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1490 S COUNTY ROAD
i�90 � ��e i U I � 7 i _..�"'. ,`^ �'""'� ,--�r�� ,.-�ti-+.r..--.�✓\.. - .� .�e.r....,.�....,,.-tip..� „�.t �+.. �� �r.� � _ __.__,� d � _ i o I o i �, a j ,� ,� y 9 i ,j J d a t i �) � d a a d d o 13 0 ;� i ` i i y `\ �,\ ` ��t ��,. c: � ;; ,, 9 a ,� � �- ;� � , � o 0 ti • . n Town of.Barnstable *Permit# G�(� y S /11 ( Expires 6 months from issue dale PERMIT Regulatory Services Fee � M"&9''°'�' 12013 Thomas F.Geiler,Director A Building Division 1 � TA om Perry,CBO, Building Commissioner c, TOWN OF BARNS BL9 200 Main Street,Hyannis,MA 02601 ! UU www.town.barnstable.ma.us v(. Office: 508-8624038 Fax: 508-7 23 0 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1,4 ` ( i( t J�j t,�dbt Valid without Red X-Press Imprint Map/parcel Number I �/l Uyf � Property Address ra, El/Residential Value of Work$ fee of$35.00 for.work under$6000.00 Owner's Name&Address / O 0 Le r• oh CGS Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) 17 S Email: C x,o Construction Supervisor's License#(if applicable) (_ ❑Workman's Compensation Insurance Chec one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insuranc Compliance Certificate must accompany each permit. Permit Req st(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: S � ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re fired. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc Revised 061313 C� The Commonwealth of Massat;,husetts Dtment of Indusbzal Accidents Offwe of Invmfigations 600 Washiwgton Street Boston,MA 02111 ,kri wwnt mass govldia Workers' Compensation Insurance Affidavit Bmlders/Contrackws/Electcicians/Plumbers Applicant Information Please PrintI*wbly Name 1)- •- )Address:—.2 c2X-17&Z City/State/Zip. ZLJ c © Phone# l— d 1 a Are you an employer?Check the appropriatU7:�a Type of project(required): 1.El am a employer with 4. general contractor and I 6_ []New constructionemployees(full and/or pant-time).* have hired the sub-camtiactois 2.❑ I am a sole proprietor orparbxT listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity_ employees and have workers' [No workm' comp.invxane comp.insurance l 9- ❑Building addition r required-] 5- ❑ We.are a corporation and its 10-❑Electrical repairs or additions 3. officers have exercised their I am a homeowner doing all wozk 11_❑❑=of g repairs or additions myself [No workers'comp- right of exemption per MGL 12. repairs insurance t c.152, §1(4�and we have no required.] employees.[No workers'. 13.0 Other comp-insurance required] •Any aPP fat checks boa C mast also fill out the section below showingthea workers'compensati=policy informztioa. T Homeowners Who submit this affidmir indicating they are doing zll wol}and then hue outside contiulm must submit a new aJ5dzm m&catmg such ICoatractors that cbech thus boa mast zttached an addmaoal sheet showing the azure of the sub-co a xwn zod state whedw moot those entities have employees. If the sub-contractors bate employees,dwy mast provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.lic.#: Expiration Date: Job Site Address: SSG" ,/,4 City/State/Zip: X!J- s Attach a copy of the workers'compensation policy declara ' page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c� 152 can lead to the imposition of criminal penalties of a fine up to$1,500-00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations ofthe DIA for insurance coverage verification. I do hereby certify,u er the pains and penalties ofpediuy that the information pro ded above is hue and correct Si C� r"c Date: Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: PermitJLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 6 ,oFTMF Town of Barnstable Regulatory Services } ,-MASS �+ Thomas F. Geiler,Director 163g6 10 0�n r�r►+' Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstablema.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, M49V k114L4 f o cia , as Owner of the subject property l P PAY hereby authorize Z act on my behalf, in all matters relative to work authorized by this building permit �{ Fo S oW i u -C>LJ-m-r/ 4c.( t>$i 1=rL✓) (Address of Job) *Pool fences and alarms are the responsibility of the.applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. i Signature of Owner Signature of Applicant Print Name Print Name lbi 13 Date Q:F0RMS:0WNERPER2v=0NP00LS 62012 • f Town of Barnstable Regulatory Services ' 8A M ' Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as`supervisor. ' DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliancemith the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Bamstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval'of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible: . To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for*use in your community. C:\Users\decollflc\AppDaffiU.ocal\Microsoft\Wmdows\Temponuy Internet Files\ContentOudook\QRE6ZUBN\EXPRESS.doc Revised 053012 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction SuPernisor License: CS-090104 CHARLES X DEFJAN!C . Cc 298 AMBREDGg LINCOLN MA 0$7731j ! -' = Expiration , Commissioner 02/01/2014 e ancirraaruuealC/a�� /�ca�ac�i..deff4:, Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ! OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: ;�75383 Type: i Office of Consumer Affairs and Business Regulation Expiration:; 5/9/`201�5-, Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 CHARLES DEFRANCESCO;, CHARLES DEFRANC.ESCO�`�r j 298 CAMBRIDGE TURNPII(E4J LINCOLN, MA 01773 v� Undersecretary i Not valid w thout signature • i I J SPEEDY,GONZALOUS ROOFING 74, 8 LAKEVIEW DRIVE LOWELL, MA 0850 PROPOSAL FORNEW ROOF INSTLATION 1490 SOUTH COUNTY ROAD OSTERVILLE, MA 02655 June 13, 2013 Strip roof and install 50 sq. Install 30 year Art. Shingles. Install 3' of Ice and water shield, Install Rhino paper on entire roof. Clean all deb�i'Oro n roof and deposit in dumpster. Owner to supply and pay for dumpster. All labor and materials as agreed: $ 14,336.00 Luis Ramiro Quinde Mary Ann Tocio Douglas E.Tocio I TKVtw - t. ■ .4CU CERTIFICATE OF LIABILITY INSURANCE 7Date/013 THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,Certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsemen s. PRODUCER CT Colleen Crowley Risk Strategies Company PHONE (781)986-4400 FAX .(781)963-a420 15 Pacella Park Drive MAIL Suite 240 INSURE 9 AFFORDING COVERAGE NAICA Randolph MA 02368 IMSURERA:Guard Insurance Group INSURED Speedy Gonsales INSURERB: Quindi Luis Ramiro INSURERC: 748 Lakeview Ave - INSURER D INSURER E: I.,Owell NX 01850 INSURERF: COVERAGES CERTIFICATE NUMBER CL1341B60850 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMfTS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LICY EFF POLICY E7IP LIMITS LTR TYPE OF INSURANCE POLICY NUMBER GENERAL LIABILITY EACH OCCURRENCE f REM COMMERCIAL GENERAL LIABILITY E f CLAMS-MADE OCCUR MED EXP onef PERSONAL 6 ADV INJURY f GENERAL AGGREGATE i PRODUCTS-COMPK)P AGG f GEN'L AGGREGATE LIMB APPLIES PER f POUCY PRO- LOC CO BINED SINGM-11mr AUTOMOBILE LIABILITY BODILY INJURY(Par person) f ANY AUTO ALL OSNED ACHE LED BODILY INJURY(Pr aorJderY) f NON-0WNED PROPERTY DAMAGE. f HIRED AUTOS AUTOS f UMBRELLA LIAB OCCUR EACH OCCURRENCE f AGGREGATE EXCESS LB CWMS-MADE UA f f DED RETENTION 114C STATl6 OTH- A WORKERS COMPENSATION % Y EEL AND EMPLDYER!UABILITY YIN puwC403354 /17/2013 /17/2014 E.L.EACH ACCIDENT f 110001,000 ANY PROPRIETORIPARTNERIEXECUTIVE❑ NIA OFFICEJMEMBER ECCLUDEDT EL DISEASE-EA F MPLO f 11000,000 (mandatory in NH) Ifyw dwclbe under E.L.DISEASE-POLICY LIMIT f 1 000 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Addttlonal Remarks Schedule,IT mom spats Is M quirsd) Re: 3 Bennett Lane, Tewksbury, NA 01850. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Office Building ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street A`ITHOR2:FDENTATIVE Hyannes, Ma. 02601 Bernie Gitlin/DiH I ACORD 25(2010/05) ®1968-2010 ACORD CORPORATION. All rights reserved. INS02S(solaoe)-01 The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION__. 71 Map/-41.0 Parcel... .",-.Applicatidft# 6 T Health Division teo.; I It'l r I rs,I Date Issu6d Conservation Division :`,:Application Fee Planning Dept. ...'..Permit Fee' Date Definitive Plan Approved by Planning Board (r 0 Historic ' OKH Preservation Hyann:is Project Street Address 71U Village Owner 77Z�1,0 Address Telephone "Al Permit Request IC117d- ��rlj &Vol 6MJ Square feet: 1 st floor: existing XN— roposed :2nd floor: existing proposed Total new Zoihing District Flood Plain Groundwater Overlay Project Valuation -__PL�/ -Construction Type pez,A 100 a- Lot Size Grandfathered: El Yes 0 No If yes, 'attach S�pportih—,? documentation. rri Dwelling Type: Single Family Two Family 0 Multi-Family (# units) 41 d Kin Highwip- Cl'�Yes 0 No Age of Existing Structure Historic House: Q Yes �No On 01 Basement Type: )4 Full LJ Crawl Q Walkout U Other Basement Finished Area (sq.ft.)- Basement Unfinished Area (sq. A Number of Baths: Full: existing A new Half: existing new Number of Bedrooms: :AreAsting#new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ;Gas Ll Oil U Electric L)Other Central Air: *es LJ No Fireplaces: Existing New Existing wood/coal stove: L]Yes 0 No Detached garage: U existing LJ new size--Pool:X, existing U new size Barn:)&xisting U new size— Attached garage: existing Ll:new size —Shed)16 existing L1 new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded El Commercial Q Yes Ll No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 'Name 6vew #IV7- Telephone Number . /,a .Address 1-,,5 ao License # ll l �� D2 ��`'�J� Home Improvement Contractor# Worker's Compensation # 96 �✓G(���/O 6� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS P OJECT WILL BE TAKEN TO honvrl7� _ I SIGNATURE DATE t a FOR OFFICIAL USE ONLY - f APPLICATION# r DATE ISSUED MAP/PARCEL N0. ADDRESS : — VILLAGE " OWNER' DATE OF INSPECTION: ' _FOUNDATION FRAME INSULATION FIREPLACE r ELECTRICAL: ROUGH FINAL — PLUMBING: ROUGH FINAL `GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED•OUT ASSOCIATION PLAN NO. ti = J t F I I The Commonwealth of Massachuseik _ Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ob �w n �. Address: i'/ b�� ���i [2, �a:. City/State/Zip: ''iAl' thone#: C Areyou an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4• ❑ I am a general contractor and I employees(full and/or part-time). have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working for me in.any capacity. employees and have workers' 9. ❑Building addition (No workers'comp.insurance comp.insurance.# required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LF]Plumbing repairs or additions myself. [No workers'com right of exemption per MGL p• - 12:❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit-this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: TA'� %K t'��Y,�t JkV, Policy#or Self-ins.Lic.