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0040 SOUTH BAY ROAD
o y ° , " o e R ° < a � 0 " Q e o ° , 4 ° o a ° " o e= " ° ° r " y , , t TOWN OF BARNSTABLE BTyILDIN.G PERMIT APPLICATION •Map- 3 Parcel d& 2 RARNSTABLE 201 Application # Health Division g, Q. I Date Issued' Conservation Division Application Fee ✓ 6��y Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board DIVISION Historic - OKH Preservation/ Hyannis Project Street Address 41 SovK, 1-1 YZJ rf() g—t4A)L- Village &Merv►ale Owner Ho,AJ S Ke 5s IL.,- Address Co,.+mmp e,* Wy+e 13c6,-.n 44 62)1 b Telephone Oumet 49L&2gtr *_ Rigna.er: 54- //y l�a.4tio►h (S& erg-T861Z /20 lasA Pal," FL 33y8o Permit Request FryosP4�9 A"-4( srwe ;,nvo/vrS /Vopw hu,,,r W f x,jh1c, kikt.*, /W!:M Nre re IOCC�,k_- weab s arc cory ._� la� � • be �a CohR � P1 �� , t Square feet: 1 st floor: existing/ 3C1�D proposed /,3 ao i, vo 2nd floor: existing proposed Total new Zoning District 9C Flood Plain Zoe 4F Groundwater Overlay Project Valuation UP y, 130 Construction Type 93 BUILbI N Lot Size 73 arcres Grandfathered: ❑Yes M No If yes, ttach supporting documentation. Dwelling Type: Single Family N Two Family ❑ Multi-Fam yy �AS)�� Age of Existing Structure 37 Historic House: ❑YObs 9fi8AROn�OIBd�ing's Highway: ❑Yes ;U No Basement Type: Od Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) D Basement Unfinished Area (sq.ft) 6 7z Number of Baths: Full: existing Z new f Half: existing / new O Number of Bedrooms: existing &new� coMvr�� ex,sfi� . i C Ts' Total Room Count (not including baths): existing new D First Floor Room Count 3 Heat Type and Fuel: ❑ Gas ® Oil ❑ Electric ❑ Other Central Air: N 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 Id No If yes, site plan review# Current Use &Y14ace Proposed Use Rerw4kcc APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name (AJ)16i, elly v 15 SCAwIAH 6v•7paT Telephone Number -08 - 29 - 7/GS— Address �PSewcG. �� License # CS— 0 9077q X/01VV* �iG!!!¢ OzS'3� Home Improvement Contractor# Email wke fly coves Worker's Compensation # D �?WFQT( s�94 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO %00rHc LaHi'll SIGNATURE DATE I I A FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. - "r ADDRESS VILLAGE OWNER x DATE OF INSPECTION: _7 f V F ,OUNDATION ' FRAME _ INSULATION E ,FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING t • "DATE CLOSED OUT -� ASSOCIATION PLAN.NO. Q DELLBROOK J K SCAN LAN 0 CONSTRUCTION LLC COMPANY,LLC March 7, 2016 Mr.Thomas Perry Building Department Town of Hyannis 200 Main Street Hyannis, MA 02601 Fax: 508-790-6230 RE: South Bay Residence- Building Permit HIC License Dear Mr. Perry, Our proposed Project Superintendent Billy Kelly has a Home Improvement Contractor's License, as does Dellbrook Construction/JK Scanlan Company. Bill was not previously listed under Dellbrook's HIC License.We have submitted the paperwork to the state in order to have Bill added to Dellbrook's license. I am hoping you will allow us to move forward with the Building Permit package for 40 South Bay Rd and 52 South Bay Rd Garage while that paperwork is being processed with the State. I have attached to this letter a copy of Dellbrook's HIC license, as well as the application that has been mailed to the state in order to add Bill Kelly to Dellbrook's license. i Lastly, I also wanted to advise that at this time, Dellbrook Construction and JK Scanlan Company are the ' same company, which is why the HIC license is listed under Dellbrook Construction. i If you have any questions please do not hesitate to contact me at 508-540-6226 x609. Sincerely, J. K. Scanlan Company, LLC om Shevory Cc: File 1547- Permits h DELLBROOK ) K SCAN LAN CONSTRUCTION LLC COMPANY,LLC March 7, 2016 Home Improvement Registration Program 10 Park Plaza,Suite 5170 Boston, MA 02116 Re: Request for Supplemental Home Improvement Contractor Card Registration: 184619 Attached is our request for one (1) additional supplemental Home Improvement Contractor license card along with our money order in the amount of$10.00 for the required fee. Please mail this card to Dellbrook Construction, LLC,One Adams Place,859 Willard Street, Quincy, MA 02169. Thank you. i Best Regards, Trish Ross Dellbrook Construction, LLC QUINCYOFFICE: 859 Willard Street,One Adams Place,Quincy,MA o2169 I t:781-380.1675 f:781.380.i676 FALMOUTH OFFICE: 15 Research Road,East Falmouth,MA 02536 1 t:508.540.6226 f:508.540.9222 qq/OQ�pNsuM®t�� �0. COMMONWEALTH OF MASSACHUSETTS CHARGOVERNOR o ERN RAKER Office of Consumer Affairs and Business Regulation JAY ASH SECRETARY OF HOUSING AND 10 Park Plaza, Suite 5170, Boston, MA 02116 ECONOMIC DEVELOPMENT KARYN E.POLITO (617)973-8700 FAX(617)973-8799 LIEUTENANT GOVERNOR www.mass.gov/consumer JOHN C.CHAPMAN UNDERSECRETARY Request For Sunplementary RIC Cards It is recognized that some construction firms may have a need for additional identification card(s) for officers, partners, o r other key employees as means of identification in dealing with building officials, potential customers, and the like. Additional ID cards will be issued upon proper completion and submission of this form along with a$10 fee for each additional card requested (CERTIFIED CHECK OR MONEY ORDER). The registration number will be the same as the original applicant registration number, and the ID card will fist the name of the applicant and the name of the individual to whom it is issued. The address of the individual should be the address at which the person is based (i.e., a branch office, main office, or home address). Cards will be issued only to officers, partners,or emp loyees of the registration. THE REGISTRATION AND THE NAM E OF THE RESPONSIBLE INDIVIDUA L W ILL STILL HA VE THE JOINT AND SEVERA L LIABILITY FOR WORK CONDUCT ED AS NOTED IN MGL c 142A AND 780 CMR R6 AND WILL BE RESPONSIBLE FOR THE WORK OF THE INDIVIDUALS ISSUED A SUPPLEMENTARY CARD THE HOLDERS OF THE SUPPLEMENTARY CARDS WILL NOT BY REASON OF BEING ISSUED SUCH A CARD ASSUME SUCH LIABILITY. THES E CARDS ARE ISS UED AS A CONVENIENCE TO THE REGIS TRANT. Additional Home Improvement Contractor identification cards are requested for the following individuals: PLEASE TYPE OR PRINT LEGIBLY NAME TITLE ADDRESS William Kelly Construction Superintendent 17 Sylvan Drive, Hyannis,MA 02601 1 I hereby authorize the issuance of supplementary cards to the above—named INDIVIDUALS WHO ARE EMPLOYED BY THE HOME IMPROVEMENT CONTRACTOR REGISTRATION IN THE CAPACITIES NOTED. I understand that the registrant will be completely responsible for the work of the individuals, and will be responsible for the proper use of these cards and their return if the status of the individual(s)with the registrant changes. SIGNED UNDER THE PENALTIES OF PERJURY: Registration/Business Name: Dellbrook Construction LLC Registratio in 4 D( 'V By: 1 tu _ �__(Q Authorized signare oft a registrant Title 15ate Please retu m this onn along with the approprialefees $10.00 PER CARD to the address above For Official Use Only: Registration Number: Processed By: Date: Office of Consumer Affairs and Be Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration -- - Registration: 184619 .... ._ Type: LLC Expiration: 2/18/2018 Tr# 286440 DELLBROOK CONSTRUCTION, LLC' MICHAEL FISH = ONE ADAMS PLACE 859 WILLARD:ST: °�_:: . ::� - QUINCY, MA 02169 Update Address and return card.Mark reason for change. SCAt 0 2OM•05/11 Address' Renewal ❑ Employment Lost Card �%�e�orii�rcaru«eal�o�C��acurc�uvcll . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only If ME IMPROVEMENT CONTRACTOR before the expiration date. if found return to: egistration: .184619 Type: Office of Consumer Affairs and Business Regulation j xpiration: 2E18J2018 LLC 10 Park Plaza-Suite 5170 Boston,MA 02116 DELLBROOK CONSTR.U.CTION;LLC MICHAEL FISH ONE ADAMS PLACE 889 WILLAR adiky,MA 02169 Undersecretary Not valid without signature --_ 77ze Comurornveaith of-Massaclrusetls Deparament of lud-ashid Accidents Off-Ce of 1Maestigations. 600 Washbigton Street Bastaii,CIA 021 11 ��rvlumas�govfdia Workers' Cumpensafcdtn Insurance Affidavit Builders/ContracinrsMectricians/Ph tubers AppEcant lufarmatfon Please Prim E.eal-bIv Na=(g )- J.K. Scanlan Company, LLC Ad&ess_ 15 Research Rd CiWSta-& East Falmouth, MA 02536 p,QIIe-T'k- 508-540-6226 Are you an employer?tMeck the appropriate box: Type of project(reclnired}= 1.D I ant a employer with 4. ®I am a genet-et-A conirsctor and€I T ❑New jestcons r equir employees(full andfor part-time).* 'rave hiredthe sob-cost mctozs 6. 2.❑ I am a sale proprietor orgartuer- listed cathe attsrhed sheet 7- 0 Remodeling ship and have no employees These sub-confractors have g- 0 Demolition war ag forme is any a ployees and wodmrs' [No n-orbets'comp.ina�.,re comp.ikura�1 9. ❑Building addition reqiired-] 5. ❑ We are a no:goratim and its 16.❑x Electrical repairs or a,ddifions th 3.❑ I am a homeowner doing all vrork officers have ex wised eir 1 L[2Plumbing repairs or additions ' myseM o wosl= riv&t of eseroption per MM D Roofrepairs ia+surm wrequifed]Y c.132,§lM andwe'haveno 13.D Other employees.[No voikess' comp.insurance required.) 'Bay applic=&2t cheft box 01 mmt also 01cuMe swd=bdwwshouiag task wwke s'=pensafi ..poycy inf =Wff . T Eameowaerawho submit dzis af5d2ra iad g they amdoing s1lwa k anddmbi a wtddecan=aorsmast sabmitaaewaindnk indicatin such. AC=MCh r f=e1-1r tW9 bax mast attached sa sddit none sheet dw=iag then—of the goad stare whether araattbnse entitiesb xvte employees.Iftbesnb-corrtactasb: mMloyee-%they=istpmvidetlek trodm'C=P-;1G1kFamnbrr: -Tam an eriipioy�er f7irrt is prauidirrg workers'coarperuah'vrr itrsnrance for my enrpta}wm $elory is filepalicy and job site informaliom J S=CeCompaap2 2=: Twin City Fire Insurance 'Poficy.or4W-iMJic.