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0165 BAY SHORE ROAD
syo� E �'� . s. 1 I r '4 Town of Barnstable ..w W 4 Building Post This Card So That it is VisibleTrom the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 7 MRN:WAl1L�, Z - , NAM �p (Posted Until Final fnsp'ection ncy is'en Made .�� ng a R -occupied � pi� N until � M n as er 1t ►aa'�°" Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit NO. B-20-1490 Applicant Name: Robert McPhee Approvals Date Issued: 07/24/2020 Current Use: Structure Permit Type: Building- Deck Expiration Date: 01/24/2021 Foundation: cl Location: 165 BAY SHORE ROAD, HYANNIS Map/Lot:-325-163 Zoning District: RB Sheathing: Owner on Record: THIEL, LAWRENCE A&SHARON A Contractor Name: Framing: 1 Address: 40 BLACKBERRY FIELDS ROAD Contractor License: 2 DRACUT, MA 01826 p W T` Est. Project Cost: $50,000.00 Chimney: Description: Build new rear sun deck and yard fence Permit Fee: $ 110.00 Insulation: Fee Paid:E' $ 110.00 Project Review Req: ,' Final: Date: 7/24/2020 Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and.the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:' Service: 1.Foundation or Footing 2.Sheathing Inspection ection Rough: _�.. 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: , 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map o- S Parcel: j (ri�'1� _ Application # 9"/ � — r2 1 � �%)� ' .+ - Date Issued 7--Z I-0 Health Division ?pt�� Conservation Division 6zO17 Application Fee Planning Dept. TOW � Permit Fee NO15AF,Nq Date Definitive Plan Approved by Planning Board ESL Historic - OKH _ Preservation/Hyannis Project Street Address (ft__ Village 142!�A4 Owner wY t rN C 1 Address 1 Co� Telephone ,50� - Z W -7 Itl fe Permit Request . "� n \( C)v \ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District 4J� Flood Plain Groundwater Overlay Project Valuation Construction Type A-�f1k'ei4-"A-Z- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family � Two Family ❑ Multi-Family (# units) Age of Existing Structure Ju -40� Historic House: ❑Yes O<o On Old King's Highway: ❑Yes CKo Basement Type: ❑ Full ❑Crawl M Walkout ❑ Other Basement Finished Area(sq.ft.) f Basement Unfinished Area (sq.ft) dol Z --- Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing ®new Total Room Count (not including baths): existing 1� new First Floor Room Count Heat Type and Fuel: rU GaS ❑ Oil ❑ Electric ❑ Other Central Air: ❑'Yes ❑ No Fireplaces: Existing ® New v Existing wood/coal stove: ❑Yes U<01 Detached garage: ❑ existing ❑ new size_Pool: 0 existing ❑ new size _ Barn: ❑ existing ❑ new size_' Attached garage: OV6xisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ©'No If yes, site plan review# Current Use / Proposed Use =- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address 46 License# CIA* n 44?_ 16� Home Improvement Contractor# �' ��' . Email l4¢ d IWO 6 :d Worker's Compensation # VL � /0 K 7J-91- ' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?d60, C,&E- SIGNATURE DATE ' r FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED VAP/ PARCEL NO. I ADDRESS VILLAGE r OWNER DATE OF INSPECTION: l FOUNDATION F FRAME t INSULATIONok�OZo64Q9/PJ?C FIREPLACE ti ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL , GAS: ROUGH FINAL Y FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. �t the Connnorrvvrealt&of Massachusetts Department ofr4dus-ftialAccidews 600 Washington,street" Baston,MA 02II1 " 4 wro-nmas£govIdia Warkeis' CumpensatiGn Insurance Affidavit BmldersJContractGrs/EIecfricians/Plu nbers Applicant InfGri ation Please Print Legibly Name(Busiuessx gmizationtfnd" na):- llx a CY —� `C Address: O. Q>Z X Cool CityfSfatel ig c,C_ Phone 8` C� O` Are you an employer?Check the appropriate box: Type of project(requirbd)c am a general contractor and I 6_ New construction 1.El I am a employer with ® employees(full and(or part-time)-* 'have hired the sub-contractors 2.❑ I am a sole proprietor orpartaer- listed on.the attached sheet I [P.remodeling Amp and ha-re no employees. 'These sib-contractors have g. Demolition woddng for mein any capacity_ employees andhatre workers' [No workers'comp.insurance comp.iusuranml 9. ❑Building addition r ed- 5. ❑ We are a corporation and its 10❑Electrical repairs or additions 3.❑ e�utr j officers have•exercised their I am.a hameou�er doing all work 11.E]Plumbing repairs or additions my [No workers'gip- right of exemption per MGL 12.❑Rnafrepairs insurance rewired l Y c.152,§1(4h and we have no employees.[No workers' 131]Other comp-insurance required.] 'Any WHcmCtbat checks bax#1 mast also fill out the section below shoraing&&mockers'compensation policy inhrmauaa T l ameownem who submit das af5daim indicating they are doing all wa l anxt dum hire outside contractors mast sabm3t anew affidavit indicating sarTi fC'ontractors tbst check this bone mast attached=additional street shrnesag the nuneof the sub-cmdracWa and state whether or nuttbose entities have employees.If the sub-am-tractors have employees,they mustpmuide their=rken'rJomp.policy number. I am art extpZo}�er tltrrt is prm.�dnrg 7aorkers'conrperesrrhatt iitrrirance,for�tr}*enrpiny�ees $eto�v is tits pfl£icy'rued jab wife iieforma om Insurance OompanyName: Policy 4 or Self-ins.I.ic. . Expiration Date: Job Site Address: Citylstawzt p: Attach a copy of-he workers'compensation policy declaration page(showing the policy number and expiration date). Fails to secure coverage as required under Section 25A of MGL cw 1572 can lead to-the imposition of criminal penalties of a . fine up to$1,50D:D0 and-'ar one-year imprisonment,as well as civil peaalties.in fire form of a STOP WORK ORDERand a fine of up to$250.00 a day against the violator. Be addsed that a copy of this statement maybe forwarded to the Office of Itavestrgations of the DIA for insurance coverage yerMcation- I d'o here-by ceilify eaatder the "is arrd penahUes o pee aiy flratflie information provi&d abmw fs&ue and carrect Sitrature: T}ate: Phone — r O,Qisir L use enly. Do not avrke in this area,robe campteted by dry artown of j'iciaL City or T'cmu: P`ermitUcense# Issuing uthar€ty(circle one): 1.Board of health 2.Building Department 3.(itytfown Clerk 4.Electrical Inspector rr.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions , hfa ssaajrozetts Creneral Laws chapter 152 req=m all employers to provide worker'compensation for their employees. poxsaantto this stare,an ernProyee is defined as."_.evmy person in the service of another under airy contract of hire, express or itx�lied,oral or wriitor." Au errplaycr is defined as"an individA partnership,association,corporation or other Iegal entity,or any two or mare of the foregoing engaged in a joiat enterprise,and including the,legal representatives of a deceased employer,or the receiver or tiusfee of an individual,partnership,association or other legal entity,employing employees. However the Owner of a dvm1li g house having not more than three apartments and who resides therein,or the occupant of the - dweUiag house of another who employs persons to do maintenance,consizu ti on or repair work on such dwelling house or on-the groumds or bunldmg appuurteraat thereto shall not because of such employment be deemed to be.as employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business onto construct buildings in the commonwealth for any applim iitwho has not produced acceptable evidence of compfiaace with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor Ly Of its political subdivisions shall enter into any contract for the perfoumance ofpnblic work unt it acceptable evidence of compliance with the in s rra ce n .- requirements:of this chapter have been presented tD the contracting authoziLYf AppHcanfs Please fill obi tine worker'compensation affidavit completely,by checking the boxes That apply to your situation and,if necessary,supply sub-contractors)nam(-,(s), addresses)and phone numbers) along with their certificates)of inmarance. Limited Liability Companies(LLC)or Limited Liability-Partnerships(LLP)with no employees other than the members or partners,are not required to cagy workers' compensation fi sarmce. If an LLC or LLP does have employees, a policy is required. Be advised that this affidayitmaybe submYdr-d to the Depa-finent of Industrial Accidents for conf[oration of finurance coverage. Also be sure to sign and dafethe affidavit The affidavit should be ret=(--d to$e city or town that the application for the permit or license is being regnestecl,not the Department of In , 'A_ccidenfs. Should you have any questions regatdiag the law or if you are regoimd to obtain a workers' comhpmsation policy,please call the Department at the number listed bew Io Self-ir s companies should enter their self-insurance license number on the appmpriate,line. City or Town Officials. Please be sure that the affidavit is complete;and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Invesiigatioms has to contact you regarding the applicant Please be sure to fill in the pennit/license number which will be used as a reference number. Iu addition,an applicant that must submit multiple pem&Hcense applications in any given year,need only submit one affidavit mdir-a_f_=current policy inforaation(if necessary)and under"Tob Site Address"tie applicant should write"all locations in (cIry or town)-"A copy of the,-affidavit that has been officially stamped or marked by the city or town may b e provided to the applicant as proof that a valid affidavit is on file for futm e permits or licenses. A new affidavit must be,filled out each year.Where a home owner or citizen is obtaiming a license or permit not relatrd to any business or commercial ventu-e (i.e. a dog license or permit to burn leaves etc.)saidpmson is NOTregahMdto complete this affidavit The Of of Investigations Would at to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give to a call. The Department's address,telephone and fax number. e QG.=:tQUwealth�of Masmchus-E.-t.9 ' Department of hidustial Agents Q-fitce Of kvegQg4o---= 60a Washington st=t Boston MA Gil I Tf,-1.4 617 727-4900 Qxt 4-06 or 1477 M .SS-� Fax 9 617` 27 7749 Kevised4-24-07 WW ma -gogfdia f �i J °� T y Town. of Barnstable - v,� Regulatory Services ' i F[ S7NGTlRf4 i ` . asses$ Richard P.S=H,lXxednr m TomPerry,Bm�i�COn=dssioner 200 Mum Street Hyamijs,MA 02601 WWW tDWnbarnstable ma.us Office: 508-862-038 Fax: 508-790-6230 Property Owner Must ' Complete and Sign This Section If Us ing A Builder as Owner of din subjectProPertY wr to art on ray bebA in all mattrm mlative to work autb.orized bythis bu iag pe=ait application for- ( s of Job) `Poolfences and alarms are the responsibR7of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections.are pedomed and accepted.. S' of Owner S,f an„ o pjicant Nr�x' t Pint Name Pzi=Name Date . Q:FORMS:OW2r�RP�,,�rtee,,,,Ja�oIs - . To n,of Barnstable -. Regulatory Service �u�r Richard V.Sc a]],Director ti °-� - Buffding biv&on t F E , � �grtrrastra s Tom Berry,Bmalklmg L`pmmrscrn+±Pr SEASM 1a 200 Main Sttr4 Hyauffis,MA 02601 Office: 508-962-4-038 - Fay 508-79Q-6Z30 Hozmvnma LICE her EXEIn ION • PTrzscPrimt ]?ATE: • JOB I.00.ATIOK-- n Cr namn - b, ph==# � SQ�LlCpl10LC# i CLMPENTMAITbIGADDRESS: -T• dYafr zip code The evnent exemption for`homeowners"was exfendedfn inclpde owner-oceupied dweIImes of sic units or less and to allow homeowners to.engage an individual for hirewho does notpossess a license,ptovidEd thatthe owner acts as supervisor_ DXFMdMN OF HOMEOWNM p mson(s)who opens a parcel of land on which helshe resides or inf cis to reside,onwhich-there is,or is intended to be,zone or two- famiLy duelling,. uelling,attacbtd or detached stuctrrres accessory to such,use and/or farm sftuct**t'S A pmson who contacts more than one home in a two-ye r period shall not be eonsidcsed,abomeoQencn s uch`0homeownee-.shall mbmitto the BmZding Official on a fhna acceptable to the Btu7dmg Official,thathchhc shall be responsible for ell such wohicparfbmned MId=fbImbdIdina Relit (Section 109.L1) The rmdersigmcd`.`homeowner'mncs responshbh7ky far campIiaace whhfhe State Bm7dmg Coda and otlhm applicable codes, bylaws rules and rag-Mb Mims- - Tile tmdersignod`ghomeowner'certifies tb3thelsbe and n the Towa ofBarnstable Bln7.dmg Departn=tn===inspedian procedures and requirements anciflot helshe will comply with said proced=m mail mquircmeris- sigazinm ofHomco wn= - Appwval ofBm7dingOf5dal • Note. Three famffy dwellings containing 35,000 cabic feet or in=wi`.Tlbe regafird to comply with ffim State Bm7timg Code Seddon f27.0 Coushrncton Coniml - HOMEOwtEB'S EXMZMX The Code sfaths that: a A. y homeowner performing workfor which a bu�diag permit is required shall be exempt from the provisions of this sect-=(Section.109-1_1-LirPnsi�of coasUrurion Snp.ervisors);provided that if the homeowner engages a person(;)for hire to do such Work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption.are unaware,fhatthey are;sing the responsibilities of a supervisor (see Appendix(?,Rules&Regulations for Licensing Consbrudinn Sipwrisors,Section 2-15) This lark of awareness often. results in serious problems,psrficularly when the homeowner hires unlicensed persons In this case,our Board cannot .pm=c:d against the unlicensed person as it would with a licensed Supervisor_ The homeowner actag as Supervisor is lately responsible. To ensure that the homeowner is Bally aware of his/her responsrbiiides,many co=miffles requaq as part of the permit appli=Evon,that the homeowner certify that he/she understands the responsibilities of a Supervisor. Oa the Last page of this issue is a form cnrrentiy used bg several f3DWm Yon may caret amend and'adopt such a formfeertifizition for use is your commuhgty: t�l�PF1IFS'�E�BMb'l�*^�'�'�P�rtfr�slEit3HE5s_doo Rmised 06U 13 . ,r artment of Public Safety Massachusetts DeP ulations and Standards of Building Reg Board.. • CSFA-07 License: 1164 Construction Supervisor 1�8' 2 Family THOMAS J ONEILL PO BOX 625 1 MASHPEE MA 02649 f d l Expiration: 1010712017 commissioner. f, C/�e thaawnzd�uuenit/a�R/jl�ca�ac�cc�elt Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: '125983 Type: ,`Expiration 4/6/2018 Private Corporation: THOMAS J.O'NEILL 1SJG iz E :x THOMAS O'NEILL 26 BATES ROAD • `MASHPEE,MA 02640 -Undersecretary MAY-14-2017 09:51 PAUL PETERS INSURANCE r.blil!JJ DAIS(MMIDDft-fYY) CERTIFICATE OF LIABILITY INSURANCE 09/8/2017 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 endorsemen s. C NTACT PRODUCER NAME: Paul Peters Agency,Inc. PHONE F P O Box 669 A/C wo Falmouth,MA 02541-0669 DDDRESS: Gary M.Bruno PRODUCER I ,.ONEITH2 INSURERS AFFORDING COVERAGE NAIC I INSURED ThomasJ.O'Neill,Inc. INSURER A:Western World Ins.Group PO Box 626 INSURER 13:PILGRIM INSURANCE CO. Mashpee,MA 02649 INSURER C:The Travelers INSURER D: INSURER E: INSURER P: Eli 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 POLICY EFP 1JMrSS TYPE OF INSURANCE POLICY NUMBER P JGEN'L LUABILITV EACH OCCURRENCE S 1+���+� UR&—GE—TU RENTED MERCIAL GENERAL LIABILITY NPP8296816 09/1812016 09/1812017 PREMISES Ea occurrenee $ 100,0 CWMS-MADE �X OCCUR MEO EXP(Any one ) $ 5+ PERSONALBADVINJURY_ $ 1,000,00 GENERAL AGGREGATE S 2,000,00 GGREGATE LIMIT APPLIES PER: PRODUCTS-COMPrOP AGG $ 2+�0+ LICY PRO LOC $ AUTOMOBILE LIABILITY SINGLE LIMB $ 1,000,0 (Ea actidem} B ANY AUTO PGC00001009174 09N612016 09N8/2017 BODILY INJURY(Per Person) S ALL OWNED AUTOS BODILY INJURY(Per accident) S X SCHEDULED AUTOS PROPERTY DAMAGE $ (PER ACCIDENT) HIRED AUTOS $ NON-OWNED AUTOS UMBRELLALWa OCCUR EACH OCCURRENCE S EXCESS LU1B CLAIMS-MADE AGGREGATE S S DEDUCTIBLE $ RETENTION S WC STATU- OTH WORKERS COMPENSATION I AND EMPLOYERS'LIABILITY Y r N 7PJUS-91OX756.3-15 07/2312016 01/23/2017 E.L.EACH ACCIDENT S 500,00 (: ANY PROPRIETOR/PARTNER/EXECUTNE NIA A OFFICE MEMBER EXCLUOEl7t a E.L.DISEASE-EA EMPLOYEd S 500,0 (Mandatory In NH) If yyes,descnbe under E.L.DISEASE-POLICY LIMIT $ 600100 DESCRIP ION OF OPERATIONS below DESCRIPTION OF OPERATONS/LOCATIONS I VEHICLES(Aftw+ACORD 101,Additional Remarks Schedule,M more space Is required) CERTIFICATE HOLDER CANCELLATION MASHT01 SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Mashpee ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept. 16 Great Neck Road No. AUTHIORMW RE+RES NTA Mashpee,MA 02649 Gary M.Bruno (D1988.2009 ACORD CORPORATION. All rights reserved. ACORD 2512009109) The ACORD name and logo are registered marks of ACORD TOTAL P.01 ,a o CERTIFICATE'OF LIABILITY INSURANCE page 1 of 1 oi2 i2' ' 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 Willis of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd. • 877-945-7378 888-467-2378 P.O. Box 305191 -wwa certificates@willis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGCOVERAGE NAIL# INSURERA: Zurich American Insurance Company 16535-005 INSURED Installed Building Products LLC INSURERB:American Guarantee & Liability Insurance 26247-004 dba MAP Installed Building Products INSURERC: ironshore Specialty Insurance Company 25445-002 165 State Rd (02562-2415), P. O. Box 1309 Sagamore Beach, MA 02562-1309 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:24688554 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 DL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY Y Y GLO 9139527-10 10/1/2016 10/1/2017 EEAACMHOOCCCCrUURRRENCE $ 2.000.000 CLAIMS-MADEa OCCUR PREMISESItaErer�ce) $ 1 000 000 MEDEXP(Any one person) $ 10,000 PERSONAL BADVINJURY $ 2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000 PRO LOC PRODUCTS-COMP/OPAGG $ 4,000.000 POLICY JECT X OTHER: $ AUTOMOBILE LIABILITY Y Y BAP 0156620-00 10/1/2016 10/l/2017 (EaaB ..tjINGLELIMIT $ 2,000,000 X ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED B06ILYINJURY(Peraccident) $ AUTOS AUTOS X HIREDAUTOS X NON-OWNED (Pe AUTOS radent)D E $ $ B X UMBRELLALIAB N OCCUR Y Y AUC 9314206-05 10/1/2016 10/1/2017 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I RETENTION$ Retention 20 $ A WORKERSCOMPENSATION Y WC 9139526-10 (AOS) 10/1/2016 10/1/2017 X AND EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNER/D(ECUTIVE® N/A Y NC 9139528-10 (VPI) 10/1/2016 10/1/2017 E.L EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? Mandatory,inNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 Ef yyes,describe under DESCRIPTIONOF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 C Excess Automobile Y Y 002907300 10/l/2016 10/1/2017 $3,000,000. Excess of $2,000,000 underlying automobile DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICL.ES(ACORD 101,Addlional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE --� THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE TEOMAS J O'NEILL INC. P.O. Box 625 NASRPEE, MA 02649 Co11:4963839 Tp1:2083922 Cert:246 554 ©1988-2014&ORD CORPORATION.All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD I A�Roi CERTIFICATE OF LIABILITY INSURANCE °ATE`MMro°/Y'"Y' 10/18/2016 If I 41S CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'ERTIFII04TE 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 WANED,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 03019-001 N�rACT Robert E Bouchie Insurance Agency 3019/1/66 Robert E Bouchie Insurance Agency PiUC.NNo.Ext: 5085645560 IF PO Box 400 .No.: Cataum t,MA 02534 ADDhSS: workerscomp@bostonbrokerage.com 1 AFFORDING VE C# INSURER • Associated Employers Insurance Company INSURED Paul Banks -- IN B Banks ConstructionINSURERC 9 Harvard Drive NUR D: East Falmouth, MA 02536 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 CppLLLAIyMS. I TYPE OF INSURANCE 11 ? VV1ID POLICY NUMBER POLIO MM1DD'!Yl YY MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED P a occurrence) $ CLAIMS-MADE ❑OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 3EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ OLICY ECT OC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident) ANY AUTO BODILY INJURY Per( person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS P a i $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS MADE AGGREGATE $ p EDg_ o FTFpNT�ICNIN $ __ _ _ yV�g_p7� $ AND ERM�PPLRO�YEETRpSR/pLIpA'BTIILNIETRY�EX y --— — - — X.. SKY LIMITS ER — A OFFICER/MEMBER EXCLUDED?ECUTNEt ] NIA WCC-500-5006068-2016A 10/5/2016 10/5/2017 E.L.EACH ACCIDENT $ 108 000.00 (Mandatory Ii�nNHH)) E-L DISEASE-EA EMPLOYEE $ 100 000.00 69MCON OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000.00 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Paul Banks is covered by the workers compensation policy. CERTIFICATE HOLDER CANCELLATION Xmas J O'Neill Inc --j.Box 625 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Z6 Baxter Road THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mashpee,MA 02649 ACCORDANCE WITH THE POLICY PROVISIONS. AQIRl CERTIFICATE OF LIABILITY INSURANC 5/25117E THS 9ERIJIFICATE is issum As A MAFTI< 'bO 14&ii(ATIQN'UNLY'Mg ;ONFERS NO PAGOS UPON THE CER. nFIqATE HOLDEA THIS GERVICA711 DOES NOT AFPIRIVIATIVEL.Y OR P!90ATIVE(.Y M11M, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Tms cERnFicATE OF INSURANCE 153 NOT COMOTME A qONTRACT 00 THE I"U1INQ INSbRER(S). AurHpFUZED . REPRESENT04OR PRODUCER,AND THE CERTIFICATE HQLIDF!R. IM-100 AWE "it the-efitfipats ho!tfer is an AD01110NAk'IF4pW ii P'; be enai; id7lf SUBROGA*1119WIS WAIVED,subject OR tQMN 4nd Gqndidunv of the policy,certain poligive may require an endorhejnant. A delement on this certificate does not confer rights tD#to im r0pate holder In lieu of such ensiorsemenje S. 'r Jim ill—mm N - .,r let LAMA%MI. 008) 771-8jI8j' (SOO) 771-0663 a4 ..Aip Stxpat ------ 7S3MMCZHMjL CaK .1mg.M.M-I I APPOR41142 cQVfiltAGE NA10 9 1478B. TOP =9 rq? W.'m ERB: HY4k=-11j, MA 02601 IK W.R" town wV-16lb-'NUMBF N*WRAI. ItyUTEr'). OTWII T-WTH$T-ANDING A14Y REQQIREMF TI5F(M 0 "*IFICATI 'w, It CONEOTION QP P-W CONTRACT OR OTHER DOC-VIVIENT WITH RWPECT TO WHICH THIS OA MAY" ISSUED OR MAY P AIM,THE INSQ 4 AFFORDSID BY THR POLICIES 00CRISED HERPIN IS SUBJECT TO Atl�THE TERMS, 9XCI.V5ION5ANP CONOTION1.8 QF$UCH POWC4138.LIMIT$'6HP XIE PAID CLAIM 09EN gt=p By TYPICIVINPURMC9 LZU1119-1 - . U ouFtrME 3/24/16 F-4jH 02CUPAENCI 6 1100-0.0.0-0. COMMIRCLA�.QIRWRALLMIUTY 91p.coo CLA.1M5,MAjQF j @ECUR ------- -P9RS()ML&ADViWF(Y -S— 2.000.00• 1LA93ORROAN 4pr.R mawars-cowplop to Mz 2,Q-00,oo.()-- POLI6TTS LQe 1NGL5VWFr. GORILY FNJVRY(per petpon) S NQ I ED 60MY INJURY(Flof S-048A() 814EI)a AMOS MH VQCNFR914 1! I VRFAA WAR Al AlUILMAMr, N ZZ M Cal gRFLq ,."Y L"y A1WI R1GPR RoT m pmrL 21F. N/4 p IDi In N - Me J 8mIm909mylovabaa L.MIIASE,P LIMIT I Ed QWFIQXRS HAV9 IRMC-TAR NOT 120 CW. XUIP UMS1 2. )MIR C_MW w 9tom.XtBPC Pau= T114 4,XPIRATION DATIR THEP 0P.4 , NOTICE WILL. BB 0EIjV0 IM 1p XNC 4IMPIWANOE WITM 7HE PO WY PROVI610 NS. A&M VAP A '7 MWEN NA 04049 -"D ACCIRI)name and lo 'go tiro ft! (499) 47?-0277 I1--M40.1 -7-ji= F CAPECON-01 "LLIETTA .ACOR®� CERTIFICATE OF LIABILITY INSURANCE °ATE F0511512017 'THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS '`CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C CT Almeida&Carlson Insurance Agency,Inc PHONE FAX PO Box 554 A/c,No,Ext: 508)540-6161 AIC,No:(508)457-7660 Falmouth,MA 02541 INSURE PAS)AFFORDING COVERAGE NAIC# INSURER A:ARBELLA PROTECTION INS CO 41360 INSURED INSURER B:HARTFORD CAS INS CO 29424 Cape Concrete Forms Co LLC INSURER C: 47 Riverside Road INSURERD: Mashpee,MA 02649 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHiCH.THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MMIDDIYYYYI MO ICY EXP MIDD LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE Q OCCUR 9520043939 09/29/2016 09/0912017 DAMAGE TO RENTED $ 100,000 X BROAD FORM ADD'L INS 5,000 MED EXP An oneperson) PERSONAL&ADV INJURY $ 11000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEC7 LOC PRODUCTS-COMPIOP AGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY Perperson) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS R ALTOS ONLY AUTO ONL� PPeOr acE'dT t AMAGE $ $ UMBRELLA LIAR HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION PERT OTH AND EMPLOYERS'LIABILITY YIN TT E ANY PROPRIETORIPARTNERIEXECUTIVE 08WECCM6215 04/29/2017 04/29/2018 1,000,000 p�FICERIMEMBE EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in N EL DISEASE-EA EMPLOYE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ _F DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Thomas J.O'Neill,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE . 4- & ACORD 25(2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MMMDNYYY) CERTIFICATE OF LIAB ILITY INSURANCE 5/inion17 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 ' EPRESENTATNE OR PRODUCER,AND THE CERTIFICATE HOLDER. POR I AN I: 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 C.L. HOLLIS INSURANCE NAME: Cheryl L. Hollis ,AIc No PHONE , (508)295-9500 140 Marion Rd E-MAIL FAX e:(508)295-9898 ADORES .cheryllee@insurehollis.com Wareham MA 02571 INsuRE S AFFORDING COVERAGE NAIC of INSURED ance Co Limited 11000 CAPE COD MASTER PLUMBERS, INC IN SURER BAllmerica Financial Benefit 41840 107 PINKHAM RD INSURERC.Hartford Fire Insurance 19682 INSURER D: SANDWICH INSURER E: MA 02563 INSURERF: COVERAGES CERTIFICATE NUMBERCL1411501940 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVEEVISION 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 LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP GENERAL LIABILITY MMIDD MM/DD LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMSaVIADE PREMISES(Ea occurrence) $ 1,000,000 ®OCCUR 8SBMPZ7591 0/16/2016 0/16/2017 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00a X POLICY F1 PRO- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO Eaacaden 1,000,000 L ALL OWNED X SCHEDULED 9773170 BODILY INJURY(Per person) $ AUTOS AUTOS 1/26/2016 1/26/2017 HIRED AUTOS X NON-OWNED BODILY INJURY(Per accident) $ X AUTOS Pia d DAMAGE $ UMBRELLA LIAB _Optional bodilyin' $ 1 000 000 CCUREXCESS LIARED CLAIMSau1ADE EACH OCCURRENCE $ DED RETENTION$ AGGREGATE $ C WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N X WC STAT(I RY OTH OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) 08WECCL0437 0/15/2016 0/15/2017 E.L.EACH ACCIDENT $ 100 000 If as,describe under E.L.DISEASE-EA EMPLOYE $ 100 000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN THOMAS J. O,NEILL INC ACCORDANCE WITH THE POLICY PROVISIONS. P.O. BOX 625 MASHPEE, MA 02 64 9 AUTHORZED REPRESENTATIVE Cheryl Hollis/CHERYL ACORD 25(2010/05)INS025 f?ntnnst m ©1988-2010 ACORD CORPORATION. All rights reserved. Tho Annian n2mo end Inn^2ra tunic+arar(markQ of Ar'npn lime Town of Barnstable *Pe mit46 Frpires 6 months ran issue date Regulatory Services FeeNA �1 019, �' Richard V.Scali,Director 63P�� Building Division 4NOPREMISS P OT Tom Perry,CBO,Building Commissioner p a� 200 Main Street,Hyannis,MA 02601 JAN 14 2016 www.town.bamstable.ma.us T®l A UVl NaO U/t 9®W fl®O1`1®L E Office: 508-862-4038 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3 1&3 cd r 7 S Property Address 5An,--- /Zo �&2 � cu ❑Residential Value of Work$ d1 i Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addressr / Contractor's Name -7?A�4,f Telephone Number -zS-0j10 5-4 o;D Home Improvement Contractor License#(if applicable) / 2 -5g 4P3 Email: Tj'b Construction Supervisor's License#(if applicable) f��'� - 07 I/ 6 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner Ea- liave Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 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 IyHEr nczc-sf t�lteplacement Windows/doors/s iders.U-Value -`�� (maximum.32)#of windows 17 #of doors: 5 ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *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 copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: C:\Users\DecollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI0IDHR\EXPRESS.doc Revised 040215 9 &Xe6�T7I)2d7LCUeCLLGIL o�C�/ taclt��elly Office of Consumer Affairs&Business Regulation — - ME IMPROVEMENT CONTRACTOR egistration: 125983 Type: xpiration -4/6/2016 Private Corporation . THOMA3 J.O'NEILL INC S THOMAS O'NEILL 26 BATES ROAD MASHPEE,MA 02649 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CSFA-071164 Construction Supervisor 1 & 2 Family �:IIs �,.. THOMAS J ONEILL�� PO BOX 626 r MASHPEE MA 02649' r tl Expiration: Commissioner 10/07/2017 I eAalvsrMIX NAM Town of Barnstable Regulatory Services Richard V.Scali,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 Property Owner Must Complete and Sign This Section If Using A Builder I, 1-ftLzlI 7N7Cy ,as Owner of the subject property hereby authorize s 0 tte7 lam- to act on my behalf, in all matters relative to work authorized by this building permit application for: /e,f ,CS Avg flftwo- /20 (Address of Job) �C /Z. /s Signature of wner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 ?'he Commonwealth of Massachusetts Department ofIn&soial Accidents Office oflnvestigations 600 Washington Street Boston,MA 02111. wrvw mamgo►Ma Workers'Compensation Insurance Affidavit Builders/Contractors/Blectricians/Plumbers Applicant Information Phase Print Legibly Name ak4nessJOrganizatimana D: —/?/a -yr ✓7 6 emu, Address, o sZ 6 25 City/State/zip: 1-74d lv 4041t el b Phone# -7 7 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a with 4. [+►�'l'aam a.gentral contractor and I employer 6. ❑Neva t„aastructtm employees(full and/or pact-time).: have fired the sub-contractors 2-❑ I am a sole proprietor or partner- listed on the attached sheet; 7. odes ship and have no employees 'These sub-contractors have g- ❑Demolition woddng for me in any capacity. employees and have workers' 9- ❑Building addition [No worbers'comp.insurance comp:insurance., required] 5.❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions o workers' 12.❑Roof right of exemption per MGL mph insurancerequire&]t c.152,§1(4),and we have no employees.[No workers' 13.0 other comp-insurance required-j *Any WIcaw that checks box#1 most also fill out the sectionbelow showing their vo¢keW compensation policy information. T Homeoamm wbo submu'this atbdM im&ca mg they are doing ail work and then hue outade coma tors mug submit a new aid"indicating such. BContra,ctnas that check this boot rt t attacbed an additional sheet showing the asmw of the and state whether or not those entities have employees. If the sabconuacton bare employms,they must provide tbur workers'comp.policy mmmber. lam an employer that is providing workers'compensation insurance for my employees. Below is thepolicy and job site infor tnation. Insurance Company Name: Policy#or Self-'ins.Lic_# Expiration Bate: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1.,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORE ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information:provided above is true and correct Si Date: 1 20 l S Phone•#: �O d _ Y77—5 6 vo Offlcial use only. Do not write in this area,to be completed by city or town official. City or Town: PermitUcense 0 Issuing Authority(circle one): 1.Board of Health 2.Bantling Department 3.City/I'own Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person Phone#: 6 SEP-16-2015 09:57 PAUL PETERS INSURANCE P.01 OP ID:GB R®r CERTIFICATE OF LIABILITY INSURANCE F °0911�"""' 8116►2015 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(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this cartNicate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER CONTAVU Paul Peters Agency,Inc. NAW- P e P 0 Box 069 Falmouth,MA 02641-0669 4RESB: Gary M.Bruno I ONEITH2 INSURE 8 AFFORDINGCOVERAGE NAIL 0 INSURED Thomas J.O'Neill,Inc. INSURER A:Westem World Ins.Group-- PO Box 625 Mashpee,MA 02649 wsuRER s;The Travelers INSURER C. INSURER 0: INSURER E: U P: 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. iLTR N TYPE OF INSURANCE POLICY NUMBER PO F ryYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,00 A X COMMERCIAL GENERAL LIABILITY NPP1388620 0911SM14 0911812DIS PREMISES S 100,0 CLAIMS-MADE 7OCCUR MED EXP Any one $ 5.00 PERSONAL&ADV INJURY $ 1,000, GENERAL AGGREGATE $ 2,000. - OEN'L AGGREGATE LIMIT APPLES PER PRODUCTS-COMPIOP AGO S 2,000,00 POLICY PRO Ej LOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Es 6eddent) ALL OWNED AUTOS BODILY INJURY(Per parson) S BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (PER ACCIDENT) S NOWOWNED AUTOS $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE S r DEDUCTIBLE $ RETENTION S = WORKED COMPENSATION 1111C STATU I 10TH- r AND EMPLOYER$'WIe3UTY B ANY PROPRIETORIPARTNERIEXECUTIVE YIN 7PJUB-910X766.3-05 07/23/2016 07/23/2016 E.LEACHACCIOENT $ 600, OFFICERIMEMBEREXCLUDED? aN NIA (Mandatory In NN) E.L.DISEASE-FA EMPLOYEE $ 60010 under 0 SCRIM ON OF 0 ERATIONS below I I E-L.DISEASE-POLICY LIMIT S 500.0 I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(AtIaO ACORD 10%Additional Ram rft Schedule,N more spats Is required) CERTIFICATE HOLDER CANCELLATION BREW001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Br?aY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2198 Main Street Brewster,MA 02631 AUTHORIZED REPRESENTATIVE Gary M.Bruno 0 1988 2009 ACORO CORPORATIO N. All rights reserved. ACORD 26(2009109) The ACORD name and logo arer registered marks of ACORD JAN-14-2016 13:14 PAUL PETERS INSURANCE P.02 A1_"w'wN - DATE(MMIooIYYYYI CERTIFICATE OF LIABILITY INSURANCE CH11412016 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)l,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: if the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must be endorsed. It SUBROGATION IS WANED,subject to the terms and conditions of the policy,cartel"policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemer s. -CONTACT PRODUCER NAME: PAR Paul Peters Agency,Inc. PHONE gel: P 0 Box 669 Falmouth,MA 02641.0669 ADDRESS: RIZIN Gary M.Bruno PCUSTOM; ONEITH2 tNsuRER S AFFORDING COVERAGE NASC• INSURED . Thomas J.O'Neill,Inc. INSURERA:Westem World Ins.Group PO Box 626 INSURERS: Mashpee,MA 02649 INSURER c INSURER D: INSURER a: 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 CLAIMSPi—PMIWSXP I SR TYPE OP INSURANCE POLICY NUMBER O LGB7S GENERAL LIABILITY EACH OCCURRENCE i 1,000,00 01 LTR NPP8296164 09/1812016 09/1812018 PREMISES Ea ae urrenoB a _ _ 100,00 A X COMMERCIAL GENERAL LIABILITY 6,00 CL%MS4%DE FX OCCUR MEG EV(Any one person) $ PERSONAL&ADV INJURY f 1,000,00 GENERAL AGGREGATE $ 2,000,00 PRODUCTS-COMPIOP AGG 8 2,000,00 GEWL AGGREGATE LIMIT APPLIES PER - $ POLICY JETPRO- LOC COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ee seddi S ANY AUTO BODILY INJURY(Per Pei i ALL OWNED AUTOS BODILY INJURY(Per aoddenll E SCHEDULED AUTOS PROPERTY DAMAGE S (PER ACCIDENT) HIRED AUTOS $ NON-OwNEDAUTOS 8 UMBRELLA UAB OCCUR EACH OCCURRENCE i ExCESSLIAB CWM8.MpDE AGGREGATE S DEDUCTIBLE S RETENTION E WC STATU- IOTH- WORKERS COMPENSATION AND EMPLOYERS'LUUMJTY O ISSUED BY COMPANY E.L EACH ACCIDENT a RX UDEDR87�UTNE Y BE OMCERMEMBER EC N t A E.L.DISEASE-EA EMPLOYEE (Mandatory in NMI i If yes describe under E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPEBOONSW" OESCRIPMN OP OPERATIONS I LOCATIONS I VEHICLES(Attach ACORO 101,Addrdenal Rwnadn Schedule,If mac BPaee la"Wd) CERTIFICATE HOLDER CANCELLATIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Thomas J.aN811 ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 626 Mashpee,MA 02649 AUTHORUD REPRESENTATIVE Gary M.Bruno ®1988-2009 ACORD CORPORATION. All rights reserved. ACARO 29120091001 The ACORD name and logo are registered marks of ACORD TOTAL P.02 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/duz Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 4 Address: Yew-cm-i tf- Jh� I/P City/State/Zip: I-W Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction I am a sole proprietor or partner- listed on the attached sheet. Q Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' y p n'• 9. Building addition [No workers' comp.insurance comp.insurance.$ required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13. Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is thepo/icy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: t✓ eC So- o 4, 'ZD r. Expiration Date: Job Site Address: gtz IZd/n, City/State/Zip: �w — Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the ains and penalties of perjury that the information provided above is true and correct. Signature.: '�—' Date: Phone#: 2 Y — 2 d 0 (o 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#: ,4co CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 1/8/16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pollcy(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 conker rights to the certificate holder in lieu of such endorsements). PRODUCER NAME CG Robert E Bouchie Jr. Insurance PHONE Fax 1352 Route 28A .�p 508 564-5560 I NI: (508) 564-5531 PO Box 400 DObm: info@BouchieInsurance.com INSURERS)AFFORDING COVERAGE NAIC 9 Cataumet, MA 02534 INSURERA:American European Insurance Co INSURED INSURER B:Associated Industries of MA Banks Construction INSURERC: 355 Seacoast Shore Blvd INSURERD: East Falmouth, MA 02536 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. ILTR TYPE OF INSURANCE ADD SU POUCY NUMBER POLICY EFF MMD01 YYYYY LIMITS A GENERAL LIABILITY SKP2000793 8/27/15 8/27/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDxxurraricel $ 100,000 CLAIMS-MADE a OCCUR ME EXP(Arty one person) $ 5,000 PERSONAL&ADV IN JURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMI T APP LIES PER PRODUCTS-ODMP/OPAGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a BI $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS _AUTOS eraccident UMBRELLAUA6 OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ Don RETENTION$____ $ B WORKERS COMPENSATION WCC5006068-2015A 10/5/15 10/5/16 g I wC5TATU 10- AND EMPLOYERS LIABILITY ANY PROPRIETORIPARTNERIEXECUTNE YIN EL.EACHA000ENT $ ZOO 000 OFFICE RIMEMBER EXCLIAED? NIA (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remadrs Schedule,If more space Is mold red) Fax: 508-477-6277 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Thomas J. O'Neill Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 26 Baxter Road PO Box 625 AUTHORIZED REPRESENTATIVE Mashpee, MA 02649 Robert E Bouchie Jr. CNIK ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: tjonei.11@thomasjoneill.com Swanson Structural, Inc. TOWN OF pRNSTABLE Paul W. Swanson, P.E. 92 Acre Hill Road '�'17 `Vi"' A gip' 42 Barnstable, MA 02630 508-446-1042 MV—dO October 4, 2016 Thomas J. ONeill 26 Bates Road Mashpee Commons PO Box 625 Mashpee, MA 02649 Subject: Foundation Affidavit Helical Pile Foundation Inspection for an Addition and Renovation to an Existing Single Family Dwelling: 165 Bayshore Road, Hyannis, MA Dear Tom, I was retained by you to provide structural engineering services for the subject project. I designed a new helical pile foundation to support the existing home and the new additions. On Thursday, July 21, 2016, 1 visited the site to verify that the piles were installed in the correct locations. I took digital photographs of the piles and pile caps. The pile capacities were verified and documented in a report prepared by the pile installer. The pile installation torques indicate pile capacities in the range of 36 to 60 kips (1 kip= 1,000 pounds), which is well in excess of the 20 kip design requirement for the piles. The foundation construction meets the structural requirements of the design documents for the project, with approved changes, and the Massachusetts State Building Code, 8t' edition. If you have any questions, please feel free to contact me. Sincerely, �N OF Mft,, o� PAU!W. SWANRSON fZUCT 0`/ STRUCTURR AL -o ,ANo.35334a Paul W. Swanson, P.E. �o, F , Swanson Structural, Inc. s� �' l Ref. 5554 oNRi: ' /0/# Zo/6 Town of Barnstable Building ``This�Car=d€So That��t is�UisibleFr>orri�the=Str et�.�A roued`Plans�Must be.Reta'med'on:Job�an�d'.this Card Must be�Ke'pt �.i Post pp ■ABNSTABLE, } ,.� r �� ;,y+,• `,.•� .�..§ �„ �'' 3:. �?. .^Y, �• , Miss. Posted�UntilF�nal�lnspectlon HasBeen�Made ��' � �� � � � �° � � ' �G34 Y ,i t3 ,; 't .k a .a� T:: •• n,... .. Permit �' Wherea Certificate,of Occu�anc.`'"is:R'e uired�such Burldm <shall Not be Occupied until,a�Fina,l Inspection has been made A � ,�„ �.�. ..... . ..� .. -��.••,..��p. �yx: .�., :;�.�.�.��.'.,��. sa.,�, :n��.gwa,» �.�. .....a�w .. �,���:�:Asa.�.��.�:,_ ...,,.,�z...as>�< :::.,u.,��,..�aa, Permit No. B-17-2110 Applicant Name: E J JAXTIMER, BUILDER, INC. Approvals Date Issued: 07/24/2017 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 01/24/2018 Foundation: Residential Map/Lot: 325-163 Zoning District: RB Sheathing: Location: 165 BAY SHORE ROAD, HYANNIS Contractor Name: E J JAXTIMER, BUILDER, INC. Framing: 1 Owner on Record: THIEL,LAWRENCE A&SHARON A ! " ' Contractor.;License 110609 2 Address: 40 BLACKBERRY FIELDS ROAD u x M Est Protect Cost: $20,000.00 Chimney: DRACUT, MA 01826 _ Permit Fee: $ 187.00 Description: additional 1 room finish in basement for laundry&bathroom Insulation: \ Fee Paid-' $187.00 change of contractor from Thomas O'neill to EAJ�Jaxtimer on Date 7/24/2017 Final: v, 7/16/18 i f�.1y -- Plumbing/Gas Project Review Req: Rough Plumbing: Building Official Final Plumbing: Rough Gas: 3 Final Gas: This permit shall be deemed abandoned and invalid unless the work autho�nied.,by thiss p�ermit,is commenced,within siz months after issuance. Electrical All work authorized by this permit shall conform to the approved applica.-tion,a,ntl the approved construction documents for which ahis permit has been granted. All construction,alterations and changes of use of any building and structuros•shall'INbe m corrmpltance with the local'zoning by laws and codes. Service: This permit shall be displayed in a location clearly visible from access streetrior road and shall be maintained open for publlc,;inspection for the entire duration of the e Rough: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Final: Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Final: 3.All Fireplaces must be inspected atthe throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Health 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Final: 7.Final Inspection before Occupancy Fire Department Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). ' . . �li�on ................... ........... .. .............�.... s * • * BAWMABMs awe. Pest Fee........................................Otiw Fee.................:...... ToWFee Paid...................».............................................. TOWN OF BARNSTABLE Pam*Approval by.................................on.................... ...._ BUILDING PERMIT APPLICATION Section 1— Owner's Information and Project.Location Project Address 16 5 10" M4t-f Village Owners Name t4&JN,1a& Owners Legal Address 6eldS City plea /�ch,f State A Zip Owners Cell# E-mail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3—Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty. ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System ❑ Addition 0 Retaining wall ❑ Solar 10-Renovation ❑ Pool ❑ Insulation Other-Specify Section 4-Work Description Tin 1004Ld, n � J r Tad nndat-A-2/92019 ApplicationNumber.................................................... Section 5—Detad Cost of Proposed Construction __ _ _-_--Square Footage of pmject Age of Structure Dig Safe Number #Of Bedrooms Existing Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifies ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ' ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Addlielocate bedroom Water Supply ❑—Public ❑ Private -- Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland,coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Are.Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last nrzms APplicationNumber........................................... Section 9-.Construction Supervisor Name ( Telephone Number Address - City 2 State / zip � D i License Number �� 5� License Type Expiration Date C / /,POP-0 Contractors Email f1 Cell# (R8) qqZ, e fg 3 I understand my respomsibilihes under the rules and regulations for Licensed CmStractim Supervisor in accordm=with 780 ECMR the Massachusetts Building Code. I understand the=mft action inspection procedures,specific inspections and documentation 7 0 CMR and dw Town of Bamzsstable.Attach a copy of your license. Signattue Date Section-10—Home Improvement Contractor -game t Z 1 �!i 11/yl�J14 Telephone Number • / G' __ — --- - Address City State #Tp � P© gistrati Expiration Date C Re on Number ' A�- lunderstandmyrespoAflites under the rules and regulations for Home Improvement Conftactors is accordance with 780 CMR the Mas Bm1dmg Code. I understand the construction inspection procedures,specific inspections and do 1h T own ofBamstable.Attach a copy of your IUC... signature - Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I uadmmtand my responsibMes under the roles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the consttvction inspection procedures,specific inspections and dommentation myired by 780 CMR and the Town of Barnstable. Signature Date w r r WPLICANT SIGNATURE Signature Date Print Name Telephone Number E-mail permit to: t T .....i..w..i. l fnnn t a i Section 12—Department Sign-Offs Health Department © Zoning Board(if required ❑ j� Historic District ❑. Site Plan Review(if req�red) ❑ Fire Department ❑ Conservation ❑ For conwwrcW work,please take yourplMs directly to the fire depwftent,for approvaL Section 13—Owner's Authorization 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 application for: (Address of job) Signature of Owner date Print Name r Lag=date&2192018 i Town of Barnstable Regulatory Services Rickard V.Scali,Director. Building Division Tolm P°eny,Building Commi ioner 200 Main Strut,II}annis,MA.4Y'_60S. www.town.lrarnstatble.ma:us Office: 508- 62 0 8 Fax: 508-' 90-6230 Property OUrner Must Complete and Sign This Section If Using--A Builder I,_ ;"'6)4vi'.( oft e-subject}�rta ert}' La�v�+ence A Thief hereb 'atidi i it E.d.Jaxtimer iider,i to act on my behalf, in all matters relative to work attcliorizeel by this istiilding permlt,application for: 965 Bay Shore Drive.Hyannis (A,ddress of job) "Pool fences and -firms are the responsibility of the applicant. Pools are not to be failed or utilized before fence is installed and all,final nal! I-Werue. are pe ied and accepted: i rt.tart;of()�ner Signature of Applicant . '.._ Prio Nafttt: Print N,amt Date r Commonwealth of Massachusetts ® Division of Professional Licensure --` Board of Building Regulations and Standards Constru ti_ori'Sdpervisor CS-003251 " ' El. ' es:01/14/2020 ERNEST J JAXTIMER 48 ROSARY LANE } HYANNIS MA 02601 Commissioner cl, n. �-' }a , Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston, Massachusetts 02116 Home improvement.Contractor Registration Type: corporation Registration: 110W9 . E J Jaxtimer, Builder, Inc. Expiration: 11/02/2018 48 Rosary Ln Hyannis, MA 02601 Update Address and return card. Mark reason for change. SCA 1 v 2DIM- /11 (3 Adr!ra._c n I_?_pnewal ❑Employment O 1-ost Card .a �/��•�'r-u��uaxumall�r�r'l��r„a��«,ell. office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only t Type: Corporation before the expiration date. If found return to: ' Registration Exoiration office of Consumer Affairs and Business Regulation ' •110609 11/02J201 S 10 Park Plaza-Suite 51T0 E J Jaxtimer,Builder,Inc. Boston,MA 0 16 Ernest Ja)imer 48 Rosary Ln Hyannis,MA 02601 ' Undersecretary Not valid without signature TE ,acoRv® CERTIFICATE OF LIABILITY INSURANCE DA01/03/20118 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: N the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Erica H.O'Connor HART INSURANCE AGENCY,INC. PHONE 508-759-7326 x205 FAX 508-750-7366 243 MAIN STREET A/c No): PO BOX 700 ADDRESS: eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc INSURER B: ARBELLA INDEMNITY INSURANCE COMPANY 10017 48 Rosary Lane Hyannis,MA 02601 INSURER c 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. iNR PLICY LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER PM DOLIDY EFF MM D YY P LIMITS - A COMMERCIAL GENERAL LIABILITY 8500042039 01/01/2018 01/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE To RENTED CLAIMS-MADE IV OCCUR PREMISES t E. occurrence) $ 300,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY 0 JE a LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2018 01/01/2019 COEaMB cINED cident d.,"I SINGLE LIMIT $ 1,000,000 a ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per acd ent A UMBRELLA LIAB OCCUR 4600042040 01/01/2018 01/01/2019 EACH OCCURRENCE $ 5,000,000 EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$10,000 $ B WORKERS COMPENSATION 4ZZO048905 01/01/2018 01/01/2019 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? FIN-1 N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 II es,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)775-3344 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 ��✓1�4 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The CorranotweaUh of Massachusetts Depw0ne t of�n�.Accidea s I Gangie Street,Suitelffl Bust*M4,204!Z#17 • ..' . .: � • • �vi�massgv�d�ia. • . . . Workers'Compensa hdon Luarace Affidavit Cyaoral Businesses. J.