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0334 COTUIT BAY DRIVE
�p✓ r + � � Si \' i r . 1 }' a i -♦ �ry�,,.;�„�.�,e .,..��.r-'. �..._ �..:.+-•,.. ....:-fit --.�.....+�-..s_ ..n:.✓:-,. ....=.r�r.'�. _ - hx •..++�wr.I.►+...« _ - i'+M�4.i4'a�sR'Cddb � �,3 �--.;yT'Y�"�-�.o.�_'r �-^r-.'"'^^`�..... �.,ax-;. e_ � „, YOU WISH TO OPEN A BUSINESS? 4" For Your Information: Business certificates (cost$40.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L.-it does not give you permission to operate.) You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 st FI., 367 Main St., Hyannis, MA 02601 (Town Hall) and get the Business Certificate that is required by law. g03- 3-75( DATE: I 2- Fill in please: APPLICANT'S YOUR NAME/S: c C r�acl� �n 'rZ C3 rj x ` tzsi BU INESS YOUR HOME ADDRESS: 0,Q JnA i+ max,, Q No v-e I CZ+U' +- rn p O a co 35 "" TELEPHONE # Home Telephone Number _ cr cry NAME OF CORPORATION: q mai (. L NAME OF NEW BUSINESS cu (D TYPE OF BUSINESS Ola-4 s + Cra S �J IS THIS A HOME OCCUPATION? ' YES NO �� / ADDRESS OF BUSINESS MAP/PARCEL NUMBER D-5.7 DD b (Assessing) 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. You MUST GO TO 20QJMein St. - (corner of Yarmouth r usm ess Rd. &Main Street) to make sure you have the appropriate permits and licenses required to legally operate you in this town. 1. BUILDING COM ISSIO ER'SQFFIC MUST COMPLY WITH HOME OCCUPATION This individu e infor�d of ny e r i e en that pertain to this type of business. RULES AND REGULATIONS. FAILURE: TO COMPLY MAY RESULT IN FINES. Aft ri Si nab OMMENT l' 7 i Ck 2. BOAR OF I ALTW This individual has been informed of the permit requirements that pertain to this type of business. P q 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: Town of Barnstable Building Department Services 'THE Tp�y Brian Florence,CBO Building Commissioner RAMSTAat.e, 200 Main Street,Hyannis,MA 02601 Mass. 1639• ��� www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Approved: Fee: Permit#: HOME OCCUPATION REGISTRATION Date: 0 01 g a o Name: YY,\ C-c—r0.Cy-e—n Phone#: Address: 3�� C tAu LL Q 4 N_ Q\l V'P Village: l A- -hA t+ (Yl Name of Business: Lo_Y A S it as .S4yA-i y Type of Business: ax}.5 S Map/Lot: n S — d 0 (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 tbe.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 are 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 bg employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: YY1 C C J\-a, CQ-Q,_ Date: 1 2-$ 1 Homeoc.doc Rev.06/20/16 21 2017 10:42AM Tupper Construction Co. 15087785010 page 1 T U P P E R CONSTRUCTION CO.Lac 546A Higgins Crowell Rd,WEST YARMOUTH,MA 02673 PHONE: 508-778-0111 FAX: 508-778-5010 WWW.TUPPERCO.COM Date: �� -� IP 7 Town of Barnstable Thomas Perry CBO �? 200 Main Street Hyannis, Ma 02601 = u (508) 790-6230 fax a , Re: Insulation Permits Dear Mr. Perry This affidavit is to certify that all work completed for permit application # 6 - I T T, I Issued on ( All 7 , has been inspected" by a certified Building Performance Institute (BPI) inspector. All work performed meets or exceeds Federal and State requirements. Sincerely, Address: i Richard Tupper License # CS-69058 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION (('''��LJ//�� 12—MAt V �cY Map Parcel Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis: Project Streg#Address Village T. Owner 4id)Md 12?G Address'f3 Telephone Permit Requ st zz&kv r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation sd Construction Type -W Lot Size Grandfathered: ❑Yes ❑ No If yes, attach lupporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King Highway: ❑ s ❑ No CM Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other r Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name I /G/"Jlt�` Telephone Number azz Addres (rCtJehdam- License # Home Improvement Contractor#Zg�(J� Email Worker's Compensation ( ALL C NSTRUCTI N DEBRIS RESULTING F M THIS PROJECT WILL BE TAKEN TO W f- _D / �J SIGNATURE DATE y FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED t .. MAP 1 PARCEL N0. ADDRESS ` VILLAGE OWNER DATE OF INSPECTION: FOUNDATION s FRAME INSULATION FIREPLACE ELECTRICAL ROUGH FINAL ` PLUMBING: ROUGH FINAL GAS: ROUGH- FINAL FINAL BUILDING DATE CLOSED OUT ' ' AS:SQCIATION PLAN NO. Town of Barnstable °. Regulatory Services ,M Richard V-Scab,Director Building Division Tom Perry,Building(:o�oner 200 Main Suzy,I$yanra5,MA 02601 www.town barnstable-ma-us Office: 508-862-4038 F.WC 50&79D-6230 Propel ty Owner Must Complete and Sign This Section IfUsing A Builder 9Richard McCrcken ,asOwmrofthesubjecdpropeny herrj�yau&c)xiz..e ` Tupper Construction w ar-t on rybehalf, in A matters relative to work authorized by ti is buLling permit application for 334 Cotuit Bay Shores Cotuit, MA - -- (Address of Job) "-Pool fences and alarms are the responsi—b tyof the applicant. fools are not to be filled or utilised before fence is installed and all fin l inspections are performed and accepted_ r Signamue of Owner SiPature of Applicant Richard McCracken Print Name Print Narne 05-23-2017 Date Q:>;ouxaso����tssto�urc�as � TTfe CommenweAft affimaAtywor D4m*ft=tof1fi&fi* rAcc1Wc:nte I Conger site zoo B03004 AM 02lz¢2017 wwre Mass govlaa comrem.�eII hauraoce AtHdaft SWMe WCo-ftct1,dEtt: W u bwL To U PMM WPPA TU PSG AUTHORM. Name t ' Airapanrtnely m►en: Tupper Cashictim co LLC RIM t Leaffity Addtms: 546A Higgins Gr"au lid City/StUw7ip: West Yarmouth,MA 02873 Phone#• 5os-M-0111 Atvt yo.ae gars t�aelt eta appt�n baz 1.Qr t am a CMptaytrwhh 10 a"Yaq(full and/or tntPtima).s 7�pe of tact(requlm): 201amsP abip sad hats ao anployeea oQ tarme b, 7. ❑New emtatructhm gyp,toamaaao required.] B. Remodeling 3.D 1 a a a hoeteow,er dDIAg @R_*tt>yf DIC vwkan,camp. ❑Demolition 4.❑1 sat a homaoarmor„�wiD be hMrtc soaoaefata to eamuerau wndt om my Pt Y. I'M 10❑Buf Idmg addition Aw ere Nt.t aU ooatnctasa Oda have woean,eompana�oa lnsaaatm o;aR 0* ^proxkt n via tm empbYwa. 11.0 Electrical repairs or additions SL T� .h- �ud The.Wwd the snb.eaatneton Woad en the atw duet 12.[]Plumbing rppaim or additions CMpMva ad bava woeka.comp.Iaumnwt 13.❑Roof repairs 6.Q We are a antporatica sad for oflh"=have caerdled thou tigt afnago=yet MaL e. 14.Q✓Other WeatllertzsWn UZ 11(4).and we haw ao mV10yam 1No N64M,comp.buanmeo mqu md.] Amy spplieaattbat cbacim 1�cpt�Yt mswt tbo till out the aoalom bebw 4wwiea ewk vvdhmt'om sal POKY MM"M ea. 'lrmmawaao who a a it tots dRft it mdt ff ft*W ere dales stl watt abd d=Ww ondida aoakaetots must mbmit a near aot&va tCeazraaaa dw ebeck this ban mad ataebsd aaddidand dw d�&g llama of tba sub_eooltooton ad date whetba or mt those erg mek. eatployoea. (f mo sd►eoaaappra ha s OMPIOyees,dte�r n=pu"ide tttltr wadm'comp. :amber. Ian an rt tis tc�ei#ros'�� frrforr Ad&% J�My emplayeeL Rdew it d wpofigy Md jab rhea hwu ance Company Name:AEIC Policy#or Self-ins.Lie.#: WCC50055930 t=16A 10/3117 Job sloeAddreas; 334 Cotuit Bay Dr ' 2653 Attach a cop'of ttte war . oampmsdon prey dwlwx i®n POP(Sho o p: Co MA m ftu Failttna to secure cov ��Po�Y amnbar it and eapira�on date). as requ�d under MCiL c,152,§25A is a criminal violation punislmWe by a firm up to$1,500.00 and/or onayear irnPd==wd,ae well se vital penalties inthe farm of a STOP WORK ORDER and a Anof up to$250A a day agairld the v]olstw.A copy oftiti$matanwtt may be s coverage verification. urwat&d to the Office of Inveedgetioas of the DIA for h wranoe I do hffaby eperjauy dkat Of ta!OBNddd r prod eba w&sue and comma si 6/1/17 508-778-0111 Of'tdd an Q* Do aa1 trrfde In Qik or-arts be com pfetad by soy or tbtvn•fflefd City or Town: P�# INU109 Authorhy(elrds aner 1.Doard of Htv<1W 2.DuNlog DepartwMA 3.Cityfrown Clerk 4.Elect Affil Inqueler S.Plummeg Inspeeter 6.Other ConfaetPrrtoa: Phone#. I A4 H CERTIFICATE OF LIABILITY INSURANCE °A�(M�"°°"Y"'' il/28/2016 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: ff the certificate holder is an ADDITIONAL INSURED,the POIICY0es)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemen s. PRODUCER Ashley Paiva Southeastern Insurance Agency, Inc. PHONE (508)997-6061 FAX I508)990-2731 439 State Rd. IL No P.O. Box 79398 AD Ess:apaiva@southeasternins.com INSURE AFFORDING COVERAGE NAIC 9 North Dartmouth MR 02747 INSURED INSURERAArbella Protection Insurance 41360 Tupper Construction CO LLC INSURER a$06tton Insurance Brokerage Inc : 546A Higgins Crowell Road 1NSURERC INSURER : INSURER E: West Yarmouth MA 02673 1 u RF: COVERAGES CERTIFICATE