#: / tof /V /U� Expiration Date: 0 rJ Job Site Address:�% 7�H� �l�i 7j�j (/� City/State/Zip: IP7-1 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coveraverification - I do hereby u ne pair and pe of perjury that the information provided above its true and correct. Signatur Date: 2—/, Q 1 Pho a#: S Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other , Contact Person: Phone#: l cu CVU0 11 • is rr1 LCW{�i HNu WELDON .1.5087785 1 1 1_._. P. 02 May 16 2Ws 28.i2tV1 18669Z46567. The-Hartford Fex Page 003 IACAMDt~ CERTIFICATE OF LIABILITY INSURANCE A700t4;A 8F a•n PAYCHCXI8 CERTifI ATE 18 18gLIED 8 A MqT�q OF INFORMATION 08 1�QENCY INCZN ONLY AND C�NFERS H0 H�9 0 1210705 P; () - F; {) _ HOLDER. THIS.CEATIFICAT COOE9 NOT II-I CC EI ENO OR 308 FARM INGTOM AVE ER THE COV RAGE AF ORO BYAM i Lneo INt3TON CT 06032 _ LIMEs 8 yy, INSURERS 4FFORL31MG COVERAGE I unot A,Twin Cit Fire Ins Co 111 A R WELDO'V CUSTOM CAHINETR Y LLC rnw 111 AIRPORT RD. It LIRMC. p UnM CDVERAGES THE POLICIES OF IN$UAANCE LISTED BELUVV HAVE DEEN ISSUM. To 7NE INSURED NAMED A80VE FOR THE POUCv pEgipO 1NDICAT MAY REM!�MNIF SUR trt CONO flDffTION 6F.tk CONTRACT g110TryER DOCUMENT WI7H RE9PlCT TO WHICH 7NI8 CFfiT1PIC�rc MAY INCIS51tE0 UH PnucIEO.A6GRECA?BURAkG2 AFPOIIDED BV.Y1ti PONTRA L'EBL, fa NERON M INC 15-HaTAN01N� I [LIMIT A►+OWN Ml1y HAVE gFFN nrducFn e9 ISM c,AlA y�UO�iCT TO ALL THE TiRMA.rtxt{u61oN8 AND rnNDfT10NA OF aucN /AW"m AIIeTa b nituLOCN•R LIMWi" i4CY1 pyOS. • CUUMB MADE�OCR ! E Mm M OM ••U , P� L A AO V URV • OGti AOORWArt L".r APR IN P66 D' A000 ATE • PO .V PR _ lOC PROOUCTO-CMw—A00 • MnWMORY/UAIK ff r ANY Aura AmGWNC]AVrAA I ieIMCLEI'N!t • @CREAKED AUT08 eoDILY tN1URY M4TW AVrOa Dbe RON-Owtr67 AVrUy �.� trr eo•Ioem • ' gI0►iRTY DAMAGE a4R4oetMlRHv IPe•aebeery t ANv AVrO �lM1I?V 0AUrr"0g"raN lYr M A • AfjO • OCCUR t CLAIMII MADE EACH cc Q.. . AQOREOATt , - OCDUCT�L� I • NET r0N wanrelTlTcawhy,�nav4ro • A eR/!ta►>r!i'4NN?r X WC STATU.' ork. 75 R1E0 NP1808 05/20/08 05/101 09 E.L.fACHAcclom 0100 000 aTFeu E1.11 00041 FA MWujVEc 0200 000- E. .O WE.`POLMY LIMIT t 00 0.00 VAItY1MT�AYN3Ooe�KrDh74g7COoraYtipretiynv►.eivtiAtPtW OAR Those usual to the Insureds Operations. :CATIFICATE HOLAEq 40dIMAWt°N'rAN°''"eu�""{°rr�. CANCELLATION E NOULO ANY OF THE ABOVC QC&CRIBED PQ1 iCIF6 BE GANCEiLEt7 BEFORE THE T° of Sesidwi ch.Building A® EXPIRATION DATE TM811ROF.THE 19BUjNd INgjjAeA Will iNpUAVCR TO MAIL Attu 'J; Cj&l 90 OAYe WRfTTEfV.NOTICE 110 i7AY8-FOR.NON•PAYM""I TO THE CER7IFMATE HOLOER VAMED TO THE LEFT.BUT FAILURE TO 00 BD ONALL IMPOIIE MD 16 Jan Seba9t i an ,Dr. OBLIGATION OR LIABILITY OP'ANV KIND UPON?NJ INSURER.IT#AGINTS on Baxidwich, MA 02563 RQPRIBINTATIVE8. TAo exxeer,Yr14 ACORD 24•9 /`_ 1 c ACORD CORPORATION 1006 I I - - a o'�ul�i at�s an an ar �Bo g g One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Construction Supervisor License Wea --- License CS: 97094 Restriction: 00 Birthdate: 7/16/1964 Expiration: 7/16/2010 Tr# 97094 CHUCK- HART JR 11 PERCIVAL DRIVE WEST BARNSTABLE, MA 02668 . Update Address and return card.Mark reason for change Address Renewal Lost Card PS-CA1 is SOM-05106•PC8490 -y, �lt£ lrJaJ)LJ7Zl3JZU1E(l![1L G�✓I�JdC1CftLl4P.�6 _�A- - Rj o Board of Bui4Ung Regulations andStandards f t.j License-or registration valid for individul use only ;Y j HOME IMPROVEMENT CONTRACTOR before the expiration date If found return to: Registration•" 154680 Board of Building Regulations.and Standards Expiration:..3/28/2009 Tr# 254733 One Ashburton Place Run 1301 Boston;Ma.021,08 -Type: Private Corporation LEWIS&WELDON CUSTOM"CABINETRY,-LC. CLARENCE HART 111 AIRPORT RD ` Jt Administrator g HYANNIS,MA 02601 Not valid without si nature _ Board of Building Regala 'ons and Standards - One Ashburton Place- Room 1301 Boston, Massachusetts 02108 Home Improvement-Contractor Registration\ Registration: 154680 Type: Private Corporation - Expiration: 3/28/2009 Tr# 254733 LEWIS & WELDON CUSTOM CABINETRY,' CLARENCE HART 111 AIRPORT RD HYANNIS, MA 02601 Update Address and return card.Mark reason for change. -CA1 0 50M-05i06-PC8490 Address [] Renewal* 0 Employment Ej"Lost Card 0 cx_ ISM co t~ m 0 LO o TloardOFDoildingRegnl4tion.. and5tan4ards Construction Supervisor License ts.t .. 