ON MAY PERTAIN.THE IN�URANCr ArFORDEh BY 1HF POLICIES DEWAIBEO HERFIN IS SU JECT TO ALL TIiF Ti:RM$. ` EXCLUSIONS AND CONDITIONS OF:SUCH PDUCICD.I WITS KNOWN MAY HAVE 6EEN NCOUCCD RY PAID CLAIMS. — — — —, POLICY EFFECTIVE POLIO EXPiRATICNJ LIM;TS R I TYPE OF INSURANCC POLICY NUMBER DATE(MMOMY'V DAY(NIM:DDm) —I}— GE14FRAL AGCREGATE 1 SLOOO r 000. GGNERALUAOILITY , s< s �- — —, • —I 98 09/26/99 FRODUCTS•COMPOPA A XICOMMENCLALGCNtRALLIABILIIY BP17013142 09/26/ % GG�s_1,000L000.— i CLAWSMADE � iI PERSONAL &ADVINJ NRY_— b S_OO L OOL iJOOrOOOTWNER'LCONTRACTOR'S PRO7 EACH OCCURRekr. — °— FIRE DAMAGE!;Any one fire) . $50,000 — — _ — — MED EXP(A1y one Person) $5 8 000 — AUTOMOBILE LIABILITY —_ COMBINED RINCt F LIMIT S ALL OWNED AUTOS BOUILY INJURY s ff SCHCDIJI ED AUTOS '(For person) FP. NIREU AUTOS I BODILY INJURY NON•OWNF.DAUTOS o, PROPERTY DAMAGE G ARAGE -- AUTO ONLY-FAAGCIDENT L_ — — OTHCR THAN AUTO ONLY' 'EACHACCIDENT S AGGRECATE i �EACN OCGURNCNCE IUMRRELLAFORM _ fAGGflCGATC — i _ _ •— I OTHER THAN UMRR£LI A FORM - " ` Tn WORKCRSvi WC'TA CONY'FNSATIONAND, TORV•LIMITYI —,WC TA-I'll fR _ — EMDLOYEHJ LIABILITY EL CACr1ACCIDCNT Is 10(),000 THE PROPRIETOR! IINCL� TO BE ASSIGNED .10/09/98 ) `10/09/99 ELDI;EA$r-POLICYLIMIT 13SOOr000 8 PARTNER SIEXECUTIVE — — —• -.� —.. OFHCER$ARE' EXCC I EL DISEASE--EA EMPLOYEE; 1 10O OTHER - - , DESCRIPTION OF OPERATIONSA,OCATIONSMEHICI C5ISPECIAL ITEMS I, - - r i MaLsanrY _ CERTIFICATE BOLDER CANOE!LA710N s 6HJUL0 ANY OF THE ABOVE DE5CRIBEP POUCIES BE CANCFL.LED REFORCTHC RAG)ERS1 EXPIRATION DP,TE THPRCOF,THE ISSUtNO COMPANY WILL FNDEA.VOP rO FAIL . jtOCjerS & MOXIf9Y, 10 —DAY$WRITTtN NUTLCE r0 YNC CFRTIFtCATE HOLDER HAMEu.TO,TIIE 16FT. j F1LR3I508-420^3550 BUT FAR URE TO MAIL SUCH NOTICE.SHALL W03r'NU DN(+nAT:r-N OR L+AHILfrr' PO Box 310 _ MA 02655 OF ANY KIND UPONTtIECOMPAN'i.11'SAGENTSORRCPR6BfNrATIVCS. AUTHOR o$t@rV1110 IZ ED REPRE$f.NTATNF _— —•—'-- Robert Burlingame . - ACORD CORPORATION 19F.8 ACORD 25-S(1195) MAY-09-98 03 : 12 AM MCALPINEtBUR.INGAME. INS 5087711258 P. 01 +� k PROOUMD-- CERTIFICATE OF LIABILITY INSURA NC pit) 0-1 DATE(MMIDDn) THIS CERTIFICATE IS ISSUED AS A MATTER OF McAlpine I INFORMATION AYCO J 9� Insurance INFORMATIONAND CONFERS NO RIGHTS UPON THE CERTIFICATE Jahn McAlpine _HOLDER,THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20D Post Office $q ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Centerville Im1 02632 COMPANIES AFFORDING COVERAGE John McAlpine i COMPANY — Pnon.,No, 508-771-010„S Film No 08-771-12��pp A 4'rust Insurance Company, INSURED .X .. —.. .—._. ,r.--.. COMPANY g Silvers Property&Casualty Ina C COMPANY Bay Colony Concrete 8'orme Inc C 32 Third Ave Osterville Imo 02655 COMPANY — COVERAGES THIS IS TO CERTIFY TIiAT THE POLICIES OF INSURANCE.LISTED BELOW HAVE-BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TILE POLICY P;111 - INDICATED,NOI AITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOGUMLNT WITH RESPECT TO WI ITC CERTIFICATE MAY SE iSSUEO OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TER EXCLUSIONS'AND CONDITIONS OF SUCH POOCIES,LIMITS GHOWN MAY i:AVE BEEN RECUCCU BY PAID CLAIMS LiR I TYPE OF INSURANCE T, POLICY NUMBER _ I POLICY EFFECTIVE POLICY EXPIRATION - - ^ BATE(MMIDOJYY) I DATE f6a�rDDnvl UMITS GENERAL LIA911•ITY -- GENERAL OGREGATE $2,000,000 A X)CONIMERCIAL GENERAL UA8ILITY + TMP1004315 03/30/98 03/30/99 PROos-coMPiOPACG 12, 00.,000 I I�CLAIM`,MADE 17OCCIJR PER NALSADVINJURY_ I31,00p,Upp �--YI OWNER'S 8 CONTRACTOR'S PROT H OCCURRENCE: S 1'000,GOO„ --. IfIAE DAMAGE(A^Y one tire) 3 50,000 - MEDEXP An ., ( r one P eti—) 35 5 00p AUTOMOBILE LIABILITY I ANY AUTO I COUR NED SINGLE LIMIT S I' ALL OWNFD AUTOS _. •.�.. - I, ..BODILY INJURY . _ • ,---.. SCHEDULED AUTOS I / f IaQr ue eo,y �f' HB3C-D AUTOS BODILY INJURY NON-OWNED AUTOS - (PIN soaiderd) -- _ PROPERTY DAMAGE S GARAGE LIABI(.IlY TO ONLY-EA ACCIDENT Y' i I JWAUTU OTHERONLY: E FACHACCOENI S - EXCESS LIABILITY I EACH OCCURRENCE S UMERELLA FORM - r� ;I� AGGREGATE_ OTHER THAN UMBREI LA FORM i WORKERS COMPENSATION AND WC STATU-EMPLOYERS'LIABILITY ..I X TORY UMITS I ER : E:L SAC HACCI'ENT . i�100�000 r THE PROPRIETOR/ I; ) 8 I X INCL WC"0000753-01 03/31/98,.! 63/31/99 ELOISWr;—POLICY LIMIT $500 000 PARTNER:ilCXGCU'IIVE _. OFFICFRS ARE, EXCL' - _ - - - ELDISME E1EMPIAYFF.LS 100,000 OTHER DESCRIPTION OF OPERATIONSILOCATIQN3NEHICLESISPECIAL ITEMS I Concrete foundations., CERTIFICATE HOLDER` CANCELLATION ROGERSI SHOULD ANY OF THE ABOVE CESCR!BED POLICIES BE CANCELLED BEFORE THE !