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Home My WebLink About0155 BAY ROAD 11 � V r r ,. _ _ a . � � F.Y� r � � . „�� :: . � ,�. . _ , .�, . �� . � .,� � .�� "�' :�..�,._,_. _ .tea. _ �.,;,._ ,�.:.. - .� 51T� ubS r r2-l-�o yjE �uicL�ie 96Wu.�-s71--b &SN oiv y�{ou�E CtCW � 1-r d(,ergs s CAN Cp�AJI1�oT 06 �rr�focc-T oc T o-p 7- �)ko R. + a ' 36�� TOWN OF BARNSTABLE BUILDING PERMI APPLICATION { -9 36Z Map: Parcel `� Application # Health Division Date Issued Conservation Division t Application Fpe� 1 Do. OD Planning Dept. Permit Fee �Cl 3. (X� Date Definitive Plan Approved by Planning Board L12 Historic - OKH Preservation / Hyannis Q _ Project Street Address r6To�-r ,c Village O&V C+ [n Owner VI Snt L-14 Address d,q FU I LV4,4 f:A� I*n Rd, W1494) Telephone (19 f> 39 3-- .fermi e nest -Tb C�6�St✓�1 abhvox tl3oa SQ Ft CAbe_ +t1� 1, 3 Cq{�G4�r hila 4'klows As�lk&4 20gF, w 1�sh ��lac , e cy�-ii� �o uAd k., _Fu u hgse rno;4 a gae s Square feet: 1 st floor: existing q9 proposed 3300 2nd floor: existing 'proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type u1c�oA Lo iz5'e g 9 619 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. p Dwelling Type: Single Family UUI*' Two Family ❑ Multi-Family (# units) _ Age of Existing Structure hkW Historic House: ❑Yes Flo On Old King's Highway: ❑Yes &lo Basement Type: N(Pull ❑ Crawl ❑Walkout (3 Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) 33&0 44 Number of Baths: Full: existing new 3 Half: existing new Number of Bedrooms: existing l4 new Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: ®'Gas ❑ Oil ❑ Electric ❑ Other o Central Air: Ces ❑ No Fireplaces: Existing New Existing wool/coal stone: T'es ❑ No �g o Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barhl�d existing-0 ne-0 size_ Attached garage: ❑ existing &new size _Shed: ❑ existing ❑ new size — Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded Li rn Commercial ❑Yes XNo If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name .1�hn /+� hcok Telephone Number $ 417 G�9 .Address 9bX 26 5 License# C6 —boo 614DtN )YASk(PQQ, 06- d�L6 41 Home Improvement Contractor# 1160*33 If't Co/i 1 A d.ftUSK-Aet'Worker's Compensation # Wcl-31 344(-lq-o a3 i1 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE DATE Ir `j =. FOR OFFICIAL USE ONLY r: ti APPLICATION# is DATE ISSUED f = MAP/PARCEL NO. jY1 x A ADDRESS VILLAGE OWNER Y DATE OF INSPECTION: FOUNDATION .: 3 L ;/Y Ilk 4 FRAME 3� C y. INSULATION 101 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL • GAS: ROUGH FINAL h FINAL BUILDING :S 0 I �AS° DATE CLOSED OUT _ ' ASSOCIATION PLAN NO. t F ' r r Vie-Commonwealth-Ofmassachusetfs— .— Department of Industrial Accidents Office of Investigations. 600.Washington Street. Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lep-itbly Name (Business/Organiza#on/Individual): Address: 1:(7 City/State/Zip: EE .04 -V A4 Phone#: C'3019 — - &5Q. Are you an employer?Check the.appropriate bo . Typ;off roject(required): 1.[�I am a employer with 4. I am a general contractor and Iemployees (fulland/or part-time).* have hired the sub-contractors 6. w 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 mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp. insurance.x 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. o workers' comp, right of exemption per MGL y �' p c. 152' § 1(4),and we have rio 12.0 Roof repairs insurance required.]t . ❑ employees, [No workers' 13. Other comp. insurance required.]. *Any applicant that checks box#1 must also fill out the section below showing theirworkers'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 isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Lbov-tom t)_tV4 J Policy#or Self-ins.Lic.#AUM. WCA-?j iS q —O3Expiration Date: &/3 1 Job Site Address: Jt@ SG. 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$250.00 a day against the violator. Be advi$ed that a copy of this statement may be forwarded to the Office of Investigations of the DIA for kmirance coverage verification. I do hereby ce n t e and allies of perjury that the information provided above is true and correct Si k afore: Date: Phone#: 4: (D 5Lt 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�form��on•.�irrr�nstru�ti�o-irs . . .. Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. pursuant to fhis-statate,.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 a�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 occupairtof 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 theJ seance 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 kmmmce requirements of this chapter havebeen presented to the contracting authority." ' Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their cerfificate(s),of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required Be.advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to'sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial.Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'. i compensation policy,please call the IDepartrnent at the number listed below. Self insured companies should enter their self-insurance'license number on the appropriate line.. City or Town Officials Please be sure that the'affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in' (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit. -The Office of Investigations would lice to thank you in advance for your cooperation and should you have any questions, please do nothesitate to give us a call. Th6Department's address,telephone.and fax number.: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington.Street Boston,MA 02111 . Tel.#617-727-4900 ext 406 or 1-877-MA-SSAFE Fax#617'727-7749 evised 4-24-07 wvvw.mass.gov/dia . 11/6/2013 3:52:06 PM PST (GMT-8) FROM: 100005-TO: 15084779382 Page: 2 of 2 ACOROa DATE(MM/DOfMY) CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER PAUL PETERS AGENCY INC CONTACT NAME: PO BOX 669 PHONE A/C No): FALMOUTH, MA 02541 E-MAIL ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC ft NSURERA: Lihaay Mutual Fire InsurannA INSURED INSURER B: AGRICOLA CONSTRUCTION CO INC PO BOX 765 INSURER C: MASHPEE MA 02649 NSURERD: NSURERE: INSURER F: COVERAGES CERTIFICATE NUMBER: 18288125 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DDL SUER POLICY NUMBER MMILIDDYfYYYY MMR7DYIVE LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES EaEocccu rence $ CLAIMS-MADE 7OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY a BI enl I $ ANY AUTO BODILY INJURY Per person) $ ALL OWNED F7 SCHEDULED BODILY INJURY(Per accident) AUTOS AUTOS $ IRED AUTOS AUTOS WNED PROS adR�anl AMAGE H P $$ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC2-31S-344614-023 6/3/2013 6/3/2014 WCSTATU- AND EMPLOYERS'LIABILITY Y/N J ITORV LIMITS ANY PROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 100000 OFFICER/MEMBER EXCLUDED? FN N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEEt$ 100000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500000 DESCRIPTION Of OPERATIONS I LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE TOWN OF BARNSTABLE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 367 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. HYANNIS MA 02601 AUTHORIZED REPRESENTATIVE � 1 Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25,20111/05, The ACORD name and logo are registered marks of ACORD RT NO.: 1828 125 CLIENT CODE: 129.1453 Anne Chan L 11/6/2013 3.49.4,4 PM P ge 1 of,l rhIs certificate cancels ana supersedes �1� previously issue certificates. r A� CERTIFICATE OF LIABILITY INSURANCE ii;8�/DDNYY") 013 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 MELANIE KEEFE NAME: C.L. HOLLIS INSURANCE PHONE (781)344-8578 1FAX Nol (781)361-0126 140 MARION RDE-MAILADDRESS.MELANIE@insurehollis.com INSURE S AFFORDING COVERAGE NAIC# WAREHAM MA 02571 INSURERA.Valley Forge Insurance CO 20508 INSURED INSURERB:TWin City Fire Insurance CO 29459 JANES DIEDE DBA INSURERC: DRT HEATING & AIR CONDITIONING INSURERD: PO BOX 666 INSURERE: BUZZARDS BAY MA 02532 INSURERF: COVERAGES CERTIFICATE NUMBER-CL1391200767 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. rA TYPE OF INSURANCE rADDLSUBR POLICY NUMBER MMIDDY EFF MMLDDY� LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISE Ea occurrence $ 300,000 2 CLAIMS-MADE �OCCUR 4017719112 9/12/2013 9/12/2014 MED EXP An one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X I POLICY I I PRO LOC 1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A ALL OWNED SCHEDULED 4016640007 /4/2013 /4/2014 AUTOS X AUTOS BODILY INJURY(Peraccdent) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE $ AUTOS Per acc den $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ LlEXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ B WORKERS COMPENSATION X WC STATU- I OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? Y❑ N I A (Mandatory In NH) OSWECTK6573 9/13/2013 9/13/2014 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) CERTIFICATE HOLDER CANCELLATION agricolal@verizon.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ARGICOLA CONSTRUCTION ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 765 MASHPEE, MA 02649 AUTHORIZED REPRESENTATIVE Melanie Keefe/MFK ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. IN.Rn25 r7nlnnfil n1 Tire Arrwn nmma1 Inn^orn renicfernri mnr4e of Ainr%Dn I A CERTIFICATE OF LIABILITY INSURANCE Page F91AnJ2MwD YYYri age 1 of 1 6/2013 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 mnificate holder is an ADDITIONAL INSURED,the poi(cy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns andconditione 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 Willis of Tennessee, Inc. PHONE C/o 26 Century Blvd. N : 877-945-7378 FAX LLD N91888-467-2378 P.ONashville, a s Box 305191. Nas E-Mnu.hville, TN 37230-5191 certificate6@wiliis.com INSURER(S)AFFOROWG COVERAGE NAIL I INSURED INSURERA• Zurich American Insurance Company 16535-005 NAP Installed Building Products IN.SURFRB:C.incinnati Insurance Company 10677-001 165 Stets Rd. INSURERC 'American Guarantee r, Liability Insurance. 26247-004 P.O. .Box 1309 Segamore Beach, MA 02562-1309 INSURERD• _ INSURER E., 1 INSURER F., COVERAGES CERTIFICATE NUMBER:20471236 REV(SION.NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE USTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY RMUIREMENT,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, INSA LTR TYPE OFINSURANCE D SUB POLICY EFF POLICY EXP POUCYHUMBER LIMITS A GENERALUABIUTY GL0913952707 10/1/2013 10/1/2014. EACHOCf11RRENOE 5 2.000,"000 X COMMERCIAL GENERALLWa1LITY 0 GE TO RENTED P MI m „ere S 1 000 000 CWMS MAOE�OCCUR MEDEXP(An mepww) S 10,000 PERSONAL&AOV INJURY S 2,000,000 , GENERAL AGGREGATE S 4 000 000 GENIAGGR$LiATELIMITAPPiIESPER PRODUCTS•COMPIOPAGG S 4 000 000 POLICY PRO. LOC S $ AUTOMOB11HW8IUTY CAA5878127(AOS) 10/i/203 10/1/2014 lEMBINED SINGLE atewentl LIMIT S 1,000,000 8, X ANY AUTO CAA5878131(NX) 10/l/2013 10/1/2014 BODILYINJURY(PeiPei6onl .§: AUTOS ED ALIT SCH[SOULED BODILY INJURY(Perteddenl) S X HIREDAUTOS % ti �YVNID wtbTr 1 Petaccldem S S C .X UMBREILALIAB X OCCiJR AUC931420602 10/1/2013 10/l/2014 EACHOCCURRENCE $ 10 000,000 EXCESS UAB CLA}MS-MADE . AGGREGATE S 10 OQO 000 OED RETENTION6 Retention $0 $ ' A WORKERSCOMPENSATT0l1 WC913 9 5 2 6 07(A03) 10/1/2013 10/1/2014 X ANDEMPLOYERWLIABILITY YIN T A ANY PROPRIEIORlPARTNER/EX@CUTnJE� WC913952807 (WI) 10/1/2013 10/i/2014 EI..EACt•IACCIDENT 5 1,000;000 _. OFFICERtI�M�F,4aEAEXCLUOED7 N NIA NMI IrYcls,dgsotbey!Wer EI..OISEASE-FAENPLQYEE S 1,000,000 DESCRIPT1pNOF'OPERA71pNSha>ow E.LINSEASE-POLICY LIMIT S 1.,000,000 B Fxcgait Automobile, XS1154851 10/1 2013 16/1/2014 54,000,000. excesa of $1.000,000 underlying automobile DESCRIPTIONOFOAEAATtONS/LOCATIONS/VEHICLES(AtMthAcard101,Addit WppamwimsthodNe,itmpnspm*ymqWU•d) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE D.ESCROED.POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL 'BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEN.TAT1VE Agricola construction P.O. B*X 765 Mashpee, MA 02649 Co31:4221901 Tp1:1707342 Certe204 236 ®1988-2010 ORDCORPORATION.Allrightsreserved. ACORD 25(20t0/OS) The ACORD name and logo are registered marks of ACORD 06/06/2013 14:37 5087465669 A L ELLIS PAGE 01 I ACORD- CERTIFICATE OF LIABILITY INSURANCE rwn013 --ROMA= � TH S C"ViWATE 19 MUED AB A MATTER OF 11IF MA N TE Sugar&Smalln Ins Co HOLDER THND 30CERTIFICANFUM TE DOE NOT AIIEND, EXYEIN0 R 64 Court St ALTER THE COVERAGE AFFORDED BY THE POLICIES oELOW. Plymouth,Ma 02360 INSURERS AFFORDING COVERAGE RAIC 0 Aasdia lnwu anae campitiny 31M Nstebell Industries Z9ID walReRB MDalla Protectian 41360 5 Weady Lane ImaeR C W91RER YlymoutD M 02340 WSUReRE SAGra THE POLICIES OF INSURANCE LISTED BELOVY HAVE BEEN j3SUE0 TO THEINSURGO NAMED ABOVE FOR,THE POLICY PERIOD INDICATED NOr TTHSTAN01N0 ANV REOUIREMENT,TERUI OR CONDITION OV ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO YWICH THIS CERTIFICATE MAY BE tSSUED OR MAY PERTAIN. THE WSURANCE AFFORDED BY THE POLICIES DESCRIBED 4EIIE01 •S SUBJECT TO ALL YME TERMS, excLu910NS AND CONDITt0N9 OF SUCH POLICIES -62 MG kTE LLVITSV MA _EEN REDUCED Y O'L1D C JWA AWL TYPE OF WyIJRANCE. POLt[Y 6R OROU�GFSEC IVG POUC7�tRAIM L:Mrt9 GE•ERAL UABUT • 1.000,000 X cOIA,ERu•L cu,ERAI LUlean r ' a , 50,000 A cLausA+we aX uccua CPA M77010 S/23/2013 6123/2014 — a 10,000 •AOVHJJRy0 1.000.000 GENEIIAL AGCOCCol£ T 2.000,000 OCK^WCOAtC Limit AM14 PPR , 2,000.000 X PO Iry PRO MLOC Auta•DeILF LIA9aJYY co►+ONEo sncLE L.