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HomeMy WebLinkAbout0400 POPONESSETT ROAD�-�UO lOU pptl'J'rle� i pk 1C'j,S��Y CAPECOD INSULATION[E-d El NM I , 11116Y p[A9S StAMt[SS SP0.Ai fpAM IYSP[NP6P SgRS uYR[YS INSYW[IpN CU[INpS - 1-800-696-6611 ""own of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601" Xr�, Date.- Dear Building In Please accept this Affidavit as documentation that Cape Cod Insultion, Inc. performed completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified'Building Performance Institute ,i (BRI) inspector. All work preformed meets or exceeds Federal &.State Requirements. R , Property Owner , Property Address Village yoo Peepmest,44 Insulation Installed: Fiberglass Cellulose 'R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors Walls ( ) ) ( ) ( ) ( ) — Pitt StAi y . Sincerely He ry E Cas y Jr, President C e Cod I 1 uation, Inc. r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 007 Application # � ©/ U Co W 3 Health Division Date Issued 1011W `i! rd Conservation Division Application Fee 5 Planning Dept. Permit Fee 7 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address �dD Village eo,'iJi?�' Owner :;24 ,/ d/f//.c D/e Address Telephone 44-Z Permit Request /��� �? , " � z�v��9 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation a,�70 d eq Construction Type ( �l-,501 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ©"__ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes -1Vo On Old King's Highway: ❑Yes -6 'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing, new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas - ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes, ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing .❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Cbmmercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � ��'C ,�1i��/r��� Telephone Number �09 z Address_/,/—' �,r.�2'� G`i/�/ License # c0 Home Improvement Contractor#`. ` f__S "G Worker's Compensation #_4�D .::p ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE�����Z .'r ' FOR OFFICIAL USE ONLY s !. APPLICATION# DATE ISSUED MAP/PARCEL NO. �F i { ADDRESS VILLAGE OWNER DATE OF INSPECTION: j FOUNDATI.ON,f i s;{'t; ;;•.,,�art[J r! r FRAME !INSULATION ..h . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t DATE CLOSED OUT ASSOCIATION PLAN NO. 1 f. 30EC-04-2013 01 :36 PM COMFORTMAN 5084770516 OWNER AUTHORIZATION FORM ':' OL)A 1 1,9 (Owner's Name) , owner of the property located at (Pro rty Addrbss) Prb .." • ( perty Address) hereby authorize CCxAe C Pr ubcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property: r Owner's Signature ' Date. 12/04/2013 WED 15:00 CTX/RX NO 5960']_.-- 002 1 he Commonwealth of Massach usetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www,mass,gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/ElectriciansMumbers Applicant Information Please Print Legibly Name (Business/Organizaaon/Individual): 4. Address: 61; City/State/Zi : � W 2 T� f> o 4hone lt, ��- Are you an employer? Check the appropriate box: 1, I am a employer with 4, ❑ I am a general contractor and I Type of project(required): employees (full and/or part-time),* have hired the sub-contractors , 6, '❑ New construction 2,❑ I am a sole prbprietor or partner- listed on the attached sheet. 7, ❑ Remodeling- ship and have no employees These sub-contractors have g, ❑ Demolition working for mein any capacity, employees and have workers' [No workers' comp, insurance comp, insurance,t 9, ❑ Building addition required:] 5. ❑ We are a corporation and its 10,❑ Electrical repairs or additions 3,❑ I am a homeowner doing all work officers have exercised their l 1.❑ Plumbing repairs or additions myself. [No.workers' comp. right of exemption per MGL insurance required,] t c, 152, §1(4), and we have no 12,❑ Roof repairs 3a.❑ I am a homeowner acting as a employees. [No workers' 13.[� Other/,t;/��,3�f general contractor(refer to #4) comp.insurance required,]. 'Any applicant that checks box#1 must also fill out the section below showing their workers'co mpensatiortpolicy information,t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such, tContrucwn that check this box must attached an additional sheet showing the name of the sub-contractors and stato whether or not those entities have employees. If the sub-contractors have eraployecs,they must provide their workers comp.policy olic number, I am an employer that is providing workers'compensation in for my employees. Below is the policy and job site information, Insurance Company Name: Policy#or Self-ins. Lic, Expiration Date: 11a /.5 Job Site Address: yb6 A� City/State/Zip: Attach a copy of the workers' compeasation policy declaration page(showing the polic number and expiration Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of t Investigations of the DIA for insurance coverage verification. I do hereby certrfy un�W the