NUMBER:2016-17 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 AD SUBS- LTR TYPE OF INSURANCE MPO�LIICY EFF POLICY EXP LIMITSPoucyn rwuMeER X COMMERCIAL GENERAL LIABILITY A CLAIMS-MADE OCCUR DAMAGE E TORcNEED S 11000,000 EREhdISES(Ea occurrence) S 100,000 9520045208 11/1/2016 11/1/2017 NED EXP(Arty oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEPrL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 X POLICY❑JECT LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: S AUTOMOBILE LIABILITY Ea MEIee cidemN I GLE UM y 1,000,000 A ANY AUTO BODILY INJURY(Per person) S ALL OWNEDX AUTOS ED IL0200119389 12/1/2016 12/1/2017 130DILY INJURY(Peraodderd) S Ix HIRED AUTOS X UTOS�ED PROPE tlTY DAMAGE $ Urensured motorist BI a Gt Umft $ 250,000 UMBRELLA UAB X OCCUR EACH OCCURRENCE S 1 000 00o A EXCESS LIAR CLAIMS-MADE AGGREGATE S DEC) RETENTIONS 4600056368 11/1/2016 11/1/2017 S WORKERS COMPENSATION AND EMPLOYERS,LIABILITY PER 7H- Y1 N STATUE E ANY PROPRIETORIPARTNERIEXECUTIVE OFFtCEWMEMBEREXCLUDED? NIA E.L.EACH ACCIDENT S 21000,000 B (Mandatory In NH) WCCS005593012016A 10/3/2016 10/3/2017 describe E.L.DISEASE-FA EMPLOYE S 1,000,000 If Ydescribe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 1.000400 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,AddlUorm Rama"Sewule,maybe attached N mots apace to required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display purposes Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I Ashley Paiva/AMP ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025/9M4n1, I. Office of ConsumerC�/9 Affairs and Business Regulation 10 Park Plaza- Suite S 170 Boston,Massachusetts 02116 Home Improvement Contactor Registration Registration: 178434 Too: LLC TUPPER CONSTRUCTION CO, LLC. E"jDn 4rlttr�ols Th8 a1IilZ91 RICHARD TUPPER - _ 546 A HIGGINS CROWALL RD ►-� W. YARMOUTH, MA 02673 Update Address and return card,Mark raven for estrange, L- Address Rmewal ❑ Rmployment 1Loet Card .per /fir b`nNrunanirrrl��r��llri+nN�i�Jr//� - CREMN&i�d Otllee ofCoasamtrAl!>ttn&Bns�a�l aoa Lioenae or reostration Valid for iadioduai an only HOME IAfPROVEMENT CONTRACTOR before IN expiration date Mound return to: ftgWradom 17"U Type: olgfce Of Coswimer Affdn and$031nen Regulation Ekptrudom 4116 018 LLC !O _gnEe$170 UPPER OWSTRUCTION Cp,LLC. y, :!CHARD TUPPER 48 A HIGGIM CROWELL i D I.YARMOUTH.MA 028 , Underyeerepiry Not wigtout swurlure s 8, pwro �tsnoi8 = eul� W Ino .usxepLsq Rioh�d4�1L BWLDINQ PERFORMgNM INSTI'n M INC ' tee aoF V11ftlulmd , Massachusetts Department of Public Safety t�r)1 Board of Building Regulation$and Standards - 5.0%p aft Impo1e?)of t License:CS48808 Construction Supervisor + RICHARD 8 TRIPPER 1 6"AHINit"CROWE LIWAD WEST YARMOUTH MA t UIM I � 1,111, Giff"MOM artfnililta, oft ia0lsl;tiollgst;� ! ` '!;�,+tl�c •%ems'-- Expiration: j Con+R+iaaloner 1�3�12p48 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map 019-5 Parcel f/01CP Application #-(D Health Division Date Issued S vllly Conservation Division Application Fee l'-4��o V Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 331 Co+ui+ Rd Village /t CC+U;i- Owner Gro kam 142rr,'son Address 33y coivi f (3A7 G,fiu,'t Telephone_ �50%) -7-7(o -LO12— Permit Request #?' P l.m y u WPM<4vr -ra FT-)( tf&j'pg?J u*m Square feet: 1 st floor: existing�ropose 5 2nd floor: existing proposed Total new Zoning District P\A Flood Plain Groundwater Overlay Project ValuationT 3 3 Construction Type Lot Size Grandfathered: ❑Yes JNo If yes, attach supporting documentation. Dwelling Type: Single Family 7—Two Family ❑` Multi-Family (# units) Age of Existing StructLire Historic House: ❑Yes LV/No On Old King's Highway: ❑Yes ® No Basement Type: I( Full ❑ Crawl ❑ Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new © Half: existing ri new 0 Number of Bedrooms: existing b new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas 0 Oil ❑ Electric ❑ Other � o Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: U-Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn O existing_0 neW size_ Attached garage: 0 existing 0 new size _Shed: Yexisting ❑ new size _ Other: co Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ ' cT Commercial ❑Yes o If yes, site plan review # Current Use �`'t Proposed Use gj" APPLICANT INFORMATION � (BUILDER OR HOMEOWNER) Name ( M7- T (ZATM N ©�, JI 3 3 s y b t 3 Telephone umber Address License # ?J b 51 S Md�(LS fir pa,('aS U Home Improvement Contractor Email Worker's Compensation # V c� -Su q(o u f Z.o 1,3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?uw5fyi t - SIGNATURE DATE 51 l l _ l FOR OFFICIAL USE ONLY APPLICATION# b DATE ISSUED F MAP/PARCEL NO. { ADDRESS VILLAGE OWNER ` E DATE OF INSPECTION: ' f FOUNDATION 'k FRAME INSULATION FIREPLACE 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING& f��3� DATE CLOSED OUT ASSOCIATION PLAN NO. 4 I the Canimomveakh o,f Massacknsetts DVarhawt v,f Indarstyid Accidenft h�L Of.face of Inmtigations 60 Washutgton,S`teet Boston,M4 02111 wet m nrax&govldia Workers' Compensation Insurance Affidavit Buiders/Contractors/Biecb icians/Phmbers Applicant Information Please Prhmt LeMMy Naille(Busiues,tOrpnization(f3d iduai)_ A &ess: 3 y C mm- e6At i City/Sta&Zip: C-JIIJ&f r eA A Phone 4 L5091 VT-7(a Z 2 Are an employer?Check the appropriate bai: Type of project r ypE p ! ( equired)c 1. I am a employer with �L- 4. ❑ I am a general contractor and I employees(full andfor 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 4 Thy sub-contractors have g.- ❑Demolition working��;�� for me y capacity.in anemployees and.have Workers' c insurance.? g- ❑Building addition [No Workers' comp_insurance comp- 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 1€ o workers' right of exemption per MGL myself. [N _gip- 12..❑Roof repairs insurance re 6 c.152,§1(4X and we have no ,�� d] employees-[No workers' 13_L�'O.ticer comp.insurance required-] !Any apphcwt that checks boa--1 Est also fill out the section below showingffa&wodrer!V campensation policy inf=xtim t HomeoRmers who submit this affids it moticating they are doing aH work and then bile outside contractors Est submit a new affidavit indicating sorb rCentrwton that rhark this bout mast attached 211 additiounl sheet shauing the name of the sub-comtrwim and state whether ornot those eniitces have employees.Ifthesab-�ontactors.have employees,they must provide their workers'comp.policy number. lam are ernplo�t er that ispratdding workers'compensation inmirance for my enrployeex Below is the palicy and job site informatiom jnonrance Company Nance: SP• � SV p Policy#or Self-ins-Lic-9: W G- ®0 41-4Q 1 1-0 13 1 xpirationDate: Job Site Address: 33 Lf 6A r City/Statel2:tp: 04 q Attach a copy of the workers'compensation.policP declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to,S 1,500.00 amVor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the idolator_ Be advised that a copy of this statement may be forwarded to the Office of Tuvestigations of the DIA for insurance coverage verification_ T do hereby certify under the pains andpenalfies ofpedwy-thatfhe irtformation prodded abm a is 1 w..and correct Signature- - Date: 5 l ( (? Phone 9- Official use onky. Do not write in this area,to be completed by city or torn official City or Tomm: PermitUcense 4 Issuing Authority(circle one): 11 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone!#: - — — - 6 MVAEl6HAN CERTIFICATE OF UABIUTY INSURANCE TM C MMrA M iS NMED:i AS A MATTER OF ATM OMY AND COBS E40 Rtati'T,UPON THE CERTNICAT E HOLDER.TWS CMff $LATE DOES NOT AffffWATWaY OR NEGATM9.Y AMEK% EXTEND.OR ALUM THE COVEtt M AFF01WED BY THE POLICIES BE1.0R}I!. MS 'M OF DIAAKCl: DOES K" CORSN TE A COurasAT BErAmm Tw t3.4mG Dom,AmmoRm R83IMSE NTAIM OR MMUCEM AND THE ATE HOLOM HORTANT: 9 the catlkaft bolder Es anAWTTIONAL 09S11RE X Owpo j mug be endorsed.R SUORWATON IS�11ANED,secbim to the tabus and condftm of the.pol3-f.vertab poGdes any a an m A atatmeM an Oft caffflcate loss tot coder A"to the catty bolder in' o(sucb ems). "WOUCER as�tBy bm-Derde South OWWA16 MA 02860 Al MM. c DIV ERAm am# arsa2A:l Wn.Sbvd Anmwka Assurance Co. 09SUFM mmuma.Assodaled EW 4#w AWM himmme Co. Pabfcic R S Alex Rwwq mac: PA OW 016 Marstme WK SA 0260 _ E c: COVERAWS CIe tYN:.ATE TWS IS TO CERTTWY IMT nE PDEXXEsS OF OMUEVACE USTEED aIAiHAtfE 4 Di04l U ITSt.ittEP�iCYPE oexmym walvauismmm A f FJRRMMWM T13OA OR cm4of m OF ANY CCKnV TOROTftEit0 11 M CTTOVMCE IM CeRTEflClEM W"6E!SSUED OR MAY PERTANk nM E2?l.4EERANW AFFORDED BY INE POZ.i=DESCRUIED ftE3U3N(SStiBJECTTOAE1.TM7 EXCLUMM.MWCONDFFMMOFSUCHfGLXXMtMSSHOMM%YHA%SBMIREDWWSYPAIDCLWS. rMOF Laws OE RERALUAEQSY eu" a 1s A X ^t cowA meeitea mr�A Viia Ip3tf�t8 E !ffiti a g CLA IIaE t OCCUR tlEooa' aee a 10,004 s�orure:aaovosnaer a t Uw � a ascLELtarArraxsretr: r�trcas-t�0'A'PA66 a E.GO!