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Home My WebLink About0058 SOUTH BAY ROAD 4 1 i f i 14, 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parc I ®9� d� d R� (p Permit# Health Division q u V'�(7S � Date Issued �� fs y Conservation Division O Icy k iAC--xaya3 S�,,cwSz Pamh Application Fee Lf OIL) Tax Collector Permit Fee Treasurer Planning Dept. EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED T0_,'�:L_#OF BEDROOMS_; 1 C) Historic-OKH Preservation/Hyannis �n Project Street Address ® — C3 Village Owner Address'/Y"W — 1 _� Telephone Permit equest h Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning DistrictFe Flood Plain Groundwater Overlay Project Valuation &0 �1< Construction Type L Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: O Yes ❑No On Old King's Highway: O 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 Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas I Oil ❑Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing Cl new size Attached garage:existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use ILDER INFORMATION Name v r Telephone Number 419 Address a License#Tad 4l l,317 ABU Home Improvement Contractor# Worker's Compensation# IV�� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE ATE FOR OFFICIAL USE ONLY MIT NO. -DATE ISSUED MAP/PARCEL NO. N ADDRESS --VILLAGE , OWNER DATE OF INSPECTION: / FOUNDATION FRAME (i( '( C1 /�2,4 INSULATION f J —6 � 'R FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ® FINAL '1 GAS: ROUGH 0 FINAL FINAL BUILDING 1 ep' -wl - 00 DATE CLOSED OUT ASSOCIATION PLAN NO. ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE �d square feet X$55/sq. foot GARAGE (UNFINISHED) square feet X $25/sq. foot= PORCH 0 square feet X $20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost g990915b �. HE Tp� The Town of Barnstable BARNSTMLL 9� MAS& �0� Department of Health Safety and Environmental Services 1DrED MA'S a Building.Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 Building Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Family Room/Screen Porch Estimated Cost Address of Work: 58 South Bay Road, OstervillP Owner's Name: Terry Huggard Date of Application: 2/15/0 0 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a p as the agent of the owner: 2/15/00 E.J. Jaxtimer Date Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav The Commonwealth of Massachusetts _sue-n Department o Industrial Accidents: _ —.'y� Pf ' Office ottnsestiffalions 600 Washington Street �x. - -�}+ Boston;Mass. 02111 .. Workers' Compensation Insurance Affidavit mmHg": �� name: E. J. Jaxtimer, Builder, Inc. location: 48 Rosary Lane city Hyannis MA 02601 phone# (508)778-4911 ❑ I am a homeowner performing all work myself. ❑ I am a sole r netor and have no one workin in anv capacity ❑x I am an employer providing workers' compensation for my employees working on this job. company name:. E J Jaxtimer; RUi1der , nit :. :;.: . 4:8::.:.R o s a:r L i3:n a .. >:•.:::::;:::::;::.:.:,::;. .:.: . y ;..:. city Hyann.ia :: MA 02601 shone insurance-co. Ea'stern Casualt olicv# — ❑'11 a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: ....:. comoanv name- address: :..::::.:.::...::•:::;::.::..:::..:: . :. :.. .............................................................:............. :<: phone tv i ' 22 :x)%i`'<?? ; isi` `i isus: re.. nce:-ca:' In X. ma V x. address: ii aranc %/ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a tine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of"statement may be[ rwarded to the Otllce of Investigations of the DIA for coverage verification. I do hereby certify un a pains and of perjury that the information provided above is true and correct Signature Date _ Printnaiue J. Jaxtimer Phone# (508)778-4911 official.use only do not write in this area to be completed by city or town official city or town:' permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Departrnent contact person: phone#; ❑Other Oevised 9/95 PJA) Board of Building egulations One Ashburton Place, Rm 1301 4" Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 01/14/1956 Number: CS 003251 Expires:01/14/2002 Restricted To: 00 ERNEST J JAXTIMER 48 ROSARY LANE HYANNIS, MA 02601 Tr.no: 13740 Keep top for receipt and change of address notification. ,per // p I ° HOME IMPROVEMENT CONTRACTORS REGISTRATION - . ,, Board of Bui;lding Regulations a.,nd Star%dar.ds .L One Ashburton Place Room' 1301 I Boston , Massachusetts 021.08 I HOME .IMRROVEMENT- !CONTRACTOR -L - --- -=-- ------ -- --- R;egistration 110609 Expiration 11/Q3/00 7Yp'e- PRIVATE CORPORATION 71 � I HOME•'IMPOVEMENT CONTRACTOR •' [: r' �; Registration �110609 E J JAXTI.MER , :4BU,LLDER , INC * ; I Type PRIVA}TE LCORP„ ORAT;ION - • ��ERNEST J:� JAX�TI,MER � � � Ez"pmrati�o:n �11'/03/00•. ` . ;. 48 R.OSARY..LN HYANN`I}S .MA 02,601 I-: E•-J JAXTIMER, `Bl1�ILDER, I�NC .� ! JAXL'`IMER , ag - _�� ROSARY LN ADMINISTRATOR,. NANNI-S`MA !0Z601 ' ' own of Bar�ftstle-- - *Permit# 011 ~O FYpires 6 moral m issue a!e , Regulatory Services Fee. BARNSTABLF, Thomas F.Geiler,Director ` A•0� Building Division X-PRESS PERMIT Tom Perry,CBO, Building Commissioner FEB 2 8 2008 200 Main Street,Hyannis,MA 02601 - www.town.bamstable.ma.us TOWN OF BARNSTABLE Office: 508-862-4038 Fax: 508-790-6230 , EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint' Map/parcel Number Property Address Residential Value of Work' "1, ��y• C)� Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address M i Contractor's Name FjLA-AJQLS SZ Telephone Number .�j�� j T—Col Home Improvement Contractor License#(if applicable) Aworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name & r1LA Workman's Comp.Policy# �� (�/ d-/00(4 opy.of Insurance Compliance Certificate must be on file. G, Permit Request(check box) [� Re-roof(stripping old shingles) 'All construction debris will be taken to ch',: .1 ❑Re-roof(not stripping. Going over existing layers of roof)- 0 Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic;Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A,copy of the Home Improvement Contractors License is required. SIGNATURE: . C /1 QAWPFILESTORMS\building permit forms\EXPRESS.doc Revise020108_ The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):�"Off,66U � � Address: J.L4$ &UT o`er A UAVr 2- City/State/Zip: CAyAQAea' /►A. na53`� Phone#: —qq��1 Are you an employer? Check the appropriate box: Type of project(required): . I am a general contractor and I 1.[ 4 I am a employer with ❑ 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.04Roof repairs insurance required.] ' 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. LContractors 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. /�/J//��, ��-��y , Insurance Company Name: A lA 1 F� 9_0e Policy#or Self-ins.Lic.#: I �- I 0-1'6D� Expiration Date: Job Site Address: �8 Utz '�1 � 1�-�M City/State/Zip: MA • OdbS5 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investi ations of the DIA for insurance coverage verification. I do hereby certify under thepains andpenalties ofperjury that the information providedabove is true and correct. Signature &446t `J Date: t7�I c��Lo Y — Phone M Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# I Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: -� Boar o ui i g RegulatioAanfftan/awrds One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Construction Supervisor License • License CS: 44815 Restriction: 00 Birthdate: 9/21/1955 Expiration: 9/21/2009 Tr# 2273 FRANCIS P LOSf ' 11 CRANBERRY LN E FALMOUTH, MA 02536 Update Address and return card.Mark reason for change. U Address Renewal ; ' Lost Card Z:A1 0 50M-07/07-PC8490 - Board o of in�N l�eglsa�°da d�e112 Vt Construction Supervisor License License: CS 44815 P! oh:g.1/2009 Tr# 2273 'Restriction .00 FRf1N6S P LO51! 11 CRANBERRY LN E FALMOuTH, MA 0253&': Commissioner E \ i • F 1 1 i .� •�/r•' l curruorrutitrrr(ir r�� /(u.:.iucYruJellJ --------------'--- - ..--.._ ` Hoard or Building Regulations and Standards I ;1 License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 101921 Board of Building Regulations and Standards ' Expiration: 6/29/2008 One Ashburton Place Rm 1301 Type: Partnership Boston,Ma.02108 AMERICAN GENERAL CONTRACTING FrancisLOST CRANBERRY � t t CRP.NBERRY LANE ' E Falmouth. MA 02536 i Drpuq•Administrator Not valid without signature i 1 I I i a I E . Town of Barnstable Building t �9A8N$fA [Posted ost This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept 039. Until Final Inspection Has Been Made. Permit >> r° Lhere a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. i ' Permit No. B-18-4102 Applicant Name: E J JAXTIMER BUILDER INC. Approvals Date Issued: 01/02/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 07/02/2019 Foundation: Residential Map/Lot: 093-042_-004 Zoning District: RF-1 Sheathing: Location: 58 SOUTH BAY ROAD,OSTERVILLEr V Contractor Name:' E J JAXTIMER BUILDER INC. Framing: 1 Owner on Record: HUGGARD,TERRENCE J& MARJORIE C Contractor License: 110609 2 Address: 313 MARLBOROUGH STREET UNIT 2 i - - -- --. 4 Est. Project Cost: $ 150,000.00 Chimney: BOSTON, MA 02116 ;{{ �y Permit Fee: $815.00 Description: INTERIOR REMODEL OF 4.5 EXISTING BATHS;AN EXISTINGt R Insulation: D 0 &AA LAUNDRY;ADD LAUNDRY TO SECOND FLOOR; MISC FLOORING AND it Fee Paid:° $815.00 FINISHES; RELOCATION OF SEVERAL WINDOWS AND DOORS; y� �1' Date: 1/2/2019 Final: Ofc. 11 INSTALL 2 LARGE NANAWALL TO EXISTING SUNROOM AREA G ' ADD(1)SMOKE DETECTOR ` Plumbing/Gas Rough Plumbing: Project Review Req: NOT SUBSTANTIAL IMPROVEMENT Building Official Final Plumbing: r Rough Gas: tf j Final Gas: i Electrical This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Service: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for-public inspection for the entire duration of the This work until the completion of the same. Final: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: Minimum of Five Call Inspections Required for All Construction Work: ` 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Final: 3.'All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Pior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Fire Department a Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. er....�� •(..�•^....... ,E••�-'°` ...... Application Numb w+ ' * .Other Fee........................ zAHN6'fASI.L�. * PermtFee...................................... ED Mtn Total Fee Paid...........................:....................... ............ ...... TOWN OF BARNST"A_BLE Permit Approval by. ............... . ....?:On..1141—T......... BUILDING PERMIT l,> ................... . . .....pa=L........ ... .. .....6 ��. APPLICATIONS-s-t— s � Section I-- Owner's Information and Project Location pro' r� �50� + o Village_-- JectAddress Owners Name Owners Lega l Address Sd ,)Oct State N'1►A- Zip 62 b S City - � - . Owners Cell# � E-mail Section 2—Use of Structure —7�1 Use Group K ❑ Commercial Structure over 35,09 cubic fed o ❑ Commercial Structure under.35;= cubic fit o o -„ Single/Two Family Dwelling o0 P Section 3 —Type of Permit ❑ Move/Relocate ❑ Accessory Structure ❑ C ge of�e ❑ New Construction M ❑ Finish Basement ElFamily/AmnestY ElFire Alarm ❑ Demo/(entire structure) ❑ g rinlder Sy stem Rebuild ❑ Deck Apartment P ❑ Addition ❑ Retaining wall ❑ Solar Renovation ElPool ❑ Insulation Other Specify Section-4 -Work Description f �12 1 Tact and teh219/201S Application Number..................................................... Section 5=-Detail Cost of Proposed Construction h Square Footage of Project Age of Structure Dig Safe Number i # Of Bedrooms Existing Total# Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist❑ WFCM Checklist Design Section 6—Project Specifics J'Wiring ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom 1 . Water Supply Public ❑ Private Sewage Disposal El municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: �.�`oN1, 4.��( I am using a crane El Yes No `. Section 7—Flood'Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. 1' nvt Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed r s Rear Yard, Required Proposed Side Yard Required Proposed Has this property had relief from,the Zoning Board in the past? ❑ Yes ❑ No Last undated_2/9/201 S Application Number............................................ .. Section 9—.Construction Supervisor Name C_ �G X( j r' 1V Telephone Number `�� `�'�-`� ��( LI Address Une City � pp State- --Zip 0'z 6 c>I License Number (:wa-1 License Type Expiration Date 1�/L/12,0 z Contractors Email Cell I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required 7 and the Town of Barnstable.Attach a copy of your license. Signature Date I Z . C6 Section.10 —Home Improvement Contractor Name `Y4V Telephone Number • �• Q�� Address _ SAV City nms State M4- ' Zip 6�6 J 1 Registration Number v Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation require 780 CMR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date 21 Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required CMR and the Town of Barnstable. Signature _ Date 1 4 APPLICANT SIGNATURE Signature Date ft 1 Print Name �� ``X��` Telephone Number 5q 49I\ E-mail permit to: hNp)01 1� (J ` 7 e r. .7 ate.n Inmm o Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site-Plan Review(if required) ❑ Fire Department ❑ Conservation , For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization I, � S� �� ►� as Owner of the•subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: i (Address of job) Signature of Owner, date 1 Print Name JJ t Last wdatad:2/9/2018 i The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): E.J. Jaxtimer, Builder, Inc. Address: 48 Rosary Lane City/State/Zip: Hyannis, MA 02601 Phone #: 508-778-4911 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓ I am a employer with 40 4. I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' insurance.: 9. Building addition comp.