•n ANY ALN0 1`•atdA►LI 1 a ALIO%V4D,%ft04 26250400003 4/10/2013 4110/2014 aDu�Tlpuw• t 50,000 X SCMEOtAFDAa1+OS IP•r or:bAl HREOMOS 0OOILY INAM Ya+.awrD.Ai�ms 1PI,•mdal+t • 100,000 . _ PROPER IYDAKAG£ • 100,000 tPv emad) GAMCISLIAOkRV AUIV ONLY-EAAicr- I 1 TNT AUTO OIHEA rim • t RWr00r0.Y AGO , SXC621AJ• MLA LIA0u1TV • DCCUA CLAMS MADE AGO RESATE DEDUV IDLE t R£TFNTlOM c !► V,OIr®1f COlUw=MOhAHv &IKOVVfti L1L8111V . ANYPROPRETORATA1ZTMCRVWt%MVe F. ,1 , 100 ODO OFhC RI EA+OeA exau vl TR Ai 13625510 5/23/2613 5/23/2014 et. 100,000 o tS,0••Cn••Y�••� O�y ,� ►ICT ' ► a 500,000 OTpffl i 00CWTION OF ►HO"OaS I CI.ATIFiCATE HOLD" CANCELLATION bK"C AN/ OF THS A �{OVA 06O.00IA LU IMF CA CGLLUD QW-O" THE P.O Box 7ti5 Agricola Construction CO :XftMnM CATQ ThV=F, THE Inlut"Ie lMkA M Mi. ekDEAVOR TO wHL 10 alYc wIa1194 40TTC6 TO YHE Cd1T1/acATt:HOLDER MANED TO THE LE1T.BYr Meahpee,Ma 02649 FAILWM TO DO 110$Hft"1MPOOE NOOOUOAnoN OR UAOaRV Of ANIf KIND UPON TIE I In AG&n OR Rb1WUMTArA0.. A+/TIIOIblEO RE/AZIENTATIVE Brett 8reslln ACORO 25(2001108j o ORp cORt'ORARO T98a IN802S ro+OqA•• Poo*••I? ACC>& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYY1f7 06121/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INF RMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed, If SUBROGATION IS WAIVED,subject to the terns and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s . CONTPRODUCER A" C Qennani Insurance Agency PHONE FAX 508 28 9194 No.508 428 3068 908 Main Street EMAIL Ostarvllle,MA 02655 ADDRESS, certsftermanfinsuranCe.com INSURERS)AFFORDING COVERAGE NAIC 0 INSURER A:First Financial Ins.Company INSURED INSURER B: Vlctorino Painting,Inc INSU RER C: PO BX 521 Hyannis,MA 02601 INSURER D: Travelers of MA INSURER E: INSURER F: COVERAGES CERTIFICATE NUM ER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE ISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TE OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE IN URANCE 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. POLICY EFF POLICY EXP ILLTRR TYPE OF INSURANCE POLICY NUMBER MMID W LIMITS A GENERAL LIABILITY 807E 1158 216=12 12 EACH OCCURRENCE $ 1 00D,ODO UWAGE TO REN COMMERCIAL GENERAL LIABILITY REMISES Ea acwrrerae $ CLAIMS-MADE FO OCCUR MED EXP(Any ons peso") $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE S 2,000,000 7 GEN'L AGGREGATE LIMIT APPLIES PER: PRQDUCT3-COMP/OP AGG $ POLICY PRO LOC $ AUTOIMOSILELIABILITY (EA cci en SIN S ANY AUTO BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS NO AUTOS PROPERTY DAMAGE S HIRED AUTOS PAUTOS Per ace' S UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAtMS4AADE AGGREGATE $ DEO RETENTIONS $ D WORKERS COMPENSATION SHUB B%9175 Sr"13 5/3/2014 4YC STATU O7FI4 AND EMPLOYERS'LJABILPIY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN EL EACH ACCIDENT $ 5D0 000 OFFICER/MEMBER EXCLUDED? a N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEA S 600.000 ifyya0r desubeunder DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 600,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Ramarb Schedule,if more apnea Is required) CERTIFICATE HOLDER CANCELLATION AgnoolalQcamcsst.net SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Agricola Constnx tlon Company,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 765 ACCORDANCE WITH THE POLICY PROVISIONS. Mashpee,MA 02649 AUTHORU ED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACID name and logo are registered marks of ACORD ACORP. CERTIFICATE OF LIABILITY INSURANCE F DATE(MMIDD/YYYY) 11/07/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Karen Bernier Southeastern Insurance Agency, Inc. ac°NN E:t: 508.997.6061 ache 508.990.2731 439 State Rd. E-MAIL ADDRESS: P.O. Box 79398 PRODUCER CU'TNorth Dartmouth, MA 02747 INSURER(S)AFFORDING COVERAGE NAICA INSURED INSURERA: Arbella Protection Insurance 41360 R I Bevilacqua Construction Corp. INSURERB: P. 0. Box 628 INSURERC: Forestdale, MA 02644 INSURERD: iINSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 13 /14 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY GENERAL LIABILITY 850001814 07/15/2013 07/15/2014 EACH OCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,00( PREMISES(Ea occurrence) CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ 5,0O A PERSONAL&ADV INJURY $ 11 000,00 GENERAL AGGREGATE $ 2,000,00( GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,00( POLICY X PRO LOC $ JECT AUTOMOBILE LIABILITY 1317840000 02/21/2013 02/21/2014 COMBINED]SINGLE LIMIT $ 11000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ A X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION 908868040 04/27/2013 04/27/2014 X I ORY LIMITS X ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,00( A OFFICER/MEMBER EXCLUDED? II N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00( If as, IPTIOe under D ESCRIPTION OF OPERATIONS below NO OFFICER EXCLUSIONS E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Equipment-Inland Marine 8S0001814 07/15/2013 07/15/2014 Scheduled - See remarks. DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required( CERTIFICATE HOLDER CANCELLATION FAX: 508.477.9382 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Agricola Construction AUTHORIZED REPRESENTATIVE P 0 Box 765 Ma hpee, MA 02649 Karen Bernier ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 10 .Park Plaza - Suite 5.170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 110033 Type: Private Corporation Expiration: 1012QO14 TO 231708 AGRICOLA CONSTRUCTION CO. INC. JOHN AGRICOLA P.O. BOX 765 MASHPEE, MA 02649 - - Update Address and return card.Alark reason for change. Address ; Renewal Employment Lost Card SCA i C 201A-C&A I pp Office of Consumer Affairs A Busidess Regulation license or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation _`f�egistration: 110033 Type: 8 s 10 Park PWA-Suite 5170 �I;. xpiration: 1002014 Private Corporation. � _,.;� Boston,MA 02116 �r AGRIG�bLA CONSTRUCTION CO.,INC. JOHN AGRICOLA 19 PUNKHORN POINT RO �„�� T MASHPEE,MA 02649 lladersecretary Not valid without si lure i r I Massachusetts -Department of Public Safety Board of Bultding Regulations and Standards C'an�truc�ion Sup►nxr License: GS-040642 JOHAi P AGRICOJ A PO BOX"T65 = A'IASHPPE MA IM2649 � ' EtPlration Cccnmssiorier 03/2112015 Effective Date: November 25, 2013 D 6 ��f 6 � f tl 6 � B 6 i J F Western Surety ° B � LICENSE AND PERMIT BOND 6 ° f ° KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 71478970 G That we, Agricola Construction, Inc. G 4 ° 4 ° of Mashpee , State of Massachusetts , as Principal, y and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of n Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable _,. State of Massachusetts , as Obligee, in the penal sum of One Thousand and 00/100 DOLLARS ( $1,000-00 lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, firmly by these presents. THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been licensed Concrete/Sidewalk Contractor by the Obligee. NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply with the laws and ordinances, including all amendments thereto, pertaining to the license or permit applied for; then this obligation to be void, otherwise to remain in full force and effect until November 25th , 2014 unless renewed by Continuation Certificate. This bond•may be terminated at any time by the Surety upon sending notice in writing, by First Class U.S. Ma�l��,gte Obligee and to the Principal at the address last known to the Surety,.and at the expiration oft3+�'�ca s from the mailing of said notice, this bond shall ipso facto terminate and the Surety .;.. -�' sli 'iet'eu oii•b °]ieved from any liability for any acts or omissions of the Principal subsequent to said da 'R` a�c�e� ''oae number of years this bond shall continue in force, the number of claims made a i his-bon MEthe number of premiums which shall be payable or paid, the Surety's total limit of lxal ity. call n t be emulative from year to year or period to period, and in no event shall the Surety's total lib �"f"��oa ► xceed the amount set forth above- Any revision of the bond amount shall not be F r `,u s V.P. . I}T......... i 6 ,,•• B Dated this 12th day of November 2013 ; B B 6 AGRICOLA N TRUC INC. 6 .. PrincipalA ZZ 6 6 � 6 Principal ' G _ , ESTE N U R E T COMPANY i By J Paul T.Bruflat, Setior Vice President Form 532-12-2011 " G ° G " G � ACKNOWLEDGMENT OF SURETY STATE OF SOUTH DAKOTA ss (Corporate Officer) COUNTY OF MINNEHAHA --'On this_ 12th d_ay of November 2013 before me, the undersigned officer, personally appeared Paul T. Bruf lat who_acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY, a corporation, and that he as such,officer,.being authorized so to do, executed the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. }rs0y5h0hhbhs444yY44444gbai} . S. PETRIK s �� NOTARY PUBLIC ^ r sSEAL SOUTH DAKOTA SEAL VY s ary Public—South Dakota }h�ihyh�a4y�yyhhh44o4ee444} My Commission Expires August 11, 2016 ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF ss COUNTY OF On this day of before me personally appeared known to me to be the individual— described in and who executed the foregoing instrument and acknowledged to me that—he— executed the same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL . STATE OF r "(Corporate Officer) COUNTY OF ss On this day of before me personally appeared who acknowledged himself/herself to be the of a corporation, and that he/she as such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing the name of the corporation by himself/herself as such officer. My commission expires Notary Public (CS E-F O U o a 4.3 ZZ a (1) W co a1-0 0 v] w ^d national90d December 3rd, 2013 Attn: Joe Agricola RE: 541 Santuit Rd.Cotuit.MA This letter is to notify you that the gas service located at 541 Santuit Rd, Cotuit, MA was cut off on the property on 11/23/2013 If you have any questions,.please feel free to contact me @ 781-907-2915 Thank you, Andrew McCabe Gas Customer Fulfillment National Grid 40 Sylvan Road Waltham, MA 02451 Tel#:781-907-2915 Fax#:781-522-1057 Andrew.mccabe@nationalgdd.com llll�u�� 1- S•'f•I'11i��SIK�'' �1 '. � � � 1..- Dec, 16. 2'013 9: 35AM NSTAR—SUMSW3 No. 8422 P. 2 ONSTAR One N ElectAc&Gas Company One STAR Way.Westwood,Massachusetts 02090.9230 Et EC TRIC OAS December 16, 2013 Paul L. Smith 541 Santuit Rd, Cotuit, Ma, RE: 541 Santuit Rd, Cotuit, Ma Dear Paul L. Smith: This letter will serve as confirmation that the electric service at 541 Santuit Rd, Cotuit, Ma, has been removed as of 12/16/13. Based on this information, there is no electric power to this building and you may proceed with the demolition. If you have any questions, please contact me at (888) 633-3797 Since, ly har sine Fortes Ne Connections Office CICrXXX NewTemplale I ;SEp,IOFTj/F* %Lk-atuff �irje Putrid t* ** �TtEXE�JMXt1C[ExC * COTUIT � * FIRE DISTRICT 90op� 1926 4300 FALMOUTH ROAD, P.O. BOX 451 'eD JU0 COTUIT, MASS. 02635 PHONE 508-428-2687 FAX 508-428-7517 November 8, 2013 Mr. Stephen Clarke 41 Brewster Road Cohasset,MA 02025 Dear Mr. Clarke, The water was turned off at the street and the meter disconnected at 541 Santuit Road in Cotuit on Thursday, November 7, 2013. Please call us the morning of the demolition at 508-428-2687 so we can remove the remaining service connection materials. Sincerely, Christopher Wiseman Superintendent f ��++F Town of Barnstable Regulatory Services BMWSTA IX Richard V.Scali,Interim Director 639..1�,� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject `rI ` l property hereby authorizes V IC �CZs`Euvc`kD� to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of.the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. S' ature of Owner ignature ppli ant Print Name Print Name Date Q:FORM&OWNERPERMISSIONPOOLS 10/13 Town of Barnstable Regulatory Services �tHE Richard V.Scali,Interim Director Building Division aUW9rAXX _ Tom Perry,Building Commissioner 1MAM 260 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ; Please Print DATE: JOB LOCATION:, village number street "HOMEOWNER": work hone# name home phone# P 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 feet or larger will be required to comply with the State Building Code Note: Three-family dwellings containing 35,000 cubic 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 10941.1-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 2.1� 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.tlie last page of.this issue'is a form currently used by several towns..,Xou may care t amend and adopt such aform/certification-for use in your community. 1a(P)1LES\FORMS\building peimit forms\EXPRESS.doC .Revised 061313 - 11--08-13;09: 19AM;From: To: 15084779382 ;5088889609 # 5/ 5 2009 IECC Energy Efficiency certificate Ceding/Roof 38.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): _ Window 0.31 • 0.29 Door 0.30 0.28 Heating System• Cooling Systom: Water Hooter. Name: Dato• Comments: J vNIFFAN- . 1G1ZII: �1)��i3:jf�:�.1��;�:tial. .'i�f •�[ :• • • • =or,to- 11-08-13;09:19AM;From: To: 15084779382 ;5088889609 # 1/ 5 REScheck Software Version 4.4.3 Compliance Certificate Project Title: AGRICOLA CONST Energy Code: 2009 IECC Location: Cotult,Massachusetts Construction Type: Sin gIe Family Gloting Area Percentage: h5va Hosting Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor. SANTUIT RD COTUIT,MA Compliance;4.5%Better Than Code. Maximum UA:621 Your UA:593 Tho%8E0Or Or Wbho Than Cadn Indaa mnncll how cuoab to cAmpllance IM MOUSe 13 baiod en codo Iradear(rwos. 11 DOES NOT proNde an r,aOmalo a(onalgy use or reel wlauve too min6umcoda nomo. Gross Cavity UA Assombly •..