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Home My WebLink About0024 SEARS AVENUE _. /p� //�P,_ 1 e � _ �' �, 4 '/ 1. f TO141 y Liberty 10�Autqil. A13 Amu 1 SURETY 1 # 1 2 � NOTICE OF CANCELLATION AND/OR TERMINATION CERTIFIED MAIL-RETURN RECEIPT REQUESTED N/A D ? F August 14, 2013 Town of Barnstable 200 Main Street Hyannis, MA 02601 Bond Number: 601041340 Cross Reference: Principal: Bayside Building Company, Inc. Present Penal Sum: . 400 USD Bond Description: Construct a Single Family Home at 24 Sears Avenue,-Cotuit, MA 02635. Frontage 100'. Original Effective Date: October 5,2012 Cancel Date: October 5, 2013 We hereby cancel the above referenced bond in accordance with the cancellation/termination provisions contained in the bond. If,for any reason,the effective date of this Notice does not fully comply with the cancellation/termination provisions contained in the bond,then this Notice shall be deemed amended to contain the earliest effective date which is in compliance with the provisions of the bond. REASON: Bond No Longer Needed Cancellation Reason Comments: Non-Renewal REPLY TO: " The Ohio Casualty Insurance Company Boston 20 Riverside Road ' Mail Stop 03AN By Weston, MA 02493-2281 800-647-1113 Fax: 866-547-4882 Attorney-in-Fact Robert Desharnais COPY (�Obligee ❑'Principal ❑ Producer ❑ Home Office ❑ Underwriting Office Bayside Building Company, Inc. PO Box 95 Centerville, MA 02632 • � � LMIC-3200 �� Ili TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION Map Parcel_. ,' Application # Health Division �2-3i S e Date Issued C ' Ilg Conservation Division o �iica ion FeerCO L' Planning Dept. -& la- 65. \? Permit Fee ) Date Definitive Plan Approved by Planning Board Historic OKH _ Preservation / Hyannis Project Street Address Village 0 'all Owner Ulul .mfl 1' Address Telephone Permit Request - Wj l �o Square feet: 1 st floor: existing vproposed III& 2nd floor: existingproposed Total new . Zoning District IgnE Flood Plain Groundwater Overlay Project Valuation - � Construction Type c Lot Size 2,,52 Grandfathered: ❑Yes ANo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ,ILNo On Old King's Highway: ❑Yes &No Basement Type: ❑ Full ❑ Crawl AWalkout ❑ Other Basement Finished Area (sq.ft.) • Basement Unfinished Area (sq.ft) Numljer of Baths: Full: existing_ new _� Half: existing new 1 Numbe;,of Bedrooms: existing ;&new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing New Existing wood/&11 11 stove: UYes`Llo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ exis_ting ❑ 663 v size_ Attached garage: ❑ existing iew size _Shed: ❑ existing ❑ new size — Other: w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No rIf yes site plan review# p� Current Use l Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Y - GL.fB ,-'T r-- � Telephone Number p p Address 944M fild License # 05- W570 Home Improvement Contractor# Worker's Compensation # ALL CONSTRU TIO�N/DEBRIS RESU I G FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE C t FOR OFFICIAL USE ONLY `? APPLICATION# DATE]SS.UED _>. ,MAR[PARCEL NO. a ' ADDRESS VILLAGE - .• OWNER DATE OF INSPECTION: FOUNDATION' FRAME zj(A3 j la ' INSULATION'. FIREPLACE ; ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL GAS.:- 4 ROUGH FINAL_ .. ",.FINAL BUIL-DING DATE CLOSED OUT 4j[} ASSOCIATION PLAN NO: t ,ter TO W.n, of aristable .. • �egulato.�y �e�ces Maxims F. Geiier,Dir'cz u or ka� uEdTIlgI-nsloll _- 'Lomas Ferry,•CB O;-.3u7ding Caip4minianer 2do Maft str c Hy;=m ,MA 92601' ' p�p.Eo•wn.barnsta6la.ma_us Dffi= 50.8-8624038 -Fax: 508-790- M* PLA-NREMWZo rZ Owner L11Ze INIap/Paiccl: �l�` .OJO5 Q8� ` ro'ect A ddmss 5,*FkRs&N CT Builder P The faTID g i��me�eT`e noted.on z-egzevPzng: 0 �i�oO£-f2.T l5 LO'Ci¢7't'� • �L�SS /.�{�sN. �vE ��IGE ' Ace �'G st �Uo l(,�iyd o w A-6 TE C-T/O, Reviewed by: Date: LETOWN OF BARNSTAB s t i �aing 2:0120.6099 Y • °rm it . BARNSTABLE, * Issue Date: 10/18/12 ` MASS, s6gq. A� Applicant: BAYSIDE,BUII.DING,INC Permit Number: B 20122553 . Bp Proposed Use:. SINGLE FAMILY-HOME Expiration Date: 04/17/13 Location 24'SEARS AVENUE Zoning'District RF Permit Type: REBUILD HOUSE AFTER TEARDOWN Map-Parcel 018085002 Permit Fee$ 1,035:30 Contractor BAYSIDE BUILDING,INC j Village COTUIT App Fee$ 100.00 License Num 005645 Est Construction Cost$ 203,000 APPROVED PLANS MUST BE RETAINED ON JOB AND Remarks PERMIT TO DEMO EXISTING HOME AND RE-BUILD .NEW 3 BEDROOM THIS CARD MUST BE KEPI POSTED UNTIL FINAL 2& 1/2&ATH CAPE/RANCH STYLE HOME WITH APROX. 1956 SF. INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LAZOTT,WILLIAM J&ANTONIA M BUILDING SHALL NOT BE OCCUPIED.UNTIL A FINAL Address:• 24 SEARS AVE REAL ESTATE TRUST INSPECTION HAS BEEN MADE:. PO BOX 1800 COTUIT,-MA 02635 C Application Entered by RM Building Permit Issued By: '� THIS;PHRMTT CONVEYS NO.RIGHT TO OCCUPY ANY.STREET'ALLEY OR SIDEWALK OR ANY PART THEREOF,Err1IfiR TEMPORARILY OR PERIvfANENILY• ENCI(OACHI4ENTS ONPUBI IC PROPERTY;NO _ _ SPECIFICALLY PERMITTED UNDER THE BUII.DING.CODE,MUST.BE APPROVED BY.THE IURISDICTION STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OB7`AWED FROM THE DEPARTIvtENT:OF PUBLIC WORKS TFnI ISSUANCE OF THLS PERMIT DOESNOT RELEASE THE APPLICANT FROM THE'CONDTTIONS OF ANY APPLICABLE SUBDMSION RESTRICTIONS .::% ivIINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: i.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5:INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. CHANICA ,:WHERE APPLICABLE,SEPARATE PERMITS INSPECTOR HAS APPROVED THE VARIO FOR ELECTRICAL, USBING AND STAGES F CONSTRUCTION.INSTALLATIONS. `WORK SHALL NOT PROCEED UNTIL 'PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF :DATE THE PERMIT IS ISSUED AS NOTED ABOVE. ;PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVAL S ELECTRICAL INSPECTION APPROVALS 7 µVacEAtsP, I'P,,c /j p� 2 z 3 NEro5 1 Heating In Approvals ;Enneering Fire De t �, 2 t c n a S �5 } i �r tf Town of Barnstable 04 Building Department - 200 Main Street * BAMST"LE, Hyannis, MA 02601 9 MASS 16g9 (508) 862-4038 CEO MOB s Certificate of Occupancy Temporary Application 201206099 CO Number: 20130047 Parcel ID: 018085002 CO Issue Date: 05115113 Location: 24 SEARS AVENUE Zoning Classification: RESIDENCE F DISTRICT Owner: LAZOTT, WILLIAM J & ANTONIA M Proposed Use: SINGLE FAMILY.HOME 24 SEARS AVE REAL ESTATE TRUST PO BOX 1800 Village: COTUIT COTUIT, MA 02635 Gen Contractor: BAYSIDE BUILDING, INC Permit Type: RTCO RES TEMP CERT OF OCCUPANCY Comments: TEMP CO FOR THIRTY (30) DAYS TO EXPIRE 6115113 Puild/W)g Dep ment Signature Date Signed Expiration Date TOWN OF BARNSTABLE ' �IBuitaing 201206099 • BARNSTABLE, Issue Date: 10/18/12 e rM Lt:: 9 MASS _. �A 039• Applicant: BAYSIDE BUILDING,INC >FD MAC s Permit Number: B 20122553 Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/17/13 Location 24`SEARS AVENUE` Zoning District RF Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 018085002 Permit Fee$. 1,035.30 Contractor BAYSIDE BUILDING,INC Village COTUIT App Fee$ 100.00 License Num 005645 Est Construction Cost$ 203,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND _ i PERMIT TO DEMO EXISTING HOME AND RE-BUILD NEW 3 BEDROOM THIS CARD MUST BE KEPT POSTED UNTIL FINAL 21 & 1/2 BATH CAPE/RANCH STYLE HOME WITH APROX. 1956 SF. INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LAZOTT,WILLIAM J&ANTONIA M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 24 SEARS AVE REAL ESTATE TRUST INSPECTION HAS BEEN MADE. PO BOX 1800 COTUIT,MA 02635 Application Entered by: RM Building Permit Issued By: AM�� _ I THIS PERMITCONVEYS.NO RIGHT.TO OCCUPY ANY STREET,:ALLE-vGk SIDEWALK OR ANY PART,THEREOF,EITHER TEMPORARILY.OR PERMANENTLY: ENCROACHMENTS.0114 PUBLIC PROPERTY NO SPECIFICALI;Y;PERMITI`ED UNDER THE BUILDING CODE,MUST BE APPROVED`BY THE JURISDICTION;.STREET.OR ALLEY:GRADES AS-.WELL AS'DEPT ND LOCATION OF P.UELIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS:THE ISSUANCE OF,THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDIf[ONS OF ANY APPLICABLE SUBDCJISION' RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). S.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF '.DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS s, Gu AArI5TTS-C Acr- Y j VAS' K qp 5-Ab�/3 �'404'0"e 3 PiEIE03 IeD 1. Heating Inspection Approvals Engineering Dept 1 Fire De t �,,�Ir�„� 2 i-I,a 2— (Z Board of Health �INETown of Barnstable do Building Department - 200 Main Street RARNST"LE. * Hyannis, MA 02601 9 MASS 16519 , (508) 862-4038 RFD MIS A Certificate of Occupancy Application Number: 201206099 CO Number: 20130049 Parcel ID: 018085002 CO Issue Date: 05/15/13 Location: 24 SEARS AVENUE Zoning Classification: RESIDENCE F DISTRICT Proposed Use: SINGLE FAMILY HOME Village: COTUIT Gen Contractor: BAYSIDE BUILDING, INC Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: S�isl13 c J Bm din epa ent Signature Date Signed a , ZNE TOWN OF BARNSTABLEBu'naing 201206099 r • BARNSTABLE, Issue Date: 10/18/12 9 MASS. �ArFO 339. A Applicant: BAYSIDE BUILDING,INC Permit Number: B 20122553 Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/17/13 Location 2 SEARS AVE'Nde Zoning District RF Permit Type: REBUILD HOUSE AFTER TEARDOWN I Map Parcel 018085002 Permit Fee$ 1,035.30 Contractor BAYSIDE BUILDING,INC ,Village .COTUIT App Fee$ 100.00 License Num 005645 Est Construction Cost$ 203,000 .Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 'PERMIT TO DEMO EXISTING HOME AND RE-BUILD NEW 3 BEDROOM THIS CARD MUST BE KEPT POSTED UNTI4FINAL 2& 1/2 RATH CAPE/RANCH STYLE HOME WITH APROX. 1956 SF. INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE.OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: LAZOTT,WILLIAM J&ANTONIA M • BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 24 SEARS AVE REAL ESTATE TRUST INSPECTION HAS BEEN MADE. PO BOX 1800 COTUIT,MA 02635 Application Entered by: RM Building Permit Issued By: '-THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PARTjHEREOF;E]'I'HEK.TEMPORARILY dkPERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY;NO r. 'SPECIFICALLY PERMITTTED UNDER THE BUILDING CODE;MUST BE APPROVED BY THE JURISDICTION:.:"STREET ok ALLEY:GRADESASMELL AS DEPTH ANDLOCATION OF PUBLIC•SEWERS�MAYBE (, OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERM' rrDOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF.ANY APPLICABLE SUBDIVISION., RESTRICTIONS. - r` ' .MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: I.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). ; 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. !; WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF ` DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORSDO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). 1215 i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 Abe ATrscr�+x 'sI - p�acEes w�.,�v i 2 2 11—S, i8qp 5-l��d 3 3 NE Ito 3 1 Heating Inspection Approvals Engineering Dept E t Fire De t 1p,kl 2 fi t,�,� ��S Board of e r Duct Leakage Test Form Customer Znformaf9otl; lest Cozlditions-, Name: Bayside Building Date; 2/21/2013 Address: 1645 Falmouth road Bayberry square Time: City: Centerville JndoorTemperature(F); State/Zip: Ma Outdoor Temperature(k�; Phone: (508)-771-1040 _ Floor Area(fe); 1445 Email: System krr'low(cfi# : 1600 Cooling Size(tons): 4 Building Address:(if different firom above) Heating Size(btu); 100,000 _Street: 24 Sears Ave Primary Location ofSupply Ductwork: Basement City/state: Cotult Ma. --- Prii=y Location of -- ReturttDucty qrk: Basement Cotnrl0 eats• System located in Basement on two zones-H 1 first floor lit second floor.Second floor fed:by risers in interior and exterior walls All connections joints and seams sealed with 3-m mastic tape and or caulk.A l ductwork in conditioned spaces insulated with r-6 foil faced insulation,All duct in unconditioned spaces insulated with r-8 foil faced insulation.System tested after rough stage of install with Minneapolis duct blaster.System tested with duct work attached to furnace and coil. Total Leakage Tesf Depress Press Urttside 1Jeakagle Test Depress Press Test Pressure: rrS'a) Test Pressure: (Pa) Baseline Duct Pressure(optional):T(Pa) Duct Flow Plug lixn Press 1!low Duct Flow Ring Fan Press Flow Press. a Nstalled : 'a) cftn) : Press. Pa Imtalled R a in 25 3 . 