Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0058 POPONESSETT ROAD
5-g � �,� �3.5 � oo� i i f i i F I 1, I i I i c AT L 0 K Company Name Cape Cod Insulation Inc. Phone Number 508-775-1214 Applicator Name � Installation Date 9.24-2019 Jobsite Address 58 Poponessett Rd. Cotuit MA A-Side Lot #'s GEO18379 Permit Number B-Side Lot #'s P3570431218 lue =40 M1 i .:, Walls 311 R-20 800 Attic 5•711 R-38 1000 " MAN= kl a NUMM, a. DC315 Thermal barrior Sunroom Attic 17 Mils Wet f• n wwwMemilec.com ;rcBDE' MILEC . _ ---, Town_of_Ba_r_nsta_Barnstable ,,, Post'This Card So That rt-is Visible From`the Street=Approved Plans Must be Retained on Job and this Card Must be Kept Building .. . ._ lPosted Until Final'fnspecton Has Been IVlade'. • iWhere a Certificate of Occupancy is Regiwred,such Building shall Not be Occupied until a Final Inspection has been made Permit Permit No. B-19-1735 Applicant Name: CAREY C GROVER Approvals Date Issued: 06/06/2619 r Current Use: Structure Permit Type: Building-Addition/Alteration- Residential Expiration Date: 12/06/2019 Foundation: ` Location: 58 POPONESSETT'ROAD,COTUIT Map/Lot: 035-004 Zoning District: RF Sheathing: Owner on Record: KENNA,_CHRISTOPHER&CYNTHIA L TRS Contractor Name:"-CAREY C GROVER Framing: 1 Address: 6800 SO "Q" COURT Contractorr License: CSFA-077754 2 FORT SMITH,AR 72903 Est Project Cost: $65,000.00 Chimney: Y s Description: dormer existing gargage t Perm,iffee: $381.50 mh Insulation: Project Review Req: GANIEROOM-MOTTO BE USEDASASINGLE;FAMILY Fee Paid: $381.50 DWELLING s Date 6/6/2019 Final Plumbing/Gas Rough,Plumbing: r. This permit shall be deemed abandoned and invalid unless the work authorized m by this permit is commenced with .six months after.issuance. Final Plumbing:., All work authorized by this permit shall conform to the approved`application an&the approved construction documents for which this permit has been granted. Rough.Gas: All construction,alterations and changes of use of any building and'structures shall be in compliance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from m access street.,&road and shall be maintained open for public inspection for the entire duration of the Final Gas: Work until the completion of the same i n. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building an 'Fire Officials are provided onythis permit. Minimum of Five Call Inspections Required for All Construction Work:,, ' ? _} Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed' 4.Wiring&Plumbing Inspections to'be completed prior to Frame Inspection Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy ' 4 Low Voltage Final:' 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. Health. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final Building plans are to be available on site Fire Department f All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �p'y Final: 1 SHEO Application Number...... ' �' �i?1 QED/®,► Permit Fee.......................... ........... Other Fee........................ t 1 OF6� Total Fee Paid.............................................................. ...... 9 TOWN OF BARNSTAB Permit Approval b On........................... BUILDING PERMIT r' APPLICATION ................ParCel........ .................... Section 1 —Owner's Information and Project Location Project Address Village i Owners Name Owners Legal Address city. 'State /V/i zip D � Owners Cell# E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet 19 Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System F� ❑ Ad ' on ❑ Retaining wall ❑ . Solar F :# Renovation ❑ Pool ❑ Insulation �l Other—Specify Section 4 - Work Description OE e . . ....... ...... _. ... .. _. _. _... ........ w Application Number.................................................... Section•5--Detail Cost of Proposed Construction 'a Square Footage of Project / �J Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics firing ❑ Oil Tank Storage ❑ Smoke Detectors ��Iumbing ❑ Gas ❑ Fire Suppression , ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom ji Water Supply Public ❑ Private Sewage Disposal ❑ Municipal LVJ'On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �.��CI�.S1 I am using a crane Yes No j Section 7—Flood Zone j ; Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No 2 Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage I Percentage of Lot Coverage�_#of Dwelling Units(on site) a Setbacks Front Yard IRequired Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No` REScheck Software Version 4.6.5 Compliance Certificate SAYjo 2019 Project Garage Addition TQ�N�FBARN Energy Code: 2015 IECC STABLE Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: Addition Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 58 Poponessett Rd. Grover Construction Cotuit, MA 02635 P.O. Box 1080 Cotuit, MA 02635 . . Compliance: 1.6%Better Than Code Maximum UA: 127 Your UA: 125 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 600 38.0 0.0 0.030 18 Ceiling 2: Cathedral Ceiling 120 30.0 0.0 0.034 4 Wall 1: Wood Frame, 16"D.C. 815 20.0 0.0 0.059 40 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 102 0.290 30 Door 1: Solid 40 0.270 11 Floor 1:All-Wood joist/rruss:Over Unconditioned.Space 670 30.0 0.0 ,0.033 22 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 meet the 2015 IECC requirements in REScheck Version 4.6.5 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Garage Addition Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\c leg ere\Documents\REScheck\*2580 Garage Addition Grover.rck Pagel of 9 REScheck Software Version 4.6.5 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section , i . Plans.Verified Field'Verified Comphes� Comments/Assumptions Pre-Ins ection/Plan Review., . & Req.ID p - Value' Value x r � 103.1, Construction drawings and :: P '; , s,. ;❑Complies 103.2 documentation demonstrate ❑Does Not [PR1]1 energy code compliance for the M `n building envelope.Thermal 3 �. ❑Not Observable . -� envelope represented on `'' _ ❑Not Applicable construction documents. 103.1, Construction drawings and ❑Complies 103.2, documentation demonstrate ,';.� '` :❑Does Not 403.7 energy code compliance for [PR3]1 lighting and mechanical systems []Not Observable Systems serving multiple _, `� ❑Not Applicable vt dwelling units must demonstrate compliance with the IECC Commercial Provisions. k 3021, '" Heating and cooling equipment is Heating: Heating: ❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: []Not Observable Manual J or other methods Btu/hr Btu/hr approved by the code official. ❑Not Applicable F. Additional Comments/Assumptions: 1 High Impact(Tier 1) 121.1 Medium Impact(Tier 2) 3. 1 Low Impact(Tier 3) Project Title: Garage Addition Report date: 05/30/19 Data filename:\\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 Garage Addition Grover.rck Page 2 of 9 Section # Foundation Inspection � Complies ,; ,., Comments/Assumptions e& Rq.ID _ r 303.2.1 JA protective covering is installed to ❑Complies [F011]z. protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below 7 f ❑Not Observable grade. ❑Not Applicable 403.9 Snow-and ice-melting system controls ❑Complies [FO12]2 installed. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: i 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Garage Addition Report date: ,05/30/19 Data filename:\\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 Garage Addition Grover.rck Page 3 of 9 Section Plans Vetifled -Field-Verffledr Complies?R Corriments/Assumptions # framing/Rough-In Inspection Value r Value & Req.ID x: 4L 7 ' 402.1.1, Door U-factor. U- U- ❑Complies See the Envelope Assemblies 402.3.4 ' ❑Does Not table for values. [FRl]1 ❑Not Observable ❑Not Applicable 402.1.1, !Glazing U-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, ❑Not Observable 402.5 ❑Not Applicable [FR2]1 303.1.3 U-factors of fenestration products "`� ` ❑Complies [FR4]1 are determined in accordance , � ❑Does Not with the NFRC test procedure or n `a -• � w ❑Not Observable taken from the default table. - ❑Not Applicable. t =s ... ❑Com lies 402.4.1.1 Air barrier and thermal barrier `° .,g 4 P [FR23]1 installed per manufacturer's - ❑Does.Not i instructons. ( = []Not Observable y3 t ❑Not Applicable 402.4.3 Fenestration that is not site built " ❑Complies 12 [FR20]1 is listed and labeled as meeting _ ❑Does Not AAMA/WDMA/CSA 101/1.5.2/A440 �. 3 ❑Not Observable or has infiltration rates per NFRC 400 that do not exceed code � ❑Not Applicable limits. '.0 fit; 41, •; a ,. �% .11 4024.5 IC-rated recessed lighting fixtures a, µ � �M +;, d ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate s2.0 cfm ❑Not Observable leakage at 75 Pa. `❑Not Applicable 403.3.1 Supply and return ducts in attics ❑Complies [FR12]1 insulated >= R-8 where duct is r ❑Does Not >= 3 inches in diameter and >_ ,_ • « ❑Not Observable R-6 where< 3 inches.Supply and 4 return ducts in other portions of � r - ' �' ❑Not Applicable the building insulated >= R-6 for "N' diameter>= 3 inches and R-4.2 for< 3 inches in diameter. A '' 403.3.5 'Building cavities are not used as ❑Complies (FR15]3 . tducts or plenums. .. �* �� ""_ ❑Does Not - �_ "': ❑Not Observable ❑Not Applicable 403.4', "JHVAC piping conveying fluids R- , R- ❑Complies [FR17]2 above 105°F or chilled fluids ❑Does Not below 55°F are insulated to 2:11- 09 3 ❑Not Observable ❑Not Applicable 403.4.1 Protection of insulation on HVAC ❑Complies [FR24]1 piping. °" W ❑Does Not ❑Not Observable s * 6 'A❑Not Applicable 403:5.3 Hot water pipes are insulated to R- R- ❑Complies . (FR18]2 -#,, aR-3. ❑Does Not 4 ❑Not Observable ❑Not Applicable 463.6 Automatic or gravity dampers are ❑Complies [FR19]2 = installed on all outdoor air h ❑Does Not intakes and exhausts. ' []Not Observable ° ❑Not Applicable .a 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Garage Addition Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 Garage Addition Grover.rck . Page 4 of, 9 f Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3` Low Impact(Tier 3) Project Title: Garage Addition Report date: 05/30/19 Data filename: \\CCI 1 SERVE R\profi les\clegere\Docu ments\RESchec k\#2 5 80 Garage Addition Grover.rck Page_5 of 9 Section r •.Plans Verified -Field�Verified # Insulation Inspection Co., mpliesi. ,. Comments/Assumptions Re ID Value- Value � � y, 303,1 All installed insulation is labeled r �❑Complies z M [IN13] or the installed R-values ❑Does Not t(?? provided. , a ❑Not Observable . . ❑Not Applicable 402.1.1, !Floor insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.6 ❑ Wood ❑ Wood ❑Does Not table for values. [IN1]1 ❑ Steel ❑ Steel ❑Not Observable ❑Not Applicable 303.2, Floor insulation installed per ❑Complies 402.2.7 manufacturer's instructions and ❑Does Not � [IN2]1 in substantial contact with they " �+ underside of the subfloor,or floor .' ❑Not Observable framing cavity insulation is in ❑Not Applicable contact with the top side of sheathing,or continuous `' s insulation is installed on the 's w - underside of floor framing and 3 extends from the bottom to the r top of all perimeter floor framing 4 members. ' 402.1.1, Wall insulation R-value. If this is a R- R- ❑Complies See the Envelope Assemblies 402.2.5, mass wall with at least lh of the ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies(FR10). ❑ Steel ❑ Steel ❑Not Applicable 303.2 Wall insulation is installed per , ` * '{ ❑Complies [IN4]1 manufacturer's instructions. := 4. ❑Does Not ❑Not Observable . s ❑Not Applicable Additional Comments/Assumptions: K 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) =3=" Low Impact(Tier 3) Project Title: Garage Addition I Report date: 05/30/19 Data filename: \\CCl 1 SERVE R\profi les\clegere\Docu ments\REScheck\#2 5 80 Garage Addition Grover.rck Page 6 of 9 Seetion Plans Verified 'Field Verified= ''' '' 3 ' Final Inspection Provisions ti Valued Value Complies Comments/Assumptions & Req.ID 402.1.1, ;Ceiling insulation R-value. R- R- ❑Complies See the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ❑ Steel ❑ Steel ❑Not Observable 402.2.E ![FI1]1 ❑Not Applicable i 303.1.1.1, Ceiling insulation installed per ALI : ❑Complies 303.2 manufacturer's instructions. - _, ❑Does Not [FI2]1 Blown insulation marked every ❑Not Observable 300 ft2. [Not Applicable 4022.3 Vented attics with air permeabler t ❑Com lies [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that F u � , » - extends over insulation. , .i 2 « v ❑Not Observable ❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies [FI311 insulation >_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50= ACH 50 = ❑Complies [FI1711 ach in Climate Zones 1-2,and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable tests,verification may need to ❑Not Applicable occur during Framing Inspection. 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies [FI2711 determine air leakage with ft2 ft2 ❑Does Not either: Rough-in test:Total []Not Observable leakage measured with a pressure differential of 0.1 inch ❑Not Applicable w.g. across the system including the manufacturer's air handler enclosure if installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g.across the entire system including the manufacturer's air handler enclosure. 