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0108 BAY ROAD
DS -RAS o o _. �� 1 '� � . 0 d i i I �; ``� ('� A `�`- f �!. `� i \�\ ``FV\ 4 ' � 1 t i F. ' �l I Town of Barnstable Building Department Services Brian Florence,CBO BAMSTM14 = Building Commissioner 0 1639. A�� 200 Main Street, Hyannis,MA 02601 �i www.town.barnstable.ma.us OV`�P Office: 508-862-4038 Fax: 508-790-6230 PERMIT# B" 20 T 2536 FEE: $35.00 SHED REGISTRATION RESIDENTIAL ONLY 200 square feet or less 6/+k� 2p Co i J IT Location of shed(address) Village Property owner's name Telephone number Size of Shed Map/Parcel E-Mail �� M C— (d- Cr-- Z7 PI-1AAA-/ L A C Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? f/�l You must file with Old King's Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 ",I ApP/L g- I - ')- 0 N T G PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. I ' THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:08/6/17 �0?0N •�nnae5�+ ,/•�° - \ \ ,",�P�� 'fir ' too � � Y16 G�O s O DECK AB( TOt�P TON� Q���,�'�/� �r� 2+ \ \ PATIO BE 22.6 ,•�, �QGF, OF i \ 0- BM: CB FND. \ ADO f \k EL. 24.5' EXISTING SPOT GRADE NAVD88 \ TY POLE 26- DWELLING OLD PRECAST #1 WELL PIT \ _ ` ioa��� '.� �Z::.� _�,imp EXISTING C0KrFOUR G 1*0 5 a� ® +30.4'�� STONE WALL LIGHTWITH STEPS N ,34� \ �k ii \ S CL DIVE 1`j o\ V — 36— —: �� 25.3 0 ` -38 O �A l w: LOCUS MAP. . P�Al A55E55OR5 DATA: F L C Ok \J MAP 7 PARCEL 22 PoFT�KJ�e� oe \\2+22.6� _ \ DECK ABOVE PATIO BELOW REFERENCE DEED:2795 1-22 1 ZO F.OF 3 I, REFERENCE PLAN5: I4F"�.�F,OG \"� �� .•3 \6 Ns 1- 15-G71 132-143 4 25G-4G CB FND.� TO NO 6? K / 2� _/ �` �y�\�¢ ZONING D15TRC`r:RF OLD PRPCA5T Ze- OWtILNG `' y �� BUILDING 5ETBACK5: wp l PR _ i�� 0108 ` �� �� FRONT-30 SIDE 4 REAR-15' STONE WALL i� �5� O ® +30.4 OVERLAY DISTRICT: WITH 5TEPS, � RPOD.MA E5TUARY 4 AP s OVERLAY D15TRICT: ST +30.4 FEMA FLOOD ZONE:'AE 4°X° MAP:25001C0752J A ,\_�\ ��GT��\ - MAP EFF.DATE:07/IG/14 •36— _ \'\ 5,334±5.F.\ 36 \ \�� \ \ - WETLAND CON5ULTANT: ARLENE ML50N A.M.ML50N A550CIATE5.INC 20 RA5CALLY RABBff ROAD MAR5TON5 MILL5,MA 02G48 Oyu \� I I \\ \ cp, 508 420-9792 EXISTING CONDITIONS PLAN � u 16 cp � c 0• ep __ ti _}-- \ `\ \\ ,......,,�. PREPARED FOR N 1 1 F � `"A1___ ___L___ •a Pc'' FS #108 BAY ROAD o s• .'(a^A oVFY,I I�L N1 m� � COTUff,MASSACFIUSETTS DOyu qy/+o.ass DATE:NOVEMBER 2G,2013 o� PO kept S1 v 1p0' 5CALE: I'=30 �\ Feel Assessor's map and lot number ..... ....�....... .. O 1`c r� c. -•. /V 7 Y„ Lidl i,iUS7 BE 11'S i ALLED IN COMPLIANCE Se 0'�;_ wage;Permit_number,.............. ......................._.............. WITH ARTICLE If STATE m SANITARY CODE AND TOWN REGLI T p :THEr°� ,9 TOWN OF BARNS .`ACE -�- . Z 9ARNSTADLE, i M6 9 � BU11DING INSPECTOR APPLICATION FOR PERMIT TO ........................................ .............. .............................Y TYPE OF CONSTRUCTION ..................... ..........`......2 .................................................................. .......... .........!..................19.:?6 TO THE INSPECTOR OF BUILDINGS: The undersigned her applie for a� permit according to the following information: 16-a(i� Location ...................... .......... .. ?.................................................................................................................................... 1 �7 ProposedUse ............................................... ' r" .......................................... Zoning District .......�.... . .� ..... ........ ................................Fire District ..................i .........1'�..............` Mf?�l 4£C. Name of Owner ......... ......................Address ......'.if �••• �Nome of Builder ........................................... !.:....................Address " - ..../........ ............. AGtlal.e �:•er �i Nameof Architect .......................... ...................................:.Address ...............................................^..................................... Number of Roo ..........:......................................Foundation ..................... ........ ............. L�eO�arz Exterior ............................Roofing ........................... ....................................................... ea I Floors Heating ............ ........,1.....................................:....................Plumbing ............................. Fireplace ................................ ...............................................Approximate. Cost ................................................ .................:. 1$� G Definitive Plan Approved by Planning Board -------------------_-----------19________. Area,.......p..... .. ...... ..................... Diagram,of Lot and Building with Dimensions Fee -/. ........................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH f� I I hereby agree to conform to all-the.Rules and Regulations of the T n of Barn$table regarding the above construction. Name ........................... .............................. Sherman, Manuel No ill 98..4...... Permit for one,•stO-T- •.°°•••°•••°•°•. ........s �,c� ..fA{4l.l3!..dwelling...................... Location ,e y.. .............C Mtn i z..................................................... Owner ..Manuel...She.T.M4n................................. Type of Construction ... raMet............................. ................................................................................ Plot ............................ Lot A5.7......................... Permit Granted h..4......................1977 Date of Ins ection ✓.��/ 7 19 P / �. �� Date Completed .C.��,..�.,,........,..............19 , PERMIT REFUSED ............................................................. 19 OwivF/� ................................................... , .............................................................................. ............................................................................... Approved ................................................. 19 ............................................................................... ............................................................................... Assessor's map and lot number ............................. Sewage Permit number ................: ...................................... "ET TOWN OF BARNSTABLE Z BASHSTADLY, i ° 9 BUILDING INSPECTOR 0 NPY a' tr APPLICATION FOR PERMIT TO .... ......... .................... ..:...... ......... ......... ......... ........:......... .................. TYPEOF CONSTRUCTION .. .. . .............................................................:........................................................................ c , ......................... .....................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .........................:............................................................................................................................................................. Proposed Use Zoning District .............:..........................................................Fire District ............................:...................... Name of Owner .. ......... . .. ....`.:. ......... ...:..... ......:.............Address ........ ......... ..:.....`.� ..................... ......... :............... Name of Builder ........ ......... ............. ................Address ........ f Name of Architect `.............................................Address ..................... .................................................................................... Numberof Rooms ......... ..................................................Foundation . .. .......: .................................H' Exterior ........................... .......................................................Roofing ...................... .. ............... ....................................... Floors ....................Interior .................... . Heating ..................................................................................Plumbing .................................................................................. Fireplace .............................. ..................................................Approximate Cost ................................................I.................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area ..:........ Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................................:................................. Sherman, Manuel M7 L22 No .189.8.4..... Permit for AIH.At9'FY.............. ...43RP'.11.1m..................... Location ...f.Qtuix............................................... ............................. Owner Manuel...Sheman....../.......................... Type of Construction ....f rame.. ........................ ................................................................... Plot ............................ Lot 1.8.7........................ Permit Granted Iftrch.. ........................19 77 Date of Inspection ....../.......................19 Date Completed ..............................19 PERMIT 21USED ......................... ...................... 19 ................ ...... 31'7 ..... ..................... ..................................... .....................i.............?.,.......................................... ............................................................................... Approved ................................................. 19 ............................................................................... ................. ............................................................. OpTME Town of�Barnstable *Permit# jMeRegulatory Services feee$6mo om Jssue vBARNSM Mess. `$ Richard V.Scali,Director v � . i6ss� ,m �0 39 h Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 EXPRESS PERART APPLICATION RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number �^ C Property Address 0 Residential Value of Work$ �.��T_� .( Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address V\, 1r� Contractor's Name Telephone Number 9L( �w3UC7 Home Improvement Contractor License#(if applicable) ��J Email: V►'4J b C0 cl1 Vjw Q_ Construction Supervisor's License#(if applicable) 101 0�.9l Ef�rorkman's Compensation Insurance Check one: ❑ I am a sole proprietor AUG 0 7 2017 ❑ I am the Homeowner I have Worker's Compensation Insurance- TOWN OWN OF 8 A R N ST A B L E Insurance Company Name I'� C_ Workman's Comp.Policy# CC OD— S OaD C7c�- ^ 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-_8P�\tII ck oLS'pa ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof). ❑ Re-side Replacement Windows/doors/sliders.U-Value '7 {maximum.32)#of windows #of doors: *Where required: Issuance ofthis 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 8c Construction Supervisors License is required. SIGNATURE: I Q:IWPMESTORMSU'l1ding permit formALWRESS.doc 01/25/17 I Mu+o, Inc. K621 Or6dM IZd Harwich Ma O2G45 CONSTRUCTION CONTRACT This Construction Contract(hereinafter the "Contract") is hereby made on 7-29-2017 by and between Brett Quinn of 108 Bay.Rd Cotuit Ma (hereinafter"Client") and Muto, Inc. (Jasen Muto Construction) of 1621 Orleans Rd Harwich Ma 02645 (hereinafter"Contractor"), collectively referred to herein as the"Parties." Article I ENGAGEMENT/DESCRIPTION OF THE WORK A. Contractor shall provide the following construction services (the "Project"): The contractor will be removing the existing Roofing, 4 windows ( 3 A series, 1 400 series) and facia, freeze,and corner boards and adding 5" of rigid insulation at 108 Bay Rd Cotuit Ma. Then the contractor will be installing a new CertainTeed Landmark shingles 4 new windows (3 A series, 1 400 series ) and facia, freeze,and corner boards as specified in estimate#1798 from Muto, Inc. Contractor is responsible for all materials, labor, disposal, and permitting. B. Client engages Contractor and Contractor agrees to provide to Client all necessary services, materials, and labor necessary for the completion of the Project including, but not limited to, all building and construction materials, requisite labor and site security, and all necessary tools and machinery needed for project completion. All construction materials should be new and of the highest quality,unless previously specified by Client. C. Contractor shall provide the construction services for the Project at the property located at 1.08 Bay Rd Cotuit Ma D. This Contract shall be comprised of the following: this Construction Contract, Plans, Specifications, Addenda, Drawings, Photos or-other visual representations of the proposed work, and the written Modifications attached to this Contract,property signed and witnessed, all of which are attached hereto as exhibits. © Copyright 2013 Docstoc Inc. ]. r Article II SCHEDULE AND TIME OF PERFORMANCE A. Contractor will begin work on 9-.18, 2017 to be completed by 10-18, 2017. B. In the event that Client and Contractor agree on changes to the Project after this Contract is executed, the Parties will agree to new time deadlines that are reasonable in light of the modifications. Article III PAYMENT SCHEDULE A. In consideration of the performance of this Contract, Client agrees to pay Contractor the sum of Thirty Three Thousand Five Hundred Eleven