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V 4 0-, , 0 ;Qq� ,I 11'11;,",I 1�:_ , , I i �*��..-;��,�i:,',.,,`�!il��, �,i"", ��, ""'.""�,�,"",, ", I ��,�j �"S,� � ; " ,I , -""" . �;�-,-f,,,� � 77.T',"1i?_?1_ - I:_ !1, ,�"". ;:�Inilv,4 1�1­ 1!q-;'"�,'�­�,�-1 1,I- , -, , ��`, , ��mv � �_,: ,j___ Y, A " $ ;�: ,l,�, i,;- ,, �, "� �` , , �,1�11 I "; ""t",l: , � .� -,- �, � ,'­�'P�"-. ,;� , _�It� �, , _ .. � ,� , , �;"li_�'k, ­_ �� .�AAWWI`A_4_1 ,� I g��­ � ,,,�,;.', 11. i��, l� I ", .. , r vq, v , , it.,,�1`1111 -,�3*"��i',�,��,�,,,,���',,,.���.,�,,il,i,�,�,,,,!,_A"�,,-�%"`;tv��p�!;,�,�e,' ", III , I ,I izt"� ,k,��I . �;,� - 040 0, 10"wasn" 1110?03�� ., -!�,�,�����,��,,�,�,,���,i�;,,,�,,,,��,;,, "!", �,110"",_ " , . ,v W l;v,,041"��N ., ., " 1W,Mom ll�,,� � "I k, .":7i; nonvXog � " - - ,11 � � " ,� t_��;;111,�� - 11 �� 11 1 1 1 ":7; � " * � :,�--I l",�,-� -,"'."",� '10 � i� . - il ., I f�111'1'111,-Fl_,`­�11, f ,1, , ,""11,111,��. ."11�1':i.�', _f,", '!�,, , i . .go n;�,�, ar} r CJ Town of Barnstable - �S Regulatory Services , Thomas F.Geiler,Dlreetor w RAMA" � Building Division `�' m U i6 ►�� Tom Perry,Building Commissioner 200 Again Street, Hyamus,MA 02601 www.towmbarnstable.ma.us , Office: 508-862-4038 F= 508-790-6230 PER Un L�l 7—`3 FEE:$ SHED REGISTRATION 200 square feet or less Location of shed(address) Village Property owner's name Telephone mmsber Size of Shed Map/Parcel# S sPN M vl AE �� q- Date . o •s � -� �p11 Hyannis Main Street Wate Historic District? Old Ring's Highway Historic District Commission jurisdiction? N If over 120 square feet,you mast file with Old King's Eighway Conservation Commission(signature is requited) Sign off hours for Conservation 8:00-9:30&3:304:30 PIY A.SE NOTE: IF YOU ARE WI=f TSE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAR& TMS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q4 ms-shedres REV:05201 M U S E A R C H I T E C T S Architecture and Interior Design Principals Stephen Muse FAIA William Kirwan AIA Associates Kuk-Ja C.Kim AIA R.Warren Short AIA 8 February 2017 Town of Barnstable Building Department {`c 200 Main Street L5 L HYannis,MA 02601 t2011 { DEB 1 Shed Registration Muse Residence 79 Old Farm Road SAB1+lSTAls�.1;�Jt��€1�3RT��, Centerville,MA 02632 To Whom It May Concern: Enclosed please find our executed Shed Registration Form with our check for the$35 fee, as well as the plat plan showing the location of our proposed new shed. Please note that.the shed is 8'-0" x 12'-0" and is located 30'-0" off of the property line at Old Farm Road. This shed is also located nearly 140'-0" from the water line at Lake Wequaquet. I have also spoken to Fred Stepanis regarding this and he requests that you route this registration to him for his Conservation Commission signature. Should you have any questions regarding this,please do not hesitate to contact me. We are working with Pine Harbor Wood Products and they have scheduled the.one-day installation for 24 February 2017. tephen Muse FAIA USE ARCHITECTS - 7401 Wisconsin Avenue Suite 500 Bethesda Maryland 20814 T 301.718.8118 F 301.718.8112 MUSEARCHITECTS.00M z r� Commonwealth of Massachusetts Sheet MetalTermit Date: /,-� Permit#_Z0 LtOOO I�1 Estimated Job Cost:$ r 57 9 ESS PERM Urmit Fee: $ Plans Submitted: YES N® A X JAN 05 20151ans Reviewed: YES NO. Business License# TOWN OF B i Ti i se# - Business Information: Property Owner/Job.Location Information: Name:Ad-f�ti t O{ UJO�l� Name: Street: ql L'1 °uf (111) .I�/ _J Street: r7q 00 f�Lran RcaA . City/Town: ►1.( l) Y, & Pbq(�7City/Town: Telephone:��� � �� -t 3 C_/ Telephone: Photo I.D.required/Copy of Photo I.D.attached: YES NO Staff Initial J-1/M-1-unrestricted license - J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq.'ft./2-stories or less Residential: 1-2 family X Multi-family Condo/Townhouses Other Commercial: - Office %.Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq.ft. over 10,000 sq.ft., Dumber of Stories; 0, Sheet metal work to be completed: New Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: a - Trc�tee, CC� S� Q l�' 3(j 11 s Qy) ��S INSURANCE COVERAGE: 1 have a current liability insurance policy or its equivalent which meets.the requirements of M.G.L.Ch.112 _ Yes No[] If you have checked Yes,indicate the type of coverage by checking the appropriate bok below: A liability insurance policy J Other type of indemnity.[] ' Bond* ❑ OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that mysignature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box[],I hereby certify that a II of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code,and Chapter 112 of the General-Laws. F Duct inspection required prior to insulation installation:'YES _ NO Prog,Oss Inspections Date Comments Final Inspection Date Comments ; Type of License;. By ❑Master' Title El Master-Restricted Citylrown ❑Journeyperson Permit# ignature of Licensee. ❑Jo urneyperson-Restricted Fee License Number:-- 3g : ❑ . Check at www.mass.govldpl Inspector Signature of Permit Approval The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations '600 Washington Street Boston,MA 02111 t www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly A Name(Business/Organization/Individual): Address: �61 L bWf C&Uu'4q RoCL� ' City/State/Zip: l b Phone 47 z —3T' Are you an employer?Check the appropriate box: Type of project(required): 1.4 I am a employer with �� 4. ❑ I am a general contractor and I 6. ❑New-construction employees(full and/or part-time).* have hired the sub-contractors listed on the attached sheet.. -❑Remodeling 2.❑ I am a sole proprietor or partner- ' . ship and have no employees These sub-contractors have 8: ❑ Demolition workingfor me in an capacity. workers' comp.insurance. Y p h'• � 9. Building addition • 5. We are a corporation and its ❑ g No workers comp.insurance ❑ required.] officers have exercised their 10.❑ Electrical repairs or additions 3. 1 am a homeowner doin all works right of exemption per MGL I LEI Plumbing'repairs or additions ❑ g p p g 7 myself. [No workers' comp. c.:152, §1(4),and we have no 12:❑ Roof repairs insurance required.]t comp.employees. [o required.] 13.V Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers`compensation.insurance for my employees.-Below is the policy and job site information. r Insurance Company Name: rComEavtq6( \/awa_ Policy#or Self-ins.Lic.#: � ��3 I a Expiration Date: OG D aO15 Job Site Address:__7q )1d rVim City/State/Zip: 4&0 !� Attach a copy of the workers compensation policy declaration page(showing the policy number and expiration date).b2OX 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 vindpenalties ofperjury that the information provided above is true and correct. Signnature_ =_ _ -Date: 0 Phone#:, Official use only. Do not write in this area,to be completed by city or town official. • City or Town: Permit/License# Issuing Authority(circle one):- 1.Board of Health, 2.Building Department 3.City/Town Clerk 4:Electrical Inspector.5.Plumbing Inspector, 6.Other Contact Person: -Phone#: r HARWPOR-02 CLEDDUKE 4�OR�g 7111/13/2014 E(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE E(MMIDIYY 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). 'RODUCER CONTACT Ann Pell,CIC,CISR 'ogers&Gray Insurance Agency,Inc. PHONE F (877)816-2156 34 Rte 134 A/c No Ext: A/c No outh Dennis,MA 02660 ADDRESS: p 9 g Y•E-MAIL a ell@ ro ers ra com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Selective Insurance Co.of S.C. 4SURED - INSURERB:SELECTIVE INSURANCE COMPANY Harwich Port Heating&Cooling,Inc. INSURER C:NorGUARD Insurance Company 461 Lower County Road INSURER D: Harwich Port,MA 02646 INSURERE: INSURER F :OVERAGES 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. ISR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS TR I POLICY NUMBER MM/DD/YYYY MM/DD/YYYY k X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 AMAGE TO RENTED CLAIMS-MADE a OCCUR S1899080 09/01/2014 09/01/2015 PREMSES(Ea occurrence) $ 100,00 MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 3,000,00 N PRO- POLICY F3�] LOC PRODUCTS-COMP/OP AGG $ 3,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 100000 Ea accident) > > ANY AUTO A9099766 09/01/2014 09/01/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS X AUTOS BODILY INJURY(Per accident) $ X X NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 6,000,00 ♦, EXCESS LIAB CLAIMS-MADE S1899080 09/01/2014 09/01/2015 AGGREGATE $ 5,000,00 DED I X I RETENTION$ 0 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN ANY PROPRIETOR/PARTNER/EXECUTIVE HAWC536127 09/01/2014 09/01/2015 E.L.EACH ACCIDENT $ 500,00 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 -ESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) ertificate Holders are additional insureds under General Liability when required by written contract or agreement. :ERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 �.AUTHORIZED""�IZp REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. I,CORD 25(2014/01) The ACORD name and logo are registered marks of ACORD f dAl> OAAMOfVWLTFI ,O -,,MA- S14CHlJSETTS B..:Ol1M"DF S H E E: ';M ETA`L SSUES THE FOLLOW k€NG=':;L>'I'CENSE_;;:;, AMASTER-UNRESTRICTED HAR:W.CH PORT HTNG'- CLNG >'<A'fJDREW,;M LEUE;S:QUE ' HARW I CH::.>AORT.HTNG.:_G;LNG;> ' 461.. O.Q:WER COUNTY' HA WI'CH PORT ;::.:<>hIA 02646-1831`" ": ": : 180482 0 D e®MM®NWEALT H OF , ASSAGHUBE ` S H E WORK:ERS :; ISSUES THE FOLLOWIIG<L f>CENSE.::;;;., '., A S A BUSINESle- :. AN,D:REW M LEVES U ,€ »> HARWICH .PORT`:<HEATING AND..000LIN 461 LOWiER COUNTY:.;.RD..>' HARWICHPORT.; ,NM 02646 1263 0 D AGHEiET EMI T S::V R', LICENS �� y05A 03SS g END 4d-NUMBED ; 01,3 NONE 044813 a EX 3 ooe 1IT �.+ . 02�25 p969 :� '{ EST- 15 SE%'M t B Fx. U'E ANDRW MI HAEL E STREET' ,: s _ DENNIS,MA 02638 5 DD 03-13.2013 Rev 07.15-2009 + i Town of Barnstable y f Wgulatory Services r Thomas R.Geller,Director Building Division ' Tom Perry,$ullding Commialoner 200 MWn Street Hyanrds,MA.02601 , WWW town.barnstable.ma.us Office; 508-862.4038 Pax: 508 790-6230 PrOet:ty Owner Must Complete and Sign TWa Section If Using A Builder f r N ,as Owilex of the subject pa91sedy NAr�Vvle�E L��� 1�re�CirNa Lv+Dt,t�JG INe • &e�teby�athorizs toad obi my behalf; its all'mattus relative to work authorized by this building permit LN (Address of Job) **Pool fences and alms on the responsib• •ty cif the appReant. Pools are trot to be filled b m,tence is itxstAlkd and pools are not to be ai3lized untll a final inspections are performed and accepted. . t tuts of Owner Sigiiatcu a llcaut 'M pMCN A4 s'I VjV lLl . .Lc 2S�l7 r PsintName - PsYntName Date t , Q'.1'�oRtaist)wl+tsnrER2�sStoNeUor S � 1 'ou of � eet Actat vother6l gilt o fegitr�tt . re uiremeutq of Aogqacbugett5 Oeueral Raw ��.btu� ��rtt�fteb t�je � � rou �t bapter 112, �ecttou 237 b 9b 251 port r v r jf) arwtcu30cafing - - a � �jerep g routeb tbt.5 certificate no. 361 05 ebibeuce to practice a� . y 3Ltcengeo Aletal on tbi!6 90 bap of map 2011 uto �ffixeb the name of tYje �xecutibP director of the �oairb t� �Eletl - )Bate (eXecutibe �Birecto r APPLICANT INFORMATION- ='- t(SUILDER.OR_HOMEOWNER) 2," �� `+Si r$`Name u.