403.3.2.1 Air handler leakage designated It ❑Complies [F12411 by manufacturer at<=2%of '." ❑Does Not design air flow. - []Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ` ❑Complies [FI9]2 installed for control of primary � a ❑Does Not heating and cooling systems and �� . initially set by manufacturer to h F 4 ❑Not Observable code specifications. �� ,1 ° , . ❑Not Applicable 403.1.2 Heat pump thermostat installed -> ❑Complies [FIl0J2 on heat pumps. AftzF � • � .El Not f ❑Not Observable . .F .. ., ❑Not Applicable 403.5.1 Circulating service hot waterPA ❑Complies i [FI11J2 :systems have automatic or s s ❑Does Not accessible manual controls. I []Not Observable ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3:; Low Impact(Tier 3) Project Title: Garage Addition Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 Garage Addition Grover.rck Page 7 of 9 Section Plans Verified 'Field"Verified.° _ # Final Inspection Provisions Gomplies� Comments/Assumptions & Req.ID v Value Value 403.6.16 All mechanical ventilation system y ` ❑Complies [F125]2 fans not part of tested and listed El Does Not HVAC equipment meet efficacy �} $ " Via. and air flow limits. _ ❑Not Observable ON ❑Not Applicable 403.2 I Hot water boilers supplying heat • ❑Complies [FI26]2 through one-or two-pipe heating . : ❑Does Not systems have outdoor setback �� .' control to lower boiler water []Not Observable " ❑Not Applicable temperature based on outdoor ` ` temperature. ix w t 403.5.1.1 Heated water circulation systems �x , X } ;n k ❑Complies [f128]2 have a circulation pump.The ❑Does Not system return pipe is a dedicated `Zk file ' ❑Not Observable return pipe or a cold water supply , k. ❑Not Applicable pipe. Gravity and thermos- syphon circulation systems are Anot present.Controls for ,, g circulating hot water system _ - pumps start the pump with signal ' for hot water demand within the h occupancy.Controls automatically turn off the pump when water is in circulation loop is at set-point temperature and no demand for hot water exists. ' 403.5.1.2.1 Electric heat trace systems _ ,'; ❑Complies [F129]2. comply with IEEE 515.1 or UL ❑Does Not 515.Controls automatically adjust the energy input to the a ` y ❑Not Observable heat tracing to maintain the ' - ❑Not Applicable desired water temperature in the ' piping. ` ' z; 403.5.2 Water distribution systems that + ry h ❑Complies [FI30)2 have recirculation pumps that �._ ' . � ❑Does Not pump water from a heated water -- r ❑Not Observable t supply pipe back to the heated water source through a cold . �:. ❑Not Applicable water04- supply pipe have a rat :40 demand recirculation water system. Pumps have controls , that manage operation of the y pump and limit the temperature ' of the water entering the cold „ F. water piping to 100F. 4'_ x ".y 403.5:4 Drain water heat recovery units � �, ,`�-.❑Comp lies [F131]2 tested in accordance with CSA ., ❑Does Not B55.1. Potable water-side w f pressure loss of drain water heat y F, 0 []Not Observable recovery units< 3 psi for ]Not Applicable individual units connected to one or two showers. Potable water- side pressure loss of drain water heat recovery units < 2 psi ford ', individual units connected to se`� :- three or more showers. h � 404.1 75%of lamps in permanent i 'a ❑Complies [FI6]1 fixtures or 75%of permanent `� :„ fi ❑Does Not �!. fixtures have high efficacy lamps. ❑Not Observable Does not apply to low-voltage ❑Not Applicable lighting. a ., 404.1.1 Fuel gas lighting systems have • •"'• _ ': ❑Com lies [FI23)3 'no continuous pilot light. ❑Does Not ❑Not Observable . ::. •. a« • ;: �., ;r,:,' ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3: Low Impact(Tier 3) Project Title: Garage Addition Report date: 05/30/19 Data filename:\\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 Garage Addition Grover.rck Page 8 of 9 Section Plans Verified %field Verified- # Final Inspection Provisions ,Value; Complies Comments/Assumptions; Value & Req.ID -Mk r, v . .° 401.3 Compliance certificate posted. �, y �� 4 � ❑Complies [Ft7)Z ❑Does Not n ❑Not Observable []Not Applicable 303.3 Manufacturer manuals for �� x ❑Complies [F[18]3 i mechanical and water heating k ❑Does Not systems have been provided. S 1[]Not Observable ❑Not Applicable Additional Comments/Assumptions: i f 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3` Low Impact(Tier 3) Project Title: Garage Addition* Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\clegere\Documents\REScheck\*2580 Garage Addition Grover.rck Page 9 of 9 2015 IECC Energy Efficiency Certificate Insulation . Above-Grade Wall 20.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.29 Door 0.27 CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments - --------- Application Number........................................... Section 9=Construction Supervisor Name Telephone Number Address •G ��7:�,l City � State zip License Number License Type Expiration Date / a Contractors Email Gj�V_ �K/ iva%1.e&-Cell I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation requ 780 CMR and4he To of Barnstable.Attach a copy of your license. Signatur Date _ Section 10—Home Improvement Contractor Name L- 4 Telephone Number v Address O�•�O.(' /090 City �i`7/��` State lOW- Zip Registration Number yy Expiration Date /0_� I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required 0 MR the Town of Barnstable.Attach a copy of your H.I.C... Signature Dateel -S Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date v� Print Name l" Telephone Number �S'Zr -��. � E-mail permit to: Section 12—Department Sign-Offs t Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the f re department for.approval, Section 13— Owner's Authorization I, , as Owner of the subject property hereby 1 authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name i Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept STABLLA S& , Posted Until Final Inspecti on Has Been`Made: a�° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final inspection has been made. Permit Permit No. B-19-1609 Applicant Name: CAREY C GROVER Approvals Date Issued: 06/06/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/06/2019 Foundation: Location: 58 POPONESSETT ROAD, COTUIT Map/Lot: 035-004 Zoning District: RF Sheathing: Owner on Record: KENNA CHRISTOPHER&CYNTHIA L TRS Contractor Nam e- C GROVER Framing: 1 ' Address: 6800 SO "Q" COURT Contractor License: CSFA-077754 2 FORT SMITH,AR 72903 s -'"`'-, Est. Project Cost: $ 110,000.00 Chimney: Description: change roof pitch and finish existing sun room. expand existing 2nd } Permit Fee: $611.00 floor bedroom over existing single story room Insulation: I F Fee Paid: $611.00 ProProject Review Re ., Final: 1 q: -� Date: �- 6/6/2019 . � Plumbing/Gas _ Rough Plumbing: ,._ r_:: Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afteph� le. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents.for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same: " Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures bythe,Building.and Fire Officialsare provided on this permit. l _ ,. Electrical Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing ` Service: 2.Sheathing Inspection _ 3.All Fireplaces must be inspected at the throat level before firest flue lining is installedf$ a - Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: . --------- - - ------ ._ . .. --- - �I O � ZF1E rp Appplicatio NumberA4i ...................................... ....... AAAv// BARN 1VIAr88� $ 'VG Permit Fee..........................................Other Fee........... ......... �o, 3 ZQ19 Total Fee Paid: 4 .......................................... ...... ✓/V Q TOWN OF B �§"e Permit Approval by... ....... .. .................on......(eic-011-1...., BUILDING PERMIT Z Map..... ..,.?........................Parcel...... .0.0.%�.................... APPLICATION Section 1 — Owner's Information and Project Location , 4 Project Address Village i Owners Name /r //jjOl� X�/—iww Owners Legal Address—,, g AW City State Zip Owners Cell # E-mail Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet LW Single/Two Family.Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment © Sprinkler System VRenovation onRetaining wall ❑ . Solar ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description I elm k ' Tact undated- 11/15/201 R Application Number.................................................... Section 5—Detail fJV� P Cost of Proposed Construction Square Footage of Project Age of Structure Di Safe Number 0/ g g o� ` 3 # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone-Compliance Method 0 MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics firing ❑ Oil Tank Storage ❑ Smoke Detectors �Ibing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ErPublic ❑ Private Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway 1 Debris Disposal Facility: / IA C6.5, I am using a crane ❑ Yes 2 No Section 7—Flood Zone I � Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No Section 8—Zoning Information +, Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage 1 Q 5 Percentage of Lot Coverage_ltld� of Dwelling Units (on site) Setbacks Front Yard Required Proposed A Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes 0 No Last undated: 11 A 5/2018 REScheck Software Version 4.6.5 Compliance Certificate Project Addition UGUILDING DEPT. Energy code: 2015 IECC MAY 3.0 200 Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: Addition TOWN OF BARNSTABLE Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 58 Poponessett Rd. Grover construction Cotuit, MA 02653 P.O. Box 1080 Cotuit, MA 02635 Compliance: 0.0%Better Than Code Maximum UA: 102 Your UA: 102 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Perimeter Ceiling 1: Flat Ceiling or Scissor Truss 400 38.0 0.0 0.030 12 Wall 1: Wood Frame, 16"D.C. 674 20.0 0.0 0.059 28 Window 1:Vinyl/Fiberglass Frame:Double Pane with Low-E 40 - 0.300 12 Door 1: Solid { 160 0.310 50 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 meet the 2015 IECC requirements in REScheck Version 4.6.5 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Addition Report date: 05/30/19 Data filename: \\CCl 1SERVER\profiles\c lege re\Docu ments\RESc heck\#2 580 House Addition Grover.rck Page 1 of .9 REScheck Software Version 4.6.5 Inspection Checklist Energy Code: 2015 IECC Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user.in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided: Section Plans VerifiedFField Verified # Pre-inspection/Plan Review . Com hes� Comments/Assu motions f P Value` Value Par,, & Req.ID ' 103.1, Construction drawings and r a. ❑Complies 103.2 documentation demonstrate 'f ❑Does Not [PR111 energy code compliance for the , .. building envelope.Thermal ' N"[:]Not Observable envelope represented on ❑Not Applicable. construction documents. 103.1, Construction drawings and '`i ❑Complies 103.2, documentation demonstrate i ` []Does Not 403.7 energy code compliance for 4 .< [PR3)1 lighting and mechanical systems y ❑Not Observable " 3r ❑Not Applicable Systems serving multiple , _ dwelling units must demonstrate y` compliance with the IECCq " �1 Commercial Provisions. 302.1, Heating and cooling equipment is Heating: Heating: ❑Complies 403.7 sized per ACCA Manual S based Btu/hr Btu/hr ❑Does Not [PR2]2 on loads calculated per ACCA Cooling: Cooling: ❑Not Observable AGO Manual j or other methods Btu/hr Btu/hr approved by the code official. ❑Not Applicable Additional Comments/Assumptions: ' 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3`Low Impact(Tier 3) Project Title: Addition Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 House Addition Grover.rck Page"2 of 9 Section # Foundation Inspection. t 'Complies?„ Comments/Assumptions & Req.ID 30312.1 A protective covering is installed to ❑Complies [f011]z protect exposed exterior insulation ❑Does Not and extends a minimum of 6 in. below grade. ❑Not Observable []Not Applicable 403.9 Snow-and ice-melting system controls ❑Complies [FO12]2 installed. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2� Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Addition Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 House Addition Grover.rck Page 3 of 9 •Sect ion s. , ., w ; Plans Verified Field Verified #. Framing/Rough-in Inspection Complies? :.Comments/Assumptions Value , ;Value &-Req.ID 402.1.1, ;Door U-factor. U- U- ❑Complies See the Envelope Assemblies 402.3.4 ' ❑Does Not table for values. [FR1]1 []Not Observable i0 ❑Not Applicable i 402.1.1, ;GlazingU-factor(area-weighted U- U- ❑Complies See the Envelope Assemblies 402.3.1, average). ❑Does Not table for values. 402.3.3, []Not Observable 402.5 ❑Not Applicable [FR2]1 303.1.3 U-factors of fenestration products , ,, ❑Complies. [FR4]1 are determined in accordance ':.. ❑Does Not with the NFRC test procedure or . []Not Observable taken from the default table. . ❑Not Applicable 402.4.1.1 Air barrier and thermal barrier m ,` ❑Complies [FR23]1 installed per manufacturer's . .: , f ❑Does Not fj instructions. ❑Not Observable a ? ` []Not Applicable 402.4.3 Fenestration that is not site built `r " 1 � Y ❑Complies [FR20]1 is listed and labeled as meeting 'r -J ❑Does Not AAMA/WDMA/CSA 101/1S.2/A440 " i - ;N log Observable or has infiltration rates per NFRC ❑Not Applicable 400 that do not exceed code ° limits. ,t. .: ,;a'.A r 402.4.5 IC-rated recessed lighting fixtures ' f `{ '' ❑Complies [FR16]2 sealed at housing/interior finish 4, ❑Does Not and labeled to indicate s2.0 cfm ❑Not Observable leakage at 75 Pa. g K� r ❑Not Applicable . lies 403.3.1 Supply and return ducts in attics ❑Com� � �� P [FR12]1 insulated >= R-8 where duct is _ >= 3 inches in diameter and >_ :,. []Does Not R-6 where < 3 inches. Supply and ❑Not Observable return ducts in other portions of = El Not Applicable the building insulated >= R-6 for �bn, diameter>= 3 inches and R-4.2 for< 3 inches in diameter. 