- To BE Fmw w rrH THE pZOUTTING AUTHORITY. Ap& mot�Qmati� Please Print Legibly Businem'Organization Name• L� Address: 49 hsary City/State/Zip• r S Phone#: Are you an employer?Check the appropriate box: Business Type(regnhvd): 1.fV`� I am a employer with _employees(full and/ 5• � or part time).« 6. QRestam'a WBar/Ea mg Establishment 2.❑ I.am a sole proprietor or partnership and have no 7. Office and/or Sales(mcl.real estate,auto,etc.) employees working for me in any capacity. S. Non-profit [No workers'comp.insurance required] 3.❑ We are a corporation and its officers have exercised 9. Entertainment their right of exemption per c.152,§1(4),and we have 10.©ManifficWring no employees.[No workers'pomp.inSig$ F required] 11.[]Ilealfli Care 4.❑ We area rlonVofit argaaizidom.staffed by vohlat�eers, wrflr'mo s. woz &S,gip,ksF"I.N] 12.[]Offer «may 1hat checks box 91-must dso Ik M11hq P0095ikxl" k+if tha coipaom c Gea=s k m M=fta dyes,but*# of oa�ies oti�ra eorplo�tces,avre�ecs'ooaip�w Pam'is �s�rephed as oasbmAacbwk>m#r. I sin an mWleyer that ispmof '1 '�mFensadonn in surancefor M m'Bed is the pafiey Wermadon.• Insurance Company Name: B 6uA- Insurer's Address- --City/State/zip: Policy#or Self-ins.Lie.#��1/1� ��1_____ Expiration Date: �• �--- Attach a copy of the workers'compensation policy declaration page(showing the policy number an a iration date). Failure to secure coverage as required under Section 25A of MOL 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 penalti05 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 DLA insurance coverage verification. I do hereby a pains and penaties of erjary that the Wormadon provided above is true and correct Si azure: Date Phone# Official use only. Do not rife in thus area,tubi cw#deted by at}'orim ra goiciaL City or Town: Permrtfl cal se Issuing Authority(circle one): . I.BosXd of Health 2.>tiding�epartmerit.3.-6tyiUwn Cleric 4.UeM` ng'Bdti'ci•S.Selec uea's Office 6.Other Contact Person: Phone#: www.massgovlfia oFIKE ri Town of Barnstable Building Department Services BARNSTABLE, Brian Florence,CBO 9 Mass. 16;q. �� Building Commissioner. ArE p A 200 Main Street,Hyannis,MA 02601 www.town.barnstable.maxs Office: 508-862-403 8 Fax: 508-790-6230 NOTICE TO THE BUILDING]DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY I, , J �� k- �- , Construction Supervisor License # hereby certify that I have assumed responsibility for the project under construction, as authorized by building permit#g—/J -J// V , issued to (property address) IJ sled re Xd )1o /L- \ on Nj4vIj 2011. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form (if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance Affidavit. Road Bond(if applicable) LkEJE LD DATE q/forms/newcontrb rev:08/23/17 6/26/2018 Permit Form CF tllE Bamstable, MA it 36"r+ WnStret&Kyanni'S:.M.kb26G1 _5.019 -40W tina@jaxtimer.com(Contractor)2k ,Project#: B-17-2110 Location: 165 BAY SHORE ROAD, HYANNIS Status: Issued Balance Due: $0.00 -PERMIT INFORMATION Occupancy Type Building Type Date Submitted Date Issued Permit For Residential Single Family 7/6/2017 7/24/2017 Building-Alteration INTERIOR Work Only-Residential Project Cost Permit Fee Additional Fee Total Fee Total Paid 20000.00 $102.00 $50.00 $152.00 $152.00 Work Description additional 1 room finish in basement for laundry&bathroom OWNER APPLICANT THIEL,LAWRENCE A&SHARON A THOMAS J.O'NEILL,INC 40 BLACKBERRY FIELDS ROAD P.O.BOX 625 DRACUT MA 01826 MASHPEE MA 02649 CONTRACTOR THOMAS J ONEILL Mashpee CSFA-071164 10/07/2017 THOMAS J.O'NEILL,INC P.O.BOX 625 MASHPEE 125983 04/06/2018 Attach Documents / Photos +APPLICATION REVIEW STATUS -INSPECTIONS Inspection Date Time In Inspected by Inspected score Status Comment 10/06/2017 1:31:22 PM mckechnr A-Inspection Results 100 PASS +CERTIFICATE OF OCCUPANCY REVIEW STATUS https://portal.viewpermit.com/Secured/Permitview.aspx?enc=+iG90KJTlw7ouCVWZ041z3O+OgYHzO4Vj9vFBfNf8gFWm2iKJJ7hyvzWoTLnwUo 1/2 I OFZHE Tpk, Town of Barnstable Building Department Services BMWSTABLE, • Brian Florence,CBO 9 MASS. �p 1639. Building Commissioner QED t a�s 200 Main Street,Hyannis,MA 02601 www.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, Z Aw cm,—,c= 7i /,t-: V cS1hteyAl /H�GZ , owner of property located at /116- &U 31 4 a2iL/ S ,hereby certify that �haxd's a ���1 , /121 is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# �/7- //(� issued on o2 2017 . I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. 7_� APPERTY OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:08/23/17 U.S. DEPARTMENT OF HOMELAND SECURITY OMB No. 1660-0008 Federal Emergency Management Agency Expiration Date: November 30,2018 Natiorfal Flood Insurance Program ELEVATION CERTIFICATE Important: Follow the instructions on pages 1-9. Copy all pages of this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company, and(3)building owner. SECTION A—PROPERTY INFORMATION FOR INSURANCE COMPANY USE i Al. Building Owner's Name Policy Number: Lawrence&Sharon Thiel A2 BuilBoxdin No. Street Address(including Apt., Unit, Suite,and/or Bldg. No.)or P.O. Route and Company NAIC Number: 165 Bay Shore Road City State ZIP Code Hyannis Massachusetts 02601 A3. Property Description(Lot and Block Numbers,Tax Parcel Number, Legal Description,etc.) Map 325 Block 163 use code 1010 A4. Building Use(e.g., Residential, Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude: Lat.41°38'40"N Long.70°16'32"W Horizontal Datum: ❑ NAD 1927 ❑x NAD 1983 I A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 7 A8. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) 1700.00 sq ft 3 b) Number of permanent flood openings in the crawlspace or enclosure(s)within 1.0 foot above adjacent grade '0 j c) Total net area of flood openings in A8.b 0.00 sq in l d) Engineered flood openings? ❑Yes Z No l A9. For a building with an attached garage: a) Square footage of attached garage N/A sq ft I b) Number of permanent flood openings in the attached garage within 1.0 foot above adjacent grade NIA f c) Total net area of flood openings in A9.b N/A sq in d) Engineered flood openings? []Yes ❑x No SECTION B—FLOOD INSURANCE RATE MAP(FIRM)INFORMATION 61. NFIP Community Name&Community Number B2.County Name B3. State Barnstable 250001 Barnstable Massachusetts B4.Map/Panel B5.Suffix B6. FIRM Index B7. FIRM Panel B8.Flood B9. Base Flood Elevation(s) Number Date Effective/ Zone(s) (Zone AO,use Base Flood Depth) Revised Date 25001C/0569 J 07-16-2014 07-16-2014 AE11/X 11 1 B10. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 69: i❑ FIS Profile ❑x FIRM ❑ Community Determined ❑ Other/Source: l B11. Indicate elevation datum used for BFE in Item B9: ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: 3 612. Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ❑x No � Designation Date: ❑ CBRS ❑ OPA t t F FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 1 of 6 i 1 ELEVATION CERTIFICATE OMB No. 1660-0008 Expiration Date: November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. Policy Number: 165 Bay Shore Road City State ZIP Code Company NAIC Number Hyannis Massachusetts 02601 SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevations are based on: ❑ Construction Drawings* ❑ Building Under Construction* Z Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO. Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: Local Vertical Datum:NAVD 1988 s Indicate elevation datum used for the elevations in items a)through h) below. ❑ NGVD 1929 ❑x NAVD 1988 ❑ Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. ! a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 12.60 ❑x feet ❑ meters it b) Top of the next higher floor 20.20 ❑x feet ❑ meters c) Bottom of the lowest horizontal structural member(V Zones only) N/A ❑ feet ❑meters d) Attached garage(top of slab) 11.10 xZ feet ❑ meters e) Lowest elevation of machinery or equipment servicing the building [ (Describe type of equipment and location in Comments) 13.10 ❑x feet ❑ meters I f) Lowest adjacent(finished)grade next to building(LAG) 10.10 x❑ feet ❑ meters g) Highest adjacent(finished)grade next to building(HAG) 17.20 ❑x feet ❑ meters 4 h) Lowest adjacent grade at lowest elevation of deck or stairs, including I structural support 10.10 ❑x feet ❑ meters i SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION J This certification is to be signed and sealed by a land surveyor,engineer, or architect authorized by law to certify elevation information. /certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false . statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. i i Were latitude and longitude in Section A provided by a licensed land surveyor? ❑Yes No ❑Check here if attachments. Certifier's Name License Number f Michael J. Borselli 35054 Title 0� President RIMy Company Name Z BORSELLI ram'„ Falmouth Engineering,Inc. o r ` v �Id . 1 Address A F 17 Academy Lane,Ste.200 ;PoF FSSfONAL`�N City State ZIP Code Falmouth Massachusetts 02540 Signature Date Telephone Ext. Z (508)495 1225 12 Copy all pa g this Elevation Certificate and all attachments for(1)community official, (2)insurance agent/company,and(3)building owner. Comments(including type of equipment and location,per C2(e),if applicable) 1 FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 2 of 6 f i i OMB No. 1660-0008 i O ELEVATION CERTIFICATE Expiration Date: November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 165 Bay Shore Road City State ZIP Code Company NAIC Number Hyannis Massachusetts 02061 i SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE), complete Items E1—E5. If the Certificate is intended to support a LOMA or LOMR-F request, complete Sections A, B,and C. For Items E1—E4,use natural grade, if available.Check the measurement used. In Puerto Rico only, enter meters. +- E1. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below { the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). { a) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b) Top of bottom floor(including basement, crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 1-2 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is [:]feet ❑meters ❑above or ❑below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5. Zone AO only: If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑ Yes ❑ No ❑ Unknown. The local official must certify this information in Section G. i f SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION l The property owner or owner's authorized representative who completes Sections A, B, and E for Zone A(without a.FEMA-issued or } community-issued BFE)or Zone AO must sign here.The statements in Sections A, B,and E are correct to the best of my knowledge. i Property Owner or Owner's Authorized Representative's Name Falmouth Engineering, Inc. I Address City State ZIP Code i 17 Academy lane, Ste.200 Falmouth Massachusetts 02540 1 Signature Date Telephone (508)495-1225 Comments i 'i 1+i i i i } f I I ❑Check here if attachments. FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 3 of 6 ,ELEVATION CERTIFICATE OMB No. 1 ate: Nob Expiration Date: November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit, Suite,and/or Bldg. No.)or P.O. Route and Box No. Policy Number: 165 Bay Shore Road City State ZIP Code Company NAIC Number Hyannis Massachusetts 02061 SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Certificate. Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10. In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to certify elevation information. (Indicate the source and date of the elevation } data in the Comments area below.) i G2 ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE) or Zone AO. G3. ❑ The following information(Items G4-G10)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate of Compliance/Occupancy Issued G7. This permit has been issued for: ❑ New Construction ❑ Substantial Improvement G8. Elevation of as-built lowest floor(including basement) of the building: ❑ feet ❑ meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑ feet ❑ meters Datum r G10. Community's design flood elevation: ❑ feet ❑ meters Datum Local Official's Name Title i i Community Name Telephone i i I Signature Date Comments(including type of equipment and location, per C2(e),if applicable) i 3 i I 1 i ❑ Check here if attachments. FEMA Form 086-0-33(7/16) Replaces all previous editions. Form Page 4 of 6 BUILDING PHOTOGRAPHS OMB No. lsso-0008 ELEVATION CERTIFICATE See Instructions for Item A6. Expiration Date: November 30,2018 IMPORTANT: In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt., Unit,Suite,and/or Bldg. No.)or P.O.Route and Box No. Policy Number: 165 Bay Shore Road City State ZIP Code Company NAIC Number Hyannis Massachusetts 02601 If using the Elevation Certificate to obtain NFIP flood insurance, affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken;"Front View"and"Rear View';and, if required,"Right Side View"and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. . � y Y l k_ i i l 1 Photo One Photo One Caption Front View 7-7-17 Clear Photo On k i Photo Two Photo Two Caption Rear View 7-7-17 Clear Photo Two;; FEMA Form 086-0-33(7/15) Replaces all previous editions. Form Page 5 of 6 VY Swanson Structural, Inc. Paul W. Swanson, P.E. 92 Acre Hill Road Barnstable, MA 02630 508-446-1042 �0 lox, April 13, 2017 Thomas J. ONeill 26 Bates Road Mashpee Commons PO Box 625 Mashpee, MA 02649 Subject: Framing Affidavit: Addition and Renovation to an Existing Single Family Dwelling: 165 Bayshore Road, Hyannis, MA Dear Tom, I was retained by you to provide structural engineering services for the subject project. On Friday,April 7, 2017, 1 met with you and Paul Banks on site for a visual inspection of the framing progress. Today I re-inspected the completed framing. The conventional lumber, engineered lumber and structural steel framing were installed neatly and in accordance with the project drawings and specifications,with approved changes per the structural requirements of the Massachusetts State Building Code, 81"edition. If you have any questions, please feel free to contact me. Sincerely, Paul W. Swanson,P.E. ?- Swanson Structural, Inc. , 1` e3/2017 Ref. 5554 f - MAP INSTALLED BUILDING' PRODUCTS OF SAGAIVIORE PO BOX 1309 SAGAMORE BEACH, MA. 02562_ INSULATION,CERTIFICATION-PER IECC 303.1:1 JOB SITE; GATT INSULATION: MA: Exterior walls: Type: Mat Manufacturer:_ LAG. RValue: Z l Interior walls/Stairwell: Type: Manufacturer: R-Value: Basement Ceiling: Type,: Manufacturer:> R-Value. Flat Ceiling: FN4pS( FtpntL Type-apsh. NkL tK Manufacturer:2gj - L(t_ R=Value: 50 Sloped Ceilings: Type: Manufacturer: R=Value: BLOWN INSULATION.(FIBERGLASS:OR CELLULOSE) Exterior walls: Type: Manufacturer:: R-Value: Settled Thickness Settled R-Value: Installed density;. Coverage'Area: Number of Bags: Flat Ceilings: Type: Manufacturer R-Value;. Settled Thickness: Settled-R-Value:; Installed densit y, Coverage Area: Number-of Bags: Sloped Ceilings: Type: Manufacturer.: R-Value: Settled Thicknessc Settled R Value: Installed density: Coverage Area:: Number of Bags: Installed By: Ifj,E@ brit Date'. /2b 12vt-7 For MAP Installed Building Products of Sagamore (4 ?.Q0`7 HEATL - Company Name Applicator Name �cl.� ty, Phone Number. ---- � n Jobsite Addres Insailatio s b Date --I Permit Number A-Sde Loa#'s B-Side Lot,#`s s -I Walls y it + • • 0 h. r—.qb Attic y r7 Sr --- _ y zr s 1. r zDaMILEC ` � � � 6 � � 4 l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Z S Parcel �S <<Q 2 RERp E �(r Application # ✓^ `�- I ✓ I { � U Health Division 18y Date Issued Conservation Division "Ai �"`' Application'Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village �� � Owner G�✓1z '� Sj �✓ �/f/�'L Address l�s /SA�9J / ' i�✓ J Telephone Soy Z&5'- 7 `17 .Permit Request VAYVP7 j°Qyie6�� [ o A-Bpi--mnj 0AJ 0-k---sIp&�zar A�flt�nUJ a-id Square feet: 1 st floor: existingf®lD proposed IS Y 2nd floor: existing proposed /20'° Total new C/�y Zoning District Flood Plain AO Groundwater Overlay Project Valuation Construction Typed WM-p;'/77r/ Lot Size y977- s` Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure L7 y RJR Historic House: ❑Yes U<O On Old King's Highway: ❑Yes &lo Basement Type: Gull ❑ Crawl &Walkout ❑ Other Basement Finished Area (sq.ft.) ® Basement Unfinished Area (sq.ft) IFf/° Number of Baths: Full: existing 2 new 3 Half: existing / new I Number of Bedrooms: .3 existing new Total Room Count (not including baths): existing J' new �o First Floor Room Count 3 Heat Type and Fuel: as ❑ Oil ❑ Electric ❑ Other / Central Air: ❑Yes 0No Fireplaces: Existing New Existing wood/coal stove: ❑Yes �No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: El'existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name !�7 66 Telephone Number Address 0 License # C_'r� d /4j kly-2er 114" 62(- Y9 Home Improvement Contractor# /2 5-9 P3 Email —U0' -C--►t",0--IRtOpA c I-ork�&iu , e a-A Worker's Compensation # 7(J-V6 710)(7 54 3IS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO C L 1-0mxJ SIGNATURE / DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ��zt��oc� c.o&o vas ? FRAME ® 1gl/0? INSULATION � ! !? FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDIN Z/411f- DATE CLOSED OUT ASSOCIATION PLAN NO. y Swanson Structural, Inc. > Paul W. Swanson, P.E. 92 Acre Hill Road Barnstable, MA 02630 508-446-1042 August 1, 2016 Thomas J. O'Neill 26 Bates Road Mashpee Commons PO Box 625 Mashpee, MA 02649 Subject: Helical Pile Foundation Inspection for an Addition and Renovation to an Existing Single Family Dwelling: 165 Bayshore Road, Hyannis, MA Dear Tom, I was retained by you to provide structural engineering services for the subject project. I designed a new helical pile foundation to support the existing home and the new additions. On Thursday, July 21, 2016, 1 visited the site to verify that the piles were installed in the correct locations. I took digital photographs of the piles and pile caps. The,pile capacities shall be verified and documented in a report prepared by the pile installer. If you have any questions,please feel free to contact me. Sincerely, Axlkk OF 4M1,4A c o� PAUL w. tiG : SWANSCU :5 44 STRUCTURAL VJ4---- C) 9 No.35334 -0Q Q Paul W. Swanson; P.E. 90 `��isTE � ' 61112016 Swanson Structural, Inc. SS�gNAL��G ' Ref. 5554 Bvt�Of�� r AUG�4 ? ow,V op� 416 RNs T�8� 1b - y3l Swanson Structural, Inc. Paul W.Swanson,P.E. 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Y:- o.. .........PAU_tl....._... _ ^� Zf_._......_..........._..........._....._.............._....._..............._..................._..................._._...._.... _................._........._..._..._........._ ..�........ � � - - ..._ F No 35334 _._....._........................_.s............_ T9; o00 �6� _.............'............................._................. ..... .....:_. ..:............:.................... ........... �"f' ..:..... ... ._..... €............_..............._........_.......... _. _.... - _.......................... _..... — -. _........ _ - _.....—....._ ... .._ i .......... .. .... . . _...-- . .. .._.._................... _............_......_.....` .... ...... , .... . . . .x_.._..............._..__. ....._._.__._........_...._ ...._...._...................._... -- -`...._.._._-_......._......_._.._.........._..-_.........................----...._.........._................._......._..._................. ._._.___.!_.. _.._._......_...---._............__..._--....._.x Job Name -T H I C L h 0 i n on/ t U)V o m 1ZoN Job Number J C551 Location 165 6Ay SMoxe Ab. 14Mypis, MA Sheet of ClIerd (OM 0 iVLIl.L By PW Date 5 Swanson Structural, Inc Paul W.Swanson,P.E. Engineering Services 92 Acre Hill Road commercial Barnstable,MA 02630-1529 residential Phone 508-446-1042 heavy timber Pau&_SwansonStructuraLcom ........... ............. ........... .............. .......... .......... ......................_ _--................ .......... ........... .......... .............. - - - ............ ............. ........... .............. i � E ....................... ............----------- ............ <...._.........s.......... .._.........._.i._...........i.....................:..........._.._..............;.-.__..._....__._.._._.............__............... ..._. ...._....._.. ........ . ._...................................- -—.. ........-_. ._..:.._-.....—......_.....j......_. ...................i............_........................ ..... ..._ .... ....... i .............. ........_;_.........................._..................... ;..._....................... ......... ..... ........._...._ ._... ..._._ .._... ... .....:... .. i i € i. ........... ... ...................:............:__ ... _. 6..e..�............_................:..............:.._.._..._:_......_......................_, s �/�}J t e �'17 OA/ .. ... .............. .......... 1v $ fov�t0 : : R : - 8 : �1MV- N ._......._...._... ...................._..... ..........._... ................... ..__................._....._......_................... .... .............................._.._._ .... .......`......_:......_ _... 1.n.. -5... ... .... ....._.............................. .._i_...._..........._...._..._......_.......... .......... _ ...... ....._ .._.. 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S ............ f . ,a _......... c P. i a ...................... ..._.......... ...... ................................,....._.....................,._.................................._....:.......... _.........................................................;..............;............................ _..............;.........._..:............... ........... ...........;............. i j ..... ..... ...... _._. .._. ..... ..__ ....._ ...... _...... ........ ............ _......... ...._ ._.. .----.-.... .._. ..._ .._ ... .......... ......... .......... ..... , ......_.. ..... _..... _..._......._........ ..... .. .................................................................._......... ... ...:... ....:.... .. :.. ..:.... ....:.... ........................ ....... Job Name f{M- f 0117ON !- A.CNOVA17OA/ Job Number 5554 Location l65 PM r SNORE AD Sheet of 3 Client M 0'1101LL By AGvS Date _ J Swanson Structural, Inc. Paul W Swanson,P.E. Engineering Services 92 Acre Hill Road commercial Barnstable,MA.02630-1529 -residential Phone 508-446-1042 heavy limber Pay&SwansonStructuraLcom ......................................................................... ............ .......... ............ ............. ........................................................................... ...................... ........................ ..................................................... ........ ........... ............ ................... ........... . ...... ...........3.._._.....'..............._._.......'......_._..'.....__..................................... ............ ............. ........................................... ................................................... ............. .................... ............A .. ............... ........... ......4............ ....................... ....... .............................. ....................... ............. ............... ....... 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Job Name Job Number Location Sheet of Client gy P6vS Date /U914 PILE {OvN'DI roI'J PAN �e = ►�D. 92 ,4c�6 tflLt. /LD. = ISk NQt�4� PIt.E w� J4cKUR. $p tcKdr' rp \ BRp,vSrib�6, M4` 02&30 OF V PAULWgs� Svppo-At EKIST/� POVA40 Coauacm C-NMD. w4tb- fog 55S¢ PAULW. __ .. SWANSON / STRUCTURAL No.CTU .0 ' I5 C.t4 Pltx' W)7% P)� c4P Tv S✓PPo0.r._ A90,��G/STEAG�`��`� � NEW hpvrQvanc+�l oA ExrSr. �w•rFJ�r�t wA�.c., s� II ss/ONALE� a4 Oayr�n{1 v�P.•a . Ii I lei . s� — • ,ems.✓arre,r'�- ,�.OS � m _ ao oRM tNT _ G MEch'...JCOONr' ' Zug 14r F., • •-i r. ;151 -1te 'rrsrxroove f i rU ILIN. V s g D _=✓.._A � -r o � -I S,� 'YAuwOrt. 4 F°!! • aN.,J��W . aur'<iK�of ....._ �� - _. --• -- ,�rrTF•OT ta�'0-1LOT• 1G pocu+'Ar ..B"', . .!•PL 2"do_ `I O4FSS %!,£.Ik -.