���is�p. 4 Telephone Number � � � �'��� �� � ; � - 'Address I't A-41A 4 04 License # CS- �3aY /722 Home Improvement Contractor# /7 S ,. hetv&-;r / ows, Worker's Compensation 3'Ys 2olY4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO CoA,r*Alea SIGNATURE DATE TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application X:Z Health Division Date Issued Conservation Division ��!� 1�A ^ u Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �{ cJl r0 Historic -OKH _ Preservation / Hyannis P5ect'Street Address ?� e1j �aCM K0401 L-- CVillage 4c,.-✓I I e�A Address ��D S SSA N�or�.v) STNIr v c /rPr MV2 . o Telephone__ 301 Permit.Request _bo /j1✓1!l rev^mvt -f`oY revioda►+Loh of at`ot alt,�I°K u ayc t S hVi rGf'I GQ�►�-L — � 2 S ���' h o w t n o" p o .Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatiof ' ' Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing -.-- -new Half: existing new GyNumber of Bedrooms: 3 existing I new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other a o Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ r 4 Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use .. ov w _ r-- ' �= , APPLICANT INFORMATION r (BUILDER OR HOMEOWNER) me� trG1P��TI Mvt S _ A�1 J �~ _ �. . b of% S' . S r' Telephone Number o �' . 1. ,,cldress L°S Vtik N V m I'LAh t'C XtVT License# C kt e, lk A-S e A&h Home Improvement Contractor# f �• Email S M h S GLO M N S�q�'c �o ct`S. G OAlWorker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SNAIL:' SIGNATUR -- DATE y a FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. - `C ADDRESS VILLAGE S , OWNER DATE OF INSPECTION: FOUNDATION FRAME � d J INSULATION ®K yZ4 -.g _ FIREPLACE ELECTRICAL: ROUGH FINAL`- PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 . FINAL BUILDING �UII��lS �v fs tSf2 ` �D t DATE CLOSED OUT . ASSOCIATION PLAN NO. - ate���rx�rrrm:�ac�#�i u,�'?�assueftres Department of liuk t en r.icd Accidents 600 Maa'-kington.Rreet Bastai:,MA 02- 111, 'Yorkers' CQmpensatiunInsm-auce,A $davrt:Builders/CovIl#z-a:cffirsMectriccans/Rumbers Applkaiat Information. Ptease Print Lepibly• NaMO( ssl6xganin6onadiviw_ �:Ar�. L . r7aA Ad&ess ,2 G dli. l/^m City/StatrJZip: 1 G,_)6.VSr_ Pha=;g7 S'Z 8• !s�8�a?�i Are you an employer?Check the appropriate bay: Type of pro'ect .r L❑ I am a emP la er with 4. [�T &-a dal ctmfractor and I Y ti_ ❑New rnncir,rr-6m employees{full and/or patt-fime)* havehired-tbe sub-coulzacto=s. Z'❑ I am a stile propfietar or partner listed on the attached sheet [ A� g ship and have no employees These=b-contractors have $_ ❑Deuiolifraa working for me-in any capacity employees and have workers' e rr,R,ran�� ! 9_ ❑Building addition[gowarke s' ccnt anr p_inmrre. � � � .�- gnire�J 5 ❑ We are a corporation and its 10_0 Electrical repairs ox additions I❑ I am a homeou aer doing all wor'a: ofErxss have exercised weir 1 L❑Plumbing repairs or additions Myself o wo:6-M, right.of emmption per MGL � �P- ' _ I�❑Roaf'iepairs ie,ax=v regn�red-j T r`152, §1(4),andu*e hwe no. employees`[No workers' 1 ❑Other ' comp_inset ante required.] 'Any xppHcnf tbxt chp cks box rl mnstalso fill out the seffinn below-huwmg 4hea a*odceaT�ompensattoupvii�i�i�afia� Hnmeown�s rrbn submit this afhdsvi[i c g trey ase doing ir�c and tIiea hix�omride contracma mast sort a aea s d it loch_ =Contmciom that check this box must attached sa additions/sheet duKiog the name of the sub ohs and stare vrhether ornut$msa erdaieshave mplsyges. If the 5ab-cGutamdo.is have empIojmes,their mast piuuide their works'comp palm atmbez_ lam an emp t that is prmtiding nrorkers'congmm alia,n imtrtr=-ce for my emrp£ayem Heiaw is thelm cy and joh site irtfnrmatian� , Insurance CompanyName: Policy q or self-inn_Lic lvCe S - 5-0/3 j f3-20 CM F.xpi mtionBate: 4111;A Job Site Addmss_ 1 CA/ Mf, ' t Ciwstafel : Attach a copy of the-Workers'compensation policy declaration page(shoving the policy number and ration date). Failure to secure coverage as requiredunder Sectioa 25A of MGL c 152 can lead to the imposition of criminal penalties of at fine up to$1,5010D and/or one-yearinipris as well as civil penalties in fhe fors of a STOP WORK ORDER-and a fine of up.to V-50_00 a dray against the violator_.Be advised firat a copy of this statement maybe forwarded to the Office of Inregti tons of the DIA for insurance coverage vesificatiotL I dd hereby certify render-the pain_s andpenaWas fpti jury thatfhe igformtrt6anprtnidgd abtn a is bus and correct SiQnatare: ate- Phone Phone Off E aI use all Ty. E7a not wite in this area;to be completed by cii3'or town officraL C fy or Town: .. Permdtucense# Fssuing Authority:{circle oueyc 1.Eaard of$ez th 2.B Uding DDepartmmt I City]T:`owa Clerk 4.EIect.rical Fnspeetor S.Plurubin,-Enspecfor 6.C1t-her CoUtact P erson. Pliant=#c 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers';compeusatioa for their employees. Furs to this statute, an emplayce is defined as"...every person in the service of another'tmder any contract of hire, express o implied, oral or written." An Io erg, cl Emed as``an individu partnership,association,corporation or other legal enfi or an two or more P y �>P P, n> IP g ty> Y of the forego,. 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 dwelli g house having not more than three apartments and who resides therein, or the occupant of the . dwelling house off' other who employs persons to do maintenance,construction or repay work on such dwelling house or on the grounds o building appurtenant thereto,shall not because of such employment be.deemed to be an employer.." MGL chapter 152, §2 U(6)also stales that"every state or local licensing agency shall withhold toe issuance zt renewal of a lice�ase or ermit to operate a business or to construct buildings in the'�comi e mon aith for alzy. applicant who has not produced acceptable evidence of compliance with the ins Vance.coverage required.".. Additionally,MGL chapter`52, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for th eformance of public work until acceptable evide ce of compliance with the insurznce requirements.of this chapter hue been presented to the contracting authority." Applicants Please fill out the workers' compen`ation affidavit completely,by chec g the bones that apply to your situation and;if necessary,supply sub-contractors)n e(s), address(es)and phone n er(s)along with their ceri_ficue(s)of insurance. Limited Liability Compam s(LLC) or Limited Liability P erships(LLP)with no employees other than the members or partners,are not required to czrry workers' compensati If an LLC or LLP does have employees, a policy is required. Be ad - d that this affidavit may e submitted to the Depar'itnent of Industrial Accidents for confirmation of iasu=ce w erage. Also be sure o sign and date the affidas�it The affidavit should be returned to the city or town that the,app-' ation'�for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any stions regarding the law or if you are required to ob lm a workers' compensation policy,please call the Depapa at c n�be'/r listed below. Sells insured companies should enter their self insurance license number on the appropriate e. City or Town Officials Please be sure that the affidavit is complete and prime Iegrbly. The Department has provided a space at the bottom of the affidavit for you to ell out in the event the Offi roe f Investigations has to contact you reearding the applicant Please be sure to fill in the permit/license number which be used as a reference number. In addition,an applicant that must submit multiple pennit/license applications in an given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Addre -the applicant should write"all locations in (city or •town)."A copy of the affidavit that has been officially stamp_ or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on filVfor future pe or licenses. A new affidavit must be tilled out each year.Where a home owner or citizen is obtain"g a license or pe not related to any business or commercial venture (i.e.a dog license or permit to bum leaves et-c t)said person is to complete this affidavit- The Office of Investigations would like to thank you in advance for yo cooperation and should you have any questions, please do not hesitate to give us a call_ The Department's address,telephone and fax number: Thy Commnnwf'-aTth cif Massachusetts Dear fmt Gf Ind.ustrlal Accid is 600 Washington RQStDu,MA 02111. Td, A 617, 7--4M(�-xt406 or 1-9 ;MAS E ``, Fax 4 617-727-7 749 i Revised 4-24-07 j J :4co CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYY" `..� 8/27/2014 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 pollcy(les) 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 COMENCT Colleen Crowley Risk Strategies Company PHO . (781)986-4400 FAC No: (781)963-4420 15 Pacella Park Drive LADDRESS.ccrowley@risk-strategies.com Suite 240 INSURER(S)AFFORDING COVERAGE NAICS Randolph MA 02368 INSURER AWuard 42390 INSURED INSURER BAssociated Employers Ins. Co. William C Stoltz, DBA: Stoltz Building INSURERC: P.O. Box 1325 INSURER D: INSURER E: Harwich MA 02645 INSURERF: COVERAGES CERTIFICATE NUMBER:CL1482782554 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. 4 VTR TYPE OF INSURANCE POLICY NUMBER MMOIDD EFF MPM1�D EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 x COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence) $ 50,000 A CLAIMS-MADE a OCCUR RIBIP504151 /24/2014 /24/2015 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ Include GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 x POLICY PRO- LOC $ AUTOMOBILE LIABILITY COEa aM IN ccident S G MI ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED er accident) AUTOS AUTOS (BODILY INJURY P $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS per...dent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ B WORKERS COMPENSATION Officer Excluded from X O STATU- OEH- AND EMPLOYERS'LIABILITY Y/N _ ANY PROPRIETOR/PARTNERIEXECUTIVE Coverage E.L.EACH ACCIDENT $ 100,000 OFRCER/MEMBER EXCLUDED? NIA (Mandatory in NH) C50050132532014A /23/2014 /23/2015 E.L DISEASE-FA EMPLOYE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS 1 LOCATIONS f VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. , 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE chael Christian/CLC � ACORD 25(2010/05) O 1968-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD � E rti Town of Barnstable Regulatory Services ' ' t E Richard V.Scali,Director 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 Usina A Builder TerfrfN MtA S f ' ,as Owner of the subject property, hereby authorize �o��i�w C �� to act on my behalf, in all matters relative to work authorized by this building permit application for. O L V? Fit IL-A P-d AW q i tICIC, Ni.A (Address of Job) f ''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 instSignatauure ections are performed and accepted. wner Signature of Applicant Print Name Print Name °C 1 AAA K rT Date Q:FORMS:O WNERPERMISSIONPOOIS Town of Barnstable Regulatory Services �aF roryy Richard V.Scali,Director Building Division SMAX Y Tom Perry,Building Commissioner MACC r� 1659. 