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0052 SOUTH BAY ROAD
' P e O a �93 - 039 li - •TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION , Map 0 / 3 Parcel 3 Application'# Health Division Date Issued Conservation Division Application Fee J Planning Dept. ermit Fee Date Definitive Plan Approved by Planning Board � � ' Historic - OKH Preservation/Hyannis _ tv Project Street Address S2 5g&Ihn &y ed — rl-OrV9e Village Os�erv; Owner po f Yic,itn l� Krss le,,- Address �- Cow w.b,wo•In l4 e &sfwr mn# oa l l+P Telephone /#NHafcr Sa��y !/�&,oaw7 �Aoi� 7Sff-98U2 Bolas,, fk►.aPA /,., *ram Permit Request Cr+Fa/e a n{w Ici-,�Ay fWm c,.� i✓r ex4415 ga�slea<e, ot.mels mvik C e Carl Qe l,4c ( 7b a tv u�e o%1 -&hAS 4, oja,-a5e, tAry twdl Odd & pfrwil- Aw Aneir work. A-Xdh;,� %-vtad?IALe,� OL'o-Cg" iN JSquare feet: 1st floor: existing proposed 0 2nd floor: existing 95y proposed D Total new � � Zoning District k+ QC RP- I Z*"exF125K, ArMw4I <1tiy« Fto� g Flood Plain Groundwater Overlay Project Valuation 000 Construction Type SR Lot Size Z.SZ c4c", Grandfathered: ❑Yes ® No If yes, attach supporting documentation. Dwelling Type: Single Family kl Two Family ❑ Multi-Family (# units) Cya�ye). Age of Existing Structure lsl years Historic House: ❑Yes CK No On Old King's Highway: ❑Yes M No Basement Type: ❑ Full W Crawl ❑Walkout ❑ Other 130 L Basement Finished Area (sq.ft.) 0 Basement Unfinished Area sq.ft) D � 0q 1 Number of Baths: Full: existing 6 new 4 Half.ave i ti g O new Number of Bedrooms: 0 existing Q new TOWN OF B•P'RNv'TABLE Total Room Count (not including baths): existing I new First Floor Room Count Z Heat Type and Fuel: ❑ Gas A Oil ❑ Electric ❑ Other Central Air: ❑Yes 2 No Fireplaces: Existing 0 New o Existing wood/coal stove: ❑Yes -M No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage:,A existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: �arafe 6 OACAed 7�v Mails resa&H(e hr q 40W 54Wh.re (OfPr air, Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# AA Current Use 90 S a- Proposed Use 14ke r a .S,Oale C4.4 41 garue APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Ui ll'&M 4�_e«y J t• ScawlAA CO, LLC Telephone Number SDS'' 280-7/&,S_- Address I S RPSeA/ICA Es License # C S " 0 0 '7 71 F 17vi Im*,A Af/4 02-9"3 0 Home Improvement Contractor# /g 6 8,0 $ Email jkSC'ankn•C" Worker's Compensation # 0 !� W E0 T6S84/ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO w SIGNATURE � � G�i%%;�� DATE FOR OFFICIAL USE ONLY OAPPLICATION # e DATE ISSUED Ck MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION r FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ( GAS: ROUGH - FINAL FINAL BUILDING - DATE CLOSED OUT t ASSOCIATION PLAN NO. , 4 Ll , I 'W 'DELLBROOK ) 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 I 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. 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. If you have any questions please do not hesitate to contact me at 508-540-6226 x609. Sincerely, J. K. Scanlan Company, LLC 7-2 -.•- Tom Shevo ry Cc: File 1547- Permits BUILDING DEPT. BAR.07 ass TOWN OF i3ARNSTABLE f' r WIN DELLBROOK ' J K SCAN LAN CONSTRUCTION LLC I 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. Best Regards, Trish Ross Dellbrook Construction, LLC QUINCYOFFICE: 859 Willard Street,One Adams Place,Quincy,MA 02169 t:781-380.1675 f:781-380.1676 FALMOUTH OFFICE: i5 Research Road,East Falmouth,MA 02536 1 t:508.540.622-6 f.508.540.9222 i /0. CHARLES D.BAKER COMMONWEALTH OF MASSACHUSETTS GOVERNOR 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 Supplementary MC Cards It is recognized that some construction firms may have a need for additional identification card(s)fo r 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 list 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 CONDUCTED 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. THESE CARDS ARE ISSUED AS A CONVENIENCE TO THE REGISTRANT. 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 INDIVIDUA IS 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/Bus mess Name: Dellbrook Construction LLC Registratio tuber 4 By: - Coo Authorized signature of a registrant Title ate Please retu nr Otis orm along with the appropriatefees $10.00 PER CARD to the address above For Official Use Only: Registration Number: Processed By: Date: � DELLBROOK J K SCAN LAN 0 CONSTRUCTION LLC COMPANY, LLC ' February 16, 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 tevo<ry Project Manager File: 1547- Permits r � DELLBROOK J K SCAN LAN 0 CONSTRUCTION LLC I = COMPANY, LLC February 16, 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, I 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 7-2- 115- Tom Shevory Cc: File 1547- Permits V. cviv IV JIJ�un cJlaLC mQna6111Cnt N0. 4/4.i P. a i L s BARNSTABr E; ■ Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Ryalulis,MA 02601 www-town.barnstable.ma.us Office: 508-862I.4038 Fax: 508-740-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize J-K,.� Scanlan Company, LLC to act on my behalf, in all matters relative to Fr rk authotized by this building Ppp tx ennit a hca 'on for: 52 South Bay Rd Osterville, MA 02655 1 (Address of Job) I i Signatute of Owner D to rAk Punt Name If Property Owner is applying for permit,please complete the Homeowners License'Exemption Form on the reverse side. �I h C:\UsersXDecollik-\AppDatalLocallMicrosoft\NVindONN'S\Temporary intunet Files\Content.Outlook\2PIOI DHR\FXpRESS.doc Revised 040215 (( I' y 5 Massachusetts Department of Pablic Safety ;: `BAarmofg. uiltl n 5K ulations and Standards 3Ra n1rk''a3,.w^,3a lftaug t xv.,r -.�..r�Rria+' '�v�.'far— oTts ructjia„n SL EN r r Co IMISS1oner � 05 12f2017 ; I . ✓fie Ana-rrvrrurracuetr,��a �✓ cUG�ut6ekb' Office of Consumer Affairs& Bgess Regu►ation' HOME IMPROMEV1ENT`CONTRACTOR _Registration. +180808 T O _ �E>zp�ration. . T�1��;17 l�d``►dua1 W = AMI�KEL%-v w 5 � 4 � 1%ILLIA Ot iKELLY' fAi H�Y�*NNJS�lM'A�260 _ a e�sec�reta DATE '4 > CERTIFICATE OF LIABILITY INSURANCE 1/8/2016 /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:CT Christina Jaeger Alliant Insurance Services, Inc., PHONE . 6 Christina aeg FAX N .617-535-7205 131 Oliver Street,4th Floor E-MAIL Boston MA 02110 .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 Falmouth, MA 02536 INSURERD:TWIn City Fire Insurance Company 29459 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 I AUUL SU13R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 0308-4515 7/1/2015 7/1/2016 EACH OCCURRENCE $1,000,000 CLAIMS-MADE FOOCCUR DAMAGE TO RENTED PREMISES Ea 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 FE JECT LOC PRODUCTS-COMP/OP AGG $2,000,000 OTHER: $ E AUTOMOBILE LIABILITY OBUENQT6583 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 ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Per accident $ S B UMBRELLA LIAB X OCCUR 1000021903 7/1/2015 7/1/2016 EACH OCCURRENCE $10.000,000 X EXCESS LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED I I RETENTION$ $ D WORKERS COMPENSATION 08WEQT6584 7/1/2015 7/1/2016 PER OTH- AND EMPLOYERS'LIABILITY Y/N X STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICERIM(Mandatory in ER EXCLUDED? N/A E.L.DISEASE-EA EMPLOYE $1,000,000 (Mandatory in NH) 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 Q ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD 27w ComurarnveaUh of Massachusetts Diepnrftff it a,f ludrtstrzai Accidents Offive a,f IM-W-,figa#ions. 600 WaShirrgtorr,S`treet Boston,AA 02HI 1PFM r mass_gm1dia "Tnrkers' CompensationInsuranceAffidavit Bgilders/C�anfradursMectricians/Phwmbers A13plican#InfG=ntfon Please Print F�eal y Nate (H J.K. Scanlan Company, LLC �ess: 15 Research Rd , �.Ityf t3tt'� S�F_ East Falmouth, MA 02536 MiCJfle; 508-590-6226 Are you an employer?Checkthe appropriate box: Type of project(required)_ L❑ I am a employer-milh. 4. ®I an a general contractor and I 6. ❑New constnicfion employees(fullan&orpart time).* 1iaFeluredthe sub-contractom 2.❑ I am a sole proprietor orgartner- listed on the attached sheet; 7. ❑Remodeling ship and have no employees These sub-contractors have g. 0 Demolitioa working forme in any capacity_ employees andhave worlceW q_ Bu�i1 addition •'[No wodoa camp.hm=nre Comp.iasuranml El required-] 5. ❑ We are a corporation avid its 16-❑x Electrical repairs or ad&fions officers have exercised their 3_❑ 1 am.a hameoumer doing all work 1L®Plumbingrepairs or additions Tight of exemption per MGL €�o wod:ets'gyp- L.❑Roofrepaics Mmm amce required.]7 e.M,§1(4k and we-have no employees.[No vadmrs' 13. Other comp.insurance required-] *Any spp &at checksbor`1 mast also fiIIaaEthe sectianbeTowsbosriag the¢vrodcers'ca®peesafiaapafiey iafanaa�Coa TunteoaraerawhosabmitdriszSdzveindc snci>_ koauacmis*Ztcllpric sisboxmastachedmadditimal shad shoxfmgtb2mmnecfthesnbrcaatnrctGm=dstste whether.araottbnseenihie hm employees.Ifthesab-ceatssctatsb=empIoyers,they=istpmvide•tht'v warkea'camp.gaIIgynmabet: I am ati eirrp7ofer f7icitis prmriduig urerkers'comiperisidioii iirsnrmrc0 for my enzpto ww. Below is file palicy a Rd fnb site hiformadom InsuranceConlpanyN2me: Twin City Fire Insurance Paficy4oraSelf 2>? JUC_,�. 08WEQT6584 FgpiEatipIIDake-- July 1, 2016 jobSiieAddreSS: 40 South Bay Rd / 52 South Bay Rd City/StatdZip: Osterville, MA 02655 At{ach a copy of the workers*compensationpolicy declaration page(showing the policy number and expirationdate). Fafl=to secure coverage as requiredunder Section 25A o€MGL c.152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 andlor one yearimpzisonment,as well as chaff penalties in the fana of a STOP WORK ORDERand a free of urp to$250.00 a day agaimst the violator. Be advised that a copy ofthis statement maybe forwarded fa the Office of Imvestrgations oche DIA for insurance coverage verificatim lido hereby certify under the pains mid pena&6u oipzJmY fJratflie irrfarmaiimr•ptm-idad abmv is bus turd correct .S'ienatare: William Kelly r •DatL- Phone ik 508-280-7165 i ©fi ciaf rise envy. Do not irrite in flits area,fa be completed by city ortarrn gircfal City or Town: PermitMicense;g Issing 4nSiorhy(circle one): L Bond of$•eaM r.BuiTdian Deparbnent 3.City/rown Clerk 4.Electrical Ihspector S.Plumbing Iwpector 6.Other Contact Person: Phone#: 6 -Information and lastructions Massachuseft Cf-. a1 Laws chapth r 152 requires all employ=to provide workers'compensation for their employees. P�m this�,an empFnyee is do as¢.every person.is$re service of another under any con tact ofbire, express or implied,oral or why." An C7np&yer is defined as'tax.in& ' nil partnership,as DC c�por�fon or other legal entity,or any two or more of the:fpregoing engaged ina Joint enterprise,and mclnding the legal representatives of a deceased employer,or the receiver or trastee of an individual,paatnmmship,association or other legal entity,employing employees. However the owner of a.dwr;lIinghouse haying-not more that three apartneafs andwho resides therein,or the occupant ofthe- dweIIiag house of anofier who employs pessaus to do maiatemauce,consfxnclion or repair Work an such dweIIing house or on the grounds or building agpmfenantihereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"evexystate or local Reensioig agency shall withhold the issuance or renewal of a license or pgndt to operate a business or to construct btuldings for the commonwealth for any applicant:Who has not produced acceptable evideu=of cdmpTranm with the insurance.coverage regal ed� Additionally,MGL chapter 152,§25C(7)states-Neither the connam weahh nor anyY ofifs political subdivisions shall enter into any contract for the performance 0fpubho wozic u a acceptable evidence of eomplia;.ce with the insurance. reTM-eaMeMfS of this chapter have been presented to the co—*trac�aufhoalty." Applicants - Please fa oat the wo&=,compensation affidavit completely,by checking ire boxes that apply to your sitnation and,if necessary,supply name(s),address(es)and Phone nnmber(s)along vnth their=t±ircat*.) of k=ance. Li3n E LiabiilityCompames(LLc)or LimitedLiabr7ity Parf maffiips.(LLP)withno employees other than the members orpartaexs,arenotzegrmedto cauyworkers'conrpensatiomiasuaumoe. lfanLLCorLLP doeshave employees,apoIicy is regained. Be advised.ihatthis affidayitmaybe saw to the Department of Industrial Accidents for conformation offim=ance coverage. Also best re to sign and datecthe afudavit The affda'vitshould be retained to the city or town that the application for the permit or license is being requesbA not the Departnent of Industrial Acddesfs. Shouldyou have any questions regarding the law or ifyou are required to obtain a wormers' compemsationpolcy;please call the Depaaiment at the number listed below. Self-insar lcoupaniesshouIde twtheir s elf-busar-ance license number an the appropriate line. City or Town Officials Please be sore that the affidavit is camiletn andpriatedlegfIy. The Departmeotbas provided a space of the bottom ofthe.afdidavitfor youth fill out inthe event ire Office ofInvestigatioms has to cordactyouregardmgthe applicant Please be sure to Ed in the peamitAlicense mi mber which will be used as a mfcrence number. In-addition,an applicant that must submit multiple pemit/license applicafions in any givear year,need only submit one affidavit indicating casent p ohry mfohxaation(if necessary)and under"Job Site Address"the applicant should white"all locations m (adY or town)-"A copy of the•affidavit that has beca officially stamped or mm ced by the city or town maybe provided to the - apPlicamt as.proof that a valid affidavit is oa file fur fatax pemrits or licenses A new affidavit must be filled oiht each year. Where a home owner or citizen.is obtaining a license or pehmit not related to any business or commercial verhture (i_e.a dog license orpet>nrt t o bum leaves eft.)said Pelson.is 2�IOT req�ed to complete this affidavit The Of of Investigations would like to lank you in advanca for yOu r cooperafiam and shadd.yam have any qaes►ions, please do not hesitate to give us a call. The Departments aridness,telephone and faxrmmber: - 1�e CG=MMWeS1&Of MaSMCELn-&tks - Deparhneut of 1ni&mtdd Accidents 654tOn Sire r MA 02111 Tel.4 EI'�' -49 *f9 t 406 or 1477 MASWE Rax4 617'27 7749 Revised4-24-07 - ,Wtmas . � ia Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 • Boston, Massachusetts 02116 Home Improvement Contractor Registration -- - Registration: 184619 ;: :.:--.`•`..` Type: LLC `..... Expiration: 2/18/2018 Tr# 28WO DELLBROOK CONSTRUCTION, LLC- * ;.:...: ..:;: MICHAEL FISH ' ONE ADAMS PLACE 859 WILLARD..ST QUINCY, MA 02169 _.. Update Address and return card.Mark reason for change. sCA 1 0 20M•051ij [] Address• Renewal ❑ Employment Lost Card 0 C`//eor�r�eo�uaeal�•o�C��atsrre�r�vr!!� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: .184B19 Type: Office of Consumer Affairs and Business Regulation xpiration: W812018 LLC 10 Park Plaza-Suite 5170 DELLBROOK CONSTRu.CTI0k LLC Boston,MA 02116 MICHAEL FISH ONE ADAMS PLACE 859 WILLAR adky,MA 02169 Undersecretary Not valid without'signature h �Y ,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0q3 Parcel 039 Application #.2�� Health Division Date Issued- Conservation Division Application Fee r5c) ' y Planning Dept. Permit Fee t t 7G, Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis L' U C Project Street Address 6-2 SvvtA Eoy I&Q Village dsfeM Ike Owner $k6ele- P N'ess (eC Address ,- C'o►.,►Mo�+wb•/* Ave ?05kj W.4 ozl« Telephone QW"ef kT/E5fftk 1WuNufer: SA 11 r Afk6 v" (s&P))7 S'8-%&-Z AZO CasaICL l 334b0 Permit Request H�rrio✓ �eNo�►fir,,,, 1,,&4 T(icvs or► ki chen ✓fkl"fib-i. /¢/So 111'«2,ove bu if-im Cub,'nch l kl Ali; C' s[xfrH. � Corr i Se , ra�Do Square feet: 1st floor: existing y00 proposed 2nd floor: existing q,`1 proposed D Total new D S I:+ RC R F-I Zo�c 14EI 2% Aro""1 f l,o«a �F(&cQ Zoning District Flood Plain Groundwater Overlay ��' Project Yaluation Z69/135" Construction Type DS Ar Lot Size 2•S'2 acrr5 Grandfathered: ❑Yes ® No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ MultkFamily (# units) Age of Existing Structure le yeArs Historic House: ❑Yes ® No On Old King's Highway: ❑Yes W No Basement Type: 0 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) y.yov t/- Number of Baths: Full: existing 7 new O Half: existing / new O Number of Bedrooms: 'q existing 6 new Total Room Count (not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: ❑ Gas 0 Oil ❑ Electric ❑ Other Central Air: IN Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No 72o SF Detached garage: ❑ existing ❑ new size_Pool:Ell existing ❑ new size _ Barn: ❑ existing ❑ new size_ /,a*sr- Attached garage:29 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: i 4 yA.afe ►s A h664 wf- a roan&kNs roof styvkhor. Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes A No If yes, site plan review# Current Use CPs, eyke, Proposed Use (Les%Oe e APPLICANT INFORMATION (BUILDER OR HOMEOWNER) [I.G Name (Ji 11i(,y0 welly J K. SCaH(ao (Omro Telephone Number 0>8 -Z90-71 S" Address IS 12emorcA Rd License # C5 080 -779 E };rIMOA Af OZE3(v Home Improvement Contractor# Email Wke11Y(9 ')kSe414(AN•C0m Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ` may` ' DATE ��► �� i FOR OFFICIAL USE ONLY APPLICATION # - DATE ISSUED ' MAP/ PARCEL NO. ADDRESS VILLAGE - `OWNER { DATE OF INSPECTION: FOUNDATION FRAME INSULATION y FIREPLACE = } ELECTRICAL: ROUGH -FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL lj FINAL BUILDING ' DATE CLOSED OUT � ASSOCIATION PLAN NO. ' T � 7 1 27ie Comuromveaf h of-Massadruse ttv DvastyKerit of1Ud-Mstriaf-1CCidenir Office q M.W9tigations. 600 Washvrglon,street .Boston,W 02HI wrtnu rnasmgov1dia 'Warkers' Ctimpensaf an Insurance Affidavit:B.tlderslContraciursmectticiansJPhunbers Allpficant Infarmatian Please PrintF y .Nam LC Address: 15 Research Rd City/Stw&2alyEast Falmouth, MA 02536 Manes 508-540-6226 Are you an employer?Checkthe appropriate box: Type of project(requireq_ 1.❑ I am a employes with 4. ®I am a general contractor and I 6. Q New consftucfiun employees(f&andfor part-time)-* 1mve hiredthe suh-=tractors 2.❑ I am a sole proprietor orpartner- listed on the attached sheet, 7- Q Remodeling ship and have no employees These sob-contractors have 8. Qx Demolition won ng far me in any capacity. employees and have xvorlrPrs' [No tvorlbecs'comp.inset ce comp.insmunce l 9. Q Building addition required-] 5. Q We are a norporatifla and its 16 Qx Electrical repairs or additions 3.Q I am.a homes merer doing all work officers have exercised their 1L®Plumbingrepairs or additions o yuorlaem m '��- right of exemption per MGL c.152 §I(4k and 12.Q Roofregaits +nsI��+�zan rere�edj i - employem[No worim& 13.00ther coazp-insurance required.) •Bray appEicaaCfttchedsbox II mast also W out the sec ioabeiowsbaniag theawodcere ca®persatiaap army insumx6ao_ 1 ameoaraerswha submit dtis dFdaoa ia&catiag they are doing Owe&aad then bae=td&c=&=tars— submit anew sd—ndxvft iadiating sucIL ZCoatacta ffW e1-1r tWN bmc mast attached as sdditianat sheet showhig tbenune of the sub-ca mxud state whether arnmtbose m ties bzm empWyees.Iftbesnb•taat arshaee empIoyees,theymisrpmvi&thek workers'amp.palky nmttber. I am art eihpLa yer tliat is providing workers'eon3gmLsaffort insuraaca for my enrplvjwes Beroty is the policy and job situ information. Insurance Company Name- Twin City Fire Insurance •PolicyMorVelf-iMJUC. t 08WEQT6584 ExpjrdtionDate_ July 1, 2016 JOb&teAddre= 40 South Bay Rd / 52 South Bay Rd Ciiyfstatef�sp: Osterville, MA 02155 Attach a copy of the workers'compensationpolicy declaration page(shoving the policy number and expiration date). Failure to secure coverage as regduedunder Section 25A o€MGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,500:00 andfor one-3 ear impriisonment,.as well as civil penalties in the form of a STOP WORK ORDEKand a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe finwarded to the Office of Iavesttgations ofthe DL4 for iaswm=coverage:verfrc atioa. I da hemby cerhjy under die pans ame�nd ppe/e`naWas ofpm ury fltatMa info rwatimrprm i&dabove is&us and cortect ffiMOatLUW William Kelly phone7� 508-280-7165 021di L net enly. Do not tvrks in tf s area,to be cmnpkted by tdip artoern q.Tw 1 My orTown: PeraftTAcense f Issuing 4-u9sonty(tdreIe one): L Baud Heal& I Ong Depar[mnut 3.CAyfrawn Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Omer Contact Person: Phone#: 6 Taformation and lastrnctions DTassach Cft C=tenl Laws chapter 152 requires all employers to provide workers'c mpeusafton figr their�03' - p .this s6&itq,an errployee is defined as."-.every persanm the service of another under any contract ofhim, express or implied oral or wr" An errplayer is defined as man individual,part ammbxp,associafi6n,cmporaion or other legal entity,or any two or more of the foregoing engaged in.a Joint enterprise,and including the legal aegresenfa Ives of a deceased employer,or the receiver or trustee of an individual,patft=ship,association or other Iegal entity,empl°Ping etnpIopees. However the owner of a.dwelling house having not more than three apartments and who resides therein,or the occupant ofthe- dwelling house of another who employs persons to do matt enance,contraction or repay wo&on,such dwelling house or on the grounds or buta mg appurtEnaot hereto shall notbecanse of such employmeutbe deemed to be an employer" MGL chapter 152,§25g6)also states dint"every stain or Iocal licensing agency shall withhold Elie issuance or renewal of a license or per 'to operate a business or to construct buldhV in the commonwealth for any applicantwho has notprodutced acceptable evidences of cdmpL-mce with the insurance coverage required." Additionally.MGL chapter 152,§25C(7)surtax Neither the comanaawealih nor 6ny ofits political subdivisions shall ewer into any contract for the perE=Lauce ofpublic work until acceptable evidence of complia;oce with the mso raace. requirel3ieEdS of this chapter have been,presented to the confraci anthDXLty." Applicants Please fill.out the workers'comp emsation affidavit completely,by checldag the boxes that apply to your situation and,if necessary,supply sob-conttarlor(s)name(s), addresses)and phonen=ber(s)along withtheir certdcate(s)of insurance. Limittd Liability Companies(LLC)or Limited LiabiilityParfne bips.(LLP)widLno employees other than the mem�bers or partners,are not required to cant'workers'compensafion insurance. If an LLC or 112 does have employees,a policy is regaired. Be advised thd.this aff&,ykmaybe sabmitbd to the Depadhment of Industrial Accidents for conformation of msarmce coverage: Also be sure to sign and date the affidavit The affidavit should be retamed to the city or town that the application for the peamit or license is being requested,not the Department of Industrial Ac ' ante Shouldyou have any questions regarding the lave or ifyou are reganed to obtam a wox3c=* compensationpoliey,please call the Depadment at the n=ber Hsted below. Self-insured cmmpanies should enter their self-insurance liccroso number on.tile, line. City or Town.Officials Please be sure that the aidavit is complete andprkbd legrfiIy. The Depa lmenthas provided a spa atfficbotbonx of the affidavit for you to U ouxt in the event the Office of7nvestigations has to contact y°uregardmg the apt licant Please be sure to fill in the penniUlicease mn aber which wM be used as a refiere ace amber. In-addition,an applicant that must submit multiple peTnit1Ucense appht:ations m any gtvercyear,need only submit one affidavit and mEng emrent policy information.(if necessary)and under"Job Slit Address"the applicant should write"all Iocatians in (may Or town).'A copy of the•affidavit that has been officially stamped or marked by the city or.tnwn may be provided to the - applicant as.prooftbat a valid affidavit is on file for futax permits or lice mscs. Anew affidavitmust be filled ck earn year.Where a homeowner or d i=is obtaining a license or pemrt not related.to any business or commercial-v&a xut (i•e,a dog license orpe.nnit to bums leaves eta.)saidperson is NOT required to complete this affidavit The Office of Investigafio s would bloc to thank you in.advanco for your cooperatimrl and shouldyon have any,questions, please do not hesiiatr.to give us a call- The Department's addrems,telephone and faxnnmber. - TIke Co=mMWd2Iflr of M&qMChUMtts Dapazimenfi of Iad��a1 Accidents . �Q4� n Strom $osbon.MA 02111 Ta 4 617-727-49M Mt 406 or 1--M MAITOM Fax#617727 7749 Revised4-24-07 ww DELLBROOK I JKSCANLAN CONSTRUCTION LLC 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 � S T hevory ry Project Manager File: 1547- Permits DATE(MM/DD/YYYY) '`� �® CERTIFICATE OF LIABILITY INSURANCE 1/8/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: 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 CONTACT Christina Jaeger Alliant Insurance Services, Inc., NAME: . 61istina aeg FAX 131 Oliver Street,4th Floor c No: 617-535-7205 Boston MA 02110 E-MAIL ,cjaeger@alliant.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Allied World National Assurance Com 10690 INSURED INSURERB:Starr Indemnity&Liability Company 38318 J.K. Scanlan Company LLC INSURER C:Navi ators 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 MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY 0308-4515 7/1/2015 7/1/2016 EACH OCCURRENCE $1,000,000 CLAIMS-MADE aX OCCUR DAMAGE TO RENTED PREMISES Ea 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 a JEC 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 LIAB CLAIMS-MADE AGGREGATE $10,000,000 DED RETENTION$ $ D WORKERS COMPENSATION 08WEQT6584 7/1/2015 7/1/2016 X STATUTE ERH AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? ❑N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $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 REPRESENTATIVEat ,-rVo hA p v - @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ffo � DELLBROOK ' JKSCANLAN 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, I 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 ;�?' a Tom Shevory Cc: File 1547- Permits �,•• • V. LV Iv I it till CJ IGIC III QIIG6111C 111 NO. 4/4J 1 , 4 t - i1 HAWSTAgt.S,� • ` Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-86 •4038 Fax: 508-790.6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize J.K. Scanlan Company, LLC to act on my behalf, in all matters relative to work authotized by this building permit application for: 52 South Bay Rd Osterville, MA 02655 (Address of Job) 1 Signatute of Owner D to �TIz►�l� ran. ���s�..�� Print Name If Property Owner is appl ing for permit,please complete the Homeowners License Exemption Form on the reverse side. C:1Users\Decollik\AppData\Local\MicrosoftlWindowsiTemporary Internet Files\Content.Outlook12PIOID14R1E?iPRESS.doc Revised 040215 �..l��iaocrct Office of Consumer Affairs&'Bdsiness Regulation HOME IMPROVEMENT CONTRACTOR Registration: 180808 Type: Expiration: 1%7/2017 Individual WI ' IAM KELLY WILLIAM KELLY _ _ r 17 SYLVAN DRIVE HYANNIS, MA 02601 Undersecreta F r ' Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-080779 Construction Supervisor •, ty Kp.� r. r��.s WILLIAM A KEL'LY S SYLVAN##17 "+ ;HYANNIS-MA ,02601 � , �M Expiration. commissioner 0611212017 Town of Barnstable _ RE Ell PT aA KAs% 200 Main Street, Hyannis MA 02601 508-862-4038 n ia34• e.� S �i -fin Application for Building Permit -� Application No: B-17-3569 Date Recieved: 1011612017 N_ cpA Job Location: 52 SOUTH BAY ROAD,OSTERVILLE R, rJ Permit For: Building-Siding/Windows/Roof/Doors Contractor's Name: DEAN C FRASER State Lic. No: CS-097668 Address: EAST FALMOVTH, MA 02536 Applicant Phone: (508)428-2292 (Home)Owner's Name: KESSLER,P MICHELE Phone: (508)428-2292 (Home)Owner's Address: 1 COMMONWEALTH AVENUE, BOSTON,MA 02116 Work Description: re-roof main building and replace 6 windows Total Value Of Work To Be Performed: $165,000.00 Structure Size: 0.00 0.00 0.00 Width Depth Total Area I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers' Compensation Act(Chapter 568). I understand that pursuant to 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. I hereby certify that I am the owner of the property which is the subject of this application or the authorized agent of the property owner and have been authorized to make this application. I understand that when a permit is issued,it is a permit to proceed and grants no right to violate the Massachusetts State Building Code or any other code,ordinance or statute,regardless of what might be shown or omitted on the submitted plans and specifications. All information contained within is true and accurate to the best of my knowledge and belief. All permits approved are subject to inspections performed by a representative of this office. Requests for inspections must be made at least 24 hours in advance. Signed: Dean Fraser 10/16/2017 (508)428-2292 Applicant Date Telephone No. Estimated Construction Costs/Permit Fees Total Project Cost : $165,000.00 Date Paid Amount Paid Check#or CC# Pay Type Total Permit Fee: $841.50 10/16/2017 $841.50 XXXX-XXXX-XXXX- Credit Card 5178 Total Permit Fee Paid: $841.50 x. THIS qIS=NQ ',A PERMIT , Y : _ , FRIEDLINE'&CARTER ADJUSTMENT, INC. 436 Main Street, P. O. Box 338 ! Hyannis, Massachusetts 02601 Tel. (508) 771-3232 FAX (508) 790-2344 TO: ( Building Commissioner or Inspector of Buildings ( ) Board of Health or Board of Selectmen ( ) Fire Department TOWN OF Barnstable TOWN HALL Hyannis, MA RE: Insured: KESSLER, Howard & Patricia M. Property Address: 52 So'uth2B y-Road -. Os�niille MA02655 Policy Number: PCG 0005203599 ' Type of Loss: Lightning Date of Loss: 6/26/2012 File#: 115273 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of this writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by First Class Mail. P. J. PARECE �' l Adjuster 7/17/2012 LA) � 1 toff 0 4/9 7q Town of Barnstable *Permit# � Expires 6 months fionr issue date Regulatory Services Fee 77 BARNSTABLE, + , / 7 9� MASS. S. �� ,0� Thomas F.Geiler,Director ' / ArEDMP'I -P.RESS PERMIT Building Division Tom Perry,CBO, Building Commissioner 0 C T 1 3 2009 200 Main Street,Hyannis,MA 02601 n www.town.bamstable.ma.us Office: 508 8b2F BARt�ST�Q.,l�E Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ' Not Valid without Red X--Press Iinprint Map/parcel Number , C)9 3 o 39 pp ���� Property Address J - y aU �'CXL(^ t dC� X'V l I esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 14o ic't fcR t eQS jex Contractor'sName,-;;�j-. 2� ��� �oas' t,)F Mcy, t1.a,� Telephone Number N7- ;N� Home Improvement Contractor License#(if applicable) IC 6_02.�j Construction Supervisor's License#(if applicable) C! 2/Workman's Compensation Insurance Check one: ❑ I am a sole proprietor WI am the Homeowner have Worker's Compensation Insurance Insurance Company Name `-N Workman's Comp.Policy# LAq-1 115 Is 7 Copy of Insurance Compliance Certificate must accompany each permit. Permit R=(stripping k box) old shingles) All construction debris will be taken to (-`,Ssd IGS ❑Re-roof(not stripping. Going over. existing layers of roof) ❑ Re-side #of doors ❑ Replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this pemvt does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\ 'ding permit forms\EXPRESS.doc Revised 090809 ,4co CERTIFICATE OF LIABILITY INSURANCE DATE 04/2M,D°mYY' 4/29/09 PRODUCER 1-860-560-2766 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher Risk Management Services, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 10 Columbus Boulevard ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hartford, CT 06106 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA:CONTINENTAL CAS CO 20443 J.T. Cazeault & Sons of Plymouth, Inc. INSURER B: 51 Armstrong Road INSURERC: Plymouth, MA 02360 INSURER0: INSURER E: - COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT;TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED.HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION PE OF INSURANCE POLICY NUMBER T LIMITS A GENERAL LIABILITY 414419123 05/01/09 05/01/10 EACH OCCURRENCE S 1,000-,000 DAMAGE-TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurre e S 300,000 CLAIMS MADE Fix OCCUR MED EXP(An one person) S 10,000 PERSONAL BADVINJURY S1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES.PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY r X JECT PRO LOC A AUTOMOBILE LIABILITY 414419719 05/01/09 05/01/10 COMBINED SINGLE LIMIT X ANY AUTO (Ea accident) S 1,000,000 ALL OWNED AUTOS . BODILY INJURY $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S A EXCESS/UMBRELLA LIABILITY 2084939235 05/01/09 05/01/10 EACH OCCURRENCE $5,000,000 X OCCUR CLAIMS MADE - AGGREGATE $ 5,000,000 DEDUCTIBLE $ X RETENTION $ 10,000 $ A WORKERS COMPENSATION 414419557 05/01/09 05/01/10 X WCSTATU- I OTH- AND EMPLOYERS'LIABILITY Y/N I TORY LIMITS FIR ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mand atory in NH) E.L.DISEASE-EA EMPLOYEd S 1,000,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Evidence of Insurance. Job, project number, location: Policy limits are limited to that which is requested in the written contract. Job, project number, location: CERTIFICATE HOLDER CANCELLATION *10 day notice for non-payment of premium SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Building Division 210 Main Street REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE USA ACORD 25(2009/01)farshahar ©1988-2009 ACORD CORPORATION. All rights reserved. 11745828 The ACORD name and logo are registered marks of ACORD ' Y J.T. a ea U • • • MM4 ROOFERS & SHEET METAL WORKERS September 29, 2009 Mr. John Anketell 52 South Bay Road Osterville, MA 02655 Re: Re-roofing @ 52 South Bay Road, Osterville i Dear Mr. Anketell, We propose to furnish all labor, materials, and supervision required to complete the referenced project according to the following outline: 1) Remove and properly dispose of all the existing roofing materials on the specified area on the back side of the garage to the hip near the tower. 