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HomeMy WebLinkAbout0058 JOYCE ANNE ROAD �xr,;y.`�; '�:"r, e p ia��i.�,. �,. `.x� •,�..},� 'y� :t r;'F �, � '�y ,ram'..,.,.. 9.. d �'� :4::,: x�.., ... .: ...:.. i,'f..', .:_...�`�.. t ,.' .;:.. ;,x,: .. ip.:... _,: .�y F -.t �. a +L,.. ".el uK}. '��. ,�'. �; •��.. � y x, yy e.t. °tin M <' S < . x^ 7. _ .{r : Wl• � c t! Y , C .. it e 0 r , Application number ., ... — QtiFee...................... ......r.(J......... .. ................ MIT Building Inspectors Initials..... .......... sk liAf� a ;r.. ._ 0 2 2019 date Issued...............��71�.(..01.............................. I OWN (k 6AR-NSTABLE Map/Parcel..... ......................... TOWN'OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDO WS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: �cS, '--SCiq�2- �✓1'1 e, Q1, ,C6171-ei-*y; �✓r NUMBER STREET VILLAGE Owner's Name: e zlri Phone Number .S`a8 / /99 2 Email Address: AZO 6 z AW ' 94e 6 G;71roC.6, Cell Phone Number Project cost$ �J/�y Check one Residential f/ Commercial r " OWNER'S AUTHORIZATION As owner of the above property I hereby,authorize; G 6AI- //(l 6/IL'VIA ,ens to make application for a bililding permi ' co ce with 780 CMR Owner Signature: - Date: ' TYPE OF WORK E-1 Siding 0 Windows (no header change)# Q Insulation/Weatherization ED Doors(no header change)# Commercial Doors require an inspector's review Roof(not applying more than 1'layer of shingles) Construction Debris will be going to 7 1 P-M 001A L 1 t L CONTRACTOR'S INFORMATION Contractor's name ' Home Improvement Contractors Registration(if applicable)#L (attach copy) Construction Supervisor's License# � (attach copy) ` Email of Contractor alG> %g400 Phone number SOV UV P423- ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected ' Removed on number of tents total Does the tent have sides?Yes . No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper, Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes 'No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s)of each tent Fuel source being used LP tank 20 lbs. or>Yes No_____, if yes, a gas permit is required. Natural Gas Yes No ,if yes,a gas permit is required. If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles:front, back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature 1 �`" �.. �UL. L��%1 Date b 3 All permit applications are subject to a building official's approval prior to issuance. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6/27/2019 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 cert;ficate 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 endorsements. PRODUCER CONTACT NAME: CHAR.LES H CAHILL INSURANCE AGENCY PHONE 781fAlc; No ) 837-2300 AX No(781)837-2800 PO Box 321 E-MAIL SSgiselaCdcaiii1i insurance.com ADDRE Duxbury, MA 02331 INSURERS AFFORDING COVERAGE NAIC ii INSURERA: NAUTILUS INSURANCE COMPANY INSURED Galhomes, LLC INSURER B: Trav zlers Insurance Co. PO BOX 848 INSURER : West Barnstable, MA 02668 INSURERD: INSURER 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. NSR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD/YYYY MM DD YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1 000 000 X I COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence) $ 100 000 CLAIMS-MADE OCCUR MED EXP An one erson $ 5 000 Aff:: NN804697 06/15/2019 6/15/2020 PERSONAL&ADV INJURY $$1 000 000 GENERAL AGGREGATE $$2 r 000 r 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $$2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIM T Ea accident ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS c e t UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENT ON WORKERS COMPENSATION WC SRylTATU- }{ OTH- ANDEMPLOYERS'LIABILITY Y N 05/31/2019 5/31/2020 ANY PROPRIETOR/PARTNER/EXECUTIVE 7PJUB-4N41689-519 E.L.EACH ACCIDENT $ 1,00 0,000 B OFFICEMMEMBER EXCLUDED? Y NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ r r Ifyes,describe under 1 000 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT r r DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) PAUL AND PADRAIG GALVIN ARE EXCLUDED FROM WORKERS COMPENSATION COVERAGE. CERTIFICATE HOLDER CANCELLATION ED & CAROL MROCKZA 58 JOYCE AIM ROAD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CENTERVILLE, MA 02632 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �^ ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information // Please Print Legibly Name(Business/Organization/Individual): lam(, +' Address: City/State/Zip: Phone#: Are y an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors. 6. ❑New construction 2.❑ I"am a sole proprietor or partner- - listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g° ❑Demolition workingfor me in an capacity. employees and have workers' Y # 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] • 5.,❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no . employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: / ✓��� � ��� �' Policy#or Self-ins,Lic°#: 10 Z_U Z411141 _111• Expiration Date: 0S_Z_?/ w Job Site Address: _-Joe9�--0 A1 City/State/Zip: �''�'- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA urance coverage verification. ` I do hereby certi n ie pains and penalties of perjury that the information provided above is ue a�d correct Sip-nature: / n - Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official t 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#: 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." y MGL chapter 152, §256(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-contractors)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 bum 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 Conu nonwealth of Massachusetts Deparbnent of Industrial Accidents Office of investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-8777MASSAFI Revised 4-24-07 Fax##617-727-7749 www.mass.gov/dia i Commonwealth of Massachusetts Division of Professional Licensure Soard of Building Regulations and Standards Constr.dibri`SDpervisor CS-073839 Upires: 01/12/2021 PADRAIG J GALVIN 16 STEVENS ST HYANNIS MA 62sQ1 Commissioner .%!d6 �C•YYt/Y6tj/tl/l�/RZ/! L�./(1(9O.J-J�4l3Pf�i . office of Consuar Affairs&Badness Regulation HOME IMPRO MEW CONTRACTOR .And'Mdual Di/24/2020 PADRAIG GAL PADRAIG J.GAL1� 20 TROTTING WEST BARNSTABLE,MA 02668 Undersecretary TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION BUILDING DEPT +' Map PP 1 Parcel Application #. Health Division NOV 14 2016 Date Issued 'Z -t<; � Conservation Division TOWN OF BARNSTABLE Applicatiqa e Planning Dept. Permit Fee _Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation;Hyannis Project Street Address i;�b Jvic_, `ZQ ►44- C Z63'L- Village Owner Address 3;p Gb 4 Lc.- Q�-t. 2�. Telephone Permit Request a- C9 :+1,;v 1 ® t r at&V-, doJ,!:!f C11 f- 1vs ���_C_ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation D 3 Ooo Construction Type r�..•..r Lot Size Grandfathered: 3 'es ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Ua" Two Family ❑ Multi-Family (# units) Age of Existing Structure I L Historic House: ❑Yes ©-No On Old King's Highway: ❑Yes Umo Basement Type: mull ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) -- Basement Unfinished Area (sq.ft) g12f'� Number of Baths: Full: existing �, new Half: existing / new " Number of Bedrooms: existing _new Total Room Count (not including baths): existing 5- new I First Floor Room Count C. Heat Type and Fuel: @'Gas ❑ Oil ❑ Electric Ell Other Central Air: & es © No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Q&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 1fV� do ev^ d Ca) Telephone Number cyFJ `7 Z. 24)7CD - Address G 3 e 6vwAr Vk L'. ��_J14 lei # 01L(I U '� Home Improvement Contractor# / �n C)/e% Z Email ,rv��c,a,► I�w 5 �J,���5 iC >v�tiWorker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 1111,114 I FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER 'L DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Depardmext afrudastmd Acctdentr Office afbgmdcrrrs. 600 Washurgtmx Street •: w�4a.m� dia ' . . Wcwlm& Campeniaf=I>isunnce Afffi ant- derslC=ft2cWnXIc ti��M Please E. y City{ �.�-� Div�.�fn 'W' L Ph�ae �c � 771. ';Lv Are you an employer?.Check.the appropriate bd= _ Tppe ofpro ject(recpBt��_ L❑ I am a employes with 4. �am a ge�ral contrsctm and I * f� a lbred the sulr-court 6. D New osx • employees(�arPdfor gait-time. Z.