•Area or .o Ceiling 1:Flat Ceiling or Scissor Truss 3030 38.0 0.0 Ceiling 2:Cathedral Ceiling 91 15 Well 1:Wood Frame,18"o.c. 570 38.0 0.03990 21.0 0,0 Window 1:Wood Frarne;Double Pant) 192 Door 1:Solid 561 0.310 174 Door 2:Glass 21 0.250 5 Floor 1:All-Wood JOISUTtusS:Over Unconditioned Space 36 0.300 . 11 3180 30.0 0.0 105 Compliance Statement, The proposed building design described hero 15 avnslstent with the building plans,specifications,and other ealculatlons submitted%Wlh the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.3 and to comply with the mandatory requirements listed In the REScheck Inspection Checklist, Name-Title Signature Date Project Title:AGRICOLA CONST Data filename; Untitled.rck Report date; 11108/13 Page 1 of 4 r 1108-13;09: 19AM;From: To: 15084779382 ;5088889609 # 2/ 5 REScheck Software Version 4.4.3 Inspection Checklist Energy Codo: 2002 IECC Location: Cotuit,Massachusetts Construction Type: sing19 Family Glazing Area Percentage: 1S°o Heating Dogree Days: 6137 Climate Zone: S Ceilings; ❑ Ceiling 1:Flat Colling or Scissor Truss,R-38,0 cavity Insulation Comments: ❑ Colling 2:Cathedral Ceiling,R-38.0 cavity insulation Comments: Above-Grade Walls: Cl Wall 1:Wood Frame,16"o.c.,R-21.0 cavity,Insulation Comments: Windows: ❑ Window 1:Wood Frame:Double Pane,U-factor:0.310 For windows without labeled U-factors,describe featuros: #Panes:Frame Type Thermal Break? Yes No Comments: Doors: O Door 1:Solid,Udaclor:0.250 Comments: t7 Door 2:Glass,U-factor:0.300 Comments: Floors: ❑ Floor 1:All-Wood JOISVTruss:Over Unconditioned Space,R-30.0 cavity Insulation Comments: Floor Insulation is installed in permanent contact with the underside of the subnoor docking. Alt Leakage: ❑ Joints(Including rim joist junctions),attic access openings,penetratlone,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk gasketed,weathervtripped or olherwise sealed with an Olt barrier material,Suitable Alm or solid materiat. ❑ Air barrier and sealing exists on common wags between dwelling units,-on exterior walls behind tubs/showers.and in openings between window/doorjambs and(raming. G Recessed lights In the building thermal envelope are 1)type IC rated and ASTM E283.labeled and 2)sealed with a gasket or caulk between the housing and the Interior wall or colling covering. p Access doors separating conditioned from unconditioned space are weather-3tnppad and Insulated(without insulation compression or damage)to at least the IOveI of insulation on the surrounding surfaces.Where loose fill Insulation exists,a baffle or retainer is Installed t0 maintain Insulation application. CI Wood-buming fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are Installed on all outdoor air Intakes and exhausts. Air Sealing and Insulation: [I Building envelope air tightness and Insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have boon satisfied: Project Title:AGRICOLA CONS? Data filename:Untieod.rck Repon date: 11/08/13 Page 2 of 4 1 MEN 11-08-13';09: 19AM;From: To: 15084779382 ;5088889609 # 3/ 5 (a)Air barriers and th6rinal barrier;Installed on outside of air-permeable insulation and breaks orjaints in the air barrier are filled or repaired. (b)Ceiiing/attic:Air barrier In any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation Is Installed In substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of Insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut 10 fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: O Sunrooms that are thermally Isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75,New windows and doors separating the sunroom from conditioned Space meet the bullding thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Materials and equipment are identified so that compliance can be determined. O Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have boon provided. O Insulation R-values and glazing U-factors are clearly marked on the building plans Or specificallons, Duct Insulation: • Supply ducts in attics are Insulated to a minimum of R-e.All other ducts In uncondltloned Spaces Or Outside the building envelope are insulated to at least R-6. Duct Construction and Testing: EJ Building framing cavities are not used as supply ducts. O All joints and seams of air ducts,air handlers.filter boxes,and building cavities used as return ducts are substantially airtight by means Of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastlp5,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at toast 1 1/2 Inches and are fastened with a minimum of three actually spaced sheet-metal screws. Excopffons: Joint and seams covered with spray polyurethane foam, Where a partially inaccessible duct conneglion exists,mechanical fasteners can be equally 1108COd en the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and rocking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g,(500 pa). O Duct tightng;5 test has boon performed and masts one of the following lost criteria: (1)Postconstructlon leakage to outdoors lost:Less than or equal to 254.4 cfm(8 dm per 100 ft2 of conditioned floor area). (2)POstconstruction total leakage test(Including alp handler enclosure);less than or equal to 381.6 cfm(12 ofm per 100 V of conditioned floor area). (3)Rough-in total leakage test with air handler installed:Loss than or equal to 190.8 cfm(6 dm par 100 f12 of conditioned floor area). (4)Rough-in total leakage test without air handler installed:Lass than or equal to 127.2 cfm(4 ctm per 100 ft2 of conditioned floor area). Temperature Controls: U Where the primary hosting system Is a fprCed all-furnace,at least one programmable thef MOStat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the coding cycle. ❑ Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can moot the heating load. Heating and Cooling Equipment Sizing: p Additional requirements for equipment sizing are Included by an inspection for Complianee with the International Residential Code. O For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IQCC Commercial Building Mechanical and/or Service Water Hosting(Sections 503 and SO4). Circulating Service Not Water Systems: O Circulating service hot water pipes are insulated to R-2. 0 Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the systom is not in use. Project Title:AGRICOLA CONST Data filename;Untitled,rck Report data: 11/08/13 Page 3 of 4 11-08-13;09: 19AM;From: To: 15084779382 ;5088889609 # 4/ 5 Heating and Cooling Piping Insulation: O HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: [i ` Heated swimming pools have an on/off heater switch. p pool heaters operating on natural gas or LPG have an electronic pilot light. (:) Timer switches on pool hearers and pumps are present. Exceptions: Where public health standards require continuous pump operation, Where pumps operate within solar-and/or waste-heat-recovery systems. O Heated swimming pools have a cover on or at the water surface.For pool$heated over 90 degree3 F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are rat required when 60%of the he@ting Onergy is from sito-recovered energy or selorenorgy source. Lighting Requirements: . O A minimum of 50 percent of the lamps in permanently installed lighting fixture$ran be categorized as ona of the fallowing: (a)ComPoct fluorescent (b)T-8 or smaller diameter linear fluorescent (C)46 lumens per wall for lamp wattage cc 15 (d)50 lumens per wan(Or lamp wattage>15 and<=40 (0)60 lumens par watt for lamp wattage>40 Other Requirements: ' O Snow-and Ice-melting systems with energy supplied from the service to a building shall Include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation Is falling.and c)the outdoor temperature Is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement V). Certificate: A permanent certl0cate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;typo and efficiency of space-conditioning and water healing equipment.The eo6ficate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title:AGRICOLA CONST Data filename;Unlitled.rck Report date: 11/08/13 Page 4 of 4 Bk 27286 P0333 0`21761 04-12-2013 a 12247P MASSACHUSETTS STATE EXCISE TAX BARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-12-2013 8.12:47an Ct14: 853 Doc:: 21761 Fee: $940.50 Cons: $275.000.00 QUITCLAIM DEED B A ARNSTABLE COUNTY REGISTRY OF DEEDS Date: 04-12-2013 8 12:47am Ct14: 853 Doct: 21761 Fee: $742.50 Cons: $275r.000.00 L MARTHA LORANTOS,being unmarried,of 162 North Main Street, Sunderland,MA 01375 For-eonsideration paid-of TWO--HUNDRED SEVENTY=FIVE THOUSAND AND NO/100 ($275,000.00)DOLLARS, grant to STEPHEN J. CLARKE'and NANCY J. CLARKE, husband and wife as tenants by the entirety,of 41 Brewster Road, Cohasset, MA 02025, an undivided one half interest, together with PAUL L. SMITH and DIANNE A. SMITH, husband and wife as tenants by the entirety, of 24 Bullivant Farm Road, Marion,MA 02738,the remaining undivided one-half interest as tenants in' common. With QUITCLAIM COVENANTS The land with the buildings and improvements thereon situated at 541 Santuit Road, Cotuit, Barnstable County,Massachusetts,and described as follows: Containing 48,968 square feet of land more or less, and shown as LOT C and LOT D on a plan of land entitled "Plan of Land in Cotuit, Mass., Scale: 1" = 40', August 1972, Herbert H. . Johnson, Engr, 77 Bradwood Street, Roslindale, Mass.", which said plan is recorded in the Barnstable County Registry of Deeds in Plan Book 260, Page 70. Grantor hereby certifies under the pains and penalties of perjury that the premises herein . conveyed are not homestead property. For title reference,see.Deed dated June 24,2002 and4ecorded with the Barnstable County Registry of Deeds in Book 15321,Page,.43. PROPERTY ADDRESS: 541 SANTUIT ROAD,COTUIT,MA 02635 �1 owNF.rt. Foe POMP pez TP a- .n w Executed as a sealed instrument this - day of. M 2v4.,2013. � S MARTHA LORANI'OS COMMONWEALTH OF MASSACHUSETTS County of Virp;-YX I rt. On this day of 1-10.e.c-h ,2013,before me,the undersigned-notary public,personally appeared MARTHA LORANTOS,proved to me through satisfactory evidence of identification, which was Per-r-orc A 4<nou l to be the person whose name is signed on. the preceding or attached document; and acknowledge tome that she signed it voluntarily and for its stated purpose. Notary Public: My Commission Expires: MY OMMSSM EXPIRES NOYMBER 29.2013 v -'NO�Pf BARNSTABLE REGISTRY OF DEEDS This 6 corlftn Ua bM of the bond for- permit -f .B 20 13321 Z J ° i c B ° c ° ° c c r ° c c Western Surety Company c ° c c ° c ' 6 ° F ' CONTINUATION CERTIFICATE F ° 6 ➢ J 4 G ° 4 Western Surety Company hereby continues in force Bond No. 71478970 briefly described as CONCRETE/SIDEWALK CONTRACTOR TOWN OF BARNSTABLE for AGRICOLA CONSTRUCTION, INC. as Principal, in the sum of$ ONE THOUSAND AND NO/100 Dollars, for the term beginning November 25 , 2014 , and ending November 25 , 2015 , subject to all the covenants and conditions of the original bond referred to above. This continuation is issued upon the express condition that the liability of Western Surety Company under said Bond and this and all continuations thereof shall not be cumulative and shall in no event exceed the total sum above written. Dated this 22 day of October 2014 7.e,>::, WESTERN URETY COMPANY P11qi,�oap G 0 V ice'•¢'' 1fi'Q '4 'K4V' ',d By Paul T. Br at, Vice President a Ao yy c c e r e c c ° G �Oi W! 6Z 130 b10Z THIS "Continuation Certificate"MUST BE FILED WITH TH BOVE BOND. ; "JI-V s-INM A INMOI c Form 90-A-8-2012 ° r• Western Surety POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That WESTERN SURETY COMPANY,a corporation organized and existing under the laws of the State of South Dakota, and authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin,Wyoming, and the United States of America,does hereby make,constitute and appoint Paul T. Bruflat of Sioux Falls State of South Dakota , its regularly elected Vice President as Attorney-in-Fact,with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on its behalf as Surefy and as its act and deed,the following bond: One CONCRETE/SIDEWALK CONTRACTOR TOWN OF BARNSTABLE bond with bond number 71478970 for AGRICOLA CONSTRUCTION, INC. as Principal in the penalty amount not to exceed: $1,000.00 Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company duly adopted and now in force,to-wit: Section 7. All bonds,policies,undertakings,Powers of-Attorney,or other obligations of the corporation shall be executed in the corporate name of the Company by the President,Secretary,any Assistant Secret ary,,Treasurer,or any Vice President,or by such other officers as the Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint Attorneys-in-Fact or agents who shall have authority to issue bonds,policies, or undertakings in the name of the Company.The corporate seal is not necessary for the validity of any bonds, policies, undertakings, Powers of Attorney or other obligations of the corporation. The signature of any such officer and the corporate seal may be printed by facsimile. In Witness Whereof, the said-WESTERN SURETY COMPANY has caused these presents to be executed by its Vice President with the corporate seal affixed this 22 day of October 2014 • ATTEST W N SUR COMPANY &Zajri� By ET L. Nelson,Assistant Secretary Pau Bruflat,Vice President STATE OF SOUTH DAKOTAss COUNTY OF MINNEHAHA �re6tYa;AieS4=}aa On this 22 day of October 2014 ,before me,a Notary Public,personally appeared Paul T. Bruflat and L. Nelson who,being by me duly sworn, acknowledged that they signed the above Power.of Attorney as Vice President and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument 'to be the voluntary,act and deed of said Corporation. tyyhhyhyyyhyy�,yhyhhyhh5hh+ s S. PETRIK s sNOTARY SEAL PUBLIC SEEAL SOUTH DAKOTANCrTWS Notary Public +hhhy�ihyyy4yhy�i4ihhhhhhyh + My Commission Expires August 11,2016 Form F1975-1-2012 ��« TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �� Parcel 03D Application # d l `i 0 _S-QQD, Health Division Date Issued 912q Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis. Project Street Address 15 Village C o-}t> I :— . Owner - k C 4Address p �5 0� ) ails Tele hone Permit Request _�� i(o 'x 3, ' t✓1OL fln ncA G Q'f% I 3 C. +0 ee(J w/�n o c� y ► r�Q Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new CD Zoning District Flood Plain Groundwater Overlay Project Valuatio G Construction Type c� Lot Size !J r Grandfathered: ❑Yes ❑ No If yes, attach su i porting &5cuni tatiori. .T_ .4 Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) == Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's[Iighwayi:.