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0217 SANDALWOOD DRIVE
CZ- It wockLD � ob Town of Barnstable *Permit4 - Building DepartmenT 'ej 6ruonthsfromissuedate Brian Florence CBO �s0 AUG 2 Y� t `��' Building Commissioner 4 1 200 Main Street,Hyannis,MA QQ• ��0 ( ` www.town.barnstable.ma.tfs�!i /AI - �r� -� Office: 508-862-4038 Fax �08-790-6230 , EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY `�3 Not Valid without Red X-Press Imprint CaS /Map/parcel Number Pro er Address AL)L)b t pry I'1 SGi� � [V7 Residential Value of Work$ 1 S Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address �� pn e V�C Contractor's Name Sprinkle Home Improvement Telephone Number 508-775-1778 t Home Improvement Contractor License#(if applicable) 103757 Email: sprankacomcastnet Construction Supervisor's License#(if applicable) CS-006643 EZWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance ,_ Insurance Company Name AIM Mutual Workman's Comp.Policy# WCC50050167472011A Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping: Going over existing layers of root) Re-side Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: r *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner ust sign Property Owner Letter of Permission. y ome Improvement Contractors License&Construction Supervisors License is re SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\INetCache\Content.Outlook\9NNOKXYW\RESIDENTILONLYEXPRESS.doc 09/26/17 t - The Commonwealth of Massachusetts w Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 g�1 www.mass. ov/dia 5 9� Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Barnstable Rd. City/State/Zip: Hyannis, MA 02601 Phone#:508 775-1778 Are you an employer.Check the appropriate box: Type of project(required): 1.E✓ I am a employer with 10 employees(full and/or part-time).* 7. ❑New construction In 1 am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition IFJ I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. 1 will ensure that all contractors either have workers'compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12.[:]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof repairs These sub-contractors have employees and have workers'comp.insurance.: p 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. then t JS 152,§1(4),and we have no employees.[No workers'comp:insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M.Mutual Policy#or Self-ins.Lic.#:WCC50050167472018A Expiration Date: 1/1/2019 Job Site Address:,�,n r X�✓��G+.l l�I,Y,Y.� t(�Q City/State/Zip:a-h,�� o-0 Qk m� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this sta ent may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. - I do hereby certify un the ai nalties of perjury that the information provided above is true and correct. Signature: Date: n I Phone#: 508 775-1778 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: SPRIN-1 OP ID:DS ACORL�" F DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 1 07/11/2017 1 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 CONTACTNAME: Kelley A.Sullivan Bryden&Sullivan Ins Agency PHONE FAX 88 Falmouth Road A/c N. Ext:508-775-6060 A/C No):608-790-1414 Hyannis,MA 02601 E-MAIL Kelley A.Sullivan ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:NGM Insurance Company 14788 INSURED Sprinkle Home Improvement Inc. INSURER B:Associated Employers Insurance 199 Barnstable Rd Hyannis,MA 02601 INSURERC: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE IN SD WVD POLICY NUMBER MPOLICY DIYYYY MM DDILICYYYri LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR MPT2640X 07/01/2017 07/01/2018 DAMAGE TO RENTED 5OO OO PREMISES Ea occurrence $ X Business Owners MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY1:1 PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,00( OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident A ANY AUTO M1 T264OX 07/27/2017 07/27/2018 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE CUT2640X 07/01/2017 07/01/2018 AGGREGATE $ 1,000,000 DED I X I RETENTION$ 10000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER B ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCC50060167472017A 01/01/2017 01/01/2018 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? Na N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Certificate issued for insurance verification CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ACCORDANCE WITH THE POLICY PROVISIONS. 199 Barnstable Rd. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE Kelley A.Sullivan ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD SPRIN-1 ACORN" DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 01/11/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER 508-775-6060 CONTACT Kelley A.Sullivan Bryden 11 Sullivan Ins Agency PHONE 508-775-6060 FAX 508-790-1414 88 Falmouth Road (A/C,No,Ext): A/C,No): Hyannis,MA 02601 AD D IL Kelley A.Sullivan INSURERS AFFORDING COVERAGE NAIC# IN SURER A:Associated Employers Insurance INSURED Sprinkle Home Improvement Inc. 199 Barnstable Rd INSURER B Hyannis,MA 02601 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL UBR POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISESEa occurrence $ MED EXP(Any oneperson) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO LOC PRODUCTS-COMP/OP AGG $ JR&- OTHER: AUTOMOBILE LIABILITY COMBINED accidntlSINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-AWNED PerOacERTY DAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATION PER OTH- ANDEMPLOYERS'LIABILITY Y/N WCC50050167472018A 01101/2018 01/01/2019 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more space is required) CERTIFICATE HOLDER CANCELLATION SPRNKHO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Sprinkle Home Improvement,Inc ACCORDANCE WITH THE POLICY PROVISIONS. 199 Barnstable Rd. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE Kelley A.Sullivan ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Construction.Supervisor Y commonwealth of Massachusetts Unrestricted-Buildings of any use group which Contain Division of.Professional LiGensure less than 35.000 WbiC feet(901 CUMC meters)of enclosed Board of Building Reguiations and Standards space. x Construct!4ii-§bpervi sor S:-0Q6Sa3 gs Eatpires: 1010812Q19 �• a4u .- BRAD K SPRINKLE'; 199 BARNSTA13LE ROAD ; HYANNIS MA 02601 b Failure to possess.a Current edition of the Massachusetts 1 * State Building Code Is cause for revocation of this.ticertse. For information about this license !��•.�' Call(617)TV-3200 or visit wwwinass govidpi Commissioner - - s` ®ff ce.of Consumer Affairs and Business Regulation i v 10 Pafk Plaza-Suite 5170 B®ston,111iassacliusetts 0211.5 Home rovement Contractor Reg tion j Registration: '103757 ; 1 ma Woe: Private Coration' ? Wration. 719/2018 Tra 41W91 SPRINKLE HOME IMPROVEMER9T Brad Sprinkle " ` .W 199 Samstable,Rd Hynrlis;MA 02609 -- - — = pdate Address and return card:Mark reason for change. ddress :,Rvnevial. Employment' i osi`�ard ! '��•Yt`r.•ritrwr.rr�1/ri c}��,�>n,x,ml:aJ^J'!j Y OfifeeorCoasnmerAlPaire&itasi station •'' �lceetsa or re$pstt�4i®n vfil; air lradlvldt�8l use ant " ME iMPROVEAAEriT CO CrOR before the expiration date. if attd return to: " lteglstration: 103757 ZYPe Regulation ExpfrnLlon.. ?!4'12 18, Private Corporation l0 Park Pura-Suite 5170 VFF7,", Boston.MA 02116 r Affairs and sines SPRINKLE HOME IMPROVEME INC. .Brad.5prinkla',;; � 189 Bamstal:le Rd. Myannts MA 02801 Uoderseerotary Not valid without 0i alum ` G— '{ Office of Consumer Affairs and Business Regulation } One Ashburton Place-Suite-1 301 Boston, Massachusetts 02108 Home Lmprovement Contractor Registration Type: Corporation a y� -- Registration 103757 :> SPRINKLE HOME IMPROVEMENT;INC 4 Expiration:` 07/08/2020 t 199 BARNSTABLE RD. HYANNIS,MA 02601IV Update Address and Return Card. M- ,�J 2005117.._ ��ieir0ommariurea���oAiL�crva�rc�euoe%fa ;V Off ice;of Consumer Affairs&Business Regulation ' HOME IMPROVEMENT CONTRACTOR; Registration valid for individual use only `TYPE:Corporation g d "- 'before the expiration date. if found return to: z _ s., Registration, Expiration Office of Consumer Affairs and Business Regulation t ro�103757 07/08/2020 One Ashburton Place-Suite SPRINKLE�HOMfpEtIMPROUEIVI9Ej{NT INC r .�� Boston,,MA 0 -4 ` BRAD K SPRINKLE 1,99 BARNSTABLE`R� (� { HYANNISiMA 02601 Undersecretary ^ NOt Valid Wl U SilMature THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A� L DATA p���_..=a� ,rw„r•As C'"mn�w^�.��� z"nf" �r�' �'s- s;��,t,�� 'K� :+, { w r + ' # mid a r � ,�.: 64 fta d U-11, Should w scission penod, contractor will<recover' ` Viable feex(including profit) for all completed ,, M. mdw r A� "iamb i ��•ig t fa teFnecessaryiinsurance. Contractor's workers are fully covered Y q '. #'✓ s y yyW. 4_ v nE r. ng,,plurnbing, electncal, dry wells, etc.; and all other work necessary that is ,.: °ems contract, shall be tfie'responsiblity of the Homeowner. . a > above pricinglis based on a single layer strip unless otherwise specified. Should ereFbe a?�`addttionallayer or layers of roofing they will be removed.and disposed of at an additional cost Re Ieadmg of the chimney is not included in quote unless specified and will be bill y}additional, if required; r YFor Window mstallatron, contractor is not-responsible for removal or reinstallation of window li treatments (i e :eurtams,=blinds,.etc.), Contracts not I.fully executed=within thirty days of contract date are'subject to pricing adjustment if applicable. RIGHTS TO CANCEL 4A nzy cancel this Agreement if ifhas been signed by the Owner at a place other than the address of or which may be his main office or branch thereof, provided that the Owner notifies the Contractor ilk hismain office, or branch by ordinary mail posted, by telegram sent or by delivery, not later than F' 4 he third b; ess day following the suing of this Agreement. s . h,r WARRANTIES : actor$,warrants that the work furnished hereunder shall be free fromAefects in workmanship for a � Sao(?)years following completion and shall 'comply with the requirements of this Agreement. Tn the a defect in workmanship, or damage caused by the Contractor; his subcontractors, employees or agents, t �elwithin two years after completion of any job, including clean-up, the Contractor shall, at his own �rthwrth remedy, repair, correct, replace, or cause to be remedied, repaired; or replaced such.damag e p , k yr 'm workmanship as long as the owner has paid their agreed contract in full. The foregoing ` symall survive any inspection performed in connection with the agreed upon work. 4TMajrvrF rt a� lids}for product supplied by the Contractor under this Agreement shall be those given by the i of such product, which shall be and herebypassed directly to the Owner: 411 Such manufacturer's p y , {€ h the Owner may be required to register or mail in a warranty card or other evidence of ownership and r : product m order to activate such warranties. .The OlAmer's failure to send in or register such . { , roti„ "hich failure voids that manufacturer's warranty,shall not create any responsibilit for the l warranty such product.- y e� Any changes in the contract during the duration of the project which results in additional monies will b&paid in full to the contractor,at the time of the change.. n Nome Sprinkle Home Improvement to act.on my behalf in all matters relative tothe work to be ' �med;on this job (i.e. permits,"applications etc:) if necessary. 1 . frM t der Signature Date Cont actor Si nat a Date 1 ; Brad Sprinkle- Registr tion number: 103 4 Mood Dr., Cotuit, MA 02635 ,. 757 M e., } TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 03 Application Health Division Date Issued q 10 iConservation Division Application F eSOqX Planning Dept. Permit Feel VS- DateDefinitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 0 11 �CL(\Ck0JV-,)00Ck Village O4 V t Owner 1(X lie, Address Telephone �)O� Permit Request 1 r S C S rlAlfic. Ici n S 0 , IA -I- MC k6ess- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valua ' 1 F Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings-Highway 0 Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other x� Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft Number of Baths: Full: existing new Half: existing new 'T Number of Bedrooms: existing _new ;y, 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 ❑ Commercial ❑Yes AkNo If yes, site plan review# Current Use Vn Proposed Use --,To tnn� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name O 40vncTa I Telephone Number�Q � Address U v Q �t License #, wti� RA 19 ;T Home Improvement Contractor# Email a ; -Vt M A G1 0 Y4 d Of Worker's Compensation # J u ALL CONSTRUCTION DEBRIS RESULTING FROM THI PROJECT WILL BE TAKEN TO Old mn SIGNATURE p q13 0 ATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION a FIREPLACE l ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. C011SLInier Affall-IS Is]Off CC. 01 and Bt. ness .Re gulatioll 10 I"ark" Plan Suite 5.1.70 Bostol-1, Massachusetts 02 11-6 Flome Improvement Cd actor Registration Registration: 180747 Type: Corporation Expiration'. 