Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0072 SOUTH BAY ROAD
`��- ����L-, � �� l - ..ec ,....a.,u�_.�..,...,tee., _-- - - - --- - - DEPARTMENT OF HOMELAND SECURITY-FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B.NO.1660-0015 PROPERTY INFORMATION FORM Expires February28,2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.63 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources,gathering and maintaining the needed data,and completing and submitting the form. This collection is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to:Information Collections Management,Department of Homeland Security,Federal Emergency Management Agency,1800 South Bell Street,Arlington,VA 20598-3005,Paperwork Reduction Project(1660-0015). NOTE:Do not send your completed form to this address. This form may be completed by the property owner,property owner's agent,licensed land surveyor,or registered professional engineer to support a request for a Letter of Map Amendment(LOMA);Conditional Letter of Map Amendment(CLOMA),Letter of Map Revision Based on Fill(LOMR-F),or Conditional Letter of Map Revision Based on Fill(CLOMR-F)for existing or proposed,single or multiple lots/structures. In order to process your request,all information on this form must be completed in its entirety,unless stated as optional. Incomplete submissions will result in processing delays. Please check the item below that describes your request: ❑ LOMA A letter from DHS-FEMA stating that an existing structure or parcel of land that has not been elevated by fill(natural grade)would not be inundated by the base flood. ❑ CLOMA A letter from DHS-FEMA stating that a proposed structure that is not to be elevated by fill(natural grade)would not be inundated by the base flood if built as proposed. ❑■ LOMR-F A letter from DHS-FEMA stating that an existing structure or parcel of land that has been elevated by fill would not be inundated by the base flood. A letter from DHS-FEMA stating that a parcel of land or proposed structure that will be elevated by fill ❑ CLOMR-F would not be inundated by the base flood if fill is placed on the parcel as proposed or the structure is built as proposed. Fill is defined as material from any source(including the subject property)placed that raises the ground to or above the Base Flood Elevation(BFE). The common construction practice of removing unsuitable existing material(topsoil)and backfilling with select structural material is not considered the placement of fill if the practice does not alter the existing(natural grade)elevation,which is at or above the BFE. Fill that is placed before the date of the first National Flood Insurance Program(NFIP)map showing the area in a Special Flood Hazard Area(SFHA)is considered natural grade. Has fill been placed on your property to raise ground that was previously below the BFE? ❑■ Yes ❑ No If yes,when was fill placed? mm/dd/yyyy Will fill be placed on your property to raise ground that is below the BFE? ❑ Yes* ❑ No If yes,when will fill be placed? mm/dd/yyyy *If yes,Endangered Species Act(ESA)compliance must be documented to FEMA prior to issuance of the CLOMR-F determination(please refer page 4 to the MT-1 instructions). 1. Street Address of the Property(if request is for multiple structures or units,please attach additional sheet referencing each address and enter street names below): 72 South Bay Road Barnstable (Osterville), MA. 02655 2. Legal description of Property(Lot,Block,Subdivision or abbreviated description from the Deed): Parcel ID#093-042-003; Land Court Cert#200146, Land Court Plan 8730-G lot 8 3. Are you requesting that a flood zone determination be completed for(check one): ❑ Structures on the property? What are the dates of construction? (MM/YYYY) A portion of land within the bounds of the property?(A certified metes and bounds description and map of the area to be removed,certified by a licensed land surveyor or registered professional engineer,are required.For the preferred format of metes and bounds descriptions,please refer to the MT-1 Form 1 Instructions.) ❑ The entire legally recorded property? 4. Is this request for a(check one): ❑ Single structure El Single lot ❑ Multiple structures(How many structures are involved in your request?List the number: ) ❑ Multiple lots'(How many lots are involved in your request?List the number: ) DHS-FEMA Form 086-0-26,FEB 11 Property Information Form MT-1 Form 1 Page 1 of 2 In addition to this form(MT-1 Form 1),please complete the checklist below. ALL requests must include one copy of the following: ❑ Copy of the effective FIRM panel on which the structure and/or property location has been accurately plotted(property inadvertently located in the NAP regulatory floodway will require Section B of MT-1 Form 3) ❑ Copy of the Subdivision Plat Map for the property(with recordation data and stamp of the Recorder's Office) OR ❑ Copy of the Property Deed(with recordation data and stamp of the Recorder's Office),accompanied by a tax assessor's map or other certified map showing the surveyed location of the property relative to local streets and watercourses. The map should include at least one street intersection that is shown on the FIRM panel. ❑ Form 2—Elevation Form. If the request is to remove the structure,and an Elevation Certificate has already been completed for this property,it may be submitted in lieu of Form 2. If the request is to remove the entire legally recorded property,or a portion thereof,the lowest lot elevation must be provided on Form 2. ❑ Please include a map scale and North arrow on all maps submitted. For LOMR-Fs and CLOMR-Fs,the following must be submitted in addition to the items listed above: ❑ Form 3—Community Acknowledgment Form For CLOMR-Fs,the following must be submitted in addition to the items listed above: ❑Documented ESA compliance,which may include a copy of an Incidental Take Permit,an Incidental Take Statement,a"not likely to adversely affect' determination from the National Marine Fisheries Service(NMFS)or the U.S.Fish and Wildlife Service(USFWS),or an official letter from NMFS or USFWS concurring that the project has"No Effect"on proposed or listed species or designated critical habitat.Please refer to the MT-1 instructions for additional information. Please do not submit original documents. Please retain a copy of all submitted documents for your records. DHS-FEMA encourages the submission of all required data in a digital format(e.g.scanned documents and images on Compact Disc[CD]). Digital submissions help to further DHS-FEMA's Digital Vision and also may facilitate the processing of your request. Incomplete submissions will result in processing delays.For additional information regarding this farm,including where to obtain the supporting documents listed above,please refer to the MT-1 Form Instructions located at http://www.fema.gov/plan/prevent/fhm/dl_mt-i.shtm. Processing Fee(see instructions for appropriate mailing address;or visit http://www.fema.gov/fhm/frm—fees.shtm for the most current fee schedule) Revised fee schedules are published periodically,but no more than once annually,as noted in the Federal Register. Please note: single/multiple lot(s)/structure(s)LOMAs are fee exempt. The current review and processing fees are listed below: Check the fee that applies to your request: ❑$325(single lot/structure LOMR-F following a CLOMR-F) ❑$425(single lot/structure LOMR-F) ❑$500(single lot/structure CLOMA or CLOMR-F) ❑$700(multiple lot/structure LOMR-Ffollowing a CLOMR-F,or multiple lot/structure CLOMA) ❑$800(multiple lot/structure LOMR-F or CLOMR-F) Please submit the Payment Information Form for remittance of applicable fees. Please make your check or money order payable to: National Flood Insurance Program. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code,Section 1001. Applicant's Name(required): LOCI Beth Baldwin Company(if applicable): Mailing Address(required): Daytime Telephone No.(required): 72 Soulh Bay Road Bamslable(Osterville),MA.02655 E-Mail Address(optional):❑By checking here you may receive Fax No.(optional): correspondence electronically at the email address provided): Date(required) Signature of Applicant(required) DHS-FEMA Form 086-0-26,FEB 11 Property Information Form MT-1 Form 1 Page 2 of 2 DEPARTMENT OF HOMELAND SECURITY-FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B.NO.1660-0015 ELEVATION FORM Expires February 28,2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.25 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources,gathering and maintaining the needed data,and completing and submitting the form. This collection is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to:Information Collections Management,Department of Homeland Security,Federal Emergency Management Agency,1800 South Bell Street,Arlington,VA 20598-3005,Paperwork Reduction Project(1660-001S). NOTE:Do not send your completed form to this address. This form must be completed for requests and must be completed and signed by a registered professional engineer or licensed land surveyor. A DHS-FEMA National Flood Insurance Program(NFIP)Elevation Certificate may be submitted in lieu of this form for single structure requests. For requests to remove a structure on natural grade OR on engineered fill from the Special Flood Hazard Area(SFHA),submit the lowest adjacent grade(the lowest ground.touching the structure),including an attached deck or garage.For requests to remove an entire parcel of land from the SFHA,provide the lowest lot elevation; or,if the request involves an area described by metes and bounds,provide the lowest elevation within the metes and bounds description.All measurements are to be rounded to nearest tenth of a foot. In order to process your request,all information on this form must be completed in its entirety. Incomplete submissions will result in processing delays. 1. NFIP Community Number 250001 Property Name or Address:72 South Bay Road Barnstable, Ostereville, MA. 02655 2. Are the elevations listed below based on 0 existing or ❑proposed conditions? (Check one) 3. For the existing or proposed structures listed below,what are the types of construction? (check all that apply) ❑crawl space❑slab on grade ■❑basement/enclosure ❑other(explain) 4. Has DHS-FEMA identified this area as subject to land subsidence or uplift?(see instructions) ❑Yes ■❑No If yes,what is the date of the current re-leveling? / (month/year) 5. What is the elevation datum?❑NGVD 29 ❑NAVD 88 ❑Other(explain) If any of the elevations listed below were computed using a datum different than the datum used for the effective Flood Insurance Rate Map (FIRM)(e.g.,NGVD 29 or NAVD 88),what was the conversion factor? Local Elevation+/-ft.=FIRM Datum 6. Please provide the Latitude and Longitude of the most upstream edge of the structure(in decimal degrees to the nearest fifth decimal place): Indicate Datum: ❑WGS84 9 NAD83 ❑NAD27 Lat. 41.62192 Long. -070.40005 Please provide the Latitude and Longitude of the most upstream edge of the property(in decimal degrees to the nearest fifth decimal place): Indicate Datum: ❑WGS84 ❑NAD83 ❑NAD27 Lat. 41.62218 Long. -070.40003 Lowest Address Lot Number Block Lowest Lot Adjacent Base Flood BFE Source Number Elevation* Grade To Elevation Structure 72 South Bay Road Barnstable,MA.02655 042 003 0.0 13.2 13 FEMA Map This certification is to be signed and sealed by a licensed land surveyor,registered professional engineer,or architect authorized by law to certify elevation information. All documents submitted in support of this request are.correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code,Section 1001. Certifier's Name: License No.: Expiration Date:06/30/2020 Stephen D.Matson Company Name: Telephone No.: aaxtsr-Nye Englneedng and Surveying 508-771-7502 Email: Fax No. sma=n@baxter-nye.wm 50B-771-7622 Signature: Date: *For requests involving a portion of property,include the lowest ground elevation within the metes and bounds description. Seal (optional) Please note:If the Lowest Adjacent Grade to Structure is the only elevation provided,a determination will be issued for the structure only. DHS-FEMA Form 086-0-26A,FEB 11 Elevation Form MT-1 Form 2 Page 1 of 2 Continued from Page 1. Lowest Adjacent Lowest Lot Base Flood Address Lot Number Block Number Elevation' Grade To Elevation BFE Source Structure This certification is to be signed and sealed by a licensed land surveyor,registered professional engineer,or architect authorized by law to certify elevation information. All documents submitted in support of this request are correct to the best of my knowledge. I understand that any false statement may be punishable by fine or imprisonment under Title 18 of the United States Code,Section 1001. Certifier's Name: License No.: Expiration Date: Company Name: Telephone No.: Email: Fax No. Signature: Date: *For requests involving a portion of property,include the lowest ground elevation within the metes and bounds description. Seal(optional) Please note:If the Lowest Adjacent Grade to Structure is the only elevation provided,a determination will be issued for the structure only. DHS-FEMA Form 086-0-26A,FEB 11 Elevation Form MT-1 Form 2 Page 2 of 2 i DEPARTMENT OF HOMELAND SECURITY-FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B.NO.1660-0015 COMMUNITY ACKNOWLEDGMENT FORM Expires February 28,2014 PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this data collection is estimated to average 1.38 hours per response. The burden estimate includes the time for reviewing instructions, searching existing data sources,gathering and maintaining the needed data,and completing and submitting the form. This collection is required to obtain or retain benefits. You are not required to respond to this collection of information unless a valid OMB control number is displayed on this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing this burden to:Information Collections Management,Department of Homeland Security, Federal Emergency Management Agency,1800 South Bell Street,Arlington,VA 20598-3005,Paperwork Reduction Project(1660-0015). NOTE:Do not send your completed form to this address. This form must be completed for requests involving the existing or proposed placement of fill(complete Section A)OR to provide acknowledgment of this request to remove a property from the SFHA which was previously located within the regulatory floodway(complete Section B). This form must be completed and signed by the official responsible for floodplain management in the community. The six digit NFIP community number and the subject property address must appear in the spaces provided below. Incomplete submissions will result in processing delays.Please refer to the MT-1 instructions for additional information about this form. 250001 72 South Bay Road Barnstable(Osterville),MA.02655 Community Number: Property Name or Address: A. REQUESTS INVOLVING THE PLACEMENT OF FILL As the community official responsible for floodplain management,I hereby acknowledge that we have received and reviewed this Letter of Map Revision Based on Fill(LOMR-F)or Conditional LOMR-F request. Based upon the community's review,we find the completed or proposed project meets or is designed to meet all of the community floodplain management requirements,including the requirement that no fill be placed in the regulatory floodway,and that all necessary Federal,State,and local permits have been,or in the case of a Conditional LOMR-F,will be obtained. For Conditional LOMR-F requests,the applicant has or will document Endangered Species Act(ESA)compliance to FEMA prior to issuance of the Conditional LOMR-F determination.For LOMR-F requests,I acknowledge that compliance with Sections 9 and 10 of the ESA has been achieved independently of FEMA's process.Section 9 of the ESA prohibits anyone from"taking'or harming an endangered species. If an action might harm an endangered species,a permit is required from U.S.Fish and Wildlife Service or National Marine Fisheries Service under Section 10 of the ESA. For actions authorized,funded,or being carried out by Federal or State agencies,documentation from the agency showing its compliance with Section 7(a)(2)of the ESA will be submitted.In addition,we have determined that the land and any existing or proposed structures to be removed from the SFHA are or will be reasonably safe from flooding as defined in 44CFR 65.2(c),and that we have available upon request by DHS-FEMA,all analyses and documentation used to make this determination. For LOMR-F requests,we understand that this request is being forwarded to DHS- FEMA for a possible map revision. Community Comments:,Tmlr OI-F-t cry} t-S ..1�►-'"1/�� k V,Pcn.( S vb+r- t-1 --.�-t.S \ ��� �✓� *ivr�lCL2- S�N3nn. �-v4-�-S Community Official's Name and Title: (Please Print or Type) Telephone No.: Brian Florence Building Commissioner Community Name: Comm n' y Off iCiea:&Signature: (required) Date: Town of Barnstable B. PROPERTY LOCATED WITHIN THE REGULATORY FLOODWAY As the community official responsible for floodplain management,I hereby acknowledge that we have received and reviewed this request for a LOMA. We understand that this request is being forwarded to DHS-FEMA to determine if this property has been inadvertently included in the regulatory floodway. We acknowledge that no fill on this property has been or will be placed within the designated regulatory floodway. We find that the completed or proposed project meets or is designed to meet all of the community floodplain management requirements. Community Comments: Community Official's Name and Title: (Please Print or Type) Telephone No.: Community Name: Community Official's Signature(required): Date: DHS-FEMA Form 086-0-26B,FEB 11 Community Acknowledgment Form MT-1 Form 3 Page 1 of 1 f FEDERAL EMERGENCY MANAGEMENT AGENCY PAYMENT INFORMATION FORM Community Name:Town of Barnstable Project Identifier: THIS FORM MUST BE MAILED,ALONG WITH THE APPROPRIATE FEE,TO THE ADDRESS BELOW OR FAXED TO THE FAX NUMBER BELOW. Please make check or money order payable to the National Flood Insurance Program. Type of Request: LOMC Clearinghouse ❑■ MT-1 application 847 South Pickett Street ❑ MT-2 application} Alexandria,VA 22304-4605 Attn.: LOMC Manager FEMA Project Library ❑ EDR application 847 South Pickett Street Alexandria,VA 22304-4605 FAX(703)212-4090 Request No.(if known): Check No.: Amount: ❑ INITIAL FEE* ❑ FINAL FEE ❑ FEE BALANCE** ❑ MASTER CARD ❑ VISA ❑ CHECK ❑ MONEY ORDER *Note: Check only for EDR and/or Alluvial Fan requests(as appropriate). **Note:Check only if submitting a corrected fee for an ongoing request. COMPLETE THIS SECTION ONLY IF PAYING BY CREDIT CARD CARD NUMBER EXP. DATE m m 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Month Year Date Signature NAME(AS IT APPEARS ON CARD): (please print or type) ADDRESS: (for your credit card receipt-please print or type) DAYTIME PHONE: FEMA Form 81-107 Payment Information Form TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #: -� Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 22 (S2c)�_4 RA V ,'2'6Y4' 6 Village C25 rU i l(,P_ Owner Loci '13,sleU t v\ Address Telephone S-6 a a3 7 c/o Permit Request 4 �� Square feet: 1 st floor: existing proposed '31rd floor: existing ibO �oposed ��Total new Zoning District Flood Plain Groundwater Ovety �, 0 Project Valuation?Q 06d Construction Type 0 Lot Size . Grandfathered: ❑Yes ❑ No If yes, atta� i su' rting�,documentation. N.A Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King�\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 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and4Fuel: ❑ Gas ❑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: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size —Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name �.�e�'i t 'rG.�1C�4 5 Telephone Number 3-100 Address 3�2 Iq Un-, :5 A, License # S Home Improvement Contractor# Email (-eqv k-1-44WS-601 .Cd'"Worker's Compensation #/nC.C'a0a-aaac yyb --�611_A 1-i NJ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �ret�,�..�► 5 oos� SIGNATURE DATE FOR OFFICIAL USE ONLY Y APPLICATION # DATE ISSUED MAP/ PARCEL NO. .ADDRESS VILLAGE f OWNER DATE OF INSPECTION: x. FOUNDATION FRAME INSULATION _ `a ~ FIREPLACE i . ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ► ` GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Massachusetts Department of Public Safety t Bcard of Building Regulations and Standards License: CS-096706 Construction Supervisor GREGORY R FRANCIS 30 ALDEN STREET 3 ;a 't MANSFIELD MA 02048y Expiration: Commissioner 09/16/201£ Ve tr cted t n.SuPervi /essestrictea- sor encl Shan 35 p�ulldin9s ed sAaceO cub/c feet 8�ceb c up whic meters)of contain. Failure to ess DNS Cicensi 9 Code scc rrent editi 9 infenhation v s for re o athe)1 achuse s WWVW MAISs GO Of Vipcense . S e `j Office of Consumer A' irs d Business Regulation 10 Park I'laza - Suite 5170 Boston, N kachusetts 02116 Home Improveme ptractor Registration eglstratlon m .Registration:` 171036 THOUGHTFORMS CORPORATIO 'S r Type: supplement Card GREG FRANCIS Nn W Expiration: 2/1/2018 543 MASSACHUSETTS AVE. �A ACTON, MA 01.720 .L, {4 \�1 0 20M-05/11 ��N�•y 0i ` Update Address and return card. I Ej Mark reason for change. Address 0 Renewal Employment Q Lost Card License or registration valid for individul use only I 1 before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 1 Boston,AAA 02116 i Not id wj iout signature THOUCOR-01 MSOUSA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY)02/27/2017 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 Mariana N.Sousa NAME: NorthBridge Insurance Agency,Inc. 1150 Main Street (A/C No,Ezt):(978)369-5656 (AA IC,No):(978)369-3296 Concord,MA 01742 ADDRIESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A:The Hanover Insurance Group INSURED INSURER B:Citizens Ins Co of America Thoughtforms Corporation INSURER C:Starr Indemnity&Liability Company 525 Mass Ave Suite 204 INSURER D:A.I.M.Mutual Ins.Co. Acton,MA 01720 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 TYPE OF INSURANCE ADSDL SUBR WVD POLICY NUMBER POLICY EFF POLICY EXPLTR LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR ZHN8952546 11/1012016 11/10/2017 DAMAGE TO RENTED 100,000 PRE MI E Ea occurrence $ MED EXP(Any oneperson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 Re-- LOC PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY❑J OTHER: $ B AUTOMOBILE LIABILITY CO aBINE.deD SINGLE LIMIT nfi $ 1,000,000 ANY AUTO AMN8894404 11/10/2016 11110/2017 BODILY INJURY Perperson) S ` OWNED SCHEDULED AUTOS ONLY X AUTOS WN BODILY INJURY Per accident $ X AUTOS ONLY X AUUQ OS ONLY (Relr acEcfRdent AMAGE $ C X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS LIAB CLAIMS-MADE 1000015516 11/10/2016 11/10/2017 AGGREGATE $ 10,000,000 DED RETENTION$ - $ D WORKERS COMPENSATION PERTUTE I OTH- AND EMPLOYERS'LIABILITYYIN MCC-200-2000446-2016A 01/01/2017 01/01/2018 I ER 500,000 ANY FFICEOPRIET R EXCLUDED?ECUTIVE —] N/A E.L.EACH ACCIDENT $ F( Man datory in f ► 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 I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2016103) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ,s �t„E, � Town of Barnstable Regulatory Services UARMABLE, ass � Richard V.Scali,Director Eor�►+" Building Division ' Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 r ' Property Owner Must Complete and Sign This Section If Using A Builder I ,as Owner of the subject property hereby authorize q' a to act on my behalf, in all matters relative to work authorized by this building permit application for: (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 i pectu=5 are performed and accepted. Signature of Owner S' atur f A pbcant Lo� �a 0- Print Name Print ame L� Date ., 37re Coazrrra�vea�t of�rfr.�rrtsetts Depcfrarfera qf nub ActideTtr 600 WadrizTt=meet Basion,MA 02HI mm marmgarla7a Wurke& CumapPniatio In-surzzce Afffilavit Bmlders/ConhacbarsAgec&iciansIPhimbers Applk2mt Tnfurma6m Please Prm Name Gv�iAVt4 3dress:�'oZsr�tis5��L,�sef/-5 /�✓G. ail{-� C4gfStat22�-. .-7 * 7 7 2 D Phone iu r,3 !mod/ Are you an encplayer?Checkthe appropriate bcm Type of project(require*= L❑ I aim a employer wftk 4. ❑I am a general conEmatar and I 6- ❑New amsftuaEf a empkTees(fall a=Vor par-lime)-* Irave hh-ed ffse sulr cow.. 2.❑ ram a sale pmpdgtt}s or partner- fisted ontbe aid sheet'. 7- XRemOdP'm slnp and have no empkUees . These sub-conftwlam have & ❑Demolifian wading forme:in any capacity emplayew aadhace wodmrs' 9. ❑R ' addition [90 ty�g'C0�-mcrx�nr a Comp.ine�ranar# 1 5. ❑ We are a cmporafion and its I Kcal repair cr ad&iaas 3-❑ F ama homeowner doing all vwk offers have ewxcised t9mer 11-JgF1nmbmgrepaim or adcfifions • per ❑Roof pairs�€[No warps �- of aII p 1�' . :n „mere ;�dj E a IS2•kl(4k andwelaiveno employees (NO wadoess' I3.0 OSies c°rop-msuxance mTire&j 'day a�Fu�Bast cher�sbOz�l mast elsatiIla�the se�CaahcTuarshauiag dieasvad'ces'�pA•�,;,,•,pa�cgi�o� Y araes�a suh-&hiss ill they zMdo-ia;zUwa&M&Camhim ate&,—t- samst snImatanetva�daYit ia��ri�rnrTi rGaaso�rsinalch[.:k. - bmca CtatlahmeT=sddiSasald- sagthe"—ofthesal�-coca =ds12fewpmarnotthme shzs� ®lepetx If61P-M C=tMda hWe MplayeM,ffiq=ntp=Mde&W WMdM&-nP-Palky—h— I am are euip7OPer flt�is prat�drirg�vcrkees'eamperucn`iart iresrirarrse j'or�emp£a}�ee� $eTrn4 is flea prrficy arrd jafi sits sz�arrrsrr�vtt - Iasacause CompanyName: Poficy¢or Self-inL Ile_4 �aDafe= Job Site Address= Soy 4A Ro-91-4 ,eQ,4b Attach a cagy of the worker a compensalknpacg declaration page-(shoes the poFcy nimEber and exph-xfioxL daf* Fame to secure coverage as regtriredunder Section 25A of MGL c.Lr 1 can lead to tfie imposition of csira- PPTMW of a fine up to SL,5OU Oa andlor one>-gearimp iso---t as wen as civil penR16F-s m fe faaa of a STOP WORK OMEFLand a Hoe o€up to$25OM a day a the vinlaiar. Be advised tird a copy of this rtat!m�maybe forwarded fo five Office of Investigations of the DL4 for imsta mw coverage verifinaH= Ida hereby r1—: tits pa=' and trfpe jW7 fhattrur uejorRrafi mprorid d above is bus and correctSL_ - Uate: v2 Pbone rr= 7 Offi;id as&a* DQ Be tulle Fit f€&&reQ fsr be tzrnTL—ted by Cifl arfOiFu afficiaL City or Town: P tff; ,sue;9 L=ing kuflmi iy(tom one): L Bard of$e9ff; 1 Buz-[&g Depmtnent 3.fftylrmn AIL 4L Electrical hmpector S.Pf>uabmg Emspecfmr 6.Other Con€sct Perso3c Mane-9_ 6 .r -■Itw Win_ ■ - -■•■■1� �•nt w -1 �nl• ■•�R n ■] • ■' ••■f•�rw r■lnn r■ .t■u■ nl [■" t ■•t• ••�:. u `I■r_n1 ■r n a, ruuc .n �•u �1•] w • ■•■t■ �/ •7•: ■1 •'•Ins■ ' ■ J�I► ■ r% •ilt■I�■ : -11 t1 I■ n■I: •.■ ■/�'.R■■•■ -I.w••fYn•I■ rn ■• .■■•I■ •1 ■t■� -•J: �3.1•t ` •] _n• ••• •1 ■■■1 • n �.guru•:. • _ •� � �• .an■■ ••r u i■- • ■■- In "_•n•: �•r;�• n •w �■n:� n•w- _I■• n 1■nn_ i■- _ � :•• •r i•- a •r • ■ ■ ■�- • :n n■ a■r •.t ■■rw uu -►..•wrn w n •i■► -_�= tit n run • n• .�uu ••'t •••■� • _ /a^ 1 ■■• ■/■ t_ n' ■• n n n.n m v .0:r In►uw :n■ -•t• .�Y• is� an a /► • rn■cu1 • i■ • - 1 a /•■ • :n■"■� ••■r .inu r ■�wm ■■ /• u.nmdt-n. ■u r■ t ■•■ a ►_n ••••. •n ■ 1 ■-• Im: ■•■w I 1 ■1 ■• • ■. Y I .•i - t _■ _ ■ _ • .a► 1 •' n t n • •' r ■ u•Iu iY ■ u ■•.Y■ .r /Ir • ■■_ u ■I r•anr• ■ • . r / ✓ I • ••1■•)■- ■.I■•:� t:ti. " 1�■�+ ■■' /1■■It1/1••'�n■ ■• .t■• Iw r 1 n r. 1/■ v■n ■.l -r PI ■• • •r■. •n/. mu .rrr■r_■ ►►m rn%+nw • n �:n IV ■.• •�:�■ • ..:1/n�■ u n ►•■n _rm: .nm■•1 r. ill •n ■■ •'•■.�r •un:�.t -loan i■■. 1 r/nu �■' ■ r1 .•n: �t' •n�.+ '■-t �•■ n ••n Yln_n■■ _n• ■ - .■■■ •■•u nun■:I /1• n n.II � n■rn� • Am 'a n�+w n1■ Ii1 •• gnu .• •i■ a•n n u•■ ate• r.■ •run_m w n nuP�a .• t . n il••• / •-■ ■■ -■ ■• �a n■�• a ra• ••r■.•� rntnr�■�:■m u n a■•r �•.1 n■arl ■ •to t•. YJ■11 • •�w ► -nn■�■ n •- / u n••■ n.t a .n■1 rn m n i1- •.nu • r :1■ •:In; - n Yn �■ e•nnt_•L w ••1 ■ W.• U- 1 n /■ .n �15 ......► •]• n- .t.a rn■_n- ■u- - � • as t■.1 t■ .tt■• •1 4 rnnl• ►1 :■■a ••n/ti■ J• ♦t' ��/:I ■n.Itl r. /r • ■.■ ■ r J ■• ••n•I■■ •.■ r■■■ to -I•• r:■/1 • u .■n•. 1 • •• n 71 •u n u. •%+n u- OG■r' ■ ■•�/:-t•ala ■: a run• ••• '_ _ n n i7 n u •rn■ Ir :.• - n■m r r ••a .1 1 r ■w�• _ - t� �■ •mn■ ■ _■an••a :u J•a r_n • n■ �■ i■J n • w/u n ■nu ►emu■ Ir :!■ - a•• r:n•n n JI 9 •�• •�1 ■�►■ •■ ■un 1 n1 it■. 1 u• r.n■ • n •tm.■•■ I�►s _. .n■ m/., •■ a ■u �.w i .n■ r:m ►• • ••m .1 •r_■ n •� •/ • ■• ■r■. 1 u J •. •�t •U►-•l• rnn•./ u u.u.•�• •• n MI u n•' n- •" ■ • •.■ 1• U" :t►• Kn.• 11 •• ■■•t • [r•.• 1 •■ 7 1• nnn - ►.1•■■ 1\ •1 ►w■ •� • " gal■al .• ••■w ■• It - •"■ •i MI■Y/ter■ ••Y.■n■n - ■• ■►ill - • •.un 1 is • Oi■ • ■ •r■•:n n■ -••■ • to a u.n, -•1 tt /•-n r. a ■u r••r� .0 n■ :u■ ■■■ • -■■ ■. • .0 ••�.■•u /■- ra:1 ■Is •1 �w ■ rr■u■- .n■ r.► nnu•. r" •-■rat[•_r ••,d n • �,ww. r [v.,•■. • ra-/ N ' . . � •11 - ' 1• . + ' � ' : • .. to. • • • nr y - Couninon-weal'th of Massachusetts PfL-- Sheet Metal Permit Date: $ �� �� PERMIT Permit Q Q Iq Q S 3 n Estimated Job Cost: S 3&Qzj mm�R- Permit Fee: S 25,00 Plans Submitted: YES NO uU 26 4 Plans Reviewed: YES NO 1/ n J � . Business License i(OO A 1'� ce T a 7�G� im of: A�i6*k - Business Information: Property Owner/Job Location Information: Name: UErn on Oh I�ejEu j(�- : Name: bWd j Street: CU. V111-u p, U1•KJ)1 4: Street: a utA City/Town: W Ci`�Q. rLQ�'��I City/Town: V� V Telephone: 5 06 /q 5 I I 00 Telephone: Photo I.D. required/ Copy of Photo I.D. attached: YES vl NO Staff Initial J-12-4 /Yi-l-unrestricted license N ...