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0324 STRAWBERRY HILL ROAD
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E �,T E ��� �.,d3F r ra: s �fJE ", r• .x s r E � �`3.� E E} E 3 7 -.y I E r 33 i € �.� fP✓Pnoe t�smr�'� �� '� E� �',�1st � � E�t� Ic��iaW C �.ay� . r ':�� i -- r r ,�;ti€,�'F r1 �E'i 19�a �� '�s9os15�'�'s �'►' N '��E�1� ' Af{aa�me},i�rat�� E�` �r�'�����'�� � ��Er,� €64'1x t ? � r I .w . `"Er°w�°� Town of Barnstable 200 Main Street Tel. 508 862-4038 wwsrnai.$. � ( ) p 1�639 �0�q TEOMA�a INSPECTION REPORT Permit: Family Apartment with Construction Use: Date: 6/26/2013 12:00 AM Inspector : Permit Number: B-2013-03187 . Name: RAFTERY, MARCIA Address: 324 STRAWBERRY HILL ROAD, CENTERVILLE Unit No. Inspection Type Inspection Item Status Comment Building Foundation A- Inspection Results NIC RMCK: LEFT FRONT CORNER IS ALMOST OFF FOOTING --- MAYBE 1" OF FOOTING EXPOSE FRONT LEFT CORNER Building Foundation A- Inspection Results NIC RMCK: D FRONT LEFT CORNER Inspection Overall Comment: Overall Inspection Status: Re-Inspection Date: Date: 7/9/2013 12:00 AM Inspector : Permit Number: B-2013-03187 Name: RAFTERY, MARCIA Address: 324 STRAWBERRY HILL ROAD, CENTERVILLE Unit No. Inspection Type Inspection Item - Status Comment Building Frame A- Inspection Results PASS JLAU: SHEATHING ONLY OK Inspection Overall Comment: Overall Inspection Status: Re-Inspection Date: Date: 8/8/2013 12:00 AM Inspector: -'Permit Number: B-2013-03187` Name: RAFTERY, MARCIA Address: 324 STRAWBERRY HILL ROAD, CENTERVILLE Unit No. Inspection Type Inspection Item Status Comment Building Frame A- Inspection Results NIC JLAU: BATH FAN,POST DOWN LVL RIDGE Inspection Overall Comment: Overall Inspection Status: Re-Inspection Date: Inspector Initials: Person in Charge Initials: Total Score: i w: of ZHE yo� Town of Barnstable . .BARNST,BLE, . 200 Main Street Tel.(508)8624038 rfDMA�A INSPECTION REPORT Date: 8/14/2013 12:00 AM Inspector: Permit Number : B-2013-03187 Name: RAFTERY, MARCIA Address: 324 STRAWBERRY HILL ROAD, CENTERVILLE Unit No. r Inspection Type Inspection Item Status Comment Building Frame A- Inspection Results PASS JLAU: Building Insulation A- Inspection Results PASS JLAU: ADD VAPOR BARRIER AT OLD ROOF LINE Custom Status: Conditionally Approved Inspection Overall Comment: Overall Inspection Status: Not Reviewed Re-Inspection Date: Date: 10/7/2013 12:00 AM Inspector: Permit Number: B-2013-03187 Name: RAFTERY, MARCIA Address: 324 STRAWBERRY HILL ROAD, CENTERVILLE Unit No. Inspection Type Inspection Item Status Comment Building Final A- Inspection Results PASS JLAU:NEEDS PASSING AIR LEAKAGE TEST Custom.Status: Conditionally Approved Inspection Overall Comment: Overall Inspection Status: - Re-Inspection Date: Inspector Initials: Person in Charge Initials: Total Score: TOWN OF BARNSTABLE.,BUILDING PERMIT APPLICATION,,. Map .r Parcel l/ plication # _ ;�. Health Division on QCC30 -ag� Date Issued � S Conservation Division �\ 1C. ;Application Fee Planning Dept. v KPernit Fee; 7. 1 ` C/ Date Definitive+Plan Approved by Planning Board Historic OKH Preservation/ Hyannis Project Street Address Mad Village Owner_ G Address Telephone �j ��7�r V 0; �L' Y411 02(052 Permit Request 13V40ALr t-S-r acly Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type C Lot Size Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) O Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_1 new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing -new First Floor Room Count Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size Pool: ❑existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing U.new size _Shed: ❑ existing ❑ new size _ Other: •A Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ " r+ _ . Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use -' APPLICANT INFORMATION (BUILDER OR HOMEOWNER) _ ,w, N Name Telephone Number LJ q Address License # APONJ Home Improvement Contractor# Worker's Compensation # WO-06 5 W I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO n 90ANW& IjUdff SIGNATURE e� DATE FOR OFFICIAL USE ONLY ., ..APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 7 - DATE OF INSPECTION: FOUNDATION 6&Z /l kA14, �h h 3 iv FRAME PLY 'i INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINALBUILDING BO�S�l3 DATE_CLOSED OUT ASSOCIATION PLAN NO. } The Commonwealth`of Massachusetts L- - :a Department of Industrial Accidents �, � Office:of Investigations �" 600 Washington Street Boston, MA=02111 gym. www.mass.go-oldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl ' r�6qcal, Name (Business/Organization/Individual): , �dv� Address: City/State/Zip: ,YAeWt . W Q� Phone#: �� Are you an employer? Check the ppropriate box: Tye f project(required): l.P I am a employer with 4. 1 am a general contractor and 1 6. 'New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ,Building addition [No workers' comp. insurance comp. insurance.: required.] 5. 0 We are a corporation and its 10.❑ Electrical repairs or additions 3. l am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL 12.M Roof repairs insurance required.] t c. 152, §I(4),and we have no employees. [No workers' 13. Other comp. insurance required.] *Any applicant that checks box 41 must also Iill out the section below showing their workers'compensation policy information. t Homeowners who submit Ibis all davit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. lContractors 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 emplgyer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: NYfl M' t4L Policy#or Self=ins. Lic. #: � —1 l0 Expiration Date: 7L Job Site Addres :V vubm City/State/Zip: ` 1lie , MP 026 Attach a copy of the workers' compen tion policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ' fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereby certif�,under the pains and penalties of perjury that the information provided above is true and correct. Signature: I�1 q Date: Phone#: J U�J 2/D" (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 2. Building Department 3. City/Town.Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: CERTIFICATE OF LIABILITY INSURANCE . DATE(MMIODIYYYY) �../ 06/29/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ias)must be-endorsed. tf SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Germani Insurance Agency PHON o 508 428-9194 a/c No: 508 428 3068 908 Main Street IAIC.E-MAIL Osterville,MA 02655 Do s• INSURERS)AFFORDING COVERAGE NAIC p INSURER A:SAFETY INS CO - INSURED INSURER B Scott Peacock Building&Remodelling,Inc. INSURER C P.O.Box 171 Osterville,MA 02655 INSURER 0: Commerce&Industry Ins.Co. INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 1S TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO ALL THE TERMS, . EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS., INSR I ADDL SUBR - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER IMM/DD/YYYYI LIMITS A GENERAL LIABILITY CP00001152 7/5/2011 7/5/2013 EACH OCCURRENCE $ 1,000,000- X, COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ - PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY M PRO- JECTLOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ 14EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ - $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2012 6/22/2013 we STATU oTH- AND EMPLOYERS'LIABILITY YIN N EIR CH ACCIDENT $ 100,000 �' ANY PROPRIETOR/PARTNER/EXECUTIVE - E.L.EA OFFICER/MEMBER EXCLUDE under N/A (Mandatory In If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 100,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,It more space is required)' CERTIFICATE HOLDERCANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL.SE .DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Fax#508-428-7625 Scott_Peacock@verizon.net AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/06) The ACORD name and logo are registered marks of ACORD i of NNE r, Town of Barnstable BARNSTABLfi `"" Regulatory Services o^ Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 tY er 0!Property wner Must Complete and Sign This Section If Using A Builder -,as Owner of the subject property hereby authorize O�f P-eaeo c to act on my behalf, in all matters relative to work authorized by this building permit application for: a s+r ` rr l C e h-Ile r vr i1 e, m�- (Address of job) ignature of Owizer Date rn ovcic�De• JE6u er Print Name. Q:Fonns:buildingper nits/express Revised 123107 t Massachusetts -Department of P.ubiic Safety Board of Building Regulations and Stand` arcs Construction Supervisor License: CS-094500 Y'ry JAMES S PEACOS`IC PU BOX 171 K'r 4 OSTEVILLE MAC 02632 } ✓.�.� lJ . `,r ifs cxpiration Corlinuss oiler 07/2212014" rc (eri 'rr irrrcri///a�n��r.r.k r rrre(C: Office of Cmsu„n�,. 13o„(em Regl4a(ion License or registration valid for indiv,dul;use only aw OME IMPROVEMENT CONT e 151853 RACTOR before the expiration date id If fount)return to: y gistration: xpiration: 7/7/2014 Type' Office of Consumer Affairs and Business N'.-...,> Private Corporation lop Plaza-Suite`5170 loess Regulation SC PEACOCK BUILDING& REMODELING tNC Boston,ILIA 02116 JAMES PEACOCK 1046 MAIN.STREET SUITE 7 OSTERVILLE,MA 02655 llndersecret:,,•y —— ---=— ._._;_----- _ Not valid without signature -- 62.27 #324 STRAWBERRY HILL ROAD MAP 248, LOT 239 8H � 20' PROP. ADDITION O N O O EX. O o DWELLING 24 53' o CH 22.13 io cp vi 100.00 STRAWBERRY HILL ROAD CERTIFIED PL 0 T PLAN #324 STRAWBERRY HILL ROAD I CERTIFY THAT THE IMPROVEMENTS SHOWN Of RAFTERY RESIDENCE HAVE BEEN LOCATED WITH AN INSTRUMENT ��` Ass9c BARNSTABLE, MA SURVEY. o$ y,Gf, DATE: MAY. 6, 2013 DRAWN: RBS ROBE SCALE:1"=20' JOB #: E00270 0- SYKES No. 35418 "' EASTBOUND AFC ��� *LAND SURVEYING, INC. ssi 7 s P.O. Box 442 ROBB SYKE , P.LS. DATE Forestdale, MA 02644 508-477-4511 A/4-, AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1-1)i Q Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust)......................................--...............-........ .110 mph Wind Exposure Category ............... ..................................................: ............ B —tom . .......................................:......... 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) stories <_2 stories RoofPitch ......g.........................................:..............::........(Fig 2) L _<12:12 MeanRoof Height ..............................................................(Fig 2):...........;.:............ . .. ft <_33' [i ..... Building Width.W........................................ Fi 3 20 ft _80' BuildingLength,L ..............................................................(Fig 3).........._._ ..........................,........ O ft s 80' Building Aspect Ratio(L/W) ...............................................(Fig 4)..................:..... ...... I sUd<3:1 Nominal Height of Tallest Opening ...................................(Fig 4).....,............ s 6'8° _ 1.3 FRAMING CONNECTIONS General compliance with framing connections..........:.........(Table 2).............. —ems 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete............:............ Concrete Masonry.:_............................... 2.2 ANCHORAGE TO FOUNDATION1•3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general .:................................ ...:....(Table 4).................................. in. Bolt Spacing from endfjoint of plate .............................(Fig 5).................'..........._........-- _in.fi 6"-IT _!.G' Bolt Embedment-concrete.............................. --(Fig 5)....:.... ................ in.a T Solt Embedment-masonry..................................:...:. (Fig 5)............................................>in.> 15" ✓' PlateWasher..............:...........•-•----•-•••..............-•-........(Fig 5).......................... .....:?3"x 3"x'/4 3.1 FLOORS Floor framing member spans checked ..........................:...(per 780 CMR Chapter 55)............ Maximum Floor Owning Dimension.:........... ...........(Fig 6)..•••....•--•-•.... 5.................... •..::_�ft 12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)........................................... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)................................. eft <_d . ............ Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwail................(Fig 8).................;,.......... . . ... ft <-d Floor Bracing at Endwalls...... (Fig 9).................. Floor Sheathing Type ......................................................:.(per 780 CMR Chapter 55) ......... . Floor Sheathing Thickness ................................................(per 780 CM Chapter 55)........... ........ in.3• Floor Sheathing Fastening....