403.3.5 Building cavities are not used as ', ❑Complies [FR15]3 ducts or plenums. ❑Does Not 1 &~ ❑Not Observable y t .x J..: . ❑Not Applicable 403.4 - HVAC piping conveying fluids R- R- ❑Complies (FR17]2 above 105 9F or chilled fluids ❑Does Not ' below 55 9F are insulated to >_R- ❑Not Observable 3' ❑Not Applicable 403.4.1 Protection of insulation on HVAC [Complies [FR24]1 piping. ❑Does Not s p:: � � .. .$ ❑Not Observable .. ,. .❑Not Applicable 403.5.3 Hot water pipes are insulated to R- R- ❑Complies [FR18)2 >R-3. ❑Does Not ❑Not Observable ❑Not Applicable 4036 Automatic or a„ P are ❑Complies gravity tY dampers . � []Does Not [FR19]2 installed on all outdoor air intakes and exhausts. + L* ❑Not Observable .., = . : ❑Not Applicable 1 High Impact(Tier 1) 2. Medium Impact(Tier 2) 3-',,,l Low Impact(Tier 3) Project Title: Addition Report date: 05/30/19 Data filename: \\CCI ISE RVER\profi les\clegere\Docu ments\REScheck\*2 5 80 House Addition Grover.rck Page 4 of 9 Additional Comments/Assumptions: f 1 High Impact(Tier 1) 2, Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Addition Report date: 05/30/19 Data filename:\\CCIISERVER\profiles\clegere\Documents\REScheck\*2580 House Addition Grover.rck Page 5 of 9 Set tion Plans`Verified Feld Venf�edr " Insulation Inspection r CompliesComments%Assumptions & Iteq.ID ValueE _.R Valuer 303s1 .. AII yinstalled insulation is labeled ' •`z t r I ❑Complies [IN13]2_ 'or the installed R-values a ❑Does Not provided. p fLit V- ❑Not Observable M z ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a R- R- []Complies See the Envelope Assemblies 402.2.5, mass wall with at least 1h of the ❑ Wood ❑ woo d ❑Does Not table for values. 402.2.6 wall insulation on the wall ❑ Mass ❑ Mass ❑Not Observable [IN3]1 exterior,the exterior insulation requirement applies(FR10). ❑ Steel I—] Steel ❑Not Applicable , � k -. c s❑Com lies 303.2 Wall insulation is installed per p i [IN4]1 manufacturer's instructions. a t "❑Does Not ❑Not Observable ' ❑Not Applicable .... Additional Comments/Assumptions: R. k ♦ 4 . 1 High Impact(Tier 1) 2 ,Medium Impact(Tier 2) 3. Low Impact(Tier 3) Project Title: Addition Report date: '05/30/19 Data filename: \\CCl 1SERVER\profi les\c legere\Docu ments\RESc heck\#2 5 80 House Addition Grover.rck Page 6 of 9 Section : Plans Ve�if�edFiell Verified Complie # Final Inspection Provision s "Comments/Assumptions " Value Value fi &.Req.ID fir` 402.1.1, Ceiling insulation R-value. R- IX R- ❑Complies see the Envelope Assemblies 402.2.1, ❑ Wood ❑ Wood ❑Does Not table for values. 402.2.2, ; ❑ Steel ❑ Steel ❑Not Observable 402.2.E ; ❑Not Applicable ' [Fill' , 303.1.1.1, Ceiling insulation installed per °g. ❑Complies 303.2 manufacturer's instructions. 3. e ❑Does Not [FI2]1 Blown insulation marked every Not Observable 300 ft2. -. , ❑Not Applicable 402.2.3 Vented attics with air permeable . ; ' ❑Complies [FI22]2 insulation include baffle adjacent -' ; i ❑Does Not to soffit and eave vents that ' , :�. ❑Not Observable extends over insulation. °%0 ar.= 4 :❑Not Applicable 402.2.4 Attic access hatch and door R- R- ❑Complies [FI3]1 insulation >_R-value of the ❑Does Not adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 Blower door test @ 50 Pa. <=5 ACH 50 = ACH 50= ❑Complies [FI17]' ach in Climate Zones 1-2,and ❑Does Not <=3 ach in Climate Zones 3-8. ❑Not Observable ❑Not Applicable 403.3.4 Duct tightness test result of<=4 cfm/100 cfm/100 ❑Complies [FI4]1 cfm/100 ft2 across the system or ft2 ft2 ❑Does Not <=3 cfm/100 ft2 without air handler @ 25 Pa. For rough-in ❑Not Observable - tests,verification may need to ❑Not Applicable occur during Framing Inspection. 403.3.3 Ducts are pressure tested to cfm/100 cfm/100 ❑Complies [FI2711 determine air leakage with ft2 ft2 ❑Does Not either: Rough-in test:Total leakage measured with a ❑Not Observable pressure differential of 0.1 inch ❑Not Applicable w.g, across the system including the manufacturer's air handler enclosure if installed at time of test. Postconstruction test:Total leakage measured with a pressure differential of 0.1 inch w.g. across the entire system including the manufacturer's air handler enclosure. 403.3.2.1 Air handler leakage designated ❑Complies [FI24]1 by manufacturer at<=2%of40n : ❑Does Not design air flow. Not Observable " ❑Not Applicable 403.11 Programmable thermostats ' '❑Complies V1912 installed for control of primary I ❑Does Not k F � heating and cooling systems and ❑Not Observable initially set by manufacturer to ,• ❑Not Applicable code specifications. PP 403.1.2 Heat pump thermostat installed ❑Complies [Fl1012 on heat pumps. , ' '' ❑Does Not § s ❑Not Observable ❑Not Applicable 4015.1 ± Circulating service hot water �' ` k 4 -A.; ❑Complies h -, : [Fill]2 systems have automatic or ❑Does Not accessible manual controls. ❑Not Observable � r ❑Not Applicable 1 High Impact(Tier 1) =2.1 Medium Impact(Tier 2) 3. Low Impact(Tier 3) Project Title: Addition Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\clegere\Documents\REScheck\*2580 House Addition Grover.rck Page 7 of 9 Section Plans Verified 'Field VeMieil #, Final Inspection Provisions CompI r Comments/Assumptions & Req.ID Value` Value .x . 403.6.1 All mechanical ventilation system `' t=§ �' ❑Complies fidz 3 : j.. ❑Does Not [FI25] fans not part of tested and listed ..: HVAC equipment meet efficacy y _ []Not Observable x and air flow limits. ❑Not Applicable 403.2 ' 4 Hot water boilers supplying heat ,: "s N M_' �'}'" m � ' ❑Complies [FI26]2 through one-or two-pipe heating Fes`: ❑Does Not systems have outdoor setback 1" .. ' control to lower boiler water _ k ; ` ❑Not Observable temperature based on outdoor g F = -Z ❑Not Applicable temperature. 403.5.1.1 Heated water circulation systems x � ` ❑Complies ❑Does Not [FI28]2 have a circulation pump.The :system return pipe is a dedicated ' f f ' b ❑Not Observable return pipe or a cold water supply ,;° ❑Not Applicable pipe.Gravity and thermos- 5. �. ..r syphon circulation systems are t _ . not present.Controls for circulating hot water system �. pumps start the pump with signal for hot water demand within the occupancy. Controls automatically turn off the pump . , when water is in circulation loop ti >s is at set-point temperature and k no demand for hot water exists. 403.5.1:2 Electric heat trace systems . P� ❑Complies Nv [FI29]2 comply with IEEE 515.1 or UL 4* _; a , ❑Does Not 515. Controls automatically :. t f ❑Not Observable adjust the energy input to theb s _ = .` heat tracing to maintain the g ; 4 ❑Not Applicable desired water temperature in the _- 4 4 piping. 403.5.2 . Water distribution systems that a 2'k # ❑Complies [F130]2 have recirculation pumps that . �� ❑Does Not pump water from a heated water ;:x f ❑Not Observable supply pipe back to the heated .4 r s water source through a cold P Y t ❑Not Applicable water supply pipe have a ,- demand recirculation water ,; „ system. Pumps have controls ' Y P .. K r that manage operation of the ( ' pump and limit the temperature of the water entering the cold 1fry .- water piping to 1049F. - t 403.5.4:. Drain water heat recovery units � ❑Complies,�E..� ;�� ��� ,��� [F131]2 tested in accordance with CSA ,�,' 9 ❑Does Not B55.1. Potable water-side "max y -, .: ❑Not Observable pressure loss of drain water heat .A []Not Applicable recovery units< 3 psi for �e individual units connected to one 3- .= ffi. or two showers. Potable water- ' side pressure loss of drain water411 iPl', g � heat recovery units<2 psi for " individual units connected to � ", g t l •=4 three or more showers. 404.1 75%of lamps in permanent 1 ❑Complies 4. [FI6]1 fixtures or 75%of permanent ❑Does Not ..�� •�, � �,�� ,� �. fixtures have high efficacy lamp Does not apply to low-voltage `: f X:, []Not Observable s lighting. P=, v "(❑Not Applicable 4041 T Fuel gas lighting systems have " .' r.' ' ❑Complies [FI23]3, no continuous pilot light. ,_" a . ❑Does Not ❑Not Observable may` a a � . ' f�l ❑Not Applicable 1 2- Medium impact Tier 2) 3" Low Impact(Tier 3) 1 High Impact(Tier ) » Project Title: Addition Report date: 05/30/19 Data filename: \\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 House Addition Grover.rck Page 8 of 9 Section Plans Verified Fieid Verified SCom I�es� Coments/Assumptions # Final Inspection Provisions p m VaiUe: yy Vaiue w,a 4 &"Req.ID • 401.3 Compliance certificate posted. SSE d ❑Complies [FI7]2 a p ❑Does Not []Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Comlies P [F118]3 I mechanical and water heating a' `t W ❑Does Not t .. ,; K systems have been provided. :-❑Not Observable x []Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) :2,1 Medium Impact(Tier 2) 3',_1 Low Impact(Tier 3) Project Title: Addition Report date: 05/30/19 Data filename:\\CCIISERVER\profiles\clegere\Documents\REScheck\#2580 House Addition Grover.rck Page 9 of 9 i 2015 IECC Energy Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 20.00 Below-Grade Wall 0.00 Floor 0.00 Ceiling / Roof 38.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC i Window 0.30 Door 0.31 Cooling:Heating& Heating System: Cooling System: Water Heater: Name: Date: Comments Shea, Sally From: Shea, Sally Sent: Thursday, May 23, 2019 2:3.5 PM To: Stepanis, Fred; Stanton, David Subject: Permit/Application:TB-19-1735 at 58 POPONESSETT ROAD, COTUIT for Building - Addition/Alteration - Residential Hi People, This contractor accidentally put the scope of work on one application,when it is two separate structures. I know you have approved the original application. I had to break the project up into two different applications. This is the garage, can you please re-review this.- I have the application if you need to see the.plan again.. Much appreciated. Sally Shea Town of Barnstable Assistant Zoning Admin/Lead Permit Tech. 508-862-4031 1: ¢ Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction,,5�1*,f i pr�1 & 2 Family fr. CSFA-077754 E' ires: 11/2212019 a - a ,,P i ' CAREY C GROVER �t PO BOX 1080- A j COTUIT MA 02635 ' at Commissioner �e �pam��zoozraea`l�a�C�/Glav:tac�icaell Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Individual before the expiration date. If found return to: RegistratiorSe. Expiration Office of Consumer Affairs and Business Regulation . 144322i-:` 09/22/2020 1000 Washington Street-Suite 710 F Boston,MA 02118 CAREY GROVER iY=---= , DB/A GROVER BUILDING+REMODELING Lee CAREY C.GROVER.'_ 7 4c,�- 56 BOW DOIN RD'',_ Not ithout signature MASHPEE,MA 02649 Undersecretary. V w gCoRO• CERTIFICATE OF LIABILITY THIS CERTIFICATE IS IS CERTIFICATESUED AS A MATT INSURANCEDATE M D ER OF I ( M/DD OES NOT AFFIRMATIVELY OR NENFORMATION ONLY pND CONFE � ) THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER S OR PRODUCER,AND THE CERTIFICATE HOLDERGATIVELY AMEND,EXTEND OR RS NO RIGHTS UPON THE CERTIFICATE HOLDE ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, IMPORTANT;If the certificate holder is an ADDITIONAL INSURED,the poitc 1es O,AUTHORIZED REPRESENTATIVE of the policy,certain policies may require an endorsement A statement on this certificate does not confer Y( )must t loess of if SUBROGATION certificate subject to the terms and conditions PRODUCER rights to the certificate holder in lieu of such CONTACT endorsement(s). AWlied Risk NAME: 10825 Old ZnstLr»ice Services, ZOO. PHONE Mill Rd (A/C,No,Exty FAX Olttaha, NL 68154 E-MAIL - (ac,No): ADDRESS: PRODUCER (877)234-4420 CUSTOMER ID# INSURED INSURER(S)AFFORDING COVERAGE Grover Building and model� 3XC INSURER A: NAIC# dba GL'01rHT Build j ng and odel tl• INSURER B: 444 P�essett Rd �9 INSURER C: Cotuite MA 02635-3216 INSURER D: INSURER CTL 1273 1474912 INSURER F:. COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF NSURANCEELRISTED BELOW HAVE BEEN ISSUED PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DO CUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY T REVISION NUMBER: THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE B TO THE INSURED NAMED ABOVE FOR THE POLICY INSR HE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL LTR TYPE OF INSURANCE ADDL SUBR BEEN REDUCED BY PAID CLAIMS. GENERAL LIABILITY INSR WVD POLICY NUMBER rypipY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY MM/DD/YYy LIMITS CLAIMS MADE ❑ EACH OCCURRENCE $ OCCUR ❑ DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP An one Person $ GEN'LAGGREGATE LIMIT APPLIES PER: --- .. PERSONAL&ADV INJURY $ POLICY PROJECT LOC GENERAL AGGREGATE $ _-- - $ - AUTOMOBILE LIABILITY PRODUCTS-COMP/OPAGG ANYAUTO ❑ a $ ALL OWNED AUTOS COMBINED SINGLE LIMIT tea accident $ SCHEDULED AUTOS BODILY INJURY Per e HIRED AUTOS rson $ BODILY INJURY Peraaaderd $ NON-OWNED AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAB OCCUR $ EXCESS LIAR CLAIMS-MADE ❑ ❑ $ DEDUCTIBLE EACH OCCURRENCE E $ RETENTION $ AGGREGATE. $ WORKERS COMPENSATION . $ AND EMPLOYERS'LIABILITY AANY PROPRIETOR/PARTNER/ Y/N $ EXECUTIVE OFFICER/MEMBER ❑ - WC STATU- OTM_ EXCLUDED? NH) ©, N/A 46-805700-02-0a 08/31/2er 0113 08/31/2 TOR WITS ER If Yes in and / E.L.EACH ACCIDENT $ 100,000 SPECIAL PROVISIONS below E.L.DISEASE-EA EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/V�EHICLE�S A E.L. ,000 DISEASE-PoucyuMlT $ 500 ( ttach Acord 101,Additional Remarks Schedule,If more space is required) CERTIFICATE HOLDER -Grover�,` -H�t,ild-tW and ReWdeliMCANCELLATION e.cp dDtu#444 _ tt Ind �' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ' M 02635-3216 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN A CORDANCE WITH THE POLICY PROVISIONS. Attn- Project muveY, AUTHORIZED REPRESENTATIVE ACORD 25(2009/09) _ �� The ACORD name and logo ere registered marks of ACORD 3.783118 - m1988-2009 ACORD CORPORATION.All rights reserved. I i The Commonwealth.of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): �/�� ldli4ltl Address: Qx City/State/Zip -` �� Phone#: -5-0& Are you an employer?Check the appropriate.box: Type of project(required): 1.M am a employer with 4. ❑ I am a general contractor and I 6. ❑New constru employees(full and/or part-time):* have hired the sub-contractors ction 2.