3 License: CS 970�--4 C _. - .=�(.f6r-20SO 7rJ1 97094 t� CHUCK HAP.T JR' •'.; =:;=' 11 PERCIVAC .:•. �T_ WEST BARNSTkBLE,fg1ti{� g Commissioner ci. ` y �x• .., fib — :ra.:ii.i: 5_P! rn CD 0 CV I CD CV Z Q —. r LEWIS &WELDON CUSTOM BUILDERS DESIGN 4 BUILD PROPOSAL Lewis and Weldon Custom Builders January 29, 2009 Tocio Residence 1490 South County Road Osterville, Massachusetts 02655 Lewis and Weldon Custom Builders 111 Airport Rd Hyannis, Massachusetts 02601 508-778-5757—508-778-5111 Chuck Weldon Hart Jr. —CS 97094 Jason Edward Cox—CS 99230 Lewis and Weldon—HIC 154680 (per MGL Chapter 142A:Section 2;paragraph 2,additional contract of information provided upon signing of contract and written request) ' I I PROPOSAL January 29, 2009 Between the Owner: Mary Ann Tocio 1490 South County Road Osterville, Massachusetts 02655 And the Contractor: Lewis and Weldon Custom Builders 111 Airport Rd Hyannis, Massachusetts 02601 508-778-5757 For the Project: Tocio Residence 1490 South County Road Osterville, Massachusetts 02655 SCOPE OF WORK: Kitchen • Demo cabinets • Demo corner pantry • Relocate phone line • Remove floor • Install hardwood flooring • Electrical per plan • Plumbing per plan • Remove wall paper in kitchen and breakfast nook • Paint kitchen and breakfast nook • Replace chandelier Family Room • Demo shelves • Prep for new unit • Demo mantel • Update thermostat • Prep for AV • Electrical per plan • Paint • Refinish floor • Wall Sconce allowance $50 per fixture Dining Room • Prep for built in electric • Replace chandelier • Refinish floor • Paint Living Room • Paint walls • Refinish floors Repair around columns Foyer Stairwell Replace pocket door • Paint trim and walls • Replace chandelier Master Bedroom • Paint Strip border • Replace carpet Master Closet • Repair ceiling cracks • Paint • Replace light fixtures Master Bath • Remove and replace wallpaper • Demo vanities • Demo tub top • Replace trims on tub • Demo floor • Remove and install new toilet • Labor to replace floor tile (materials to be quoted separately) • Demo tile in shower area • Replace plumbing fixtures in shower • Replace faucets • Electrical per plan • Plumbing per plan • Install new shower door , • Install marble the in shower Pantry • Demo floor • Install hardwood or tile TBD • Demo bifold wall • Paint • Frame, sheetrock and prep for built in at bifold location Additional work per customer request Wainscoting in dining room and kitchen— labor and materials Remove tile in foyer and half bath, install hardwood, replace wallpaper, and paint trim — labor and materials All painting includes wall, ceiling and trim. TOTAL BASE PRICE: $71,790.00 i i LEWIS &WELDON CUSTOM BUILDERS DESIGN o BUILD PAYMENT SCHEDULE THIS AGREEMENT, Made as of January 19, 2009, Between the Owner: Mary Ann Tocio 1490 South County Road Osterville, Massachusetts 02655 And the Contractor: Lewis and Weldon Custom Builders 111 Airport Rd Hyannis, Massachusetts 02601 508-778-5757 Deposit $21,537.00 Commencement of work $28,716.00 �� . Ready for Cabinet Install $14,358.00 Upon Completion of contract $ 7,179.00 I r THIS AGREEMENT IS CONTINGENT UPON STRIKES, ACCIDENTS, OR DELAYS BEYOND OUR CONTROL. NOTE: OWNER TO CARRY