#: 08WEQT6584 E�KpjMfipnDah--- July 1, 2016 Job&te-Addru 40 South Bay Rd / 52 South Bay Rd QWSt / p: Osterville, MA 02655 Attach a copy of the workers'compensationpolicy declaration page(showing the poficy number and expiration(Tate). Failure to secure coverage as requiredunder Section 25A of MML a 1572 can lead to the imposition of criminal penalties of a fine up to$L500 00 andfor one-yearimpdsonmenk as well as card penalties in the form of a STOP WORK ORDERand a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement sway be forwarded to the Office of Investigations•of the DIA for insurance coverage vedfication. lido kerrby certjf y airder des pains and penalties afpet7u.7 fliarflrs informaffmspro fiW above is bzre mid tarred Siffiatue William Kelly �/l, Li .I)atL, 1Ai/iy Phonegr 508-280-7165 02!ciaL use a7* Do oat rvr&in t ds area,fo be cmVkte+d by tatp artomn o,,�jreurl My or Town: PermiffAcense;g Issuing Au9;orfty(circle one): L Board of El eaItfr ✓.Buffing Department 3.Citytrown Clerk 4.Electrical hispector S.Plumbing Inspector 6.Other Contact Ferson: Phone#: laformation and Instructions mass imsetfs Gebeaal Laws dmpfea M mqm=all M1pI0yers'fo provide WD3i:C 'comPensation fro:fleg=PIoP=' j p=suM--D this sfatIft,an errPIvyee is&fired as' .every personin the service of another under any confract ofbi e, 1 express or implied,oral or wrhenf An eznplayer is defined as"an mdividnal,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a1oint enter�,andinchidmg the legal aepresentaiives of a deceased employes,or the receiver or t usteeo of as indiviffnA partnership,association or otherlegal entity,employing employees- However the owner of a.dwelling house having•not more bunt three apartments and who resides therein,or the occupant of the- dpTPT�house of another who employs persons tD do maitmance,construction or repair wo&on such dwelling house or on the grounds or buzZdmg appurtenznt tfi=b shaRnotbecanse of sash employmeutbe deemedto be an employer°' MGL chapter 152,§25C(6)also states that"every stain or local Ticensiug agency shaIl.withhold ffie issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicantwho has not produced acceptable evidence of cdmpfance with the insuranceL coverage regaired- Additionally,MM,chapter 152,§25C(7)stirs aNeiffi=the commuanwealth nor any ofifs political subdivisions shall enter into any contract far theperfom,ance ofpublio workumff acceptable evidence of compli4acewith,the insurance, =TnreMenfs of this chapter have been presenlEd to the contracting anfhor[ty." AppIicaats Please ffi d t the wo&=,compensafon affidavit complebely,by checking the boxes Ihat apply to your situation and,if necessary,supply sub- ractar(s)name(s), address(es)andphone=mber(s)alongwiththeir certificates)of insurance. Limited Liability Companies(LLC)or LimitedLiabffityParf o ships.(LU)wiinno=7ployees otherthanthe members or pa rb=s,are not requmed to carry wofcers'compensation bimmmce. If au LLC or U2 does have employees,apolicy is required. Be advised that this affdavrtmaybe submitted to the Department of Industrial AceidenIs for c:onfamafion of insurance coverage. Also be sure to sign and date the affidavit Tho affidavit should be rot mned to the city or town that fhe application for the permit or license is being requested not the Department:of Irdustrial A cc de,fS Shnntdyou have any questions regarding the law or ifyou are regmred to obtam a workers' com3pensation.policy;please call ffid Department at the number listed below. Self-insuredcmmpanies should enter their self-msat-amce license number an the apprap -tL line. City or Town Offirdals Please be sore that the affidavit is com: lWz and prifed legibly. Tie 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 coudact youregmding the applicant Please be sure to fill in the pev/Micease number which will be used as a reference number. In-addition,an applicant that must submit multiple permlb icrose applications in any givea,year,need only submit one affidavit indicating current policy infossatioa(if necessary)and under`lob Site Address"the applicau t should wr�e"all locations ma (may or town)-"A copy of the•affidavit that has be=officially stamped or madrod by the city or to maybe provided m the applicant as.proof that a valid affidavit is on file for future pew or licenses Anew affidavit must be filled out cash year.Where a home owned or citizen is obtamimg a license or pe=rit not rtlafzd to any business or commercial vcniinz - (ie.a dog license orpeonit to bum leaves etq.)said person is NOT required to con3pIete this affidavit The Once of Invesfigafauis wouIdbket�o ffimk you madvaam for your coop wadan and should yon hzve any gaestions, please do not hesifal n to give us a caIL to andfaxnumber. The Department's address, lephane - - . The Ca=MuWe8I*Of MzssaChUWtt6 Degatfmanfi c&lud Accidents offim of Inv tio= FQ4� n S Boston,MA 02111 -ToL 0 617-' -4900 c.-d 406.or I•-&77-MAZSAFF Fax# 617-727-774 Revised 4-24-07 - WVt -vim �=13DELLBROOK 1 jKSCANLAN 0 CONSTRUCTION LLC I COMPANY, LLC January 8, 2016 Town of Barnstable Building Department 200 Main St. Hyannis, MA 02601 To Whom It May Concern, Please accept this letter as confirmation that J.K.Scanlan Company, LLC.will furnish workers compensation certificates to the Town of Barnstable Building Department for all subcontractors working on the South Bay Rd Osterville Project. We have not yet issued subcontractor contracts to date, however I assure you we will provide you this information as soon as it is available. Please do not hesitate to contact me with any questions. Sincerely, J.K.Scanlan Company, LLC Tom Shevory 3 Project Manager File: 1547-Permits i AC40R"® CERTIFICATE OF LIABILITY INSURANCE 1/8ATE(M /DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTANAME: Christina Jaeger Alliant Insurance Services, Inc., PHONE 617-535-7200 FAx 617-535-7205 131 Oliver Street,4th Floor c H Boston MA 02110 E-MAIL cjaeger@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:Allied World National Assurance Com 10690 INSURED INSURERB:Starr Indemnity&Liability Company 38318 J.K. Scanlan Company LLC INSURER C:Navigators Insurance Company 42307 15 Research Rd INSURERD:TWIn City Fire Insurance Company 29459 Falmouth, MA 02536 INSURER E:Hartford Accident& Indemnity INSURER F: COVERAGES CERTIFICATE NUMBER: 588881024 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 ADDLSUBR TYPE OF INSURANCE POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER MM/DD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 0308-4515 7/1/2015 7/1/2016 EACH OCCURRENCE $1,000.000 CLAIMS-MADE ❑X OCCUR DAMAPREMISESGE TO Ea RENTED occurrence $300,000 X XCU MED EXP(Any one person) $10,000 X Contractual PERSONAL&ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 POLICY 1E JE C LOC PRODUCTS.COMP/OP AGG $2,000,000 OTHER: $ E AUTOMOBILE LIABILITY 08UENQT6583 7/1/2015 7/1/2016 COMBINED SINGLE LIMIT $ Ea accident 1,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ B UMBRELLA LIAB X OCCUR 1000021903 7/1/2015 7/1/2016 EACH OCCURRENCE $10,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $10,000,000 DE D RETENTION$ $ D WORKERS COMPENSATION 08WEQT6584 7/1/2015 7/1/2016 X PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 C Excess Liability IS15EXC7114561V 7/1/2015 7/1/2016 Each Occurrence $15,000,000 Aggregate $15,000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Re:Job#1547—40 South Bay Road/52 South Bay Road. CERTIFICATE HOLDER CANCELLATION 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. 367 Main Street Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE 9� v ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD DELLBROOK j K SCAN LAN CONSTRUCTION LLC COMPANY,LLC January 8, 2016 Mr.Thomas Perry Building Department Town of Hyannis 200 Main Street Hyannis, MA 02601 Fax: 508-790-6230 RE: South Bay Residence- Building Permit Dear Mr. Perry, am writing to inform you that William Kelly is an employee of J. K.Scanlan Company, LLC and that he has the authority to request a building permit on behalf of J. K.Scanlan Company, LLC. If you have any questions please do not hesitate to contact me at 508-540-6226 x609. Sincerely, J. K.Scanlan Company, LLC jZ.. 3 Tom Shevory Cc: File 1547- Permits �� •• V. cv IV IU.,,,,uu C3IGtC HIG II Gay III C II t NO. 4/4J I . " >pApjB'PABIF.. s 1` & Town of Barnstable Regulatory Sen ices Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Offico: 508-862 4038 Fax: 508.790-6230 Property Owner Must Complete and Sign This Section If Using ,A, Builder I, r��Lt K ul k y ,as Owner of the subject property hereby authorize J-K.1 Scanlan Company, LLC to act on my behalf, in all matters relative to vork authorized b this bQdin ermit a li M y g p pp cation for: 52 South Bay Rd Osterville, MA 02655 (Address of Job) 4tekSignatute of Owner D Ptint Name If Property Owner is applying for permit,please complete the Homeowners License l;xemption Form on the reverse side. C:1UserslDecollik*pData\LocallMicrosoft\Windows\Temporary Internet FiteslConttnt.0udook12PI01D14R1EXPRESS.doc Revised o4ons �tiP. �namv»to�tzcupull�i p��cxscu�.rfucaP Office of Consumer Affairs-& Bdsiness Regulation inr HOME IMPROVEMENT CONTRACTOR _ Registration: . 180808 Type. Expiration: W/2017 Individual WI CIAM KELLY WILLIAM KELLY 17 SYLVAN DRIVE .. HYANNIS, MA 02601' _ Undersecreta i Z. Massachusetts Department of Public Safety Board of Building-Regulations and Standards License: CS-080779 Construction Supervisor WIL•LIAM A KELLY SYLVAN#17 t ' HYANNIS MA `O 01 t �M l� Expiration: Commissioner 0511212017 i .tttIIIIIIII...t..t....t..tt.