❑ 1 am a sole proprietor or partner- listed on the attached'sheet. 7. Q54C&modeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' • ;n�,�ce.$ 9. ❑Building addition [No workers comp.insurance comp required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El officers have exercised their I am a homeowner doing all work 11.El Plumbing repairs or additions" myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c.152,§1(4),and we have no employees. [No workers' 13.❑Other 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 suck 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: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: ����� s� �� t� i City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGI,c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un he pains a n of perjury that the information provided above is true and correct Si mature, Date: / Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department A.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the . dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." . Additionally;MGL chapter 152, §25C()states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit(license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,IOTA 02111 Tel.#617-727-4900 ext 406or 1-877-MASSAFE Revised 4-24-07 ' Fax#617-727-7749 www.mass.ga�fdia , Section 12--Department Sign-Offs Health Department ❑ Zoning Board(ifrequired) Historic District ❑ Site Plan Review(if required) Q Fire Department ❑ Conservation ❑ For commercial world please take your plans directly to the fire department for apP rovaL Section 13--Owner's Authorization 1' C�"'"71'Of � nRg _, as p Owner of the sub'ect r authorize J operty hereby J° Grp e Goo e� C_ ,..► ,�,,, to act on my behalf, in all matters relative to work authorized by this building per application for: �e p, 9-0-g.V Coy.,T `t,1 A 0.14 f — (Address ofjob) Y-IY-i9 ISiatture of Owner date Print Name R Last updated:11/15201 R F. Application Number........................................... Section 9-Construction Supervisor Name Telephone Number f Address G Q City i State Zip_Qo License Number License Typed Expiration Date / 2 Contractors Email i�yc> yvto%1,C'ol*,Cell # -5-56--- I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and ff documentation req ' 780 CMR a Town of Barnstable.Attach a copy of your license. C Signatur Date _5 Section 10 Home Improvement Contractor Name _Telephone Number v Address / City �l�� State/0W. Zip Qom Registration Number j� Expiration Date r�O' I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required 0 MR the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature Date vim" Print Name Telephone Number � � � E-mail permit to: � - - r oar„nr9c+nA• 11 n cnm Q 1 . ... .. . .... . r` —Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department El Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name I Last updated: 11/15/2018 1� Town of Barnstable : .�sr,►�,i = Planning & Development Department Barnstable Historical Commission www town.barnstable.ma.us/historicalcommission c COMMISSION MEMBERS: Nancy Clark,Chair N Nancy Shoemaker,Vice Chair OD -, Marilyn Fifield,Clerk C t t George Jessop,AIA = 1" Elizabeth Mumford ' IV 7K rn Cheryl Powell Frances Parks " March 29, 2019 4 . Re: Notice of Intent to Demolish Structure&Relocate _ O 58 Poponessett Road, Cotuit, Map 035, Parcel 004 ZE .0 Cotuit Bay Design, LLC c/o Steve Cook c2n 43 Brewster Road v m Mashpee, MA 02649 v, m w Ann Quick, Town Clerk 367 Main Street, Hyannis, MA 02601 Brian Florence, Building Commissioner , 200 Main Street, Hyannis, MA 02601 Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on the partial demolition of the single family structure, on April 16, 2019 at 4:00pm, 367 Main Street, Hyannis, 2"dTloor, Selectmen's Conference Room: This public hearing will be advertised, notices sent to abutters and a notice form will be posted on the building or other visible site on the property. Please contact Erin Logan at 508.862.4787 or erin.lo an&town.barnstable:ma.us for processing information. Sincerely, { Nancy Clair Planning&Development Department,Elizabeth Jenkins-Director 200 Main Street,Hyannis,MA 02601 c-� �"'�' ►.� Town of Barnstable Planning &Development Department BARNUAaLE. - - 039._ Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission - COMMISSION MEMBERS: Nancy Clark,Chair Nancy Shoemaker,Vice Chair --� Marilyn Fifield,Clerk George Jessop,AIA Elizabeth Mumford }V Cheryl Powell Oo Frances Parks ("t'1 C0 70 N M( " a N Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 58 Poponessett Road,Cotuit, Map 035, Parcel 004 Pursuant to.Intent to Demolish Structure The property located at 58 Poponessett Road, Cotuit,- 5Map 035, Parcel 004, is associated with the broad architectural and cultural history of this area. In accordance with Chapters 112-2 and 112-3 (D),.the Barnstable Historical Commission Chair has determined that these structures are significant buildings. This determination applies only to the demolition described in the notice, f pp y ce o intent submitted on March 21, 2019. Any future. demolition shall require a new determination from the Barnstable Historical Commission. Planning&Development Department,Elizabeth Jenkins,Director Erin K.Logan,Administrative Assistant 200 Main Street,Hyannis,MA 02601,508.862.4787 Town of Barnstable *Pe 130 S� 6 Permit# C Expires 6 months from issue date Regulatory Services FeeBARNWABM nmss. Richard V.Scali,Interim Director 1639. �0 Building Division X-PRESS PERMIT Tom Perry,CBO,Building Commissioner _ 200 Main Street,Hyannis,MA 02601 N 0 V 2.2 2013 www.town.barnstable.ma.us Office: 50.8-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENU 0NSTABLE Not Valid without Red X-Press Imprint Map/parcel Number Property Address Pl�esidential Value of Work$ ^��© Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 1/17 , `_� Contractor's Name � W�__ Telephone Number �j'177.9- SX Home Improvement Contractor License#(if applicable) Email: wo- ra�t'l �+� Construction Supervisor's License#(if applicable) "oran's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am-the Homeowner LJ,Kave Worker's Compensation Insurance Insurance Company Name -� Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) A/ '• � ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to $�G�'P ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re;side eplacement Windows/doors/sliders.U-Value F� (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy-of the Home Improvement Contractors License&Construction Supervisors License is uired. SIGNATURE: Q:\WPFILES\FORMS\building pe it formsTMESS.doc Revised 061313 77te ConsyffotnwaUh ofMassachrsefts - - Office Of investkcefiens 600 Washartgtrm,S`treet BosfaY4 AM 02111 wwiv.7nusmgov1dirt Workers' Campensafiau Iusurance Affidavit:Builders/€:ontractorsMectncians/Plumbers Applicant Infarmation Please Print Legib Name(B��fionanavidnal) `&'i Address: ��.®�,�O ®�� City/Statr-/Zip: a-e4 one#: Are yo3,W employer"Check the appro riate bo= Type of project(required}: L am a employer with�_ 44- ❑ I am a general contractor and 1 6- ❑New ccuistraction, employees(full and/orpart-fime).* have hired the sub-contraciors 2-❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and hate no employees These sub-oontractcrs have g_ ❑Demolition w for me in an capacity employees and have wo&ers' orl7ng Y � tY• 9_ ❑Building addition [No Workers.'C♦mp.insurance comp.ink umce—Z regntred] 5. ❑ ate are a corporation:and its 10_0 Electrical repairs or additions 3111 am a homeowner doing all work officers ha-m exercised their 1 _❑Plumbing repairs or addition myself[No workers'comp- right of ememption per MGL 12-E]Roof repairs insurance regained_]1 c-152,§1(4),and we hn m no employees [No workers' 13_❑Other comp-in=rance required.-] *Any applic mat that checks boa#1 nmst also fill out the section below showing they wodcen'compeosatioa policy iurmrmatim T Hnmeawners wha submit this affidavit iudcsting they are doing all Nrndk and ciao bue outside coutzactors mmst submit a new affidavit m�iatmg such- lCoutrarmrs that ryle€Y this book mast attached an additional sheet showing the name of the sears and state whether ornot those Mies have employees. If the sub-coutracturs ham employees,they must pmuide their warkms'comp.policy ntmther. I am an employer that is prm iding it orkers'compvLvadon inmrance for my emplayeeu: Belau is(Fie po c}and job site informatian. Insurance Company Name: Policy#of 'elf-jag_Lim /O��Q77M' Q Fxpuatio.n Date. l Job site Address-JY A City/Statel7ip= �Oo 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-Oa and/or one-yearimprisaument,as Well as civil penalties in the foma of a STOP WORK;ORDERand a fine ofup to S250-00 a day against the violator- Be advised that a copy of this stat=mt maybe forwarded to the Office of Imes4gations of ffre DIA for insurance coverage verification- I do hereby kerb the ` andpen#Was ofp dwy that the information provided above. true and correct Sitmature Date._ Phone#_ 0 use only. Da not(mile in this area,to be completed by city or town offieiaL City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Buff-ding Ilepartmeut 3.Cityffawn Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other { Information and Instructions " Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,'or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,-or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or IocaI licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage requ.ired." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their ceriificaic(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required_ Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance Coverage. Also be sure to sign and date the affidavit T7re affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple.perm itllicense applications in any given year,need,only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations wound like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Gommanwalth of Massachusetts Department of Industdal Accidents Office of kvestigattlans FQQ Washingtan Street: Bastoi4 MA 02111 T4.9 617-727-4900 W 406 or 1-&' -MASWE Revised 4-24-07 Fax# 617-727- 49 w _mas&P_ov/dia_ ,; . . °FEE r Town of Barnstable ti °t Regulatory Services BARNSrABLE Thomas B. Geiler,Director E1.19. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.Barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as, as Owner of the subject property hereby authorize � � /. t��i� to act on ray behalf, in.all matters relative to work authorized by this building permit. 1417 (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature Applicant (-Igpu,,�3 K Print Name Print Name If Date QTORMS:OWNERPERMSSIONPOOLS 62012 n i EVE Town of Barnstable r Regulatory Services luzsraASS. Thomas F.Geiler,Director Huss. •`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTTION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This'Lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board,cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that helshe understands the responsibilities of a Supervisor.,On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. C:\Users\decollUc\AppDataU,ocal\Microsoft\Windows\Temporary Internet Files\ContentOutlook\QRE6ZUBNIEXPRESS.doc Revised 053012 I THIS CERTIFICATE fS ISSUED AS A MATTER CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMUD MCMND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THU ISSUING INSURER(8),AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTAW.tithe eOrtifleeft haUW Is anADDITIONAL INSURED,Ina pa]Wpas)must he endorsed.IfSUBRCGATION IS WANED,m,bjeat to the t�rtte end aandlDoaa of the policy,eertaln polkles may requlra sn eadowemenL A s►ntemenl an this certifitmte does eat confer dgla to thecafficats holder In flau of such ondoreetaRMA). PRODUCER CONTACT NAME: ftp&:Led Slak I981 &IM Cam, ma. FAX (PwG�. oN .EraR {877 �3��448Q 010-Na1= (877)234-44,21 3.0823 Old NLU Rd E-MAIL Owl 1m S81Bd ADDRESS: PRODUCER CUSTOMER ID e ($77)236-6b20 INSURER(S)AFFORDING COVERAGE NAIL A INSURED INSURERA: Continental 1ndc=1tv Co 28200 cazmy axwwar INSURER B: fta GZ9mwX Building nd RQM=b1bff INSURER Q PO Baas 1080 COtmit, BIa 02634-2080 INURER • INSURER eURER C'L 1273 767969 WSURERP! , 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 POLIOICS DESGRIBED HEREIN 13 SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES UMfTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. It/6R . ADOL BUBR' POi1CYEFP pp��LL�� LTR TYPE OF INSURANCE gNSR WVD POLICY NUMBER M I ktkW UMR� GENERAL LIABILITY EACH OCCURRENCE 5 COMMERCIAL GENERAL LtAW4,r#Y I I a DAMAG[e TO RENTEO S `CLAIMS (J PREMISES oo ) J MADE ❑OCCUR MED EXP mu 5 PERSONAL&ADV RUMY S GENERALAGGREGATE S GENtAGGMSATE LIMIT APPLIES PER: I PRODUCTS-COMPIOPAW S POLICY PROJECT tAC AUTOf60BiLE LIABILITY mm COMBINED SINGLE LIMIT IANY AUTO ❑ ❑ I BooaBODIVI NJURv ad �� S 4ai.LOwtlEDaurns vl s BO ILY SCHEDULED AUTOS DINJURY iY,eeiaort 5 I HIREDAUTOS ' (pw nil DAMAGE �5 NON-OviNEDAUTOS I I S j S UMBRELLA LIAO OCCUR l EACH OCCURRENCE Is FatCEBSLIAB CWMS4IAOE ❑ AGGREGATE S DEDUCTIBLE $ RETENTION S I WC STA S WORKERS coMPECOMPENSATIONTU OTFf AND EMPLOYERS'LIABILITY YA ANY PROPRIETORIPARWER1 E.L CHACCI S 100,000 �7 FMC15ftleSIA ILI NIA F� 6-8og7Do-01-os /3�.raos.3 8/31/203A mndalwyIn" I i E.LOISEASSEAL-naoYEE $ 100,000 tl emdewr"ueserP E.L.DISEASEPOUCYufrar s 1300,OOD SPECIAL PROVISIONS below 0 0 DESCRIPTION OP OPERATIONS/LOCATIONS!VEHICLES{ASfaeh Acaad101,AddlD9tte1 RN1tar{I8 Schedule,it moreapaeefa fsgtdred) CERTIFICATE HOLDER CANCELLATION SHOULDANY OFTIM ABOVE DESCRIBED POLICIES BE CANCELLED BEPORETHE ac }off a4 THE POLICY DAMTTHQ B F NOTICE WILL BE DELIVERED IN ACCORDANCEWITH its m 02635-108 AUTHORIZED REPRESENTATIVE mffis a 37 8 9118 ACORD 25(2008" The ACORD Rama and toga are mgiatared media of ACORD CIGM4009 ACORD CORPORATION.AU rlghfa n0swmm -a (92e,�Oorrvrriai2cpea��l a��� . �-\ Office of Consumer Affairs&Business Regulation etGr License or registration valid for individul ME IMPROVEMENT ONT use only. i egistrabon: RACTOR before the expiration date, if found return to: 1 _ 144322 Type: Office of Consumer Affairs and Business Regulation xpiration .9/2'/2014 DBA 10 Park Plaza-Suite 5170 GROVER BUILDING-. 