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Where a Certificate of Occupancy is Required',such Building shall Not be Occupied until a Final Inspection has been made. rermit Permit NO. B-20-1678 Applicant Name: Steve J Spengler Approvals Date Issued: 07/02/2020 Current Use: Structure Permit Type: Building-Solar Panel-Residential Expiration Date: 01/02/2021 Foundation: Location: 6 COACH LIGHT ROAD,CENTERVILLE Map/Lot: 172W 100 _ Zoning District: RC Sheathing: Owner on Record: HOPPE,THOMAS P Contractor Name:” ,STEPHEN J SPENGLER Framing: 1 Address: 6 COACH LIGHT ROAD Contractor License: CS=071546 2 CENTERVILLE, MA 02632 -4 . n a `-; Est Project Cost: $ 7,150.00 Chimney: Description: Installation of roof mounted photovoltaic solar systems, 10 panels Permit Fee: $86.47 3.25kW i j Insulation: Fee Paid:,' $86.47, Project Review Req: . Date: 7/2/2020 Final: A Plumbing/Gas -Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after Issua'n e icta Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for.which this permit has been granted. -All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public.inspection for the entire duration of the work until the completion of the same. !" FinalrGas: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: '' 1.Foundation or Footing ` Service: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed .. . < Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: d/V"=^;€ �.,r►�� s>F�z' Town of Barnstable Building r + :. B • n Post This Card So That rt is Visible.From the Street Approved;Plans.Must be`Retained on Job and his Card Must be Kept x i63� ` rPosted UntilsFinal Inspection Has Been Made Y 4: Permit Eo " Where a Certificateaof Occupancys Required,such Building shall Not be Occupied until a Final;.lnspection xhas been made ? Permit NO. B-17-3926 Applicant Name: SCOTT PEACOCK BUILDING & REMODELING INC Approvals - Date Issued: 12/12/2017 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/12/2018 Foundation: Location: 6 COACH LIGHT ROAD,CENTERVILLE Map/Lot: 172-100 Zoning District: RC Sheathing: Owner on Record: HOPPE,THOMAS P Contractor Name "~-.SCOTT PEACOCK BUILDING& Framing: 1 ,REMODELING INC Address: 6 COACH LIGHT ROAD y 2 CENTERVILLE, MA 02632 Contractor Li censee151853 Chimney: Description: Add 1-Car Garage to Existing 1-Car Attached Garage ; Est Project Cost: $20,000.00 Insulation: ( Permit Fee: $ 152.00 a a Fee Paid. $152.00 Final: Date 12/12/2017 Project Review Req: Plumbing/Gas ��ts�sCrn Rough Plumbing: Final Plumbing: x A kBuilding Official Rough Gas: This permit shall be deemed abandoned and invalid unless the work authoriz y this perms commence in si ed bhiit id within months after issuance. - Final Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which'th s permit has been granted. All construction,alterations and changes of use of any building and structures'shall be in compliance with the local zoning b''laws and codes. a This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. , ,. 3,1 Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Rough: Minimum of Five Call Inspections Required for All Construction Work:U. 1.Foundation or Footing Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection - 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �- Parcel / Applicatio �Q Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board I Z j►Z J Historic - OKH _ Preservation./Hyannis ��� Project Street Address e ' OQd Village Ce,4 4 r 1/) l Owner Mo a.5 H-o ie-, Address � ��tG L-4" ' i) Telephone 0,en*rvilk / Permit Request ��� &4 r a e ` —Y—iS e B Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation C bo d®� 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 IYO Historic House: ❑Yes 34o On Old King's Highway: ❑Yes UPo Basement Type: mull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft) Basement Unfinished Area (sq.ft)OULDING I S� Number of Baths: Full: existing Z— new alf:-existing 0 new Number of Bedrooms: existing new'NOV 13 Z017 Total Room Count (not including baths): existing ® nrngw,.'r First Floor Room Count Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No . Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No -Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# "r- t Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name SC&4-4-- Ra wxt Telephone Number 50b--- Ll a 6— _712 06 Address P , 0 ) O&VI I LZ t License k ✓, te. wr Home Improvement Contractor# f 5� 15 S/3_ Email SC-&�' p�aa 4xe Lerl wn Worker's Compensation # V'S-7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE a - DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ■u=110.'Town Boundary. :•• .. 123-a56 Parcels FY2017 Address Buildings Street Numbers Bi O Decks/Patios.,, 172-101 #7 00 Above Ground Swimming Pools ` • .Qa In Ground Swimming Pools 172-099 Paved Walkways .. :. #16 - --- Unpaved Walkways .: .. ... .. . Paths _ • �Q� ® Stairways s .. ��`�. .. •, .. .. .. Paved Roads \� Unpaved Roads Paved Driveways - Unpaved,Driveways Painted Lines ' ... 0 Paved Parking Lots:..: - 0 Unpaved Parking Lots \ .. :. • Bridges , Railroad ' Fences —a— Guardrails 172 RetainingWalls:. - .. .. .. .. 100 #6 oao Stone Wall ..^ .Other Wallsq. .:. W .:� ..,.. ... ... .. - .. '..Hedges - .. .. .. OD -Sports Areas Golf Areas ��� - • 72- 158 Docks/Piers 1#962: . 'Boardwalks, cE'ZM Jetties Streams — - Water Bodies: .. ® .. .. .. .. .. Drainage Ditches .: Marsh Areas O sTy�� X Spot Elevations(NAVD88) Q� O Topo io It Contours(NAVD88) C: Topo 2 ft Contours(NAVD88) r� li Wooded Areas ' ` :. .O 57�/172,-1 Street Trees .. ' Catchbasins .. - ::.:::r.•.•:..•. , .. #960! x { Monuments '.:;:•.:: .. ' Lamp Posts.. .-. .. .... -.•••••-• ;: .. .. .�; O Satellite Dish #8 Manholes % 0[3 Fuel Tanks Utili ty Poles O ty - ®®Water Tanks ;;.::::..:..•.•..:':;: .. .. �. / Signs ��''• � 172 156 c; Flagpoles / J Town Of BAPnstAbh Data Source Human-made features, Disclaimer This map is for planning purposes only.It is 1 inch=30 feet . N h dro raPh ,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination _ _ Feet Conservation Division interpreted from 2014&2oo8 aerial photos representations of Assessor's tax parcels.They or regulatory interpretation.This map does no http://www:town.barnstable.ma.us and may have been updated from more current are not property boundaries and do not represent an on-the-ground survey. 