Dollars 40/00 ($33,511.00) (the "Contract Price") on the following payment schedule for the services. B. Contractor shall be paid as follows: The first 33.33% or$1.1,169.22 to be paid upfront as a deposit for the materials, disposal, and permitting. A second payment of 33.33% or$11,169.22 upon start of specified work. The final 33.34%or $1.1172.56 upon completion and acceptance of specified work. Article IV CHANGES TO THE WORK. A. All changes or modifications to the work ordered by Client must be made in.writing,with appropriate adjustments made to the total payment and payment schedule. The approval of both Parties shall be required for substantial project changes such as the date of completion, project price, and substantive modifications to the project itself, and notification of these changes must be made in a timely manner. B. If these changes should require additional expense to Contractor, Contractor must make a claim for increase in payment, in writing,to Client, in a timely manner. Client must approve this claim for increase in writing prior to any changes to the work, project, or schedule. Article V DELAYS A. If Contractor is delayed-from completing required work due to unavoidable casualties, Client shall grant Contractor an extension for the completion of work equal to the delay. Unavoidable casualties include, but are not limited to, fire, flood or natural disasters, delayed acquisition of materials or material delivery, and negligence on the part of Client. © Copyright 2013 Docstoc Inc. 2 B. In the event of unavoidable casualties, Contractor shall properly document both the event and the impact of that event on project completion. Documentation shall be presented to Client in a timely manner. Article VI RIGHT TO STOP WORK A. If Contractor fails to correct defective work or persistently fails to supply materials or equipment in accordance with the Contract Documents, Client may order Contractor to stop the work, or any portion thereof,until the cause for such order has been eliminated. Article VII ACCESS AND CONDITION OF PREMISES A. Free access to the work and project site shall be granted by Contractor to Client,the designated agents of Client, and all necessary public authorities. B. Contractor agrees to keep the premises clean and orderly. Contractor shall remove all debris as needed during the hours-of work in order to maintain work conditions free of health or safety hazards. Article VIII WORK PERFORMANCE AND WORK QUALITY A. Contractor shall conduct its activities in a professional manner and adhere to the reasonable wishes of Client in relation to its working schedule. Additionally, Contractor's work shall adhere to and be in compliance with both the Standard Practices of the Trades and any relevant Manufacturer's Specifications. B. Contractor shall protect all work adjacent to the Project site from any damage resulting from the work of Contractor and shall repair or replace any damaged work at its own expense. Contractor shall take all precautions to protect persons from injury and unnecessary interference or inconvenience. Article IX WARRANTY A. Contractor hereby warrants that the work performed and the Project completed will meet the standards set forth and agreed upon by the Parties. Contractor agrees to fix and otherwise remedy any defects found by Client in the work within "five (5)years" after the date of final completion at Contractor's own cost. This includes defects caused by natural phenomena. © Copyright 2013 Docstoc Inc. 3 B. Contractor is only responsible for damage resulting to the Project from negligence, dangerous activities,intentional disregard of professional standards of care normally exercised within the industry, or breach of any governmental statute, ordinance, local rule, or law. Article X INSURANCE A. Contractor shall be responsible for insurance to protect against any property damage, bodily injury, death, or other claims for damages that may result from the commission of the work, including general liability insurance,builder's risk insurance and workers' compensation insurance for its employees or sub-contractors. Article XI LICENSES AND PERMITS A. Contractor will be responsible for obtaining the necessary permits and licenses to fulfill the services specified in this Contract. Article XII FINES A. Contractor is responsible for maintaining proper work, safety, and environmental protection standards. Contractor agrees to hold Client harmless for all fines from federal, state, or local agencies and regulators. Contractor will work in compliance with all standards required by the EPA, OSHA, and other applicable federal agencies. Contractor will be responsible for paying all fines and judgments levied by these agencies resultant from the performance of this Contract. Article XIII* RELATIONSHIP OF.PARTIES A. The relationship created between.the Parties shall be limited to that of independent contractors. Neither party shall undertake any actions that would imply or seek to establish, any partnership, ownership, employment,joint venture, or trust relationship between the Parties, except by amendment to this Contract. Article XIV GENERAL A. Both Parties are expressly prohibited from assigning this Contract or any rights or interest flowing therefrom. Assignment will only occur with the express written consent of both Parties. © Copyright 2013 Docstoc Inc. 4 B. This Contract contains the entire agreement and understanding between the Parties and supersedes any prior or contemporaneous written or oral Contracts, representations, and warranties between them respecting the subject matter of this Contract. C. This Contract will be interpreted and enforced under the laws of the State of.MA,without regard to conflict of laws. IN WITNESS WHEREOF,the Parties hereto execute this Contract: CLIENT CONTRACTOR Authorized Signature Authorized Signature Name and Title Name and Title License Number:MA HIC# 18311,1 CSL Number: CS-109029 0 Copyright 2013 Docstoc Inc. 5 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 7. ' 600 Washington Street -" Boston,MA 02111 - www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): trt k>-rO t t4r . Address: t4og.t 0P)Le;Po< > City/State/Zip: 4-�- w►r_%4 ntica. Phone#: 03®o Are you an employer?Check the appropriate bog: Type of.project(required): 1.is i am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. (]Demolition working for me in any capacity. employees and have workers' insurance 9. ❑Building addition comp' [No workers' comp. insurance ❑ required.] 5. [] We are a corporation and its 10. Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.�ther employees. [No workers' comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Pt:%5GC\A-N C.- c`, t V4510 ¢M„ Ce 0 Policy#or Self-ins.Lic.#: `�l - •��oO�E 10o• �n1apt_ Expiration Date: M.12.0 I2 Job Site Address: A 1�,'� City/State/Zip: Al 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 d amst the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of e DIA for insurance coverage verification. I do hereby ce .>rl' id pains and penalties of perjury that the information provided above is true and correct. Si afore: / Date: Phone#: �a �iU - 6. 030p 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#: i MUTOINC-01 AONEILL A�oRo CERTIFICATE OF LIABILITY D"TE�'"" �DD"""INSURANCE O612812017 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: ►f the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)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 endorseme s. RR PRODUCER � Rogem&Gray Insurance Agenc ,ttte- Y N N o Ere: FtUC,No:877 818 2158 South Dennis,MA 02860 .mall rogersgray.com INSURER 8 AFFORDING COVERAGE NAIC S INSURER A:Selective insurance Company of South Carolina 19259 INSURED INSURER a:Associated Em to ers Insurance Company 11104 Jason O.MUtO 1621 Orleans Rd INSURER C Harwich,MA 02645 INSURER 0: INSURER E: INSURER F COVERAGES C FICATE NUMBER: REV [ON-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. IN9R TYPE OF INSURANCE ADD L SUER POLICY EFF POLICY EXP POLICY NUMBER A X COMMERCIAL GENERAL LIABILITY LIMITS EACH OCCURRENCE $ 1,000,000 CLAIMS-ME aOCCUR 52207035 04125/2017 04/25/2018 AEAGET° ;ME�Dn� 100,000 MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY 1,000,000 G 9 AGGREGATE LIMIT APPLIES PFJi GENERAL AGGREGATE $ 3,000,000 X POLICY❑ LOC 3,000,000 PRODUCTS:COMP/OP AGO OTHER: AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT ANY AUTO — SCHEOULED BODILY INJURY Per person HAURT�O�EDS ONLY AU�TNOpSy BODILY INJURY Per occident $ AUTOS ONLY AUTOS 0 Per Pam end t AMAGE $ A UMBRELLALIAO X OCCUR 1,000,000 X EXCE88 LIAR CLAIMS MADE S 220703S EACH OCCURRENCE $ 04125/2017 04/Z5/2018 AGGREGATE $ 1,000,000 OED X RETENTION$ O B INrEWPS COMPENSATION PER OTH LOYERB'LIABILITY ANY PROPRIETORIPARTNERJExECUTNE YIN WCC50050071002017A 04/25/2017 04/25/2018 W.-I Ea�/MryEMA EXCLUDED? NIA E.L.EACH ACCIDENT �Or000 rH'"y-ea,describe under E.L.DISEAS -FA EMPLOYE S 500,000 DE IPTION OF OPERATIONS below E.L.DISEASE-POLIC L S 500,000 r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddlUonel Remarks Schedule,mad be attached If more apace Is raqufred) i Certificate Holder is listed as Additional Insured for General Liability when required by written contract f f i i CE IF C oi ncR CANCEL TION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE For Information Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHO 0 REPRESENTATIVE � ACORD 25(2016/03) ®1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Mascsachusetts 02116 Home improvemo_i Wohtractor Registration P Type: Corporation e , � rui° Registration: 183111 MUTO INC. �n -- ��a Eiration: 08/27/2019 1621 ORLEANS RD. `° r xp HARW ICH,MA 02645 .h� �";y1``a♦r g.e�;-fir e Update Address and return card. Mark reason for change. scn i E3 zoM o5m rl Add.pac F1 Renewal fl Fmptoymant Cl Lost f:ard C/�C r(,'a�7t7nrJY�loeC[�/lt O�CJ�7.CrdJCcc�rcdn.//,i Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only k TYPE:Corporation before the 'on date. If found return to: Registration Expiration Office of onsu er Affairs and Business Regulation 183111. 08/27/2019 10 P Plaza- uite 5170 MUTO INC. B n,MA 02 6 JASEN MUTO �Q CGQr --- 1621 ORLEANS RD.,, HARWICH,MA 02645 Undersecretary d16 vaii without signature "4assachusetts Depart,—nent of Public Safety f'-%;onstruction`Supervisor Board of Building Regulations and Standards )Restricted to: License: CS-109029 " l Unrestricted-Buildings of any use group which contain Ccnntrvctioei Sap--rvtsar -- less than 36,000 cubic feet(991 cubic meters)of enclosed space. JASEN MUTOLJ I 284 DCOMMERCE PARf4,-- SOUTH CHATHAM MA-�s2839 �xN>ratsr, Failure to possess a current edition of the Massachusetts Camcn,ssioner 10/22/2018 State-Building Code is cause for revocation of this license. WW.MASS.GOV/DPS E OPS Licensing information visit: W ..r � �► 131iy r b c10-75 Qo Town of Barnstable *Permit F r � Expir months from issue date Regulatory Services Fee . + iARNST'ABI.E. 9�. 16 � Richard V.Scali, Director QED MAC A +� Building Division ASSPERMIT Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 ®C� 2 www.town.barnstable.ma.us �. Office: 508-862108 Fax: 508-790-6230 ®WN OF BA RMIT APPLICATION - RESIDENTIAL ONLY , Not Valid without Red X--Press Imprint Map/parcel Number QU1 Property Address /6 5 Pam- ILo/ �D` 14 M Residential. Value of Work$ /6-(7 00 Minimum fee of$35.00 for work under$6060.00 Owner's Name&Address r �' �i w ,� v► /63 .kf Ca- ;�- Contractor's Name Eitaejl �u,�„ -Pe Telephone Number TO 8'33(' Home Improvement Contractor License#(if applicable) 15�3 y b G Email: ¢' e 4 k p Q 0 • <d M Construction Supervisor's License#(if applicable) o li 5 �Q ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor VIam the Homeowner have Worker's Compensation Insurance Insurance Company Name 5$b eaM Z ,�.. Workman's Comp.Policy# W. C e <0 f! D9 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(itripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof] ❑ Re-side -Replacement Windows/doors/sliders.U-Value 36 (maximum.35)#of windows #of doors: ❑ 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: QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street - Boston,MA 02111 www.nms.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name(Business/Organization/Individual): /1'j 1 c L[Ge A,e o ale e We z 6 Address: City/State/Zip: A P�. J' �' /t7' Phone#: Td Are you an employer?Check the appropriate bog: Type of project(required): 1.("I am a employer with 3. 4- ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[1 Other comp:insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Lki C C S6IJ Q `7 Expiration Date: �I' / Al Job Site Address: /o.-c— l.Y.<.ti �c� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains d penalties of jury that the information provided above is true and correct Signature: ,l Date: Phone#: �Q 7 7-4 (/ Official use only. Do not write in this area,to be completed by city or town official -- .... -....._... . O or Town• _.___.... _.__.PermitlLicense# _... .._ ._. Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the . dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." i Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have is required. Be advised that this affidavit may be submitted to the Department of Industrial employees,a policy Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Tdwn Officials, X., Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/License number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the . applicant as proof that avalid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. . The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 www-mass.gov/dia U Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor 1 &2 Family t License: CSFA-049205 r MICHAEL J AUP .)KRLEE-' 169 SANDALWODD DR Cotuit MA 02639 Expiration... Commissioner 07/14/2016 �� a�wnaoyuunu,CC/dy vI�LCc1JCcc/rcd c�: - • a � Oftice.of Consumer Affairs&Busy ess lieguladon !jcee"or registration valid for individul ti-€e only ROME IMPROVEMENT CONTRACTOR before the expirati6n date. If found return•fo: Y Registration: ,153 40 Type: Office of Consumer Affairs and Business Regulation NtFExpiration:-__.1ti1/20.14.. DBA: lO.Park Plaza-Suite 5170 =i MICFfiAEL AUPPERLEE:RENOVATIONS Aston,MA 62116 MICHAEL AUPPERLEE 169 SANDALWOOD DR s. 4 r � QPT.UIT,MA 02635 Undersec�efary� Not valid withoutsigna re �� • aexrrsr�Bit, MAM ,eg Town of Barnstable Regulatory Services Richard 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 I` t`e a -A , as Owner of the subject property hereby authorize fl��Qy.`pb el�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Acfdress of Job) A0 �'jly i Lture of Date 6�0A Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILESTORWbuildmg permit forms\smokecarbondetectors.doc .Revised 050412 Town of Barnstable Regulatory Services pU Richard V.Scali, Director Building Division swaxsr.+srE Tom Perry,Building Commissioner MASS. i659• 200 Main Street, Hyannis,MA 02601 CEO ► www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner i Approval of Building Official I � Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure'that the homeowner is fully aware of his/her responsibilities,many communities require, as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. ACO-RQN CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 10 28 2014 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MCSHEA INSURANCE AGENCY INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1550 Falmouth Rd Ste #2 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville, MA 02632 5 0 8 4 2 0-9 011 INSURERS AFFORDING COVERAGE NAIC# INSURED Aupperlee, Michael DBA INSURER A: National Grange Mutual Ins Co. Michael Aupperlee Renovations INSURER B: Associated Employers Insurance 169 Sandlewood Drive INSURER C: Cotult, MA 02635 INSURER D: 5 8-4 2 8-6 5 INSURER E: COVERAGES THE POLICIES'OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITSSHOWN MAYHAVE BEEN REDUCED BY PAIDCLAIMS. IR ADDI LTRNSRD POLICY EFFECTIVE POLICY EXPIRATION LT O INSURANCE POLICY NUMBER DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 3 0 0 000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurence $ 5 0 0 000 CLAIMSMADE F-x]OCCUR MED EXP(Any one person) $ 10 000 A MPJ26304 2/9/2014 2/9/2015 PERSONAL&ADV INJURY $ 300, 000 A GENERAL AGGREGATE $ 600, 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 600. 000 A POLICY JECOT- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ! X ANYAUTO (Ea accident) $ i ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY $ 50, 000 (Per person) A X HIRED AUTOS M9W63965 1/21/14 1/21/15 BODILYINJURY NON-OWNED AUTOS (Peraccident) $ 100, 000 PROPERTY DAMAGE $ 100, 000 0 0, O O 0 (Peraccident) GE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHERTHAN EA ACC $ AUTOONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CICLAIMSMADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATIONAND WCRYLIMITS ER STATU- OTH- TO EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE WC C 5 0110 9 7 E.L.EACH ACCIDENT $ 500, 000 B OFFICER/MEMBER EXCLUDED yes,describe under 6/19/14 6/19/15 E.L.DISEASE-EA EMPLOYE $ 500, 0 00 If SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500, 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Carpenter/ Included CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION TOWN OF Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY O ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD25(2001/08) ©ACORD CORPORATION 1988 1 � TOWN 4F 9,�R��STI�SLE CAPEINS ULATI*ON 2"93 DEC 1S M 2. 35 pI4p401A93 alp Ml[33 SP4AI FOAM SYSP[ND[O 4AR3 OUR[43 WSYSATION CfIIINOi 1-800-696-6611 DIVISIn ,1 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 rf Date: Dear Buil(ding Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BP-I) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted , Ceilings ( ) (� ) (3�) ( ) (n ) C( ILset Slopes 1 ( ) �n,) Floors ( ) ( ) ( ) ( ) ( ) ^nWalls ( ) ( ) ( ) ( ) ( ) r Sincerely He y E Cas y Jr, President C e Cod I ulation, Inc. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION TOWN OF BARNSTABLE �Z Map 60 Parcel 6 Zz_ Application # 2013 OCT 21 AIM 9. i Health Division ate Issued Conservation Division Application Fe Planning Dept. ®jVjSI 0ermit Fee Date Definitive Plan Approved by Planning Board p� �k- /I�l113V Historic OKH _ Preservation / Hyannis V Project Street Address �Zo X,Z:?4,Z Village Z'T, 4A Owner 71— Q 421 `1.4-, Address Telephone A,,::P/ .2 5-2 l 2 tj Permit Requests'��61,j ! C1-/ly Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation g60 o, O Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes 4No On Old King's Highway: ❑Yes WNo Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4jee�2 "5v,,,L2 ✓w7ae/ Telephone Number .�J-0c %7 12- Address Zr ��.�i2�✓/J ice° C'>�2G/f- License# fej JJ4a!g�a,42 Home Improvement Contractor# Worker's Compensation #4ma--4��sm� "'l�'6/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE i' DATE zd / i 3 FOR OFFICIAL USE ONLY ` APPLICATION# - } DATE ISSUED l� MAP/PARCEL NO. ADDRESS VILLAGE' - h' OWNER - r DATE OF INSPECTION: s1FFQUNDATIONt r.- •:�u �a��z=aurrr�� FRAMEr r .. sr er . •t r. 4 :r INSULATION,._;;.g.,;.,��n•ts•,.;.*ai�.r� ... ' ' FIREPLACE r ' ELECTRICAL:..... ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING='_: . DATE CLOSED OUT ASSOCIATION-PLAN NO. i s OWNER AUTHORIZATION FORM (Owners Name) owner of the property located at 6,14 Y' (Property Address) Ca 7u �T MA (Property Address) hereby authorize C'ey?ci C_' !o (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. OvM s ignature Date i i V . �ltr�sacltu,etts - Dcltartntcol ul,Public •lafclk, lSrrar(I ul Buil'din" Re"ulatiun> mid �t:uul;u'ds 0 (;onsTru.ption Supervisor License utcen :' .C-S 100988 ty. HENRY CASSIDY 8 SHED ROW WESIF 1JARMOUTH, MA 02673 Expiration: 11/11/2013 Trr,: 7620 CL 'G`f/GIJJ<.I `?-(/1J. 6�''4/J _ 'k Office of Consul Affairs and Bustne.ss Regulation F= �. 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: '153567 Type: Private Corporation Expiration: 12/15/2t114 TO 21,3831 C,AIDF COD INSULATION, INC HENRY CASSIDY 16 REARDON CIRCLE SO. YARMOUTH, MA 02664 __.._.. ..._.._._._...__..__.._.. ...._ Update Address and return card. Marls reasuu for change. L� Address L_I Renewal l..__� 1?:uttlloyrtlent I I Lust laird ,;., '�;;• `(jy,rrrrrcr rUr r:rr141e r C?llr�arr fnr.us(A uilirr of t:uustimer Aftitirs I.iusirtess ltegulatiotl License ur registration rolid fur individui use.only ✓IIWE IMPROVEMENT CONTRACTOR before the expiration(lute. If found return to: � Office of Consumer Affairs and Business lie 6 ulat'iuu uyistratiun: 153567 Type: ' s 10 fart:Plaza-Suite 5170 �ExpiraUon: 12/,f5l2014 Private Corporation Kostuti,MA 02116 Sri t:r.;i iN:l(ILA PION,;INC 'i' ,%X)Ufll.MA 02664 Uudersecretiicy of vill' witho I ` Ilat re i r ;L 40 The Commonwealth ofAlassachusetts Department of Industrial Accidents Office of Investigalions 600 Washington Street Boston, MA 02111 ►v ww.mass.gov/dia Workers' Compensation Insurance Afidavit: Builders/Contractors/Electricians/Plumbers Aimlicant Information Please Print Legibly Name (Llusiness/Organization/lndiviclual): ,!:°a r'�e C:12 ex enLZ Adch-esti: City/State/Zip: d?4/ Bone#: 6 :� e 7%_,5'_12 If— Are you an employer? Check the appropriate box: I.❑ I gun a employer with 4. ❑ 1 am a general contractor and l Type of project(required): employees(full and/or past=time). have hired the sub-contractors 6. New construction ?.❑ I am a sole proprietor or partner- listed on the attached sheet, 7. ❑ Remodeling ship and have no employees These sub-contractors have b• ❑ Demolition working for me in any capacity. employees and have workers' q ❑ Building addition [No workers' comp. insurance comp. insurance.# required.] 5. We are a corporation and its MR Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL insurance required] t e. 152, §1(4),and we have no 12.❑ Roof repairs employees. [No workers" 13.❑ Other comp. insurance required.] *Any applicant that checks bob + N I must also till out the section below showing their workers'compensation policy information. 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 cmipluyees. If the sub-contractors have employees,they must provide their workers'comp.policy number. !an,an employer that is providing worlcers'compensation insurance for my employees. Below is the policy and job site befonnutiore. I ; Insurance.Company Name: Policy tl or Self-ins. Lic. #:AeIZ96 z �i�5��/ Expiration Date: L ?-J �- Job Site Adclress:/dT / 6 C'D72-5/1' City/State/Zip: ky� 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 tine 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 Invesri,ations of the DIA for insurance coverage verification. l do hereby certijj ider the paints and p,nalties of perjury that the information provider/above is true and correct. isnarure: Date: /& / Z/ �r Ij Offec•ial use only. Do not write in this area, to be completed by city or town officiaL City or'I'own: Permit/License# Issuing Authority(circle one): I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: o n _ CAPECOD-27 MYOUNG d� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 6 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE H /ER.ITHIS C OLD 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 License#PC-514062 CONTACT Rogers&Gray Insurance Agency,Inc. NAME: Margaret Young 434 Rte 134 PHONE FAX South Dennis,MA 02660 C A/c-.o): E-MAIL _ ADDRESS:m oung rogersgray.com INSURERJSJ AFFORDING COVERAGE NAIC N INSURED- -- -- ---- INSURER A:PEERLESS INSURANCE COMPANY INSURER B:COMMERCE INSURANCE COMPANY Cape Cod Insulation,Inc. INSURER c:Evanston Insurance Company 18 Reardon Circle South Yarmouth,MA 02664 INSURER 0:ATLANTIC CHARTER INSURANCE GROUP r r� 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 LTR _ TYPE OF INSURANCE POLICY NUMBER XOT POLICY EFF POL CY EXP MAI/DO/YYYY MM/DD/YYVY LIMITS GENERAL LIABILITY __ 'EACH OCCURRENE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8263063 ED4/1/2013 4/1/2014 71E-�C E Ea ocw ante $ 100,000CLAIMS-MADE �X OCCUR P(Any me person) $ 5,000AL&ADV INJURY $ 1,000,000L AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG b 2'000,000 POLICY�P� LOC AUTOMOBILE LIABILITY C MBINED SIN LE LIMIT B ANY AUTO Ea accident �- 1,000,000 ALL 13MMBCKVMK 4/1/2013 4/1/2014 BODILY INJURY(Perperson) $ AUTOVSVNED X SCHEDULED AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-0WNED PRO TY DAMAGE AUTOS ER ACCIDEN $ X UMBRELLA LIARJq OCCUR EACH OCCURRENCE $ 1,000,000 C EXCESSLIA9 CLAIMS-MADE XONJ453512 4/1/2013 4/1/2014 _ AGGREGATE $ 1,000,000 OED X RETENTIONIL 10,000 WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY O STAT US OTH- D ANY PROPRIETORIPARTNER/EXECUTIVE Y/N WCA00525904 6/30/2013 6/30/2014 1,000,000 OFFICERIMEMBER EXCLUDED? ❑ N/A E.L.EACH ACCIDENT $ (Mandatory In NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers Compensation includes Officers or Proprietors. _ Addtional Insured status is provided under the General Liability when required by written contract or agreement with the Certificate Holder. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation,Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ----L GNU�r� ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ' 'PRE Town of Barnstable *Permit 7-4� Expires 61 nths rom issue date �'egulatory Services Fee snnxsr,+ate. • AIV � M^� g 2013 Thomas F.Geiler,Director %6 q. ♦0 ArF OF Building Division � 010h� rA Perry,CBO, Building Commissioner + 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office! 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property.Address D d, G&I 00'. 11\A 61-(,3,5 54 Residential Value of Work 1,00 C _ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 9-3(;.e lT Q "c o►,) , Contractor's Name—" -V —CC — Telephone Number Home Improvement Contractor License#(if applicable) — Construction Supervisor's License#(if applicable) N<orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 21 have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy# Wc, — S09 50,1 - 0. Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows 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: Pre wner must s Property-Owner Letter of Permission. A copy of the Home Imp ve r Con actoirs License&Construction Supervisors License is requir SIGNATURE✓ QAWPFILES\FORMS\building permit forms\E S.doc Revised 053012 The Com monweah*of Massackuseffs l3elwhnent of In&EsviaI Acciden& f),fce of fnmtrgntions 600 Washington Street Boston,MA 02111 - r�T►c��tmcrs�ggrav/din . Workers' Compensation Insurance Affidavit:Builders/ContractureTAectririans/Plumirers Applicant Information Please Print Lm1h Name to bT LL L Address: �� L� lr iJ rr'����l' a e-4 L"L- City/ tate% g_ U 1 w�c o. t t�A• O a-a QI o Phone 7 1- 3 S s -S y k 9 Are you an'employer?Cteckthe appropriate box: T of project r 4. I am a, conti�actor and E � p 3 (required): 1-'o I sm a employer with��_* ❑ have fired sal sub tractcr and 6- ❑New boa employees(full an&orpatttime)- 2-❑ I am a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees These sob-contractors have g_ ❑Demolition working for me in any capacity employees and have workers' 9. ❑Budding addition. [No workers'comp-insurance comp.ifls r l required-] 5- ❑ We are a corporation and its 10-❑Electrical repairs or additions 3-❑ I am a homeowner doing allworic officers have exercised their 11-0 Plumbing repairs or additims myself:[No workers'camp- fight of examption per MGL 12_❑Roof repairs iumn-anne required:.]1 G.152, §1(4),and we haw no employees-[No workers' 13 Other l iW n i'w comp-insurance required-] tAny a�pficaat Est checks boa 41 nmst also fill out the sertim bd w shouingih!a w0affe caMpensarina.palicy kf mwtim linmeoames Abo sabum this a�imhczting they are doing all vmAL and then hue outside conw=Ts mast snbmt a new affidavit indicating smch- IComttactm that check this box must sttaclmd an additimmal sheet showing the name of the and state whether arum Thaw Etities haves enVkTeer_If the bob-cznt>a=rs havm employees,&ey mmstpxavide their worker comp.polity mnaber- I am an emp&r wr that is providing workers'compmsdion inmrarue for my emplaiwm Edow is tha policy and job sde information. i Insurance Company Name: �vvcor Policy#or Self-inns.Iic.9:- o Q 5 g 91" 0,0 Expiration Date: 1 v --.:.Job Site Address: /o rL0 - eyf , U I 1 Alta a copy of a war compensationp cy ra on pages a fw ry mum er an -:pica on e . Failure to secure coverage as required under Section 25A of D; GL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500-00 and/or onB-year imprisonment-as well as civil penalties in the form of a STOP WORD ORDER aud a tine 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 Eavestigations of the DIA for insurance coverage vedEcation` Ida he7Ry- fj'an&r th s alties ofparjury that the in,,forma6vnpri&dabove is hus and correct $ atyre: Date: /° 1• ., Phone#: a,}i'cia[stm only. Do not write in this arev,to be completeed by city or town offic&I City or,Town: PermitUcense# Issuing Anfi ority(circle one): L Board of Health 2.BuaMing Department 3.CStyfrown Clerk 4.Electrical Inspedor 5.Plumbing Inspector 6.Other Contact Person: Phone 9: 6 aco CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/Y1Y1� 10/01/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 Marsh USA,Inc. NAME: JFAX 1166 Avenue of the Americas PHON o A/C No): New York,NY 10036 E-MAIL .__ ADDRESS: INSURE S AFFORDING COVERAGE NAIC# 58880-ADT-MAIN-12-13 INSURER A:Zurich American Insurance Company 16535 INSURED ADT LLC INSURER B:American Zurich Insurance Company 40142 410 University Avenue INSURER C Westwood,MA 02090 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: NYC-006480370-06 REVISION NUMBER:3 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 SUER POLICY EFF POUCY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDD MMIDD I LIMITS A GENERAL LIABILITY GLO 5095899-00 0928/2012 10/012013 EACH OCCURRENCE $ 2,000,000 X DAMAGE TO RENTEU___ PREMISES(Ea occurrence) $ COMMERCIAL GENERAL LIABILITY 1,000,000 CLAIMS-MADE M OCCUR MED EXP Any one person $ 10,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 4,000,000 X I POLICY PRO- n LOC $ A AUTOMOBILE LIABILITY I I AL 509590MO 09262012 10/012013 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS ( ) X Ix NON-OWNED PROPERTY DAMAGE $ HIREDAUTOSAUTOS Per actident $ UMBRELLA UAB HOCCUR I EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE I AGGREGATE $ DED I I RETENTION$ I $ B WORKERS COMPENSATION WC 5095897-00(Deductible) 09282012 10/OW013 X I M STATU- Ty- LIM EMPLOYERS LIABILITYTOR E A ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WC 5095898-00(Relro) 09292012 10/012013 OFFICER/MEMBER•EXCLUDED? a NIA E.L.EACH ACCIDENT $ 2,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEd S Z000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 2,000,000 DESCRIPTION OF OPERATIONS/f OCATIONS/VEHICLES Attach ACORD 10 Aditiona Re a J S L Sc edule if Moms ace is re wire - - CERTIFICATE HOLDER CANCELLATION ADT LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN:TOM LEE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 410 UNIVERSITY AVENUE ACCORDANCE WITH THE POLICY PROVISIONS. WESTWOOD,MA 02090 AUTHORIZED REPRESENTATIVE of Marsh USA Inc. I Cynthia Y.Kim ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD _.C(3f1A�tf31�WEALTH O�.MASStCi#iiSET�S: t - ._tA fib-GIS.TERED,S-Y$.EM COhR}T T•__ : ' ;ISSUE�..FEs4BF]YEIICENSE T-0 :.?.°,=s -_;._ a.:• s i . 4VI�r L' _ - _ -�-_�•� G. 07/31/13 � _ — .. •- .— FaM,Then Detach Aicng Vi Perfor�ips 1 r Commonvriealth of Massachusetts % Department of Public Safety License:SS-001779-0as J Leeniversitwood Mrs 02090 ` Expiration: - Corrimissioner 05/16M14 aaat+sraere. MASS. ,�� Town of Barnstable ArEp�,t a Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder ' 1 as Owner of the subject property hereby authorize /'fib n LL- to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) /9 Signature of Owner Date PL -IT QwCo hJ Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on,the reverse side. Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revised 070110. �oF'I KWE Teti Town of Barnstable �P o� Regulatory Services BABNSTABLE, Thomas F. Geiler, Director 9 MASS. 0:59A`0 Building Division Tom Perry;Building Commissioner 200 Main Street, Hyannis,MA 02601 ., www.town.ba rnstable.ma.us Office:. 508'-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such'work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 15,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for-which a building permit is required shall be exempt from the provisions of this section(Section 109.1..1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules•&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may caret amend and adopt such a forrn/certifrcation for use in your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc OF WE The Town of Barnstable • BnaxsrnBM - 16 . Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner March 17, 1998 Albert J. Schulz Attorney At Law William Charles Place 7 Parker Road Osterville, MA 02655-2034 Re: Parcels 21 and 22 -Assessors Map No. 7 108 and 116 Bay Road, Cotuit Dear Attorney Schulz: After reconsideration by our legal staff, I am now informed that they agree with you and that Lots 86 and 87 Bay Road, Cotuit, were separately owned. As a result, both are buildable from a zoning standpoint. Sincerely, Ralph M. Crossen Building Commissioner RMC/lbn. g980317c r , 1 ALBERT J. SCHULZ ATTORNEY AT LAW WILLIAM CHARLES PLACE 7 PARKER ROAD OSTERVILLE,MASSACHUSETTS 02655-2034 / I TELEPHONE(508)428-0950 ^/► FACSIMILE(508)420-1536 February 26, 1998 Ralph Crossen ni Building Commissioner Town of Barnstable 367 Maui Street' Hyannis, MA 02601 Re: Parcels 21 and 22 -Assessors Map No. 7 108 and 116 Bay Road, Cotuit, MA Dear Mr. Crossen: On behalf of the owners of Lot 87, Bay Road, Cotuit(Assessors Map 7, Parcel 22), I request that you review and reconsider your decision, rendered on or about January 29, 1998, that Lots 86 and 87 were held in common ownership. I believe that your decision was an unwarranted extension of the Appeals Court's holding in Planning Board of Norwell v. Serena, 406 Mass. 1008 (1990). As you know, in Serena, a husband and wife owned one lot as tenants by the entirety and the other as sole trustees and beneficiaries of a trust. The Court, in deciding that both lots were held in common ownership, ruled that"all of the land of each of the Serenas was available to avoid or reduce the diminished non-conformity of either lot viewed in isolation." In the present case, the title to Lot 87 passed under the will of Manuel Z. Sherman, Barnstable County Probate !,To. 90P-1307-EP ..' A 1/3 interest passed to Richard Issenberg and Milton Issenberg; in trust, for the benefit of Kent Issenberg' The law of trusts provides that one holding title to land as trustee under a will is the"owner". Animal Rescue League of Boston v. Bourne's Assessors, 310 Mass. 330 (1941); see also Daley v. Daley, 300 Mass. 17 (1938). The trustee owns the property subject to the terms of trust. Kaufman v. Federal National Bank, 287 Mass. 97 (1934). Under the terms of Mr. Sherman's will, he specifically authorized the trustees to "all the acts and exercise all powers, rights and privileges which an absolute owner of the same would ' have been without limitation". This trust lasts for ten (10) years, with a maximum distribution to ' The owners of Lot 86 are Peter Issenberg, Richard Issenberg and Kent Issenberg, individually, as joint tenants. i t Kent of$25,000.00. It is clear, therefore, that"all" of the land of"each" of the owners was not available to avoid or reduce the dimensional non-conformity as required by.Serena. This is not a case where lots were specifically "checkerboarded" in order to avoid merger. In fact, Mr. Sherman's will was executed prior to the Serena decision. In conclusion, I hope that you will re-review my previous correspondence in light of the narrow holding in Serena, and rule that Lots 86 and 87 were never held in common ownership. Sincerely, Albert J. S lz AJS/wmg File No. 20537 cc: Robert D. Smith, Esq., Town Attorney Ruth J. Weil,.Esq., Assistant Town Attorney ALBERT J. SCHULZ ATTORNEY AT LAW WILLIAM CHARLES PLACE 7 PARKER ROAD OSTERVILLE, MASSACHUSETTS 02655-2034 TELEPHONE(508)428-0950 FACSIMILE(508)420-1536 January 22, 1998 Ralph Crossen Building Commissioner Town of Barnstable 367 Main Street Hyannis, MA 02601 RE: Parcels 21 and 22 - Assessors Map No. 7 108 and 116 Bay Road, Cotuit, MA Dear Mr. Crossen: I have examined the record title to two adjoining parcels of land on Bay Road, Cotuit, shown as Parcels 21 and 22 on Assessor' s Map No. 7 . These parcels are also shown as Lots 86 and 87 on a plan of land recorded in Plan Book 15, Page 67 . My report on these two lots is as follows : LOT 86 (vacant land) Title l`-l:J Lot 86 L.. assumed in Ti:Cmac T-1 TJl�onc, }„il), docrl- of John E. Frazier and Blanche R. Frazier, dated June 5, 1953 recorded in Book 843 , Page 575 . Thomas H. Lyons conveyed Lot 86 to Milton Issenberg and Ruth F. Issenberg by deed dated July 10, 1979, recorded in Book 2950, Page 209 . By deed dated November 30, 1990 and recorded in Book 7394 , Page 027, Milton and Ruth Issenberg conveyed Lot 86 to Kent Issenberg, Richard Issenberg and Peter Issenberg as joint tenants, who are the current owners of record. i LOT 87 (improved real estate) Title to Lot 87 is assumed ' in Manuel Z. Sherman by deed of Robert A. McNutt, Jr. , dated March 28, 1962 , recorded in Book 1171, Page 360 . Manuel Z. Sherman died testate in 1990, Barnstable Probate and Family Court Docket No. 90P-1307-EP1 . Under the provision of Mr. Sherman' s will., his property passed, in equal shares, to the following persons, as tenants .in common: a) Richard Issenberg b). Peter Issenberg c) Richard Issenberg and Milton Issenberg, as Trustees under the Will of Manuel Sherman for the benefit of Kent Issenberg. By deed dated June 22, 1994 and recorded in Book 9263 „Page• 232 , the above legatees conveyed Lot 87 to Craig F. Flemming, the current owner of record. The issue of common ownership was addressed by the Supreme Judicial Court in the case of Planning Board of Norwell v. Serena, et al; 406 Mass . 