12/29/2016 Tr# '261507 INSULATE 2 SAVE , INC, ROLAND LANGEVIN 410 GROVE ST gog FALLRIVER, .MA 027.20 SCA 1 0 nNT,OF,'i arltlrccI ti.q Card 101.5ille's Itegulalivi I,Jcenscor registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the e.Npioratioii (late. If found return to: ,V,,O Registration: 180747 Type: Office of Consumer affairs and Business Regulation Expiration, 12/29f2016 Corporation 10 Park Plaza-Suite 5.170 Boston.'NIA 02116 INSULATE 2 SAVE ,INC.�._. ROLAND LANGEVIN 410 GROVE S7 FALLRIVER, MA 02720 Not valid without signature iAass'achUSet-ts i r-'Partrne.nt of pti BOar bfiC safety O Of BL"101119 ReqL/lat"Ons and Stj,jj,, License: rCjs _,Or ROLAND LANGEVIN 16 HIGHCREST ROAD FALL RIVER MA 02-72 0812412017 AC ® Cj DATE(MMMOn YYY ERTIFICATE OP LIABILITY INSURANCE ) TLiS 7E S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER:/TIGS CER1MAIE DOES NOT AFFIRMArJELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY TKE POLICIES MLCW•` TM CERT04CATE OF MAJPJ.LNCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUNG INSURER(S), AurHORtiZED REPRESENTAIIVE OR PROOUCER.Mo'INE CERIIRCATE HOLDER. holder is an ADDIllOWE IMURED,the policy(1es)must be endorsed. H S A O IS WANED,SUbjee{to the terim and condition of the poiaY,certain policies may require an endorsement. A staffirnert on this certificate d canker Ili holder in 6 W of such does not confer rigtlts to the e+WoraalRt�ae s). PROWC,k _ CONTACT Anthanir F. Cordeiro Insurance PHONE _-- '-- 171 Pleasant Street (508) 677-0407 FAX . (508) 677,-04O9 ' Fall River, MA 02721 ADDRESS, hsouza@cordeiroinsurasnce.com INSURERS jAFFORDING C01IERpGE ---- NAICC 7—NS-U. RERA:_ibertyINSURM Mutual Insurance RER 8 - Insulate 2 Save, Inc. -IINSURER C 410 Grove St. — -..._.._._ . — Fall River, 14A 02720 INsuReRD: _ . INSURER'E:,....._._ _._._.—. _ INSURER F: --- CO S CERTIFICATE NUMBER: REVISION NUMBER: THIS IS,TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTAND14G ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFI(*ATE.MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY TFE POLICIES.DESCRIBED HEREIN IS SUBJECT-'IC ALL THE (ARMS, E)CL.USI"ANDCONDITIONS OFSUOi POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE C+F INiURANCE P�.���yy"" -p - POLICY NUIBER WMaf N I i wens A i LIABILITY Y '• Y !BKS 56418741 12/1..0/14i 12/10/15l EACH OCCURRENCE 5 1,.000,000 I Ir X!C®IANERCwL GErERAI^LWBWTY - ; DAKp �F.�,0,�,-.).. ;5 300 0 CtASO44ADE X,1 OCCUR MED EE(Aryorc persm) 5 5,000 _.......I_. _.... .�_.. � Pa32S0lpL&ADV INJURY S -1,000 Dnn I GENERAL AGGREGATE j 2.0O0,000 GENLAGGREGATELMATAPPUE PER - — PRODUCrS-OONP/OP AGG i S _2,000,000i PCT S A ! 417nWetLELIW1rrY !BAA 56418741 12/10/141 12/10/151 C' a) eNrr s 1,00-01000 AAq@LY AUTQ BODILY INJURY(Per.persaro) S AC1 SCWdXAED T0S OWW.D X AUTOS BODILY INJURY(Per acciWM)15 __._....—_ X NONAIME PROPERTY H�£DAUTOS X O I i D a.__-,_•r-- - A xjU�LLAL1Ae �X OCCUR Y Y USO 5641874112/lo/1a', 1z/io/is��HOCCURRENCE _S 2,000,000 =�1 Excess Lwe cLaMsAaee AGGREGATE :s N S _ S A ANDejuLO'OMLWLITY XWS 56418741 12F,U/ld 12/io/15 -}{ SAOAY1JId�tTSi—. ANV THE YIN : M ILtJOCLUD2p? �jHlA „E�_E CHACC7CENi -.-. �3 ___ Q0,000 DISEASE-EA EMPLOYEE S 500,0007 K N OF r RATIoNsbe E.L.DISEASE-POLICY LIMB''S---500.00O I ESCRIPflC><ti OF OPERATIONS I LOCATIONS I V@aCU S ( ACORD 101,Ad6tio"Renarks$chedwe,i mores space is mgdred) Proof of Insurance. M I j TE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRISED POLICES BE CANCELLED.BEFORE I I THE EXPIRATION DATE THEREOF, NOTICE WILL SE DELIVERED RI ACCORDANCE WITH THE POLICY PROVISIONS. i I 's AU rw0RREO REPRESENTATIVE ^;E�./✓/ �# ©IM.2010 ACORD CORPORATION- All rights reeorved. ACORD25(2010106) The ACORD name and logo are registered rnaeks of ACORD PfinnP Fax: E-MaW r The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 _ www.n=S.gov/dia Ntiorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant.Information Please Print Legibly Name(Business/Organization/individual):Insulate 2 Save, Inc Address:410 Grove Street City/State/Zip:Fall River, MA 02720 Phone#:508-567-6706 Are you an employer?Cheek the appropriate box: Type of project(regnired), m 1. ✓0 I a a employer with 20 employees(full and/or part-time).* 7. []New construction 2.[:]1 am a sole proprietor or partnership and have no employees working for me in 7. Remodeling any capacity.[No workers'comp.insurance required.]. 8. 3.[31 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4. 1 am a homeowner and will be hiring contractors to conduct all work on m Y PPent-ro 1 will 10 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole I I.D Electrical repairs or additions proprietors with no employees. . 12.Q Plumbing repairs or additions 5.Q I am a general contractor and I have hired the subcontractors listed on the attached sheet. These subcontractors have employees and have workers'comp.insurance.t 13.❑Roof repairs 6Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14.�✓ Other Insulation 1.52,§1(4),and we have no employees.[No workers'comp.insurance required.] +Any applicant that checks box#t must also fill out the section below showing theirmorkers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ?Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have :employees. If the sub-contractors have employees,they must provide their workers comp.policy number.. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site ;information. ;Insurance Company Name:Liberty Mutual Insurance 'Policy#or Self-ins.Lic.#:XWS 56418741 Expiration Date:.12110/15 Job Site Address: I� A I ,J� City/State/Zip: :Attach a copy of the workers'compensation policy declaration page(showing the policy number and ez it date). Failure to secure coverage as required under.MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a 'day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. .!do hereby.certify under a as and penalties of perjury that the information provider!abov is"" e'urrid correct Si nature Date: Phone#:5087567-6706 Q, cial use only. Do not write in-this;area,to be completed by city or town ofj'icial. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person. Phone#: L Town of Barnstable Regulatory. Services Richard V.Sea%Director. e Building Division Tom Perry,Building CommUdoner 200 Mam Street.$yannh%MA 02601 www town.barnstabl-ma us Office: 5.0.8=862-4038 Fax: .508-790-6230 Property Owner Must Complete:and;Sign This Section If Us n A Builder Y, lln wt n-eJ ,as OOwne of the subject pzbPer y hezebpautbior zc LY1 S fJ Ial �-e-. 2- S _ to aet;oA rnybehalf, in all matters relative to work authorized by this building permit application for: z� s��D�wd�� D-�- , ��7h, "Tool fences and alarms are the i�Sponslijily of the applicant. Pools , are•not.ta be,fiDed.'orud6edbefore-fenc6l instated and all:. ' inspections am peAorrmed and accepted I . - Si o :Sig�atamot Applicant r aC)inlf— TiTi.Nai ne . -Fat Nam Date Q:POxMs.'owt WW2QM0rtroors Eft Federal ID#05-W5629 RISE Engineering RI Contractor Registration No 8186 MA Contractor Registration No 120979 A division of Thieisch Engineering CT Contractor Registration No 620120 5 Dupont Avenue,South Yarmouth,MA 02664 CONTRACT 50&56&1926 X-6613 FAX 508-568-1933 R 15 E PROGRAM Page 1 THIS CONTRACT IS ENTERED INTO BETWEEN RISE IEIKGINiEERING C1(-RCS ENGINEERING AND HE CUSTOMER FOR WORK AS DESCRIBED BELOW CUSTOMER PHONE DATE CLIENT WORK ORDER Diane Oser (508)420-5416 08/12/2015 195894 00004, SERVICE STREET BILLING STREET 217 Sandalwood Drive 217 Sandalwood Drive t SERVICE CITY,STATE,ZIP BILLING CITY,STATE.ZIP " Cotuit, M.A 02635 Cotuit, MA 02635 JOB DES+C'RIPTiON t.t iALI AIR S(ALiNC,:Provide labor and materials to seal areas of your home against wasteful,excess air leakage. 'Phis work will be performed in concen with the use of special tools and diagnostic tests to assure that your home will he left with a healthful level of __.. air exchange and indoor air quality.Materials to be used to seat your home can include caulks,foams,weatherstripping-and"dthcf products. Primary area,;for sealing include air leakage to attics.basements,attached garages and other unheated areas(windows are not generally addressed.) (10)working hours. A reduction in cubic feet per minute(ctm)of air infiltration will occur.but the actual number of cfm is not guaranteed. $770.00 AiR SEALING:Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to(2)door(s)to restrict air leakage. $154.00 A'1-1'1('i-'I..A'I':Provide labor and materials to install a 12"layer of R42 Class I Cellulose added to 1,140)square feet of open attic space. $204,40 SLOPE'S:Provide labor and materials to install a 5"layer of R-I 8 Class I Cellulose added to(330)square feet of'slope area- Wherever possible bailles will be installed to the entire length of each bay to maintain ventilation space. $650.10 KNEEWALL SLOPE:Provide labor and materials to install R-19 unfaced fiberglass to(194)square feet of wall. Then install 2" rigid board insulation. Seal all seams with FSK tape. $760.48 REMOVAL: Remove(170)square feet of bait style insulation from the kneewall area. $164,90 A[TIC ACCESS Provide labor and materials to make(I) temporary access to an attic area through the gable vent. The opening will be closed with materials similar to those existing. $92.42 ATTIC ACCL"SS:Provide labor and materials to make(1) temporary access to an attic area. The opening will be closed with materials similar to those existing. Finish sanding and painting is not included. Due to the age of your home we anticipate the need to use lead-sate practices in this work. S 140.00 V1N'I'II.ATION:Provide labor and materials to install ventilation chutes in(45)rafter bays to maintain air flow. S157.05 INCENTIVE-RISE'Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape light Compact offers 75%incentive,not to exceed$4,000 per calendar year,and an incentivc,of 100%for the Air Sealing measures- -'or the safer-and health of your home's indoor air quality,we k ill be conducting a blower door diagnostic of the available air flow in your home both before the work is begun,and after.the weathcriration work is complete.We will also conduct a full assessment of the combustion safety of your heating system and water heater.'I'his has a value of$90 and is at no cost to you. $90.00 P Federal ID#05-0406629 RISE Engineering RI Contractor Registration No 8186 MA Contractor Registration No 120979 A division of Thielsch Engineering CT Contractor Registration No 620120 5 Dupont Avenue,South Yarmouth,,MA 02664 CONTRACT 508-568-1926 X-6613 FAX 508-568-1933 R i S E Page 2 1'12UGRANi THIS CONTRACT IS ENTERED INTO BETWEEN RISE ENGINEERING DESCRIBED ENGINEERING AND THE CUSTOMER FOR WORK AS DESCRIBED BELOW ..._.. ..., ........................_ .... ..... .. ......... ... ... ......., .. ....... .................. CUSTOMER PHONE DATE CLIENTX WORK ORDER Diane Oser (508)420-5416 08/12/2015 195894 00004 ................... .. ................................._................................ SERVICE STREET BIWNG STREET 217 Sandalwood Drive 217 Sandalwood Drive ....SERVICE CITY.STATE.ZIP ........_..........................................___.............................._...... BILLING CITY,STATE.LP ......................._............... ....... Cotuit,MA 02635 Cotuit,MA 02635 ............- ...... .. ..................................................._........._..........._.................. .JOB DESCRIPTION Total: $3,183.35 Program Incentive: $2,617.34 Customer Total: $666.01 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Six Hundred Sixty-Six&01/100 Dollars $666.01 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING,CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY ,UN..PAID...B. NCE._AFTER.. JO DAYS.SEE ERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. ................ALA..._..........,..__.:...,.._..,....�. ._.....:......................_....