❑ I am a sa•Ie pmprietos orpartaef t; oz&e attgched sheet` 7`. ❑Rem deHgg and have 1 These sib-coadracto have�P �fees assdhave xgoricess' . R ❑Demolition' , waling �rme is my capac ay �o� . [NO wadom s'Comp. a comp.y.,���� 9- [�Buie addiiioa d-I officers have used thek 5. [] We are a•coaporafim and its 16-❑Elechical repairs.ar a d uioas I� I am.a bomeamer daiug all wo�c 1L 0 P3.umbiagregaiss or additic= ' � o ' �t of a =pfi u per M(M I? Roof repairs =� warl�Iaem i �` „ f c.M.§1(4).andwe lave nv employees.[NowoAOers' 13.0'father comp ire rzquired.I *Any sppf ac cbe�s�S nest also m au the se oabcraws�os�mg�e¢u ems'®p nuporscgia saw -�Co�sBurehacktlds6mcmustattaclied�a��;+; tshed d^ n the—oEtlsesah-ca �rista��rLe �nattbnsee sI> empl y}m If1he I e empicf ffiegffistFmt ide toss �' P•Fly er I am aaa empLar ticotis prmiding tvarlrers'carrrp resrdiarrc irmtrarw-efor my mrrp&jwm' Se&w is t hepa cy arm jah S&a Fs,�ormaiinrt IasMseCompau*Plame: ` lh<pi 'Policy or Self- s.Iic_ Date- job SiteAd&e= .. OIL CifgPStafel p (C,4C4-,JL Aff ach a copy of the w&rkere compensationpolicg declaration page-(Shur wing the policy number aid erpnation date). Fame to serum coverage as required nudes Section 25A of MGL c.1572 can lead tv i ie impposifim of criminal peua19es of a Em up to$L50D OU an&or one-yearimprisorzment Rs Well as civil peualf-s m the faux of a STOP WORK ORDER.and a Em j of up to$Q-M a dap against tiie sio}at=. Se ad,,iwd that a copy of this sbkme^t maybe fm-warded to the Of of Iavesti p6m offhe DIA for imsuranca coyerap ved5cahorL Xrlo ftex-a rp cgr f under-tJrs pains anrFpertaIfres a elk,7 ifratdlca I cfol rr prwirI,ef abates h tnw grid carrect • L Phone me y y �G d-07 D - c t3, iai use only. Do not wrrte in if b area;fa be cxrmpleted by city a rta it u o ircrat ' Ci€3'r ar Tam= Permiffkense:ff FAmfh-wity (circler L Baard of Mal& 3. Drp=tmLe*!+ 3.fRy--IrwR O=k 4.Electrical kg=tnr S.Plimbing hVector. b.�►er Coact Persom Phi#: — )6 l i if i fl I t 1 I it 1/: •.: "li•/.�It. - ■_'- ,■:.■i� _■a■1«. 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DATE(f,&M/DDrYYYY) ,�C�R® CFRT°IFIGAT°F OF LIABILITY INSURANCE I 11/2/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BOLDER 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 HOLDEN. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the poiicy(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 thiscertificate does not confer rights to the I I certificate holder in lieu of such endorsemengs). PRODUCER •CONTACT - NAME: JIM_HINDMAN Schlegel & Schlegel T ' * !PHONE FAQ _ns 3_oker (506) 771-0663 34 Main Street - (Ar4.I�9EatL—(5081_771 8381 _... �A"c_^._�L�— E IMAIL ADDRESS: schlegelinsurance@gmai J .com West Yarmouth, MA 02! -3 __---.._. iNSURER(5)AFFORDING COVERAGE s NAIC i ,NS IRERA PHEONIX MUTUAL INSURED INSURERS TRAVELERS_. RICHARD H GARDNER IN-SURE RC: - ~ MARA GARDNER INSURER o 92 PARK Pl-kCE WAY INSURER£.:.. .. . .. MASHPEE, NVA 02649-2725 INtSURERF: COVERAGES —� - - - CERTIFICATE NUMBER: REVISION_ NUMBER: THIS IS TO CERTIFY THAT s r iE OLICiES OF INSURANCE LISTED BEl-01Ar HA'v BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 1 INDICATED. NOTVNITHSTAADINe.. Nl` REt1UiREMENI TERM OR CO!;11i1'iON :) 4NY CONTRACT OR OTHER DOCUM NI' 'v'\M ?i SPECT TO WHICH THIS S CERTIFICATE I AY BE ISSUE:.% OR MAY PERTAIN, THE INSURANCE A.PF:OR �- BY FLEROLICIES DESCRIBED HEREIN is SUB.IcCT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POI ICIES.LIMITS SHOVYN MAY t•dAVF.3E=P;REDUCED BY PAID CLAIMS. �INSR POLICY EFF POLICY EXP Ltf19TS AfX1L.SUBR LTR TYPE OF INSURANCE iM1�R WVO� POU GY raUMBFR ^" 4MM;DOtYriY):(rr1MlDLYYYYY) GENERAL LIABILITY CPP07093 � s/2o/16 s12o/17 EACH. t:;:°I�c>, s 1'0001000 A ... DA PACT ' X C Di-NO E CAI G E NE Rz.1 50,000 IEDE ' x c 5,OOQ . .. PERSON'C. ,..,..} L,000,000 _ PRODU!; i 2,000,000 (i GEN LAGGRE-SA(=LIMIT APPI ES PE L, - :C,wt,-:_. G 5_. "I'l icy PRO" --- —-- y aSCT ilE AUTOMOBILE LIABILITY COMB 4 -.I o�i .' ,1 ?z. :;,%IYAIU ^ BCUIt a r - A11.0':?�rD RBOULY S ALiTCS At i. _ _. .. r -- 'Per a .,._ HiRF.i� 'ALIT . ._—_ i I.•, - ._ -- i 5 UMBRELLA LIAB .I._`li EACH CCCtFPRENCti S __.EXCESS UAB. --...._...__._.._ .' `AGGRi- _ �5'_ —�DE.D RETENIION:'s S 1 WORKERS COMPENSATION e �_'.._ E 6/2;16 6%2/17' r - i .STH -- I AND EMPLOYERS'LIABILITY 7PJUB-9F 7 5 F.., Tt I I ER _ ` 100,000_ lvtd ?ROPRt=7 RrPARTIvF;E U xt?;_I'"V E.L E OF-IU-tbMENIBER EY.CLCDE(: 7 NIA (Mandatory,in NH) C.L Di SC .r F.A- s_ GYEE-s... ___20;0,,000_ 11 yes.drKC'Ireunder F' E ,,.r. .i MIT`S 500,000 DESCRIPTION OF OPERr-.1-ION. ., E.L DISEASE _ 1 DESCRIPTION OF OPERATIONS!LOCA11ONS VEHICLES (Attach ACORD 101,Additionat Rerrar'as Schedule,if more space is regdred) - v RICHARD GAg.DNER HAS ELECTED NOT TO BE COVERED i3NDEB. HIS CURRENT WORKERS COMP POLICY CERTIFICATE HOLDER CANCELLATION I j SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN MOGAN AND COMPANY ACCORDANCE WITH THE POLICY PROVISIONS. JOYCE ANN LAINTE --- AUTHORIZED REPRESENTATIVe^'�, CENTERVILLE O i RGARDNER2 0 0 8 KOMCAS, j A 1988-20A AC RD CORPORATION. All rights reserved. ACORD 25(201 Ut05) The ACORD name and logo are registered marks of ACOR-6 Phone: Fax: E-Mail: M- OGANHOMES@COMCAST.NET I PAULWSA-01 MANDERSON ACORO® CERTIFICATE OF LIABILITY INSURANCE D 1 031/20 131120Y6 `-� 16 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 Maryjo Anderson Almeida&Carlson Insurance Agency,Inc PHONE FAX PO Box 719 A/c,No,Ext):(508)888-0207 A/c,No):(508)888-0550 Sandwich,MA 02563 E 11AAIL INSURERS AFFORDING COVERAGE NAIC# INSURER A:Travelers Inrip-nity Company of Connecticut 25682 INSURED INSURER B: Paul W Sandborg ANSUREIR C: P 0 BOX 19 INSURER D: Sandwich,MA 02563 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER M M p LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR 6805186BO15 11/15/2016 11/15/2017 DAMAGE TO RENTED PMIS ES Ea occurrence) $RE MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑jE,a LOC. PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED L NON-OWNE PROPERTY AMAGE AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION , I PER OTH AND EMPLOYERS'LIABILITY Y/N STA UTE ER ANY PROPRIETOR/PARTNERIEXECUTIVE ❑ E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 10ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be 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 Mogan&Company ACCORDANCE WITH THE POLICY PROVISIONS. 63 Joyce Anne Road Centerville,MA 02632 AUTHORIZED REPRESENTATIVE 1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATEIMMIDDIYYYY) A� CERTIFICATE OF LIABILITY INSURANCE 11r1118 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. (les) must be endorsed. If SUBROGATION 19 WAIVED, subject to IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy the terms and conditions.of the policy,certain policlos may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endo►samant(9). CONTACT Colman _ PRODUCER I 1_lAX Cowan Insurance Agency,Inc. JAiG No � PHONE E.(978)372.1451 c.�Ial L78 5� Z1 4669 359 Main Street Ao alLan.tar cowaninsurance.com HdVerhill MA 01830 INS!J. RLr1 AFFOW_NG COV"EJ IN e IN.Q)IHfR A• Associated Employers Insurance ComPan� _ INSURED INSURER A Douglas J Askew INSURERS- P081714 IN.%MW D Cotuit MA 02635 INS.UfiEg E INS P COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 15 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 NBR McER POLICY EFF POLICY EXP LIMITS LTRtvwAfvn PO COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE.TD RENTED CLAIMS-MADE DOCCUR �FMIAFef�e, S I ME0 EXP(AnY onp pe+sen S PER.S_ONAL&ADV IN RY S GEN'L AGGREGATE LIMIT APPLIES PER: GENE---,AGGREGATE $ POLICY 7 PRO" ❑LOC PRODUCT&-COMPfOP AG"Cz JfiCT a OTHEftAUTOMOBILE LIABILITY COMBINED SINGLE UMR S LEa.eac+tlsnU_- BODILY INJURY(Per p9rnon) S ANY AUTO ALL OWNED SCHEDULED BODILY INJURY(Por acddenU $ AUTOS AUTOS PROPERTY DAMAGE NON-OWNED (p�uidOclq� 3 HIRED AUTOS AUTOS S UMBRELLA LIAO OCCUR EACH OCCURRENCE 8 EXCESS L' CLAIMS-MADE AGORb}'AIL R T WORKERS COMPENSATION X P� OTH AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUT{VE Y� N 1 A WCC50050163572016A 0811712016 0811712017 E.L.EACH ACCIDENT S 100,000 A (mandatory In NMI EXCLUDED? N E,L.DISEASE-EA EMPLOYE S 1�+000 iMendetory In NMI � " If S d,gloe antler E.L.DISEASE-POIICY LIMIT S500,000 PTI N O Ne DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedula,rnoy be attached H mere space to rpqulrod) email:moganhomeg@comcast.net Electrician. CERTIFICATE HOLDER CANCELLATION ANY OF THEED Ed Mogen Homes THEULD EXPIRATION DATEVTHEREOF,DESCRIBENOTIICEI ES w WILL BECEL DELIEREDO W 63 Joyce Anne Road ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED RE ESF.NTATIVE Fax: 508 775-2731 1 '�' V 0 -2034VAWAID CORPORATION. All