�YEW ❑:N'o r_ rru 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 ;d new size 1�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 �r ► can/\ In f� Telephone Number 08) Address IDq L-L��d�/� ` �� License# e ,2 c9 a. Home Improvement Contractor# A O Email 8Q'ne_dLJP 0_Vl66. Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO -0c.Yl SIGNATUR DATE / FOR OFFICIAL USE ONLY APPLICATION# 'DATE,ISSUED `• MAP.'/PARCEL NO. A E T , ADDRESS VILLAGE I 4 X r: OWNER DATE OF INSPECTION: ; c FOUNDATION . i FRAME P66L D711 INSULATION FIREPLACE ' k ELECTRICAL: ROUGH FINAL y . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' 'i FINAL BUILDING; DATEwCLOSED OUT.7 A'%§QCIATION PLAN NO. Town of Barnstable � E r Regulatory Services o Richard V. Scali, Director ,,,MST,,BLE Building Division BARNSTABLE MASS ouuns�•c[m[mnue•m'urt•rcxnis �cb i639. ,08 Thomas Perry, CBO 639.20 .20sn Building Commissioner �Dg 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 September 2, 2014 Brian Doherty 109 Edson St. Brockton, M.A. 02302 RE: 155 Bay Rd., Cotuit, Map: 007 Parcel: 030 Dear Mr. Doherty, This letter is in response to permit application number 201405222 submitted in install an inground pool at the above referenced address. Unfortunately, the permit application can not be approved at this time due to an.outstanding building permit for a pool installation at 193-Parker Rd. (permit application number 201302703). Permit application number 201302703 must be successfully completed. To date, this office has no record of a final inspection. Please contact this office and arrange for the required inspections. Thank you for your anticipated cooperation in this matter and be advised that no further building permits can be issued until this matter is resolved. Respectfully, �� L. Lauzon Local Inspector j ef-rey.lauzon@town.bamstable.ma.us (508) 8624034 s � ine c ommonweartnn ofmassacnuseus Deparbnent of Indust rial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass govhdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(BusinessJOrganimtion/lndividna : D by, ewn ` pa Address: I D . City/State/Zip: fb Phone# 0.8- 0 02 Are you an employer?Check the appropriate bow Type of project(required): 1.Rd I am a employer with_� 4. ❑ I am a general contractor and I employees(fall 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�tors have 8. ❑Demolition working for me'many capacity, employees and have workers' 9. ❑Building addition [No workers'comp, insurance comp.insurance J required..] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised thew 3. I am a homeowner doing all work ' 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.�'Other � �� comp.insurance required.] *Any.applicant that checks box#1 mast 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 hue outside contractors must submit a new affidavit indicating such. #Contxadnrs that check this box must attached an additional sheet showing the name of the sub-contrzctors andstd-z whether or not these 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 fF.e policy and job site information. Insurance Company Name: ef:,- O Policy#or Self-ins.Lic.#: VJ.tA/C_3 n r7 7 O -1.7- Expiration Date: / Ll S T Job Site Address: City/State/Zip: 2!!U� Attach a copy of the workers' compendtion policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 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 thus statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cerd. under the and pen f perj that the' ormadon provided abov it true and correct- S' atUre' ? Q Date: �/ Phone#: ��7 6 Official use only. Do not write in this area,to be completed by city or town offir_iaL City or Town: PermiULicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electr'i6al 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 statvfe,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 ion 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 insui:aace requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)nane(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurau ce license number on the appropriate lime.' City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submif multiple pennit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filldd out each year.Where a home owner or citizen is obtaining a license or pennit not related to any business or commercial venture '(i e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Depar menf s address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of l avestigations 600 Wasbington Street. ' B oston=MA 02111 W.#617-727-4900 ext 406 or 1-V7-MASSAFB Revised 424-07. Fax#f 17-727-7749. www mass.go-ddia ACORDT CERTIFICATE OF LIABILITY INSUFUNCEDATE(MM/DD/YYYY))06/12/2014 ODUCER 508.238.0181 FAX S08.238.1224 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ackwel l-Boone Ins. Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE .9 Belmont St. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR '.0. Box 207 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ,o. Easton, MA 0237S INSURERS AFFORDING COVERAGE NAIC# LURED Doherty Pool and Spa INSURERA Nautilus Insurance Co INSURER B: Wesco Insurance Co 109 Edson St INSURERC: Brockton, MA 02302 INSURERD: INSURER E: )VERAGES rHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING kNY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR iAAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH 'OLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 2ADD' POLICY EFFECTIVE POLICY EXPIRATION t NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDNDATE MM/DD/YYYY LIMITS GENERAL LIABILITY NN300463 11/18/2013 11/18/2014 EACH OCCURRENCE S 11 000,000 COMMERCIAL GENERAL LIABILITY DAMA O NTEcu PREMISES Ea ocrrence $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG 3 POLICY 17 PRO- JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ (Ea accident) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) FARED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT' $ ANY AUTO _ •'•" OTHER THAN EA ACC g AUTO ONLY: AGG Y EXCESS lUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE S . I $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION WWC3077042 O1 AND EMPLOYERS'LIABILITY /04/2014 01/04/2015 TORY LIMITS JOT ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E OFFICER/MEMBER EXCLUDED? El L EACH ACCIDENT S 500 OOO (Mandatory in NH) E.L.DISEASE-EA EMPLOYE S II yes,describe under 0,0O SPECIAL PROVISIONS belmv E.L.DISEASE-POLICY LIMIT $ SOO OOO OTHER -RIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS 2TIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Building Dept REPRESENTATIVES. AUTHORIZED REPRESENTATIVE I � Anne Pacheco )RD 26(2009/01) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD rati Town of Barnstable Regulatory Services KARMASS. Richard V.Scali,Director 9. i63 'FD 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder C Ia.,C—�� , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. ( dres of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of 0Aer Signature of Applicant Print Name Print Name Date Q:FORM.S:O WNERPERMISSIONPOOLS Town of Barnstable Regulatory Services ��oF Taiyy Richard V.Scali,Director Building Division BARNSTABLK Tom Perry,Building Commissioner 9Q� 161�9- �� 200 Main Street, Hyannis,MA 02601 QED a 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 Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities, many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On 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 j your community. i Q:\WPFILES\FORMS\building permit fonns\ENPRESS.doc Revised 061313 Datev a 7 / 'Buyer) _c "T /+'f✓�f-L the undersigned Owner of the real property it/ S ,e v AW• (,aTuJ /10, Tel.SMI-4(n8 - '�633 agrees to )urchase and Doherty Pool and Spa, hereinafter described as the Contractor, agrees to sell and install, a Dne gunite swimming pool, size, shape and with the equipment as listed below: 'ool Size ,[�x,jam Depth f to S Perimeter�Square feet _10 Shape 1. Engineered structural plans.and working drawings 2. Design layout of pool and yard (elevation to be determined and approved by Owner on excavation day) 3. Construction permits as required by city"or town codes. t. Normal excavation of pool and removal of soil. Extra excavation 165.00 per hour:(crushed stone additional) i. Steel reinforcement grid, put together at engineered specifications throughout pool 3. Gunite-concrete applied to exact thickness and shape (owner to water cure gunite for 710 day ) 7. Decorative 6"frost-proof tile, inlaid at the waterline aro y nd entire pool. Type_r6 3. Interior finish, two coats of waterproof plaster. Color C Formula S100w (fi ling of pool by Owner) 3. Pebble Tec pool finish. Color / 10. Non-corrosive plumbing pipe throughout-ool 11. Pressurized water return inlets Number S 12. Main drain in deep-end of pool with anti-vortex plat - 13. Hydrostatic pressure relief valve in-deep end of pool 14. Skimmer with leaf basket in chamber Number. 15. Complete circulation system connection to filter systerR. 16. Quality swimming pool filtration'system TypeS7A-K/T1 jW60 iEe" _S'" 17. Pump motor-5--M gLne size /zSff/0 Pump type 18. Plumbing set-up and connection to filtration system up to 25 ft from pool... any additional piping $25.00 per ft. 19. I.I.L. Listed 50OW underwater light(electric by owner unless specified) 20. Diving Board Fiberglass Other Size Base 21. Slide Size . 22. Ladder Number Type 23. Safety Railing Type 24. Heater TypeSjngf � BTU l 't7,600 4 P (Gaslines and venting by Gas Company) 25- Pool cleaner and circulation Type �•- 26. Pool maintenance tools:telescoping pole, 188' ylon brush, I f kimming net and water test kit / 27. Steps in shallow end��SwimOut Love seat bench off steps 28. Attached Spa. Size Sh a Jets ?9. Separate Spa Size ' - Shape Y - Jets 30. Spa Filter Pump motor 31. Water Ionization Typek 32. Electrical to motors, timer switch panel and electrical bonding of steel reinforcement(additional)$ a B 33. Public Liability and workmen's compensation insurance /�O 34. Property damage negligence insurance during construction / I 35. Lifetime Structural Guarantee / kdditional Specifications: > !4d G c a des/ o r Caw a C_ SHE LIFETIME GUARANTEE, GENERAL TERMS AND CONDITIONS 3N THE REVERSE SIDE ARE PART OF THIS AGREEMENT PAYMENT SCHEDULE 10% Upon signing this agreement . $ 3uyer agrees top th ntractor the sum of $ 5 C0 40% Day of Excavation $ )ate Accepted Down Payment $ 3Y/S' 40% Day of Gunite $ 136 Balance $� 10% Day of Start up $ 3� �S �l _ Cam, Joint Owner Sales Representative AVE 'OU MAY.CANCEL THIS AGREEMENT IF.IT HAS BEEN CONSUMMATED BY A PARTY THERETO AT A PLA TH N ADDRESS )F-THE SELLER,WHICH MAYBE HIS MAIN OFFICE OR BRANCH,THEREOF,PROVIDED YOU NOTIFY THE SELLER IN WRITING AT HIS RAIN OFFICE OR BRANCH BY ORDINARY MAIL POSTED,BY TELEGRAMS SENT OR BY DELIVERY,NO LATER THAN MIDNIGHT OF THE 'HIRD BUSINESS DAY FOLLOWING THE SIGN"YG OF THIS AGREEMENT. DH� S79'46' E ZONE:_ aS: �I.'s• RHD B£NCNt MARK 280.8 pHCB HB d1 ✓ .•c1. ,;OIHC.BND. FHD .FND. ABUMR Ana(mh)�,tao s •.f':- ( "ii �: Y EL J4.00 wr \ `` / --- `E`er A°"�n'0mr(T"��150• 1 ------ PROP y---------- -----\ ----C I nan io• `;. w 1 SEPnC 0 \ I OVERLAYDI3TRICr: ;•r TANK \ .� `o }n� AP-ApNh.P UM ohwat � Area 48,'96UU S.F I V ataa,r°M tMM n,...I O _ \ V 1 FLOOD ZONE: t .'1 ✓ . V i p LOGITION MAP.. $: ,ur s,ns (rtaaot9 POSED 1 I» ss AEB80Rs REF.: 1 N _ Ox. \ . ' G REFERENCE$: ran Toi rya 6t— I I pa&N 100 ,wnn (� t• y, I rersArt>r..Y.,r+IYtN.rlrrNnnu,r � uu{{ y4sg�( r4.—b 0YY(I�ML1aq • Io 7+6+ \ BWtD1NC �j ia.oN.rYY.�+r..yn .r.ran.. S / t l V �,f7BAGf5 avr.,.i.. .ir. ,a< Yro 11-1 - - . 0 DHCB'FHD AerrMrw ro.s.+•.u.rrrarr• a.NrrwtY,Yr ar•rr,arrA�s� O / (` �� rrfNOYIm•fm.INOAY„a a A,�•Rf.tONr Y4w1 rY fYNprr �DH AAcvrra.m.ruat..sY�r�.o�� :l>.~�'�•. !'P r 'i10•,8'' ..aw�w w�u ra.�O'.a.r�arrr,r°ra�.r Fnr `y • wti►trr.roeaor..ror,.Ntiare ABU7TEHH5 I• ,.trr gN.rrrrN►Arer�rr„r m,NY ' • �p �'� y SHED s wou,m.rm,rrrrrnw�rrNY •ar.r.rw..,�v rAY dr.r,x,r.,e.,m. p9O -•r ,ati rr.rorNwwrr,rmuwr WE Pa Balms IRON s 125.89 ; pervr,ir�r.wrrriw°i^a.ir'.od+�w PIPE wrrn.ur.r,Yrs,yNa+.o.rYe. 1 1. N Y�.gI.N•.YN•INa I ,�,. 150.00 •. � l� � � rr`r.r•w,r ocutta, WOW HC N7o'4B'00'W pHCB I I .row RID CROSS SEC77ON OF CHAMBER J NOT TO Sr" MC TIM:14,7711 Nrwm.novaaAn.raururo®r W • rsnrraaNam, > .mw>nmoawm.rau.,minuonua nLia.N I Q ' Q 71181'fl018•t u 01 ,u ua O I. ._.................°st::.::'-r„q:: ............_.....mA:;:..........:.A; . . .....,...........::..................._. RM ,SLr .................... •1 ,c o,m rrwo r. ..,n r��m'a'r.Nr aa.No�m�rr.rR aar,o�0r�r.N. E I I DEALOPEDPROFILEOFBYSTEM nnrroaeuB '""" UMPA= SANTUIT ROAD i1nF: Site Plan PREPARED BY; PREPARED FOP: NO7m ' Proposed Improvements Sullivan Engineering,Inc. 