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0110 VINEYARD ROAD
� - � � , , �.,,� ��, � - i 0 ,, �a �� y��� 4 ;� � � � E , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Ma `• 0114 Parcel 0 I Lo 0(9 O A Picati(pp Health Division, Date Issued Conservation Division Application Fee 1 Planning Dept. Permit Fee o` Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 110 Vi nev Grd Rd Village CO 'U Owner Susan GbnhOr Address p 8� 191to - COlUIf Me Telephone 50 8— 4 98-to 1 No O Plo 35 Permit Request to-4all 30 sb1ar Ynadules on r00P 0� 1Y1Q:1.l1 residence w i -k asSUGa+a ,dec-h-icol wo rK. Square feet: 1st floor: existing hanu proposed 2nd floor: existing proposed no Total 90 Zoning District Flood Plain Groundwater Overlay /la Cha 0 Type Project Valuation .�4�,0Q0 Construction yp SOICu'7 lns�� Lot Size o2 . 00 acx�lp s Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure 1q5 Historic House: ❑Yes �No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑ Crawl ❑Walkou ❑ Other Basement Finished Areas .ft. Basement Unfinished Areas .ft Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other c Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑ems ❑ No UD Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing news size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ `- Commercial ❑Yes XNo If yes, site plan review# Current Use Residtrrhal, Proposed Use SWTf e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (Y1lrhOe i '9Qf0nJQ 1141* S VC kVJj&Iephone Number 96 0- 535-3370 Address License # 10 9 0 5 EW . 10 l tpl ao i p, Shn"h-n , Cl- No3'79 Home Improvement Contractor# 11p a 709 E-, J&/O Worker's Compensation # 1jiN oa41359-Q, ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO R-I-IerIS oill re rnosl A dtbris. f fA ft A rj No debriswi11 (pe SIGNATUREMax DATE lv aq aoll r - t r :FOR OFFICIAL USE ONLY , R APPLICATION# DATE ISSUED MAP/PARCEL NO. - ' f ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4Y. pray Yowt sco s FINAL BUILDING �$ << fznc-� m s a.CLTso�� . DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of Investigations go 600 Washington Street ; Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Alteris Renewables, Inc. Address: 32_Taugwonk Spur, Unit A-12 City/State/Zip: Stonington, CT 06378 Phone#: (860) 535-3370 Are you an employer?Check the appropriate box: Type of project(required): 1. x❑ I am a employer with 120 4. El am a general contractor andI 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 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. . workers' comp.insurance. 9. ❑Building addition [No workers'comp.insurance: 5. ❑ We are a corporation and its required.] officers have,exercised their l0:❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11-El 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.❑x Other solar panels 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 ofthe 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: Acadia Insurance Company Policy#or Self-ins.Lic.#: WCA0241358-12 Expiration Date: 02/01/2012 Job Site Address: 110 Vineyard Road City/State/Zip: Cotuit MA 02635 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un er th ai and �Iiesqfury that the information provided above is true and correct. Signature: Date: 7/15/2 011 Phone#: (860) 535-3370 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health. 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: _ 07/19/2011 09:46 5084203550 ROGERS & MARNEY,INC PAGE 01/02 Av%n dw;h4 RENEWABLE i Property Owner. CC7:Iisci1t Form t.+>wSia�iy Stman Con 11nr• s I� Address; I.'I.I)ViOyarcl Rnad Co'w•n. CnYtlit Stttt MA i17(;3.; 1 hereby give permission to A.lteris Ren.ewa.bles,,l.nc. em,d tlle.i,i' re.pre.sr-.n,tai:,iv(,s to pull the required. }permits For�i,sol�g installation o».rnjr property. Signed, Properly Owner L)il 0 ' 4 • _ fir \ _\ r. 07/19/2011 09:46 5084203550 ROGERS & MARNEY,INC PAGE 02102 " ram`F; 4 � "v i Tarn ofBai n.s>`,o1)Te -- " Regulatory I�ervices rhnrq�c F.Gdilc!r, Dirrrtor 13Qi..Id.ing Divi.'jnn ' Thalnns AdYry, �'nf,1' ltuildin,F f�grnr'nE,^Sion-r . 200 Maio S(rcq(, Hyannis,MA 02601 W�sr.tp�i'�,OnrhSY.nlrir.,mn.l.ts ` Pry l'.r��r�r-(ZT f._?�•r,.r'r, 1��Tusi_ Cor..rip1.r--�:r andSi.g1:.2 '"f.'.►i_i!. Sr✓�'t7C;f.a If A. Boildc-r- ! Susan colill---- --- as (]wncr_r?l-1hc!tr1bjI. pro�r.zty Alteris Renewablrti ate On u,�r n.f; I-I lI ,�ir,"�.r.t;rrinric. tr..'�nrk a;irhorh.-cd hg !J:us I7v.il,r{i,ty.�?prrrnit aprali.e^tics❑ Fnr: 110 Vineyard Road Cotuit MA(fr)r Solar Installation) (Arirlre,s orJob) ---2 IV , It Prnpr_r'a r:vwtr_r i" appl, nr_rmi n{C�SC rnrnpiCtC CI1C [iprrt:.D1'ncrS L.itC:nsr F-rmr Cior. F drm on(trc I c.r'cr.c sir.Ic.. - i . -`.I':r.r,�dF crllil,l,•1npDn,�1(.srailr.4i:,J:nr3 Sir�n'nrvrlTcn,pUt•+!y Int-nrr F'ilrs',('anramf,tlrlpn}11[!f�4R'!r,^.L`L?C'17_rc.ripr, f - �l:sti��Cll���1t�:» I�-w,�t�fi1'ttflt`i'41a"r��'fitl`��i��:t�t'�.4 �' • OrtArd 4 Utiiltliitt lot iYal.i6rn. rtstl$tantl:antl, 1 Lx,mse; CS ttl ae >..: R4WnttOd to: Of} MICHAEL ROTONDO 6 A tTLw 11C Aid=: ?Ly'A4OUTK MA02360 ire Iemu - t 1m ������ License or registration valid for individul use,onl Office ofCousumerAffairs ieess c ulaho g Y HOME IMPROVEMENT CONTRACTOR t before the expiration date. If found return.to: Registration: 1,627pg Type: Offiee of Consumer Affairs and Business Regulation 9 ,4 Exp►ration: -416/2013 Private Corporation- 10 Park Plaza-Suite,5170 Boston;MA-02116 AL RIS RENEWA8E'f MICHAEL ROTONDO= - 26 MYLES STANDISH" P ,F { CARVER,MA 0233V7,', Uodcrsccrcta"ry, ,a. Not valid,without signature , `. CERTIFICATE OF LIABILITY INSURANCE DATE /26/,DD11 � - 1/26/2011 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 Julie Desaulnier NAME: Gerardi Insurance Services Inc PHONE No III: (860)928-7771 A/C No:(860)928-7144 16 Pomfret St E-MAIL desaulnier@ erardiinsurance.com ADDRESS:] g PRODUCER 00026321 CUSTOMER ID#. Putnam CT 06260 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERAACadia Insurance 31325 INSURER B.Liberty Mutual Alteris Renewables, Inc INSURERCR/T Specialty-Illinois Union INSURER D BMAG 28 Wolcott Street INSURER Admiral Providence RI 02908 INSURER F: COVERAGES CERTIFICATE NUMBER:11-12 Renewal Cert 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 S EXP LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER MMIDDY EFF MMLDICDY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE T RENTED- X X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 250,000 A CLAIMS-MADE ❑X OCCUR CPP0241356 /1/2011 /1/2012 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 E 000014730 (New York) /1/2011 /1/2012 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY X PRO- X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT X (Ea accident) $ 1,000,000 ANY AUTO P0241357 /1/2011 /1/2012 BODILY INJURY(Per person) $ A ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS 0249941 (HA Auto) /1/2011 /1/2012 PROPERTY DAMAGE $ A HIRED AUTOS (Per accident) NON-OWNED AUTOS Uninsured motorist combined $ 1,000,000 $ X UMBRELLA LIAB X OCCUR _ .EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE D /1/2011 /i/2012 AGGREGATE $ 10,000,000 DEDUCTIBLE $ B RETENTION $ 10,000 $ A WORKERS COMPENSATION CA0241358-12 /1/2011 /1/2012 X WCSTATU- DTH- AND EMPLOYERS'LIABILITY Y/NLIM I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? ❑ N/A $ 1,000,000 D (Mandatory in NH) ' E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yyes describe under D - New Jersey /1/2011 /1/2012 DESt RIPTION OF OPERATIONS below y E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Professional Liability' & BD /1/2011 /1/2012 Each Claim/Pollution Condition 5,000,000 Pollution Liability Ez Aggregate Limit 5,000 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Named Insureds Cont'd: Solar Works, Inc; Solarwrights, Inc.; Earth Friendly Energry Group Holdings, Inc.; Alteris RPS, LLC; Alteris ISI, LLC. Per Project Aggregate Applies; New York Per Project Aggregate has a policy cap of $5,000,000. Professional & Pollution Liability are not covered by the Umbrella. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACC Alteris Renewables Inc ORDANCE WITH THE POLICY PROVISIONS. 28 Wolcott St AUTHORIZED REPRESENTATIVE Providence, RI 02908 M Desaulnier CIC CPCU ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. INS025(200909) The ACORD name and logo are registered marks of ACORD #y+ ,HE r°wti� Town of Barnstable Regulatory Services - BARNSTABLE.q' ' 7 MASS. k Eo .a�. Building Division ;, 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice ar Type of Inspection Location V/r7 e ya rV AP C?. Permit Number '-7 o l p 0 Owner CUI/iy�- Builder �� � s` /IR/ f • One notice to remain on job site, one notice on file in Building Department:; The following items need correcting: sr 6F-t V 14TES Fly u . /l� � �1'� Po c.�-� ��- �(/ c a p``/`� �/�ES To/� (+�L/d���-� G �-S t��/� C�i G SCE G'+�f-lJ-�'G . ., ``,,,• (2AR K 1 C*sJL- G L i 0 C &-1(_i t J6- 7-4 1 s-r l A T o Jr AJ O-/L lot A 7'� 6 Qom— z P U 6. s S —f-ht/z� Z c� 7`-F /2 p-L l F� r � �iKLGjye n-A-- J Please call: 508-862-4 for re-inspection. Inspected by Date 311 ? 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 016 Parcel 0 2.a "Application Health Division ``-Date Issued (-o`.A [-•C7 Conservation Division Application Fee Planning Dept. -;�PeUii>,C�,Fe�:�s� Date Definitive Plan Approved by Planning Board D I I SEP 2 7 R�C'D u f�' Historic - OKH _ Preservation/ Hyannis =>' . y Project Street Address 1 ► O y i r4C21 A&n RLO . Village e- Owner 5'i 4ra T. CzK1t,\02 To- . Address %1 D J Ne--iaA-o R.o. C.o-ry ire two Telephone Sob (e20 Permit Request _ AS: w ^ - — - --. .� �i it w c CS�.� c vcv w c.x � -- *cis- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1 30o 000_ Construction Type v3 000 Lot Size 2 ALCACS Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family X1 Two Family ❑ Multi-Family (# units) Age of Existing Structure GO Historic House: ❑Yes W No On Old King's Highway: ❑Yes V No Basement Type: *Full ❑ Crawl ❑Walkout 0 Other Basement Finished Area(sq.ft.) — O- Basement Unfinished Area (sq.ft) Z,Zoo WA c P?m-tasoo Qrta�ac�� Number of Baths: Full: existing new L Half: existing O new Z WAf P1btos" Number of Bedrooms: existing _1� new wq; OLuWEA Total Room Count (not including baths): existing It new 13 First Floor Room Count 7 Heat Type and Fuel: H-Gas ❑ Oil ❑ Electric ❑ Other Central Air: .Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # 'Recorded ❑ Commercial ❑Yes 9 No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION . (BUILDER OR HOMEOWNER) Name Rom i -!-M4;�,.��! . t ac .' Telephone-Number 601 4.7.S- 10 k Cols Address 44-C oST. tJ. TSAa^z,%1!MLc ko License# d-s oZg99 6 LA-q. Home Improvement Contractor# 1f64 coSB Worker's Compensation # vx oo bs t g w-4 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO t31 MC- Lanr/� SIGNATURE DATE 8 �-7 •P a FOR OFFICIAL USE ONLY `TPLICATION# DATE ISSUED _ MAP/PARCEL NO. M ADDRESS VILLAGE-. OWNER DATE OF INSPECTION: A o _FOUNDATION. �3FD' �G rn «16G lc���01�ktJ1� > FRAME SNE 9a k sc 3 R} Rr�i-rc►wn ittot� . INSULATION suW6& �A r - ` FIREPLACE .y ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH -: FINAL GAS !• _ ROUGH , x . x, FINAL •FINAL BUILDING-z-m1 ' - —,Ski( � DATE CLOSED OUT. ASSOCIATION PLAN NO. 1 r! The Commonwealth of Massachusetts Department of.1ndustr'1a1 Accldenfs UWOffice of Investigations 600 Nrashirigfon Street Boston,MA 02111' www.mass.gov1dia ' Workers'Compensation Insunmce Affidavit: Builders/Contractors/Electricians/Plumbers Applicant InfD iMation Please Print Let�iblY Name (Business/Grgmizatio&hdividual): 206 Vzvt-L -4• M4AM+Svl ' •Address: ��S OS� �J.'fi;A�+Jtt�4�-E.. ILD , - City/State /Zip: Phone.#: �5 Q a `FLU Are you an employer? Check the appropriate boa: :Type of project(required):, 1.[] I am a employer with 4. ® I am a general contractor and I �_ 6. New construction . employers(full=&or part-time). • have hired the sub-contractors listed on the-attached sheet 7. ❑Remodeling I❑ I am a'sole pioprietor or partner- These sub-contractors have ' ship and ps have no cmployc $. CA Demolition: crnployee� and have workers' 'working for me in any capacity. 9. ❑Budding addition O y/orkGlB' Co inc�rranGe romp.insurance.# comp.— I D.❑•Electrical repairs or additions " ��] 5. � We are a corporation and its p • 3.[] I required.] a homeowner doing till work . officers have exercised their 11.0 Plumbing repairs or additions Myself,[No workers' comp. right of exemption per MGL 12•[]Roof repairs insurance.required.]t c, 152,'§1(4), and wo have no 13. Other employees. [Na workers' comp.insurance rcgiited.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation poHayinforrnation. t ET== vocrs wbo'submit this affidavit Indicating they are doing all work and tlien hire odside•contractors must submit anew affidavit indicating sucIL , Tcontractum first check thisbox mutt attached ea additional sheet showing the name of the sub-contractors aid state whether ornot those entities have employees. rfthe sub-contraetnrs have employees,ihayrrnist providh their workers'comp.polidy number. I ant an employer that is providing workers'comp ensation insurance for my employees. Below isihe policy and job site Information. Insuranco CompanyNMMe: iIJO0-1-*k 6o,o 1rJS. "%wa" Policy#or Scif-ins.Lie,#: Q01,51 V 44:3 Expiration D ate: 1 lob Site Address: 11 O' J I PSc-t qM LA..- City/State/Zip: CM`N VC "N A n policy declaration page'(showing the policy number and eapiratiot2 date). Attach a copy of the workers'compensatio Failure,to secure_coverage a4 required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip td $1 500.OD 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 tllq violator,.Be advised that a copy of this"statemcut maybe forwarded to the-Office of' Invcsti lions of the IDIA for' co covers ever fication. I do hereby certify u tF O p d pe alties perjury chat the Information provided above Is true and correct. Date: Si start: .. Phone Z Official use only. Do not wrlte In ihts area,to a eoWleted by,ctty or town official. Cif}'or Town: ' Yermit/License# Issuing Authority(lade On*1.Board of Health 2.Bull ding Department 3, City/Town CIerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: _ _ 08/13/2010 10:12 5083932273 NORTHWOOD INSURANCE PAGE 02 Da (MMroomrrY) CERTIFICATE OF LIABILITY INSURANCE oPID To 09 13 10 THIS TIFICATE IS ISSUEO AS A MATTER OFFORMA NEGATIVELY EpD THIS p AND O ALTER THE COVERAGEN AFFORDED BFicAY THELPOLICIES CERTIFICATE DOES NOT AFFIRMATIVELY OR BELOW. MED THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSVRER(Si.AUTHOR REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. en s is 90,11,179,111: s o er an po c s If c e a�„y requre an endorsemerR• A statement on this celtMcate does not corner r1gMs to the the tams and conalons of the polky,certain pow certMcate holder in Ile of such endorsernerd(s}. wvtE: FR ER WC,No): No.Est): Northwood Ins, Agency, Inc. ADDRESS: 540 Main Street, suite 9 ROf3ER-1 Hyannis ti!A+ 02601 cusTOMERID� �' Nki e+eURER(S)AFFORDING COVERAGE 24414 t?hone:508-771-1632 gax:508-393-2955 BRA: c*n&fA1 cvwu X"St"We et - uNeuTED Rogers & Harney, Inc. MURER6: 'M& '--- xnum•CtoMt az )?.0, $OX 310 INSURER C Osterville Mh 02655 INSURERD: INSURER E: r"ER F REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: FOR ICY PEM THIS I 0 THAT POLIGI OF I LISTID LOW NAVE SEE N ISSUED 0 TI E I ED tNAMED WAHTH O RES?ECT TO WHICH THIS In4iGTW. NOTVYrWMDING ANY REQUIREMENT.TERM OR COP1DttKtAtd OF ANY CONTRACT OR OTHER DOCUMENT INDICATED. WAY BE ISSUED OR MAY PERTAIN.RIE INSUWVNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMSCERTIF . EXIXUSIONS AND CONDITKMIS OF SUCH POLICIES.LIMITS SHOY4N MAY HAVE BEEN REDUCED BY PAID CLAIMS. LPM Stw OR rat of NOURAHM POLICY NUMBER (MIAIDDIYYYY pplYYYY) EACH OCCURRENCE f 1,000,0 00 9E4ERAL UlABLRY f 100,000 CCI 0395621 03/20/10 03/20/11 PREMISES(Eeocc�t�) f 5,000 A X COM�NERCtAL 0EN'eI?AL LIAB4ITY NED EXP(Any ONPN�) GLAIMSIwaDE �X OCCUR PERSONAL 6 ADV INJURY f 1,000,000 GENEPALAGGREGATE 12f000,000 PRODUCTS-GoNFIOPAGG $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: f POLICY ,EC L� COMBINED SINGLE LIMIT $1,Q00,000 AVrOMOBLE LIABLrtY � (Ea xcwerx) CBA 0395621 03/20/10 03/20/11 80DILY INJURY(PV PWM) f A ANYA)TO BODILY IWURY(Per etadWt) f ALL OV D AUTOS PROPERTY DAMAGE f X SCFEDIJLED AUTOS (Per eC00ert) X FIRED ALITOS X plpr}pWtFDAUTOS f 03/20/10 03/20/ii EACH OCCURRENCE i 10,000,000 A uMBRSLAuae X OCCLap CCU 0395621 AGGREGATE f E-XCEsa LI►IS CLAJMS-MADE : DEDL)nBLE f X RETEnR10N f 10,000 01 01/10 01101/11 TOPC5TAI TS ER B AND EWLOYEFIS'UAB1L1W Y!N E.L.EACH ACCIDENT fSOO,000 ANY PROPRIET0PJPARTNJWXECUrIVE ❑ 1 A E L.DISEASE-EAEMPLOYEE f 500,000 OFFICBRAIENBER EXCLUDED? (MvnaetM In NH► aeger"unow E.L.DISEASE-POLICY LIMB f 5OO,OO UUPTION OF OPER4TION6 aelwM E ; DEACRITION OF OPEItATI0N3!LOCATIONS/VEFIICLES (ANacA ACORD/a1, I6di d Ram•rke SCMauI•,It more eaea is nqut•d) CERTIFICATE HOLDER CANCELLATION ' SHOULD ANY OF TM ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BARNST1 THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELNERED IN ACCORDA CB vv"THE POLICY PROVISIONS. Town Of BaxDstable ALIT NORIZEDR ESENTArVE 367 Malin Street /7 Hyannis MA 02601 a 1000.2000 ACORD CORPORATION. AO►lobe-re w"tt e bDe.r•,•iYot•r•a mesas of AOono ACORb 26 42000M091 - �71•/\CORD nwtf0•� , pFIKE ram, Town of Bak nstable Regulatory Services �8"RNHAM ; Thomas F.Geiler,Director i639• 16 Building Division Tom Perry,Building Commissioner 200 Main Strwt,Hyannis,MA 02601 www.town.b arnstabl e.ma.us' Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject property hereby authorize Q AGc4.1 + N S , 1�C to act on my behalf, in all matters relative to work authorized bythis building permit application for. 11 U►rJ4=4 A' 2n, caw LT . A^A. (Address of Job) $1301�-0 Signature of er Date Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. d n-cnD Lf Q-n WU A'P DF A KA ICC in The following sub contractors are planned to perform work at 110 Vineyard Rd., Cotuit,MA for Rogers & Marney,Inc.: Northside Land Const. LLC. —Site Contractor(WC#�2001 W6188)Expires 7/13/11 Bay Colony Concrete Forms, Inc.—Foundation(WC# WC0002466) Expires 3/31/11 Barger Masonry, Inc. —(WC# 7PJUB0428M13908)Expires 10/9/10 David Cox, Inc. —Roofing& Siding (WC#UB-910X7422-10) Expires 7/16/11 RCA Electric Co. (TWC 3224896) Expires 1/4/11 Raymond Soares Plumbing & Heating, Inc. (WCA9092112) Expires 9/4/11 South Shore Heating & Cooling, Inc.'(WC# 500614701) Expires I/10/11 Colony Insulation, Inc. (WC#) Expires 1/26/11 Blueboard Specialist(WC# UB-0194N848-10) Expires 3/3/11 Pat Kellerher Installations—Garage Doors (WC#C46251362) Expires 4/7/11 J.E. Gemme Tile Contactor(WC#UB-9663L498-08) Expires I I/17/10 Horner Millwork Corp. — Stairs (WC# 000853-10) Expires 1/l/11 Harmon Painting, Inc. (WC# J6189M) Expires 1/4/11 Atlantic Marble & Granite, Inc. (WC# 009768087)Expires 6/5/11 L&M Glass Company, Inc. (WC# 8661279) Expires.5/1/11, , I gxe t Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164688 Type: Private Corporation Expiration: 10/30/2011 Tr# 290070 ROGERS AND MARNEY, INC. GARY SOUZA 'P.O. BOX 310 ------------ -------------- -- OSTERVILLE, MA 02655 - ----------i ------- — Update Address and return card.Mark reason for change. Address `_ Renewal ,— Employment Lost Card DPS-CAI 50M-04/04-GIO1216�G . � ✓lte Lnovxnst4vtu�r.Ct`�t 1G171daC/tu.1P,�1G• , Office of Consumer Affairs& Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 164688 10 Park Plaza-Suite 5170 Expiration:, 10/30/2011 TO 290070 Boston,MA 02116 Type: Private Corporation ROGERS AND MARNEY, INC. GARY SOUZA 445 WEST BARNSTABLE RD. C— OSTERVILLE, MA 02655 Undersecretary Not v id it out signature c �1:tssachu�ctt�-o DcPartmcnt of Public Safch Beard f Buildin: Rcr�ul• Construction Su � attom� Penrisor .nd Standards License: CS 102999 License Restricted to: 00 GARY SOUZA P.O. BOX g, 'COTUIT, MA 02635 l Expiration:..m : nri..i.mcr8/16/2012, Tr#: 102999 NOTES: 1.) The structures shown were located on the ground by conventional survey methods on or between 28/MAY/02 and 12/OCT/10. 2.) The property information shown hereon was compiled from available record information and does not represent on actual on the ground survey. 3.) This plan is not for recording and is not 2 to be used for construction layout or deed description purposes. ` G I certify thot the new foundation \`� O� shown hereon conforms to the 0� setback requirements of the Zoning Bylaws of the town \\ �� `� O of Barnstable. a \\ ��\\�\ (11 31.5' \ \\\\ RICHARD R \ L'HEUREUX 0 NO. 34312 Former House Location \ \ s' New Concrete Remoin moo. ns so Foundation moo. 57.0' yt F eke Q`ce r c 0° 0° REFERENCES: Assessors Map: 16 Guesthouse Parcel: 20 ,� 0 ZONE:RF Setbacks: ® 20.0' Front: 30'm in Side: 15'm in Rear: 15'min �- �q 130.8' Lp� s PLOT PLAN At 110 Vineyard Road BARNSTABLE (cotuit) Aso MASS. Soo DATE: 141OCT110 SCALE: 1"--50' 0� PREPARED FOR: Q� John T Jr& Susan Scholle Connor PO Box 1916 Cotuit MA 02635 PREPARED BY: C a e S u ry 0 25 50 75 100 FEET 7 Porker Rood Osterville MA 02655 DWG #: C473_1g.1 pp2 FIELD BY: RRL/MLL (508) 420-3994 / 420-3995fox TOWN OF-BARNS-TABLE 10I0 OGT 14 HMIO 00 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 160 q ct Map 016 Parcel 62 0 Application # Health Division 'Date Issued 1 Conservation Division ' Application Planning.,Dept. Permit Fee' 2��. -` 1 Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 60 V r4 Village oTV T SEP 1 REC°D Owner To t-iti -r. Co it,)o(L 32. Address Telephone 508 -y42 8-9l,2,0 Permit Request K.GrIkirs-lic Po n o�J d S k_iLQ CX JAt CE Square feet: 1 st floor: existing - .proposed 2nd floor: existing proposed Total new Zoning District WR&Ff Flood Plain Groundwater Overlay Project Valuation ,00O Construction Type Lot Size 2 kCA. cs Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes `® No On Old King's Highway: ❑Yes ❑ No Basement Type: V Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 2_2.00 Number of Baths: Full: existing new Half: existing new Number of Bedrooms: e)gsting _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No j Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached(garage 0 existing--❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization - ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name tl_o Ge-fU + M,462nii?,-1 . sr lc_ Telephone Number SO% 42K- b 1 ol,, Address 4*5 o NZ-_ %.A . W. License # is �02R99 o STryt-utv�r . r4-4 . 6ZL5-5 Home Improvement Contractor# k 64 b 8% Worker's Compensation # o b(o 5�44 441 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN T,21 131( v ott,-cl�S►c�,� l.Ar,.,A �aN S-c SIGNATURE DATE 8 " Vol - 10 FOR OFFICIAL USE ONLY z APPLICATION# �� lS DATE ISSUED 1 '4 I r !•_N MAP/PARCEL,NO. ✓ADDRESS,;" = VILLAGE OWNER"- DATE OF INSPECTION: 'i "WOUNDATION' A;` A4r ? FRAME .:" a�iINSULATION . FIREPLACE y, ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL t .t 4', GAS ` ROUGH y=" FINAL ' -li!FJNAL,BUILDING,-. N7G . 4 • } DATE-CLOSED OUT:_-. .,} ASSOCIATION PLAN NO. RAYMOND SOARES PLUMBING& HEATING P.O.Box 752. 'phone [508] 771-1077 Centerville,MA.02632 Yo 70. /?o�eRs i Ru 14)R�91?-- AzAW6 O MA ZWS PPS-1 7� 1U07 ®l1,4660 '6� 'zlz6 . '0�rb Sa -- '4a'00/ v� WA> 7-0 565 70-- / ,#,S 7;6F2 Afo 6As PAP7�%16 Ad 7Pr- t J1)re-VM1G , T� zs WO &a-r'c T-tl r6k0-0Il Al&,7z ok( &terCAIo R C. 4 Mas ters Lie.