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Home My WebLink About0045 WATERFORD DRIVE .. � � � ,. ., _.. o � ,, - ,� ., �. , o � , �, ,� ti _ � ., � � � e.�r ., .. o � � o „, .. � � o .� ., � .. `, " _ o.. � � � � � .� �_ i ,�, - .. ,. _ � � �. - ,. , o � � � � � o � .. � _�. � r. ,. o �. �j�, o �. ,r o " � - _ ., � , ,, - �� , .h. - o ,� a- .: ,�. .. .. fi .. a 0. - _ o �. .. � .. r ��. � � _ �� — �. � � � a a � .� U ,� � � � � -,. � �. ,. a = _ �,"ra „ „ w ,„ �.�� ,, .. i , H _ �. ,. _ „ f �. , �. ,. ,� � .. - � n ,. - ,. ,�. '_ - ,. _.. � � n ,. o - ,� .. �' - � �� , o ,, - � o ... n o n. ., �. _, ,. :, � , ., n .. , n,.� � �, �. �� , i' - - �„ .. ., . _ o .. ., , y, o _ .i ',. _ d n .. - � �. - .. n n � ,, a ., � ,. _ .i .. , q � , ..' „ � o ,. .. - � o . �� ..y, , ., .. ,. - � � � � � - - - �. � - � o � ,. - W ,- r- � � _. - ., o _ i, - ., , .. ,. ,.� .. � � o r',, a ,. ., - � �� ., v o _ � - � . . , o n o o � �� .� _ � ,: �,.:�, o � � � � e 1; ., � �`� �.. a �. I _ , �, � n .,. � i a � � , o u o � _ `, �.� �+.,� �..._.rr^�w..,.-.!�-+,-r .,^.+w......+..� Mw�^�.. _.r...--",�--•w+,-_r«+.-..... .,.:. ,.. �wr.....°"T.w�.ou•-�n.i�..,,..�.._ .n.k �.� T � -.. .:��..w _.��-- - 'r--�-•.-_ ...� i Y` L_ a� � y r o io io E8'65E r CERTIFIED PLOT PLAN` SHOWN O YTHHLAN S LOC TE ONT`THHEE FOR GROUND AS SHOWN HEREON AND THAT IT LOT 3 WATERFORD DR.,COTUIT,NIA. CONFORMS TO THE MINIMUM SETBACK LCP#23747 B REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING INC. +o+��,IN OF ol'4, ' ' ? STEVEN SCALE: 1"a S0' JULY 1, 1997 Putw3� n � WELLER & ASSOCIATES 1"S FALMOUTH RD., CENTERVILLg,MA. 02632 (S"7754735 Town of Barnstable "" 200 Main Street, Hyannis MA 02601 508-862-4038 Application for Building Permit. Application No: 1147-1117 Date Recieved: 4/19/2017 Job Location:. 45 WATERFORD DRIVE,MARSTONS MILLS Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: STEPHEN T DICKINSON State Lic. No: CS-081843 Address: MERRIMAC, MA 01860 Applicant Phone: (508) 676-6820 8 (Home)Owner's Name: KELLEHER,RONALD J& MARGARET' Phone: (508)428-6966'.!� L _ Q (Home)Owner's Address: 45 WATERFORD DRIVE, MARSTONS MILLS,MA 02648 ZZ, — Work Description: REPLACE 1 SLIDING DOOR -� _ cn. tr. M Total Value Of Work To Be Performed: $11,099.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area. I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or.any othercode,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained.within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Stephen Dickinson 4/19/2017. (508)676-6820 Applicant 'Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $11,099.00 Date Paid Amount Paid Check#or CCN Pay Type Total Permit Fee: $56.60 4/19/2017 $56.60 XXXX-XXXX-XXXX- Credit Card 7597 .........._..................__._.................._............_....,..__...._............................_.._........_.._._..._............_.........................................._.._.............._.................._....._..................................._.... Total Permit Fee Paid: $56.60 r ' O I. f �{'c�� Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee MASSswatvsrest.s, ; 1 `0$ Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 20.0 Main Street,Hyannis,MA 02601 *� Z/� www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address LI W A�e r�a P Residential Value of Work I 25D— b U Minimum fee of$35.00 for work under$6000.00 Owner's Name& Address ',c-ke r Contractor's Name i��+�— C\ ��S l� Telephone Number `� fl OR Home Improvement Contractor License#(if applicable) \ a b Li r3 Construction Supervisor's License#(if applicable) it) r X-PRESS PERMIT ❑Workman's Compensation Insurance AUG 0Check one: 11 ❑ I am a sole proprietor 7'Q�/r PQ OF BARNSTA.I F.. m the Homeowner zr I have Worker's Compensation Insurance Insurance.Company Named Workman's Comp. Policy# Z5 Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) Q Re-roof(stripping old shingles) All construction debris will be taken to A N � ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner mu kignerty Owner Letter of Permission. A copy of a Ho Ient Contractors License& Construction Supervisors License is r aired SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXP SS.doc Revised 070110 i The Commonwealth of Massach usetts Department of Industrial Accidents Office of Investigations k9i 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): A C V— Address: ?j S � � N S a City/State/Zip: (�e Phone #: Are you an employer?Check the appropriate box: Type of project(required):. 1.e I am a employer with 3 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9 Buildin addition [No workers' comp.insurance comp. insurance.# ❑ g required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL c. 152, 12. oof repairs insurance required.] t §1(4) and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1'° PA Policy#or Self-ins.Lic.M I \to�_ Expiration Date:_ 1 6"� a Job Site Address: �� c� (' a P_ City/State/Zip: al •IV) Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insur ce coverafe velificatiOn. I do hereby certify un he pa' s alti s f ry that the information provided above is true and correct Si ature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: .— Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: r _ .c s.,,--Y -�Ay+. --e}vY_ - �►'a 'ic+w ,7G, � rr 27c. c •x •t..+•?" , �S?'-^4 '�t''""'r`*,• i ipr-+r� *s`Wy i•,Rr >-i .x..;k l+ v a ��1��s?' �C1F - :�� 1h:a ,.F"•w 'L" �+t''y _... n. - ��' Z -r4�,(i d k'i�,,j 'f.. i/'�•4 i� _ ,a.�A" �•e+ ��y Y R � ?j SM EgyR_��'a',^�i,� tq'c� ��J'.:;Y ..� .- � l..r ,� A/�µ'.. �4 y r` M,y ' r -"'�•wi ��c�f'� � ,�".IY '�}iYa+"r'��r r' ?^w. -'Yi' .. �";� §� ?{ � -w 2R6 �.}5 ""ti•r 1'if'r �'k-''.^��Sa��r^�#�- 5^f• SKF.2t`p � � s. r�-�'^ '1 �: �' q ['� N :.i..i.:a PR.�"Cf'�d• ��t��F'�3��'��•dc'�L+ 'p`.•�y��#f4+r .�- .� :MARK'.HEKBS1�,3- •` .. .fir � ry '7 1 ,� # v �a t.,.�. WN •. wA� !�h u; { `R'C' t« >.•' '��er q��'+:sJ�r r �. !s �. -�:,.. �,�.',. ,��! .� �,,�, �, .�35 PEEPyTOAD:ROAD^ `'R�., ,-} � �.