�o�.votK' Mn. _ r .; !I- vs•o %"=/�" jik CIAMBRIELt.Q e ARCH / ! /°-c•' y-e° e' e' DESIGN. � � V SMART VENT' FEMA Accepted. Foundation Flood Vents ICC-ES Certified.ESR-2074 f Q�OdIT ®I' [P R G 0UOra www.smartvent.com • mfo@smartvent.com Thomas J O'Neill (877)441$368 FAX:(856)2694465 or PO BMX 625 Mash 1 S' x� MODEL# 1540-511 STACKER 1540-150202E QUAD MODEL# 1540-521 STACKER 1540-150202E QUAD (1540-0039 DOORS) (1540-0239 DOORS) INSTALLATION TYPE Masonry Wall INSTALLATION TYPE Masonry Wall STYLE Louvered STYLE Insulated DIMENSIONS 16"w x 16"H x 3"D 32 1h"w x 16"H x 3"D DIMENSIONS 16"w x 16"H x 3"D 321h"w x 16"H x 3"D R.O. 161/"x 16 3/s" 33"x 16 3/8" R.O. 161/4"x 16 3/8" 33"x 16 3/b" CERTIFIED FOR 400 sq.ft.FLOOD COVERAGE, 800 sq.ft.FLOOD COVERAGE, CERTIFIED FOR 400 sq.ft.FLOOD COVERAGE 800 sq.ft.FOOD COVERAGE 102 sq. In.AIRVWLATION 204 sq. in.AIRVENRLATION 01 20TIMM, 1 1 11 r..n.1)u YL7►JW L'�L1W I 1 � YL�I'JW LJ�11LY 11 1YL'11Y ® LLLIW I'i 1540.805.50(SINGIE) 38 5/8" ) 10 5/8° 'S1/2 1540.805:50(STACKER) 18 5/8" �:;19 - 51/2 ': 1540-805.50(QUAD) 35 7/16 19 r. 51/2 1540-807.25(SINGLE) I.18 5/8" ) 10 5/8 7 1/4- 1540-807.25(STACKER) 18 5/8" 19" 7 1/4" 1540-807.25(QUAD) 35 7/16 ) 19" 7 1/4" 1540-HOSN(SIN6tE� `185/8 f05/8 � 71/2 (NOMINALB) 1540-808N(STACKER) °185J8 :::19 71/2"(NOMINALB) j: 1540-808N-(QUAD) 357/i6 19 s 71/2 (NOMINALB) 1540-808F(SINGLE) 18 5/8" 10 5/8" 7 7/8"(FULL 8) 1540-808F(STACKER) 18 5/8" 19" ) 7 7/8"(FULL 8) 1540-808F(QUAD) 35 7/16" 19" 7 7/8"(FULL 8) 1540-809.25(SINGLE) 18 5/8 '. 10 5/8 1:`9 1/4 1540.80925i(STACKER) 18 5/8 19 9 1/4 1540 809:25(QUAD) 35 T/I6 19 `r 9 1/4" 1540$1ON(SINGLE) 18 5/8" 10 5/8' 9 1/2°(NOMINAL 10) 1540-81ON(STACKER) 18 5/8" 19" 9 1/2"(NOMINAL 10) 1540-SION(QUAD) 35 7/16" 19. 9 1/2"(NOMINAL 10) 1540-810F(SINGLE) `38 5/8 :10 5/8 ++9 7J8 (FULL'10) 540.810E(STACKER) r,`18 5/8 :19 9?/8"(FULL 10) 1540-S10f SQUAD) 35 7/i6 19 9 7/8'(Fi1LL 10) 1540-811.25(SINGLE) 18 5/8" 10 5/8" 11 1/4" 1540-811.25(STACKER) 18 5/8" 19" 11 1/4' 1540-811.25(QUAD) 35 7/16' 19" 11 1/4" 1540-812N(SINGLE) IS 5/8 10 5/8 '�11 1/2 (NOMINAL-12) 1540-812N(STACKER) IS 5/8 �'!19 111/2 (NOMINAL 12) 1540-812N(QUAD) 35 7/16" 19 111/2 (NOMINAL 12),` 1540-812F(SINGLE) 18 5/8" 10 5/8" 11 7/8'(FULL 12) 1540-812F(STACKER) 18 5/8" 19" ) it 7/8"(FULL 12) 1540-812F(QUAD) 35 7/16 19" 11 7/8"(FULL 12) 1540-80a0-2.�SINGIE) )-IS 5/8 `SO 5/8 -+2"Eatension 1540 800 2($TACKER) ;!18 5/8 ,-19 2 Ex[enslon 1540-800-2(QUAD), 35 7/16 19 2 Ezten3lon }1 .. Available for any size wall thickness LIL-Certified 2-HR Various custom multi-frame configurations available for commercial projects r 1 , Massachusetts Department of Public Safety I ? Board of Building Regulations and Standards I License: CSFA-071164 r Construction Supervisor 1 & 2 Family n, I_ THOMAS J ONEILL' PO BOX 62 Ile,li �. MASHPEE MA 02649 s > 1 i'i:l l ►�-^� l.J� Expiration: Commissioner 10/07/2017 TGooraoraaquaea&,'c�G��l��waaclre�elt� Office of Consumer Affairs&Business Regulation - - i ME IMPROVEMENT CONTRACTOR egistration: 125983 Type' xpiration 4/6/2016 private Corporatior. THOMA J.O'NEILQINC:.-t THOMAS O'NEILL 26 BATES ROAD MASHPEE,MA 02649 Undersecretary ?Tie ComnromveaIth of-Massadiusetts Departrrrent a}'r'rrustizal Accidews - - f3,f -ce of Lmwtigatiens. 600 Washington Street Boston,CIA#2111 - wrvassmass_graV a Workers' Campensation Insurance Affidavit:Builders/Contractors/Flectricians/Plumbers APAEcant Infarmatian Please Print Leggib X Name�BUSmeS51�3IlIZa�7tsnFFnri�zinaj� %�'��0 y�'l9 J (/�(� Address. �� 36 V bZS Gty/Statel , r�°€ i4 6Z 6 S/j Phone Are you an employer?Check the appropriate box: Type of project(required): L❑ I am a employer with 4 RI am a general contractor and I 6. [-]New construction employees(full andfor pact-timed* have hired the sub-eon actors 2.❑ I am a sale propfieton or partner- listed on the attached sheet 7. 2-'modeling slip and have no employees These sub-contrac#ors have g. ❑Demolition working for me in any capacity employees and have workers' 9. wilding additions [No wmikers' Camp.insurance Camp-insuralEam—$ repaired-] 5. ❑ We area corporation and its 10❑Electrical repairs or additions 3.❑ I am a bomeoumer doing all work officers have exercised their 1 L Q Plumbing repairs or additions myself.[No workers'camp- right of exempfion per MGL 13.❑Roofrepairs insurance required j 1 c.152,§1(4h and we have no employees.[No,workess' 13.❑Other comp-insurance required.] 4.4.ny a"5c=tdiat cheftbos#1 mast also fMoutthe sectionbeIaa showing their workers'comp—satiaopaIiiey infarntfdmL jf,R,,�ameowners who submit dais affidaint infcat mg they are&mg all wank and then hie aatside contractors mast snTo-mit a new affidseit indicauav SnrF, 'tAnt[aLtnrs 1h5t check this boat must attached an additiansl sited showing the n2me of the sub-co otzcton.aad state whether or not those amities hav employees.I€the sub- tx=toishaveemployee%theymustpmridetheir wmrkers'comp.porky number- lam art euipler t7tat isprQtztiirrg ivork¢rs'conrtpertsa(iart irtsrira>tcanr rrty*¢nrplvj�ees Betory is�dt¢paticy rued joL�site infat�naf�rb Insurance Company Name: Policy g or Self--ins.Iic.4: ExpirationDate: Job Site Address: Citylstateln: Aftach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failmre to secum coverage as required under Section 25A of MGL c 152 can lead to the imposition of criminal penalties of a fine up to$1,560:00 andrar one- 6ir imprisonmerik as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to.$250.00 a day against the violator. Be advised that a copy of this statement raay,be forwarded to the Office of Isrvestigations o€the DIA for insulate coverage veriffcahon. Ida&eretiy c¢rhfJ�rtatd¢r t its unlit penalties ofget�trr'thatfJt¢ircfarma#imr ptntrtided abm�s�trrr$arm correct. Sitature: / J� 12 Date: Zo/� Phone DSO ,—lf/77 S"61/� t1Jokid use only. Do oat mate in this area,to be crrrnpletad by dfy ortetrn official City or Town: PermitUcense* Inuing A.nflwrity(circle one): L Board of Health I BuffXmg Department 3.CltyffoStza Clerk 4.Electrical Inspector S.Plumbing Inspector � 6.Oither Contact Person: Phone#: laformation and Instructions ' Massachusetts Geri=al Laws chapter 152 requites all erupIoyms to provide workers'compeusmfion for th`n employees. . ee is defined as. _. err an in fie service of another under any conixact of hire, Pmsuant'to fur staini�,an�P1aY �eY P express or it pHDd,oral or wrhi L" An Troyer is defined as"an imdividnal,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged is aJoint entrrrprzse,and incTn�the legal representatives of a deceased employer,or the receiver or tmst=of an individual,partnership,association or other legal entrty,employing employees. However the owner of a.dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons tD do maintenance,construction or repair woik.on such dwelling house or oa the grounds or building appurten thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold tie issuance or renewal of a Iicease or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with th-e iasuranm.covearage required_" Additionally,MGL chapt-x 152, §25C(7)states'Neither the commonwealth nor nay ofits political subdivisions shall enter inn any contact for the performmw ofpublic wont until acceptable evidence of compliance,with the ins rran ce.. requIIr-meats of this chapter have Been presented to the contactiag au-ihozity." Applicants Please fill oirt tie workers'compensation affidavit compIn-Wy,by chec5ziag ae,boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone mumber(s) along with their cerlifrcate(s) of has,rnce. Limited Liability Companies(LLC)or Limited Liability Partaersbips(LLP)wiflhno employees other than the members or partners,are not required to cant'woikers' compensation as mince. If a LLC or LLP does have employees,a policy ismquired. B e advised that this affidavit may be sabraitti--d to the Department of Industrial Accidents for confnmalion of insurance coverage Also be sure to sign and date the affidavit. The affidavit should be rut maed to.thLe city or town that the application for the peunit or license is being requested,no t the Department of hidastrial Accidents. Shouldyou have any questions regarding the Iaw,or ifyou air rcqufi-6d to obtain a workers' compensation policy,please call the Department at the�bea lisisd below. Self-insured companies should enter their en s elf-fi2suranca license number on the appropriate line. City or Town Officials Please be sm-e that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in.the event the Office of Investigations has to contact you regarding the applicant Please be s=to fill in the permit/license munber which will be used as a reference number. In addition,an applicant that must Submit muliiple pemlit/license applibaiions in any given year,need only submit one affidavit i a icafi g current policy infbzaation(if necessary)and under"Job Site Address"the applicant should write all locations n (may or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the ' applicant as proof that a valid affidavit is on file for fu m: permits or licenses_ A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pc=k not related to any business or commercial vent ire Ci-e. a dog license orpennit to bum leaves etc.)said person is NOT required to complete this affidavit The Of of Investigafions would like to thank you in advance f br your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: Fie�a n ealt of Massachusetts Department cif Izidutrial AocZeats Office of Igve�g4tio= Tt,-1,4 617' -4900 cmt 406 ar 1-M-MA3 F Fax 617-727 7M Revised4-24-07 .mas�,,gogfd%a � $ Town of Barnstable Regulatory Services snaMA s Richard V.Scali,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I � ��' ,as Owner of the subject property hereby authorize (�iZ?C��ic- to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signatur of Owner Signature Applicant Print Name Print Name Z 2p 20 Dat Assessor's map and lot number .. ( �f "".. ........I ....... Sewage Permit number/16....� %'6!�( :�.< BARNSTABLE, i House number / . .............. t 9 raea ' $b v p 1639• `00 Q Ul,,14 TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .�4 Cam.` ��. TYPE OF CONSTRUCTION ...�N ��O-Q.................................................................................................. J ......ZJ / x�..��......................19........ TO THE INSPECTOR OF BUILDINGS:. The undersigned hereby applies for a permit according to the following information:, Location ProposedUse ..... .! ...... .... .. .............................................. .......................... ti Zoning District rl.......:.........................Fire District ............. .......................................................... Name of Owner 2c?�►� �. G�V'�Z6Lj� .. :.h .............. ..........Address ... ev ti� �3 N 7 Cc�w►n, c ; Nameof Builder ...... ..?....Q..�:�...........`................................Address ................................. ............j� ............................... Nameof Architect ...................`..............................................Address ....................:................................................................ Number of Rooms .......&........................................................Foundation ..A............... Exierior \N C � W��l ..Roofing ``2� ........................................ .......................................................................... 1�........ Lu�� /kl Gr.,Cv e Interior 45\ W Floors !...... ?. ....0.............................. & ............................ n Heating t A �.. 4 a......- .,l;f;,......................... �S r .....................Plumbing ....� :..:........ Fireplace ,.. .................Approximate. Cost U G60 Q... � �..�.... ............tti C . ..... Definitive Plan Approved by Planning- Board ________________________________19________ . Area .......................................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS • 1 1 hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name a � .`� i` u }/................................. -_ ; 0 r� ,SY`l Construction Supervisor's License .....I.............................. SCHNABEL, JOHN J. A=325-163 No .... Permit for ...1 qtQXY............... Sing.;�,?�JijjRily..X�WgXjing.................... ................. .... .... Location ....Lot 75,...1.6.5..D Av..S h.Q.r.Pa.A&o.a d ......................Rya=ia.......................................... Owner .... .......................... Type of Construction .......Frame.......................... ............................................................................... Plot .....................:...... Lot ................................ Permit Granted ..........December 3, 19 85 ..................... Date of Inspection ....................................19 Date Completed ......................................19 i�4�/ // ` /�� I ✓ "OFTNE� TOWN OF+BARNSTABLE Permit No. . 28725....... * ,1 . wit BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ... ... °�enriT HYANNIS,MASS.02601 Bond ....X..p..Q/. CERTIFICATE OF USE AND OCCUPANCY Issued to John J. Schnabel Address Lot #75. 165 $av Shore Road t Rvannia. MaaaaehuRetts USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. •'ftit t /� 19 li . ......... ............. Building Inspector A TOWN OF BARNSTABLE _ BUILDING DEPARTMENT _ Itnai°sA TOWN OFFICE BUILDING � rut 9 9" HYANNIS, MASS. 02601 1 MEMO TO: Town Clerk FROM: Building Department o0d&C.------•- DATE: An Occupancy Permit has been issued for the building" authorized by Building Permit �7Z issued toV!.....�f //IJ.E? .G..........`�''.„.. 5. c�, II Please release the performance bond. tSUILIANU TOWN OF BARNSTABLE, MASSACHUSETTS PERMIT + A=32 5-1h3 . • JOB WEATN CI�RO_ - �� DATE 11nL ."�"lier 3 19 g5 PERMIT NO.—.��1 4 .. 7D 2872t) Il, , n ;1 APPLICANT ADDRESS fill,-111 jj (NO.) (STREET) (CONTR'S LICENSE) PERMIT TO hU t1_d flan I 1 I I-,), ( 4 I STORY $i'•;;1,o .l.']71.l.:' 0", 1'lisZp, NUMBEDWELLR OF NG UNITS I (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) lvt i:'7j .L65 1+1q Shorn Pon-', Hyannis ZONING i l; AT (LOCATION) DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG.BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Town Sewer $ 93 AREA OR 1500 !z"I. ft. V0 0110 PERMIT /48,00 VOLUME ESTIMATED COST $ ' FEE $ (CUBIC/SOUARE FEET) Jolm J. Schn:•bol OWNER I; I,l.l77r-] 171. , 7. l;:r z. ':T( _. c - BUILDING DEPT. i 1r ADDRESS BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR ► PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM of THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QU1RED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI To LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTIONAPPROVALS 2 2 Gl /v CC /� 0 2 d, A� 9 ��a8 y_b HEATING 'NSPECTING APPROVALS REFRIGERATION INSPECTION APPROVALS L 7., 1,986 '+vCFK :nA.L: NCT =PO=EED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD NSPECTCF -!AS APFRCVEJ -4E VAOICUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR By TELEPHONE STAGES �F CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION. I ll� r E, See 5t*CL. f4v . 77 41' wl it V NI �•�. spa ,�� �j� `��0`v'r� � p' ` ,�• ``.,\ �r �f � E ®®, IL BAY lit A some ) . N 85 » We td a� ROADAuto to 71? - -- �I d0 IX UGH a. OAD T. a i r HARBOR a. FFS its v 00. a fo oT 7� L o T 7,5 ^ 9 936 ,3 0 eoo, o0 1, or '= 7 s1 CERTIFIED PLOT PLAN LOCATION SCALE . a4.�. DATE,—!ll/. PLAN REFERENCE . F!/o,4/!J!..Q.i?! egx..v o. c/fC T. . . OF A EDV' R CERTIFY THAT.THE,f.X/S. T`�• F Q KE LEY N /v ou!ai AT/obi -� � o. 26100 � SHOWN ON THIS PLAN IS LOCATED ON THE GROUND r� �fCISTE , AS SHOWN'HEREON AND THAT IT CONFORMS TO THE SETBACK REQUIREMENTS'OF THE'.TOWN OF !'�lG'G'1Y�5.Ti9�� ..'/.7 •WHEN CONSTRUCTED.' DATE "'R` REGISTERED LAND':SURV OR cTo y/d/ S 7/7-":ol E� HAYES 8, HAYES ATTORNEYS-AT-LAW, P.C. HYANNIS PROFESSIONAL CENTER 23 EAST MAIN STREET HYANNIS, MASSACHUSETTS 02601 HAROLD L. HAYES,JR. (617)775-0080 MICHAEL J. HAYES ANN MEISSNER December 13, 1985 Mr. Joseph D. Daluz, Building Inspector Town of Barnstable Main Street Hyannis, MA 02601 Re: Application of John J. Schnabel Lot 75, 165 Bayshore Road Hyannis, MA 02601 _. Dear Mr. Daluz : I have been requested by George Blakely on behalf of John J. Schnabel to send you a letter confirming that the above referenced property has been held in separate ownership since March 25, 1972, the date the zoning district in which the above referenced property is located changed from a RA zoning district, . requiring a minimum lot size of 7,500 square feet, to a RB zoning district, requiring a minimum lot size of 10, 000 square feet. l ---� The above referenced property which contains 9, 936 ~ square feet is shown as Parcel 163 on the Town of Barnstable Assessor' s -Map 325 and as Lot 75 on Subdivision Plan 7615-B (Sheet 2) , a copy of- which is on file with the Barnstable County Land Registration Certificate of Title No. 1261. The above referenced property according to said Subdivision Plan�7615-B (Sheet 2) , a copy of which is attached hereto, is abutted to the east by Lot 76, to the south by Lot 74 and to the north and west by town roads. Accordingly, I have examined the record title to said Lots 74, 75 and 76 at the Barnstable County Registry of Deeds Land Registration Office. My examination revealed that during the period of August 9, 1963 through July 6, 1970, said Lots 75 and 76 were held in common ownership by Robert HAYES & HAYES Mr. Joseph D. Daluz - 2 - December 13, 1985 J. and Margaret R. Benson and that since July 6, 1970 , the date on which said Robert J. and Margaret R. Benson conveyed said Lot 76 to Peter A. Consiglio, Jr. , said Lot 75 has been held in separate ownership. If I may be of further assistance, please do not hesitate to contact me. Sincerely, vy'L °UA- Ann Meissner AM: jp r - LAW OFFICES ° -RAYMOND R. COUTURE 18-20 WOBURN STREET ' `READING. MASSACHUSETTS'01867 RAYMOND R.-COUTURE AREA CODE 617 CHRIST.INE._L._NELSON ...,:944-6464 January 20, 1983 John Schnabel, et al 8 Linnard Road W_. Hartford, .CT .06107 Re: Lot 75, Old Fish Hills Road, Hyannis, MA Dear Mrs. & Mrs. Schnabel and Ms. Kearns: On January 17, 1983, the deed conveying the above pr_emise.s was recorded in .the Land Registration Section of Barnstable County Registry of Deeds as Document No. 304774. The new Certificate of Title to be issued will bear No. 90792. The balance of the purchase price due the Seller was $23 , 000. 00 and the Seller owed you $20. 23 for the tax adjustment of 17 days. The re-assessment of the land in the Town has not yet been completed and the tax rate has not been set yet. The taxes were therefore adjusted on the basis of the 1982 taxes of $368. 00 plus a District Fire Tax of $62. 40 for a total of $430. 40. The Town sent an estimated bill based on one-half the 1982 tax with the entire tax to be adjusted when the bill for the second half comes out. At that time the tax should be re-computed to determine if the Seller owes you any more money. The bill will be sent to me by the Seller for forwarding to you. The funds received by me for or at the closing were as follows: 1. Check from Buyer $23 , 000. 00 2. Check from Buyer 1, 200. 00 3. Check from Seller for 20 .23 tax adjustment TOTAL $24, 220. 23 John .S-chnabe , et al January 20, 1983 Page 2 DISBURSEMENTS: 1. Check to Seller $23, 000. 00 -2- -Legal Fee .:and Costs -9 6.3_9 5 Due Buyer (Check No. 543 $23 , 963 .95 Enclosed) $ 256..28 Also enclosed is the Certification of Title and a photocopy of -the Lien Certificate. The Certificate of Title will be forwarded when -I --receive it from -the Registry of Deeds. This will also confirm our convers_atonn my office on,,�„ gSaturda January 15, 1983, wherein I informed you that the �ua.lc�ir�q Inspector's Department and the Office of the Con-servation Commission in Barnstable thought the lot to be buildable. � Please contact me if there are any questions. Ve y truly yours, r % ymo , e ym - RRC/jmd Enclosures, CC: W. Kearns 9ssessor's. map and lot number (0... Sewage wage Permit number BARNSTAXLE, MAO& House number ............... .........1.4 ................. t639.. am Ar. TOWN OF BARNSTABLE BUILDING INSPECTOR -FOR ,PERMIT TO .APPLICATION .rl� m ........................................................ TYPEOF CONSTRUCTION .... ................................................................................................. PC...................19........ TO THE INSPECTOR,OF BUILDINGS: The undersigned hereby applies for a permit according to the followil information:. 4Z .. . ................... ................................................. Location ..... . .........................4...... .... .. ProposedUse .... ...... ............. ................................................... . .. ...................................................................... Zoning District ....lcEs.o ..................Fire District ....... ............................................... .. . . . ...... .......... ..... ........ . Name of Owner ,...........Address . .. . Name of Builder Address . ............................ No -ke. ...... ....X67.................... Nameof Architect ..................... .......................................Address .................................................................................... Number of Rooms .......&..............................I.........................Foundation ..V.0k J.....Cqt,:9Gtt k........................... Exlerior ............................................................................Roofing ......I......I..................................................................... Floorsel� ................................Interior ...... .................................. AHeating r. ....................................................................Plumbing .......................... ........... ..... Fireplace Approximate Cost ............W,.9�9................................ . ................... ...................................................... Definitive Plan Approved by Planning Board --------------------------------19--------- Area ....... .TO. Diagram of Lot and Building with Dimensions Fee ............ ..O ................ SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ..... ... ....Y1 . ................. .................................. 0 ILI PH Construction Supervisor's License .................................... • SCHNABEL, JOHN J. 28725 Ij Story "No ........ ....... Permit for .................................... Single Family Dwelling ......................................................................... Loc6on .....Lo:t...75 165 65...Bay...Shore o re...Road....... . ...... . ........ _N! z Hyannis .................:............................................................. � John J. Schnabel Owner, .................................................................. "k, 5, Typeldf Construction ........Frame ?, - . .................................. .......... .................................................................. ................... ...........Plot .............................. Lot All ted December 3 85 0� jL—termitGran ...... 19. ................I.......... -Date of Inspection ............................ .........1,9 Date Completed .. ............... ...... —4) � �_r�'l•J��I�ir.� -�s.;. - � 1. v) e� R325 163 . o P P R A I S A L D A T i KEY 239511 SCHNABEL, JOHN 'S & JANIC LAND BLD/FEATURES BUILDINGS NUMBER ZN/FL=RB 43 , 900 131, 200 1 A-COST 175, 100 B-MKT 89, 900 BY 00/ BY ML 7/88 C-INCOME PCA=1011 PCS=00 SIZE= 1600 JUST-VAL 175, 100 LEV=400 CONST-C 0 ----COMPARISON TO CONTROL AREA 69AC ----------------------------- NEIGHBORHOOD 69AC HYANNIS PARCEL CONTROL AREA TREND STANDARD 101 10 LAND-TYPE 439001 LAND-MEAN +Oo 1751001 139993 IMPROVED-MEAN -60 250 ] FRONT-FT ] 100 DEPTH/ACRES TABLE 02 1500] LOCATION-ADJ APPLY-VAL-STAT 1 LNR] LAND LFT/IMP]ADJS/SB/FEAT STR] STRUCTURE ARR] AREA-MEASUREMENTS NOR] NOTES COM] MARKET INC] INCOME PMR] PERMITS GRR] GRAPHIC FUNCTION- [ ] STRUCTURE-CARD NO- [0 0 0] DATA- [ ] XMT [?] I R325 163 . P E R M I T [PMT] AC* [R] CARD [000] KEY 239511 000000001 PERMIT-NO MO YR TYPE VALUE CK-BY MO YR oCMP NEW/DEMO COMMENT [B28725] [12] [85] [ND] A 800001 [AM] [01] [87] [100] [NEW ] [HY 11/2 ST] [ ] [ ] [ J [ J l [ ] [ ] [ ] [ J [ ] [ ] [?J PROPERTY ADDRESS I I ZONING I DISTRICT CODE 'SP-DISTS I DATE PRINTED I CSTATE LASS I PCS I NBMD KEY No. 0175 BAY' SHORE ROAD 07 RB 400 . 