75 Results: Outside Leakage(eft);: Fan Model/SN: Outsidc Leafage as% esults�. System Airflow: Outside Leakage as%° Total Leakage(cfm): 75 Floor Area: Total Leakage as Sy,-,tern Airflow: Total Leakage as Floor Area: 5.2 Eric Whiteley -- W.VERNON e6c@wvwhlteleyccm INC, W' 28 Village Landing P,Q,Box 17,,66 PLUMBING•HEATING W.Chatham,MA 02669 AIR CONDITIONING SINCE 1951 r508.445.1100 F508.945.5549, www.wvwhftefey.com Libewrtyti SJUREfY Mutual:6 . NOTICE OF REINSTATEMENT April 23,2013 Town of Barnstable 200 Main Street Hyannis, MA 02601 • (Certified'Reciept Number: N/A ) Bond Number: 601041340 Cross Reference: Principal: Bayside Building Company, Inc. " Present Penal Sum: 400 USD Bond Description: Construct a Single Family Home at 24 Sears Avenue, Cotuit, MA 02635. Frontage 100'. Original Effective Date: October 5,'2012 Reinstate Date: October 5, 2012 -We hereby reinstate the above referenced bond..The bond will remain in full force and effect as though Notice obf ancellatiop�& ---1; Termination had not been served. w xis q ZE REPLY TO: m The Ohio Casualty Insurance Companya Boston sX7 20 Riverside Road tiro Mail Stop 03AN By: : Weston, MA 02493-2281 800-647-1113 Fax:866-547-4882 Attorney-in-Fact + Robert Desharnais Obligee ❑ Principal ❑ Producer ❑ Home Office �`�E{.,',^P-(' -?,''.,'r.E +..xG c:'G'` "t !.'.:}:. .- - � i l' "., .!+ 't''I:':s.w.s s(.;.;,' s�, �.�+."'."+..-• ❑.Ullderwrlting Office i Bayside Building Company;',Inc. :•.. PO Box 95 Centerville, MA 02632 - LMIC-3220 Ul$ Commonwealth of Massachusetts 1I4113 Ln OOa Sheet Metal Permit Date: e E,.R M� Permit# .RES,S � �� - 3 X P e " 47 Estimated Job Cost-f$ ")0 CC)( ' `20 3 Permit Fee:.$ JAN�- Plans Submitted:" YES NO ✓ Plans Reviewed YES NO ✓ a Business License# 1(P d TOWN'OF Bh"T lcense Business Information: Property Owner/Job Location Information: Name: Urn on Loh I Tej'\///vvv`J,J1 (� , `Name: Street: a Uj� l 'l ,.I S�" �, _� Street: �� City/Town: A1: I.Y.IQ�'VI City/Town: �1 Ll l w Telephone: 7 7y� Q0 Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO 8ta I stial J-1 I M-1-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or,.less ` Residential:,1-2 family V Multi4amily Condo/Townhouses •Other Commercial: Qffice Retail Industrial Educational Institutional ,Other Square-Footage: under 10,000 sq.ft. -over 10;000 sq. ft. Number-of Stories: Sheet metal work to be,completed New Work: Renovation: , HVAC V x Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done- INSURANCE COVERAGE: " I have a current liability i,nsurarice,policy or its equivalentwhich meets the requirements of M.G.L. Ch.,112 .Yes No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below: A liabilityinsurance policy Other type of indemnity❑ Bond 0 " � OWNER'S INSURANCE WAIVER: I am aware that the,licensee does not have the insurance coverage required by Chapter 112 of the S Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only r Owner ❑ Agent ❑ Signature of Owner or Owner's Agent , By checking this boxEl,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision ofthe Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Pm ress Inspections Date Comments • ti Final Inspection - - - Date - - - - - - - - - - Comments- - Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑ f (/��j Joumeyperson-Restricted License Number: I Fee$ Check atwww.mass.cloy/dp( Inspector Signature of Permit Approval CO[&h4OiNWEALTi i OF iJiASSACHUSETTS SHEET l�1ETAL WORKERS - AS A BUSiNES,S ISSUESTHE A, BODE LICENSE TO ERIC T WHITELEY` r' 'W; `VE:RidON. WIHIT€LEY. PLBG AND HT 28 .VIiLA'.GE -LANnIN.G g i ; ` ,g,Dy . 1266 w CHATIiAf MA 0266-9 00111) ibD 12/22/12 97:D052 � j1. { COP41ONWEALTH OF MASSACHUSETTS W - =e• i, a� SHEET METAL WORKERS AS A MASTER-UNRESTRICTED i t ,ISSUES THE P,BO'•/E LICchISc TO: ERIC T WHITELEY... s Pa `BOX 248 k . a WEST. CHATHAM.; MA :0266.9-0248 2967 02/28/14 11942-3 • -5 r.� a .�.��•f-,. 'e c ��"i• ® : .. ... ... .._ ._. r Fold,Them Detach Abno All Perbraflons � `. "s Ri.1 ✓ ASS VLE��_� 0 't�,��.-,.Ili is01MWPM 41 TEE ER1C .. � +� I j �� 1. 79wm°`f S�iE4� 7 �l��• �� a.�4 y?�YI e , t , 7HEr Tow-a •of Barnstable fRegulatory Services flA.FWETABLE, � v� 'a�Aea \a� Thomas K Geiler,Director �tD,, Building Division Tom Perry, Building Commissioner 200 Main Strcet, Hyannis, MA 02601' "W-town.barnstable.ma.us Df ce: 508-9624-03 8 Fay,: 508-790-6230 Property Owner Must Complete and Sign This Sectioa If us'in Builder / n 1 / , zs Oaaner of tLe subject.prop *ty here by ai�'�.hoz�ze G�. f/• � to �ue� II act on y i all ITIa tern rzlztive to work au-ul orized by this b 1�^d Pest appEcatloj for. C� (A:ddzess of Job) S1'6=tUF-- of Owner Date- if Propeity Owner is apply ng�forpernirt please complete the Homeowners.License Exemption Form On 'the reverse side, Q:FORMS:OWNERPERMISSIDN - . A =� The Commonwealth of Massachusetts -- Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 ` www mass.gov/dia i .Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Apmlicant Information Please Print Legibly Name (Business/Organization/Individual): W Ve + ep a , n Address: �,k v�l►p �A'.,��hti p0ri 6ox 1 aL� L City/State/Zip: s 1 . C+4 A d 1 A,Y, Phone#: C�e8 9 y - 11 0 Are you an employer?Check the appropriate box: Type of project(required): 1_� I am a employer with q`� 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity, employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance required.] 5.❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑Plumbing repairs or additions myself. [No.workers'comp. right of exemption per MGL: 12.❑ Roof repairs insurance required.]' c.152, §1(4),and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks.box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp_policy number_ I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Lk)A u S A, �— Vl n�i L w�i 1<tt s �� Policy#or Self-ins.Lic.#: W C_C.=Z I 1 - a o o 3 0 ) Expiration Date: 1 o i o/3 Job Site Address: y a/-1 o u S City/State/Zip: ►n'1 A 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 insuran coverage verification. I do hereby certify under p a e o perjury that the information provided above is true and correct Si afore Date: /d y / Phone#: C G > 9 N — i 1 0 0 Official use only. Do not write in this area,to be iupleted by city or town official. Cih or Town: ermit/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#: �j Client#:48736 VERNWHI ACORD_ CERTIFICATE OF LIABILITY INSURANCE ff1(MMIDDfYYYY)E 01/201 2 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 j the terms and conditions of the policy,certain policies.may require an endorsement.A statement on this certificate does not confer rights to the I certificate holder in lieu of such endorsement(s). Y i • PRODUCER - CONTACT NAME: Karen A.Walther, CISR (' Rogers 8 Gray Ins. PHONE 508 760 4630 FAX 877 81612156 A/C,No.Ezt: - A/C,No 434 Route 134 E-MAIL ADDRESS: ers r kwalther rog g ay•com South Dennis, MA 02660-1601 1NSURER(S)AFFORDING COVERAGE NAIC# 508 398-7980 Arbella Mutual Insurance Com an 17000 INSURER A: p INSURED INSURERS:Wausau Underwriters Ins.Compan l W.Vernon Whiteley Plumbing &Heating INSURER C 70 Arbella Protection Co 100 { Company, Inc. & Chatham Sheetmetal, Inc ' INSURER D P. O. Box 1266 INSURER E: ' West Chatham, MA 02669-1266 INSURER F: - COVERAGES , CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY 'REQUIREMENT; TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED"HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID.CLAIMS. INSR ADDL!SUBR, - LTR TYPE OF INSURANCE IINSR IWVD POLICY NUMBER POLICY MM DD/YYYY LIMITS A GENERAL LIABILITY 8500052832 10/01/2012 10/01/2013 EACH OCCURRENCE S1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurtence S3Ql),000 CLAIMS-MADE a OCCUR VIED EXP(Any one person) s15,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE • Is2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: X I PRODUCTS-COMP/OP AGG S 2;000,000 POLICY I GAX]ECT LOC I - S - - AUTOMOBILE LIABILITY I 11020006346 10/01/2012 10/0112013!COMaaccidentlBINED SINGLE LIMIT I S 1,000,000 fE ANY AUTO CHE BODILY INJURY(Per person) I S ALL AUTOS OWNED )( AUTOD ULED I BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE Ix HIRED AUTOS - X AUTOS I (Per accident) I S. S A X UMBRELLA LI) I OCCUR 4600052833 10/01/2012 10/01/2013"EACH OCCURRENCE I s4 000,000 <EXCESS LAB l CLAIMS-MADE - AGGREGATE I s4,000,000 DIED I XI RETENTIONSO 8 WORKERAND EMPLOYERS' COMPENSATION WCCZ11260053011 11101/2012 10101/2013:X IT RYTAMT I IoRH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE�Y/N OFFICER/MEMBER EXCLUDED? A - E.L.EACH ACCIDENT SS00;000 - I '•l N! (Mandatory in NH) k E.L DISEASE-EA EMPLOYEEI$500,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICYLIMIT s500,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(Attach ACORD 101;Additional Remarks Schedule,if more space is required) - Plumbing, Heating, HVAC service& installation. CERTIFICATE HOLDER CANCELLATION TOWn,of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES.BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 • AUTHORIZED REPRESENTATIVE -- ©198 -2010 ACORD CORPORATION.,AII rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S88017/M87928 TLH I Department of Industrial Accidents L Office of Investigations 600 Washington Street Boston,MA 02111 b 5y6�� wmv.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leihiy Name (Business/Organization/Individual): 1� ` _ E Address: Pi. ?Nc- City/State/Zip:C_gVib- Z VIA IPIA Phone #: )- Are you an employer?Check the-appropriatVi Type of project(required): 1.❑ I am a employer with 4. am a general contractor and I b. ew construction employees(full and/or part time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet $ 8• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I aim a homeowner doing all work' right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#i must also fill out the section below showing their workers'compensation policy information: t Homeowners who.submit this affidavit indicating they are doing all work and then hire outside'contractors must submit a new affidavit indicating such $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. ; Insurance Company Name: � S ?o . Policy#or Self-ins.Lic.#:_ ( �001Y0 h41V - _ Expiration Date: Job Site Address: 411 �� AACity/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition-of.criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations.of the DIA for insurance coverage verification. I do hereby cer t, ader `ras and penaldes of perjury that the information provided above is true and correct. Sigiiafore: -Date: I L Phone#: d UT— t G4 0 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/Tovkm Clerk 4.Electrical Ix€spector �.P'lurrtbing Inspector 6.father Contact Person: Phone#: Client#: 15273 2BAYSIDEBU DATE(MM/DD/YYYY) ACORDTM CERTIFICATE OF LIABILITY INSURANCE 1E(MMIDD7 0/05/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT NAME: Dowling&O'Neil PHONE 508 775-1620 FAX Insurance Agency -MANS a:t: Alc,No: 5087781218 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A.:Acadia Insurance INSURED : INSURERS: Bayside Building,Inc.and INSURER C: - - Bayside Design 8r Remodeling,Inc. PO BOX 95 INSURER D: Centerville,MA 02632 INSURER E.: INSURER F:- - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - TYPE OF INSURANCE ADDL SUBR - POLICY EFF POLICY EXP : LIMITS. LTR INSR WVD POLICY NUMBER - MM/DD/YYYY MMIDD/YYYY A GENERAL LIABILITY CPA007340920 1/01/2012 61/01/2013 EACHOCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY - PREMISES Ea NT ens - $250,000 CLAIMS-MADE F OCCUR "": MED EXP(Any one person) $S,000 - PERSONAL&ADVINJURY $1,000,000 X OCP GENERAL AGGREGATE : $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG $2,000,000 - POLICY PE 0- LOC .. .. $ .. AUTOMOBILE.LIABILITY - - COMBINED SINGLE LIMIT :: .. ... Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED ': : ": : - BODILY.INJURY(Per accident) $ .. AUTOS AUTOS - - NON-OWNED - -- PROPERTY DAMAGE $ .. HIRED AUTOS AUTOS Pe $ UMBRELLALIAB OCCUR .. EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE:: - $ DED RETENTION$ ... .. ... : $ .. A WORKERS COMPENSATION. AND EMPLOYERS'LIABILITY WCA007340621 1/O1/2012 01/01/201 X -WCSTATU- OTH- .": E.L.EACH ACCIDENT $SOO,000 ANY PROPRIETOR/PARTNER/EXECUTIVEEXCL Y/N - OFFICER/MEMBER EXCLUDED? � N/A � � � �" - -(Mandatory in NH) E.L.DISEASE--EA EMPLOYEE s500,000 If yes;describe under - - - - DESCRIPTION:OF OPERATIONS below ... : : -... - : E.L.DISEASE-POLICY LIMIT $500,000. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if morespace is required) - - Job:24 Sears Ave.,Cotuit. Insurance coverage is limited to the terms;conditions,exclusions,other limitations and endorsements. Nothing Contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable,building, THE EXPIRATION DATE THEREOF, NOTICE.WILL BE DELIVERED IN Department ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S101540/M101539. .: LS1 Recording requested by: R_ ".2 _22_.__2 9_3 1 2 6 When recorded mail to: Boyd&Boyd, P.C. 1185 Falmouth Road, Suite 101 Centerville, MA 02632 (508)775-7800 N N 0 TITTLE NOT EXAMINED 4J 4- We, William J. Lazott and Antonia M. Lazott, husband and wife, as tenants by the entirety and not 4J � as tenants in common 0 0 of 24 Sears Avenue, Cotuit, Barnstable County, Massachusetts, for consideration of One ($1.00) Dollars � paid, grant to William J. Lazott and Antonia M. Lazott, Co-Trustees of the 1-0 cn � 24 Sears Avenue Real Estate Trust dated February 2, 2012 N N as evidenced by Trustee's Certificate (pursuant to M.G.L. ch. 184 §35) recorded herewith U) M W U) w w with quitclaim coUnautz co the land with the buildings thereon,situate in Barnstable(Cotuit),Barnstable County,Massachusetts,more w particularly bounded and described as follows: w < 1 Beginning at a point on Sears Avenue and running northeasterly one hundred sixty-eight and 06/100 0 a, (168.06) feet along land now or formerly of Mary Nickerson; thence southwesterly one hundred ten(110) feet; thence westerly one hundred eighteen (118) feet to Sears Avenue; thence northeasterly one hundred(100)feet by Sears Avenue to point of beginning;containing 13,910 square feet, more or less. Being Lots numbered one (1) and two (2) as shown on plan of land entitles "Bay View Park, F. 0. Smith, Civil Engineer", and recorded with Barnstable County Registry of Deeds in Plan Book 19 Page 39. The above described premises are conveyed subject to and with the benefit of all rights, rights of way, e easements,appurtenances,encumbrances,reservations and restrictions of record,and especially as set forth in a deed from Mary Nickerson Jones to Amos C. Jones and Mary E. Jones, recorded with Barnstable County Registry of Deeds in Book 1426, Page 1043. The Grantors hereby releases any and all rights of Homestead, if any, on the above premises. For title see deed dated June 12, 1989 and recorded with the Barnstable County Registry of Deeds in Book 6805, Page 067. tte�� My hand and seal this 2°d day of February, 2012 . . . . . . . . . . �. z,� . . . . . . . . . . . William J. Lazott Antonia M. Lazott. Commottbjeartb of ftlaggarbugett5 County of Barnstable On this 2nd day of February, 2012 before me, the undersigned notary public,personally appeared William J. Lazott and Antonia M. Lazott,proved to me through satisfactory evidence of identification which was a current government-issued document bearing their photographs and signatures, to be the persons whose names are signed to the foregoing instrument, and acknowledged to me that they signed the foregoing instrument voluntarily for its stated purpose. art iz Ss f r Notary�Public My commission expires: . LY OF DEEDS ..¢� TOE Town of Barnstable. °^ Regulatory Sez ices * s Thomas F.Gener,Director r abg 1�$ Building Mision "'FDMPp Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Tm,w.town.barnstabk.ma.us Office: 508-862-4038 Fax: 508.790-6230 Property Owner Must Complete and Sign This Section If Using ABuil.der f"V ZIL2 > ,as Ovrner of the subject property hereby authorize r f Ott E:c��, to act on my behalf, inn all matters relative to.work authorized bythis bidding permit application for: , (Addhtss offob) 1 C1 �3 f Signature of Owne, Date Print Name QYOR.MOWNERPEWISSJON �Ith€'rt The Ohio Casualty Insurance Company Mutct�l.� 9450 Seward Road,Fairfield,Ohio 45014 BOND Bond # 601041340 KNOW ALL MEN BY THESE PRESENTS:That we Bayside Building Company, Inc. P.O. Box 95 Centerville, MA 02632 Street Address City State ZIP Code (Full Name Itop linel and Address[bottom linel of Principal) (hereinafter called the Principal)as Principal,and, The Ohio Casualty Insurance Company with principal offices at Fairfield,Ohio(hereinafter called the Surety)as Surety,are held and firmly bound unto Town of Barnstable 200 Main Street Hyannis, MA 02601 Street Address City State ZIP Code (Full Name[top linel and Address[bottom line]of Obligee) (hereinafter called the Obligee),in the penal sum of Four Hundred Dollars&00/100 (Dollars)$ 400.00 for the payment of which well and truly to made, we do hereby bind ourselves, our heirs, executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has made or is about to make application to the Obligee for a License to Construct a Single Family Home at 24 Sears Avenue Cotuit, MA 02635. Frontage 100'., for a term beginning on October 5, 2012 and ending on*October 5, 2013 (*strike out if license or permit is for an indefinite term) NOW, THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to comply with the laws or ordinances under which said license or permit is granted,or any lawful rules or regulations pertaining thereto,then this obligation shall be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below;but if said license or permit was issued for a specific term,and is renewed for one or more specific terms,this bond will be extended to cover such additional term(s) upon the execution by the Surety of a Continuation Certificate,provided such certificate is acceptable to the Obligee. In no event , however, shall the liability of the Surety be cumulative from year to year or from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten(10)days in advance of its intention to do so. SIGNED,SEALED AND DATED Bayside Building Company, Inc. By: The Ohio Casualty Insurance Company r By: Martha A. Kenney JAttorney-in-Fact S-3853 License or Permit Bond (Unnumbered) Principal: Bayside Building Company,Inc. POWER OF ATTORNEY Agency Name: DOWLING&O'NEIL THE OHIO CASUALTY INSURANCE COMPANY INSURANCE AGENCY Obligee: Town of Barnstable Bond Number:601041340 Know All Men by These Presents:That THE OHIO CASUALTY INSURANCE COMPANY,an Ohio Corporation,pursuant to the authority granted by Article IV, Section 12 of the Code of Regulations and By-Laws of The Ohio Casualty Insurance Company,do hereby nominate,constitute and appoint:Kelly C.Bolton,Martha A.Kenney, Robert W.Miller,Mark McCartm,Nancy Soule of Hyannis,Massachusetts its true and lawful agent(s)and attomey(ies)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES,excluding,however,any bond(s)or undertaking(s)guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Fairfield,OH,in their own proper persons.The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact. In WITNESS WHEREOF,the undersigned officer of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 12th day of July,2011. hJP0Y INS& U G0PP0 rF rn° SEAL " ^�0 0 to a� dh'1 Aad Gregory W.Davenport Assistant Secretary STATE OF WASHINGTON COUNTY OF KING On this 12th day of July,2011 before the subscriber,a Notary Public of the State of Washington,in and for the County of King,duly commissioned and qualified,came Gregory W. Davenport, Assistant Secretary of The Ohio Casualty Insurance Company, to me personally known to be the individual and officer described in, and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of the Company aforesaid,and that the seal affixed to the.preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction ofthe said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Seattle,State of Washington,the day and year first above written. 0 RIL•Fy`., .v�MM F,jq• - ��• i NOTARY PUBLIC iz 09- 0 Notary Public in and for County of King,State of Washington of WAS ,.` My Commission expires December 9,2013 This power of attorney is granted under and by authority of Article IV,Section 12 of the By-Laws of The Ohio Casualty Insurance Company,extracts from which read: ARTICLE IV-Officers:Section 12.Power of Attorney. Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bond,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective powers ofattomey,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary. Any power or authority granted to any representative or attorney-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority of the following vote of the board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February,2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary of the company,wherever appearing upon a certified copy of any power of attorney issued by the company in connection with surety bonds,shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE 1,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in full force and effect on this date. IN WITNESS WHEREOF,I have hereunto set my hand and the seal of the Company this 5 day of October,2012 JP�.1Y INS& 7 u 'ogPORgre C' in ° SEAL o 0 �'9 o"io day' David M.Carey Assist�ecretary. 1 ti i� sowd Cd " !sr- CS-0056 5 0f, dA V%� e� ERN T 1DAC�EY PaBOX 45 a CENTERV19EE F63Ex ftft � t 04.10/201,4 lJ'nrestrmcted�F uil�d s o any 3u3e-.�rW ,wh IA i t 1`ess tl'an 3 0 cubic t ewr(�9 iMiS e>,Ztfa di�pWe. �arl,ureao poses a c went esl4ti,'o�n Qfhe'Ma ss ach.usetts Mate B'u ldrmg,ode is cause forlreupca t ni T phis I:ese: . ti tl r• LNgff 'ng".information visa: vuww;M ss-Gou,�DPS Office of Consumer Affairs and eusiness lZegulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 113786 Type: Private Corporation Expiration: 7/16/2013 Tr# 213797 BAYSIDE BUILDING INC BRIAN DACEY PO BOX 95/ 3 BAYBERRY SQ CENTERVILLE, MA 02632 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card i-CA1 0 50M-04/04-G1001�216 Off,c of Coume us e&%egu a�aoo License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: a" Re istration: ,:;113786 Type: Office of Consumer Affairs and Business Regulation 9� Expiration: 7/16/2013 Private Corporation 10:Park Plaza-Suite 5170 Boston;MA 02116 DE BRIAN DACEY PO BOX 95/3 BAYBEF3RY g CENTERVILLE,MA 02632 ;" Undersecretary o id ith ut signature _: s Blayside Building Subcontractors 2012 Contractors Highlighted in Yellow are Most Used General Liability Workers Comp Comments .. Sub Contractor GL Start GL End _. WC Start WC End Villani Construction Inc 04/12/12 04/12/13 01/08/12 .01/08/13 Christopher Costa,Inc. 08/27/12 08/27/13 : 02/06/12 02/06/13 Walpole Woodworkers 10/15/12 .10/15/13 10/15/12 10/15/13 Botello Lumber,Co.,Inc. 12/31/12 12/31/13 12/01/12 12/01/13 Davids Building&Remodel Interior Trim Ca en. 01/01/12 01/01/13 06/14/12 06/14/13 MacDonald Concrete Finishing Cellar/garage floors 01/09/12 01/19/13 O1/09/12 01/09/13 O'Fihelly,Brian 02/22/12 02/22/13 02/23/12 02/23/13 American Floors Oak floor finishing 03/04/12 03/04/13 DBA-N/A Morse's Masonry Mason Contractor 03/10/12 03/10/13 10/11/12 .09/29/13 Meagher Construction(Roofer) Framer 03/13/12 03/13/13 06/23/12 06/23/13 Pro Fence Co.,Inc. Fence 03/26/12 03/26/13 03/26/12 03/26/13 Cape Cod Insulation 04/01/12 04/01/13 06/30/12 06/30/13 Spagnuola,Anthony dba Spags 04/02/12 04/02/13 08/11/12 08/11/13 Jeffrey Lauder Bobcat 12/09/12. 