-.................................................._..........................._..............,...... ......._...... ..........................................._..................._._......_.............. .... DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK..SPACES. . . . .- U RISE CU5 EAUTHORIZEDSIGNATURETOME� ANCCs - NOTE:THIS CONTRACT MAYBE WITHDRAWN BY US IF NOT EXECUTED WITHIN - DATE OF ACCEPTANCE ACCEPTANCE OF CONTRACT•THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE (/ DAYS. SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK, AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE r 12 12 08:43a All Cape Insulation 508-394.2220 p.1 Ali Cape Insulation & SppYu I Inc 120A Great Western Rd, Post Office Box 1556 S. Dennis,MA 02660 S. Dennis, MA.02660 FAX DAY Y DATE: "I TIME: �•`f PAGES: INCLUDING,THIS COVER SHEET TO: Ate. I GA A N FAX #: �! vl - .� ; 5. MESSAGE: -� c - .li � amd, QU, oL � (_P Office: (508) 394-5700 (800) 626-9276 Fax: (508) 394-2220 Apr 12 12 08;43a All Cape Insulation 508-394-2220 p.2 Ali Cape, Insulati n & Supply Inc 120A Great Western Rd Post Office Box 1556 S. Dennis,MA 02660 S. Dennis, MA 02660 Capewide Enterprises Building Insulation_Report Property Address: 21.7 Sandalwood Lane, Cotuit Insulation Type Manufacturer Thickness Square R-Value Area Used Footage Fiberglass Batts Owens Corning 12" 150 R-38 Flat Ceiling Fiberglass Batts Owens Corning 5.5" 90 R-21 Slopes Hi-R Sheathing Atlas V, 90 R-5.5 Slopes Fiberglass Batts Owens Corning 9° 220 R-30 Basement Ceiling Fiberglass Batts Owens Corning 5.51, 60 R-21 Basement Plates Fiberglass Batts Knauf Fiberglass Batts Knauf Fiberglass Batts i Knauf Fiberglass Batts Knauf Fire Safe Roxul Insulation Fiberglass Blown Certain Teed Fiberglass Blown Certain Teed Closed Cell Foam Demilec Y 280 R-21 Exterior& Cathedral Walls Closed Cell Foam Demilec Closed Cell Foam Demilec Closed Cell Foam Demilec Closed Cell Foam Demilec Certified: Stephen J. Mehl Sftf;-ltiewJ. Me4l'L MA Construction Supervisor Specialty License 9102780 MA Home Improvement Contractor Registration#162656 Tr# 282518 Office: (508) 394-5700 (800) 626-9276 Fax: (508) 394-2220 - Apr 12 12 08,43a All Cape Insulation 508-394-2220 p.3 I ' a a MM OK 0`0Y®R 200 HLATL b. Technical Data Sheet ��v1ll..EC 4'SAr 11._C:. Rigid,_Spi a}3-applied Polyurethane Foam llnsulaUon Zero Ozone Depletion Substance, Class I ASTM HEATILOK SOV' 20D is two component spray applied rigid.polyurethane foam,green in color, having a nominal density 2lbs/ft'.This spray foam has been specially formulated to meet the intent of the International Code Council (ICC) building codes and is used primarily as a moisture/vapor barrier,air barrier and thermal insulation on above and below grade interior and exterior applications. Complies with FEMA floodplain insulation requirements. Approved by the USDA for Incidental Food Contact. HEATLOX SOV 200 is environmentally-friendly foam developed from recycled plastic materials and rapidly renewable soy oils,while the blowing agent is the HFC 245fa. Certified Insulation Material approved by California Department of Consumer Affairs, GREENGUARD and GREENGUARD Children and Schools certified. Meets LEED requirements in various categories. _ - -- — �ft���6al�t- eTi,gs-✓ _ _ - _ Method Description Imperial units Metric units .._...---._.. ..._........ -- ------- --- ._ .._._. ---. ._...._... ..-- ------ --- •--...------.............--- ----......;......................_ ASTM D 1622-M Density(core) 2.11b/ft 34 Kg/m' -. . _._.. .. . . ........... .......... . ASTM C 518-04 Aged Thermal Resistance,18Ddays @ 239C(R-Value) R-7.5 @ 1 Inch, 1.32 K.mi/W R-26.6 @ 4 inches 4.55 K•m=/W -.............................. .. ASTM D 1621-04a Compressive Strength(101%) 20.6 psi 142 kPa ASTM D 1623-09 Tensile Strength 45.4 psi .313 kPa. .............. ... _.. _..._.... --- ._: _. _._._... - -- -- ---....._._ ASTM D 2126 09 Dimensional Stability @ 158°F(709C),9790 R.H. %Change (168 hrs,sample without any substrate) L/W/T +4.9/+5.6/+7.7 ASTM D 2842-06 water Absorption (Serves as moisture barrier and drain plane) 03%Volume :.___ ..._..._.. ._ ...... __.. ASTM E 95-05 _ water Vapor iPermeance @ 1.5"(Note: Is a vapor barrier per 0.79 perms 45.6 ne/Pasm1 IBCSection 202,Definitions at 1.2".) ASTM E 283-04 Air Perm eance @ 75Pa @ 1"(Note: Air Barrier Association of 0.004 L/smz America(ABAA)approved air barrier) ASTN!EZ179-03 i Air Permeance @ 75Pa @ 1=1/2" 0.001 L/sm ASTIVI E 84-09 Surface Burning Characteristics @ 4"thick Class I Flame spread index 20 • Smoke development 400 ASTM D 1929-01 Ignition Properties Spontaneous Ignition Temperature 3004°F 540°C VOC Content VOC Emissions from Polyurethane Foam Complies with GREENGUARD Children and Schools and LEED requirements Pass ASTM C 1338-08 Fungi Resistance No fungal growth 'ASTM D 2856 Closed Cell Content >92% ASTM D 6866-08 Bio-based Content(Rapidly Renewable Natural Content) 3% ._.......----—._. ... ........... ASTM D 2863-09 Oxygen Index 23% ASTM E 2357-05 Air Leakage of Air Barrier Assembly(static loading to 600 Pa and <0.0022 L/smZ gust loading to 1,200 Pa)Complies with ABAA requirements Pass ShpeD•EIVIILEC(LISA)LLCr' - 2925 Galleri3 D'rIVZ - Arlington,TY,,76011 HEATLO:<50Y�200 Technical Dar/2011 � Rev.2;2212011 N17)G40-4900 phone 1:877.D=3v1ILEC(316-4532)toll-free (817)533-2100 fax Page 1 of 2 rrvw.DemilecU5A.corn InfogDemilecUSA.ccm Apr 12 12 08:44a All Cape Insulation 508-394-2220 p.4 HEATLOK O 200 TechnicalData Sheet _ _ m e51 ii�Q - : NFPA 286� Compliant with 2006 lBC Chapter-2603.9,the 2006 IRC 314.6(2009 IRC316,6)and the ICC-ES AC377,Appendix Pass X,for use in attics and crawl spaces without a prescriptive ignition,thermal barrier or intumescent coating, NFPA 285 Complies with the 2006 IBC ChapTer 2603.5, Exterior Walls of Type I, ll, Ill and N buildings of any height Pass NFPA 286 Complies with the 2006 IBC Chapter 803.1.2, Interior finish without a 15 min.thermal barrier with 4 DFT Pass Blazelok TB 200 Primer and 8 DFT Blazelok TB 200 coating, e�lt -- - -- - - --- - - oafs=_ Pre-Consumer Content=9.9% Post-Consumer Content=4.75A T Total Recycled Content=14.5% - - - - _ _ t;qutrllG often-PTpwes Property ,fsocyanateA 100 Resin B.200 Color Brown Blue Specific gravity. _ -. 1.24@ 777(25°C) 1.2-1.25@ 77°F(25°C) °. ...._ ._._. Shelf life 1 Year 1 Year -._.. ........---.....- - ...... _ _.-.._.. Mixing ratio(volume) -- _—._._..._ .._100 - - - - -....._:.- -- 100 viscosity 180-220 cps @ 77°F(25T) - - - 350-500 cps @ 77"F(25°C) __-....... .._: -- --- .. ... - ....... .. •._._..._. ..... - - -- See MSDSfor more information. Note:Store the resin attemperatures between 59-77'F(15-25°C).Keep awayfrom direct sunlight. - - PfW55asQ !5 µ __v __ ____ ._._ qY_Reimi i egrerPr�cce ?go>atIirlcts �. _ = Imperial units € Metric units Imperial units _ Metric units _.. ........ ._... .. ....... .._.._.._.__... _.._ -._..- ---- ._............ ...... - - - Type of machine Graco®Reactor E-30 with Fusion gun and Mixing ratio A:B 1:1 02 Mixing Chamber Components A&B 105°F 41°C Mixing temperature 100 120°F 38-49°C temperature -- Components At,B 850-1000 psi 5860-6900 kPa Mixing pressure 800 psi 5516 kPa pressure Ambient 73°F• 23 C Substrate&Ambient >23°F >(-5)°C temperature temperature _.-._...;. . --. ._. - _...._...._. __.... -. - Maximum 2 in. 500 mm Curing temperature >23°F >(-5)°C Thickness per pass - - ....-....-- - Crean time Ge 9:rrir :, . _ Tact free time trtd t;f ri:e 0-1 Seconds 3-4 Seconds 4-5 Seconds 5-6 Seconds General Information:It is recommended that the foam is covered with an approved thermal barrier in accordance to the local and national building codes when used in buildings and a protective coating when used outside.This product should not be used when the continuous service temperature of the substrate is outside the range of-76°-F(-602C)to 176417(809CI-Spraying too thick sections too fast may result in charring of the foam,or in extreme conditions a fire may-result. Kit hq Disclaimer:The information herein is to assist customers in determining whether our products are suitable for their applications.We request that customers inspect and test our products before use and satisfy themselves as to contents and suitability.'Nothing herein shall constitute a warranty,express or implied,includiniary warranty of merchantability or fitness,nor is protection from any law or patent infringement. All patent rights are reserved.The foam product is combustible and must. be covered by an approved thermal barrier-Protect from direct flame ar.d sparks contact..ThE exclusive remedy for all proven claims is replacement of our materials. HEA7LOKSOY° 200Technical Data Sheet DEMIL_C(USA►LLV• 2S25 Galleria Drive• Arlington,TX 7601! Rev.2J22;2011 (617)640-4900 phone- 1.87?.BEM ILEC(336 4532)toll-free (Si7)c33-21G0 Fox Page 2 of 2 www.DemIIeCUSA.com • Info�DemilecUSk:rtsrn Apr 12 12 08:44a All Cape Insulation- 508-394-2220 p.5 tr DEMILEC(usa) LLc. POLYURETHANE SYSTEMS MANUFACTURER January 201 1 RE: Spray Foam lnsulatioli Compatibility Spray polyurethane foams have been used as a superior insulation material throughout the xorld for nearly two decades and are some of the most extensively tested construction materials in L.se today: Literally hundreds of third party laboratory tests have been performed by internationally recognized agencies to verify the fire safety, durability, air and vapor permeability, non-corrosiveness, compatibility with other construction materials; air duality and the energy and. health benefits of polyurethane foam products. SEALECTIONe 500, SEALECTION Agribalance , and HEATLOK SOY"'Z00 are all polyliRL` HANG products. In many respects, the chemistry of these foam plastics is very similar to the plastics uscd iti the urethane based paints i that the majority of auto manufactures use For their cars. When the fa*lni is sprayed on a substrate, there is a very thin layer of.skin-like material that forms on the substrate. The layer acts like a virtual protective finish and the foam eliminates moisture laden air from attacking Ole substrate's surface thus eliminating the possibility of corrosion or rust. The PH .of the foam is near neutral. Its auto ignition koint (the point at which it will ignite) for SEALECTION°'' S00 and SLVALECTION Agribalance are over 1,000°F while most framing woods are less than 5009F. These products have been 9sed on literally, inillions of feet of other construction materials without piny detrimental effects to the materials; these materials include masonry, wood..wood composition, fibrous insulation, electrical wiring and Romex, Mylar, various metals (painted; unpainted and galvanized), PVC, CPVC, PEX and vinyl. Our materials have been evaluated and are in compliance with the international Residential Code and the International Building Code, There are no restrictions in either code as to what substrates foam can be applied to. Please contact the Englineering Department at DEMILEC(USA) for additional information. Sincerely, I Robert Naini Director of Engineering DEMILEC(USA) LLC® Engim-ering Department (817)640-4900•Fa.x(917%633-2100•engineerind(�demilecus�.cam 2925 Galleria,Arlingmi,Texas 76011 Apr 12 12 08:45a All Cape Insulation 508-394-2220 p.6 u D EMILEC ruw><.i.c. POLYURETHANE SYSTEMS MANUFACTURER' February 18, 2010 RE; Specific Approvals and Large Scale Testing for HEATLOK SOYO 200 DEMILEC (USA) LLCO has.completed several large scale fire tests. in accordance with the 2006 IRC 314.6 Specific,Approval, 2006 IBC 2603.9 Specific Approval and ICC ES's AC 377 for Spray Applied Foam Plastic insulation. Most recently; DEMIILEC (USA) LLCa' successfully completed an NFPA 286 assembly using FIEATLOK SOYO-' 200 in accordance ICC-ES AC377 Appendix X, to meet performance ba ed code requirements. Based on this large scale fire testing, HEATLOK SOYO 200 can be installed exposed in attic and crawl space applications, without the code prescribed ignition barrier or an intumescent coating, at thicknesses up to 10".in walls and 11 %" on the underside of floors or roof decks. If you have any questions do not hesitate to contact us, i Sincerely, Robert Naini Director of Engineering DEMILEC (USA) LLC`' Iin,ineerine D�partmcnt 18i7)64049C.0 F;x(817)6'%2100'•enginccringru,.demilecusa tom 29_5 6allena,Arlington.icacas 7601.1 Apr 12 12 08:45a All Cape Insulation 508-394-2220 p. D EMILEC ;USA)LLC. POLYURETHANE SYSTEMS MANUFACTURER April 14, 2010 To whom it may concern: RE:Foam in Attics and Crawlspaces We have completed testing on our open and closed