HomeMy WebLinkAbout0134 SOUTH BAY ROAD 0 0
y
9
y
;�
1�
.�
s�
3
;1
`�
S
']
j
o
{{V
Y
u
k
1
f
a
S
F
'I
1
e
0
w
a {
,;
.,
1 ,
_ � a
„. S
TOWN OF BARNSTABLE
BUILDING•'PERMIT
PARCEL ID 093 064 GEOBASE ID 4433 .'
ADDRESS' 134 SOUTH 13AY ROAD :PHONE'
OSTERVILLE, MA Z•IP -
LOT .6 BLOCK LOT SIZE _.
DBA DEVELOPMENT DISTRICT GO
PERMIT 15484 DESCRIPTION S/FAM/GARAGI± APT.NO KITCH. (SEW.PMT 096-227)
PERMIT TYPE BUILD TITLE NEV RESIDENTIAL BLDG PMT
CONTRACTORS: .f Tt.t u, m • Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL F+'ES $2.0480:00 . .
• BOND . $.00 •
CONSTRUCTION- COSTS $800,000.-®0 c ,
.101 . SINGLE :FAM HOME• DETACHED 1 PRIVATE P..i 41 gTABI.E, +'
MA83.
OWNER VANI)ERBIL, PETER & HELEN ::` . . EpMp:IA I
ADDRESS` 81 HACKING. CIRCLE.
NEW SEABURY, MA" BUILDINgG D VIS ON
DATE ISSU:D 05%29/1 96 EXPIRA ..tON DACE
THIS PE IT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALL IDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHME ON PUBLIC PROPERTY,NOT SPECIFICALLY P UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES A S DEPTH AND LOCAT IC SEWER MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEAS FROMTHE CONDITIONS ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED P S MUST BE RETAINED ON JOB AND
FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE
r 1.FOUNDATIONS OR FOOTINGS THIS CARD KE POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MAD . •OCCU-
WHERE A CERTIFICATE OF ELECTRICAL,PLUMBING AND MECH-
(READY TO LATH). PA NCY IS REQUI ED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL INAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSP TION APPROVALS ELECTRICAL INSPECTION APPROVALS
1 1 1
2 2 2
I
3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT
2 BOARD OF HEALTH '
OTHER: SITE PLAN REVIEW APPROVAL
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
I
i
BUILDING
PERMIT
r
f
TOWN OF BARNSTABLE
t`" �? CERTIFICATE OF OCCUPANCY
PARCtL ID 69 �06%� .''sp GEOBASE ID 4433
ADDRESS 13,40SOUTH BAY ROAD P40NE
-eOYSTER HARBORS ZIP . —
LO ,_ 6 _ BLOCK LOT SIZE
DBA, DEVELOPMENT DISTRICT CO
PERMIT 28699. DESCRIPTION CERTIFICATE OF OCCUPANCY I
PERMIT TYPE BCOO TITLE CERTIFICATE OF OCCUPANCY
CONTRACTORS: Department of Health, Safety
ARCHITECTS,:. ' and Environmental Services
TOTAL FEES:
BOND tNE
CONSTRUCTION COSTS $_00
756 CERTIFICATE OF OCCUPANCY
+ BARMSTABLE, s .
MASS.
039.
ED MO`►l
BUILDDIVISN
BY .�—�
DATE ISSUED 02/04/1998 EXPIRATION DATE
f.
s ` APPROVD 7
TOWN OF-B RiTS'�YABL�
B ILDCTOR
0
TOWN OF BARNSTABLE
i BUILDING PERMIT
; PARCEL I.D 093 064 GEOBASE ID 4433
] ADDRESS 134 SOUTH BAY ROAD PHONE
OSTERVILLE, MA ZIP
lLOT 6 BLOCK LOT SIZE
.jDBA DEVELOPMENT DISTRICT CO
PERMIT 21117 DESCRIPTION 3 CAR GARAG.W/BEDRM/BATH/BAR' SINKJREFRIG.
fiPERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION
i CONTRACTORS: SILVIA, RONALD J. '`' �l Aepartment of Health, Safety
jj ARCHITECTs..; and Environmental Services
( TOTAL FEES: . $372-00
BONDOx Im
CONSTRUCTION COSTS $120,000.00 �
438 ADD RES. GARAGE & CARPORT 1 PRIVATE P d
'j * STABLE. w
MASS.
] OWNER OHANIAN, MICHAEL & VIRGINIA i639'
] ADDRESS F�
BUIL SI
B _.
DATE ISSUED 02/13/1997 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN-
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR
2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE.A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND M FOR
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
CH-
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY.
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
1
1
G0,q
? 2 r xi 2
3 1 HEAT( G NSPECTION APPROVALS ENGINEERING DEPARTMENT
2 r " BOARD OF HEALTH
OTHER: ILL SITE PLAN REVIEW APPROVAL
F
K SHALL.NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THISNSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BYOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA: NOTED ABOVE. TION.
i
TOWN OF BARNSTABLE T
CERTIFICATE OF OCCUPANCY n
PARCEL ID 093 064 GEOBASE ID 4433 `.
ADDRESS 134 SOUTH BAY ROAD PHONE
OYSTER HARBORS ZIP . ; —
_ I
' DOT_ 16 BLOCK LOT SIZE
DBA DEVELOPMENT DISTRICT CO I
PERMIT TYPE BCO07 TITLE
SINGLE FAMILY
CONTRACTORS: Department of Health, Safety
ARCHITECTS: and Environmental Services
TOTAL FEES:
ME
BOND $.00 Oxt
CONSTRUPTION COSTS $_00
756 CERTIFICATE OF OCCUPANCY * DARN3fABI.E.
MASS.
039.
ED INI�►I�
- BUILD NISI
BY _
DATE ISSUED 10/14/1997 EXPIRATION DATE
PARCEL ID 093 064 GEOiASE rD :4 43`.; r
ADDRESS 134X SOUTH BAY ROAD PHONE
OSTERVILLE, MA ZIP -
LOT 6 BLACK LOT SIZE
DBA DEVELOPMENT DISTRICT CO
PERMIT 15484 DESCRIPTION S/FAM/GARAGE APT..NO KITCH. (SEW.PMT 096-227",
PERMIT TYPE BUILD TITLE NEW RESIDENTIAL BLG PMT
r'
. CONTRACTORS: SI LV I A, RONALD J. Department of Health, Safety
; ARCHITECTS: , and Environmental Services
' TOTAL FEES: $2,480.00 THE
BOND $.00 ,
CONSTRUCTION COSTS $800,000.00 ,
101 SINGLE FAM HOME DETACHED 1 PRIVATE P
* STABLE, s
MA88- �►
OWNERN ��639'
ADDRESS &1-HA-K=ING=E4=RGI4E
BUIL
NEW==S°RkB(JH--Y--j=-MA BY
DATE ISSUED 05/29/1996 EXPIRATION DATE
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR'ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- _
CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR
ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS
PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF FOUR CALL INSPECTIONS REQUIRED
FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE
THIS CARD KEPT POSTED UNTIL FINAL INSPECTION
1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR +�I
2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- g
(READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS.
3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
4.FINAL INSPECTION BEFORE OCCUPANCY. f
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
;-- a-9� lee.eves/ 3-ze.-97
I � e
3: HEATING IN P CTION APPROVALS ENGINEERING DEPARTMENT ,rr'
fk.) 1
�•� 2 OAR HEALTH
OTHER: SITE PLAN REVIEW APPROVAL
b�slqr? �0►rn j
WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS
THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY
VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA-
TION. NOTED ABOVE. TION.
, t: .. a�- ►•'~t qa"���� �r � „i,. '�`.".�"'. .,Y�i�.�R�F �� 'w.' �. �.:w.��t�'i`� 'j r ti s ��,y - _.. "•a, _�� x`, it i�ti �C'.4 v_-.r.W� -,.�_ _ - � _ L� %t-.':�y-. •i .-
...........................................................
PROJECT
NAME&C,<,v G!�
ADDRESS: lolew
PERMIT#
PERMIT DATE: 3
NIP: Dq,3- o
LARGE ROLLED PLANS ARE IN:
lqOx
SLOT
Data entered in MAPS program on: :I h �Y
BY: �i '
TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION
2
Map Parcel Permit#
Health Division G�lo --��"7 1 a� 1®�-1 3Z3} Date Issued
Conservation Division 01blk 421Wi>_c ll,OZ Application Fee
�.}ePheN w,�St�►J,Tax Collector o Permit Fee �Rcvotl
Treasurer << l N L I a 1/0
SEPTIC SYSTEM MUST BE
Planning Dept. INSTALLED IN COMPLIANCE
Date Definitive Plan Approved by Planning Board NTH TITLE 5
ENVIRONMENTAL CODE AND
Historic-OKH Preservation/Hyannis TOWN REGULATIONS-
Project Street Address
l
Village
LDs
Owner 1-� '` %�� J�� Address `i
Telephone — eC) w
Permit Request
T
Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new
Zoning District Flood Plain _Groundwater Overlay
NX 'Project Valuation Ut Construction Type'7p
Lot Size Grandfathered: O Yes ❑No If yes, attach supporting documentation.
a\ Dwelling Type: Single Family O Two Family O Multi-Family(#units) ►
Age of Existing Structure Historic House: ❑Yes O No On Old King Highway:'s Hi hwa : ❑Yes ❑No
Basement Type: ❑Full O Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)
Number of Baths: Full: existing new Half: existing new
Number of Bedrooms: existing new
\�. Total Room Count(not including baths): existing new First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil ❑Electric O Other
Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No
Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn:O existing ❑new size
Attached garage:O existing 0 new size Shed:O existing ❑new size Other:
Zoning Board of Appeals Authorization 0 Appeal# Recorded O
Commercial 0 Yes 0 No If yes,site plan review#
Current Use �� �� Proposed Use
i
BUILDER INFORMATION
Name LT✓ A Telephone Number
Address ,� License# �
1 - Ca a� Home Improvement Contractor#
Worker's Compensation# � (�' 7� ,:511
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �fi�
_1
SIGNATURE i`---`� DATE I a
j
FOR OFFICIAL USE ONLY
PERMIT NO.
DATE ISSUED
MAP/PARCEL NO.
i
s ADDRESS I VILLAGE `
OWNER
f
DATE OF INSPECTION:
•
FOUNDATION .
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL
PLUMBING: ROUGH w„ FINAL
s
m
GAS: ROUGHS Q FINAL
FINAL BUILDING N Q
OHM
DATE CLOSED OUT ' =trto 0
.g Ri S
ASSOCIATION PLAN NO. N I
The Commonwealth of Massachusetts
:-_- -� Department of Industrial Accidents
Wes oflowsilp"
600 Washington Street
Boston,Mass. 02111
Workers' Com ensation Insurance Affidavit-General Businesses
r address
ILL state:
work site location full address
❑ I am a sole proprietor and have no one Business Type? Retail Restaurant/Bar/Eating Establishment
working in any capacity. ❑Office❑Sales(including Real Estate,Autos etc.)
❑I am an em Toyer with ein ] ees(full&part time). ❑Other
am an employer provid}ng workers' compensation for-my emplgyees working on this job. 3r-
00I V .
11•J:
Comp ny _
a name: .. .
71.
bone#••
city:
olio.'•#- / ' : /•/
fnstirance.eb:':' <<.'.
V//] I independent contractors listed below who have the following workers'
am a sole proprietor and have hired the
compensation polices:
COID 8II DflIDe.
hone#:
fnsurance co.
cbm any Do
address - -
- hone 4:
fristirence eo.::r ,,,'';,':' '�% ';' �/� /// '•�% a%/ t �/ /
Fallure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or.
one years'imprisonment as weIl as civil penalties in the form of a STOFwORX ORDER and a fine of$100.00 a day against me. I underatand.that R
COPY of this statement may be forwarded to th f met of Investigations of the DIAfor coverage verification.
y..
I do hereby c rt r —ai 12 altie erJury that the information provided above is tru n�cQrr
ate
Sigaature
• � Phone#/l• �
Pent name
ofricial use only do not write in this area to be completed by city or town official
permitfliceme# ❑Building Department
city or town: ❑Licensing Board
❑Selectmen's Office
❑check if immediate response is required ❑$ealthDepartmeat r
contaetperson:
phone#; ❑Other
(revbed Sept 2003)
I
Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employees. As quoted from the"law", an employee is defined as every person in the service-of another under any contract
of hire, express or implied, oral or written.
An employer is defined as an individual,partnership, association,corporation or other legal entity, or any two or more of
the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or
trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a
dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of
another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or
" binding appurtenant thereto shall not because of such employment be deemed to be an employer.
MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal
of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has
not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the
commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until
ance with the insurance requirements of this chapter have been presented to the contracting
acceptable evidence of compli
authority.
Applicants
Please fill in the workers' compensation affidavit completely,.by checking the box that applies to your situation. Please -
supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted
to the Department of Industrial Accidents for confirmation of insurance coverage. .Also be sure to sign and date the
affidavit The affidavit shouldbe 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-"lave'or if you are
required to obtain a workers' compensation policy,please call the Department at the number listedbelow.
City or Towns -
Please be sure.that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the
affidavit for you to fill out in the event the Office of Investigations has to:contact you regarding the applicant: Please
be sure to fill in the perrrrit/license number which will be-used as a reference number. The affidavits.maybe returned to:
the Deparment by mail or FAX unless other arrangements have been made. —
The Office of Investigations would like to thank ybu in.advance for you cooperation and should you have any questions,
please do not hesitate to give us a call. -
/ //%/. ///% ! %/% %/ %//
The Department's address,telephone and fax number..'
The Commonwealth Of Massachusetts. _
Department of Industrial Accidents -
Offle®of Imstigations
600 Washington Street
Boston,Ma. 02111_ -
faa#: (617)727-7749 _
phone#: (617) 727-4900 ext.406
oFt„E r Town of Barnstable
Regulatory Services
BAMSrnBLE, Thomas F.Geiler,Director
M.19.-& Building Division
TED MA'S
Tom Perry,Building Commissioner
200 Main Street, Hyannis,MA 02601
Office: 508-862-4038 Fax: 508-790-6230
Permit no.