#17491A BE ELECTRICAL CONTRACTORS, INC. . A RESIDENTIAL• COMMERCIAL• SERVICE CALLS •GENERATORS 38101d Falmouth Rd• Unit 13 •Marston Mills,MA 02648 August 31, 2010 Rogers& Marney, Inc. P.O. Box 310 Osterville, MA 02655 Attention: Charlie Snow The property at 110 Vineyard Road, Cotuit, has all the electric power including the service disconnected. Sinc ly, Randall C.Agnew Bus: 508.428.0449 Fax: 508.428.2449 www.rcaelectric.com The Comrreontvealth of Massachusetts � Departmerst oflndustrial�ccidents • Office oflnvestigations d 600.Washing o,n Street Boston,AM 02111' www.rnass.gov/dia Workers'Compensation Insurance Affidavit: Bi i"Tders/Contractgrs/Electricians/Plumbers ffi _Applicant Info rmation .Please Print I,egiblY Name(Business Drgu zation/Individuel): Ro6tt'11L1L -4 MAA r4 teJe.. • •Address: �Jr S oS: �..�. t-raQ�.�.. � . City/State/Zip: OS Phone.#: �Q a 4t-V ' O"Au Are you an employer? Check the appropriate bog: ._ :Type of project(required):. 1.❑ I am a employer with 4• ® I am a general contractor and'I 6• New construction . 'employees(fall a-.gNor part-time).*• have hued the sub-contractors , 2:❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7: ❑Remodeling 'These sub-contractors have g, Demolition' ecs ship and have no cmploy .e workers and hav ei loy � - ' • 'working for me in any capacity. emp 9. []Binding addition in.crrance comp.insurance V [No workers camp. 10.❑Electriealre airs or additions required] 5.. We are a corporation and its P • '3.[] I am g homeowner doing all•work . officers have exercised their I1.❑Plumbing repairs or additions ' myself.[No workers' comp. rift of exemption per MGL 12.[]Roof repairs y in=ancb.required]fi :e. 152,'§1(4), and we have no13.❑Others ' employees; [No workers' comp.insurance required] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation poHoyuifarmation. f Ilnmeowoars•wba"subrait this affidavit ludicadng they are doing all work and film hiie outside-contractors must submit anew affidavit indicating suct #conhacton that check this box must attached in additional sheet showing the name of the pub-contractors and state whether ornct those endues have employees. If the sub-contractors have employees,theymtist providb their workers'comp.policy number. .r atri an employer thrtc is providing tvvrkers compensation lnsurance far my employees;- Below is.the policy and job site information. Insurance Company Name: Itz S. Ace.kbf*z�Grl tNC Policy#or Self-ins.Lic. ExpiiationDate: Sob Site Address: 11 O'. 4 t'S�t 4 , City/StatrMp: C�`csS cc ,.r.A, Attach a copy of the workers'compensation policy declaration page'(showing the policy number and expiration date). Fail ure•to securq coverage as required under;Section 25A of MGL G. 152 can lead to the imposition of criminal penalties of a fine tip to $1,500.00 and/or ono-year imprisonment, as woll as civil penalti+es'in the form of a STOP WORK,ORDER and a fine of up to$250.00 a.day against they violafor.`Be advised that a copy of this-statement maybe forwarded to the Office of' jnVtSfig2tjDnS of the bIA for insuragoo covers=Verification. , I do hereby certify u the p •and pe allies perjury that the information prgvlded above Is true and correct. Si aturet Date: 2 �`o Phone ° Offzclal use only. Do.not Write in thls area, to be completed by city or town off daC. City or Town: ' Permfnfcense# Issuing Authority(efrde one): :1.Board'of Health 2.BuildingDapartment 3, City7otvn CIerk 4,Electfical Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: . 08/13/2010 10:12 5083932273 NORTHWOOD INSURANCE PAGE 02 DA (MMipOMTYY) CERTIFICATE OF LIABILITY INSURANCE OP ID TO 08 13 10 UP N THE THIS CERTIFICATE IS 133OEO AS A MATTER OF FORMA Y AMEND. OR ALTER THE COVERAGE AFFORDED BY TH>=LPOUCIE9� CERTIFICATE DOES NOT AFFIRMATIVELY I NEGATIVELY BELOW. THIS CERTIFICATI:OF INSURANCE DOES NOT GONSTfTUTE A CONTRACT BETWEEN THE ISSUING INSURER(%AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, s s 0 IMPORTANT' If ff�$c care er an a po c s on e an endorsement. A statement on this certificate does not confer rights to the the terms and condo m of the policy,certain poUcles may regWr certlflcafe holder In UOU of such endorsemertt(s). NAME: PRODUCER (AIC,No): No,Ex11: Northwood Ins. Agency, Inc. ADDRESS: 540 Main Street, suite 9 AQQLR-1 Hyannis MA 02601 cusroMERws �C� Nyta MBURER(SI AFFORDING[OVERAGE Phone:508-711-1632 Fax:S08-393-2955 24414 INSURER A: cenaral wrualtx zn#uxfax� a Ce, - IN8Li2ED •.. Rogers & Harney, IDC• MURER III: mearioan murnativnal ozv� >P. BOX 310 INSURER C Osterville Mh 02655 INSURER D: INSURER E: INSURER F: REVISION NUMBER: COVERAGES CERTIFICATE NUMBER: THIS I 0 THAT POLICI OF INS CE LI$TED LOW HAVE B N ISSUED 0 hE I ED NAMED AWY FOR ICY i ANY CONTRACTOR OTHER DOCUMENTWITH INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF RESPECT TO WEIGH THIS . CERTIFICATE MAY K ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUB•1EGT r0 ALL THE TERMS. EXCLUSIOPb AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LtS TYPE OF INWRANCE B�SR WW POLICY NUMBER (MM(DD(YYYY) (pplUpp/YYW) LTR £aCw OCCURRENCE f 1,000,000 geNERAL UAeILIT IV IV mL S100,000 A X COMMERCi&0ENERALLIA8ILITY CCI 0395621 o3/20/10 03/20/11 PREMISES(Ea occunwce) NED EHP(A^y ON per6on) f 5,000 CLAIMS,-MADE LX occuR PERSONAL&ADV INJURY f 1,000,000 GENERAL AGGREGATE f 2 r000 r000 PRODUCTS-comp/OP AGG $2,000,000 GENT AGGREGATE LIMIT APPLIES PER: $ POLICY LOC. . COMBINED SINOLE LIMIT f 1,000,000 AUTOMOB6E WJ3LITY (Ea a0elderl) A ANY AUTO CIA 0395621 03/20I10 03/20/11 BODILY IN JURY(Perpersol) f a BODILY INJURY(Per eC0100) f ALL OWNED AUTOS X SCHEDULED AUTOS PROPERTY DAMAGE 5 (Per acdderd) X HIRED AUTOS f X NON-OWNED ADIOS f A UMBRELLA LIAR g CCV 0395623 03/20/10 03/20/11 EACH OCCURRENCE f 10,000,000 AGGREGATE f EXCEL LUB CLAIMS MADE f DEDUCTIBLE $ X RETENTION S 10,000 01 01/10 01/Ol/11 TORY LIMITS ER f3 AND EWLOYERS'UABLr1Y Y l N E.L.EACH ACCIDENT 1500,000 ANY PROPRIETOWPARTNEWEXECVrIVE ❑ 1 A C OFFIER EXCLUDED7 E L.DISEASE-EA EMPLOYEE f 500,000 (Mandatory In NN) I} ee,deScxYDe t✓r4m - E.L.DISEASE-POLICY LIMIT f 500 r 000 91WInON OF OPERATIONS t elOw DESCRIPTION OF OPERATIONS!LOCATIONS T VEHICLES (Attach ACORD 101,AddRlonal RomeKe s4noula,R more#Date It mqukad) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 9EFORE BARNSTI THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN , ACCORDANCE WrrH THE POLICY PROVISIONS, Tomn of Barnstable AUTHIORM RMIRESINTATIVE 361 Hain street Hyannis HA 02601 m 1002-2009 ACORO CORPORATION- An dGht"reservod ACoDRO 26 42909i09) The ACC rRD.,.,rre ena,ove.ro rop�eR�r•d m.rwa of ACoaeO "'Isx:tcbusetts- pel)urtment Beard of Public Safety of Buildin, Re"ulati nm and Standards Construction Su Pervisor License License: Cs 102999 Restricted to: _00 GARY SOUTA i P.O. BOX 211 COTUIT, MA 02635 r" Expiration: &W2012 nrmi..inner Tr#: 10299g 91te Office of Consumer Affairs and Business Regulation 10 Park Plaza Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 164688 Type: Private Corporation Expiration: 10/30/2011 Tr# 290070 ROGERS AND MARNEY, INC. GARY SOUZA --P.O. BOX 310 ------- ------------ -- OSTERVILLE, MA 02655 ------ _----^ Update Address and return card.Mark reason for change. i iJ Address ,, Renewal _i Employment Lost Card DPS-CA1 0 50M-04/04-G101216GG ,� ✓die L�ommiancuea�i %"`,Tuaelta Office of Consumer Affairs& Business Regulation License or registration valid for indNidul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration: 164688 10 Park Plaza-Suite 5170 Expiration: 10/30/2011 Tr# 290070 Boston,MA 02116 Type: Private Corporation . ROGERS AND MARNEY, INC. GARY SOUZA 445 WEST BARNSTABLE RD. OSTERVILLE, MA 02655 Undersecretary Not v id it out signature oF�HE r Tow*'n of Barnstable.- ` Regulatory Services qg � Thomas F.Geiler,Director 039.cA�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstabl e:ma.us• Office: 508-862-403 8 Fax: 568-790-6230 q Property Owner Must Complete;and.Sign.This Section If Using A Builder I, �o T co*.SQatL , as Owner of the subject property hereby authorize LOGGAA c-I y I�JC, to act on my behalf, in all matters relative to work authorized by this,-building permit application for 110 �► 2d, UMw LT nnA (Address of Job) $ IA-0 Signature of C er Date Print Name If PropertX Qwrier is applying for permit please complete-the side Homeowners License Exemption Form on the reverse . (l•D(\DA�C-/11U1JFRPFRAd l.CSl(1N c t • S Town of Barnstable ` �o,E THt:ray Regulatory Services $ 6rAZ Thomas F.Geiler,Director 019. a�+� Building Division Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 K wW.town.barnstab1e.ma.us Office: 508-862-4038 Fax: 508=790-6230 _ 110?'IEOWNER LICENSE EXEMMON Please Print DATE: JOB LOCATION: number street village "HOMEOWNER:': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or-intends to reside, on which'there is, or is intended to- be, a one or two-family dwelling,attached'or detached structures accessory to such use and/or farm strictures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building.Official,that he/she shall be responsible for all such work performed under the'building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department m;n;mum inspection procedures and requirements and that he/she will comply with said procedures and requirements. - Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger wily be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner sW act as supervisor." Many homeowners who use this imemption are unaware that_they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unl4ceased persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure-that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by. several towns. You may care t amend.and adopt such a form/certification for use in your community. ' - I ACCWD 73/17/, CERTIFICATE OF LIABILITY INSURANCEMMIDD10 PRoDU`CER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MY cock Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 0 School Street, PO Box 437 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. tuft, MA 02635 r � INSURERS AFFORDING COVERAGE NAIC# INSURED ) INSURERA Vermont Mutual Bay Colony Concrete Forms Inc INSURERS: Norfolk & Dedham Commercial Account INSURER C: Commerce Insurance PO Box 469 j INSURERD Renaissance Insurance Aaencv Cotuit MA 02635 INSURERE: COVERAGES THE POLICIES OF INSURANCE LISTED BEL EN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR ADD' POLICY NUMBER DATE(MMIMIYYYY,POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 IE TO RENTED A X COMMERCIAL GENERAL LIABILITY BP11021056 3/30/10 3/30/11 PREMISES(E.occurrence) $ 50,000 CLAIMS MADE D OCCUR NED EXP(Arty ore person) $ 5,000 PERSONALBADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APP LIES PER PRODUCTS-COMP/OPAGG $ 2000000 POLICY PRO- LOC JEC AUTOMOBILE LIABUTY COMBINED SINGLE LIMIT $ 1,000,000 B ANYAUTO 8003881 2/6/10 2/6/11 (Eaaccidend) <� 6 18 09 6/18/10 C ALL OWNED AUTOS LN8260 � � / / BODILY INJURY $ C � (Per person) X SCHEDULEDAUTOS %' C.Q HIRED AUTOS ��?`� w` BODILY INJURY $ (Peraccident) NON-0WNEDAUTOS �`n �. '� < \ PROPERTY DAMAGE � (Per accident) $ GARAGELIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHERTHAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ REDUCTIBLE $ ETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY D ANY PROPRIETOR/PARTNER/EXECUTNE Y�j WC0002466 3/31/10 3/31/11 EL.EACHACGDENi $ 1,000.000 —1 .-0F rdatDr En NH)EXGLWED7. _. ___.... E.L.DISEASE-EA EMPLOYEE $ 1,O00,000- (Mandatory in NH) If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICYLIMR $ 1,000 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is Additional Insured on Coveraqe A or VEM CERTIFICATE HOLDER CANCELLATION SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN Rogers & Marney. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL PO BOX 310 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville, MA 02655 REPRESENTATIVES. ,0 1 AUTHORIZED REPRESENTATIVE- ACORD 25(2009/01) © wjVU9 13m. R ORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 08/31/2010 14:56 5084209227 MARK W SYLVIA PAGE 01 ACCRDTM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYY`n 0MV2010 PRODUCER (506)428-0440, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mark Sylvia Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 771 Main Street HOLDER, THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Osterville MA 0265.5 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A_ Farm Family Casualty In9UrenCe Northside Land Construction LLC --•• --- - - 1 oB Echo Rd, INSURERS: Mashpee,MA 02649 INSURER C: INSURER D: INSURER E: ^ COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ IIJSR ADD. POLICY EFFECTNE POLICY QtPtRA710N POLICY NUMBER LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A X 2001X0210 6/12/2010 8/12/2011 D RE 50,000 COMMERCIAL GENERAL LI.qIABILITY PREMISESSEa �_ $ CLAIMS MAGI: OCCUR .MED EXP(Arty one person) S 5,000 PERSONAL B ADV rNJURY s included GENERAL AGGREGATE 5 2,000,000 GEN'L AGGREGATE LINITTAPPLIES PER: PRODUCTS,COMPIOPAGG 1 2.000,000 X POLICY jr PR LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT § ANY AUTO (ES BeeWent) ALL OWNED AUTOS BODILY INJURY 3 SCHEDULED AUTOS :^. �.l ,Q '.a (P-P—m)... .... — HIRED nuros C. BODILY INJURY NON.owNSD AUTOS ''�.. . (Per=denl) 1 PROPERTY DAMAGE S v (Per ewdent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANYAUTO OTHER THAN EAACC S ,_•, - AUTO ONLY: Ali 3 EXCESSIUMBRELLALIABILITY EACH OCCURRENCE S OCCUR F7 CLAIMS MADE AGGREGATE _ $ DEDUCTIBLE 3 RETENTION 3 1 WORKERS COMPENSATION AND Z001tJY6166 7/13/2010 7/13/2011 VNC STATU- X OTH A EMPLOYERS'LIABILITY ._ELi• ANY PROPRIETORIPARTNERlEXECUTIVE E.L EACH ACCIDENT S 1,000,000 OFFICE"EMBEREXCLUDED? E.L.DISEASE-EA EMPLOY $ 1,000,D00 H yy9e�e dearxibe LeWer _...._.. 9PECUILPROVISIONSbbIawY E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER <. " DESCRIPTION OF OPERATIONS ILOCATIONS(VEHICLES;EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS Landscape Construction The Workers Compensation policy does not provide Coverage for.Brett Field. CERTIFICATE HOLDER CANCELLATION {506}420-3550 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED SWORE THE EXPIRATION Rogers&Mamey,Inc. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAII, DAYS WRITTEN Attn: Marc S.ZAOII NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 445 OSterville West Barnstable Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR OsteMlle,MA 02655 " F77 B. I ESENTATIVE ACORD 25(2001/08) 1! �OA�CORD,CORPORATION 1988 ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 016 Parcel 02 0 Application Health Division 'Date Issued Conservation Division ' Application Fee 2) Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board - Historic - OKH Preservation/Hyannis Project Street Address l 1 O \1 I N\�L-t"S., 2_0 r Village C-CrrU i► A - Owner ►a"N T k S Ql-A014 COr%4 t30 2 Address \ 1 b N C' i PA-0 (LD , Cu?i r Telephone 5 0 Z 42-,W -gk.Z_0 Permit Request 9_CC301L� VZr� 01F~ rvAS';L Syl-re 2k::. Oyc Low�1.c'Z-T►OnI F/L.bM iM4k�^1 l-k�y S T� ft'\PrS—%76( Sy lTc Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7 00. Construction Type% Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r- Commercial ❑Yes XNo If yes, site plan review# ` Current Use Proposed Use S ' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ogkv-Z--c- N\AkP. 1 . k"1C Telephone Number SO7 42,7-t, -1. 06 i Address 444 S 6 S`c W .'0Ad(4JSrl- ?C Z License # CS t 0Z'M'( Home Improvement Contractor# ( C.o88 Worker's Compensation # 00l 9-i R 447? ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 7• 7 - 1-0 't 1 FOR OFFICIAL USE ONLY APPLICATION# Illi t DATEISSUED - - MAP/PARCEL NO. t ADDRESS VILLAGE OWNER S DATE OF INSPECTION: FOUNDATION! 0[ �®�� FRAME INSULATION°i FIREPLACE f ELECTRICAL: ROUGH FINAL t� PLUMBING: ROUGH FINAL - GAS:- ROUGH ,{� t � FINAL FINAL- BUI'LDINGI f * ` . . 4 DATE CLOSED OUT . ' i ASSOCIATION PLAN NO. r Town. OfBarnstable RegulOory SerwiceS as '. Geiler • z�axsre�c� Thom , Director . Miss. , � , i6s B� 4, �,� dix g Di ision .. Thomas Perry, CBO,'Building Coxnmissione'r 200 Main Street, Hyanr s,MA 02-601 W WW town.barnst.able:ma.us Fa-c: 508-790-6230 r Office( 508-862-4038 ; PLAN PSVIEW C o N 0We- ,Map/Parcd: Owner: • /(0.� /f>L�'.� ��. Builder �m!'ie/'s � •�`/�r"e4 Project Address The ;fallowing itejxs were noted on rewiewzng; f' Cs =b4 C- OF01 �4!l �oaw � iZCus s a Cz-S '�c k Reviewed by: C pate A 1 \ S r P � -- '�,4`i The Commonwealth of Massa chILSefts Department of Industrial Accidents Office of Investigations 600 Washington:Street , c� Boston, MA 02111 www,mass.gov/dia V Workers' Compensation Insurance Affidavit:,Builders/Contractors/Electricians/Plumbers Applicant Information 'Please Print Legibly Name (Business/Organization/Individual): �.p6�Z1tCt - �1f�2 'y ►JC, Address: City/State/Zip; o Slica-4,k_ C 07165S Phone #: . wag &bV%- L t o C Are you an employer?-Check the appropriate box:' Type of project(required): 1.® I am a employer with ' l3 4. El am a general contractor and L 6 ❑New.construction employees(full and/or part-time).* have'hired.the sub-contractors.. . _ _._ 2-❑ I am a sole proprietor-or partner- '__• listed on the attached sheet, 7. ❑ Remodeling, ship and have no employees These sub contractors have -g• [] Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance 'comp. insurance:1 _ required.] 5: We are a corporation and its ` 10.❑'Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑ Plumbing repairs or additions right of exemption per MGL myself. [No workers: comp. , . 12.❑-Roof repairs insurance required.] t G. 152, §1(4), and we have no, employees. [No workers' 13.❑ Otber A comp:insurance required:] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire'outside contractors must submit a new affidavit indicating such. tContractors that check this box must attachcd'an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have,employpes,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: ?,3o1_-CA"-,Onto it-z5 ACQ4-t 1" Policy# or Self-ins.Lic. Expiration Date: 1 Job Site Address:' lz> �S[l l3!c"(ae&n ao City/State/Zip:CA . 6`2f��S Attach a copy of the workers'.compensation policy declaration page(showing the policy number and expiradon.,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 forrn.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 Yto the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi tinder the ains nd nalties ofperjury that the information provided above is true and correct. Signature: ' Phone#: (o16io Official erse'only. Do not write in'this area, to be completed by city'or town offeciaL City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 1. Building'Department 3. City/Town Clerk 4. Electrical Inspector '5,Plumbing Inspector, 6.Other Contact Person: Phone#: fnformation and. bstructiODS Massachusetts General Laws chapter 152 regaiass'allereclo crs ersonoinr(heiservicekof another Compensation Linder any contract plhyees. Pursuant to this statute, an employ ee is defined Y P express or implied, oral or written. her gal entity, or any o or more An employer is defined as "an individual, partnership, association, legal eores'on or enlalives of aedeceased employer,or Lbr- of the foregoing engaged in ajoint enterprise, and including g P receiver or trustee of an'individual,partnership, association,or other and who resides theroein, or heying Joccupant of then the three ap artments house Navin not more than p house owner of a dwelling g ork on such dwelling tn�ction or repair w cons P _ dwelling house of another who employs persons to do maintenance, p_ to 'merit be deemed to be an employer." of such ern because Y ands or building appurtenant lhereio'shall not b P e ro g PP or on Lb g . , MGL chapter 152, §25C(6) also slates that"every state or local licensing agency shall )vithhold the issuance or permit too operate a business c,r to construct buildings in the commonwealth for any ' ense or P renewal of a lac p a e required." r with the insurance coverage q applicant who has not produced acceptable evidence of compli ance Additionally,MGL chapter 152, §25C(7) states "Neither the conunonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out.the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-cont.ractor(s)name(s), address(es)and pbone number(s)along with their certificate(s) of insurance, Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have submitted to the Department of Industrial employees, a policy is required. Be advised that this affidavit may be Accidents for confirmation of insurance coverage, Also be sure to sign and date the affidavit. The affidavit should be returned to the city or [own Lhat-the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you.f re rguirrd ed companies nest a.o enter their compensation policy,please call the Department at the number listed below.. self-insurance license number on the appropriate line, City or Town Officials' Please'be sue that the affidavit is complete and printed legibly. ,The Department has provided a space at the bottom 1 of the affidavil.for you to fill out in the event the Office of investigations has to contact you regarding the applicant. Please be sure to fil'1 in the.permiLllicensenamber which will be used as a.refe#ence number. In addition, an applicant in any given year, need only affidavit indicating(city nt that muss submit multiple permiUlicense applications or policy information (if necessary)and under"Job Site Address" the applicant should write"all locations in town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license of permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigaljons wou like o LD n✓adys�ree €o-r�eu� cc�p erat;nn•and should you have any questions, please do not hesitate to give us a call, The Department's'address, telephone and fax number: The Co=onWealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406.or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.mass.gov/dia 06/@1/,2010 14:57 5083932273 NORTHWOOD INSURANCE PAGE 02 OR CERTIFICATE OF LIABILITY INSURANCE OPID Se DATE(tAM 06/01/1I 1/1v 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: ffth* ate holder Is an ADDITIONAL INSURED.t po os)must be 6ndortod. ,su act to tho tonne and conditions of the popsy,certain policies may ro4W*an endorsement. A statetnerlt on this cettIftate does not corger ruts to the certMcate holder In Neu of such endorsetttent(s), PRODUCER HAyI ; Northwood Ins. Agency, Inc. INC,No.Ext); ( No: 540 Main Street, Suite 9 ADDRESS: Hyannis MA 02601 CUSTOMERDV.. ROGER-1 Phone:500-771-1632 !'ax:508-393-2955 _ _ "S~(s)AFFORDING COVERAcr NAICF NSIJRTD -„ INUVRERA aanaral Casualty 1n urmwet co. _ 24414 Rogers 6 Iaarney, Inc. INSLR(6i B: MZRICAN INTERNATIONAL Gary Souza P.O. Box 310 INSURER C. ostervilie MA 026S5. NSURERD: R URER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF 1NsuRANcE LISfm BELOW HOVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POL ICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSLEO 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 CAMS. LTR TYPE OF INSURANCE &,(gR POLICY NUMBER {MWDDM'YY) (MWDD/YYYY) LIMITe GENERAL UAS LrTY EACH OCCURRENCE $1,000,000 A X COMMERCALGEWMALLABILITY CCI 0395621 03/20/10 03/20/11 -PREMISES(ea occurKe) $100,000 CLAIM&MADE a OCCUR WED EXp(Arty one Oeraon) t 5 r 000 PERSONAL&ADV INJURY t 1,000,000 GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER. PRODUCTS•COMPIOP AGG s2,000,000 POLICY JECT LOC t AUfOMOQ4.E LM ITY - COMBINEO SINGLE LIMIT(Ea accloom) =1,OOO,OOO A ANY AUTO CBA 0395621 03/20/10 03/20/11 BODILY INJURY(Per person) 11 ALL OWNED AIJTOS _ g001Lv INJURY{Per BoddeMl i X SCHEDULED AUT05 PROPERTY DAMAGE X HIREDALITOS (Per eccicwt) g X NON-OWNED AUTOS _ g A UMBREILALue X OCCUR CCU 0395621 03/20/10 03/20/1% EACH OCCURRENCE s10,000,000 EXCESSLIAB CLAIMS-MADE. AGGREGATE t DEDUCTIBLE t X RETENTION i 10,000 = AND EMPLOYERS'LIABILRY 01/01/10 01/91/11 TORY IMiTS ER ANY PROPRIETORIPARTNERVECUTIVE Y!N !A E.L.EACH ACCIDENT $500,000 OFFICERMEMBER EXCLUDED? (M&Wstory kr NNI E.L.D(SEASE-EA EMPLOYEE $500,000 1De II EL.DISEASE-POLICY LIMB g 500,000DCPpON OFOERATION$bow DESCRIPTION OF OPERATION&!LOCATION&I VEHICLES (Attach ACORD-101.Additional ftemartra Schaduls.R more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCa 6 BE CANCELLED BEFORE SARN5T1 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Town Of Barnstable AUTHORIZED REPRESENTATIVE 367 Maid Street ► HyaDDIS Kh 02601 a 1090-20M ACO C CORPORATION. AN rlphto roaorvod. ^CORD as(2009,0e1 'rho ACORD nomo and loco aro roafttorod""wko ar AC i Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Reqistration: 164688 Type: Private Corporation Expiration: 10/30/2011 TO 290070 ROGERS AND MARNEY, INC. GARY SOUZA P.O. BOX 310 --------- ----------"-- ,-- OSTERVILLE, MA 02655 ------"—�— Update Address and return card.Mark reason for change. i Address-_ `_ Renewal Employment Lost Card OPS-CAI 0 SOM•04/04-G/110/12166 • ,q ✓/t� L/d)17?7i002UICQUIl ,,` �GQd:1CLCItlI.dP�d - Office of Consumer Affairs& Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation, Registration: 164688 10 Park Plaza-Suite 5170 Expiration: 10/30/2011 TO 290070 Boston,MA 02116 Type: Private Corporation ROGERS AND MARNEY, INC. GARY SOUZA 445 WEST BARNSTABLE RD. 4 .