cell spray foams to allow them to be left exposed without the use of a prescriptive thermal or ignition barrier in specific applications including attics and crawl spaces in accordance with the ICC ESR-1172,ICC ESR- 2600,the ICC-ES AC 377 and several NFPA 286 tests,as described below: SEALECTION®ICC ESR-1172, Dated Oct 1,2009 has the following options: • Section 4.3.2 allows the foam to be applied as an interior finish without a thermal barrier or ignition barrier. The maximum thickness is 5-112a on walls and 10"on floors and ceilings. The entire surface of the foam must be coated with 14 dry mills(22 wet mills)of Blazelok9 TB.This application can be used in various situations including exposed ceilings in restaurants or convention centers,above drop ceilings in strip malls or offices and in open return plenum areas,all of which would typically require thermal barrier protection over foam/plastic • Section 4A.2.2 allays the foam to be applied to a depth of 11-112•to the underside of the roof sheathing and/or rafters and in the top of the crawl spaces and to a depth of 10'on vertical surfaces in those areas. The foam on the vertical surfaces must be coated with 10 dry mills(16 wet mils)of Blazelok°IB. • Section 4.4.2.3 allows the foam to be applied to a depth of 10"to the underside of the roof sheathing andlor rafters and in the top of the crawl spaces and to a depth of 5-12°on vertical surfaces in those areas. The foam on the vertical surfaces must be coated with 10 dry mills(16 wet mils)of Andek Firegardo. • Section 4.4.2-4 allows the foam to be applied to a depth of 10"to the floor of the attic. The foam must be coated with 10 dry mills(15 wet mils)of Blazelok®IB. SEALECTION Agribalance®ICC ESR-2600, Dated Dec.1, 2009 has the following options: • Sections 4.4.2.2 allows the foam to be applied to a depth of 11-114"to the underside of the roof sheathing andlor rafters and on the underside of the floor and/or floor joist in crawl spaces and to a depth of 10"on vertical surfaces in those areas. The foam on the vertical surfaces must be coated with 10 dry mills(16 wet mils)of Blazelok®IB. • Section 4.4.3 allows the foam to be applied to a depth of 10"to the floor of the attic.The foam does not require an ignition barrier to be applied over it. Heatlok Soy` has passed the NFPA 286 test in accordance with the ICC-ES AC 377,Appendix A allowing it to be applied to a depth of 11-112"to the underside of the roof sheathing andlor rafters and in the top of the crawl spaces and to a depth of 10"on vertical surfaces in those areas. The foam on the vertical surfaces must be coated with 10 dry mills(16 wet mils)of Blazelok®IB. Heatlok Soy 200n has passed the NFPA 286 test in aca:)rdance with the ICC-ES AC 377, Appendix X allowing it to be applied to a depth of 11-1tZ'to the underside of the roof sheathing and/or rafters and in the top of the crawl spaces and to a depth of 7-1/2",on vertical surfaces in those areas. e foam does not require an ignition barrier to be applied over it. The various test reports are available to show compliance with the IRC Section 314.6 and the IBC Section 2603.9 as well as the ICC- ES AC 377. Please note the codes do not require an ESR to prove compliance. The code commentary states speci6ctest reports as well as an ESR may be used to show compliance. If you have further questions regarding these or any other topics associated with DEMILEC(USA)or spray.fcam insulation in general, do not hesitate to contact anyone in the Engineering department. ;2 ..,.�", ; Charles Waggoner Product Engineer (1317)679-8659 ch a rles @ d emit ecusa_corn Engineering Department S1.Ti640-3900•'Fax($1715=3-2100•enai�e�rino'gdcmi'.xusa.cem 2925 ialleria,.Ariin;ron,Texas 76011 Apr 12 12 08:46a All Cape Insulation 508-394-2220 p.8 . . 1 . Excerpt from the 2006 International Residential Code with commentary. R314.6 Specific approval. Foam plastic not meeting the requirements of Sections R314.3 through R314.5 shall be specifically approved on the basis of one of the following approved tests: NFPA 286with the acceptance criteria of Section R315A, FM4880, UL 1040 or UL 1715, or fire tests related to actual end-use configurations. The specific approval shall be based on the actual end use configuration and shall be .performed on the finished foam plastic assembly in the maximum thickness intended for use. Assemblies tested shall include seams, joints and other typical details used in the installation of the assembly and shall be tested in the manner intended for use. • Foam plastic does not have to comply with the installation and use requirements of Sections R314.3 through R314.5 when specific approval is obtained in accordance with this section. This section lists examples of specific large scale tests, such as: FM 4880,.UL 1040, NFPA 286 or UL 1715, Also, other large scale fire tests related to actual end-use configuration can be used. The intent is to require testing based on the proposed end-use configuration of the foam-plastic assembly withi a fire exposure that is appropriate in size and location for the proposed application. These tests ust be performed on full-scale assemblies. The tested assemblies must include typical searn�joints and other details that will occur in the finished installation. The foam plastic must be tested in the maximum thickness and density intended for use. Thorough testing provides an accurate depiction of the in-place fire performance of assemblies and systems using foam plastics_ • There are two ways to show code compliance under Secfion R314.6. One method is to provide the actual test report that contains a description of the assembly and test results showing that the foam plasfic, in the end use application, has passed the test.The second method is to obtain, from the ICC 4ES,an Evaluation Report that covers the end use application. I i - Apr 12 12 08:46a All Cape Insulation 508-394-2220 p.9 n.r D EMILEC(USA)LLC. POLYURETHANESYS7EMS MANUFACTURER July 12, 2010 To whom it may concern: Use of Heatlok Soy 200 in attics and crawl spaces: Reference: Intertek test report number 3195365SAT-001-E,dated January 28, 2010 The referenced test report reflects the successful.results of the NFPA 286 test of Heatlok Soy 200 in accordance with the ICC-ES Acceptance Criteria 377,Appendix X. The foam was tested at a thickness of 7- 112" in the vertical surfaces and 11-1/2'on the horizontal surface. The foam was tested without any coating or covering applied to it. The successful completion of this test qualifies the foam to be applied to the underside of the roof sheathing and the underside of the floor in crawl spaces up to a maximum depth of 11-1/2'without a coating or covering and to the vertical sidewalls in attics or crawl spaces up to a maximum of 7-112`without a coating or covering. The foam complies with the International Residential Code, Section 314.6 and the International Building Code, Section 2603.9 fbr use in these applications. This test result will'be r4ected in a forthcoming Evaluation Service Report later this summer. Regards, 6/1 Charles Waggoner Product Engineer (817) 879-8659 thanes@demilecusa:corn Enbrineering Departmmi (817)64D=90U•'F:u(817)6s3<P.10-en3innxing'i�dcmilccusn.com 29-15 Galieria,Arlinoon,Texas 7(�fil l Apr 12 12 08:46a All Cape Insulation 508-394-2220 p.10 Demiiec SiDy Thickness Outside Inside in Inches Air Film Air Film R-Value 0 0.17 0.68 0 1 0.17 - 0.68 7 1 .5 0.17 0.68 10.5 1 .75 0.17 0.68 12.25 2 0.17 0.68114 2.25 0.17 0.68 15.75 2.5 0.17 0.68 - 17,5 2.75 0.17 0,68 19.25 3 0.17 0.68 21 3.26 0.17 0.68 22.75 3.5 0.17 0.68 24.5 3175 0.17 0.68 26.25 4 0.17 0.68 28 4.5 0.17 0.68 31 .5 5 0.17 0.68 35 5.5 0.17 0.68 38.5 6 0-17 0,68 42 • TOWN OF BARNSTABLE,BUILDING PERMIT.APPLICATION Ma 0 2.S p Parceh 03 ( Application # 0 w. Health Division k Z cal l Date Issued Conservation Division Application Fee Planning Dept. Permit Fee dZ Date Definitive Plan:Approved by Planning Board v� Historic OKH _ Preservation / Hyannis'- Project Street Address SANbA LbOeob J1Z 7 ' Village 1.e 7 0 0- Owner "L>14Ak QS69- Address S rnE Telephone S-OSS 420 Permit Request 60/cb A 14 x l(0 46 rrio,., Square feet: 1 st floor: existing 430 proposed 7�_2nd floor: existing 4$Oproposed Total.new 114 Zoning District Flood Plain Groundwater Overlay Project Valuation 7.0 OOZE Construction Type, a'001b ' Lot Size 0. (P Grandfathered: ❑Yes VNo if yes, attach supporting documentation. Dwelling Type: Single Family; Wr Two Family ❑ Multi-Family (# units) Age of Existing Structure I Historic House: 0 Yes 0 No On Old King's Highway: ❑Yes A No Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 4S Q Number of Baths: Full: existing new Half: existing new _ Number of Bedrooms: I existing I new TAT Total Room Count (not including baths): existing 6 5 new I First Floor Room Count T Heat Type and Fuel: 0 Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes Jd No Fireplaces: Existing New Existing wood/coal stove: ❑Yes U(No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: j y q Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use bc--ti-r1AL b � Proposed Use ���s���~��•`� • APPLICANT INFORMATION 1 (BUILDER OR HOMEOWNER) Name L X a¢Dl A?fin) Telephone Number 20T, 414 75'7674 Address 12.7- wa»v")z- (1b License# ' `92-g3 Vf Coro rr , MA 0 Z 63SP Home Improvement Contractor# l g3 3S'a tiF Worker's Compensation # O 0 s'437 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO `SIGNATURE DATE FOR OFFICIAL USE ONLY 7 APPLICATION# DATE ISSUED MAP/PARCEL NO. rB ADDRESS VILLAGE OWNER 1 DATE OF INSPECTION: ���' W�iu6 FOUNDATION mc*-` FRAME sM ,h. k i 3r tZ zl z S INSULATION 2Ja 1 L Mcic C er— LRez FIREPLACE f I ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL a FINAL BUILDING � DATE CLOSED OUT ASSOCIATION PLAN NO. s - r The Commonwealth of Massachusetts Department of Industrial Accidents 4ce 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): CAPCWIDg &TSYLP2-tS6S �e— Address: 1S3 C3,n-,�V_,ugL S— City/State/Zip: MASu$6-, JOA 02(o4� Phone.#: Sp$4-'R -oEs?+ Are you an employer? Check the appropriate box: Type of project(required) 1)'C I am a employer with Z-2..- 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. 2 Building addition [No workers'comp..insurance comp.insurance.t required.] . 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myselL [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 Homeowner;who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontraciors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors 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: "CU-A _ Policy#or Self-ins.Lic.M 00 15_43q Expiration Date: 41 14'17- Job Site Address: S4r bALI&PyI�> I2b City/StateMp:OoTV I i NA . Q7M Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00.a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce fund r the pains- d penalties of perjury that-the information provided above-is true and correct Sip-nature: Date: _ Phone#: Offtc&7 use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: y..1�: .wM�� ►Y •..wa♦ vv<vY .� .'vL4,r v.}iy AV�Y CAPEENT -�• Clionttk 51439 ACORD,.. CE �� �. �T� L(ARI:LITY'INSURANQ.--E 0411;512o1Y i:. Tgi:�CEFt1TF1CATE-it ISSUED!SS A N1AMK C3�Il1 &RmA .N OK. AND CONFERS NO-Mum UP: E.CERT1FiCA`fE �Ti.` :.S �CMMFICATE DOES.NOT AFARMATroMLYORNEGATIVELYAMENO,:0aGND-OR ALTER THE COVERAGisfafFQT2fJEQ.BY•fiH FOU... BEi;9kv.THIS CERI7F:IOATE OF INSURfWCE DOES NOT CONSTnV1••E A CONTRACT 13ETWE�N THE[S3U(NG It151fi2E12(S),AtJi111JI212ED REPRE$ENTATIVE-OR PRODUCER,AND 7T{E.QEMFICA7E HOLDER MPORfANTalI Fe ifiCata:troldor an'AD[7iT10 SVItEDi JJ yA!gs.mtaat endorsed:If:SU8R0 71. 5 W .VE17 9..:# : tho.terms and cotidlltloni.ofthg:.Volfry ceitr+lH:pot',eieb Ma}/tdq(8r0:kh MdOrsertiei+Y A:dtats MAn ttitYlcerUt ft dobttnat'conb[Ii hts:to tAd .csrUttcafe?lgfdo�In pov�Qt_qu rPdo�s�tkt s;�,,•_ ._. ..__._.. _ .._:_ _ - _ #tcigers.&-.Gray.Ins. .piyroouth H : $50,.7row 4:6 341 660jl Stleet ip.0:13oi 3700 - �' PI auth KN 02361:.3700 :. _ ; .;: ..._.:::,.. ... .,-: . .. .: .. ;. '. .past► ._: 3:L�AAD.�44Y€.!i!��. _i�fA1"C•i.` 1 _ _ fftsURtittk:Af.. taf'1'O.Ci(9t1.I : . - .._. _ --- GaPewide.Ent0p.ray.C9:L:LC ''NSURMe _._.. G .� .1.P.Mi comber:&B:00s: .GentervIft MA 0202 • • 04 . D _4A � � Mg _. . '1_viS1O •.,i�.�11►'JBER: v":lsT- o.cwrrfFYTWMHEP0LfO 6 USFD ISELGw'HAVE B�f►JI$5UED`70111E.1l1 D NliFAF,p A@QNE i131tfiE POUC1 PEf;�OD INDIGATEp.NOTWMSTM�IDINC AW R£QVFP-Mbar.TERM OR CflND(TION OF l�fY(AHTf Ult7T(�2 03 FiirR DQCVM6NT WfTi I RE^PCCTTO VYFAQH-T)3fS GERTMATE MAY BE ISSUED OR IAAYPCg7AiN.THE p*L!A4NCEArFoqbMBYTHEPOLIGES-DESCRIBED.