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0072 OCEAN VIEW AVENUE
I o�at� p ro "%MOOTIVE rl � tHET Town of Barnstable 4` MASS Building Department-200 Main Street '°rfoa�0� Hyannis, MA 02601 Tel. (508) 862-4038 Certificate Of Occupancy Permit Number: B-2015-05166 CO Issue Date: 5/23/2016 Parcel ID: 034-054 Zoning Classification: RIF Location: 72 OCEAN VIEW AVENUE, Proposed Use: 1090 COTUIT Ge n Contractor: Permit Type: Residential - } Comments: GUEST COTTAGE 05/23/2016 Building Official Date: TOWN OF BARNSTABLE Building 201505166 * , Issue Date: 09/17/15 Permit MAS&A88. pr16 . ��� Applicant: STEVEN J.BISHOPRIC INC permit Number. • B 20152585 Proposed Use: MULTIPLE HOUSES ONE PARCEL Expiration Date: 03/16/16 Location 72 OCEAN VIEW AVENUE Zoning District RF Permit Type: GARAGE DETACHED RESIDENTIAL Map Parcel 034054 Permit Fee$ 867.00 Contractor STEVEN.J.BISHOPRIC INC Village COTUIT App Fee$ 100.00 License Num 106141 Est Construction Cost$ 170,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND REBUILD GUEST COTTAGE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: COUTU,MICHAEt.J&DONNA K TRS BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 30 NOBSCOT ROAD,UNIT#6 INSPECTION HAS BEEN MADE. SUDBURY,MA 01776 Application Entered by: JL Building Permit Issued By: -4"eu THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,Bum ORARII,Y, E '. ENCROACi&ENfs ON PUBLIC PROPERTY,No SPECIFICALLY FERMrrrm UNDER THE BUILDING CODS,MUST BE APPROVED BY THE JURISDICTION. STREETORA Y GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THB DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOTABLEASB THE APPLICANT FROM THE CONDITIONS OF ANY.APPLICABLESUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION: 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). . 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY, WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS ' PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2� / 3 IS fty77J pk Sl Ld 1 to 1 Heating Inspection Approvals Engineering Dept :,Fire D 1� ' 2 Board of Heal .. � / /I _"Z//�/lwlG&. NW) ale 1 ASSESSORS REF.: ZONE: Map 034, Parcel 054 RF (RPOD) FEMA FLOOD ZONE Area (min.) 87,120 SF Not in a Flood Zone Fronts a (min) NA NFIP Map # 25001CO756J Width min) 150' Effective Date: July 16, 2014 Setbacks: Fron t 30' Side 15' Rear 15' REVISED GROUNDWATER CFnd PROTECTION OVERLAY DISTRICT: AP — Aquifer Protection District _ ✓udith G%rno q I S79 39,10„E o° 10 .11' Former o Cottage Uo N Location N. New Concrete �° Foundation •'5�`6 �' "�o'�� :•' TOF EI=38.7' (NAVD'88) so• Parcel Area ems• `' ..: 12,940±SF 2 4' cv v ai 3 J ,N d' ecY' •\ a o 1 s t y w/f 0.28• boa cd CD „ I Over Shed O Q) 2nd Floor I (q a Wood Deck ��CB/DH � �V- 10'�; Fnd 2sty w/f oDwelling 4'S p CD N rx y? El :9 Z 110•24' 80 Ocean N/F N81 4 • = ' Edword R Jr& Ba4venue Rea/ty r 325"w �I CB/DN i Q oro D Grust argiulo, rrs Fnd $ P S fs r� PLOT PLAN RICHARp R• At 72 Ocean View Ave REVX• l.NE343�2 BARNSTABLE, NO• o q 8 J (COtuit) NOTES: ""° MASS, DATE: 121OCT115 SCALE: 1'=20' 1.) The structures shown were located on the ground 05 10 15 20 30 40 FEET by conventional survey methods on (or between) 271JUL111 and 08/OCT/15. PREPARED FOR: Michael&Donna Coutu 2.) The property line information shown hereon was 30NobScotRoad,, Unit6 compiled from available record information. SUdbU/yMA 01776 3.) This plan is not for recording and is not to be PREPARED BY: CapeSury used for construction layout or deed description purposes. 23 West Bay Rd, Suite G DWG #:C323_891 cpp3 FIELD BY. WHK/KAR Osterville MA 02655 (508) 420-3994 / 420-3995fax I AGRIBALANCE" I ®: Company Name CAPE COD INSULATION Phone Number 1-800-696-6611 01-28-2016 .;cs nc� Installation Date Jobsite Address 72 Ocean Yew Ave,Cotuit A-Side Lot#s ORY1000346 Permit Number B-Side Lot Ws 353561 TotalLocation of Insulation Thickness Approximate Walls 5 X" R-24 910 sf Attic 9" R-40 700 sf Cathedral 8" R-38 150 sf Garage ceiling . 8" R-38 700 sf CoatingIntumescent WWW.Demilec.com DEMILEC Commonwealth of Massachusetts. Ll 4 n Sheet Metal-Fermit 'Map Parcel US Date: Permit# I Estimated Job Cost: $ K� hermit Fee:.$ 'AY 03 .2016 Plans Submitted: YES- Nod Al r Plans Reviewed: YES NO. vs Business License# Applican r icense Business Information. Property Owner J Job Location Information: / c Name: P7,U Sve, h Name: Street: �— Street` _�o off% �. n)4tie— City/Town:, 4_4 Oh- `"Q/lam/ City/TOWn: ' Telephone: Telephone: Photo I.D.required/Copy,of Photo 1.D. attached. YES NO staff daitial J-1/ -1- estricted'license J-2/M-2-restricted to dwellings 3-stories-or less and commercial up to 10,000 sq-. ft. /2-stories or less Residential: 1-2 family ✓ Multi-family Condo f Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutionall_ Other Square Foota e: under 10,000:s . ff. ✓ over 10,000 s . ft. Number of Stories: q g q q Sheet metal work to be completed- New Work: Renovation: . HVAC Metal Watershed,Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be.done: �. If��� INSURANCE COVERAGE: I haven current liability insurance policy or its equivalent which meets the requirements-of M.G.LL Ch.112, Yes , No If you have checked yg,indic��e� of coverage bycheckingthe appropriate boz below:` A liability insurance policyOther type:of indemnity` 0 Bond �' OWNERS INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage.:required;b' y Chapter 11.2 of-the Massachusetts General Laws,and that my signature on this permit application this requirement. Check(Me Only Owner 0 r^ Agent. El Signature of.Owner or Owner's Agent By checking this box /1heraby certify that all of=the details and information I have submitted(or entered)regarding'this'application•are true•and accurate to the best of my knowledge.and.that all sheet:netal work and installations performed:undsr the permit issued for this application will be in compliance with',all pertinent provision.of the Massachusetts'Building Code and Chapter 113 of the General Laws,_ ` - Duct inspection required prior to..;insulation installation YES: NO Sg` ess Rns etfions:. Date Co>siments - } Final Iiots egg c Date Comments Type f:License: 3Y ' Master Title Q Master-Restricted: Ay/rown ❑Joumeyperson Si Licensee permit# , OJoumeyperson-Restricted License Number. Check at wwwr.mass.aav/cPol nspector Signature of Permit-Approval I ., Town OrBi,irnstable - . ;. Regulatolry Services MASS Thomas F Oeiler,Director, ' Building Division Tom Perry,Buildiug.C-ommissioner . 200'1 di-Street,Hya=s,MA 02601 'WWW.town.barnstable maxs Office: 508-862-4038 Fax: 508 790-6230 Property Owner Must Complete and Sign This Section _If Us ing A BuIder r as.C?waer of the sub'ect ro J l P P9 hereby authorize to act on my behalf; in all matters relative to woxk authorized:by this,building permit; Owl .(Address of Job) Pool fences and alarms.are the responsibility of the applicant. Pools are not to be failed before:fence s:installed and pools arc not to be utilized untfl a'U final inspections are performed and accepted: I Signature of C er Signature of cant Print Name Print Name Date ; Q:F0kMSt0WNERPMWSSI0NP00LS. TE ,4coR® CERTIFICATE F LIABILI INSURANCE 01/27 2016 0 INSURA o„z7,zo,6 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 INSUREft(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(lea)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomeme s, PRODUCER Paychu Insurance Agency,Inc, Paychex Insurance Agency, Inc. PHONE 877_2 rpAl Sq FAX 150 Saw grass DriveNoll: g E�NIA Rochester,NY 14620 877.266-6850 INSURERS AFFORDING COVERAGE NAIC N INSURER A: THE TRAVELERS INDEAMIITY COMPANY OF CONNECTICUT 25e62 INSURED INSURERS: Seaside Gas Service, Inc. DBA SEASIDE GAS SERVICE INSURERC: 67 HELMSMAN DRIVE INSURERD: YARMOUTH PORT,MA 02675 INSURERS: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEAWL POLICY�F POLICY EXP TR POLICY NUMBER MM LIMITS -GENERAL LIABILITY EACH OCCURRENCE 3 COMMERCAL GENERAL LIABILITY R � S CLAIMS-MADE ❑OCCUR MED EX; one aeon S PERSONAL&AOV INJURY S I GENERAL AGGREGATE S GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY LN $ - AUTOMOBILE LIABILITY COMBINED SINGLEUMfr a ert _ ANY AUrO BODILY INJURY(Per person) $ EDULED AUfOSS LL ED ( ASU OS BODILY INJURY(Per accident) $ NNOMED PR DtTY DAMAGE S MIRED AUTOS AUTOS $ UMBRELLA L1AB OCCUR EACH OCCURRENCE S EXCESS LIAS HCLAIMS-MADE AGGREGATE S 7 OED RETENTION$ i WORKERS COMPENSATION x S TA YLIMM O RIP T"- A AND EMPLOYERS'LIABILITY ANY PROPRIETOARTNEWEXECLMIIE Y/N EL EACH ACCIDENT 3 500,000 OFFICERIMEMSEREXCLUDED? NIA LIB 7G122299 01/26/2016 01/26/2017 (Manda"InNN) EL DISEASE-EA EMPLOYEE S 50,000 It y03,dosalbe under 509 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT S I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Addiflonal Remarks S°MQuls,If more apace Is requEred) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PROOF OF COVERAGE FOR: EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISI ,BU`r FAILURE NO CLIENT I D# 0008/4 1 10593 4 1 1 OBLIGATION ORONS L ABILITY OF ANY KIND UPON THE COMPANY,TO MAIL SUCH NOTICE ,ILL ITSIMPOSE AGEN S,OR REPRESENTATIVES. - A THORIZED REPRESENTATIVE rn,1 1988-2010 ACORD CORPORA i . AI rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD SEASGAS-01 CLEDDUKE CERTIFICATE F LIABILITY INSURANCE DATE(MM/DD/YYYY) F12-30-15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOIfMATION ONLY AND SPNFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIV LY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NO ONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,'certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT g NAME: Mina Vaughan,CISR 434 Rte 1�34ray Insurance Agency,Inc. PHONE o Ext: aC No):(877)816-2156 South Dennis,MA 02660 nbMREss:mvaughan@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Main Street America Assurance Co. INSURED INSURER B: Seaside Gas Service,Inc. INSURER C: and Kevin C.Saunders 67 Helmsman Drive INSURER D: Yarmouth Port,MA 02675-2467 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE NNR D WVD BR POLICY NUMBER MMI DYIYYYY MMIDD EFF Y EXP LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FK OCCUR MPT4469F 7/25/15 7/25/16 PREMISES Ea occurrence $ 500,00 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X POLICY JEa LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS ( ' NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DIED RETENTION$ $ WORKERS COMPENSATION PER OTH. AND EMPLOYERS'LIABILITY Y/N - STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) —PLEASE NOTE THAT THE WORKERS COMPENSATION CERTIFICATE WILL FOLLOW SHORTLY,AS IT IS BEING ISSUED DIRECTLY BY THE INSURANCE COMPANY— Job Proposal-HVAC Work CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ZREPRESENTATIVE /I�CrO n ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD -,. ,�� y A {' F, v: WO RI, AS OLLOVYINGLIC -�AMTER N , EST wj SAU KEMINI S t � t:r STi S.r � s� �+i� y5 •lt'a P` �' r!� rINDERS t <i H L s-. co a �'r .1 .. S. r `R � . Al 1 ` YARMO - Ert. .� ° r - 34 s ; FILLION G R ® U P INCORPORATED E . Mr. Thomas Perry January 25,201.6 Barnstable County Pro ect No,:;16092' r `' Building Commissioner 200 Main'Street , a Hyannis,MA 02601 Re; Co itu Residence Carrivi e'House, 72 Ocean View Ave;Cotuii4 MA , Structural Affidavit Dear Mr.Perry: p.5 Thank you for taking the time to discuss this project'with me today. As'we have, discussed,the scope of my observations is for the as-built shear walls and holdown anchor locations. I visited the property on January 11,2016 to visually observe.the shear wall holdown anchor locations: Since the shear walls were;not constructed as specified on the structural plans,I re-evaluated the as built shear walls for the code required wind loading in Cotuit. Based on my evaluation,I'advised the General Contractor, Steven ' Bishopric,to install additional`holdowns. To date,the General Contractor has installed ._ the additional holdowns as requested: a Wlule-at the.property,I also.observed that the wood;ledger board was not attached as specified to the steel tulle'hip beam and the LVL'hip;beams were not hung.from it. I sent the General'Contractor repair sketches for these conditions and am attaching them to this letter. To date,the repairs have been made and conform substantially to repair '..sketches. } I certify to the best of my,knowledje and be i'-f that the shear wall holdown anchors at;the Coutu Carriage House,72 Ocean View Ave.,'Cotuit .MA"conforms substantially with'the approved Structural specifications for the projectand was completed in complance`wth appropriate provisions of the Massachusetts State Building Code, 8`h Edition;and any amendments thereto. Respectfully ` F Fillion Gro' , c. fir- �t R• ra 8TWOTURAL +` Nb:34984 . .Michael. Filli n,P E.; SEC " President ,r E N G I. N E E R S D 'E S I G N••E °R S PI A N N E R S 71 East Skeet Sharon;MA 02.067 .I Tel: 78I-®784.51 10 Fax:.781 o78409777 E-mail: mrF.structure@verizmnet ' x }. r STEEL PLATE W10 STEEL BEAM - 1./4„ CONCRETE WALL CL 2-%"0 TREADED ROD W/NUT & WASHER DRILL & SET W/ EPDXY INTO EXIST. CONC.' WALL 6" EMBEDMENT BEAM ANCHOR DETAIL , SCALE: 1Y =1'-0" , r W10 STEEL BEAM W10 STEEL BEAM �4„ „ STEEL STIFFENER PLATE BEAM OVER BEAM DETAIL SCALE:. %"=1'-D" - . HSS12x4 2"x_ WOOD LEDGER 14" LVL HIP BEAM .e y2" ..TOP PLATE 12" LONG,. r MIN. 3" WIDE 1/4" Y"x3"x12" PLATE 12" WELDED TO TOP PLATE } HIP BEAM DETAIL SCALE: 1}r2"=1'-0" t J 4 HSS12x4 2"x_ WOOD.LEDGER 2"x10" WOOD RAFTER x _ L2x2x.25 OR L2x3x.25 EACH SIDE, ATTACH TO LEDGER W/ Y4" SDS SCREWS x 1Y2 ® 16" O.C. .1/4"x1.5"®16"O.C. ` a LEDGER BOARD DETAIL SCALE: 1Y2°=V-0" ao ) So1.4 VAE 7of� 'Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee RAaxsra$r MAS& o 1639. � Richard V.Scali,Interim Director - � Building Division Tom Perry;CBO,Building Commissioner T ®�` 200 Main Street,Hyannis,MA 02601 ®/A, e 1 www.town.barnstable.ma.us 0%nt- 6'Z01f Wr Office` 508=862-4038 Fax 30 EXPRESS PERMIT APPLICATION -_ ory RESIDENTTAI, ONLY. qB�� Not Valid without Red X-Press Imprint Map/parcel Number Q S ��,Property Address � � � Lu1 Residential Value of Work$ ��a� Minimum fee of S35.00 for work under S6000.00 Owner's Name&Address /� 40� Coritractor's Name - / C R PL o r ��ki Telephone Number sob-13 98— 3J6 Home Improvement Contractor License t(if applicable) Email: Construction Supervisor's License 9(if applicable) Lt'JWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ lam the Homeowner [� I have Worker's Compensation Insurance Insurance Company Name 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 betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over Re-side existing layers of roof) ❑ ❑. Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows J A of doors: Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign.Property Owner Letter of-Permission. A copy of the Home Improvement Contractors License&Construction_Supervisors_License is._.____ --- -- re fired. - ___ ----: SIGNATURE: .: T:IKEVIN D\Bulding Changes\EXPRESS PERM_REXPRESS.doc Revised 061313 t Con—il-Acte and Si ni I'hk Sect_ioa ",,i a I 'P ?e 7 r"" —" .ed by; iz/Im ,firs;;,aturr�t Cz��r :tJ�tr if Prc)12! t cris plying fo1•l)c i lease coxnpleie t�z� :omeoers Lzccr�sc 14:;'emntion l,c}z ozz t1 side. ww x J r T11�� Commonwealth o Massachusetts //�( �/c gp 9 J i�.4 a�.D leL/b eLLsetts . :gx Delnartengent oJ'111d"strial Accidents errf Office o�`'Investi�ations i 600 Washington ,Street Bostoe,, ,IM 02111 TIVIP- Pneass-gov/dia Workers' Compensation Insaa>C-alnce Afffidav t: Builders/Cont>ractors/Elei . Applicant Informatio. icians/IDlumbers Name (Business/organization/Individual): CAPE COD ALARM CO., INC. Please Print I,e ilafl Address: 204 OLD TOWNHOUSE ROAD City/State/Zip:WEST YARMOUTH, MA 02673 _ Phone #: (508) 398-6316 Are you an employer? Check the appropriate box :� — ___—] 1. ✓� I am a employer with 30 4. 0 I am a general contractor and I Type of project(required): 2.❑ employees(full and/or part-time).* have hired the sub-contractors 6. ® New construction I am a sole proprietor or partner- listed on the attached sheet. [7. ship and have no employees These sub-contractors have ® Remodeling working for me in any capacity. employees and have workers' 8. ® Demolition [No workers' comp. insurance comp. inSUranceJ 9. ® Building addition 3.❑.required.] 5. E] We are a corporation and its 10.® Electr I am a homeowner doing all work officers have exercised their ical repairs or additions myself. [No workers' comp, right of exemption per MGL 1.1.® Plumbing repairs or additions insurance required.] t c. 152, §1(4), and we have no 12•®Roof re airs employees. [No workers' 13. Other G comp, insurance required.] 6' *Any applicant that checks box#i must also fill out the section,below showing their workers compensation policy information. lee Al t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit24 _ #Contractors that check this box must attached an additional She"et showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they nnrst 1)-ovide their workers'comp.policy number. a new affidavit indicating such. I am an employer that is providing workers'comb ensation insurance foamy employees. Below is.the Policy a information. p y nd job site Insurance Company Name: Associated Employers Ins., Co. ; Policy#or Self-ins. Lic.#:. WCC5006433012015A Expiration Date: September 1, 2016 Job Site Address: �L Attach a copy of the workers' compe City/State/Zip: Q 6�S nsation Policy icy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under S ction 25A of MGL c. 152 can lead to the imposition of criminal fine up to $1,500.00 and/or one-year,imprisonrient!as well as civies of a il penalties in the form of a STOP WORK ORDER tand a fine of up to$250.00 a day against the violator., Be}a.dv sed 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 t[er thepa'ns andpenalties gifperja y that the information provided ab ve is true sand correct. 1 � Signature: ,: / / r�f Date: a1 10 / Phone#: 36, 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 L.6 .Other ptact Person: —. Phone#: i WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Employers Insurance Company 54 Third Avenue, Burlington, Massachusetts 01803-0970 (800) 876-2765 NCCI NO 40959 POLICY NO. WCC-500-5006433-2015A PRIOR NO. I WCC-500-5006433-2014A ITEM 1. The Insured: Cape Cod Alarm Co Inc DBA: Mailing address: Attn:Gene Cormier FEIN:**-***3528 204 Old Townhouse Road West Yarmouth, MA 02673 Legal Entity Type: Corporation Other workplaces not shown above: See Location 2. The policy period is from 09/01/2015 to 09/01/2016 12:01 a.m.standard time at the insured's mailing address. 3. A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers'Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of liability under Part Two are: Bodily Injury by Accident $ 1,000,000 each accident Bodily Injury by Disease $ 1,000,000 policy limit Bodily Injury by Disease $ 1,000,000 each employee C. Other States Insurance: Coverage Replaced by Endorsement WC 20 03 06 B D. This Policy includes these Endorsements and Schedules: SEE SCHEDULE 4. The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Classifications Premium Basis Rates Code Estimated Per$100 Estimated No. Total Annual Of Annual Remuneration Remuneration Premium INTEA 184628 INTER SEE CLASS CODE SCHEDU E Minimum Premium $378 Total Estimated Annual Premium GOV GOV Deposit Premium STATE CLASS MA 8901 State Assessments/Surcharges $25,447.00 x 5.8000% This-policy, including all endorsements, is hereby countersigned by � � 07/01/2015, Authorized Signature Date Service Office: Rogers&Gray Insurance Agency Inc. 54 Third Avenue 434 Route 134 Burlington MA 01803 South Dennis, MA 02660 WC 00 00 01 A(7-11) Includes copyrighted material of the National Council on Compensation Insurance, used with its permission. r 4 _ CAPECOD-64 MCHESTER ACORD" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 9/2/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN,THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ann Pell,CIC,CISR Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 AIc No Ext: AIC No):(877)816-2166 South Dennis,MA 02660 aooliEss:mail@rogersgray.