$ X QaE� cac s AWN" eDaILYe1N81YURrpacsag s AAUfM AEtia6 enanrwtuof6Mr.�aw,y a iAistneAUMs s tacere "O" Ho"m s A23CROMW s a® s s B AEYPrAniTaBttAeRirr rra EEv2m EItBw" irLe=AQC�w t a g { a.HIA .; M.l I P—LCIMSE-EAELVVJ a 10D. M=OFOPERATl=bdw EL 92SEASE-2AOt1 Ukgr S i Oi<�1l000.i10N,42VE fAM�ra160�4R, ,Ila�w�rwSs�aQpQ� ' 2 CER7lFGATE HOLDM CANCELLATM _ — SHOULD ANY OF T) ABOVE DE'$C.'RWED P0UCM8 BE CANCELLED BEFORE 1W E WRAIM DATE V?EREOF. Kaff E Vri L BE DELMERED W IMCORGliRM 1lSI TEtE PaLwy PROV900M E i ADMIRED ACORN 26 O" The ACOM vww and lago ire regishmd teas of ACOf M 'TfiRlIGINGTON RANNEY + lwsW sly l�arstans AAills,tA9A 02698 Tel �U8.4287947 in Fax 50E428.7167 RENOVATIONS-ADDITIONS-CUSTOM HOMES April 21,2014 ESTIMATE Site:334 Cotuit Bay Dr,Cotuit;Harrison Graham,-contact Deb Schilling;508-776-1872; deb@onestophomes.com Install additional support to failing beam in basement • File for permit with the Town of Barnstable including fees and inspection meetings ........... S 200.00 • Jack hammer existing concrete pad in basement in preparation for new footing;hand excavate dirt;dispose of construction and dirt waste .................. ..................................................... $ 250.00 • Hand mix concrete,pour&smooth out new concrete footing to approx level of existing pad $ 250.00 • Jack up the failed beam as possible;install new lolly column for support........................ $ 475.00 Close m exotmg pocket door to garage • Remove existing pocket door interior&exterior trim;cut open gypsum wallboard on garage side to remove pocket door frame;dispose of construction waste(saving door in garage);install new framing where door and tracks were removed-,install R 13 bat insulation as per ARIA State Building Code 780 CMR;install new gypsum wallboard on both sides of frame;tape and plaster to Fainter-ready;broom sweep work area, painting is not included but can be provided at$45/hour+materials ------------------------------$ 1,425.00 Install fire rated egress door to garage • Remove existing door and trim between house and garage;dispose of waste;install new fire rated door with standard hardware(satin brass finish)as described,install new trim on both sides of door to match existing as closely as possible;painting is not included but can be provided at$45/hour+materials.. S 375.00 EEMY Der SySyr 2-6 X",WgM Hard lmv-ing.Theft a-Tri 90 Kin Firedoor( R 12-24) EmbassedWolded Open, no glass, 5=P1CHD,Single Din, Dauer Bore,2-3/8' BatilsLn. 2-1/8-Bo��.2-1/8`Deadbnit Dia,s u2-CQnw to Center. Nimed Pine 3arnbs, 4 9/16", No Casing, Tru-c*fense insvc7ng Campasite Ad,-u able,Sill Finish Mill, 3 Standard Hinges,Satin Brass(Zinc Dithrenate)-USZD, Brz Comp weatherswo, c i 4 � cr t • Material costs of Premium steel fire rated door with standard hardware ......................... $ 367.53 TOTAL LABOR&MATERIALS S 3,342.53 Initial deposit requested to schedule work $ 1,672. Due upon completion $ 1,670.53 +cost of door upgrade option if chosen OPTION: Upgrade fire rated door to Smooth Star Fiberglass fire rated,as described +4165 initial if option chosen - RMONEY +scrro��s�on�svn.>D�ers pax d Planbw of Burg!Associadw of Ham anblem-Ifars�a l3as�d�fs ems rA -6lorrae Beams d IBs+>nde s A mce �'BeEs�B B 7° O�iR RANNEY + ft MA 02648 Tel 508.4287147 11RININGTON F�x 508.428.7167 RENOVATIONS-ADOMONS-CUSTOM HOMES TheCapeCod Caqxmtersxom Harrison,beam&egress door ple�tmtaa�srmaasdmrma� , - Tlssest®aaeisvaSdamTDooem6er1i,�10I3 • Noaddmaro7 wort is mdaded m this estimae odes daaamed in wrium. Dcp&U and poymmts ase mt rule®less amwiseaeaed • Comm=isnm forairy otarocr lanfimparamddmefibaoana. Comactor is nor respmslefor toy d:avgr m iaomriarfiass4mg dm ma9 sea'I m he ooced m asapAea<smk. 10 mmata . . and rid items(m�dmg wordow;dtsas8 app6aaoes)w31 be maadaed dispa�6te orhaivtlirmed by pstpaty cawer. • Ptn"owner is respwrtsble far In cost asociated witb haadom matauh,lad.maaoy stem wafer pono6on or cater associated wit Aoffkm DesahTmes Aa retpitmmts doeoe�ry. Avq repair,maims err im>a0a6m dalam sy-sr®is dte rewoosaffiw dme prapaty 0"mr. • Customer is m scyply all pain if aoy is b&g®d(aolem ofawise gedfied) • Rupasy0waa eestlsafRaaeegd R mQhfa®limldesmayafplayasma0zi�®f4epaapafyc�egmedvaumaf�eav�assloaemaa�a8eq . • psopaty Owver h tesptostl le fQ any and d tssr�nr�t sne plan Cmsas 7mgg aallor mats ttera�y®asstciaaao wig avy tfm®y pe—rdess offift a tutted AO bwe impwement ommrms and s&=&arm s sha0 be re10s2aed by sht:Ilinmaratd any des alwn a mm=or sftmmarrsdaisg ma seta*Auld be dseoe I as Director lbme tspttvmettCeouscmrRe&aamgOneAslt ermephoc Rom 1301,boat®MA02109 • The prapeety omm hasffiaeday don oftlas amorm order MGL a 93.4;nG-L a 140D 10 orM.G I e2M,14 sappEdAa ARter3 days aD deposit and spacial order payments ate non- eefimd"t • ADvamunicsmdpsapatyoam'sd9b2swemsde The psoc or7DCM110.6 and MGLeIa2A • Aoy>hwatimardeciadmfiamaboce in-cdk geveaa�wiRb»�e®�a�gmaataRaiSoss.�ees�!ffi595:ODpermosarpbs .lYmstcf=m &mdlaborciaag<iAis edie UWpeasenomorethanm • histlnahFigDaaof the berm inprommetemo to almi.my md an mccesmy cnieumc6o,"daud pumi2r,in om com do de popury ummor scomm dwrorm coustrooficim4cheed pamsordedswiffi mtgt Gms they vnHbeesrlodsdfs®thebeyfmdprosisiaascMG-cIVs Work wi0be&nolzwr msummfsGamthei—cedaaymcccmyI i andwi0bemoplefndm htathmrm yens G®Ifie afsammmypts� • PapatyOwmesfad emmdm1 3aeo1sGrwodsddypea6otmedoWtemis®alima flffiehoaeoscm'spctpasy.0aves6seSpcmSbcfibrW k8dfi=mdmatomaRanmT&Riminbymmaymcurm co0enthestteri6 doe m Otis essitttaft The emsn mdmeptopatyostyterhaftt11000ya3¢isadeartr60inlbeeaemtherosmacaur has adtspmea dCsestirmacthemmaaorsaaysitsm* dispmemapmvaeaelitrai smiteavibhasbeeaw by flee 3 CFO= sofmtzmnl=98aasamd asprosi&d'm b&GL c 147A DO NOT SIGN THIS CONTRACT IF YOU HAVE NOT READ IT OR IF THERE ARE ANY BLANK SPACES 4121114 for Ranney&Rimington Custan Bars Date Property Owner Date RSNNLgY+RIMDIGTOR CUSTOM BUMDEIiS Proud Adember of Nabonal Assocs2tion of Horne Bar7de s•Home&riders Assocraboa of RfassachuseM'Name Btaldem&RasmdeW5 Rssoceaaort of Cagle Cod•semi B=Wew&sea;. 1�t Massachusetts -Department of Public Safety ' Board of Building Regulations and Standards t I � rf�zr�rrayrroerr///d n C��l�asscrc/ras�lt Office of Consumer Affairs&:Business Regulation Construction Supervisor OME IMPROVEMENT CONTRACTOR -088595 Typo: License: CS8 egistration: 144752 YP Ex iration: 1112/2014 D13A ALEXANDER M ' P ' 239 SCUDDER AXLE RANNEY&RIMINGTQN CUSTOM CARPENTRY " Hyannis MA 02 I ALEXANDER RANNEY — {� 239 SCUDDER AVE Expiration HYANNIS,MA 0260t Commissioner 04/18/2016 Undersecretary 3 i t i ° ° ° Unrestricted-Buildings of any use group which j s License or registration valid for mdividul use only contain less than 35,000 cubic feet(991m )of j enclosed space. i before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 y i i Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Not valid without signature For DPS Licensing information visit: www.Mass.Gov/DPS v I _. ...._ .. .._...._. . . .., i i { i i GARAGE &LAAUNDRY ROOM INCOMPLETE-� , : • TOWN OF BARNSTABLE Permit No. 26438 F ---------- ---- Building Inspector �a►us• i � Cash -------__—___pus. OCCUPANCY PERMIT Bond Issued to Graham 0. Harrison Address - lots 87 & 87A 334 Cotuit Bay 8rive, Cotuit Wiring Inspector _ --r, Inspection date l Plumbing Inspector -' Inspection date /-z Gas Inspector ��� B Inspection date J Engineering Department i9 ✓ Inspection date/� Board of Health `G� � ��U'W`��/1� Inspection date -7 THIS PERMIT WILL NOT/BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ............. ................ � .__.'!. .......... `.. Build irnb Inspector i _ i� - a f l.�y '9". C;., ,� .. ,C •a .i.5' J' W'"+: r: s,.�s-y� �� ,. ,.q:' .. � • < _ ray_'• 1 TOWN OF BARNSTABLE BUILDING DEPARTMENT »�T TOWN OFFICE BUILDING M1/l 79 i679 �� HYANNIS, MASS. 02601 n'Eo rnr►. i I MEMO TO: Town Clerk FROM: Building Department DATE: /A- /®— An 'Occupancy Permit has been/ issued for the building authorized by Building Permit #._... . .... Z... ».....»......................................................