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Home My WebLink About0578 SKUNKNET ROAD .��' �� /2�. .. _ _ __ _ e � f. o � 4 I ^, {' 1 t i TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION Map Parcel. z�,:A hcation pp Health Division `` Date Issued Conservation Division s Application Fee Ate Planning Dept; Permit Fee;_ Date Definitive.Plan Approved by Planning Board Historic = OKH Preservation/ Hyannis Project Street Address Village V A ' OwnerOLL'&] Address D� 61A Telephone 111.4 Permit Request = l� i Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new (Z Zoning District GS Flood Plain z Groundwater Overlay Project Valuation v� Construction Type , ,, Lot Size Grandfathered: ❑Yes ❑ No If yes, attach s pportinpdocwmentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) a Age of Existing Structure _ 0yi(S Historic House: ❑Yes d No On Old King's Highway: ❑Yes Colo T , Basement Type: 2full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.)^ "&tL Basement Unfinished Area(sq.ft) �;00 Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing _J new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other Central Air: ❑Yes �No Fireplaces: Existing i/ New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ZeAsting ❑,new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � 6o(A JIM 3AJ Telephone Number Iss's-j _ �_ � 5 2 License # i all Address �.� n� � � • Home Improvement Contractor# Worker's Compensation # 0� LALLCONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO wnv- LvAAa NATURE DATE �� FOR OFFICIAL USE ONLY APPLICATION# r ,DATEISSbED MAP/PARCEL N0. rz t ADDRESS - VILLAGE ti OWNER DATE OF INSPECTION: FOUNDATION FRAME i INSULATION ; -FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH 'FINAL GAS: ROUGH FINAL FINAL BUILDING !� 9i3i®�� DATE CLOSED OUT i ASSOCIATION PLAN.NO. F r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly t Name(Business/Organization/Individual): &4WAi!4_ L)_4. Address: M �0 City/State/Zip: � �' Phone.#: V Are y6u an employer?Check th appropriate box: Type of project(required): 1.T I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. Q New construction 2.0 I am a sole proprietor or partner listed on the attached sheet. 7.. 0 Remodeling ship and have no employees These sub-contractors have g.' Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp.•insurance comp. insurance.# required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13: Other comp.insurance required.] "Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. XContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: asdIV �- Policy#or Self-ins.Lie.M 0 13La®S 19 Expiration Date: �D Job Site Address: City/State/Zip: CeiV V-- Yl1� M✓� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure io secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip 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 certi n er the pains a penalties of perjury that the information provided abo a is tr a and correct. Si attue: Date: ® _ Phone#: 0 Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 1.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: - 4 Phone#: A� Information a*nd Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their.employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or dustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who,employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance wzth the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-con6actor(s)name(s), address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in (city or town).".A copy of the affidavit.that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or p any ermit not related iobusiness or commercial venture • (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone-and fax number: , The C6mmonvaealth of Massachusetts Departmwt of lndustrial Accidents Office of Investigations, 600 Washington Street Boston,MA 02111 Tel, #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 wwW mass.gov/dia From:M&M Assurance/Mason&Mason Ins 603 356 9290 05/29/2009 13:47 #965 P.0011002 --CCCCORDTM CERTIFICATE OF LIABILITY INSURANCE 05/29/20 9) PRODUCER (781)447-5531 FAX (781)447-7230 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mason & Mason Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4S8 South Ave. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Whitman, MA 02382 Gwen Vosburgh INSURERS AFFORDING COVERAGE NAIC# INSURED Robert Bowman Builders LLC INSURERA: Crum & Forster PO Box 201 INSURERB:Star Insurance 000204 West Falmouth, MA 02574 INSURERC INSURER D: INSURER E- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D' DATE 1MM1DDfYY) DATE(MMIDD[YYI TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS - GENERAL LIABILITY GL0151035 05/01/2009 05/01/2010 EACH OCCURRENCE __ $ 1,000,00 X COMMERGAL GENERAL LIABILITY DAMAGE TO RENTED SO OO CLAIMS MADE a OCCUR MEO EXP(Any one F.9(Fape $ r (Any person) Excluded A PERSONAL&AOV INJURY $ _ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGRFGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS - BODILY INJURY NONOW NED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO EA ACC E H - OTHER THAN ___ AUTO ONLY: AGG $ _----- EXCESSNMBRELLA UABILITY EACH OCCURRENCE $ OCCUR F-I CLAfMS MADE AGGREGATE $ DEDUCTIBLE - g RETENTION S $ WORKERS COMPENSATION AND WCOZ Z0514 06/18/2008 06/18/2009 wC STATU- OTFI- EMPLOYERS'UABILITY - - $ B ANY PROPRIETOR/PARTNER/EXECUTN E.L.EACH ACCIDENT S000Q r E OFFICERIMEMBEREXCLUDFD7 MEMBERS ARE INCLUDED El,DISEASE-EAEMPLOYEE $ 500,000 It yes,describe under _ SPECIAL PROVISIONS below E.L.DISEASE-,POLICY LIMIT $ S00,000 OTHER - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS perations: subcontractor s required by written contract, Robert Bowman Builders LLC is recognized as an additional insured as respects the above general liability insurance for both ongoing operations, CIS 2010, and completed perations, CIS 2037, of the insured on behalf of the additional insured. 3 CERTIFICATE EL SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Robert Bowman Builders LLC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 201 OF ANY KIND UPON THE INSURE MS AGENTS OR REPRESENTATIVES. W, Falmouth, MA OZ574 AUTHORIZED REPR ESENTATIVE r ACORD 25(2001108) ©A ORD CORPORATION 1988 5/�4x6W RAILi.'CAP - `.' -2x4 PRESSURE TREATED TOP & 4,-61) .,{� M;.�BOTTO .RAILS Y 2x2 PRESSURE TREATED BALLUSTERS 4 O.C: 4x4 PRESSURE TREATED SECOND FLOOR POSTED BOLTED INTO FRAME <__- 5/4x6 PRESSURE TREATED DECKING r 2x8 PRESSURE TREATED APRON EXISTING 2x FLOOR FRAMING 2x8 PRESSURE TREATED DECK EXISTING 2x4--> JOIST .@' 16" O.C. w/ GALVANIZED EXTERIOR WALL 40 JOIST. HANGERS EACH SIDE 2x8 PRESSURE TREATED LEDGER BOLTED INTO EXISTING4 FRAME w/' -1/2"0'1-BOLTSL.,9 12" O.C. STAGGERED .3 (2)4x8 PRESSURE-- TREATED 2x8 SOLID _.. BRACE @ ;:,48" O.,C: WOODt:, BLOCKING 4x8 BOLTED' IN' M_*WOOD BLOCKING w/ (2)1/2"0 BOLTS FIRST FLOOR OIL K ,RED Aj?�;��. s BOURNF- MA 5 OF ' TYPICAL DECK SECTION 1/2 = V-0" DATE: RE S C OM Robert T. Bowman 578 Skunknet Road 05-29-09 >j1�QQ�t>flA� IIIQ. SHEET: 649 Brick Kiln Road 578SKUNKNETROAD 118 wotemouae Road,Suite F, eoume, MA02532 Falmouth, MA CENTERVILLE,MASSACHUSETTS Al Ph: (5W)759-9828 Foy: (5W)759-98D2 (508) 548-8853 Letter of Transmittal Rescom Architectural, Inc. Phone: (508) 759-9828 P.O. BOX 157 Fax: (508) 759-9802 Monument Beach, MA 02553 WE ARE x❑ Sending ❑ Faxing ❑ Returning x0 Hand Delivering VIA ❑ 1st Class Mail ❑ Overnight ❑ Courier ❑ Picking Up THE ❑ Letter ❑ Original Drawings ❑ Catalog Cuts/Samples FOLLOWING ❑ Prints ❑ Reproducible Drawings ❑ Report ❑ Specifications XO Shop Drawings ❑ Stamped Drawings To: Town Of Barnstable Date: August 28, 2009 200 Mian Street Job No: Hyannis, MA 02601 Re: 578 Skunknet Road Attn: Jeffrey Lauzon DESCRIPTION: Enclosed please find 3 copies of stamped drawing.. O Cp O d y ran As Requested For Your A roval x For Your Information ❑ eq ❑ PP ❑ ❑ As Promised ❑ For Review$Comment ❑ Other Copy: From: Greg Siroonian 5/4x6 RAIL CAP 2x4 PRESSURE TREATED TOP & BOTTOM RAILS 4'-6" if 2x2 PRESSURE TREATED 0j BALLUSTERS 4" O.C. 4x4 PRESSURE TREATED SECOND FLOOR POSTED BOLTED INTO FRAME Ilk 5/4x6 PRESSURE TREATED An DECKING 2x8 PRESSURE TREATED APRON EXISTING 2x FLOOR FRAMING 2x8 PRESSURE TREATED DECK EXISTING 2x4---> JOIST @ 16" O.C. w/ GALVANIZED JOIST HANGERS EACH SIDE EXTERIOR WALL 40 D 2x8 PRESSURE TREATED LEDGER BOLTED INTO EXISTING FRAME w/ 1/2 0 BOLTS @ 12" O.C. STAGGERED (2)4x8 PRESSURE TREATED • BRACE @ 48" O.C. 4x8 BOLTED 'INTO WOOD BLOCKING w/ (2)10" CARRAIGE INTERIOR BLOCKING BOLTS ELEVATION . 2x8 SOLID WOOD BLOCKING w/ .(4)1/2"x5" LAG BOLTS FIRST FLOOR �y Cyr BOYFI .jlA- I TYPICAL DECK SECTION 1/211 DATE: 05-29-09 RESCOM Robert T. Bowman 578 Skunknet.Road 08-28-09 ArichiteoturaL hio. SHEET: 649 Brick Kiln Road 578 SKUNKNET ROAD the Wate5W)75�Road828'Suite r, x:Boume,(5W►u ozssz Falmouth, MA CENTERVILLE,MASSACHUSETTS n 1 Ph:(soe)use-eers , ro■:(soa)>se-eeos (508) 548-8853 A I 6'-4" 2x8 PRESSURE TREATED APRON 4x4 PRESSURE TREATED POSTED BOLTED INTO FRAME 0 � 2x8 PRESSURE TREATED DECK JOIST @ 16" O.C. w/ GALVANIZED JOIST HANGERS EACH SIDE ^N (2)4x8 PRESSURE TREATED BRACE @ 48" O.C. 2x8 PRESSURE TREATED LEDGER BOLTED INTO EXISTING FRAME w/ 1/2"0 BOLTS 12" O.C. STAGGERED 4x8 BOLTED INTO WOOD BLOCKING w/ (2)10" CARRAIGE BOLTS 2x8 SOLID WOOD BLOCKING w/ (4)1/2"x5" LAG BOLTS DECK FRAMING PLAN 1/2., -- 1 '-0" 1::CD AR j ye V 8. �a No. z z BOURNE, DATE: RESCOM Robert T. Bowman 578 Skunknet Road 08=28709 Arab 1tAQt11ML rIIQ. SHEET: 11, Brick Kiln Road 578 SKUNKNET ROAD tie wotedause Rood,suite F. Soume,►u 02W2 Falmouth, MA CENTERVILLE,MASSACHUSETTS Ph: (sou)759-9828 Fax:(50)789-9802 (508) 548-8853 - A 5/4x6 RAIL CAP 2x4 PRESSURE TREATED TOP & BOTTOM RAILS 4'-6" 2x2 PRESSURE TREATED 0j BALLUSTERS 4" O.C. 4x4 PRESSURE TREATED SECOND POSTED BOLTED INTO FRAME FLOOR 5/4x6 PRESSURE TREATED DECKING 2x8 PRESSURE TREATED APRON EXISTING 2x FLOOR FRAMING 2x8 PRESSURE TREATED DECK EXISTING 2x4—> JOIST @ 16" O.C. w/ GALVANIZED EXTERIOR WALL JOIST HANGERS EACH SIDE 40` D 2x8 PRESSURE TREATED LEDGER BOLTED INTO EXISTING FRAME w/ 1/2"0 BOLTS @. 