%1•IIIATIUN DATr"V'R f'AF,TNF IeSVINO 00MI'ANY WILL CNDCAVIDR TO MAN. ' Rogers •& Harney 10 • DAYS WRITTEN NO(ICE TO THE GERTIFICATF HOLDER NAMED TO TItL 4EFT, FAXES 8-92 p- 5S0 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 �+ OsteJ:vi lle MA 02655 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESEN'FAFWES. ' AUTHORIZED REPRESENTATIVE „ John McAlpine ACORD 25•S(1195j A CACORD CORPORATION 9948- S ' I 6992 UCPARTMENT OF PUBLIC SAFETY 176992. - ONE ASH tlRTON PLACE, UM 1301 ,E30STON, MA 021033-1013 , CONSTRUCTION SUPERVISOR LICENSE Number: Expires: Lfi.rL'hgaje Y CS 016174 0510712 000 107%1909. ` Restricted To: 00 r' MAY '2 CHARLE S U ROGER:; :300 BAXTER NECK RU AIARSTONS MILLS, MA 02648 Kcep.'Lop fir receipt and change of addressnotification. ✓12G' 1/)0�lJ�/JI?^0�'ZCUP,aGGf2 O�i.i�'G��G/ZG�1 I• ,k _ I HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards ! One Ashburton Plait Room' 1.300 I Boston, Massachusetts 02:108 I' HOME IMPROVEMENT CONTR(� - _ c-roR i . Registration 1001.34 Expiration ,06/09/00 Type - PRIVATE CORPORATION ! _ N011E IMPROVEMENT'CONTRACTOR ! _ Registration 100134 ROGERS & MARN& , 'INC: ` j _ - Type - PRIVATE CORPORATION CharlesE) c F�ogers t Expiration 06/09/00 445 OSTERVILI_E PO BOX 310 I n Ostebille, MA 02655" A ROGERS & MARNEY, INC. IG 40M�� fly les D. Rogers norniNisTranToa 445 OSTERVILLE' PO BOX 310 ' I MA 02655-0sterville. 1' Q • D J. � I I�I BIRDS EYE.VIEW WILLIAM CUMING-RESIDENCE.LOTUI7 MA ' nl� $ �: :]DDIT/OLnRIrE• 1 I 1 ; .�:* r x n..-. r _ 1 i SErs PLAN ;a3 R SFD 2s 998 , •.. •.. .. ^• I' NOTL rn531 VSE NS 13MI--QR r,�.� -..•i. r i I,+• fM SED ON OI�EARTY$1/QlEY DKGW i � �•. �. i �. _,. ..' FIAN wfiCfA Rc flY!•CA✓6 4 - AL ' SSLANDS ENoiNcs RING'QGy •� _ I •. -- .TN1K50 GILGfONAnV GR2g8 ''" SITE PLAN�BIRDS VIE }I _ "' SIG4 DFVGbr�IENT - -• _ DDDN�OOLFNEInCUMI REEN iOlJf1,MA � V'FK VDN HENNEBERG•AIA .. - U;nn.crfTr.c.r5 8 rn.�NNGRs I > CT1 arD�e 1(.,1� . r • 4. _ �A r 1 �I CC el I 4'�4ID1 � •� S � I jj 1 r,o _, 1 pi.-' � � I, I I �'- __ j .. , 1 i(n><cafvnrgD/ - I.. . r • ., _ � � „ : .. iSETBACK vnr D I Rn,��,,' r 1 ! 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I 1 N CONSULTANT t A;:.1>jr over b : F DINING DEC 16 2018 ROOM \ \ PANTRY RINSE \ '� \ I \ KITCHEN \*•� '1/2 BATH � r REVISION , I t -- \ Y OAT \ \ PANTRY I . \ o ri LU D I REF II r__d _ _ U. {I w DINING ROOM T o NOTE KITCHEN I f TW9 DOCUfHENTS USE BY TiE W.NER FOR ES OR TNIS PROJIiG BY Oh FORR9 1=3=TIOY CF \ FORBIDDEN.WECSURONIN GGNNECSTR III ` -———— s---T-- N9TUBLI TIM INT SHul NOTBE CONSTRUED LEGEND AS DE-1-INDEROOAneN of TIE DESIDNER9 RI0— . - 1'L.'R„�•ZL'�.� �.-P/_!Z Z v/J —�-�Z7�iG"Y _� �' PROJECT Cuming n EXISTING FIRST FLOOR DEMO PLAN- - 1 0 "'�`- 123 Hummock Lane 1/4"=1'-01, [ -'• Cotuit,MA 02635 4 _.v SD ......... 4. DRAWING EXISTING FIRST FLOOR $ _ DEMO PLAN PROJECT NUMBER EXODI a SCALE 1/4-1'-0' 10(6HS - Le and M DRAWN BOB 1/4„=1._D_ EX1 .1 a SEAL DRAWING Door Schedule Head Mark Description Level Width Height Sill Height Height Comments a CONSULTANT 102 SINGLE EXISTING FIRST FLOOR DEMO 2'-T' 6'-8" T.O" 6'.8" PLAN 103 (SINGLE EXISTING FIRST FLOOR DEMO T-6" 6'-10" 0'-0" 6'-10" PLAN 104 SINGLE EXISTING FIRST FLOOR DEMO 3'-6" 6'-10" 01.0" 6'-10" PLAN 105 SINGLE EXISTING FIRST FLOOR DEMO T-6" 6'-10" 0'-0.. 6'-10" ' PLAN Proposed Window Schedule Head Type Mark Mark Description Level Width Height Sill Height Heigh Comments A 1 TRIPLE-DOUBLE HUNG EXISTING FIRST FLOOR 5'-01, 4'-0" 3'-6". 7'-I' - DEMO PLAN B 1 SINGLE-DOUBLE HUNG EXISTING FIRST FLOOR 2'-71/2" 3'-51/2" 3'-3" 6'-81/2" FOUR SINGLE WINDOWS AS DEMO PLAN ONE UNIT B 2 SINGLE-DOUBLE HUNG EXISTING FIRST FLOOR 2'-7 1/2" T-5 1/2" T-3" 6'-8 1/2" FOUR SINGLE NANDOWS AS DEMO PLAN ONE UNIT B 3 SINGLE-DOUBLE HUNG - EXISTING FIRST FLOOR 2'-7 1/2" 3'-5 1/2" T-3" 6'-8 1/2" FOUR SINGLE WINDOWS AS DEMO PLAN ONE UNIT T\ - B 4 SINGLE-DOUBLE HUNG EXISTING FIRST FLOOR. 