04/05/13 DBA-N/A Reliance Air Systems Inc 04/19/12., 04/19/13 04/19/12 04/19/13 Foam Insulation Technology 04/21/12 04/21/13 11/04/02 11/04/13 Falmouth Engineering 04/22/12 04/22/13 04/22/12 04/22/13 Coy's Brook,Inc Landscape 04/24/12 04/24/13 10/01/12 10/01/13 Hill Construction - Framer 04/29/12 04/29/13 08/14/12 . 08/14/13 Carpet Barn Inc 05/01/12 05/01/13 . 01/01/12 01/01/13 L&M Glass Co,Inc Mirrors,shower doors 05/01/12 05/01/13 05/01/12 05/01/13 Kitchen Concepts of Taunton 05/03/12 05/03/13 06/11/12 06/11/13 Baltic Security 05/07/12 05/11/13 Exempt from State Creswell Construction Steve Creswell 05/19/12 05/19/13 04/19/12 04/19/13 Toby Leary Fine W000dworking Trim Carpentry 05/22/12 05/22/13 01/01/12 01/01/13 Pastore Excavation Inc. Excavation 06/05/12 06/15/13 10/12/12 10/12/13 VMA Electric Pool Installer 06/18/12 06/18/13 06/18/12 06/18/13 Jackson Welding 06/19/12 06/19/13 04/28/12 04/28/13 Govoni Land Services Land clearing 06/22/12 06/22/13 06/22/12 06/22/13 A.F.M. Plumbing 06/24/12 06/24/13 06/24/12 06/24/13 Cape Cod Marble&Granite 07/01/12 07/01/13 08/16/12 08/16/13 ML Riley Construction Framer 07/08/12 07/08/13 07/.08/12 07/08/13 Cavanaro Consulting Inc 07/11/12 07/11/13 09/06/12 09/06/13 Reed,Mel Sheetrock 07/21/12 07/21/13 07/21/12 07/21/13 Triple Crown Cabinets&Millwork Framer 07/27/12 07/27/13 12/12/12 12/12/13 Arne Excavating&Paving 07/30/12 07/30/13 05/09/12 05/09/13 Fast Glass Service 08/08/12 08/08/13 04/07/12 04/07/13 Chaves, Robert Electrician 08/13/12 08/13/13 12/17/12 12/17/13 Aluminum Products of Cape Storms,screens,gutters 08/15/12 08/15/13 08/15/12 08/15/13 F:\aaNICK\AA—Subcontractors Insurance Master 2012 1 yside Building Subcontractors 2012 Contractors Highlighted in Yellow are Most Used General`Linbili Workers Comp ...Comments Sub Contractor _ GL Start W._ GL End ,_,_WC Start, C,End ' All Cape Environmental 08/16/12 08/16/13 06/01/12 06/01/13 Berube, Craig 08/25/12 08/25/13 Campbell,William Painter 08/26/12 08/26/13 07/13/12 07/13/13 Blueboard Specialists Plastering 08/27/12 08/27/13 03/03/12 03/03/13 A Concrete Answer,Inc. 08/28/12 .08/28/13 08/27/12 08/27/13 C&C Commercial Interiors 09/05/12 09/05/13 09/05/12 09/15/13 Scannell Well Drilling 09/12/12 09/12/13 09/20/12 .09/20/13 Baxter Nye Engineering&Surveying 08/17/12 09/29/13 08/20/42 08/20/13 Cape Concrete Forms 09/29/12 09/29/13 08/08/12 09/15/13 MAP Insulation Insulation 10/Ol/12 10/01/13 10/01/12. 10/01/13 Northern Sealcoating Driveway Construction 10/01/12 10/01/13 04/01/12 07/14/13 W.Vernon Whiteley Plumbing Heating Plumbing&heating 10/01/12 10/01/13 10/01/12 10/01/13 All Cape Garage Door Garage doors 10/07/12 _10/07/13 06/01/12 06/01/13 DP Fucillo Inc 10/20/12. 10/20/13 10/23/12 10/23/13 SMJ Carpentry-Steve Johnson . Framer 10/26/12.. 10/26/13 10/26/12 10/26/13 Joyce Landscaping Landscape Contractor 11/15/12 11/15/13 11/15/12 11/15/13 Paramount Rug 11/21/12 11/21/13 06/01/12 06/O1/13 Architectural Masonry Services(Bob Oliver) 11/22/12 11/22/13 12/30/12 12/30/13 Central Vacuum House Central.Vacuum Systems 12/01/12 12/01/13 01/01/12. 01/01/13 KRC Marble&Granite. Tile Installation 12/21/12 12/21/13 . 02/09/12 02/09/13 BSC Companies 01/01/12 01/01/13 01/01/12 01/01/13 Arede,Antonio Cornerstone Masonry) 01/19/12 01/19/13 New England Home Technologies 01/22/12... 01/22/13 01/22/12 01/22/13 Cape Cod Retractable Shutters 01/24/12 01/24/13 Outback Engineering,Inc. 01/29/12 01/29/13 01/29/12 01/29/13 Wood Floor Specialists 02/03/12 02/03/13 02/03/12 02/03/13 Cape Cod Copper 02/07/12 02/07/13 04/04/12... 04/04/13 Bortolotti Construction Fill,loam provider 03/07/12 03/07/13 _ 03/07/12 03/07/13 Meader Bros.Construction(Decks/Michael) Framer 03/24/12 03/24/13 11/09/12, 11/09/13 Pete's Masonry Mason Contractor 04/22/12 04/22/13 04/22/12 04/22/13 DWB Custom Interior Trim 05/11/12 05/11/13 04/03/12 04/03/13 Kitchen Appliance Mart Appliances 08/12/12 08/12/13 Out On A Limb Landscaping 08/14/12. 08/14/13 02/28/12 02/28/13 Cape Cod Cabinets 01/01/12 01/01/13 Cornerstone dba Tony Arede 02/01/12 02/01/13 Creswell, Paul 06/03/12 08/29/13 LeClerc Welding Wilcox,Bruce Framer 05/25/12 10/28/13 F:\aaNICK\AA—Subcontractors Insurance Master 2012 2 Client#:21870 2SMJCA ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 01/20/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES = BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED .REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil PHONE 508 775-1620 FAX A/C No A/C No El): 5087781218 Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Grange Mutual Insuranc INSURED INSURER B:Associated Employers Insurance SMJ Carpentry,LLC 9 Center Lane INSURER INSURER C: Centerville,MA 02632 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS NSR POLICY NUMBER MMIDD MM/DD A GENERAL LIABILITY MPK7113X 10/26/2011 10/26/201 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY AMAGE O RENTED REMISE Ea occurrence $500 000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE $2,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY JE O- LOC $ _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident �+ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ ET DED RENTION$ % $ B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WCC5009554012011 10/26/2011 10/26/201 X WC STATU- OTH- ANY PROPRIETOR/PARTNER/EXECLITIVE Y/N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? � N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Steven Johnson is excluded from the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Bayside Building,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 95 ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE awwa -0� ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S90702/M90701 LS1 Client#:48736 VERNWHI YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MNIlDD110101/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the poitcy(ies)must be endorsed.If SUBROGATION 13 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 NN'F Karen A.Walther,CISR Rogers 8:Gray Ins. P ,EA I,508.760�630 A/e,Ne, 877•81612156 434 Route 134 ADDRESS.,S, kwalthe rogersgray.com South Dennis,MA 02660-1601 INSURER(S)AFFORDINGCOVERAGE NNCN 508 398.7980 INSURER A:Arbella Mutual Insurance Compan 17000 INsuR� INsuRERa:Wausau Underwriters Ins.Compan W.Vernon Whiteley Plumbing 8 Heating �usurRERc:Arbella Protection Co 17000 Company,Inc.8r Chatham Sheebnetal,Inc INSURER o r P.O.Box 1266 West Chatham,MA 02669-1266 INSURER E: SURER COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POL.ICtFS DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN R��E��D�TUyyCEEEFFD BY PAID CLAIMS, LT TYPE OF INSURANCE O E AOLICY NUMBER MM/DD/YYYF MPM l CY EYY LIMITS A GENERAL LIABILITY 8500052832 1010112012101011201 EACH �OCCURRENCE $1000000 rGFWN MMERCIAL GENERAL LIABILITY PREMISES Eo�T ° $30A 000 CLAIMS-MADE ®OCCUR MED EXP one erson $15 000 PERSONAL$ADV INJURY $1 000 000 GENERALAGGRfWE $2,000000 GGREGATELIMITAPPLIESPER: X PRODUCTS-COMP/OPAGG $2,000,000 ICY X PRO- LOC $ C AUTOMOBILE LIABILITY 1020OD6346 10101/2012 10/01/201 fCEN eDtsINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL NED X 5 DULED BODILY INJURY(Per accident) $ X HIRED AUTOS X AUTOS NON-0WNED PR Per accdeOPERTY DAMAGE $ AUTOS nt A X UMBRELLALIAB OCCUR 4600052833 10101/2012 10101/2013 EACH OCCURRENCE s4000000 EXCESS LIAR HCLAIMS-MADE AGGREGATE s4,000,000 DED 1 X RETENTION s B WORKERS COMPENSATION WCtIZ11260053011 1010112012 101011201 X To yLIMIT EEt AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNERIEXECUTWE Y, E.L.EACH ACCIDENT $500 000 OF'FICERIMEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 500000 If yes,describe under EL.DISEASE•POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks 80edute,It more space is required) Plumbing,Heating,HVAC service$installation. Additional insured status Is provided under the general liability when required by a written contract with the certificate holder.In respect to project at 177 Sea Street,Fast Dennis,MA 02641 CERTIFICATE HOLDER CANCELLATION BEFORE Bayside Building Co.,Inc. THEULD EXPIRATION DATE ANCELLED ANY OF THEVTHEREOF,�NOTTIICIEt ES WILL CBE DELIVERED IN P.O.BOX 95 ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE @ 198114010 ACORO CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S879401M87928 TLH Client#:17898 2WOODFL ACORD. CERTIFICATE OF LIABILITY( INSURANCE DATE(MMIDDIYYYY) 02/14/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 1 ry REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil PHONE 508 775-1620 FAX, 5087781218 A1C No Ext: All No Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURERS AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:Guard Insurance Group INSURED INSURER B:Safety Insurance Company Wood Floor Specialists,Inc.24 Liberty Street INSURERC:INSURER D: Sandwich,MA 02563 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INDDL VWVD POLICY NUMBER MMIDCDY EFF MM/DDDY EXP LIMITS A GENERAL LIABILITY WOBP301157 2/03/2012 0210312013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY qMAG 0 RENTED REMIS Ea occurrence $300 000 CLAIMS-MADE FR OCCUR MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRa LOC $ B AUTOMOBILE LIABILITY 6212382 2/0312012 02/03/201 COMBINED SINGLE LIMIT 1 000 000 (•`` '; Ea accident r ANY AUTO BODILY INJURY(Per person) $ AL O X SCHEDULED AUTOS AUTOS ( )BODILY INJURY Per accident $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident A X UMBRELLA LIAB X OCCUR WOUM300202 2/03/2012 02/03/201 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 1:4 DED I X RETENTION$10000 $ A WORKERS COMPENSATION WOWC317947 2/03/2012 02103/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N J ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? ® N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION Bayside Building,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O.Box 95 ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 ` AUTHORIZED REPRESENTATIVE f ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S91741/M91736 LS1 VIOLA: !% pig 13ACEE 21002 Fax Server 110, OF EAAMUIT�% I ki�-ise t �z A rj;"�;C E FD- A,-f--(-r-WrfQY —L—ga ul 'ND WIC/RiG:: T '5R THE CER-NFICATE HOLDER. T HLS w—w-An,oces EXTEMBOR MI ER THE POUCES BELOW. [T 1 i '.:r P E"Y..,Es Not CON Saari 7k��LD-E L CrAorGild. N',SUBROGATI�Nl is%.T1AJ'vM1. 'to cow1w tv? Con this iv end We does votcoW Qhkh 1MME Lynam)WS Amw-I, 03 110N 01 STE F BRf- R AN (N,4--'Aq Y PE �OFF'E'OK E7 CERURCA710 wuUMER; r JG�j ilt=W aws WEWK 17 C.-,.Y.0z.v CWU Pz�'�f T'ArT�F 7KF K C.T 7 0 V41 R--. Ti IS-I-ERTRICA7i I.PY.1 E ISSt_FEl.OR,MAY PM mu v E Humm E&F 0"D, Ui 7 R Z r 0 Mn is SU21;1-,CY UO!LL THE L-,-.c w Stu im corm kONS Cq` P OMUEG. U-411 S cat -FDAM MUTTEN.M., rn QW!" Wwr TORS FED !Ezi PERSUIAL&i�JW INIJURY T, W!AWWWA!MYOT KPFt ES 1AR SEMBRAL AeGQTTE----- PC PRODUCTS GO WKNI Ann $ F4 :,,,..„ , � � ..'.�,.._,.,��.,�.,-A,.�.,�...,�....�,:`f c4cl:.t:t-�..�,�,:,e. 1�T.2.->=.R,..._�•:.,ems_ my, WWI ' M PCOILYIII e'RY - 1 Inc P, RE"Kjl a - Vol M1455112 M-50v Mhowy To, I AN IE L EAUA ACC DEFF isms C.SZOMM: 11WRT Toni*PCs EPA 1 murM&W Ono q it V rip nown §rANV3 I A --4 OK UP AM OF Fv i'BCOJE Ll',E .RZLD r`LtGfEa €,ICELLEK-, E00 W AE ............... ............ ......... 1;. ..... AT; r ROM: C!i.=.h o Im llistolm 70: 5087-15f)IF6 PA17 lk, 'IF OQ 'C-_E R 11 F I G"'AAX E OF L I A B I L I TY IN S U RA N C E 15"S-SUED AG A YPAM',:::P OF iiWORMATICIN 01HLY AND COMFEPS NO PIGHTS UPON TliE CE HOT AFFIRMA:7,1VEUT OP NEGATWELY AMEND, MEND OR AL-MR THE COWIERAGE AFTCRIY".�D a,,' 9 V U-0 97LOWN T CERIl 0-R&SURPUMM DoES 'i-rT CONSTITUTE A C1014"RAC"Ir REM,E.Ell!'HIE WUHNIG � $ ' WFAAI VE` R, ICIEFTUICATTE HOLDER D '-w A �NSIJRED, ri-oust be mdnrsed, If PI, IR dk , T I -,.-,UI hoidle" ou 6 W.c R 47, I MT Ac-2, Z`9 A URESS: ---------- ---------- FPA:AJJDrAla prote�ciciloyil in Sur-aaaL_ I NSUP S�txset 02,64".0, --------------------- fl,�0 v R fr,Ao�. �i W,UM rR: WUflJMER: '.:EFMr:Y 7'.1,47C P(% WIES 0 F NSUPNNICE Ll STED BELI-MV HAVE BEEN ISSUIE D:F5_iT_lE_,lZSRTP D. 5TIVIED ABOVE FOR THE PCI-ICIPERID--- K)MG'ANY rEfD.LlIREiN,',,ETqT,ME RM OR CONIDITION OF 41Y COJfr ACT OR OTHER 1100UNIE'NT'NITH RESPE.,,-,T TO Mr;C'.4.THIS E'R T':- L. IIIT f irE 1�lc U!Ml,OR rAAY PERTAN.THE VaMANCE AFFORDED BY THE POLICIES IDECCRiWD HEREIN IS SUPUCCT TO ALL THE�TERMB, REDUCED BY PPMCLAIIul ------------ ------------- ---------------- .