[No workers' comp. insurance p• required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Arbella Protection Insurance Policy# or Self-ins. Lic.#: 4220048905 Expiration Date: 01/01/19 Job Site Address: 58 South Bay Road City/State/Zip: Osterville, MA 02655 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains andd%ealties of perjury that the information provided above is true and correct. Si nature: Date: IF Phone#: 508-778-4911 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#: 1 ® DATE(MM/DDIYYYY) ACC?R o CERTIFICATE OF LIABILITY INSURANCE 01/03/2018 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER GUNIl Erica H.O'Connor HART INSURANCE AGENCY, INC. PHONEc E 508-759-7326 x205 ac No:508-759-7366 243 MAIN STREETC.PO BOX 700 E-MAIL-ADDRESS: eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC q INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder,Inc INSURER B: ARBELLA INDEMNITY INSURANCE COMPANY 10017 48 Rosary Lane Hyannis,MA 02601 INSURER C INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCEINRD WVD POLICY NUMBER MM/DD/YYYY MMIDOIYYYY A COMMERCIAL GENERALLIABILITY 8500042039 01/01/2018 01/01/2019 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTE CLAIMS-MADE V OCCUR PREMISES(Ea occcur ante $ 300,000 MED EXP Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JEST LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2018 01/01/2019 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAS OCCUR 4600042040 01/01/2018 01/01/2019 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DIED RETENTION$10,00() $ B WORKERS COMPENSATION 4220048905 01/01/2018 01/01/2019 STATUTE ERH AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/❑NN N/A E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)775-3344 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ��•rlr� _ � @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs&Business Regulation 9 HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Reaisieation Expiratidn Office of Consumer Affairs and Business Regulation 13O6Q9- 11/02/2020 1000 Washington S et-Suite 710 — Boston,MA 021 E J JAXTIMER-BU_ILDEP--I ERNEST J.JAXTIMER=:ram`.':: 48 ROSARY LN ? `' HYANNIS,MA 02601' ` '` . of valid WI ignature Undersecretary I Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Constr &1'6rii§opervisor CS-003251 E4p i res:01/14/2020 ERNEST J JAXTIMER 48 ROSARY LANE HYANNIS MA 02601 Commissioner °F rq Town of Barnstable Building Department Services '^R' � Mass. ` Brian Florence,CBO ASS. i639. Building Commissioner �p 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize , �' � ✓ �, _ to act on my behalf, in all matters relative to work authorized by this building permit apphcati n for: (Address of Job) **Pool fences and alarms are the res ili li pon i s b ry of the app cant. Pools are not to be filled or utilized before fence is installed and all final inspections are pe `formed and accepted. i Signature of Owner Signature of Applicant VWV)'t> � Print Name Print Name Y Date r i Q:FORMS:O WNERPERM I SS IONPOOLS Rev:08/16/17 _ Town of Barnstable _ .� _ __ . . _ Building /ARN3PA8LE, - s Post This Card So That it is V b From the Street Approved Plans Must be Retained on Job and this Card Must be Kept 1 `fig Posted Until Final Inspection Has Been Made. s Permit +° Where.a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-19-1117 Applicant Name: E J JAXTIMER BUILDER INC. Approvals Date Issued: 05/07/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/07/2019 Foundation: Location: 58 SOUTH BAY ROAD,OSTERVILLE Map/Lot: 093-042-004 y Zoning District: RF-1 Sheathing: j�Z� q Owner on Record: VELEZ, MAROA C&VURNO,THOMAS F ` Contractor Name:'`�.E J JAXTIMER BUILDER INC. Framing: 1 C, 6 ? ,? Address: 313 MARLBOROUGH STREET UNIT 2 Contractor License: 110609 2 BOSTON, MA 02116 � Est. Protect Cost: $ 15,000.00 Chimney: Description: Add deck off all seasons room approx 24x8.Add Fireplace addition Permit Fee: $ 126.50 off all seasons room. Relocate windows on either side of addition t Insulation: e N fro fireplace Fee Paid: S 126.50 Final: • T M� Date: �` 5/7/2019 Project Review Req: '� 4 Plumbing/Gas Rough Plumbing: __......,....,� \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspections for the entire duration of the Final Gas: work until the completion of the same. I _ f Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:l ` Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining&installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT i -.-�- �.-..-..-.�.. ...J..I •"'DI►� Applic�onrT�b •... ... ................... t � ` Permit Fee.......... �.... �..�.......Oti=Fee. .................. MA88- 05 Total Fee Paid..................................................................... ... .......................�.. l. .l.�:�. TOWN OF BARNSTABLE Permit Approval by ••BUILDING PERMIT .............................pa ......�'.��a.....-...C�..�P...�l.. APPLICATION rc',�,� s�►T Section I— Owner's Information and Project Location Proj ect Address ,5 v (�PKA Village �2V h Owners Name cm �I v\( �� QL owners Legal Address 3, t2 •1 o � State � zip DID I City 1 Owners Cell# E-mail Section 2—Use of Structure Use Group �-'�� ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,qbN c� • Single/Two Family DwellingAPR 0 5 2019 Section 3—Type of Permit TOWN OF BARNSTABLE ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure . ❑ Change of use ❑ Demo/(entire structare) El FinishBasement ❑ Family/Amnesty El Fire Alarm ❑ build ❑ Deck AP�� Sprinkler System _ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 -Work Description 1 �dQVIA -LP r . ,'�T xct,md�7J9@O18 J Application Number.................................................... Section 5—Detail Cost of Proposed Construction I S vuv Square Footage of Project 1 T S� Age of Structure �� Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms(proposed) f I 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifics 01'Viring ❑ Oil Tank Storage ❑ Smoke Detectors lumbing Gas Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water supply Public ❑ Private ;X7_. Sewage Disposal ❑ Municipal On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: h I an using a crane ❑ Yes &No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes No ❑ Section 8—Zoning Information Zoning District s Proposed Use Q/s Lot Area Sq.Ft. a IN ZL-)-t Total Frontage n \ 'L Percentage of Lot Coverage Iy ► _#of Dwelling Units (on site) Setbacks Front Yard Required �� Proposed N Rear Yard Required Proposed Side Yard Required S Proposed Has this property had relief from the Zoning Board in the past? ' Yes ❑ No Lastmdatei-2/9r2019 I ApplicationNumber........................................... Section;9—.Construction Supervisor Name, L-...1 jA-;x--naa_ I Telephone Number7 7 9 r� i Address '�� 9�Lar-ljy l.. keCity 4"Ul 5 State_IVIP- Zip 0,Z&O/ i License Number 06 License Type 61 L Expiration Date . y Contractors Email % ' r 1 Cell#' CJ�sr) I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts State Building Code. I 'understand the construction inspection procedures,specific inspections and documentation 7re ' 80 CUR and the Town of Barnstable.Attach a copy of your license. r Signature Date Section-10—Home Improvement Contractor Name '� O Y Telephone Number • 9 Address City MS State Tp WWI Registization Number Q C Expiration Date / / �070 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CUR the Massachusetts Atate Building Code. I understand the construction inspection procedures,specific inspections and documentation re 780 CUR and the Town of Barnstable.Attach a copy of your H.LC... Signature Date Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CUR the Massachusetts Building Code. I understand the construction inspection procedures,specific inspections and documentation 780 CMR and the Town of Barnstable. Signature Date I f APPLICANT SIGNATURE Signature Date t�� f Print Name \Jd k Telephone Number C 7-22—)Ilq E-mail permit to: C�. Section 12—Department Sign-Offs Health Department © Zoning Board(if required) Historic District ❑ Site Plan Review(if required ❑ Fire Department ❑ Conservation ❑ i For commercial work,please take your plans directly to the fire deparbnent for approvab Section 13—Owner's Authorization I, as Owner of the-subject property hereby authorize to act on my behalf in all matters relative to work authorized by this building permit application for: r (Address of job) Signature of Owner date Print Name,_ , Last=dated:2/M018 i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information J Please Print Legibly Name (Business/Organization/Individual): L 0/Q � / /(lf Pi� Inc, Address: City/State/Zip: 2. 5 m o 'Phone #: Are you an employer?Che k the appropri to box: Type of project(required): 1.[V.Iam a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6: ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. El We are a corporation and its 10.❑ Electrical repairs or additions q ] 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ 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 13.❑ Other employees. [No workers' 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: Policy#or Self-ins. Lic. #: ��J)��9�� Expiration Date: 0/L61 Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ceraf er thepains andpenalties ofperjury that the information provided above is true and correct. Si nature: Date: 2 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#: .��M�tnzoiul'r�P�f D��I�t1J�J'lY'ciJ[�� office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only nP£.Corporation before the expiration date. If found return to: Reaisfatl`QIl irati' Office of Consumer Affairs and Business Regulation ��Li:1.06pg 11102f2020 1000 Washington s et-Suite 710 Erg Boston,MA 021 E J JAXTJMERe� I'•LILDI=R Re ti r, ERNEST J.JAXTIMir r,r 48 ROSARY LN %�i, ays' of Valid wi ignature HYANNIS,MA 02ft01 Underswetary Commonwealth of Massachusetts Division of Professional Licensure Board*[Building Regulations and Standards • Co nsti�ct3'O1%bperviso r CS-003251 X Tres;0111412020 Lh >1 1 ERNEST J JAXTIMER u,"s° 48 ROSARY LAME HYANNIS MA 621301 CIL Commissioner A,® CERTIFICATE OF LIABILITY INSURANCE DATE 01/30/20 9Y) 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Erica H.O'Connor HART INSURANCE AGENCY, INC. NAME: 243 MAIN STREET PHONE E . 508-759-7326 x205 ac No):508-759-7366 PO BOX 700 E-MAIL eoconnor@hartinsuranceagency.com BUZZARDS BAY,MA 025320700 INSURERS AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INS CO 41360 INSURED EJ Jaxtimer Builder, Inc INSURER B: 48 Rosary Lane Hyannis,MA 02601 INSURER C INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLTYPE OF INSURANCE INSO SUER F POLICY P LTR POLICY NUMBER MM/DD/YYY MM DD/YYY LIMITS A COMMERCIAL GENERAL LIABILITY 8500042039 01/01/2019 01/01/2020 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE �OCCUR DAMAGE TO RENTED 300,000 PREMISES Ea occurrence $ MED EXP(Any one person $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑JECT PRO 2,000,000 LOG PRODUCTS-COMP/OP AGG $ OTHER: $ A AUTOMOBILE LIABILITY 1020011547 01/01/2019 01/01/2020 COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident A UMBRELLA LIAB OCCUR 4600042040 01/01/2019 01/01/2020 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DED RETENTION$ 10,000 $ A WORKERS COMPENSATION 4220048905 01/01/2019 01/01/2020 V1 PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NI N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION Fax#:(508)775-3344 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 - AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD °FIm A Town of Barnstable Building Department Services BMWSrABLF, ' Brian Florence,CBO i639. Building Commissioner ��FDD 200 Main Street,Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize C �� ✓ f, . to act on my behalf, in all matters relative to work authorized by this building permit applicati for: t (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner Signature of Applicant s VV+�n t> M(AX Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS Rev:08/16/17 O� TRANSITION EVGINEERING September 16, 2019 IN OF MgSsq � ERIC J. �� CEDERHOLM Mr. Jonathan Jaxtimer o STRUCTURAL 0 E.J. Jaxtimer Builders " NO. 38962,E 853 Main St. Osterville, MA 02655 RE: 58 South Bay Rd., Osterville, MA—Sunroom Remodel Framing Inspection Dear Mr. Jaxtimer, On June 12, 2019, 1 met your project superintendent at the referenced property location to perform a final framing inspection on the renovations to the sunroom. I found the framing to be in conformance with the approved design drawings for this project. Should you have any questions regarding these findings, please do not hesitate to contact me. Sincerely, Eric J. Cederholm, PE Transition Engineering, Inc. PO Box 576 Cotuit, MA (508)404-0358 ejcpe@verizon.net Page 1 of 1 I HEREBY CERTIFY THAT THIS FOUNDATION IS.LOCATED ON THE LOT AS SHOWN AND CONFORMED TO THE TOWN OF BARNS-TABLE ZONING REGULATIONS, REGARDING SETBACKS FROM STREET LINES AND LOT Ll H I T WAS NSTRUCTED. DEC.4,1990 �R ERT, E. RM , .P.L . DATE - n JQJ /49 b � a iev EX/ST/NG .o P FOUNDgT/ON p s J P b 90 b p •,� i p P e p 0 0 r t�WI5.4'- tn? �tif N LOT 42 - 4 /.03.t Acres o r N 82'2S JO W SOUTH BAY ROAD THIS PLOT PLAN WAS MADE FROM AN INSTRUMENT SURVEY AND IS FOR THE USE OF THE BANK ONLY. UNDER Nqo CIRJyUMSToNCES ARE�O FFSETS T�$ BE USED FOR FENCES, WALLS, HEDGES, etc. • .1H OF Mq _ FOUNDATION LOCATION PLAN ROBERT y� PARCEL 42 2 SOUTH BAY ROAD., E. RAYMOND OSTERVILLE (BARNSTABLE) MA. � No.21583 Rr'�uas°�'° ARROW ENGINEERING INC.' FLOOD ZONE A13 A 9 10 CAPE DRIVE, SUITE B COMM. No. 250001 0018 C' ,MASHPEE Al MA 02649 EFFECTIVE DATE AU(3.19.1995 .SCALE, 1"a 30' DATE: DEC.4,1990 / •-v 90 TOWN OF BARNSTABLE 34119 PermitNo. ......:......... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash 9j��67Y' HYANNIS,MASS.02601 Bond .......... �C if 7i CERTIFICATE OF USE AND OCCUPANCY Issued to Terrance Huggard Address Lot #42-4 58 South Bay Road .r Osterville, Mass. USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID. AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. May 11, 19 92 ... ... ... .. .. . ..... .... ................. ......... �G................ Building Inspector NSTABLE, MASSACHUSETTS U I L D I N G PERM f h -0 � --004 . DATE 17c?C:E;TI}.7c:I" 6�]� 90 . . ..,..; PERMIT NO. APPLICANT '• v •��ixtlmei RcSary Lark, rlyixrl& 00.3251 ADDRESS ' (NO.) (STREET) ' (CONTR'S LICENSE, PERMIT TO Build llw�:'llltlq (11 I STORv_..�I.11giL Fanli:ly I)We111ngNUMBER OF (TYPE OF IMPROVEMENT) NO• DWELLING UNITS ' .S (PROPOSED USE) f AT (LOCATION) Lot #42—A (Lot #6) 58 S011 h Bay Road, O.siti.erville ZONING .RF-1 (NO.) (STREET) DISTRICT_ a BETWEEN (CROSS SIRE ET) AND (CROSS STREET) SUBDIVISION LOT LOT tt BLOCK SIZE BUILDING.IS TO BE FT, WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN;CONSTRUCTIO) TO TYPE USE GROUP • �y p••7 BASEMENT WALLS OR FOUNDATION E• Jk'.tiwt:� t #90-'-4 /5 (TYPE) REMARKS: :� !i r ; Bond I" VOLUME 3cjSO sq. i;'• 450, 000.00' PERMIT' (CUBIC/SOUARE FEET, ESTIMATED COST .FEE 260. 00 OWNER. TerrzLI1ce HU-ggyrd' Ole ADDRESS �f1Sr 1, How( r Driv(: , BUILDING DEPT• '. f BY • FROM THE DEPARTMENT OF OF ANY APPLICABLE SUBDIVI•PUBLIC WORKS.yTHE ISSUANCE O SION RESTRICTIONS. FTHIS PERMIT DOES-N,OT R' ELEASE-THE APPLICANT FROM THE.CONDITION MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR F, -L CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTAMBINGIONS p , PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN MADE. ,OCCUPANCY. POST THIS CAR® SO IT IS VISISLE FROM STREET v' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 Z 2 3 A IEATII G INSP ECTION APPROVALS ENGINaEERING DEPARTMENT Its OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W! TOR HAS APPROVED THE VARIODUS STAGES OF WORK IS NOT BECOME TED NULL IX AND VOID SD THE INSPECTIONS INDICATED ON THIS CARD CAW BI CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTEP NOTIFICATION. i I HEREBY CERTIFY THAT THIS ' FOUNDATION IS LOCATED ON T E LOT AS SHOWN AND CONFORM D TO THE TOWN OF BARNS-TABLE ZONING RE ULATIONS, REGARDING SETBACKS FROM STREET LINES AND LOT LINES H IM T WAS NSTRUCTED. DEC. 4, 1990 •/! r/� ,pa,�•. ram,.. -r-- ERT E. RA N, , .P LAS. DATE • o ia.e h n v 30.3 /5.9 b 1 ' b ry A- /17 "XIS T/NG 9,0 FOUND%gT/ON b 15 tr b so h o' P a - O O m o M W15.4'f _ - h tib o _ LOT 42 - 4 1.03f Acres o .. N 82'26'30"IV 132.42 - SOUTH, BAY ROAD THIS PLOT PLAN WAS MADE FROM AN INSTRUMENT SURVEY AND IS FOR THE USE OF THE BANK ONLY. UNDER NQo CIRgMSTo.NCES A%o FFSETS TO so BE USED 90 FOR FENCES, WALLS, HEDGES, etc. Sc r MAss'cyG . . - .... FO.UNDATI'ON_ LOCATION PLAN ROBE.0 PARCEL 42 '- 2 SOUTH BAY ROAD RAYMOND y OSTERVILLE (BARNSTABLE) MA. �o No.21583� - �F 9FO'sT�Q��° � ARROW ENGINEERING INC. FLOOD ZONE A13 a 8 t LAtl3� c 10 CAPE{ DRIVEC COMM. N0. SU-ITE B 250001 0018 C MASH PEE MA 02649 EFFECTIVE DATE I SCALE I" 30' DATE: DEC. 4, 1990 of THE Tp� Town of Barnstable *Permit tl aon�, 'YO Expires 6 monthsjroni issue date Regulatory Services Fee 366 - o d • BAARNSTABLE, ' Thomas F.Geiler,Director � A - �.J ES PERMIT Building Division Tom Perry,CBO, Building Commissioner O C T 2 3 2009 200 Main Street,Hyannis,MA 02601 TON OF www.town.bamstable.ma.us Office: 508-862-4038 BARNSTAB�� Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �,/ Not Valid without Red X-Press Imprint Map/parcel Number �9 3 0 /O?.00 Property Address S o c.�—�'� a• �J S� ®Residential Value of Work (o O. 60 O Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address K /' P/`!—e G dr /G S 5o1-474 ,P, ' Jf Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ® I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ® Re-roof(stripping old shingles) All construction debris will be taken to $i1A ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side r) #of doors DY Replacement Windows/doors/sliders.U-Value V (maximum.44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owne Lett of Permission. A copy of the Home Improvement Cont actors icense&Construction Supervisors License is required. SIGNATURE: Q:\WPFILES\FORMS\building permit rms\EXPRESS.doc Revised 090809 v CI The Commonwealth of Massach usetts Department of Industrial Accidents Office oflnvestigations I' 600 Washington Street -1 Boston, MA 02111 fviviv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly NN a"m£-(Business/Oo��gan-�iz,ation/Individual): /C /' `�' A/ d /�/P �/ VV u G Td-adr—es s: � Y 7 o vt ;30. City-/S-tate/Zip:—� Ze' lvl�lle. /% �o2w done #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 24 N'I am a general contractor and I .�� 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor mein an capacity. employees and have workers' Y P h' q 9. ❑ Building addition. [No workers' comp. insurance comp. insurance., ,5.. �Ve are a corporation and its 10.0 Electrical repairs or additions required:] -� :� -0- � 3..7❑-I-am-a`homeowner-doing-a"ll--work officers have exercised their 1 1.❑ Plumbing repairs or additions myself o workers' com right of exemption per MGL y [N p. t 12.[RLLRoof repairs..�...- insurance required.] t c. 152, §1(4),and we have no + employees. [No workers' /+1,43°NJ-0-thee" comp. insurance required.] *Any applicant that checks box#] 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. t"Contractors that check this box must-attached-an-additional-sheet-showing-thc.name-of_thc-sub-contractors-and-state-whether,or_not-those-entities-have employees. If the sub-contractors have emplooyccss,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: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains,and n ti s of perjury that th i formation provided above is true and correct. S"i na'titre f: �- - r"— Date: Phone#: Official ltse 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#: ' t 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-contractors)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 fiiture 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 IMEr Town of Barnstable Regulatory Services MAE&H^ Thomas F. Geiler,Director y '+ss. $ 039.., Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section. . . If Using!A Builder as Owner of the subject property hereby authorize �`� / to act on my behalf, in all matters relative to work authorized by this building permit application for. yJI/ (Add\re s of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side-: 77 Q:FORM SOWN ERPERM ISSION of t►tF,�, Town of Barnstable a Regulatory Services BAaNSTAB Thomas F. Geiler, erector MASs 9�A 039. p;0 Building Division Ufa µat Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print C:�D�AT =100i/.4?L E lOB LOCATION: ��1 q — number stree �) village p/� "HOMEO-WNER":"// /. �Z Ile) 617- SY7p- 1,90 namtr Q C /home phone 4 -o work phone 4 CURRENT MAILING ADDRESS: D city/town state zip code - The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109:1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she n erstands the Town of Barnstable Building Department minimum inspection procedures and requirements d at he/she will comply with said procedures and re uirements. [Sign re Homeowner Approval of Building Official Note: Three-family dwellings conta' ' 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors),provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that.he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC The Commonwealth of Massachusetts Department of Industrial Accidents }} Office of Investigations I_ F 600 Washington Street s Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information le 1 Please Print Legibly Name (Business/Organization/Individual): �/'G�'1.�' �� y ee57 e Address: City/State/Zip: R. S A, S Phone #: 7 7 q— ;U 8 f305r' Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.Y I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition workingfor me in an capacity. employees and have workers' Y9. ❑ Building addition [No workers' comp. insurance comp, insurance.$ required.] 5. We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l I.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.FC] Other G(ft G!/ 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. tContractors 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: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce ' under a pai an pe x ties e ' the information provided above is true and correct. Signature: Date: CJ r Phone M j 2 [1—, 5 A-- t-3 IQ ;SS 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#: ' -- The Commonwealth of Massach usetts Department of Industrial Accidents Office of Investigations �- 600 Washington Street I _ Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information t Please Print Legibly Name (Business/Organization/Individual): /� �Q M A,110/(/ �7'OF, Address: , ®�( City/State/Zip: p hone #: , �4:57 � Are you an employer? Check the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I �mployees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction I 2. am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' insurance.# 9. ❑Building addition comp.[No workers' comp. insurance P• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. i right of exemption per MGL 12.VRoof repairs insurance required.] t t c. 152, §1(4),and we have no p 13.❑ Other employees. [No workers' 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. tContractors 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 thepolicy and job site information. Insurance Company Name: Policy#or Self-ins, Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify and r the pains and penalties of perju that the information provided abo a is trite //and correct. Si nature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other C.ontacf Person: Phone#: oFtKt:r, Town of Barnstable *Permit# doNz3�2 Expires J,months from issue dale Regulatory Services Fe • BARNSTABLE, y 6 Thomas F. Geiler, Director lED MAr A. SS � Building Division 'JUN. 2o Tom Perry, CBO, Building Commissioner "r �� 200 Main Street, Hyannis, MA 02601 WN OF B www.town.barnstable.ma.us Office: 508-862-4038 A�NS7-ABLf Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address --5 �3 S0C) 1� ,��ko 0 Residential Value of Work- .. Minimum fee of$25.00 for work under$6000.00 Owner's Name & Address J Contractor's Name F,le. (5 C 0 tv 'i Telephone Number(S—.0,9) ") 16 - d 1 tome Improvement Contractor License#(if applicable) D-i `( 8 ..1 Construction Supervisor's License # (if applicable) i 1 t.a� ❑Workman's Compensation Insurance Check one: D-am a sole proprietor ❑ I am the Homeowner ❑ 1 have Worker's Compensation Insurance Insurance Company Name Workman's Comp. Policy # Copy of Insurance Compliance Certificate must be on file. Permit Request (check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side _3 ® . Replacement Windows/doors/sliders. U-Value 4 3 (maximum .44) 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. lr.NAruRF: __E i.`\k l'1-II.1:SU:t)RMS\building permit forms\EXPRESS.doc Revised 100608 it ofT"�To�,ti Town of Barnstable Regulatory Services Thomas F. Geiler,Director 16 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize C ,(Z, Q c,;,�, l_L to act on my behalf, in all matters relative to work authorized by this building permit application for. ( dress 'of Job) ignature of ef Date 4--Xo, -J H-��4c�o Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION n Town of Barnstable Regulatory Services Thomas F.Geiler,Director • sAxxsrw=t.e. , Yq, �63q.. Building Division PlfD A Tom Perry,Building Commissioner _..... ... .._...200 Mairi.-Stree Hyannis,-MA 02601 _.... ... _.._. . .. _.__._...... www.town.barnstable-ma.us Office: 509-962-403 8 Fax: 508-790-6230 HOIEOWNER LICENSE EXEMMON Pleate Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached strictures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,Hiles and regulations. The undersigned."homeownee'certifies that.he/she understands the Town of Barastable•Buildiug Depattrnent minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signatine of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any boineowoer performing work for which a building permit is required shall be exempt from the provisions of this.section(Section I D9.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall ad as supervisor." Many homeowners wbo use this mcniption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently.used by several towns. You may care t arr=d and adopt curb a fmrm/certifi cation.for use in your community. Q:fM-"U:homccxcmpt The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 6 Ld a .J Address: ")3�A City/State/Zip: rc.�rS�ays m�\�S , 1M (-\ . Phone.#: 56 8 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I �loyees(full and/or part-tim.e).* have hired the sub-contractors 6. E�ewconstruction 2.LJ I am a sole proprietor or partner listed on the attached sheet 7.. modeling ship and have no employees These sub-contractors have 8..