07HY LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS I UNIT 'ADJ'D.UNIT ' Land Byioate se Dmen<ron LOC./VR.SPEC.CLASS ADJ. COND. P PRICE PRICE ACRES/UNITS VALUE Description S C HN A BE L. J OHN S &"J AN I C E R MAP- CD. FFDeIblAcres #LAND 1 43,900 rAPPRAISED S IN ACCOUNT - L 10.18LDG.SIT.1 . X .2 A=15 277 120 39999.9 199439.9 .22 43900 #BLDG(S)-CARD-1 1 131.200 OF 01 A #P_1 165_ A'Y-S"H"O R E'-R-D H Y`� 175100 N BATHS 2.0. U 1 x C 100 7000.0 7000.0 1.00 7000 a fiDL L0T :75 LC761-5-B 89900 D FIREPLACE U 1 X C= 100 3100.0 3100.0 1.00 3100 8 #RR 0090 0101 � 1149 0115 BMT GARAGE U X 1I C= 100 3100.0 3100.0 1.00 3100 fi #SR OLD FISH HILLS ROAD A VALUE Q Q J. A 175;100 A U PARCEL' SUMMARY T 3 LAND 43900 A T LDGS 131200 -IMPS M TOTAL 175100 F E N CNST E N DEED REFERENCE Type DATE Recoreea PRIOR YEAR VALUE A T Book Page 1fiS1 Mo. v..'D s.lee Pr t. LAND 43900 T S I C109828 ITEI01/87 A 1 BLDGS 131200 U C90792 �01/83 TOTAL 175100 R E BUILDING PERMIT WATER PROX..... - S Number Data Type Amount ............... LAND LAND-ADJ INC ME SE SP-BLDS FEATURES BLD-ADJS UNITS 43900 13200 828725 � 12/85 ND 80000 Class U�Is Unlilil Base Nale Atll.Hate A Vear Bu'r I' Age NDoerpmr i Ooentl. CND _oc 4p R G Repl Cost New Atll Repl Value Stones Height Rooms Rms Baths •Fi>,. Pert yw•II fer. I I01C+' 000 . 100 100. 65.85 65.85 86 86 8 93 140 . 133 98678 131200 2.0 6 3 2.0 7.0 Description Rate Souare Feel Repl.Cost MKT.INDEX: 1 e OO- IMP.BY/DATE: ML, 1 7188 SCALE: 1/00.79 ELEMENTS CODE CONSTRUCTION DETAIL 0 b5.85- 800 526$0 SINGLE FAMILY"'DWELLING CNS7 GP:00 S BAS 90 T FWD 85 8.50 140 1190 N *----14r-r-* STYLE Ob OLONIAL 820 60 39:510.0 R ,I 800 31608 1 fYD ! DESIGN ADJMT_` -QO ------------------p.p U I 10 10 XTER.bdALLS 71 ODD SHINGLES 0 -6 C ! ! HEAT%AC TYPE _07 AS-HOT WATER 0.0 T I *-----------32*----14.---* - - - NTER.FINISH 04 RYWALL 0.0 ! 820 ! NTER:LA-1/0UT_ _12 VERB%NORMAL' 0.0 U ---------------------- ! ! NTER.QUALTY . 02 AM_E AS EXTER.__ 0.0 R 1 1 FLOOR STRUCT 52 D JOIST/BEAM 0.0 A W ! ! EfL00R COVER 07 ARDWOOD 0.0 L Q _ E Taal Areas A-- 140 Base= $OO 1 ! .. ____ _ ___ .- _--- -TYPE ___ _t�1 ABLE-AS_P_H_ SH 0.0 BUILDING DIMENSIONS 25 BASE 25 ELECTRICAL J1 VERAGE 0.0 S W32 N25 E32 FWD N10 W14 S10 ! ! FOUNDATION 01 CURED CONC 99.9 " c14... BAS S25. ._ 820 N25 W32 ! 1 -------7------- --- ---------------------- S25 E32 -_-__-- ! ! NEIUHBbRH06D 69-AC HTANNIS L ! LAND ' TOTAL MARKET '. PARCEL 43900 '175100 *-----------32----r------X - AREA '17499 VARIANCE +0 +901 STANDARD 25 .4 � t ' � ', v ,` ;S ,���; �. ��: ;.J q3j 2-1 Theil, Main Beam Girt, triple 2x10 A At Beam Length: 492.0 in Location: 0.0 in 0.01470703 in 0.0858883 Deflection 0.0 — 0.2231601 deg 0.214853 Slope 0.2231601 60376.93 lb-in 71700.29 Moment 0.0 -- —. 5483.661, th"�� lb -5281.534 Shear -3736.436 -------- — 1059.302 Win 2 t 1059.302 Bending Stress Tensile:0.0 Compressive:0.0 I -- - — 128.2728 fi , I �I'i f �( li illllV�1�� _u lb/in' ���I ,�� I�►;.Ili I ►, I , t f Ilyil Ii;i�11 1'ttII ;ii�li�l1_..�.. L'_u_I.�I.f_.!��i.l '1_LU: .L1! I.i1�L 11 i�I i i i 0.0 Average Shear Stress _ 87.40202 ** Theil, Main Beam Girt, triple 2x10 ** BEAM LENGTH = 492.0 in j MATERIAL PROPERTIES Modulus of elasticity = 1200000.0 lb/in2 CROSS-SECTION PROPERTIES Moment of inertia = 321.51 in^4 Top height = 4.75 in Bottom height = 4.75 in Area = 42.75 in2 UNIFORMLY DISTRIBUTED FORCES 114.625 lb/in at 0.0 over 492.0 in T 0.99 Win at 0.0 over 492.0 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force =-3736.436 lb Simple at 78.0 in Reaction Force =-8353.001 lb Simple at 120.0 in Reaction Force =-5840.604 lb Simple at 197.28 in Reaction Force =-9514.035 lb Simple at 274.56 in Reaction Force =-8495.712 lb Simple at 343.68 in Reaction Force =-7304.587 lb - Simple at 412.8 in Reaction Force =-9965.157 lb Simple at 492.0 in' 'Reaction Force =-3673.047 lb MAXIMUM DEFLECTION *** 0.0858883 in at 35.67319 in No Limit specified MAXIMUM BENDING MOMENT *** 71700.29 lb-in at 412.8 in MAXIMUM SHEAR FORCE *** 5483.661 lb at 412.8 in MAXIMUM STRESS *** Tensile = 1059.302 lb/in' No Limit specified Compressive = 1055.302 lb/in2 No Limit specified Shear (Avg) = 128.2728 lb/in' No Limit specified 29 Thiel, garage beam, W12x40 Beam Length: 264.0 in Location: 0.0 in 0.0 in 0.6456687 Deflection 0.0 0.4484132 ' deg 0.4484132 Slope 0.4484132 799526.4 lb-in 6.0 Moment 0.0 I -- 12114.04 I 12114.04 Shear 12114.04 — 15397.33 Iblin2 _ 15397.33 Bending Stress Tensile:0.0 Compressive:0.0 11026.613 � � I lmj�" I eWin L0.0� ! 'J!J MILL l__ " Average Shear Stress -_--__--—�—--�_----------- --1026.613 ** Thiel, garage beam, W12x40 ** BEAM LENGTH = 264.0 in MATERIAL PROPERTIES Modulus of elasticity = 29000000.0 lb/in2 CROSS-SECTION PROPERTIES . Moment of inertia = 310.0 in^4 Top height = 5.97 in Bottom height = 5.97 in Area = 11.8 in2 UNIFORMLY DISTRIBUTED FORCES 3.333 lb/in at 0.0 over 264.0 in 88.44 Win at 0.0 over 264.0 in SUPPORT REACTIONS *** Simple at 0.0 in Reaction Force =-12114.04 lb Simple at 264.0 in Reaction Force =-12114.04 lb MAXIMUM DEFLECTION. *** 0.6456687 in at 132.0 in No Limit specified MAXIMUM BENDING MOMENT *** 799526.4 lb-in at 132.0 in MAXIMUM SHEAR FORCE *** 12114.04 lb at 0.0 in -12114.04 lb at 264.0 in MAXIMUM STRESS *** Tensile = 15397.33 lb/in2 No Limit specified Compressive = 15397.33 lb/in2 No Limit specified Shear (Avg) = 1026.613 lb/in' No Limit specified r Thiel,footing for main beam girt support column near bathroom P Input Constants Description Input Consiants L P,column load,pounds 2m b Sc,soil load capacity,psf P := 15816•lbf fc,compression stress limit for concrete,psi lbf fs,tensile stress for steel SC := 2000•— reinforcing bars ft2 2 in.(t!fi•) e (for 60 ksi rebar,fs=36000 psi) fC := 3000•psi (for 40 ksi rebar,fs=24,000 psi) 003 Ec,modulus of elasticity for fS;:= 60000-psi I concrete(3,122,019 psi for Ft 3000 psi concrete) Ec := 3122019•psi Fs 0.007 Fc=0.003 in./in., concrete compression strain limit Size of footing surface area required Fs=0.004 in./in., steel reinforcing bar tensile strain limit Sa := P For balanced condition,Fc=Fs — Sc Sa =7.908 o ft2 . Min. length of side required Depth of footing required o.s Ls := Sa Ls Ls =33.745-in - b := - 2 b -!16.873 yin Min. base for "Big Foot"'or sonos Depth of lower rebar (Ls)2 o.s B ._ .2 d := b - o.2sft � B =38.078-in d = 1.156 oft Moment Balance Pressure on soil due to weight of concrete (3 := 0.9 flexural resistance factor We := b•1 so.lbf WC =210.909 lbf As(fs)(R)d= P(Ls)/4 ft 112 Min. cross sectional area of steel Remaining soil capacity' required at bottom-unless As <0.17 after applying footing Lis weight As := P. Sc� := Sc— WC SCE = 1.789*103 slbf 4•fS•R A ft2 As =0.178 ain2 1 Check if upper compression steel is required For balanced condition,Fc=Fs By similar triangles, c/d+0.003/0.007=0.42857 for the balanced condition of Fc=Fs. If c/d>0.42857, then upper compression controls and upper compression steel requirements must be evaluated: B _ Ls- 2•b a .= As fs. ((3•B•fc•in) a =3.958-in c .= a a c =4.398*in r c — =0.317 If c/d>0.42857, then upper compression steel is d required unless Acs<0.17 If compression steel is necessary e := b- 2.00004•in from the illustration and depth of footing calculation Acs := P- Ls 4•fs •e Acs =0.166,-in2 Footings are to be 34 in. min..x 34 in. min. x 17in. min. deep with four#4 bars both ways at the bottom 2 Job No Sheet No Rev Software licensed to Microsoft Part Job Title . Ref .rr By Dick A pate08-Aug-15 Chd Client F11e Theil Steel.std DateRme 08-Aug-2015 16:45 \\\ \.\w��se ql GX�/ S4040 8 \ � oxse�� 840405 X B4W8 i z ►� xy X Load 1 c it Print Time/Date:osroanots zo:as STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Prim Run 1 of t Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref .Y BY DiCk A oate08-Aug-15 Chd Client File Theil Steel.std 1T1e 08-Aug-2015 16:45 s, . ;} I r r i Y Load 2 I Y Print Time/Date:08i0a'2015 17:05 STAAD.Pro V8i(SELECTseries 5)20.07A0.66 Print Run 1 of 1 _ Job No Sheet No Rev _ Software licensed to Microsoft Part Job Title - Ref a 4 er Dick A DatT8-Aug-15 Chd client File Theil Steel.std Date/Time 08-Aug-2015 16:45 2 310 4 Iz t ' 12 Load 2 it J Print Time/Date:08108/2015 17:05 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 _ - Job No SheelNo Rev 42> - Software licensed to Microsoft Part Job Title Ref By Dick A D"108-Aug-15 Chd Client File Theil Steel.std DaterrimO 08-Aug-2015 16:45 2 3 i 5 4 10 YX ' -Z e Load 2 Print rime/Date:08/08/2015 17.06 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 ne - Job No Sheet No R� 37 Software licensed to Microsoft Pert Job Title Ref . 'E1 Mee COQ By Dick A oate8-Aug-15 Chd client File Theil Steel.std oatemme 08-Aug-201516:45 Node UC X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad). 4 3 0.136 -0.757' -0.094 0.775 -0.000 0.061 -0.001 4 2 0.131 ` -0.712 -0.090 0.729 -0.000 0.001 -0.001 3 3 0.059 -0.583 -0.094 0.593 0.005 0.001 0.008 3 2 0.057 -0.548 -0.090 0.559 0.005 0.001 0.007 5 3 0.253 -0.016 -0.094 0.271 -0.007 0.001 -0.003 5 2 0.240 -0.015 -0.090 0.257 -0.007 0.001 -0.003 1 3 0.137 -0.007 0.015 0.138 0.000 0.000 -0.008 1 2 0.131 -0.007 0.013 0.132 0.000 0.000 -0.007 6 3 0.054 -0.008 -0.092 0.107 -0.007 -0.001 0.002 6 2 0.052 -0.008 -0.088 0.102 -0.006 -0.000 0.002 2 3 -0.032 -0.017 -0.094 0.100 0.007 0.001 0.001 2 2 -0.028 -0.016 -0.090 0.096 0.007 0.001 0.001 4 1 0.006 -0.045 -0.004 0.046 -0.000 0.000 -0.000 3 1 0.001 -0.035 -0.004 0.035 0.000 0.000 0.001 5 1 0.013 -0.001 -0.004 0.013 -0.000 0.000 -0.000 1 1 0.006 -0.000 0.001 0.006 0.000 0.000 -0.000 2 1 -0.004 -0.001 -0.004 0.005 0.000 0.000 0.000 6 1 0.002 -0.000 -0.004 0.005 -0.000 -0.000 0.000 7 1 0.000 0.000 0.000 0.000 = 0.000 0.000 0.000 7 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 7 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 10 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 10 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 10 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 11 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 11 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 11 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Print Time/Oate:08/08/2015 17:06 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Pert Job Title Ref ' lay Dick A Date08-Aug-15 Chd coeM File Theil Steel.std Datemme 08-Aug-2015 16:45 Beam L1C Section Axial Bend-Y Bend-Z Combined ''Shear-Y Shear-Z (psi) (psi) (psi) (psi) (psi) (psi) 7 3 0.000 4.65E+3 -19E+3 -1.2E+3 24.8E+3 22.055 -499.465 7 2 0.000 4.37E+3 -17.9E+3 -1.1E+3 23.4E+3 20.352 471.757 7 3 0.083 4.66E+3 -16.5E+3 -1.09E+3 22.2E+3 22.055 499.465 7 2 0.083 4.37E+3 -15.6E+3 -994.068 20.9E+3 20.352 -471.757 10 3 0.000 2.14E+3 11.5E+3 -6.55E+3 20.2E+3 191.505 285.219 7 3 0.167 4.66E+3 -14E+3 -983.097 19.7E+3 22.055 -499.465 10 2 0.000 2.08E+3 11 E+3 -6.28E+3 19.4E+3 183.508 273.659 7 2 0.167 4.37E+3 '13.2E+3 -892.725 18.5E+3 20.352 -471.757 10 3 0.083 2.14E+3. 10.2E+3 -5.67E+3 18E+3 191.505 285.219 10 2 0.083 2.08E+3 9.78E+3 -5.43E+3 17.3E+3 183.508 273.659 9 3 0.000 4.47E+3 12.5E+3 -267.358 17.2E+3 76.892 310.009 7 3 0.250 4.66E+3 -11.5E+3 -873.275 17.1E+3 22.055 499.465 9 2 0.000 4.16E+3 11.6E+3 -266.574 16.1E+3 73.333 288,735 7 2 0.250 4.37E+3 -10.9E+3 -791.382 16E+3 20.352 -471.757 10 3 0.167 2.14E+3 8.88E+3 4.78E+3 15.8E+3 191.505 285.219 7 3 1.000 4.68E+3 10.9E+3 115.123 15.7E+3 22.055 -499.465 9 3 0.083 4.48E+3 11 E+3 88.265 15.6E+3 76.892 310.009 10 2 0.167 2.08E+3 8.52E+3 -4.58E+3 15.2E+3 183.508 273.659 3 3 1.000 27.849 -734.961 14.2E+3 15E+3 230.285 37.345 4 3 0.000 27.483 -679.859 14.2E+3 14.9E+3 -853.991 -13.174 3 3 0.917 27.849 -660.353 14.1E+3 14.8E+3 308.155 37.345 7 2 1.000 4.37E+3 10.3E+3 120.706 14.8E+3 20.352 -471.757 3 3 0.833 27.849 -585.746 14E+3 14.7E+31 386.024 37.345 9 2 0.083 4.16E+3 10.3E+3 72.592 14.5E+3 73.333 288.735 9 3 0.167 4.48E+3 9.6E+3 443,889 14.5E+3 76.892 310.009 7 3 0.333 4.66E+3 -9.04E+3 -763,453 14.5E+3 22.055 -499.465 3 3 0.750 27.849 511.138 13.9E+3 14.4E+3 463.893 37.345 6 3 0.000 1.92E+3 4.911 12.3E+3 14.3E+3 -294.863 4.130 4 3 0.083 27.483 -625.317 13.6E+3 14.3E+3 -1.02E+3 -13.174 3 3 0.667 27.849 436.531 13.7E+3 14.2E+3 541.763 37.345 3 2 1.000 25.926 -698.536 13.4E+3 14.1 E+3 223.579 35.625 4 2 0.000 25.597 -647.990 13.4E+3 14.1 E+3 -833.736 -12.564 3 2 0.917 25.926 627.366 13.3E+3 14E+3 294.507 35.625 3 3 0.583 27.849 361.923 13.5E+3 13.9E+3 619.632 37.345 3 2 0.833 25.926 -556.195 13.2E+3 13.8E+3 365.436, 35.625 3 3 0.500 27.849 -287.316 13.3E+3 13.6E+3 697.502 37.345 6 2 0.000 1.87E+3 4.626 11.8E+3 13.6E+3 281.264 3.714 10 3 0.250 '2.15E+3 7.56E+3 -3.89E+3 13.6E+3 191.505 285.219 +3 43 3 2 0.750 25.926 485.024 13.1E+3 13.6E6.364 35.625 7 2 0.333 4.37E+3 -8.52E+3 -690.039 13.6E+3 20.352 -471.757 9 2 0.167 4.16E+3 8.96E+3 411.758 13.5E+3 73.333 288.735 4 3 0.167 27.483 -570.775 12.9E+3 13.5E+3 -1.18E+3 -13.174 9 3 0.250 4.48E+3 8.16E+3 799.512 13.4E+3 76.892 310.009 4 2 0.083 25.597 -595.972 12.8E+3 13.4E+3 -980.725 -12.564 3 2 0.667 25.926 -413.853 12.9E+3 13.4E+3 507.292 35.625 3 3 0.417 27.849 -212.708 13.1 E+3 13.3E+3 775.371 37.345 Print Time/Date:0&0&2015 17:09 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 8 Job No Sheet No Rev 04C , Software licensed to Microsoft Part Job Title Ref By Dick A °a'e08-Au9-15 cnd client File Theil Steel.std oate/i nie 08-Aug-2015 16:45 Node L/C Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip'in). (kip in) (kip-in) 11 3 -0.192 19.638 -0.775 22.765 -1.126 19.201 11 2 -0.183 18.159 -0.722 -21.069 -1.056 18.256 12 3 -0.479 9.451 -0.713 -20.681 0.869 19.572 12 2 -0.459 9.081 -0.684 -19.871 0.838 18.751 7 3 0.737 8.511 -0.010 -1.0-77 -0.712 -19.333 7 2 0.703 8.147 -0.009 -0.967 -0.685 -18.417 11 1 -0.009 1.480 -0.053 -1.696 -0.070 0.944 12 1 -0.020 0.370 -0.029 -0.811 0,0301. 0.821 7 1 0.034 0.363 -0.001 -0.110 -0.027 -0.916 Print Timemate:Ot3l a 2o15 17:10 STAAD.Pro V8i(SELECTSeries 5)20.07,10.66 Prim Run 1 of 1 y6 Requirements for connecting W1000 to W12x96 Steel backing plate 10 in. long x 6 % in. wide x %in. thick f Steel Angle 4 x 4 x 3/8 x 6.5 in. long -3._ ti jProvide steel shimming before welding.Top flanges of both beams must be flush. l ` f � 1 Cope 2 in. deep x 7 in. long, 1/4 in. r i 00, Connection of angled W1Ox30 to W12x96 T� f i ; 1. W12x96 1. l WIOx3O lv� -rc�/Ip 1 Angle cut the W I Ox30 to proper length. Angle cope 2 in. deep. Webs of both beams to meet as shown. Provide steel shiming before welding. Top flanges of both beams must be flush. GI/4 fillet weld this side fillet weld opposite side �✓2 Beam Seats and Gusset Plates,for both ends of W12x96 and Garage Beam W12x40 Gusset '/4 in.thick Both Sides, Centered Over Column - W12x96 (see below) - -- _ _ 8 in. x 8 in. x 5/8 in. x 5 'h in. long Steel Angle Fillet Weld - -- —--_-- 4 x 6 x 3/8 RISC Both Sides Structural Steel � ''T -. W12x96(Ref.) 1/4 in. thick . Gussets, cut to Fillet Weld, fit and weld Both Sides, Both Gussets i Beam Seats and Gusset Plates for W10x30 Gusset, 'Ain. thick Both Sides, Centered . Over Column WIND (see below) 6 in.x6 in,xYzim x 3 '/z in. long Fillet Weld �4 x 4 x 5/16 RISC Both Sides Wu6ctur tee n W1000(Ref.) 1/4 in. thick Gussets,cut to % Fillet Weld, fit and weld / Both Sides, Both Gussets I A . � � �1 `fib � � � • .S ' i` i 1► I IN �a Buy the best concrete pier footings&pier footing tubes-do it right, for less bags , 4-2 Bigfoot products DIY home Improvements&new North America's #1 Selling Footing Forms! 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BFT10 will not break down due t dampness, they may be left in th http://www.bigfootsystems-com/include/Droduct-.htm 1 f Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref • All, 'Q By Dick A Da Client te05 Aug-15 ChdPile Thiel.std DateRme 06-Aug-2015 15:53 II Load 1 n i Print Time/Date:06108@015 17:o8 STAAD.Pro V8i(SELECTsedes 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No, Rev Software licensed to Microsoft Part Job Title Ref By DiCkA DateO5-Aug-15 Chd Client Fite Thiel.std oate>Tme 06-Aug-2015 15:53 _ r � Load 2 Print Time/Date:06/M2015 17:09 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 0(1 i Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By Dick A Date05-Aug-15 chd Client File Thiel.std Datemme 05-Aug-2015 14:10 14 i .9.. 10 13 4 2 3 Z 11 12 1 i Print Time/Date:05/08/2015 15:51 STAAD.Pro V8i(SELECTSeries 5)20.07.10,66 Print Run 1 of 1 I JAW— Job No Sheet No Rev Software licensed to Microsoft Part Job Title r Ref 1 0 ey Dick A Date05-Aug-15 chd Client File Thiel.std Date>Tme 05-Aug-2015 14:10 y 19 21 5 18 7 8 19,, 9 4 14 • 13 10 �_x t5 3 • 2 Z 17 12 Print Time/Date:05/08/201515:52 STAAD.Pro V8i(SELECTseries 5)20.07,10.66 Print Run 1 of 1 Job No Sheet No Rey Software licensed to Microsoft Part Job Title Ref ' ay DiCk A Date05-Aug-15 Chd Client File Thiel.std Datemme 06-Aug-2015 15:53 Node UC X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 15 3 -0.010 -0.189 0.000 0.189 0.000 0.000 -0.001 14 3 -0.003 -0.187 0.000 0.187 0.000 0.000 0.001 6 3 -0.006 -0.178 0.000 0.178 0.000 0.000 -0.000 15 2 -0.009 -0.169 0.000 . 0.169 0.000 0.000 -0.001 14 2 -0.003 -0.168 0.000 0.168 0.000 0.000 0.001 6 2 -0.006 -0.160 0.000 0.160 0.000 0.000 -0.000 8 3 -0.092 -0.126 0.000 0.156 0.000 0.000 0.004 4 3 0.086 -0.119 0.000 0.147 0.000 0.000 -0.003 8 2 -0.082 -0.113 0.000 0.140 0-000--F 0.000 0.003 7 3 0.000 -0.131 0.000 0.131 0.000 0.000 0.004 4 2 0.077 -0.106 0.000 0.131 0.000 0.000 -0.003' 9 3 0.001 -0.126 0.000 0.126 0.000 0.000 0.004 5 3 -0.015 -0.124 0.000 0.125 0.000 0.000 -0.004 3 3 -0.001 -0.118 0.000 0.118 0.000 0.000 -0.003 7 2 -0.000 -0.117 0.000 0.117 0.000 0.000 0.003 9 2 0.001 -0.112 0.000 0.112 0.000 0.000 0.003 5 2 -0.014 -0.110 0.000 0.111 0.000 0.000 -0.003 3 2 -0.001 -0.106 0.000 0.106 0.000 0.000 -0.003 15 1 -0.001 -0.020 0.000 0.020 0.000 0.000 -0.000 14 1 -0.000 -0.020 0.000 0.020 0.000 0.000 0.000 10 3 0.002 -0.019 0.000 0.019 0.000 0.000 0.004 2 3 -0.002 -0.019 0.000 0.019 0.000 0.000 -0.004 6 1 -0.001 -0.019 0.000 0.019 0.000 0.000 -0.000 10 2 0.002 0.017 0.000 0.017 0.000 0.000 0.004 2 2 -0.002 -0.017 0.000 0.017 0.000 0.000 -0.004 T 8 1 -0.010 -0.014 0.000 0.017 0.000 0.000 0.000 4 1 0.009 -0.013 0.000 0.016 0.000 0.000 -0.000 7 1 0.000 -0.014 0.000 0.014 0.000 0.000 0.000 9 1 0.000 -0.013 0.000 0.013 0.000 0.000 0.000 5 1 -0.001 -0.013 0.000 0.013 0.000 0.000 -0.000 3 1 -0.000 -0.013 0.000 0.013 0.000 0.000 -0.000 10 1 0.000 -0.002 0.000 0.002 0.000 0.000 0.000 2 1 -0.000 -0.002 0.000 0.002 0.000 0.000 -0.000 12 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 2 0.000 0.000 0.000 0.000 0.000P-nnnn ' 0.000 12 3 0.000 0.000 0.000 0.000 0.000 0.000 13 .1 0.000 0.000 0.000 0.000 0.000 0.000 13 2 0.000 0.000 0.000 0.000 0.000 0.000 13 3 0.000 0.000 0.000 0.000 0.000 . 0.000 I 11 2 0.000 1 0.000 0.000 0.000 0.000 0.000 0.000 II 11 3 0-000T 0.000 0.000 0.000 0.000 0.000 0.000 1 3 0.0001 0.000 0.000 0.000 0.000 0.000 0.000 11 1 0.000 0.000 0.000 1 0.000 0.000 0.000 0.000 1 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Print Time/Date:06/08QO15 17:10 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 or 1. Job No Sheet No Rev - Software licensed to Microsoft Part Job Title Ref By Dick A Da"05-Aug-15 Chd Client File Thiel.std DateRme 06 Aug-2015 15:53 Beam UC Section Axial Be nd-Y Bend,Z Combined Shear-Y Shear-Z (psi) (psi) (psi) (psi) (psi) (psi) 4 3 1.000 77.320 0.000 -969.166 1.05E+3 -20.697 -0.000 7 3 1.000 78.953 0.000 967.411 1.05E+3 20.697 -0.000 7 3 0.000 77.263 0.000 -958.462 1.04E+3 20.697 0.000 4 3 0.000 79.009 0.000 956.706 1.04E+3 1 -20. 997 0.000 4 2 1.000 69.974 0.000 -874.485 944.459 -18.629 -0.000 7 2 1.000 69.922 0.000 868.676 938.599 18.629 -0.000 7 2 0.000 69.922 0.000 -864.774 934.696 18.629 0.000 4 2 0.000 69.974 0.000 858.965 928.939 -18.629 0.000 4 3 0.917 7.7.461 0.000 -808.677 886.138 -20.697 0.000 7 3 0.917 78.812 0.000 806.921 885.733 W697 0.000 7 3 0.083 77.404 0.000 -797.972 875.376 20.697 0.000 4 3 0.083 78.869 0.000 796.217 875.085 -20.697 0.000 4 2 0.917 69.974 0.000 -730.031 800.005 18.629 0.000 7 2 0.917 69.922 0.000 724.222 794.145 18.629 0.000 7 2 0.083 69.922 0.000 -720.320 790.242 18.629 0.000 4 2 0.083 69.974 0.000 714.511 784.485 -18,629 0.000 4 3 0.833 77.602 0.000 -648.187 725.789 -20.697 0.000 7 3 0.833 78.671 0.000 646.432 725.103 20.697 0.000 7 3 0.167 77.545 0.000 -637.483 715.028 20.697 0.000 4 3 0.167 78.728 0.000 635.727 714.455 -20.697 0.000 4 2 0.833 69.974 0.000 -585.577 655.550 -18.629 0.000 7 2 0.833 69.922 0.000 579.768 649.690 18.629 0.000 7 2 0.167 69.922 0.000 -575.866 645.788 18.629 0.000 4 2 0.167 69.974 0.000 570.057 640.030 -18.629 0.000 10 3 0.000 216.982 0.000 -355.922 572.904 3.464\ 0.000 4 3 0.750 77.742 0.000 -487.698 565.441 -20.697 0.000 7 3 0.750 78.530 0.000 485.943 564.473 20.697 0.000 7 3 0.250 77.686 0.000 -476.993 554.679 20.697 0.000 4 3 0.250 78.587 0.000 475.238 553.825 -20.697 0.000 1 3 1.000 214.670 0.000 -333.189 547.860 -3.243 -0.000 10 3 0.083 217.186 0.000 -311.371 528.557 3.464 0.000 4 2 0.750 69.974 1 0.000 -441.123 511.096 -18.629 0.000 10 2 0.000 192.459 0.000 -318.204 510.663 3.097 0.000 1 3 0.917 214.875 0.000 -291.480 506.355 -3.243 0.000 7 2 0.750 69.922 0.000 435.314 505.236 -18.629 0.000 7• 2 0.250 69.922 0.000 -431.411 501.334 18.629 0.000 4 2 0,250 69.974 0.000 425.603 495.576 -18.629 0.000 .1 2 1.000 190.363 0.000 -297.581 487.944 -2.896 -0.000 10 3 0.167 217.390 0.000 -266.821 484.211 3.464 0.000 20 3 0.833 90.042 0.000 386.221 477.1.62 -0.707 0.000 5 3 0.167 90.949 0.000 384.619 475.568 0.733 0.000 20 3 0.750 90.272 0.000 383.694 473.966 1.757 0.000 5 3 0.250 90.279 0.000 382.218 472.497 -1.731 .0.000 10 2 0.083 192.459 0.000 -278.374 470.833 3.097 0.000 20 3 0.917 91.612 0.000 376.888 468.500 -3.172 0.000 5 3 0.083 91.619 0.000 375.162 466.780 3.198 0.000 Print Time/Date:06/08/2015 17:11 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 18 Job No Sheet No Rev Software licensed to Microsoft Part Job Title ' Ref By Dick A °at'05-Aug-15 Chd C0ent File Thiel.std __M_ 06-Aug-2015 15:53 Node UC Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip in) (kip'in) (kip in) 11 3 -0.015 1.518 0.000 0.000 0.000 -8.798 1 3 0.014 1.495 0.000 0.000 0.000 8.295 11 2 -0.014 1.351 0.000 0.000 0.000 -8.210 1 2 0.013 1.330 0.000 0.000 0.000 7.741 13 3 0.001 1.117 0.000 0.000 0.000 0.723 13 2 0.001 1.015 0.000 0.000 0.000 0.675 12 3 0.000 0.727 0.000 0.000 0.000 0.538 12 2 0.000 0.671 0.000 0.000 0.000 0.501 11 1 -0.002 0.167 0.000 0.000 0.000 -0.588 1 1 0.002 0.165 0.000 0.000 0.000 0.554 13 1 0.000 0.101 0.000• 0.000 0.000 0.048 12 1 0.000 0.056 0.000 0.000 0.000 0.037 { f Print Time/Date:06/08/2015 17a1 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run t of t Job No Sheet No Rev 1 1 Software licensed to Microsoft Part Job Title Ref By DiCk A Dateo5-Aug-15 Chd Cl1e6t File Thiel,max on main beam Daterr— 06-Aug-2015 16:02 r Load I I , Print Time/Date:OBIOBQ015 17:13 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Al Software licensed to Microsoft Part Job Title . Ref • �Z By DickA Date05-Aug-15 Chd Client - O File Thiel,max on main beam DatefTin1e 06-Aug-2015 16:02 Node L/C Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip'in) (kip in) (kip'in) 12 3 0.001 1.834 0.000 0.000 0.000 0.506 12 2 0.001 1.678 0.000 0.000 0.000 0.472 12 1 0.000 0.156 0.000 0.000 0.000 0.035 Print Time/Date:06/08/2015 17:15 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 kr- Job No Sheet No Rev Software licensed to Microsoft Part Job Title. Ref �• By Dick A Date05-Aug-15 Chd Cliem FFile Thiel,Wind shear braced Datern^e 06-Aug-2015 15:48 Load 2 Print Time/Date:06/08/2015 17:18 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No - Rev Software licensed to Microsoft Part Job Title Ref Ir By Dick A Date05-Aug-15 Chd Client He Thiel,Wind shear.std DatelTme 06-Aug-2015 15:46 Node UC X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 7 3 -0.522 -0.061 0.000 0.525 0.000 0.000 0.001 7 2 -0.522 -0.044 .0.000 0.524 0.000 0.000 0.001 5 3 -0.521 0.021 0.000 0.521 0.000 0.000 0.001 15 3 -0.519 -0.051 0.000 0.521 0.000 0.000 -0.001 5 2 -0.520 0.038 0.000 0.521 0.000 0.000 0.001 15 2 -0.518 -0.028 0.000 0.518 0.000 0.000 -0.001 'k 14 2 -0.517 0.027. 0.000 0.518 0.000 0.000 -0.001 14 3 -0.517 0.004 0.000 0.517 0.000 0.000 _ -0.001 6 3 -0.509 -0.022 0.000 0.510 0.000 0.000 -0.001 6 2 -0.509' 0,001 0.000 0.509 0.000 0.000 !