� J-2 /YI-2-restricted to dwellings stories or less and commercial up sq' Rt�a r to 10 000 , -stories less / f C71 Resid enf-lal: 1-2 family V Multi-family Condo/Townhouses Commercial: Office Retail Industrial Educational -� �� to Institutional Other _ rn Square Footage: under 10,000 sq.R. over 10,000 sq. f. Number of Stories: Sheet metal work to be completed: New-Work: V Renovation: HVAC Metal Watershed Roofinor Kitchen Exhaust System V/ Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: aA d /'�� ,�l h 76� �- - INSURANCE COVERAGE: I have a current liability insurance policy or its equivalentwhich meets the requirements of M.G.L. Ch. 112 Yes l No❑ I If you have checked Yes, indicate the type of;coverage by checking,the appropriate box below: A liability insurance policy Other type of indernni �4 Bond ❑ i OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box❑,I hereby certify that all'of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Proaress Inspections Data: r Cominents I , Final Inspection -Comments _ Type of License: I By ❑ Master Title ❑ Master-Restricted City/ own c ❑Journeyperson Signature o,Licensee Part it ❑Journeyperson-Restricted 9 License Number. � Di Fee$ Check at-ww-:k;.bass.,oy/dYl I Inspector Signature of Permit Approval I ,BIKE Town of Barnstable i . F. Regulatory Services uses Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner ' 200 Main Street,.Hyannis,MA 02601 www.town.barnsta ble.ma.us Office: 508-862-4038 hex 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.Builder enec�[ as 0'*<er of the subject property hereby,authorize ioUkto art on my,behalf in all'mattets relative to work authorized by this building permit (Address o ob) Pool fences and alarms are the responsibility of the applicant. Pools are not-to be filled-before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. Signature of v1 4 C Signature of Applicant �1 U OW Er"(, Print Name Print Name Date Q FORMS.OWNERPERMSSTONPOOLS Fold.Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS BOARD ET METAL WORKERS.`;':.:;`; AS A BUSINESS ;....< :ISSUES,THE'.ABOVE LICENSE TO;•:' `':' TYPE WH:ITE LEY.:; V;E:R.N,O.N. WHITE.L.EY PLBG.`A.ND::.:..,:..'-. _B 28 VILLAGE. LANDING ATH,A M J L y 11A::02GG9=000 =` 6.1 292629 6:0 12/22/14 Fold.-Then Detach Along All Perforations- ♦ it 3-�,"- v ��i s, t. ;. :p. w:.^ - COMMONWEAL�TH40F^MASSACHUSE.TrTS �xrh`y j s.' r} 3 �3�,,��� BQAAP30F9ea�-j'4''.�'i�•.,'H`. +�.f'zo..�, •,�ih� {x I IS k��t}vrr SS{' Y "��' (SHEET METAL WORKERS 'jr� �"zt� �/•"a Y I '3 - SSUES0�TH L I C+ENSEF sy 4e g� e 'R SAS A MASTE2RUNRESTR I CTED a Q ` NIMMI R. iax. %� der a7� n ik-. 1 a 0' S1 -fi7 a5r. E`R41C TWHITELEY, *}�w1 6IMWE� r: = ice w ' F Yrwtf� s `y x1rltr��w2 v Sf� O ym q ' PO X 248 �st `` Fl ig lid �WESTCHAT,HAM MA02669,�028 �zflst s � �titi296702%28/t16k x {i So55t 2 ,, � I t. 1AJVERNON-0'1 CLEDDUKE arrE(alNJroon•YYY) I CERTIFICATE OF LIABILITY INSURANCE i 101212013 THIS CERTIFICATE IS ISSUED AS A MATTER OF 11NFORINIATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS I I CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED.BYTHE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS 4VAIVED,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 I certificate holder in lien of such endorsement(s). PRODUCER I CON cr Donna Pearse ` NAME: FAX (Rogers &Gray Ins.• Dennis Branch PHONE 508 398-7980 I Afc Ilel: S77)816 215G i (434 Rte 134 IA1 toE-NAIL South Dennis,MA 02660 ADDRESS:dpearse@rogersgray.com INSURER(S)AFFORDING COVERAGE I NAIC I j I INsuRERA:ARBELLA PROTECTION INSURED l � (INSURER B: , W.Vernon Whiteley Plumbing &Heating Co, Inc. INSURERC: Chatham Street Metal,Inc. INSURER D: t P.0.Box 1266 West Chatham,I%AA 02669-1266 I INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN J ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD I INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CO.(TRACT OR OTHER DOCUMENT WITH RESPECT TO NlHICH THIS CERTIFICATE: MAY SE 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 SH04V,N MAY HAVE BEEN 1 REDUCED BY PAID CLAIMS. I IIr13R IADDL SUER I POLICY EFF I POLICY EXP LIMITS LTR I TYPE OF INSURANCE N- Y111 POLICY NUMBER ,%*,vDD1YYYY P,Iml 01'tY'f( I � i I EA.CH OCCURRENCEI S 1,000,000; GENERAL LIABILITY VAA c I R Ni I 50,000'1• A X COI•,Id;IE:P.CIALGEIlc,RALLIA3ILITY 8500052832 1101112013 101112014 PREM'SES(Eacccurr=ncel S CLA(1.15-},(AGE OCCUR AGED^EX?(Any one Damn) i 5 5,000I PErsoNAL a AD'nNJURY is 1,000,0001 i I GENERAL AGGREGATE 1 s 2,000,000 I GEN'L AGGREGATE LIMIT APPLIES PER: i i I I PRODUCTS-CO?MPIOPA.GG IS 2,000,000} PRO. I P,L,C',. --rT LOC (Ea a- NGLEur.uT ; 1,000,0001 AUTO%-iOEILEE LIABILITY I I I fE=_�ccidenll 5 A ANY ALTO 1020006346 i 101112013 101112014 I eOGILY INJUP.'((Perperscn) I ALL obVi IE:D FIAUTOS SCHEDULED I I I BODILY INJURY(Per accident)15 AUTOS AUTOS � F^� A.(AGE ' rIGl604NrIE0 I c OP_rt1(O` i s t X HIRED AUTOS FI I I 11 EP r'CCIGE ITl I IS I l j( UdM3RELLALIA9 OCCUR I 01. ; I I EACH OCCURRENCE IS 4,000,00 A EXCESS LIAS CLAIMS 4600052833 1101112013 101112014 AGGREGATE IS 4,000,000 -MADE i is I DEO I X I RETENT(ON S 10,000 ' I II IiI II I ; ISTAU• I T'H jT WORKERS COrMPENSATION TORYLNUTS AND ENIPLOYEPS'LIABILITY YIN E.L.E L EACH ACCIDENT' ANY PROPRIETOF'PAPTNEFIE.(ECUTId_ OFFICEFrErBEREXCLUDED? 7 iI I NIA I IE.L.DISEA.SE-EAEPMPLOYEES (TMandator(In NH) '. Use.describe under I I I E.L.OISEEA.SEE-POLICY Ut•AIT�S SCP,IPTION OF OPEPATIONS balo:•r I I I I r I l i i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addi(ional Remarks Schedule,It more space is ractuir=-d) ISlanket Additional Insured Status is included when required by written contract. (Worker's Compensation certificate will be issued and sent to you directly by the insurance company. i 1 CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED I1-1 Town of Barnstable I ACCOP.DAtJCE VVITH THE POLICY PROVISIONS. i 200 Main Street Hyannis,MA 02601-0000 1 AUTHORIZED REPRESENTATIVE r fL.L'uf @1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD i Right-fax N1-1 10/4/20.13 7 : .19:111 AM PAGE 51/055 Fax Server ACOR �, CERTIFICATE OF LIABILITY INSURANCE 04•2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION ISWAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CO11TACT NAWIE: FAY. ROGERS&GRAY INS AGCY PHON•IE Lai. PrC E-;t 434 ROUTE 134 E.•+�JL SOUTH DENNIS,K4A 02660 INISURERIS)PPFORGI?IG CCV9RAGE N..IC S IHEUFER A:ACE ANERICAN a1SUFL4NCE COMPANY INSURED PISURER 6: VV VERNON VVHITELEY PLUI IBING& INSURER C: HEATING CO INC&CHATHAM SHEET N�IETAL INC uasuRERo: PO BOX 1266 IHSJRER E: WEST CHATHANI,MA 02669 INSURER F: COVERAGES CERTIFICATE NUMBER: P,EVISION NUk18EP.: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAPdED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY P.EQUIREiAENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUIiMENT VVITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR NIAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERIMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIItMS. MLTR arl IADDLISUB l POLICY EFF I PO CY—' l LIMITS T(PEOFINSUP.ANCE INSP, tibV' POLICY (MbVQDiYYYY) ININWON'rl'Y1 GENERAL LIAGILITY EACH CCCU^nRENdC'c I S ICOMMERCIAL G=i IER.AL LIAEE1LIT1' '?.GE TO R6`NTED I S CLAIMS-BADE I OCCU= MED EXP(Any anc p,.arr.) is PERSO?1.AL u A:)%;I.V!r!Ry IS GENER41.AGGREGATE Is GENT zGGP.EGA.TH LI SIT APPLIES P=R: PF.ODUCTS•CO?dPfOP AGG IS I FOLICY I I PRO- I I LOC Is PRO- AUTOh1GBILE LIABIUi( �OM1.k'-ItdtO SL`:GIE LIhOT IS ANY AUTO 60DIL Y L`1JURY(Parperrn) Is ALL 0'd!1•E0 0 SCHEDULED ECOILY INIJURY(Peracddent) S ;.IrosNONO`NNED � � irAl.l:.r•E,AUTOS FIRED.AUTOS r+.UTOS I r,5•-ci..crl� UI116RFLLA LIAR GCCUR EACH OCCURRENCE IS EXCESS LIA6 CL-AJ:vI5-d:.r`.DE r'.^•GREGA.Tc 5 IDEO DETENTION$ IS �YOF,KERSCOMPENSATION X 'ORYU.TLI- G R AND EMPLOYERS'LIAHIU i i TC,ZY LI?.IITS ER MY PP.O:=RIcTOP.%PAF.TVEFJEXECUiI'•! 1N E.L.E4CH ACCIDENTI$500,000 OFF ICERrhIELIBEP.EX.CLU0=O? �NIA 6S62UB 10-01-2013 10-01-2015 (Jdandarcry in rix) 49 12LE6.1 E.L.C•ISEASE•EA E:'FLOYEEI$SOO,000 IIyrs.escritc under E.L.C'ISE:.SE-POLICY LVOIi 1$500,000 OFS17-RIPTIO4 OF OPffajTICFJS belrrn I T DESCRIPTION OF OPERATIONS I LOCATIOIIS I VEHICLES(Atlach ACORD 101,Additional Remarks Schedule,It more spars-Is required) CERTIFICATE HOLDER CANCELLATION TO'•;VN OF BAPINSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE 200 MAIN STREET CANCELLED BEFORE THE EXPIRATION DATE THEREOF, HYANNIS,PAA02GO1 NOTICE WILL BE DELIVERED IN ACCORDANCE 'NITH THE POLICY PROVISIONS. AUTHORIZED P.EPREESEENT TIVE / I G 1988-2010 ACORD COP,POP.F.TIOhI.All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD f The Commonwealth of Massachusetts - _- Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.rnass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Pluinbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): `N V z YZ non LU , e eS4 no 6, ,a ��2 n^) ,n a C O 1.�c— Address: Po R o x City/State/Zip: W , C W A ) 1, M Phone#: 0 8, 7 L1 HGO O Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with S— 4. ❑ I am a general contractor and I employees(full and/or part-time).' have hued the sub-contractors 6. ,n]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ 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 L Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] + c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box 91 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: A C-e- A rY%J-.t.I c A r,) \A )L a n w Co r l Policy#or Self-ins. Lic.#: b S L d U 8 - Gi 9 -7 d L16 Expiration Date: r3 t J'14 Job Site Address: '\/A �_t o 1, City/State/Zip: A 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$250.00 a day against the viol r. vised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for ins n co v rification. I do hereby certify under t in e s perjury that the information provided above is true and correct. Signatur . Date: Phone#: i)$ 9 q 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#: I APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number %ddress License # < 'V Z l Home Improvement Contractor# /0co K Email °�7 ��'f� ��a ��(3 Cc,!! � Worker's Compensation # j,JC -7 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE 00, DATE l T� J / TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Oct S Parcel C)HcjApplication # Health Division J� VW,,SU►J Date Issued Z� Conservation Division Q�n S0 — ���➢ Q, 1�� i�3��Z � Application Fee Planning Dept. Permit Fee / Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Kn(X Village d \ '�e_ Owner 3 • V11S. dress 151 �)2. AC� Telephone � a 1038 Permit Request 1 0 u(a 5wk m Ln a bo b1 x6A\n Q+±cA&\e w L ) Ctu- n < a u CC)J e,c �&qslea�) Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 7 OM .Z6 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �2' 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 Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count 0 Heat Type and Fuel: Gas ❑ Oil El Electric ❑Other ' Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood'Jeis- ting al stove tU Yes: ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing new size' Sam: 9;new--rs ize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: w Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 3 00 Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name LS �Telephone Number iLdress License # C 01A C M Q C_ I M y\ Home Improvement Contractor# L' Email Carp 2A U 6? XI MILI Worker's Compensation # �OU05�21 V O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE .�� DATE e 7 �� i 1 i FOR OFFICIAL USE ONLY x APPLICATION# DATE ISSUED i MAP/PARCEL NO. fs ADDRESS VILLAGE OWNER " DATE OFlNSPECTION: f FOUNDATION �'� �—( ►�'r �— FRAME INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH ; FINAL FINAL BUILDING r DATE:CLOSED OUT j_ s, ASSOCIATION PLAN NO. � F ' r The Commonwealth of Massachusetts ' Department of IndustrialAccidents Office of Investigations U.V 600 Washington Street Boston,MA 02111 www.mass gov1&a Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers APPIicant Information Please Print Legibly Name(Business/Organization/Individual): UM)-L Address: I k ( A-)Q M AA Z00d CI /State/ZI :C �-,e \ _ t3' P �( Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1 l am a employer with i 4. I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6• New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' [No workers'comp,insurance Comp.insurance.* 9. ❑Building addition required..] 5. I] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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 worker's' 13.0 Offer comp.insurance required.] *Any applicant that checks box#1 mast 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. 1Contractors 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 ray employees. Below is the policy and job site information. Insurance Company Name: Cec C Policy#or Self-ins.Lic.#:�C �� �. Expiration Date: J Job Site Address: City/State/Zip:* �A� � 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$1,50-0.00 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 penalties ofpedury that the information provided above is true and correct. Signature: ,�� '��yvY Date: 0 Phone#: G 6 Q Official use only. Do not write in this area,to be completed by city or town ojkial 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. pmmmtto 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,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the 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 future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would hike 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 0.2111 Tel, #617-727-4900 ext 406 or 1-977-MASSAFE Fax#617-727-7749 Revised 4-24-07 wWW.mas5_gov1dia 'V1n:warVllilt; name raxiu: Hate:,/b/-LU14 10 : 1Z AM Page: 1 of 1 OP ID: CH CERTIFICATE 4F LIABILITY INSURANCE °A�`03106/10611 ,"Y' 4 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 pollcy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTA781-642-9000 NAME: . Eastern States Insurance PHONE FAX Agency, Inc. 781-647-3670 Arc o E AIC No): 50 Prospect Street nDD L Waltham,MA 02453 CUSTO-1 CUSTOMER ID/: INSURERS AFFORDING COVERAGE NAIC INSURED Custom Quality Pools, Inc. INSURER A:Acadia Insurance Company 31325 P.O.Box 1031 INSURERB:Union Insurance Company Billerica, MA 01821 INSURERC:Commerce and Indust Ins.Co. 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. _LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYYI (MMIDDIYYYYI LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 ' A X COMMERCIAL GENERAL LIABILITY CPP 0328206-14" 02/01/14 02l01/15 PREMISES Ea occurrence $ 500,00 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,00 PERSONAL&ADV INJURY $ 1,000,00 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: r';, PRODUCTS-COMP/OP AGG $ 2,000 OO POLICY JECT PRO LOC $ AUTOMOBILE LIABILITY B ANY AUTO . MAA 0328208-14 02/01/14 02/01/15 COMBINED SINGLE LIMIT (Ee accident) $ 1,000,00 ALL OWNED AUTOS BODILY INJURY(Per person) $ X SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS Comp/Coll $ AC X Physical Damage Deductible $ 1,00 X UMBRELLA X OCCUR EACH OCCURRENCE $ 2,000,00 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 2,000,00 A CUA0328210-14 02/01/14 02/01/15 DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH• AND EMPLOYERS'LIABILITY X TORY LIMITS ER F�C ANY PROPRIETORIPARTNERICUTIVE YIN C005871898 02/01/14 02/01/15 OFFICER/MEMBER EXCLUDED? N❑ N I A E.L.EACH ACCIDENT $ 500,00 (Mandatory and If yes.describe under toryln E.L.DISEASE.EA EMPLOYEE $ 500,00 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,00 I 7_ DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION EVIDEN- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE EVIDENCE OF INSURANCE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE a ' O 1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD i Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massac setts 02116 Home Improvement for Registration ------ - -` Registration: 105084 1--1 Type: Private Corporation Expiration: 7/16/2014 Tr# 227813 CUSTOM QUALITY POOLS INC. , Robert Bent :; PO BOX 1031 Billerica, MA 01821 �`I / Update Address and return card.Mark reason for change. __._. Address 0 Renewal 0 Employment 0 Lost Card DPS-CAI 0 60M-04/04-G101216 Office*ns .W.,- Bu"fiaes�ulafi-on- License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 105084 Type: Office of Consumer Affairs and Business Regulation f f's 10 Park Plaza-Suite 5170 Expiration: _T��,6�014 Private Corporation ' -- ----- __ Boston,MA 02116 9COM QUALI-:X-10 3.E 71�fE: r1; Robert Bent {- 16 Wyman Road �l a' {`✓ g ��� i� Billerica,MA 01821 Undersecretary Not valid without signature o Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supcn°isor License: CS-040192 ROBERT ABENT-` - PO BOX 1031 - BILLERICA MA7018- J54, �1 Expiration 0 Commissioner 1/10/2015 . oFTME Tad, Town ,of Barnstable Regulatory Services MASS Richard V.Scah,Interim Director 39. & 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 . r Property Owner Must Complete.and Sign This Section If Using A Builder I, Z y/ 'J'�—Tef � 2 S ,as Owner of the subject property hereby authorize !�e'i r.G e ��J_ �✓ ^ to act on my behalf, in all matters relative to work authorized by this building permit 772� S.-t"i,� e-RA!z /Z-(:> (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 a e performed and accepted. Signature of Owner Signature of Applicant 6L W 1 �✓— Print Name Print Name Date Town of Barnstable -. Regulatory Services �ptHE r Richard V.Scali,Interim Director °-� Building.Division i AARxcrAAr.F_ - Tom Perry,Building Commissioner MASS. 9� i639� ��� 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-623 0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB 10CATION number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: 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 Meervisor. 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 re�ponsible for all such work Rerformed 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. i The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Appioval 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.homeowner performing work for which a building permit is required shall be exempt from the provisions of_this section(Section 1091.1-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,.particnlarly 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\bmlding pmmit fonns\IMRESS.doc f PROJECT `P00 NAME: ��QJ� ADDRESS: Z)ai.36 Q g3C�.. `Pooh PERMIT# Z0130 5e� 8 _. .PERMIT DATE: M/P: LARGE ROLL-ED PLANS ARE ENT: B® s-L® t C� Data entered in MAPS program on: BY: co , IKE TOWN OF4,6ARNSTABLE Building " 201308836 * BARNSTABLE, + Issue Date: 12/17/13 Permit 9 MASS. �ArFG 3�A� Applicant: HARRY IRWIN Permit Number: B 20133151 Proposed Use: DEVELOPABLE LAND Expiration Date: 06/16/14 Location 72 SOUTH BAY ROAD Zoning District RF-1 Permit Type: GARAGE DETACHED RESIDENTIAL I Map Parcel 093042003 Permit Fee$ 3,429.55 Contractor HARRY IRWIN Village OSTERVILLE App Fee$ 100.00 License Num 042225 Est Construction Cost$ 672,460 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ONE BEDROOM POOL HOUSE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SHARKANSKY,ROBERT&ELHINNEY,JOHN E TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: C/O PFP ASSOCIATES INSPECTIO HAS BEEN E. 3801 PGA BLVD.,STE 910 PALM BEACH GARDENSS,, FL 33410-2757 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR P RMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUI(DIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). -71 POST-THIS CARD SO THAT IS VISIBLETROM THE STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 3TA51A 5G 5)S )57 2 2 3 1 Heating Inspection Approvals Engineering Dept Fir Dep 2 Board of H � t-5 "t71 vb .1 o w1 f� . I OMER APPROVED TOWN OF BARNSTABLE ❑ GAS ❑, WIRING ❑ PLUMBINGI BUILDING TOWN OF BARNSTABLE a�tHE Building 201402160 * BARNSrABI.E, Issue Date: 04/22/14 Permit 9 MASS. �C N31�A�A�� Applicant: CUSTOM QUALITY POOLS INC. Permit Number: B 20140879 Proposed Use: DEVELOPABLE LAND Expiration Date: 10/20/14 Location 72 SOUTH BAY ROAD Zoning District RF-1 Permit Type: POOL INGROUND RESIDENTIAL Map Parcel 093042003 Permit Fee$ 125.00 Contractor CUSTOM QUALITY POOLS INC. Village OSTERVILLE App Fee$ 50.00 License Num. 105084 Est Construction Cost$ 71,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND INSTALL 20X50 STEEL REINF GUNITE INGROUND SWIMMING POO L WffffiS CARD MUST BE KEPT POSTED UNTIL FINAL ATT AUTO SAFETY COVER SYS AND 4'NON-CLIM FENCE INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SHARKANSKY,ROBERT&ELHINNEY,JOHN E TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: C/O PFP ASSOCIATES INSPECTION HAS BEEN MADE. 3801 PGA BLVD.,STE 910 PALM BEACH GARDENS,FL 33410-2757 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). VISIBLEPOST THIS CARD SO THAT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 s z 2 2 2� 3 �` 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE;MASSACHUSETTS Certificate of Compliance THIS IS TO CE ,that the On-site Sewage Disposal system Constructed( ) Repaired( ) Upgraded( ) Abandoned( )by �bu at - jp a A y�(d �s�¢�j�L//G L}c has been constructed in accordance J) with the provisions f Title 5 and the for Disposal System Construction Permit Now/.]5 1-/9C)dated Installer K—�Q Designer #bedrooms Approved des' flow gpd The issuance of a it ha of ' construed as a guarantee that the system w' c'o as s' Z d. 0 Date Inspector l 7� Town of Barnstable o� Building Department - 200 Main Street h, * > p � # Hyannis, MA 02601 o:59. 1508) 862-4038 Certif icate of Occupancy Application Number: 201308838 CO Number: 20150163 Parcel ID: 093042003 CO Issue Date: 07/16/15 Location: 72 SOUTH BAY ROAD Zoning Classification: RESIDENCE F-1 DISTRICT Proposed Use: DEVELOPABLE LAND Village: OSTERVILLE Gen Contractor: HARRY IRWIN Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: _ Building Department Signature Date Signed f TOWN OF BARNSTABLE BU'i.lding � 201308838, it STABLE, Issue Date: 12/17/13 Perm MASS 039. A�� Applicant: HARRY IRWIN Permit Number: B 20133150 Proposed Use: DEVELOPABLE LAND Expiration Date: 06/16/14 Location 72 SOUTH BAY ROAD Zoning District RF-1 Permit Type: SPECIAL PROJECT NEW SINGLE FAM Map Parcel 093042003 Permit Fee$ 20,948.25 Contractor HARRY IRWIN Village OSTERVILLE App Fee$ 100.00 License Num 042225 Est Construction Cost$ 4,107,500 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND BUILD A NEW 5 BEDROOM 8,397 SQ FT HOUSE THIS CARD MUST BE KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: SHARKANSKY,ROBERT&ELHINNEY,JOHN E TR BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: C/O PFP ASSOCIATES INSPECTION HAS BEEN MADE. 3801 PGA BLVD.,STE 910 PALM BEACH GARDENS,FL 33410-2757 t1� � Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY,NO SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FIVE CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.SHEATHING INSPECTION 3.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 4.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 5.PRIOR TO COVERING STRUCTURAL MEMBERS(FRAME INSPECTION). 6.INSULATION. 7.FINAL INSPECTION BEFORE OCCUPANCY. 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. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1-.�,11"3 .Qjg -30-�� ��x-�h 1 �/,�/ofa ok r�� �{�Os�L -rD PAL 2 A-r v� r, I �, 2 �/� 5—� 2 i� da -z-j A f1)1b f-L1 G'G O/�1�1�t/i4z-7^g" 3 S(U � `t� � �"�( � - Heating Inspection Approvals Engineering Dept • y7 �l �Ilo OA— Fire 2 JB oofaIth tf4 t 7 - I6-6 - T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 7,0 1'vc7�C?�3�b Map 0 ot 3 Parcel 0 4,2 - 0 03 6 Z�` �3 " �� li ti - SO �p Health Division m �� Date Issued Conservation Division a� �� Application l4e Planning Dept.�c _��- Permit Fee �, �071L �O vs E Date Definitive Plan Approved by Planning Board � /l)o Rov40 Historic - OKH PA_ _ Preservation/Hyannis -N � �/�2��j7 Project Street Address 50v4h 01 O % 5+8 u zr7/s) Village Owner s �e �1� 1✓1 Address `oZS � rdWPM , �MA)N 1 Telephone j( Permit Request J, 061 SS%4 vv# Square feet: 1 st floor: e� proposed?) 2nd floor: e0fing proposed'i Total new 039 Zoning District Flood Plain Groundwater Overlay Project Valuation 9 6&6. Construction Type W B �rA%M Lot Size '�'iT3� �v�N - Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family '� Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Full 0 Crawl 0 Walkout , 0 Other Basement Finished Area (sq.ft.) to Ba ment Unfinished Area (sq.ft) Zs (O I Number of Baths: Full: existing new -f'o+u 3� Half: existing ne\2pao Number of Bedrooms: existing (Pnew Total Room Count (not including baths): existing new `'g First Floor Ro.M. Count '� -n Heat Type and Fuel: XGas ❑ Oil ❑ Electric ❑ Other _ Central Air: VYes ❑ No Fireplaces: Existing New Existing wood/coal stove: Q Yes /No cn Detached garage: ❑ existing ❑ new size_Pool: ❑ existing A new size _ Barn: ❑ existing ❑ new sizeco r Attached garage: ❑ existing new size Shed: ❑ existing 0 new size _ Other: W 0,Jsk Zoning Board of Appeals Authorization 0 Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number 2111 Address 7�o G-7 Lk , 5�' License # C.S - �� ` nLi M t' QZ li 3 S Home Improvement Contractor# _Email: Worker's Compensation # )GV y R ,334,X 4( —Z'ti3 ALL CONSTRUCTION DEBRIS RESULTIt4o FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ( FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED } . MAP/PARCEL NO. ADDRESS VILLAGE OWNER s DAT�_OF INSPECTION: -i+0UNDATION a FRAME %tINSULATI0N1, 14+ R- S — i �$ L �}R0®f� FIREPLACE 0 — > { ELECTRICAL:. -ROUGH.- FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT - ASSOCIATION PLAN NO. 27w Commomwalth ofMassachusd is Degarhmwt of Iidustr al Accidents 0,, We of Investigations s 600 WayhingtaaRreet Boston,MA 02111 wmitmassgorldia . Workers' CompensafionInsnrauce Affidavit:Bu lders/Contractors/EiectricianslPlumbers Applicant Information Please Print Legibly Name(Br�ess/OSni7ationitndividna�: O V Address: W�,5 V Qt3,/Sta�/ziP: A A �' K ?° q +8 • 2,63 a 1 � Are you an employer?Check the appropriate box: Type aject(rexluired): I_❑ I am a employer with 4.;<I am a geceral contractor and I 6_ ew ooms5rtution employees(full and/or part-time).* have hired the sub-contractors. 2.El am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling drip and hate no employees These sub-contractors have g_ ❑Demolition ' working for mein any capacity. employees and have wodcers 9. ❑Building addition [No workers' comp.insurance comp-insurance-$ required-] 5. ❑ re We a a corporation and its 10_.❑Elechical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11..❑Plumbing repairs or additions myself [No workers'comp. right.of (4),ption per MGL 1 12.❑Roof repairs insurance required]F c. 152,§ (4) and we lral�e no employees.[No workers' 13.0 Other comp-insurance required-]! 'Any appUc mt that checks boa#1 mast also fill out the section below showing Their woaitets'compensatioa poliT inffirmation. T Snmeowners who submit this affidavit indicatigg they are doing all wow and then hire outside contracturs ransi submit a new a>fidark inducting mdL tContcacmrs that check this boat mast attached an additional sheet shorting the name or f is sub-moors and stale whether or not those entities have emplayees. If the sob contnrdars have employees,they naw provide their warke s'comp.policy number. I am an employer that is prmid ng workers'cottrpmrrsalion insurance far my employees. Beloty is the policy and job site information Insurance Company Name: � _Ae`et-> ` AS V C-6A C f Policy#or Self-ins.Luc.9- V — 3) aT' lP --�L F-api�on Date: \ ZO Job Site Address_ 50 U-Y"\R) 06, City/State/Zip: Attach a copy of the workers'compensation policy eclaration page(shoving the policy number and expiration date). Failure to secure coverage as required under Section.25A of MGL c- 152 can lead to the imposition ofrriminaI penalties of a fine up to$1,500.00 and/or one-year inTrisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.0.0 a da against the violator. Be advised that a copy of this statement maybe forwarded to the Office of I>a>;--estigations of IA liar ce.coverage verbcation_ I do hereby cc fy tha andpenaZdas ofpetjury that the information prodded above is bw and correct Signature- Date: r V U �"'� 24 Phone#: 6 v 1 Official use only. Do not write in this area,to be completed by city or town ofi'ciaL City or Town: PermitUcense# 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 It: 6 i L . Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or Iocal 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 si.ibdivisions 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, Tn 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 may be provided to the applicant as proof that a valid affidavit is on file for future permits or-licenses. A new affidavit must be idled 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 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 Depat$nent of Industrial Accidents Office of kvestigatiGns 600 Washington Street Boston,MA 02111 Tel. #617-727-4904 ext 406 or 1-377-MASSAFE Revised 4-24-07 Fax# 617-727-7749 www.mass gov1dia I green stamp 184 Riverview Ave,Waltham,MA 02453 established in 1989 TEL(781)-899-3618 FAX(781)547-5659 Spray Foam&Other Insulations www.GreenStampinsulation.com Insulation Affidavit/Insulation Certificate Date: December 11, 2014 Location: 72 South Bay Rd, Osterville, MA GreenStamp Insulation has installed the following at the above location: • Roof: R-40 closed cell spray foam and open cell spray foam (GACO and BASF) • Exterior walls: R-20, 5" open cell spray foam (BASF) • Band joist: R-13, 2" closed cell spray foam (GACO) • Exterior floors: R-30, 7.5" open cell spray foam (BASF) • Exposed foam coated with DC-315 intumescent paint to create thermal/ignition barrier,where necessary. Respectfully, WJ Benjamin Marshall President VMassachusetts -Department of Public Safety • Board of Building Regulations and Standards Construction Supervisor License: CS-042225 HARRY IRWIN = -- �. 26 GURNEY ST CAMBRIDGE MA 0 Expiration Commisssiionner` 11/25120.15 r 1 n anxrrsrastc, MAss. Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.ba rnstable.m a.