1008 (1990) . In Serena, husband and wife owned one vacant lot as tenants by the entirety, and were the sole trustees and beneficiaries of a trust which held title to the adjoining vacant lot . The Supreme Judicial Court affirmed Land Court' s judgment which found that since the Serenas had "Con troll o`Ter both lots, such lots k'ere hey d in-,common ownership. The present case is clearly distinguishable from Serena. Here, the legal title to one third of Lot 87, prior to its sale, was held by Richard and Milton Issenberg as trustees under the Will of Manuel Sherman for the benefit of Kent Issenberg. Kent, as beneficiary had no "control" over the one-third interest . In fact, the trust under Mr. Sherman' s will does not expire for a period of ten (10) years (copy of will is enclosed) . . Since the legal and beneficial interest of a one-third interest in Lot 87 were not in the same persons, and since Kent Issenberg as beneficiary had not control over that interest, it is my opinion that at no time from 1953 to the present were Lots 86 and 87 held in common ownership. Lot 86 is presently listed for sale as a separate building lot . In order to facilitate the sale of this lot, I would appreciate your reviewing my opinion regarding these lots and if you agree with my opinion, sign a copy of this letter where indicated, and return it to me in the enclosed envelope . If you have any questions or need additional information or documentation before a decision can be made, please feel free to contact me . S ' erely, i i AAlbert AJS/dab Enclosure 20537opn.ltr I Based on the facts as outlined above, Ir that Lots 86 and 87 were . held in common ownership. R 1 h •Crossen, Building inspector n 1 RUE GOPY G • ATrEST' REGISTER LAST WILL AND TESTAMENT OF MANUEL Z. SHERMAN I , MANUEL Z. SHERMAN of Barnstable, Barnstable County and Commonwealth of Massachusetts, being of sound mind and memory, do make this my last will and testament, hereby revoking all former wills and codicils by me at any time heretofore made. ARTICLE I: I direct that all my estate, inheritance, transfer and other taxes by reason of my death shall be paid of Y my estate. ARTICLE II. I give, devise and bequeath all my worldly goods, whether real property, personal property or mixed to my nephews , Richard Issenberg, Peter Issenberg and Kent Issenberg or to the survivors of them, in equal shares , share and share alike . However, the shares to Kent Issenberg, are to be placed in trust, the terms of which are herein set forth: TRUST I nominate and appoint Milton Issenberg and Richard Issenberg as trustees hereunder who are, authorized to invest the corpus and to do all the acts and exercise all the powers, rights and privileges, which an absolute owner of the same property i would have been without limitation. In the event one of the trustees fails to take office or does not complete his term, for any reason whatsoever, I direct the surviving trustee to act solely. The beneficiary shall be Kent Issenberg. This trust shall terminate upon the happening of any of the following three events: a. The expiration of ten years from this date, whereupon the balance of the corpus shall be distributed to the beneficiary. b. The distribution of all the assets prior to the ten years. c. The death of Kent Issenberg, whereupon the corpus shall be equally divided between Richard Issenberg and Peter Issenberg or all to the survivor. The trustees are authorized and empowered to distribute to Kent, from time to time, in their judgment and discretion, a sum or sums not to exceed Twenty Five Thousand Dollars , including principal and income, in any calendar year. ARTICLE III . I nominate and appoint Richard Issenberg and Peter Issenberg to be my executors hereunder and request that if they are appointed to serve hereunder, they shall be exempt from furnishing any surety/ or sureties on their bond. eee Manuel Z . Sherman 2 i On This /,, - day of of ?r C3 pr1990 Manuel Z . Sherman signed the foregoing instrument in our presence, declaring it to be his last will and testament and thereafter, as witnesses thereof, both of us, at his request, in his presence and in the presence of each other hereby subscribe our names. rap -4E 3 5 _ ..Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program W065147 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Simplified,Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Patricia Howes Name of Applicant ` 108 BBay=Ro`ad" � Poponesset Bay I..qotuit_-7 Project street address Waterway City/Town Description of use or change in use: The project propses construction of a small boat pier accessory to a single family residence To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." �Lto� Aar., Q2/t 1 / D Printed a of Mu ipal Offi ial Date/ igna ure of Municipal O ial itle City/Town k I i 1 s` CH91App.doc•Rev.10/02 Page 6 of 17 Y` Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program W065147 Chapter 91 Waterways License Application -310 CMR 9.00 Transmittal No. Simplified,Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Patricia Howes Name of Applicant 108 Bay Road Poponesset Bay Cotuit Project street address Waterway Cityrrown Description of use or change in use: The project propses construction of a small boat pier accessory to a single family residence. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." Printed Name of Municipal Official Date Signature of Municipal Official Title City/Town I i I i i CH91 App.doc•Rev. 10/02 Page 6 of 17 i Ps"oor) Map Parcel oZ ,Permit It T House# /0 8 ,r=J5 Date Issued 96 Board of Health(3rd floor)(8:15 -9:30/1:00-4��) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) Definitive Plan_Ap oved by Planning Board 19 e; RNSTABLE. ` TOWN OF BARNSTABLE Building Permit Application Project Street Address 162F_7 Village Owner Address Telephone — Permit Request — First Floor square feet Second Floor square feet Construction Type - f Estimated Project Cost $ j 0 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family f Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number �--)/~/7 Address License# Home Improvement Contractor# Worker's Compensation NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ' I ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE 7 BUIL ING PERMIT DENIED A THE FOLL WING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. -7 3 DATE ISSUED MAP/PARCEL NO. - ADDRESS VILLAGE i OWNER DATE 06NSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL f_ PLUMBING: ROUGH FINAL GAS: ROUGH G FINAL FINAL BUILDING L6 I DATE CLOSED OUT ASSOCIATION PLAN NO. The Town of Barnstable . E ARMAIMF. . ��1e�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Ralph Crossen Office: 508-790-6227 Fax: 308-790-6230 Building Commissioae For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions.along with other requirements. 4 Type of Work:JRQ ��('1' /Ut$ ost U-JOL V Address of Work: Owner's Name Date of Permit Application: - I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000- Building not owner-occupied Owner pulling own permit Notice is hereby given that: .OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- 142A SIGNED UNDER PENALTIES OF PERJURY I h y apply for a it as the agent he owner. Date Cantrac �Yame Registration No. OR Date Owner's Name The Commonwealth o,f Massachusetts Sj Department of Industrial Accidents ' ^ :=__, ;_-�� Olfice oflo�estigatians 600 Washington Street Boston,Mass. 02111 =`vR� Workers' Compensation Insurance Affidavit %% riiicirir�rrrrrr!/a//rrrrrrrrrrur/aiiai / r// name: f� —L/ -1- location R hone# v city ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any ca achy %/O///%/9IN//%%/------ am an employ providing�v kers' compensation for v emplovees working on this job. com >tnv name: i address: hone#: 4. city nlicv# Q insurance co. ❑ I am a sole proprietor, general contractor. or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: cam nnv name: address: hone#� dtv: olicv# ..... ..rii,,,. insurnnce 11 o. comvianv names address: hone#:. city: ... .... .. :. ..: . J101fcv# insurancecti.. ;:::z<:»;:::::•>o-::^.:is[ ... ...................: Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Me up to SI,500.00 and/or one venue'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Omce of Investigations of the DIA for coverage ve ilicatioa 1 do hercbv eertij der the p • and penalties of perjury that the information provided above is truce and one Date Sigaa • Phone# Print name official use only do not write in this area to be completed by city or town oincial permit/license# QBuUding Department city or town: ❑Licensing Board ❑selectmen's Omce checicif immediate response is required ❑HealthDepartment phone M. 00ther_ contact person tam 9,95 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contr.- of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more o the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receive: trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,'or the occupant of the dwelling house of 1 ` another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rene!. of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who h not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions sha_ ll enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. - Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if yoi are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of ih affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the peirnit/license number which will be used as a reference number. The affidavits may,be rearchid io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts, ' Department of Industrial Accidents' Me 01 Iwestlgatlons % 600 Washington Street Boston,Ma. 02111 far#: (617)727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 c�,y i - DATE(MMIDD/YY) AC0 D CERTIFICATE OF LIABILIVY]NSURANCI�AIILJR2 05/04/98 .")DUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE )rake, Swan & Crocker HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR L 4' Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. gleans MA 02653-0429 COMPANIES AFFORDING COVERAGE avid D Rust COMPANY A Assurance Co. ,f America gone No. 508-255-3212 Fax No. - - — 1SURED COMPANY B Credit General Insurance Co. Paul J. Cuzeault etal DBA Paul COMPANY J. Cazeault & Sons Roofing C — --. — COMPANY D ,OVERAGES THIS IS TO CERTIFY'THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED 1-.30VE 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. ;0 POLICY EFFECTIVE POLICY EXPIRATION LIMITS TR TYPE OF INSURANCE POLICY NUMBER I DATE(MMIDDIYY) DATE(MMIDDIYY) GENERAL LIABILITY GEN'-RALAGGREGATE $ 1000000 g "�OMMERCIFLGI' ;ERaLUABILETY CFP25552812 I 05/01/98 05/01/99 ?RO UCTS-COMP/OPAGG $ 1000C'OO PER ONAL&ADV INJURY $ 5000 C:O CLAIMb MAG'? X OCCUR — )WNER'S&COP`RACTOR'SPROT =AC OCCURRENCE $ 500000 FIRE DAMAGE(Any one fire) $ 300000 I AEC =XP(Anyone person) $ 1000; I .AUTOMOBILE LIABIL11 r ',Of. SINED SIIJGLE LIMIT $ ANY AUTG -- •�LL OWNS:..AU' S 30C .Y INJURY $ jPer erson) I SCHEDULER AU• )S — - - -iIRED AUTO S BOC.Y INJURY $ (Per .ccident) '10N-OWNS-)AL: OS - ------ -•---- ?RC ERN DAMAGE S GARAGE LIABILI fY ALIT ONLY-EA ACCIDENT S ANY AUTO OTH R THAN AUTO ONLY: EACH ACCIDENT $ -— - AGGREGATE $ EXCESS LIABILITY i EACH OCCURRENCE $ UMBRELLAFORf.' I AGCREGATE $ OTHER THAN UN3REl LA FORM $ NC STATU. OTH. WORKERS CCLIPENSATION AND x 'ORY UI I[TS L- , ER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100000 THE PROPRIETOR/ INCL SWC17005901 08/09/97 08/09/98 ELC.sEASE-POLICY LIMIT $ 500000 PARTNERSIEXECUTN E OFFICERS ARE: RX IXCL EL C iSEASE-EA EMPLOYEE $ ZOOO°JO OFFICERS ARE: OTHER I i DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS Roofing CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBE)POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUI G COMPANY WILL ENDEAVOR TO Ni .IL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Tf:E LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON T E COMPANY,ITS 4GENT5 OR PRESENTATIVES. • AUTHORIZE ATIVE ACORD 26S(1195) _ ©ACORD CORPORATION 1988 HOME IMF OVEMENT :CONTRACT SE STRATTON : Board of ailding' Regulati s an Standard i One AshburtonPlace - oom 01 Boston , Massachuset 021 IR HOME IMPROVEMENT CONTRACTOR Registration 103714 Expiratign ,07/Q /00 i Type - PARTNERSHIP 1 HOME IMPROVEMENT CONTRACTOR t' 1 Registration 1C3714 PAUL J . CAZEAULT & SONS ROOFhN " Type - PARTNERS IIP Paul J . Cazeault Expiration 07 '09/00 22 Gidd i.alt. Rd . P .O . Sox 278 Orleans MA 02653 PAUL J. CAZEAUL' & SONS ROOF' Paul J. Cazeault eg iddialt Rd. P.O. Box 27E ' nonnwrsTaAroa Orleans MA 02653 OL,"ARTMENT Of' PUBI. . L: :�AFFI ONI: ASHBURTON FILAC: , RM 1:.i( BOST A 0.210. -1618 i'dST1;UC'l SUPERV• ' OR LICENSE � nb� I :xp.ires: - .325 J ;)/<O/1999 ,i:r• :r? Ovi r � i �997 �UL CAZEAUI C >► is J[ . I.LL, Ihr 02655 KF7ep t or raceipl. !!id c;ir.tr: U"� cl CIU I . 1: 'L.LCu1..I •,I. ART r _ tfi V 1s8 } AIr V s< ^ y. I ► TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map b O `7 Parcel b ZZ Permit# DO w Health Division f09 pef C V �°+ 3 '� S� ,/ Date Issued Conservation Division S► r �� �� -�{� (� P ����` //����` Application Fee ' Tax Collector :AY VV'NV- Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address /,o Y Village T p Owner t��-�C-c 4- Address 1 b$ l_T) Cow i1 MfF Telephone 239 S-9 Z . t Permit Request 6-6 x)5 5 -;4-c-L -1 ►)c 2 f ► r x f-_D e t E-ic 1L� 9 ► APO r p A-) -L- CfFrL w l+ i ST142 ;c L �C y` , Lft-�✓7) ,� 6 ,l�-✓ o �►T o� t�l V� CUSS 'Z�S (`7' - RN w �Lsa � SJzr/a� — lyz � ; S re eet: 1 st floo(existing proposed 2nd floor: ex sting proposed Total new Zoning istrict O CL—Flood Plain Groundwater Overlay =n � rn Project Valu ion OCR Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single•F ily ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes Cl No On Old King's Highway: O Yes ❑No Basement Type: ❑Full ❑Cr I ❑Walkout ❑Other !� Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: :- Full: existing new Half. existing new Number of Bedrooms: existing ew Total Room Count(not,including baths): existing new First Floor Room Count Heat Type and Fuel:., O Gas El Oil El Electric O ther Central Air: O Yes O No Fireplaces: Existing New Existing wood/coal stove: O Yes ❑No Detached garage:.❑existing ❑new size Pool:0 exis' g ❑new size Barn:O existing ❑new size Attached garage:-0 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes- O No If yes, site plan review# Current Use Proposed Use 4o&(V -. - - - BUILDER INFOR TION Name J n�-t'r' WS a ►-� Telephone Number Address C— License# CS 6 7 6 ,_S Home Improvement Contractor# /430 a 01 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 2 E:S�o y 2c�=� SIGNATURE DATE L/ �r b i! FOR OFFICIAL USE ONLY PERMIT NO. DATE-ISSUED - - MAP/PARCEL NO. ADDRESS VILLAGE - OWNER e Y _ e DATE OF INSPECTION: `- FOUNDATION r4.