2'-71/2" T-51/2" 3'-3" 6'-81/2" FOUR SINGLE WINDOWS AS DEMO PLAN ONE UNIT I I LAUjJDR Cj SF 172 SF 'C HO I/ PANTRY 1??, 58 SF 15 ' B1 \\ 7 p REVISION sl� \ // \ 9 FWNOdm�HLWS Hell � /"?6� p oni 58 SF 0 � illB ,fiT 1!2 BATH�- a��.ba"� �. �16•-4" NOTE J {► N I I I TU9 -U-M RY TIE OIMJER FOR OTTER PROJECTS OR FORCCMPU:l10N CF TITS PROJECT BY OTTERS IS-cr.Y O] �� FORBIDDEN.DISTLBUTON IN CONNECTION '� U • W1Ti T-0S PROJECT SHALL NOT BE CONSTRUED lOTCHEN CU nle DEss�rl_lwcliis�'ATON OF 450 SF Q DINING ROOM I II LEGEND j - co so CL) 318 SF LL co 0 v._... - t- PROJECT o Cuming o Cot HummockLane Cotuit,MA 02635 4 DRAWING 18',2„ PROPOSED 2 PROPOSED FIRST FLOOR PLAN FIRST FLOORPLAN PROJECT NUMBER EXODI ...e. ... x SCALE Asindicatad 10/25Hg R DRAWN SOS n Legend A1 .1 4 SEAL DRAWING 1 -47 64" s W2 388 a W2/368: 3O82a FAP2134 SBA36B FAP2434 3DB2A SD824 a.P TRY _ DISH WASHER DISH WASHER - 2DB3034. B24DWBC 2DB3034 SW24LD Ceiling Height 85 72' ri _4 BS 0834A t3cc,334A C ip • - o 0 : a • AV y�9 Y D 24UC3DB33908 OCC3390B IY4.30-LH 48, 9�F_./LLL.CD.30- 4 470+ 55{" All dimensions _size designations. - This is an original design and must Designed: 10/21/2019 • given are subject to verification on not be released or copied unless Printed: 11/2 1/2019 job site and adjustment to fit job applicable fee has been paid or job conditions. 2020 order placed. Cuming Oct 17 All Drawing #: 1 No Scale. LONGFELLOW GENERAL STRUCTURAL NOTES WOOD FRAMING NOTES D E S I G N 8 U I L 0 TYPICAL LUMBER NAILING SCHEDULE 367 MAIN STREET FALMOUTH,MA 02540 TWO ROWS FOR BEAMS UP TO 12-DEEP LONGFELLOWDB.COM 774255-1709 NAILING SHOWN IS TYPICAL EXCEPT AS NOTED ON PLANS USE COMMON N485. THREE ROWS FOR BEAMS OVER 12'DEEP TOM GALLIGAN,PE 617-548.1407 1. ALL CONSTRUCTION SMALL BE IN ACCORDANCE WITH THE MASSACHUSETTS STATE 1. ALL ROUGH FRAMING SHALL BE N0.20R BETTER SPRUCE-PINE-FIR,UNLESS RESIDENTIAL BUILDING CODE 19TH EDITION) ' OTHERWISE NOTED OR SHOWN ON THE DRAWINGS. 1. JOIST TO SILL OR GIRDER,TOENAILS 341d 2. THE CONTRACTOR SHALL NOT SCALE THE CONTRACT DRAWINGS. 2. ALL TWO 12)INCH NOMI NAL LUMBER TO BE SEASON ED TO 19%MA3tIMUM 2. BRIDGING TO JOIST,TOE NAIL EACH END 241d 3. TYPICALANDCERTAIN SPECIFIC CONDITIONS HAVEBEEN DETAILEDON THEDRAWINGS. MOISTURECONTENT. 3. 1"x6"SUBFLOOR OR LESS TO EACH JOIST,FACE NAIL 2-Bd FOR CONDITIONS NOT SPECIFICALLY SHOWN,THE CONTRACTOR SHALL PREPARE DETAILS 16d NAILS- 1 3/4-LVL SIMILAR TO THOSE SHOWN AND SUBMIT THEM WITH THE RELEVANT SHOP DRAWINGS 3. ALL LUMBER AND PLYWOOD SHALL BE GRADE-STAMPED BY THE APPROPRIATE - TO THE ENGINEER FOR APPROVAL. MANUFACTURER'S ASSOCIATION FOR THE APPROPRIATE USE. 4. WIDER THAN INN"SUBFLOOR TO EACH JOIST,FACE NAIL 3-Sd. I ■ CONSULTANTS 4. ALL EXISTING CONDITIONS,DIMENSIONS,AND ELEVATIONS SHALL BE VERIFIED BY THE 4. 'ALL WOOD IN CONTACT WITH CONCRETE,MASONRY,OR EARTH SHALL BE 5. 2"SUBFLOORTO JOIST OR GIRDER,BLIND AND FACE NAIL 2-16d CONTRACTOR PRIOR TO SU BMLSSION OF RELEVANT SHOP DRAWINGS FOR REVIEW AND PRESSURE TREATED WITH ACCA-C 0.40 PROCESS. f�J '♦• PRIOR TO COMMENCEMENT OF FABRICATION AND CONSTRUCTION. S. ALL WOOD FRAMING SHALL BE BUILT PLUMB,LEVEL,SQUARE,AND TRUE WITH 6. SOLE PLATE TO JOIST OR BLOCKING,FACE NAIL I6"O.C. 16d AT S. THE CONTRACTOR SHALL NOTIFY THE ENGINEER IN WRITING OF FIELD CONDITIONS ADEQUATE BRACING AND CONNECTION HARDWARE TO ENSURE A RIGID STRUCTURE. 7. TOP PLATE TO STUD,ENO NAIL 2-i6d WHICH ARE IN CONFUCT WITH THE STRUCTURAL CONTRACT DOCUMENTS. 6. ROUGH CONNECTIONS SHALL BE ACCURATELY CUT AND TIGHTLY FITTED AS - S. STUD TO SOLE PLATE NAILS OR 48d TOE NAILS 2-16d END �, + 6. THE DESIGN,ADEQUACY,AND SAFETY OF ERECTION BRACING,SHORING,TEMPORARY NECESSITATED BY THE CONDITIONS ENCOUNTERED TO PROVIDE FULL BEARING SUPPORTS,AND OTHER METHODS OF CONSTRUCTION ARE THE RESPONSIBILITY OF THE WITHOUT USE OF SHIMS. / 9. DOUBLE STUDS,FACE NAIL I3"O.C. I6d AT + CONTRACTOR. 7. ALL FLOORS AND THE ROOF SHALL BE SHEATHED WITH 3/4"TONGUE AND GROOVE 30. DOUBLED TOP PLATES,FACE NAIL lfi"O.C. I6d AT STRUCTURAL 1 PLYWOOD,GLUED AND NAILED,UNLESS OTHERWISE SHOWN OR ]. THE CONTRACTOR SHALL COORDINATE THE STRUCTURAL CONTRACT DOCUMENTS WITH NOTED. - 11.TOP PLATES,LAPS AND INTERSECTIONS,FACE NAIL 2-16d CIVIL,ARCHITECTURAL,MECHANICAL,PLUMBING,AND ELECTRICAL DRAWINGS BEFORE COMMENCEMENT OF WORK AND SHALL NOTIFY THE ENGINEER OF ANY CONFLICTS. 8. ALLPLYWOODSHALL BE LAID WITH LONG DIMENSIONS PERPENDICULAR TO SUPPORTS.STAGGER ALL JOINTS.PROVIDE BLOCKING AT ALL JOINTS ONLY 12. CONTINUOUS HEADER,TWO PIECES IWO.C.ALONG EA.EDGE 16d AT .4 DESIGN LOADS WHERE SHOWN ON PLAN. 12'O.C. 9. ALL PLYWOOD SHALL BE FASTENED WITH 10d NAILS 6"ON CENTER,10d NAILS @4' 13. CEILING JOISTS TO PLATE,TOE NAIL S-8d ON EACH FACE 1. FLOOR LIVE LOADS ON CENTER(SECOND TO FIRST FLOOR)AT SUPPORTED PANEL EDGES AND AT ICI' 14.CONTINUOUS HEADER TO STUD,TOE NAIL 48d ON CENTER AT INTERMEDIATE SUPPORTS,UNLESS OTHERWISE SHOWN OR NOTED A.FIRST FLOOR-40 PSF (SPECIFIC SHEAR WALLS&DIAPHRAGMS). 