�ttENt-1S sL'sxCT't'o ALL Tw TERMS EXGLltS10K5 AND.CONOITIONS pF SVOIt PCL{pIES:I IM17S$H01NN ifAYMVEDEEN REDUGED$Y•PAIG CWM,4: •. ._ .. .. ��• >'�s4f Eat: i _ :llfatr� '_ — , a ' c�e?t5i. ditett C�P85i>0tl5ii813 d��S Y ' VLANW 6 X•OCCUR 60 . .... .... . lk ... :Ilsot• tx%ttmo ,eOMY.I Ml Fcv..(P W OM*nl.1 -.M*WNW-AVrts rbr rsau°a1:;3: _ !sCKcplp AUTOaR y .: yaFoavtvs .. - - ?S;JroH o AUTO X. 51 - : _rA `ObA37 4l1. 'iD41tdAs'•: , v>FN. ts+ -"% MaXP.ROPRfETORiQARTN %Ft.^.Etllt�i' �( -4,; •. �6R faSCllrOfDE WA' (htuMRwN h MO .• l ' ., tIa59JLtt3 r 6fA:ti'�gt(.C? ! >i14.D.C�TIQNIF:YE4IGUF.S.N1dkA:lu:QRptokAtl4da�t�etit6roNxe.atAlIAVN.Itthotr.�okt0�h:1Y.WNi'.41: - ,. .�epr�tratalParttlerslEiceoatwe:i�fft�er�lMembors;4cetuded: dibrd oopen (Seo lAttzched=Descriolon9) FQW ' >*ccvaawcewr�t�•P9sovsslo+ts:. 0088-20WAC0 667PPi71t 010;A1SifplitirosctPcd: ACORD.25(2009109) 1 of 2 The ACORD name and logo po rvgirWo..d tuft of-ACORD MaTA/MM71 LAT r'ui tI-.n �'u he 1-1 i.rrr. +cease. CS-089273 RICHARD M CAPEN 122 WIITT'N"IM COTUIT Mk 02635 = � .nmrc crnr,or 11/27/2013 _ Office of Consumer Wain,& Rusinc..RcLielation rr;t ,;,r.-�>•:^;,. HOME IMPROVEMENT CONTRACTOR FF..•� Registration: 143$58 Type: Expiration: 7/8/2012 Ltd Liability Corpo CAPEWIDE ENTERPRISES L.L.C. RICHARD CAPEN 4507 R RTE 28 COTUIT.MA 02635 t•ndcrsecretari• Restricted to: 00 00- Unrestricted 1G- 1 2 Family Homes Failure to possess a current edition of the . Massachusetts State Building Code is cause.for revocation of this license. Refer to: WWW.Mass.Gov/DPS License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation ti r 10 Park Plaza'-Suite 5170 r Boston,MA 02116 -. alt�W'�tsiZnatu re REScheck Software Version 4.4.2 Compliance Certificate Project Title: Oser Residence Energy Code: 2009 IECC Location: Cotuit,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 217 Sandalwood Dr. Capewide Enterprises Cotuit,MA Compliance: Compliance:11.5%Better Than Code Maximum UA:26 Your UA:23 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Gross • Assemblyor or D•• Perimeter • Ceiling 1:Flat --- Exemptio :Framing cavity not exposed. e Wall 1:Wood Exemptio . raming cavity not exposed. c Window 1:Woo Fame: ou Low-E 75 0.300 23 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space --- — -- --- Exemption:Framing cavity not exposed. 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 2009 IECC requirements in REScheck Version 4.4.2, and to comply with the mandatory requirements listed in theeRRREScheck Inspection Checklist. le' /" &"."� 1-14&-111 — Name-Title Signature Date i 6 V V)A 2, V � n Project Title: Oser Residence Report date: 12/07/11 Data filename:C:\Documents and Settings\Shawn\My Documents\REScheck\Oser.rck Page 1 of 4 REScheck Software Version 4.4.2 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss Exemption:Framing cavity not exposed. Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame,16"o.c. Exemption:Framing cavity not exposed. Comments: Windows: ❑ Window 1:Wood Frame:Double-Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space Exemption:Framing cavity not exposed. Comments: Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Project Title: Oser Residence Report date: 12/07/11 Data filename:C:\Documents and Settings\Shawn\My Documents\REScheck\Oser.rck Page 2 of 4 a, Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. 0 Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Ej Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181 A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Lj Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. 0 For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Cj Circulating service hot water pipes are insulated to R-2. ❑ Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: Cj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Lj Heated swimming pools have an on/off heater switch. Ej Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions. Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Project Title: Oser Residence Report date: 12/07/11 Data filename:C:\Documents and Settings\Shawn\My Documents\REScheck\Oser.rck Page 3 of 4 Exceptions: "Covers acre not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage—15 (d)50 lumens per watt for lamp wattage>15 and—40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement'c'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Oser Residence Report date: 12/07/11 Data filename:C:\Documents and Settings\Shawn\My Documents\REScheck\Oser.rck Page 4 of 4 �oF erO�r- TOWn of-Barnstable ti 0 Zegulatory Services • Ydsrrs:•.iar.�, MASI Thomas F. Geiler,Director Building Division— Tom Pery, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.b a rn sta b le.m a.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign ThisSection If Using A Builder r AL— , as Owner of the'sub•ect . /� l property hereby authorize 0.4f6w JAS ( A rr=,q SF,S CL to act on zny behalf in all matters relative to work authorized by this building permit application for.. Zl-] (Address of Job) Signature of Owner Date Print Name � 1 n ' If Property Owner is applying for permit please complete the Horheowneits License Exemption Form on the reverse side. AI•YC Grride to Wood Construction ill High I--nd Areas:'110 mph Wind Zone Massachusetts Checklist f6ir ConipJiance (790 CNIR5301:2.1.1)' Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust)................................................. .. 110 mph Wind Exposure Category .......:....................---..................... g ry.............................:............ Wind Exposure Cate o .......... C ✓ 9 rY••-••:•••••••.:.Engineering Required For Entire Project..........: 1.2 APPLICABILITY Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) I stories 5 2 stories, Roof Pitch...................:..:......:...........: 10 s 12:12 �- .._........................(Fig 2) ..........:........_.......---....... � Mean Roof Height ..................................................... (Fig 2)....:...:...............:........:..:. Building Width,W .::... j� 3 ft s'33' Bulding Length, L ..............................................................(Fig 3)..........._..............•............ `r ft 5 80' .... •- (Fig 3)............:.....- 2 ft 5 Bl)' - -�Building Aspect Ratio(L/W) '"""""""...... .._.__..2 ............................... (Fig 4).........._..... a. - <3:1 .............. . Nominal Height of Tallest OpeningZ '-"" (Fig 4).................... , 1.3 FRAMING CONNECTIONS General compliance with framing connections.........:. ...•(Table 2) 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete...........................:....:......:.....:.... ..................... Concrete Masonry........................ —L 22 ANCHORAGE TO.FOUNDATION1'' 5/8'Anchor Bolts4mbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete my=t�$ Bolt Spacing-general ......................:.:...............:.(Table 4) Bolt Spacing from en.drJoint of plate '"" .............(Fig 5)......_..............: .... _In.=6r- 2' Bolt Embedment-concrete.................... " " _......(Fig 5)................... q in.>7"Bolt Embedment-mason _ '"-""""""""-"•'•••� - -7 Plate Washer..:.............. ............................... in.2t �5- ' ..... ... .(Fig 5)......... >3'x3'xI/" 3.1 FLOORS Floor-framing member spans checked ............:......,::.........(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension ............................(Fig 6)................................... Full Weight Wall Scuds at Floor Openings less than 2'from Exterior Wall(Fig6 ��12' � Maximum Floor Joist Setbacks )............................ / Supporfng Loadbearing Waifs or Shearwall................(Fig7 Y. Maximum Cantilevered Floor Joists )""'"""""""""" ft `d Supporting Loadbearing Walls'or Shearwall...............: ✓(Fig 8).............. ................. . . < FloorBracing at Endwalls...................... _............... ft _d .......................(Fig 9)..............._..... — ' Floor Sheathing Type .............................................. ....................................(per 780 CMR.Chapter 55)....................... �L Floor Sheathing Thickness •-...........................................:.....(per 780 CMR Chapter 55 / Floor Sheathing Fastening ) �In. :...(Table 2).. 8 d.nails at�' in edge/ /0 in field 4.1 WALLS _ Wall Height Loadbearing walls.............................................. (Fig 10 and Table 5 Non-Loadbearing walls ) 10 —ft _ ............................................(Fig 10 and Table 5) P ft 92 0'Wall Stud Spacing ..........................• - :.............................(Fig 10 and Table 5 _in.<24 o.c. Wall Story Offsets ( 9 )...._.....•--•--... ......................................................:..(Figs 7&6)............................................ - ft's d 4.2. EXTERIOR-WALLS' Wood Studs Loadbearing walls........................................................(Table 5). ..�x _7 ft g in. Non-Loadbearing walls..:.......:...... — ................. ..(Table 5)................... .....2x 4 Gable End Wall Bracing� ��--�••• •� Full Height Endwall Studs............................................(Fig 10)......................,....: WSP•Attic Floor Length....... ::...................: ..........(Fig 11)..................... ft>_0.9W ft zW/3'Gypsum Ceiling Length cif WSP not used),...:............:.(Fig 11). =� ..................and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).........................._....:...... _ or 1 x 3 ceiling furring strips @ 16'spacing min.with 2.x 4 blo •.•._•.•.__•.._••_•.•••_.••._•••_____••_____._• Double Top Plate ckln •g @ 4 ft. spacing in end joist or truss bays. Spfice Length ...............:........................................(Fig 13 and Table 6) Splice Connection (no. of 16d common nails (Table 61 .............. ft ............... ----------- L AFDC Guide to Wood Cotrrtf•uctfon iu High ffind.Are¢s: 110 inph 11'ind Zofce Massachusetts Checklist for Compliance (7so CA4R 5301.2.1.1)' Loadbearing Wall Connections Lateral (no.of 16d common nails).......................:........(Tables 7)..................................................... Non-Loadbearing Wall Connections / Lateral (no.of 16d common nails)................................(Table 8)........................................................ Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans ...... S ft o in.:511, rJ Sill Plate Spans ..........................................••----•..... able 9)-•...................................... •••-••••-..._._-... Full Height Studs (no.of studs)..:........................:........(Table 9).........:......... ..... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9) ..... 3 ft in.5 12' SillPlate Spans..............:.......:.................................... able 9 a ft in.< 12' Full Height Studs (no. of studs)....................................(Table 9)............................................._....._.... 15 _7 Exterior Wall Sheathing ta'Resist Uplift and Shear Simult:aneousV Minimum Building Dimension, W Nominal Height of Tallest Opening C. �: <618• Sheathing Type..............................................(note 4)_...._..._•-•-•_..... � Edge Nail Spacing ....(Table 10 or note 4 if less)................. � ..................................... Feld Nail Spacing ..(Table 10) �7 Shear Connection(no. of 16d common nails)(Table 1D)..........:..:::.......................... 9 g...................:...(1-able 10 ....................................................—/o ' Percent Ful!-Hei ht Sheathin ) � ' 5%Additional Sheathing for Wall with Opening>6V(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2 <gig• �/ Sheathing Type..............................................(note 4)........................................ $. Edge Nail Spacing.........................................(Table 11 or note 4 if less)....................... in. Feld Nail Spacing.......................................:..(Table 11)............................................ .... in. Shear Connection (no, of 15d common nails)(Table 11)............................................. Percent Full-Height Sheathing.....................:.(Table 11)............................:......................._/o 5%Additional Sheathing for Wall with'Opening> 6'8•(Design Concepts)..................•. �- Wall Cladding Ratedfor Wind Speed?.............................................................. ..