'm) ..b F03 � B g STiE1/E CLARKE I"�by amr.U d—r t m.tarb an a Wtnr,W/ARin7 r 'J PO Box 659 aaa,o/AVRna At 1 SJ 34 7 RP Ostervflle, MA 02855 41 Brewster Rd 2)tlu(aapany ON r anat an.Yor 541 d (508)428-J344(508)428-Pen ro, CohOsset, MA 02025 "�r1O1,v ,°° :. " °afa01' —+ 0 Barnstable rcOtultm Mass. -,t C,R ,W ,R 2 ? 'b 7 L "t "" DA IEt SCALE: R°N°Y: PS C .:VW ' July 26,2013 1"=20' Pro d: 5]007-quka Orodny l I z Zlr/ 2014 AJUG 6L Magna Latch Top Pull Safety Gate Latch MagnaLatch Safety Gate Latches are the original »•_; : :F..Y- ��, and still the best magnetic gate latches on the market. Designed specifically for gates around swimming pools, gardens and child care centres, they use patented magnetic technology and-super-strong ^? ( I 'Permanent Magnets'to eliminate the possibility of IVA mechanical jamming while closing. —J - r The Top Pull Model is designed especially for swimming pool gates but can be installed on any gate where child safety is important. It is designed to extend above the height of the fence to keep the release knob out of reach of children, and is also key-lockable for added safety. Tested to over 400,000 cycles, the Top Pull Model has been independently verified to meet stringent 'z international safety codes, and has also received r several prestigious design awards. It incorporates patented 'Lost Motion Technology' which stops the latch from disengagingdue to P shaking or moving the gate. Installation is simple, with vertical and horizontal adjustment of up to 1 7/16" (37mm) allowing for quick and easy alignment on the gate as well as fine-tuning at any time to accommodate for gate sagging or movement over time. Always confirm local fence/barrier regulations rim before installation. 1 urw�e MUM rX eauul A11r S1� �R � G ,UI'l !4WlfflhG M4 Y Y ll-1/s-rDWSAN11 61RjF[MEW 3/r_17/18.1134?mW I� srm @Gate Control Gear Limited 17 Rochester Trade Park Maldstone Road Rochester ME1 3QY United Kingdom Tel: +44(0)1634 819651 Email:solutions@gatecontrolgear.com 'Web:www.gatecontrolgear.com E&OE Page 1 April 2012 J ' 2014 AbT l ! AN tic. 6' +/- 1' ® ,: 3 r;A YP: Jc RAILS ' A NOTE: STANDARD FOR 4', 5' & 6' HIGH (3'HIGH IS A •2 RAIL SYSTEM) PICKETS B HT NOTE: THIS RAIL ADDED FOR 6' HEIGHT ONLY A . C GRADE I I I I • I I' I i D CONCRETE• FOOTING _ I iL-- (PER LOCAL CODE) - UAF '200 FLAT TOP SPECIFICATIONS DIMENSIONS RESIDENTIAL HT A B C D E POSTS 2"x2"x.060 WALL 3' 6" 24 1/2" 5 1/2" PER LOCAL CODE 2"x2"x.080 WALL 3 1/2' 6" 30 1/2" 5 1/2" PER LOCAL CODE 2"x2"x.125 WALL 4' 6" 36 1/2" 5 1/2" PER LOCAL CODE 2 1/2"x2 1/2"x.100 WALL 6" 48 1/2" 5 1/2" PER LOCAL CODE HORIZONTAL RAILS 1 1/8" x 1" 6' 6" 60 1/2" 5 1/2" PER LOCAL CODE SIDE WALLS .082" TOP WALLS .062" PICKETS 5/8"x5/8"x.050 WALL PICKET SPACING 3 13/16" AVAILABLE HEIGHTS 3, 3 1/2, 4, 5 & 6 FT. (921e cpomvr�zoazurea o�Gaaac�uaeCld _=--.Office of Consumer Affairs&Business Regulation I License or registration valid for individul use only I, ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: -- egistration: 134407 Type: Office of Consumer Affairs and Business Regulation xplration 11/14/2015 DBA ? 10 Park Plaza-Suite 5170 5 'DOHERTY POOL+ Boston,MA 02116 " SPA.:::,.,;�+_�= ,;' BRIAN DOHERTY 109 EDSON ST. BROCKTON,MA 02302 Undersecretary of valid without signature i Air Leakage Property Organization HERS Agricola Construction Co.lnc. Home Energy Raters LLC. Projected Rating 155 Bay Rd 888-503-2233 5/22/2015 Cotuit,MA 02635 Bruce Torrey Rater ID:7773906 Weather:Barnstable,MA Builder Bay Rd 155 Agricola Construction Co.lnc. Bay Rd 155 C.O..btg Whole House Infiltration Blower Door Test Heating Cooling Natural ACH 0.41 0.31 ACH @ 50 Pascals 6.89 6.89 CFM @ 25 Pascals 2841 2841 CFM @ 50 Pascals 4458 4458 Eff. Leakage Area (sq.in) 244.7 244.7 Specific Leakage Area 0.00042 0.00042 ELA/100 sf shell(sq.in) 3.89 3.89 Duct Leakage Leakage to Outside Units 1st duct 2nd duct CFM @ 25 Pascals, 131 111 To Comply with 2009 IECC CFM25 / CFMfan 0.0605 •0.0512 Energy Code CFM25 / CFA 0.0423 0.1190 ACH @ 50 Pascals 5 7 CFM per Std 152 N/A N/A CFM25/CFA s 0.08 CFM per Std 152 / CFA N/A N/A CFM @ 50 Pascals 20.6 174 This house Eff. Leakage Area (sq.in) 11.29 9.56 Thermal Efficiency N/A N/A Complies Total Duct Leakage Units CFM25/CFA CFM25/CFA Total Duct Leakage 0.0423 0.1190 ASHRAE 62.2 - 2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2 - 2010 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings, a minimum of 78 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example, a 156 cfm mechanical ventilation system would need to operate 12 hours per day, as long as the system operates to provide required average ventilation once each hour. REM/Rate- Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. O 1985-2014 Architectural Energy Corporation, Boulder, Colorado. I Barnstable .�a,NE, Town of Barnstable Department of Public.Works All • EARNSTABLE, 382`Falmouth Road,,Hyanni''s MA 02601 http://www4town.baimstable,;ma.us 2007 Daniel Santos,Director Office: 508-790-6400 Fax:. 508-790-6406 Stephen J. Clarke 41 Brewster Road , Cohasset;M.A. 02025 .Date: February 21,2014 Re: Address'reassignment for Map,007.Parcel 030, #541 Santuit Road,.Cotuit, Dear Mr.. Clarke, I am in receipt of your letter requesting a change of address for the property identified above. I have reviewed your proposed site plan and concur that a change of the address is necessary to provide proper identification of your new building on Bay Road,.Cotuit. Even though,your property is not a corner lot,it does have frontage on two roads and the section of the Town of Barnstable's Ordinance for Numbering of Buildings (encl)for corner lot number assignment is used to determine the correct number for your' e of property-. Evaluating the records in this office reveals that#155 Bay Road was:reserved i. for your property. This has been identified as an effective>nuniber to reassign your ! proPem'for the new construction. ` Therefore;:acting;under the direction of the Town of Barnstable's Ordinance for, Numbering of Buildings,the.address for this property has been reassigned to•#155 Bay Road, Cotuit.This new address has been updated in town:records-. I will notify the Building Department and the Board of Health of this change because of the open permits. ' t This new address will need.to be'posied in accordance with the enclosed ordinance on your-new building. Please contact me if you require further assistance with this notice. Sin ely Frank Schlegel E911 Data Liaison Engineering Records Manager. DPW/Technical Support 3.82:Falniouth Rd./Rte.28 Hyarirus,MA. 02601 /`a (508)790-6460 x-4942 frank.schlegel@town.barnstable.ma:us h --- ---------- Town of Barnstable. at A;M Department of Public Works 1* 9. 382 Falmouth Road;Hyannis MA 02601 http://www.lown.bamstablo.ina.us Office; 508-790-6400' Daniel Santos;Director. Fax: 508-790-6406 Roger Parsons;P.E.Town Engineer i "SUBJECT:Numbering of Buildings Map.No.,00 7 Parcel No. 0 3 0 Date:-FinaevAa4 al,ao l Dear Property Owner, Notice is hereby given in accordance.with the General,Ordinances of:the Town of Barnstable; Chapter III,Article V, Numbering of Buildings, adopted March 3;1931,revised July 21.M4, public convenience and necessity requires the.assignment of number t S'S for your property located on^aAY 1�0� �zv i r• STREET NAME VILLAGE 1 This number should be affixed to.your building so that it is visible from.the:street as outlined i in Exhibit"E",Town of Barnstable Rules.and Regulations for Numbering.of Buildings. Please contact Mr.Frank Schlegel at the Engin ering..Division at(b08)790-6400 x-4942 and be prepared to provide,all telephone numbers at this location so that your Er911 account: records can be confirmed when the correct building number•is posted. Roger Parsons,P. Town Engineer encl.:"T.O.B.Rules &Rep. p6mmon Questions Site Map —Assessors Change.Form i i : .............. ParcelEdit .Page 1 of 1 t Logged In As: Friday,February 212014 Frank Schlegel Pa rce Application Center Road System Reports Road System The record has been updated. Parcel Detail --� R/ � U T�p Parcel ID: 007030 � "Sewer Acct: T date Devel Lot: ILOTS C & D Owner: J,CLARKE, STEPHEN J & NANCY J Co`Owner: Street: 41 BREWSTER ROAD City: COHASSET State: MAj Zip; 02025 J Loeatlon: 155 -- �_--�� Village: CotUit _�17' 1____ BAY ROAD I Road Index: 0850 __._� Pri Frontage: 190 I .- — To set road,you can also enter road index and tab out of field. Secondary Road: ISANTUIT ROAD Sec Index: 1426 _ ( Sec Frontage: 10015 Visions Location: 541 SANTUIT ROAD Last Updated: 2/21/2014 2:38:57 PI --------------- No. eldgs: 1 I Account No: Lot Size(acres): 1.11999541 State Class: 11010 _I Year Added: 1940 _I Fire Dlst: 2 Deed Date: 4/12/2013 ; Deed Ref: 27286/333 Land Value: 1203900i Bldgs Value: 38300_ i Extra Features: 20200 --------------- Condo Complex: Building: Unit: lJpdate http://issgl2/intranet/proDdata/ParcelEdit.aspx?ID=191. 2/21/2014 Town of Barnstable Department of Public Works Technical Support Division 382 Falmouth Road Hyannis, MA 02601 o V) _ � = rn I a�CO� M M .. I O 0 o i 01 o i 3 Lam. �N may• \ �- basemaps.dgn 2/21/2014 3:11:58 PM property lines shown on this plan one for assessing purposes only and do not represent actual relationships to physical object% ,,Kn -007 -030 41 Brewster Rd Cohasset, MA 02025 781 383 06,82 sjccoh@:g nail.com j Roger Parsons Town Engineer Dear Mr. Parsons: 1 am writing to request a change of address. The current address'is 541 Santuit Rd. Cotuit',.MA 020 5.:The.existing home has.been demolished and a,new home is being :constructed. The,new home is.to-be fronted°on Bay,Rd: with,driveway access on Bay Rd. as well. The.only frontage on Santuit Rd. is limited to the existing driveway. Please. seethe attached-site plan and memorandum from Attorney Bernard Kilroy. Thankyou for your time and I:look forward to hearing from"you. Sincerely, i Stephen Clarke I I ov `rA4-is' px:ofbn-T1! z ' I i MEMORANDUM TO:Stephen Clark,- DATE:February 4,2013 FROM:Bernard T.Uroy RE: LOTS C and D(541)Santuit Road,Cotuit,MA(the"Locus")shown on Plan filed in plan book 260, page 70(the`Plan")and frontage requirement underthe Barnstable Zoning Bylaw. Locus is shown on the plan as having 15.68 feet of frontage on Santuit Road,a public way,and 18853 feet of frontage on Bay Road,a private way. At the time the Locus was created by the Plan(1972)Locus was in an RF zone requiring 150 feet of frontage. Locus is a portion of LOTS 35 and 37 as shown on the Cotuit Highground Plan filed in Plan Book 19,Page 143(1926)for Robert T.Fowler. The Cotuit Highground Plan is a resubdivision,in part,ofthe land shown on the Plan of Building Lots at Cotuit prepared for Charles L Gifford in 1902 filed in Plan Book 15,Page 67(the"Gifford Plan"). Said LOTS 35 and 37 are a redivlsion of LOTS 72,73,78,79 and 80 on the Gifford Plan. I LOT C,to a depth of 200 feet from Bay Road(also known as Bay View Road on the Gifford Plan),includes all of LOT 78 and the major portion of LOT 79 on the Gifford Plan. The remainder of LOT C is a portion of LOTS 92 and 93 on the Gifford Plan. LOT D Is a portion of LOTS 79 and 80 on the Gifford Plan. When Fowler acquired title to the lots on the Gifford Plan by deed recorded in Book 435,page 202(Parcel 2),LOTS 81-87 on the Gifford Plan(all of the lots on the west side of Bay View Road)had been conveyed by Gifford to third parties(Fowler did acquired LOT 82 on the Gifford Plan in that deed and is shown as LOT 17 on the Cotuit Highground Plan. In my opinion,LOTS 78,79 and 80 on the Gifford Plan had the right to use Bay View Road and Mashpee Road for all purposes including access to Santuit Road for the installation of utilities. Except for the Easterly 90.89 feet of LOT C,LOTS C and Dare derived from LOTS 78,79 and 80 all of which front on Bay View Road on the Gifford Plan(Bay Road on the Locus Plan)and each of which or any portion thereof have the right to said use of Bay View Road and Mashpee Road. My opinion is based on the fact that all three lots are shown on the Gifford Plan as fronting on Bay View Road leading to the unnamed way(shown as Mashpee Road on the Cotuit Highground Plan)and to Santuit Road,that the deeds out from Gifford of LOTS 81-87 were silent as to any express grants to the use of Bay view Road and or Mashpee Road and that the use of Bay View Road and Washpee Road,beingthe only access roads to Santuit Road for the three lots,for such access is part of the common scheme of development of the land. It appears from the aerial photographs available on the Town.Website that Bay Road is constructed and used by a number of homes thereon,Including LOT 17 on the Cotult Highground Plan and based solely on that fact,should be suffiaent to obtain a building permit for LOTS C and D. According to the Barnstable Assessors'records Locus is presently improved by a single family dwelling built in 1940. Based solely on that information,the property is not governed by Chapter 112(Historic Properties)of the Town Ordinances and the dwelling may be razed with an appropriate building permit. Chapter 240,section 92H of the zoning bylaw(developed lot protection)would allow the razing and rebuilding as of right subject to the lot coverage(20%of the lot area)and conformity to current setbacks and sideline requirements. . .. ........... ...... 