2) Install W.R. Grace ice dam protection in the valleys, along the bottom three feet of the roof and the entire low pitch section of roof. 3) Install 30# felt over the remainder of the exposed plywood on the roof. 4) Install Cedar Breather over the entire roof surface on the sloped roofs. 5) Install 18-inch red cedar"Perfections"wood shingles, nailed with stainless steel ring nails, over the.exposed underlayment. 6) Install ridge vent underneath a red cedar ridge board the entire length of the home. 7) Install lead-coated copper flashings in the valleys and around any penetrations coming through the roof. 8) Install copper step flashings where needed. The cost as outlined is $22,900. Please note: • The cost does not include any deteriorated wood replacement other than specified. • The cost includes re-working the existing chimney flashings as necessary. Sincerely, Acceptance Seamus Cazeault scazeault@jtcazeault.com A Roofing Family Since 1927" 51 Armstrong Road • P.O. Box 6005 • Plymouth, Massachusetts 02362 (508) 747-3800 9 1-800-649-3880 • FAX (508) 830-0620 • www.itcazeault.com andards 1 rd otuildinnR supervisor license gc construction Sup 5 a \ Con Ltcen$e' CS g859 Tr# 98595 ' Expi��On•--'21241 e �estiction S CPAZE'v`\` �/ missiOner Ames 3 CAPT pLDENS 0 65� Cp1° _ ,_-__• _ram --�.- I i ,ram 1. IC�p an�izoouuea a��ac�ivaella �\ Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards i  — Registratio.n: 105024 One Ashburton Place Rm 1301 Ezpi[ation=.7/16/2010 Boston,Ma.02108 Type:=Supplement Card 1 (. •J.T..CAZEAULTIB SONS,OF PLYM S�IiTI�'S CAZEAUL"-T J�R�,,-'-�- 1 51 ARMSTRONG ROAD' N.PLYMOUTH,MA 02360 Administrator Not d without signature J The Commonwealth ofMassach«setts Department of Industrial Accidents ! Office of Investigations 600 Washington Street -�c�! Boston, MA 02111 ivrvw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ((�� Please Print Legibly Name (Business/Organization/Individual): T ki� �o'1D�2��ft � CSC`10,V Address: ,Sl City/State/Zip: N\ a2-3CZ Phone k fir, -7YZz ROa Are you an employer? Check the appropriate box: Type of project(required): 1.(_�}�1 am a employer with ZS 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have g, ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.) t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C N Policy#or Self-ins. Lic.#: Lf IyL( h�l 55�7 Expiration Date: S1 O/1 1O Job Site Address: SZ � City/State/Zip:1%"t«<C , '�� � 2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the D1A for insurance coverage verification. I do hereb c .t cinder a pains and penalties of perjury that the information provided above is trice and correct. Si nature: Date: �� r Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should . be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. ,Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street ' Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 4-24-07 www.tnass.gov/dia AN TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL_ LD 093 039 CEOBASE ID 4408 ADDRESS 52 SOUTH -BAY ROAD -PHONE OYSTER HARBORS ZIP - LOT A BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT TYPE BC901 DESCRIPTION SINGLE FAMILY 'CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services ( TOTAL FEES: BOND $.00 Ox THE ( CONSTRUCTION COSTS $.00 756 CERTIFICATE OF OCCUPANCY N' t • ■ARN3TABM MASS. �► OWNER KESSLER, P MICHELE �i6g9. �0 � ADDRESS ED Mfg 6 1 COMMONWEALTH AVE BOSTON MA. .'BUIL , ING IVIS O BY - - DATE_ .ISSUED 08,/28/1997... - EXP-IRATION DATE PI t, R I !c Department of Health, Safety r ;; and Environmental Services BARNSTABLF, MASS. 039. MIS BUILDING DIVISION BY 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 (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. POST THIS CARD SO IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 5 k �iOZ�(i L cZ�r✓•o% �/Z�96 oil �� 2 / 2 !w 2 ;Per 4t-Xe'71es 1 HEATING IN VA E INEERI DEP, RTMENT 2 �I �O C BOARMIE H T ,_-/lo�la��� OT ER: SITE PLAN REVIEW APPROVAL Yj 9 1 �c �a WORK SHALL NOT PROCEED UNTIL PERM T 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. 508-790.6227 • � as331 • J, i W A Assessor's Office(1st floor) Map 93 Lot 39 & 0ermit# 0 Conservation Office(4th floor) �f;f 1�9y,--, Date Issued 9—f 9 Board of Health(3rd floor)(8:30-9�00-2:00) Fee p,� Engineering Dept. (3rd floor) House#1 JS 62, 4"RPTICPlanning Dept. (1st floor/School Admin. Bldg.) /ya /Zc�c ��ALLED E ehitr�srze' s i � Definitive lanceAp ve by Pla Board /% ce///7c o 19 W27H 0 TOWN OF•BARNSTABLE! r.. ? _�� -, Building Permit Application Project Street Address 439' South Bay Road Ostervi lle Village Owner Ms—Kesseler Address 6 MrCarthy Ci rrl P Frami n{[ham.MA Telephone 508 875-6748 Permit Request C.-Q .O 05 V-- raN ot, O, Total 1 Story Area(include 1 story garages&decks) -3 2 0 0 square feet Total 2 Story Area(total of 1st& 2nd stories) 3000 square feet Estimated Project Cost $ 850, 0 0 0.0 0 Zoning District F 1-C Flood Plain yes Water Protection yes All Lot Size ins,Finn s__ ff.- Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use One Family home Proposed Use One Family home . Construction Type Two story, Wood Frame Commercial Residential One Family home Dwelling Type: Single Family X Two Family Multi-Family Age of Existing Structure To be removed Basement Type: Finished Historic House Ne Unfinished x Old King's Highway No Number of Baths 7 No.of Bedrooms 5 Total Room Count(not including baths) lA First Floor Heat Type and Fuel g a s Central Air vac Fireplaces 1 Garage: Detached Other Detached Structures: Pool X Attached x 3 car Barn None Sheds x P x i -g t i n q Other Builder Information Name P i c a r d i , William J. Telephone Number ( 5 0 8) 4 81-2 9 2 9 Address 299 Tnrnpika gnarl License# 014878 2-8-96 Sauthborough, MA Home Improvement Contractor#107650 8-5-96 01772 Worker's Compensation# NWA 17 5 4 4 9 9-0 0 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 Removed by 5 Star Roll off rnntainerc SIGNATURE Z DATE./ BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) fi FOR OFFICIAL USE ONLY PERMIT NO. #10505 DATE ISSUED Sept. 21, 1995 MAP/PARCEL NO. 093.039 t ADDRESS 52 South Bay Rd. VILLAGE Osterville, MA 02655 i OWNER Ms. Kesseler DATE O�NSPECTIO . : FOUNDATION FRAME INSULATION FIREPLACE���?w ELECTRICAL: ROUGH FINAL PLUMBING: - ROUGH FINAL GAS: � ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Assessor's Office(1st floor) Map A Lot 3 Permit#. Conservgtion Office(4th floor) Date Issued Board of Health(3rd floor)(8:30-9:30/1:00- 2:00) C. Y�O b kOA Fee• SD , Engineering Dept. (3rd-floor) House#1 .S, e- r, `J_oZ Planning Dept.(1st floor/SchoolAdmin. Bldg.) /i/o /?�co��s`• ,l,°�,/,/ate, BARNbTARIE. Definitive oved by Planning Board 14 o D�C�ovd/ 19 e a TOWN OF-BARNSTABLE Building Permit Application �w Project Stre Addr s1 South Bay Road Ostervi 1 1 e C Village -Owner t ) Mr-,- KPce61 Pr Address 6 McCarthy rthy ri rr1 P Framingham'Ma Telephone ( 508) 875-6748 Permit Request (�jc l ;n � Total 1 Story Area(include 1 story garages&decks) 3200 square feet Total 2 Story Area(total of 1st&2nd stories) ��--3\\000 square feet Estimated Project Cost $ 850,000.00 M�To l (t � Zoning District F1 - C Flood Plain yes Water Protection yes Lot Size 105, 600 s q. f t. Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use One family home Proposed Use One family home Construction Type Two story, Wood Frame Commercial Residential One family home I i Dwelling Type: Single Family X Two Family Multi-Family Age of Existing Structure To be removed Basement Type: Finished Historic House No Unfinished X Old King's Highway No Number of Baths 7 No.of Bedrooms 5 Total Room Count(not including baths) 14 First Floor Heat Type and Fuel gas Central Air Fireplaces 1 Garage: Detached. Other Detached Structures: Pool 1 Attached X 3 car Barn None Sheds x existing Other Builder Information Name Picardi , William J. Telephone Number (508) 481-2929 Address_ 999 Turnpike Road License# 014878 2-8-96 Sniit hnrOiiab, MA Home Improvement Contractor#107650 8-5-96 01772 Worker's Compensation# NWA 17 5 4 4 9 9-0 0 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 Removed by 5 star roll off containers SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) .i I ' FOR OFFICIAL USE ONLY } 9791 ,:'. PERMIT NO. rF DATE ISSUED August 17, '1995 MAP/PARCEL NO. 093.039- - t ADDRESS 52 South Bay Roads VILLAGE Osterville, MA 02655 ° OWNER Anthony A. Will -Duncan_ Forbes. Will TR DATE OF INSPECTION: �� t FOUNDATION FRAME INSULATION FPLACE - . ELECTRICAL: ROUGH FINAL PLUMBING: F ROUGH FINAu' - GAS: ROUGH a. FINAL q .� ,, tip FINAL BUILDING ;� E') DATE CLOSED OUT j ASSOCIATION PLAN NO. ; 1 e e dA'YGx'1 e,:. a: .aao:...,..� conunonwaaa of fflawaclau4O& 0.90.2LO Jatoms,.cwmbeo ®Zf f f M .. ®rkens Campmmdan uwzmca Affl&vft Ulu, ►{ M A2 Q s with a principal place of business a� cc�uasys� do hereby certify under the pains and pemmodties of perry, th= (, I am an employer provid'mg w®rkel�t ens2dOn fig fawe dais job. �11Una w _ CO insurance Company p�ficy Number �) I am a sole prepriesor and have no one worldng for we gn w Ca . eras watt cwr or hom er ( ' Oue) a c I am a sale proprietor, ge3t con=ctors Qsced below who huge the following wow' coMeNW&OU poffdc Conuaacor Corzuacwr Contrat=or () I aan a homeowner performing A the work myself. I UndLaM"-,ut a CCWf of his s=cmm will be ftmrded to ft OMM Of Inver of dM MA for a>We MW 6ozenge z n=--sd under Sian ZM of MGL 152 eat lead to the of ohos� Y*= i NI tte: tics t =p �w®RK 4ROER�a flee af,310=i dor '�rrn Signed chu � � � T— ,� Ukensee�Permirrae I . .:�'` aoanlwt COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _ • OF ONEASHBORTONPLACE _ _. �stof/ar0�� MASSACHUSETTS vNi MA'all)eLIC I - o tMeeN� EXPIRATION DATE O'at;2- �il CONSTR, SUPERVISOR CAUTION 0 2/0 8/1 9 9 6 FOR PROTECTION AGAINST RESTRICTIONS EFFECTNE DATE UC-NO. i THEFT, PUT RIGHT THUMB NONE 06/i0/1993 014878 PRINT IN APPROPRIATE BOX ON UCENSE. 1�e,,� HOPKINTON MA 01748 MUST INCLUDE PHOTO. PHOTO(BLASTING OPR ONLY) F %' ) •. ' 0•00 NOT VALID UNTIL STONED BY LICENSEE AND OFFICIALLY HEIGHT: . :` STAMPED-OR-SIGNATURE OF THE COMMISSIONER ` THIS DOCUMENT MUST.BE �^ CARRIEDONTHEPERSONOF TUBE SEE SIGN NAME LLABOV�FI(4��M)yTUBEUPW_- THE HOLDER WHEN EN- LLD L� C7 L OTHERS•RIGHT THUMB PRINT GAGED IN THIS OCCUPATION. ��ER HOME Oa MPRp� NO r d EME ...... .. one BU 11 di n9 CON TRAC TORS ... AshbUrtO ,e9Ulat REGISTR HOME Boston Ma place lone and St A7Ip4 Re IMPRpVEM $achUse .R°Om 1301andards19-L ti ` 1.1 TYPe StratiOn 107 CONTRAC tts .02108 PRIVA 65p OR a' COR Rq )(Pi p - P T I N. ra t!O n 08ip5 Picard '. . : /96 Will COnstr -'----- iam UCti > Soy TUr J'keicardi ° Inc, � UthbOrOU9h MAad ; ? . !TOME IMpRO 017 Rdeiitratio, ..Type - PRI Expi ration lea di Co icast;. Southborough NA "•4 :\• .. }}M:v;.. t'.:... •.,•:}:•"•....:vA.n}.v t\.. x...v..n•.:.,\...v.. t..:. .. ,--:.t..t ...v..tQ-v. ...a,v:•nt{:'vi}T::^'\,::?..n,+� n.....itii'•}:w:.�.k;k:i.<k:::::�w:.,:.�: ::4�ii):i:}T.:,.:i?.y:vn. :•\`�i t }.,.4k+,+•v.\..•.:..,'..�,.,.yn\?..,.n.�.x.+.nv.,...nt•,.vv vatik^\\I�:;;;•:o:^..n.•T4•:i:.vv•::'}.::kv�.\t•;.T n\..:.......v.•v...\.\,•v..:,:.+.,v+.m.•:.:,.- yv... ��.\•„\\\\:a a\:agt„;,+\,\\..•awat..a`.k\..v...\tkv:v}..:.;}a:;;`:.5,s.::,�;:,�kvv.k}k.i:..:'c:\:};.,:k:..k..�::».y,,::,.,_:.\..`,Y,::\S:.,:a•g}i:'y.a.,�+^:;�::<4:::-,.<k}k`:a:T?•:v::;k y-.:\.:';.•T;�•::.k;v\;�a::.n.C.G Ga.:-�::y;..::,:: ;...::•y....:`::.R,.,.::•..•:ya..:::k..};c..:..y.:T::k.>T}�}`}•.:;:•.:k> :I.S..SUE DATE .MN,A1Ll iDf 1•y/. . $; � k,•:• :?;;:: r }:.�:: •\ ....+ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED-BY THE Fitts Insurance Agency Inc. POLICIES BELOW. ................................................................................................................................................I................ 40 Union Avenue ...... P. 0. Bose 565 COMPANIES AFFORDING COVERAGE FraminghamMA 01701 `....................................................................................................................................................................... COMPANY A Worcester Insurance LETTER ....................................................................................................................................................................... COMPANY B ................................................................................................................................INSURED LETTER :.......................:............................................................................................................................................... Picard/ Construction Inc. LL RNYR C 255 Turnpike Road ....................................................................................................................................................................... COMPANY D Bouthborough WA 01772 ' LETrE R .................................................................................................. ................................................................... COMPANY E i LETTER C4 :::::::.:::::::::::::::::::::::::::.: ................ THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOP? THE POLICY PE?,NOD 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. ............................................................................................................................................................. ................................................................................... Go: TYPE OF INSURANCE POLICY NUMBER :POLICY EFFECTIVE :POLICY EXPIRATION LIMITSLTR; DATE (MMIDDAN) DATE(MM/DD/YY). ... :................................................................................. .................................. GENERAL LIABILITY C2814793 03/15/95 :$ A :........., 03/15/96 ` GENERAL AGGREGATE E 2000000 x COMMERCIAL GENERAL LIABILITY pTODUCTSCOMP/OP AGO. ...,E...............2000000... ............................................ ............. .... ........... CLAIMS MADE X OCCUR. ; PERSONAL.&ADV.INJURY ;E Included OWNERS 8 CONTRACTOR'S PROT. ; EACH OCCURRENCE S 1000000 - ................................................FIRE .... ... .I DAMAGE(Any one fire) :$ 100000. ................................................ ....: .... .... ................................. MED.EXPENSE(Anyone Person);$ 5000 .............................. ............................................................. ............................ ............................ ..... - ...... ........................................ AUTOMOBILE LIABILITY ......................... ANY AUTO 'COMBINE D SINGLE L IT' :E }......... ............................................ ...................................... ALL OWNED AUTOS INJURY BODILY Y SCHEDULED AUTOS (Per 9r aon) S :.........:HIRED AUTOS ;.. ........................................ .................................. BODILY INJURY :......... NON-OWNED AUTOS. ...(Per accident,'d nt .......................... GARAGE LIABILITY O PROPERTY'P DAMAGE :$ ........:..........................................................y...................................................... .................. ......................:.................................}................................................ :EXCESS LWBLITY :EACH OCCURRENCE :$ ;......... :................................................................................. UMBRELLA FORMa AGGREGATE S :. .::::..:.:.:.:.:.:;........; :. ::.;,.i.... OTHER THAN UMBRELLA FORM :J::::;;. ; ................ < ............................................................................................................................... :. i WORKER'S COMPENSATION STORY LIMITS .............................................. :................................... AND EACH ACCIDENT S :................................................:........................................ DISEASE-POLICY LIMB :$ 'EMPLOYERS'LIABILITY :....................................................................................... DISEASE-EACH EMPLOYEE :$ .................................:.................................;.................................................................:.................................:.................................................................................;........................................ OTHER .....::........................................................................... ........... .......................... ........... .. .......:.................................:........................................................................................................................ ION DESCRIPT OF OPERATIONS40CATIONSNEHICLES✓SPECLAL ITEMS JOB: $200,000 ADDITION WORK PERIOD: 06/19/95 TO 10/31/95 ::....,.:.K_,.A..:..,:.: s:>::>::<::::>>:::<::?. ;:><{>;<::><:>z«:'z»::»r;»>>:»::»»» C..1#� .....:.......:::::::::::::::::::::::::.......::.:.::.......:::::::::::::::.::::::::.:::.............................................. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO rAlke &, Jane Jackson Jr. MAIL 90 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE 55 Afain $treat :: LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIG:.TION OR Seuthbero/ 129A A1772 ? LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Issued: 06/20/95 _ ::%`:::AUTHOR®REPRESENTATIVE RM INSUPANCE AGENCY,INC. :k;'��((;;��•y:,y:�/,:,yy:::p::::`.��:{. .:...:�:::.;•:.;•::k::::::::;2::5::;::;::i<:::;;:i:::::i:::::`:::�::�:;:::::::r:::::::::::::::i}�:ik::i:;�:::k::i:}:y:::::::<:>::::::5:;::d:::;::::::::T:;;:;T:;T::;::i:::::::i'::i::i::�:.::'r,::;:>:::::::::::.::;: :`74V.�Vti':::::J�.J..';i5;:`.: :::i::::<::>::T:•>:tS•;:::;2::::i:::::::;:::::;;;:::;:::i::;::::.;2%:::i::::}:;:>::.:;':;::.:::;':;:T:::i:::yi:.:.:::.:.::::::::::k:;:;:; k>:T;:;;T:}:,•.±::;::::;:T:::;.:<;: +. c ::::.:.::.}:::.<,;:.,,�.::...::::.:.:::::..:::........:::::.. �.....,_.., . . . . ..:...::....:::::.::..:::::.:::...................... .........................._ 3 Gti.. . '�tom::......... !i D ATUR Y7 I .JUN-23-1995 10:35 FRIDAY MGMT. 1 508 620 8895 P.01i01 . l �U. CERTIFICATE OF INSURANCE =18501AATMI°°"Y' • PRODUCER .' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND :. CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE ALEXANDER & ALEXANDER OF AZ INC. DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 2800 N. 44TH ST., 8TH FLOOR POLICIES BELOW. —� PHOENIX, AZ 85008 COMPANIES AFFORDING COVERAGE 1 (602) 468-3200 LLEETMTER r A RELIANCE NATIONAL INDEMNITY CO.400 { COMPANY 8 ; E INSURED LETTER SMM,INC. COiMTPA Y CLE . 1253 WORCESTER ROAD i FRAM NGHAM,MA 01701 COMPANY D i LETTER " E COMPANY ELETTER vCOVERAGEB f s 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 SMOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE POLICY NUMBHI POLICY EFPECTTYE POLICY EXPIRATION LL111T6 TA DATE(MMIDDIYY) DATE(MMIDDIYY) ; GAN&RAL LIABILITY GENERAL AGGREGATE f COMMERCIAL GENERAL UASIUTY PRODUCTSCOMPIOP AGG. S CLAIMS MADE OCCUR. PERSONAL!1 ADV.INJURY s { OWNER'S A CONTRACTOR'S PROT. EACH OCCURRENCE s FLAB DAMAGE(Any on.fln) 3 — LED.0(P9M(Any am Paw ) 3 i ° AUTOMOSME LIABILITY COMBINED SINGLE ANY AUTO LIMIT 7I ALL OWNED AUTOS BODILY INJURY SCHraOULFD AUTOS (Pr P—) 3 ` f HIRED AUTOS BODILY INJURY i NON-OWNED AUTOS IPa aoCldonU 3 GARAGE LIABILITY PROPERTY DAMAGE 3 EACH OCCURRENCE s -~ -- umaRELLA FORM AGGRBOATI! I► f aTHEN THAN UMBRELLA FORM _ NIORa<RR'8 CDYP03sATION X STATUTORY LIMITS Ann NWA1754499-00. 05/01/95 05/01/98 EACH�I0°°T 3 1,000.000 A DlWASE—v00O7Y UWT t 1,000,000 enPLorERa LarwuTr DISEASE—EACH EMPLOY rG s 1,000,000 AltrptlP'Tlon OP OPERATION3HLOGTIONEIVEf11CLESfSPECIAL 1TPJf! CERTIFICATE HOLDER IS AN ALTERNATE EMPLOYER. CERTIFICATE HOLDER CANCELLATION REMODELING DESIGN SHOWROOM INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE 255 TURNPIKE ROAD EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO SOUTMORO,MA 01772 MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR < s LK&UTY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTINDAZED REPRESENTATIVE ACORD 264(7/90) ©ACORD CORPORATION 1990 TOTAL P.01 r TOWN OF BARNSTABLE i CERTIFICATE OF OCCUPANCY PARCEL ID 093 039 GEOBASE ID 4408 6 ADDRESS 52 SOUTH BAY ROAD PHONE OYSTER HARBORS . ZIP — LOT °A BLOCK LOT SIZE DBA ''- ' DEVELOPMENT DISTRICT CO j PERMIT TYPE $0004 � IPTION CERTIFICA7'� OFMOGCUPANCY i CONTRACTORS: Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: BOND $.00 pkIm ` CONSTRUCTION COSTS • $.00 . 756 CERTIFICATE OF' OCCUPANCY * * t * BARNSTABLE. • i OWNER KESSLER, P MICHELE 039. ADDRESSEp M�'►l A J. COMMONWEALTH AVE BOSTON MA BUILD/ DIV SI I . BY ( �d�.r�c,, DATE ISSUED - -08/28/1997 EXPIRATION DATE -- _ r OWN CIF PARNS�TABLE 1 1 w Ilk BUILDING `PERMIT 00 G)41'� I PAR6 - � ,Q,93-39 GEOBASE ID 4408 ADDRESS2 SOUTH BAY ROAD PHONE Oyster Harbors ZIP - I LOT A f BLOCK '. LOT SIZE nDBA ;� ` DEVELOPMENT DI..STRICT-: CO PERMIT 17815 " ,DESCRIPTION POOL CABANA/BOARDWALK TO BCH/REPAIR DECK PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: PICAR6I, WILLIAM J. Department of Health, Safety ARCHITECTS: and.Environmental Services TOTAL FEES:`'- . $186.00 BOND $.00 CONSTRUCTION COSTS $60,000.00 '434 RESID ADD/ALT/CONV 1. PRIVATE P';d �E HARNSUBM • `\ :MASS. OWNER KESSELER, MS. ADDRESS E� A 6 MC CAHTHY CIRCLE �'.� BUILDING IVISRON FRAMINGHAM, MA BY DATE ISSUED 09/11/1996 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- (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. POSTTHIS CARD O IT IS VISIBLE BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 2 2 2 . I I I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I 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 VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. B 62, 533 _..�-_� � r A y V � k nil" r � �• C 1 • A 1 � I S ' 1 _ ) i To Data a K Time WHILE YOU WERE OUT M. of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTSTO SEEYOU URGENT RETURNED YOUR CALL Meese e ,�P I�Q� 3 comma 1 e-431- -00A1�Q_ � GI Aerator AMPAD 23-021-200 SETS �j EFFICIENCY® 23-421-400 SETS CARBONLESS D37 ;Engineering Dept. (3rd floor) Map Parcel ;���&ermit# t House 7 ac / Date Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Conservation Office (4th floor)(8:30-9:30/1:00-2:00) 5 / 1 d.tNE SEPTIC SYSTEM e an pprove and 19 6Y "'1 LLEC ON CC _ TOWN OF BARNS , yTEnAL c� Building Permit Applications ct Street Address Village Owner mic&i�a Address sjq x ' Telephone Permit Request Nun& QQe,(._ First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ aC), 000. Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) j Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing New .Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other •Central Air ❑Yes ❑No Fireplaces: Existing New Existil g wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: Pool(size) c2ok,U ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes $/N 0 If yes, site plan review# Current Use Proposed Use Builder Information Name ,,\\ Telephone Number 509- a2 I- 1 log Address Q KMI W�Soty Q License# 67 ' Home Improvement Contractor# � Jio� Worker's Compensation# )C,� O`q y 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 W BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) The Coninionivealtl, of Afassacl ucetn '"^; - Department of Industrial Accidents y � �,� 'si _ � Ol1jCB01fQYP..sI/j�l/ODS =�! 600 H'asbington Street '-Vol Boston..Hass 02111 so LTV �. Workers' Compensation Insurance Affidavit ease C MOD nZn,- 7- ❑ I am a h eowne performs all work myseliV ❑ Iam a sole proprietor and have no one working in any capacity tom.._. `7"'�',"�'.`_.a—•--.+r.... ,. .. .. ... •+..�o.A. I am an empiover providing workers' compensation for my employees working on this job. aildress! L? ^l f T c �N phone r,* ��e� a �j E57—j IC11No �:S f�CC Ol ❑ lam a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: Address: " phone H insurnncc Co. �. Address• .. .. . city: done fh insurnnee co �oliev !! Attach additional sheet if nee -: -'.y �Y-rr r� :., Failure to secure coverage as required under Section 25A of AIGL ISM''can lead to the imposition of criminal pettdties ors,fine up to S1300.00 and/or one •ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a tine of S100.00 a day against me. 1 understand that a copy of this star mad"be forwarded Mee of Investigations of the DIA for coverage verification. I ylo hereby ij• cr 1/ ai s d p jperjur}•that the informwion prodded abne is trae mtd rrecL /Sie re Print name one 0 official use onh• do not write in this area to be completed by city or town official ah or town: permit/ilcense0 nBuiidingDepartment OLiccusing Board ❑check if immediate response is required (3Seleetmen'a Office t phone M; C)Ilealth Department =: contact person: �Other�_ Ii trniscd 7.n3 P1A) I ✓fie Vowilmonwea4i HOME IMrROVf MkI4T CONTRACTORS REGisTRATi(ji4 j Board of Builrli.nct 1%,eou)..ltions and Standard^I One Ashburton Place - Room' 1301 1 Boston , tla.s:sachusetts 02108 I HOME IMPROVEMENT CONTRACTOR Registration 11253.2 E:xl-irat•ion 04/06/97 I Type — PRIVATE C O R F>()R A T I O N 110ME IMPROVEMENT CONTRACTI I Registration 112532 STAR POOLS SOUTH INC I :, Type - PRIVATE CORPORATII RICHARD G . ROSE r :;Upiration .04/06/97 117' WASHINGTON S f PLAINVILLE MA 02.76,2 ;.STAR POOL SOUTH INC* RICHARD G. ROSE 017 VASHINGION S1 ' C. ' ;-0 FEB 7 4 '' I AoM*ns mmR PLAINVILLE MA 01162 i Restricted to: 00 16467 DEPARTMENT OF PUBLIC SAFETY a "{ CONSTRUCTION SUPERVISOR LICENSE 00 - None Number, Expires, IG - I & 1 Family Homes Restricted To: 00 Failure to possess a current edition of the ' Massachusetts State Buiilding Code RICHARD G ROSE is ca r vocation of cense. 170 WINTER ST !� WRENTHAM, HA 02093l. .cnm.m. fa f w CCiV.• . .-.._. M C'DLiV f• . f _ . MAIN DRAIN. DETAIL ..-.r.�., SLOPE L TRANSITION SECTION ::'...'" •r ••w1i AM 0-.-----{{ •I•sus• "_ 1 _ o•raa" -10 PmL Kxxm wnm4s !A !B !C !D I IE' 1 15' �r— UNDERWATER LIGHT DETAIL " vA""LDE ` D r M11�l 6'fADltII M "PiamM CNAWM •• SHALLOW END WALL SECTION - .ciwna •3. a Tr i�1.`. OII.1%-01�= 101.m vgc�lAR 1•I lwpl ` OfrlOY M M mfl•IO. I f O.r OL•M.\.• ��. In0tF- if •`r - M 1�•( V. .�.• FI - �r � �YR LONGITUDINAL SECTION, DIVING POOL TYPICAL OF ALL mNDesmrrs Paralfl«EXCEPT vPCR£wQrED Ef /or RENWICK C 4APMAN m � .-.:1.OG wrEa• M ••rr•iw •.• _: 't:. �• • -.r wfm.l. r•c®rtr �9 a 27 654 p }�—r� ��4.�r OFfCi6TCa�a�� I -ioa M i i o�ca�ii.• E9Sl �y�• r..e..-.o uon�IR OMAL STEPSI TYPICAL II` STAR POOLS - � SOUTH INC. A. I 1 84 -TAUNTON STREET PLAINVILLE MA 02762 C508> DEEP END WALL SECTION SKIMMER DETAIL SKIMMER DETAIL 1 Lt vat 760 aieliva rawc rn1cAl STANDARDS fl&EPAltTMENT COMMONWEALTH OF PUBLIC SAFETY _ �MOF ASHBORTON PLACE _ I�, IafOMW/�IaNOQ MASSACHUSETT$ LICENSE � o tMNM� IXPIRATION DATE CONSTR. SUPERVISOR CAUTION 0 2/0 8/1 9 9 6 EFFECTIVE DATE UC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB - NONE 06/:0/1993 014878 PRINTIN APPROPRIATE ¢ BOX ON LICENSE. .WILLIAM J PICARDI 4 $d F R AN K LAN D BLASTING OPERATORS . HOPKINTON MA 01748 MUST INCLUDE PHOTO. PHOTO(8LASnNG OPR ONLY) FEf} I t )0./�LJO - NOT VALID GHTII SIGNED BY LICENSEE AND OFFICIALLY ) II/•� .! HEIGHT: ,f STAMPED-OR-SKINATURE OF THE COMMISSIONER _ ` • THIS DOCUMENT MUST.Be SIGN NAME(Rif/LL ABOuFz TuaE u1 = CARRIED ON THE PERSON OF TURE i NSEE �) ��^ ,u A (�� \—�THE HOLDER WHEN EN- a OTHERS_RIGHT THUMB PRINT GAGEDIN THISOCCUPAT"t ER ) HOME IMP , OV4e d of Rp�EMENT , 0 '" .;.> dl n9 ,;e9i RAC TORS R HOME ...., :. BOStOnu M° .dace t1ons andlStRgT10N RQ IMPROVEMENT a sachuSett. OM •.13p1 andards t ' 9istr �:=.. Type ation 10j CONTRgC .'_:, ,. 62108 :. - pRIV,gTE 650 OR - . �> CO)? R xpi. - � Pp ATI N ratlOn 08/p Picard„ .. r^ : .. . 5/96 willia COnstructi :. : .: -'----- 255 Tur .T. plcardi ° Inc, I3 _ np i _ SouthbOrOu h Mq Od HAME IIIPROL 1 7 2 - Registration Type PR II, too EiPiration fk ardi J. Pic Turnpike ASouthborough Ma Ii:012 $817 i 2i i 122 gk:r'r UL s%.wai ConumnW®RAL O/ Maaachudefij 600 9 WL3#=Shod James J.CamPben &&�, 6 workers' Compensation trace Affidavit "D AV4:4 rn whit a principal place of business at: a- k"r do hereby certify under the pains and penalties of pwi=Tr d= 0 I am an employer provid'mg worker' cotttpensation Coverage for my emPfoyees this job. rP,4 4�r�r= Mtor\nl Co - Insurance Company � Policy Number 0 I ant a safe proprietor and have no one working for me in any capacdty. 0 er d aontraccor or ftomeowaer (drele one) and have f I am a sole proprietor, gen contractors asced below who have the following workers' cotnpens2on posdes Contratxor [asitranoe yfpofic, Cormaaor Insotance tYlPv�ic Contractor Insurance CampanylPviic () I atn a homeowner performing A the work myself. tt I unde:st:na-.t a u cwf of his I%c"*m wdl b de toexzrided to e OM=of fnvat pd=of cite MA(vt covtra� u+d ac c se=m=—ad under Sccsian ZSA of MGL ISZ oa less w the hmmidan of,,*- 'pia=mkdn ai a fin'Of up to St tre:.-s' I .,".49.-Rd.—ift ttu forwad a STO P WGRK ORDEL ad a fate of S IWM a d:v opi=M Signed this day of Ucensee/Permittee Buddsnz I)epzmme= Ling Board selecaneas office i :` � `.:x:v •,::, .. ` .,;' � J.::Ai<�,. ,.:G'b.`:.C2�V':yi��:'�:.C.'. ,tyu� `�:'t,wa.:. .._'. >::m:.:.:::.;,w.:� ::Ji::>.�::�i�:. > j` L. � Z.,.`fi;l%,Q. ",. �:. v;•..;::.'v::ta DATE �.Q�It4Cr +c, :C < b '3 ,w:::<;.,.•:•:::;k2 '.; 31, nR?�34<icb;;iob�F.,..F.9:`:;`:�i.�:J:Y`�:::;.:.Lid:..•,w,J,�` : '• cage»t\,�Y:.,,��:«`2s+..::.:Z'.:.•�::•r.`.:.n•'S::::ti.>r.;.3.:..:..... ..... .......... PRODUC@i ... ..... : THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE rift Insurance Agency Inc. POLICIES BELOW. ...................................................................................................................................................................... 40 Union Avenue . P. 0. Box ass COMPANIES AFFORDING COVERAGE FraminghamMIA 01701 ...................................................................................................................................................................... COMP �LETTER A I/eroeste► Insurance ....................................................................................................................................................................... COMPANY B LETTER ...................................................................................................................................................................... Picard/ Construction Inc. T C 255 Tu►mplke Read ...................................................:................................................................................................................... COIPANY D Southborough Ii1A 01772 LETS ................................................................................................. ................................................................. COMPANYLETTER E 17xj ...... ,. ....,..., .. ..,•;>.,:....>..w,...,.2.,ir,::z:;:�>:>k<::<:>;:<;,e::.>::>:::>>:»»>::�:::>;»:>;>�:hs>::::::�::>a::»stz:>:>;<;»::»>�;r:>:::�>s::>::»>::::r:r>::>r:a»><::»»>:< . •:: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE rOn 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. ................. ................ .................... :POLICY EFFECTIVE....;POLICY EXPIRATION....: ................................... .................................. LTR: TYPE Of INSURANCE POLICY NUMBER; DATE (MMIDO/Y 0 DAT LIMITS E(MMIDONY) .....o..................................................................:.................................................................:................................:.:...................................................................................................................... GENERAL. CBS14793 0.1/lsros 09/ia/90 ' GENERAL AGGREGATE `S 2000000 A ........., i X COMMERCIAL GENERAL LIABILITY :..............................................;.................................. pnooUCTsroMP,oP'AGG. :s 2000000 .................................. ... .. .. CLAIMS MADE X :OCCUR. PERSONAL d ADV.INJURY s Included :......... :. . .. ....................... ......... OWNERS 8 CONTRACTORS PROT. EACH OCCURRENCE S 1000000 :........... ................................................................... ... FIRE DAMAGE(Any om Fire) .s 100000 MED.EXPENSE(Any one pereon)iS 5000 ........................................................................................................................... ......:...............................................................................................................:................................. ..... AUTOMOBILE LIABILITY COMBINED SINGLE ANY AUTO LIAR :S ......................................................... ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS :(Per person) s ............................................................ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per O ? iden e r (P r see................................. ................................... i.......;GARAGE LIABILITY O PROPERTY DAMAGE s ...... .......................................................:................................... .. . ................................. ;.. EXCESS LIABILITY :EACH OCCURRENCE S ........................... ... .. .....:.... ........................... UMBRELLA FORM :AGGREGATE :S ,......... ........ .. OTHER THAN UMBRELLA FORM :.........................I........................ ........... ........................................................................................ ................ ;... ............................... WORKER COMPENSATIONi STATUTORY LIMITS ...................... ..... AND EACH ACCIDENT :3 ................................. ..........:.... ........................ DISEASE•POLICY LIMIT EMPLOYERS'LIABILITY .................... DISEASE-EACH EMPLOYEE :S .................. ................................................................................................ ........:.................................:.............................................................................................. .................. OTHER .................................................................,..............................................................:................................:....................................... DESCRIPTION OF OPERATONSLOCATIONSNEHICLESISPECIAL ITEMS JOB: $200,000 ADDITION WORK PERIOD: 06/19/95 TO 10/31/95 ......................................................................................................................................... '< SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE O(PIRATION'DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO Ylks i lone Jackson Jr. ... MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE as main street LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR Southboro, MIA 01772 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. Issued. 06/20/95 :.'i'•';AUIIIOR®REPRESBRA WM MISUMICE AGENCY,INC. &d �t. AUTrOPAW SIGNATURE TRIM r JLN-23-1995 10:35 FRIDAY MGMT. 1 508 620 A"RD. CERTIFICATE 4F INSURANCE """Si�79Tmnx m aROpuCa*R^ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE ALEXANDER & A1.EXANDER OF AZ INC. DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 2800 N. 44TH ST., 8TH FLOOR '^''^' eELow PHOENIX. AZ 85008 COMPANIES AFFORDING COVERAGE 1 (602) 468-3200 COLETTGA A RELIANCE NATIONAL INDEMNITY CO. 400 COMPANY i nnum.a . . . LSI'TER S M CO.INC. MANY C 1253 WORCESIEItROAD FRAh4INGHAK M LETT A 01701 ""D ' ETTEII E I 'TER�T coveRAGEs ~! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR TM!POLICY PEAIOO i INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WMICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POUC193 DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONOITIONS OF SUCH POLICIES,UMITS SHOWN MAY HAV!SEEN REDUCED BY PAID CLAIMS- POLICY TYPE OF INSURAIM POLICY NUYSBI POIJCY!Pl lCT1Y[POLICY WIIIATION LWITS LTR OATS(MM1DOfM OAT!(MMIDWY) ; GONSNAL LU MUTY 0iN0%AL AOORSOAT! t COMMSRCUL GSMDiAL LIABILITY PRODUCTGCOMPfDP AGO. s CLAIMS MADE OCCUR. FtnW 1AL A AOV.INJURY s OWNER'S a CONTRACTOR'S PROT. eACH OCGU11 emca s I I=OAMAO!(Any am firm s I AUTOYOSRA LIASLr" —_-- COMOLNW Swift: t ANY AUTO LIMIT .... I ALL OWNICO AUTOS SOOWY INJURY y ! SCH60ULSO AUTOS (Per W-6) I HIRCD AUTOS BODILY INJURY N0*OWHE0 AUTOS IPsr todOwp S GAl1AGE UASIUTY lMOPQATY.GAMAW s OIG7<ii IJASILJTY _ GOH OCOUnPJM= t UM@AgL A FORM AGGRSIGATE I _. _. OTff01 THAN UMSRBIA FORM y �._..`� __ �_........`.. 11110 II'f COMPENSATION X STATUTORY UWTS �! Mr ANo NWA1754499-00. 05/01/95 05101/9B EAC"AOUD s 1.000.000 t A DLxAae—PouaYUwT i 1,000,000 i ewLamw UAWLJTT OW-Ase—e*4H OPLOYM t 1,000,000 ;p"Cw OP OPOUrOIUULOCATHROUVENCLZSnWeCIAL ITWO CERTMICATE FOLDER IS AN ALTERNATE E O LOYER. CII�TIP1CATaHOLDE11.. .. .........__. .. ._. �...CANCELLATION ._.. . . ._...__..__..__......._ ...._ __ REMODELING DESIGN SHOWROOM INC. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELUMI WORE THE 255 TLMNPMM ROAD EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO SOU MOR,O.MA 01772 MAIL 30 DAYS WRITTEN NOnCE To THE CEInIFlCATE HOLDER NAMED TO THE LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR s UABIUTY OF ANY IONS UPON THE COMPANY,ITS AGENTS OR RET'RE9FMATiVES. ; AYTHOOM o RaINSWATIYQ �! ACORD 28-S(7190) OACORD COR*ORATION IS= TOTAL P.01 09/05/1995 14:01 1-508-790-6230 BARNSTABLE qLW DIV r (� PAGE 03 Engineering Dept.(3rd floor) Map Parcel House#+ /Date/Issued Board of Health(3rd floor)(8:15 9:30/1:00-4130) �.�to ISLV�L�i2'� -�FeaJY Z'Zon Conservation Office(4th floor)(8:30-9:30/1:00-2:00) °� � ^ ,., PlanningDept.(1st floor/School Admire.Bldg.) SVS LLD 6N �r '�� D74tive an Approved by Planning Board 19 �,�O) TOWN OF BARNSTA MONMENTA �o�� atld/aE t Application TOWN REGULATIM] 3 act S SOU Wlag Owner Address Tclaphone L • Permit Request 43 1 co�D�A_ o onq Pint Floor uare feet nd F1 r squats feet Construction Z Estimated Project Cat S Zoning District Flood Plain _ Water Protection Lot Size�S _ Graadfathered Ycs 0 No Dwwelling'I)W: Single Fs ly e� TWO Family Q Multt-Family(M units) Aga of Existing 3tructu Historic House Q Yes No On Old Kiag's Highway p Yes No Basement Type: p Full Crawl p Walkout Q Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) !lumber of Baths: Full: gpd New�_ Hall: Existing New No.of Bedrooms: Existing n New Total Room Count(not inch ng baths : T3:cisting New �!Finn Floor Room Count Heat and Fuel: p Gas Q Oil Electric Q Other Central Air Yes 0 No Fireplaces: Existing New Existing wood/coal stove Q Yes No Garage: Q Detached(size) A J Other Detached Structures: O Pool(size)l oxnc p Attached(size) -� O Barn(size) Q None (]Shed(size)G onn� p Other(size) Zoning Board of peals Authorization Q Appeals Recor+ded Q Commercial D Yes No If yes.site plan review 0 Current Use Ptoposcd Use CISCEIV Builder Information Name \CQ0 �J(�S Telephone Number Address uoense N _ OI 4 8g y Home Improvement Contractor Worker's Compensation# CJ4 0�V t 32 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILin SHOWING EXISTING}.AS wBLL AS PROPOSED STRUCTURES ON THE LOT. ALL CO UCI'I S R TING FROM THIS PROJECT WILL HE TAKEN TO� V{c�ll SIGNATURE DATE Bti L.DINO PER �NFOR THE FOLLOWING REASON(S) I -• a y!'3 J.,+._f.c.• 'j. / ' 1 'i Jt�/.- tea' ..I� Y ,# \� "t u ✓ r � n ` Town of Barnstable Planning Department Staff Report Appeal No. 1995-133 Appeal of Building Commissioner Decision Appeal No. 1995-134 Variance Kessler Date: October 6, 1995 To: Zoning Board of Appeals From: Robert P. Schernig, Director Art Traczyk Principal Planner Anna Brigham,Associate Planner Applicant: P. Michelle Kessler— Property Address: [--52.South Bay..Road,Osterville, MA, ff Assessor's Map/Parcel'--93/39 - Area 2.52 Acres Zoning: RC-Residential F District Groundwater Overlay: AP-Aquifier Protection District Appeal No.95-133: Appeal of Building Commissioner's Decision ruling that the caretakers apartment over the garage is an accessory use under Section 4-1.1. Appeal No 95-134: Variance from Section 3-1.3(2)Accessory Use's for permission to construct an apartment with kitchen over the garage for use of resident caretaker. Filed.August 211995; Public Hearing October 18, 1995, Decision DueNovember 17, 1995 Background: The locus of this appeal is 52 South Bay Road, Osterville, on West Bay. The lot is 2.52 acres and located on Assessors map 93, lot 39. The neighborhood is primarily residential in nature with 1/2- 1 acre lots and this lot is one of three large lots in the immediate area. This locus is in a RC Zoning District which permits a Single Family residential dwelling as the Iprincipal permitted use. Applicant states that due to the remoteness of the lot, domestic help is required. The Applicant seeks to construct a 36'X 29'apartment with kitchen and bath over the existing garage for the use of a resident caretaker. Applicant stated the present structure would be demolished and replaced with a 7,200 sq.ft. residence. The Applicant's request for a building permit for an apartment on this site was denied by the Building Commissioner. The denial was made on the grounds that the proposed living quarters constitute an accessory use and not an allowed use in the RC zone. On this basis,this request was found not in compliance with Section 4-1.1 of the Zoning Ordinance. At this time,the applicant is making two requests for relief to the Board of Appeals: Appeal No. 95-133: Appeal of Building Commissioner's Decision ruling that the caretakers apartment over the garage is an accessory use under Section 4-1.1. Appeal No 95-134: Variance from Section 3-1.3(2)Accessory Uses for permission to construct an apartment with kitchen over the garage for use of resident caretaker. Department Comments: The size of this lot, 2.52 acres, is substantially greater than the minimum one acre required in this district. Because of the size of the lot, and the fact that use will be limited to an employee of the household, a caretaker apartment is most likely to be unobtrusive in this location. If the Board should find to grant a variance it may want to consider the following conditions: 1: There will be no further division of this lot, 2.. There will be no expansion of the apartment, and 3. Use will be limited to a caretaker employed by the household. Section 5-3.2 (3)of the Zoning Ordinance and Section 10 of Mass. General Laws (MGL) Chapter 40A require that the Board be provided with facts which justify the granting of the relief sought. The petitioner should be prepared to present the circumstances relating to soil, shape, or topography which justifies the granting of this relief and should also be prepared to substantiate that the granting of the relief will not be in detriment to the neighborhood nor derogate the intent of the Zoning Ordinance. Attachments: Applications Assessor Map Plan Reduction Copies: Applicant/Petitioner Building Commissioner n TOWN OF 9STABLE Zoning Board of Appeals Application for other powers AUGa 2 11995 Date Received ., For office use Town Clerk office Appeal $ _ g q S 131 1=::lh' ,•, - = t Hearing Date I oA 16 0S Decision Due ►i I �ti H r I - The undersigned hereby applieT tc .,th? 2oniij Board of Appeals for the. reasons indicated: �� � ` Applicant Name: P. Michele Ressler , Phone :* Applicant Address: 6 McCarthy Circle, Framingham, MA 01701 Property Location: 52 South Bay Road., Osterville,. MA 02655 f, This is a request for: [] Enforcement Action [ Appeal of Administrative Officials Decision [] Repetitive Petitions [l Appeal from the Zoning Administrator [] Other General Powers —Please specify: Please Provide the Following Information (as applicable): Property Owner: P. Michele Ressler , Phone Address of Owner: 6 McCarthy Circle, Framingham, MA 01701 If applicant differs from owner, state nature of interest: Assessors Map/Parcel Number 93/39 Zoning District RVI Groundwater Overlay District Which section(s) of the Zoning Ordinance and/or of MGL Chapter 40A are'you. Appealing to the Zoning Board of Appeals? Determination that caretaker's Apartment over garage is accessory use under provisions of Section 4-1.1. Existing Level of Development of the Property - Number of Buildings: . j Present use(s) : Single family residence Gross Floor Area: 7,200 sq. ft. ' .. .. .. .. .. ..... .. .. ......1...a.: -..n. ..c�.c....i.,a....,..._�..:.:n;...an_1:.._.... 'i.iC.'. _...__._...:.1'S'�:�.:.::5._�_...;C��.�_�.i Application for Other Powers Nature & Description of Request: Petitioner seeks to demolish existing single family dwelling. and replace with single family dwelling of square feet with apartment, swimming pool. Architect has designed a caretaker's apartment of approximately 29'x36' over the garage. Petitioner contends that the apartment over tl garage or use or the caretaker o e props s a use Eustomarily incidentai to tr main dwelling and on the same lot as the principal residence it serves and is, there an accessory use under the provisions of Section 4-1.1 of .the Barnstable: Zoning Ordinances. Attached separate sheet;1f needed. Is the property located in an Historic District? Yes [] No pg If yes oRH Use only: Plan Review Number Date Approved Is the building a designated Historic Landmark? Yes [] No If yes Historic Preservation Department Use only! Date Approved Has a building permit been applied for? Yes ( No [] Has the Building Inspector refused a permit? Yes No (] Has the property been before Site Plan Review? Yes [] No .[c] For Building Department Use only: Not Required - single Family [] Site Plan Review Number Date Approved Signature: The following information must be submitted with the application at the time of filing, failure to supply this may result in a denial of your request: Three (3) copies of the completed application form, each with original signatures. Three (3) copies of all attachments as may be required for standing before the Board and for clear understanding of your appeal. The applicant may submit any additional supporting documents to assist. the Board in making its determination. P. Mic le a sler Signature: By: Date: August 1995 AlRef App an or gent Signature: Agents Address: 886 Main Street, P. 0. Box 449 phone: (508)428-8594 Osteiville, MA _ Fax No. TOWN OF BARNSTsU Zoning Hoard of Appeals AUG Z 1 1905 Application to Petition fora variance Date Received For office' Use only t� .:." _ Town Clerk Office Appeal $ VM 5 - I Hearing Date 10 1� q r - Decision Due 11 m Iq5 The undersigned hereby applies to the Zoninq Board of Appeals for a Variance frog the Zoning ordinance, in the m� nei`==ate for �& reasons hereinafter set forth: Petitioner--Name,: P. Michele Kessler , Phone Petitioner Address: 6 McCarthy Circle, Framingham, MA Property Location: 52 South Bay Road, .0sterville, MA Property owner: P. Michele Kessler , Phone Address of owner: 6' McCarthy Circle, Framingham, MA If petitioner differs from owner, state nature of interest: , Number of Years owned: 1 Assessor•s_Hap/Parcel Number: 93/39 Zoning District: RF1 Groundwater overlay District: Variance Requested: 3-1.3(2) Accessory uses RF-1 District Cite section & Tole of the Zoning ordinance Description of Variance Requested: Permission to construct apartment with kitchen over garage for use of resident caretaker. Description of the Reason and/or Need for the Variance: Building commissioner has determined that resident domestic help's quarters are not allnwpa ac arcessory mqp_ but due to remoteness of property only parr I timp nrrttnanry and value of prn�rgp he Discri tion of construction Activity s r uir d :� P y �'i app�i.ca�Ie) : _Construction of 36'x29:!:+ apartment- over garage with bath and kitchen. Existing Level of Development of the Property - Number of Buildings: i Present Use(s) : Single family residence , Gross Floor Area: sq.ft. Present structure to be demolished and replaced with 7,200 sq. ft.. .residence. Proposed Gross Floor Area to be Added: , Altered: Is this property subject to any other relief (Variance or special Permit) from the Zoning Board of Appeals? Yes [ ]. No {�] If Yes, please list appeal numbers or applicants name f Application to Petition for a variance Is the property within a Historic District? Yes [] No Is the property a Designated Landmark? Yes [] No For Historit Department Use Only: Not Applicable ... ............ [] 0KH Plan -Review Number Date Approved Signature: Have you applied for a building permit? Yes [x]. No [] Has the Building Inspector refused a permit? Yes No' [] All applications for a variance which proposes a change in use, new construction, reconstruction, - alterations or expansion, except for single or two-family dwellings, will require an approved Site Plan (see Section 4- 7.3 of the Zoning ordinance) . That process should be .completed prior to submitting this application to the Zoning Board of Appeals. For Building Department Use Only: Not Required [] Site Plan Review Number Date Approved Signature: The followings information must be submitted with the Petition at the time of filing, without such information the Board of Appeals may deny. your request: Three (3). copies of the completed Application Form, each with original signatures. Five (5) copies of a certified property survey (plot plan) showing the dimensions of the land, all wetlands, water bodies, surrounding roadways and the. location of the existing improvements on the land. All proposed development activities, except single and two-family housing development, will require five (5) copies of a proposed site improvements plan approved by the Site Plan Review Committee. This plan must show the exact location of all proposed improvements and _alterations an the land and to structures. See "Contents of site Plan:" section 4-7.5 of the Zoning ordinance, for detail requirements. The petitioner may submit any additional supporting documents to assist the Board in making its date rod n ation. Ly ich a ssle Signature: Date: August 1995 PetAlger s. ones or Agent 8lgnature Agents Address: 8 6 Main Street, P. 0. Box 449 Phone: (508)428-8594 Osterville, MA 02655 Fax No. (508)420-3162 to ae u "• •_ 9il Qs ac C s ' ..n.oo. ,,, All rra es A .�-r � ,m o C„ dd 1 .00l-a :3ns�V -A S S. Al . a-Qga • 6f � u. .7-4,3 O *$cat Ti�-j49►'1 13M 1.1 Q��00'1 -TV Tv wftl "r' lb 92'1 '2a► O► Hln va • (� LQ _. t-moo �Pt�. wvo•' n ,.. __ _ �ilQ[ C Q'Oi!•i'Q t9 i S 89 yNY► t2j�[ a/ QIi 17� � nbe i WSS.6 a'• 't 56 • © � , �� G\ _ 1 3BO,,, N 11 O b O 2.VS ar Is.. r O �cf tll Q•�f .w of '�' V . . t , s LL •o 1 X Arlo o. •wtQ' tt [ Q ' �• .jam- 09/05/1996 13:57 1-508-790-6230 BARNSTABLE BLDG DIV PAGE 04 rne Tow-u of f t • �� � D � �o fg��ititD �Az on AMMAM cm MACMIL can s . soma ooll- To e.eo• - o Swor dwoolm two• 1424 +. �►lc ai.s ba we ta �• • dos. . � ao� ae t��• �d la got room= wm Type ota► ���Yosia QK'i Nsmt D ofpwzoA AWu�asioa: S �aot rs4�� Warn tsw Job OMOW�� +0m �Owa�ePa"a °Fri" VC rad�is hseabl softalmG T 0" � ��y�-y a 1�► CON CrOgS MR AV Pow xc c=-m � CS CW e� - t� � cotes Una . OR. I y q. ♦? TJ . G ~ •L C.