15. CEILING MISTS,LAPS OVER PARTITIONS,FACE NAIL 3-16d B.SLEEPING ROOMS ABOVE FIRST FLOOR-30 PSF 10. ALLINTERIOR DOOR HEADERS SHALL CONSIST OF TW02X8'S WITH ONE LAYER OF 1/2"PLYWOOD SPACER,UNLESS OTHERWISE NOTED OR SHOWN ON THE 16. CEILING IOISTSTO PARALLEL RAFTERS,FACE NAIL 3-16d - 2. ROOF LIVE LOADS - DRAWINGS.FOR 2.6 EXTERIOR STUD WALLS,ALL EXTERIOR WINDOW AND DOOR - A.SNOW 30 IGROUND SNOW)PSF - HEADERS OVER THREE(3)FEET WIDE SHALL BE IN ACCORDANCE WITH TYPICAL 1l.RAFTER TO PLATE,TOENAIL 34fd 3. WIND LOADS - HEADER SCHEDULE(SEE DRAWING S ). 18.1"BRACE TO EACH STUD AND PLATE,FACE NAIL 249d A.REFERENCE WIND VELOCITY=110 MPH(3SECOND GUSTS) 11. SIMPSON CONSTRUCTION HARDWARE(OR APPROVED EQUAL)SHALL BE FASTENED - B.REFERENCE WIND PRESSURE=20 PSF ACCORDING.TOTHE MANUFACTURER'SSPECIFICATIONS AND NAILING SCHEDULE. 19.1•x8"SHEATHING OR LESS TO EACH BEARING.FACE NAIL 2-8d C.EXPOSURE=8 THE GENERAL CONTRACTOR MUST BE FAMILIAR WITH,AND HAVE THE D.DESIGN METHODS APPROPRIATE PRODUCT CATALOGS ON SITE.ALL EXTERIOR CONNECTORS AND 20.WIDER THAN INS"SHEATHING TO EACH BEARING,FACE NAIL 341d TYPICAL BUILT UP BEAM DETAIL /. E.MAIN LATERAL SYSTEM PRESSURE=42 PSF NAI LING TOBESTAINLESSSTEEL - g C1 21.BUILT-UP CORNER STUO524"O.C.: I6d AT _ A.ALLSPECIFIEDFASTENERS MUST BE INSTALLED ACCORDING TO THE - 4. FLOOD ZONE ANALYSIS _ INSTRUCTIONS IN THE SIMPSON CATALOG.INCORRECT FASTENER 22.BUILT-UP GIRDER AND BEAMS 32"O.C.AT TOP&BOTTOM 20d AT `A.FLOOD ZONE HAZARD AREA DESIGNATION "X" _ QUANTITY,SIZE,TYPE,MATERIAL,OR FINISH MAY CAUSE THE CONNECTION FEMA C.BASE FLOOD DELEVATION:NO. NAOOSC07561 TO FAIL.16D FASTENERS ARE COMMON NAILS(S GAGE X 3-1/2")CANNOT BE REPLACED WIT6051NKER5(9GAGE%31/4'')UNLESS D 23.2"PLANKS EACH BEARING 2•S6d AT ZONE MAP Ii]. 19 D.DESIGN FLOOD ELEVATION: NA OTH ERWISE SPECIFIED. " 0.��. - S.BOLT HOLES SHALL BE A MI NIM UM OF I/32"AND A MAXIMUM OF I/167LARGER - SH Po I. FOUNDATIONS THAN THE 80LTDIAMETER(PER THE 1997 NOS,SECTON 8.1.2.1.). NUT WASHER p)� C. INSTALLALL SPECIFIED FASTENERS BEFORE LOADING THE CONNECTION. EPDXY ADHESIVE TO COMPLETELY FILL VOID 7 WwfzW 1. SOIL BEARING: EASE NG BETWEEN BOLT OR REBAR AND HOLE IN WALLS. 77 tl'nl N ANCHOR BOLT PROVIDES.S.SCREEN TUBE AT MASONRY WALLS. xo W SPREAD FOOTINGS...........DESIGNED FOR A MAXIMUM ALLOWABLE BEARING D.PNEUMATIC NAILERS MAY BE USED TO INSTALL CONNECTORS,PROVIDED • „ `:MATERIALS OR REBAR PRESSURE Of 1.0 TSF - THE CORRECT AILH HOLES. TWI TYPE NAIL NAILS OCATIN MECHANISMSERLY ■ 'a,�faa INTHENAILHO W TOOLSMANUFACTURER'S INSTRUCTIONS NS AND ISMS SHOULD "D•=BOLT OR - J 2. EXCAVATION.......................E%CAVATE TO LINES AND GRADES TO PROPERLY BE USED.FOLLOW THE MANUFACTURER'S INSTRUCTIONS AND USE � REBAR "H"=HOLE CIA. BOLT OR REBAR REQUIRED REOUIRm HOLE INSTALL FOUNDATIONS ON UNRESTRICTED SOIL.IN NO CASE SHALL THE BOTTOM THE APPROPRIATE SAFETY EQUIPMENT. - OUTSIDE DIA. OUTSIDE DIAMETER EMBEDMENT LENGTH DIAMETER'H' OF FOOTING BE LOCATED LESS THAN 4'-0'BELOW THE LOWEST ADJACENT - "D"(INCHES) "E"(INCHES) (INCHES) SEAL SURFACE EXPOSEDTO FREEZING. E.JOISTSSHALL BEARCOMPLETELYONTHECONNECTOR FOR PERMIT A'� SEA TANDTHEGAPSETWEENTHEIOISTANDTHEHEADER EMBEDMENT E- 1� G M 3. BACKFILL UNDER SLAB OR GRADE...............BACKFILL WHERE REQUIRED BELOW SHALL NOT EXCEED I/8". LENGTH'E' SLABS WITH APPROVED GRANULAR SOIL PLACED IN 6"LAYERS AND COMPACTED 3/8 3 3/8 7/16 - REVISIONS TO 95.DENSITYAT OPTIMUM MOISTURE CONTENT AS DEFINED BY ASTM D-1557. NOTES: 1/2 41n 9/16. METHOD D. 12. UNLESS NOTED OTHERWISE,MINIMUM FASTENING OF WOOD MEMBERS SHALL SIB 55/8 3/4 WDESCRIPTION DATE CONFORM TO TABLE 602.3(1)OF THE 20121RC CODE.WHERE CONFLICT WITH 1.DRILL HOLES,CLEAN OUT AND INSTALL EPDXY AND BOLT OR REBAR IN 3/4 63/4 7/8 4. FOUNDATION PLACEMENT AND PROTECTION......._....DO NOT PLACE FOUNDATION NAILING SCHEDULE ON THIS DRAWING,USE HEAVIER NAILING. STRICT CONFORMANCE OF EPDXY MANUFACTURER'S WRITTEN ANCHOR 718 77/8 1 CONCRETE IN WATER OR ON FROZEN GROUND.PROTECT IN-PLACE FOUNDATIONS RECOMMENDATIONS. BOLTS 1 g 11/8 AND SLABS FROM FROST PENETRATION UNTIL THE PROJECT IS COMPLETE.DO NOT 2-ONLESS OTHERWISE INDICATED ON DRAWINGS,PROVIDE THE 11/4 11114 13/8 EXCAVATE WITHOUT ENGINEER'S WRITTEN PERMISSION.ANY SOILS BELOW 13. ALL PLYWOOD OR OSB SHALL BE APA RATED AND SHALL BE ADEQUATELY SPACED EMBEDMENT LENGTH AND HOLE DIAMETER INDICATED IN THE SCHEDULE 11/2 131/2 IS/8 HYPOTHETICAL PLAN ES BEGINNING AT THE BOTTOM EDGE OF EXISTING FOOTINGS AT MINTS(1/8"TYP)AS REQUIRED BY APA FOR EXPANSION. (THIS SHEET),FOR THE BOLT OR REBAR SIZE INDICATED ON THE DRAWINGS. AND EXTENDING DOWNWARDS AND AWAY FROM THE FOOTING AT A I:I SLOPE. W3 