-0.001 8 3 -0.060 -0.061 0.000 0.086 0.000 0.000 0.003 8 2 -0.049 -0.044 0.000 0.066 0.000 0.000 0.003 9 3 -0.004 -0.060 0.000 0.060 0.000 0.000 0.002 4 2 -0.040 0.038 0.000 0.055 0.000 0.000 0.002 9 2 -0.004 -0.043 0.000 0.043 .0.000 0.000 0.001 3 2 -0.002 0.037 0.000 0.037 0.000 0.000 0.001 4 3 -0.029 0.022 0.000 0.036 0.000 0.000 0.002 1,5 1 -0.001 -0.023 0.000 0.023 0.000 0.000 -0.000 14 1 -0.000 -0.023 0.000 0.023 0.000 0.000 0.000 6 1 -0.001 -0.022 0.000, 0.022 0.000 0.000 -0.000 3 3 -0.002 0.021 0.000 0.021 0.000 0.000 0.001 8 1 -0.012 -0.017 0.000 0.021 0.000 0.000 0.000 4 1 0.011 -0.016 0.000 0.020 0.000 0.000 -0.000 7 1 0.000 -0.018 0.000 0.018 0.000 0.000 0.000 5 1 -0.001 -0.017 0.000 0.017 0.000 0.000 -0.000 9 1 0.000 -0.017 0.000 0.017 0.000 0.000 0.000 3 1 -0.000 -0.016 0.000 0.016 0.000 0.000 -0.000 2 3 -0.002 -0.006 0.000 0.007 0.000 0.000 0.001 10 2 -0.005 0.003 0.000 0.006 0.000 0.000 0.002 10 3 -0.004 -0.000 0.000 0.004 0.000 0.000 0.002 2 2 -0.002 -0.003 0.000 0.004 0.000 0.000 0.002 10 1 0.000 -0.003 0.000 0.003 0.000 0.000 0.001 2 1 -0.000 -0.003 0.000 0.003 0.000 0.000 -0.001 12 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000. 11 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 11 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 12 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 11 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 3 0.000 0.000 0.000 0.000 0.000 0.000 0.000 13 1 0.000 0.000 0.000 0.000 0.000 0.000 .0.000 1 2 0.000 0.000 0.000 0.000 0.000 0.000 0.000 1 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 16 1 0.000 0.000 0.000 0.000 0.000 0.000 0.000 Print Time/Date:os/oenois 17:21 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 2 I Job No Sheet No / Rev Software licensed to Microsoft Part Job Title Ref By Dick A Date05-Aug-15 cnd Client File Thiel,Wind shear.std °atefnma 06-Aug-2015 15:46 Beam UC Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (psi) (psi) (psi) (psi) (psi) (Psi) 4 3 1.000 18.002 0.000 1.1E+3 1.12E+3 -22.958 -0.000 4 3 0.000 19.691 0.000 1.04E+3 1.06E+3 -22,958 0.000 4 1 2 1.000 7.847 0.000 -996.484 1 E+3 -20.643 -0.000 w 4 3 0.917 18.143 0.000 -921.182 939.324 22.958 0.000 4 2 0.000 7.847 0.000 924.315 932.162 -20.643 0.000 7 3 1.000 3.952 0.000 -894.510 898.462 -26.410 -0.000 4 3 0.083 19.550 0.000 859.004 878.554 -22.958 0.000 4 2 0.917 7.847 0.000 -836.417 844.264 -20.643 0.000 ` 4 2 0.083 7.847 0.000 764.249 772.096 20.643 0.000 4 3 0.833 18.283 0.000 743.163 761.447 -22.958 0.000 7 3 0.000 2.262 0.000 727.245 729.507 -8.448 '0.000 4 3 0.167 19.410 0.000 680.985 700.395 -22.958 0.000 7 3 0.917 3.811 0.000 695.526 699.337 24.913 0.000 4 2 0.833 7.847 0.000 676.351 684.198 -20.643 0.000 10 3 1.000 2.182 0.000 -679.408 681.590 28.069 -0.000 7 3 0.083 2.403 0.000 655.936 658.340 -9.945 0.000 4 2 0.167 7.847 .0.000 604.182 612.029 -20.643 0.000 4 3 0.750 18.424 0.000 -565.145 583.569 -22.958 0.000 7 3 0.,167 2.544 0.000 573.021 575.565 11.441 0.000 4 2 0.750 7.847 0.000 -516.284 524.131 -20.643 0.000 4 3 0.250 1 19.269 0.000 502.967 522.235 -22.958 0.000 7 3 0.833 3.670 0.000, 508.149 511.819 -23.416 0.000 7 3 0.250 2.685 0.000 478.499 481.184 12.938 0.000 , 14 3 1.000 34.440 0.000 435.223 469.663 9.027 -0.000 4 2 0.250 7.847 0.000 444.115 451.962 20.643 0.000 14 3 0.917 34.440 0.000 382.566 417.007 9.318 0.000 9 3 0.000 32.056 0.000 375.608 407.664 41.062 4 3 0.667 18.565 0-.000 -387.126 405.691 -22.958 0.000 14 2 1.000 35.967 0.000 345.253 381.220 8.135 -0.000 7 3 0.333 2.825 0.000, 372.370 375.195 -14.435 0.000 4 2 0.667 7.847 0.000 -356:218 364:065 20.643 0.000 14 3 0.833 34.440 0.000 328.238 362.678 9.609 0.000 9 3 0.083, 32.056 0.000 329.723 361.780 41.118 0.000 15 3 1.000 41.857,1 0.000 316.745 358.602 21.885 -0.000 10 3 0.917 1.977 0.000 -350.332 352.310 -23.103 0.000 4 3 0.333 19.128 0.000 324.948 344.076 722.958 1 0.000 14 3 0.000 34.440 0.000 -306.992 341.433 12.522 0.000 9 2 0.000' 35.838 0.000 ' 303.628 339.465 -35,334 0.000 26 2 1.000 e-0.000 316.527 22.644 339.170 0.185 -3.017 27 2 0.000 0.000 316.527 22.644 339.170 -0:185 .3.017 10 3 0.500 0.956 0.000 33Z039 337.995- 1.726 0.000 7 3 0.750 3.529 0.000 -332.378 335.908 =21.920 0.000 14 2 0.917 35.967 0.000 298.554 334.521 8.135 0.000 10 3 0.583 1.160 0.000 327.299 328.459 -3.240 0.000 15 2 1.000 35.809 0.000 290.548 326.358 20.821 -0.000 15 3 0.917 41.900 0.000 283.880 325.780 21.942 0.000 Print Time/Date:06f0&2015 1722 STAAD.Pro V8i(SELECTseries 5)20-07.10.66 Print Run 1 of 25 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By Dick A Dat%5-Aug-15 Chd Client F11e Thiel,Wind'sheacstd Date>Tme 06-Aug-2015 15:46 Node UC Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip-in) (kip-in) (kip-in) 1 3 -0.003 0.413 0.000 0.000 0.000 0.729 11 1. -0.002 0.230 0.000 0.000 0.000 -0.576 1 1 0.002 0.228 0.000 _0000 0.000 0.542 1 2 -0.005 0.185 0.000 0.000 0.000 0.187 13 3 0.728 0.120 0.000 0.000 0.000 9.255 13 1 -0.000 0.113 0.000 0.000 0.000 0.042 12 1 0.000 0.056 0.000 0.000 0.000 0.037 12 3 0.000 0.056 0.000 0.000 0.000 0.037 11 3 0.125 0.037 0.000 0.000 0.000 -2.727 13 2 0.728 0.007 0.000 0.000 0.000 9.214 12 2 0.000 0.000 0.000 0.000 0.000 0.000 11 2 0.127 -0.193 0.000 0.000 0.000 -2.150 J. I I Print Time/Date:06/08/2015 17:23 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run 1 or 1 a Job No .Sheet No ' Rev Software licensed to Microsoft Part Job Title Ref SBy Dick A Date06-Aug-15 Cnd Client File Thiel,Sect B-B.std DateTme 07-Aug-2015 14:45 r Jam , �2x / ! Load, y I Print Time/Date:07/0812015 15:43 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref Ylltj By Dick A DateO6-Aug-15 chd Client f File D��� Thiel,Sect B-B.std 07-Aug-2015 14:45 I I I & Load d Print TimelDate:07;0eno15 15:44 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By Dick A Date06-Aug-15 Chd Client He Thiel,Sect B-B.std DateTme 06-Aug-2015 18:04 4 3 8 za 20 21 22 / 18 19 ,18- 17 12 13 14 15 2 t1 �—x Z 28 9 27 29 30 28 33 32 31 37 39 35 - 38 39 10 i40 Print Time/Date:07/08/2015 14:28 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 L: Job No Sheet No R� Software licensed to Microsoft Part Job Title Ref By Dick A DateWAu9-15 Chd client File Thiel,Sect B-B.std Daferrime 06-Aug-2015 18:04 10 11 7 3 27 28 • 23 24 2 21' 22 • 18 20 4 14 tb < .�x 30 28 1 � 33 32 � 31 J7 36 35 8 � 39 42 42 41 13 � Print Time/Date:071OW015 14:29 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Pant Run 1 of 1 ` Job No Sheet No R2 4=> ev */Jr Software licensed to Microsoft Part Job Title Ref / By Dick A Date06-Aug-15 Chd Client File Thiel,Sect B-B.std Datllfrin1e'07-Aug-2015 14:45 Node L/C X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 18 4 -0.037 -0.199 0.000 0.202 0.000 0.000 -0.000 19 4 -0.037 -0.195 0.000 0.198 0.000 0.000 0.001 17 4 -0.037 -0.194 0.000 0.197 0.000 0.000 -0.001 20 4 -0.037 -0.182 0.000 0.186 0.000 0.000 0.001 16 4 -0.037 -0.179 0.000 0.183 0.000 0.000 -0.001 18 3 -0.025 -0.171 0.000 0.173 0.000 0.000 -0.000 19 3 -0.025 -0.167 0.000 0.169 0.000 0.000 0.000 17 3 -0.025 -0.167 0.000 0.168 0.000 0.000 -0.000 21 4 -0.037 -0.161 0.000 0.166 0.000 0.000 0.001 5 4 -0.037 -0.160 0.000 0.164 0.000 0.000 -0.000 15 4 -0.037 -0.158 0.000 0.162 0.000 0.000 -0.002 20 3 -0.025 -0.156 0.000 0.158 0.000 0.000 0.001 16 3 -0.025 -0.155 0.000 0.157 0.000 0.000 -0.001 32 4 -0.000 -0.156 0.000 0.156 0.000 0.000 0.000 33 4 -0.000 -0.154 0.000 0.154 0.000 0.000 -0.000 31 4 -0.000 -0.150 0.000 0.150 0.000 0.000 0.001 34 4 -0.000 -0.144 0.000 0.144 0.000 0.000 -0.001 5 2 -0.000 -0.141 0.000 0.141 0.000 0.000 -0.000 21 3 -0.025 -0.139 0.000 0.141 0.000 0.000 0.001 15 3 -0.025 -0.137 0.000 0.139 0.000 0.000 -0.001 22 4 -0.037 -0.134 0.000 0.139 0.000 0.000 0.002 30 4 -0.000 -0.136 0.000 0.136 0.000 0.000 0.001 14 4 -0.037 -0.129 0.000 0.135 0.000 0.000 -0.002 35 4 -0.000 -0.127 0.000 0.127 0.000 0.000 -0.001 22 3 -0.025 -0.116 0.000 0.118 0.000 0.000 0.002 14 3 -0.025 -0.113 0.000 0.116 0.000 0.000 -0.002 29 4 -0.000 -0.115' 0.000 0.115 0.000 0.000 0.001 23 4 -0.037 -0.103 0.000 • 0.109 0.000 0.000 0.002 32 3 -0.000 -0.107 0.000 0.107 0.000 0.000 0.000 33 3 -0.000 -0.106 0.000 0.106 0.000 0.000 -0.000 36 4 -0.000 -0.104 0.000 0.104 0.000 0.000 -0.002 13 4 -0.037 -0.097 0.000 0.104 0.000 0.000 -0.002 31 3 -0.000 -0.102 0.000 0.102 0.000 0.000 0.000 34 3 -0.000 -0.100 0.000 0.100 0.000 0.000 -0.001 30 3 -0.000 -0.092 0.000 0.092 0.000 0.000 0.001 23 3 -0.025 -0.088 0.000 0.092 0.000 0.000 0.002 4 4 -0.047 -0.078 0.000 0.091 0.000 0.000 -0.003 13 3 -0.025 -0.086 0.000 0.089 0.000 0.000 -0.002 28 4 -0.000 -0.089 0.000 0.089 0.000 0.000 0.002 35 3 -0.000 -0.088 0.000 0.088 0.000 0.000 -0.001 6 - 4 -0.028 -0.082 0.000 0.087 0.000 0.000 0.003 24 4 -0,037 -0.069 0.000 0.078 0.000 0.000 0.002 37 4 -0.000 -0.078 0.000 0.078 0.000 0.000 -0.002 29 3 -0.000 -0.077 0.000 0.077 0.000 0.000 0.001 12 4 -0.037 -0.063 0.000 0.074 0.000 0.000 -0.002 36 3 -0.000 -0.072 0.000 0.072 0.000 0.000 -0.001 Print Time/Date:0710WO15 15:45 STAAD.Pro V8i(SELECTsenes 5)20.07.10.66 Print Run 1 of 4 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref _ 9y Dick A Da"06 Aug-15 Chd Client File Thiel,Sect B-B.std D"ferr"re 07-Aug-2015 14:45 Beam . L/C Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (Psi) (Psi) (Psi) (Psi) (Psi) (psi) 2 4 1.000 60.003 0.000 593.195 653.198 13.235 -0:000 7 4 0.000 59.978 0.000 -589.683 649.662 13.235 0,000 2 4 0.917 60.170 0.000 504.835 565.005 -13.235 0.000 7 4 0.083 60.145 0.000 -501 323 561.468 13.235 0.000 7 4 1.000 61.978 0.000 470.641 532.619 13.235 0.000 ' 2 4 0.000 62.003 0.000 467.129 529.132 -13.235 0.000 2 4 0.833 60.337 0.000 416.475 476.811 -13.235 0:000 7 4 0.1167 60.312 0.000 412.963 473.274 13.235 0.000 2 2 1.000 51.231 0.000 -411.088 462.320 -7.124 -0.000 7 2 0.000 51.230 0.000 410.877 462.106 7.124 0.000 7 4 0.917 61.812 0.000 382.280 444.092 13.235 0.000 2 4 0.083 61.837 0.000 378.769 440.605 -13.235 0.000 2 2 0.917 51.231 0.000 363.524 414.756 -7.124 0.000 7 2 0.083 51.230 0.000 -363.313 414.543 7.124 0.000 2 4 0.750 60.503 0.000 -328.114 388.617 -13.235 0.000 7 4 0.250 60.478 0.000 -324.6.02 385.081 13.235 0.000 9 4 0.000 96.327 0.000 -284.470 380.796 7.315 0.000 2 2 0.833 51.231 0.000 -315.960 367.192 -7.124 0.000 7 2 0.167 51.230 0.000 -315.749 366.979 7.124 0.000 5 4 0.750 90.319 0.000 266.549 356.868 -0.912 0.000- 10 4 0.250 90.321. 0.000 266.060 356.381 0.'923 0.000 7 4 ` 0.833 61.645 0.000 293.920 355.565 13.235 0.000 5 4 0.667 89.823 0.000 264.595 354.419 1.698 0.000 10 4 0.333 89.826 0.000 264.161 353.986 -1.687 0.000 2 4 0.167 61.670 0.000 290.408 352.078 -13.235 0.000 5 4 0..833 90.815 0.000 255.524 346.339 -3.522 0.000 13 4 0.000 1.655 0.000 -344.431 346.086 12.920 0.000 10 4 0.167 90.817 0.000 254.982 345.799 3.533 6.000 9 4 0.083 96.447 0.000 -249.196 345.644, 7.315 0.000 5 4 0.583 89.328 0.000 249.663 338.991 4.308 0.000 10 4 0.417 89.330 0.000 249.283 338.613 4.297 0.000 13 4 0.083 1.655 0.000 335.034" 336.689 12.883 0.000 13 4 0.167_ 1.655 0.000 -325.664 327.319 12.847 0.000 5 4 0.917 91.311 0.000 231.522 322.833 -6.132 0.000 - 10 4 0.083 91.313 0.000 230.925 322.238 6.143 0.000 2 2 0.750 51.231 0.000 268.396 319.628 -7.124 0.000 7 2 0.250 51.230 0.000 -268.185 319.415 7,124 0.000 13 ' 4 0.250 _ 1:.655 0.000 -316.321 317.977 12.810 0.000 5 2 0.750 80A15 0.000 232.007 312.422 1.195 0.000 10 2 0.250 80.415 0.000 231.978 312.393 11.195 0.000 5 2 0.667 79.966 0.000 232.071 312.037 1.169 0.000 10 2 0.333 79.966 0.000 232.045 312.011 -1.168 0.000 5 4 0.500 88.832 0.000 221.754 310.586 6.917 0.000 9 4 0.167 96.568 0.000 -213.923 310.491 7.315 0.000 10 4 0.500 88.834 0.000 221.428 310.262 .6.907 0.000 13 4 0.333 1.655 0.000 -307.005 308.661 12.773 0.000 Print Time/Date:071OW01515:46 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 48 Job No Sheet No Rev Software licensed to Microsoft Pert Job Title Ref By. Dick A Date06-Aug-15 Chd Client - File Thiel,Sect B-B.Std D t rr," 07-Aug-2015 14:45 Node Uc Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip in) (kip-in) (kip'in) 1 4 0.051 0.829 0.000 0.000 0.000 6.649 10 4 -0.051 0.807 0.000 0.000 0.000 1.050 1 2 0.002 0.424 0.000 0.000 0.000 0.367 10 2 -0.002 0.422 0.000 0.000 0.0001 0.044 1 3 0.034 0.206 0.000 0.000 0.000 4.385 10 1 -0.015 0.201 0.000 0.000 0.000 0.301 1 1 0.015 0.199 0.000 0.000 0.000 1.897 10 3 -0.034 0.184 0.000 0.000 0:000 0.705 r Print Time/Date:07MM015 15:46 STAAD.Pro V8i(SELECTSeries 5)20.07.10.66 Print Run i of 1 Job No Sheet No Rev Software licensed to Microsoft Part Job Title Ref By DiCk A DatEO6-Aug-15 Chd Cliem File Thiel,Sect B-B,wind she DI"'T'"e 07-Aug-2015 15:36 ----- Z � _ toad 2 Print Time/Date:07/082015 15:41 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Job No Sheet No Rev Software licensed to Microsoft Par Job Title Ref Almgm4pay Dldc A 11106-Aug-15 chd DI'e File Thiel,Sect B-B,wind she Dalefrime 07-Aug-2015 15:30 Node L/C X-Trans Y-Trans Z-Trans Absolute X-Rotan Y-Rotan Z-Rotan (in) (in) (in) (in) (rad) (rad) (rad) 6 4 0.294 -0.016 0.000 0.295 0.000 0.000 0.000 6 2 -0.294 -0.002 0.000 0.294 0.000 0.000 0.000 7 2 -0.293 0.001 0.000 0.293 0.000 0.000 0.000 4 4 -0.293 -0.001 0.000 0.293 0.000 0.000 0.000 5 4 -0.292 -0.010 0.000 0.293 0.000 0.000 -0.000 5 2 -0.292 0.011 0.000 0.292 0.000 0.000 -0.000 7 4 -0.292 -0.007 0.000 0.292 0.000 0.000 0.000 3 4 -0.291 -0.005 1 0.000 0.291 0.000 0.000 0.000 4 2 -0.291 0.011 0.000 0.291 0.000 0.000 0.000 3 2 -0.288 -0.001 0.000 0.288 0.000 0.000 0.001 19 4 -0.166 -0.220 0.000 0.276 0.000 0.000 0.000 18 4 -0.166 -0.219 0.000 0.275 0.000 0.000 -0.000 20 4 -0.166 -0.211 0.000 0.268 0.000 0.000 0.001 17 4 -0.166 -0.209 0.000 0.266 0.000 0.000 -0.001 21 4 -0.166 -0.192 0.000 0.254 0.000 0.000, 0.001 16 4 -0.165 -0.189 0.000 0.251 0.000 0.000 -0.001 22 4 -0.166 -0.164 0.000 0.233 0.000 0.000 0.002 15 4 -0.165 -0.161 0.000 0.231 0.000 0.000 -0.002 23 4 -0.166 -0.129 0.000 0.210 0.000 0.000 0.002 14 4 -0.165 -0.128 0.000 0.209 0.000 0.000 -0.002 13 4 -0.165 -0.092 0.000 0.189 0.000 0.000 -0.002 24 4 -0.166 -0.089 0.000 0.189 0.000 0.000 0.003 12 4 -0.165 -0.057 0.000 0.174 0.000 0.000 -0.002 32 4 -0.002 -0.173 0.000 0.174 0.000 0.000 0.000 25 4 -0.166 -0.047 0.000 0.173 0.000 0.000 0.003 33 4 -0.002 -0.170 0.000 0.170 0.000 -0.000 -0.000 31 4 -0.002 -0.168 0.000 0.168 0.000 0.000 0.001 11 4 -0.165 -0.026 0.000 -0.167 0.000 0.000 -0.002 8 4 -0.167 -0.006 0.000 0.167 0.000 0.000 0.002 2 4 -0.165 -0.004 0.000 0.165 0.000 0.000 -0.001 18 3 -0.004 -0.163 0.000 0.163 0.000 0.000 0.000 23 2 -0.160 -0.014 0.000 0.161 0.000 0.000 0.000 14 2 -0.159 0.024 0.000 0.161 0.000 0.000 -0.000 24 2 -0.160 -0.013 0.000 0.161 0.000 0.000 0.000 15 2 -0.159 0.022 0.000 0.161 0.000 0.000 -0.000 25 2 -0.160 -0.008 0.000 0.160 0.000 0.000 0.000 22 2 -0.160 -0.013 0.000 0.160 0.000 0.000 -0.000 13 2 -0.159 0.023 0.000 0.160 0.000 0.000 0.000 8 2 -0.160 0.001 0.000 0.160 0.000 0.000 0.001 16 2 -0.159 0.018 0.000 0.160 0.000 1 0.000 -0.000 21 2 -0.160 -0.010 0.000 0.160 0.000 0.000 -0.000 17 3 -0.004 -0.160 0.000 0.160 0.000 0.000 -0.000 17 2 -0.159 0.013 0.000 0.160 0.000 0.000 -0.000 12 2 -0.159 0.019 0.000 0.160 0.000 0.000 0.000 20 2 -0.160 -0.005 0.000 0.160 0.000 0.000 -0.000 18 2 -0:159 0.007 0.000 0.160 0.000 0.000 -0.000 Print Time/Date:07/0&2015 15:34 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 5 - . Job No, Sheet No Rev y' Software licensed to Microsoft Part Job Title Ref By Dick A D"106-Aug-15 Chd Client File Thiel,Sect B-B,wind she Datefrme 07-Aug-2015 15:30 Beam UC Section Axial Bend-Y Bend-Z Combined Shear-Y Shear-Z (Psi) (Psi) (Psi) (Psi) (Psi) (Psi) 9 4 0.000 54.364 0.000 -481.596 535.960 20.635 0.000 1 4 1.000 43.670 0.000 -427.089 470.759 -8.330 -0.000 2 4 0.000 19.511 0.000 444.604 464.115 -9.810 0.000 53 2 1.000 -0.000 -443.421 0.909 444.330 0.009 8.389 52 2 0.000 0.000 -443.421 0.909 444.330 -0.009 -8.389 8 4 0.000 32.393 0.000 410.966 443.359 20.569 0.000 9 4 0.083 54.484 0.000 -386.586 441.070 18.773 0.000 45 2 0.000 0.000 436.057 0.623 436.680 -0.006 8.250 44 2 1.000 -0.000 436.057 0.623 436.680 0.006 -8.250 1 4 0.000 46.047 0.000 366.340 412.387 -8.330 0.000 1 4 0.917 43.868 0.000 -360.970 404.838 -8.330 0.006 - 2 4 0.083 19.345 0:000 379.110 398.455 -9.810 0.000 13 4 0.000 17.910 0.000 -365.714 383.625 13.386 0.000 13 4 0.083 17.910 0.000 -355.979 373.889 13.349 0.000 53 2 0.917 0.000 -369.518 0.758 370.275 0.009 8.389 52 2 0.083 0.000 -369.518 0.758 370.275 -0.009 -8.389 13 4. 0.167 17.910 0.000 -346.270 364.180 13.312 0.000 44 2 0.917 0.000 363.381 0.519 363.900 0.006 -8.250 45 2 0.083 0.000 363.381 0.519 363.900 -0.006 8.250 2 4 1.000 17.511 0.000 -341.316 358.827 -9.810 -0.000 9 4 0.167 54.604 0.000 -300.552 355.156 16.912 0.000 13 4 0.250 17.910 0.000 -336.588 354.498 13.275 0.000 1 4 0.083 45.849 0.000 300.221 346.070 -8.330 0.000 13 4 0.333 17.910 0.000 -326.933 344.843 13.238 0.000 1 4 0.833 44.066 0.000 -294.851 338.917 -8.330 0.000 13 4 0.417 17.910 0.000 -317.305 335.215 13.201 0.000 2 4 0.167 19.178 0.000 313.617 332.795 -9.810 0.000 13 4 0.500 17.910 0.000 -307.704 325.614 13.164 0.000 13 4 0.583 17.910 0.000 298.130 316.040 13.127 0.000 12 4 0.000 8.551 0.000 -303.241 311.792 12.936 0.000 13 4 0.667 17.910 0.000 -288.583 306.493 13.090 0.000 12 4 0.083 &W 0.000 -293.833 302.384 12.899 0.000 `a 13 4 0.750 17.910 0.000 -279.062 296.972 13.053 0.000 52 2 0.167 0.000 295.614 0.606 296.220 -0.009 -8.389 53 2 0.833 0.000 -295.614 0.608 296.220 0.009 8.389 2 4 6.917 17.678 0.000 -275.823 293.501 -9.810 0.000 12 4 0.1671 8.551 0.000 -284.452 293.003 12.862 0.000 .8 1 4 0.083 32.591 0.000 -259.862 292.453 17.505 0.000 44 2 0.833 0.000 290.704 0.416 291.120 0.006 -8.250 45 2 0.167 0.000 290.704 0.416 291.120 -0.006 8.250 13 4 0.833 17.910 0.000 -269.569 287.479 1.3.016. 0.000 12 4 0.250 8.551 0.000 -275.098 283.649 12.825 0.000 1 4 0.167 45.651 0.000 234.102 279.753 -8.330 0.000 9 4 0.250 54.725 0.000 -223.495 278.219 15.050 0.000 13 4 0.917 17.910 0.000 -260.102 278.012 12.979 0.000 12 4 0.333 8.551 OA00 -265.771 274.322 12.788 0.000 Print Time/Date:07/08/2015 15:34 STAAD.Pro V8i(SELECTsedes 5)20.07.10.66 Print Run 1 of 59 Job No Sheet No Re, Software licensed to Microsoft Part Job Title Ref ' Dick A DatT6-Aug-15 chd ciianl File Thiel,Sect B-B,wind she 11 07-Aug-2015 15:30 Node UC Force-X Force-Y Force-Z Moment-X Moment-Y Moment-Z (kip) (kip) (kip) (kip in) (kip'in) (kip in) 1 4 0.314 0.542 0.000 0.000 0.000 5.481 10 4 0.012 0.460 0.000 0.000 0.000 0.500 10 1 -0.013 0.330 0.000 0.000 0.000 0.268 1 1 0.010 0.284 0.000 0.000 0.000 1.985 1 3 0.023 0.203 0.000 0.000 0.000 4.606 10 3 -0.031 0.185 0.000 0.000 0.000 0.635 1 2 0.281 0.055 0.000 0.000 0.000 -1.110 10 2 0.056 -0.055 0.0001 0.000 0.000 -0.404 Print Time/Date:07/08/2015 15:35 STAAD.Pro V8i(SELECTseries 5)20.07.10.66 Print Run 1 of 1 Theil, end wall replacement beam, 5 14 x 11 7-8 LVL i Beam Length: 156.0 in Location: 0.0 in 794393 in - 0.2566397 Deflection -0.0794393 0.3262769 s deg 0.3326809 Slope 0.3247846 170858.9. lb-in - --6774.25 Moment _ 0.0 4955.581 - lb - -4860.169 Shear 0.0 i 1384.004 I 4 1384.004' 'Bending Stress Tensile:0.0 Compressive:0.0 — -- � 79.48801 ib/m I_ � H I�li� �i �� Ll�.. I {�1� 1 i ! I i I 1 _� �i ----- �— _ _ �_`-� ` 0.0 Average Shear Stress 0.0 2G ** Theil, end wall replacement.beam, 5 1-4 x 11 7.-8 LVL ** BEAM LENGTH = 156.0 in MATERIAL PROPERTIES Modulus of elasticity 1900000.0 lb/in? CROSS-SECTION PROPERTIES Moment of inertia = 733.0 in^4 Top height = 5.9375 in Bottom height = 5.9375 in,. Area = 62.34375 in UNIFORMLY DISTRIBUTED FORCES 67.5 Win at 0.0 over 156.0 in 1.625 lb/in at 0.0•over 156.0' in. SUPPORT REACTIONS *** Simple at 14.0 in Reaction Force =-5923:331' lb 1 Simple at 156.0 in` Reaction Force =-4860.169 lb MAXIMUM DEFLECTION *** 0.2566397 in at 85.2346 in No Limit specified MAXIMUM BENDING MOMENT *** 170858.9 lb-in at 85.69014, in MAXIMUM SHEAR FORCE *** 4955.581 lb at 14.0 in MAXIMUM STRESS *** Tensile = 1384.004 lb/inz No Limit specified Compressive = 1384.004 lb/inz No Limit specified .Shear (Avg) = 79.48801 lb/inz No,Limit specified a A f a > SEA&B Engineering ' P.O. Box 688 . '« Eastham, MA•02642-0688 �+ (508) 240-3987 RWHARD P. August 10,2015 AKMRSvM Mr. Frank D. Ciambriello 302 Setucket Rd. �/�/�•� Dennis, MA 02638 Reference: Thiel Residence, 165 Bayshore Rd., Hyannis,NU Dear Frank, This home has been evaluated according to your drawings, the requirements of the 8`h edition of the building code, for wind exposure B and the WFCM guide (wood framing construction manual). General • The second story front and back wall studs of the existing and extended part of the house must be double 2x4s. • Ceiling tie beams as shown in drawing section E must be 2x 1 Os at 16 in. o.c. or double 2x8s at 16 in. o.c. Otherwise, the existing 2x8s may be hung from rafters oft each side of the ridge with 2x6 members, 5 ft. from front and rear walls. • .Add 2x4 collar ties at 16 in. o.cAo existing and extended part of the house. '.The new wall replacement beam at the extended part of the house supporting the first floor is to be a 5 1/4 x 11 7/8.LVL. Support for this beam at the inner end is to be at the foundation wall with 3 in. min bearing in a pocket on the foundation wall, and another support 14 in. from the foundation wall with a 3 `/z in. dia. standard concrete filled lally column. The footing for this column is to be 22 in. min. x 22 in. min. x 11 in. min. deep with no rebar. The lally column is to be connected to the beam with a Simpson LCC5.25- 3.5 connector and rest on a steel base plate on the footing, 10 in. x10 in. x '/a in. thick, secured with two 9 inch long, 3/8 in. dia. Hilti bolts into the concrete with one centered at each side of the column in the direction of the beam. The column is to be welded to the base plate with a 1/16 in. fillet weld all around..The base plate may be embedded into the concrete of the footing for a flush surface if desired. • The extension of the main beam girt under the extended portion of the house is to be a triple 2x10 supported at each end on foundation walls with 3 in. min. bearing in foundation wall pockets. It is also to be supported at 6 ft. 6 in. from the outer wall with a 3 i/2 in. dia. standard concrete filled lally column. Provide Simpson H2.5A connectors at all rafter and upper plate intersections. • All other parameters are to be as shown on the drawings. Analysis The wind load selection is based on based on roof pitch, wall and roof surface area, and area section location. The main roof angle for the existing portion and the additions is 39.81 degrees. Maximum horizontal wind load for this angle is 21.8 psf This resolves to a vertical wind loading of 10.72 psf. The dormer roof of the existing portion is 18.44 degrees. Maximum horizontal wind load for this angle is 29.1 psf. This resolves to a vertical wind loading of 8.93 psf. The dormer roof of the garage addition portion is 14.04 degrees. Maximum horizontal wind load for this angle is also 29.1 psf. This resolves to a vertical wind loading of 7.02 psf. Snow load is 25 psf. The horizontal wind shear load for external walls is 22.6 psf. Total vertical loading on the roof consists of snow plus '/2 vertical wind and material weight. Internal floor live loads are 40 psf. Balcony and deck floor loads are 60 psf live.All material weight is evaluated and combined in by the computer. Analytical sheets: • Sheets 1 to 24 show the section E-E and B-B models with vertical and wind shear loading, node identification, member identification,maximum node deflections, maximum member stress, and support reactions. • Sheets 22 to 32 are the analytical sizing sheets for the beams and the replacement column footing. • Sheets 33 to 39 show the steel frame model with loading, node identification,member identification, maximum node deflections,maximum member stress, and support reactions. • Sheets 40 to 43 are the connection requirements for the steel framing. • Sheet 44 is the retaining wall configuration requirement. • Sheet 45 is the"Big Foot' sizing selection sheet. Please let me know if you have questions. OP Regards, R P. ANDERSM Mo.t 99v8 Richard P. Anderson r f(WC Guide to Woad Consiracdorr in 1fVz Wrnd Areas:110 tnph Wand Zone Massachusetts Checklist for Coinpa* ce (780 CmR5301: I.I)r Campllanca 1.1 SCOPE. Wind Speed{3-se-M 110 mph Wind Exposure Cafegory...-_-._._� Wind Exposure Category..:.............Engineering Required For Entire Prnjed......................................C � 12 APPLICABILITY -Number of Stories(a rpof which exc$eds Bin 12 siape shall be considered a sfory) stDdes 5 2 stories - Roof Fitz:h 2) <_12-12 _ Mean Roof Height (Fig 2} _-___.,_.__--__-___--ft <_33' -� Building Width,W _.._----.. __-- - -----(Fig 3)----.---__----.---.:---•-- --_ft 501 Suldrng �L ---- - ----- (Fig 3) - _----_—f c - -� Building Aspect Ratio(11N) _.__:__._.�_...____-_.__(Fig 4)__ _.._.....-__.__. c c 3.1 Nominal Height of Tallest DpeningZ ----_-•_-- ___(Fg 4)---__._-___-----------------:_. _6'e' 1.3 FRAMING CONNECTIONS General compliance with framing oonnerfians_.._ -_.:. _.