rights reearved. ACORD 25(2014101) The ACORD name and logo are registere aNcs of ACORD Client#: 762395 2TAVANOME ACORD. CFRT,IFICATE OF LIABILITY INSURANCE DATE D/YYYY) 8/221202/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s): PRODUCER CONTACT NAME: Dowling&O'Neil Insurance Ag a"Ico"N Ext:508 775-1620 FAX 973 lyannough Rd,PO Box 1990 E-MAIL AIc,Nc: 5087781218 Hyannis, MA 02601 ADDRESS: 508 775-1620 INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Safety Indemnity INSURED Tavano Mechanical Systems LLC INSURER B:Associated Employers Insurance INSURER c: 201 Capes Trail INSURER D West Barnstable, MA 02668 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD MM/DD A GENERAL LIABILITY BMA0024003 0811412016 08114/2017 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea RENTED $500 000 CLAIMS-MADE F x]OCCUR MED EXP(Any one person) $10,000 X PD Ded:500 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 JPRO- POLICY LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC50050149582016A 08/14/2016 08/14/201 X WOC STAT T ETH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500,000 OFFICER/MEMBER EXCLUDED? F_N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE s500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Job: Little Beach Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Mogan and Company Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 63 Joyce Anne Road ACCORDANCE WITH THE POLICY PROVISIONS. Centerville, MA 02632 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S175424/M175412 CBD ,4co CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 11i0%2016 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 Willis of Tennessee, Inc. PHONE g77-945-7378 FAX 888-467-2378 c/o, 26 Century Blvd. E-MAIL P.O.. Box 305191 certificatesiRwillis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURERA: Zurich American Insurance Company 16535-005 INSURED INSURERB:American Guarantee & Liability Insurance 26247-004 Installed Building Products LLC dba MAP Installed Building Products INSURERC:Iroashore Specialty Insurance Company 25445-002 165 State Rd (02562-2415), p. O. Box 1309 INSURERD: Sagamore Beach, MA 02562-1309 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:24870563 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. IN SR TYPE OF INSURANCE DDL SUB POVCYNUMBER POLICY EFF POLICYEXP LIMITS ' A X COMMERCIAL GENERAL LIABILITY y Y GLO 9139527-10 0/1/2016 10/1/2017 EACHOCCpURRRENCE S 2 000 000 CLAIMS-MADE OCCUR �� �5'FE� RENTED ce) S 1 000 000 MEDEXP(Any one person) $ 10 000 PERSONAL&ADV INJURY $ 2 000 000 GENI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 000 000 POLICY PRO LOC PRODUCTS-COMP/OPAGG $ 4,000,000 JECT X $ OTHER: A AUTOMOBILE LIABILITY Y Y . BAP 0156620-00 10/T/2016 10/l/2017 COaa deentSINGLELIMIT $ 2,000,000 X ANY AUTO (ff%Ln Eerperson) SALLOWNED SCHEDULED eraccident) $AUTOS AUTOSGEX HIREDAUTOS X NON-0WNED $AUTOS $B X UMBRELLALIAB X OCCUR y Y AUC 9314206-05 10/1/2016 10/l/2017NCE $ 10 000 000 EXCESS LIAR CLAIMS-MADE AGGREGATE S 10,000,000 DED I IRETENTION$ Retention $0 $ A WORKERS COMPENSATION y WC 9139526-10 (AOS) _ 10/1/2016 10/1/2017 X AND EMPLOYERS'LUIBILITY YIN --A---ANY-PROPRIETOR/PARTNER/EXECUTIVEMN NSA Y--WC-9-13952-8--10—(WI)—i0/1/201-5-3-0/1/201�--E.L.EACH ACCIDENT $1�000;00-0=-- OFFICER/MEMBEREXCLUOED? (`-J E.L.DISEASE-EA EMPLOYEE $ 1,000,000 IMandatory.in NH) f yes,describe under E.L DISEASE-POM LIMIT S 11000,000 DESCRIPTION OF OPERATIONS below C Excess Automobile y y 002907300 10/1/2016 10/1/2017 of $2,$3,000,00, Excess of 52.000,000 underlying automobile DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additonal Remarks Schedule,maybe attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Mogan & Co. Inc. 63 Joyce-Anne Road Centerville, MA 02632 Coll:4985938 Tpl:2083922 Cert:248 563 61988-2014&ORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 1 Construction Supervisor Restricted to: Unrestricted-Buildings of any use group which contain ' less than 35,000 cubic feet(991 cubic meters)of enclosed ' space. r T Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. UPS Licensing information visit: WWW.MASS.GOV/DPS - \ P o c) n � 0 Z r n M0<0 � m as p ern c a o n 3I �z3 0 Cr — �T ` ���craercc�icae to m Z O N C,J/ie omvmorzcaecc t�c a, �^ r�0 (n n" N. o .`� D D c b Office.ot Consumer Aftalrs&Business Regulation' (D rn 0 HOME IMPROVEMENT CONTRACTOR befoRegre the expirastration tionrdate. :I found return W. M �" � , z V � M. •;Type: Corporation Office of.Consumer Affairs and Business.RegulatlonY - v Reais_tration Expiration 10 Park Plaza-Suite 5170 % o c -180182 10/19/2018 Boston,MA 02116 ' 1 ?; M \�lug ' 7 i ei .. Mogan and Cotrtipan`y Inc ' . �', o v FrancisMogari,Jrs ,rj�-- ���n,_ - ``� U 63 Joyce Ann Rd`�„E ,!, °" � Centerville,MA.02632 No all �Witho�6� nature o N Cr c.- Undersecretary w N t CL o O r d r: 4p C,< Ja` AV `` M� 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDAkDS THE MASSACHUSETTS STATE BUILDING CODE AWC Guide to_Wood Construction in'High Wind Areas;110 mph Wind Zone' Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)! 0 Check Compliance 1.1 SCOPE . Wind Speed(3-sec;gust) .. .... .......... . .:110 mph Wind Exposure Category ... ... . ..... B _ 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a s cry) stories:5 2 stories _ Roof Pitch .... (Fig 2) ...... ....... . 5 �„Y s 12.12 Mean Roof Height ..................... (Fig 2). ...................G3_1 ft s 33' _ Building Width,,W .... ............:(Fig 3). .......... .........7.0 ft s 80' Building Length,L . ...... ..: (Fig 3), .......... ft s 80, Building Aspect Ratio(LJW) ........................... (Fig 4)`...... s 6'8" " 1.3 FRAMING CONNECTIONS General compliance with framing connections. : (Table 2); . ... _ 2.1 FOUNDATION' Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete ... .... ....... ......... Concrete Masonry ........ ... . .. ..: ........ 2.2 ANCHORAGE TO FOUNDATION'S AW Anchor Bolts imbedded or le"Proprietary Mechanical Anchors as an alternative in concrete only ' Bolt Spacing-general ......................(Table4)Q4INVOM. Bolt Spacing from end/joint of plate ....... (Fig 5) ... t. ... 4 in.s 6"-12" Bolt Embedment=concrete. .. ... (Fig 5) ... ...... . in.x 7 Bolt Embedment_masonry'.. (Fig 5) . .. .... in.a 15" _ Plate Washer ............. ....... . (Fig 5) ......... t 3..x 3..x,�., 3.1 FLOORS Floor"framing member spans checked ......... (per 780 CMR 55.00) ...:................ Maximum Floor Opening Dimension....: (Fig 6) ................... ft s 12' . Full Height Wall Studs at Floor Openings less thin 2'from Exterior Wall(Fig 6) ....... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwatl (Fig 7) ... ........... .. ft i d . Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall,. (Fig 8j ..... W..bJAA*VM 'Loft s d _ Floor Bracing at Endwalls (Fig 9) .......................... Floor Sheathing Type ................... (per 780 CMR 55.00) .................... Floor Sheathing Thickness ........ (per 780 CMR 55.00)....... in Floor Sheathing Fastening .....:.....:.....:(Table 2)�d nails at-16-in edge/ z.in Feld 4.1 WALLS:, Wall Height Loadbearing walls . .. .... (Fig 10 and Table 5) �a ft " 10. - Non-Loadbearing walls ....(Fig 10 and Table 5) ,. ft s 20' _. Wall Stud Spacing ........................ (Fig 10 and Tables) in:s 24"o.c. _ Wall Story Offsets ........... ........... (Figs 7&8) ft s d 4.2 'EXTERIOR WALLS' Wood Studs a Loadbearing walls . (Tables) .....2x �iD ft min: Non-Loadbearing walls ................... (Table 53 ......... 2x L j{ft�in. Gable End WaU Bracing' Full Height Endwall Studs................ (Fig 10) ......... ..... ............ WSP Attic Floor Length ................ (Fig 11) ... ft a W/3 Gypsum Ceiling Length(if WSP not used)(Fig 11) ............ .....7t J ft a 0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11) ." �aOF MASSq pHUs or 1 x 3 ceiling furring strips,@ 16'spacing min with 2 x 4 blocking @ 4 ft spacing in end S%- F�� joist or truss bays :' :..... _ \gyp ,n Double Top Plate cc) R�`(1aA Splice length.......................... (Fig 13 and Table 6) ��..�f ft 0 pli Connection no. f 16d common nails)(Table 6).....,.... .... .. .....'_ '�FEsstoN° 1054 I0 %� 780 CMR-Seventh Edition 12/28/07 (Effective 1/1/08) Otp Pr,@ sg z o� _jgce. Aj G 780.C1�IR: 'STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES Loadbearing Wall Connections ' Lateral(no.of 16d common nails) :(Tables 7) .... 