�� — OSTERVILLE, MA 02655 Undersecretary Not v id it out signature ;tiiassachusrtt4�- Department of Public Saletl Board"Building; Rerr • Construction Su .ul,ttiom and Standard. License: Cg 102999 Pervisor License - Restricted to: 00 GARY SOUZA P.O. BOX 211 COTUIT, MA 02635 • a l rnnrr_�,� Expiration• nrr • &162012 Tr#: 1029% 0?1HE Tp� Town of Barnstable Regulatory Services • BA tE. y MASS. • Thomas F.Geiler,Director A55. m Building Division Tom Perm, Building Commissioner 200 Main Street, Hyannis, NLa 02601 Office: 50S-S62-4035 Fax: 50S-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Omer of the subject property hereby authorize ROGERS & MARNEY, INC. to act on my behalf, in all matters relative to work authorized bydh s building permit application for(address of job) 1 1 C) Jc 42A OLD. `CoT-j.7 ^/A . Signature of Omer Date Co 1\I y t2- Print Name Q FOR-MS OV.N'_EnPcF`HSS;0N NOTES: 1.) The structures shown were located on the ground by conventional survey methods on 281MAY/02. 2.) The property information shown hereon was compiled from available record information and does not represent an actual on the ground survey. 3.) This plan is not for recording and is not to be used for construction layout or deed description purposes. G I certify that the foundation shown hereon conforms to the setback requirements of the Zoning Bylaws of the town � ���� G of Barnstable. ` 4- -pA OF LHEUREUX flICHAR� t1 � 90 00• � • \`� lbw 53.3 �FE S\D ' #110 2 Story. Wood Dwelling sop• `so C8/DH op, moo• - Fnd 00. 54.66' Jy; C8/DH Fnd 0oot1 REFERENCES: h9 4) Assessors Map: 16 r New Concrete Parcel: 20 Foundation ZONE:RF Setbacks: 20.0' Front: 30'm in Side: 15'min Rear: 15'min y\. � 1 as 1 PLOT PLAN IN Aso' SqJVS 0A!2 a IN �J CB/DH Fnd AM C C �® DATE: 3 0/MAY/02 SCALE. 1 -50 PREPARED FOR: Rogers & Marney, Inc. 445 West Barnstable Road Osterville MA 02655 PREPARED BY: � ����� 0 25 50 75 700 FEET 7 Parker Road Osterville MA 02655 (508) 420-3994 / 420-3995fax DWG }: C473_1pp1 FIELD BY- MDH/WHK S TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l Parcel- Application # vC � r I Health Division Date Issued . Conservation Division `A " Application Fee Planning Dept. `,: Permit Fee Date Definitive Plan Approved by Planning Board Historic _ OKH _ Preservation / Hyannis Q Project Street Address 0 Ul lU�Y A Village G.0-Ch t-T , Owner 0 ►q-(`J C,a NAJ O✓- Address E0 (3 e� � C1 l l� Telephone O 3 Permit Request roti ,7�' �1,�`C"►c� /al o� ST��iu�L ���-�R�A L �6"Ay}(,��1 . 2C INS u bt-r,on/ sate:rZOQ W008 t� tuofzflvc Square feet: 1 st floor: existing proposed 2nd floor: existing /oDosed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family CI' Two Family ❑ Multi-Family (# units) Age of Existing Structure L D Y rz5 Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing 3 new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ _ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ") 1,J --a ;._. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ (X , y Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use UZI APPLICANT INFORMATION -(BUILDER OR HOMEOWNER)- Name W6AZc-Pi Telephone Number 5-09- ')BOO 1911 Address @ License# % � Home Improvement Contractor# a 1Y y Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJE T WILL BE TAKEN TO Totem N o yf�n-w�ou`�1-I ��s(�d SA-L r2� o V_ C 14. Y1 _ SIGNATURE �� ` ` DATE S�- e) 7- 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE-` OWNER DATE OF INSPECTION: r: FOUNDATION P FRAME _ INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r F PLUMBING: ROUGH FINAL - GAS: ROUGH FINAL FINAL BUILDING . DATE CLOSED OUT ASSOCIATION PLAN NO.- N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www;mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Whalen Restoration Services Address: 22 American Way 1 11 South Dennis, MA 02660 . 508 760 9 City/State/Zip: :Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1. [T I am a employer with 35 4. ❑"I am a general contractor.and I 6. ❑ New construction ; employees(full and/or part-time).* have hired the sub-contractors listed on the attached_sheet. $ 7 ❑ Remodeling' 2.❑ I am a sole proprietor or partner- _ .: ship and have no employees These sub-contractors have S. ❑ Demolition 'workers comp• insurance. working for me in any capacity. 9. ❑ Building addition [No workers' comp. insurance 5. ElWe area corporation and-its 10.❑ Eiectrcal repairs or additions . required.] officers have exercised their 3.❑ I am 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#1 must also fill out the section below showing their workers'.compensation policy'infomiation t Homeowners who submit this affidavit indicating they are doing all work and then hire outside,contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing then 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: Arbella Protection Co. Policy#or Self-ins.Lic. #: 9091320408 Expiration Date: 4/1/11 Job Site Address: 110 Vineyard Road, 01L.'6 City/State/Zip: Cotuit, MA -02635 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 11,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a,copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: S-01 7 C10 0 9// Official,use only. Do not write in this area,to be completed by city"or town official. City or Town: Permit/Licen,se# 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#: Information and Instructions ; Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as "an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise;and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants - Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. 'Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of - Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' 'compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance-license number on the.,appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses.' A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations'would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia Datet 5/27/2010 Time: 7:38 AM To: Kathleen @ 9,15087609995 Rogers & Gray Ins. Page: 002 CI ient#: 32193 W HALRES ACORD,. CERTIFICATE OF LIABILITY INSURANCE 5;2„o°°"Y" ' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers&Gray Ins.-So.Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 434 Route 134 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O.Box 1601 South Dennis,MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC 0 INSURED INSURER A: Arbella Protection Co 17000 Whalen Restoration Services Inc INSURERS: 22 American Way INSURER C: South Dennis,MA 02660 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS:EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LTR INSR TYPE OF INSURANCE POLICY NUMBER DATE MMIDO/YY DATE MM/DD LIMITS A GENERAL LIABILITY 8500040398 04/01/10 04101/11 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISESO RENTED crrnce $100 000 CLAIMS MADE M OCCUR ME EXP(Any one person) $5 000 PERSONAL&ADV INJURY $1 DDD 00D GENERAL AGGREGATE s2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PERO LOC A AUTOMOBILE LIABILITY 74917400001 09/25/09 09/25/10 COMBINED SINGLE LIMIT $1 0DD,000 ANY AUTO (Ea accident) .r ALL OWNED AUTOS - BODILY INJURY X SCHEDULEDAUTOS (Per person) $ X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ A EXCESSNMBRELLALIABILITY 4600021586 04101/10 04/01/11 EACH OCCURRENCE $ X1 OCCUR CLAIMS MADE AGGREGATE S11,000,000 OEDUCTIBLE $ X RETENTION $10000 $ A WORKERS COMPENSATION AND 9091320410 04J01110 04101111 X WC STI.ATU- OTH- EMPLOYERS'LIABILITY ANY PROPRIErOR1PARTNERIEXE CUT IVE E.L.EACH ACCIDENT $SOO,000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $500,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT 1000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Project location: 110 Vineyard Road,Cotuit,MA 02635 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION John and Susan Connor DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAL 10_ DAYS WRITTEN P.O.BOX 1916 NOTICE TOTHE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Cotuit,MA 02635 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08)1 of 2 #S52164/M51485 CBR 0 ACORD CORPORATION 1988 Nlas�Nach setts Dcpartment of Public Safer% a Boa of Building Reorulations and Standards 4 Construction Supervisor License License: CS 74928 Restricted to: 00 ' u WILLIAM WHALEN 122 POND STREET BREWSTER, MA 62631 Expiration: 8/10/2010 t"tt;t :'r,<.i„tzar Tr": 1937 License or registration valid for individul use only -\ Office of Consumer Affairs& usiness Regulation HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registrations•°129244 10 Park.Plaza-Suite 5170 Expiration_'-7/30/2011 Tr# 287004 Boston,MA 02116 Type Private Corporation Whalen Restoration Seivices`.lnc'. William Whalen - 22 American Ways'-, South Dennis,MA 02660'``r.= Undersecretary Not valid without signature tom, d d I I r ` 'own of B arastWe -- 'Regulatory Services f � r uxxsresLE— a;,. Thomas T+_ Geiler,Director KABS Buildr�ag )Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,W 02601 fnvw.town.barnstable.ma.i's Fax: 508-790- Office: 508-862 4038 ,t Property ()Vrfter must _ Complete and Sign This Section If Using A Builder I, 5 CC n I n J as Owner of the subject property hereby authorize L�✓ act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of job) ` Date Signature of Owner 5uszkn ! aabo e- 600' Print Name roe Owner is applying for permit please Co If P r mplete the Homeowners License Exemption Form on the. reverse side. TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 016 020 GEOBASE ID 429 ADDRESS 110 VINEYARD ROAD PHONE COTUIT ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT PERMIT 68778 DESCRIPTION 3 BED ACCESORY DWELLING PMT# 60488 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: ROGERS AND MARNEY Department of ARCHITECTS: Regulatory Services j. TOTAL FEES: BOND $_00 va CONSTRUCTION COSTS $_00 756 CERTIFICATE OF OCCUPANCY * NBNSPABLE, MASS, 039. 1 FD Mi►l A BUILDING D l BY r V DATE ISSUED 05/15/2003 EXPIRATION DATE (p. ID 0t16 ,'I'2:(_} =l'{�/� A>,`q)R L',.:)C) ...110 liJ L NY i.��.�.�'�.3.t S'..{A t '. „ C"HON1. C'OTC1 i ZIP I)ISTRTICT CT it1I ' ;,i= C;i t._'�Jai{.��;Y Il�.S :UD I: 4 i.'RRVj'T 'TYPE' BU:'s s.,DA T''r TT.,F. I` ii'lw `) ;.;I)1: }+R .'T ACCE' I NTRAI."r0F, ;t, , 1: ,N`cs 1.1*A �r :Ir Department of Health, Safety A ;' and Environmental.Services INE LI :NIL) l�I 1: !T �� [�7. Cry `TG* )3 N,)IN,RE 11) N .Lief, r?Lm:°`� t ;1 1'F; � - + BARNSTABLE, + MASS. ' i639. i0� ' T BUIL � G DIV I } BY A ---�� 1)a S UED [ • � ??,'.-:t_;{), rt',y,'s, THIS PERMIT-,'CONVEYS NO RIGHT.TO OCCUPY ANY STREET,ALLEY OR.SIDEWALK OR ANY PART.THEREOF, EITHER TEMPORARILY OR PERMANENTLY. EN. CROACH,MENTS ON-PUBL"IG.PROPEFITY;NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED.BY THE JURISDICTION.STREET OR ALLEY GRADES AW.S- ELL'AS-•flERTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES 1,iOT'f ELEASE THE APPLICANT FROM:THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM-OFfOUR CALL_INSPECTIONS REQUIRED` FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTII FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,-PLUMBING AND MECH- (READY TO LATH.). PANCY iS REOUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION., OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4:FINAL;INSPECTION BEFORE OCCUPANCY. IT IS VISIBLE FROM STREET POST THIS CARD zrb BUILDINGINSPECTION APPROVALS; PLU06I46 INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS94. ei L) 9 1 _Z 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT BOARD OF HEALTH' OTSITE PLAN.REVIEW-APPROVAL- FT: WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED.ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN.SIX CARD CAN BE ARRANGED,FOR-„BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION -- V NOTES: 1.) The structures shown were located on the ground by conventional survey methods on 28/MAY/02. 2.) The property information shown hereon was compiled from available record information and does not represent on actual on the ground survey. 3.) This plan is not for recording and is not to be used for construction layout or deed description purposes. G. I certify that the foundation shown hereon conforms to the \\ setback requirements of the Zoning Bylaws of the town of Barnstable. \.Op: .. OF 0 \ � RICHARD �, o LHSURREUAc OW12 t 33.3' #110 2 Story Wood Dwelling s0 SO CB/DH 00, O' 00, Fnd 00., 54.66 y� CB/DH Fnd 00,0P �1F aA Qo°'e z�.y0� Q`c 0 251.6' 00 00 p C790 REFERENCES; o � y Assessors Map: 16 New Concrete Parcel: 20 Foundation ZONE:RF Setbacks: 20.0' Front: 30'm in Side: 15'min Rear: 15'min 5� 130.8' oca F�c PLOT PLAN (30, BARNSTAoz. a IN �J CB/DH " Fnd MASS rr 0 DATE: 30/MAY102 SCALE: 1 --50r PREPARED FOR: Rogers & Marney, Inc. 445 West Barnstable Road Osterville MA 02655 PREPARED BY: CapeSury 0 25 50 75 100 FEET 7 Parker Road Osterville MA 02655 DWG #: C473_1pp1 FIELD 8Y: MDH/WHK (508) 420-3994 ./ 420-3995fax TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 016 020 GEOBASE ID 429 ADDRESS 110 VINEYARD ROAD PHONE COTUIT ZIP - LOT BLOCK LOT SIZE DBA _. _ DEVELOPMENT _.._ _ _ _.. ...:-DISTRICT -CT li PERMIT 68778 DESCRIPTION 3 BED ACCESORY DWELLING PMT# 60488 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: ROGERS AND MARNEY Department of ARCHITECTS: Regulatory Services TOTAL FEES: BOND $.00 CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY BARN9TASLE; MASS. 039. FO MP'�A BUILDING DFISPO BY DATE ISSUED 05/15/2003 EXPIRATION DATE i TOWN OF HARNSTABLE BU1I,DTN(; i?ERM.L`E.' PARCEL il)'O16 020 GEC2RASP ID 429 T. ADDRESS 11,0 VINEYARD ROADLOT LOT I E NHO.i I D8A D F+;LOFMRNT f P2RMIT (30488 DESCRrPTION 3 BR ACCESSO%Y BUILDING x , PgRMIT '1'Y1')is SU j,LDA .' TIT'PS N934 BUILDING PERMIT ACCES. CONTRACTORS i(aGERS Atlb 'M..AR!q-?Y Department of Health Safety ARCHITECTS: and:En`vironmental Services WEAL t _ 130ND $.00 ok �orsti CONSTRUCTION COSTS $1781560.0.0 328 OTHER NONRRSIDENT.TAL BLD€a 1 PRfVATE F *a 'L BARNSTABLE. + - MASS.i `��► . BUILDING,D,I-V�ISION �� BY DKI"E ISSUED 04,E"1.t�,`�f�02 E.�I i RATION' DATE THIS PERMIT-CONVEYS NO RIGHT.TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC.PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM.THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL_INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. t POST THIS D SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1.-w,QjM a V\ 9.-1-dZ 94 ' �v�� ir ua'e �`, ,Z �•j`� 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT BOARD OF HEALTH' i OT SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED_FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. --- i 4 .. i Heavy smoke, fire coming from Cotuit house ( CapeCodOnline.com Page 1 of 2 { _.... -- _. __.-.. . _ .-_ - ....... _.__ _........... ....... - - - _- _ • -Friday May 14,2010 - - CAPE COD ONLINE CLASSIFIEDS I CONTACT US;SUBSCRIBER TOOLS i MOBILE tiEVJS I E-MAIL NE,14SLE T,ERS 610 0 a•o � ` N r Forecast I Radar t+rN,Atrtsra�r!bract LrleRi NEWS BUSINESS `SPORTS OPINION ENTERTAINMENT LIFESTYLE -MULTIMEDIA COMMUNITY NEWS REPORTS VISITOR GUIDE MARKETPLACE i Heavy smoke, fire coming from Cotuit house" NFws- CALENDAR HOMES AUTOS�i JOBS�~CLASSIFIEOS By CAPE COD TIMES Text Size:A I A I A earch Stories,Videos and more FIND IT! LJ May 14,2010 j Print this Article w ,Email this Article COTUIT-A fire is reported at 110 Vineyard Road in Cotuit with heavy smoke and fire coming from the second floor. ShareThis , € A second alarm has sounded on the fire,which was called in about fd 2:45 this afternoon. t Firefighters and equipment from Mashpee and Sandwich have been called to the fire scene,according to emergency radio broadcasts. i More Times Breaking News Get Offer thuils> , Hyannis fire department has been called for coverage. ° Heavy smoke fire coming from Cotuit t The 14-room home on two acres of land overlooking Nantucket. house-3:11 pm Sound was built in 1950 and accessed this year at$3.7 million, Raccoon invades Hyannis doctors according to Barnstable accessing records. office-z,zs r,rn„ 'Law&Order is canceled by NBC-1 57 No further information is available:Check back for updates pms ILL Harwich teen arraigned in May 7 _. ` stabbing-tG'L pm. ` HOMES „,�r -JOBS -- RENTALS CARS €� See All Breaking News Stories - LANDSCAPE MANAGER I HYANNIS,MA Confidential 3 HOME . DRYWALLTECH/TRAINEE ...... __. _ 1 CENTERVILLE,MA Cape Cod Times Classified Ads Ads by Google t Today's most viewed articles case Manaament Counselor 1 i Servpro of Salem,-MA D-Y High grad:Cape's next reality star?- Sandwich to Brewster,Massachusetts Latham „ 5,114.2010 j Centers - r Fire&Water-Cleanup&Restoration Sandwich pedestrian hurt after struck by Residential Construction Protect Manage Mold Mitigation 978-744-4545 ? a www.servpro.com car-5114/2010 Hyannis,Massachusetts The Executive Suite Falmouth turbine noise fuels debate -Ca 5114;2010 I .More lobs e Cod Waterfront I View 600+ Waterfront Properties, Nantucketers decry Eigawi drunkenness_ „ I $64,900- $19.5 million 5r14,2010-. www.PropertyCapeCod.corn t Teenayer arrested in Harwich stabbings i a^ 5.114,12010 - - - - - + Eastham_Real Estate Raccoon invades Hyannis doctor's office Check Out Eastham Listings FreeLocal ,: 2 Agent- Local Experience '. www.RobertSheidon.ccm - - Ads by C-9k- 1 ,1; i' P" Pr a iIAI?L DEAL OF THE WEEK s 42 DEALS ONLINE TODAY MORE>> 10%Off Dinner Sunday-Thursday. 'r Chapin's Restaurant Americana Decorative Paints Village Arts 8 Crafts Save up to$100! Pro Exterior Cteaning Limited Time Offer:One Week Only! Extended) fit. t Cape Cod Kia 3 Free Lunch for a Year!Plus$5 off! Ardeo Mediterranean Taverna €10%Off Maintenance or Repair Services! t O'Hara Jeep Dodge Chrysler i , 41 LOCAL REVIEW f http://www.capecodonline'.com/apps/pbcs.dll/article?AID=/20100514/NEWS11/100519846 5/14/2010 �i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C2 % '" Parcel acA 10 0 Off'`BARNSTABLE Permit# Health Division U. U t 0P� 2• Date Issued Conservation Division ZOOZ Fee Tax Collector 20 0//�"/e�� l/�/d/� �-' • S14 r:-i'm MUST BE I� Bf�'1510� COMPLIANCE Treasurer ITT TITLE 5 ENV aONMENUL CODE AND Planning Dept. TOt"Aq REOULATIONS Date Definitive Plan Approved by Planning Board x i Historic-OKH Preservation/Hyannis Project Street Address 110 ViAtF=Y- 012 9!Q&2 Village GOTurr— -Owner /`9.�X GOK/✓o!Z Address �' 408 �1�1Y � y' /1�s9 T erz� t3�i�cN ,ea. Telephone ,S4Y- 426 - zorz Permit Request ro 1pLe7— Neal 3 6kgr,> MM A.giZoee AS Square feet: lst floor: existing — proposed 1Z4 8 2nd floor: existing proposed 6/2 Total new I £i60 Valuation !? A.,S6n° °a Zoning District ,,r Flood Plain 4o�AL Groundwater Overlay 4PI, Construction Type tiSlovd geAl!lE Lot Size 2. Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0'"_ Two Family ❑ Multi-Family(#units) Age of Existing Structure .Sty f Historic House: ❑Yes Ro On Old King's Highway: ❑Yes 2 o Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Z ` Half: existing new Number of Bedrooms: existing new _ Total Room Count(not including baths): existing new S First Floor Room Count 3 Heat Type and Fuel: ®'Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New _ Existing wood/coal stove: ❑Yes EKo Detached garage:❑existing ❑new size -' Pool:❑existing ❑new size —' Barn:❑existing ❑new size Attached garage:❑existing ❑new size -' Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# - - Recorded❑ Commercial ❑Yes & oo If yes,site plan review# Current Use �'lNG�E �iw+9) Y Proposed Use AF_ BUILDER INFORMATION Name a6ses -it INtwlygj�TS'/yG Telephone Number _SOBS 4Z8 •6106 Address L30A 31 D License# S 6161,717 0j�0eyl1l4-F t 1W 02�&rS"' Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN/ Sp /L1A�w1t3G-� Ae SIGNATURE DATE -07— FOR OFFICIAL USE ONLY - PERMIT NO. a . DATE ISSUED MAP/PARCEL NO. 47 ADDRESS VILLAGE OWNER DATE OF INSPECTION: t , FOUNDATION 7-1 FRAME Id INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL r FINAL BUILDING ti r DATE CLOSED OUT -• i' ASSOCIATION PLAN NO.�` RESIDENTIAL BUILDING PERMIT FEES • APPLICATION FEE New Buildings,Additions $5b.00 SO 00 Alterations/Renovations $25.00 . Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.t • >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: 1 S6O square feet x$96/sq.foot= 0 S.S60.00 x.0031='� SS 3. STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= ' (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moying $150.00 (plus above if applicable) t Permit Fee projcost The Towvn"d Barnstable. UArtNSMILE, "�`� �' Department of Health Safety and Environmental Services rF0N1AyA Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. YU Date ° o AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL c. 142A requires that (tie "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 dorie.by registered contractors, with certain excel)tiotls,along wits► otluer requirements., Type of Work: A & ?//YG Est. Cost /°7 a SOO• 00 1F • Address of Worlc //O V,,A/C—V4R.2 Ca7-Qi7 Owner's Name ZS6& IWARV CDAehN�R ' Date of Permit Application: ell,• 9 •02._ I hereby certify that:. Registration.is not required for the following rcason(s); Work excluded by law Job under S1,000. - r 'Building not owner-occupied Owner,ptilling own permit Notice is hercby.given that: OWNERS PULLING. THEIR 0,WN I'ERMiT OR DEALING WITII UNREGISTERED CONTRACTORS' FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO 'I HE AR13ITIZATION I'ROCIL&M OR CUARANTY FUND UNDER MCL c. 142A . SIGNED UNDER I'EN1L'I`IES'OF PERJURY I hereby apply for a.permit as the agent of the owner: 4• Q O Z. 1�oGF2S � �filtk'n/E y' �iyG /oo�3y . Date Contractor Name Registration No. OR • 1)ntc U%vner':s Nauuc :.F_; The Common wealth of Massachusetts ( Department of Industrial Accidents _-- Office v//nreSVgaUoos 600 Washington Street • —��� . Boston, Mass. 02111 Workers' Compensation Insurance Affidavit narnc: location: city phone# - 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 0 lam an employer providing workers' compensation for my employees working on ihis job. company name: ROGERS & •MARNEY, INC. address. '' P.O. BOX 310 a sjW OSTERVILLE, MA 02655 phone#: 508-428-6106 insurance co. EASTERN CASUALTY policy# WC95798003 ' 1 am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who the following workers' compensation polices: comRnyname: SEE ATTACHED SHEETS •address: city: phone#: insurance co: policy# company namr. address::::. city: phone# ,�+ . insurance co. policy# Failure to secure coverage as required under Section 25A of 1%tCL 152 can lead to the imposition of criminal penalties ors fine up to S1,500.00 andru- one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the D1A for coverage verification. 