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1740 SOUTH COUNTY ROAD
�� � e . �0�`lQ.�cx��h Co�n� n� y a e a .... .. _ � .� _-.. _,. .._ .. _ _ z ,• •. -_d 7 ti SINE, Town of Barnstable *Permit# C�b t yo( alz LM e FTr R ees mwrlhs s • �sivsr,�s. • JUL 21 2015 , �,�,�'� OF Richard V.Scab,Director BARNST -,p ABLE Building Division rv� Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma us Office; 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY � Not Valid without Red X-Press Imprint Map/parcel Number SOC U` 1 Property Address / W �/� &2//Z� ZZ) Z--1k-615 2V_& / 7l Z & 5- ['•Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address rOJ-l/?�p� A0�zy' 4X;VD Contractor's Name Telephone Number A 0 9�— _ Home Improvement Contractor License#(if applicable) Email: Construction Supervisor's License#(if applicable) D ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor (�I ❑ am the Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# e: jl JQ�Z L7� Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) MRe-side ,e1I/Y/7 ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4.floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the home Improvement Contractors License&Construction Supervisors License is equired. SIGNATURE: . 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U ►•Inlr r at �•1• owl . �Ali► • n•.+•':i•1 •'•• • •.�- Ir i.:■■ •l /t :•!•:II r Ir1 •n ►••r r .f■rU -l■• •r r . • •: -11 • �•r t a •n:n•er • is • ;�w r aw.c as �•a ap sl i_ a■a3 ►.Vaal: ` �04 a:±a i. v lks -an-II a ails • snnvsrAu • �A.,� Town of Barnstable Regulatory Services Richard V.ScaIi,Director Building Division Thomas Perry,GBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. If Using A Builder I, "Z'4. W nz? 1r/l /G!� , as Owner of the subject property hereby authorize _ 1 �•>�x 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 PS27_11A7&-modW4.9" Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. y QAWPFaM\FORMS\building permit forms\ENPRESS.doc Revised 040215 Town of Barnstable Regulatory Services of Richard V.Scali,Director Building Division tMARNSMANX. Tom Perry,Building Commissioner MASS 639. � 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# . CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) 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 rninimum'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:\WPFUM\FORMS\buildmg permit forms\EXPRF.SS.doc Revised 040215 Massachusetts -De Board of partment of Public Safety Building Regulations and Standards Construction SuperVisor License: CS-063537 DA VW R COX PO BOX 401 South Yarmouth RA U!6 Commissioner` Expiration 10/15/2015 &/ze parr�nwaatuealG�'o�C aadwdea ,!• �1 \ Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR + before the expiration date. If found return to: egistration: ::1'00497 Type; j Office of Consumer Affairs and Business Regulation • xpiration: r:_3/25720.16:_, Private Corporatior; 10 Park Plaza-Suite 5170 Boson,MA 02116 i ly a- I' DAVID COX, INC: c•` s't..- I David Cox 19 LAVENDER LN W.YARMOUTH, MA 02673"--- Undersecretary Not valid without signature i i DAM-2 OP ID:KG ACORD' CERTIFICATE OF LIABILITY INSURANCE D 0711 11;i Yn `.�.� 07N4/2t?15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY ARID CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS C1E1k11FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY )HU POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(SL 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,sLa*ct 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 oerttl{oate holder In II'u of such endorsements. PRODLiCBR NME: KathyGOddls Northwood Itts.ACencyy,Inc. 508-7T1-1632 ar No 508.393.2955 540 Main 13tnst�$ulte B NC.N E1 : Hyannis,MA02 01 DDREss: INBU S AFFOPWO COVERA'Ja? I NA-C I INSURERA:Traveiers insurance company INSURED David Cox,Inc. INSURERB: P.0.Box 401 INSURER C: S Yarmouth,MA 02664 lNeuRMIle D WSURER 6 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFYTHAT'THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDrTiONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AIWVLJ=l POLICY UT POLICY bXP Iffli TYPG OF OJiURZANM I Dab. POLICY NUMBER MK0 NMIDDIYYYY LIMITS A COMMERCIAL GONWM L1ADtLITY EACH 0C;!<-�?EA:S i 1,000, CLAIIAS-NiADE ©a=CIF I I I6801481AE796 03N412015 03/14/2016 PPEMISES'Ea or,c;rranta: s 300,004 X BUeln*smOwners I i I MEDE+:F'(Any eneo»rson) 5 b,t� `I PEPS ONAL4.AWINJL,:Y S 1,000, GEt)'L AGr,RF.GA"E_INI'4PPLI"cSPER I I I GENERAL AGGREGATE . s 2,000,00 POLICY 0 SECT 7 L''C i PR0:1JOTS•;:OMD;OF Araii S 2,000,00( S OTHER.: ALROMOS1LE LIASILIV I y h :II v_ LIMIT I Ea yc<idenY ANt AU-0 9001-Y IN.URY(P3r person) ALL OV,NED (�1 SCHEDULEC I I eooi-Y IN.Up•Y(Pat a[LidanU I S AUTOS IiAUTOS P. A� NS-CVlNED I V s HIR:DP'J7O3 AUTOS i 'Pery�ud5ntt )' i S UMBULLA LIAe ;�000k I EAGIi GCCJR<ENC= i EXCESBLIAB CLAIM,-MAC•_ AG•:PEC.ATE S DED ::TENT Nt s N O ( > ATUTE I i kR IAIV EMPLOYEW LIABILITY '/!N -r A Ar-4Y PROPR1r9R.F'AR'h /ENE'UTIVL �, FITHIN RTIFICATE WILL FOLLOW DIMS/2015O7MG12016F;i—LL FA.0-ACCJL)FJJT S 100,00OFFICER)V1EVSER Jc:._V ED? N 1 A O."atoty In NH) 5 DAYS FROM CO. .7I;EASE•EA EVIPLGvEE S 100,wo II yeL OPSGIDE LtW 9t I — !— _ C' ,=P.Ibe 9 Of£RAi ICIdS oalov+ 1 E.L.DiSE41E•POL:-Y UMR S 500,00 OIISCR0,MN OF OPERAT,10 l LOCATIONS)VEHICLES (ACORD 141,Additional Remarks schedule,may be attad ae It more space 13 required) CERTIPICATE 14OLDER CANCELLATION TOWNEIAR SHOULD ANY OF THE ABOYai DESCRIBED POLICIES OE CANCELLED OEFORE THE EXPIRATION DAYS THEiilOF, NOTICE WILL 09 DELW@RED IN Town of Bamstab le ACCORDANCE WITH IN B POLICY PROMtiIDNS. 230 Mein Street Hyannis,MA 02601 ALRFgRtzEO REPIffiCGMA'NG 01090-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map —Parcel i Permit# �II 7 Health Division 7 0� 4iV�Q f TF'�°f`'' �' =, � Date Issued g-2 y-,go ll Conservation Division U r i P' -,' '� ^�, Application Fee p 4} f':1 j: v Tax Collector Permit Fee / 37 37 Treasurer 50+ U I t�!S U I� EXIMNG 8MC SYSTEM Planning Dept. UMMTo_ L_.#OF BEDROOMS Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 112 g D S. C a w 12 fl. Village tMAa2s-tyK v%&k Owner �bwa o it Gvst 2,3 o QuRy Srt � >✓ QoLo"W 0 Address S. "pwttt. w . MA_ a 1?192- Telephone 617 - 72.E- 2 2 y 9 Permit Request RV_NC yAtE 'G-�1ST1M t tTe-004 $ A00 A to'* 2 t•- 6 N oO%1't o m To 1G tTC.X4 E N. Square feet: 1 st floor: existing l51(0 proposed 2iS' 2nd floor: existing f oo 8 proposed o Total new 2/S Zoning District 2 I= Flood Plain WA Groundwater Overlay 6 P Project Valuation 33,50q Construction Type wooD papkiMC Lot Size 3_0y Ac Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 1900' Two Family ❑ Multi-Family(#units) Age of Existing Structure Zoo Historic House: '-'?es ❑No On Old King's Highway: ❑Yes 01 -6 Basement Type: ❑Full @Trawl Cl Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 new o Half: existing o new 0 Number of Bedrooms: existing 3' new o Total Room Count(not including baths): existing (11 new 0 First Floor Room Count .3 Heat Type and Fuel: ❑Gas ;9 Oil ❑ Electric ❑Other Central Air: ❑Yes gI No Fireplaces: Existing 2, New O Existing wood/coal stove: ❑Yes -EM Detached garage:0 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 CS r AlI hA_fi 6_ 4 011A x- - Proposed Use - <S4w E, - - BUILDER INFORMATION Name ?,c>&y_2s =NC Telephone Number w A •qZ 6 •4104 Address C36x 3i o License# C.S- n1617% Home Improvement Contractor# l Cho t- �. Worker's Compensation# WC. ?2_t,Z?o9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN 1,0 L3Y IM ICC.