0 5; l0 20 30 40 ��' E sources.Parcel lines were digitized from represent accurate relationships to physical Enlargements beyond ascale of t=too'ma 200 Main Street,Hyannis,MA o26or cv..,.,.,•r,........a o....,,...,u,. p -t accurate lat--`-ip' P Y Enl a g ment yond a sof i" ioo' --y- � L Town of Barnstable ][regulatory Services Richard V.Scali,Director 1659. a` Building Division. °lam Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Mist Complete and. Sign This Section If YJsiMA Builder I ,as Owner of the subject property hereby authorize ocLCk to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspec ' ns are performed and accepted. Signature-of Owner Signature of Applicant f <— Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS � s: __. 60o washes ar a� 02M �Iu—�it?z T��3a�e Ew�l d 1 Na m.-E��e.�IQF'���IIf �- =.��'[:>'j��-T�'C-�-l-t'-<'.�, �L•'� ��r r� ��C-P-'2'1 Gc��j b - J- Cit- � - dti �2 K, -71 Are � er Tayz¢?: eckt eapproprlafebo= a- ❑I'm a al c e=anc I k emplkuyneEs( 9f for gam es T lave niredfhe sub-co3tmc�- 6- ❑-Naw r^^sftu cm •❑ I am a sale pm3!i -W arpatef Usted anflle m'dara-ed sh� ?_ ❑ tod and fta aaployee ses� cataosse o a F Femnlauag �����.�8rF- _ etaflla�es�t�Lare�io�Pss' I-No-Womer. cott?_ice camp-�. SuEla f a 1- �,W4 e 2re a mpa• fi nar it, � ❑� ram' fl£2I�O Etg _ �-❑ za�a nag �itL aLa �iur 4 v �'�-ENocomp- ��emempfi gerMGL �Q` rePaiss ar ac3asiia� f c-1:52-§IM aid-we have sc� L-0 o=ram =EqDlaye -[-cv a - n-0#dine= ca=p-iasunume=gtite&! a='r'-J��SfE'��L9tC2GS - �m-��dDBGPts®D—.a�IIS�— '3�3II!'+YF3D _�'f�-�—dGL EgTriIIi ..IIiZF1E¢..-^' 6ntsi&rnrmvrh,s;^mmrFSIIb�.+lf£ILRS2IZOcuL'L10]�`�:1L -'Camx� :rh�nuisomc�st ^LtadBiYi�al shn t � off-Sffi cat'—a33st arnat f�ns� s cry_ Oj rmcc-n..-fr;,-ter-Mew-�ai. ''.A7.'_V.! R[�t numo a• i ePn a�z a3rmzi�mF�spru4rriuev¢�vrrr��rs'cas��r�m€i�a�a�atr��a,�nP����3�es t��?nFPL Y��a m-�'o�szta inu orrruriiom d v Job Sii�_�*-� pRd. CiiyB Attach campy of he vgo-rk-,-s`.comp omAcjf=T d$cbm-afim pale(shy the PORCY MUEEberx and sraisoyt e. FzRuretss�st�s: n ��asr��srr�n��S�osf2.?�o€��.��castlead€a�impositiosaofcrimisaigenaltiesofa zT7iP Bp Via'��0�flQ azr�.+'ar a�P�e�imp�o �Fi�c�I aS�i�gE gt$LE faLffi a£a STD����3RI3ERz�d 2 nnF oL np=a Mom a aau wins f& olai Be ad�ssed a CA3py afm9E ad - mmybehnmled $ Office of CQ4F��c a�:�a3nns� sia tee-fir " z a-tie rusapoudasm 0 D&it-at u1 ,Mren,j�,EE creed by r* 0 , L Baez cs=$•eaFffi 2.- � Camnetperson: �� Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-094500 Construction Supervisor Y . 1° JAMES S PEACOCK - t PO BOX 171 �. z OSTERVILLE MA 02655` Expiration: Commissioner 07/22/2018 r ` /�r<`Fr»r-�urlir�rlerr�f�nC'Gl`rr•.�atrc�r%tee ° Office of Consumer Affairs&Business Regulation License or registration valid for individual use only HOME IMPROVEMENT CONTRACTOR before,the expiration date. If found return to: Registration 151853 Type: Office of Consumer Affairs and Business Regulation r. Expiration:.- 7/7/201;8 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 SCOTT PEACOCK BUILDING&REMODELING INC JAMES PEACOCK 1046 MAIN STREET SUITE 7 OSTERVILLE,MA 02655 "' Undersecretary Not valid without signature CERTIFICATE OF LIABILITY INS °"TE(MMIDDA-M) INSURANCE o7n ono17 a THIS'CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Germani Insurance Agency PHONE FAX 908 Main Street (AIIC L : (508)428-9194 No: (508)428-3068 ADDRESS: certs@germaniinsurance.com INSURERS AFFORDING COVERAGE NAIC9 Osterville MA 02655 INSURERA: SAFETY INS CO 39454 INSURED INSURER B: Granite State-AIU Holdings 000000 Scott Peacock Building&Remodeling,Inc. INSURER C: P.O.BOX 171 INSURER D: INSURER E- Osterville MA 02655 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CQNTRAC:r 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 LTR TYPE OF INSURANCE L B POLICY EFF POLICY EXP POLICY NUMBER MMIDD MIDO LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE a OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) S MED EXP(Any one person) S A BMA0022118 07/05/2017 07/0512018 PERSONAL&ADV INJURY S GEN.L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 R-POLICY❑JECaT' �LOC PRODUCTS-COMP/OP AGG S OTHER: 5 AUTOMOBILE LIABILITY COMBINED SINGLE UMIT S Ea accident ANY AUTO OWNED SCHEDULED BODILY INJURY(Per person) S AUTOS ONLY AUTOS BODILY INJURY(Per accident) 5 HIRED NON-OWNED DAMAGE O5ERTY PRPERTY AUTOS ONLY AUTOS ONLY R(Peraccider S S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE 5 OED I RETENTIONS 5 WORKERS COMPENSATION PER OTT AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT S 500,000 B OFFICER/MEMBEREXCLUDED? El NIA W0005-81-5464 06/22/2017 06/22=18 (M es.ads ry be and EL.DISEASE-EA EMPLOYE S 500,001) If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT S 50D,000 1-F DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Scott Peacock Building&Remodeling Inc ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 171 Osterville,MA 02655 AUTHORIZED REPRESENTATIVE Fax: Email: 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Rrint this page;;' Al • Owner Information-Map/Block/Lot: 172/ 100%-Use Code; 1010 , Owner Map/Block/Lot GIS MAPS172/ 100/ HOPPE,THOMAS P Property Address Owner Name as of 1/1/16 6 COACH LIGHT ROAD 6 COACH LIGHT ROAD = CENTERVILLE,MA. 02632 , Co-Owner Name Village: Centerville 'Town Sewer At Address: No GIS Zoning Value: RC • Assessed Values 2017-MapBlock/Lot:'172 / 100/-Use Code: 1010` 2017 Appraised Value 2017 Assessed Value -Past Comparisons Building Value: $ 94,500 $ 94,500 ., Year Assessed Value $ 34,400 $ 34,400 2016 - $ 245,600 Extra Features: 2015 - $ 179,100 $ 5,400 $ 5 400 2014 - $ 228,300 Outbuildings: 2013 - $ 228,300 2012 - $ 227,700 $ 110,200 $ 110,200 2011 - $ 227,000 Land Value: 2010 - $ 226,800 4 t 2009 - $ 261,900 $244,500 2008 - $ 289,500 2017 Totals $244,500 2007- $ 288,700 Use Code: 1010 • E S y Fiscal Year 2017 TAX RATES HERE 1010 '" Y history: 1 Owner: Sale Date Book/Page: Sale Price: HOPPE, THOMAS P 1996-09-15 C142166 $93500 HOPPE, THEODORE D TR 1990-07-15 C 120917 $10 HOPPE, THEODORE D &MARY M 1973-11-26 C60579 $0 • Photos 172/ 100/-Use Code: 1010 • Sketches-Map/Block/Lot: 172 / 100/-Use Code: 1010 48 -12 ' BAS 7GAR 4 BMT 2 d z 14 46 { i AsBuilt Card N/A . i • Constructions Details-Map/Block/Lot: 172 / 100/-Use Code: 1010 Building Details ILand Buildingvalue $ 94 500 Bedrooms 3 Bedrooms USE CODE 1010 Replacement Cost $124,383 Bathrooms 1 Full-1 Half Lot Size (Acres) 0.45 Model Residential Total Rooms 6 Rooms Appraised Value $ 110,200 Style Ranch Beat Fuel Gas Assessed Value $ 110,200 Grade Average Heat Type Hot Air Year Built 1972 AC Type Central Effective depreciation . 