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Scottsdale Insurance Company INSURED INSURERB:Arbella Indemnity Insurance Cape Cod Alarm Co Inc. INSURER C:Associated Employers Insurance Co. 204 Old Townhouse Road INSURER D: West Yarmouth,MA 02673 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I AUUL S BR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE FxOCCUR CPS2229878 09/01/2015 09/01/2016 DAMAGE TO RENTEU PREMISES Ea occur ence $ 50,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY N JEPROC LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EOMaBINdEDtSINGLE LIMIT $ 1,000,000 B ANY AUTO 1020005044 09101/2015 09/01/2016 BODILY INJURY(Per person) $ ALL OWNED Lx SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED X HIRED AUTOS AUTOS Peer accidenDAMAGE $ UMBRELLA LIAB n OCCUR EACH OCCURRENCE $ 3,000,000 A X EXCESS LIAB CLAIMS-MADE XLS0097772 09/01/2015 09/01/2016 AGGREGATE $ 3,000,000 DED I X I RETENTIONS 0 $ WORKERS COMPENSATION PER 0TH- AND EMPLOYERS'LIABILITY X STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCC-500-5006433-2015A 09/01/2015 09/01/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N� N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,desc ibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1.000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Installation and monitoring of security systems Certificate holder is provided additional insured status,primary/non-contributory including waiver of subrogation with respect to general liability and auto liability when required in a written contract or agreement CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE C�2)_ @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD l Ate-< Fold>Then Detach Al ,�a `�y .. _ �- Along All Perforations �E AL a : � F � n�A14LTH OF SA VBog AMA . E L E:CTR 1-61 _ p .1 : $UESWING - - E A• - C''I; •:r<- R 5::: U - - 5 - a. l .:.....<.�:. ..., ,. . TE:F1•.CON_ TR GTOP. S` C'< H N I Ir A. z : AN .ALA - �. - ..... t•' ..GENE A;�G.OR,�.� ._ _ _ y:.l �G:EN�<>:� CURMI .4 *`¢ 2b - -4 L. ti... J -- l :I t V'J v' R G' ri 0 U: T - 6 - • U 77 -7 1 3 - - i— : i s: 0 z�4 6 5 - 1 0 • I I I lug Commonwealth of Massachusetts Department of Public Safety License: SSCO-0002443 GENES CORNIER 204 Oi,D TOVJ`HOIIS Yr OUT-H Mk,116103 Commissioner Expiration:1110712016 IMSTAIIJINq, SFtayICAq AM mf4hO q of Sgr-uni y, FIRE, Amd-C-CW Sysrovis- POO) 398-016 0) oo FAX: OIBC Off) 398,566 v i=c: STATiQi4 (508)-1601212 MA ficmri Nb. M2C I n n CapeCod Alarm C o. Inc. Systems Contractor License#insured l� , All employees bonded and insured 204 Old Townhouse Road Protection System West Yarmouth, MA 02673 Proposal www.capecodalann.com � � Telephone: 1(800)468-8300 Fax: 1(508)398-5666 - Email: info ca ecodalarm.com - Client Information @ �, � , Technicians Total Sheet MICHAEL COUTU JOB TYPE p 72 OCEAN VIEW AVE Proposal Number 5639 COTUIT, MA 02635 Date 12/4/2015 Account Rep. S007 Bill Fallon Customer Fax Phone Ext. Alt. Phone 1(508)294-7111 Ext. mail mcoutu sudbu desi n.com *Proposal to Add Protection to Newly Constructed Guest House and Tie-into Existing Panel in Main House.* Qty.Ordered Description Qty. Installed Qty. Installed Remarks 0 Existing Panel: DSC 1864 (On-site; Main House Basement) DSC 5108 Zone Expander(to accommodate new devices) 0 DSC Hardwired Door Contacts (First Floor) FC DSC #LC-103-PIMSK Motion Detector, Hardwired (First Floor) Low Temperature Detector(F-20) ( ) First Floor Above Liqht Switch 0 System Sensor 4WTA-B Smoke Detectors ( ) First Floor O Lower Level Furnace Room 0 System Sensor 12/24 Carbon Monoxide Detector ( ) First Floor System Sensor 5604 Heat Detector (1940 Fixed) ( ) Lower Level 0 Leave Wires Coiled in Lower Level Furnace Room; CCA to return to run wire from quest house to main house panel once trenchinq &conduit in place. Guest&Main House Systems,Will Operate In Synchrony Off Main House Keypad (No Partition) Sales Tax(Included in Proposal) 0 Electrical Permit(Included in Proposal) 0 Fire Permit(Included in Proposal) Building Permit(Included in Proposal) 0 Scheduling: Donna 617-332-5558 or Steven Bishopric(builder) 508-294-7111 Proposal 5639 www&MeCodAlarm.com Page 1 of {\rtfl\ansi\ansicpgl252\deff0{\fonttbl{\f0\fnil Tahoma;}} {\colortbl ;\red59\green59\blue59;1 {\*\generator Msftedit 5.41.21.2510;}\viewkind4\uc1\pard\cf1\lang1033\f0\fs16\par } Lower Level Utility Room 72 OCEAN VIEW AVE (Guest House) COTUIT MA 02635 0 Garage First Floor Legend: ins = Smoke Detector Bath 0 = Heat Detector CO CO =Carbon Monoxide Detector Bedroom Lower Level Utility Room 72 OCEAN VIEW AVE (Guest House) COTUIT MA 02635 SMOKE DETECTORS REVIEWED A Garage / ST L BUILDING DEPT. DATE FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I First Floor Legend: = Smoke Detector Bath O = Heat Detector CO CO = Carbon Monoxide Detector Bedroom BLAZELO K- TBX DEMILEC e Blazelok'"TBX is a water based,fire protection, intumescent coating.11 dry mils of Blazelok TBX applied over Heatlok Soy°, Demilec APX",or Sealection°500,or 15 dry mils over Agribalance°meets building code requirements as an interior finish tested in accordance with NFPA 286. The use of Blazelok TBX omits the code prescribed thermal barrier.over these products. Blazelok TBX meets the USDA guidelines for incidental food contact when dry. ASTM E 84 Test Results Flame Spread< 25,Smoke Developed < 50 Protective Properties Compliant with the 2006 IBC Section 803.2,the 2009&2012 IBC Section 803.1.2.1 and the NFPA 101 (per NFPA 286) paragraph 10.2.3.7.2 as an interior finish for use without a prescriptive thermal barrier. Volatility/VOC < 50 g/I -Complies with LEED,AQMD and EPA VOC requirements Solvents Water Based-Caution: Do not thin this material. Toxicity Non-Toxic Weight per Gallon 11.2-11.8 lbs. Solids by Volume 58-62% Color White/Gray Heatlok Soy-17 mils wet dries to 11 mils dry film thickness(DFT), nominal. Wet Film/Coat to DFT Demilec APX-17 mils wet dries to 11 mils dry film thickness(DFT), nominal. Sealection 500-17 mils wet dries to 11 mils dry film thickness(DFT),nominal. Agribalance-23 mils wet dries to 15 mils dry film thickness(DFT), nominal. Heatlok Soy-11 mils to comply with the 2006,2009&2012 IBC and IRC. Recommended Final DFT Demilec APX-11 mils to comply with the 2006,2009&2012 IBC and IRC. Sealection 500-11 mils to comply with the 2006,2009&2012 IBC and IRC. Agribalance-15 mils to comply with the 2006,2009&2012 IBC and IRC. Foam Cure Time Prior to 1.5 hours. Use a brush to touch up the coating in the unlikely event the foam sets back from the substrate Application of Coating after the coating is applied.This setback could potentially cause the coating to develop a crack a few mils wide intermittently along the foam's edge. Dry Times Dry to touch-2 to 3 hours depending on humidity/temperature. Humidity above 50% RH has a significant impact on drying time.Thicker than recommended wet thicknesses will adversely affect the drying time. Graco°695/ASM 2100 3300 psi with spray gun tip model number RAC 525, LTX 525 or larger. Recommended Equipment Hose size:use 1/4"dia. last 50'to gun,additional lengths of hose use minimum 3/8"dia.to minimize pressure loss. Remove pump and gun filters prior to spraying. Up to 92 ft2/gal at 11 mils DFT over Heatlok Soy Coverage Up to 85 ft2/gal at 11 mils DFT over Demilec APX and Sealection 500 Up to 83 ft2/gal at 15 mils DFT over Agribalance Coverage rates will be reduced on foam with large undulations or rough surfaces. Minimum Temperatures Storage Temperature =45OF(7°C)/Application Temperature= 70OF(21°C) Use infrared gun to confirm temps. Fungus/Mold Resistance No mold growth per ASTM D 3273 test. High Humidity Environments Contact Demilec's Building Science Department for technical assistance. Note: Please contact your local Demilec Technical Service Representative for assistance regarding the installation of this product. Disclaimer:The information herein is to assist customers in determining whether our products are suitable for their applications.We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability. Nothing herein shall constitute a warranty,expressed or implied, including any warranty of merchantability or fitness, nor is protection from any law or patent inferred.All patent rights are reserved.The foam product is combustible and must be protected in accordance with applicable codes. Protect from direct flame and spark contact,around hot work for example.The exclusive remedy for all proven claims is replacement of our materials. Fire re&no4y To A How Power 3315 E.Division Street,Arlington,TX 76011 Blazelok TBX Technical Data Sheet Phone(817)640-4900,Toll Free(877)336-4532 Last Revision 2-16-15 Fax(817)633-2000,Info@Demilec.com,www.Demilec.com Page 1 of 1 AC R I BA LA ICI C Eo" I Company Name CAPE COD INSULATION Phone Number 1-800-696-6611 Jose Espinol Installation Date 01-28-2016 72 Oceanview Ave, Cotuit ORY1000346 Jobsite Address A-Side Lot#'s Permit Number B-Side Lot #'s 353561 9.vr,. v „r4, s ^r' r�kQ4!, k� ����� �I l� ,� tlw',�E° - � " ,. • • • . �I • P Walls 5 %Z R-24 910 square feet Attic 9" R-40 700 square feet Garage ceiling 8" R-38 700 square feet 8" R-38 150 square feet Cathedral ceiling Np MS. Blazelok TBX Utility Room 23 mils wet/ 15 mils dry www.Demilec.com (;BDEMILEC TOWN OF BARNSTABLE BUILDING PERMIT PWIL" C3 Z 0 I . i l/ Map_ ��1 Parcel ®J�� Application # 3aIS0S1 Health Division Date Issued I-2 Conservation Division : Application Fee �' Planning Dept. _ Permit Fee cc Date Definitive Plan Approved by Planning Board k T Historic - OKH Preservation/ Hyannis r Project Street Address _ '7,� OC&L) V r E W) A) �. Village Ci6,TV lT� Owner Alc4 -P Ly Woo- e6uTV' Address 3006SCor al-&06VAy .4. 0199,6 Telephone Permit Request "DE/90 UE-GI LP GAF.ST" Square feet: 1 st floor: existing06 proposed 00 2nd floor: existing ro osed Total new p p 9—proposed Zoning District Flood Plain Groundwater Overlay Project Valuation 000 Construction Type M J )Af. Lot Size Grandfathered: U'Yes ❑ No If yes, attach supporting documentation. c� Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ErNo On Old King's Highway: ❑Yes Basement Type: ❑ Full ❑ Crawl ❑Walkout ZOther IDAIVE upm Basement Finished Area (sq.ft.) d Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing 0 new Number of Bedrooms: existing I new Total Room Count (not including baths): existing '_newer First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric WOther SPAT O rT— Central Air: Wl es ❑ No Fireplaces: Existing New Existing wood/coal stove; ❑Yes 3<o Detached garage: ❑ existing ❑ new size Pool: ❑ existing ❑ new size _ Barn: O�existing `0 nevi size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other...., I `-. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ cn —a Commercial ❑Yes ❑ No If yes, site plan review# ' w Current Use rww'- hoU.5f, Proposed Use 644s r 405L APPLICANT INFORMATION - - - _(BUILDER OR HOMEOWNER) Name 5-rF wcK tbjsllopk-l-1- Telephone Number )z —3 0-,5-- Address ,, V g TJ License #- CS QY 79 e Home Improvement Contractor# jd 61 y 1 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (30L)JU n r, SIGNATURE DATE 3 / FOR OFFICIAL USE ONLY ` APPLICATION# DATEISSUED MAP/PARCEL NO. ADDRESS l VILLAGE OWNER DATE OF INSPECTION: FOUNDATION fo FRAME~ 5L 'LJ SG 9 (i a - +INSULATION r . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 4 `R GAS: ROUGH FINAL 4 FINIAL BUILDING Ns DATE CLOSED OUT' r ASSOCIATION PLAN NO. a y 14I111 I I yµ 1 I � •1�. III Il�lii .. •.�,C�G�iCt-CX�•..Sc!-�'`-.< (.� �,.. G�..C�C���--C.C/lL .. .. .'. I'f 11111 II � / js it I �Illll�jlf � ' I q g r i'41: 7.2JJ4 , qC.y, C III N Ai y .39 III 'I q, 13p 33a Rio40 .p94 '9G4C 4C• 20 a Z5 0 \ 139Ac i 39pC 04 R O o 3Q 4, q@ ID .56-AC - 1 .g 54C III��iI. 18 ...3?AC1- N , l'II "' 1.�SAC' 39 xs :159AC / 4L Pyl "MAC I. ZgB's d '610 AL C s9nc...,•. N 42nc 111;. 13 •R9 a Z aa^� 1.0?AC •1�� W • 4. TS f� 0 I1��III Roos 4 1 qd�A 56 1 a N..,IS"` lr xoo.s 360 4 0 KIT P.0 Il B2 AC =y I� 11 ' ro . 12 AC .• .8 sA� m IBL,,FF . pP 1 AC 44 roe kI t 6 sb Pal 8 - -6r llll; _ j .27AC ioj� MIL. . P III NI � " �• .. q �� ; I,. 7.OQ P IIII _ g4 � 4�Ihl war LANE s Mc op � W a�Ih 1 g 8 s I4 h .; .SHAG• .._. .UAC e > - yli a 3 4 ' III. . oAc 0.34 AC 52 SHE s WA le0_g 15 C ..33AC n:..2 .56 AC g•5 14o-s 45h n II 494C . 8 10.61 n� I�I la, 50 s • •47AC I 1 50Ac , 8 58 I I'' 324C I�'� II,i{ • 49 .32 AC I . III I N Q 47 48 ilk I IIi '•.6 •/AC. �4AC 1 lu III llili ' `Q- a ° so • ' I'IIIII; sc.a Ipp III N , 111��11I,:.1' - .: � ..L—�_. �� ��, .. ,',�' .' `�t•ia �* �-. ��n >Iat 3e ...��-�1 � �•Js - - y' i Appeal No`— 11 ''L CLERK oFTNErw ............ ... . BP,RNST`jC+ E. iSS. �P 'o t. � Date Received ............................................................. y i BAHHSTAU ?8 JUN 14 PM12 og MA86. ooe,i639. 'f0 Ims k' TOWN OF BARNSTABLE PETITION FOR VARIANCE UNDER THE ZONING BY-LAW To the Board of Appeals, Hyannis, Mass. Date .........Juxle.........5.t............... 19 ..78....... The undersigned petitions the Board of Appeals to vary, in the manner and for the reasons hereinafter set forth; the application of the provisions of.the zoning by-law to the following described premises. 2469 Grandin Road Applicant: David C. Crawford, Executor Cincinnati, Ohio ..... .................................... .. .......................................................................................................................................... (Full Name) (Winter Address) Owner: p!evisees under will of Nita. M. .Crawford .............................I..... ............. ....... ..... ... ....... .......... . .......... (Full Name) (Winter Address) Tenant (if any) : .........None ... .....................................................................in'*'.e*''r"............e,s .. • (Full Name) (Winter Address) 1. Assessors map and lot nu b Ma 34•� Lot 53 P... .. . .................................................................................. etwe a ri t e'et "aria 2. Location of Premises Ocean le EIS u........................................ Area ......COtui..... ......................................... ........................................ ................................. Ocean V( t :ethboutl28' (What section of Town) 3. Dimensions of lotMain St. about 315' „about ,205' .about, 1.11 acres ......... ..... (Frontage) (Depth) (Square Feet) • e idence 4. Zoning district in which premises are located �.....�...............................F............................................................................................. 5. How long has owner had title to the above premises? .........about 20 years.................................................. 6. How many buildings are now on the lot? .....4 -....2 single „family dwellings, one garage ....... .... ........ one shed 7. Give size of existing buildings ..............K/ ......... ............................... ....................... ............................ ............... Proposed buildings none 8. State present use of premises ..............single-family .residential use ..... ........ .................... ............................................. .......... ..............sin le•-famil residential.use 9. State proposed use of premises g....... ..... ..... .....Y................. ... ..... 10. Give extent of proposed construction or alterations: .......none........................................................................................................... .............................................................................................................................................................................................................................................................................................. 11. Number of living units for which building is to be arranged ..........V 12. Have you submitted plans for above to the Building Inspector? ...N1 ..............„•••.•...............•....... „•• /y, 13. Has he refused a permit? ...... ,�/.A....................................................... ................................ ......... ......... ......... .................. 14.- What section of *zoning by-law do you ask to be varied? ........See attached sheet. . .............................................................................................................................................................................................................................................................................................. .............................................................................................................................................................................................................................................................................................. 15. State reasons for, variance or special permit: ......It...,iS necessary for the executor uncle, •••tie Will I1T , .e.:.. ..:.... . sW.f4rd,.,,to sell the real estate to satisfy ........... debts and expcnses.,,,of the and to .carry...out .the terms of the will.- .. . ............................................................. It has not ,been,•„possible .to• ,sell ,the laroperty ,as .one ,parcel containing .. ............................... two single family dwellings, each of which dwellings is a substantial ..................................................... ........ . ....I.. .. ....... . ........ ........... ....... ......... ......... .......................................... tw...4-. .tQy....structure............Tkae.... ,. gk�.....Q.f....t.;,xC1,g..... kae.....structures....have existed .......................... and the nature of the creates .a .condition especially ....................................................................... affecting this locus and not the district generall .................................. ........................................... ........................... .......... ...... . .. ......... ......... Respectfully submitted; David aw rc�; x"e"cu'tor (Signature)BY..... .. ... ..... ... ... . :........................... Petition received by ....................................... Attorney 43 ain St. H annis Mass. (Address) ....................................................t..........1?......................................... Hearing date set for ...................................................... 19 .................. Tel: 775�5625 * Filing fee of $25.00 required with this petition. '= This form may.also be used for Appeals. (OVER) } y Loy- .¢ $ .5'7 o.% /O W I.R. /0 3,801.E Z W � 4�� ` � LOTS • � So P h wn on /on recovded o').•;�U �irn.RQ9. Bk/32 Pq•/ N . 