��,,�•-. ,, � . r f�:2ram" _* CENTERVILLE MA 03632 508'420-6216/774-238-2938 �✓ -' w%,w.markherbst.com •,.,, t PROPOSAL SUBMITTED TO: WORK PERFORMED AT: w' Ron Kelleher 45 Waterford Drive SAME x �; Marston Mills MAE We herby propose to furnish the materials and perform the labor necessary for the completion of: x New Roof: Remove 1 laver of existing shingles Install ice&water shield at edge&in valley areas �. k: Install 151b. felt paper =' ' Install Certain Teed shingle of choice, Color Slate Blend Replace plumbing boots r Storm nail all shingles Vent all ridoes with cobra vent -lj� All debris cleaned daily Certain Teed LandMark 30 r.algae resistant shingles 15 400.00 Certain Teed LandMark Premium algae resistant shingles 16,500.00( " +r"R '� F PLEASE INITIAL CHOICE ABOVE, THANK YOU ' Price includes material.labor&dump fees : try All material is guaranteed to be as specified. The above work will be performed in accordance with the specifications submitted '; and completed in a substantial workman-like manner for the sum of: as speck odabove, and veribed w#1;youfin#iais Dollars($)with payments as follows: %@ sfad wdh balance due in fu//upon completion "Any alterations from above proposal involving extra costs will be added under a separate written agreement and become an extra dharge over and above said prop0sal. f�_. RESPECTF SUB I x 08/17111 Mark Herbst r ACCEPTANCE OF PROPOSAL The above price,specifica ' s conditions are satisfactory.I herby accept this proposal. You are authorized to'do:tfie worli'and payments will be as sp fie v ' 'Jr�. ` SIGNATURE. I 7. *Thic nrnnnSal may be withdrawn by Said company if not accepted within. 30 days. i„¢'�'•,z i„ wd .tr•x''A��yY'..-��'��.y{,� �,�j�7,� A�'-Y3"k 7�x"'".q,;t` M +^may c ''� �_j t+ �S•: r'� V,j S��x ,i r �' w = .. s Z"�2 Y\ •ant .. v .F"'s ,�! •L.. �- :+T �f., l �Y }'� .�'r�.4t' .,fat L' t.� t-.M"i. tr'y..• � a..,tt � "`^ ��i t rJw �. !• S _ � 1;w�,c,,rr r_•p^ P ....-a ��"v;y7"1 �"� ,V's r •.ate tr E-1C ',.- '! �, --SCw d c. -r- 6.LiT'2•'. - J.t ,.KK.::-='d:b'X�+.L.....�a.•br_.t... ..:°�.�rl.A. �tr`S.R,�•.��..�'�+`.._�J"f" l ' . WORKERS COMPENSATION AND-EMPLOYERS LIABILITY INSURANCE POLICY INFORMATION PAGE Associated Industries of Massachusetts Mutual Insurance Company 54 Third Avenue,Burlington,Massachusetts 01803 (800)876-2765 NCCI NO 26158 POLICY NO. AWC 7016215012011 PRIOR NO. I AWC 7016215012010 ITEM 1. The insured Mark Herbst -Mal Address: 35 Peep Toad Road Centerville MA 02632 Street No. Town or City County State Zip Code FEIN 02-8402887 jalnd'ividuat: ❑Partnership ❑Corporation ❑Joint Venture ❑Association ❑Other Other:workplaces .0ti_si own above:.: 2 The policy period'from 01/10/2011 to 01/102012 12:61 a.m.standard Unie'at the insured's maTng address. y 3. A Workers Compensation Insurance:Part One of the policy applies to the Workers Compensation Law of the states listed here; . .:MA . . . B. Employers`L:iabifidy Insurance:Part Two of the policy applies to work in each state listed in item 3A The fimifs of our GabiTity.under Part Two are: Bodily Injury by Accident$ 100,000 each accident Bodily Injury by Disease $ 500. 000 policy limit Bodily Injury by Disease $ 100.000 each employee C. Other States.Insuranoe:Coverage Replaced By Endorsement WC 20 03 06A D. This policy includes these endorsements and schedules:SEE SCHEDULE 4. The premium forthis policy will be determined by our Manuals of Rules,Classifications,Rates and Rating-plans. All information required below is subject to verification and change by audit Classifications Premium Basis Rates Code Estimated Persloo Emanated No. Total Annual Of Annual Renaamration Renal eration PremBnn •INTRA 150148 SEE E CrENSION OF INFORMAM N PAGE Minimum premium$ Total Estimated Annual Premium $ _ - / As indicated interim adjustments of.premium shall be made: Deposit Premium $ _ ® Annually ❑ SemiAnnuatiy ❑ 'Quarterly ❑ Monthly MA Assessment Chg. $824.60 x 6.8000% This policy,including all endorsements,is hereby countersigned by 01/042011 Aulhwa ftnatu a Date GOV GOV KIND PLACING CLAIM NAME SAFETY Leonard insurance Agency Inc STATE. CLASS. AUDIT OFFICE OFFICE CHECK GROUP P O.Box 494 MA 5645 2 704 Osterville,:MA02655 WCOO 00 01 A(11-88). b dudw ooMoited material of ft National Coune7 an cummm5m irimexce, used imlh Its perntissiott .. . . l':.w'. /,e �o�rrmzaoxcuea�C/Z o�✓�C+aaadw4 ` '; License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: HOME IMPROVEMENT CONTRACTOR r� Office of Consumer Affairs and Business Regulation — _ Registration:,,,,r>126480 Type: c• 10 Park Plaza-Suite 5170 Expiration: -618/�012 :Individual r Boston,MA 02116 MA K HERBST �mi (�!h rl. ,, MARK HERBST 1\; '==== b � :_"=3 35 PEEP TOAD RD F,`='� '�� - �� U CENTERVILLE,MA 02632= Undersecretary. ! Not valid wi o t signature Massachusetts- Depar trncnt of Public Safch" i I Board of Building Rc,,ulatiirns and Stantlar•rls Construction.Supervisor Licensee License: Cs 48546 Restricted to: 00 MARK D HERBST "r 35 PEET TOAD RD . E CENTERVILLE, MA 02632 Expiration: r' ('nnmiisviuncr 1/27/2012 Tr#: 13699 TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION Map Parcel v Application # ©v�v' �o HealthDivision =` Date Issued Conservation-Division - � ' . Application Fee Planning Dept. - Permit Fee Date Definitive Plan'Approved by Planning Board r i Historic - OKH Preservation/ Hyannis Project Street Address Village Owner i •fir '* Address Telephone Permit Request G�tir Square feet: 1 st floor: existing proposed 2nd floor: existing '��5 proposed °� Total new Zoning District Flood Plain Groundwater Overlay Project Valuation c� � Construction Type Lot Size Grandfathered: 0 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: ❑ Full ❑ Crawl ❑Walkout ❑ Other _ Basement Finished Area(sq.ft.)_ ) Z Basement Unfinished Area(sq.ft) �� Q : — Number of Baths: Full: existing 7— new Half: existing nt_ Z7 cn v Number of Bedrooms: J existing --6e� x � Total Room Count (not including baths): existing _new '� First Floor Roo CounfI '' w Heat Type and Fuel: te//as ❑ Oil ❑ Electric ❑Other w Central Air: W�es ❑ No Fireplaces: Existing New Existing wood/-oal stove: ❑Yes YNo Detached garage: ❑ existing 0 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 v,� a, Telephone Number Address s4v?-�U)4 fcAl License # �� V Home Improvement Contractor# l 5J 70 Worker's Compensation # W 6c 5a 4 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE r ! FOR OFFICIAL USE ONLY .4 ,r Y } 'APPLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: t FOUNDATION d-05- O r - ' FRAME " INSULATION ' y FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING DATE,CL'OSED OUT ASSOCIATION,PLAN NO-" I ' r Town of Barnstable Regulatory Ser-46c_s Thomas F. Geiler,Director prEa ;�`�� Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnsta ble.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN RE'VI E W Owner: ��E G G er 6-�le Map/Parcel: Project Address �A6 b AICIE Builder: �i5 L LZ 6/9 The following iterns were noted on reviewing: loot/�iuE LpNiVKTa2 S /e y2.s Na��ci��-r�E- . �Gi�.�J /s T ._ o a/R?' �oi►/iy E-c_7'�a-n/. �s/rim Lam/ 7a2.f 1S E?�u-��r✓ SnNo 47Aud 0s,-s �C-.,�6.r-<2 <c.s,E Mcc Sr �E L G�E,d l)oGT�l� O lZ .15 e-?e /Ou?o ��! 6d s*C t'C K E w( c Reviewed by: / ' Date: Q:Fo=:Plnrvw f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/P.lumbers Applicant Information Please Print Le 1 Name (Business/OrganizaYionllndividuaI): P� — Address:_ 0 w1 y4 V� City/StatelZip: �V14 Phone.