Date
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion,
improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied
building containing at least one but not more than four dwelling units or to structures which are adjacent to
such residence or building be done by registered contractors,with certain exceptions,along with other
requirements. _i
Type of Work: l J Estimated Cost
6
Address of Work:
Owner's Name:
Date of Application: G
I hereby certify that:
Registration is not required for the following reason(s):
OWork excluded by law
❑Job Under$1,000
❑Building not owner-occupied
[]Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A.
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner: j
Da Contractor Name Registration No.
OR
Date Owner's Name
Q:forms:homeaffidav
RESIDENTIAL:
SHEDS :POOLS—DECKS-OPEN PORCHES- GAZEBOS
FEE VALUE WORKSHEET
APPLICATION FEE: $50.00
BUILDING PERMIT FEES:
ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.)
>120 sf-500 sf $ 35.00 $
>500 sf-750 sf 50.00 $
>750 sf- 1000 sf 75.00 $
>1000 sf- 1500 sf 100.00 $
>1500 sf—USE NEW BUILDING PERMIT APPLICATION
DECKS x$30.00= $
(Number)
PORCHES x$30.00= $
(Number)
IN GROUND SYVIMMING POOL $60.00 $
ABOVE GROUND SWIMMING POOL $25.00 $
RELOCATION/MO VING $150.00 $
(Plus above fee if applicable)
PERMIT FEE $
Q:forms:dkcast
REV:063004
_ I
11/12/2004 13:57 1-617-484-8537 NIBO ASSOCIATES PAGE 03/04
Tuesday,November 08,20041:23 PM George Gillmore 508-477-7740 p,02
Town of Barnstable
' Regulatory Services
Uon w F.Ostler,Vreetor .
Bufldfng Vivisialn
Tom Petty, Ratlding Comm Roamer
200 Maim street, Hym b,MA 01,601
wwNstowobar»atable.auao .
Office: 508.862-4038 Feat: S08-79M230
Property Owner Must
Complete and Sign This Section
If U10 A Bull er
as OwM=w the subject property
henbq autlsorite. ' 1,0wirz to art on my behalf,
in aU rnatt>m Malin to work ou&oximd bythi9 btn&ft e=t app' for.
(Addm�� I I•�A
r,oJ
a oowuer Date
PrintName ,
---- ----------- -
�lze Pomrmzo?u�sra o�./ a°'ac�itaelta
BOARD>OF BUILDING REGULATIONS
License CONSTRUCTION SUPERVISOR
JNumber x-CS, 068433
�
p res Oti 10/2;6 Tr:no: 25522
ReItri to 0
GEORGE'R
PO BOX 940 °.4 r 5°°0yr G-,• .-�/y
COTUIT, MA 02635 Commissioner
--glge tom /
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registratio 4g�4
p i rat ion;..:2126/2005
#tPrivate Corporation
Cir`more Marine Contractin9,lPc.,*
G ge Giilmore
37owdoin Rd �
N�ashpee,MA 02649 Administrator
l •
r•
Evigineering Dept. (3rd floor) Map 093 Parcel 064 � Permit# �.
House# 3 L/ Date Issued
Board of Health.(3rd floor)(8:15 -9:30/1:00-4:30) [p —a.17 CIfGJl " Fee _f2 � &'d
Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) -?-// -`l7-
Planning Dept. (1st floor/School Admin.Bldg.) , , �'THE
Definitive Pl Approved by Planning Board r;19 SEPTIC S ST S�
d ,et/O. t � INSTALLE DANCE
OWN OF BARNSTABL
rJUT - � �lVIRONNIE ODE AND
" Building Permit Application Tt�Y REGULATIONS
roje treet Address 134 South Bay Road
Villager' Osterville
' Michael Ohanian 619 Main St:,C: ) Centerville.
Owner Address `
J "Telephone . 508-775-1442
Permit Request Build three car aaraae withy bedroom, bath, a bar a sink and under,
�. counter refrigerator, living area and deck
a� 00 t a Finished 1,000
First Floor square feet Second Floor Deck 200 square feet
;Construction Type Frame
Estimated Project Cost $ $120,000
Zoning District RF-1 Flood Plain Water Protection
Lot Size 1.44 acres Grandfathered ❑Yes ❑No
Dwelling Type: Single Family a Two Family ❑ Multi-Family(#units)
I
Age of Existing Structure Neff Historic House ❑Yes ffNo ' On Old King's Highway ❑Yes No
Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other NA
Basement Finished Area(sq.ft.) , Basement Unfinished Area(sq.ft)
Number of Baths: Full: Existing New 1 Half: Existing New
No. of Bedrooms: Existing New 1
Total Room Count(not including baths): Existing New 2 First Floor Room Count
Heat Type and Fuel: [3 Gas ❑Oil ❑Electric ❑Other
Central Air QYes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes Ej No
Garage: detached(size) 1,200 sq.f t. Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size)
❑Other(size)
Honing Board of Appeals Authorization ❑ Appeal# Recorded❑
Commercial ❑Yes ®No If yes, site plan review#
Current Use Proposed Use
Ronald J. Silvia Builder Information
Name Silvia & Silvia Associates, Inc. Telephone Number 508-775-1442
Address 619 Main Street License# 016932
Centerville, MA 02632 Home Improvement Contractor# 3BY00253900
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Dumpster
SIGNATUR DATE cQ _ f --$7
BUILDING PERMIT DID FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PELT NO.
DATE ISSUED
MAP/PARCEL NO.
ADDRESS VILLAGE
OWNER
•
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION -2 7-!2
FIREPLACE'
ELECTRICAL: ROUGH FINAL
PLUMBING: RQUGH��l FINAL
a C a" -
ma
GAS: QKJGHt< FINAL _ t
FINAL BUILDING; �cJ (A,�iy ` I
,m
x a
DATE CLOSED OUT: n n ,
ASSOCIATION PLAIIO. ril
aa3' x jr
M
THE A
: . 4_1
The Town, of Barnstable
URMAMA
Department of Health Safety and Environmental.Services
i� ► .. Building Division
367 Main Street,Hyannis MA 02601
Office: 508-790-6227 Ralph Crossen
Fax: 508-790-6230 Building Commissioner
For office use only
Permit no.
i I
Date 2/12/97
AFFIDAVIT
HOME IMPROVEMENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
conversion, improvement, removal, demolition, or construction of.an addition to any pre-existing
owner occupied building containing at least one but not more than four dwelling units or to
structures which are adjacent to such residence or building be done by registered contractors, with
certain exceptions,along with other requirements.
aAid.,3l car Gard additicn with bedroan, bath, a liar sink &
under carter ref n tor, living area & deck $120,000
Type of ork: Est.Cost
134 South Bay Road, Osterville
Address of Work:
-
Owner's Name ' Michael Ohanian
Date of Permit Application: 2/12/97„
I hereby certify that:
Registration is not'required for the following reason(s):
Work excluded by law
Job under S1,000.
Building not owner-occupied
Owner pulling own permit
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED
CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the er•.
3BY00253900
' .Date
_97 Copfgame Registration No.
OR
The Currttrrurrfecalth of Alassachuseffs
Departniew of Industrial Acciffents
alllce ollayestlgatlaas
600 If'usliin►►ton
...�, � Street
Boston, A1ass. 02111
Workers' Compensation Insurance Affidavit
�ARDJi ,•Int anfiirniafion� Plcs►ce PhINT:i IOIY - ---T-=
halite:
location:
city nhont.if
I am a homeowner performing all work myself.
1 am a sole proprietor and have no one working in any capacity
( I am an emplover providing workers' compensation for my employees working on this job.
Silvia & Silvia Associates Inc.
cnmpnm•name: ,
nddress: 619 Main Street
cit3•: Centerville, MA 02632 phone# (508) 775-1442-
insurnnce co. Lumberinens Mutual Casualty policy # #BY00253900
0 1 am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
comnaav n:lmc:
address•
cih••
phone#
insurnnce co. nolic• #
Lam.. ;-�-; - —._ !sn.a._ .r...r��e.-•rscrrr',.Tm,�si:'�,5y_.,r,--v '�7G l3'JtE'7a1'Y'ri1R.;"�r• :�a►y'^.'�"�y.�'M1�es�s-!^"^;z
ctimnam•n•Imc:
dress:
city: phone+/
insurnnce co nolic] #
;Attach aJJlttonal sheet tf necessarr�?�w:T= rws�o i1 J!1'r���+..��•:.: l y�..�' +. •• ram.J�',^'tT"w^.'^.5...� ..•-
^ .:au.a......�,Q:
Failure to scenre coverage as required under Section 25A of DILL 152 can Iced to the imposition of criminal penalties of a fine up to SISOO.UO and/or
une,can'imprisonment as Well as civil penalties in the form of s STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
l do herebr cerrify under the p it attd pettalues of perjury that the information provided above is true and correct.
Signature _ 12 •9
Date
Print name Ronald J. Silvia, President Phone# (508) 775-1442
;'�oRicial'use only do not�vritc in fails area to be completed by cih•or toN•n official `'
city or town: permit/license q r•lBuilding Department
oUccnsing Board
0 check if immediate response is required 13Scleetmen's Office
0I1callh Department
�' contact person• phone#; nUlher
i•
Ue.�ted JM P1A1 '
.......... .... . ...
...........
ISSUE DATE(MM/DD/YY)
... ...... .. ..............
........... ................. ...............
................ .......... ....X.
..... .... .......
.............
07/2 9/96
...................... .......
PRODUCER •THIS CERTIFICATE IS ISSUED AS A MA ER OF INFORMATION ONLY AND
The Fair Insurance Agency, Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
.0. Box 430 619 Main Street POLICIES BELOW.
Centerville, Ma 02632 COMPANIES AFFORDING COVERAGE
(508) 775-3131 COMPANY A
LETTER LUMBERMENS MUTUAL CASUALTY COMPANY
COMPANY B
INSURED LETTER MARYLAND CASUALTY
Silvia / Silvia Associates Inc COMPANY c
619 Main Street LETTER
COMPANY D
-enterville MA 02632 LETTER
COMPANY E
LETTER
....................... .... . .........
.... .....
. . ........... ......
............ .........
.............. ..........
...........
............. ........
M. ......................... ..
................. ...... ......
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 08 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.
Co POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYY) DATE(MM1DD/YY) LIMITS
B GENERAL LIABILITY GENERAL AGGREGATE s2MIL
X COMMERCIAL GENERAL LIABILITY -PRODUCTS-COMP/OP AGG. s2MIL
OCCUR. W7D347738 08/01/96 08/01/97 PERSONAL&ADV.INJURY $1MIL CLAIMS MADE FX
OWNER'S&CONTRACTORS PROT. EACH OCCURRENCE $1MIL
FIRE DAMAGE(Any one fire) s 5 0 0 0 0
MED.EXPENSE(Anyoneperson) $5000
B AUTOMOBILE LIABILITY COMBINED SINGLE
ANY AUTO LIMIT $
ALL OWNED AUTOS BODILY INJURY $
X SCHEDULED AUTOS (Per person) 500000
X HIRED AUTOS CA90511244 08/01/96 08/01/97 BODILY INJURY
X NON-OWNED AUTOS (Per accident) $1MIL
GARAGE LIABILITY
PROPERTY DAMAGE $
R 500000
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
`.`.`.,.,.,.,—.............................
................................ ..................
..................
OTHER THAN UMBRELLA FORM
.... .. ................ .... ..... ..
............................... ...... ..........%......
.............................
............
.... .... ....................
— STATUTORY LIMITS
..................... .......
.............
WORKER'S COMPENSATION 3BY00253900 04/01/96 04/01/97 EACH ACCIDENT $5-0..0-0.0..0..........
AND
DISEASE—POLICY LIMIT s500000
EMPLOYERS'LIABILITY DISEASE—EACH EMPLOYEE $500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
. ................ ............................ .
................................:.:............ ...... .......
.......................................... ..... ................ ... .
.... ... ..
R................................................... .... .. ........ .... .
................
:...........
...................................... ... ........................
own Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
uilding Inspector EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
outh Street MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
annis MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
.................... ....
......... ..........................................
........... .... .... .
........... ..... ...
....... .... . ... .........
j�
�� Q
e -V� (9 22ono moea&, nl��6adumv&t 2339.6
v o
A=> DEX ARTI IEN'i' OF L'IJBLIC SAFLTY p 23396
/s 014L ASHOURT014 I'L.ACE, 1111 1301 OCT 3 U 199�
IlU:3'1'ON,'IIA 02108-1G1s_
CONSTRUCTION SUPERVISOR LICE14SE PD. �a o
Number: Expir"S: !.►.
Restricted To: 00
RONAI,D J SILVIA Detr-N,I1 boW-AU, fold sign on
G19 1IAI14 811, back, and laminate 1 i.cense card.
CE14TERVILLE, IIA 02632 Keep top for receipt and- change
�)f addr.ess u��tific�Cl n.
�\ ✓�J (Oo�iuiaonruca.11� ,�l�aa�,ic'I/I/JC'!!J
-s 23396 .
Restricted Ta: 00
DEPARTMENT Of PUBLIC SAFETY
COUSTRUCTIOH SUPERVISOR LICENSE 00 - None
Nusberi. Expired
IG - 1 6 2 PaWily Htees
Restricted To: 00 Fai::;te to posses', a current edition of the
!las;,achuselts Stale Buiildinq Code
RORALD d SILVIA is cjuse for revoc;t ik, his license.