12" O.C. STAGGERED i I (2)4x8 PRESSURE TREATED BRACE ® 48" O.C. 4x8 BOLTED INTO WOOD BLOCKING w/ (2)10" CARRAIGE INTERIOR BLOCKING BOLTS ELEVATION 2 x 8 SOLID WOOD BLOCKING w/ (4)1/2"x5" LAG BOLTS :-- r` �t0 AR C�� FIRST FLOOR No. Z Bou MA �-0 TYPICAL DECK SECTION 1/2„ — 1 ,_0„ DATE: 05-29-09 RESCOM Robert T. Bowman 578 Skunknet Road 08-28-09 MCbiteatural. b o. SHEET: 649 Brick Kiln Rood 578 SKUNKNET ROAD IIS Waterhouse Rood,Suite F, 9oume,M 02532 Falmouth, MA _ CENTERVILLE,MASSACHUSETTS Ph: (508)759-9828 Fax: (5os)759-9802 (508) 548-8853 Al A . 6'-4„ 2x8 PRESSURE TREATED APRON 4x4 PRESSURE TREATED POSTED BOLTED INTO FRAME 2x8 PRESSURE TREATED DECK JOIST ® 16" O.C. w/ GALVANIZED JOIST HANGERS EACH SIDE N � � (2)4x8 PRESSURE TREATED BRACE © 48" O.C. 2x8 PRESSURE TREATED LEDGER BOLTED INTO EXISTING FRAME w/ 1/2"0 BOLTS 12" O.C. STAGGERED 4x8 BOLTED INTO WOOD BLOCKING w/ (2)10". CARRAIGE BOLTS 2x8 SOLID WOOD BLOCKING w/ (4)1/2"x5" LAG BOLTS DECK- FRAMING PLAN 1/2„ _ 1 ,-0 o4AED FCI, �N0. 9 Z � SOUR ' M ' h DATE: RE S C O M Robert T. Bowman 578 Skunknet Road 08-28-'09 Arabtteatuzv4 IIIa. SHEET: 649 Brick Kiln Road 578 SKUNKNET ROAD ne Waterhouse Rood.'Suite F. Soume.►A-02532 Falmouth, MA CENTERVILLE,MASSACHUSETTS A2.Ph: (508)759-9828 Fax: (5W) 759-9802 (508) 548-8853 , . :(`_ • ✓!'lam a � �!"l J' " r' � �f,�� l.�c2a�l�o( i1�E1�� 1��Y)��a ,J; = One Asllhiu ion 1'lacc - IZoo111 1 '0 l hoslon, 1Vlas�ilChllS011S 02 108 I-10111C I111provc1llent CollLractol' ��.C' 15�C�1tloll Rc clislration: 102329 Type: Individual Expiration: 7/3/2010 Till 0 ,013ERT T. BOWMAN Robort Bowman P. O. Box 201 W Falmouth, MA 02574 • tlli(Ia1C A(IrL'css:unl return r:u'(I. 1llarl: rrasun Iur.i•I(an;;c. Address Renewal I;u(Iiluyu(cnt I,us( Card 11u:(-(1'[il'�tlliilll(f 1lFj irL�(luf4�an�1 til':ilt(Lf(ifS' License ur rc"islratiun valid for individul use only 110ML IMPROVEML-N1 CONTRACTOR befurC 111c expiration (laic. 11 found� rctul'u to:RCUistralion: 1021129 Ifoard of lluildin• Regulations anti Sfandal Expiration: 7/3/''OI OnC AAlburluu Place Rn1 U01 \.. � G Trl/ 0 Type: Ind(vulu.d Boston, 111a. 021116 .OIJERT T.UOWMAN oberf Dowman 1-2 _ 49 01ick Kiln Road C _.>>.r..."c 1......... ( / /Falmouth,MA 01.5T1 ,1(In(iuis(ratur Not valid witlunll signature -- � �yal i � a��C 't�/UINIIlOII[UCRt/l� U•4!(UJJUCII[lJC�J ^ a G��•'�� / � [1,'[�r i[,I�•� rt,,, � ttJa Board of Building Rcbulutiofis and Standards hoard o U1 jig cgi atwfis and Slane ;;f��i« �: •,h=;,;:�tr;i Construction Supervisor License , 4{;°�� n Construction Supervisor Lice [ License: CS 24157 ` License: CS J4 r 1•If'r�Rffv(�r :',fi, ��}',Ij.za li(l�(ry(1,1, Expiration: 4/9/2010 Tr# 21263 l �J �f;, irati 3!3/2010 Trt/ 15935 �r +Na Restriction: 00 .tri 'on: 00 d I'iOBE f T BOWMAN ROB T (BOWMAN JR PO BOX 201 OX 706 W.1-ALMOUTH.MA 025-14 Commissioner W FALMOUTH,MA 0257,1 uuuissioner qT �u'' q� oard,o uildmgRegulaho - and3$taudards Constru on Supervisor License t. Licen CS 98049 �, /2011 Tr#' 9: a str ".RONALD -BOW FALMOUTH i MA 025410 A Comm. so r x + t 7. THE Town of Barnstable Regulatory Services BAR" 'MASS. ` Thomas F.Geiler,Director fo;ox� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. 5`l� 5K`1�1� n►e��- �.1 ce�t9�� (Address of Job) Si� tore 6f Owner Date Ja n�e- Print Nanie If Property Owner is applying for pen-nit please complete the . Homeowners License Exemption Form on the reverse side. Q:FO RM S:O W N E RP ERM IS S ION �t r Town of Barnstable 4� do Regulatory Services Thomas F.Geiler,Director w BAxxsrABLE, MASS. �� Building Division ArEpts Tom Perry, g B uildin Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does,not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, of a Supervisor. On the last page of this issue is a form currently used by that the homeowner certify that he/she understands the responsibilitiesp p g t fy for use in our community. several towns. You may care t amend and adopt such a form/certification y ty Q:\WPFILES\FORMS\homeexempt.DOC REScheck Software Version 4.2.0 Compliance Certificate Project Title: Bowman Builders, LLC Energy Code: 2006 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Building Orientation: Bldg,faces 270 deg.from North Conditioned Floor Area: 816 ft2 Glazing Area Percentage: 8% Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 528 Skunkett Road Bowman Builders,LLC Colony Insulation,Inc. Barnstable,MA PO BOX 201 28 Jonathan Bourne Drive West Falmouth,,MA 02574 Pocasset„MA 0255!1 5W-548-8853 508-563-6049 Passes on equipment performance Compliance:0.2%Better Than Code Gross • e Assembly Area • rt.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 378 38.0 0.0 11 Ceiling 2:Cathedral Ceiling(no attic) 288 38.0 0.0 8 Gelling 3:Flat Ceiling or Scissor Truss 144 38.0 0.0 4 Wall 1:Wood Frame, 16"o.c. 384 19.0 0.0 21 Orientation:Left Side Window 1:Wood Frame:Double Pane with Low-E 8 0.350` 3 SHGC:0.50 Orientation;Left Side Door 1:Glass 20 0.350 7 SHGC:0.50 Orientation:Left Side Wall 2:Wood Frame,16"o.c. 384 19.0 0,0 23 Orientation:Right Side Wall 3:Wood Frame, 16"o.c. 368 19.0 0.0 19 Orientation:Back Window 2:Wood Frame:Double Pane with Low-E 35 0.350 12 SHGC;0.50 Orientation:Back Door 2:Glass 16 0.350 6 SHGC:0.50 Orientation:Back Wall 4:Wood Frame,16"o.c. 368 19.0 0.0 19 Orientation;Front Window 3:Wood Frame:Double Pane with Low-E 39 0.350 14 SHGC:0.50 Orientation:Front Door 3:Solid 20 0.350 7 Orientation:Front Floor 1:All-Wood Joist/Truss;Over Unconditioned Space 816 21.0 0.0 36 Furnace 1:Forced Hot Air 85 AFUE Compliance Staternent: The proposed building design described here is consistent with the building plans,specllications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2006 IE•",C requirements in REScheck Version 4.2.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checdlst. Project Tide:Bowmen Builders, LLC Report date:03/20/09 Data'fllename: Untltled.rck Page 1 of 5 i 2006 IECC Energy Efficiency Certificate' Insulation Rating R-ValLfe Gelling i Roof 38.00 Wall 19.00 Floor t Foundation 21.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.35 0.50 Door 0.35 0.50 Heating : Cooling Forced Hot Air Furnace 85 AFUE Water Heater. Name: Date: Comments: SOOIn NOLLV'IOSNI 1W0100 LTT9V99909 %VA T5:£T 60OZ/6Z/SO Na -Tifle ign lure Dute Project Tide:Bowman Builders,LLC Report date:03/20/09 Data filename:Undtled.rck Page 2 of 5 ` zoo@ NOLLV'I[ISNI ANOII00 LITM9805 %VA I5:£I 600Z/69/50 r REScheck Software Version 4.2.0 Inspection Checklist Ceilings: ❑ Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity Insulation Comments: ❑Ceiling 2:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: ❑ Ceiling 3:Flat Calling or Scissor Truss,R-38.0 cavity insulation Comments: i Above-Oracle Walls: ❑ Wall 1:Wood Frame,IW o.c.,R-19.0 cavity Insulation Comments: ❑Wall 2:Wood Frame,16"o.c.,R-19.0 cavity insulation Comments; ❑Wall 3:Wood Frame,16"o.c„R-19.0 cavity insulation comments: ❑ Wail 4:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window 1:Wood Frame;Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: Vanes_Frame Type Thermal Break1_Yes No Comments: ❑ Window 2:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without laded U-factors,describe features: Vanes—Frame Type Thermal Break? Yes_No Comments; ❑Window 3:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: Vanes_Frame Type Thermal Break?—Yes_No Comments: Note:Up to 15 sq,ft.of glazed fenestration per dwelling is exempt from U-factor and SHGC requirements. Doors: . ❑ Door 1:Glass,U-factor:0.350 Comments: ❑ Door 2:Glass,U-factor:0.350 Comments: ❑ Door 3:Solid,U-factor.0.350 Comments: Floors: ❑ Floor 1:AN-Wood Joist(Truss:0ver Unconditioned Space,R-21.0 cavity insulation Comments: Project Title:Bowman Builders, LLC Report date:03/20/09 Data filename:Undtled.rck Page 3 of 5 l £00g� NOLLVIHISNI AN0103 LTI9b95809 XVA I5:£1 600Z/6Z/90 Floor insulation is installed in permanent contact with the underside of the subfloor decking. Heating and Cooling Equipment: ❑ Furnace 1:Forced Hot Air:85 AFUE or higher Make and Model Number: Air(Leakage: Q Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. Recessed lights are either 1)Type IC rated with enclosures sealedigasketed against leaks to the calling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed inside an air-tight assembly with a 0.5`clearance from combustible materaak;and a 3'clearance from insulation. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Vapor Retarder: I] . Vapor retarder Is installed on the warm-in-winter side of all non-vented framed ceilings,walls,and floors;:)r it has been determined that moisture or Its freezing will not damage the materials;or other approved means to avoid condensation an)provided. Comments: Materials Identification: El Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all Installed heating and cooling equipment and service water heating equipment have been provided. (3 Insulation R-values,glazing U-factors,and heating equipment efficiency are dearly marked on the building plans or specifications. 0 Insulation is installed according to manufacturer's instructions,in substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the Insulation. Dud Insulation: . Ducts in unconditioned spaces or outside the building are insulated to at least R-8. Duds in floor trusses above unconditioned spaces or above the outdoors are insulated to at least R-6. Duct Construction: Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet medal fittings are sealed and mechanically fastened. All joints,seams,and connections are made substantially airtight with tapes,gasketing,mastics(adhesives)or other approved closure systems,Tapes and mastics are rated UL 181A or UL 181B. El Building framing cavities are not used as supply ducts. El Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. (] Additional requirements for tape sealing and metal duct crimping are included by an inspection for compliE nce with the Intemational Mechanical Code. Temperature Controls: Thermostats exist for each separate HVAC system.A manual or automatic means to partially restrict or shut off the heating and/or coding input to each zone or floor is provided. Heating and Cooling Equipment Sizing: O Additional requirements for equipment sizing are included by an inspection for compliance with the Intemaional Mechanical Code. Circulating Not Water Systems: . 