57°+ /: 4A Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)......... (Table 8) ......................... Load Bearing Wall Openings(record largest opening but check all openings foS compliance to Table 9) Header Spans............. . (Table 9) Ar'L ft=tn. Sill Plate Spans ............ ... . (Table 9). ........ ft_---tn.s _ Full Height Studs(no.of studs) ...... , (Table 9) .......... ....... • _ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...... ... ........... . (Table 9) ....... ft---in.s 12' Sill Plate Spans.... .. ...... (Table 9) .1. ft -,—in.!; 12' Full Height Studs(no.of studs) .,.. .,.`'(Table 9) . Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously` Minimum Building Dimension,W Nominal Height of Tallest Opening? ..; ... ...., 5 6'8'' Sheathing Type..• .... (note 4). . Edge Nail Spacing ........... ... (Table 10 or note 4 if less) .. in.' Field Nail Spacing ....... .:... (Table 10)................... in Shear Connection(no.of 16d common nails)(Table 10) ........:.......... Percent Full-Height Sheathing (Table 10)........................ 7O"' Ok— 5%Additional Sheathing for Wall with Opening>61"(Design Concepts).,......... Maximum Building Dimension,L Nominal Height of Tallest Openine. .,,, •,• .....•.....04 " Sheathing Type.... ..{note 4)... ... . ,�, �fp Edge Nail Spacing . .,. (Table I I or note 4 if less) ... — rn,. Field Nail Spacing :...... (Table 11)....... in �. Shear Connection(no.of 16d common nails)(Table 11).. Fercent Full-Height Sheathing .......... (Table ll).............. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).:........ .: Wall Cladding Rated for Wind Speed? .................................................. 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWCSpan Tool,see BBRS Website) Roof Overhang....................... �(Figure 19) ....i Z ft smaller of 2'or LL3 _ Truss or Rafter Connections at Loadbearing Walls Proprietary Connectorsr Uplift .. :(Table 12).............. U= Lateral .... .....:.Table 12). . ...... ....... L= Shear..... .: (Table 12)............... ..... S=-7Z xfRidge Strap Connections,icollar ti nok2!! page 21(Table 13)............ T= , Gable Rake Outlooker (Figure 20) . /�ft s smaller of For L!2 Truss or Rafter Connections at Non-Loadbearing Walls r f T Proprietary Connectors Uplift ...'.:..................... (Table 14) U==1b. Lateral(no.of 16d common nails) ....... (Table I )., ...... .......... L= lb. Roof Sheathing Type'.... . (per 780 CMR 58.00 and 59 00)... ... ' Roof Sheathing Thickness .. 7()E in.a.7/I6"W,$P Roof Sheathing Fastentng ............... (Table2) :��,�.�``,A.G.�b,lot✓ Notes: L This checklist shafl,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 l.If the checklist is met in its entirety then the followjng metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. .20 Gage.Straps per Figure 11 c.,Uplift Straps per Figure 14 — d. All Straps per Figure 17 " ^• . e. Comer Stud Hold Downs per Figure I Sa and R' re`i8b 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 Tables10andIIandlocationofwallsheathingandBuildingAspectRatio,determinePercentFull-Height Sheathing and Nail Spacing requirements P` X;t�OF MASSGOO NL gcy o swic"') too 3g774 s 0 12/28/07 (Effective I/l/08) 780 CMR-Seventh Edition A9 9FGISTEPw� 1055 O SSION00- - W4t. E STS ! z . W�SP F�•f tNC� f � . � ��� �_ • _ r ` WSP ATTACHMENT a - No"T To- SGA{,E ol� 1 oiL, +4c?PiZot4TA..L • Q c Lr 0.L. J . , �,' •I _ � vet ap a , i�f.{V1bM TYP. • i I�.�Ott. Pf�REi�u _ - _ • 3/8 � � - ; ' 0 mm, _ 5P� .y 4W - WSP ATTACHMENT 4 _ ' ` bZOT To Sc�At•E ` T V�RT kI�D �t?�t I.� 4TT�G�I�IIBN LOTS t Rry Wood Suucmral Parcels shall be aunim�: ., ' mu"�� .thickness of 7/16".and be installed as follows:i, i. Pants shall be installed with strength axis parallel to studs, f u. All horizontal joints shall occur over and be nailed to framing. iii. On single story const=tior4 panels shall be attached_to bottom plates and top member of the double top plat:. iv: On two story consuuctiart,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel-Upper a mwIliment of lower panel shall be made to band joist and lower auacbment made to lowest plate at first floor franning. _- 4 µ ba` ` v. Horizontal nail spitting at double top plates,band joists,-and girders sbalt be a- le rpw of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing forPariel Attachment' GENERAL:NOTES AND'MATERIAL SPECIFICATIONS";,(Residential IRC,Construction) SK=1 FOUNDATIONS . 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,Iatest`edition. 2.,For site location and grading infbrmation,see Site Plan,by others - 3.-Assumed net allowable soil bearing capacity;_q=3000 psf,fora medium sand/gravel composition Other soils encountered, contact the Engineer of Record. $ ` 4, Concrete: Minimum 28 day strength,Pe 3000 psi;314"aggregate,designed per American Concrete Institute Code latest issue,maximum slump=4"., , a.) Anchor bolts ASTM A307 galvanized min;5!8"diameter, 12'I' w/2 1/2"hook'spaced per Code Checklist;orJn piers wl Sitnpson'ABU-series`base;'SPACED 2.o/c for'slab-on-grade construction(i.e., Basement;-etc- concrete ).•, b.) All walls to have min.2#4'top horizontal,2'.'clear,to prevent shrinkage _' > . .• ` " c.) All walls_longer than 25' shall have`vertical control lotnt with waterstopping between`wall joint.' }, FRAMING �P 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,�latest edition: 2.Structural'Design Loads: t Dead Loads:Actual Weight of Building Components Live Loads:Snow'Load =.30 psf(plus drift)with applicable reduction:, AT'nC Storage 20 psf Living Floor=40 psf° Sleeping Floor=30psf Decks and Balcomes=40 psf -, Wind Load:'Criteria used fort 10 MPH Exposure B or C as noted per plans 3. Structural Steel: (as required)"`' a. ASTM A572 Grade 50;shop paint'With rust inhibitive paint Thru=Bolts. ASTM A307, 1/2' diameter,punched holes:- ' 4/16"diameter. a b.•Welds: Shop weld cap and base plates to columns;shop.weld bearing plates to beams;use E70xx electrodes, Alternatively field weld b certified welders. c. Deflection Criteria:-L/360 total'load deflection.: 4.Timber Framing: a a.All new timber framing:Spruce=Pine-Fir.No 2 with Fb=1000psi,E=1;300,000 psi.,or better. b Pressure treated timber(P.T.):Southern Prne with Fb=1300 psi;E=1,600,000 psi,or better. + c"Laminated Veneer Lumber:All L.V.L.shall be L9E L.V L with Fb=2925 psi E=1,9001.si,Fv=285 psi,Fc�ec=750 psi, Fc_par=3035 psi. Parallam(PSL):.Ali PSL sha11 be in. 1.9E ES with Fb=2900_psi,E=.1,900 ksi;Fv�85 psi,Fcjer-750 psi, Fc_Par=2900 psi.'Note that Microllam and Parallam may be used interchangeably. r' 1. Deflection Criteria;,L/480 Live Load,L/360 Total Load a 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing y 5,`Metal Connectors: z As manufactured by Simpson Strong-Tie Co.shall be handled and`instalied per manufacturei=requirements.with all nail holes filled,with the size"nail as specified by mfgr.orherein r" a. Rafter to Ridge Beam Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 16" Rafter to Ridge Plate:,Collar ties min: a 16'O/C'at to `or'Sim son Stra s over to of plywood s aced:.16".o% g - ' P p P P .,R Yp b. Rafter ends to top plate. Simpson H2;5A o, .. . c. Band Joist: Sampson straps at`4 o/c GCS i4R 48'centered at band joist rc ;Botts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32'•larger than „ _._ bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.`Ail nuts shall be retightened at completion`of job. k " t ,- 7.Blocking: -.. a.Blocking shall be solid blocking 2x minimum;and full depth'of member: b.Stud Walls:provide blocking at 8'-0"o/c,•rnaximum'height.'.Comers to be blocked at 48` o/c With plywood edge nailing;LL a ._ • m to.this blocking for:the first 48',of these building comers, C.Nailing Schedule: .