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HomeMy WebLinkAbout0021 STEERE WAY a �_�. � � r 8. a _. ,. ,r,`s_ „.. .. :_ ,. .. __, � . __ ,. .._ ,..., _ _ r K ., i _ �... .�.rti+��.�. ����5 �om2� .Ct� � ! G� . � / S'r ��� � � � f � �� - ��2� r TOWN OF BARNSTABLE BUILDING PERviATION gMap Parcel Application . 701' FEB 17 PSI 12. 25 � tq '. Health Division Date Issued I Conservation Division Application F b. Planning Dept. ..y f=Tn,1 PermitFee Date Definitive Plan Approved by Planning Board p!'� Historic - OKH Preservation / Hyannis m Project Street Address Village � 7°f Ownerp yL (TQ�SI �IIV / � Address[/ S7�� r,. Telephone w Permit Request 62-[ U VEM1, (7 U Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay A Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. ° Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Yu ❑ Crawl ❑Walkout ❑Other +; Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 'i 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 _eWl S �l�Ve%je Number Address I License # Home Improvement Contractor# Email a,CLLEW S i6W�CeN 0 . CV is Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO kt — SIGNATURE DATE — ?J q I 1 (/1 FOR OFFICIAL USE ONLY 'f APPLICATION # DATE ISSUED MAP/ PARCEL NO. t 'ADDRESS VILLAGE a i OWNER 'r .DATE OF INSPECTION: �. FOUNDATION FRAME S� !dp l9f�� INSULATION `.` FIREPLACE i. 1 �. .LECTRICAL: ROUGH FINAL E LUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT i r l I • ASSOCIATION PLAN NO. 'r r I 2lie Commorrivealth of Massachusetts Departmvzt of1ndrstrid Accidents ©(tune of 1mw igations 600 Washbigion Street Boston,41A 02111 wivnt.mass gov/dia N%Tarkers' Campensafion Insurance Affidavit:Bmlder-,lContrac#nrs/EIectricianslPlumbers Applicant Informatiou / Please Print f egibIy Name(Susm�essAoiganzzz ionadiv n ) &d i. o` �t/G-1C�OLt Address: �P 'r CitylStatel : &/1'a Pliane — e you an employer?Check a appropriate box: 1; am a employer with 4. ❑ Type of project(regnireqc I am a general contractor and I New construction employees(full andfor part—time).* Dave hired the sub-contractors 2.❑ I am a sale proprietor or partner- listed on the attached sheet. T-�:]Dm0lifiDn odeling s and haze no employees.•ees. These sub-contractors have ship p� working for rue_in any capacity. employees and have woricers' [No wwkem' comp.insurance comp-insuranmi 9. ❑Building addition required_] 5. ❑ We are a corporation and its 10:❑Electrical repairs or additions 3111 am.a homeommer doing all work officers have exercised their ILEJ Plumbingrepairs or additions myself-[No workers'comp- right of exemption per MGL 12.❑Roof repairs incrtrance required.]Y c.1.52,§1(4X andwe have no employees.[No workers' 13.0 Other comp.insurance required.] *Airy apyUcwtthat checks box AE1 mast also fill ontthe section belowshnwing their workers'compensation policy information 1 Hameonrners who submit d&affidasir indicating they are doing all work and then bae outside contractors mast submit anew affidavit indicating such. (Contractors that check this boa mast attached sot additional sheet showmg the nine of the sub-cantcwAm.and state whether.or not those entities have employees.Ifthesabtantracturshave employees;theynarstpmuide their worker'comp.policy number. lain are insnratrca fbr my empLoyees. Relotw is the policy and job site information. Insurance Company Name: Policy#or Self-ins.I.ic. ' Expiration Date: Job Site Address: CityfStawzJ p: Attach a copy of the workers'compensationpolicy d claration 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 imipositiom of�a;�+nal ptm216 s of a fine up to$1,50a 00 andror one-year imprisonment,as well as civil penalties.im the form of a STOP WORK ORDERand a fine of up to$2511_� day aga iii t the violator. Be advised that a copy of this statement maybe forwarded to.the Office of Iavesti of Ae DIA trance coverage verification. I do hereby c f3' e s 'rs and penahYes ofpeduty,thatthe itrfor matiouprtrt*&d a is a and correct Simature: Date: Phone#: O,fjacial use only. Do riot asrite in this area,to be conspieted by city ortown offi at City or Town.: PermitMicense# Issuing Authority(tdreIe one): 1.Board of Health 2.Budding Department 3.City/rown Clerk 4.Electrical Inspector S..Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions - Massachusetts Geheral Laws chaptrx 152 requires all employers to provide workers'compensation for their employees. Pm-saantto this she,an emnployee is defined as."-.every Person in the service of another under any contract of hire, express or implied oral or written.." An ezr7pToyer is defined as"an individual,parnersbip,associalivn,corporation or other legal entrfy,or any two or more of the foregoing engaged in a Joint enterprise,and inclnding the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occapant of the - dweIImg house of another who employs persons to do maintPnanCe,construction or repair work on such dwelling house or oa the grounds or building appurteua:at thereto shall not because of such employment be deemed to be an employer." MGL chapter I52,§25C(6)also slates that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the cominaawealff nor any of ifs political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insura c6-. requirements'of this chapter have Been presented to the contracting aufhozity." Applicants I Please fill otit the workers' compensation affidavit completely,by ch=I®g the boxes that apply to your situation and,if necessary,supply sub-contract-or(s)name(s), address(es)and phone number(s) along with their certifacats(s)of inartrance. Limited Liability Companies(LLC)or Limited Liability-Partnersbips(LLP)with no employees other than the members or paitaers,are not required to carry workers' compensation insurance. If an LLC or LLP does have d. B employees, a policy is require e advised that this affidayit may be submitted to the Department of Industrial Accidents for confirmation of in�nce coverage. Also be sure to sign and date the affidavit The affidavit should be retu¢ne-d to ffie city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-honrd companies shouId enter their self-in c=ce license number an the appropriate lime. City or Town OtElcials 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 sm-e to fill in the pen i-Wlicrose nwnber which will be used as a reference number. In addition,an applicant that must submit multiple permit Ucense applitaiions in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)_'A copy of the-affidavit that has been officially stamped or marred by the city or town maybe provided to the - applicant as proof that a valid affidavit is on file for ftuure permits or licenses Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venfir<e (i-e. a dog license or permit to bum leaves err:.)said person is NOT required to complete this affidavit The Office of Investigations would like to than you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Depaitm.enf's address,telephone and fax nmmber. Tht Commaawatih-of Massachuszttts Dtparimmt of ladnsftiat Accidents Offitce of jvestkatio.