619 HA14 ST
CLNTERVaLE, HA 02612
-_�-\ �ii� �C�ar�v»xa-ncuecz`C!i a���OCal:uzclic�:seG�it HOME IMPROVEMENT IMPROVEMENT CONTRACTORS REGISTRATION
oard or Building Regulations and Standards
One Ashburton Place - Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
----------------------------_- --
Registration 101627 Expiration 06/26/98
Type - PRIVATE CORPORATION
HOME IMPROVEMENT CONTRACTOR:
Registration. 101627
SILVIA & SILVIA ASSOCIATES , r_NC . Type - PRIVATE CORPORATION
Ronald J. Silvia Expiration 06/26/98.: '
619 Main Street
C--nterville MA 02632 SILVIA-5 SILVIA ASSOCIATES,
Ronald J. Si1Via
&Alain Street
A MINISTRAMR anterville NA 02632:
OHANIAN CARALi.
OSTEFNILLE• AIb.
._ _ .�_,go-===-, _ —.1. . I •, --- -- --'----- ---...------- .�
9
GENERAL NOTE
r S
BATURM
11
I-- BEDROOM
, r
......."..-- a .r. -- 4.• J
BECK
lit
SECOND FLOOR. PLAN F ROQF:'PLAN
SCALE:1/4"=1'-0• �: :.
SCALE: 1/4'=1'-0• t
!` y'Y' DOREVE �NICHOLAEFF
Lll ARCHITECT, INC.
OSTEIMLLE,\1A
\ ' 0 CAR G RAGE _+--
r'b I
--- REVISIONS:
• 4 1
�-
I,. PROD.NO. 9401
DESCRIPTION
FLOOR PLANS
SCALE:1/C=1'-O' -
1 BATE: FEB.7 1997
s.
ems• �':k:: ,F7R$T.,•FLOOR` LAPI=?
>I.
A 1
w
!:"�;� �`�"��: [ra..a';I>`• - Seas: 1/4•=,•_0•ZZ
.
i
OHANIAN GARAGE
j OSTERVILLE, MA
nil* 19
Offi
nf-
I
BUILDING SECTION SCAIE: 1/1• -D- BUILDING SECTION SCAM 1/4" -o.
i
• _ •I=(T1L'.��''���' 4 I I� !-T �� � pI I:._.I��'� yI IIII
. I.�I�'•I
' �IIJ I II I ml® �., II H I �� II
O. ® O O
DOREVE NICHOLAEFF
ARCHITECT, INC.
. OSTERMU.iM
OHANDRAIL DETAIL WINDOW: SCHEDULE SCALE: 1/4' -r
`ior n REVISIONS:
*
.I ` acao.
von /(or wme
t
--' PROJ.NO. 9304
OESCRIPIpN
BUILDIN SECTIONS
DETAWS ..
e e'er SCALE:.SNOITN
. •..�/fim rn jmr<w�/ DATE: PEB.7. 1997
I::CROWN. MOULD. #1 DETAIL CROWN MOULD. #2 DETAIL A
'.7�.•;; SCALE:T = I•-r SCALE:r •-r
L 1.= 1
I n.
dJ
OHANIAN GARAGE
- OSTERVIL E,•MA
LA
---
[-... ;
I
� ...... .__._..._.— a ......c' � GENERAL CE\ � •.�: C L N NOTES:
I 1 i u --�i ate'In'v� - I I�t - � � O [/vM ��' "�ri.•Mn�rt w1
_..- I
� I
i 1
i
I
SECOND FLOOR FRAMING PLAN i ROOF FRAMING"PLAN
SCALE: 1/4-=r-0- - SCALE.
DOREVE" NICHOLAEFF
... ... ....... .....-------_.. --- - ARCHITET 'I
OSTERVMLE.MA
1--------------1
a.LuMLL1 I I
J CAR GARAGE.
-
I a I J CAR GARAGE ABOVE I I A
' REVISIONS:
I I --� i r aolltatQ..0 I I II
PYtt4U I i ,
PRQI.NO. 9504
:� ..
I r OESCRI
I -I-'- �' FRAMINGG PLAN
DAIS'•IF14 7.1997
6`
FOUNDATION PLAN '!'FIRST:'.FLOOR FRAMING PLAN.
SCALE: 1/4'=1'-0" SCALE: 1/4•=1'-0-
. it
OHANIAN GARAGE
I { h OSTERVILLE. MA
nmmn I GENERAL'NOTES: ..
ILLULUILLILLU
ZIM!
-
------------------------
�t
L.J .L-J
ELEVATION ELEVATION..
SCALE: 1/i=1'-0" SCALE:1/4'=1•-Or .
......__.._..----..__—.. ---- '� _
• DOREVE 'NICHOIAEFF
ARCHasrERVUE'�I_NC.
IF �I
,� ,ii I I naooc
HIM
LJ
REVISIONS:� L_J
L_J
PROJ.NO. 95W
DESCRIPTION
l,;VAT; ELEVATION EXTERIOR ELEVATIONS
SCALE: I/4-=1•-0- y SCALE: L/a-=r-o- SCALE L a'=L•-ar
DATE: FEB.7.1997
r
A_� Parcel rmit# 1, 4 'f
'&e ' M,
Conservation Office(4th floor)(8:30-9:30/ 1:00- 2:00 atl 5 - ate
® Board of Health(3rd floor)(8:15 -9:30/1:00 4:45) 6 A ,d
°e�•
Engineering Dept. (3rd floor) House# C Sy BE,
AYat2rn�w�r irN,Gf"�'`A1 e N ILE
Planning Dept. (1st floor/School Admin. Bldg.)ZONwitj ANCE
DeAeQl
proved by Planning Board , _.,+ �' 9 16�ONM DE AND
TOWN OYBARNSTABLE
/ Build'ff ing Pperinj Applic ii n
✓ Proess 13 T 13
Villg Z�
Owner ad U1 Gww WY,�C Address
,/elephone 6 J 7 �e"1 1f7,Z:� (6/7) �84�-.6_76 Q
r•,
rmit Request
i
/First Floor square feet r7l zi� �1
- Second Floor square feet
Estimated Project Cost $ R"
Zoning District Flood Plain Water Protection
t
—Lot Size r�2 , b 3 Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Qe�;•�A� Proposed Use
Construction Type W
Commercial Residential
Dwelling Type: Single Family / Two Family Multi-Family
Age of Existing Structure ' Basement Type: Finished
Historic House /1 Unfinished
'Historic
King's Highway MU l
Number of Baths 6 No. of Bedrooms
F
Total Room Count(not includin baths) XC> First Floor
Heat Type and Fuel i �'�►' Central Air Y�5 Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Otherf � �cJ2Y
Builder Information
Name kllbUdl Vim d4e Telephone Number
Address -3 D f. 4 a*u License# 017 973
Atm 01 i� Home Improvement Contractor# (�
Worker's Compensation#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE Q • Q0 NM ' VI' DATE
BUILDING PER IT DENIED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY
PBRMIT NO. /� v
D E ISSUED
M P/PARCEL NO.
ADDRESS VILLAGE
OWNER
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE' 1O09
-L
ELECTRICAL: ROUGH FINAL
PLUMBING:, ROUGH FINAL
GAS: _ -RO-UG.H, FINAL
FINAL BUILDING ,
_nmo_
0
DATE CLOSED QU
�. Q rn
ASSOCIATION B-C NO
I r '
P`" '" The Commonwealth (if Massachusetts
Department of lndastrial Accidents
`; ;;�; • _ • 61 011/ce al/west/gal/oos -
Boston, Afass. 02111
Workers' Compensation Insurance Affidavit
---------------
A.t2.D11c1n_t tnformafion• ^' ~' • - Plcace PRITVT`1Po�Y :.'
Ronald J. Silvia
location: "'!5'South Bay Road
cil Ostervi lle nhonc# (508) 775-1442
❑ I am a homeowner performing all work myself. '
❑ 1 am a sole proprietor and have no one working in any capacity
' L.....�,.. LL�� ......7.,.i�:,�dTP,�. . .-+...a '" �'•y`_.�s•r�rr.... _ ._ "!'�!�•'�:fit":w..,re-.�•..+...�+,.
CR I am an employer providing workers' compensation for my employees working on this job.
contnanv name: Silvia & Silvia Associates, Inc.
address: 619 Main Street
cit3•: Centerville, MA 02632 nhone#• (508) 775-1442-
insurance co. Ltmnbermens Mutual Casualty nalic� # #BY00253900
�.....�.::�.,.....i�.,..::'.._.-�_:... 's.�.......,: `..�.j,w+T!i^;N�..+^�_t1"'n!�••...r«w��.a..�s'ss...i ... .�...,•...—�.. ., .'"."•!�::-r,"!Y�..�......•-�....."
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
comnani•n1mc:
address:
city: phone#•
insurance co. 8olicy#
tom.
t�.:..st.�..�+ed•:'.T..' _ —•-.:i�aen��=��a-':�!vs�r..?'`7'i_•);rR�"fi:"�j�'yS3">.r."''� "ta�irPfnlefe'rw+::saz+�f._ta�eesx�a.:r��r_e�awx�ec•.a�^-'.•^:"�S
ctimna iv nnme:
address:
city: phone#•
insurance co. policy N
;Attach additional'sheet if rieces�ary •ram s!:a:,,.sue.;._;•_.; : :rt._; �, :•.�.. ,. :.x '� ^--err.-.-�
Failure to secure coverage as required under Section 25A of 51GL 152 can lead to the imposition of criminal penalties of a fine up to 51,50U.U0 and/ur
one years'imprisonment ax well as civil penalties in the form of a STOP WORK ORDER and a fine of siomo a day against me. 1 understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
I do herebr cerri in tit i nd penalties of perjury that the information prorided above is true and correct.
Sicnaturc Date
Print name Ronald J. Silvia, President Phone# (508) 775-1442
hofficial use only do not iwritc in Ibis area to be completed by city or town official •`�
city or town: permit/license N nlluilding Department
[31-1censing Board
C]_chcck if immediate response is required OScicctmen's Office
011calth Department
contact person: phone N; nUlher
' • 1
vt+,sed IV P)A)
r
.:::.:.................. 5
......
'
..........: ...................
::::2i.::.:::.:.:;::;::::i::
1:
:SSU
E:D:ATf: (M:
/?D%D;11;Y:+Y
.:
:::: :: ..:1:: :aeWEND .C :: : :. : ::.5 ............. ................................ n .... R :: . ..: i � ;?04/02/96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
The Fair Insurance Agency, Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
.O. Box 430 619 Main Street POLICIES BELOW.
enterville, Ma 02632 COMPANIES AFFORDING COVERAGE
(5 0 8) 7 7 5-3131 COMPANY A
LETTER LUMBERMENS MUTUAL CASUALTY COMPANY
COMPANY
INSURED LETTER 6 MARYLAND CASUALTY
Silvia / Silvia Associates Inc COMPANY `.
19 Main Street LETTER
COMPANY D
enterville MA 02632 LETTER
( ) COMPANY E
LETTER
G63VERAGCS. .. I` .._ y:<"'<'ii;iiiiii3 ................
THIS:.'.:::T::::... ................................................ .....
S O 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.
CO TYPE OF INSURANCE POUCY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTIT DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE s2MIL
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. s2 M I L
CLAIMS MADE a OCCUR. W 7 D 3 4 7 7 3 8 0 8/O 1/9 5 0 8/O 1/9 6 PERSONAL&ADV.INJURY s 1 M I L
OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE s 1 M I L
FIRE DAMAGE(Any one fire) s 5 0 0 0 0
MED.EXPENSE(Anyoneperson) s 5 0 0 0
AUTOMOBILE LIABILITY COMBINED SINGLE
ANY AUTO LIMIT $
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per person) S 500000
HIRED AUTOS CA 9 0 517 2 4 4 0 8/01/9 5 0 8/O 1/9 6 BODILY INJURY
NON-OWNED AUTOS (Per accident) S 1M I L
GARAGE LIABILITY
PROPERTY DAMAGE $500000
EXCESS LIABILITY EACH OCCURRENCE S
UMBRELLA FORM / / AGGREGATE $
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
WORKER'S COMPENSATION AND 3BY00253900 04/01/96 04/01/97 EACH ACCIDENT s500000 _
EMPLOYERS'LIABILITY
DISEASE--POLICY LIMIT 1600000
OTHER DISEASE--EACH EMPLOYEE 1600000
i
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
TIFI..ATE HOLDER..... C :. :::::::::::...........:.:::::::::..::..:::::::::::. ..........X.
.....::.:::.::.::.:: :;.;:.;:;;:.;;:.;:.:;:.;:.;:.;:.;:.;;::.;::.;:.;:.;:.;;:.::.:::.;...ANC ELLATI.ON..........:..::.;::::::..............................:........
OWri Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
ullding Inspector EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Out h Street MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT. BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
Hyannis MA 02601
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
:::.:::.::.....::::..:::::::
................::.::.::::,:: ACO.RD,COR.P...:gRAT1..ON:19.90
a
&4mno1)uvea&1-z, o u 23396
DI;C AR'1'I IENT OF 1:1.1BLIC SAFETY p Q U 23396
i` UIJE A31-113UR'1'UN PLACI;, RI 1 1301
I30,t]TON,`IiA 02108-161s, OCT 3U 1995
C014STRUCTIO14 SUPERVISOR LICIIJSE If7o o o
Number: !
ltestricLed To: 00
RONALD J SILVIA Detach WW--na, fold sign on t
619 11AIN ST back, and :laminate 1 i.cense .card.
CLNTE;IiVILLE, IIA 026:32 Reel? Lop for receipL and change
of address raotific iLi.- n.
\ ✓ia 6UlIl JltUitlUCa l/I ,�Ja��IJJI..IIJJCIIJ I I -
I11 S._ Restricted To: 0o 23396 .
DEPARTMENT Of PUBLIC SAFET'f
CONSTRUCTION.SUPERVISOR LICENSE 00 - (lone
Humbert; " Expires:
1G - 1 6 2 family '.:eoes
Restricted to: 00 Fa;::,!;re to possess a current edition of the
Nas;•..•1chusetts Stag: Buiildinq Code
R011ALD J SILVIA is cause for revuca!i,; his license.