0 Circulating hot water pipes are insulated to R-2. O Circulating hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R•2. Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insuiatlai R-values:window U-factors;We and efficiency of space-conditioning and water heating equipment. NOTES TO FIELD:(Building Department Use Only) Project Title:Bowman Builders,LLC Report date:03/20/09 Data filename: Unftd.mk Page 4 of 5 II I oo E NOIIV'IIISNI 1W0'I00 L1191lr9S80S %VA TS:£i 600Z/6Z/90 ®_K306/29/2009 09:28 FAX 508 866 6853 MSP AIRWING PYM zool/002 9 � t l . 1 s l' 3 1 1"acr• �.. fl xl - Y? # k / 3 i I el L 3Yi 34; , I kI} v� `0 3' N oa ij , 06/29/2009 09:28 FAX 508 866 6853 MSP AIRWING PYM U 002/002 : w«yi-.st'r�kw•-.e.,�rya�.:J,:.w.»-+ '2 lrs-»..�"'+�+i� + t'4�w `k�r.�� w`a�.'4`^+9'y'f+'5h�, i : � 'Ku`�-�^.f�+5. ! .' �:: �'- ..... a dd dr{r s i �`'>�#4c��t�' •( r x r>•y •�',sfS ,' �.� �.. � �`�»i.4�'��'`+. '� � pwf I. ' t x �""'itr; why �T ,:r�kle. ° "'�•`��;aa'aa ?�x {� '�T,',�, �q '. � J 5� V'CV7F� .�'f �•f .. :... .,,:.+ny. ':"r.,�„�+�� 'q `Yrrm4 � 3 3 i _ t - �, �: .......: whew l .� � � 'ems t'� "��.:�`.:k�f t1d�sA�°�s 43��# :4 1� �xt�s :t(t"� �'• `R'}� 't;.��'� 'Xc �.r'Y F:�t-�1..�.»lt:. fit t..i�"',f�::,S•�1"�"` - ,� .>.�:..:. -.'-...'-r.,:.nv.-+:...: - tTi,:^i. tN �,:IIJ.K (u ..:.}I...:Y.:. I..:.s9..Y..d 1N 4.51....�:3..,N M?iwii 1I..I'.'../.. 'S:t.:ii C K.+�.:..,... l.av�i..: .»':tr•...;re:.•x.Ne,vw b <� 1.....-..)t J l•. lllj LM^:..:-J�•�nly. �� r �� Aug 20 09 12:30p p.3 °F �a Town of Barnstable Regulatory Services BARNSCABLE. - - y MASS. $ Thomas F. Ceiler,Director t639 �0 '�En►�+° Building Division Tom Perry,Bui{ding Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 19, 2009 Robert Bowman Box 201 _ W Falmouth, Ma. 02574 RE: 578 Skunknet Rd., Centerville Map: 169 Parcel: 015-010 Dear Mr. Bowman: This letter is in response to an application submitted to do work at the above referenced_ address. Unfortunately, the application can not be approved at this time because this office has not been provided vvith all the necessary documents. Specificall t wor an's com a ion policy you provided has expired and the n inetmng for the alcon is incom fete. Attempts to reach you via the phone number you provi ed ave been unsuccessful. Failure to resolve this issue by September 2, 2009 will result in this office forwarding a complaint against you to the Building Board of Regulations and Standards. If you have an* questions please do not hesitate to call. I may be reached at. (508) 862-4034. By order, 7Ma= x Local Inspector 11� N-e. r0(J5 e- (3Gvn . W(q Q:zoning5 Aug 20 09 12:30p p,2 urr na.3ul CAI IL,C/III dZIUIIQrld5ur1 I rIS UOJ JSb y200 06;1;-120U9 14. 4 '341C f UU I ;UU� ACORDk lG-.ERTIFICAT.E- OF LIABILITY INSURANCE °ATE(MN'bD°'YYYY) Pao OUCER (78 )447-5531 FAX (781)447-7230 - 06/17/2009 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mason & Mason Insurance Agency, Inc: ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 458 South Ave. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Whitman, MA 02382 I ALTER THE COVERAG E AFFORDED BY THE POLICIES BELOW Gwen Vosburgh ' — _ INSURERS AFFORDING COVERAGE NA1C 0 INSURED Robert �owrnan 8ui 1 tiers�LLC ��--- --- --- INELRILIRA. Crum& - PO Box 201 uaa:Ln:l:Ris' — West Falmouth, MA 02574 Star In 0002lNz04 - INSURER C: - -- V THE POLICIES OF fNSJRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE PCLICY PERIOD INDICATED.NO,/VITHSTAND_NG ANY REOUIREMENT,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 SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CO POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NDITIONS OF SUCH _ TYPE OF INSURANCE POUCYNUMBER POUCV EFFErTIvE POLICY E XPIRATICN - '--- ----- - GENEALILLIAOIIITY M LIMRS — GLO151.035 05/01/2009 05/01/2010 LAQIOCCLPRENCF s 1,000 00 X (:rx iMLHCIAL UL-PI-RPI,LIABILI I`i OAMtACd i()RENfED CLAIMS HAUL X AC�iUt !_L1tE N Eu ILii 12-0 00_A LJ IL�+ o r_xr>cA�,��.,��,LwlludeAJW IIJ.E,r:Y OO GEr1Ew1 nccF-LGATE ,00LIIAII/N'f�R.lESI'CRrJt�. -- �RoouCTa-GorulrPrca ,00- COI,CY JECI (CSC AUTOMOBILE LU(°ILID ANY A%UJ IIJC L I arkenqAl C1.MiA_D AF I e q, -_...SCHI (-.0 A.I I"00 H UALY INJURYfF v I frsw) IUREoi�irto.: _ _ /\VAt/S RODfLY INJURY rJUN.C�,NLJLU jYm acGUrTdJ .I , (Per acuwewy S GARAGE M&SILITY - MY-kVIU L•�„:� - AUIf�(>Idl-Y CAACCIOiJ.-I .y - 6 i A.UI O ONL Y: _... EXCESSAjMBRELLA LIABILITY OCCUR n IiACI i A.GG 3 i a.CiA:;RCrICE - rL/MW iA^DE - - I , DIEUXULILIE S COMPENSATION AND EMPLOYERS'UABILITY i .-WC0 C IU ZZ0514 06/18/2009 06/18/2010 s EMPLOY � - .v, S'(A • UIII- - 4IiY111rlJlti Q nl.rvFIkurl+InrmmwInirli•I[w.-cuirdL `- L'----------._ OFFICERndEMBEREX6UULO-t-. MEMBERS ARE INCLUDED - f:I rACIIACCOENT - $ 500 00 S EC Aeecrk V I, E L 0IS[j% L-EA.LNIIL Ce .c 500,0() PFCIAI PNCIVI:IONSi�i:n wr - _ . OTHER - - E I.DIZFAI;E-PC'JCY LINFI $ 500,00 ESCRIPTION OF OPERATIONS I LOCAT:ONSJ VEHICLES I EXCLUSIONS ACDED BYENDORSEMENT J SPECAL PROVI SIDNS )orations: subcontractor required by written contract, Robert Borman Builders LLC is recognized as an additional insured as :speets the above general liability insurance for both ongoing operations, CG 2010, and completed lerations, CG 2037, Of tiie insured on behalf-of the additional insured. ERTIFICATE HOI C ION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THE THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10' DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,. li Robert BOmnan Builders LLC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NC OBLIGATION OR LABILITY PO Box 201 .. OF ANY KIND UPON THE INSURER.ITS AGENTS OR RCPRESENTATIVE S. W. Falmouth; MA 0257�i ALn HORILED REP RC SE NTATI VE David H. Mason ZORD 25(200110u) OACORD CORPORATION 1938 Letter of Transmittal Rescom Architectural, Inc. Phone: (508) 759-9828 P.O. BOX 157 Fax: (508) 759-9802 Monument Beach, MA 02553 WE ARE x❑ Sending Faxing Returning xQ Hand Delivering VIA 1st Class Mail Overnight Courier Picking Up THE Letter Original Drawings Catalog Cuts/Samples FOLLOWING ❑ Prints Reproducible Drawings ❑ Report ❑ Specifications X❑ Shop Drawings El Stamped Drawings To: Town Of Barnstable Dater August 20, 2009 200 Mian Street Job No: Hyannis, MA 02601 Re: 578 Skunknet Road Attn: Jeffrey Lauzon CAA -va, zJ,ILLE MA DESCRIPTION: Enclosed please find 3 copies of stamped drawing.. O Z c ca 4-- co ca Vt rn As Requested ❑ For Your Approval For Your Information ❑ As Promised ❑ For Review&Comment ❑ Other Copy: From: Greg Siroonian 5/4x6. RAIL' CAP 2x4 PRESSURE TREATED TOP & BOTTOM RAILS 4'-61' 2x2 PRESSURE TREATED �j BALLUSTERS 4" O.C. n 4x4 PRESSURE TREATED SECOND POSTED BOLTED INTO FRAME FLOOR - 5/4x6 PRESSURE TREATED DECKING 2x8 PRESSURE TREATED APRON EXISTING 2x FLOOR FRAMING 2x8 PRESSURE TREATED DECK EXISTING 2x4-----> JOIST ® 16", O.C. w/ GALVANIZED JOIST HANGERS EACH SIDE EXTERIOR WALL ao. 2x8 PRESSURE TREATED LEDGER BOLTED INTO EXISTING FRAME w/ 1/2"0 BOLTS ® 12" O.C. STAGGERED (2)4x8 PRESSURE TREATED 2x8 SOLID BRACE @ 48" O.C. WOOD BLOCKING 4x8 BOLTED INTO WOOD BLOCKING w/ (2)1/2"0 BOLTS FIRST FLOOR No. 9748 z 1 R MA TYPICAL DECK SECTION 1/2„ = 1 ,_O„ DATE: RESCOM Robert T. Bowman 578 Skunknet Road 05-21-09 �71�Qt11!'A�e Inm SHEET: 649 Brick Kiln Road 578 SKiJNKNET ROAD 118 watertrouee Road.SuRe F. Bwu .,MA ozsaz Falmouth, MA CENTERVILLE,MASSACHUSETTS ph: (soe)ass—saza Fa:: (sos)Asa—saoz (508) 548-8853 Al r 5/4x 6 RAIL CAP 2x4 PRESSURE TREATED TOP & „ BOTTOM RAILS 4'-6 2x2 PRESSURE TREATED BALLUSTERS 4" O.C. 4x4 PRESSURE TREATED SECOND FLOOR POSTED BOLTED INTO FRAME �- 5/46, PRESSURE TREATED DECKING 2x8 PRESSURE TREATED APRON EXISTING 2x FLOOR FRAMING 2x8 PRESSURE TREATED DECK EXISTING 2x4- > JOIST © 16" O.C. w/ GALVANIZED EXTERIOR WALL JOIST HANGERS EACH SIDE 40• 2x8 PRESSURE TREATED LEDGER BOLTED INTO EXISTING FRAME w/ 1/2"0 BOLTS @ 12" O.C. STAGGERED (2)4x8 PRESSURE TREATED 2x8 SOLID BRACE © 48" O.C. WOOD BLOCKING 48 BOLTED INTO WOOD -BLOCKING w/ (2)1/2"0 BOLTS FIRST FLOOR BOURN AAA TYPICAL DECK SECTION 1/2„ _ 1 '-0„ DATE: 05-29-09 RESCOM Robert T. Bowman 578 Skunknet Road Amh tectur-4 Ina. SHEET: 649 Brick Kiln Road 578 SKUNKNET ROAD 118 woterhouee Rood,Suite F. Boume, MA 02532 - Falmouth, MBA CENTERVILLE,MASSACHUSETTS /q\ ^I Ph: (508)759-9828 Fax:"(508)759-9802 - (508) 548-8853 .Al f 5/4x6 RAIL CAP 2x4 PRESSURE TREATED TOP & BOTTOM RAILS 2x2 PRESSURE TREATED 0j BALLUSTERS 4 O.C. 4x4 PRESSURE TREATED SECOND FLOOR POSTED BOLTED INTO FRAME OL <__ 5/4x6 PRESSURE TREATED DECKING 2x8 PRESSURE TREATED APRON EXISTING 2x FLOOR FRAMING 2x8 PRESSURE TREATED DECK EXISTING 2x4—� JOIST © 16" O.C. w/ GALVANIZED EXTERIOR WALL JOIST HANGERS EACH SIDE 40' 2x8 PRESSURE TREATED LEDGER ., BOLTED INTO EXISTING FRAME w/ 1/2"0 BOLTS @ 12"' O.C. STAGGERED (2)4x8 PRESSURE TREATED 2x8 SOLID BRACE @ 48 O.C. WOOD BLOCKING 4x8 BOLTED INTO WOOD BLOCKING w/ (2)1_/2"0 BOLTS FIRST y FLOOR D"ROL CA ' 0. ]48 z ANE TYPICAL DECK SECTION 1/2„ _ 1 '-0" DATE: RE S C OM Robert T. Bowman 5.78 Skunknet Road 05-29-09 AMhhteOttUj-4 IIIC. SHEET: 649 Brick Kiln Road 578 SKUNKNET ROAD 118 Waterhouse Road, SuRef, Bourne, MA ozsa2 ,. Falmouth, MA - CENTERVILLE,MASSACHUSETTS - ' AlPh: (508)759-9828 Fax: (508)759-9802 _ (St78) 548-8853 /—1 _. Town of Barnstable Regulatory Services saiwsTAst E v Mnss, g, Thomas F.Geiler,Director �A i6g9. 