200 Main Street, Hyannis,MA 02601 � www.town.barnstable.ma.us Office: 508-862-4038 '� Fax: 508-790-6230 ti HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: � number i, street village / "HOMEOWNER": �• / name �1 home phone# work ph n'e# CURRENT MAILING ADDRESS: \ city/town state zip code The current exemption for"homeowners"was ext ded to include owner-occupied d ellin s of six units or less and to allow homeowners to engage an individual for hire who d es not possess a license,T)rovid4d that the owner acts as su ervisor. EFINITION OF HOMEOWNE Person(s)who owns a parcel of land on which he/she esides or intends to resid ,on which there is,or is intended to be,a one or two- family dwelling, attached or detached structures access ry to such use and/or structures. A person who constructs more than one home in a two-year period shall not be considered a hum owner. Such"ho owner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be re onsible for all ch work performed under the building ermit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for co m Tian th the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the own of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with sa d pro edures and requirements. fi 0 Signature of Homeowner Approval of Building Official if Note: Three-family dwellings containing 35,000 cubic feet or larger will be re ed 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 ermit 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 persons)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this xemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &ReguIations fo Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly hen 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 t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 --- ` - Massachusetts-Department of Public Safety ee ofCousumerAffdm&BusiaessBegulatioa Boarii of Building Regulations and Standards lVIE i)IAb�ROYBfAENT CONTRACTOR Construction Supertisor: ,} O - 175562 7YP License:CS-077013 - iration• _ DI3A STOLU BUILDING = 28 Nw WALEER IMPOBI HKA wiWAM STOLTZ -—" 28 NATHAN WALKER bl D HARiMCH-MA 02645 - U � 31 i8�� expiration t OOFA 015 Conumssioner License or registration valid for individut use only before the expiration date. If found--seturo to: i. Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 -Boston,MA 02116 ve .: Noty `acid withon t s' tore 1 ,. 1 • - • • 1` I�OiVmNie9e.' Coevcsu i r?1�,.n.. Cu eGc G F� 1 3 C 3 ss8� 'CID tV-7-;A-1 ny �. 6�A/FCL E9y6g , t i / pFfHE Tpl,_ Town of Barnstable * ASS. • Growth Management Department v 1639. `� Barnstable Historical Commission rFo en►�" www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair George Jessop,AlA `0-'1 jij L Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil Ted Wurzburg yk�(r;;,�,-- `r,;i;;,; Paul Arnold,Alternate DECISION Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F Applicant/Property Owner: Stephen & Farideh Muse Subject Property: 79 Old Farm Road, Centerville Assessor's Map/Parcel: 231/024 Hearing Date: July 15, 2014 Pursuant to the Barnstable Historical Commission Chair's determination on June 27, 2014, a duly advertised and noticed public hearing was held on July 15, 2014 to determine whether the significant building on this property is preferably preserved and whether demolition delay would be imposed for the building proposed to be partially demolished on the parcel addressed as 79 Old Farm Road, Centerville. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112-F the portions of the structure to be demolished is not a preferably preserved significant building. The portions of the dwelling to be demolished are identified on plans prepared by Muse Architects dated June 17, 2014 and are attached to this decision. In accordance with Chapter 112-3 F, the Commission determined by a 4-1 vote that the demolition of these portions of the structure would not be detrimental to the historical, cultural or architectural heritage or resources of the Town. Laurie Young July 23, 2014 Laurie Young, Chair Date 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 PERCENTAGE OF LOT COVERAGE LOT AREA 13745t S.F. lAl EXISTING STRUCTURES 6.4% ' ` `v MAP & PARCEL � ��,1 Q� 231-026 taevmtt ��r t :fit gi; v CB FNo P W ry:3 V 1 » g MAP & PARCEL v / 231-025 t r ? Q. 0 Feet LOCUS' MAP F .' f PARCH\ / / PLAN REF: } F305 98 # O DEED REF-- " r 10253 335 a' 24 ASSESSOR'S'MAP '231�e-- `,�A � -- _--- _ / PARCE11dc2 O M231 OOSRCEL ZONING. }30 10-`.10 .�Y. ; '-�'asF SETBACKS: € 0 FLOOD ZONE: ` PANEL NUMBER 250001Q005�C µ, q t DATED: OS/19/1:985 / EPTIC SHOM PER GP,RPOD ZONEvII / s OWN RECORD O w°aana y OVERLAY DIST: MASS ESTUA ES ' ,n � DSO. .F7' �6 / � PD,�' e c`•da .. '. {"" `"'."� '. � e•ga, tq OF LAN ° PLOT PLAN '. LOCATED AT `` 79. OLD FARM \ b A F = CENTERVILLE, MA. LOT 1 No PREPARED FOR. SMOKE DETECTORS REVIEW-,D \ FARIDEH & STEPHEN MUSE p ' 'U OCTOBER 15, 2013 , AR ,3UILDIr;C-Pi. p„r MAP & PARCEL \ 231-006 REV: g FlR=oEPARTrfchT o„r REV 80TY EIG!IAf"J'Ej ARE?,f.•.'lRE:%;0P FERAf1--fNG REV: YANKEE LAND SURVEY GRAPHIC SCALE CO., INC. 30 o ,s _� 119 ROUTE j49 02648 MARSTONS MILLS, M5o8_420_5553 1 inch = 30 fL LOT 2 MAP & PARCEL TEL 508-4WMCASr5 FAX: YANKEESURVEY.COM 231-008 YANKEESURVEY®COMCAST.NET ' SHEET 1 OF 1 JOB #: 54955 JM Town of Barnstable - r�,,�k rt,'� 5;�_ u:.:i: I Growth Management Departmento `, Barnstable Historical Commission `� www.town.barnstable.ma.usfhistoricalcommission NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING Date of Application �'� 7 N ^'�1 []Full,Demotion B-15artial.Demolition Building Address: Number Street �N Its l L fc ti ti Assessor's Map# 13 .'Assessors Parcel# G ti Village ZIP Property Owner: SfeM°HeN :M 44t FAAA, 4nj'7: .-FA:,11�MC-t4 MKISC— '2),01. 16 54 : Name Phone# Property Owner Mailing Address(if different than building address) it 145 1 TAa f Favt-r. 5T. 4140 -Q IAJ4 M Property Owner e-mail address: Contractor/Agent: XeL_ Contractor/Agent Mailing Address: Contractor/Agent Contact Name and Phone#: Ste ` Name Phone#. Contractor/Agent Contact e-maii.address: S F V Detail of Demolition Proposed: Type of New Construction Proposed:. C`C-_e. ArVT Ae-ft VV Provide information below to assist the Commission in making the required'determination;regarding the status of the Building in accordance with Article.l, § 112 Year built: q 2 I Additions Year Built: V N Y-NOWA/ Is the Buildi Isted on the National Register of Historic Places or is the building located in a National Register District? No Yes. Q A i r erty Owner/Agent Signature May,2014 } V11 U(, u Yl-Al A-m F5 W 19v-I(6 ' s c�tii I foA 44 A- PERCENTAGE OF LOT COVERAGE LOT AREA 13745t S.F. !� EXISTING STRUCTURES 6.4% .\C/ IAkP & PARCEL ^V 231-025 �tiiaao�+ P 1i CB FND MAP -025RCEL / Fu t � LOCUS MAP PLAN REF: 305-98 Q DEED REF, 10253-335 / ASSESSORS MAP:, 231-024 \ __ _^ // d MAP PARCEL ZONING: RO-1 PIMP 231-005 SETBACKS, 30'-10'-10' FLOOD ZONE; C PANEL NUMBER: 25OZOi 0005 C / \ EPnc sHcM PER DATEO: 08119/19B5 m+ RECORD DVERLAY DIST: GP, RP64, ZONE 11, O �P - i s��,`/ �c7, Y�6� � — v►°��5kus,� v MASS ESTUARIES PLOT PLAN OF LAND LOCATED AT. 79 OLD FARM ROAD • "� ,q;� �� CENTERVILLE, MA LOT 1 PREPARED FOR: FARIDEH & STEPHEN MUSE OCTOBER 15, 2013 MAP k PARCEL \ 231-006 REV: REV: RCV: YANKEE LAND. SURVEY GRAPHIC SCALE CO., INC. ]] IS .» !0 119 ROUTE149 MARSTONS MILLS, MA 02648 553 1..1n°h o 90 fl. - - LOT 2 MAP d: PARCEL YAtlpD6uRYEWWMjrAST.NEfAWNLYANKEE�IIRLEY.COPA 231-008 SHEET 1 OF i . MI3 0: 54955 JMIJ � 110 MPH EXPOSURE B WIND ZONE r/ ^. �°`�� ^v ' / ' �'x7w� /'7m+� w /r� ' Checklist 1.1 SCOPE Wind Speed(3-senond | ' � � ` ^ VV�dExposure Oat�/- �----'__.-`------`------'-_'-�'--_-`-----11Omph � Category---- ---. ................. --- ............^--`---'-------.^-.8 v^ 1.�� ���/P1LUC����D�L0�"� -- . � . Number ofStories--- Roo P�oh , _-------�,--------------...... --...... (Figure 2)...............- ~~ `mbories 2""hoo --- -�� (Figure 10) .--. ' � �� �1��12 Mean Roof Height -' ----`-~~�- �" , ................................. -,----^,--.U��u����`_.---- - g�� UuUd�gVV��.VV - � --'' ' '—'-'--- (Figure ���� - -------------'� ` ~��-� '--~----- ~z�-.` �0I Building Length, -----_--_- ` O�oup��` ^ - - '--^ - -----.--� -- (Figure^v``'---`.'— .. :�u���� ��� Building Aspect Ratio � ^ - ' "op�u ` ' ^-..-------_-----. (Rgure4).---.--.-_--- a01 ---�� 1.3 FRAMING CONNECTIONS Genera ��h�am' ` ~~"'+"="�= vY]:onnounono?-.---._. (fable 2)_____-__,_._--_'___� . . 2.1 ANCHORAGE TO FOUNDATION Type ^' ________~_,__.__----- A�g�e5),.---_'--- FoundaUnnAnchorage � --'-�^++��°zz�~~~~~���_ � Proprietary Connectors Uplift. ' ~ -----------'—^-~-'—'�/�--' - ' U~ n�gp� Lmbend � - (Table -------^-'' - --^=� ------------� _ ��b�3) � L ' Shear --------' --' —' ---------- pK __,_ . � (Table ---- G�" hm8oku' --'.---'---`-`--'`_ --'� ` --- ' -'--------.--'S='6��pW Bolt 8000ng............................... ^ ^ ' --------' —� h� 8m�Embndmnnt � ' `--' ` � ----'-----'--��� ____________'____..y-�um�4-' /�-� Washer Size - ' --'-----'-- ' ___________-__�-`-.^.. (�oma5)............�.. '� |uxji� « --- --�r^ _ ' �^-. _-. 3.1 FLOORS Floor framing member spans oh/ d? ` "^"" ^-------_-' ���ov m*�AV --------. *' Maximum Floor A�oue ' ----'`-` —' "p� � �w//----^`---.--.. 8) 6L tL �1�> Maximum F�urJoi�S�baokm ` `"-~ ----------^'�--- -�� WallsSupporting Loadbearing o,ShoanwaU---'-.. 0�gwa�71-. - .J� 9�* -~.` Maximum CanU�vemdFkmrJo�t ' � - ' - - --`-=- -�-- ���/ SvppumngL0000eanngVVa�orSheanwaU.................. U�ouna8) �� ' ~ (Figure -~^-���---.� _��f1 �d Floor Bracing . ' ---' -~ '---------------- 0-�u�0----'- . - Floor Tvoa -` '` ` ' -'-^---� ----- --�-'~�""~� '. .-,-�---~-----'',.�,_.-. VACcv ,-, ' w/ Floor Thickness................' ^ ' ~~ � �-' -- -- ---' ~�..~� _.----�..��--' y�CurN0cCA� ............................ �6 h� F�or ' ' ' -�� =="""..y ,u^�/m�---..',----------.- [[ob�2)-------^ . --------.`�=` ~ / ' 4.1 WALLS Wall Ho�h ~ ` L~""""="' g ««w '^^~--_.--�.'--.z,...,-. (Figure 1CA.......... -~._.---. �i[Y �^ ' Non-,L"""""u,/mvva/m------_^.��--�--/--. U�ou� 10-_--.-,- ' 9��^fL �2[Y | Wall Stud ` ' (Figure ---��-� ~p~^ y--------------------' V=igure 10------ /� k\g24"n�. VVaUSbx�OMoo� � --' ~- � --,-----'..------------ 0�guren7-8)................................ 0_in. 5d �~� _ . ` 4.2 .EXTERIOR WALLS Wood Studs ^ ' ^~...e=". g Walls.............................---------. (Tob�5).-.-----. '/� �t t� �in VVmUo �� -~- -^- �_. -------_� --------_------' yao�u)-------2x_L' r7 ft.-!!!Lin. ----------'-------------------------------------'-----r---------�------........ ' ' AK82R|CAN FOREST& PAPER ASSOCIATION . - ` U ' U U � ' `- MR 110 MPH EXPOSURE B WIND ZONE- Bracing Gable End Walls WSP Attic Floor Length----------------- (Figure ^ '/-------.-,-, uevxx3 ' Gypoum�eU�oLnnot -,---'--.'_-----.-�(F�una11)............................ --- �0�VV - '` Doub�TopP�� � ^ ` � � -' ' Splice Length.................................... ...................... (Figure ' Splice Connection(no. of 16d common nails) ..............(Table 8).� LouUbeuhng Wall Connections �-- --- Uplift. (proprietary conneotoo)---------.-.-' � 7)!�.�- ���v�''.., U �U� Lateral(no.of 1Gdoummonm�b� ^ ' -' ' - ' ' - � '----`--�-_..(Table7)_----__________ � ^^� Non-Loadbearing Wall Connections . - � --- Uplift. (proprietary connectors)...................................... (Table 8).Et��' !�.�����^°'-U | |b' Lateral (no. [Tab�EA ' --- �- �^" ---------`^' ` -- ' ^-'-----�--`-----.�l�' Wall Openings , ~ Header � .................... ' ' Spans........................ . g)'---.-._' _�_fL 1, in.�It- Sill ' P��� ' - ~~- � -�� ,-----,------------,. �ab�9)-------�. ft._��in. ��12' Full Height Studs (no.of studs)-_-- ........................ (Tableg ................. ............_�=_ ' � � Conno��no��each end of header orn0 ` ' � --�- U� ^ Up (Table , ^ . . ------__ S)-----_--------. 8z Lateral(proprietary oonnoctocV-.--..---... (Teb�S)------^~--.---�--� �8z --�r VVaUSheathing �~^ 'Minimum Building}ldinu Oimennkm.VV Typo ' ' `p=�.mo� .—~------''--------U�b�10-�----. ' Edge ` ' ` �------ ,' oyuuoy----------------' � ` 10' .-- -- i'n �------Field Nail og.-^--'--.---------,(Table10).........................................._ hn. Shear Connection /nn of18d�commonna o -`. ��b��10------.--_-~- Hold Down ����10`.-`-----.-- -- lb. Percent Full-Height Sheathing . . . (T able 10 ^------,----.. Maximum Building Dimension, L ` Sm*uwg Type....... ................ -- ......... ��'(Table 11)-.--_-.'--' - ` w� Edge Nail � -' ^�- --'-----^----._-�- �ab� 11)---______~_ . �x� � Field Nail — ''-�� ' opao�� ��b� 11) ' ~~ '~~~'~� ------'^---------' -----------~- _l��h� ' ^ Shear Connou�onhno,of16d common neUo .-.' k» 11' -� Hold Down ' (Table ' � -------------^'^�= �apacxy-----------'_--' 11)-------. ................ lb. ' Percen t --�7 Wall Cladding . ` _^_ Rated ,VV�d ....................................... _ -,-._. ---..----~-.-------.--,---'-.-' . . . 5.1 ROOFS Roof framing member.soans checked?-._--'----' 0RCorNV�C&Y --................................ ^ ` ' --' Rno Overhang......................`----.---'-----`' U��uno10--.----. .. ) fi��ymr / . � _^_ �. Truss, Connections at VVa� ` �� Proprietary Connectors Uplift ................................. -...�.'.-..�--'� 12�----.^-.�--_^^U 8z Lateral ' (Table ' ' ,------------_--_-..�_—.^- (Tab� 12)--'__-'—.---.L Kz � Shear....... --.�-_-_-----�—, .........�`-.[Tub� 12)--_-----_-.'S -^~-~8z ' Ridge T�ns�h ' ' ---� ~� """p.ux�0000*- �� ---.----,-'.�..(Table 13) ...... _......... - ........ [= j3Vp��� Gable , OuUonkor-'''--.-.^-`-,..�.....`_.....^'�lou[e2O -.-~...c-.`/S�. #.�-~~=-r^ � OuUooker Connections ltNnn'Loodbaahng Walls _ � . . ^ ' '. '�-' _-__- `. Uplift.------^'-.----' (Toble La�md-.-.--.-._ .----.�-.^. ' �����-------�- Roof Sheathing Type...................... ........-..................... .... (/RCo'NFC&V .......................... . ---- i al ANER|CAN WOOD COUNCIL ^ | / Page 1 of 1 Lauzon, Jeffrey From: Stephen Muse [smuse@musearchitects.com] e Sent: Sunday, August 17, 2014 11:59 AM To: Lauzon, Jeffrey Subject: 79 Old Farm Road Jeff, Because of the size of this email,I am delivering it in three parts. Hopefully this will go through. Jeff, To follow are my responses/revisions based on our telephone conversation of this past week. The issues that you raised were: Exit from basement bedroom. As mentioned, this basement has egress windows onto a porch that sits below the enclosed porch on the main floor. This basement porch is on grade with the yard. We have included the code section that addresses this. We are also willing to remove the historic doors that connect this porch to the exterior. Our thought behind keeping them was to only close them when we left the house for long periods of time.. This is a second home for us. Please note that the drawings show the removal of these doors. Crawl space foundation. Per your request, we have added one more footing/foundation to reduce the span. Insulation package. We are sistering 2 x 1 Os on to the 2 x 6 roof rafters -as shown in the building section. This will be filled with two pound/closed cell foam that will exceed the R49 requirement. Ridge support. The plans and sections show how we are posting down to support the ridge. I believe that this fully responds to our comments and questions. I will also fax a copy of this. Please contact me following your review of these revisions. We have a builder on board and hope to start construction soon. Many thanks. SM Stephen Muse FAIA :Senior Principal M U S E A R C H I T E C T S 7401. 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V MEM MR.ANG 14 191-2M ° 4y4 TIM a au a: t0 AU. 1 . � f � r NG .. hL i1 � j f•aOfiWFLL IIM,ij-MII�J I . i i. j I Ij i JA c IG L%dobl 1 b f..... .. .. .. ..... .. .... ..I.. IH4 P',A _. .. ....,.. _. .. ` S rh«tM cal IM4 1 f:l°J PPIr P,vcEa � :..1. r .. ; I Nrfr IN�u4+ �Pbr� Pk cKU ca MI°YK.K BAffIG"_• _ I.. _. i4NG.Fno71MN __J u I � - t: A•5. tICC EVALUATION c c SERVICE ICC-ES Evaluation Report ESR-1615 Supplement Reissued July 1, 2013 This report is subject to renewal September 1, 2015. www.1cc-es.orq 1 (800)423-6587 1 (562)699-0543 A Subsidiary of the International Code Council® DIVISION:07 00 00—THERMAL AND MOISTURE PROTECTION Section:07 21 00—Thermal Insulation Section:07 25 00—Water-resistive Barriers REPORT HOLDER: NCFIPOLYURETHANES POST OFFICE BOX 1528 MOUNT AIRY,NORTH CAROLINA 27030 Y (336)789-9161 www.ncfi.com jason.hoerterAncfi.com EVALUATION SUBJECT: INSULSTAR®AND INSULBLOC®SPRAY-APPLIED POLYURETHANE INSULATIONS 1.0 .EVALUATION SCOPE Compliance with the following codes: ■ 2007 Florida Building Code—Residential ■ 2007 Florida Building Code—Building Properties Evaluated: ■ Surface-burning characteristics ■ Physical properties ■ Thermal resistance ■ Attic and crawl space installation ■ Air permeability ■ Water vapor transmission ■ Water-resistive barrier ■ Fire resistance-rated construction ■ Exterior walls in Type I through IV construction 2.0 PURPOSE OF THIS SUPPLEMENT This supplement is issued to indicate that the InsulStar® and InsulBloe spray-applied polyurethane foam insulations described in Sections 2.0 through 7.0 of the master report comply with the 2007 Florida Building Code—Building and the 2007 Florida Building Code—Residential, when designed and installed in accordance with the master evaluation report under the following conditions: InsulStaro and InsulBIOC®spray-applied polyurethane foam insulations used in exterior walls of multistory buildings located in the High-Velocity Hurricane Zones must comply with Section 2612.3.2.4 of the Florida Building Code—Building. For products falling under Florida Rule 9N-3, verification that the report holders quality assurance program is audited by a quality assurance entity approved by the Florida Building Commission for the type of inspections being conducted is the responsibility of an approved validation entity (or the code official when the report holder does not possess an approval by the Commission). This supplement expires concurrently with the master report reissued July 1,2013. ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed _ as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,LLC,express or implied,asdC� to any finding or other matter in this report,or as to any product covered by the report, urzax mxu muauxa Copyright O 2013 Page 1 of 1 r tICC EVALUATION c c SERVICE IMES Evaluation Report ESR-1615 Seal & Insulate with ENERGY STAR®Supplement Issued October 1, 2012 This report is subject to renewal September 1, 2015. www.icc-es.org 1 (800)423-6587 1 (562)699-0543 A Subsidiary of the International Code Council® i DIVISION:07 00 00—THERMAL AND MOISTURE PROTECTION Section:07 21 00—Thermal Insulation REPORT HOLDER: NCFIPOLYURETHANES POST OFFICE BOX 1528 MOUNT AIRY,NORTH CAROLINA 27030 (336)789-9161 www.ncfi.com EVALUATION SUBJECT: INSULSTAR®SPRAY-APPLIED POLYURETHANE INSULATION 1.0 EVALUATION SCOPE Conformance to the following: Seal and Insulate with ENERGY STAR Program, Definitions and Testing Requirements for Residential Insulation, Version 1.0 Properties evaluated: ■ Thermal resistance ■ Surface-buming characteristics 2.0 PURPOSE OF THIS SUPPLEMENT This supplement is issued to certify that the insulation products described in Sections 2.0 through 7.0 of the master report (ESR-1615)have been reviewed for compliance with the applicable codes noted in Section 1.0 of the master report and with the requirements set forth in the Seal and Insulate with ENERGY STAR Program, Definitions and Testing Requirements for Residential Insulation, Version 1.0. The insulation product covered by this supplement is defined as "Spray or Pour Foam Insulation." The requirements for testing laboratory qualifications and product sampling, as well as the specific material and test standards and editions used in this evaluation, are as set forth in the applicable documentation noted in Section 6.0 of the master evaluation report. 3.0 DEFINITIONS The following definitions are from the Definitions and Testing Requirements for Residential Insulation, Version 1.0, and are applicable to the subject of this report. r 3.1 General Definition: Insulation: Any material mainly used to slow down heat flow. It may be mineral or organic, fibrous, cellular, or reflective . (aluminum foil). It may be in rigid,semi-rigid,flexible,or loose-fill form. 3.2 Insulation Product Definition: Spray or Pour Foam Insulation:A thermal insulating material that is sprayed or poured(as a gel or foamy liquid)into place, and expands or sets into a cellular foam and cures at the point of installation through a chemical reaction. Foamed materials include, but are not limited to polyurethane, polyisocyanurate,phenolic,and cementitious insulation. 3.3 Insulation Performance Definitions: R-value:The inverse of the time rate of heat flow through a body from one of its bounding surfaces to the other surface for a unit temperature difference between the two surfaces, under steady state conditions, per unit area. For the purposes of the Seal and Insulate with ENERGY STAR program,only Imperial units will be accepted[(h•ft2-°F)/Btu]. ICC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by ICC Evaluation Service,LLC,express or implied,as to any finding or other matter in this report,or as to any product covered by the report. w�fw Copyright O 2013 Page 1 of 6 i ESR-1616 Supplement I Most Widely Accepted and Trusted Page 2 of 6 Smoke-Development Index:The characteristic of a material to emit smoke_ when exposed to flame or fire compared to red oak and inorganic cement. Flame-Spread Index: The characteristic of a material to resist the spreading of flames when exposed to flame or fire compared to red oak and inorganic cement. P, g e t. 3.4 Thermal Resistance: The INSULSTAR insulation has thermal resistance R-values as,noted in Table 1 of ESR-1615, based upon testing. 