619 MAIN :1'
CEN1'EMV.�LE, 11A 02632
HOME IMPROVEMENT CONTRACTORS REGISTRATION
oard of Building Regulations and Standards
k1VA- One Ashburton Place - Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
Registration 101627 Expiration 06/26/98
Type - PRIVATE CORPORATION«^ «
HOME IMPROVEMENT CONTRACTOR.
�. 03 Registration 101627
SILVIA & SILVIA ASSOCIATES , INC.- Type - PRIVATE CORPORATION
Ronald J . Silvia Expiration 06/26/98
619 Main Street
Centerville MA 02632 SILVIA S SILVIA ASSOCIATES,
Ronald J. Silvia
Main Street
' ADMINISTRATOR antervi�lle MA 02632 .
............................................................................................ . . . .......................................................................................................... ......
...........
.......................................................
.................................
.......................................................................................................................................................
... .............................C ISSUE DATE(MM/DDNY)
................ :
.................................
....... ........ .......
.............. .................
......... .. ....
.........................
... ......
.............................
A041 ........... ........
................S"I".."Cl ..........
............................................
............ X, .... ............................... .................................................................
.... ..... ....................................................................................................
.......................
.......... ....... . ,..n 06/10/96
....................................................................................................................... ....... ........................
......................................................
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
The Fair Insurance Agency, Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P.O. Box 430 619 Main Street POLICIES BELOW.
Centerville, Ma 02632 COMPANIES AFFORDING COVERAGE
(508) 775-3131 COMPANY A
LETTER LUMBERMENS MUTUAL CASUALTY COMPANY
COMPANY B
INSURED LETTER MARYLAND CASUALTY
Silvia / Silvia Associates Inc COMPANY c
619 Main Street LETTER
COMPANY D
Centerville MA 02632 LETTER
COMPANY E
LETTER
..................... ...... .............................................................
................................... .......::..........."I'll'I'll""I'll.-.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'.'-'-'-'-'-'-,.:::::::::::::.***.*.,**.*.....................................
......... ..... ................. .............................
................ ..............
.. ...... ........
.......... . .......... .................
................................... ........................... . ........ .................. .......
.... ::............................................................................................ ..........
..... .......... ............. ... .......
............. ................****-.**-.'-.'-.'-.'-.'-.'-.'..'..'.................................,.,.,.:::::::::::::.*..*-.*-.*%'-.*............................................................................ ..............
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.
Co POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS
GENERAL LIABILITY GENERAL AGGREGATE $2MIL
X COMMERCIAL GENERAL UABIjTY PRODUCTS-COMP/OP AGG. $2MIL
]OCCUR. PERSONAL&ADV.INJURY $1MIL
CLAIMS MADEFX W7D347738 08/01/95 08/01/96
OWNER'S&CONTRACTORS PROT. EACH OCCURRENCE $1MIL
FIRE DAMAGE(Any one fire) $50000
MED.EXPENSE(Anyone person) $5000
B AUTOMOBILE LIABILITY COMBINED SINGLE $
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS (Per person) 500000
X HIRED AUTOS CA90517244 08/01/95 08/01/96 BODILY INJURY $ 1
X NON-OWNED AUTOS (Per accident) 1 M I L
GARAGE LIABILITY
PROPERTY DAMAGE $500000
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM
wo
STATUTORY LIMITS ........
WORKER'S COMPENSATION
3BY00253900 04/01/96 04/01/97 EACH ACCIDENT $500000
AND
EMPLOYERS'LIABILITY DISEASE--POLICY LIMIT $500000
DISEASE--EACH EMPLOYEE j$500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
.......... . .. ....... .......................... ............. ............
.........................
...... .............. ..... .....................
.............
............................
..... ................................ ...........................
' 'A ..............................N EE'.E'.-..
.......... .................. ......
.... ...................................
........................ ............... .::........ .....
..................................... ......... ............................. .. .. .... :N .......... .......... ......
ichael Virginia
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
hanian EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
South Bay Road MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
134
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
.
3sterville MA 02655 LIABILITY OF ANY KIND UPON TH COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
.................................
............ ...... ..........
...........................
............................... ................................................................
D'.0*.
................
Engineering Dept. (3rd floor) Map Parcel 064 �J.5 Permit#
I _
M '
House# 3.4 rJS Date Issued m at �/
Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) �,,Ds Fete%#N ` 'j?,do
Conservation Office(4th floor)(8:30-9:30/1:00' 2:00) O 'C�i t�t2W(;
-�BARMSTABLE:.•
V ^ J
°, �, �,•seta .� .,,.
TOWN OF BARNSTABLE ` �� ��a� �„�e•ti✓
Building Permit Application ' `'�,•
I ,
Project Street Address i34 South Bay Road
Village Osterviile
Owner Michael On-anian Address 619 Main St . ; Centerville
Telephone , 5 0 H—7 7 5—'1 4 4 2
Permit Request Buiid 16 X 32 Pooi with attached 8 X 8 Spa
First Floor square feet Second Floor square feet
Construction Type V un i t e
Estimated Project Cost $ 30 , 000
r•-
Zoning District RF—i Flood Plain Water Protection
Lot Size i .44 Acres Grandfathered ❑Yes ❑No
Dwelling Type: Single Family Q2 Two Family ❑ Multi-Family(#units)
i
Age of Existing Structure New Historic House ❑Yes ®No On Old King's Highway ❑Yes ®No
Basement Type: ❑Full ®Crawl ❑Walkout ❑Other
Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) 0
Number of Baths: Full: Existing New Half: Existing New
No.of Bedrooms: Existing New
S ;
Total Room Count(not including baths): Existing New First Floor Room Count
Heat Type and Fuel: ❑Gas ❑Oil (IElectric ❑Other Pool—propane
•,�Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No
Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size)
❑Attached(size) ❑Barn(size)
❑None ❑Shed(size) V.
❑Other(size)
Zoning Board of Appeals Authorization .❑ Appeal# Recorded❑
Commercial ❑Yes allo If yes, site plan review#
Current Use Proposed Use
Builder Information
Ronald J. Siivia
Name Siivia & Silvia Associates Telephone Number 508-775-1442
Address 619 Main Street License# 016932
C e n t ery i t ie, MA 02632 Home Improvement Contractor# 1016 2 7
Worker's Compensation#3 BY 0 0 2 5 3 9 0 0
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATU E DATE
BUILDING PERMIT D IED FOR THE FOLLOWING REASON(S)
FOR OFFICIAL USE ONLY 16
l-c i
PERMIT NO. t.
DATE ISSUED'
MAP/PARCEL NO.
r •
L'
ADDRESS i t VILLAGE
OWNER ;
l'
DATE OF INSPECTION:
FOUNDATION
FRAME
INSULATION
FIREPLACE
ELECTRICAL: ROUGH FINAL i
PLUMBING: ROUGH- FINAL
{
GAS: _ - ROUGH FINAL
FINAL BUILDING
DATE CLOSED OUT
ASSOCIATION PLAN NO.
�TMe rq�y�
The Town of Barnstable
Department of Health Safety and Environmental.Services
Building Division
367 Main Street,Hyannis MA 02601
Ralph Crossen
Office: 508-790-6227 Building Commissioner
Fax: 508-790-6230
For office use only
Permit no.
Date AFFIDAVIT
HOME U"ROVENIENT CONTRACTOR LAW
SUPPLEMENT TO PERMIT APPLICATION
MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization,
l, demolition,
istng
conversion, improvement, remova t one but no construction f an addition to any x
not more than four dwelling unitsorl to
owner occupied building containing
or building be done by registered contractors, with
structures which are adjacent to such residence
certain exceptions,along with other requirements. $3.O'�-0 0 0^L
Build pool with attached S1L Cost
Type of Work:
134 South Bay Road, Osterville
Address of Work:
Michael Ohanian
Owner's Name
10/17/96„
Date of Permit Application:
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law
Job under$1,000.
Building not owner-occupied
Owner pulling own permit F
Notice is hereby given that: DEALINGPERMIT OR WITH UN
REGISTERED
OWNERS PULLING 'THEIR
N HOME MWROVEMENT WORK DO NOT HAVE
CONTRACTORS F CAB
ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A
SIGNED UNDER PENALTIES OF PERJURY
I hereby apply for a permit as the agent of the owner.
�V/4
10/17/96 Ronald J. Silvia, Silvia & Silvia Assoc. 1-1627
Contractor Name Registration No.
.Date
OR
The CUnrnr( mi,eallh of Hassachyseffs
Deparlinew of Industrial Accideirts
K `i ;.,: �- i F 0lnce olltr�estlgatln�s
GOO if ashin-lon Street
Boston A1uvs. (12111
_ Workers' Compensation Insurance Affidavit
A.12IZltcant lnformation�• •' ' ' '�•'•^~ �---�----------- •
Pl ice PRiiv-r'1.s�Y ---,—
name:
location:
city
nhan N
❑ I am a homeowner performing all work myself.
❑ I am a sole proprietor and have no one working in any capacity
W�..- ._,). .. •. .. _ ••.. �4 ... ••'IOIfa..�wr..{I/,.!•�'�y'•'.�1!'ny��w...�•ly�
( I am an emplover providing workers' compensation for my employees working on this job.
cnntp�y n�mc Silvia & Silvia Associates, Inc.
address. 619 Main Street -
cit3•: Centerville, MA 02632 nhone# (508) 775-1442-
insurance co. Lumbern-ens' Mutual Casualty lick # #BY00253900
❑ I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
comnam name
dre
cih•• •
nhone tt
insuranceCo.
nolir #
_._..!.•cn.y.- .,r��va-•s-�-`!^ �±yt;�sF'+, s •r,-,u�`r7w�°'_?,4.'M5C/�i�Jr77�'Y"iR`•..t••J7 �ata^�.-•9'O'fti�-y"a`�.• S
camnanv n tmc
iddresx!
t v. nhone
incuranc e n noliey #
:Attach addthonal sheet if necessary `""• rc; - ►rr,'Fr :=•..:,; ; ���, •; ., r ^ ,. ,r ,1�'` - ,�
Failure to secure coverage asequ under rired Section 25A of lIGL 1. can lead to the imposition of criminal penalties of a fine up to 51.500.u0 and/or
one%cars'imprisonment a.%well as civil penalties in the form of a STOP WORK ORDER and it fine ofS100.00 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
1 do hereht•ce • under nd penalties of perjun that the information provided above is true and correct
Signature ^�
Date
Print name Ronald J. Silvia, President Phone# (508) 775-1442
;'�oflicial vsc only do rant write in this area to be completed b}•cih•or town oRicial ``
cite or town: permittlicense# OBuilding Department
C3I.1censing Board
❑check if immediate response is required QScleetmen's Office
cillcalth Department
` contact person• phone#; nOther
i-
Irevnad).•9!P1A) .
....... ....... .............. ......................
............. ................................
... ................
....................
MMIDDNY)
...........
............. ..............
................... .................
.............. ......................
.............. ......
................. .............. 07/29/96
�jbjj ISSUE DATE
.......0 ..............................Q .............
............... ......... .............. .............. ..........
A4 1krk A AT N:.. .....U...
.............. ..
...............
.... ..... ........... . ... ....................... ...............
.... .... . .... . ..... ........
............. ...........
PRcjDUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE
The Fair Insurance Agency, Inc DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
.0. Box 430 619 Main Street POLICIES BELOW.
2-enterville, Ma 02632 COMPANIES AFFORDING COVERAGE
(508) 775-3131 COMPANY
A
LETTER LUMBERMENS MUTUAL CASUALTY COMPANY
COMPANY B
INSURED LETTER MARYLAND CASUALTY
Silvia / Silvia Associates Inc COMPANY c
619 Main Street LETTER
COMPANY D
—-enterville MA 02632 LETTER
COMPANY
LETTER E
... ...... ........... .................................. .................. ........................
............................. :.......................
. ................................ . .......................
....... .. ....... ......... ...........I
...................*"***...... . .................. ............. ..
.................. ...
.................
.................. ........ ............ .:.... ................... .............
.......... ...... ............ . .............. .......
........... i ...... .. . .......... .........
..............
............ ............... ..
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION
LTR DATE(MM/DD/YY) DATE(MM/DDNY) LIMITS
B GENERAL LIABILITY GENERAL AGGREGATE s2MIL
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $2MIL
I CLAIMS MADEFX OCCUR. W 7 D 3 4 7 7 3 8 08/01/96 08/01/97 PERSONAL&ADV.INJURY $1MIL
OWNERS&CONTRACTOR'S PROT. EACH OCCURRENCE $1MIL
FIRE DAMAGE(Any one fire) $50000
MED.E)(PENSE(Anyoneperson) $5000
B AUTOMOBILE LIABILITY COMBINED SINGLE $
ANY AUTO LIMIT
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS (Per person) $500000
X HIRED AUTOS CA90517244 08/01/96 08/01/97 BODILY INJURY
NNON-OWNED AUTOS (Per accident) $1MIL
GARAGE LIABILITY
PROPERTY DAMAGE $500000
EXCESS LIABILITY EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
777777777777777777=
...................
OTHER THAN UMBRELLA FORM .. ................
WORKER'S COMPENSATION STATUTORY LIMITS
AND 3BY00253900 04/01/96 04/01/97 EACHACCIDENT $500000
EMPLOYERS'LIABILITY DISEASE—POUCY LIMIT $500000
DISEASE--EACH EMPLOYEE $500000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESISPECIAL ITEMS
... ............................................... .................
........................ ......... ...... .......
..... .........
................................. .......... ....... ...
..... ............. . ......
............ -F -.3
. ............................. .................... ........RT F C 'T. t .........
:C-E. I I -A-CRO-:D AN.0-L-LIM ......
........ ............ .......... ......
....................................... .......