10 rEcrr,or" Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 August 19, 2009 Robert Bowman Box 201 W Falmouth, Ma. 02574 RE: 578 Skunknet Rd., Centerville Map: 169 Parcel: 015-010 ` Dear Mr. Bowman: This letter is in response to an application submitted to do work at the above referenced address. Unfortunately, the application can not be approved at this time because this office has not been provided with all the necessary documents. Specifically, the workman's compensation policy you provided has expired and the engineering for the balcony is incomplete. Attempts to reach you via the phone number you provided have been unsuccessful. Failure to resolve this issue by September 2, 2009 will result in this office forwarding a complaint against you to the Building Board of Regulations and Standards. If you have any questions please do not hesitate to call. I may be reached at (508) 862-4034. By order, Oe;r'L�auzon� Local Inspector Q:zoning5 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION„ Map Parcel '® Ou `Application # Health'Division -Date Issued( Conservation Didion z Application Fe Planning.Dept: Permit Fee, ?� s Date Definitive.Plan Approved by Planning Board i log y�q'o R Historic - OKH Preservation/ Hyannis Project Street Address %voiV, ' fJ Village Owner Do& Address ' 6.1 is1 �. �u ✓� Telephone - Permit Request r AA0 ofmkVHJYj� UA cwv, N Square feet: 1 st floor: existing lRiproposed 2nd floor: existing proposed Teal new Zoning District Flood Plain Groundwater Overlay _ CD �7 Y Project Valuation _7d►000 Construction Type Ov : v; Lot Size Grandfathered: ❑Yes ❑ No If yes, attach su portin"oca7mentation. w Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (#' units) °° Age of Existing Structure S. Historic House: ❑Yes dNo On Old King's Highway: ❑Yes ❑ No Basement Type: L'Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) goo Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes 6'No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ >:t Attached garage:Zxisting ❑ new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes d No If yes, site plan review# Current Use al- Proposed Use APPLICANT INFORMATION D� ((BBUI)LDER OR HOMEOWNER) Named "` � ' Telephone Number Address 500— UJ V �� 1 License # ` 0 ! Home Improvement Contractor# Worker's Compensation # 0 a ®� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO e)g 0rKrr_ LaNA]P It hokSIGNATURE ( I !2 T /J ativ+�.�-� �' DATE 0/ I R FOR OFFICIAL USE ONLY R APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 9 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Qb 7/3 6 t - 1 .. s DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): ,r BJ Address: City/State/Zip: �'�l\ VV 1 �o�S7 Phone.#: 5R 3 Are you an employer?Check the appropriate box: Type of project(required): 1.[X I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. New construction 2.0 I am a sole proprietor or partner-' listed on the attached sheet 7.. ❑Remodeling ship and have no employees These sub-contractors have g. '❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'-comp. insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tcontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information.Insurance Company Name: MQ_' Dok & �l `n`0 5 O AJ c Policy#or Self-ins.Lic.#: G 0-�_Iq 51 Expiration Date: Job Site Address: J !V '5{/ JAJV V A �� City/State/Zip:6eAA�d( Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under,the pains and penalties of perjury that the information provided above is true and correct. Signature: / D`/�`'� �m/M�-rt.�. �Y. Date: /v U Phone#: r0fffikcial only. Do not write in this area,to be completed by city or town officialn: Permit/License# Issung 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#: 7 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, ' I express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states`Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contiactor(s)name(s),address(es)and.phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter then self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom . event the Office of Investigations has to contact you regarding the applicant. affidavit for u to fill out in the g g PP of the g Y Yo Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 4Q6 or 1-877-NIASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia r i i � ra�ti Town of Barnstable r Regulatory Services . Thomas F.Geiler,Director �Bs.nAss. fn.19L. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, > d - LC L d2:� , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: SKQYY J,—NJe k r-J �/J e 111 e wi pt (Address of Job) z Signature ofMmer Date 1 o!( (f--f) M 4/c /I Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FO RMS:O WNER.PERMIS SIGN t z� Town of Barnstable try . Regulatory Services EARN.-rABLE� ; Thomas F. Geiler,Director Muss 059. R,�� Building Division rfD µA't Tom Perry,Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 50 8-8 62-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that,he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that "Any homeowner perforrmng work for which a building pemrit`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 parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Canstruction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application., that the homeowner certify that hdshe 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:forms:homeexempt �M CERTIFICATE OF LIABILITY INSURANCE PRODUCER '178,1)a47-5531 Rt'1NCE DATE(MM/DDryrrYl ' FAX (781)447-7230 06/18/2008 Mason A Mason Insurance Agency, Inc, THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 458 South Ave, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOE8'NOTAMEND,EXTEND OR Whitman, MA 02382 ALTER THE COVERAGE AFFORDED Gwen Vosburgh BY THE PgLICIES BELOW. INSURED Ro ert Bowman But ers LLC - INSURERS AFFORDING COVERAGE A: NAIC INSURER # PO Box 201 Mountain valley InderninIty Co: West Falmouth, MA 02974 INSURERB: Star Insurance INSURER C: 000204 INSURER D: - COV AG INSURER C: THE POLICIES OF INSURANCE LISTEp BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INOICATF_D.NOTVJI7HSTAN ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO VVHICI.1 THIS CERTIFICATE MAY BE ISSUED TA MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF S O'NG POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. OR INSR DO' TYPE OF IN$UAANCE POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY POLICY NUMBER X COMMERCIAL GENERAL LIABILITY520003432401 05/01/20018 05/01/2009 EACH OCCURRENCE LIMITS - E TO RENTED 1,000,00 A L ' I CLAIMS MADE (� OAMAQ 100,000 OCCUR s F MEO EXP(Any mo pe,/On) R 5,000 PERSONAL&AOV INJURY s 11000 000 GEN'L/GUI HLGATE LIMIT APPLIES PER: r GENERAL AGOREGATE 2 000 000 00 POLICY JE I,OC PRODUCTS-,COMPIOP AGG T AUTOMOBILE LIABILITY - ANY AUTO All OWNED AUTOS COMBINED SINGLE LIMIT � - � � F (Ea eccltlonq S - - SCHEDULED AUTOS - ©DOILY INJURY HIRED AUTOS - (Per per2on) NON-OWNED AUTOS - BODII,YINJURY (Persccdent( f PROPERTY DAMAGE GARAGE LIABILITY e - (Per ac6dqn0 T ANY AUTO AUTO ONLY-EA ACCIDENT f OTHER THAN EA ACC f - EXCFS$IUMBREI.LA LIABILITY AUTO ONLY: AGO E OCCUR 1 ICLAIMS MADE - - EACH OCCURRENCC E LJ _ - AGGRF,OATE S OEDUCTIBLF, RETENTION E WORKERS COMPENSATION AND - - WCO2Z 5514 06/18/2008 06/I8/2009 O'rH- EMPLOYER$'LIABILITY WC STgYLI- B ANY PROPRIETORmA RT NE R/EXECUTIVE OFFICEROMEMBER EXCLUOE07 - E.L.FACHACCIDENT rfyes oeecnbe nd4 MEMBER OF rLLC IS f 500,00 S✓EdIAL PROVISIONS bol- EXCLUDED E.L.DISEA3E-EA EMPLOYE .S 5U0 000 OTHER E.I.DISEASE-POLICY LIMIT E^ 500,00 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES/ peratio der EACLUSION9 ADOEO IIY ENDORSEMENT!SPECIAL PROV1910NS - ns.: Home Buil E D - C SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE 163UING IN 6URER WILL ENDEAVOR,TO MAIL- ' Robert Bowman Builders, 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, PO Box 201 LLC BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY West Falmouth MA 02574 OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED RFPRESENTATIVE ACORD 25_(Zo01/08) FAX: (508)548-8758 @ACORD CORPORATION 1988 tiJ lJvi vJ ACORD CERTIFICATE OF LIABILITY INSURANCE 8/7/2008 YY)� PRODUCER (508)540-2400 FAX: (508)289-4111 THIS CERTIFICATE IS ISSUED AS.A MATTER OF INFORMATION Murray & MacDonald Insurance Services, Inc'. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 550 MacArthur Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bourne MA 02532 INSURERS AFFORDING COVERAGE NAId# INSURED INSURER A:Chartel® Oak Fire 25615 B/N ELECTRIC INC. INSURERB:Travelers Indemnity 25658 1227 ROUTE 28A INSURERC:AIG P 0 BOX 748 INSURERD: CATAUMET MA 02534 INSURERE: THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L I I POLICY EFFECTIVE POLICY EXPIRATION INSRO-LaTYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDD/YY . LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 3 ,000,000 X COM $MERCIAL GENERAL LIABILITY ` DAMAGE TO RENTED - 300,000 000 PREMISES Eaoocun-ence _ A CLAIMS MADE aOCCUR I6805773AOSA 8/1/2008 -8/1/2009 MED EXP(AnV oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIESPER: _ R.ODUCTS-CQM GG $ 2,000,000 X POLICY PRO-- LOC AUTOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT(Eaac 1,000,000 tidP.n11 $ B ALL OVMED AUTOS BA-8446A362-08-SEL 8/1/2008 8/1/2009 BODILY INJURY SCHEDULED AUTOS .