-TR 01F L4UlfER DrYY-.')l LGATS -P ji P .-.1 i. i,,I k V�1"r-EN, 7c DT,(A 0 _tn FL L N-1 Ejr lv y m 1,1 e 1 la r I ........... &_U L --------------....... 22, ........... ......- D 6 b 0.0 A Ell 1-70`0 oio 10-1 .7- Ef El I F .......... ........ x -------------- YI aa additional !with., to iir Ps VViTl�7NE, NEI. RE N.RES IIMMII�E .......... 11V�o.�Ml D CC)F"PiORA.1 K'*L Ai :f4� cwf�-r g o a e F: e, r.,a I C.i A 'GiR D Client#:509815 KAMAPPI ACORD. CERTIFICATE OF LIABILITY INSURANCE D8/20/ATE 01'2 YY) • 8/20/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS F 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 NAME* USI Insurance Svcs of RI/CL a/�N o E c;401 885-5700 n/C,No):877 484-4772 5700 Post Road E-MAIL P.O.Box 1158 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC It East Greenwich,RI 02818 INSURER A:Continental Casualty Company 20443 INSURED INSURER B KAM Appliances&Home Electronics,Inc. 54 A Meeting House Lane INSURER C: Sagamore Beach,MA 02562 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT RR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYY A GENERAL LIABILITY 4016876771 8/12/2012 08/12/2013 EACH OCCURRENCE $1 OOO OOO X COMMERCIAL GENERAL LIABILITY pAMA�ET qENTED PREMISES Ea occurrence $1 000000 CLAIMS-MADE I OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1 000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY PRO- LOC $ A AUTOMOBILE LIABILITY 4016876799 8/12/2012 08/12/2013 E°aocitleDtsINGLE LIMIT $1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X rive Oth Car $ A X UMBRELLA LIAB OCCUR 4016876785 8/12/2012 08/12/201 EACH OCCURRENCE $5 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE $5 000 000 DED I X RETENTION$1 O 000 $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y_L IFR ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE•EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ LL DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Bayside Building Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P.O. Box 95 ACCORDANCE WITH THE POLICY PROVISIONS. 3 Bayberry Square Centerville,MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S7858710IM7579806 SKVZP � J,- J FP014: :-_xri-To: L508,;-I Scl 55 AK IFICATE OF LIABILITY INSURANCE F ir 71-5115 CERT�.FICATE IS i5SUED AS A MATTER OF INFORIMATIOU 01-ZLY AMD CONFERS 1,10 RIGI-ITS 5'POM TVFE-R_iTF_,6AT- PICIL ER TH C Is C17"RTIRCATE DOCS W'07 ;,FFIRMATISTELY OR NEGATIVELY MUIEND, EXTEND OR ALTER THE COVERAGE AFFORDED 5Y 'THE POLICIES DffLCIIIV TIMS CERTIFEECATE OF WSURAME DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSMG IKSURER(S), ALFFHOPM'm ExR P E 9 c N TIC PIRCIDUCEP,MMM THE CERTIFICATE HOLDER. -E i% TA 0 k, N."WOR-gAii-4,V: If ihe martificate holder is an ADDITIONAL INSURED,the pDlicy(ies)must beendomed. If SUB ROGAT 10M IS FMA IVED: sufr�ic_,_-t�o thtan,-of-;Pnd cor�ditioens of the pvlir;y,cerfain policies mwy rNuire an endorsement. A stvtement on thiS duc�:s not coui�er ricghts. to the 41 lipil Ofsoch eadorz;emanvlg). OLDE CAP E COD INS IJP,,�NOE AGENCY INC C0rFArT MA/E: 2S6 VViNITER STREET E44AP_ADDREC;S: INSUPER(S)ArFORD114G COVERAGE MUR ERA LNISURERB: :VV-1E GOD CA15METS !F,.!C 51,30 HlIGGiNIS CF(A"VELL ROAD USURERC: VVEST YAR-MOUTH MA 02673 11NIEzUREIR 10 NSURERE: -------- PISUREPIF CERPFECATE NIUM-RER: 12126328 F.FVISFON NV-r%77(SER: 7T'.FY T!IAT THE POL 1CI ES Q F INSU P,M4 CE LISTE D BELOW HN-1 E BEEN ISSUED TO_THE-INS U_RE D_NA 10 ED-ASOVE F-CH TI iEP671C, !NFxCATED. N10TV0THSTi%,N,,11NG ANY REQUMEVENT,TERM OR CONDITION OF ANY CONTRACT OR OTI IER DOMMENT!',J!Tll F-?Er:i,-1E,1,T TO 7,1111CH THIS PANif BE ISSUED C)FR -'/jAY PFRTAIN, THE ;NSUPANCE AFFORDED BY THE POLICIES DESCRIBED HEPEIN IS 8Lr,3AF.GT TO ALL THE TERMS. POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. T V P E 0 F FOUCY Eff OLCY EX P- F--- F35R I wo POLICY MUMBFR mM/"yyy ImmrD/Lyyy) A LVAULIT'y' 'C-(XI.;R AiV!HJkJKY �M:--ifERAL AGGREGATE G':11"L AGGF�E GATE LRAIT A-1.!H FIFR: I F � PRMUCTS-GO%P 10P A _G tt ol_- AU MIAK311YU:L,',(,F,;LfFY We AUT C, A'.1- KHED!.JL.F1) CS I AUTOS ROCIMNLJURY ip .clpotl lr fuase EVA I -A,0JR EAC-13-1 0(1,(1,13RprW_[.� AGGREGATE ...................... ViN K J1 19-012 1/112013 A VVCFN MTI CONWI-IMISA BON 'kNC5-31S-0M2 -012 '31 L a4l_ r- L. ------ E.L. KAP�v Or 0*PCPA_Q-.!M8 f'-:0CAriofi3 i vu-M."'LE".3 Pcmarks 1,khodii1c,if inure qmae is rpqtArcdj ,Q(n M ate of MA. iCELLATiON SHOULD Y OF71E AO�CAIE E)PSCRIIMEO v0i,1-1,31--11 51p.,CAINICIZE11,L FO (, TTIr Ex" PIRAT014 DATE -o4!:!E0F, MiLL iDE N; Q 2P 2 A1JTVi0RtZEL-VEPTU-SEM A I NIE tj 9f,9-20,10 ACd.RD 25 The!%CORD anv i bi-40 2 di A,C OR D A� CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 09/1/20 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 PRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Willis of Tennessee, Inc. PHONE c/o 26 Century Blvd. 877_945-7378 FAx 888-467-2378 P.O. Box 305191 E-MAIL certificatestawillis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA: Zurich American insurance Company 16535-005 INSURED MAP Installed Building Products INSURER B: Cincinnati Insurance Company 10677-001 165 State Rd. INSURERC:American Guarantee & Liability Insurance 26247-004 P.O. Box 1309 Sagamore Beach, MA 02562-1309 , INSURERD: INSURER E: INSURER R COVERAGES CERTIFICATE NUMBER:18525411 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'T" TYPEOFINSURANCE DD' SUB POLICYNUMBER POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY GL0913952706 10/1/2012 10/1/2013 EACH OCCURRENCE $ 2,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTE PREMISES EaoccureD nce $ 1 000 000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 4,000,000 # POLICY X PRO- RO X LOC Is _ AUTOMOBILE LIABILITY CAA5878131(NY) 10/1/2012 10/1/2013 COMBINED)SINGLE LIMIT $ 1,000,000 B X ANY AUTO CAA5121545 (CA/ME/WI) 10/1/2012 10/1/2013 BODILY INJURY(Per person) $ B ALLO SCHEDULED CAA5211284(NH) 10/1/2012 10/1/2013 BODILY I NJURY(Per accident) $ A UTOSS AUTOS B X HIREDAUTOS X NON-OWNED CAA5878127(AOS1) 10/1/2012 10/1/2013 PROPERTY DAMAGE AUTOS (Per accident) $ B CAA5223136 10/l/2012 10/1/2013 Is C X UMBRELLA LIAB X OCCUR AUC931420601 10/1/2012 10/l/2013 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I RETENTION$ $ A WORKERS COMPENSATION WC913952606 (AOS) 10/1/2012 10/1/2013 X I JORYIIMt`t S A IT oT - AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNEPJEXECUTIVE� N/A WC913952806(WI) 10/1/2012 10/1/2013 E.L.EACH ACCIDENT $ 11000,000 OFFICERR,4 MBER EXCLUOEC? - - - 4Mandatoryin NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Excess Automobile XS1154851 10/1/2012 10/l/2013 $4,000,000. Excess of $1,000,000 underlying automobile DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Additonal Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. E C' AUTHORIZED REPRESENTATIVE Bayside Building Co. P.O. Box 95 Centerville, MA 02632 Coll:3859379 Tpl:1515199 Cert:185 411 ©1988-2010&ORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD f No. � Fee (�150 mL THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Zipplication for ]BispoSar 6pstem Construction Permit Application for a Permit to Construct 00 Repair( ) Upgrade( ) Abandon Complete System ❑Individual Components Location Address or Lot No. � �j Owner's Name,Address,and Tel.No. � �/, Assessor's Map/Parcel 2— 6111 I-o-Za ��"I � `J� /T►e J"�-V I-q01 O Installer's Name,Address,and Tel.No. �t ^ Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms Lot Size J sq.ft. Garbage Grinder( ) Other Type of Building >nt� No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) � gpd Design flow provided gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil L-0 c�vvv� �a✓�� Nature of Repairs or Alterations(Answer when applicable) v✓w v—k VA 6b -L l 2 Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Bo of Hea p Si d Date �Z— Application Approved by Date a Application Disapprov y Date for the following reasons Permit No. Z)I Z -- Date Issued 1��/Zo Z ------------------------------------------------ - -------------------------------------- --------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal system Constructed(K) Repaired( ) Upgraded( ) Abandoned( )by 04 lL5 /�✓G G�2ZU at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No&Z—31 S dated 19&1Ztj j-L_ Installer Designer #bedrooms ?j Approved design flow j77 0 gpd The issuance of this permit shall not be construed as a guarantee that the system will function as designed. Date Inspector -------------- --------- - ---------------------------------------- -- - -------------------------------------------- ---------.. No. ZO 1-Z �) Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEA T-H DIVISION-BARNSTABLE,MASSACHUSETTS disposal 6pstem Construction Permit Permission is hereby granted to Construct('�) Repair( ) Upgrade( ) Abandon `� ( ) System located at � t�S /`n \)r!5 Ca 0 1 7' and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Con tructi n must be completed within three years of the date of this permit. Date fI Approved by f i I nationalg rid October 3, 2012 Attention: Nick Bowes Re: 24 Sears Ave, Cotuit, MA. This letter is to notify you that the gas service to 24 Sears Ave, Cotuit, MA. has been cut and capped at the valve on 10102/2012. Regards, Diane Camara US National Grid Gas Customer Fulfillment 127 Whites Path South Yarmouth, MA02664 0c t, 5. 2012 10.26AM Na a r k 6564 P. 2 ONSUMOno NSTAR way el EC rjq1C Westwood,Massachusetts 02090 GA S October 5, 2012 William Lazott P.O. Box 1800 Cotuit, MA 02635 RE: 24 Sears Avenue, Cotuit, MA Dear Mr. Lazott: At NSTAR, we're committed to delivering great service. This letter serves as confirmation that, as of October 2, 2012, the electric service to 24 Sears Avenue, Cotuit, has been removed. Based on this information, there is no electric power at this address and you may proceed with the demolition. If you have any questions, please contact me at (781) 441-3341. Y ely, Gr &�Tavare New Customer Connects 5�LOFTHF C�atuff ire Pistrid ** ** �CExEiC>rxCCExT * COTUIT * FIRE DISTRICT vD 1926 9,� 4300 FALMOUTH ROAD, P.O. BOX 451 DATED JULl�91 COTUIT, MASS. 02635 PHONE 508-428-2687 FAX 508-428-7517 October 5, 2012 Mr. Bill Lazott PO Box 1800 Cotuit, MA 02635 RE: 24 Sears Avenue Dear Mr. Lazott, The water was turned off at the street and the meter was disconnected and removed at 24 Sears Avenue on Monday,October 1st. Please contact us twenty-four hours before demolition begins so that we can disconnect the service at the main. Our phone number is 508-428-2687. Sincerely, Chris Wiseman Superintendent t REScheck Software Version 4.4.1 Compliance Certificate t Project Title: THE LAZOTT RESIDENCE Energy Code: 2009 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Glazing Area Percentage: 15% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 24 SEARS AVE BAYSIDE BUILDING,INC COTUIT,MA • • trade-off Compliance:2.0%Better Than Code Maximum UA:306 Your UA:300 The%Better or Worse Than Code index reflects how dose 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. AssemblyGross Cavity Cont. Glazing UA or or D•• Perimeter U-Factor FLAT CEILING:Flat Ceiling or Scissor Truss 786 38.0 0.0 24 SLOPED CEILING:Cathedral Ceiling(no attic) 392 30.0 0.0 13 TOTAL WALLS:Wood Frame,24"D.C. 2198 21.0 0.0 103 TOTAL WINDOWS:Wood Frame:Double Pane with Low-E 277 0.340 94 Door 1:Solid 21 0.280 6 Door 2:Glass 63 0.340 21 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1178 30.0 0.0 39 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 be n d i d to meet the 2009 IECC requirements in REScheck Ver on 4.4.1 and to comply w h the mandatory requirements is d i t check Inspection Checklist. Nil Name-Title Sign toe Date Project Title:THE LAZOTT RESIDENCE Report date: 10/05/12 Data filename: C:\Users\Fine Line Design 1\Documents\REScheck\LAZOTT.rck Page 1 of 4 CREScheck Software Version 4.4.1 NJ( Inspection Checklist Ceilings: ❑ FLAT CEILING:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ SLOPED CEILING:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: Above-Grade Walls: ❑ TOTAL WALLS:Wood Frame,24"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ TOTAL WINDOWS:Wood Frame:Double Pane with Low-E,U-factor:0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.280 Comments: ❑ Door 2:Glass,U-factor:0.340 Comments: Floors: ❑ Floor 1:All-Wood Joist/Truss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: (j 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. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. ❑ 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. 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 33.5 psf 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. Project Title: THE LAZOTT RESIDENCE Report date: 10/05/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\LAZOTT.rck Page 2 of 4 (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. (f) 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: ❑ 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. ❑ Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: 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: 0 Building framing cavities are not used as supply ducts. ❑ 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 181A 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 94.2 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 141.4 cfm(12 cfm per 100 ft2 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler installed:Less than or equal to 70.7 cfm(6 cfm per 100 ft2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-in total leakage test without air handler installed:Less than or equal to 47.1 cfm(4 cfm per 100 ft2 of conditioned floor area). Heating and Cooling Equipment Sizing: ❑ Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. 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: ❑ 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: Lj HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: ❑ Heated swimming pools have an on/off heater switch. Ll 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. Project Title: THE LAZOTT RESIDENCE Report date: 10/05/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\LAZOTT.rck Page 3 of 4 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. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: Lj 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: ri 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 V). 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: THE LAZOTT RESIDENCE Report date: 10/05/12 Data filename:C:\Users\Fine Line Design 1\Documents\REScheck\LAZOTT.rck Page 4 of 4 2009 IECC Energy Efficiency Certificate Insulation Rating R-Value Ceiling/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Door Rating U-Factor SHGC Window 0.34 0.34 Door 0.34 0.34 CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments: Building Permit Procedures for a Residential Rebuild Lot contains a minimum of 10,000 sq. ft. of contiguous upland. Certificatign that all utilities are shut off is required ®' s ater electric ❑Barnstable Engineering if on Town Sewer(no certification needed if on-site septic system) The followiyig departments must sign the Building Permit application and can be obtained at 200 Main Street: `, Health Department (8:00—9:30 AM &3:30-4:40 PM) ❑T x Collector [ onservation Department(8:30-9:30 AM &:3:30-4:30 PM) ❑Treasurer ❑Historic Preservation Historic District Commission, 200 Main Street, approval required prior to submission of permit application for construction/demolition for any properties located in a Historic District: • Old Kings Highway Historic District(north of the Mid Cape Highway) • Hyannis Main Street Waterfront Historic District(See map for boundaries) • Historic Preservation Site Plan must also be submitted showing.the location and setbacks of existing/proposed structures,septic. Copy of deed. Five sets of house plans measuring11" x 17" scaled 1/4"= 1' & full dimensionalized are re uired. Plans v q must include a foundation, cross section, framing schedule, insulation detail & floor plan showing location of smoke detectors (locate with a Red `S'.) Workers Compensation Insurance Affidavit must be submitted for any workers hired. In the event the homeowner takes out the permit, subcontractors hired must supply this. Copy of Insurance Compliance ertificate must be on file. { [ es Check from the 2009 International Energy Code Council (IECC) Mass Compliance Checklist Construction Supervisor's License-copy must be submitted unless homeowner is applying for permit. All homeowners acting as general contractor or doing all the construction work themselves must fill out the Homeowner License Exemption Form. Performance bond ($4.00 per foot of road frontage)must be with application. Road bond is attainable from your insurance agent. The Town does not accept cash bonds. ❑ Application fee $100.00& Demolition fee $125.00 payable at time of application, check made payable to the Town of Barnstable. Ulm Certified (as built) foundation plan by a registered land surveyor is required prior to framing and must be submitted to the Building Inspector for approval prior to release of Building Permit. Property Owner must sign Property Owner Letter of Permission. Projects requiring the use of a crane must complete the forms issued by the Aeronautics Y ` l� Commission Q:Forms/bid gpermtchklst:Demo RebuiIdcheck } Rev.070610 p .y�..y� t JOB ZnsV C ( ,0A Vt Q& TAYLOR DESIGN ASSOC., INC. SHEETNo. - < OF 4-- 1 . P.O. Box 1313 �,,,�� _ — ! . Forestda{e, MA 02644 CALCULATED BY r DATE a [ I G... Tel./Fax: (5508) 790-4686 CHECKED BY DATE A v e. Co-rat T SCALE ... .. .. . �+ ....... . ....... ..... ..... .............. . 14 400._JP . .h,ctsaa.... h'��"C �'e1 '�.`t'.5 .: �.►� �C'�.t'dG P5_�... &...... 83_ / ...'if. . .. _.: .. ..... ROOF.. _. •� ...... .. ...... � ft . . C .. __.......... - t0*16 (. JOB °V Z' TAYLOR DESIGN ASSOC., INC. I SHEET NO. of g- P.O. Box 1313 )7 Forestdale, MA 02644 CALCULATED BY DATE 'del./Fax: (508) 790-4686 CHECKED BY DATE CeD SCALE ........................ ... _ .. . ...... .... .. .._..._. .... ._ .. : ,. __. 0 . ... Y. L • �i'�t_.... Sr�,.v�, A 4te.S Pc.L .._.. ._ 3.7 3 _ 3 L"�_.P L r 3 +�3 ..... ._ zoo TOO ......... .... ... ....... �'�.�m +C .. - • .'�°�L. �...�-�t�..t��. . ........ - .ac. :. L'�- .. �►. ., .,,,`..) 1 ,'�'.__ C'3.z. l4....: . ,�., `�� - ..... u.3 34 .7 p t _ _p -ry .. z. t� coo '.. . lit st cJ3c>�- _ s 3Pa.-c JOB `� t® TAYLOR DESIGN ASSOC., INC. SHEET NO. DF A i P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY C-s DATE Ct0 Z4& t�- Tel./Fax: (508) 790.4686 CHECKED BY DATE � 7 A.V v SCALE ...... ..... fe1V.1� .�.,:.: ........ _..._... .__. ...... ..........._... . .. .., I cto�tZ ;:: ..... . . . r z . {.ra•�..) ems...... ... s 5. - Zk.tac5. f 41) . ro .__ �. ... ..... .. � e5-,ram .. S Qe+•,.� 14r. c ... VZct e:a �►; t tm`` ._. �"' � " PLC . .: . . .. ..Gitz- .... �, ...... _ , c:r- JOB L—A..M_. !r '� TAYLOR DESIGN ASSOC., INC. - SHEET NO. OF 4- P.O. Box 1313 Forestdale, MA 02644 CALCULATED BY �Z' DATE L Q Tel./Fax: (508) 790-4686 CHECKED BY DATE ZA S C.olrrxc t SCALE .. . ... 'Z- ,g�.,t to . P t. . .:..:. c.,> ... . .4...C c.� . ..... .. ... ..... -:. . 3` .4.C_!'�l.•4'i>.__ _. Zo3... v= Z $�4 _- t49'$ �a: _ ..... .... . .._. ... p l 4.....z ,P t _. . � ISM.. ; _ . 4Ctz F Z. r 2�1G�s'rs� ..... . . .. $ol t._m vo4t. 'C S9''cF o 4S.__ t S�` S' � 1. z... Ali 4 4- 4 Taylor Design-Associates, Ind.- P.,O. Box 1313 Forestdale MA.02644 Telephone& Fax: (508") 7904686 September:28, 2012 Bayside Building, Inc.P. O. Box 95 Centerville;.MA 02632 RE: Lazott Residence 24 Sears Ave:: Cotuit;MA PROFESSIONAL SERVICES Structural Framing Review and Design $400.00 i AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' LAZOTT RESIDENCE 24 SEARS AVE COTUIT, MA Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust)....................................................................................................................110 mph Q WindExposure Category.................................................................................................................................B 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) ....... 2 stories <_2 stories Q RoofPitch ...........................................................................(Fig 2).....................................................8<_12:12 MeanRoof Height......................................................................(Fig 2)..................................................212 ft <_33' Q BuildingWidth,W................................................................(Fig 3).................................... �& 36 ft <_80' Q BuildingLength, L...............................................................(Fig 3).............. .....................................4 Building Aspect Ratio(L/W)................................................(Fig 4).............................................. . Nominal 2 Height of Tallest O enin .......................... - _' 9 P 9 .................(Fig 4)...............................:..................6 8 5 6'8" Q ADD 5%SHEAR WALL TO AFFECTED WALL 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ Q 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. �( ConcreteMasonry..................................................................................................................................... Q 2.2 ANCHORAGE TO FOUNDATION',3 &�-- 5/8"Anchor Bolts imbedded or 5/8' Proprietary Mechanical Anchors as an alternative in concrete on y;;�- Bolt Spacing—general ..........................................(Table 4)................................................ 32 i N/A Bolt Spacing from end/joint of plate.............................(Fig 5).........................................12 in. <_6"—12" N/A Bolt Embedment—concrete.........................................(Fig 5)................................................7 in.>_7» NIA Bolt Embedment—masonry.........................................(Fig 5)............................................ in.>_15" N/A Plate Washer................................................................(Fig 5)...............................................>3"x 3"x%4' N/A 3.1 FLOORS Floor framing member spans checked ................................(per 780 CMR Chapter 55)..................................... Maximum Floor Opening Dimension....................................(Fig 6)................ ... ...:............:.............._ft<_12' N/A Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....... ............................... N/A Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall.................(Fig 7)....................................................—ft <_d N/A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall.................(Fig 8)....................................................—ft <_d . N/A FloorBracing at Endwalls....................................................(Fig 9).................................................................... 0 Floor Sheathing Type .........................................................(per 780 CMR Chapter 55).................................... Q Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55)...........................3/4 in. Floor Sheathing Fastening...................................................(Table 2)............8 d nails at 6 in edge/12 in field 4.1 WALLS Wall Height Loadbearing walls....................:....................................(Fig 10 and Table 5).......................10'-0"ft <_ 10' Q Non-Loadbearing walls.................................................