•....................................... (Table 2)..: d Waits at--rx?-in edge/ in field 4.1 WALLS Wall Height Loadbearing walls.......................... (Fig 10 and Table 5)... ...................... $ ft <10' - ' Non-Loadbearing walls... ........- -.. — - ...{Fig 10 and Table 5)........:............... . lZ ft s 20' Wag Stud Spacing ...................... ......:..(Fig 10 and Table 5)................... in.<_24"o.c. Wall Story Offsets ..........--•....:.......................... .....(Figs 7&8)............. <d 4.2 EXTERIOR WALLS' Wood Studs Loadhearing walls.......................................................(Table 5)... ..2x 6 - '2 ft in. Non-Loadbearing walls.... ....(Table 5)... ......2x - LT ft in. Gable End Wall Bracing' #. Full Height Endwall Studs:........... ...............................(Fig 10)....................... .. .�. ......--••-.....•--...... WSP Attic Floor Length................................................(Fig 11)..............................................4 ft Gypsum Ceiling Length(if WSP not used)..................(Fig 11)................................. .. eft>_0.9W and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11).....:..........:............. .:. v- or 1 x 3 ceiling furring.strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays ✓ Double Top Plate Splice Length (Fig 13 and Table 6).... ..7 ft y. Splice Connection(no.of 16d common nails)....... :..(fable 6).......................................................... v I AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7s0 CMR 5301.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Tables 7).................................................... -• Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)...............................(Table 8)........................................................ Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. Z ft 9 'in.<_11' Sill Plate Spans ........................................................(Table 9).................................. Z.ft�in.<_11' t� Full Height Studs (no.of studs)...................................(Table 9)............................................. ...........7— Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9).................................._-?z_ft0 rn._12' SillPlate Spans.............:........I....................................(Table 9)..................................-1ft 0 in.<_12" ✓' Full Height Studs(no.of studs)....................................(fable 9)............................................. Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening Z ............................................................................f!9�s 6'8" _sue Sheathing Type.............................................(note 4)............................................... .:....W�_ Edge Nail Spacing.........................................(Table 10 or note 4 if less)....................... in. v Field Nail Spacingable 10 ........................................... Shear Connection(no.of 16d common nails)(Table 10)... ;--••••-=-•� Percent Full-Height Sheathing.......................(Table 10)....................................................."ZJ1 50/6 Additional Sheathing for Wall with Opening>6T(Design Concepts)................::... Maximum Building Dimension,L y Nominal Height of Tallest OpeningZ....................................................................:...p 5 6'8" SheathingType..............I..............................(note 4)...---................................................ Edge Nail Spacing.........................................(fable 11 or note 4 if less)....................... in. Field Nail Spacing..........................::.............(Table 11)................................................ l`C in. - Shear Connection(no.of 16d common nails)(Table 11)..............................................I.......... Percent Full-Height Sheathing able 11 ................ ............ 9 9 R ) 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... ✓� Wall Cladding Rated for Wind Speed?.............................................................. ...................................................:......... ... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) L/ Roof Overhang ....................................................(Figure 19)......,...... 1 ft<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift............................:...................(Table 12).....:......................................U=Z3_51f v Lateral.............................:...............(fable 12).............................................L=Mpff c/ Shear................7.............................(Table 12)................,,..._...:...,...............S= ' pff Ridge Strap Connections,if collar ties not used per page 21... (fable 13)...:...........................T=1 Mplf Gable Rake Outlooker.........................................(Figure 20).............Qft<_smaller of 2'or U2 l� Truss or Rafter Connections at Non-Loadbearing Walls . Proprietary Connectors Uplift................................................(Table 14)................................ ............U=40 Ib. Lateral(no.of 16d common nails)...(Table 14).....................................:.L Roof Sheathing Type....................................................(per 780 CMR Chapters 58 and 59)............ v RoofSheathing Thickness...:....................................... .............................................F&in.>_7/16"WSP RoofSheathing Fastening...........................................(fable 2)........................................................ Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in nominal thickness pressure treated#2-grade. I AWC Guide to Wood Construction in High Wind Areas:110 mph Wind.done Massachusetts Checklist for Compliance(Igo CMR 5301.2.1.1)' 4. a_ From Tables 10 and i 1 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: L Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. - iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below.Vertical and Horizontal Nailing for Panel Attachment '-ftEN THIS EDGE R MM ON MAM}NG LWad NAA.S ATGbc 11 11 11 u 1 u Ir t1 Ir . •/ tl N Ii n U :j N w u z tl $p r ii /11 09{W 1 1, i1t 1} b06 M,E 9 D G E -------- �IIA� �$PA —�l l �Jl 1 PANEL See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment C ���? I AWC Guide to Wood Construction in Nigh Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(78o CMR 5301.2.1.1)' / a4 ; 1 / / 1 1 : �1 T b i t TEE WEIR UDW JL- Sm 1 _ WXL PATTERN PAPlE:L PAW—EDGE Do m f---w&mGE spAciNG D£rAL Detail Vertical and Horizontal Nailing for Panel Attachment 9 Y REScheck Software Version 4.4.4 C�J( Compliance Certificate Project Title: New Custom Addition Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Project Type: Addition Conditioned Floor Area: 0 ft2 Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 324 Strawberry Hill Road Raftery Residence Scott Peacock Centerville,MA 02642 Cotuit Bay Design LLC. Peacock Building&Remodeling 43 Brewster Raod 171 Main Street Mashpee,MA 02649 Osterville,MA 02655 Oil 77 WIT, Compliance: 3.7%Better Than Code Maximum UA: 81 y Your UA:78 The%Better or Worse Than Code Index reflects how close to compliance the house is based on o3de trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. 2 Envelope Assemblies am 2M • ,, Ceiling 1:Flat Ceiling or Scissor Truss 154 38.0 0.0 5 Ceiling 2:Cathedral Ceiling 260 30.0 0.0 9 Wall 1:Wood Frame,16"D.C. 542 21.0 0.0 26 Window 1:Wood Frame:Double Pane with Low-E 60 0:300 18 SHGC:0.00 Door 1:Glass 20 0.280 6 Y SHGC:0.00 Floor 1:All-Wood JoistlTruss:Over Unconditioned Space 410 30.0 0.0 14 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Notes: - REScheck by Cape Cod Insulation, Inc. 18 Reardon Circle South Yarmouth, Ma. 02644 Project Title: New Custom Addition Report date: 05/16/13 Data filename: C:\Users\KP05062013\Documents\REScheck\#10303.rck Page 1 of 7,.. REScheck Software Version 4.4.4 C�J( Inspection Checklist Requirements: 54.0% were addressed directly in the REScheck software Text in the"Comments/Assumptions"column is provided by the user in the REScheck Requirements screen. For each requirement,the user certifies that a code requirement will be met and how that is documented,or that an exception is being claimed.Where compliance is itemized in a separate table,a reference to that table is provided. 2009 IECC Pre-Inspection/Plan Review Plans Verified Field Verified ValueValue Complies? Comments/Assumptions 103.2 Construction drawings and ❑Complies lRequirement will be met. [PR1j' documentation demonstrate energy []Does Not Comply I code compliance for the building ❑Not Observable F envelope. ❑Not Applicable 103.2, ;Construction drawings and ❑Complies 403.7 documentation demonstrate energy ❑Does Not Comply [PR3]' ',code compliance for lighting and ❑Not Observable 1 a mechanical systems.Systems serving ❑Not Applicable multiple dwelling units must demonstrate compliance with the ;commercial code. ' r 403.6 ;Heating and cooling equipment is { Heating: ; Heating: ;❑Complies [PR2]2 #sized per ACCA Manual S based on Btu/hr Btu/hr :❑Does Not Comply loads per ACCA Manual J or other Cooling: Cooling: 1❑Not Observable . f approved methods. ; Btuthi ; Btu/hr ;❑Not Applicable ; , r ; Additional Comments/Assumptions: s , " f 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Custom Addition Report date: 05/16/13 Data filename: C:\Users\KP05062013\DocumentskREScheckWlO8O3.rck Page 2 of 7 i 20091ECC Foundation Inspection Complies? Comments/Assumptions 303.2.1 ,A protective covering is installed to ;❑Complies ,Exception:Requirement is not applicable. [FO11]2 i protect exposed exterior insulation :❑Does Not Comply i, and extends a minimum of 6 in.below []Not Observable grade. ❑Not Applicable 403.8 ;Snow-and ice-melting system ;❑Complies [FO12]2 controls installed. :❑Does Not Comply i I❑Not Observable ❑Not Applicable Additional Comments/Assumptions: r , S 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Custom Addition Report date: 05/16/13 Data filename: C:\USers\KP05062013\Documents\REScheck\#10803.rck Page 3 of 7. i 2009 IECC Framing!Rough-In Inspection Plans Verified Field Verified Value Value Complies? Comments/Assumptions 402.1.1, ;Glazing U-factor(area-weighted ; U- ; U- ;❑Complies See the Envelope Assemblies table for 402.3.1, 1 average). I T❑Does Not Comply'values. 402.3.3, ❑Not Observable ; 402.5 w ;❑Not Applicable [FR2]r 303.1.3 ;U-factors of fenestration products are 10Complies ;Requirement will be met. [FR4]' determined in accordance with the 1 ❑Does Not Comply; NFRC test procedure or taken from []Not Observable ' the default table. ❑Not Applicable ; 402.3.5 ;Sunrooms enclosing conditioned ; U- ; U- ;❑Complies ;Exception:Requirement is not [FR8]' ;space have a maximum fenestration 1❑Does Not Comply!applicable. U-factor of 0.50 in Climate Zones 4-8. ; ;❑Not Observable I New glazing separating the sunroom ; ;❑Not Applicable from conditioned space must meet ' code requirements. 402.3.5 ;Sunrooms enclosingconditioned ;U- U- ❑Complies Exception:Requirement is not [FR9]' :space have a maximum skylight U- ; ;❑Does Not Comply;applicable. ;factor of 0.75 in Climate Zones 4-8. ❑Not Observable ; ❑Not Applicable 402.4.4 ;Fenestration that is not site built is ❑Complies ;Requirement will be met. [FR20]' !fisted and labeled as meeting ❑Does Not Comply: AAMANVDMA/CSA 101A.S.2/A440 or ❑Not Observable i has infiltration rates per NFRC 400 ❑Not Applicable that do not exceed code limits. 402.4.5 IC-rated recessed lighting fixtures 10Complies ;Requirement will be met. [FR16]2 sealed at housingfinterior finish and ❑Does Not Comply: labeled to indicate 2.0 ctm leakage at ❑Not Observable 75 Pa. 1[-]Not Applicable 403.2.1 ;Supply ducts in attics are insulated to R- R- ;❑Complies [FR12]' Rom.All other ducts in unconditioned R_ ; R :❑Does Not Comply: ;spaces or outside the building , ;❑Not Observable envelope are insulated to R-6. : ❑Not Applicable 403.2.2 All joints and seams of air ducts,air E❑Complies [FR13]' handlers,filter boxes,and building ❑Does Not Comply cavities used as return duds are ❑Not Observable ; sealed. IE]Not Applicable 403.2.3 #Building cavities are not used for J❑Complies [FR15]' supply duds. ❑Does Not Comply; ❑Not Observable ; 1[]Not Applicable 403.3 ;HVAC piping conveying fluids above R- R- ;❑Complies [FR17]2 105 IF or chilled fluids below 55 IF T❑Does Not Comply ;are insulated to R-3. ; ;❑Not Observable ' ❑Not Applicable 403.4 'Circulating service hot water pipes are; R- R- ;❑Complies [FR18]2 9 insulated to R-2. ; ;0Does Not Comply i ;❑Not Observable ; ❑Not Applicable 403.5 ;Automatic or gravity dampers are ❑Complies ,Requirement will be met. [FR19]2 l installed on all outdoor air intakes and ❑Does Not Comply: 'exhausts. j ❑Not Observable IE]Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Custom Addition Report date: 05/16/13 Data filename: C:\Users\KP05062013\Documents\REScheckWI0803.rek Page 4 of 7 i 2009 IECC Insulation Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 303.1 ;All installed insulation is labeled or the ❑Complies Requirement will be met. [IN13]2 ;installed R-values provided. []Does Not Comply 1E]Not Observable []Not Applicable ; 402.1.1, ;Floor insulation R-value. R- R- a[]Complies ;See the Envelope Assemblies table for 402.2.5, ❑ Wood ❑ Wood :❑Does Not Comply:values. 