1 do hereby certify under the sins a d penalties of perjury that the information provided above is true and correct Signature - C20 a Date Print name I�OBCP—T"T'. COOk Phone# SO8�42 6 '6106 Ccontact ly do not write in this are;to be ci)mplctcd by city or town official permit/license k rlBuilding Department Licensing Board mediate response is required Selectmen's Office Qllcalth Departmentn: phone#; 00thcr ' Iry tscd 3N5 P)A) - D CERTIFICATE OF LIABILITY INSURANCk DATE(MM/DD/YY) AcoR OSHO 1 01/10/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WM. F. Borhek Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 311 Piymbuth Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. "-ifax MA 02338 - INSURERS AFFORDING COVERAGE l.1e: 781-293-6331 Fax:7 INSURED INSURE RA* Utica National Insurance Group L INSURERS: Travelers Insurance GrouSo. Shore Heatingng In INSURERC: Public Service Mutual 57 White's Path INSURERD: So. Yarmouth MA 02664 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION M/D LIMITS LTR DATE MD/YY DATE MWDD/YY GENERAL LIABILITY EACH OCCURRENCE $1,0 0 0,0 0 0 B X COMMERCIAL GENERAL LIABILITY I-680-573D591-5 05/10/01 05/10/02 FIRED (Any one fire) $ 50,000 CLAIMS MADE 7 X OCCUR ME (Any one person) $ 5,0 0 0 ll'ERSONAL $1,000,000 GENERAL AGGREGATE $2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,0 0 0,0 0 0 POLICY PE T LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,0 0 0,0 0 0 A ANY AUTO BAC 2963128 O 1/O 1/0 O 1/O 1/0 3 (Ea accident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $1,0 0 0,0 0 0 B X OCCUR CLAIMS MADE ISF-CIIP-1375WO2 05/10/Ol 05/10/02 AGGREGATE $1,000,000 DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS'LIABILITY TBD 01/10/02 01/10/03 E.L.EACH ACCIDENT $ 500000 E.L.DISEASE-EA EMPLOYEE $ 500000 E.L.DISEASE-POLICY LIMIT $ 5 0 0 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS .- CERTIFICATE HOLDER IN I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION ROGLRS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN J NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL r Rogers &. Manley IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P.O. Box 310 Osterville- MA',.02655 REPRESENTATIVES. . William F. Borhek ACORD 25-S(7/97) CACORD CORPORATION 1988 r AC rM CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YY) 12/14/2001 PRODUCE (508)997-6061 FAX (508)991-32:83 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southeastern Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR &62 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. .0. Box 79398. INSURERS AFFORDING COVERAGE . ,i. Dartmouth, MA 02747 INSURED David G Holcomb- INSURER A: Merchants Insurance Co. Of NH, Holcomb Plumbing & Heating INSURERB: Arbella Protection Insurance PO Box 170 INSURERC: Merchants Mutual Insurance Com Osterville, MA .02655 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY CMP9138499 12/18/2001 12/18/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE FX]OCCUR - MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 POLICYF_j PJECT RO- LOC AUTOMOBILE LIABILITY TBD 12/19/2001 12/18/2002 COMBINED SINGLE LIMIT $ ,' ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY � $ X SCHEDULED AUTOS (Per person) �. 100,000 B HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) 300,000 PROPERT1IDAMAGE $ (Per accident) 250,000 GARAGE LIABILITY AUT ONLY-EA ACCIDENT $ ANY AUTO HER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND dCA9089132 .12/18/2001 1 /18/2002 TORYLIMITS ER EMPLOYERS'LIABILITY C E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS or any and all operations performed during policy period: CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers. & blarney Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY. ` PO Box 310 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Osterville, MA 02655 AUTHORIZED REPRESENTATIVE Susan Niles. (cACCIRIJ GURPUKATIU�j , Apr 0.1 02 11 : 21a bur mac ins 508-771 -1258 p. 1 y �A00M. CERTIFICATE OF LIABILITY INSURANCI,;D 02 DATE(MMIDWYY) YCO-1 04/01/02 PRODUCER THIS CERTIFICATE 15 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McAlpine Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 207 Poet Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. L Centerville MA 02632 Phone: 508-771-0105 Fax:506- 8 INSURERS AFFORDING COVERAGE - ---- --—... Gff� I} --_... .._......__.........._... --....--_..... -- '- INSURED NSURERA: Vezmont Mutual Insurance Co SURER E:. Savers Property&Casualty.,Ins C _.-_. ... Bay Colony Concrete Forms Inc INSURER C: Pilgrim Insurance Company_ dd -'- --. _ --- - Oster Ile 02655 Ij INSURERD. INSURER E: COVERAGES THE POUCIES OF!NSURANCE LISTED BELOW HAVE SEEN ISSUEDTO THE INSURED NAMED ABOVE FOP THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RECUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE.NAY BE ISSUED OR MAY PEPTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i INSRr'--'-'-- ------_..-�----._.-........' -. � ...._ LTR! TYPE OF INSURANCE POLICY NUMBER OAiE'MMfODmVE DATE MMiDD ? - --- ---LIMITb GFNERALUABILITY EACH OCCURRENCE ,OOO OOO --' —._....t_.._..--- A X�COMMERCIAL GENERAL LIABILITY BP17030923" '_ - 03/30/02 03/30/03 FIRE DAMAGE(Ary Mretire) $50 r 0-00 - 'CLAIMS MADE I OCCUR J � a MED EXP(Ary one parse i 35,000 _ --- '---'------._.. -- - - - PERS(NAL&ACV IN,IUR,-- S 1,Q00,000 _ GENEZIL AGGREGATE 112, !OOO OOO .._...------ GEN'L AGGREGATE LIMIT APPLIES PER: • PROOUC13_gOMP!OP AGG s 2.,000,0 00— T POLICY I -] jF ;LOC - AUTOMOBILE LIABILITY COM51 jED SINGLE LIMIT i= C ANY AUTO - - ' - (Ea aceMant) ; C ALL OWNED AUTOS - + L._T__...--_--. i_.._._.. ...____.--•'_ I _ I BODILY INJURY I s 2500000 X SCHEDULED AUTOS (Per pers-I _ ._._.._.._.. -- 1 HIRED AUTOS PMc7129126 03/11/01 G3/11/02 BODILY INJURY NON-OWNED AUTOS I PMC7129214 03/30/01 03/11/02' ai `Perz6G $5000000°ertl - - _._ ((PROaERTY1).tnAGE 1 t 1000000 GARAGE LU481LITY /! AUTO ONLY•EA ACCIDENT $__] ' •t`- I ANY AUTO - OTHER THAN ,FAACC $ _ '---- j / AUTO ONLY: AGG $ - EXCESS UABIUTY 'ACH OCCURRENCE rI$ OCCUR I-- I CLAIMS MADE I AGGREGATE i t �- UEDUCTIBLE - - - I RETENTION $ - _ WORKERS COMPENSATION AND B LEMPLOYERS'UABIUTY 1 R .M . E-R WC 0000753-01 03;31/0 03/31/ EACH N D EASE-!A c E I$_l_ O"O_000 E.L=.... .... _lOOrOOG DISEASE $50O OOO_ _ _.-..-._ - t OTHER - DESCRIPTION OF OPERATIONS;LOCATIONSNEHICLESIFXCLUS:CNS ADDEO BY EN\RSEMENT;:PE AL PROVISIONS Concrete Construction CERTIFICATE HOLDER N -CA OL I N AODIT�NA..INSURED;INSURER LETTER: CANCELLATION ROGERS 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN Rogers 6i 2 FAX#508-420 0-35 3555 0 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO Sc SHALL t� PO BOX 310 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR f Osterville MA 02655 REPRESENTATIVES. L John McAlpine ' ACORD 25-S(7197) 'C ACORO CORPORATION 1988 , ACO"R ,w CERTIFICATE OF LIABILITY INSURANCE 11�20/2001 PRODUCER .(508)994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P,UTKOWSJ(I & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,-414 COUNTY STREET . HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. '0 BOX 5911 EW BEDFORD, MA 02742-5911 INSURERS AFFORDING COVERAGE INSURED Randall C Agnew Electrical Contractors Inc INSURER A: Commercial Union PO Box 1270 INSURERB: Granite State Insurance Co Cotult, MA 02635 )/ ! INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. TWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MA BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND NDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECT YVE POLICY EXPIRATION LTR DATE MM/DD/Y DATE MM/DD/YY LIMITS GENERAL LIABILITY NBFB41863 11/16/2001 01/16/2002 EACH OCC RENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000 CLAIMS MADE OCCUR MED P(Any one person) $ 5,000 A P SONAL&ADV INJURY $ 1,000,000 ENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY BXE04239 11/16/2001 11/16/2 O2 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ A X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ _. (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC6523895 06/23/2001 06/23/2002 WC STATUS ER EMPLOYERS'LIABILITY B E.L.EACH ACCIDENT $ 500,OOO E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,OQO OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS DDIED BY ENDO SEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER . ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Marney Inc. . BUT FAILURE TO MAIL SUCH.NOTICE SHALL IMPOSE NO OBLIGATION OR,LIABILITY PO Box 310 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. , Osterville, -MA 02655 - AUTHo REP rATIvE ACORD 25-S(7/97) c CORD CORPORATION 1988 AND Permit Number MECcheck Compliance Report Massachusetts Energy Code , MECcheck Software Version 3.2 Release la Checked By/Date TITLE:Mr. John Connor CITY:Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 04/09/02 DATE OF PLANS: 4-4-02 PROJECT INFORMATION: Acessory building 110 Vinyard Road Cotuit,MA 02635 COMPANY INFORMATION: Rogers and Marney,Inc. Box 310 Osterville,MA 02655 NOTES: Furnace is LP direct vent Hot water is LP direct vent COMPLIANCE: Passes~ Maximum UA=390 Your Home=361 7.4%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 3:Flat Ceiling or Scissor Truss 612 38.0 0.0 18 Ceiling 4: Cathedral Ceiling(no attic) 718 38.0 0.0 19 Wall 3:Wood Frame, 16"o.c. 1878 13.0 0.0 122 Window 2: Wood Frame,Double Pane with Low-E 290 0.370 107 Door 1: Solid 37 0.350 13 Door 2: Glass 61 0.370 23 Floor 2:All-Wood Joist/Truss,Over Unconditioned Space 1248 19.0 0.0 59 Furnace 1:Forced Hot Air,90 AFUE Air Conditioner 1:Electric Central Air,12 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the des n load s ifie n Sections 780CMR 1310 and J4.4. Builder/Designer / Date 9- 9—O Z_ MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 04/09/02 TITLE:Mr. John Connor Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 3:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Ceiling 4: Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 3:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 2: Wood Frame,Double Pane with Low-E,U-factor: 0.370 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ].No Comments: Doors: [ ] 1. Door 1: Solid,U-factor: 0.350 Comments: [ ] 2. Door 2: Glass,U-factor: 0.370 #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Floors: [ ] 1. Floor 2:All-Wood Joist/Truss, Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1:Forced Hot Air,90 AFUE or higher Make and Model Number [ ] ( 2. Air Conditioner 1: Electric Central Air, 12 SEER or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cf n(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating F equipment must be provided. [ ' J Insulation R-values,glazing U-values,and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints, seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. A' Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) R f i • 92. icl.~n"alm G�✓'`LaJJa�rtu3e�t BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 0V6174 B i rthdate: 05/07/1939. Ezpims:05/072002 Tr.no: M 18 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RD �''. r CTr1M4Z UII I C LAA nWAA eAmin O aMr ✓�ie -C� `�i a�✓�La�sac�icc:se�s Board of Bu.ildinq Recaular.ion and Standards s One Ashburton Pla:c- - Room 1:301 !..I..P!•. T�!!���!. '1��. Via. �. �!� ... r' ":'t �'r' r��t' i.(,11 ' T,.r. MOM' IM?ROVEMENT C04TRACTO • � 'r Reg!strat!o�z� 1AQ1?� r..r:. :cri . M.'.F-f-1F_Y INC .. k = EXpiratioa: 6/9!0% L; In": Private COrporati? Ostervi l le MA 02 _ ROGERS S MONEY, INC. CDarin Rogers 445 E51 8ARNSTA81, Ra"_ alterm" o � RENEWABLES Regional Office: Additional Offices In 56 Conduit St. MA,CT,NY,RI,and VT New Bedford,MA 02745 www.alterisinc.com (508)992 1416 6.075 kW Photovoltaic System Purchase Agreement Customer: Rogers and.Marney,Inc on behalf of the Connor Family Street Address: 110 Vineyard Rd Town, State, Zip: Cotuit,MA 02635 Phone: 508 648 6268(Charlie Snow, builder) . E-mail: Charliegrogersandmarneybuilders.com Date Agreement Prepared: March 8,2011 Estimated Start Date: 6 weeks after receipt of rebate approval Completion: Within one month of the start of the installation This is a Purchase Agreement( "Agreement" )Fbetween Alteris Renewables, Inc. ("Alteris") and Rogers and Marney, Inc ("the Customer") (together "the Parties") f for the purchase and complete turn-key installation of a 6.075 kW-DC Grid- connected Photovoltaic System ("PV system"). :1 Scope of Work and Equipment: Alteris will design the PV system, supply the equipment, and completely install the system in a workmanlike manner. Alteris will install 27 SunPower.SPR 225 High`Efficiency Photovoltaic Modules on two southerly- facing roof sections of the residence using the UniRac® SunFrameTM PV mounting system and stainless steel, hardware. Alteris will connect the PV modules to 1 SunPower SPR 6000m High-Efficiency Inverter that will be located in proximity to the electrical service panel in the basement. Alteris will also install a revenue grade electric meter adjacent to the inverter to record the kilowatt-hours produced from the PV system. Alteris will provide and install a Locus revenue-grade Data Acquisition System (DAS) for the purpose of automated production monitoring and reporting to the DOER or other SREC-related entity, and for personal information and display. Alteris will prepare and submit all of the required grant or "rebate" paperwork with the Massachusetts Clean Energy Center ("CEC") grant program, obtain required building, and/or electrical permits, submit required paperwork to the electric utility.company, and complete the installation in accordance with all applicable building and electrical ordinances and codes. If there are costs for additional permits related to wetlands, conservation, historical district, or the like, such costs will be the responsibility of the Customer. This system will provide electricity for household use, and in its first year of operation can be expected to produce approximately 6,925 kilowatt-hours of electricity under normal conditions.* Production estimate determined using National Renewable Energy Laboratory's PV Watts V.1 Production Calculator. . This project will comply with all Commonwealth Solar requirements, including but not limited to Minimum Insurance and Minimum Technical Requirements. MA PV Agmt Rev 2-17-09 - c Page I Of 4 This is a net-metering enabled PV system, which means that when it is producing more electricity than.is being consumed at the residence, the excess electricity will be fed to the grid for a credit. When consumption exceeds the PV system's production,electricity will be drawn from the grid. The PV system has no batteries and does not provide emergency backup power. It will shut-down automatically during a power outage and will restart automatically when the power has been restored. Upon completion of the installation,Alteris will arrange for inspection of the system by the municipal inspector and inspection by the electric utility company. The municipal inspection can take 1-3 weeks after the completion of the installation and the inspection by the utility can take another 1-3 weeks after that. Upon successful utility inspection, the utility is to issue a letter to the Customer allowing the PV system to be turned on. CEC Rebate,Installed Cost,and Payment Schedule: CEC currently administers Commonwealth Solar, a state program that provides grants or "rebates" for certain PV installation. The PV system described above will probably be eligible for a rebate or grant of$0.75 per Watt according to the program's Rebate Matrix. Alteris estimates that a total rebate of $3,750.00* will be available for this PV system, and 100%of it will go to the benefit of the Customer to pay for the PV system. Alteris will design the PV system, supply the equipment,and install the system in a workmanlike manner for a total installed cost of$42,860..00. This transaction is exempt from sales tax and no tax is included in this cost. This project may receive a grant or rebate of$3,750.00* from CEC that would reduce the cost substantially, leaving the cost to the Customer at$39,110.00. *This figure is an estimate. CEC is to send the Customer notice of whether he/she is approved for a rebate and, if so,the actual amount it will be. If the actual amount of the rebate is less than the estimate,the Customer has 5 business days from his/her receipt of the notice during which he/she may cancel this Agreement and the deposit will be refunded promptly. If the Customer cancels the project after this point, Alteris will retain from the deposit at least $25*0 for design and related work as well as an amount equal to any cost Alteris incurred for permitting and the like. The Customer agrees to the following payment schedule: Deposit. $2,000.00 Due upon CEC rebate approval: $12,500.00 Due upon delivery of equipment: $12,500.00 Due upon successful municipal inspection: $12,116.00 Tax Credits: - Installation of this PV system may make the Customer eligible for a 30%Federal Income Tax Credit, which is estimated to be $11,733: The basis for the ITC was calculated based on the SEIA Document "Key Provisions Benefiting the Solar Energy Industry in H.R. 1, the American Recovery and Reinvestment Act of 2009". Please consult your tax advisor for more details and to determine eligibility status. A free guide regarding this tax credit can be found at iv►viv.seia.orglgalleriesipdf,ISEIA_mamtal version 1.2.pdf Installation of this PV system may also make the Customer eligible for a 15%Massachusetts Income Tax.Credit (maximum amount$1,000). Again, please consult your tax advisor for more details and to determine your eligibility status. MA ry nit Rev 2-17-09 ..-� Page 2 of 4 Warranties: • SunPower PV modules come with a manufacturer's 25-year limited power warranty. • SunPower inverters come with a manufacturer's 10-year limited warranty. • Alteris provides a 5-year full warranty on workmanship and materials beginning upon successful municipal inspection. CEC Notices and Requirements: ENERGY AUDIT: Generally,for rebate applicants with residences constructed after 1998, CEC requires rebate applicants to either: t) have an energy audit performed, or 2) be able to demonstrate that an energy audit has been performed within the past 6 years by a utility sponsored energy efficiency program, certified energy manager, or professional engineer. Documentation of such an audit must be provided to CEC before the rebate will be paid. t PUBLIC EDUCATION: Rebate Recipients and their installer are required to provide good faith cooperation with CEC's public education and evaluation activities, including, but not limited to, providing photos of projects, supporting development of case study materials for public dissemination. (No name, address, and personal information of a rebate recipient will be released by CEC without the recipient's consent). PAYMENTS & MONTHLY REPORTING REQUIREMENTS: CEC expects to pay rebates directly to the installer, Alteris, within 60 days from installation completion and receipt of all required documentation. Owners of PV projects less than or equal to 10 kW (or their designee) are encouraged, but not required, to report the project's electrical output every month to CEC's Production Tracking System("PTS"). For installations larger than 1 OkW, CEC requires that power production be automatically reported. Instructions for reporting to CEC's PTS are e-mailed to the Customer upon completion for their project. An automated reporting device which connects to the internet via an Ethernet connection may be purchased and installed through Alteris. Please contact your sales representative if you would like to purchase this option. Terms and Conditions: INSURANCE: Alteris maintains General Liability coverage' with a $2,000,000 limit and Workers' Compensation Insurance according to the laws of the Commonwealth of Massachusetts. EXTRA MATERIALS and CLEAN-UP: Extra materials may be ordered to insure adequate quantity and quality to complete the installation. Extra materials not utilized in the installation will remain the property of Alteris. Alteris agrees to remove debris caused by its work and to leave its work areas in an orderly and"broom clean"condition at the end of the job. Most scrap materials that can be recycled will be recycled. CHANGES: If there are changes or alterations to the scope of work or electrical service upgrades are required, a Change Order will be issued for the time and materials. Alteris reserves the right to substitute equivalent equipment, if necessary, as approved by the Customer. STRUCTURAL UPGRADES: Structural upgrades or reinforcement of the rafters (if any is required as determined by an engineer or by the local building department) is not included in the Scope of Work. If such reinforcement is required, it will be addressed in a Change Order. SCHEDULE: The start date noted at the top-of the Agreement is an estimate of when the project is expected to start. The schedule may be affected by factors beyond Alteris' control, such as delays by the municipal permitting office, availability of components, and weather. Alteris will keep the Customer informed as to the status of the schedule and make every effort to avoid delays wherever possible. 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SwgHso�, _ solar �(J M TM thermal CL It ri� a e s C(40-"' RENEWABLES wind �L 811/2011 Subject: 110 Vineyard Road, Cotuit To Building Department Please find enclosed an engineer stamped structural letter for 110 Vineyard Road including information needed for wind speed and exposure C category. , The building permit for this property was already submitted. If you have any questions please do not hesitate to contact us directly. Thank you for your assistance, Cathleen Clifford Operations Assistant : ^- `"� a Alteris RenewablesTM a Real Goods Solar Con7.pany 32 Taugwonk Spur,Al2 Stonington, CT 06378 Ph: 860-535-3370 ' rn Fax: 413-683-2225 32 Taugwonk Spur,Al2 Stonington, CT 06378 t:860.535.3370 f:860.535.3372 www.alterisinc.com DWD ENGINEERING, INC. 5 MICHAEL ROAD EAST BRIDGEWATER,MA 02333 1 �gg FAX(508)378-2922 (508)�78-9602 TOWN OF BARIIS t BLE " yin rs it 11. 40 E.t'. AUG Oil July 28, 2011 Mr.Thomas Perry-Building Commissioner . :-�,� Barnstable Building Department DIV 10N 200 Main Street Hyannis, MA 02601 RE: Capacity of Existing Roof to Support Proposed Solar Panel.Array 110 Vineyard Road-Cotuit, MA Dear Mr. Perry, This office reviewed the above referenced site for the purpose of determining whether the existing roof structure was capable of supporting an additional load introduced by the proposed solar panels. The following is a summation of our observations. There are a total of 27 solar panels proposed for the southern facing section of roof. These panels have'a footprint of 61.4" x 31.4" and weigh 33 pounds each. This translates into a unit weight of 2.46 psf per panel. The support rails have a minimal unit weight(.25 psf). The roof structure consists of exterior sheathing over 2x10 rafters at 16" on spanning approximately 12 feet .