-- 600 WasbiVGII S't=t Bostan�MA GI 111 TfL 4 617-'27-4.900 Qxt 406 or 1-977-MA-SSAFE Fax#617-727-7749 Revised 4-24-07 _ ma. govfdia A FCC Guide to Wood Constracdorr in Wnd Areas:110 iazph Jrnd Zorle: Massachusefts Checklist for Compliance (-8o chrR.53o1 t.l)' P1 m,.k _ Compliance 1.1 SCOPE. = Wind Spepd{3-sec 1 i D mph Wind Exposure Category__ _______.— _ -•-_---_.—._-----------__.._--------____.-B Viand Exposure Category..:.............Engineering Requlred For Entire Project------------.---.-._______--..-.-.-.-_C 12 APPLICABILITY -Number of Stories(a roof which exceeds B in 12 slope shall be considered a story) stories 5 2 stories - RDof Pffch --- - __-._---------_ _..—_._(Fg 2) --__ —__—.__--- <_12:12 Mean Roof Height --(Fi9 2}-__-___---•--_-_-.-:-----ft `33' Building Width,W - _..------__---- ----- - (Fig 3)-----. _—.:____..:_._.___:_-. ft c go, Building Length,L ......-_------------ —�F9 3)— -___ ------ ---_ft Bit' Bulding Aspect Ratio RJW) _._� ..-----------(Fig 4)-- ------.—.-. <-3:1 Nominal Height of Tallest DpeningZ _—___-•_-_ --_(Fig 4)_.___.—._._?_--.__.__ 5 6:6` 13 FRAMING CONNECTIONS General compliance with framing oonnerdions_...—__: _.(fable 2.1 FOUNDATION , Foundation Waft meeting requirements of 780 CMR 54D4.1 ConcretE........................_........................... ...................-................................... -----•-•---- - Concrete Masonry....... 22 ANCHORAGE TO FOUNDATION'} 5/8'Anchor Bolts•imbedded or 5/8`Propdetaiy Mechanical Anchors as an altemative in concrete only Bolt Spacing-general--------------------------------- .(Table 4) -- -._..--------------- � in. Bolt Spacing from endrjomt of plate _—_—_----__(Fg 5).---- _..-._— in. 6'-12' Bolt Embedment-concret>r.._..... —_ —(Fi9 5).---__—________—— _in.>_r Bolt Embedment-masonry....._...____,.__.___--__(Fg�.--�-- t_----_.._-----__--_ In->_15' > Phate 1 Wasf�er--=--- _._.-------------�9�--------------- -- 3`X 3'x/: 3.1 FLOORS Floorframing member spans checked ----- .—(pet TBD CMR Chapter 55)-------____.—� Ma)dmum Floor Openhng Dimension Full Height Wall Studs at Floor Openings less fhan 2`from Exterior Wall(Fig 6).............................. Maximum Floor Joist Setbacks Supporting Ixaadbearing WaIFS or ShearwaIt —.---_(1=ig 7)._____.-----•----•---------- ---�ft d Maxhmum Cantilevered Floor Joists , Supporting Lbadbearing Walls or Shearwag _ 5 floorBracing at Endwalls—.-_-_.-------_:.------_—.--. _(Fig 9)_—.___—_----_----• - _--_-• Floor Sheathing Type' (per780 CMR Chapter 55) Floor Sheathing Thickness in. Floor Sheathing Fasterimg 2)_ d nails at in edge/—in field , 4.f WALLS ' Wall Height Laadbearing wags._._—:------_--.--_.-_�-_.-(Fg TO and Table 5)___._—___ ft 51 D' Nan-LDadhe ring walls__—:__ - (Fig 10 and Table 5) —_.__.._—_ ft'S 21r Wall Stud Spacing __(Fg 10 and Table 5)____.__——in.5 247 o.c. Wag Stay Offsets . .._____.__(Figs 7 i?<8)_. _.______._.___—. ft s d 42 r=�OIL WAL& Wood Studs Laadbearing v�ags------._._._...---._..._._. _(i abie�j-------_-.-_.------. . z— Non-Loadbearing walls ..._._.__:(Table 5)_-- ---.__-___....._-__..2x - m Gable End Watt Bracing -__.--.—_-_-- — — -— . Full Height Endwall Suds WSP-AtSc Floor Length ------ ---- {Fg 11)_— ---___-_.____., ft-W:M Gypsum CerTng Length(if WSP not used)_. ------- Fig 11) -_— __..______ ft;--0-9W - and 2 x 4 Confirruous Lateral Brace @ 5 ft.o.c--(Fig I i).......................__.__ or 1 x 3 ceiling furring strips @ 1 T spacing-min.with 2 x 4 blocking @ 4 ft_spacing in end joist or truss bays Double Tap Pla& = Sprite Length --_- _-.-.____—__(Fig 13.and Table 6)..----__..__.--.-- —ft _ Splice Connection(no:of 16d common nails)- AFVCGuide to FVood Cotrs&ucdou in.Kiglr gird Areas: 110 firph f-P-7r,d Zone Massachusetts Checklist_ for Compliance(7so Cv1R.s30l.Z.1_i)r Loadbearing Wall Connections - Lateral (no.of 16d common nails) (Tables 7) Non-Lnadbearing Wall Connections Lateral(no_of 16d common nails)-- _._._-(Table Load Bearing Wan Openings(record largest opening but check all openings fDr corripBance to Table 9) Header Spans _.--._._-- ---._..-__�._..... ._.(Table 9)__-_:_.-________._ft—m. 11 Sill Plate Spans -_ _ _._. �. -- _•---------__._..._ft in-_1 i Full Height Studs (no_ Df sfuds)------_____-___(Table 9)_______-- ----__...-.-----=--. Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header'Spans_- (Table 9)___._._____-_.___. _tt_in_51Z Sill Plate Spans.._.--____�-. --__--(Table 9).._-__--__.-__ft_in_s 1Z FLA Height Studs (no.of studs) _---(Table ExtedorWaq Sheathing to Resist Uprdt and Shear:Simulianeousl)14 Minimum Burldng Dimension,W Nominal Height of Tallest OpeningZ -----------------_--.------ Sheathing Type_---_- __._.______._(note Edge Nail Spacing.r---------_.__(Table 10 or note 4 if less)--------_--__-_- in_ Feld Nail Spacing----_--._..._-----_-_-_-•[fable 1D)._-----------� _--. irL Shear Connection (no_of 16d common nails)(Table 10)___.______-.___._._..__._________________ Percent FulpHeight Sheathing..-------__--(Table 5%Additional Sheathing for Will with Opening>BW(Design Concepts) Maximum Building Dimension,L Nominal Height of Tallest OpeningZ____..-------------------------------.._.__---------__-_..,.:._._ ` Sheathing Type.--_-------____-.__.___(note 4).______------ _____-.__._..-___--- — Edge Nail Spacingable 11 or note 4 if less)__-__.___._..__ in. Feld Nail Spacing-----_-- -_---._ __.__;_(Table 11) in. Shear Connection(no. of 16d common nails)(Table 11).......__,_.___.____-.___.....__.____-- Percent Fun-Height Sheathing_--__..(Table 11)___ 5%Additional Sheathing for Wall wifh'Opening>BW(Design Concepts)_..