� r' rr Solid Blocking to Bearing' 2 8d toenails ea.side Blocking'Between Studs' 2-10d toenails ea'end,or 2-16d end-nails ea.End d."New Framing:Provide 2x blocking7for 2 joisttrafter bays and spaced 48"'o/c its joist and rafter plane at all edges.attach plywood edges to'this blocking'' _ a 8,Nailink Schedule: All nailing shall be in accordance with the WFCM Table 3.I-unless noted herein specifically. Multiple Studs i16d a.:..12"staggered m., a All nails shall be common ywire:nails '�;, b.Sub-bore where;nails tend toesplii wood. 9:Headers less than:4' 0",use 2-2x6 all others per MA-State Building Code.: , MICHELE CUDILO, P.E. Consulting Structural Engineer 123 Cottonwood Lane•Centerville,Massachusetts 02632-1979•(508)711-7601• Fax(508)771-7163•mcudilo@comcast.net DATE: October 28, 2016 Steve Cook 43 Brewster Rd. Mashpee, MA 02648 RE: Proposed QUINN Residence ADDN. COTUIT,MA PROFESSIONAL SERVICES RENDERED Office Review of arch.Set; Engineering analysis and calculations; Architectural drawing markups,CODE CK'List,stamped; TOTAL DUE=$500 Thank you in advance. /2016-291 f Town of Barnstable Regulatory Services tMAM Richard V.Scali,Director ►'� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable-maus Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize fyl L;>Q y- f -• 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 inspections are performed and accepted. Signature of Owner' Signature o Applicant E 6 G' `I`V C 2�L t. ..cam ��n1 �Yd. �c:% 04 GL,lsl.c- Print Name Print Name /A/ /G Date Q:FORMS:OWNERPERMISSIONPOOLS r Town of Barnstable ` Regulatory Services dF Richard V.Scab, Director Building Division t Paul Roma,Building Commissioner ALMS i63¢ a� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": - - name home phone# work phone# CURRENT NIAILINGADDRESS: cityho m state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A - person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required . shall be exempt from the-provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To,ensure that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION UN7V Map Loll Parcel Application Health Division Date Issued Conservation Division Application FeeLit. Planning Dept, Permit Fee U Date Definitive Plan Approved by Planning Board _ Historic - OKH Preservation / Hyannis - Project Street Address Village C e►, A-,e,✓Q0 kti Owner k AQ M r 0 c 7- k cu Address_ S S 3u4.Ge Telephone 1711 9 5 q 21 ` Permit Request 1 IN 1 5 C iAV\•roo Square feet: 1 st floor: existing I @Qproposed 1 P D 2nd floor: existing 8110 proposed Total new > b Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type w Lot Size 46000 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family,, ZIlr-- Two Family ❑ Multi-Family (# units) Age of Existing Structure 29 Historic House: ❑Yes ©-No On Old King's Highway: ❑Yes e-No Basement Type: UWull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 2 new Half: existing 9 new C� Number of Bedrooms: `3 existing _Q new Total Room Count (not including baths): existing new / First Floor Room Count S- Heat Type and Fuel: UKGas ❑ Oil ❑ Electric ❑ Other Central Air: U'?s ❑ No Fireplaces: Existing 1 New C Existing wood/coal stove: ❑Yes Gllo Detached garage: ❑ existing ❑ new size—Pool: 0 existing ❑ new size — Barn: ❑existing,__Q ne8 size_ _.Attached garage: Ue&isting ❑ new size5',Zf8hed: W xisting ❑ new size .2 Others:,- t t, Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ®s ' Commercial ❑Yes ❑ No If yes, site plan review# t Current Use ' Proposed Use 6 Sc, � - - _- 0- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name : 1rn c.+1 Telephone Number S©b 791, XD 70 Address 6 -J Uu&t_ License # Ccl�_el�r ui UL. yv%-A o :3Z Home Improvement Contractor# Jj26:) 2/R Worker's Compensation # ALL CONSTRUCTION.DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO lvi.w rZ "S SIGNATURE DATE 4jt FOR OFFICIAL USE ONLY `APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: -FOUNDATION ► _FRAME XWG `l t k a 'Af '= INSULATION CO I IIK�N , FIREPLACE ELECTRICAL: ROUGH FINAL I - PLUMBING: ROUGH i FINAL i I t GAS: ROUGH FINAL FINAL BU.IL_DING DATE CLOSED;OUT ' ASSOCIATION PLAN NO. r _ - r 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): Address: fo`r-, 1 v4 Lc � w� � Ct✓w City/State/Zip: Cck-_,�W I4, j^ A .020 L Phone #: b U 77 L, ;t U 7!� Are you an employer?Check the appropriate box: contractor and I Type of project(required): 1.El I am a employer with 4. ❑ I am a general ,: employees(full and/or part-time),*. have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' ,� [No workers' comp.insurance comp. insurance.$ 9• ding addition required.] 5. [ -1ve are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof re airs insurance required.] t c. 152, §1(4), and we have no ❑ p employees. [No workers' 13.❑ Other comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1;500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andpenalties of perjury that the information provided above is true and correct Signature: �`� � Date 9�h1%j Phone#: F only. Do not write in this area,to be completed by city or town official n: Permit/License# hority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspectorson: Phone#: Town of Barnstable Regulatory Services. Thomas F. Geller,Director i63P �t �fp Building Division' Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize__ l b- yyyol c,,,.,. to act on my behat� in all mattets relative to work authorized by this building permit (Address of Job). **Pool fences and alarms are the responsibility of the applicant. Pools are.not to be filled before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of Owner Signature f Applicant L.(X y"l.f(3EZVCG� I Y�L CY 4&,`L Print Name Print Name Date Q:PORMS:OWNERPERMSSIONPOOLS 1 Tom of Barnstable Regaratbry Services H.(RhRTLR_f� : Thnmas F. Gerler,Director MAIM 16 Building Division Tom?mTy, Building Comaussioner 2DO Maia•5`trcctHyennis,MA 02601 _ Nww.'Eown.barustable.ixta..us . )ffrcc: 508-862-403 8 Fax: 50&-790-6230 >�al�owxzLR rscl`rts>��I�-rox Pleire Print DATE JOB LOCATION: number street • village . "HO1vIFAWNER": . name home phone# work phone AL CURRENT ltilAILING ADDRESS: etty�wa staff emde zip Tltc current caption for"homeowners"was extznded to inclnde owner-ocMpied dwellings of six ttIIits or Icss and to allow homeowners to ragage an individual for hire who does not possess a license,providzd that ffin owner acts as SSIDCryISOI. - D1rF'1hrITTON OF EOMROWXTa P mrson(s)who owns a parucl of land on which helshe resides or intends to reside, on which tbcre is, or is intended to- bc, a one or two-family dwelling, attached or data.chad strncttncs accessory to such use and/or farm struati-m. A person wbn constr4cts more than the home in a two-year period shall not be considered a homeowner. Such "honle0wncr"shall submit to the Building Official an a form acccptablc to die Building Official, that hc/sho shall be resoonsib)e for all such work performed under the bvildin.g vomit (Section I D9.L.1) The undersigned"homcownct'assumes rmponsrbiIity for compliance with the State Building Coda and other applicable codes, bylaws,roles and ragvlations. - The undersigned`homeowner"=tifies that he/she rmdmrstands the Town of Barnstable Building Deparimrnt rninrr inn inspection pro=dures and requirements and that hr/shc will comply with said procedtaes and -cgvircmcnts. :ignaturt of Homeowner .pproval of Building Oficial , Note: Three-family dwellings confaiaing 35,ODO cubic act or larger wM be mq,;n�i to comply veith the tate Building Code Section 127.0 Construdibn Control. HOIMOWKER'S EX1:fi2MbN .The Code statrs that day bomwwnc pefonning Work for which i b0d ng permit is rtquircd shaD be==Ipt fr=the prrovisiorrs this section.(S=66n 1D9.1.1 -Li=irhxg of=nstrurc3icm Suprn isors),provided that if the homeosyner mgagts a pasaa(s)for hirs to do such qicv that such Hom=wna shall art as supervisor = hameown=s who use this=cmxption are unaware that they an usuming nct responstb iji6m of a superYisor(see Appendix Q, )cs&R.: i Iations fur I.icmring Ctarstrnetian Supervisors,Section 2.15) This lack of awarr_ness often insults in serious problems,partiruiarly _r ncr homcawncr hires unlicensed persons. In,this ease our Board cannot pm=td against the unlicensed person as it wrould with a lieerued mrrviser, 'The hom?wvmcr acting as Supervisor is uhir m oy msponsrb)r- To ensure that the hameownrr is fully swam of hislher•itsponsrbilitia,many ca=mmitim rrquire,as part of the pmait application, the horrrcowrner ecttily tbas hrlshe wndastsrrds the respoasrbr7itics of n 5upervisor. Dn the last page of this issue is a farm eutrsnt}y used by •cal towns. You may cart t amend and adopt=mb a fmm-Jrcrti5=M for use in your community. -ns:hom=xempt I R f i 26.76 28.23 r 6 59 �0 a S� � OD 00 NO. 58 s •SO 23)8 7785 JOYCE. ANN, ROAD f - ® T GE LOAN NSA"ECTIO ML12407 SAGAMORE SURVEY� ASSOCIATES -SCALE: 1 IN.