402.2.E +❑ Steel ❑ Steel :❑Not Observable [IN1]1 ;❑Not Applicable 303.2, Floor insulation installed per ❑Complies Requirement will be met. 402.2.6 ;manufacturer's instructions,and in []Does Not Complyr [IN2]1 :substantial contact with the underside []Not Observable r :of the subfloor. ❑Not Applicable 402.1.1, ;,Wall insulation R-value.If this is a R- ; R- ;❑Complies ;See the Envelope Assemblies table for 402.2.4, !mass wall with at least 1h of the wall ❑ Wood ;❑ Wood :❑Does Not Comply:values. 402.2.5 }insulation on the wall exterior,the Mass :.❑ [IN3]1 exterior insulation requirement Mass ❑Not Observable :applies. ?❑ Steel :❑ Steel ❑Not Applicable t � r 303.2 ;Wall insulation is installed per ❑Complies ;Requirement will be met. [IN4]1 manufacturers instructions. ❑Does Not Comply y ❑Not Observable : ❑Not Applicable 402.2.11 :Sunroom wall insulation has a ; R- R- ❑Complies ;Exception:Requirement is not [IN8]1 !minimum R-value of R-13.New walls 4 :❑Does Not Comply applicable. separating the sunroom from:conditioned space must meet code : ;❑Not Observable: requirements. ❑Not Applicable 303.2 :Sunroom wall insulation installed per ❑Complies :Exception:Requirement is not [IN9]1 :manufacturers Instructions. ❑Does Not Comply:applicable. ❑Not Observable : ❑Not Applicable 402.2.11 ;Sunroom ceiling minimum insulation R- R- ;❑Complies :Exception:Requirement is not [IN10]1 R-value of R-19 in Climate Zones 1-4, !❑Does Not Comply:applicable. and R-24 in Climate Zones 5-8. : ;❑Not Observable : ❑Not Applicable 303.2 ;Sunroom ceiling insulation is installed Exception:Requirement is not [IN11]1 per manufacturers instructions. ❑Does Not Comply:applicable. ❑Not Observable 1EIGomplies ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Custom Addition Report date: 05/16/13 Data filename: C:\Users\KP05062013\DocumentskREScheck\#10803.rck Page 5 of 7 I Plans Verified Field Verified 2009 IECC Final Inspection Provisions Value Value Complies? Comments/Assumptions 402.1.1, :Ceiling insulation R-value.Where>R-; R- R- ❑Complies See the Envelope Assemblies table for 402.2.1, i 30 is required,R-30 can be used if ❑ Wood ❑ Wood ❑Does Not Comply:values. 402.2.2 insulation is not compressed at eaves.;❑ Steel ❑ Steel ;❑Not Observable F [FI1]r ;R-30 may be used for 500 W or 20% i❑Not Applicable ; (whichever is less)where sufficient ,space is not available. 303.1.1.1, ;Ceiling insulation installed per ) ❑Complies ;Requirement will be met. 303.2 :manufacturers instructions.Blown ❑Does Not Comply; [F12]' insulation marked every 300 ft2. []Not Observable ❑Not Applicable 402.2.3 ;Attic access hatch and door insulation; R- R- ;❑Complies ;Requirement will be met. [F13]' R-value of the adjacent assembly. :❑Does Not Comply ;❑Not Observable :❑Not Applicable 402.4.2, ;Building envelope tightness verified ; ACH 50= ; ACH 50= ;❑Complies ;Requirement will be met. 402.4.2.1 by blower door test result of<7 ACH T❑Does Not Comply [F117]1 ;at 50 Pa.This requirement may ;instead be met via visual inspection, i❑Not Observable ,. ❑Not Applicable ,m which case verification may need to �occurduring Insulation Inspection. f ; 402.4.3 ;Wood-burning fireplaces have ❑Complies ;Exception:Requirement is not [F18]2 ]gasketed doors and outdoor ❑Does Not Comply;applicable. $combustion air. ❑Not Observable ❑Not Applicable 403.2.2 Post construction duct tightness test cfm cfrrr ;❑Complies [F14]' i'result of 8 cfm to outdoors,or 12 cfm ❑Does Not Comply :across systems.Or,rough-in test result of 6 dm across systems or 4 E❑Not Observable ; ❑Not Applicable cfm without air handler.Rough4n test ;verification may need to occur during ; ;Framing Inspection. 403.1.1 'Programmable thermostats installed ❑Complies [F[9]2 ion forced air furnaces. ❑Does Not Comply s ❑Not Observable ❑Not Applicable ; 403.12 'Heat pump [F 10]2 R heat pumps ❑Do s thermostat installed on plies Not Comply i ❑Not Observable IE]Not Applicable 403.4 'Circulating service hot water systems ❑Complies ¢ [F111]2 have automatic or accessible manual ❑Does Not Comply`r controls. ❑Not Observable 1 i❑Not Applicable 403.9.1 Readily accessible switch on heaters ❑Complies [F112]3 for swimming pools. ❑Does Not Comply ` ❑Not Observable []Not Applicable 403.9.2 Timer switches on pool heaters and ❑Complies [Fill pumps are present. ❑Does Not Comply 131 ❑Not Observable []Not Applicable 403.9.3 Heated swimming pools have a cover.` ❑Complies [F[20]3 Covers on pools heated over 90 OF. ❑Dos Not Comply c+ are insulated to R-12. 1 Not Observable ❑Not Applicable 404.1 50%of lamps in permanent fixtures ❑Complies [F16]' :are high efficacy lamps. ❑Does Not Comply ❑Not Observable d ❑Not Applicable 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: New Custom Addition Report date: 05/16/13 Data filename: C:\UserskKP05062013\Documents\REScheck\#10803.rck Page 6 of 7 2009 IECC Final Inspection Provisions Plans Verified Field Verified ValueValue Complies? Comments/Assumptions 401.3 -;Compliance certificate posted. _- ❑Complies ;Requirement will be met. [FM2 ❑Does Not Comply a ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for mechanical ❑Complies [FI18]3 and water heating equipment have ❑Does Not Comply # been provided. ❑Not Observable 1E]Not Applicable Additional Comments/Assumptions: i yam.. 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) J 3 1 Low Impact(Tier 37) Project Title: New Custom Addition Report date: 05/16/13 Data filename: C:\Users\KP05062013\Documents\REScheck\#10803.rck Page 7 of 7 2009 IECC Energy Efficiency Certificate Wall 21.00 Floor 30.00 Ceiling/Roof 30.00 Ductwork(unconditioned spaces): Window 0.30 Door 0.28 Heating System: Cooling System: Water Heater: r P- Name: Date: Comments: U 2 ------------ L�v �\ � � l SST �L � 0 . 0 0 z t �l ----_..- -- ---' -- - - 1 - - -J TOWN OF BARNSTABLE BUILDING,PERMIT APPLICATION Mao a " Parcel �J . 1 U , -Tp,BLE Permit# Health Division ox // gDate Issued Z� Conservation Division IS° 3 /a Fees Tax Collector Treasurer ' �� �y >"�LLED 114 COMPLIANCE Planning Dept. WITH TITLE 5 Et-f ,',;CINIME ITAL CODE AMID Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address QL Village Owner 1"Lo,�G� r.� Address S-kT-ojiXc>_L Telephone ocC —7-? ` `QL-? `1 PermitRequest"P<-opas,_A I��x 1 ;;Z-' -_-'s- Square feet: 1st floor: existing proposed jAJ12nd floor: existing proposed Total new 1 yy Valuation , Zoning District Flood Plain Groundwater Overlay Construction Type S R Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 181 Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: Cl Yes .A No On Old King's Highway: ❑Yes a No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other V A Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing New Existing wood/coal stove: ❑Yes )N4 No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes j No If yes, site plan review# Current Use Proposed Use — S�c�,s 5 u.atl,i�� BUILDER INFORMATION Name C)C�.c-Z.� M a���� Telephone Number 0 Address H I l.J of±OV\ License# O -7 Q 9 g Home Improvement Contractor# ) oZ5 7 6 Y Worker's Compensation# 35 W g C- Zs ALL CONSTRUCTION DEBRIS RESULTING FRO HIS PROJECT WILL BE TAKEN TO C\_�C- LIAS SIGNATURE DATE, P t ' FOR OFFICIAL USE ONLY r t } PERN41T NO. DATE ISSUED MAP/PARCEL NO. s ADDRESS VILLAGE G OWNER' CL DATE OF INSPECTION: FOUNDATION FRAME INSULATION r FIREPLACE f ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING E �1v �no �ts DATE CLOSED OUT ASSOCIATION PLAN NO. t� r q The Town of Barnstable Regulatory Services Thomas F. Geiler, Director Building Division Peter F. DiMatteo, Building Commissioner 200 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no_aqn!!��& _ Date 2� y AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing.at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: 3 SG IEDtJ SA kJ9 Zf� Estimated Cost Address of Work: Z� ��12 ��L fZ0 Owner's Name: 1I&'! 61Z } Date of Application: (� 0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM O;GUARANTY FUND U ER c.142A. SIGNED UNDER PENA F Y I hereby apply for a permit as the agent of the owner: _24 1-2,/0 Z A M 0 C 6(AJ (M A L QXV- 1 7_5 �3 Date Contractor Name Registration No. OR q:forms:Affidav :rev-122001 The Commonwealth of Massachusetts == _ Department of Industrial Accidents -- = exce OfluvestfoellODs < 600 Washington Street Boston,Mass. .02111 Workers' Com ensation Insurance Affidavit .����������������%������������������% location. ��� S��� � `�7���I ��L•-� ?I city �����\✓�LL.C 11 A �Z4 ) phone# go s7 7 . ❑ I am a homeowner performing all work myself. ❑ I am a soleRiipzietor and have no one wbilang in anca achy I am an em l er providing workers compensation for myAIN employees working on this job. .......... ::. msa;name.•.:::.: . ..... .. ...... ... ::..... ...... ss rill T— ...... ..::. ........:... .......... .............. ❑ I am a sole proprietor;general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followin workers' compensation polices: `n }5�i•: <. D h� !�{i:}:?:ii::^i}ry�iv:<::{.�:::�::':?:;{:;:}vi::�:::;ri:'tic::i:;}<};%::iir::iii:+'>-i::^:i+i:}viT>:<:ii1::ti•v=Fvi<n�t:v is :;{r!•:?}':::::::::::::...::n...-:.:.n}. ...::::::.;.}'-}v45:;.}}v:w::::•::::::.�{:w.;..:v:•:v:..t•:.. i:::v. �, - •.Jwv:J..Axv:.�::::. .-:r-v::::::::-':::::::............ ... ....-....-... - .. ..............-:iv:f-w:::::•::�::•.�:::::::v.:�:.�::::.:_ y...:. .....-.-.... ..... ::.<+wSL.x .. .:n�?:-!!?:•:v.i:?:-i}S::isi:'i}? ?:Ci::•55:;:}!?i:•i'r:•v.�i`:L<4i:+::>.-}{:�:iv}?:•}}:•i:;'?5:•::+i?}}::.iv:::!::;::.�.:::::::{:4';;v--•}:;9:•YJ?-: o '.�•:�M:?i:;i:i!::;{5:::;:ii '::r:�:':?':'':ti;i::i:i:J:=':'}??:;•:<?i::{'::`vii::i$:;;•?'•:<^i:;;v;;;;;;:n.:_.�:.:n�{::. Ihsnra�ree:ta•:.:.?:.:.::<:.:;.;:::.::::::,::.:::::.::::::::::.,:.:::,.:::i.::::::.:::::::.::::::.::.:::::.:-::..:�::.:::.:::::..:..:....-......:..:. ...........-...... :::4•vt::.�."':2c�:,:'���':�::�ii::;i:;i::::r::::::=::::�:::s:�:::i:::�::�:::�:�i:2%:i:::?::'!�:':�::: :�::?+:�`:::•`.::::: �fr::::r: :::r::::3::i::,;:<.:::.:::::•:-:::::::�::::•:::..� ................................................:::::•::.:ii}:__,•:::.�•.,•:::•::iiu:•i:•:J}}}:.:::::•:}:-:4:;.}?:-}}i?!::•:•5:.}:.}}::ii?:<•}:•:•}:-}:•y:•?:<•?:;<•5i}:i}i:::i{:iri:::'v}:i:{::}:•5::iii:i::-iY!,::._;,•: :: >> ::i>::;:>:;:: :..-.-. .......:........ .........::..:....: .............................. •:'riCi:}'::is :{:".-±:{:r: ::!;:;.'•:j>ii:J.'':i::�::-:.:::>+:._r..isiSi:'i'.isi{:'ri.�'�ii:i'}Y:ii$j}i::`:;v.�,L-:i>{:::;?iiiiii'^:iii}iiYit<:'r"{ry:{;i:?r:}:�:iii: :tr<iiii:`n::::;':::i::::i::•.'::i::::i:!`•_;s:::{::i::ii:i: ::}i>S:i?;}r:is iiiii:-i{.isi}:i.:•`--:r-:,:>:_:;:ti;�::::i::::: r'.}}�:C:<•:!:.:.:::.!yam..................t..r:'?'::::::..--.-........ ...-...........-.. -_........... .. Failure to secure cove as required umde;.Section 2SA of MGI.152 am lead to the io►posttlon of erimittal pendtin of a ljne uP to•51;500.00 and/or one years'implyonme d as well as civil penalties in the form o STOP WORK ORDER and a floe of 5100.00 a dsy agaltut me. I understand that a copy of this statement may be forwap1bil to the Office of Inv atiom of the DIA for coverage verification. I do hereby certi t and enald fp 'ury that the information provided above is o ve d co ect vZ Hate � 'Z � ' . Signature /— \ . Print name �LL7 �l-�A�C Phone# oindal use only do not write in this area to be completed by city or town a®dal city or town: persnit/license# QBuflding Department ❑Licensing Board ❑checkff immediate response Is required ❑Selectmea>s Office ❑Health Department contact person: phone#; _ ❑other- Ormed 9195 PIA) t Property Owner Must Complete and Sign This Section J F'Using A Builder as Owner of the subject prop.e_rty hereby authorize Bettert=�vin$5 Patio Roomy (d.b.a. patio Rooms of America) to act on my behalf, in all matters at to work authorized by this building for(address of job) permit application Signature of Cwner . gate E < ,3 Owner or Builder ( s Agent of Owner) lust Complete and Sign This Section as Owner/Authorized Agent hereby declare that the statements and informaton on,the foregoing application for. " (address of job) a'-� S�i �J�rj � � { accurate, to t. e-e are true and h st of my are and "belle£ a-- . u.e p$S31s —and,penaltieS of pe��ury. pnnt flame -Signature of Owner/Agent Date r . f 100-00 a� 1324 STRAWBERRY HILL ROAD MMAP 248, LOT 239 — septic DH o DING ING ctr 22.13 43.97 __r ]00.00 STRAWBERRY HILL ROAD LE.R PLOT FLAN 1324 SMAWKRRY HILL ROAD •1 �71fY 7HAT JHE IMPROVEMWS SHOW 4,� or �1sg� RABARNSTRES7D-MAE HAVE BEEN LOCA70 WIN AN�INVS7RUMENT �' DRAWN: RRS SURVEY. DATE: MAR: C Z)U IF Ea02T0 SYKES SCALE:1'=Z()' No. 3541e $ASTDOUND ci o *LAND SU1'iVMNG. INC a s P.O. Box 1836 R088 SYKES, P.LS DATE .41: Meetinghouse Lone Sagamore Bench, MA 02562 f EXISfING 3'DOOR—7 FROM HOl6E PROP05eD NEW DECK IZ'XI2'(APPROX) I,2X8 Pf FRAME c 16"O.C. 2,LEDGER 00 fED I/2'X5"LA6516"O.C. 5.,1015f HANaV5 e LEDCU /1CAS 4,2X8 Pf TPLE BEAM 5.176L 5117E-1015f5 6.5/4"X 6"Pf 17ECKING ON 5TA16 7.