�t�t�I�I�ir�fl ■tttttttltltlllllllttttlttlltlttllltltlttltttttttlllntlwtw ■IIIIIIIIIIItttlttlllltttlltttttltttttttttttttltttlttttlttttt ■IIttIItllttltttlttlttlllllltltlllttlttlttttttltllttttttNlN ■IIttIItllttltttlttttttttlttttttttttttttttttttttltttlttltllNSCANLAN ■ItIttIIlltItI11111111111111111111111111111111111tIwI11HIM in .NUM: J . . ■IIIn1111111111111111111111111�11.111I1 J . K . SCANLAN COMPANY , LLC 15 Research Road East Falmouth , MA 0 2 5 3 6 - 4 4 4 0 Phone : 508 - 540 - 6226 Fax : 508 - 540 - 9222 TRANSMITTAL SHEET TO: FROM: Mr. Paul Roma Tom Shevory n ®p� Town of Barnstable Project Manager a, ,� ��8 Inspectional Services J. K.Scanlan Company, LLC 15 Research Road East Falmouth, MA 02536 ` tshevory@Ikscanla `n ztAM®FE;ARNSTABLE Tel: 508-540-6226 ext 609 DATE: 2/16/16 REGARDING: CC: 40 South Bay Rd Permit Paul, I understand you spoke with Billy Kelly of JK Scanlan a couple weeks ago regarding the Permit Application for the Project at 40 South Bay Rd in Osterville. Because we are changing the Exercise Room to a Bedroom,we need to ensure the Smoke and CO detection in the home is up to current Building Codes. The Architect has provided floor plans showing the existing locations of Smoke and CO detectors (EC1.03), as well as the proposed locations for when the work is complete (A1.03).There is no change in quantity and general locations based on what is shown in these plans.The Architect and Owner's Fire Alarm Service provider believe the home is currently up to code. Please review and advise if you would like to see any devices relocated or added and we will certainly ensure it is done. Although not shown on the plans, we are told the basement has both a CO and smoke detectors. Also, please note that when I filled out the permit application, I stated that there were 3 existing bedrooms and there would be 1 new. I did not know that there was an existing 11'floor bedroom as I had never been made aware or seen that location on a plan.Therefore,there are actually 4 existing bedrooms, with 1 new bedroom being proposed (changing exercise room to a bedroom). Please let me know if we can amend the current application. Thank you, J. K. Scanlan Company, LLC � — Tom Sh2evory . Project Manager TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map ' Parcel &2- Permit# C( a � Health Division °S� 7 Date Issued Conservation Division ®�PW1NT-1 Application F Tax Collector Permit Fee U b Treasurer EXISTING SEPTIC SYSTEM Planning Dept. LIMITED TO L/__#rOF BEDROOMS Date Definitive Plan Approved by Planning Board G�;,h H p r,kJer 10 re L Historic-OKH Preservation/Hyannis C it Project Street Address Village Owner Address rnr,^, Telephone co 2' - N 11 Permit Request �Sf n2— ccQz g4or\9t- i o a A A- _VLA� )OA1 C:= C� Square feet: 1st floor: existing proposed 2nd floor: existing�M proposed 1 newt 1Q Zoning District Flood Plain Groundwater Overlay ' Project Valuation Construction Type ct �f� b2 o ,, -• , c7 r Lot Size �3 560 Grandfathered: ❑Yes ❑ No If yes, attach supporting cument<a"Im. a` Dwelling Type: Single Family `® Two Family O Multi-Family(#units) Age of Existing Structure CABS Historic House: ❑Yes kNo On Old King's Highway: ❑Yes -�WNo Basement Typ�O Full 3Crawl O Walkout ❑Other 3. � Basement Finished Area(sq.ft.) n(\'F-- Basement Unfinished Area(sq.ft) 2,()x2_D ►n�{ Number of Baths: Full: existing new Half: existing new 1 Number of Bedrooms: existing_ new Total Room Count(not including baths): existing 15 new 'U First Floor Room Count 2— Heat Type and Fuel: ❑Gas Oil ❑ Electric ❑Other Central Air: Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:0 existing Cl new size Pool:0 existing ❑new size Barn:0 existing ❑new size Attached garage existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded O Commercial ❑Yes No If yes,site plan review# Current Use Proposed Use ~ (� B LDER INFORMATION Telephone Number S06 Q Name ���,a Address S5 o l-L License#aD 0 -d a 7 dv�c v M,0Q' D�r1�1 Home Improvement Contractor# / d T JEo Worker's Compensation# rWr ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO _!�'t; DII -SIGNATURE DATE `7 O FOR OFFICIAL USE ONLY F • l HERMIT NO. v DATE ISSUED MAP/PARCEL NO. — ADDRESS VILLAGE" _ OWNER " DATE OF INSPECTION: a ° FOUNDATION FRAME "ZZ—U J INSULATION' Oh\• �.)2 —U� FIREPLACE `— ELECTRICAL: ROUGH, FINAL PLUMBING: ROUGH-, FINAL , GAS: ROUGHS FIN L — FINAL BUILDING ' l'' I 1 1 DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts Department of Industrial Accidents IT __-- ' = =_ Office of Investigations 600 Washington Street, 7rh Floor Boston, Mass. 02111 Workers'Com ensation nsurance Aff avit:Building/Plumbing/Electrical Contractors £yp .. name: V ,o address: 1 �-% 7 u Q ci V L state: zi : I hone# 0v work site location full add ess : ❑ I am a homeowner performing all work myself. Project Type: []New Construction Remodel ❑ I am a sole�proprietor and have no one working in any capacity. ❑Building Addition � �k.:����:fir::�!.L.�.—� `.e'r�,;..'^�,..��`isS`i�+.j�3+'��'�-;n'�.�i.'C'k~."�5'a � ....} . '.G':." .....':i•�'_:c::':,..1_?.F ....�,..,..'�' `">. . ... � I am an employer roviding w kers' compensation W or my employees working on this job. com an name: address: To P I� ci Phone#: � 1 - insurance co. OL, A 0lic # S ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: city: phone M insurance co policy# k .,�c, A5Y` mr-r�wwe.:r '�'r Yae:. ..r- � 'g�v,.�"'.:,..�;�'`•;s:."' °�i_fL�:i��'d ':r;*. `.. 2.,,�-s:.��,�>}=•� �tt�ba"�.•�: � :4L1"s _. b. <.•�lt'stlr::`34?`d�...da..� company name: address: city: phone#• insurance co. policy# a _ a Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy f this statement may a fe •arded to he O i of investigations of the DIA for coverage verification. 1 do hereby certify u� rs and p es of p rjury that the information provided above is true and co rect. ir Signature Date Print name Phone# [w.tact nly do not write in this area to be completed by city or town official : permit/license# ❑BuildJ ❑Licenimmediate response is required ❑Selec❑Healtson: phone#; ❑Othe 03) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership;association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 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,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the - . performance of public work until*acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. ` Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,71e Floor Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 727-4900 ext. 406 ACORP,Y G L K I II-IGAIL VI- LIAMU! PRODUCER .(509)620-6200 FAX (508)620-0227 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fitts Insu ante Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ' (HOLDER.THIS CERTIFICATE GOES NOT AMEND,EXTEND OR 40 Union Avenue (ALTER THE COVERAGE AFFORDED BY THE MUCIES BELOW. P.O. Box S65 Framingham, NA 0170.4-056S 'INSURERS AFFORDING COVERAGE INSURED Remodeling Design Showroom IIg1;URERA NorGUARD r �1 Picardi Const/Redwood Deck III,:WRER 0. 2SS Turnpike Road Ill IIURCRC Southboro, MA 01772 In.,URER O ►' ` / COVERAGES ✓�P '��o�xonaxu+erz��� C/.tl?jjezd,&,&00 THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR_O:NA \_ Board of Building Regulations and Standards ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUME HOME IMPROVEMENT CONTRACTOR •r v _ = &4AY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN iS!SL _ - POL:CIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID ClA1MSINS — Registration: 107650 LT R I TYPE OF INSURANCE POLICY NUMBER UC EI DArl! Expiration: 8/5/2006 GENERAL LIAeluTY Type: Private Corporation COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR PICARDI CONSTRUCTION INC. William Picardi 255 Turnpike Road GEu•L AGGREGATE LIMIT APPLIES PER Southborough,MA 01772 POLICY PRO' Administrator JECf LOC :;ournoarouyn,mr U I I f Administratnr AUTOMOBILE LMILn'Y ANY AUTO I _ C�v ALL OWNED AUTOS 1✓omvnzovuvea i a�✓ ac�u�del�6 SCHEDULED AUTOS 'r,« BOARD OF BUILDING REGULATIONS HIRED AUTOS t License: CONSTRUCTION SUPERVISOR I NoN•owNED AurDs Number:CS 014878 i Expires: 02/08/2006 Tr.no: 17289 GARAGE LtABIUTY ANY AUTO Restricted: 00 WILLIAM J PICARDI ExcEss L 255 TURNPIKE RD wellm SOUTHBORO, MA 01772 Acttng C mis over OCCUR a CLAIMS MADE i DEDUCTIBLE ; RETENTION S 5 WORKERS COMPENSATION AND i EWC625833 03/15/2005 03/15/2006 X ?ORV L'l.IITS I ER I E`APLOTERV LMILMY A E.. EACHACCIOEN- s SOO OOO -c: DISEASE•EA EMPICYE S 500,000 OTHER SEASS-PO_.VYL:I.II-I 500,000 i DEGCRIPT;ON OF OPERATION3A-CCATION3rvENICLES/EXCLU3IONS ADDED BY ENOORSEME.4TISPECIA'-PRC%r.SION,- 'All cancellations are done in accordance with State statutes. CERTIFICATE HOLDER ADDRIONAL INSURED:INSURER LETTER: CANCELLATION SHOULD Ally OF THE ADO'/[OESCUIUFO POLICICS BE CANCELLED UEFORC THE EY.PIRAnoH DATE THEREOF.THE ISSC:nc COMPANY•ALL ENDFAvon TO 11,141L Town of Falmouth -LOL DAY7'NRnTEN NOTICE TO TkE CERTIrICATE HOLDER NA.MEO TO THE LEFT, Attn: Building Dept. OUT FA LURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIADILrrY Main St. OF ANY VIHD UPON THE COt/.PAtIY,RS AGENTS OR RCPAPIF,NTATIVES. Falmouth, MA ALRHORLZCDRFPNF•SCtTTATTvF. Geoffrey Fitts SM -� AcoRo zs�I7i97I M FAX; (508)624-0407 GACORU CORPORATION 1988 Town of Barnstable Regulatory Services t BARN Thomas F.Geiler,Director 9�p 1639. A Building Division TfD MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permitao. . Date -05 AFFIDAVIT HOME IlV1PROVENVIENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires that the"reconstruction,alterations,renovation,repair,modernization,`conversion, improvement,removal,demolition,or constriction 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 adj¢ to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. a Type of Work Estimated Cost : Q,� 1 Address of \Work: 0 . 5 c2VV lIC owner Name: S �551 Date of Application. I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE PROGRAM IMP GUTTY FUND�ERMGL c..142A. ACCESS TO THE ARBITRATION PROGRAM SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Con. r Name Registration No. OR Date Owner's Name Qhmis:homeaffidav RPR-21-2905 10:06 PICARDI CONST. 1 508 624 0497 P.02/02 I Inc. Lwateo h ft F#EMODEUNG DESIGN SHOWROOM 285 Tumdbe Road Re.9) Southborough,MA 01772 • (SM)481-2829 FAX(508)624-0407 OWNER/AUTHORIZED AGENT DECLARATION I S.r, Y""n_ P QR as Owner do autharize Picardi Construction as my agent and hereby declare that the inforrnation contained in this application is a true and accurate description of the proposed work and costs associated therewith.'I agree that the proposed work shall be completed subject to the provisions of the Massachusetts State Building Code and other applicable laws and ordinances. Signed under pains and.penalty of pe, ury. • Signative of Owns . ��. I�M��-- Date: 2 Q Print Nam 4Y [ i Agent Signatme; Date: euonra im MY 9 srAucr/ON E wOnn _ TOTAL P.02 APR-21-2005 13:43 99% P.01 TOWN OF BARNSTABLE } CERTIFICATE OF OCCUPANCY PARCELIT4D 093 062 GEOBASE ID 4432 ADDRESSj` 40 SOUTH BAY ROAD PHONE OY STFR HARBORS Z I P LOT ]; & 3 BLOCK LOT SIZE DBA ' DEVELOPMENT DISTRICT CO' PERMIT 25332 DESCRIPTION GUEST HOUSE' (PMT_#21950) - PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS Y Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: INE BOND $.00 Ox CONSTRUCTION COSTS 4.00 756 CERTIFICATE OF OCCUPANCY ; * 1ARNSTARM, MASS. OWNER KESSLER, HOWARD J i6g9.