'REMODELING? Boston,MA 62116 I r CAREY GROVER = I. 56 BOWDOIN RQ F MASHPEE,'MA 02649 � — 1 Utl rrs'ecretary I 5: lYt v d without signature Of Public Safety Department . ards usetts - s and Stand Mass Build Regulation Board of Building �Family Construction Supervisor 1 3c 5a License'• CSFA-0? n�.� r CAGY C GRO OX 1080 POS 02 5 y COTMT Expir 2 '� 11122i015 �J�mmissioner Town of Barnstable *Permit# L5 1(o Regulatory Services Feees 6 months from issue date BARNEMAIR4nsass. Richard V.Scali,Director Building Divi Ali "01RESS PER Paul Roma,Building Commissioner 200 Main.Street,Hyannis,MA 02601'Ep O Z�j6 www.town.barnstablf-.6a.us Office: 508-862-4038 Wn' OF Bp qNSTA ,Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENT AL Not Valid without Red X-Press Imprint Map/parcel Number Property Address �S esidential Value of Work$ 9-02' Minimum,fee of$35.00 for work under$6000.00 Owner's Name&Address Contractor's Name 1 t - Telephone Number Home Improvement Contractor License#(if applicable) / �3 Email: Construction Supervisor's License#(if applicable) (")� ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ave Worker's Compensation Insurance Insurance Company Name p Workman's Comp.Policy# y6 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Al te*6�� ,q ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re- oof(hurricane nailed)(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders.U-Value 0A..201:1"' (maximum.32)#of window§._. #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. copy of the Home Improvement Contractors License&Construction Supervisors License is re uired. SIGNATURE: Q:\WPFILES\FORMS\building forms\EXPRESS.doe , 06/20/16 the Conzwomveakh of A assar*usetts Deparhaent afrtsusb at Accidezxts 600 WashfiWlmt&reet Bast nj MA 02111 r - IPPPIIL waFLgm1Wia r Werlie& CQffipenSafiunIusurance avid gulier5/CantraCfQrsMectri iansiPluamb@rs ppHcant III{wmtafiGII PlPh5e Pr in �e y NaVle _ - citwstatcl _ do&/", /`/ O Plume i": Are you an employer?Check the appropriate ba=: Typeof project r I. rut a 1 with _ 4 ❑I am a general ca�actor and I 6. l�ietiv o�sfrucfioax � employees P * have hired the Sint-cvatsat-fozs ❑ a full anidfor azt-fiime 2.❑ I am a sale proprietas orpart=- listed on the attached sheet I- ❑Remodeling, ship and have no employees These stir-contractors have $. ❑Demolition . . worldng forme in any capacity_ enTlorw andhave wo&ers' 9. .❑Building addition [ldo i6-O�eLS'ODmp.T�cnsanr� comp_inc�tra,sr�•# . required_] 5. ❑ We are a corporation.and its 10:❑Electrical repairs or ad&tiom officers have�esercised their 1L P r airs or additions 3.❑ I am a homeowner doing all u�orfc ❑ hn�g eP My_ f o�,� Oomp_ right of egempfion per MGI.. L.❑Roafrepairs fiz ante required-]i c.M,§1{4�andwe have no employees.[lyo wor=s' 13_❑Other cow-insurance MqUir5&1 •gip spg&e;mtd3atcbercsbosislamst also fillaaltfiesactioab9dwsiundagimirvm me campensafi,••paTsginnemseimL #Mrmemners vdw submit dais sf5dasit 9bEcea g dwy aze dam.-zU src*sad¥ lim outside can+*9rmn=mst sobmit a new aSidas2 mdioaiep smch fCa=u:Wsimotfleckthis box mustatlar-li sa.addilimmalsheetshowingthenaaeofthe andstatetrhethecornatfmEeeotitiesbaee employees.Iftlesnl-co bave tnptafw-%fiLeYnmsrP tlm& 'cm=•P•FoIkF maalez lam an Selow is tita paltcy and job site " ij�farmaliaj>: � . Insurance Company Name: 'Poficy,4,:L cr Self-in.€U,c_;Ik 4z,_�J �' `` ExpiratibnDate: Job SiteAddre � �I�DLiCP2/�.C't�!. (AlUG6 CifylSta2�sp: ti �oJ � Attach a-copy of the workers'compeasatioapnlky dech ration page(showing the poRcy,number and expiration date). Failrtre to secure coverage as required under Section 25A of MGL e.1572 can lead to the impositiaa of crimimai penalties of a fine up to$L,500.00 and.For o6i.y irimprism==9,as well as ci peualties.in the farm of a STOP WORK O}RDERand a foe of up to$250.0!0 a day against the violator_ Be adsised did a copy of this stat=a t maybe Ekwarded to the Office of 7avesEgations ofthe DIA for irts=mca coverage verifca ion. .I do&eralry card#y 4 hePains a n dp!=7Wes qfpzdW7 that A info rmaffmpnarrded ahmw h;bars art correct Si : Date- fi Ae4 Plume �O t,►joidal am wily, Do just write in&b area,trj U arjripWod 5y dip arrtotvn ojoYciaL City or Town: P ff kense;ff Issng Auflwrity(circle one): L Sward of Health I Bwl&g Department 3.CRyfTown.Clerk 4.Elechical Fuspeetor a.Phrmbmg Inspecter 6.Other CbnIact Fersoic . Phone#- - -- —- _ 6 lbaformation and Instructions M=ar ugetfs Ge=aal Laws d apter 152 regakm all employ=tD provide workers'ca3peosaffm for their Ploy=. pain this site,an evpIayre is defined as .Cvmypersonm the service of another mader auy coxdrad ofbfi-e mqm-�gg or implied,oral or viftb f AIL Mrplay8-is defined as"an individual,parineash�p,associaiian;corporation or otbe r legal eatiL Y or any two or male of the foregoing cngaged is a Joint ,mad including the legal repzese �of a deceased employe r,or tale receiver or trustee of an individual,pat mmhzp,association or other legal entity,employing euzployees. However the owner'of a.dwr;Mag house having not more than fb=apartments and who resides therein,or the c)=4rdnE of the - dwelling house of anofizer who employs pmsous to do maid=an=,constru�on ecp or waikon such dYmDing house or on.the grounds or bmldmg appurtenar¢$ereio shallnotbecanse of such employmentbe deemedto be an employer." MCA chapter 152,§25C(6)also stems that"every stafe or local licensing agency shall withhold the issuance or renewal of a b[cen a or permit to operate a buskins or to construct buildhags k the commonwealth for may applicantwho has notproduced acceptable evideum of cdmpUance WUh the insurance.cove;rage required" Additionally.M(ff-cbapt�r 152,§25C:(7)stems-N=ffi rthe nor Ely ofitspoIilical subdivisions shall enter into any contract forthe perfio=ance ofpubho wozicuntil acceptable evidence of compliancewn the msoraaca-. re wets of this chapter have been presemted to the eo—*�-�g�iioz ity." Applicants ' Please fi[I out the wor3=' compensation affidavit completely,by chiding the boxes ffiat apply to your sirs„ and,if necessary,supply sub-contxac�tor(s)mmn*), address(es)andpb.onennmber(s) alongwiththeir c rLEcai-.e(s) of insurance. LinQited Liability Companies(LLC)or Limtedl iabilityPar(neasbips 9-J2)wifhno employees other than the members or parbam-s,=not mquired to cany wozke& compeensatio.insru = If as LLC or LLP does ha-m employaes,apolicyisrequired. Be advised that ti�isaffidaYimaybesnbm�dtotheDeparEmentoflndnst�ial Accidents for confnmation of insurance coverage Also be sure to sign and date-he afdavit The affidavit should be retznne d to!he city or town that the application for the peoait or license is being requested,not the Department of Eo ah-i l Acmdenfs. Sboujd you have may Qae ons regarding the 1a�v or if you aIe re u-ed to obtam a worms' ccmnpsation policy,please caIL th.e Department at the nrmbcr Iisind be low- Self-funned cazapanies should ear their ea self-jas -a ce license number an the appropriate line. City or Town.Officials t - Plmse be sure that the affidavit is complete and prmtedlegibly. The Deparimeut has provided a space at the bottom ofthe affidavitfor youis fll outiathe eventthe Office oflnvms :, lions has to comactyouregadingthe applicant Please be sure to MI.2a the pemritlliccnse mnnber which will be used as a ref===mzmber. In addition,an-applicant that must submit multiple P=il/T;c m applications in arty given year,need only submit one affidavit indicating cozreat p oHr infoz matioa(if necessary)and under"Tob Site Address"lie applicant should� all Io�.ons i a (may or town) "A copy of the-affidavitthat has ben officially sfamped or marked byth city or t e °wa may be provided to the applicant as proo-ftiat a valid affidavit is on file for fAm: permits or licenses_ A new affa mvst be tolled Olt each license or permitnot related to may bn or commercial veaLue year.Where a home owner Or citizen is obt doing a tie.a dog license or perm ran it to b leaves eta.)said penon is NOT required to complete ilis affidavit The Office oflnVe S dgeti=wouldlzke to ff=kyouia advance for your coapmaiia a.and sbopldyou have any quesfzans, please do not htstate to give us a ea1L The DeFariznmes addresS;telephone and fax number_ D Mtofhid a A0CZeVt% f��tce of xg�fioa� . Bastma.MA 02111 Fax#617` 27 7749 Kevised424--07 II� Town of Barnstable Regulatory Services MAM Richard V.Scali,Director. iG39 � Nua Building Division. Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.mans Office: .509-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my bebaliy in all matters relative to work authorized by this building permit application for.(AA . dress of Job) **Pool fences and alarms are the responsibility of the applicant'Pools are not to , filled or utilized before fence is installed and all final ins ecti are performe , d accepted. gignture-of Owner Signature o cant ' t`s Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS i Town of Barnstable 6 Regulatory Services Richard V.Scali,Director Building Division Paul Roma,Building Commissioner KAM M�� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 - Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: r � city/town state zip code The current exemption for"homeowners"was extended to include owner-occgRied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to-do such work,that such Homeowner shall-act as supervisor." Many homeowners who use this-exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 06/20/16 y ACOIZ®` DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 08/15/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Applied Risk Insurance Services, Inc. (A/,No,Ext): (877)234-4420 (AAiXC,No): (877)234-4421 10825 Old Mill Rd E-MAIL Omaha, NE 68154 ADDRESS: PRODUCER (877)234-4420 CUSTOMER ID# INSURER(S)AFFORDING COVERAGE I NAIC# INSURED INSURER A: Continental Indemnity Co. 28258 Carey Graver INSURER B: dba Grover Building and Remodeling PO BOX 1080 INSURER C: Cotuit, MA 02635-1080 INSURERD: INSURER E: CTL 1273 1218568 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MWDD/YYYY LIMITS GENERAL LIABILITY $I EACH OCCURRENCE _ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED I CLAIMS PREMISES(Ea omurrence) {$ MADE OCCUR MED EXP(Anyone emn $ PERSONAL&ADV INJURY S GENERAL AGGREGATE GEMLAGGREGATE LIMITAPPLIES PER: _ 1-1 POLICY n PROJECT n LOC I (PRODUCTS-COMP/OP AGG $ Is AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT ANY AUTO ❑ ❑ (Ea accident) $ lALL OWNED AUTOS BODILY INJURY Per pers n $ SCHEDULEDAUTOS ' BODILY INJURY Per accident S HIRED AUTOS PROPERTY DAMAGE (Per accident) $ NON-OWNED AUTOS $ Is UMBRELLA LJAB OCCUR EACH OCCURRENCE Is EXCESS LIAR CLAIMS-MADE AGGREGATE $ TFEDUCTIBLE — ETENTION $ $ WORKERS COMPENSATION X[WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMI S ER ANY PROPRIETOWPARTNER/ 100,000 A EXECUTIVE OFFICERIMEMBER ® N/A 46-805700-01-09 08/31/2016 08/31/2D17 E.L.EACH ACCIDENT $ EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Grover BlUding and Ra oriel iW SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PO BCK 1080 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH T Cotuit, Nei 02635-1080 HE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attn: Project �7 83118 ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD ©1988-2009 ACORD CORPORATION. All rights reserved. w � o I m u License or registration valid for,{s`div�dul use only — xa �., Office.-a � nsumer Affairs&Business Regulation ; before the expiration date:"hge''�ind return to: ; w 1N OME IMPROVEMENT CONTRACTOR G Office,of Consumer Affairs and Business Regulation R l' egistraGon: 144322 DBA Type' ( 10 Park Plaza-Suite 5170 xpiration 9/23/2016 Boston,MA 02116 E —° GROVER BUILDING+REMODEL-ING" i a t- O p V) ' ,r CAREY GROVER Q 'w 5 M; `* N 56 BOwpOIN RD , -�-- —�— valid without signature .