•_•- 5.1 ROOFS Roof.framing member spans checked?........................(For Rafters use;AWC Span Tool,see BBRS Website) Roof Overhang .................:.................................(Figure 19)............. ft:9 smaller of 2'or L/3 Truss or Ratter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)..............................................U= plf Lateral....................:........................(Table 12).............................................L= pif / (T )........................ .......S= elf. —� Shear.................•--........:...-•---.......... able 12 ............. —� Ridge Strap Connections, if collar ties not 11sed per page 21... (Table 13)...............................T= plf Gable Rake Oudooker................:.........................(Figure 20) ............._ft s smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.................. .....(Table 14)............................................U= lb. Lateral(no.of 16d common nails)...(Table 14)............................. .......L= . lb. Roof Sheathing Type...:............:...............:..................(per 780 CMR Chapters 58 a009) . .......';,Sv' Roof Sheathing Thickness.....................................:.....' / in.>7/16'WSP Roof Sheathing Fastening............................................ ......_.. .... (Table 2} Notes: . ... .................... - -1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR-5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirenients shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-gr6de. "+ h �AWC Guide to Wood Cr)nstr•uctron in Hza h Wind Areas: 110 irzph l Find Lone Massachusetts Checklist for Compliance (7BD Ch-1R53012.1:1) 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of.7/16"and be installed as follows: 1. Panels shall be installed,with strength axis parallel to studs. 11. All horizontal joints shall occur over and be nailed to framing. ill. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. f' , v. Horizontal nail spacing at'double top plates, band joists, and girders shall be a double row of ad staggered at 3 inches on center per figures below: Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—required if project is 1 mile or closer to shore (generally,south of Rte.28 or north of Rte. 6) b) vertical addition—not required unless there is extensive renovation to the first floor c) replacement windows—needs energy conservation compliance only(chap 93) 6.Wood Frame Construction Manual (WFCM)for 11 Q MPH, Exposure B may be obtained from the American Wood Council (AWC)website. . '-W!•IEN TNLS EDGE RESTS ON FRAMING USEW NkILS AT6'ot tl It 11 1 - t1 r1 11 1 t 11 1 itIf J 1 1 1. 1 It 11 1' 1 1 o n r•} r r t �' I � it Ila. I / , �1 t 'd 11 it �f r 1 1 C I! ll 11 t Z i { 1 If 1- 1 � 11 I1 •,� 1 4 1 , I I 1 1 ( 1 EAAMING MENIBEF�S � •1 I Li 1 1 EDGEIiirrEFtl.M&TE 11 .ii Iv i i� I 1 t u p r I ( .. 1. 11 t r It! 1 1 a u u z 1 1 1 , I , rl s rr 11 y� t 1 � r 1 1 = � Y 'N � - t rl '1 11 1 1 TL' DOU13cE �� t�� SrAGGEF ED 3'MMJ NAlL SPACRVG I NAIL PATTERN 3 P/tAIEL PANE EDGE DOUBLE NAIL EDGE SPAMG DEFAL See Detail on Next Page Vertical and Horizontal Nailing Detail for Panel Attachment Vertical and Horizontal Nailing for Panel Attachment IMPORTANT - UPGRADE REQUIRED CjDTD�r STATE BUILDING CODE REQUIRES THE UPGRADING :OF 14'-0" SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN. 2'-1" 1 V-71/2" ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. 5'-T 6-0 1/2" NOTE; A SEPARATE PERMIT IS REQUIRED FOR THE TW20210-3 cbAl IbFIY�7[KtNIEN , UP , r , o wi , o in Oi ; m, , a, N Oi i v N LIVING ROOM u-, , o� , Zi i o BEDROOM ozo 0 II � II zN - — - — — — — — —BEAM ABOVE U II o Q � I I in cp _ DINING AREALn ° KITCHEN TW2442. TW2442-2 0 3 6 10'-2 1/2" 3 1/2" ENTRY O -- 5 . O E DETECTOR RP` r ii BATH O � BARNSTABLE BUfLDI G DEPT. DCl AT_ LZ FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING r FIRST FLOOR PROPOSED, 1 5741�-O�LwoJ4 2 oP6Np ol eo t a 12 c c � NOTE:BUILDER TO VERIFY EXISTING&NEW DIMENSIONS 14'-0" i G T-0" T-0" ol -------- -------------------2Sf3-------------------=-� 1 . d P d ♦ p p d p. .�d ♦ D�p r-----------------------------------�-� �` 1 co z 8"X7-10"CONCRETE ° oIS p WALL W/20"X10" 1 1 I C7 z CONT.CONC.FOOTING' 1 I Cn W x 1 1 1 50 - 1 1 W ¢ 1 1 w w O I 1 o BASEMENT cn I J U= v I I o f= ¢ Lr) 4"CONCRETE SLAB 1 cJ I I I S�' w m Z 3,000 PSI @ 28 DAYS I I uj z a 3/4"AGGREGATE 1 O Im cn I 1 cc Off _ i I 1 1 ❑ w - I ?Q 1 I O= 1 1 I I 1 4 I 1 " 0= 8"X7-10"CONCRETE 1 1 F- �: W WALL W/20"Xi 0" 0 i z z i __---CONT.CONC_FOOTINO D° --------------- -1-' 1 Z1 r----------------------- ----------1------' r 1 , --------� � I ' 14'-0 A 1 LL I :'MATCH NEW FOUND. i 1 ELEVATION W/EXISTING FZ-- i FOUND.ELEVATION NEW WALLS= 1 1 I W i i EXISTING WALLS 1 1 1 1 1 1 1 -• FOUNDATION PLAN ' V .a �;p NO L�r �C) 2a V e b p �2�♦ �� � 5P )MU A4 IZEA)E 7� LLB C A'-/ZUIVZ--- w o R-A ry DATED _ A.Ae)'" r-Y rA4 " -16 OU A 7"/art+ .ice R• ' GEORG i= kV AY 774 -AAA WA *4A Pam.. s:YE yo _ $ �l h t Z» 140W I f O SURE 1=�E, A Al 6<:>0A-- . X44 6>, 4 .,. d.r a "' ,ram /-S A/O 7- t'f q'`c . 7, �`,+ f, 4O _«.. zA p Assessor's map• and lot number ....M..... S..... .. � y SEPTIC SYSTEM MUST, BE If�ISTALLED IN COMPLIANCE Sewa a Permit number } ..��... ........ WITH ARTICLE li STaaiE 9 t SANITARY CODE AND TOWN :i' yO THE G �_ q ., TOWN: OF `BARI ' 'ABEE t 33ANST"LE. i e i639 03 BUltDI'NG INSPECTOR M \0� .` is iOT�r p pY_A. A� /G J.: :APPLICATION FOR PERMIT TO ............. . I .Gi�. ........................................... ......................................... rTYPE OF CONSTRUCTION .......t PC1. .........f! M.e.......... 9........................................... ................ .......................19?/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for ` a permit according to the following information: Location ... 4 .......� ...........okL plAi. v!.11. .2//.......�,.114.1...,d...ApCi......... . J..... / K!</.. .:.�..:.... ProposedUse ............. !i.`.01�:...................................................................................................................................... G Q °�'` Zoning District ............./�... DD t�.........:........................:.............Fire District .............:....... fei. ....................::................... Name of. Owner R-43-F-.e?�!!P.44�..—%PC C..Address ..r D.13............?23..............aif'KAT.ut. /.......... /�<!e ' Name of Builder ............ �.;..�i....................................Address .......:......................�.r-rkf2.P........:............:................... Nameof Architect ......�....%./e��E' ...................................Address ............................S . ..... ................................... /1� �r /�0q,!�.a e7�P Number of Rooms ......................:...............,...........................Foundation . ................ / Exterior .`A..... 7I�J.....CFI...d.4�. �....Sf9.�!v ��P ........Roofing ...G? .35lit. .os,4.11.......................... ......... ............... ......... / f Floors �� �n leInterior ............... � 5!?eGT�o c`C...............................:.. g �/ Plumbing ,� /CoppeHeatin ...... 4..f. ................:....... ......Pvc... ................................................ e / a s 4�0 `Fireplace .........:.l�.S...�1..........�.'!......Q���r.'............................Approximate Cost ...... ................,................:.. Definitive Plan Approved by Planning Board ________________________________19--------. Area' ........ZNV....a................ Diagram of Lot and Building with Dimensions Fee ..!..:..........r. ......... SUBJECT TO APPROVAL OF BOARD OF HEALTH Z FL- - l e 011 �5 a-4 l� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name:s .!! . ....fir ............... Tellegen-Ferrone Assoc. , Inc. . 19327 1 1/2 story ,No ..... .......... Permit for .................................... ' single -,family dwelling sgaai wooa `►tee ' Location .. ......... ........... . ... .. .................. Tellegen-Ferrone' Assoc. , Inc, Owner_.......................................... frame.....:............ n f` J _ Type4'of Construction .. ................. . .......... _ -- - y• � , Plot ..'�`.. ................ Lot .. #9 el � June 23 77 �„ _ - __•._._. , <_ Permit Granted ......... .. .................19 Date of Inspection ......¢_/�.. 1 ' Date" Completed ...0 . ��J�...? .... .19 PERMIT'REFUSED .... ................... 19 „� r �*.. ............ -.......... _. _ .......... ... .. .. ...................... ........... - ✓ - /� ^. n� _ t - 4'. .:�. •r Approved ....... ..... 19 .............................. ...................... j^..................... ... . .................... ........ . .... ........ ..... ........... Assessor's map and lot numbers .... ...... ..._.... �........ Sewage' Permit number ..... .. <�� ................................. y°FT"ET°� TOWN OF BARNSTABLE Z 333 STABLE, i 0 26 BUILDING INSPECTOR t c APPLICATION FOR PERMIT TO ............. . ...Gi.t.IGI......................................................................................... O`I' IT TYPE OF .CONSTRUCTION ."::`.....!�C .041.............. ..oa.: M.p..........G.�4��1 t./:?.C�r.......................................... f- ca � ................��,! .......................19. TO THE INSPECTOR OF"-BUILDINGS: The undersigned hereby,. applies for a permit according to .the following information: Location' . ./'n/.......... .. ............tol�l...C�R.7.�r:.7..5�'../&6c........... J&..........q .....CA4, . ....... ProposedUse J� .!..... :.N. . .................................................................................................................................... Zoning District ..............EF................................................Fire District ..................... Q7 a/_1................. ....................... Name of Owner cAddress ..1... ...?........ .73.............(�'.`?TF'^!!:.�fP......... ri Nameof Builder .....,. 1. �IP h....................................Address .............................. .gw............................................ rr Name of Architect 1.:/'C-.. ................. �G........... Address .........................................f'................:....................... Number of Rooms `............... ................................................Foundation ........... .......ro`iCr�,..,7,P....I...... Exierior .. T/IL....��... /a... ! ....s.� e vg//e�........Roofing ....�rZ.35 .��7. �............................ �. „ is Floors �112 QZ�r........ .1 . ..�v�2 ....Interior 0.. ��Te��..o c.0............................................ Heating7 .. ........ R. .�............................................:Plumbing ......ac...AQ,.v:................................ti...... _ Fireplace ...........14. ed..........P.0m.�.ao.:?r...........................Approximate Cost ......12!�... ..........................` y Definitive Plan Approved by Planning Board ________________________________19-------- . Area ........ ..... ..!.......... Diagram of Lot and Building with Dimensions . / Feed . .................. . ........... SUBJECT TO APPROVAL OF BOARD OF HEALTH l /Oo � r a 4 iro I hereby agree to conform to alit Rules and Regulations of the Town of Barnstable regarding the above, construction. t Name�r � �y/ :............... T llegen-Ferrone Assoc. , Inc. A=25-31 ✓✓✓No .....19327. . . Permit for ..... ... 1 1 2 story. . ... . .. .... .. .. .... ...... .... .. .... single 'family 'dwelling ............................................................................... L�Irl Sandalwood i Location ................................................................. Cotuit ............................................................................... Tellegen-Ferrone Assoc. , Inc. Owner .................................................................. frame Type of Construction .......................................... .............:.................................................................. Plot ............................. Lot .......... it9....✓....... Permit Granted ........,:June...23...........19 77 Date of Inspection .....................................19 Date Completed ......................................19 PERMIT REFUSED ...........................:.................................... 19 .......................... ........................ 1............ :. , .I. .................... Approved ...........................................:..... 