`A� ADDRESS EO Mld 1 COMMONWEALTH AVE BOSTON MA _ BUILDIN D BY -- -DATEISSUED 08/28/1997 EXPIRATION DATE - TOWN OF :BARNSTA`;BLE - ' BUILDING PERIlft PARCEL ID 093 032- GEOBASE ID 4432 "itADDRESS 40 SOUTH BAN' ROAD -'F P ti Oyster Harbors Y ZIP ILOT 1 & 3 BLOCK LOT SIZE e DBA DEVELOPMENT DISTRICT CO ; PERMIT. Z1950 DESCRIPTION REMODEL RESHINGLE PERMIT TYPE . BRLMOD TITLE RESIDENTIAL ALT/CONY CONTRACTORS: PI CARDI , WI LLIAM J. Department of Health, Safety ARCHITECTS: , and Environmental Services ,.TOTAL FEES: /ti. $124.00 ' � BOND �" . Tt1E $.0.0 Ox CONSTRUCTION COSTS � $40,000.00 753 MISC. .NOT CODED ELSEWHERE 1 PRIVATE P:J. STABLE,, MASS. OWNER W11,L, CHAItL S $ ED pA ADDRESS �'$OK 231 BUIL D ON I ANDOVER N B I DATE �ISSUED 03/21/1997 EXPIRATION DATE .� THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND 1.FOUNDATIONS ER FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE,%SEPARATE HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS� (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 2 2 -17 I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I I i 2 5CLARD F HE OTHER: SITE PLAN REVIEW APPROVAL 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 TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. i I I i I I I I I i I I I I I . I i i _ • I I I I I I i i I I I I I - . I a � I i i . i - - TOWN OF BARNSTA13LE BUILDING PERkT FARCE L ID I?93 G 6 2 GEORASE ID 4432 ADDRESS 40 SOUTH BAY ROAD I' Oy ;tcr Harbors ZIP - fIGT. 1 & 3 BLOCK LOT SIZE _ Mill D.EVELOP�°iENT DISTRICT CO PE IT :1950 DESCRIP'I'IOi1 REMODEL, RESHINGLE r'ERM1T TYPE BREMOD TITLE RESIDENTIAL ALT/CONY 3ONTRAC"'ORS: PIS~ARD1 , WILLIAM J. Department of Health, Safety ;ixCK1TEcTs: and Environmental Services `TOTAL FEES: $1 4.00 1ME L1�(Ji! $.0.0 CON S`PROC'1'lON C0 G TS : 40,000.00 753 MISC. tlO`1' CODED ELSEWHERE 1 PRIVATE P% . ABLE, ' MASS. s639. ,0� OWNER . WILL, CIiARLES B ED�� ADDRESS BOX 231 ANDOVER NHA BUIL D ION Bi����y DATE ISSUED 03/21/1997 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. ! MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBINGLINSPEC/TIOONN APPROVALS ELECTRICAL INSPECTION APPROVALS G!f .0 iC 4 r 1 2 2 rlf G 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 DAF HE OTHER: SITE PLAN REVIEW APPROVAL 7 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 TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. /-)1, ,r-� ngineering Dept.(3rd floor) Map Parcel Permit# vZ O House# 7 y �J S Date Issued C ' /6 9Z Board of Health(3rd floor)(8:15 9:30/1:00-4:30) Cep Fee # Jlo , d ) u v»s Conservation Office(4th floor)(8:30- 9:30/1:00 2:00) Planning Dept.(1st floor/School Admin. Bldg.) THE rp� DJpjeSt n Approved by Planning Board 19 ; BARNSTABLE. �FD MAC TOWN OF BARNSTABLE 1 ` 1 Building Pe A lication . P Ad ress '"1,i �04. 6 a Aar� Village Owner 5 Address ` COMm �, Telephone 8�1 G-.�91 Permit Request ,� I�p c c J 4 Grua oc` o^ am, 'First Floor square feet Second Floor \.�1 square feet Construction Type CMG P m Estimated Project Cost $ \O� Zoning District Flood Plain es Water Protection d Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Famil� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: N Full _i4 Crawl Walkout ❑Other E)(lat Basement Finished Area(sq.ft.) IY A Basement Unfini hed Area(sq.ft) (EZ)O Number of Baths: Full: Existing_2 New Half: Existing New No. of Bedrooms: Existing New Ss4 r r Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas '-Id Oil ❑Electric ❑Other Central APr-,Q Yes ❑No Fireplaces: Existing INew Existing wood/coal stove ❑Yes No Garage: ❑Detached(size Other tached Structures: ❑Pool(size) tAttached(siz Qt3,tpA= �' ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes A�No If yes, site plan review# Current Use Proposed Use - Builder Information Name��W�J n��. Telephone Number 0 Address License# Home Improvement Contractor# (�� G�5 0 Worker's Compensation#C 913520 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 SIGNATURE DATE N BUILDING PERMIT DENIED OR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY r PERMIT NO. 2A DATE ISSUED MAP/PARCEL NO. ADDRESS _ ij C; VILLAGE'l —� �+ 1 \} `� r•, '� �� ""' OWNER �� � ( c' '' : ✓ r DATE OF INSPECTION: FOUNDATION FRAME INSULATION r + �• FIREPLACE � r ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH t FINAL t _ GAS: ROUGH FINAL FINAL BUILDING -r •DATE CLOSED OUT .) C ' ) �� ASSOCIATION PLAN NO. Engineering Dept.,(3,rdofloor) Map 6�9 3 Parcelaa FJ� Permit# j House#. Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:3064 = > -iI ee Y,,�g • a-Z) Conservation Office(4th floor)(8:30- 9:30/ 1:00J,-2:00 r .�/-u�� �M1 �vr✓u rUt+ �ZC �6 �L� ! S�vZv c v►� . N h r�X Planning Dept. (1st floor/School Admin. Bldg.) , ErTI 's� S,� Bi Definiti Approved by Planning Board 19 INSTALLE IA�iC' W1 BL . TOWN OF BARNSTABL� TO N R �� Ica® w� �tGl1LA'PION / ' C o )ktu ding Pe ation Pr ct reet Address ^i� V v� Village � -G0.v—a t?. Owner a3 rC_,__sZ5LA0, Address Q5 all Telephone _ !� Q}l- Permit Request oV�R A� First Floor rox _ -square feet Second Floor / �3 To0 � square feet Construction Type Estimated Project Cost $ SQL n2 c L Oo oo C) Zoning Distri � Flood Plaint Water Protection ill Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Famil� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes _�KNo On Old King's Highway ❑Yes--,4No Basement Typej�O Full Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) S�C7 Number of Baths: Full: Existing_� New _ Half: Existing New No. of Bedrooms: Existing-, �_New ,OENC Total Room Count(not including baths): Existing_4New First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other Central Air Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes XNo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) *Attached(size) U^ �g, �k 2�-�c`C_- ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use Builder Information NameC:)rA,_STelephone Number (B - 461- W# Address a n License#DI 8 Home Improvement Contractor# Ion C.5o Worker's Compensation#r Ll l, �2 T)l 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 SIGNATURE DATE \ — L • q BUILDING PERMIT DENIED FO THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. V - 'DATE ISSUED MAP/PARCEL NO. ADDRESS ~t, } n� VILLAGE ✓ �, C, y� \ ~ .OWNER i e i DATE OF INSPECTION: FOUNDATION tV FRAME A \ (ill c:J Y!".•� --' INSULATI ;� FIREPLACE. ELECTRICAiL: ROUGH PLUMBING: ROUGH " FINAL GAS: ,; 1 ROUGH FINAL i �— v� FINAL BUILDINGY' — ' `' "� r r� r� �i t�' DATE CLOSED OUT i r.-- ? ASSOCIATION PLAN NO. 6,_r f {il l w -'TOWN OF BARNSTABLE • W. BUILDING PERMIT - �- ' PARCEL -ID 693 062 GEOBASE ID 4432 . ADDRESS 40 .SOUTH BAY ROAD PHONE Oyster �. Oyster Harbors ZIP - . I LOT 1 & 3r BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO li PERMIT 20457 - DESCRIPTION BUILDING E PERMIT ADDITION PERMIT TYPE BADDI TITL CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: $310.00 THE BOND $.00 a CONSTRUCTION COSTS $100,000-00 * BARNSTABLE, • MASS. s OWNER WILL, CHAR.LES'-�B- 039' ADDRESS BOX 231 E� ANDOVER NH BUILDING DI SIGN BY DATE ISSUED 01./10/1997 EXPIRATION DATE � THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK:1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION WHERE APPLICABLE, SEPARATE PERMITS ARE REQUIRED 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU FOR - ELECTRICAL,PLUMBING AND M FOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. CH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I d I � I 2 2 2 I I I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT d I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I 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 I VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. . r 3y;�" 77 Assessor's map_and/lol number ............................ .. ' SMEM MUS i u D/< . /< - �f.oT I�uTLio%� oa/: j-arc f9vtyi.c� Lisrbir.4tiu� �.COMPLIA�DC U 4 G!�/G<j Tl(S 1&v e/! - S h M p a L%, l�E.f�!� G��i�•c=c=/� fj tST C�klY�f d!/Sumw 6 Sew g Permit number ...M............................1 C................... A& CODE Anl� G,f[J/l2 fi(-f s !�G-K GC+�/!/6f� Gam/ '� �Qy�FfHEr '",ak TOWN OF BARNS��TIoNs BASBSTADLE, S "6 BUILDING INSPECTOR ��YPY a• APPLICATION FOR PERMIT TO " l l�` ?a G ? G' TYPE OF CONSTRUCTION ...............)keA-�4....... ' ..................................................................... r r Y ' TO THE INSPECTOR-8U1LF34"i `` ,�.:. ' +. y . r;f.r • �f -- �.��. ' The undersigned hereby applies for a permit according to'f the following information: Location ..... `.rZ ........l.S"�f�ivc ..........�J.sT /'.v ............... ...' r ........................................... ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District ..........C.. ..v.................................................. Name of Owner ... d .6. s ��.'`/.................Address Name of Builder r...............Address � ^........4... et .... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ..................................Foundation Ce'M�� T ................................ .............................................................................. Exterior ....W4�G-1............................... ....................................Roofing ....... ............................................ Floors ......W...!!o�....................................................................Interior .......v.!�.; !"'...rk a d/.............................................. rflSitr w z� 7o v Plumbing ..... .............................................. .. - .....................................s :..:. ....... ...... ........... ....... Fireplace ........9.......... .......................................................Approximate Cost ......1's ......................................i Definitive Plan Approved by Planning Board -----------_______-----------19_ . Area .......��.�... ........ q od Diagram of Lot and Building with Dimensions Fee ...........3.3................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH . 3-1.134, S� J,41 V-a� s v� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... . I.,.. .... .................... T .Will, Forbes A=0'3-62 No ...21346... Permit for ..garage.................. .............................................................................. Location .......Uttle-Island........................... ........................ ................................ Owner Farbes-Will.......................................... Type of Construction ...........F.r.aMe...................... ................................................................................ Plot ............................ Lot ................................ PermitCI G�anted .... .....JUrm......5......19k9 , Date?