>V i tra a q 2£ uS c G SIGNATURE DATE S Zyo� FOR OFFICIAL USE ONLY C ' PERMIT NO. a DATE ISSUED MAP/PARCEL NO. + ADDRESS 1 VILLAGE OWNER , DATE OF INSPECTION: 1 m FOUNDATION FRAME INSULATION /�/�✓S U O k /l�/KZO FIREPLACE Mn - ELECTRICAL: ROUGH M FINAL a PLUMBING: ROUGH FINAL , GAS: ROUG FINAL FINAL BUILDING N W y r DATEtLOSED OUT ,= ASSOCIATION PLAN NO.. N RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 SO. Alterations/Renovations $25.00 Building Permit Amendment $25.00 t FEE VALUE WORKSHEET NEW LIVING SPACE 2 t5' square feet x$96/sq. foot= 2 O 6H0 x.0031= (03.Q$ plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE lot square feet x$64/sq. foot=—�, 136`j x.0031= plus from below(if applicable) GARAGES(attached&detached) square.feet x$32/sq.ft.= x.0031= • ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 '>500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 t >1500 sf-Same as new building permit: square feet x$96/sq. foot= x.0031= STAND ALONE PERMITS Open Porch x S30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool S60.00 Above Ground Swimming Pool S25.00 • Relocation/Moving S150.00 (plus above if applicable) Permit Fee 1 5 7- 37 projcost i t Town of Barnstable • °�' Regulatory Services BAMSPABIJ ' Thomas F.Geiler,Director 0.39. a`�� g Buildin Division rfD n+v►•t Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME Uv2ROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. / Type of Work: A00lTlo Estimated Cost 3 S SOV. • Address of Work: V71/0 S C CX>WT q lZ b OsTreul L U C Owner's Name: S Dw 1g_3l 3 SuSI s< R-0WI-A M►� Date of Application: $ •Zy• o y I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under S 1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ='N4 LOOL31 Date Contractor Name Registration No. • OR Date Owner's Name Qlorms:homeaffidav r AR • N�F DENNI oNjCORP• CONSTRUCT 232.41 N O O J O co .P j O O O 0 Z 3.04 AC . +/ rn — rn co N � D N 01 D � r cow,� , Jr— �' U, D Iti0 _ O D O T .. 90.1740 1; r .o �- 0) co 5.72 202.77 °- 87.73 SOUTH COUNTY RD . MORTGAGE LOAN INSPECTION MLI984 Y ►_ U 1 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.= 100 FT. � =' Ap. P.O. BOX. 28 DATE: OCTOBER )197 Y, SAGAMORE BEACH, MA. 02562 (508) 888 8667 I CERTIFY TO ^ . THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS " P,c.3�3i. hid TO THE ZONING OF THE TOWN OF BARNSTABLE (OSTERVILLE) I CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD ZONE AS DELINIATED ON MAP 0016C COMMUNITY NO.. 250001 PLAN REFERENCE: BARNSTABLE REGISTRY OF DEEDS REGISTRY OWNER: BOOK/PAGE: PLAN BOOK 302, PAGE 020 ! LOT NO.: LAND PLAN BY: NELSON BEARSE-RICHARD LAW BUYER: DATED: MARCH 3; 1976 THIS INSPECTION NOT MADE FROM AN INSTRUMENT SURVEY AND IS NOT TO BE USED FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY. Mr. & Mrs. Edward Rowland 230 A41bury St. S. Hamilton, MA 01982 s To Whom It May Concern: As the owner of property located at 1740 South County Rd. in Osterville, I hereby authorize Rogers & Marney, Inc. to act on my behalf in all matters pertaining to permitting and construction at our property.. Mrs. Susie Rowland Date:-"=--=�--=�-�-�__Z�o --- Board of Building Regula ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration `. Registration: 100134 Type: Private Corporation Expiration: 6/9/2006 ROGERS & MARNEY, INC. Charles Rogers = P.O. BOX 310 - - Osterville, MA 02655 Update Address and return card.Mark reason for chang Address ❑ Renewal Employment Lost Card DPS-CA1 0 50M-04/04-G101216 i �/ze �omvnxoouuec>,�l� o�✓�aaaac�ivaella -- Board of Building Regulations and Standards License or registration valid for individul use only -, HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 100134 Board of Building Regulations and Standards One Ashburton ce Rm 1301 Expiratiow.6/9/2006 Boston,Ma.0 -' Type: Private Corporation ROGERS&MARNEY,INC. Charles Rogers 445 WEST BARNSTABLE ROAD, �sterville,MA 02655 Administrator Not valid wi out signature �' .P�h4lCui3ld�diC8� 4' License: CONSTRUCTION SUPERVISOR �. Number: CS 016174 t Ex 1res 05/07/2006 P Tr, no: 23796 ;Restrtcted: '00 . CHARLES D ROGERS . PO BOX 310 OSTERVILLE, MA 02655 w Acting Cc mis oner Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 12 Release la Checked By/Date TITLE: Rowland Residence CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 08/23/04 DATE OF PLANS: 8-20-04 PROJECT INFORMATION: Kitchen Renovation and Addition COMPANY INFORMATION: Rogers and Marney,Inc. Box 310 Osterville,MA 02655 COMPLIANCE: Passes Maximum UA= 115 Your Home= 107 7.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 301 38.0 0.0 9 Ceiling 2: Cathedral Ceiling(no attic) 114 38.0 0.0 3 Wall 1: Wood Frame, 16" o.c. 690 13.0 0.0 47 Window 1: Wood Frame,Double Pane with Low-E 58 0.340 20 Door 1: Glass 40 0.330 13 Door 2: Glass 21 0.360 8 Floor 1: All-Wood Joist/Truss,Over Unconditioned Space 215 30.0 0.0 7 Boiler 2: , 85.6 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date •2.3 OS� I F MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release I DATE: 08/23/04 TITLE: Rowland Residence Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation Comments: [ ] 2. Ceiling 2: Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16" o.c.,R-13.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor: 0.340 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: I Doors: [ ] I 1. Door 1: Glass,U-factor: 0.330 #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: [ ] 2. Door 2: Glass,U-factor: 0.360 #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: I Floors: [ ] 1. Floor 1: All-Wood Joist/Truss,Over Unconditioned Space,R-30.0 cavity insulation Comments: I Heating and Cooling Equipment: [ ] 1. Boiler 2: ,85.6 AFUE or higher Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. r I 1 Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-values,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints, seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. ti Table I: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulatinp- Runouts CirculatiniZ Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1" and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0. 