00 ' 00 \ di t 41 1 W 0 /p9.9 4/50 to 9 /� ►'Y 0 0). I- Z LOT 4 M •. J L.C"92/6 p Qo•oo P,ARi�3T�P�L: , CA This Plan does not require RZEGiS'i Y OF DEEDS the apg oval of th oar d Of Survey ��f 2 5195 � _•_M ti e TABi.F PLAN OF LAN,O IKI BOARD r SUit:'rX Or..BAi; ,q • COTu I T, l/ARNsma'd i MAS S. BELONGING TO,' �tN m OF s'°yam TwE.: PINES. INC . NELSON BEMSE y SCAB'i IN=20 f1- Alm 29,l958- jS �a� Ne�sou BeAWSMi RIWARD LAW, SunveYoRS- 4��0 SURV�y� CeNmr%VILL6.. MASS. SIIBDIVIS.ION PLAN Oh LAND IN BARNSTABLE D .Nelson Bearse & Rlohard Law, Surveyors :: `7�/6 November`26, .1956 c.ft+ a3.0 , 0759 '10 a: Se�ifh ; 99 M �. 61 '^ ° o !: ' 10 40.00 N 9 'Al. W b 0 r N y ° ` A (1( 17-*.30 L O q Aso / 47 fa c t ., O N . aa1.p0 C.O. 'S,e. - i O 1 ` WAY 1 VIW7 r R. �� a1•aQ 4p"K`" a a•Vo•40 w le 137.0 1 • '0 i� N r r olr ' p, o C .N . Cpr•d • V N r It - `Stue�rf n l �e Z 11 N 00� 0 G N r N V � w s 1 .� Z •' rix W+ C 11 - 157.05 - 0 0 m .1i.41i c 0 toti se4•as oa•e a N t N q uN U 1 h N a ` � � I°� C ot 't do a o. j �' a 0 4+10 o �. 0 h t d z 0,4 4,43 43 N 0 �a O Z Q► ISi9b , c-e. 0 9 U p Nis•'4s•wo•W , (n wo.00 a;rq a qq o , .+ O3tt N(0 a 0 0 a a V �10 c n Z IN aw••4z• ro 'w '•••-Solomon F. Haskins ; S�srote certifketes of title me be issued for land. sAowrnherm esl.jo _1-7..7na1 _ ...... pp� zi�the Avert. Copy eRkd in of plan UND RE6IST MON ory l/.- !�� Stale of this plea 6 0 feet to an inch �1 Q�C.Z01t9Sf. ... •• .... - f 'Cor06% C M.A►deraon,fi beer 16r Court✓R - r CLERK TOWN Of BARNSTAB TAPI. F .MASS. Board of Appeals '78 AUG 25 PM 3 ,38 Devisees under will of Nita M. Crawford ..................................................................................................................^.. Deed duly recorded in the ..............................................^._. Property Owner County Registry of Deeds in Book .............................. David C. Crawford 7. .............. Page ...Barns.table.....................Registry Petitioner District of the Land Court Certificate No. 23. 5.1:... .............::.:....... Book ........................ Page .................. Appeal.No. ...19.7..8.-.4.8............................................ ...............Aga,gus.t...23.............................. 1978 FACTS and DECISION David .C. Crawford filed petition on ............June l4 19 78 , Petitioner :.:........ .................... .....................:........................................................................ requesting a variance permit for premises at .Ocean.._View ^Ave. Street, in the village ,of ..Cotuit......_...__ ... adjoining premises of for the purpose of .._......Variance•...to._allow ^four...:contiguous.,,_lot.$•,,,Go..^j� ,,,,�lv� �. ..,,��tt.p.... T�?p ............. a.G.s...Wks. ch...ao....np.t....c.onply..w 1h...inte1�s. .Xy....r. ula .iaz�.s.....Q�.... . .s.a.d zzG. .... .... . s.t .aG.C.�.... Locus is presently zoned in..........Residence F district. ..................................................................................................................................................................................... Notice of this hearing was given by mail, postage prepaid, to all persons deemed affected and Cape Cod News & by publishing in Barnstable Patriot newspaper published in Town of Barnstable a copy of which is attached to the record of these proceedings filed with Town Clerk. _ A public hearing by the Board of Appeals of the Town of Barnstable was held at the Town Office Building, Hyannis, Mass., at �.:00....... . P.M. ..........July...19.................................................... 1978 , upon said petition under toning by-laws. Present at the hearing were the following members: Mary Ann B. Strayer ^ Buford Goins Richard L. Boy ^ _.................................................................................. Chairman r v _ T At the conclusion of the hearing, the Board took said petition under advisement. A view of the locus was had by the Board. " Appeal No...........19.28-.4.8.._................................. Page ......: ............. of ....3......... ,...._ On ..............August 16 . 19 2A.......... The Board of Appeals found ........................................._. ... ................... . .Atty. Richard C. Anderson represented the petitioner and introduced Atty. .Brian McDermott who was also present. Mr. Anderson said the petitioner is requesting a.variartce to divide four contiguous lots into two lots. The pro- perty in question has two. single-family dwelling�,a garage and shed and consists of approximately l.11 acres. It is necessary for the executor of the estate of Nita M. Crawford (David C. Crawford) to sell the .real estate to satisfy the debts ,and expenses of the estate and to carry out the'�terms of the will. There are two residential structures involved; the first consists of. a workshop with an apartment above it which has been used on a year-round basis for a residence, and the second consists of a two-story house. Under the terms of Nita Crawford's will, her son David Crawford, the petitioner, can buy this property but he cannot afford to buy ,it in its entirety nor can any of the other children. One of the lots to be created would contain the main house, a garage and shed and would have approximately 34,OOO sq.•. ft. of land. The second lot would contain - f The structure a two story domicile and would have approximately 16,000 sq. t. on the second lot of 16,000 sq. ft. would have a foundation constructed ,for it and would be used by David Crawford as a single family dwelling. Presently, this structure is a workshop with an apartment on the second floor.- Atty. Anderson said that the proposed division of this .property would not be detrimental to the neighbor- hood and that two, single-family dwellings on one parcel of land is a unique situation in this zoning district. Because the property cannot be sold in its entirety, there is hardship to the estate. The Board found that the petitioner was requesting relief from Section J. , Intensity Regulations-Residence Districts to allow two undersized lots, each lot to contain a single-family residence at Main St. , Cotuit in a residence F district. The Board found that this property represents a unique situation to the zoning district in which it is located and allowing the variance would not be detrimental to the neigh- borhood nor in derogation of ,the zoning by-laws. Therefore, the Board voted unan-' imously to allow the petitioner a variance in' accordance with the plan submitted and h f/�A � {�.....f,�.........�!9. T ti :.. .. .... .....: Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty-one (21) days have elapsed since the Board of _ Appeals rendered its decision in the above entitled petition and that no appeal of said decision has been filed in the office of the Toni Clerk. jGPYE�l�3£ 78 Signed and Sealed this .....lc6..-.. eiHy. of ...............................................' ......._.......... 19 ........................ under the pains and penalties of perjury. Distribution:— Property Owner �«� l Town Clerk Board of Appeals Applicant Town of Barnstable Persons interested Building Inspector. Public Information 1;. .... .... ................. ........ Board of Appeals hairman JJ39. OARD QF -APP EAL16 , Appeal No.' 1978-48 Page 3 of 3 subject to the following restriction: 1. The red saltbox to be occupied by David Crawford shall be located in such a manner on the lot that it. shall comply .with all setbacks for a residence F zoned district. a F r Rocs 1 POZ4PO" 01-19-�2006 1034 Ctf f s 179061 SARMSTA9LE LAND COWT RE6ZSTRY ZZLW R. axo,yonW of 72 Ocean View Avenue, Cotuit, Barnstable County, Massachusetts 02635, for consideration paid, and in full consideration of $1,100,000.00 GRANT TO: MZCHWM J. COUM =4 DOOR E. COOM, husband and wife, as TENANTS BY THE ENTIRETY, both of: , 106 Peakham Road, Sudbury, Middlesex County, Massachusetts 01776, WITH QUITCLAIM COVENANTS, the land, together with the buildings thereon, situated at 72 Ocean view 1►ve2ue, earastabls (Cotuit), Barnstable County, Sassaahusetts 02635, being Registered and Unregistered Land, as shown on the hereinafter mentioned plans, described as follows: .i PARCEL 1 - REGISTERED LAND: Zor 9 as shorn on Land Court Plana 9216-9. Lot 6 is conveyed subject to and with the benefit of any ; and all rights, rights of way, casements, reservations and restrictions of record insofar as the same may be in force and applicable. For title to Lot 8, see Certificate of Title No. 130087. PARCEL II - UNREGISTERED LAND: Beginning at a point marked by an iron pipe set in the Westerly line of Ocean View Avenue, distant 32.16 feet Northerly in said line, from a cement bound there located) Thence running North 720 54, 10" Vest, 112.16 feet to a point for a corner; Thence turning and running North 120 42, V East, 49.6.3 feet to a point for a corner; Thence turning and running North 500 25, 308 West, a s distance of 7.95 feet, . to a point for a corner; e Thence turning and running North 390 34, 30" East, 15.66 feet to a point for a corner: dKMULM= uso�sovts�ow �, ea�ats,euo�n � rt }} i y Thence turning and running North 1210 42, 0" Bast, 33.84 feet to a point for a corner; Thence turning and running North 790 391 100 West, 103.10 a feet to a point in the Westerly line of Ocean View Avenue; and Thence turning and running South 80 16, 35" West, 114.20 feet, to the point and place of beginning.- Being the greater part of Lot 5 as shown on a plan of land in Cotuit, Barnstable,.' Mass. belonging to the Pines, Inc., said plan dated August 29, 1958, and drawn by Nelson Bearse and . Richard Law, Surveyors, which plan is duly recorded with the Barnstable County Registry of Deeds in Plan Book 144, Page 75. Said premises are conveyed subject to and with the benefit of any and 4ll rights, rights of way, easements, reservations and restrictions of record insofar as the same may be in force and applicable. For my title, see Deed recorded with the Barnstable County Registry of Deeds in Book 8573, Page 248. WITNESS my hand and seal this _day of January, 2006. Helen L. Skowronski nAg6AGBKTTS STATE EXCISE TAX SAMOTABLE LAND COMT REGISTRY Dates 01-19-3006 A 011340 0101 1211 Docts 1024M Foos UP 762.09 Gross O v 1009'000.00 6ARNST"a CWTY EXCISE TAX BARMABLE LAID CUT RE61STRY Dates 01-19-2 6 8 01834aa Ct141 1211 DOCDs 102404E Fees 62@5M.00 C=sl UP100400.00 F f s 1 i THE COMNIEALTH OF MASSACHUSEI'TS BARNSTABLE, SS. January_, 2806 Before me, the undersigned Notary Public, personally } appeared Helen E. Skowronski, proved to me through satisfactory evidence of identification, which was a MA driver's license, to be the person whose name is signed on the re eding attached document, and acknowledged to me that s si oluntarily ,for its stated purpose. O ary Public My commission expires A:\9kawr=ski.dd.doc •j Hill pp4 3 ra•a S.ARNaTANAKE COUNTY WGISTRY OF DEEDS ! A TRUE copy,ATTEST , F1N F,MEAD REGISTERWWAU W OF DM qa ( 3 ;y19t r IF �TY Y �o tvtl of$nil rr g e t g $'404 Bfigftd 1l�xrst�»sll�it� � ;� P a Car-rnrr�gs�aar��r C�1�iP. 04ylIYGO/2LGGf,/LLft(J �%I GCCO�CGCl2fU �b License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: SOME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration: &141 Type' 10 Park Plaza-Suite 5170 xpiration: Private Corporation Boston,MA 02116 STEVEN J.BISHOPRIC Steven Bishopric 1112 MAIN ST UNIT 18 , OSTERVILLE,MA 02655` —' Undersecretary N alid wit out signature + The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street �2 Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): S71 mu ���`}[} Tuc r/( C_ Address: k 112 Aw ST, SUITL ,Y 0S1__ City/State/Zip: 0 'Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.0I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 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. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job.site information. 11 Insurance Company Name: Policy#or Self-ins. Lic. #: � C ,- -� AA Expiration Date: '-N Job Site Address: �� Q'� IY��i�d ��� City/State/Zip: M-1 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 under the pai s and penalties of perjury that the information provided above is true and correct. Sijznature: Date: 1 - 7 Phone#: A 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#: r I � .:. - t rni!'�t i,j•� ui�'.r�%,t�,i�t;�i,°cu�is:�i�:etcy.`� "part p, A, Boci de" 10r6EAo-J Y1tw A'� ` ,GVTVi l wig' r L)�Y;. If ' v Cwnei i:s; a � �i. fc�xc7Yriea;s i�n- 1C' ,tt.t.c. C 11_ 11 X;CNo� tJ 1, T`f�X'I:[l o IX- 1 E`, ' Sft'1 �' ,S Y CLC', Client:12032 :2SISHOPRICST �4CORD, C`ERTIFICAT CF LIA ILITY INSURANgE.— DATE 2a�s v, - - 2 THIS CERTIFICATE IS ISSUED A8 A NATTIER OF INFORMATION ONLY AI�IQ CONFERS NO RI+GIfTS UIsOKTHE CERTIFICATE HOLDER.THIS 'CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGAT.IVELY AMEN.0.EXTEND OR ALTER THE COVERAGE AFEOB�pEp,SY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE`A'CONTRACT BET-W96N 1i IHE ISSIIING)ItStJRER(5) ALtTFlOI21ZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER- IMPORTANT:If the cortificato holder is an ADDITIONAL INSURED—the must he endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,eertale pollclea may require an ehdcrsernent.A statement on this--certlfi'aW dries rot confer rights to tits certlf eato holder in lieu of such_endor"mont1r*). —. -._. - - PRG9SJCER ICONTACT NAME., Dowling&O'Neil IE _ k xc.No�I:.508 775-1620 (F Ne:50ST78121 R_ Insurance Agency 973 lyannough Rd., PO Box'-1990 t AD�HESS: MSLf�RLS}AI'fOROWG COVERAGE., - R NAIC 0 Hyannis,MA 02601 INSUiiERA,Alational.Grange.�+lutual 1nSul�ar�c ' 1 INSURED _ f I►tsLiRERa: Steven J.Bishopric,Ine. ._ X�.; .., d INRUAeRc: _ i - 1112 Main Street,Unit 19 Oaterville,MA 02655 gfgINBURER d: _ ___ ' t INSTIRERI= ., _ COVERAGES CERTIFICATE NUMBER: REVISION NUMIBER. --`-_-_-_ THIS IS TO CFATIF`? THAT THE POLICIES.:OP.INVURANCE LISTED.BELOW'HAVE EEENISSUED TO TPIE INSURET):NAME-n AR01JS OR THE POLICY PERIOD INDICATED. NOTWITHSTANOING ANY REQUIRRMENT, TERm.oR,( )N[3ITiONOF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT T'O�WHICH TffiS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,`-TIM INSURANCE AFrORDED BY THE POLIVES-DESCRIBED HEREIN.IS.SUBJECT TO ALL'THE TERMS, CXCL►.iSIONS AND CONDITIONS.OF SUCH POLICIES:;`LIMITS'SI4:OWN:MAY Hf+Vi'-BEEN-REDUCED-BY-PAID (XAVAAS." TYPEGR(?ISUAANeE ADOL UDRR _ r ; , rt LW - INSR_WYP! A$UCY.NUI�ER IA�110IZtYYYY IAAILSWYYY -- , ,� cE�i�eaL.L ettlnt - MPJ33691� � _ 3l0812015 43l03f201 FAeH2Of:CURRENCE_ _ '41.000 000 X COMMERCIALGEr EPALL.I BIL y �R ii s ��, ��faT T' 500'000- � Fa+ A1As.�ix� tnEp s8{P 1�1re�r�ea4± +i14 440 FcRSONAL OAUV INJUki, . s 1,440,000 _ GEP4ERAUIGGR EGA rE I 12,000.000 r t N o�sattK �i 4 uftti` rL,E a F R ry PRODUCTs.- AGa s.2'000 400 POLICY: .r-EQ R AUTOMOBILE 4U►911JITY CON6INED' ,N L +.. 1P�na:rkli�ir - ANYPUTO � 6'Ja,l'rCI.YU�Yls�rrrygi-i�i}_ s --_ ALL rJ'At11E0 SC3Ic�Jl;Ff} } GODLY t.j.,"AY t`0' tee�dM 41TOS .Utor,- NON-OWI�CD. PROOF IKTY dEu1iAC9c HIRED AUTOS_ AUTOS ( t a , E7M($ftELLA L1A6. «- 1JRRFPJ�T —= �, I � OCCUR u E.•4HbGC . -, EXCESSUAH CLAIMS4MDE�. AGGREGATE I.QF. RET;NTION 5 WORKERS CCUPENSATION wC STATV Orsl. A _ WCJ3389du1 3J09J2Q95`0310912d1G X AND EMPLGYERS.LIAWI.ITY y N , t{tRia AoacfYIn TtJ TJ-- I;L EACH ACOOEY7 N IA NH) UAYIPE MGE. FExaURFEG 04 L UsSCASE EA EMPLOYEd s544 Oo0 n�` .RIPTIOiV of i}?ERATTONS GwIa7vi t __ ! H.�itiSEA$E:PC ICY.Il.111 "$504,040 i DR,&CRLPTION OF OPERATIONS J LOCATLONS)VEH11CLE5 fA$ACh ACORD101.AddiLi01ro01 Rei"di7tf SethedU10,if fA&f6 .3MCe 15 re4U1fEC� Operations performed by the narked Ihsvre_d s6bJe6t to pollcy contiittons and exclusians. CERTIFICATE'HOLDER. _ _.,. - CANCELLATION GVdtl of BarltStBbIE° Stioow ANY CIF THE AEOVE DESCRIa4l)POLVEfS BE GANCEUE® EFORE THE EXPIRATIO14 IDATE THEREOF,. NOTICE .WILL ISE- 'OWVERED.IN Z0(}vain°Street`'. _ACCORDIANCIE W",' THE POLICY'•PROVISIONS' Hyannis,N1A 02601 -AV THORIZ CDR e--PRESE NTaTIfvE �-- 019aa-.20,10 ACORD CORFaOIRATION,All d. ACORD 25(2010105) i of 1 1 too ACORN n,3rlee and logo'are reglatered-rnarks of ACORD #S147748IM147747 LS1 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 01 REScheck Software Version 4.6.2 Compliance Certificate Project The Coutu Residence Energy Code: 2012 IECC Location- Cotult,Massrachusehts Construction Type: Single-himlly Project Type: New ConstmCM010 Conditioned Floor Area: 684 f12 Glazing Area 10% climate zone: 6 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 72 Ocean View Ave Michael&Donna Coutu Steven Bishopric Cotult,MA 02635 30 Nobscot Road 1112 Main Street Sudbury,MA 01776 Unit*18 Ostervllle,MA 026655 h Comptlance: 1.5%getter"wri Code Maximum LA: 133 Your UA: 17.3 The%Better or worse Tha.Code index mfleeta hour tine to eampllance the house is b8sed en code trade-W ndes. It DOES NOT Provide an estimate or energy use or coat relative to a minimum-code home- Envelain Assemblies Ceiling 1:Cathedral Ceiling 830 40.0 0.0 0.026 22 Floor 1:A16Wood Jalstlrniss:over Unconditioned Space 634 30.0 0.0 0.033 23 Walt 1:Wood Frame,16"o.c. 920 24.0 0.0 D.054 42 Window 1:Vinyl/Fiberglass Frame:0oubte Pane with Low-E 96 0.290 28 Door 1:Solid 20 0.180 �4 . Door 2:Solid 20 0.220 4 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to most the 2012 IECC requirements in REScheck Version 4.6.2 and to comply with the mandatory requirements fisted In the REScheck Inspection Checkllst. Wtk ftswod Name-Title Signature Date Project Notes: REScheck by Cape Cod Insulation,Inc. 18 Reardon Circle South Yarmouth,Ma.-02664 800-696-6611 #12272 _ Project Title:The Coutu Residence Report date: 08/28/15 Data filename:�Xbruins4lPROFILESlkpresswoodlMy DocumentsIDocumen4s1RE5check\*12272.rck Page i of 8 r 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 02 REScheck Software Version 4.6.2 Inspection Checklist Energy Code. 2012 IECC Requirements: 45.0%were addressed directly in the REScheck software Text in the°CommenWAssumptions"column is provided by the user in the REScheck Requirements screen.For each requirement,the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed.Where compliance is Itemized in a separate table,a reference to that table is provided. :;S�tlmt':•:;.,�:�•,•: .::,:.":>;� ;plititis.;�erffir:d�� '; •.11�r� �: •: +��` •Vailue nt ill be met. 103.1, :Construction drawings and Complies Requirement w 103.2 :documentation demonstrate :. 1DDoes Not (PR11" ;energy code compliance for the lJNot Observable 'building envelope. 'a '[1Not Applicable 103.1, Construction drawings and '" ©Camplles 103.2. :documentation demonstrate 'Lboes Not 403.7 energy code compliance for ty;. - fs ' -'° apNot Observable Lmiy !lighting and mechanical systems. [Not Applicable . Systems serving multiple ,dwelling units must demonstrate compliance with the IECC Commercial Provisions. d '''Heating and cooling equipment is; Heating: Heating- sized sized per ACCA Manual 5 based Btulhr Btu/hr _ VDoes Not `k,,an loads calculated per ACCA Cooling: Cooling. :DNot Observable `Manual J or other methods Btulhr 8tu/hr. pNat Applicable code offlc �,•�•• '�fd1�N approved by the lal. , Additional Comments/Assumptions. 1 Hlgh Impact(Tier 1) Medium impact Tier 21 3 t,ow Impact(bier 3) Project Title.The Coutu Residence Report date: 08/28/15 Data filenarne:llbruins4NPRt7FlLESlkpresswood\My Documents\Documents\Rl_5checkl#12272.rck Page 2 of 8 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 03 od A Protective covering is installed to ;OComplles Exception.null. Protect exposed exterior insulation ;ODoes Not and extends a minimum of b in.below ; fQNot Observable; d grae. •4.