#: Are yo n.employer? Chec the appropriate box: Type of project(required): 1. a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9 ❑Building addition comp.insurance.t [No workers' comp.ins,,,uncc re ] 5. [] We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself:[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance regllrequired.] c. 152, §1(4),and we have no 13.❑ Other t ' employees. [No workers' comp.insurance required.] 'Any applicant that ebecla box#1 toast also fill out the section below showing their workers'coroP nselion policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. IContractnrs that check this box twist attached an additional sheet showing the name of the sub-eontrattrrrs and stage whether or not those entiti cs have employees. If the sub-contractors have urrployccs,they rnustprovidb their ,workers'comp.policy mm-nber. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job sire information. Tnnirance Company Name: ,,�JJ J 1� Policy#or Sclf--ins. Lic.#: lY�i U �i J % nation Date: �i 3 69 Job Site Address: 7� �LJ b� rtG �j City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to scarce coverage as requtired under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance Coverage verification. Ida hereby certify under the •and pen of perjury that the information provided above is .ue aid correct Si afire: Date: Phonc 4- Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# . . I Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Towm Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: information anct instru.ctions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees: ' pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling housm•of.another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states`Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insu�e requirements of this chapter have been presented to the contracting authority." Applicants Please fll out the workers'.compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply,sub-eontractor(s)name(s), addresses) and phone numbers) along with their cmrtificatc(s)of insurance. Limited Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no.employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the prmiit or license is being requested.,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insuranro license number on the appropriate line. City or Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of die affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/liceasc number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit onp affidavit indicating euaent policy information(if necessary) and under"Job Site Address" the applicant should write"all locations in (city or town)."A copy of the aff davit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must.be filled out each year.Whcrc a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i_e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call The Department's address, trlephone•and fax number. The Commonwealth of Massachusetts Dq)a.rtment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 T0. # 617-727-4910.0 ext 4-06 or 1-M-MASSAFE Fax# 617-727-7749 iced 11-22-06 www.mass.gov/dia oe lyl/ W;,,(a U5 GY6 L -. _1 Idea) I Y` E net) !i I Tul 3 gy w r ( , �Rca o Lo ID E8'68E CERTIFIED PLOT PLAN I CERTo Y THATTHIS 'T��FOUNDATION ATION FOR SHOWN N THE GROUND AS SHOWN HEREON AND THAT IT LOT 3 WATERFORD DR, COTM, MA. CONFORMS TO THE MINIMUM SETBACK LCP #23747-B REQUIREMENTS OF THE TOWN OF BARNSTABLE. PREPARED FOR BAYSIDE BUILDING INC. STENEN Yl. RUM3A SCALE: V p 50' JULY 10 1997 ' WELLER & ASSOCIATES 1645 FALMOUTH RD., CENTERVILIA MA. 02632 f +� Massachusetts- Depal-ement of Public Safety. ! Board of Buildin- Re-ulations and Standards Construction,Supervisor License- License: CS" 50234 , ° Restric ed to: 0`0 MICHAELDELUGA ;{ I ' 568 SANTUIT RD '...;.Iai i» COTUIT, MA•02635'f' .'`'; - - -� Expiration: 7/9/2010 (:6mmissioner' Tr#: '30003 ' � ✓�ze 'r�ommwmurea�/ a�./�iraoaclzuar,CC. Board of Building RegulllionS Ind SlaudarJs HO0IMPROVEMENT CONTRACTOR rt Registration:\ 105548 Ex gation:-7%17/2010 I ==�- z _=i iJ Type; Tr# 27197..�. E_ - DBA nt4AGE.CRAF '��UIIf~I,NG rR bCEW.J6 Mael a UIT RD. � .SANT %, CO;UIT,N*.02635 Administrator �' tet 4/3/2009 Timei 3:07 PM Tot V 9, .5084266319 Paget 003 a a� _rtMr;`y..r�-,S�;li!:�llu� •�- ,y s�...._.._ iw:��t�i.-.....r....,..._,.tllV9��9`�i'/'�� 1 -."....�._.�,..._r.a,._....•._..W.�.,...,..,..........._,.,......,..._...,,.,....,. ,.,......_.� ' N x « If the�c�rtificte holder is 'ah �ODITIONAL !t\ISURcD,the policy(ies)must be endorsed. A statement on this certificate d 3es not cc nfer rights to the certificate holder in lieu of such endorsement(s). t If SUBROGATION IS WAIVEI 1, subject to the terms and conditions of the pol!cy,c:erain policies may yet 4/3/2009 'require -'alit' &Idori'omen& A' stUdrmbfi,Vh this certificate does not confer rights to the certificate °d!kt- 4�0:, holder in lies of such endors:ment(s). .,.,...o,....,....�Ta�.xt,a,,��.,o-v,...�,d..,..,.mAm�.,.�..�.....om..�.,a.....�,.�,.�.o...�...�.... ,..a .n�....�.....�,a. ...,�..�-d..,; ,�--�•-• DISCLAIMER. ' The Certificate of Insurance o! the reverse side of this fo m does not -constitute a contract between the issuing insurer(s),.authors ed.represeTtt�ic��fy'#pgti ui�gand.the.certifxa a holder,. nor.goes-it affirmatively...or negativeiy''arri(nd, extend or alter t e.coverage afforded by the policies listed thereon. tltii carlftate holder.is an .ODITIONAL. it�Sl1F2 Q, he.,pcfcy,res}:rtust be eicor d, A statement tits Iris cer:if,r,..ate dais not cc nfer rights to the cerlificate ;older m lieu,of such erdorsemant(s;. i ql1 fS"•OGA ION IS WAND), subject to the ierms and `:onditicns of the policy,'cert:3,n policies may :Qt ?:f:i/?.�:•'.a , 'an! Eery f•� "° �, le ^,c y or <;t�!eri' A statement'nn this certifi.ate does not corer n,l.ty to 'la certfiicate at such endors::ment(s). r=r DISCL;AI ER. ,lIl#4 il"e'tificate of tn_urance o I the rever-se side of this'forl'n does not -xnst!tute a contract between ,suing :nsurer(s), authoi G ad r�NrESG'rssYs�tlxT'; �'LCU `and the, certiiiaie holder, nor noes It I tr Y ti 2.' R .Y "tt v o dill+tiiPti+: iy„or negacive!y' nt nd, ecierd or alt r the courage afforded by the policies listed:hereon. Yr ttt` hPICi2f f8 Fl; ..li�1t:r'.'J"ii�i ih'Cai Ci_,rti! .l'•�;/,t^' . 'i�U t be t'"!si)r.<'l A s--'a-,;Ileni d�*S no cc nre, rrylli:3 t�.'its r Il.-C i?': rS,der it iieL, f c' en nt, '. 5 :i ,Y �� JtJ 1 Ltr'rr:,^".�rtL•ll,J,. 0GA t 14..iN; i'S t:ti'Psl.VE:!, eo*nt to 't1E:"tu'rftiS 2r.'