____ Wali Cladding Rated for Wind Speed7-_--__-- 5-1 fZOOFS Roof flaming member.spans checked?__-_-._ .(For Rafters use AWC Span Tool,see BBRS Website) Roof Over hang ------------------___._----------------------(Figure 19)____•___-.. ft s smarter of Z'or V3 Truss or Rafter Connections at Loadbearing Wails Proprietary Connectors Uplift _------____.....,—_.(Table 12)__.__;_.-_._.._.----___-U= ptf Lateral...... -------......-------_(Table i2)____—___--_--•---.__..__L= pff Shear------___. _-_(Table 12).___•---------._.--,S-- Plf, Ridge Strap CannecfiOns,if collar ties not used per page 21___ (fable 13)-__----- ._..____.T= plf Gable Rake Ouliocker_---------------_.____-..-----(Figure 2D) •---•------ft_<smaller of 2`or LI2_ ' Truss or Rafter Connections at Non4-oadbekdng Walls Proprietary Connectors - Upfdt__.-:----- ......---_.(Table 14)_-__________—_._--U= lb. Lateral(no_of 16d common nails)__(fable 14)......................................L= . lb. Roof Sheathing Type-_-_-_--_- ----------(per 780 CMR Chapters 58 and 59)............. Roof`Sheathing Thickness___...._----_ - -.-----__-_-_-- -- _in->_71161 WSP Roof Sheathing Fastening--._._.- ----_...._--(fable 2)-------_--_ Notes: •1. , This checklist shall be met in its entirety,excluding the specific exception noted in 2, tD comply with the requirements Df 78D CMR5301.21.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not requined per the WFCM 110 mph Guide: a_ Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d_ All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1Ba and Figure 18b 2 'F�,ceptiorL Opening heights ofup to 8 ft shalt be permitted when 5%is added in the percent fizMeight sheathing - regtirrernents sh6vm in Tables 1D and 11. 3_ The bottom siff plate in exteriDr walls shah be a minimum 2 in.nominal thickness pressure treated#Z-grade. i r AFVC Guide to Wood Corrxtrucdion in Hjj�h IrndAreas; 110,ur h 7 dZorxe Massachusetts Checklist for Compliance(780 CIVYRs1.oi?I:I)F 4. - a. From Tables 10 and 11 and location of wall shieathing and Budding Aspect Rafio,determine Perc:69t Full-Height Sheathing and glad Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7116"and be installed as follows: L Panels shall be installed qoh strength axis parallel to studs. I All horizontal joints shall occur over and be nailed to framing. uZ On single storyy mristruction,panels shall be attached to bottom plates and top inember of the double top plate- iv. On two story construction,upper panels shall be attached to thd top member of the upper double top plate and to band joist at bottom of panel Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first fioorframing. v. Horizontal nad spacing at double top plates, brand joists,and girders shall'be a double row of Bd staggered;t 3 inches on center per figures below:Verficat and Horizontal Nailing for Panel Attachment 5. Glaring prat coon:a)*new house or horizontal addition—required if ppject'is 1 nine or doserto shore(generally,South of Rte.28 or north of Rte 6) b)vertical addFdbn—not required unless there is extensive renovafion to the fast floor c)replacementivWdows—needs energy conservation compliance only(chap 93) S.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B maybe obtained from the American Wood Council (AWC)website. WrIENTMH HEMDW LZFFsAI =tME.8d NAILS AT6-= 11 tl TI tl 1 :1 11 1. �l7 l It II t r Q l { ,/ 11 K 1 1 1 Y TI Ir T• i 1 '}i • D 11 R y ! t r I i tl 1 1 n Q I � it I 0 ' i I O L L m ii Ts u u !st i1 LI r 1 t _ [S d a oa .i iltr 1 T II li hi :: ;l ' ED&EkRZ�.�T� i 111 LE 117 11 at 1 1 - . - 11 I W t r _ •( 1 1 1 'S LI it v tC I K �- f I/ tl 1 l '� ■ I L 0 it _di .T STAGGEFED NA SPkCkJG t NAX PATTERN PArdH . f �`-� P,�1� � noiiSLEf,L4d_F�C.E SPAC7FFti I�iA.L . See Datdtl on Naxf Page Verical and HDT!MtT[al Nailing V Detail - for Panel Attachment ' erligl and Hotizan�l Nailing for Panel Attachment t TURNING MILL CONSULTANTS, INC. DEVELOPERS, ENGINEERS AND CONSTRUCTION MANAGERS February 6, 2016 Mr. Chuck Hart Lewis and Weldon Custom Cabinetry,LLC I I I Airport Rd. Hyannis,MA 02601 RE. 2nd Floor Steel Beam Design 21 Steere Way Marstons Mills,MA 02648 Dear Mr. Hart: I have has inspected the 2nd floor framing located at 21 Steere Way, Marstons Mills, MA and have determined that in order to remove the interior Kitchen/Living Room wall the following structural upgrades are required: One (1)W8x28 steel beam'is required over the Kitchen/Living Room area to support the 2nd floor bedroom area. The steel beam is designed for a 10#/sq.ft dead load and 30#/sq.ft. live load plus the attic load. The allowable span for this beam and loading condition is 20'- 0". The beam shall be supported by two(2)3 '/2" lally columns. The columns shall bear directly over the existing foundation on one end and over the new]ally column to be installed in the cellar. The new lally columns shall be positioned directly above and under the I"floor girt. The cellar column shall be supported on a new 2-6"'x 2'-6"by 12" deep footing. Base plates (6"x 8"x 3/8")will be required top and bottom of each column. Should have any questions, please feel free to contact me at(508) 737-5342. Sincerely, OF�169 ROBERT L. �yN R BOLMAK TRUCTURAL No.31829 Robert L. Bod'ia k, P. J S/ANAL E� 68 TUPPER.ROAD,UNIT#3,P.O.BOX 1159,SANDWICH,MA 02563 TEL: (508)888-4383 FAx: (508)888-4246 i Outlook.com Print Message Page 1 of 1 Print Close 21 Steere Way: Steel beam From: bbodjiak@comcast.net Sent: Sun 2/07/16 5:02 PM To: chart22@msn.com 1 attachment PE Letter Beam design.pdf(670.7 KB) Chuck: Attached is the Structural letter for the 2nd floor steel beam replacing the existing bearing wall. ' W8x28 (Fy 50 ksi) supported by 3 1/2" lally columns. i Thank you Robert L. Bodjiak Set Sale Property Group, LLC 508.737.5342 https:Hdub125.mail.live.com/oUmail.mvc/PrintMessages?mkt=en-us 2/8/2016 L• Lewis and Weldon Custom Cabinetry Kristen & Peter Monteiro 111 Airport Road 21 Steere Way Hyannis, MA Marstons Mills, MA 508-778-5757 Kristen: 774-521-7566 Peter: 774-836-6063 Fax 508-778-5111 2/9/2016 monty21@comcast.net Kitchen Not To Scale #, 205 41>- 51 ..win33-- 57 Door42 24-11/2 a _-./8-3/4 3/4121/2— -) 121.3/4 12 14 15 1719 20 2223 25 Current Design 7Id7 j "A 1d 7/1 » ^+ " 271/4 Cranberry Cove Cab ?4 DW24 3 =16_140q 9 sT3o 10 1 I Perimeter:Cherry w/'Hotry ey Stain&Sable Glaze I 2 1—.3/4 Island:Chary Painted Black w/Rub Thru Perimeter Doors:Rounded Inside Edge Island:Ogee w/Raised Panel Top Drawers:Flat Slab w/Door Match Edge !