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as 0xvner of the P x subject ro eri J P . hereby authorize Thoughtforms Corporation to act on my behalf, in all matters.relative to work authorized by this building permit application for: 72 South Say Road,Osterville,MA (Address of Job) i I I� Signature of Owner Date t Q'. 1 V l'.rint.Name If.Property Owner is applying.for permit,please complete the Homeowners License.Exemption Form on the reverse side. r:%.EV[.N I:ABtjildingChangc'i\EXPR.ESSPERMMEXPRESS.doc Revised 061313 r Mar 10 14 12:47p FALLON 5084202339 P•1 FALLON FENCE INC RESIDENTIAL&COMMERCIAL WOOD • CHAIN LINK • PVC CUSTOM FENCES—FREE ESTIMATES Office 508.420.2817 FAX 508 420 2339 PO Box 276 Email fall lonfence0comcast.net Centerville MA M32 To ; To whom it may concern ; DATE 3-7-14 Job NametLocation Baldwin Res. 72 So.Bay Rd. Osterville, MA.02655 We hereby propose to furnish the materials and perform the labor necessary for the completion of: POOL FENCE ENCLOSURE; 4 A.High Decorative aluminum fence,bronze in color.; There is approx..250 ft.of 4 ft.high pool code 2 rail aluminum fence .There will be 4 gate locations with pool compliant hardware;self closing hinges and Magna latch with release mechanisms minimum W' above grade and gates shall open out,away from pool . Pictures offence styles as well as gate laches are enclosed All fence and gates will be pool code compliant. Thank You; f James Fallon , President Trjp Fu end'veri,.Jl Pull'ru.rgr�1-610 1-Ak Latch.,rd r.�,Qt♦c,.t Latch tale Lzichq, I Haig?uarctic�r�.e.c»•e�i 3iidf 3ZA/Pm isHOMOngA jX A '0 Sirr�'ywr>a.,�°ooltEiaes a _ Q tit pW — _ 70P PUN" and ..Wer ical PjW- Mag;o Latch DOM fr>I04GES iilrtenn Hingr_; v 9 ci flrarnU E:.^t i,ny<_; ;C-31 M!artry BI ti cirlf�t +pnrr;Jf agc; { DcUble A ing e't'igi_o t ?it'pl trli3_:-Pivot sr, Sarre Dom ,les Scroun OU'Larks V.1d_-Throw Hir.gC* fy-wir,-9 Ceor Hiixmn !{POC1''RIrre;r_-Hingrg In+:ioe Hiri v s QU`v laird,a?:c: CA•SET 6iiiiOGES '�erl C-ACP-31ed<zibiiler I-h Ejrorean Hir.9c:: Mum HiiVjr DErnrttnia :k 3-r�ir�� , ''oc_tgriile Hingcs Ovef:ay Hirge •,W,ap Araunr Fartal F:9::rt HIrgC!!; Ftvrt 1-11,19ur i,;r 3nz.'Tivped RZIil Ffa"1x F ie•:A Cs7rr s;dts tCLR_�IatirsT•e=1I L;rCr,-?t "�t7i Amero�-k Hmr:, rPu:;e mk.3ncC,Caiy I,�• er-. 9 01'safely garea._irc•und wmimrrin,;.r.,)Ic:and e ;3r' S'C1 ate t:Irhe.,a'C ideal Qlir{•Kaiucklr..Hiript.- e:hild satt'ty are;t;:ajch 3 childc-air•:-s--.nler, V&,fir-11 root SIrlys • For a11f:r�1,Wrji)d and vrrrll gate; Solt Clwe for Dow . Awiia*ule mi NVO si?e;:;_1he^vc'iicsl P;,tli' rr,-xu;l for i::Ilrr r,rl ;'a-Dinut KnoV:a Pj%, y' Cr;I;Ide:iS!dare hsgirIht i_?rrrQ and t 'Top Pi motlr-t'Far shnrtLr gate hefgnA;{odeal gpte-nefoht is "). (:,t,.let Nnr>�d��`e . For c� c F •^ S 1 1`105 Whe t the:;;ap 5B1Vti:,,n the Str�an,S cost Is to 1-T;,� yUUr'_=p L t3fi�r;r tdRNTURf i- S { �2" o a'j order ipte pP:,pacer ki± SKU g28ri2a"'i Tins Hitigr_-,-Shif Hirt r: • The id4eol gate he-i ht k�r_ 'h $ g ps. e rrapase iric;l:�oe:1 of reach of s.rlctPY childrrti•. Bucr,.r 1fay T::ble Hiiv;n • the vortical puff Mode-I (shone:-modefj also rn;-tkcs a yr,r fazr:h'.or pe 1.rates rr;rjl Tir4ed Hin_p-zs • ITIU latch ran be^v;Wed(both h--)Iitonta**4,;.end vPr lically i ater iris':.illation k:k Hinges • Latch ham;buiN in key opu.ated jcck.. m,ng Machine f;mr;E • InClu Conr,;ai_•d Hinge; �ir;,rTM)untfrg faStt rers Ind 2 dU�z�rs1gE:; • t IlUse latc..hC-5 Can he instak-d rq a ruvad POZA gate and fa?lvx,bvth SKJ g28M,which is r,iur ;rs ts:31 Pt pur Fiar,lirurt Round Rr,,t Adaptor Kit.a rtC aQ 31ah.r kit will 2ccoibodate di+w•ejer'-:from 1-;r6'iC L,ii-rt(Hing._,, • In cau,Of 103::v; brea4:t!.je.1Ne 1 ife,T a i`8(R:rra_rV1(- t.srriki-`or.1ht:;pmdur•l.(SKU 9280-1 l). r::p'llviwnri:r,iwarc.nt,r, com(hirx3esi 7FrfilKe.c`S.nAJIHARDWARF.'. .ate i;atth zi. 7?.r,�iP•,I1 a1ut+���i4•itical+P�lti?�1rd..�rat Ian_ii Pwr)elr,f; o p a i a o � ° o ° I 1 ° U o I i r F Iglu ji 1 c oose a � automatic goo cover. Ic z _ n the surface, most pool covers look similar, �^ jN but the most important and costly part of any pool cov han er is the mecism. The patented mechanism 1!' of the I:IYDRAMATIC represents the best value for your durable investment. Designed to last the lifetime o a pool, the HYDRAMA U- is y maintenance free, and the most reliable cover system manufactured with the most extensive warranty in the industry today. . i� • Unique all fluid dual motor drive is waterproof • No electrics near the pool, the pozverpack (pump) can be placed up to 150 feet away • Quick and easy to open - travels about one foot per second on average • Patented trouble free Leading Edge slider system and cable compensating device • Rainwater Removal feature built-in on most covers • In s ta I I a tlro_tiro_njlmost pool types and shapes • Leaves and debris are collected when the cover is opened to remove rainwater • Saves money on chemicals, energy and water loss from evaporation • Pressure relief valves gen tly stop the cover at end of travel • 20 year limited warranty on the mechanism • 7 year limited warranty on the cover fabric A L r ., � � f ,wn- i R j i { Enhance ycur pcc[ exp erience !' it o90 with the safety and convenience of a Hydramatic Pool CoverI 1V7 I � I �= r un I Trac� v�vit�h Masonr V'Va�l� on 1 *1 y With our Walk on Lid =Wr-< . s Components, you can blend with the hardscape to achieve a completely hidden lid detail. We have specially designed heavy I duty stainless steel trays and jAw _ brackets, or our stainless steel brackets and retainin cli S. We can promide the hardware for any hidden lid detail to meet your special design criteria. yc' 4- y. Under Track with Turquoise Cover and one Walk on Under Track with Light Blue Cover " � and Stone Walk on Lid 'R. F A•/'i F'+ § � Ir =+ � '�� � *NOTE: Stone Lid component must not be thicker than the coping on the track side of the pool.* 7 1 y V'Va�l� UNI '} under Trac� v�vith Masonr on P 1 10 -quamatic uses only 300series s Steel on all ipan,j bracket clipins 0 e, on the a sizes for-)r r- uamati fabricate A your special e pans are p -i ka esigne o carry and support any masonry material including non-standard M.7undulating flagstone, brick orjj)-ave As an IterrfatiyelittleTstainiess steel r and retaining clip can ii)el used[with an Under Track i Charcoal Coverrecast or pouredIli place rcomponent. and Stone Walk o' i Pk T oil Pill IN 11 iiqq� fwE tone)UP11citcomponent must Rbe thicker than the copingon the track L f lgo�- a Az underTrac� In-viva« rr Encapsulated " In-wall" track receptors offer the - —-- builder/designer the freedom to use any coping detail without having to maintain a minimum thickness and cantilever requirement or use any �- pe i-1Te—ralrfmra"c'kl bracket which can affect the visual aesthetics. These components are preferred with raised bond beams and auto-cover , , - spa installations. i I v t t '-""'�""---tee;;:'�-� ��.'�� r ,�,��`� . vim-o--..�a•�_....-. r k VIA } p NA Moab a 9Mb © - In-wall Track(#1) • SWIM fb r il►�S�S�LJ vpL:o Pool Wall Under Track OF •♦ •i ♦ . 1 • 'Under track is mounted to a stainless steel plate that is secured to the bond beam or sub-deck prior to installation .� - i w 4 1 unclerTracl� v�vith Corn � os�ite orALuminum Licl P a '� '""�-�`�;. ! 11!IIIIIUIWWIHIIIIItr,�`'�;++► �_-•-- standard lid application for any 1ik�, :._ I _ recessed mechanism is your choice of, structural composite polymer (available in 6 decorator colors) or clear anodized aluminum lid. You have the option to powder coat both the lid and leading edge to suit the hardscape. Under Track with a Turquoise Cover and Aluminum i r � �,� Under Track with a C•hareoal Composite Lid and a Charcoal Gray Cover ` � ", u '► �?' :. Under Track with a Charcoal Under Track with a Light Gray Composite Lid Composite Lid and a Royal Blue Cover and Navy Blue Cover Under Track with a Light Gray Composite Lid and Light Gray ' Cover i t b aum&%M4 Rbadm O TEO 3" _ i 4 r gel Mimi 1 4 _4 � ram. .`� ``�.�rr� � �� � i •� '� � � � 4.,+s�•,•,. (Al ,t�1}� '!� 1, �'. } ry ,.;`'yi►'�r '-r S � ecia� A � � �ic*ation Covers P PP Vanishing Edge with Gray Cover Dual Covers You are only limited by your imagination, Under Track with Royal Blue C■overs Vanishing Edges, Freeform Under Track, Multiple cover applications. Submitting your ideas early in the design process assures the most aesthetically pleasing application available 1 7t:, �u. Vanishing Edge with Brown Cover w 74 '- .r... - tyk; 'i 3 i S � ecia� A P 1icatlion Covers PP Spa with Gray Cover and Stone Lid Under Track with Ro-yal Blue Cover and Stone Walk on Lid We also offer Water Feature Shutoff Switches for Sheer Descent or j Waterfalls. , t�' ,_ , _ �a CTL ,Vf Hidden Leading I - - In-wall Receptor with Raised Beam and _ ----- Sheer Descent I a � *This custom Leading Edge is limited to pools under 15' wide. ` •� rr � T • ji fI W4iil fi fib fili • • • ��fiilif�i© • • �/Ll� i�i��fiAiNliY�A��il cm .• . - •�- mom= a At- Nf El D • o • D � • L.ILaC.ILJ��J� t cr. —�'U�L: 1 ov 4 . N bt I y f ° I 1C:t.,r. ��,tY„��yi,�1, ,_�. �'+--►...-�. e�•♦'+?a'i,r^-..'�-.,-a.�^'��.t'i c.� � rl Ir° l 777 - •-k To Tracy v�vith Com os�ite ench P P Y 21 Our Patented Composite Polymer Bench is available in 6 decorator colors and it's structural design is sturdy enough to double as a seating area. The uniqlded process in a jects color nd UV inhi ue mo bitors throughout the entire panel to ensure the panels never fade. All polymer scar a 10 year limited warranty. ti T �• ey � l,� lift I& % -,, White Composite Bench Charcoal Composite Bench Terra Cotta Composite Bencfil i • sY 'c 41, i 7I � 1 "D 46�MVmffft e� doai chi A-to)k coffaw� U Cis vU k 1n ,s l 1 Y i H dramatic Ga«er y y h�• ��'r ems,'. ,f�� .�.` ��,r:`�)' Under track with Walk - r r , , 0? on Stone Lid and Royal Blue Cover `�__ ._ Top Recess System with - "�Y- �� Light Blue Cover ' w . :w. '`fit'_ !.� `= ✓ ,�. P, Y 1 Top Recess with Green �S Vanishing Edge with Black Cover Dual Under Track with Green Cover .i s IT 11 Under Track Top Track (with bench) I Technical Specifications Warranty Exceeds ASTM F1346-91 safety standards 20 Year limited warranty Mechanism on mechanism Drive unit 2 hydraulic torque motors . 0 Open and close switch Key-lock switch Powerpack(pump) 7 year limited warranty on the Electrics 110/220-240v-60/50 Hz, cover fabric 1PH 75-1.5 HP For specific details call your authorized Top/Recess UL,CSA,CE approved Hydraulic oil ATF Dexron III dealer or local representative. Normal working pressure 800 psi(40-56 bar) Limit switches pressure relief valves { j Cover Fabric Material PVC on re-inforcedj . a polyester scrim mar Fabric weight 16/18 oz per sq.yd. LF 12 in. 30 in. (300 mm) Track Space (750 mm) o 13 in. (33� 13 in. (330 mm) _ w 00�_I 9 Encaps�alted "In-wall" Rece2-Inwall Track Extrusion 3- Concrete Inwall Track Receptor. copirg I no ptors forInwall Track is made up of three components:1-Plastic Locking Strip { Concrete Gunite and Fiberglass Pools -- -In-wall trackinglis ideal for any indoor or outdoor installation. The track receptor is•installed on top of the bond beam during the poolThe plastic locking strip enable the inwall extrusion to be removed construction prior to�the_,coping,.installation.Coping or other for maintenance procedures. masonry material a— - e placed directly on top of th'e rack receptor. In-wall#1 In-wall#4 In-wall#5 w/Fiberoptic Receiver 4. • Concrete/Gunite/Fiberglass Pools • Available in 12 18'9�21'lengths • Ideal for raised beam details • Snap in fascia to finish off at end of pool • For use with non-standard coping, • 6063T-5 anodized aluminum c brick/tile pavers and stone • Can be color coated to match surround Encapsulated "In—wall" RecTrack is made up of three components'11-Plastic Locking II Track Extrusion 3-Liner Inwall Track Receptor. C.-I eptors for �? WkV:)i!rny,jffiner Pools ---- This extrusion can be used on any li"r type pool. Steel,polymer wood wall.The track receptor is installed time of the pool construction on the top of the pool wall. Copings or other masonry The plastic locking strip enable the inwall extrusion to be removed for maintenance procedures. material are placed Tdirectly on top of the track receptor. _ l c.. In-wall#2 without Liner Bead In-wall#3 with Liner Bead In-wall#6 w/Fiberoptic Receiver and Liner Bead E, • Vinyl Liner Pools • Available in 12 18'&21'lengths • Fits standardip erimeter fib eroptic I lighting • Snap in fascia tofinish off at end of pool • For use-wit non-standard coping,brigtile pavers • 6063T-5 anodized aluminum t; and stone • Can be color coated to match surround t• �I Flush Track Top Track In-wall 3DF Reuseable deck form Incorporates trackXliner bead an C1be"use&d'with any and perm�a`nent deckiform Aquamatic I'll tracker ceptor *IMPORTANT: When using In-wall Receptors, there will be an increase in finished elevation.* r Cover enchcs, lids and fabric•.s Designed ulamatic r i 6 < f i i it x,, ,. ��+•+�_ . L f Terracotta # � Tan C•harcoal f White Brown •1 � 4 A i 1 2 3 4 5 `. 6 7 8 9 10 11 12 r" ! • � Role e e e e e —�IMSINQQAI —I 1. Navy 4. Tu.rquoise 7. an 10. Charcoal 2. Royal Blue 5. Teal 8. Brown 11. G.raY New Designer Colors 3. Light Blue 6. Green 9. Black 12. Sage Green Y +►w - NI � t Navy 3. Brushwood 2. Powder Blue 4. Sand f '` u d Dual-Motor, a« fluid �, � f e�at�u re-s of ou r � atente � r P �� H drau�ic Cover Drive S sytem sF Admantages ana Benefits S? WATERPROOF The IIydramatic drive is a closed loop system, and although a drain is required in the cover recess inadvertent floodin does not mean ex en ive el t i�� g p s ec r c motor replacement. i: j' SAFETY �`;' No electries near the pool for greater safety. All electric power and switches are remote at the i equipment pad which also means fewer problems with inspections. POWER 1 Hydraulic drives are compact yet powerful, and can be easily controlled to provide only as MUG h as is needed to operate the cover. I Iydraulics are durable, and the most popular drive unit for wet and hostile environments and are the preferred choice of builders, designers and architects. DURABILITY i, I Iydraulics are widely used in heavy equipment for their durability and reliability. The unique patented Dual-Motor I:Iydramatic system eliminates mechanical linkage and clutches to start and then change direction of the cover. It has the least number of parts of any other automatic pool cover system, yet has a full range of safety and convenience features. Originally designed �x for commercial applications. CONVENIENCE The I:Iydramatic cover system has a patented Uuilt-in rainwater removal feature. When rainwater collects on the cover surface, simply turn the key to open the cover, and the water ` will be forced through the screens into the pool. The screen mesh will collect the leaves and most debris. A computerized cover pump is also provided with all cover systems. CODER TRMEL LIMITS The cover travel is gently and reliably stopped at each end of travel by our patented pressure relief valves, eliminating the need of electronic encoders or other electrical devices near the pool. RATED The I I dramatic cover is UL tested and certified to exceed ASTM F1346-91 standards for ool k y p � safety WARRANTY The cover system comes with a twenty year li _ited warranty on the mechanism, and a seven year limited warranty on the covers For add�it ona warranty information, contact your Aquamatic representative. Aquamatic �� _ 4 � �',, Safety Pool Covers for Commercial and Residential Applications Y �,,.�._'t YY Yn1'1•'f L7� -PA R� ntii{i '' �}I �i�jn. i 1{/ri•� v '}y ���`�41yt{�, ���R q� {�yy ,�, ��'u i/�� rl.�•r+ ..e,`4r1 \ 1v,�1�L'�?' .pll 4J G� a °j� �P� � ,_ �!!I' 3 Yt s 1•, r,w�•Jyt\�,-'� C! 4 � it 1 AOIUA M,�TIC (OVER fYi�iFENS T A q 6 ua mat1ic Cover Systems ; 200 Mayock Road_ Gilroy, CA, USA 95020 Ph: 800.262.4044/408.846.9274 _ Fax: 800.600.7087/408.846.1060 r, www.aquamatic.com Automatic & Manual Couers Since 1980 Distribu IF and Installation Available worldwide These products are covered by one or more of the following:patents: 1 6;3980,680; 6,026,522, 5,950,253;5,930,848; 5,927,0425,845343, 5,799;342;5,546,751; 5349,707;5;327;590- 5184,357;5,067;184; 4,939,798 Other U:S.and foreign patents pending ' r i' E Nk • �0 I 369 QC' c 3 S �� Massachusetts Department.of Environmental Protection Provided by MassDEP: ��-- Bureau of Resource:Protection-Wetlands MassDEP File#:003=5045 NVPA Form 5 - Orden of Conditions eDEP Transaction#i530676 I �I Massachusetts Wetlands Protection.Act M.G.L..c. 131„§40 City/IowmBARNSTABLE i A..General Information 1..Conservation Commission BARNSTABLE 2.Issuance a. r€ OOC b.E Amended OOC 3.;Applicant Details. ` a.First Name 1OHN/ROBERT b:Last Name NI.CELHINNEY/SHARKANSKY,TRS. c.Organization 72 SOUTH.BAY ROAD'NOMTNEE TRUST d:Mailing Address 3301 PGA BLVD,,SUITE 9 w _ c:City/Town PALM BEACH GARDENS f.State:FL :g,.Zip Code 334.10-2757 14. Property Owner a.First Name. JOHN/ROBERT b..Last:Name i'yICELHI.NNEY/SHARKANSKY,TRS. c.Organization 72 SOUTH BAY ROAD:NO'kI1NEETRUST d.Mailing Address 3801 PGA B,LVD,SUITE 9.10 e.CityiToNvir PALM BEACH GARDENS f..State FL g.Zip Code 33410-2757 s 5..Project Location a.Street Address 72 SOUTH BAY ROAD b.City./ToNvn BARNSTABLE c.,Zip Code 02655. d.Assessors. Lap/Plat#093 c..Parcel/LotP 042-003 f.Latitude 41.62-1.7IN g.Longitude 70.40013W 6. Property recorded at.the Registry.of Deed for: a.Count b.Certificate e.Book d.Page BARNSTABLE C 1.9599.0 LCP 8730E LOT 8 7.Dates F a.Date NOI Filed: 11/1-5/2012 b.Date Public.Hearing Closed: 12/41201.2 c.Date Of Issuance: 12/2`1/2012 8.Fiiial Approved:.Plaus and:.Other Docuineuts a.Plan Title:, b..Plin.Prepared by: c.Plan Signed/Stamped;by. d.Revised Fihal'Date: e..Scale: BARTER NYE: SITE PLAN ENGINEERING,INC: STEPHEYA.4VILSON,P.E. 11/13/201:2 1"=30' CONSERVATION BARNSTABLE LAND 11/30/2012. J 30' PLANTING.PLAN DESIGN B. Findings Page 1 of 10 "ELECTRONIC COPY BARTER\'YEENGIi\EERLYG&.SURYEYII'G. 78 North Street;Yd Floor Hyannis,Massachusetts 02601 N ` Massachusetts Department of Environmental Protection Provided byMi assDEP: �h Bureau of Resource Protection-Wetlands NiassDEP File#:003-5048 f lam, WPA Form 5-Order of Conditions eDEP Transaction#:530676 'Massachusetts Wetlands Protection Act rLi.G.L,c. 131,§40 City/fown:BARNSTABLE. I.Findings pursuant.to the Massachusetts Wetlands Protection Act Following the review of the the:above-referenced Notice of Intent and based on the information provided in this.application and presented at the public hearing,this Conmvssion fords that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. r Public Water Supply b: f Land Containing Shellfish - c.r Prevention of Pollution ~— d. r Private Water Supply e. 177 Fisheries f. F Protection of Wildlife Habitat �g.. i— Ground Water Supply, h. r Storm Damage Prevention i. iT Flood Control 2.Commission hereby finds the project,.as proposed,is: o Approved subject to: a.r The following,conditions which are necessary in accordance with the perfomiance.standards set forth in the wetlands regulations. This Commission orders that all work shall be perfomted in accordance with the Notice of Intent referenced above,thefotlowug General Conditions,and any other special conditions attached to this Order.To the extent that the following conditions modify or differ from the plans,specifcadons,or other proposals subntted with the Notice of intent,these conditions shall control. Denied.because: b.f"The proposed work cannot be conditioned to meet the performance-standards set.forth in the wetland regulations.Therefore, work on this project may not go forward unless and until.a new Notice of intent is submitted which provides measures which are adequate to protect interests of the Act,and a final Order of Conditions is issued.A description of the performance standards. which the proposed work cannot meet Is attached to this Order. c.CThe inforna6on submitted by the applicant is not sufficient to describe the site,the work or the effect of the work on the interests. identified in the Wetlands Protection Act.Therefore,work on this project may not go forward unless and.until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are.adequate to protect the interests of the Act,and a final Order of Conditions is issued,A description of the specific information which is lacking and why It Is necessary is attacled to this Order as per 310 Ci•IR 10.05(6)(c). 3.F- Buffer Zone Impacts:Shortest distance between limit of project.disturbance and the wetland resource 0 -area specified in 31.00NtR10.02(l)(a), a..linear feet fI Ltlaud Resource Area impacts:(For Approvals Only): r Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 4. F-Bank a.linear feet b:linear feet c.linear feet d.linear feet 5.f Bordering;Vegetated Wetland a.square feet b..square feet c.square feet d.square feet 6, r.Land under Waterbodies and Waterways a.square feet b.square feet c..square feet d.square feet e.dy dredged f.cty dredged., Page 2 of 10*ELECTRONIC COPY Massachusetts Department of E.nvironmeatal'Pr.otecfio I Provided`by MassDEV. Bureau of Resource Protection Wetlands MassDEP File#:003=5048 WPA Form 5 Order of ConditiOIls elDEPTransaction#:530G7b. �t Massachusetts:Wetlands Proteetiori.;Act M G.L.c. 131,140 City/Towri.BARNSTA BLE 7.f Bordering Land Subject to.Flooding a.square feet: b;square feet c.square'.feet d..-square fea Cubic Feet Flood':Storage e.cubie feet f.cubic,feet> g..cubicfeet h.:cubicfeet. S.r.lsolated 6nd� ject•to flooding a:,square feet `bsquare feet. :.Cubic Feet-ab6d Storage c cubic feet d.cubic feet:" ecubic,feet f cub�cfeet 5.rRiverfrontArea: a:total sq.feet, b.total.sq.feet Sq ft within 1;00 fl: c.squareAct- d.,square-Feet, e•.square feet Esquare feet: Sq.ft.bchveen 100400 ft g.square.eet'y h..square.feet i.square feet: j.square:feet 'Coastal Resource r rea,lnlpac'ts:; Resource Area Proposed. Permitted Proposed Permitted Alteration- Alteration. Replacement Replacement. l.O,.r";Designated,:Port Areas; y' Indicate sae under'Land"Under the Qcean,below , IT.r,Land Under the-Ocean a,square feet b.square feet - I c:c/y dredged-d.,gydredged 2,rBamcr Beaches y Tndreate size under`Coastal.Beaches and/or Coa'stai Dtines below 13 r,CoasIbiBeaches: a::square-feet: b:squareifeet c.cly nourishment d,c/ynounshn*nt I*C:C' tal;Duries <' iZ. a.square feet b square feet c We riounshnient d c/ynounshriient 15.r;:Coastal Banks. a.,linear feet b.linear feet r 16 r;Roeky Intertidal Shores a.squarcfcet b square feet 13.r'SaWIVIarshes a:square feet b.squarefeet- c.square feet d.:square feet 1.8 r Land Under`Salt Ponds r a squarc.fcet b square feet< t c c/y dred d edg edged r Ij'F.Land ContainingShellfish 3 Page,.I of l d*ELECT.RO.NIGCOPY Massachusetts Department of Environmental Protection' Provided by�tassDEP: Bureau of Resource Protection,-Wetlands i issDEP Filc#:003-504S WPA Form 5 -Order ofConditions eDEP Transaction#:530676 �1 Massachusetts Wetlands Protection Act M.G.L.a. 131,§40 Cityfibwn:BARNSTABLE a.square feet b.square feet c.square feet d.square feet Indicate size under Coastal Banks,inland Bank,.Land Under the 20.r Fish Runs Ocean,and/or inland Land'Under Waterbodies and.Waten;days, above c.cly dredged d.c/y dredged 21.f Land Subject to Coastal Storm Flowage a.square feet b.square feet 22. r RestoiatiordEnhancenient(For Approvals Only) If the project is for the purpose of restoring or enhancing a wetland resource area in addition to the square footage that has been entered in Section B.5.c:&d or B.17.c&d abovc,.please entered the additional amount here. a.square feet of BVW b.square feet of Salt Marsh 23. F Streams Crossing(s) If the project involves Stream Crossings,_please enter the number ofnew stream crossings/number of'replacement stream crossings. a.number of new stream crossings b.number of replacement stream crossings C. General Conditions Under Massachusetts Wetlands Protection Act The following conditions are only applicable to Approved projects l. Failure to comply with all conditions stated herein,and with all related:statutes and other regulatory measures,shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges;it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state,.or local statutes,ordinances„bylaws,or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a.the work is a maintenance dredging project as provided forin the Act;or r b.the time for completion has been extended to a specified date more than three years,but less than.five years;from the:date of issuance.If this Order is intended to be.valid for more than three.years,the extension date and the special circumstances warranting.the extended time period are set forth as a special condition in this Order. 5. This Order may be:extended by the issuing authority for one or more periods of up to three years each upon application to the. issuing authority at least 30 days prior.to the expiration date of.the Order. 6. If this Order constitutes an Amended Order of Conditions,this Amended Order of Conditions does notexceed the issuance date of the.original Final OrderofConditions.. 7. Any fill used in.conneetion with this project shall be clean fill.Any fill shall contain no trash,rcfuse,,rubbish,or debris,including butnot,limited-to lumber,bricks,plaster,wire,lath,paper,cardboard,pipe,tires,ashes,refrigerators,motor vehicles,or parts of any of the foregoing. S: This Order is not final until all administrative appeal periods from this Order have elapsed,or if such an-appeal has been taken; until all proceedings before the Department have been completed. Page 4 of 10*ELECTRONIC COPY i Massnehusetts Department of E tvfronmental Protection Provided byMassDEP: Bureau of Resource Protection-Wetlands MassDEP File#:003-5048 WPA Form 5 - Order of Conditions eDEP Transaction#:530676 Massachusetts Wetlands Protection Act M.G.L.c. 131,.§40 Cityrrown:BARNSTABLE 9. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located,within the chain of title of the affected property.In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done.In the case of the registered land,the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done.The recording information shall be submitted to the Conservation Commission on the form at the end of this Order,which form must be stamped by the Registry of Deeds, prior to the commencement of work.. 10. A sign shall be displayed at the site not less then two square feet or more than three square feet in sizc bearing the words, "Massachusetts Department of Environmental Protection" [or'MassDEP"] File Number:"003-5048." 11. Wimerc the Deparnncntof Environ mental Protection is requested to issue a Superseding Order,the Conservation Commission shall be a party to all agency proceedings and hearings before Mass DER 12. Upon completion of the work described herein,the applicant shall submit Request for Certificate of Compliance(NI'PA Form 8A)to the Conservation Commission. 13. The work stealI conform to the plans and special conditions referenced in this order. 14. Any change to the plans identified in Condition#13above shall require tile applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. j 15. The Agent or members of,the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order,and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that - evaluation. 16. -This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 17. Prior to the start of work,and if the project involves work adjacent to a Bordering Vegetated Wetland,the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging.Once in place,the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 18. All sedimentation barriers shall be maintained in good.repair until all disturbed areas have been fully stabilized with vegetation or other means.At no time shall sediments be deposited in a wetland or water body.During construction,the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed.The applicant shall inmmediately control anyerosion problems thatoccur at the site and shall also immediately notify the Conservation Commission,which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedunentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. 