1.5 1.5 NOTES TO FIELD(Building Department Use Only) The Commonwealth of Massach usetts f oartment 0; De partment Industrial Accidents EP " p exce olloyestigallons 600 Washington Street Boston,Mass. 02111 aL Workers' Compensation Insurance Affidavit t R,� lI an tif ormation: — %y— :�•r,=- ease.PR IeQtbiv.: - -z�:- —:>.: :�� r name: location: ' city 12hone T I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity v�'.e.:•". ,n.-L'i _: -',MM `tom- T w- :..t: TTI3!- cum �`1i.�• -h. - - ..S _ I am an employer providing workers' compensation for my employees working on this job. :ROGERS & MARNEY;: INC: : .: company name: ' . .. . ;:.:.:.::. ...: t address: P.O. BOX 310 city: :':`OSTERVILLE, MA.<02-65.5 :.. Rhone tt: (508) 428-6106 inc�rrance co. AMERICAN INTERNATIONAL policy# ;F1G 7253309: ::':' I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contactors listed below who have the following workers' compensation polices: company name: SEE ATTACHED SHEETS • -ddress• • city- phone.9: insurance co nolicv comn•tn,• name, - address citv• phone�i: insurance co oolicv it ?Attach add_idonal•sh_ e a eeti£nece4sn. _..:, . :•_. •... -�'.:-:a,.:.:�_���'��`,_-,.:—'�_ ,-_ -"�....r=_...��.:-.�_;,�: __�:.- Failure to secure coverags requ_a_ired under Section 25A of NIGL 152 can lead to the imposirion of criminal penalties of a fine up to S1500.00 and/or one years'imprisonment as well as Civil penalties in the form of a STOP WORD:ORDER and a fine of sloo.00 a day against me. f understand that a cnpy or this statement may be forwarded to the Once of Investigations of the D1A for coverage verifiearion. 1 do herebt•certify under the pa ins d penalties of perjury that the information provided above is true and correct. Signature ROGERS & MARNEY. JACDaEe -8 'Z Y•O f/ Print name ROBERT COOK Phone- .(508) 428-6106 official usc onl-. do not w rice in this area to be completed by city or town official eir% or torn: permit/license it r(Build:Department nt C �Lice 0 check if immediate response is required Selec • Healconracc person: phone a: 00the i (--J PJAI JUL-15-2004 THU 11 :53 AM MARK SYLVIA INSURANCE 5084209227 P. 01 !IS I'mCERTIFIt:ATE OF LIABILITY INSURANCE 07/1512004 PR 508-428-0440 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MIA INSURANCE AGENCY ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 88®MAI STREET MOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ' I OSTERVILLE MA 02655 LTER THE COVERAGE AFFORDED BY THE PO ICIE8 13ELO1M. II I141SURERS AFFORDING COVERAGE NAIC#_ _ .. INSURERA; FARM FAMILY CASUALTY INS�UF/WCE —I I ORTHSIDE LAND CONSTRUC INEURERB: �- --� O BOX 233 �IvsuaEac: —.. I U�EST BARNSTABLE, MA 02668 I INSURERD_:_ _ — -- - I I I INsuaER E: COVERAGES ^ THE POLICIE OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TKE POLICY PERIOD INDICATED.NCTWI STANDING ANY REOUIR MENT,TERM OR CONDITION OR ANY CONTRADT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY lo'SUEQ CR MAY PERTAI THE INSURANCE AFFORDiD BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMM$.EXCLUSIONS AND CO ' TIONS OF$IJCh POLICIES.AG REGATE LIMITS SHOWN MAY HAVE BEEN REDLICEC BY PAID CLAIMS, PCLICYNUMBER POIIOYE T�ICYe7fAIRAT' 1 GEN! AL LIABILITY EACHZ( ana i 1,000,D00 A CDMMERCIALG4NERALLIAOILITY 2001XQ210 D6112l2004 06/1212005 'PP�NIIm I eb — CLAIMSMADE `^I OCCUR e ..II MED Eon} 3 �DO0X ONRACTORS PegsRY 16 X VANTAGE SPECIAL GEN AL AGGREGATE :i Z,D�(),OOD GEN'L GGREGATEPURMOITAPP PER:I I E PAC i 1,000,000 LACYIrrT AU T A.�UTO0-2 11ABILRY i COMBINED SINGLE LIMIT -- ., LOWNeDAU7CS - -' 130DILYINJURY i S NECULEDAUT06 i (Perpanunl j I H REDAUTOS N N-OWNEDAUTOS i I (WOILYINJUAY 3 - PROPERTY DAMAGI I (Paracctaent) 3 RA BLL4194M I AUTO ONLY IEAACCIOENT YAUTO .. •a_ _.._.., 11 I AOJTOONH� �EXCES NBRELLALIABNLITY EACHOCCURRENCE 3, I CUR �CLAIMS MADE I AGGREGATE i . � d D OUCTIBLE I 3 j i R TENTION 9 � - WORKJlRSC kPENSATION ANO ; I w A U, O711 A EMPLOYORs' LITY 2001W6168 O7/13J2004 07I13/2005 I RY'LI' X R ANYPROPRI RIP ARTNERIEX3CUTtvE E.L,EACHACCIOENT 1,000,000 OFFICER�t.IE SERE%gLUDE07 M a.daealba nCor I E.L.OIEEASE CA EMPLOYEE !— 1,000,000 ECIALPq ISICNGWow I �E.L.DISEASE iPOI ICY LIMIT i 1,OOD D00 OTHER CESCRPTW3N OFOI ERATIONSILOCATION3IVENICLBiIEXCL bIONSADtWfJ)BYE ORSEYPNTISPECIALPROVISION£1 LANDSCAPE 3AROENING SEPTIC TANK INSTALLATION ,SERVI-E,REPA STREET CINING r CERTIFICATE HOLDER CANCELLATION 1 SHOULD ANY OF THE ABOVE DESCRIBED POLCIES BE CANCEL I P BRFORE THE EXPIRATION PATE THEREOF,THE SSUING INSURER WILL ENDEAVOR TO NAIL �2 DAYS VVRITTEN R GERS AND MARNEY NOTICE TO 7NE CflR IFtCATE HOLOERN eep SHALL F 508 420-3550 IMPOSE NO OBLIGATION OR LURILITY'OF ANY KM'UPON'THEjNaM I ?ITS OR I " REPRESENTATIVES. AUTHORREDREPRE61NTATIVE ACORD 26(20�1l08', 'ACORD C RPORATIQN 1988 I I A ORDM CERTIFICATE OF LIABILITY INSURANCE 12/04/2003 PRODUCER (508) -6061 FAX (508)991-3283 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 662 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0 0. Box 79398 Dartmouth, MA 02747 INSURERS AFFORDING COVERAGE INSURED David G Holcomb Plumbing & Heating Inc. INSURER A: Central Insurance Companies PO Box 170 INSURER 8: Arbel l a Protection Insurance Osterville, MA 02655-107 y// INSURERC: O //) INSURER D: \\\YYY INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLLLAIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION f LIMITS ' LTR DATE MMIDD/YY DATE MMIDONY GENERAL LIABILITY CLP7973954 12/18/2003 12/18/2004.- EACH OCCURRENCE $ 1,000,000 l X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000 CLAIMS MADE M OCCUR i/ MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 i GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PROJECT El LOC AUTOMOBILE LIABILITY 90035400001 12/18/2003 12/18/2004 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY (Per person) $ B X SCHEDULED AUTOS `r 100,000 ;, HIRED AUTOS % BODILY INJURY (Per accident) $ NON-OWNED AUTOS /� 300,000 PROPERTY DAMAGE $ i (Per accident) 250,000 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO f OTHER THAN EA ACC $ H1 AUTO ONLY: AGG $ f EXCESS LIABILITY EACH OCCURRENCE $ OCCUR a CLAIMS MADE AGGREGATE $ I $ DEDUCTIBLE f $ RETENTION $ $ WORKERS COMPENSATION AND C7971955 01/03/2004 01/03/2005 X ORYLMITSI ICER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 100,000 A j E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS OR ANY AND ALL OPERATIONS PERFORMED DURING THE POLICY PERIOD CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Manney Inc. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P 0 Box 310 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Osterville, MA 02655 AUTHORIZED REPRE ENTAT E < Karen Bernie ACORD 25-S(7/97) ©ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE, OPID 04 DATE(MMIDDlYY) YCO-1 1 04/01/04 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McAlpine Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20F Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Tterville MA 02632 INSURERS AFFORDING COVERAGE __one: 508-771-0105 Fax:508-771-1258 INSURED INSURER A. Vermont Mutual Insurance Co INSURER B: Pilgrim Insurance Company Bay Colony Concrete Forms In INSURER C: Savers Property&Casualty Ins C 32 Third Ave INSURER D: Commerce Insurance om an Osterville MA 02655 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NO ITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY B ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CO ITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDm DATE MM DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY BP17030923 03/30/04 .03/30/ 5 FIRE DAMAGE(Any one fiire) $ 50,000 CLAIMS MADE OCCUR MED EXP(Any one person) s5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ B ANY AUTO PMC7141142 06/18/03 /03/30/04 6/18/04 (Ea accident) ALL OWNED AUTOS PMC7157206 03/30/03 BODILY INJURY $250 000 D X SCHEDULED AUTOS TO BE ASSIGNED 03/30/04 03/30/05 (Per person) r HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $500 r 000 1 PROPERTY DAMAGE $lOOr OUO (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X TORY LIMITS ER EMPLOYERS'LIABILITY C WC 0000753- 03/31/04 03/31/05 E.L.EACH ACCIDENT $ 100,000_______ E.L.DISEASE-EA EMPLOYEE $500 r 000 E.L.DISEASE-POLICY LIMIT $ 100 r 000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Concrete foundations CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION ROGERS 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION. DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Rogers & Marney NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL i FAX#508-420-3550 PO Box 310 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville MA 02655 REPRESENTATIVES._ AUTHOR D REPRESENTATIVE ti 111�- ACORD 25-S(7/97) ©ACORD CORPORATION 1988 'ACCORDDATE CERTIFICATE OF LIABILITY INSURANCE 04/21/2004) PRODUCER 8,1994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RU OW$KI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE $14 COUNTY STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. "IEW BEDFORD, MA 02740 1 INSURERS AFFORDING COVERAGE NAIC# INSURED AVIX Inc INSURERA: CNA Insurance Company Advanced Audio & Video Syste INSURERB: OneBeacon 20621 911 Main Street I INSURERc: Transportation Insurance Co 20494C Osterville MA 02655 �r INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. rA DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS NSRrGENERAL LIABILITY B2066420493 01/64/2004 01/04/2005 EACH CCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DA AGE TO RENTED $ 300,000 CLAIMS MADE �OCCUR ED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICYF_j PRO- ECT LOC J AUTOMOBILE LIABILITY CBXE38077 01/04/2004 01/0 /2005 COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ B X HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) / PROPERTY DAMAGE $ ,' X / (Per accident) GARAGE LIABILITY / AUTO ONLY-EA ACCIDENT $ ANY AUTO % OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY 2067755848 01/04/2004 01/04/2005 EACH OCCURRENCE $ 1,000,000 OCCUR CLAIMS MADE AGGREGATE $ 1,000,000 C / $ DEDUCTIBLE $ RETENTION $ / $ WORKERS COMPENSATION AND 05 3 /04/2004 01/04/2005 WC STATU- OTH- EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT ER S 1,000,000 OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Rogers & Marney Inc 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, General Building Contractors BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF AN!ITM!`UPQn E INSURER,ITS AGENTS OR RE ESENTATIVES. Osterville, MA 02655 AUTHORIZED REPR TIV,E rx ACORD 25(2001/08) ©ACORD CORPORATION 1988 TOWN OF BARNSTABLE CERTIFICAT9 OF OCCUPANCY PARCEL ID 098 011 GEOBASE ID 4552 ADDRESS 1740 SOUTH COUNTY ROAD PHONE MARSTONS MILLS ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 47866 DESCRIPTION PERMIT TYPE BC00 TITLE CERTIFICATE OF OCEI r Dertnent of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: �4k pX ENE TOTAL FEES: BOND $.00 ( CONSTRUCTION COSTS $.00 * ■AMSTABM 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE P .RTMASS. r i63� BUILDITC�D= �SillN i BY � v� TOWt4_�`:,cBARN STABLE `• BU�IG ,PERMIT F PARCEL ID 098 011 GEOBASE ID 4552 ADDRESS 1740 SOUTH COUNTY ROAD PHONE MARSTONS MILLS ZIP ,LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT 0 . r PERMIT 44859 DESCRIPTION 1 FL.BUNK HSE. W KITCHEN NO HEA ' PERMIT TYPE BMISC TITLE MISCELANEOUS PERMIT` CONTRAC.TORS: . HEIDENRICH, FRANK Department of Health, Safety ARCHITECTS: and Environmental. Services TOTAL FEES: ' $282. 10 THE l� BOND $.00 CONSTRUCTION—COSTS $91,000.00 f a • '753 MISC. NOT CODED ELSEWHRRE ,l PRIVATE P: I'E:a� ,-4 A ! BUILDING DIVISION DATE ISSUED' 0 %2Q%2000 r EXPO I1TION DA - 1 �. TOWN OF, IItkWSTAB> E BUILD1N, PARCEL ID 098 011 VE:OBASE ID 4552 ADDRESS 1740 SOUTH COUNTY ROAD PHONE MARSTONS MILLS "`ZIP - LOT BLOCK LOT SIZE _ DBA DEVELOPANT DISTRICT CO PERMIT 44859 DE:SCRIPTTON ''i FL.BUNK HSE_ NO KITCHEN 'NO HEAT PERMIT TYPE •BM?SC TITLE: MISCILANEOUS PERMIT CUN7'RACTURu: HEIDE:NRICH, FRANK Department of Health; Safety ARCHITECTS: and Environmental Services TOTAL FEES: $282. 10 �IN BOND - $.00 CONSTRUCTION COSTS $91,000.00 753 MISC_ NOT CODED ELSEWHERE 1, PRIVATE P + �F,•. • *+ * BE1RNSTABLE, • MASS. �* r 16g9. BUILDING DIVISION _ BY// DATE ISSUED 03/20/2000 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS' PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE-REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH, (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. j 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECT@ICAL INSPECTION APPROVALS �U .4 1 �a14 VV, �_1`5 ,��/1 / . :116f \ �jJ 2 2 , W6. 2 / �Al �,)V,�1 t 3 i 1 HEATING INSPECTION P OVALS ENGINEERING DEPARTMENT �l3( 2 BOARD OF,HEALTH i O ER• SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PER IT WILL BECOME NULL AND VOID IF CON- 'INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 1 BUIL N PERM� IT �.. \ v r OF THE 1p� The Town of Barnstable BAMSCABLE, 9� MAS& �0� Department of Health Safety and Environmental Services '�En Mv't A Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner 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. ,�/ n Type of Work: LimC / I S � Estimated Cost Address of Work: y U S U U v✓v , Owner's Name: ?_,e:�? Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav „f DEPARTMENT OF PUBLIC-SAFEJY . CONS TRQCTION SUPERVISOR LICENSE Ni6er, _-= Expires: j RQfi ted FRAIiKRr�IEIDURICH ' OSTERVILLE, MA .02655 /� ✓Re�oom�na�\ HOME IMPROVEMENT CONTRACTOR 94 Registration: 129372 ' Expiration: 8/20/01 Type: Individual Frank Heidenrich Frank heidenrich G� f� �74l 95 Mine Rd. , AOMi"isTRnToa Osterville MA 02655 ` ` }F _ _ 1 2-21-2000 12 19PM :FROM FOWARD 'S ROWLAND 9784682059 To Whom It May Concern; The bunkhouse I propose to bulid on my property at 1740 South County Road in Osterville is for use only in the summer months. I am not installing any heating system and the building will be used solely by my family or friends, Edward S. Rowland Table JS=b( aed) Prescriptive Packa;m for dac and Too-Family Ruud. tW BaiWiaF Seuad with Foud Facu - MAXIMUM ! NIDVIl1lUM r Qg Qla�ag or Wall Flo 8as�sa Slab HeauayCoouaB .Arm .(�) U-valus� R.vai� I R value' R,valud Wall P °�= �==Y' Pset�e Rrvaia� &valuer 3701 to 6300 Hotta;Degm DzW Q 121". 0.40 1 3E 1 13 19 10 6 Nortasl 1 R 1Z;4 am 1 30 19 ' 19 10 6 Ncrmsa 1 S I2!4 0.S0 3E 13 19 l0 6 tS AFUE T 15% 0.36 3E 1 13 23 1 . WA, WA Normai 1 U Is% 1 0A6 3E 19 1 19 1 10 6 Normai 1 Y 17:4 R4+i j Je 1'. w ivn :�::. i ttS AFUE W ISSN an 30 1 19 19 10 6 U AFUE X 18Y. 0.32 3E I 13 25 WA WA No:mai Y 18% 1 0.42 1 3E I • 19 2s' WA WA Nommi Z 18%, 1 0.42 1 3E 1 13 19 10 6 90<AFUE AA I r/. 0.30 ( 30 19 19 10 6 90 AFUE 1 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL ECTERIOR 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 ME'i iODS OF DETERMINING ENERGY REQUIREM- EINTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. S AU 61 d / � y� BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-080303a i Tile Commonweami uj irruaa-L--—-4-6-0 j— °==:z Department of Industrial Accidents nw Office 011fiYO t 9201 s -_- 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance AM davit oiii 91 o name: location: S//0° � v City /K/ hone# 1/� - 7 > ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one w/orkn nna%ci/ty% %�:/IN/%%%%% //%/%////%%/ providing workers' compensation for my employees working on this job. . lover ::.:. ::::. ::: ....... am an Warne: ::::::: .,. COIDOanv :::::.:::::::..:::.;::. :::....:::::. ::::;:.;:•;:::;;:.;:.::;:::::.::::::::::::.::::::.... •:::::.:..........::: ::•.:..........::::::. addre «:>:»>::<.... >:<....::: :: :<:>::::.::>:;:•:::::::.::>:;:: lion e city: :•:::::« :.;:.:; ::....:.;:.:: .....::::.:.:...:::.;; :;:•::.. oiicv insurance co. :: :: : � //////%//%/% ////// /// ❑ am a sole proprietor general contractor, or homeowner(circle one) and have hired the contractors listed below who ' o ensation oIices: :.:::..:::.::;.;:;:.;:.;>;:;.::.;:.;::.;;:::,.;:.;.:.:.::::;;.::.:;:.:;.:.;:.:>;:<:<:>:>:<:>:<:::«:<:<::<:> >:<::«»>> >;;:. :.:.. e workers c mp . s p ..:::::::. :::::.. :..... ... .... .. n :.::::..... ::::.:. ::::.:......:. .:.:::..:::..:::..:::.:::.......:::::.::.::::::::::::::::::::::.:::: COtriD�an v na me :j ad dre SS .........::::::.:.:• . .... .::. .. ..:•.: ... . .. �:::::.:: .. ... ...... . phone rihr insurance co.. ...: ...... c any na address- ................ •..................... ..... ::........ ::.......:::•::...::.::: :: TJ 0 r'% n / ins nra / Failure to secure coverage as regoired under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Sue up to derstand that a one years'tmpri+onment beell as civil penalties in to the the fce orm of a STOP Investigations o[,the DU for ORK cO and a fte of 3100.00 a day against me. I understand that a copy of this statement may I do hereby certify p the amt pen of perjury at the information provided above is true and coned Date Signature Print name Phone# Yz dP `7 omcial we only do not write in this area to be completed by city or town ofncial permit/license# ❑Building Department city or town: ❑Licensing Board ❑Selectmen's OtHce (:3 check if immediate response is required ❑Health Department Other�� contact person phone#; � 0 9/95 PIA) ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE G,F square feet X $55/sq. foot = 3? 6 4•, GARAGE (UNFINISHED) square feet X $25/sq. foot = PORCH 32 3 square feet X $20/sq. foot= 6 y o` i DECK square feet X $15/sq. foot= OTHER square feet X $??/sq. foot= Total Estimated Project Cost For Office Use Only lnclusionary Affordable Housing Fee ❑ Residential Fj Commercial" Property Owner's Name Project Location Project Value Permit Number **Existing Sq. Ft. **Proposed New Sq. Ft. Fee $ IAHFORIM 11 00 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map q Parcel oil Permit# Health Division 2�1&`rP Date Issued :g*1 4060 Conservation Division 116V O,1K—_ SEPTIf1:�VSTEM MUST B Tax Collector + INSTALLED IN COMPLIANCE I .WITH TITLE 5 Treasurer I I T 1 e ENVIRONMENTAL CODE AND ' ' TOWN REGULATIONS Planning Dept. l�t� ��. L&,, . ] 7/ Date Definitive Plan Approved by Planning Board O Historic-OKH Preservation/Hyannis `• Project Street Address �` o S y • C U c/h/ Village ,/g I-✓ It L It Owner E w �'�-d'ztJ -f�'✓� Address �f�✓`1 �- Telephone Permit Request ( � X 3 ©'J g �- �//V I /f-�V S N 0 14 FIV I USA w Square feet: 1 st floor: existing proposed �� 2nd floor: existing proposed Total new Estimated Project CostC( o a'o Zoning District Flood Plain Groundwater Overlay Construction Type t-O 0 c7 reT A 41 Z Lot Size 31 ° '-/ >� c2 f S Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Dc/N is 0 S F_ Age of Existing Structure of" Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full rawl ❑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 7, new First Floor Room Count 2-1 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other 0 /J E Central Air: ❑Yes 91445- Fireplaces: Existing New Existing wood/coal stove: ❑Yes 9O 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 i / BUILDER INFORMATION Name //?1�✓/6 /T �t c� Telephone Number Z�� Address License# O 3 ePC 037"i.2111L1-£ Home Improvement Contractor# 1 g j7?/ 4 ?�S'S Worker's Compensation# es— O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO2NS %�/IO✓L� SIGNATURE ��` �, —�'l DATE _ 3 -FOR OFFICIAL USE ONLY _ PERMIT NO. DATE ISSUED MAP/PARCEL NO: ` F ADDRESS fir;, VILLAGE ' 'OWNER • � � , ,. -; • - :: DATE OF INSPECTION I. - FOUNDATION , t r - v'v FRAME + y INSULATION Al FIREPLACE ELECTRICAL: UGZ FINAL PLUMBING: !:R,*JGI FINAL " x ` GAS: `' FINAL rz FINAL BUILDINf A c[ i t X , A TM - t - • 1 ' ' • , d - DATE CLOSED Q1•TI ASSOCIATION PLAN NOS ' ' ' Q Lj no rr Fl f - g T 1 a e r _v a 0 0 � � e 2 /6K� SIC- 38 -0 � kT /ZA-r �s �XN M ,r3S zx � ►� i� rOXzo `� judTiw� . 1 i �/ -� z� y<< 3� �����u i ) r i S'i 2 v c X PGc/2g Ca1vC2 � �� Aj /Z / 6 O �' Mi4j,63 � Y G / x 4) X C( A u UGff SA cu,(j �L1)cki,Ij(:5- U ec -t- w , 20 v �/� C' r,x D4. x) C) g 1 cd a f E 8�9 kv J,46 a; i r SER✓����16 ,r-I t uC-6 Oil � 0 Q . sa AA J t 4. .