= 60"FT` P.O. BOX 28— DAT AUGUST 269 2004 i -SAGAMORE BEACH, MA. 02562 ,-%�•, $e �508) 888 8667 r [ c. i :CERTIFY TO THAT. THE LOCATION OF ;HE BUILDING SHOWN HEREON CONFORMS. . " TO. THE,`ZONING"OF THE �rOWN OF BARNSTABLEss• i C,ERTIFYTHAT LOCUS DOES NOT LIE 'WITHIN-,THE• .FLOOD HAZARD -ZONE .AS DELINIATED Op MAP 0005C COMMUNITY NO. : 250001 PLAN REFERENCE,. BAR!STABLE REGISTRY OF�:,.D. EEDS REGISTRY OWNER: Book/PAGE: PLAN ,BO)K 315,f�AGE 0.22 = ,; LOT NO : 7 'z. PLAN BY: .BARTER Ate NYC T BUYER: a 197i DATED: MAY `3, _ THiS INSPECTION` �+o.T. MAOi FROM 'AN INSTRUMENT SURVEY AND 'IS, NOT TO BE USED FOR :FENCES, FtQGES OR`.0 ESTABLISH LOT LINES. FOR USE OF.'BANK- ONLY. �' F E� f x I - I II I L Client#: 15228 2BRANNDR ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 09/06/2011 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 NAME: Dowling&O'Neil PHONNo Ext: A/C.NoE A/C. 508 775-1620 Fax 5087781218 Insurance Agency E-MAIL ADDRESS: 9731yannough Rd., PO Box 1990 Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:National Grange Mutual Insuranc INSURED INSURER B:The Hartford Richard Brann D/B/A Brann Drywall 3701 Falmouth Road INSURER C: Marstons Mills,MA 02648 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MWOD MWDD A GENERAL LIABILITY MPB1438S 2/31/2010 12/31/2011 EACH OCCURRENCE $1 000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES E.occurrence $500,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $1 O 000 X BI/PD Ded:250 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PEa 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 HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED F RETENTION$ $ B WORKERS COMPENSATION OSWEGLD8356 2/13/2011 02/13/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 OOO OFFICER/MEMBER EXCLUDED? F N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO B yes,describe under 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) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION - Ed Mogan SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 68 Joyce-Anne Road ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE - - ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S85372/M85371 LS1 09/06/2011 01:48 5088889609 MAP INSULATION PAGE 01/02 r CERTIFICATE OF LIABILITY INSURANCE .... 1 of 2 09/21/20' Paooucea — r 677-945-7378 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AN FICATE willies of Tenneesee, tac, HOLDER. THIS CERTIFICATE DOES NOTAMEND,NFERS NO RIGHTS UPN THECEX END OR 26 y Blvd, 0. Box P. sox 305191 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. lraehvills, TA 37230-5191 INSURERS AFFORDING COVERAGE NAIC# INSURED MAP Installed Building Producea 169 state ad. INSURERA: Zurich American Insurance Co®pany ISS35-005 P.O. sox 1309 INSURERS: Cincinnati Sueurence Compny 1D677-001 Saganore Beach, VA 02552-130S -INSURER C:Svereat National Insurance Company 10170-001 INSURER 0: 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 711E TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.A06REGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. I D' YYPEOFINSURANCE POLICYNUMBER Ga EF POLIC RAT1 ' 10 LIM11 3 A GEMERA LITY GLO913952704 10/1/2010 10/l/2011 EACHOCCURRENCE E X COMMERCMERCIALGENERAWABIUTY MAGETo ELATED ••�ODO_,000 �+P ES.{�occ�ranc.4i S 1j000 000 CLAIMS MADE DX_OCCUR MEDEXP(MywlamJraon) E 10I,_0.00 PERSONAL&AOV INJURY f 2,000,000 GENERALAGGREGATE S .0Q0,p�Q-•• GENT AOOREGATE LIMIT APPLIES PER: PRODUCTS-COMPrOPAGG S 4 000,�QD POLICY LOG 8 AVTOMOBILEUABIUTY CAA5878127(AOS) 10/l/201D 10/1/2011 COMBINED SINGLE LIMIT B ANYAUTO CAA5121545 (CA/NV/wr) 10/1/2010 10/1/2011 (Eaaerd0e^) s 11000,000 B ALLOwNEDALR09 CAA5876131(NX) 10/1/2010 10/1/2011 S INJ SCHEDULEDAUTOS c�5z112B4 10/1/2010 10/1/2011 (PerpaSon) .E X HIREDAUTOS — X NON-OWNED AUTOS BODILYINJURY E (Per accManl) PROP91M CAMAGE E (Far U ddanl) OARAIMLIABIUrY AUTO ONLY•EA ACCIDENT S ANY AUTO OTHER THAN EAACC S AUTOONLr, AGG E C EXCESSIUM9RELLALIABILITY 71C2000360101 10/1/201D 10/1/2011 EACHOCCURRENCC i 0l 000,009 X_ OCCUR CLAIMSMAOE AGGREGATE E lOJ ODD, _ s DEOUCTtBLF. RETENTION 5 - A WORKERSCOIMPENSATIOM ➢PC913952604 sraT1�- G� I AWOEMPLOYER3'LIABILIrY YIN 10/1/2010 10/1/2011 X ItN, A ANY PROPRIETORIPARTNERIEXECUTIVE[jj NC913952604 10/1/2010 10/3./2021 E.L.EACH ACCIDENT p F ICER/M EMBER EXCLUDED? J l I Nli E.L.DISEASE-EA EMPLOYEE E If 0eeeeleewldl. _ 0.00,000 I I E.LDIAEASE-POLICY LIMIT Is j QQ B oTmm XS115485 10/1/2010 10/1/2011 I&ceee Auto $A,000,OOD.,Li.Iit DESCRIPTION OF OPERATIONS I LOCATIONS/VE!MICLES I EXC W SIONS ADDED BY 5NDORSEMENr/SPECIAL PROV19K1Ng CERTIFICATE HOLDER CANCELLATION SHOULD ANY of THE ABOVE DEBCRIaED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRIMN ' NOTICE TO THE CERTIFICATE"OLDER NAMED To THE LEFT,BUT FAILURE TO 00 30 SMALL IMPOSE No OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR Kogan R Co., lime.. rQM3fiKTA1WEa. . 68 .TOyce Ann Rd. A REPREBENTA ... - - Centerville, MA. 02632 ACORD 25(2009/01) C011:3129953 Tpl:1146671 Cmrt:147 107 0 1908-2-0-0-94WOMDCORPORATION.Allrlghtsreserved- The ACORD name and logo are reglstamd marks of ACORD Sep 06 11 08: 49a Richard .Gardner 5084770973 p. 1 CERTIFICATE OF LIABILITY INSUKANUL De/3a�ou TWS CERTIFICATE M ISSUED AS A MATTER OF IWOWAT10N ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TEAS CERTIFICATE GOES NpT AFFR KATWLY OR NHGAIMV AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tm3 CUMICATE OF NMRANCE DOES It W CONSTITUTE A CONTRACT BETWEEN THE ISSUING W&WER(S). AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATENOLOER- DMP I1 the t:erl cmb 60WW 19 sls NI61JR6D, tlNl FO ea u.2 be eoeDltr T IS WAM, -W-1 to the ulms and Condn'"s of me polk7. outdri pol Dr 'Iciss rMy m%utte RR eDBsemunt. A sbtemv* on 171Is eerti6csts rtoes nat oorrlsr right to the aerociiie%otaer to Tteu o1 such Twrd— nrsr*). woY.JcaP NAME: - Schlegel S. Schlegel rpeoramm szekoxv IL'ic lob Hwy tAK e 34 MR111 STREET . .rNlovCtw cvcioM[e.S.R •-- west Yasmonth. 1ft 02673 I A(OAF1ffINMtO CDYE+ACE ttAlC■ n)SUIas rRauNRAP11EP7IXC NOTOAT. Richard Gardner Dba GagdaeSr Coastzuction Rsy2gLRTY 14970 L 92 Park Plato YrStIRERc: i itazhpno. IVBL 026E9 R6erfER F: COVERAGES CERTOICATE HMSER: REVISION NLMMER: THIS LS TO CERTIFY THAT THE MIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T"E INSURED NAMED ABOVE FOR THE POLICY PERIOD LNWCATEO. NOTtgm"ANDMtG AIrr R6011riISMIE T. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WI1N RESPECT TO %"CH THIS , CERTIRCATE MAY BE 1SSUF,O OR WAY PERTAN. THE NISURANCE AFFORDED aY THE POLICIES DESCRDED HEREIN IS SUBJECT TO ALL THE TEAMS. EXC W QIONS AND COSDrrtoNS OF BUG"POtNCK4 ED/IS SHOMIM MAY HAVE BEEN REOUCEO BY PAID CIANA5. 7LTR TYPE or nauzoozz �yl tryB POtrCYNYM ep vmmw/VYYI (MNODIYYYI'I Will A CEWWLLAAWUW C"0709341 EA0400 naENCF 21,000,000 . X 'CW41SRbK004ERALURBIL TY !E/2O/20 09/20/2012 PRE►xsF3tesaarnft0 350,000 CUtNS#1ADE CCDOiAt MEDEXP(" Pa ) 25.000 ' PER6014ILSADVMAW 31.000,000 eeveRJa AppRE9JRe }2.000,000 tCEt+LJV..GREGATELMlRMPIIEeY@k ARODVCR-COYP10PA00 s2,000,000 POLICYT LDE AYTOMOBLE UA84M COVANeD MOLE LYOT s .. �tl�f1t:Q�lll eOtR:s e{LIAY l�Yrnek f - - sDp1LY IHNAY(Par LatltaO L SC"Eftttt)AUTOS - .. PRAMTY OAMYOE s FrnEOAVTos �r+LLLase4 M0"MTLEOAUT0e I •YNeRELtAWit OCCUR v _ . EACH mectsme"m L • E)tcexiLMB ,Q,JULSLMItaG ADrIgETOATf e DEovcTtjtF - s Rert:rmaw s � ANO o1PLVYERe' PIL _ Vim - W2-913-376368-0I0 02/2T/24n 02/27/=2 Y. TOR►Lwne B ANY PROMEVORAART!lERIMCUTNY - EL.EACHACCMIfT L 100,000 OffrAIMAPARREAf.UMM a NIA m%"- ,T:.vm _ ELDISEAst-ELBWLME s 100,000 PTeL aaLUW afar OESCAFrtONOFOFERAT701BaMwY ELOILEAfE-POLrCYLMD s 500,000 Y I i - OISCROTIOMO►oFRp101ltJtoCwTleM/VEIROJQi MRL0A001P$AenrWglN�lwIRf 7LMdiA.if�ab pKFbw�W� r TAX riORKZRS COMP!•i98)l.nom POLICY Dws an VitWIM COVERAtP'k' "M RICOMM 6AROMIt CERTIFICATE HOLDER CANCELLATION SNOVLD ANY OF Ift ABOVE DESCRIBED PMiJCXS WE CANCELLED ■EFORE - ' THE EXPRAT10N DATE TH00W. NOTICE WILL FA DEUVERED N1 - , ACCOrWARCE WITH rrte POUCY PRDVL%Qfi - ALrh1o1�D R - 0138 OBA CORPO - . AI169fttsreamail ACORD 26(MOMS) The ACORD omme and lop are regWoft madrs of ACORD r RightFax N3-1 9/2/2011 5 :39:48 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF LIABILITY INSURANCE 09/02/2011 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 PO LICIES 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 It SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsemert. A statement on this certificate does not confer rights to the certificate holder in lieu of such erdorsemert(s). PRODUCER CONTACT NAME: PHONE FAX HAROLD H WILLIAMS INS (A/C,No,Ext): FAX (A/C,No): 81 BASSE17 LANE E-MAIL ADDRESS: PRODUCER HYANNIS,MA 02601 CUSTOMER 10#: 728JG INSURER(S)AFFORDING COVERAGE NAIC If INSURED INSURER A: TRAVELERS INDENEVIIY CONIPANY INSURER B: ASKEW DOUGLAS J INSURER C: INSURER D: P 0 BOX 1714 INSURER E: COTUIT,MA 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OFINSURANCE LISTED BELOW HAVE BEEN ISSUEDTO 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 SHOWNMAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF DATE POLICY