_...... .......................».._..... » issuedto ..... n ..........................................................»............ Please release the performance bond.�rJ Assessor's map and lot number .............. .. 41 THE Sewage Permit number ... ......................... .......... . ... .... 3 House nijmber ............................3.3...1�..............(. eAsa nnLE 9T , i q MMa t639- am AV TOWN OF BARNHST �,vBIBE - 4iM1 VIJ i,I� BUILDING INSPECTOR APPLICATION FOR PERMIT TO ....... `�P..... ......... ............................................... TYPE OF CONSTRUCTION L,bo :) .. .................. ........................................................................................................... ......: ................19.�. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: k? Location ..... ...F.. 24 .......:.C � - � k G3L Q ........................................" 7 ? ....................... . L ... r ProposedUse .........�5�17...W!;J ........................................................................................................................................ ZoningDistrict ....... .. ............................................................Fire District .. / . ..1........................................................ Nameof Owner .... ....... ...... ..... ................Address ............ ...�:............... ............................. Name of Builder ... ` &ko) -18 'PAO"JTO MS ►t,000 k/4 O Z04 . ........... .. ...........................Address ..: x ........................................ ..)... ..„,�1 W � 1,`..........Address ...:� . �� ..p UU. 1 Number of Rooms ......... ....................................................Foundation �JkxA Ioll (,3k". ...... 13.. .............................................................. Exterior ...... .....�.M(, -(CS........................Roofing .....J..3o Ih ...r6e"- ....... .............{......................................... ��Floors ....... ?°p.} ..v. ! .���. .wtiiL.. ..........Interior ' l:l j....................-......................................... Heating .............Plumbing ....... ..�. i'.�7 ............. ........:.....:....^.............. .... ............ . Fireplace M.FrSOe1. .......13RAC .......... . .................Approximate. Cost ......I O ...................................... .. p �. / Definitive Plan Approved by Planning Board -----------______-----------19_______. Area 5P �.I... !. .. Diagram of Lot and Building with Dimensions Fee ...........I . ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � .;1 0 ." O� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. l,�I Name .... . .6-Q!/ ............................................. ©Z2( � Construction Supervisor's License ...................(..o.............. HARRISON, GRAHAM O. 1 Sto No 26438....... Pe►`mit for ....z........ . ................. NI Single`Family.. � �,ulg. ....................... ,S Location Jots-7 Cotuit ............................................ ............................ Owner Graham 0.- 'HarriSQrI......................... Type of, Construction' ...F'Ks3M........................... Plot ............................ Lot ................................ } Permit Granted ...........�'..15 ..................19 �' Date of lnspectior✓.-.qY-. ......19 Date Completed :.. ra�1.- :. ........•19 �71J - r � .{.• 50 Q L—OT 8'7 Q � . . •-. �. �oT . 87 A 6� 6 II . .Lgts��%b.W�r: ��o'�'v 1T•- A S F'2:EF'A iz ED Fob.: i 3c ,c. �.^_ -• �►.4>-c. 84 L 1 SS :'`�� 2�jZ ;.PG. G G�t�H'AM. O• HA��ISoN �' siecFB�! ceC�"e�"Y T.!. AT. rNF 6cii�..Dnc✓G • Soot rorV�c/ Off/ 7 .//tiS bL FAN �S LOGAT�D 4PA T 4g, �.. a wry. -c8fae �n9ir�rir�9 , • � civic. �:vG..ve��es �;�� ��•�' [.'a.va st✓�v�syoQ� NIA/ I����7 � ` __ :•�20cJTE GA^-�.CMOc%7"�✓,,i�4A�3. � a�srG�• . ,lty. ��gft,ia at�tveyo•t Assessor's office (1st floor): Assessor's map and lot number ..... -�olo SEPTIC SYSTEMMnT� ••..•.IlVnT�.I�. ED IN COMPLIANCE e�Q Board of Health (3rd floor): Z,1 �' Sewage Permit number .....H.7y-$g4,.......$�... -> WITH TITLE 5 t Basa9?GDLL, •.iNV-�ONMENTAL CODE AND Engineering Department (3rd floor): 3,� oo 2639• 0� House number .........................................- ........................... TOWN REGULATIONS �0 mo 6, Definitive Plan Approved by Planning Boar_----------------_---------------19-------- APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00•2:00 P.M. only TOWN OF . BARNSTABLE a BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......... 1�4....................�...........•A�If7..................................................... �t,Af3 fla 61�a-o`cn�n--�C(�S Fc�.►� a oUwt,Juc_ CSo TYPEOF CONSTRUCTION .............................................J...................................a)....................... ....................... -V ............ .............. 19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location3 -Nir O .J. lr ,...................'f........� ....................... .CAN....... ....!�.......................................................................................... Proposed Use ................................................................................................................................................. ........n......... Zoning District .....``..............................................................Fire District ........t!:O71)IT Name of Owner ... ``... r.ZrJbAr i- I�(',lon�...Address ..... 33.`� co-"UN t— f3t�t{ Df= C"N,�<r Name of Builder ..`G3&.k. !`� ..."AA, Li Sj.......Address 6OK 5-I F M�ab�f 0(jtUj A,4t- C)-2 ....................... ./.................................. �...................... Nameof Architect .....................- ......................................Address ........................................ Number of Rooms ........... :.............Foundation ti............................ L % ....�:�.........F?.�...... ................. Exterior .......... 1,(6.� 4.....6c-�5....................-....................Roofing ........ �.................................................................... Floors .......................C.,44-.-t .........................................Interior ........ (, .... ��............................................ Heating ..................i .-(.....................................................Plumbing 11P41/IL Fireplace pp }9................................................................Approximate Cost ..........�Z dJ Area ....? .....14�....................... ®O Diagram of Lot and Buildi with Dimensions. Fee 6 + OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name `"............ .. ................ ................................................. Construction Supervisor's license ? .....022 g ................ *ARRISON, GRAHAM & JOANNEJ' Permit u for .A4!q...greenhose ...................... Location 334 Cotuit Bay Drive ................................................................. cotuit .................... ........................................................... Graham & Joanne Harrison Owner .............................................................. Type of Construction ........Frame.......................... .. .... ...............,...................................V.............................. Plot ........ Lot_.:............................. �Ipril 6, 88 k, Permit Granted .......... .........................19 'bate oVinspection .....................................19 MD Cffte Completed ......19 � :... .P. W Z CC W 098 M co -A r �•► + aq k c r- VP 0 — LO e 5-1 -- r q ^ ; V Q OX -- ---DISTANCE AS CERTIFIED J H OF ofCS ;� �' ��y\ SITE PLAN moo. ARNE F\ L CUS:Lo S sl Sl A CffTLfT 11,r�Y SaO�LS o OJ-4LA a, L6TL�,Z �►��1.1STA8LL M�a` �: _ #,25348 1 REF:� �. .- F^IST q / Lc � t down. cape 14ee r�n PREPARED FOR: ADAM I_.I SS - NU;1cl 'CIVI O C R a. Foci 6RAq,414 0 NARk..5 # LANDSURVEVORV REG.LAND RVEVOR 1a— 3O ..win�.