24 Interior Floors Carpet Stories 1 Story Interior Walls Drywall ]Living Area sq/ft 1,138 Exterior Walls Wood Shingle Gross Area sq/ft 2,550 Roof Structure Gable/Hip Roof Cover Asph/F GIs/Cmp • Outbuildings & Extra Features-Map/Block/Lot: 172 / 100/ Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value FPLI Fireplace 1 story 1 $ 3,400 $ 3,400 BMT Basement-Unfinished 1138 $ 23,200 $ 23,200 GAR Attached Garage 274 $ 7,800 $ 7,800 GEN Emergency Generator I S 5,400 $ 5,400 • Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor, Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished) FUS Second Story Living Area(Finished) SPE Pool Enclosure BRN Barn GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine, Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRG Pergola UUS Full Upper 2nd Story(Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio Microsoft VBScript runtime error'800a01a8' Object required: " /Assessing/print17.asp, line 153 Search... Parcel Details4 ; I want to... _^7 `� 25 Tools ti Location 1 �� 1721�a Parcel: 172098 902 Address: 26 COACH LIGHT99 ROAD { b #1e 1 Village: CEf t t. Acreage: 0.38 - Full Property Info Property Photo 172100 f t. /l 1721 #058 5 Owner&Mailing Addressr Owner: SHANAHAN, PATRICIA A TR 172169 `• ` PBMK SHANAHAN #8 172005002/\1 REALTY TRUST � #�71/ ` Mail Address: 26 COACHLIGHT ROAD i 17200.5.001 t t • � �` �€05,E ,• ,,, :� ', CENTERVILLE MA L 02632 Assessed Value (FY17) Building Value: $105,000 Extra Features: $38,100 . Outbuildings: $3,000 Land Value: $108,600 Total Value: $254,700 : Residential Exemption Exemption Amount: $90,532 Building Details Model: Residential Style: Ranch ._ Basemap Home• Layers = Parcel... ! Parcel... 100ft i 1 i ......... .. ......................... ...... .. ...-........ .. :......� ....tea.-.J .:! �z TiT4� rwr2�� 4tYIrn+Irr 'rc, � III rtt I� h tij 4 1 '�7i� I XL �� I PROPOSED REAR ELEVATION PROPOSED FRONT ELEVATION PROPOSED RIGHT ELEVATION mmm.mm I _I_____ , I UWIEATEDAITIO EXISTING BASEMENT EXISTING i CAR GARAGE NEW I CAR GARAGE SAY �. 1 E10SnN0,CAN 0- i NEW,DAIt GAf+AO[SAY u�°c. SlAO ELEV C.a'SELAW iOP. NEW BIAS TO MATCN EA911110 ; 1 ENBII=STORY E/ -- 2-CAR GARAGEp yr„Mn�/ ' ,. DWELLING Iwi+ mrrsm j m � � d •mw�O m�v'w�am Y ��PmmN.l axmvnewnma �f�}MI�YIi��i cv.wwnl 1 I S 1 �� rrA.wwrnwm yam'• �� I � -___ I mme iwmrav�- 1 Lrwu a�1 en.ays 1 i 1 'm"m nmmna�uuoe 22'GARAGE SECTION B ---- --- -------- --,--- lI _� FOUNDATION PLAN FLOOR PLAN GENERAL NOTES: ,.USE'TvvEN•OR EOUIVALFJR ON ROOF vb 6mE WALL6 1 OUT1FR9 ANO DOWNSPOUTS tO SE PROWOEO VMFPE f✓fOUWE6 1 PRONOE iU3NWOASOVE ALL VANODV94N0 OWR9. A OVA2A AHp CONTRACTOR SMALL A45UME All RE6PON80LLRY FOROON6TAULnON ANO DomvoRwwce wRN Au srnre A.ro L.ouiRutceaw RFcuunonx GARAGE ADDITION EYWING DESIGN 137 QUAKER MEETINGHOUSE ROAD.EAST SANDWICH,MA 02537 wmw.gTDXNIRB.DDm(SDB)68&-0 ee _ raaEcrN¢D,TDEE, -Al- 9 F A R T E ° MEMBER REPORT Garage Ceiling,Floor:Drop Beam f ASSED Ir �/ 4 piece(s)1 3/4"x 9 1/2"2.0E Microllam@ LVL Overall Length: 213 0 0 0 0 2080 8 a a All locations are measured from the outside face of left support(or left cantilever end).Ail dimensions are horizontal. a� ;Design Results Actual @Location: Allowed Results _�' rLDFx Load:Combination(0attern)' ,y.,u. , ', System:Floor Member Reaction(Ibs) 631 @ 0 5 4 17763(3.50") Passed(4%) 1.0 D+ 1.0 L(Adj Spans) Member Type:Drop Beam Shear(Ibs) 550 @ 14 8 12635 Passed(4%) 1.00 1.0 D+1.0 L(Adj Spans) Building Use:Residential Moment(Ft-Ibs) 3079 @ 10 7 8 23550 Passed(13%) 1.00 1.0 D+1.0 L(Alt Spans) Building Code:IBC 2015 Live Load Defl.(in) 0.106 @ 10 7 8 0.679 Passed(L/999+) -- 1.0 D+1.0 L(Alt Spans) Design Methodology:ASD Total Load Defl.(in) 0.235 @ 10 7 8 1.019 Passed(L/999+) 1.0 D+1.0 L(Alt Spans) Deflection criteria:LL(L/360)and TL(L/240). Overhang deflection criteria:ILL(2L/360)and TL(2L/240). Top Edge Bracing(Lu):Top compression edge must be braced at 213 0 o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 21 3 0 o/c unless detailed otherwise. Member should be side-loaded from both sides of the member to prevent rotation. W y Bearing Length 2 Loads to Supports(Ibs) v 41 - . _ Sllpp0ltS TotalP AVadable Required rDe d� Floor' Total Accessories Live 1-Column-SPF 3.50" 3.50" 1.50" 348 283 631 Blocking 2-Column-SPF 3.50" 3.50" 1.50" 348 283 631 Blocking •Blocking Panels are assumed to carry no loads applied directly above them and the full load is applied to the member being designed. Tributary Dead Floor Live Loads' Location(Side) Width (0.90) (1.00) Comments 0-Self Weight(PLF) 0 0 0 to 213 0 N/A 19.4 0 0 0 to 21 3 0 Garage attic above, 1-Uniform(PSF) (Front) 1 4 0 10.0 20.0 not living space Member-Notes Drop beam to suport existing garage bay ceiling joists Weyerhaeuser Aotes SUSTAINABLE FORESTRY INITIATIVE Weyerhaeuser warrants that the sizing of its products will be in accordance with Weyerhaeuser product design criteria and published design values. Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project.Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed by this software.Products manufactured at Weyerhaeuser facilities are third-parry certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports ESR-1153 and ESR-1387 and/or tested in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaeuser.com/woodproducts/document-library. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator Job Notes 9/12/2017 8:47:09 PM Jackie Barnaby Forte v5.3, Design Engine:V7.0.0.5 Greywing Design&Consulting G 170831 HOPPE Garage.4fe (508)888-0886 jackie@greywing.com Page 1 of 1 9 F� RT E ® SOLUTIONS REPORT Garage Ceiling, Floor.Drop Beam PASSED ;r I� Irk Current Solution: : 2 piece(s) 1 3/4" x 11 1/4" 2.0E Microllam@ LVL Overall Length: 21 3 0 0 0 °r rl - 11 II II 11 II II I 1 0 2080 8 All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal.;Drawing is Conceptual Design Results Actual @ Location Allowed Resuic *, ,..LDF System:Floor Member Reaction(Ibs) 547 @ 0 5 4 8881 Passed(6%) Member Type:Drop Beam 3.50" Building use:Residential Shear(Ibs) 469 @ 1 6 4 7481 Passed(6%) 1.00 Moment(Ft-Ibs) 2669 @ 1078 16137 Passed(17%) 1.00 Building Code: IBC Design Methodology: AS ASD Live Load Defl.(in) 0.129 @ 1078 0.679 Passed(L/999+) -- Total Load Defl.