� !,[]Not Applicable , ".Snow-and ice-melting system controls;QComplies installed. ;[lpoes Not wa;,a,F . :[]Not Observable 'UNotAppllcat,le Additional Comments/Assumptions: + 1 High Impact('Tier 1) •'Medium Impact(Tier 2) 3 Low Impact tiler 3) Project Title:The Coutu Residence Report date: 0131213/15 Data filename:llbrulns4lPR0rtLESlkpresswood\My Documents\Documents\REScheck*12a72.rck Page 3 of 8 I 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 04 i xS L�atl, ,Firir�illri f.;Nt { i 1 i itirr; pisnli Ver�tl it. >=Fe1L�Y+etlfl d. elfin 402.1.1, I Door U-factor. ; U- U-...— 0complies ;see the Envelope Assemblies ' ❑Does Not ,table for values. 402.3.4 [FR131 t Not observable ; ;( Not Applicable 402.1.1. :Glazing U-factor(area-weighted U- 1 U-� ;©Complies I See the Envelope Assemblies 4023.2, average). ;CaDoes Not table forvatuea 402:3.3. E)Not Observable 402.3.6. MNot Applicable 402.5 [FR211 303.1.3 ;U-factors of fenestration products "'• ❑Complies ;Requirement will be met. (FR431 are determined in accordance 1.: ❑Does Not with the NFRC test procedure or ,taken from the deFatable. i'' ,ONot Observable ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier 1 ©Complies ;Requirement will be met. (FR23)1 ;installed per manufacturer's Fq ❑Does Not [nstn>Ctivns. , ONot Observable ' ❑Not Applicable 402.4.3 ;Fenestration that is not site built �� ©Compiles :Requirement will be met. (FR2031 ;is listed and labeled as meeting u ❑Does Not AAMA/WDMA/CSA 101A.S.2/A440 Not Observabie or has Infiltration rates per NFRC . 400 that do not exceed code Mot Applicable ; limit's. IC-rated recessed lighting fixtures .� " it L�Complies ;Requirement will be met, asealed at housinglinterlorflnlsh ,,'` ' ©Does Not p�. • and labeled to indicate s2.0 cfm `9ONot leakage at 75 Pa. ❑Not Appf ablee 403.2.1 ;,Supply ducts In aWts are R- ; R- fOCamplles (FR7,231 insulated to aR-S.All other ducts R. R- ;❑Does Not In unconditioned spaces or ;pNot Observable ;outside the building envelope are ;insulated to all-6. ;©Nat Applicable 403.2.2 :All joints and seams of air ducts. ❑Complies IFR1311 ;air handlers.and filter boxes are r "f"; ` �" C)Does Not ® ;sealed. ' I ©Not Observable ©Not Applicable '403.2.3 ' ;Building cavities are not used as f7Complies '[FR3533 ducts or plenums. S I'} ❑Does Not A • t 'r��i� �; j]Not Observable f ❑Not Applicable ' �4 HVAC piping conveying fluids R- R-- ;OComplies ; a. 4 { .F above 105 Qp or chilled fluids ;❑Does Not r .>.�W below 55 OF are insulated to aR-•; ;. ;j]Not Observable �;®Not icable 403.3.1 ;Protection of insulation on HVAC ❑complies EFR2411 ;piping. .a ` i' Oboes Not +'I []Not Observable ®Not Applicable Hot water pipes are insulated to R- :Jtf.aR-3. ;©Does Not s >� ;3Not Observable ❑Not Applicable ;. 1 IMigh Impact trier 1) ;,Zj Medium impact(Tier 2) 13 Low Impact Ci ier 3) Project Title:The Coutu Residence Report date: Of3/2I3115 Data filename:llbruins4XPROFILES1kpresswoodlMy DocumentslDocumentslREScheck\*12272-rck Page 4 of 8 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 05 secxinrr.;.��;.•'••' ?' ::.rR�:� le�:?:Alan �rf�lied�•:' !� . t +hplB .. mihy V :. i:>ii :::r, ;; :.. :;::•'.' • ;° %• Complies` ;Requirement wql be met. ra;Automatic or gravity dampers areapae5 Not ,installed on all outdoor Air i =Y;Intakes end exhausts. ._ ❑Nat Observable '•;':�;;,`'�^��;, ��:'„. = uF�f�:a,T,,,,�'';a �� � ., (]Nat Applicable ; Additional Coin+mentslAssumptlons: 1 INIgh impact(Tier 1) y <Medium Impact(Tier 2) 3 Low Impact(,ner 3) Project Title:The Coutu Residence Report date: 08/ZS115 data fiiename: llbruins4%PROFILSSIkpresswood\My Documents\Documents\REScheckl#12272,rCk Page 5 of 8 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 06 '` All installed insulation is labeled ❑complies s Requirement will be met. ` or the installed R-values ®Goes Not ; .° : +�� +�provided. ` ©Not Observable >,> # S.5, f,, `�,,.:. .k:• CJNot Applicable ; M.. 402.1.1, Floor insulation Ft-value. R-�,_ R- ;�COmplies ,See fb rr+veloae Assem6►ies 402.2.6 � p wood ;Q wood ©Does Not sabre values. iIN11' Steer ;❑ Steel ;C]Not Observable ;QNot Applicable 303,2, Floor insulation installed per ,❑Complies ;Requirement will be met. 402.2.7 -manufacturer's Instructions,and ❑Does Not [IN211 ;in substantial contact with the ❑NQt observable underside of the subfloor. E)Nvt Applicable 402.2.1, ;.Wall insulation R-value,If this Is a; -R- R,� ,❑compiles {see the Envdmm Assemblies 402.2.5, :mass wall with at least'! of the ;0 Wood ;� wood ;❑Does Not ;tame for values 402,2-6 ;wall Insulation on the wall Mass Mass UNat Observable ' EIN311 ;exterior,the exterior Insulation ❑ Steel ;❑ Steel :ONot Applicable requirement applies(FR10). 303.2 ;'Wall insulation is installed per e• 0complies !Requirement will be met. [IN4]1 ;manufacturers instructions. p' �; I ❑Does Not Mot Observable ' ©Not Applicable Additional Coilnments/Assuimptions: 1 Hlgh Impact(Tier 1) ' , Medium Impact(Tier 2) Low Impact(Tier 3) Project Title:The Coutu Residence Report date,, dgf2841 Data filename:11bruins41PROFILESikpresswood\My Documents\Documents\RESche€k*12272.rck Page 6 of 8 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 07 rCtlomlr'�• �p1b�C.Ye> `.:.��.•I>Ifi~i�'�. :�• •.;C+ralitplil'�''. . ,tptio+h ;;a'::#-�':;,.. .?1;.F�tiimm'lvlli �" •::1I►�11i� •V�1�'�' 402.1.1. '.Ceiling Insulation R-value. R- R. ,�IComplles ; the E"'ree& 402.1.1. ❑ wood ;0 wooa ?®Does Not �t�e for values 402,2.2, ;❑ steel Steel 1QNat Observable 402.2.6 UNot Applicable (Flip 9 303.1.1.i.;Ceiling insulation installed per Complies Requirement will be met. 303.2 ;manufacturer's instructions. E3Does Not [FIZIl !Blown insulation marked every [3Not Observable 9 i 300 Rz. ONot Applicable Vented attics with air permeable ©Complies ;Fscceptlan:null. < insulation Include baffle adjacent ❑Does Not to soffit and eave vents that []Not Observable extends over insulation. Not Applicable ( 402.2.4 ;Attic access hatch and door R� R- ; Complies ?Requirement will be met. (F1311 insulation all-value of the 'ODoes Not ;adjacent assembly. :pNot observable ' ;[]Not Applicable 402.4.1.2 :Blower door test 0 50 Pa.-c=5 ACH 50 ACH 50 !OComplie5 '.Requirement will be met. (F11711 ;ach In Climate Zones 1-2,and '[]Does Not <=3 ach in Climate Zones 3-8. UNot observable ;[3Not Applicable 403.2.2 ;Duct tightness test result of t=4 ! cfmmfio0 cfm/10o 1,13eomplies (FI431 ;dml100 ft2 across the system or ftz ;[]Does Not : =3 cfrnl100 ft2 without air ! :[]Not Observable handler 0 25 Pa.For rough-in QNpt Applicable ;tests,verificatlon may need to !occur during Framing Inspection. 403.21.1 !Air handier leakage designated ©Complies (FI2411 ;by manufacturer at<=2%of []Does Not 'design air flow. sl []Not Observable []Not Applicable Programmable thermostats DComplies installed on forced air furnaces. r ODoes Not ' []Not Observable [Not Applicable Heat pump thermostat installed QComplles on heat pumps. oDoes Not oNot Observable '. �s�t�G^^�` ONot Applicable Circulating service hot water []Complies "g=1'systems have automatic or ©Does Not V s � accessible manual Controls. ! ' [1Not Observable kK; []Not Applicable M. All mechanical ventilation system ©Complies 4 5 `fans not part of tested and listed OQoes Not ; HVAC equipment meet efficacy ' [3Not Observable and air flow limits. []Not Applicable 404.1 ;75%of lamps In permanent Y [3Complies (FI611 'fixtures or 75%of permanent i y []Does Not :fixtures have high efficacy lamps. []Not Observable Does not apply to low-voltage []Not Applicable lighting. 1 1919h Impact Merl) Medlum Impact rTler 2) ' �. Law Impact Cfler 31 Project Tltle:The CoUW Residence Report date: OWS/15 Data filename:llbruins4iPROFILfESlkpresswood\My Documents\Documents\Rl_5checkl#12272.rck Page 7 of 8 09/25/2015 23:35 5087785731 CAPE COD INSULATION PAGE 08 5e�c'Cli►rf;`.: . tti:'tla�r>Pfiil,: E1 � ip :: +Pr�(ii��'tlls`5dlss�ltirptit�. fla4 '••,,;:,iy.,::;;. : .. �ihr'onf�Ws �:V�iur..: lei:.,• BYO. .•. . ,. . . .. ... ..•..:. ., ,.. $e Rert Clcornplies +ip4'1.1 ;Fuel gas lighting systems have ODoes Not t;1231' no continuous pilot light. QNot observable i aEINot Applicable u nd,compliance certificate posted• ij ©compiles ;Requirement will be met. �: v ❑Does Not [ Not observable UNot Applicable Manufacturer manuals for []Complies i iFl19l3' !mechanical and water heating ❑goes Not ;systems have been provided. b ��;. pNat observable ' Ot Applicable CaN i Additional ComrrmenWAssumPtions: 1 High impact(flea'1) ;•. Medium impact Crier 2) 3 Low Impact(Tier 3) Project Title;The Coutu Residence Report date: 08/28/15 Data filename:"bruins4lPR0FlLESlkpresswood\My Documents%Documents\RF.Scheckl#I2272.rck Page S of 8 . L 09/25/2015� 23:35 5067785731 CAPE COD INSULATION PAGE 09 2012 IECC Energy Efficiency Certificate Mmve-Grade Wall 24.00 Below-Grade Wall 0•00 Floor 30.00 Ceiling /Roof 40.60 Ductwork(unconditioned spaces): Window 0.29 Door 0.22 H*Mng System:_ Cooling System: Water Heater: -- Name: Date: Comments Liberty The Ohio Casualty Insurance Company MUtum. 62 Maple Avenue, Keene, New Hampshire 03431 SURETY BOND Bond#601094972 KNOW ALL MEN BY THESE PRESENTS:That we Steven J. Bishopric, Inc. 1112 Main Street, Unit 18 Osterville MA 02655 Street Address City State ZIP Code (Full Name[top line]and Address[bottom line]of Principal) (hereinafter called the Principal)as Principal,and, The Ohio Casualty Insurance Company with principal offices at Keene,New Hampshire(hereinafter called the Surety)as Surety,are held and firmly bound unto Town of Barnstable 200 Main Street Hyannis MA 02601 Street Address City State ZIP Code (Full Name[top line]and Address[bottom line]of Obligee) (hereinafter called the Obligee),in the penal sum of Four Hundred Seventy Two Dollars and 00/100 (Dollars)$ 472.00 for the payment of which well and truly to made, we do hereby bind ourselves, our heirs. executors,administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has made or is about to make application to the Obligee for a License to Construct a single family home at 72 Ocean View Avenue Cotuit, MA 02635, 118' Frontage for a term beginning on August 26, 2015 and ending on*August 26, 2016 (*strike out if license or permit is for an indefinite term) NOW, THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to comply with the laws or ordinances under which said license or permit is granted,or any lawful rules or regulations pertaining thereto,then this obligation shall be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: I. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below;but if said license or permit was issued for a specific term,and is renewed for one or more specific terms,this bond will be extended to cover such additional term(s)upon the execution by the Surety of a Continuation Certificate,provided such certificate is acceptable to the Obligee. In no event, however, shall the liability of the Surety be cumulative from year to year or from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten (10) days in advance of its intention to do so. SIGNED,SEALED AND DATED August 26, 2015 Steven J. Bishopric, Inc. By: The Ohio Casual y nsuranc Company By: Martha A. Kenney,Attorney-In-Fact-' S-3853 License or Permit Bond (Unnumbered) POWER OF ATTORNEY The Ohio Casualty Insurance Company Bond Number:601094972 Principal:Steven J. Bishopric, Inc. Agency Name:DOWLING&O'NEIL INSURANCE AGENCY Obligee:Townaof Barnstable Agent Code:200226 Know All Men by These Presents:That The Ohio Casualty Insurance Company,pursuant to the authority granted by Article IV,Section 12 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company,do hereby nominate,constitute and appoint:Kelly C.Bolton,Martha A.Kenney,Robert W.Miller,Mark McCartin,Nancy Soule,Joanne R. Sullivan,Emily Montgomery of Hyannis,Massachusetts its true and lawful agent(s)and attomey(ies)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES,excluding,however,any bond(s)or undertaking(s)guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Keene,New Hampshire,in their own proper persons.The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact. In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 18th day of November,2013. �SY INS& VJ=ORPOR9� y F n g 21919 o y �iy �y 11>'1 A*P*P.4a David M.Carey,Assistant Secretary STATE OF PENNSYLVANIA COUNTY OF MONTGOMERY On this 18th day of November,2013 before the subscriber,a Notary Public of the State of Pennsylvania,in and for the County of Montgomery,duly commissioned and qualified, came David M.Carey,Assistant Secretary of The Ohio Casualty Insurance Company,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Plymouth Meeting,State of Pennsylvania,the day and year first above written. 9P PAS, �Q �� oaN,ONW� ! COMMONWEALTH OF PENNSYLVANIA 75 9 Notarial Seal OF Teresa Paslella,Notary Public Plymouth Twp.,Montgomery County �VP�3p My Commission Expires March 28,2017 Notary Public in and for County of Montgomery,State of Pennsylvania � Member,Pennsylvania Association of Notaries Aqy P� My Commission expires March 28,2017 This power of attorney is granted under and by authority of Article IV,Section 12 of the By-Laws of The Ohio Casualty Insurance Company,extracts from which read: ARTICLE IV-Officers:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to,make,execute,seal,acknowledge and deliver as surety any and all undertakings,bond,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attomey,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February,2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company,wherever appearing upon a certified copy of any power of attomey issued by the company in connection with surety bonds,shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE I,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF,I have hereunto set my hand and the seal of the Company this 26. day of August 2015 �SY INS(, yJ�OaPORq? 2 Qr Fom oZ 1919 o �----� yA MPS Gregory W.Davenport,Assistant Secretary trQ���.R1EDEt�, �soy ftwsNG HEATifG AIRCOwmoNwu 778 MwN S7REEr Osmviu>:,MA 02655 PH:(508)428-6365 FAX:(508)420-0180 August 26, 2015 To whom it may concern, Carl F. Riedell&Son, Inc.has performed a visual inspection of the home located at 72 Ocean View Ave, Cotuit, MA 02655 and has determined that the gas service and water service that comes from the main house has been disconnected. If you have any questions,please feel free to contact the office. Thank you, f, Mark Razzano Plumbing Foreman SHAWN A. SOUZA ELECTRICIAN L.L.C. 31 LAKE DRIVE PLYMOUTH MA, 02360 shawnsouza39768@gmail.com 1 - (S08) - 209 - 1944 . TO THE TOWN OF BARNSTABLE Attn : Building Dept. This letter is in regards to the removal and re location of the existing underground electrical service and meter socket for the GUEST HOUSE located at 72 Ocean View Ave Cotuit Ma, 02635. The meter socket will be relocated to a remote pedestal away from the dwelling and remain there permanently. This work will be completed prior to any demolition of the existing Guest House. The load side of the underground will be brought back into the new foundation once it is complete and a new load center will be installed. My T.O.B. Permit#on this project is 201505166 and I am currently working with Paul Bowe,the area engineer from Eversource, on the logistics and a work order number. I will attach it to the permit as soon as it is generated. Any further questions or concerns, please contact me by phone or email. , Thank you,. Shawn A. Souza national August 21, 2015 Attn: Steven Bishopric BE: 72 Ocean View Ave,_C_ tuit. MA This letter is to notify you that there is live gas going to the main house at 72 Ocean View Ave, Cotuit,. MA.The cottage located on the property,in the back of the house, does not have live gas connected. If you have any questions, please feel free to contact me @ 508 760-7463. Thank You, Sarah Brillant Gas Customer Fulfillment National Grid 127 Whites Path S. Yarmouth, MA 02664 Tel#:508 760-7463 Fax#:508 394-5019 Commonwealth of Massachusetts 'Official Use only Department of Fire Perriut No. p Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. ll/99] ea,blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(IyIEC),527 CUR 12.00 (PLEASE PRINT LN.INK OR TTPEALL LVF0RMATI0Y, Dater ki City or Town of: i�{2AlSTf�,�3 L To the.Inspector of moires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location.(Street&Number) 7 Q p C ee o,4j y t eco A V& Ci OTU 1 Owner or'Tenant 1Ih ; ���ap_ G t�lam" Telephone No. 9 78-S•doo Owner's Address a1 Ce&M e G V,. MA g 6 3 Is this permit in conjunction.with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building i r�1�, .E'0.M ?y b ���,�► Utility Authorization No. ?. Existing Servicel d Amps /oqd/ c15tOVolts Overhead❑ Undgri[� No ?fMeters .;a- a New Service Lso Amps. / © /02 U Yolts Overhead❑ Undgrd [1,No df Meters ; '2 Number of Feeders and Ampacity — Location and Nature of Proposed Electrical Work: L2a• rti1 ` a i5Xi , < o., . •N '� cw /ia. WE Completion the oIto win table maybe waivedby the lhm6ctor of FYires. No,of Recessed Fixtures vZ v No.of Ceil..Susp.'(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures f a Swimming Pool Above ❑ u- ❑ o. o . mergency Ligliting grmd. grnd. Battery Units No.of Receptacle Outlets CD No.of Oil Burners . FIRE ALARMS No,of Zones No.of Switches. No.of Gas Burners No. of Detection.and Initiating Devices No. of Ranges No..of Air Cond. 1 Total 3 No. of Alerting Devices No.'of Waste Disposers Heat Pump Number Tons No. of Self-Continue Totals: Detection/Alerting Devices d No. of Dishwashers Space/Area Heating KW Local ❑ Municipal Other Connection No. of Dryers Heating Appliances KW ecurl Systems: No. of Water No.of Devices or E uivalent o.of o of rin Heaters Ka' Si s _ B .allasts Dat No of or Equivalent a No.Hydromassage Bathtubs No.of Motors Total HP , Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail{f desired or as required by the Inspector of Wires. n-40 INSURANCE COVERAGE: 'Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability' urance including"completed operation"coverage or its substantial equivalent, The undersigned certifies that such cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ce BOND ❑ OTHER ❑ (Specify:) - (Expiration Date) s Estimated Value of Electrical Work: $ �j0_ p,o . (When required by municipal policy.) t Work to Star ! :/ Inspections to be requested in,accordance with AMC Rule 10,and upon completion. I certify, under the inns and penalties of perjury,that the information on this application is true and complete: FIRM.NAME• Aj 4 t� .` ,�.} LIC.NO.:E 6 8 3 ? .p L�,ZA-) SOL�Z0.. Signatur Licensee:� C.NO.: 34 6 0 (If applicable, enter "exempt"in the license num er line) Bus.Tel.No.• D Cg'/9Y°/ Address:__ k t•7_ YrI'OL d1/� 6 a'�A(� Alt,Tel.No,:SO$-ao --Vs3 i OWNER'$1NSURANCE WAIVER: I am aware that the Licensee d es n�the.liability insurance coverage normally required by law. By my signature below;I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. 'Owner/Agent Signature Telephone No. l'ERMI2'FEE: $ - -- , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parc I' ,5� Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address �7 2 OCUIJ VIEW fi-W)V i, Village co-w kl'' Owner .M CN4 G QOPNR CW Address kpo , R)). 