(4) 12"0 X 46"DEEP FIGS W/ANCHORS 6.5/4"f&G PLY OVERLAY 9.6X6 P055 III„F41-04111� IO,SfAIRS 1 I11 114 2'-2" PROP05ED 5 5EA50N PORCH 12'X 12'(APPRO)O 5wIO%U ENCL05LB 3"IT+ H ROOF 5Y51EM OT SPAN) NEW 6'DOOR— FROM PORCH NEW 6 1700F (NOr SHOWN N FROM PORCH 1HI5 VIEW) 11�111=1 11 1 11�1 1 —I 1J 111�IV H iillLl 1 1=ICI I�EI I� ��F El l l I1 i t l 1I— LJpI LJ 5fAR5 NOf SHOWN FOR STAIR 5MC5 QARIIY II"TREAD O 8 Ra Prokct: 5cale:l/8"=I'-0" Drawtrq: etterl ivi ng MW 1?�51MNC� PATIO ROOMS 524 SfRAWI3ERRYHLL ROAD A� 1 CENTIZVILLE,MA 0202 it wr a(Q) "393 oa 00 °ra�c )33 ow Date:2111102 r� ---------- _/\10U I f L..ANE1 ._, {, I (mA ply; (I;I X) 06.7t X tj1 I 1 lU i 11.010 =11)1=V/AL1 (A) An UI-U 51145'^N I. 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HE=I'ill.'r';il'(RL=1'll°I'i,IIG1.5 F„}11.Z1r1111P�,' �1''I;(J,J[f,'I': - ! %VIII I ALUbIII IUI.I56.I11S Ii0F MU J'O 3.I'VIVTI I OF I:i-NAIL f IAY VAR'(I'13R II=='I IiERI,•16\l.l.l'47,I:0I:P1d � 41U1II.`i(.:U4,Ili/I'UI;(5'Il'I;l 111,UOI;I;:,(:�',<I:%,." POOR/V/1110uV LAY0U71Jf 1'U <II I'. ALUIII I-I ij'II'F LFII I; <' t%True J. :,,, i,' C)tl X .I2,-2tl !- Joss AFIU(i"'I I IIC1;1 OrI=OY ;LU11IG) 1 : U G1 R. ` ; `:I;;igsruucn7)I u 1 , - 1 ----..._._......_._.__ -- I>rAu-l:tJ;l 011L•r, F•sr'=rvurauei/CO.r-vor ;:''�.:'::''!;' ,,lu2Q ! � � ----..------- � 5'I UDIO I_t`IGLn���111�1 AU,L1U:bll I'AIII:LS AI;I CUldhll:((;;I'(zl>iU (iir �\ ! /. .>I)I✓\I'/• "> IXX;1'10.:I'=I'Aldl 1. ;;1�'t`;rb;- !111.CJJ a e" . Fr.FL"1=1' s rt 1u?`.ul:.N:1,@ ou1!'')-12>;I'<:.il;ra �I_hl I'qU L ---'-- ALUM. LU6•!Ih11.1Fa r':'•' !? ,.;• ) "�')c1'll.( .};,.ti r,(:/tl.(':I 170" I x}):i'5�.:. z i A . _ 1716 3d - fow. . I , l TOWN OF BARNSTABLE/ LOCATION Z`� `J` ��l�ip���'�I�/rd SEWAGE # �G -ZP� VILLAGE-_ ASSESSOR'S MAP & LOT 2 Vr—a3j ' INSTALLER'S NAME&PHONE NO. Ael'/` &�J� �/JST. ?'7l -�35r-Y . SEPTIC TANK CAPACITY GAD e LEACHING FACILITY: (hype) 10 (size) /o NO. OF BEDROOMS 3 BUILDER OR OWNER @ r PERMITDATE: `!5 COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet. Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200.feet of leaching facility) /lJ/9 Feet Edge of Wedand and Leaching Facility(If any wetlands exist within 3C9)feet of leaching facility) �� Feet h ;i Furnished by - t ':i -,�.Y 3 COISITNYERNF:ORNi: TIONgFORM> S.UZO_QS» . , asacF�uact +;,S ate uiIiliiiCo 78CIYIIt�A P„pcn r5ecfioii� .I T 3r1, The Massachusetts State Building Code (780 CMI) includes provisions to ensure that houses and house additions meet energy efficiency standards. This supplemental CONSUMER' INFORM TJON FORM is to be filed as part of the building permit application when a builder/contractor or homeo*-ner, constructing/installing a house addition with very large percentage of gfass to opaque wall, seeks to utilize a special energy conservation exemption option for "sunroorn" additions to an existing house (780 CMR, Appendix J, Section J1.1.2.3.1). This FORM is not intended to prevent a horneoA—ner from selecting a "sunroom" of any size, configuration, or Iei',tatIOII, form of Construction or percent glazing, but rather is only Intended to assist homeowrierS in becorninu- aware of some of the important energy conservation and year= round comfort consideration:involved in .selecting and lltilizin"T a "SUllroom" additinn. lne connection of "sunroom" structures to residential buildings may create comfort and energy consumption issues due to uncontrolled solar gain or uncontrolled radiation cooling of the main house. In the selection and const:-uctioii/instailation'of"sunrooms", included below is a norl-required,.open-ended Iist of product and design considerations teat a homeowner may ��ish to consider before actually constructing/irstaIling a "sunroom". It is reconlinended that consumers carefully review these options with their designer, builder, or contractor, iii order to minimize potential energy consumption and/or house discomfort issues. In addition, the qualifications and reputation of the company or individuals to be hired are important considerations. PRODUCT AI\'D DESIGN.CONSIDERATIONS RELATED TO "SUi,TRO0i1SS" • Solar Orientation Rud Natural Shading • Type.of Glazing TngTulatieig value • SoIar heat c,ain • Fraint- materials 0 Glazing to frame sealing and oasketing materials/seal durability and/or weather, tightness of the sunroom • Adequate ventilation - Operable windows and fans • Applied Shading sterns PP b S Y • Insulation Ievel in floors, wRlls, and ceilings Possible Sunroom-isolation froin the main house via a wall and/or door or slider Heating and Cooling Methods: Efliciericy, Zoning and Controls m Homeowner Acknowledgment The Massachusetts State Building Code, Section J 1.1.2.3.1, requires that Mlle actual property owner..(not the owner's agent or representative) acknowledge receipt of this CONSUMER INFORMATION FORJvi prior to issuance of a Building Permit for a project that includes "sunroom" additions to an existing residential building. In accordance with this requirement, the undersigned hereby acknowledges that she/he has read the info,mation ill this docLliTieiit conCernlilg sunroom comfort and energy COnSer JdtlOn. o / ba Signature of Actual Build ng O r Date IYl ��-�� � off, . ��-�T-��2..�/ 3� s'��w��� � •� • /�a�� Print Name Address of Perrnitted�Ject ONkmer A.ddress different than project location) Own is telephon:number t ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDDIYY) PRODUCER 12/18/2001 Joseph McKeone THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION P ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JP McKeon Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 333 ALTER THE COVERAGE AFFORDED BY THE POLICIES'BELOW. Ann Arbor, MI 48106-0333 INSURERS AFFORDING COVERAGE INSURED Patio Rooms of America,Inc_ INSURERA: HARTFORD INSURANCE OF THE MIDWEST John Esler INSURER B: 100 Otis St. INSURER C: Northboro,MA 01532 INSURER D: I COVERAGES NSURER I 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 DI:SCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUC'D BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE 11MID1111E 7DA M D LIMITS A OENERALLU►BILITY 35 UUC 35019 11/01/2001 11/01/2002 EACH OCCURRENCE $ 1,000,DOO COMMERCIAL GENERAL LIABILITY .. .. FIRE DAMAGE(Any one fire) $ _ 100 000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000 000 GENERAL AGGREGATE $ 2 ODD 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYIECT PRO- LOC PRODUCTS-COMPIOP AGG $. 2 000 000 ' A AUTOMOBILE LIABILITY 35 MCC 302718 11/01/2001 11/01/2002 COMBINED SINGLE LIMIT ANY AUTO (Eaawidenl) $ 1,000,000 ALL OWNED AUTOS — SCHEDULED AUTOS BODILY INJURY X HIRED AUTOS (Per person) $ NON-OWNED AUTOS BODILY INJURY $ (Per accident) PROPERTYDAMAGE $ (Per seddem) GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESs LIABILITY EACH OCCURRENCE $ OCCUR F CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKER A EMPLOYScoMpBILITY NANO 85W8CFI3935 08/01/2001 08/01/2002 TORYLMITs ER __ EMPLorERs'LwaluTr S E.L.EACH ACCIDENT E 1,000000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 OTHER E L.DISEASE-POLICY LIMIT $ 1,000,000 A PROPERTY 35 UUC 35019. 11/01/2001 11/01/2002 Includes Richo;Copier AFFICIO 270 Account 4199T706 to Include Theft DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY EI'DORSEMENTISPECIAL PROVISIONS Certificate Holder is additional insured CERTIFICATE HOLDER ADDITIONAL INSURED;INSURERLETT:R: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION INSURED COPY - _ DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVE& AUTHORIZED REPRESENTATIVE ACORD 2"(7/97) O ACORD CORPORATION 1988 Board of Building Regulations and Standards �y g :, License or registration,valid for individul use only Ica , HOME IMPROVEMENT CONTRACTOR before the expiration date. If Mound return to: ' Board of Building Regulations and Standards �5 Registration 125168 g. g Expiration vg.10/21/03 One Ashburton Place Rm 1301 Boston a.02108 type Private Corporation ' PATIO ROOMS OF BOSTON]NC` ANDREWS MALONE 100 OTIS ST NORTHBOROLIGH, MA 01532 ---- -- -- -- -.—.---.._ Administrator Not valid without signature LtP, Y,�p?32YBLftdfl/l.,G�s. Oj��./l/�✓XF.�7.L1�� BOARD OF BUILDING REGULATIONS b ` License: CONSTRUCT ION SUPERVISOR Number: CS 070998 4' Expires 02.120/2933 Tr.no: 7227 Restricted To:' 1G . ANDREW T MALOiVE 41 WASHINGTON St If2' NATICK, MA 01760 Administrator r _ --- AF1 XMVTT in accordance with Article 1 Section 114.1-3 of the • Massachusetts State 3uildin-g Code, S Certify that all debris resulting from work associated with Periait # --- — will be properly disposed of at EL-. f S0W-5; �JV� licensed solid waste disposal =Acility as defi-aod by MGL GA_15 C'11, S a _ i signature of Permit Applicant E . I . HARVEY &SONS ✓ t".,.,Y-ztoAz 68 �O P K off T 0 R R D Print Name of Applicant L-It s, (R E 13 5) 81 Firm Maine (i f any). OWA,( �y � Addre s s l I Effective September 12, 1991 the Departmezit of Realth/Code Enforcement actixz under Chapter 2 Article 13 of the 1986 ,g € Y f ai�Y,nQaz oT Worcester Fccv�L t vrcltltcuCc� i�.i.ilrco i�0^� _�- debris generated as a result of this permit. The proof shall be a dated and signed receipt from the licensed disposal facility containing r-he following inforxmtion. A description of the debris, the weigat and volume of the debris and the location of the disposal facility. . The receipt must also have a signature of the owner/operator of the disposals facility. Failure to comply with the requirements of this Ordinance ' will result in enforcement action by the City. ` 'TOTAL P.02 zhs/I 7 C' - 3 /l �'THE t Town of Barnstable *Permit# p� Expires 6 months from issue date Regulatory Services Fee 13 s' , * 1AMSTABIS, MASS. �' Thomas F.Geiler,Director 639• DAA'1 Building Division Tom Perry,CBO, Building Commissioner,ti p ,�`.> w P; W :; 200 Main Street,Hyannis,MA 02601 - www.town.bamstable.ma.us Office: 508-862-4038 Fax:508 790 6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL;'ONLY,``_ l', -� 7 Not Valid without Red X-Press Imprint Map/parcel Number O[ Property Address 3 7 s-1114 N1 t erry WIZ/ /7l7 r [YResidential Value of Work /�G�%J® � Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address '&0 6'e ie qd y Npr fI4 AK eAye y 3.2 y 9-A#4 lJi? i-,V 111%1 4J f -e&-IPtfillf/ , M,4 e Contractor's Name 6°4n f Telephone Number—. 'Jc J, Y r�' 1 57,? Home Improvement Contractor License#(if applicable) Q J l U U7 y o Construction Supervisor's License#(if applicable) A,Vy dworkman's Compensation Insurance" Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [y�I have Worker's Compensation Insurance Insurance Company Name h c 4 blof-fil-ty a CAA d Workman's Comp.Policy# Al Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors [ Replacement Windows/doors/sliders.U-Value 1 (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: . Property Owner must sign Property Owner Letter of Permission. A co of Home Improvement Contractors License&Construction Supervisors License is r e . SIGNAT C:\Users\decollik\AppData ocal\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc i Revised 072110 i I i FID#80-0014011 API Z�1 CSL#7454 0-V- A 3G'13 $►, (3's HIC#100740 Home Improvement 508-428-9518 1645 Newtown Road 800-262-5060(Toll Free) Cotuit,Massachusetts 02635 508-428-1547(Fax) www.capizzihome.com Established in 1976 PROPOSAL December 2,2011 Name: MARCIA&BOB RAFTERY Job Address 324 STRAWBERRY HILL ROAD Address: 324 STRAWBERRY HILL ROAD Ci Town CENTERVILLE _City/Town: CENTERVILLE Home Phone: 508-771-2747 State: MA Cell Phone 1: _ ZIP: 02632 Cell Phone 2: E-Mail 1: MARCIABURGER@HOTMAIL.COM Estimator: AARON RODERICK E-Mail2: _..___..._.....__..__...---__�"-....,._.TobNumber: 1._33983 _.__.___......__...._._____._..._._......_.