.......... ...... ......Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
3uilding Inspector EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
South Street MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
yannis MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
................................... ........... ... . . ..... ........
................... ..... :::::: ...... ..................
............ .... ......
............... ........... . .......
... .. ..... .. ........
..........
......... .. .. . .....
::::::.. ...... ............................................ .. ......
........... ...... .............
................. . . .....
...... AWRQ VRA......... ... .................... ....... . ........
MR
� G
A DEC ARTI IENT OF 11.1E3LIC SArLTY P Q U 2339G:
CiIIL•' A31113UR'1`OIJ PLACE, Rl i 1301 oc T 3 u 1995
E3OSTO14, 11A 02108-161C_
CONSTRUCTION SUPERVISCIR LICV14SL I�, �a. 0-7,10
Number: Expir:s:
RestricLed To: 00
RONALD J SILVIA Detach buLL(:m, fold sign on
619 1111I14 S`l' back, and laminate 1 i.cense card_
CE14TERVILLE, IIA 02G312 Keep tut) for receipt and change
of .addiess Uc1LifiCILJ.-,n.
1� Restricted ToI 00 2 3 3 9 G -
DEPARTRENT OF PUBLIC SAFETY
CONSTRUCTIOB SUPERVISOR LICENSE 00 - None
�b Huuberi ' Explres:
IG . 1 6 2 Wily ::ones
ResLricted To: 00 Fai::;re to posse,:. a current edition of the
HaF;:ichusetts Stale Buiildin9 Code
RORALD J SILVIA is cause for teruca!i; his lil:en:e.
619 HAIN ST
CENilNY.LL%, VIA 02632
_�-� �iie -(�o%r�v»eo�rtcuecz�t�i a���OCauacfiule� .
+ _ (;HOME IMPROVEMENT CONTRACTORS REGISTRATION
:hoard or Building Regulations and Standards
,,. One Ashburton Place - Room 1301
Boston, Massachusetts 02108
HOME IMPROVEMENT CONTRACTOR
---------------------------=-- .--:-
Registration 101627 Expiration 06/26/98
Type - PRIVATE CORPORATION �. .�,,M.o.�4,aloG ! ! 'I;LI;_,
HONE IMPROVEMENT CONTRACTOR'
Registration. 101627
SILVIA & SILVIA ASSOCIATES , !NC-. � Type - PRIVATE CORPORATION
Ronald J_ Silvia Expiration 06/26/98.:
619 Main Straet
C,=ntervilla MA 02632 . SILVIA S SILVIA ASSOCIATE-8-,
Ronal.d J: Silvia
&.Wain Street .
.>ch9NIsmAms enterville MA 02632
r (Ist 1103T79wrp"ac73 Parcel q ddepnil# 111O a,0
Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Z Date Issued
:15 -9:30 1:00-4:45) Fee o�S
—r
Engineering Dept.(3rd floor) House#, ( , IKE
BAR .
Vfflff%Vrr—oved b y 19 ,e
l�f sir• /''�ey"'�'°�'' .
TO BARNSTABLE
' BuildiinngRermit Application
Proj tlAd ress Dv - _ (�
Village
Owner '11r, Address
Telephone 5�7 7 116
Permit Request
First Floor square feet
Second Floor square feet
Estimated Project Cost $
Zoning District Flood Plain Water Protection
Lot Size Grandfathered ?
Zoning Board of Appeals Authorization Recorded
Current Use Proposed Use
' Construction Type
Commercial Residential
Dwelling Type: Single Family Two Family Multi-Family
Age of Existing Structure Basement Type: Finished
Historic House Unfinished
Old King's Highway
Number of Baths No.of Bedrooms
Total Room Count(not including baths) First Floor
Heat Type and Fuel Central Air Fireplaces
Garage: Detached Other Detached Structures: Pool
Attached Barn
None Sheds
Other
Builder Information
Name /l'( Telephone Number
Address License# f loo — 35Q
-L— 6 o2 Home Improvement Contractor#
i
Worker's Compensation# GO 4 1?00a,�14/66-PMC'A,#
NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS
PROPOSED STRUCTURES ON THE LOT.
ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO
SIGNATURE V L� DATE
BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S)
_ FOR OFFICIAL USE ONLY
�,oa
PERMIT NO. _
DTE ISSUED :f -
+
MAP/PARCEL NO.
DRESS , VILLAGE
OWNER ,
+ 1
DATE OF INSPECTION:
FOUNDATION — t
FRAME. +
INSULATION —
FIREPLACE
ELECTRICAL: ROUGH FINAL =
PLUMBING: ROUGH FINAL _
GAS: ROUGH FINAL
i
FINAL BUILDING `" t
DATE CLOSED OUT 1
ASSOCIATION PLAN NO.
+
t
Commonwealth Electric Company
2421 Cranberry Highway
Wareham,
8) 2571
Telephone 5 291 0950� )
484 Willow St.
' Hyannis, Ma 02601
April 23, 1996
I
{
i
Town of Barnstable
Building Inspectors Office
Main St
Hyannis, Ma 02601
To whom it may concern:
This letter is to confirm that the electric service and meter have
. been removed from the property at 135 S—Bay Road in Osterville.
This was done at the, request of Peter Vanderbilt who is going to
demolish the house.
If you have any further questions, please feel free to contact me
at 508-790-1721 X5781.
Very truly yours, .
Judith A. Webba'
-
Customer Service Rep.
Hyannis Office
i
Centerville-Osterville-Marstons Mills
Water Department
P.O. BOX 369 - 1138 MAIN STREET
OSTERVILLE, MASSACHUSETTS 02655 0&
OFFICE OF u WATER Mr
BOARD OF WATER COMMISSIONERS �i DEPT.
WATER SUPERINTENDENT 9ASTONS
TEL.No. 508-428-6691
FAX No. 508-428-3508
April 26, 1996
Town of Barnstable
Building Dept.
367 Main Street
Hyannis, MA 02601
Re: Account #3904
Virginia& Michael Ohanian
134 South Bay Road
Lot #6- (AKA#135)
Osterville, MA
Gentlemen:
On April 26, 1996 the Water Department disconnected the water at the
curb stop at the water main at the property mentioned above. The owner plans to
demolish the house and re-build.in the future and will have a new water service at that
time.
If you have any questions, please call our office.
Very truly yours,
Donald F. Rugg
Superintendent
DFR/jw
_ Tile Conttnonll'ealth g0tassachusettc
'-�..�1 '
_ �-'.f•=.� Department of Industrial Accidents
_ ;• _��� ' • ' Olflceollm�es�lgal<oas
:.,..�•. �,t n Street
"� Bo17on.Mons. 02111
Workers' Compensation Insurance.Atridavit
:Ajaiennni ntormatGn- Please PRINT1'no y ��
name!
I
location•
cin• phone#
❑ 1 am a homeowner performing all work myself.
❑ 1 am a sole proprietor and have no one working in any capacity
_� _ _ _ __
❑ 1 am an emplover providing workers' compensati n or m�y employees working on this job.
m Lc�v� ��A
address: /- l� �� / •
!
QgZS�
s r - •#17,
V -
❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers' compensation polices:
comnnnv name•
address•
tiL)" phone#r
insurnnee co.
I.�'�c;a..': �•--:-►:.-• -- •- rsa•[r7:..3..•.aaw�'?'�'1c�':'.T�'"fr"+1�'�=.•• _—_ __ ��7,4E�0_'1/Q7�'�'^r7t%:*"`: 7Fi!�!L�r- .e�+^"�'.':'+t
ctimnany name:
address:
phone#!
insuranrl•�� nollev#
Atiach additi6nal'sheet If nee�.7 +Y:- y ^;t`�-�+ !±•'r+ _-"-=T�►!�-tom _mac +w ___ - ._. „�,
Failure to secure coyernee as required under Section 25A of MGL 152 can lad to the imposition oteriminai penalties of a fine up to S1,500.00 and/or
une years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100A0 a day against me. I understand that a
copy of this statement may be forwarded to the Office of Investigations of the DIA for t orerage verification.
I o lrerebr certi�•under rc pain cad putaiti ur}•that the iafom»rarioa prorided about is ove/and comet
f v�� C�wcQeh�
Stenat ./ ate
tttt:
Print name one#
uflicial use only do not write in this area to be completed by city or town ofilcial
city or town: permitAteeme q r'tBuilding Department
C3I.1censing Board
cheek if Immediate response is required OSeiectmea's Office
Dlialth Department
contact person- phone#,- MOther
-Information and Instructions • , 1
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their
employces. As quoted from the "law", an emplgvee is defined as every person in the ,ervicc of another under any
contract of hire, express or implied, oral or,%+Titten.
An entplityer is defined as an individual, partnership.association.corporation or other ; gal entity, or any two or more of
the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or tite
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 bean employer.
MGL chapter 1.52 section 25 also states that every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or-to construct buildings in the common%•calth for any
applicant who has not produced acceptable evidence of compliance with the in coverage required.
Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with tite insurance requirements of this chapter have
been presented to the contracting authority.
��Aw......+`��. �.ra. •:: 1.... ♦ i•/ y,., raw:�t�n`c r.'r. '17 •- .a. ,
.77
Applicants
Please fill in the workers' compensation affidavit completely, by checking the boa that applies to your situation and
supplying-company names. address and phone numbers as all affidavits may be submitted to the Department of
Industrial Accidents for confirmation of insurance coverage. Also be sure to si;n 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.
-'. - -•:1" �''ems: Ld:. •� •�:.�..
..erg _. i�r: �.:�.'. '.'L7. ur ►..
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please
be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returned to
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions,
please do not hesitate to give us a call.
�•+r1eZ..�R...r ... ... .. - ri.i � '- r.. +-•...+:�%:.wc�^'.�►f+«� :ji:.•.:. %i.`-:� :.fir- :jvL';..:...
F........- >- -•.- ;,.y,�,�}- :Yf�.�.:s:s• 1. ur 'sue..::,,...
The Department's address,telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,Ma. 02111
fax#: (617) 727-7749
phone#: (617) 7274900 ext. 406, 409 or 375
�
;. DATE(MWDDNY), :. . ..:.
:...
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Conexco Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Forestside Office Park ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
30 Turnpike Road COMPANIES AFFORDING COVERAGE
Southborough, MA 01772 COMPANY
A FIRST FINANCIAL INSURANCE CO..
INSURED COMPANY
i MANUEL BARROWS DBA: B
M. BARROWS CONSTRUCTION COMPANY
P:O. -BOX 141 C
W. FALMOUTH, MA 02574 I COMPANY
I ( D
i
C` AGES OVER.
.. ::.<:<.T:;.:;.:«.;:N,;:;:.....D3;NAMED ABOVE FOR THE POLICY PERIOD:;:;:::..
I �TO THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO HE I SURED N E O THIS S 0
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.
CO TYPE OF INSURANCE POLICY NUMBER I POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR I I DATE(MWDDNY) DATE(MWDDNY)
A 'GENERAL LIABILITY GENERAL AGGREGATE is 300,000
�jCOMMERCIAL GENERAL LIABILITY I PRODUCTS-COMP/OP AGG I$ 300,000
CLAIMS MADE OCCUR F0131G41117 10/2/95 2'/'2/96 IPERSONAL&ADVINJURY �S 300 000
(OWNER'S&CONTRACTOR'S PROT I !EACH is 3001000
FIRE DAMAGE(Any one tire) i S, 50,000
MED EXP(Any one person) 1 S 1,000
(AUTOMOBILE LIABILITY
II �COMBINED SINGLE LIMIT
ANY 5
i
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS ((Per person) i 5
HIRED AUTOS ! I
r - (BODILY INJURY $
I r` (Per accident)
NON-OWNED AUTOS-
i h iPROPERTY DAMAGE I$
II GARAGE LIABILITY I j AUTO ONLY-EA ACCIDENT 1 S
ANY AUTO ( OTHER THAN AUTO ONLY:
EACH ACCIDENT I$
j AGGREGATE IS
EXCESS LIABILITY !EACH OCCURRENCE s
�UMBRELLAFORM I 1AGGREGATE I$
;OTHER THAN UMBRELLA FORM
I WC STATU- OTH• I: iii i'.i.'SiiE<'Eri:>:'<:E'si':?:?E;"?E'^ ''
WORKERS COMPENSATION AND I TORY LIMITS I i ER
EMPLOYERS'LIABILITY
EL EACH ACCIDENT i$...,.
THE PROPRIETOR/
PARTNERS/EXECUTIVE I INCL I ,EL DISEASE-POLICY LIMIT IS
( '
(OFFICERS ARE: — I IEXCL 'I — ,EL DISEASE EA EMPLOYEE I$
OTHER I I
I
I
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
GRADING OF LAND, LANDSCAPING
. ass»>i>i'<[>isr<s`< >>>i`:>iz`:<1 <f €< »`i<'<':< > ..... .:. .,..: . ,.,
A C JiOL R C CE f:A ff0 E..T1F...AT .... . ................... AiJ. . .. Pl........... « >ii':. €s`:........................ ....... :::;>::;>:;<:<:>:::«<:>::><.«<:::;:a::?>;:<:>::::;::><.<:::::::<:«::<:>:>::>.>.:
..................................................................:.........................................................:..........................................;.........:...........>....... :........�...............
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
PETER VANDERBILL EXPIRATION DATE T ISSUING COMPANY WILL ENDEAVOR TO MAIL
327 HACKING CIRCLE 10 DAYS WRI OTICE TO THE ACE HOLDER NAMED TO THE LEFT,
NEW SEABURY, MA 02649 BUT FAILURE TO Al SUCH N SHALL IMPO BLIGATION OR LIABILITY
OF ANY D U N TH COMA . I SENTATIVES.