pal and penalties of perjury that the Information provided above is true and correct: St a Date � 9 /51 Pbon Offlcial use only. Do not write in this area, to be completed by city or town official City or Town: PermitlLicense # Issuing Authority (circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4, Electrical Inspector,5. Plumbing Inspector 6, Other Contact Person: Phone#: ®`� C /� CAPECOD•27 KLIGETT CERTIFICATE If ICA 1 E OFF LIABILITY INSURANCE DATE(MMIODIYYYY) 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 pollcy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s), _ . RODUCER CONTACT ers&Gray Insurance Agency, Inc, NAME: Barbara WDeLawrence Rte 134 PHONE —._. xlth Dennis,MA 02660. (A/C.No ExtJ_ 1L1Aj1C No: 877) 616-2156 aooRE81 bdelawrence ro ers ra .com F INSURERS AFFORDING COVERAGE NAIC N - ...r..•' -_ — "-'-"'- INSURER A:Peerless Insurance Company _ i INSURERS:COMMERCE INSURANC_ E COMPANY _ Cape Cod Insulation Inc INSURER 0:Evanston Insurance Company 16 Raardon Circle South Yarmouth, MA 02664 INSURERD:ATLANTIC CHARTER INSURANCE GROUP ' INSURER E: - ' INSURER F O ERAGES CERTIFICATE NUMBER: REVISION NUMBER; INDICT IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD ATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C RTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, E CLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY-HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP - - X COMMERCIAL GENERAL LIABILITY M IDD Y MMI DIY LIMITS CLAIMS-MADE X EACH OCCURRENCE $ 1,000,000 _,;. __.•� L_-] OCCUR CBP8263063 64/01/2014 04/01/2016 ET07 -- PREMISES(Ea occurrence) $__ '_ 100,000 f - - MED EXP Any one person) $_ _T 6,000 PERSONAL&ADV INJURY _ $ 1,000,000 G N'L AGGREGATE LIMIT APPLIES PER: A GENERAL AGGREGATE — $ _2,OQ,Q,QQO POLICY l PRO - I._.l JECT _ i OTHER PRODUCTS_COMPIOP AGE $ 2,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO 14MMBCKVMK Ea accident $ 11000,000 ALL OWNED X SCHEDULED 04/01/2014 04/01/2016 BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS X NON•OWNED, AUTOS PROPERTY DAMAGE"� - Per-accident $ X UMBRELLA LIAB Eel $ EXCESS LIAB EACH OCCURRENCE $ 1,000,000 __ ADE XONJ463514 04I01/2014 .04/ti1/2016 RETENTIO00 AGGREGATE $WORKERS COMPENSATION Aggregate $ 1,�00000ANp EMPLOYERS'LIABILITY rPTA TE OTTH•4NY PROPRIETORIPARTNERIIN WCA00525804 06/30/2014 06/30l2016O itndal ry In N R EXCLUDEpEl NIA E.L.EACHACCIOENT $ 1,000,000 (Mandatory In NH)II Yes,doscribaunderE.L.DISEASEEA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIO Ii } E.L.DISEASE POLICY LIMIT $ 11000,Q00 CIRIPlION OF OPERATIONS I LOCATIONS l VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace is required) ISert Compensatlon includes Officers or Proprietors, 110 al Insured status is provided under the.General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. RTIFICATE_HOLDER ,� Massachusetts pepattnia'nt of<,71�btl�c Safety `<'AA�rd of Building Regulalfons end Standards + Cunstnlctiun Supm,isor License; CS•100988 aP 1 I rJr, 4r - 1-.Ils.N RY.R CASSI])� W1:ST YA•IWOU1 1-1 " I � ,11,t Expiration = Cammisslaner. = 11/1,112018 . j CL��'l/y1'ZGLy?/GI,�C:t?iC/V/? t� ��G�GGY!�tl t r C% 'l 1 ,' Office of consumer Affairs and Business Rt,�gillatioli 10 Park Plaza Suite S 1.70 you r^ Boston., Massachpetts 02116 r Z Ia.me Zmproveixlerlt CER, ra, for Registration Registration: 153507 ;l Type; F'riv:ll'e Corporation. CAPS COD INSULATION, IN ExpiradOM. '12/15/2014 Til 233a31 HENI;Y CASSIDY 18 REARDON CIRCLE SO, YARMOUTH. MA 02664 - 1 , .. ,� Updntu Address aad rutul n cnl.d. Mark ruaiun let change ..i l..� !.: .. - W(VI k4dI I 1 "r. [a Address L]:1�olicwnl :Ej (HIPluytnorlt Lost Drd '�ILIs`�(Ifl•7Jr.Ill.lNr•lNPrlF(!� r.,`�C����CdJGbC'6LGJ(tC�3 _' _ .- �. .., , .. ' l)rricc ul'l'unxnml:r rlfrnira di 13usI less Rqulnriun License or reglstrntiou vnlld for individul ,so'or11y ` AME IMPROVEMENT CONTRAGTAR buforo the expiration date. it,rot, ld:rut'tlI'll to; apistratlon; 1a2 t;7 Type; Office of Consumer ArNirs nod Business 110gulation �xplration; 12/1TK014 Private Corporailon - 10 Parle Pinza•Suite 5170 Bos(on,KA 02116, 10 INSUL A'l 1. N 'ASSIDY I )ONCIRCL,B 2664 Iluiiursecrctnry _�of val' withU t Illtf I'd TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I Map Parcel Application 1 Health Division Date Issued 9 h`! Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Stree ddress 6 pw66, 4 Village (�C WV � Owner U ky Address Telephone Permit Request 41tW a1v k4 WWI ft V Izt Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type R I__ ,/Z 4-M_1� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 01/ Two Family ❑ Multi-Family (# units) - C7 w Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's 1-4:4Lay- J`1es FNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other - Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new_-_- Number of Bedrooms: existing _new Total Room Yount (not including baths): existing new - First Floor Room Count rn Heat Type and Fuel: - ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing ' New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑ Yes 4' 0 If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /1if1i✓2r� Telephone Number Address „ ,Di9�dD�0 ��� License # Home Improvement Contractor# Worker's Compensation #,���'�/,D 57�7 Ste/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE f i 1 FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED MAP/PARCEL NO. ti ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE I' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL S 4 GAS: ROUGH FINAL t FINAL BUILDING r DATE CLOSED OUT ASSOCIATION PLAN NO. r L Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-100988 HENRY E CASSU�V it 8 SHED ROW WEST YARMOTY Expiration Commissioner 11/11/2015 a r I� rr�.1c 6 .MJ(?11j 0I: C 0 F)s I,I'll e I, Affairs and 13usl11e3S RegL.I1ah` fl 10 Part. Plata - Suite 5170 ; Boston, MaSsachltset;ts 02116 I 1rr1prove tile rit Contractor Regist 'ahol'1 � 1 t V I Ilv�.t� Cul .7i1r�lU.ln I f Expiation: 12/1 5/2'b14 •rrll 2'.a;M 1 ' t ;`�PF COD INSUI....A-I--ICON, INC III,IV f-0 Y C A S S I D Y _._._.---- a Iti AI"', N CIRCt...E YARM0UT f--i, MA 02664 Upd)ltc Address and refur'u card Hark l`cusuu fill d1illip'. Address Reilcw/ll 1':rnllluynt uu t 1•u I 1 .0 lard ;/ra,:u rrr c rr(//C l(rlJ h7�/!Y ll.l rii�(J i�tlult s Itusrn SS ltet ulauriu° l l arse in regis[I iliioii iuliil for individul ust_ unly ltq.I; fvlt-.UVWROVE.MeNT CON'fRAC I OR l,cluic the cspiraUun Lytle, If Ibwtrl rt:turir tu: `�M�. .y:,tr,,uvn Ih,i5ei7J,ypt,` 0111 Q661Consumer•Affairsand BIIsiucss ItegI'llutiwu epiI'lno11. I Z,'1 b/?0-141 F'nvala Corporalirn lU fart.Flaza-SUItc�17U tiusluu,VI1A 02116 ,I; Ili)N. INC, , - j 1 ,'n; Iilk)Ct Svct'clur) OC 1'tl� - lh'1111A t wit I1�... I - The Comnionwealth of Massachusetts l Department of Industrial Accidents Office of Investigtidons 600 Washington Street Boston, MA 02111 www,inass.gov/dia Workers' Cocapensation insurance Affidavit: Baulders1contractorspElec triciarxsl�' unibe:rs ti } yBic:atat fttiforYr� tioi Please P'ri.rtt i�.c.liac (liusuicss/Orgauiratioc>/Lndivicival): ��`��' -��l r � i.'iC /StIIC/zl L r a� I., GG Y /Ir. /�� -�T�. Phone#: F 7 Z_�% 2- Al c Yuri -'id etnlsloyer? Check the appropriate box: 1. ..1 wi; a c:ariployer with. j 4. ❑ I ani a general contractor and I . ' 'type of project (required): _ c[ttpluyces (frill ancvot'psrt-time).* have hired the~sub contractors 6• ❑ Now construction a sole proprietor or parmer- listed on the.attached sheeL 7. Remodeling ship and have no employees These sub-contractors have $. .Q Demolition �vorkwg for me in any capacity. employees and have workers' [Nu workers' comp. insurance comp. insurance:t 9. Q Building addition rCgwrrd_] 6. �] We are a corporation and its 10.Q Electrical repairs or additions 3.❑ 1 un a homeowner doing all work officers have exercised their all.[] Plumbing repairs or additions myself. [No workers' comp. tight.of exemption per MGL insurance required.] .r c. 15.2, §1(4),and we have no 12,❑ Roof repairs 3a.Q l am a homeowner acting as a employees. o workers' general contractor(refer to #4) comp,insumce required.] 't',ty applicant[hut checks box#•l must also fa11 out the section below showing their workcn'cumpcnsutiodt olicy inton-wition. r HUnICUWllels who subrniC this affidavit indicating they an doing al!work and then hire outside contractors must submit a new affidavit indicating such. :luuuviwra that check this box must attached an a"docua sheet showing the wune of the sub-routi-ALton and stare whether or not those CnUticx have cuq,luyc". if 111c sub-cona."tw-s have ctnployccs, they must provide their workers'comp.policy nurnbcr..: l ain an employer that is providing workers'eommpertsation insurance for my employees. Velow is the policy and.job site iajurautpurt lnyuraucc Company Name: 11011cy rf of St It-lns. l tc. #: Expiratiort Date: / ! "Z-,.114Z Job tilfe.address: City/State./Zip: W. 1/ :Minch A COPY of the workers' cores enxaxtlout olio declaration are(showing the olio t lAwber and ex iratiou date . p policy page � policy � } Failure to sec;urc.coverage as required under Section 25A of MGL e: 152 can lead to the hpasition of criminal penalties of a erne up tub 1,�00.Q4 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a flay against the violator. Be advised that a copy of this statement may be forwarded to the Office of lnvcstigations of chc DIA, for insurancc coverage verification: . I do hereby ecm#'" rider the nd penalties of perjury that the information provided above is true and correLt , t Si i •it 1 Q ' ! r l7at It r 0.JAial ra.Te only. Do not write in heist area, to be completed by city or town official Wiry ur 1'urvtn: --- Permit/[Iceasc# lysuiaag Authority(circle on[e): 1.ROAM of Health 2. Building Deparrtment 3. City/Town Clerk 4.Me'tricaal Inspector 5. Plumbing Inspector 6.Other ---------------- l'ulatlact Perso,a: . !