19 ......................................................... .............:... / r .c ki v LOT 9 p Vi �a ri tj wy A,-1l/V)M0 M J SC T& ►.CA- PL.. 0 T PL ,4 A! 3o ' F IZ onf 7- e-EAk� 7-L L n/ G'(:>7-0/ T„C TQ a;= An/ DA 7-8 b _ 6- R At F-O OA4 *ll T;L 1 Z:O"I^J(5 );L> 0 lJl _! ' A..'1 , 3 su r OA7 : .�a /5 NOT ��. 'C1•+ yam+ .,• r/._1 '�`.... •_�,�j R .c r If 7-7 wlt �ofZKeTL Town of B4rnstable o *PermitBARNSTA # ASS • .� Expires 6 months from Issue'date WASS, Regulatory Services Fee v �039• �0 Thomas F.Geiler�Director pIFD MA'S� Building Division Tom perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 XMPRESS PERMIT .c.e: 508-862-403 8 508-790-6230 JUL. 1 8 •2005 EXPRESS PERMIT APPLICATION - RESIDENTIAL Not Valid without Red X-Press Imprint OF [3ARNSTABLE reel Number y Address 1 t }o Co it., V idential Value of Work minimum fee of•$25.0.0 for work under$6000.00 's Name&Address ctor's Name - Telephone Number Improvement Contractor License#(if applicable) LA uction Supervisor's License#(if applicable) (Tat 0 r:b;) rkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ' !have Worker's Compensation Insurance 'nee Company Name maws Comp.Policy QL4I of Insurance Compliance Certificate must be on file. it Request(check box) e-roof(stripping old shingles) All construction debris will be.taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side 11 Replacement Windows. U Value (maximum.44) ,*Where required: Issuance of this permit dots not catcmpt compliance with other town department regulations,i.e.Historic,Conservatio n,etc. ***Note: Property Owner must sign Property,Owner Letter of Permission. Home Improvement Contractors License is required. latute rnu:cxpmtrg sc063oo4 ' p -_ The Commonwealth of Massachusetts ij= Department of Industrial Accidents Office Of inOVS11921inns 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit :Aiwa ri orm'a loci"w1�"'as !'R>"1 e. L _ -knarne: � -t-location: 'n,oil(/ta 11,lwd ❑ I am a homeowner performing all work myself. lione ❑ i am a sole proprietor and have no one working in any capacity ' ... Zr+f3f 49 ,' ° K:^'.«;f.�. s� '•...1.4°. iCrt I am an employer providing workers' compensation for my employees working on this job. coin an name. � - address. 1 ,`► � "'lV `mil^ X } CitV: /`^'� y/�-�`''\){t r r- 3 f ze P phone# S �F Insurance co:' �> � - r ollc # �Y 9'wjf' ❑ I am a sole proprietor, general contractor or homeowner(circle utre) and have hired the contractors listed below who have the following workers' compensation polices: N company'namc. n address Y city hnric#. Insurance co.` ohc4 # r<: company name- address: x city hone# Insurance CO: vY t blic Failure to secure coverage as required under Scction 25A of 1GL 152 can Icad to the imposition of crinunal penalties of a fine up to 51,500 00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.011 a day against mc. I understand that a copy of this statement may be forwarded to the Office of Investigations oft lllr�for coverage verification. t do hereby tify under the pains and penalties of perjury that the information provided above is true and correct. Sibnaturc U Date Print name ) Phone# W A �� l ;i official use only do not write in this area to be completed by city or town official Sti F city or town: permit/liceasc# if rlBuilding Department check if immediate response is i cyuired ❑Licensing Board is ❑SClect,ncn's Office I' ❑Ilcalth Department contact person: phone#; nOther Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (Please return this form with your signed contract, thank you) I (print) � Cp n �" , as Owner of the subject property hereby authorizes Paul J. Cazeault & Sons Roofing Inc. To act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) r Signature of Owner Date Tel# yo S'q l �O DATE ACORD- CERTIFICATE OF LIABILITY INSURANCE BL24MID 00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McShea Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Street, Suite#H ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, Ma. 02655 INSURERS AFFORDING COVERAGE 508-420-9011 INSURED Paul J Cazeault & Sons INSURER A: LjoVdIS Roofing Inc. INSURERB: TraVelerIS 1031 Main Street , INSURERC: Osterville, Ma 02655 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MM/DD/YY DATE MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ CLAIMS MADE Eil OCCUR MED EXP(Any one person) $ [i LGL034776 0^4/30/04 04/30/05 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $2 .0001,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1,000 ,000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONI'Y-EA ACCIDENT $ ANY AUTO FA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR u CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND ORY L TU- ER EMPLOYERS'LIABILITY 7PJUB-0095664A04 08/13/04 08/10/05 E.L.EACH ACCIDENT $100,000 B E.L.DISEASE-EA EMPLOYEE $100,000, E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;.INSURER LETTER: . CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10— DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RE j 1 J/ ACORD 25-S(7/97) 0 ACORD CORPORATION 1988 Glf ent#: 19989 2GALEAULTPA ACORD.M CERTIFICATE OF LIABILITY INSURANCE o5/095D ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling &O' Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 222 West Main St. PO Box.1990 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Western World Paul J.Cazeault&Sons Roofing, Inc. INSURER B: 1031 Main Street INSURER C: Osterville, MA 02655 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD/YY DATE MM/DD A GENERAL LIABILITY NPP925580 04/30/05 04/30/06 EACH OCCURRENCE $1 000 000 X COMMERCIAL Ded:1000 MERCIAL GENERAL LIABILITY DPREMAMAGE TO RENTED $50 000 CLAIMS MADE a OCCUR MED EXP(Any one person) $2 500 X BI , PERSONAL&ADV INJURY $1 000000 GENERAL AGGREGATE $2 OOO 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 00O 000 POLICY PRO- LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ OTHER THAN AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC STATU- OTH- EMPLOYERS'LIABILITY I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Paul J.Cazeault&Sons DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL ln DAYS WRITTEN Roofing,inc. NOTICE TO THE CERTIFICATE HOLDER NAMED TO.THE LEFT,BUT FAILURE TO DO SO SHALL 1031 Main Street IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville, MA 02655 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ....� 1`7-r' ACORD 25(2001/08)1 of 2 #M38166 LS1 O ACORD CORPORATION 1988 i _ e Board of Building Regulat'ons an tan ar s One Ashburton Place - Room 1301 Boston. Massachusetts 02109 Home Improvement`.Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2006 PAUL J. CAZEAULT & SONS, INC.; Paul Cazeault ` 1031 MAIN ST OSTERVILLE, MA 02658 Update Address'and return card.Mark reason for chang DP8•CA1 0 SOM-04104•G101216 Address El Renewal Employment Lost Card ✓/� o — -- Board or Building Regulations and Standards -�— HOME IMPROVEMENT CONTRACTOR License or registration valid for individal use ouh Registration:. 103714 before(he expiration date. 11'found rc(uru to: Expiration:.7/9/2006 Board of Building ke ilations and S(:u s,Qard t. One Ashburton Place Rn, 1301 ;Type Private Corporation 13isI,,,, Ma.021O8 PAUL J.CAZEAULT;&.SONS,INC' Paul Cazeault 1031 MAIN STD OSTERVILLE,MA 02658 Administrator i q /"' ' o�i��xoiuuecc . u/� lluu�� � Na; BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 026325 Birthdate: 10/20/1959 Expires: 10/20/2005 Tr.no: 8603.0 Restricted: 00 PAULJ CAZEAULT 1031 MAIN ST �y OSTERVILLE, MA 02655 Administrator i 677-7 _ - v he _- Board of Building egulations One Ashburton Place Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/2005 Restricted TO: 00 PAUL J CAZEAULT 1031 MAIN ST OSTERVILLE, MA 02655 " Tr.no: 8603.0 ' Keep top for receipt and channe of addrpge nn}ifi...,#;.... PLOT PLAN OF LAND CLIENT FILE NO. 2113 DEED REF: BOOK: 21869 PAGE: 178 OWNER: DIANE OSER, TRUSTEE OF THE DIANE OSER TRUST PLAN REF: BOOK: 284 PAGE: 42 ADDRESS: 217 SANDALWOOD DRIVE LAND COURT CERT. OF TITLE: COTUIT, MA 02635 LAND COURT PLAN: ASSESSORS MAP: 25 PARCEL: 31 MAP' 25 �� PARCEL 32 O 0 pp, 00 Cd .p 0 0 16' NEWLY CONSTRUCTED _ 14'x 16'ADDITION 16' I DECK #217 EXISTING BH DWELLING G 44• SHIM PARCEL 31 20,000 S.F.t 0 0 J�^ � Q 00�S S63o4 �O MAP 25 PARCEL 30 / "FOUNDATION AS-BUILT" I hereby certify that the lot corners, dimensions,and setbacks to the newly J C ENGINEERING, INC constructed foundation as shown on this plan are correct and were based on a field instrument survey. Conformance to the Town of Barnstable By-Laws 2854 CRANBERRY HIGHWAY and Regulations shall be determined by the Zoning Enforcement Agent. EAST WAREHAM, MA 02538 TEL. (508) 273-0377 FAX. (508) 273-0367 DATE: JANUARY 5, 2012 SCALE: 1" = 20' �o���P�,SH vF h-t�Ss9cyG o 30 L. cp CHURCH LL R. o No. 06 A REVIEW OF FLOOD INSURANCE RATE MAP COMMUNITY PANEL Fs �F O sa ST �o NUMBER 250001 0021 D DATED 07/02/92 HAS BEEN CONDUCTED AND TO THE BEST OF MY INTERPRETATION, THIS j I SII DWELLING IS IN FLOOD ZONE C AND IS NOT LOCATED Date Profes tonal Lan Surveyor WITHIN A SPECIAL FLOOD HAZARD ZONE. JOB#2113 FINISH GRADE OVER D-BOX= 79.4'± 4"SCHEDULE 40 PVC MIN. SLOPE 1 % PROP.VENT WITH CHARCOAL GENERAL NOTES TOP OF FOUNDATION = 80.1'+ FILTER TO ABOVE GRADE FINISHED GRADE OVER BIODIFFUSERS = 79.00' - 79.43' PROVIDE EXTENSION RISER REMOVABLE WATER-TIGHT COVER OVER SLOPE @ 2% MIN. WITH COVER OVER INLET& FINISH GRADE OVER TANK EL.= RISER TO WITHIN 6"OF FINISHED GRADE INSPECTION PORT WITH UNLESS OTHERWISE NOTED,ALL SYSTEM COMPONENTS AND CONSTRUCTION FINISHED GRADE OUTLET TO WITHIN 6"OF F.G. ACCESS BOX TO WITHIN 3"OF METHODS SHALL BE IN ACCORDANCE WITH TITLE 5 OF THE STATE ENVIRONMENTAL @ FOUNDATION = 79.6'± 79.5 5"DIA. OUTLET(S) F.G. (ONE PER OUTER ROW) CODE AND ANY APPLICABLE LOCAL RULES. 20"MIN.ACCESS 9"MIN. 2. ANY CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD OF HEALTH AND THE COVER(3 TYP.)- 36"MAX. DESIGN ENGINEER. 9"MIN. 4.0' MAX. 3. 4"SCHEDULE 40 PVC PIPE WITH WATER TIGHT JOINTS SHALL BE USED IN DISPOSAL PROP. PVC ROP. PVC 36"MAX. SEE NOTE 21 TOP OF SAS B.O. 75.43' SEWER PIPE SEWER PIPE SYSTEM UNLESS OTHERWISE NOTED. 2- DROP MIN. I MIN.SLOPE @ 1% 6" 3' L=8' PROVIDE WATERTIGHT 4. TO PREVENT BREAKOUT,THE PROPOSED FINISHED GRADE SHALL NOT BE LESS THAN 3- DROP MAX. 3" 9" MIN.SLOPE 9 1% + JOINTS (TYP.) ELEVATION =75.43' FOR A DISTANCE OF IVAROUND THE PERIMETER OF THE SAS. UNLESS A 14" 1 4"PVC IN FROM ✓ 1.33' '1111 1610 40 MIL GEOMEMBRANE LINER IS PLACE AT LEAST FIVE FEET FROM S.A.S.AND THE TOP OF 76.50' -776.00 SEPTIC TANK 4"PVC OUT 0 0.10, (TYP.) 10.75-(TYP) THE LINER IS NOT LESS THAN THE BREAKOUT ELEVATION. I 1j'1_____ T ROP P' SEWER I SLOPE 9 1% -75T LEACHING FACILITY 10 (TYP) 1 -1 ( CLEAN SAND 5. SLOPE ALL SOLID PIPE AT 1.0% MINIMUM. of 1 F6- I 1 6. THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL. 76.25 48" OUTLET TEE 75.70' 75.53' 75.00 74.10' (laid flat) -2.875'(34.5" 5.01 (TYP.) 7. LOCAL BOARD OF HEALTH AND DESIGN ENGINEER TO BE NOTIFIED PRIOR TO BACK GAS BAFFLE 6" CRUSHED STONE 5'MIN. FILLING WHEN SYSTEM IS NEARLY COMPLETE AND READY FOR INSPECTION. SYSTEM IS tm OVER MECHANICALLY RE 'D 1.5' NOT TO BE BACK FILLED WITHOUT FIRST OBTAINING APPROVAL FROM BOARD OF HEALTH 103TIO FND COMPACTED BASE 5.01 AND DESIGN ENGINEER. 6"CRUSHED STONE 5 OUTLET DISTRIBUTION BOX 8. ELEVATIONS BASED ON AN APPROXIMATE M.S.L. DATUM OF 78.00' OVER MECHANICALLY TO BE INSTALLED ON A LEVEL STABLE GROUND WATER ELEV.= < 69.00' BIODIFFUSERS (END VIEW) ESTABLISHED ON A NAIL SET IN UTILITY POLE#16 AS SHOWN ON PLAN. COMPACTED BASE BASE. FIRST TWO FEET OF OUTLET 9. CONTRACTOR SHALL VERIFY ALL UTILITY LOCATIONS PRIOR TO CONSTRUCTION PROPOSED 1 ,500 GALLON CONCRETE SEPTIC TANK PIPES TO BE LAID LEVEL. BIODIFFUSERS (PROFILE) THROUGH DIG-SAFE AT LEAST 72 HOURS PRIOR TO COMMENCING WORK ON SITE AT LENGTH 10'-6' WIDTH 5'-8" DEPTH 5'-8" (Dimensions per Wiggin CROSS SECTION VIEW (BY ADVANCED DRAINAGE SYSTEMS, INC.) 1-888-DIG-SAFE AND ANY OTHER APPLICABLE AGENCIES. REPORT ANY DISCREPANCIES *CONTRACTOR TO VERIFY THIS ELEVATI(1 � SEPTIC TANK PROFILE Precast Corp.,Pocasset,MA) DISTRIBUTION BOX DETAIL ARC 36HC (#3616BD) BIODIFFUSERS (H-20) TO THE DESIGN ENGINEER. & REPORT Tr)ENGINEER IF DIFFERENT NOT TO SCALE NOT TO SCALE NOT TO SCALE 10. ALL JOINTS WHERE PIPE ENTERS AND EXITS CONC.STRUCTURES SHALL BE MADE WATERTIGHT. 