__.._...._...,_.i REVISED PROPOSAL: THIS PROPOSAL REPLACES ALL PREVIOUS PROPOSALS We hereby submit specifications and estimates for a bath remodel to include new fixtures,flooring, exhaust fan, door,and light electrical work as follows: ITEM 1: SITE • Builder to provide plans and specifications. • Builder to provide permit. • Builder to protect existing property during construction. • Owner to move all personal objects,furniture,etc.,from work area. ITEM 2: DEMOLITION • Builder to remove toilet and save for reuse. • Builderto remove sink,vanity,shower door,and shower stall, • Builder to remove built-in cabinet and save for reuse. o • Builder to strip flooring down to subfloor. • Builder to provide cleanup on a continuous basis and ALL debris to be removed from site. - ITEM 3:EXTERIOR FINISH • All trim,casings, f4ssei, .,-.,.a �.t to be pre-primed pine and match existing,including ' all galvanized fasteners. • Windows: P5TY: �� TYPE: - - -__--__ — /__ _ _ ^) �C4ute (a Wei G--vic.�s I�el ee.�tGr 5S ITEM 4: INTERIOR FINISH o�L1 �v b'� u al (t -0060rvl (,/L U�le&L) • Fix,patch,and repair all sheetrock affected by consduction� �'x T f'v✓ • All trims,casings and baseboard to match existing style. • Y2"ULC plywood underlayment. • Flooring: Furnish and install vinyl flooring using a$300.00 material allowance_ QTY • Doors: :_ TYPE: - _ --=.— -- - ---------- -� 1 �. Raised Six-Panel,Hollow-Core door w/brass colored hardware and new � swing. Accepted B ! \ Date: THIS PAGE IS PAT OF A9D IN CONFORMANCE WlfFH P POSAL#- 33983 The Commonwealth ofMassachusetfs Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gm1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluniber.s Applicant Information PIease Print LeObly Name(Business/Organization/Individual): P 6 r G�/'1a ern Y41 rf rM eAJ TAf0 Address: 4 New i c Lull Y City/State/Zip: ��t i / vf� �.s' Phone#: yd- Are you an employer?Check the appropriate bog: Type of project(required): 1.E� am a employer with ya. 4. 0 I am a general.contractor and I have hired the sub-contractors 6. El New construction part-employees(full and/or listed on the attached sheet. 7. ❑Remodelizig ship and have no employees These sub-contractors have g; -Demolition ❑ . . Working for me in any caPacity. employees and have worker s'. . 9, ❑Building addition [No workers'comp.insurance comp.insurance.$: required.] 5. [] Vie 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; 11E]Roof repairs in%surance required.]t c. 152;§1(4),and we have no t7 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 f Homeowngq,who submit this affidavit indicating they are doing 411 work and then hire outside couitactors must submit a new affidavit indicating such. ;Contractors 11at check this.k oz must attached•an additional sheet showing the name of the sub-evntracto.s and state wheth8r or not those ersfities have employees. if the subm.contractors have employees,they must provide their workers'comp:policy number. I am an employer that isproviding.workers'compensation insurance for my employees. Below is thepolicy andjob site information. n: Insurance Company Dame. C.6 r lP q-el 9�- C4 j U� ,P Policy#of Self-ins.Lic.#: NU G c Y Se' 326 . Expiration Date: Ru c iStateizi Ce1,fe eldle 1� Job Site Address: ty. p: 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/6verage verification I do hereby certify un the i, and penalties of perjury that the information provided above is true and correct Signature: . Date: ok-1 2 D Phone# Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): ; 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Client#:47298 CAPIHOM ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD"�'M 6/02/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate doesnot confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACTKaren Walther - - NAME: - Rogers&Gray Ins.-So..Dennis PHONE FAX A/c No Ext:508-760-4630 A/C,No): 508-258-2230 434 Route 134 E-MAI ADDRESS: waltherka@r6gersgray.com P.O.BOX 1601 PRODUCER South Dennis,MA 02660-1601 CUSTOMER ID:: INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURER A:National Grange Insurance Co. Capizzi Home improvement,Inc. INSURERB:ACE Property&Casualty Ins.Co Capi.zzi Enterprises,Inc. INSURER C: - 1645 Newtown Road Cotuit,MA 02635 INSURER D _ - - INSURER E: - - :INSURER F• -. - . .. COVERAGES CERTIFICATE.NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL=1 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR POLICY NUMBER - MMIDDNYM (MMIDDPrfM LIMITS - - A GENERAL LIABILITY MPB107511 0/08/2011 06/08/2012 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED , PREMISES Ea occurrence $500 OOO - CLAIMS-MADE FRIOCCUR MED EXP(Anyone person)" $1 O,000 - . - . . PERSONAL&ADV INJURY $1,000,000 . . - - GENERAL AGGREGATE . s2,000,000.. - GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 ;. POLICY PRO- LOC $ - - A AuronnoBlLE LBILITY - M1 M28044 06/08/2011 06/08/201 COMBINED{TINGLE LIMIT $ �.. ANY AUTO (Ea accident) 500000 ` BODILY INJURY(Per person) $ ALL OWNED AUTOS - - BODILY INJURY(Per accident) $ - - X SCHEDULED AUTOS - - _ - PROPERTY DAMAGE $ _ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ X Drive Other Car $ A UMBRELLA LIAB X OCCUR CUB1076H 06/08/2011 06/08/2012 EACH OCCURRENCE $5 OOO OOO .. - EXCESS LIAR. AGGREGATE t s5,000,000 CLAIMS MADE` DEDUCTIBLE $ X RETENTION 10000 $ B WORKERS COMPENSATION NWCC45843208 12/25/2010 12/25/2011 X we srAru- oTH- AND EMPLOYERS'LIABILITY - - ANY PROPRIETOR/PARTNER/EXECUTIVE -N E.L.EACH ACCIDENT $1,000 000 OFFICER/MEMBER EXCLUDED? N NIA (Mandatory In NH)If yes describe under E.L.DISEASE-EAEMPLOYEE $1,000,000. ; _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-.POLICY LIMIT $1,000,000 - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Is required) - - Additional insured status is provided under the general liability when required by a written contract with the certificate holder CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Pa ment ` SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE - THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE - 0198 -2009 ACORD CORPORATION.All rights reserved. ACORD.25(2009/09) 1 of 1 The ACORD name and logo are registered marks of ACORD #S675371M67480 MEE .Jn.,e 'tac��xutua U✓czaeacrr..hrre�d� �• Ou rce of Consumer Affairs&Business Regulation Li>e tse or registration valid for indi;°idesl use only r TOR be fore the.expiration daf If found raf�rrn tn: S ox Office,of Consuuner Affairs and Business Regulation € gsstrabo>t_��OC37 TYPE= 10.ParkPlaza-Suit&5170 Sara a i F i SuPp1 meat Ca,-d Boston,MA 02116 CAP IM HOME of�t..m Y - G RY GCS AF 1545 Ne--Mon Rd. 7, Cotuit,MA 02635 ;mac ' U�tdersecs�>ary '�'o d wit on.signature �tYt «acltu city- pe partanc nt aai pulklia;Safel4 'Wird(if Guil in<,Rs=aa1.€i itCt s rtnd l:lncl; rt s Construction SuPe"'isor Iwicense" License: C5 746 G Y GUSTAFSC3 Try. 7058 y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a' D Parcel ti. Application # if 10 & SY Health Division Date Issued Conservation Division Application Fee -111, �II Planning Dept. ., Permit Fee Q v Date Definitive Plan Approved by Planning Board Historic OKH Preservation/ Hyannis Project Str et;Address `�y � %�� `�� G �� � f0911� Village �� � Owner /?0 teer atla /124 04 W,4 Frees Address �� . f r�A�u'6t�r e i/R 0 -��•fit�r�y//�� �,�G3� Telephone Af P r i uest o, e/ 9,4f#v00� u/&# N-e&JAl�l U�ls 11,4Ali/ ' ' p`�� / llfl�f411 AP a1 Gt ¢eviorl 000p, 1 No rlm mliN 11Y' 11dri0# d�',c/h A10 00// u u �fN Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /.d/ 000 Construction Type VJO up Lot Size ' 3 Grandfathered: 0 Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family:. Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ �110 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing / new O _ Half: existing - new Number of Bedrooms: A1 existing new CND - Total Room Count (not including baths): existing new First Floor Room County Heat Type and Fuel: dGas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes d No Fireplaces: Existing New 10 Existing wood/coal stogie: OnmYes &No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes YNo If yes, site plan review# Current Use 8J/f)e� �/ clf�zy�� -�Y�/`i�Proposed Use /eJ A APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � �/ 4A/0am Telephone Number Address License# r �O ZZi Home Improvement Contractor# `00 71O Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ;r FOR OFFICIAL USE ONLY / APPLICATION# = DATE ISSUED : MAP/PARCEL N0, ADDRESS VILLAGE OWNER- DATE OF INSPECTION: 3 FOUNDATION '} FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH '. FINAL PLUMBING: ROUGH FINAL ' t ROUGH FINAL �~ FINAL BUILDING t r } ..DATE CLOSED OUT ASSOCIATION PLAN NO. T ' t i The Commonwealth of Massachusetts Department,of Industrial Accidents Office of Investigittions 600 Washington Street" ` Boston,MA 02111 www.mass govIdia Workers' Compensation Insurance Affitdavit:'Builders/Contractors/Electricians/Plumber.s Applicant Information PIease Print Legibly . Name(Business/organization/individual}: G fq Address: 4 N-ew i oLUn !� City/State/Zip: Cd4ui.4 MA Phone Are you' an employer?Check the appropriate bog: Type of project(required) _ 1.L�t am a employer with yQ. 4. 1 am a general contractor and I employees(full and/or part=time). have hired the sub-contractors 6. ❑N w construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7.- emodeling ship and have no employees These sub-contractors Have g; (��Deiholit on Workingfor me in an capacity. employees and have workers' Y P t5'� .. 9, ❑Building addition [No workers'comp.insurance comp.insurance.$ required.] 5. E]�We area corporation and its 10.E 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 0.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeownegwho submit this affidavit indicating flay are doing all woric,and then hire outside contractors must submit a r.ew affidavit indicating such. ;Contiadocs°:Feat checkthis.%oi-must attached an additional sheet showing the name of the subcontractors and state whethei or not those et'tities have employees. If the sub-contractors have employees,they must provide their workers'comp:policy number. lam:an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: A e G'�I-c'/Z j y �/ /tJ�L7 IL�/Uc1 11/19 Nl { Policy#or Self-ins.Lic.#:. N U. G G S� 32 G,f- Expiration Date:. Job Site Address: J-17 Wee� � /��s � City/State/Zip: (PI�turtle opro 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 uptto$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 ins;rra„c verage verification I do hereby certify un the i and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#� � Official use only. Do not write in this area,"to be completed by city or town official City,or Town. s Permit/License# Issuing Authority(circle one) 1.Board of Health .2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector' 6.Other r Contact Person: Phone#: Client#:47298 CAPIHOM ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD Y"") 'THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. _ IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTKaren Walther Rogers&Gray Ins.-So.Dennis NAME:PHONE F A/c No Ext:'508-760-4630 (vc,Na): 508-258-2230 434 Route 134 E-MAIL altherka ro ers ra ADDRESS: w 9 9 Y•com P.O.BOX 1601 PRODUCER CUSTOMER ID#: - South Dennis,MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC# INSURED. - - Capizzi Home Improvement,Inc. INSURER A:National Grange Insurance Co. _ Capizzi Enterprises,Inc. IN SURER B:ACE Property&Casualty Ins.Co INSURER.C: - - 1645 Newtown Road COtuit,MA 02635 INSURER D: INSURER E - INSURER F: - COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: . THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBRI POLICY EFF. POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DD MMIDD LIMITS A GENERAL LIABILITY MPB1075H 06/08/2011 06108/2012 EACH OCCURRENCE $1000000 X COMMERCIAL GENERAL LIABILITY- - - _ DAMAGE TO RENTED PREMISES Ea occurrence $500,000 CLAIMS-MADE I AI OCCUR - MED EXP(Any one person) $10,000 - PERSONALBADVINJURY $1,000,000. GENERAL AGGREGATE s2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: - PRODUCTS COMP/OP AGG $2,000,000 POLICY PRO- LOC. .. - $ .. A AUTOMOBILE LIABILITY M1 M28044 . 06/08/2011 06/08/2012 COMBINED SINGLE LIMIT - $ a (Ea accident) 500 000 .4 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ X HIRED AUTOS - _ (Per accident) - X NON-OWNED AUTOS - - - $ - X Drive Other Car F $ A UMBRELLA LIAR X OCCUR CUB1076H 06/08/2011 06108/2012 EACH OCCURRENCE s5,000,000 EXCESS I" CLAIMS-MADE - - AGGREGATE s5,000,000 DEDUCTIBLE $ _ X RETENTION 10000 - $ B WORKERS COMPENSATION NWCC45843208. - 12/25/2010 12/25/2011 X WC STATU- OTH- AND.EMPLOYERSSLIABILITY . . - - - ANFICERIMEMBER RIETOREXCLUDED?ECUTIVEY N/A _ E.L.EACH ACCIDENT $1,000,000 - (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under - - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $1,000,000 7771 '1 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 161,Additional Remarks Schedule,if more space is required), - - Additional insured status is provided under the general,liability when required by a written contract with the certificate holder CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ' THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN' Town Of Barnstable ACCORDANCE WITH THE POLICY,PROVISIONS. 