� Phone#; "^y CAPECOD-27 MYOUNG "ni iC lC�Itr`i i.-..may UAIF IAIMIODIYYYY) CERTIFICATE OF LIABILITY INSURANCE _ 718120'13 TrllS CLRI IFICA'I'E 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 ULt_OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT,BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If thu certificztte holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subjncttu Ulu turns and conditions of the policy,certain policies may require an endorsement. A statement on this cerCificate does not contei rights to the 1 lCriiflCata holder in lieu of such endorsernent s . _ — — j ,,,,nucCrl License IF PC-514062 CONTACT Margaret Young IhUyUIS a Graly Insurancu Agency, Inc. PHONE MN.. FAR 1434 Rtu 134 1AIC o Exit: _—� _ _— .. _ `JAI( Nol .. . �SUnth Dennis,NIA 02660 EMAIL m oun c ro-L t L — ADDRESS: Y 9cr gersgra�r con'1 INSURERS AFFORDING COVL-RAGE NAIL 4<_ _._.... . _...:_...._......__.....- ..._.._._------_ _ INSURER A:PEERLESS INSURANCE COMPANY INSURER 6:COMMERCE INSURANCE COMPANY L:«pU CO(i I115 1latiOn, Inc. msun:Rc Evanston Instu_ance COrnliany _ _ . _ w 'IU Roar-doll Circle - INSURER o:ATLANI-IC CHARTER INSURANCE GROUP -- :iouth YarlTlouth, NIA 02664 wsuRERE: .... ....__._.....pre _......_..__.---_-•'_--_.—___.�..---- ----- .INSURER F: CUVERAGE's Ckh'rIFICAI'ENUMBER: REVISION NUIVIt3ER: nus 5 rU CER I IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD iNUICAIt:U NOTVVITIiSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITI•I RESPEC1 10 WHICHTHIS j ccR'nr-IiAlt MAY BE 19 ,LIED OR MAY PERTAIN, THE INSURANCE AFFOROED,BY THE POLICIES DESCRIBED HEREIN IS'SUDJECTTOALL i'hIETERMS, I ACLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _� _ �.T_......_.__..._........:..._._._ Ilrsrc _.... ..._..___....__.__..—__.___...._._—'-""A�DL'STJBR' � POLICyTEF PODGY EkP LIMIT'S . I rR IYPE OF INSURANCE POLICY NUMUER MND1Y h MID !Y Y UCNOtAL LI AUILI I 17ACFI OCCURRENCE S 1,000,000 I;unaImERLaaL OE NEttAL uABIUTY /2 14, DAMAC E TO'(CNTEO A X CBP8263063 411/2013 411 100,000 ,,.,. PREMISES IEa ouuuroncol Y CLAWS—MADE, 1_X.l OCCUR M_E;P EXP(AIIY Oita korannl b -......__. '5,000 PERSONAL�k ADV INJURY L 1,I)QO,I)01) GCNERAL.AG_GREGA'1'E 5 ___ 2,000,000 I 2,000 000 L, N't L ALik.4 IVI;A IF,LIMIT APPLIES PER. PRODUCII"-COMP1011 AQG 5 M� I (. )tn:YlI C,OMDINELISI@GkCLiMif-- y — AUIONIUt1iLE LIAWL IVY - - Ea acuUnl I y I,000,000 U AN)All IU 13MMBCKVMK 411)2013 41,1120-14 BODILY INJURY(Porpulsun) ,s -- llA Wvrlk:U SCI-IEDULEO BODILY INJURY(Per acOdanl) 5 At)10s X AUTOS t1ROPE�Y1 LIAMAG�- -- ..... NQN-0WNIcD - � 't - X hiNt-IJ AUTOS X AUTOS X UN LW LL.A I IAb X OCCUR - :EACH OCCURRENCC __ ✓' _... _m _ - 0 � (; I cx(;LSn LIAD OLAIMa-NIADE XONJ453512 4/112013 411/20,14 �_.__::�_ _ _ urtl l X ItE1LN1IOIV „ _ 10,000 —� W §T'fili� 0TI Iv 118tkR>COMPkNSA'(ION �— — AND hNIPLOYCRS'LIABILITY Y 1 N I,000,OOU 0 Are t K01' It QN/PAR INERIEXECU'rivE I VVCA00526504 6130/2013 6/30120,14 E,L,E,rCH ACCIDENT S -- Urtli L _.__1 WNIEMBER EXCLUDC07 l NIA ,__�. 1000,DU Al:oulaluly In NH) - - E.L.DISEASE EAFMPLUYCL �,___ II w;Jer;n�a ufldgr - l:L DLJEASIT-POLK;Y LIMIT '6 'I,000,UUU�- tll-tiCRI(I ION OF 01'ERA1IClIV5 Uwlclw - -- -- i ur•��tul'IIUN Oi-011ttRA110NS I LOCH I IONS I VIENICL ES (Attach ACORD 101,ArldlliunAl Rent Arks Schedule,It morn space Is roquirod) - jWorke.rs Compensation includos Officers or Proprietors. - jALluuunaFlnaulecl status,is provided under the General Liability when required by written contract or agreement with the Certificate Holder" l i CERIIF[CA TE HOLDER CANCELLATION ___!_' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES QF_CANCELLED OEFORE THE EXPIRATION DATE THEREOF; NOTICE WILL BE DELIVERED IN i Capri Cod Itlstlldtiull, 111C ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE �- - -.---• _—_---------.— — © M-2010 ACORD CORPORATION All rights reservad. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD DEC-%,04-2013 01 :36 PM COMFORTMAN 5084770516 P.'02 OWNER, AUTHORIZATION FORM - �°•�'' �•�"�`•l i0v (Owner's Name) owner of the property located at »:w,i:ir•awa: 1%.P.T �O PriF WOfid (Prooerty Address) (Prbperty Address) II hereby authorize CgAeC� ewa4z ubcontractor) ........... an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building ' permit and to perform work on my property. �ir�rar ■rrrr/r�yr+�rr• • • •r r• r ilrr..�.:• . Owner's Signature X Date r 12/04/2013 WED 15:00 [TX/RX NO 5860}-,-@U2 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map `� Parcel `7 i Permit# Health Division u���-� 3 16+,/ ®�`-�" c�,�ArA mf7 Date Issuede,(� 1 0 Conservation Division J pp 6A 7��,05V Application Tax Collector $y 5,, aoSA Permit Fee Treasurer SEPTIC SYSTEM MUST BE Planning Dept. INSTALLED IN COMPLIANCE Date Definitive Plan Approved by Planning Board VMTH E 5 ENVIRONMENTAL COD Historic-OKH Preservation/Hyannis TOWN REGULATIONS�D Project Street Address, if 00 Poi p po/Yp— 3 3 E A at, Village C ® 7'1/j 7— Owner p,41/% A, /V % epAddress Telephone 6-0 $r — it- 7 ir $® 3 Permit Request Square feet: 1st floor: existing proposed 3 2nd floor: existing proposed Total_new Zoning District Flood Plain Groundwater Overlay 1 =: Project Valuation 0 Construction Type ' �- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting doeumentation. 