BAR 41/2 1/2 14. ALL SOLID WOOD POSTS SHALL BE DOUGLASS FIR NO.1 OR BETTER. #4 BAR 6 5/8 3.EPDXY BOND STRENGTH I5 TO BE BASED ON A SAFETY FACTOR(S.F.)OF W5 BAR 71/2 3/4 1 15. BEAMS NOTED AS TSL"SHALL BETARALLAM"AS MANUFACTURED BY TRUS JOIST 40 REBAR W6 BAR 9 7/8 MACMI11 0 p7 BAR 10 W 1 ADEQU LANE=1,REDAN PSI,COVERED 0 THE JOB PRODUCTS SHALL O W8 BAR 12 11/8 S. UNDERPINNING................DESIGN OF UNDERPINNING AND LAGGING BY ADEQUATELY STORED RTO INSTALLATION. THE JOB SITE TO BE PROTECTED FROM W9BAR 131/2 13/8 ■ CONTRACTOR.SUBMIT DRAWINGS AND CALCULATIONS,STAMPED BY WATER DAMAGE PRIOR TO INSTALLATION. PROFESSIONAL ENGINEER REGISTERED IN THE COMMONWEALTH OF I6. BEAMS NOTED AS"LVL"SHALL BE AS MANUFACTURED BYTRUSSJOIST MASSACHUSETTS,TO THE ENGINEER FOR RENEW MACMILLAN(E=1,900,000 PSI,FB=2,900 PSI).LVL PRODUCTS SHALL BE EPDXY DETAIL ADEQUATELY STORED AND COVERED AT THE JOB SITE TO BE PROTECTED FROM WATER DAMAGE PRIOR TO INSTALLATION. - 17. SHEAR WALL SHEATH]NG SHALL BE IN ACCORDANCE WITH SHEARWALL SCHEDULE. NOTES ALL SHEETS SHALL BE STAMPED WITH THE MANUFACTURER'S INFORMATION AND SHEATHING CERTIFICATION. STRUCTURAL STEEL NOTES 18 ALL STUDS SHALL ALIGN WITH JOISTS.AT TYPICAL AREAS SUCH AS OPENING TYPICAL EPDXY ADHESIVE FASTENER SCHEDULE HI500 LMEM9USEB HEOWNF FOR IAMBS,PROVIDE STUDS OR BLOCKING TO MAINTAIN A SOLID CONTINUOUS LOAD Ts FROJECT BY OTHERS 15STS�TRI�LY FCRBIDOEN IS STRUCTURAL SHAPES: - PATH TO FOUNDATION. DISTRIBUTION IN CONNECTION WITH THIS CON TRUED AS NOT BE - ■ CONSTRUED AS FVBLICATION IN DEROGATION OF WIDE FLANGE SHAPES.............. M THE DEBIWERS RIGHTS.....AST p992,OR ASTM A572 GRADE 50(Fy=50,000 PSI) - - - SECTION(HSS)..._........__........ASTM A500 GRADE B(Fy=46,000 PSI) /(2)2K TOP PLATE _ BOLTED CONNECTIONS..............FOR BOLTED BEAM CONNECTIONS NOT SHOWN ON THE CONCRETE WORK: PROJECT TITLE DRAWINGS HEADER SCHEDULE(U.N.D.ON PLANS) PROVIDE THE FOLLOWING NUMBER OF A325,/"DIAMETER BOLTS. CONCRETE STRENGTH: PROVIDE THE FOLLOWING 20 DAY COMPRESSIVE STRENGTH FOR FIELD CUMING RENOVATION 3 FOR W10 BEAMS CONCRETE:4000 PSI NORMAL WEIGHT FOR ALL CAST IN PLACE CONCTETE zK6 STUD WALLS ■ 123 HUMMOCK LANE PROVIDEANGLESAND PLATES WITH A THICKNESS TO DEVELOP THE PORTLAND CEMENT: ASTM C350,TYPE H.WATER CEMENT RATIO AS REQUIRED FOR DESIGN STRENGTH. SEE OPENING ROOF ONE FLR ONE FLR+ROOF MASHPEEJ MA CAPACITY OF THE BOLTS PROVIDED.AT EXPOSED BRACED FRAME Y HEX' CONNECTIONS USE A490 TENSION CONTROL BOLTS ROUND HEADS AGGREGATE: NORMAL WEIGHT:ASTM C35,WITH MAXIMUM SIZE OF%". 2>STUD \SCHEDULE FOR / ORIENTEDTOWARDS BUILDING INTERIOR.TIGHTEN NUTS TO SNUG-TIGHT .WATER POTABLE FRAMING, SIZE LESS TRAM S-O' 2-2X6 2-2X6 2-2X6 ' CONDITION. SEEFRAMING SLUMP:. ACI TABLE 305A PLAN FOR ADD'L \ 2X BLOCKING ANCHOR BOLTS.........._...................ASTM A307 OR ASTM F1554 GRADE 36 BOLTS(LION) ADMIXTURE: ASTM C260 AIR-ENTRAINING AGENT AS REQUIRED FOR A TOTAL ENTRAINED AIR INFORMATION \' ( OMID-HEIGHT 3'-1'to 5-0' 2-2X8 2-2X8 2-2X8 ON THE DRAWINGS. CONTENT OF6%:1.5%FORALL CONCRETE EXPOSED TO FREEZING.DO NOTUSED ❑PEN , TYPICAL O BEARING DRAWING TITLE CALCIUM CHLORI DE. WALLS GENERAL NOTES, WELDING ELECTRODES..................CONFORM TO AWS SPECIFICATIONS FOR ELECTRODES .. - A, / -• S'_1'ta 7'_p• 2-2X10 2-2X10 2-2XIO BASED ON WELDING .STEEL ASTM A615 GRADE 60 ISSCHEDULES AND PROCESS AND THE TYPE AND GRADE OF STEEL.(E70XX,MIN.) REINFORCEMENT: ASTM AISS FOR WIRE FABRIC •�(/ TYPICAL DETAILS ' ERECDON.......................................PROVIDE ANCHOR BOLTS,STEEL WEDGES,THREADED PROVIDEW6 CHAIR BARS,HIGH CHAIRS,TIES,CLIPS,SLAB BOLSTERSAND OTHER T-1'lo 8'-0' 2-2)(10 2-2XIO 2-2X12 IS ACCESSORIES WHERE NOT SPECIFIED ON THE DRAWINGS IN ACCORDANCE WITH / 1, SCREWS OR SHIMS TO SUPPORT AND PLUMB ALL COLUMNS.GROUT SOLID UNDER BASE MANUAL OF STANDARD PRACTICE OR DETAILING REINFORCING CONCRETE PLATES IMMEDIATELY AFTER COLUMNS ARE PLUMB.PROVIDE BEARING PLATES AND STRUCTURES ACI 315 OR CRSI-WRSI MANUAL OF STD PRACTICE. /I NOTES: IS PROJECTNUMBER 1 WALL ANCHORS OR ANCHOR BOLTS FOR ALL BEAMS RESTING ON CONCRETE AND ALL OTHER NECESSARY CONNECTING HARDWARE.SET ANCHOR BOLTS USING TEMPLATE 1. PROVIDE AND INSTALL HEADERS IN ACCORDANCE WITH THE ABOVE DO NOT FIELD CUT OR FIELD MODIFY ANY STRUCTUPAL STEEL WITHOUT PRIOR OPENINGS: PROVIDE 2-46 AT EACH SIDE OF ALL OPENINGS IN WALLS AND SLABS AND (212K S0 EPLATE. SCHEDULE FOR INDICATED ROUGH OPENINGS ON ARCHITECTURAL PLANS AND DATE: IO292019 EXTEND 2'-6"BEYOND THE OPENING OR AS DETAILED,EXCEPT VERTICAL BARS