• SCALE - ., -k DATE Assessors office(1 st Fbor): Assessor's map and lot number AC 6 S 5 Jo 0&D ' _': i=A k � A , THE _ r Akk gpi= r Conservation Board of Health(3rd floor), _ rOS (DNc� �� �'T ,i Sewage'Permit number "� \' J P 1 US 6At t C� phi cf- JZr� b g �' +� .t STABLE t WOO NNW rua Engineering Department(3rd floor): 33 t, , ��� E �� �E�yU�.r a I() °�o639.1, House number T �A Definitive Plan Approved by Planning Board r 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1,00-2 OO P.M.only /�COWAPPRY TOWN OF BARNSh'j* BUILDING INSPECTOR APPLICATION FOR PERMIT TO ADD C J --ays /VOT �b'��ooAi TYPE OF CONSTRUCTION rJoV. r 19 9( TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 33 1-( '(� i9 cT B ft l( b R, �- Proposed Use Zoning District �� Fire District Name of Owner � � t ��1 Address 33 eotUt�3A�t UR,. (_oc11(i c�26 3� Name of Builder �- �r1 r S{ LTD Address SWC S(S- 011AYU-ILWS tit lee Sr A1A_ 02.6 K'd' Name of AwJ*eet•- A r (SS , Address Skvl-�- Number of Rooms Foundation Exterior '`MD L Roofing SPO-C-1 Floors '��9 Interior mP Heating Plumbing "Jotj Fireplace 0"�4 Approximate Cost �Q Area 3SU Diagram of Lot and Building with Dimensions Fee t s l OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name tl Construction Supervisor's License HARRISON, GRAHAM 0. ^ S- (4_ No� 34679 permit For BUILD ADDITION Single Family Dwelling Location 334 Cotuit Bay Drive Cotui.t Owner. Grahain 0. Harrison Type of Construcjion Frame Plot Lot #8 7 & 8 7A Permit Granted November .-4, 19, 91 Date of Inspection � o�, 19 i - Date Completed 19 e �o-T gg 142.7--1 ' S n . Q � O 7 LOT 8� TOTA` A4EJ� Q O ath � . d _ ➢ C Ex,ST HG � 0 �E�ING PRpPoSEn D o � \3 f' �v C� �1 w , i tR r N ST A N A 0 j , Ro•28 i I i 1 ' I I , JOB 83-164 SKETCH PLAN PREPARED FOP.- LOCATION. LOTS 87687A COTUIT BAY DR COTUIT SCALE: 111=40 ' DATE: 09/04/91 REFERENCE: PB 292 PG 26 EARTHWAYS LTD Of down cape enginreering, .inc . f6JA• 1� CIVIL ENGINEE:«S , I :" �. Y LAND SURVEYORS ROUTE 6A YARMOUTH MA DATE - SURVEYOR r i E E LI I '• I I "hh141J1661 � Illlil(II,\ — I I a Ilu ilill I I I o: I Ii I I ii I�u,l�@�i'dl''�d I I� � •� I�li�� I. I 3 II I I(lhd4tl�U I� ( II li I T I I IIiII Ilil(IIIII \\ �i I'1614111�I i � l i I I I II il(III 1 �' �� 11�1y tIII�hIlill�l��l IIII i rh Fn I_ I it J 'i•� � ii� �i I ' � Ll rt1 gg e• s. . tee. ®�o � �,.� ®=�� `� �� � • ;,- 4 a T 8 '� - A I f t a a, - E� g e Ia �R 6 ? a rl- 4 e RPFf x �_ e � •F a ��� � ;��"{ ..Fj��;�.s�r� � i t S i S ------------ X J �. S r.o ' • 1 _ ❑s ri co y _ � � ... .. ...... ... � 3s5gIy & r . Fir [. = r ` $ ; ,I g�. � Wi _ ,f COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ` OF 1010 COMMONWEALTH AVE. r MASSACHUSETTS BOSTON,MASS.02215 LICENSE ENCLOSE CHECK OR MONEY ORDER , EXPIRATION DATE CONSTR. SUPERVISOR FOR REQUIRED FEE, 06/30/1993' ��� `�' RESTRICTIONS EFFECTIVE DATE LIC NO, d MADE PAYABLE TO NONE of 06/30/1991 022608 _ '• "COMMISSIONER OF PUBLIC SAFETY" y2 AJ B S S m ' 4 NOTSEND CASH). ! I MARSTuidMLS MA 02648 P FASE M11E3 FEES PHOTO(BLAS;ING.,OPR ONLY) FEE: ! I t�C R E A S E too.on E FECTIVEt�1 11- 1989. 4-m-N., HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE ANEO OR 0 OFFICIALLY ... I _ QG• A D NOT DETACH LICENSE STUB .:'i..ia:j;:"•-': THS DOCUMENT MUST BE CARRIED E THE PERSON OF I SIGNATURE OF LICENSEE �I SIGN NAME IN FULL-ABOVE SIGNATURE LINE OTHERS!;,RIGHT THUMB PRINT THE HOLDER WHEN ENGAG- ED "IN THIS OCCUPA NON. �,./.-iSCS.! •`�� ` COMMISSIONER 200M-2-87-81429 � i t b3 � L ► r Ax s Orar i e f'r Town of Barnstable *Permi Regulatory Services F r issue d�¢� BARNsTA 0 S 2012 ,e.M^9& Thomas F.Geiler,Director 039. TABLE Building Division. �✓ TOWN OF BAF(NS Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint ' Map/parcel Number Property Address 3- CBTy l 1 �esidential Value of Work*'tip/ Gckp Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Qf4AA4 0. "h SV. csl-_�NG Z• t-44v"S& . Contractor's Name &�V_ "—wL, e.,w 5—i'mX—r, ! Telephone Number 4 Home Improvement Contractor License#(if applicable)Pi 1-71 S 34 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec ne: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to /N' tAr PfaP ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑Fence over 6' #of doors ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. copy of the Home Improvement Contractors License&Construction Supervisors License is quir SIGNATURE: Q:\WPFILES\FO S\building permit forms\EXPRESS.doc Revised 051811 1 " March 28, 2012 Mr. George Correiro B&C Construction Inc 257 Mitchells Way Hyannis MA 02601 Dear George: I enclose my check for $12,412.40 as a deposit on the roof repair described in your proposal of March 26,2012 for our house at 334 Cotuit Bay Drive, Cotuit MA. This will also,l. trust, serve as our consent to the City of Hyannis for you to proceed with the roof repairs. We hope the weather will hold for the period of your work. 6r/aham O. Harrison Joanne Z. Harrison ....,.....- • .. _.. .... ....... /t/ .�J,,�oi.�aelta License or registration valid for individul use only . Office�`ons 1IIer f airs. mess egu ahoo before the expiration date. If found return to: TGG HOME IMPROVEMENT CONTRACTOR Type Office of Consumer Affairs and Business Regulation Registration: jp171536 10 Park Plaza-Suite 5170 Expiration: 3`12712014Individual Boston,MA 02116 I7,V L.CORR _— ;.: t iai GEORGE CORREIRO_~3 g 257 MITHCHELLS UVAY �' / Not valid without signature Undersecretary HYANNIS,MA 02601`4z�,_r_' : ti1 xl� O°�� � Zo 4X �� ���� Zy�� 'ate 5� J07 ' ao yc f The Commonwealth of Massachusetts Depar hnent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 n*mj mas&gov/dia Workers' Compensation Insurance Affidavit: B>alders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Baseness/0,gan=tio&h hvidnal): G-4�� Ce rre-, / -+C Address: ;V 7 01 t.Tcl--a-a S City/State/Zip- (4y "k+^'V1 & MA- Phone#:5D$ 813 3 to t L f Are you an employer?Check the appropriate box: T project am a general contractor and I Yl�of p Iect( � 1.El I am a employer with 4 ❑ I g 6. ❑New construction loyees(full and/or part-time).* have hired the sub-conbwtors 2. I tmp a sole proprietor or partner- listed on the attached sheet. 7- ❑Remodeling ship and have no employees. These sub-contractors have g. ❑Demolition working for me in anycapacity. employees and have workers' I 9. ❑Building addition [No workers'camp.insurance comp.insurance required-] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required_]T c.152, §1(4),and we have no employees-[No Workers' 13.0 Other comp.insurance required.] ;Any applicant that checks box#1 min also fill out the section below showing their woakere compensation policy informatiob Homeowners who submit this affida7t indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such IContcactors disc check this boat mint attached an addirioml sheet showing the nmne of the sub-comusam and stare whether or not those entities have employees. If the sub-contorctors have employees,they nut provide their workers'comp.policy number. -Taman employer that isprotzding workers'compensation insurance for sty emplaywes. Below is the policy and job.site information Insurance.Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a Dopy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c der th 'ns and penalties ofpedury that the information prov ded above is bue and correct Si tune: Date: /Z Phone 9: 3 �l Official use only. Do not unite in this area,to be completed by city or town official, City or Town: PermitUcense# 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#: 6 lnaras ABIZ ,.� Town of Barnstable Regulatory Services Thomas F. Geiler,Director Building:Division M1 Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. QAWPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 �tN Town of Barnstable Regulatory Services 9 � Thomas F.Geiler,Director 6 p.,►`` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person wbo 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 your community. Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 051811 i oFti Town of Barnstable *Permit# Regulatory Services Expires 6 months o g=e-fte Fee RARN resat a, ; s639• ��� Thomas F. Geiler,Director Building Division ` Tom Perry, CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: S08-862-4038 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION RESIDENTIAL ONLY Not valid without Red X-Press Imprint Map/parcel Number b Property Address i13 i 11 [residential Value of Work -5UC-D•-- Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 334 Co-Tu�.r Q Contractor's Name S rkjC_V6V\ Telephone Number �St GCN.'Sk Jy Home Improvement Contractor License#(if applicable) /�gll S3 Construction Supervisor's License#(if applicable) G'3 T273-s 3 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor p� � ❑ I the Homeowner I have Worker's Compensation Insurance p S F� 212 1 1)i: Insurance Company Name ;Q1 A/Nl OF PARNSTABLE Workman's Comp. Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) e-roof(stripping old shingles) All construction debris will be taken to. U/Ui 7-LW -M;�- ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License& Construction Supervisors License is required. IGNATURE: 1WPFILES\F0RMSIbuilding permit formslEXPR.ESS.doc evised 070110 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations kvi 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):_ Cow g�'rLye—Tn u+'u Address:__ XS'7 M k City/State/Zip: �N l g Phone #: -S / Are you an employer?-Check the appropriate box: Type of project(required): 1.(].I am a employer with 4. I am a general contractor and I e�loyees (full and/or part-time).* have hired the sub-contractors 6. New construction 2. '1 am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp,insurance. 9. Building addition required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doingall work officers have exercised their 11.Deng repairs or additions myself. [No workers' comp. right of exemption per MGL 12. oof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:_ Ack" Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: ��T el"ViT City/State/Zip: 497L�% Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify eer the pains t penalties of perjury that the information provided above is true and correct. Si ature: Date: �2Z— // Phone#: 34,1 q 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#: September 22, 2011 Barnstable Building Department This will certify that B&C Construction Inc. is authorized to perform roof repairs at my home, 334 Cotuit Bay Drive,Cotuit MA 02635 Graha AO. arrison 334 Cotuit Bay Drive Cotuit MA 02635 ,per /1e [oomvnw�uuectl� c�c�icc I --\ Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration:- t148453 Expiration: _&258/2011 Tr# 288172 Type =lndivitlual / ' W._ T is GEORGE L CORRbR',0: Fr___ r GEORGE CORREIRO:';p 257 MITCHELLS HYANNIS, MA 02601 . E Undersecretary I I�'lassachusctts- Dcpar•trncut ol•Public Safctj' Board of Building Rc�ulatiorrs and Stand:n ds ' Construction Supervisor License License: Cs 92253 GEORGE L CORREIRO r . 257 MITCHELLS WAY HYANNIS, MA 02601 j Expiration: 1/25/2013 ._ ('ununissiuncr Tr#: 9306 4 License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and'Business Regulation 10 Park Plaza=Suite 5170 Boston,MA 02116 Not valid without signature I I i I i l Q er) Map 0 �7 Parcel 00(0 Permit# . S 1 7 J Q House# 33 ate Issued c� !2 Board of Health(3rd floor)(8:15 - 9:30/1:00-g �— U U C :00) l 00 ml Ab ar "19 SEPTIC ST BE 7777-- - 4 WN OF.BARNSTABLE ST r�rri n 6cE BuildingPermit Application * ENVIRONIIIElAL CODE AND PP TOWN REGULATIONS Project Street Address C'oW r Ghif (NAA4 t Village caN l 1 Owner ' (',-fi. k P. 4AW&Otj Address .33 Y CpTU('r d+f D kI V� Go'N I T— Telephone Permit Request ruf tso' Mdimur t l A7J 6 SNP �n S`f C Ta utmpyto3 First Floor square feet Second Floor square feet Construction Type W em(> 4 +k�� Estimated Project Cost $ 7.0, tr-o:1 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structu (Z � R-S Historic House ❑Yes U O On Old King's Highway ❑Yes Basement Type: 2Tull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) qQo Basement Unfinished Area(sq.ft) (00a Number of Baths: Full: Existing New `�- Half: Existing New No.of Bedrooms: Existing New Total Room Count(noZGas ng baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Oil ❑Electric ❑Other Central Air ❑Yes � ; Fireplaces: Existing Z-- ew �— Existing wood/coal stove/ es ❑No Garage: ❑Det ed(size) Other Detached Structures: ❑Pool(size) Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Aut zation ❑ Appeal# Recorded❑ Commercial ❑Yes o If yes, site plan review# Current Use Proposed Use Builder Information Name ADA*1 I '`� SJ( Telephone Number 'tom 3300 Address POO . &� ��ra License# nZZ�OF ,f A4ftTD PAS miW A* ou (((p Home Improvement Contractor# 1 Z5,1� 7' Worker's Compensation# --(A)O tAptoy1�) NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. M �B ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE -741� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) / - _ I FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED c _ r + MAP/PARCEL NQ. { e r ADDRESS ` r VILLAGE OWNER a DATE OF INSPECTION: FOUNDATION ' r FRAME ; � � - t •INSULATION �' V ' ", °0. 6 FIREPLACE - ELECTRICAL: • ROUGH FINAL PLUMBING: •' ROiI FINAL GAS: ROI Q n FINAL FINAL BUILDING' CO ' I ,27- n _ DATE CLOSED OUT 2 ! C;3 ASSOCIATION PLAN I 6. W g—a mtM v ; The Commonwealth of Massachusetts Zi Department of Industriid Accidents Office 811oYe5998 0fts 600 Washington Street Boston,Mass. 02111 v R.� • Workers' Com ensation Insurance Affidavit MIN name7 ArN Awk u Pp,dox (wo location /�,��� city M/.} �S 1MluS MF1' ���O hone ❑ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ❑ I am an emplover providing workers compensation for my employees working on this job. . � t cam anv name: address city hone#: insurance co. 201icv# NK I am a sole propne general contractor,or homeowner(circle one)and have hired the contractors listed below who ve the following workers'compensation ''policcs: company name eft � CMs �—Ir A-14 t1 4— address• ' fox 33Z ll dty: N� hone#• i ;or,tt,ce c nut~# 83 U B 146 cam anv names address- phone#: city: .:.. .. ...... insurance co. Fafinre to secure coverage as required under Section 25A of 11GL 152 can lead to the imposition of criminal penalties of a One up to sl•500.00 and/or one years'imprisonment irs well as civil penalties in the form of a STOP WORK ORDER and a One of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. "I do hereby certify under a aucs and Analties of perjury that the information provided above is truo,and correct Signature Date 7 0 •�� - Print name U S S Phone# T 3 3'00 official use only do not write in this area to be completed by city or town official Sty or town permit/license# ❑Building Department ❑Licensing Board ❑Selectmen's 01nee ❑check if immediate response is required ❑Health Department contact person: phone#-. ❑Other 1 (mvued 9/95 P1A) r � Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contrac 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. partnership, association or other legal entity, employing employees..However the owner of a trustee of an�ndividual,p P� dwelling house having not more than three apartments and who`resides thereinyor 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 o: building appurtenant thereto shall not because of such emploYment bc dcanned.to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renew of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who ha not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the cotnracting authority. Applicants Please fill in the worker's'.,compensationaffidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers alorig.,with a certificate of insurance as all affidavits maybe to sign and submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure insurance date the affidavit. ' The affidavit should be returned to the city or town that the application for the'permit or license is ent of In Accidents:. Should you have,any questions regarding the"law"or if you being requested, not the Departm are required to obtain a workers',.compensation policy,please call the Deparnnent at the number listed below. City or Towns davit is complete Please be sure that the affite 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 will be s have been made.number. The affidavits maybe returned to be sure to fill in the permit/license number which used as a reference the Department by mail or FAX unless other.arrang The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not ca.hesitate to give us a c • MOM The Department'-s'address,telephone and fax number. The Commonwealth Of Massachuseits } f' Department of Industrial Accidents Office of lavesugatlons 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: ( ) 617 727-4900 eat. 406, 409 or 375 . 7004RAppeafti TabbrJS=b(eoadaued) Prsuripdve Pwkma for One and Two-Famiy ReefdmtW Building SeoW with Food Fads w, MAXIMUM MINIMUM Olaamg D>aamg t.eilin6 Wall Floor Basemmr Slab HeatinWCoolimg mf �'(%) U value= R valuee R-vdue' Rrvala Wall Pt aeaa �°� �� Pftkw Rrvalues &value 5701 to 6500 Headug Degree Days' Q 12514 0.40 38 13 19 10 6 Normal R 12% 032 30 19 19 10 6 Normal S 12•b 030 38 13 19 l0 6 8S AFUE T 15% 036 38 13 25 WA WA Normal _ U 15% 0.46 38 19 19 10 6 Normal V 150/. 0.44 3E 13 2S WA WA 85 ACE W 15% 0.52 30 19 19 10 6 i5 AFUE X 18% 032 38 13 25 WA WA Normal Y 18% 0.42 1 38 19 25 WA WA Now Z 18•/. 