1 t� Dwelling Type: Single Family U/ Two Family ❑ Multi-Family(#units) Age of Existing Structure 4'0 Historic House: ❑Yes ❑No On Old King's Highwa : ❑Yes ElNo Basement Type: 2 tuFull 111 Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: dGas ❑Oil ❑ Electric ❑Other Central Air: 0 Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Cl No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use, Proposed Use BUILDER INFORMATION Name 3- 0, A .A A:2 Telephone Number 6-el Address 41,00 (. License# 1 - Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO l SIGNATURE _934ayho q, DATE 310 FOR OFFICIAL USE ONLY ti y PERMIT NO. ' t DATE ISSUED MAP/PARCEL NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATIO'N FRAME ( 17-3J0s�p� INSULATION. 61 tj SU t_- S_ Pam-' ' FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH -- + FINAL GAS: ROUGff�r- d �; FINAL Nrn FINAL BUILDING }- :t m �0 �-= DATE CLOSED OUT h -1 €7 0 ASSOCIATION PLAN NO. m f __ The Commonwealth of Massachusetts Department of Industrial Accidents' 660'Washington Street ••Boston,Mass. '02111. Workers'; Com ensation Insurance Affidavit-General Businesses �f i 44-a 0 ••, .. a..( vti .rf Pr�4j "• •. r a. +`'"',. �.'1� .i �1dV� • �� f I• r • ' state: zi :O hone#��'s 4'3-�'—���•• . work site location full address I am.a sole proprietor and have no one Bpsiness Type: []Retail❑Restaurant%BaAating'Estat fishment working in any capacity ❑ Office 0 Sales('including-Real Estate,Autos etc.)' I am an em to er with ein'lo ees(full&part time: Other + ////%/////%%/%/i.i.��iill/%/%///%/%%%/%//// %/ I cWl?yer providing.wrkers compensation for my employees working on this job. ��, :.i5 t•,{:r:S? .. •'i•'•C'• .S�';:' •i r:1'• '!;' w'' r'i:•:,i. }ti'1'r •F:+ com' an •Starve• '> �4•. ..S::.fr4J"`l, ti`•``.>:'� _ '.1��''i. {� �.ii'a: ?i. 'i .,. 1 .. 't ..a y'— ':11'fT.,,• •'�' .:it .i'i�. 6. 1[ ... .1='.: 1•. rttir•.. insurance.cns' Q I am a sole proprietor and have hired the independent contractors listed below who have the following workers' .compensation polices: COII]r8II IIflIITe' r 71 t ti;: address:. 7,l:'.t;,., i :l�k� +i'• r•0-iiC :#'': ".e+'i:+.'1::.:.•.'::)'.k`:'' •-{9.•.�. insurance co. :*' _;"'• r'� e..' coin"an. naiffe:a addressi. ; , ; :•,:~ ,'R;.• DtOIIE : CI�� .,i.i ',:• •nV.•• •,l,. +.!.�7 •.T�. ,.4:+i. f<`;tr ' ti-.. �.l it '.•40•: .'•l' 'r" �1:' f. .:Y. ''�� •,, lIlsur6nce:co;'+ 01111111111 MON Failure to secure coverage a9 required under Sectton 25A of MGL 152 can lead to the imposition of criminal penalttes of a fine up to SI,500.00 and/or one years'imprisonment as well as civil penalties in the fdim of a STOP WORK ORDER and a fine or$1 om a day against me,.I understand that g copy of this statement maybe forwarded to the Office of investigations of the DIA for coverage verification. I do hereby curio under t epains and penalti s of perjury that the information provided above is trr4e nd co rest, - Signature d' a• Date Q C� Print nan ee / /V I 1 Phone# A official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department . U. ❑Licensing Board ❑'check if immediate response is required ❑selectmen's Office ❑Health Departmeni ' contact person: phone#; ❑Other ' (revised Sept 7A03) t Information and Instructions Massachusetts Gen,aal Laws ch�pter�152 section 25,requires all enVloyers to provide workers' compensation for their. employees, As quoted from the law', 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 deed as an individual,partnership, association, corporation or other legal entity, or any two or more of fin the foregoing engaged in a joint enferprise, 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 bavmg'not more than three apartrnents 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 section 25 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.compliante with the insurance coverage required. Additionally,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 in the workers' compensation affidavit completely,by checking the box.that applies to your situation., Please supply company name address and phone numbers along with a certificate of insurance as all affidavits maybe submitted to the Departrnent-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 Department of Industrial:Accidents. Should you have any questions regarding"the 'law"or if you are requested, not the required to obtain a,workers'•compensation policy,please call the Department at the number listed below. City or Towns . Please be sure that the affidavit is complete and.printed legibly.. The Departn=t 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 pernntlhcens.e number.winch will be used as a reference number. The.affidavits;n-ay.be.returned to the Department b .m or FAX unless other'ariangernents have been made. The Office of Investigations would hke to thank you in advance for you cooperation and should you have airy questions, Please do nothesitate to give us a eall.