4 NOTICE OF STORMAVATERCONTROL AND MAINTENANCE REQUIREMENTS 19. The work associated with thisOrder(the"Project")is(I) i— is not(2)F subject to the Massachusetts Stormwater Standards. If the work is subject to Stormwater Standards,then.die project is subject to the following conditions;. a) All work,including site preparation,land disturbance,construction and redevelopment,shall be umpleniented in accordance with the construction period pollution prevention and erosion and sedunentation control plan and,if applicable,the Stormwater Pollution Prevention Plan required by the National Pollutant Discharge Elimination System Construction.General Permit as required by Stormwater Standard S.Construction period erosion,sedimentation and pollution control measures and best management practices(BNIPs)shall remain in place until dic.site is fully stabilized. b) No stormNvater runoff may be discharged to the post-construction siormwater.B1v1Ps unless and until a Registered Professional Engineer provides a Certification that:is all construction period BMPs have been removed or will be removed by a date certain specified in the Certification.For any construction period BMPs intended to be converted to post construction operation for stormwater attenuation,recharge,and/or treatment,the conversion is allowed by the IvlassDEP Stormwater Handbook BMP specifications and that the Biv1P has been properly cleaned or prepared for post construction operation, including_removal of all construction period sediment trapped in inlet and outlet control structures;ii..as-built.frnal construction Page 5 of 10 ELECTRONIC COPY Massachusetts Departmetrt of Etivirornnental Protection Provided by iViassDEP'. Bureau of Resource Protection-Wetlands iVfassDEP File#:003-504ii �., WPA Form 5- Order of Condition seDEP Transaction#:530676 Cityffown:BARNSTABLE Massachusetts Wetlands Protection Act NI.G.L.c. 131,§40 BLIP plans are included,signed and stamped by a Registered Professional Engineer,certifying the site is•fully stabilized;iii. any illicit discharges to thestomnvater management system have been removed,as per the requirements of Stonnwater Standard 10;iv.all post-construction stormwater BMPs are installed'in accordance with the plans(including all planting plans)approved by the issuing authority,and have been inspected to ensure that they:are not damaged and that they are in proper working condition;v.any vegetation associated with post=construction MAN is suitably established to Nvithstand erosion. c) The landowner is responsible for BMW maintenance until the issuing authority is.notified that another party has legally assumed responsibility,for BMP maintenance.Prior to requesting a.Certificate of Compliance,or Partial Certificate of.Compliance,the responsible party(defined in General Condition 1'9(e)).sliall execute and submit to the issuing-authority an Operation and Maintenance Compliance Statement("O&NI Statement")for the Stonnwater BlvfPs identifying the party responsible for implementing.the stonnwater.BMP Operation and Maintenance Plan("O&M Plan")and certifying the following:i.)the OMVI Plan is complete and will be implemented upon receipt of the Certificate of Compliance,and.ii.)the future responsible parties shall be notified in writing of their ongoing legal responsibility to operate and maintain the s(omnyater managementBlvlPs and implement the Stormwater Pollution Prevention Plan. d) Post-construction pollution prevention and source control shall be implemented in.accordance.with the long-term pollution prevention plan section of the approved Stomrwater Report and,if applicable,the Stonmwater Pollution Prevention.Plan required by the National Pollutant Discharge.Elimination System Multi-Sector General Permit. e) Unless and until another party accepts responsibility,the landowner,or owner of any drainage easement,assumes . responsibility for maintaining each BMP.To overcome this presumption,the.Jandownerof the property must submit.to the issuing authority legally binding agreement of record,acceptable to the issuing authority,evidencing that another entity has accepted responsibility for maintaining the BtvfP;and that the proposed responsible party shall be treated as a permittee for purposes of implementing the requirements of Conditions.19(f)through 19(k)with respect to that BrVIP.Any-failure of the proposed responsible party to implement the requirements of Conditions 19(o through 19(k)with respect to that BMP shall be a violation of the Order of Conditions or Certificate of Compliance.In the case of stonnwatei BMPs that are serving more than one lot;the legally binding agreement shall also identify the lots that will be serviced by the Stonnwater BMPs:A plan and easement deed.that grants:the responsible party access to perform the required operation and maintenance must be submitted along with the legally binding agreement. 0 The responsible party shall operate and maintain all stonnwater BNIPs inaccordance with the design plans,the O&NI Plan, and the requirements of the Massachusetts Stonmvater Handbook. g) The responsible party shall: 1.Maintain an operation and maintenance log for the last tliree(3)consecutive calendar years of inspections,repairs, maintenance and/or replacement of the stomnvatcr management system or any part thereof,and disposal(for disposal.the log shall indicate•the type of material.and the disposal location);' ' 2.Make the maintenance log available.io MassDEP and the Conservation Commission("Commission")upon request;.and 3.Allow members and agents of the MassDEP and the Commission to'enter ane inspect the site to evaluate and'.ensure that the responsible party isincompliance.with the requirements for each BMP established in the 0&M Plan approved by the issuing.authority: h) All sediment.or other contaminants ienioved from stonrnvater BVIPs shall,be disposed of in accordance with all applicable federal,state,and local laws and regulations. ) Illicit discharges to the storm«-ater managcment.system as.defined in 31.0 C1vIR 10.04 are prohibited. f) The.stommater management.system approved in the Order of Conditions.shall not be changed without the prior written approval of the:issuing.authority: k) Areas designated as qualifying,pervious areas for the purpose of the Low Iin act Site Design Credit(as defined in the MassDEP Stonnwater.Handbook,.Volume 3,Chapter I,Low impact.Development Site Design Credits)shall not be altered Without the prior written approval of the issuing authority. 1) Access for maintenance,repair,.andlor replacementof BMPs shall not be withheld.Any fencing constructed`around. stomnvater BMPs shall include access gates.and shall be at least sir inches above grade to allow for wildlife passage. Page 6 of 10 "ELECTRONIC COPY i Massachusetts Department of Environmental.Protection Provided by MassDEP% Bureau of Resource Protection-Wetlands kfassDEP File#:003=5048 WPA Form 5 -Order of Conditions eD.EP Transaction#i530676 Massachusetts Wetland's Protection Act NEG.L..c.131,,§40 Citylfown:BARNSTABLE Special Conditions: 1 A Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or-ordinance.applicable?r Yes. No 2. The Conservation.Commission hereby(clieck one that applies a. r DENIES the proposed work whicli cannot be'conditioned to meet the:standards set forth in municipal ordinance or bylaw specifically:. 1.Municipal.'Ordinance.or Bylaw 2.Citaflon Therefore;.work on this project'may not go forward'unless.and until a revised.Notice:of intent is subnuttedwhich proirides measures whichare adequate to meet these standards,and a final Order or Conditions is issued.Which are necessary to. E comply with a municipal ordinance or bylaw: b. r APPROVES-the proposed work,subject to the following additional conditions. - l TO\VN OF 1,Municipal Ordinance or Bylaw BARNSTrtiBL& 2•Citation S.237-1-237-1-4 i 3.. The Commission orders that all.work shallbe.perfomted imaecordance-with the following conditionsand'with the Notice of Intent referenced.above:To thc�extent that.the tollowingconditions modify or differ from.the.plans,specifications,or other proposals submitted with.the:Notice of Intent,.the conditionsshall•control. The special conditions relating to iunicipal ordinance or bylaw are as follows:. SEE PAGES T 1,.7.2,.AND 7:3 t l 1 Page-7 of 10 ELECTRONIC COPY . i SE3-5:0.48 1 / Name:.. 72 Soutli Bay Road Nomihee�Is Approve Plait = November 13,2012'Site.Plan by Steplien-Nilson,P.E.and . I�'oventber 30,2012 Conservation.Plautiug Plan by Barnstable-.Land Desigi Special CoMitious of Approval I. Preface. I Caution: Failure to comply with all Conditions of this Ordei•of Conditions may lhave.set'ious,consed►ieuces. The consequence may include: issuance of a:Stop Work Order.;fines; requirement to remove un-perntitted structures;.requirement to re-landscape to original condition; inability to obtain a Certificate of Compliance, 4 and more: The General Conditions of this Order begin on Page 5 and continue th.rouglt Page 8. The Special.Conditions contained herein and all.Conditions require your compliance. 11. Prior to the start:of work,the-following conditions shall besatisfied: 1. Within one month of receipt of this.Order,of Conditions and prior to the commencement of any work. approvedherein.General.Condi"tioii.Number 9(recording requirement)shall be complied with. 2. It is the responsibility of the applicant,the owner and/or successor(s)and the project contractors.to ensure that all conditions:of this Order are complied with. The applicant:shal I provide copies of the;Order of Conditions and approved.p.laus(and any approved revisions thereof).to project contractors prior to the start of work. Barnstable Conservation Convnission Forms A and B shall be completed and returned to the Conuivssion.prior to the:start of'work.. 3. General Condition.Number.10(sign,requirement)shall.be complied.with. 4. The Conservation Comnussion shall:receive written notice one(1)week.in advance of•the start of work. 5. The construction work-liimtaiiie:shown.on the approved.plan shall be staked in the field by-the project .surveyor/engineer. 6. Staked stiawbales backed.by trenched-in siltation fencing shall be,.set along the approved work-limit:lime.. EffectiVe. sedim.ent.controls shall remain until the site is stabilized with vegetation,then theyshall.be removed. 7A 7. A sequence of color photographs showing.the undisturbed buffer zone shall be submitted to the Conservation Commission. Note: the strawbal'es and s.ii'tation.fence:must show in:the.foreground. (or bottom of)the photographs.. M. The following additional-Conditions shall govern the proje&once work begins:' 8. General.Conditions,Numbers.14 arid:15(changes in°plan)shallbe complied with.. 9. General Condition Number 18(maintaining.sediment controls)shall be.complied with. 1.0; The work limit shown on the approved plan shall be strictly observed: 1.1. There shall be no construction disturbance of the site:.below(on the West Bay side of)the work limit. 12. The Conservation Commission,its employees and its agents shall have a right of entry to inspect for r compliance the provisions.of this Order of'Condtions. 13. Unless extended,this permit is:valid for three years.from-the date of issuance. 14. Drywells or graveled trenches:along the drip lines shall be installed to accommodate roof-runoff. 15. The driveway shall:be constructed of pervious material(gravel or shell),or alternate,as approved.by.the Conservation Commission. Ib. Pool.and spa shall be disinfected by ozone injection or alternate method,as approved by the Conservation i j L e�^ Commission. DrawdoWn.water shall be sent to an appropriately sized leaching basin. Up on..installation,a' letter shall be submitted by the installer verifying that disinfection and leaching basin requirements have Viy been met.The location and capacity of the basin shall be verified,and tlne.nneans by which-drawdown will be ff Z,Jc7}" directed to the.basin.shall.be described.. Q 17. During construction,no area shall be left un-mulched or un-vegetated for more than thirty(30)days. All. areas disturbed during.construction shall:be re-vegetated immediately following completion of work at the. site.. Mulching.shall not serve as a,substitute,for the requirement-to-,re-vegetate disturbed areas at the conclusiorrof work. IS. All proposed lawn areas shall be.underlain with a minimum of six(6)inches of loam.. 1:9. 310 CIVIR 1.0.30(3)of the.Wetlands Regulations.pronnulgated under iVIGL c. 131 §.4'0;requires that no coastal engineering structure, such as a bulkhead,.revetment or seawall,shall be pernnitted on an eroding coastal bank at any time in the future. 20. Herbicide,pesticide.and fertilizer use is discouraged on lawrns withini Conservation Commission ji risdictioin. If fertilizer must:be.used,.only slow-release.low-nitrogen(with 30=50%water insoluble: 7.2 nitrogen or`W.1:N') andl'ow-phosphorus fertilizers shall be applied. Over-fertilizing shall be.avoided (not-to-exceed limit=1 pound of nitrogen per 1,000 sq.ft.of lawn per application). No fertiliser,shall-be spread on hard surfaces such as driveways.and sidewalks,. 21. Work limit inarkers(Wood-stakes)shall remain:in place until a Certificate of Compliance is issued for this. project. 22. All mitigation planting shown.in the.plans.shall be implemented'. 23. A half-rail fence(or approved alternative).shall be constructed and.maintained'along the bay-side lawn edge. IV. After all work.is completed,the following condition,must be promptly.wet:, 24. At the compietion'of Work,or by the expiration of this Order,the applicant shall request.iii'writing a Certificate-of Compliance for the work herein permitted. Barnstable.Conservation ComnussionFoini C shall be completed and returned,along with the request for a Certificate of.Compliance and appropriate fee. Where a project has-been coinpleted.in accordance with plans sta►iiped by a registered professional engineer,architect;landscape architect or land.surveyor,a written staternentby such a professionalshali be submitted,certifying substantial compliance with the plans,setting.forth what deviation(s), if any,exists with the record plans approved in.the Order. This statement shall accompany the request.for a Certificate.of Compliance and fee,along with.;an-updated.-sequence of color photographs of the.undistirrbed buffer zone. 3i! i i i 3 7.3 Massachusetts Department of Environmental Protection. Provided by 1vlassDEP: Bureau of Resource Protection=Wetlands MassDEP File#:003-5048. 5WPA Form 5 Order'of Conditions eDEP Transaction#:530676 tivlassachusetts Wetlands Protection Act N1.G.L.c. 131,§40 City/iowniBARNSTABLE. E. Signatures This Order is valid.forthree years from the date of issuance,unless otherwise specified 12/2 H2O.12 pursuant to General Condition#4.ff this is an Amended Order of Conditions,the.Amended 1.Date.of Original Order Order expires on the,same date as the original Order of Conditions. Please indicate the number of members who will sign this fort.This Order must be signed by 7 a majority of the Conservation.Commnission. 2.Number of Signers- The-Order must be mailed by certified mail(return receipt requested)or band delivered to the.applicant..A copy also must be mailed or hand delivered at the same time to the appropriate Department of Environmental Protection Regional Office,if not filing electronically,and the property owner,if different from applicant. Signatures: PETER SAMPOU DENNIS R.'HOULE SCOTT BLAZIS FAT PiU(TOM)LEE LAURENCE MORIN 10HN E.ABODEELY LOUISE R.FOSTER, r by hand delivery on C by certified mail,return receipt requested,on. Date Date i F. Appeals The applicant,the oWncr,any person.aggrieved by this Order,any owner of land abutting the land subject to this Order,or any ten residents of the city or to%vn in which-such land is located,are hereby notified of their right to request the appropriate MassDEP Regional Office to°issue a Superseding.Order of Conditions..The request must be made by certified mail or hand delivery to the Department,with the appropriate filing fee.and a completed Request for.Departmental ActionTee.Transmittal Form,as provided in 310 CMR 10.03(7).within ten business days from the date of issuance of this Order.A copy of"the request shall at the same iiine be sent by certified mail or hand delivery to the Conservation Commission and.to the applicant,if he/she is not the appellant. A ny appellants seeking to appeal the Departnenes.Superseding Order associated with this appeal'will.berequired to.demonstrate prior participation in the review of this project.PreNtious participation in the permit proceeding.means the submission of written information.to the Conservation Conunission prior to the'close oftlic public hearing;requesting a Superseding,Order,.or providing written information to 1he,Deparinient prior to issuance-of a Superseding Order. The requeseshall state clearly.and'concisely the objections to the Order which is being.Appealed and how the Order does not j contribute to the protection of the interests identified in die Massachusetts Wetlands Protection Act(1\'I.G.L:c.13d,,§40),.and is inconsistent with the wetlands regulations(31.0 CMR.I0.00).To the extentthat the Orderris.based on a municipal ordinance or bylaw,, and not-on the Massachusetts Wetlands Protection Act orregtilations,thcDcpartnienthas no appellate.jurisdiction. Page 8 of 10'ELECTRONIC COPY Massachusetts Department of Environmental Protection Provided by MassDEP; Bureau of Resource Protection -Wetland's sE3-506/ MassDEP File t1 WPA Form 5 Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 eDEP Transactlon# Barnstable Cityfrown. E. Signatures Important: This Order is valid for three years„unless.otherwise specified,as.a special DEC Z 1 2012 When filling out condition pursuant to General Conditions#4,from the date of Issuance. 1.Date of.-Issuance forms on the computer,use Please Indicate the number of members who will sign this form. only the tab key This Order must be signed by a majority of the Conservation,Commission. 2.Num er of Signers to move your cursor-do not The Order must be mailed.by certified mail (return receipt requested)or hand delivered to use the return. the applicant. A copy must be mailed, hand delivered'or filed el ro " ally at the same key" time with the appropriate MassDEP Regional Office: w Sig ( by hand delivery on Elby certified mail,return receipt requested,on a e Date R .Appeals The applicant, the owner,any person aggrieved by this Order, any-owner of land abutting the land subject to this Order-,or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate MassDEP Regional Office to.issue a Superseding.Order of Conditions, The request must be made.by certifiied mail or hand delivery to the Department,.with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMRR 10.03(7) t within ten business days from the date of issuance of this Order.A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission-and to the applicant, if he/she is not.the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required'to demonstrate prior participation in the review of this project. Previous' participation in the permit proceeding means the submission of written information to the Conservation Commission.prior to the close of the public hearing, requesting a Superseding.Order, or providing written information to the Department prior to issuance of a"Superseding Order. The request.shall state clearly and.concisely the.objections to the Order which is being appealed..and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act(M.G.L.c..1.31, §40),.and is inconsistent With the wetlands regulations (310 CMR 10.00).To the extent that the Order is based on a municipal'ordinance or bylaw; and not on the Massachusetts Wetlands.Protection Actor regulations,.the Department has no appellate jurisdiction. vo5slgs.doc• rev.,02/252010' Page of� Massachusetts Department of Envi;i?onmental Protection Provided byMassDEP': Bureau of Resource.Protection - Wetlands MassDEP File4:003-5048 WPA.Form 5 Order of Condit~lofts eDEP Transaction tf:530G76 Cityfrown:BARNSTABL.E Massachusetts Protection Act Iv1.G.L..c. 131,�40 G. Recording Information This Order of Conditions must bc.recorded'in the Registry of Deeds or the Land Court for the district in which the land is located; within the chain of titl'b of the affected.propeny.In the case of recorded land,the Final'Order shall also be.noted in the.Registry's Grantor Index under the name of the-owner of the laird subject to the Order.In the case of registered land,this Order shale also be noted on the Land Court.Ccr ificate of Title of the owner of the land subject to the Order:of Conditions.The:recording;information;on this page shall be submitted to the Conservation Commission.listed below.. BARNSTABLE Conservation Commission Detach on dotted.line,have stamped by the Registry of Dee&and submit to the.Conservation Commission. .................. ..................... .... To: BARNSTABLE Conservation Commission: Please be advised that the.Order of Conditions:for.the,Project:at: 72 SOUTH BAY ROAD 003-5048 Project Location. NIassDEP Filc.Numbcr j Has.been recorded at the Registry of Deeds of: County Book Page- . for. Property Owner JOHNIROBERT MiCELHINNEYISHARKANSKY,TRS. and has been.noted in the chain of title of the a$ected property in: Book, Page, In accordance.w.ith.the:Order ofConditions issued on:- Date If recorded land,the instrument munber identifying,tliis transactionis: Instrument Number If registered landAhe document,number:identifying this.transactiotrisr Document-INuniher Signature of Applicant R"..41112010 Page.9 of 1.0$ELECTRONIC COPY BXXTER.\YE-ENGINEELUNG4 SURV];YIN'G: 78MorWSIrcet,.YrdFloor Ec-b'Z-,c571 •-21,07, Hyannis,MmsachuseM 02601 :Massachusetts Department of Environmental Protection Provided byMassDEP: Bureau of Resource Protection-Wetlands iMamDEPFile#003-5045 Ll WPA Form 5- Order'of CouditlouseDEP Tiansactton#530G7G Massachusetts Wetlands Protection Act M.G.L.c. Iil,,SS40 Gity/Iox%m:IiAR�lSTABLE. s Page 1;0.of 10.*ELECTRONIC.COPY r STATEMENT OF CONDITIONS OF PLANNING BOARD APPROVAL Town of Barnstable Planning Board The undersigned, being a majority of the Planning Board of the above named town, hereby certify that- the conditions set forth- below were imposed. at the time of its approval of a subdivision plan entitled "Subdivision Land Court Plan In Barnstable Mass. for Timothy J. Sheehan Jr." drawn by Crowell and Taylor Corp, , Murveyors® . dated September 1971. Conditions : Subject to the covenant to be recorded herewith, and Further subject to the restriction that r no building permits be issued. until such time as the 30' access way as shown, is, in the opinion of the Board., adequate for the proposed use. Ma ority. of the Planning Board of Barnstable, Mass. 67A►� MDrt Town of Barnstable Planning Board Notice of Approval Not Required(ANR) Plan Endorsement For Sharkansky&McElhinney Owner/Applicant: Robert Sharkansky&John E.McElhinney Trustees,72 South Bay Road Nominee Trust Property Address: 72&92 South Bay Road,Osterville,MA Assessor's.Map Parcel: Map 093 parcels o42-ooi&042-003 Zoning: RF-i&Resource Protection Overlay Districts At the regular scheduled Planning,Board meeting of August 13, 2012,the,Board unanimously voted to endorse the land division plan entitled 072 and 92.South Bay Road Little Island Osterville,MA,02655— Being a Division of Lot 4 shown on Land Court Plan 8730-F creating two Lots",dated July 23,2012, as. prepared by Baxter Nye Engineering&Surveying,and stamped by John R Ellis, P.L.S.-,as an Approval Not Required Plan. The subject plan proposes to.divide Lot No.4 on Land'-Court Plan 8730-F into two and transfer one portion of that lot to each of the abutting Lots No. 3 and 5 on Land Court Plan 8730-F. The net.affect of this plan is to take three undersized independently buildable lots (Lots No. 3,4 &5 on Land Court Plan 8730-F)and create two reconfigured new undersized lots. A dimensional variance for the reduced lot area was.sought and the Zoning Board of Appeals granted Variance No. 2012-36 on July 11, 2012. The application and plan were submitted and filed in the Town Clerks Office on July 30, 2012,and processed in accordance with MGL Chapter41, Section 81-P,Approval Under the Subdivision Control Law Not Required. A copy of the plan including a dwg file can be,found in the Town Wide Drive—T, under GMD Planning Board-Approved ANR & Subdivision Plan — "093 042 001 &003 —Sharkansky & McElhinney- 72 & 92 South Bay Rd Osterville". Res ectfully submitted on behalf of the Board Art Ur Tra 4 czy�C, Regulatory Review/Design Planner Dated Copy:. John R Ellis„P.L.S,Baxter Nye Engineering:&Surveying Jeff Rudziak,Director Assessing Department Frank Schlegel,DPW James Benoit,Information Systems GIs ANR File—093 042 001 &003—Sharkansky.&McElhinney-72&92 South Bay Rd Osterville i Mass. Corporations, external master page Page 1 of 2 S�M'sari William Francis Galvin tG v a \ SecretaryoftheCommonwealth ofMassachusetts HOME DIRECTIONS CONTACT US Search sec.state.ma.uS 71 Search Corporations Division Business Entity Summary ID Number:042516055 (Request certificate I New search Summary for: THOLIGHTFORMS CORP. The ekact name of the Domestic Profit Corporation: THOUGHTFORMS CORP. Entity type: Domestic Profit Corporation Identification Number: 042516055 Date of Organization in Massachusetts: 03-29-1972 Last date certain: Current Fiscal Month/Day: 10/31 Previous Fiscal Month/Day:00/00 The location of the Principal Office: Address: 543 MASSACHUSETTS AVE. City or town,State, Zip code,Country: W.ACTON, MA 01720 USA The name and address of the Registered Agent: Name: CHRISTOPHER L. NOBLE Address: 1280 MASSACHUSETTS AVE. City or town,State, Zip code,Country: CAMBRIDGE, MA 02138 USA The Officers and Directors of the Corporation: Title Individual Name Address PRESIDENT MARK DOUGHTY 543 MASSACHUSETTS AVENUE WEST ACTON, MA 01720 USA TREASURER MARK DOUGHTY 543 MASSACHUSETTS AVENUE WEST ACTON, MA 01720 USA SECRETARY CHRISTINA JARDINE 543 MASSACHUSETTS AVENUE WEST ACTON, MA 01720 USA VICE PRESIDENT ROBERT GUSTIN 543 MASSACHUSETTS AVE ACTON, MA 01720 USA VICE PRESIDENT CHARLES BARRY 543 MASSACHUSETTS AVE ACTON, MA 01720 USA DIRECTOR MICHAEL ROSENFELD 389 GARFIELD RD.,CONCORD, MA 01742 USA Business entity stock is publicly traded: r The total number of shares and the par value,if any,of each class of stock which this business entity is authorized to Issue: , Class of Stock Par value per share Total Authorized Total issued and outstanding No.of shares Total par value No.of shares CNP $0.00 150,000 $0.00 1,000 Consent r Confidential Data r Merger Allowed r Manufacturing Note:Additional information that is not available on this system is located in the Card File. View filings for this business entity: http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary... 11/27/2013 Mass. Corporations, external master page Page 2 of 2 ALL FILINGS Administrative Dissolution Annual Report ' . Application For Revival w�`4 Articles of Amendment View fifings Comments or notes associated with this business entity: ti New search William Francis Galvin,Secretary of the Commonwealth of Massachusetts Terms and Conditions http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary... 11/27/2013 Doc: IP202s446 09-27-2012 1 :52 � BARNSTABLE LAND COURT REGISTRY . (Z- Town of Barnstable '12 JUL 11 X1 :20 Zoning Board of Appeals i Decision and_Notice Appeal No,2012-036-72 South Bay Road Nominee Trust Variance to Section 240-36 (D) Minimum Lot Area Requirements and Section 240-13 (E)-Side Yard Setback Requirements To reconfigure three contiguous lots into two buildable lots Summary: Granted with Conditions Petitioner. Robert Sharkansky&John McBhinney,Trustees, 72 South Bay'Nominee Trust c/o PFP Associates,Ste.905, 1601 Forum Pl,W Palm Beach,FL,33401 i Subject Property: 72&92 South Bay Road,Osterville Assessor's Map/Parcel: 093/042/003 and 093/042/001 Zoning: Residence F-1 District,Resource Protection Overlay District Hearing Date: June 27,2012 Recording Information: Deed:Certificate 195990 Land Court Plan:8730-F fLots 3,4,5) Background & Relief Requested In Appeal 2012-036, Robert Sharkansky&John McElhinney, as Trustees of the 72 South Bay Nominee Trust sought a variance from Section 240-36(D) Resource Protection Overlay District and the side yard setback requirements of the RF-1 District. The subject properties were comprised of two assessed parcels and three ownership lots located at 72 and 92;South Bay Road in Osterville. Each ownership lot contained approximately one acre of upland area, as shown on a 1986 ANR Plan. The subject properties were purchased by Paul and Phyllis Fireman in 1990, along with several other properties on South Bay Rd, and were transferred to the 72 South Bay Road Nominee Trust in 2011. The parcel at 92 South Bay Rd was developed with a 1.5-story, 5,947 sq.ft, four-bedroom, single- family dwelling. There was also a detached 24 foot by 40 foot accessory garage; according to the Assessor's record, the building contained one bedroom and a half bathroom on the upper story. On the same;parcel, a 192 foot dock extended into West Bay. Development of the parcel first ! dated to 1950. The principal dwelling was built over the lot line of the two ownership lots underlying the 92 South Bay parcel. The parcel addressed 72 South Bay Road was vacant. With this appeal, the Applicants sought relief from the two-acre minimum lot area requirement of the Resource Protection Overlay District to reconfigure the three one-acre ownership lots into two buildable lots: • 'Lot A'was proposed to contain a total of 1.96 acres, of which 1.65 acres is upland. This lot would contain the existing dwelling. •. `Lot IT was proposed to contain a total of 1.77 acres, of which 1.47 acres is upland. The resultinb proposed lot would be a vacant, buildable lot. Further,the Applicants sought relief from the minimum 15.foot side yard setback requirement of the RF-1 District(Section 240-13E)to accommodate the location of an existing pier. I Town of Bamstable Zoning Boatd of Appeals—Decision and Notice. Vazimce No.2012-036—72 South Bay Road Nominee Trust Procedural & Hearing Summary Variance No. 2012-036 for relief from the minimum lot area requirements of the:Resource. Protection Overlay District and the side yard setback requirements of the Residence F-1 District was filed at the Town Clerk's Office and at the Office of the Zoning Board of Appeals on May 29, 2012. A public hearing before the Zoning Board of Appeals was duly advertised and notice sent to all abutters in accordance with MGL Chapter 40A. The hearing was opened on June 27, 2012 at which time the Board found to grant the variances subject to conditions. Board Members deciding this appeal were Board Chair Laura F. Shufeft, Craig G.Larson, Alex M. .Rodolakis, Brian Florence, and George T. Zevitas. Attorney Eliza Cox of Nutter, McClennen and Fish represented the Applicants before the Board. Attorney Cox explained that the three lots were each buildable under the nonconforming provisions of the Barnstable Zoning Ordinance. She presented a proposal to combine the three lots into two more conforming buildable lots. She stated that the dock was placed on the lot with the house so that it did not present a zoning violation. Attorney Cox reviewed'the lots'development constraints, including wetlands and FEMA flood zones. In response to questions from the Board,Attorney Cox clarified that the lots were being divided between two family members who had interest in constructing two new homes on the land. She indicated the pier was to be shared between the property owners. Public comment was requested. Jim Kinsella of the Register newspaper requested clarification regarding the number of buildable lots today. The Board confirmed that the applicant had three buildable lots. The Town Attorney, Ruth Weil, clarified that all previous matters that were before the Board in 2004 and 2008 had been resolved. Findings of Fact At the hearing of June 27, 2012,the Board unanimously made the following findings of fact for Appeal No. 2012-035, a request for a variance from the minimum lot area requirements of the Resource Protection Overlay District and minimum setback requirements of the RF-1 District to lawfully create two lots with 1.65 and 1.47 acres of upland and to allow an existing pier to encroach into a required 15 foot side yard setback area: 1. The Applicants Robert Sharkansky&John McElhinney, as Trustees of the 72 South Bay Nominee;Trast sought a variance from Section 240-36(D) Resource Protection Overlay District. The Applicants sought relief from the two-acre minimum lot area requirement of the Resource Protection Overlay District to reconfigure the three one-acre ownership lots into two buildable lots with 1.65 acres and 1.47 acres of upland, respectively. 