- FRAME INSULATION a FIREPLACE y ELECTRICAL:. ' '` ROUGH FINAL' PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING r°�� ®3�D/� Rm a,, j DATE CLOSED OUT ASSOCIATION PLAN NO. ` a � or c LLI CV Es { I Rhodes,D.C.,K.Tenore and M.Browne. 1975.The role of resuspended bottom mud in nutrient cycles of shallow embayments.Estuarine Research.563-579. Sampou,P. and C.A. Oviatt. 1991. A carbon budget for a eutrophic marine ecosystem and the role of sulfur metabolism in sedimentary carbon,oxygen,and energy dynamics. J.Mar.Res.49: 1-20. Sampou,P. and C.A. Oviatt. 1991. Seasonal patterns of sedimentary carbon and anaerobic respiration along a simulated eutrophication gradient. Mar.Ecol.Prog.Ser. 72: 271-282. Shaefer,D. 1999."The Effects of Dock Shading on the Seagrass Hal odule wrightii in Perdido Bay,Alabama." Estuaries,v.22,n.4,p 936-943. Shaefer,D. and J.Robinson.2001."An evaluation of the use of grid platforms to minimize shading impacts to seagrasses."WRAP Technical Notes Collection(ERDC TN-WRAP-01-02.)U.S.Army Engineer Research and Development Center,Vicksburg,MS.Available at www.wes.anny.mil/el/wrE Short,F.T.and S.Wyllie-Echeverria. 1996.Natural and human-induced disturbance of seagrasses.Environ. Conserv.23: 17-27. Valiela,I.,D.Forman,M.LaMontagne,D.Hersh,J.Costa,P.Peckol,B.DeMeo-Anderson,C.D'Avanzo,M. Babione,C.H. Sham,J.Brawley and K.Lajtha. 1992.Couplings of watersheds and coastal waters: sources and consequences of nutrient enrichment in Waquoit Bay,Massachusetts.Estuaries 15.4dQ_a57 o�t, TN Town of Barnstable N Regulatory Services l saRxsrasr a, Thomas F.Geller,Director NAM 9�A18D rr►A'�A � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 • � Fax: 508-790-6230 Office: 508-862-4038 • Permit no. Date AFFIDAVIT HOME DUROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units,or to structures which are adj aceut to such residence or building be done by registered contractors,with certain exceptions,along with other - requirements. Type of Work: �� C-(L Wo(LIL. . Estimated Cost „4 Y C_a J-U 1-7— Addressof Work: b , Owners Name: A-� Date of Application: I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law C-lL E:f U 1,000_ not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMP GU �YUND EORK DO RD,iG HAVE'142A. ACCESS TO THE ARBITRATION PROGRAM SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: / a06 � Date . _V�f(C_onritractor Name Registration No. OR Date Owner's Name Womis:homeaffidav Er° Town of Barnstable °;. Regulatory Services E MASSLIE•$ Thomas F.Geiler,Director $ s65 Building Division TomPerry, Building Commissioner 200 Main Street, $yanais,MA 02601 www.iown,barnstable;maxs Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section if Using ABuilder as Owner of the subject property hereby authorize:'• ham- c � `�� to act on my behalf, in all matters relative to work authorized by this building permit application for, i bg 6,+Y C-4C5"( v i7 M� (Address of Job) Signature of Owner Date O� W C- t I'& Results Page 1 of 1 Home Improvement Contractor Look Up Enter Search terms separated by spaces. Search terms can be Town/City,Name, or License number Select Search type: r AND r) OR ` 8eatch Search Results Reg. No. Applicant Street353 City State Zip Name Title Expiration East 130009 JOB Carr ageshop MA 02536 Hanson, owner 12/13/2007 Hanson Rd Falmouth John Total of 1 Records matched. Back to Home Page BBRS Privacy Statement http://db.state.ma.us/bbrs/hic.pl 4/24/2006 r - - II 0 Pl ��e (Oorrr.ueoiecueall� «`� llad�uc�u etCs 1 BOARD OF BUILDING REGULATIONS P, icense: CONSTRUCTION SUPERVISOR Ti Number: CS 067659 of, cle iirthdate: 12/20/1960 set Expires: 12/20/2007 Tr. no: 12787 :ons stricted: 00 iJOHN A HAN SON 353 CARRIAGE RD E FALMOUTH, MA 02536 Commissioner I B1� 18874 Po328 59735 �T, Massachusetts Department of Environmental Protection "o Bureau of Resource Protection - Wetlands DEP File Number: 9`A M WPA Form 5 - Order of Conditions SE3-4248 039. `0� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP and Town of Barnstable Ordinances Article XXVII A. General Information Important: ID7---245-2C1 l4.. a 0�3 m `�70} When filling From: out forms on Barnstable the computer, Conservation Commission use only the tab key to This issuance if for (check one): move your cursor- do ® Order of Conditions not use the return key. ❑ Amended Order of Conditions r� To: Applicant: Property Owner (if different from applicant): Patricia Howes Name Name 108 Bay Road Mailing Address Mailing Address Cotuit MA 02635 City/Town State Zip Code City/Town State Zip Code 1. Project Location: 108 Bay Road Cotuit Street Address City/Town 007 022 Assessors Map/Plat Number Parcel/Lot Number 2. Property recorded at the Registry of Deeds for: Barnstable 13573 18 County Book Page Certificate(if registered land) 3. Dates: February 20, 2004 March 23, 2004 y J U L z 1. 700t Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 4. Final Approved Plans and Other Documents (attach additional plan references as needed): Revised Site Plan Title May 21, 2004 — Date Title Date Title Date 5. Final Plans and Documents Signed and Stamped by: Arne Ojala, PE Name 6. Total Fee: $171.00 (from Appendix B:Wetland Fee Transmittal Form) Wpaform5.doc•rev.7/6/04 Page 1 of 7 , i } L me i aFtHE Massachusetts Department of Environmental. Protection DEP File Number: Bureau of Resource Protection - Wetlands r' WPA Fora 5 - Order of Conditions SE3 4248 STAB(.E._ RARN v nose Provided by DEP o �prEj639.DMA'1p`0 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 a and Town of Barnstable Ordinances Article XXVII B. Findings Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above-referenced Notice of Intent and based on the information provided in this application and presented at the public hearing, this Commission finds that the areas in which work is l proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: i ❑ Public Water Supply ® Land Containing Shellfish ® Prevention of Pollution ❑ Private Water Supply ® Fisheries ® Protection of Wildlife Habitat i j ❑ Groundwater Supply ® Storm Damage Prevention ® Flood Control i Furthermore, this Commission hereby finds the project, as proposed, is: (check one of the following boxes) Approved subject to: ® the following conditions which are necessary, in accordance with the performance standards set forth in the wetlands regulations, to protect those interests checked above. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any other special conditions attached to this Order. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, these conditions shall control. Denied because: I ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations to protect those interests checked above. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are i adequate to protect these interests, and a final Order of Conditions is issued. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). General Conditions (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. Wpaform5.doc•rev.7/6/04 Page 2 of 7 L• ; �oFTHE t Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands MAn WPA Form 5 - Order f Conditions SE3-4248 �RM�Aa o Co d it ons Provided by DEP i. lfo �a Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) ` 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: i a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, ' pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square feet in size bearing the words, "Massachusetts Department of Environmental Protection"[or, "MA DEP"] "File Number SE3-4248 " i 10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A) to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. a Wpaform5.doc•rev.7/6/04 Page 3 of 7 - /R i FI,W Massachusetts Department of Environmental Protection DEP File Number: "o Bureau of Resource Protection - Wetlands • aa ��a WPA Form 5 — Order of Conditions SE3-4248 �'foM;ya�� Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work.area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. see attached Findings as to municipal bylaw or ordinance Furthermore, the Barnstable hereby finds (check one that applies): Conservation Commission ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: Municipal Ordinance or Bylaw Citation t Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw, specifically: Article 27 of Town Ordinances Municipal Ordinance or Bylaw Citation The Commission orders that all work shall be performed in accordance with the said additional conditions and with the Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. Wpalorm5.doc•rev.7/6/04 Page 4 0l 7 t SE3-4248 Howes Approved Plan=May 21, 2004 Revised Site Plan by Arne Ojala, P.E. t , Special Conditions of Approval i , I. Preface i Caution: Failure to comply with all Conditions of this Order of Conditions can have serious consequences. The consequence may include issuance of a stop work order,fines, requirement to remove unpermitted t structures, requirement to re-landscape to original condition,inability to obtain a certificate of compliance, and more. r The General Conditions of this Order begin on page 2 and continue on pages 3 and 4. The Special { Conditions are contained on pages 4.1,4.2 and 4.3 if necessary.All conditions require your compliance. , i ' II. Prior to the start of work,the following conditions shall be satisfied: i 1. Within one month of receipt of this Order of Conditions and prior to the commencement of any work f approved herein,General Condition number 8(recording requirement)on page 3 shall be complied with. 2. It is the responsibility of the applicant, the owner and/or successor(s) and the project contractors to ensure that all conditions of this Order are complied with. The applicant shall provide copies of the Order of ' i 3 Conditions and approved plans(and any approved revisions thereof) to project contractors prior to the start of work. Barnstable Conservation Commission Forms A and B shall be completed and returned to the 0 Commission prior to the start of work. 3. General Condition 9 on page 3 (sign requirement)shall be complied with. i 4. The Conservation Commission shall receive written notice 1 week in advance of the start of work. l 5. The Natural Resources Dept. shall be notified at least 21 working days prior to the start of work at the site, to inspect the areas for shellfish. If deemed necessary by the Shellfish Constable,shellfish shall be removed from the work area to a suitable site and/or replanted at the locus following construction. The foregoing i measures for shellfish protection shall ensue at the expense of the applicant. 6. The applicant shall obtain a building permit for the proposed pier from the Town Building Commissioner. p.4.1 III. 'The following additional conditions shall govern the project once work begins. 7. In this approval,a mooring permit for the applicant is neither implied nor anticipated.That is the domain of the Harbormaster. S. General conditions No. 12 and No. 13 (changes in plan)on page 3 shall be complied with. 9. The Conservation Commission, its employees, and its agents shall have a right of entry to inspect for compliance with the provisions of this Order of Conditions. 10. This permit is valid for 3 years from the date of issuance, unless extended by the Commission at the request of the applicant.Caution: a future Amended Order does not change the expiration date. 11 CCA-treated or creosote-treated piling shall not be used. 12. The proposed stairs shall be constructed a minimum of one foot above grade without solid risers. 13. Deck plank spacing shall be at least one half inch on the seasonal section.The proposed grated decking on the permanent section shall be installed. It shall be rated for at least 70% light penetration,and shall not be covered over for any reason. { 14. Work shall occur during the off-season only: October 15 through May 1. i 15. No dredging is permitted herein. Deepening the berth by propeller scouring is strictly prohibited under this i Order. 16. Out of season,pier components shall not be stored on banks,marshes or dunes. i 17. Permanent piling shall be driven into place. Some initial pilot hole jetting is allowed. i The following special conditions in italics shall govern boat use at the approved pier. These conditions shall continue over time. Note: For purposes of this Order of Conditions,the term"pier" i shall refer not only to the linear pile-supported structure,but also to any of its components or i appendages such as the platform,float(s),ell,tee,ramp,outhaul piling,etc. I 18. This pier is intended for berthing by non-rrrotorized craft only. Dice to shallow depth at the platform, motor i craft use shall be limited to occasional temporary tie-up by one 11 ft. (or smaller)inflatable with no more than a 9.9 horsepower motor. Moreover, the small inflatable shall only tie up at the pier long enough to enable loading and unloading at or near high tide. The motorized inflatable shall not be used at the pier I otherwise. i i 19. For the intended non-motorized craft, boats berthed at the pier shall not ground at low tide. i 21. A small sign shall be posted at the platform stating the following: j p.4.2 i { SE3-4248 limitations.