-- D t'.7777 03 I Ia ±r c F Ii 1 a�➢C t"C( , iSSIT>9J AS A kL rt F IY€ + I 1 . DUNLN INS, A{.'CY, INC. i ONTLY XND 1 E3 rI F I24 NO Ri( 111 S U?GN T fFP CERT'1_FICATEI'. 2.,.5c ilall`v i I 01 t3! I( "€IfilS r,;R IYICA f:" DOES 1 +:?r r!ti".L\'!} EXTEINMORf STREET ��;,T l iAMR TUS COURAGE Fj.0[RTtE BY s 96a; I�i}t [[1F�g?Clay :.3 t..t ZZ A il.V sJ BAY, MA 02532 MUTUAL PRANK I Y IN TD4.t` ER ONE_J I TS AG(.,L' �. l UMPAIJ1 rµ . 01SIZRVILLE M• 02655 r ----- — — — r ^HIS i5 3'i^.ERTIFY THA 1 1 t E PvI OES O [4SURAf CL L.[M)BELOW HA'�L EEN 1 C F 7 r > i n I •�-� a is ,. ._I .5_.,_t TO T[-tr. i,JS��LD N4M,cJ ArCl1r I'�1r u � , vDW 1 Q NO'TS�IT'HS`t'AN,IIN0 ANY R QUIRFI.t'FNT TERM OR CC,1NDf'f'C+N OF ANY COMRACT OR OTHER DOCUMENT \VI H R!_S?FC1 1CilliHlCk r T�S ' C'ERTIi7 C ATL SLAY BE ISSUED OR i+'tA'Y` PERTAIi`.. 1nr tiS'-IRAWE AFI&RDE'D EY TP+E FOUCIES D&XRMED HEREIN lS SUHMCT TO ALL TFiE TEk A,' 1i F CLLI t1 r1S AND C'JNDITIONS OF SUCH POLICIES LIMTS .SHOP`' MA HA. E 9L.E\ PEDUC:EI gy PATA CLAIM.-S. � poi: TAR t)i'1\ �ein:VCt•:. I VOLICYNIUn48Ff; EX'NKAI ri - f GtN2:EA !Ir 1i!.1"!')' 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Iway S11OLLD ANY OF InK ABOVE DF,SL`KIBr.D POLICIES BF CAICELIF!', ttLmpl IHE. 1 7' Er1wt..1;D RQ4"7LAND EXIMR&T10A DATE THEREOF, THE ISSLING C%WW) fell!. F\7iF,AfnR, TQ"11 C. �y DAYS 1YRI1' A•P TEN NOTICE TO THE CERT1rFCE 1101,D!JR NA,1 TFI)TO HIf FT, 17'4 0 SOUTH COUNTY.L ROAD BUT FAILURE TO MAIL SUCH NOTICE MULL T;v PME NO OBLIGATION OMMWLlTY � 'f OSTERV I LLE, PIA 02658 .' or ANY I:fm uP THE v�`^�sr _ f A S AGENTS OR RFPhF�h C Y11P� -j AU'fHORI"1-ED Deborah Hata _ .,i i_—._..__r._..� ,.: �' _ �" - Q t�C#5RD t..(3RkUR�'4'1i.1! 19SR j •i� • ` t§`��k t � ` - � 4 .,yFyfi� (//�}+q��"i-J,e��.�'� � -�y �..�'�"i,�,�.--•ysK �':t"�t a,y,'c�+-�,.ww - -a�'T`. t �` f F.+ t n r d4 �.(t_._ .. �-'-.w.st-., _.�.k- .,��...a-s` ..--,s. 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HOT' Elf, _hill? G lf-111IC'+'F mll=? VOL Idit;AD, 1>Y,ii~- DI T 114? a VOCA` 114Z`,t, � vxD CCSAXH? to ifiCill.? 1.1t. GE.t<,£tisictI , dIfTY Of t.a;Y)wM_j 0V' j t TIi11.0.1 ttlo, 'A. pip %.;a_t.T � .S b' ftt Engineering Dept. (3rd floor) Map ©C� Parcel I Permit# 2 CJ House# Date Iss d Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) *�- " 6 SEPTIC SYSTE Definitive Plan Approved by Planning Board 19 ��TALIu�'') INCE 8 C!] TOWN OF BARNSTAR ,,tcerv� ,.T- ,:,e�:��`� ND Building Permit Application T�1WN C�EM5 11B'6 NSProject Street 5 0 . c d(/x/ I�d Village OS( 4, V 1 LS, MA— 4 Owner JV`z Address 5 S Telephone Permit Request V o D V j G&7&4-G'2i 'oL,J, 'r)4rtti 16 X 36 First Floor `4fFtO square feet Second Floor tj d ,,1 ee square feet Construction Type ��SP�'f— 2 A-M Estimated Project Cost $ Zoning District Flood Plain 00 Water Protection to 0 Lot Size 3, 6 q I+C Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other 50&/0-- nd 13 Basement Finished Area(sq.ft.) w eq y Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No r Garage: 6-detached(size) ()C 3 0 Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) f 6(X ;t y ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization Cl Appeal# Recorded❑ Commercial ❑Yes *<0000, If yes, site plan review# Current Use Proposed UseL-�i �`� ^` Builder Information il Name I✓/G //)f/�/1.(C`r Telephone Number �l� �7 271 Address J 16 & nn License# 0 3 d�& 6 e `Tz ✓/L , �/`lf d�G S,3 Home Improvement Contractor# Worker's Compensation# 1 -/ NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO o F /�,9 AA1 s 7y 3 2� SIGNATURE ATE d'�L/g BUILDING PERMI ENIED F THE FO OWING REASON(S) stag:A�- - - - - P .0" -, 't A &gf/v) C FOR OFFICIAL USE ONLY t - X PERMIT NO. DATE ISSUED : MAP/PARCEL NO. - ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ir INSULATION FIREPLACE ELECTRICAL: ROUGH '? FINAL PLUMBING: ROUGH FINAL Co , GAS: ROUGH - . FINAL - ',FINAL BUILDING J `©;/ �p ~ 1 o tT c DATE CLOSED OUT MN- <C ASSOCIATION PLAI�(1 p 1 . The Town of Barnstable Department of Health Safety and Environmental Services :tom Building Division 367 Main Sheer.Kyamds MA M601 Raiph Crosses Off!= 308-790-6=7 Building Commissic" Fax: S08-790-WO For office use only Permit no._ Date AFFIDAVIT HOME 3WROVEMENT'CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION uires that the "reconstruction, altemdoas, renovation. repair, modcMintion- MGL c. 142A rt4 re-existing conversion. improvement, removal. demolition, or coma cdon of an addition to any P owner occupied building containing at least one but not more thaw tbur dweiling units or to structures which are adjacent to such residence or building be done by registered contractors. with ong with other requirements- certain czccptions.al dLd 46,.f d Est.Cost Type of worst: ' Address of work: D S� C(,�N I OLS j/ Owner's Name — o4ry N � Date of Permit Appttcation —4LzAe - 1 hereby certify that: Registration is not required for the following reason(s): _Worst excinded by law Job under SI.000. Building not awner-occupied Owner pulling own permit Notice is hereby given that: OWNERS .PULLING THEIR OWN PERMIT OR DEALING WLTH UNREGISTERED CONITtAC77ORS FOR APPLICABLE HOritE IMPROVEMENT WORK DO NOT HAVE ACCESS TO TM AMITRATTON PROGZAh1 OR GUARANTY FUND UNDER MCL c- I42A SIGYID UNDER?ENAL'TIES OF PE L=y t hereby apply fora.permit as 112 gttint of the owner. ll? Contractor iVame Registration No. D OR owners Name Date f ' The Commonwealth of Massachusetts Department of Industrial Accidents �;-.. .� • OlTica ofllltyestigatil�ns 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name 7 location: city phone# ❑ I am a omeowner performing all work myself. ❑ I a Y1sole 13roprietor and have no one working inMEMO amp capacity ,,,r, I am an employer providing workers compensation for my employees working on this job. , compnnv name: address ,j� M l 1.,)Cad cih„ phone#• insurance cn. �! � fo , /� qD C olicv# C,� 6 1 `.ate //// �.� ///////// //////// / ///%/ :��/////G ❑ I am a sole propri , gene ntractor, o homeowner(circle ne)and have hired the contractors listed below who have the following workers' compensation polices: .... .. com anv names address Mr. phone#' insurance cm golim company name: address- city! phone#� .. . ......... insurance co. Failure to secure coverage as regttieed under Section 25A of 11GL 152 can lead to the imposition of criminal penalties of a One up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of 3100.00 a day against me. I understand that s copy of this statement maybe forwarded to the OOlce of Investigations of the DIA for coverace verincation. Ida hereby certify under the paint and Kn es of perj ry that the '[formation provided above is true and rred signature Date Print name Phone# Cdtvor only do not write in this area to be completed by city or town of efal n: persmt/license# ❑Bulldlnq Department ❑Llcenatng Board imatediate response b required ❑Selectmen's OlIIee ❑Health Department rson• phone#• ❑Other (teruea 9/93 P1A) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their e is defined as every person in the service of another under any cc=-: employees. As quoted from the "law", an employe of hire, express or implied, oral or written. b b An employer is defined as an individual, partnership, association, corporation or other legal entity, or amy two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver . trustee of as 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 anvWer 4.