� 39 Glass Doors:Traditional Mullions w/clear glass ..REF.30 #2 Crown Molding:#1238 to ceiling 1 36 1 4 100 314 Light Rail:PRS-2 Eased - Island Legs:Ashbee Square do 139 38 37 36 35 41 _3142 3/4 44 oir 331rv20 331r4 - E= I I Y 28 32 61 #3 _- - 46 ��_: 47 -- -48 I 72 45 4el sn 49 129';133 3I4 #9 120 M 42 40 85 27 #4 tz 190 3l4 #7 60 #6 , 42 #8 36 2-9 W X V r �r Lewis and Weldon Custom Cabinetry Kristen & Peter Monteiro 111 Airport Road 21 Steere Way Hyannis, MA Marstons Mills, MA 508-778-5757 Kristen: 774-521-7566 Peter: 774-836-6063 Fax 508-778-5111 2/9/2016 monty21@comcast.net Kitchen - Wall 1 Not To Scale THIS RETURN WALL JOGS FORWARD 1.5", INSTALL CAB BOX TIGHT TO RT SIDE OF JOG,THEN INSTALL EP, DECO PANELS 1.5_4515ffj1OWER HERE ,2. .2. .2I./ 4 1/2 (_24) 4n — ✓135' 1 V4,.825• to trim to trim 38 7/8 —12 112 30 12 1/2 DECO PANELS 24 165/8 20 32718 311/8 311/�83118 12 14 15 1 19 2. 2. 23 0"GE Micro 111 3 #: 41 1/2 i.85 1/8 ..Win33 13 18 21 60 1/2 18 1/4 1 DECO PANELS / 90 1/8 _ �q Door42 2925 51 �+ 1 1/4 57 o - 3P Sink 24'GE Stainless D/W arm #:CDT725SSFSS 301/2 341rP00Ai1 3 140 41/2 11 % 36 ..ST30 4 ..DW2a 5 8 9 30'GE Slide in Range 10 -Cabin.to b. 23 3/8 #:CGS985SETSS to s mate o [Ell trash WLLpn' A -- 7 � ---16 3/4 24 —14 7/16 30 12 1/2— 41314 1112 1 1n 314 INSTALL UPRIGHT FILLERS PROUD 118" CD(-4(-3/4) 1/16 .2• 41/2 (-24) 205 41,. Lewis and We Custom Cabinetry Kristen & Peter Monteiro 111 Airport Road 21 Steere Way Hyannis, MA Marstons Mills, MA 508-778-5757 Kristen: 774-521-7566 Peter: 774-836-6063 Fax 508-778-5111 2/9/2016 monty21@corncast.net Kitchen - Wall 2 Not To Some _5- 1 112 F314 3141 27 1/4 36 1/4 27 ` \ Side Lights � •Cabinet has \\\. to be modified- . -13 5/8 sim to Madonna 30 w/dado front 31 1/8 ;E P. \ 142 32 33 ION 851/8 \\ • � � � 31 85118 DEC PANELS 18 114 ' ` so va 24 25 26 27 1 71 REF36 61 11/a � _ O 1 :77t/ 7,60' , `\ 341/2 \ 143 28 29 \� C r 27 1/4 36 27 1 1/2 23/4 3/41 3/4 1/8 O 1/8 —5— 100 3/4 r° 4 Lewis and Weldon Custom Cabinetry Kristen & Peter Monteiro 111 Airport Road 21 Steere Way Hyannis, MA Marstons Mills, MA 508-778-6757 Kristen: 774-521-7566 Peter: 774-836-6063 Fax 508-778-5111 2/9/2016 monty21@comcast.net Kitchen .- Wall 9 Not To Scale 1 1/4 41 42 0 0 0 43 44 Outlet a _ ouuet 40, �34, 0 34 112 34 1/2 35• 36 37 38 -39 0 - 33 1/4 28 33 1/4 \ 3/4 3/4 (-2 1/4 (-1 120 t Lewis and Weldon Custom Cabinetry Kristen & Peter Monteiro 111 Airport Road 21 Steere Way Hyannis, MA Marstons Mills, MA 508-778-5757 Kristen: 774-521-7566 Peter: 774-836-6063 Fax 508-778-5111 2/9/2016 monty21@comcast.net Kitchen - Back of Wall 9 Not To Scale ' r 1/4 U- USB 31/2 50 use Chargers chargers 49 34 1/2 341 146 47 a 1/2 48 1 46 46 2 112 (-2 1/4 (-103 3/4) 7 3/4—• (-1 120 I ADATE(MMIDDNYYY) � CERTIFICATE OF LIABILITY INSURANCE 2/9/2016 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. y IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Ashley Clark NAME: y Leonard Insurance Agency, Inc PHONE AIC (508)428-6921 FAC o:(508)420-5406 683 Main Street E-MAIL Ashle @leonarda enc com ADDRESS: y g y Suite B INSURERS AFFORDING COVERAGE NAIC p Osterville MA 02655 INSURERAMass Bay Ins. Co. 22306 INSURED INSURERB:Safety Ins Company 39454 Lewis 6 Weldon Custom Cabinetry, LLC INSURERC: 111 Airport Road INSURERD: INSURER E: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBERktaster 2015 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDDIYYYY MMIDD GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAG O RENTED 100,000 PREMISE Ea occurrence $ A CLAIMS-MADE OCCUR ZDN906164503 /1/2015 /1/2016 M ED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY I I PRO LOC1 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident BODILY INJURY(Per person) $ B ANY AUTO SOO OOO ALL OWNED X SCHEDULED 951369 /25/2015 /25/2016 BODILY INJURY(Per accident) $ 11000,000 AUTOS AUTOS X HIRED ALTOS X NON-OWNED PROPERTY DAMAGE $ 250 000 AUTOS er UMBRELLA LIAR HOCCUR EACH OCCURRENCE .$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space is required) Job Location: Peter Monteiro--21 Steeve Way, Marstons Mills, MA 02648 CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE �c Ashley Clark/LEOAC1 ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025/gmnnst rH Tha Arr1Rr1 n2ma 2nA Inn^am ranicfararl mnr(rc of Arr)pn A 0® NFM DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE R002 2/9/2016 THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATIONIS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: HARTFORD FIRE INSURANCE COMPANY PHONE FAX (ac.No.Ezt): (ac,Noy 250878 P: F: E-MAIL ESS: PO BOX 33015 INSURER(S)AFFORDING COVERAGE NAICR SAN ANTONIO TX 78265 INSURER A: Twin City Fire Ins Co 29459 INSURED INSURER 8 INSURER C: LEWIS & WELDON CUSTOM CABINETRY LLC INSURER0: 111 AIRPORT RD INSURER E: HYANNIS MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUS IONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ,ASR TYPE OFINSURANCE ADDL SUBR POLICYNU7IHER IHN�U�F POLICY£.VP LIMITS COMMERCU\L GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED $ CLAIMS-MADE OCCUR PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO-❑LOC PRODUCTS-COMPIOP AGG $ JECT OTHER: $ I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS HIRED AUTO NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION f $ IVORKERS COMPENS:ITION X PER OTH- .INDEMPLOVF.RS'LIARILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $1 0 0,0 0 0 OFFICERIMEMBER EXCLUDED? NA $ A (MandatorylnNH) ❑ 76 WEG JX5703 05/10/2015 05/10/2016 E.L.DISEASE-FA EMPLOYEE 100,000 If yes,describe Under E.L.DISEASE-POLICY LIMIT $5 0 0 0 0 0 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS IVEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if more space Is required) Those usual to the Insured's Operations. RE: Peter Monteiro, 21 Steeve Way, Marstons Mills, MA 02648 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BARNSTABLE AUTHORIZED REPRESENTATIVE 200 MAIN S T HYANNIS, MA 02601 ©1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i LEWIS &WELDON CUSTOM BUILDERS DESIGN * BUILD 111 Airport Road Hyannis,Massachusetts 026o1 5o8-T78-5757 office 5o8-778=5111 fax www.lewisandweldon.com PROPERTY OWNER AUTHORIZATION Peter and Kristen Monteiro 21 Steer Way Marston Mills, Massachusetts 02648 As owner/owners of the subject property hereby authorize Lewis and Weldon to act on my/our behalf, in all matters relative to work authorized by this building permit application and all subsequent sub permits governed by the Electrical Code, as well as Plumbing code for the job located at Sign re of Owner/Owners Date Print Name/Names Lewis & Weldon Authorized Representative Date Print Name i I _ --..