• 6• 1T C ti� ti G o cc v� i0 N y�� 4' �-.. 1 V 0-- i..1 C. [2 V, N ' cz OC CO. '•'t •C C N O Own GC to O pl a• O �..+ V+ I i..> .D O O t.•1 r r•t S �. ►.. �. l7 I Z W O O -4 O Q \ �� I• I I V 1 W C y K = ...�.��.:_ .. .. 1 d' ✓ O. .Oi V t'7�C ►O. I d40 rL to I 1 L-• f.i fJ 1 c--• > t--a pu S ' G.. G q 91C rr VJ c c-- [LI = V tT C: r. VI LL O • r 1 09/05/1996 13:57 1-see-790-6230 BARNSTABLE BLDG DIV PAGE 05 d► -� -- Tile Cr►nrmanwealth of Atasxachusetn J 'j-� Departntrnt of Industrial Acridents _r` Boston.Manx 02111 �--� Workers' Compcoultion Insurance Affidavit ritv o f etr a hotncowner performing all wort:myself. Q 1 am a sole proprietor and have no one working in any capacity �-�--- ,w I am an empio roviding wari:en compensation or my empioyeas working on this fob. n eitv? v ^ Man All P� �e Cle r• ..,,,�,....�..,. f C3 � I am a sole proprietor.general contractor,or homeowner(circle one)and have hired the contract ars listed below who have the following workers' compensation polices: 00 addres 'Atuch.�w;tio.arsheeclyd�'.-�,.:--• .,..,,,,,•..• «_:,. •�;.•, - . ..r,. .. .: �"w,�:: -- Failure to retort coverage as required under Seetion 3A of MGL 153 can n lead to tsse impasitioa of criminal peulties o(a non up to ntign uo eat a one years'imprisonment as well as d%il penalties in Ike fared of a STOP WORK ORDER and a Qae of SI00.00 a dq s9simt mc- 1 attderstaad that a coin of Ikis statement may be fb warded to the Me of Ittresti>Ztitiaas of the DIA for eorcruge reriiieslioo. do hsrt!bt •Mind he pain and !er o� yt3'that the lorttsotlow p,+vt�ldrd above is t,ats ase t�►rtret. Signature ate Print mate one 1t 1 4e ro-CQ31 official ttse only do not write in this area to be completed br city or town aMdal city is tttwo: permiUlteesse 0_ —rilkildie0 Department nUeewiad Board Office p cheek if Immediate response is required �Sehl talee's rime �lttalth DepaRmenl anmet person:. �_� phone 0: mothers Iw.wd UY!RtAi OYER: 1EMODELING -DESIGN SHOWROOM BUREAUFILFNUMBERSTATUSOFEMPLOVER 255YTURNPiKE STREET .351757R CORPORATION ` SOUTHBOROU GH M' 01772' ADUITIONAL INSTRUCTIONS POLICY ISSUED- SUBJECT TO 1 PENDING PREMIUM CHANGE �. ENDORSEMENT (WC200401). COVERAGE UNDER THIS. ASSIGNMENT I THE WAIVER- OF OUR- RIGHT TO RECOVER FROM APPLIES TO MA..' OPERATIONS OTHERS. ENDORSEMENT I'S AVAILABLE ON POOL ONLY. FORI;COVERAGE OUTSIDE POLICIES. CONTACT AGENT FOR° DETAILS.. OF MAwl, APPLY TO APPROPRIATE NT FITTS .INS AGCY INC INSURANCE COMPANY: 40 UNION AVENUE DUCER: P- 0 BOX 565 PHOENIX INS CO FRAMINGHAM MA 01701 MS SRONWYN SIKES MGR P 0 BOX 3556 ORLANDO FL 32802 IDENTIFICATION NUMBER: 04-225-4547 (800) 443-4404 CLASS ESTIMATED ESTIMATED CLASSIFICATION OF OPERATION CODE TOTAL ANNUAL RATE PREMIUM REMUNERATION RETAIL STORE-NOC 8017 21 ,200 2..64 $ 550 CLERICAL OFFICE EMPLOYEES NOC 8810 21,200 0.33 70 EMPLOYERS. LIABILITY 100/100/500 9845 STO PREM SUBJECT TO MASS DIA ASSESSMENT 630 EXPENSE CONSTANT 0900 160 MASS DEPT OF INDUSTRIAL ACCIDENTS ASSESSMENT 3.6I1' OF STANDARD PREMIUM d-y TOTAL PREMIUM $ 814 AUDIT BASIS ANNUAL REQUIRED DEPOSIT PREMIUM$ f314 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 ESTER TRINIDAD THE WORKERS'COMPENSATION INSURANCE PLAN OF MASSACHUSETTS EMPLOYER COPY . CERTIFICATEQF INSURANCE (TW Grdlleaae of Ifsatuawslr n@Ww-I&e sdusip nor novtivah► joewwR ext)Wllbo►altultrll cm - a l)frsim termsarewditin dells 3-22-96/bat COMPANY(:GOESCIGNA This is to Certify to © C>: r � CIGNA INSUAAN COMPANY I AM= W 1 l i' Picard Q CIGNA INS.CO.OF TEXAS Picardl CanLzvctian 255 1urnpi]oe W. ©PACIFIC EMPLOYERS INS.CO. Soutbboro, Ms 01772. ®INSURANCE COMPANY I OF NORTH AMERICA L J ©CIGNA INS.CO.OF IWNOIS that the follewwtq desvik ,police or poac+sR istaud br The Cornpww as ceded below. prover 4*1 u.wnance only for haa<ards Checked by"X"below.have been isssred to: ®CIGNA INS CO.OF OHIO It1AM/ Genesi,a Camml-f -ter Services, Ina. A000 °SIS 16" Mah3ssclmsetts Avetxue Ste 7 Q(OTHER.—sPEc►Fv1 Row Ilflww� neT�+ Md 02173 ceweneq rn accordance,with the tams therebt,at tho followinq lecstton(s): State of Massachusetts TYPQ OF POLICY tDoi POLICY NUMMER POLICY PERIOD LIMITS OF LIABILITY (a) Standard Workmen's 100,000 statutory w C. & ® ❑2 C40601132 1-23-%/97 S 500,000 One Ac"'and Emp161rtrs' Liability Aoq►•o.t.Oisease (b► Gerlaral Liability Prenwses—Owratam(including-In. Cl ❑ S En P«son tttdehal Contracts" as defined below) ❑ Acctoent I Z Irtdspsetdsht Contractors Cl ❑ = Escn ❑ Occurrence i 8 Cofwpleted owrattons/Products ❑ ❑ i a (� Ag$r"ate—Comolated Cowasetwl,130safre true» — '+i_ Q— — desextbed Fretsttesstlrons(lnd q udsn ❑ ❑ = Each Q reneo "ttseedehtsoo l Coht Contnslts"as dshne0 below) e i C Indsoondent Contractort ❑ ❑ S Agyegate—Isrern./0oer. E _ S Aggrpate—P►ettKttwe Con+oland Opernso"Produett ❑ ❑ S �►gYrNste—Canoested 0owatronVisroducts 46 Contreatwl.(Spet:jfio tvpe as desenbed to footnote below) _ S. te—ContraeruM W Autwobiit Liability _ Each Fwson $ Owned AutornoWn _ — �_ — Each � ❑Accident Hired AutemobrlM a•�lNon•awed AutbM Q occurrence ❑Accident Owned Automobiles Each ( Hired Automobiles S 1/ ❑OCcurrtnce �t7 Non awred Autorrnobrles W. Footnote: Subject to all the PWrty terns applicable, specific contractual coverage is provided as respects It is the intention of the t ornpany that in tneevent of cancellation of ❑a contract the polrcY or police&by the company. ten 1101 days' written notice (AE")0 purcha orderagreements between the Insured and: of such lotion will be grwen to you at the address stated above.se 0 all contracts NAME Of OT1+ER PARTY DATA(at anoucaosel CONTRACT NO.(It any) OESCRiPTION(OR Joel coverage app to all e"layees assigned to Picardi Construction 255 2urspike Rd Soathboro N& 01772 through a professiamal employer Definitipes: "Incidental contract' means any wr.tten l I I itiase of pramrsas (2) easement agreement.escapt in connection with construction or demolition 006ra- tions on or adjacent to a railroad. 131 undertaking to indernrtifV a munscrpelitr reourted by nwunsesoel ordinance,eaceot in connection with work for the nwnraoalrtr.(41 Sidetrack agreement.or IS)Nevator rnarntenanee agreement. Authorised RSWIMRatwe LC.138%Ptd..nU.3 A vagio4masML VIIIII.Lam �1''`FMGA�IRO�r drlClltX I tEctibbetts engineering Corp. 716 COUNTY STREET, TAUNTON, MASSACHUSETTS 02780 TELEPHONE (508) 822-6934 ENGINEER'S DAILY REPORT OF CONSTRUCTION PROJECT: Kessler House DATE: 9/13/95 Osterville, Massachusetts CLIENT: Piccardi Construction Inc. JOB NO.: INST. 55-95 CONTRACTOR: client FIELD TIME: 3 hours EQUIPMENT WORKING: 1- 18 wheel truck TRAVEL TIlVIE: 21h hours 1- vibratory roller 1- small track mounted excavator MEN WORKING: Peter (super) 1- laborer 1- truck driver WORK PERFORMED: In accordance with a request from the client, I arrived at the job site at apx. 10:00 AM to perform soil compaction tests on the bank run gravel spread and compacted within the house foundation area. Peter informed me that the fill was at apx. bottom of footing grade and that 3 to 4 ft. of fill had been placed. I performed tests at bottom of footing grade, apx. 1 ft. below and apx. 2'below as test areas were excavated using a small track mounted excavator. All test results were satisfactory. For complete test results and locations, see Field Density Test Report #1. . ry f Technician r Christopher M. White _ Laboratory Director t tcc!-� ibbc-tis cmuinc-c-ring cor p. If•COUNTYSTREET.TAt-7,7 tN.1•�A SACHUSETTS Q►?£L,ELEPHONE (543) 322-5?39 FIELD DENSITY TEST REPORT — SAND COME METHOD (ASTM D1556) CLIENT: PICADRI CONSTRUCTION INC. JOB NO. : INST. 55-95 255 TURNPIKE R: D DATE: 09-1 33>-1995 SOUTHBORO MA REPORT NO. 1a PROJECT : KESSLER HOUSE — OSTERVILLE MA ' TEST NO.. LOCATION OF FIELD DENSITY TEST FD5256A FOUNDATION AREA - NE SECTION 16ARAGE AREA? - BANK RUN GRAVEL - API. FOOTING GRADE FD5256B FOUNDATION AREA - SOUTH SECTION - BANK RUN GRAVEL - APX. FOOTING GRADE FD5256C FOUNDATION AREA - WEST SECTION - BANK RUN GP,AVEL - APX. FOOTING GRADE FD5256D FOUNDA?ION AREA - HE SECTION +,GARAGE AREA? - BANK RUN GRAVEL - APX. 16" BELDN FOOTING GRADE TABULATION FIELD DENSITY TEST RESULTS DATE TEST PROCTOR RCOUIRED OBTAINED MEETS MOISPURE DRY WT. MAX DRY WT. OPT. NO. 1.D. X COMPT. X CONPT. SPECS. CONTENT P.C.F. P.C.F. 11OIST LlRE 9/13195 FD5256A PR5248B 95 97.0 YES 3.7X 118.4 122.1 5.914 r 3/95 rD515 bG PRr 2 48a rcj 97.9 YES 5. X R.a 122. 5.9 9/13l95 FD5256C PR5248B 95 68.(1 YES 3.41 119.6 122.1 5.91 .9l13195 FD52561) PR5248B 95 1 YE5 5.5 123.8 122.1 5.9X REMARKS: THESE TEST AREAS. MET THE REQUIRED COMPACTION. PROCTOR VALUE CORRECTED FOR OVERSIZE FRACTION IN ACCORDANCE WITH ASTM D4718. W.GALUSKA — ------- —01--------------- ------------------------------ CHRISTOPHER M. WHITE _ LABORATORY TECHNICIAN ,tcc#ibt)c-##s c-nginc=c-ringcorp. 716 COUNTY STREET.TAUNTON,MAZS4b0HUSETTZ 02-?-,ti TELEPHONE S22-6—*-q FIELD DENSITY TEST REPORT — SAND CONE METHOD (ASTM D1556) --------------------------------------------------------- CLIENT: PICARDI CONSTRUCTION INC. JOB NO. : INST. 55-95 255 TURNPIKE ROAD DATE: 09-13-1995 SOUTHBORO MA REPORT NO. lb PROJECT e KESSLER HOUSE — OSTERVILLE MA TEST NO. LOCATION OF FIELD DENSITY TEST FD5256E FOUNDATION AREA - SOUTH SECTION - BANS; RUN GRAVEL - APY. 12" BELOW FOOTING GRADE FD525'F FOUNDATION AREA - WEST SECTION - BAND RUN.6RAVEL - APY. 1'i" BELOW FOOTING GRADE FD5150b FOUNDATION AREA - NE SECTION - BANS. RUN GRAVEL - API. 24" BELOW FOOTING GRADE FD525011 FOUNDATION AREA - SOUTH SECTION - BANE: RUN GRAVEL - APY. 23" BELOW FOOTING GRADE TABULATION FIELD DENSITY TEST RESULTS ----------------------------------------------------------------------------------------------------------------------- DATE TACT PROCTOR REDUIP,ED OBTAINED MEETS MOISTURE DRY WT. NAY DRY WT. OPT. NO. I.D. L COMPT. % COMPT. SPECS. CONTENT P.L'.F. P.C.F. MOISTURE 9113195 FD5256E PR5248B 95 100.�J YES 4.9'!. 117.7 111.1 5.9% 9/13/95 FD5256F PR5248B 95 99.8 YE5 5.01 110.9 117.1 5.9X 9!i3!95 FD5256E PR524BB 95 49.4 YES 4.7'! 140.4 117.1 5.9% 9/13!95 FD525bH PR5248B 95 99.5 YES 2.9% 110.5 117.1 5.91 REMARKS: THESE TEST AREAS MET THE REQUIRED COMPACTION_ W.GALUSKA ----------------------------- CHRISTOPHER .M. WHITE LABORATORY TECHNICIAN LABORATORY DIRECTOR tE: 'tibbEt is Engin EErin core. 71E COU114TY STREE7.TAUNTON,MASSACHUSEETTS 0s7� TELEPHONE %S0�ti :322-5'i'=39 REPORT OF AGGREGATE WET SIEVE ANALYSIS (AASHTO T27 & T11) CLIENT: PICARDI CONSTRUCTION INC. JOB NO. INST. 55-95 ---------------------------- ------------------ 255 TURNPIKE ROAD DATE: 09-01-1995 -----------—---------------- —----------------- SOUTHBOROUGH MA 01772 REPORT NO. MA5244G ---------------------------- ------------------ MATERIAL: HANK RUN GRAVEL PROJECT: KESSLER HOUSE - OSTERVILLE MA LOCATION: - SPECIFICATION: - SAMPLED BY: CLIENT DATE: REC.8131/95 TESTED BY: W.GALUSKA DATE: 9/1/95 ANALYSIS RESULTS: SIEVE SIZE WEIGHT RETAINED '1. PASSING '/_ SPEC_ REQUIRES (GRAMS) MIN. - MAX. ------------------------------------------------------------------- ------------------------------------------------------------------- 3 INCH 0.0 100 1-1/2 INCH 277. 1 90.4 1/2 INCH 190.4 83.8 #4 117.8 79.7 #10 137.9 74.9 #50 1628.2 18.3 #100 349.9 6. 1 #200 66.0 3.9 PAN 111.0 0.0 REMARKS: I ZA- -�--------------- W.GALUSKA CHRISTOPHER M. WHITE LABORATORY TECHNICIAN LABORATORY DIRECTOR ` ' TIBBETTS ENGINEERING CORP. Report of Gravel Wet Sieve Analysis Using AASHTO T27 & T11 Date: 9/1/95 # U.S. Standard Sieve Size --ED• Sample Curve -¢- Specification Limits 100 an 100 90 90 80 80 70 70 60 60 50 50 40 40 30 30 a 20 20 10 10 0 0 .01 .1 1 10 100 Grain Size in Millimeters Job No. Inst, 55-95 Kessler House — Osterville MA Report No. MA5244G (Bank Run Gravel) TIBBETTS ENGINEERING CORP. Laboratory Density Relationship of Compacted Soil Using ASTM D-1557-91; Procedure C Date: 09/05/95 118 118 117 117 16. 116.E v v, 116 116 U C >, 1 r5 - 115 115 v {= r� 114 114 0 13A 113 113 —x— Maximum Dry Density 117.1 P'CF 11 5 '—x— optimum Moisture Content = 5.9 % G.= 2.6 112 112 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Percent Moisture Content JOb No. Inst. 55-95 Picardi Construction Inc, Test No. PR5248B L 310 CMR 10.99 Form 5 DEOE File No. SE3-3063 THE (To oe orovioeo oy DEOEi Commonwealth �rQ� �;�113 • City.Town Barnstable -.� of Massachusetts opticant Kessler tw7:� � rrua 0o re3q. a� ." .L. Order of Conditions ��3.3063 Massachusetts Wetlands Protection Act G.L. c. 131, §40 TOWN OF BARNSTABLE ORDINANCES, ARTICLE XXVII From Barnstable Conservation Commission To P. Michele Kessler mama (Name of Applicant) (Name of property owner) 6 McCarthy Circle Framingham, MA 01701 Address Address Map Number 93 Parcel Number 39 & 62 This Order is issued and delivered as follows: ❑ by hand delivery to applicant or representative on (date) 0 by certified mail. return receipt requested on sugust 16. 1996 (date) This project is located at 52 & 40 sn„rh na �� Aatorvilis The property is recorded at the Registry of Deeds in Barnstable Book Page Certificate (if registered) 137734 & 137733. The Notice of Intent for this project was filed on July 3, 1996 (date) The public hearing was closed on August 13, 1996 (date) Findings The Barnstable Conservation cnmmi cai nn has reviewed the above-referenced Notice of Intent and plans and has held a public hearing on the project. Based on the information available to the Commission at this time..the Commission has determined that the area on which the proposed work is to be done-is significant to the following interests in accordance with the Presumptions of Significance set forth in the r*egulations for each Area Subject to Protection Under the Act(check as appropriate): ❑ Public water supply L`7 Flood control L��kand containing shellfish( ❑ Private water supply Q Storm damage prevention ,L& isheries ❑ Ground water supply L3' Preverif bn of pollution Ld' Protection of wildlife habitat Total Fling Fee Submitted $343-00 State Share S1 5q nn City/Tdwn Share $18A 00 V/:fee in excess of S25) Total Refund Due S City/Town Piiri on.5 State Portion S ARTICLE 27 Only: ('h total):..c. (yz total) (Public Trust Rights ❑Agriculture 2r-"Brosion Control ❑51Aquaculture 3' Aecreational ❑'Historic [Aesthetic i Effective•11/10/89 I A 1 y -IN SE3-3063 ---Kessler Approved Plan—June 28, 1996 Site plan by A.Abrahamson,PE Special Conditions of Approval: . 1. General Conditions 1-12 on the preceding page are binding,and demand both your attention and compliance. 2. Within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,General Condition number 8(preceding page)shall be complied with. 3. The applicant shall pay for their legal advertisement as invoiced. 4. The applicant shall provide project contractors with copies of the Order of Conditions and approved plans priorto the start of their work. For the pier 5. No creosote treated materials shall be used. 6. Deck plank spacing shall be at least one inch. 7. Piling may be minimally jetted to assist in setting and aligning. Thereafter, however, piling shall be mechanically driven. 8. No boat shall be berthed at the pier(and its floats)such that at any time less than one foot of water resides between the bottom of the boat and-the substrate. 9. All work shall ensue from a floating barge. 10. Work on the pier shall ensue mid-tide.rising to mid-tide falling or as otherwise necessary to prevent the grounding of the work barge on the substrate. For beach nourishment 11. Nourishment sand shall taper to no greater than one inch high along the edges of the salt marsh. 12. Detailed photographs shall be taken of the existing saltmarsh adjacent to the nourishment area prior to end of August, 1996. 13. Work on the beach nourishment portion of the project shall ensue only in the summer when the full extent of the saltmarsh can be seen. 14. Beach nourishment shall not occur within the saltmarsh. No saltmarsh grass shall be disturbed. 15. The Certificate of Compliance for this project shall be requested in summer when the extent of marsh is visible. 16. Nourishment work shall be by hand. No heavy equipment shall be placed on the beach. 17. Nourishment sand shall be clean and compatible with(no fin er than!)existing on site beach sand. i i . 18. It is the responsibility of the applicant, owner and/or successor(s) to ensure that all conditions of this Order are complied with. The project engineer and contractors are to be provided with a copy of this Order and referenced documents before the commencement of construction. The foregoing condition shall not be construed to exempt project contractors from responsibility for any work performed in deviation with provisions of the:Order of Conditions or with the detail of the plans of record. 19. The Conservation Commission,its employees,and its agents shall have a right of entry to inspect for compliance with the provisions of this Order of Conditions. 