5upao A% Telephone Permit Request Ru 0 U Pi wks To P.t P) ££ IA) t-S 1�k) I CAVA- OW'�V Square feet: 1 st floor: existing I W proposed (j 2nd floor: existing 1J74 proposed Q Total new 0 Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type 1 f- Lot Size ,,Z 17 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 1 CEO Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ®,No Basement Type: U(F'ull [Crawl L3 Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Q316 Number of Baths: Full: existing new o Half: existing new 0 Number of Bedrooms: existing b-new Total Room Count (not including baths): existing new 0 First Floor Room Count 3_ Heat Type and Fuel: dGas ❑ Oil ❑ Electric ❑ Other Central Air: ®"Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes 91 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: xisting U nev4 size_ C5 Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other:- Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ w Commercial ❑Yes ❑ No If yes, site plan review# =' Current Use �VV L Proposed Use I O W-r-1 0-41 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address 1112- hA04) ST• License #�� Home Improvement Contractor# 1u Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO • 0 W A) 6 W STALE_ S 1 i9-Ala/0 SIGNATURE DATE Z���`� /k2-0 1 2. FOR OFFICIAL USE ONLY APPLICATION# bATE ISSUED ,k MAP/PARCEL NO. ADDRESS VILLAGE S OWNER DATE OF INSPECTION: FOUNDATION FRAME i tza Il3 INSULATION ®k 1 ?.�s Ql3 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL g FINAL BUILDING �- 1Z3813 DATE CLOSED OUT ASSOCIATION PLAN NO! � The Commonwealth of Massachusetts UVDepartment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111w ww mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): STEUW Y �1SHOPPL 1VC Address: _ 11,I'A�1N Ds �v u�, Su-��� 1 . City/State/Zip: 051 41 UC , &t_Qgy Phone#: ems- LkU AFl u an employer?Check the appropriate box: Type of project(required): 1. am a employer with 4. I am a general contractor and I * have hired the sub-contractors 6. Q New construction employees(full and/or part-ime). - 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. 2'Memodeling ship and have no employees These sub-contractors have g. Q Demolition working for me in any capacity. employees and have workers' # 9. []Building addition [No workers' comp.insurance comp.insurance. , required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§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 provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site information. T Insurance Company Name: Ayyo�L ZJU$Vtwa Policy#or Selfins.Lic.#: �C`` ���Sf� Expiration Date: Job Site Address: QCf u V l Ems' R`U City/State/Zip: CMV VT- 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 ceeiWfy under the pains gnd penalties of perjury that the information provided above is true and correct Si /cJ /Ik' ate: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Client#: 12032 2BISHOPRICST DATE(MM/DDIYYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 11/13/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil PH°NE 508 775-1620 FAX 5087781218 A/C No Ext: AIC,No Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:National Grange Mutual lnsuranc INSURED INSURER B: Steven J.Bishopric,Inc. INSURER C 1112 Main Street,Unit 18 INSURER D Osterville,MA 02655 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY A GENERAL LIABILITY MST4295K 11/01/2012 11/01/2013 EACHOCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $20O OOO CLAIMS-MADE FX1 OCCUR MED EXP(Any one person) $5,000 X PD Ded:250 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 1-1 POLICY F1 JECOT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR' EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION WCT4295K 7/19/2012 07/1912013 X I WC YTATU-S OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO OFFICERIMEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 D DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Operations performed by the named insured subject to policy conditions and exclusions. , CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S103143/M103142 LS1 il4htf�i t$� y 4 �tY llii"1it o n6lie �J(ll • <��� a$a�u'rl�s� �s�il�l�ee�.�'��+,�atlf��aa���� .Qeatl St�aa��e�n�sf. : lc,6141 ca'- 47928 , STRVENJ BISHOP IC 1117 MAIN ST UNIT 18 . OSTERVILLE MA 02666% ' t,nnn►��Ikyi►�a^ � •Tr;g''f01U �!+ �rhyf rorr.':ri:uf•r7f�.rd dit s.%�✓t.�r r,.lr�.al-.�'/;• Oi'ficc oYCoa►sumer.tffivirs&'Husincss Itegulation License of registration imlid for indii•idul usi 11 r` iQME IMPROVEMENT CONTRACTOR before the expiration dnte, If fuund return t, , ,a9IIStra•'on: 106141. Type, Office of Consumer Affairs and Ilminess Rri t . cEstpiration: 7122J2;3 4 °rivate Corporatie�s' 10 Park Tim•Suite 5);q f Buatirn,.lii.4 t12916 iTEVEN J.-BIS?IOPRFC INC, Stfven Sishopric 1 12 MAIN 5T UNIT Vq 05TERVILLE,MN02655" Vaderseeretary ti°uli ifhout glbn. ace r k 7 r + BARNSTABM • A, Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject 'property .. nn l hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: OCR \l I�w A-NJcc V (Address of Job) - /Z. Z2 ZZ Signature of Owner Date Punt Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. d C:\Users\decofl&\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doo Revised 053012 i 1 Loy. 4 4 2A(g /O yy 7Q• _ /03.gyp. 3�:'• j O �` � LOT Jr' P"°pos ecl k j o- r Shown 0np/017 rtccvded ? j4 2� � $ y . G !0) tiI 3.25 hI :1,R. LOT L. C. W 92/6 0 TAGLE Qabo .. . ........ `:iis Plan does not require E�"" CA :e aFr o,•21 of th oard Of Survey PEGIST.Y OF DEEDS 0�1 2 s 195 "Z. TAHLE PLAN �� L A C07-U 1 T, AARNswm,'10 Or TO MAS S. NELSON Twe . PIN E i . BEARSE H ' N C • . sc.4c !IN =20 ft. q * Z'9.195$ 6a�►asQ icHwR SUIN R D LAW, SuRV�IYORS. - CervrEJzv���, Moss. : oFr Town of Barnstable + ��� � S # Permit �,. Expires 6 m from issue date s Regulatory Services Fee sAxrtsrwsu, y MASS v Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 Y www.town.barnstable.ma.us 508�s-86�-� Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press imprint Map/parcel Number 3 h5L, , i Property Address t,� C v �.1I v Um residential Value of Work C. 00�Vlf Minimum fee of$35.00 for work under 56000.00 Owner's Name&Address I C W A C 6Q Contractor's Name 1fp;iklcl. Telephone Number Home Improvement Contractor License#(if applicable) ZI Construction Supervisor's License#(if applicable) Gq!]C 2jr ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ m the Homeowner R001 have Worker's Compensation Insurance , Insurance Company Name U.810 0-L U fi-1 Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) i ❑ Re-side #of doors [Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows c� "Where required: Issuance of this permit does not exempt compliance with other town department regulations,.i.e. Historic,Conservation,etc: ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License isrequired. SIGNATURE: a 2:IWPFILESTORMS\building permit forms\EXPRESS.doe Zevised 0701 10 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 Le b� Name (Business/Organizarion/Individual): S� LuVJ 15l Flr Pd�C �tiC Address: 1112 l4\N ST U T I City/State/Zip: 0'��110 )c 14. ' Phone Are you an employer? Check the appropriate box: 4. 0 I am a general contractor and I F7. e of project(required): 1.[�I am a employer with�� employees (full and/or part-time).* have hired the sub-contractors ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 0 Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp, insurance.$ 9• ❑Building addition required.] 5. We are a corporation and its 10.[]Electrical repairs or additions 3111 am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL , insurance required.] t c. 152, §1.(4), and we have no 12•Q Roof repairs employees. [No workers' 13.0�-bther �lJlll�dia/(�Ep/ comp.insurance required.] 'Any applicant that checks box#] 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 is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: L AdizV r�-L Policy#or Self--ins. Lic. #:_ CT 1.1 19f I{ Expiration Date: l� Job Site Address:__ �u2 ( slu V1 1,V �11�lUt1g. Ci /State/Zi ri p._ 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 under the pa' and penalties of perjury that the information provided above is true and correct. Signature: ° (�_ Date: �'. 1�ll3 Phone#: — Official use only. Do not write in this area, to be completed by city or town officiar' City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk. 4. Electrical InspectL5PIumbing 6. Other Contact Person: Phone#: Client#: 12032 2BISHOPRICST AC' 08122/2013ORD.M CERTIFICATE OF LIABILITY INSURANCE DATE2120I13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CO ACT NAME: Dowling&O'Neil PHONE 508 775-1620 FAX 5087781218 A/C No,Ext: A/C,No Insurance Agency E-MAIL .ADDRESS: 973 lyannough Rd., PO BOX 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:National Grange Mutual Insuranc INSURED INSURER B Steven J. Bishopric, Inc. INSURER C: 1112 Main Street,Unit 18 Osterville,MA 02655 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR 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. IN R TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS A GENERAL LIABILITY MPJ3369M 3/09/2013 03109/2014 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $500 000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,000,000 POLICY PRO LOC $ JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE _ $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ' DED I I RETENTION$ $ A WORKERS COMPENSATION WCT4295K 7/19/2013 07/19/2014 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N O Y LI ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 GOO If yes,describe under - DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. -- --- AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S115666/M115665 KKM �ufass�C�ku��tts_��pa�trn�nt si�k��ut��l�; Y 'Bct�� d�f B`uitti�r�g`}���t2ior,s�rrd�t�c���cds C crest u�4i4�(5t rt 1se r' i ,cen � C �0�T 2$ $TTV H'h JiL6 fiOj 1 =Og1'1w ` :Gnr.�rmis��un�r d �.LCCI�7C 6f rCj�llsirtltlQo1 Y�ftd'tgr f ca Of CDnsun7tr lffalrs%lfvc�dcx�Rsgvf5�9 rnr , are the ixpar tinr�`dal� tf fnund"r �� p941 fN1P ht `ROy� NT Ct"9M7 RACT['R� of Q onaui9�er•1tta€rs end Bu3re Reg�Strateaii 3�6-4.1 Type ir7 Y:arl:PI�rA 5uiti.�l�t1; s �Exi6rat�arr ? T2dtaw _ _ Boefnn Staue-6 8 h?6Crtc i 1tvlAtiV 5T Uyf.i' ^TRVILt h�l>i2bh; ` t at ure. Kv i ` II � 9. Town of Barnstable . Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner , 200 Main Street, Hymns,MA 02601 www.town.barnstabl.ma.as Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I as Owner of the subject property hereby authorize SIEViV 7 &40 P M G to act on my bebalf, in all matters relative to work authorized by this building permit application for: vl�w �viyy (Address of job) JJM Signature of Owner Date �J Print Name U Property owner is appWng for permit,phase complete the Homeowners License Exemption Form on the reverse side, C:\UsmW=U&XAppDaM\LoedVA c mft\Wmdm\TaMon"Inunnt Files\C=Wnt.Oudmk\QRMUHN1\EXPRESS:co Revised 053012 Engineering Dept. (3rd floor) Map Parcel �`�j Permit# - House# '7,,2;D Date Is Board of Health(3rd floor)(8:15'-9:30/1:00-4:30) Y1,9 A. Fee NSTaI i -�a�r: CS __cam 11 • Conservation Office(4th floor)(8:30-9:30/1:00-2:00) ENVIR {ly rIT�1�1P��,gNCE Planning Dept.(1st floor/School Admin. Bldg.) T®ON� E 5 WN D�gND Definitive Plan Approved by Planning Board 19 - , BARN BLUE. ' - MASS. P 039. TOWN OFrBARNSTABLE, ,EnNa+a� Building Permit Application Project Street Address____- � Village-_---* Owner JA s. 0e1Q�N �1?,Y_exA.)rcmSk`1 Address svaw►le__ Telephone 14?R- 6106 ++ 11 Permit Request Cav slryC #- tS` b" x 20 -,one sjaz4 nAA�� iovi -ta r-Tyte - CL Sl'LtivtC 3 First Floor 3 i Q square feet Second Floor YO!► - square feet Construction Type \1Lr2A . Fy-QyY1g__ Estimated Project Cost $ -1 (�� ppp Zoning District Flood Plain Water Protection �r Lot Size 2 '? ►4c_ Grandfathered ❑Yes ❑No Dwelling Type: Single Family ft' Two Family ❑ Multi-Family(#units) Age of Existing Structure (or) + Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full bawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New v Half: Existing New en, No.of Bedrooms: Existing New 0 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: 21 as ❑Oil ❑Electric ❑Other Central Air p'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 ❑No If yes, site plan review# Curre t 1 n Use t .M Proposed Use Builder Information Name R—ar4 p rS A K&Q,r"N Tv,c- Telephone Number -4ZA— 6106 Address 3 16 License# 31g'2 6 Home Improvement Contractor# I Oo►39 C2216= Worker's Compensation# t 9C q T 7 8 0o_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 Cb b c i C� Co. SIGNATURE DATE BUILDING PERMIT DENIEJdFOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. 2� DATE ISSUED MAP/.PARCEL NO. cl ADDRESS VILLAGE x • # ��rw. ` '". •'^ "' - e - .A ^"``: fir OWNER ♦. -O a :. .... —_ DATE OF INSPECTION: E FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL:; ROUGH FINAL ' PLUMBING: ROUGH FINAL GAS r' Y TROUGH `, FINAL i '4 t FINAL a�Z. d t.. DATE CLO -� - ASSOCIATIO�PLA4N�NO. t The Commonwealtli of lVassucfiusetts ! 'Department of Industrial Accidents . - '�� • _- Offtceo/In�esbgaUens . • 600 Washin f;ton Street Boston,Mass. 02111 Workers' Compensation insurance Affidavit Atifin- ❑ 1 am a homeowner performinn all work myself. ❑ 1 am a sole proprietor and have no one working in any capacity 53-aln an employer providing workers'compensation for.my employees working on this job. f&ff ' an name: `-in ..; '� k— 6 1 C14 uu.p ce olio N �'7 ❑ I atn a sole proprieto , enerol contra or, r homeowner(e!n!e one)and have hired the contractors listed below who have the following workers' campensahnn po tees: . hithe h - reri •' • city. « nh'orir'q•' , tn.yuranre c , Failure to secure coverage as required udder Sccnon SSA Of MGI 152 can lead en nc�imposition AI criminal penalties o[a fate up to�),.500.00 antYo� . nos years'imprisonntcnl as well as dYil prnaltiq in the form of a$TOI'µ'ORK ORDER onJ u tine of�1U0.00 a day at•aiast me. [ondentand that a caps Of Ibis statement inAy be forwarded to the Ottiee of favestigatinns of the D1A far coverage verification. -. ,� � - 1 c!o N�rhv cerrilY�+. c►the p ins end` ennlzles ojperjury dlrrt the iitfurmen oli p ovlded above is true and corrcet..,r signatum ate Print numc Phcncrt n(Acial use ants do not write in this area to be completed by city Gr town otriciel city nr towu: perltil(Mcetuic M k Building Department ❑chick if Immediate response is requirvd [3►.kensiug onerd z CIScltcttaen'c Ofrce conhttpetlun: �. C]HcaithnepArtmcnt s ph�netY; Othcr (WASed trot YJA! A. ? HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards :-' One Ashburton Place — Room 1301 Boston , .Massachusetts 02108 . . HOME IMPROVEMENT CONTRACTOR 1 Registration 100134. Expiration 06/09/98 — -- _� --- r '"--`--'�-- " Type — PRIVATE CORPORATION S67' E � f,,,� Registration 100134 ROGERS & MARNEY , INC . Type -. PRIVATE CORPORATION Charles D . Rogers 6 Expiration.. 06/09/98 PO Box 310 Osterville MA 02655 R06ER5 & MARNEY, INC.. Charles D.- Rogers G� � � Box 310.. `� U"s/terville MA 02655 ADMINISTRATOR OME IMPROVEMENT CONTRACTORS ISTRATION Bo d of Building Regulatio and Standards ne Ashburton Place Room 1301 oston , Massach etts 02108 HOME IMPROVEMENT ONTRAC R a ' Registration 105222 Expiration 07/16/98 Type — INDIVIDUAL ROBE J . COOK 12 ALKER ST /P .O ., Box 49 almouth MA 02541 DEPARTMENT OF' PUBLIC SAFETY 45055 ' ONE ASHBURTON PLACE, RM 1301 BOSTON, •.MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number: Expires: ` ROBERT J COOK f � � a '.W : Detach bottom, fold sign on ` = ' back, and laminate license card: PO BOX 495 ®e Po°��� »a,r FALMOUTH, MA 02541 tir' ^w �: Keep top for receipt and change ,( of address notification. h Oct- 10-97 02 : 20P P.01 A//��/ D^ i V 0![ {MM/DD/YY) L��r•rl.tl'1.t lS�11 ;:' ;.9.• I 4 RBI �� I If-:_._.. . 10/Y0197 PRODUCER 508-790-1030 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CCNFERS NO RIGHTS UPON THE CERTIFICATE MCSHE INSURANCE AGENCY,INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 320 WEST MAIN STREET THE0 pBELOW, HYANNIS,NIA 0Z601 COMPANIES AFFORDING,COVERAGE .. b COMPANY A NATIONAL GRANGE MUTUAL INSURED COMPANY ° — DORAN AND KINGMAN B PO BOX 301 I COMPANY --- — OSTERVILLE,MA 0.2655 C COMPANY p THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LIST W HAVE BEEN ISSUED TO THE 114SURED NAMED ABOVE FOR THE POLICY x,L PERIOD,..:. OD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERMNME", N ITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSLF CRDED B Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,L I* Y HAVE BEEN REDUCED BY PAID CLAIMS. —..�.. CO �"/� POLICY EFFECTNE POLICY EXPIRATION' LTRCO TYPE OF INSURANCE POLICY U ER DATE(NNrpprYrl DATe(YMR)A"'RATION LIFTS GENERAL LIABILITY GENERAL AGGREGATE i 1,000,000 A X I COMMERCIAL GENERAL LIABILITY MPH22559 09/28/87 0928/98 1 ( - I ••I� CT OCCUR - �UCTS•COMP.tOPAGO S 'I,000,000 I ICLAIMSMADE ' I� OCCUR —' ___..111—+ PERSONAL 6 APV INJURY i G-DD OOD I . OWNER'S d CONTRACTCR'S PROT I - er EACH OCCURRENCE .— 's 500,0001 FIRE DAMAGE(Mry wm fw) s 500,000 D EXP An Orla !RAM (Any PB ) s 10,000 AUTOMOBILE LIABILITY A - ANY AUTO PASH22559 1 09/28/97 I 09/261 8 COMBINED SINGLE LIMIT y y— ALL OWNED AUTOS - I !--� BODILY INJURY i i 100,000 X SCHEDULED AUTOS , (Per person) HIRED AUTOS BODILY INJURY i 300,000 7 NON-OWNED AUTOS (Per erri}prd) ........_._._....... I - PROPERTY DAMAGE y 100,000 GARAGE LIABILITY - _ AUTO ONLY•EA ACCIOZNT 13 - I ANY AUTO •r 7, I OTHER THAN aUTO,ONLY: • __- .,I H AC CIDENT ccIDENr s AGGREGAiti"I s EXCESS LIABIUTY �Ar, CH OCCURRENCE 7 UMBRELLA FORM I ) GREGATE OTHER TFIMJ UMBRELLA FORM IS A ;woRxERacouPENSATIONAND IWCH22559 11/29/96 I 11/29/97 Tm L ! fT " EMPLOYERS'LIABWTY _. . . I EL EACH ACCIDENT .....___�_s 100,000 THE PROPRIETOR X INCL I ,� I „ F... . FARTNER,IXEMI�E - EL D16EA9E•POLICY LU.IrT I i 500,00D OFFICERBARE. —EKCI I �' _ - - I - - I EL DISEASE.EA EMPLOYEE 13 jpp 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHCLES/SPECIAL ITEMS CERTIFICATE LiOLDER CANCELLATION' SHOULD ANY OF THE ABOVE OE$CRIEEO POLICIES 9E CANCELLED DEPORE THE IYPLRATION DATE THHRBOF, THH 169WNG COMPANY WILL ENDEAVOR TO MAIL ROGERS AND MARNEY r 10 DAYS WRITTEN NOTICE TO THE CIRTIFYGATIHOLDER NAMED To THE LEFT, PO BOX 310 - BUT FAILURE TO NAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LUIBIUTY OSTERVILLE,MA 02655. OF ANY KNO UPON TIIE COMPANY I'M AGENTS OR 'REPRESENTATMa?$., AUTH R1ZED REPRESENTAT E. f lR\ .Y.,1`h.L.b. Nr .. 1_{:IN[161...KI....•r. .. ...., _...Y:_1.f ..1.. ... ........... .. •. .....- 1 • '�//.�.^) - A�t�06—1 • 0 ACCIAD CORPORATION rq� R DAjE(I M/7Y) ACORD,� TtFI ... L,[ Il 1TY tit URAN' [} _ . PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Inc. ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR W. H. Eshbau h Insurance Agency,Y ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 805 W.-Ma-In Street COMPANIES AFFORDING COVERAGE Hyannis, MA 02601 COMPANY.. ._ . _ ._.__. ._.-------------- -------------------------- ,. A -trust Assurance Co. INSURED _ ..._. .. _ . _. . COMPANY ' B Eastern Casua4 ty . Harmon Painting, Inc. COMPANY 707 plain Street Osterni l le, MA 02655 COMPANY p , m m ::GO1l:ERAG!~S... .....:.:. ..... .. ..:.. 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 t POLICY EFFECTIVE POLICY EXPIRATION! ' iTR DATE(MM/DD/YY) DATE(MM/DD/YY) r - ` LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000.000 A X COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OP AGG $ 1 L000 L000 -- CLAIMS MADE [ X) OCCUR I MP 1000336 4-1-.9 7 Yt 4-1-9 8 PERSONAL& INJURY ADV $ 1 OOO UOO _ -- OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 11000,000 _ FIRE DAMAGE(Any one fire) $ 50,000 -. MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY ANY AUTO , COMBINED SINGLE LIMIT $ .. ! ALL OWNED AUTOS _ ': _ ... .. ....