. ,.1:!;i1rcns Qi ir':'ti l'Gy, i:n pullc'!.tS r'rav • ,• gfr C+`'�':tQr."°.'s 1:"!'1 t1t, �. 1 .i' tt> Y r it!?'r wn Y t- can ! :� ce,;!-'.a... do.., r•c� or. ,r:�, o ..rM 0 Lt',_ '?f 3U;;11 :ildl-J I'S-9'e, "•. ,ti ::t tz^ 0;tCr,...i,`k?Ilse :?I the do io,�' i � C?rtr?C •, .'lrnFj'at'!Gl:fcSi'(:i ii?ia zvi;:ad rk�drr�ir•'r�t`2tr;r:i,.qr'. J`r7^t!G.i:;nilf3 the , Ir4:9 rr r ^Q'::`" ... or ram: iir!'1,`: '.?fi';no. --'xteno ...�pdier-tt'lf' ta,:;vcrdAd ?'}!tne;po!,GIEIs I:stE,•;tt'.Flt;r.^C)i. ACORD 25.9(2001108) 2 off 3 4561519 - t FEB-24-2009 (TUE) 16: 11 MALCOIM $ PARSONS INSURANCE (FAY.) 17813441425 P. 002/003 CERTIFICATE ®F LIABILITY INSURANCE ��y� DATE(!r1WCD"YY) ' P 1�SLaL„ 02/24/2009 PRODUCER (781)344-3200 FAX (7 B1)344-1425 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Malcolm & Parsons Ins. Agcy. Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Freeman St. HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P.O. Box 527 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Stoughton, MA 022072 INSURERS AFFORDING COVERAGE I NAlC q INSURED MTchaae D—e—uga INSURERA: Associated Employers Insurance I DBA: Village Craft Building & Remodeling INSURER6:_ _I 568 Santuit Road IWSURF.FC: 1— - Cotuit, MA 02635 IWRl1RFRD --------- INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTEC BELOW HA 1:BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOC INDICATED.N07WITHSTAINDING ANY REOUIREMENT.TERM OR CONDITION OF AN'I CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY FERTAIN,THE INSURANCE AFFORDED BY TH:POLICIES DESCRBED HEREIN IS SUBJECT TO ALL THE TERMS.'EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIINTS SHOW V 41 Y HAVE SEEN REDUCED BY PAID CLAIMS. II T R OD' TYPE OF INSURANCE POLICY NUMBER Mama POLICY EXPIRATION LIMBS . GENERAL LIABILITY EA01 OCd:URRENCE 5 CO`AMERCIAL GENERAL LIABILITY DANWAGE TO RENTED S RFy1�GG�E. i CLAT.15 MA-DE MED EXP(AI;y om Perscni S PEI,-1)NAL d AD'✓INJURY - - — ,_— GENERAL AGGREGATE S LIES'eER I GEN L AGGREGATE I.IW-APP ----- P?COJC?S-:ODAPtOP A,GG S I POLICY n dECT -- AUTOMOBILE LIABILITY "- -- t�IA EtiNEIuPJ3lc LIMIT ANY.AV1 O al.a acsido S ALL OWr\EC AV?CIS DOILY INJURY $:"HEOULED AI-T05 {Per parson) 'I HIRE:•AUTCS BODILY IN.ILIRY S NO V.0✓NED AUTOS (Per ace derv) PROPERTY CAI.tAGE S (Pereadera) OARAOELUAFSILITY A.:?OOVLY-EAACCIDEIIT S AN/AJ'0 OTHER T14AN EA ACC AUTO JN:t: EGG 5 E%CESSNY?RELL.A LUASILIT� EA.04OCC:RRENCE S OCCURCLAIMS IA,,DE AGGREGATE S DEDUCT6LE 5- - 5 RETENTION 5 -- ---- -- S I WORKERS COMPENSATION AND —_ k_CS00611401-2DO8 12/23/2009 12/23/2009 WC 5TATU- Orr- I EMDLOYFRS-LIABILITY UMTS A I AN'FRC•PRIETOR/FARTNER.'EXECUT.VE E L EAC.I-A.C.:DENT I S ZOO,0001 OFFICEW'NEMBER EXCLUDED? FA OiSEASE-EA EMPLOYE 5 100,QQ 4 yea oeecrica under SPECIAL PFR.OViSION5 beb,v 51 DU'EASE-POLITY UM1'17 S 5D0 00 OTHER. I I I _ DEYSRIPT1014 QF OPERATIONS I LOCATIONS I VEHICLES I EX:LUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS esidentTal corA r-actor. CERTIFICATE HOLDER CANCELLATION _ SHOULD ANY OF THE ABCVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.THE ISSUING INSURER WILL EHDEXVOR TO MAIL DAYS WRITTEN N0110E TO THE CERTIFICATE HOLDER NAMED TO THE LE!;T • BUT FAILURC TO MAIL SUCH NOTICE SMALL IMPOSE NO OBLIOATION OR LIABILITY Insured's Copy OFAN�KIND UPON THE INSURER,ITS AGENTS ORREPRESENTAIIVES. Evidence of Insurance AUTHCRIZEDREPRESENTATIVE .Irving Parsons ACORD 25(2001f08) 0ACORD CORPORATION 1S88 to: 4/3/2009 Timei 3:07 PM TO: rr 9, .5084206319 Page; 002 ............. 973 lyannough Road, Route 132 Hyannis, MA 02601-1990 -1620 ------- P.O. Box 1990 ................... Telephone (508) 775 Commercial Fax (508) 778-1218 ........... ............. General Fax(508) 778-1137 Telacamma;UtIons Co•,Pap At tee 4/3/20f4g 3:072 ?M Tot !,4 9, .5'�842'026319 To_'�-L Linda Sullivan sg 973 1yannough Road, RotAicp 1;22 .................. 0 Box 1990 derick Certifica,e p p Fax NumbedC. .0 ....... ....... .... .............. ...... elephone (508) '775-16,22.Q Da ............. 4 General FaX(508) 778-11 ... ..... . ...... .. Commercial Fax (508)C. .... ...... TIM' Note: Attri: Mike Deluga �-*U 0 0 1. Linda Sullivan 7' R,'- ..2 Fax Nuj),jbjijg� (V 9 0 i��A&ct,' Ce fifica�e 'i r' I r I _ o 6 200 P 4 G 011 ene-i 1 2. Z)"<,) ir(" 1 Fax 1508) 77>; 8 a M- Note, W , .- Urldla Sullivan ko k- I:axyt f TN.mcaoap 1.tw'4iji, riMPY M Whih I lddII.;.d-d..y...W.lalmmallnrtth tla OrNakgeo adldrndal-d kPlAle.tric law I the.reader at thla iutat-Po'.Me N,eell�"Iag lb,--jia to the You.6 he,=that,$sage 1, at thlb 1, 1."W U. atfledy preMbIted.d Y06 tibvs-mie_d,a mmefl,eJan.lav- ate fame eta allow ageless via Ite U.S.Pmal SeMm.YDenk ,rt 2%26:07 P,'�I No to P, r Of 1ME 'down of Barnstable. R.egul.atory Services Thomas F. Geller,Director Bulldhacr Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us - Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subjectproperty .. J herebyauthorize �' �� to act on mybehalf, in all matters relative to.work authorized by this building permit application for: . 5 12)l9f (Address of Job) S gna e of Owner ate Print N e QyoF-V S:OwNEUERMIS SION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map J © i�Fq Parcel Parcel2, 662 . �,.��,.a„ Permit#-Wo- �5 Health Division !% Date Issued !141Dq —rv, ffConservation DivisioN, n 2 b� � ' —3 PM I?. 5 3 Application Fee Tax Collector 18io Permit Fee Treasurer SYSTEMIIAUS"I'� SFAU LN" Planning Dept. INSTALLEDIN 601111 Date Definitive Plan Approved by Planning Board 9WROW NTTAALCODEAND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address LAS Village (� v in _n Owner Rae,) Address Telephone c — � — 0 IF3 F3 Permit Request \A)(=T k 3 C«✓o (J00L N&x 3� Q ti Cl oSQ<) A MASS S`Sa�e Cc»e (-o f �4lAcM5 o,3 Square feet: 1st floor: existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation �'� d00 Construction Type �ii L Lot Size _1 1 cl�`� Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) \ ' Age of Existing Structure Historic House: ❑Yes -*'S No On Old King's Highway: :❑Yes NM No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing new �ber of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing 0 new size\LOX3lo Barn:❑existing ❑new size Attached garage:Cl existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes fl No If yes, site plan review# Current Use Proposed Use Qe C,(k-2A1© BUILDER INFORMATION Name(�,o&w 968S cor 0 1> CZ Le Telephone Number"S;Z&39!5-(Qu,-P Address \1 � LDQ� ,Ie C60,3VJ �Q License# 099699 Home Improvement Contractor# kr�52491-? Worker's Compensation#W c,G l L01?CO3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r T FOR OFFICIAL USE ONLY PERMIT NO. 15ATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION �,�F.