3.5 Installation: 3.5.1, General: Installation of the INSULSTAR insulation must be in accordance with the requirements set forth in Sections 4.0 and 5.0 (as applicable) of ESR-1615. The insulation is manufactured on-site by spray polyurethane foam applicators meeting the qualification requirements of NCFI Polyurethanes. The following personal protective equipment and ventilation requirements are reprinted from the NCFI Polyurethanes published installation instructions and are provided at the end of this report for informational purposes: "F. SAFETY 3. PERSONAL PROTECTIVE EQUIPMENT(PPE): a. Skin:Wear gloves,coveralls,apron and boots as necessary to prevent contact of liquid components or partially-cured SPF with skin. When handling liquid components,gloves should be made of nitrile, neoprene, butyl or PVC. b. Eyes: Protect eyes while handling liquid components or spraying with safety goggles or safety goggles and a face shield. During spray application,eye protection may be provided by a full-face or hood respirator. c. Respiration: Firms engaged in the application of NCFI foam systems must have a written respiratory protection program for employees engaged in handling or applying NCFI materials. Depending on the situation, respiratory protection may include dust masks, air-purifying respirators(APR), powered air-purifying respirators(PAPR), or supplied-air respirators (SAR). 4. VENTILATION: Provide ventilation and other engineering controls to exhaust vapors from work areas and to protect building occupants and other trades." 3.5.2 Occupancy Time after Installation: The re-entry or re-occupancy time shall be in accordance with the manufacturer's installation instructions,which state: "E. RE-ENTRY NCFI InsulStar reacts and cures within seconds of application. Re-entry times will vary depending on factors including ventilation. Typically, when ventilation is continued for 24 hours following the conclusion of spray application and re-entry may occur at that time." 3.5.3 Figures:The figures shown represent general installations of the INSULSTAR insulation in the following applications: above-grade wall,below-grade wall,vented and unvented crawl space, unvented cathedral ceiling,and vented and unvented attic.These figures are for illustration purposes and are not to be construed or used as construction documents. This supplement expires concurrently with the master report reissued July 1, 2013. ESR-1616 Supplement I Most Widely Accepted and Trusted Page 3 of 6 Interior Partitions Interior Finished Surface (1/Nnch Sheebvck) NCFi INSULSTAR� Exterior Shealhing Thickness determined by desgn R-ialue_ NCFI INSULSTAR ABOVE GRADE WALL INSULATION NGFII-1 070413 OO� Air space between Spray Foam and Interior Finish Surface Masonry Block Q (Typical) 'Interior Finish Surface �y_'• :' (1/2-inch Sheetrock) 2 x 4 Studs offset from block wall 3/4"to 1" NCFIINSULSTAR NCF1 (NSULSTAR BELOW GRADE WALL INSULATION (Insulation on Interior Side of Wail) NCFI I-2 053013 I ESR-1615 Supplement I Most Widely Accepted and Trusted Page 5 of 6 Subfloor Header , Sill Joist Thermal Barrier* Exterior Grade (as required by local code) NCFI INSULSTAR Footers` Mn Vapor Barrier 'Where crawlspace entry is for the service of utilities only,thermal and ignition barrier on the crawispace side of the spray foam surface may be omitted.See ESR-1615 for specific information: NCFI INSULSTAR CRAWLSPACE:UNVENTED NCFI 1-5 082212 Note:In cold climates,embed metal connector plates in spray foam to prevent winter-time condensation. NCFI INSULSTAR Roof Sheathing n Truss Top Cord/ Rafter, nnnnnn nnnnnn nnnnnn n nn nn Thermal Barrier* (as required by local code) *• Ceiling i Thermal Barrier Where attic entry is for the as required by local building code. service of utilities only,thermal and ignition barrier on the attic side of the spray foam surface may be omitted.See ESR-1615 for speck information. NCFI INSULSTAR UNVENTED ATTIC/INSULATED ROOF DECK NCFI I-6 082212 r ESR-1616 Supplement I Most Widely Accepted and Trusted Page 4 of 6 Baffle to provide air space between Thermal insulation and roof Barrier*' deck. (as required by local code) NCFI INSULSTAR Vented Soffit 'Where attic entry is for the service of utilities only,thermal NCFI INSULSTAR and ignition barrier on the attic side of the spray foam surface may be omitted.See ESR-1615 for specific information. NCFI INSULSTAR VENTED ATTIC:FLOOR SOFFIT NCFII-3 082212 Subfloor NCFI IN ULSTAR Header------- FIT Sil / • Joist Floor Cross Section Thermal Barrier' (as required by Exterior Grade local code) 6"Min Footers` Vapor Barrier "Where crawlspace entry is for the service of utilities only,thermal '` '�•:/\///\///\/// and ignition barrier on the crawlspace side of the spray foam surface may be omitted.See ESR-1615 for specific information. NCFI INSULSTAR CRAWLSPACE:VENTED NCFI 14 082212 ESR-1615 Supplement I Most Widely Accepted and Trusted Page 6 of 6 NCFIINSULSTAR to specified thickness. Roof Sheathing Thermal Barrier as Rafter required by code. *Unvented cathedral ceiling applications are only permitted under the IRC when the provisions of Section 806.4 are met. NCFI IN.SULSTAR CATHEDRAL CEILING NCFII-7 082212 r �--�`_ _ �-.� �-�� �������•:— _ _ ���-" ,�-.:-r._.,�.�_--�"-" ^�-=---_ter.-��^'."��-�,�.>is-��. :�.•. =�s.w� i .,='�.-:;.::.c�c:..-�:_..•... ".�r.._�...-,._�:�:...--_-.....�_.�:_:._µ.�,.<;c,..,�.r?:€:�., •...._�` c-�>^.-:.ems%:,,.. ....._._.. ........... H O R t Z ® N B U I L D E R S : SINCE 1982 ./� RECOGNIZED AS THE 2009 BUILDER OF THE YEAR BY CU'S'POo Ho.w; MACAZINE }n 2009 INDUCTEE INTO THE W.M. S.MARVIN HALL OF FAME FOR DESIGN EXCELLENCE BY BUIJ,n LR MAGAZINE •'�.� April 24,2015 Chris Stoltz Stolz Building PO-Box 1325 ch Harwich,MA r- c,� Vn RE: '79 Old Farm Rd,-Centerville,NIA 4 - : : Dear Chris, ? CIO Please use this letter to fill the requirement of the 2012 ICC regarding insulation. '' ,' The project at 79 Old farm Road-was completed using the NCFI Polyurethanes InsulStar with an R Value of 6.8. The insulation was installed-in&,following areas: Location Thickness R-Value First-and-Second Floor Walls 3+" 22 Second Floor Ceilings—Existing 5" 32 Second Floor CeilingsNew 6" 38 — 3 Basement Walls 3+" 22. Crawl Space Walls ° - 3+" 22 � s Storage Area Walls 3+" 22 Ceiling/First Floor Joist- 3/2. —4725. Wit_ Please see the attached ICC-ES Evaluation Report_ - : Please feel free to contact me with and any questions at 301-440-2342. Thank you _ George Fritz Extreme Craftsmanship. Exceptional Service. Horizon Builders, 2131 Espey Court, Suite 3, Crofton, Maryland 21114 phone 410.721.4-877 DC Metro 301.261.6706 fax 410.721.4899 www.hOriz0nbuilderslnc.net :_:_�-.,w--�,_ �� _-.-��•-�,-���_�---.'.�.�:^-:._=�-✓��.� - - - �U -_�-:.-ter.-- - -- - -, =�=.�� -�-��='2•. "�--ems.- �N�+ -:yc-•�- _- - - - -- -c--•. _ _ +._ �<_ .. .- -..- .r__.�_....<_-- .�-^>.�-.� �-.-�-.,-.w:3: "=,-_.:v -- ._�;.•._��...Win.._..:.... .... ..:... ... .... _.._::�•:-,,._..-: �'�^�,_ _ ICC EVALUATION Atz'9 SERVICE Most Widely c . . . Trusted IMES Evaluation Report ESR-1615 Reissued July 1, 2013 This report is subject to renewal September 1, 2015. www.icc-es.org 1 (800)423-6587 1 (562)699-0543 A Subsidiary of the International Code Council® DIVISION:07 00 00—THERMAL AND MOISTURE underside of on-grade slabs; and may be used in attics PROTECTION and crawl spaces when installed as described in Section Section:07 21 00—Thermal Insulation 4.3. The insulations may be used as vapor retarders Section:07 25 00—Water-resistive Barriers (Section 3.5), air barriers (Section 3.4) and as air- impermeable insulation (Section 4.3). The insulations may REPORT HOLDER: be used as alternatives to the water-resistive barrier required in IBC Section 1404.2 and IRC Section R703.2 NCFI POLYURETHANES when installed as described in Section 4.4.The insulations POST OFFICE BOX 1528 may be used in fire-resistance-rated construction when -MOUNT AIRY, NORTH CAROLINA 27030 installed as described in Section 4.6. (336)789-9161 www.ncfi.com 3.0 DESCRIPTION iason.hoerter(&ncfi.net 3.1 General: InsulStaro and InsulBloe are two-component, closed-cell, EVALUATION SUBJECT: one-to-one-by-volume spray polyurethane foam systems ® ® with a nominal density of 2 pcf(32 kg/m3). InsulStaro and INSULSTAR AND INSULBLOC SPRAY-APPLIED InsulBloe insulation's liquid components are supplied in POLYURETHANE INSULATIONS nominally 55-gallon (208 L) drums, labeled as "A" 1.0 EVALUATION SCOPE component or "R component. The insulation components have a shelf life of six months when stored at temperatures Compliance with the following codes: between 70OF(21°C)and 90OF(320C). ■ 2012 and 2009 International Building Code®(IBC) 3.2 Surface-burning Characteristics: ■ 2012 and 2009 International Residential Code®(IRC) The insulation, at a maximum thickness of 4 inches ■ 2012 and 2009 International Energy Conservation (102 mm)and a nominal density oft pcf(32 kg/m3), has a Code®(IECC) flame-spread index of less than 25 and a smoke- developed index of less than 450 when tested in ■ Other Codes(see Section 8) accordance with ASTM E84. Thicknesses of up to Properties evaluated: 8 inches (203 mm) for wall cavities and 12 inches ■ Surface-burning characteristics (305 mm) for ceiling cavities are recognized based on room corner fire testing in accordance with NFPA 286, ■ Physical properties when covered with minimum 1/2-inch-thick (13 mm) ■ Thermal resistance gypsum board or an equivalent thermal barrier complying with,and installed in accordance with,the applicable code. ■ Attic and crawl space installation 3.3 Thermal Transmission R-values: ■ Air permeability ■ Water vapor transmission The InsulStaro and InsulBloe insulations have thermal resistance R-values, at a mean temperature of 75°F ■ Water-resistive barrier (240C),as shown in Table 1. ■ Fire-resistance-rated construction 3.4 Air Permeability: ■ Exterior walls in Type I through IV construction InsulStaro and InsulBloce spray-applied polyurethane foam 2.0 USES insulations, at a minimum thickness.of 1 inch (25.4 mm), are considered air-impermeable insulations in accordance InsulStar and InsulBloc spray-applied polyurethane foam with 2012 IRC Section R806.5 and 2009 IRC Section insulations are used as thermal insulating material. The R806.4,based on testing in accordance with ASTM E283. insulation may be used in any type of construction under the IBC (use on walls required to be.of Type I, ll, III or IV 3.5 Vapor Retarder: construction is addressed in Section 4.5) and dwellings The foam plastic has a vapor permeance of less than 1 under the IRC. The