-. � BODILY INJURY $ I I i SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY.INJURY NON-OWNED AUTOS - I (Per accident) e PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-HA ACCIDENT $ -- - ANY AUTO * OTHER THAN AUTO ONLY j EACH - .. H ACCIDENT- $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ w UMBRELLA FORM :,. AGGREGATE $ OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND C&TAT EMPLOYERS LIABILITY + - n„ - f - TORY LIMITS 1. ER . --_- EL EACH ACCIDENT $ ��� THE PROPRIETOR/ INCL / 7 p EL DISEASE-POLICY LIMIT $ PARTNERS/EXECUTIVE WC97/98007 - — --- --��s�Q�----.. OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE' $ 500,000 OTHER y. DESCRIPTION OF OPERATIONS/LOCATIONSA/EHICLES/SPECIAL ITEMS T1..LGATE... - Xm LDER::. . .....::..::: ..... ................................................:.:::::::::::.::::.::::::::::.:::::::::::::. .. 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. 0. BOX 310 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Ostervi 11e, MA 02655 OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RE R S NTASWE _. .. ....:."...::�..::. .:.}....;:: :..... .:... .......:. Q ACQ.RD CRPQRATIQN 19i3� .:.... . :..:... .::::: :;X..:.....:::.::..:::.::.......:::.::;:.. AVO/,D .?.?:;: %c .`i::1::)':'<::;;EY:::::::::;';r:.;;5::'::;::; :::i; DATE(MM/DD/YY) > RT FI . �� ,IAB[1 'TY:::Q U A : .E: :::;::::;:::::::.:: :::::::::::.::::.::.:: - ......... ::.::....::................ . .. 1 2 8 9 7 ::: -� _..... PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Jerome Sullivan Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Agency, Inc. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' 1276 Main Street (Rt 28) COMPANIES AFFORDING COVERAGE South Yarmouth, MA 02664-4459 COMPANY INSURED A Travelers Aetna Insurance Com an F COMPANY John Ellis Drywall B P.O. BOX 521 / COMPANY Mashpee, MA 02649 L `� J COMPANY D _ 0 AGE&.......................................:..::.::::...............................................::.::::::..:........................................:..::::. .::...:........................ THIS IS TO CER;•:.: _.... TIFY THAT TH E POLICIES OF S E LISTED BE O ,L W HAVE BEEN ISSUED TO THE INSURED NAMED AB OVE 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 EXPIRATIONLTR n _ LIMITS DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY p GENERAL AGGREGATE $ 600000 A X COMMERCIAL GENERAL LIABILITY 0 0 6- MP ,00258717307 0 2/14/9 7 0 2/14/9 8 PRODUCTS-COMP/OP AGG $ 600000 CLAIMS MADE FxI OCCUR PERSONAL&ADV INJURY $ 300000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 300000 FIRE DAMAGE(Any one fire) $ 300000 MED EXP(Any one person) $ Cj 0 Q AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS BODILY INJURY ` SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $, GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: v EACH ACCIDENT .$ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM 7 AGGREGATE ' $ OTHER THAN UMBRELLA FORM r $ WORKERS COMPENSATION AND Y WC STATU• OTH- EMPLOYERS'LIABILITY ;> � TORY LIMITS_ __ ER .:.::::••:::c; :: J , EL EACH ACCIDENT $ THE PROPRIETOR/ INCL PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT $ OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS Installation & Repair 'of Drywall r. C MEMO= SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Rogers & Marney, Inc. ID DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, P.O. BOX 310 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Os t e rvi l l e, MA 02655 OF ANY KI UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED R RE�ENTATIVE Di.Cq,f�R::25� .. 1.5::..:.::::.:::::........................:.::.::::.:::.:::::::.........................,.:.::::::.:::.................... .. .:.::::::::.::.:::.... ..............:..::::::::::::::. ... :;.;>;;.;;.;>;:.;:;;::.;;:.;>;;;;.;;;::;.>::>::;�:A�:O>=1:t�:;Col�1✓'O�ATIO ':1;9�8::: r The Town of Barnstable sanxsTABM • Department of Health Safety and Environmental Services TEo �A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen . Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, ' conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: i P DC1 Est:Cost Address of Work: 11 AQ-P_ Owner's Name I��rC . 1-�P('Q 1� S Y.trA�,J=Dnk I - • Date of Permit Application:. I hereby certify that: T Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied 'Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN ' PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the owner: t 11-1 Date C ntractor Name Registration No. OR Date Owner's Name A �3 os The Town of Barnstable •►•• Inspection Department 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner September 10, 1992 Rogers and g Marney, Inc. P. 0. Box 310 Osterville, MA 02655 RE: A=034 054 72 Ocean View Avenue, Cotuit Gentlemen: During a recent inspection of the above referenced property it was noted that the existing chimney was found to in an unsafe condition. Please be advised that this office will not issue a Certificate of Occupancy for this dwelling until the chimney is upgraded to current Massachusetts State: Building Code requirements. Very, truly yours, Alfred E. Martin Building Inspector AEM/gr r K f. AIJG-04-1997 14: I5 ROGERS&CRAY,FNAIJNIS 1 508 790 4212 P.01 ,S{ .. .n.r..:<;1'... ..-.;.......�v v.,•,.,.�..•.. � .;..r..:.r>�>:nlSk9'°�`>.':.,;ii:,{,i"�^ .irR° ' OATE (Mmw!JV..r' t^' ...1i .".u`l:ds..p>..>i:r , , x . • .. ., . .:<,.x.•:;.� k..o, N}' i. T. ` k! i, .• � , { :lk.• pPROOUC®t s;:s k^t b } k �9•>. k;?S Sf r e s r` S i';Y:.. .,T#.i>.: ;Y i�?$k:'.:i.io: 8/ 41 19 7 .. ..c :1.�: .4a'>�,•N,k ...L.............. ... THIS CERTIFICATE IS ISSUED AS A MATTER OF INFOFIiii ON ONLv AND Roger Aray — Hyannis CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE 00113 NOT OW, .. AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 640 Iyanough Road/Route 132 POUCIE:S BELOW. Hyannis, MA 02601-1999 . ............................ ................................... (508)775-0011 Fau(508)790-4212 COMPANIES AFFORDING COVERAGE ............................................................. COMPAW LEM A Worcester zusurancn Co." ........................................................ IrteuREr L� 8 Eastern Casualty Ins. o. Cape Cod ,,. .................. ....... ................... P IUSUlatiOn .:............................ ........................• 455 Yarmouth Rd. n Hyannis kfA 02601 :.........:.....•,....................................................................... ........,,...,..,.......... COMPANY D ........ ......•,.,............... coMPnm E Z* .............................. o::..,.'• :Sf,.�;!!'T:v': E:si:S;t':��•yi^''S�'.y:�Ii�Likn•;yg'.%i'S;:�>l�•:S vr:<.,� k',{n)Y`�V1Vh8 'H,;i x�•t>;1';.. ''Ai'•::k;.i.iie':�, ih°.>xa:•,, k..?4.ioA-r4>..d:4.(.�a....tox.. FRMY'R1pat�Ptn:. x�'�<j.l�r,N' ,'k.�x��g+;:Oi i%8'::,<•.:x x�7xR;?,.' .>H�...cat.,x. N,>}< 2S. ,a,Q 64.w�iaJA!'r..'nNfi:`.ut'S�r;t`:k?3>Fbr.''�.. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEE N ISSUED TD THE INSURED NAMED A V INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTTTAQT OR OTHER DOCUMENT WITH ESPECT TOPWH CH THIS� CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED T$ BY THE POLICIES DESCRIBED HEREIN I$ $UDJEG7 TO,ALL THE TEAMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMI SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO ........:................,..............................,,.:,.,,........................................ Tn' TYPE OF IirB{IRANQ[ ►Duct MUIMt i �R(Mµr '�Ti �M ucra I >m uA.... nn y x . '. 30 0.,000XCOMMERCIAL OEEA LMvuTr GDetAL A>Cm , 0 . .....wuMs►uoE .........`occurs oucrs coMProa ADD. ! 360,000 owirM a CowntAcmn PROT. 6 /1 ........ .......... 00....000 04/ /97 04 6/g g s ADv.nuuRY• "1' EACH OCCURRF]ICE 1= 00 F 50. 00 ME F WH arw Ike) ; 00 AE, TM.,,..., ........... .. 5`o ................................... i IAED �E(Anyone peroen);s,.... :. .......... ANY wro SMAB�6�6 i LIMA BPJOIE, ' ... ..................... .... . S ALL aVOKD wroe 04/10/97 ' 04/10/9 )..,....�.,.....IU ............:.....................:.....,.. ..................... 8 000�v w luau .••g SCHEDULIED Aurae (Pet Woon) a< 100,00 HIRED AUTOS : F ._.......... NON-004M AUTOS BODILY D�T,lL1pY tPa ecclderq) + 300,000 OAAAGE LPZtrt ........................................ ...............•,.,...,,,..,,,•..,.,..,,,,,....,..................:.................................... DAaE100,000 ;lasses 6IAUIIITY ............... .......... .... .. .. ....... ...........I............................................. .. .aTDPFRTv .occur NCE 3 i UMBRFIIAFORM ..... ..............:........................i. .. OTHFA THAN VMWCE.LA FORM t > ,r- AOCi�4ATE WORKLB'e 1DOW JWAT10N B WCQ1 :.$TATUiOFT..L0.1RB ! AND 06/15/97 ; 06/15/98,FACHACCIDr�rr ,� xp,Ov.•.. i un"Tzft r,AAfm" DISEASE-POLICY UMIT.•••••.••.••ii.......................... ,00 o ....................................... *. ........ ..THER ..... ..:. off.' :'oaioi ....,.t'.............100.c.00 .......................................................':.. ... . .. : :... . . ;.. ............. x. oeecrTTON or orvTr►TloNsnocATlowenoucuare�clu rtn!e ..:,.................:.............................. Insulation Installation, f'r. 01Y 1;' •s ..... ........•n�.�„�. fx x°:^x h° idhh Y•Nix i'•s:ax•...e>..:e°:c:of:ess.i 6$c 3„i of•x •:< 7 ku H4t'1 .KS;'! ho».Jn'k :' •y', '`'fin• k';`@' '?:b'r.'": �ae..._..,�,.:�. �S;s,x ,.�.:.....:....i.:,,...;?.t3.v��.�?,:}:hF:�t'.'�°f�f:t:sNkSA7�s4,•4��••h(Kki'I'?'iM;OSin SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCFiLED BEFORE THE kx EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO xJ •'a.l ^• MAIL >�oaERs NARbTEY 10 DAYS WFNTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHAW.IMPOSE NO OBLIGATION OR P.O. BOX 310 t », UABIUTY OF ANY KIND UPON THE COMPANY.ITS AGENTS OR REPRESEN10VFS. OSTERVIUS, MA 02655 "KnAUTl10R�nTpRlsoTTATTY[ ROGER" do GRAY INSUR CE AGENCY,rKC. },. v:�•. /yr ;iLo?i�i?i:?f't°n��S °:dw$�k s'!,.•Y.. :c•R:SR:•nlnnb;:f;;;?`.�'e""?aka;ox.R:£rk�x•.<•srf:•i"%i:'?:,i:�t;Ca"•:':;'^.::.�:...y;^:,�, h •Kit:k :sS JyI„«•(x 1i..c".i'�'`.fi%kM >x1�.?'%!'�i K�x�n�iN w,,}�;;;��s•'�dn xnr•rri,Ta` 21t��gn-',:. TR: .•1n• ";E: TOTAL P,01 A"ssessor's office(1st Floor): Assessor's map and lot number 54 - 5 o&,44_. SEPTIC SYSTEM MUST OE THE TO Board of Health(3rd floor): INSTALLED INCOMPLIANCE e w Sewage Permit number79 WM TITLE 5 Engineering Department(3rd floor): = D�yT�LL ! �1?. = ENVIRONMENTAL.CODE AND NAM House number °o 1639• Definitive Plan Approved by Planning Board TOE,VN REGULATWAS APPLICATIONS PROCESSED 8:30-9:30 A.M.'and 1:00-2:00 P.M.only. TOWN OF BARNST • �e BUILDING INSPECTOR APPLICATION FOR PERMIT TO f2e(Ji rz Pee VO4i- TYPE OF CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use 'CZC-%kj:> '(lA�.. Zoning District P Fire District CO-1 VI Name of Owner k:4N13 yy—ow P—U0 Address Name of Builder QOrserY2& * K\PjR o �t Address 'PO Name of Architect Address Number of Rooms Foundation 1 )M y— Exterior \k,/CX-�D SIAAKICA E— Roofing AsVtt& ► Floors WOW Interior Heating CAS V\M LOA1 c(z Plumbing Fireplace WA Approximate Cost �5a oc7o t~ Area 165 151 PL. Diagram of Lot and Building with Dimensions Fee 1 `'Y v V 1511 Le - t�0�5� ►tt OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ConstrVion Supervisor's License ' SKOWRONSKIt, JOHN . No 35324 Permit For Repair Fire Damage /Addition t . Single Family Dwelling > i 72 Ocean View Avenue r� i Location Cotuit - L r Owner-- John Skowronsky « Type of Constructiori - Frame r i, t Plot Lot �.: ,� •:� s . , _.._-_,v._. .... .. ,__ � ti :, • � August s t 25, _:•, '� r Permit Granted g19 9 2 P , a y r Date�f Inspection✓Z 7 � 19 Lit D Ompee �� 19 - / its � � r t ` •� µ'.. ','4 � '" � . cam, p I i C7 x Yy '• Lam. '.4 tr '' r.. ' r {e b !� di yp{TN(r0` . The Town of Barnstable rua '""vast ' Inspection Department � ., 1e19. 367 Main Street, Hyannis, MA 02601 t508-790-6227 Joseph D. DaLuz y Building Commissioner September 10, 1992 Rogers and Marney, Inc. P. 0. Box 310 y Ost.erville, MA 02655 RE: A=034 054 72 Ocean View Avenue, Cotuit z Gentlemen: During a recent inspection of the above referenced property it was noted that the existing chimney was found to in an unsafe condition. Please be advised that this office will not issue a Certificate of Occupancy for this dwelling until the chimney is upgraded to current Massachusetts State Building Code requirements. Very truly yours, Alfred E. Martin Building Inspector AEM/gr ® — - - _. NOt2�-1 �1s�la7io►� .. n �Y lxx.K Nc'� �EVJP.1 El. LL APPROVED O , 0 NOTE 90ANGES T WTI OF OARS TA LE sKOW�ONSKI tZ�SIG� B° 6ldlR 9�I act��a Department eu q'•1.O' AFVRovEe er: oNAvm er: OATF: a I Z REV18E0 6.10-9t . �12L61-1 M11JA2y 1 ONAWINO NUYBEII �O<rJCl2S � ��A2A1t�� INC.. ...NJGL.2,yh1.1'4'+DtJ RYINCGI I j1 v _ YfININCe IZOpn\ DACr teye=n\ �. PNG.CAO._ u LNW v IZooro . , � - 3 - rdQre�.I. pETxctl r� y. eace 1 Rc-/ OJeu 4>e TV GAIN ��p¢RPNGG s.,I �. �z cc�sw vI�.Y✓ a.i>: cA��n SCALE:1 4 • �p' AVRFOVED BY: - DRAWN BY: ' 1 DATE: B I 92 REVISED '$_IO-92 I ' pfzopc.;�se:c) ?;tt2S7 P-cop FLApj DRAWING NVNBER a { YLS ►a�A.21.4 , INC. rJ t �a E • i . .. ,'� L I——i— — w4Lr•IN Gtooea i - 9 - - -�alcR RuPK.OE*x K�6 �o U 0 0 ie i LMFOM w" i N _ , rl I �. S COr.1rl LOOC=.:PLA W I. Ie SKoveolJsK� SCALE: ,411sO AYRROVEDSY: DRAWN BY: _ a DATE: 1 9Z - - - REWSED 8-10-q2 rr� y ORAWINO NUMBER 1WTOWNOF BARNSTABLE BUILDING PERMIT APPLICATION 039. Parcel .�� TOWN 0 Q ,€ viABL Map 51��� 1 Permit# Health Division_ ��,�a�a �-fy�' 2a02 FEB 26 NMI 8* 54 Date Issued --7 ' 2 C)Z .Conservation Division Z-. u wz- Fee ,-� Y/� Tax Collector D 8/=O Treasurer Planning Dept. SEPTIC SYSTEM MUST BE Date Definitive Plan Approved by Planning Board INSTALLED IN COMPLIANCE WITH TITLE 5 Historic-OKH Preservation/Hyannis EWRONPA.ENTAL CODE AND Project Street Address Z Q c c A W V( e w A-Ve- , Village C CEM r= Owner 1-1,F-I-eAl E SKo1N,t?D/U / Address �¢tjF' Telephone -0B yZ B -Q 3'2 Permit Request ENkR)26 -^ aKIS'T/N 6 O .Ro01 /D IC/o To /o , No Yc_4 — r u TNi s. •S.�.ACE_ . t Z Z.. Square feet: 1 st floor: existing2 _ proposed lZs�2nd floor: existing.� proposed O Total new /ZS' Valuation 8. q0o .°6 Zoning District X2 T= Flood Plain Groundwater Overlay -A Construction Type Xya7,2 F,P11i�9� Lot Size . 21 4(�. Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family '�r' Two Family ❑ Multi-Family(#units) Age of Existing Structure So '�_ Historic House: ❑Yes RiNo On Old King's Highway: ❑Yes $No Basement Type: ❑ Full ❑Crawl ❑Walkout Ni'01`her C�� Basement Finished Area(sq.ft.) o Basement Unfinished Area(sq.ft) s76 Number of Baths: full: existing S" new O Half:existing d new O Number of Bedrooms: existing_ new 0 Total Room Count(not including baths): existing /O new © First Floor Room Count 6 Heat Type and Fuel: W-<aas ❑Oil ❑Electric ❑Other Central Air: Rle's ❑No Fireplaces: Existing Z. New_0 Existing wood/coal stove: ❑Yes VNI'o Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# -/ -f �1 "" b Recorded❑ Commercial ❑Yes 20 If yes, site plan review# Current Use _! 'IuGLa r.4wcr Y Proposed Use BUILDER INFORMATION Name-Eoe Fne s yA► 9.w ea__W� Telephone Number _ -sro 8 . 9Z 8 • 6 to4. Address 13ox '8 10 License# CS 0/6/74 Home Improvement Contractor# 100134 62 6s-S— Worker's Compensation# ifs' 9S'72F003 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN/ a!? e)w.ae e S C SIGNATURE DATE 0 ZG " bZ FOR OFFICIAL USE ONLY " PERMIT NO. DATE ISSUED MAP/PARCEL NO. _ k _x n ^. ADDRESS s x VILLAGE OWNER ` DATE OF INSPECTION: FOUNDATION _ FRAME . INSULATION FIREPLACE A ELECTRICAL: ROUGH FINAL tr - t_ ^ l - _ PLUMBING: ROUGH ,. _ FINAL GAS: ROUGH FINAL �a _ G m o p FINAL BUILDING 0 C �• ;:. ry� itF to DATE CLOSEDUT ° ASSOCIATION PLAN NO. k N e �o2.7Q . ioof - � �03./p• 3a, � . s'• Shown omplon recorded 47rn• ReV. rSA-/32 pf. d t Q e ? 0 ` r ,• 'jam � ` ' e p •^� � c I t��c. �-�./so row•.99. 4_ � •. ; � •� ; � ON ti�- • N8'••43,25'IyYJ •� s V L 07 4 - ti � d ° �• C #9216 0 "' 4LO.Oo •� '71 : r- :GLf: �.i�s .l..n doe., not re�.�ire c•8► • the GFr oval cf th oard Of Survey UG;ST:.Y OF DEEDS 0u' T 2 8195 u- -Y G I ia -.A—Pr SEPT.16 l"a. PLAN OF LAND COT'j 1 T, BARAMABLE,M ASS. ��` '•�, Bei orvv,"C; To THE B PINE: ,SNELSON • INCO � ASE -• 40 SCAL;#- 1 IN =20 F; Aug 29.195$ '"904 gWWLJ RICNARD LAW ' . Suav�eYo1LS. CE�Ire�vl�c.E. M,►ss• - s The Commonwealth of Massachusetts Department of Industrial Accidents _-- Office v//ovesU9adoas 600 Washington Street • —��� . Boston, Mass. 02111 Workers' Compensation Insurance Affidavit { name: location: city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. company name: ROGERS & MARNEY. INC. address: ` P.O. BOX 310 city: OSTERVILLE, MA 02655 Phone# 508-428-6106 insurance co. EASTERN CASUALTY policy# WC95798003 0 1 am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who i;.. the following workers' compensation polices: company name: SEE ATTACHED SHEETS •address: • city: phone#• insurance co: policy# company name: address':.; city: phone# k ir�garance co. policy ft Failure to secure coverage as required under Section 25A of 11CL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 anditi- one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand tha`tia copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. - /do hereby certify under the pains n e ties of perjury that the information provided above is true and correct Signature Date 2 •2� 4Z Print name (z0 O Phone# S O 8'128 '6106 official use only do not write in this area to be completed by city or town official city or town: permibliccnc p f—(Building Department oLiccnsing Board O check if immediate response is required �Seleetmen's Office • QHeaath Department contact person: phone N; f-10thcr I-i,n d 3/95 PIA) i 1 D. CERTIFICATE OF LIABILITY INSURANC9,��2 x DA07/1YS 6 01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood E shbaugh Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 005 Wort Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Hyannis MA 02601 INSURERS AFFORDING COVERAGE Hyannis Sax:506-778-1789 INSURED` _ INSURER A -,MfrTCARP - ��� INSURER a: TRAVELERS David R. Cox Remodeling INSURERC: P. 0. Box 401 INSURER D 5 Yarmouth MA 02664 INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTY"H.STANOING - ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE 133UEO OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF$UCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. 'M WELTV TYPE OF INSURANCE POLICY NYMOER pA DATE LIMITS GENERALLIABH.TTY EACH OCCURRENCE $500000 B COMMERCIAL GENERAL LIABILITY I680807D4700IND01 FIRE DAMAGE(Any ww ra.) E CLAIMS MADE OCCUR I MED EXP(Any ale Pvrw^) $5000 X Business Owners 03/14/01 03/24/02 PERSONAL&ADV INJURY S 0' G ERAL.AGGREGATE 31000000 OEN'L AGGREGATE LIMIT APPLIES PER: I P UCT8-COMPfOP AGG 1 POLICY I PRO- LOC ST, 500000 AUTOOMLA LIABILITY COMBINED SINGLE LIMB ANY AUTO (Ea° ) 6 j ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per P~) S HIRED AUT08 BODILY INJURY NON-OWNED AUTOS IPer sW09nil PROPERTY DAMAGE 6 1 - (Par a¢idnMT GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 6 ANY AUTO OTHER THAN EA ACC S AUTO ONLY; AGG S EXCESS UASILITY EACH OCCURRENCE S OCCUR F7 CLAIMS MADE AGGREGATE S i DEDUCTIBLE 6 RETENTION 6 6 WORKERS LAMPENSATION AND TORY LIMITS ER A MPLDn�LIA`B� WCV2000934 07/15/01 07/15/02 E.L.EACHACCIDENT $100000 E.L.DISEASE•EA EMPLOYE 6 100000 E.L.DISEASE-POLICYUMIT S 500000 OTHER . i PROPERTY 6000 DESCRI►T10N OF DPERATIONS/LOCATIONBNE LUMXCL S ADDED EY ENDORB ENT/SPECIAL PROVISO NiS Carperitry CERTIFICATE HOLDER N ACOITIONALINSURED:INSURER LETTER: CANCELLATION ROGERS SHOULD ANY OF THE ADM DESCRIBED POLICIES BE CANCELLED BFPO"THE EXPIRATION DATE THEREOF.THE O WNG INSURER WILL ENDEAVOR TO MAIL --Q_,DAYS WRITTEN NOTICE TD THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO 60 SNAIL Rogers a Harney, Inc. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON TNS INSURER,ITS AGENTS OR P. 0. Box 310 Ostorvillo MA 02655 REM a ) auTIVE PEN AC./ ACORD 25-8(7197) OACORD CORPORATION 1988 r r AC qR CERTIFICATE OF LIABILITY INSURANCE 11/20/2001 PRODucER .(508'994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 14 COUNTY STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. `0 BOX 5911 EW BEDFORD, MA 02742-5911 INSURERS AFFORDING COVERAGE INSURED Randall C Agnew Electrical Contractors Inc INSURER A: Commercial Union PO Box 1270 INSURERB: Granite State Insurance Co Cotult, MA 02635 )/ / INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. TWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND NDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY NBFB41863 11/16/2001 01/16/2002 EACH OCC RENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DA AGE(Any one fire) S 100,000 CLAIMS MADE D OCCUR MED P(Any one person) $ 5,000 A P SONAL&ADV INJURY $ 1,000,000 ENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC JECT AUTOMOBILE LIABILITY CBXE04239 11/16/2001 11/16/2 O2 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ A X SCHEDULED AUTOS (Per person) X HIRED AUTOS - BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC6523895 O /23/2001 06/23/2002 wcsT TUTS ER EMPLOYERS'LIABILITY TORY B E.L.EACH ACCIDENT $ 500,000 E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT S S00,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/EXCLUSIONS DDED BY ENDO SEMENT/SPECIAL PROVISIONS IJ CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Marney Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY . PO BOX 310 DF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Osterville, MA 02655 _ - • AUTHO REP TATIVE ACORD 25S(7/97) c CORD CORPORATION 1988 • 92. L^ancln4nuJCCtIC/L 6�✓�LQJJCLG/CI1.i�K1 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS/ 016174 Expires:05/07/2002 Tr.no: 26118 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RD "•'''. � &4A0CTr WN,Mll 1 C MA Q9EidR Ortminietratnr Board of Buildinq Retllation: and Standards One Ashhurton Place Room 1301 !_I -•�;i••:, Trri rim_. ,..,j,,.-,.-,�. � ;-, ;�- ... . .- r:..;� : =t.''�t:. L^n HOME IMPROVEMENT CONTRACTOR �; r� Reuistratioa: 100�?4 i ha r.1 e J. :4 •r ��,, Type: Private Corporat,^ Ostervi I le MA 0 tIc _: ROGERS E HOMEY, INC. Charles Rogers L �;= ;� L✓ 445 Y'S1 B�RNSTAR!t R9�: O:terval a Town of Barnstable WebMap FullScreen Page 1 of 2 _ Floc' LUO 034,044 n W 034054 03405300 - _ v 034053001 Map Lay Remove Zoom In _Zoom Out Magnifier . Print Map. r http://www.town.bamstable.ma.us/webmap/assessors/TOB WebMapFL LL.asp?mappar=034054&parcels=ON&bldgs=ON&drives=... 2/25/02 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 � U . Alterations/Renovations $25.00 Building Permit Amendment $25.00 F FEE VALUE WORKSHEET NEW LIVING SPACE �2 S� square feet x$96/sq.foot= MIX000 x.0031= plus from below(if applicable) 4" ALTERATIONS/RENOVATIONS OF EXISTING SPACE 100 square feet x$64/sq.foot= 4100 x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l • >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) k Permit Fee projcost tiQ The Town 'of Barnstable • BMWSTABLE, 9�A " �m� Department of Health Safety and Environmental Services • rED 59. Building Division 367 Main.Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 '` Building Commissioner Permit no: Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: A Db m e W Estimated Coster 14 00, ego Address of Work: �J 2— OC'E4A4 Owner's Name: 1494AAt • Date of Application: 2. Z 6 0 Z. I hereby certify that: x Registration is not required for the following reason(s): ❑Work excluded by law " ❑Job Under$1,000 , ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 1040 34 Date - Contractor Name Registration.No. OR Date Owner's Name q:forms:Affidav a o e 0 SEC_TION... K x. EXISTING FLOOR PLAN PROPOSED PORCH i' Ll - 4 _ WEST EL-E.VA-T)ON NORTH ELEVATION:. SKOWRONSKI RESIDENCE PROPOSED SUNPORCH 72 OCEAN VIEVi AVE MM ...i•.`-..r+—.mow.. ......-.... :_. ., �'1. .. .. vsy. .�- F y ... � . .. ... �.. ..� .r..� ... ..-.-. _,.y/4 ...•--... �'�. y� ♦r" s.. ,�...-,.�.-�.�._Y�.,�...--.,...+..,�I Assessors map and lot SEPT{C y1S. 2� rT BE Sewage Permit number 11A-- 7- l L � � C'3 PLI,� CE .................. ...................................... WITH ¢p��'TJCL ( .� }j IRy Tt PyoFTNEr TOWN OF BARNST'--- ' ' " j BARNSTABLE. i "6 BUILDING INSPECTOR APPLICATIONFOR PERMIT TO ......tl L4.. cL'............................................................................................. a TYPEOF CONSTRUCTION ........FRAM.0 ......................................................................................................... .................... �r.... ...... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ......9.................V... l ll�...:, V e............................ p. `.. -.................................................................... ProposedUse ........ $/.. Q.e?ici'....................................................................................................................................... Zoning District ......Rp-s 1�Q. f:rt L. .............................Fire District ...............................:.............................................. '�'o Nnf Name of Owner c s ............................ Address oao -J � 7 ` . . ..............P 4�..................Name of Builder ....Awpf .....0�!.J*t 4........Address ... Nameof Architect ................... .................... ...................Address .................................................................................... Number of Rooms ............... .............................................Foundation ......aP4 •�.r............................................. ,eiy I Exterior .......ITAMfle ............ ............................Roofin ........, .:. ............ . ...... .. ..................... Floors ................2...............................................................Interior ......... t ! ............................................ ,. y Heating ............ 4cT. A"..c.L-...........................................Plumbing ...................614-ff f................................................... , Fireplace ................. .. ....................................................Approximate Cost ... ...®�t. . a ................................................ Definitive Plan Approved by Planning Board _____________________________19________. / Area ... 1.fir........................... Diagram of Lot and Building with Dimensions Fee ............--.�~.. SUBJECT TO APPROVAL OF BOARD OF #EAtTt+ P o4,- I hereby agree to conform to all the Rules and Regulations.of the Town of Barnstable regarding the above construction. Name .. ....... Skowronski, John A=34-5344 No ....17 §L Permit for .....K!M9A.. ame .... g dwellin . .............. ........ Ve Location ........ ..................C.Q.Wir................................... Owner ..................J.Qbn...$.kQW.r.QA§k:L............... Type of Construction .........fram...................... ................................................................................ OrPlot ............................ Lot ................................ Permit Granted ..........")r.. ......._.. 75 19 , Date of Inspection ev Date Completed- . ...... ........19 7�71 ... PERMIT REFUSED . ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... rt Approved ................................................ 19 .................... ........................................................... ,t•- p:X J,'y,� ;} :, 5 �,�../' .vW '" "",�a�� +`.� ru K-�•' Y Y „1' i. 7__4Wr1-1" .� W V v,Yyy.0.-�E[. c .. M" ''" �?y y�r,,►,�+y''z{y1.Rr- t ro .•..ry ::C'uu�r .s •.y isr rt Assessor's mapfiand'"lot number �---"�........ .....: , Sewage Permit number ....... .:... .................:... . M r w F7NEr0�o TOWN OFF BAR_NSTAB_ LE MAS9. � DUILDING INSPECTOR ; f O 1639• �E p MPY a' r APPLICATION PERMIT TO,.FOR �......... • ........... .. ............. ............. ......... ... r. f' TYPE'OF CONSTRUCTIONJK�71F ' 4,rr• ........................... ..`. TO THE=INSPECTOR OF BUILDINGS: The undersigned hereby applies fora 'permit according to the following information: Location ..... ...... ......... .......................... ..::.!�......... .....................:................................. ............... ProposedUse ..:... c?.Crf^..'Y....... .... .................... .... ...................... .................................................. .e Zoning °:District ..... �..o• ••..fin„►•r ... .................................Fire District ..........:.. ......., � r y / Name,of:Owner tl, t.�.?,• tr,t,!,5 :�..... "..................Address ....f r^1.+„v.4-". in!.......... � . ............ ,s .. r: Aft " 4 S � �} ..t �. >d , o', -f 7 &A ,.•, Ndmezof' Builder . ..._.. . ... .... .... . . ....... .........Address .�. ......... ....................................... ., Name 'of Architect ......... ..................................................Address .......... s Number' of` Rooms- .... ...............1, .......: . ........... ......... .........Foundation C.el,+✓C;..v"7.r.... ..................:............ Exierro. #, 'tlls�/+r. ..Roofing ' ........: � sA.17 ...... c���R'�e`. f....... r i .. . .... Floors � � e A r r .. . .. Heating 6 T' 'Ft Plumbing .... ..... .. Fireplace' ............ .V�.�....................................................^ ApproximaterCost .. �. fl.'� ................................... i L • r Definitive Plan Approved'by Planning Board ___ _______________'__________19 _______- Area '. .. .:................. Diagram of Lot and' Building with 'Dimensions Fee f SUBJECT TO APPROVAL OF, BOARD OF HEALTH ,, h� r � . .* f a n s•+ Al 41 _ � t r „ r � '�I.r �' a ' •K, �},. ^ ."` �A ri.E +; �'^f. ]�.+ � ���F f1 c � � �w �_ '� r� �.�,.� , ��� ,� •R��3, {�kX��. I hereby agree to conform to all the Rules and Regulations of the Town of'Barnstable regarding the above construction. ' Name .: ....;...�.. .:�.u:`......... . ... .� Skowronski , John . A=34-54 No 17682 Permit for .......remodel frame .... ............... r� dwelling................................................... ................. V X1 UQ Location t7 Z ..Ocean Av ue...................... CotUlt r ............................................................................... Owner John...Skowo/nski.................... ........ .. r........ . ..... Type of Construction ..frame,,,,,,,,,,,,,,,,,,,,,,, ILO— Plot ............................ ..................... �- May 9/ ..Granted ........... ........ Date of Inspection ................/..................19 Date Completed ......................................19 PERMIT REFUSED ................................................................ 19 ............................................................................... ................................................................................ ............................................................................... Approved .. ..... ................................... ... 19 ............................................................................... ............................................................................... John R. Skowronski, M.D. 72 Ocean View Avenue P.O. Box 772 Cotuit, Massachusetts 02635 (508)428-9947 • , .� Cottut ASSESSORS REF.: ZONE: * � Mop 034, Parcel 054 RF (RPOD) FEMA FLOOD ZONE \ ti -Area (min.) 87,120 SF Not in a Flood Zone a A _ • ' a ► Frontote min) NA NF7P Map # 25001CO756J e L o .,� Width (min) 150 Effective Date: July 16, 2014 Setbac7cs �:' J� • _ ce Front 30' Fnhd Side 15' m •cr a �' 'i ;' .; Rear 1 s REVISED GROUND WA TER R' e� ,., , .• b .�' c mob" PROTECTION OVERLAY DISTRICT: t S7g39,fQbE AP — Aquifer Protection District Existing, YIR � :o W 1 sty w/f . Cottage t i CVM ; Map ' Crusheox '� 20t1iTt Proposed _ „ M :t Guest House.--'* ,:::..::.:...:. ...::: .. . . o y :•: _ Reloeat�or�� ��, Parcel Area �- m 4 ±SF _ . 12,s o g �EVIEVIIED � s •,� ~, _ -� , ,' --� SMOKE ETED���i . V 3. / • =. ;k Approx'Septic ` `3\/ ❑ 7 3 3 Per 60N Cents S DATE o8y--ter 4 '' =: 7 a9 . �.! . •V 8L BUILDIN :: DEPT. R ;< per s a M °a `' Qj �tE DEPARTMhNT DATE o � �I N f r� ` ®0TH SI I$l+Tl3l?ES ARE�iEoUIRED FOR PERMITTING 1 'ry� pe4�' Q ►7 � D e 1 sty w/f 0 Shed a 24d mar f y mod Deck '! N �a �- NOTES. �2ai;i�. . CB/OH #72 1.) The structures shown were located on the ground A� 2sty w/f � by conventional survey methods on (or between) + 4,5' Dwelling 271JUL111 and 30/JUL/14. 2.) The property line information shown hereon was M. ❑ © compiled from available record information. • >10.24� 3.) This plan is not for recording and is not to ;l�.e N81432s used for construction layout or deed description:_=; y` "W -.� ceyH purposes. t d 0 Ocean &$R ne Realty Fnd r j4 word orboro D 7.Z./o7 Trs _ •. ... ' icy"y'. - '_�:;_.w .. Sheet Title t Prepared or: Notes Revisions: Scale: Plan ShowingProposed Guest HouseCaSee Above p p e S u ry Michael&Donna Coutu Date: At 72 Ocean View Ave 23 west Bar Rd, Suite G 30 Nobseot Road, Unit 6 19 of osterville MA 02655 Sudbury W 01776 BARNSTABLE (cotuit) MASS (508)420-3994 (508)420-X".5 lcx w9 C323_8g1, copesurvttapecodnet The ' Coutu esi ence 72 Ocean View Avenue Cotu it, MA August, 1 , 2015\ Permit Set ARCHITECT: KEVIN TEN BRINKE ARCHITECTURE 158 POWERS ROAD SUDBURY, MA. 01776 857.636-0575 I I STRUCTURAL ENGINEER Fillion Group, INC 71 East Street Sharon, MA 781-784-5110 GENERAL NOTES INDEX OF DRAWINGS DWG.NO. DRAWING NAME ALL WORK SHALL BE PERFORMED IN CONFORMANCE WITH FEDERAL,STATE,LOCAL,AND MUNICIPAL REGULATORY DEPARTMENT'S " RULES AND REGULATIONS. ALL WORK SHALL BE PERFORMED IN CONFORMANCE WITH THE LOCAL FIRE DEPARTMENT RULES AND TITLE REGULATIONS. GENERAL CONTRACTOR(GC)TO NOTIFY OWNER AND ARCHITECT IN WRITING OF ANY CHANGES UPON THE DISCOVERY OF LATENT A-0.0 COVER SHEET CONDITIONS OR DISCREPANCIES BEFORE PROCEEDING WITH WORK. A-0.1 DRAWING LIST/GENERAL NOTES ` WORK AREA SHALL BE KEPT CLEAN ON A DAILY BASIS. DURING HANDLING AND INSTALLATION,CLEAN AND PROTECT CONSTRUCTION IN PROGRESS AND ADJOINING MATERIALS IN PLACE. APPLY PROTECTIVE COVERING WHERE REQUIRED TO ENSURE PROTECTION FROM ` A-0.3 WINDOW&DOOR SCHEDULE DAMAGE OR DETERIORATION AT SUBSTANTIAL COMPLETION. ALL MECHANICAL,ELECTRICAL,-PLUMBING,FIRE PROTECTION ENGINEERING SHALL BE PROVIDED BY OTHERS AND IS NOT PART OF OR COORDINATED WITH THIS ARCHITECTURAL CONTRACT DOCUMENT/DRAWING. ALL MECHANICAL,ELECTRICAL,PLUMBING, ENGINEERING SHALL BE IN ACCORDANCE WITH MASSACHUSETTS BUILDING AND FIRE SAFETY CODES INCLUDING THE FEDERAL,STATE AND LOCAL REGULATORY RULES AND REGULATIONS AND SHALL BE COORDINATED BY GENERAL CONTRACTOR(GC),AND ARCHITECTURAL SUBCONTRACTORS(SUBS). A-1.1 FIRST,SECOND&ROOF PLAN GC AND SUBS SHALL COORDINATE ALL MECHANICAL,ELECTRICAL,PLUMBING,CONDITIONS,AND AREAS WITH A A-2.1 EXTERIOR ELEVATIONS& PROFESSIONAL MECHANICAL,ELECTRICAL,PLUMBING,ENGINEER AS REQUIRED. THIS COORDINATION SHALL BE SECTION DONE PRIOR TO THE WORK AND IS THE RESPONSIBILITY OF THE GC AND SUBCONTRACTORS. THIS INCLUDES BUT IS NOT LIMITED i TO FLOOR AND CEILING PENETRATIONS THROUGH FLOORICEILING ASSEMBLIES. MOISTURE RESISTANT(MR)GWB SHALL BE USED ON INTERIOR OF ALL BATHROOMS AND FACE OF KITCHEN BACKSPLASH WALL.USE ELECTRICAL CEMENTITIOUS BACKERBOARD FOR ALL CERAMIC WALL TILE APPLICATIONS. E-1.1 GARAGE&FIRST FLOOR GC SHALL COORDINATE AND VERIFY ALL EQUIPMENT,MODELS,SIZES,AND ELECTRICAL,HVAC,AND PLUMBING REQUIREMENTS PRIOR ELECTRIC PLAN TO CONSTRUCTION SUPPLIED BY THE GC,SUBCONTRACTORS,AND OWNER. GC SHALL FURNISH AND INSTALL(F&1)REOIRED BLOCKING FOR ALL EQUIPMENTS,FUXTURES,DOOR FRAMES,...ETC.AS REQUIRED. GC SHALL FURNISH AND INSTALL STRUCTURAL SUPPORT AND STRUCTURAL BLOCKING FOR CONSTRUCTION OF CEILING MOUNTED EQUIPMENT RECOMMENDATIONS. S-1.0 FOUNDATION AND FRAMING PLANS THE DRAWINGS ARE NOT TO BE SCALED. THE GENERAL CONTRACTOR IS TO REFER TO THE DIMENSIONS INDICATED OR THE S-2.0 DETAILS i ACTUAL SIZES OF CONSTRUCTION ITEMS. WHERE NO DIMENSION OR METHOD OF DETERMINING A LOCATION IS GIVEN,VERIFY CORRECT LOCATION WITH THE ARCHITECT PRIOR TO INSTALLATION. S•3.0 GENERAL NOTES AND TYPICAL DETAILS THE DRAWINGS AND REFERENCED DETAILS HAVE BEEN DIMENSIONED IN ORDER TO ESTABLISH THE CONTROL AND GUIDELINES FOR FIELD LAYOUT. WHERE A DISCREPANCY EXISTS BETWEEN THE DRAWING AND THE DETAIL THE GENERAL CONTRACTOR SHALL NOTIFY THE ARCHITECT FOR CLARIFICATION PRIOR TO INSTALLATION. ARCHITECTURAL GRAPHIC SYMBOLS - DRAWING LABEL INTERIOR ELEVATION kt b )10WM17rrsanM 1' Drawinge Titl Axe \,AV Scale:114°a 1'-V + t e - < OPAIMRIGhVM0HiX6HietlE ' - U7.63&0575 www.f0�admm BUILDING SECTION ROOM NAMEINUMBER - i Room Name Room Number 107 x 10'0"' At 100.00 S.F l Occup Name Occup Type i WALL SECTION DETAIL REFERENCE KEY - ---, P—MISIone c I i 1 i I I I Date kofes Al Al I I - I i DETAIL SECTION REVISION KEY - DETAIL SECTION ELEVATION TARGET - The Coutu Benchmark Title Residence A' Benchmark Elev 720ceenvlawAvenue Coltuit,MA COLUMN LINE GRID WALL I DOOR I WINDOW I SYMBOLS - Drawing List/General Notes .—._._._._._._._._.—. POS 007 - —._.Drnwfog no. WALL rYPa DOOR OESEI&TION D%�SY CMB i wwcowoeelmlAAM,W. eQB 1 A-1.1 WINDOW SCH EDULE _ UNIT DIMENSIONS GLASS DETAILS MARK MANUFACTURER TYPE WQiTH HEIGHT ROUGH OPENING MATERIAL FINISH HDWR TYPE THICK HEAD JAMB SILL REMARKS A Kolbe Kolbe Habile-Double Hung 2'-7 7/8" 4'10 1/8" 2'6'x 4'0 ORa TBD AReDN B Kolbe Kolbe Heifte-Awning 26" 26" 281/2"x26112" ORa TBD �o'e C Kolbe Kolbe tags-Awning 5-10 5/8 V-41/2" - ORS, TBD i NOTE:CONTRACTOR TO VERIFY ALL QUANTITIES PRIOR TO WINDOW PURCHASE -VERIFY WINDOWS WITH OWNER PRIOR TO PURCHASE -VERIFY UNIT DIMENSIONS WITH DISTRIBUTOR a v o , i A A 0 DO "OR SCHEDULE DM DOOR - REMARKS - - .� I�I8CTENTURE i DR.NO. ROOM NAME TYPE RM.NO. SIZE - - - - 001 ENTRY 2 1aD saxra ar7.&6.d s ww!.Aaarcn— a� BATHROOM 1 101" razea•. I DOD BATHROOM 1 101 214"x V-W HEAVY DUTY POCKET DOOR HARDWARE 004 BATHROOM 1 10/ 2W X 8'4r HEAVYDU1Y POCKET ODOR HARDWARE - 005 BATHROOM 2 101 9'4Y'XTa G08 GARAGE 8 C01 B-0'X B'a OVERHEAD GARAGE DOOR W/MOTOR e 007 GARAGE a 001 S_T X 4a OVERHEAD GARAGE DOOR WIMOTOR 8 REMOTE 008 GARAGE 1 am "X8'4r COMPOSITE DOOR TO RESIST WARPING 008 BUNK ROOM 1 1 102 sa X B-W 010 BUNK ROOM 1 103 9'4r X 6'r . _ Revisions . Date Nome .I The Coutu 01 02 03 Residence ! - 72 Occan View Avenue C17hdt,MA Window Schedule Drawing.m me"m ay: CMB -- AM.By. KIB A-0.3 _ 1e"aed: 8/1l16 1 e 6117f3° I 6137AP I ' N \ / ———— .. Bunk R00m2 . I 103 102 ant• tra to rfn I I � owamn Ss2• B I Two Cer( h rtanb0v=n Doi Eb.11on @W - m VS 02 002 O lot 6 m 04 €0lOC j As ---- IUD ------------------ � oe 6 r• \ Y \\ N OUtCOOr 3 shower - anN�geen i - A 3'-2° AV1 Rtt° 317 IM A A ` 21V• 7 - 6V' @•T 410W - GARAGE FLOOR PLAN 2 FIRST FLOOR PLAN 9 Stile: _ - �b 11ZBVINTBN BRINKB ARCEIITECrM '----------------------------------------------------------------- ana7aosn toW..emanrs�t iPftch Revisions iData Notes Ph- pitch pltdt 1 T'he Coutu Residence 3 ROOF PLAN 72 Ocean View Avenue Cotedt,AAA Floor Plans .. )hewing°°_.