WHEN BEARING UNLESS NOW OTHERWISE HEADER SPANS EXCEEDING TABULATED VALUES WRITTEN APPROVAL BY ARCHITECT FOR EACH SPECIFIC CASE. ON CONCRETE ` ATSIDFS OF OPENINGS IN WALLS ARE TO EXTEND FROM FLOOR TO FLOOR.BARS PLATE IS TO BE / ` SHALL BE NOTED ON FRAMING PLANS. SCALE: AS NOTED PAINT.............................................SHOP PRIME ALL STEEL NOT ENCASED IN CONCRETE MAY BE MOVED ASIDE AT OPENINGS OR SLEEVES BUT DO NOT CUT OR OMIT. PRESSURE J 2. PROVIDE 3'MINIMUM BEARING AT EACH END. OR TO BE FIREPROOF FOR ALL EXPOSED STEEL,USE A THREE COAT PAINT SYSTEM WITH A ZINC-RICH PRIMER,ON EPDXY INTERMEDIATE COAT,AND A PROTECTIVE TOPCOAT,OR MINLMIIM CONCRETE PLACED AGAINST EARTH DRAWN BY: TVG .................................................3" TREATED(P.T.) A/ .A CONCRETE SLAB ONGRADEBOTTOM.................._........ 1S5" HOT-DIP GALVANIZE THE STEEL AFTER FABRICATION IS COMPLETE. COVER: SLAB ON GRADE TOP.......................................................................1" IS FABRICATION..................................SHOP FABRICATE TO GREATEST WENT POSSIBLE BY FORMED CONCRETE EXPOSED TO EARTH,WATER OR WEATHER.......2" (2)2:JACK STUDS EACH - WEIDING INCLUDING BEAM STIFFENERS,COLUMN CAPS AND BASE,HOLES AND FORMED SLABS TOP AND BOTTOM..............................................._.I" SIDE OF OPENING CONNECTIONS.SUBMIT COMPLETE SHOP DRAWINGS FROM FIELD DIMENSIONS FOR THE INTERIOR FACES OF WALLS........_........__........................................1" ARCHITECT'S APPROVAL OF ALL STRUCTURAL STEEL PRIOR TO FABRICATION- - COLUMNS OR PIERS(MAIN REINFORCEMENT)..................................2" , DRAWING NUMBER STANDARD SPECIFICATIONS...........AISC SPECIFICATIONS FOR STRUCTURAL STEEL NNUALAt REINFORCEALLWALLS WITH W4@12"IN EACH WAYEACH FACEAND 2-W6 EACH EDGE,U.N.O. BUILDINGS,ALLOWABLE STRESS DESIGN AND PLASTIC DESIGN,THE AISC CODE OF REINFORCEMENT: IN SLABS,PROVIDE AT LEAST 0.0018 TIMES THE AREA OF CONCRETE IN EACH DIRECTION,U.N.O. no STANDARD PRACTICE,AND AWS STRUCTURAL WELDING CODE-STEEL. SPLICING OF AS SHOWN ON PLANS BUT NOT LESS THAN 40 DIAMETERS FOR SLABS AND BEAM BOTTOM BARS, \J REINFORCEWNT: AND NOT LESS THAN 48MR DIAMETERS FOR WALLS AND BEAM TOP BARS.PROVIDE A LAP OF84 - TYPICAL HEADER SCHEDUL OR %SPACES,WHICHEVER IS LARGER,FOR WWF.TIE WIRES TOGETHER AT LAP. NE Al LONGFELLOW D E S I G N • BUILD 367 MAW STREET FALMOUTH,MA 02546 LONGFELLOWDB.COM 774-255-1709 TOM GALLIGAN,PE 51744&1407 �w \ (2)2X BLOCKING �7 (E)T&GSH EAT HING }"COX PLY ,�, P VIDE BEAR G, r 7 2%BNAILER WALL EA O (E) l00 GIST SHEATHING (E)DECXRAILING W/IJ12 SOS @8"OC ■ CONSULTANTS �• i i 1 PRIOR TO ERECTION (E)FLOOR -�..• _---} 1 i (2F1/2"0 SHEATHING ��y0-P\• Q I 14-.:.� .. -,_._.r, __'- !,,... __ _..�._-._...(' BOLTS ® ■' WIDE FLANGE BEAM 1 - fi', (3)2x8PT 11 I - EXTERIOR BEAM I I }"O LAG BOLT 2" I LL W BLO I (EI2K1D <a%aKl/4 SECTION 2XBPT JOISTS@16"OC OP CELL ULA N I ;R 'w JOISTS _. .. }"CDX PLYWOOD BOTTOM, I I I I 1/2°0 LAG BOLT }"T&G PLYWOOD TOP 4x6P5L SIMPSON A35 E.S. ' +yy7 r FULL HEIGHT Ay (22A TLE GER I. _ BULL (2) 4"W RU LOXX" I I I JOISTSLOOR S REW @0' c,3'FRO EN IS ( I I (E)SILL PLATE t� 5/8"W THRU BOLTS AT •, 16"oc STAGGERED,8"FROM (E)FOUNDATION- °ram, + SIMPSON JOIST HANGER ENDS ' . CENTERLINE WSxSEAM SECTION r + PARTIAL FIRST FLOOR FRAMING C3 SECTION C2 DETAIL POST TO FOUNDATION C1 i/4°■1'-0' 3'�1'-0' HIS 10.29.19 6uu9au SEAL ueu FOR PERMIT A REVISIONS O q DESCRIPTION DATE `v2• / _ �Fj�.\ �:�n`,^� /fir.,/ ■ (2)2XS HEADER PLYWOOD'SEE DETA1 INFILL ♦ REMOVE EXTERIOR1\ �/ J ♦ / WALL AS REQUIRED y - �'yV DOUBLE STUDS NOTES REMOVEANDREPIACE /// ♦♦/ * �\ (i�/ THIS OOCOMEM'S USE BYTHE OM.ER FOR EXISTING WINDOWS AS yGy - OTHER FROJECTB OR FOR OONRFTION OF THIS REFERENCED ON PROJECT BY OTHERS IS STRICTLY FORBIDDEN. DISTRIBUTION IN CONNECTION WTH THIS ARCHITECTURAL - /' ry ♦ a f �@ PROJECT SHU NOT BE DRAWINGS //� \, ♦ j f1 • THE DESIGNERS U TRUED AS ON IN DEROGATION OF • EXTERIORWALLIN-FILL SEE NOTE 4.! _.. P PROJ TITLE PARTIAL 2ND FLOOR FRAMING PLAN , '?s 12 LNG RENOVATION �' ,iE, ' 123HUMMOCKLANE / I I I MASHPEE,MA 1/4'-1,0• NAN 2 1 o 0. OVEI ERIO :1. 