(horizontal dimension). The 8th Edition of the Massachusetts State.Building Code state that Barnstable is in a 30 psf ground snow load which translates into a 23.1 psf flat roof snow load (0.7*Ct*Ce*Pg*I). Assuming the rafters have the properties of Spruce-Pine-Fir#2 they can safely support a design load of 80 psf in addition to a 10 psf dead load which is much higher than the actual load of approximately 26.15 psf(23.1+3)that it will be subjected to. In addition, I have reviewed the -attachments which connect the panels to the roof structure. The analysis,. provided by Alteris Renewables, indicates that the attachments are adequate to resist the uplift forces due to a 110 mph wind speed (3 second gust) in an exposure C category with a factor of safety of approximately 1.5. Based on the field observations and the information noted above it is my professional opinion that the existing roof is structurally sound and able to support the additional weight of the solar panels. If you have any questions concerning this letter or if I can be of further assistance, please do not hesitate to contact me. Sin rel ,,pY,t�eF��Ss ,� n G � Do %na eAN�?u`AWI geCo`,E. Presiaer� RUCTURAt " pj No.35062 Cc: Alteris Renewables Inc. Ago RFGf ST ER�q�`` ®� f8S/0NAtV DWD ENGINEERING, INC. 5 MICHAEL ROAD EAST BRIDGEWATER, MA 02333 FAX(508)378-2922 (508)378-9602 � � F April 28, 2011 Mr. Thomas Perry-Building Commissioner Barnstable Building Department 200 Main Street Hyannis, MA 02601 RE: Capacity of Existing Roof to Support Proposed Solar Panel Array 110 Vineyard Road-Cotuit, MA Dear Mr.Perry, This office reviewed the above referenced site for the purpose of determining whether the existing roof structure was capable of supporting an additional load introduced by the proposed solar panels. The following is a summation of our observations. There are a total of 27 solar panels proposed for the southern facing section of roof. These panels have a footprint of 61.4" x 31.4" and weigh 33 pounds each. This translates into a unit weight of 2.46 psf per panel. The support rails have a minimal unit weight(.25 psf). The roof structure consists of exterior sheathing over 2x10 rafters at 16" on spanning approximately 12 feet (horizontal dimension): The 8th Edition of the Massachusetts State Building Code state that Barnstable is in a 30 psf ground snow load which translates into a 23.1 psf flat roof snow load (0.7*Ct*Ce*Pg*I). Assuming the rafters have the properties of Spruce-Pine-Fir#2 they can safely support a design load of 80 psf in addition to a 10 psf dead load which is much higher than the actual load of approximately 26.15 psf(23.1+3)that it will be subjected to. Based on the field observations and the information noted above it is my professional opinion that the.existing roof is .structurally sound and able to support the additional weight of the solar panels. If you have any questions concerning this letter or if I can be of further assistance, please do not hesitate to contact me. S'ne1Yt Of MA to Inge E. d e s r nQAN�'L m Tres nI <� , �sg v 51 UCTURAL Cc: Alteris Renewables Inc. No.35os2 "® ESS10 k��G � _.... - � • DRAWING SITE PLAN' to LU i. w w t 1 { { 34. cn lYay� � i 1 i UJI L 6 k \ { { ff^•rllj i �'• 4{L 4 �� '_ ate._ c• uj CD ,:. LULu w w �I • -- DRAWING SCALE(8%"x11") PV-A02 1/8"=1' FOR'CONSTRUCTION TITLE ROOF PLAN w/DIMENSIONS e sww C .OE:CC) O O N i �V O U f0 z AU UP — w o d N .- L) d' - — - --- af°i o m. NaD Y E . U m ca - 3 � o cu j ... I ......... ...... I b �TM 9110.. �! E a o� a�i 75 .....................................: 10 3 j. _ .. 15'5 . E E w C) _ N BO .. LID O ` V It G N �. .. .... m LU Site Conditions: �................ ILL LLL Ground Snow Load=30 PSF "' LLJ 0 cNC) Design Wind Speed=110 MPH and Exposure C V.Building Occupancy=II € € CcS N. Framing is 2 X 10 Rafters every 16 in.O.C..with a Horizontal Span of 11 ft.4 in. 5'1" < w _04 I I w�Securement Method .0 CU : Z 9— Minimum Quantity of Attachments=84 'ca o+ Maximum Distance between Attachments=48 in.O,C. 41imJ_... LU Z o�; - UniRac L-Feet with Grren-Fasten GF1•CP-SQ Flashing and a 5/16"x 3.5"18-8 SSTL Lag Screw Uj UniRac SolarMount Rails to extend 3"beyond PV Module Edges L1J Site Visit by Ben Swanson I Cc U) <o w-0=) Q CAD N Oil 111 211 311 Arr Crr Qrr 7rr I At .) a ."2 f I 0 L, -2 � we— — U=10 J .� DRAWING SCALE(8%"x11") F0WCONSTRUCTION PV-A03 N.T.S. TITLE PERSPECTIVE VIEW co o � co o -v o o -- w 9 U U) U a Q_ a Y - u) (D a) Y V J c m m � ti 3 Lo o o o. cou ° p N a ° o as rn u _ N - � o 111 N �' a •� C > - a O CO) N c-) Q O 'C CJ Lo Lo O N O N ? m � W. LL u) IL W O No 0 ° m Z_ o ch s N f w N w Ll. co Zc ca 2 d+ '1' W Z o N z w fD F Lli Ir w-o=D; Q'a�0 O� 00jc�� O F O F- J 0 C + O OU=0 H r I �I S U NTOW E R, E 18 / 225 SOLAR PANEL EXCEPTIONAL EFFICIENCY AND PERFORMANCE BENEFITS E � o 9 Highest Efficiency SunPower?"Solar Panels are the most SE R I E S I efficient photovoltaic panels on the market today. Attractive Design Unique design combines high:efficiency- and allsleek, black appeararice.to blend elegantly with the roof. More Power Our panels produce more power m g the same amount of space=up to 50% ° o- more than conventional designs and t 100% more than thin film solar panels.: w The SunPower:lm 225 signature black?"'solar panel provides a Reliable and Robust Design front glass,. revolutionary combination of high efficiency and attractive,sleek Proven materials,tempered and a sturdy anodized frame allow , appearance. Utilizing 72 back-contact solar cells and a black panel to operate reliably in'multipPe backsheet, the SunPower 225 blends elegantly with the roof and mounting configurations. delivers a total panel conversion efficiency of 18.1%. The panel's reduced voltage-temperature coefficient and exceptional low-light performance attributes provide outstanding energy delivery per peak power watt: x 4 � SunPower's High Efficiency Advantage ' 20% 18/ 1 14% 5% I 10% 10% F� s 5°/ ' - i 0% �! Thin Film Conventional SunPower SunPower E 18 Series E 19 Series SPR-225E-BLK-D c �L us { O I • / 225 SOLAR PANEL S U N ROW E R" EXCEPTIONAL EFFICIENCY AND PERFORMANCE Electrical Data F I-V Curve j Measured�Standard Test Conditions jsTC):in dd nce of l0oow/�1,AM 1.5,and cell temp—tum 25'c i Peak Power(+5/-3%) Pmax 225 W i 7 0 - f Efficiency n 18.1. % 6,0 1000 W/m'al 50'C — 1000 W/o ) � Rated Voltage Vmpp 40.5 V 5,0 800 W/m? l Rated Current Impp 5.55 A I 4,0 Open Cicuit Voltage Voc 48.0 V - 3'0 50o W/m 2,0 ( I !— I I Short Circuit Current Isc r 5.93 A }-- — 1,0 200W/m2 — t Maximum System Voltage UL 600 V 0,0 ITemperature Coefficients Power(P)_ - -0.38%/K " 0 10 20 30 40 50 60 I Voltage(Voc) -132.5mV/K Voltage(V) I Current(Isc) 3.5mA/K Current/voltage characteristics with dependence.on irradiance and module temperature. .......... .... NOCT 46'C+/-2a C Tested Operating Conditions f Series Fuse Rating 20 A — -- - Temperature -40o F to+185a F (-40a C to+85'C) s Max load 113 psf 550kg/m2(5400 Pa)front-e.g. snow; I Mechanic_al Data 2 _ I 50 psf 245kg/m (2400 Pa)front and back-e.g.wind; Solar Cells 72 SunPower all-back contact monocrystalline Impact Resistance Hail 1 in(25 mm)at 52mph(23 m/s) Front Glass High transmission tempered glass ---_v — Junction Box IP-65 rated with 3 bypass diodes f Warranties and Certifications �Tf Dimensions: 32 x 155 x 128 (mm) Warranties 25 year limited power warranty . Output Cables 1 OOOmm length cables/MultiContact(MC4)connectors I: Frame_ Anodized aluminum alloy type 6063 (black) 10 year limited product warranty Weight 33.1 lbs. 15.0 k Certifications Tested to UL 17Rating 9 ( 9) 03 Class C Fire Dimensions Grounding Holes II 111 2X 1200 E 47.24] t MM 2X 200 12 06.6 4X 180 (1N) 7.85! — — - 1 (.26] i7.071 2X 30 i 2X 577 8X �14.2 _4X 231 i.171 (s.os] i it t 2X 11.0 ' 43768 1 I 1.4 .f3 .42]. 2X 04.2 6X 754 29.69 t - 1559 96 t 4X 322 �^ 2X 915 � — 2X 1995 i61.39] ""111 11.81i (12.69]ttt"' �36.02] i i7.85] 4X 12 i 2X 1535 j i.47] :60.45] I CAUTION: READ SAFETY AND INSTALLATION INSTRUCTIONS BEFORE USING THE PRODUCT. Visit sunpowercorp.com for details SUNPOWER and the SUNPOWER logo ore Iodemorks or registered trademarks of SunPower Corporation+ su n poWercorp.CO m 0 February 2010 SunPower Corporation.All rights reserved:specifications Included in this doiasheei are subject to change without notice. Document#001-60125 Rev /LTR_EN i UNORAC SOLARMOUHTTM (Patent Pending) l SolarMountTm shown flush mounted in landscape(horizontal) mode 0 SOLARMOUNTs are the easiest, fastest, and safest way to install a PV array on the roof of virtually any building. Universal -Any 64 Watt-or larger, framed PV module ' Bi-Directional Mounting — Mount your modules in sold in North America can be mounted using landscape (horizontal) mode, as shown above, or in SolarMount. (See PV Module Compatibility List on.the portrait (vertical) mode. If you have limited roof back page.) space, you can even use both orientations in a single installation. Roof Top Assembly Because of.its "top down" clamps, SolarMounts are ideal for use with the new Meets Building Code Requirements—Whether the . "plug 'n play" PV modules. An entire array can be roof is pitched,or flat, and regardless of the roofing fully assembled and wired where they'll be installed — material, SolarMount will securely attach your PV array on the roof. This eliminates the awkward hazard of to your roof in compliance with U.S Building Codes. lifting partially assembled arrays to the roof, and then (See "Building Code Compliance" on the back page.) mounting and adjusting them on their footings. Quick and Easy Installation—Continuous, dual slotted (See inside for details) SolarMount rails provide the ultimate in adjustability. No more re-drilling holes, or repositioning footings. UNORAC F_ SolarMount is a "patent pending"mounting system designed for easy, safe and fast on-the-roof installation of PY modules. No more lifting cumbersome, pre-assembled arrays from the ground to the roof. ► SolarMountTm Dual(Slotted Rails SolarMount rails have a Footing Bolt Slot that provides infinite flexibility for positioning SolarMount footings. Module You can always lag directly into a roof member for maxi- Bolt Slot mum structural integrity. The Module Bolt Slot provides equal flexibility for mount- ing your modules. The result is that'SolarMount can mount any module on virtually any roof. Footing Bolt Slot ► SolarMount "Top-Down" Module Clamps Modules attach to the rails from the top with unique SolarMount clamps. First, attach the footings to the roof, and the rails to the footings.Then, use the SolarMount clamps to attach the modules to the rails from the top - one module at a time. _ A SolarMounts can easily be mounted in either landscape (horizontal array) or portrait (vertical array) mode without Portrart� ,+ any special added parts. Mode x , A variety of SolarMounts are available for mounting from at , two to as many as nine modules, depending on module r ` =andscape size. And, SolarMounts can be set end to end to create Mo a extended length arrays. (See Splice Kits on the facing page) ` 'SO RM TM ► "L" Footings The standard SolarMount "L" shaped foot is designed to o bolt through existing roofing material to.the rafter, and e o to be sealed with an appropriate roofing sealant under each footing. Two vertical mounting holes provide for adjustment of the height of the SolarMount rail. / ► Standoffs z Round standoffs (3" and 6" tall) are also available. ® =` They are installed under the roofing material, and are z compatible with Oatey.1'/4 diameter elastomer collared flashings and other non-collared flashings. (Visit www.oatey.com for details of Oatey flashings) rf } / ► Tilt Legs Standard SolarMount are designed to be flush mounted on a pitched roof. If the roof is flat, or if the roof pitch is too low, tilt legs are available to lift your array to the desired angle to the a sun. The maximum angle can vary from 25 to 45 degrees from horizontal, depending on the size and ori- entation of the SolarMount and your PV modules. ► Splice Kits SolarMounts can be mounted end to end in order to create continuous rows of modules. Simply splice as _ _ many SolarMounts together as required. o PV Module Compatibility List A.SE ASE1 00, ASE300 AstroPower AP-65/75, APX-90, AP-110/120, AP-150, AP-6105/7105, AP-1106/1206 BP Solar - BP270/275, BP585/590, BP2150, MSX-120, SX-75/80/85, SX-110/120 Evergreen EV-94/102 Kyocera KC-70/80/120 Photowatt PW750, PWX1000 Siemens SP65/70/75, SR90/100, SM100/110, SP130/140/150 Uni-Solar US-64 3, Call UniRoc or your PV dealer for any PV module not shown. SolarMountTM Component Specifications 10 Year Limited Warranty n SolarMount Rails and Mounting Clamps, Tilt Legs UniRac, Inc.warrants to the original owner at the original installation site and "L" Shaped Footings— 6061-T6 Aluminum that SolarMounts shall be free from defects in material and workmanship Extrusion fora period of ten(10)years from the earlier of 1)the date the installation is complete, or 2) 30 days after the purchase of the SolarMounts by the 0 3" and 6" Standoffs —Grade 5 Zinc Plated, original owner. This warranty does not cover damage'to SolarMounts that Welded Steel . occur during shipment,or prior to installation. o Fasteners— 304 Stainless Steel If within such period the SolarMounts shall be reasonably proven to be defective,then UniRac shall repair or replace the defective SolarMounts,or part thereof,at UniRac's sole option.Such repair or replacement shall fulfill Building Code Compliance part UniRac's liability with respect to this warranty. SolarMounts are designed to comply with the This warranty shall be void if installation of the SolarMounts are not per- Uniform Building Code, 1997, Chapter 16. See formed in accordance with UniRac's SolarMount Installation Guidelines,or Installation Guidelines for details regarding specific if the SolarMounts have been modified, repaired or reworked in a manner not authorized by UniRac in writing, or if the SolarMounts are installed in modules and loading.' an environment for which they were not designed. UniRac shall not be liable for consequential, contingent, or incidental damages arising out of use of the SolarMounts. VNORAei® UniRac, Inc. 2300 Buena Vista, SE, Suite 134 Albuquerque NM 87106 USA Phone: 505.242.6411 Fax: 505.242.6412 e-mail: info@unirac.com www.unirac.com 8ro1 Telephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 OPEN-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: C erS ape JOB SITE ADDRESS: DATE: l AREA THICKNESS R-VALUE 2nd FI Flat Ceiling Cathedral Ceiling Garage Ceiling Basement Ceiling V '•O/1 C�11 Slopes o Exterior Wall Garage Hse. Wall W alkout W all Cathedral W all Blockers Gl J I Overhang S 0 S tair/R isers All R-values and thickness measurements are deemed to be accurate by the following installers: Sean Weir TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM y Y ThermoSeaC500—Product Specification ASTM E413 STC Sound Transmission 4 Class 38 fr ` ASTM E 90 Spr ,; Ta Air PetTneance/Air Barrier Hz.Freq. 125 250 500 1000 2000 4000 ThermoSeal 500 fills any shape cavity Trans.Loss 18 29 34 45 ' 46 49 glhermoSeal500 including all voids,cracks,and crevices Product Specification adhering to multiple substrates such as wood,metal,and concrete creating a ASTM C 423 Product Name system with very little air permeabce.With NRC Noise Reduction Coefficient=.75 ThermoSeal 500 no additional interior or Hz.Freq. 125, 250 500 1000 2000 4000 ThermoSeal 500 is the registered trademark exterior air infiltration protection is Absorption .23 .52 .87 .71 .77 .75 of SprayFoamPolymers.com for its.51b required. light density,open cell foam insulation. Actual performance will likely be superior ASTM E283 Air Leakage to the above results based on ThermoSeal's Product Description .00015 ft'/s.ft2 @ 75Pa(25mph wind) ability to control air permeation. ThermoSeal 500 is a semi-rigid,totally water blown, .51b light density polyurethane Sustained Wind Load Burn Characteristics foam insulation system which 60 minutes@1000 Pa(90mph wind) ThermoSeal 500 is a Class I insulation and simultaneously insulates and air-seals your No Damage shall be separated from its inhabitants by a building structure. ThermoSeal 500 is 15 minute approved thermal barrier. designed to make homes more energy Gust Wind Load Test ThermoSeal 500 shows less flame efficient,quieter,healthier and more @3000 Pa(160 mph wind) propagation than some Kraft faced comfortable.ThermoSeal 500 is applied as No Damage fiberglass insulation and may be left a liquid spray which expands approximately exposed in attics and crawl spaces. 100 times its initial mass and cures within ThermoSeal 500 might be consumed by seconds into a semi-rigid mass.ThermoSeal Water Vapor Permeance flame but will not sustain flame upon 500 fills all building cavities completely ThermoSeal 500 is water vapor permeable removal of the flame source.ThermoSeal sealing all cracks,crevices,and voids and will allow structural moisture to escape. 500 will not melt or drip.ThermoSeal 500 where air loss and infiltration are most For situations requiring a vapor barrier the must be installed in accordance with all common. If needed,excess material is use of low vapor permeable paint on the applicable building. easily trimmed off leaving a surface ready interior of drywall is an option. for drywall. ASTM E84 Surface Burning Properties Water Vapor Transmission Properties: Flame Spread @ 6" <=25 Technical Data ASTM E96 data Smoke Developed @ 6" <=250 Thermal Performance 5.51perms @ 3.5" Class 1 rating Thermal resistance R/in. Fuel Contribution none ASTM C518: R3.83hr.ft'OF/BTU Water Absorption ASTM 2863 Oxygen Index 25% ThermoSeal 500 is water repellent,will not Average insulation contribution in stud wick,and does not exhibit capillary Compressive and Tensile Strength wall: properties.Water may be forced into the ThermoSeal 500 has favorable compressive 2"x4"=R15 2"x6"=R23 foam under pressure because of its open and Tensile strength properties for light cell structure,and will self drain.by gravity density foam. ThermoSeal 500 provides greater R value rather than travel horizontally or vertically performance than other equivalent R value as in closed celled foams.Once the foam ASTM D 1623 Tensile Strength 4.3 psi insulation materials which are air has dried its thermal performance is at full ASTM D1621 Compressive Strength 5.lpsi permeable such as fiberglass.ThermoSeal performance. 500 does not lose R value due to wind, Ogen Cell Content ageing,convection,air infiltration or Acoustical Properties ThermosSeal 500 is considered an open cell moisture.An R value fact sheet is available Performance in a 2"x 6"wood stud wall. foam insulation: upon request. E84,E96,E283 tests results were conducted by Intertek a 3rd party testing laboratory. DISCLAIMER:Information contained herein is,true and accurate,but all recommendations or suggestions are made without guarantee.Spray Foam Polymers,LLC(SFP)products are intended for sale to industrial and commercial customers.Since SFP exercises no control over its customers appreciation or use of the product manufactured by SFP and since materials used with the products may vary,it is understood that SFP can warrant only that our products will meet our written specifications.Nothing herein shall constitute any warranty of merchantability or fitness,nor is protection from any law or patent to be inferred.Our products must be installed in accordance with all applicable building codes and a building inspector's approval should be requested prior to installation.All patent rights are reserved.SFP requests that customers inspect and test our products before use,and satisfy themselves as to contents and suitability.The exclusive remedy for all proven claims is replacement of our materials and in no event shall SFP be liable for any consequential,incidental,indirect,or special damages resulting in any manner from the furnishing of the material. i i rt CORSOND0II a Spray Insulation System Technical Data Sheet { 5 Typical Physical Pro erNes ASTM Method CORBOND III Nominal Density D-1622 2.0 lb/cu.ft. Compressive strength (I") D-1621 25 psi Compressive Strength (Y) D-1621 20 psi Closed Cell Content D-1940 >90% K Factor C-518 (initial) 0.15 (aged) 016 C-1029-07 (180 day) R Factor C-518 (Initial) 6.6 (aged)* 6.2 C-1029-07 (180 day) Water Absorption D-2842 0.020 (gm/cc) .Water Vapor Transmission E-96 (calculated) 0.90 perms 0 2.5 Air Infiltration E-283-04 75 Pa 0.001 L/S/m2 (1,57 psf) (40.001 cfm/fM 300 Pa 0.001 L/S/m2 (6.24 psf) (<0.001 cfm/ft2) Air Permeance E-2178-03 75 Pa 0.000055 L/S.m2,Pa 0.000117 ft3/min.m2.P0 300 Pa 0.000024 L/S.m2.P0 0.000051 ft3/min.m2.Pa Sound Transmission Coefficient (STC)_ E-90-90 &E413-87 36 (STC) 2 x a wood stud,t 6"on centers, 2.76"of COIt60ND6,15/32"exterior 058 sheeting,'A"gypsum wallboard. Recycled Content _ 16.5% - NOTES: 1.This Information is intended only as a guide for design purposes. The values shown are the overage values obtained from sprayed laboratory samples. The test methods were performed per the ASTM Book of Standards. 2. K Factor varies depending on age and'use conditions, *Aged 180 days per Federal Trade Commission 16CFR Part 460 The information herein is to assist customers In determining whether our products are suitable for their applications. We request thot customers Inspect and test our products before use and satisfy themselves as to content and sultebility, Our products are Intended for sole to industrial and commercial customers for processing, We warrant that our products will meet our written specifications.Nothing herein shall constitute any other warranty express or Implied,Including any warranty of merchantability or fitness,nor Is protection from any low or potent to be Inferred. The exclusive remedy for all proven claims is replocement of row moterlols and In no'event shall we be Roble for special,incidental or consequential damages, CORBOND. , Cor0ond Corporationr'-"-BozernEanFMntage Road Performance Insulation System, Toll Free:(888)949-0089 Fax:(405)5W-4584 1"HeRaveTN+ �"m' www.corbond,com e&lee®oorband.eom l 1 SEP-09-2009tWtU) id: dr Lutcounu Propertles and Processing CharacterlstleB Properties Reaction times are affected by 7temandture and theLI uld Component Props temperature of the substrata. 41q h Gusmer ModVise Slty 190 •Sprayed througrecessingComponent A(cps) 72• F Gap Pro dun with 01 chamber pcs4mpcnent 5(cps) 900 cps temperatures and pressures. Specific Gravity®70°F 1.2 5096Mbeci Ratio Component A Recommended Substrate Te Mixing Ratio Component a 50% At time of application FaIIlSprin9 Winter 30°F 45°F Flammability characteristics Minimum 60°F 90°F Surface Burning Characteristics*-ASTM E-84 Maximum Flame Spread:<25 For.applications below 35°F,Corbond Corporation technical Smoke:<450 personnel should be consulted. 