11. NO DETERMINATION HAS BEEN MADE AS TO COMPLIANCE WITH DEEDED OR ZONING Nock Z' REGULATIONS. OWNER/APPLICANT IS TO OBTAIN SUCH DETERMINATION FROM 1, 1 , TEST PIT DATA ZONING DISTRICT: RIF PERC NO. 13467 APPROPRIATE AUTHORITY. REQUIRED SETBACKS PROVIDED SETBACKS INSPECTOR: Donald Desmarais, R.S. 12. ALL SEPTIC SYSTEM COMPONENTS SHALL WITHSTAND H-10 LOADING UNLESS FRONT YARD=30' FRONT YARD=84.5' , E.I.T.EVALUATOR: Michael Pimentel LOCATED UNDER PAVEMENT, DRIVES OR TRAVELED WAYS IN WHICH CASE SIDE = 15' SIDE = 35.5' THEY SHALL WITHSTAND H-20 LOADING. REAR = 15' REAR = 56.0' C.S.E.APPROVAL DATE: Oct- 1999 Love November 23, 2011 13. DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. 6 DATE: 4/ 40 11, Pon 4/ 'i""I'll �6 It TEST PIT M 1 14. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL LOAM, SUBSOIL AND UNSUITABLE .4 0 LOCUS , .C A TZ 38 ELEV TOP 79.50' MATERIAL IN AREA BENEATH AND FOR 5 FT. ON ALL SIDES OF LEACHING FACILITY. Cli REPLACE ALL UNSUITABLE MATERIAL WITH CLEAN COARSE SAND FREE FROM CLAY, OkELEV WATER= <69.00' FINES OR OTHER UNSUITABLE MATERIAL IN ACCORDANCE WITH 310 CMR 15.255(3). 15. CONTRACTOR SHALL NOTIFY DESIGN ENGINEER OF ANY DISCREPANCIES FOUND IN 0 0_1 PERC RATE d C14 /10 MAP 25 48"-66" a_ "o - EXISTING 1,000 GALLON SEPTIC TANK TO BE REMOVED AND �9 DEPTH OF PERC = 16. PROPOSED PROJECT IS LOCATED WITHIN: PARCEL32 REPLACED WITH NEW 1,500 GALLON SEPTIC TANK AS SHOWN 0 TEXTURAL CLASS: 1 ASSESSOR'S MAP 25 PARCEL 31 C6 ZONE 2 OWNER OF RECORD: DIANE OSER,TRUSTEE OF THE DIANE OSER TRUST 00 -PROPOSED 1,500 GALLON SEPTIC TANK 0. ' ADDRESS: 217 SANDALWOOD DRIVE Litter 79.50 COTUIT, MA 02635 EXIST. LEACHING PIT TO BE PROP. TOTAL 20 ARC 36HC (#3616BD) H-20 3" Loamy Sand 79.25' PUMPED, FILLED wl CLEAN BIODIFFUSERS IN A FIELD CONFIGURATION A 1 OYr 3/1 SAND &ABANDONED 6" Loamy Sand 79.00' FEMA FLOOD ZONE C PROPOSED INSPECTION PORT WITH B-1 1 OYr 4/1 COMMUNITY PANEL# 250001 0021 D ACCESS BOX TO GRADE (TYP OF/�) 10" 78.67' 17. DEED REFERENCE: BOOK 21869, PAGE 178 00, -2 Loamy Sand '0 B 2.5Y 7/1 118. PLAN REFERENCES: P.B.284, PG.42 & P.B.437, PG. 37(ROAD LAYOUT) PROPOSED 4" PVC VENT PIPE; -Y 30" 77*00' EXACT LOCATION PER OWNER N B-3 Loamy Sand .0" 79 Q I OYr 5/8 19. ALL DISTURBED AREAS SHALL BE RESTORED TO ORIGINAL CONDITION. co _X_ - - / <Z� ---,;> 48" 75.50' 0 20. CONTRACTOR SHALL PROCURE ALL NECESSARY PERMITS AND AUTHORIZATIONS PRIOR tih ujX X, Perc66" TO COMMENCING ANY WORK. ry j ZI 16f 74.00 I ujX 0 Benchmark 21. IN ACCORDANCE WITH 310 CMR 15.401 -15.405, THE FOLLOWING LOCAL UPGRADE C0 U- X1 1Q, X, Q 1. 0 0 -79 Nail in U.P.# C Med. to Coarse Sand APPROVAL IS REQUESTED FROM 310 CMR 15.221 (7): PROP. 14' x 161 1 >< - IN Elev. =78.00 2.5Y 6/6 (1.) A 1.0'WAIVER(3.0-4.0') FOR THE MAXIMUM COVER OVER THE LEACHING SYSTEM. X - 0 vHiwApprox. M.S. ADDITION 16'�>< C/o CP x1 DECK #217 0/ LOCUS PLAN- EXISTING OX 2-BEDROOM TP1 SCALE: 1"= 1000' 126" XI BH 09 0 69.00' ,X_X DWELLING 79x5' No Mottling, Standing or Weeping Observed MAP 25 -X-X- TOF 80.1'± TP i2 ------ PARCEL31 HIM C; DESIGN DATA TEST PIT DATA 20,000 S.F.± 79x5' PERC NO. 13467 LEGEND Donald Desmarais, R.S. INSPECTOR: 50xO EXISTING SPOT GRADE OD 'Q, NUMBER OF BEDROOMS (EXISTING) 2 0 WALK 0 40 EVALUATOR: Michael Pimentel, E.I.T. _'po NUMBER OF BEDROOMS (DESIGN) 3 (MINIMUM PER TITLE_O_ 50 - - - EXISTING CONTOUR 40 X C.S.E. APPROVAL DATE: Oct- 1999 0 DESIGN FLOW 110 QALJDAYIBEDROOM DATE:- November 23, 2011 PROPOSED CONTOUR -80 0 , TOTAL DESIGN FLOW 330 GAUDAY '0 2 O/H/W EXISTING OVERHEAD UTILITIES AS GAS GAS DESIGN FLOW X 200 % 660 GAUDAY TEST ❑PIT#: ELEV TOP= 79.50' EXISTING WATER LINE USE PROPOSED 1,500 GALLON SEPTIC TANK ELEV WATER= <69.00' 81- -8,2 PERC RATE GAS EXISTING GAS LINE DEPTH OF PERC= TEST PIT LOCATION ARC 36HC (#3616BD) BIODIFFUSERS (H-20) INSTALL 20 00 1(o TEXTURAL CLASS: I PROPOSED 1,500 GALLON SEPTIC TANK MAP 25 0", 50 SYSTEM CAPACITY PARCEL30 SWING-TIES SCALE: 1' 20' (TOTAL L.F. OF BIOS)(4.8 SF/LF)(0.74 GPD/SQ.FT.) GPD 0. 79.50' PROPOSED 4"SOLID SCHEDULE 40 PVC PIPE ')(4.8 SF/LF)(0.74 GAUSQ.FT.)= 355.2 GAL. LEACHING DAY Litter O� (100.0 A 3" Loamy Sand 79.25' 0 PROPOSED DISTRIBUTION BOX DESCRIPTION HC-1 HC-2 HC-3 I TOTALS: 6" 1 OYr 3/1 79.00* Q PROPOSED ARC 36HC(#3616BD)BIODIFFUSER(H-20) SEPTIC COVER IN (1) 31.0' 13.4' 33.2' B-1 Loamy Sand TOTAL NUMBER OF BIODIFFUSERS: 20 1 OYr 4/1 00 SEPTIC COVER OUT(2) 37.91 16.7' 34.2' TOTAL NUMBER OF COUPLINGS: 0 10" 78.67' TOTAL LEACHING AREA: 480.0 B-2 Loamy Sand BIODIFFUSER CORNER(3) 22.5' 1 32.7' TOTAL LEACHING CAPACITY: 355.2 2.5Y 7/1 REV. BY 30* 77.00 DATE DESCRIPTION BIODIFFUSER CORNER(4) 29.2' 43.2' B-3 Loamy Sand PROPOSED SEPTIC SYSTEM UPGRADE BIODIFFUSER CORNER(5) 50.0' 57.1' NOTE: 48" 1 OYr 5/8 75.50' yo PREPARED FOR: BIODIFFUSER CORNER(6) 46.4' 49.6' EFFECTIVE LEACHING AREA OF 4.80 SF/LF OBTAINED FROM THE CAPEWIDE ENTERPRISES DEPARTMENT OF ENVIRONMENTAL PROTECTION APPROVAL LETTER JOH R :Z "MODIFIED CERTIFICATION FOR GENERAL USE" ISSUED TO ADVANCED CHIJRCPIIt L J . 6 DRAINAGE SYSTEMS, INC. ON OCTOBER 3, 2003 (LAST MODIFIED C Med. to Coarse Sand No 48 LOCATED AT JANUARY 11, 2011). TRANSMITTAL NUMBER=W000052. 2.5Y 6/6 01 1) 4) L 217 SANDALWOOD DRIVE 2) COTUIT, MA 02635 0 NOTES: HCA .00 SCALE: 1 INCH 20 FT. DATE: DECEMBER 5, 2011 1.) MAGNETIC MARKING TAPE SHALL BE PLACED ALONG THE TOP EDGE OF EACH SEPTIC SYSTEM HC 2 0' 5) 126", 69.00 0 10 20 40 80 FEET COMPONENT. DECK #2 1 7No Mottling, Standing or Weeping Observed \,\-A H',F,t114 (3 PREPARED BY: EXISTING 2.) CONTRACTOR SHALL VERIFY SOIL CONDITIONS IN THE LOCATION OF THE PROPOSED 2-BEDROOM RESERVED FOR BOARD OF HEALTH USE CHU JOHN L JC ENGINEERING, INC. LEACHING SYSTEM TO ENSURE CONSISTENCY WITH TEST PIT DATA SHOWN ON THIS PLAN. BH DWELLING RCHIILL JR. REPORT TO ENGINEER AND LOCAL BOARD OF HEALTH IF SOILS ARE NOT CONSISTENT WITH TEST (6 CIVIL 2854 CRANBERRY HIGHWAY TOF = 801'± No 4 7 PIT DATA. SHIM EAST WAREHAM C , MA 02538 3.) ENTIRE PROPERTY IS LOCATED WITHIN THE GROUNDWATER PROTECTION OVERLAY DISTRICT SITE PLAN HC-3 508.273.0377----------------- ---- By: MCP Designed By:MCP Checked By:JLC T JOB No. 2113 AND THE ESTUARINE WATERSHED. SCALE: 1"=20' rDra MOKF I?FTFrTr)R kf BARNSTA . .:-BUIL ING DEPT ATE FIRE DEPARTMENT DATE GENERAL NOTES: BOTH SIGNATURES ARE REQUIRED FOR PERMITTING A. 1. Before final Drawings and Specifications are issued for — m- - construction,they shall be submitted to all governing building agencies to insure their compliance with all applicable local and national codes. If code discrepancies in Drawings and/or Specifications appear,the Designer shall be notified of such IMPORTANT — UPGRADE REQUIRED discrepancies in writing by Builder or building official,and "TATE G CODE REQUIRES THE UPGRADING OF allowed to alter Drawings and Specifications so as to comply ROG15 VENT -^RS ^_" =N -)WELLING WHEN with governing codes before construction begins. REFER TO 2009 IRC _ =D OR CREATED. 2. Upon written receipt of approval from the governing official, 8TH EDITION MASSACHUSETTS — — approved final Drawings and Specifications shall be submitted 'RED FOR THE to the Builder by the Designer. _ _ HE ELECTRICAL 3. If code discrepancies are discovered during the construction — _ ?EMENT process, Designer shall be notified and allowed ample time to remedy said discrepancies. — —— — 4. All work performed shall comply with all applicable local,state ALARMS and national building codes,ordinances and regulations,and LED PER all other authorities having jurisdiction. II f hlr CODF B. All contractors, subcontractors, suppliers, and fabricators, shall be — — — — — — responsible for the content of Drawings and Specifications and for the supply and design of appropriate materials and work performance. C. All manufactured articles, materials and equipment shall be applied, installed, erected, used, cleaned and conditioned in strict accordance with manufacturers recommendations. D. All alternates are at the option of the Builder and shall be at the ¢ Z Builder's request, constructed in addition to or in lieu of the �— typical construction, as indicated on Drawings. U- ILE I I I E. SPB Designs is not responsible for any plan discrepancies. w Z W Builder&Homeowner to review plans before start of construction. o Q 0 ILLLJI I 1� III LEI i LEIE 1: z t < CCYO) x Z Fco - < J r 00 !� z ob -- -- W (n 00 c) ,f� C) Z ED � N co TLLILL QUQ � W LO 11 Z FRONT ELEVATION .� 0 C/) RIDGE VENT 12 MATCH z EXIST. Q J ® Q WY W Cr. O O LU p U Q -- -- Q A41 I I I I I I I I I I I I I I I I I I I I LU W W 02 ® Cf) lY Z F- C W REAR ELEVATION W W T o 0 cc IZ O N U U Q � SCALE 1/4"=1'-0" 14 DATE 12/6/11 DRAWN BY PAB REVISIONS: RIGHT ELEVATION- DRAWING NUMBER COPYRIGHT SPB DESIGNS 2011 A 1 12 MATCH ASPHALT ROOF SHINGLES 14'-0"<�o---------I EXIST. I 1/2"PLYWOOD CDX 2' 1" 1 V-7 1/2" AIR BAFFELS @ NOTE: BUILDER TO VERIFY 5'-7" 6'-0 1/2" ' RAFTER BAY EXISTING&NEW DIMENSIONS 2X8 RAFTER TW20210-3 , I DRIP EDGE UP ROOF FRAMING HURRICANE TIES ; R-38 INSULATIO � � I I i _ I o -ALUM.GUTTER >; i a I �A iX8 FASCIA PINE m;, I ; a I I 2"SOFFIT VENTO i ; 2X6 NAILLERIT PINE LIVING ROOM U-; tj,) BEDROOM 2-2X6 TOP PLATE LL 0 I ; W 2X6 WALL W/1/2"OSB I R-21 INSULATION Z I WALL SHEATHING I o q ' I CD I I ------------ � I I I I I I II I v I�-SIDING I I N I 3/4"PLYWOOD R-30 INSULATION �j - _ - - BE ABOV N 1 2X6 BOTTOM PLATE v l l q r J 2X8 FLOOR JOISTS I I DINING AREA N a CS I I CO , coo 2X6 P.T.PLATES W/SILL SEAL I I ; x Z N I 5/8"X 18"GALV.ANCHOR - - - I LL. BOLTS @ 4'-0"O.C. CRAWL SPACE �- KITCHEN TW2442 TW2442-2 i 0 z Q co g GRADE i Z � co F 3/4"AGGREGATE W/ i 3'-6" 10' 1/2" LD ,- z pp 6 MIL VAPOR BARRIER i o 3 1/2" A --__----; (n Q X 0p 8"POURED CONCRETE I 14'-0" w cn O O co FOUNDATION WALL ENTRY O '-- p Z 00 � 2X4 KEYWAY Q O O Q O co BATH ^ � 06 a- z ' I � W I I cl) w ir NOTE:BUILDER TO VERIFY ________ CONC.FOOTING 20"X10" i EXISTING&NEW DIMENSIONS 14'-0' I FIRST FLOOR PROPOSED ,f T-0" T-0" I TYPICAL SECTION r -------- -- ir ---- ; � rid C vd • � p d C �d • � Ip ' NTSI I C 1 •- ----, f----------------------------------�-, • 1 ° ' z 8"X4'-0"CONCRETE WALL , , RIDGE VENT �s p BELOW GRADE W/20"Xi d" i 2X10 RIDGE I C7 Z CONT.CONC.FOOTING' I w x 1 ' r4 ' - 1/2"CDX ROOF SHEATHING I I Cn W 1 °• 1 0 1 I 1 W J I 1 z Ja : 1 ,V 1 12 � I I I 1 , W U W I- ; i 12 w p 1X6 COLLAR TIES cr @ 1s"O.C. u); Z o CRAWL SPACE w U il_: 3/4"AGGREGATE W/ i O i Q 2X8 RAFTERS z v; I I y+� WUZ 6 MIL VAPOR BARRIER ; ; `D 1X8 1X8 a; I I I Zcccwr I I Q ' O m U) i HURRICANE R-38 HURRICANE > ' 1 z oC = ; 1 - G I TIES H2.5A TIES H2.5A C) 2X8 CEILING JOISTS 1X3 STRAPPING w 0 cl) cc w ; i v i o @16"O.C. ' a a I I 100 W/1/2"GYPSUM z 1 1 r I Q I i w 0 U 8"X4'-0"CONCRETE WALL i ° O w O Z I- � w BELOW GRADE W/20"Xid" I 1 � O ' z z CONT.CONC.FOOTING; ; ° ; BEDROOM x 1:) Z 0 -------------- ----- -- ------ �. l - C I R-21 111 p Q J 1 1 w Q I v a - V Q- 4 V r Q o Q 7 Q 4 V �• v f d I = p Q Q Zi I----- w Q �G-- ------------- --------- Q ' i 14'0 A --------' 3/4"T&G : O Lu� Q 0 ; FLOOR SHEATHING < MATCH NEW FOUND. —- _ -— d w Z) 2X8 FLOOR JOISTS z I i ELEVATION W/EXISTING O a_ FOUND.ELEVATION a R 30 —- -— O cm WALLS = o - CRAWL SPACE Cn , I _ , 1 W i i EXISTING WALLS = q SCALE 1/4"=V-0" 1 3/4"AGGREGATE W/ v 6 MIL VAPOR BARRIER DATE 12/6/11 1 1 —- - — DRAWN BY PAB 1 1 ------- FOUNDATION PLAN SECTION A REVISIONS: DRAWING NUMBER A � COPYRIGHT SPB DESIGNS 2011 ------, ---------------- — — — --------------, I I , I , 1 1 , U) � 1 U) ; ' U I O O fr i , c\I O ' O 1 , J V" I U) 0 I i U) Z Z I O x LL I ` / Q x O w Z O !� _ I J �' 00 ' LL ZZ � Q cM ' X 0000 ---------- - --- --- -- — — — — — — — — 1----- _-, N � Z) x0 z0 00 w cn',— , —,— �, i ' ' 'Z m � N I I I I I I I I I 1 I I I , J O 00 Q I ' I I I I I I I I 'I ' Q U O Q 0.. W O Io � irICI I 1 I I I I 1 I I 'I ' ' ----------------------------------------, 06 `. Qr MATCH NEW FLOOR JOIST ^ Q v 1 11 1 I I 1 I I I 1 I I I I Ir ELEVATION W/EXISTING FLOOR JOIST ELEVATION C/) III I I I I I I I I Q I X I I I 1 I I I i I I I I 11 1 J I W W III I I I I I I I I 11 1 I I I I I I I I I W I (D ' NOTE: BUILDER TO V.I.F. EXIST. 1 1 I 1 I I 1 I I 1 I I 11 1 I I I I 1 ( I I I I I i I 1 III Z FLOOR JOIST SIZE TO BE SAME AS NEW FLOOR JOISTS 4X6 POST DN , 1 I I I I I i I I I I III 1 1 I I I I i I I I I II I x I ----_--_-_--_ I I I I I I 1 I III w- - - W I I I I II (� " I pC I I III I I 1 1 I I o f I I I I1 1 XN t i i i I I i i i w ;w FLOOR FRAMING PLAN CD I , N 1 1 I I 1 1 1 i- FI I 1_ =L = 4X L -I 1 6 POST DN 11''1I ; ZI I rI O u_ 0 1 1 2X8 RAFTERS/CEILING JOISTS @ 16" O.C. Q 11 > aC N O z _ Z II w II cc: L z 1I o X " O w w p O --------- o z 0 o QQ ROOF FRAMING PLAN- Lu W p cr ZF- CL CcW � F- (!) ,_ O CL O N U SCALE 1/4"=V-0" DATE 12/6/11 DRAWN BY PAB REVISIONS: DRAWING NUMBER A3 COPYRIGHT SPB DESIGNS 2011