❑Demolition working for me in any capacity. employees and Have workers' 9. ❑Building addition [No workers'"comp.insurance comp.msurance.t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.El am a homeowner doing all work officers have exercised their I LEJ 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. tContractors 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-contactors 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: Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: 5.Fj S n j+b� 1 Y 2� City/State/Zip: 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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Date: 7gi �ic. 11 2—pol _ Phone#: SOS? 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 tiustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house of 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-conkactor(s)name(s),address(es)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Comipanies'(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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permittlicense 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 maybe 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 fo any business or commercial venture (i.e. a dog license or permit to bum 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 TO. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 www.mass.gov/dia i °TX. oPoma.,,,aua/b� o�✓ aaaaduaef� Board of Bnddiiig Regdlatiofis"and Standards I Construction Supervisor License { License: CS 17603 60 z 216/2U10 Tr# 21100 v `Rest lotion:'`QW" .` EDWARD R OC6NA8LL`;_::.`.- PO BOX 84/RNER`'RD.:._- -•G_ �y� c MARSTONS MILLS,MA'U2648 Commissioner . ✓/ie �omino,uoea�Ii a�,�.craacu�ucael�a Coard 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 Registration:..104gg7 One Ashburton Place Rm 1301 Ezpirafion:2;_7A6/2010 Tr# 271393 Boston,_A1a.02108 Type: Dbk� ; E.R.O'CONNELL,;'BUILDER.` ' - Edward O'Connell; PUB 84l738 River Rd _�— Marstons Mills,MA 02648 Administrator Not valid without signature Assessor's office(1st Floor): ,,ee�� Assessor's map and lot number �� SYSTEM 's�F�1�d�� o�1wE jot► Board of Health(3rd floor): ' ED IN COMPL�AN Sewage Permit number ITH TITLE 5• • Engineering Department(3rd floor): FJS . E MENTAL C®DE A oo'8N"°DL rus House number TOWN �E�� TI�� 1639* Definitive Plan Approved by Planning Board 19 r�Y d APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only A P P R 0 V ETOWN OF BARNSTABLE ar table Conservation Com fission�11 L D I N G- INSPECT 0 R AgzSirPkWLICATION FOR PERRMB single familv home TYPE OF CONSTRUCTION wood 19 90 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: i Location Lot #42-4 South Bay Road , Osterville , MA 02655 cL- 0,r � �o Proposed Use residential (I Zoning District R` 1 Fire District Centerville/Osterville JRtt. 'p S k a.n.a.,., J-%M..o NN NameofOwner Mr. Terrance Huggard Address 51 Eisenhower Drive , Sharon, MA 02067 Name of Builder L . J . Jaxt imer Address 48 Rosary LA, Hyannis , MA 02601 NameofArchitect Catalano Architects , PC Address 374 Congress St . , Boston , MA Number of Rooms 20 Foundation Poured concrete Exterior wood shingle Roofing wood shingle Floors wood & the Interior blueboard & o'.aster Heating propane gas Plumbing —2 fu.i.i. & 2 half baths Fireplace- ( 2 ) masonry Approximate Cost $450 ,000 .00 Area // s q. f t . Diagram of Lot and Building with Dimensions Fee o"a OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the ove construction. JV Name i Construction Supervisor's License HUGGARD, TERRAWE r No 34119 Permit For, 1 '2. ;Story Single Family Dwelling ' Location Lot #4 2=-A (Loft #6) 58 South Bay Road Ostery 1`le Own®r. Terrance Hugq�ard Type of Construction Fram _9 . r � Plot Lot } s i Permit Granted December 26, 19 90 Date of Inspection��y,Q� 7—� 19 �D {ale d 19 j� S a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION `�-��"• P.ISEPTIC SYSTEM MUST BE Map Parcel y a ,(�/��f INSTALLED IN COMNLIANC�ermit# , WITH TITLE 5 Health Division 20-- Y 7,4- ENVIRONMENTAL CODE AV,Sate Issued Conservation Division `2• JA& P�� 1401A'�J Id_tU�.�=y�t0NM Fee130• ay Tax Collector -4* `' - r Treasurer: Planning Dept. - Date Definitive Plan Approved by Planning Board ` Historic-OKH Preservation/Hyannis Project Street Address 58 South Hay Road (ar-4t — �- Village Os t ery i l l e Owner Terry Huggard Address 58 South Pay Road , Osterville Telephone 771-4498 Permit Request Extend Family Roam by enclosing existing screen porch' ( 10 ' x 161 ). Construct new screen porch ( 15 x 22) . Square feet: 1st floor: existing proposed 330 2nd floor:existing proposed Total new 330 Estimated Project Cost $a 2 ,000 Zoning District RF1 Flood Plain Groundwater Overlay Construction Type wood R e s i d e n t i a l Lot Size 1 acre Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family k1 Two Family ❑ Multi-Family(#units) Age of Existing Structure 9 years Historic House: ❑Yes ®No On Old King's Highway: ❑Yes ElNo Basement Type: ElFull M/Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new ,,r Half:existing new Number of Bedrooms: existing J.� new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas YOil ❑ Electric ❑Other ic- V� or Central Air: U Yes O No Fireplaces: Existing New 2 Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Q existing ❑new size 3-CKCShed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Residential Proposed Use BUILDER INFORMATION Name F.J.' Jaxtimer, Ruildpr , Tnr _ Telephone Number 778-4911 Address 48 Rosary Lane , Hyannis License# 003251 Home Improvement Contractor# 110609 Worker's Compensation# WC97-695028 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Ma is Dum ster SIGNATURE DATE FOR OFFICIAL USE ONLY ' t Z1PEA�IT NO. . . . DATE ISSUED + MAP/PARCEL NO. _ ADDRESS VILLAGE - = OWNER DATE OF INSPECTIO / FOUNDATION^ .� ' FRAME INSU'L�O . ELECT;RICALa ROUGH FINAL — iW ZZ PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT F ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents' - 600'Washington Street Boston,Mass. 02111. workers'; Com ensation Insurance Affidavit-General Businesses �,J(,P yipr'`•,•'.�°�yd•RKi'«'�i�•1''6JY5r"'••,�5:�" .TyereMp�r"•E.,..:• , :n ,,,,: •e•i ..�.:i: •� ,.:�'S:dY1 • address; 7 . ... • state: Zl hone# work site locat:io: full address): [] I am•s sole proprietor and have no one Business T�'pe: E3 Retail 0'Restaurant/Bar/Bating•Establishment working in any capacity. [] Office 0 Wes(including•Real Estate, Autos etc.)' I am an em toyer with etn'lo ees(full& art time) ❑ Other ' ' , I am an loyer providing.w, 'ers' omvensation f r my employees working on this job. ;y`f �., ~'''• �t,:,' 'r•��S•. ..3 , '`1;��; %j`.v�'.� •,• Com aII •nerve: r: , +,.;:r, •: ;i'.t::.• ....... s• •�. •y" •'.''�', a`+t •a :•J:.:J, i•' ,:3v,•t:s•f-`... ;J.:•- •�'• i�>;,�•�, ••'.i• fiddre$S' a •' �•4. '•'•i+.:: _ .Y.:"• r.. .:Y..aa .i e. >wti. 1 •, 1 •,tu' •a:., j. i J.�•;d: ..�j..••Y,•''.a.. .i:{• ` .l •}.•..�qJ ,�a;•"� •�,�.�' ... ;�� ;' �• •'hone.•#•'`.`�' (iJ° � i1surance.6'ns't • -;.: /�//. ' the' endent contractors listed below who have fife following workers I am a sole proprietor and have hir .compensation polices: 1 .,t.: ..''•`••.!: `:t!`•, ..s• _ •,,a`+•t•' '•i+••' :•,•:.,'1:: �'ir, .4:•, Y:iy•"n•„'..�1•,:+:- •}:+'`•:�`,;: i, Col •finis,:',i: !'q'•'•�: •'C' 7y1}C•y:,•7• '�� .h - .J•• 1.n fr �.}aai. •p; .. , 'yF-. .1;}• � :-' •`v.i'��0�a .. '. • �'.Y.: r 1 •`..'.',;. 'I r; .1:, e;:`j. Y '' •'i t '�_ �'��'� ':!� :'i.: �1'd':':�:r eYld.ess:. l'. ,,.a... :L i7�•.,�3 .Y,.,`.at''I',...�t:ti:7 Li' r: ••t•''�ai .;• •.S': .•1i.q•f•`�7,i. •7,` Cl '' •a:..•��\iy L`'y':�• '•S ,r,N^.y^.,;S I.:;• ::J�•'t'•.;�.;�+' .t• ..•.t-Z)r'•`�' •;i'•'• , r.�t ••' `'.'t!:.r;: :9'� ''�•'•''.':ti' +.e.'.'.�'.'•r� v '... '%:,•;r;•• -�' :�:•• 'olio :#�: .r.:+r:2'5-.� .l`:'•' `;.•+ insurance-co. �_ .Ir ;{y',t{ 'i•. 'a. .. : ni' , T, r {,M •:t•J t i1.•;•.',•i�.: J`P�. 'r '•'•S� '•'f•i 4' :,: ' 'S. ,;v' '•t,• a,l;: d, rat' ••i" 'f.,•(�t.�! .s. : �' +.•' • 'ti��,J.,. }.'': �.Ctr '�l•!"r��:�';:[ 'Yi��,,,.r" _ .J J. ^r.� ..»'r n .C. one coin eri. rieisie: •r� ��' �',! , :.. .. •;_�. 'a • . •':•• -t:•.,::•', oddressi. �� .. � •:•;: : ' •.,' "f'r•• ♦..e;.. ..,,:1- '•`,j.••.:'.. (� ..fh.ti��1i'l :l 'l�' �i. y, ', - :.1�•�;r • •' ' _ :, Ta¢ ,.i' " •,,. .•1. i :::•,�5� .:'S:., ,s� , � :;':�:i••..� ' ,.• ;,, ate,':.•. •t.`- ,Ft•� t:i:<~;. •:S•... •ii�r: �a'.•.:`:�• r;. :•1,::.�i:' •O�1CY�K s".1:•:,' �,,5'r,•.f.,ti..: ;,',:i _ 't. 'i: ': FaUure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the fdi m of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that ti copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify, nd r th an nd p . ties o 'ury that the Information provided above is true a d cor C4 Sipature Date Print Ham Phone#a .. official use only do not wr a in this area to be c eted by city or town official city or town: permit/llcense it ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's orrice 0Health Departmeni contact person: phone#; ❑Other ' a (revved Sept�003) I • Inforniation and Instructions. Massachusetts General Laws chapter�152 section 25.requires all employers to provide workers' compensation for their. loyees: As quoted from the law', an employee is.defined as every person in the service of another under any contract lie oral or written. )f hire; express or imp ..� �n employer association, corporation or other legal entity, or any two or mgre of er is defined as an individual,partnership, he foregoing engaged m a joint enterprise, and including the legal representatives of a deceased,employer, or the receiver or association or other legal entity, employing employees. 'However the owner of a austee of an individual,-partnership,. Swelling house baving'not-snore than three apartments and�who resides therein, or the.occupant of the dwelling house bf another who employspersbris to do.maintenance, construction or repair work on such dwelling house or on the grounds or b g$ppurtenant thereto shall not because of such.employment.be deemed to bean employdr.. ter 152 section 25 also'states that'every state*or local licensing,agency shall' ithhold the issuance or renewal MGL chap y ; . , of a license or permit operate a business or to construct buildings in the.commonweaIth for an ;applicant who has not produced acceptable evidence of compliance with the insurance coverage re4iilred. Additionally,neither the commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work unti'1 ompliance with t�e insurance requirements.of fl i;chapter have been presented to the contracting acceptable evidence of cy. . authority: , 44, / Applicants Please fill in .the workers' eompeation affidavit completely,by checking the box that applies to your situation :Please _ supply company name, address and phone numbers along with a certificate of insurance as all-affidavits- be submitted of Industrial Accidents•for confirmation of insurance coverage. Also:be sure to sign and date.the to the Department affidavit The affidavit should be returned to the city or town that the application for the�permit.or license is being requested, not the D' 2a timent of ludustrial Accidents. Should you have any questions regardin�'the'"law"or if you ar e required to,obtain a workers'.compensation policy,please call the Depa�rtri=t at the number'listcd..below. City or Towns Please be sure that the affidavit is complete and.printed legrbly. The Department has provided a space at the bottom of the affidavit for you to fill out is the event the Office of Investigations has to contact you regarding the applicant. Please _ be sure to fill.in the perrrntllicens.e ninriber.which will be used as a reference number. The.affidavits may.be.retumed to the Department by,mad or FAx.unless other:arrangements have been made. The Office of Investigations would li to thank you in advance for you cooperation and should you have airy 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 _ Btt�ce of�etiresti>�atiens 600 Washington Street ' Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 IE of wn of Barnstable Regulatory. Services axxt s.tat , Thomas F.Geller,Director 9`b�,�b MAC Ilk Building Division • Tom Perry,Building Commissioner ' 200 Mein Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 ?wait no. . Date AFMAVIT ' ROME ROROMUNT CONTRACTOR LAW SUPPLEYEM TO PLPJY 'APPLICATION MQL 0.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an additionto any pre-existing owxior-occupied . building conts.n at least one but notznore than four dwelling units or to structures which are adjacent to • suoh residence or building be done by zegistered contractors,with certain exceptions,along with other requzlameats '. . • Type of Work: Estimated Cost Q Address of Wank: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s); []Work excluded bylaw ' ❑Job Under S 1,000 ' []Building not owner-occupied ' []Owner pulling own permit , Notice 1;hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FORAPPLICAB,.d HOME ZTPROYEMENT WORK 3)0 NOT 311E . ACCESS TO THE ARBITRATION PRO GRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDERPENALTMS OF PERJURY I hereby sp Iy for:permit as the a t o the r: D to ntra r Nam Re�istrationNo. OR Owner's Name , 4,KE t Town. of Barnstable . Regulatory Services A" Thomas F,Geller, . $ �� Th �Director funding Division Tom Perry, Building Commissioner 200 Mafia Street, Hymmis,MA 02601 . www.tofn.barnstablema,us Moe: 508�862-4038 Fax, 508-790-6230 T Property Owner-must - - -Complete and Sign This Section IfUsing A.Builder op !� as Owner of the subjectproperty X .eEN(f� ude d&.�' J hereby authorize .