- The Department's address,telephone and fax number: , . , The Commonwealth Of Massachusetts, Department of Industrial Accidents M of Wasugatlens 600 Washington Street Boston,Ma. 02111 fax M (617)727.7749 phone#: (617) 7274900 ext:406 oY�E Td of Barnstable • ~��°� Regulatory Servides S Is . ThomasF,Geiler,Director Building Division • Toth Perry,Building Commissioner ' 200 Main Street, Hyannis,MA 02601 , Office: 508.862-4038 Fax: 508-790-6230 permit z<o. —- Date ' AF�TDAYJT' . • XCOME Z2RO•VEMENT CONTRACTOR LAW SUPPLEMENT TO PERTY=APTLICATION MGL 0.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, •ynaprovesnent,removal,demolition,or contraction of an addition to any pre-existing owr,�er-occupied bg containing at least one but not more than four dwelling units or to structures which are adjacent to •• such residence or building b e done.by registered contractors,with certain exceptions,along with other requirements, • Type of Work: I Estim4ted Cost `f'r 3 - Address of Work:, OWuer'8 Nsme; r � • Data of Application �� O • ' . 1 hereby certify that; Registration is not required for the following reason(s); ' 0Work excluded bylaw (]Job Under$1,000 []Building not owner-occupied caner pulling owu permit , Notice is hereby giYen that; OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONT'RACTORS FOR A.PPIA04,1E HOME ZUROVEMENT WORKD0 NOT E3 VZ ACCESS TO THE AS ITRATION PROGRAM OR GUARANTY RIND UNDER MGL c.142A, SIGNED UNDERPENALTMS OF FERMI Thereby apply for a' errnit as file agent of the owner: Date Contractor Name RegistraEion2`(o• ` OR VL Owner's Name 780 qA R Appada J Table J5111;(continued) Prescriptive Packages for One and Two-Family ResideutW Buildings Hated witb Fossil Fuels MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Heating/Cooling Area'(%) U-value= R-value' R-value R-value° Wall Perimeter Equipment EfEciency' ue° Package R-val R value' 5701 to 6500 Hating Degree Davit Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% O.SO 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 NIA NIA Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 NIA NIA 8S AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 18% 032 38 13 25 NIA NIA Normal Y 18% 0.42 38 19 25 NIA NIA Normal Z 18% 0.42 38 13 19 10 6 90 AFUE AA 19% 0.50 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: o®► 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,ex a as expressed percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. p For example,3 ft of decorative glass may be excluded from a building design with 300 fl of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or ove rsized truss construction. If the insulation achieves the full insulation.thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation , , thin must be laced between For ventilated ceilings, insulating sheathing p insulation plus insulating sheathing (if used). F g the conditioned space and the ventilated portion of the roof. `Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall.For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages). Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement &-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes eleetric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: slues are maximu m acceptable levels. Insulation R-values are minimum acceptable levels. a)Glazing areas and U v P R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested j and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c If a ceiling, wall floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with ) g equal to different insulation levels,the component complies if the area-weighted average R value is greater than or q the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $ 50.00 Alterations/Renovations $ 50.00 ' Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE —square feet x$96/sq.foot= x.0041= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE . square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00" >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if-applicable) Permit Fee Proicost i FtHE Town of Barnstable o ��ti Regulatory Services. BARNSTABLE -_ .—Thomas.