� N 0 to y MASHPEE,MA 02649 Undersecretary j � m U � Co Woe I E1 O , � v c 'i vxH �U m wow LL ca U Ix 0] m J c Ud0U O U °Fe r Town of Barnstable ��ti�ovMrNr ° Planning&Development Department, �o 4D r Barnstable Historical Commission =.,�� T * BMWSrABLE, a MASS. g, 200 Main Street,Hyannis,Massachusetts 02601 d �, , 16g9. Phone(508)862-4787 Fax(508)862-4784 Fc erm.logan@town.bamstable.ma.us "0r eAaNS Elizabeth Jenkins,Director COMMISSION MEMBERS: Nancy Clark,Chair Nancy Shoemaker,Vice Chair Marilyn Fifield,Clerk George Jessop,ALA Elizabeth Mumford Cheryl Powell Frances Parks DECISIONi Summary: Demolition Delay Not Imposed•P.ursuant to Chapter 112 Historic Propertie °�*t Section 112-3 F z7 Applicant/Property Owner: Kenna,Christopher&Cynthia o° Subject Property: 58 Poponessett Road,Cotuit Assessor's Map/Parcel: 035/004/000 Hearing Date: April 16,2019 Pursuant to the Barnstable Historical Commission receiving your notice of intent on March 21, 2019, a•duly advertised and noticed public hearing was held on April ,16, 2019 to determine whether the significant structures identified as a single family structure and detached garage structure on this property are preferably-preserved significant buildings and whether demolition delay would be imposed for the partial demolition of these structures on the parcel addressed as 58 Poponessett Road,Cotuit. - - After review and consideration of public testimony, applicatiod and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112F the partial demolition of the single family structure and detached garage structure are not preferably preserved significant buildings. In accordance with Chapter 112-3 F,the Commission determined by a unanimous.vote that the partial demolition of the single family structure and detached garage structure would not be detrimental to the historical, cultural or architectural heritage or resources of the Town. This decision applies only to the demolition described in the notice of intent submitted on March 21,2019.No future demolition shall be permitted without application and approval from the Barnstable Historical Commission. Nancy Clark,Chairbate' cc: Brian Florence,Building Commissioner Ann Quirk,Town Clerk 200 Main Street,Hyannis,MA 02601 (p)508-862-4787(f)508-862-4784 367 Main Street,Hyannis,MA 02601(p)M8-862-4678(f)508-862-4782 S - p � �3 Town of Barnstable *Permit# Expires 6 months from issue dat Regulatory SeMeeS Fee Thomas F.Geller,Director X-PRESS PERMIT Building Division - =FEB m 2 9 Tom Perry,CBO, Building Commissioner n�� 200 Main Street,Hyannis,MA 02601 www't°wn'barnstable.ma.us TOWN OF BARNSTABLE Fax: 508-790-6230 Office: 508-862-4038 EXPRESS PERNII•I'APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number property Address 16 Residential Value of Work o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Telephone Number Contractor's Name —Lql�w Home Improvement Contractor License#(if applicable) zzl/z—/a Constriction Supervisor's License#(if applicable)'//4 , ❑Workman's Compensation bsurance Cher one: am a sole proprietor I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Worlanan's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request heck box) Re-roof(stripping old shingles) All construction debris will be taken to 46� ❑Re roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value —(maw •`�) *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. copy of a vement Contractors License is required SIGNATURE: O:Fotms:expmtrg r Jan 28 09 07:36p CK 14794789001 p.4 FROM FAX ND. Jan. 20 2009 09:51PM P1 - Construction Supervisor Horne Improvement License Number OM267 Contractor Reglstratlon 4114833 Home Phone#508 420-5131 CELL PHONE it 509 28" 02 ESTIMATE JAMES DANFORTH P.O.FOX 973-': GQTUIT, MA.02635 U�0�6� �4i�/l/� 58 Popponesset Cotuit, MA. January 19, 2009 Work to be completed on the ire nth house ,and overhangs,as follows. Remove two layers of roofing material,11ohtsisting of one layer of asphalt and one layer of wood shingles located on the upper front and rear roof,also one layer of wood shingles on the front and rear overhangs. Install Ir aluminum drip edge at the roof edges. Install ice and water shield a% up on all roof edges. Install 151b.felt paper over the remaining roof sheathing. Install a 30-year Architectural type roofing shingle, using Certainteed Landmark Woodscapes, which are algae resistant shingles. Install a ridge vent across the entirrt*f peak, of the house. Material and lab r$7,600.00 Warranties are'as follows: 30-year warrant*on materiaL 10-year workmanship warranty against any roof leaks. DATE OF ACCEPTANCE CUSTOMER SIGNATURE CONTRACTOR SIGNATURE S it Vy)W 1/11 r'C( G� �J f Cotuit Roofing (Jim Dandforth) Lowest Bid and Recommended by C. Hayden _ . Option 1: Flat Roof-Ext. to LR w/aluminum drip edge and gutter; Install Polygalss 1315 base sheet over roof sheathing; install polyglass roofing over base sheet;15 Yr. Option 2 for Flat Rubber Roof-Extension to LR: w/aluminum drip edge and gutter 1590 install aluminum drip edge and gutter; use 4X8 sheets of high density fiber board over sheathing; install EPDM rubber roffing over fiberboard; 20 Yr.Warr. Flat Mud Room 475 640 Main Roof- no gutters needed 7600 7600 Total 9390 9830 If 2nd facia board on main roof is hiding rot on 1st facia board then change out 225 old facia board and install new facia board: rz. , o :L 1 cc 3 b� ;s 4, ten`'1 q s cl?q- -7Zo � C D1 ' f The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations y 600 Washington Street A Boston,MA 02111 www.mass.govldia Workers' Compensation Xusurgnce.A€fidavit: Builders/Contractors/ElectricianslPlumbers A licant Please Print Leziblir Information Name(Businesslorganintion/Individual): -------------- �- •Address: city/state/Zip:--A :P:h:031e:#-_j�� �i Are you an employer? Check the appropriate box Type of piroject(required):. 4. ❑ I am a general contractor and I 6. ❑New construction . 1 ❑ I a employer with * have hired the sub-contractorsRemodeling ' loyees(full and/or part time). 7. 2, I am a'sole proprietor or partner- listed on the-attached sheet. ❑ • These sub-contractors have 8. ❑Demolition ship and have no employees employees and have workers' worldng for me in any capacity. comp.insurance.$ 9. �]Building addition [No workep' comp'insurance 5, ❑ We are a corporation and its 10.❑Electrical repairs or additions required.) officers have exercised their ll.❑Plumbing repairs or additions 3.❑ I an a homeowner doing all work right of coca li per er MGL 12of myself[No workers' comp. repairs insurance required.]t p. 152, §1(4),and we have no .13.❑ Other employees.[No workers' comp,insurance regnired.J . •pny applicant that chocks box 01 must also fill out the section below showing their workers'compensation policy information. t homeowners who subipit this affidavit indicating they are doing all work and Then him outside contactors must submit a new affidavit indii�tiag such. SContracton 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-contmctors11oveamployees,they nmtprovidb their wor3wrs'c policynumber. lam an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: #or Self-ins.Lie.#: BxpirationDate: Policy . Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL 6. 152 can lead to the imposition of criminal penalties of a fine lip to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine the violator. Be advised that a copy of this statement maybe forwarded to the Office of of up to$250.00 a day against Investi atiom of the CIA for ins coverag2 verification. I do hereby certi under th and p altieso perjury that the information provided above,is true and correct, Date: Si tore: Phone Official use only, Do not write in this area,'fo 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 Phone#: Contact Person:.._ ' blassaclausetts -Department of Public S a#cis � 8oar'ti of Buiddim. Regulationsind s2trrsl<ar As ? 1O z�' '��i r ���acuufzr = . t Boa r• OTBbilding Rey ul�tio Vs and Standu *� Constr€'ction Stapes Osor License License: CS 8287 -ROME IMPROVEMENT CONTRAETO�t Restricted to: 00 " '�� �� Registration 114813 r. .: k' } Expiration 10/27z20QS Tr# �608� r t JAMES D DANFORTH e R:z Type C1E3A t PO BOX 973, COTUIT, MA 02635 s JAMES D DANFORTH REMOD r 4 , t JAMES'DANFORTH `, ° � , • .:�_: tip. � A405 OLD POST RD Expiration: 5120/201'0 a s_ GOTUIT-AMA 02635 = ,',drmty: i atur f� ( •rnmiionrr Try 27541 -- r, } 1 } t L,, Town of Barnstable * Pernut# Expires 6 months from issue date Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner O�t 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 -6 EXPRESS PERNIIT APPLICATION - RESIDENTIAL k Not Valid without Red X-Press 1'mprint MIT Map/parcel Number FEB 2 6 2010 TOWN OF BARNSTABLE. Property Address , residential Value of Work Itf, Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address_ O �j ,�� Contractors Name 7 ! --= '1,,� Telephone Number r Home Improvement Contractor License#(if applicable)_ Construction Supervisor's License#(if applicable) Oworkman's Compensation Insurance eone: im a sole proprietor n i am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Worlman's Comp.Policy# ropy of Insurance Compliance Certificate must be on file. ?ermit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers ofroof) ❑ Re-side V/Re Iacement Windows,/doors/sliders. U-Value 07 q (maximum.44) - t *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pro erty Own t.sign roperty Owner Letter of Permission. A y o e Ho a vement Contractors License is required. ;IGNATURE: !Torms:exprntrg f Construction Supervisor Home Improvement License Number#008267 Contractor Registration#114813 Home Phone#508 420-5131 CELL PHONE#508 280-0802 ESTIMATE JAMES DANFORTH P.O.BOX 973 -COTUIT, MA. 02635 George W. Kenna 6800 South Q Court Fort Smith, AR. 72903 February 1, 2010 Job Location 58 Poponessett Cotuit, MA. 02635 Work to be completed on double hung window units, a total of 22 in all. Remove window side stops. Remove upper and lower window sashes, and weights in the window pockets. Install fiberglass insulation in the weight pockets. Install Harvey Majesty double hung window units, solid pine interior, white aluminum on the outside, 5/8 double low E and argon with warm edge glazing,6 over 6 simulated divided lights. Silicone caulking and insulation will be used to seal the window into opening. Reinstall window side stops. Removal of rubbish. Material and labor for 22 window units. $15,900.00 Cost for the building permit, $138.00 Total Job Cost $16,038.00 A deposit of $11,000 required to place the window order. Balance of $5 038. due ob.J upon completion of the ' P p All materials are guaranteed to be as specified.All work to be completed in a workmanlike manner according to standards practice.Any alteration or deviation from above specifications involving extra cost-will become an extra charge a the estimate. Our workers are fully covered by Workman's Compensation Insurance. t DATE ACCEPTANCE CUSTOMER SIGNATUR CONTRACTOR SIGNATURE .r'/! " The Commonwea&h ofMassachusetts Department oflndustrlal�lcctdents Office oflnvestigations• 600 Washington Street Boston,MA 02111 , www.mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers A licant Information F Please Print LeLzibl Name(Businessiftenizationandividual)• Address: ' City/State/Zip: hone.#: '— Are you an employer?Check a appropriate box: -Type of project(required):. I.❑ I am a employer with 4. [] I am a general contractor and I employees(full and/or part;time),* have hired the sub-contractors 6 El New construction . 2 lid on the-attached sheet 7 016Qdeljng ! d have no employees These sub-contractors have g. (,Demolitions working for nee in any capacity, employees and have workers' (No workers'comp.insurance comp.insurance$' 9• []Building addition required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions '3.❑ I am a homeowner doingall work officers have exercised their ' 11.[]Pinmbing repairs or additions myself(No workers'comp. right bf exemption per MGL insurance required.]t c. 152,§1(4),and we have no 12.[]Roof repairs employees.[Na workers' .13.0 Other comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy m formation, t homeowners who subffit this affidavit indicating they are doing an work and than hire outside contractors nwst submit anew 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 anployees. Uthe sub-cunt actors have employees,theymustprovide th*workers'comp.policynumber. lam an employer that is providing workers'compensatcon utsirrance far my employeeL Below is the policy and job site Information, Insurance Company Name: Policy#or Self-inns.Lie.#: Expiration Date: Job Site Address: city/gip: Attach a copy of the workers'compensation policy declaration page(ahoyv ng the policy number and expiration date).* Failure.to secure coverage as required under Section 25A of MO3.L c. 152 can lead to the imposition of criminal penalties of a fine up to$I,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine ofup to$250.00 a day against this violator. Be advised that a copy of this statement maybe forwarded to the Office of Instigations of the bIA for insurance coverage verification. l do hereby ce fy- der lipenerf ury that the information provided above,is true and correct Signiptore: ate: /7 W Official use only. Do not write in this area,tb be complete y city or town official City or Town: Perm tfLicense# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector $.Plumbing Inspector 5.Other Contact Person: Phone#• I y c . lVtassacrrusetts Dcpartment of juhlrc Safety r�: " Brr r it of Build Regal itionti and,Stantf�rc�� Construction Supervrsor EicenS@ License: CS 8267 Restricted to: 00 f D f s JAME§D-DANFORTH PO BOX 973 CUTuiT''MA t]2635 � s �L_ '. � Expiration r ('+�nuiaissionc� T ,27541 r Officc of Consur. ,o�mer Affairs&$usmess Yfe� HOME IMPROVEMENLCONT rulatior, -- - Regrstratior RACTOR License or reg cxpira �o 114813 �strat�on valid for before the ex VNidul use onl n 10/27J2011 n►ration date, If found r eturn fo Y Office of Consumer Type — Try?:288804 1.0ParkPlaza_ Affairs and Business Re t JAMES,D DANEp� Boston Suite 5110 gulatrorr JAMES'p MA 02116 r� 1105� OLD 3 Mq 02635 t Unders ecrerlrY of valid -- ° s ature -� fi + i a r ' Ir , NEW PVC RAKE BOARDS j ;r � f .. .. .. .... TO MATCH EXISTING � ''�^^Q_� {p �-NEW ASP14ALT ROOF -- VJ - . SHINGLES _ . { .. I• ...NEW PVC 1 x 8 FASCIA& 472 0 N� ,ygrp� ��O SOFFIT BOARDS : : : W.CQ k. ®® TOP'OF PLATE :_ :. .. ._. TOP OF PLAT m :G.