(in) 0.248 @ 1078 1.019 Passed(L/986) All Product Solutions Depth Series , „"" Plies Wood Volume 9 1/4" 1 3/4"2.0E Microllam@ LVL 2 64.75 9 1/4" 1 3/4"2.0E Microllam@ LVL 3 97.13 9 1/4" 1 3/4" 2.0E Microllam@ LVL 4 129.50 9 1/2" 1 3/4"2.0E Microllam@ LVL 2 66.50 9 1/2" 1 3/4"2.0E Microllam@ LVL 3 99.75 9 1/2" 1 3/4"2.0E Microllam@ LVL 4 133.00 11 1/4" 1 3/4"2.0E Microllam@ LVL 2 78.75 11 1/4 1 3/4"2.0E Microllam@ LVL 3 118.13 11 1/4" 1 3/4"2.0E Microllam@ LVL 4 157.50 9 1/4" 2 x Spruce-Pine-Fir No. 1/No. 2 2 38.85 9 1/4" 2 x Spruce-Pine-Fir No. 1/No. 2 3 58.27 9 1/4" 2 x Spruce-Pine-Fir No. 1/No. 2 4 77.70 11 1/4" 2 x Spruce-Pine-Fir No. 1/No. 2 2 47.25 11 1/4" 2 x Spruce-Pine-Fir No. 1/No. 2 3 70.88 11 1/4" 2 x Spruce-Pine-Fir No. 1/No. 2 4 94.50 The purpose of this report is for product comparison only. Load and support information necessary for professional design review is not displayed here.Please print an individual Member Report for submittal purposes. Forte Software Operator Job Notes 9/12/2017 8:47:37 PM Jackie Barnaby Forte v5.3, Design Engine:V7.0.0.5 Greywing Design 8 Consulting G 170831 HOPPE Garage.4te (508)888-0886 jackie@greywing.com f Page 1 of 1 i IC MEMBER REPORT Garage Ceiling,Floor.Drop Beam PASSED �l 1�" 4 piece(s)1314"x 9 1/2"2.0E Microllam@ LVL Overall Length:213 0 0 - - - - - - -- - o 0 g 2080 ---48 a a All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal. Desig�:Resitlts =Actual 0 L oration Albwed ': Result' LDF Load corimbination'(Patbern) System:Floor Member Reaction(Ibs) 631 @ 0 5 4 17763(3.50") Passed(4%) . — 1.0 D+1.0 L(Adj Spans) Member Type:Drop Beam Shear(Ibs) 550 @ 14 8 12635 Passed(4%) 1.00 1.0 D+1.0 L(Ad)Spans) Building Use:Residential Moment(Ft-Ibs) 3079 @ 10 7 8 23550 Passed(13%) 1.00 1.0 D+1.0 L(Alt Spans) Building Code:IBC 2015 Live Load Defi.(in) 0.106 @ 10 7 8 0.679 Passed(L/999+) — 1.0 D+1.0 L(Alt Spans) Design Methodology:ASD Total Load Defl.(in) 0.235 @ SO 7 8 1.019 Passed(L/999+) — 1.0 D+1.0 L(Alt Spans) Deflection aiteria:LL(L/360)and TL(1./240). Overhang deflection criteria:LL(21-/360)and TL(2L/240). Top Edge Bracing(Lu):Top compression edge must be brad at 213 0 o/c unless detailed otherwise. Bottom Edge Bracing(Lu):Bottom compression edge must be braced at 213 0 o/c unless detailed otherwise. Member should be side-loaded from both sides of the member to prevent rotation. f t s % Beanng lenth leads to Su g , A c SupPortsF4 Total AvarWble TMRegmred Dead Flirve Total Aearsories i-Column-SPF 3.50"< 3.50 1.50 348 283 631 Blocking 2-Column-SPF ISO" 3.50" 1.50" 348 283 631 Blocking •Blocking Panels are assumed to carry no loads applied directty above them and the fug load is applied to the member being designed. 0-Self Weight(PLF) 0 0 0 to 213 0 N/A 19A 0 0 0 to 213 0 Garage attic above, t-Uniform(PSF) (ant) 140 10.0 20.0 not living space. Member:ftig n Drop beam to suport existing garage bay ceiling join We erhaer e y SUSTAINABLE FORESTRY INr14TNE Nots Weyerhaeuser warrants that the srdng of its products will be in accordance with Weyerhaeuser product design criteria and published design values. `YY� Weyerhaeuser expressly disclaims any other warranties related to the software.Use of this software is not intended to circumvent the need for a design professional as determined by the authority having jurisdiction.The designer of record,builder or framer is responsible to assure that this calculation is compatible with the overall project Accessories(Rim Board,Blocking Panels and Squash Blocks)are not designed try this software.Products manufactured at Weyerhaeuser facilities are third-party certified to sustainable forestry standards.Weyerhaeuser Engineered Lumber Products have been evaluated by ICC ES under technical reports FSR-1153 and FSR-1387 and/or tasted in accordance with applicable ASTM standards.For current code evaluation reports,Weyerhaeuser product literature and installation details refer to www.weyerhaww.com/woDdproduLts/document-gbrary. The product application,input design loads,dimensions and support information have been provided by Forte Software Operator Forte Software Operator Job notes. 9l12/2017 8:47:09 PM Jackie Bamaby Forte v5.3,Design Engine:V7.0.0.5 Grep!Jng Design ti Consulting G 170831 HOPPE Garage.4te (508)888-0886 jackie@greywing.com Page 1 of 1 l O 1C E® SOLUTIONS REPORT Garage Ceiling,Floor.Drop Seam PASSED igFCurrent Solution: : 2 piece(s) 13/4"x 11 1/4" 2.0E Microllam@ LVL Overall Length: 213 0 0 - - - - o rr 0 8 2080 0 All locations are measured from the outside face of left support(or left cantilever end).AII dimensions are horizontal.;Drawing is Conceptual Design Resulfis /1cWal @ Lora6on ,"alwwed RewR tDF system:Floor Member Reaction(Ibs) 547 @ 0 5 4 8881 Passed(6%) — Member Type:Drop Beam 3.50" Building Use:Residential Shear(lbs) 469 @ 16 4 7481 Passed(6%) 1.00 Building Code: IBC 2015 Moment(Ft-lbs) 2669 @ 10 7 8 16137 Passed(17%) 1.00 Design Methodology:ASD Live Load Defl.(in) 0.129 @ 10 7 8 0.679 Passed(L/999+) — Total Load Defl.(in) 0.248 @ 10 7 8 1.019 Passed(U986) — AIIProdlictSoluhons� ,,;�^q"_ r, . � .,..#'s:.��<.:y'".� �s'��.w''''c5tl _ :".�+_•�. .a a-,s.,D '.+Fe-r>�gra<+� `a'�.�.��cr�"€: ....ay Depth, a Series Phes WoodVolume -.. ... . 9 1/4" 1 3/4"2.0E Microllam@ LVL 2 64.75 9 1/4" 13/4"2.0E Microllam@ LVL 3 97.13 9 1/4" 13/4"2.0E Microllam@ LVL 4 129.50 9 1/2" 1 3X'2.0E Microllam@ LVL 2 66.50 9 1/2" 1 3X'2.0E Microllam@ LVL 3 99.75 9 1/2" 13/4"2.0E Microllam@ LVL 4 133.00 11 1/4" 13/4"2.0E Microllam@ LVL 2 78.75 11 1/4" 13/4"2.0E Microllam@ LVL 3 118.13 11 1/4" 13/4"2.0E Microllam@ LVL 4 157.50 9 1/4" 2 x Spruce-Pine-Fir No. 1/No.2 2 38.85 91/4" 2 x Spruce-Pine-Fir No.1/No.2 3 58.27 9 1/4" 2 x Spruce-Pine-Fr No. 1/No.2 4 77.70 11 1/4" 2 x Spruce-Pine-Fr No. 1/No.2 2 47.25 11 1/4" 2 x Spruce-Pine-Fir No.i/No.2 3 70.88 11 1/4" 2 x Spruce-Pine-Fir No.1/No.2 4 94.50 The purpose of this report is for product comparison only.Load and support information necessary for professional design review is not displayed here.Please print an individual Member Report for submittal purposes. Forte Software Operator .; Job Notes � 9/12/2017 8:47:37 PM Jackie Bamaby Forte v5.3,Design Engine:V7.0.0.5 Greywing Design 8 Consulting G170831 HOPPE Garage.4te (508)88a-0886 jackie@greywing.com - Page 1 of 1 ' CAPE COD �)Wh, ' INSULATION '`'il TABS' cr E ® 'X. 1 i IISLG OLASS 5SAMLM 1-1 MAM SUS>INO[O 8ATtf 0UMRS INSULATION CSIlIN05 1-800-696-6611 � Y Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cocl Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements, Property Owner PropertAddress Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( ) ( ) ( ) ( ) Slopes Floors Walls ( ) ( ) ( ) ( ) ( ) iv ere � 6VOr Il lK ror,41ed Sincerely H ry E ssi r, President pe C Ins ation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, j !eY F lit Map Parcel ,Application Health Division Date Issued•,' ,,A(�lllls Conservation Division Application Fee Planning Dept. s ',Pernit Fee, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address le- Village Owner ; f���',f G' Address ' Telephone J3 Z �- Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ��9�J�, construction Type I tlj 7""0 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 ONo On Old King's Highway: ❑Yes XNo 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 ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION _ - - -- -(BUILDER OR HOMEOWNER) Name . r Telephone Number Address �.