-to•act on mybehalf, . in all matters relative to work authorized by this building permit application for. Address of Job 8�z�3 Signature of O Date wner Print Name ;a� ��nJJniYl iiJn//J Board of Building Regulations ulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 12579 9 Expiration: 1/30/2006 Type: Private Corporation C.J.RILEY BUILDER INC CRAIG RILEY 1322 MAIN ST. OSTERVILLE,MA 02655 ( Administrator 1 ride '�nyrv�nnn�ucal/I. o�;./f�irava��uae%ta BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 066147 Expires: 02/05/2005 Tr.no: 8032 Restricted: 00 CRAIG J RILEY PO BOX 382 ,,, , OSTERVILLE, MA 02655 Administrator C.J. RILEY BUILDER,INC. P.O. Box 382 Osterville, MA 02655 C.J. RILEY, BUILDER, INC. OFFICE: (508) 428-6376 FAX: (508) 778-0268 CELL: (508) 364-1044 BEEPER: (978) 547-4187 ME R KESSLER 600 COAL.POOL DRAW .o T RMINATB RL't/C�4 ENTl� GOWN kow STONE b• GRC-UMb L'LV%L,tc RP.•) ML-rp-Ft FAPsR1c.rL _ of 1'. 70 a PR,0P0 Sao ��!►2.3' .. fA SCR'6HNED PORCH i v1 .Q .•NW. Oda. N ' N vL 0 d p� J Q z p P°t0 a o 3 a . . ac� J � 5,7 Q � Cs%1ST 3'WI bE . ,Q _e(J PATH tt�� EXI ST. Fli S PROPOseri adx►40' SEE ss3-3000 POOL W/S'APRON 9�i•• pe0.1:.eQu i'P. 2 uwOGR DRCMC. • PAUL,B PHYLL IS l`I FIREMAN PLAN VIEW Scale: I"=30' I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON TiE LOT AS SHOWN AND CONFORME D TO THE TOWN'OF BARNS-TABLE ZONING RE ULATIONS, REGARDING SETBACKS FROM STREET LINES AND LOT LI�E�X H I T WAS NSTRUCTED. ,. ;. ,y► ;�,. DEC.4,1990 - F2 ERT, E. RAY , P.L DATE 1Ja,7 uy . /1 a EX/SRNG xo /6.6't FOUNDAT/ON m b 'to p p � H m P ry b° V 0 C m � r 2 LOT 42 — 4 1.03f Acres o N 82'26'90'IY —— 192.42 SOUTH BA Y ROAD THIS PLOT PLAN WAS " MADE FROM AN INSTRUMENT SURVEY AND IS FOR THE USE OF THE BANK ONLY. UNDER NQ CIRJYMSTo NCES ARE�o FFSETS s$ BE USED FOR FENCES, WALLS, HEDGES, etc. ,tN OF FOUNDATION LOCATION PLAN • � ' RoeEn ,y`l, PARCEL 42 2 SOUTH BAY ROAD., E.MOND OSTERVILLE (BARNSTABLE) MA. RAY y No.21583 0 R�lf11�SJ�;` ARROW ENGINEERING INC: FLOOD ZONE A13 8 B 10 CAPE DRIVE, SUITE B. COMM. No. 250001 0018 C MASHPEE, MA 02649 �•.f EFFECTIVE DATE A ! 19.i985 SCALE, 1" 30' DATE, DEC.4,1990 1A.1wy eo j 1 q 11 f_F_ Ail •I IJI �� I c��S �� • k4 s ��-�•. 3j I __�nuwa ; 1 f '� > I �. 3 t ' F � S f p� f � � w i � i � k s F� ';.1 I .v ` fff F911. E I d � otF � r44� � �,�5 J I I _ .-=l _-..i m ; Y�l U+ .-.:._._I.�._—_C_'•9—.emu— I � ' i I I j {c I-; 1 \\,� nI S� III F� v"'I-� � II J: 9$ r• I 0 II II { :f^ I II I ! 41 I �• 'i � I� u�. Z°c�j as !_I to •^i � Ll 4 1 1 i I I ` RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 �Da� Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE l 'job square feet x$96/sq.foot= 3��0� x.0041= 1Sr7 l q 7 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORYSTRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf. 75.00 >1000 sf= 1500 sf 100.00 >1500 sf-Same as-new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck.._. ... _. :_ x$30.60= (number) Fireplace/Chimney . x$25.00= (number) Ingrodnd Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 The bottom of all openingsshall not be higher than 12 inches(305 adjacent to the mm) abo �ve grade immediatelyocation of tie opening- Openings shA o be lequipped with screens, louvers, valves or other coverings or devices unless such devices pam1t the automatic entry and discharge of floodwaters `V �V- Of r cr o DAPlIEL E. BRAS I N ® STRUCTURAL too. �s 40, 7 �� d �S/Otipt Engit]eering Dept. (3rd floor) Map Parcel C_J`T�� Permit# 6U House# —fVZ-.Date Issued ��Q Y Bo rd of Health(3rd floor)(8:15 -9:30/1:00-4:30) 07 7�1W � Fee 6,-?i J,& Conservation Office(4th floor)(8:30-9:30/1:00-2:0 5 ►�1�,� ;a� P�� Planning Dept. (1st floor/School Admin. Bldg.) SEPTIC S*, 10' T BE Definitive Plan Approved by Planning Board 19 INSTALLtANCE WI TOWN OF BARNSTABLE V�®W� N® Building Permit Application — Project Street Address � an -i= -�—� / �CJ/. LD T -0 /, Village Owner Telephone Permit Request `rI eAJ First Floor square feet Second Floor square feet Construction Type � � Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes `!❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other 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 Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information s. � Name Telephone Number --�� Address D License# C!�—> exQeq, j t671)7 T Home Improvement Contractor# .r Worker's Compensation# uzy CCD ZS 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 SIGNATUR01D DATE BUILDING OR THE FOLLOWING REASOP1(S) Z- Ly-1, y ~ FOR OFFICIAL USE ONLY a. PERMIT NO. ° DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE NER DATE OF INSPECTION: FOUNDATION FRAME .`INSULATION �ati-F J FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ::cROUG FINAL .li y21 GAS: jRQVGff r FINAL FINAL BUILDING� � DATE CLOSED O> 8 ASSOCIATION PrA.I NO 'y t o i of THE _ The Town of Barnstable • ■na WAllte. • �0� Department of Health Safety and Environmental Services .erED�� Building Division 367 Main Street,Hyannis MA 02601 Office: 508=790-6227 Ralph Crossen Fax: 5081790-6230 Building Commissioner For office use only Permit no. Date I AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW ' SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: �� Est.Cost cam. / Address of Work: 0 Owner's Name cif Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I her by ply for a permit as the agent of the owner: Dati Contractor Name Registration No. OR Date Owner's Name The Connytonit ttll/i of tlfassach"setts w . i! - =j•�:- Dcparnizent of Indnstrial.4ccidents • ^ 1 Y• 0ll=V11nvest/gat/ans .i 1 iiii - •.� �r- .. 600 11 as ibigion Street �'•��.,•'�.�- Bustutr. ,Hass. O?I11 Workers' Compensation Insurance Affidavit �ltltlic��nt information• _- M Please PRINTlebiffi r name• locition- cif%• nhonr# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity -w. rI« .........-w•�..!:9Hrr..�.HsrST•wMn►1. ..... .ifT� .. Y�... .w�.�r�+w...nw+..•.....-.....w..•_�••..�-...- I am an emplover providing workers' compensation for my employees working on this job. gnmp•rn%• n•t�me• tddrec�• 4 i® Cy 7 530 hone#: � insurance n. iicv# Z-WJ 1M I am a sole proprietor. general contractor, or homeowner(circle ate) and have hired the contractors listed below who ha% the following workers compensation polices: comn•rnv n•ttnc- i atitlrecc• city• phone#- insur•tnce co 1 - •P•t�:•�... Y."-^.._ -_ '�':T'• _ `__ _ -r.�.-�'. Z��T•'f!7A..y.��- � ^,."R•!- .e•_r•_•s r�--� cmmy•rn%• n•tmc• atltlrccc• rite• nhonr#! inur•tnce co policy# .Attachadditio_nal sheet if neee%sa7w:: �~'�= __..i _ ,;•.:`.�:5:,-..;. '..,.:__._ '."`"...�","'''" '`-�••'-:_ F:tiiure to secure covrrrre:ts required under Section SA of A1GL 152 can lead to the imposition of criminal penalties 01•a lineup io SI.500.00 andiur une%•cars'imprisonment as%%•ell as civil penalties in the form of a STOP NVORK ORDER and a fine of 5100.00 a dap against me. I understand that a cope of this statement may be fun%'ardcd to the Office of Investigations of the DIA for coverage verification. I tlo herehr ccrt. 1•under the ptr r penaltics oyr 'un•that the information provided above is true and orrec Sianature I Date Print name �/ �' Phone>; '•ofliciai use only do not write in this area to be completed by city or town oRcial city or town: permit/license tt r•tlluilding Department Cjucensinr lluard L t check if imrncdiatc response is required OScicetmcn s oRcc ►-• �. 011caith Department contact person_: phone#• r'101hcr___ — Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers eonipensation fo: employees. As quoted from the •'law an einpinree is dcfincd as every person in the service of another under an contract of hire, express or implied. oral or wrinett. An empinrer is dcfincd as an individual. partnership, association, corporation or other legal entity, or any two or the foreuoin�a, cnLaged 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. Howev( owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwclling house of another who employs persons to do maintenance , construction or repair work on such dwellin or on the arounds or building appurtenant thereto shall not because of such employment be deemed to be an emp MGL chapter 15'_ section 25 also states that even•state or local licensing agency shall withhold the issuance c renewal of a license or permit to operate n business or to construct buildincs in the commonwealth for any :applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chap been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation supplying_ company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law' or if you are rege to obtain a workers compensation policy. please call the Department at the number listed below. City or'rowns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottc the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. be sure to fill in the permittlicense number which will be used as a reference number. The at may be return. the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for;you cooperation and should you have am• q= please do not hesitate to arve us a call. The Department's address. telephone and fax number. The Commonwealth Of Massachusetts ' Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston. Ma. 02111 fax R: (617) 727-7749 m t54 �g4! ! �J U/O�Y�ht 7�tAIC wJ6CG1 DEPARTMENT OF PUBLIC SAFETY CONSTRUCTION SUPERVISOR LICENSE Mueber Expires' Re_sfr_icted=o 00 ` GE R GILLMORE 940 UII, MA 02635 ✓fie 01,4 vaww,,& HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of .Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 123494 Expiration 02/26/99 Type - PRIVATE CORPORATION Gillmore Marine Contracting , Inc .. George R . Gillmore 37 Bowdoin Rd Mashpee MA 02649 ,1� ✓fie Vom OEPARINEN T OF PUBLIC SAFETY . CONSTRUCTION SUPERVISOR LICENSE pu�ber Expires' ' Resfficted Tod 00 '- n'- GEORGE R GIIINORE PO BOX 940 ±° r COTUIT, NA 02635 ��ie �o n��;►� uue�z� o�� aa�(u�ae FHOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place — Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR I Registration 123494 Expiration 02/26/99 Type — PRIVATE CORPORATION Gillmore Marine Contracting , Inc .. George R . Gillmore 37 Bowdoin Rd Mashpee MA 02649 s � i jfllk 64 M �4 y �U a 8� I AA ar:ai �of�a.ar• Mims ,•0 39bd ONI JN3 NVAI-I-II1IS 91IEBZbGos 60:LL 666Z/0E/60 G -I HEREBY CERTIFY THAT THIS FOUNDATION IS LOCATED ON TiE LOT AS SHOWN AND CONFORMED TO THE TOWN OF BARNS-TABLE ZONING RE ULATIONS, REGARDING SETBACKS FROM STREET LINES AND LOT LPE� H TIM T WAS NSTRUCTED. DEC.4,1990 --R ERT E. R&M N , 3.RLA. DATE JQJ 49 � J a ^1 (\\t EX/ST/NG 16.6 /� FOUNDAT/ON 9p m s b 9p b p Jq 4( / O' I P h b N 0 O 0 m r- y 5.4 of Q ti N b 2 � LOT 42 — 4 1.03f Acres o N B2'26'90'IY l92.42 SOUTH BAY ROAD THIS PLOT PLAN WAS MADE FROM AN INSTRUMENT SURVEY AND IS FOR THE USE OF THE BANK ONLY. UNDER NO, CIR�YMSToANCES AR 90 FFSETS 60 BE USED FOR FENCES, WALLS, HEDGES, etc. SCALE r1V FEEL N OF Mgg�Cy _ ., FOUNDATION LOCATION PLAN a� RoeE `"� PARCEL 42 2 SOUTH BAY ROAD,. RAYM6ND N OSTERVILLE (BARNSTABLE) MA. No.21583 0 f- .1 . ARROW ENGINEERING INC: FLOOD ZONE A13 8 B ,, 10 CAPE DRIVE, SUITE B COMM. 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'New 2-#4.iZebars Top 6 Dot T.O.Wall To Match Exist New 2-0'�W x 12 D•Cono.Ftgs. , W/3 Jt4lZebarm 0 Bottom. I . - i 'f,b.FboVi4:4'-0"Se*Orada. 19'-4 1/2'— Now 4 x.4 x 1/4.T:5.Column - i Mount To Exis.Foundation '4x16 0/2 Plywood,Base _ L - - - - - - - --- - - ••w/2-3/4"o Hit Bolts I Existing Foundation z. 10'-7 314" A-m--enG.. en Contractors Inc. January 02, 2008 AGREEMENT Page 1 of 8 This contract satisfies all basic requirements of the Massachusetts Home Improvement Contractor Law (MGL c. 142A), but does not preclude parties from adding language to protect their specific interests. Seek legal advice if necessary. Before agreeing to any home improvement work on you residence you should obtain a free copy of"A Consumer Guide to Home Improvement Contractor Law" by calling the Office of Consumer Affairs and Business Regulation's Information Hotline at 617-973-8787. Customer: Contractor: Margie Huggard AmeriGen Contractors Inc. 58 South Bay Road Jack Bindig Osterville, Massachusetts 02655 1248 Route 28A, Unit 2 Phone #508-428-2910 Cataumet, Massachusetts 02534 Phone (508495-0019) Federal Tax I.D.20-4098524 CSL # 044815 HIC Registration # 101921 WORK TO BE PERFORMED AND MATERIALS TO BE USED Contractor Agrees To Do The Following Work For Homeowner: AmeriGen Contractors Inc. proposes to furnish the following materials and labor necessary to complete replacement of the existing red cedar roof shingles on the following areas on the home located at 58 South Bay Road Osterville, Massachusetts:-Area 1) the back ocean facing side not including new roofing on the left side hip roof. Area 2) front top roof of main section from roof peak to beginning of gambrel ( steep slope) roof section. Includes dormer roofs. Area 3) Left side valley that separates the main house from the garage section from peak of roof to eave including triangular section from dormer cheek wall to the center of the valley. A) We will acquire all required permits from the Town of Barnstable for the work being performed. B) We will strip the existing one (1) layer of roof shingles and properly dispose of all debris in accordance with the landfill requirements of the Commonwealth of Massachusetts. 