AUTHORIZE PR TIVE' ,
Ac�AD5-5i19s ®�4�QRD�O�tPORATi0N198a
S
•
Certificate of Insurance
LIFE&CASUALTY This certificate of insurance neither affirmatively nor negatively amends,extends,or alters the coverage afforded by
the policies listed below,issued by(indicated by ®)
®.The Atna Casualty and Surety Company
❑ The Standard Fire Insurance Company
Hartford,Connecticut
❑ The Automobile Insurance Company of
Hartford,Connecticut 06115
This certifies to: PETER VANDERBILL Date: 12/13/95
327 BACKING CIRCLE
NEW SEABURY,MA. 02649
that the following insurance policies,subject to their terms,conditions and exclusions,-are4n force in the Company indicated
above:
Name and Address of BARROWS,M. CONSTRUCTION
Insured: MANUEL BARROWS DBA
PO BOX 141
WEST FALMOUTH MA 02574
Covering(Describe Automobiles,Premises,Location,Operations or Project)MA.
KIND OF INSURANCE LIMITS OF LIABILITY POLICY NO. EXPIRATION
Workers'Compensation Statuto
and Employers'Liability £' 1 ` . I'll
$ 100,000 Coverage B 006 C 0024610627 CAA 01/21/96
GENERAL LIABILITY
Comprehensive ❑ Yes ❑ No Each Occurrence Aggregate
Bodily In $ $ ,000 .2 c {r•:'r..<~'`;h:; s.:} ::«
'::r {:}::r:`:i%<k:`:i''i•:{Y}>i%f>,::,'ii'r,:j.2::•}'f.:}:H)f%}{::\.47ia}}fJ.:y`:}{ii''il4`
Pro e $ ,000 $ ,000 :,,C,•'}{fiY:}:S:>:ti:i}:r +,tit{,.ti} }y:;. •:1>{}r: }:;}:.:x:'.••::.:
Personal Injury '}'br $ 0()0 3:}:{ :i;:}}:;{;:�A'::: :•w}t•.i is `:i•:?rr:�4•
Indicate by IN covered:
❑Premises-Operations ❑ Independent Contractors
❑Products/Completed Operations o Contractual
OTHER(Describe)
AUTOMOBILE LIABILITY
Comprehensive ❑ Yes ❑ NogEach Person Each Occurrence
''�,}}''•::i%:•y:;5'ti: •;EtCi?:•`:ii::w•'}.:��'f'•),:;'•:•'.;:::u:•::::•`:3r'•;•;:?}fti}@Gt?:r.:g:;.
BodilyIn' ,000 $ ,000ry;y, raw•{..•.••• �.• `n`�r�•�'7-.,:'}+}::k{\:42%:}' .{•Pro Dama e ' :.:}}..� $ 000 No-Fault Covera a ❑ Yes ❑ No �z , •:: .:�{ :::r :••':' •;,:. " :{:....,::.�•:::..•:.:}}}.;•}:::;•;::,;?•,:.r::::.:,.•:::.:.:�:<:.�?„
OTHER COVERAGES(Describe)
EXCESS INDEMNITY(UMBRELLA)
Personal Injury and Property Damage Each Occurrence Aggregate
`/ ' - ;:4 }:tidy ti::K.•{::Z2.+k'{}i?'.•Yy. c.:tfr::S�r}•3}'`7r..�ee;G.<:`•r
_'.Combined _ $ 000,000 000,000 <:rwzr.::.:..:' �?s��:.;..{s:�•�•:::>{:::.}.}::{...::�:}}:�:::}}:.:.::•>::>•.}:}>:;.
In event of cancellation,10 Days
written notice will be given to the party
to whom this certificate is addressed AuY957ed4ejzesentative CAT.50792A
(CGS 194=1-A)9-76 PRINTED IN U.S.A.
23503
NPARTHENT OF PUBLIC SAFETY
CONSTRUCTION SUPEr,"T,,0?. i TCEIISS
00 None
Na v
ber! Expi ,,;
IG - I & 2 Family Homes
Destricted To; - N Failure to possess a current edition
Massachusetts State Bljiildinq Code
HICHAEL G 1.1 A 11 P IN B 11. is cause for revocation of this license.
30 PINE COINS LANE
FEATICY RA 02536
'll.,
V, v
ov.
Mon
MPR0VEMENT,;,,C0NTRACT,0
e is rationA01004,
i.�; .,INDIVIDUAILI.9i.
;,Ex- 'P 'tI'W 0 77./0 6 9 ITa �,
Vd,
iff"I eMeT LriY',.V 1:InV-T f) e
MI
Ail
OL'q!i I ADMINISTRAMR
ti M, it Falmouth 4,
.t
MA 0253
4
The Cunrnronl+•caltlt of Afassaclrurcttx
• „ j • • - -
' . 'i,s+ peparonctit of Industrial Accidents
. . • 4 =1� . 0/llceollolres�0atlo�s '
a; `�� • ;�:a' • • 600 ff ashinarua Street
Bimlon.Marx 02111
Workers' Compensation Insurance•AMdavit
Please�Ri1VT`1e
_AFW!ennt ntortnarion _
flnML-
city nhene P
❑ I am a homeowner performing all work myself.
❑ I am a sole proprietor and have no one working in any opacity
❑ I man mplovu providing workers' compensation for my employees work:ng on this od.
- 'reo. (JjY crimanny nit At
�o
c 44
insttaince nndicv
�
❑ 1 am a sole proprieto , general contracto r homeowner(circle one)and have hired the contractors listed below who
the following workers cc pensadon polices
- ----.n
nddtrss•
st,
W WV?O Ube a,4" �e . SYD
�::�::= «„-:.-.• -_ ._ r..�:.•.�.-..-�-�------ram-
cri
m ♦• e•
city nhone 0!
insurance co nosier 0-
,Atiach additidiisd'shect if tieeesss ---r �
Failure to secure coverage as required under beetian 3A of 51GL 152 can fend to the imposition of erimiaai penaides of a Gee op to$1.500.00 an,
une years'imprisonment as iveil as civil penalties in the form of a STOP WORK ORDER ands line of SI00.00 a day against me. i understand the
copy of this statement may be forwarded to the Otnce of Investigations of the DIA for coverage raifttmtioa.
I do herebr ever'�• rr r/te p ' sand pendltl Q&njur3•that the information pnvrided abow is true and cvnrt:t:
sicnattue . e2 /
Print Warne
E 91n o's 1 u Q none
�' '�IT` Q�2
Fdtvor
only do not write in this area to be completed by city or town aMcW
permitille me 0 ntluddlog Department
n• Dig Bost-d
immediate response is requiredaSedtetmen's Olntx(3tleslth Department
son:
phone/t; Mother_
.Information and Instructions
Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for
employees. As quoted from the "law",an emplgtlec is defined as every person in the service of another under any
contract of hire, express or implied, oral or written.
An emplm►cr is defined as an individual, partnership,association. corporation or other :.gal entity, or any two or n
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
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
or on'the grounds or building appurtenant thereto shall not because of such employment be deemed to be an empic
MGL chapter T52 section 25 also states that every state or local licensing agency shall withhold the issuance or
mnewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required.
Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the
performance of public work until acceptable evidence of compliance with the insurance requirements of this chaptE
been presented to the contracting authority.
•'L'•:r•• - 'r.w~�p�-'T':V� }: Mt.,
n..r:
Applicants
Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation an
supplying-company names. address and phone numbers as all affidavits may be submitted to the Department of
industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The
affidavit should be returned to the city or town that the application for the permit or license is being requested,
not the Department of Industrial Accidents. Should you have any for
regarding the "law"or if you are requh
to obtain a workers' compensation policy, please call the Department at the number listed below.
7-5
'� ...,w.v: 3:. -.ice.: ;,�rxc..:.,. 1.l;,+y..- �`�;.': `'•ti-..:..�tii1.. '��.. ... -'
�. .- w�•��`+ ..... •• .... "%i:� �. ,;�.�1:�•,••JI�:.v•.y �pa•r;�.IM►. •.r't�� �►•••'••S'�Yr:•
City or Towns
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottotr
the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. P
be sure to fill in the permittlicense number which will be used as a reference number. The affidavits may be returne
the Department by mail or FAX unless other arrangements have been made.
The Office of Investigations would like to thank you in advance for you cooperation and should you have any questi
please do not hesitate to give us a call.
•�r.:r+r.!T� .�✓ _��..�..•.x• . ��'•.Maw^ �- .'�.::-m. � _�•-w.:
The Department's address, telephone and fax number.
The Commonwealth Of Massachusetts
Department of Industrial Accidents
Office of investigations _.
600 Washington Street
— Boston,Ma. 02111
fax#: (617) 727-7749
AGORX.
//D .......... ►' " . "1"' :..1. ".C . .N. .�::.:::::::::::::::::::..:::::
04 1 1 5 996
PRODUCER::.::.::. ................. .................
5540��� •• FAX••( 08) 2400 (5 ) 0 66 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
urray & MacDonald Insurance Services HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR
406 Jones Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Falmouth, MA 02540 COMPANIES AFFORDING COVERAGE
........................................... . . .. ..........................................................................................
COMPANY Maryland Insurance Group
Attn: Robert Cabral Ext: 16 A
.INSURED
.....................................................................................................................................;. ... ........................................................................ . ...........................................................
Gordon Correira Dba COMPANY Travelers Assigned Risk WC
B
CustomHomes & .....................................................................................................................................................
40 St Andrews Dr COMPANY
� C
Mashpee, MA 02649 ......................................................................................................................................................
COMPANY
D
THIS IS TO CERTIFY TIiAT THE POLICIES OF INSURANCE LISTED BEL W H
O AVE BEEN ISSUED'TO'THE INSURED NAMED ABOVE F O E OR TFiE�POLICI'�F'ERIOD
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.
........,...............................................................,......................................................................,..................................................................................:.......................................................................
CO : TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE:POLICY EXPIRATION: LIMITS
LTR: DATE(MM/DD/YY) DATE(MM/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000
COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ 2,000,000
CLAIMS MADE :OCCUR: i PERSONAL&ADV INJURY $ 1,000,000
A >':....... ........ RGP26627654 08/19/1995 08/19/1996 ...........................................
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $
100,00.........................................
FIRE DAMAGE(Any one fire) $
.......: ..................................................... .....................50,000
MED EXP(Any one person) $ 10,000
AUTOMOBILE LIABILITY
ANY AUTO :COMBINED SINGLE LIMIT
...........................................
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS :(Per person)
HIRED AUTOS
BODILY INJURY $
NON-OWNED AUTOS
(Per accident)
....... ..................................................... PROPERTY DAMAGE
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT• $
...........................................
ANY AUTO OTHER THAN AUTO ONLY:
..............................................; :;;.;;;:.........:
EACH ACCIDENT.$
........ ...................................................... ;..............................................;;.......................................
AGGREGATE:;$
EXCESS LIABILITY EACH OCCURRENCE $
...............................
UMBRELLA FORM AGGREGATE $
.....................................................................................
OTHER THAN UMBRELLA FORM $
WORKERS COMPENSATION AND TORY LIMITS ',ER
EMPLOYERS'LIABILITY _ .........................................
B :THE PROPRIETOR/ 6NUB832K235 08/14/1995 08/14/1996 :,ELEACHAcc1DENr $
00....000
PARTNERS/EXECUTIVE : INCL ;E..DISEASE-POLICY LIMIT $
1
500,000
OFFICERS ARE: EXCL:: i EL DISEASE-EA EMPLOYEE $ 100,000
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
uilder
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Peter Vande rbl l 10—DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
Attn: Ohan i an Job BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
327 Hacking Cr OF ANY KIND UPON THE COMPANY,ITS AGENTS O EPRESENTATIVES.
New Seabury, MA 02649 AUTHORIZED REPRESENTATIVE
obert Cabral
........ ..............................::...::::::::::::::.:.:::::::::::::::::::::::::::::::.::...................................................................................................................................:..:..:.:..::QRATQI!F:4988.
4..�...........:::::::....:::::: ::::::::::::::::::.::.::..........
`i
CERTIFICATE OF INSURANCE ISSUE DATE 04-30-96
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND
Bryyden Insurance Agency Inc. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Sand Ric MA
(5081 888-2244 COMPANIES AFFORDING COVERAGE
CO LETTER A Commerce Insurance Company
INSURED CO LETTER B
Little,ConcXete CO LETTER C
Catherine
O.e oxe744tt1e CO LETTER D Eastern Casualty
Sandwich MA 02563
COVERAGES CO LETTER E
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED•NOTWITHSTANDING ANY REOoOIREMENT•TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFI-
CATE MAY AE ISSUED OR MAY PERTAIft• THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS;EXCLUSIONS
CONDITIONS OF SUCH POLICIES. IMITS SHOWN MAY HAVE BEEN RED CED BY PAID CLAIMS.
CLOT TYPE OF INSURANCE POLICY NUMBER DATECI EFF./YY) DATBC(HMFJDD%YY) ALL LIMITS IN THOUSANDS
GENERAL LIABILITY GENERAL AGGREGATE 300
A x COMMERCIAL GENL LIABILITY 95K24387 08-18-95 08-18-96 PROD-OOMP/OPS AGGREGATE 300
CLA;MS MADE X OCCUPENCE PERS & ADVER. INJURY 300
OWNER S & CONTRACTORS PROT. EACH OCCURRENCE 300
FIRE DAMAGE�ANY ONE FIRE) 50
MED. EXP.((A�iu�z ONE PERSON 5
AUTOMOBILE LIABILITY COMBINED
B ANY AUTO SINGLE $
ALL OWNED AUTOS LIMIT
BO
SCHEDULED AUTOS JURY $
HIRED AUTOS PER PERSON
BO LY
NON-OWNED AUTOS PER ACCIDENT $
GARAGE LIAB.