—F.Geiler,-Director _ � s MASS. - 99,A 1639. ,�� Building Division. .; rFDMAtA _. - Tom Perry;=Building Commissioner m - 200 Main Street,' Hyannis,MA-02601 - — _ www.town.barnstable.ma.us - - x -y_. . •,._ -_ . -Office: 508-862-4038 = _ F_ `Fax _ _ 508 790-6230' HOMEOWNER LICENSE EXEMPTION Please Print DATE: i 2 JOB LOCATION: number ��jff street village "HOMEOWNER": � a, ✓"� SP a — 43`g01--1*3 60 S W-)r — 05 name home phone# work phone# CURRENT MAILING ADDRESS:_p61 9& ( j city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION 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 of this issue is a form currently used by several towns. You may care t amend and adopt such a forni/certification for use in your community. Q:forms:homeexempt JAN-10-2005 01 :24 PM THE COMFORT MAN 5084770516 P. 01 Sj }} 1 III 7 Vr~ 1 _ a i F BC CALC4 2003 DESIGN REPORT•US hAenda>r,�anuery f o,�+s.10 ��- SC CALL®2003 DEMON REPORT-US Mondalt,January to,�efi st;16 Triple 1 3JA"x 11 716"VERSA-LAW 3100 OP Pile Neme: r1C CALO PrWeet.R101 Job Memo: Neltbe also Necdoon. Addroso; gpaetner, 00*110 Lumbar cu.Inc. CRY,Vista,2c ,Me. Os*oer. Graven AruhMaolural cuaMmor (hod Maw QImpsny: Cede ldD rt 100 511A NI R M MIAG: _I p __.. �/�•4-r 1 ` �DI��Ml011d'�16�'r 1fa111Mfr.'- I 1 p e� A,pJy�'{{ e ,k� h i '� v ��``,11N�� ut N nll''rp 1 . e +� 91 tieal lad LL 8431 lbe LL 2046lb$UL 2646 lbs OL total 11eMtofltsl L elh•14.05.00 oMwim oft Load Summary VMI<on, U6 Imperial 10 OaatrlplSon Loss!Type Rod', stun and type Volka TO. Ow. e D ondsrd Load Ural,Area LaR W-00-00 14-MOO 1.111011 76 sad 11.0040 116% Aarnow Type; Reef Beam Geso 16 of 1$40.00 S10% Nwbar o190oner S t endiro bed UK Area Len 00.00-0G 1 4.01.00 Ltae 24 oat ii""a 100% Lan 0orAl ve►: No I Dead 1 o psi I Lw-t10 00% gtlA1 cenwwer; Ho controls summary Slaps: 0112 Cowal Type Vow %Allo"ble Dufsllsn Und Coos 69drl Lowdlon rflbulgl: 'I04"o Mamrnt S0027 RAW 8116% 1'19% 7 1•Inlemai Nel.aHorvglnS 0 tt-laa i,!$ 100%% Erwd taboo► ?163lbe, 611.0% 115% rr 1 LaR Total I..ead ilall, LOA(C.7161 41012% 3 s Li"LAW; 25 pot Lhre Load Gail. LJX2(0,6001 70.2% 1 1 Used Load; 16 bet Malt(]sM 0.770" 77.8% 3 ' Patebon Lrmdl 0 Wt Duradan: 114 %awe OlsgMsutuno Dallign mail%Code nenlmum(V Sallow IoaJ de11e0don World. n+s coin ilea snd aaauncy a1 t�Dr+nos%Code rndnimum !M)llw load defleemon altbMa. IN inoul nna o Willed 1 a nil �n wmft IwW rary(t^)Mawnum load dufly4svo aAM9na, ar nP Mmium boor®Iepigth for 80 is 1-74'. "M viould raly on the outM as minimum esern0 WON n r 91 is 1-711" swlenoe of aubbw far a Member 6100e a 0,aenakler drainage oftiler applin 6 The out;mt 6aparyddpa,plsysy Ho4nnaal 6psn 6"61h(s, Cluor fton+14 min osd nsering r to InlarMoloteWarha0 abase It blood upon building code' allel ad doWBn tnopaM Connsallon Magrom and allo wls molhoOls. IMutallabon Consult prg0Ct dagr prol"WrIal of teoolo u1 scjgt'technical represern anva fm amnaseon design of vulva"PUMA Wood Nailing orhadtile spell"to%site sides of lne member oroduols mat be In secotdeeod *maw hea rto sloe Was. we 4ao uaraltt Ilellskeu t*awe and Ile applicable bulldln0 codaa. Connautors are;150 3001 Noll$ Ta abwh an Inslallslsn Guide or rt YOU fault sny WOWS,plealw rah s„2, (i> C)2324716 boaters b"IM111ng b. prodvot m"ltow, 80 CALDS 00 FIALRAM.IlC{m. d a+r e ♦ a Bc RIM AMU M Be CAD RVIA BCMo- WNE oLULAM c i RtM& VERSAAM 1y Uft i • ..... v8Rsa6TRAN0^' 1 w � VE1&A.8TV06,ALLJDISTS arW b ! &isfMamVedsmarksof �.--- _...__._.... :... Baiao caycavle Qorpera1001, , D 4. y011i;0Id a>rdulo l ;e0ulI1 � � ' M}cg Wd t,( : 1500c',-01 Nlif Z0 'd 91S0)-Zb80S NtlW 12IOAW00 3H1 Wd SZ: TO 900Z-0T—Ntit i i ®C CALCS 2003 DESIGN REPORT - US Noonday,January 10,200811;10 Sil�id 13W x 51120 VERSA-r.AMOD 3100 3P Pilo kamo; ItC 040 Projetd;R003 Job Name; NOW lido Nacripnnn, raesi spww l motto Lumbar Co.Inc. Add Add oW' Ylp' ,Mt. DeYlgnor. do wen Archk tAUM Coy,Cuetpmar: DOW NOW CornPony Coda r. f10 IC90 Hill.NFA 021 MMC t2 ... .. t .L.A .... �ncb '.ea Tr UW"co _+ .,� � kN; I � � 7r!paf i pW im pt vl'. YlV .ui" tjl ��'� yyx'T 1 t Y V.vp 1• '�'Y.WIC 40 Sao 2053 lbs LL 122 the 7L 722 Noe Ll 1115 Ins OL 334 Iba 151. aU be 0L Totai Merittuwrrl Lonplh-16.03-410 Oattertd Qtela Land 9t11yfntary W on; US IMPadel 10 Doampdon Loot!fyrpe Rol:. moan ana Type Volvo Trib. Dur. 9 MOM Laed Unf.A,roe Left 00-0040 10.00-00 LIMO 20 pat 05-0140 115% Member Two Real Beam Dead 19 pat 00416-00 0% NumaerofboNne:2 1 c0►Ilnplood- Unt wee Left x-00-oa 10-00.00 Lhro 1opall in" 6 oft Con eWet No Dead itip Cendieuar. No co"10 Summary elope: ON 2 Cgmr91 Typo Value %AllwMIAe 0uf ttlon 4040 one SPen Loca lan TrIbmty; 0543.40 Moment 2542ft-Ibs go.V% 118% 3 2-Lon No .Mw0t .2fA21t-On ".4% 119ib a 1..Malt shear 811 Ibe 4d16% 115% 4 1-Left Cont.