2. Further relief is requestedfrom the 15 foot side yard setback requirement in the RF-1 District to allow an existing pier to encroach into the required 15 foot side yard setback area. 3. The subject properties are located at 72 and 92 South Bay Road, Osterville, MA as shown on Assessor's Map 093 as Parcels 042-003 and 042-001. They are in the RF-1 and Resource Protection Overlay District. 4. There are circumstances related to soil conditions, shape, and topography of the subject land and structures, especially affecting such land or structures but not affecting generally the zoning district in which they are located. The lots are impacted by wetlands and FEMA flood . zones and the pier presently exists on.the property. 5. A literal enforcement of the provisions of the zoning ordinance would involve substantial hardship,)financial or otherwise Ito the petitioner. The wetlands.and flood zones constrain the Page 2 of 4 Town of Barnstable Zoning Board of Appeals—Decision and Notice Variance No.2012-036—72 South Bay Road Nominee Trust buildable area of the lots. Further, the pier must be located on the same lot as the principal dwelling to avoid a zoning violation. 6. The desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the zoning ordinance. The proposal reduces the number of houses that may be built, results in lots that will be more equitable in size with those in the surrounding area and more conforming to the current lot size requirement. The vote to accept the findings was: AYE: Laura F. Shufelt, Craig G. Larson, Alex M. Rodolakis, Brian Florence, George T. Zevitas NAY: None Decision Based on the findings of fact, a motion was duly made and seconded to grant Appeal No. 2012- 036, a variance from the minimum lot area requirements of Section 240-36(D) and the side yard setback requirements of Section 240-13(E) and subject to the following conditions: 1. A variance is granted from the minimum lot area requirements of the Resource Protection Overlay District to allow the reconfiguration of three lots with approximately one acre of upland each into two lots with 1.65 acres and 1.47 acres of contiguous upland, respectively, as shown on a plan entitled "72 and 92 South Bay Road— prepared for Paul & Phyllis Fireman", dated May 23, 2012, drawn and stamped by Baxter Nye Engineering & Surveying. 2. This variance shall also allow a pier to be located no closer than five feet from the lot line of 'Lot A', as shown on the plan referenced in Condition 1. 3. An Approval Not Required (ANR) plan shall be prepared based upon the plan referenced in Condition No. 1. The plan shall incorporate a reference to this variance and notation that the lots are subject to compliance with all conditions of the variance. 4. The Approval Not Required (ANR) plan shall be submitted to the Planning Board for endorsement and thereafter recorded at the Registry of Deeds along with the recording of this variance l. Copies of the recorded ANR plan and this decision shall be submitted to the Zoning Board of Appeal's file for this variance to be in effect. 5. There shall be no further division of the lots. 6. Any new'development and/or redevelopment shall comply with the bedroom limitations of Title V and local Board of Health regulations without variance. i I 7. Construction of new non-water-dependent structures and on-site wastewater treatment systems 'shall be prohibited within a FEMA designated Velocity Zone. i 8. If the variance and Approval Not Required (ANR) plan have not been recorded at the Barnstable County Registry of Deeds within one year from the date of issue of this variance, this variance shall expire, unless extended. The vote was: AYE: Laura F. Shufelt, Craig G. Larson, Alex M. Rodolakis, Brian Florence, George T. Zevitas NAY: None Page 3 of 4 Town of Barnstable Zoning Board of Appeals—Decision and Notice Variance No.2012-036—72 South Bay Road Nominee Trust Ordered Appeal.No. 2012-036 for a variance to Section 240-36(D) to lawfully create two lots with 1.65 and 1.47 acres of upland at 72 and 92 South Bay Road, Osterville and to allow an existing pier to be located within the required side yard setback area has been granted subject to conditions. This decision must be recorded at the Barnstable Registry of Deeds for it to be in effect and notice of that recording submitted to the Zoning Board of Appeals Office. The relief authorized by this decision.must'be exercised within one year unless extended. Appeals of this decision, if any, shall be made pursuant to MGL Chapter 40A, Section 17,within twenty(20) days after the date of the filing of this decision, a copy of which must be filed in the office of the Barnstable Town Clerk. 7-ir-Id Laura F. Shufelt, Ch `ir Date Signed 1, Linda Hutchendder, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals fled thikAectsion and that no appeal of the decision has been d in the office of the Town Clerk. ►+ o Signed and sealed this d _d o 626� nder the paint a h.pegNti4s cif. perjury. - ¢ w ' OW Linda Hutchenrider, Town Cl .•'�Q~ I BARNSTABLE REGISTRY OF DEEDS Page 4 of 4 Affidavit of Substantial Financial Interest CJ of Gam, �:d , on oath ►, 0� i ro- depose and stat:4 as follows: 1. I am an applicant for a building permit for the pro erty located at Map CA 3 , Parcel O'Lla- off— The address of the property is 'J�: a.., lz�al 2. 1 have % legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above. I �3 3 Within in the last twelve months from today's date, which is 16 t"'` t he following individuals or.entities have had a 1% or greater legal or equitable interest in the real property which is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is24 Igo J 2D I I have had :a 1% or greater legal or equitable interest in the following properties which have been the subject of a building permit application: Map/Parcel Address 5. Within this c le r, I have submitted O building permit applications for property in whic "I have a 1% or greater legal or equitable interest. 6. Within the last tend, I have submitted O building permit applications for property in which I havel'a 1% or greater legal or equitable interest. 7. Within this ram, I have submitted building permit applications for property in which I have a 1% legal or equitable interest. 8. Within this mgnth, I have received building permits for property in which I have a 1% legal oreq uitable interest. Signed under the pains and penalties of plo'L ry,. is y of �J , 201 2001-0050/affin 1 O/LOTTERY/AFFIDAVIT .............. ' I - Thoughtfo rms Corporation B U I L D E R S 543 Massachusetts Avenue 978/263-6019 West Acton,MA 01720 978/635-9503 fax November 27, 2013 To Whom It May Concern, Please accept this letter as a formal notification that Harold Irwin is an active employee of Thoughtforms Corporation and has been employed with the company since April 23, 1984. If you need any additional information please feel free to contact our office at (978) 263-6019. Thank you. Sincerely, YM/t/o d4lL� Christina Jardine Secretary Thoughtforms Corporation . 543 Massachusetts Ave Acton, MA 01720 Th ughtf® rms Corporation B U I L 0 E R S 543 Massachusetts Avenue 978/263-6019 West Acton,MA 01720 978/635-9503 fax November 27, 2013 To Whom It May Concern, Please accept this letter as a formal notification that Thoughtforms Corporation will provide worker's compensation Certificate of Insurances for Subcontractors that we have signed contracts with for the project at 72 South Bay Road, Osterville MA 02655. If you need any additional information please feel free to contact our office at (978) 263-6019. Thank you. Sincerely, Christina Jardine Secretary Thoughtforms Corporation 543 Massachusetts Ave Acton, MA 01720 Th ughtf s rms Corporation 9 V I l Q E R S 543 Mass Ave:,West Acton, MA 01720 978.263.6019 26 November 2013 Town of Barnstable Regulatory Services 200 Main Street, Hyannis, MA 02601 Dear Sir or Madam, Thoughtforms has been selected by the owner to 72 South Bay Road, Osterville, MA to be the General Contractor for the construction of their new home. Attached is Thoughtforms' Workers Compensation Insurance Affidavit. To date we have no subcontractors hired. When we hire subcontractors we will be happy to submit a copy of their Insurance Compliance Certificate. Best Harry Irwin I Projec Manage , Green Associate Thoughtforms Corporation http://www.thoughtforms-corp.com r' � � � f [ 1 ��..,� 1 ►L��-ul1.�s�i �p . .. s -----,.._ Doe_': 1 s 219 s 639 04--26-2013 12:55 LAND COURT, BOSTON.The land Ct f=:200146 hereintleseM�e Ilbeshownon BARNSTABLE t_AMD COURT REGISTRY our approved klan to follow as . APR 4 5 2013 Plan 8730&Lot 8 . .(EXAMINED AS DESCRIPTION ONLY) T.C. PONTBRIAND -71'118r CHIEF ENGINEER, -7Q) QUITCLAIM DEED . We,the undersigned,Robert Sharkansky and John E. McElhinney,as Trustees of the 72 South Bay Road Nominee Trust,under Declaration of Trust dated December 28,2011 and registered with the Barnstable Registry District of the Land . Court as Document No. 1181226 filed with Certificate-of Title No. 195990 ("Grantor's, in consideration of$1.00 paid,hereby GRANT with QUITCLAIM COVENANTS to: Lori Beth Baldwin,of 125 Beard Way,Needham, MA 02492-1038 ("Grantee"),the following premises: The land shown as Lot 8, also known as and numbered 72 South Bay Road, t� Barnstable(Osterville),Barnstable County, Massachusetts,as more particularly shown on a plan labeled"Approval Not Required Land Redivision"dated 7/23/12 and filed with the Land Court as Plan No. 8730G on October 12,2012: For Grantor's title, see Certificate of Title No. 1.95990, at said Registry District. s Said land is subject to and has the benefit of the terms of an Agreement by and between Francis W. Parsons et al dated September 15, 1922 duly recorded in Book 3 88; Page 474,so far as now'in force and applicable. So much of said Lot 8 as is included within the limits of the 20 foot Way shown on Land Court Plan No. 8730F is subject to the rights of all persons lawfully entitled thereto in and over the same and there is appurtenant to said Lot 8 the right to use the 20 foot way on Lot 6 as shown on said Land Court Plan No. 873OF and the right to use the way to and from the State Highway from and to said.land for all purposes for which streets and highways now or hereafter are or may be used. Said land is subject to any and all public rights legally existing in and over the same below the mean high water mark in West Bay. Said land is conveyed together with the easement rights reserved in a deed of Grantor to Stephanie L. Rogers to be filed with said Registry District immediately prior hereto which deed reserved for the benefit of the land conveyed hereby certain rights and easements with respect to that portion of Lot 7 shown on Land Court Plan No. 873OG as "Proposed Easement Area, 812 Square Feet t 0.02 Acres t,"and with respect to the adjacent pier labeled on said Land Court Plan No. 8730G as"Existing Pier, DEQE 1 License Plan No. 1528, Document 430,653 -04/07/1987"or any replacement thereof, all on terms more particularly.set forth in said deed which terms shall be binding upon and inure to the benefit of Grantee as owner of said Lot 8. Said land is further conveyed subject to such other matters as may be set forth on Certificate of Title No. 195990,insofar as now in force and applicable. No deed stamps are affixed hereto as none are required. [End of Text. Signatures follow on the Next Page.] 2 Executed as an instrument under seal as of this Akay of April,2013. bert Sharkansky,Trustee as oresaid but not individually Jo McElhinny,Truste as aforesaid t t individually COMMONWEALTH OF MASSACHUSETTS Barnstable, ss. On this day of April,2013 before me,the undersigned notary public, personally appeared John E. McElhinney,who proved to me through satisfactory evidence of identification,which was personal knowledge,to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he signed it voluntarily for its stated purpose as said Truste . N C / Notary ublic My Commission Expires: 'o .Y.; 1 f.' 3 STATE OF FLORIDA Palm Beach County, ss. On this23`Ydday of April,2013 before me,the undersigned notary public, personally appeared Robert Sharkansky,who proved to me through satisfactory evidence . of identification,which was personal knowledge,to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose as said Trustee. PA7RfGA D.h*MK Name: lrtc ° W COMMSSfON*M M186 OMM:JAN Oa,2014 Notary Public eonaeauuoupntstsratcnr�umce My Commission Expires: /-•�-/� 4 . BARNSTABLE REGISTRY OF DEEDS Massachusetts Department ofla*onmental Protection Pmvidedby.MasgDEP, Bureau of'Resource Protection.-Wetlands MassDEP File#:003-5048' WPA Form 5-Order of Conditions eDEP Transaction M5,30676 1\; City/Fown:BARNSTABLE Massachusetts Wetlands Protection Act?vLG.L.C.131,,§40 G. Recording Information. This Order of Conditions must be recorded in the.Registry ofDeeds or the Land Court for the district in which the land is located, within the chain of title of the affected property.In the case of recorded land,the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject-to.the Order.In the case of registered.land,this Order.shall also be noted on the Land Court:Certificate.of Title of the owner of the land subject to the:Order of Conditions:Tfie recording information on this page shall be submitted to the Conservation Commission listed below. BARNSTABLE Conservation Commission Detach on.dotted'line,have stamped by the Registry of Deeds and submirto the Conservation Conirnission. ..........................._......................- ............._._........................................ -----------------....-..................-------------------------......... To: BARNSTA13LE Conservation Comrrtission Please be advised that the Order of Conditions for the Project at 72 SOUTH BAY ROAD 003-5048 Project Location MassDEP FileNumber Has been recorded:at the Registry of Deeds,of: County Book Page i Property Owner JOHN/ROBERTMCELHINNEYISAARKANSKY,-rRS: and has been noted in the chain.of title of the affected property in: i ........... Book- Page In accordance with1he Order of Conditions.issued.on Date If recorded land;the instrument number identifying this transaction is: InstrumentNumber - If registered landi the document number.identif*g this transaction is: Document Number Uor a l s 212.s 127 t l-1,6.21=r`-1 3 2 a J36 S,rr-tR.l~ET,A2L'= LAND COUR-T REG STRY S4.4ure fApplicant, aN vum�o Page 9 of'10"ELECTR.ONIC COPY' BAXTER NYE,ENGINEERMG&SURVEYING 78'North Street,3"'Floor � �Z-O?S—.� :aZ Hyannis;Massachusetts 02601 I REScheck Software Version 4.4.4 Compliance Certificate � '5U Project Pool House Energy Code: 2009 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area 25% Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 72 South Bay Road Dennis and Lori Baldwin Thomas Catalano Osterville, MA 02655 72 South Bay Road Catalano Architects Inc Osterville, MA 02655 115 Broad Street 2nd Floor Boston, MA 02110 Compliance: Passes using UA trade-off Compliance: 10.2%Better Than Code Maximum UA: 990 Your UA: 889 The%Better or worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or or Door UA Perimeter U-Factor Floor 1: Slab-On-Grade:Unheated 951 10.0 650 Insulation depth: 6.0' North Wall: Wood Frame, 16"D.C. 386 19.8 0.0 17 (2) SF Casement: Wood Frame:Double Pane with Low-E 7 0.300 2 (1) SF Casement: Wood Frame:Double Pane with Low-E 10 0.300 3 (2) Bay Window: Wood Frame:Double Pane with Low-E 37 0.300 11 (2) FF Door: Glass 37 0.300 11 East Wall: Wood Frame, 16"D.C. 420 19.8 0.0 19 (4) Double Hung: Wood Frame:Double Pane with Low-E 58 0.300 17 (2)Sidelites: Wood Frame:Double Pane with Low-E 17 0.300 5 Front Door: Solid 20 0.300 6 West Wall: Wood Frame, 16" D.C. 420 19.8 0.0 20 (4) Double Hung: Wood Frame:Double Pane with Low-E 56 0.300 17 Round Window: Wood Frame:Double Pane with Low-E 5 0.300 2 Side Door: Solid 20 0.300 6 South Wall: Wood Frame, 16"D.C. 360 19.8 0.0 12 (2) Smaller Casement: Wood Frame:Double Pane with Low-E 7 0.300 2 Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 1 of 9 � r Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor (1) Lrg Casement: Wood Frame:Double Pane with Low-E 10 0.300 3 Triple Door: Glass 140 0.300 42 Cupola Walls(1): Wood Frame, 16"o.c. 176 12.6 0.0 11 (8) Cupola Casements: Wood Frame:Double Pane with Low-E 50 0.300 15 Ceiling 1: Cathedral Ceiling 678 41.0 0.0 18 Compliance Statement: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date I Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 2 of 9 r REScheck Software Version 4.4.4 Inspection Checklist Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. 2009 IECC Pre-Inspection/Plan Review Plans Verified Field Verified Complies? Comments/Assumptions Value Value 103.2 ;Construction drawings and ❑Complies ; [PR1]1 (documentation demonstrate ❑Does Not 0 :energy code compliance for the ;building envelope. ❑Not Observable ❑Not Applicable ; 103.2, ;Construction drawings and ❑Complies 403.7 documentation demonstrate ❑Does Not , [PR3]1 ;energy code compliance for ;lighting and mechanical systems. ❑Not Observable I Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ,compliance with the commercial :code. I 403.6 Heating and cooling equipment is; Heating: Heating: ;❑Complies [PR2]2 sized per ACCA Manual S based I Btu/hr I Btu/hr I❑Does Not on loads per ACCA Manual J or other approved methods. Btu/hrg• Btu/hrg :❑Not Observable ; ; :❑Not Applicable ; I Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 3 of 9 r 2009 IECC Foundation Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 402.1.1 ;Slab edge insulation R-value. ; R- ; R- ;❑Complies ;See the Envelope Assemblies ; [FO1]1 � ;❑ Unheated ,❑ Unheated ;❑Does Not 'table for values. O ❑ Heated El Heated ;❑Not Observable ❑Not Applicable 303.2, ;Slab edge insulation installed per ❑Complies 402.2.8 :manufacturer's instructions. ❑Does Not [FO2]1 []Not Observable ❑Not Applicable 402.1.1 'Slab edge insulation ft ; ft ;❑Complies ;See the Envelope Assemblies [FO3]1 depth/length. ;❑Does Not table for values. ❑Not Observable ❑Not Applicable 303.2.1 A protective covering is installed ❑Complies ; [FO11]2 to protect exposed exterior ❑Does Not insulation and extends a ❑Not Observable minimum of 6 in. below grade. ❑Not Applicable ; 403.8 Snow-and ice-melting system ❑Complies [FO12]2 controls installed. []Does Not U ❑Not Observable []Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 4 of 9 i 2009 IECC Framing/ Rough-In Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 402.1.1, (Door U-factor. ; U- ; U- ;❑Complies ;See the Envelope Assemblies 402.3.4 ;❑Does Not table for values. [FR1]1 ❑Not Observable © ;❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted ; U- ; U- ;❑Complies ;See the Envelope Assemblies 402.3.1, :average). :❑Does Not ;table for values. 402.3.3, 402.5 I ;❑Not Observable [FR2]1 ; ; ;❑Not Applicable O 6 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1 :are determined in accordance ❑Does Not (a ;with the NFRC test procedure or ❑Not Observable :taken from the default table. ❑Not Applicable 402.3.5 ;Sunrooms enclosing conditioned U- ; U ;❑Complies [FR8]1 :space have a maximum :❑Does Not !fenestration U-factor of 0.50 in :Climate Zones 4-8. New glazing :❑Not Observable :separating the sunroom from ; ;❑Not Applicable ; conditioned space must meet code requirements. 402.3.5 ;Sunrooms enclosing conditioned ; U- U- ;❑Complies ; [FR9]1 :space have a maximum skylight ;❑Does Not 0 U-factor of 0.75 in Climate Zones ;4-8. ;❑Not Observable ❑Not Applicable 402.4.4 ;Fenestration that is not site built ❑Complies ; [FR20]1 !is listed and labeled as meeting ❑Does Not Q ;AAMAMDMA/CSA 101/I.S.2/A440 or has infiltration rates per NFRC ❑Not Observable ; 400 that do not exceed code ❑Not Applicable limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish []Does Not J and labeled to indicate <_2.0 cfm leakage at 75 Pa. ❑Not Observable _ ❑Not Applicable 403.2.1 ;Supply ducts in attics are ; R-_ R- ;❑Complies [FR12]1 :insulated to>_R-8.All other ducts R_ R_ ;❑Does Not in unconditioned spaces or ; ,outside the building envelope are: ; ❑Not Observable insulated to >_R-6. ; ; ;❑Not Applicable 403.2.2 ',All joints and seams of air ducts, T _ ❑Complies [FR13]1 :air handlers,filter boxes, and ❑Does Not ;building cavities used as return ducts are sealed. ❑Not Observable ❑Not Applicable 403.2.3 Building cavities are not used for ❑Complies [FR15]3 supply ducts. ❑Does Not 'J IE]Not Observable _ ❑Not Applicable 403.3 HVAC piping conveying fluids ; R- ; R- ;❑Complies [FR17]2 above 105 QF or chilled fluids ❑Does Not below 55 °F are insulated to >_R- 3 ;❑Not Observable ❑Not Applicable 403.4 Circulating service hot water ; R- ; R- ;❑Complies [FR18]2 pipes are insulated to R-2. ; :ODoes Not O) ;❑Not Observable ❑Not Applicable 1 I High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 5 of 9 2009 IECC Framing/ Rough-In Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 403.5 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 6 of 9 2009 IECC Insulation Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 303.1 All installed insulation is labeled ❑Complies [IN13]2 or the installed R-values ❑Does Not provided. ❑Not Observable ' ❑Not Applicable 402.1.1, I Wall insulation R-value. If this is a;, R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.4, 1 mass wall with at least'/z of the ❑ Wood ;❑ Wood ;❑Does Not table for values. 402.2.5 :wall insulation on the wall [IN3]1 ;exterior,the exterior insulation ❑ Mass ❑ Mass :❑Not Observable :requirement applies. ;❑ Steel Steel ;❑Not Applicable 303.2 :,Wall insulation is installed per ❑Complies ; [IN4]1 manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable 402.2.11 ;Sunroom wall insulation has a R- R- ;❑Complies [IN8]1 !minimum R-value of R-13. New :❑Does Not :walls separating the sunroom ;from conditioned space must ; '❑Not Observable , I meet code requirements. ! ;❑Not Applicable ; 303.2 ;Sunroom wall insulation installed ❑Complies ; [IN9]1 per manufacturer's Instructions. ❑Does Not ❑Not Observable ❑Not Applicable 402.2.11 ;Sunroom ceiling minimum ; R- R- ;❑Complies [IN10]1 (insulation R-value of R-19 in ! ❑Does Not :Climate Zones 1-4, and R-24 in 'Climate Zones 5-8. ❑Not Observable ❑Not Applicable 303.2 ;Sunroom ceiling insulation is ❑Complies [IN11]1 linstalled per manufacturer's ❑Does Not Q ;instructions. : ❑Not Observable ' ❑Not Applicable Additional Comments/Assumptions: 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 7 of 9 f 2009 IECC Final Inspection Provisions Plans Verified Field Verified Complies? Comments/Assumptions Value Value 402.1.1, ;Ceiling insulation R-value.Where ; R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.1, �> R-30 is required, R-30 can be ❑ Wood ;❑ Wood ;❑Does Not ;table for values. 402.2.2 :used if insulation is not [F11]1 ;compressed at eaves. R-30 may ;❑ Steel i❑ Steel ;❑Not Observable ; 0 !be used for 500 ftz or 20% ; ;❑Not Applicable !(whichever is less) where ;sufficient space is not available. 303.1.1.1, :Ceiling insulation installed per ' ❑Complies 303.2 !manufacturer's instructions. jy ❑Does Not ; [F12]1 ;Blown insulation marked every 1300 ftz :` 1. , �a ❑Not Observable log { _ % ❑Not Applicable 402.2.3 ;Attic access hatch and door R- R- ;❑Complies [FI3]1 ;insulation >_R-value of the ❑Does Not adjacent assembly. ;❑Not Observable ; ❑Not Applicable 402.4.2, ;Building envelope tightness ; ACH 50 = ACH 50 = ;❑Complies 402.4.2.1 verified by blower door test result: E❑Does Not [FI17]1 of<7 ACH at 50 Pa.This requirement may instead be met ; ;❑Not Observable Ivia visual inspection, in which ;❑Not Applicable case verification may need to occur during Insulation Inspection. I 402.4.3 Wood-burning fireplaces have ❑Complies [FI8]2 gasketed doors and outdoor ❑Does Not v combustion air. ;.t ❑Not Observable ❑Not Applicable 403.2.2 ;Post construction duct tightness cfm ; ~cfm ;❑Complies ; [FI4]1 !test result of 158 cfm to outdoors, :❑Does Not or<_12 cfm across systems. Or, '❑Not Observable ; rough-in test result of 56 cfm across systems or<_4 cfm ❑Not Applicable :without air handler. Rough-in test ;verification may need to occur !during Framing Inspection. ! ! 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed on forced air furnaces. ❑Does Not U ❑Not Observable []Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]2 on heat pumps. ❑Does Not J ❑Not Observable []Not Applicable 403.4 Circulating service hot water ❑Complies [FI11]2 systems have automatic or ❑Does Not J accessible manual controls. ❑Not Observable , ❑Not Applicable 403.9.1 Readily accessible switch on ❑Complies [FI12J3 heaters for swimming pools. ❑Does Not v ❑Not Observable ❑Not Applicable 403.9.2 Timer switches on pool heaters ❑Complies [FI19]3 and pumps are present. ❑Does Not ❑Not Observable ❑Not Applicable I 11 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 8 of 9 2009 IECC Final Inspection Provisions Plans Verified . Field Verified Value Value Complies? Comments/Assumptions 403.9.3 Heated swimming pools have a ❑Complies [F120]3 cover. Covers on pools heated ❑Does Not v over 90 4F are insulated to R-12. []Not Observable ; ❑Not Applicable 404.1 ;50%of lamps in permanent ❑Complies [F16]1 'fixtures are high efficacy lamps. ❑Does Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [FI7]2 ❑Does Not U ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not equipment have been provided. ❑Not Observable , ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Pool House Report date: 11/13/1 Data filename: Baldwin Pool House.rck Page 9 of 9 2009 IECC Energy Efficiency Certificate Insulation Rating R-Value Wall 19.80 Floor 10.00 Ceiling / Roof 41.00 Ductwork (unconditioned spaces): Glass & Door Rating U-Factor SHGC Window 0.30 Door 0.30 CoolingHeating & Heating System: Cooling System: Water Heater: Name: Date: Comments REScheck Software Version 4.4.4 Compliance Certificate *ao Project Energy Code: 2009 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 0 ft2 Glazing Area 21% Heating Degree Days: 6137 Climate Zone: 5 Permit Date: Construction Site: Owner/Agent: Designer/Contractor: 72 South Bay Road Dennis and Lori Baldwin Thomas Catalano Osterville, MA 02655 72 South Bay Road Catalano Architects Inc. Osterville, MA 02655 115 Broad Street 2nd Floor Boston, MA 02110 Compliance: trade-off Compliance: 7.9%Better Than Code Maximum UA: 1907 Your UA: 1757 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Basement Wall 1: Solid Concrete or Masonry 2,755 0.0 10.0 146 Wall height: 9.5' Depth below grade: 9.3' Insulation depth: 9.5' Basement Wall 2: Solid Concrete or Masonry 504 12.6 10.0 16 Wall height: 9.5' Depth below grade: 8.5' Insulation depth: 9.5' (2) Light Well Windows: Wood Frame:Double Pane with Low-E 14 0.300 4 (1) Wood Door: Solid 20 0.300 6 Basement Slab: Slab-On-Grade:Unheated 432 10.0 295 Insulation depth: 6.0' Master Bathroom Floor:All-Wood Joist/Truss:Over Outside Air 213 42.8 0.0 5 South Wall: Wood Frame, 16"o.c. 2,475 19.8 0.0 99 Transom: Wood Frame:Double Pane with Low-E 3 0.300 1 Casement: Wood Frame:Double Pane with Low-E 13 0.300 4 (2) Double Window: Wood Frame:Double Pane with Low-E 28 0.300 8 (4) Double Hung: Wood Frame:Double Pane with Low-E 52 0.300 16 (4)Transom for Double Hung: Wood Frame:Double Pane with Low-E 16 0.300 5 (2) Large Casement b/w dbl hung: Wood Frame:Triple Pane 36 0.300 11 Project Title: Report date: 11/13/1 Data filename: M11 Baldwin.rck Page 1 of10 r i Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor (2)Transom Over Lrg Csment: Wood Frame:Double Pane with Low-E 10 0.300 3 (6) 3rd Floor Casement: Wood Frame:Double Pane with Low-E 18 0.300 5 (1) Eyebrow Dormer: Wood Frame:Double Pane with Low-E 8 0.300 2 (2) Casement on Balcony:Wood Frame:Double Pane with Low-E 18 0.300 5 (2) Casement on Balcony:Wood Frame:Double Pane with Low-E 26 0.300 8 (4)Transom Above Casement: Wood Frame:Double Pane with Low-E 16 0.300 5 (1) Small Casement:Wood Frame:Double Pane with Low-E 7 0.300 2 (1) Casement Next to Sm. Csmt: Wood Frame:Double Pane with Low-E 11 0.300 3 (2) Long Casements: Wood Frame:Double Pane with Low-E 14 0.300 4 (1) Large Casement: Wood Frame:Double Pane with Low-E 17 0.300 5 (2)Transom Over Long Csmt: Wood Frame:Double Pane with Low-E 4 0.300 1 (1)Transom Over Lrg Csmt: Wood Frame:Double Pane with Low-E 5 0.300 2 (2) 2nd Floor Door: Glass 32 0.310 10 (1)Transom Over Door: Wood Frame:Double Pane with Low-E 7 0.300 2 (6) FF Lrg Casement: Wood Frame:Double Pane with Low-E 126 0.300 38 (6)Transoms: Wood Frame:Double Pane with Low-E 27 0.300 8 (5)Transom:Wood Frame:Double Pane with Low-E 25 0.300 8 (2)Transom:Wood Frame:Double Pane with Low-E 7 0.300 2 (4) Casement by Grill: Wood Frame:Double Pane with Low-E 44 0.330 15 (4)Transom:Wood Frame:Double Pane with Low-E 16 0.300 5 (10) FF Door: Glass 160 0.310 50 (2) FF Door: Glass 46 0.310 14 South Wall Misc.: Wood Frame, 16" o.c. 481 19.8 0.0 20 South Wall Misc Windows: Wood Frame:Double Pane with Low-E 75 0.300 23 South Wall Misc Doors: Glass 62 0.310 19 East Wall: Wood Frame, 16" o.c. 1,448 19.8 0.0 72 (2)Casement Dormer:Vinyl Frame:Double Pane with Low-E 12 0.300 4 (9) Double Hung:Vinyl Frame:Double Pane with Low-E 126 0.300 38 (3) Casement: Wood Frame:Double Pane with Low-E 18 0.300 5 (4) Round Window: Wood Frame:Double Pane with Low-E 19 0.300 6 (3) Casement: Vinyl Frame:Double Pane with Low-E 34 0.300 10 (1) FF Door: Solid 20 0.300 6 East Wall Misc: Wood Frame, 16"o.c. 148 19.8 0.0 7 Door 7: Solid 21 0.300 6 North Wall:Wood Frame, 16"o.c. 2,995 19.8 0.0 148 (2) Casement by Paneling: Wood Frame:Double Pane with Low-E 25 0.300 8 (2)Transom: Wood Frame:Double Pane with Low-E 8 0.300 2 (6) Double Hung: Wood Frame:Double Pane with Low-E 84 0.300 25 (1) FF Double Hung:Wood Frame:Double Pane with Low-E 7 0.300 2 (1) SF Double Hung: Wood Frame:Double Pane with Low-E 11 0.300 3 Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 2 of 10 Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor (2) FF Double Hung: Wood Frame:Double Pane with Low-E 15 0.300 5 (2) Oval Window: Wood Frame:Double Pane with Low-E 9 0.300 3 (6)TF Casement: Wood Frame:Double Pane with Low-E 22 0.300 7 (1) Eyebrow Window:Wood Frame:Double Pane with Low-E 9 0.300 3 (1) Long Triple Hung: Wood Frame:Double Pane with Low-E 33 0.300 10 (1) Med. Double Hung: Wood Frame:Double Pane with Low-E 27 0.300 8 (1) Small Double Hung: Wood Frame:Double Pane with Low-E 20 0.300 6 (3)Transom over 3 Irg Windows:Wood Frame:Double Pane with Low-E 12 0.300 4 (4)SF Casement Above Entry: Wood Frame:Double Pane with Low-E 53 0.300 16 (4)SF Transom over Casement: Wood Frame:Double Pane with Low-E 17 0.300 5 (1)SF Center Casement:Wood Frame:Double Pane with Low-E 23 0.300 7 (1)Transom over Center Casement: Wood Frame:Double Pane with Low-E 7 0.300 2 (2) Dbl Hung flanking Front Door:Wood Frame:Double Pane with Low-E 35 0.300 11 (2)Sidelites: Wood Frame:Double Pane with Low-E 24 0.300 7 Door 8: Solid 27 0.300 8 (1) SF Casement: Wood Frame:Double Pane with Low-E 13 0.300 4 (1)Transom: Wood Frame:Double Pane with Low-E 3 0.300 1 West Wall: Wood Frame, 16"o.c. 1,436 19.8 0.0 52 I (6) Double Hung: Wood Frame:Double Pane with Low-E 89 0.300 27 (3) Double Hung: Wood Frame:Double Pane with Low-E 41 0.300 12 (3)Garage Doors: Solid 236 0.300 71 (1)Side Door: Solid 20 0.300 6 (2) Dormer Casement: Wood Frame:Double Pane with Low-E 14 0.300 4 (2) Larger Dormer Casement: Wood Frame:Double Pane with Low-E 29 0.300 9 (2) Larger Dormer Dbl Hung: Wood Frame:Double Pane with Low-E 30 0.300 9 (4)Transoms in Larger Dormer: Wood Frame:Double Pane with Low-E 15 0.300 5 (2)Transom over Doors: Wood Frame:Double Pane with Low-E 13 0.300 4 (4) FF Glass Doors: Glass 66 0.310 20 Ceiling 1: Cathedral Ceiling 6,900 33.3 0.0 214 Compliance Statement. The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.4 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 3 of10 REScheck Software Version 4.4.4 Inspection Checklist Requirements: 0.