� License # 1� � ���ich�Jv Home Improvement Contractor# � ✓�v�� Email Worker's Compensation # / � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /0 SIGNATURE DATE 9/JA.. r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r LIBOR& mass save. PAWWW CTOR swino.*mu*aaaroy of Gunny ; -� PERMIT AUTHORIZATION FORM I, THOMAS HOPPE ,owner of the property located at: (Owner's Name,printed} 6 Coach Light Rd CENTERVILLE (Property Street Address► (City) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to pe orm insulation and/or weatherization, work on my property. z } x t, Owner's Signature Date FOR CSG OFFICE USE ONLY 4 Conservation Services Group has�assigned the following Mass_Save Home Energy Services Participating Contractor to the above referenced project: 0 A2L COD �n SULr,4 c rQyl l �lY Participating Contractor. x , Date. q x For Office Use Only Rev.•12132011 ' • The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street -Boston,MA 02111 www,mass.gov/din Workers' Compensation Insurance Affidavit:'Builders/Contractors[Electricians/Pltririt'r r y APPLicant Information Please Print Y,ecti hl v Name (Business/O s,rganizadon/Individual): A�i � j Address: AVG`1 City/State/Zi :w ` aV Wi,d�( I" t I��� Phone #: ''? �� _•, �'l. Are you an employer? Ch ck he appropriate box: Type of project(required): i' 1. I am a employer with �jj 4• [] I am'a general contractor and I employees * have 6. New construction (full and/or part-tune). . tared the sub-contractors . � � 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. [] Remodeling ship and have no employees These sub-contractors have 8. [],Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.t 9• [] Building addition , required:] 5. 0 We are a corporation and its 10•[l Electrical repairs or ��dd;t on— 3,❑ I am a homeowner doing all work officers have exercised their r. t 1,[],plumbing repairs or 3nr , , ;, myself. [No workers' comp• right of exemption per 1viGL 12• Roof repairs insurance required.] t c.152, §1(4), and we have no p 3a. I am a homeowner acting as.a employees. [No workers 13. Other: general contractor(refer to #4) comp. insurance required:]; 'Amy applicant that checks box#I must also fill out the section below showing their workers'co mpcn sation`'pocY li information. _,�....__ t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit,indicatnne sucii. tContracton that check this boz must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees, they must provide their workers'co olio number• mp,Policy. _ I am an employer that is providing workers' compensation insurance for my employees. `Below is the policy and job sir information -) 'Insurance Company Name: Policy#or Self-ins,. Lic. #: ) j U.O � Expiration Dater Job Site Address:_,�i ,�a� y -77� Z.,/,_3 2_ Attach a copy of the workers' compensation policy declaration page(showing,the policy number and expiration data). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to,the imposition of criminal penalties 0i fine up to $1,500.00 and/or one-year,iniprisorun nt, as well as civil penalties in the form of a STOP WORK ORDER and of up to $250.'00 a day against the violator:-Be advised that a copy of this statement may be forwarded to the'Office'or Investigations of the DIA for insurance coverage verification. , I do hereby cer/ti� un the pains andpenalties ofperjury that the information.provided abovc.is true and corrm. g- Date: Phon Official use only. Do not write in this area, to be completed by city of town official a City or Town: tl Permit[Licevse # Issuing Authority (circle one): I. Board of Health 2. Building Department 3. CityiTowu Clerk a. Electrical Inspector •5. Plumbing Inspector•- 6. Other 'Contact Person: , Phone #: From:Rogers&Gialylnsul'al'ax: To: +15087785735 Fax: +15087785735 Page 2 of 2 03/30/2015 10:04 AM'' CAPECOr 4- BDELAVVRF 1, C;I- DATE(l11 Ir r _._ CERTIFICATE OF LIABILITY INSURANCE 3130/201"; ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. I'FiIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY'S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZFo. REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,'the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED, SLiblect the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights i:o Iho certificate holder In lieu of such endorsement(s). PRODUCER CONTACT - - - -" - • - NAME:- Rogers&Gray Insurance Agency, Inc, t PHONE FAX -'-- 434 Rte 134 AIc No EXt: Arc No: (877)816 1 156 South Dennis, MA 02660 E-MAIL ------ - ADDRESS: ' INSURER(S)AFFORDING COVERAGE INSURER a:Peerless Insurance Company•see LIBERTY MUTUAL --- =INSURED INSURER B:SAFETY INSURANCE COMPANY 3946d INSURER c:�Endurance Americans Specialty Ins. Co. Cape Cod Insulation, Inc. p ty 18 Reardon Circle rlsuRERo:ATLANTICCHARTER INSURANCE GROUP j - South Yarmouth, MA 02664 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER _ THIS IS TO CERTIFY THAT THE POLICIES OF, INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY tPFPIC;C; INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VUFIICFI.i IS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T_Rir ..; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOVVN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - - POLICY E F PO LTR TYPE OF INSURANCE MIDPOLICY NUMBER W1hd/DDfYYYY- MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I,CIOO,000, CLAIMS-MADE Fx_]OCCUR . -C.BP8263063 04/01./201.5 04/01/2016 PREMISES(Ea ocam'ente 100,OOG .. MED EXP(Any one person) ---- -----— 15,000 • L PERSONAL E ADV INJURY ? �1,000,000 GEN'L AGGREGATE P ITAPPLIESPER: GENERAL AGGREGATE 20000)00 X POLICY ElJECT lOC PRODUCTS-COMPIOPAGG S ?CO0 00( OTHER: AUTOMOBILE LIABILITY I -- COMBINED SINGLE LIMIT ' Ea zccident ,g 1,000.000 ` B ANY AUTO TBD' `04/01/2015 '04/01/2016 BODILYINJURY(Perperson) z ALL OtlNVED X SCHEDULED _ - -------" AUTOS AUTOS BODILY INJURY(Perzcci(lent) NON-OWNED ' PROPETY --------- - "X HIREDAUTOS X AUTOS - PeraccRidenl DAMAGE X UMBRELLA LIAB X OCCUR - - -EACH OCCURRENCE ?0D 0 ' C EXCESS LIAS CLAIMS-MADE EXCI0006635000 04/01/2615 04/01/2016 AGGREGATE. _ DED I X I RETENTION$ 10,000 Aggregate T 2,0011 O010i WORKERS COMPENSATION - - - -PEROTFI- T AND EMPLOYERS'LIABILITY STATUTE ER D ANY PROPRIETORIPARTNER/EX,ECUTIVE Y!N WCE00431900 OFFICER/MEMBER EXCLUDE O6/30/2014 06/30/2015 -E.L.EACH ACCIDENT 1,0000010 Do N❑ N/A If an yes,d cry be and E L.61SEASE-EA EMPLOYFE 1,000.