(` -- 2 —' AWN NEW PVC 1 g4 TRIM .- W ,�. NEW W.C.SHINGLE SIDING L1 r Co v TO MATCH EXISTING HOUSE - O ' V t - SECOND FLOOR SECOND FLOCR - - - SUBFLOOR . SOP O PPLATE _ .: : . .. .. : TOP OF PLAT .. f 1 i ctil U M PI , i 1I ,� ooTOP OF FOUND. TOP OF FOUN DOORS. AL DETAI LS LS W/OWNERS ... FRONT ELEVATION . RIGHT VAT 'a g. Dept. „ _ 0 _ Barnstable Bldg. . Approved by: Q ! r} � . W o SMOKE DETECTORS REVIEWED U 4 W Q BAR SALE B„'ILDING DEPT. DATE. W y TOP ORPLATE. TOP OF PLAT O Z w .FIRE DEPARTMENT TE � � ® ,o- � — W. w BOTH SIGNATURES ARE REQUIRED FOR PERMITING ~ c) n :U W W' w .WN Z SECOND FLOG SECOND FLOOR I; , < O. O 1 SUBFLOOR SUBFLOOR ^ + 1 I TOP OF PLATE - / TOP OPLAT I Q• 11 zO ! W W oo SCALE : as TOP OF FOUND- '/OP OF FOUND. " _ DATE : II 5/8/2019 ' LEFT ELEVATION REAR ELEVATION �:' •t G2 err k. t �� zos. . �� ,,.`. �-b4"�i�.: iWiF�.. a IY r �w�. 4iw. ,r...G.::mf'..I:kn.•�3 Fa' S._..� '+..f�i.�.'.Fi6�:,j. •.. 9��.e t. iwlq' .w.l.is ,. NOTES: _ U 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS zfi'o° J &DIMENSIONS IN THE FIELD 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, Z DETAILS,&FINISHES IN THE FIELD WITH OWNER UP I I I I I Q 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT I I I I W Q� FIRST FLOOR TO BE 7'-0"ABOVE SUBFLOOR � cb 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 1 2'8"DOO I I I I I I i I I _ �y STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 4 I I I I I I 1 ,. I 1 I ; ' � -, LL Q T' I I I I I I I' I i I I � I� rl 5.) 110 MPH EXPOSURE B WIND ZONE �1 �J _ =L� m LU M v - .. .. .. : .m UP Z13"RRE.RATED L N 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY; DOOR I f OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING LU 0_O Z.) ALL LVL LUMBER/BEAMS TO BE 1.9e L/360 LOAD — I v 8.) ALL WINDOW AND DOOR HEADERS 4'0":OR LESS TO BE 2-2 x 6 W/2K,2J -- ------- O c) =9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL ( U 4 SIMPSON COMPONENTS : ——— I 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS SLABS TO BE 3000 PSI AT 28 DAYS 11,)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON.THE SITE DURING FRAMING CONSTRUCTION: SISTER FRAME NEW 2 x 6 JOISTS 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO 2 GRADE,900 PSI MIN. TO EXIST.2x6JOISTS BOAT -— REMOD. I , l 13.)FOLLOW ALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY I EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION PAD I GARAGE INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE i r 14.)THIS STRUCTURE IS DESIGNED TO THE AF&PA WOOD FRAME CONSTRUCTION � �a MANUAL FOR 110 MPH EXPOSURE"B"LOCATION PER SECTION R301.2.1.1 C' w G4 z i Iz N 'x T0"O.H.DOOR - 9'0"x TO"'-O.H:DOOR' O ON.:: CO�CRETE. LL .. ` Q I I l EXIST.3'0" - iN DOOR I I N � .. .. SINK I I 0. 28-0 I ui .. LI .. .� 71 IL � VUR. HARVEY DH ii .. ::. .. :'. �: .. .:. WEjBAR `_=_1 i NEW \ .AWNING U.C. BATH O 0� FIRST FLOOR PLAN U HARVEY.DH. '? : .. .... .. .. .. : 2'6'x:a'S"R.O. �: L _ _I 2'6"PKT.DOOR HARVEY DH ('� TEMPERED I �.i .. LEGEND: EN:D. : O ... rn HARVEY OH EXISTING WALLS Z W 0 0 - TEMPERED <: 9'-T! HARVEYDH "' Z. L__� CONSTRUCTION TO BE REMOVED - - - U �- o O x I 26"x45'R.O o p 4 - O .. © NEW �o ,: —II II oo CON o - � � STRUCTION: Z w. '61HARVEYDH C EXP'AN:DED — LJJ Lu w. �...:: Q �2'6"x4'S'R.O. DN. II GAMEROOM � _ I I' `- TEMPERED - II II HARVEY DH : :. : 26"x4'5-R.O. ©SMOKE DETECTOR LV 0 � z . I ©CARBON'MONOXIDE DETECTOR O ®HEAT DETECTOR Q CL A ii A z .O/•� W z o- IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS z ,� CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION - iv TABLE 402A.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) .SCALE N FENESTRATION SKriIGMT -CEtIING WOOD FRAAIE0 WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL /YLL _ L OLL - U-FACTOR U-FACTOR R-VAI:UE R-VALUE R-VALUE R-VALUE R-VALUE R�VALUE _ _EXIST. EXIST. -EXIST. _ - 0-"'SS. ass 20.I3.5 30 1&19- - 10(4FT.DEEP) 1519 AMMEND. NOTES - DATE- - 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. p - - : 2.15/19-MEANS R=15 CONTINUOUS INSULATED:SHEATHING ON THE INTERIOR OR EXTERIOR : 5/8/201 9: OF THE HOME OR R=19 INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL - 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS 28'-0" 4.13+5 MEANS R5 CONTINUOUS INSULATED SHEATHING ON THE WALL EXTERIOR TT &R13 CAVITY INSULATION - - SECOND FLOOR PLAN G1 ;.,-�e,.••.�...L""E:11i ..... �.,7 __ter r...,.:�s.-urwl.«wm,-��orrwn.,.� ,. ,... .. N 1 i �o.0') Iiilli _ i W Q(D i p o(o a - (o q } INFILL FORMER STAIR. _ I �;Q ci co I.— . - - W/JOISTS TO MATCH - - - I EXISTING I. ..� - CV --- D W O FEW D La o°.. II o I 1 SISTER FRAME NEW 2 x 6 JOISTS c- - .. TO EXIST.2 x 6 JOISTS A A A N y A G4 G w w w G4 :.. .. ::. ....4,_3., 9'_9"... ... .9,,9„ 4'-3" - i .:. NEW 3x3x1/4"HSS --_ •n' _ r . SOLID B LOCKING:IN THE - POST UNDER EACH V OUTS :: _ .. .. ... .. - 28'0" : .'.. - :. BAYS IAT 480 o RAFTER : --- .. END OF STEEL BEAM c C 28'-0" ROOF FRAMING PLAN SECOND FLOOR FRAMI NG PLAN w - i NOTES: �.. O 1.) ALL ROOF RAFTERS TO BE 2 x 10's O UNLESS.OTHERWISE NOTED - U -2.) USE SIMPSONH2.5A HURRICANE CLIPS NAILING SCHEDULE AT ALL RAFTERS ENDS . 110 MPH EXPOSURE B WIND ZONE W 3:) VERIFY ALL ROOF FRAMING DETAILS IN THE FIELD JOINT DESCRIPTION NO. OF COMMON NAILS; .NO..OF BOX NAILS NAIL SPACING : O AFTER DEMOLITION,CONTACT DESIGNER FOR CHANGES _ ROOF FRAMING: _ .. - -BLOCKING TO RAFTER(TOE NAILED): - - 2-80 . 2-10d EACH END Z iW - - RIM BOARD;TO.RAFTER(END NAILED) : 2-16 d - 3-i6d - EACH END - WALL FRAMING:. ::.. : O TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d - - 5-16d AT JOINTS KID 2 X NAILER STUD TO STUD(FACE NAILED): : 2-16d 2-16d 24"o.c. 1 �A - HEADER TO HEADER(FACE NAILED) 16d 16d 16"o.c ALONG EDGES Q .Vr^J FLOOR :.. :: : Q JOIST - - FLOOR FRAMING: - .: JOIST TO SILL TOP PLATE OR GIRDER(TOE NAILED) - - - - 4-8d 4-1 Od PER JOIST 1 - WELD STEEL BEAM BLOCKING TO JOISTS TOE NAILED) 2-8d 2-1Od EACH END - Q W Z FASTEN JOISTS TO WELDED TO STEEL COLUMN/PLATE ( , NAILER W/SIMPSON _ BLOCKING TO SILL OR TOP PLATE(TOE NAILED). 3-i6d 4-16d - EACH BLOCK _ O A34 ANGLE(SHOWN) _ LEDGER.STRIP TO BEAM OR GIRDER(FACE NAILED) 3-16d 4-16d EACH JOIST OR SOLID BLOCKING .JOIST ON LEDGER TO BEAM(TOE NAILED) 3-8d �3-1 Dd PER JOIST 8".8".112"STEEL PLATE -- - BAND JOIST TO JOIST(END NAILED) 3-16d : 4-16d PER JOIST WELDED TO 3"x 3"x 1/4" BAND JOIST TO SILL OR TOP PLATE 2-:16 tl 3-i6d PER FOOT Z O STEEL COLUMN WI(2).1/4" � ^ - FILLET WELDS 6"LONG - ROOF SHEATHING: - -: 11 1 Z LL WOOD STRUCTURAL PANELS(PLYWOOD) .- - .. L.LJ _ 8"x 8"x 1/2"STEEL PLATE RAFTERS OR TRUSSES SPACED.UP TO 16".o.c. 8d 10d 6"EDGE/6"FIELD Z ♦/ WELDED TO 3"x3"x 1%4 RAFTERS OR TRUSSES SPACED OVER 16'O.C. 8d :10d 4"EDGE14"FIELD Lo - STEEL COLUMN,DRILL 8 GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 10d 6"EDGE/6"FIELD; - GROUT FOR(2)3l4".DIA._ GABLE END WALL RAKE OR RAKE TRUSS 8d - 10d 6"EDGE/6"FIELD SCALE : - ANCHOR BOLTS W/STRUCTURAL OUTLOOKERS - - . . GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4"EDGE/4"FIELD q I/`,1" - 1 1-01, CEILING SHEATHING:::. GYPSUM WALLBOARD 5d COOLERS 7"EDGE/10"FIELD DATE : - FOUNDATION WALL � ". � Df]:1 E WALL SHEATHING - 45/2 4 WOOD STRUCTURAL PANELS(PLYWOOD) : - 4/1 0 l STEEL BEAWPOST DETAIL STUDS SPACED UP TO 24"o.c. 8d - - tOd - 6"EDGEf12"FIELD i/2"825/32"-FIBERBOARD PANELS Bd --- 3"EDGFJ6"FIELD SCALE: 1/2"= 1'-O" 112"GYPSUM WALLBOARD 5d COOLERS :-- 7"EDGE/10"FIELD FLOOR SHEATHING: ... ... ... :. .:. G3 WOOD STRUCTURAL PANELS(PLYWOOD) - 1:"OR.LESS THICKNESS - 8d 10d 6"EDGE/12"FIELD GREATER THAN 1"THICKNESS - 10d 16d 6"EDGE/6"FIELD : : U TYP. ROOF CONST. 2 x 10 ROOF RAFTERS @ 16"o.c. .. :.. :. .. - .. - :. -5/8" PLYWOOD ROOF SHEATHING Z - -ASPHALT ROOF SHINGLES _ - ;15LB.FELT PAPER - v . ... -(R49)INSULATION :. �: : .�:'. .. - VJ SIMPSON H 2.5A HURRICANE CLIPS : : - _ .. AT ALL RAFTER ENDS - - .. -ICE/WATER SHIELD AT BOTTOM ''^^Q N I -PROP-A VENT BETWEEN RAFTERS - 12 - 2 x 6's @ 16"o.c. : - - - (o - ... ..: WIND WASH BARRIER'.BETWEEN RAFTERS 2.5f ALUMINUM DRIP EDGE. r TOP OF PLATE ..2 x 10's @ 16"o.c: .:. .. .. .. .. m N ^r' \ w N .. -/2"GYPSUM BOARD ON. /./: ::\:\ ... :. '$w� :. 1 X 3 STRAPPING _ - -' TYR WALL CONST: Z ww=o 1.,2x4.STUDS @1G BEDROOM 2,1/2".PLYWOOD SHEATHING O m. - \ \ 3(R=20 SPRAY:FOAM INSULATION ) cc .... ... ... / / .. ... \ \ 4.112"GYPSUM.BOARD 5.W.C.SHINGLE.SIDING:: __ - . / NEW R30 SPRAY FOAM SISTER FRAME:NEW 2:x 6 JOISTS \:\ 6.TYPAR VAPOR BARRIER _ /./ INSULATION TO EXIST.2x 6 JOISTS - \ \ - SUBFLOOR SECOND FLOOR //: .. .. - TOP OF PLATE EXIST.2 x 6JOISTS - .. + .. ., Lu .:NEW STEEL BEAMS ... .. .. :- u 5/8 FIREGODE GYP BD - - - ON I 3 STRAPPING @ 16" .:. .: .. - o.c.IN GARAGE .. .: : .. .. .. r GARAGE ." TOP OF FOUND. EXISTING CMU FOUNDATION :: .: . .: W/MINIMAL FOOTING. O a SECTION @ BEDROOM G Z J h- W 0 O O U O_ Z W O.. ._ Z .. v/ W Z . . _ .. .� �. .O - :. t W Z Y � SCALE : - 1/4" = 1'-0":. - DATE : 5/8/2019 G41 _ NOTES: A IECC2015 RESIDENTIAL ENERGY EFFICIENCY DETAILS —I j A4 - CLIMATE ZONE 5(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION J 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS TABLE 402.1.2(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) z &DIMENSIONS IN THE FIELD IlE;rESTRPTIll. 'l LIGHT CEILING WOODFRA ED WALLFLOOR EASEMENT•'1c 1_EASENIEIiT S-B CRAYr S-CE'NALL V U-FACTOR V-FACTOR R=JALUE R-VALUE R-VALUE R-YALDE R-VALUE R-VALUE 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, 0.w uANE 0ss no .curls•, 30 ISno 10(�FT.DEEP) IS/10 AIAM DETAILS,&FINISHES IN THE FIELD WITH OWNER NOTES: W Q 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT 2.15l19MEANSR=I5 CONTINUOUS INSULATED SHEATHING ON THE INTERIOROR EXTERIOR C)OQ(D FIRST FLOOR TO BE 7'-(Y"ABOVE SU BFLOOR _ OF THE HOME OR R=19INSULATION CAVITY AT THE INTERIOR OF THE BASEMENT WALL W 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS r 3.REFER TO IECC 2015 CHAPTER 4 FOR ALL INSULATIONB ENERGY REQUIREMENTS Q L��j Q STATE BUILDING CODE,9TH EDITION AMENDEMENT&IRC2015 q , I I REMOD. = 4.13+5 MEANS R5 CONTINUOUS INSULATED SHEATHING ONTHE WALL EXTERIOR_ <�y•� � T 8 R13 CAVITY INSULATION W -1` 5.) 110 MPH EXPOSURE B WIND ZONE (o i SUNROOM H w N I:1J I 00 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, LN J w a p OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING W 2 to 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD omU)v 8-) ALL WINDOW AND DOOR HEADERS 4'0"OR LESS TO BE 2-2 x 6 W/2K,2J U v 2 d 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON COMPONENTS 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS TO BE 3000 PSI AT 28 DAYS it1g•-0" 11.)VERIFYALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE DURING FRAMING CONSTRUCTION A4 12.)TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE,900 PSI MIN. 13•)FOLLOWALL REQUIREMENTS OF THE IECC2015 RESIDENTIAL ENERGY A EFFICIENCY REQUIREMENTS&VERIFY ALL DETAILS WITH THE INSULATION A4 INSTALLER/CONTRACTOR FOR THE STRETCH ENERGY CODE I 14.)THIS STRUCTURE IS DESIGNED TO THE AF&PA WOOD FRAME CONSTRUCTION FIRST FLOOR PLAN MANUAL FOR 110 MPH EXPOSURE"B"LOCATION PER SECTION R301.2:1.1 i+J T-8' 37-(r O - -- LL Barnsl able Bldg. Dept. ,.• B Qe A4 t 1 Z o ----------------------- Approved by: a EXIST. 4"GLAS J F CLOS. BATH OR S •x5, w D Permit a�1`t -/Co o`I , 0 o~ NEW I EXIST. II ' LIN. NEW TILE U _ ;; EXIST. BATH W HARVEY W.I.C. I BEDROOM LL, 710"x 4'1° r I HALL! (FORMER BEDROOM) O DOUBLEHUNG I I I r 1 ON. WALL O ` W HALF o� L A O U F l 2'6'DOOR II �. H A4 LLI II Q HARVEY 8'-0" v� Z10"x4'1" DOUBLEHUNG Q U). w <1'1 EXPANDED -I z �ZKOF s`?.Y ml{ LIN. Q 0 O < i9 y BEDROOM EXIST. %a ERIC er; Q •�' J DF-0CRt1V1M « LL''' BEDROOM a STRUrtTL lryt4 •il ml 1 ` - I �� Q (\ I I No 3R.9pP X9 �11 II I W' z ` - W co 6 U) /•� -`y CLOS. v HARVEY SCALE : �O5 4 2117x 41" A DOUBLEHUNG 1/4n = 1 r-On V VERIFY EXISTING FLAT ROOF A4 �O FRAMING REWORKTO 3'-8.. 4.-0. DATE : HEIGHTMATCH SF REQUIRED. SECOND FLOOR PLAN 5/28/2019 EXISTING FRAMING ASSUMED TO RUN LEFT TO RIGHT T-8" 32'-0" LEGEND: EXISTING WALLS - CONSTRUCTION TO BE REMOVED Al L--J ® NEW CONSTRUCTION r _ 1 J J Z NEW ASPHALT ROOF W Q cD SHINGLES �0-0 0 r(o NEW PVC FASCIA.FRIEZE 8 w Q r SOFFIT BOARDS Q mF-�� TOP OF PLATE (�w N az [44� �W U) ao F- NEW WINDOW TRIM ® ® ~m=v X TO MATCH EXISTING ® ® ® O m Q W Uv�a � U Ld LLLJI g SECOND FLOOR SUBFLOOR M —-— TOP OF PLATE I�J rm ® ❑ ❑ oa -L-L-J11 Ll TOP OF SLAB ' O FRONT ELEVATION _z Q _I F- W O o 12 NEW PVC RAKE BOARDS C) TO MATCH EXISTING ' EXIST. O TOP OF PLATE z W U � ® NEW W.C.SHINGLE SIDING C9 ZZZ W - ui ® TO MATCH EXISTING HOUSE F O it uJ 12 = < 1// ui 12 EXIST. � I — W Z 7 N 9 SECOND FLOOR OJ O SUBFLOOR TOP OF PLATE —-— I z O w Z a- W oo H I 11± �e Lo mij SCALE : v 1/4" = V-0" _ DATE : TOP OF SLAB .y�'--(A OF 5/28/2019 LEFT ELEVATION � r`ti x Mo. 3b,u2 brr p A2 J J Z . C7 woo) NEW ASPHALT ROOF W Q N SHINGLES 0 0(D NEW PVC FASCIA,FRIEZE 8 <w Q SOFFIT BOARDS ^CV TOP OF PLATE j w- ® ® ® ® �, 0 v M r _.LO Q U Q SECONDFLOOR SUBFLOOR TOP OF PLATE - u v bi I 1 L _ TOP OF SLAB - - - REAR ELEVATION Q W D _ � O 12 O U a EXIST. W --- _� O Z W U ® ® NEW PVC RAKE BOARDS O 7 TO MATCH EXISTING L 12 UJ `W^ EXIST. V/ 12 cl U) W --- 3:5 12 � 9 C)` LU z —-— TOP OF PLATE I Q NEW WC-SHINGLE SIDING z O TO MATCH EXISTING HOUSELLJ� ^ FP Fm IIIII z L L Z. Ile Lo --- SCALE : 1/4" = 1'-01, TOP OF SLAB ' ' 19 DATE : 11 r. .. CEC tr11gLM w 5/28/2019 RIGHT ELEVATION : . A3 NEW P.T.4 x 4 POSTS ON 24"x 24"x 12" _ U A CONCRETE FOOTING W/12"X 12'COLUMN TYP. ROOF CONS ITT. 