/I ion ............19 Date Completed . ................................19 PERMIT REFUSED ..... 19 < ..... ...................................................... ...................................................... . ...................................................... . ........................................ 19 ...................................................... ..........�4...... ........................................................... Assessor's map and lot number .......................................... Sewage Permit number ................................................ TOWN OF BARNSTABLE L BARMT"LB, i "b 9 ,•� BUIL.DING INSPECTOR e •E0 N d- APPLICATION FOR PERMIT TO ...................: TYPE OF CONSTRUCTION ....................... -......................................................................... .................................................19........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: - r Location .................'............'............................................................. ... ... ................................................... . ProposedUse ............................................................................................................................................................................. Jr ZoningDistrict Fire District -=........ ...... .................................................. Name of Owner :.......: .. G...................Address ....... Name of Builder .. ... °:.... ....:.!.. .....:... Address .. .D:......... ........ ......... .................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...........Foundation `.`' Exterior ....................................................................Roofing .. Floors , Interior ...................................................................................... ................:. ..................................................... Heating ........:..................,......................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost .................................................................... Definitive Plan Approved by Planning Board -----------________ �` -- Area ...... .19 Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH R Q I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ............................................ f Will, Forbes X-03-62 46 s No 213..... ... Permit for ...........Garagg............ ............ Location ......Little..Islatad................::........... ....................As teixil le.................................... S Owner ...FQrbes..Will...................................... Type of Construction ........Frame....................... { ................................................................................ } Plot ............................ Lot .... ................. t Permit Granted ............. .......9.....5..........19 79 z Date of Inspection .. Date Completed ......................................19 h ' PERMIT REFUSED y t 19 . ................. . ......... L . .................. • .......................................... ............................./............................................ f Approved 19 k............................................................................................... t A. ' 09/05/1996 I3:57 1-508-790-6230 BARNSTABLE BL.IIG DIU PAGE 04 of BanLsftble e downen andvimume� Dep��eat of S &�DWisiun Sot olIIce ase osiY �� Date VrVtr CornUCTOZ LAW To rumar motaddRIM to my mm to MGL a 1OWWW 4 A r �ovsL. no" m • ennvro •p 4 balld�g bo done by r which Iwo withtO�w titemi b� / coo Tm of Work: �,� �•-�4° Addrm cfWork; owner's iYape - Date of Pewit ApPlimtion: i hereby certify thaw t�1s not reQnirgd for the foiiowio;.tea(:): WorkOxbtwAby low � I node!A,D00• tit c� M G WM Notice is hereby, 3t OWN PZ Wc7M C ram" AP Ox MDR am GMAWORGQA FOND M GL c.14sd COPPIRA � x'ION PRiO p=4Aams pg p ZROM COMM G•�"•� . rio. / Goat!laps Off. :T/ (.•nn. 1' it rri�rviur,cn�/� r/�.. l/(rJ.I rrrXrrJeIli � restricted m,, N 4.4904 FRC';0 OF PC='IiC �.c_,v r0}1SiP,UCT O„ SCFr ViSOc; __CPiiS7 �O None ' ef: ='i.pue5: iG - 2 idil`f aOiJES restricted To: V Failure to possess a current ed°tip,; c_ th- uassur`,usetts State-3uiildi:,y Code 16uDEERFOCTPRCnROI � is ���+;se far revoc ' of thi er.se. SC!I"N�GSC, UA M72 HOME IMPROVEMENT CONTRACTOR ��� ��� Registration 107650 Type - PRIVATE CORPORATION Expiration 08/05/98 PICARDI CONSTRUCTION INC. William J. Picardi GYM—-7f 467d�"Turnpike Road ADMINISTRATOR Southborough MA 01772 f eq/05/1996 13: 57 1-508-790-623e BARNSTABLE BLDG DIV ?AGE 05 ` -.. TileCr►nrtnunl+•caltlr of Afassacl�t�retts •� De artmcnt of Industrial Accideots 600 WaahinAturr Street ;� t _,i: $usher.A1axs. 02111 Workers' Compensation insurance Affidavit 1 am a homeowner performing All work myself. proprietor and have no one working in any capacity ---,..•-Y•---"� � I am a sole prop 1 am an empio roviding workers' compensation or my employees working on this job. n 6 ' Cin sl , _ l am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors Listed below who have the following workers' compensation polices: addres via/ phone 0! ilasurnnce - •..-. •r:t•;"c-.� s._r•:r„•�wr-..nVt •.�iTv.':f7� '.gf^'7c` •,�K-.r.�iN6w.�...:.:� :•_.;_` .�...�.' - --... :.,.�... �=..:ter phone 0- Daley insunince co, Am ,... .._. ��+wr•+• •'eiN.. .w J .Ire1�'fi0. ;Atiach_stlditiooai ahcef if tii�ceiu �+*• '""�'""�" '�i+: � Sljooggo and/or Failure to secure coverage as required under Section 25A of NIGL Ifi'-can lead to the imposition of eritniasl petulties of mcp;underM d that a unc Fears'imprisonment M N•eil as 4"1 penalties in the form of a STOP WORK ORDER and a toe of SI00.00 a day stains' copy of this statement may be forwarded to the office or investigations of the DIA for coverage verifiettion. I do hercht ugde lit pain and p let op uq�rhat the information provided about is tnr[an Corned. ate Signature Print name t one:_4g • r2 official use only do one write in this area to be completed by City or tow'a Official permitAieease 0_ -lBuildln0 Department Nn or town: (1Uceasiae litwrd pSetectmea•s Omce p cheet:if imenedlate response is rcgaired [�Ileslth Depanme.t contact person- phone N; Other,.._ IT"W Imo!PIAI _Ol(F_R: TRENraDELING DESIGAE SHOWROOMBUREAU FILE NUMBER STATUS OF EMPLOYER 255 TURNPIKE STREET 351757R CORPORATION SOUTHBOROUGH MA 01772 ADDITIONAL INSTRUCTIONS POLICY ISSUED. SUBJECT TO 'PENDING PREMIUM CHANGE r. ENDORSEMENT (WC200401 ). COVERAGE UNDER THIS ASSIGNMENT THE WAIVER OF OUR RIGHT TO RECOVER FROM APPLIES TO MA. OPERATIONS OTHERS ENDORSEMENT IS AVAILABLE ON POOL ONLY. FORC;COVERAGE OUTSIDE POLICIES. CONTACT AGENT FOR DETAILS. OF MA.# APPLY TO. APPROPRIATE INSURANCE COMPANY: _NT FITTS .INS AGCY INC 40 UNION AVENUE .)DUCER: p D BOX 565 PHOENIX INS CO FRAMIIvGHAM MA 01701 MS SRON�YN SIKES hSGR P 0 BOX 3556 ORLANDO FL 32802 IDENTIFICATION NUMBER: 0 4—2 2 5—4 5 4 7 (800) 443-4404 CLASS ESTIMATED ESTIMATED CLASSIFICATION OF OPERATION CODE TOTAL ANNUAL RATE PREMIUM REMUNERATION IETAIL STORE—NOC 8017 21 ,200 2.64 $ 550 :LERICAL OFFICE EMPLCYEES NGC 8810 21 ,200 0.33 70 _MPLOYERS LIABILITY 100/100/500 9845 3TD PREM SUBJECT TO MASS DIA ASSESSMENT 60 1 EXPENSE CONSTANT 0900 b0 4ASS DEPT OF INDUSTRIAL ACCIDENTS `� ASSESSMENT 3a8% OF STANDARD PREMIUM TOTAL PREMIUM] $ 814 AUDIT BASIS ANNUAL REQUIRED DEPOSIT PREMIUM $ P,14 COMMENTS . COVERAGE EFFECTIVE: 12.01 AM ON 08/12/95 WITH ABOVE INSURANCE COMPANY, ADD ANNIVERSARY RATE DATE,— ENDORSEMENT EFFECTIVE ON 11/15/95. DATEOFNOTICE 08/14/95 PREPARED BY `STEP, TRINIDAD THE WORKERS'COMPENSATION INSURANCE PLAN OF MASSACHUSETTS EMPLOYER COPY CERTIFICATE OF INSURANCE (This icerthncu •of Insur«+oe nsiow rftm•*-vlp nor npw&vvtV a1ttendi.ettterwo or ei" the coil w"e.limits.terns or conditions of t)te pQlleies it c=r'fleias.) 3-22-96/bat COMPANY CODES QGNA This is to Certify to F 7 ©CIGNA INSURANCE COMPANY Attn: Wil l l= Picardi ©CIGNA INS.CO.OF TEXAS Picardi Cantructioa © 255 Turnpike lid. PACIFIC EMPLOYERS INS.CO. Southboro, MA 01772 INSURANCE COMPANY OF NORTH AMERICA L J ®CIGNA INS CO.OF ILLINOIS that#w following described policy or police/.issued by The Company as coded below. providing insurance only for huards checked by'•X"below,have bean issued to: ®CIGNA INS CO.OF OHIO PIAM1 Geassis Consolidated Services, Inc. Aldo AOORESS 1666 Massachusetts Avenue Ste 7 ❑(OTHER.—SPECIFY) FOLD OF IPMREED Lezingtonii MA 02173 cowering in aC mdence with the terns thereof.at the following iocation(s): State of Massachusetts TYPE OF POLICY HAZARDIICIMCODE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY (a) Standard Worknnn's 100,000 Statutory w C. Compenubon S © Q C40601132 1-23-96/97 S 500,000 One Accident and Employes:'Liability too.000Aggregate Oisesse (b) GenwW Liability Premises—Operations(including "In; Cl ❑ S Eacn Poison eidelContracts"itai as defined below) Each ❑? Accident ❑ ❑ Independent Contractors S ❑ Occurrence 1 $ Completed Operations/Products ❑ ❑ m —————— —__ —— Aggregate s/Prod letad Contractual.(Specific type a1 — — ^_ �— _ described in footnote below) I�7it _S Operations/Products PremisM—Operations(Including ❑Accident "Iftelderttai Contracts"as defined ❑ ❑ Each below) : ❑ Occurrence Independent Contractors ❑ ❑ S Aggregate—Pram./Oyer. s Aggregate— rotKtiw Completed Operations/Products ❑ ❑ S Aggregate—Comoleted Ooerations/Products Contractual.(Specific type as described in footnote below) Cl S regste—Contractual (e) Automobile Liability S Each Perron Owned Automobiles $ Hired Automobiles Accident .� Each � ❑ Occur_ence m_Nonom— Automobiles _ ._ _ _ _ _ _ ___ _ _ ___ — S——— — —— — ❑Accident Owned Automobiles Each 0 Hired Auton+obties S 11 ❑ Octurrenee orb Non-ow. Automobiles (d) Contractual Footnote: Subject to all the policy terms applicable, specific contractual coverage is provided as respects It is the intention of the company that in the event of cancellation of (Cheek ❑a contract the policy or policies by the company. ten (10) days written notice AApplicabM Q purchase order agreements between the Insured and: of such cancellation will be given to you at the address stated above. 81oCk ❑all contracts NAME OF OTHER PARTY GATE(it applicable) CONTRACT NO.