'Flesh'posses should be Iced,3"r Party labeled at 1.1/2 inch,4 inch and 6 avoided during cold weather applications, zi (Spray applied, Inch thicknesses applied to 114"Cement Board) Spraying 'Note:This numerical[flame spread and all other.d sorted by . This spray system may be applied in passes of uniform presented is not intended to refiW the hazards Pre thickness from a minimum of 112'to a maximum° applied this or any other material In actual fire situations. maximum yield and productivity,the p y be The use of polyurethane foam in interior applications on In a single pass to the specified thickness or up to 3" walls or ceilings presents an unreasonable fire risk unless maximum pass(exceptions may exist when sheet metal alor protected by an approved thermal beater with a finish rating 'Flash'passes or a thin pass of not leas than 15 minutes. One 8ulding Code definition of gyps�flion 9ul[de on page are enCOunte an approved"thermal bander"Is a material equal to A of less than 1'on cold surfaces is to be avoided and may gypsum wall board.Consuitatlon with building code of ICiais result in lose of adhesion of subsequent passes and yield. roduct before application is recommended. Thicknesses over 3'require MUIUPlPast over pe Cujes. Allow time Caution: Polyurethane foam produced from these materials rin and cooling between each pass; may present a fire hazard H exposed to fire or excessive heat minimum 10minlinch. 3 inch pass requires minimum 30 (i.e.cutting torches,soldering torches etc.).Each firm, minutes.Hot substrates may require longer,see applicationIn a person,or corporation engaged In the use,manufacture, guide on page 3.COR80NDe Ili must never be applied production or application of the polyurethane foams thickness exceeding 3 inches in a single Pass, if this produced from these resins should carefully examine his thickness le exceeded It will seriously affect the quality and construction sequencing and end use to determine any physical properties of the finished product and the internal potential fire hazard associated with such product and to temperature building th within the foam may cause charring Utilize appropriate precautionary and safety measures during Inside the foam bun and bread loafing.Under certain construction. conditions,applications exceeding this thickness may cause spontaneous combustion of the foam to occur,even hours Equipment after product was applied. I Proportioning equipment shall be manufactured by i Greco/Gusmer or Glasseraft and shall[be capable of Clean Up-Liquids metering each component within t2%of the metering ratio Non-flammable solvents should be used j6r clean up. Previously noted. The gun should be of the internal mix type Consult your solvent manufacturer MSDS,for handling a' which provides thorough blending of the two components. precautions. ; The equipment shall be of the heated alriess type capable of maintaining 125°F at the gun by use of both primary heaters protective Equip ethane foam results in,the atomizing of the and heated hoses.Hose thermal sensor in B side.The use Spraying p Yu of 2:1 feeder pumps Is recommended for supplying the liquid components to a fine mist. Inhalation and followingto the components to proportloner,especially during winter atomized particles should be avoided. operations. protective equipment Is recommended:E e.Fuil-face mask or hood with fresh air source. Processing Characteristics and Recommendations b.Fabric coveralls, Preheater Home c.Fabric or ribber gloves. Component A 90-120'F 110-125°F Shelf Life&Storage of Raw Materials Component B 110-1259F min 1100 psi All materials should be stored in their original containers and Gun Pressure at Tip(static) P away from heat and moisture,especially after the seals have been broken and the containers have been opened. Shelf These temperetures are typical of those required to produce life Is 3 months when stored Indoors ate temperature mixed product using conventional Greco/Gusmer equipment between 60°F and 70°F.Storage below,''60°F may result In under various conditions. Environmental conditions may compound stratification of B and/or cryatalyne formation in A dictate the use of other temperature ranges. However,under component. Temperatures above 759F„„'may decrease the no circumstances should a temperature of 130°F be shelf life. Containers should bs opened_carefully to allow exceeded. It is the responsibility of the applicator to any pressure buildup to be vented safely.Extensive venting' determine the specific temperature settings to match the of the B component may result In loss at blowing agent, environmental conditions,his own equipment,and these higher density foam and reduced yield.'Temperatures below materials. 05°F will Increase the viscosity of the components making retures' them difficult to pump. Both components are adversely Machine Mix at recommended tempe WinterFrature Fall/Spring affected by water and humidity. Freight class 55(A or 8) RiseRack Free Time 3-4.5 sec. 4-5.5 sec. Resin compounds Item 40030 ;.., Cure Time 4 hours 4 hours N01 BN Non-Hazardous Revised 01/2009 Page 2 f ---------------- ice J 1g a � i� Assessor's map and lot number ..................._....................M..... y�*THEto� i Q . f Sewage Permit number .................. �.... ..�''�!.. ................. d� �� Z BAHB9TADLE, i House number O PAS& ..............................:............................. 90�,0,1639 ♦� 'EDMPy a� TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO i `�1�1.1t���-- t ........ _.c ................................................................. ................. TYPE OF CONSTRUCTION ............Q .��.1. '1-��11............................................... .......................... ........ .�~.......20..........19gJ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........f. p....�.!►Jt.ya t'�-�... � C...... .Jo.. -... ................................................................................. ProposedUse .......... 5 S. z j . >-...................................................................................:.................................. F ZoningDistrict ........................................................................Fire District ........... .T V�. .......................................::... Name of Owner � .... Ch .... ... 2 `...............Address O 1�},C:® Name of Builder ... ;2S..4..IVVew_ .e (N.(Address ..... ��..���...���.�' �:��.�.�:G...... T i Nameof Architect ........................-.....:-................................Address .................................................................................... Number of Rooms �� ��... Z'...1?,.6 5........Foundation C-43I.-KI.�. 'L Exterior �. (17 ...�,L�'1 '1. � �UCC .............Roofing ..... Floors .T ...................................................Interior ............... SST Heating c'k.1`!.I �..®.�:Z': t: "....Plumbing ............... ����.t 1.!G!`,(,- ........................................... Fireplace ................Approximate Cost.................................................................. ............ .�......�.............................................. Definitive Plan Approved by Planning Board- -___________________----------- 5-3' 19- ---. Area ................................. Diagram of Lot and Building with Dimensions Fee / �� ............... ............................. SUBJET TO APPROVAL OF BOARD OF HEALTH # e� �� `` M-, b2�zo •dyV r°� '15 sµv15.T� �r?�9r^ c -�- do.,aiaisa�_ i A � m ^' §� _ d pf Gb51-/ —, U I Impp 1 U n - } t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ................................................... Construction Supervisor's License .z,�/._r,l.?'�............... CONNOR, JOHN A=16-20 No ...28808... Permit for ...ADDITION ...........Single Family Dwelling ....................... Location ......1, ya 10 Vinerd Road Cotuit ............................................................................... Owner .......John Connor ................................................... Type of Construction Frame ' ................................................................................ Plot ............................ Lot ................................ January 2, 86 Permit Granted ...................... 19 t Date of Inspection ....................................19 Date Completed\ ......................................19 ��� 4 7 Sr VAGL TOWN OF' BARNSTABLE -SPECTOR BUILDING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � �. Nome of Owner --� \~r~��'~\'�-�� �_-----'A66,e» --'.\.��-�j.i.LJ.,�..� .. (7 -\ / |��� ��^�' ���� ��\��� Nome of Builder -./���������.--'!... ^--�A66�ss --�..��-..---��^��-���..lf�.y..................... ' � Nome of Architect ................................. .----------.A66,es ------------_.._...-----_-_____.. Number of Rooms --. -~2- VJi`3',.-Foon6otion .......... .1- ________ � Ex/ehor ............................... �A. ����� Roo�ng -- . .. ' ............ Floors ............. -------------------..|nteho, .................. .......................................... ' Heating __.___z�}� ���l\;���� ���.�~ [�-_.F1umbng .................=g* ....................................................... ' Fireplace ...........................................................................Approximate Cost ...... DafinhveP|on Approved 6'v Planning Board --------------------------------lQ--------' Area ---.��'�'��-----. Diagram of Lot and Building with Dimensions Fee ............... .....~-~-1............... � � 0J0B3 TO AP�ROVAL OF BOARD OF HEALTH CIO tj. so Idyl L8. OCCUPANCY PERMITS REQUTR_ED_T0_VNEW DWELLINGS I hereby agree -to-conform to all -the -Rules oncl-Regulation� of the Town of Barin's-ta-ble r-eg-arding-the above | | - - - � | / ' ........................... Construction Supervisor's License 'aA4,���.----- ' /' � CONNOR, JOHN 28808 No ................. Permit for ..... ............. Single Family Dwelling ................................................................................ Location ....... .................... Cotuit ........................... ........................... it Owner John Connor ...................................... Type of Construction ...................Frame........................ . ................................................................................. Plot ............................ Lot ................................. ry... ............19 86 Permit Granted ........ 43w.4. Date of Inspection 19......... .................... Date Completed ........... ...............19 E 1 rrP i �t� r liar, t 6 { 1 VIP � d y , REScheck Software Version 4.3.1 Compliance Certificate D� �1a Project Title: Connor Residence Energy Code: 2009 IECC Location: Cotuit,Massachusetts Construction Type: Single Family Glazing Area Percentage: 18% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 110 Vineyard Road Archi-Tech Associates,Inc. Cotuit,MA 02635 6 School Street Cotuit,MA 02635 508-420-5335 Compliance:0.2%Better Than Code Maximum UA:864 Your UA:862 The%Better or Worse Than Code index reflects how close to compliance the house is based on code tradeoff rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Gross Cont� Glazing, Assem• • • D•• First Floor:All-Wood Joist/Truss:Over Unconditioned Space 2684 21.0 0.0 118 Front:Wood Frame,16"D.C. 955 21.0 0.0 45 Window 1:Wood Frame:Double Pane 46 0.320 15 Solid doors:Solid 20 0.100 2 Entry door:Glass 70 0.320 22 Hall Entry:Solid 21 0.200. 4 Right:Wood Frame,16"D.C. 535 21.0 0.0 27 Window 2:Wood Frame:Double Pane 42 0.320 13 Door 4:Glass 19 0.320 6 Rear:Wood Frame,16"o.c. 982 21.0 0.0 33 Window 2 copy 1:Wood Frame:Double Pane 221 0.320 71 Door 5:Glass 180 0.320 58 Left:Wood Frame,16"D.C. 702 21.0 0.0 34 Window 2 copy 2:Wood Frame:Double Pane 96 0.320 31 Door 6:Glass 17 0.350 6 Roof:Cathedral Ceiling(no attic) 2500 30.0 0.0 85 Front:Wood Frame,16"o.c. 880 21.0 0.0 45 Window 5:Wood Frame:Double Pane 92 0.320 29 Right:Wood Frame,16"o.c. 697 21.0 0.0 37 Window 5 copy 1:Wood Frame:Double Pane 48 0.320 15 Rear:Wood Frame, 16"D.C. 880 21.0 0.0 38 Window 5 copy 2:Wood Frame:Double Pane 180 0.320 58 Door 7:Glass 32 0.350 11 Left:Wood Frame,16"o.c. 697 21.0 0.0 36 Window 5 copy 3:Wood Frame:Double Pane 72 0.320 23 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.3.1 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Project Title:Connor Residence Report date: 09/24/10 Data filename:C:\Documents and Settings\Office\My Documents\REScheck\Connor.rck Page 1 of 6 L` Name-Title Signature Date r Project Title:Connor Residence Report date:09/24/10 Data filename:CADocuments and Settings\Office\My Docu ments\REScheck\Con nor.rck Page 2 of 6 i ............... _...._.. . .....__..._....._... .........._ . REScheck Software Version 4.3.1 ......... ............................ ............ ........... ......... .. ......................... ............ .......... .......... ............................. ............. .......... ._....... .............. ............ ............... ........._. Inspection Checklist Ceilings: ❑ Roof:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments- Above-Grade Walls: ❑ Front:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Right:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Rear:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Left:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Front:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Right:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Rear:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: ❑ Left:Wood Frame,16"o.c.,R-21.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe_features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2 copy 1:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 2 copy 2:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled.U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑ Window 5:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Project Title: Connor Residence Report date: 09/24/10 Data filename:C:\Documents and Settings\Office\My Documents\REScheck\Connor.rck Page 3 of 6 Q Window 5 copy 1:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 5 copy 2:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: ❑ Window 5 copy 3:Wood Frame:Double Pane,U-factor:0.320 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Solid doors:Solid,U-factor:0.100 Comments: ❑ Entry door:Glass,U-factor:0.320 Comments: ❑ Hall Entry:Solid,U-factor:0.200 Comments: ❑ Door 4:Glass,U-factor:0.320 Comments: ❑ Door 5:Glass,U-factor:0.320 Comments: ❑ Door 6:Glass,U-factor:0.350 Comments: ❑ Door 7:Glass,U-factor:0.350 Comments: Floors: ❑ First Floor:All-Wood Joist/Truss:Over Unconditioned Space,R-21.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-buming fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: ❑ Building envelope airtightness 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: Connor Residence Report date: 09/24/10 Data filename:C:\Documents and Settings\Office\My Documents\REScheck\Con nor.rck Page 4 of 6 (a)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) Corners,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. Vapor Retarder: Cj Vapor retarder is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Comments: 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: 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 412.0 cfm(8 cfm per 100 ft2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 618.0 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 309.0 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 206.0 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. Lj 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. Lj 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: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Project Title: Connor Residence Report date: 09/24/10 Data filename:C:\Documents and Settings\Office\My Documents\REScheck\Connor.rck Page 5 of 6 Heated swimming pools have an on/off heater switch. z. Pool heaters operating do natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: ❑ A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement V). Certificate: i ❑ 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) 1 Project Title: Connor Residence Report date: 09/24/10 Data filename:C:\Documents and Settings\Office\My Documents\REScheck\Con nor.rck Page 6 of 6 AWC Guide to Wood Construction in High Wind Areas:H0 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Engineering, ASA, Design Co., Inc.. Addition Project No.2010-251 Connor Residence September 23,2010 110 Vineyard Road Cotuit,MA 02635 Q Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph Q WindExposure Category.................................................................. .............................................................C Q 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)........2 stories s 2 stories Q RoofPitch ..........................................................................(Fig 2) ..............................................8:12 5 12:12 Q MeanRoof Height ..............................................................(Fig 2)...................................................26 It s 33, Q BuildingWidth,W...............................................................(Fig 3).................................................. 70 It 5 80' Q BuildingLength, L ..............................................................(Fig 3)...................................................80 ft 5 80' Q Building Aspect Ratio(L/W) ...............................................(Fig 4)......................................................1.3 5 3:1 Q Nominal Height of Tallest Opening2 ...................................(Fig 4).............................................8'ENG 5 6'8" Q 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...........................................................................:.................................................. Q 2.2 ANCHORAGE TO FOUNDATION1.3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing Main ............. ............. Table 4 .............. 36 in. Bolt Spacing—Garage..........................................(Table 4)..................................................... 24 in. Q Bolt Spacing from end/joint of plate ............................(Fig 5)......................................... 12"in.5 6"—12" Q Bolt Embedment-concrete.........................................(Fig 5).....................................................7 in.>7" Q Plate Washer............................. ...(Fig 5).........................:.3"x 3"x'/4°z 3"x 3"x 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Q Maximum Floor Opening Dimension...................................(Fig 6)..............................................................N/A Q Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)....................................... Q Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)...............................................................N/A Q Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)..............................................................N/A Q Floor Bracing at Endwalls...................................................(Fig 9).................................................................... Q Floor Sheathing Type ........................................................(per 780 CMR Chapter 55).................T&G WSP Q Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55)..........................3/4 in. Q Floor Sheathing Fastening...................................................(Table 2)...........8 d nails at'6 in edge/12 in field Q AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(7so cMB 5301.2.1.1)1 © d D ' Engineering. Design Co., 1nc. 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)........................9 ft 6 in 5 10' Q Non-Loadbearing walls................................................(Fig 10 and Table 5)........................9 ft 6 in 5 20' Q Wall Stud Spacing ........................................................(Fig 10 and Table 5).....................16 in. 5 24"o.c. Q WallStory Offsets ........................................................(Figs 7&8)......................................................N/A Q 4.2 EXTERIOR WALLS3 Wood Studs Loadbearingwalls..........................:.............................(Table 5).:.........................................2x6-9 ft 6 in Q Non-Loadbearing walls................................................(Table 5)...........................................2x6-9 ft 6 in Q Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10).................................................................. Q WSP Attic Floor Length................................................(Fig 11)........................................Full Floor z W/3 Q Gypsum Ceiling Length(if WSP not used)..........................(Fig 11)....................................Full Ceiling Z 0.9W Q And 1x3 ceiling furring strips @ 16"spacing min.with 2x4 blocking @ 4'spacing in end joist or truss bays Q Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)..........................................6 ft Q Splice Connection(no.of 16d common nails)..............(Table 6)..................... 16 per Each Side of Splice Q Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..............................................3 per Stud Q Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Table 8)...............................................3 per Stud Q Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)........................................11 ft 0 in. s 11' Q Sill Plate Spans ........................................................(Table 9)........................................11 ft 0 in.511' Q Full Height Studs (no.of studs)...................................(Table 9)..............................................................4 Q Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 .............:..........................................................6'8"5 6'8" Q SheathingType..............................................(note 4)..........................................................CDX Q Edge Nail Spacing.........................................(Table 10 or note 4 if less)..............................4 in. Q Field Nail Spacing..........................................(Table 10).....................................................12 in. Q Shear Connection(no.of 16d common nails)(Table 10)..................................................3 per ft Q Percent Full-Height Sheathing.......................(Table 10)......................................................ENG Q Maximum Building Dimension, L Nominal Height of Tallest Opening2...............:.....................................8'Garage Door 5 6'8" Q SheathingType..............................................(note 4).....:....................................................CDX Q Edge Nail Spacing.........................................(Table 11 or note 4 if less)..............................4 in. Q Field Nail Spacing..........................................(Table 11)......................................................12 in. Q Shear Connection(no.of 16d common nails)(Table 11)..................................................3 per ft Q Percent Full-Height Sheathing.......................(Table 11)......................................................ENG Q Wall Cladding Ratedfor Wind Speed?.............................................................. .......p ........................................:..110 mph Q AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Engineering-& " D" n Co.,, Inc. 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see MRS Website) Q Roof Overhang ........................................................(Figure 19)......................2 ft 5 smaller of 2'or U3 Q Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U=413 plf Q Lateral.............................................