�K''`•_+ If yes,describe under ... - DESCRIPTION OF OPERATIONS below. - E.L.DISEASE`-POLICY LIMIT 1,000,�IOC% - DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES°(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the GeneraLLiability and Auto Liability when required by written contractor agreement With the Certificate[fown.r: 7 , CERTIFICATE HOLDER CANCELLATION° SHOULDANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED LlEF0PI- Cape Cod Insulation, Inc. THE EXPIRATION DATE THEREOF, NOTICE VNLL BE DELIVE.RF_D IPI 18 Reardon Circle ACCORDANCE WITH THE POLICY PROVISIONS. South Yarmouth, MA 02664 ` - AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reCervci_i ACORD 25(2014101) The ACORD name and-logo are registered marks of ACORD �Mnochusetts -Department of public Safety .. r of Buildiii Re ulatfons g g and Standards Consh•nctiott 5uhcr�•isar 'License: CS 100988 ? ` HENRY E CASSIDY : 8 SHED ROW WEST Y ARM 0Lr1r I r � ✓.�.-� �J ,ri5) ' Expiration Commissioner ,' 11/11/2015 a _ i Office of Consumer Affairs-and Business Re ulati,on 10 Park Plaza Suite 5170.� Boston, Massachusetts 02116.'.11 ,Home Improvement Cd'-n4ractor Registration Registrailon: 153567 Type: Private Corporalion ETA Expiration. 12/15/2016 TO 259188 CAPE COD INSULATION, INC HENRY CASSIDY - - --- 18 REARDON CIRCLE SO. YARMOUTH, MA 02664 Updete'Address and return card, Mark reason for char{u, Address —1 Renewal Eniplo•yment ;A 1 ••+ 20M 05(11 V/ae t0a,(r�,aa,tcuea.�C�ti�'C%�/GaJJac�creeGf'i . arm\ Office of Consumer Affnlrs& Buslness Regulntlon License or registration valid for indn tdul use only OME IMPROVEMENT CONTRACTOR before the expirntion date; If found return to: eglstratlon; 1.53567 Type; Office Of Consuner Affaii�s•antl Business Regulation xplratlon;,;,,1.21:15120:1:6 Prlvale Corporation 10 Parli Plata •Suite'5170 Bos'ton,,MA'02116 ;APE COD INSULAT.I,QN INC iENRY CASSIDY 8 REARDON CIRCLE" i0. YARMOUTH, MA 02664 Undersecretary IN valid NY! ut.sign Jai e I CO3)i ZA-3 1�116?il ComYnon .ealtb of Massachusetts; s Slieet:MeW Permit Am X PRESS PERMIT ted:bb.Cost;$ �0 � 1'7 20�� „PcnW .Fee:$ Plans Submitted: YES Reviiial:: YES NO, T�F RARNSTAB BusinessLiceiisa# ApplicautLi :# Business Information: Ptoperty .Owner,/:Job Location,.I*0natign: Name; /�/f� •k Ale Name•, / am /40 Stroet: /0 &6- .S LQ q vL_0 Civrown: W&&/- /c� �/ r i �� .Cityffoyvn; 161 G�d✓� .Telephonm."o11 �G� —®y Z�o Telephones Pfioto"I:p,required.C dopy of Photo LLD.,attached: YES NO st&iohw J:1... unrestricted license j J=2/,M-2 restricted:to civtrellings 3- ries oriess. nd commereial;up:za:10'90.0 sq.,f .:/Z-stories or:_less I Residential: l- :family Multi-family Condo]Towwnhouses.� Other Commercial: Office Retail------- -Industrial. Educational i. Fire Dept,Approval--. Instituti _ tJthez: ! Yer- Square:Footage: under T0,000 sq. p `I o.000 sq.f L Number of.Stories:: i Sheet metal work to covaple*ed:: New Work: Renovation: j HVAC Metal Wateshed Roofing_ . ' Kitchen Exhaust,Systems Metal-Cbinmy[Vents Air_Balancing� � Ptoi+ide detailecl`descnptipn:o work to lie done: LPG y f ,_ Y i yr, ` INSURANCE COVERAGE: . I-50VO:a currentl jl insurance Of0i or., equivalent which meets the . uirements`ofKG.L M 112- Yes I . req No C] if.you.have-checked'YA:Itiditato.th `of co"rage;by checking the.appropriateUx.belowr: i A:lia[b lityC insurance:011ey Other-type-of indemnity Q Bond ❑ QWNkws;:IN'URAN-Pk.WAIVERi f.am avuarp�thet the licensee doss-not Dave°.the.insumnce coverage:r+equirod by Chapter 11-2 of-the Massachusetts_ .en Laws;and that my.--slgnaturo on this.pemiit-aPRltt ion (}fig ttiis requlremertt Chgck.. .. -Only bwner' Ager>x:. 0 Signior$of-Ow(w.or ownees:Agent . r By-.checking this:boxo j I.hemby car*that:all of the details and I*nO*lcn I hove sabml&d(ore—teMd),mgardhV this appUcation are tnie and acu,rate:tatlretiestot:myknovk4Wgeaed.thatallshoet-metai�ivorkand-jhw ilatlol—Ottlor*eii.undeOlhe.permit:. forthia'-applicatlon:wilQw-- rn compUarlce with eD�ttlnei�t provision oftte.mat ssachiMOM.BUII.ding.Code;and ChapW-142 of the.t3eneraf Duct inspection rt qulred.prior toansulafion.lnst b.tion:-YES,- -0. Process Ins�� Date Comments- TWO Inlaectibn Date Comments Type Cof to 3Y a ❑Maser-Rest tW a4/1`otnrn pJoumeyperson 3ignatuur/r��e of Licensee pJoumeyperson-ResMcted U0ense Number Q Cfieek�ai;www.tnass.a�v/elni ns. r Oi nature.ofPermit•.g. APprowl i • t • t f The Comnom+ealth;; ,fQssaclirs : O,�`ice oflnvestig�oris • - _- • 600 fY6h4 a.Street Basco ry.kA 02111. • WWIO.'mangov/aa' ' Workers'CO*6agtion.b u =ce Affit�,�t:Bnil�Iez�s/Conttact4rs/ Iec rldlansl fim era ARA C ntlufoma-floe- "Please hint1, . 1`t�21ir(BpsmesalOr�ir�ion/Iadiviiinalj,:. ��✓iZY/) �E� `t' ��� ., • . .-Addims s 95 UI/ Ciiyl tatelZip:.fit✓ I� hl 9l3C�� now Are:yoit-au. er?Chetkthe-gpropriate:bor emptoyei Wid 4. p I am a-gabtW.baVmt ar-snd i "e° p1 O3ect( is 10 gees(fill end/ntpa=Giime).*; �1 .sub-co at G. ❑New 2. I.ata a sole proprldtior or.pattoer listed:on;die atfac}ted sheet;: 9: .94.-imd lave no employeea Mm sub-c�ctm have g, []Demolition working:forme-i�aay,r.�acty, - employae$�haPe.wcal�ts'° 9• • [No,works'comp.insuxanee; ; ' Q. regidred,] .: S. p•We°. :.4.m Qratioa.aad'to 0:�: rewire az edditioas- Y(] Tam s hoime -w= tl work i c jcorcise&Mw ' !!:Q Plumbmgrepaicsq�additiona ni)sel£LNo-wor]om;'.cusp. - dfexempfion_per1ViC Raofrepsns msoianaretparedTf �.152,-�I(4j;aadwevaveno - :employee INst vinzkers' ME]Odw. + �:insurance:zegi>i�I:j *ABY RPPUc W&gtch butImist also M cdti section below Auw!6g"worlca:`wu�msatlon geliry.dos. t Hotriaovimei8 who spbmit.ffiia+�Hideirlt iadiauiaB 9te�`era do�Bll:�vaatc en4'ffim bite dntgide c�at+a�ts m�s6subRatanew e#f deYlt iadia�tiag 6yt iConhaetcrs 6cat obetktliis box mmR ate sn:additiamal sty ehoa3n&.tlih�moe oftl�subamDactptseud date der•oraolentitis.havn eri>ployer.5._If�e ,lt�va eo�leYees,theYmustpigride�svarloasc co�p.;�oHcynnmba:. - .. . -an',mnpirryerA&isprvq ing workers'compensation:iasurw—=far my:eaepioyee Below Ls the polfcparndiob sJ3e _ 1n�ormaGtpn. .. . Tos mo=Co N r mptinY_.amt" oficy#or Self ins IAc.