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, MA 02534 AmeriGen Contractors Inc. Page 2 of 8 C)All gutters will be cleaned out, grounds cleaned up and nails extracted with magnets. We utilize magnets so as to minimize your exposure to personal injury and/ or property damage from nails left behind at the job site. D)After removal of the existing shingles a new plywood roof deck will be installed. If other wood deterioration is found the homeowner will be advised of the need for wood replacement prior to our continuing with the work as described in this agreement. The labor rates detailed in section "P" for additional work will apply. E) We will install new ventilated copper drip edge to all eave edges. Drip edge is installed to protect from leakage and rot and to provide a neat and clean perimeter profile. F) Certainteed "WinterGuard" Waterproofing Underlayment or equal will be installed to the entire roof deck area. Waterproofing underlayment is installed to protect against ice and snow dams and freeze back conditions. G)All standard PVC vent pipes will receive new copper vent pipe flashings. I)Along all eaves of the roof a custom cut asphalt shingle starter strip will be installed. This provides a watertight and wind resistant termination for your roof. I) Install new 12 inch copper flashing to all valleys with "W" style center rain channel with 18 inches of Ice and Water shield applied to each side atop of copper valley. J) Ridge Ventilation: At the peak of the roof we will install the Shingle Vent II ridge vent system or equal. Cedar ridge boards will be cut and fastened over the vinyl ridge vent into the decking with 2 '/2 inch copper nails. This provides the exhaust source for ventilating the hot air out of your attic. Shingle Vent II provides 18 square inches of Net Free Area (NFA) per linear foot and is perfectly balanced with the ventilated drip edge intake on each eave. This ridge vent system when combined with the proper eave ventilation methods will provide your home with the necessary exhaust ventilation to prolong the life of the shingles and the wood sheathing. This system also provides cooler attic temperatures in the summer and less moisture-laden damaging air in the winter. More information on Shingle Vent II including 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, MA 02534 AmeriGen Contractors Inca Page 3 of 8 warranty can be found at: http://airvent.com/professional/index.shtml M) We will install Certainteed "WinterGuard" Waterproofing Underlayment or equal on the transition of the roof to the vertical portion of the chimney. Waterproofing underlayment will extend up the vertical portion of the chimney a minimum of two (2) inches. 1) Install cedar breather on roof deck under new red cedar roofing to extend shingle life by allowing roof to breathe, thus limiting the harmfull effects of trapped moisture between roofing and the roof deck, O) Installation: Furnish and install new red cedar roof shingles per manufacturers specifications as follows: 1)After double first course remaining shingles will be installed at approximately 5 %z inch exposure unless otherwise noted. 2) Roofing to be installed using 1 '/4 inch stainless steel fasteners, using two per shingle. 3) Shingle joints to be at least '/4 inch away from fasteners and 1 inch away from previous course joints to minimize exposed fasteners as roofing shrinks. 4) Hip roofs will have cedar cap shingles woven along all hips. P)Additional work: Any and all additional work will be discussed and agreed upon with the Customer prior to our conducting such repairs. The following rates will apply; Carpenter at $ 56.00/hour, Lead Roofer at $ 46.00/hour, Journeyman Roofer, Painter, Carpenter's Helper at $ 36.00/hour and the Roofer's Helper, Laborer at $26.00/hour. The Customer agrees to reimburse the cost on all materials purchased for any additional work. Initials Q) Satellite Dish, antennas, internet and cables: We will attempt to re-install such items ack in place after replacement of the roof shingles; however, we are not responsible for the fine adjustment or reception of any signal. If realignment or adjustment is required, then the appropriate service person will need to be contacted by the Customer. The Customer is responsible for the cost of such service if required. R) Gutter Protection: Several manufacturers of Gutter Cover Protection Products require their trained personnel be hired to remove and reinstall their product. The customer is responsible for the cost of such service if required. 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, MA 02534 AmeriGen Contractors Inc. Page 4 of 8 A job site trailer as well as a disposal trailer will need to be placed on site. Please designate any special requests for location: If a location is not designated, we will place these trailers in a sensible location that allows us to work efficiently. Our work requires access to both electrical power and your electrical circuit panel. Please designate the electrical outlet you would prefer us to use as well as the location of the circuit panel: Outlet: Ati' o of siy c Panel: Entry to gain access to the circuit panel will be provided by the following procedure: Materials Expected To Be Used: Copper drip edge, "WinterGuard" Waterproofing underlayment or equal, staples, red cedar roof shingles, copper and stainless roofing nails, vent pipe flanges, Shingle Vent H and cedar breather. All material is guaranteed to be as specified and the work will be completed in a workmanlike manner in accordance to these specifications. All material debris will be cleaned up on a daily basis. Any alterations or deviations from these stated specifications will be executed only upon written authorization. Although unlikely, we may need to contact you in order to gain your approval to correct an unforeseen situation. Our inability to do so may cause us to stop work on your project. To avoid this inefficiency please provide, if available, alternative means to contact you: Work Phone # - 3 yy---,-T/2- Cell Phone # - V? —"/9�?d E-Mail Address - � Other: All agreements are contingent upon strikes, accidents or delays beyond contractor's control, i.e.: power outages, inclement weather, suppliers, etc. The owner of the property is to carry fire, tornado and other necessary home owners 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, .MA 02534 . a AmeriGen Contractors Inc. Page 5 of 8 insurance. AmeriGen Contractors Inc. is fully covered by Liability and Workers Compensation insurance policies. AmeriGen Contractors Inc. is proud to provide you with an industry best six (6) year unconditional labor warranty against faulty workmanship on complete roof replacements. All materials are warranted as per the product manufacturer's warranty. The following schedule will be adhered to unless circumstances beyond the Contractor's control arise: Work Scheduled To Begin: (Date Contractor will begin Contracted work) Expected Date Of Completion: (Date when contracted work will be substantially completed) TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE AmeriGen Contractors Inc. agrees to perform the work, furnish the material and labor specified, excluding any onsite discovery of additional work required, for the SUM of: Labor & Material $ 24, 150.00 Twenty Four Thousand One Hundred and Fifty Dollars Payments will be made according to the following SCHEDULE: 1/3 is due upon signing this contract. 1/3 is due upon completion of approximately half the scope of work detailed herein. The full balance including any additional work is due upon completion of the contract. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Identical copies of the contract should go to the homeowner and the contractor. C4/ A11r /0 Customer's Signature o tract Ce s sig atur Date Date 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, MA 02534 Ameri* Gen Contractors Inc. Page 6 of 8 You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of the agreement. **See attached notice of cancellation for an explanation of this right. ** REQUIRED PERMITS The following building permits are required. It is the obligation of the contractor to secure such permits as the homeowner's agent: Town ofBarnstable NOTE: Owners who secure their own permits or deal with unregistered contractors are excluded from the Guaranty Fund provisions of MGL c. 142A. NOTE: All home improvement contractors and subcontractors shall be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director, Home Improvement Contractor Registration One Ashburton Place, Room 1301 Boston, MA 02108 (617) 727-8598 Unless otherwise noted within this document, the contract shall not imply that any lien or other security interest has been placed on the residence. Arbitration The contractor and the homeowner hereby mutually agree in advance that in the event the contractor has a dispute concerning this contract, the contractor may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration as provided in M.GL. c.142A. Contractor: Homeowner: Date: Date:�r�3/.. 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, MA 02534 m AmeriGen Contractors Inc. Page 7 of 8 NOTICE: THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. ACCELERATION OF PAYMENT Homeowner's Financial Insecurity —A Contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure. Contractor's Financial Insecurity— In instances where a contractor deems him/herself to be financially insecure, the contractor may require that the balance of funds not yet due be placed in a joint escrow account as a prerequisite to continuing the contracted work. Withdrawal from said account would require the signatures of both parties. THIS CONTRACT MUST ALSO CONTAIN: A Complete Description of any other documents, which are part of the agreement. 1.)A List and Description of other matters upon which the contractor and homeowner lawfully agree. 2.)Any Other Provisions otherwise required by applicable laws of the Commonwealth. 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, MA 02534 a 1 . AmeriGen Contractors Inc. Page 8 of 8 NOTICE OF CANCELLATION You may cancel this transaction without penalty or obligation within three business days from the above date. If you cancel any property traded in any payments made by you under the contract or sale and any negotiable instruments executed by you will be returned within ten business days following receipt by the seller of your cancellation notice and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence in substantially as good condition as when received any goods delivered to you under this contract or sale or you may if you wish comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of cancellation, you may retain or dispose of the goods without any further obligation. if you fail to make the goods available to the seller or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice or send a telegram to (name of seller) at(address of seller's place of business) not later than midnight of(date) I hereby cancel this transaction. Date: buyer's signature AmeriGen mailing address: AmeriGen Contractors Inc. P.O. Box 632 Cataumet, Ma. 02534 1248 Route 28A Unit 2, P.O. Box 632, Cataumet, MA 02534 NOV-26-ZOOT iI:23AM :ROM--; i JJNN IPiiJ?MCE 53ST591177 T-o73 '.09i/091 =-3T1 CERTIFICATE 4F LIABILITY INSURANCE I I M6/2007 • TN,. PROOLCER Pnwo:(W8)769315E Fox:603.759-7177 THIS CERTIFICATE 1S 1SSUID AS A MATTER OF INFORMATION G IB DUNN INSURANCE AGENCY,INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE P 0 BOX 330 HOLDER THIS CERTIFICATE OCES NOT AMEND, EICIENO OR 215 MAIN STREET ALTER T61L' v G TPOLIC13S BELOW. BtU7ARDS DAY CIA 02532 INSURERS AFFORDING COVERAGE NAIC# INSURED I INSURER A: ARBELLA PROTECTION INSURANCE COMPANY i 41360 AYERIGEN CONTRACTORS INC. BNSURERB: ARBELLA PROTECTION P.O.BOX$32 INSURER C: CATAUME:T MA 02634 I INSURER D — -- -- 1INSUREPM COVERAGES THE PCLICIES Cr INSURANCE'_STz-.0 BELOW HAVE eErN SSUED TO THE INSURED NMED ABOVE FOR THE POLICY PERIOD WOtCATED, NDTw TH3TAVDIN6 ANY FEDAREMENT,TERM OR CONCnM.N OG ANY CONTRACT OR OTHER DOCUMENT WITH P"ECT TO WHICH THIS CFRTWICA-E ALLY nl6 ISSUED 0-. MAY PERTAIN,THE INSURANCE AFFORDED BY 7115 POUCES Ot"EM HEREIN I$SVSIIrCT TO ALL THE TM S. EXCLUVON3 AND CCNDMCM OF S'JCH POLICE&AGCRI:CATE LIWT4 SHOLVN MAY HAVE E39 R"M 2Y PAD "=1111AS. NamIg LTR ItIBRO TYPE OF L48URANCE POLICY NLAJ m, anon�o�ioo Pon wo M I L AAR3 IICCW4YD4� 4oinAiif7 �a/9dlo■ _ ___ ____ 1 COMMERCIAL GENERALLIABRRYi ° 0dtIAOETb3El+TE3y ib 900,000 PFE1/G{c9'Ea PYrrm r.1AIhR5 MADE X I OCR I I MED,D w(Any ono pwson) is S,000 A i PERSONAL6ADVINJURY ;S 1,000,000 I I ; I G1iN6RiS nOCR1EAA'6 ;S $000,000 I GEXL AGGREGATE UMIT APPLES PF PRODUCTSd'AWOP AGG. S 1,000,000 POLICY 'Loc AUTOMOBILE LIABILITY COA.GIUFD SINGLE LQUIT (S ANY AUTO i (Eq 3wcn:) 1 ALL O W NED AUTM I BM!L V:NJLJRY ! (PAxPnnon; �9 3CMULW AUTOS i HBZDAUT09 1 F,ODILY 7KJURY 3 NON4WN6D AJTO9 (PorudlxE) j PROFEAW D IGE I g Per&g1mt "RAGG LMLRY I I AL LY•FA ACC10ENT `g ANY AUTO : i 0`1 ER THAN EA ACC;s j I I j A JTO ONLY; A(iG 13 E)CCE59I UMBRELLA LIABILITY EACH OCCURRENCE 3 OCCUR 1ICLAW MADE i IAGGREOATE S I r HDEDUCTIBLE Is I RfiTBJTION S I i WORKE"COMPENSATION AND 91029E 00b 10IWlO7 10103/08 BNq-'NM W91Ld4Y EL EACH ACCIDENT S 500,000 AW B LrrrWG Armor +tee EL MSEASE•EA EMPLOYEE S 500.000 Mo I! "M bW. I EL DISEASI-F'OUC1'Lmrr S SOO.000 i � � I DESCRIPTION OF OPERA110WS/LOCATIONMEHiCLESIEXCLUSIONS ADDED BY ENDORSEMPIM SPECIAL.PROVISION5 CARPENTRY CORPORATE OFFICES ARE COVERED UNDER 71-0S POLICY CERTIFICATE HOLDER CANCELLA110N $WOULD ANY OF THE ABOVE DESCRIBED POUOIES BE CANCELLED BEFORETHE EWIRATWN DATE THERmp.TYE rsmG !WSLvwR W!LLENDEAVCRTO MAIL10 DAYS PAUL BRBNNON WRITTEN NOTICE TO THE CERTIFICATE HOLCEP NAIL TO THE LEFT.SITE FAILURE 34 NMLA LANE TO DO SC SHALL IMN'=NO COUCA710M OR LlA91LITY OF ANY•MIND UPON THE INSURER, E FALMOUTH MA=6 rrsAr+1+mDRRPFRESENTATNES. AUTMOMMMA Attention: —jef.-4'q e' rah J.Hathaway ACORD 25(2001/08) Certificate# 1887 C ORD CORFORATIdN 19al8 L N N s82 26 DD 30.E o 30. ZONE: >, 582'26' Z RF-1 2630•E 250.05 Area (min.) 87,120 SF (RPOD) 582' Noll Frontage (min) 20' '.•„rf�o; �� 7 2DD.77 a Road Fnd Width (min) 125' • '•*'T. • South [j v 1 Setbacks: ,E Front 30' 582'26 3o Side 15' Iron Pipe 132.42 Rear 15' .� i .