�® .®,�, ��o®�o �i� ✓ p FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUG FINAL GAS: ROUG oC FINAL FINAL BUILDING r"m t. r-m Eno DATE CLOSED OUT ` ASSOCIATION PLAN NOOI 1 y� i The Commonwealth of Massachusetts M - - Department of Industrial Accidents _ = fiffice allayestigatlans 600 Washington Street Boston,Mass. 02111 s� 'Workers' Com ensation Insurance Affidavit name (-�o� -e�\el , city (�1\\S hone ❑ I am a homeowner performing all work myself ❑ I am a sole etor and have no one workii in ca achy am a so ��/%%/ %%///�. I am an em I roviding workers' compensation for m�employees worlQng on this job. y�ry „� �Qp�p��D A•vr•!{{•'!:+r:•'•;v:M''S ?v{+.t'3T,,':•:. 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'.�•}`t�,k..,"J� . �'£s:r....,.�.......„...,::.�#;., ��{�.xr.}.a,:tS:✓�' x:.: "+. tEy^<x:::.:;t•.:;fa.:}:;',;v,!. iDu:...v. iIL7a'F911C8'`Cl)-•:+{:�ff:;v Gu¢h:. )y>`;...;4}:•h,,:,•..:..}:'•}A:Y:•fiiy:4f+., 4.,,.{,r.,�lx?t!6J£.J:}st ?. g�}tu a to a ecn¢e coverage as under Section 35A of MGL 152 can lead to the imposition at cr�nfnaI penalties of a Ste up to S1,50D.00 and/or I one yam,hnpri+oraneat as a penalties in the form of a STOP WORK ORDER and a fine of 5300.00 a day against me: I understand that a copy of this Statement May to the Office of Investigations of the DU for coverage verification. I do hereby certify t e and penalties of perjury that the information provided above is true and correct Date signature may^, phone#s (D I�,p Print name official use only do not write in this area to be completed by city or town official city or Town: perndt/license# ❑Building Department ❑Licensing Board ❑Selec4tnen's Office ❑ checkif immediate response is required []Health Department eontactperaon: phone#; der Unified 9195 PIA) I E'O�'Y Town of Barnstable Regulatory Services B"NsTABM ' Thomas F.Geiler,Director MAM ,eo r 9. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME EWPROVEMENT 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: pl 1O R-2 %0G - Estimated Cost 2�^ Address of Work: �►S ��C�t fl a� Owner's Name: 1?0 Date of Application: GH I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: c yuas co(-R Tyr-. CZ�c Q -32�11(_P Date Contractor Name Registration No. OR Date Owner's Name QIorms:homeaffidav i °FTHETQ Town of Barnstable Regulatory Services � a vKAM B � Thomas F.Geller,Director F 639. Building Division _ Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder the-subject pzoperty_ ._....._._... .: hereby authorize to'act on my.behalf,. C� C,` cxz in all matters relative to work authorized.by this building.permit-application for: Address ofjob) _ �13010� Signature of Owner Date Print Name 4 0:F0RMS:0WNMEP0MSI0N I BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 077899 Bi rthdate: 08/28/1969 Expires: 08/28/2004 Tr.no: 77899 Restricted To: 00 TIMOTHY P RICER DENNIS, MA 02638 Administrator II'.ard u(Huil,lin_ Itc.,ulouiun.:uul�Iand:n'Is License or registi-Mion vAid for individul Ilse onl.N. HOME IMPROVEMENT CONTRACTOR before the expir•aliou date. If found return to: 13uard of Building Re,;ulations and Standards Registration: ta,:n 'fi Bo ;kshbu -ton I'lace Rin 1301 Expiration: 2113i2005 itosion, Ala.02108 Type: Individual TIMOTHY RICF TIMOTHY 121C1 138 t-umbert Mill Rd. Ce ntcrville.MA 0263 �,Iminislrat„i• n'ut-u Ill without si}nature . .. - ..�.R_ ..•..,�•. . _ - .v,� �+ iiRJib+i3. ±y:i..3�n•�,.�y.�y►.�•w-��..•. tw.nr.$F�'�'.. U• X�9•.7.." sJ.+• K .-w....ti..,,p,..a-v-'•*-�.-�.r+v+i.•^• ORDER NO. SALES AGREEMENT FULLY INSURED & BONDED . DATE IO" ��T'1'��,�r ❑ 133 UPPER COUNTY ROAD•SOUTH DENNIS,MA 02660•(508)394-4800•FAX(508)394-6735 ltiCE CO. ❑ B35 WOBURN STREET•WILMINGTON,MA 01887•(781)933-1234•(978)657-5410 FAX:(978)658-9932 / INCORPORA D NAME �i SHIPTO STREET STREET CITY STATE ZIP CODE i CITY STATE ZIPCODE INSTALLATION kk HOMEPHONE BUSINESSPHONE TELEPHONE i NOTIFICATION STYLE NO.OF RAILS HEIGHT ft ON YOUR PROPERTY IN ACCORDANCE WITH QUANTITIES AND LAYOUT SHOWN BELOW QUANTITY DESCRIPTION UNIT TOTAL /4k_C INN fiv DEPOSIT TOTAL SALE BALANCE On Completion TAX TERMS TOTAL ONE HALF WITH ORDER BALANCE ON COMPLETION LAYOUT-INDICATE ON LAYOUT PICOT FACING ON EACH LINE OF FENCE. CHECK LIST CLEAR FENCE LINE TREE/STUMPS IN FENCE LINE TAKE DOWN EXISTING FENCE STACK BUILD SECTIONS ONJOB TOP OF FENCE TO FOLLOW GROUND RACK SECTIONS 1 STEP SECTIONS CURVE SECTIONS FACE FINISH SIDE / BARB TOP- KNUCKLE TOP UNDERGROUND PIPES OR CABLES BRING COMPRESSOR Q GATE SCALLOPED 30, GATE STRAIGHT ERECTING CONDITIONS GALVANIZED OR VINYL TAKE AWAY OLD FENCE All q ons subject to conditions beyond our control.CUSTOMER IS RESPONSIBLE FOR establishing property lines and fence lines,and for conforming with local zoning by-laws.Pro Fence Co., Inc is,not responsible for damage to underground utilities,septic systems,drain pipes,or propane lines,unless notified in writing by the Customer as to their location,before work is started.This q ion does not include costs met in extraordinary conditions-striking ledge which may require the cementing of posts or the use of a compressor for drilling and pinning posts,or Gearing trees, sh or other obstructions from the working area.This contract embodies the entire understanding between parties,and there are no verbal agreements or representations in connection therewith. I fence materials remain the property of P o Fence Co.,Inc.,until final payment has been made.By signing this agreement the customer gives Pro Fence Co.,Inc.,permission to enter the property and remove any or_all fencejlataria mat Payment is not received. BY / ACCEPTED BY On a unts over 30 days,finance charges are computed at a periodic rate of 11%per month-Annual rate at 18% Plus any additional costs incurred for collection;including reasonable Attorneys fees. r " I'Itll Fin„ ( I�nll,anc Chain Link At PRO Fence we offer the Finest selection of chain link systems for your residential, commercial, or industrial needs. I These systems provide beauty, strength, durability and protection for your "' lilll� ' �'� � ,"►1i�C�lllllill - -- - -�:_' - fa>iliily or •,:.:...,... ��' .• _ "'`:` : ;:ice i business. xtiaj �,le1l�.4 l� Mat \intl( hain I ink on Ive,utre ,un•mnuh icnni, y the strong- Y rs to come. : � 3 14-51 1 fir. , �.��t *-r�... ��'�� w `•�� ' �•� •� `� r f. •'�'� �a:�7: Y_�,4�SDFy; - `�,��1'. "'�► "yam w: I till Black Vinyl Chain link Sy%tem. 16 p 0 OF(M.4.S Structural Design AI)r 'ed only when installed In i 'TIVOT11Y 9G strict Accordance with Q / V:ALK(R tr. anutaeturer's Instructions ICIVIL R: T. walker, P.E. o \�No. 31376 d J Gi 4'3'�{ ,(� � COPING LAYOUT Y9 , l75'CORNER(fYP.) KKKCC/ T o I 1 8' 3 2'6 I 1 u y'3' ?