1 NOTES: I. `♦ ALLS RE Q�1 U - IN)FIRST - /r 'l 1. EXISTING FRAMING SHALL BE FIELD VERIFIED AND ENGINEER OF u^ \ FLOOR—�— — J^ / _ r C/ }4 1 I RECORD NOTIFIED IF EXISTING CONDITIONS DIFFERFROM CONSTRUCHON V f DRAW+NGTITLE DOCUMENTS. B%28 EXISTING AND NEW 2. INITIALS INDICATE THE FOLLOWING:"FJ"=FLOOR JOIST;"(E)"-EXIST FRAMING HGU HANGER 1 1 'DI'=DECK JOIST,'RR=ROOF RAFTER,"EMDR"=EXISTING HEADERING ■ FRAMING PLANS, W 3. '1 INDICATES JOIST HANGER CATI N6 SECTIONS Et DETAILS . ' ''T 2X10 JOISTS@3Woc i - ■ E)BE M,FI LD V RIFY 4. EXTERIOR WALL IN FILL FRAMING SHALL MATCH EXISTING,2X.WALL STUDS @ 16 oc, EXISTING FRAMING Sr DEMOLITION PLAN EXTERIOR GRADE PLYWOOD(cd%)}"THICK MIN.NAILING SHALL BE 10d@6,6,12 o w I P PROJECTNUMBER 1 I: o s @J w .. IW29=19 SCALE: 1/4"=1'-0° - t. •' . TI i _ - z DATE: CdJ NOTES: m - x w a R'a SCALE: AS NOTED (E 2ND TOR w _ 1, EXISTING FRAMING SMALL BE FIELD VERIFIED AND ENGINEER OF W LL A OVE — DRAWN BY: NG DRECORDUM NOTIFIED IF EXISTING CONDITIONS DIFFER FROM CONSTRUCTION ' -x�' DOCUMENTS. ' - ! ■ REMOVE(El WALL 8%35 r AND FRAMING AS _ — — _ REOUIRED (E)2"9"Dl 16"ct r (E)2'x9"o @36 oC M • r ADD HAN ER, j. -.._.... .. _ l}.. DRAWING . .. �_.._..__....._,-.-. ..... .. ....... ..... _.._.,..,....-.•-_�....-.... . NUMBER • -_ r_ r OWNER: '„ .45 William R. &Ruth D. Cuming, Trs. 13 "-/ .. 5 Old Post Road m -----_---- Sharon, MA. 02067 43 --'' -_-_---_ ASSESSORS REF,: 42 ' __ Q - N Map 053. Parcel 020 _' _-� ------- ------- ^\� I &Map 036. Parcel 058 41 nag Pole_ ___ �. L o f 16 L o f 18 ,gg; _ '/jell OVERLAY DISTRICT:gr f \ -^ \ ^ a AP- Aquifer Protection District Edge of Lawn — — \ -_---- i As Shown Aquifer Plan Entitled \ \\ \ �. *Revised Groundwater Protection __----TaP of Coastal Bonk---'-_ \ Edge of Cown \\ \ O Overlay Districts"- April, 1993 _— — — —u— _- - \ \ `• _ \\\ � A � FLOOD ZONE: LOCATION MAP: — -30•_ _ ____� �aP of Coo -^ ^------ 5 — .25 sto�o�=� _ _ _ _ t Iona Nt &C Scale: 1' 2000' _ Community Panel No. - - — 20 1250001 0018 D July 2. 1992 r4 e _ vN ZONE: — — —,5-__ _ _ _— _ _ — — _• _ _ _ _ �,AID_" —,,,, _ _ DIRECTIONS. RF&RPOD _ _ — 1_ - a From Hyannis - Take Route 28 toward Cotuih Area(min.)87.120 SF Atk— Stone Re.rtment� _ _ �'`•'D•N.•o 8 Take a left onto Old Post Road., Take a left Fro.to (min) 150' onto Hummock Lane: House is at the and on Width min) - ` 41K AL �` w.Mc,,.G,u: - the right. 1123. Setbac S., i._ ` .� t.ew.eTwucTi:nw ter`eT�,wn It --'4---_- •vv.a PoeTvw..iT,was �' Side 15' Coastal Bench--�� -AIL �• II d'' •�•-� -[l(I - Rear 15' _—_-- Y` Baffin -_-- - __ Cl.-to/B ^Y� ��` \ Note, Location of House &Driveway From T.O.B. G.I.S. each OVERALL PLAN scale: - -._-_- AY. Rk - _-----elf'---___— ^ _ POSTS(TYR) \. .. .... d PLAN VIEW \ Scale: 1'a 20' u • \ . d *allo�BC Paa,wtT Z .Y I� NLND DUDffa.O NO �\ - - %P06T NO,�i \ 24 V•Re,�,Nsa _ .. NANO ewu P03T3 CTYPJ SECTION A-A- t. c scalar I/4°a I•-O Sol'..16 e. t.,F 0.Gqu.0.aD,NaT.. coV<. e - , PAo3 TO 0uPPo0.T N'it l:� a Po STa ON BTONG 0.¢IMYWT. =_ a - • Title: Site Plan PREPARED BY. PREPARED FOR. • Notes: - Showing Proposed Stair Sullivan Engineering,Inc. CapeSury William R. & Ruth D. Cumin g 1.) fie property line information shown wos compiled from available record information. n Reconstruction PG Bax 0 il Parker Road 135 Old Post Road . - At - Osternile. MA 02655 Ostervige MA 02655 ,1,t C 2.) The topographic Information was obtained o . - 123 Hummock. Lane (508)42d-3Js4(50BH2d-3115 Ia. (509)420-3994(sad)42o-s995 ro' Sharon, MA 02067 tram on on the ground survey performed on �a Ps4wcaua_ a.....•wceaeaoeael or between 171DECIOI and 20/OCT/02. � Barnstable (Catutt), MASS. J. The datum used is Yean Low Water based on Draft; MD Field: WHIC/MO}I 20 0 10 20 40 So NGV0 '29 and the datum relationship as per a Dote: Dec. 2, 2005 scale. AS Noted Comp.:PS Comp.:WHK/RLH the USAC£(-0.8'used). Project 1 21030 Orowinq t C52744LW - " 1 b O ✓ r • .. ' - ... j aril r �ur' • 6 1 � � R •\ -- - ce......f Li��.G.�� i?t - -•!� it i :� ' ��`:� `\ � _---.if - . wo ?VIM 1?0 . . Al L t G I # u i Y '9 b � H w 1 � I HOUSE No.123 HUMMOCK LANE' TOWN MAP 35 PARCEL 58 ! \ Lor 16 J r —.--"w - a. PROPOSED SEPTIC UPGRADE 6 POOL HOUSE t LOCH TED.SN COTUIT BAANSTABLE - M.tSS. PREPARED FOR MILLIAM CUMING PLAN NO,,fQ FILE NO.326BA DATE: OCT_19 1996 D-50 DRANN E.Y.•DCS CAPE 6.ISLANDS ENGINEERINIS -t' 133 FALNOUTH ROAD - SUITE } - - -MASHPEE MA 02649., 80B 477 7272 - a' J t a► d I \ �1 C: I' ' yr• = 64. • 4r- - ` '�. f `� All s .. ... : f � Y i }I• � I •'- �' � � �\ •.ems — � .� . .es._y f _.�.. J,i c o c a ' - a. - ., •:• '% so ems.- - - 1N o. L LT 1 HOUSE JR3 HUMMOCK LANE NO. MAP 36 PARCEL 58 T 16 — — - „. - - PROPOSED SEPTIC UPGRADE 6 POGO HOUSE t L0CATED-I1J COTUIT BAHNSTABLE - MsSS. - �— PREPARED FOR 5 r MILLIAH COMING J PLAN NO, FILE NO. DATE-' OCT_I9 1998 D-50 ORAMN E.Y, OGS CAPE ISLANDS ENGINEERING 133 FALMOUTH ROAD - SUITE -W� ' - MASHPEE - NA, OR649. 