0-0 Wf crag --tea aff f�I REl�AENCES: T ! Site Plan Existing Conditions Sulltm Engineer Inc. At STEVE CL4RKE = Oalerx"a.YA 03033 41 Brewster Rd �� 541 Santuit Rd �,W. .aaaNm-wr a Cohassetr MA 02025 , Bamstable Cara Mass. smnmw. �'Yyt-oo7-p3o vL`yCl�S r7y 6- �y DNS 5T9'48' 'E ZONE: `WO BENCM.MARX 290.89 pHCB e/ 1 /H8T /` r e.,,IT -'�,n• WRG•BRD. tTlD. / i fND �� FEN[T�TFRS EL Ja.DO H '� ;l /,' ! �---—t------'—_—_--- t -- ----------------- PROPOSED ----t—�— --i— ------�� .+ F f 30' ABU t It --- ` \ `LotC•&D't\\ I OVERLAY DISTRICT ,b t 4�\ nK _ •1 ,l , , I wrw Pmt«tim Ortrkt A're6A 48 9681 S•F.I� E.Wmre abtwNb °"'.s. $ O O ` \ ,` `' , \11 t l 11•`:`i I FLOOD ZONE: �n Wi,; v shsZ s N�. �,, I $ Yon m re . \ �� \` \ \ a 1•\ 41ti ,.i ^bozo"° LOCATION MAP +era lz°z. lr--somrj ASSESSORS REF.: REFERENCES: �P ml.Pw om Oeed B�,tmxrA>•s. 4 .` I rvm ee�zeo/xo SHPI'ICNOTE9 To ruamee,. o w+.. I ' •� 1 0.' v J \ QQ o \ ,\. \ \ de.lr.roau...mn 9• /'' '� az J . Az `� \ fTU110TNC•, ♦ \• �--•` >+rn,®°Wra.e®M�nmrrmn,. �� \SETBACf[5� DHLB x°.or saa�ar.�»N..emassm�rna�. WM]n Oallm.b n.OLLlll6 O• '! �// + � ti., J'"l � ` \ 1 \ ,` �''.� i. i rrt®sr�ow.a�rur'+ --- -'•-'C ;p _ ti ��,�IRS', } 3 'mvice.rm�.ee.sml.. ess • • � � / / e .o• �\ )��yy� � \ , - •..FND �ZO� N g ammtnvepl�r�oa�tme.rwroa PIPE . S��.d / y 24'$0, rla a�.muedoaomrm.�.m.va.ma ABUTTERS xaesau.ert,amr,me®vn»oon uma .SHED n o won lm-.mmv..mre.m:.rr®u. ' J l ti mm.r�nrmaem.. I '4 579FovE a..e:wr.:aemwr4pxwn.m�. 125:89' 3 laelomary rm.mro.w.mrr..mt�.i� PIPE g rw�.uimemsgwanu.o.ma ---- --------------- f _ Vi 150.00' co WWWOO-W IPACIIIN6®AlMAFND DERTGPT \ FID 1 I 1 I ' nmmu.'.ro°.•..+d�...�. r.,_ '- w� t I I CROSS SECTION OF CHAMBER NOT TO scaTF TWTHOLS-1 - - N m w. V of r - �'mRUR -,...*vnaNM b°1�N44✓,Ylbr' tlNM iLHtlaAY 1lnNltutl(JnW 2 1r4Y6YLbClAY.'_::::: W •• . ' ry _ ' -i — Z ° I I DEVELOPED PROFILE OF SYSTEM AWTOSCAU SM PA,SIM SANTUIT ROAD ?7xr.... Slte Plan PREPARED BY: FRVIARED FOR: NOTK&- Pro Proposed Improvements Sullivan Engineering,Inc. P P g �+ STEPHEN CLARKE At PO Box 41 Brewster Rd oiAPam 0 °°°' 09terville, MA' 2655 ~ Coh osset, MA 02025 541 Santuit Rd SOB 428-JJ94' SOB.2d-9617 la. - !. J ( ). eae rno.11l.eb. �► Barnstable (comit) Mass. A".xo O ,b xo 40 IIGW I°T9;r/an N° o/ wort: cTR Freres AX)/Wl(%CTR �,,,,t�;�m,P• r�AYr., July 30,2013 '� 1"-20'' Rev ee: Ps :xX Piojf<f: 3J002J]arke Divw7n¢ h'100 7 -030 P2'a parr�r✓ , i �....1 x`K- .. -„ �i.«......._,_._rt,.y.'�-�.r..—.1v1.��-i-✓�-�+�-i .:.r�vim'�-r-�' .` . �'-.= ia....w:.�x►:.T.:--,a�•_,.- _ �f.i- `pF.HE► � r. Town of Barnstable BARNSTABLE. Regulatory Services 9 MASS. 039. Building Division p. J 200 Main Street,Hyannis,MA 02601 . Office: 508-862-4038 " Fax: 508-790-6230 Inspection Correction Notice Type of Inspection Location 1s5 6NY le D Permit Number Owner �'`�.,, . Builder 4� One notice to'-remain on job site, one notice on file in Building The following items need correcting: Jk i lr� cV1�� !v 1 LA)CA-\ 4-O• -TTG{" 7-- . 70 V EN r: °' Cc�2RE � ja d 0 Please call:, 508-862-403'8-for re-inspection. Inspected by LAU,., G UU Date f p I M f Town ®f Barnstable oFt r Regulatory Services gyp` ti� Richard V. Scali,Director RARNSTAB14 : wilding Division BARNSTABLE mass.' acxm�e�.anrumut.mnur•rcuuxs 9 039. Thomas Per CBO `��"�1639- �bOak Perry, ,b�SDg QED"APB Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 i November 10, 2014 Brian Doherty 109 Edson St. Brockton, MA. 02302 RE: 155 Bay Rd., Cotuit, Map: 007 Parcel: 030 Dear Mr. Doherty, This letter shall serve as notice that a steel inspection was conducted.for permit application number 201405222 and the following item was found to be contrary to 780 CMR(State Building Code): 1) Steel was not installed per approved construction documents (buried and/or on the ground). 2) Electric bond not inspected. These items must be corrected as per 780 CMR before you proceed with the gunite installation. Upon correction notify this office and a follow up inspection can be arranged. Thank you for your attention in this matter and please do not hesitate to contact this office I with any questions. Respectfully, . Lauzon Local Inspector jeffrey.lauzon@town.barnstable.ma.us (508) 862-4,034 i Commonwealth of Massachusetts ��I I�ly Sheet Metal Permit Map Parcel Date: ti Permit: Estimated.Job Cost: $ /�� Permit.Fee::$ Plans Submitted: YES. NO Plans Reviewed: YES NO Business License# Applicant License# 4 0 Business Information: Property Owner job.,Location.Inforrriation: Name: �7- f/n Name: 7oti o 1 y/�!'O�� Street: Z City/Town: �� t/L+-.L City/Town: �aA ' Telephone: `D� 6 �� Telephoner / 7 7 2 6 7 S Photo I.D.required/Copy of Photo.I.D. attached; YES ✓ NO pit tail Initial J.- AI-1- estricted.license J-2/M-2-restricted to dwellings.3-stories_or less and commercial up-to 10; Residential:'1-2 family Multi-family Condo%Townhouses Other. ' Commercial: Office Retail Industrial Educational AUG - 4 2'bd4 i Fire Dept. Approval Institutional_ Other TMOF B NSTABLE Square Footage: under 10, q.000 s . f over 10,000 sQ.ft Number of Stories: Sheet metal work to be completed: New Work: ✓/ Renovation: HVAC Metal Watershed Roofing. Kitchen Exhaust System Metal Chimney/Vents .Air Balancing . Provide detailed description of work to be done: 17ee, , e of i � I r INSURANCE COVERAGE: I have a current Iiabilitv.insurance.p6licy or its.equivalent which meets the requirements of M.G:L Ch:112 Yes ,<oo ❑ If you have checked Y&11ndicate the type-of coverage:by checking the appropriate box.below: I A liability insurance policy ❑ Other type ofi indemnity ❑ Bond i OWNER'S INSURANCE WAIVER:`I am awareahat the licensee does.not have the insurance coverage required by Chapter 112 of the Massachusetts.General.Laws;and that my:signature on this permit applicationwaives:this requirement. Check One Only ..Owner Agent ❑ ❑ 9 Signature of Owner or.Owner'--s Agent By checking thts.bo ,I hereby certify that all of the details and Information l have submitted('or entered).regarding this application are true and accurate to the best of"my knowledge and that all sheet metal work and installations.performed under the permit issued forthis.application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General)Laws. Duct inspection required.prior to insulation installation:YES `� NO i Progress haspections . i Date Comments i Fin-allnspection Date Comments Type of License: 3Y Master Fite ❑Master-Restricted �ity/Town ❑Joumeyperson. Signature of L'censee 'ermit.# ❑J.oumeyperson-Restricted ice a Nur ber:. =ee S o Check at www.mass.dovldnl I nspector Signature of Permit ApprovaC . • � ' Tlie Commonwealth of Massachusetts Department oflndicstrialAccidents Office of Investigations- iS00 Washington Street Boston,.MA 02111 wWfi.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plu nbers APPHcant Information Please Print.Le ' l Name(Bussinesdorgmiizalimfludividval):. Address: city/state/zip: Phone.* Are au employer? Check appropriate box: , Type of oject(required):; I am a employer with 4. ❑ I am a general contractor and I 6. New constrdctinn . employees(full and/or part-tmle).*. have hired rite sub contractors 2.❑ I am a''sole proprietor or partner-' Iisted.on`the•attached sheet. 7. ❑Remodeling ship and have.no employees 'These sub-contractors have g• ❑Demolition wo for me n an act. employees and have workers' y capacity. $. 9. ❑Building addition [No workers'comp.insurance comp.insurance. required] 5• ❑ We are a corporation and its 10;0 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 incnrancg rimed,.}-t c. 152.§I(4),and we have no. employees.[No workers' . 13.❑Other. comp:insurance regtiired.] *Any applicant that checksbox A.mu t also fill out the section below showing their walkers'compensation:.policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a now affidavit indicating such. �Contcactors.that chock this box mast attai�d an additional sbeet showing the.naine of the subcontractors and state wbether ornot those entities have employces. If the sub-contractors have employees,they mustprovide.their warkers'comp..policynumber. I am an employer that is providing workers'compensation insurance for my employees Below is the polfcy and.job site information. O Insurance Company Name: /7� 5 ! -7.5 v ``�6?(fe y� Policy#or Self-ins.Lic.:#: D2 72 Z ZI Z Z Expiration Date: / Z- V V Job Site Address: /� ��` y/ City%State/Zip: �4 Attach a copy of the workers'compensation policy decl aration page'(showmg the policy number and expiration date). Failure,ip secure coverage as required under Section 25A ofMGL c, 152 can lead to the.imposition of criminal penalties of a fine.tip to$1,500.00 and/or one-y=-imprisonment, as well as civf1 penalties in thc`form of a STOP WORK ORDER.and a fine of up to$250.00 a day against the violator. Be advised-t.hatt a copy of this statement may be forwarded to the Office of Investigations of'the'DIAfor insurance coverage verification.`. I do hereby certify pasts and penalties;of perjury that the*informadomprovi led allovg sYrue and correct Signature- . Date... ( ' Phone le Official use only. Da.notwritain.thfs,area,:tb Fie co".Mkiedby eny or town Iciab City or Town: Permit(License'# '.Issuing Authority(eircle one)'. .4.Board of Health 2.Building Department.3.City/Town Clerk 4..Electrical Inspector 5..Plumbing Inspector 6. Other Contact Person: Phone#: r t' ' Town of Barnstable Regulatory Services VAFgq Thomas F.Geller,Director Bull _ • . ding Division Tom Perry,Building Commissioner . 200 Main Street.Hysmis,MA 0260, www tovmbarnstable.ma.ns Office: 508-8 62-403 8 Fax: 508-790-6230 Property .Owner Must Complete acid Sign This Section. If Us' A.Builder de� ?s of tl e subject ptopetty hereby authorize to att on rap behalf, in all mattes relative to work authorized by this b=Idingp=3it (Address of Job) Pool fetices and alarms are the responsybili of the applicant.tY pp ant. Pools are tiot-to be filled-before fence is*installed and pools ate not to be Xutllztd ' final itispections are perfo d accepted. of Applicant Oh.n ,�5 r i CD 1O� �1 Pant Name Ptint Name Date Q•TORM:owrmRPMMsorFoois i COMMO • _. � dRKE�s�� ` ��`x Gws. '� THF` OILUWi �C9�~ ISSUES. UNRESR1 S M DIEDE uclA DR goX .606 02532- tIS MA 1631.1OR �. �= — . .__ YNMA'025r24y EHAM�. WAR =t r a4ia2Di WOTiJ&* i hJ I f Aco CERTIFICATE OF LABILITY INSURANCE A2 i20"' ") �,:� 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), AUTHORED REPRESENTATIVE OR PRODUCER;AND THE CERT94CATE HOLDER IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(Ws)must be endorsed. If SUBROGATION IS WAIVED,subject to the terns 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 NAME IFE C.L. HOLLIS INSUAAWGE PHONE (781)344-8578 (781)341-0124 Wx No 140 NION RD AIL IIR bZLMIE@ineFurehollis.cam INSURER(S)AFFORDING COVERAGE NAIC A VAREHAN M 02571 MSURFRA-V&3-ley Forge Insurance Co 0508 INSURED wxuRERa?I'srin QLty lire Insn=ance Co 9459 JAMS DIED$ DBA INSURERC: DRT HEATING 6 AIR COMITIONING INSURERD: PO BOB 666 INSURERE• BUZZARDS BAi NA 02532 INSURERF: COVERAGES CERTIFICATE NUMBER.<=a391200767 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. IL SR TR TYPE OF INSURANCE POLICY NUMBER POLICY WLI P LI19TS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 B COMMERCIAL GENERAL LIABILITY PR e e $ 300,000 A CLAIMS-MADE ®OCCUR 017719112 /12/2013 /12/2014 MEDEXP one 10,000 PERSONALA AIN INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEML AGGREGATE LINT APPLIES PER: PRODUCTS-CONINOPAGG $ 2,000,000 B POLICY PRO LOC $ AUTOMOBILE LIABILITY SING I 11000,000 ANY AUTO A BODILY INJURY(Perperson) $ ALL OWNED B SCHEDULED016640007 /4/2013 /4/2014 BODILY INJURY(Peru) $ AUTOS NONI OWNED P DA AG $ B HIRED AUTOS B AUTOS I S UMBRELIAL1AB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAUJS•NMADE AGGREGATE $ S RETENTION B WORKERS COMPENSATION B YUC STATU OTH- AND EMPLOYERT LIABILITY Y/N E.L.EACH ACCIDENT $ 500,000 ANY PROPRIETOR/PARTNER/ExEcuTIVE = NIA OFFICER/MEMBER EXCLUDED7 B1RSM6573 /13/2013 /13/2014 E.L.DLSEASE-EAENPLOYE $ 500,000 (Mandatory In NH) If Yes.desube urAw E.L.DISEASE-POUCYLIMIT $ 500,000 DESCRIPTION OF OPERATIONS Delon DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach AGORD IM-AddttWW Ranarks Schadul%H mon apace b nquiad) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED poLwAES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BAIMISTABLE BAIMSTMLEr NA AUT)WR=REPRESENrAT(VE Janie Kaefe/MW ACOR 01Q/OS) 01888.2010 ACORD CORPORATION. All rights feserved. ACOR b 26(2 f`n25(2 of Tfio a mn narm sand lnnn aro raniefamd martra of aMRn Town of Barnstable OF1ME Tpk, Regulatory Services Thomas F.Geiler,Director SZAB Building Division EAM M" $ Tom Perry,Building Commissioner i°TFot,u.�t" 200 Main Street, .Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 5 p 8-7.90-6230 Approved: Fee: 3J Permit#: HOME OCCUPATION REGISTRATION Date: I — 1, O 5 Name: J OAv\ —P_ rr`o s T . � Phone#:_So f-o?9a-I(oaJ Address �a�. Village: Catv�� Name of Business: J . F. FrosA' EnT�iP�tS Type of Business: Map/Lot: OO 7 O INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of-space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigne have read and agree with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc v.5/30/03 TO ALL NEW BUSINESS OWNERS DATE: /-1 0-5 M M mom ON 0 Fill in please: ? • APPLICANT'S NO � YOUR NAME: ' UD�n t . rfo T .., BUSINESS ;, ', �_, YOUR HOME ADORES Sob-�°I�•Iloa3 R ` ��' t15 l Sian .�- d r C—.+ jAA. o TELEPHONE Tele. hone Number Home (5 ED y20-lrs53 NAME OF NEW BUSINESS T.P. ro +e Al a TYPE OF BUSINESS o t-14u� �0+1 IS THIS A HOME OCCUPATION?