(Fig 10 and Table 5)........................18'-0"ft <_20' Q Wall Stud Spacing .........................................................(Fig 10 and Table 5).....................16 in.<_24"o.c. Q Wall Story Offsets .........................................................(Figs 7&8)............................................—ft 5 d N/A AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7s0 CMR 5301.2.1.1)1 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls..........................................................(Table 5).......................................2x6-10 ft 0 in. Non-Loadbearing walls.................................................(Table 5).......................................2x6-18 ft 0 in. Q Gable End Wall Bracing' Full Height Endwall Studs..............................................(Fig 10).................................................................. Q WSP Attic Floor Length................................................(Fig 11).............................................. ft>_W/3 N/A Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................... 5 ft>_0.9W Q and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).............................................................. N/A or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Q Double Top Plate Splice Length .........................................................(Fig 13 and Table 6)........................................8 ft Q Splice Connection(no. of 16d common nails)..............(Table 6).............................:..............................6 Q Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)............................................................2 Q Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)..............................................................3 Q Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .........................................................(Table 9)............................................Oft 0 in.s 11' 121 Sill Plate Spans .........................................................(Table 9)............................................Oft 0 in. <_11' Q Full Height Studs (no. of studs)....................................(Table 9)............................. ..............................3 Q Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans..............................................................(Table 9)...........................................2 ft 0 in.<_ 12' 0 Sill Plate Spans............................................................(Table 9).............. ...................._ft_in. 5 12" N/A Full Height Studs(no.of studs)....................................(Table 9)................................................................ N/A Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W Nominal Height of Tallest Opening.(�......................................................:...............<_6'8" N/A SheathingType..............................................(note 4)..........................................................WSP [� Edge Nail Spacing..........................................(Table 10 or note 4 if less)........... . 3 in. Field Nail Spacing..........................................(Table 10)..............................: t4.... ....12 Q Q Shear Connection(no. of 16d common nails)(Table 10)............�t........11.................(.�..,.............4 Q Percent Full-Height SheathingTable 10 ..........t�?`� 52% 5%Additional Sheathing for(LIVING ROOM)Wall with Opening>6'8.. ........ N/A Maximum Building Dimension, L Nominal Height of Tallest Opening2......................................................................6'-8"<_6'8" SheathingType........::..................................:.(note 4)...............................................:...........WS Edge Nail Spacing..........................................(Table 11 or note 4 if less ........ ..3 in. Q Field Nail Spacing..........................................(Table 11).................................�......... ...12 in. Q Shear Connection(no. of 16d common nails)(Table 11)...................................... . ........... .4 D C .... . Percent Full-Height Sheathing.......................(Table 11).................pe-ve......... . .. .....36% 5%Additional Sheathing for Wall with Opening>6'8' ................................................... Wall Cladding Ratedfor Wind Speed?.............................................................................................................................. Q AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)I 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ...................................................(Figure 19)...............2/3 ft<_smaller of 2'or L/3 Q Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift.................................................(Table 12)...............................................U=236 plf [� Lateral..............................................(Table 12)...............................................L=176 plf Shear...............................................(Table 12).................................................S=77 plf Q Ridge Strap Connections, if collar ties not used per page 21... (Table 13)................................T= plf N/A Gable Rake Outlooker.........................................(Figure 20).............. ft s smaller of 2'or L/2 N/A Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift.................................................(Table 14).............................................U= lb. N/A Lateral(no.of 16d common nails)...(Table 14).......................................L= lb. N/A Roof Sheathing Type....................................................(per 780 CMR Chapters 58 and 59) ............ Q Roof Sheathing Thickness............................................................................................5/8 in. >_7/16"WSP Q Roof Sheathing Fastening............................................(Table 2)............................................................8d Q LAZOTT RESIDENCE 24 SEARS AVE COTUIT, MA MEETS THIS CHECKLIST IN IT'S ENTIRETY THEREFORE THE FOLLOWING NOTE APPLIES: 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. Corner 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 requirements 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-grade. 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: i. Panels shall be installed with strength axis parallel to studs. ii.All horizontal joints shall occur over and be nailed to framing. iii.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. V. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 53O1.2.1.1)1 .-MEN THIS EDGE REM ON j F4SAMING USE&1 NAIS AT 5b� ------------ 42 tl 11 1/ 1 it Il 11 1 tl 11 II U If I - F 416 - - I 11 I1; $ 11Ij 11 Q 11 11 14 11 11 11 I il. it 1 .... .. F . .-.-.•a-ll.� _,. r DUUDLE EUC�E `"" NAILSPACWD i PA1YEt v� See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment i } i B i i } } I i i AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)' Q �xa ; r 1' u F 13 iu 111 111 1 1 1 FRA IPNG MEMBERS i 1 EDGE BaBBAED1ATE , 1 1 f! � 1 1 2 ` �- 1 1 1 + Vt......._' STAGGERED 3�M� HAM PATTERN . .. PANEL PANEL EDGE. DDUmE NAd EDGE SPAcric wrAL Detail Vertical and Horizontal Nailing for Panel Attachment LotAssessor's Office Ost floor Ma S C� Permit# 3 g , lC Conservation Office 4th floor L U — ?d Date Issued ¢''""Board of Health Ord floor)�,� �el� { r �,b i`T 77- -En ineerin De t. Ord floor) House# •�/ / dP E � SEP UST BE 19 - INSTAL e A lications r essed 8. -9:30 a.m.& 1:00-2:00 .m. /I TITLE 5 ENVIR®I� ENTAL CODE AND M! TOWNREG3��,ATI(��iS TOWN OF BARNSTABLE . Building Permit Application Proiect Street A res ay S S4 rL JJ 0 Village (FL—ZU 1 / Fire District Owner 1AJ I 1 Ya L P-ZO—L7 Address Telephone 06 O d 3(,6 d Permit Rc uest: dc.L Zoning District Flood Plain Water Protection Lot Size �` Gr athered Zonin Board of AD=1s Authorization Recorded Current Use Provosed Use Construction T Existing Information Dwelling Tyne: Single Family Two family Multi-family Age of structure 3 G a'u Basement tyce 7 Historic House e / Finished O' King's Highway Unfinished Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Tyne and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name ( 1 Telephone number / Address y� 2� License# Home Improvement Contractor# Worker's Compensation # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0 Pro'ect Cost ; Fee SIGNATURE DATE `�f� S BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T c► 4/10/9 5 FOR OFFICE USE ONLY r ' 018.085.002 4 ADDRESS 24 Sears Avenue VILLAGECotuit OWNER Viiiiam Lazott , L .DATE OF INSPECTION: A f. r. FOUNDATION FRAME r C INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING: �- DATE CLOSED OUT: ASSOCIATE PLAN NO. t l TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB, LOCATION "I St,Pg'0S CC c-- Number Street address . Section of town //,, '' 5o°v "HOMEOWNER" W�f' 1 Y�✓til L-�20 7�7 �aQ O G QU 6GA 6' :.(,f.' .. Name Home phone Work phone PRESENT MAILING ADDRESS 3G 64 �j&S te City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER: Person(sj who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109. 1. 1) The undersigned "homeowner" assumes .responsibility for compliance with the Stat c Building Code and other applicable odes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply wi h said procedures and requirements. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. l_ HOME OWNER' S EXEMPTION The code'"state that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of P this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; p s) ; provided that,. if Home Owner engages a person (s) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction Supervisors, Section 2. 15) . This .lack of awarenes often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as -it would with licensed. Supervisor. The Home "dwner, actin as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities,. man communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. 4 . The Town of Barnstable sAwvsrasc�. T �0� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME E"ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. T of Work: 4 Est.Cost / 00 U0 Type � 7 p Address of Work: v� S 13 l9 rL Owner Name: to 1� 1 a�-�y✓l 1—� z,->U Date of Permit Application: /6 A I herelnv certifv that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000 Building not owner-occupied _0%,,mcr pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS .FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor name Registration No. OR Date Owner's name 11/02194 17:02! *C6177277122 _ DEPT IND ACCID [moo. i / / y CotjunoluUea[K o f Y&IJaclzusetb 2.J partinent o�J'ndu�triarr../`dccidentd 600 W uknyrton.S'tmet James J.Campbell &ton, ///amacLattd 02f f 1 Commissioner Workers' Compensation Insurance Affidavit I, W<<l (Y,, yn Li' 20 7-7 with a principal place of business at: do hereby terrify under the pains and penalties of perjury, that: () I am an employer provid'mg workers' compensation coverage for my employees working on this job. insurance Company Policy Number O I am a sole proprietor and have no one working for me in any capacity. O I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation ponies: Contractor Insurance Company/Policy Plumber Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number 14 I am a homeowner performing all the work myself. I understand t.Lat a copy of this statement will be forwarded to d:e Office of Investiptions of the DIA for coverage verification and that failure to secure coverage is rec ired under Section 25A of MGL 152 can lead to the Imposition of criminal penalties consisting of a fine of up to s 1,500.00 andfor or yews' imprisonment as well as " iI penaI' in the fo .of a STOP WORK ORDER and a fine of S 100.00 a day against me_ Signed this day of Licensee/Permittee Building Department Licensing Board Selectmen Office 7�/ Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 375 ej t SMOKE DETECTORS REVIEWED �. BARNSTABLE UILDING DEPT -7 D mom r FIRE DEPARTMENT DATE w BOTH SIGNATURES ARE REQUIRED FOR PERMITTING I✓ +9 eb CARBON MONOXIDE ALARMS MUST BE INSTALLED PER USETTTS�BUILDINGIME SSACM U IL ul - _ 0 \ ar cb 0 v:..