$hear 1443Itts 07.4% IS16 x 1-IOgAt Lin Land 20 paf T0121 Load Den. 1404(0'"W) 61.9% 2 Dead igod 15 pof Lhm toed Celt. L1350(0.2141 88.0% 5 2 nefgpon LOOM 0 pef Tete1 Ned.Dan. 400.1' 814% A 2 c"iman: 11 S Mat Dori 0.3fl2" 381% Y 1"alosure The oampkftAO s end eecufe y*11 gs0slpn nms%Cow minimum(1.1110)'Total hied dNlaoflon 00e00. the Input nwrt to wtrrnl.e by anywne DOQh Mane t;ode minimum(Liao)Uw load daneotlan oibft. who would rely on the 04ta ae Deetpn me*%er"M V(I")Moomum toed defleolbn cr%00 INN>W=61suldlbiily for e NbNmum beefing Ierlptd for 1t0 IS 1-1/201 porbwlgappkosO, The,output ttllnittuArn tsearinq I»noth for 61 Is 3" show is btttree upon bWldttrll Mlnlmum bearing Ierpth tot 92Is 1.14'. oW"cdepted dsaapn P►uPWOM mood r Slaps•0,consider drainage. end anstpl117t01lM, InstAlleltna gr,Mted/01sMayed HoNantat Span Len01h(s)•Goer @pan•112 min.end bearing 4 112 r+tofinedtate beortng of f!t?i8 engineered tl w produab R%*be In accardsncs wm the currant insto4 t m Quide ow Ore epocabie WOO codas. To o MoIn on IpatellOon out;le Or 8 trou h"any quentons,Pismo call (MM2324780 before boglnntng produot In"Iellon. AC RIM WAD* 00 RIM so,AA01',901e9 OLULAM`". ' VIRSA-LAM S,Vf3RBA-AIM6, %aR9AA11A PLU80. vL"R8I�1Yrati(Wot"; v"M4TU06'Al.LJaleTen and AJs'%are nedamarks of Melee ca Dade Corporation Race 1011 50r�0 'd 0189?1 610 H9 Lued`ul0 1 dq III r'1 0110 U0i Wd 801?I 5COZ 01-NV.r £0 'd 9-TS0LLb80S Nk-W 1dOAWOJ 3H1 Wd 9Z: TO 900Z-0T—NkJf JAN-10-2005 01 :26 PM THE COMFORT MAN 5084770516 P. 04 � I SC CALOID 2003 DESIGN REPORT I•U8 Monday,January 10,2CD611:16 Double 1 9M" a 11 VVI VERSA-LAM®3100 SP r-110 mere: OC C&C project RIM Joo Name. Nallor lie. Doxittion; Addrsas: 9peoltlor. Botell0 Lumber Co.Ina. "ity,state,TJp: Me. Deelgnor: Graven Arohitettural Customer: 0"NoNor 09rnpeny1 Coder A4: IC90 W2,NER 84 "or; ,a _ d Ulad 23 1Y6f T ,-1� ��....�..._...1 � M...... ��.�.._ ...i.....�... .�.--i........t_.r.h 1 I1�^.wnw^T.^^i.+ r ,_W.•.».. t y, ate1lrMP per� rlbutrrp 1 sdbOd ' ..• Iv ,f», , •cY. �l ;I m' ..i� ,,i�,. •i a 9' �r�4� .t','y, •� VI , '6- . r r r 'a�ltu'w�l .i:,li�i' Ca ` L' f ..J'a,1�� .� l �t 4444 Ibo LL 4444 Ox LL l326 to OL 2SH the IDL 7�t91 Iio►lzangl I.M1giR-104tiGn 3marel ri Load Summary Vorelon: US imperlel ID d11e0d040n Lead Type 1W, $tart and TYPO Value Trlb, Our. I Standard Load Unt,Arse I.Aft 00.00-40 10-08.00 UVe 76 par 13.00-M 115% Membor Ty131: lRoaf Hoorn Dead 1 s w 1 s4m 90% Number at SPOW 1 1 calling load. Unf,Area Leh 00.00-M 10-00.00 Uwe A pot 130-00 100% Lett Caarttlnwar: No Dead 1 o pet 13.0"o W% Rgle Cen"IN41" No Z 0643,40 t W 2003 MO nle 110% Dead 1110 The we 00% Slope: W1z tributary' 13-mac Cgn9rols ommary coi{tt'ol Type WIN %Allplrable Ouratlon Load Ogee •peps l Qsmtloo MOMIA 71937 h.ft $9.7% 115% 3 1•inte►nal uw load. a`+tM Nap.Moment 0 lt.lbe Iva I Do% Dead hied: 16 pal ®nd Sneer V93 Ih4 62 T% 119% 3 1-Left Total Load Doll. U306(0.412") $d.!% 3 1 Du non6md; Al�aT Llw load DO. U491(0,17") $1.49k JJ 1 Max Dsfl 9.412" 41 2.% 3 1 014010aure Not" The comptoteffs"and soauraoy of Design meets Coo minimum(LHS 'total load deflection aritans. Iha Input rural be V*ftd by enydittr Oeolgn meet Code rolhirriurn,L1240)LW load doflectlon criteria. who would rely on ire output as Desloo meets arbk m►y W j Maximum tend deflecton erhoio. w dertoe of a ftlifitty lot a 01410111 bearing lonoto far 001s 2-1W, perbular eppllcatlon. The auW Minimum beor%g length for 01 is 2-114' oapodntodo0bd to tolood upon tufft n proportiee Mombar slope■0,eohsldor drolne�e, M J r and anoatilo m design Inatenllas Intel ed0Iss9syetl Horlsontat 6 ilith(s) Cleat$pen 1r2.rMn,end beaMng a 113 Mimpolate bodAng 0 COIt3E sroh"red wood Cormeadoo 0189rarn products must Do In a000rdenae Consult project design profeaalonal of twtmtd or 9018E technical reprerantall"far connection doa'gn vft the eurrard Instillation Guide t,4ember has no alde loads end the applloapta bWdM court• Concentrated loads are not oonaldered in side+pod■neirsla, To obtain on Instsflatldn Guide or I you we anydusal+ons,please call Connocton$1,01 IPA sinker Nall® (A00)7W2.016111 before boonnlnq product Installation. a a], b d. pC o x 4" Ell L_�_.__,..... • --._._..__,,, ...,._..:. a,l; 9C RIM$DARD'M IC 068 RIM DOW'",WIN GLULAMta d� 1 r' �...,..•a ,,"e ♦ �• M+o* VeR34LAb111,VI4li15A.R004, }; _ VERIIA-RIM PLi184111), VORGA-STU06.ALWA18T*and F AJSTM ere tredpMerIts of e ' notse Oasaads Corporettpn 5U;`rL 'd 6Ured Ulu :?gjlr Q, _ I Av- LOT 70 353A•8.8 S.F. / ' O T=40.0d 42.4 % LQ PROPOSED ADDITIONSLLJ . is ' . Q�40 pp GERT I ff I EP PLOT PLAN �F Mgsr L. .,ATM: 400 POPONESSETT RD., GOTUIT, MA S VEN gym' PREPARED FOR: DAVID & i5RENDA NAILOR o R ,MBA ti 5(.AIF: PRAM DY; J 90 Q� I„ _ Tw !q FESS10 �Q %M NLM R: DATE: 5tffT: N� SUR\j� OAF-" a,LY 29, WO-4 CM-I: WELLER & ASSOCIATES 1645 FAL.Mafl'H RP - SUITE 46 GENTERVILLE, MA OU% TEL: (508) T75-07% N FAX: (508) 775-0754 PROFES51ONAL ENC INFERS & LAND SLRVEYORS \ l --fir-- - �ETriITT� {It x2 "acccn. IMPORTANT i ANY CONSTRUCTION THAT INCREASES LIVING SPACE BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE • Iv INSTALLATION OF ADDITIONAL SMOKE DETECTORS. i NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE { INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL i; mmeacr�avr PERMIT DOES NOT SATISFY THIS REQUtREMENT. Cj�LEt1=�¢Ck1L-r-c �.srGc r .. owiorwaww�ew - .. 2TY?,CI�&rjc I �.• �_ .� � � - � ., a6YC,��'�_ YMMViC ht oMwM ev p,'__�a_