(if any) DESCRIPTION(OR J0131 Coverage applies- to all employees assigned to Picardi Construction 255 Turnpike Rd Sonthboro MA 01772 throe a-professional 1 eamawnr Definitions: "Incidental contract' means any written (1) lease of premises (2) easement agreement, except in connection with construction or son with w Opera- Definitions; on or adjacent to a railroad, 13) undertaking to indemnify a municipality required by municipal ordinance,except in connection wiM work for the municipality.(a)sidetrack agreement,or (5)elevator maintenance agreement.. Zy Authorised Representative LC•138MPtd..nU.S A 11NfTEOIaONItI C1til!y PeaGlteBft3Cf� 01lIClcc" , NO RE,,QEIVED FROMZ�-,. Jh JL, DOL&ARS Account Total $ zwoz Amount Paid $ ,1A-1e -,:;r71 Balance Due $ "THE EFFICIENCY,LINE"AN AMM PRODUCT 4 .%09/05/1996 I22:57 1-508-790-6230 BARNSTABLE BLDG DIV PAGE 04 'me ° f Bar.wftble � ° iO � eat.of 51th`Safety na � Dp� Bn1dW ;D , ��1 367 MW '13� ptsob raosm Big C°mm'ssi°n� CC), s Offim "s-790 Faa: "s."04wo ase�y por COO 1� psu Coa AMAM LAW gO11►z. To agwxomm°Q�°°' ��� m mw4si:daU tm� the or ai as tO my or ao.. MGj, e- 142A � ramvvw sot mote don MW dws�U r2, with conrM�a• lmPiO °st' ag at l� Me = but eoatraeso rqpzw ow.w o.a b reddea�or buddb*so* daa0 b7 free bt*ate oho r"ui�� fit-Cmt TM of Work: \ Addraa of work: \ owners Name — 9 pate of Permit Appiicatlon: [hereby certify that: is aot required for the fOUowiaU r=wn(s): � Worit gzchtdgd b7 isa —Job u9dw 51-OW .on-p—o". oadMgmt Ouroee pang own pew¢ route is ha dw 51"m thst: OWN ! OR D�MGOvmmwr =► DO � gAVE OWKW PVL pxt IKM GIIABAi'1 VMW W�=MGL a 142A COICTRACM0 MRACCus� TION PRp S==MMMP=4ALTU$OF PAY �ms awoeet • Cook Nsat� . Dsm OR. I i� • i I ! • 1�1`_.F I I��� 1 5 0 c sa] { � Y 1 U 7V � C•] 1 o O cti q n.� raC I: o 21 CP 30 A I a -t O v• N � 1 _ 40 mac'- a a C`] a o n. c o m G� A co V O N 'O O co 70 p o .. p_ ry .J Ci rtf 1 Y• _ CY co O ' � D 09/05/1996 13: 57 1-508-790-623e BARNSTABLE BLDG DIV PAGE e5 _x Tile Ct►tttlflott wealth of Afassachusetts • j �J , Department of Industrial,4critlerxts s ?' 600 Washitt�turr Street J Boston.Mays. 0.1111 Wori:ers' Compensation insuranceA9'tiduvit �,._w.._ .,,_.r..�,�_,.�...P•_ hone 0 rity 1 am a homeowner performing all worm myself. I am a sole proprietor and have no one working in any capacity ! am an entplo roviding workers' compensation or my employees wori:ing on this job. n coal Etany.an ine; t� �• _ (] I am a sole proprietor, general contractor,or homeowner(circle one)and have hued the contractors listed below who have the following workers' compensation polices: addrw> C .s_r•,i....•� 't• , JRn^fg7°K'•k1n>-7�`�'�`�?' ^�-r 'M:ft•:.- � .•.h"�'?er,r". �'.PYMF— 0 Mrrrrerrrr fiddress- insunince co, em ;At{ach additional ihtiii If ptleila�x_„ y J • . ''""~�"4" :i.�+: ::.�w�u-. Failu to secure coverage as required under Section:SA of AIGL 153 can lead to the.imposition of criminal pt tulties of a fine up to S1SOU.Uo and/or re one years'imprisonment as Nell as civil penalties in the form of a STOP WORX ORDER and a fine of SI00.00 a day against me. l understand that a cope of this statement may be forwarded to the Ofrce or Investigations of the DIA for coverage verification. I do berebl wade hr pain add p let of urs�that the Information prorided above is true a eorred. Signatutr ate (� i)Print name one it ="r_g official use oniv do nor write in this area to be completed by city or town*Mclal city or town: permitnicense 0 J"1Suildinp Department []Uceasing Board p check if immediate response is required Q'Seleetmen's Oftles olleaith Department contact person: phone Nt st3ther irwK d IM)S OJAI l ' YF_R^ c r BUREAU FILE NUMBER STATUS OF EMPLOYER tLO R`MDq IING DESIGN SHOWROOM • 255 TURNPIKE STREET 351757R CORPORATION SOUTHBOROUGH MA .01772 ADDITIONAL INSTRUCTIONS POLICY ISSUED SUBJECT TO l PENDING PREMIUMi CHANGE �. ENDORSEMENT (WC200401 )a COVERAGE UNDER THIS ASSIGiNME THE WAIVER OF OUR RIGHT TO .RECOVER FROM APPLIES TO MA. OPERATIONS OTHERS ENDORSEMENT IS AVAILABLE ON POOL ONLY. FORCOVERAGE OUTSIDE POLICIESO CONTACT AGENT FOR DETAILS. OF MA. # APPLY TO APPROPRIATE PnnL OR PLAN. BENT F I TT S .INS AGC Y INC INSURANCE COMPANY: 1 40 UNION AVENUE IODUCER: P O BOX 565 PHOENIX INS CO FRAMING.HAM MA 01701 MS SRONWYN SIKES MGR P 0 BOX 3556 ORLANDO FL 32802 NX IDENTIFICATION NUMBER: 0 4—2 2 5—4 5 4 7 (800) 443-4404 CLASS ESTIMATED ESTIMATED CLASSIFICATION OF OPERATION RATE PREMIUM CODE REMUNERATION RETAIL STORE—NOC 8017 21 ,200 2.64 $ 550 CLERICAL OFFICE EMPLOYEES NOC 8810 219200 Om33 70 EMPLOYERS LIABILITY 100/100/500 9845 STD PREM SUBJECT TO MASS DIA ASSESSMENT 630 EXPENSE CONSTANT 0900 160 MASS DEPT OF INDUSTRIAL ACCIDENTS ASSESS9ENT 3a8 UE ST'A:fgDAK-D- PREMIUM � •v TOTAL PREMIUM s 814 AUDOIT BASIS ANNUAL. REQUIRED DEPOSIT PREMIUM .$ 8-14 COMMENTS COVERAGE .EFFECTIVE 12001 AM ON 08/12/95 WITH ABOVE INSURANCE COMPANY. ADD ANNIVERSARY RATE GATE ' ENDORSEMENT EFFECTIVE. ON 11/15/954 DATE OF NOTICE 08/14/95 • PREPARED BY ESTER TRINIDAD THE WORKERS'COMPENSATION INSURANCE PLAN OF MASSACHUSETTS EMPLOYER COPY CER-IFIdATE OF INSURANCE C C#NA Pope"and COSUO"COff%X lees (Tttia'Cartifk ab of Insurance neidtor affirmntiveip nor 1`1411194111tivI11110 aejnwWa,entwWs or tribes the coverage,limits,terms or conditions bf tha policies it uetifieataa! 3-22-96/bat COMPANY CODES This is to Certify to ©CIGNA INSURANCE COMPANY r" Attn: William Picardi ©CIGNA INS.CO.OF TEXAS Picardi Coutruction 255 Turnpike Rd. ©PACIFIC EMPLOYERS INS.CO. Southboro, MA 01772 INSURANCE COMPANY L OF NORTH AMERICA ® CIGNA INS.CO.OF ILLINOIS that the following described policy or policies,issued by The Company as coded below, providing insurance only for hazards checked by "X"below,have been issued to: ®CIGNA INS CO.OF OHIO NAME Genesis Consolidated Services, Inc. ADDRESS 1666 Massachusetts Avenue Ste 7 ❑(OTHER,—SPECIFY) FOLD OF INSURED TAndngton, MA 02173 covering in s000rdaruae with the terms thereof,at the following locationls): State of Massachusetts TYPE OF POLICY HAZARDSCICL CODE POLICY NUMBER POLICY PERIOD LIMITS OF LIABILITY (a) Standard Workmen's 100,000 statutory w C. Compensation S ® (I C40601132 1-23-96/97 S 500,000 One Accident and Employer:' Liability too.000 Aggregate Oiseese (b) General Liability Premises—Operstions(including "1n• ❑ ❑ eidental Contracts" as defined below) S Each Person Each❑ ❑ Accident Independent Contractors S ❑ Occurrence $ Completed 00orations/Products ❑ ❑ as Contractual.(Specific type as n Aggregate—Completed _described in footnote b 000tiv)— _ _ —�_ _———— ——— —— _s — — — — Operations/Products Pretmises—Op«ations Uncluding Each ( ❑Accident "Incidental Contracts"as defined ❑ ❑ 1 �i belowl _ ❑Occurrence • Independent Contractors ❑ S Aggregate—Pram./Oyer. a S Aggregate—Protective 6 Completed Operations/Products ❑ Cl S Aggregate—Comoleted •i Ooerations/Products Contractual.(Specific type as described in footnote below) ❑ S regate—Contractual W Automobile Liability T Owned Automobiles S Each Person ❑ Accident 8 Mired Automobile! — Each — c Non-owned Automobiles S Q Occurrence Owned Automobiles ( ❑Accident Each 1( o Hired Automobiles S ❑Occurrence a. Nonowned Automobiles (d) Contracuauai Footnote: Subject to all the policy terms applicable. specific contractual coverage is provided as respects It is the intention of the company that in the event Of cancellation Of Chat# ❑a contract the policy or policies by the company. ten (101 days' written notice Applinbb Q purchase order agreements between the Insured and: of such cancellation will be given to you at the address stated above. 81odt all contracts NAME OF OTHER PARTY DATE(it soolicable) CONTRACT NO.(If any) DESCRIPTION (OR JOB) Coverage applies to all employees assigned to Picn di Construction 255 Turnpike Rd Southboro MA 01772 through a professional employer L13W. m "Incidental contract ' means any written (1) lease of premises (2) easement agreement, except in connection with construction or demolition opeta- bons on or adjacent to a railroad. 13) undertaking to indemnify a municipality required by municipal ordinance.except in connection with work for the municipality.(4)sidetrack agreement,or (5)elevator maintenance agreement. In o..n U.S A Authorized Representative ""Te4 mki. y8101AFgMN11®st70Py /ee611081TSCaPy t7114000t7Py _______________________________ m Pi 00� ID r r. 11c)( -------- 0 E) aD --------- ------ ea m It m m )> z --- Eo cx SHEET NO. GUS"EET TLE: EST HOUSEPAULI&URIBE PROPOSED ARCHITECTS LLC FLOOR PLANS KESSLER RESMENCE DATE: FEENWARY 10.7016 A1.03 SCALE: AS NOTED InG or Drs van 40 4 52 SOUTH BAY ROAD,OSTERvILLE,MA 02ro55 DRAWN: JOUR 4 FZJF- CHECK9D,. JGUR 4 MZp w v I Patricia M. Kessler 40&52 South Bay Road Osterville, MA February 22,2016 Mr. Paul Roma, Building Inspector Osterville, MA Dear Mr. Roma, We have contracted Dellbrook Construction/J.K.Scanlan Company to renovate our homes on the Cape. I would like to clarify our intended use for our existing exercise room in our guest house. It is our intent to upgrade the room to continue to serve as an exercise room, provide a changing room and facilities for our adjacent tennis court and lastly,but most importantly, provide a play room when our new twin grandchildren visit. Should you need any further clarification,please feel free to contact me 561655-4262. Sincerely, Patricia M. Kessler Notary State of: L-o>�1�� County of. On 1-122/ 16 , before me, SAL-Li i Aky-4" M , Personally appeared, FATP—t6l A Personally known to me is/are subscribed to the within instrument and has hereby acknowledged to me that he/she/they have executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s)on the instrument the person(s)or the entity upon behalf of which the person(s)acted, executed the instrument, SALLY MARKHAM ?, • Notary Public.State of Florida • =My Comm.Expires Aug 22,2018 Commission I�FF 116403 I • Town -of Barnstable FIME rati Regulatory Services Richard V. Scali,Director sAR"AS&LE. Building Division�. g BARNSTABI,E 16 �39.rp Thomas Perry, CBO "575 Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 February 22,2016 Mr. Thomas Shevory JK Scanlon Co.,LLC 15 Research Rd. East Falmouth,MA 02536 Re: 40 South Bay Road, Osterville,MA Dear Mr. Shevory,, On January 11,2016, application was made to convert an exercise room into a bedroom at the above referenced address. The purpose of this letter is to confirm the e-mail of Feb. 18, 2016 in which the application, as submitted,was denied. The Health Department specifies a maximum of 4 bedrooms for this property and