- Non-motorized craft only 11 ft. inflatable/9.9 h.p, temp. tie-up only i 22. The outer 27 ft. of the pier shall be only seasonally deployed: out by Nov. 1S1, not in before April 15` 23. Any desired pier lighting shall receive prior approval of the Conservation Commission or Department. j 24. Lead piling caps shall not be used. i 25. Work on the pier shall ensue mid-tide rising to mid-tide falling or as otherwise necessary to prevent the grounding of the work barge on the substrate. IV. After all work is completed, the following condition shall be promptly met: 26. At the completion of work,or by the expiration of this Order, the applicant shall request in writing a I Certificate of Compliance for the work herein permitted. Barnstable Conservation Commission Form C f. shall be completed and returned with the request for a Certificate of Compliance Where a project has been completed in accordance with plans stamped by a registered professional engineer,architect, landscape architect or land surveyor,a written statement by such a professional person certifying substantial f compliance with the plans and setting forth what deviation,if any,exists with the record plans approved in i the Order shall accompany the request for a Certificate of Compliance. At the time of the request for a Certificate of Compliance,an updated sequence of color photographs of the undisturbed buffer zone shall i be also submitted. i 0 p.4.3 I � t r 0_*IME rq` Massachusetts Department of Environmental Protection DEP File Number: Bureau of Resource Protection - Wetlands id �1�STABLF, WPA Form 5 - Order of Conditions SE3-4248 Provided by DEP �7A f679. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 TED MA'1 A and Town of Barnstable Ordinances Article XXVII B. Findings (cont.) of Additional conditions relating to municipal ordinance or bylaw: see attached i jThis Order is valid for three years, unless otherwise specified as a special condition pursuant to General Conditions K from the date of issuance. Date i f This Order must be signed by a majority of the Conservation Commission. The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or #I hand delivered at the same time to the appropriate Department of Environmental Protection Regional "I Office (see Appendix A) and the property owner(if different from applicant). 1( N OV.I j:t Signatures � �pEB. y` := N&UU r / ' -•<U� �44 f�— On a d Aof ' Day Month and Year .i before me personally appeared es LAN to me known to be the person des ribed in and who executed the foregoing instrument and ackno a ged tha he/she xecut a same as /her free act and deed i146fary Public My Commission Expires t � r This Order is issued to the applicant as follows: ❑• by hand delivery on ❑ by certified mail, return receipt requested, on It ti 1 2004 Date Date Wpaform5.doc•rev.7/16/04 Page 5 of 7 sf ' �_.,,..�k..�..,..a.�.•..�,..--��-��- -•�-k•:^.:.mot t Massachusetts Department of Environmental Protection DEP File Number: Ole, Bureau of Resource Protection - Wetlands • BA A$ = WPA Form 5 - Order of Conditions SE3-4248 e `0g Provided by DEP 9 j prEf639. Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 and Town of Barnstable Ordinances Article XXV11 C. Appeals The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of �.� their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. i The request must be made by certified mail or hand delivery to the Department, with the appropriate filing { fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Order. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to l the applicant, if he/she is not the appellant. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L. c. 131, § 40) and is inconsistent with the wetlands regulations (310 CMR 10.00). 3 To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. it tl D. Recording Information ? This Order of Conditions must be recorded in the Registry i 9 Y of Deeds or the Land Court for the district in �I which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land . subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court l Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on Page 7 of Form 5 shall be submitted to the Conservation Commission listed below. I Barnstable Conservation Commission i I i i i •I , I r'I eI :I Wpaform5.doc rev.7/6/04 BARNSTABLE REGISTRY OF DEEDS � • S Page 6 of 7 SI V -J E:k 20922 Ps3212 493F23274 i 04—13-2006 a 0=03 e 1 1 r, No. 3 11338 55 _ o , 1[W�jEYPFI ,. Patricia Howes 1 of — Barnstable -- in the County of — Barnstable -- and Commonwealth aforesaid, has applied to the Department of Environmental Protection for license to—construct and maintain a pier-- and has submitted plans of the same; and whereas due notice of said application, , has been given, as required by law, to the—Town Council -- of the Town of— v�` Barnstable. -- 7 v NOW, said Department, having heard all parties desiring to be heard, and having fully considered said application,hereby, subject to the approval of the Governor, authorizes and licenses the said-- Patricia Howes =-, subject to the provisions of the ninety-first chapter of the General Laws, and of all laws which are or may be in force applicable thereto,to—construct and maintain a pier in and over the waters of—Poponessett Bay -- in the -- Town -- of—Barnstable -- and in accordance with the locations shown and details indicated on the accompanying DEP License Plan No. 11338 (3 sheets). PRINTED ON RECYCLED PAPER License No. 11338 Page 2 The structures hereby authorized shall be limited to the following uses: noncommercial docking and boating access to navigable waters. This license will expire thirty (30) years from the date of license issuance. By written request of the licensee for an amendment, the Department may grant a renewal for the term of years not to exceed that authorized in the original license. i Special Wnterways C onditions- 1. In accordance with any license condition, easement, or other public right of lateral passage that exists in the area of the j subject property lying between the high and low water marks, the Licensee shall allow the public in the exercise of such rights to pass freely over all structures within such intertidal area. Accordingly, the Licensee shall place and maintain, in good repair, a public access sign on both the northerly and southerly sides of the pier authorized herein, adjacent to the mean high water shoreline. Said signs,provided by the Department,shall be posted immediately upon receipt. Nothing in this condition shall be construed as preventing the Licensee from excluding the public from portions of said structure(s) or property not intended for lateral passage. 2. In partial compensation for private use of structures on Commonwealth tidelands,which interferes with the rights of the public to use such lands, the Licensee shall allow the public to pass on foot,for any purpose and from dawn to dusk,within the area of the subject property lying seaward of the mean high water mark. This condition shall not be construed to prevent the Licensee from taking reasonable measures to discourage unlawful activities by users of the area(s)intended for public passage,including but not limited to trespassing on the adjacent private areas and deposit of refuse of any kind or nature in the water or on the shore. Further,the exercise by the public of free on-foot passage in accordance with this condition shall be considered a permitted use to which the limited liability provisions of M.G.L.c.21,s.17c apply. 3.Vessels shall be moored such that they do not become grounded at any tide. 4.No dredging(including but not limited to the effects of prop wash)is permitted herein. 5. The Licensee shall remove seasonal structures; when removed all seasonal structures shall be stored landward of the mean high water shoreline and above all resource areas. Said storage shall take place in conformance with any local, state and federal requirements. 6. All work authorized herein shall be completed within five (5) years of the date of license issuance. Said construction period may be extended by the Department for one or more one year periods without public notice, provided that the Applicant submits to the Department, thirty (30) days prior to the expiration of said construction period, a written request to extend the period and provides an adequate justification for said extension. Within sixty(60) days of the of completion of the licensed project, the Licensee shall request in writing, that the Department issue a Certificate of Compliance in accordance with 310 CMR 9.19. The request shall be accompanied by a certification by registered professional engineer licensed in the Commonwealth that the project was completed in accordance with the License. Please see page 3 for additional conditions to this license. I - Duplicate of said plan, number 11338 is on file in the office of said Department, and original of said plan accompanies this License, and is to be referred to as a part hereof. License No. 11338 Page 3 STANDARD WATERWAYS LICF.NSF CONDITIONS 1. Acceptance of this Waterways License shall constitute an agreement by the Licensee to conform with all terms and conditions stated herein. 2. This License is granted upon the express condition that any and all other applicable authorizations necessitated due to the provisions hereof shall be secured by the Licensee prier to the commencement of any activity or use authorized pursuant to this License. 3. Any change in use or any substantial structural alteration of any structure or fill authorized herein shall require the issuance by the Department of a new Waterways License in accordance with the provisions and procedures established in Chapter 91 of the Massachusetts General Laws. Any unauthorized substantial change in use or unauthorized substantial structural alteration of any structure or fill authorized herein shall render this Waterways License void. 4. This Waterways License shall be revocable by the Department for noncompliance with the terms and conditions set forth herein. This license may be revoked after the Department has given written notice of the alleged noncompliance to the Licensee and those persons who have filed a written request for such notice with the Department and afforded them a reasonable opportunity to correct said noncompliance. Failure to correct said noncompliance after the issuance of a written notice by the Department shall render this Waterways License void and the Commonwealth may proceed to remove or cause removal of any structure or fill authorized herein at the expense of the Licensee, its successors and assigns as an unauthorized and unlawful structure and/or fill. 5. The structures and/or fill authorized herein shall be maintained in good repair and in accordance with the terms and conditions stated herein and the details indicated on the accompanying license plans. 6. Nothing in this Waterways License shall be construed as authorizing encroachment in, on or over property not owned or controlled by the Licensee,except with the written consent of the owner or owners thereof. 7. This Waterways License is granted subject to all applicable Federal, State, County, and Municipal laws, ordinances and regulations including but not limited to a valid final Order of Conditions issued pursuant to the Wetlands Protection Act, G.L. Chapter 131,s.40. 8. This Waterways License is granted upon the express condition that the use of the structures and/or fill authorized hereby shall be in strict conformance with all applicable requirements and authorizations of the DEP,Division of Water Pollution Control. 9. This License authorizes structure(s)and/or fill on: -x-Private Tidelands. In accordance with the public easement that exists by law on private tidelands, the licensee shall allow the public to use and to pass freely upon the area of the subject property lying between the high and low water marks,for the purposes of fishing,fowling,navigation,and the natural derivatives thereof. xCommonwealth Tidelands. The Licensee shall not restrict the public's right to use and to pass freely, for any lawful purpose, upon lands lying seaward of the low water mark. Said lands are held in trust by the Commonwealth for the benefit of the public. _a Great Pond of the Commonwealth. The Licensee shall not restrict the public's right to use and to pass freely upon lands lying seaward of the high water mark for any lawful purpose. _ Navigable River and Streams. The Licensee shall not restrict the public's right to use and to pass freely, for any lawful purpose,in the waterway. No restriction on the exercise of these public rights shall be imposed unless otherwise expressly provided in this license. 