'J Y TO 4D"BELOW GRADE. J A4 -2 x 8 ROOF RAFTERS Q 16"o.c. r 1 r 1 r 4's 16'o.c. Z 2-1 3/4"x 7 1/4`LVL BEAM 2 x 12 NEW 2 x 4 WALL TO -5/B'PLYWOOD ROOF SHEATHING g L 9 SUPPORT RAFTERS -ASPHALT ROOF SHINGLES L �4 .nTl -15L8.FELT PAPER m m 12 -(R49)INSULATION '^ I Q35 •SIMPSON H 2.5A HURRICANE CLIPS vJ Q�. NEW 3.1 31V x 7 114"LVL BEAM AT ALL RAFTER ENDS \ -ICE/WATER SHIELD AT BOTTOM W Q -PROP-A VENT BETWEEN RAFTERS Do og -WIND WASH BARRIER BETWEEN RAFTERS K x EXIST.TOP OF PLATE "o,c_ 2 x Ts r9 16"o.c. -ALUMINUM DRIP EDGE } rr n, FASTEN BEAMS TO Q w i? N NEW 2 x 16 RIDGE BOARD ry y NEW W/SIMPSON _ I AC4&LCE4 AT THE LU 04 L L J CORNERS REMOD. �- Luao SUNROOM MUDROOM H w M! ao� 0Uv<a r , TOP OF SLAB EXIST.SLAB 2-1 314'x7 1/4'LVLBEAML J FASTEN BEAMS TO POSTS Wi"IMPSON AC4&LCE4 AT THE CORNER 4 SECTION ' ' NEW P.T.4 X 4 POSTS ON 24"x 24'x 12' OJ CONCRETE FOOTING W/12"X 12"COLUMN A 0 SU'NROOM/MUDROOM TO 4'0"BELOW GRADE. A4 4A4 LL 9-W g-0" TYP ROOF CONST. O -2 x 8 ROOF RAFTERS Q 16"o.c. -6/8"PLYWOOD ROOF SHEATHING U- -ASPHALT ROOF SHINGLES 15LB.FELT PAPER /^ -(R49)INSULATION v 7-8" 2 x(17s Q 16"o.c. -SIMPSON H 2.5A HURRICANE CLIPS C -- AT ALL RAFTER ENDS Z C -ICE/WATER SHIELD AT BOTTOM . L� ANE RAFTERSB ND WASH BAVENT R RIER BETWENRAFTERS f A4 MATCH 12 -ALUMINUM DRIP EDGE EXIST.�. ui c Q TOP OF PLATE 2 8 x 's 16"o.c. O O CONT.SOFFIT TYP,12"GYP.BOARD VENTS 5 `ON 1 x3STRAPPING TYP.VVALL CONST. Z Q 16'o.c. I. � 4.2x65TUDSQ 16'o.c. ui Q N K 2:1/2"PLYWOOD SHEATHING O I w 3.R20 SPRAY FOAM INSULATION I W.I.C. BEDROOM #2 4.1/2•'GYPSUM BOARD ' 5.W.C.SHINGLE SIDING ui SECOND FLOOR 314"T&G PLYWOOD 6.TYVEK VAPOR BARRIER Z H L SUBFLOOR-GLUED&NAILED O U SUBFLOOR Z 1 1 TOP OF PLATE 2 x 8's Q 16"o.c. Q ■,� ) VNEW2x 10RIDGE BOARI EXISTING RIDGE Q VI� I b LLJ W 7 Z SUNROOM Q [Y O K CL W z O 0 Z - SUBFLO FLOOR W Op wl x 8so 16"O.C. Z Y Lo yI I SCALE : CRAWLSPACE 1/4" = 1'-0" KlJ22x6HDR. 1 .J - ROOF FRAMING PLAN � ,,Ho DATE : NOTES: �ERIC t9 1.) ALL ROOF RAFTERS TO BE 2 x 8'sM 5/28/2019 to' AQ UNLESS OTHERWISE NOTED sift,,s N� 2.) USE SIMPSON H2.5A HURRICANE CLIPS A SECTION @ SUNROOM - 7-8" AT ALL RAFTERS ENDS 3.) VERIFY ALL ROOF FRAMING DETAILS IN THE FIELD AFTER DEMOLITION,CONTACT DESIGNER FOR CHANGES A4 T.O.F. EL.= 44.4't (house) H-20 CONCRETE RISER WITH FINISH GRADE OVER D-BOX= 43.5'f FINISH GRADE OVER CHAMBERS= 43.83' - 43.50' 3/4"TO 1-1/2" DOUBLE WASHED GENERAL NOTES ( WATER-TIGHT CAST IRON /o SLOPE @ 2 MIN. OVER SYSTEM it I FRAME & COVER TO GRADE REMOVABLE WATER-TIGHT COVER OVER STONE TO CROWN OF PIPE 1. UNLESS OTHERWISE NOTED, ALL SYSTEM COMPONENTS AND CONSTRUCTION F.G. OVER RISER TO WITHIN 6"OF FINISHED GRADE 4" SCHEDULE 40 PVC INSPECTION PORT WITH ACCESS BOX METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL FINISHED GRADE OVER INLET, CENTER& OUTLET TANK EL.= 43.0't MIN SLOPE 1% TO F.G. (SEE GENERAL NOTE#20) 2"OF 1/8"TO 1/2" DOUBLE WASHED CODE AND ANY APPLICABLE LOCAL RULES. AT FOUNDATION =VARIES 5" DIA. OUTLET(S) STONE OR GEOTEXTILE FILTER FABRIC - 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE 9"MIN. �� PLACE RISERS ON ALL DESIGN ENGINEER. PROP. 4" SCH. 40 36 MAX. TOP OF SAS= 40.83' CHAMBERS WITH PVC SEWER PIPE -�-- 9' MIN. 9"MIN. 3. 4' SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL 4"SCH. 40 PVC TO 36" MAX. 40.00' 36"MAX. , INLET PIPES TO 6" OF _ BREAKOUT EL= 40.50 FINISHED GRADE SYSTEM UNLESS OTHERWISE NOTED. 2" DROP MIN. f DISTRIBUTION BOX „ 4. TO PREVENT BREAKOUT, THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN MIN.SLOPE @ 1 r 6 3 3" DROP MAX. 3 9 3 9 MIN.SLOPE @ 1 - -- _ _ L=31'± PROVIDE WATERTIGHT ELEVATION =40.50' FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE SAS. UNLESS A o ----JOINTS (TYP.) Q ��� 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S. AND THE TOP OF 14" � 14" S4 VC IN EPT C TANK 4" PVC OUT TO 0 0 � O � � � � � � o o � � O � � o o THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. 40.75' O LEACHING FACILITY o0 0 0 0 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. � 000000000 � 0 � 000 VARIE... o 48" ALL INLET AND 40.30' MIN. 40.13' 2 00 � � � � � � � � � o 0 0 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. NOTE: 12 6' o 0 00 00 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK 41 .00' GAS BAFFLE OUTLET TEES SHALL 6" CRUSHED STONE � � � � � � � � � 0 � � � � 'oo FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS GAS BAFFLE BE PLACED DIRECTLY OVER MECHANICALLY o0 001 _ o NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 1000 GAL. 500 GAL. UNDER A COVER. COMPACTED BASE 4.0' 8 5' (TYP) - I 4.0' 4 0' 4 0, AND DESIGN ENGINEER. VARIES (see plan) (48 HRS DETENTION) (24 HRS DETENTION) 6" CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 4.83 8. ELEVATIONS BASED ON APPROXIMATE M.S.L. DATUM. BENCHMARK ELEVATION OF 45.00 OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE 33.5' (NP') ESTABLISHED ON A NAIL IN A TREE AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET GROUND WATER ELEV.= < 33.00' PROPOSED 1000/500 GALLON TWO COMPARTMENT SEPTIC TANK (H-20) 38.00 12.83' 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION 11 ' 1' t „ PIPES TO BE LAID LEVEL. THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 11 -0 WIDTH 6 -2 DEPTH 6 -0 3 - 500 GALLON H-10 CHAMBERS 5' MIN. 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES CROSS SECTION VIEW TYPICAL CHAMBER PROFILE CHAMBER END VIEW TO THE DESIGN ENGINEER. PROPOSED SEPTIC TANK DETAIL DIMENSION AS REY H-10 DISTRIBUTION BOX DETAIL H-10 CHAMBER DETAILS ACME-SHOREY NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC. STRUCTURES SHALL BE MADE WATERTIGHT. ___ NOT TO SCALE NOT TO SCALE _ _ _ _ - - ------- --T-- ----- - -- 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING NOTES: t `� • . - ii �'�� r---= TEST PIT DATA REGULATIONS. AUTHORITY.OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM APPROP_�� PERC NO. 15907 1.) MAGNETIC MARKING TAPE SHALL BE PLACED I►f �� 40 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS LOCATED ,� INSPECTOR: Donald Desmarais ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM � W` ZONE 2 - ' u \\\ Xn i UNDER MORE THAN 3 FEET OF COVER OR LOCATED UNDER PAVEMENT, DRIVES, OR _ COMPONENT. i j� a �� ��� EVALUATOR: Michael Pimentel, EIT, CSE TRAVELED WAYS IN WHICH CASE THEY SHALL WITHSTAND H-20 LOADING. C.S.E. APPROVAL DATE. Oct. 27, 1999 \ MAP 35 ' ` -+ ' 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. -35 2.) CONTRACTOR SHALL VERIFY SOIL , C��.... + !�,/ February 26, 2019 LOT 18 CONDITIONS IN THE LOCATION OF THE t- DATE: ry 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE Ss�o _ _36 , , PROPOSED LEACHING FACILITY TO ENSURE , �l emu. - �! ` • j. ' • TEST PIT#: 1 MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. ` CONSISTENCY WITH TEST PIT DATA SHOWN ON �/- I ` r� / ' ' • • , HOO r8 ELEV TOP- 44.00 0 �/ REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, sr08 u'6 S�, -37 , 1 ` THIS PLAN. REPORT TO ENGINEER AND LOCAL ! �7! • +��` L`-� '� . • w • Beach FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 38 1 BOARD OF HEALTH IF SOILS ARE NOT /J�/�•_=` '� ' , �. .+` . ELEV WATER = < 33.00' CONSISTENT WITH TEST PIT DATA. / g�� ,+ • .fz 0 . •, I 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN - 39 �/ o • • .• ! PERC RATE _ < 2 min./inch SITE CONDITIONS FROM THOSE SHOWN PRIOR TO CONTINUATION OF WORK. v _ - 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE + ,! o'•:• :; - 40 \ - DEPTH OF PERC - 16. PROPOSED PROJECT IS LOCATED WITHIN: ESTUARINE WATERSHEDS. " "..• �•.. , � 36 -54 O - - - _ LOCUS ••• • • a 41 , • . �� ' • ASSESSOR'S MAP 35 LOT 4 _ _ 4. SWING TIES SHOWN ON THIS PLAN ARE !�( "• • TEXTURAL CLASS: 1 - °' MAP 35 - - -42 ` \ \ \ \ ) .- • OWNER OF RECORD: CHRISTOPHER & CYNTHIA L. KENNA TRS PROVIDED ONLY AS A COURTESY FOR THE -�-• • - Public \ INSTALLER. INSTALLER SHALL VERIFY SWING TIE ` � + ' 38, ADDRESS. 6800 SO"Q"COURT a LOT4 - - \ \ \ , �\ 1 BEDROOM TO BE I' . • •` • • 4_4 • Landing \ \ \ ADDED INSIDE MEASUREMENTS IN THE FIELD PRIOR TO 44.00' FORT SMITH, AR 72903 v�, INSTALLING THE SYSTEM. CONTRACTOR SHALL • • • -F • 0 43� EXISTING GARAGE j .�. , •• '� . ; �. Fill \ NOTIFY ENGINEER IF MEASUREMENTS APPEAR CQtul'� (TOTAL BEDROOMS=1) TO BE INCORRECT. � • •• '�•• � • ` :• 4" 43.6T FEMA FLOOD ZONE X •i•r : .+ . �o •, . . A Loamy Sand COMMUNITY PANEL# 25001C0752J •�•• • • l 10Yr 3/2 21' \ ` \ \ \ 5.)CONTRACTOR TO PROVIDE SEPTIC PIPE FROM •�,f�' , + , . 3 10" 43.17' 17. DEED REFERENCE: DEED BOOK: 27791, PAGE: 101 THE GARAGE TO THE SEPTIC TANK AT 1%5 •• .� •� s; d \ \ `�� \ \ MAP 35 MINIMUM PITCH. 0 �. h \ \ \ \ ,,,..• + ,.• �� e„ f Loamy Sand 18. PLAN REFERENCE: PLAN BOOK: 19, PAGE 143 MAP 35 7 a �o \ \ LOT 16 + • N •: ;, o� B 10Yr 5/6 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. LOT 3 PROP. THREE (3) 500 GALLON LEACHING CHAMBERS 1 \ • • • + • ' 9" I 1`' 1 \ \� 1 =s • - • .r •r 38, `� U .. ° 36" 41.00' 20. A 4" PERFORATED SCH. 40 PVC PIPE SHALL BE PLACED IN A VERTICAL POSITION TO A zf w/AGGREGATE . t / 2 I ' I ` til • tUot . ■ R \ e Perc w I I w \\ I ' ■`• . �' DEPTH OF THE BOTTOM OF THE SAS AND EXTEND TO WITHIN 3" OF FINISH GRADE. A cct _ I o \\ t i ` lan . / 54" 39.50' REMOVABLE THREADED CAP SHALL BE PLACED ON THE TOP TO ALLOW FOR INSPECTIONS. ,0 N r-PROP. H-10 \ I C , -� • �t�-- j1 � _ • ' 21. OWNER/APPLICANT/ CONTRACTOR SHALL BE RESPONSIBLE TO OBTAIN ANY AND ALL °o N / DISTRIBUTION I - - 1 I I 1 w 1 ti , 1�( - - 1 �_•• • % - ti }_ - Z BOX EXIST. \ \ ` w 1 � U j,�;; • • .•• �� ~`�"�� C Medium Sand REQUIRED PERMITS AND APPROVALS FOR THIS PROJECT. / 17" O{, 20" GARAGE � 2.5Y 6/6 W PR. INSPECTION PORT- 44 vLs PROP. SLAB - \ I \ \ W \ ` 1 CD o '� LOCUS PLAN N z d 10" P O - / INV =41.5' 43.0'± w 1 ` c+z Q m Q V� \ w , 1 SCALE: 1" = 1000' 132" 33.00' J Q o PROPOSED 1,000/500 6" `` .X0 /T2" �' �, z GALLON 2-COMPARTMENT � CP \ \ \\ \ , No Mottling, Standing or Weeping Observed mCD SEPTIC TANK (H-20) / 1 1 , � \ DESIGN IAA" A TEST PIT DATA �- LEGEND 26" -- 00 CID ( �`�� \ \ \ VEXISTING CESSPOOL TO SWING-TIES SCALE: 1"=20' PERC NO. 15907 50x0' EXISTING SPOT GRADE 12"/7" / 1 ( \ �' BE PUMPED, FILLED \ \\\\ \ \ WITH CLEAN COARSE NUMBER OF BEDROOMS (EXISTING) 4 (dwelling) + 0 (garage) =4-total INSPECTOR: Donald Desmarais 50 - EXISTING CONTOUR BIT, DRIVEWAY 44� �o SAND, AND ABANDONED DESCRIPTION HC-1 HC-2 HC-3 NUMBER OF BEDROOMS(DESIGN) 3 (dwelling) + 1 (garage)=4 total EVALUATOR: Michael Pimentel, EIT, CSE Benchmark ( PROP. C/O (TYP OF 4) O __ __ C.S.E. APPROVAL DATE: Nail in Tree TOF = `' \ SEPTIC COVER IN 1 24.1 Oct. 27, 1999 PROPOSED CONTOUR Elevation =45.00' ) 44.4'± C to DESIGN FLOW 110 GAUDAY/BEDROOM DATE: February 26, 2019 50 PROPOSED SPOT GRADE CY)Approx. M.S.L. _44 J o) I I I I I SEPTIC COVER OUT(2) 30.3 -- -- / Z ' TOTAL DESIGN FLOW 440 GAUDAY CORNER OF STONE (3) 48.9' 35.3' o _ TEST PIT#: 2 - EXISTING GAS LINE DESIGN FLOW x 200/0 880 GAUDAY ELEV TOP= 4400' EXISTING OVERHEAD WIRES i CORNER OF STONE (4) 61.7' 46.3' -- USE PROPOSED 1000/500 GAL. TWO COMPARTMENT SEPTIC TANK / INV.=41.8'± INV.=41.6'± / SLATE WALK(TYP) ELEV WATER = < 3300' I / CORNER OF STONE (5) -- 43.0 58.1 W__ _W- EXISTING WATER LINE / #58 ❑ HVAC UNITS PERC RATE _ EXISTING N_� I I CORNER OF STONE (6) -- 31.0' 45.4' !� TEST PIT LOCATION / I 4-BEDROOM / DWELLING sb I - SEPTIC TANK SIZING DEPTH OF PERC = J I I USE PROPOSED 1000/500 GAL. 2-COMPARTMENT SEPTIC TANK TEXTURAL CLASS: 1 O O PROPOSED 1000/500 GALLON H-20 SEPTIC TANK 1 BEDROOM TO E _ / HC-3 - ELIMINATED FROM COMPARTMENT 1: PROPOSED 4" SOLID SCHEDULE 40 PVC PIPE MAP 35 U3 e' DESIGN FLOW x 200% =440 x 2= 880 GAUDAY (MIN. REQUIRED) 44.00' EXISTING DWELLING O £ ' I LOT 5 (5 12.8 6) DESIGN CAPACITY = 1,000 GAUDAY (PROVIDED) 0 Fill 0 PROPOSED H-10 DISTRIBUTION BOX (NEW TOTAL :- BEDROOMS=3)- ��� / \ O / = 4" 43.67' _ COMPARTMENT 2: �O PROPOSED 500 GALLON H-10 LEACHING CHAMBER <2 a sI o HC-2 EXIST. DESIGN FLOW x 100% = 440 x 1 =440 GAUDAY (MIN. REQUIRED) A Loamy Sand I \ a �� - 10Yr 3/2 Q 143 z/ 28.4' = GARAGE = DESIGN CAPACITY = 500 GAUDAY (PROVIDED) // ' I _ 10" 43.17' ,LSO 3 7 w O J I B Loamy Sani INSTALL 3 - 500 GAL. H-20 CHAMBERS w/ AGGREGATE 10Yr 5/6 REV. DATE BY APP'D. DESCRIPTION _ 36" 41.00' PROPOSED SEPTIC SYSTEM UPGRADE R=350.00 Q GUY 3) \_HC-1 SIDEWALL CAPACITY L=105.00 / WIRE I / (4 (LENGTH +WIDTH) (2 SIDES) (2' HIGH) (0.74 GPD/S.F.) = GAUDAY �a�`''`��^��ss�,^ PREPARED FOR: (2 O (33.5' + 12.83') (2 ) ( 2' ) ( 0.74 GPD/S.F.) = 137.1 GAUDAY CAPEWIDE ENTERPRISES _�- ❑iHiw U.r . ❑iHiw Q BOTTOM CAPACITY Medium Sand -� CHu ILL JR. ❑iHiw u #165/6' I U.P. #165/7 niHiw ❑� iw +r`6 �iHiw oiHiw _ - 2 (LENGTH x WIDTH) (0.74 GPD/S.F.) = GAUDAY C 2.5Y 6/6 0 48066 "PAVEMENT s�, (33.5' x 12.83') (0.74 GPD/S.F.) = 318.1 GAUDAY ° 0/ TS LOCATED AT E--o�OF - - � 58 POPONESSETT ROAD TOTALS: COTUIT, MA 02635 POPONESSETT ROAD / ��. 3 (40'WIDE LAYOUT) / TOTAL NUMBER OF CHAMBERS TOTAL LEACHING AREA 615.1 SQ.FT. SCALE: 1 INCH = 20 FT. DATE: APRIL 30, 2019 132" 33.00' of 0 10 20 40 80 FEET TOTAL LEACHING CAPACITY 455.2 GAL./DAY tN No Mottling, Standing or Weeping Observed �� PREPARED BY: #58 / CHURCH LL JR. EXISTING RESERVED FOR BOARD OF HEALTH USE CIVIL N JC ENGINEERING, INC. 4-BEDROOM NO. 41807 2854 CRANBERRY HIGHWAY DWELLING �I EAST WAREHAM, MA 02538 SITE PLAN 508.273.0377 Drawn By: SJI Designed By:MCP Checked By: MCP JOB No.4556 SCALE: 1"=20'