200 Main Street Hyannis,MA 02601 - AUTHORIZED REPRESENTATIVE - ©198 -2009 ACORD CORPORATION.All rights reserved. - ACORD 25(2009/09) 1 of 1 The ACORD name and logo are registered.marks of ACORD #S67537/M67480MEE. ' ✓fze't�ark�susn�atu� cf.,�zor,.czr✓✓ur.�rx2 • Offi.ee of Consumer affairs&Busi.ess Regulation License or registration valid for individul use only f VOME 117PROV MENT CQNr C i aq before the.expirafifl�3 dam If founsi return to: ©Bice of Consumer 4ffairs.and Business Regulation- Pegisfraf.0n s G7,4Q Type: 10 Paris Plaza-Suite 5170 t r SuaptEme-3t Card Boston,NIA 02116 CAPf7-Zi HOM +'r,.164514-eveton Rd be - Cotuff,MA 02635 ~� _�: � Undersecretary #Noiithout signature ir� arlrus�tt�- llelt:k3'tn�3rot�f Pul)lic:,afcC4 ; l>t.r l iif, ,r33itli. €g Ret»ril.c€3!3[t�:ta€l St trtclarti� � Construe ticsn Supervisor License.. License: CS 7464g GARY GUSTAFSON � a SHORT WAY � £. SANDWICH,MA 02563 . � Expiriatinn: t[ t Tr#: 7058 Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimaies STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT , O THE PROPERTY LOCATED AT - LIZ IN t�"Lt t-ev l/-� , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. SIGNATURE OF OWNER: al OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: _ LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 ' APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: Loop Up Print Page 2 of 3 As Built Cards:Click card#to view: Card#1 • Constructions Details-Map/Block/Lot: 248/239/-Use Code: 1010, Building Details Land. Building value $ 127,300 Bedrooms, 4 Bedrooms USE CODE: 1010 Total Improvements Value $149,732 Bathrooms 1 Full+ 1H Lot Size(Acres) 0.23 Model Residential Total Rooms 6 Rooms Appraised Value $65,1 Style Cape Cod Heat Fuel Gas Assessed Value $65, Grade Average Heat Type - Hot Water Year Built 1969 7, AC Type None Effective depreciation 15 , Interior Floors Hardwood Stories 1 1/2 Stories Interior Walls Drywall Living Area sq/ft 1,224 Exterior Walls Wood Shingle Gross Area sq/ft 2,592_ Roof Structure =Gable/Hip Roof Cover Asph/F GIs/Cmp . Outbuildings&Extra Features-Map/Block/Lot: 248/239/-Use Coder 1010 Code Description Units/SQ ft Appraised Value Assessed Value FPL2 Fireplace 1.5 stories 1 $.3,500 $ 3,500 SHED Shed 96 - $ 1,500 $ 1,500 Sketch Legend Property Sketch Legend € AOF .Office, (Average) FTS Third Story Living Area (Finished) SFB Base; Semi-Finished Second Story Living Area BAS First Floor, Living Area Fus TQS . ,Three Quarters Story (Finis (Finished) BMT Basement Area GAR Garage uAT Attic Area (Unfinished) (Unfinished) http://www.town.bamstable.ma.us/Assessing/print.asp?searchparcel=248239 11/10/2011 t i f i �f A T, 4` .• .,ate, � ..:.: � � °:. ;; � H r � IV / Wit/ s � 71 a} , Urt 4 to F � 4�, ^_N' �4• ��i P' k "�� � fi A4 4 Jr IA ar•. Aw a . .4 a� Po` „ . �';~ �•,f� , ".,. pax r �r e SA7Ay CAPE COD-TOWN OF BA RMSTABLE j INSULATION lIYSR 3EASa 3[AM[LSS SPRAT iOAM SIISIENDEP. RATT3 3UTSi RS MsuY SIQH QKINPf. - 1-800-696-6611 Fi Town of Barnstable Regulatory Services Building Division 200 Main St Flyannis, MA 0260.1 . Dace: Deru' Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc.performed & complefed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building perinit. application. All work has been inspected by.a certified Building Performance Institute (BP.I) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R=Value Restricted Unrestricted - Ceilings Slopes Floors Walls ( X) Pik Sincerely X 7� Fte ry,E Cas. y Jr, President (1. e Cod I ' ulation, Inc. .. t J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map, Parcel Applicatioh # Health Division Date Issued ..Sh;yh` Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board { Historic - OKH Preservation/ Hyannis Project Stre Address VillageV Ili Owner r ►' avc1A, 1✓ Address Telephone (jb— _) -24 l .Permit Request �WAYAMU `jMt e�Q`l'�A,I,IIYj� l0 ` dG erl —��—� S if1 � 1V a/ tC �P- -Square feet: 1 st floor: existing proposed 2nd floor: existing :proposed Total new ,Zoning District Flood Plain iGroundwater Overlay Project Valuation IZA Construction Type Yp ,Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Famijy Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas• ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No. Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals AA horization ❑ Appeal # Recorded ❑ Commercial ❑Yes Q No If es site Ian review # Y p Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (�!� Telephone N d 2 -X� umber Z"I Address C (/i License # �® ° t Home Improvement Contractor# Email Worker's Compensation # ek.) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 6 I 1' FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ' MAP/PARCEL NO. ADDRESS VILLAGE OWNER � � r DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION f `j FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING Di4TCLOSED OUT AS-SOMATION PLAN NO. h f J r Massachusetts De,pai"tmrt of Pblic Safety - oard of Buiidijg Regula?ons end Standards Construction Supervisor �} License: CS-100988 HENRY E CASSIDV _ 8 SHED ROW . s WEST YARMOUrIH 02. Expiration Commissioner 11/11/2015` s 1 Office of Consumer Affairs and Business Regulation . 10 Park`Plaza - Suite 'S170 Boston, Massacligsetts 02116 g Home Improvement Contractor Registration 4 — Registration:� 153567 ILE Type::, Private Corporation Expiration: •12/15/2014 Tr# 233831 CAPE COD INSULATION, INC. d ti HENRY CASSIDY _ 18 REARDON CIRCLENE SO. YARMOUTH, MA 02664 z ` 1�Update Address and return card.Mark reason for change. Address 0 Renewal Employment Lost Card SCA 1 0 20M-05/11 Office of Consumer Affairs&Business Regulation License,or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration 153567 Type: Office of Consumer Affairs and Business Regulation xpiration 12/15/2014 Private Corporation 10 Park Plaza-Suite 5170 1 Boston,MA 02116 ATi . CAPE COD INSULrONANC- n HENRY CASSIDY } 18,REARDON CIRCLE;;,,'= d SO.YARMOUTH, MA 02664 �.„q•,j , Undersecretary I Atvalwitho t nat re i. . i 1 The Comemorrtvealth of Massachusetts Departrrrerrt of Industrial Accidents OJY!ce of.lgvesd ations 600 Washinpon Street < Boston,MA 02111 w�Vw,rrrtlss.�O v/�ltY Workers' o,ttYy�e~rus tYae� >lusurlinee„ AfBd4vit: Buliildera/Contralctorsfl li-,c :riciauslpYartt➢r�ers �. a �lie':arrt ltyft�rt.�autiaytr Pleltse Pala f,e ii►iy �,\',Hitt: �lit�;incss/Orgaitiratiori/l.ndivi�ival �� ���' T �- � ,.�7G yi '� Phone #: �J�s / 2 %4/-� ctrtt;t'uyeirT C eek the ►nppropriatte box: Type ofp cuir?luycr with /1 nt 4, [] 1 a a geucrai contractor and 1 rofit�t (re.iyt,lred): :tttpluyccs (hill 111(Vo r part-tiine).* have tired the sub-contractors 6. [Q New cousti-uctiou an, a solo proprietor or pustrteir- listed on the attached sheet. 7. ] RemodeliAb ;hip at.td have no elliployUcs These sub-contractors have . 8: [] Demtal.ition. wotkuig for tole in any capacity. employees and have workers' [Nu wo.rkcrs' comp. in>urancc comp..insurance.t 9: El Building addition rcyttir�d:] 5. We are a corporation and its. 10.❑ Electrical repairs or additions horneowner cloir1g till work officers have exercised thew J.l,❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per 1vIGL ttt:tufarict rCqu1rcd.] t c. 152, §1(4), and we have no 12Z] Roof repa s, hoarcowucr actin as at l3. Otbcr zr 5.•�:• .�_. !� .4` g employees. [No-workers -�cncrul culttrat:tor(refer to #�4), .-------- comp.insurance required_) I..uy cuwtautt Iltat cl1ci lC3 tw 'Flu,ucuu,tcrx wh x*1 rntts[ tlxa till,out the section below showing their worim'compenyudodf olicy infanuariou. o xubrnit this affld4vic indicating they arc doing a-u wort and then hire outside contractors must submit a ucw atlidavii wdicating such. `t.u11u'w1u y that chcck this box must uttru:b__d au additional sheet showing the nun w of the sub-euuuuctots and nuto whcchcr or not tlwxc cmitica rwvc`.:uy,t�,ycoy. IC u,�sub-carttra.:trux hravc crnp10ycC3, they trust provide their wurkcrs'cornp.policy nutuhcr. - I urrr tui employer that is pro vidirrg workers'compemation iruurance for my employees. 2r low is the policy argil job site ;,r�u,nruliu�t, Itl,uiancc l;outpwly Name:��%/✓r /�C ��' �� ��/�U 1'011c}t f w'Self-irts. Lis: 4: Expiration Date: _ � 1 � evv l,� w i,ro llic..�tldreys: City/state/Lip: _ Atc:r 13 a copy of cite workers' corzrpensut Out policy dec:laratiuu page(shoving the palley atimber and expiraflou date). l atiur w ,cctu t',Qovcr agc u3 rcg Bred unddr Sectiol1.25A of IviGL c. 1 S2 can lead to the imposition of Gruniaaal penalties of a n.nc,up 10 11,500.00 and/or one-year imprisonment,-as well as civil penalties 'in the form of a STOP WORK ORDER and a time at tip Ice S250A a clay abaimt the violator. Bc advised that a COPY of this statement may be forwarded to the Office of n�csciy,tiotiz of ttic DIA for L'Muranca coverage verification. !du herrby.cern.y, muter the D! 4ndpenalties of perjury that the information provided above rx rite and correct« T fllfrciu!ire ortly. Der not write in this area, to be completed by city or town off<ciaX - F i icy or p'owrr; Permit/License# 1"U"14.iutbority ('circle one): 1 ward of lleulth 2. Building Department 3. City/ToWvu Clerk A, Ek"t'rical luspr:ctor 5. Plumbing lnmpector 0.Other •l_'uur:ect Phone;#: i CAPECOD-27 CVANGELDER E(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME: Cape Cod Commercial Rogers&Gray Insurance Agency,Inc. PHON Eo FAX, co) -2156IC,N Ext): o434 Rte 134 South Dennis,MA 02660 ADDRESS: INSURER(S)AFFORDING COVERAGE _ NAIC# _ INSURER A:Peerless Insurance Company. INSURED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle INSURERD:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: _ INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL UBR POLICY EFF POLICY EXP .LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY MMIDDIYYYY A X I COMMERCIAL GENERAL LIABILITY - EACH OCCURRENCE $ 1,000,000 l ® CBP8263063 0410112014 04/01/2015 ANf/TGETORENT 10000 I _J CLAIMS-MADE OCCUR PREMISES Ea occurrence $ ILt MED EXP(Any one person) $ 5,00 PERSONAL&ADV INJURY $ 1,000,00 1 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 ^� PRO- -POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,00 X I,_.._1 I - OTHER: ! $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident _ a i ANY AUTO 14MMBCKVMK 04/01/2014 04/01/2015 BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ 1,000,00 AUTOS AUTOS X NON-OWNED I PROPERTY DAMAGE f X 1 HIRED AUTOS �AUTOS - - Per accident $ 1 $ X UMBRELLA LIAR I X_ OCCUR - EACH OCCURRENCE $ 1,000,00 I C EXCESS LIA6 CLAIMS-MADE R/O XONJ453512 04/01/2014 04/01/2015 AGGREGATE $ �--h � DED ; X rRETENTION$ 10,000 Aggregate $ 1,000,00 WORKERS COMPENSATION - - - STATUTE EERH - AND EMPLOYERS'LIABILITY D ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCA00525904 06/30/2013 06/30/2014 E.L.EACH ACCIDENT $ -1,000,00 OFFICER/MEMBER EXCLUDED? NI A ((Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 ,If yes,describe under 1 000,00 i DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , � I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE,WILL BE DELIVERED IN EVIDENCE OF INSURANCE ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD OWNER AUTHORIZATION FORAA l ma, l QC. (Owner's Name) owner of the property located at /^ (Property Address (Property ddress) hereby authorize ?S�/G (Subco ractor) an authorized subcontractor for RISE Engineering, to act on my behalf to obtain.a building` permit and to perform work on my property. Owner's Signature 3a f Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map C, Y8 Parcel �� Dd Application # C �.0 � Health Division Date Issued 0 259 Conservation Division Application Fee Planning Dept. i Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address ZiV� Village 4 Owner �� �� Address Telephone (� 2� Permit Request w ) V&1ft _k, h Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new -.toning District Flood Plain Groundwater Overlay. Project Valuation Construction Type�V���1 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No DeIt ched garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing D1_pew_size_ Q Att ched garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals A thorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use k `' APPLICANT INFORMATION UILDER OR HOMEOWNER) Name vli Telephone Number �d�✓ l �y' �21 Address License # d0 U /Yr Home Improvement Contractor# sJ Email Worker's Compensation # S 0) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE:ISSUED MAR/PARCEL NO. ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: Y FOUNDATION w FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL . ,k GAS: ROUGH FINAL FINAL BUILDING P`NT� CLOSED OUT ASS R ... ION PLAN NO. r Massachusetts-Depal'tm4'nt of 15jiblicSafety 40ard of Building Regula#ons end Standards - Construction Supervisor �� License: CS-100988 HENRY E CASSIDY' 8 SHED ROW s WEST YARMOLFTH k 2 4^ Expiration. Commissioner I 11/11/2015 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachu efts 02116 Home Improvement Contractor Registration = Registration: 153567 { i� "� i Type: Private Corporation ir Expiration: 12/15/2014 Tr# 233831 CAPE COD INSULATION, INC , r. HENRY CASSIDY ;-EE:" ,3 T f 18 REARDON CIRCLE ' SO. YARMOUTH, MA 02664 't ' �< - y l,, ✓ v` jt s: Update Address and return card.Mark reason for change. SCA 1 0 20M-05/11 Address Renewal Ej Employment Lost Card C�T �J e (prirrzrruyruueczltli a1Uf/4r:ulac�uraet�a``- Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: 1'Sa567 Type: Office of Consumer Affairs and Business Regulation xpiration: 1211`5/20-.1,4 Private Corporation 10 Park Plaza-Suite 5170 r fir= Boston,MA 02116 CAPE COD INSULATION,t,IN'G HENRY CASSIDY 18 REARDON CIRCLE SO,YARMOUTH, MA 02664 ti f Undersecretary of yal wit t Wat 1 Die Commoinvealth of Alassachuserts Department of Industrial Accidents � - _ Ojjice of InVe'stigadOrrs r 600 Washington Street - _ .Boston, AIA 02111 lit'".mass.go vldia `4tYtlCcr�' urxYy� Pals �i�r� fusurance A-ffidavit: Buu ders%Contiractors/-EYes:t:riciatis I'llumbei ..`` ti�l,�':ntYt �tt.t�l➢t-ylill�l(_"YQ�Y� i ri.t.tt Y.,e xil:ll t!i �lluauicstll?rba[iizu[io[t/ludiviatksl J<� �� - — iyi .> Phone#: G �[xtl,tcxyc'? Check the appropriate box: F7. pe Of prtaju ct (rc.grrlr'eeY): I -uu.,�'.IIII.IIUyGr W Ith. y 'J `4, ❑ I ani a geacr,31 contractor Grill l l�lrtyccy (roll p�r have hired the sub conaractot� . E] Now construction I .,,,,a sole; proprietor oi' parm't r- listed on the attached sheet. �] Romodeling ;lop anti 114vc nu cn-lployee;s These sub-contractors have 8. E] l�emoliticin wotkulb fur nic is-a:ay capacity. employees and have workers' o wockc:'r's' comp. in-surarice comp, inswBllce.t , E] Hulldlrig addition We are a corporation and its LU.❑ 1~leMical repairs or additions �� I,fill a hortic-o�vnc:r doling all work officers have exercised their 1 [] Plumbing repairs or nddivans nit' [No workers' comp. right of exemption per MGL _ w xuaitCc rcqu_i-t trt.l ] t c. 152, §1(=4), and we have no 12•[] Roof repairs ull it hutncurvuer �tcrili�; as rx*° employees. [No workers' 13.M�Other. gutcrul collu-uctor (refler to lk}) comp.insurance.required.) it,phc urt thst uluulcs box*1 must also 611 out the 3ccdoa below showing thcir.workas'cotnpcnsatiQti-lwlicy ink2arnwrion. :luu,cuuuc,x wtw Yubmit[ttix ufticluvit iradicuting chcy Luz doing all wort Lid then tuts Qutside coaRactorx trust submit u acw atlitLtvit wilir,tinl;;Much. ,,uu�.:,<,ra but hc.k rtris bax cxtuyt uruu hcd uu,ukUciQual sheet showing the onma Of the xub r oLLtnktQts find 9tatc«aatttcr or Uot thoxc cnr rica l>avc ��q,�wce.y li Ilse pub-<<auru~;turs hJAVC acnlaluyecs, that'must provide their worker-r'comp.policy nuatbor. I unr fin urtployer that 41 pro Viding workers'comperuado"htsuraace for my employee. M�Iorw iv the policy arid job sitc 'll1Cl!lIIUlrU ll, - - t;;;ua.ucci:outpuisy Name: %r�!iiG ��t✓�!/��✓fG` 'i li,`r fur Sclt-irtY. Lic. 4: Expiration Date:_ o0:)uc ; tid.resy: J t (/"on l'I City/Scatel - _ -- �ce.�tt a curry of ttte rvorkars' cotvipetiltcy,dMaratiou page(sho)Ying the porky utAmber and exptiratiou date)< '�tiui�tc,.7c�ruc cuycrabc as required under Section•25A of MGL c.;152 can lead to tho imposition of crirjzua<il pcnziltirs of a till t„3I,5W 00 and/or One-year imprisonmeq as Nvell as civil penaltici in the form of a STOP WORK ORDER and a tine ,f up t�,QJ0.UU 4 tray against the violator. 13c advised that a copy of this statement may be forwarded to the Office of tlVCS(1 iat10t1.Y of the I)IA for ll]Xt1lMcc coverage verification, u'u ncreby'Gcrtrfyr rtufer the It �btruc penalties of perjury that the iicformattvrt provided above is t rx and currrt t: Ud i'4 t;,rc oltly. Do not wrire in this area, to be completed by city or to►m official _ 1 ity of futilu: .... _,.___ � Perrutitll,icense# tYx,lw .tuttrurity (circle one): -- l.lio,rr(ul'litulct, 2. Builldittg Depurtmeat 3. City/Tuwn Clerk a. Electrical Inspector 5, Plulmbing! Inspector o.(Other ' 1 CAPECOD-27 CVANGELDER ACOROW CERTIFICATE OF LIABILITY INSURANCE DATEYYYY) `-� 411/2011/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Cape Cod Commercial Rogers&Gray Insurance Agency,Inc. PHONE FAX 434 Rte 134 A/c No E:t: A/c No):(877)816-2156 South Dennis,MA 02660 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Peerless Insurance Company INSURED INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation Inc INSURER C:Evanston Insurance Company 18 Reardon Circle INSURER D:ATLANTIC CHARTER INSURANCE GROUP South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE A DL UBR POLICY NUMBER MM/DD/YYYY MMIDDPOLICY EFF Y LIMITS EXP LTR A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ _ 1,000,00 CLAIMS-MADE FXIOCCUR CBP8263063 04/01/2014 04/01/2015 UAMAUE TO RENTED PREMISES Ea occurrence $ 100,00 MED EXP(Any one person) $ .6,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 JECT X POLICY M ❑ PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident B ANY AUTO 14MMBCKVMK 04/01/2014 '04101/2015 BODILY INJURY(Per person) $ ALLOWNED �( SCHEDULED BODILY INJURY(Per accident) $ 1 QQQQQ AUTOS AUTOS > > X HIRED AUTOS AUTOS Per acc dent $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,00 C EXCESS LIAB CLAIMS-MADE R/OXONJ453512 04/01/2014 04/01/2015 AGGREGATE $ DED X RETENTION$ 10,000 Aggregate $ 1,000,000 WORKERS COMPENSATION f AND EMPLOYERS'LIABILITY STATUTE EERH D ANY OFFICER/MEM ER/EXCLUDED?ECUTIVE/Y� N/A ER CA00525904 06/30/2013 06/30/2014 E.L.EACH ACCIDENT $ 1,000,00 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ - 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. v CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD OWNER AUTHORIZATION FORM cv(:�, a: ka,- (Owner's Name)' owner of the property located at (Property Address /1 Z , (Property ddress) hereby authorize (Subco ractor) ' an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature Date i ,of sJ�7 d Commonwealth of Massachusetts Sheet Metal Permit Ma v J p ParcelA_ RE r • Date: t Q S PERMIT `� Permit �� a Estimated Job Cost: $ 3 ; b O-DOCT - 9 Z013 Permit Fee: $ Plans Submitted: YES F Plans Reviewed: YES NO BARNSTABLE Business License# Applicant License# Business Information: Property Owner/Job Location Information: Name: �_cy Cam Vie. � Name: Street:1 L (moos pc�) ` c e, Street: aD City/Town:w M Q City/Town:Cot rtiQX Telephone: t;Dco- " �� Oba Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES v-' NO _ Staff Initial J-1/ -1-unrestricted license J-2/M-2-restricted to dwellings 3-storie8 or less and commeratal up to 10,000 sq. ft. /2-stories,or less Residential: 1-2 family f Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft.. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC V"' Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: , d �e� < i j INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes Z/No ❑ if you have checked Y&L indicate fbib type of coverage by checking the appropriate box below: i i A liability insurance policy Other type of indemnity ❑ Bond ❑ I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. i Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent - By checking this box(],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO i Progress JjIspections Date Comments Final Inlspection Date Comments • I Type of License: a 3y , ❑ Master f M title r ', ❑Master-Restricted j , i �kylrown �� pm Joueyperson Signature of Licensee 'ermit# ❑Joumeyperson-Restricted License Number:' Check at www.lmass-govldoi I nspector Signature of Permit Approval f 77ie Commonwealth ofMassachusetts CA Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant lnformation �J C. C�-��r -�e Please Print Legibly Name(Business/Organizationaudividual):. -Address.--I R S g� V L e_-'.t�t� City/State/&i U ti (L N,�Ve, M4 Phone-,,. Are you an employer?Check the appropriate bog: -Type of pioj ect(required):. 1.❑ I am a employer with •4. ❑ I am a general contractor and I goployees(full and/or part-time).*. have hired the sub-contractors 6. ❑New construction . 2. a'sole proprietor or partner- listed on the-attached sheet. 7. j�emodelmg ship and have no employees These sub-cofactors have g• ❑Demolition workingfor me in an ac employees and have workers' Y capacity. ❑ ing [No workers'comp.insurance comp.insurance.t. 9. Build addition. required.] 5•❑ We are a corporation and its Min 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 fin out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they ate doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-cont wtars and state whether or not those entities have employees• If the sub-contractors have empioyees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees, Below is the policy and job site information. 1 Insurance Company Name: . �� CA,G� t Policy#or Self-ins.Lic•A" -'a 0"at). Expiration Date: I Job Site Address: ` L d . City/State/Zip:_ Attach a copy of the workers'compensation'pAcy 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 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 a coverage verification. 1•do hereby ce ' under the d pena "es of perjury that the information provided above is true and correct Si atnr • Date: Phone Off eW use only. Do not write in this area,To—be completed by city or town offtciaL City or Town: Permit/License# .Issuing Authority(circle one): 1.Bbard of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector I 6.Other Contact Person: Phone#: i 4 i I Fold,Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS • . BOARD SHEET METAL WORKER TED t` SM AS Q►� C7 � � ts��tCb r �;. TYPE R'ICHARD J� TAVANO in 1N065 SERV,.ICE RD ��� � M1 ; W BARNSTABLE z, '. MA' 02668 1849 t 283186 • Y- l Perforations Fold,Then Detach Along Al �VE Town of Barnstable Regulatory.Services &UMSTABLE, y� Mass. g Thomas F.Geiler,Director 1619. ♦� ATE, . Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstab le.ma.ds Office: 508-862-4038 Fax: 508-790-6230 Property owner-Must Complete and Sign This'Section If Using A Builder . L , as Owner of the subject property hereby authorize \ to act on my behalf, in all matters relative to work authorized by,this'building permit: (Address of Job) **Pool fences and alarms. are the responsibility of the applicant. Tools, are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Aj�nature of Owner Signature of Applicant a Print Name Print Name z Dat QTORM&OWNERPERMISSIONPOOLS 6/2012 Town of Barnstable Regulatory Services MAM " Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508=790-6230 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) t , The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. t The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that:"Any homeowner performing work for which a building permit is required shall be exempt • from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the. homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a.supervisor (see Appendix Q,Rules&Regulations for.Licensing Construction Supervisors,Section 2.15) This lack of awareness often results_in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the:homeowner is fully aware of his/her responsibilities,many communities require,as-part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor:"On th'e last page of this issue is a form currently used by several towns. You may care f amend and adopt such a form/certification for use in your community. C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\QRE6ZUBN\EXPRESS.doc Revised 053012 l ---` . r wr ITTVt X, Sy a� f 'F y yV Id Al y, r u C� I t J V 01 Mill 77 • F t.. y ."�• s�,�.h r...�_y.�� .' y^F'a�: � +ram .^ � x°`'c #.„_ z`.""�`" ".. .: �„�,,,r^ ...+a -,.. s s —,APT a t � � °� � i. � k of �� a �4f �`e`�✓ t "��, �� `ar},�` � -a�,ySP �3. z'� � ",.e ��'�E , ^. ,r vt �_ 66 .`" �'.>brt',a.� � s t r2 �'�� �'i r� xY'�y�� 7 x.'+ � � �� '`Y`+ p"� i r�'�m'��"����''•. 4� qk:. 1��.R '"Y`'"t3 Fty'�7�� v t J+ •r 's"•� a �- �, � '. '.� �✓r'�4 ,'��.,+, ! a. ,:y � � '�'#` S '}. c � t � _ •' - 4:.? t 'FEW I j �..�+R `�§L A� 3� '�` 8 ��' t.� # r�. � 2Yrw-',:.Y.az .,4} .