(Table 12).............................................L=240 plf Q Shear.............................................:.(Table 12)............................................S= 105 plf Q Ridge Strap Connections, if collar ties not used per page 21... (Table 13)................................T=309 plf Q Gable Rake Outlooker.................................................(Figure 20)......................2 ft s smaller of 2'or U2 Q Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U=567 lb. Q Lateral(no.of 16d common nails)...(Table 14).......................................L=277 lb. Q Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Q Roof Sheathing Thickness........................................... ......................................5/8 in.CDX z 7/16"WSP Q Roof Sheathing Fastening...........................................(Table 2)................................8d-6"edge/6"field Q AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301Z.1.1)1 d d Engineering' Design. Co., Inc. 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. 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 -WHEN THIS EDGE REM ON FRRAMING UJSE Sd NAILS _ a 1 i� ii 1 I ¢2• 1 ' it 11 17, 11 II 11 , 1 , II ii ii i r 1 1'i 11 11 11 � / 1 1 11 11 0 ii,F ;MINGMEMBEF. EdEO 1 1 1 R i i i i I i 1 R"FRMEDIATE le T1 11 11 1 1 -' i t1 I4 m� h 11 � Q � - I •� I 1 I}��- aa ll�� 1 1 I I W I j i t s ' i I N ' V+VIII�L. 1 r 1 I 1 1 H STAGGERED 3' ' 11 �{------11 NAIL PATTERN PANEL i i - I u I ti -•+-t+ - '1t.� ti .� PAWL EDGE DOUBLE NAIL EDGE SPAUNG DUAL 40U8LE EDGF `-- NAR_SPACING Detail v Vertical and Horizontal Nailing See Detail on Next Page for Panel Attachment Vertical and Horizontal Nailing for Panel Attachment gg } p MCP O n� '11 VV �Af ��yy�.�,•t. V. 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I'1 O' S'-5 3/4• T'-0- S'-0 Vs' 6'0 ' 4'-0' 4'-10' O'FROST WALL ON A IMn N v 19'4- FOOTING 4•-IO' d'-0' b'-0' mo .Q W7 N N b - ------ ---- _ V6'S AH HMAUNLNED _`______________________.ol#i _ ED6HE A 6'CRUSHED v+ -6 sioNE BASE ------------------- Jl� I --------I-�--I- - - - (I U'}�v �-WErIGAVAIEO_J �_ N e, ♦ ------------ __ ________ _____ _ _ _ V _ ________ ____ ' I ` POL�vT _ _ _ _ _ _ __ y T � r: _ _ ____________ ____________ __ _ _ ___-_ I V N A5 OU � I�AM POCKET _ _ _ -__ _ _ _ _ __ t0 V S REOIIRED e 16-103/4' Il'-b' I - 4'-103/4' 41/'f• 5,V2- q u : C ;Q CELLAR SASH i DROP TOP OF WALL 11 1/B- , GJ Q xLAVATEDJ 2z4 F.T.SILL AT HAUNCHES ' 4 m 2/2%b P.T.SILL W ANCHOR �___ ____, ____J__..: WALL(SEE OET.3/A-II)WAXLNOR �. FROM 0 6-0.OL.MIN.112' DOLTS O b'-0'OL.MIN.112" A-b FROM CORNERS TYPILK FRO M CORNERS TYPICAL A, a MN,f21 BOLT R '� 5 PE SILL � � ,l^ WN.l21 BOLTS PER SILL _ e • : Iz m r BASEMENT ----------- --------------- ---- Ab ~ u a , CELLAR SASH i O'L .T,WALL w11 ___ ._ ' ON 24'x 12'CONCRETE 1 • FOOTING W KEY DROP SLAB 10'OELEV.PIT; ' _ l ' PROVIDE 4•MIN 5LAB •: . i W/pRAIN OR SUMP PUMP IN L _ ___ b o' DROP TOP 0<WALL 11 t/B' ___ _ __ ASREOVIREDT Q - NAL P.T.SILL AT IUWILIED I F! BEAM POCKET a OPENING M WALL(SEE OLT./A-N W ANLNIOR P1.2X6 WALL I S REOIIRED Ex.FOUNDATION 80L156 B'-0'OL WN.I O' O RAMIN4 SI _ MINA.(12)BOLTS PER SILL _ I I - •P I FGR ACCESS . 0,* r I .___ _____________ _________r -- I A5lNE0UIREO _______I ___l______ ______________ A-I BEAM POCKET 1 : ---------------------------- m CELLAR SASH r - --- f - ----- ----- -L-------------- - : I, a AM POLZET ELEVATOR _ --------------------------------------------- BE - ' � A5 REQ)IRED I ___ i IX., FROM,GRAM 10 xLAVATED� �I BOTTOM OF FOOtINS • , : ' yBEAM ''u ,v • ml -------------- q H'-2 9/B' B'•2 3/B' 6'-II V4' __ ----------------------- m ' a B c - s- : A l L. ___________________ _ _______ __________-_____ _ Lme� _m8'ap„oe ELEVATOR oy WRO. TOM 4J __ ______ ________ ___ __: FOOTIN5FROST WALL ON .. _ Vc(j< r_ _m O- ELEVATOR HPRG.W.INL' ^m cm cm=`e?r S +. CONTRA ORINSTLOORD. __________ ____ m •>--a g'. YVMFR.FOR INSTALL 4'LMU$XELF FOR 18-0 -o i3 o Q nu <<m t o GUIDELINE5/1N5TRULTIONS B'DNA.GONG.1L9E5 STONE VENEER ON 24'516FOCT FIGS. 26'WIDE FT6. j T-b H-O 4 3 54 45 O FRD5T WALL ON 4'-6' 4•-3 3/4'•/- 2 3`2_-a- _c`T c n-n 5'V IT-6' I 15'-b' Ia'd B'9 3/4• _________ F0.NPATION 6EHERAL NOTES: ' STRUCTURAL FOUNDATIONNOTE5 ONI/2'1Lv%EPLYWOOD " -FI HE16W CONCRETE WALLS TO BE -SILLS TO BE(2)2Xe I,'R 95M TREATED)W•LB'X12' -TAroELTIONS OF FALL HEI FO•HPATION 2x6 5ND5 116,O L. . _____________________________________________________ + b'THICK ON 24'X12-LONTIWOI CONCRETE 6ALVANIZED STEEL AIK,NOR BOLT504'-0'04 MIN.Mm HAILS O FRO5—LL5 TO BE 5EA,RED W R-IV FG.IN5lAT10X N I_____________ FOOTING W KEY:PROVIDE 2 RO OF 5 12'FROM CORNERS.EDLTS SHALL ENEA6E BOTH KEY(CAST FROM 2X4) In'SYP BOARD V) REBAR 1 TOP L BOTTOM OF WALL.HULL RATES AND BE FASTENED W 3'X3'RATE YIASIERS, -NO FOOTING TO BE PEALED IN 2 V P.i.SILL Vro S HEISHT TO BE APPROX.l'-IO./•(REFER TO THERE SHALL BE A MW.OF 2 BOLTS PER SILL.WASHER WATER OR FROZEN 501L W V2'ANCHOR BOLTS• O N C SELTIONS FOR WALL HE16HT5) TO ST ON LPPER SILL, _CONCRETE STRENbTH MN FL•3DO0 PSI 6'-0'OL.MP) AL`N -LONLRETE FR05T WALLS TO BE 10'THICKro AT 20 DAYS V!Li.. ON 24•XI2'NNFSS NOTEDI LOMINtgf •GARAGE 9LAB5 TO BE 4•WO RETE 11BLOLKING SETHEEN (3500 P511 ON W HELII6RADEO GRAVEL -ALL REINFORLIN6 BEAM5 TO BE ASTM A615. FLOOR JOISTS LONG.FASTING W KEY(HI61W OF WYL I I SLOPED MAXDIIY DENSITY;5LAB &RADE W.DEFORMED BARS ( I L C i0 BE BASED ON GRADE CONDITIONS 4'-0' TO BQ SLOPED APPW:%.3'OOIW TO 9/4'il6 PLYWOOD ON /A��� ro MIN.FROM FIN.GRADE TO BOTTOM OF FOOTING/ OVERHHEAD OOOR5 I} -CLEAR LOVER FOR REINFORCING i0 BE B. O 1/B'AJ'r20 FILAR W (isV) (2)+5 REBAR AT TOP ON_Y, TOE O BOTT0M5 OF FOOTINGS(LAST A6AR6T -IO15TS 116,OL. M �1(� R-13 F6.INSULATION LLB -BASEMENT 9LAS5 TO SE 4'CONCRETE -CELLAR SASHES TO BE ANDERSEN 12811 EARTH)AND 2'AT SIDE5 OF FOOTINSS OR QJ (� [C (290 SERIES)RD.•2'-b S/B'X V-1 V4• WALLS. TOP OF FOUXUATIAN WALL �ONON 6 M VAPOR BARBER WIRE L C� -SEE STRLGTVRAL GENERAL NOTES A IINEXLAVATED� COMPACTED T0O q5%HAX�MYpENSItt } - AND TYPICAL DETAIL$FOR OTHER u. O/ O A l REOUREMENT5 y. C ]. IN I-SlEEREP Rip IONS ELOEfZAL �ce .11 U. ltmmmm O LL .Q Y DRAWNG5. I COLUMN/POST FOOTING SCHEDULE II 2%4 Pi SILLIt r v / MARK DIMENSION$ REINFORCING REMARKS , II. W I/2'ANLMDR BOL156 DROP TOP OF I L I/2'TO L AIR SPACE WALL AT ODORS 2'-&'X12'TMK UNREINFORLED lb8 -0.MAX S Ih' i I{2• 2 ROWS N4 REBH.R e P-1 AT tOP AND BOTTOM F-2 3'-O'X3'-O'z12'THK •4 s 12'O.L.BOT EA HNAY 15.500 LBS.MAX Il I�Lam FOLND job no.: Io12 \ I WALL ON NTH C-LONE, FOOTING WITH KEY date 2l AUGUST 1010 BASEMENT SCABS TO BE 4• i CONCRETE(3000 P51)ON . 6 WL.VAPOR BARRIER OVER Scale AS NOTED b'WELL-GRADED GRAVEL LOMPAGTED i0 95'MAx. ' DRY DENSItt drawn: KMW,JLW e TOP OF FOOTING ' FOUNDATION FLAN ! rev. ,-6•______ �_-�:_ _. SCALE, 1/4' rt 1 O I 75 O HAUNGHE0 FOUNDATION DETAIL(TYPJ A 1 o I _ A-b ISSUED FOR REIAEWI Bnc I of 11 }} f 44 O' 5'-O I/4' 6'-O' 4'-O' i'-10' IP'a' O'FROST WALL ON e N - OOTINIS "N7 4•-O' ._ ____________________________ ____________________________ " 10 M 6"SLAB WMN V PCNCHED EDGES ON 6'C N RfJ@D STONE BASE --LNE%LAIATED •p - ` m ._ ---------------_______________ ___!_--!__________ __ - O __ __ ____ _______________________________________________ ______ ______________ ____________________ ________________________________________ ___ _ __ _ ___________ ___ ___ ___ L Y U AS MOJIRBP POCKET ,--- . 5 REWIRED I m Ib'-W 31 15.6 V2' m, I 14'-10 3/4' 4 6' CELLAR SA5N m DROTOP OF W LL 11 1/8' N ' 4 xP.T.SILL AT NPINCHED LWEfLAVATEDJ 2.P.T.5ILL TV ANCHOR .___ -___, ____J____'. W4LL(SEE DET.3/A-11)1'V R - �ANCHOR Q �^ �Ab BOLT9 0 b'-0'OL.MIN.+12' BOLTS 6 6-0'OL.MIN.1 12• FROM CORNERS TYPICAL 1 FROM CORNERS TYPICAL G •. i "N.o)BOLTS PER SLL p e i MN.(2)BOLTS PER SILL A_b I e" 4 I _ o BASEMENT :.I ---"---' - --------'-----"- ; 9 ------- ------- , , , , , CELLAR SASH O'CONCRETEWALL ---------v ; 2a• I]'LONLREre F . WTING YU KEY DROP SLAB 10-OELEV.PIT; - PROVIDE a•.w.SLAB _ ; W/DRAIN OR SURF PUMP IH L 1 - - h I i h REAM POCKET Q '•r O l b _ . DROP TOP OF WALL II 1/B' ___ _ _ 5 REWIRED 2%4 P.T.SILL AT NA WALL(SEE PET.1/A-1)U W 1V ANCHOR P4.2x6 WALL I I m l BE5 RE FROM Q OPENING IN BWTS66'-0'OL.MIN I t2' 1 FRAMIHS - FROM CORNERS 1YPILAL _ A F�FOUNDAATION ' MIN.f2)BOLTS PER SILL ' B ' I BEAM POCKET I _ __ _ -__________ _____----_ _ F - r _ ACCESS ---------- 4'-61/2" l'- AS REWIRED l_ , r LELLAR SASH , BE POCKET ELEVAtOfi �_ _____________________________________________ AS REWIRED ; , , - --- ; AIR a'-0'MIN. FROM 10 r-LP�XLAVATEO- BOTTOM OFDFOOiiN6 BEAM ,R � 8'-23/B' 0'-23/B' b'-11 U4• ♦ __ _____________________________________i q i --------------- m ' <`:I W"FROST WALL ON I. _-_<8'{_'• ELEVATOR BY'CUSTOM __ ____ __ ____ _. FOOr1N6 ._ �U< _4�;a ELEVATOR NFR6.W.INCH 4 r ^t;1"T e,m S CONTRACTOR TO LOORD. ________________ �a WMFR.FOR INSTALL 6UIDELINEWIN5TRULTION5 4'LMU 5NELF FOR - B'DA.CONC.TUBES STONE VENEER +. >�• ^a to o ON 24'B16FOOT FIGS. 26'PUoe ITS. _ <o�Sa- L9.. _ d! p28 Q O'FROST WALL ON 4'q' 3/4- - aa; _ f FOOTING e-aN-E'�v w-o X IT-6- IS'-6' Ia-p' B'A 3/4'•/- ...............1 _________________________I__i - TMI LIKNT CONCRETE WALLS TO BE -SILLS iO Be(211%6 IF 5T'RL'CTURAL FOUNDATION NOTES • 4'.Ip _________. ________________________ - W' ON 24'A2'COMINLW CONCRETE 6ALVAWZEO STEEL ANCHOR DOLTS 9Ti'-0'OL.MIN.AND i yLC 5 ON IrSHINCox GLERYWOOD ♦ -CONNECTIONS OF FILL HEIGHT FO NDATION 2%b 5Np`O 16'O.L. ✓ELLS TO FROM 2X4)S i0 BE SECURED WI 1/2,Fb. ; _____________ ; FOOTING PV KEY:PROVIDE 2 ROY15 W g •12'FROM CORNERS BOLTS SMALL ENGAbE BOTH KEY(CAST FROM 2%41 I/2'bYP BOARD REBAR 6 TOP 1 BOTTOM OF P.i.WALL.WALL PLATES AND BE FASTENED W/3'%3'RATE WASNE R RE. -NO FOOTING TO BE ACED IN 2.. SILL V (O S HEIGHT TO BE AP X.T'-10'•/-(REFER TO THERE$HALL BE A MX OF 2 BOLTS PER SILL.WASHER WATER OR FROZEN SOIL NV2'ANCHOR BOLTS SECTIONS FOR WALL NE16NT5) TO 511 ON UPPER SILL. 3. -CONCRETE 51RE".MN Ft=3000 P51 BLOCKING BETWEEN __V -CONCRETE FROST WALLS TO BE 10'}NICK T 28 DAYS 11 1/8'A 20 ON 24'XI2'M SS NOTED)LO Rof -GARAGE SLABS TO BE 4'CONCRETE �P•5 f3500 P511 ON b'vELL-GRADED GRAVEL -ALL REINFORLIN6 BEAMS TO BE A5-A615, FLOOR JOISTS CoNG.FOOTING YN/KEY(ME16MT OF PIAM cow,TO R5%MAXDRf DENSITY:SLAB GRADE W.DEFORMED BARS TO BE BASED ON bRADE CONDITIONS 4'-O' TO BE SLOPED APPROX.3'OOVN TO 3/4'TIG PLYWOOD ON /^�` MN FROM FIN.GRAPE TO BOTTOM 01'FOOTiN6/ OVEtWEAD DOORS 11 T/B'A1>20 FLOOR W N O (2)5 REBAR AT TpP OILY. -rLEAR COVER FOR REINFORLIN6 TO BE 3• 11 Ilb-O 6.OL. O B01YON•e OF FOOTINGS(LAST AGAINST R-13 Fb.INSLI-ATION }r _ -LELLAR SA5HE5 TO BE ANDERSEN'@81T EARTH)AND 2'AT 51pE5 OF FOOTINGS OR (� BASEMENT SLABS i0 BE 4'CONCRETE (200 SERIES)RD.•2'-8°.✓B•X I'-1 U4• WALL5. LOP OF FOUNDATION HALL riQOONS)W ♦P6 OARRIER WIRE O •'� //�/ OVER 0'YELLfiRADEp GRAVEL -SEE STRLGTLPtPL GENERAL NOTES \ A% INE%CAVArep-/ LONPACreD i0 45%MAX.DRY DENEHTY AND TYPICAL DETAIL5 FOR OTHER IA NTS 'A_l REEL CO -AM LL ST 5YEEL LOME ADE LTI016 WELDED GR C O CY IN FIELD.REFER TO GTRI.GTURm&= T AL I fl DRAWINGS. II O r 0 COLUMN/POST FOOTING SCHEDULE II 2X4 P,T.SILL V HARK DIMENSIONS REINFORCING REMARK5 , II. 6O/2o'LV.L(NCR�LT5 DROP TOP OF r I/2'TO I'AIR SPACE WALL AT DOORS F•I 2'-b'X12'THK UNREINFORCEO� 1,800 LEs$.MA% S I/Y 4 IT- 2AT TOP ROWS 14 REBAR AND BOTTOM _ P-2 B'-O'X3'-O'%12'THK •4 0 12'.O.C.BOT EA WAY 13,E •LET$.MAX Il OF FNDTM'WALL Io-CONCRETE FOMD job no.: 1012 WALL ON 14'XI_'CONE. FOOTING WITH KEY date 29 AUGUST 2010 BASEMENT SLABS TO BE 4- LOHLREre 130M P511 p11 b ML.VAPOR BARRIER AVER sfzle AS NOTED \ b'YELL-GRADED GRAVEL LOM ACTED TOR'MA%. , r '. a PRY DENFNtt MW,JLW , yawn K !"---"-'"-----"""------- \�' 7 TOP OF FOOTING .4. Lf rev. F O U N D AT I ON P L AN '----" rev. -----"---"-""-------- - ------ ---'------""'""-----" ---" - ' - " V'.b ]'-2' - 5 C A L E 1/4' 1'-0' G n . O Imo A- 1 o HAUNGHED FOUNDATION DETAIL(TYP) o .I. r A-b ISSUED FOR REVIEW snt I of I I m p ]o T 6 AFb Eo E 5'-5 3/4' t'.O' S'-0I/a' 6'-O' 0'•O 4.10" 1n'a• O'FROST WALL ON N v FOOTING _ 4'_Ip 4'-0' b'-0' o v _f0 ._ ________ L 6"5LA3 WMN•NLNED .__" .___________________ _________________ _ _ . EDGES ON 6'CRLSFIEp _ o y storE BASE r i -------------------------------- /�WE%LAVATEDJ aj -6 L r i s o i i i m ' .� .. - --------'-----" --'-'-"-"---".-...._ _______________ ___-___2______ < .. - ` . -_- ...-..-.__.._-_-_.---....---_-....--__----__ ._._-....... B ___�__ __._ _ - O ;___ e`\.__________________________________________ ___ I I `BE POCKET r , A$ E RED __ _ __ _____ � I�PM POCKET W ;____ ______________ _ _ _ _ U 8 V'P' IIn' AS REWIRED 4'•10 3/4' 4 1j' V1' m , r m I i m u r w C � CELLAR SASH ' ' r DROP TOP OF HALL 11 T/8' 4 Q7 1X4 P.T.SILL AT NAUNCNED XCAVAIED� 1/. P.T.SILL o.T.ANCHOR ____r ____ ____ _� 3 - a 1 I, �___ ____ __ - HALL(SEE MT.3/A-111 W ANCHOR ,�I � /�WVE V W <A1 FROM LORNER5 TYPICAL i] BOLT CORNERS11 ir ' ; WN.(Z)BOLTS PER SILL q WN.(]l.BOLTS PER SILL Ico r r r K m BASEMENT __.------ --'-------- . r r ' i 1 - ------------ m l �I o CELLAR SASH i � O'LONCREreYW.L v � , ; ___ ______._________________________ -- ON 24'X U'CONCRETE —Y - L FOOTING W KEY DROP SLAG 10'OELEV.PIT: N...' �___ _-_PROVIDE 4'MIN SLAB l__-_. _____ ________ AS F-XEo O WDRAIN OR 51.t-tP g1MP IH L I __ _ Q ` DROP TOP OF WALL II l/B' 1X P.T.SILL AT A-I)WED ' WALL(SEE DtT.I/A-I)W ANCHOR P4]%6 BALL F I I£ BOLTS 0 6'-0'O L.MIN N 11' FRAMING S' - EEAM POCKET r r FROM CORNERS TYPICAL O T k -(1)BOLTS PER SILL _ _ _____ ______ _ ________ _ _____ _______ FOR ACCESS 45 REWIRED r. I CELLAR SASH ' . _ _____ _ _____ __ __ _ __BEAM PCLKET ELEVATOR _____________________________________ _� AS REWIRED ___ ___ MAINTAINM MIN: FROM GRADE TO r i - --- i-i6EXCAVATFD� BOTTOM OF FOOiiNS e'-]3/8' 6'-11 V4• Y ♦ ____________________ ________________________ 9 b ELEVATOR BY"CUSTOM __ ______ _ FOOTI�TWALL ON ' ELEVATOR 1 FRG.CO.INL' C . LOHTRALTOR TO COORD, ELEVATOR INSTALL _______________ 6UIPELIIES/INSTRmnosS 4'LWI SIELF FOR B'V.A.CONIC.TLBES STONE VENEER g _ ON 14'916FOOT FTOS, u O'FROST WALLON T-6 84 4-3 5-0 4'i' 4'-b' a•-33/4'./• u�_- -c�`e c-. STRULTURµ FOVNDATON NOTES Y(� 5 . ________________ __________i ___•_ ' -O TIDHEIGGT TO SE CONCRETE SILLS TOBE(STEEL ON I�ILDX016' - FOOTINS WKEY;PROVIDE 3 ROM W 5 0 O'FROM CORNERS.BOLTS TREATEDI W Y8'XI1' -LONNELTIONS OF F14L NEIbHi FOUNDATION 1X6 STUDS•16'O.L..________________________ -'- vEY IC 5 FRO 2.4) TO BE SEG.RED W R-IA Fb.INFiI.1.AT10N ^` AVLF1pft BOLTS 0 4'-0'OL.NIN.AND KEN'(LAST FROM]%4) In'GYP BOARD W E D W SNALI.ENGAGE BOTH REBAR 0 TOP.BOTTOM OF WALL.WPLL THERE AND BE FASTENED W BOLTS RATE WASHERS. -NA FOOTING TO BE SOKED.IN 1xb P.T.SILL V '� HEIGHT TO BE FOR H t'-10-•/-(REFER TO 1lERE SHALL BE A HW.W 1 BOLTS PER SILL.WASHER WATER OR FROZEN SOIL W V]'ANCHOR BOLTS 0 QJ SFLTIOS FOR WALL IEI6M5/ TO 51T ON UPPER SILL. 6'-0'OG.(xPJ //LL� O to C -CONCRETE STRENGTH W N F'C=3DaD F51 W (� AT 18 DAYS 11 t/8'AJS-10 -CON;RE12 FROST WALLS) BE IO'MILK _6ARA6E SLABS TO BE a'LONLRt�E BLOCKING BETWEEN V rF ON 1a•XI]'OM.E55 NOTEDI LOMilygr' (8300 p51/ON 6'YELL•GRADED GRAVEL -ALL REINFORLINfi BEAMS i0 BE ASM A6t5, FLOOR JOISTS CONC.FOOTINS W KEY 8E16NT OF BALL COMP.TO PS%MAX VRY DENSITY;5LAS 6RADE 60,DEFORMED BARS 3/4'iN b RYN'rpp ON N L b O 8E BASED ON GRADE CONDITIONS 4'-0' TO BE SLOPED APPROX.5'DOWN TO W) FROM FIN.GRADE TO BOTTOM OF FOOTINb! OVERHEAD 00-5 1 T/8'AJS10 FLOOR W N O (11`5 REBAR AT TOP OILY, -LIEAR N:OVER FOR REINFORLINi TO 3' — Fb.INSULATION TO BOTTOM-OF FOOTINS5(LAST AGAINST Ja5T5 0 16'OL -BASEIHEM SLABS TO BE 4-CONCRETE -CELLAR SASHES TO BE ANDERMN`1811 EARTH)AND]-AT SIDES OF F00T1NES OR L C �I GOOD P5U W WYa 6M..'—A MRE (]00 SERIES)R.O..1'•e 5/8'X V-t 14" Wµls. TOP OF FOUNDATION WALL C // MESH ON 6 ML VAPOR BARRIER -SEE STRUCTNW.GENERAL NDreS UNEXCAVA.-+ OVER b'FELL-GRADED GRAVEL AND TYPICAL DETAILS FOR OTHER L O A —ACTED To 95$MAX.DRY DENSITY r O REOIAREMEMS A-, -ALL SEEL LONNELTIONS GELDED GRADE O IL "EL D.REFER TO STRILTIfitAL T N Q - NCfi 11 O O COWMWPOST FOOTING SCHEDULE 11 1X4 P.T.SILL MARK 4. Jr fi-0nOLA pj BOLTS0 DROP TOPW DIMENSIONS REINFORCING REMARKS ,�8 II� BALL AT DOOR5 F-1 ]'-b'%13'-K UNREINFORLED T,BOO LOS.MAX 1n•TO I'A.SPACE 5 Ih' 4 61 1 ROWS`4 REBAR AT TOP AND TTOd \\ P.] 9'-O"%9'-O'xl1'THK o4®IO.O.L.BOT EA iVAY 19.'vt70 CBS.MAX n OF FNOTH.WALL \ 4 o wuLREre Farm. lob no.: 101� WALL ON 14•XI-•LONG, FOOTING MM KEY date 11 AUbUST 0010 BASEMENT SLABS TO BE a' CONCRETE 13OOD P9U ON scale 6 WL.VAPOR BARRIER OVER AS NOTED 6'N%L-GRADED GRAVEL CqlE0 O 9'MAX. ORY DENSItt drawn KMW JLW o, o , .-_ -------------------- ________ _________`_____------------_---. ; TOP OF FOOTING F fBV. OUNDATION PLAN R` o "-;.. 6' SCALE. I/i' . I-O" C 6 O HAIN A- 1 15 , o D FOUNDATION DETAIL(TYPj o m q-b ISSUED FOR EVIEWI 9bt I of it F o' Is•4' 13'-413/16- V N O'FR05T WALL ON S'-531<• 1'1' S'-OI/a• b'-O' 4'•p' i'•Ip' M'a• FOOTW6 a'-10' 4'1' w ._ _____ ____________________ O EWES ON b'CRUSTED h--S sTONE BASE E G o to y /LNEXLAVATED—/------------ ------d m s _" --- -...._........ . ..................... ... - __ ____ ____ _ ___�__ . ________�_ t __ ____ ___ _ A ------------------------------------------------.-.-.-.-.-.-- --- G E ._--________________ ___________ __ _ _ _ _ __ y, __________ __ Q`\ Y _ _____ I I `B POCKET - •O AS OARED ._ _____ _ ____ _ _ __ {p U r TAM POCKET 5.k- �1/2- S REOUIRED e , 16'-10 3/4 I54 UY - I Il'-6' I - 4'-0 3/4- a I/1• US' o m ' m , S a CELLAR SASN r DROP TOP OF YIAu II ua. i r 2X4 P(TELL I HAfNLHEO MEXLAVATED r r i m 9 3X6 P.i.SILL W ANGXOR .-- ---' _--_ _— =—'� WALL T..3/A-11 W ANCHOR <A1 BOLTS a b'4'O.G.MIN.{12' BOLT$a b'-0'OL.WN FROM COWffR5 TYPICAL FROM CORNERS TYPICAL {= - W N.f21 BOLTS PER SILL m MIN N.f31 BOLTS PER SILL I r , e e , —' T - o - BASEMENT .. � __--_----' - -----__.-----'----- � r ; r ------------ - . I ; r o , ---------------- ' l _ CELLAR SASH O'GONGRETE WKL � � _______._ ON 24'X 12'CONCRETE c ; - FOOTING w KEY DROP UB Ip'eELEV PIT:. ; ; L III • , PROVI SDE d'MIN.SLAB 1- ----1---- -- ------ ---------- �WmRA1N OR 5le-P PUMP IN G f I _ 4 __ S R POCKET I DROP TOP OF WALL N T/B' __ _ � A5 REWIRED 3X4 P.T.SILL AT A-,)m p ' •' ii ' WALL(SEE DET.I/A-U.,ANCHOR P.T.11 WALL BOLTS a 6'-0'O.G.WN,/IY O FF--I S• I = BEAM POCKET OPENING IN - - ' MINA.(y BOLT$PER SILL - AS REWIRED a a , EX. AO Se W ' I BEAM POCKET I 'i ______ _____________ _ _------------ __________ _ FOR ACCESS �� 4 r AS REQUIRED r II -- l- r m • CELLAR SASH ' � c I - �- � . - _ _______ _____ ____ --------------- BEAM t r r POCKET ELEVATOR ------------------------------------------------ AS REWIRED ` ; Q , r - --- / MAINTAIN M MIN. .________ _// BOTTOM OW- �--OEXGAVATED � FOOTING yBEAM 4 _ __ __ _ ____ - • b'-11 Us• � - r f ' Q B f - r - -- e�E ,•t _, ; - - ---- _------ --- -- w'FRoSr WALL W ELEVATOR MF-CUSTOM i _ _ a FOOTING ELEVATORMFR6.c' ' . CORTRAGTOR TO W1{ _ __ m u •°Ou FR FOR INSTALL ------------ 1B'-0' gym= - OUIpELINES/INSTRUCTIONS a'GWI SHELF FOR '- u3 nv'6'u- _ B'DIA.CONS $TONE VEIEER • - < ON 24'BI6FOOTDDT FIGS. F 28'O'WpE ��uc• :T FR05 WALL L ON 1G B-0 a_3 5'-0' a'-b- 4'-33/4' tiq _=LSoS+i � G `3e - _ - -TIN _ I4'-0' - I .- ..... _______ _____ _ __ ______ ________ _ __ _______ - WL 5N 5 - 4'b• --" - FQINDATNJN GENERAL NOTES: STRUCTURAL FOUFIDATION NOTES OTI I/2'INGXEPLYYIpOD - ... f ' - -FULL NE16M CONCRETE WALL5 TO BE -SILLS TO BE(2)2X6!PRE55URE TREATED)W 5/B'X11' -F CTION5 OF FIA-L HEIGHT FOIMDATION - 2RX6 5TUDS a 16,O.G. ._____________________________________________________r__________ , 10'TWLK ON 24-X12'LDNTINJON-CONCRETE bALVANIZEp STEEL AVGHpR BpLTSe a'-0'OL.MRI.AFm MALLSKEY TO PROM�j5 TO BE 5EO.REDw /296YP. TIW ITT FOOTING W K OWS KEY:PROVIDE 2 R OF•5 12'FROM CORNERS:BOLT5 SHALL ENGAGE BOTH _ }r REBAR a TOP{BOTTOM OF WALL.WALL PLATES AND BE FASTENED W 3'X3'PLATE WAYERS. -NO FOOTING TO BE P—ED IN 2X6 P.T SILL /V ITS M"r - NE16HT TO BE APPROX.1'-10-•/-(REFER TO TNERE SHALL BE A MIN.OF 2 DOLTS PER SILL.WASHER WATER OR FROZEN SOIL 6 �ANLI mgR,BOLTS TO SIT ON LPPER a /Y O N C SECTIONS FOR WALL MEkaMf51 51LL., -(gI.ILRETE STREIKTN MIN F'G=3000 P51 W (� i 2B DAYS 11 1/B'AJS-20 -CONCRETE FROST WALLS TO BE 10'TYLK .GARAGE SLABS TO BE 4'LOIGRETE �F--� ON 24'XIY MR.E55 NOTED/(gNTINIIWf Li500 P511 W 6'MLL-GRADED GRAVEL -ALL REINFORCING BEAMS i0 BE A51M A615, FLOOR-1515�EN Vr^.�� Cl- LONL.FOOTING W KEY(NEI&K OF WALL GOI-P,TO 9%MAXDRY DENSITY;9LAD GRAPE W.DEFMAP BAR5 - L l L TO BE BASED ON bRAOE CONOnIONS 4'-O' TO BE SLOPED A➢PROX.5'POYIN TO 3/4'i{G PLYWOOD ON ^` WN FROM FIN.GRAPE TO BOTTOM oP FOOTING/ OVERHEAD. .I II l/B'AyY FL�R (21•5 REBAR AT TOP ONLY. .. -CLEAR COVER FOR REINFORCING TO BE T JM5T5 a 16-OL. �1 TO BOTTOMS OF FOOTINGS(LAST AGAINST {It '."• R-IS Fb.IIf.ARATION -CELLAR SASHES TO BE ANDERSEN•2Bn EARTIU ANp 2'AT S MS OF FOOTINGS OR -MOOD, SLABS i0 BE 4' .1.4 TE (200 SERIES)RO.v 1'-B 5/B'%I'-1 I/4• WALLS. TOP OF FOUNDATION WA1 MESH PSI)W WYW b%b W{XWL4 WRE O C MESH S.b MIL.VAPOR BARRIER -SEE 5TRL'LTURAI.GENERAL NOTES \\G OVER S. vELLGRADED GRAVEL AND TYPICAL PETAiL5 FOR OTHER Il /�-•• O A Lw-"ATED� COMPACTED TO 95%MAX.DRY DENSITY REWIREM£NTS A', •ALL STEEL(gNNEGTIONS WELDED GRADE "� C U- T, INFIELD.10 TO STWLTVRAL - 11 O T--• O Y LOIJJMWPOST FOOTING SLHEWLE - II 2X4 P.T.SILL II �-0Igo�BOLTSe MARK DIMENSIONS REINFORCING REMARK5 II� TOP OP WALL AT DOpRS F_I 2'-6"X 12-TMK UNREINFORLED IAC0 LEIS.MAX VY TO I'AIR SPADE 5 1h' ROWS•a REBAR AT TOP AND BOTTOM _ F-2 3'-O-X3'-O'XI3'THK -<O 13'O.G.E10T EA WAY 13,500 CBS,MAX OF FNDTN.WALL - D o'CONCRETE FaTro, lob no.: 1o12 WALL ON 24'XI_'LONL. FOOTING WTN KEY date 21 AU61f T 2010 BASEMENT SLABS TO BE I \ CONCRETE(3000 P511 ON 6 WL.VAPOR BARRIER OVER Scale AS NOTED 6'WELLGRADED(�RAVEL COMPACTED To RS'MAx, PRY DENSITY drawn: KMW,.1W a, e ----------------------- TOP OF FOOTING ... rev. i FOUNDATION PLAN ------------ rev. b' 1'-T 5G ALE r 1/4• v 1-0-. A- 1 o ro HAVNGHED FOUNDATION DETAIL lTi'r'J o D I� m A-b ISSUED FOR REVIEW Bnt I of I I N R� ui 5' -5 3/a• l'-0' 9'-O 1/4' b'-O' 4'-O' 9'-10' w'4' F0p,,Ns WALL ON TW6 4'-10' H� O ♦ In _v r�V b'SLAB W cRI,5ED .________________________ __----------------------- EOSEs ON 1 LRf� _ STONE BASE NED AEb ' G • �LNEXGAVATED� .Q - � - V / M • A g 'f ♦ m I I I ♦ 9 H m ' I r -------------- ------------- O O Y POCKET A5 EOUIRED ___ ____________ _______________ 40 U I�AM POCKET _ � Q 5 1& f In' S RFg11RED � � I le'•fO 3/4• IS'e I/2' I FI'-6' I @ 03/4• 4I/�' , m ' 14'- • CELLAR SASH m i DROP TOP OF F1ALL 11 l/0' - Q7 2X4 PT. AT HAUNGHED DIME XGAvniEDJ WALL E DEi. A-IIJ W ANCHOR - _6 , i in I 212X6 P.T.SILLWANLNOR r___ __-_, ____�___. � ' Q � w G BOLTS O RNER OL.MIN.1 12' 1 A-b FROM LOWERS TCPILK I BOLTS O RNEI OL.I N.1 12' — wN.(2/BOLTS PER SILL FROM CORNER$TYPICAL L/ , , Q � N.f]1 BOLTS PER SILL "e . Ab ---------' ------------------- , BASEMENT � , , SASH 'coNCRETe WALL � --- -------------------------------- CELLAR , OR 2P%IT LONCREre . , , FOOTING WKEY DROP SLAB IO'OELEV. PROVIDE 4'MIN.SLAB �- ---- ---' -- --` --------------------------- 2X4 •� ♦ V YI/DRAIN OR SIMP Fvrm lNc - ' P ' PROP rpp OF PALL II VB' r_-_ ____i �SRE-REDT P.T.SILL AT HAUNLIED WALL(5EE M.1/A-U TV ANCHOR BEAM PGLICET ii BOLLS O e'-0.OL.wN. IY o FRAMI- S' I I< a �' I EX.FON7811AGTI ION FROM CORNERS TYPICAL AS REONRED '�' 4 la Q a MIN.