insulations may. be used in perm [5.7 x 10"11 kg/(m2sPa)],when applied at a minimum nonstructural applications in wall and floor/ceiling thickness of 15/16 inches (33.3 mm) and qualifies as a assemblies,and on the exterior side of foundations and the Class II vapor retarder as defined in IRC Section R202. ]CC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by/CC Evaluation Service,LLC,express or implied as = `� to any finding or other matter in this report,or as to any product covered by the report. mutama Copyright 0 2013 Page 1 of 6 ESR-1615 I Most Widely Accepted and Trusted Page 2 of 6 3.6 Aldocoat®757 Intumescent Coating: could interfere with adhesion of the coating.The coating is Aldocoat® 757 intumescent coating is manufactured by applied in one coat with brush, roller or low-pressure Aldo Products Company and is a water-based latex airless equipment. coating with specific gravity of 1.4. Aldocoat® 757 is 4.3 Attics and Crawl Spaces: supplied in 5-gallon (19 L) pails and 55-gallon (208 L) 4.3.1 Application with a Prescriptive Ignition Barrier: drums and has a shelf life of six months when stored in a When InsulStaro and InsulBloe insulations are installed factory-sealed container at temperatures between 40°F within attics or crawl spaces where entry is made only for (4.5°C)and 90°F(32°C), service of utilities; an ignition barrier must be installed in 3.7 DC 315 Fireproof Paint: accordance.with IBC Section 2603.4.1.6 or IRC Sections DC 315 Fireproof Paint is manufactured by International R316.5.3 and R316.5.4, as applicable. The ignition barrier Fireproof Technology, Inc., and is a water-based coating must be consistent with the requirements for the type of lied in 5-gallon 19 L construction required by the applicable code, and must be supplied g ( ) pails and 55-gallon (208 L) installed in a manner so that the foam plastic insulation is drums. The coating material has a shelf life of 24 months not exposed. InsulStaro and InsulBloe insulations as when stored in factory containers at temperatures between described in this section may be installed in unvented 50°F(10°C)and 90°F(32°C). attics and unvented enclosed rafter spaces in accordance 4.0 INSTALLATION with 2012 IRC Section R806.5 or 2009 IRC Section 4.1 General: R806.4. InsulStar ® and InsulBloc® insulations must be installed in 4.3.2 Application. without a Prescriptive Ignition accordance with the manufacturer's published installation Barrier: Where InsulStaro and InsulBloc insulations are instructions and this report. The manufacturers published installed in accordance with Section 4.3.2.1, 4.3.2.2, or 4.3.3,the following conditions apply: installation instructions and this report must be strictly adhered to, and a copy of the instructions must be a. Entry to the attic or crawl space is to service utilities, available at all times on the jobsite during installation. and no storage is permitted. InsulStaro and InsulBloe insulations must be spray- b. There are no interconnected attic or crawl space areas. applied to a suitable substrate on the jobsite using a c. Air in the attic or crawl space is not circulated to other volumetric positive displacement pump as identified in the parts of the building. NCFI application manual. Preparation of the substrate d. Attic ventilation is provided when required by IBC` must be in accordance with the manufacturer's Section 1203.2 or IRC Section R806, except when air- instructions. The insulation components must be stored at temperatures between 70°F (21°C) and 90°F (32°C) for impermeable insulation is permitted in unvented attics several days before application.The insulation must not be in accordance with 2012 Section R806.5 or 2009 IRC used in areas that have a maximum in-service temperature Section R806.4. Under-floor(crawl space)ventilation is greater than 180°F (82°C). The foam plastic must not be provided when required by IBC Section 1203.3 or IRC used in electrical outlet or junction boxes or in direct Section R408.1, as applicable. continuous contact with water. e. Combustion air is provided in accordance with IMC 4.2 Thermal Barrier: (International Mechanical Code®)Section 701. 4.2.1 Application with a Prescriptive Thermal Barrier: 4.3.2.1 Application with Intumescent Coating: In The InsulStaro and InsulBloe insulations,with a maximum attics, InsulStaro and InsulBloc insulations may be spray- nominal thickness of 8 inches (203 mm) for wall cavities applied to the underside of roof sheathing or roof rafters and 12 inches (305 mm) for ceiling cavities, must be and/or vertical surfaces; and in crawl spaces, InsulStar separated from the interior of the building by an approved and InsulBloc insulations may be spray-applied to the thermal barrier of minimum 0.5-inch-thick (12.7 mm) underside of floors and/or vertical surfaces as described in gypsum wallboard or an equivalent 15-minute thermal this section. The thickness of the foam plastic applied to barrier complying with and installed in accordance with the the underside of the top of the space must not exceed applicable code. Within an attic or crawl space, installation 16 inches (406 mm). The thickness of the foam plastic must be in accordance with Section 4.3. applied to vertical surfaces must not exceed 10 inches (254 mm). The foam plastic must be covered with a 4.2.2 Application without .a Prescriptive Thermal minimum nominally 10-mil (0.25 mm)wet film thickness of Barrier:The prescriptive 15-minute thermal barrier may be the Aldocoat® 757 intumescent coating described in omitted when installation is in accordance with this section. Section 3.6. The Aldocoat®757 intumescent coating must The insulation and coating may be spray-applied to the be applied over the InsulStare insulation in accordance interior facing of walls and the underside of roof sheathing with the coating manufacturer's instructions and this report. or roof rafters, and in crawl spaces, and may be left Surfaces to be coated must be dry, clean, and free of dirt, exposed as an interior finish without a prescribed loose debris and any other substances that could interfere 15-minute thermal barrier or prescribed ignition barrier. with adhesion of the coating. The Aldocoat®757 coating is The thickness of the foam plastic applied to the underside applied with a medium-size nap roller, soft brush or of the roof sheathing must not exceed 51/2 inches conventional airless spray equipment at a rate of 1 gallon (140 mm). The thickness of the foam plastic applied (3.38 L) per 100 square feet (9.3 m2) to obtain a to vertical wall surfaces must not exceed 51/2 inches recommended minimum dry film thickness of 7.5 mils (140 mm). The foam plastic must be covered on all (0.19 mm) [10 wet mils (0.25 wet mm)]. The coating must surfaces with DC 315 Fireproof Paint at a minimum wet be applied when ambient and substrate temperatures are film thickness of 21 mils (0.53 mm). The coating must be within a range of 50°F(10°C)to 90°F(320C), and requires applied over the InsulStaro or InsulBloe insulation in a 24-hour curing time. The insulations may be installed in accordance h with t the coating manufacturer's instructions unvented attics as described in this section in accordance and this report. Surfaces to be coated must be dry, clean with 2012 IRC Section R806.5 or 2009 IRC Section and free of dirt, loose debris and other substances that R806.4. ESR-1615 I Most Widely Accepted and Trusted Page 3 of 6 4.3.2.2 Application without Intumescent Coating: screws at 12 inches(305 mm)on center in the field, orface InsulStaro and InsulBloc®insulations may be spray-applied layer fastened.to studs with 21/2 inch-long (64 mm)Type S to the underside of roof sheathing or roof rafters, and/or steel screws at 8 inches(203 mm)on center on the edges vertical surfaces; and in crawl spaces, InsulStaro and and 12 inches (305 mm) on center in the field. Face layer InsulBloe insulations may be spray-applied to the joints,_ must be offset a minimum of 24 inches underside of floors and/or vertical surfaces as described in (610 mm) from base layer joints. All joints, screw or nail. this section. The thickness of the foam plastic applied to heads must be covered with joint tape and two coats of the underside of the top of the space must not exceed joint compound in accordance with GA-216 or ASTM 16 inches (406 mm). The thickness of the foam plastic C840. As shown in Figure 1, the exterior face of the applied to vertical surfaces must not exceed 11.5 inches exterior wall can be finished with one layer of 7/16-inch (292 mm). The foam plastic insulation may be left exposed (11 mm) oriented strand board (OSB) in lieu of two layers and does not require covering with a prescriptive ignition of Type X gypsum sheathing as shown in Figure 2. The barrier or an intumescent coating. The insulations may be OSB must be fastened to studs with 1 /8-inch-long installed in unvented attics as described in this section in (48 mm), 6d coated nails spaced 7 inches (178 mm) on accordance with 2012 IRC Section R806.5 or 2009 IRC center. Section R806.4. 4.6.3 Insulation: InsulStaro or InsulBloe foam is applied 4.3.3 Use on Attic Floors: InsulStaro and -InsulBloe in the stud cavity at any thickness from partially filling to insulations may be installed exposed at a maximum completely filling the stud cavity. thickness of 11.5 inches (292 mm) between joists in attic 5.0 CONDITIONS OF USE floors. The InsulStaroinsulation must be separated from the interior of the building by an approved thermal barrier. The InsulStar®and InsulBloe insulations described in this The ignition barrier in accordance with IBC Section report comply with, or are suitable alternatives to what is 2603.4.1.6 and IRC Section R316.5.3 may be omitted. specified in,those codes listed in Section 1.0 of this report, 4.4 Water-resistive Barrier: subject to the following conditions: 5.1 InsulStaro and InsulBloe insulations must be installed InsulStar®and InsulBloe spray-applied polyurethane foam in accordance with the manufacturer's published insulations may be used as the water-resistive barrier installation instructions, this evaluation report and the prescribed in IBC Section 1404.2 and IRC Section R703.2, applicable code. The instructions within this report when installed o® exterior wall® as described in this govern if there are any conflicts between the section. InsulStar and InsulBloc foam plastic must be manufacturer's published installation instructions and spray-applied to the exterior side of sheathing, masonry or this report. other suitable exterior wall substrates to form a continuous layer of 1 inch (25.4 mm) minimum thickness. All 6.2 InsulStar® and InsulBloe insulations must be construction joints and penetrations are to be completely separated from the interior of the building by an sealed with InsulStar®or InsulBloe. approved 15-minute thermal barrier, as described in Section 4.2, except when installation is as described 4.5 Exterior Walls of Type I,II,III,and IV Construction: in Section 4.2.2 or in attics and crawl spaces as 4.6.1 General: When used on walls of Type I, II; III and described in Section 4.3. IV exterior wall construction, the InsulStaro and InsulBloe 5.3 The surfaces to which spray-applied insulations are spray-applied foam insulations must comply with Section applied must be protected from the weather during 2603.5 of the IBC and this section (Section 4.5), and the application. insulation must be installed at a maximum thickness of 5 inches (127 mm). The potential heat of InsulStaro and 5.4 The spray-applied. insulations must be applied by InsuIB Joe spray-a�plied foam plastic insulations is 1989 installers certified by NCFI Polyurethanes. Btu/fe (22.6 MJ/m ) per inch of thickness when tested in 6.6 -Use of the insulation in areas where the probability of accordance with NFPA 259. termite infestation is "very heavy" must be in 4.5.2 Specific Wall Assemblies: Wall assemblies accordance with 201.2 IBC Section 2603.9, 2009 IBC complying with Section 4.5 must be as described in Table 2. Section 2603.8 or IRC Section R318.4,as applicable. 