PROPERTY DAMAGE $
C EXCESS LIABILITY EACH OCCURRENCE $AGGREGATE
OTHER THAN UMBRELLA FORM
TATUTO Y
D WORKER'S COMPENSATION WCGl003602A 06-12-95 06-12-96 500 EACH ACCIDENT
AND 500 DISEASE POLICY LIMIT
EMPLOYER'S LIABILITY 500 DISEASE EACH EMPLOYEE
E OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
PETER VANDERBIL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
327 HACKING CIRCLE EXPIRATION DATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
NEW SEABURY MA 02649 10 DAYS WRITTEN NOTICt TO THE CERTIFICATE HOLDER NAMED TO THE
THE LEFT BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO
OBLIGATION( OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS
OR REP ATIVES.
AUTHO ZED R RRESENT T V
TAS FORM 25-5 (3/88)
IFROM: DOREUE NICNOLAEFF FAX: 5084202240 Mar-28-96 Tue 16:10 PAGE: 02
Varn Philbrook
Philbrook Engineering r
107 Beach Street
' Dennis, MA 02638
i 1-508-385-8682
Project: O? anian Foundation
Project No. P95-83
Date 8 May 1996
GENERAL SPECIFICATIONS.- Foundation; House w/Patios& Garage P95-83
1. Foundation design 1AW the Federal Emergency Management Agency (FENIA)
Performance Requirement A; specifically Criterion A,1, A.2, A.3 & A.5,
the Elevated Residential Structures, FEMA-54/Mar 1984, and Openings in
Foundation Walls, FIA-TB-1/Apr 1993. The foundation system in conjunc-
tion w/applicable remaining Performance Requirements will provide the
following Building Space Classifications:
Space above BYE: W 1 without Human Jntervention
Space below BFE: W4 flooded Crawl Space _
This provides an overall Building Classification of: FP3
Any wood steps/porches are also above the B.F.E. and will be anchored
to the frame and foundation piers IAW PIA-TB-5/Apr 1993 guidelines.
2. Based upon architectural drawings by Doreve Nicholaeff, Architect dtd
thru 9 May 96 and preliminary Site Work prepared by Baxter& Nye, Inc.
dtd thru 13 May 96 the following elevations are stated:
a. Elevation to lowest floor(1st Floor)from M.S.L. = 14.0 ft
b. Elevation to floodproofing (Foundation Ledge)from M.S.L. = 12.9 ft
c. BFE taken to be 12.0 ft above M.S.L..(Flood Zone Al 3)found on
Town of Barnstable FIRM 250001-0016D revised 2 JUL 1992.
Note-Garage Floor Elevation = 13.0 ft.
3. Based on surrounding topograp4y(lack of a BFE "dry side") a contin-
uity of occupancy is not recommended.
4. Design Criteria:
Construction Type- SB "Unprotected" Platform Wood Framing
Loads - Roof: Snow Load, Zone 1, m > 8/12 20 lb/sq ft
Wind Load, FEMA/ASCE 7 26 Ib/sq ft
-Floors: Garage 70 lb/sq ft
1st& 2nd floor 40 lb/sq A
Wood Deck, Balconies 60 lb/sq A
5. Ventilation provided with lattice in-fill breakaway panels.
I
I _ —
FRON: DOREUE NICHOLAEFF FAX: 5084202240 May-28-96 Tue 16:10 PAGE: 03
6. Internal level flooding and draining with 2'0" x TO" slab blockouts
and 2 ea TO' x NO" breakaway gates. Gates to release at no more than
10 Ib/sq ft pressure. At-grade swales to provide water access to crawl space.
Build revetments or swale grades, elevations not to exceed
4.0 ft, This is to reduce hydrostatic uplift on the concrete floors
and balance hydrostatic thrust against all foundation walls.
7, No design is provided for Extreme Impact Loads.
8, No design for electrical or mechanical systems is provided other than
these general guidelines:
a. All utilities must be located at.BFE= 12.0 ft.
b. All "below B.F.E." circuits are to be CrFI protected and used
with either Type OF or NMC Romex wire;
c. All ductwork below the BFE must have low point sumps w/drains.
TECHNICAL SPECIFICATION: Concrete Foundation
1. Re-bar- Grade 60 ASTM A615, clean and free from heavy rust
- Minimum bar lap distance: 28" for#l5 bars
- Steel Bar layouts&coverages as shown
2. Concrete- Footings and Columns . Minimum f' o=3,000 PSI.
- Maximum aggregate size 1/2"; Type IA 5-7%Air entrainment
- Strip walls no sooner than 24 firs
- Formed in place footers are not allowed. No footers shall
be placed in water. See Foundation Plan.
3. Foundation Tie-downs - 5/8" Anchor Bolts; sized and spaced as shown.
vanized. Install 5/8" dia. galvanized nuts and bolts.
-Framing Anchors - SIMPSON Mfg., fasten IAW instructions.
- Sheathing to start from bottom sills and extend upward,
providing a continuous tie across all box construction.
4. Deck Post Tie-downs -Pier Anchors to be Simpson PB66 hot-dip galvanized
5. Foundation design assumes soil is a medium to coarse sand, Should
substantially different in-situ material be encountered a,detailed,
detailed analysis will be required.
Design Allowable Bearing= 2,500 lb/sq ft
This is before a depth increase allowances and application of a. 1.5 factor
of safety against settling, sliding, and floatation due to flooding action,
I
. V'
N
'i ,'ry��i, f T f'r� �y t' *` , a r a 5 4 r{ .-�Y -ti;rYy ; ..
a�j .t„ j S .( /..- .Y, r`' f. a. Wt 'L4 r�,i y 1.d `-i- > C Fl.:'`'<,`-'' .,v:.: _ _
/ ,
(+ J.. d
e
T
ti' rr
h'
:i" f a
i'
qt:•.
,'1
l
�'.
i ql::
'7 L
L•.;
y,Y
,l' '1�'. t..
,.
{"
4�. 3
i.
�. r J
, 9. ,r
'.� ��.. •.rr
•r. 5 w
ir- A.
r �Jt.. Q'
4' i r i y \t "i-
F i i d j in<< *r xti ,i fi` l
t i. ,.c t c a,.. -
j�+`` J "f, ,t: ., 3. t.,l�� A.: - ?s' j r Y�tAY y � {�(( .r
S,: ,/ i Mt;.< ...y..- •`:7 _ .fir �� '�, .+�
f.•' +7
i
A
e rT , i •� l .1
. >• : ti c
';
:~ :.:.
. ., •:
• r •Yr J '�T::...
a i n t' t: ? ?LEI.' ', S,a.'t..
.. ..f � t
�y
. . e. lti h �aa.
. ':e+; J �
} + i { V,' fir• -f'
.. 1• ./„
`'lrr j , '
.. ..
3
1
`:
•'•.
t 7 ..i 3. - �' i e f..: iat:.r
k %r:::.'
t. r 4. v
1 ;� ...
,,�: y'
-+'
! r, j - t
. O
.
... ..1
i s .. ., 1t.,
t
,
. k/�
- - .,
/� '�. ✓" fir. "' >� C t:y ;r.:'.;,,/"•,a'l`
, w r .. y , s
,
µ 'Yy�.,��r 'jA l�. (q�'
. _ ..;
. r.,..
j 1 .
. ', r' x ;r
,., .�
. r , ..
;. ;- i
mow, (� +M,? ',
•'r 'j I r:' V ` s'' ':1S
.' fr =S
. 1 - + •f:
4 � .,. .
r
1
+�!'� y.a
... ,. . .. ..,
V
f
. �.:
- - - ..
', / "M+ . _. . may ; `� - � I ;Jr
' C,, ` V .'-
V ;"° .
'.•.<.,
. .. s .;r
l g ra `.'t
. Orr`;.
d ,..'
t , — r . �' . . G .s
lam ' . ., r,..7. f f- Y-r ,r
., i ----�--- '° ' I G ; w
�? +
, �,. ' -
{�� ,
- 1, - , - `� < ..
,,, "d ..'
(�": ra . ` J:. � .
'N
n ewes 73AH3+`J
SL/i/C71/O bpzA x8/
,(Hd�n�✓'� ZS 7Z °N ONHA/!°�Q�7, ,7NON"a"�' �-7Z2(L/'�J 7-71 °
NO/1J-97"V
7ood �n/iuiurims a�doNdls �/VI`S7OU �1I 79 -790HE H1 no
D/V/,v/dY0 Nd7d 1G7d O_ q s o ° 7/1d1S0YO.cH p.-
Y
q -7/On./ >A&I H109 0
a o
w= ~ 3w db-
' -La7d c 4
of .1 s � o• •
. 1nl7n a 1S S Z N3l,/g�'//iD�X 7yJ07 ONt/ 4
u/�'OJn/O> 77HHS 7YO1Yl J�7d a
a3nvM 1N9/� Y31tlM y�ON/1
9N/f7J1 t17 1. �N/5077 d79S 29 CU 53Ld9 I
ll/J 7H7307�HNl�//y
's � // oy/ 7?/ S d JNrn��0 H> �W&N 701 Yo
(M5da9S.
-7 /V/ 9NJA`- -
� olnd
�JA/t/ elriO
S,c1Q N�/I�S dOy (6O w7 n
77i/n r c AMO-tVWO7
.lf/d'd5 1f19/7d,(9 31/N179 g1/l ' •N`]/Sd0> 7/d1�0 1 .n/3G>/37dd/7S d�//:70211 Uwa77vN/ ° 3N/7 Yd2/7H/l03
�.�i y�7 7 y �i Sn7oc[d7-7 x� AA1b' 'I.,IN��1 pN04 d0 d01-dp ( •
O��J.0 10N 77Hf/S O//H�' 1 NSW�J-1l�16/M • Sad Z N/Hl!//1 ONl70lJ.9 7d11/71 dN H NOdl7011 d0 O dfl AIV +t _ _ ."_.
S.l c5/O S� 07 /mod 000r 31/S 7J/1 .(7f76'NC'Sfl�'X ° I —�
QNE/ �OOJ 76'J07 01 SW2/l INO-) N9/S•3Q S/H1 ® �. .' o_...e i
N1�/V�.h'1S d!c/OJ 1 1 1'N�W_ON1L'f/d1dN0 /�/�✓/S Q T-70 o.
�7E/N f/ p/VF d/7Ol , ,
77dN>' X/!�/ 1( 77hJ/1 NWl73Nd O?/7dd i • S7COd dd.(1 VOY3lJW0J 77E/ 1/no,yoo ? °" •�z
�P 7 77yHS ZIN/.7_" N176d3H ' a ° o
Ci7/ci p�7,Y//n/�/V/HJ `(/_ o J v !
/VO/1 /b'1 SN07 �1 dOd Q2t//Oo3X 7di►o�'dd�/ld�b
2/17JJ0 011dC'P Lb' H1d9O N/ 133d 1H912 Nt/Hl 9S37 , a9
] °
sx/od NO 031/W�l3d lON Qlid�3 9N/�/C[ ®
S�J/idS �2GM177 .,P/ yO Sd_91 aCVtY1G �QOJ .cL�1dS ..5079 .40 1
✓ /IW/N/GV f/ j,97 .77b'f"/5 Sd E17 SO�'HONb/1S. e.
,t1?//i`/1 71 01 U%�01 NOJ 77HHS NOL J17?JISNOJ
OO L A.
y/,,/ 50 E/ S/- 6� SNO/1 f/�� /S�O /�✓1 S 6/ . 1d3� ,CLl7. - u __ - r J 77dNs 73315 J/►//Jd'OdN/�L� `(7bl°XYIV 9
0 LZSr�.s...
5�10/v N D Il Jn H1 SNp,7 _. . .
NO/1 JCS 77YM —
d�1AUOg
�N/3t/ Y007Y
b
Sd9 Y90�7.C13dtf .,
\' wa N30%53?L
!y 7ypy31(IW07
d 11 N/;1/.. !+�' a en' dW(Id Ol lJ9al/017.9NNV-7
.�
0:8 ii�72 —T— b:L/l�7_7 w9 \� LN�7J..Z �� IW07Y N/W..°1 9/170'.413/7:?y N/t/YO N/(/W
71
-- - �
y td.t'1/Y1 7E/Y�01!7
-
t �
-07
_ _
0310/� sb' Y1o1nJ
S ata9 Ck .
,. pN/)OL��
-- _
{ .. : .
.7aY17JaN - - -
1
yt-nt r,!o41 70.b1 ® Sbt/g:ca ..
_ N/w,r; or I » s
7/ /Y9 7Y/
1 i o3 1 .
:I � rZt
O � 19N7� } 17� g .(F! OWN/N2/31�Q
-1--- --. _ --_ i. 700d YQ 3007
N _
-, 7oad d1n_/:� r�n .-NUf N/ >_ _ ... . 77dHS
1
77d�
,
LINE DIRECTION DISTANCE
L7 S 45*19'35- E 18.55 L 0 T 7
NIP CAROLL J. CAYANAUGH
THIS PLAN IS NOT BASED ON AN INSTRUMENT SURVEY AND THE �
OFFSETS SHOWN SHOULD NOT BE USED TO DETERMINE LOT LINES.
41J `Q 0
j 11) o STK SETW
e Ai�O •y0
LOT 8 N 0) >-
�s 10
N/F PAUL MELLON ° (II
� J m
\ TBM ® HYDRAN
SPINDLE
�►
8'40 E EL 19.32' STK SET =
N r. N.7't F-
P 178.09
N 0
P S 6 0�6
L 0 T 6
62,637 SF t
1.44 Acres t PK IN DRIVEWAY
TO LINE OF MEAN HIGH WATER
' X
G �
a
O� � Ta P Fcu..�A•ric.� N N
s� EXISTING FOUNDATION ,L 0 T 1 1
6,0.
LOC DATE: 08-01-96
�S8•, N/F CAROLYN C. LANE
�5 8,
0'
CERTIFIED PLOT PLAN
4 AT
0J� V 1 '1 A
TW SOUTH BAY ROAD
OSTERVILLE. MASS.