•y. PANEL LAYOUT ar�roce�.{��cEc X.=.BRACE " 6 • 6 DE6&A arwat,m u sus wu&on oredt snrmsrerd unnsu+ ' Pool Pool I Area capacity nuwrnatm ,a.m.0 ma Iws r.tra wrtwtu wta .. .. . . . .566 /-?,000 eeo Sa.FL Gallons •j EDITION POOLS tsa THIS BROCHURE IS FOR ILLUSTRATNE PURPOSES�� ra••.a-rtr• �,, a rµn• er nuhd orsy lwse reo,esentafions`+'hicks,s s�tedtias.wctten..ar*anb• fawn roam ,Uur�a N'" 16' X 36' GRECIAN The manufach+ the d.W.a,dlor the cotractor to the Cu Erm-d rewesentalion&'=ents. d� cne attrlwAabte m the dealer wWw regy materials prod erd eaotrac-and not an ' dy' a vmo sea or Y"uDs yar Pool b sn Yrdaoerd ta•r ta'a ca ran br only The deals d eontnetor r.The oor avuction medwds ihubated are supOestions�d aoOtY t•wum tun7a a wrrws+taa apem a emdoYee d the manuraetut only to normal Ground ee m!.na Thee may be addtional precaularo ana/o<rneVtoda d co,.strt+ct+en. .. - ws+,vm sv+a s/r.r""' SCALE: NONE 1991 RC The resoonsbt"'is the centracttrs. s/r w TM �� Sw' mimCleap s"'• dd Q UAD - CLUSTERTM CARTRIDGE FILTERS o ' ayward SwimClearTM cartridge C . '—` filters establish new horizons in high Gv�i performance and operating convenience. Utilizing a cluster of four reusable polyester cartridge elements,they provide a choice of 200,300,400 and now 500 ft.z of heavy duty dirt- �] holding capacity and extra long filter -4 ---`= cycles—proven to handle an entire season without cleaning. Q SwimClearfiltertanks are now molded NO FRI from new and stronger PermaGlass XL TM, an improved glass reinforced copolymer, �nl al providing the ultimate in P Yotally strength,durability,and �] long life for even the toughest applications and a, environmental conditions. For crystal clear water and easy maintenance,step up to SwimClear. You and your family will be glad you did R —all season long. r 0 C5020 SwimClearlm500 ft'large-capacity cartridge filter f r for crystal clear water with minimal care. _= 0 Innovative Automatic Air Relief purges any entrapped Ol air during filter operation. ' FeaturingZ: PermaGlass,.7=� Filter Tank Material HAYWAR®® x America's 'FI Pool Water Systems a SWImCIearTM Quad - ClusterTM Cartridge Filters Innovative Automatic Air Relief purges any entrapped air during filter operation. Non-Corrosive Top Closure Plate prevents elements from lifting and allowing t' unfiltered water to by-pass back to pool or spa during operation. Quad-ClusterTM Cartridge Elements provide 200,300,400 or 500 ft.2 of filter area and extra dirt-holding capacity for long filter cycles.Precision-engineered extruded i` core provides extra strength and superior flow. Self Aligned Tank Top and Bottom make access to servicing Quad-Cluster cartridges elements fast and simple. Heavy-Duty Tamper-Proof One-Piece Clamp securely fastens tank top and bottom together and allows quick access to all internal components without disturbing piping or connections. S Improved High-Strength FilterTank molded from new and stronger PermaG lass XL' -� material forextra durability for dependable,corrosion-free performance. Uniform Low Profile Tank Base Design makes removal of cartridge elements fast and simple. �ull�ll.11 Full Size 1%"Integral Drain provides fast,100%clean out and easier flushing of tank. Noryl®Bulkhead Fittings for extra strength and heat resistance. 1 :. Union,Coupling Connection provides plumbing options of 1 X"or 2"piping,2"internal piping for maximum flow performance. g, r • r rr • �, — FILTER TYPE: Quad-Cluster cartridge elements: 200,300,400 and 500 ft'total(18.6,27.9,37.2,and 46.5 M2). FILTER TANK: Injection molded PermaGlass XLTM FILTER ELEMENTS: Reinforced Polyester PERFORMANCE RANGE: %to 3 HP(30 to 120 GPM) 10.37 to 2.24 KW(114 to 454 LPM) DIMENSIONS: C2020—32"H x 23"W(81 cm x 58 cm) FullyAutomatic Air Relief with double seal C3020—34"H x 23"W(87 cm x 58 cm) eliminates the need to manually vent f ilter tank C4020—40"H x 23"W(102 cm x 58 cm) NSF® after system start-up and prevents backdraining C5020—46"H x 23"W(107 cm x 58 cm) during pump shut-down. NSF is a registered trademark of the .National Sanitation Foundation. Effective Design Turnover Model Filtration Area Flow Rate' Gallons Kilo Liters Number ft 2 m' GPM LPM 8 Hr. 10 Hr. 8 Hr. 10 Hr. +R' C2020 200 18.6 75 284 36,000 45,000 136 170 C30 300 27.9 112 424 53,760 67,200 204 255 400 37.2 150* 568 72,000 90,000 273 341 ' C5020 500 46.5 150* 568 72,000 90,000 273 341 Removable Clamp Tool makes tightening and Based on NSF recommended flow rate for commercial at.375 GPM/ft' loosening of clamp quick and simple,providing *Determined b um size and piping system hydraulics. 2°piping is recommended for flow rates equal to or greater than easy access to filter internals. YP P PP 9 Y Y PP 9 Q 90 GPM(341 LPM). Hayward doesn't recommend flow rates above 150 GPM. ®moo �c�N5� HAYWARD America's *1 Pool Water Systems swcoI 1-888-HAYWARD www.haywardnet.com ©2001 Hayward Pool Products,Inc. f Z I 7Qeow—c%3 Eo i. tb, - L_ aQ 64 " k III T 3 r t3R q s o to E8•s9E I CERTIFIED PLOT PLAN SHORE THE FOUNDATION N FOR THIS PLAN IS O THE LOT 3 WATERFORD DR COTUTT MA GROUND AS SHOWN HEREON AND THAT IT r . CONFORMS TO THE MINIMUM SETBACK LCP##23747 B REQUIREMENTS OF THE TOWN OF BARNSTABLE, PREPARED FOR BAYSIDE BUILDING INC. u CTEVEN V1. SCALE: 1" a 50' JULY 111997 PUM3A WELLER & ASSOCIATES 1645 FALMOUTH RD., CENTERVILLE,MA. 02632 TOWN OF BARNSTABLE n I3 CERTIFICATE OF OCCUPANCY PARCEL ID 056 002 XO5 GEOBASE ID 40948 ADDRESS 45 WATERFORD DRIVE PH0NE , (508)771-1040 MARSTONS MILLS ZIP — `LOT PART LO BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 27543 DESCRIPTION SINGLE FAMILY DWELLING (PMT.#2{3619) PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCYY CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services 'TOTAL FEES: BOND $.00 pxtME , CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY MASS, t 039. i F�Nlld A BUILDINAYVISION BY ,�/W7 DATE J SSUED 12/04/1997 EXPIRATION DATE. 7 " ..f PA L" 0._056 P02 X05 GEOBASE ID ' 40948 y ADDRESS . 451-,WATERFORD DRIVE PHONE. (508)7TI-10 MarstonB Mi118 ZIP - LOT 03 BLOCK LOT SIZE 1DBA DEVELOPMENT DISTRICT. CO,tk S. DESCRIPTION iPERMIT TYPE BUILD TITLE NEW/RESIDENTIAL TBL,DGD CAR GARAGE PMT " � `CONTRACTORS: BAYSIDE BUILDING, . ANC Department of Health; Safet. ARCHITECTS and Environmental Services s'.TOTAL FEES: $338.61 Ox tNE FBOND $.00 =NSTRUCTION COSTS $109,230-00 101 SINGLE FAM HOME DETACHED 1 PRIVATE P OP � a . * HARNSTABLE, • t IN MASS. �► 1639. OWNER BAYSIDE BUILDING, INC: , Fp A ADDRESS P. U_. BOX 95 BUILDI ISI N ra CiIMRV I LLE, kA BY DATE ISSUED 06/09/1997 EXPIRATION DATE ;R k THIS PERMIT CONVEYS-NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR'PER MANENTLY.EN-4 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.FROMTHE CONDITIONS OF ANY APPLICABLE SUBDIVISION,RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED ' FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST..BE RETAINEDFON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CAROKEPT POSTED UNTIL FINAL,IN. PECTION ,� PERMITS ARE REQUIRED -FOR 2. PRIOR TO COVERING STRUCTURAL F MBERS HAS BEEN MADE.WHERE A CERTIFICATE OF.00CU= ELECTRICAL,PLUMBING AND MECH- EQ(READY TO LATH). PANCY IS RUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. 