(fable 2)__ 2.1 FOUNDATION - Foundation Walls meeting requirements of TBD CMR 54D4.1 Conte....................._... Concrete Masonry....... _.---- ______ _____..___ __ -----.._-_--- --._..-_._-- 22 ANCHORAGE TO FOUNDATIONt�3 5/8'Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an abrhative in concrete only Bolt Spacing-general ...._....._..........:......... ..(Table 4)._____•-----.--_..-_ in- Rot Spacing from endfjoint of plate in.:5 S`-12". Bolt Embedment-concrete.._--. in.>7- Bolt Embedment-masonry_.-.---•--__--• ---_Fig 5)_- --i_--_..� __—_ in->15' Pik Washer--_._.-- ...-._—_-_---._-_{Fg 5)___.__-.__._.___ ->Y x Y x%` 3.1 FLOORS r/ Floorframing member spans checked -___---__-- (per 7BD CMR Chapter 5S)-----------__._- Maximum Floor O• rn Dimension Per► 9 Full Height Wan Studs at Floor Openings less than Z from Exherior Wall Fig 6)....................................... �- M1.*mrim Floor Joist Setbacks Supporting Loadbearing Waifs or Shearwall--__-(Fg 7)---___-_.._....___._.__.�_- _•tT:s d Maximum Cantilevered Floor Joists , _ / Supp,Dr-ting Ibadbearing Wans or Shearwall_-.- (Fig 8) $ s d •FioorBracing at Endwalls_......_........ _._...____._. Floor SheaWmg Type .--__--.___-- ------_ ._(per7B0 CMR Chapter Fioor Sheaffung Thickness 730 CMR Chapter 55}_.-.._.__ .. in- Floor Sheathing Fastening____._...___...... __-_-_=._(Table 2)_ d nails at in edge[_in field �- 4.'f WALLS ' Wall Height Loadbearing wales--_---s___-__ IV and Table 5)___. -__ _ft <1 D, Nan-Lo adbraring wails_ __- [Fg 10 and Table S).___.___.._-_ ft-s 7cr ✓ Wall Stud Spacing __-.____ ` ___...._(Fg 10 and Table 5)-___..__-—in-s 24'o.c_ Wan Story Offsets 42 8crE1 i OR WALLS' Wood Studs - Llsadbearirrgwails___.__. .. __..._._ ....._._. ........_.._........__.mac --ft—in. f� Non-Laadbearing watts Gable End Wall Bracing t '_.__- Full Height Endwatl Sfvds------------- WSP-Attie Floor Length____---::_ .__._ {Fig 11)_.- -�_.__._____. : - ft;M13 _ - 171 Gypsum Carling Length Cif WSP not used)- ___.._..=(Fig 11) __ ._._. ft;t 0.9W -� and 2 x4 Continuous L akrd Brace @ 5 ft o_c-_(Fig 1i}......................._...... _�__ or 1 x 3 cel'ing furring ships @ i 6`spacing•min-vAh 2 x 4 blDrMng @ 4 fL spacing in end)arst or truss bays_ Double TO Plate 5plica Length ._ ._.____ (Fig 13.and Table 6)..._.-�..__. _- —ft SPUCe ConMcfion(no.of 16d common nails):._--_-_-(Table 6)._ -__.-.- -_...,-._ ATYC guide fo hvood Construction in Agh ilndXreas: 110 ftrph �Vr-,nd Zofze Massachusetts CheckJist for Compliance(rso C',VTR5301.Z.l-,t)l Loadbearing Wall Connections - Lateral (no.of 15d common nails)____._._ _(Tables ------- Non4madbearing Wall Connections Lateral(no.of 16d common nals)_-__ _...-(Table 8) Load Bearing Wag Openings(record largest opening but check all openings for colirpGance ffl Table n Header Spans _.._�____.___ -.------•---- (Table 9)._-_:_..---------_---ft_iri 1 i � Sig Plate Spans (Table 9)_.___ _.___._.__.._.—ft_in.c 1 i Fug Height Studs (no. of sffids)----- --(Table 9)_.___..__---_------__---- �- Non4-oad.Beating Wail Openings(remrd largest opening but check all openings for compliance to Table 9) Header Spans.____-_.__..-__--_-_•-_______._._....__.__(Table 9)-----.---_____-__---- _ft'_in.s 1Z Sill Plate Spans.._.- _ —.__--(Table 9)_.---_-_ .-_—ft_in_512- �- Full Height Studs(no.of studs)_ _�_-_—_(Table 9)-_-_-_-__--.___.�_�_________ ✓ Exterior Wall Sheathing to Resist Uplift and Sheaf Simuffaneausiy4 _ Minimum Building Dimension,W _ Nominal Height of Tallest OpeningZ ...................-___--,•---_--_---_--------- _.._. —5 6`B' Sheathing Type_.--_ Edge Nag Spacing ,_-.(Table 10 or note.4 if less)_______.__._____ iri_ -� Field Nall S aan _____-.-. able 10 Shear Connection (no.of 16d common nails)(Table 10).__._____-._.--.---.-----_-----_- . in. Percent Full-Height Sheathing.________..w_(Tabfe 10)______-_---------------- _____._._—°� �- 5%Additional Sheathing for Will with Opening>•6W(Design Concepts)___.____.___. :� Maximum Building Dimension,L Nominal Height of Tallest OpeningZ____-_-------------------------------------------------------__ _:5BIT -7- ` Sheathing Type_-__---___----_-__.__-(note Ed a Nail Spacing _.-.-_ able 11 or note.4 if less _._-_-_-__- Feld Nail Spacing-------- _---.____.__:_(Table 11)_.____-- __.-- --_-- in_ ? Shear Connection(no. of 16d Common nails)(Table 11)....... Percent Fug-Height Sheathing,-___ -..(Table 11)____ _,_-N.__—% '5%Additional Sheathing for Wall with'Opening>6V(Design Concepts)..... Wall Cladding Rated for Wind Speed7--___-- 5_1 ROOFS_ Roof framing member-spans checked?____-__ .(For Rafters use AWC Span Tpol,see BBRS Website) Roof Overhan .--(Figure 19) ft.s smaller of 2'or U3 _ l Truss or Rai`tetr Connectiond at Loadbearing Walls _ = Proprietary Connectors UPS -- ----- — _—r-- (Table 12)_ _---- - _...____-U= pif lateral...__--•-------....._-__.--_.._ (Table Ptf Shear.-__.' able 12). S= •1ST, Ridge Strap Connections, if collar ties not used per page 21___ (Table 13)_______,____.._____.T= plf Gable Rake Outiooker------------------ Y_---(Figure-20 ft s smaller of Z or Ll2 Truss er Rafter Connections at NoirLnadbearing Walls Proprietary Connectors Uplift --:--__ ...----_(Table 14) U= lb. Lateral(no_of i6d common nails)_..(Cable 14)--------------------------------------L= . lb- Roof -____. _-(per 780 CMR Chapters 58 and 59) �L . RoofSheafhing Type --• ---- -•-----•-_-- Roof Sheathing Thickness___....._. _ ___-_..�-______ _ —in ?7116`WSP _._ --. Roof Sheathing Fastening-----------_-_ __.-•_-__-.(Cable 2)_.______..----:---------_•---•---._.__.. +/ Notes: -1. . This chacUst shall be met in its entirety,excluding the specific exception noted in 2,to comply with the nequirernents of 78D CMR5301.2.1.1 Item 1. If the chest is met in its entirety then the following metal straps and hold downs are,not raquired per the WFCM 110 mph Guide: a. Steel Slaps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uprd Straps per.Figure 14 d_ All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b Exc:eptian Opening heights ofup.tn 8 fL shag be permitted when 50/.is added to the percent full-height sheathing raquUwferfttr sh6wn in Tables 10 and 11. i o thickness pressure treated iV_ rode. 3_ The boffnm sl[plate in exfEtior waI[s shall be a minimum 2 n.nominal p2ss -g _ A VVC Guide to Wood Cons&uctioti in H4gh MndAfreas:110 nWh ITIAd zoile Mas achusetts ChecUst'for CompHance(7so.CNTR 53011.1.1): Check Cmwhmce 1.1 SCOPE WindSpeed(3-sec-gust)...................................................................................................110 mph • Wind Exposure Category....____._._.._.._._...._..__. .............. ..............B 1.2 APPLICABILITY Number of Stories ........... ....... -_-(Fig stories S2 stories RoofPitch .......................................................................(Fig 2)......................................... s 12:12 Mean Roof Height......................... ............................(Fig 2)...................................... It :5 3T Building Width,W................................................. (Fig .......L.- Ift :5 80' Building Length,L ............................. ........... 3)...".........p.. ........................ Building.Aspect Ratio-(IJM .........;............................_(Fig 4)------------_--------------i__--- Nominal Height of Tallest Opening2 .................................(Fig 4)............................ :5 68" �.3 FRAMING CONNECT-IONS General compliance with framing connections_..-. -... able 2).............................................................. 2.1 FOUNDATION Foundation Walls meeting requirernents of780 CMR 5404.1, Concrete ' ......... "...... ........................ ........................... Concrete Masonry-'.***........ ................................ .............................. 22 ANCHORAGE TO FOUNDATION'13 SW Anchor-Bolts imbedded-dr 518'Proodetary Methaniqal'Arichors.as'an.alternative in concrete only Bolt Spacing-general................................... In. Bolt Spacing from endrjoint of plate ........... (Fig 5)........11 1n.:5 6' It Bolt Embedment-concrete concreie.,:............. 5)_........ ..........................-—in.2:7' Soft Embedment-mason in-a 15" PlateWasher................ ................... ....................(Fig 5).....................................M a 3'x3'xr 3.1 FLOORS Floorfiaming member spaqs checked (tsax.780 CMR Chapter 55)__ Ma rmwn Floor Opening'Dimerision.... (Fig 6)..:. ..--- ft:5 12'_6f:LJ2:biWit FullmHei0htWail Studs-at.Fborm Operfingsiess than from EA66drWall(FR16)........... ....... Maximum Floor JoistSetbacim Suppoftg Loadbe-aring Walls or Sharw'all -(Fig 7)z... ........ ...........—ft :5d Maximum.Cantilevered Floor joists- Supporting Wadb6aft Wafts-or Shearwiall .... It :5 d Floor 81'4dng;#advialls ......... F16br Sheathing Type .......(per780 CMR Chapter :Floor Sheathing Thida$ets......... ..... ..................... Floor Sheathing Fastening.................................................(Table;2)-.._0 nails at jil-.edge,/-.—in.field WAL1.S- ..Wall.Height Loadbeamigwalls- ............. ....(Fig 10 and Non-Loadbearing-walls'-_..'................. (Fig and Table 5)-------Wall Stud Spacing 10-and Table 5) .....—Jn;s 24"o_c. Wall-5tpry,Offsets ft &d 4.2 6`!8l2COimw 3, Wood Studs Loabbearing .....(Tablb:5)."... Non4padbearing wails................. .......... (Table Gable.End Wall,Bracing ot Gypsum Cel ITMO:W10(innp ZxA-Corrtinuous 1.41wral Brace 49 04. Double Top Plate Splice Length- .................................. ...(Fig IS a.Fd Table 6) ft .E4.Splice Conneptionm(no.of 16d common nails):..."._.. : ............... fi Lle aide io ? aad Corrsrruc inn n ip«rr R'irrd leas:I.1t7 girt h I itd Zor ,�. Massachusetts Checklist for `:omplilance(70'0�SM1-2:1.$), Loadbearing Wall Connections Lateral(no-of endnaited 16d common naffs)___.(Table 7)...................._-.-.....__....-.......... L� 'Non-Loadbearing Wall Connections Lateral.(no.of endnailed 16d common nails) ._..::::..:.(Table,8) ....._.............. __ Load Bearing Wail Openings(record largest opening but check all openings fbr compliance to Table.9). Header Spans - .(Table 9) . It in 511' Sal Plate Spans -;.__ ft in 511' Full Height Studs(no.of studs)....... _._ :. .. .:...(Table 9)__._:: Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans._. {Table 9) ft_in.512 Siff Plate Spans... able' ft m <12 Full-Height Studs(no.of studs):._ :: ,.,w ,..{l able.9).._..-__................._._---- Exterior Wail Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building.Dimension,W Nominal Height ofTailestOpening2 ......................... - Sheathing Type:_._.._._..._._._....__._...........(note 4): Cam. Edge Nail Spacing._....................._.._.,...._..(Table 10 or note 4 if less) in. L�J( Feld Nail Spacing.._..._ ..,_.._(Table 10) ___ in. Shear Connection(no_of 16d cwnmon nails)(Table 10) Percent Full-Height Sheathing .::::: ....::: (Table 10) .... ..........------- .. ,-_ _ - 17:�T- 5%Additional Sheathing for Wall with Opening>6'8"(Design:Conoepts)__,_._:_.,,._ _ 1 . Building Dimension,L Nominal MaximumSheathingType..—.-ffallest�Openmg2. _._. (note 4j_ ....-.__ _...-._._..:__�_:_ '—c 6'8' C Edge.Nail Spacng ._._(Table 11 ornote4 iftess) _ _uz Field Nail.Spacing...._-_-...... , able 1) � irr_ Shear:Connectidn(no.of-'16d common nadsj(T 9 b%11) _ Percent Full-Height Sheathing _------ % 5%Additional Sheathing'for IWt-w Opening>6'8' Walt Cladding Rated for Wind 6.1 ROOFS Roof framing member spans checked? .._.(ForRafters.use AWC Span Tool,see BBRS Webdil*j Roof fhrefiang. (Rgure 19)....•.... .._ft s smallerof2'or _......._.. ....... __. Truss or Rafter Connections at Loadbearing:Walls: Proprietary Connectors E Of Lateral.� (Cable 12) "L_plf Shear-.. .._. . ..:(Table 12) plf Ridge:Strap Connections,if odlarties not used per page 21._..(rabte 13} ...T„p 'Gable RakeOetflookec.:. Fl ure 20 ft s smaller of 2'or :[� ... ( g }..._......_ Tnrss'or Rafter Connections at Non=Coadbearing Walls Proprietary Connectors ` Uplift .. .,.(Table 14) U lb. Lateral(no of 16d commonnails)-(Table 14)....::::. ....... Roof Sheathing Type (per 700 CMR Chapters58-and RoofSheathingThkkness..._.___ _. in Z7/i6 WSP . Roof Fasten' (Table _._. — E:;;V .. 1.-• This checklist-must be met ln.i'ts entirety,excludirig the specific exception.noted in 2,to comply.with tha nequme'ri`ie its of 780 CMR 530121.1 Item 1_.Ifthe Checklist is met in its entirety then the following metal straps and hold:downs ate rot required perthe WFCM 1-10 mph Guide: a. Steel Straps per Figure 5 b. 2Q:Gage:Straps per Figure 11 a Uord Straps per Figure 14 d. All�tiaps per Figure 17 e_ Cotner Stud Hold Downs F . Per figure 18a- 2 F,rception FQpening heigtrts of up to 8 fL shaft be pemnfted:when 5%is addedzto the p"ercerit fuM rght st eattur g • =rdgtaternents s"fi6urtrin Tables 1D ar;d}.1.; " .:. ' a 'fhe bottiom dl Plate in ezteiiorwatts 6hall.be'a minimum 2`in.normnai thrctms ss:pressure trieafet!t jrade ; . :•, - _ 1 REScheck Software Version 4.6.0 Compliance Certificate Project THOMAS J ONEILL Energy Code: 2012 IECC Location: Hyannis, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 840 ft2 Glazing Area 17% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 165 BAYSHCRE RD HYANNIS, MA �7777Y y [ Compliance: 2.0%Better Than Code Maximum UA: 203 Your UA: 299 The%Better or worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Ceiling 1: Flat Ceiling or Scissor Truss 780 49.0 0.0 0.026 20 Ceiling 2: Cathedral Ceiling 250 38.0 0.0 0.027 7 Wall 1: Wood Frame, 16"D.C. 1,450 21.0 0.0 0.057 69 Window 1:Wood Frame:Double Pane 188 0.310 58 Door 1: Glass 60 0.290 17 Floor 1:All-Wood Joist/Truss:0ver Unconditioned Space 840 30.0 0.0 0.033 28 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 2012 IECC requirements in REScheck Version 4.6.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. � �''4 1 0MA-4- Name-Title SignatucLf Date Project Title:THOMAS J ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 1 of 8 REScheck Software Version 4.6.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 0.0% 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. 5eallon." �� ' b P .- U " Plans Verified Feld Ver�f�etl x r+ Pre-Inspection/Plan Review Comphes� Comments/Assumptions.- &AReq.ID Yalue' f Yalue . .r. . .. . X• ''.,U.�JY.... 103.1, ;Construction drawings and ❑Complies an. 103.2 documentation demonstrate ❑Does Not [PR1)1 ;energy code compliance for the r ;building envelope. ❑Not Observable ' , ❑Not Applicable 103.1, ;Construction drawings and ❑ PCom lies 103.2, documentation demonstrate &` A ❑Does Not 403.7 ;energy code compliance for [PR3)1 ;lighting and mechanical systems. []Not Observable :Systems serving multiple * n ❑Not Applicable ;dwelling units must demonstrate ;compliance with the IECC , !Commercial Provisions. 302.11 Heating and cooling equipment is;. Heating: Heating: ;❑Complies ; 403.6 ,.. . sized per ACCA Manual S based Btu/hr Btu/hr ;❑Does Not [PR2)2 � ion loads calculated per ACCA Cooling: Cooling: Manual J or other methods ;❑Not Observable A Btu/hr Btu/hr ' approved by the code official. ;❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) _1_3,1 Low Impact(Tier 3) Project Title:THOMAS J ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 2 of 8 2012 IECC Foundation Ins ettion ti � '' p Complies Comments/Assum tions G t P 303.2.1 'A protective covering is installed to ❑Complies [F011]?, protect exposed exterior insulation ;❑Does Not [and extends a minimum of 6 in. below grade. ;❑Not Observable ❑Not Applicable 403.8 Snow-and ice-melting system controls;❑Complies [F012]2 installed. j❑Does Not I❑Not Observable: ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2' Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: THOMAS J ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 3 of 8 f Section+ r Plans.Vefied Feld-Verified# Framing/Roiagh-In inspection Comp6es w Comments/Assumptions:; & Req.ID- . �„_ = Value Value t . >• .- 402.1.1, ;Glazing U-factor(area-weighted U U ;❑Complies ;See the Envelope Assemblies 402.3.1, ;average). ElDoes Not ;table for values. 402.3.3, 402.3.6, ;❑Not Observable j 402.5 ;❑Not Applicable [FR211 03.1.3 ;U-factors of fenestration products As ❑Complies ; [FR4]1 ;are determined in accordance ❑Does Not with the NFRC test procedure or ;taken from the default table. ❑Not Observable ; ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies [FR23]1 ;installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable • 402.4.3 ;Fenestration that is not site built ❑Complies [FR20]1 ;is listed and labeled as meeting ❑Does Not AAMA/WDMA/CSA 101/I.S.2/A440 ' ;or has infiltration rates per NFRC .. ❑Not Observable 400 that do not exceed code �y, ❑Not Applicable ;limits. � 402.4.4, . IC-rated recessed lighting fixtures ❑Complies [FR16]2. sealed at housing/interior finish ❑Does Not Sand labeled to indicate s2.0 cfm leakage at 75 Pa. ° ' -]Not Observable ` ❑Not Applicable 403.2.1 ;Supply ducts in attics are R- R- ❑Complies [FR12]1 "insulated to >_R-8.All other ducts R- R- ❑Does Not ;in unconditioned spaces or ;outside the building envelope are; ;❑Not Observable ;insulated to>_R-6. ;❑Not Applicable 403.2.2 ;All joints and seams of air ducts, �F ." g ._<< ,a °❑Complies [FR13]1 "air handlers,and filter boxes are ❑Does Nt ;sealed. o " []Not Observable ❑Not Applicable 403.2 3 Buildin cavities are not used as a'�'� ` . [FR15]3 „ ducts or plenums. . a El Complies ❑Does Not []Not Observable t7 1 ❑Not Applicable 403.3 HVAC piping conveying fluids R- ; R- ;❑Complies ; [FR17]? " above 105°F or chilled fluids " ❑Does Not below 55 9F are insulated to>_R- 3. ;❑Not Observable ; ❑Not Applicable 403.3.1 :Protection of insulation on HVAC A . ❑Complies [FR24]1 ;piping. n§ � ;. rn]' ❑Does Not ❑Not Observable " ❑Not Applicable IF[43.4 2 iHot water pipes are insulated to ; R- R- ;❑Complies ;[]Does Not '[]Not Observable ❑Not Applicable .5 ;Automatic or gravity dampers are 2 ❑Complies [FR19] installed on all outdoor air t " u []Does Not ; lintakes and exhausts. � 'J v a []Not Observable ' ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2' Medium Impact(Tier 2) 3 ILow Impact(Tier 3) Project Title: THOMAS j ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 4 of 8 1 1 High Impact(Tier 1) 2F Medium Impact(Tier 2) 13 JLow Impact(Tier 3) Project Title:THOMAS J ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 5 of 8 J Section T Plans Verified Field VeNfiedl's " &"R q,lp Insulation Inspection k (..Value :' Complie5� ;Comments/Assumptions value z. . n .. ., a: rn _ 303.1" All installed insulation is labeled q -.. ❑Complies [IN13]2: 'or the installed R-values :f 4 provided. ❑Does Not a []Not Observable ❑Not Applicable 402.1.1, ;Floor insulation R-value. R- R- ❑Complies ;See the Envelope Assemblies 402.2.6 Wood ;table for values. [IN1]1 ❑ ❑ Wood ❑Does Not ❑ Steel ❑ Steel ;❑Not Observable ❑Not Applicable 303.2, ;Floor insulation installed per ❑Complies 402.2.7 manufacturer's instructions, and ❑Does Not [IN2]1 :in substantial contact with the t ' underside of the subfloor. ❑Not Observable ❑Not Applicable 402.1.1, ;Wall insulation R-value. If this is a: R- R ;❑Complies ;See the Envelope Assemblies 402.2.5, ;mass wall with at least 1/2 of the ;❑ Wood ❑ Wood ❑Does Not ;table for values. 402.2.E ;wall insulation on the wall [IN3]1 ;exterior,the exterior insulation ❑ Mass Mass ;❑Not Observable requirement applies(FR10). ;❑ Steel ;❑ Steel ❑Not Applicable 3.2 ;Wall insulation is installed per �' ❑Complies ; [IN4]1 manufacturer's instructions. ❑Does Not i. Not Observable i d ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) »2,? Medium Impact(Tier 2) 1 3 Low Impact(Tier 3) Project Title:THOMAS J ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 6 of 8 t ` ,.Cfeetlon � 1".?„ a. N, # Fm�4lnspeetion Provisw s� Plans Cpm lies Commera s Asswm Irons &�Re .ID -.bValue ht ,Yalue r p _ p q `:: .• ,w. „ <:` a '.r _£C"4 a�:oi,,e„v rf� `•,3,,r.��t� .,�.�„."` .s.�_:';e, �yY. 402.1.1, ;Ceiling insulation R-value. R- R- ;❑Complies ;See the Envelope assemblies 402.2.1, Wood ;❑ Wood s❑Does Not ;table for values. 402.2.2, 402.2.6 ; ❑ Steel ❑ Steel ❑Not Observable [FI1]1 j❑Not Applicable ; , 303.1.1.1,;Ceiling insulation installed per ❑Complies 303.2 :manufacturer's instructions. LL & , ❑Does Not (FI2]1 Blown insulation marked every " _ ; r :300 ft2. ' a � � ❑Not Observable ; ❑Not Applicable 402 2 3 Vented attics with air permeable ' � ❑ mCo [FI22]ZPinsulation include baffl adjacent . °� ` plies ❑Does Not ` to soffit and eave vents that �� i extends over insulation. G •❑Not Observable ; ,. ❑NotApplieable 402.2.4 ;Attic access hatch and door ; R- R- ;❑Complies [FI3]1 :insulation >_R-value of the f❑Does Not :adjacent assembly. ❑Not Observable ❑Not Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ; ACH 50 = ACH 50 = j❑Complies [FI17]1 :ach in Climate Zones 1-2, and : ;❑Does Not <=3 ach in Climate Zones 3-8. ;❑Not Observable ❑Not Applicable 403.2.2 ;Duct tightness test result of<=4 ; cfm/100 cfm/100 ;❑Complies ; [F14]1 :cfm/100 ft2 across the system or : ft2 ft2 ;❑Does Not <=3 cfm/100 ft2 without air ;handler @ 25 Pa. For rough-in ;❑Not Observable tests,verification may need to j❑Not Applicable :occur during Framing Inspection. 403.2.2.1 Air handler leakage designated �: ° `t � ❑Complies [FI24]1 :by manufacturer at<=2%of ❑Does Not ;design air flow. . � i ❑Not Observable M ❑Not Applicable a 403 1 1 Programmable thermostats ❑Complies [FI9]Z x installed on forced air furnaces. s ❑Does Not ❑Not Observable ; ❑Not Applicable ; 403 1 2 Heat pump thermostat installed ❑Complies [FI10]2 !�,on heat pumps. ❑Does Not j i ❑Not Observable - ,�,�„,_ ❑Not Applicable 403 4A1�4 Circulating service hot water ❑Complies [Flia]2systems have automatic or ❑Does Not 3 accessible manual controls. ❑Not Observable ; .. _ : ❑Not Applicable ; 4015 1 `,�AII mechanical ventilation system ❑Complies [FI25]Z* Tans not part of tested and listed ❑Does Not .HVAC equipment meet efficacy ; � r M�4 and air flow Limits. ❑Not Observable a ❑Not Applicable ; 404.1 ;75%of lamps in permanent ❑Complies [FI6]1 ;fixtures or 75%of permanent N, s a ❑Does Not ;fixtures have high efficacy lamps ; Does not apply to low voltage p'• w � . ❑Not Observable R plighting. _ ., ❑NotApplicable 1 High Impact(Tier 1) Medium Impact(Tier 2) .3 M Low Impact(Tier 3) Project Title:THOMAS J ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 7 of 8 f Section Plaiig Verifi' Field Verified # Final InspectronProvisrons Value Value. CompUes� Comments/Assumpt Ions, � & Re_q.ID 404.1.1 Fuel gas lighting systems have , ❑Complies [FI23] 'ino continuous pilot light. ❑Does Not B ❑Not Observable ( ❑Not Applicable 401 3 Compliance certificate posted. :" []Complies z [F17] , ❑Does Not ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 amechanical and water heating 19 $systems have been provided. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) �'�2 r Medium Impact(Tier 2). L 3 Low Impact(Tier 3) Project Title: THOMAS J ONEILL Report date: 02/23/16 Data filename: Untitled.rck Page 8 of 8 i 2012 DECC Energy [Aff Efficiency Certificate Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 30.00 Ceiling / Roof 49.00 Ductwork (unconditioned spaces): ur: Window 0.31 Door 0,29 Heating System: Cooling System: Water Heater: Name: Date: LS 20 Comments a i a I i SEP-16-2015 09:57 PAUL PETERS INSURANCE P.01 e OP ID:GB '`4` CERTIFICATE OF LIABILITY INSURANCE 08l76 Wivow ' /2015 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 INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pol)ey(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endo s. PRODUCER CONTACT Paul Peters Agency,Inc. MM P 0 Box see Ne. Falmouth,MA 02641-0669 E�IrAIL Gary M.Bruno PRODUCER D ONEITH2 INSURE S AFFORDING COVERAGE NAIL d INBUREo ThomasJ.O'Neill,Inc. INSURER A:Westem Worid Ins.Group PO Box 625 Mashpee,MA 02649 INSURER 8-.The Travelers INSURER C INSURER 0: INSURER E: IN P: 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. ILTR NSR TYPE OF INSURANCE JIMPOLICY NUMBER POLICY F LIMITS GENERAL UAMUTY EACH OCCURRENCE S 11000,00 A X COMMERCIAL GENERAL LIABILITY MPP13US20 09M812014 0911812015 PREMISES acaure S 100,00 CLAIMS-MAOE 0 OCCUR MED EXP(Any one son) S 5,00 PERSONAL S ADV INJURY $ 1,000,001 GENERAL AGGREGATE S 2,000,0 GEWL AGGREGATE LIMIT APPLIES PER PRODUCTS-COMPIOPAGO S 2,000,00 POLICY PRO LOCI I S AUTOMOBILE LIABIUT COMBINED SINGLE LIMIT = ANY AUTO (Ea seaderd) BODILY INJURY(Per Person) S ALL OWNED AUTOS BODILY INJURY(Per seddent) S SCRED PROPERTY DAMAGE HIREDAUTO AUTOS OS (PER ACCIDENT) S NON-OWNED AUTOS S S UMBRELLA L1AB OCCUR EACH OCCURRENCE E EXCESS LIAR CLAIMS-MADE AGGREGATE S _ DEDUCTIBLE S RETENTION S WORKERS COMPENSATION WC STATU I JOTH AND EMPLOYERS'LIABILITYER B ANY PROPRIETORIPARTNER(EXECUTNE YIN 7PJ1.1"IGX766-3-15 07123/2016 07/2312016 E.t EACr{ACCroENr S 60g, OFFICERIMEMBER EXCLUDE., ❑N N IA (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 60010 DESCRIP ON OF undOPERATIONS below E.L.DISEASE-POLICY LIMIT S 600,00 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES tMOh ACORD 101,Additional Remarks Schedule,N n10re Space Is required) CERTIFICATE HOLDER CANCELLATION BREW001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Bnl r Y THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2188 Main Street Brewster,MA 02631 AUTHORIZED REPRESENTAMn Gary M.Bruno V 01M 2008 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD JAN-14-2016 13:14 PAUL PETERS INSURANCE P.02 AC® OAT'E(NIxuDDm" CERTIFICATE OF LIABILITY INSURANCE 01/14120141 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 T3ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERfSk AUTHORIZED AEPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED.the policy((es)must be endorsed. ff 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 endoraemen s. N A PRODUCER NAME: Paul Peters Agency,Inc. PN E N.I. P 0 Box 669 Falmouth,MA 02641-0669 ADD B : Gary M.Bruno cus"MIA w 0.ONEITH2 INSURERS AFFORDING COVERAGE NAIC• INsuRED Thomas J.O'Neill,Inc. NISURERA:WeStem World Ins.Group PO Box 625 TSWWR B: Mashpee,MA 02649 IBSul .; INSURER D: INSURER E INS F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS 19 TO THAT THEDICATED.CNOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITIONLICIES OF INSURANCE LISTED BELOWVOF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TOUWHICH TI BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POCY OD IN HIS 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. I SR TYPE OF INSURANCE POLICY NUMBER Mw sumP M Y LIA M GENSRAL LIABILITY EACH OCCURRENCE s 1,000,00 01 A X coNrM£Rcu�l GENERAL uABllm NPP8298164 09/1812016 0911812018 PR�nSEs a ocaarsnee s 100,00 6,00 CLAIMS MADE nX OCCUR MFo EXP Wry am Person) $ PERSONAL&ADV INJURY $ 1,000,0 011 GENERAL AGGREGATE S 2,000,00 PRODUCTS-COMPIOP AGG S 2,000,00 GEWL AGGREGATE LIMIT APPLIES PER S POLICY F PRO LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) S SCHEDULED AUTOS PROPERTY DAMAGE S (PER ACCIDENT)HIRED.AUTOS. S NON-OWNEDAUTOS $ OCCUR UMBRELLA LIAB EACH OCCURRENCE S EXCESSLIAa CLAMS-MADE AGGREGATE S S DEDUCTIBLE S RETENTION S WC STATU- OTH- WORKERe COMPENSATION EIL AND EMPLOYERS'LIABILITY YIN O BE ISSUED BY COMPANY E.L EACH ACCIDENT $ ANY PROPRIETORIPARTNEREAECUTIVE NIA OFFlCERIMEMSER EXCLUDE09 F E.L DISEASE-EA EMPLOYE S (Mandatary In NH) ' se� � E.L.DISEASE-POLICY LIMIT S 0 DESCRIPTION F PERAnON8bW. DtDICRIPT*%OF OPERATIONS I LOCATIONS I VEHICLES(Athch ACORD 101,Additional Remarks schbub,N more space is rsqutrsd} CERTIFICATE HOLDER CANCELLATION---' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Thomas J.aNell ACCORDANCE WITH THE POLICY PROV1810NS- P0 BOX 625 Mashpee,MA 02649 AUTNOIUMO REPRESENTATIVE Gary M.Bruno ®1988-2009 ACORD CORPORATION. All rights reserved. ACORD 29120091091 The ACORD name and logo are registered marks of ACORD TOTAL P.02 ACORU CERTIFICATE OF LIABILITY INSURANCE °°'�` "°°'"""'I' 1 S 16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policypes)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 endorsemen s. PRODUCER NAMEACT CG Robert E Bouchie Jr. Insurance PHONE 508 564-5560 ra►XAIC N ; (506) 564-5531 1352 Route 28A ADDRESS: info@BouchieInsurance.com PO BOX INSURERS)AFFORDING COVERAGE NAIC 0 Cataumet, MA 02534 INSURER A:American European Insurance Co INSURED INsuRERB:Associated Industries of MA Banks Construction INSURERC: 355 Seacoast Shore Blvd INSURERD: East Falmouth, MA 02536 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 AWL SUER POLICY EFF POLICY EXP LTR TYPEOFINSURANCE POLICY NUMBER MIm1Y MMIDDIYYYY OMITS A GENERALLIABILITY SKP2000793 8/27/15 8/27/16 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED }{ COMMERCIAL GENERALLIABIUTY $ 100,1000 CLAIMS-MADE a OCCUR ME EXP(Any one person) $ 5,000 PERSONAL BADVINJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER PRODUCrs-COMP/OPAGG $ 2,000,000 POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINEDISINGLELIMIT $ ANYAUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ALTOS NON-OWNED P OPEERR1YYDAMAGE $ HIRED AUTOS _AUTOS $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WCC5006068-2015A 10/5/15 10./5/16 g WC STAB FR AND EMPLAYERS LIABILITY — AWPROPRIERPPARTNER/EXECuTNE YIN TO N/A EL.EACHACODENT $ 100,000 OFFICERIMEMBER ECCLLDED7 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE S 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Rernerks Schedule,t1 more space Is regdred) Fax: 508-477-6277 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Thomas J. O'Neill Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 26 Baxter Road PO BOX 625 AUTHORGMD REPRESENTATIVE '` Mashpee, MA 02649 Robert E Bouchie Jr. CNIA ©1088-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: tjoneill@thomasjoneill.com D►TE(MMDDYYACC CERTIFICATE OF LIABILITY INSURANCE 1[8/2016 THIS CERTIFICATE IS.ISSUED ASA 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)i.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 NA ME Cheryl Hollis CT C.L. HOLLIS INSURANCE PHONE (508)295-9500 F^x (508)295-9898 140 Marion. Rd ApagEssE-M L ,cheryllee@insurehollis.com INSURE S AFFORDING COVERAGE NAIC 0 Wareham MA 02571 INSURERA:Sentinel Insurance Co Limited 1100.0 INSURED NSURERB:Allmerica Financial Benefit 41840 CAPE COD MASTER PLUMBERS, INC iNSURERd-Hartford Fire Insurance 19682 107 PINKHAM RD INSURER*: INSURER.E: SANDWICH MA_ 02563 INSURERF.: COVERAGES CERTIFICATE NUMBER;CL1411501940 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW.HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TlIE 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 OUL SUOR POLICY EFF. POLICY EXP. LIMITS LTR TYPE OF INSURANCE POLICY NUMBER MMID GENERAL LIABILITY EACH OCCURRENCE S 1,_000,OOO DAMAGE TO RENTor X COMMERCIAL GENERAL LIABILITY PREMISES(Ea oxurcence $ 1,0001000 A CLAIMS�AADE ❑X .00CUR SSBi4 7591 0/16/2015 0/16/2016 MEDEXP(Anyone n) $ 10,000 PERSONAL S:ADV INJURY S 1,000,OLIO GENERAL AGGREGATE $ 2 r 00O;OOO GEN'L AGGREGATE LIMIT.APPLIES PER: PRODUCTS-COMPIOPAGG $. 2,000,000 $ POLICY PRO- LOC $ COMBINED S AUT._OMOBILE LIABILITY Ea acciderd I' 1.000.060 XA UTO BODILY INJURY(Per person) :$ WNED XSCHEDULED WN977kn 1/26/2015 1/U/2D16BODILY INJURY(PeraCcidenl)S AUTOS NON-OWNED PROPERTY DAMAGE AUTOS AUTOS Per accident -SELLA LIAB OCCUREACH OCCURRENCE $ SS LIAB CAS-MADE AGGREGATE $ DED RETENTIONS $ C WORKERS COMPENSATION X ST INCATU OTH- AND EMPLOYERS'LIABILITY YIN L EACH ACCIDENT $ ZOO OOO ANY pROPRIETOR(PARTNERIEXECUTIVE E. OFFICEWMEMBER EXCLUDED? E N�,A BWECCL0437 0/15/2015 0/15/2016 (Mandatory 1n NH) EL DISEASE-EA EMPLOYE .$ 100,000 If yes,describe under .E.L.DISEASE-POLICY LIMIT $ 500,00 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAttach ACORD 10t Additional Remarks Sohadtda,It more space Is re4wred) j CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. THOMAS J.. O'.NEILL INC P.O. BOX 625 AUTHORIZED REPRESENTATIVE MASHPEE, MA 02649 Cheryl Hollis./KR ACORD 25{2010l05) ©1988-2010'ACORD CORPORATION.All rights reserved. INSO25(2o(oos):ot. The ACORD name and logo are registered marks of ACORD MSGI 34848618-886-1 PAGE OHS OF 886 Sep 16 2815 11:24:24 EDT FROM: F2M/9115S64665S A � RMg DATE nacmDnYYY) CERTIFICATE OF LIABIL ITY INSURANCE RODL 19/16/2015 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY Ah ID CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EX TEND 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,ANDTHE CERTIFICATE MOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the poi licy(les)must be endorsed. N SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endon lament. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). FROOMR CC INTACT N1 ,ME: PAYCHEX INSURANCE AGENCY INC/PAC (A, C.No.Exit FWC.NO 210764 P: F: c DRILEft INSURER(B)AFFORDING COVERAGE NAICII IN SURER A: Hartford ?ire Ina Co 19662 MUR® IN SURER 5: RICHARD SAHL DBA RICHARD SAHL IN SURER C: ELECTRICIAN IN SURER0: 27 WEST WAY IN SURER S: MASHPEE MA 02649 - IN SURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA VE 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 AFF 'ORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY 1 AAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOL SUBA UL C EFF POLICYEBP TYPE OFlhSURntiCE IAGB rna PULICrtiUMEEs ,a,y/Dpry1ry MM D/YW LIMITS LrR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE e CLAIMS-MADE❑OCCUR DAMAGES(RENTED PREMISES(Ee ooewenoe) MID EXP(Any one person) S PERSONAL S ADV INJURY 6 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE POLICY JEDT LOC PRODUCTS•COMProPA00 OTHER: COMBINED SINGLE LIMIT AUTOMOBILB LIABILITY (Ee 0000Al) ANY AUTO BODILY INJURY(Per person) ALL OWNED 9CMEDULED BODILY INJURY(Per edclderd) g AUTOS AUTOS MIREDAUTOS NON-OWNED PROPERTY DAMAGE AUTO$ (Per eedldem) e UMBRELLA LIAR OCCUR EACH OCCURRENCE EXCE99 LIA9 CLAI:MADE AGGREGATE DED TEMIDNe WDNKIIAIILumpuN.Sd nuv - X AA`aeMPWF#AruAeurrr STATUTE I IER ANY PROPRIETOWPARTNFRIEXECUTIVE YIN I.L.EACH ACCIDENT 1100,000 OPPICERIMEMSER EXCLUDED? A IMendeedry/nNH) WA 76 WEG VX8S2'1 02/23/201h 02/23/2016 E.L.DIBEASE-EA EMPLOYEE 6100,000 If Yee.describe under G.L.DISEASE•POLICY UMIT 11500,000 DEBGi1PT10N OF OPERATIONS below OEiCRIPTION OF OPEAAT10N8 iLOCA TtONB I VENlOLE6 IACONO 101,AddlBonU Relnerke 9ehedWe,M&Y 1 4 dKdehed It Mort IRA"18 required) Those usual to the Insured's Operations. CERTIFICATE HOLDER CANCELLATION SI COULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BI EFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE 1 DI UV REOR IN ACCORDANCE WITH H POLICY PROVISIONS. —i Tho)nas J O'Neil Inc , 26 BATES RDQ.L MASHPEEr MA 02649 01988,2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo an r registered marks of ACORD A CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1F�A�IOMWID 012 16 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 Willie of Tennessee, Inc. PHONE FAX c/o 26 Century Blvd. 877-945-7378 888-467-2378 P.O. Box r@ 305191 -MAIL certificateswillis.com Nashville, TN 37230-5191 INSURER(S)AFFORDINGCOVERAGE NAIC# INSURER A: Zurich American Insurance Company 16535-005 INSURED MAP Installed Building Products INSURER B: Cincinnati Insurance Company 10677-001 165 State Rd. INSURERC:American Guarantee & Liability Insurance 26247-004 P.O. Box 1309 Sagamore Beach, MA 02562-1309 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:24073763 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 ftDDL SUB pOLICYNUMBER POLICY EFF POLICYEXP LIMITS A X COMMERCIAL GENERAL LIABILITY GL0913952709 10/1/2015 10/1/2016 EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE OCCUR �REMISES(tao rence) $ 1,000,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENI AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4 000 000 POLICY JEa� FX1 LOC PRODUCTS-COMPIOPAGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY CAA5878127(AOS) 10/1/2015 10/1/2016 (Eaamdennt)INGLE LIMIT $ 1,000,000 B X ANY AUTO CAA5878131(NY) 10/l/2015 10/1/2016 BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Peraaident) 8 X HIREDAUTOS X NON-OWNED AUTOS (Peraccident)A A $ C X UMBRELLA LIAB X OCCUR AUC931420604 10/1/2015 10/1/2016 EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 10,000,000 DED I RETENTIONS Retention $0 $ A---WORKERS COMPENSATION•— ------_--WC9-13-9526-09-(-AOS-)- i0�1/2"015 10%1-/2016-% = - — AND EMPLOYERS'LIABILITY A ANY PROPRIETORIPARTNERIEXECUTIVEa NIA WC913952809 (WI) 10/1/2015 10/1/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? iMandatoryinNH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 B Excess Automobile EXS0348418 10/1/2015 10/1/2016 $4,000,000. Excess of $1,000,000 underlying automobile DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additonal Remarks Schedule,may be attached if mom space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE THOMAS J O'NEILL INC. P.O. Box 625 MASHPEE, MA 02649 I" Coll:4830417 Tp1:1991580 Cert:240 763 ©1988-2014&ORD CORPORATION.All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD From:Mina Vaughan Fax:(877)816.2156 To:1508477627'r(drefsx.cc Fax: +15084776277 Page 2 of 2 0111212016 8:54 AM A�RH CERTIFICATE OF LIABILITY INSURANCE DAo CMMIDO16 ) 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(les)must be endorsed. If SUBROGATION IS WANED,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 ACT NAME: Rogers and Gray Processing ROGERS &GRAY INSURANCE AGENCY, INC. PHONE (508)398-7980 1 FAIR No ADDRESS: mail rogerWmy.com 434 RT.134 INSURER AFFORDING COVERAGE NAICrr SOUTH DENNIS MA 026M INSURER A: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURED INSURERS: MASONARY MEDIC INC INSURERC: INSURER D: 151 PIMLICO POND RD INSURERE: MASHPEE MA 02649 INSURERF: COVERAGES CERTIFICATE NUMBER: 22981 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 SUOR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M/DD/YYYY MMIDDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTE17- CLAIMS-MADE OCCUR PREMISES Ea occurrence S MED EXP(Any one person) S N/A PERSONAL&ADV INJURY $ GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO- JECT LOC PRODUCTS-COMP/OP AGG Y OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S Ee aaiderrt ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accidert) S NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS Per accident S UMBRELLA LAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMSMADE N/A AGGREGATE 4 DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY YIN ANYPROPRIETORIPARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFRCER/MEMBEREXa_UDErn I N/A N/A NIA 6ZZUBOG17471215 07/2?J2015 07/22/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100,000 It as.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 0306 B,no authorization is given LD pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool atwww.rriass.gov/MWworkers-compensationfinvestgations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Tom O'Neill ACCORDANCE WITH THE POLICY PROVISIONS. 26 Bates Road AUTHORIZED REPRESENTATIVE t.�9 Mashpee MA 02649 Daniel M.Cr ey,CPCU,Vice President—Residual Market—WCRIBMA 019198-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD From:Mina Vaughan Fax:(877)816-2156 To:15084776277®rcfax.cc Fax: +15084776277 Page 2 of 2 01112/2016 8:58AM OP ID: TP CERTIFICATE OF LIABILITY INSURANCE FDATE 011111201 YY' o1r11r2o1s 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 endorsements. PRODUCER INTACT NAME: Rogers and Gray Ins Agency Main Street America Group-NE PHONE New England Region c No E :866-456-4909 (AMC.No:866-332.4776 PO Box nDRE Keene,NHH 03431 SS:servicecenter@msagroup.com Rogers and Gray Ins Agcy CLSC INSURER(S)AFFORDING COVERAGE NAIC A INSURERA:Main Street America Assurance 29939 INSURED Masonary Medic Inc INSURERS: 151 Pimlico Pond Rd INSURERC: Mashpee,MA 02649-1633 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE IN&D WVD POLICY NUMBER fMMIDDNYYY1 (MMIDDNYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0001 CLAIMS MADE MOCCUR MPT8616N 05101/2015 05101/2016 DAMAGE TO RENTED PREMISES Ea occurrence $ 500,00 MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,00 X P ❑PRO- POLICY ❑ JECT LOC PRODUCTS-COMPJOP AGG $ 2,000,00 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTOS NON-OWNED A $ AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEO I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y I N STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE Q N J A E.L.EACH ACCIDENT $ OFFICERJMS-ASER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VE14CLES(ACORD 101,Additional Remarks Schedule,may be attached 6 more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ONEIII Real Estate ACCORDANCE WITH THE POLICY PROVISIONS. Po Box 625 Mashpee,MA 02649 AUTHORIZED REPRESENTATIVE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD A161 CCARD CERTIFICATE OF LIABILITY INSURANCETHI 09/2811015 CER TIFICATE D CERTIFICATE iS ISSUED AS.A MATTER OF INFORMATION ONLY AND CONFERS NO RIOW$ UPON THE CERTIFICATE HOLDER,THIS CEROES 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 ISSUIMs INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: If the Ceniliaate holder ie an ADDITIONAL INSURED,the policy(ta9) must be endorsed. if MMROGATION IS WAIVED, subj9et to the terms and condMons of the puRcy,Certain poWeS may reguVe an endorsement. Ash tenlent on thle txrtirMate does not confer Harps to the comf1@010 holder In IIEU of such 011domemengs). PRODUCER Phone!5084404161 Fox 509.4W-7680 wxrAC► NbaryjO Anderson' P Q BOX 564 ARISON INSURANCE AGENCY INC. � ( 859.05,50 FALMO(JTH MA Q2541 A . manderaoe0almetdamtsoiL INSUMMO)A"MR01N0 OOVERAGQ NA1Cir INdURED • INSURER A , ArbeOa Protection arm Co CAPE CONCRETE FORMS CO LLC -WERS : HARTFORD CAS INS CO 29424 47 RIVERSIDE ROAD N"ER0 MASFtM MA OnN IRel�w o: INSURER E Ir6URERF COVERAGES CERTIFICATE NUMBER: 31510 REVISION NUMB: TH IS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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, E CL NS AND rrms OF SUCH LIL:1 IMITS SHOW Y HAVE BE UCED BY ICLAIMS. TRR TYPE OF INSURANCE AM SM POLawEFF PaucvoW POLICY NUMBEq0mu umng A GENERAL tueuarY 8600048674 09/29/15 ODR�P9/46 EACHOCCURi�NCE s t,000,000 X COMMERCIAL GENERAL LIABLOY � CLAMS.NADE ❑X OCCUA MED.EXP(Any arm person) S 5, X BROAD DORM AWL INS PERSONAL&ADV INJURY s I'm,= GISNERALAQWtEC,AT� j 2 W 000 OEN'LAGt'aRECagIELIttR APPLES PER! PRODUCTS-COMP/DPAGQ 8 2,000,000 POLICY PRO. LOC S AW090BILE UAeRtry COWDINED (Eseradenp S ANY AUTO BODILY INJURY PM ALL OWNtb SCHEDULED ( Pow) S AUTOS AUTOSNON4 ED BODLYtNJURV(Perecddeng S MIAEDAUT� AUKS PRblam Mae8 8 une110" Lum OCCUR EACH OCCURRENCE E=11 umHCL4WaAOE S AQOREGATE j I—IDEIDI IRETENMONs j WOME6 AND ENWPLOYEIAA9t1rY vim 08YVECCM6215 041�115 04t89HB uNMrta BR j ANY PReeeOPRMT0RIPARhE---- I1VE EL.EACH AOOIDEM 9 1,000,000 omcupnaEll�l ExoiweStEl pestpryIswe MIA E.L•OISEASE•EA EMPILMEE S It Des.Cmms order 110110,000 DESCMPnONOFOPER/tMWbebr E.I DISEASFrPOLIOYLMrr a 1,000,OIKt DESCRIPTION OF OPERATIONS/LOCAnONS/V0fiME.S(ARadrACORD tet,Addi11oni1 Rernerlm SRhedui%It mare spree Is requwo CERTIFICATE HOLDER CANCMJ-ATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLW BEFORE THOMAS J UNEIL THE EXPIRATION DATE THEREOF, NOTICE WILL Be DELIVERED IN 25 BATES ROAD ACCORDANCE VATH 7HE POLICY PROV1>R W& MASHPEE,MA 0260 AUDIORM REPRMSEMIM Attentlon: 508-477. 277 MarYlo Anderson ACORD 25(2010AM 1 Z010 ACp rights reswum The ACORD rwne and logo are regisrtemd marks of ACORD I --• SNI DET ORS REVIEWED —C(7 C OV BARNSTABLE BUILDING DEPT. 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JI?SS1�11:C7-7:Q Bc,ysttaAef'2eQ✓��.vvis.vt�A SCAL �r RAW" �„p:CIAMBRIELLO • caow� e , F o.�r ARCHITECTURALIowv DESIGN 1 nT ('"`� l—J — , _ I s� i Si4K - DW. •� O 4 Zia° ,� 21_ E1C• I • a • .. .S. �2LC� q LC9" �2-�" � bl�— — -- �k y I o a01 S�L,ro a RAWN P. CIAMBRIELLO «w1°"' ,urowv ARCHITECIUR& ED SIGN a i S iv 91 - I Z-4 0 ZLL t� 1 i OD / ,$i�Op�• ?1J lS Mr1 ��':d/�oFit Witt Y��tiFrALL D//✓.t/R/OR lb Cays�.weii.eay. . - 'S �•a=��a� - RHWN w•,wyvocy_�r/~coovo,riows W/tG pv Aro.c. pgrE FD: CIAMBRIELLO pSLeNe'as r�sF srxuerovwt iwTEc,w ry/s Nor.ofiQ�c7i�0 ND' / l� ARCHITECTURAL - COW �_S �/CTVgL CHANGES ivJ�-sl BE/7/�Rovao gy'., NGiNE�2 DESIGN . W/NOoW POOOR SILOS JOOE✓eS�t/FIt'O� .OnIeOER '�'--< ;� ' ' /re frs �N� �aae ,o�,�,� o- lsr in/G f2oFIZ So11.2 GENERAL NOTES: s0vh+ STREET 1. HOUSE NUMBER: 165 2. ASSESSOR'S NUMBER: -MAP 325, PARCEL 163, LOT 75 II�°�� / -. 3. ZONING DISTRICT: RB -•J 4. FLOOD HAZARD ZONES: 0.2% & AE11 (FEMA MAP 25001C0569J) 5. TOPOGRAPHIC INFORMATION COMPILED FROM AN ON THE GROUND SURVEY },• F�cF 6. ELEVATIONS SHOWN ARE BASED ON NORTH AMERICAN VERTICAL DATUM 1988 1 o y 7. LOT COVERAGE BY EXISTING STRUCTURES: 1,018 S.F./9,972 S.F. = 10.2% °tea LE�s9s \ 8. LOT COVERAGE BY EXISTING STRUCTURES/PARKING/PAVING: 2,188 S.F./9,972 S.F. = 21.9% RA 9. LOT COVERAGE BY PROPOSED STRUCTURES: 1,978 S.F./9,972 S.F. = 19.8% of 10. LOT COVERAGE BY PROPOSED STRUCTURES/PARKING/PAVING: 2,404 S.F./9,972 S.P. = 24.1% PROJECT ' LOCATION 0 10.8 10.5 CATCH pq�,y BASIN 9.3 LOCUS 11.0 10.7 CB/DH S/S/ T RIM=9.13 NOT TO SCALE \FOUND OR o yq� 'OOST 10 0 5 10 20 10WATE .6 HYDRANT LAWN 9?,Q�OO gti0 pgMFMr 9.2 GATE r 2 � , `¢D' SCALE: 1 INCH 10 FEET : �' ---- oN F \ � VALVE / -'`__.- 2o�y�F FNcF 70 a 10.6 CB/DH r 10. hcy 10.5 FOUND 1.0.7 REMOtiE' STEPS ,2 0,,� BENCHMARK: GATE PAYERS AND NAIL & CAP VALVE/ REGRADE EL. 9.52 Q z 13.1 12. CATCH 9.5 0 11_ S N D _ 10,4 R� �.39. RIMA 9 3of4 LOT 75 14.1 -- 13.9 1. 6 in 9,972E S.F. ��� \ , ,,\�4 3.� ryo��� � w QP ��� LAWN PP 12 43 0- REti10Y£PAY£ME�� z� � CB t o 9.6 7�- 1 cr `� AND REGRADE �,�; w _y�:___.. OUT?_ w�___.�._ _ _ __ _ _ ... _.,_ti _f i _.. __ , n___ _ a `r LOA& ANO SEED SMH ., LAWN 15.1y� 10 LAWN f 3' PORGI� SE� 10.3 60vo�ON AE11 g9N� P po �. aNti 0.2% LEGEND ,� NP2AAa z LOT 76 ----------- EXISTING 2, CONTOUR i � JJ tiP I� ti� �op0 HP N/F 10 EXISTING 10 CONTOUR 26.5 }5 5���6y �ti�' oo1D STEPHEN & ANGELA +12.5 EXISTING SPOT ELEVATION 10.1 15.4 �1 z� H. COTE, TRS. X 16 o FF PROPOSED SPOT ELEVATION -T- � �-4 • 11.3 32.8' LAWN L R.R. TIE EXISTING LAWN EXISTING SEWER MANHOLE `^ _ � PP C'C, EXISTING UT ILITY TI TY POLE EXISTING HYDRANT 21 s ?(° o��1N1 13.9 c. CB/DH o FOUND CONCRETE BOUND WITH DRILL HOLE �. LAWN 0 1 ,4.6 ��� 13.7 T11.1 13.4 PLOT PLAN PI�O,ppsE� RFAl0kF /S77NG DECK z FOR #165 BAY SHORE ROAD 14- o� tit AND SHO R.0 -- PREPARED FOR oR� �Ay C' OPOSED LAWRENCE Bc SHARON T L ADD1h'ON CONSTiS'; T NE!-Y OFCK ¢ H I E h LAWN IN of .. HYANNIS MA Q Q PLAN DATE: DECEMBER 11, 2015 PLAN SCALE: 1"=10' 22' --- 12- Q� �P,141 OF A94s� CIVIL ENGINEERING O 7 r WETLANDS PERMITTING 4 +11.3 E d o MICHAEL J. s M FLOOD v '7, [Li 80RSELLI c d FLOOD HAZARD �. Z TONE 10.9 v PI CIVIL y WASTEWATER DESIGN COASTAL ENGINEERING Y* 0.35054 10.4 HAZARD � 4q A90,c��'�STEP��<. TITLE 5 PLOT PLANS �`` PIERS AND DOCKS I 'O S/ONA' 7 10 3 i j i tJI 1 V E E CB/DH ^ , LAND USE.PLANNING COMMERCIAL/RESIDENTIAL FOUND \ 1�+✓ LOT 74 100.0' Sff Wng Cyoe Cod and Sovtheastem Massachusetts N/F i3. 17 ACADEMY LANE, SUITE 200 - FALMOUTH, MA - 02540 - 508.495.1225 JOHN & GERALDINE DUFFETT, TRS. FOUND FouNO - - - - --- PROJECT NUMBER: 15071 CAD FILE NAME: 15071SP I DRAWN BY. L.M./D.M. I SHEET 1 OF OU-N STREET GENERAL N O_ a N 1. HOUSE NUMBER: 165 } N ASSESSOR'S NUMBER: MAP 325 PARCEL 163 LOT 75 / 1 . 2. SSE r' 3. ZONING DISTRICT: RB 4. FLOOD HAZARD ZONES: 0.2X & AE11 (FEMA MAP 25001CO569J) 5. ELEVATIONS SHOWN ARE BASED ON NORTH AMERICAN VERTICAL DATUM 1988 os LEWS a U 6. LOT COVERAGE BY EXISTING STRUCTURES- 1,675 S.F./9,972 S.F. = 16.8X BAY .J PROJECT LOCATION �... c� LOCUS NOT TO SCALE /DH 0 SOUND (1,111) Ci 10 0 5 10 20 e�r (!0. 2 ) SCALE: 1 INCH 10 FEET 1 AVF` CB/a I FOUND \ BENCHMARK NAIL Q EL 9.52 Q �+ LEGEND �R H o CONCRETE BOUND WITH DRILL HOLE LOT 75 , FOUND 99972f S.F. do w _C8AH _ OUND t "1 CERTIFY, TO THE BEST OF MY KNOWLEDGE, THE STRUCTURES SHOWN ON THIS PLAN ARE SHOWN AS THEY EXIST ON THE GROUND". 11 / AE , REGISTERED PROFESSIONAL LAND SURVEYOR DATE LOT 76 Opp STEPHEN do ANGELA not 24.r H. COTE, 7RS. I CERTIFY THAT THE STRUCTURES ARE LOCATED IN FLOOD HAZARD F• ! 9L ZONES 0.2% & AE11 AS SHOWN ON COMMUNITY PANEL NUMBER pZ` (}t7Y � 25001C0569J AND THAT FLOOD RD ZONE AE11 IS A SPECIAL FLOOD L,BR IE HAZARD ZONE s Flo..:3C39 F� wrSTc�`•"�' C s,QhAL LAH�S $ REGISTERED PROFESSIONAL LAND SURVEYOR DATE o CERTIFIED PLOT PLAN J FOR #165 BAY SHORE ROAD O EXSTING PREPARED FOR FOUNDATION LAWREN CE & SHARON THIEL I HYANNIS MA PLAN DATE: AUGUST 11, 2016 PLAN SCALE: 1"=10' 21.0 �. _� � CIVIL ENGINEERING M O U T w�uwos �xMlrnc N FLOOD za+ E WASTEWATER DESIGN � COASTAL ENGINEERING —FLOOD ----"— ------ HAZARD H� ..—1 J TITLE 5 PLOT PLANS {�° IDS AND DOCKS -.-� LAND USE FLAW" �GINEERI� FoulDH O 100.0p s&-Nhg c4w* aw a d swhmwt ►„ Akrwaahrw*as LOT 74 N/F /bH 17 ACADEMY LANE, SUITE 200 - FALMOUTH, MA - 02540 - 508.495.1225 JOHN & GERALDINE DUFFETT, TRS. FOUND PROJECT NUMBER: 15071 CAD FILE NAME: 15071 CPP DRAWN BY: L.M./D.M. 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