//.....ems;:-- �---� ll.,��,,:•/,,.;��. 1 ' Office of Consumer.Affairs&Business Regulation 2a ME-IMPROVEMENT CONTRACTOR - " ' Type: gegistration: 1j54680 expiration: 3128120.1� Private Corporatic, iY'33• INE A j"0' - LEWIS WELDON CUSTOM CABINETRY,LLC. f � 3 CL'ARENCE HART 11;1AIRPORtT RD `=fir= �•�' >`^-- HY•ANNIS,'MA 02601 Undersecretary Massachusetts -Department of Public Safety Board of Building Regulaticns and Standards Construction,Supervisor License:CS-097094 l CHUCK W HARVR' /. I I PERCIVAL DINE; ` WEST BAItNSTkBL ' \ 02668 Expiration. t 07/16/2016 Commissioner �. i I i \ LOT 2 1B1.36 � pw \ t Gnat e V+ X, s9y � � 9 Lqr o � • N� O do O" JOB $ 91-120 CERTIFIED PLOT PLAN LOCATION: LOT 1 STEERE WAY MARSTONS MI P SEPARED FOR: SCALE: 1 "=60 ' DATE: 08/26/91 REFERENCE: PB 424 PG 40 WILLIAM COVELL I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. ' Of AME down cape engineering, inc . - a,H. � CIVIL ENGINEERS- LAND SURVEYORS 27 ROUTE ,6A YARMOUTH ' MA V DATE SURVEYOR 1 s. ,'•'.._' '. - � wrr s.w.c✓Farr �ow..rvolr►r¢Nall TCQ Ri•K�11C!?i 6VaT. k� 1 cCffiu�el e+s�- opy/,,e . p r3l I �s MOTE ems-�-�.• `�_ - -"� _ , rRCFosa� -. .. - -_ ' CL `pYi4_d' •` _ -�" - m to aN-¢.H Qst' _ J. Y .�•` �i� .�� ` - - - 1MczM lito,N EZI �:- MOM 0 ,•.)' - - i - io+e$a y[,wr. �l: atrl! 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Mrtc O..aJce os wm,;.. .sc..ee:.n--� t-- � i '•� -- u.•►a...t) __- pw'�i .`:�•eao ' test'.WXLKU14wL46L Ul MAb AtaUJn7S Board of Bnilding --.nand Standards Tkansaaton No. 011ie Ashburton Place-Room 1301 ` Boston9 Massachusetts 02109 O p Applicadon for Registration as a Effective Date Home Improvement Contractor or Subcontractor MGL Chapter 142A9 CMR 780-6 Bomdon Date Dolt oma uss ony Date 7-11-97 1. Name DOUGLAS W. LEBEL ' Print the name of the individual or business applying for the registration(am both) Z Mailing Address 5 HAYWARD ROAD 5( O8 ) 775— - 4925 Area Code cis:Telephone Number 3. City CENTERVILLE grate_MA _gyp 02632 4. Street Address(if different) State zip Print street and Number(P.O.Box not acceptable) City S. Applicant type: 0 Individual ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation, ❑ Public Corporation (See instructions on back regarding enclosing a city or town registration under the DBA or"fictitious name"law-MGL c 110,ss S A 6) 6. (am instructions) 7 Number of Employees None fl. Individual responsible for Home Improvement Contracts N/A Last First M1 9. Mile of individual responsible for Home Improvement Contracts N/A 10. Don the applicant or responsible individual hold any other construction related state,city,town licenses or registrations?Yes ❑ U yes,complete the table below. Use additional paper if necessarl. Yes No Type license or registration Issued By License or B"bution Name of License Holder registration number Date Construction De t of I- Supervisor P ug-lic Safety CS00008124 8/13/97 Douglas W. Lebel � x 11. List all partners,trusters,oIDoers,director and major owners.(10%or greater of ownersWe)of an applicant parmetship err corporation below Use additional paper if necessary.(See instruction an back) Chak here if you wish to receive an application for additional M Cards for try persons.❑ Lau First. Middle initial 'lick in Applicant Business 96 Ownw Adder 1Z is the applicant claiming esemption fmm the registration fee? (See the imu>sC910111 on the bads) No ❑ ®. N yes,include a copy of a current Construction Supervisor license or motor vehicle repair shop license or registration. Yes No 13 Regist atim fee enclosed:S 100.00 Guaeamy Fund tee eadosek S 100.00 Include two separate certified duab or many oarless-ace matted"Registmdm Fete.;one marl I"Qumanty Fmd'. ALL APPLICANTS MUST INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT FROM THE REGBMU17ON FEE See instructions on bads for ameumt of[am Make all certifled tlsectz or money orders payable to"Camtomwaith of Imo' atusuan,to Massaehuset4 GewwW Hawn Chapter 62C sa d=49A,I o wt*under the peoaWea of pe4017 that L to tad best knowdedge and All state tax returns and paid all state tarries required tender taw. Signature-of applicant or appfiafftirreprmsentalive Title held with applicant A false answer to any question in this application constitutes grounds for suspension or revoeatlon of the applicant's registration. CERTIFICATE OF INSURANCE: HERIT52 OP ID JG 07/09/97 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE GOLDMAN & ASSOCIATES DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 933 FALMOUTH RD. POLICIES BELOW HYANN I S MA 02601 --- ------------------------------------------------- 508-775-6010 COMPANY COMPANIES AFFORDING COVERAGE ------------------------------------------------------------- A LEGION INSURANCE CO. INSURED COMPANY B . ------------------------------------------------------------------- HERITAGE CUSTOM BLDG CO. INC. COMPANY C/O LAURIE SNOWDEN-LEBEL C P.O. BOX OUTH RD. ------------------------------------------------------------------- CENTERVILLE MA 02632 'COMPANY D > COVERAGES 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. --------------------------------------------------------------------------------------------------------------------------------- CO TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR DATE (MM/DD/YY) DATE(MM/DD/YY) --- ------------------------------- --------------------------- --------------- -------------- ---------------------------------- GENERAL LIABILITY GENERAL AGGREGATE [ ] COMMERCIAL GEN LIABILITY PROD-COMP/OP AGG. [ ] CLAIMS MADE [ ] OCC. PERS. 6 ADV. INJURY [ ] OWNERS'S 6 CONTRACTOR'S EACH OCCURRENCE PROTECTIVE FIRE DAMAGE [ l (ANY ONE FIRE) [ ] MED. EXPENSE (ANY ONE PERSON) -------------- ------------------- -------------- AUTOMOBILE LIABILITY COMB. SINGLE LIMIT [ ] ANY AUTO BODILY INJURY [ ] ALL OWNED AUTOS (PER PERSON) [ ] SCHEDULED AUTOS [ ] HIRED AUTOS BODILY