the additional bedroom puts the bedroom count at five. If you have any questions or feel aggrieved by this decision,please do not hesitate to contact this office. Sincerely, Pa j Paul Roma Local Inspector Message g Page 1 of 2 M . Roma, Paul From: Roma, Paul Sent: Thursday, February 18, 2016 10:03 AM To: 'Thomas Shevory' Subject: RE: Kessler Residences-40/52 South Bay Rd -Osterville Hi Tom, left a message on your phone this a.m. Regarding 40 South Bay--This permit must be denied because according to Health this property is limited to 4 bedrooms. Without their approval the project cannot continue. I will follow up this e-mail with a formal letter. Regarding 52 South Bay--The application can continue once someone from the firm makes and initials the changes to the description of work. We cannot make any changes to the submitted paperwork. Thanks, Paul -----Original Message----- From: Thomas Shevory [mailto:TShevory@jkscanlan.com] Sent: Wednesday, February 17, 2016 9:28 AM To: Perry, Tom; Roma, Paul Subject: RE: Kessler Residences-40/ 52 South Bay Rd - Osterville Good Morning Tom and Paul, I wanted to check in with an update regarding status of permit applications for 40 and 52 South Bay Rd in Osterville. Paul spoke with our Superintendent Billy Kelly a couple of weeks ago regarding some follow up items for us to complete for these permits. Please see below for an update: • 40 South Bay Rd (Guest Residence): Paul advised that the Smoke and CO detection must be brought up to code, due to the fact that we are proposing to change the exercise room into a bedroom. This morning I dropped off some plans which show the existing conditions as well as the proposed plans showing Smoke and CO detector locations. The owner has a Fire Alarm contractor who helped put the plans together. They believe the system is up to code, but if you feel there are any devices that must be added, we will certainly do so. Please review the documents and let me know what your thoughts are on that. • 52 South Bay Rd (Main Residence): The main residence project primarily consists of a Kitchen renovation, but the permit application also included building out a laundry room within the existing garage. Paul asked that we submit a new permit application for the work inside the garage. I met with the Health Department this morning in hopes of receiving a sign off on that new permit application, and learned that we need to show some more information on our plans to explain how the new washer ties into the existing septic. I am working on getting an updated plan together to show this and will return to the Health Department ASAP to review with them. I was hoping that since we are submitting a separate permit application for the work in the garage that we might be able to receive the permit for the Main Residence (excluding the garage work). The garage work is not critical, and if we had the permit for the main residence we could get started on the project. Please review and let me know your thoughts. Thank you, 2/23/2016 . Message Page 2 of 2 Tom Thomas Shevory Project Manager Direct:(508) 540-6226, ext 609/Cell:508-858-7690 !g DELLBROOK JK SCAN LAN CONSTRUCTI'•ON LLC COMPANY-, LLC DELLBROOK.COM I One Adams Place 1 859 Willard St. I Quincy, MA 02169 1 (781) 380-1675 JKSCANLAN.COM 115 Research Rd. I East Falmouth, MA 02536 1 (508) 540-6226 PLEASE CHECK OUT OUR NEWLY RENOVATED WEBSITES From:Thomas Shevory � Sent: Monday, February 01, 2016 11:46 AM To: 'thomas.perry@town.barnstable.ma.us' <thomas.perry@town.barnstable.ma.us> Subject: Kessler Residences-40/52 South Bay Rd -Osterville Hello Mr. Perry, A few weeks back I submitted permit applications for proposed projects at 40 and 52 South Bay Rd in Osterville. I wanted to see if you had any desire to set up a meeting either at your office or at the Residence to review the project scope.The architect would be available for such a meeting if it was something that you might be interested in. Thanks for your time. Tom Shevory 2/23/2016 I S 0 C) r 3r ,� ;� IMPORTANT -- UPGRADE REQUIRED CDKE ETECTOR REVIEWEa 6 STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHENL- n,a-4. _.") _ — `8 BUILDING EPT. DATE ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. ; Y i NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE vV { INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL {�� ! FIRE DEPARTMENT DATE PERMIT DOSS NOT SATISFY THIS REQUIREMENT. POTH SIGNATURES ARE REQUIRED FOR PERMITTING ��02- Do cc Q4' Ila W C I 11 _ as L-55 3 5 3 1't 4 i� J e yyVz) OE 01 �p� } `� , qoc"� coo od� b 1 U a 4' I. in I xn3vvyl\ .0fouc cQooe-3 3/qc / a. *o Rcrho;-\ os col-.�p,�s SALE. ty WE /ERIFICArom - s �.]'_,� � . . Fx 1 D 1 1, + C0 SS V��I O f RAI/II U'r I r• I 1 12/10/1996 12:01 5085488313 BSS DESIGN INC PAGE 02 1_2/10/1996 12:01 5085488313 BSS DESIGN INC PAGE 03 BSS L1 S- 14'57'20" ..W• : 4612' L2 S •15'14"50''. E �.5�' .'.• LAND SURVEYING CIVIL ENOINEERINO L3 S •58'07'30" E .18:5T ::, n/f LORAINE SOUS"i� LANDSCAPE ARCHITECTURE 14 S 72'V35" E 24.48'`. \ 9 B98 Design. inaorjoreiCONCRETE•BOUND., 164 Ktharine Les Bates Ad 06'22'40" WWN`BRASS~DISK' f4UNp ' uaettr'OPbeO0.23 ' e08.640.88N FAY 608.648.018 300 �Zoc �c�yF00 Ln Ll : 41 (EL 11) POOL HOUSE �. Bl�lLt74 ROAM: - c GARAGE � ( _ ''• -.. .. c w REAIOtg C ?£ENHous�' ., W CL W C� v, aPCt!} . ..i < . 0 . •W w N 136 3 0a. CONCRETE 60UND- ri OC �: . 'wl VN'H DRILL HOLE WW N. FOUND �j F^ CONCRETE BOUND —— scale WITH BRASS DISK N 06'22'40" E CONCRETE BOUND FOUND (UPPED) 1A, .. .. • .K. __ w !/r WITH DRILL HOLE lot 50' (J FOUND - . . DEC. 10, 1996. ... awn CERTIFY H.AT: THE BUILDINGS `�P�jNOFAA�6�!V� MED SHOWN HEREON COMPLY. :WITH 7HE HORIZONTAL r yo�. DIMENSIONAL REQUIREME'' * OF THE LOCAL THOMAS ec e ZONING BY—LAW. AND .THE`:DWELLINGS ARE IN +R J3UNKF_R ` A SPECIA .E.I�:A. 0• -HAZARD AREA AS SHOWN. 0 GRAPHIC '"SCALE; . , ; Na 32B53num er eo •:'' _ 100 zoo 96038 1LlI►N �. PROFESSIONAL AN URyOR DATE CERTIFIED 1 4iwhl`— 50• fE PLOT PLAN �7 � �� � - — - a a. � a d __ ___._. . - -- ��.�� ,� ,.-' ��^ `/ r � , � �s l �,�{'/I ��TT"" �� Q ��� 1� i ` � ,� � / // . t� KESSLER RESIDETWIu A �• B GUEST HOUSn Osterville, MA . •" .orsR"smcs var .over smu rorr - . WICE m4r, tilt. GENERAL F ® B 1• B �ciaa®ra�°rscitoi°OOcsaus ' ♦ ' n•.so.�a as a ta.o..s.e.v.�..R.B B 4.��� �a O b �I��nr'�ioou�ror ,.c,...�w o•«•M e.. C 6 ♦ i 1 r i;, MI: OM YL�N'iO MOI9 t�YR ¢�/Y-^ .n B1�ii CLO�.UI Sfl IGII lS��I� ri a��i/f C'O'Lj UIgO�Iy 3T OP EuB I ' L-F ii ® �yOaifwiC:.,4v U�i.w�r lRwbl�bl Jepf^•r^YMn'wdw�Sv�l•�e•c�rv�tlMp EcyR ru N4R m.s A.n I I ° , o sRv�i�•r ____I__ rwou ♦ 6 ro r�in�eoc"'�s� __ _nooa I mripc touts sufl ro®tad I I ms�vic mn svrct>b®um I �LL�ooR�Irrr l I I I ; I i iI------------- - '---=---J ---------------- 1 I I I mS11'O NLL flASEYIM lO RL I I I m3IRIG TOLL B 9nO.Nt M PEYAW I I -- ---- ------- -J --- ------- -----------� SOUTH 'ELEVATION WEST ELEVATION SCALE: 1/4• = 1-0' SCALE: 1/4 = 1'-0" I , ' il6.<R1Q riot DOREVE NICHOLAEFF ARCHITECT, INC. ter.RCor 40 \ msro¢mor m' / OSTERVILLE. W. uWo�ma rm _ �c outs�toorurc \.--_ cm�c mrr. / i/� I— ®car lort:<sro.t ram- .� �u msmrc SmpC.�C1 ffiOtO) RUOR I100R �I II II I •L-i_iW_ REVISIONS: II _ Ii.00R Itaot - - — I I tm�wc cuuu sue ro.."•,: I I � I ®+urc outs mnfl ro solid I I I I tsrnac an nlru n®our � I I L----- ----------------1---- ------------ L--------1 -----------�—�-- PROJ NO. 9501 •� - DESCRIPTION i EAST ELEVATION NORTH ELEVATION ELEVATIONS ' SCALE: 1/4' = 1'-0' SCALE: 1/4 = 1'-0" . SCALE: 1/4'=1•-0' DATE: NOVEMBER 21 199 A - 5 I :. T-O' te.-O- e'-tr e•-o- e•-er - KESSLER RESIDENCE *��T• ` GUEST HOUSE„ MA C®Q(CY ADD t16� - . HAM eou .sooa Osterville, MA TTVIc ) r -o II I II G I O 1 GENERAL NOTES: II P.maei-g and a iaa.a aRaaa<.aaat,. . enm..in ie�ee emb. FAMILY ROOM r"-?. a Uw y gD yye n,the P-p"d — Q Arcl,il.cl,1G No Pert ttwred.1,oa be Wif ea by may Paso^.f a cwp—boa fa I .dtt-Pa^^ of �f 9•-9' 14'-S I l9'-10' Do NicMloc"Mhit-t•Irc I b c®DIST --� elgpl mW dth a e G O ^ © © 0 f 2-r a-4• tot d bef m the atlanlioa d ttb Arch.b Dafon t .rott 1t; 4•-9 r-6 b. coavaence0. s-� -u s i b MECH. R00WDER I ae�+an an m ea w.a om ro ;RoO a,vekq.ee m ee.c .a. � � A POWDER b _ ROOM 1 uP e•-r I 1 J _ �JTER R D OCENTER SINK ON i RERM AG D i— b r o tTITB a 1' IN b _ I I I 1 I 1 2,LY I I I .oJ6n 1 b N CENTER WING ROOM Z s - _ I DINTNG 1M G TWO CAR GARAGE i I eT ROOM 01AWAw M3STU4C SLAB) I b I I 2-0 s s I 1 .. I DOREVE NICHOLAEFF b MUEN IR TTSfON COLUMN ` ARCHITECT, INC. soFFrr OSTERVILLE, MA 1 1 s'-11 J i —� '—— Y-1I J :O 5-6 1 1 4 1/ L r-e' 10•-3 1 r I3-11' 12•-e' 11'-e' •. 41-1 1 • B 24•-d' _ FIRST FLOOR PLAN SYMBOLS: SCALE: 1/4"=1'-O" EXISTING WALLS TO REMAIN = NEW WALLS TO BE BtUT REVISIONS: NOTE: ALL 3=3 U(G Dffg=R PARTO NS ARS TO BS MMDY®BPCLODDlG THS MSTI TG FLUB CBDOW AND 3TADi9. PROD. NO. 9501 DESCRIPTION FIRST FLOOR PLAN SCALE: 1/4'=1'-0' DATE:NOVEMBER 21, 1996 I A - 1 T. KESSLER RESIDF Osterville, MA. ' GENERAL NOTES: The dro.inq orM al ieeoa.onongemenb. ' d-;g-and tlup�ia......e yyLMkatod Oros�—y - • la'-s 10'-1? m�e' Ne nave�r.1 Do—Mc atm.W. . Ar hilect Irk. No put Vw*W OWD be J O 7-2 Ur alit:od by any p—.firm orp-.t;n for rO•purp—e><copt.ith b specific Witten pomieeion of the fkm a•-p 1 i -3' •-r Dem VI ATHRM sa -10 n dm d.are 1„ to be t, ht fe the ettenbon of the b Arcldtoct before the. naa ODRYER O omr—Od' ® b -- - _ oimergi o w�'ed as na am.inQ.ore m ee lea. ]•-i i 10 PROVIDE �CC69 ® BA TER L —————— -----J ~ ——————D N 1 I ' N • '1 IS'-O• POSTS RAWN"lp 5'- BE CENTERED ON COW10i9 - I --- �0• MASTER II ey BEDROOM BEDROOM OA BEDROOM I _ - 1. b zo DECK I __—_ _ I Ir 00, r / BATH DECK DOREVE NICHOLAEFF ® !' a•-ff a-ft •_6 O _ 0r-D• .•-o a-r r-v ARCHITECT, INQ. OSTERVILLE. MA'1.' \ / 1 1 ! c POSTS 7O 1 1 i e, 7 BIi C'IQfTBRED ON COLUMNS B • ]'-? IT-ff J'-S 2a•-ff SECOND FLOOR PLAN SCALE: 1/4"=1'-O' REVISIONS: PROD. NO. 9501 DESCRIPTION SECOND FLOOR PLAN SCALE: 1/4-=1'-O" DATE:NOVEMBER 12 1996 1 r . • A - 2 x NEB.amp To BE BMT . KESSLER RESIDENCE GUEST r — ——— -•-—i 0 Ost ry 11e, MA. I I i I . I I I I I I GENERAL NOTES: e�ny,eed a ideoo.on.mgenent2. desigero one Plene kxf oted t1—- I � tea thereby a o.rod y aM 'n ae panty of D—Ko/�abef, 00°SLOPE .