----- ' »eawns7:CMB App.B7. KtB b—d: tuvts A-1.1 , I B Window All _ B%Mndow An B 4 Sides 4 Sides f 12 8 12 12 —IB B lilt iarr-u Fw. ------'—'—'——'--'—'—'—'——— —'—'—'—'—'—'.—' ----------------------------'---'—'—'-- GRADE ELV.98.67' AWN* GRADE ELV.93.54' FRONT ELEVATION SIDE ELEVATION 4 Scale: 14"=1W, 5 S e:1W=1'dP . ICt b (REM TEN BRDM ARCHITBCrURE 12 8 _ 85%6360574 www.tAerd.mm L 1/3 HEIGHT FROM TOP OF PLATE TO BOTTOM OF COLLAR TIE DOOR&WINDOW HEAD HEIGHT _ SEE STRUCTURAL DRAWINGS FOR ALL FRAMING MEMBERS m Revisions Date Notes BUILDING SECTION The COutu B 1,4 -1.�. Residence _ 72 Ocem Mew Avenue Cotuft MA i Elevations/Sections Plan Drawingao. srmwaEy:EM6 Am a7. KtB I-d: 811115 A-1.1 ELECTRICAL SCHEDULE SYM. DESCRIPTION REMARKS O RECESSED CAN sFR1E6 OUNO EDD RELITE �IROOFIT TTRIMNo/ 1� SCONCES + I _ PENDANT O UTILITY LIGHT o 110 DUPLE( LEVITON OR APPROVED EQUAL DU E THERPROOF LEVITON OR APPROVED EQUAL 1------------- ————————— —� �� 110GROUNDFAULT INDICATOR LEVITON OR APPROVED EQUAL I —__ I I 1 P® 11000ADRUPLEII LEVITON OR APPROVED EQUAL I 1 ® 110 DUPLEX FLOOR OUTLET LOCATION TSorrrINTErooaoEeloNGx I I ®fro DEDICATED110 I I 1 ®» DEDICATED 220 ------------- .,I _ j ❑c GABLE R68,CASLE4NTERNET I I I I ® TELEPHONE CAT BE PHONE-DATA F❑ FAN PANASONIC NNISPERLITE ar.rrwe®e I I ^ I I © SHONER UGHi UGHTOLEAR OR APPROVED EQUAL I STRIP LIGHT AION 4021 LED STRIP lMHT0/0 F I o PUCK LIGHT LUCIFER LIGHTING COMPANY F ___ ______________________.1\\ UNEARFLUORESCENTUGHT CLOSET FLUORESCENT LIGHT , \ suwACE MTD.uamT FUL GENERAL NOTES: 1.ALL SMOKE AND CARBON MONOXIDE COMBO-UNIT - \ - ®DETECTORS SHALL BE HARDWIRED AND INTERCONNECTED WITH BATTERY SACKKUP("BATTERY MONITORING)AND MEET THE REQUIREMENTS OF TOWN, STATE,AND FEDERAL BUILDING AND UFE-SAFETY CODES. 2.A HARD•WIREO AND MTECONNECTED'HEAT-DETECTOR' SHALL BE INSTALLED IN THE ATTACHED GARAGE AS _ SHOWN ON THE PLANS AND MEET THE REQUIREMENTS OF TOWN,STATE AND FEDERAL BUSING AND UFESAFETY CODES. 3.GENERAL CONTRACTOR TO PROVIDE FOR ALL ELECTRICAL REQUIREMENTS OF APPLIANCES AND �,t L, EQUIPMENT. nl V I xav>rrT�r BRTxizB . ARCffi1%LIURE 4.GENERAL CONTRACTOR TO PLAN FOR CAT-SE WIRING AS PART OF BOTH TELECOMMUNICATIONS AND COORDINATE WITH AV CONSULTANT IF NEEDED. _ WHEREVER A TELEPHONEJACK IS INDICATED,THIS A57.QTa0575 .spa'•+--•— — DENOTESCAT-SE.WHEREVER A CABLE TV LINE IS ' INDICATED,THIS DENOTES DIRECT-LINE CABLE OR CAT^SE OR EQUAL FOR TELEVISION SERVICES. S.ALL CAT-BE OR EQUAL TELECOMMUNICATION LINES SHALL END-RUN INTO APPROPRIATE BASEMENT LOCATION .FOR ROUTER/CABLE-MODEM.OR EQUAL HOOK-UP.PLEASE BE ADVISED THAT MODERN ROUTERS ARE TYPICALLY WI-FI ROUTERS AND THEREFORE SUCH LOCATIONS SHOULD BE CENTRALUED WHEN POSSIBLE AND FREE OF WIR SPECTRUMINTERFERENCE. . Revisions . Data Notes - _ PRIOR TO INSTALLATION.A MOCK-UP OF LIGHT LOCATIONS IS TO BE REVIEWED WITH THE CLIENT IN FIELD AND APPROVED The Coutu Residence qa Ocean View Avenue' CotWt,MA Electric Plans • Drsrm By UMki . - APD•Sr K18 . _ DATE -"REVISIONS Sk- ' r-- -------- ------ -� 11 I I I I I DETAIL—A/53 I I I I FLOOR ts s IM INDICATES CONCRETE SLAB I I I CONTROL JOINT,SEE DWG,S3 I I I I I FOR DETAIL/ I I I1�1,pqll tl OFImmCnom MICHAEL FLLM WIOx33 m easm � �'. I 2' B• I I I I I I I co 1'16 205 I a^CONCRETE SLAB PATH FlBERMESH I I I Wf pJ5 140 I ON 6 MIL VAPOR BARRIER A �--- '+ ON WELL COMPACTED GRANl1LAR FlLL 53 I FLOOR JOISTS V z I 0I6.0.G I 1 1 I I s3 a --L------ W y:a+•a.T:/;,. y`:c�*.r:st,•.; :wh.`�+,#'., a:x,.::,x:e; ::n•:- .=-rs..�;;., L - - - -Lt O w C ~ DETAIL-A 3 i S Oi LU LU LL FOUNDATION PLAN FIRST FLOOR FRAMING PLAN Z 53 SCALE-- ,/a-r-o" SCALE ,/a•mr o _O w NOTES: NOTES J Lu g 1. ALL WALLS INDICATED ON PLAN ARE BELOW. 1. ALL WALLS INDICATED ON PLAN ARE BELOW. Z ^� 2 BOTTOMS OF CONCRETE FOOTING SHALL BEAR ON COMPACT 2 al NEW EXTERIOR WALLS SHALL BE CONSTRUCTED OF 2"x4"STUDS J 0 C SUITABLE SOIL FREE OF ORGANIC MATERIALS. 0 16.O.G SHEATHED WITH V•CDX•PLYWOOD. �,. 3. BOTTOMS OF FOOTNGS SHALL BE A MINIMUM OF 4 FEET 3. PROPERLY SIZED JOIST HANGERS STALL BE USED AT ALL FLUSH CONNECTIONS. LL W n A H- BELOW FINAL FINISH GRADE 4. VERSA-LAM 1.7 2650 SP COLUMNS ARE AS MANUFACTURED BY BOISE CASCADE 4. REFER TO SITE PLAN FOR.ELEVATIONS 5. FOR GENERAL NOTES,REFER TO DRAWNG S3 I1 3. FOR DIMENSIONS,REFER TO ARCHITECTURAL PLANS INDICATES SPAN OF Y. T&G PLYWOOD SHEATHING_FASTENED VAIN Z K THREADED NAILS AND OONMC71ON ADHESIVE O 6. BUILT UP I.M. T VL BEAMS ALL BE FASTENED TOGETHER IN CONFORMANCE 7. FOR DIMENSIONS,REFER TO ARCHITECTURAL PLANS - a ...�Q . 1 G DATE: Jui 30, +°i (2)2•x8• +• - -W SCaIE:. AS NOTED +f4 HEADER(TYP),:w PROJECT MGM ti i - HD -- HD HD HD 2"x10" RAFTERS j H13 HD 0 16"D.C. - 2"x10"PT WOOD PLE 'Sg ATTACHED TO HIGH ROOF � i•• 4Yp_'tjf� HD HD WI X.�S SCREWS +�P. (2)2 x10" . CUPOLA ABOVE BY OTHERS 2"x10• HD - A HD. CEILINGJOISTS 4 HD• - 016"O.C. 111111 I _I . d c +pY , 2"xr I ®i6 O.G HD (2)2"x10" H I 2 TERS 0 166F'D.C. 8 r AT LOW ROOF - (2)?•x10" ' �� li HID j4 cr$ HID - a �Jx_= 7 O U - HD ., HD HIGH ROOF TO EATHED t r ¢sY� SS IGH ROOF WITH PLYWOOD THIS AREA 0Y'43 . CEILING FRAMING PLAN ROOF FRAMING PLAN Foundation SCALE: 1/4•-l'-0• SCALE: 1/4"mt'-O" &Framing Pleas NOTES NOTES: 1. ALL WALLS INDICATED ON PLAN ARE BELOW. i. ALL WALLS INDICATED ON PLAN ARE BELOW. 2 al NEW EXTERIOR WNLS SHALL RE CONSTRUCTED OF 2•x4•STUDS 2 ALL NEW E)MMOR WALLS SHALL BE CONSTRUCTED OF 2"x4•STUDS 0 Is"O.C.SHEATHED WITH)r•CD)C PLYWOOD. ®16.0.G SHEATHED WITH Jr'COX PLYWOOD. 3. PROPERLY SIZED JOIST HANGERS SHALL BE USED AT ALL FLUSH CONNECTIONS 3. PROPERLY SIZED JOIST HANGERS SHALL BE USED AT ALL FLUSH CONNECTIONS. ED BY BOISE CASCADE.'- 4. VERSA-LAM 1.7 2650 SP COLUMNS ARE AS MANUFACTURED 4. VERSA-LAM 1.7 2650 SP COLUMNS ARE AS MANUFACTURED BY.BOISE CASCADE. 5. FOR GENERAL NOTES,REFER TO DRAWING S3 S. FOR GENERAL NOTES,RUM TO DRAWING S3 INDICATES SPAN OF W COX PLYWOOD SHEATHING FASTENED WITH INDICATES SPAN OF W COX PLYWOOD SHEATHINO FASTENED WITH - THREADED GALVANIZED NAILS: TZOED GALVANIZED NAILS. 6, FA.AI.T TIP HVI RFAMS SHALL BE FASTENED TOGETHER IN CONFORMANCE 6. ►— INDICATED Full PENETRATION MOMENT CONNECTED WELD, sl 7. FOR DSIENSSIDNS,REFER TO ARCHITECTURAL PLANS 7. BUILT UP LVL BEAMS SHALL BE FASTENED TOGETHER IN CONFORMANCE S. FOR DIMENSIONS,REFER TO ARCHITECTURAL PLANS HD- .INDICATES LOCATIONS OF HDU4-SDS2.5 HOLDOWN ANCHORS l J so" BY•SIMPSON STRONG-TIE' ANCHOR TO FOUNDATION WTH%'0 THREADED RODS DATE REVISCM BEVEL TUBE EDGE _ 2%W NAILER EACH SIDE PROVIDE BACKER BAR&FULL_ _ ATTACHED W/VO THREADED STUDS PENTRATION WELD ALL8d GALATIACHV zAwi EDSCOMMON NAILS . ®18'O.C.TOP&BOTTOM WELDED SPACED AT 6"O.C.ALONG EDGES - TO FACE OF TUBE WALL AND IN FIELD. BEYOND �"PLYWOOD CONCRETE SLAB �- (2)g5 TOP CONT SEAL iDRIVEWAY. �..EDX, op • PLYWOOD � m e ., , 1]k s,> a FULION HSS12x4'STEEL TUBE �•' ( ii_ DOUBLE NAIL EDGE.USE Bd GALVANIZED mT@04 2"x10'CEILING JOISTS COMMON NAILS OPIIE ROW IN EACH PLATE NAIL ATTACH TO EACH RAFTER 2%10"ROOF W/(5W-SDS SCREWS x W RAFTERS 016" a"SS #4®48`O.C. z 4 SECTION 24"VERT. STAGGERED H1Os HURRICANE TES Si SCALE; 3/4`-1'-0" 38"HORIZ BY'SMPSON STRONG-TIE' (2)05 SOT CONT "i AT EACH RAFTER ATTACH WALL SHEATHING WITH Q Sd GALVANIZED COMMON NAILS _ 1 LU _ Sp AT 4"O.C.ALONG EDGES V 'DOUBLE 2'x8"SILL AND 12"0.C.IN FIELD. z (BOTTOM SILL PRESSURE TREATED) Y ATTACHED TO CONC.WALL EL 1/2"STIFFENER PLATES W/4SE0 *x�"HOR BPLATE WASHERS • _ TYP EACH SIDE OF WEB - ANCHORS TO BE S"FROM END OF PLATES ,. LU W BEAM r 10" r ATTACH FLOOR SHEATHING WITH ®8"O.C.MAX. O z C _ Sd GALVANIZED COMMON NAILS W LL SPACED AT 6"O.C.ALONG EDGES SCUD BLOCOTS AND 12"O.C.IN FIELD. i"'COO ATTACH WS"O. THTAGBOLES PLYWOOD Z o 0 18"O.C.STAGGERED �'i"T&G PLYWOOD . TOP&BOTTOM DOUBLE NAIL EDGE USE 8d GALVANIZED O cr i COMMON NAILS 0 3"O•C.STAGGER NAIL J UU g 2 SEC LION - - SPACING ONE ROW IN EACH PLATE J z ' 9Yt"I-JOIST _ (7 1 $'CAP PLATE - S1 SCALE:3/4"=1'-0' - W n y H TYP i i W/2-3i HS BOLTS - W/ i i I _ METAL JOIST HANGERS FINISH GRADE ^0 � O Wi0 TUBE COLUMN MINIMUM ANCHOR EMBEDMENT i : lir�i it cc (2) cr J 0 (z)#s TOP cover II -i J ;.: STEEL BEAM OVER TUBE COLUMN III' DATE: Jdv 30 2015 SCALE: 3/4"=1'-O". - - DRAWN: MRF SCALS: AS NOTE . - PROJHA NORTH 3,5'x3.5'VERSA-lA OR TIPPLE 2"x4" . (3)2"x4" _ HDU4 HOLDOWN 2'x4"FULL LENGTH STUD AT ATTACHED W/%"0 CORNERS ATTACHED TO CORNER HDU4-SDS2.$HOEDOWN ANCHOR POST W/2-16d COMMON TIE' A O.C.HREED R00 BY'SIMPSON STRONG- NAILS 0 10"PLYWOOD WELDEDAD TO WIO - ... i - $"PLYWOOD _ 0 WO THREADE ROD,DRILL AND --EPDXY TO CONCRETE FOUNDATION . FLOOR FRAMING WALL WITH EPDXY - 'e' •" #4 0 48'O.C. 9)r I-JOIST STAGGERED W10 �a - (2)�BOT CONT P4:. . 2'x4"SILL TOP.&BOTTOM .• - '.e. . ATTACHED W/)4"0 THRU-BOLTS MIN.EMBEDMENT - 016'O.C.STAGGERED EACH 'e.• •Q`;�Oow• SIDE OF WEB OSO,e Cw, C O� W . —i Q s . SECTION r 10• ,. W Q sT SCALE- HOLD DOWN ANCHOR DETAIL SCALE: 3/4"=1'-O" i SECTION U SCALE: 3/4"=1'-O" /♦ V V i WIO r cm 1�- 0--' A CHORE BASE PLATE r II�-ll ANCHORED W/2-3i"0 ANCHOR BOLTS,12" EMBEDMENT 8,-w 805 VERTICAL o i 1/4" TOP PLATE SPLICE LENGTH W/DOWELS TO MATCH 10-i8d COMMON NAILS PER EACH SIDE OF SPLICE . I y3 TIES 0 8"O.C. `> - 2"x6"PLATE DETAILS • ETE FOUNDATION FOUNDATION WALL • _ - 2'x6"WALL STUDS 2"x6"PLATE S 2 DETAIL—A DOUBLE TOP PLATE SPLICE DETAIL SCALE 3/4"=1'-O" _ SCALE: 3/4"-V o' - - 15048 GENERAL NOTES TIMBER FRAMING DATE mmma GENERAL - UMBER DESIGN SHALL CONFORM TO THE PROVISIONS OF THE 2005 NATIONAL DESIGN SPECIFICATION FOR W000 CONSTRUCTION ALL MATERIALS,WORKMANSHIP AND DETAILS SHALL CONFORM TO THE LATEST EDITION OF THE MASSACHUSETTS PUBLISHED BY THE AMERICAN FOREST AND PAPER ASSOCIATION. + STATE BUILDING CODE AND THE REFERENCE STANDARDS INCLUDED THEREIN THAT ARE APPLICABLE TO THIS PROJECT. TIMBER CONSTRUCTION SHALL CONFORM TO THE PROVISIONS OF THE 2006 WOOD CONSTRUCTION MANUAL FOR ONE AND TWO THE CONTRACTOR SHALL FAMIUARIZE HIMSELF WITH THE CONTRACT DRAWINGS ANY DISCREPANCIES SHALL BE FAMILY DWELLINGS AND THE GUIDE TO WOOD CONSTRUCTION IN HIGH WIND AREAS FOR ONE AND TWO-FAMILY DWELLINGS - BROUGHT TO THE ATTENTION OF THE PROJECT ARCHITECT BEFORE PROCEEDING WITH THE AFFECTED WORK. ANY PUBLISHED BY THE AMERICAN FOREST AND PAPER ASSOCIATION. VARIATIONS OR SUBSTITUTIONS OF MATERIALS OR DETAILS FROM THOSE INDICATED ON THE DRAWINGSMAY BE - +, .MADE ONLY WITH PRIOR APPROVAL OF THE PROJECT ARCHITECT. SHOP DRAWINGS FOR ALL ENGINEERED LUMBER PRODUCTS SHALL BE SUBMITTED INCLUDING BEAM TO BEAM CONNECTION HARDWARE. - BEA1. _ SHOP DRAWINGS FOR REINFORCING STEEL,(INCLUDING ALL ACCESSORIES).ENGINEERED LUMBER, - BASE PLATE 3/4'x6 z10'W/(2)3/4"0 (INCLUDING ALL ACCESSORIES)AND STRUCTURAL STEEL NEW TIMBER FOR STRUCTURAL USE SHALL HAVE A MOISTURE CONTENT AS SPECIFIED IN THE"NATIONAL DESIGN SPECIFICATION FOR THREADED RODS,HIT HY 150 INJECTION SHALL BE SUBMITTED TO THE ARCHITECT AND A STAMPED APPROVAL RECEIVED BEFORE FABRICATION CAN PROCEED. - ADHESIVE ANCHORS BY'HILITI' OF WOOD CONSTRUCTION'(NFPA, 1991 EDITION). 8"EMBEDMENT NO MAIN FRAMING OR STRUCTURAL MEMBERS ARE TO BE MODIFIED,ALTERED OR CUT WITHOUT THE APPROVAL OF + THE PROJECT ENGINEER. TIMBER CONSTRUCTION SHALL CONFORM TO CHAPTER 23 OF THE COMMONWEALTH OF MASSACHUSETTS STATE BUILDING CODE. BASE PLATE 3/4'x6'x70'W/(2)3/4'0 RWON 3+ :•e. I I THREADED RODS,H17 HY 150 INJECTION QfLlelimat FOR EXACT LOCATION OF FLOOR AND ROOF OPENINGS,SEE ARCHITECTURAL,MECHANICAL.ELECTRICAL AND.SHOP MATERIAL PROPERTIES SHALL CONFORM TO THE FOLLOWING: ADHESIVE ANCHORS BY'HWTI' m DRAWINGS. (A) FOR MEMBERS WITH NOMINAL 2'THICKNESS. S-P-F#1/#2(5%MAX MC) .'i:'' � 8'EMBEDMENT THE CONTRACTOR SHALL BE RESPONSIBLE FOR ALL JOB SAFETY DURING CONSTRUCTION INCLUDING.BUT NOT LIMITED •, ,• ^� TO SHEETING, SHORING AND GUYING STRUCTURES,BARRIERS AND SIGNAGE. - ALLOWABLE BENDING STRESS ALL STRUCTURAL DRAWINGS SHALL BE USED IN CONJUNCTION WITH THE ARCHITECTURAL MECHANICAL ELECTRICAL Fb=875 PSI(SINGLE MEMBER USE) -'•xv e AND SHOP DRAWNGS AND SPECIFICATIONS. - Fb-I000 PSI(MULTIPLE MEMBER USE) ( II2 , H553.Sx3.5 �. ' HSS3.Sx3.S � cr UNLESS OTHERWISE INDICATED.DETAILS SHOWN ON ANY DRAWING ARE TO BE CONSIDERED TYPICAL FOR ALL ALLOWABLE SHEAR STREESS Fv=70 PSI - - I4"I [1 LUZ SIMILAR CONDITIONS. COMPRESSION PERPENDICULAT TO GRAM a 425 PSI 4' SIT' z aQQ THE GENERAL CONTRACTOR SHALL BE RESPONSIBLE FOR ALL CONSTRUCTION MEANS,METHODS, CO-ORDINATION OF - CONCRETE TOP OF J OTHER TRADES AND TECHNIQUES TO PRODUCE A SOUND AND QUALITY BUILDING.ALL DIMENSIONS,ELEVATIONS AND MODULUS OF ELASTICITY E= 1,400.000 PSI WALL CONCRETE C CONDITIONS MUST BE VERIFIED BY THE GENERAL CONTRACTOR OR RESPONSIBLE TRADES. (8) FOR PRESSURE TREATED MEMBERS WITH NOMINAL 2'THICKNESS,SOUTHERN YELLOW PINE#1 OR BETTER(19%MAX MC). FOOTING CODE ALLOWABLE BENDING STRESS Fb-1300 PSI - + MASSACHUSETTS STATE BUILDING CODE,SEVENTH EDITION. ALLOWABLE SHEAR STRESS Fv 90 PSI - BASE PLATE DETAILS = w .^. LOADS COMPRESSION PARALLEL TO GRAIN-1550 PSI SCALE 3/4"=I'-O" O COMPRESSION PERPENDICULAR TO GRAIN 565 PSI w LL FLOOR DEAD: 15psf - a m FIRST FLOOR LIVE 40psf MODULUS OF ELASTICITY E=1,500,000,PSI - ATTIC LIVE: 20psf (C) 1-3/4'X 11-7/8'LVL ETC INDICATES LAMINATED VENEER LUMBER-2.0E BEAM OR POST BY THE BOISE CASCADE COMPANY OR EQUAL O Cn t ROOF LIVE: GROUND SNOW LOAD,PS-30psf (CI)VERSA-LAM BEAMS(LVL) - _ - NAND: .BASIC HIND SPEED m 115 mph(EXPOSURE-B) - W ALLOWABLE BENDING STRESS Fb=3080 PSI.. J 65 Z C FOUNDATIONS ALLOWABLE SHEAR Fr 285 PSI - Z W m m _ �. WMODULUS OF ELASTICITY E-2,000,000 PS - THE STRUCTURE SHALL BE SUPPORTED ON NATURAL UNDISTURBED SOIL OR ON CONTROLLED GRANULAR BACKFILL � CONSTRUCTION JOINT BACKFlLL COMPACTED ON THE NATURAL MATERIAL TO 95%MAXIMUM DRY DENSITY.THE MAXIMUM ALLOWABLE (C2)VERSA-LAM COLUMNS(PSL) 120'-0'MAXIMUM.10 CORNER BEARING PRESSURE SHALL BE 2 TSF IN EITHER INSTANCE AND SHALL BE VERIFIED BY THE GENERAL CONTRACTOR. ALLOWABLE BENDING STRESS Fb- 2200 PSI OR BETWEEN JOINTS BOTTOM OF FOOTING ELEVATION SHALL BE 4'-0'MINIMUM BELOW FINISHED EXTERIOR GRADE. O I PLACE BACICFlLL SIMULTANEOUSLY ON BOTH SIDES OF FOUNDATION WALLS TO THE GRADES INDICATED.WHERE ALLOWABLE SHEAR STRESS Fv=285 PS EXTERIOR GRADE IS MORE THAN TWO FEET BELOW SLAB,WALLS SHALL BE BRACED UNTIL SLAB TO WHICH THEY ARE COMPRESSION PARALLEL TO GRAIN FCII-3006 PSI _ EXTERIOR FACE SAME SIZE AND SPACING J OIL CONNECTED IS AT LEAST TWO WEEKS OLD. HOR120NTAL REINFORCING M FL - COMPRESSION PERPENDICULAR TO GRAIN Fc- 900 PS _/iInYn 8 FOR LOCATIONS OF PIPES AND CONDUITS,SEE SITE.PLUMBING AND ELECTRICAL DRAWINGS. PIPES WHICH CARRY 30D CAULK 3/4'x3/4" 40D IL V s: WATER SHALL NOT BE ALLOWED TO PASS UNDER FOOTINGS. STEP FOOTINGS APPROPRIATELY TO ALLOW PIPE TO MODULUS OF ELASTICITY E=2,G00,G00 PSI JOINT W/SEALANT �' PASS OVER FOOTING. "PT"INDICATES PRESSURE-TREATED LUMBER(TO BE USED WHEN IN CONTACT VAIN CONCRETE,MASONRY,OR WEATHERED). - M1AWN: MRF ��' 'MI 30 2015 CONCRETE - NO JOISTS OR BEAMS SHOULD BE NOTCHED OR DRILLED WITHOUT APPROVAL FROM THE SER SCALE: AS NOTED BUILT UP TIMBER BEAMS SHOULD BE FIRMLY NAILED OR BOLTED TOGETHER. PROJECT NORTH CONCRETE SHALL BE PROPORTIONED,MIXED AND PLACED IN ACCORDANCE WITH ACI 318,"BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE%AND AG 301,'SPECIFICATIONS FOR STRUCTURAL.CONCRETE FOR ALL HEADERS FOR.INTERIOR OPENINGS SHALL BE 3-2XIO BUILDINGS',WITH A MAXIMUM SLUMP OF 4 1/2 INCHES. - ALL HEADERS FOR EXTERIOR OPENINGS SHALL BE 3-2X10 - MINIMUM COMPRESSIVE STRENGTH OF CONCRETE AT THE END OF 28 DAYS SHALL BE AS FOLLOWS: SAME SIZE AND SPACING 2-@5- _ MINIMUM BEARING FOR ALL JOISTS AND RAFTERS SHALL BE 3-1/2 INCHES. - HORIZONTAL REINFORCING MAXIMUM - - USE DOUBLE JOIST UNDER ALL PARTITIONS 2.CONTINUOUS KEY STRENGTH(PSI) AGGREGATE SIZE(IN.) . ENTRAINED AIR(� APPLICATION - - 35D0 1 1/2 0 SLAB ON GRADE BUILT UP BEAMS OF ENGINEERED LUMBER SHOULD BE NAILED OR BOLTED TOGETHER IN ACCORDANCE WITH THE MANUFACTURERS RECOMMENDATIONS ' 3000 3/4 4=6 ALL OTHER CONCRETE TEMPORARY ERECTION BRACING SHALL BE PROVIDED TO HOLD STRUCTURAL TIMBER SECURELY IN POSITION AS DESCRIBED ON THE NO ADMIXTURES OTHER THAN LOW RANGE WATER REDUCER WILL BE ALLOWED. SHOP DRAWINGS. IT SHOULD NOT BE REMOVED UN71LL PERMANENT SUPPORT HAS BEEN INSTALLED. - CONCRETE SHALL NOT BE CAST IN WATER OR ON FROZEN GROUND. AT CORNERS AT CONSTRUCTION JOINTS AT WALL END AND OPENINGS WELDED WIRE FABRIC SHALL BE LAID IN FLAT SHEETS AND CONFORM TO.ASTM 185. PLACE WIRE FABRIC 1 INCH - FROM THE TOP of CONCRETE UNLESS OTHERWISE NOTED. TYPICAL FOUNDATION WALL DETAILS - NO SCALE - REINFORCING STEEL ALL DETAILING,FABRICATION AND PLACING OF REINFORCING STEEL SHALL BE IN ACCORDANCE WITH THE LATEST ACI 315'DETAILS AND DETAILING OF CONCRETE REINFORCING". C REINFORCING BARS SHALL BE NEW BILLET STEEL CONFORMING TO ASTM A615,GRADE 60.CLEAR CONCRETE - N COVER OVER BARS SHALL BE AS FOLLOWS UNLESS OTHERWISE NOTED ON THE DRAWINGS: �j�,j�,� — Q FILL DOSE W/SEALANT "T"DENOTES SLAB THICKNESS U!FOOTING 3 INCHES FROM BOTTOM O EXPOSED SURFACES .�a WALLS AND PIERS 2 INCHES FROM SIDES ONLY SLABS 1 INCH FROM THE SOP FOUNDATION WALL REINFORCING TO MATCH 1�. a HORIZONTAL WALL r.+ SLAB CONSTRUCTION REINFORCING STRUCTURAL STEEL (6EE PLAN) as c 0 FABRICATE AND ERECT ALL STRUCTURAL STEEL IN ACCORDANCE NTH THE"SPECIFICATIONS FOR THE DESIGN, FABRICATION AND ERECTION OF STRUCTURAL STEEL FOR BUILDINGS' AND THE'CODE OF STANDARD PRACTICE" - HORIZONTAL WALL / Q OF THE RISC. WELDING,SHALL CONFORM TO THE REQUIREMENTSOF THE"STRUCTURAL WELDING CODE"OF THE REINFORCING /V� () AMERICAN WELDING SOCIETY. - ————————— O ALL STRUCTURAL STEEL ROLLED SHAPES SHALL CONFORM TO ASTM A572.STEEL PLATES SHALL CONFORM,TO - - c . . _ N ASTM A36 EXCEPT FOR COLUMNS AND STRUCTURAL TUBE MEMBERS WHICH SHALL BE ASTM A500,GRADE B. - i (MAX) ALL BOLTED CONNECTIONS SHALL BE MADE NTH 3/4 INCH DIAMETER HIGH STRENGTH,ASTM A325-X OR � ------i--X —————— ASTM A325-N BOLTS Ir ALL ANCHOR BOLTS SHALL BE ASTM A307 BOLTS OF THE DIAMETERS AND DIMENSIONS DETAILED. - TYPICAL CONTROL JOINT DETAIL / ? WELDING ELECTRODES SHALL BE LOW HYDROGEN TYPE.AND CONNFORM TO AWS A5.1 E70XX SERIES WITIi PROPER NO SCALE - ==— --- R00 TO PRODUCE OPTIMUM WELD. - PLASTIC c 1 PLASTIC LP STRIPS MAY BE USED,JOINT SPACING IN GENERAL NOTES PROVIDE ALL ANGLES,PLATES, ANCHORS.BOLTS,GIRTS,ETC,SHOWN ON THE ARCHITECTURAL DRAWINGS. EITHER DIRECTION SHALL NOT EXCEED 12 FEET. 2 s ISOLATION JOINTS SHALL BE PLACED AT COLUMNS AND &TYPICAL DETAILS PROVIDE WEB STIFFENERS ON ALL BEAMS BEARING ON OR SUPPORTING COLUMNS. CONTROL JOINTS SHALL LINE UP NTH THEM. , ., L NATION OF CONTINUOUS STEPPED WALL FOOTING NO SCALE S 3 15048 pv.�Q. r-or- tz►r�c.� v��s� � , I - zK {o �Ztnae r>d _- _. —______.._._ ._-_•___-.-- _ _ _ _ ..--- -- -- -- A� .•ems C Lcvx R-cx�� '1.� � A �1 S e oV L�IANC�"•' /� �, �' �',s_s�,,o�r� � l�s��r` �� � , �,� i I V 11OLL-A-f• . !I yC 'Z,G11 t�£tJSn rlr� INxJ1 , -- --- I it , ' ki t v ��.0 10 Ar��ac�►.r, pro, --- ( Xi2 12" O•G, f �l_U��'k�+; -r>t_Ea�� 1 V0(2-+11� -- (Z) POW'S crzor� hf�tt7GrtN(f ���'•-Lt ICtJ� �.�f� __ _. _.._______..__.----.. __.,___ . . _ _ -_-__ 0017 jug =--=-- -- -_ ---- -- ----- -- _— C �t 1N 11VAC - „ -ry n �oo pa, _::_— 3�©RAA(st u►lp� 'SUio{p 16 Lt tE + -( t7�� I � i fk �C-:An OtzAbt UNbpw, 10 14 I 1►J3TAt�1. N A%. 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