20. At the completion of work,or by the expiration of the present permit,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Where a project has been completed in accordance with plans stamped by a registered professional engineer, architect, landscape architect.or land surveyor, a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation, if any, exists with the record plans approved in the Order shall accompany the request for a Certificate of Compliance. 21. Existing lights for the pier shall be removed. ' 310 CMR 10.99 DIGS fIFA SE3-2895 •� v,oeo by D^ l Form S ito w tiro , city.Town _ Commonwealth � gpptiCanl C-- of Massachusetts {a°a;pa 16l Order of Conditions Massachusetts Wetlands Protection Act G.L. c.1319 §40 TOWN OF BUMSTMM ORDIIOCBS• ARTICLE XMI \ From Barnstable s Will, To P• Michele Kessler (Name of property owner) (Name of Applicant) 160 Green St. 6 McCarthy Circle Address Milton MA 02186 gra Ingham, MA 01701 Address 39 & 62 C� Map Number 93 Parcel Number This Order is issued and de i;vered as follows: (date) applicant or representative on �' ❑ by hand delivery to August 4, 1995 (date) 1 by Certified mail,return receipt requests on 11e k' Parcel 39 52 Ba Rd. & Parcel This project is located at Deeds in Barnstable i The property is recorded at the Registry of .page , 113200 and 106904 Certificate(if registered) (date! Y�) May 23, 1995 The Notice of Intent for this project was filed on July 18, 1995 (date) The public hearing was closed on J Findings �-• has reviewed the above-referenced Notice Of The has determined that Intent end plans and has held a public hearing on the project.Based onC1111 the into available to e Commie at this time.the the area on which the proposed work is to be done is significant to t he following Subject to Protect on,fide accordance he h the Presumptions of Significance set forth in the regulations ter each Act(check as appropriate): ❑ Land containing shellfish 0� Flood control )sheries ❑ ❑ Public water supply e prevention ❑ Private waterStorm damag supply prevention of pollution M' Protection of wildlife habitat l\ ❑ Ground water supply $305.00 stow Shy $140.00 Total Filing Fee Submitted (1h fee in excess,of 52S) City/Town Share Clty/fow- Portion S ftte portion S Total Refund Due S aw total) (+h total) ARTICZB 27 only: ezrosion Control Trust Rights ❑ Agriculture ❑ ReCreatiotafsl ❑ Public Tru ❑ Aquaculture �Aesthetic ❑ Historic the Barnstable Conservation commission he following conditions are necessaryl reby finds that the Therefore, in accordance with the Performance erformed in standards set forth in the regulations, t ail°work shall be p r interestst these Hoed checked above. The Commission order Of or differ from the ac cordance with said conditions and withconditionsemodifytent refers above. To the extent that the followingosala submitted with the Notice the plans, specifications or other prop of Intent, the conditions shall control. General Conditions: and with all �,. Sailure to comply with all conditions stated ers�all be deemed related statutes and other regulatory m cause' to revoke or modify this order. Z. This order does not grant any property rights or any exclusive rivilegest it does not authorize any injury to private Property p or invasion of private rights. the ermittee or any other person of 3, This order does not relieve with all other applicable federal, the necessity of complying of by - laws or regulations. state Or local statutes, ordinance � 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply= a) The work is a maintenance dredging project as provided for in the Act; or ecified b) The time for completion has been extended to a sears, from date more than three years. but less than five Y special the the date of issuance and bo the extended timeth that date dPeriod are set circumstances warranting forth in this order. the issuing authority for one or g. This order may be a opt s�ebpears each upon application to the i more periods of up pat least 30 days prior to the expiration date of issuing authority the order. Any fill used in connection with this project shall be clean fill, 6 rubbish or debris, including but not containing no trash, refuse►laster, wire, lath, paper► cardboard, limited to lumber, bricks, p motor vehicles or parts of any pipe, tires, ashes, refrigerators, of the foregoing. 7 . No work shall be undertaken untilsedall or,, ifisuch an appeal lhas periods from this. ordir have slap artment have been been filed, until all proceedings before the Dep completed. No work shall be undertaken nntil eeds orethenal order Land Courtaforeen the recorded in the Registry of O t in which the and is located, within the chain of title district land the case o! recorded land, the final of the affected property. ,s Grantor index under 1so be noted in the Registry proposed work is order shall a upon the name of the owner of the land which the proprmation shall be submitted to the to be done. The recording Commission on the form at the end of this order Prior to coanaencemsnt of the work. g. A sign shall be displayed at thfgettia notgo than two ir9 wd square feet or more than three square wmassachusetts Department of Environmental protection, ails Number SE3-2895 •" ronmental protection is requested to 10. where the Department of Envi make a determination and to issue a superseding order, the Conservation Comini.ssion• shall be a party to. all agency*proaeedings � and hearings s before the Department. erein, the applicant shall 11. upon completion of the work des cribed ri.bed h g that a Certificate of compliance be issued stating that the war e forthwith request in writin k has been satisfactorily completed. 12. The work shall conform to the following plans and special conditions. Kessler Approved Plans July 10, 1995 Site Plan of Land for PM Kessler July 10, 1995 Septic Details May 31, 1995 Existing Conditions July 6, 1995 Existing 8t Proposed Conditions I, General Conditions 1.12 on the preceding page are binding,and demand both your attention and compliance. 2. within one month of receipt of this Order of Conditions and prior to the commencement of any work approved herein,C ftcral Condition number 8(preceding page)shall be complied with. 3. The applicant shall pay for their legal advertisement as invoiced. 4. The work limit for the project shall be at the line of the proposed retaining wall. 5, prior to the start of work staked haybales backed by siltation fencing shall be set along the work limit line. Proper placement shall be verified by the project engineer. Effective sediment controls shall remain until the site is stabilized with vegetation. 6. There shall be no .disturbance of the site, including cutting of vegetation, beyond the work limit. This restriction_sVW1 continue over Ume. i 7. All areas disturbed during construction shall be revegetated immediately following completion of work at the site. No areas shall be left unvegetated or unmulched for more than 30 days. .�,., 8. This Wroval is contingent upon the approval by the Board of Health of the subsurface sewage disposal system. Di�welis or french drains shall be installed to accommodate roof runoff with a minimum of 6 inches of organic loam. 10.l All proposed lawn areas shall be underlaili an 11. The pool shall have an ozone injection disinfection system. Pool draw down water shall not be shunted seaward of the retaining wall. 12. It is the responsibility of the applicant, owner and/or successor(s)to ensure that all conditions of this Order are complied with. The project engineer and contractors are to be provided with a copy of this Order and referenced documents before the commencement of construction. The foregoing condition shall not be construed to exempt project contractors from responsibility for any work performed in deviation with provisions of the Order of Conditions or with the detail of the plans of record. 13. The Conservation Commission,its employees,and its agents shall have a right of entry to inspect for compliance with the provisions of this Order of Conditions. 14. At the completion of work,or by the expiration of the present permit,the applicant shall request in writing a Certificate of Compliance for the work herein permitted. Where a project has been completed in accordance with plans stamped by a-registered professional engineer, architect, landscape architect or land surveyor, a written statement by such a professional person certifying substantial compliance with the plans and setting forth what deviation, if any, exists with the { or a Certificate of Compliance. record plans approved in the Order shall accompany the request f y to the requirements of the State Building Code, the Town of 15. Construction shall conform rea PMvisions for construction ith n the coastal floodplain. Barnst able Zoning By-law Flood A idmg Work shall ensue only after consulting with the Bw plan shall be submitted for advance approval by the Conservation 16. The final landscape P rated as a plan amendment to this Order of Condition. Commission. It will be inoorpo single path(that shows on the approved plan)shall be maintained to the water. The other 17. Only a shall be abandoned. i Conservation Commission Barnstable Issued By Signature(s) This Order must be signed by a majority of the Conservation Co=dwkm. �v 01,3 19 q: , before me On this day of to me known to be the personally appeared =S0. helshe execu, instrument and acknowledged that person described in and who executed the foregoing �� t ' •i �v.. as hislher free act and deed. April 12, 2002 ` ;T i�;t t - My commission expires �:r:':�'o� `�•' Notary Public �',�,��,?�J i, Mx::;• ; ed b this Order.any owner of land abutting the land upon whisk caner.an arson aggriev Y Is located are hereby notified e4 The applicant.the o Y P the request is worts is to be done or any ten residents of the city or town i o issueae Superseding Order. providing to request the Department of Environmental Quality Engineeringn and the applicant- made the De artment within ten days from the date of issuance of this Order. copy made by certified mail or hand delivery user shall at the same liras be sent by certified mail or head delivery to the Conservation Commissio of the request I gAlWABLE COUNTY �piSTRY OF DEEDS A TRUE COPY,ATTEST JOHN_ F �REG{STEA • r - AUG 3e- ,95 10:07 JOHN R ALGER PC PAGE 1 LAW OPFICES OF JOHN R. ANGER, F:i=. A7TTOR N Cy AT LAW 686 MAIN syREET R O. 13OX 4495 OSTERVILLE, MA 0263"449 TP-LCrHONC (908) 428-8394 I FAX (8081 47.0-316P TELECOPIER TRANSMITTAL LETTER DATE: ll PLEASE DELIVER THE ACCOMPANYING TELECOPIED MATERIAL TO: j NAME: SENDER: JOHN R. ALGER NUMBER OF PAGES TO FOLLOW: i I y IMPORTANT: THIS TRANSACTION IS PRIVILEGED AND CONFIDENTIAL AND � INTENDED ONLY FOR THE. RECIPIENT INDICATED ABOVE. IF YOU ARE NOT THE INTENDED RECIPIENT, BE AWARE THAT DISCLOSURE, COPYING OR USE OF THE CONTENTS OF THIS TRANSMISSION IS PROHIBITED. FAX NUMBER OF RECIPIENT: �-- r/ \,t �, _ ��:, . ' ! _t` 1 { � l � � ! : .: �� � i _ +`� ` � - I � i l � _ .__ __ i� i ` � ' � ': (� III . � I ' .. i -- I � i i, - - C� ®�� �. I i l 13 . I . 1 ` I j i I 1• i 4 I ' y i 1 n . c-Zl a31 1 ' ci o . r t I I in q�i 3 0 w 4L • 1 I I NOV-19-96 TUF 2:49 PM FIARNSTABLE, PLANNiNG. DEFT FAX NO, 508 790 6288 P. 4 Town of Barnstable Zoning Board of Appeals Notice -,Withdrawal Appeal Number 1995-133-Kessler Appeal of the Building Commissioners Declslon as related to Accessory Apartments Summary Withdrawn Without Prejudice Applicant R Owner: P,Michele Kessler Applicant's Address: 52 South @b.9AfY,Road,:Wteiville,Me Assessor's Map/Parcel: 093=039- Zoning: RF-1 Residentiffi F-1 Zoning District Applicant's Request: Appeal of the Building Commissioners Decision in determining that a caretaker's apartment over garage is not an allowable accessory use under provisions of Section 4-1.1 Background; The applicant proposed an apartment with a kitchen unit to be used as living quarters for an employee of the owner of the premises, The applicant's request for a building permit for the house and garage with apartment on this site was denied by the Building inspector. The denial was made on the grounds that the proposed living quarters constitute an apartment. Procedural Summary: This appeal was filed at the Town Clerk's Office and at the Office of the zoning Board of.Appeals on August 21, 1995. A Public Hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with'MGL Chapter 40A, The hearing was opened on October 18, 1995,and continued until October 25, at which time the Board found to withdraw without prejudice. Board Members hearing the appeal.on October 18, 1995 were Emmett Glynn, Richard Boy, Ron Jansson, Gene Burman, and Chairman Gail Nightingale. In Richard Boy's absence at the October 25, 1995 hearing,Elizabeth Nilsson will replace him on these appeals as she was present for the hearing on October 18, 1995. This appeal was continued from October 18, 1995 at which time Attorney John Alger maintained that these appeals were almost identical to Appeal Number 1995-130 and Appeal Number 1995-131 for Syrul Lurie that was heard on October 4, 1995 and at which time the Board chose to Overrule the Building Commissioner with regards to the caretaker's apartment. A letter was read into the records from Attorney Alger stating that after a discussion with Building Commissioner Ralph Crossen, a building permit will be issued to allow the construction of the caretaker's unit. Attorney Alger respectfully requested that Appeal Number 1995-133 and Appeal Number 1995-134 be Withdrawn Without Prejudice. Decision: Based uponthe above mentioned events,a motion was duly made and seconded to Withdraw Without Prejudice Appeal No. 1995-133. The vote was as follows; AYE: Ron Jansson, Emmett F. Glynn, Elizabeth Nilsson, Gene Burman, and Chairman Gail Nightingale. NAY None Order; Appeal Number 1995-133 has been Withdrawn Without Prejudice, Appeals of this decision,if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A,Section 17, within twenty(20)days after the date of the riling of this decision in the office of the Town Clerk:. , 1995 Gail Nightingale, Chairman Date Signed I Linda Leppanen,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals riled this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of 1995 under the pains and pena•.ties of perjury. Linda Leppanen, Town Cleric NOV-19-96 TUE 2:50 PIS BA NSTABLE, PLANNING, UEPT PAX NO. 500 790 6206 P. 5 Town of Barnstable Zoning Board of Appeals Notice -Withdrawal Appeal Number 1995-134-Kessler Variance to section 3-1.3 (2)Accessory Uses Summary Withdrawn Without Prejudice Applicant 6 Owner: P,Michele Kessler Applicant's Address: 52 South County Road,Osterville,Ma Assessor's Map/Parcei: 093-039 Zoning: RF-1 Residential F-1 Zoning District Applicant's Request: Variance to Section 3-1.3((2)Accessory Uses to permit the construction of an apartment with kitchen over the garage for use of resident caretaker. Background: The applicant proposed an apartment with a kitchen unit to be used as living quarters for an employee of the owner of the premises, The applicant's request for a building permit for the house and garage with apartment on this site was denied by the Building inspector. The denial was made on the grounds that the proposed living quarters constitute an apartment. Procedural Summary: This appeal was riled at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on August 21, 1995. , A Public Hearing before the Zoning Board of Appeals was duly advertised and notices sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on October 18, 1995, and continued until October 25, ' at which time the Board found to withdraw without prejudice. Board Members hearing the appeal on October 18, 199� were Emmett Glynn,Richard Boy, Ron Jansson, Gene Burman, and Chairman Gail Nightingale. In Richard Boy's absence at the October 25, 1995 hearing, Elizabeth Nilsson will replace him on these appeals as she was present for the hearing an October 18, 1995, I This appeal was continued from October 18, 1995 at which time Attorney John Alger maintained that these appeals were almost identical to Appeal Number 1995-130 and Appeal Number 1995-131 for Syrul Lurie that was heard on October 4, 1995 and at which time the Board chose to Overrule the Building Commissioner with regards to the caretaker's apartment. A letter was read into the records from Attorney Alger stating that after a discussion with Building Commissioner Ralph Crossen,a building permit will be issued to allow the construction of the caretaker's u�it. Attorney Alger respectfully requested that Appeal Number 1995.133 and Appeal Number 1995.134 be Withdrawn Without Prejudice, Decision: Based upon the above mentioned events, a motion was duly made and seconded to Withdraw Without Prejudice Appeal No. 1995 134. The Vote was as follows: AYE: Ron Jansson, Emmett F. Glynn, Elizabeth Nilsson, Gene Burman, and Chairman Gail'Nightingale, NAY: None Order: Appeal Number 1995-134 has been Withdrawn Without Prejudice. Appeals of this decision,if any,shall be made to the Barnstable Superior Court pursuant to MGL,Chapter 40A, Section 17, within twenty(20)days after the date of the fling of this decision in the office of the Town Clerk. 