# Bxpuat�tan T)ata: Job btiis Address: .. C`ityLStntil?.ip: . Attach copyof the.workers'~compensation golicy'declarattoupage-(sho7ing>the policy at[mbeir-sadvapiratlon date). Ftu _tia-seoure:cave;agaas rtspmed' nilm Seadm:25A of-MGL r�I52.:c�o�lead'to_9ie ipnpositioa of c n�alpeaalties ci a fuc. tol,SUO.00.andJor one- Y� Btt well as civil.p"tiP4n=9ufo=gf a STOP WORK.ORI?BR:andafm4 ofup to:$ZSU:OQ a:day agannat. tcvic+lattsr.Be:aclviisedthata cDpyt°oftis sfatmay_:bo.for�razded.t ihe.Offce o IriV6sti '=mofthc e-t�aiifrcahan. I.do:heT a1 pedit y that#ke nfarrna6n p:»vAw move true correct: �Y p. ` eliallles �2 trse n . o aol write in th#s area.tb: .c orrrp or 10"IO*- &L .City or ToWtai PernfluLlcame A Xssiriug Authority(tide one): Board pfHealth. alld rig Depurfinenf;3.Citylxo�Clerk 4c FiectrlcsI Inspector S:Pltimbing:.lasp for Dther Town -o big: Thelami P;Gegl r;Dbv*r- $tdldiII �m mOIt Imsrry-13W1i �o Ioaer _ 200 MP beck �. -OWE toe�r�rt��n:tiar�tatile:ma.as Offtm: IO 862-4039 F 3fl&T tF6i 30 PsOpe - Mgt CoMp_fete=d Si9OZ4 $00tion, -if Us� A.ced g er hetel�g a�thotize� �1��IG Tl�v�vv� - �:at�:or€ink�eha�- - iaaIlim hers te]a o.wor aEut�orize4b bm ftpe�iai� **pool fences and:ala= are-the:tes: o biji. :of tote are not to be f11e, :before-ffence s-imt-Aed-andpoola are not- 6-be. utilized untM all.final igapecd -ons.are•.pe.tfarnied.aiad- - eptei L Sloat"t of Ow*a S gaature f Iicaat Ps'rnt-Nathe, DMe _ Q;HDTi�11S. RP�RA+gSStUZIP�I:S . oW ll ^g a w.''�' s_, bnn a of"` x, "S• f =ti�7Y `""_,�€r $i ail its ���:£,... + § r s'3r�.:: a a vivo my ivy n LOA v P 4 a - N ly .. . ! " Fold Then Detach Along All Perforations Y� - = OMNIOTLWE .TN OF M ,SA� (13SST t'S B-ptC##O u S}fiETCEIAL 4�(3R!€ R t99 ,I SSll �Y HE FQLu W R L4 CEU " t'IASTEI� }NEST/ a'EQ+r t ate ' `��. - H,����i�tD�i,��T`A1fR�10� �jt11 �.- t'�W y _ - zr 6 .: rkF c� y :wl riW Sr lYfolk Y11i r me 4tx i { I._ Y k.- r� �1 ke 65-SERVICExt07 -W9 ARNSTAB j� �MA�2668•'1849 Fs ooit Z7'2ot]Rev671S2p09 Fo Then Detach At All P Korations a LTH OF ASw.ftflSE TS BOARD SHEET ME • SM _ASI L ORKERS TYPE �IHA J �TAVq(VO M1 ..t 7 SE ICE RD- Imo, &A RNS q g L'E r - _ Mg p2 . 668 283186 — y 8 g! 1 Fold, • : Than Detach Alon g All PdAora11 s Y I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel x: ::.Applications# Health Division Date Issued -LA Conservation Division •,Application Fee Planning Dept. Permit Fee d" Date Definitive Plan Approved by Planning Board d 121j 4�13 Historic = OKH Preservation / Hyannis Project Street Address �� /�� C �1 Village Owner Address Address 1 �{ . Telephone �- Permit Request p-mUVL ftr4gD - re, - S� ' WMAM 91 9PA-0 MP DM3 -. NO' hd�AO- Cka,�L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size 0 `t'J 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: X11 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) a 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 .7 new First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes o Fireplaces: Existing New Existing w,@p /coal sto.Ve: PlYes ❑ No p.�,.a L,a Detached garage: ❑existing El new size Pool: ❑ existing ❑ new size _ Barn� existing.,,❑ near size_ � Attached garage: �9'exjsting ❑ new size _Shed: ❑ existing ❑ new size — Other a. . ' Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 073 -'- Commercial ❑Y�ets� n No If yes, site plan review# Current Use c�'!Nj;� � � � Proposed Use APPLICANT INFORMATION 4 (BUILDER OR HOMEOWNER) 4 j r..y�� ( ]� —N;�me �' 1+��/ Telephone Number _L7-)/ ) m M Address r V�'� License# - f��� l ( Home Improvement Contractor# NS Worker's Compensation # A os C O-1 y ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO f SIGNATURE Cke DATE ` a �.A " `. FOR OFFICIAL USE ONLY A PLICATION# Al 1' --DATE ISSUED , _" M'l' i&Aii _..MAP/PARCEL NO: r E q - ' ADDRESS.:' VILLAGE }.c OWNER - t . h DATE OF INSPECTION: 4 ` FOUNDATION i FRAME s 5 f A-'INSULATION? j.YI } I - FIREPLACE f ? ELECTRICAL: ROUGH FINAL ` z PLUMBING: ROUGH FINAL ROUGH € ? a FINAL I r% FINAL�BUILDING �IZI�f . °DATE CLOSED°-OUT;:�,ti--tt_ ' r, ASSOCIATION PLAN NO: s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations i 600 Washington Street Boston, MA'02111 c�� www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers k Applicant Information Please Print Legibly POT �f Name (Business/Organization/Individual): . DAL Address: I► M Ra (71 City/State/Zip:o�+� Ic - ti� Phone #: A e you an employer?Check the appropriate box: Type of project(required): ' I am a employer with 5 4. ❑ I am a general contractor and I 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. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition b working for me in any capacity. workers'comp. insurance. 9. ❑ Building addition [No workers' comp.`insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 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' 13.0 Other comp. insurance required.]- *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the'name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees.*Below is the policy and job site information. Insurance'Company Name: 1 5C�1 zz Policy#or Self-ins. Lic. #:�n,- _ ` Expiration Date:- Job Site Addre . -City/State/Zi Attach a copy of the workers' compensation policy declaratio 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 F: 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 cer 'y uttilor the pain a d penalties of perjury that the information provided above is true and correct. 4CA—% r Si nature: Date: Phone#: "7 l Official use only. Do not write in this area,to be completed by city or town official. i. City or Town: a 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#: 1 s Information and Instructions p 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 in 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`" 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 4_ Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia Aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/03/2013 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 Germani Insurance Agency PHONE _01FAX : 508 428-3068 908 Main Street A/C No Ext: 508 428-9194 A/C No ' Osterville,MA 02655 E-MAIL ADDRESS:certs ermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:SAFETY INS CO NSURED (Scott Peacock Building&Remodeling,Ina INSURER B P.O.Box 171 INSURER C: Osterville,MA 02655 INSURER D: Commerce&Industry Ins.Co. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MM/DD/YYYYI (MMIDDIYYYYI LIMITS A GENERAL LIABILITY C1300001152 7/5/2012 7/5/2014 EACH OCCURRENCE $ 1,000,000 x COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE DOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,060,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ -1 7POLICY PRO- LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2013 6/22/2014 1 WC STATU- I 1OTH- AND EMPLOYERS'LIABILITY Y/N I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 9 yes,describe under E.L.DISEASE-EA EMPLOYEd$ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) - r k CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED I IN ACCORDANCE WITH THE POLICY PROVISIONS.' t t AUTHORIZED REPRESENTATIVE - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I 017u.c of l'onsumcr.\Ilairs& liusiticss Rcgulmio�i 'License or registration valid for individul use only y�IJ1IJOME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: Its i egistratlon: -151853 Type: Of17ce of Consumer Affairs and Business Iteaulalion "FQJW-1IIxpiratiow 7/7/20.14 c; Rrivate.Cor o � 10 I arlc I'p ratic n I,Ica-Suitc 5170 i SCow PEACOCK BUILDING& REMODELING INC Boston,MA 0211G JAMES PEACOCK '1046 MAIN STREET SUITE 7 OSTERVILLE: MA 0_G��rr Undci secretary — — — Not valid without signature } 1 } r ' t i 1 • 1 } Y MassacFiuserts - 1�epartmen•t oi Public Salle y —'� Board of Building Regutat10175 a;d Standards Construction Sulurcisor `. L.icerFse: CS-094500 . r JAMES S PEACOS7C PO BOX 171 OSTEVILLE 111A 02632'.,, F Con:nus,ion& 07/22/2014 Unrestricted -Buildings of any use group which contain less than 35,000 cubic feet (991M )of ` enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: v ww.Mass.Gov/DPS Y Town of:B;ar' n-stable Y o Regulatory Services v hU65- Thomas F.Geiler;Director . Buitding Division i Tom Perry,Building Conanussioner 200 Main Street, Hyamiis, MA 02601 www.town.barnstable.ma.vs Office: 50S-862-403 8 Fax: 508-790-6230 Property Oxler muss t . ► Complete and Sign Ms Section If Using A Builder as Owner of die subject,property i h-ereby authoIl7.e .1 a C (� - -' �C`_IV�_ -� ��'�,��_ � to act on my behalf, , in all trotters relative to work authorized 6y dais building pe'mut application for: ;. Address ofjob) Si-g oAG/f/Owner `Date ` J Print M-MIC — 5 ' a If ProyertV Owner is applying for pe mit pleas e complete the Homeowners License Exemption Form on the reverse side:` n (�.FU1�A7S:0\' 1ll.:PtPHRlvf)SS10N G . I LE OF II > t 2 '3 DI t SMOKE DETECTORS REVIEWED 3P,�ii°TAa_E BUILDING DEPT. DATE � Ci c FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING � 61 L. COW,RIDGE VENT ON NEW RIDGE _0 NA BOA..X INGL STOP TO ATCH EXISTING r --n L 1. J I 7 r r-T,-T 41 1 1 .-1 _7 11' -j J--,,-r SIT 7 IT- T� _iri IT 11 1 IT LET-, Tjirl an=� ,11 L I-T L 71 7 1 r-F I L;-1 7 1 1.X5CORNER g7 =D TO MATCH I I EXISTING L 1 11 1 1 1 1 1 1 L L LI I -T FT-1 1 1 r'-,j RED CEDAR SHINGLES TO TO.EXISTING El-i-rTI 1 -1 iF-1-T1j:1L 17-ADDITION PROPOSED REAR ELEVATION PROPOSED FRONT ELEVATION PROPOSED RIGHT ELEVATION EADDITION 17-0-GARAGE ADDITION 1, 2 ­F -2XIORIDGEBOARD TIES. fff ------- CQ­N—RIDGE VE­-1� - - -------------------------- NEW 1=0 OH GARAG. oo 2%8 RAFTERS @ i : I IN T DFO­FFOR -HEADER _j I I EXISTING 2X CEILING JOISTS 1 12 PC SLAB ROOF SHINGLES TO MATCH EXISTING N HDUSEOVERAPPROVE SHINGLE BACKING OVER EXTERIOR PLYWOOD FXTENTOF HOUSE ROOF I ATTIC BAC UNHEATED A EXISTING 1 CAR GARAGE NEW 1 CAR GARAGE BAY K­UND I— EXISTING BASEMENT EXISTING 1 CAR GARAGE NEW 1 CAR GARAGE BAY ­CEILING JOISTS 17 O.C. EXISTING 24'X 46(48)' I CONTLUOUS TO MA' TING SINGLE STORY SLAB ELEV C.4"BELOW TOF. NEW SLAB CH EXISTING TOP PLATE TO�EXISTING CEILING JOISTS: DWELLING DROP BEAM ABOVE w FIREPRQTECTION 2-CAR GARAGE o - 2 X 4 STUD WALL PROVIDE ,.L FIRECOUE GYPSUM EARS,_2 11!F.1-LVL '-(rYPICAL) 4 DEFLECTION DEAN MIDDLE ON WA_LS AND CEILING WHERE GARAGE ABUTS DWELLING TYP­WALLCON STRUCTION 4 PTCHED RDCEDA_NFS­HLNGFLES_TCM1_TCH EXISTING] —.SEN1R­­H­ i 'OVER TYVEK CEARTN I 01,R EXTERIOR PLYWOOD ,PLYWOOD INTER OR I OVER1� FIN 'PC­W­8Fff1GWWM ,g4.1,T.IoDL I 11-C. 1 4 W�ol 0 -­W AND H a.PLATE 2 X 4 P3, SH R OVER6MILIr P.V.B.­B OVER BOTTOM PLATE EAR SHEAR WALLS TOP OF SLAS TO MATCH EX-ING tz O'TV GRADE jI � T P.C.FOUNDATION WALL - OLTSW. BE '- 14ATE WASHER-2S- =DNAE 1`'D WALL TO N­FCNODNATIINI.U.O S EXISTIN­GAB LE .CEMRL .NGON .N ­5'P.C.FOOTNG- E.I.1-I.G_LOW WA1-N4-0'LELOWWALL TO BE REMOVE ___NEW STUD fGRADEONA P­XF WALL IDUS C,DROP TOP FOR CONTNL P,SLAB FOOTING NEW ON GANAGE DC ------------- ----- MIN 2­HEADE R' ---------------------- ---- 22'GARAGE SECTION B ------------ ------- 2- IL191 T I o—I 14-0-EXISTIN.- E 17-GARAGE ACCUTON__._ IT-0. DEPT FOUNDATION PLAN FLOOR PLAN BUILD GENERAL NOTES: 1 USE"TYVEK"OR EQUIVALENT ON ROOF AND SIDEWALLS. 2�GUTTERS AND DOWNSPOUTS TO BE PROVIDED WHERE REQUIRED. 3 PROVIDE FLASHING ABOVE ALL WINDOWS AND DOORS. 13pVINSTAS LU 4�OWNER AND CONTRACTOR SHALL ASSUME ALL RESPONSIBILITY FOR CONSTRUCTION AND CONFORMANCE WITH ALL STATE AND LOCAL RULES AND REGULATIONS. GARAGE ADDITION -TOWN 0 DATE: SEP 10 2GI7 PROJECT H PPE RESIDENCE GREYWING DESIGN SCALE: 1/4' V-O' 6oCOACH LIGHT RD..CENTERVILLE,MA 131 QUAKER MEETINGHOUSE ROAD,EAST SANDWICH,MA 02537 www.greywing.rom (508)888-0886 PROJECT NO:G170831 SHEET: Al oF1 t A I CENTERVILLE a UPOLE OP ! �v LOT 42 RACE LANE LOCUS: / S4jS� PARCEL ID: 6 COACH LIGHT RD. '5 / 0 E 172/099 / — — _ Qy Q / 38.4' — — / ,`� ..... 8. — FENC / _E - - -I LOCUS MAP C' PLAN REF:' LCP#32851—B SH.2 TITLE REF: CTF# 142166 PARCEL ID: MAP 172 PAR. 100 O ZONING: "RC" SETBACKS: 20'F-10'S-10'R �J pw � 1 MAX. BUILDING HEIGHT: 30' NOT IN 1 MILE WIND DISTRICT N ' ' SEPTIC NOT IN ZONE II #6 i i SYSTEM FLOOD ZONE: "X" PARCEL ID: COMMUNITY PANEL: 25001CO561J DATED:07/16/14 Q / — CERTIFIED PLOT PLAN o / - ` _ _ pR/VC — _ , — _ (FOR AN ADDITION) / — LOCATED AT: l _ 43 °'- N o 6 COACH LIGHT ROAD / CEN TER VI LLE, MA. PROPOSED 109.3 � PREPARED FOR o ADp�T/OND o THOMAS P. HOPPE p 22 2' ^ SEPTEMBER 6, 2017 < A S 23.4' 14"OAK LOT 2 ��P t o F M S q�ti ? EDWARD s �L3 PARCEL ID: A 172/100 ST N N AREA=19,681 f S.F. P No.2 8 � 1 J ®��+ n�j�,(j,• S L L ANDO S4js1'so V ���>%, •, �D E MacDougall Surveying � ST & Associates GE 4s s4 P. O. Box 2428 GRAPHIC SCALE �s0� wioE� 20 0 10 20 40 s0 R� Mashpee, Ma. 02649 A 0 PH. fax �508�419-1086 508419-1087 email: ( IN FEET ) macdougallsurvey@comcost.net 1 inch = 20 ft. SHEET 1 OF 1 J#1959