4.6 One-hour Fire-resistance-rated Wall.Assemblies -5.6 Jobsite certification and labeling of the insulation must (Load-bearing): comply with IRC Sections N1101.4 and N1101.4.1 and IECC Sections, 303.1.1. and 303.1.2, as InsulStare and InsulBloce spray-applied,polyurethane foam applicable. insulations may be installed on load-bearing one-hour fire- 5.7 InsulStaro and InsulBloe insulations at a 15/,8-inch resistance-rated walls (see Figures 1 and 2), provided the (33.3 mm) thickness or greater is a Class II vapor system is installed in accordance with the following: retarder as defined in IRC Section R202 and IECC 4.6.1 Wood Framing: Minimum nominally 2-by-4 wood Section 202.. studs(kiln dried No. 2 spruce-pine-fir) spaced a'maximum. of 16 inches(406 mm)on center. 5.8 When InsulStaro,and lnsulBloe insulations are used as water-resistive barriers, they must be protected 4.6.2 Wall Finish (both faces): Two layers of 5/8-inch- ` from ultraviolet(UV)light exposure in accordance with thick (16 mm) Type X gypsum sheathing complying with NCFI's written instructions. ASTM C36 or ASTM C1396, 4-feet-wide (1219 mm), 5.9 When use is on buildings of Type I, II, III or IV, installed vertically as follows: Base layer fastened to studs construction;must be as described in Section 4:5. (with joints centered over studs)and plates with 6d.coated nails, 17/8-inch-long(48 mm)spaced 7 inches(178 mm)on 5.10 Use of the insulations in fire-resistance-rated center or 17/8 inches (48 mm) long Type S or W steel construction must be in accordance with Section 4.6. screws spaced 6 inches (152 mm) on center. Face layer 6.11 InsulStaro and InsulBloe insulations are produced in fastened to base layer at the edges with 15/8-inch-long Mount Airy, North Carolina, and Clearfield, Utah, (41 mm) Type G screws at 8 inches (203 mm) on center under a quality control program with inspections by and to studs with 2%-inch-long (64 mm) Type. S steel UL LLC(AA-668). f ESR-1615 I Most Widely Accepted and Trusted Page 4 of 6 6.0 EVIDENCE SUBMITTED ■ 2006 International Building Code(2006 IBC) 6.1 Data in accordance with ICC-ES Acceptance Criteria ■ 2006 International Residential Code(2006 IRC) for Spray-applied Foam Plastic Insulation (AC377),dated June 2011 including reports of tests in 2006 International Energy Conservation Code (2006 accordance with Appendix X of AC377. IECC) 6.2 Reports on room corner fire tests in accordance with 8.2 Uses: NFPA286. The products comply with the above-mentioned codes as. 6.3 Reports on air leakage tests in accordance with described in Sections 2.0 through 7.0 of this report, with ASTM E283. the revisions noted below: 6.4 Reports on water vapor transmission tests in • Application with a Prescriptive Thermal Barrier: See accordance with ASTM E96. Section 4.2.1, except the approved thermal barrier must be installed in accordance with Section R314.4 of the 6.5 Reports on fire tests in accordance with ASTM Ell 19. 2006 IRC. 6.6 Reports of potential heat tests in accordance with ■ Application with a Prescriptive Ignition Ban'ier: See NFPA 259. Section 4.3.1, except attics must be vented in 6.7 Data in accordance with the ICC-ES Acceptance ` accordance with Section 1203.2.of the 2006 IBC, and Criteria for Foam Plastic Sheathing Panels Used as crawl space ventilation must be in accordance with Water-resistive Barriers (AC71), dated February 2003 Section 1203.3 of the 2006 IBC, as applicable. (editorially revised March 2011). - Additionally, an ignition barrier must be installed in accordance with Section R314.5.3 or R314.5.3 of the 6.8 Reports of fire propagation characteristics tests in 2006 IRC,as applicable. accordance with NFPA 285. ■ Application without a Prescriptive Ignition Barrier: 7.O IDENTIFICATION See Section 4.3.2, except attics must be vented in Components of the InsulStar and InsulBloc insulations accordance with Section 1203.2 of the 2006 IBC or are identified with the manufacturer's name (NCFI Section R806 of the 2006 IRC, and crawl space Polyurethanes), address and®telephone number; the ventilation must be in accordance with Section 1203.3 of product trade name (InsulStar or InsulBloc ), use and' the 2006 IBC or .Section R408 of the 2006 IRC, as application instructions; the density; the flame-spread applicable. and smoke-development indices; the evaluation report ■ Protection Against Termites: See Section 5.5, except number (ESR-1615); and the name of the inspection use of the insulation in areas where,the probability of agency(UL LLC. I termite infestation is "very heavy" must be in Intumescent coatings are identified with the accordance with Section R320.5 of the 2006 IRC. manufacturer's name and address, the product name and ■ Jobsite Certification and Labeling: See Section 5.6, use instructions. except jobsite certification and labeling must comply 8.0 OTHER CODES with Sections 102.1.1 and 102.1.11, as applicable, of the 2006 IECC. 8.1 Evaluation Scope: In addition to the codes referenced in Section 1.0, the products in this report were evaluated for compliance with the requirements of the following codes: - ESR-1615 Most Widely Accepted and Trusted Page 5 of 6 TABLE 1—THERMAL RESISTANCE(R-VALUES') THICKNESS(inches) R-VALUES('F.ft2.h/Btu) 1 6.8 2 13 3 19 3.5 22 4 25 4.75 30 5 32 6 38 7 45 7.5 48 8 51 9 57 10 64 11 70 11.5 73 12 76 16 102 For SI:1 inch=25.5 mm;1°F.ft2.h/Btu=0.176 110°K.m2/W. 'R-values are calculated based on tested K-values at 1-and 4-inch thicknesses. TABLE 2—NFPA 285 COMPLYING EXTERIOR WALL ASSEMBLIES Wall Component Materials' Base Wall System— 1—Concrete wall Use either 1,2 or 3 2—Concrete masonry wall 3—1 layer 5/8-inch-thick Type X gypsum wallboard complying with WSTM C36 or C1396 on the interior,installed over minimum 3/8-inch-deep,No.20 gage,C-shaped steel studs,spaced a . maximum.of 24 inches on center.Gypsum wallboard must be attached with No.6,11/4-inch-long self-tapping screws located 8 inches on center along the perimeter and in the field of wallboard. Gypsum wallboard joints must be taped and treated with joint compound in accordance with ASTM C840 or GA-216. Floorline Firestopping 4 pcf mineral wool(e.g.,Thermafiber)in each stud cavity at each floodine,attached with Z-clips Cavity Insulation—Use either 1,2 or 3 1—None 2—Full cavity depth or less of InsulBloc®or InsulStaro applied using exterior sheathing as substrate and covering the width of the cavity and inside the-stud flange 3—Fiberglass batt insulation(faced or unfaced) Exterior Sheathing—Only for Base Wall 1—'/2-inch-thick,exterior-type gypsum sheathing System No.3— 2-5/8-inch-thick,exterior-type gypsum sheathing Use either 1 or 2 Exterior Insulation— 1—None Use either 1 or 2 2—InsulStare or InsulBloc®insulation spray-applied foam insulation up to a maximum nominal thickness of 3 inches Exterior Wall Covering— 1—Brick-standard nominally 4-inch-thick clay brick;brick veneer anchors—standard types Use either 1,2,3 or 4 installed a maximum of 24 inches OC vertically on each stud —Maximum 2-inch air qap between exterior insulation and brick 2—Stucco-minimum /4-inch-thick,exterior cement plaster and lath.A secondary water- resistive barrier may be installed between the exterior insulation and the lath.The secondary water-resistive barrier must not be full-coverage asphalt or butyl-based self-adhered membranes. 3—Minimum 2-inch-thick limestone,natural stone or minimum 11/2-inch-thick cast artificial stone.Any standard non-open-jointed installation technique such as ship-lap,etc.,may be used. 4—Terracotta Gadding—Use any terracotta Gadding system in which the terracotta is a minimum of 11/4 inches thick.Any standard non-open-jointed installation technique such as ship- lap,etc.,may be used. For SI:1 inch=25.5 mm;1 pcf=16.018 kg/m3. ESR-1615 I Most Widely Accepted and Trusted Page 6 of 6 FIGURE 1 NON-SYMMETRICAL ONE-HOUR FIRE RESISTANCE-RATED WALL ASSEMBLY Gypsum wallboard,Type X, 5/8-inch,two layers,staggered joints,nailed or screwed as specified in ESR 1615,'Section 4.6. INTERIOR EXTERIOR Wood studs, InsuiStaror InsulBloc SPF nom.2x4 any thickness from partial 'OSB;W16 inch, fill to full thickness FIGURE 2 SYMMETRICAL-ONE-HOUR FIRE RESISTANCE-RATED WALL ASSEMBLY Gypsum wallboard,Type X; 5/8-inch,two layers,staggered joints;nailed.or screwed as specified in ESR 1615;Section 4.& 111=x* Wood studs,. InsulStar or InsulBlocSPF nom.2x4 any thickness from partial Gypsum wallboard,.Type X, fill to full thickness' 5/87inch,two layers,staggered joints,nailed or screwed as. specified in ESR 1615. ineering Dept. (3rd floor) Map Parcel FW, Permit# House# r R F.f_j Date Issued 10kg A,7 oard of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee _,rev C Conservation Office (4th floor)(8:30-9:30/1:00 2:00) - - Planning Dept. (1st floor/School Admin. Bldg.) h Definitive Plan Approved by Planning Board 19 ' t BARNSTABLE. °r1 Mo+a`°$ TOWN OYBARNSTABLE Building Permit Ap lication , t i -� Project Street Address ' 7�l O-C cQ f 6a-M-. 