^w;^Io;rc TPrennQ TA do maintenance , construction or repair work on such dwelling house or on the grounds o: building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or 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 contracting authority. r VIZAW Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if You are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of 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 permittlicense number which will be used as a reference number. The affidavits maybe returned t^ the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please .;o not hesitate to give us a call. o/wq/ The Depamtent's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investlgatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 RESM ADDITIONS OR ALTERATIONS If located North of Route 6- y work visible from outside-needs approval from OKH In Hyannis- work visible from outside-Check to see if lt's included in the Hyannis Historic Waterfront D -if so it needs approval from them APPLICATION PACKAGE MUST INCLUDE: Map/parcel number Sign-offs from / Health / Conservation(if 'or work) ✓ Tax Collector Street address Owner's name&address Permit request- tali description of proposed project Square footage-proposed project / Estimated project cost Complete Dwelling informatibn for Assessor's Office Builder's information / Signature / Plot plan Z 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 En&Vr�—T- ' me Improvement Specialists License OR Homeowner's Copy of Construction Suspervrsor s License&Ho p p License Exemption Form. ,ee . NOTES: CEMINEYS Need Home Improvement License No plot plan required PIERS&DOCKS Need Construction Super license AND Home Improvement License Owner cannot pull own permit N�F DENNIS STAR CONSTRUCTION CORP. 232.41 N O O 1 � J O 00 j O O O Z 81 .32 � 3.04 AC . ni£w 3� 910 N 0 00 r ❑ N � � J P. • O r � r rn z 0a 5.72 202.77 `.° 87.73 SOUTH COUNTY RD . �Qe 30 - 15- MORTGAGE LOAN INSPECTION .MU984 SAGAMORE SURVEY ASSOCIATES SCALE: 1 IN.= 100 FT. ASH OF M P.O. BOX 28 DATE: OCTOBER 1 97 SAGAMORE BEACH, MA. 02562 /111 o THOMiAS (508) 888 8667 m I CERTIFY TO 0 por:-3:9:AND THAT THE LOCATION OF THE BUILDING SHOWN HEREON CONFORMS " No.34314 GO TO THE ZONING OF THE TOWN OF BARNSTABLE (OSTERVILLE) °9oF NP" � FSStO I CERTIFY THAT LOCUS DOES NOT LIE WITHIN THE FLOOD HAZARD °suAv�+°P ZONE AS DELINIATED ON MAP 0016C COMMUNITY NO. 250001 PLAN REFERENCE: BARNSTABLE REGISTRY OF DEEDS REGISTRY OWNER: BOOK/PAGE: PLAN BOOK 302, PAGE 020 LOT NO.: LAND PLAN BY: NELSON BEARSE—RICHARD LAW BUYER: DATED: MARCH 3, 1976 THIS INSPECTION NOT MADE FROM AN INSTRUMENT INSTRUMERT SURVEY AND IS NOT TO BE USED FOR FENCES, HEDGES OR TO ESTABLISH LOT LINES. FOR USE OF BANK ONLY. ; I Llr- LO �� boa r00AJOR?T/OA) — X 77- 0 Foo-1/A-1 � I �, S o u o '?U/) —/ /° S3 7.9r„l -H.9 / J ]? IN n rY — r"P IL-P-70S%ry J c►dd J2 xK8 I .. 9 x sz IvIdt ry o 11.�?�,G�S ry a� •� PO Li O 1 O I LO r0OAQ AT/oA) — )C 77- 0 Fo0 i/AJo ' IV0 � � i COILIv 2,2 a/ZA G Z F—iftzs Co L(-Rq2-�j�s 4 '-p c 6 r, Soc, �-iJ3 r� Fr8�x Zy PA D S iaG — wty I cc 6,14iZ, /N-UZ-*776,cJ — Ai v N 3 20 vr- S t4 '5 A 77-41A) c L) x °of��G - � s�hT �� „vGL �S 1 G. H. DUNN INS AC;ENCY 5087597177 P. 01 ".30x--Li ou Ob ............ ........................... ....... E. T DATE(M /D j Y) V 0 8 12 .......... .................... . - - PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE G. H. DUNK INS . AGCY. , INC. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEN DOR 215 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLIMSELOW. P.O. BOX 330 COMPANIES AFFORDING COVERAGE BUZZARDS BAY, MA 02532 I COMPANY A HINGHAM MUTUAL FIRE INS ,. CO. LKS LW D COMPANY FRANK HEIDENRICH B NUMBER ONE INS ._AGCY-L INC. COMPANY 95 MILNE RD C OYSTERVILLE MA 02655 I COMPANY D . ... . ....... 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. C POLICY EFFECTIVE POLICY EXPIRATIONi LIMITS LT TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDITY) DATE(MM/DDlYY) CO TYPE GENERAL LIABILITY ART 9701302 05/19/98 0 5 19 9 9 i,GENERAL AGGREGATE S 600, 000 X COMMERCIAL GIINERAL UAMLITY I PRODUCTS-COMNOP AGG S 300, 000 CLAIMS MADE OCCUR PERSONAL&A DV INJURY $ 300, 000 OWNER'S&CONTRACTOR'S PRor EACH OCCURRENCE S 300, 000 FIRE DAMAGE(Any one fire) ..S 50 , 000 . MED EXP(Any one Person) S 5, 000 Auromogrix LIABILITY COMBINED SINGLE LIMIT S ANY AUTO ALI.OWNED AUTOS i BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S (Per accident) NON-OWNEDAUTOS PROPERTY DAMAGE S GARAGE LIABILITY AUTO ONLY-EA ACCIDENT—].i ANY AUI'O -..--- OTHER THAN AUTO ONLY: EACH ACCIDENT EXCESS LIABILITY I EACH OCCURRENCE I S UMBRELLA FORM AGGREGATE $ H- HOTIICR THAN UMBRELLA FORM ;rAU— — B WORKERS COMPENSATION AND JWC2-0121553 5/19/9 /9 9 X i TWO RC LIMITS1 EMPLOYERS'LIABILITY EL EACH ACCIDENT' $ 100 , 000 THE PROPRIETOR/ I INCL EL DISEASE-POLICY LIMIT S 500, 000 PARTNERS/EXECUTIVE OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE S 100, 000 OTHER DESCRIPTION OF OPLItAl-IONS/LOCATIONS/VEIIICLESISPECIAL ITEMS CARPENTRY .......... IN POW- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE NED ROWLAND EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO,IAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THIEFT. 1740 SOUTH COUNTY RD BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OILIABILITY OSTERVILLE MA 02655 OF ANY KIND UPON THE COMPANY, ITS Ar.FNTAI OR REPRESENTATIVES. Y AUTHORIZED RJZ UTHORIZED REPRESENTATIVE 9 . Toni E. Davies TD B Ix, DEPARTMENT OF PUBLIC SAFETY CONSTRUCT 01I.SUPERVISOR LICENSE NuoDer-a -==;;' Expires:_ . a#r=i 01 FRANKi-0ENB`ICN 72..BR1'AR'=PATCH RD Lb w* w OSTERVILLE, MA 02655 `S ` C O.W IMPROVEMENT CONTRACTOR ;�`. cowt : istration, ---709 ypi Coo � �a S T� � , .p' 1TSCT011 �x':G�� : � „ -�•"�Q r r. ERVIL �B)ILDIN6 COd tom• d h ,.�. � �F `� �,t�tt•ANK yJ�r'HEIDENRI�N��'7 ���� � ` �q """' `M A'flSTERVILLE MA 026551f ti _ / ✓Ite '(Do��a� a���vGCtJJaCnuJ� DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE ..... .-. Nuaber: -;..: Expires: Restricted_;To 00 FRANK"i=_HEIDENRICH 95 MILNE'RD OSTERVILLE, MA 02655 I HOUSE ' PIpbE�ewT �y IL QIOGG E o y^y' 40% swen iNG inb c rES u:�b FeITTM 1 00 .' _ ns o..n.T„SHIub•es To q 6 � z nTCH en.:.rNG _�Io S-O• C 0 R 3I8 SoFFIT VENT L:Z%8 HOR• Z f IffT i p ' -L%.V STUDS lb 0-c- e 1 vAFOR.flPgGI!