_L,-YES NO Have you been given approval from the b ilding division? YE NO= ADDRESS OF BUSINESS MAP/PARCEL NUMBER O© When starting a new business there are several things you must do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below,you may apply for.a business certificate at the Town Clerk's Office (Ist floor-Town Hall). You MUST go to the following office to make sure you have all the required permits and licenses.. GO TO 200 Main.St. - (cor of.Yarmouth Rd. & ain Street) and you will find the following offices: 1. BUILDING CO MI SION 'S OFF This individual h bee infor d of a i equi ements that pertain to this type of business. on d Sign e** _ COMMENTS: 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature* COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed.of the.licensing requirements that pertain to this type of business: Authorized Signature** COMMENTS: Business certificates (cost$30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in the town (which you must do by M.G.L. -it does not give you permission to operate-you must get that through completion of the processes from the various departments involved. **SIGNIFIES APPROVAL FORA BUSINESS CERT/F/CATEONL Y. N r.. r C" FND - S79'46' "E / _ ZONE: t BENCM ARK 290.89 DHCB / H&T / 1 Rr(RPOD) CDNC. FND / / y J ' EL. 34.00 y HIT \ / /FN� / I ABUTTERS area(�in.)e7.tzc sr \ ( / / / FENCE µ=wtn k j�' 150' ------- ` 9etaa, I 1 PROPOSE L+ \ y �� D, ae�ts' . \ \ L Cz \ I OVERLAY DISTRICT.,,,., SEPTIC � ��, S" •L3 I TANK \ \ \ \ \ A\rE \48\9�\ S\F4 I I 1 Av-A4oRor vrotecnon Dm wntor,had Tr-3 m-v( O a '� \ \ \ \ \ \ 1�' 1. I ' FLOOD ZONE: Y zono e 9 / ' C e \\\`\ '}' communrt Pond Ro. 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ABUTTERS r zeys Symme.lw.v°emnamemwonoolnuma SHED n o wnDllm.T.m l.mn WMdmedl7wad11m1beY y, BmddtWAPsprLtiu .0 e.nDHem3 m e.s<n awe. / / I / /O'VD� / G1� / .� / � / 9.P9m®JI R.m.blmhum 6aNe�d®dIT,eN•Mkl® SMOKE DETECTO RIE'`RUYlEtlY3,��L.� �+ / I S79'46DO°E _ la ae.s.em.amnar®m.®e.s. tmtwa me / / i/ IRO amm mut.l<.Im ma,mlJPtlElleptl min aeo ae.9 ihmel N � 125.89/ ' 3 .a9omoodly craw tmlMwlmnamTm m9Pama u• PIPE / o Br]avmePbrlJm oe se,9mee.tom vnm.ml9ds. / FND aq o jy / f I I DESIONDATA m r V�Ti c AUL6 1, Dr',TE / \ _ )TMENT DATE } l 150.00 E��CC k / bn +.-ma caannc BOTH s" 'NATIlnc,,ARE REQIJIPED FOR PERMITTIN 3 ti � FND B o oav9n DH N79'46'00°W \ p.1CBt I LEACHING CNA.�ex DFstON ayR F1 .o. \ \ FND I / >aoom�a�m.wl1 m°.. � "—� +Styr. \ I I I I r CROSS SECTION OF CHAMBER PERC TEST:14,078 \ NOT TO SCALE rmroe. er:,olnamnm-awuv.r ommooa \•I I W NIIn6S®BY:IIfNUI�Mr4LL-,mt,a�� I �,... TeST HOLE 1 Su ri ri xsavaa avOW�®imaGw ®00'Nm.evrflw W / I ` fir _M9, n eemram,rl3mw 0 .�•°a°ree W.+v+ ~^ e l.STLLIORTp LLIOreVe CurLL10111 Ira.3YID S11mK e�X�L taut.(N10 to aowai3ammw.emS. vawm+iamaw.em+. Z .� S DEVELOPED PROFILE OF SYSTEM NOTTOSCALE SITE PASSED SANTUIT ROAD _ ra TITLE Site Plan PREPARED BY.. PREPARED FOR: NOTES' ,`�(t,E9 Afj' 1.)The otructulea oharn rare located G•\S f Proposed Improvements Sullivan Engineering, Inc. STEPHEN CLARKE re °'ea°eet1oeo1 I13 A` PO Box 659 .d i%,wR%ljbotwoon 0s/aPa/1.t m �S A Osteruille, MA 02655 41 Brewster Rd -+ 2)The property the htr,..an thorn 484 541 Santuit Rd Cohosset, MA 02025 ho.an rue ca.1i r. yam aw9oblo osroN, ('S08)428-334-I(508)428-961i lox record inlormalion. �y IL Barnstable (Cotuit) Mass. 20 0 10 20 -0 s0 J.)The aatum used I,an a as MASS. ZJ NDYD 1929.horn the town or Droll: CTR Fides: ,fOp/WX/cTR eamatmle crs map. � QV °ATE July 30,2013 SCALE: 1 re201 Review: PS Comp.:WK SS r Project: JJ002_Clarko Drarmy: F'4tTH OF MP' e r r nd +sd y tcd s ------------------------i I I __________ I I I I - i — I--- O d i i a i U u 1 0 1 IFOUNDAn N r0 e i - I o I IS100P 1 6 EP K I 1 I I I 1 1 I 1 I I I I 1 I 1 I I I FOUNDATION FOR I SIOOr 6 STEPS 1 - I WALL �20' CONTINUOUS 10' FOUNDATION ---------- - -----I -_-- _____- � II]1 1] ••�' : I �_______ ___________ FOOTING__ . I—BfwN vRl I I s1 1]/�• I •,. � I rF��y/Jf J �ASFAevlAoass I I � I I fOYR I I OV[I WO4 I O I / IS- FCI 5000, 1.11 Sr 1 IS' O.C. I I m h m I oO 1 I 1 I ] � •�—ruwlLlswmar]aFs i I DATH/IS9IJ»FOR: I NT wirasorr p B[D SET: 091913 I 1 w• aIH• ata- VFW mc. I ' I O i __ ___ __ ��N�M___ __ ___ 1 1 � 1 I �+ _________ ___- 1 b _________ 1 __________ I _�}I_f-B/'Y-a-Thf --li't� _ ___ ________I__ ___I__ _la 4}/��rii/�l it -1 __ _ ____I_ _J_____ __ __ I ___ ________ M1 I \II Al III I I C— BASE FOR CHIMNEY 11 I I td I I�TYP. COLUMN: I YP.,F T'G: I ' SO I I I S'EU.so®.aPFC OOL 00•.]0•.1]• I I w/SIWSW=sm.Ow ' I I A,0•.0•.3/8'M W/A 1/7 I tCd i __ __ _____ ORHrd IDAIfN _J �sOT 3�TYPINC ' I ' I I I • \ BASEMENT SLAB: I I I I , I •' ooueLe HlAO[RS ANo w/COFI6flf5fMWM I ' L____________________ iDNA03S I Ai AILOPOOXS \I i9S i ' \ I OPlN / MElAL xAra AILOPE �\ OVF40•M1 VAIOII FARfit I 1 I^ - .Hw I 1 J I rOR OVER]•10pDINAIu11oN I I \ I STAIR] `\ IOJFR[auAO®cuvfl------- I I EgUBIF 1C-w063 APD I I I I I l \\ \ I "AN�00rIS M \ I I --- r 31 1-3-/iY- vh},4•-tW-___ __I r- O Q _____ __ - _____� i__4 I �4f AN PRi__ _ _ _ ___ N � FOUNDATION -- FOUNDATION PO4 \ 10' foo ' \ ✓7 STO or 1]TIPS �0• CONTINUOUS 00TING I I I �''I �' �1•SAW CUTS VriBd]SIDE \\ \ S ____ 1 I I Z , H Of CAS0N0 nR sue \ b I I :s'd ]ad tad •w• I I I I �"' w W clC U \ \ GARAGE SLAB: ' I i I oC \ TO- FOUNDATION WALL —ti•O]FpE1F LAS \ \ 1 I 04 20• CONTINUOUS TOOTING WPi \ \ om t/B•PrRIYro 1] `\ \ I I �' �i r . 1484 N COWL NO OSTON, w 2990 �\ MASS. J DATE 09-18-13 OF MPS DRAWN BY ,- \ _ - L;,l SHEETNO. FOUNDATION & FRAMING PLAN Z.•' SCALE : 1/4"= 1'-0" Ol i i 0 4 K Oo i IZ a 0 T 1 e 0 _ L o 0 0 T 1� t a 0 0 IS R � e - O �I O S!v O IEl T� 1.8 CHUNG JOISTS O le•O.C. .,O �Om €6S Z FYi qq�p a�v O o O i • O :�o 0 CA m n O T I\ I 1 r I , I _cl 2.8 eeulNe Jmsn IS le•o.e. al T -Zr OI M a I D 2.e CEILING JOISTS G le-O.C. - I 909 I n I D z m O oWv D o Na'i ,, " T V)p A o Z z y�SPIS o RESIDENCE F 0 R =e ROYAL BARRY WILLS ASSOCIATES INC. 08 • A R C H I T E C T S y INC, C L A R K E S M I T H x K � C 0 T U IT M A a Newbwy Snell•Bwcon,MA•617-266-5225 Richard Wale,AJ A. - I \ ].I] tAE1EtS • 10'O.C. \ b O i' 18 1 \�O \ �n O \ p 1 \ u • m \\ O 1 pu O e.-w—eroo o 'o — - z 'O - i • io 0 pc zo I I 0 / p ],1a usrEts • 1e•O.C. I =w I T ♦ n :� I � I Lr\4—el I o -ii AEEt a.1] t S • 16•O.C. r D _ I — I "> z m V, r C e a'' D mz 4 �o ° _ z 'o �z � I S T- EP�9C 51 r)�� y�SEITS y RESIDE NCE FOR m e ROYAL BARRY WILLS ASSOCIATES, INC. C L A R K E - S M I T H Wy A x c H I T E c T s W C 0 T U I T - M A SNewburySheet•BostM%MA•617-266-5n5 Richard WUN AJA / V O p G) D A D p Hd 0 - O i -- a O Q 4 D O N ti G a-tot• a n j - —.—.—.—.—.—.—. .— —.—.£p.—.—. —. .— �—.—. .—.—.—. . tFE r) / \ G 0 0 a o e-tot• rat• . f I a n=� I _ --------- ----------------------- � a».. m.. re•. o. x - 0 7 m I^n -T O - - 9 --- - - - - - IE Z A Z A � a p D p � O O o o § O ,eut• 4 sat• +Ha --- — — — — — — — — — — — — — — —'� i - ^ z r.tot• _ ----------- ss•,e,r ca ----------------- i i _ T-tt' 1P-tt• as• r-r H8• ret• D D ^� ________________________-__ ______________________ CA 3 N m p ❑, c ❑ n Oy Tti T 3 I f—c o G m 0 O O O p o D m N\ y ti D O D ; a tl y \ A 1 D S 900 p D to D-. o Z NZ O - s y ' 9cHUSETTS arc He'• oat• re. aP. y N 8 R E S I D E N C E F O R d ROYAL BARRY WILLS ASSOCIATES, INC. A R C H I •T E C T S 4h, C L A R K E S M I T H W C 0 T U I T M A S NewWy Street•Boston,MA•617-266-5w Richard wills,AJ A. U W E- r If-1 5• x J, L 37 r-B.EDl.0.0.M.-#A PI- MEDUNFINISHED ATTIC ATTIC ACCESS a V50 O,TEDE------i2--• DATE/fSSUED FOR:------------------------S.EDR.O-OM--#3............ -------------------- ------------- BID SBT: CEDAR CIOSET WI.C.#3" BATH#3 091813 IV _ _________ s ❑ RI AI f3°L• 1 CXIMNFY 570 RAGE S QIe 20 N ATTIC ACC S/✓A a ]3 OPEN ACCESS 4 T-t• [I N E N ATTIC,`�T SN[lV[5 LOW ST00.A,'PE I , I _._._-..... I b e j oC w U • Z 1 ~ w LJJ oc w U of Q Af•ALACf� ,cRED AI - V ��S•� Hijfc �<c NCl /I Cf N c� No. 1484 G0b5LN0 \ B0S7ON, 2990 MASS. DATE 09-18-13 ��F9�TN OF MPSSP� DRAWNBY SHEET NO. SECOND FLOOR PLAN SCALE': 1/4" - 1•-0" OJC ro lo to lo --------TT' 7- 02 ------------- c) m ------ ❑ 0;0 X Z-< ----------- ----LG------ ----- --------------- 2 - ------------ LA m C! m II m < ---------------I II - > Oz -------4 z -------------- z 3 ONO Z- > O cl A Sn b. ip z SEIIS icA R E S I D E N C E F 0 R ROYAL BARRY WILLS ASSOCIATES, INC. A R C H I T E C T S Go 5o C L A R K E S M I T H cl 8 Newbury Street-Boston,MA-617-26&5225 RWOdWi[KAIA to .6 :20 ----------- fd ------------------- --------------- rc -------- ----- Is ------------- it -------------® rf - 70 ---------- < "R':'o 0 71 -n 00 -21 ENS R E S I D E N C E F 0 R W ROYAL BARRY WILLS ASSOCIATES, INC. A R C H I T E C T S C L A R K E S M I T H F- C 0 T U I T - M A 8 Newbury StrM-Boston,MA-617-266.5225 Richard Vrffl%AIA. 10 1, ------------------- II I u----------------- OZ ----------------- - --------------- i, f II lo II I ---------- I---------- II H III II I ------------- II 0 0 > 13 �O go > MIN. Ln 0 -rN 00 77 ElTS CD RESIDE N C E FOR ' ROYAL BARRY WELLS ASSOCIATES, INC. CD �-td A R C H I T E C T S C I A R K E - S M I T Hti w C 0 T U I T - M A p 8 Newbury Street-Boston,MA-617-266-5225 Richard WMS6 AJA O If ----------- '0 -I I I Is ® ----------—---- 0 � o , rC 10 _ mI I I I. _ ._.I I I O L-j I ----------------- o 10 ---------------- F—FlF—Ml Ljflj o EM ma o ® a� Y IV I II ----------------- o - ---------------- > CA m > o m m M , m ---------------- < V • 0 0 z ------------------ o igo o o o io .-oo o- i 0 wo E111 ROYAL BARRY WILLS ASSOCIATES, INC. R E S I D E N C E F 0 R A R C H I T E C T S CLARKE SMITH C 0 T U IT M A 8 NeWbmy Sftd-BOSWn,MA-617-266-5225 Richard vra%AJA . y Im iC IE IE o iT i r-u• f�'r �f If m O z p s _ o 17 ` °n f O s 0 nI e e 4 ----IT -------- — s m O v z m O �j P -• a Z ^ E �putt - oa p - v � r-I r fa'r ra N �0 lO ;o O 'O 'O 'E If T-11• 1° 1° to A i2 tj 1> . 1 i z � ° e z �o<o ct q ----------------- ------------w v ® \ D M O - O � a <• A 2 0 o v m v - �z00 v a �\ �y 9�Iy'JSETTS o o N S RESIDENC E FOR m ROYAL BARRY WELLS ASSOCIATES, INC. C L A R K E - S M I T H wy n R c H I T E c T s w C 0 T U I T - M A p 8 Newbmy Sheet•Briton,MA•617-266-5225 Rimed wMS,AJ A. V �O ZOO �O A�> J •e�w T•11' WAV N i° m � jO 1 _ N 0 m •, R 0 .E r � 5 � E S 0 0 s om n = R ' I , P io io io �o �f �E io �a rep to °E N n _ e 0 n r N C ° o4C A A � o N : 0 n - - 0 e z o 0 - m �o �o E i� Z VVV m 'S 2 O Y o >cn00 x N g ��9cyUSET T S e N g R E S I D E N C E F O R an d ROYAL BARRY WILLS ASSOCIATES, INC. A R C H I T E C T S C L A R K E S M I T H y 4+ C 0 T U I T M A 8Nmbmy Street•9ostm MA•617-266-5225 RirW Wills,AJA, 1/2'GYPSUM WALL BOARD W/R-21 H FACED BATHS U y �• 2.6 STUD WAL P7 1'F�j-11 1/2 MOUSE � FACE 01 FRAMING ALIGNS W/� 44'�W SM RED OOTH S—, F a FOUNDATION WALL B9DW V8 -.12-L------- -: A 5"'DIM.12'LONG-�� ANCHOR BOUS 0 32'O.0 ANCHOR 80LT5O 32.O.0 � U ��22�I �2jI 14• BCI 6000'. 1.8 SP ® 16.O.C. ON SI S,L- BL�\ �N S SEALER LL . O T.O.W. - ---------------------------------------------- `� ----LO.W.----------------------- T.O.W_------ d 4 nCRETESIM PITCH GRADE—mo d. Ic �w/e• e•410 W.w.M. AwAr e•/1D' \ m (p I I � F •L \----------_ BO O 0010WAtl L. —6 MIL VAPOR BARMER OVER MN.6•CRUSHED F y, IU• ODWACRED GRAVEL 1� ---3,000 PS MIN.CONCRETE F / FOUNDA110N WALL M.) FOUNDATION WATERPROORNG- �xi < = TO W BELOW GRADE F j At TOPp5 ANDCONDNU BOTTOMWSBA OFILS WALL 3,ODO PSI MIN OON I U FOUNDATION WALL IiYP.I 4•CONC SLAB W/dl 6".6•W.W.M. 1•-0' M .6-CON�J• ED GRAVE N .: 2"RIGID INSULATION �y Q oD 1"RIGI INSUTATON DATE/ISSUED FOR: ` BID SET: DETAIL GARAGE FOUNDATION °91813 2 . SCALE : 3/4" = 1' 0" ILo.w. ----=-------- '- 111 Cs BARS n H;1 DETAIL TYPICAL FOUNDATION SCALE 3/4" = 1' -0" � � Q Ln w ' DETAIL FOUNDATION Q DOORS Z 3 SCALE : 3/4"= 1' •0" w Lu I N Y O FOUNDATION NOTES cjC u 1. ALL CONCRETE WALLS AND FTG'S TO BE 3.000 PSI Q AND GARAGE SLAB TO BE 4,000 PSI AT 28 DAYS J 2.ALL FOOTINGS TO MIN.4'-0"BELOW FINISH GRADE 3. CONTINUOUS FOOTINGS TO BE 10"D x 20"W U ' 4.WALLS TO BE 10"THICK MIN.OR GREATER POURED IN PLACE CONCRETE WITH(2)#5 BARS AT TOP AND BOTTOM.WALLS TO HAVE GALV.5/8"DIAMETER x ARCy PARALLEL TO FBRAMING AND AT2'O.C.FOR O C.FOR SILL PLATES PERPENDICULAR TO FRAMING. SEE FOUND.DETAILS 00101M.N0 5. EXTERIOR OF WALLS TO HAVE ASPHALT DAMPPROOFING 2990 .t OR TUFF N'DRY WATERPROOFING SYSTEM BELOW GRADE DATE No. 1484 Tn 6.ALL FOOTINGS TO HAVE EXTERIOR 4"OR 6"DIAMETER �- FOUNDATION DRAIN SET IN CLEAN CRUSHED GRAVEL 09-18-13 BOSTO N, iz WITH FILTER FABRIC ON TOP. FINISHED BASEMENTS TO HAVE 4"DIAMETER INTERIOR DRAINS SET DRAWNBY MASS. Jy IN 8"(LEAN GRAVEL AND DRAINING TO A SUMP. oy�FgCTH OF MPSSP�� SHEET NO. 12 •' --———————————- /NSy WW I \� 1 x 6 CANT BOARD I / C/]W 1°VENT 1 x 6 CANT BOARD \\ 5/4 FRIEZE BOARD 5/4 FRIEZE BOARD JG / CUT HEADER TO FIT 5/4 x 4 CASING 5/4 x 4 CASING \ B \ \qp TOP OF FRAME \F!F ASPHALT SHINGLES(TYP.) U 36"ICE&WATER SHIELD ITYP.) \ rn v 7, \ j O R c 1 x 3 DRIP �" m o \ I \ / x4 WOOD GUTTER DATE/1SSUFDFOR. 5 I / \ ON 1/2°BLOCKING 09B[D SET: 1813 � I TO SUBFLR \\ \ \ � I " \ 1"VENT \ ROSCO#8019 7T ROSCO#8019 /4 x 8 FRIEZE BOARD 2)2 x 12 HEADER 314" 5'. I 1 x 3 DRIP 5 x 4 WOOD GUTTER = I �-> ON 1/2°BLOCKING ROSCO#9002 5 \ V, T" \ - BROSCO#8019 ' N ih w 1 x 6 CANT BOARD \ BROSCO#8019 Al Z — / N w W 5/4 FRIEZE BOARD p r• ve AR _ / \\ e ------5/4 TRIM �p1:D yt9, ,� V i \G `1t No. 1484 0 BOSTON, w MASS. S COWNO oy�Fgl rH OF MPSSP� 2990 DAM 09-18-13 MA"By J L I SBUT N0. C O R N I C E D E T A I L S 13 SCALE : 3" = l'-0" �y 1I�Er ax• Q U °� i U 1xi Ln W F Qn HI N n I I I U I 5'HALF ROUNDS WEATHERVANE---- GUTTER - BY OWNER \ a Q FLUSH BOARDS—' I lxa RACKET CUT FROM 2x12 I I - DATE/ISSUED POR: I ' I t ' BID SET: zaa 091913 60deg. i ASPHALT SHINGLES t 1/2'CDX 2 x 4s 12^O.C. BROSCO#8013 I DETAIL CORNICE @ ENTRY 7 3 SCALE : 1 " = 1 ' - 0" 3/4'MARINE PLYW'D HORIZONTAL RED CEDAR—RIDGE VENT VENT(TYP.) \ —FLUSH BOARDS —2 x 6 SCAB RIDGE L.C.C.COUNTER FLASH'G /-5/8" CDX Q O cn FIRST FIN.FLR. 11' Z — ?x/0 W 2x• OG �R,ttFR � o � � ' ♦b 2 x 12 RIDGE FRS ® 76„OC oc O i�• a �O EXPOSED FOUNDATION ry+ J U DETAIL GRAD ' D CLPB ' DS DETAIL FALSE RIDGE DETAIL : C U POLA i90 4 SCALE : 1 " = 1 ' - 0" 2 SCALE : 1 " = 1 ' . 