10. Unless otherwise expressly provided by this license,the licensee shall not limit the hours of availability of any areas of the subject property designated for public passage, nor place any gates, fences, or other structures on such areas in a manner that would impede or discourage the free flow of pedestrian movement thereon. i License No. 11338 Page 4 The amount of tide-water displaced by the work hereby authorized has been ascertained by said Department, and compensation thereof has been made by the said —Patricia Howes -- by paying into the treasury of the Commonwealth — two dollars and zero cents ($2.00) -- for each cubic yard so displaced, being the amount hereby assessed by said Department. (0.0 cy=$0.00) Nothing in this License shall be so construed as to impair the legal rights of any person. This License shall be void unless the same and the accompanying plan are recorded within 60 days from the date hereof, in the Registry of Deeds for the County of Barnstable. i IN WITNESS WHEREAS, said Department of Environmental Protection have hereunto set their hands this loth day of March in the year two thousand six. Program Chief Department of Environmental Protection Commissioner W THE COMMONWEALTH OF MASSACHUSETTS This license is approved in consideration of the payment into the treasury of the Commonwealth by the said—Patricia Howes of the further sum of—four hundred twenty-six dollars and zero cents ($426.00)the amount determined by the Governor as a just and equitable charge for rights and privileges hereby granted in the land of the Commonwealth. BOSTON, Approved by the Governor. Governor • � oQ��� � QrQ'�o��0 sn 0 Q Oro AL AL t A, A, ti �,�'•�� m, fir, .e: r` �� ` ;°;' � Ak Ak j NOTE: /J �. ELF:• 4 LOCUS LIES WITHIN FE CONE Al 1)._�A..• D ,,,0• o, 1:s r r 20 MACU/RE, ✓AMES F ' �toP s, ?S 988 MEMORIAL DR: CAMBRIDGE, MA' 0213E a ` ojp�po� \\ xY KELLEY, ✓OHN A JR & R/TA A �. 38,`✓ACKSON DR ACTON° MA 01720 ':1SiY ��t�. A,SJ��b :.:�;•••1�itry: �o RALPH 0o HARLOW 4.1 y No.26097 e Sao Q R� oa.o AN Scble1��==40 0 �{w aiB59:: PLANS ACCOMPANYING PETITION OF ELEVATIONS ARE BASED ON..,M:L:1V PATRICIA HOWES. LICENSE PLAN No. _ r�5 _ TO CONSTRUCT AND MAINTAIN A 'PIE PILES IN R $ Axoved by Dj�artmerit ofQ l` ''A :; of Massah MAC usetts. POPONESSET •BAY A COTUIT,.-MA _ a:s � J 2 I _0 14; ilk PROPOSED 4"x4" SEASONAL POST (TYP. OF 12) I/li II, PROPOSED 4'W x 19'L SEASONAL PIER o. X 2.o o• r, �/ / ., PROPOSED 6'x8' SEASONAL PLATFORM PROPOSED LADDER' OF 2) x W• 1 ) �) 1 X -f.5 —1.2 • I PROPOSED 4'W x 25'L ( ) ) I x • :)FIXED PIER WTH -f• x GRATED SURFACE 17. x SD. (MHW _ END X P 2.o _r 8 -f..� IFORM) 23• � , � l l I 1 x f'6 X •I )PROPOSED 10" DIA.J I / I -0 9 •r JPILES (TYP) �. P FOR,GRATED.:DECK SURFACE USE 1" l" I PAP DEEP.=.FULTRUDED FIBERGLASS DECKING q / AS SUPPLIEp<'BY McfJICI�OLS COMPANY OR APPROWtOUAL. :I 111,/ ly OF X �pJq 4/-6 Pr� l �� RALPH 1 c HARLOW = COLE v II alr' alr, s C 411 ry / LIEN 3'II 1r LIcM—E PLAN No' i%33 ,� :iAll Apox6ved by Rat d Ens / I Scat .= 10 M ? 9 0 5 K =24.5 O'0p PROP�OSED::HAINI)R`AIL�:,&,:SI,D.ER-AIL SF� '(IF'REQUIRED<BY"COD.E) 25' FIXED PIER WITH GRATED SURFACE 19' SEASONAL PIER �SEAS?10�,�A�L ROPOSED 6"x6" POST QS / O.C. ON SLOPE. PLATFORM EXISTING SLOPE —SURFACE EL=5.0 ' M.H.W. EL.=2.4' MARSH _ '— — M.L.W. EL.=0.O' 10" PILE (Ty'). ACCESS 4"xW 9 co STAIRS (Typ) A ro 0+50 TYPICAL PIER PROFILE HOR. SCALE: 1"=10' \ LI K PLAN NO. 11.33� vER. SCALE: 1 =10' �P�`H of n�gsf ed'by Department of EnvkmmeuW o�� gcti RALP.H ate, 0' 5' 10' { HARLOW -' n � � CO LE y N o. 09 oQ • '7c3 -.� �� `e �i l V 5� ��� ��� � �� �� �c�� � w r . I CERTIFY THAT THIS FLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COMM WEALTH OF MASSACHUSETTS. ,P`ZN OF Afgs�? L H y�,� P s 0 0 urveyor Date: t 0 r Moshpee ® Rd. 09 / LOCUSO ho �ar5r , •' � �, = LOCUS MAP Edge,�`� ��.'� � �I A, 4 .�,, 'o - , NOTE: k 4L'� �2,a LOCUS LIES WITHIN FEMA if ALE� j, ZONE A11 (EL. 11) AND ZONE 1 � Z0 /{ MAGUIRE, JAMES F Top 988 MEMORIAL DR CAMBRIDGE MA 021J Qf \\ \ �0. 0-4 \ \� KELLEY, 10HN A JR & R/TA A \ 38 JACKSON DR \ ACTON, MA 01720 As Zi N_ \k ` CGLL E' 140.26037 /� ' 00 FCIS Y, �� l oo. l AN D Scale: 1"= 40 0 20 40' PLANS ACCO MPANYING PETITION OF ELEVATIONS ARE BASED ON M.L.W. PATRICIA HOWES TO CONSTRUCT AND MAINTAIN A PIER & PILES IN POPONESSET BAY COTUIT, MA DATE: MAY 25, 2004 SHEET 1 OF 3 A.M. WII SnN A,;snl' W. inR Nn ? 1 ?r,? n 1 CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COM,"-V,.,,ALTH OF MASSACHUSETTS. " t+% RALPH��y P�� P !PerfP9Lq -,4,�turveyor Date: ,PSG .•`:;A �D...�NSf r 1��t+l�.,r;�•i O N d O J N O W II II J J U W W < 3 3 V) QOfZ 0 !sue..`•j�:� ' cp(n Q Q w jly ..tip I �O i W w co W �> m J / -d p Q J w O / �O w Z W Q Of o> _ _L p v X e 111 (W/) a O O V tL II II Q of LL- w_ �,J W W d N ppW ,9l 0 Q Q x_ I— (n V) `` cif 0 � N � � Q O� O T V)V) / UQ U~ Q� 9�8 w Q� O J V) 0 Z_ V) ~ O Lo rL X W w i0 O _ J () p Z w O / V) L0 OU N Op0 II a-op O W �Z DATE: MAY 25, 2004 SHEET 3 OF 3 A.M. WILSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. N f IFY THAT THIS PLAN HAS BEEN 4 PR,, ARED IN CONFORMITY WITH THE RUI. :-'S AND REGULATIONS OF THE REGISTERS OF DE�-DS OF THE COt,,Y .- s TH OF MASSACHUSETTS. RALPH —!3 - ARLOW LE�- � Jr'� � �� 6 Pr( � � urveyo. Date: 0 X • �al,. ai,, ® X PROPOSED 4"x4" SEASONAL POST (TYP. OF 12) PROPOSED 4'W x 19'L SEASONAL PIER2.0 I / PROPOSED 6'x8' SEASONAL PLATFORM PROPOSED X LADDER (TYP. OF 2) _;s X • ;I 1 i -1.2 PROPOSED 4'W x 251 f o I -�•9 FIXED PIER WITH I -� _ X f a�r. GRATED SURFACE I w f f a, 50' (w W _ I ® ppW 01 LJL J ly END PLq 2.0 X - sORM� �3' 4 p I I I I X X I.l PROPOSED 10" DIA.J I I I -1.6 I -0.9 PILES (TYP) Ppop I ;. FOR GRATED DECK SURFACE USE 1" ;' �,. Ir f I f �TAR DEEP P.ULTRUDED FIBERGLASS DECKING I = I AS SUPPLIED BY McNICHOLS COMPANY l I f I I I OR APPROVED EQUAL. ,Ir. X — 11 all, Al, -1. RALPH - HARLOW '�4 COLE 0 o. 80 -" It Scale:1"= 10 alr. I I / 0 5 10' DATE:MAY 25, 2004 SHEET 2 OF 3 ��� % I I If I I A.M. WILSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE CO ALTH OF MASSACHUSETTS. RALPH ��4 _�°fir, '�, --� • 5�a�_� ©y P f®rmff urveyor Date: OFJ 9ECISTE11 .:�/. SZ �.. O O J N O L I U W W � 3 3 c _ J ZI- I I \ fn co < < vwia ( 4/�/ 0 s � , � ��0zo i . QIF _j Oo;: co w b, Ir p I .� s �>- FL d I ' J W p i I Q (n ap N I , QLLj 2li 0 v x N O I i �� W —;g, _ _ A _ yam-.- -•. oc �.. .o o b FL w� �r 0%-' a N h WW w w WO 9 ` 1.1. U< tl1 �a InLo In Q � Q U a } F- In In / WQ U� Q Q� O � 98 0 OQ / w ao J In z � Z N F- / O �n a w W �a 0 x .J tD In Z IW O 0 GU N 00 U a_ao O w 0£� o DATE: MAY 25, 2004 SHEET 3 OF 3 A.M. WI,LSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. r • c CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COM TH OF MASSACHUSETTS. RALPH y<J ARLOW 1 Pro Ea ter ' Urveyor Date: Q -1.7 -1,2 •/ / /alr. 1/ X 1. - 0 Z X� •�Ir, 1 a11, I- 1 PROPOSED 4"x4" SEASONAL POST (TYP. OF 12) PROPOSED 4'W x 19'L SEASONAL PIER '• I ;� / / 2.0 PROPOSED 6'x8' SEASONAL PLATFORM PROPOSED X W• ,�Ir. II LADDER (TYP. OF 2) ;p X • :I I X I -12 JJ t' Q I I I PROPOSED 4'W x 25'L J FIXED PIER WITH ' I -� 11, - :•j ' GRATED SURFACE X ` .. m° II I -1.2 X L X X - 3 END PLA IFORM) �3' , 2,0 (PROPOSED 10" DIA J I I J I -0.9 PILES (TYP) f / PITAP FOR GRATED DECK SURFACE USE 1" .l ''i'' IIIRR DEEP PULTRUDED FIBERGLASS DECKING I I I AS SUPPLIED BY McNICHOLS COMPANY OR APPROVED EQUAL. � / I X air, - -1.s -i2 POSH OF 4fq� i / /,11, all, 4,'-s ' Plrl I -1. RALPH yJ, o c HARLOW COLE 0. 8Q W •I �� : / / / 1 I / X 3.I' a11, X �•I I •�1 / /all, Scale:1 10 ,,Ir, ��r, 05 10' DATE:MAY 25, 2004 SHEET 2 OF 3 AW,— .A.M. WILSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. � i � i - - t n - CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COMM EALTH OF MASSACHUSETTS. `" OF MA�ss L H 25�0� P sp. 0%a urveyor Date: o� 9ECISTER�� O P� Se 0 Moshpee Olt Rd. O v $ .� / LOCUS coo �o of or`�` Ilk� LOCUS MAP 0 A, ee d Ilk Jul NOTE: .4. LOCUS LIES WITHIN FEMA Ak N W ,� A ZONE A11 (EL. 11) AND ZONE C. 2 STOP f 9 988 MEMORIAL EDR ?S CAMBRIDGE.. MA 02118 KELLEY, JOHN A JR & RITA A 38 ✓ACKSON DR ACTON, MA 01720 UN N_ �c of fj RALPH o HARLOW COLE N o y No.26097 �Q cis 00 t, AN y Scale: 1"= 40 P0 20 40' PLANS ACCOMPANYING PETITION O OF ELEVATIONS ARE BASED ON M.L.W. PATRICIA HOWES TO CONSTRUCT AND MAINTAIN A PIER $ PILES IN POPONES`SET BAY COTUIT, MA DATE: MAY 25, 2004 SHEET 1 OF 3 A.M:. WILSON ASSOC., INC. JOB NO. 2.1252.0 } BOOK PAGE CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE CO ALTH OF MASSACHUSETTS. .. ���P�1N Mgsfa�� • RALPH �J � � . 5�as► ©y .. . . P ®n�6P9L urveyor Date: ^FJ, �FCIST ER``0 s�ON4( Lag • O O II N O w II If U W W < 3 3 cr, = J z7- I � � n P,•� 1y ti 7 - r W(Z / ham ' ��G V1d I4 =pW O��"� 'sY CDQ8" Jw : T � Q�U o = Z, o uJ Ow -- �W{V00 - �m a I ' J W N 0o N I ; I , ^ a. J w 00 CJ LL o Q II II v fY a� o h LL (jJ w Lj C3 9 l o a s U a Q V)N c Nu _ --j � N U �� a } H V)(A / WQ U N Q P / sq 98 o \w J Z / O O n u i W gr� c\j (0o 0 G7 i X s� �+ Q Z � / N � OU a-O N o a II d-00 O J .� w 0 re, o DATE: MAY 25, 2004 SHEET 3 OF 3 A.M. WILSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. BARNSTABLE REGISTRY OF DEEDS ` - BOOK OV PAGE CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COW TH OF MASSACHUSETTS. RALPH ARL0 r^ Pro Eca urveyor Date: /ONQ( LANs ' 7 / X III. X ,twi �6 X ,Ir. / A b O X Mt, all, / alb. PROPOSED 4"x4" SEASONAL POST (TYP. OF 12) / PROPOSED 4'W x 19'L SEASONAL PIER •• P . I a X ly PROPOSED 6'x8' SEASONAL PLATFORM I Q,. PROPOSED X l�• ' I LADDER (TYP. OF 2) X � I- -1.8 -1.2 :II PROPOSED 4'W x.25-L I 4� -1 9 ' • FIXED PIER WITH _ GRATED SURFACE — m�' i• I I X - . . 1 I ,,1,• 6% I I If 50' �MH ► °� ° ' I g . 2.o X - 3 W fND PLA 7FORM) 23' + l I _ 6 X .r (PROPOSED 10" OIA J r I -0.9 PILES (TYP) .. 1. Ppo FOR GRATED DECK SURFACE USE 1" :l ali. l I �T AR DEEP PULTRUDED FIBERGLASS DECKING I AS SUPPLIED BY McNICHOLS COMPANY OR APPROVED EQUAL. I X ' / AIL, —12Lit, P J / RALPH yam, p V al, / // It I / o HARLOW COLE cn 41 JljL s�NAC LI�N X -1.O ,I I I / /���//r I 1 It LICENSE PLAN .11 AVproved by ezt Of Env" P ,1; — ali. If"=seal1 o MAR 2AL dL /r/ I �� i l i lz� / It If 0 5 1 O' l/ % I / r f h DATE:MAY 25, 2004 SHEET 2 OF 3 A.M. WILSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. RARNSTABLE REGISTRY OF DEEDS PAGE BOOK -�o - -- t CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THEW. RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COMM VEALTH OF MASSACHUSETTS. ' �H OF MAssa L H P s . Ea urve or Date: xF�s/9F�/S1[R ) O��Y l L ANa SJ � � e eMash ee G 0 Q°Q �c5 Rd. p / LOCUS coo �o A AL LOCUS MAP op AL. �,L " -A NOTE: , LOCUS LIES_WITHIN FEMA �0 O.W. E%�`` �1 ZONE Al (EL. 11) AND ZONE C. � 0 Of 9� MAGUIRE, JAMES F -Top 988 MEMORIAL DR ��= N CAMBRIDGE, MA 02138 KELLEY, JOHN A ✓R & RITA A 38 ✓ACKSON DR ACTON, MA 01720 N N_ �c• OF yc" RALPH yes o H LE C O N 9 No.2606097 oQ ' O Ecis a� �� 100.00 l ANC o y Scale:1"= 40 P0 20 40' PLANS ACCOMPANYING PETITION F ELEVATIONS S ARE BASED ON M.L.W. PATRICIA HOWES LICENSE PLAN NO. TO CONSTRUCT AND MAINTAIN A PIER & Approved by Department of Environment l Pmuxft PILES IN {'�``V of Massachusetts MAR'.2 B 2M- 6 POPONESSET BAY COTUIT, MA DATE: MAY 25, 2004 SHEET 1 OF 3 A.M: WILSON ASSOC., INC. JOB NO. 2.1252.0 BARNSTABLE REGISTRY OF DEEDS j CERTIFY THAT THIS PLAN HAS BEEN . PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COMM EALTH OF MASSACHUSETTS. Z1j OF 4f4 L H P s o4a urveyor Date: /SKE Q,�ya I LAP4'a S� 7 0P� D- V p�� rQ moshPee oil QpQ °% Rd. � y � t 09 LOCUS �o LOCUS MAP E 'A' A 0 V y ,,j ' NOTE: ' �2. LOCUS LIES WITHIN FEMA ALW, E�,� AL ` ZONE Al (EL. 11) AND ZONE ►� _5 moo,, C. 0.- , 150 _, /oc� 2 /�o�f MAGU/RE,'JAMES F 988 MEMORIAL OR ?S- CAMBRIDGE, MA 02138 10-4 �} KELLEY, JOHN A JR & RITA A J8 JA,CK50N DR ACFON, MA 01720 UN N ' OF t'c �TALPH o HARLOW COLE N y No.26097 iQ 0' fQ's Rs . �� 100.0 O (,. A" y Scale:1"= 40 0 20 40 PLANS ACCOMPANYING PE TITION OF ELEVATIONS ARE BASED ON M.L.W. PA �ICIA HO ES TO CONSTRUCT AND MAINTAIN A PIER & PILES IN POPONESSET BAY COTUIT, MA DATE: MAY 25, 2004 SHEET `1 OF 3 ;A M:. WPLSON ASSOC., INC. JOB NO. 2.1252.0 r . T i . CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COM TH OF M ASSACH U SETTS. RALPH ARLOW 1 Pro tlftt4t aUrveyor Date: AND S —1.7 —12 If 1� x • �alr. 0 x ,� I PROPOSED 4"x4" SEASONAL POST (TYP. OF 12) 1I1, AIr, PROPOSED 4'W x 19'L SEASONAL PIER I It —1.J `�• / 1 2.0 alr, PROPOSED 6'x8' SEASONAL PLATFORM PROPOSED x :LADDER (TYP. OF 2) _15 ly x x J PROPOSED 4`W x 25-L J FIXED PIER WITH I GRATED SURFACE -1.2 ` I ,• I 5p, x N HW �.fND pLA� ° °p • °o S I p p x —1.7 OR 23' -1,6 x •' PPROPOSED 10" DIA J I J I J —0.9 III, TYP(TYP) I �' J Pp PILES ' FOR GRATED DECK SURFACE USE 1 ,1 alr, I I � I DEEP PU.L•TRUDED FIBERGLASS DECKING I AS SUPPUED 8Y McNICHOLS COMPANY ,i :.:I I /I If OR APPROVED EQUAL. ly ly Il / Alf, / �_6 Plrl I OF hlgs`r�h � I / /ol,, � / 4I —1 RALPH �, p I// alr• / / / I / o- HARLOW IOI alr• ilr, COLE H All, If ' ,Ir Scale':1 10 If / I o / / 0 - _..5 ..,-. 10' 11 /I I If I I / I DATE:MAY 25, 2004 SHEET 2 OF 3 'A.M. WLSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. CERTIFY THAT THIS PLAN HAS BEEN PREPARED IN CONFORMITY WITH THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE CO , ALTH OF MASSACHUSETTS. RA. G� � P 41ECIST®r P9L FSurveyor Date: '`FJ, 9 O -,q- O J N C5 W II II w W W � 3 3 i L'l- N I � Z p0 cp Q V)d G Q " �- Qp`' cr _000 w I l.l_ 14p N m �f ¢ / o Jow p i Q : N Q O w N Q� =l- a i v •t Lu a X O . O CL ( LL, / 0 � o 0 0 aa II II �y. W(X a N h W W�i LLJ � a V) No N V 3: a a } F- (ncn En of U F.. UN. 4 rG� 9,9 0 OQ w a0 J !/7 / z F— . / LJ LA w W (O CL x0 J cD(n Z / w O u� 0 CU CL of O N (L00 O w 0fZ o DATE: MAY 25, 2004 SHEET 3 OF 3 A.M. WI.LSON ASSOC., INC. JOB NO. 2.1252.0 ELEVATIONS ARE BASED ON M.L.W. oT 8 � v n ! I lb \f p 4{ G \ r O Z 0 C IN ry to , U 0 cn A6)IC 1-11'q AeiD (A � ,\ ��-�4zo