$, Z P\QE W.C.SN.GteS Q'13 X-1. (t•lb RC_USp . C E�S42 1 Srnl¢S 2sC a.T.a•�U. KITCHEN �y z.,30-J - 2f8 SOISTS Ib•O•G• ��L mFOU^o.pe•Ts u� F.c coea D �m j oU T ceveRl g Luc.Gw+onT er+-Nr? • s"oeT % N NORTH ELEVATION ae�o^e sae- SECTION uSC wiNDOW I 0• o tq C FoO�wV tYD. � �I EXISTING CONDITIONS T I•nnrcN 6wi'a¢�o¢ L EXISTING HOUSE I J +¢.T - -- -- �r I T �----- -- ---..... = ® ® ® ® -- ® --------TT 013 —T.. I Iou I I .. r -- - 0�1 - r QO .. SOUTH ELEVATION EAST ELEVATION a KITCHEN EXISTING CELLAR i-o' EXISTING HOUSE EXISTING ROOF 3 a ' I ; I \ s IST nI`e / 2-iv12 vw.� ¢wrtces D. ° w l l��yI 3' coNc. DUST <ovCR �n0 I [� NEw wnlwS I I S I 0 'm y%ip QACT<¢s Ib•O.G'. O - 1 ,4 FOuv onTlow3-84L T ..------ ---- i I 1 I [�j'•O 1 'IL � 2-IeIL I'11. � L /-f RE•VSG E^I-TI�a6 w�weow To ,tniCN FOUNDATION P BREAXFAST LAN FLOOR FRAME PLAN ROOF PLAN S 'p o .y T•�i4vL 'S%fl4 -I.-OIIi•. 1 S' L•dli ROWLAND RESIDENCE PROPOSED ADDITION PROPOSED KITCHEN ADDITION 1740 SOUTH COUNTY AD /OFI -A IT TD _Fe C) 1�1 IH7 T- 1 W� lv� 77, tr_777 f.----- 3c." ul�k. C�>~rc, av�.� 5 �-f>��� C:..a��o�atr►�s. � � S r TOP FOUND. EL ��.S `Locus �� 07 '11`..1• jr U N 7 LI JN15E2s S IQ'.GT INV. EL lA.b� wAIot dart covet FLOW LINE . - 1/B" TO 1/2' WASHED STONE . I 7 lEbEl• 2' MIN � tI I D G W�OU.C��10'•-��C--_.— • y 10' MIN. " • . �� I U.J G !3 .LO C LJ.S MA.P W 14 INV EL �3.7 �n1Y EL �3.p' 10' MIN. 4B�uouw oFPn+ ---s— INFILTRATOR __ 2 INV. EL ,0 3 4' - 1 1/2" To S E �• DEPTH - _— - - EL INV -- - - - _.--- -— - _ 3.5 INV. EL 53 S.A.S. n LONG x WADE x J: EFF. DEPTH 56 Si WITH Z_ HIGH GAI'AC1TY INFILTRATOR CHAMBERS � 1500 GALLON PRECAST REINFORCED CONCRETE SEPTIC TANK PRECAST REINFORCED CONCRETE DISTRIBUTION BOX 06 MINIMUM CONSTRUCTION MATERIALS PER 310CMR 15.226(2) TEES SHALL BE CONSTRUCTED OF SCHEDULE 40 PVC AND INSTALL ON A LEVEL BASE q�!p' 1� o ` �. � - - �� I 58 SHA!_L EXTEND A MINIMUM OF 6" ABOVE THE FLOW LINE OF THE SEPTIC TANK AND BE ON THE CENTERLINE OF THE MINIMUM WALL THICKNESS 2" SEPTIC TANK LOCATED DIRECTLY UNDER THE CLEAN-OUT MINIMUM INSIDE DIMENSION >s 12" MANHOLE. t= , THE INLET PIPE ELEVATION SHALL BE NO LESS THAN 2' NOR OUTLET INVERTS SHALL BE EQUAL TO EACHOTHER AND AT 2' MINIMUM BELOW INLET INVERT. 1 MORE THAN 3' ABOVE THE INVERT ELEVATION OF THE I OUTLET PIPE. THE DISTRIBUTION LINES FROM THE DISTRIBUTION BOX , � � I I V SHALL ALL HAVE EQUAL INVERTS AS DETERMINED BY FLOODING Note. �`� i i / e 56 SEPTIC TANK SHALL BE INSTALLED LEVEL AND TRUE TO GRADE THE DISTRIBUMON BOX TO THE HOGHT OF THE OfSTRIBUTION ! f Remove unsuitable ON A LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY LINE INVERT AFTER ALL LINES HAVE BEEN SEALED IN PLACE. ble soils extending tine �� i Bench ally all around the proposed Mark- COMPACTED i / COMPACTED AND ON TO WHICH SIX INCHES OF CRUSHED STONE INVERT ADJUSTMENTS SHALL BE MADE BY FILLING WITH DURABLE feet later �� Top CB Fn d. f HAS BEEN PLACED TO ENSURE STABIUTY AND TO PREVENT AND NON-DEFORMABLE MATERIAL PERMANENTLY FASTEND TO THE leaching area to depth of natural pervious Fl. 55. 48' SETTLING. LINE OR RECONSTRUCTING THE LINES UNTIL ALL INVERTS ARE OF soils and replace with clean granular sand De t um: NG VD ' EQUAL ELEVATION. tree of organic matter and deleterious f SEPTIC TANK SHALL HAVE A MINIMUM COVER OF 9". substances. 74.2 54 �'XISt1IIg /' ' I PARCEL 11 THREE 20' MANHOLES WITH READILY REMOVABLE IMPERMEABLc � i '�4 COVERS OF DURABLE MATERIAL SHALL BE PROVIDED WITH ACCESS 0utbuilding ' PORTS BEING PLACED AT THE CENTER AND OVER THE INLET ANDOUTLE Propose Bunkhouse THE OUTLET TEE SHALL BE EQUIPPED WITH GAS BAFFLE. .132 953_:�-sq. -ft. ' 3. 05 Acres ' GENERAL CONSTRUCTION NOTES '3g TE Ot�n ... 4 i. ALL WORKMANSHIP AND MA_ri_RIALS SHALL CONFORM TO D.E.P. TITLE 5 AND THE TOWN OF �-77,y L RULES AND REGULATIONS FOR �9;' .Fenced .:.• THE SUBSURFACE DISPOSAL OF SEWAGE - ' Garden .+ 144Area , :. i 2. AT LEAST ONE ACCESS PORT OVER TANK TEES SHALL BE ACCESSIBLE I i WHITHIN SIX INCHES OF FINISH GRADE NTH ANY REMAINING ACCESS I ed` � - ' Q 469.52 185. 2 '.� ., as , d ::':':':i , PORTS BROUGHT TO WITHIN TWELVE INCHES OF FINISH GRADE. �p �,A m ........ 50 3. ALL COMPONENTS OF THE SANITARY SYSTEM SHALL BE CAPABLE OF I ; I* + Proposed 1500 (.'a11on tank _ \ WITHSTANDING H 10 LOADING UNLESS THEY ARE UNDER OR WITHIN 10' ,X I OF DRIVES OR PARKING. H-20 LOADING SHALL BE USED UNDER OR WITHIN `.\Io1o�l7 `e pit 10 OF DRIVES OR PARKING UNLESS NOTED. ` � I f '� - Proposed S.A.S. Infiltrator Trench 4. THE EXCAVATOR/CONTRACTOR SHALL VERIFY THE LOCATION OF ALL I, - F,xisting — , SITE UTILITIES PRIOR TO ANY EXCAVATION. �. �, urrr�ol8 .- • ,. o J Barn- r,` �IB�- y I 5. SEWER PIPES SHALL BE 4 SCHEDULE 4 IN U Proposed S.A.S. Expansion Area 0 PVC LAID AT 0.02 SLOPE. IN 03 �tn,� h9 Reference Plan: 302- :0 IN\ rave g.17an 1 6. ANY MASONRY UNITS USED TO BRING COVERS TO GRADE. SHALL BE �',a -'$ 123.5 tank I ' / Assessors Data: MORTARED IN PLACE. •z, ,,'`54 i = I i Map 98 Parcel 11 or '.� rr: •.�.;,,.�- � 1 138.E rae � FINISH GRADE SHALL HAVE A MINIMUM SLOPE OF 0.02 FEET PER FOOT. �� 1 _ I ' FFMA Data: Zone "C" —Hse. Brick'. 1 / / #1740— Patio •• / Zoning District: RF \ 42.6 .�ter meter pit - 56 /' ' Building Setbacks. ' \ / / Front-30' ' \ Side -15 IL -� / / Rear-15' r'o \ _ I / /' Overlay District: REFERENCE MAP �� o� / / /' �, ,+�, C-Trp SOIL OBSERVATION DATA: A'-j 0 1( CAPE COD �QQ GRAPHIC SCALE / / �6" WATER TABLE CONTOURS DESIGN DATA: lii ' / / a0 0 15 a0 e0 gyp `�p .` � / / / Ik � AND PUBLIC WATER SUPPLY k.'' / r >. >� TEST DATE 03- \'s - oo � / WELLHEAD PROTECTION AREAS STRUCTURE '��„ti�e� 1 O / - �� / IN FEFT )SOIL EVALUATOR S Gov R RESOURCES UR less TYPE NO-_BEDROOMS GARBAGE DISPOSAL 1 inch = 30 ft. WATER RFsouRcfs oION DESIGN FLOW x �` _ ICU \ \ 54 ' t pF vS-� B.O.H. AGENT �• a c�u.��,� CAPE coo COuu1S50N S, yP a s _��c _ � ,�,�►y ��r EXCAVATOR ,/�A`t-p �o�•�,� � // // Di• acGlS1cafn ^�` } STFPHC N ` PERC/RATE _ L 'Z MTV. \uC>a► $ J. V \ L F 375A9 / ►'41 , SEPTIC TANK 1 �1= _\5 �, ��.C:�� Si t PI a n Of La rl d In SL V_-jz \*A'' „ SL 1oyr� z "A" „ LEACHING FACILITY g SIIP � l �S Iov rt s�4 A8' S It) rc _7d 1>3 Lu x Ze zo o N 52 Inc So'i IMP L 5�0" ---- '1-�I ep � i Z o+ `�o x �``T�• = Z—i(o `-5►�� 1 oTAL�i��lc,►l `� --a � 1 -— — --- -- ---- ------ --------- - — ---- Tn�� 9 "C S"w� "G'' , ' 6�• ,gyp' Deplcth The Proposed Bunkhouse At 1740 South County Road w r &=L.45.o� 3 WIl1.lAM , Izo Sca.'e: 1" == 30, Date.' March 16, ,2000 = LIEBERMAN r �0 AT1c11, a fs1i2 v No 1391, p tr Prepared By- 018-T Stephen J. Doyle And Associates ONA- 4,2 Canterbury lane, East Falmouth, MA 0,05.36 Telephone: 508/540—e534