#. q° ' •a,. ,� �F.,y a! r z'} At �i i D 7/tv �- e s y i ,, -, � t f4 f . . E � � •. i t �: _ .. _. ._ r �� f Town of Barnstable FTME T ' do Regulatory Services- Thomas F.Geiler,Director RAMSTAar e KAS& g Building Division 039. A�0 Tom Perry,Building Commissioner 200 Main Street, Hyannis;MA 02601 Office: 508=862-4038 u�e __ �_s C09 = 49 Fax: 508-790-6230 AGREEMENT FOR FAMILY APARTMENT I, the undersigned, being the owner of property situated at, 324 Strawberry Hill Road, Centerville, MA 02632,holding title under a deed recorded with the Barnstable County Registry of Deeds in Book 25286,Page 311, being shown on Assessors' Map 248 as Parcel 239, hereby agree, certify, warrant and represent to the Town of Barnstable that the accessory attached apartment, which contains living quarters, is intended for use as a family apartment,for year-round occupancy. This unit shall be used for a"Family Apartment" (as defined in Zoning Ordinances) which would require compliance with the Family Apartment Rules and Regulations. The family apartment unit must be occupied only by the property owner or a member(s) of the property owner's family as accessory to an owner-occupied single-family residence. , Occupant(s)of Main Residence: Marcia Raftery and Robert Raftery Relationship to Owner: Owner Resident of Family Apartment: Scott Buoncristiano Relationship to Owner: Son This unit shall not be rented as an apartment or as a single room, or in any fashion,which rental would be a violation of the Town of Barnstable's rules, regulations, and zoning ordinances. Prior to occupancy of this unit, affidavits reciting the names of occupants are to be recorded with the building department. This agreement shall be updated whenever a change occurs or every calendar year. This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated. The consideration for this Agreement is the issuance of a building permit and/or certificate of occupancy by the Town of Barnstable Building Department. WITNESS our hands and seals this ! day of �Cx�w� 20 TOWN OF BARNSTABLE OWNER By: . S Marcia Raftery uilding Commissioner . THE COMMONWEALTH„OF MASSACHUSETT BARNSTABLE COUNTY, SS Date 901 Z .Aa�oype�se;ba£tan.'� - Then personally`',RoPeAU, New-above-named (owner), arxe-c,, and. made oath as;3ogRe°tt:e ttie oregoing instrument,before e. _ Notary Public I Nk q:wpfiles:famapt ply Commission Expires: MARI T!A DUCI:1�4tF3MS Notary Public COMMONWEALTH OF MASSAMSE'S'i'S My Carnm?�sicn Expires BARNSTABLE REGISTRY OF DEED Niayy4, 011S . OWN OF RARNSTABLE 2013 MIN 13 A_&$ 03: ?Ci v3? ` f NOTES: 1. CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD A 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, A3 DETAILS,&FINISHES IN THE FIELD WITH OWNER ANDE A251 A251 )RSEN ANDERSEN ANDERSEN TW24310 3. ROUGH OPENING HEAD HEIGHT OF WINDOWS AT ' .. FIRST FLOOR TO BE 6'-8"ABOVE SUBFLOOR NEW 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS 7,-0. BATH , 1r 2" STATE BUILDING CODE,8TH EDITION AMENDEMENT&IRC2009 5.) 110 MPH ZONE EXPOSURE Br 1.00 ASPECT RATIO ! ANDERSEN 6.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, x _ - QLOS• a TW2842 OR HORIZONTALLY W/BLOCKING AT EDGES,3"EDGE/12"FIELD NAILING 6 R. 6 e+ NEW 7.) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD ti W NEW Q BEDROOM DECK „ 8.) ALL JOISTS TO BE SPRUCE/PINE/FIR NO.2 GRADE io l 24° 15' 1 (AZEK DECKING)m 1 4'.3• ----7 (VAULTED CEILING) �( 9.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL 3o I SIMPSON COMPONENTS 1 RANGE SINK 0 10.) ALL CONCRETE USED FOR FOUNDATION WALLS,FOOTINGS&SLABS ---1 �f N FULLs8" TO BE 3000 PSI 12r 15 J �/L 11.)VERIFY ALL PLUMBING&ELECTRICAL DETAILS W/OWNERS ON THE SITE NEW (D NEW DURING FRAMING CONSTRUCTION KITCHEN LIVING 12.) THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA,EXPOSURE"B" REF. (VAULTED CEILING) ; &WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF MASSACHUSETTS WIND SPEED MAPS SMOKE DETE GTORS REVIEWED PEPE 13.)GLAZING PROTECTION PER 780 CMR 5301.2.1.2 TO BE PLYWOOD PANELS f i ti VERIFY ALL WIND BORNE DEBRIS PROTECTION REQUIREMENTS W/OWNERS PRIOR TO START OF CONSTRUCTION (O d IJ II /i OWO��LEBUILDING DEPT. DATE 2,8,xG0,8, EXIST. EXIST. W��1 ANDERSEN ANDERSEN HOUSE ) TW2642 TW2842 INSTALL TWO FULL HEIGHT KING STUDS&TW JACK FIRE DEPAR MENT DATE *o°o STUDS AT EACH SIDE OF ALL ROUGH OPENIN BOTH SIGNATURES'A REQUIRED FOR PERMITTING A3I�l wwoow A 1, 6'-5' 3'-2• 6'-5- ( 2 x 6 WALL TI{ JACK STUD (ROUGH OPENING) ROUGH OPENING STUD DETAIL FLOOR PLAN LEGEND: EXISTING WALLS TYPICAL ASPHALT CONSTRUCTION TO BE REMOVED ROOFSHINGLES NEW CONSTRUCTION 5/8"CDX PLYWOOD SHEATHING 2 x 12 RAFTERS 15#FELT PAPER *-A SIMPSON H 2.5 HURRICANE CLIPS SMOKE DETECTOR WIND WASH3'0'WIDE ICEANATER SHIELD ©CARBON MONOXIDE DETECTOR ALUMINUM DRIP EDGE FASCIA,SOFFIT,&FRIEZE 3 STRAPPING W1BOARDS TO MATCH EXISTING IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS f 1/2'GYPSUM BOARD CLIMATE ZONE 5A(USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION TYP.2 x 6 WALLS TABLE 402.1.1 (MINIMUM PRESCRIPTIVE INSULATION&FENESTRATION REQUIREMENTS) FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENT WALL BASEMENT SLAB CRAWL SPACE WALL 1 U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALVE R-VALUE - 0.35 0.60 38 20 30 1 10113 10(2 FT.DEEP) 10113 DETAIL AT WALL ` NOTES: SCALE:1/2"=V-0 1.R-VALUES ARE MINIMUMS&U-FACTORS ARE MAXIMUMS. I 2.10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 3.REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION&ENERGY REQUIREMENTS THE ERRORS SHALL BE ONSARE FOUFIED ND ON SCALE : DRAWING NO.: [K NEW ADDITION FOR• ERRORS OR OMISSIONS ARE FOUND ON Ea COTUIT BAY DESIGN. LLC THESE DRAWINGS PRIOR TO START OF WGNSTRU TION.THE BUILDING ILL BE RESPONSIBLE FORT E CONTENT T� 1/411 - 1 -0�� 43 BREWSTER ROAD INTHESEORAWINGSIF CONSTRUCTION COMMENCES WRHOUT NOTIFYING THE MAS(PEj MA. 02649 RAFTERY RESIDENCE THESE RAWNGY ERRORSLY FOROMISSIONS. DATE PH. (508 274-1166 TOF THE HESE OWNER NOTED. ARE TEDSOLELY FOR THE USE THESE DRAWINGS EO RESTHEEWRITTN FAX 50 539-9402 A/A1 CONSENT OF THE DESIGNER UNDER THE 5/16/2013 A 1 324 STRAWBERRY HILL ROAD CENTERVILLE, MA ACT OFECBT�URAL COPYRIGHT PROTECTION y w ` 12 NEW RIDGE VENT Q EXIST. I NEW ASPHALT ROOF SHINGLES TO MATCH 12 . NEW AZEK RAKE BOARDS EXISTING TO MATCH EXISTING EXIST.D 12 VERIFY ROOF PITCH OF NEW MATCH NEW AZEK FASCIA,SOFFIT,8 ADDITION TO FIT BY THE EXIST. FRIEZE BOARDS TO MATCH EXISTING WINDOW EXISTING TOP OF PLATE TOP OF PLATE NEW SIDING TO ® ® NEW AZEK 1 x 4 TRIM MATCH EXISTING i Z W/2'SILL w x NEW AZEK CORNER w w FT BOARDSTO = JIRST MATCH EXISTING YIYI FIRST FLOOR FLOOR SUBFLOOR UBFLOOR I FRONT ELEVATION RIGHT ELEVATION NAILING SCHEDULE 110 MPH EXPOSURE B WIND ZONE JOINT DESCRIPTION NO. OF COMMON NAILS NO. OF BOX NAILS NAIL SPACING ROOF FRAMING: BLOCKING TO RAFTER(TOE NAILED) 2-8d 2-10d EACH END RIM BOARD TO RAFTER(END NAILED) 2-16 d 3-16d EACH END WALL FRAMING: TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-16d 5-16d AT JOINTS _ STUD TO STUD(FACE NAILED) 2-16 d 2-16d 24"o.c. HEADER TO HEADER(FACE NAILED) 16d 16d 16"o.c.ALONG EDGES . FLOOR FRAMING: JOIST TO SILL,TOP PLATE OR GIRDER(TOE NAILED) 4-8d 4-10d PER JOIST TOP OF PLATE BLOCKING TO JOISTS(TOE NAILED) 2-8d 2-10d EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-16d 4-16d EACH BLOCK LEDGER STRIP TO BEAM ORGIRDER(FACE NAILED) 3-16d 4-16d EACH JOIST coJOIST ON LEDGER TO BEAMM(TOE NAILED) 3-8d 3-10d PER JOIST z BAND JOIST TO JOIST(END NAILED) 3-16d 4-16d PER JOIST y BAND JOIST TO SILL OR TOP PLATE(TOE NAILEDO 2-16 d 3-16d PER FOOT x ROOF SHEATHING: JFSI.R.ITLFLOOR WOOD STRUCTURAL PANELS(PLYWOOD) RAFTERS OR TRUSSES SPACED UP TO 16"o.c. Bd - 10d 6"EDGE/6"FIELD RAFTERS OR TRUSSES SPACED OVER 16"D.C. 8d 10d 4"EDGE/4"FIELD GABLE END WALL RAKE OR RAKE TRUSS W/O OVERHANG 8d 10d 6"EDGE/6"FIELD OOR GABLE END WALL RAKE OR RAKE TRUSS 8d 10d 6"EDGE/6"FIELD W/STRUCTURAL OUTLOOKERS GABLE END WALL RAKE OR RAKE TRUSS W/LOOKOUT BLOCKS 8d 10d 4"EDGE/4"FIELD REAR ELEVATION CEILING SHEATHING: GYPSUM WALLBOARD 5d COOLERS -- 7"EDGE/10"FIELD WALL SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) STUDS SPACED UP TO 24"o.c. 8d 10d 3"EDGE/12"FIELD 1/2"&25132"FIBERBOARD PANELS 8d -- 3"EDGE/6"FIELD 1/2"GYPSUM WALLBOARD 5d COOLERS -- 7"EDGE/10"FIELD FLOOR SHEATHING: WOOD STRUCTURAL PANELS(PLYWOOD) 1"OR LESS THICKNESS Bd 10d 6"EDGE/12"FIELD GREATER THAN 1"THICKNESS 10d 16d 6"EDGE/6"FIELD I \ COTUIT BAY DESIGN, LLC NEW ADDITION FOR: THE DESIGNER ON.THE CONTRACTOR II—�\ ED IF ANY ERRORS OR OMISSIONS ARE FOUND ON SCALE : DRAWING NO.: THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD CONSTRUCTION.THEBUILDINGORTH CONTENTTOR 1/4" - 1'-0" WILL BE RESPONSIBLE FOR THE CONTENT INTHESE DRAWINGS IF CONSTRUCTION COM GES TIFYING THE MASHPEE MA. 02649 THESE RAWIN SA RE SOLELYFORTH �� Q RA FT E RY RESIDENCE DESIGNER OF ANv ERRORS OR OMISSIONS. DATE +A PH. (5OV)274-1166 TOF HESE OWNS NOTED SOLELYFER THE USE FAX(508)539-9402 CONSE TO FT HE DESIGNER OTHER USE OF 324 STRAWBERRY HILL ROAD CENTERVILLE, MA A`TOFCTURAL REQUIRES GHTM WRITION 5/1s/2o13 CONSENT OF THE DESIGNER UNDER THE ARCHITECTURAL COPYRIGHT PROTECTION - I r'r A NOTE:DROP TOP OF NEW FOUNDATION 20'-6^ e•-o" A3 TO MATCH NEW SUBFLOOR W/THE q_p- q-p FASTEN JOISTS TO EXISTING SUBFLOOR(VERIFY IN FIELD A BEAM W/SIMPSON 12"DIA.CONC.SONOTUBE IF REQUIRED). A3 H2.5 TIES TO 4'0'BELOW GRADE.USE --- BASEMENT BASEMENT tWIN�OW WINDOW SIMPSON ABU66 POST BASE I I SOLID 2 x 8 BLOCKING IN THE OUTSIDE I — —— T —— ZD TWORAFTER 8 OILING JOIST BAYS @ 48'o.c.,ALLOY SPACE FOR AIR FLOW ON THE UNDERSIDE OF ROOF SHEATHING I i? I I NEW 2 x 8's 16'o.c. W/MID-SPAN BLOCKING 10'A" 10'-2' I i CONCRETE FOOTING ' NEW 3 1/2"DIA. STEEL LALLY COLUM 2-1 3 x 14" GEBEAM _ _ o I BE M I ° H PK. r -- 3-2X12GIRT @ SAWCUT 3'0'OPENING I r i a o IN EXIST.FOUNDATION FOR L ACCESS INTO NEW N CRAWLSPACE I NEW I 0. CRAWLSPACE I " (2-CONC.SLAB) DRILL 8 PIN NEW FOUNDATION _ "' TO EXIST.FOUNDATION WALL P.T.2 x 10 LEDGER BOA LAG BOLTED TO SOLID BLOCKING W/(1)LE GERLOK BOLTS TOP 8 BOTTOM I 16'D.C.W/JOISTS HANGE AT BOTH ENDS P.T.2 x 6's @ 16'o.c. A3 EXIST. P.12x8'S -- ------ ----- -- BASEMENT NEW 8'CONCRETE FOUNDATION 20'-0" A WALLS Wl 8'x 1W CONCRETE A3 FOOTINGS TO 4'0"BELOW GRADE ROOF FRAMING PLAN HANG BEAM W/ � SIMPSON HUCO210-2 O' Q HEAVY DUTY HANGERS NOTES: °O 1.) ALL ROOF RAFTERS TO BE 2 x 12's CONT.RIDGE VENT 4'-0' UNLESS OTHERWISE NOTED 2-1 314"x 14^LVL 2.) USE SIMPSON H2.5 HURRICANE CLIPS RIDGEBEAM FOUNDATION PLAN AT ALL RAFTERS ENDS UNLESS OTHERWISE NOTED 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS 2 x 6's @ 16"o.c. 15' INSTALL 5/8'ANCHOR BOLTS AT 48'o.c.MAX. W/SIMPSON BPS 5/8-3 BEARING PLATES 6" 9' PLACE BOLTS WITHIN 6'-15'OF EACH CORNER AND TO A 8'MINIMUM DEPTH. - NEW 1/2"GVP.BOARD 2 x 8's @ 16"o.c. ON 1 x 3 STRAPPING @ 16"o.c. 12 _ I NEW ROOF CONST. MATCH Q .2 x 12 ROOF RAFTERS @ 16"o.c. EXIST. —_ -5/8"CDX PLYWOOD ROOF SHEATHING 2 x 8'sBETWEEN EACH RAFTER -ASPHALT ROOF SHINGLES TO PREVENT WIND WASHING TOP OF PLATE -15LB.FELT PAPER FULL HEIGHT WALL -11'HI-R BATT INSULATION CONT.VINYL STUDS FROM FLOOR @ SLOPED CEILINGS(R=38) TO CEILING i4.1 SOFFIT VENTS ? P.T.2 x fi SILL W/SEALER -2-1 3/4"x14'LVRIDGEBEAM NEW WALL CONST. o -SIMPSON H 2.5 HURRICANE CLIPS N AT ALL RAFTER ENDS - 1.2 x 6 STUDS @ 16'o.c. w -ICEf WATER SHIELD AT BOTTOM 2.1/2"PLYWOOD SHEATHING TO.OF ROOF NEW 3/4"T 8 G NEW NEW 3.6"(R=20)BATT.INSULATION PROP-WIND W VENT BETWEEN RAFTERS PLYWOOD SUBFLOOR, 4.1/2"GYPSUM BOARD f -WIND WASH BARRIERS GLUED 8 NAILED LIVING BEDROOM - DING ALUMINUM DRIP EDGE 6.TYPAR VAPOR B W.C.SHINGLE ARRIER(EXTERIOR) ANCHOR BOLT DETAIL 7.POLYVAPOR BARRIER INTERIOR FIRST FLOOR ( ) SUBFLOOR NEW P.T.2 x 6 SILL W/SEALER NEW 2 x 10's 16"o.c. NEW 2 x 10's @ 16'o.c. mmmd NEW 3-2 x12 GIRT CRAWLSPACE 3-112"DIA.STEEL NEW 9'BATT.INSUL.(R=30) NOTE:DROP TOP OF NEW FOUNDATION LALLY COLUMN TO MATCH NEW SUBFLOOR W/THE NEW 8"CONC. EXISTING SUBFLOOR,(VERIFY IN FIELD FOUND.WALLS IF REQUIRED). I-30'x 30'x 12" —NEW 8"x 18'CONC. nBUILDING SECTION aI 7LIVING/BEDROOM I NEW 2'CONC.SLAB CONC.FOOTING FOOTINGS W/2 x 4 KEY A3 . 1 ` 00 COTUIT BAY DESIGN. LLC NEW ADDITION FOR: THE DESIGNER DRAWINGSSHALL PRIM TO IFIEDSTAR IF MY C�(�/LLE DRAWING NO. II-,\ ERRORS OR OMISSIONS ARE FOUND ON S�..I/"'� THESE DRAWINGS PRIOR TO START OF 43 BREWSTER ROAD CONSTRUCTION RESPONTHE SIBLE DING FOR CONTRACTOR 1/4"WILL BE RESPONSIBLE TOR THE CONTENT THES MASHPEE MA. 02649 RAFTERY RESIDENCE DESIGNED OF MYSRORS R O COMMENCES WITHOUT NOTIFYING THE PH. (508 274-1166 OF THE OWNER NOTED. SOTHERUSE DATE . THESE DRAW INGS.ARE SOLELY FOR THE USE THESE DRAWINGS REQUIRES THE WRITTEN FAX(50 )539-9402 324 STRAWBERRY HILL ROAD CENTERVILLE, MA ARCHITO�RALCOPYRIGHTROTECT& CONSENT OF THE DESIGNER UNDER THE 5/16/2013 A3 ARCHITECTURAL COPYRIGHT PROTECTION ACT r.� I J