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. 2009 IECC Pre-Inspection/Plan Review Plans Verified Field Verified Value Value Complies? Comments/Assumptions 103.2 ;Construction drawings and ❑Complies [PR1]1 ;documentation demonstrate ❑Does Not ;energy code compliance for the ; building envelope. []Not Observable ❑Not Applicable ; 103.2, ;Construction drawings and ❑Complies 403.7 !documentation demonstrate ❑Does Not [PR3]1 ;energy code compliance for Cj ;lighting and mechanical systems. ❑Not Observable "Systems serving multiple ❑Not Applicable ;dwelling units must demonstrate ; ;compliance with the commercial code. 403.6 Heating and cooling equipment is; Heating: Heating: ;❑Complies [PR2]2 sized per ACCA Manual S based Btu/hr Btu/hr ElDoes Not 9 on loads per ACCA Manual J or v Cooling:other approved methods. Btu/hr B u/hrg :❑Not Observable ; ;❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 4 of10 2009 IECC Foundation Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 402.1.1 ISlab edge insulation R-value. ; R- ; R- ;❑Complies ;See the Envelope Assemblies [FO1]1 ;❑ Unheated ;❑ Unheated ;❑Does Not 1 table for values. QQ ❑ Heated ❑ Heated ;❑Not Observable ❑Not Applicable 303.2, ;Slab edge insulation installed per ❑Complies 402.2.8 :manufacturer's instructions. ❑Does Not [F0211 ❑Not Observable ❑Not Applicable 402.1.1 (Slab edge insulation ft ft ;❑Complies ;See the Envelope Assemblies [F0311 depth/length. ;❑Does Not table for values. ;❑Not Observable ❑Not Applicable 402.1.1 ;Conditioned basement wall ; R- ; R- ;❑Complies ;See the Envelope Assemblies [F04]1 :insulation R-value.Where interior: :ODoes Not ;table for values. :insulation is used, verification : may need to occur during ;❑Not Observable I Insulation Inspection. Not ; ;❑Not Applicable ; required in warm-humid locations ;in Climate Zone 3. 303.2 ;Conditioned basement wall ❑Complies ; (F0511 insulation installed per ❑Does Not manufacturer's instructions. ❑Not Observable ; ❑Not Applicable 402.2.7 ;Conditioned basement wall ; ft ; ft ;❑Complies ;See the Envelope Assemblies (F0611 :insulation depth of burial or : :❑Does Not ;table for values. !distance from top of wall. I ; :nNot Observable ; ❑Not Applicable 303.2.1 A protective covering is installed ❑Complies ; [FO11]2 to protect exposed exterior ❑Does Not U insulation and extends a minimum of 6 in. below grade. ❑Not Observable ❑Not Applicable 403.8 Snow-and ice-melting system ❑Complies [FO12]2 controls installed. ❑Does Not U ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 5 of10 2009 IECC Framing/ Rough-In Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 402.1.1, Moor U-factor. ; U- U- ;❑Complies ;See the Envelope Assemblies 402.3.4 :❑Does Not ;table for values. [FR1] 1 ,❑Not Observable ❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, average). ![-]Does Not ;table for values. 402.3.3, 402.5 1❑Not Observable ; I I I I (FR2]1 I ;❑Not Applicable ® I I I I 1 I I I I 1 I 1 I I I 1 I I I 303.1.3 ;U-factors of fenestration products ❑Complies [FR4]1 Tare determined in accordance ❑Does Not ;with the NFRC test procedure or (a ;taken from the default table. ❑Not Observable ❑Not Applicable ; 402.3.5 ;Sunrooms enclosing conditioned U- ; U- ;❑Complies ; [FR8]1 ;space have a maximum ; F❑Does Not ;fenestration U-factor of 0.50 in ;Climate Zones 4-8. New glazing ❑Not Observable separating the sunroom from ;❑Not Applicable I 1 1 I 'conditioned space must meet I I 1 1 1 ;code requirements. 402.3.5 ;Sunrooms enclosing conditioned U ; U- ;❑Complies ; [FR9]1 ,space have a maximum skylight ; :❑Does Not U-factor of C) 0.75 in Climate Zones; ; ;❑Not Observable ; A 4-8. ❑Not Applicable 402.4.4 ;Fenestration that is not site built ❑Complies [FR20]1 its listed and labeled as meeting ❑Does Not ;AAMA/WDMA/CSA 101/I.S.2/A440 ❑Not Observable :or has infiltration rates per NFRC 400 that do not exceed code ❑Not Applicable I limits. 402.4.5 IC-rated recessed lighting fixtures ❑Complies [FR16]2 sealed at housing/interior finish ❑Does Not U and labeled to indicate <_2.0 cfm ❑Not Observable leakage at 75 Pa. ❑Not Applicable 403.2.1 ;Supply ducts in attics are R- ; R- ;❑Complies [FR12]1 !insulated to>_R-8.All other ducts 1 R- i R- ;❑Does Not v :in unconditioned spaces or ;outside the building envelope are; ❑Not Observable !insulated to >11-6. ;❑Not Applicable ; 403.2.2 ;All joints and seams of air ducts, ❑Complies ; [FR13]1 :air handlers,filter boxes, and ❑Does Not building cavities used as return ❑Not Observable ;ducts are sealed. ❑Not Applicable ; 403.2.3 Building cavities are not used for ❑Complies [FR15]3 supply ducts. ❑Does Not 10 ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids R- R- ;❑Complies [FR17]2 above 105 4F or chilled fluids ;❑Does Not below 55 4F are insulated to >_R- ; 3 ; ;❑Not Observable ❑Not Applicable 403.4 Circulating service hot water ; R- R- OComplies [FR18]2 pipes are insulated to R-2. ❑Does Not B) ;❑Not Observable ❑Not Applicable 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 6 of10 t 2009 IECC Framing/ Rough-In InspectionPlans Verified Field VerifiedValue Value Complies? Comments/Assumptions 403.5 Automatic or gravity dampers are ❑Complies [FR19]2 installed on all outdoor air ❑Does Not intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 7 of10 2009 IECC Insulation Inspection Plans Verified Field Verified Complies? Comments/Assumptions Value Value 303:1 %. All installed insulation is labeled ❑Complies [IN13]Z or the installed R-values ❑Does Not U Sri provided. ❑Not Observable r: ❑Not Applicable ; 402.1.1, ;Floor insulation R-value. R- ; R- ;❑Complies ;See the Envelope Assemblies 402.2.5, ;❑ Wood ;❑ Wood ;❑Does Not table for values. 402.2.E ❑ Steel ❑[� ]1 Steel �❑' Not Observable IN1 ;❑Not Applicable 303.2, ;Floor insulation installed per ❑Complies ; 402.2.6 :manufacturer's instructions, and ❑Does Not [IN2]1 ;in substantial contact with the ❑Not Observable underside of the subfloor. ❑Not Applicable 402.1.1, Wall insulation R-value. If this is a, R- R- ;❑Complies ;See the Envelope Assemblies 402.2.4, :mass wall with at least'/2 of the 1❑ Wood ;❑ Wood ![]Does Not table for values. 402.2.5 ;wall insulation on the wall ;❑ Mass ❑ Mass :❑Not Observable [IN3]1 ;exterior,the exterior insulation :requirement applies. ;❑ Steel ❑ Steel ;❑Not Applicable ; i 303.2 ;Wall insulation is installed per ❑Complies [IN4]1 :manufacturer's instructions. ❑Does Not 0 ❑Not Observable ❑Not Applicable 402.2.11 ISunroom wall insulation has a R R ;❑Complies [IN8]1 minimum R-value of R-13. New :❑Does Not Iwalls separating the sunroom ;from conditioned space must :❑Not Observable meet code requirements. ; ;❑Not Applicable 303.2 ;Sunroom wall insulation installed ❑Complies [IN9]1 :per manufacturer's Instructions. ❑Does Not 0 [-]Not Observable ❑Not Applicable 402.2.11 ;Sunroom ceiling minimum R R- ;❑Complies [IN10]1 insulation R-value of R-19 in :❑Does Not ;Climate Zones 1 4, and R 24 in ❑Not Observable Climate Zones 5-8. ; ;❑Not Applicable 303.2 ;Sunroom ceiling insulation is ❑Complies [IN11]1 :installed per manufacturer's ❑Does Not U I instructions. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 11 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 8 of10 Plans Verified Field Verified 2009 IECC Final Inspection Provisions Value Value Complies? Comments/Assumptions 402.1.1, :Ceiling insulation R-value. Where R- R- ;❑Complies ;See the Envelope Assemblies 402.2.1, :> R-30 is required, R-30 can be ❑ Wood ;❑ Wood ;❑Does Not table for values. 402.2.2 :used if insulation is not [FI1]1 compressed at eaves. R-30 may ;❑ Steel ❑ Steel ❑Not Observable I be used for 500 ftz or 20% ; ;❑Not Applicable (whichever is less) where ;sufficient space is not available. ; 303.1.1.1, Ceiling insulation installed per ❑Complies 303.2 :Blown instructions. XY �� s: ❑Does Not [FI2] Blown insulation marked every , 300 ftz. ,� t^^ �� wt ❑Not Observable ❑Not Applicable 402.2.3 ;Attic access hatch and door R- R- ;❑Complies [FI3]1 l insulation >_R-value of the :❑Does Not :adjacent assembly. I❑Not Observable ❑Not Applicable 402.4.2, ;Building envelope tightness ; ACH 50 = ACH 50 = ;❑Complies 402.4.2.1 'verified by blower door test result! :❑Does Not [F117]1 !of<7 ACH at 50 Pa.This U requirement may instead be met ; ❑Not Observable !via visual inspection, in which ;❑Not Applicable ; case verification may need to l occur during Insulation !Inspection. 402.4.3 Wood-burning fireplaces have ❑Complies [FI8]2 gasketed doors and outdoor ;� r o ❑Does Not combustion air. BJ ❑Not Observable ; ❑Not Applicable ; 403.2.2 ;Post construction duct tightness cfm ; cfm ;❑Complies ; [FI4]1 test result of 158 cfm to outdoors, ;❑Does Not :or 512 cfm across systems.Or, rough-in test result of:56 cfm ❑Not Observable :across systems or<_4 cfm ! ; ;❑Not Applicable ; without air handler. Rough-in test verification may need to occur ; during Framing Inspection. 403.1.1 Programmable thermostats ❑Complies [F19]2 installed on forced air furnaces. ❑Does Not , U ❑Not Observable ❑Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies [FI10]z on heat pumps. ❑Does Not V ❑Not Observable ❑Not Applicable , 403.4 Circulating service hot water ❑Complies [FI11]z systems have automatic or ❑Does Not u accessible manual controls. ❑Not Observable ❑Not Applicable 403.9.1 Readily accessible switch on ❑Complies [F112]3 heaters for swimming pools. ❑Does Not J ` ❑Not Observable f ❑Not Applicable 403.9.2 Timer switches on pool heaters ❑Complies [Fl19]3 and pumps are present. ❑Does Not 49) ❑Not Observable ❑Not Applicable 11 High Impact (Tier 1) 2 Medium Impact(Tier 2) 3 1 Low Impact(Tier 3) Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 9 of10 i 2009 IECC Final Inspection Provisio Plans Verified Field Verified ns Value Value Complies? Comments/Assumptions 403.9.3 Heated swimming pools have a ❑Complies [F120]3 icover.Covers on pools heated ❑Does Not over 90 QF are insulated to R-12. ❑Not Observable ❑Not Applicable 404.1 50%of lamps in permanent ❑Complies [F16]1 {fixtures are high efficacy lamps. ❑Does Not ❑Not Observable ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies [FI7]2 ❑Does Not lJ ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies [FI18]3 mechanical and water heating ❑Does Not U equipment have been provided. ❑Not Observable ; ❑Not Applicable Additional Comments/Assumptions: 11 High Impact(Tier 1) 2 Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Report date: 11/13/1 Data filename: 21111 Baldwin.rck Page 10 of10 2009 IECC Energy Efficiency Certificate Insulation Rating R-Value Wall 19.80 Floor 10.00 Ceiling / Roof 33.30 Ductwork (unconditioned spaces): Glass& Door Rating U-Factor SHGC Window 0.30 Door 0.30 CoolingHeating & Heating System: Cooling System: Water Heater: i Name: Date: Comments t 10/11/13-PRICING SET 11/15/13-PERMIT SET 12/18/13-EXTERIOR PACKAGE BID SET 1 04/11/14-EXTERIOR DETAILS ISSUED I FOR CONSTRUCTION 't 04/25/14-INTERIORS ISSUED FOR I MILLWORK PRICING • I I I • I I I I I I I I 1 I I ae r OurD00a n 7 SNOWai S70a4GE P^e^o • 5 ' 1' I u' L N.N.Faud Lgq�e Gu:ur- C //. I -naFfwdfgye.Gu:ty N NN ' JL - 3 BATH — t r - KITCHEN CHANGIN PI@ 'Plot •Oa Vt P10I a= to sosEye..� - CONSULTANTS: ' I/ / "---------------- ----y------------- \ SITE/CIVIL r Baxter&Nye Engineering and Surveying 78 North Street,3rd Floor H nnis,MA 02601 50&771-7502 I l i l l 3 POOL PORCH l r l I - LANDSCAPE ARCHITECT P812 . I _ i i I Bruce Besse .i...l .. I 1 STRUCTURAL ENGINEER 48 Grove Street i I (='�"• : i • I I 17 628- 00 Somerville, 17A 02144 6 I I! a b I sK 1 I INTERIOR DESIGNER a'� I Nannette Lewis Interiors I I 45 Laurel Road Chestnut Hill,MA 02467 617-739-3004 NN mCmelmm Palm®slot: I I Pool House Roof Plan Pool House First Floor Plan � 2 SCALE va•�r-a, ® I stnrE va•=r-o ® 72 South Bay Road - �6�P� 1 Residence 72 South Bay Road Osterville,MA 21111 Popiarnsuse Floor • SCALE:. 1/4' = 1•-0' • DATE Thursday,July 31.2014 Catalano Architects Inc. _ 115 Broad Street Boston,Massachusetts 02110 ' telepharre 617-336-7447 facsimile 617-338-6639 PH 10/11/13-PRICING SET 1 I I 1 1/1 5/13-PERMIT SET CaF,<— C'-Flx l I ' Burie:q Bum , 9uM:y gum 12/18/13-EXTERIOR PACKAGE BID SET EPvva r4or,t W++u—\ I 1 wre P.el,t W.w-11 I 04/11/14-EXTERIOR DETAILS ISSUED CCCv vww w1 nJ x w w� l xew FOR CONSTRUCTION >�._aWeLCIKEFLYtliu EIEF_ ---_---•------ ---- - ----------------------_L1wuuGF awnr4elEYp p;wJv eroGF.rn.lm ua'_ --:-------__----__ _ -------------__—__—_---Luumlra:e p..w,ElE1',� MILLWORK PRICING ISSUED FOR .ITo+•^' lxes7 Eu.l:<y. [5zey.] - F,.rrv^ [✓eec•J I G . .lrkr05 6 �:l rseCca.SluryieP lual) 2•B ru hn imw� ._ ____ �.. -�-- �v?Mc.Y F.pav,. wd•r4w CgT�'Gv.:e.� - _ -=-- 25P•iM ere . 5irr,pke 0:E•Fo+vo f L • Vb•cn Caw'.Pjll,prl xldtl -- - - - ��- � air y Ba P.J r„e„ �. —wY• Eawc„na r ( `� B.B r:J rx,no,sr�w. i moa: - (�Bl ia,N Cogeclpmepou� Pu hca,tic bwrcf,pmd �^�II PxJ A:�Slu:wd9wp Smote rauY Cora W.nerou: )i - iwunR/rywrcW,aw ♦ r )r.rw 0.4,b pyl, � . uarntn<PJiupertJ - '~ II P.r.,CN,r S,l,pk,ne , ru Rrsi•J.c tans i,fertl I RyP LMm� ft ,I .i ' �&rti.YEµ \ \ •,\ , \ fuPcan fAnn . 11 P Swttvv Poe mWc I Nrt 51Mb Me b.e xUar Comva 4uWmixif:n �`� \ \ .1+-I,-rr- 9v,etval Iles lr.� I i I �v Y'WvYWv`r\ J•1 ^. ., - �il�. .l I ii uCGv6,IZ.l.vu,.n y'W�Y-YwY\ _-__ —_ — __ __ __________ ___� rm:v Free Fy+ewma-rl� -—- —_-—--— - _Fa.Br rlcucw+ry Fl:•O-IK [S.C') . n_—__—_ E�,11 [15p] � El:•O-IM [e.¢j � PNtpFCt[6O] EL•OM [6.L�] . � I ul\ I I I I , ' urmoiFw.w::bn , I I I J L-----------J----------- J____Mh, J ' 3 East Elevation 2 South Elevation SCALE I/4•e I'-O ® SCALE V4•=I'-P � • CONSULTANTS:' SITE/CIVIL Baxter&Nye Engineering and Surveying 78 North Street,3rd Floor HyyanniS,.MA 02601 50&771-7502 TTT TT LANDSCAPE ARCHITECT Bruce Besse /—eco rr" ura STRUCTURAL ENGINEER I Roome&Guarracino LLC 48 Grove Street Somerv>,�Ja•.BIpGEMeM1ElEE __ __—_(` _ _—__—__ 617-62&1700A 02144 FI:.ITO�"' (s2Gc1 EL•rT► r52Gc1 EL.rrN•- [B2Gs1 El:_rrc�•' l}=B5'1 INTERIOR DESIGNER Nannette={{ - " - ply y 45 Laurel Road s Interiors _ . rrd G4,.BNryb lxup sbyteo5 s�.e.�- z�nJn-,«ol«r. , w c � -d-- .� k o �. r Chestnut 004 MA O2467 _ 617-739-3004 P"Q7 19m13�II�17 -•-•' _ wY.f Carper Gutter—, � - B,B p,d rlmter � • pu Axel Cm+n Awe.,ty—�' - ,Jy _..1 .1 � �1'•.�,�'Yrrf+yT .�. + t...i+r. � Ji••+. mrlWldq Aldm6v YC. \� 1- i - +' `-+.�•"'� - � , PU A:ol Enuwu,<APemuy J �.. .' ry Banemp,=ree�pe,�� � I 1 r u Are Bl.4taest..p el I I r waw.,: B.la.rt fpw smzmr rapl.•oompw: it '" I 'IIII'I .wrr w,,.e..rvi,c Residence -.p. u,ti ru.cm rlb Fs.aa Pr u 0.mrroy uP:sa rp,tun,Mti L,. 72 South BCy Road 0Slervil .MA r milli Bwar».x t.y I Qat2.l pu tin fvrr . . - ruSLVlmrrm.I,raFt�P,l _—_ 1. �. II �mtaw�E, I1IIi 11 11111ji1 _ p CM pECC[6C] EL-a- •O� 16.12J (I L.On•+ - �^^ 21111 P�PI Hpuse Building ru ti.,.x„e.t.w.m + I I I p:J kn W,:or,t4,m Aprm everLlons I I uTerwd.w, i I ua err Fow.Ja., Y I I SCALE: 1/4' = 1'-0' I L------------L------------�------------J L-_—� I _----------------„t__--------------------- DATE: Thursday.July 31.2014 �1West Elevation North Elevation —- 4 Catalano Architects Inc. SCALE I/4•=r-o- I SCALE I/4'=1•-0' 115 Broad Street Boston,Massachusetts 02110 telephone 617-338-7447 L taaimile 617-338-6636 PH 2.1 � 2d P..hm Cu.nM1 LrJM / rA%lA:9rPmW 2••WACenrt:uabn,:Ogn,— rl(SSy CEI.iH,•:9 rrn+C<Nd,.n ' r:a CW.SNi<r:S E•Io,ve Or � 5�C ye K.NY:,fn 5 Wd,llnrtnk. - gfa-rAc-rmf atlWrrh<nOr30t. 1 j-v0 wlw,i.ru __—__—__—__—__ y .�wlnbnnr• Y, S __—__—__—__—__—__—._—_ —__—__—__—__ _— ev.rr�•• IaznT] aa.J ca er.,N.m hn e. 1 L A l. a ra cnHalruclr,H EL.Cd'"• Izo)•'1 - R ` y E1•k'd°"'< mf� } f<(Gn,.Yvle•v 3�EHewn.O•aM ..`> t,♦.^b,.. a:- °'crv•iK y+n s�v vlwr>'ltv+}�j�,'�;1>�S`: Fuc rgc<wrr W . �.,r. nly 0',,,�oL,1.n1u tl 6a �'x,. cro«ec•gP+w,m«aa:.oCdwg. 10/11/13-PRICING SET tl� E 2 M19 Gwg ss S fa)zroe�m <5<„aw<elwa, r,na i<r• alo wnr.ru..c.<Nr nw.� _ 11/15/13-PERMIT SET •Cu<vl fining .. '. `\ 9<i 9i.ucwri D.y �/ <I ^ -f. ' —._—__—_ — Go:ntcf ]eK__ 2A. , l t I f 6�"• lz6s ( V] -----'---E • -EXTERIOR PACKAGE BID SETzj 12/18/13 " 04/11/14-EXTERIOR DETAILS ISSUED "�i� FOR CONSTRUCTION I EL•IM1_ f252rj I -'Iatl,O G'O.C. ` , 2M,mG OL � F�C<pr<.0 w / < 1 ;,,•�' Y � v cfnx:r-calsifucme r.v'<. i ' o<m..:,.<-,w - z.tla.mE.w.•o�;•ot m•www� y l rc�6.I+wP H �yW s^ 04/25/14-INTERIORS ISSUED FOR atlr<.ne Jelr:rml6'OL IK:ewH<aac See 9:�u-nr,l D.V•� MILLWORK PRICING rfrtlP W.0 mm,fLelew PJ vxw v...wuW...,n.mue n:u<ro+ ,cn iH,a su sm<ed<w mrw , .�. �q uf�<Fwua:bn w.0 HISr GUL N(2)Cw:n•.m tlYllll 5<c g:�ucwn t a69u.n �_ ___y EfiEPgr Wait CM:9lfuCix<:.SW..«e. r - •. WY,p Erw.NM:Nke6 Wren Sn'r,f vrc«s.a ulr•,=wn<. i<e c<er.swye.va.p gv:v. BATHROOM. KITCHENETTE yE,�,,,,,„a,,,rn.,..f.mmvNm POOL PORCH S CHANGING ROOM POOL EOUIPMEM DCa.cmu91wntl1. P102 Plot CHANGING ROOM ,e,W g.nn P812 P103 STORAGE s,..6p<a°"•''•^" ,)po.dinny lw,P Fu auerbrtn iurcrn 2y,u.�<(o< ( � f�urlw5 Carp,c: S5-F:CD:•. �IeCorpoWu g:ne:�.n Co✓nv 1 Come:e garb pv 5vnciv,l 6Ww/5u,a>OG'OL. •V" � S (DI2.H P,.3g Ha�ga•M �g)n Fum rW:Ynn 9uJ 26«e ' / Deb Frei Y rtl �,; aen g.rl,l<.f vz•mr mcro. - ': i �'. Bav,mJ?OLN Sa Graa Fie,nr�loa-2mllu:a r.rc=__T T ,. JICg1 Ei1�.FW.hrA Hw>rtLtl __— — _—_ __—__ -__—_ _-___- _------- ---_ - __.- __- Fi+ems �a� -- - _ SLEaAS FJ¢Llcf EwmJ'm16.0 j+ x GrnDe# 1 wsj i .w.c.o<m<5i.e - `L'. �.:-i�''1 ♦ _—Lo.cma<u wcrod.Hw� 'a'I�T <?. ._.�.�. 't..e' xawa e , ELany ju9e'] � .�'. i I PlKiln. r- -+ y �D,InITknPAN;ai°uc]EL},dg') irl� � R -�` yi I � I �h , "� I i fianl�•' (uazj ev 15D.Cmnl:u:<w:M1 J�u I 4 • V2 Rr Wcu,. f(M IIFrI Ch Mrb /j I i.J..i2 .q. 7�L _•A�n I 91M f[44iYLCitlx: �.G ,)Y'h 'bd"l v'pa"W� / i 5`..\� L,r-e u.rw�n,:a�vau�p«aiq.m s«um.c.x,nH uc.w.Mq. be I a•n .P—. .4T ,•�.1.. ��. we<n. 1. T _—__—_ ••Wvnl rtlnh Lbrcme gbn NCen:A Jd�u J/ ,c• ' nw,um'h•um ,rmn:errumsann r<nme:aoirom: a'6TC,_y4,Y 7 TC"� I. I ^O 'j. ff--•^�� �' i ' fim.row, g,mr.. I. '4. c<;,a covn<rc,w,:a.w,x �"w>l�.• I �e;� +7�° y`a,��.� i,I. .um.rnam<x�b.fcr.uaxin:. ,I, '{ I __ "°` V <'� C�> —f 9YaYkfE Iran s,rc. Wq 1� EL:.,:'J Ltl.S] El-.• Itl.Fij (.<L(J — -- �. — — y<T + T PHb HMr:lbn -� 1c. I O _ EL.•v3' (k+.TS' �rrl \ F.,ibn e.,.Nmin F.b,n N '"is�,-r ♦ w_—..• Izowue5we,4wpttm .— .Y J- ' -vJ ~�2r•scr.,:�w.<.iofwm<um.. (z>,5 crml�n.rrv,N m<..m / � Fya � •�`�`"' simw oG•oc. svmw:m loot. ) . (_)rSCm:W,ve.f,Srkrymflelvm G'OG (2),5 fmv.un•„5P neroo.r.016-OL Building Section E/W @ Pool House Building Section N/5 @ Pool House CIO� fDDLPDfrH�r>s,ryr,�r. v'rt SCALE 31e•=P.P gun n+�y<5ge) SCALE'JH'•1'.p ��r..�M� . 5n JN,up<An_D.r.Nyr /W 1S r CONSULTANTS: zs rnhm Ga.+<n oew, SITE/CIVIL Baxter&Nye Engineering and Surveying 1 mF a mDr me 78 North Street.3rd Floor n(5,g')CErnbb:y iapc<CertAer.r: Hyyannis,MA 02601 .i I I iec a<�iNVs�Epe« on 50&771-7502 fin G,4 , SM1Ide rKnt'aK. 5f.•i5c-rerrr;nln Gl�wwn LANDSCAPE ARCHITECT a.Pm 9..G oL w�r�� Bruce Besse ,y.ia�.+n.a,5.w�---- _ <•,.,.,:: ------------_5Me11c unmff a+ -----11,—Ell 'fL.6da'• Igo.].•] -- -:�'�-' ..� STRUCTURAL ENGINEER Roome&Guarracino LLC v 1 •a, + 48 Grove Street tl roa•° t �;�; Somerville,MA02144 .. 617-628-1700 atlsub Prhmcu Nr.•ew 1 '�. atlgm P,h<..rv..f rrw �. .;3 1 INTERIOR DESIGNER pJOla•yc..tvP AC:r.__ ___-_ '•. "ice atl2•h<nfn gme z,aeo5u�y< � -__-_ yam„ Nannette Road Interiors ------�n'.w Iz6.e•j 45 Laurel Road _E Chestnut Hill,MA02467 >` I t f?a Eb sovG• lz.mr] 617-739-3004 ` o«n.•x i,s (s,av,roo<wm. ' � � �u:•905Mv mxf�±sr�el�}rnlr<aHEn Frv, .. / ; 5a 5:KbuW D'S•I ' L ,fy ,�(5fg,EERH,.xA i.iefmigr.n mGrGbro MlNSri 6e'. ' Bd PJ rFW 1 � i f G1r.6Ni<µ5'Eyorrt O.v ' ' ,' /� JIC.ae<ww Yrn Snw un:cf..rK - 1 � �i yiKa loaf P..<y Cis•N wi Re xpd Lh.rM.9Nt <• atlurr 4f:m OG'O.G w Wv.6««IreJi � 72 South Bay Road •hr,pbg °' 1 } €wEanaraasW,Eea5emlf Residence N POOLPORCH KITCHENETTE '. STORAGE EJ an..swgic,(wgvz w<.` v ' P812 Plot r'. s•f.�.n<.Wa<.w.<..r.N,mWu:n s"'n 72 South Bay Road Osterville,MA A<:x u�:m,e Sl.b p.n�.<nr.i �. afi Wbbeaw.mlg•oc. �, D•5• I : 5ygp/99tcCrwm I,y,.+:b:rt gae roan, i - j L � ��ii aS�M1�lUie)N�W�ArcNr T I I ypPn n.. T j T 1 �6a:.m 2v+OLN9�G+ain rF11Ig,A[Y E,4NefMWviG221w•v __-- _ _ __ ___- -- ' __-_f�P:_ifIMEfN lElo:1LW llwe? 21111 Po I ouse Building -•I - -- - _ ---- 1 I. an IGL1 �ectton I SCALE: 3/8'`\1. yoIv.<f. = 1'-O' t E'L:. I I .< G:•o.r=5w a�ue.•-,,.•1'r DATE: Thursda,July 31.2014 5c<JNr,°c nsWua D:..egr ,�-rY i I -.JR .pT.".^i��1a .C':�pT I 5:arc rf.•y,loon Corre.n<uNtw,up<,wnm I I r„... NZ R' .-wnu rmf.mmnc wb.f fm:ml xFv. I —<_ 4.]5 ' $ x `.s'ws�xsi `. c we�<esu.<�.e<•rv*m.e L___ � - ^3'"�F 1 ] Catalano Architects Inc. sv<Hwlm G-oc. 115=c um0s R,•5E>nu.,b,,..,,5,xif.:eEw.oG•oL. Roston.Mass617-3 8-7447 Ielephorle 617-33R-7447 Building Section N/5 @ Pool House facsimile617-33tF6039 Faa nx<w eaerel,eme glpu,+^g l5h<) SCALE 3/e'•Y-o- c 5<e JN,<ape ANewn D:rwge i PH 3.1 i 10/11/13-PRICING SET 11/15/13-PERMIT SET 12/18/13-EXTERIOR PACKAGE BID SET 04/11/14-EXTERIOR DETAILS ISSUED FOR CONSTRUCTION 04/25/14-INTERIORS ISSUED FOR MILLWORK PRICING I t I 1 � l ❑ 1 _ _ 1 ❑ 1 s s., � sxm �OR4- l - CONSULTANTS: SITE/CIVIL Baxter&Nye Engineering and Surveying 0 78 North Street,3rd Floor Hyyannis,MA 02601 0 1 ~ 0 N-771.7502 c'o 1-CHANBI - �z Pte3 LANDSCAPE ARCHITECT O BATH yy. Bruce Besse P102 et1s�0 IL KITCHENETTE STRUCTURAL ENGINEER O Pe,t o 48 Grove &StreetGuarracino LLC i��. 48 Grove Street \\m Somerville.0 02144 •I- / 1• I � 617-628-1700 INTERIOR DESIGNER • t r �� ^ Nannette Lewis Interiors I" *P60L PORCH 45 Laurel Road Paiz a I f Chestnut Hill,MA 02467 + T` i 617-739-3004 • - r - ± '� !� ,! �,�:_ �"#Y'il''e-�#�i mreuwnacn�mrsc. Q fOi' i r T 72 South Bay Road Residence * i f 72 South Bay Road Osterville,MA N 21111 Pool House RCPs Pool House Firot Floor RCP SCALE: ,i4 _ ,•-0• 5cwtr=:va-=r-v °o�=� - OATE: Thursday.July 31,2014 Catalano Architects Inc. 115 Broad Street Boston.Massachusetts 02110 telephone 617-338.7447 facsimile 617-338-6639 PH 6.1 , I �I , 10/11/13-PRICING SET t i 12/18/13.EXTERIOR PACKAGE BID SET j 04/11/14 EXTERIOR DETAILS ISSUED {� FOR CONSTRUCTION 4 cn rI c wr' 9 TM a r n 04/25/14-INTERIORS ISSUED FOR HIE: 4,r�/ `'a,w , d v r..• y+ I ns I ti I"r�I'i .i 1 MILLWORK PRICING f 1.'Zi7- iI 72Lrr7 TL I 7— lT.. rT ..IT T7 T 1. L I T r' `r 1 North Kitchenette P101 Elevation 2 Ea et Kitchenette P101 Elevation 3 5outh Kitchenette P101 Elevation 4 wCot Kitchenette P101 Elevation scuev2=r-o ® XALLV2=r-P ® suLEtrr�r-a ® scuetrt=r-o i i� °arnc.Flel'' CONSULTANTS: H x SITE/CIVIL 0' iJ } Batter&N e Engineering and Surveying 78 North Street,3rd Floor _ e Hyyannis,MA 02601 508 771-7502 LANDSCAPE ARCHITECT Bruce Besse - �— STRUCTURAL ENGINEER Yf- Roome&Guarracino LLC 48 Grove Street North Bath P102 Elev. Eaet Bath P102 Elev. South Bath P102 Elev. West Bath 11102 Elev. Somerville.MA02144 617-628-1700 5 scnLe v2 r.P® 6 scALe vz=r.a® 7 scALe rr=r o-® 8 scA F ur=r.a® INTERIOR DESIGNER Nannette Lewis Interiors 45 Laurel Road Chestnut Hill,MA 02467 617-739-3004 mcmn�oadma,.ux. 72 South Bay Road Residence 1 72 South Bay Road Osterville,MA I a e I� I� 21111 Igferior,Pool House - •t_u°"•brm mi.,y w.+., l• i evatlons {.rai"ra<riL'il SCALE: 1R' 1'-0' r r - OATS Thursday.July 31.2014 m -� Catalano Architects Inc. Qj 115 Broad Street _ - Boston. 617-338-7447 Massachuse05 02110 telephone t - - 1aCsimile 617-338-6639 9 N.Changing Rm. P103 Elev. 10 East Changing Rm. P103 Elev. 11 5.Changing Rm. P103 Elev. ,, Weyt Changing Rm P103 Elev. P I..I 5cnu_v2=ro- ® scALFvz=r-o• '�" . *�- "' scALc t7e r•v ® - . SCALE V2=I'-P 7.1- . I - 10/11/13-PRICING SET 1 - , 11/15/13-PERMIT SET 12/18/13-EXTERIOR PACKAGE BID SETS 04/11/14-EXTERIOR DETAILS ISSUED FOR CONSTRUCTION 04/25/14-INTERIORS ISSUED FOR MILLWORK PRICING ' - 703 I O 03/12/14-ELECTR ICAL RE-PRICING 15 PACKAGE Gum" I STORA CONSULTANTS S.. GE 1. SITE/CIVIL Baxter&Nye Engineering and Surveying l I' 78 North Street.3rd Floor Flwcic ElxsKa JI cvv<c,oe,�- �!I ,,ro, I I.wa• I e—. I ?L!,., Hyyaannis.MA 02601 508-771-7502 ' u.en lED tynF � °: I i 17f1�At1�IN4 LANDSCAPE ARCHITECT ® BA@1 �f — © Bruce Besse A KITCH�EnE E STRUCTURAL ENGINEER Roome&Guarracino LLC lder EecM w \�T\\ r—i'— 48 Grove Street Somerville,MA 02144 I ' I 617-628-1700 g �m•E i INTERIOR DESIGNER Fn i. 5 Lau el Road Nannette s Interiors • POOL PORCH I: aerz I• Chestnut Hill,MA 02467 i 617-739-3004 }. i ,I , d7 fetelvm Arthrtcu hc. ;0I ibi 72 South Bay Road I I Residence I I 72 South Bay Road Osterville,MA N 2ElectricaQPlans e Pool House First Floor Electrical Plan SCALE ,y4 _ ,.o 1 suu a vA•a r.o - ® DATE: Thursday.July 31.2014 Catalano Architects Inc. 115 Broad Street ` - Boston.Massachusetts02110 telepfwne 617-338-7447 - taaimile 617.33&6639 I PH EA I I -�00000r�a , I 9ne r¢.,W.3 - 11,1E¢Ls.l[t•t> aRn »x• at'a®w,n,w.,w 10/11/13-PRICING SET - --- - ----------- ---- ---------- I 1/--------------------- 1 15 13•PERMITSET/ 12/18/13-EXTERIOR PACKAGE BID SET I I I soe eErv:nas6 T r I,-Tu, - I 11/14- I n,'� elre eEe,nr� :re«¢,•:exa+ I ,nc«e•,.E<s EXTERIOR DETAILS ISSUED I FO `----� `---- `----� �N,L�E'..,,-Irr L----j FOR CONSTRUCTION 04/25/14-INTERIORS ISSUED FOR '' ------J .•a,¢m,•„w L------- MILLWORK PRICING rs)as wxm Ie.eN slew Grvl.� rsl amwe"a nss w . ' :,IEE,E<n�.. I , , o I I I I S,R EEEV:n'19 w1E tiE'rc,v::� • I a,REE¢w»Ai --•11%:-- �� s .- --- - - o- , a`}---------------------Q------------------------ `--------------------------- I I II I N Pool House Foundation Plan Fool4Houee First Floor Framing Plan o xn• � I lE„a•-Y-P 1 CONSULTANTS: r - SITE/CIVIL y Baxter&Nye Enggineering and Surveying 78 North Street.3rd Floor Nannis,MA 02601 5 8-771-7502 r- LANDSCAPE ARCHITECT Bruce Besse I I STRUCTURAL ENGINEER Roome&Guarracino LLC 2 zcww a„n I 48 Grove Street rsl—.i0Y"" Somerville,MA02144 _ --------------------- -�--� 617-628.1700 —_ INTERIOR DESIGNER 45 Laue Roads Interiors I I Chestnut Hill,MA 02467 - -_. -._ ,_-_---_� -- L__--- 617-739-3004 ' 1212A Wa1 Ma 4.n -q+__ I -- (212.4WN MSOw+ OCeredns AltldRcn lrs. et�.ew�ro.: m — ' Q 72 SRes denc Road - a 72 South Bay Road Osterville,MA ---------------------------------------- (zlmwrlenoo.� r .--. _—• .\ Rlmrm+ro.cow., ' i 12)a4 Wa1 MrM I ( I n � 21111 Po%�ssse Framing I SCALE: 1/4' 1'-0• hw DATE: Tuesday.JuN 29.2014 e.e e.Ew.VM I I II . 1-LI _•_. _. Catalano Architects Inc. I 116 ad 6ueet BastoR Massachusetts taleph a 61733 447 fmimile 617-338-6639 2 Pool House Roof Framing Plan 3 Pool House Roof Framing Plan at Cupola SULE va•. 