� J—L _ r_� � - f� �, �,o - i r lLi TL 1F\I El- - U � Z FRONT ELEVATION Q v ZO - SCALE: 114" = V-0'' (n to Q .. Q � a � � W Q W J � N SHEET � 1 JOB: 1204 DRAWN �Y: KW - :I. DATE: IO/5/12 .r w -- p I_ll 1-11_ _ A Ll :1 J IT LU W � U � L_l U - REAR ELEVATIONLLI j j W w a (n LU N W _ Q � NT SHEET Jos: 1204 DRAW V BY: KW DATE: 10/5/12 N 1 EFF-F MEN LEFT ELEVATION _ SCALE: 1/4" P-0n W X — — i! ]F] Q W LLJ— — LLI Z � Z. — > Fr 0 f V { o � w T.O. FOUNDATION WALLTIE --------------------"--_--�—.,-1 rya^-J [!ILLT - SHEET h ,y{+��, RIGHT ELEVATION SGAL DRAW 1/4" = 1'—O" OH: I_04 N BY: KW DATE: 10/5/12 N. 15'_01' 7'-10'1 7'-2" 5'-0" 5'-O" 5' On 6'-0 7'-O ®" " pp 2-71 2-5" 2-5 2'-71 2. lea J � ry m o . , DECK �y, - _ 1 MIT po (�.s __2L_ A LL v21 cq - - w pp1 Flo 2.STORY I - a LIVING ROOMeb :in - -:OAK I . - I - (2) TW 28410 P►! _ I .34 18"x 60 7/8" Ea MASTER BEDROOM I I IiY CARPET TW 24410-2 I DINING ROOM t J OAK 59 7/8"x 60 7/8" v --------------- .. - SILL® 6S" AFF - .-. FWN 31611 L 3: . iris.. - 0 0 5 2& N o OAK CAK - �0 :H- TILE. : .,m':or...ar.x.s,� F .. --____ - TILE - m a - DN. �. POW DER _ TR - 1 In EXT. O `v .. REF I 51-TOWER 1 .. .. .. rs. � 757 �ED ----KITCHEN ., L I TILE .. ---- m 28 7/8°x 28 7/8' A r - LL] L�J SILL ® 96" AFF. - W : a8 MASTE W.I:C �Y�R IR Z BATH ® = ---CARPET - TILE �—" C II.... w ..I RI ERS .Q 9� n _ _ I .o :ate racks; .xu; 2 UP \ ; 'I �LS W UJ BREAKFAST TILE .:!ax� a .. __. w.( z co SIMPSON o o PORCHILI o r o � N N V x (L4 Q cv .. m 4'-4° T-6° 3'-2" 6'-a° '-`�" 4'-6" 4'_6n J 15'-0" - 14'-6" 9'-0" 4'-6" SHEET FI RST FLOOR PLAN 44 SCALE: 1/4" = 1'-0" JOB: 1204 - ( DRAWN SY:, K'N DATE: I O/5/12 _ N 7'-10" 7'-2" T-Gu 7r_Gn 6i_Gn'. __ - .. �0 x. — x - � •9 x - ao C4 boo 10 .. .. .. _ 2 0 2' G n CY.. .. :. 91 ml .. .. .. .. .LLV BELOW - - ING ROOM _ ,;, ME 1 b. . BEDROOM - y In DRO - CARPET _ - #2 O N CARPET .. .T .z IL N �. .. -. .. � LOFT � C® � rw 2446 TW 2496 .. :. 14 _OA _ 56 7/8 K 2 .30 1/8°x ... .. �. RISERS 30 1/8"x'56-7/8" ON. 4 N 24 .. 24. .)2Q BLUEST s ATP.. .. .. 2 w .. .. .. z K o.. TILE — OPEN TO .. .TW 2446 o � N .. \y/. .. x.rsx-.. - .,oa•<su .Raa.Txa --.x v' CLOSET _ m .. .. ... .... ff 1 ff� ,,IIIIII :FOYER y r' :_ .BELOW :'.30 1/8"x'56 7/8" LLl LL�QII LL�LL�� n.,. BELOW (ll��1'1111111��1 lil1 (li i "hill 'd I,�l��Il �� l - 41-10 1/2" 4'-0:'3/4' - nkY — UNFINISIJED a LU �— rt F LU Z . E T .> OPEN .. o � e4�,:�,. a.�� - V 1 'BELOW ' a k4 LU :'. . :.. . .. 20'-G° SHEET SECOND FLOOR FLAN SCALE: 1/41' JOB: 1204 . DR.AWN SY: KW DATE.- - 10/5/12 t3 0'.: Lo hI :. .. - ..--- .. .. .. .. r ram;1- __ _, pw - - _ 2x10 GIRDER � � � �� - � aV P.T. POST GA ,- LV. METAL POST ;ANCHOR I 10! "SONO TUBE' PIER-W/ �� .. .. ..: ..- -. .. 28°-"BIG F.O.OT' FOOT ING TYP. I - _ _ I i. -. _—_—_--- 1 .. .. .. ._ .. .;.:DROP T.OIW. TO SLAB .. o; ®. I J I 77777777,.F- - e Y- :: — — — —_ _— ' BELOW" - Q I � cr 5� E B"" . ANCI-IOR BOLTS I I i EMBEDDED 7" _.. I W �CORNERS �. . II_O . Ld ASHERS 3 x3 xl/4 FWG 60611.12° FROM .. Q .. .. .. .. 1' i � 72 83 7- 610 , M74 I tTM9 (L I I ,r Q N I ;. I _o o ' m I r - .. Z3-2x10 GIRDER. Cy.. in .. .. .:- r UMN .. .. .. ,,._ .�.' ..a. 36"x36"D12" CO CRETELPAD� � I � J"'Y J 4 L— J. . oAB •`n. I o — .. ::. :: _ = _ - WALL.BELOW Q - '. _. .. .. . . � .. . .. .. :.m. - TW.2432-2 -� L6 t-.. .. .. .. .. .. a 7/8 x 40 7 U I I s /a' � I ` � W0 _ _ _ — - -� Na I Lu _ V — L__-1---- ----- I . ---�I- .I: .V' .. J'L DROP 71-qll WALL UNTIL T.O.N. IS 36" VV. N .Q -_Lf 5 ABOVE BOTTOM OF SLAB ..Q .. �. f Tf I LDROP T.O.W. 28° or (may. FOUNDATION PLAN.. . .. rh SCALE: 1/4" su 1 r ! Nn•. S141E . 1 .SOB 1204 DRAWN_BY:. .<W DATE: 10/5/12. s �. Lo - LO L17 . N �. r .. .. .. .. .: ..ham. W Z ui .. .. RIDGE,VENT .. : W-4 U LL .. 2x12's ® 12'O.C. - - - LIVING RM S 2xI2 RIDGE BOARD :. .. .. .. ... .. IV ECTION'.: 12 - ASPHALT SHINGLES :- - ui ® p 12 V ... .. .. ... ONLY. .. .. .. 5/8" GDX SHEATHING _ 0 12 4G-- -"- .. - .. .. _ .. .. .. BEYOND .. .. .. .. .... .: ____ .,.. .. .. R38 INSUL. Trill., .WIND WASH BARRIER REQUIRED. M lll i 2x8'S @ 16' O.C. I UIII 11111 ~i :. .. :. :. .. FT ERIOR£DGE.OF EXTERIOR WALL. x 'S @ 12" O.C. - W TOP PLAT.E" 1 3%4° STRAPPING _ -- AT FOYER SECTION ONLY . . -I/2' GYP. BOARD - '77®^^ 'MAINTAIN AIR SPACE ui - .. SIMPSON H2.5 ..:. — .. I . \ _ FASTENERS AT ALL -.:OPEN .. .. .. OPEN: 461 W _ .:RAFTER / TOP PLATE :JUNCTIONS TYP. - r Im \i CONT. VENTING DRIP EDGE M g� Ix$ FASCIA .... �'! Ydm.: ... I . _ (2) 9 IY4" LVL s .. ———.� — ' _.._._> —— ——— — - Ix5 SECOND MEMBER :. .. .. „s .; .2x10'S.@ 16' O.0 2x1-- @ 16 O.C. - UNDER BEDROOM WALL .m —- ——_—�— ————————— —— ALUMINUM GUTTERS AND DOWN SPOUTS FRIEZE BOARD:AND MOULDINGS - .. ' .. ... .. - BLOCKINGG 4'-O"OG (2) q lY4° LVL's J/ .. - - - IN FIRST TWO JOIST CRAFTER FINISH STAIRS - - -- BAYS FROM GABLE WALL 14R - 2z6 EXT. STUDS ® 16" D.C. ' .. .. 't 3-2x12 CARRIER5_ - 6" R21 F.G. INSUL. LIVING I NG FOYER .. .. .. :. I/2 PLYWOO ' V:. .. .. TYVEK WRAP _5 THING .. .. .. ::. I .:_16'-5" - c0 :. - .. .:: W.C. SHINGLES H.... .. EA 13,_7„ -'_ I - 3/4„ 058 SUBFLCOR .: .. R30 INSUL . - - 2XIO'5 @ 16" O.G. 2x10'5 @-16" O.C. 2xi0 GIRT:. 2 SILL + SILL SEAL.. .. .. .. hq- . X6ANGHOR SAT 30.C. i w .� .. .. .. . .. .. .. .. .. I MA5TEP*5FOROOM .. .. SECTION ONLY Z } �—STAIRS 13R I :: :: W .. I BASEMENT - t -2xI2 CARRIERS Q U 8„xT-W GONG. WALLS w. 12'-II I DAMP PROOF BELOW GRADE .. - .. I .. ---3.I/29 LALLY COLU S Q Z Q . --3-I/2" CONE,.SLAB - - TOP BOTTOM. :. 0- .. m t ---- N Q Lu 26-0i, - —� Cal SECTION � . ,AVLC-t r . SCALE: 1/4" n" S2 JOB: 1204 DRAWN BY: KW 1 - I DATE: 10/5/12 P.T. 2xI0'S @ 16"C_C r. o o -- - o _ cq Lo in - - _ Lj s (2) 9 1/4" LVL'S .�'... _ .. Js., I—��I—I—I—I i - 1s 2%105 @ 12O:G. ` --- 2xI05 @ 161,O.G. - 2x10'S @ 16"O.C. 2z10'S @ i6"OC .. v `. ( ou-'2z10 GIRD—�--_.. 32x10 GIRT .I .. I2Ix10'- - ___= / 2) �. \ N (a) zxiou --- _ ''..ee 3-2X12 GIRT W 6 C — .. .. .. .^ 1 _ FIRST FLOOR FRAMING PLAN - SECOND FLOOR FRAMING PLAN >- SCA LE: 1/8" ._: IL_OII SCALE: 1/5" =_i'-0" �J Ln I� - - I. - -- U W ~ 2x10'S CN @ I6"C.G. 11E 2x12'5 @ 12'O.G. 7 \ = O (I) 2zI2 RIDGE — v - (L)2xi2 RIDGE -...— — _ —= (nLU -- =— II — In 0. LLI _ "BUILD OVER" - - i !. I ✓' VALLEYSOPEC - _ Sri OF�•� r, TAVI \ 5s ROOF FRAMING PLAN ROOF PLAN SWEET SCALE: 1/5" = 1'-0" SCALE: 1/8" - 1'-0" S 3 JOB: 120A i DRAWS! BY: KW DATE: iO/5/12 cq - \ o0c / H2.5 O EA. :RAFTER . \\ Lp .. .. .. .. 0 TOP PLATE If n LID . R _ ATECON_NECT R-\,F.� FI TO FLAT" ION SCALEU) SHEAR WALL COMPLIANCE: N.r.W= 71% OF EACH WALL RUN VERTICAL SHEATHING WITH 8d NAILS 3" EDGE/12'I FIELD - (4 U )16d NAILS PER FT BOTTOM PLATE DGBL_ E ROW .. .. .. STAGGER NAILING L= 24%. OF EACH WALL RUN .: IVTG BG-rl P LA.T__ \` �.G C3 TOP�PLA re l VERTICAL SHEATHING WITHui � � : Bd NAILS 3" EDGE/I2" FIELD (4)16d NAILS PER FT BOTTOM PLATE 00 \ VERTICAL ry/ .. .. .. STRJC URAL'PANEL .. ."' .. .. .. NAILED Bd COMMON. I `,1 H, .. : .. .. .. @ 3" O.C. EDGE .: L6i AND 12" IN FIELD,: .. .. .. .. .. .. .. i-. /n 7 -VEKII A.L \ \\ .- .. DOUBLE ROWBRR�.K ON L PANELS .. \\\ .. . .. - - .. ScCONDLFLCOR. •� ` .. .. - STAGGER NAILING \ .. .. RIM JOIST INTO 20T4 PLATES- - \�\ \ 2.b:DeL TOP PLAT= I .: .. .. - RIM F -. VER I IC_L v . STRUCTURA_ PANEL - - 5 RUCTURAL PANEL i I \-�' Q "SCOND LOOR LU Lu JOIST - NAILED 8d COMMON I _ NAILED 8d COMMON @ 3 O.C. EDGE j .. �@ 3' O.C. EDGE '((� AND 12' IN FIELD AND 12' IV FIELD I w j J DOUBLE ROW I \ DOUBLE ROW STAGG R NAIL NG— o I \\ STAGGER NAILING - �\ NTG _O\' AV.. SILL \«'�> ��! \ �I INTO BOX AND 51-L I \�- SWEET S,4 �+ U_L N-1G--,!- S-!_ATNING -51NGL- 'LCOR r/� =ULL -!=1G:T SP!ATr'ING -MULTI �L002 SCALE: N.T.S. JOB: : 1204 DRANN BY: KW DATE: 10/5/12 i 4 Lu 0- w �. Q x., dll IF `LOCUS " �. t ° .gel: !r ZONING CLA551FICATION: RF MINIMUM LOT 51ZE: .435GO 5F 0� MINIMUM FRONTAGE: 1 50' MINIMUM FRONT YARD: 30' (n MINIMUM 51DE YARD: 1 5' LOT AREA: 1 4203.G 5.F. MINIMUM, REAR YARD: 1 5, MAXIM MAXIMUM BUILDING HEIGHT: 30' Az IIII . BUILDING LOCATION PLAN fop, 1 24 5EAR5 AVENUE COTUIT, MA PREPARED FOR 4 BAY5IDE BUILDING INC. (LAZOTT •�� VEN W� �, SCALE: DATE: DRAWN BY: 4 o.3B91 sue, 1 20' 1 1 — 1'`5-20 1 2 TMW r JOB NUMBER: REV151ON: 5HEET NUMBER: ��F g10NP,� g 1 2-045 CPP WELLER * ASSOCIATES I G45 FALMOUTH RD., SUITE 4C -- P.O. BOX 4 17 CENTERVILLE. MA 02G 2 WINDY WAY, #232 NANTUCKET, MA 02554, ( TELEPHONE 4 FAX: (508) 775-0735 EMAIL: trl5WC11er@6omca5t.net - Traverse PC DEEP 0135ERVATION HOLE LOGS._ m N RI E CO PIPES O BE LAID LEVEL FOR " ,- T N ul INSTALL 5 RS VERS TO 2 LAYE., OF DOUBLE WASHED PEAS O E ;�, „ DATE: O I-1 0 201 1 P# 1 3 1 76 C9 , WITHIN 6 OF FIN15H GRADE 2 OUT OF D15TRIBUTION BOX OVER 3/4" - I V2"DOUBLE WA5HED 5TONE Q TEST BY: D. MASON, R.S. ; (5EE PLAN VIEW FOR LOCATION5) ALL AROUND w w X FOR WITNESS: D. STANTON HEALTH AGENT U WATER TEST D-BOX O PERC RATE: < 2 MIN./INCH oC LEVELNESS * FLOW — Q ? EQUALIZATION DEEP OBSERVATION HOLE#I EL. 28.A O On� DEPTH 501L 501E 501L COLOR 501E .}..II. a.,.. FROM OTHER (L EL< 33.0 EL. 30.0 EL. O HORIZON TEXTURE (MUNSELL) MOTTLING — 3O. SURFACE Z Q T.O.F. @ 4i " A AND I 0YR4/I Q SCH O 8 LOAMYS PERC TE5T. 26-44 J EL. 34.0 4"SCH 40 PVC 4O?V TOP @ _L. 27.0 ES LOAMY 5 ND I OYR6 8 C 4"5CH 40 8 26 LO M A / 24 GAL, < 15 MIN. a (n •;r'' S. .. s , PVC _ C IOYR LO 14" 26 144 MEDIUM SAND 7/4 (2) 500 GAL. PRECAST DRYWELLS 1 28.50 27.75 O INSTALL GA5 BAFFLE 27.40 _ 27.23 BOTTOM @ EL. 24.30 N f ; O BA5EMENT FLOOR IN OUTLET TEE 27.50 Q at r 26.3 �� ...s1r`. ,:. .: � 'ar LOCUS'. DB 6 (H 20) DEEP OBSERVATION HOLE#2 EL 28.4 INSTALL TANK D BOX DEPTH F— r l 7.9_ SOIL SOIL SOIL COLOR .501E ,. ON G"LAYER OF CRUSHED FROM OTHER O HORIZON TEXTURE (MUNSELL) MOTTLING STONE SURFACE J 500 GALLON PRECAST O -8" A LOAMY SAND I OYR4/ - SEPTIC TANK' 8"- 20' 15 LOAMY SAND I CYR6/8 ZONING CLASSIFICATION: RF BOTTOM TH @ EL. 1 G.4 26".- 144" c MEDIUM 5AND I OYR7/4 MINIMUM LOT SIZE: 435GO 5F _ _ NOTE: NO GROUNDWATER ENCOUNTERED IN ANY 0155ERVATION HOLE MINIMUM FRONTAGE. 1 50' MINIMUM FRONT YARD: 30' MINIMUM 51DE YARD:- 15' MINIMUM REAR YARD: 15' MAXIMUM 13UILDING HEIGHT. 30' I DE51GN DATA GENERAL NOTES DAILY FLO,, D I A : (3) BEDROOM5 x I 10 GPD - 330 GPD SEPTIC TANK: 330 GPD x 200% = 6CO GPD 5EPTIC SYSTEM 15 TO BE IN5TALLED IN ACCORDANCE WITH 3I O CMR:1 5.00. TITLE V U5E: 1500 GALLON PRECAST EPTI A 5 5 C TANK _ 2. THIS SEPTIC.SYSTEM IS NOT DESIGNED FOR THE USE OF A D15T IBUTION BOX: R GARBAGE DISPOSAL: U5E: DB 6 (H-2 O) 3. THIS PLAN 'IS NOT TO BE USED FOR PROPERTY LINE DETERMINATION. SOIL A1350RPTION 5Y5TEM: 4. CONTRACTOR SHALL PROVIDE 45 HOUR NOTICE TO DE51GN U5E• (2) }00 GAL. PRECAST DKYWELL5 w/4 ENGINEER FOR ANY REQUIRED IN5PECTION5. 5. CONTRACTOR TO BE RESPON5113LE FOR THE LOCATION OF ANY OF DOUBLE WA5HED STONE ALL AROUND CAPACITY: UTILITY, ABOVE OR UNDERGROUND, PRIOR TO ANY EXCAVATION — OR CONSTRUCTION. 51DEWALL: 7G x 2 x 0.74 = 11.2.5 GPD G. EXISTING CESSPOOL TO BE PUMPED DRY REMOVED. BOTTOM: 13 x 25 x 0.74 = 240.5 GPD TOTAL: 353.0 GPD _ TBM - EL. 33.5 TOP OF CONC. BOUND - 1 1 / �♦ r•, 30 .� / •�'�� '1 / RAVESOF EwAY _ r v , 20 � , � co PROPOSEDMBA ,I r / �-Q ' DWELLING l a; L . ;. No..357 - _ �_ / 10 p ; T.O.F. @ / h Na, 110 , /o RSERvic EL. 34.0 P p E F�-p 00oj •9� o ♦ / / ITAR\P tics~3 /THIA r , #2 TH ♦ t EX15TING / #I Y♦ , �"" ._.. ♦ CESSPOOL / ,�. l ♦, r 51TE SEWAGE FLAN EX15TING �8 / FOR / ♦ �� / DWELLING 24 SEARS AVENUE COTUIT MA i r (TO BE RAZED) PREPARED FOR BAY5IDE-BUILDING INC. (LAZOTT) SCALE. DATE: DRAWN 8Y: ' I11 20' 09-25-2012 TMW \ � / \w •'' / // JOB NUMBER: UV151ON: SHEET NUMBER: 12-045 WELLER * ASSOCIATES I G45 FALMOUTH RD., SUITE 4C -- P.O. BOX 4 1 7 CENTERVILLE, MA 02632 2 WINDY WAY, #232 NANTUCKET, MA 02554 TELEPHONE * FAX: (508) 775-0735 EMAIL: trlsweller@comca5t.net 20 10 REGISTERED LAND SURVEYORS ENVIROMENTAL CONSULTANTS r_ Tr•aver'5e PC