INJURY [ ] NON-OWNED AUTOS (PER ACCIDENT) [ ] PROPERTY DAMAGE --- ------------------------------- --------------------------- --------------- -------------- ------------------- -------------- GARAGE LIABILITY AUTO ONLY (EA ACC) [ ] ANY AUTO OTHER / AUTO ONLY: [ l EACH ACCIDENT [ ] AGGREGATE --- ------------------------------- ---------=----------------- --------------- -------------- ------------------- -------------- EXCESS LIABILITY EACH OCCURRENCE [ ] UMBRELLA FORM AGGREGATE [ ] OTHER THAN UMBRELLA FORM --- ------------------------------- --------------------------- --------------- -------------- ------------------- -------------- WORKERS COMP. AND EMP. LIAB. X ]STAT LIM [ ]OTH THE I EL EA A EXECUTIVE OFFICERS /ICERSTARE *WC2-0 12 12 8 1 0 5/12/9 7 05/12/9 8 EL DISEASEDPOL. LIM 500,000 [X ] INCL. [ ] EXCL. EL DISEASE-EA EMP. 100,000 --- ------------------------------- --------------------------- --------------- -------------- ---------------------------------- OTHER -DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS______________________________________________________________________ DDT'L INSD: HERITAGE RESEARCH INC, HERITAGE REALTY & DEVELOPMENT, INC. , ANNABELLES CHILDRENS BOUTIQUE, INC. > CERTIFICATE HOLDER <____________________________________> CANCELLATION TOWNOFB SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO TEE CERTIFICATE HOLDER NAMED TO THE HIGHWAY DEPT. LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 382 FALMOUTH ROAD LIABILITY OF ANY RIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANN I S MA 02601 ---------------------------------------------------------------------- AUTHORIZED REPRESENTATIVE MAN ACORD 25-S (1/95) JILL L. GOLD THE r The Town of Barnstable • e�sra:r� • . . 'a �m� Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. i - Type of Work: Addition and Remodeling Est.Cost $100,741.00 Address of Work: 21 Steere Way, Marstons Mills, MA 02648 Owner's Name Jay S. and Frances M. Salz Date of Permit Application: July 14, 1997 I hereby certify that: Registration is not required for the following reason(s): N/A Work excluded by law Job under S1,000. 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 th a of the r. CS 008124 July 14, 1997 Date Cdfitractor Name Registration No. Douglas W. Lebel OR The Connizonweallh of Massachusetts 4 Deparnizent of 111diarrialAccidems 600 11a.vhbigtun Street Z. Btivi)ir. Alas. (12111 Workers' Compensation Insurance Affidavit *AiiiliEiTt—inf6;7iTi—alitin-' name, Douglas W. Lebel locition. 21 Steere Way city Marstons Mills nhnnr 508-775-4925 M I am a homeowner performing all work myself. 171 1 am a sole proprietor and have no one working in any capacity r—I I am an employer providing workers compensation form% employees working on this job. enuivanv narne- address- ciryE!hnne insurance cn. P()IiCA.to xI am a sole proprietor Ir homeowner(circie oitc) and have hired the contractors listed below who have T daen=ra_lct tractor, /the-following workers' compensation polices: cnmPany niinc, Heritage Custom Building Company, Inc. iddrev;: 1600 Falmouth Road cirv: Centerville, MA nhoneoi- 508-778-4700 in-mr-inre rn. Legion Insurance Co- if WC2-0121281 cnnin.inv nninv: city- phone insurance co. Policy a Attach additio*n21 sheet if nC'ccS"S*ary ...... Failure to secure covcrigcas required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of line Up 10 51.500.00 2ndiur une 'cars' imprisonment as civil pCn2JIiCS in the form-of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that n Copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. do herebr cCrrifjI,till IC pit.jrs*all •lia/de jperju 1 anon provided above i.s true u ld correct. Sint I da= —� -�- Da- July 14, 1997 .r­ .000, Print nwnc Douglas W. Lebel Phone 508-775-4925 use univ -rite in this area to be completed by city or town africial ofticiii it. do not ii city town: permit/license# riBuildinr Department C3Ucensing Board L r f I Ali .7%conl� r tn%%n. cit-*-Cnr ­ 0 check if immediate response is required Oselectmen's Orrice ► C31IC2ilb Department contact person: phone#: —Other 5. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th employees. As quoted from the "la��''•. an enlph ree is defined as every person in the service of another under ally contract'of hire, express or implied. oral or written. An enzp/nrer is defined as an individual, partnership, association. corporation or other legal entity, or any two or mo the foregoing cnLagcd in a joint enterprise, and including the le=al representatives of a deccasctl employer, or the receiver or trustee of an individual • partnership. association or other legal entity, employing* employees. However t! owner of a dwelling house haying not more than three apartments and who resides therein. or the occupant of the d%%--cllin- house of another who employs persons to do maintenance , construction or repair work on such dwelling_ he or out the :-rounds or building appurtenant thereto shall not because of such employment be deemed to be an employ MGL chapter 152 section 25 also states that ever•state or local licensing agency shall withhold tine issuance oa• renewal of a license or permit to operate a business or to construct buildings in the commouivealth for any .applicant ivho fans 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 been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coyeraae. Also be sure to si;n and date tlae affidavit. rite 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 require to obtain a xvorkers• compensation-polio•, 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 the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pl: be sure to full in the permit/iicense number which will be used as a reference number. The affidavits may be returnee the Department by mail or FAX unless other arrangements have been made. The Office of Inrestications would like to thank you in advance for you cooperation and should you have any questic please do not hesitate to uiye us a ca11. i Tile Department's address. telephone and fax number. TIte Commonwealth Of Massachusetts - Department of Industrial Accidents Office of Investigations 600 «'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406. 