1995 Gall Nightingale,Chairman Date Signed I Linda Leppanen,Clerk of the Town of Barnstable,Barnstable County,Massachusetts,hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals riled this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of 1995 under the pains and penalties of perjury, Linda Leppanen,Town Clerk Town of Barnstable Zoning Board of Appeals Unfinished Business. November 20,'1996 Appeal No: Name Date Time Appeal Number 1996-112 Troe ti r Continued to 1 20/96 @ 7:30 PM Board Members assigned were Chairman Gail Nightingale,Richard Boy,Emmett Glynn,Ron Jansson, and Gene Burman. Appeal Number.199.6-135 Wallace Continued to 12/04/96 @ 7:00 PM Board Members assigned were Acting Chairman Emmett Glynn,Richard Boy,Ron Jansson,Gene Burman, and Tom DeRiemer. Appeal Number 1996-136 Ireland Continued to 12/04/96 @ 7:15 PM Appeal Number 1996-137 Ireland Continued to 12/04/96 @ 7:15 PM Board Members assigned were Acting Chairman Emmett Glynn,Richard Boy,Ron Jansson,Gene Burman, and Elizabeth Nilsson. Appeal Number 1996-115 Mobil Oil Corp. Continued to 12/04/96 @ 9:00 PM Board Members assigned were Chairman Gail Nightingale,Richard Boy,Ron Jansson,Gene Burman,and Elizabeth Nilsson. Appeal Number 1996-131 Donut One Realty Trust Continued to 01/1/97 @ 9:30 PM Appeal Number 1996-132 Donut One Realty Trust Continued to O1/08/97 @ 9:30 PM Board Members assigned were Chairman Gail Nightingale,Richard Boy,Ron Jansson,William Garreffi, and Elizabeth Nilsson. o - N ..�". /.' r ' I N \ G ' 0 i I � 1 _ I I i 01 it I � - f E CC �I i ,% ., 1 r I Wall T npu� � �• • eAry C to<Ilr; � as e O A r � A n ' ry � ' Its I o � �� 1 0 1 L_ ` I I N ' I I - bt I 11 Rrti�a ti .i I v e � , r i I 4 I ------------- tnt a z i i •�. ,I 11 I o•_e- I _ N N p P� O - -n-� N O x - � n ' I 1 • I _..._...-I•--' __ —.tee.�. - p V I 'A ------ --' - ay z � 1 1 i I I I - 1 i f c .._. .tom �- .._. ..._-. . .. . �. �..tt�.._ .. .+t ... a .. b. ,}asp' ,.j�^.. .. •_''p•._J`,y;^�• 'ti�;gY::�.^;,. _ � �. • •' -�'- �f is r 7-4 . I / - —1 j i i 1 1 I I j I i I 1 I I — i 1 7-77 J •I Iv o o ' � • ' I q 1 � 1 i . 1 I o 1 is I Sl � �• 1 ' I ' ....... ....... ..... ... --.r. -_. - �. ..". .. ....... �. 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POOL HOUSE q� � L 1 � W Q CV i GARAGE j `o cc r; Q COTTAGE Z W z J W W co N \ \ ?ON/NG 0 z l I, O VWJ a V 2%NG pSS�RiC PC /o Y O !r! �/Cl RFC• \ N • 1 \ a l o w >- LLl W OL = m J W V S \�I CONCRETE BOUND ~ Q N 21 N cal \ WITH DRILL HOLE a 04 30" E .. 322.00' - 1 '� FOUND 96'f -• ______ U a � � 147• O 22 SQU CONCRETE BOUND CONCRETE BOUND \ , scale WITH BRASS CAP N 06'22 40 E ,A/ t WITH DRILL HOLE 1" = 50' A r R� FOUND (TIPPED) �ItlAY FOUND date ,4D JULY 5, 1996 --1` 1 raven * MED I CERTIFY THAT THE BUILDINGS ►l-,�IOFMAS � SHOWN HEREON COMPLY WITH THE HORIZONTAL ��y'`` �s� checked DIMENSIONAL REQUIREMENTS OF THE LOCAL �� THOMAS �A ZONING BY-LAW, AND THE DWELLINGS ARE IN BUNKER coi } GRAPHIC SCALE Job number A SPECI F.E.M.A.f OO HAZARD AREA AS SHOWN. No 32653 Q u 50 0 25 50 100 zW 96038 title IN >� -�----- ( CERTIFIED -P`RdFESSIONAL/L'ANb/SURVEYOR DATE i inch = 50 ft~ PLOT PLAN Bss., DEa10N ' L1 S 14'57'20" W 46.12' L2 .S .15*14'50" E 7.53' LAND SURVEYING CIV►L ENOINEERINo L3 'S 58'07'30" E 18.57' n./f LORAINE SOUSA LANosCAPE ARc�mEMRE La..` S'72'37:'35 E 24.48' 8t38 I}e'rlp, Iioorporntee .` 184 Katharine Lee B6tei.Rd` CONCRETE BOUND S 06'22'40" W l►lmouth I mumhuegtti OEM'- FOUND BRASS CAP. `90.23' - f "^———— 609.640.8806 YAX 608,640:8313 r, 300.00 ., .~ 'PROPOSED L1 FRr� POOL HOUSErIcz f GPAGE N J � LLJ LAJ N 2 M FLLJ NiNG T. Q : Ld 31.2 L .. N'21.0 �� 1 . , CONCRETE .BOUND' 4 0y N -` WITH DRILL.HOLE:.. . . cp FOUND . v 147,22' — 322.00' 1 _ 98' W Sa CONCRETE. BOUND 1MTM BRASS CAP N: 06422'40" E CONCRETE.BOUND. stale FOUND (TIPPED) WA\i I WITH DRILL HOLE 1" 50' A i1 I FOUND U 0e { , Town. 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SHEETTITLE: MAIN HOUSE PAULI & URIBE EXISTING CONDITIONS FIRST FLOOR PLAN j� J�K Try S S L E R R S I D IE N C IE ARCHITECTS LLC DATE: MARCH 2,2016 Classic Arckitecture SCALE: AS NOTED 40 g 52 SOUTH BAY ROAD, OSTERvILLE, MA 02655 Interior DeignRl Mount lemon stnct DRAWN: JGUR a RJP LSaslon,N;uaxhusetts;02108 CHECKED: JGUR 4 MZP oi7227095F--.fxmdl-untc.a,. 1 r__________ tr.________ ' I I I a To p I Iili m � i I I _1_ p I m m 81 �A O r 31 r -n i 1 R�F v N ag o�2 O e � r o@ I = p $ T P 6`—��t „ � •�4�, 1Cd C O - Z I I s t o I Q� I I , i L a / / m i 88 ' 11 m X It O 1� 6 / ;;� ' s lilt r t f / 1 `�2 J ti F -4 ai m m 0 cn z ao� IV z o, T Z a o � s�qC o m yUSETTS ti SHEET NO. 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ILR\�E S M E N C ARCHITECTS LLC E C 1_0 2 DATE: JANUARY 8,2016 Classic Architecture SCALE: AS NOTED Interior Design 8 52 SOUtN BAY ROAD, OSTER�/ILLE, MA 02655 DRAWN: JGUR d Rip Rl Mount Vc-on Str tBoston,Massachusetts,0210d CHECKED: JGUR d MZP 6g2z)o9p5-•„u,v.Pauli-uri6e.com F-11 F1 �w r---------- r— — I I DESK BY AWER I I Z L I I CP m i I OD D j SAD C1 �D imn m m N 149 -rn r I I I / _L_ 9 Z r m m A E m r / r O -a z Q S f v p m A x'j 61! A m < m m m D m E yvP(i 'n z 3Z3: A O omv m Q r $ i x f( O @D@N -1A 0<= O m rli Z C1m7�m v NT rr- a°z za) m0 N�Z� D7 Nz 0w to m o L\ ' m z N Am p D fi r m 0 N SHEET NO. SHEEMAIN HOUSEPAULI & URIBE PROPOSED GARAGE FLOOR PLAN J��p E S S L E� �E S��E N C IE ARCHITECTS LLC 1.�2 DATE: JANUARY 8,201ro Classic Architecture. SU SCALE: AS NOTED Interior Design 40 6 52 SOUTH BAY ROAD, OSTERVILLE, MA 02655 1L Mount l;cmon Street DRAWN: JGUR � RJP 9oston,AA.issac{lusetts,02108 CHECKED: JGUR a MZP 6Q227o95+-%—v.pauli-unbc.com i 3 D Z L O c N m r D r� r•------ ——— o -nLj I 11 \ 17 sz 11 I I I I I I � I I I I II 0 —11— I II I II IL O m �m�II � D r D fN 0 m 9~ M. G SHEET NO. SHEETTITLE: MAIN HOUSE PAULI & URIBE PROPOSED ELECTRICAL �T p �ry Tr Tr p TrT Try pry r TrQ 4 GARAGE FLOOR PLAN 11fL-0G tL`\]l 1111 A Ill�•QA 1111.•I`1l IIIId,At��\JLIL IIIId,All\\VI ARCHITECTS LLC A QC�IO2 DATE: JANUARY 8,20* Classic Arckitecture SCALE: AS NOTED 52 SOUTH BAY ROAD, OSTERVILLE, MA 026r✓5 Interior Design DRAWN: JGUR ! Rip I21 Mount%bmon 5tmet CHECKED: JGUR a MZP Boston,A4.nssbusdts,02IOS a'I72?J095t•m--pau1i-un'6e.wm X i 3 D ' z O c m 2� rD v -m o -n •°r =O az 1� D m . o N a m u' _R .ti p v L S - I SHEET NO. 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MAIN HOUSE PAULI 8v URIBE' EXISTING CONDITIONS �p�v S S L�v� ��v S I D Try N C�v ARCHITECTS LLC FIRST FLOOR PLAN j�J� J� j� J� J� DATE: JANUARY 6,2016 Classic Arc{,itecture SCALE: AS NOTED Interior Design 52 SOUTH BAY ROAD, OSTERVILLE, MA 02655 121 Mount Vcn Stmet DRAWN: JGUR C RJP Boston,Massxhusetts,02108 CHECKED: JGUR 4 MZP 61722709y+--.pauli-uri6c.0 w �! J i -40 rA 1� r n� - m O z� 0 s ° L �_ _ m 0 Om D m i = %% c Z mr n- "�; mz � m it m `. Ji a D Y \ 6 \�� rc o0 9" Z �T Il m Wig r G Y \� mAm ��_ < L m r0 � m rDD e Z-� Amm Ti \ \ -4_ Oiv r m / \ X \ \ (P D A Ny r / A te\ Am r m m Am n I z v mQc \ Dn I -P E D > �'m I m A P $m MA m�)> D A X N / ( ( r0 m O2 zj1� / Om E- �� r� O- 3 1>U Dr i/ m \ / (PZ x> mL \ D m r/ 1 \� m z O� 1 J � \ \ \ \ \ -n \ D r \ e � \ �0 0 3 �y,\d3MN U/N p� �O a� o O cn y Z cn A. 31 -p � PPVTT D � N w ` � SHEET NO. SHEEMAIN TWOUSE PAULI & URIBE PROPOSED �p 11,v S S L Try� ��v kS ff D E N C� ARCHITECTS LLC FIRST FLOOR PLAN j�,J� J� �+ DATE: JANUARY 8,2016 Classic Architecture ,41.01 SCALE: AS NOTED Interior Design 52 SOUTH BAY ROAD, OSTERVILLE, MA 02655 RI AAm tVem, Street DRAWN: JGUR a Rip Boston,Massac6 tts,021W CHECKED: JGUR 4 MZP 6172V09yF--.PauIi-uribc.com Ij j ice' LvAIAA - ' 1L I I R � i.'' t.� r•.si t Vo In It tA Ts T � I ICI I � i i i ! � - - �• '. \ l I I ( f i i I �•`�L '' 'mot.i. �• l= , x i f �i � \, I� • t I I i I i j i � �•I .� � I r. � . I 1N 'xa I I JrF� Secti on - — - 415 VENT WELL r DE I AIL sc: _o" • 0,0 . 4/2 FIELD � - •. ----... _____,_.- - _.f_:--- ,\b� STONE RETAINING WALL sc: r -o° I K, � - TiP tFy i '��� Uvh`r —FIE u � ,t -. .I a r,;• Br�Z �K �! T— t -� ` r Cam'=+ _-_ }.�, _ .-5.��. f:• .. � � �1 (� �1'S�L, J r/ } L/�lg''��G, ��� �a� --� --- --._...-- — ---------- —__-- --'----- ' - �__ —�--; ����i-�.- �-�;��,- IFJ�,��, hhr�•�:J,..i � ---- � br6Tf:, 0. oZ+lcr. 41 4/3 GROUND-LEVEL PLAN + _. .., K WALK J Y. l- AIA vv 7� -.— / S I .. T � BAY = ,`. AT 7 J - tT L- n 7-4 T r1 �Y 6_ Zz j XOO cw o z Cad MEMO 3. -? ABRAHAMSON & Proposed Dock Modifications nP�H.4W '` a� FOR THE �. '� I;`� � b � LANDSCAPE ARCHITE SS� LER RESIDENCE 52 SOUTH BAY ROAD OSTERVILLE, �M USE TTS r>> 1;. OLD KINGS HIGHWAY AT JARV E. SANDWICH, MASSACHUSETTS 025 1. `No -chnges in: dock length, width or elevation above MSL. ' 2. Replace existing.-planks 'and support members (see Section Detail) �j�------� 3 . Replace four 4x4 PT posts' with new 12" diameter wood D r piers; jetted-_in place, to match' existing piers. D / 4 . Replace existing wiring and lights .on dock to meet code. R C � 5. Replace existing railing with cedar; no change in height : or length. 4; t 6. Nourish and maintain scoured areas of beach (as depicted O� on plan) with 6" of imported sand. Sand utilized shall match existing in color and grain size. All beach O k. nourishment shall be accomplished by hand, using boardwalk \ for access, or by sand pump. C= coo W I i I I, 2 _X CO PleEssL1RE rRer}rev SILL over, coNrrI1-/U0Lk.5! sE.t L.ele gl' Dovv TYP. i, I r o. F r nl- FL-, r. v, SL.IaFL o T x X �7i8��� j DRrr_� rN I/2'' C'o' 04L.vAN'ZEO �n L! + /4, IS7aj� 1 yrL-ri- fc.W/K DoL.ri WrTH rt ht�N 9r' E MBEDMCNT f}ntD Sf'�tGED } PR o vi v g r- nx x /'g'' W A 1 if a l-7 Ty/0GENERAL NOTES: t2 a t�a,no rS r ro Li itE o c o N c, w The drawing and all ideas, arrangements, designs and plans indicated thereon or repre- rYP1 c,+L- Will 2 9 rL..r /s e - eti R sented thereby are owned by and remain the o c 0 P.Ty i P B M t property of Doreve Nicholaeff, Architect, Inca No part thereof shall be utilized by any person, pR y ' M t't N F tFc,r vF E D -rf N 9 aY firm or corporation for any purpose;except with � � �' ►� oW6Ng - daRtNlNQ w1l PF,T•ccrioN'' , " specific written permission of the firm Doreve 0 A.__ I B�RRv rYP• - � NichotaeffArchitect, Inc. /?-o'' X Z '-v coNT'r NvovS 0. 0o1 p.u R e D �oN R E jr� �+•r�, P{?D Any errors or discrepancies on the drawings, TYP r C-R —x x ® C) shop drawings and details are to be brought to _ —, / :r rG, - the attention of the Architect before the work TYP►e,e4L_ sL_R� contgrR u�r�o .,• �. . has commenced. . I �,. o.ICrev, Dimensions are to be used and no drawings RE/Nf&RoF_D Wlrr/ v x Co . WWM } I over, CIO MiL_c. pvuyETtr EL-Y�e are to be scaled. /� ; v�1Po/� DARR�CIQ ov�,� coMP�°TES ! I e f � Z o'- /o" i i Fi i - I - - - - - - - - - - - - - -T - \ - - - i - 41 /� \ ► , I I o DOREVE NICHOLAEFF ARCHITECT, INC. OSTERVILLE, MA. f r I I o -- _ R = 2 3 - c.�� ► I — — -- — — — — — — — — — — � i i - 44 11 - M ' REVISIONS: rr I I 3C0'- o" <!_ PROJ. NO. j DESCRIPTION: I SCALE: DATE: i i NGLAND REPROGRAPHICS 8 SUPPLY CO 577239 i i I E t i i. i 46 '- o rJ 5l'- ,.,,r 5'_ o fJ GENERAL NOTES: I i The drawing and all ideas, arrangemo. .��. �� designs and plans indicated thereon or rej 311 7 G, ff 7 0- f f 3 '- 3/1 4 '_a,n J o '-3 J' sented thereby are owned by and remain property of Doreve Nicholaeff, Archdec No part thereof shall be utilized by any pe firm or corporation for any purpose;except specific writtenpermission spec c of the firm Do Nicholaeff Architect, Inc. so N4_ TOLE M / _ Any errors or discrepancies on the draw, shop drawings and details are to be brouc' -- the attention of the Architect before the commenced.�- , - as -� Dimensions are to be used and no dra►J are to be scaled. - - _ --- t , :IQ t N I I 9 '- 3� G '- off y 0 2 / - -:o - -- - - - -t - flap 3/i 29J�dN ofI -- - 6 8„ 11 N 2�._''° fi- 2'- of \ t - - C s y N-OuT 1--- - - r ! �- - - - - - - - - p - I _ —O N -- ! I I 1,i� Rc- �- - - -- -- - - - - -- - - -f I I I - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - fN r y •. 0 E4- EQ• - -- — yr—_ 4 I N I I I¢ N I M I \ A - - - - - - - -- -t f- - r l0.79* ' ' �t / STD. 1' ! '--oi ^ 2x cv G -off -of, corrc• CN t J'J o D E rti hf W r 5 �T M I I W 3- A N o - - - - - - -� -� 0 I "t' I PtRC _ G'-27/6f' or IV rl/'-aMAp Y coc. 'S -N r•� s set,40 DOREVE NICHOLAE 3 L_A-I- L-r Ca s TG, eo ` r 2�. .1 7 9 4 -L{' I ARCHITECT, INC: r_ rj 3 � I j --� I - P �- J1, o o J J' Yr. 5 c-l4 G., ; OSTERVILLE, MA. a coc. S rn sc- ft3. _ _m � r/tERw r9B 7 _ -- i — - - - - - - - - - - - - - - - - -- - - -- - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - + . I 4 �,• - 11. I — � ! _ <; T --- ` - �� , 1 / f I, � .:.R c= 5'- o , r O I _ cH o - -- - l _ 0 _ I r Ilks r Q I 1--- -------- -- - - --- - -- - --- - -- - ---.--. - -- - - ---L - I r- -r - oe l'-of' c o N c FTG. I L m t I ' 0 +- --r I I W/sf •,fig BoT.Top-t EAGH-WAY I I - �? I p � u T • -- _ _ n - • t) -Q% J N I ' cif-Gn�-- -- -� ._ f - N ---� '_ ff - f- I ► rJ f rr o '- g rf c.Zl 9 - - !f of 3 Cq i 3 2a L - ---- 1- 1 l - t �� } REVISIONS: I ,V �\ ^ V� , �I V PROJ. NO. DESCRIPTION: i SCALE: - - DATE: '- Go M r_ 11 f_ fl I f 5 S 7 7 2 3 0 3 0 _ CAV fr f3 NEW ENGLAND REPROGRAPHICS&SUPPLY CO 57723R 4 , _ SHEET OF 4 DEED REFERENCE. DUNCAN FORBES WILL TR. C tt . �13200 'LOT A L.C.C. 87306' & CTF. 106904'LOT I L.C.C.LC 9556C & LOT 3 L.C.C. 9592E SEE ALSO BOOK 8408 PAGE 285. SH N / F l AY 5T. 3 F'RIOA F GRAPHIC SCALE / B � AUN . NORTH BAY / C ER 10,198 0 20 40 water level — 1.7 T - C. 6 C. ci S ZONES c H / / RESIDENCE F-1 S �3 S MINIMUMS LOW / A. AREA = 43,560 S.F. 1,,3 FRONTAGE-= 20 OT \ O9 WIDTH = 125' <� FRONT SETBACK = 30 WEST BAY / C -\ 3 9 / SIDE SETBACKS 15' C S REAR SETBACK 15' 9 6 —�J BUILDING HEIGHT — 30 LOCUS MAP / S92 '�. OR 2.5 STORIES IF LESS SCALE 1 1 25,000 �y \ \ RESIDENCE C ASSESSORS ! p n / \ MINIMUMS / I MAP_93 PARCEL 39 & 62 CV ,� AREA 43,560 S.F. w FRONTAGE = 20' I�— co WIDTH 100 ' \ Im FRONT. SETBACK = 20' I / > o �n _ cV SIDE SETBACKS — 10• ^ o I REAR SETBACK — 10' -v BUILDING HEIGHT = 30' f (OR 2.5 STORIES IF LESS) �` 3 3 / P cr / o s 1 I' PA j a 2 o 0�, S 3� 0O I 3 / o _ �, o F I \ o s 8 \ C. y r 3 is- co R a, 1 a)(o451 f \ CEV 1- 10.2 o , \ N I N .� /.) co \ /1 70 N o SO I 0T 8 �30 / t 8 t t \ , ' t I p t t � I 0 Ep V E i ' I , <4,,i•f„<f< III ` « F •< / • << ..Y «. i •if + '\\/`\'' ` + ' NT CO <f'•' .•••«<<«<T"'• �!sil BOX \ 1 o t 51 5 i < r fTf •f I jr( Y•` '.V < 4{.`�r STs T•. iaT1<•jf f• \ • , I. _ I I I , � I . 12tok F7 70 > \ ( IN. \ ..,.... a :..... . I i t� P• � i I -a--r.a; :: / \�. 1.�. :::::...... , l .ems +� , iLAJ ...............:...... .. . . t _ / //��t�. `i .......I................. 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SCALE: 1 20 DATE: JULY 6 1995 \_ p REV.: JULY 10,1995 • M`C• \\\ \ o� < � 1 BAXTER & NYE INC, REGISTERED LAND SURVEYORS tar. CIVIL ENGINEERS GSTERVILLE, MASS. . Y f U _ o - • l-.. W' V.' - ;.:..- - \y -. mil.`_ - - MAP.SHW-EST BA ,, „ W ` 95060-31 i rr h DEED REFERENCE: DUNCAN FORBES WILL TR. CTF 113200 LOT A L.C.C. 8730B & CTF. 106904 LOT 1 L.C.C. 9556C & LOT 3 L.C.C. 9592E SEE ALSO BOOK 8408 PAGE 285. ASSESSORS MAP REFERENCE MAP 93 PARCEL 39. o e/t1� ZONES RESIDENCE F-1 MINIMUMS AREA = 43,560 S.F. FRONTAGE = 20' \vj A LAUNCR I WIDTH = 125' CTF. 11983 FRONT SETBACK = 30' / Lc COT 76 SIDE SETBACKS = 15' ` / 9556_N REAR SETBACK = 15' BUILDING HEIGHT = 30' / S?<�o12113 N (OR 2.5 STORIES IF LESS) l 177� RESIDENCE Ci MINIMUMS aQ V AREA = 43,560 S.F. ? ^� L C.S. FND. FRONTAGE = 20' /o �V o I WIDTH 100' /�, /� w ^ w FRONT SETBACK = 20' /a Z co I I II SIDE SETBACKS = 10 a R ARSETBACK = 1 / I E 0 BUILDING HEIGHT = 30' / L.C.B. FND.�, W (OR 2.5 STORIES IF LESS) O / 777 p+Ss S� < B 01> 24 4g 2 3>>3 S� C.B. FNDa .`L.C.B. FND. � a / ni O N 0� N LLJ La O I � V o ti0 •H� � Ict�i > oOJ � I � of � ui N� Z z o ,q, Q ILLJ � m CD 22.35' p z 0 0 U Ca`'QFpUHpAnON V 29.25' - - o Q vi u o vo O O U C� _J .J _ ZONE A13 V � FLOOD PLAIN ELEV. = V/ j~— 88.55' ZONE Al EL. 12 rf- ILc� N f °' (D� a BA' 5,,_, F���E 1 ZONE A 13 EL. ZONE A 13 11 EL. 12 C,83 FND_ 1 .SIG o� GRAPHIC SCALE �I 0 10 20 40 0 W W o CERTIFIED PLOT PLAN WIN ST —RA 1 W (OSTERVILLE) _ O BARNSTABLE MASS . APPLICANT P. MICHELE KESSLER SCALE: 1 " = 40' DATE: NOV. 22 ,1995 I CERTIFY THAT THE BUILDINGS _ 9" SHOWN HERON COMPLY WITH THE HORIZONTAL `WWI l BAXTER & NYE INC, "'` �41 �{ = F '� REGISTERED LAND SURVEYORS DIMENSIONAL REQUIREMENTS OF THE LOCAL �o B4f �" CIVIL ENGINEERS ZONING BY-LAW, AND THE DWELLINGS FALL IN ' ` "� ' g A SPECIAL F.E.M.A. FLOOD HAZARD AREA AS S 71. 1 �6,,6 OSTERVILLE; -MASS, SHOWN. DATE: 1�•'tL•'t R:L.S. f, h .f d 95060-10 it• zz` �