- - _ (Per person) - $ HIRED AUTOS BODILY INJJRY NON-OVKNEDAUTOS (Peraccidenl) $ PROPERTYDAMAGE $ (Peraccident) GARAGE LIABILITY - - - AUTO ONLY-EAACCIDENT $ - ANYAUTO - OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLALIABILITY EACH OCCURRENCE $ 3,000,000 OCCUR CLAIMS MADE AGGREGATE $ 3,000,000 B DEDUCTIBLE ISFCUP6617W248IND07 8/1/2008 8/l/2009 $ X RETENTION $5,000 - $ C WORKERS COMPENSATION AND ST.ATU- OTH- . EMPLOYERS'LIABILITY - T IM ITS ER MY PROPRIETORIPARTNER/EXECUTIVE El.EACH ACCIDENT $ 500,000 OFFICERlMEMBEREXCLUDED? WC6966444 , 8/1/2008 8/1/2009 E.L.DISEASE-EAEMPLOYEE$ 500,000- II yes,describe under SPECIMPROVISIONS babw E.L.DISE.ASE-POLICYIIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENOORSEMENTISPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION ` SHOULD ANY OF„THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Robert Bowman Builders LLC EXPIRATION yDATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL F0 BOX 201 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT West Falmouth, MA 02574 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE - INSURER,ITS AGENTS OR REPRESENTATIVES. - AUTHORIZED REPRESENTATIVE Douglas MacDonald/TED ACORO 25(2001108) ©ACORD CORPORATION 1988 INS025{01wpfia Page 1 of 2 e 7079 Client#: 16804 2MARSHALLRA DATE 7/30/ ACORD„A CERTIFICATE OF LIABILITY INSURANCE" M/DDIYYYY) i I 07/30/08 PRODUCER -THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling & O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyannough Rd., PO Box 1990 Hyannis, MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Travelers Insurance Company R.A. Marshall, Inc. INSURER B: Associated Employers Insurance Compa P.O. Box 532 INSURER C: _ West Falmouth, MA 02574 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD' - POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MMIDDIYY - LIMITS A GENERAL LIABILITY I6804035M716COF08 07/27/08 07/27/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDM IS RE ES I E occurrence) $300 OOO CLAIMS MADE a OCCUR MED EXP Any one person) $5 000 PERSONAL&ADV INJURY $1 000 OOO GENERAL AGGREGATE s2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PRO- LOC - JECT AUTOMOBILE LIABILITY " COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ - SCHEDULED AUTOS (Per person)' HIRED AUTOS - - - NON-OWNED AUTOS -BODILY INJURY $ (Per accident) - PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO - - - EA ACC $ OTHER THAN - AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $. OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ B WORKERS COMPENSATION AND WCC5003285012008 08/15/08 08/15/O9 X WC sTATu- oTH EMPLOYERS'LIABILITY - Y LIMII ERANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $100,000 - OFFICERIMEMBER EXCLUDED? NO - - E.L.DISEASE-EA EMPLOYEEI$100,000 II yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $SOO,000 OTHER - DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Robert Marshall is included under the workers compensation policy. Operations performed by the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Robert T. Bowman Builder DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10— DAYS WRITTEN - P.O. BOX 201. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL I West Falmouth', MA 02574 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR - REPRESENTATIVES. AUTHORIZED REPRESENTATIVE G, ACORD 25(2001/08) 1 of 2 #52959 LS1 © ACORD CORPORATION 1988 ',fit `sE �#yyGyG A' \Y 'j sll, ``r MR 4 ,,r Y, W.I S;i.�.yr{ ,1k{'�i'��' ,LPG=-��_�i,,►.ei�� ;�' '�,�AA� '.. � .,1.:"r�CC�""�f•��1�9'.�.�w_� t�, �al�to gf�' - 1�1�yy � �aii i�l�1 Lx A f „T its!' tttiitleora I�. �i�iN4M1WiIn .�.,� - �: 61��} `�1Ir1, trarYtww- K '��s IT, `oASS"Sz '!+w ii4rAlY@II , 74— sT��L + .?j"' �=Arn�s'�,� 5��s ;z � rs�`�"�1f�' �3,�`��"�"�,,r � �'�3t�••��-x�� t r h�. ��.,S s,�'+�-��ta � x�s�^s�:� +yr�Y.:,�♦� ^„�.,. ,��;, � y. � "�� .yl� i �,-.r �� n ,p� � 4� ^#��'%�£ _. � r•' 4'1 y1 iA" j' W �� i�',l Y[4 �n.`�'+sZ Y i3 S C �L w•4+ �i,,3 c �Jrq., ` v '•l` r� 3IV+&„. i ; x R µ +yl+� .,, -r k.ex a a�„ „fit-v`_. rax;`n'•,f .'^' t J" s � -� � r' (, .r Fr33 - `.�'� �+p�y`�»S�y. " +a ^�f'�f; wv'A All Wig �,�e j•� Wa f t-�Y+ +,�t�+�`r'`��`� +� r, i.� 1i� � d 'T / W P��r �"?1. t� e0a"a"y�4'��'y,3•� ''{'`c Y ,rfa i .. , , � ,�� '� t �?: 0� -!o+N ''FF .. c �. a• Y �G • �. f `..�,qyy e'er '6+nj.• �:�„WY��` .f "1 _ F low ; �Y MI / w i °s Y C•E., y�t�`.,. �y .c �• 19 i>3 r sy fsy� ,.C,i�� t,�,, 4.'!4y.t '� �. !„'�k} aryl, Y� � +.d�i :,�. * ;k.- .r�s�.M 3�t m;yt'i7P"-lr�. � -da '�, `'"yv >rL'',�:ar �'K��"�-', ""'"rt� �.�•�`•' 'S'S�r :�'x "L°�'. ��'r su'^.e;� '?W' � ,:3w'yi ,f;.��''f'L�fi'!'Y7`y�. � �m'< � +kF�.{ � �"� ��.. iL "�r}a�'q�+,�.,• ,,,� ` °°�tit�+` _�'� }'"g�,.,,�.£�''.k�'��.'�?=�" •�-�``� a� ,�ra5;£: .a�is�y,;:`t.'•`�s, ��r� '�A - �'�'""� .`•" �L '� .a�i: B E�,M A( Ne"q4t(s i I One Ashburton Place - R00111 ='. Boston, MassachllSetts 02108 Home; Improvement Contractor Recristratlol-1 Registration: 102829- Type: Individual Expiration: 7/3/2010 Tr/J 0 ROBERT T. BOWMAN Robert Bowman P. O. Box 201 W Falmouth, MA 02574 Update Aodl-css and 1-our r card.I\1:11•1i reason for ch:nigc. Addl-ess Renewal I nlployment Lost Card DPG-CAN 0 50M-07/07-PC0450 •� Bo..��tif�sUiTlllif;+1rc�f(ti�(tof�t au�l!Sf:iSf(1�f41t'!lt �•\ License or rcbislraliou valid for iutlividul use only HOME IMPROVEMENT CONTRACTOR - before the expiration dale. It'found t•cUu•n hr: J lr Registration: 1.02829 Board of Buildill" Regulation's and slan'dards Expiration. 713/2.01 OI i Ashburton Place lace Itm 1301 Type: Individual Boston, Nla.O21O ti ROBERT T. BOWMAN Robert Bowman G49 Brick Kiln Road W Falmouth,MA 02574 �dmiuisU alur Not valid without sibnaiure / V4 v.... ._.._�... ..... ...... . _ ._...-�........_' ----`.._.._......._ - +* TI __...... ......_....._ .. .. _. / + ll i $a fah r4 + o�ll�auac/+rtdelli % -(5 nr �;��+ ;gal/ ��r oc1a.1�•l!a Board of Building Itcgulutio rs and Standards Board of�w(dingl�c to s ant 9tanc�ards Construction Supervisor License ' Construction S ervisor License License: CS 24157 I�, Lic e:, CS 58154 ` �V rl� Expiration: 4/9/2010 Tr# 21263 ,�v Piration: 3I3/2010 Tr# 18935 Restriction: 00 `. ^ Res Lion: 00, ROBERT T BOWMAN ROBE T BOWMAN JR' PO BOX 201 ��— �� PO X 706 W ALMOUTH,MA 02574 Commissioner W FALMOUTH,MA 02574 Commissioner ' i I LVr Vu i f/ cv !'u•i 41VU YJ UO/ U ) V& - ACORD„ CERTIFICATE OF LIABILITY INSURANCE 8/20/2008 PRODUCER (508)540-2400 FAX: (508)289-4111 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Murray & MacDonald Insurance Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 550 MacArthur Blvd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bourne MA 02532 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURER A'Arbella Protection 41360 Colony Insulation Inc. INSURER B: 28 Jonathan Bourne Road INSURERC: INSURER D: - - Pocasset MA 02559 INSURERE: OVERAGES 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 T0.ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR I SRD TYPE OF INSURANCE POLICY NUMBER DATE MM/DDIYY DATE MMIOD/YY LIMITS GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occu D rence $ 100,000 A CLAIMS MADE ❑X OCCUR 8500028928 8/18/2008 8/18/2009 MEDEXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: pgOpuCTS CoMplop AGG $ 2,000,000 X POLICY PRO- El LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT $ 1,000,000 ANY AUTO (Ea acddent) A ALL OWNED AUTOS 49692400002 8/18/2008. 8/18/2009. BODILY INJURY X SCHEDULED AUTOS - (Per person) $ X HIREDAUTOS - BODILYINJJRY' _ . $ X NON-ON,NED AUTOS (Per� - PROPERTYDAMAGE $ (Peracadent) GARAGE LIABILITY _ AUTO ONLY-EAACCIDENT $ ' ANY AUTO OTHER THAN. EA ACC $ AUTO ONLY. - AGG $. EXCESS/UMBRELLA LIABILITY - EACH.00CURRENCE $ 3,000,000 OCCUR CLAIMS MADE AGGREGATE - $ A DFUJCTIBLE 460002.8929 8/18/2008 8/18/2009 $� HX RETENTION $10,000 - - .$ WORKERS COMPENSATION AND - OV R STAT T- OTRH- - - EMPLOYERS'LIABILITY - _ ANY PROPRIETOR/PARTNER/EXECUTIVE - - E.L.EACH ACCIDENT $ OFFICEPJMEMBER EXCLUDED? - - -It yes,describe under E.L.DISEASE-EA EMPLOYEE$ - _ SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate holder is addtional insrued with respect to General Liability form-CC 2010-10 01 CERTIFICATE HOLDER CANCELLATION (508)548-8758 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Robert Bouman Builders LLC EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL BOX-201 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT ' West Falmouth, MA 02574 FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - Douglas MacDonald/TED ACORD 25(2001/08) ©ACORD CORPORATION 1988 INS025(otoa).08a Page I or 2 7435 ` . UJI,JII tUVO 1 V.G,J `,U f-JUV" !VJU 4CORD. DATE(MMtiDD1YY1 PRODUCER MTHIS CERTIFICATE IS 158UEO AS A BRATTER OF INFORMATION /� ONLY AND CONFERS NO RIGHT81 UPON THE CERTIFICATE WLING&ON.BIL TNS AGCY HOLDER. THIS CERTIFICATE DOHS NOT AMEND,•EMNO OR ..e IYANNOti(pi RD 2ND FL ALTER THE COVERAGE AFFORDlC,BY THE POLICIES BELOW. PO BOX 1990 14YANNTS,MA 02601 COMPANIES AFFORDING COVERAGE COMPANY 76TtN1 A HARTFORD GROUP NSURED COMPANY COLONY INSULA77ON WC 6 COMPANY ! 28 JONATHAN 0OURNE,ROAD C POCASSET.MA 02559 COMPANY JIM a THIS IS TO CERTIFY THAT THB POUOISS 0/pMWWCE US=BELOW HAVE OEW IS6USD TO 711I INCURJaD AVAMID AOOYE FOR THE POLIOY PIM000INDICA ANY REOVIRZRI TERH OR CO%VMON OF ANY CONTRACTOR OTHER DOCU�IA9lF WITH TO TtI B I TO WHICH THIS CERTIFICATE MAY BI oy p,, OR WD PERTAp orNMeTj NOM 4FPORDED BY THE POLICIES EI'"G IBCD NINON IS SUBJECT TO ALL THE TEAKS.EXCLUSIONS AND CONDITIONS OF SUCH POUCHES. LINM aP OWN MAY MAVB MN RRi000ED BY PAID APPOR CO .TR TYPE OF INSURANCE POLICY Epp POLICY EXP OOI If NUMBER'' DATE(MMIDDIYY) DATE(MM1DDlYYj Rg GENERAL LIAWU.ITY COMMERCIAL GENERAL LIABILITY GENERAL AGGREGATE S CLAIMS MADE 0 OCCUR. PRODUCTS-COMPIOP AGO, 3 OWNER'S✓L CONTRACTOR'S PROT. PERSONAL A'DV.INJURY 4 EACH DCCVRRENCIr i FIRE DAMAGE •An one rfre) t AUTOMOBILE LIAOILITY MED.EXPKNBE(Airy one pmon) _ ANY AUTO COMBINED SINOLE 9 AU.OWNED AUTOS LIMIT SCHEDULE AUTOS BODILY INJURY = w P9rsprl HIRED AUTOS $ODILY INJURY � NON-OWNED AUTOS (PwACeiden PROPERTY DAMAGES GARAGE LIABILITY LANYAS AUTO ONLY-V,ACCIDENT i OTHER THAN'AlITO ONLY: IIACH ACCIDENT S LIABILITY- AGREGATE S FORM EACH OCCURRENCE 3 N UMBRELLA FORM AGGREGATE A WORKER'$COMP(NSgTION AND EMPOLY$R'31.148R1TY UB-6920C431•08 01-2"8 01-28-09 9TATUTI)RYLIMITS X THE PROPRIETOR! EACH ACCIDENT >s PARTNERS/EXECUTIVE INCL �...�� 000 OFFICERS ARE: EXCL DISEASE-POLICY LIMIT S 500,000 OTHER DISEASE..EACH EMPLOYEE S 500,000 DESCRIPTION OF OPERATIONSAOCATIONBIVEFMCLESIRRSTRICTIONS/SPECIAL ITEMS TNTS RRPLACES ANY PRIOR C9kT'IFICATB LTSUED TO TON,CF,RTMCATE FIOLT)r,R AFFECTING WORIcrtRS COMP COVSRnC1i. y I T30WMAN$IIILD.F,RS,LT.0 , j SHOULD ANY OF THE ABOVE DESORAI150 v01 ICRa it CANOEILED BEFORE THE BOX 20I EXPIRATION DATE THEREOF,THE 13SUINO COMPANY WALL ENDEAVOR TO MAIL TO DAYS M D8 CH NOTICE NOTIC&SHALL WOSEI NO OB OAT1pN UA LITOIUTY TO THG L ma FAILURE TO THE -COMPANY.ITS AQWM OR REf.RsaFNTATM1f9a. UPONI WEST TTSDURY,MA 0257.5 1 AUTHORLZED REPRESENTATIVE I Ramani.Ayer . Ell ri., i � rA�:UtCU L U U y MIVI IV V. I I I L _ �L„LUDONYYY) � rr CERTIFICATE OF LIABILITY INSURANCE oz/1o/zoo9 PRODUCER (508)997-6061 FAX (508)990-2731 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 439 State Rd. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 79398 N. Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE. NAIC# INSURED DaRosa Construction Inc. - INSURER A: BIB/Associated Employers Ins Co. 95 Ashley Boulevard INSURER B New Bedford, MA 02746 INSURERc: INSURER D: - INSURER E: — —-THECOVERAGES POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRADD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLIDATE 1MM1OQrYY) TY EXPIRATION LIMITS E IMMIDDIM GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE r-1 OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE OMIT $ ANY AUTO (Ea accideri) . ALL OWNED AUTOS - BODILY INJURY $ SCHEDULED AUTOS - (Per person) HIREDAUIOS ' BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY .. AUTO 01,4Y-EA ACCIDENT $ ANY ALITO OTHER THAN EA ACC $E AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY - EACH OCCURRENCE $ OCCUR D CLAIMS MADE - AGGREGATE $ DEDUCTIBLE $ RETENTION b $ WORKERS COMPENSATION AND WCC5006189012009 02/09/2009 02/09/2010 X wR TORYSTATuLItAITS X. ors+ - ER EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNER/EXECUTIVE - E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLLUED9 El DISEASE-EA EMPLOYEE $ 500,000 It yes.describe under - - - SPECIAL PROVISIONS bntow E L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Robert Bowman Builders, LLC BUT FAILURE TO MAIL.SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P 0 Box 201' OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. W Falmouth, MA 02574 AUTHORIZED REPRESENTATIVE Karen Bernier ACORD 25(2001108) FAX: (508)548-8758 ©ACORD CORPORATION 1968 T Client4: 135147 y vDAROSACONS Y=ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 02/10/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION HUB Int'i New England(FLRSB) ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 222 Milliken Blvd HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND.OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fail River,MA 02122 508 235-2200 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURFR A'. Travelers Service Center Darosa Construction Inc. INSURFR B: 95 Ashley Blvd. INSURER C New.Bedford, MA 02746 INsuuFR D INSLI14ER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING 'ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION - A M Y 1 Y LIMITS A GENERAL LIABILITY. 66094741-558 02109/09 02109110 EACH OCCURRENCE E1 000 000 X COMMERCIAL GCNE14AL LIABILITY - DAMAGE TORENTaccEOenrol E3OO OOO CLAIMS MADE 5-1 OCCUR MED EXP(Any one person) $5 OOO X IOD Ded:2,500 PERSONAL&ADV INJURY E1 OOO 000 Gt-NIiNAt.AGGREGAIE t2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG s2,000,000 riPOLICY f PRC). F LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO - (Ea accident) ALL OWNED AUTOS - - BODILY INJURY - E SCIILUULLU AUTOS (Per poison) HIRED AUTOS - LIODILY INJURY b NON-OWNED AUTOS (Pot accident) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S - ANYAUTO OTHER THAN EAACC 5 AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACITOCCURRENCE E OCCUR CLAIMS MADE AGGREGATE E S �I DEDUCTIBLE 5 RETENTION E ,b WORKERS COMPENSATION AND WC STATU- OTH! EMPLOYERS'LIABILITY - ANYPROPRIETOWPARTNERIEXECUITVE - F.I.FACH ACCIDENT S OFFICERWEMBER EXCLUDED? - II yyI des cr the u,,der - - Ft DISFASF FA FMPIOYF.E S SPT.Cr1AL PROVISIONS Iwluw - F 1 DISEASP.POl ICY 1IMII b OTHER - DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDEO BY ENDORSEMENT/SPECIAL PROVISIONS 10 Days notice applies for non payment of premium Robert Bowman Builders, LLC is named as Additional Insured CANCELLATION 1 T4 L Y• ' - .. SHOULD ANY OF THE ABOVE DESCR18ED POLICIES BE CANCELLED T „� BEFORE THE EXPIRATION baT N > N �i TtiBowman BYWdnfl LLC DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 2n DAYS WRITTEN _•.� -!d r:.,. J" _ NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Mar F31tmit; ,A" 02574 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. - AUTFIORIZED REPRESENTATIXE - ACORD 25(2001/08)1 of 2 #220442 NM001 o ACORD CORPORATION 1988 j ) r 20 09 02:56p ROBERT BOWMAN BUILDERS L 5085488758 p.1 REScheck Software Version 4.2.0 Compliance Certificate Project Titte: Bowman Builders, LLC r2 LD p` Energy Code: 2006 IECC Location: Barnstable,Massachusetts Construction Type: Single Family BuHding Orientation: Bldg.faces 270 deg.from North Conditioned Floor Area: SIM GlaZing Area Psroentage: S% Heating Degree Days: 6137 Cllmate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor. 528 Slankett Road Bowman Builders,LLC Colony Insulation,Inc. Bamslabie,MA PO BOX 201 28 Jonathan Bourne Drive West Falmouth, ,MA 02574 Pocasset„MA 025a) 608-546-6853 508-563-6049 Passes an equipment perfoinianc Compliance:0.2%Better Than Code Gross Cont. DooT Perimeler actor Ceiling 1:Fiat Ceiling or Scissor Truss 378 38.0 0.0 11 Cooling 2:Cathedral Ceiling(no attic) 288 38.0 0.0 g Gelling 3:Flat Ceiling or Scissor Truss 144 38.0 0.0 4 Wall 1:Wood Frame,16'o.c. 354 1910 010 21 Orientation:Left Side Window 1:Wood Frame:Doubie Pane wish Low-E 8 0.350 3 SHGC:0.50 Orientation:left Side Door 1:Glass 20 .0,350 7 SHGC:0.50 Odenbftn:Left Side Wall 2:Wood Frame,16'o.c. 384 19.0 0.0 23 Orientation:Right Side Wall 3:Wood Frame,16"o.c. 368 19.0 0.0 ig Orientation:Bads Window 2,Wood Frame:Double Pane with Low-E 35 0.350 12 SHGC:0.50 Orientation:Back Door 2:Glass 16 0.350 6 SHGC:0.50 Orientation:Back Wall4:Wood Frame,16,ox, 368 19.0 0.0 19 Odentatforx Front Window 3:Wood FremeMouble Pane with Low-E 39 0.350 14 SHGC:0.50 Orientation:Front Door 3:Solld 20 0.350 7 Orientation:Front Floor 1:All-Wood Jclst/rruswOver Unconditioned Space 816 21.0 0,0 Fumaoe 1:Faced Hot Air 85 AFUE 38 Compliance Sretemenf.' The proposed building design described here is consistent with the building calculatIcne submitted with the permit application.The a Puns,sp 18'C requions.irements and ether PP Proposed building has been designed to meet Ote 2008 IEI;C requirements in REScheck Version 4.2.0 and to comply with the mandatory requirements new in the REScheck Inspectlon ChedAst. Project Title:Bowman Builders, LLC Data flienarne: UntMed.rek Report date:03120/09 Page 1 01.5 T06In NOIJ:V711SIQI NX0,100 LTT9b99905 XVJ ZS:£T 600Z/0Z/£0 Mar 20 09 02:56p ROBERT BOWMAN BUILDERS L 5085488758 p.2 REScheck Software Version 4.2.0 Inspection Checklist. Ceilings: D Ceiling 1:Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: ❑ Calling 2:Cathedral Ceiling(no attic),R-38.0 cavity insulatlon Comments: ❑ Calling 3:Flat Calling or Scissor Truss.R-38.0 cavity Insulation Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: ❑WaIJ 2:Wood Frame,16"o.c..R-19.0 cavity insulation Comments: ❑Wag 3:Wood Frame, 16'o.c.,R-19.0 cavity Insulation Comments: ❑ Wall 4:Wood Frame,18"o.c,,R-19.0 cavity insulation Comments: VAndovm: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.350 For windows without labeled U-factors,describe features: Vanes_Frame Type Thermal Break? Yes No Comments: ❑Window 2:Wood Frame:Double Pane with Low-E,U-factor 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: ❑Window 3:Wood Frame:Double Pane with'Low-E,U-factor.0.350 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break? Yes No Comments: Note:Up to 15 sq.fl.of glazed fenestration perdwaling is exempt from U-tector and SHGC requirements. Doors: Q Door 1:Glass,U-factor:0.350 Comments: ❑ Door 2:Glass,U-factor:0.350 Comments: ❑ Door&Solid,U-factor:0.350 Comments Floors: ❑ Floor 1;All-Wood Joist/Truss:Ovar Unconditioned Space,R-21.0 cavity Insulation Comments. Project Title:Bowman Builders, LLC Deta Report date:03/2D/09 fltename:Unlitled.rck Page 3 of 5 C000 NOIJ.V'nsNI AK0700 L119695909 YVA Zs:CT 600Z/0Z/C0 Mar 20 09 02:57p ROBERT BOWMAN BUILDERS L 5085488758 p.3 *i-gnre Date l t. Project Title:Bowmen Builders, LLC Data fllenerne: UnCtled.rek Report data:03/20109 Page 2 of 5 ZOO Noliv nsNl XN0100 LITMG909 XVq Z5:91 600Z/OZ/E0 ' Mar 20 09 02:57p ROBERT BOWMAN BUILDERS L 5085488758 p.4 Floor insulation is installed in permanent contact with the underside of the subfloor decking. Heating and Cooling Equipment: ❑Furnace 1:Forced Hot Air.85 AFUE or higher Make and Model Number: 'Air Leakage: I] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed. [� Recessed lights are either 1)Type IC rated with enclosures sealed/gasketed against leaks to the ceiling,or 2)Type IC rated and ASTM E283 labeled,or 3)installed Inside an alr-tight assembly with a 0.5'clearance from combustible materials and a 3'clearance from Insulation. Sunrooms: 0 Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-lactorof 1).50 and the maximum ! skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building themtal envelope requirements. Vapor Retarder. Vapor retarder is Installed on the warm-M-winter side of all non-vented framed ceilings,wells,and floors;or it has been determined that moisture or its freezing will not damage the materials;or other approved means to avoid condensation are provided. Cornments: j Materials Identification: 0 Materials and equipment are Identified so that compliance can be determined. Manufacturer manuals for all installed healing and cooling equipment and service caster healing equipment have been provided. O Insulation R-values,glazing U-factors,and heating equipment efficiency are clearly marked on the building plans or specifications. p Insulation Is installed according to manufacturers Instructions,In substantial contact with the surface being insulated,and in a manner that achieves the rated R-value without compressing the insulation. Duct Insulatlon: p Ducts in unconcil6oned spaces or outside the building are insulated to at least R-8, Ducts In floor trusses above unconditioned spaces or above the outdoor;are insulated to at least R-6. Duct Construction: © Air handlers,filter boxes,and duct connections to flanges of air distribution system equipment or sheet metal fiStings are sealed and mechanically fastened. 