FIRE,TORNADO, AND OTHER NECESSARY INSURANCES UPON ABOVE WORK. PUBLIC LIABILITY AND WORKMAN'S COMPENSATION INSURANCE IS TO BE TAKEN OUT BY LEWIS AND WELDON. Contractor will be responsible to owner for any property damage or bodily injury caused by himself, his employees, or his subcontractors in the performance of, or as a result of, the work under this agreement. Contractor agrees to carry insurance to cover such damage or injury. Owner will be responsible for notifying their homeowner's insurance company that construction of the property is under way, and to obtain a temporary policy covering the residence for any claims not caused by the Contractor. This Agreement is governed by the Laws of Massachusetts. It must be executed in duplicate, and an original signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the owner a copy thereof. All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the proposal.All agreements are contingent upon strikes, accidents or delays beyond our control. Client to carry fire, home owner liability and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. The Contractor under provisions of Chapter 142A of the General Laws is required to apply for and obtain all construction-related permits unless this contract states that the Owner will be responsible for pulling the permits himself. The Contractor shall not be deemed responsible for delays in the work described in this Agreement caused by regulatory, permit granting, or inspection agencies, authorities, or individuals. NOTICE. IF THE HOMEOWNER OBTAINS HIS OWN CONSTRUCTION-RELATED PERMITS FOR THE WORK DESCRIBED UNDER THIS AGREEMENT, THE HOMEOWNER IS HEREBY ADVISED THAT IN THE EVENT OF A DISPUTE, JUDGMENT,AND NONPAYMENT OF THE CONTRACTOR, THE HOMEOWNER WILL NOT BE ENTITLED TO MAKE A CLAIM TO OR COLLECT FROM THE GUARANTY FUND ESTABLISHED BY CHAPTER 142A, M.G.L. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. "The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor has a dispute concerning this contract, the contractor may submit such dispute to a Private arbitration service which has been approved by the Office of Consumer Affairs and Business Regulation and the consumer shall be required to submit to such arbitration as provided in MGL c 142A. Any inquiries relating to unresolved project concerns should be directed to; Registration Division, Program Coordinator,One Ashburton Place Room 1301, Boston, Ma 02108. Tel: (617)727-3200 ext. 25239 Contractor agrees that, notwithstanding any agreement for materials and/or labor between the Contractor and a third party, Contractor is responsible to the Owner for the completion of all work described in a timely and workmanlike manner. All subcontractors and vendors shall be under contract with Lewis and Weldon, even if referred by the Owner. All contractors and subcontractors must be registered with Lewis and Weldon and any inquiries about a contractor or subcontractor relating to a registration must be directed to Lewis and Weldon. The homeowner shall have a three day right of cancellation. Upon such cancellation, if applicable, there could be an additional design and project coordination fee based on time invested (not to exceed 10%of total agreement), deducted from Deposit. Per MGL Section 48; of Chapter 93, Section 14; of Chapter 255d, or Section 10; Chapter 144d as may be applicable. The Contractor warrants that his work shall be free from defects in workmanship for a period of one year following completion, and shall comply with the requirements of this Agreement. In the event any defect in workmanship, or damage caused by the Contractor, his subcontractors, employees, or