EXP DATE ' TYPE OF INSURANCE POLICY NUMBER (MMMD1YYYY) (MMIDDIYYYY) LIMITS LTR INSR WVD - GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC STATLITORYLIMITS OTHER - WORKER'S COMPENSATION AND EMPLOYER'S LIABILITY Y/N UB-922X8895-11 08/17/2011 08/1712012 E.L.EACH ACCIDENT $ 100,000 ANY PROPERITOPJPARTNER/EXECUTIVE N E.L.DISEASE-EA EMPLOYEE $ 100,000 OFRCER/MEMBEREXCWDED7 - (Mandatory in NH) E.L.DISEASE-POLICY LIMIT $ 500,000 If yes,describe under - DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONSJVEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE ASKEW DOUGLAS J IS COVERED BY THE WORKERS*COMPENSATION POLICY. CERTIFICATE HOLDER CANCELLATION ED MOGAN&CO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE 68 JOYCE ANN RD WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE , CENTERVILLE,NIA 02632 Charles J Clark ACORD 25(2009109) 1988-2009 ACORD CORPORATION. All rights reserved. ` y� ✓ Office of Consumer Affairs&Business Regulation { License or registration valii. . HOME IMPROVEMENT CONTRACTOR. I before the expiration date. Registration 100718 Type: I Office of Consumer Affairs; vmi Expiration 6/23/2012 Private Corporaticl 10 Park Plaza-Suite 5170 Boston,MA 02116 OVA CO INCH Francis Mogan JrY�� 68 JOYCE-ANNE Centerville, MA 02632 Undersecretary Not valid.-without i Massachusetts- Department of Public Safet% Board of Building Regulations and Standards Construction Supervisor License License: CS 26071 Restrictedto_: 00 3 ' G FRANCI'S E MOGAN` 68 JOYCE ANN RD CENTERVILLE,.MA 02632 cam _ �y Expiration: 10/3/2011 ('�inimissiuner Tr#i 6187 A r ` 11/04/2011 00:09 5088889609 MAP INSULATION PAGE 01/01 y ,.p M.A.P. INSTALLEDBUILDING PRODUCTS` P.O: BOX 1309, SAGAMO E BEACH,-MA. 02562 (508) 8-88-359.9 (508) 888-9609 Fax Date job completed: l 3 ao l l Address of foam 'lw Act application: lf _ o . V/ue HA Inches sprayed in: Ceiling 9-qi,.Yv Walls Slopes Overhang Bsmt Ceil Stwl Blockers &R nners Cath Cezl Cath Walls Knee Walls y'A/H-Walls Crawl Ceil . V Installers Signature: y �� Town of Barnstable pIHE Tpy Regulatory Services Thomas F.Geiler,Director RAMSTASM 9� MASS. �m� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 0/y/oq 01 PERART# FEE: $ SHED REGISTRATION 120 square feet or less 5� d yuc_-e_ tAnne rgA.uI //-P Location of she (address) Village �'dc,�xer�S �L Ccary) {4 2— Property owner's name Telephone number C_XI (� �� � Ion Size of Shed Map/Parcel# Signature Date( Hyannis Main Street Waterfront Historic District? 4 Old King's Highway Historic District Commission jurisdiction? Conservation Commission(signature is required) PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION.FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. � 3 O { > Gi THIS FORM MUST BE ACCOMPANIED BY PLOT PLAN . Q-forms-shedreg REV:121901 3 2.6.76 28.23 LOT 7 S F G DK ui 8 o NO. gg 0 23 6 77.85 JOYCE ANN ROAD 3 MORTGAGE LOAN INSPECTION MLI2407 SAGAMORE SURVEY ASSOCIATES SCALE: 1' IN.= 60 FT. cw P:O. BOX 28 DAT : AUGUST 26, 2004 SAGAMORE BEACH, MA. 02562 (5O8) 888 8667 ti7BFd M .I CERTIFY TO �. w THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS TO THE ZONING OF THE TOWN OF BARNSTABLE ' �"ss��o►* I CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD ZONE AS DELINIATED ON MAP 0005C COMMUNITY NO. 250001 PLAN REFERENCE: BARNSTABLE REGISTRY OF DEEDS REGISTRY OWNER: BOOK/PAGE: PLAN BOOK 315, PAGE 022 LOT NO.: 7 PLAN BY: BAXTER AND NYE BUYER: DATED: MAY 3, 1977 THIS INSPECTION NOT MADE FROM AN INSTRUMENT SURVEY AND IS NOT TO .BE USED FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY. W TOWN OF BARNSTABLE Permit No. 25086 �� Building Inspector cash ------------ 1611. � OCCUPANCY PERMIT Bond __-___-_ k Issued to Patrick Gostello Address 0 lot #7 . 58 Jovice Aime Road Centervill P Wiring Inspector Inspection date Plumbing Inspect r/ T Inspection date Gas Inspector Inspection date i yt Engineering Department�q[/ �yj /Jj/J/ Inspection date ✓Board of Health �' ? ` $ Inspection date THIS PERMIT'WILL NOT BE VALID, AND THE BUILDING" SHALL NOT BE OCCUPIED UNTIL SIGNED BY!-,THE''BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDIING CODE. Building Inspector I SINGLE FAMtt_Y` BEOIZ0 uo GARBAGE G ,. PA%%L F1-OW It *tic 3 3306.Pt? SEPTIC TANK z 330x150'/• 0495G.Po 3 1000 GA1.. .i t eta T o15P,ObAL Prr I v5E I0 00 GAL. �,, 5►DSWALL AP-SA.E = t gc S.t= ` . �l� •I � f''i �lpL�4 � t t . . 150 SAF, x .2.5 37 5 G.P o , .. ., BOTTOM AREA= ,. j 0 5,F•_ ;� - ,;� �. ToTA1 �E�i1GNs ,e�.25 G.p0. -TCWTAL TDA11-Y FLOW- 330C.P.0 PE2COL-ATION RATES I"iN VAIN OF AIANRICH ARD ..,, uu A. o JoN s �� a IS su q. ToP FWD95. Floo � IOOC� INV• �,, f.` f DIST. INS i Got. Qs•3 ? t a 0pX q� S6PT►G' y,Na�(- INV. �,'; i ' ' t WA S►{G O a. g .S .. G�R.TIFIGD PLOT P1.,AN Wk PR.OFILG -c 10 LoC4 , �-rEz No• 5CP\LE •5C�/=vo. (c pl•P,NI REPE2E►�tGE t E RT I t~Y ".T H AT T H r__ .F'ov►4vk'n0tl 5N0 ww µEREON COMPLYS 1nlITN'tHE S1DEl.1NE �pT ^J r A,WG> 56T5Ar,K R.6Q�tR.1rME.N`f•' oF'YµE ' / s� �' r 'Tv W N O F BAQNsTa$�.�- AN-0 1 S n�ca-c- 8�3iS/� Locp►TED H tJ TN6 ooD WIT P I.Aa.IN ( , DATE s IL , t ►1J a ATEIZ.e NYE 1NC•R �' d .. - - " REG 1 SZ E.SZ6V'trA►.I�S u izv EYoE'S� 'TW3 PLo.N 15 NoT Bt,-561> cta AN os�rEt�Vlt-LE MA55,. _ � I ', IivSTR.�MENT Sv2V�Y �TNE OFFSETS sucut� _. ; �,� . � No'T DE VSED'TOC�ETE�Zl�IN�r.�o-r �tNES„ aPPL1CA►N'r ,�/IIE�S.��'- $ S. CO•;' d eerie J� Ph�nne areo orsh ,Q ZONING SUMMARY Rd ZONING DISTRICT: RC DISTRICT S vi 01d 0 MIN. LOT SIZE 43,560 S.F. MIN. LOT FRONTAGE 20' MIN. LOT WIDTH 100' L MIN. FRONT SETBACK 20' MIN. SIDE SETBACK 10' MIN. REAR SETBACK 10' T SITE IS LOCATED WITHIN ESTUARINE PROTECTION, RESOURCE PROTECTION OVERLAY AND AP DISTRICTS LOCUS MAP SCALE 1"=2000'f ASSESSORS MAP 209 PARCEL 106 LOCUS IS WITHIN FEMA FLOOD ZONE X MAP 209 PARCEL, 105 p PROPOSED STAKE SET m' � ADDITION \ 155. 1 1' N 6� MAP 209 �+ AC PARCEL 106 1 O� GAS `\ 0.34 AC. d MTR. \ N MTR. - o 00 L6 t-i 1 Cp 1 � o D v z N a m Lu 1'q O -� p oR\J� 65 8g Q N z PARCEL 1MAP 07 CD o m Z PROPOSED ADDITION SITE PLAN OF 58 JOYCE ANNE ROAD ZµOFMgSs�c CENTERVILLE o� DANIEL 16s g A- OJALA PREPARED FOR No.40980 off 508-362-4541 I �op'sS o�P EDWARD MROCZKA �fax 508-362-9880 ! P downcape.com © qN SURVEy� down ca nc. JUNE 4, 2015 pa eninee�in 8 8i i REV: NOVEMBER 3, 2016 (ADDITION FOOTPRINT) civil engineers land surveyors , Scale:1'= 20' 939 Main Street ( Rte 6A) YARMOUTHPORT MA 02675 DATE DANIEL A. OJALA, P.L.S. 0 10 20 30 40 50 FEET 15-112 NEW P.T.6 x 6 POSTS ON 10"DIA. CONCRETE SONOTUBES W/24" DIA.BIGFOC T FOOTINGS UNDER ;a CI TO 4'0"BELOW GRADE.USE SIMPSON ASU68 POST BASE&ACE POST CAPS ' EXIST. BATH O O DIII I to iq RE-USE _ fH I EXIST. NEW I II����,L ,� U P.T.2 x 10 LEDGER BOARD LAG BOLTED TO WINDOW L DRY. ' A ?x 1S6 SOLID SLOCKING TAGGER D/W/JOISTS HANGERS BOLTS 1 1 3" I I 1' .0 2 NEW ASPHALT ROOF FRIEZE, \ 1 ' BASEMENT EXISTING &SOFFIT BIOARDS O SHINGLES TO MATCH NEW q 4 r D. MATCH EXISTING TOP OF PLATE zz'3 iD A rn I A NEW TRIM TO MATCH 2 = EXISTING NEW W.C.SHINGLE NG ANDERSEN EXIST. \_ EXI TINGO MATCH A21 AWNING BEDROOM 9 ' FIRTS FLOOR 3'-71Y1" 3'•7112" SUBFLOOR P.T.6 x 6 POSTS LEFT ELEVATION FLOOR PLAN FOOTING PLAN LEGEND: j IECC20'12:€'E-* 1 1EN1r1$Ia'ENEI CaY EFPlCIENCY DETAILS 0 EXISTING WALLS CLIMATE ZONE 6A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION j 1 r--� TABLE 402.1.1(MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS)' CONSTRUCTION TO BE REMOVED FENESTRATION I SKYLIGHT CEILING WOOD FRMffD WALL FLODR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL I= NEW CONSTRUCTION U-FACTOR UFACT(xi R-VALUE R-VALUE RVALUE R•VALUE R-VALUE R-VALUE 0.32 0.60 <B 20 30 1&1B 10(2 FT.DEEP) 10/13 NOTES: NOTES: _ 1.R-VALUES ARE MINIMUMS&U•FACTORS ARE MAXIMUMS. i 1.)-CONTRACTOR.IS TO VERIFY ALL EXISTING CONDITIONS 2.15/19 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR NEW RAKE BOARDS TO MATCH EXISTING i &DIMENSIONS IN THE FIELD OF THE HOME OR R=15 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL l / 3.REFER TO IECC 2012 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, 12 12 DETAILS,&FINISHES IN THE FIELD WITH OWNER 5 Q 6 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT TOP CIF PLATE TOP:OFPLATE FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 5.) 110 MPH EXPOSURE B WIND ZONE c a 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, 7 OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING 7•) ALL LVL LUMBER/BEAMS TO BE 1.9e U360 LOAD 8.