FOR
-H
I'o 0 ~ SILVIA do SILVIA
o
N
m
SCALE: 1' 40' AUGUST Z. 1996
0
`4 EXISTING CONCRETE
BAXTER & NYE, INC. ,
RETAINING WALL 812 MAIN STREET
OSTERVILLE, MASS., 02655
- -
MEAN HIGH WATER: 3 2 95 Q 1? o
rQ 1�J�� , U 29874 w
is
'��fS1EREs
WEST 8 A Y
DENOTES CB/DH FOUND —8 -
FLOOD INSURANCE IN THIS AREA NOT AVAILABLE
I CERTIFY THE FOUNDATION SHOWN HEREON COMPLIES FOR NEW CONSTRUCTION OR SUBSTANTIALLY
V1TH THE SIDELINE AND SETBACK REQUIREMENTS OF THE IMPROVED STRUCTURES ON AND AFTER NOVEMBER
TOWN OF BARNSTABLE AND LOCA THIN THE FLOODPLAIN. 16, 1990 IN DESIGNATED COASTAL BARRIERS.
AUGUST 2, 1996
96076 (CPPOI.DWG)."
i
o , . �• NOTES:
• WATER SUPPLY FOR THIS LOT IS MUNICIPAL WATER CURVE RADIUS LENGTH DELTA
g ;
• '•• C1 52.50' 52.12' 56'52'S2'
j •' o.•� LOCATION OF UTILITIES NOT SHOWN ON THIS PLAN. AT C2 52.50' 64.90' 70'49'S0'
LEAST 72 HOURS PRIOR TO ANY EXCAVATION FOR THS
PROJECT THE CONTRACTOR SHALL MAKE THE REQUIRED
NOTIFICATION TO DIG SAFE (1-800-322-4844) AND
APPROPRIATE WATER DISTRICT FOR LOCATION DATA.
_ ._ _ THE CONTRACTOR IS REQUIRED TO SECURE APPROPRIATE _
b� PERMITS FROM TOWN AGENCIES FOR CONSTRUCTION DEFINED
BY THIS PLAN. Cn
i '•' `l L 0 T 7
INSTALL RISERS AS REQUIRED TO WITHIN 12' OF FINISH GRADE. `r
• . sy 49
ALL STRUCTURES BURIED FOUR FEET OR MORE OR SUBJECT ® N/ ' CAROL- J. CAVANAUG# 'ass ems, 6 6��
,�• . a
- TO VEHICULAR TRAFFIC TO BE H-20 LOADING a P - 6873
LOCATION MAP o= C8,> o
c�
COTUIT QUADRANGLE 0 ?�
SCALE: 1: 25,000
ASSESSORS 20yyF >>�
sTx SFr
MAP 93 PARCEL 64 6 ,r'
�h Q
ZONES: �k�,y��
O
AQUIFER PROTECTION OVERLAY DISTRICT L 0 T 8 CC
ZONING DISTRICT: RF - 1 N/F PAUL MELON
MINIMUMS c2
AREA = 43,560 S. F. P - 6874 Q
FRONTAGE = 20'
WIDTH 125' S - CB/FRONT SETBACK 30' Tau o ca/�
SIDE SETB� CK 15'
REAR SETBACK ._ 15' n
't1lLi ii'�li. r E (;t-I ! = 30 �, � .; $ "— �_=� S. =1932 �.
(OR 2.5 STORIES IF LESS) 16 STK Su
N�-18'� E / �
N N N 178.09' O
9 Sg
m
$ L
TaW .
v w is 62,637 SF f / STK SFr POL
cl
1.44 Acres t /
Ni TO LINE OF MEAN HIGH WATER 6 53 16
.2 t+9 � S ,K0•
i0 I _� 28'
6 EXP ON /
I, PROPOSED
.- 16' x 28' MAIN DWELLING GARAGE APARTMENT
:EACH FIELD DE51 �N DATA DESIGN DATA
SINGLE FAMILY - 7 BEDROOM SINGLE FAMILY - 1 BEDROOM
T � NO GARBAGE GRINDER NO GARBAGE GRINDER
OX "P Q4 72. / SUR` SE-7 �rtrv�w�Y DAILY FLOW: 7 x 110 GPD - 770 GPD DESIGN FOR 330 GPD
SEPTIC TANK: 770 x 200% - 1540 GPD SEPTIC TANK: 330 x 200% - 660 GPD
\ I ,�. USE 2000 GALLON USE 1500 GALLON
� 28' � 3
4 O. evf`v Z PROPOSED 42. CACHING SYSTEM DESIGN LEACHING SYSTEM DESIGN
5 1 9' f _ SEPTIC TANK /
\ . _ 0- APPLICATION AREA REQUIRED: APPLICATION A.REA REQUIRED:
.10 770 GPD - 0.74 GK'D/SF = 1040 SF 330 GPD - 0.74 GPD/SF - 446 SF
\ (• N b oy / APPLICATION AREA DESIGN: APPLICATION AREA DESIGN:
oQ BOTTOM AREA ONLY 16' x 66' 1056 SF BOTTOM AREA ONLY 16' x 28' 448 SF
1 '
MAIN
PROP GARAGE /
13' W/APARTMENT
FF EL - 13.5' / EVELO�ED PROF�I.E
l 1 I 74 NO SCALE
t /
4.,o
, I ' H-20 GIST BOX
--- USE SPEED LEVELING
1 12 tX15TihC 14 EL = 14' OR EQUAL TEST HOLE
_
t ' w - 12 5'
' o pRl\'E`ND FG FG = 12' P - 6871
10 4 SC 40
PVC PIPE
o' ; \ � 66' l 10.0' 9.81 2000-GAL PIPE
/ PVC
ll. ` ` �b / •. , . SEPTICH-20 LEACH FIELD _
f •
_.
_. —.-. to _
r ,
f •
9 - t _ - -
o v 103' f _ 5
1 .
• BEDDING AS .
PER TITLE
IT
p i L
1 16' x 66' �EAC, FIEL1?
_ / J I
2000 GAL f °� `� \
0 H2O SEPTIC
0 TANK - METAL \ FG a 12•
t2 COVERS TO GRADE \ / F .?' roc k� G.'. w,� ' EL = 2.0' P - 6871
DRIVE" 0 PORTS ! LOT 5 CADDY ;'.kW' DRIVE'
GOCHERE q
t �
PORCH 3.5 f 1
DS BOX
USE SPEED LEVELING
'c Q C,
, OR EQUAL TEST HOLE
PORCH dd `v
= 171
P - 68`71
PROPOSED NEW CONSTRUCTION ` y 4- SC 40
PVC PIPE PVC� PIP
E
� FF EL 14' •� 2 15.0' ----LEACH 1500-GAL
`�. CAR FL 14.8 14.4' 14.0'
EL - 13.0' SEPTIC TANK 14.fi' -- ;• ••.�,,� _ LFAC#i FIELD 1
14.2' EL - 13.0 1
BEDDING AS
13.5 \1 - PER TITLE 5
/ sim
10' 10.5' 6' 2.5' T - 3' - 3' 28' t
/ 1
I
6 1=xisnNG 12 � SARAGE APARTM��,�
�� �� � � �EVELOPEO PRO WATER LEVEL
a+. o EL - 2.0' P - 6871
o t2
NO SCALE LOT 5 CADDY CAMP DRIVE
REMOVE EXISTING DRIVEWAY O '
& REPLkE WITH LAWN '
' I
jitiN. i'.. MAX 3' C'OvER` / /.
\� PK
t1 -TRW �LW D y'EZUN 13.5 fZ Lv �� \�
rTs-17vv •sievr Tvi»r , ®�r�tes �42 1/8•— 1/2' RASTONL'
Q rTTT,TTT , ♦vTfTeT .rrTv .eTs eTvvvr -'.-
ihJ� YTTTe Te TtTTTTTTrT7 RTTTT QTiIr eevTe IELD/MAX. DEP 'H IS 12"
4 W ON PL Q ` e • L•
'� -- _ o DWS E 4" PERFORATED PIPES
i 0 EX1S ' ,ri' J WASHED STONE
ho LAWN
. I r
A o i S'
s 0 j TYPICAL END SECTION
c `
o
2 MyPyp A �3' ` � -IT
N i SCALE:
1�
BEACH p \�
WORK
...,..
\ REMOVE d ,
EXISTING
EMS G WALL LAWN ,j n t Q T 1 7
i
N/F CAROLYN C. LANE Sit'E PLAN
B E A C H j s
AT
MEAN rcH wATgt a-x-as \�` EXISTING STEPS
135 SOUTH BAY ROAD
q �A
EXISTING CONCRETE RETAINING WALL O �TE'RMLLE, MASS. '
I TOP OF WALL EL 7.8' f
BEACH
-= FOR
135 SOUTH BAY ROAD REALTY TRUST
r'. REVISED: 03-13-96
2
2F SCALE: 1' a 20' JANUARY 24, 1996
REV: 05�-06-96 (LOWER HSE EL & RELATED GRADES 1')
f3i:XTER & NYE, INC. t
(Q F ' 812 MAIN STREET
/1 ' OSTERVILI_E, MASS., 02655
I�
W E S T B A Y
I GRAPHIC SCALE
20 0 10 :A 40 SO
FLOOD INSURANCE IN TN ,A,REA NOT AVAILABLE
FOR NEW CONSTRUM ;:OR SUBSTANTIALLY
IMPROVED STRUCTURES 0 \"' AFTER NOVE►�+BER
a 16, 1990 IN DESiGNATr -'CA NAL �tARRIERS. ( IN FEET )
inch = 20 tt.
12 PROPOSED FINISH GRADE_
OF OF
2 EXISTING GRADE r
PFRR
SULLiVAN R,
tkxnR " g NO.2973.3 y
�Ea
9
Lf
q 95075 (PPP02.DWG)
--- -- _. s �`- --- -- - ------
x
x
N ASSESSORS T x 4.2 10.7 x 11.1 11 14.2
MAP 93 PARCEL 64 1V O� `V 12�0
NORTH BAY A.P. 1 S� ti(,� 11 x 11
1.
BAY ST. R F-1 x 7.4 x 9.4 S G Gti
MINIMUMS , � O; 9
AREA = 43,560 S.F. ;fl 13.
FRONTAGE = 20' 4' S 11.6
RIDGES WIDTH = 125 AZ 3 x 0 .3 ?6
T FRONT SETBACK = 30' o�h 1 .4
12.0
SIDE SETBACKS - 15 OP O • ,,� -off x 10. .4 6.93
LOCUS Z,` + o,� x .7 x 11.3
REAR SETBACK = 15 ,� Q O �co �o ry14.0m x x 1.
BUILDING HEIGHT 30' x 5 0�, ��Y ^� � 1,.3
WEST BAY \�V��.\ 0
0
LOCUS MAP o ��
SCALE _1 25,000 rn �2 .7
V x a.4 X PATIO
13.5
ci -
0 N
J
x 9.8 10.0
x
10.4
to
x
0.1 w
Z N
O
2.5 w
Q 1
9.4 10.7 .o U M
/S ,o Z F-
oLim
_j
F� moo ,,
C �o.a o - v
x 4.5 O \ 0
o � >
N 10.7,
x C '�� EXISTING 'ST N WA �
5. s STONE WALL QNW
�s.
q A 10.8
T o
ti O F R x 10.8
9.3
J 0 12.0
M
ti
. 2.5 .1
R
11.4
2.5 w x 12.0
fX j O-
G m d
i.2 TAIR u')
4 ft. 0.5AALL SLO
x' AL
6 - 0 2 0
22 o
6 X 6 POSTS HAN IRAI L ,r� f
,. AL9.2
, G
C
N
' C.
2 X 10 DECK ;.
V
W
C to
1, SPA ACING TYP 1_.-0� 0
C
T ,
M
O ETE RETAINING WALL
-0. .5
ELECTRIC
WATER SERVICE -
SERVICE
MARSH
' JdL
F.
2 X 8 CROSS BRACE ,� H.
_ ,�I� t1!
(OPTIONAL) 0.0 AL �IYc 1.3
,
• • _ AL ,Allc
0.jL AL AL AL 1.1 .5
, L & AL
. ,dlL il►L o
. t1r�
x 1.0 � -0.0 AL to AL 'NHw
��
0. 2 S, .5
a ,4
• -0.0 5
MAR H 1.0 B
DETAIL A-A • '," AL
' 0.4 ` 6
_ \ ' • AL0.5 0 2
,.1
.x
x
q
2 X 10 - DECK
x
-o
1 SPACING TYP
•W x - o
4.0 I
5
4 X 4 HAN RAIL
-
NOTE.
2.o DENOTES PROPOSED x 1.
ELECTRIC .,
0
2 x 4 Q
_o
SERVICE
Mi
q
- ELEV. 5.5p 3p#X 8
WATER /
q
� , h
2 3 X 8 ,. E.H.W. . 3.5
J
„ to
M.H.W. - •
25
-
3.1
tCID
ALL 1 1
x
PILINGS 0 2 ' S
2.2
M.L.W. _ "0.0
E.L.W. - 0.5o
v ,
X _ `
, J
2.1
3
0
' 1 ,
� G
l
2
T
_ 0
O
t A x •.
2.9 DETAIL B B 9
N
G 00
C
k
3.4
x
2.9
X
2.7
P---N
X _
3.3
1 = 20
x
2.5
0
10 20
F
9 -
6
x
3.1
V
F
O
00
x -3.2
x
3.1 x
2.5
x
2.7
i
2.9
- x -2.5
-
PROPOSED PIER
135 SOUTH BAY ROAD
- IN
(OSTERVILLE)
OSTE RVI LLE , MASS .
FOR
135 SOUTH BAY ROAD REALTY TRUST
SCALE: AS NOTED DATE: MAY 22,1997
REV. SEPT. 30,1997
REV. JULY 5, 2001
REV. DEC. 11 , 2002
_ BAXTER, NYE & HOLMGREN, INC.
REGISTERED LAND SURVEYORS
c� 3237
CIVIL ENGINEERS
SE t)-
OSTERVILLE MASS.
#95075dck2.1