409 or 375 Gniniiinnurn�/� `�ia1Jn�/,uJi:IIJ OEPARTHENi OF PUBLIC SAFETY - CONSTRUCTION SUPERVISOR LICENSE mo t. Number: Expires: ` Restricted to: 00 &tAAI DOUGLAS Y LIBEL S HAYBARO RO CENTERVILLE, MA 02632 Restricted to: 00 � ryll�rstoP .�a�syc,u...u� 00 - None .rvt uantl�., lA - Masonry only 1G - 1 1 2 Family Homes Engineering Dept.Ord floor) Map - Parcel Permit# � 6 House# ate Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:34 3/q� V/Conservation Office(4th floor)(8:30-9:30/1:00-2:00)' Planning Dept. (1st floor/School Admin. Bldg.) SEP Definitive Plan Approved by Planning Board C/ 19� WITPAD TOWN OF-BARNSTAB Building Vermit Application Project Street Address 21 Steere Way V TL-V ZQ 7. 9/ Village 'Marstons Mills Owner Jay S. & Frances M. Salz Address 21 Steere Way, Marstons Mills, MA 02648 Telephone 508-420-3901 Permit Request Addition of family room with adjoining porchTrL two car garage, ' and master bedroom. Remodel existing kitchen and convert existing small bedroom on 1st floor to new master bathroom. First Floor (when complete) 1,668 square feet Second Floor (No change) 600 square feet Construction Type Wood Frame Estimated Project Cost $ 100,741.00 Zoning District RF Flood Plain No Water Protection No Lot Size 46,003 Square Feet Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 years Historic House ❑Yes XNo On Old Kings Highway ❑Yes XNo Basement Type: Full XCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 894 Number of Baths: Full: Existing 2 New 1 Half: Existing None New None No. of Bedrooms: Existing 2 New I (Converting small bedroom/den to master bedroom) Total Room Count(not including baths): Existing 5 New 1 First Floor Room Count 4 Heat Type and Fuel: Gas ❑Oil ❑Electric ❑Other �N00 Central Air (Yes El No Fireplaces: Existing I New None Existing wood/coal stove ❑Yes No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) r Attached(size) 624 Square Feet ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan review# - Current Use Single Family Dwelling Proposed Use Single Family Dwelling Builder Information Name Douglas W. Lebel Telephone Number 508-778-4700 Address c/o Heritage Custom Building License# CS008124 1600 Falmouth Road Home Improvement Contractor# Applied For Centerville, MA 02632 Worker's Compensation# WC2-0121281 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 A dumpster from BFI will be on site and periodically picked up by them. SIGNATURE L4DATE 7/14/9 7 BUILDING PERMIT NIED FOR THE FOLLOWING REASON(S) OR n In A S� n I FOR OFFICIAL USE ONLY ; ,:. PERMIT NO. 2_,� . • - �'� DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION y 2 _ FRAME 'INSULATION FIREPLACE ELECTRICAL: RQUGH., FINAL P:.O PLUMBING:' UGH`" FINAL GAS: + GPI FINAL FINAL,BUILDI �`"; DATE CLOSE ASSOCIATION AN ' "7-7 Assessor's office(1 st Floor): /f!/ Assessor's map and lot number / � § � oi T"E Tod e Board of Health 3rd,floor) /: Sewage Permit number � � �-► l:/Yam°' — �: Engineering Department(3rd floor): �..`DSBl9fGDLL House number o2/ , �0 9• Definitive Plan Approved by Planning Board � 19 —��� o r�r d• APPLICATIONS PROCESSED 8:30-9.-30 A.M:and 1:00-2:00 P.M.only TOWN . OF BARNSTABLE BUILDING INSPECTOR m APPLICATION FOR PERMIT TO ` TYPE OF CONSTRUCTION (/Z/U U/4 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies fora permit according to the following information:IT / Location 4Ln / S / � Yam! �i"rt/1 T lU t /y"! r�L�S Proposed Use ��� ! �'9�" • a Zoning District ! `` -���� Fire District C �- ,/ � -��--T��•/fie Name"of Owner �� S C,�- Address /.5 G X U Z G Z 6 Z Name of Builder �/ ,'�I�A-�. a U-��1 Address �� x Z �' C�? L Z Name of Architect I Address Number of'Rooms �'! �o Foundation e, O/V C`K'z /`-, Exterior Roofing f 6 Floors 7'�� c Interior ,o c Heating ��/ / Plumbing Fireplace Approximate Cost c) V J U Area Diagram of Lot and Building with Dimensions Fee `• 2 G Zo y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS 1 hereby agree to conform to'all the Rules and Regulations of the Town of Barnstable regarding the ab •' struction. Name Construction Supervisor's ilicense r SALZ , JAY A=149 . 158 s 34543 BUILD DWELLING l No Permit For Single Family Dwelling Location Lot #1 21 S t e e r e 14 a y Marston$ Mills Owner Jay Salz Type of Construction Wood Frame Plot Lot Permit Granted. September 4 19 91 Date of Inspection 19 Date Completed 19 1 PERMIT COMPLETED f/1/ hod76 i 9- p Assessor's office(1st Floor): Assessor's map and lot number �� poi Tw E TO` Board of Health(3rd floor): �>( Sarnst A P P R Sewage Permit number J 1` 'erDation Comm f Dsaa9TsnLL c.on� ` • Engineering Department(3rd floor): -71* - ' rua House number aI/ :��� o,��s3o• Definitive Plan Approved by Planning Board — 19 sign — o r�r s• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only .SEPTIC S E 0 s�'. 'S T BE TOWN OF B AIR N S T A YLIELE®IN COMPLIANCE WITHT'BUILDING INSPECTORENVIRO AL CODE AND TO RED � � APPLICATION FOR PERMIT TO d S 'CG�� l/v (� TYPE OF CONSTRUCTION U (J A TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location n% S/��/L-� ��� /�i�I/l OA j r``�S Proposed Use Zoning District;C:� ✓'�y _S,�jLZ Fire District C Name of Owner �! S Address /SOX t'O t Name of Builder �/ ,ll�A-� d U"��/ Address �� o X f O 4 ?Z Name of Architect Address -- Number of Rooms Foundation , f Exterior a �� sr Roofing r" Floors yr G' f G�0CInterior Heating Plumbing Fireplace c^ Approximate Cost Area Diagram of Lot and Building with Dimensions Fee 7 Zo OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the aboVewstruction. Name Construction Supervisor's License,l y l 3 SALZ , JAY 01 x No Permit For - 34543 BUILD D14ELLING - Sing,le ' Family Dwelling Location Lot #1 21 S t e e r e • W a y Marstons Mills , Owner' Jay Salz Wood Frame Type of Construction Plot Lot September 4 91 Permit Granted 19 Date of Inspection 19 at Is ed < 19 0o - w r - 50 C O n r-�.-•,.....e., rY,.„. '..:C*,,E::.r''�n';-=a.��'..��"'.=:-sy�.�,�.t�:a.�`;:%7,.-�•µyK:e`=.+�:.:;,,y..cri -�ti=+r-^'`. � ...�r� -,ai,.; � i �. 'y /y:,':a..�4''`--�- : r ' f J * � TOWN OF BARNSTABLE Permit No. ..;34543 BUILDING DEPARTMENT I ""IT I TOWN OFFICE BUILDING Cash •Ml • i6jp' HYANNIS.MASS.02601 Bond ......x........ CERTIFICATE OF USE AND OCCUPANCY Issued to JAY SALZ Address Lot #1, 21 Steere Way Marstons Mills USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. June5, .. . 19 92 t -C mob... .... ......... . ...... ... ............. ..... ........ Building`nspector o`�y ••'. TOWN OF BARNSTABLE BUILDING DEPARTMENT. TOWN OFFICE BUILDING out HYANNIS, MASS. 02601 �0 r11Y M. MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been / issued for the building authorized by BuildingP rmit $k. ol v/ _...._........................................................ ............._........................._................. issuedto ��1 ..._.._......._....................................................................__.. .... _... _ ._......w__.._.. _ . . »» Please release the performance bond. i ( TOWN F BARNSt P-LE, MASS .NCH SETTS B U'fL'D���I�;Gz � T. 9 :15 8 #� �•.... �' ;,I% �' r, •*,�y�>� i DATE Septem er. :.4 ,s 1 + .. ,h ,1jt" tee•;s.. - PERMIT APPLICANT William CO 1 .::- ri o 001394 t ACiDRE55 'DOX 'LI ery INO.1 (/TR//TI '(,t. •1NTA /"C1C[N/U1 PERMIT TO ]l ld•'DWeI 7 T] r UMBER OF k �a g (U-1 STORY Single �bamll DWe�} i TSt �a .,;.,yyY;'}.ITaYPE,OF,IMpROVEMENT) — ;/ N0. ., (PROPOSED.USEJ;,:•; WELLING UNl AT fLocATloN) LCit: #1, 21' Steere '.Way, Marstona Ni';`7`l zoNJNc'. , (STREETy r —+D15T1>11CT RF BETN/EEN y'� J 0 Y r STRE AND a i �° •+ 1.: (CROSS: ET) - •.`t ',;:(CROSS ST RE EYJ. SUED IS ION i ""( { LOT BLOCK BDILDIND IS TO BE T�_FT.r WI ,E BY' FT. LONG BY F.T. IN.HEIGHT AND SHALL CONFORM JN CONtSTRUCTIC i. TOrTYPE' ... .USE GROUP :,- BASEMENT WALLS,OR'FOUNDAT'ION REMARKS: Sewa a ITYPEI Q AREA oR ' :.884 .s�T ft `i c it t. t .yBl�nd VOLUME `3'•':• • '.- +I' ESTIMATED CDST• 6U'�,OO.O:JQO < +" .(CUBIC/SOUARE FE&TI'.' — OWNER. t`Jay._Salz: A0012ES5`` BOX' O .S ('Pnf-ar 'ii'l`7 EBU:I.L`'Dt�IG•OEPT'.; t+t I u OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. t c.•s .0•..,: I y `'l * n;�i( �°..ud�!}�j(`•� V�`L ` � r l.c';;� MINIMUM O F vm I nt t.IIIViJTTT07Tt THREE CALL •APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR A L CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BcEN PERMITS ARE RELE S ED FOR t. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MLECTRICAL,INSTA INSTALLATIONS. AND 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL 3. FINAL NS(PECTDIO14 BEFORE FINAL INSPECTION HAS BEEN MADE, OCCUPANCY. POST THIS CARD SO IT IS' VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS '• ELECTRICAL INSPECTION APPROVALS 1 2 3 t/ r t t HEATING INSPECTION APPROVALS ENGINEERIN EPARTMENT j. c l��"�C �•t' o � . I 2 BOARD OF H OTHER SITE PLAN REVIEW APPROVAL e WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W! LL TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT STARTEDME ULL MONTHS OF D VOID IF DATETIHE CONSTRUCTION, INSPECTIONS INDICATED EP THIS CARD C T gE PERMIT IS ISSUED AS NOTED ABOVE, ARRANGED FOR BY TELEPHONE OR WRITTEN t. NOTIFICATION. y • ¢kN E<i"TRATION '<�Mt17L)LB .E W.hJ iF :JR.S T. C,R•WALLH W WPLLS•F. 41ZOEEt 45.50-- -20,2 E5 972.0 306.25 kYIR 50•4P0 33.75 6I2.0 527.65 f1(H•T 14.Z_5__� — 7 14.0 698.75 _"- Lsf4 IO b0 18 G0 719.0 (85.80 — IbTRL ' 120.95 72.60 2410.0 2216.45 .f6N6-6lR4TION= e.7'7e c 111 f I , j' -O -r.u , Gorr. it L•ItNJO L�.r1Vul(, - ,✓� I •j:. I_E: / ' _I_ :/` 1. I "I� 1G'1 I` r ��ili'% �I_L, /.:_-..'I!J I ' VI. !TE P, • I'1s:'.�Ii'�=:. _. . ;..t,_z,G;EEf'r Il;,,y-11�t'11L1.�.11r,. ♦PPPOVEOBv D�IE20 ,•. �j � 2,�+E'C''- `-Irk++),._ '���-fit_?✓•^�'t'•F r' P�GrI�(p BE I -- U > f L I r 12 .1 rLG•!>HPI,!��E�i —____ ___� �� - —� _ GOK..•PJP%. uR'G66K 61/ -fc -incivi.R�E AS•f�. I �L�VATforl 'EQn EL�t/,&-r Or l MUSE ?wl: • suEE�y.x_ .d .rmov[o B.. oB.wN a. •p.p. Ow TE . -s REVISED ' t Oq�'NiN NWBEq -I----- 2'4r20 r'4 i 2 xib ,•q%Zp , -----•-- - 'rr .ICI, ------ - __-- '( J I _ r - (( III. �. I •-- --�iw;-r -liner.1•+1-- c,.'.'. _ r.. _>G c. �I �I III )I 1 _�..c �0 --------- '_'---------- _• ..__•--- -— — I I -01 It r 61' ��Tl.b 1 h. _DI ,.u, �y24 r,'4- � ___...----'- ,�1� -±-•___.__� I {— _— i d I ly i -- _ Oren L—21- L t,r ._,.__.__ gel ,� ti p•., 1 N I r l_:✓Ir 1.• '�UL'71 i - .a_ ' I 1'v ;- T -`i'1 V•;F rAin �1 .IIJ r�IC-„^ __t, __---------- ----- --�` ��j� __._._ 4, r 11' i vt'1 ti•=•�L,y���"� :Ir=�-1�I":rt.!..:, f�,�� !f-I n:uv —b T� ' ---- J __ ( � � � � se cl/u,: p •rPnoveD ev DP.wW nr -p.0. ,o:,��,:.- � I...e •= I ;- D rE_UL7_o.yl PErrSED rl t r;.l: c.' 1"' •;-p,.;0 0 r�y�iC-ice I ' 1 pl:;.I,',-rJ rrr'C,• - '---_, -- -- -- -• - I."� �..-''��' ��--._—-•—• --------------------._.---- 'r;rY•- .t� Y r:Gl��'7 1-17 16' fi( 1-I,1 17-?.0 ,' _ .o... -la I_. _-..;1.,- -.._____.__ it `d �'a, // !•>i-E', :.It•t 1 1e1 r Ilk •1 - ..Ir. i,tliy^'_ ._ -�I _-------- -_. r `�t1, e,w .�.� .w,_a..�+.,w.:�.m...�„w ' __ _-_—. _1'F J I I`��/-.;��'•ii i:_c f"iL•-T� I I 1I 111-s:.�._I a•..i.�.,vlti�- i ' S rl•T r" /:I v /� � -.. LIJ V7. 6yO J...Et-. 12. �'r 1•. ��_.�- }1 i r l—��ffi _ I — t_. j� /!e E t F 1 ..•-•1 I /' - ;OI IG '/!'.>I Imo• . v Y-,—.__-__. -__.—.. i/•�_ 1. '"l ': �!)' 1-i :-F Gr I Ir. ..4 h- :-�::�.. = I•_GPI - 1�f'. it IJ1 , .;r=_I.� Z a ctP.c �. SG E APPROVED BY. DRY � \ DATE .i'?I-I•l`1" REY,SEO r� 1 I'I� I '��I•, L71 1�.'. I Iv 1 t_ // - 19ED 1 �r I 1 �IE11�`F' RAW RG MUMBER i J COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _ y 1010 CO OF MMONWEALTH AVE. MASSACHUSETTS BOSTON, MASS.02215 ' ENCLOSE CHECK OR MONEY ORDER j EXPIRATION DATE �j`3 L I C ENS E 3-9 C O N S T R. SUPERVISOR FOR REQUIRED FEE, 06/30/1993 RESTRICTIONS o EFFECTIVE DATE LIC-NO. o MADE PAYABLE TO NONE = 0 6/3 0/1 9 9 i 001394 "COMMISSIONER OF PUBLIC SAFETY" s m W I L L I A m H C O V E L L _ (DO NOT SEND CASH). ' 26 E'VELYN CIRCLE CENTERVILLE MA 02632 P EASE NOTE FEE INCREASE PHOTO 1,.. ONLY) FEE: I � q• 100.00 E 'fECTIVE , FEB. :1 19$ f.%•%:•� HEIGHT- NOT VALID UNTIL SIGNED BV LICENSEE STAMP SEE AND OFFICIALLY ED -OR -SIG`ATUR�gOF TH�,,TISSIO R NOT DETACH. LICENSE <+ CARRIE00. ONTHE PERSON OF STUB OTHERS . •' THE HOLDER WHEN ENGAG- SI NATURE OF U NSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE RIGHT THUMB PRINT EO IN.THIS OCCUPATION �%�p'+`/ w /'V` . • 200M-2.87.81429 - Yurye' / ✓A COMMISSIONER II i 40 381.56 � / O NOATOI.1 . � I Q°•6 ?y vy a r 9 ( \ ,� o0 i F ` O I JOB # 91-120 CERTIFIED PLOT PLAN f PREPARED FOP: LOCATION: LOT 1 STEERE WAY MARSTONS MILLS SCALE: 1 "=60 ' DATE: 08/26/91 REFERENCE: PB 424 PG 40 WILLIAM COVELL I HEREBY CERTIFY THAT THE STRUCTURE SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS SHOWN HEREON. Of ARNE down cape engineering, inc . OJACA CIVIL ENGINEERS LAND SURVEYORS Z7 Y ROUTE 6A YARMOUTH MA DATE R SURVEYOR