3, a 1 BUILDING INSPECTION APPROVALS PLUMBING IIJSP__ECTION APPROVALS' ELECTRICAL INSPECTION APPROVALS 2 2 2 V� ll 2 c 1 rATING INSPECTI N APPROVALS ENOINEERING D RTM T 2 BOARD F HEAL log- �� o I)L- 11•-1-71. OTHER: SItt PLAN REVIEW APPROVA WORK SHALL NOT PROCEED UNTIL PERMIT 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 TELEPHO E OR WRITTEN NOTIFICA- TION. NOTED ABOVE.. TION. C1,4 a7sf3 + r:au:�,tjr •fhy'� �ar11 7 �}rC+i.�•+•F� •WV*v. ��. � }-'� x 1'„p1•'�'✓ j�� .1�5<��(��l'��±�9 ,iM� ^� '�t,X.'7L��'e'- T4 A�• �' r w�}t-� ar 4 "_fix��i'' 'j • -•rA q 9�rrw+t'trlfMe'1•S-�.�"k, a l`;,ems +. �"� t►• tiA�l, rj�iYT 'g'r�r.<' ,��j�"Y3r +�+,7.� 'r`��T t��"�' �� Y�- J 4cyi4l+'►� qT��•,S: � J.� ►.;� '�� .�" �!,[ rT. ._,e`er M..l.s� l' � {jS�C �,�^y}��` • �� K i � i.�ik41��4�4� s -fy�eid...��••� . ,�71��51+�nR ' t J r. C. PERMI 4 , 0 .BUILDIN st. r Allbo , �. " i - f , e .� t R�,t �� ., r29 L. • c ,Vt +�,, ? {, !t'•� ' Y 7ti G ' li - 1['fiJ. �, t«1un'.s.«+�. '� w.Lv'�.'��•a.-v._ .a� r'E .�!dl'w.. :.''�T.F[r�whhs ?ti> 1''..Y..•�` Engineering Dept.(3rd floor) Map 0, Parcel D©o� X 0'S� rJ Permit# L House# S Date Issued Board of Health (3rd floor)-(8:15 -9:30/1:00-4:30) � !fe � Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) TI Planning Dept.(1st floor/School Admin. Bldg.) $� WULATIPONS UST BE CE Definitive Plan Approved by Planning Board �/ 19 P I v+ �'Z _s ►-7- -f 1�1�1COVE AND TOWN OF BARNSTABLE TO Buildin Permit Application Project Street Address q5 waff4&ellV LET 3 Village Owner Address Telephone Permit Request First Floor !Q 8 to square feet Second Floor square feet Construction Type U)jVh M9 Estimated Project Cost $ M q, of 30 Zoning District Flood Plain li Water Protection Lot Size �1, Q Grandfathered ❑Yes ❑No Dwelling Type: Single Family �', / Two Family ❑ Multi-Family(#units) Age of Existing Structure A19-w Historic House ❑Yes f 1Vo On Old King's Highway ❑Yes Basement Type: 89 ull ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New_� Half: Existing New No. of Bedrooms: Existing New 3 Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: (/Gas ❑Oil ❑Electric ❑Other YzT-y at/ Central Air &Yes ❑No Fireplaces: Existing New -645 Existing wood/coal stove ❑Yes ❑No - Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) oZ C4a4 J?a ❑Barn(size) ❑None ❑Shed(size) �a' ✓�� ❑Other(size) 3 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes U10 f yes, site plan review# - Current Use Proposed Use Builder Information Name Q/1C, Telephone Number 771 lava Address License# 190 ,56 9 S Home Improvement Contractor# Worker's Compensation# WC! 3/Z 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 /4MOte SIGNATURE DATE 5/�- BUILDING PERMIT DENIED FOR THE FOLL ING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED , 1 MAP/PARCEL NO. ADDRESS VILLAGE x OWNER x DATE OF INSPECTION: FOUNDATION p FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL - J t , PLUMBING:' ROUGH FINAL GAS: ' U r FINAL FINAL BUILDI on DATE CLOSED ASSOCIATION Pa TJ4 v. oq C14 P.q VJ P GG C!] U 00 . 6-4 - m -ZI a N •— pq w oe _ A C o a.a m m FCx=l -- `� � � � � p [tq v� O F—� Wa Pol / C 7C_ CMG ••w a— Ggd N Pq o � ,� co .o u w m a.r a.. u m y U A a ►+ �l a-. a, 1-r G] 4-3 C) O O G] aI 'I lA7jj.IL0 «� -E COMMONWEALTH OF MASSACHUSETTS P_�_ �=P DEPAICVMN'- ' O F INDUSTRIAL ACCID.UM 600 WASHINGTON STREET i BOSTON, MASSACHUSEITS 02111 fames Gampoel: �orr-uss�one WORKERS, COMPENSATION INSURANCE AFFIDAVIT (licensee/permirrcc) with a principal place of business/residence at. (Gty/SuteMp) do hereby certify, under the pains and penalries of perjury, thar. (J 1 am an employer providing the following workers' eompermdon coverage for my employees working on this job. lnsurancc Company Policy Number ( ) I am a sole proprietor and have no one working for me.. ( � I am a sole proprietor, ncral contractor r homeowner (circle one) and have hired the contractors lined below who have the following woe tens t;.omper=rion insurance policies: .tea-ee J- Name of Contracror Insurance Company/Policy Number 1-2me of Contracor Insun.ncc Companv/Policy Number Name of Contra"or Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. NOTE Please be awuc t.asc wbilc bomco-mcrs w'no crooiov persons to do rniintcoaocz. construction or rrpair..ork on a awciiinc of not rnorc tnaL titrcc untu to %+ntco Ihr Goraco�ncr tiw ruidu or on the Frouoai appurtenant thereto ire tact ecoe►zil% considered to be cr-oiovrn unocr the a'ori cn Coravemauon Act (GL C- 152. sect. 1(5)). appiintioo by a bomcowocr nor a license or txrmtt ma.v mccoce the IcFal surw of an empiover under the Workcn' Compensatioo Act I understand :hat : coop•of tiers stat=cnt will be for-trccd to the Dcoar'nent of lndusviaJ Accidents' Ofncc of lmurancr tot cnvc--JL.'c rcn:t:::ton ant :h3: :aiiurc to secure coycra.cc as rt-au.ircc unocr Sccaon _'5A of�1Gi 15: can lead to the imoasiuon of t ri=i:'L �;aJucs ec^stsOne of: f,nc of ere to Sl 500.00 and/or imprtsommcni or up to one N-n: and a%v pmaJuet in the form of a Stop Qio.-k Orde' Inc a fine of S 100.C-u a day gems: me. t SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 WELLER & ASSOC: (L) NAT'L GRANGE MUT.- MSP45246 EXCAVATION & SEPTIC: ROBERT J. OUR (L) U S F & G - 1MP30109550901 (W) U S F & G - 771521695 DECO CONSTRUCTION (L) TRAVELERS - 660364K8342 (W) LIBERTY MUTUAL - 312446298044 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION - ABR406267 (W) LIBERTY MUTUAL - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS - TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 i .f INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 M & R CARPENTRY (L) MARYLAND INS. GRP- SCP30235965 (W) CIGNA PROP & CAS.- C80049997 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MPOO21014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 TILE INSTALLER: TONY AVERINOS : (L) ASSURRANCE CO. - CFP26528977 (W) HARTFORD FIRE - 77WZCY2409 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APPL MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO - 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 . - r-,�lLE'E�:+EtLla �-oUVc2-vEPT$ -in ID 1 -1' M 9i .a.m -F PLO N-T_.:.:E1-EVA-r1 O N Tue—ycc'ur.