0 All joints.seems,and connectfons are made substantial with tapes,airtight w tapes,gasketing,mastics(adhesive&)or other approved closure system&Tapes and mastics are rated UL I81A or UL 181 B. f] Building framing cavitlas are not used as supply duets. D Automatic or gravity dampers are installed on all outdoor air Intakes and exhausts. 0 Additional requirements for tape seating and metal dud crimping are Included by an it mction For compllartce with the Intemational Mechanical Code. Temperature Controls: O Thermostats exist for each separate HVAC system..A manual or automatic means to partially restrict or shait off the heating and/or cooing Input to each zone or floor Is provided. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Mechanical Code. Circulating Hot Water Systems: 0 Circulating hot water pipes are Insulated to R-2. Circulating hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system Is riot In use. Heating.and Cooling Plping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R•2. Certif Babe: Q A permanent oerlfflcete is provided on or In the electrical distribution panel listing the predominant insulation R-values;window U-factors:type and efficiency of space-conditioning and water heeling equipment. NOTES TO FIELD:(Building Department Use Only) Project Title:Bowman Builders, LLC Report date:0320109 Data filename:Untided.rck Page 4 of 5 1700Z NOLLYTI[ISKI AN0'103 LT19b9290S XV4 £9:ET 60OZ/OZ/£0 Mar 20 09 02:57p ROBERT BOWMAN BUILDERS L 5085488758 p.5 2006 IECC Energy Efficiency Certificate Insulatiot) Rating Calling I Roos 3940 Wall 19.00 Floor/Foundation 21.00 Ductwork(uacanditloned spaces): Glass & •. Window 0.35 0.60 Door 0.35 0.50 Forced Hot Ali Fumace 65 AFUE Water heater. Name: Date: Cammenle: l I i i I .Soo In NOIIVINNI AN0100 LTIM9909 XVA £S=£T 60OZ/OZ/CO relepdone:508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 CLOSED ELL FOAM JINATION SPEC SHEET CONTRACTOR: JOB SITE ADDRESS: • DATE: AREA THICKNESS R-VALUE Ceiling Cathedral Ceiling Garage Ceiling Basement Ceiling Slopes Exterior Wall Garage Hse. W all W alkout W all Cathedral Wall Blockers Overhang Stair/Risers All R-values and thickness measurements are deemed to be accurate by the following installers: , TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM .s 9'hermoSe0 2000-Product Specification Air Permeance/Air Barrier t 771 ThermoSeal 2000 fills any shape cavity Burn Characteristics including all voids,cracks,and crevices ThermoSeal 2000 will be consumed by SpT TS` adhering to multiple substrates such as flame but will not sustain flame upon wood,metal,and concrete creating a removal of the flame source.ThermoSeal ThermoSeaC2000 system with very little air permeance.With 2000 will not melt or drip.ThermoSeal • Product Specification ThermoSeal 2000 no additional interior or 2000 must be installed in accordance with exterior air infiltration protection is all applicable building codes and a building required. inspectors approval should be requested Product Name prior to installation. ThermoSeal 2000 is the registered ASTM E283 Air Leakage trademark of SprayFoamPolymers.com for Zero(0) ft3/s.ft12 @ 75Pa(25mph wind) ASTM E84 Surface Burning Properties its 2.01b high density,closed cell foam Sustained Wind Load ; Flame Spread @5" ' <=25 insulation. s ` Smoke Developed @ 5". <=450 60 minutes@1000 Pa(90mph wind) ," Class I rating Product Description TBD ', i " .a Fuel Contribution none ThermoSeal 2000 is a semi-rigid,partially z � ASTM 2863 Oxygen Index TBD% water blown,2.Olb high density " . Gust Wind Load Test... polyurethane foam insulation system blown @3000 Pa(160 mph wind) ;Y VOC TESTING by Enovate®blowing agent and water TBD r" CAN/ULC-S774 Pass which simultaneously insulates and air- TM • SASKATCHEWAN RESEARCH seals your building structure. ThermoSeal ThermoSeal 2.0 qualifies as an air barrier COUNCIL 2000 is designed.to make homes more as defined by ICC. energy efficient,stronger,healthier,quieter ThermoSeal 2000 must be covered by an and more comfortable.ThermoSeal 2000 is Water Vapor Permeance approved 15 minute thermal barrier or applied.as a liquid spray which expands ThermoSeal 2000 is water vapor permeable ignition barrier, approximately 15 times its initial mass.and and will allow structural moisture to escape.- cures within seconds into a semi-rigid mass. For situations requiring a vapor barrier the A These flame-spread ratings are not ThermoSeal 2000 fills all building cavities use of low vapor permeable paint on the intended to reflect hazards presented by this completely sealing all cracks,crevices,and ' interior of drywall is an option. or any other material under actual fire voids where air loss and infiltration are conditions. most common. Water Vapor Transmission Properties: ASTM E96 data t Compressive and Tensile Strenzth Technical Data 1.11@ 1" ThermoSeal 2000 has favorable compressive and Tensile strength properties Water Absorption for high density foam. Thermal Performance ThermoSeal 2000 is water repellent,will ' Thermal resistance(aged 180 days)R/m" not wick;and does not exhibit capillary ASTM D1623 Tensile Strength 80 psi ASTM C518: R6.62hrfft2 OF/BTU. properties.Water cannot be forced into the ASTM D1621'Compressive Strength 35 psi ,.;foam under pressure because of its high , Average insulation contribution in stud degree of closed cell structure. Physical Characteristics wall: DIMENSIONAL STABILITY a' 2"x4"=R23 211x6"=R36 Acoustical Properties Performance in a 2"x 6"wood stud wall ASTM D`—2126 ` ThermoSeal 2000 provides greater R value ; performance than other equivalent R value 1580 F 100% Relative Humidity,7 days. ASTM E413 STC Sound Transmission "' Volume Change <8 i insulation materials which are air o permeable such as fiberglass.ThermoSeal TBD k 2000 does not lose R value due to wind, ' ageing,convection,air infiltration or Y ASTM E 90 Class 33 Closed Cell Content moisture.An R value fact sheet is available ThermoSeal 2000 is considered closed cell upon request. Fungi Resistance - foam insulation. ASTM G—21 ZERO RATING.r DISCLAIMER:Information contained herein is,true and accurate,but all recommendations or suggestions are made without guarantee.Spray Foam Polymers,LLC(SFP)products are intended for sale to industrial and commercial customers.Since SFP exercises no control over its customers appreciation or use of the product manufactured by SFP and since materials used ,T with the products may vary,it is understood that SFP can warrant only that our products will meet our written specifications.Nothing herein shall constitute any warranty of merchantability or fitness,nor is protection from any law or patent to be inferred.ThermoSeal-must be installed in accordance with all applicable building codes and a building inspector's approval should be requested prior to installation.All patent rights are reserved.SFP requests that customers inspect and test our products before use,and satisfy themselves as to contents and suitability.The exclusive remedy for all proven claims is replacement of our materials and in no event shall SFP be liable for any consequential,incidental,indirect,or special damages resulting in any x manner from the famishing of the material: " «: • i s • s ThermoSeaC 2000—Product Specification ASTM D2856 >=90% t Viscosijy&Weights ASTM D2196 Viscosity ;N A Side ISO @ 700 F 215±35 ; B Side Resin @ 700 F 700±100 ASTM D1475 Weight/Gallonr.W exs. A Side ISO @ 77°F 10.2lbs p0 Box 1182 B Side Resin @ 77°F 9.8lbs New Canaan, CT: 06840 Mixing Ratio By Volume Phone&Fax: 800.853.1577 ThermoSeal 2000 is a standard 1:1 mix http:///www.SprayFoampolymers.com product.Slightly off ratio can produce slightly heavier odors and foam characteristics.Typically a heavier A ratio will produce a crunchier foam result,and a i heavier B Side ratio will produce a spongier result. Electrical Wirins? ThermoSeal 2000 is chemically compatible Suggested Preparation&Use with all 14/3, 12/2 and other similarly ThermoSeal 2000 will perform best when coated electrical wirings.For knob and tube gradually climate controlled to 77°F the wiring please seek the approval of your night before application.While product Storage local building inspector. recirculation of ThermoSeal 2000 without heat prior to each days spraying is Component A-5501bs of Isocynate stored suggested,recirculation of ThermoSeal in a a 55 gallon container outlined above. Bacterial and Fungal Evaluation 2000 in order to rapidly heat the product is Component`A'must be protected from ThermoSeal 2000 is not a source of food not is not suggested and may result in a freezing or deemed useless. for mold,insects or rodents.It has no decrease in catalyst count and product . nutritional value.ThermoSeal 2000 reduces yield.We suggest starting with a Component B-500 lbs of ThermoSeal 2000 the introduction of moisture,food,and temperature of 125°F and a working proprietary formulated resin Component mold spores into the building envelope pressure of 1000 psi. `B'must be stored between 55°F and 80°F significantly more than traditional never exceeding either extreme. insulation such as fiberglass,cellulose and components temperatures should be at other non-sealants which do not provide an. Both Both prior to mixing and use. air barrier. Product Availability Contact Spray Foam Polymers at WARRANTY Environment/Health/Safety 1.800.853.1577 for sales and availability When installed properly be a Spray Foam ThermoSeal 2000 contains no CFC's options. _ - Polymers authorized representative who has HCFC's,formaldehyde,or volatile organic completed all training offered by SFP,.SFP compounds.Following installation there Packaging warrants that the product will meet all will be a 24-48 hour occupancy window Products are shipped in 55 gallon open top product specifications outlined in this before the odors,emissions and gasses have steel drums.At the customers request the specification document. dissipated to a habitable level for products may be shipped in 55 gallons open individuals highly sensitive to the