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO.2 GRADE FIRST SUBFLOOR FLOOR FIRTS FO_R R 9-) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL SIMPSON COMPONENTS I 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS T 3000 PSI FRONT E L 0//� T_ I O N 11.)VERIFY Y ALL PLUMBING&ELECTRICAL DETAILS W!OWNERS ON THE SITE /"� DURING FRAMING CONSTRUCTION i 12.)FOLLOW ALL REQUIREMENTS OF THE RESIDENTIAL ENERGY REAR E L E VAT I O N EFFICIENCY REQUIREMENTS&VERIFY ALL ALL DETAILS AILS WITH THE INSULATION INSTALLER/CONTRACTOR. ����SB ®Q® COTUBT BAY DESIGN, LLC NEWADDITION}l FOR: S THESE THE DESIGNER SHALL BRT NOTIFIED STARTOF o�MICHELE ERRORS OR OMISSIONS IONSAM O FOUND ONSTART OF SCALE : DRAWING NO.: C(JQqILQ CONSTRUCTION.THE BUILDING CQHTRACTOR 11 1 11 tiO+TRUQTURAL y WILL BE RESPONSIBLE FOR THE CONTENT 1/4 1 -0 43 BREWSTER ROAD qq No 44774 IN THESE DRAWINGS IF CONSTRUCTION' np R O/ -KA RESIDENCE E S I D E N C E COMMENCES VIRNOUT NOTIFYING THE MASHPEE ,MA. 02649 B!!i GOO• g B 9FG,'EPF° DESIGNER OF ANYERROHSOR SOLELY OM 59gN5. DATE _ SS Al OF THE ONNERNo M ANY OTHER USE OF PH. (508) 274-1166 THESE DRAWINGS REOUIRES THE. FAX (508) 539-9402 CONSENT OF THE DESIR ER UNDER THE 10/25/2016Al 58 JOYCE ANN ROAD CENTERVILLE, MA � L�,� rTo"XRAL �G !RO DH I TYP. ROOF CONST. 2 x 10 ROOF RAFTERS®16'O.c. -5/8"CDX PLYWOOD ROOF SHEATHING 0 'I ASPHALT ROOF SHINGLES i -15LB.FELT PAPER 1 -11"HI-R BATT INSULATION @ SLOPED CEILINGS(R=36) 11"BAIT INSULATION i =48®FLAT CEILINGS(R 2• x 12 RIDGE BOARD I -SIMPSON H 2.5A HURRICANE CLIPS I AT ALL RAFTER ENDS —Ix -ICE/WATER SHIELD AT BOTTOM O -PROP VENT BETWEEN RAFTERS -WIND WASH BARRIERS 12 P' .v ALUMINUM DRIP EDGE 5vo BOTTOM PF IF CEILING JOISTS 2 x 8's 18"o.e i TOP OF PLATE 1'•3" 1/2"GYP.BOARD ON 1 x 3 STRAPPING 16"D.D. TYP.WALL CONST. w R NEW I * 1.2 x 6 STUDS Q 18"d.c. " I i L'DRY. 2.1/2"PLYWOOD SHEATHING 3.8"(R=20)BATT INSULATION 4.1/2"GYPSUM BOARD N 3/4"7 8 G PLYWOOD 5.W.C.SHINGLE SIDING A SUBFLOOR-GLUED FIRST F R &NAILED 8.TYVEK VAPOR BARRIER SUBFLOOR FASTEN JOISTS TO BEAM T.2 x 10's®16"o.c. 68 TO POSTS W/SIMPSON PTIES 01 I P.T.5/8"P DD i 3-P.T.2 x 10 BEAM SEAL ALL OINTS CONCRETE SONOTUBES W 24" DIA.BIGFOOT FOOTINGS UNDER TO 4'0"BELOW GRADE.USE SIMPSON ABU66 POST BASE&AC6 POST CAPS I 1 ROOF FRAMING PLAN NOTES: , 1.) ALL ROOF RAFTERS TO BE2x10's �IJi.LD�NG SECTION @LAUNDRY y UNLESS OTHERWISE NOTED . ..... 2.) USE SIMPSON H2.5A HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT NAILING SCHEDULE W/OWNERS 110 MPH EXPOSURE B WIND ZONE JOINT DESCRIPTION NO.OF COMMON NAILS NO.OF BOX NAILS NAIL SPACING ROOF FRAMING: BLOCKING TO RAFTERI(TOE NAILED) 2-8d 2-10d EACH END RIM BOARD TO RAFTER(END NAILED) .(, 2-16 d 3.16d EACH END . - WALL FRAMING: TYPICAL ASPHALT TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 546d AT JOINTS ROOF SHINGLES STUD TO STUD(FACE NAILED) 2-16 d 2-16d 24"o.c. 5/8"CDX PLYWOOD SHEATHING HEADER TO HEADER(FACE NAILED) 16d 18d 16"o c.ALONG EDGES 2 x 10 RAFTERS ` 15#FELT PAPER FLOOR FRAMING: SIMPSON H 2.5A HURRICANE CLIPS JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-8d 4-101 PER JOIST WIND WASH TO"WIDE ICE/WATER SHIELD BLOCKING TO JOISTS(TOE NAILED) 2-8d 2-1. EACH END BARRIER BLOCKING TO SILL OR ROP PLATE(TOE NAILED);: 3-16d 4-16d EACH BLOCK ALUMINUM DRIP EDGE LEDGER STRIP TO B"M OR GIRDER(FACE NAILED) 3.16d 4-16d EACH JOIST JOIST ON LEDGER TO SEAM(TOE NAILED) I 3-8d 3-10d PER JOIST FASCIA,FRIEZE.&SOFFIT BOARDS BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST TO MATCH EXISTING BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO I 2-16 d 3-16d PER FOOT 1 x 3 STRAPPING W/ ROOF SHEATHING: i 1 P 2"GYPS 80 WOOD STRUCTURAL PANELS(PLYWOOD) TYP.2 x 6 WALLS RAFTERS OR TRUSSES SPACED UP TO 18"o.c. 8d 10d 6"EDGE/8"FIELD RAFTERS OR TRUSSES SPACED OVER 18"o.c. I 8d 10d 4"EDGE/4"FIELD GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG! Sd l0d 6"EDGE/6"FIELD GABLE END WALL RAKE OR RAKE TRUSS Sd 10d S"EDGEl6"FIELD W/STRUCTURAL OUTLOOKERS DETAIL AT WALL GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS Sd 10d 4"EDGEl4"FIELD CEILING SHEATHING: GYPSUM WALLBOARD 5d COOLERS — 7"EDGE/10"FIELD SCALE: 1/2"=V-011 WALL SHEATHING: ANELS(PLYWOOD) STUDS SPACED UP TOj24"o,c. ! Sd 10d 3"EDGE/12"FIELD 1/2"&25/32"FIBERBOARD PANELS I. Sd — 3"EDGE/6"FIELD 1/2"GYPSUM WALLBOARD 5d COOLERS — 7"EDGE/10"FIELD FLOOR SHEATHING: WOOD STRUCTURAL P ELS(PLYWOOD) 1"OR LESS THICKNES Sd tOd 6"EDGE/12'FIELD GREATER THAN 1"THI KNEES 10d 'Sd 6"EDGE/8"FIELD TT fps S�pF MASyq`�, ERRORSTHE 'OR OMIS6ONSGNER SHALL EARE FOUND ON NOTIFIED E SCALE : DRAWING NO.: ®lam® CO • UI • BAY DESIGN, LLc NEW ADDITION FOR: ��- yGf THESE DRANANGS PRIOR TO START OF (-- 43 BREWSTER ROAD o3 M�Uo qp��N RESPONSELEFORTM DO„ DTDR 1/4" = 1'-0" IN THESE DRAWWGS IF CONSTRUCTION �® StPUG?-nA COMMENCES WITHOUT NOTIFYING THE MASHPEE ,MA. 02649 MROCi b9 B RESIDENCE tAO 1 �O�y DESIGNER OF ANY ERRORS OR OMISSIONS. DATE PH. (508 274-1166 2bbEsss q G�S�EP OL? THE6EDRAWINGSMESOLELYFORTHEUSE ) TH THE OWNER NOTED.ANY OTHER USEOF FAX 508` 539-9402 Amy p� �g e 6 CONSENT OF THE H DESIGNER E UJ�NDERht HEEN 10/25/2016 2 ( 1 JH Y Os gy�e � CRCHITE TU AL coeRIGHT PROTECTION �� `� C AN INN � � ��I �I���' I ACT OF19BG.RAICOPYAIGHf PROTECi1ON i s =avt� s )�f 00�tc3v CEO We Q 2 p , a0 WO . _ ; m o,v 1 x d O 1 V .. 4 1 _%1'from aornmr of 4nrwge `\ . V Pou d eon ere+e column footing . wnd hi P m APB'U 9 9 post b.se. I IF P P ^1 i ® �/ VI i t P-------------------- \ ® I \ B O L - Antlersen s Ap-2 1 \ \ .X -7 - r.o. 2'-0 5/B"x I•-ei I/2' s � � N � u• V i .... ..................�u.... ; �'remove ex st'nq door and reuse � Existing foundnYion O �FouNr�PxTIaN PLAN u �A ..Q FLOOD PLAN e--Hi ion Wood s4--4ur,l Pwnels wR-h m mum thi.kess n of 7/1 G in,h(1 1 ,nd ct+ 1 mm). , Addition Aspe R".+i,(L/W)- 1.1 9 - hG,le: I/4"= I'-O" sewn ofegh+fee+(29%B mml shall be , perm++ed for ape Inq Pro+ecYie ne-wnd Ndti. +wa-story buildings.Pw els shall ne Precu++o - All Mesurements 4 Olm a+o All Mesuremen+s 4 Oime a 4, r the gl,zed.pe Ings with.+t,chmen+ be site rified by 4 r.e. l Gon+r.ctor be site—ifled by 4enerwl G,n+rw64— h.rdw,re Provided.A+twchmen+s,shwll be ,}}ime of eonstruati— wt+Ime-of construction Provided in--dance with 7 BO GMT T,ble shwll be designed to omPonen+s wnd Uwddlnq lowds determined in ^' ------- -- _ W,IIs to be removed ord.nee with the f the - Z m .. prate sons o. � p P EHistmgwwlls Internw+i,n.l Ou Idmq,Gode but u+ihzmq+he New wwlls W `\'�^d lowds set forth n BO Gl-!��i%.00. _ /''� I Q F N L I Z u J U CO v' IDW N R N '""_ •� � W N� 3� # J m U 3 0 < Z ul U W 2-1 9/4"x 1 1 7/B"V.—L,m's 6_ W - LL J o W...e ners wnd,++.ah %-z x 1 o•s P T. ^' 0 a . for Panel connections 1 w/% 1/Z"x I/4"hprs. Floor bracing a 9'-O"o _ m 4 x 4 to solid bewrnq e+hewder (� - far,P,nel e,nneet„ns ____IF____, II II 0 Ii II . _ a rsimPs,n H 2.5-ties e I e," O V y �7 oa p L - %-2x1 O's P.T. uin_m A a rsimp,,,s LUrs uj c LU _ .E - 2BG' � ? p,oE Z _ ___ •� �m v Exis+Inq House __ _ _ _ - - 4 x 4 to solid b.,rnq a I.+e him Hue a 4 I O-r O�i 2 x 1 O I dq r ++.ehed+ - IIIp Psons I � /simP s oil7oi rc �. . .. _ Ex'stinq Frwminq ..Ex + q house DRAWING TYRE: P,u �171 ROOF FR-AI�(E PLAN /'�FIF--i'r FLOOR•FFZ-AYIE fee Fr,m nq PI Plan woof Pr,—Pl,n Note\, SHEET NUMBER: All Mesuremen+s 4Oimens1ons.re be site verified by 4ener,l Gon+r.etar w+tim of cons+rue+io - n s tov=W s= . m E 0� Eo � u vmv" c c m ? N a -- O m Arahl+eL+ural asphal+shingles(+yP) ` vso ry 2-1 4" 11 7/8"VersaLam% q. 7 O u=ma mp�s0o-6& I�i•Pml+paper(+ ar ties yp.) 2 x 4 Goll e I Co" L.o Q d - N v - `o 1/2"6DX I d shea+hin (+ 1 6losed-Lell s foam Insula+ion .. .. PYwaa q YP. pray <` . : 1Le and water shield<+yp.) 1 2 Aluminum gutters+o drywells `], x_PV6+rim boards I/2"Drywall 2 60n+lnuous soffit ven+(+yp,) V White cedar TY�ekT"housewrop(+yp.) v �. �� \ L N I/2"APA rated"full sheathing(+yp.) o w , rP a I 2 xfo Wall stud e I!o a.L.<+ .) - 0 V 5 1/2"H.D.Insula+Ion-R-2 1 (typ.) - 9/4"APA ra+ed subflaor (glued and nailed) I I \ /2 x I O Floor joists 1!o"o:J L .. J i�\ himpsor.�PSG 4lo pas++o beam l� L }. /2"F.T.plywood - �� I y N 10"m 20 II -- V poured LonLrete column footing —r'O'I and himpson®A0U 4 4 pas+base. I I I I U O )--4 I I W CL �� }�UILI7ING -;VeGT-IoN„A„ ,EE6 -) N I W Q In m QZ � i Z W �� Y � 11 W m. 3d ^` I4— V m Q I 7 Z U m W _ n U m r7+ruL+ural ridge V ®a 4 x<o+a header / UJ ° -afters • a W m R . d I �i I/2"x 9 1/2"VersaLam® 4 xd,to floor be m I_ 4xlo+o floor beam I I moon \ L wOJ C U ut 6 I tom LLU Ip rcjt� E to Z 6 ELEVATION__ .. V%.:A �DRAINING TYPE: GAePi-e END PP-AI-tING PLAN I . I � � p�uildinq he6kions 13 �1GHT ELEVATION .I�T'4`��,��, Ele�a1'ions '. '. .. .. .. : T��G'�i��?:���E`q�c��.•, .SHEET NUMBER:.. A400