0" 1 SCALE : 1 " = 1 ' - 0" ARC DATE /'/TF 09-18-13 \G�PFtD W/<` CT DRAWNBY No. 1484 SHEET NO. o BOSTON, MASS. Z 55P� 14 ��FgCTH OF z�P • t • I � ECOND FLOG FIRST FLOOR v z z N rn e Y C 3 _ m GQ m � D n Aw D �o 0 N m a m N ECOND FLOG FIRST FLOOR tl trE Eg BE J[ 9 Z m P P P P P P P P P P P P P P P P P P P P P P P P P P P v o � v 0 o 0 N y. ^ m m c c m m g ' u z S R:o O Y D(n T cnz v 01 USf7TS em o y N g R E S I D E N C E F O R e ROYAL BARRY WILLS ASSOCIATES INC. v, o C L A R K E - S M I T H �y A R c H I T E C T S �%+ C 0 T U I T - M A 8NewbwyStmd•Boston,MA•617-266-5225 RidwdV4A.I.A. N y Q n 2 Z O> op f� so o1 IH HI HI H 14� v m m D y lk - lr D T M z m D > ;v p — > O 0 \ C) 0 A p \ D A I I O O / -n TI M M m m r r D D n n m m C 0 < z D z D r r r— 0 r 0 0 0 1 A � n m >I O Z T _ g,O� 7 , O D Ni 0 00 SEtiS y $ N S RESIDENCE F O R m ROYAL BARRY WILLS ASSOCIATES, INC. o� o C L A R K E - S M I T H wy n R c H I T E C T S o C 0 T U I T - M A 8 Newbiay Stmet-Boston,MA•617-26&5225 xichW wine,AJA W T ;vC D r nr � N mn � D � rn _ m D I D x Q, o• to p, ,n n V m D OCC 0 Z Wo 0 D No4 D 00 PO SEl TSn0 ol w C 00 •o 00 0 r 0 r n V) PO r) goD 4k Ln � D � o D 90 W 3 / -� W W D N N 7C•�7.'O o. G� m / 00n_m (� -<-<=r-- m C7 ��m-<-� D D D O°Z�O S0 N ; D TT 0z rn Z O 0 m mm Z Z D r N RESIDE NCE FOR ROYAL BARRY WILLS ASSOCIATES, INC. A R C H I T E C T S C L A R K E S M I T H C 0 T U I T M A P 8 Newbury Sued•Boston,MA•617-266-5225 Ri"d Wills,AJ A. \`— t r ttc� t [ {tijl;j[ �iP�gP [ �tt7;i [� Ff�[ Fi�t; 1 ;! `1\ ------------ - ��if:� [ [P# i tP� IY� €it �� PI� 1 ��A�4F{EIFFEtFIff� \ F------------- fit \OI 1 1 1 1 \ ` 1 •_---�1 sP 1 l 1 ` \1 `1 1 sa��•�$ 1 1 s i \ 1 4 1 \ \ \ I I \ 1 \ 1 I I I 1 \ I ----J I , --------------' I . I I I I I I i I I I , I I L———————————————————————- � I I I IL ---------------------- I I , -----------J ' I--------------- I ' -- I I I I I I I I I I I S' I —____ ' I I I ,__—_— I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I � I I I co I � I I I I I I D I , I to m I I I \ \ I ---------------------------------, ` FJ, `----------------4---------------I ' I-------------- m I 1 }� ----, N 1 \ I I ` ' I \ 2 �O . \ \ I I --------------------------------J I I o O W- � n 1 I L-------------------- A � 9 z OD c') L-------------------------� yV�c i TS R E S I D E N C E F O R and ROYAL BARRY WILLS ASSOCIATES, INC. Woo C L A R K E - S M I T H W� A x c ti t T E c T s 00 15 .. ` W C 0 T U I T MA 81Vesvbuty Spat•Badtoq MA•617-2665225 Aiebatd W>7h,A.LA. ELECTRCAL LECENO I 4rr ,[ffitL S6 s W STUDY/ F ii = OFFICE #2 M. CROWN s CA F • ...e. -0 ....... PORCH 1 ATH #2 6 _ /u\ � �.. BATH# qm BEDROOM #1 w I.C. #1 ( GREAT ROOM BEDROOM #2 � •�s�ra�a:s.. •••• ••••• ••• DATE/MSMFOR:. 8•s I.c. BID SET: 091813 e S UDY/OFFICE #1 cLosET o i i ZX N N e s =___= a LAV. REF. • RECE TION i pt KITCHEN ! PANTRY i r u � FAMILY ROO re M Fl. (, i a To Fawm � MUDR00 UP �s s 1 O tt u- Q a LAUNDRY\m ,a j' N g Lu Baa is U r W LLI • L•I � O Y H :.� M DROO 4 N O � .: LLJ �I Q CAR G RAGE 4 e r J ,, `` ARC,/ U � G�Prc� wit TFc�. No. 1484 r OMOLNO \ BOSTOMASSNI J� 2990 Zm.m , oy DATE o.mo.Pbmm 10-23-13 .t cS ;l �9�.TH OF.MPV DBAWNBY SHEET N0. FIRST FLOOR ELECTRICAL P L A N SCALE : 1/4"= 1'-0" 19 ELECfRCIl LEfBD N� S y wr. _Mary D i�td Ne.-b 9�W-Bt��-�.W�MlLL-Ol+b' � bhNa IbahsN�d.0 m.�EmJuJnCYb~ A. 4 °'H.�wa a p....u�...a Aeye...e V Gn s. O ti m ,-,,, • Chi m �.r • 1}Z•b_� '•�• UNFINISHED ATTIC _-- _ ATTIC ACCESS '�M�L�.r9G17'O:-Li-1 m Ta�YI'I❑ --------- • DATE I ISSM F08 BEDROOM #3 BEDROOM #4 CEDAR CLOSET .I.C.# Arne AccEss BID 9Bi: BATH#3 09t813 9 • — • 870 RAGE CHIMNEY I p I vl (� V' r d N r �` — I T� Fl. ATTIC ACCE681 e 8 OPEN LINEN j • ATTI ACCESS (� BH ELVES ' LOW STORIGE I = i LL I ' I (ibsmn j �oq Fhpl Fl. O I I I I Q 1 i I i LL U � Z � W W - - Y � U O W U Q J F E ARC/.,� U BARD N NO. 1484 V' DOW NO BOSTON, iz 2990 3 MASS. `� O� ZJ DATE OF'MPSSP° 10-23-13 DRAWNBY TTF SMT NO. SECOND FLOOR ELECTRICAL PLAN SCALE : 114" = 1'-0" 20 __ U -� � '� o � P d —b � S N � � � Jr �� °� � � � 3 � � .� --� Ga � `� 3 � � ® � I � � � r �. ,. .� ASSESSORS REF.: ZONE: = a -- o •r� Map 007, Parcel 030 �o°_• RF (RPOD) Area (min.) 87,120 SF c° OVERLAY DISTRICT: Fronta e (min) 150' Width min) 125' - AP — Aquifer Protection District Setbacks: o Estuarine Watershed Front 30' Side 15' Rear 15' G ' FLOOD ZONE: Zone C 0 f'• REFERENCES: Community Panel No. N #250001 0021 D �� Z ��7' a ' July 2, 1992 Deed Book 153211043 0 u �'' �� ,t •'°•o a Plan Book 260170 ° o --- - - 257128 °Q �'. •°o �� ^ .� 'rr j " 1591117 LOCATION MAP: AC B. S79'46'0 "E Scale: 1" = 2000't ND ` 290.8!T DHCB H&T FND FND I HIT I- - - - - - - - - - - - - - - - - - - = - - - - - - -.- - - - - - - - - - 44.6 I I / I � � I I I CU 00 cc ' �0 I CU m of I �� I to Existing 0 00 I Concrete -2 I Foundation ' DH CB I FND` I IRON PIPE 3 N o 5-7A 582 I 0 r — ,III 21.2/ 0, _ N '46'00" S79'46'00"E 15.00'i IRON 125.89' PIPE �3 I FND co oM � �o N � N — — — — — — — — — — —�2 V i 150.00' i FND N79'46'00"W DHCB i FND w o N o at of o if1 z w o - .4. o Go i O N Z 3 1 o DHC a; FNI o 0 N OF 444s0 � 0 5a2 JOHN o O'DEA c� CIVIL Cn DHC l No.48168 FNq A5 99, — CB 90�9FG/STo ��Q 9 13 DFND 1 certify that the New Concrete ~`�j••R ER` } Foundation shown hereon conforms to the setback requirements of the Zoning San Bylaws of the Town of Barnstable. VA' This construction is not located in the 100 year Roodplain. 711>F: Site Plan PREPARED BY.. PREPARED FOR: NOTES Certified As Built Sullivan Engineering,Inc. Steve Clark 1.) The structures shown were located on the = PO Box 659 ground by conventional survey methods on or m At OsterrUle, MA 02655 41 Brewster Rd between 12/APR/13 and 4/MAR/14, tsoe,•W-.>s••t�eN��.° Cohasset, MA 02025 541 Santuit Rd 2.) The property line information shown hereon arnstae, (..it) Mass. 30 was compiled from available record information. O Draft: �,� � a ,5 DATE March 31, 2014 SCALE. I" _ 30, Review: roD Project r.330002—CLARKE D.OHERTY POOL & SPA SOUTH EA S TON, MA 1 CENTRAL DRAIN D:ETIAL, • 508-238- 1941 DETAIL NOT TO SCALE SLAS7ER 77V1 PER MIN 2" CODER OVER ALL REBAR AN/AFMMr CODER FIELD PLACED NVAL PA JFj REBAR 12" GUN/TE CGWCRETE i O.C.E.W. M/XTi1RE. MIN 6" THICK. 4000 PS/® 28—DA YS I — awfcrtAr ro Ixlm � I�3'i C SroNE All.IAYX/ND TYPICAL CROSS SECT/ON O DRAIN COLLECTION SUMP �t (2 REQUIRED .Y-O" O.C. c� d z 3,_O„ (o .r I dE3 REBAR 12" O.C.E.W. • .i I (2) CENTRAL DRNIVS, l�p r 3, OC. TYPICAL CROSS SECT/ON a o. . =; 4 POOL z!'j Ilk PLAN V:FEW Y ; PRo�Ec r. -------------- SCALE.- DRAWN B K SDC AS-NOTED DA TE.- APPROVED .BY STUART D. •� . $ 1 �" SOC JD CLARK o CMS -' No. 4 9 124 PADEUORD STREET. �o��F NG� 111t•L f G, � BERKLEY,MASSACI I[1SE'ITS .:. . / AL PH: 508-813-9037 FAX: 508-880-9323 email: stulclark@comcast.net t . 1+ � I 1 t,.� i., v r �' .rr Sl}i�s 1�t�: l � 1k i� �1 ,: � - , � �., . r ,� c" . J! P { WC6 S79-46 0 "E / / / ZONE: FND .1 BENCNIMARK 290.89 DHCB / i H&T / 1 RF (RPOD) CONC. BND. FNO l / ND/ / J ABUTTERS Area (min.) 87,120 Sr EL. 34. 0 t NIT \ / } FENCE Widths min)1125150' l � mz ` .._. ..._. .._. � - ._ ..... - .� _. �. - - _.. ...., .� - - ..... - - ._ - .� - _. � ._ - - •--� - - - -- - - � ` - -( � � -�� -� . 1 Front 30' - --s I ` \ \ \ \ \ \ I /' t + Side 15' I , \ \ \ \ ` l T E ! Rear 15' PROPOSE �^; C �C t ! ! SEPTIC ----- \ \ I OVERLAY DISTRICT: ' AP - Aquifer Protection District ! \ TANK A `Y' \� ` .' I 1 Estuarine Watershed " oN FLOOD ZONE:OO � \•..,�` ` \ j \ Zone B � > lv \ \ \ \ ` �' ` Communit Panel No. 5i hl O m `�.. \ \ \ \ \ \r �i a \ y LOCATION MAP o ! V \ \ \ \ V, cr \ \1 _ p250001 0021 D „ � / ! rr1 b ,USED •`'`' \ '�. \\. \ \ \ \ \�a�,' July 2, 1992 (1 =2000f) �- / , p�p�p . .:_ ` \ \ \ \� \\ \\ �\ �I� ASSESSORS REF.: «� I `� , ,_ p_gOX --` \ \ \� \ \�- o REFERENCES: Map 007, Parcel 030 \ \ \ \'Ilk Deed Book 15321/043 Pion Book 260/70 257/28 1591117 SEPTIC NOTES ICU 0 1.Location of utt7lties Shown on This Plan Are Apprm AtLesst72 Hours M TN~2 TM- / q /4 1 t -` \ �`U .? \ \ \ \\ \\ \ \' \\ Priorto Any Excavation ForThis Project eke Contractor Shall Make to �_---W I / /� O © U� �'� , �� ` C \ \ \ \ \\ \ \ the Revd Nots$tati�to Dig Safe(1-888-344- (7 ^.'"- , 0 // :tl 4 r Mk, \ v�LbW \ \ \ 2 Contractor is Retluirtd to Secure Appropriate Permits Fro m Town r- T r- 'T-�-!f / 1;` �) -4 \ ; \ TBAC S \ 3.Wherever Sewer Lines Must Cross water Supply Tares Both Lines shall z ! ,� / / W" r- •rC-,- r �`^� 9\ \ \ \ \ (,B Be Constructed ofaass 150 Pressure Pipe and Shall be waterTested to y/ w Z Assure watertightness. In General,water Lines Shall be Contrasted in mp \ \ ' , FN D Coordatatian with ODUAt water,and Shall be in Accordance Rrth 248 ChM 1.00-7.00&310 CAR 15.00. �°n 4.A Wmimum of 9"of Cover is R for eats. s.An Buried 2O 0rms or Subject ON tov�T to� 1 a1ttisEngers (a E \ r Recommendation that H 20 Always be used ✓, W 6.Iastall water fight Risers and Covers to Within 6"ofFin ti ished rade \F 2'lk 2 + !N� -dam Over Septic Tank Inlet and Oatkt,D-Boat,arid One[.etching Chamber. .- 7.Septic System to be Installed in Accordance with 310 CM 15.00& 'Poe S$ p1 ABUTTERS tzf , / '" "� \ \ 32. SHED to Q 24g CMR 1.00.7.0o Latest Revision and the Town of Bamstable N Board of Health ReSdatiom t;� 8.All Pipitug>b be Sch 40 PVC. / , p 9.]).Box Shall Hive a Minimum Inside Dimension of 12",and a Milmum Sump of6". 10.! The Separation Distance Between the Septic Tank Inlets and S79'46'0�"E Outlets Shalt beNo Less then the Ligald Depth.WetTees Shalt Extend 1 1 IRON , 125.89, �� aR�ioimumof10"Below the Flow Lhm Outlet Ten Shall xtmd14" IPA / ( p Below the Now Line,and Shallbe Equiped With a Gas Baffle FND o0 0 j (d- / 1 DESIGN DATA 00 \ ' SingleFamit�r �- O N \ ( • o Orb m D Orbder (n Fn&h Cmde { TotdDaOyFlow-440OPD - 1tl t r I- - -- - - --' I t y- �- - - - - - - � � Usea15WCWSe0*Tah ca: ootedFm N row LEACHING AREA f�d/r 440OPDf0.74(LTAR)-595SFRequired Peo Stone ' \ -.. � t Sidewall-2(i2'-10'+33'�"}2' 185SF 3/4'- f f/1' / 150.00 11 BottomAtea�(12=10"x33 6')�430SF LEAMNG Double wosned ( \ I / TotalPmvided-615SF MAMBER Stone DNCB N79'46'00"W \ ✓I Q LEACHING CHAMBER DESIGN FND \ IFND I s Gall c hsa �.-.-- _,. _ ter- \ � f f2 f0' \ \ / 12%1V x 33'-e washed Stone FkV as Shown ( I CROSS SECTION OF CHAMBER \ I NOT TO SCALE P RC TEST: 14 078 '' I E i PERFORMED BY:JOHN OMft PB-SULI VAN ENGINE \ W l F.G EL J2tX1 SOILEVAMATORN0.2911 ) Wft14 mm BY:DOMA WORANDI,R.S.-TOWN OF EMMAB[B ` I See Note 8(fyp) IMY2$,2013 I Q W Fa EL. J3.00"- •Fbal Foundation Grodiny To Be Coordboted Kith Londseope Plan rn TEST HOLE-1 E1 312 T$ST HOLE2 EI 312 TEST DOLE-3 EL 32 2 TEST HOLE-4 BL 32Z EL 29 Flow Equoirers (} .7 f As Rwk d a �- instoAer ro two Cotton r Confirm Pr or z o0 :'-S1hL'•' t' T ion •'•Fill,': 111 Sep ra wrk 5 -' .a¢„ To Any Work ,�. '•32.0 - R Tr 2 N 20 ed 2" 29 7 t Sea Note U- 33 AB'LaeuYER 1 0 5 . 1 YR3t1'::•�:.�:.• 0 I•2;ul.YER �.•:RB ...........,A'S1.1K,YffiG10YR3d:'::::•�:: .......,.•.A8'LityFR10IZR,3l1':::::::': ......... ......... tt$RY77AR1CCiitltY::::. . :. YBRx'DAR1CziRHY:::::::.: YBlY1G'DARICARF3Y:::.::::. ::•:.::::.YERSC'DARICORBY:::::::::: '" �� Leaching ...................................... .............. .... ...... ,.. " .............. Y a� LOARQYSAND::::::::•::: 7 LAANbYSAND:::. :::::::29 �OA1k7f SAND 16 " L OAfdSF3AND: ::::. :: 1 s t„R R ro Be k,stoped on txwrnber h' :.B.LAYHR10YR4J?< :'::::::. or.a ore a e P BrAYERwYxtSJx:::. :. :. B.1;AYERsoYltbf8. ::::::.: B1AxliEt.. 6f8::::::. :. ..... w j PLIES - -- - - om ..........$Raw.Nls11.Y�ttaw........ :.�.�:::::aRb'.arr11§x.Y>it:.tbzV.• • :•::.�::::1�Rowl�sil.'kElydv►:••:::•:•::•:: •..:::::::�Rb :i.E1.La�•::.:�::: r , •;� - �w� 3" .............1EJAMXA�ID':::ti:: ::::. 5 40" ..............11Y '::::::::::.: $ 1 " ..-_:cam: L3IIMitJi(#UJl:::::::::.30.7zo .... 13At�it§ : r { 3os p SULLIVAN inspection Parr :err re t �......iWit? t CJ Borreis try �' C LAYER 10YR 716 C LAYE R 10YR7f6 C LAYER lOYR 7f6 C LAYER IOYR 7!6 � as Per T,Ne 5 _�iid tt #iF aX iLia:iSrsT itin Vi YE1J ow YELLOW YELLOW YELLOW d ( _ -w MBD SAND bM.SAND NW.SAND NM.SAND 2- ,,,� ; ems, _�::.--.-•.::......_ PERCTEST PERCTBSf p err£ Ct" �'`.�t EL 202 No Groundwater 25OA11,ONS GONE 144M01. 2S OALLONSOONS iN4MM. Per Tart Hole f is2 201 13 " FERCRATB e2MRM TAR-0.74 20.2 1 o" PERCRAMC MikM TAR-0.74 22.2 120" 2zz z I � DEVELOPED PROFILE OF SYSTEM NOGROUMWAITaENCOUNiMIUM NOGR A MCMWFMW N GROUND AM NOGROUNDWATERERMUNTEM E ��* �' _ Ground"Per T.0.8ter Stondord NOT TO SCALE SITE PASSED SANTUIT D 177tE; Site l r n PREPARED BY' PREPARED FOR: NOTES: Sullivan Engineering, Inc. n The structures shown were located Proposed improvementsti V g g it STEPHEN CLARKE an the ground by weer conventional I13 Z 1 methods on or between 05 APR 13 m �, PO BOX 659 41 Bre Ws f er Rd and 10/APR/13. Ostervllle, MA 02655 n /'��} 2.) The property line information shown 541 Rd Coh asse MA 02025 hereon was compiled from availableSantuit (508)428-3344 (508)428-9617 fax s record information. O 3.) The datum used is an assumed Bamb,fttable (Cotult) S . 20 0 10 20 40 80 NGVD 1929, from the town of Draft: . CTR Field: JOD/WK/CTR Barnstable CIS map. DATE: ��o, zo�t��u SCALE: �►-�zo' Review: PS Comp.: WK 90 �y Project: 33002_Clorke Drawing.