1'O eLAEE ua•= Y4PH SA B TOWN OF Iq �G _S ���1 00 �M \ Al V 1 1 yk� 7 ,y4 � � dv/ �• (oST) L•C. Per 8-7306' !a !S `� N� v $ A v Obi •Ai A Q -" s u �I > �� IN f ;i m s m �� log lot Y I r� € _ a Hip R 8 �A �ll < � � � 2S 8 > G � a t� v 11 i -tj Y € 101 Rill gip, =!u � u= i � I > Ap, F =------------------- ------ g o 1•! „7� i TENNIS COURT �1_ 3 WWAN N 00Z7'�O' IROI MA1Elt To LOT 1 1 E W'OP TD fRgl n, off_-___- N - ------ / IiJ uT.3r m - N L2 4 N 'L3f CARACE/MARTYENt ,,``�J il 1 1- >� 3r*Ib lag, Nq '� a lobar C M°rvrw a q' ' !LOT 24ey TO 'r! 34aW z 1 0 �If —� e730 r ILtTnoa b 062rw N 11yL IN 14 O O�A „ u f� lilt ' 2r• nr! a 2r0ar a a "e a LOT FM"IM 9 j �; •�1 i » w 4 w s # A ---_�_ a�V. ,o.,rr - _ a R Meg con PROJECT TITLE v n C. > m m C Sao, d Q p m o (h m w <�=m m 72 and 92 South Bay Road C Z Qom _ Little Island a m m _ a 1' e " Oatervft MA. 02655 W d (p o a ` 'o 'E' < Z m (y� r T zaa Oq O N T r�A ��Q O y •��..v �a m m N �w< A to Z y O IIIFp V p iv I Z M Z Z i a /� BEING A DIVISION OF LOT 4 N 0 2 � Z SHOWN ON LAND COURT PLAN 8730 F a s •� NN c G m v v ro•c %c CREATING TWO LOTS a REV iL RE PIER0. IBAXTER NYE f NO BY GATE OE SC RIP TION li\GINEFRIVc; & SURVF:YINc; i ` I I I I i I I i : I < I I I I I E L r � 1 x i I r „ I E x : t y t 4. € : i , w OWN a r �t"""s.. ,.Y,r I n r l , T E , ,"t 9 r , s Et € I i I trq , . , I I i K I L, _ ! P E ry < I 3 ` s : 3 I I its t t APPROVED 6 » t RCA D Y �sGAI.�. DRAWN•-. � W N BY DATE. R d EVISED I r <.. 5 ,, a dRA1Kl G NUMBER 9 -- S ROA� 2 BAXTER NYE �a ENGINEERING & % e�} SURVEYINGk_7 _ BAY STREET' C Registered Professional Engineers . 1 and Land Surveyors. gR�o� SO UV �0 78 North Street - 3rd Floor SO.ROAD SITE 0 � Hyannis, Massachusetts 02601 A r " { A Phone - (508) 771-7502 yt�5�.0P ARKER Fax - (508) 771-7622 POND www.baxter-nye.com Locus MAP NOT TO SCALE STAMP STAMP BM: MAG. NAIL OI � �� So urLr L T EL 11.97 9 1 1 �••{AY c��� Sfi9AB+lE 7.� CB SET '+✓'� w'AY ROAD czs 41,,r CONSULTANT L 0 T 8 PER L.C. PLAN 873OG (FILED) 41 i. TOTAL N 73,238 Square Feet t CONSULTANT 1.68 Acres t f- o � S h M o0 PREPARED FOR : s$ r-EXISTING J r3 LOCATION HOUSE A E 08/5/14 g a GENERAL NOTES Thoughtforms Corp. 16.7' 24.0 543 Massachusetts Ave. It 1.) THE INTENT OF THIS PLAN IS TO SHOW POOL HOUSE FOUNDATION AS BUILT. _ West Acton MA 01720 N "" 0 2.) LOCUS AREA IS COMPRISED OF LOT 8 - L.C. PLAN 8730 G (AS FILED) z Z 978-263-6019 a0 �2 c,.> M 16.T 22.0' `"3-'o k' ASSESSOR'S MAP 093' BLOCK 042 LOT 003 T.O.F. 15.2 `` c k 16.7' 22.0' 24.0' OWNER: LORI BETH BALDWIN T.O.F. 14.4 14' _ 017.0' ( 125 BEARD WAY NEEDHAM, MA. 02492-1038 ' 1.7 � •-1 'd 22.0 3.2' 4.7' DEED REF. LAND COURT CERT. 200146 '^ 014 EXISTING FOUNDATION { z 3.1' LOCA71 d. a 0 1.T _ ON DA7E 316,114 2.8 2' 8 3.) PROJECT IS WITHIN CENTERVILLE - OSTERVILLE.-_,_ - tn0 .. � NS o �- , (( xIaAC C;n - 22.0' b ; MARSTO MILLS FIRE DISTRICT. w2 14' 17. ^ �► 16.5' w g XtTIIyC o 0 7.1'N ='l,� g E5 WELL11VC 4•) ZONING INFORMATION Q �� ZONING DISTRICT : RF-1 (Residential) 14.5' �6 � t 20.0' CURRENT MINIMUM ZONING REQUIREMENTS. 12 MIN. LOT AREA = 87,120 S.F. C ✓ MIN. LOT FRONTAGE = 20' g MIN. LOT WIDTH = 125' FRONT YARD = 30' . SIDE & REAR YARD = 15' / 15' BARNSTABLE ASSESSORS MAP 093 PARCEL 042-001 OVERLAY DISTRICTS. RPOD, AP RECREATIONAL SHELLFISH AREA & SHELLFISH RELAY AREA DOCK & PIER OVERLAY DISTRICT. O CB SET CID RO to SHARKANS ROBERT & NIE 5.) A T EY, JOHN E TR. ALE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED GERS, STEPHANIE L TO BE NECESSARY, A TITLE SEARCH SHALL BE PERFORMED BY OTHERS. CC to 92 SOUTH BAY ROAD CERTIFICATE OF TITLE No. 200145 6.) THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE 0 RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. w m CIO LOT 7 AT LAND COURT PLAN No. 8730-G (FILED) ! /Zf BARNSTABLE ASSESSORS MAP 093 PARCEL 042-003 ,� Q 7.) THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE F- N/F TERRANCE J. HUGGARD, ET UX. GROUND FIELD SURVEY PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING ON 03106114, 03/17/14, 05/05/14, 05/27/14 & 8/15/14. ~ �i•+ C 5$ SOUTH BAY ROAD O _ man m CERTIFICATE OF TITLE No. 121799 8.) FLOOD ZONE INFORMATION: w man L co LOT 6 AT LAND COURT PLAN No. 8730-F A PORTION OF THIS LOT IS MAPPED IN FLOOD ZONE AE (EL13) AND A PORTION IS ' m m CB SET MAPPED IN ZONE X (SHADED) AS SHOWN ON FIRM COMMUNITY Of N 40 N79'14'57"W 10.00 PANEL 250001 0757 J a N -j10WF A-12 WF A-12B DATED JULY 16, 201C t� WF A-�12 WF A-13 WF A-13A ap W o Z a WF A-11 A a °F A-14AO# W A-11 WF A-13B WF A-9 w WF A-1 - WF A-15 WF A-6 Z 0 (o WF A-14 =O N F- cn Co o. 1 ai WF A-17 n '`_� WF A-18 06-17-2009 2 Q Q V cu ``'�-�-COASTAL RESOURCE AREA Z w � f 0- CL O + DELINEATION WF A-8 0 Lt- c ' - •11E LINE - - _--- WF A-7 S 843817" W 1 - st d d \ \ w 2 - MEAN HIGH WATER u7 N SCALED FROM LAND \ \ \ Q COURT PLAN 8730 F a, co U-) o ', DECEMBER 17, 1986 Q d Q o CO --FT-- N N � ° Z MEAN HIGH WATER SHEET TITLE Pool House FIELD LOCATION DATE: Foundation MARCH 20, 2012 As-Built Plan SHEET NO DATE :I 3 0 06 14 30 0 30 60 SCALE IN FEET SCALE : 1"= 30' -----_--- - DRAWN/DESIGN BY: MTM CHECKED BY: SA1 � i General Specifications alI.NTs ' p �-�- ns size: , Main t NTi t 0 Depth: r TO: A. 1 , Area: i Parhnetor: COPING Pill er to rk+p Shape:TO-M- o, .01 . av Conduit ArAkv ax Cover I �..:.. I .,beck beat of Capacity: r TVCIAO-�;� �Z O6>C;> i 9z 6)C atet Levlxvel Filter <.• /" S. .. �� ; Model: K Motor Model: �. Z P C FHydro gniic vaw _ �kY� GIMA /tj ti3 Y�ra Turnovor: . 8"ak boll► Q'' < Gtd :�.... e•mwtcesMO ..---- l•us;. ' . kNn►ner lAodel: 1-4 - .... . Main Brain Model:.4000 PSI � l klinirwrs: 2 Liv*to Vaeusn Breakor Side Suction Main Drain: �.—T,�J o Z, o; C-01Wt on Tube - Add#3 Barr as shown 110v SOOW Light o Returns. , �/ t ,lZ_ ``� 1 1/2"Stone ,o z :• Pool Cleaner: <., backwash To. � L.r. iol�a+wloden Details Only: Skimmer Section-NTi w Tlk Color: Ladder. • t3G_ StG�.I ''i .. A�Ssv��S � o . .. G No4-e tG IlloardSize: Fkwh Sldnxtlar Qys !� 0 ij,© SA �13 FF Light: 3S6YY 0 'SOW Cj copes' ::' tiMnanar Ywrr t C.lk J W l a Conduit: 8twrt - { •;� s*37ie* ❑ Lang ❑ �c7 { Rope Rings: :...-----'wl Rope A Fkl�ts: �, Wabr iayai 3"1tiMion 4 `"�C"7 Heater Model: NT h� -qe J� ti NO"( .'.. PAUL A. G Gas PrarpaRe ❑ 8wn ararod N JR. eldrwtlera. PHELh Other Fuel• .. vft 03 i MI R bar ." cs l o UC7 �, �'© S?No.42538 Vented� — GeatolNlde , '' Or- • _ Drag Diverter: es - r Y ❑ tlo=y❑x pVc a a CodnMMW pny " --M ay:, , it1 :• : R tectric 11oncift Illy: StWtap ftm* Yes : fi®$E igNCED p TN*&"Coping; xsAP O N Ea a a �'T'jo otTY'tttthl>tkWCE. Grading. _ SELF CLOSING Stumping,ETC: . '! HITCHING B y O X rt s� YYNER. . Dectts:'. : - Deep End WNM Soctlon-NTB ( Additional Specifications 40 Cont Bond Beam of #3 Vertieal and#4 Bats Hotimntal i--�P ^T""c�r�y ra• G' f," ,♦� ff.._- .L.G rr<-T' ,, , .� K.�••�r 6KJ r.�`"fit V Max Vetticai Wall a o• ,t�:i'C. Addon&rft: DRIB: Depth Profile - fy Baxss"ok. - - ►srnan: `fioelaatc,.tn tadiaf : r-a. � - Dwn lky: Scale: f/8'_'i'-©' Main Draln:(aee .,., t ; M Arx, . LA NC,•1 4-R �0 M�1-Y wi 0 F� Z`I r Min Thickness in Radius ' wQtBf for GUtlit$ Jai►Number:. Set Backs FR. Side Rear 3"Min Concrete Cover Mln Thickness Gualoe - S*mming.Pool For Shallow Standard Wall Section-NTS r L,v,r. . ;7h` G.�'Rc'• W' N .• Pool et Space E e :: 1RS'i: 12" Brick Coping � (TYP,of 4 in Pool) I 1 i@VI�t1 T�Z 2.✓ i•f!�C�. State:• Continous band tfeun r w/t3&.*4 No - J®le Asilnss: Zip: .. . - 6"Ceramic Tile • States �-x M Town: Zip. Res: Phone: Bus. P 3J8"Min whfoe .,...- r Mae Fiji ., Madite plaatei Stales hOf1e 4'otwaDar �. 1 *O, Ir Min Thickness 2"Min Cover Slop Transition '"�``.•.,„ Slog Tsansitio 3 'lfus Ir o/c both �► QUALITY P `zG UOL .. ..r In Radius c11 t:.Mat, wi m rn I n Pow I:S 6"Ceramic Tile ; a_ us 16, Wyman Road Billerica M� A 0'I 82'I Rock Pack: 1 l t Z 12" QQ pry Total bowl of pool � �V� 66rJL w/1-IM Saone 4"min Thickness '0° --�- I ------ I I I I � I ��� I I I. ------- 1-1 . ,-I-----.- I I I I I I I -__ - , �;-_---, - �---,__�, I � I �, � � I I I � I'� I,� I I I , I ;1 I I I I I I I � I I I . I I I- I ,� '7----I____ I-,_______._______�- .-,�- I- I - -- -,-- � - I'll -1--- I—- -_- I—----- - ____-_ . - I I I I I 11 I I I I I � � I , I I � I�- - -------- ;_ -_ -_ '-------- I I . - ,-1---1 ' . I I I I 11, . � I � I 1, I I I � .I I "I 11 I 11 I . I I I � I I I I I I I I I I I I � � I I I I I � I . I I I I , � 1 I � 11, I I � 11 I I I � I I I I I I I . I I I I I - I I I I I I , �� 11- '�'�: -, � , , " .I .1 � , I I � I I I 1 14 _" I I I I 11 I I I I I I - ,� I I I I � I I � I I 11 I I I I I I 11 . I I� . I � I - I . I I 1� I - I I I I � I`*' I I I I I I I I I I I I ,� � ,:,11 � . � I I 1, � I I I 1 I I I � . I I 1. I I I I I . ) I . " � I I I I I I I I�, I I 11 ! I,� ,,- I I I I � I I I I I � 11 I � - I I I I I . I , I � � I . I I I . I I I I I I I I � I . I �� I 11 I I I I I I I I I I I I i I I I I I I.�I � I �"" : I , , 1 , , � I I � I I I I I I I � I I I 1, I I I I I i , �' .,�,�,��� ,: -, I '� 11 , , � I � � I I I I I I I I I �, � I I I I I I I�, I I I I I , I � I I . I � �, I I I I I I I � I I - I � I I I I I I I . I I I . I I I I I � I I I� I I I : � I I I i �, � �, I I �I I . I I I I " I I , I I I I � I I 4, I I I . I I I I I I I I I I I I ,� I SE�___ , I %/= 0',ana% C I � :�,,: _ � a %j.,%t;j I � 'I, I �� ,% 1-,�.� ,7, 1 1 I Wf*06--�" , ��IIIIIIIIIIIIIIIIIIIIIIillillillillillillilliillillillillillillilliil,iiilillilljllllI I 1111111111 � a I . I I � I I . I � I I I 1, � I I I � ... 11 I i -VIIZ ��, , � . i 11 I ,, i 11" , , I I I J.It- I . � I - 1, I I I . I 'r I X 1' .,9 * , I I I I . I �, - I I V . , - I I I I - I I I I.", � - - ll� ,::!:� I I . � � 11 I I 1 . . BAXTER N � �', 1 � ',, �,��,� I I I � 11. 1, � I I I I'll I I S : � � 01110110, Q4*� 11 � I � �', I I I I . I ' ' I � I I 11 I � I I � � I I I I I I I I W ;z I , 21�I �1:1 I ......� I , I .11 I -1 illillilillillill . ,� � , - $9 : I I --X 13.5 �_ ""--i�111 ''allo I -1 .1� I 11 I I � � I I I I I I I � I I I . I I I I I I I 11 I , I � � I 0--* : , , ,: I �1 3.90 1 , 13.7 . , , � 182026 .30 , �� - ""1111111111 I I , ,_ I'll I I I 11: IN - I _ ' I I I � I _� Z_ I - I I I I I - I . I � � I .11 , 1_� 1 1 Z, '' I - I I I 11 _ - I 11 � I 11 I I I I � I I I I � I I I I . I I I I i . I I 4p 2 1 � � � I . I I 1 , "Ill, , ,�,r " ," � , , I . I I I I 1 I I -'X- � , � I _,!2!!::7_0_"!!:,- I � I - � �' �, I I I E I , ,� , I I� , I I� I I , - 11 7 1 iiiiiiiiiiiiiii � 1 376 ___X I I � I I I I I � > �T ',�-, ,, ;, , , I I � . I --- I I I I I li: I I - iiiiiiiiiiiiii, I I I 1 .551, 1 " I � I I I I 11 I . I � , 1 I I I I I I � I I I 11 I I I I I � I I . * I � I . I I I I - I . I I I - I 2 -:1111--.I'.,,.,,-- I � . � I I �' I I �, I I I __� . I 11 . I I � I I I I I . I I I I :"�, � I ., - I I . 1 I I I I 11 .11 11 -L X2 , I I I . __� I I ' 'I I � I I 11 11 I I . I : I I I ! 1, I , ,� :1 � - I I I ,� I I I I � " , I 'I I \ . I 11 I : 11.8 __�, __� - . 11 " I � � I .1 I ' > I I , I � I I I I � I I � � � , � ,�,�,, ",, , "I 1, I I . I 1 -�-_ I � - � , ` I ,I , *1qp1>'1 4�,- I I , I ; -1 :" '., , I I 11, __' I - I , - I � I , 8 rpty I ENGINEERING & , >4 11,�;� ,� ,� : 11, I I -1 � , ' '. I � 1 13.6 � � ' 16 1 Tr , OU I.Alt," � , �_11 , 4. .J% 1 3.9 .55 \ , �,�' I I I , �1 1- I e I , , , X 13.0 , 1 7 - -- 11 , � I � I � ___X1 I I ) I ,� � I �! - 1 15.0 X, 97.08j, - __ I � , I I I I . I I I � ,, 1 P. 4�e'le�,� , : 2.2 1 1 1 SURVEYING I I I I I ��, � I I I � , " : � I I I . I RO illillillillillllllll111111111111 I I 1,1_ � � � . 1 v .JER GATE I - - I 11 - � � '' z , �,, �,,,!','_,;�, , � . - � I , 1 I 1. 1 13.8 3.5 � -_ � .I . I -I� 1, I I �. I -- � I I I BAY :z) I , , �,� � I 1E, . .I I I I, . I I I I I I I � , I _ ., I I I , 1, k , -, 11 I I I I N I I I 11�' � 1 � _ _ , 1� I I � LILES. BOX I � I 1, __� , I I'll,iiiiii _26$301 1 � � -IIIIIIIIIIIIIII 1 .1 I I , , � " I I 1 13.0 1 11 11 . I I I � -, , �`NN 2.8 1 ,� I I i 1.�T - � . --- 1111111 82 1 1 1 1 1 . I I I 1 I .-I � � , I . . I 11 ,� 3.6 1 1 1 � 11 I I LS \ 13.8x . I I I . I I . I I - , 1111 w I I I � SIRM7 1 1 1 I I I I cr, I � I ., I� I I - 3s� � , X I I � . , 11 � I I I 11 ,, 1, I I 11 �, " 1% / I I \ 11 - 11�1!11:'�,m- I _rV0 /71# .M , � � I I I I 11 ,11 1 � '' "I 'll ' ' I I ,, T I I I I � - I I . I 1.I,�. I 1�!15 11,111��,,Izl I, � I '', . - I 0 1 1 11.9 1 11 I 1406. 1 1 1 1 � I I I "Registered Professional Engineers: $4 �� I I I'll,I 11 I"I. 11 I - I , I . � .1 \,_/ , I 11 I I -a I 1 20' PRI --E ",I 111NA!NwmmmmmmmmommmlmvsmlllevAllomminI .77 1 1� 11 __ I I I I I � I 'D f, �fe.5,� i I ' 14.5 \ .,� I I 8 t-I I iiiiiiiiiallillillillillillillim I , - I I I I � I I I I I'�, , " ' I � -R I&I , I 11111111an I I I. I I ��, 11��5 ' 'I in - " I \ WATER METER I I I ER%l 3.9 � 1 12. 1 1 VATE: WAY " ' , aloolona � 11 �,: I I � i I - I I _4� \ , I I �LEC- MET7_ I I 1� )I , I I I 1 376.76 � I I I . I I � " '' " �1 .1 � , 1 1 I I I - I I I ''� 11.� I "' ANDSCAPED (Ls-TYP) ' I I 1 147 1 , , � 11 I I I I I 11 . I 11 1, � I I 11.9 , I , I I I I I I . I I I � I land Land Surveyors I (D � I � I < 1. 11 I� 1 11!��4;4&----' 1 13.41 � �x 12. 1 1 1 , :,� 1 ___X I I " 11 I I I . � I I I I I I 11 1, I I I � I � .,� I I I I 4 � . I I I I. � I I I w �" 11 I I I Q_ \ � I I I 1 I 11 I I I I I I , , , I I ;�, I I I I I I 1 71 � I - I � I I I I I I I I - I I I % � I I I , " . I I I I I I I I I I � :1 I I' ll I'' 1. I ", ) , 1, I 1 13.5 , � e I I I I ). , � , I I I I i I � 1 � 11 _ , I I I I ", I . I . I I � � 70 North I 11�, � ., I 1� 2 11 :4 1 1 . " .,X I I I � I . I � I I I I I I � I I \ I I 1 - I � , I I I I I � I I ,� I 1�� 1.11: I � 1, I � . � � . 11 I I I 01 � �Street - 3rd Floor - � � I I,- � .1 4 \ I � 11 1 .3 i I � I X 11.6 , I I I I I , . , I I I I I I I I � I 11,� '' . I I I � --, \ .7 \, 13.8 � I ,.e, I ''I I � A , I I I I � I � I I � I 0.1 4��_ I I ., I I I X 4.7 - I ,/ \ I i I I I I I I I I Vy EIIIIIIIIIIII � , "I'll I '— 11 1 . I N\ - I I I I 11*1 � I -.11 I I I I I � I I I I I I 11 1� I I I ,X , X 11 �, - 11 I I 1. I _ --- I I . I � I I � - .Hyannis, Massachusetts 02601 - "I I 111. j:', - I . I -N 11 11 . I I I I �, 1 � 11 I � I I I i, I I � I � I I - I I I 'I'] I , * : I 11 I I -11,11, ' I ' I _� I I I I I I I - 1 � ------_, I I I � I I � I ' ' I �, 11 I I I � 11 ' ____ , 1 �14.9 , , I \ I I " I -'' I I 1 I . N_ � I I I I I I I �� , " " , � '', � I I I � � 1 \ 15 7\ ,_ , --------- � I 1 ._9 1 13.8 �\k X 1 .8 . __V 1� % , 11,7 ,� , , 11 � JU �: - , I I � I 11 � I , � , I � I I I - I �� 1111�, I 1�� , -11,� , , " � I 11 I I�I � k � - I� I I I I I � - I I I 11 I I I I �� - I I I I \\11 � - I I I I � I � I I I I I '5 , I___ I I I I I I �I I I � I I I - (508) 771-7502 1 11 I - , � I � I i I I I . �, I . � , � - I �: 11, 1 14.3 : I I , � w 0 '� I � ro I z �, '' k . " � \ I I � I I � � I � I I I I , ILS � I- L X I I" I I - I . : I I, 4,111 , I I I I I I I I i I I - p.,N 1,32.42 1 1 1 11 , I I � � \ I I I "\ , I I I � � I I , .6 * - D � \ I : � , I 1 Phone 1 >4 ; ,�� � � , � � I I � I., I � \ I I I I I 11 � I N 1 I �� I I I �:,,,v� ;_ ",� 1 I I I 11 I I \ 1- 11 I I I I I I � I I I � I I I I � I I I I . I � I � I � I I I I � , � � I I I 11 1, I,.- ,� � I I I I I I I I to , I , I I . 11 I I I I I I I I I I - I I ,,,,,.�, � I I I I I I N-11 I I I % I I 11 � I I I I I : -7622 ,. 11� ' ,, �, 1�1 I � I � , �, 1, \ 1 9 1 1 1 1 11 I I "I I � I I I 1\ I I ' 'I I I 11 I I I I : , I'', �lla��.'� - I I , � / " I I I I . I I Tot"- I I I I I � I I I AmaR Fox (508) 771 1 1 1!II!I< Ic ,�� 11 11 :� :�_ I I I I i I I IN, � I -11 � I I I V�op, I I I � I I � I , 11 . � I , 11 11 _____ I I - I I I I 11 ., I I. .' ', 1:� ,_l - . , I 11 ' ' I - 11\ I It I I T_ I I I I , " '' I I I I i 1 40� ' : www.baxter-n com I I M z 1 1�I ., � � I I - . ' 'I I 11,11, I-,' I ILS I � I I I �_ , , 1 : 1: I , I I I I I %_1 - -I-- , 00 I I (11-1 ye. I , , ,� , , 'I 'll, I I I I . I . I 11 � I I I I I , I I I I � 1: I I 1, 1. � I I . I I I I I � I I I I 1 I ' ll I �', I I I 11 I -, 11 I � LS "I 14. 1 � I I I I I . I I I / , I I , I I I �\ , - � I , 1 "4- 11 �� . . I � I I I tl�,� , ,� 12.2 . I I .A, ; I I . � � , I � I I I I 1_1 I : I I , I I � I I � �, I \ . I I I I - I \ k , I I r 11111111111"r I I 11 11 I ; I . I 'I,I �:` , � I . 1, 161 11 I 11 � . I/ I I I I ; 1 \ I . I I X �' I I I I I I I I --- � I - I I I . 11 I : e , � , x 14.5 14.2 1 4.5 1 1 0OL.-1� 11 , I I I, )I I 11 ,&4?� � I , I I I I I N , I I I I I I `11.- I I I 11, I I I I - I I � I I I I I I I � I I I I . . I I I I I 1, I I I I L=IS M" I :� I I - r I I I I 11 I X, " X � I , / I 1 1,14.5 \ I I , I ( 4 1 -nore � I � � I I I I 1 1 � I 1 . I �,�', :, ' ' I � � I I 1, � I � ' ' I I � I I I I / I \ 1� � I 1%C \ 1\ I 11 11 f , , � I I I � � � I I : `�' ' - �, � 11 :1 I I � I '/ I I � � I � , )M , I - I I - I I . ,� I ., � 11 ��*11 1 ,151.7 : I �� 11 I I I'll, I I I - ' 'I � _ .1. EQUIF '$K ' 'I I I I I . \ ,� __V , It I 11 � I,_ I : � 1. I �, I I I I I I � AW TO WALE STAMP , . I STAMP ) . 1- '. 11 I'll I � � 11 I I I / I I "I I , I 11 1 . � I \ I 11 � I - I r I I . I I I I I . I 1 . I I 11 , � , I I I . I I I I I .9 I I I I I I I .. 11 -, I I I I I I I 0 116.5 ,/ I I I . " I 1 � I � I 1� � I _N ' � I � � I I I I I r r I � . I I --,..,/ I I I I . - I X � � I � I I I I � 11 - I 1 I 1 I I I I . I I I I I I I I . I 1. 11 I 11 \ � -1 .4 ' V � '' I - - I . . . I � I � I I I � . I � I I . I I 11 . " 111 I :1 I I I � I 11 --_ - I I \ I I I 1 _ I I I I I I I 1 I I I , � 11, i I I I APPROXJ4idATE 11 11 _----,, _� � . I 15.2 POOL I I \ I I I 11 I I I I I I , � I I I I I 11 � � I I I � I \ I I I I I I I 1 I I I I Vk OF&4 I I I � I I I''. I . . I I I � I -.� � � r ' - I I I I ' 'I 1 I I I � I I I I � . I I I \\ � � , , " ' � , I I . I I I I I I I I I I I I : I I I . I � I � ' 'I � I I �1�1 I I I I � I I I I I I � I 11 . I � I " � � \ . I . I A I . � I I 1,�r,� , �, i'� I I I I �QeATION � I I � I I a , I I I I - I I � i I I I I I 1� I , 11 I %, ; I , ' I I I DRAW , \ 11 \ I -1 X I � , I I I I I- ' ', 1, I 11 I - I I � � 11 I � � ,) LAWN � I I I I � I 11 � I NI I I . I � r k.I \\' ' , , I �, I I I I I I i� I I MATTHEW ' � '' I ' � � I 11 I I � . , 1 1. / � I I I I I I I � I I I � � � 1 15 Q I I , .11, I � I I . � I I W' I I I ,. I I I I 11 � E-�(W-101 G ,SEP TI C I I I I I I I I I I � � I / , 01101 , , I �, N\ 11 - I \ I I I I I 11 I I 1, I �� � I I I I I I , I I I I uj.� � I I � -�-oft I I I I 1, I I I I I � I I 0 DY 1 -4 1 1 1 1, I I 11 1� � 11 I I � .1 I I I I 1 15.8 I I I I I I � I I I 11 I . I .1 _`N� . I � I \ : - I I I I I x 12.3 1 GENERAL NOTES : I U ED I r I I , \_1 15 , I I I - I I � (n N I I I 11 I 11 � I I I I I � ''I " I I ' ll I I I I *W.Tc�_M ,'' e I 1, I I I � I ,, - N 11 � I I 11VN 14.5 \ 1 a N .r I I I . I CIVIL con � I I I I � - I I" I I � � I � � � ___ I I I I �, I � r I �. I . ,_ I I I , X � a I I I I NN ,I I , I I I 11 �- I I I, I � I I I I ,r 11 I I I ,� I . I 11 I No.43183 � I � � � - � . I � I I I �I�I I:, I , 1>4 ' 'I . I I I I I , 11. I I - I I I I I I � I 11 I I I -10 I I I -I I � __ I I I I I I I I I I 11 I I , I I � I I I I I INTENT OF THIS PLAN IS TO DETAIL PROPOM *M AT THIS SM -A " I � ��, I I 1 15.5 ,, -_ - -_ % . I , I I I " � I � I I I V�l 1 . . ;I i I'll .'11 .1 - 1:� 11 . 11 I I . I I I I I -_ -,- � ' ' I . I I I I - 15.1 11 I - "I I I I I , I � I x 13.4 " 'N , I - I , "o � 1� � I 1 .11 , I � I 1 . I Y I I - � . I I I I\ : ,\C-C 11 , I . / 1.) THE . I I � I � I I - I I 11, I I I I I � I I I . . I I I I I "I I I I I � I I �I I I I . � L I I I . I 1-1 I I � . I I - I I ___ - I I � 1-1 I L I I � I D I___ I I �\ �I I I I , , , �, I I I N 11� I I I t I , I I I I I I I �I I I I . � I � I I I '21ST� � I I , I I I I � I I� I, �, I I . , I � I �, ' 'I I I � I LP N-,' I - I / � '� -7 . � I I L-1 - � . I� '9�_ � ;I-_, : I , I I-N , . � I I I I I - I I I I I I', , I � I \ � -7��,6.0 1 � � I 1\ � I 1\ I 11 i I I I I � 11 : . � I , ..- L' ,,, ' I � I I I I , , I I I .,< I I . I; I . I 'll \16.0 1 1 ,. I I , 11 � � 1/ 1, I I - I I . � ! I I I . I 11 . I I � 11 I I , I N.� _� I I I 1, . I I � I I I I \ I I I I I I I . I I � . I I � 2.) LOCUS AM IS COMPRM OF., I I I / A � . �. � I '' � � I I . I ; \ I I I � I I � ,� � I I I I 1, � � I I - � , I I � -_ - I . I I I \ 1, , I I I I I � � I I I . I I I 1, I ''I I � : , I I � i A , - - I I I I 11 �� I \ I 11 I � 11 � . I I I I � I I I I I I I � : �,,� 11, � � I �, " I I I - X 1 . I I . \ I I ' I 11 , - , � I I I I La- I I � I � I� � I I . I I I . I LS I I I I I I I ; I ,�� � \ . \ I : �� - I I , I I : :'! , I I I � I � I �, I ) 1 16.8 , X, l I I I I I I - _1 � I I I : I \ � � I I , .: , I \ � I I I - i ' ' I 11 11 I I I I I I I I I ASSES"S 'S AW 093 �PARCEL 0421003 1 - I .111%, ':1 I I I � 1 17.3 X I Z Lj I I X 16. ; 11. � 1� I . 11 I I I \ � I I 1 -81 � I I � I . - I 1 � "I I I I I I I I I V , I I j � , � - I , " I I� I I . � I I I I � � , 1 I I � I I I 11 I I I I -_ I I I I I ''I 0 1 1 . I I I 1 I � V I I 11 I I I I '' ��,� I 11 � � I I I - � I I 1\ I � I I I , 1\ 1� I 11 I I - 1 , 1 - I I I I I I � I I � I 11 �, " ' ' I I I L " I 11 I I 0 , �� ,L�� I I � I I , I - I I I I I CONSVLTANT I I I I I 11 I I : 16. 1 16.2 � I � I I I I I I I I I I - I � I _ I I L I I I I I I I I n � � 11 I I .; I .1 � I . I I 1, 11 � , � IL I I � I . ., 11 ; I I , � , I \ � , � I � � L I . I " I 1 � I X 16.2 1 1 1 1 1 15. 1 \ I . I e,' ' I I' ll �,� - 1 . � I � 11 1 ,� � :1625 1 1 1 � I I I' ' I I I I I I I � , � I I ,., I - I I I 1, I I \ I I I � I I I I I , I . I I : , I , , I I . '' I - I I I I,�11 I I - - - I � I I ,� � I \ I I I I I , I I I \ I . r_ I I I I I I I I n , I I I I I I I I I I I I I I < ir I e 11 I . 2 \ I I � ',� \ L 11 I 11 I I I I I I I I 1, I , , 11� � I I I : I I I I - I 1. I .11 � I � I - � I I I 11 I \ I I I � I � I 00 I 11 . I . I I " I I I - I ,:,_ I 11 I � I I ,\ ' ( ' I L ,� I z X' 6. � , \ I . I � I - I 11 I I I I 111� � I ,- I 1 : ! I I I I �- I I 11 '', I I I 1� � , -) L'i : I \ I 1 � I - �, L Ix IV, � 11 �" \ I 1, ,- I � I \ I'/1 I I I I i\\ 11 I 11, 11 IL 1 - I \ I I "I I I 11 I I APPUCWT: LOR: BETH 84DWW I I I I I I I I I I I � I �I I I 11 I I I I �� 0 1 1 1 X i .8 � I .1 �� � I I I I I I , � � I I I I , I I I I I . I � I � I . z I I I � I I I 1 . � I I I I I I � . , , 1 125 BEARD WAY I I � I � I I - I n � 11 \ " 0 , I I I I '? I .0 I I � I I I , X 13' � I 11 . I 1, � I S I i I I I I 1 I I � X 11 � �: � 11 I � "N I, < . I I � , � ; I I I I I I I I I I I I � 11 11 I- "I .11 I I \ -/-,�1 6 7 LS ' 1 �,,�l 6.8 - ' � ' 5 I I 1. ***I - I , I - , - -1 I , I � I I I I A. 02492-1038 � - , I 11 I , I I - ,�, I , I 11,� "I 1 \ , I I Lu � I I I - I , , , � ' ' I 11 , I I x 16.8 1 \ I 1 1�4-8 - I I �.- 1, �� I .1 I I _j I . � � I I � 11 I V Qf , , , I 11� I - I I . � � ", I I I I � � - � I I 11 I I I I I � 1, I �, _�_ � - � I I % I I 1� 11 . I I : I I I *1 I I � " 11, I NEE1*IAM, it I � I I I I . � I I I I T , 11 I I I Lij I �,L , I _<, I I - I I 0- � ,-I- � I I . I - ' ,t---\,--- I , I 1 __)�4_ I!r I ,--- �, I'll I \ I ,� I I I I .. S � � 1� I I I I I I - I ,� ,��, I I 11 "N", I I � I � I I I I I I I I I I I ,� n : L I I I I I � - I . I I I X Ill 7.5, .9 , � 17.0 '. I I I , I I I 1 . I' ll ''Ill, I .1 I I I I I I I I .�c � I I 1, I I I _., - ----,X--- 7-.O---- ,1, .1 1 1 : ''I I ) I * 11 I . - � I I 1�., � I : . . I I I I I I I I I I I 11 I I � � ---- --X.� =;::: , 1 I I I I � P6% I '' I I . .. I I NN � I I � I LC.�CERTIFKATE 200146 1 � I I � I � 1- I I'll I I I I I 11 11�11 I 16.9 _---------- 1 1 . � I I I HOUSE I � I I ' 'I � IS *.. , I I � \ �____�,, � I 1\ I . 0 1 1 1 � I 111� I I I I � I I I I :1 , I ! I I � - 1,_ I I � � I , � I I I . I � I . I I , � I I I I I i I I / � 1� I � I I � - � I � I I I 11 � I , 17. \ I I .... I � I � I I \ . I . I I . I I "I � 11�, , Ill, I I I 11 I I X ____ L . I I I I � . . I I I � I I ",/", FFt% 15.5 'T'. I I I � ,�� I I 2 L I I I , � I I I I _j I � I � I I I � I I I � � ; , .,' : I I I � � I I I . I �: I I .1 I I I I I I I I 1, I I I I I I I I I I - � - I I I I I�,xLAWN 0 z I `1N,, I I . I .1 I ., .1 \ 11 0 - * - I I � I I X � 3.1 1 1 1 3.) PROJECT IS,WIM CENTERVILLE - OSTERVIIIE � � � r � L I 11 I ,� '' I I I I 11 I c1f I I I I I I 11 .1 - OODEb , ' I . I I 14.4 ' 1 I I � � I . I I I I I I 1 , � % . I � I \ I I I I � ! I I I I �� I I 1� I L I i= , N", I I � I � ,� Zl 7. " I I � I " . I � I I I I� � I I . I I I MAIWONS ULU FIRE DISTRICT. r, , I I , � : I . � ,, I 1 I I I 0- V) I - � I I 11 � I I I I I 11 I I I I I I I _� I I , I . I � I I � 3 , I I A , - � , I I 10 , I I I I � L I I I I I I I 1 - . I I I , - 13- - I __� I 11 1 117.3 ___11 I I � I - \ I� I_---- , , I I I I I � , I I 01 I I I I I I I I I . � I I I I I I j I . � i , I I I I I 1 - , 17.1 1 17.5 , , I I I I I I I X 0 1 1 1 1 1 � L I � , I ,� - " I' ll , I __�_ � I ,� I I I I I ,; � I ' I __� ' I I I I �I,rN .: I \ 11 I F'r I I I I -. - I I I � I ' 'I I x 17.8 � < X I I I I I I T_ , I I I I . I - I I " �, I � '' � 3 . � , 4.) ZONING INFORMATION I . I . � , . �11 I I � Li I � I __* ---X_�- I I I I I L . X I � I I I I -I I I I � I I I , ,r I � , �� � � . .1 I I � , I I I I L " S�C,-.#j, - 6 1 1, 1 I I I r � I I I I I I I I - - � I t.8 - � 1 16.0 , 1, ;, I I 3t I I � ' Is ;r��;,i -�14 I pj I I I I � I - I- , _,:� ; ,� I I . I I I I I � I I I I I I I I L I I � ZONING DISTRICT : RF-I (ResidenfiW) � PREPARED �F, Z"! -"- I. , I I OOLS le I I I I .1 I I 0 - I I I I OR: I =17E 1, I I , I I I I I 11 I I . I 11 EXISTING. CESSP 1 7 /' ' I I I " R041 � I � I I I I L / I , I , 1, I r WOODED I 11 11 � I I I I 11 I �� / . I I � I **- I I I I �,,,,�,,,, I I I - I e I I I I � L, I I I / 11 I I I r 1. � I I � I I I I I I I I ,,J#1 ��� I r I � I I I X 18.0 1 1 :PUMPED AND FILLED ;,, I - � :r - I . � I I I I PROPOSED �'rl I . , I I C0,1"S r, , I I OP I I I I I I 1. 1, � I I I -' 'I I - Z�" , , , I I I I � I I 1 .3 , L I � I I I I I , � L----r 2 x , 14.3 � t & � OP I I ��'11�'r r-), � � � " I I � I 1. I 1, I I I I 1 ,4 ' I CURRENT I&&" ZONING REQUIREIIIEMM. I .-M I I � I �- I I, �I'�, �I 11 � I'll � I I ' ll 1 17.7 1 1 � I I ,I I I I X DURING CONSTRUC71ON ' - 1. I I__ 11 1� I I I I � � \_� 1 15,.0 11: , GARAGE ', I I , I I ,I I . Nk I I 1, � - I I LCA BUH I L. - ',I,��.Vr I i I -11 I �, � 1, 11 I � I i I I I 113.0 OF SEPTIC SYSTEM FOR I - I EL. I I . / . I � I I I �1: SLAB I ,� I, I I I 11 I 11 I � I I 11 I I I I I I I MW. LOT AM Me 87,120 S.F. I I I " I I I t,,�, I "Al 1 � I I I I X . � I I I I I I � I -"�, � %� - I � I , , I I I � I - TE 5.0 , I � f I . I I , I I I I I I I 11 I - I_ - � I I I I I , III,, � - I I I I I I & 14.0, � �, � � I I I . I �',,, .,;Xj � �, ,� � I I I I " I � . I , . I I I I � I . I I t I . 1 MIN. LOT FRON1W - 20" � _� I I � I - �, I ' ' I I I - r . I I I I I � " - � I � I 11 � I -, I I .1 , � I 11 I I I I I I _.". - - I I I I �' . - I � I 1 92 SOUTH BAY ROAD , - I I ',___� o I I � I I X , .9 -_ 15. ., 1 1 1 1 1 1 1 Z.1;17) I I� I I I 1. I I I 11 I 1, 1� I I x 17.5 1 . I I I � 11 I I I w , I I "' � � ' - � I I / ' . r I ,/ 1, � , � ,I � I . I 11 I 11 I I I I I � I I I I - I I 11 I MIN. LOT WIDTH - 125' - I . I I I I I �q 5 :"' , I -1. �� , , � . I I � I I :(PERMIT 12013-014).,- ' - GATE , ,,J.L5.3 x x ,,1 . , I 1 / 1 I � 1% I M �,, , ," ��, _', I I I I I I I I " I I I r , I I I - 11 . I I I �� I _ I �,I� I I I I r I I ' ' I 'll I I � I � - I I 0 , - 1, '' I I � 11 I ROXIM TE I I . I I I I , 11, I I I � � I I FRONT YAW an 30'I SIDE & REAR 1ARD an, 15' / 15 i � I - I I 11 I I I I I I I I I - I � I I _1L_ I / " I I I I � r � , ,. I I I I I I / �_ � 1, : I I I N) I M I I I . I � ' I � , I , / I : I I I I- I I . I C I � I � I I _111._ 0 1 1, � I I I ' RPOI), AP Wa?EATIONAL SHWISH AREA & Sfialf&l I '), I", 1, �,�:i� � � ,, I . ' � . ' � I LAWN .1 , I - I I OCATI ,I I .., r I I I I OVEWY DISTRICIS. I , 11 � I 11 I I 1 17.2 1 1 1� � ,� - 1, � � , I I I I .1 I � I - I , "' I I I 11 I I I r I I I - I I ''I ''I' , ,� I I , I I I � I I I I N� I � I I I I 11 " I I I I_n_i I ,� � 1 5 � I I I I � I 11 I I I I __ "- I '': I r , I I I I - I � I , I - : 1 - , . 1, � ' ' I /I I 11 I � I � , I 1, I I � : , RELAY AREA DOW & PIER OVERLAY DSn=. I �� � I - " ,.''�1 . � I : I I I I I I" 11 % -_- ,__I �I I : - I N A I"ION , �,1� , I I I I I . I I I * I I I , I � � I I I I � � , t � L � 1, 11�1 � I I I I I I I I I I I % 17. 11 1, I � I I I . I I I � . �111 -1 � I 11 , � �_ 1-1 I r I - I . 11 I I r I I L I 11 I I 11 I I I I I . iP' I., �, �, : � I . I � � '' `_ - I I I � - 11 I 11 I - � - % . . I I I ,� 1. , ��, I I I I � / :�' I - " 11 I I � I � �_ I I - I I . I I I , . - I � I , I I I I �', � I I I I - - I � I 1 / I I I � �r I . I - I J I I X I I � 1 5.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS srTE IF DETERMINED , '11'��_�� I �_ : ' 'I, 11, 11 . - I 11 � I I 11 I I � -_ 0 1 11. 11 '' I I I I / I I , I I � - ''I '- 1 113.7 � , I I . I � 11 I � I I I � � 1. - I I I I I - . I � - 11 - � I , 1 . I � � I I I- I � I � I . ,� 11 _ I I � I I , , I � - � I I TO BE NECOWN, A TITLE SEARCH SAL BE PERFORMW BY OTHERS. I I I I . , � ,,, 11 � I I " I 1 I � 11 1 11, . 11 I I I I � I 11 _� I I Ad 1 15.5 1 1 .r I I 11� I I I I I ,�, I I , , , I 11 I r of'' , I I I I i- - 1 I I", �, 11 1.6"T I I-S-IN I I I I � , E . �L I , /I I I I � 11 I I I � I � I I I � I I �� � - �f , I, I I I I \ 11 X� I � / L ,� ; >/ I I � . I I I I , I I I 1� I I V_ � I I I I I I I �1 _1, _� I ' I : X1 I , I 11 I 1 .4 � 11 I I I ,, I ' ' ' ' ' ' � I I I I I I 11 I I I I I I ' ' I I � I 1, I �:; "'111 - �. - - 11 �� r I I L 1 . %�, I I - ,�I I � I I I ' ' I I � I I I I I ,� , _ I � L � I I I I 11 I � � I . 11 I I I I I I I / I I � I � I I I 11 I ': I ". I I I � I , . : ;� I I . , I z � I . I I I I I I THE PROPEW LNE INFORMATION SHOWIiI IS BASED ON CURRENT AVAIIME � � I I I r I � I� 1 ' ' I I I , r 11 ,� 11 I I LS,� I - 11 - I �/ I 'PROP --- I �� I 11 I 11 6.) 1 1 iI I I I r I I r I I I I' ll 11 ,� I 11 � 11 I : I Y, I �Ix' , 1. I I . :)"�5 ,� I I e I 11 I _WD HOUSE ,', : � , � I I I t I 'll 11 11 I I I � 11 I I I . I I I I I I r I I I 11 " : �', I'— , � I I I el � I I - I - �' ''�, 09. 11 I I � 1 6 , , 5. , ,z I 11 , , , I , - 'TFE 5.5 : " -1 I ) # I I � I I I I I I RECORD, INFORUNM CONWW OF ,PLANS Am Dws.- I I I I I - , I � I I I . � I I , ,� I � I I I � I � I i I I � . �, I I : 1, � E � . 