2 Village CiQ�vL% y t `f-e IM✓-! ' Owner 09 (e Qn (CM s+k/vlq Address :Telephone ' Permit Request ~First Floor /`-S square feet Second Floor square feet Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name CZG4M. C Telephone Number Address 7 t 0//L License# (off Home Improvement Contractor#, J/A573 K Worker's Compensation#A:,e/SKS ' -3t(3 0/6 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y�c�lrY(d SIGNATURE DATE /Q Lld BUILDIk QPERMITDEN E F TH VOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. w .. - �. r ,. _ - •4 _, `vim-,. F DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE i F OWNER ; DATE OF-INSPECTION: FOUNDATION FRAME o p t INSULATION - FIREPLACE ELECTRICAL:s ROUGH FINAL - PLUMBING: ROUGH FINAL ; _ GAS: ROUGH FINAL FINAL BUILDING - DATE CLOSED OUT . ASSOCIATION PLAN NO. a , - sooK3148 ncGf 256 - . MASSACNUSETTS QUITCLAIM DEED SNORT FORM(INDIVIDUAL)fiat 20706 I, � DURFEE CASTAW of iverside Drive, Holly Hill, Florida, and of 79'O1d'Farm j i� Centerville, Barnstable County, Massachusetts. a(braobd,for consideration paid,and in full consideration of $8,000.00, EIGHT THOUSAND AM 00 IOU grantto Robert Durfee and Patricia A. Durfee as joint tenants and not as tenants by the entirety. ' of 27 Domingo Street, in the Town of Somerset, with qultrIalm rMnanto Cormlonwealth of Massachusetts, 02726. the land in (Description and eacumbtnam,if any) _ That certain parcel of land, situated in that part of the Town of Barnstable, t known as Centerville, Barnstable County, Massachusetts, with all buildings and improvements thereon, more particularly bounded as follows: Beginning at the northwest corner of the premises at a point in the southerly lime of a right of way leading from Phinney's Lane to Wequaquet Lake; thence S 360 48' E by land of H.F. Ricker and land of Ida M. Lewis, 70 feet to a concrete bound; thence S 590 14' E by land of said Lewis, 85 feet to a concrete bound; f o thence S 51 31' W by land of said Lewis, 67,38 feet to a concrete bound in the northeast line of another right of way; thence by a curve northerly and westerly by radius 37.89 feet, by said right of way 22.75 feet; i thence N 590 14' W by said right of way 73 feet; thence by a curve northerly and easterly by both rights of way about 100 feet to the point of beginning. Containing about .19 acre. Said parcel is shown on a plan entitled "Plan of Land in Centerville, Mass. for John H. Eyre, May 26, 1937, Nelson Bearse, Surveyor," duly recorded with said Deeds Plan Book 55, Page 65. �/_�/ sfDd a/`e ' t r 7"k Ids a* r t rl , 30au fs....my...hand and seal this........... �..............(day of....September:................ 19.80.. t .vG�frGe. D.iI.Y. ..tL;...Gv ... .. ........................................................I....................... ................................................................................ ....................:........................................................... �1jP �ntmm�nwPaliq of >laeiaurldltartta �ARN3//f6�L ss. 'T �� 19 �U Then personally appeared the above named Alice Durfee Castaw and acknowledged the foregoing instrument to be her Q�free act -an d deed, before me Q ;, Nobly Public—Justim.aLtLe-Pace M9 cotomissiu.-Pi. 410 1/. -- rUMN.QM :f fA'.;'.-CHUSf.TTS t 1X 1 Tenants in Common—Tenants fry the tin �� A1 '1 * 1p•S'N 8. 24ii AD�2gD1lD BY CliApi'fIIt tgf OP 1969 . ! A ,adorned upon It the full name residence and t teein dollars or the nature of j6 other consi aeall the cola( price for the conveyance wlthout otF'fo ffeasor - and recinds I'anum to cornPly with this section shall not affect seatents the validity of any deed Ali such �rNo register of deeds shall) record 'b parr of the dad. it is in compliance with the requirements of this section. acaPt a deed for rerotdlog galas I(Ll;UiiIJE�SEP M BooK3148 PAGE M/V MASSACHUSETTS QUITCLAIM DEED BNORT FORM(INDIVIDUAL)881 20706 I, DURFEE CASTAW .If verside Drive, Holly Hill, Florida, and of 79 Old Farm �) 1 1 Centerville, Barnstable County, Massachusetts. 666 ipd,for consideration paid,and in full consideration of $8,000.00, EIGlir THOUSAND AND 00 // 1� grant to Robert Durfee and Patricia A. Durfee, IKaoGF.,(,�w' • as joint tenants and not as tenants by the entirety. of 27 Domingo Street, in the Town of Somerset, with qultrlatm rtmrnante Commonwealth of Massachusetts, 02726. the land in (Description and encumbrances,if any) t That certain parcel of land, situated in that part of the Town of Barnstable, i known as Centerville, Barnstable Canty, Massachusetts, with all buildings and improvements thereon, more particularly bounded as follows: IBeginning at the northwest corner of the premises at a point in the southerly litre of a right of way leading from Phinney's Lane to Wequaquet Lake; thence S 360 481 E by land of H.F. Ricker and land of Ida M. Lewis, 70 feet to a concrete bound; thence S 590 141 E by land of said Lewis, 85 feet t° a concrete bound; f thence S 51° 31' W by land of said Lewis, 67.38 feet to a concrete bound in the northeast line of another right of way; thence by a curve northerly and westerly by radius 37,89 feet, by said right of way 22.75 feet; thence N 590 141 W by said right of way 73 feet;. thence by a curve northerly and easterly by both rights of way about 100 feet to the point of beginning. Containing about .19 acre. Said parcel is shown on a plan entitled "Plan of Land in Centerville, Mass. for John H. Eyre, May 26, 1937, Nelson Bearse, Surveyor," duly recorded with said Deeds Plan Book 55, Page 65. liCitp e , t rXpo(s g r/r'�' 30awae....my....hand and seal this........... ?.............i day of....Sleptemhex................ 19.18Q.. I r l....:..tl.r. ..e ................................. D �,... ................................................................................ ................................................................................ ..............:................................................................. I�IJP �IImmDntUta(tk Df i�araattr�uaette 19 S'U Then personally appeared the above named Alice Durfee Castaw and acknowledged the foregoing instrument to be her free act `-and�de'edd,,�before me ..:! .... /.L!k�fi......11!.........LifG ... Notary Public— My commissioL ezpire �f/V✓ �/ -� COMMON :f th .;'_LHUSETTS ,o �, I�,� Tenants in Common—Tenants by the r ;ti,f :: !r,%(mil. * >It _`' I ji AMENDED BY CHAFM 497 OF 1969 SOY. f• ! p 0,~� � .adorned upon it the full Lame Idlden0l[a� 11037--- J -in dollus or the nature of the other Masi ivered :eaD the total price for the coaveyanm without od�foa 1 -. All such endors ements and=Ws shall be record 'Its part of the dad. or !'allure to comply with this section shall not affecf the validity of any deed. No register of deeds shall accept a deed for recordlLg IlnleEa it is in compliance with the requirements of this section, nt�U�iUEO SEP 5 SO Assessor's map .and lot number .............. ....... _ INSTALLED. IN COMPLIA'MCE �. �• WITH ARTICLE 11 STATE . Sewage Permit number': ..................'4 SANITARY COM AND TOWN RErvo*IRE TOWN OF BARNS ` ' ii Z MA8RMTADLE� i �'. `' ► M d• 039. DUILD110 INSPECTOR 9ppo, Ep MpY • `` : -a s: ,K r :: " APPLICATION"FOR'PERMIT TO ....:..�:. 4r.Sd...........OIE' !P . ...................................... ................. TYPE OF CONSTRUCTION ......:.LI��a•o, l.0�i.................................... ............................... ............................... .u. .........................19-.V TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....( 1..�4...T....A.P.�^�.... n ... .t. P.N. .r�..v.!.. .1 . .r. '. `.ss....................................................... �.. ProposedUse .... .. .S. ... 1�u..�..V1....� P G ,lF;t' .................................... ........................................................ <` _ - ZoningDistrict �� � I..........................................Fire District .......... /............... .............. .......................... .......................... Nameof Owner .... ............................. U.............................Address ............... ................................ �...... ykName ;;of Builder ....``...,...•..... Address' ..... .................).... .....I.............f Name of Architect ... :.... � ..............Address .......................... nn r Number of Rooms .................u......! .......................................Foundation ...... . .../. . ../..Q.............................�../......................... Exierior ..... ��,Q......SW /v c� ............Roofing .......... � �/VI........................ ... ...... . ........................... ....................... ............ Floors W 0.04..............................................................Interior .................................................................... ........ ................ Heating ................................................ ..............................Plumbing ........ ^ ...................................................... Fireplace ..................................................................................Approximate Cost . ..4..d............................... Definitive Plan Approved by Planning Board _______________________________19--------. Area W......c Diagram of Lot and Building with Dimensions Fee ! ............................ ........ . SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta a regarding the above construction. Name ......... ..................... ................ r� Durfee, Alice B. Location -Old Fa 'Road Centerville Type of"Construction frame ij Date C6mpleted ^ ' -------'--------^------~—~—' � ----- ............................................................... ' PERCENTAGE OF LOT COVERAGE - . -L�T�-REA 137A5�S:f: ' EXISTING STRUCTURES 5.4% , MAP & PARCEL 231-026 c w vu-r \P ce FNc J i � ,�-- MAP &025RCEL s �9fF Is,s . / 0. i 00 Feet LOCUS MAP f PARCEL.2 PLAN REF: 305--98 Q DEED REF: 10253-335 ASSESSOR'S MAP: 231--024 _- -- -__- / O MAR & PARCEL ZONING: RD-1 #79^ PARCEL 1�2 =_---- -_- ° � 231-005 -10'-10' 1J748 F. _____- �. FLOOD ZONE: C _ _ PANEL NUMBER: 250001 0005 C DATED: 08/19/1985 EPTIC SHOWN PER / s , OWN RECORD OVERLAY DIST: GP, 'RPOD, ZONE II, i Sa• s . -.��� ®� MASS ESTUARIES JI � O � { PLOT PLAN OF LAND._,_ P / ,moo o� (� - o,•� LOCATED AT: e OLD FARM ROAD gyp• �- '�hC uh . r _ ��� CENTERViLLE, MA LOT 1 PREPARED. FOR: \ 4 FARIDEH & STEPHEN MUSE OCTOBER 15, :2013 ' MAP & PARCEL: \ 231-006 . REV: REV: REV: ! YANKEE LAND SURVEY GRAPHIC SCALE Co., INC. 30 0 16 30 BO c 119 ROUTE 149 kam MARSTONS MILLS, MA 02648 i inch = 30 ft. MAP &'PARCEL TEL. 508--428-0055 FAX: 508-420-5553 LOT 2 231-008 YANKEESURVEYOCOMCAST.NET. WWW.YANKEESURVEY.COM �� SHEET 1 OF 1 . JOB #: 54955 JM _ PERCENTAGE OF LOT COVERAGE LOT AREA 13745f S.F. EXISTING STRUCTURES 5.47. MAP. &. PARCEL . 231--026 A\t CB FND cs / MAP & PARCEL �a 231-025 F^ U...i 00 Fee �, F _ LOCUS MAP PARCEL 2 / / � % PLAN REF: 305--98 �,. � _-'___-__ '�°• / i" .� �T - DEED REF: 10253--335 ` MAP & PARCEL ASSESSOR'S MAP: 231-�024 PARCEL 1&a 0 231-005 ZONING: RD_1 r / =- '. ' sF SETBACKS: 30'. 10' 10' ---_-- . / =_ - FLOOD` ZONE: C PANEL NUMBER: 250001 0005 C DATED: 08/19/1985 . �. -I"fs• , . �'Q-• OVERLAY DIST• GP, RPOD, ZONE Il i o• •�7. MASS ESTUARIES o� .� STD';-_ s PLOT PLAN OF LAND `f a Cry. t , ti LOCATED AT: , OLD A,RM ROAD . _ 79 F � • w / 1 � u �, CENTERVILLE, MA LOT 1 PREPARED. FOR: �^ FARIDEH & STEPHEN MUSE . OCTOBER 15, 2013 4: MAP & PARCEL r. � .. 231-006 . REV: . REV: E C c E V, E ° ° REV: .... FEB YANKEE LAND SURVEY GRAPHIC SC.A.L�E 60 � . NC. 30 0 15 30 R� 6i.!'•i.0 �;',lcil()N CO.,�� u 119 ROUTE 149 MARSTONS MILLS, MA 02648 1 inch = 30 f$. . LOT 2 —5553 MAP & PARCEL XAN EESURVEY®CQ�IOST.NE?055 AWWWYOANK ESOURVEIfCOM 231-005 � - SHEET 1 OF 1 JOB #: 54955 JM