��f,•• J - o# FLOOD ZONE: Zones VE Elev. 15', } Sr AE Elev. 13, AE Elev. 12 - & X (0.2% Annual Chance) 30'9,etback Community Panel No. _ #250001 0757 J July 16, 2014 D •;� t2 _ I I OVERLAY DISTRICT: LOCATION MAP: K ' I Scale: 1" = 2000't AP - Aquifer Protection District / ( ASSESSORS REF.: I to 1. Map 093, Parcel 042-004 l o i, c I 3 ° REFERENCES: �m 4 n aI Deed. C217681 t o Plan: LCP 8730-F Existing Septic �n Lot: 6 as per Tie Card I DIRECTIONS: Permit 90-47475 -RE rEfLEVZo I From Hyannis — Follow Main Street to the West F' fnnu ne oI Chance) i End Rotary, Take third exit onto Scudder Ave. Turn right onto smith street at the stop sign. o NI K(p p95} I Continue on to Croigville Beach Road and left ai onto South Main Street. Continue over the I t bridge to Osterville, and left onto West Bay o t nit Kessle Road. Continue left onto Bride Street. Turn left I 1 Existi g Grave 1,e1e P : onto South Bay Road. Continue right on South Qorage AC&E.Units ter Drive M�a a Bay Road and # 58 is on the left. t Approx. r L pp lion ❑ ocotion t ' # 58 1 ' Septic Tank � / � Approx. I O J �26 / Location on r I D E E % n/t Bp1d�1n I I 27'd: Lot,Beth /•. I # 58 l/ SURVEY NOTES: I 2 Sty w�f 1) The property line information shown was compiled from Dwelling OPosED available record information. ' (SE3-2148) EPLACE 2) The topographic information was obtained from an on 2'X12' the ground survey performed on or between August 8, 2018 and August"21,•2018. 3) The datum used is NAVD '88, based on an RTK GPS PROPOSED and confirmed by a published FEMA bench mark. Wood POOL EQUIP. Deck AREA 5) Building dimensions should be confirmed prior to X(0.2X Annual Chance) ' l I construction. FEMA Zone \' / Elev. 13.5' /� 24.3' . AE'EL 1.713... ' / P i .- - EN2�6 . .. .. .. .DECK...... / � P �5 ..... I r I PROPOSED CO, . PATIO PROVIDE DRYWELL PROPOSED 100'_Bufer I FOR POOL DRAWDOWN _POOL - -- &PATIO RUNOFF 18 OZONE DISINFECTION, I �• ' IDISINFECTION,OR ' 1 { APPROVED + BUFFER ZONE CALCULATIONS: Lawn ✓�� . 0-50' BUFFER.- UNDISTURBED V 73, AE ELEV.Zone 50-100' BUFFER: EXISTING WALL = 1,000 SF FEMA .-—. Fla' 100'Bufiar... •"" PROPOSED WALL = +65 SF �VE ELEV• 15 Poled>-r,'----^_¢_EXistlo9 W011 / / PROPOSED / SED POOL = 140 SF PROPOSED PATIO = 325 SF TOTAL = 1,530 SF ENCLOSURE ONCE 'NO MITIGATION REQUIRED D POOL W/UNDISTURBED 50' BUFFER PROPOSE R t ''' yBALES W�SILT / IQ 1 PROVIDE FOR IT OF WORK Natural —+—,/ Vegetation -------' 50' i 50'Butler t� Natural ,/ 0 Vegetation in o / N 0 1 xrage of Salt Marsh �---- /T7 Per SE3-3589 — y Salt Marsh Flogged by —� m I I ENSR on 6/24/1999 See Report y _ TITLE. PREPARED FOR: PREPARED BY. Site Plan • Engineering& mProposed Improvements Moroo C. Velez & Thomas F. Vurno ~ At 313 Marlborough Street Sullivan Consulting,Inc —� 58 South Bay Road Unit 2Boston Mo 02116 MM 4,� . PO.Ba 659 . 7 Parker Road,Ostevl°e,MA 02655 p a dQsW1Nw engln.com •www.W11Wartert&in=m `1 Barnstable (osterviile) Mass. 20 0 10 20 40 60 Draft: CTR Field: WHK/CTR/JOD �l DATE: SCALE: Review: CTR/JOD Comp./Review: CTR/JOD January 14,2019 1°=20' 1 Project: 38026 Project: Vurno -- NEW PANTEDDEa PpSf AND NNEW roe uAHDCANr NAN16 TO RAOM(5 YAlO1`Ep.ND 58'SO UTH:BAY 1, YATOI F0DSN10 r • Ef4 ROUDI �FiOAD 4 a td 2); YQV Y-F?f 2X' { • �y„� wT ®pl 1*- OSTERMLLE:MA. oD W43 EDSDNC CWF iii ii DOOR FDUNOARON ro UHDFASBE D iNIVI F 6 NEW WBx21 STEEL ___ _____ . (TWO BEA45 ABOVE ___ I. If NEW*=I STEEL HEADER BEAMS I I —EN E ' ABOYE NANAWALL DOORS WITH I{ IRA.HOIES STAGGER SPA®AT 24• - + • '-----% ' FF N WDE AND TOP--------- /BpT}p1/ ' FLWCE4 i011 PUTS AND VFH PADONO ATTAOIMEIIT(TTP OF 2) (Z�l ''�8 � NEW wE 4AHDDANr DEaI wNas m GENERAL NOTES: TAB W/ b w O I CEALED PITS 4 ALL RDW iNEW Y EDSTND ALL SEJ.`>yl I i I w FW9W H i - OF- IRAs�INC4 EXIMO O AROW ` FLDM 01I I ` *' ________________ TIOOR TIE____ NEW TED WaaD 0 16 DO.gf I��I IM�I�Y YASB��IDEY � EIDT 65f fABV1SdI ❑ -I 01-OW \ IIBIDD�I' B Q1010 IEIDTf.Cd � D1/10 IE 1OIf Y-Y /Sx - co" ___.._____HOMIT BE BEAM=e-1C --------------------------------- I IIpY ' V \`/��`\ RDDEO --- --- __ 1 ID.`II ---I------------------------------------ I o ` E3 MISTER SATH . 01110 IF)Dlf.Y-B25 IaDR s a/M-Bd - NEM R�BE _ v 6.339 Yd Y o 1[i mra`er 1 I(�cm4 qM0 (\ auA Aqc 11 -� _ oD tm aaY �vn �i D2DI0 Hwa-T7d' BOLT-EI QDiT 4d Y-Y m RAn IEWHNAIIOID FLOM I P� . � o o I I' OFOP \ _� ,< I \y5 J- Q I Barnstable Bldg.Dept. NICHOLAEFF ARCHITECTURE+DESIGN Approved by: �� CamrvDa.Mn.02855 1 TSS 508 A20 B2B8 Permit# A4 I �d No.6522 L C I o q I I DEPT. PROJECTNUM M I.INTERIOR DOOR DIMENSIONS N ARE NOWNAL DOOR LEAF SIZES DRAWN BY:ON,OV,AH CXES.O.C. O CONFIRM L ROUOXOPENNGSIZES REOWIED W I " RH TXE WTEROR ODOR FABTtlCATOR INTEIigR AND ENTEROR DOOR 6 1 - SCALE'AS NOTED WNW W HEAD CASINOS ro AUGN UNLESS NOTED OTHERWISE MATCX WSTNO WCR RAISED PANEL DETAIL ANp PROFO.ES EXACTLY. 2.DIMENSIONS ARE TAKEN TO FACE OF EKTERIOR ROUGH SND FRAMING. FACE OF INTERIOR PARRRONS 6 CENTEMUNE OF DOOR M WINDOW.OR (Jf(QE N OF B ARNST AB DATE'APRL 2.2018 CONTROLP UNE.UNLESS INDICATED OTHERWISE 3.ALL NEW EXTERIOR WALLS SHALL BE 2XB FRPADJD,UNLESS NO TTED I 1 O OTHERWISE I _--_--- , YASRR BATH RLTODRII✓m --- _- 2 NOTE DOOR COOMM D610904 I 1 I 1 1 GENERAL NOTES i COSTING CMSIRVCBDN NEW LWSTRUCIION -------- TITLE:". -'-"- ,..5 • . I FIRST FLOOR PLAN B PHOTOELECTW N I a - SMOKW-DTOR wTX BATTERY AKUPBD/FO I . \ HARDWIRED PHOMaECTRC SMOKE DETECTOR tb WITH BATTERY BACKUP I .• e FIAARD WIRED WALL MOUNT CARBON MONpxOE CB OETECTOR FIXED TE ---._-__- OWTM BATTED! EDKMPEPATURE HEAT DETECTOR Al ALL OEVOESro BE WIRED INroINTEGRATED � 1 . BUDANG P1ARt+1 SYSTEM ■ FIRE PROTECTION PROPOSED FIRST FLOOR PLAN SCA Eo VA•-I.- 1 58 SOUTH;BAY ROAD OSTERVILLE,MA f R 12 / r . ' �tr-- •,:III,.� `/ ,aT.•to-: t WJ r 1 GENERAL NOTES: ��:.,{_ �i � � �:. EE�I '�� -ill E�� ME- fYA L" _ Ir'11i1 I1��q- �'yr�� I �\1p\y1\-I' r J_ _ _ _ _ _ _ _ 114>M1JS gJ°•fLC .__ 1 `E.,, �.+ �� p-{I• �R R,1Jl LJl�.1� m m❑❑ �❑ m m a 0 DIEer k]CSIWG A I I 1 I I -/ FL aoDv owe,ANo III PAINM P,D�" mWtn Booms N AW s EDBaNDuoocOWD/11 W TD az �..-� Im4o�DAuLmrwlm TYP. y��-r��Imp aB _ ` Imo- Me FR Dbi/LLyAIByEL Ntlpl' I I iL00RAYALL mMAI?1V.n. --'-'---•-----'- ----'--- --'----I -. )_.ilk-_1_ r n•r°a(w •1u+11 PROPOSED SOUTH ELEVATION SCALE:1/<•.,•� O \ySJ�c / NICHOLAEFF is L:litinLY _• _ /- ARCHITECTURE+DESIGN b�— . e91 Moir,swol •°.wa.e!L�Te _. .. ..__.9� _ � 't / T soe am ease 40, ��; • LSL��{IyGW--(j��_. ,�•T L.M1'=. ,y._ t�l L 1 r'.. •/• _ _ ___-- �1�,,�'�� -_... � —.. _...—__—_ —_._ .L_�._r-- MiOJEGT NUMBER. w-!�'Di�T �r-x_.'�'..T_il •, (Ir�Jj�Ir�",�ll (/,✓-�l...Jr 1:��! 'L `• __ ..- _ ;'�-��r��q�� _ _._�_._ '�GM.�y'•84 � _ I '� N I ILlI L.T� ORAWN BY:ON.6V./W r — SCALE:AS VOTED I: \ REWOW E Xli ours NEW `• I I t:'o�� •''�- E R RAiTDi TIa_5 AT NEW At�A-SE11¢s �:..•.: ,ti "�i MTE:APfaL 2.2018 i Y%e N•W^IIA. ADDITIDN TRAM 504-ser Oar ;.5 _+.1.. _ Z1 H✓<•aaX••/IF. up_rnu� mNEW'RNFA PAIIM ENSTING BDB� ___ ____ Fl, I IaE a°ErE E1GST veer I /// �. .� W1YM O E el@IL\ES ERA NINDDN' YnNomYl / 1 (,(q,/yry�))'� 7?7 !� TI000IES�AND RSIDCAIED RELDG�FD D I '� ®`(' Y II• r l I)I �Irl ! R `ne LLLJ TITLE: I �.•aelt..As<L•. 'I I LINE'a'asnNc uNE of oOrnNo I I I I 0 I I , I I I ^PROPOSED ELEVATIONS { PAINTED RAMOKvm POSTS To TVA. I I I II I 40m zooQa/j{wooW ro BE I I r I 1 Tmw,;iOVTBAimLDGTm TYP. I I I I l i masnNc I 1 WON EloTS1.O TRIV 1a rm.CafM.e✓�:,a�.. I AND ullrn¢�DOEiW NEW I I I I r•_- �_� JhN/WAUMANe1c --1---_-��L1- I , A2 . I PROPOSED EAST ELEVATION SCALE:114--1'-D 2 581S.OUTH-BAY ROAD — - OSTERVILLE,MA • t . i GENERAL NOTES: Au NEW Zm o (S 6c T*T A315 (9R1I�OA�R.,_AT Ea-w pFARANCE REOUFFD FLA lC�tAl Ep1PA1QR-V.V.) FDMIE mDRNC ROOF RATTET6 AND COLIK fJTN NEW R-AY.+^�'+L^'•,019MDa mSDNC WNUDP0WW5 Ef04N10 ROOF TAAIpNQ,9WiRE9 �1,1 I�O M�MST FAWA TO M NT RAOTFR TA... Etc - AR01E NANAWALL 1W111 T• EW vro PVC EAVE 1RA1 TO WICK 1%PAMIED PVC NEW U PAOtTED PVC TRIM - - - DUB MOLES STAo�p�AQD AT 3C �C o tY pp NRIOOR CORNEA BOARS 911 N09NC To pc ANo tav SRAWALL /1/S 9LEA .ANO µApra msr REW'NANAWAtL SL-70 AUAAgW(WNITq— FOR IrNEEA y PApmtO AnApil1 r(Tw aF s) p ,.Ap cuTsWtR._N.DOOR WTN'SOEEN A• '•' 1 a m5i mST m NDRvaTAL EaDat 51"lEU Tn EW E—OR WALL OI -- NOM REMOVE mSTINC NOTE:RELOYE mSDItC - V FLARED"OE Ii.c I I I NANA I I I d FLARED"OE BAW 1WNDoW WtNDDW WN tsW?X WDCO FDIODNO O 16'pC tWTN 9t0 O tE V IXTEItlOR DETAD.ALL ANp I I I DOOR I I \ I im DETAIL ALL D AND REIDCJ,IEO RELOGTm TED NEW T!D 01E 9!ffilDOR ti NEAT it OLD OAS-O 9 T IX' 0.Wp'W 4 T M b CW9D-Q11 fDA4*ALL 1,ryMETE ARQ1Np m Mp1� EgSN� ({ IE-9RNQE IWM NEW I t. I i_ \1 i ti „�._ ®YA�NNEW NF]aT AS RECIOtEo TO 4A1p1 E1o511N0 A 1 1 CmAll 9OipE 9R'Mk1 ITE CEDAR 91P14TE5 ro FLOOR—AAa(V-) MmESR,AND�EJD'p91fE \\ IXI ofe•W/t RYWDW IXNE�AND DADEAIRE _ BTFE�ODMq TMI NE80% umE OF E]OSIWC -- - _ Emma z O BOOR m= DOOR/WOIWW'TO BE kJC5lolc MDOD-mAl&v 51N LAC v RE40VID/RFIOCA MAWa v 1mCU AW BORDER msmaFOLRDA NANAWALL FRAME Nfl1'0 "aA.st Wro 2O 1IIMOOr 8 PDM MIX M•DA/ �6DOY[D11 FDODNO ro 4'd CmDW(FADE I PROPOSED EAST ELEVATION SCALE:v a 3 PROPOSED NORTH ELEVATION SCALE I 141 BUILDING SECTION SCALE;v<•-V-a 4 �OPP O NICHOLAEFF 1 ARCHITECTURE+DESIGN - ..1 - - —• ._..�---�F,,.pteAi' O89meN�oe.mOn o2o55 T SOB a2O 5200 r rtlFhaoRH. .bt•"�+4 4111 _ •`•• � t^Nw 052R�_ � IIP _J1IA1'L I � .•-- T -- 't F14i -- 14/ \ ® ' PROJECT NUMOER: ILII1,L.'�L��1lt IO(. }''�' I ((tLK�}1. F R I&I m / / ` `O'i Is IFS GC] LJl_ L:L7 I,t t Ta EDSRNO , \ . I I .�..._- �.,_..��.... 1 - DRAWN BY:DN,GV,AN SRO Iu/W as ouAl01QAD � TsMNc rwsLEttr aFA>� I ® 4� � :.•'t�.: � -t"7�''I t � scruE:AS NOTED ( � r... _ _ _ _ _ _ _ _ __ _ •�II.I•' A' All i _ __ - nEv R.f•-_ �flf. p'tIE:APWl2.2aD � Il rr�e *-I' :t t '1 i t:t -.` - "1_iT,..--J�c� - --lf•L.u":6�Rr• -- ')I. LB m --' i,E�Y_'f --- ---- E7(� -' SI - 9�I t..l� )t 1 a I 1 lII I t I t J..]ESLC••8ett. •T I II' 111 tlt .7 I tt ( ' till i I)fl t I .I'lili.1. L, T 1_. ...IJtll Y�Il•II 111i tlilit(,,li -) (1 u Z—;ti _ tl I'1 I I_ _. I•-T T4, I""r- l.. ' t':'C'II'Y 'I'I"' F� v.L - •19�w { 1 II I PROPOSED.... .___._.._ q h _.._._..._Lt .�1 !t _.,.-..,,_... .-.» _�(_.-..__.. _....._.- ._..__._ll...�._.. L.t_�, s�.r�r�.r.�-•.�.c SED_ELEVATIONS .. I I r- -_-T.+:-..-=•tea._..---_J.f--- _L - A 2 . 2 PROPOSED NORTH ELEVATION SCALE:I/4•.t•-D 5 '58 SQUTH•BAY Dom..��"'"a 2e-0• � � - - - �, 9OV9 ROAD i+OSTERVILLE.MA I i _ GENERAL NOTES: -_____ ____________ raao�nu°0temYO m kr ---'----�'— --------- b i _SDJC.O.-______-_ � wIW�YP m�WAN� b _-_-__-____________ ppy m m oti (nRM VaQ 10t�W MMW __.________----._--___ '8 ______ ___________ I I I I 1 rE IF FO II u uin I NICHOLAEFF ARCHITECTURE+DESIGN wi Moln sacs DamMoa.MA D2855 T SDS a20 5298 F SDD a20 NUdopD. �.rtq G a Ne.6`w'2 r-- i I ' 1 I OROJECT NUMBER: DRAWN BY:DN,W.AH SCALE:AS NOTED 1 1 I I I 1 YA41FT DAM R[VfOtpNR9 I 2 Non DDDR DD(muz WGhXM I ' I . I I I I TTLE: ' 1 , FIRST FRAMING PLAN I I � I i si . 1 PROPOSED FIRST FLOOR FRAMING PLAN SCALE:1/4•-,•-0, 1 f 4'-0•; ".'' h TYPICAL �DIS-TRIBUTLON LtOUid' LEVI=I. NOT TO SCAL E- DISTRIBUTION BOX AND GAL. REINFORCED SEPTIC TAN,h \'.TYPICAL. `1.50 6AL. SEPTIC TANK ACME PRECAST OR EQUAL " ♦ : - NOT . .T�O �,SeALE > ;; >k>T,i4 Ks RE,,INTO-RCE-D THROUGHOUT WITH 7-YRIC WELDED` WIRE WITH 24-1 /2" ' >• >_ 'P ED STEEL RODS IN TOP 8 B0T- L6 s • ; ' I :.'`,-CONCR€TE{ 5 4000 PSI TEST >. > y \ Y oll �-.;� . ,. + , ,c a,> tf•jai . �-�": >, � ♦ , K "�4 LINE BEARMS a � to ak' • �y C i r . • , 4 •r f N� • s Ohs / • A c- // �{��0 OO .. P� lab��op � Lo \ r h` T PRppOSE ELdo G �I F. L P\• � s�: ` o� �P CM ep it Lu�I M I ! I �0 so ` � ► I Qa�g � • sy4• .g0 A L J I• I g226� • � r� ,. F.►'a >» 1 I I_ t_; • , ; :�� I ; ��% �.• �� III [a'1_'. __ ( � , 7:, ¢firr rr lit Ll JF i . . , I � -__-__--•� : : . ; ; � ��:�-�: �. CID �-�J � � -� �� 1. J IDE R 1-4 if'.41 II I . . I I � = it � ,ll �-�-� '�C- ,sli°'��j i � • _ II C] ICI T �1 East&South Elevations UY��- W, Huzeud Residence CATALANO ArchitectsP,C.Due.nwr ow, wi.1. West Bay 374 Congress Street Dm. By'M OsterviUq Massachusetts Boston,MA 02210•.."" 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QfILE ' R4x4 «IO DECK 2"4 AR13 SEE PROFILE t : r,f yd2 OECK f PROFILE 4 UITILITES _ • ,�- ''' _ wy . 2-3x$'S NIHW -2.5 SO S YLW 0.0 -SECTION A-A SCALE 1•, IE= 6 A ' SECTION 8-B M0.2s733 SULLIVAN 3• `. CIVIL q i' TYPICAL AT EACH FL04T PILE SCALE I = 6 CLEAT EYE PLUAT WILMA C. NYE • 9 No. 1�334 F f� • FLOAT GROUNDWG_PREVENTION 4 Q9VICfr,2'N0 SCALE . 4 I i 9 - 58 SOUTH BAY _ ROAD O!TEMLIL MA GENERAL NOTES: VIP s 1/6- b O7UN6 Nppt.7-Y CDm Migf.7-6 i . murc wwr-16-r KWrOBFPY.E-16 --------------------- ---- -- --- a eA11.6-0- ______________ ___ _ ________________________ �___ ________________________ ____ ___ ______________ ________ mac 6'-av- I. ---.— J _ CA/1C Im,.9'-6' I YJ cc Q 1� N FO \�y JVO m SMIOKE DETECTORS REVIEWED LL- s ca IL 3 O L NICHOLAEFF !!! ARCHRECTLRE+DESIGN BUILDIN DEPT. DATE p c ( v soearo� iRE CCPART ENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING PfiOJKtNUMBER' OR4WN BY.ON,GV,qH 6 BCPLE:0.9 NOTED DATE:OECEMBER I -0l8 Barnstable Bldg. ept. Approved by �'-yid Z = Permit#: TITLE: OUSTING FIRST FLOOR PLAN EXISTING FIRST FLOOR PLAN scI E:1W ro 1 e i 58 SOUTH BAY ROAD OSTERVILLE,MA GENERAL NOTES: -------------------------- WIQIc 1 W.9'_I' ®PC�r.9'-r mm1ERi1T-7-1- ------------------------------------ ID mA'G xGar.y_P i P� � FOB MICHOLAEFF ARCHITECTURE+DESIGN 9v 9 t OatmJs,MH C699 T 9W a2929 F 909�_ A6 -------------- PfiOJEtt MIMBEiI CMvrtu BT.au,Gv,qN 9 E:0.9 NO GATE CECEM .r2,MI. m➢R�r.Y-.n' TITLE: EXISTING SECOND FLOOR PLAN X1 . 2 EXISTING SECOND FLOOR PLAN rw•1� 7 58 SOUTH BAY ROAD OSTS:MLLE•MA GENERAL NOTES: / EXIST EAST ELEVATION SE:i; EXISTING NORTH ELEVATION SCALE:roc•-1•-0' 4 P G� �OFO Y \ySJa NI TTOROLAE ARCRECTUTVRE+DESIGN o-�en, amens r 11 4ro szva ��'��^:`t �_ •�'r4 - -. -- .. ._ ��r�>v Knme.x.��/�rvo.s�>z1-"=:•i p A �.