►+.Ecz6_.._'..:: _ °""9 fi"'i� I I I • I I it t .I - I 7 I 1 i I I ! 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I N " 146 19'_10• I 'I I I 1- n. a«• I I r 10 _ t N I �+ I c B�erzooM�z' —' I STER BevR ooN I : f _G0.aAT Roe OAR-_.12' C— O rl- 12' C.wtw¢nYn` `9 d I OAK 14 CwT ClaRA� - IZ.L a 14� r W ALY-- Iwl 14♦ K '� on J •�" o I t '� t O ig ATH zPTO •-56s 3'•e m T�aB ® 'ate c o• — 9 (� — '+•'-e � .w�.any _ I N Typ-�J.o3r1 � . 4'_tv1rlE.n..sug nac �! . P1TC.K '1^..To�7 oo2t 1 Forc is a I � I N 'LL <L(. .: 73.r ...` -R oe.-� •O 10•; I I Ur M J =gT.EE:� pl Ef✓A 1 1plp �' OAK 12' G.�TncDtc•�L ---li' o.cA+ I Ban Room 3 � r -'- n b a 1 '•0" 4'•3•. 1••o i 4••4.. is 22'-0 g•.V.. 4•.• f. Or I _ - — Ooo2 ze, �""` Y — _ Public Health Division tzi 9' oH• 9'-0 o.N.000: ie��}�(�j� rCtiC2 AP2owl Town ofBairdit - PO BUSH Hyatft�� 02601 BA.YSIOE .BUItAING_.C—_l.�c - Fax(50%?*4 .CEhlTEiZV1LLE ._lna.SS c 1•p ....o..o n. ..n.1� Phone(500)7904 5 �� - Iyl- . Fk"T. FLOCr?— PU&VJ..-. .'. THE KE.lLC11F ifj mv.y �9.IT s I I I I •I . . C2PC7 I I � c...n SIC L OPF'" n2Ga . 1 I !-i; Public Health Division p Town of Bamstable _Q.T o. PO Box 534 —29.+/4 a, Hyannis, gglayd�� ft �1 $AYSIr>e. FbU'ILoiNG Iwc Fax(508)7754M CENTE2V Lt.LE :/hASS Phone(508)790-6265 ^A-4 I ' MAV 9� �efi r - I II 1 I o' N ___. I I I I •. � I I tit I I I I --- -- J I ram, 1 � `---- -- —=-------- -- - I— —— - -- —— —� - s I r._ mI- I • � i t — I I i j i I II it ' 0 1 I I- I CCp.. I' .•�.. �`-7" I .!c'-T �'- 9' � �6_7 C'� b'• 3'-8•� I 1Ef• I . I I r•� r..1 r�..1• � i i I } i � � � � I I Lij I I L ;J I .C:ONG2-SVAL --_ _ v 'lµL:CC.AN`♦•.'Oltll/�I�G._.._._� .I --r-{ 1, I i. � :iC--..va—Fao7�NCds ___- .._. _ '14•"Y.9.'4'.'r.11�:.FOOT�N4r .. -o �T I - � So 47 �✓(r to I I o I: I III ® L '=GAR AC.E u - ° l �' I __..$.•.a 4`.G- GONG¢. �V AILS � `—:.— --_—.—�_ — — —��: . '.CDT IV- FOR. 9` Occo,i • 1 ...:6AY�310E-_F�ULt 01NG=�`_IuC 1 68 0` CENTERVILLC /MSS 'BAaE/ACNT...•-FOUwIr:)GT IOAI .__.THC.._..KELIEHCC'.A �. _. �9�•'L� Y 2+1,L- 2RyAE PLXfI 410 - LTA9 .ASPN4LT.9NIIJ Ci 1..65 rZ. —' '..COY .SNE4TNING I 0. 2EG i FiLl"iiL A. — sm C"AQf G f 02 I 4 C I 2 2 • ..:' -i•1 O:�tO�-� !- �. � �==.1Y10-®.-�10�_,..:-: _....- 2•� » 37A: GI)t (._.. . ;tj o� - _ _ST. 4`•yy ..._ -_F19rLc .__.IN_5ULdT:[ --:_ ♦ 1 N 1 '$17EAT N.tNG_ r.yVeC.♦Vita P. ' SI Oi N�G. � I i I FIN;SC_.F'_O.OR a;pi - _V/.0.31i -it c, 2 .. _. I, Ur .%L._— 1 to P:1�•' ;jam. �i 2xlo®1(0- __—_ 1x (• i —__..__—__ ._.__.... IMPQr G"T2ePT='� 51u o.1.D,u.-f•4. Til —__ -- ..__.`__—.� . I I 'Aw.,GN04'�0"/r.P% aa0+ ♦{ - ! I 'I 14 IV- c i 6".Y�••9" CON s1iS 4' 4" I CENTE RVI LCG .: ... :.%A4.��.._.... .... 'our U4"=1•_O ^• ^Q 0 r-1 T14 I T.HE"1GEL•LE we,Qii. 7oi l o X o 6 Assessors office(1st,Fbor): �(o / Assessor's map and-lot number TMc t I A9TIC SYSTEM MUST BE Conservation ` INSTALLED IN COMPLIANCE Board of Health(3rd um floor): WIT �1'd.E�, � ssaisr�nc Sewage�Permit number -;� , �� ,(� Engineering Department(3rd floor): �SVO"1 rg AND oo 'eso• House number K .� ryattph\(� �o rsv a� Definitive Plan Approved by Planning Board._z f 1g APPLICATIONS PROCESSED 8:30'-9:30 A.M.and 1:00-2:00 P.M.only to r�si �d — 2 TOWN OF BARNSTABLE ate BUILDING BUILDING INSPECTOR APPLICATION FOR PERMIT TO mare Q Q� TYPE OF CONSTRUCTION 19 9a TO THE INSPECTOR OF BUILDINGS. The undersigned hereby applies for a permit accordin to the following information: �n Location4 Proposed Use Zoning District Fire District Name of Owner DOZI)2Q4 Address Name of Builder Address Name of Architect Address Number of Rooms % Foundation �Cf� Exterior C16* a Roofing Floors f/ T� O Interior Heating Plumbing /0 I/C '` 3 a Qcc ro Fireplace Approximate Cost ��yJr, Area Diagram of Lot and Building with Dimensions Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name / �C Construction Supervisor's License No Permit For Location Owner Type of Construction Plof Lot Permit Granted 19 Date of Inspection 19 Date Completed 19 8 ' ro Q o � J p w CC4>c,y gASIAJ 0; TEST HOLE LOG 71 55 i o 1 I DATE: SEPT. 13,1989 P-7395 SOIL EVALUATOR: DOWN CAPE D/L4i..�A c� / I I /►� ,�- �-� WITNESS: I DUNNING PERC RATE: <2 MIN./IN. 47.5 0" LOAM & 45.5 SUBSOIL 24" p '/ I / ✓�^tam, CLEAN 6o MEDIUM SAND I I ky-1 C 36 5 132" 1 ' ' 60 1 I ► NO WATER ENCOUNTERED ..�, DESIGN DATA DAILY FLOW:(3)BDRMS.1110 GPD= 330 GPD SEPTIC TANK. 330 GPD z 200%=660 GPD USE: 1500 GALLON PRECAST SEPTIC TANK LEACHING FACILITY: \ USE: (2)500 GALLON DRYWELLS W/4'OF STONE CAPACITY: SIDEWALL: 76a2z0.74= 112.5 \� BOTTOM: 13 a 25 a 0.74= 240.5 \ TOTAL: 353.0 GPD r " 't. . DANIEL Ew,, .. a BRAMAN. •�. y •' p CIVIL ... NOTES: KW. ca No.32686C 1. ALL PIPE TO BE 4"DIAL SCH 40 PVC. fMBA. c O } 2. PIPE TO BE LAID LEVEL FOR 2'OUT OF DISTRIBUTION / A BOX. I 3. RAISE ALL APPLICABLE MANHOLE COVERS TO WITHIN Goo.o 0 6"OF FINISH GRADE. SURaE�C' 4. SEPTIC SYSTEM IS NOT DESIGNED FOR THE USE OF A 4.`t5 " yl 6 „G GARBAGE DISPOSAL J S. SEPTIC TANK AND DISTRIBUTION BOX TO BE INSTALLED ON A 6"LAYER OF STONE. 6. INSTALL GAS BAFFLE IN OUTLET TEE. 2"LAYER OF 3A•PEASTONE OVER 3/4•-1 1/2•WASHED STONE ALL AROUND TOP OF FOUND. EL. Sy o \ lo• 14• _ a� C' 3'6.3 '0 a 0kjTC*j d aL. 3a.oc, Axo 7149 y3.00 SEPTIC SYSTEM PROFILE !S .8`�G� .c3s�7. J�f. • f SITE SEWAGE PLAN GENERAL NOTES FOR 1. CONTRACTOR TO BE RESPONSIBLE FOR THE LOCATION OF ALL LOT 3 WATERFORD DR., COTUIT, MA. TO ANY EXCAVATION CONST ABOVE AND RUCTION. PRIOR LCP#23747 B 2. SEPTIC SYSTEM TO BE INSTALLED IN COMPLIANCE WITH z 310 CMR 15.00:TITLE V. PREPARED FOR 3. THIS PLAN IS NOT TO BE USED FOR PROPERTY LINE BAYSIDE BUILDING, INC. DETERMINATION. 4. ALL DISTURBED AREAS TO LOAMED AND SEEDED. DATE: MAY 2891997 SCALE: 1"=40' CONTRACTOR TO PROVIDE 24 HOUR NOTICE FOR ANY '`'" `' REQUIRED INSPECTIONS. } /•• J 6 00 w i � s- .?�� gyp'': ^ - 'd�{„t�•,.'�S o-�.+{�"�,��+�•nt `"�. WELLER & ASSOCIATES 1645 FALMOUTH ROAD CENTERVILLE,MA. 02632 TEL: (508)7754735 FAX: (508)775-0754 APPROVED BY: .1. • I I W IT►"Ire i - > paTj Z.MuNtUP�u WaTER fh,E ,; r, -,,k c7u;- �--r�----f J f � r7" y I 3, PI� 'PITL�• ��4 �FT U t�I,ES� OT41E2W ISE. t10rED• 1 12 .4► pt�l(>tl I Ub•C71ti1(y A.l.l.►�2�'GAST U1.l1T� D 44- 1 � t �` - � i � � � '>�Iu�D 1=0��►�S'T.�14ti1(D+1D�tkx.l�D�.107 i •ice , 7 ! I T � ✓ �-7 ,—Z nc +"�r,sTo� -7C7 ----r- _ _ 1 iKifG"�1� iCo '. a ��r� ice'..CT t� �"�-. •-s.,+tS.r.,�-- u , gLr 0' " _ r` \� ��` --- — G iG -T'4,ti ►L — — '� 7� — 1..E4C+� �11.G� L.1 TY t© v �' �I L T�k ' 'CToM ��~ ,� � _, _ S(TE a ,o �.�k1�G►�E P1..0►� - TOT& _ ' ARK +, � �' AR L4i4LA Fp € / �ncrr'n� i� t ��` r•�Yr �.� {T � scauE ; 1 - �f> po-rE � r.-��': ��,r VTE co& -(WMOUTl l MaC,S. �� . Od4. A I R.L.G.