materials top semi-clear plastic resin drums, installed. z ThermoSeal 2000 is is not to be installed within 2"of heat emitting surfaces where heat dissipated exceeds 185°F: DISCLAIMER:Information contained herein is,true and accurate,but all recommendations or suggestions are made without guarantee.Spray Foam Polymers,LLC(SFP)products are intended for sale to industrial and commercial customers.Since SFP exercises no control over its customers appreciation or use of the product manufactured by SFP and since materials used with the products may vary;it is understood that SFP can warrant only that our products will meet our written specifications.Nothing herein shall constitute any warranty of merchantability or fitness,nor is protection from any law or patent to be inferred.ThermoSeal must be installed in accordance with all applicable building codes and a building inspector's approval should be requested prior to installation.All patent rights are reserved.SFP requests that customers inspect and test our products before use,and satisfy themselves as to contents and suitability.The exclusive remedy for all proven claims is replacement of our materials and in no event shall SFP be liable for any consequential,incidental,indirect,or special damages resulting in any manner from the furnishing of the material. ^ x e - IT - ' CARBON MONOXIDE ALARMS MUST BE INSTALLED PER MASSACHUSETTS BUILDING CODE y P SMOKE DETECTORS REVIEWED z #AV BUiLDI ' 'DEPT DATE i ►` G' ' S FIRE DEPARTMENT DATE _ 01-1 BOTH SIGNATURES ARE REQUIRED FOR PERMITTING P a� Q� Lc:o Ktry r\ C-ci.5e a z o � x S-96 AL 1/ -- -- TV sLn s d� ?)op Assessors map and lot number .. ..... s toffy 3 • Sewage Permit number' ,C�/....121...............,'I...:.......... ry ,, MUST Z AHBSTA I E. i gSEPTIC SYSTEil� i�il� �N House number .J` . ...../!tt :.:....................... y' Af v 98 Ynea j INST � L TOWN OF BAR k%V%DE AND TMVN REGULATIONS RURDIHG IHSPE.CTOR r, APPLICATION FOR PERMIT TO . ?. \\ .....T.... .......... TYPE OF .CONSTRUCTION. W 990 XX.��:............:. `.... .................. ..... ..... , ....... ....p TO THE INSPECTOR OF BUILDINGS: f The undersigned hereby a lies for permit according to the following information: 9 Y PP P 9 9 Location ....•!X) ...... X0.......-?kV� � .........\ .,.......CCAeCV.k��2�.:..::.......:... ' ...... ProposedUse ....... .l.S\. .....�O�M. . .................................................................................................................. \ n — Zoning District ..... �.5.�. ..4 :\\.A..........................Fire District ..��n��?.....�`\..................S�C�.CV.!.......... Name of Owner• ..,Ja e s �.:.....� ........:Address \3 ........W f�(�ll.�...................... Name of Builder ��lrn...........�......�rn�\^.........Address ......f.�................................... �^......................... Name of Architect ... .....Address ............, ................................................. co Number of Rooms ...................... ..........................................Foundation. .... \ ... Exterior .. 1 .? ?.Wltl:.....`.a.......�...��.�.......................Roofing ...:...�4.\\. .....5.XQk6 .. ........................ Floors ..... ........5 ............................Interior ....... .......................... Heating . ...j��.Q.� .L..... .......,..��..T1C .............Plumbing . ...................................� d Fireplace .............k...................................................................Approximate Cost ....30j..�....:................. ................ . ....... Definitive Plan Approved by Planning Board _________________ - /� --------------�9-------. Area. .......... ../"".....5'............. Diagram of Lot and ,Building with Dimensions Fee .....�......................... SUBJECT•TO APPROVAL OF BOARD OF HEALTH ?0 AJ,9 'Y�/ P I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. r Name .. !..VVI,:....s�M;. ............................ SMITH, JAMES K. -"No 23006... Permit for ....Two StorX........ -�' Sin le Famil Dwelli «....................g........................................ AJ........... Lot 10 5 7 8 Skurikn Ro d Location ...........�...................................e�.........� Centerville ..............„.......,........... x r Owner ..James K....Smith........... .......... Type of Construction -.TXr ame.......................... i. wti ................................................ ` Plot ............................ Lot ................................ Permit :Granted ....April. 13, 19 81 I Date of Inspection .............................:........19 s Date C mpleed o '....... .. .19 a PERMIT REFUSED p ................ : ..... f ...................... . ... 19 ; +. �`�. ................. •�.+. .............................•.................... \ `•\ _ � �� j � F � •'w. .............. ' .. •..,,• +-�. 1} l.r • • .......................................r M ` ...............�.. .. ........ .`. - ,�` -`•_ `�" � Approved ...............................:............... 19 ....................... ................................................... ati` • • - - j. - J •St�iG L� t=�Mt t_�f - 3 73�ps�oNt �i __..�_------•--- - _ . • Llo GAtZBAG� Gtzi r.tti�tL _ `_ tact t_� 1`taw _ t td � 3 t ..3�0•�.�p:D�.�------'----.. '1; Y �bo•cry KEPT"IC T ltC = 33o.r FSo % • 4-q�6.1?L7. s USa--f1 1O0C� Co 9G.o � USE yl000 G4L. •. .., . � »•, - �{ � S 1 1 O r SPo-.AL. 'IT - !� s SiTtcJda AeEA (50 V , Z4 _Q 8dt-ro y � p rN' r llj 50 G.P Dr O A r To-rALi -pESIGtJ = d2.5 G.t?D ToT,6 L that L� T=LOo Ndp, ' rA Mar-OL&,T1�►.l SZI�TE : ��►� �Z.�4t�N 'O2 (TcS�S, ' J 4) o_ 1, 1 . { r �CAJD ' 5 of J aP! o Al ^d J ta. .� ` iu.I ��^��'� :_}.F•P a.�, y'°:` (�. �'rS7&. a` i -. . . � 1, `i - ,....�—...----..-.-..o..........e..+.- �.._.... �t ' Tor 1•yo m ioca.o r1csT �-24/ � r , � �, � I .:, , •.• �G c/q ; ! ,�, rf o 181 E - g i 1 JT� // A Lv► AA 4 ��o0 l voa uN + J , 1.1 -6f2 , ,¢'�iR1� Iw �s,&L. 9G'8 ' f 'box q�• Z ;; 1►lV. r; t TANK � .� ? 1• �i2/�d�1.. GAL. �; . qo,Z qG•�• ;- E . < , � h-i _ FIT WAl"EU PI tab /•0 6.0 0 " , 5; J + a r PROF"1L� ` Lot�AT1O1-4 t 44b btaT� d �o w��" P-L- 1 Rai=`V-e 1,Q Ca ( GGtLTI'F*r TWAT TNT �m)I>A-rl0N IS -;----- t-1F.1'G�tJ Gct,PL�lS W iTt-i Tt-a`: StUE.t..tNt= - Ai.lta 5E7I?�AC1G %Zr-QUt�:EN1c1.1�•yi OF O W►.} OT= iJ1z agTQ f �-- 1 D p Z �7s ` �+� F i 'I `� RcGtSrc.2:rD LAlWO! 5ue-vCYuv-< osTECv%L.� o MASS• r'a uOT L'ASCD;a O►..1 AW ti it•!St"`:11,nC=�JiS �iut:�li_�{ T�aL": UF��+=��i S�aGwLa AP PL_'tC-*4'"T__ tJc�t• C',L'_ U Li ic, 1;r.-_'.1'Cc M►�L l T t_t►.t`.�� J�1 lr ', �� Vt 1•S"` - . TOWN OF BARNSTABLE Permit No. ____-_-_-_---- Building Inspector • Cash OCCUPANCY PERMIT Bond ----—__.___- Jam' "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Address r Barnstak)le Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. rr f.� 7,7 ;� 19......__ ...................................... .... ........................_........................._._........_ Building Inspector Assessor's map and lot number Q�OF THE�� Sewage Permit number ��..�.............. .............................. House number r B�aea LE, GQ 1639 �00 0 VAY A, TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .....� t *� --1,� �i F, �� !tc� , ........... .�............................ ..................................�......:......:.. TYPE OF CONSTRUCTION .............. .3 � ...... t(l;nt.N +.e ............................:............................................ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the-following information: Location ..., -.......:� .:�....... �� ` �1 . ......... .".........ce iN r N1 t�� ....:........:... Proposed Use .......: ........r�V Zoning District .... .........................Fire District ..� an ;. c`. ;�'.•. ...:... .5. ...:. .. ' _c F� Nameof Owner ..`....... ........ .........Address .... ..............................:......................................... Name of Builder tP� �` ' 1\�• \ � rr1\ �A ..................^ . .>..................Address ...........................................` .......................... Nameof Architect ......................lL�----..............................Address .................................................................................... Number of Rooms -� Foundation ....!� . - �� ...............................�.................. .................................................................. L Exterior`*�t �fV�C� Lr ,� " _.fir ��. .....5 ��1c.,{f�' �- r .......................Roofing ..............y.............. Floors ....� . ,+ + .. - .................. .....Interior Heating ..........Plumbing Fireplace ............ ....................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board ________________________________19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH `v I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .... CA y4v.,z •... :..... \ '... ............................ C' SMITH, JAMES K. /A=169-15-10 No 23006 Permit for ..TWQ...$tQXY.......... Sin le Fami ................9................... Y....i?k�? J.].�rtg............. Location ePt...#.IQ...5.7.8..Skunknet...Road ................ ep.tax'.Vil-la.................................. Owner ..JAMe.5....K.—.,SMith.......................... Type of Construction ..Frame ........................................ ................................................................................ Plot ............................ Lot ...... ......................... Permit Granted ...April 13 81 .............. ....: N .............19 Date of Inspection ....................................19 Date Completed ............:.........................19 PERMIT REFUSED 19 ............................. ............................................. ........................................ .. .... . .....�� .. ..r f l�c .........1../.1 ............................... Approved ................................................ 19 ............................................................................... ...............................................................................