11 16 lell I � ' I I I I �, � I I -�, , ,,, , I I , , I I I I I I , � I I � I I I _1 ,,�I, ;� �� I : I � I I � "I I ,� I I . 16. 1 1 1 � � I L I I I I I I I I � , I � , I 11 � I I I I I I i I I I . 11 � I 1, � 1� - 11 I - I � I -AP 0 4ATE , � : 'e, . I I - I I I ,� I I I I 1 � _ -111, 11, .� 'I, 1. � I I � � �_-_ I I I I I 9 I I , � I L , 11 I 'll ',11_1 - 1 - I 11 I I I I'll ,.� I 1� I I - I THE D(ISTING FEATURES SHOWN! HEMON WERE OBIAINED FROM AN ON THE I � I . I' � I " I �, ,r 11 I I . � , - __ __ , 1 I 11 !, , , I - � I . , I I I � � I 11 I . I � - . I 11 I I I - , � � , I � I I I :.z I , , .- �_ . L ��'� ' LOCATI N, XISTIN I ,� - , . " � , � � , � i � I 'I 'll I I - I � �� I I 1, I I I I GROUND FIELD SURVEY PERFE)RMED BY sAxTER wr ENGINEERING & SURVEYING I I I �� L , ,, 1, � I -'r I � -L, ,,,, -- I E� I I I I I . , - I I I i I I I � I I I I I I � I I I � I I I I I I I I � ,�� 1, I � - 11 ,��_ I I I rN I I I . . 11 I L I : . I I I I �I I - I I I � I I I I I I I, r I � I . - I 11 I I I I - � � 1. I 11 I 11 I , '�:, N, I ING 1 15.0 ; I - 1, I ; L - I I � , . � � I I I " IZ- .., I TES OF 08/16/2002 AND 05/02,/201Z - ,� I"� �_ - I. , - I 11 � I i�/ � . - 1 IL I � �ICE LS � - . I ,�", I V 11 I � I' ll, I I � , I I - � c)(is r� , I I I � I � � BETWEEN THE DA . I I I I I I I . � . _. I --- � I I I 11 I I I , , , I ,", I I I � I I I I L I - 'L �i . I " - '112 s-T ' '' � , : 11 � - I I W . ''" I � I I I I , I I I I 11 , I .1 , I I I � I I I I I I 1, ''. I I I ORY , ":, I I - 1-1 -,-' 1, I U WEL . 1, I I I I , I I I ' ' I I I I I I I I � I I I . .11 � 1 I I I , � I � - � I 11 11 I I I �, I I I I I 11 . I I '' 11 I I- , 11 I I I � I 11 I I : , � � PR I I --%a-.- --- "� ' �,-� I I I --1 I -H -H ' Lltvc I 1 7.) COMMUNITY PAW, NUMBER:- 250001 -0018 D � , �, - , I . I , . , 1 -1 I ' WOOD FRAME � 1. � / - - � ' 'Ill, I ! 11 ' ' I , ,� � I I - I '' I � OWELLING � ,LIS', I I__ .1 I GA_1E- 11 , 1 17w-)7-5% 1 1 � �I I I - I 1, - I I I I 1, I - 11 I I I I .11 I ,� li�I . L ' ' I I I, I I �,_ _X_ ,3;Z�L I I , � ,. I I I I I I I I �, . � � I � I I I I I I I 11 11 � I Ir . �- , � I I I I � I � , , L � , 1 , ,� I , P � __ *Nwwi--- I - _ I I I I I L I I ' 'I I I I � 1! I I � I I � I I .1 I � I � I 11 I I MOUSE No � q I I / I . .� PROPOS6 PA 71 ,r'' � I I I I I I 1, I I � I I I I � I I I '' I I . � 2 1 1 1 1 1 1 - X I I I _ ,1 11 X � I 11 � I I 11 I r 11 � . I I � I 1. . � . 11 I I 'll 11 I I I I 111 : . 11 '' � _i , I- I BUILDING , ,/ � I I I / , 1 14.8 .7 � �, I I , b 13. 1 11 �, I , I I I - ,, 0 1 1 1 � ME FLOOD NWANM RATE MAP OEM THIS AREA AS ZONES V17 (EL 14). - I I I LOCA I . I ��' EL 14.5 ,-- i I '' n I I - I 1 11 . 1, - � I I I I .: I .0 I I � I I I I � I I - L I I I I -_ 11 , - N_ 1 1 1 1 1 - I � I I'll I I ' 11 I � I 11 11 I ' 'I I I � ) I / , MARCH 20 , 1 TE 6 , I � I I I I ,I . - I I , N." 1� I . I � . I I I I I I I A13 (EL 12) Aft B I I 1� 11 I I � I . I I � � I I .,1, I 11 -1 , / I I _Et7 7". � I I I I � I I I I -11 I I I I 11� I I I I I . r I I ' ' I I I I I - . ?()I t ,, I - a � 1, I , � I I I I I I �111�_ I . I 1 F7 Ac I � - I ffACE , , 1!9 I .0 , I I � - 113 1 1 1 1 1 1 1 1 1 1 1 1 1 1 � � a.) , NMENTAL I a I I 1,1� 1 I I I 1 - I I I ,, I 'L I I 11 4. 1 - :, I I , �� I I 1 1 , I _k I I I I � I I � , � ��,, 11 I � I I I I I I I I 11 � I �� I I ", I I -,, /-//_ I I I I I I I I . I I I � I I I I I I I I I I I I I I I ., I I I I I I I , I 11 I I I I I I I I I I !, I q I I I I I I I I I I �, "I ' ll, I I I I I I I I �_ 1 . I � .1 I � I I "I I 1, I e I I I I I I 0 SITE IS NOT WMM AN A.C.E.C. (AWA OF CRITM ENVIRONMEN1AL CONCERN). I� I I 11 �,,_ I - I I I " I I -_ I �. . ___________� . .. I I I I I I � . - I I . I I I r__ ' - 12.0'x�� *E.E_31� b I I I I I � I I I I � I � 11 I I I I I I I I I I ,� �. 1, I ---,- I. ,,, I I 11 -------__ I � 11 11 I � , I I EL. � .t) 'L 11 11 - , *4d..GM --dam I'j,�� ---*I* I I ' I I I I I 0 1 1 1 . I - - I I - I I I .. --- I 1, - I I I I I � I I I 1, ' /1", I le I : . I I I � I -0 I . I L I I I I I � �� - I I I �� - 11 I � I � _X �1.:� � r .le I x, �. 11 1� I � I ,� - ' I I I I WE IS NOT 'WffHN AN AWA OF BTM70 fwuAT OF R" WIDLIFE PER I I r F , : � . � � I I 11 I I I I -_ _ 11 I 'll 11 ,� I ' ' I I � � I I I � I I I � I I % 11 , .,� 11� I I I ' ' I -N , -50' OFFSET I �k�:&-- .1 I . . , I �v I I NHESP MAP OCT03ER 1,'2OD8 *ESTIMATED HAWATS OF RATE WXDUFEw i, I I 11 I I L , , I � I I I:- I 11 I 11 I 'IL .1 *IN � I ,,, I 11 * , ____� I I I- . I 11 I I 1-1 � � - I I X . �, I -, I , - � � I ,L I I . I I � I ,�, I 1. , I I I NN I I I I ' 'I � OM -rO . I I ��,�,: � I I - L 12.5 11 11 � 'e I X 11 I L" 11 I I , � I I I "I' ll ,� I I 1, I . I I I I � � � 11, 1 L I I I I X, I I I I - c4x 11.6 - I I FOR USE WITH TK MA WETLANDS PROTECWN ACT REGULATIONS (310 CMR10). �r �1� � WN COA* '01 11 -------�( _ I - I I � I 1, I I I I I I I I �, , � I � I L ' 8 � �' � I --- 11 . I - � "I I 1:1 --------- -- - '' I ____�_ __Q------ - 1. I I I I I 11 I I I I . I I 'll �� I I I I I � I - ��', - ,", 11 1, I I � N � - I STAL� I : 14;1�, � , I .1 I .1 I 11 . I I . L I I I I I I I I ,- � I - I I r ' I , I I I I � ,.." -] I I'� I I � : N, 11 STON Kl I � I I I - _ --- , I 1 - I I I 0 I , I 11 I I I I I I I I �'', 1: 11, I � . I 1. " 1 � I I I - � I ) � ,,,/ -_ I � I I I I 1, � I " I I I *SITE DOES NOT Ci�NIAIN A COMM VERNAL POOL PER NHESP JW OCTOBER I I I , I ,, , I ILI - ''I 11 I I I I , I I�11 - E PATI011 - I L " Ill ., I .-I- q � L,I I - - 'I', I � .7 , I I IF I L I I I 1, I 1 ,; ,�I I I I , I I I � I I . I I'll�1, I I I 1, � I � I I �� I I � . I I I I 1 1 1 11 I "' 'I , 11 I I - I . , I .1 I --- - � - I 1 // ,� I - I � , r , I : I 11 I . 'co , I I �� NOTE: , ' , I I ICB/DH I` � I IL 1. 2008 "MME1 VM44L POOLS. I I 1 4101 1 1 1 � I I I I I I I ---- I I I I � r I i 1, I � I I I I I I I L I X 16.5 , ' -_ r 11 I , 01 , I I I 1. "! � I I _____ I 1, � I I I I I I -19 I , I 1 ,46. . 11 I � 6. , r I I I , ! I�. I I , I I � I I I 11 X , , I I - I � --- ,� .8 7 12 1 71 ____1 11 1, I I I I I I I Cd I I - 11 " � I �, � I � � I I I I I I .I I '' I I 1(� . � I - I'll I . -TOP -OF--&'FATE-DEFINED 0 SITE IS NOT WITHA A PRORITY NWAT PER NHEsP MAP ocTom 1. 2ooa I e I � L , � 5 � � I I I 164 _ ' ' I 11 --- li - - I I I I I I I I I I I I 1 I I � . , I � I I � � I "I I I I I I I - 11 - I I I I � ,,,, I I I I I I I I -->C1 l.,1, - I I I I �, I I 0 1 1 11 I, I I. "I', ' 'I I I - �,N% , , , I I I � I � I I I I � I 11 I - � I I I I � �, � A - L � COASTAL BANK ,IS EQUAL I 'PRIORITY WWA75 OF RAW SPECIES" FM SPECIES UNDER THE � I �I I I I � I I I I � IL "I �, I I 1-1 I \ L I I y i / - I , , , I .1 1� I I I I I . I I � I cc . I � I I� 1:11, I I �- � 16'1 1 � � I I . 1 .7 1 00' OFFS - �__ - -_ I � I MASSACHUSETTS G!DANGEM SPECIES Aff. REGULATIONS (321 CMR10). � I �, I . . I I I I I I I 1 "I I 11 I . I 11 I � I I . 1'� , I I I � I 11 � I I 1 �I I ; I I I , 1 1. 6.6 1 1 � I I I I I 1 * ___ - 61-0.19, - WITH B E 1.F.� 11 2.0 1 1 1 1 1 1 1 ,�, � , , . r I N �i I . , � -_ I I ----IX I I �, I� I � 1. ____ N ... A - �� I I � I � I� .1 . I I -, X 11 � W.-�, " . I FROM-TOWN , �V,6 I-- - :8. 1 1 1 1 w >% I - I --------, I *SITE IS NOT I � I I I I I I N 11 I .114111, "I . I � - - , 11 . � I . I 1� I I I I 11 1 , I X 11 6.2 x x lf��11 1 r , 11 __1 ' - I I I I I ---- I I *Mh A STATE APPROVED ZONE N GROUND WATER RE0"GE 11 I I I I� 11 -1 I I I ------- -, I I I I I I I " � � , I . - _-co ANK ______ I. , 'I , � I � 11 I I . ' I " . 11, I I I I I I I PROTECTION AWk � I _j ca I '' I I��- I I I I I I � I I I I I I I I I I I � , I I I I � I I I I I - I I - I I I I I-- I I .,�, _1 , � , , I I I I I I , 11 --- I �_ , I I I x 8.� 1 , - ' 100 I I � I I ---- I ., ____ ._1 115./l, : 1 !��------ - KSTAL B _-- . LIMIT OF WORK FOR I � , I I � I I I , -_ - i I I I L . L I I I I -_ � I -.1 I � - , I - I : , ,� IN. - I - , / I 11 I 11 11 - 11 I I I I . ' I I I I I I I I I - . I I I 'll _--� --�-��l 5.9- --<I 6.0 x I ' I I . . I �� -_ I I I __.,�_ I . 1 ,�, I I I 1--, ,C " I I . I I �. I . I 11 I 1 -1 I . )t_T16._U , I I I I I � � I HOUSE CONSTRUCTION �, - SITE IS WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUARY 1. I � ,��, 11 I 1� " I I I— I I IN- � 1 15.1 T0wN � X I 11 I I �/ 4 � I I ' ll, I I _� I I --- I I I � I � I �, I I � I I I I I I I I � I I 4 11 �_ 11 � I I . 1 I � : __1 � / I �_ -_ I 1 .4v - I .-- I I I I . � 8.0A REG. 360-45).` I #-- I I �I I I I � : , , , �, 1; I I 11 I I , "_� � X-9 - ____ .11 - I I 11 I I I - I � � � I I I 1. I 'I'' 1 15 1 1 1� I I I I I I I I I I I I I 11 I �. I I I I li I I I I -_ " I I I I ___�__ , I I I 0 I I " "I . 11 " I I I. I - � "" G A, I I ____ I -_ .I �,- I . I . - ,. 1, , � .'��7_ � , -_ , , I(BARNSTABLE . I . I � 111��_ CIPASTAL ' '1 5 1,-1 4 ,a.-J 78' MEAD9 ' 1141w I , I 1, �� � _YV, --' x 8. 1 , . I I I 11 � r�, � I I --- 11 I � , I � I ,x ' BANK ' I 1�.11, _ I I - � I I � . I I . , 0 I , I . I I I � I - I .L , :� .11__�, , I I I I I I 0 WMAND PORTION OF THIS SITE F A MAPPED UP BARRIER BEACH - � 11 I I - I I I - I ___ I I . r, 1 � w I I I I - )"i�p I I I I I I I I �I � �, , �, �, I- 11 I I I I . . I I I I I , I :� I - 1 . 1, 11 I I I I I ." -_ I �� I --------�--_74QV- _,- 110�� r� - 16 1 � X 9.5 ____7-' ,-I- 1, 1 I I MEADOW --------*-"I �I _,���__ I ALLS,WITHIN , I:- I 1' '. I I I I I I I - � I I I �, 11 �� . I I I I � __', I x 8 ,3--- � I 1 X.7.2 ____ I I . *1 � 11 I I I I I I I I SALT 11ARSH. 1� 1, I � 1 -131 11 I I I I I .." I I I I I I 1, I I I r 1-1 I I I I- . I - - -i" � , , ---------- I I I I IN , , I I I LL � I I I � I I I I � ''I - � I -- I I "�57r4 I I _1� ---------- I I . I I I X 6. N I I �I 1� � ::' - I I I I , '' ' , , -_ I , I --- WA CID � . -1,;_ I I I I -- ' - e I ---------- -911-1-11- . I - I �. ____ ,. I � � 1 5 1 0 1 1, '. 1 I I 11 ____ ' 11 11 11 I -- 1�rl-1 I ___� I I I ,� , , % . I I I ORS MAP 093 PARCEL 042-C -CIDASIAL RESOUKE AWA DELINEATION PEWORMED 06-17--09 BY '� 1�, 1 �. _�, , , '' 11 I I 1-1 � I I - � , I .1 11, -- 11 13z I -.1 _,_ I ____....� __� I I I I � I 11 11 �11 I � IN_- 11 I ,� I I I 11 r I I I I I I r 1 - , - -- --- I I I Z, - , 11 I � I � 11 � 11 ' ' I � I 0: I - ,� I 1 11 I I R_T2.8 . I - , , i IX-1, - X 8.5-- ' ___- 11 :'' * . I � I I , , -_ I . I I I I IN : 11 I .11 , . I . - 11 I � � I / ,X I-- : ..-, I . . � I I I - I � 11 I I I I I I I ''I I I I I I � . LORI WWDONALD. WROMENIALSCIBUIST, BAXTER W ENGINEERING I I 1 . 11 I I I I I 1 -.< I ' ll _____ I--------- 11 I - I 11 1� I I I � 11 I ,� I - . I I I - . I I , I I I I I I I a. , ;_ ,11 I � - I I I . -, ---1Z-_9_*____TT2 75�71 .� I .1 ' ' I 11 11 - 1� I I I I -_ I I I I - I . I " , -_ --- I � I I I 11 I I . , ' ' I . 11 I I � I kmo-1110t_ -3- ., I I - p< I Q., I - I/ ` , - I I & SURVEYM. (VA-OM & DA-090") I I I 'll I k I 11 --swiloommp. .11� , . I I � ,r - I I , 1. I � I I I I � - I I I I , I __� I I r , ______ I I I 11 t � . I I I � I I I 11 11 - 11 � I 1� 1. - 11 11 '' 13_F_E_�_ �_1_1 I I 11 I wmispolio*- ,." � X .� -*5� ' 'I . I � I I I -_ I 11 � I I 11 , � ___ I N/F TERRANCE J. HUGGARD, ET UX., I I 11 11 I . I I I 11 -_ - , � . .777! I , . I I I � I � I I - I - I I I",- � b< 8�5 -8-t IL.�._ ,4_� � I I . I 1, � " � I -1 I � _____ 11 11, I " 11 �, " I I 11 ; 4 � iiiiiiiiiiiii I 1_1 nmni-�,_( M0p--t--L,IIIIIIIIIIII1 11 IIIIIIIIIiiii I IIIIIIIIIIIII I - 7 ,----- 1 1 11 I � 11 I I I I . 1 I I I I I I 1 . . 1 � 1:, 11; I I I I : .-- , I I I 1, - 1111111111 � I I . I I �1 : ,� I I I I I 5 10.8 , ----- I 1�/� ., . -,-- � I 'l � 1AI, I 11 ,� -_ I - 11 � I . I I I 11 I . I I I I r ,: I I I . - I , I I I . . I I I I 11 . �__ I 11 I I I - I � � I I I 11 - 1 I I � T - 777- I �, , FEMA ZON,E � I I I I I I I I x 10.4 , 1-1-9--- 1 15.5 � I � 10.8 ' . K +6 ,- I I I I . -- � I I I I I � I � I I I - , , � I - ' I �___ --------- -- . _.., 100,0 � V17 ' I - I V1 7 � I i_ I , 58 TH BAY ROAD I I I . , r, __:�� .3 I . I I I I : I I I I I 1, i .I I w,- ' ' I I I 11 I I ----__X_ 11 I _�_ � I I I - N 1, � 6.4 , 11 I , SOU I I I I � I I " ; I � I � I � I I I I I . I I � I I I I I � I � I I X v, k I I I 1, I , I - . I I I � I " , , I - 11 I I I I ei I . I I I I 11 . I I � I � I � L I I � I I I . I . I � I I I . I I 1 I ------ " I -_ Ir I I � � � I I I I . I � z � � 1, I I I , I 1, I X 9.1 . 9.5 �� � "41-01111111 I I I .1�1.� I , I , I 11 I I I I I - I -- + ,� le I I - I I I I I ,:�. r- I � I I I I I I � � I I I I � I I " I � I I I � ___! -----x--"- aim- -.j__ww___!_L.!�- ,, .", , , I I I I I I . 1__,1� 6 .1 1 1 1 1 11, I I � I I , � I Jw. I I I . , I I - I r I I, I I�O . I I . I I I r � . . I I I i , , � - , I I I I I I I I . , I I I � ; I , I I --, I I C - i : I I I I - : I ___ -;;; i I w" I ,I iiiiiiiiiiiii 'I J , iiiiiiiiIIIII I I , � I , " I I � I , . � . I � � � I I , " __ I " "I 11 I , I I I I I I __ ;7, , I 11 : " , 11, 11 I , . � "I I I . --- I I I I � \ �. ,x .5.5 , � I I . INN , , ERTIFICATE :OF TI TLE No. 121799 1 1 I I , I � I I I . ' ' � . . I I -' 11 , I I 11 11 . I I I I I � _ - " I I � - ____ ___7___ r " ' 11 . I - I _.-N, , . . i 1, I I I I I I I � � � I 11 I I I I I , r --"-.411& , . x 8.2 � I _> . . ,.:::::.=Z I . _ I I I - 7- I I -_ I I 1. 1 I 11 1 . I I I . I I I 1� I I I a. ' �_ I I I I' ll I �� MA,1wZONE1 V17 , , I ---------- __�. - le.,: 11 1. � 1, 'I, I __�, I ,r I --- 11 11 - "' . �� I I I I I I I I I I I I I I I I I I , ______!Z , I I I I I I I I I I I "I"". ' 4.'8,,, : � � - --- , - I - I 11 I I I I 9 9 � I -I 1, I I I I I _____ I I I I 11 - 11 I � . � _� I I X 1 � �, 50i . . -_ , I 11 I 1, , I � I I ,,� � I I I It " 0: -, . I I I � . �111 11, I I I I I I � 11 . I I I 1 1, r , I _/ . I �'O - I LOT 6 , AT LAND COURT PLAN No., 8730-F I I I .1 . �1. I .I � I I� I 11 � I 11" I . . ___�' , . I 11 I I I I I X 10 _� 11 - � I I --_�,_,, . 48 ' 1 1 %N 11 � FFS . Nl.;__ I I I - I I � I �I 1 � I I I I I I I � i I � . I I � 1, � 0 - I , I I I . I � I I I ' ' I I I I I I I 'll , " �, I ----- �,� ,� I I - . X , - , -, N, - 6 - � I I I 11 I I I I . I I I I I I I � I , � ____ I w 1, I I I I I I I I I I ,� , , - I -_ , I �_ �____ , co , I., � I I '' I � ___ , ___ I I - - , , I . I I � 11 x 5. . . _____ � I I � I I I I I I , � I I I I i � - - � , 5.Q,:---� . - I N.,11`1� I I I � - ,. __�_ I -_ I 11 11 � . I � � � I I I I 11 - � - --- - � I I � , , , i I I., . 1 I x 4.7 1 11 - - w ,� � I I I I I � ' 'I 11 . I � I 11 - , , , I I I I 1 ,� , I .1 I I I - I I I � . I ' 'I I I I I r I I 1, . 1 -1 . I I I ''I, I I I I I �&�, : � 11 I I I' ll �, ' I � , __� 1 . I I I . I I I 11 � I � � 1-1 I I I : ; �, . _____ I I I'll I I I I I I I I I I � DAR Fil� ME 34M , , � � I p p � I 0 �1 I 11 I I I � I � � 11 I . I I I I . ----�'5.7 � I Ix, .1 - I I I I � 11 I - � I I � I 11 I . . I I I . I I I � I , I I _. . I I , � I I I I � I I I I � I I � � , I I I I I r 11 11 - ;, , I , , . I I I I I I I I j I I " . � I 11 I I I � I I I I I 11 11% 11 I I I - I I I'll, I� I � . I � I � I I I I 11 5.1 1* ' I I I I �1� r I I I 11 I I I 1 , � I I I I I � , I ., I 11 I I I I I � � I I __ �. i, X , " _ :� . I . W I 1, � I I I I � I 1, 1_'11 � � I I � I � I I I I I I I . I I . ---- , - 1 : ' I I ytl�-��-'l 2 A I I I %-. , �, 1 � . �, I r I I I I �� I I 11 I Ordff Of COMMM &pkM 12-21-2015 , I I I I I 9 - 9 - 9 I'll '': . 1� �11 I I 11 �, 11 � � I L ' 'I , � I , I � I . _� I I . . - I 11 I I I I I I 11 I I I I I - � I . - I _.I I �� I � I I I � 0 __ - I I I I 1 . X, - - � , ���� , I I .1 ; I � , I I I I I I I - -1 . - I -- r A I I . I I I I I %11' I � ,� 11 I I I . I I I I I I I I � 11 I I I " , ,W ,:I I � : 11 '� : : I 11 I I I 7 IX5.6 , ____ I -x 4 9 � : . 11 I I I I I I �, I I � I I I I � . I I � I I � S t ; ; � � 11 I I � I ---,-I- I 11X I 1-1 I I I I �i - � I I 11 i I I 1, I I 11 %A I " I � � I � I I I I I � �11 � � I I I � I � 1 1�7-��, : I I -.f\ I x 6'.. . I I 11 I I I . I I I I ,-, k , " I I I I I - 11 I I I I I . I � : `4 " -1 11 I ' ' I . � ''I ' ' I 11 � � �_ I I 1, 111, � I 11 I � I I 11� I I I I I I - I � I .1 � I I NN 11 _ ' L I I I I ; I �, � � I I I I CONSSWON I I I I '"',< , j I I I 11 I - I Ir-N � I I I .�_�, I , I � , I 11 j I I I - I I I �", �")i 1 !2 1 , ,� I I I I I � I I 11 11 I � I I I � � . I I I I WIF A-13k-, - � I I I I -, .11 � I I I � 11 I I - - � 0 I I I � I I � � 1, ,�_,- �, 1 .11,4.8 � - I I � I I� I � I 11 I I - _ , *1 I , " � ,&V, I I I NNw , I T I . I I � i I I I 1. NO WORK IS ff DONE UNTIL FORMS A & B ALONG WITH REWM -_ I � I , I 1-11 I 11 I I I I �I I I r - __ I , , � � . 1 I I I I I I I . � __ --- I'll, I I 1-11 I , I I I I I . I 11 - 5 1-1 I - - I 1, N111 1 � 1�11 N, , I I I I I I I � : I I I PHOTOGRAPHS ARE, SUBMITTED TO CONSERVATION COMMISSION. I � ` >_ � � I .: " �, , � :, I ,�, 13RAS'S -- I I I 1 5.3 X,� FIELD GRASS � _� ' I .--- I , I , I w I I � I 111� I I I I I I I I � I I 11 I � � 11 %I I I , I � I ;111 I - �i 11 I . I � . - . � I I �'I', I Ir. , 111�11 ,��, 11 I r I I I ____� I I 11 I I I I I I I I I I ' ll I -11-1 I I 11, .1 I 1WF A 1,1 A I I . �� � - ____ I I I ,� �, I 11 I r 11 . I � A , : � I . __� � I I . I I - I I I � I I I I I I f I I I I 11 a a a �� to ", I I I I I � I I ___ I r I I � I I I I ____ _ I I I I I I ____ � �- - � I 1. I I ,� I �I I I I I I -, I I . �, I I I I I 1 2- LIMIT OF WORX SWL CONSIST OF HAYwEs AND su Facm ,. I I - - _ --- . I I I � � ,�I'' . 11 r''I�" , ''I , I I ' I I � I I I -, � __,_� , I 11 � I I r I -_ - � I I ''I '' I I 11 I 11 ' I I I I I I I I I I I I I � I ,* I ") , Z I '. �: ,% , I � , I I , � ' ' I � "I -WF A-16 . I � I I � i I . _H I - I , I I 1� I � I � I I I I I 1 I I I I I I I I I. I I � � I I I I I� I I I I I `N1 1-1 � I I . I � I I I T I --- I I I � I I WF A I � . -- 5 -_ - . I I . 1 70 BE MAINIA1110#4 GOOD WM UNTIL compa7M OF pMECT I I � � A&M, � I __ __ I 11 I I I I � I ,� I I WF A-5 . I I . I I I I . .1 I I I IWF A-1 3B � , I 11 �, 11 I I I, 1 71 1 -] L I , I 1�I - I , I . I � I I . � ,W . ' I I Man I � ., I I . I I I- I . I 'I'll 11 I IWF A-9 I 11 � I I I I I "I- k I I I I 1 � . I Ir I 11 I _____1AZ �, I I 'll I I . I I I � I I I I I I . 11 =1 ;. . 1� I I I 4 � , I I I , I �, I I I ., � 1, I I I VADM r SNAU DISCHARGE To I I I I I � � I ' 'I 'll � . I I . I I 11 I I � I "z--- ' I I : i I I -1 I I I I I I I I 11 I I I I I 1 .3. ALL R" PRY W81S OR DRIP TW"ES. I SHEET TITLE I I 11 , � , ,� i I I I I .1 I I I r � I I , I ��, : I � . . I I'll, , � � I I � . � ___1 , � � I I � , I - WIF �A-1 5 ,N -----_ I I I I I I I 1. I I __ I I :,�,, �, 2 i - , I ,I, I I � I I �� . I ; - I - I '' � 1 , � , I L I I I . I - I I I I . 1 I I - I . I DRYWELLS SWL E NO CIDSER DM 25 To LEAa" SySTEM � . I I I �",''�, i � I I I I I I I I I I . I I I , , � I I , - '' � I I . 11 � 4F A-1 I . I � I � NN, I I I I I I - I i I I I . I I I I , i I I I I . . I , , , I ,,, .,,,,, r. 11 I I . I I I I I I I I I ,- � . � I 1- I 11.1 I � � I I I I I I I I I I I � 11 I I ---- I I ,,,,, I 11 I I I � I I I 11 I I . I I - I ; I I I'' � � I I I I I I I I I I � ,� I i I I I � 1 I I WF A-10 I r I . I I I I 1. .7, . .,-A I � 11 Pool Permit ,_ I 11 I 1 � I 11 I I ,� 11 I I � I I 11 I I Irl "I , I - / I I I I I I � 11 � I N I I I I I I I -1 I -: � � " ,r-1 I I I 1 � r r I� I ,I ...............17_��_ - I I , , ,''I I I I , ,.�,I I I I . I - I . , , I i, I I 1 4 A MITIGATION PLANING PLAN -%IAU BE PREpARED IN CONSLILTATION WITH I I I � I �� WF A 6 � I 1. I . : : 1�1 I., I I r I I I I I I 11 I I I I _o/ 1� I I' ll I I 11 I I 11 I I I I NN I I IWF A-117 � L * I � I I I I I I . I I I Plan 1,1 � ,�� � i I , 1 � I � �� I I I I 1 I I I I I I � I I I ____ �, r I � I I I I I I I I � � 11 I I I I I I �WF A-18 I I I I I � I � CONSERVATIONCOMISSION STAFF. � � I I I % 1�1 , I I "� I � � I I . I � 11 I I I % � I 1 : 06-17-2009 1 � I I I � 11 I I, I � 1:11- I - I 11 I I - I I 11 I I I 11 I I � I I I I � 4-- I I - I 1 � I I , 3.2 . I I I . I 11 ''I I � � r I � I , " . , I I I I I . I I � I I I .1 I . I -,--------- X I I I I I I I I NN I 11 11 .1 I I I I I � � I I : . 11 � 11 ' 'I i, , I I I I � --- 7_ � I I e 11 .,� z , , r I - 11 I I I I i : I � I I I I I I - I I � r I I . , L I I I � , - I - - , ., I 11 I I , I I I �, I -, I 1, ,----A-- I I � I I I I - � I I I I � I � I I I _�, I I -_ _____`N I �,� 1. I I I I 11 I I I I, - 11 ;1 I .. I � I i I . - I I � I I , 11zC I _____ I I 11 � I I I , � , ,�, . � _� I 11 I I I I - I I I I I I . � I I I I I I I 1 5. POOL D&MCWN&4ALL BE BY A NON-CHI.ORINE MEW. , I I : � 11 '' , : , j , � I I I 11, I . I - I I 1, � I I I ,� I , I ' ' . I I ,--, I I I � I I "' - I I I I .% I I I � , � I I : :, i I I 11 11 � I., I � _,__ I I I I I I I I I � � I I I - I I � 11 : I I I I I I , '' L ,� : 11 I I I -I I I I IN- 11 I *' af I : I I I �� I I I I � X �9 � I I � I I .\ I ; I I r DELINEATION I I I I I � I I I I I I I I I . I I 1. I I 11'' 1 , , I 11 , - I I I I L I I I � � I I � I I r 11 I I . I I I I I I I I " N" � I I I I I I 1: I I , 2 1 1 1 � I 11 � I I I I I I I 11 ';"��. ,� � I I- I I ; I I � I I I , I 11 � � ".1 , I 1. I 11 I 1. I � . . , I I \ . , I I 1 . � I � I I I I I I . I 1 I I I 11 I � . . I � I I - , I .1 - I I - I I " N I � � e I 1, - I -IN LOCATIM OF POOL DRAW DOWN LEACH PIT SWL BE FORNARM , _� "� �, I I I .1 I I � I I - 'WF 'A-8 , 1z I I I . L I - � I I I I 1� ,, � 6.,AS JILT � I I N, �, I I � 0 1 ,r I X � I N I I I I I � I � I I I I '' - � '', � e - � " % ,� ' ' I �I I I I I , I 11 I � I : SALT M 4KSH/ ,2.5 1 1 ,I % I I I I *% � I I I , . . I I I . I I r S SHEET NO I 11 - � I �� , I i�, , ; � I I - � � I I I 1 I "� r' I I \ I I � ,, , I � 11 TO THE MiSMADN COMMISSON, BY THE POOL CONTRACTOR I I , : , 1, � 1� � I I I 1. I I : I ;, : � I I I I I � , , " '' . _,� I - I . I _ _1 I I I I I � I_------"- I ''I I I I I I � 11 . 1 I �, I I N � I I . � I � I I I I I 11 I I I I � I � I I I . I 11 . I I I I � 1, , 11 '' � , �. � � ", ��,- � �, I I I I � I I � . I . N' - I r I., � I 11 , I ;' . I � I I I I " I . . . - I' ll I , I 11 I I ' ll I UPLAND ,BOUNDARY � I I I I 11 I ,� , . I I I I I "'',- 1; � 1 r I I - : ��D,LIA E , : I � r'' 11 I I i I L I I 11 , � � i I � I I I �� . I I - � I � , 1, 11 I I . � � ' � I I I I I I - I , I � . I I �. I , 1 I I � , � I I . I I I � I , I - ,� I ., I 1 , - I I I I �I ________��, , � � 5.0 X I I 1. I " I I � I - - ,2.8 `1�1 I r I y I i I "N. - I I I I I I I I I I I � I 11 I I , I 11 ., I I I �� I : � . �1, I I I I 11 I r ' 'I . x 2.5 , I 11 � , , _4;��_ 4 ,----- ' I I I I I ,� 11 - � ,I I . I I . � I I � \ �' I � "I I I I I I I 11 I / , I - I � I I X �1 ' . I 'I, " � I I I I I I I I I I � I I I � � a 1� I I 11 � I I I .11 "I , I 11 I I I , � � I I I N.,� I - � . I I I ' I I I . I I I � � �, I I I � I � I I w �1 , . , I I � � I I I I I - e � I 11 I I I I I I I r I I ,� �,, I � 11 11 111 . 1 11 I � I ,� � I WF A-17- &� I � 11 . I , � . I� 11�/ I I I I I I I I I I I I 11 , 11� I 11 N. . DUNE i , , � 11 11 I I � I FOLLOWS LIMIT OF DUNE AND ANNUAL STORM I I I I I . I I iplp I 'I I 11, I � I ,, I I I , I I I 11 � ,�: I I I I - ",�. � , � 11 "1111, I I I I I I I .. ,I I I I Q � I , .�., I I I I - I' ,, 1 I � I I 11 � 11 � r� . � . I I I I � I I I � I I 11 I I I - I I I I I I I � . I � . , I I 11L I I 11 11 ,� � I. � - I .I I I I I I � ' I I � ,' I I . I I I 11 � I I I 11 I 11 I I I I , I ' � I I I I I I I I I I I I I I I . I I I I I I I I I I FLOOD IN G/FLOWAGE - EL ' 4.0 (TIDAL FLOOD I D A T E : 013/25/14 1 , � " I 1 I I I I I " I I I 11 � , I I I I I I � I I x 2.3 , � I I I I I I `>__8, , -N I � I ''I . ..'' ,� I I I . I I 11 I I I - ' 'I I . I I I I - � , , : I 11 I I I I I I "I I I I � �' , _,:f, , I I �, .:�F , , ,.-� I , I , _ : � � , 12, 1 1, 1� 1�1.�11 I�': I 11 '' I I "I � � I � I - - .,,"� , 1 r I I I - 11 I I I . X _____ "I 11-1 1. I 11 I I I � , � I I - �' I � . I 11 I 11 I NON"[ : , � , I I " I r -_ , _ 11 ,''�1, I , I I , . I'� , I � I I , , , � - � I I I . I I I � � : -_ I � I I � PROFILE 9, 'PLATES 22 & 23, 1 1 SEPTIC SYSTEM PERMIT' 12013-490 1 1 1 � I � I I I � ":�' � �,' �� ; , , 1, I I I ,� 11 : I in I 11 11 I � I � I I � I 11 I I I 11 I I --- I � ,1* , � I I I I - C. O', E. I I 1 2 . 11 40 1"','�,�, � � - I i .,"I 'll I I "'', , j 11 � � I � I � I � , , � I I I I I I ) I I 0 0 20 � I 11 I I i " � e , I I 11 I , , � . . I';'., I , I I I I I � I I I I I I I , 'N , �, I ,I I I � I I I . I I �, I e I I I � 1 .11 ell, I � ��, 1, 1 , I I � . 1, I - I I 1 .11, I I 11 r I I I , I I I I , , I 1 - � 1_1'�,� � � I I I I I ISSUED 12 10-2013 "��V 'i _ �___ 377 _ WMNM WAMM I 1 " ) �0 ,7,� " LL �, _ . Eal z, 11 :, , " ER%l . f i I I , , , J_ I I � I I I I I I I I I I - , '' I I 11 I � I I � I . - I I I I I I I I IN , I I I I 11 I ;� �,�,:.', � , _� ," , � I - I I I I I I I I ,� 1, � - , � , I I I I I � I I I 11 I N I I � I I I I I � 11 � � , '11, I I �, I I I ,,, I I I I I � � I . ' 1 - I I I I ,:: I , � , .1 , 111� � � I ' ' I I I I I I . . 11 I I I I I I - I I I . I r I I I I I I 1, I ": ,�� � , � 1:� 11 - �, I I I I I I I 1� � i I� r 1, I I - �� � � ,\ � , I I � I'I, I I I ' I'll I I I I '' , _ , I I I 1, I I I I - I I � I � ." I I I � 1 I � I I I I I . � I ,: I I I I I I I . SCALE IN, FEET , ,� , � ' ' .� I I . 1 - , j.,��11111 I 11 I � , 11 I - '' I � . I'll I 11 I I I _�, I . I I I'll I I x I I � I � r I I - . 1 I I I ' , I I � I I I I 1 . , I I I I I 11 I I I I �, I I , L ,, I ______ ,� I I I I . I I I I I . I I I I I - I I I I I I � I I I � ,I �I I � I . I � I � I I I I � �,_,� , ,,',',! I I �ill I I _ � 11 � I I -!.--- I I I I I I I I I I . I� I I I I . I I I ,�, � I x-,2 I I � I I 11 I I 11 � I I ,� 1� . I ;1 I I I I I I I �11 I I I I . I I I I I � r - I I - I ,� '�� ' � 11 :, I :- 11 � - -_-, , , I I I � I I � , - 11 I �� .1 11 I . I . I 11 � I I . , 11 1 � � I I I � � I � I I I ,� � I , � I L : I � I -_ , I I ._� 11 11 I I 11 I , I I I I , 11 � � I I I I I . I � � r I � I I � I ,�� �,::" -I I I _�, � . I I � I 1, � I I �� �, I 1- I I ;, r , i - I 1. __� I I 11 I I I I I I I � , � I I 11, 11 I .I �I I . I I I I I I I I I I I I I � I I I I 1, SCALE : 1"= 20' � I I I I I i � _�:�,�', . :_ ,, ' ',_r, 11 , , � � I I 1� I I I I I "" . ,,�, I _11 I I I ., I I I I � I 1, 1� , . . 4 11 11 . . ; I I I 11 � I I r . I � I I I I I I 11 i I ", 11 I� _�, , 1� I �1, I" . I I 11 I I ,� I �,�' L , I I 'I, I I " I I I e " I I I I I I I I I I I I I I � � , , , , I I I I . I I I I I I I I I I I . i � I I I I � : 1 . � 11 1, I � . � I . 11 I I 11 1-1 � � I 11 I I ' 'I 11 I I I 11, I � I 11 I I I 11 I I I I , 11 11 I I � I 11 I 11 ., : I � 1, 1, � I I I 11 11 � I 1. I I �� I .. I � �, . I I I I �, r . � I I I I I I I I I ' CHECKED -BY ; I I .1 : � 1, I I I I I . � I � I I I ''I I �, I � I 1, I - 11 I I I � I I , I I I - - I � , I ,� �I I I I I I - I - I I , I I i I I . I I � I I . DRAWN/DESIGN BY: WN : UK, i � I I I , I � I I � I I I I I I I I I I I I I , I I I _ _ I I � I I I I � . I I I I I I I � I' ll, 11 I I I I I I � I I I I I I I I I I I I I I , :1 11 � I I I ' 'I I i - __-"-,- , .______ - I I- -I-— � .- ___,_ _,___ ._____ ------"-----. ----------. � , I � �, I 11 , � I . I I . I I I I I I I J 0 B N 0: 2002-075-2 CADD FILE:02-075-2 1 i �-- ______ __� I_ I � � I � I � ___________,_______,_ --- ,---,----r-------�---------�--Ll------,-��----. 1___1_1___ - ----,�----.�-��l---------,-----�l---_A_----_---- ---.----------- ____ i ___ i _ftDW4-fF* BAXTER NYE � . ENGINEERING & e9} SURVEYING _ BAY *--o STREET I Registered Professional Engineers A C,,,r,, and Land Surveyors F4 r' S T •o X I I gR�O SB v s 09��� 78 North Street - 3rd Floor ROAD % Hyannis, Massachusetts 02601 I y A Phone — (508) 771—7502 I 9� 0P ARKER Fax — (508) 771—7622 POND WWW.baxter—nye.com z LOCUS MAP I NOT TO SCALE STAMP STAMP BM: MAG. NAIL ��� SHANE 1�, � S 8276'30• E 376 So urpr-rEL11.97 �� .� ��1, ei'+ TD 13AY - . P�AR.1..Oe�M9708 CB SET R N ` aRn• V0� 08-08-12 �°' nu w.1t D 82�630 w 406.77' m N 183 41D S wog 75', 376,76' 4�..e„,..._ 30 01 N \ 13242' CONSULTANT � � �, L O T 8 PER L.C. PLAN 873OG (FILED) CONSULTANT TOTAL 73,238 Square Feet t 1.68 Acres t H co F- rd M c w o M 00 PREPARED FOR : a g a GENERAL NOTES Thou htforms Corp. g P U J 543 Massachusetts Ave. 1.) THE INTENT OF THIS PLAN IS TO SHOW FOUNDATION AS BUILT. 2.) LOCUS AREA IS COMPRISED OF. LOT 8 N L.C. est Acton, MA. 01720C. PLAN 8730 G (AS FILED) 978-263-6019 ASSESSOR'S MAP 093 , BLOCK 042 LOT 003 24.0' 16.8'f -TO.F. =15.25 10 ! OWNER: LOR 1251 BEARD BALDMnN 17.0 WAY ad NEEDH AM, MA. 02492-1038 zo 3-2# 1 K, +U DEED REF LAND COURT CERT. 200146 c (NOTE: WALLS EXISTING FOUNDAT1ON 04 6Zo,* f 3.1' COADO M1TH FOAM ^� INSULA110N) ,L 2.8' 3.) PROJECT IS WITHIN C ENTERVILLE - OSTERVILLE MARSTONS MILLS FIRE DISTRICT.3/6/14LTON DATE Z, 22.0 :f 16.5' N - Q E%? 11N _ 17.0' r, .� 9 DNE�Nc - 4•) ZONING INFORMATION 7.1' � 1• 1E•8f 1 ZONING DISTRICT : RF-1 (Residential) CURRENT MINIMUM ZONING REQUIREMENTS: 0 MIN. LOT AREA = 87,120 S.F. CIO MIN. LOT FRONTAGE =, 20' •`" ��� MIN. LOT WIDTH = 125' g FRONT YARD = 30' SIDE & REAR YARD = 15' / 15' OVERLAY DISTRICTS. RPOD, AP RECREATIONAL SHELLFISH AREA & SHELLFISH z RELAY AREA DOCK & PIER OVERLAY DISTRICT. � CB SET O to08-10-12 5.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE IF DETERMINED 0 to 7 TO BE NECESSARY, A 71TLE SEARCH SHALL BE PERFORMED BY OTHERS. to 6.) THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE CID O RECORD INFORMATION CONSISTING OF PLANS AND DEEDS. w cc ASSESSORS MAP 093 PARCEL 042-003 THE EXISTING FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE I- N/F TERRANCE J. HUGGARD, ET UX. GROUND FIELD SURVEY PERFORMED BY BAXTER NYE ENGINEERING & SURVEYING ON 58 SOUTH BAY ROAD 03/05/14 & 03/06/14. cc CERTIFICATE OF TITLE No. 121799 w o i v, LOT 6 AT LAND COURT PLAN No. 8730-F 0 08 CB -1 S .60 ET N79'1457V n. J Q 10.00 2 O �O H o t _ a n U U W w ' � U O � W 183.5T - TIE UNE S 84*38'17* w 2 — MEAN HIGH WATER f•- .._ — SCALED FROM LAND Q 0 COURT PLAN 8730 F DECEMBER 17, 1986 } m O z SHEET TITLE MEAN HIGH WATER Foundation FIELD LOCATION DATE: MARCH 20, 2012 Certification Plan SHEET NO DATE : 03/06/14 30 0 30 60 SCALE IN FEET SCALE : 1"= 30' ° DRAWN/DESIGN BY: MTM CHECKED BY: SM —_ -- J O B N 0: 2002-075-4 C A D D F I L E:2002-075-4CPP—Baldlill