�Eops .']d SLOPE !O°SLOPE ( wci..d b Inc. Im part tlared/dl G corpea ty enr person,fvm ar ____ poc;rc n ton Ktton pe purpose;tuft.ith —1 Do�rwey f6chdeef/eMchileet,L—of ttu fe+n I I My errors on QmuremP.g or en Br to be e.,.op o the a P t;creme on to be t.apM m the onenas of A�h—itea baton U..ork bm IDfinena:o o tob. -d—d f p _—___— dn.irp to be bd. w SDPE _ WSLOPB _ — I 3e SLDPe b FAA I i I � I I 3w SIDPE I I I � I I � I I . I S&aoPE ——� SLOPE— •NP PHI ——————— as SLDPE Jd'9OP6 I J . _J L DOREVE NICHOLAEFF tn+a OF BOWs ARCHITECT, INC. OF Rcor OVERRAM OSTERVILLE. MA t NEW Roo►20 R8YA81 NEf ROOF TO BE BD¢T ROOF PLAN SCALE: i/4"=1'-0" REVISIONS: PROJ. NO. 9501 DESCRIPTION ROOF FiAIV"` SCALE: 1/4*=1'-0' DATE: NOVEMBER 12 1996 i A - 3 KESSLER RESIDF OBterville, MA. 1 J GENERAL NOTES: U.•.•bro o..a 1.....u..ny.—ek 0..qo.M UO�I.Or1.re7bMoo1.0 VV a 10•-10- tl A��M io0 I.wA w a oar...11.cmr, i - _ 1 Y wW.e.brc. ib eon a.r.or.nob a J {I O i10$w ww wovvo..:�w"h . b .valet-ft..P. Ai. a U. ar ann O ...leak~ArHil.c�bK. t .•-0 1 : b• to id eia•a.�•u..u..a on i I b Dam d'—w�w b M a.& i -- r••�T w b O..a.1.0. L I hw - t� y 4 I e rltove uR eome OB BA R I- ----------J ------- I h 1 , l MOIL• r 1 b ,I t• 1e•.O Pam TO ME czmvvm eno.on ![ASTER 1 I �p BEDROOM BEDROOM OA BEDROOM I ® —-—-—- - b b b DECK I A I i I L BATH I \\ r l b I © ® I b DECK �•_� O DOREVE NICHOLAEFF '� 0 I ..d .•d .•-o ARCHITECT, INC. OSrERMLLE. MA 0- r-O" e•-v � 7'-0• ITd 0'-f I SECOND FLOOR PLAN SCALE: 1/4'=1'-0" REVISIONS: PROD. NO. 9501 DESCRIPTION SECOND FLOOR PLAN• SCALE: DATE-NOVEMBER 12. '1996 A 2 - ' T--0—V or k - a.•-c °-°� KESSLER RESIDENCE ;; `;,00� �� B GUEST HOUSE Mon Lr � Osterville, MA or -Q II G I � . 1 GENERAL NOTES: b >; FAMILY ROOM Ardr4.L i blab by'../ P o«r«rrl M"wry i , I-r 11'-S Id-IC ��iti ft" mm coll b ♦..�7►.Il.p«�4 ale�wr w G © ^ © © -r r 1.w.n .M.W-a w 1 T-d -u a r b MECR.711 �F,R b. ® r j POWDER rauu r - b - ROOM 1 a +.I _ s-r -or malloa pfLD 1 I' 1•-a 1 r-r. { r-1 1 r I b 1 , a rl of T i C271m Loom a DIMNG. °��'r- -1]VDiG TWO GAR GARAGE , J Kg ROOM j puana a�wo NAM I o I 1 r-Ir { 1•-a a j DOREVE NICHOLAEFF + q * T y i ARCHITECT, INC. — OSTE �**nasl—— e-n a r� s•-. 1 RVILLE MA of. I b r-! Ir-a 1 Ir-n- I , B a.•d - .._ r FIRST FLOOR PLAN SYMBOLS: SCALE: 1/4'=I'—Ir = EXISTING WALLS TO REMAIN = NEW WALLS TO BE BWI; NOTE: REVISIONS: T 3MM as Z C r"An a1Q A amlono.uaworo to marolc nva c®oar allo arraala PROJ. NO. MI DESCRIPTION FIRST FLOOR PLAN SCALE: 1/4'=1'-O' DATE:NOVEMBER 21 1996 1 C 0 383 water level = 1.7' C.0 T lg L ZONES.,.. RESIDENCE F-1 ' ` S 7,3• MINIMUMS / S3 44•• AREA = 43,560 S.F. FRONTAGE = 20' \ ,8 091 WIDTH FRONT SETBACK 30' 40 T 3 C`C SIDE SETBACKS = 15'. /\ 4.CC 9SSs \ REAR SETBACK = 15' \ -__ _ BUILDING HEIGHT = 30' 92F (OR 2.5 STORIES IF LESS) / -� \ RESIDENCE C / a NN i \ j / MINIMUMS JP AREA 43,560 S.F. FRONTAGE = 20' cry . I WIDTH 100' FRONT SETBACK = 20' QL _ cV � SIDE SETBACKS 10' O I REAR SETBACK = .10' BUILDING HEIGHT 30' / .3 -, / a < I (OR ,2.5 STORIES IF LESS) 3 / i 3. (D LP ) 9 / o. PA 770 �" 3 s, #2 pcj ti I �.0 co 451 4 / GAR 1 / / r c, GE 1 ' \ \ \ \ \ CV .O 0 7- C. \. 87,30e PR OpO� ! �E� D.Qi -—————————— ———— DESK BY QWER Lj Z = I I m I Z Ip A 0 s -n I g • r I I 6Z IIvy I �I I �I m A E m Z m O r r _ � z Nog4o m A A-° m < D = E Or1 o -0 Ia O �U) m 44 r p$j E O Dim dal $_ R � boo -4 � 1� r vr-2 g$-4o N m�0 �zn Dom$ N m F o - � o = C/) a�Yo o m n 31 yGs�T on SHEET NO. SHEET TITLE: PAULI HG URIBE MAIN HOUSE PROPOSED �p�v�v S L�-,v R R T fv��D E N C�,v ARCHITECTS LLC GARAGE FLOOR PLAN Jj�.J.L�t� J.Ce jLe' j[`e �� DATE: JANUARY 6,2016 ClassicArc6tecture SCALE: AS NOTED Interior Design 52 SOUTH BAY ROAD, OSTERVILLE, MA 02655 R1 Mount Vernon Street DRAWN: JGUR i RJP bmton,Massachusetts,OJos CHECKED: JGUR 4 M 617227095-t•—.pau1i-uri6..com 3 D Z T O c N m 47 r D r =m 0 -n =O �O �a " r 0z i i is:4 k 4 D m �MNO �Q. cn d � o e .�A SHEET NO. SHEET MAIN HOU TITLE: PAULI & URIBE EXISTING CONDITIONS �p 11-v S S L E R ��v kS��E N C v ARCHITECTS LLC GARAGE FLOOR PLAN Jj�J v� j[� J v� v/TJ DATE: JANUARY 8,2016 Classic Architecture E C 1. 2 SCALE: AS NOTED Interior Design 52 SOUTP BAY ROAD, OSTERVILLE, MA 02655 IZI Mount Vemon Street DRAWN: JGUR d Rip Boston,M,assackusetts,O?108 CHECKED: JGUR 4 MZP 617Z27095-t--.piuli-uri6Z-*wm KESSLERGUEST HO 'USE tt tt tf 4t♦ 4u `��G\STEREO S OKE}�DE'TECTO,�S ER VIEWED 40SOUT11BAYROAD CD r- BARNSTABLE BUILDING DEPT. `�, DATE OSTERVILLE . MA = `� lL a FIRE DEPARTMENT DATE 3 'gRBpNMONOX10EgLqRMS BOTH SIGNATURES ARE REQUIRED FOR PERM/TT/NG MqS A�H T BE USEI7S B«ED A R Permit t z UILOIhOO,,f s'`I�RTANT Schedule of Drawings IMPORTANT- UPGRADE REQUIRED ANY C,^.•NSTRUCTION THAT INCREASES LIVING SPACE JANUARY S, 201ro /F1 MAY RFOIIIRF THE Pauli & Uribe Architects LLC STATE BUILDING CODE REQUIRES THE UPGRADING OF INSTALLATION OF ADDITIONAL SMOKE DETECTORS. WArchitect SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN �I, amt v.�&xent I Vv tom HA MOO ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. NOTE: A S€PARATF PERMIT IS REQUIRED FOR THE � 1 en-ni_osa4 omc. INSTALLATION)OF SMOKE DETECTORS-THE ELECTRICAL snt. Title NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE PERMT f N T SATISFY THIS REQUIREMENT. No. INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL-IT TO TITLE SHEET Y EC-EXISTING CONDITIONS-FLOOR PLANS&ELEVATIONS ECID3 GUEST HOUSE - EXISTING FIRST FLOOR PLAN Evo4 Csmw HOUSE - EXISTNG SECOND FLOOR PLAN EC3,01 GUEST HOUSE - EXISTING SOUTH ELEVATION ' EC302 GUEST HOUSE - EXISTNG PARTIAL U1EST ELEVATION Al-PROPOSED FLOOR PLANS AI.03 GUEST HOUSE -FIRST FLOOR PLAN A104 GUEST HOUSE - SECOND FLOOR PLAN iris A3-PROPOSED BUILDING ELEVATIONS '' ■■ ■■ A3,01 GUEST HOUSE - SOUTH ELEVATION t ��� `1� ■■ ?? `�4� R"�t',, d �� '. 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SHEET TITLE: CAJEST HOUSE PAULI & URIBE EXISTING CONDITIONS �p�v S S L E R Rev S��E N C�v ARCHITECTS LLC FLOOR PLANS J�J� J� J� DATE: MARCH 2,2016 Classic Architecture E C I.0 SCALE: AS NOTED Interior Design 40 8 52 SOUTN BAY ROAD, OSTERVILLE, MA 02656 Rl Mount Vemonstrc t = DRAWN: JGUR Q RJP Boston,Ma hus tts,02108 CHECKED: JGUR 4 MZP 617 ZW 09yt•vnvw.Fauli-urbc.com T` BUILT-IN (li C m CP = J m X m 1 i � O cAi 3 � .. -n m Iq A e N -—I 0-n r �O „O ' A ,A =r 0D -Z la � @ I J D O I 3 °z m D J3 a A r C u r O Z O 3 J 7� v n = T 3IZ col f s�fl /7n �> SHEET NO. GUESTEET TNOUSE PAULI &URIBE EXISTING CONDITIONS III E S S IL�-v R R 7f-a��D E N C� ARCHITECTS LLC FIRST FLOOR PLAN Jj� j[� DATE: JANUARY 8,2016 Classic Architecture SCALE: As NOTED Interior Design 40 SOUTH BAY ROAD, O5TERYILLE, MA 02655 121 Mount Vernon.5tn-t DRAWN: JGUR < RJP Boston,Massachusetts,021W CHECKED: JGUR 4 MZP 6g227O954•—.pau1i-uH6e.cnm I I I I I I I I I I I I I I - I I I I I I � I I m I 3 I c I I I Dp m j L---- I ' I I !7 I I O I z I I I I =O I �p I .7 A I T / I I 0z I t I I I I I L——— �D3 (nT- (p �OX1 � _ yr r v z \ U) � D in M L)C) =A O 3 `8 r�L1ti 3M `t a� r �o �� _z U, SHEET NO. GUESTTHOUSE PAULI & URIBE EXISTING CONDITIONS �p E S S L�-v� ��-v S���v N C�v ARCHITECTS LLC SECOND FLOOR PLAN J� J v� J a� J v� J v� lI/� DATE: JANUARY 8,2016 Classic Architecture SG/ SCALE: AS NOTED f�1 G Interior Design DRAWN: JGUR 6 RJP 40 5OUT14 BAY ROAD, 05TERVILLE, I IA 02r0rp/ Q1 Mount Vernon Stre t Baton,Mazwo husetts,02108 CHECKED: JGUR 4 MZP 617u70959-.pauIi-uribe.a I I I • ' '�- —1 --1 ■■pas M= ■ � - Ili ■� ;= _ ■® � = Elm - _ NONElow � = _ I MEMO _ ®II■ a _ 00=I0 _ REM a r t � a ®II■ s flu _ ��- 11 4 ■NOW ■ ��= 3 -� _ EM: a • — — IUIII I 1111 c IM H L I LLI rD r M HFFHL CO {I� - gu-- if �r, ��N\NO ,o Z �c n JS S 1 1� P , SHEET NO. SHEETTITLE:OUSE GUEST H PAULI & URIBE EXISTING ,gyp�-v S S L R RESIDENCE ARCHITECTS LLC WEST ELEVATION Jj�Jam+ J� C3.02 DATE: JANUARY 8,2016 Classic Architecture SCALE: AS NOTED Interior Design 40 50UTH BAY ROAD, OSTERVILLE, MA 026o-5 121 mount*xnon$tmet DRAWN: JGUR Q Rip Boston,M•-&ic6usetts,02103 CHECKED: JGUR 4 MZP 6g27,7099-t•—.pau1i-uri6e.c r---- I ------------------------------- - i I I i I I I / m g fY t N I m I m ' - - - - 8 m T I 0 3 iR _ \ I oX1 + r I 0 -71 I I A I � s rx $ - o i< I mm J � I e I n I +q• r I 9 M s� .ao Ty � 0 0-;r A Iw ' yO v D z ,N Lp �SFrTS L O � I N m g6� E -e-- --p- m I 3i ®® I i N Po m $ r N ____ W • c m / 1 r n r nc z T � �D b0 oi. D O Q j o p X p m � I 11 SHEET NO. GUEST HOUSE PAULI & URIBE PROPOSED ARCHITECTS LLC FLooRPLANS K �r94SLERRES amNCE �� DATE: MARCH 2,2016 ClassicInter rcDescnure SCALE: AS NOTED 40 4 52 SOUTH BAY ROAD, OSTERVILLE, MA 02655 R1 Mount Vcmon Sttrrrct DRAWN: JGUR 4 RJP Boston,Massxhusetts,OZIW CHECKED: JGUR 4 MZP I I I I 617ZZ70Y5+- vw.pauli-u66e.com -------------------------------- — m X N C m 0 � m z � n A n �m � . N m gN -—1 E m m 0-n p � „O a A �A r v O mz ° ;00 3rt� =O m(, ul 0Z w mpy mm <m Etti Ap p n1>n ----TT-- I �z I rz i 4 U I -0 5 O p N �3 z m v E z F—-----————-———————— - w N C r M m A v I E I I I z 41 1 E vA - J3 I 1I 1 Dm B AF I �-J � g �0 — 1 —J m r---- L7 � OW O O O--------- ------- _i MA mZ ME m m' �y�d3M WGI/0 z O O g b 'LSO zzu II N �• pz 2 '= 20 ri C� SHEET NO. GUEST HOUSE PAULI & URIBE PROPOSED FIRST FLOOR PLAN �E S S L E R RESIDENCE ESIDENCE ARCHITECTS LLC �� DATE: JANUARY 8,2016 ClassicArckitecture SCALE: 'AS NOTED Interior Design 40 SOUTH BAY ROAD, OSTERVILLE, MA 02655 RI Mmnt Vcm Stm& DRAWN: JGUR < RJP Boston,Massachusetts,OZW CHECKED: JCsUR d MTP 6g2270)5+---pauli-un1 c-. f TALL LCW SHELVES TALL I SHELVES 6ELCW WWZXXU SHELVES I 1 3 I I v �mqrm I g� I I 8x I Xl I mD-1 A 1 Dm p m9D P I MI: O I QU)r �SSu- £� I A� I Z N mD� em I mZ I-----I I E 1m vA 1 Aw 1 I I D L oA N m N Em — -- —�— — I m Fr p Mm I. „Z � -� -* o- 11 sit 5-Bill _ \ I N r N w � I 6 X 1 I ----- ----- i I I � v3 --- �n2(P ),rr- v 8/ E L L� I m OjI 6� , A _15 � I w D I fP �0 I � N I F F �1�t13m O � a0"y z o V �� /7n ova SHEET NO. ET TITLE: GUEST HOUSE - PAULI &URIBE PROPOSED �p�v S S L� R E��D IE N C� ARCHITECTS LLC SECOND FLOOR PLAN J�J� DATE: JANUARY 8,2016 Classic Architecture SCALE: AS NOTED Interior Design 40 SOUTH BAY ROAD, OSTERVILLE, MA m2655 Rl Mount Vcmon$tmet DRAWN: JGUR < RJP Boston,Massachusetts,02.1w CHECKED: JGUR 4 MZP I 617227095-+-mm.Pauli-uri6c.com _ �- I _ j r _ . r r r _ ■�- ■ _ OEM rEM:0 MINI \ ! ®III■ ■■ ��� •+�� EM: ! o- o- _ � ®III■ ■■ ���- ®III■ !■� ! r r ®1,1■ ■■ _ _ • 'Iir.N=i' • . eL�lw. 4 m !7 � v� mXM — 1 // ,—� =�C��f= -0m ZE mE rZ m.O rE O E AI �yNOMN 1 a aye �02 p cn Z cn i �0� r SHEET NO. 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