568-477-727P .. ._ L ' ' I G'RYE 6FT JDNP GtAi If NOf BE54ND t%O. . T Low jb c6 fJ011Pfb®F AS S4_11) .._ - - r:C F Ig•m.a•y _tkt_S DECKN .LEyI. -r Y CANS�IRUCTION SHALL COMPLY \MITI{ LATEST EDITION • _ , n o 1 ee..eD 1 mLOLgA noo.vEPr . _ �� 1 nto»ENE.Tz) OF THEAPPLICABLC CODE OR Bu1LUNGt ORDINANCE- . � _ - Z CONTRACTOR SHALL VERIFY ALL DIMENSIOfVS :'.L• I 3 `�I AND CC4VDITIONS(SHOWN ON THIS 5HEET)aK SITE. � PROPERI7 UN C OK C=C OF FOOT" •°- k�LVT.r - 1 �","•.•. 1 I. F:�oL p»K A�,ID YARD AREA AROUND POOL_ • 4••0` ,.Sw 1 LENGTH OF POOL_•50=0`(n+Ax (fast W.-OLCK) •SHALL DLOPE. A\Y/a�/ F-([bN\ �OL- . \ s o• yNLIONEND�CA'QL reEP n+ nO L IMI01 ��4 P12OJIDE ORAIN/ACzE AROUND POOL IF WATER IS ENCOUNTERED.NO GRWND WATER AT Pool LEVEL. ooz+e6v. i-- 1r CCIN+NICNf A5 T 5 POOL SHALL BE B-d MIN.DEEP IF WAND--ESoARD M USED. 51 �FOR SaorS ON• / I I 1 -° � ' '6 FGOt_EOutPMENI (FILTERS,Pl1MP,HEATER,ETC•)SHALL TOE Of ELorE\\ \ID 1N✓y // NOT 13C LOCATED IN REQUIRED FRotr�OR 31OE YARDS. ' <TEEPERTUNr 41 moo. I 7MaX. , h SEEY"PE7T M7, 1:4 I I _ - -�-7'•SOIL:SHALL 6E UNDISTURBED 9ATURAL(fOOO P..S.F�OR I o• L_ _T 1 APPROVED CpNPACTEO FILL -CR•LL1 wxD�ry r I —a CONCRq_ PNEUMT'KALLY PLACED CbNCtZETE D• N.w�w 8•"0•• IT•o•. 'SHALL HAVE A MINIMUM C0MFRC5S%\E. SYRENGTH OF 2QU PSI AT•28 EA.YS,\VITA NOT NORC.TMO i LO11r ITUDIfdAL SECTION 2 )UMFPOAreSALTbR 'oFnoNAc ecca53� uGHr NICHE '4.5 PARTS so-.NC oNe PAR CEtt\EN� Bl +VOLUTAE AND 3 GALL-ONS OF\VATER flER SACK PECCO•SCAL SC°6rSfptER .OF CEKENTT� Z�. FVIt(LYTA r SJRfncE`N.aLr_6L INEUicALAD O5rNn1r ri4.' eowol�+r�1JEt Dow=IoI OR GO°CJiKN T - ql� U�DtSTURBE.D =OIL. , tf O.'WEW F1�TG ,DECK 4A1T8-t5 ADNESIVETAES08CAMjCOPih* )- p L�. 4'A'IT CLAY PLACE-: CoAtCREjE./;4 '� DEcK i ACLOArotD.ST-C s• v%6 7 (OR AN AVPRovry rNSTr) - J 161<^'L.)r 'I b K). OR�OeT Ifn+Iw+ S t - I I 19' _ n`�A/J ..{�� (� • , ViAIR�C..P �Iq A�. O IN NCS�SDESIGNNFf3ASED ON tl,000 •- IiDKH ¢dD' r T �. •: r��e •v• A 'i i WA . .I tSfAM iv rI3� I3�+ P,S.t: LAP ALL BkRS R\DtAUN 9.0 PIA7HF S a t~ a o• �� D m JDDr> D ;v A$Rfn'o r°n4idt A� SPLICE5 p.ND CARIdeRS rsNCRrae C� e.e�4. COPING, --u pRo ItLz tAecxAlltGst- DeJtccs To HOLp aj>EL to -L--- c2-.uicc; ccNNEcrcN TD DRywFiL QLACE A40 MAINTAIN Z'CLFARANCE�T\VEEN CA" 7oRnvsucrw/ -_=s- SEALRJCI MTAIL t Cf'i10AAL RECESS€D LAMcLR S17p 11,slt_ G oR SE�er IraEau.cD At�D STEEL. PKSE +RETRra EitESHwmcINLET.. C_ CAL rcbQQcwQ Tr) .r M'ASiE UNE TODR{WELL._:. - ... _ ems' ,1 �I /� If1IP.SQY1NECrSCMS j� -, +,.. ^• .. a'�F LR pROpER RK EP¢¢ "DER COPING V12N �d{h1Uf.S`a10fs•JaYF —sI'�. 50�1/��Iry� � r� T�I `-•l 'G LO 5 rruAEx HNR{UYf FbT AS CCO.O BY LOCAL YALVEtrKUL•M• (ea.Pf(bRL f_O.a•L) ac y.• '- WwI GRAIN IYiE .. oFD1Nu>Ce EQACER L'aOe+c w.cE•Fru fltlS.+P.wcP-1 (2EQFOfc�ttJCEi, r�-L-1 YY\BIIJC� AND'TU L'bAfDUlr'1S _�OP:KE1At N!A7ER: f6ol CDPIN6 iD. DECK Slab(YL•a1 br 6E'PoURED t �� S Cn'oN WPe4 REQUIRED PRoi2 Tb L'JJ LDIt lNSF1=C1<bfZS PC�GI N WLYE Sµ+ •.."�g OAS AFTER MC,XG ..•. 1 - QEiLF51'VALYEx. FDDL tciuG KKI_ I- 1 ntx_o-N.snc sr�) CLEARANCEOF REtr1FaRCtL� POR Gl)N1TlNC�• -�. ^: •::. - - .. .. _.. KA.0 L,vc,/ 'A[Dincx. L)Irn.Rvl .1- - . \ I ET>E� \J•/ rRrt CITT�M , LWES[_OP JJJ FILL tMt, - J- .-/ •• IXM�Ih\1GT10N JOII(r 1 i ___ .•• •OPTICNAL CfTAIL 7 DETAIL.J3 q>L1NER /�IMINDRnrI � `4tdtlPwLs'FLes-o-r.n.nc'. 0��1_K . -tUIN DRNN UYE RLTUEN LINE V/t E LS WE NECESEAR' :IP Cw.ACOu.Sikw Arn\'AS ftR . 3gN•IyFL FILTER LS VSED 14.PRESS1w [yv MANAEKNRET.SCNDAm) —�- .. - .. Sn• IRSTRULTIOASS' 3 5URFAGE BtCIHHEQ MIC44E TYPICAL PRESSURE S'/STEM PIPING DIA6RANI S FRESH warESt IULEr 9 rA" Ew`q°1vE�L� -1 \uET CtYdCREjE MNIC�oAILy MR l� CAYS 1 Imo- _Z DO 40T-WRtd Opt LIClNT vwttl Foot_ tS E*,PIY ,. r DEO g(or1e. 4. 1— EGISTERED Ib rdq-use sL.Actc RuBr�R wore\JI4er1 Fiu..IdcY T-LNal_--- 1 r-t- -_ : BLACK F'kJ5eCR MARKS PLASTFI2fewrSEE 1 1 - 'I 5.4CoNr- I cc.r dVC !-_� L_JSNDiE�t(ID . -T 1 CN.N-C 1(71,\ \'A YPC G�-OQ\CIF; N F°iQ/ --+'s [�\17� ATc- f�Gl f> ;:0Q_ Ph4g CLRtr 2'CLSHALLOW ENID yvtbiE: 6^ sn 6.. :4 tiD 303 "E¢E7• logawp BADD 1.4,4D4'To.Sao-APOZ+4 fte Fba ttNG'IH of SIDe. 2CLC.n,p) h O10 DEEf END STANDARD SOIL IZ C£t:P ENO RAMP OR o4"NAX FILLgOARDMAN ASSoCtATEs PORTSMOUTH, R•L CARLfM IL BBARU DETAI LS .FOR SEE la b' �Oo-cwNO. -362-5 '3Of2 ! @` CUSTOM GUNITE. POOLS, I NC. o.c.E w. 656 HIG"LAND C(L�AtO TTVEf�rt) RL, .. _ .. ...., .. OVAL ENGINEER ALE: Oo.TE: Dy.vNBv: CNFLNED: . - I� -,RECE55t-D t3oNo L3 P.<.M ,{�{• (AISED BJND t P.M SHALtaw ENo .,. AIONL 9-7-83 ACC.. 83080/ I F ; i