0.42 38 13 19 10 6 90 AFUE AA Ir/. OJO 30 19 1 19 10 6 90 AFUE I. ADDRESS OF PROPERTY: 3 3Lf cowl I&N lJr 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. �•�s� t�� = /�D��'��owl �l_ BUILDING INSPECTOR APPROV YES: NO: q-forms-t980303a 780 CMR Appendix J Footnotes to Table J5.2.1 b: r Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors,.skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area,expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 if of glazing area 'After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding,structural sheathing,and interior drywall:For example,an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. `The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. 'The R-value requirements-are fbi unheated slabs.Add an additional R-2 for heated slabs. ' If the building utilizes electric resistance heating use compliance approach 3,4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.la NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 The Town of Barnstable HAM $ Department of Health Safety and Environmental Services Eon `' Building Division 367 Main SftM Hyannis MA 0260I Ralph Crossen Office: 508-790-=7 Building Cornmissioz: Fax: 308-790-Q30 For oMce use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT*CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion. improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least .one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions.along with other requirements. f •- ��,,��•t pol4� t►.�"°"� Est� �i Type of Work: ' t.Cos Address of Work: Owner's Name Dace of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS .PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME UAPROVOUNT WORK DO NOT. HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c- 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as the agent of the owner. '7 qf Aw LSS , A(41.1 Contractor Name Registration No. Date OR Date Owners iVame L . S. OEPARTNENT OF PH:'IC SAFETY CONSTRUGT>IOk"SUPERVISOR !.ICENSE Nuiobe'ri= Epp ;a ; R'esfri'cted=T_o;i' 00 ROAN 0'' !=ISS 92J8OR I I _ _ MARSTONS tllll_S, NR C2o''8 JL&..weald a/mil&j,ad,-w HOME IMPROVEMENT CONTRACTOR. Registration 125114 a Type - INDIVIDUAL Expiration 10/14/99 ADAM D. LISS 92 J.B. OR./PO 80X 1000 & TONS MILLS MA 02648 ADMINISTRATOR i I o «b �;��Frai•Jn:n/ G/- Y 3, y e,,Q-re- E b y S�F / 2 74fC6� x r. Q Y� Lv .3 r k � e S a yA G i n i C Z � L C 1 e SOF � `4rr6 "F v 4 c its S ` oe ` c 77J P s >MA ' .I •'�, '� � � �� o ��, �Imo+ .. RESIDENT'LLL ADDITIONS OR ALTERATIONS H located North of Route 6-any work visible from outside-needs approval from OKH In Hyannis-If work visible from outside-Check to see if it's included in the Hyannis Historic Waterfront District-if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: /Map/parcel number Sign-offs from 1/ Health Conservation(if exterior work) v lax Collector Street address Owner's name&address Permit request- full description of proposed project Square footage-proposed project Estimated project cost Complete Dwelling informatibn for Assessor's Office Builder's information Signature 1 Plot plan 2 sets of reduced(8.5"x 11: or 8.5"x 14")plans with cross section&framing schedule Home Improvement Contractor's Affidavit Worker's Comp form must include: Insurance company's name&Worker's Comp policy number ,zEnergy Compliance Form S _,0 a L °, /A., GU-'✓ �' �1�C-�� 0� -c Copy of Construction Suspervisor's License.&Home Improvement Specialist's License OR Homeowner's License Exemption Form. Fee NOTES: CHEMNEYS Need Home Improvement License No plot plan required PIERS&DOCKS a Need Construction Super license AND Home Improvement License Owner cannot pull own permit g-forms-PERMITS I �� i °Ft •°,,, Town of Barnstable Regulatory Services RAM ASS.DE B Thomas F.Geiler,Director t639. �0 Building Division Elbert Ulshoeffer,Building Commissioner 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 SHED REGISTRATION 120 square feet'or less Location of shed(address) Village Property owner's name Telephone number /00 sQ Fr /6 Vo ,row � co Size of Shed Map/Parcel# Signature( Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? �V Conservation Commission(signature required) I (� PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. GQ [7/0 THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg ill UF III: ,tit• I � ,. . oj L-Q--r o II D•. Q O O 23,125 Q � • 0 d o — 2 L EXtSTiNG .L 3 i vi L 3 ELLt N C U y t� G PaoP+opED � �n � L ' i s 0' O\ AoD1TtON l t E L 3 OC Au ? b 6! bo bD y D 0 0 -0 O V N VN 0 ea ; o. L°o U c° c i O v .� 2 m N 1 p C v z U ti �' n N Lo-r 8T st r m N 0 0 tZo.�B LOT $(o jos # 83-164 SKETCH - PLAN PREPARED FOR: . LOCATION. LOTS 87&.87A COTUIT BAY OR COTUIT SCALE. 1 °=40 ' DATE. 09/04/91 REFERENCE. PB 292 PG 26 EARTHWAYS LTD down. cape engineering, inc . I A M CIVIL ENGINEERS LAND SURVEYORS ". m �' o ROUTE 6A YARMOUTH MA DATE SURVEYOR �L Lor o7 tBJq Assessor's office(1st Floor): O _ d0� O Assessor's map and lot number E Board of Health 3rd floor): Sewage Permit number Engineering Department(3rd floor): G y MAea tE House number 3 31/ 160. \ei' Definitive Plan Approved by Planning Board 19 �o MO d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 6-60 6 (i/JLOO ' CJ I r#74 -17,- � TYPE OF CONSTRUCTION TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a�+��permit accorddii�n.,g'to the following information: �7/��� Location J�'3 C.€)�I� '`'i ��(�� M 263� �` Proposed Use Zoning District Fire District Name of Owner tiz�2tso,.� Address 1 �I "I [� n:(J)(I— Name of Builder �1.�� Address rj• �k ✓` � ��� jq l tAJf X P Name of Architect J Address Number of Rooms' QJi�- ft L)tTq(AJ yL(,�jZ'J(, S'f71we��1� Foundation Exterior Roofing Floors Interior Heating Plumbing Fireplace Approximate Cost Area Diagram of Lot and Building with Dimensions Fee I OCCUPANCY PERMITS REOUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardi6the ove construction. Name Lo Construction Supervisor's License ��Z ' HARRISON No 32890 Permit For ADD BATHROOM existing/Single Family Dwelling Location 334 Cotuit Bay Drive Cotuit ; f Harrison Owner Type of Construction Frame Plot Lot $ • ; 14 i Permit Granted May 12 , 19 89 E Date of-Inspection �� "� 19 All Date Completed 19 f { l Assessor's map and lot number ' . .. .. m00%T E n / _ Sewage Permit' umber toy ✓ - M11D6 House number ....................................... .................................... 39 0 YAY a' TOWN OF BARNSTABLE -BUILDING INSPECTOR- , SIr���G ►Lticllrv� APPLICATIONFOR PERMIT TO .......Quin......................................................................... ...............................:.......... TYPE OF CONSTRUCTION ..................W.Cb�t r✓tt.�. . ....................................................................................... .. .... .. ...... .................,9A. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: B Location ......_ ...S........A.........C...a...w....r.r.... ....:cbS............... .n:nl.t.� '� ...j).A.tJ. � ....................................... ProposedUse .........--� ................................................................ . . ................................................................... .....Zoning District .....................................Fire District ..�: �� .......:............................ . ................................................................. Name of Owner `'''��!.`.l.M A solo Zq 2 so-T R VIN(, J T. 7-t M EW mo N.�' Address .................................................................................... � � ��1 u� � �0.��' S 18 (M i 1TUnlS rk���) Moo (0Z 6 y� y Nameof Builder ......-1...........................................................Address .....................................................................).............. Name—of Areh�tect--.. �.51(��►.� ....1 �!l!!►�^. :.�-!5�.:. q� : ►11 � f�-�u�....... ... .......Address :........................ Number of Rooms .........'. .....................................................Foundation �jV(1�c,Q �O (,JAU. f .......................... ................................ Exierior ......!,.-IT!Z...C'�AY�.....PIIC .00 33o Ih i�Se.... r ......... .... ..................................Roofing ................................................................................ Floors bo 14 �!` L6,`... a ............Interior D� .1„ 1............................................................... ..t:C'i'n.1 C Heating ................ ...................................... ....Plumbing .. ....... ?' ................................ Fireplace ...........I AS')02. ... ...,r�..R.f e.... .............Approximate. Cost ......1: 9J.0 ......................................... Definitive Plan Approved by Planning Board -----------_______-----------19_______. N Area :.................... Diagram of Lot and Building with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / Name ....... .......... fl22(0 C) Construction Supervisor's License .................................... HARRISON, GRAHAM O. No ..2643a... Permit for 1-2-5.toxy................. ....Single.Farrd.1y..Dwelling.......................... Location LOt,9-8.7.. ...83A 3.34..0 Dr. ........... .................................................... Owner ..... r A h=..Q,...I i q Q A..................... Type of Construction ...FrWne............................ ................................................................................ Plot ............................ Lot ................................ Permit Granted ..........�Wj. !.................19 84 Date of Inspection ............................ .......1119 Date Completed ......................................19 7 ��" 1 . r"•1 3`ti �,r j � _.•1 t'��t�;.v:a dY ". <6:!s:,r,.. r 74.w.:.t 4 Assessor's office(1 st Floor):. D�" L°Y p 7 f 87,4 Assessor's map and lot number ��.��" 0�+!O moo*YNE>o� . Board of Health(3rd floor): ( �' !�_8� � d'" Sewage Permit number Z BABd9TaBLL i Engineering Department(3rd floor): �o rasa House number :k 71 7)� o i639' \e0' Definitive Plan Approved by Planning Board 190 MAY d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only - TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Qda 8 00- f,J017474 rkli TM TYPE OF CONSTRUCTION t,-90O 19 "1 - I i TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: � y i� t ��r� M �0263� �7���� Location 33 �-� � Proposed Use Zoning District r Fire District Name of Owner 2121,�0�� Address 33 7 du )1 7 &Y �1 ( n4)i! .)Name of Builder JJ --Address P(Q. �k Sri AWf M�`'J A 1 CI JJ Name of Architect Address` , Number of Rooms C- L,�I N Founda Ion Exterior b Roofings Floors Interior d-I�A Heating Plumbing Fireplace Approximate Cost Area t Diagram of Lot and Building with Dimensions Fee W sd I OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. Name Construction Supervisor's License ZZ HARRISON, A=055-006 No 3 2 8 9 0 Permit For Add Bathroom to Exist Structure Sinq-le Family Dw. Location 334 Cotuit Bay Dri ve Cotuit Owner Harrison Type of Construction Frame Plot Lot Permit Granted May 12 , 19 89 _ Date of Inspection 19 Date Completed 19 11IL740 Assessor's office (1st floor): / Assessor's map and lot number' CF THE Toy ............................. ::........�. e�� _ ` Board of Health (3rd floor): Sewage Permit number g.f.......s.... �„ Z BaEa9SGDLB, Engineering Department (3rd floor): oo rb 9- House number ...... . 3... .�>4� `�o rav 6'. ............ . ... .. . . .... . ... . . .......................... Definitive Plan Approved by Planning Board ________________________________19_______ , APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00�P.M.-only TOWN OF BARNSTABLE BUILDING �INSPECTOR APPLICATION FOR PERMIT TO ............. �LO 6 �li7p� ............................................................................................................. TYPE OF CONSTRUCTION `S( „oa.,. ;�, . "�(�f G+.I'Alk At UA."du4•_ (FvJ/`• .....................I......................... ....... 19. ------ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .............. fvl.. .. ; . .. ProposedUse .......... //.................................................................................................................................. Zoning District ......R.r............................. .......Fire District Name of Owner GA_Pff` f- ,����' A410" 33`! (_o'U� r &N Dr. C,,r-Ok�r ......................................................................Address .....................................,.............................................. Name of Builder ...fGbG. �0tLDk,,)/ "A- LIS1.......Address ,....60"c' ...6_1.�!....M(yrjTtlf Al(UJ A`- 07"S ............................y..................... Nameof Architect .............. ...... ..........................:................Address ......'..............................��............... ............................... Number of Rooms ............ .....................................................Foundation ..... S�A ..� ....( FtDti....17�f—�atir. .............. Exterior S��id ..:�.....fo,Lj"' Roofing �....... ......................................... ...,....(?Cl�:............. /.................................... ...... ...... .... Floors ...................... lr�.......................................... .........6U! 5. .............................................................. oD Heating ................... .L: :.:. g Pete 5141/1L Fireplace �.� Approximate Cost ..........�.�.,5`j0D .............................................. ....,............................................. Area .... ...........��.................. Diagram of Lot and Building with Dimensions FeeO �. .Srn� T OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. .. .�1�!`. `. .......................................... 'Construction Supervisor's License ....022�� HARRIySON, GRAHAM & JOANNE A=055-006 No,..31779 Permit for .....Add Greenhouse Single Family Dwelling ......................................................................... location .....334 Cotuit Bay Drive ........ .................. Cotuit ............................................................................... Owner ...,Graham & Joanne Harrison Type of Construction .Frame............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ......Aj�...........6!.............19 88 Date of Inspection ....................................19 Date Completed ......................................19 3 34 Cotuit Day Road , Cotuit EXISTING POCKET DOOR PROP05ED WALL EXISTING HEADER 2X4 KD al6 o.c. 11 IIHI Uj EXISTING SILL PLATE 2X4 KD BASE PLATE a 334 Cotuit Day Road , cotult PROPOSED LALLY COLUMN REPLACEMENT TO SUPPORT EX15T1 NG BEAM I N POST AND BEAM CONSTRUCTION EXISTING BEAM EXISTING 8X8 POST V- EXISTING 8X8 POST R�p��eE EXISTING FOOTINGS PrIiMe"M6 EXISTING LALLY COLUMN. DRILL TO TEST FOR EXISTING FOOTING. IF NONE EXISTS THEN ADD NEW 24" X 24" X 10" DEEP FOOTING. i SECTION - SEWAGE sg - SEPTIC TAN - - "D"BOX - - LEACH r� I K ! TOP OF FDN . !. !�j1 3$ s -- �'�(MSL)� WASHED STONE r ,r I .;• 1 e CL IN• OUT • _ 7ETA G � OUT• IN- � � �- /34.► 33.G2NK 33 3'7 3Z.2o 6 r �� `� �p ELEV. ELEV. ELEV. i — ELEV. 1 _ L-QT g� 2G.20 I V o � 87 A ELEV. ELEV. El EV. �,•- ^ t \ -}o�aI O-{-C�0. �' - cl I 1 ' ---U- OFXe"-14t" � WASHED STONE 0 TEST HOLE LOG o TEST BY Mu2ftAY 3c� �i r \.. 4+ ��p �•�0 �6 T� @d \� \ WITNESS TEST GATE DESIGN BEDROOM HOUSE T.H. k 1 3J.2- T.H. 0 2 34. v E ` �4x�o `� t 0p,. ELEV. 00° ELEV. NO I 66 / t j i f Z DISPOSER DISPOSER /� Lo�•`n E` Spa Sores r-va..t ,� su_ Soles PERC RATE MIN/IN. Ly ',z.Z -L4" \� ` 3z.4 FLOWRATE�4o (GAL./DAY) O SEPTIC TANK 44o x (I.S)= �nGo ,o c� �?o" REO'D SEPTIC TANK SIZE 00 E 3• -, '� tt 1 �� c�Aes carp,T�,,av� w.Y� s os•' ��.��. 1`� � ', ' ' �F-�\ _ 1 � -' ZSs LEACH FACILITY • SIDE WALL Slyrro = 150,® (2.51 3770 G/D. ! yl BOTTOM 82 50.3 ( 1.01 s 52•3 G/D. ,,. �. --� • �° � Dn6 ,1 .. . �X 1 I �08 ZS.L o.- cola c, iT TOTAL we ZOI.1 S•� = Z 3 G/p P ice. `l / ` �. 2 = 4o2.z s v` _ — 1 USE: 'TWo LEACHING EFF: DEPTI-{ x 8� EFF• DIAME"►eP WATER ENCOUNTERED Ir NOTES: (UNLESS OTHER-WISE NOTED) 1. DATUM (MS L):TAKEN FROM-_C� V%T...............QUADRANGLE MAP y,Akk a� 2.MUNICIPAL WATER..........15....._...._••_.._- -.._.•AVAILABLE y 3. PIPE PITCH: 4."PER FOOT ARNE H. 4.DESIGN LOADING FOR ALL PRE-CAST UNITS: AASHO- I 12D -44 OJALA 5.-MIN.GROUND COVER OVER ALL SEWAGE FACILITIES: (1) FT, a V CIVIL to — —DISTANCE AS CERTIFIED 6.PIPE JOINTS SHALL BE MADE WATER TIGHT No. 30T92 � ZN Of 7.CONSTRUCTION DETAILS TO BE ACCORDANCE WITH COMM.OF MASS. , ��� S,�cy SITE �, PLAN STATE ENVIRONMENTAL CODE TITLE 5 '�fCIs 'A, `� ARNE G� L CUS:11aTS 9-1S1 A CtSTuk i i `C SE-1oP_L.S o` OJALA v GCSTI r�S P�.E1.hSTA$L G MASS REG.PROFESSI AL ENGINEER f' �r26348 REF: 71• 3k" do wit -cope en ineering `_/YD�I$k Rv yO� PREPARED FOR: ADA M L-1 S S bV1'IsdeC CIVIL ENGINEERS - y(;�n Fug 7RAY41-4 �J-��AR s.��GrV `` LAND SURVEYORS BOARD OF HEALTH 6 926 1Al1>n SL REG.LAND S RVEYOR SCALE- , 1., "J�, �• (EXISTING)--- $�E1:rS'TAr3k.E MA. .YA DATE CONTOURS (PR.OPOSED)-0-0-0-0— APPROVED PATE `