(2)BWr5 PER 51LL '_-_�____. c / BEAM POCKET - FOR ACCESS c M 4 AS REWIRED I I ___I______ _ ___-_______. Da*l [� ______ ___ ____t_ _ ___ -___ _ --------- CELLAR ____ SASH i __ - ' - - t ♦ . Q ', BE PCLKEi ELEVATOR _______ _ _ ____________________________________ __ AS REWIRED _ ._ _ r r i TO_____ _ �--UEXCAVATED� BOTTOM OF FOOi1N5 e'•13/B' q _ __ ___ ____ ________ U9' t , 0 'Q r ____ _ _LO - _7-- ____ -___-__ FOO,INST WALL ON 1, Gov .ELEVATOR BY•L45TOM -- __ _ ___ __. FOOTINGs9V< --+ ^ ELEVATOR MFR6.COOING.' - _ S CONTRACTOR iO LCORD. - _______________. m -, _ �o'�a ^mo I VMPR.FOR INSTALL c ` WIOELINE5/INSTRLLTIONS 4'LHU SHELF FOR ^3 ov�"N ep B'24'LONG.TT FT - STOLE VENEER - _ - =<a e QJ 29'B16FOOi Fi65. - .. _ B�• - '^° - m _ F 3B'WIDE Fib. pF?s O'FROST WALL OH 1'-b' H'-D' 4'-3' S'-0' 4'4' 4•-b' '-3 3/4'./- _ FOOTING uD. )'-b•' 5'-0' B'-0' 1l'-6' 15'-0• 14'-0- B'-9 3/9'•/- - - -__ ________________________________ .. F O"ATION GENERAL NOTES STRUCTURAL FOLMOATION NOTE5 y(L Spy 5 -- ♦ O TOP BOTTOM OF WALL.WALL ELATES AND BE FASTENED ON I/7'GD%6YW000 -FLLL IEI6H(CONLREre WALLS TO BE SILLS TO BE(21 2X6 RRESSL4E TREATED)W 5/B'XI2' •LONNEGilONS OF FALL HEIbNT FONIDATION 2X6 5TUD51 I'O.L. ____ _____-_ _ _ WALLS TO FROSTHIALLS TO BE 51S U W R-14 F 6.INSLLATION ------- I_ i 0'THICK ON 24'X 1'LONTINOU'CONCRETE 6µVAMZED STEEL PNL110R BOLTS O 4'-0.OL.MIN.AIA FOOTING W KEY PROVIDE 2 ROH S OF 5 •2•FROM LORIER5.DOLTS SHALL ENGAGE BOTH KEY(CAST FROM 2X4) Ia,6YP BOARD W (A REBAR L TENED W 3•X5-PLATE WASTERS. -NO FOOTING TO BE RAGED IN 2x6 P.T.SILL S HEI6M TO BE APPROX.T-10'•/-(REFER i0 THERE SHALL BE A MPL OF 2 BOLTS PER SILL.WASTER ✓LITER OR FROZEN SOIL W V2'ANGIOR BOL 15 O C Q N SELTN2H5 FOR WALL IE16NT5/ t0 SIT ON LPPER SILL, 6'-0'OG.lttPJ (n C -coreREre STRENGTH WN FL.3D00 PSI /� CONCRETE FROST WALLS TO BE 10-TWGK AT 28 OATS II l/B'A 20 TW1 GARAGE$LAB$TO BE 4'CONCRETE BLOCKING BETT•EEN V_T ON 24'XI2•RRSESS NOTED)fONTIN1UV5 ,.P517 ON b'YELL-GRADED GRAVEL -µL REINFORGIH6 DEAMS i0 BE ASTM AHIS, FLOOR DISTS I� V U LONC.FOOTINS W KEY 8E16TR OF WALL COMP,TO PSA—DRY DENSITY;SLAB GRADE 1.DEFORMED BARS y♦ L • EASED wN.TO�FRpS FIN GR p�TO BOTTOM W`-0* TO BE SLOPED AFPROX.B•DOFN TO 3/4'T/6 PLYWOOD ON AF f21 5 REBAR At TOP OILY. OVERHEAD DOORS ;. -CLEAR LOVER FOR REIWORLIN6 TO BE 3' I.IO1I/S85 i m?OOL� O BOTTOFS OF FOOYHS5(LAST A6A11laT R-19 Fb.IIEN-ATION L.I. (n }•-CELLAR SASHES TO BE AHpERSEN•2BW EARTNI AND 2-AT SIDES OF FWrN65 OR CO-BASEMENT 5LAB5 TO BE 4-CONCRETE (200 SERIES)RO.•Y-B Wb-X 1'-1 14• WALLS. TOP OF FOI ATION WALL C)OOO PSU W WWN 6X0 W.-IA MRIE MESH ON a MIL.VAPOR BARRIER SEE STWGTURAL 6ENERµ NOTES O G. //�/ OVER W FELL-GRADED 6RAVEL AND ttPILµ pETAILS FOR OTHER IF I�tE)tLAVATEDJ O A COMPACTED TO 95%MAX.DRY DENSITY 1 REWIREMENT5 A, ALL STEEL GONNEGTIONS WELDED GRADE „� O 7 LL IN FIELD.REFER TO STI, AL Q Q DRAWNCla. II Q 0 II ry CALUMWPOST FOOTING SGNEWLE � 11� 2Xa p.T.SILL MARK b'-0?O BOLTS DIMENSION$ REINFORGIMI{5-. REMARKS ,L6 II. DROP TOP OP WALL AT LOURS F-I 3'-6'%12'TNK UNREINFORGED TQOO CBS.MAX `2 R rIS-AIR S TR 5 II2' 4 1{2^ 2 ROWS•4 REMR AT TOP AND BOTTOM F'2 3'-O"X3'-O'X12'THK o4®12"O.G.BOT EA WAY 13.500 CBS.MAx OF PNOTH,WALL N job no.: IOI2 IO'LONN 2 2' I WALL NS 24'XI_'LONG, \ FOOTING WIM KEY date 2l AU61f T 2010 \ '' BASEME NT XABS t0 BE 4' \ 1 -W OR BARREER OVER BCaIB AS NOTED b'¢LL-GRADE (aRAVEL OR P D TO" MAX. ------------------ rev. FOUNDATI ON PLAN a` d n . A_ 1 o O HAUNGHED FOUNDATION DETAIL t'TYPJ m A6 I II ISSUED FOR REVIEW Bnt i of i t it Fttt� DIRECTIONS: ZONE. RF (RPOD) From Hyannis - Take Route 28 towards Cotuit; (min.) Take a left onto Putnam Avenue at a set of lights, �• � Area min. 87,120 SF Fronta a (min) 150' and follow to the end; Take a left onto Main - Width (min) NA Street, and follow to the end; Continue straight Setbacks: onto Vineyard Road, i is on the left 110. o d Site Y � Fron t 30' Jfi'Ya` µ, Side 15' Rear 15 uY tt 4�4T„; h �` ,, acy g. �,)cfe ,� sty' a ycrers• OVERLAY DISTRICTS: - -J ,rv, . :., Y s� stYt 5¢ -sxnv a� 4f K ra'•F F"t L"`•�i i%i t. r o" r u � ��� �t . "fir 7 h'�J�: h°u�•t'# ,�;dknj�Ro i l.t.,rt��3,��,7k ",Za} Y y��s'i�.�� ti: �,Y , L,✓ ..�1� N1 -` ' r AP - Aquifer Protection District / 1 1 ' l ► 1 ^� O � a � '• RPOD - Resource Protection Overlay District X -r ar y>< �•s � ��y-�r1LCfY f•� �l-xt k N90'00'00"E o o c^n 5" a LIB�� a• `✓ti �' S r ''atr" -, :: `. FEMA FLOOD ZONE � �. - -- 200.00 PROPOSED DRYWELL `I- --�-•- "il i 1 I / • 61 f � / + + + i 1 FOR ROOF RUNOFF (TYP.) i Zone C V11 (EL14) & V17 (EL 16) 1500 GAL. COMBINED Panel # 250001 0022 D (rev. Jury 2, 1992) .' ' - - - - - - - - - . - _ . . - /. CAPACITY REQUIRED a 333' - - • - - • - - . -^--.a- I r , LOCATION MAP N o o ,-' 3_ + + +,-+- /+ __ Cochran Pine Ridge Realty Trust / Q O I ' 1z AC unit + + +/+ "/ iJ i i' O \\ '' sto„N l ' 1"=2000'f g / Q Q ( 1 e. a ac O p +- + /+ + + y Book 8387 Page 143 • � , - • � _ + + + + i ^ 1 r Q e 1 t ASSESSORS REF.: ) z I `� v Pasty ; o Fuse BOX + + Ma 016, Parcel 020 _ I _ °----o / �, R Abutter's Garage - "' , '``o / o + r -' 0/T/O .�r/ 'r I p / N ak + r \ e � I 1 s 1 Con ere Bound .. / \ 1 N90 00'00"E I !(foupd) � al' , Q � 6 Sic) p t�p "� rrao Pole° � + ) ) �� i Waterer o e 22 g ►� O ti I ) i Q`► Jr 1 / / ' / / r cote i Hydrant \ _ 175.00 it i , r el i ' 1 / = w 7Z4' e / ~+1 oh w Paley i I % • ; ) I! i I ) i ' \ - ✓! V / i / ' / / / I ` C\ ! �// -•_- e B/ue'tone Pot/o 9 I °h 23-' �' • _. •' Awning ohW 1 y / I I Telephone .'.,.•.•..,,._. � O,rJ 1 "I 1 . .�.1 � / / l •• / / / ! // + Pedistai I h/ \ / -- e ° 13'ak , ; �: J O 1 i I 4i / Guy wire O \ f 22'' i r utility I �'`` , • `'' 1 Pore i 1 1 l i _. \ ,• - Stone Parking Area + I r I ----- _ -St --_ ,r --21- - .. `_f i + / Il �rn CO I -�.. - one �,/�e - - _. \ i 'i \ i c� .'.' / l + l p 4 r , Qo - ----- - \ i ' r :.'. 1 . I /�� I 1 IQ ``I Fuse Box -t 22 �,rO,p© ?•' o� 0 /if oil I$ I -- -_------------- - /i ei S' �F �O : ' I I ` :::::1. I 1 0 / F o °/ h / / 4 / /� / / to �.\ /�� :••' ?p" e i l i o TO and to AC unitl 0' / / ` I l 12' TH-1 F ' I r _ _ .. 1 well _ _ - `� TH-2 e \ o `J i I � � E *Ile nCd - ` i N o I ,.,• (��� ---- °oar°4 ' �j o Q -• /�- '� / / / / 1 14) 1 J O ' I W I x 1 1 2 Story i + + + /+ / ° v �I + + l r l 1 � i y Wood Dwelling PROPOSED / + �'+ '' / �1 1 +1 +3 I I l i Ir I I I o J 1 ' SEPTIC TANKZ + + �J + +i 1 o , 1 `' �-+'++ + + / / I utility I B.M. F.F.x ` PROPOSED x'Location of + + + + / 54.6' / / o 1 + + o i I ►w i" / l I 1 1 1 i Pole Existing EL 23.08 D-BOX °q yy�) j JV I I i ^►�' / I l Septic PTO n1dE eP?EMOrV fJ + + + / I + + I t I I, (#2002-e9) \ PROPOSES / + I i I , , y : / I I { PERC TEST: 12,971 1 __ S.A.S,i (6 TOTAL i / i + + l I c ! I I l 1 ' - - - - - _ - -- ----- ---- PERFORMED BYSULLIVANNG G I F ------ - ------------- --------- ---- - - . - - . -Stdeyvrd Setback (15'min) -''' . .- - . - - • - • - - • - - - - • •f •� - - - • - - . .�- . .- - . - . - - . - . -1- .+ i 1 i 1^o i 1 / + BY: suLLly ENGINEERING 1 --- - -` - - - - - 1 FINAL LOCATION 06 + I + i I ; ( 50II EVALUATOR NO.2367 Old Traveled Wayl / / / II / l 1 J 1 1 WITNESSED BY:DAVID STANTON,R.S.-TOWN OFBARNSTABLE SEPTIC COMPONENTS MAY 1 1 1 i 1 BE FIELD ADJUSTED IN i l /W ---- ------------ ------ I ------- -----'--- ----- MIN. MIN. COORDINATION W ENGINEER / + 1 � - --------------------- --- -- ----- ---- --- 10' i / / i + + I / k ( t wNE 17,xo10 !,- Concrete Bound J ! _ r I 375.00' I TO AVOID S/GNIWAN T TREES / / ' ' + + �� -1 j'f�. t i / Il / 1 I \ 20 I TEST HOLE- I EL.20.0 N90 00 00 E / / / / ! Concrete Bound und) :............. + ' I N F 8" ..URGAI�CS:....:..... 193 .............. Top of Concrete Bound Y ,i ...... .TO.iR..........:::. i � Vineyard Road Realty Trust � j •••• Elevation = 20.06'(NGVD '29) 2� N Document No. 754,513 �� ' ry OS h 4y '��` ,�") ,pry Q / I :Z IGFiE'HBQVItt�SEi...... ,\ / 1 \ ig" ::L(}AbiY`:sii:::::::::::: 18S stone '.'8 LA'YI:R'Y01'12 ne Groin \ ......... I I ` 30" UAiOAttS $`ALiI1'..'......':. 17.5 ^i C LAYER lOYR 7!4 h J 1 VERY PALE BROWN ' COARSESAND ,) - 48" PERC TEST 16.0 25 GALLONS IN 12 MIN.55 SEC. 4"� Perforated PVC See Note 6{fyp:) `L 132" PERC RATE<2 MINAN(LTAR=034) 9.0 Inspection Port W/Screw �, NOGROUNDWATERENCOUNTERM F.G EL 22.0 F.C. EL. 20.0 Cop Placed VerBcaily Down 0 Into Stone To Soll Below Flow E upfzers Accessible To Within 3" of 9 Frnshed Grade FTnt-h Grade EL 18. , - r- As Requied TEST HOLE-2 Installer To EL.20.0 Confirm Prior 1500 Gallon 3,;Max. To Any Work H-20 5 Ef, H-20 Its EL_ 17.oG 9 Min Compacted F711 meter Septic Tank .��� � D-Box 6.33 Fabric 12". ..•::.'(7RGATIIGS.'.•::::::::':.�. 19.0 H-20 And/Or DESIGN DATA - Pea stone Leaching 1/8 1/2" L:IC�ER SROw13ISH GRAY'. . ::. To Be Installed On amb TES Ch er OF SEPTIC NO P .'._.................................... _ xo" :::::::: 1g3 �V- Mq 1.Locedon of Utilities Shown on This Plan Are Appmox.At Least 72 Hours Single Family -3td a om ace use 3/4' 1 1/2' s`s9 H-20 :.i:ei'�it�iY.•s�i�ni•:.........:. Bedd,n 'rs •:::•::t;;a;:::;;::>;iiix;ixt:< ; ;: ::::: LEACHING Double Washed ...................................:$L AYBR'I0.YR 5lb -' : �� cy -6 Bedroom @ 110 GPDH g, ::.....:....::. q GN Prior W Any Bxcavation For This Project the Contractor Shell Make Stone al Notitrcation to ' Safe 1-888 3447233). No Garbage Grinder inspection Port, :':�F 'ell3pptY �i22t7#wt►,.14`'�d CHAMBER :::r:::. ELi�WLTiBRl7wt .::::::::: the Required Dig ( & Baffels •:::./......'�tH..... `.';` lti f)�;;�'�lg;;; 3,C MEbrGt)AitSE.SANfl:. .:::::. 172 0 2.The Contractor is R to Seem Permits Frain Tows Total Daily Flow-660 GPD ::::'•::: C n �� Appropaiate as Per Title 5 �p' �:;�Ixp�'.�,[♦''•'':"•"'F,;;p�:t#�+p:����; CLAYER10YR7/4 � Use a 1500 Gal Septic Tank ::':: : >:`:E::::::::::::: 4' - 10" 3 .............. .. ......... ..................................... ............. . II Agencies For Construction Defntodby This Plan. 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shell VERY PALE BROWN Be Constructed of class 150 Pressure Pipe and Shall be water Tested to LEACHING AREA r 12' 140" COARSE SAND ° Q Estimated High Groundwater 83 Assure Watertightness. In General,Water Lines Shell be Constructed is 660 GPD/0.74(LTAR)=892 SF Rape ed Per T.O.B. Groundwater Maps NO GROUNDWATER ENOOUNTERID S Di N AL��G\�`� Coordination With Cotuit Water,and Shell be in Accordance Si&%%U=2(12'+55V-2"SF DEVELOPED PROFILE OF SYSTEM CROSS SECTION OF C14AMBER With 248 CMR 1.00-7.00&310 CMR 15.00. Bottom Area=(121 x 55)=660 SF "-'- 4.A Minimum of 9"of Cover is Required for All Components. NOT TO SCALE 5.All Structures Buried Three Feet or Mare or subject 928 SF Total Provided NOT TO SCALE to vehicular Traffic w be H-20 Loading u is the Engin«>+s LEACHING CHAMBER DESIGN Recommendation that H 20 Always be Used 6.Install watertight Risers and Covers to vrobin 6"ofFinished Grade All Pipes to be Schedule 40.Use over septic Tank Inlet and Outlet,D-Box,and Two Leaching Ch-beas. 6-500 Gal.Leaching Chambers in a REVISION: Add Pere Test DO to DA TE: 06 18 10 7.Septic System to be Installed in Accordance With 310 CMR 13.00& 12'x 55'Washed Stone Field as Shown 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable NO T�S: PREPARED B Y.• PREPARED FOR: Board of Health Regulations TITLE: Site Plan 8.All Piping to be Sch.40 PVC. �+ 1.) The existing conditions survey shown was performed �a esu� John T. Connor,n Or, Jr. Q 9.D-Box Shall Have a Miaimmn Inside Dimension of 12",and a Minimum g / / / g g, Proposed Imp ro vV m enis Sunupof6". on the round on or between 25 FEB and Ol MAR 02. Sullivan En ineerin IT1C. p 10.The separation Distance Between the Septic Tank,and Tank IDIOM and PO BOX 659 7 Parker Road & Su S o n SCh o ll e Connor oudetsShall bexa Less than the LitnridDeOtu In�tTeea Shag Extend 2.) The elevations are based on NGVD '29, a fixed mean Osterville, MA 02655 Osterville MA 02655 �J �]1 /� t 0 a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" P. 0. B o X / .J / 6 /"'� O Below the Flow Line,and Shall be Equiped With aGas Daft for the Septic Sea /e vel datum. (508)428-3344 (508)428-3115 fax (508) 420-3994 (508) 420-3995 fax A--- Below and a Department Approval Effluent Filter for the Tank capesurvt�capecod.nef Cotul t, MA o26�5 110 Vineyard Road Draft: . JOD Draft: MDH Bamstable,20 0 10 20 40 so (Cotuit) Mass. T Review; PS Review: RLH DATE: SCALE: June 1, 2010 1 - 20 - - ---- - Proj 1 22006 Proj. # C473 - -- rRushy� MMarah" S sy t s N 23 1 I 110 D4 Cochran Pine Rdge Realty Trust / �'/ N90'00'00"E I J I I J W=4 0 Book 8387 Page 143 i•- / -- '- 200.00 o o _ o 11,1 ' I 1 61't ' n ; 10 '� 4, x I' III I I ; - _ � � , • �� ,y 30 r - - �'- - - - - - - - -- - ' 33.3' . - _ . _ . - -. . - - - . - ._ . _... - . .` - . ._ - I / O_-� _ 1 \ \� ,r o Kalid 11rl / 2� �� c unit / / l ///I/ l 1 I' a---•_.__o sco►,. c�°a. �� �Q , jai / O O / o J. / ^ may' (Thatch / o ` utnity Fuss Box / / / III 1 1 1 1 1 / \ i I II I Pas o N / z _ I \ . / J / II I I 1 l: c / I I 1 // / / / LOCUS PLAN 1 / 4' / 1 �1 l / / / / / / Scale : I "= L000' 1 � N Abutters Garage � -- '' ' � II 1 �, I / I ► 1 1 : / I� �� �/ Assessors Ma 16 I I _ _ I I 1 Concrete IBound , �' patio _/ I I I I ,-�O �^ II ► / / / / P CcH Ir oo � 1 N90'00'00-E I I ) (fourd� �% 4g "ZZ Flop Polo III I I I I // // // // // / Zoning RFParcel 20 19 Hydrant j� � ` 175.00, I v I I III I / Setbacks 1 _ I I I I ah / 77.4 �� 111 I III / ; / / / / / / Frog'P 30' 1 d & I I I °,, utn►tr 1 I i septic for I I 14 I III ' .... ,., / ' , / / / / / / / S i d e 15 I / -•� \ I Polo / cover 1 2 Story ) / / // Rear 15 / - - - -j- - - - - - - -�- - - - - - - I - - - o `.,,-`__ wood Dwelling ' / // T c / 110 fteeto„e pogo ) 1 ll ) I I.` / /� / / / / V„ �) Ohs,- I 1 23-' Ground Wate. Overlay AP I I Lot Areo2.0 Act PP Ck Pedital• I �OT10►� /- ' / $ ohw � \ /hoNo Guy wN. O I ' \ �� \ - - _ �22� rf-2z.e7►IS< oo Polo j Stone Parking Arta , r ,/ / r I c , r / // ✓/ 1 ji - ----- - I Stone _..21- a^i v vi I ► i \ al►or t:n v I / Box t 22 � ?? / � / // / /// / %/: � � /� l '•� / // // // / / � , o i I ----------- -,, `\ --., � - i { l,lc°unit/' \ / / / / �/ / �h / / / • / / / / / / 1 Ex\ST. NOId-POTA6LTa \"WILL.. ��� `�� \ . 1 I �c / \ciR1GAT1on uScoNL.Y ` _ / 1 --- o all c -�g sus ti1;N• '` ,, --.. --f- ,`, �� � � ,, /a / / 1 I � I I "� li i / �'•' / / / +, / / \ � �` �rf r V - \O (a Tet,.T O 14O1_H / 8 \O 1 1 p I � \ �MtN) i- ♦\\ l Q 4r • i ♦1 O E \ EXIST. L9AGN . j •tz 1 - Z I / D-Flax \ \✓- PITS / I a I O PROR 3 BeOROOM / W ( 0 (VAIN.) G-%4EST F10LSt . _- - 1 1R NO KITCNtSN` Fl 1 < I 10, �1 1 1 utn►ty I y / Pd. N ( o j I_ I TANK _ 54.s 6 PARK MC- / .000, I r-^ R N --1 L - ----- -- ---- ---- w I------ ------ --- ------ -- - 1 - cI w � Xt ST. 000, TRAVELED WAY S/deyord Setbock�t5m►n) 1 % 1 I " Concrete Bound Roof,iumol't= I J I 1 I / - Concrete 81und ?p (found) i- ../ _ _ - I 375.00' l / / / / (fouA►d) \ ' N90.00'00"E •..•• �." / / /'�. 26OI F'ROIW `t•.DCi,'a / / / / / / I I. \ • �I Top of Concrete Bound Elevation = 20.06' NGVD '29 21 N PLAN VIEW l I l / Scale I 20' N �°j �►b �r0 �y ,�� �� �ti l � N/F h J \ F.G. 20.5 Vineyard Road Realty Trust b -• _- FG._20.5 _ - Document No 754,513 j ""'Crawl Space e _ 0 18.5 17.5 NOTES 1500 Gallon a Top El. 18.5 1. Water Supply For This Lot is Municipal Water. 18.3 Septic Tank 18.1 . . ,.. ° Bot.El. 15.5 2.Location of Utilities Shown on This Plan Are Approx. 17.9 17.7 At Least 72 Hours Prior to Any Excavation For This 5.7' Project The Contractor Shall Make The Required Bedding as Bottom Test Hole EI 9.8 Notification to DIG SAFE-1-888-344-7233. Per Title 5 No Ground Water 3.The Contractor is Required to Secure Appropriate utlllty Permits From Town Agencies For Construction Polo DELVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Defined byrhisPlan. 4.Install Risers as Required to Within 12"of Finished Not to Scale Grade. 5.All Structures Buried Four Feet (4') or More or trtnleh • Subject to Vehicular to be H-20 Loading. Grade 6.Septic System to be Installed in Accordance With - 310 CMR 15.00 Latest Revision And The Town of `a FFit abec �-Compacted Fill ��- Barnstable Board of Health Regulations. 7. All Piping Lobe Sch.40 PVC. • Peo Stone DESIGN DATA Leaching Single Family- 3 Bedroom a Chamber Washed4"-1 1/2"Double No Garbage Grinder QDaily Flow: 110 x 3 = 330 gpd i :, Septic Tank 330 gpd x 200%=6(i0 gpd OF Use a 1500 Gallon Septic Tank. �y�MSS�C LEACHING AREA � RiCt!ARD tiG� , CROSS SECTION OF CHAMBER 330 gpd/0.74= 446 s.f.Required y�y,�yq� �a �' R. `-•A,, �� NOT To SCALE I - me.2�� "'""1 O tn.. Sidewalk 2U2 +25')2- 148 s.f. In v LKEtIKUX Bottom Area: 12'x 25'= 300 s.f. �I. I134312 d •o �Pv I 44 8 s.f.Total Provided. SS\� LEACHING CHAMBER DESIGN Al I Pipes to be Schedule 40 PVC. Use 2 S -500 Gallon Leaching Chambers in 12'x 25' Washed Stone Field as Shown. you T'ts3T 1-io1.E �utzv. 2o.p 0 UMVECOMPOSEO Pt1`1G o ►vEeol.tcs/1_GAvtLt:g Title: _ _ . PREPARED BY.. PREPARED FOR: Notes/Revision: BRN. GOAR56 SANp l o,, 10 YR 6/3 John T. Con r or vlA w10 . p0,-1ti . �ARst Sullivan Engineering, Inc. OapeSury , II �' $ANC \O`IR ,$/8 r3U.N'ISN �M� . moo,>R�L PROPOSED SE PTIC SYSTEM PO Box 659 7 Parker Road Mary 0 Boyle Connor g 2 $AN o \ova c,/4 MA 02655 Osterville MA 02655 ymL_ ,SN or2N 110' VINEYARD ROAD 0sterv►lle, 49 Prospect Hill Ave. o C, ` GO A RSt SANC7 to r R l0/�1 (508)428-3344 (508)428-3115 fax (508) 420-3994 (508) 420--3995 fax 1 r z" COTU I T , MASS. PSullPEAboI.com copesurvOcapecod.net Summit, N. L . h a Gii0uM0 w�-.-�c� 1.) The existing conditions survey shown was performed $Y 51..IL -11-/AN T_NOdNer-RINC- INC- 0 bATC, o3/os� 2 on the ground on or between 25IFEB and 01/MAR/02. 20 0 10 20 40 80 Field: WHK/MOH Draft• MDH, MJD Date: - Scale: 2.) The elevations are based on NGVD '29, a fixed mean -c 11111 Camp.: RLH Review: RLH, PS sea level datum. March 6 , 2002 As Shown Pra; # C473_1 Drawing if C473_1Gl.dwg ZONE. . ;. • .• It DIRECTIONS.• RF RPOD .., . . From Hyannis Take Route 28 towards Cotuit Area (min. 87,120SF Take a left onto Putnam Avenue at a set of lights, t • . Fronto a min) 150' and follow to the end; Take a left onto Main - Width �tm in — NA Street and follow to the end,• Continue straight ht Setbacs: Site is on the left, #110.onto Vinayand R ad,Front 30' Side 15' Rear 15' OVERLAY DISTRICTS: AP — Aquifer Protection District RPOD — Resource Protection Overlay District N90 00 00 E r 111 wc 110 s FEMA FLOOD ZONE �/ / PROPOSED DR o o --t-++ + I t1r / r r r 'r 1 1 61'f 200.00 a �. FOR ROOF RUNOFF (TYP.) i + + + + t ( r t 1 J 1 • ' Zone C, V11 (EL14), & V17 (EL 16) / // 1500 GAL. COMBINED + Panel # 250001 0022 D (rev. July 2, 1992) / _ _ CAPACITY REQUIRED o LOCATION MAP • /F• o o st 1=2000't Cochran Pine Ridge Realty Trust // O ti I , �o a unit ++++ ++++ + / I ! I J one , } • Book 8387 Page 143 / o ` \ • J r ^ ti ASSESSORS REF.: N r z i utlrty �,ae Bax + + r r / l: S Pole I MaR 016, Parcel 020 a t '" ) 0/1 Abutters Gorage '� ,. _ • • o ° + t / � ! Z•`--., � ` .:: / 1 t 1 Conte(Bound an 6 NS :. ...• .. / + A° I (fou d) $ SF .....• Z_...- o ti 1 t . � + I cet o N90'00 00 E 1 l' Q • 2 Flog Pole ++ I r J t J / Z Q v � i+yat j" 175.00' i i `' • .. .. I t t t i 1 / �' ") + tt .. _ ii I 1 �w"'"'�� ( —,"_--- 77.4' '.y"`' - • + t l t t t t t 1 = i J I i a,, Pt�y 1 I i t ` ! U t t r t t \ . . / z,o \ �' �\ ' ; ` `"—...,,, • 'Blw�aye Pow 11 t t t r Z(OF °'' l 23-' �i ��... ,,tt 4wn/np 1 J I ' 1 r 1 q - t t placovid Tsfdphm* ` / 1 , ptarle •e Guy wire e" w`---- -� \ I Z o o W m 0 1 / z 0W\L o-ty I -----•...., \\ •• i '�� "r o� �u 4 r t U R` i� �. ... ....• � � 1�(r r It w Stone Parking Area• ! e :• ;.,, W Ui^1/ JZ4.14 t \ /` 1 i -''', `-� '�' i'� .'\- ``` .r— .,r � y.• ... '•: �O� / � 4) / / I l 1 / r p I ,/r � I / / / / / � ! it - ' , �.^ FV or�• - _ 21— l- , ; / I �' I l JI o� ti� ' ,1 ii I _ t •r i ' / do °4� c / r r55il. 4 co Q ! - ------ _ Q t.Fuss Box 22 1 1 I ,�` •, AC unit/ 11;1 'QFd ass I I ,� ; / 0 / / CJ i ! -- ----- --1 r; /p • �'9/,t; l //---,,f,,� / / /I f j // / /. krigation 13 o . l t i / { _ _ I I •• 4 l+ 1 + I I / , y + + r. / �,/ +/ +Q, � a + + + + r S 1 1 f 2 for �., + + / Wood Dwelling ` PROPOSED / /+ / J yr r +t + / SEP77C TANK ' . + + / I of + 1+ ' i ` PROPOSED + + + / d r 1 ututy i x. Location Of + + + 54.6 / o + 1 Existing ,gam / +�. r l i 1 n 1 Pate / Septic D-BOX r ,....- '•Ex7stln septic Pit T .) + + + / / jy°� + t ' I PROPOSE TO �E PEMOV / 1 + + t (; 2oo2-8s) 6 TO TA r ------------- — -- —— — — — _� '=t f• — / - —srdeyard ssebxidc�l5min) 1 FINAL LOCATION OF ,/ / l +i+ rI i_______ _ _______ _______ ____ __ ��_ _i I SEP77C COMPONENTS MAY / / 1 + 11 11 / ;X _ old rroveled way I Concrete Bound �- 1 1 i BE FIELD ADJUSTED IN i r , , -� Mw I CODRDiNA"ONWENGINEER / / / // + ++ J/� t !,.(found) ..-- _ i 375.00 TO VOIDN / + r f 1 ?o I N90100'00"E Qoncrete Bound /'found) N/F t Top of Concrete Bound i Vineyard Rood Realty Trust Elevation = 20.0E (NG110 29) N Document No. 754,513 �� �� .,6 © i t 10 See Note 6 (tyP,) 4'0 Perforated PVC Inspection Port WI Screw N F.G. EL ?�0 Fa EL. MOCop Placed VaWcally Down 0 into Stone To Sol Below Accessible To Within 3'of Flow Equlfhem Flnshed Grade EL. is. �' As Required Fb/ah Erode Inatatier To 3'Mau To war 1H-20 cation S EL. H-20 Up E t7.tX1 9'Min Com oated•Fll Flier Sepik Tank D—Box Fabric H 20 And/or i EL.1lzOlt. 1/8, — 1/Y SEPTIC NOTES DESIGN DATA teoahhg To Be installed an Chamber Pea Stone D 1.Loation of Utilities Shows oa This PhmAmAppwx.At IAM 72llnms - SingleFamitY e — Pxiorb For This -6Bedxuam aa114GPD # HCHI 3/4' 1 1/2' .as•:• .�,fti r xr;�r•. LEACHING Double Washed b Safe 1-886-314• Bedd/ng, T's. �. •r .r 5: 'r."°s r +� w �Y AIo GaxbageGxioder Stone We Regoizrd NWtificatiaa Ding ( 7233} Inspection Port. :,r,'" .. ,� Tact ���� 5 ' � CHAMBER 2.The Qnuaaor is Requited ARnpids do 8offsls `'« PtmdtsFromToara Daily Sacate This pyn Use a 1500 Gd SeptieTask as Per Title 5 rl".: did ,• ":n : •r:r : `" 4' SU1�IVI Agencia For ConmxnxionDetind F � 3.wheevor Sewer Lines Whw Cron W&W3010yLixsss 8adx Low ad I - stlnoted d ter r t2• ----� No.29733 Be ConshnctedofCh=ISOPnmmePipesxdS6nilicWd0rTasmdb LEACH WO EA E HJ Gram wo Antu+aweadofteat.Inocow4waictUmAdtbeConwoctedin Per ras. Groundwater Maps 660GPD/0.94(LTARj-892SFRagoixed DEVELOPED PROFILE OF SYSTEM CROSS SECTION OF CHAMBER Caasdmaganwith(iowitwata[f aadSbdlbeinA00tKdo►x Sldewall-2(1T�1•5M-268SP With 248 Clot IA0-9.00&310(�15.00. Bottom Area-(l2*x55)-660 SF 4.AMWM=of9"ofCoverisRegaoedfWABC=Pommb. Total NOT TO SCALE A� S.AVSbu egBodedThmFadarWbwcr8o*d NOT TO SCALE to vadwtar Traff a to be H 2°I oafta Ris 66B*►ea*s LEACHING CHAMBER DESIGN Racommoodatiou dO W20AUgsbeused 6.in"Wea6*Rises and Covexs I VrAIn CGWMMWGxade AN Pipes to be Sclie"40.Uac Ova Septic Tank Ides and Outlet.D-Box,=ATm QMb9m 6-S00 Gal.Leacbin8 Chodm s in: 9.Septic System to be Insptied in Ao=daoco Vrbh 310CNR ISM dt 12'x SS'washed 39=Fieidas Shoam 24sCM1.00"9.00LasestRevisionaaddoloomoofl;�ubie N07ES: PREPARED BY PREPARED FOR: BoW of HadrhlterWoos. 77TLE: Site Plan 9.D-BoxSWEe aaMiPVG 1.) The existing conditions survey shown was performed 9.D-BaocSheil[3aveatllinimsrarolnsideDiame�nofl2".�dai� �ap�sut'V John T. Connor, Jr. &=paf6•. on the ground on or between 25/FEB and 01/MAR/02. Sullivan Engineering, Inc. Proposed Improvements �.. 10.MwSelulflooDisbooglw.em the sep*Tauk,amdTanklolmana PO Box 659 7 Parker Road & Suson SCholle Connor Quills shall be No Less thaw the Liquid D.pm>aio`Tees Shu i3xsed ' MA 02655 Ostervill a MA 02655 p awbies mofl0•BdaatbaFloWI ae OOUTac,s BEIMa1a� 2.) The elevations are based on NGVD 29, a fixed mean Osterville, P. C, Box 1916 A t Below a*I%wLms,and sLai UEquipedVA*Go Baftf1 doSepte sea level datum. fox(508)428-3344 (508)428-3115 fax (508) 420-3994 (508) 420-3995 /� Teak,andaDep.tbemtM�m'edFsffi�mtFikerSortLaTaok \ capesurvflt:opecod net l.�o to t, MA 02635110 Viney4rd Road J Draft: J00 Draft: MDH 20 0 ;10 20 40 80 Barnstable,, (Cotuit) Mass. W Review: PS Review: RLH DATE SCALE., �: vZj r Prol 1 22006 Pro]. # C473 June 1, 2010 1 = 20