� Drown BY.on.W.an / h'.....�, ••_..^i1 ��/•- - 1 � .�Rs-+z..., _ _ .. ._. ._ FF-•' ._ _ __— ._ CI.,.�-U.�-1�... ..__ OI.TEEOECEM9ERr2.20ra 6. (:�h tn u( I� I r I•. 1.'• t _' .rn(c=_w.+e/ TR1.E: OUSTING ELEVATIONS �,MoRill E�iNI.7iM EXISTING NORTH ELEVATION SCALE:Vo'-r'- 5 58 SOUTH BAY ROAD OSTERVILLE,MA GENERAL NOTES: lr l � 1 r ®i Eml 1 , EXISTING SOUTH ELEVATION SCALE:IM'-1'-o QP \5y J(GOFO i NICHOLAEFF ARCHITECTURE+DESIGN N. bf1OINY0.Ag MCCS T4 I ' oRAwn er.on.cv.A„ Il.11 IFMIEM irmliFFT-11 7-1 I I R-7 I Lk IF _ . .. - TITLE: I 1 I L© EXISTING ELEVATIONS I t EXISTING EAST ELEVATION SCALE:I/a--t'A' 2 00 0 0 0 0 0 0 0 0 0 0 y 11 PHI $ f�n ��€ i 11 se a €w^ �a �=�e €$ �n I e H Icy � �Na � $ a $ < I N. $I o - $�e�= °��s � a $a� � �� ;s F4€� l � ie1 1101, �$� o �� ss a s$'� ��— aR�I ! �s m $a z $a a �cii , s a a� 9 A 1 9 $ ��g s§� o a � ado „� �� $ z�=-.P�g a ��>:w .P�� g�� vl asa g a q �N a° aa 'so. yak gt� g a � 1 egg d7P= n e $ $°a Y0.1$ pp� a€vy a 0 z SBSgQ'' �C qq�" �° �f',a 3 a a„na� s �� & 9 m a a a< ^g"a a: z� f s a4 g R � �§ €a $ le ZO a w �3 aa �g q € �gmoge$ se mag Q„ g�-2 I:I � ICI • I I I 1=1 11a°�1 IhhhRiiil 4 q I"1 I --- _ =�------ I O II P♦\, G \ -- -- --- ------ - - --�- - �� a 1 I I I Y I 1 1 1 ♦ ` 1 I � 1 ♦ Ire I I I I O I I I - � II 4 w y . 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DE ROAD - ___ ____________ Oe NEW WBXTI STEEL - - - NEIDER BEANS ABOVE IA•- NEW OSTERVILLE.MA AMEW Wax21 STEEL HFi10ER BEAUS r / . :' r ABOYENANaT 00 SF WD ♦, `____________----------- i I' ITT'.NCIES$TAaGEN/Boric AT 2d' 0.4 TN WEB ANp IOP/BOTT0.V RANGES FOR' ONE ANO WEB PdOtOtC ATTdOMENi(lYP Oi 3) _ II�y� WONT FMBiG U>NEVV{{I MD011 OPpNLS AND SOmT d80'k W/ i 2pTALL�!9m10 OO NZAt TS AT TMRI GENERAL NOTES: A *ad ^1 BBWle. r ' -44 A i i • i l R20MC9 TO BEW r r ' RUSH MTN r r AB4K NE THAT CERING `. E 0 FNRSN FIR51 {'{ 1 NEW RWI W NEW PNNTEO WOW(AS, rr o - MET ��s5 pa5 0 ° u OfSdaDGu fomaW fr+ lsT rw dam*rmdl N.C 6 c"G 16ml u .S• - cD*c I mt•IE-r_6 rr w " com TMI- " AxJ - B-S NBWf Or ma.B-Ip- r' ®— ______________________________ V NEW H4Mt,aD nap¢ --------__� 9 ° OSAO 1mpl•91-62' I I.EW tL RE I6wlt 9 RAN.6-W ___---------------------------_________________ I ------ ------- ---- - ----- ------------------------------------ mrw ev B-°%• A'_6' IEIOrt Q erAl.Y-AS O � I mrm w II I rd.roar rAnn A 1 - -- / ma 1 OSL1G Homt•T-6- NO 614t-N 406Et ra`� �jJ � S-Y A'- S�•�a M w NEW xAImA4D Ra025� ON I I �pP -zv" JPO EEW ROOT i2E rncl-IOLAEFF • e 'S' ARCHITECTURE+DESIGN An T- 1 T e.MA m_6ss 2D sew PROJECT MIMBET -- 1.rVTEPoOR DOOR 041ENSgNS SHOWN AAE NOMDVALOOOTTUAFERES ORAwN BY.ON.GV,AM IN INCHES.O.C.TO CONFIRM AMAL RWTDI OPEMNG SIZES REOUaiED WTM T1LF INTEPoDR DOOR FABRCATOR NTTEPJOR MID EXTERIOR DOOR 6 NTNpOW 1ff.JrD CASINGS ro AL1CN UNlE55 NOTED OTIEAVdSE MATCH SCME:A9 NOTED EASRNC DOOR iWSED PMIEL DEfA1L MID PROFR.E3 E'%ACTLY. 2.O41ENSION4 Af>E TAKEN ro FACE OF EXTEF]OR RWGH STUD FRPMNG, 6 NlTED V OF DOOR OR WINDOW,OR PATE.DECEMBER 12.M16 COflLROL POIM UNE.UNLESS NOICATED OTHERWISE. " 3.ALL NEW EXTEPoOR WALLS SHALL BE 2X0 FRAMING.UMESS NOTED O,,, M1 SE GENERAL NOTES MSTTK(MSTRNGRDN NEW WNSTRUC— x 1Rc TITLE: LEGEND FIRST FLOOR PLAN / HM✓D-WOO2 PHOTOELECTRC NM®NATON SL/C.0. SMORECO2 pETECTOR WIiII BATTERY BAIXUP WWD•WWED PHOTOElEC1RIC SHONE 0.RECTIXi i4 VJTTBATTERY BACKUP e HARD WSiEO WALL—(—BONMONOADE L0. DETECTOR 0 HARO-WTPEO FOTED IEMPEPANRE HEAT OETECIOR , H.O. Y/fRT BATTERY BACKUP MLOENIcesro BE WiRm ciTo wiEctwreo //\\ � ■ BNILDuID ALARM sysiEM i/'/!`�\\l1\► FIRE PROTECTION PROPOSED FIRST FLOOR PLAN l,, 58 SOUTH BAY ROAD OSTERVILLE.MA - GENERAL NOTES: OPEN ohs m e[toh EL ....,�,.,,A....a...•. .a � M f-------------------------- Lmm Imps.S'-I• Dvm Imp,.3•-I• . TmNc Imoe•e•-r I i i ________________5______-___________ yyT• E�. 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Bo roNZCO:DETECTOR—BATTERY BACINP Im6 sa0+mE wwo- O PHOTO ISO-C BMOKE DETEC SD. —BATTERYBACKUP HARD wWED wALL MOUM CARBON MOI—IOE ,y 0 IIAf�WWED FD�D TEMPERATURE NEAT DETECIOR " H.D. VvIIN BATTERY BACKVP � All ALL DEVICES TO tiE WIRED WIO PREGRATED BUILDWG AIARM SYSTEM � _ � FIRE PROTECTION PROPOSED SECOND FLOOR PLAN BCE Iw--I— 1 58 SOUTH BAY ROAD OSTERVILLE,MA 2� GENERAL NOTES: } �'r '�;i f - LI l� _I)} a ; it..f ? . ❑OmmO❑ �mm❑0 Y -I -- - - I I I I Leo rto�s ovD i.1.. .' ....._.: ,�'_,.. ♦ / ♦ / 'L I I I DOOEa DotYom sc .... r--.-� i 1_:L_•I t ��i`�-�;.I PENDVEo/REIOCAIED�. NaNAN'ALL Ma E i ^'I.F+?�v N.IS.•..L xi.�G) i 1— 1 1 2 cxllf'a ELC�G.Tm•1 ._._.. .. .. .. _ _ _ _ .v. .. _ e:.•L-... PROPOSED SOUTH ELEVATION SCALE:1/a--1•-V 1 oQQ�c F \5`050< NICHOLAEFF ARCHITECTURE+DESIGN 4u.W�.:L�IrTe ": :Z eat m�saao o:�rvmo�rw z s •R I ��; I a�s •I - ; - .�.-_ ��:!-.PII�'e fTiDJECT NUA56cR I'�_ 11I®I I II Z NEW _. _. - ANEA$N 1_ �- f ' ._ DA m EA 1.•_'Ota SDeEs / �• __ _-._._._ I..�._� TE�DECE 8 t'-+ryR rw.fJa. rapN50N- Holt m E%rsnNc LA rasDA_ NEW I%vAairEp VVG _ _ ----------------- _ 1 II RIM, �---- I �� I ' I�-L(i�:'C'Ci l� ll • D NorE ReWovc msnNc EAST Elasr I ! DMErRA�AILM UN�o RELoGWrED rMom' ' (Q li II p1�I: ® ` ( 6. ,� i •L;��!' ,�-:i nAra On,MM .•' I I I CIoIE]S AND E>m041aE - - ♦ r i : ' c _ I Ed UDatDN}oE10 aovE 0/aRO GrED 119, NE o xswc DE j I © /Wm* D o/YWDW ro a10DU , PR OSED ELEVATIONS , t -- - J. e�br CieY.e.ro.-1 AZ A PROPOSED EAST ELEVATION s—:tw_,•-0 2 58 SOUTH BAY ROAD OSTERVILLE,MA GENERAL NOTES: NEW ••w.unn.-aa,ma.n•.- 16"0.G CD_ JOISR mronwa.uwuw raroa...v a.ea••aa FOSET NO— M R YEMA AT IDTAMIAMENT ARANR)REMIRED EASDNC R MND - - - ADNC RDOF WNA SNI EU TE ,jw s EainWT 0 E K DM,fUiRADIFR TAGS,E TC, MN MTAC ® -7 HEW I%PAINTED PVC NEW I%PAWTEp PK 1PoN ABOK NANAWAOC OORs MTH CORNEA DMRDs AND 4lL NOAHC TO _ _ _ _ 04 MsµIX�nW�om fA• MATCH E%ISi ) h PACNIN AU RA E AND W® E%e a%ITBE'OC S1UDwAly, ExiEWDii NEW NMIAWALL SL-)0 KUWlN61(Wle2 CANS 1.IA 1(T)P OF 2) NOM'IT 0O EASnNG I a NDie20NTAL�SCREEN s) . SCREEN%L" MADE RnYD.'EATIANI% 21 RAKED SNWCIF 845E i 1 �Uj NANAW I I 1 ?f m NDTE:RFYOK EASiWL EAST IAN EIO .�b CLO6ED_D E SD WSU4np11.WNiTEBARED SIONGF DASE MNOOn YANDON WJI HEw L nDOO TUBBING O is'0.G MW - y CmM SM1NgE 9DEwALLOETNL ALL Mg1ND AND I I OMR I I \ i _ DETK ALL ARglllD NID RELOCATED RELOCATEDRELECAIEDµn j'iNC RTYNM-9aNETE M.NEW I I 1 I \ I '� K-SNIN=Mnl NEw OSCAEWM OVER FAsiMcSDERM0.K—IT as RETX w D TO MATEN EAsnNCm WHTE CEDAR sNWetEs To _1 a m1nE CEDAR sNOIQEs To MATCH EAST SIZE. I t- '-- �- \ b MATCH EXIST4EE ---- --- EtIWSN ROOK ELEVAnOH Ix1CNNESS AND EIDOSURE I \ TMCNN.%AND EA+OSORE MNE OF EASnNC - - DODR/WWDOW TO DE EAsnxC RM AI5T5 REMOKD/ff¢DCa1ED ttv. DES i0 RMFYMun�AllEp EASRI. AMSVACE L 11 6 I CXJNDA MNCKIE * M�AnoN NAIlAWALL 6AAME I PROPOSED EAST ELEVATION S�AE�:Tr<•-+•-0 3 rGP�� PROPOSED NORTH ELEVATION scAEe:,ro•_1•.0 4 BUILDING SECTION SCALE:lrs•.r-o• 4 F�PP O C'- NICHOLAEFF ARCHITECTURE.DESIGD! I -�p,=r:L•.• eel Mm,l seam Ociarreo,M4 02e45 Ta20 9 ' F 202^y% • . nicmlv.N.cefi°T •��ZEH �B-�+� 1(� NEW PANTED PK TM11 A \ 1_ S i .. C a (�• 1 I t AND 9LL NOS+Hc 10 f- 1 1 (gp`J� I I i n`T !I �i�\ I + PRPIECT NUMDEA' MATONEAsnele \ , •z t"'SJ L - "^L E- L,� �i \\ ^m� I ' DRAWN DrDN,cv,all 1.En MMv11!CLAD siDRMWAT01 IZ-]MTS'AWG CASEYDIT OT•=OO.ffi IT NOTED Q +.A m(TEMPERED rl'- •t rr�_ 1 'I C F )I I I �i�"I.1 �r�^�'_ J R:l �J T L.L��• __ _ , �• ,i I+ Im�I l.l j ��_, , 1tr�1,;�, , l I I ry it II II'• ' I `f� Irt 1, ` 1fII ' i � ,0.•19'•iA i • I _ TIRE: PROPOSED ELEVATIONS r•1of=f�1 ELJN/.jlhi A 2 02 PROPOSED NORTH ELEVATION �l ....., r _.., ,•. � ,- .. e.wr .. t_,,.. r '7 ', d t ,. ' •" ..:.,. ..,. ..,. .M.. ,., 1+?"" #""�' .'� ..� :`. - .. .''�•+.. ':V^+Mtl6 j¢�u:, ti-•e ,..'�' ,+.�R7,' 77 G. TEST PIT #1 TEST PIT #2 GENERAL N 0 T ES EL EV.=/Zxs El._E V,= /3x5 -- /off= CLEAN OUT AND TOPSOIL 8 TOPSO/L 8 - INSPECTION COVER ► AL_L - E:VATIONS SHOWN ARC BASED UF'0"� USCBGS DATUM SUBSO/L 2 p SUBSO/L 2=0" , (311.1 ro -,� I ; 2. PITCH ALL_ LINES A MINIMUM CIF I /8" / F-T UNL_ S -� 1U1 HERWISE SPECIFIED h � 2 4" o , . I_-- _ -- -- -- -_ -- _ _ --I �, I _ F -- -: _ 4- t-- ,- 3 ALL PIPES 'TO .AND IN THE SYSTEM SHAi-L BE CA AS 1 I ------- ----- ---- a FINE FEE -- � .� -�� h -- --- IRON OR SCHEDULE 40 PVC - --! 4. ALL SEPTIC TANKS, DISTRIBU T ION BOXES, AND I MEDIUM MEDIUM `gyp; '�D -:- - - - -- LEACHING PITS SHALL_ DESIGNED FOR H 0 WHEEL � SAND GRANULAR � SAND -- --_-�--- �' i �--- ---.---__ _ . c, LOADINGS WHEN UNDER PAVING Z 1/2 DIAM 5. REMOVE ALL UNSUITABLE M;a.TERIAL BENEA, W Tr;� TYPICAL DISTRIBUTION BOX rNINGIr rO�? INVERT ELEVATIONS OF THE LEA„ 4 -0 h � 1� -I�-�l �t A DISTANCE OF 10 F T. AND BACIKr ILIr WITH C!._AY - LIQUID LEVEL.- ,Y -�`-"` Il�i2„ FLOW LINE Nc '; TO SCALE FREE SAND B GRAVEL HAVING A PERCOLATION RATE 12-0" _4 f 3ia•• OF 2 MINUTES PER INCH OR LESS DISTRIBUTION BOX AND � I 2 wATERI/0=e" EL - �0" GAL, REINFORCED SEPTIC TANK BY 6. THE TOWN OF BARNSTABLE 80.4RL� C1E HE44, f i-I MtJS I^ EL.=/.93 OBSERVATION PIT 1\,T1�PICAL 1500 GAL. SEPTIC TANK ACME PRECAST OR EQUAL TYPICAL FLOW DIFFUSOR BE NG, " it sL� v�rt�LN � n,E SYS7-EM IS NEAR COMPL_E T ION � ---------- - - - - AND PRIOR TU aACKFILLING > >�,' n�OT To sc�=,L� NOT TO SCALE - ,. T. � �,r ._ .� c PERCOLATION RATE= 2minllnch ' ' \' 1. UNLESS OTHERWISE NOTED, ALL. , STEM COMPONENTS + S �' J> > i T>A,N�CS REINFORCED THROUGHOUT WITH " r SHALL BE INSTALLED .N ACCORDANCE WITH TITLE' V OF 'THE STATE SANITARY CODE AND AN`! LOCAL_ OBSERVATIONS BY: EDBARRY ' > J ' '\EI�EC'TRIC WELDED WIRE WITH 24--1 /2 TOWNOFSARNSTABLE BOARD OF HEALTH r > ,' ' > Jr , It VIBE Q'DED STEEL RODS IN TOP 8 BOT- RUt_ES WHICH MAY APPLY I ENGINEER: ARROW ENGINEERING INC, • .T�M' �QO N C R E T E IS 4000 PSI TEST 8. CONTRACTOR iS TO NOTIFY ENGINEER, PRIOR TO THE DATE: APR6, /990 +''^aJJ ,> ;� INSTALLATION OF SEPTIC SYSTEM f.)F ANY ''�P-7586 (//� J ' ' ' DIS(-. ,EP- V ANCIES BETWEEN TEST PIT RESULTS AND FIELD > " > > \ > J ' CONDITIONS 9. ACCESS MANHOLES TO SEPTIC TANKS AND LEACHING " ' PITS TO BE BUILT UP -TO 12 INCHES BELOW FINISH \ , > GRADE FOUNDATION ELEV.= 14.0 FINISH GRADE - FINISH GRADE FINISH GRADE OVER LEACH!'• • I > y a i y\ ,,•' ' ' ' ' > i > OVER TANK ` OVER C k' A:.:. 17 -FINISH GRAI)F_ 1 J F D... B 12.5 LINE 8E".rNs DISTANCE ELEV= 13.5 E.L_Et'�= 13�3 ELE ,�= 13.0 1 S OF R6' 30 E 16.55 - 0.22 - - 9.15 - ----- _ 8 n -- a >= a gg` 4, i N V 0 1500 GAL. ' �-- �' Q L� C-- \\ REINFORCE (7G` IBE �h 24 / ' CONCRF TE 8 STAB; INV=8.88 1 BOTTOM ELEV.:- - / T '24' -°e-° - -- _ 4" ESTIMATED HIGH + SEPTIC TANK TYPICAL DIFFUSOR UNITS GROUND WATER TO FEE LEVEL 8 STAB _F [TO BE LEVEL 8 STABLE 4.5 TYPICAL SEWAGE SYS I EIM PROFILE el - _ t • 4.4 57 \,,,a••J`_ , �I,.• tea• `' +••\, / iii 6.6 a \ X I. -a •Q \ \ N G r 5 S? 129• e E MAP - SECTION PARCEL aLOT - ADDRESS 6 ¢.¢ S PROP F� ZONING DISTRICT FLOOD HAZARD ZONE t i .off \0 LEGEND ! I ► ` , EXIST. CONTOUR ! ! I PROPOSED CONTOUR � � I I / EXIST. SPOT ELEVATION 8k0 co I I UA II I Q��" � 1�p.S3c � PROPOSED SPOT ELEVATION 8+O 2 SEPT. 10, 1990 ADD EXISTING MARSH RER PERCOLATION TEST x .a ADDED 13 FOOT CONTOUR, HIGHLIGHTED 12 FOOT CONTOUR ( 100 YEAR FLOOD GLT I Ir� �� 8� 26 I JULY 19, 1990 IhOUNDARY );RELOCATED SEWERAGE. ADDED STRAW BALE DIKE ADD PHRAGMIT OHSERVATlUN PIT M"� NO, DATE REVISION BY p A �' 82�6'� -C1 - PROPOSED LOCATION OF DWELLING Y _ 8t SEWAGE DISPOSAL SYSTEM DESIGN CRITERIA 1 PARCEL 42-4 SOUTH BAY ROAD 2 NUMBER OF BEDROOMS 5 �,_ s926. E PERSONS PERDROUM _2- , OSTERVILLE [ BARNSTABLE I MA. g2 2 GALLONS PER PERSON PER DAY _55_ LEACHING REQUIRED 550 gpd °"6\ �°� LEACHING PROVIDED 71e:4�d APPLICANT ENGINEF r�: -L DISPOSAL NO ti>�'�tw '�� µ TERRANCE HUGGARD ARROW ENGINEERING INC \ / ��`• y, 51 EISENHOWER ROAD IU CAFE GRIVE - SUITE B 113�'�"EiiT' SEWER DESIGN _ _ SHARON, MA. 02067 MA�HF'EE MA 02649 Hyo SIDE WA+ 120 v 0.96 x 2.50 = 302.4 gpd .1p3 ;R -SC;A! F. C! 1 F SHEET: 30 15 0 317 6.O .9�0 � �� * ;=T�Y`•��Q�4,. JUNE 9 9 1 of �._ I� i ,�_M 52' x 8.O' x l.0 = 4/6.0 gpdAS _SHOWN 1 . 90}_ P i._A N S'" t SCALE IN FEET 4 gpd ! ' ( ` ' _ , ., �I SJR/HP OLT -RER 8-289 1 II , . N/F MICHEL E P. KESSL ER 9R I • ,0. 600 GAL,POOL DRAWIr , .o p ,� DOWN W/1'STONE b- • i :� • .•F5r end \,•• TaRMI b L WL RaVd'I,vfFNTf� F1l.TPE.R >`AMPIC.GROUND I�IaVtlL.�'i'Yp) e qr ++ S 06022'40"W 312'+ � 1 N PROPO Sao I1,A 2_3' ? StfMILt•IED PORCH s2 ;; < rn 7 wm Q I . X j 91 f LOCUS PLAN Q NW Dw h� a Scale: 1 2000' J Q3 C y �, Assessors Map 93 0. x S Parcel42.4 Q M �SAE Pn'RK1Ntr t1 �� ' �Qrj I - qziQ 1_ •a z 70 U p Zoning R F- ao -j N r; p (� !rr i F� NSW a I- Cp Setbacks w 3Z' o v o eA tb' a j Q Z 0 m Front: 50' o F 3 ,r C a 0 x p Q F p to Side : 15' PROPOsao a a a 0 3 aF r '"n Rear 15' N 2ti'i< 2.y' BAA11 y, O J aN S ?i lIS N Q '` 7 aX15T 3'WIDE ,Q GD \ 0 lu cp 1 PAT 14 l RELCCATa S rON� PROPOSED P-ex ' i L EM S%3 30 O O R iv EwAy POOL W/-T APRON Poo L•EQU/P• 2 Uw0m, C�UGK. %Y! - S 06°22'40"W 3784± n N/F PAUL Q PHYLLIS FIREMAN PLAN VIEW Scale: 1'1= 301 t 0` - WS 03 VARM5 LOW PROV%L6 s4RUB 1Q D PLAI'CTIN& IbUFFER ?O'MIN. FRoT.n aDsbr OCT 2 0 1999 GN 0P WETLAND. Y F' lY �� RARNSTARLE CONISERV;1710"1 POOL I TO 2 TON STAKt D "ANSALaS —� SToNE9CCNINKaD) ` 1� W/SILT FmKC.K z, C111P5TON6 :SET ON ' NT ROSA RwGOSA 4, r�i OC1.10LC l-A`IER CF okF'Tri CANST, OF WALI.� �q , FILTER �ABR\C Not to Scale ;- Directions to Site: Route 28 toward Osterville; Lett onto Osterville West Barnstable Road to end; Lett onto Main Street; Right onto Parker Road; Right onto West Bay Road; Bear left onto Bridge Street and go over the draw bridge; Left onto South Bay Road which will take a sharp right and then the house is the first one on the left SITE PLAN PROPOSED SITE IMPROVEMENTS AT 58 SOUTH BAY ROAD OSTERVILLE, MASS. FOR TERRENCE J. HUGGARD SCALE: AS SHOWN DATE: OCT. I , 1999 SULLIVAN ENGINEERING INC. OSTERVILLE,MASS. ATTACHMENT A 99036