agents, is discovered within one year after completion of any job, including cleanup, the Contractor shall, at his own expense, forthwith remedy, repair, correct, or cause to be remedied, such damage or such defect in workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. All warranties for equipment and materials supplied by the Contractor under this Agreement shall be those given by the manufacturers of such equipment, which shall be and are hereby passed through directly to the Owner. Under such manufacturer's warranties, the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such documentation, which failure voids the manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such equipment. This warranty gives the Owner specific legal rights, and the Owner may also have other rights, which vary from state to state. It is expressly understood that all subcontractors warrant their work. Contractor will not begin work or order material before the third day following the signing of this Agreement, unless specified here: in writing. Contractor will begin work on or about: 1/26/2009, and complete the project on or about 4/30/2009. The owner hereby acknowledges and agrees that the scheduling dates are approximate and that unforeseen delays that are not avoidable by the Contractor, or dictated by the Owner, shall not be considered as a violation of this Agreement. NOTE.LEWIS AND WELDON WILL USE REASONABLE EFFORTS TO MATCH EXISTING COLORS, TEXTURES,AND TRIM, BUT WILL NOT BE RESPONSIBLE FOR VARIANCES. This Agreement is the complete understanding of the parties, and can only be modified in writing requiring the signature of both parties. Additional work other than what has been previously listed may require an additional fee and Neill only be done after a mutual written agreement of the parties is signed and pre-paid and evidenced by attached change orders or addenda. Lewis and Weldon reserves the right to use photographs of the project during various stages for advertisement purposes. The customer's name and address will be kept confidential. Note: All furniture and personal belongings MUST be removed from construction areas prior to start of construction. Lewis and Weldon can not and will not be responsible for moving, protecting, or covering any items remaining in the areas of construction. If owner is unable to have said items removed, Lewis and Weldon will hire professional movers to remove and store all such items off site until completion of the contract. Lewis and Weldon will not be responsible for any loss or damages to personal belongings moved by a third party. The cost of the moving and storage is the responsibility of the owner: such cost shall be added as a cost over run and added to the original contract amount. i DAMAGES: The Owner and Contractor agree to be bound by the laws of the Commonwealth of j Massachusetts governing any breach of this Agreement to compensate them for the loss of the benefit of their bargain. The parties to attain relief may use all available remedies, including but not limited to Mechanic's Liens, collection procedures, and civil litigation. In addition, in the event of a breach of this Agreement by the Owner,the Owner agrees to pay the reasonable attorney fees of the Contractor, court cost, and any other legal fees required to collect any monies owed from the aforementioned breach. Notwithstanding other provisions in this contract the work in progress under this contract shall be subjected to the Owner's inspection in order to guarantee their satisfaction. All work is to be completed in a substantial,workmanlike manner, according to specifications submitted, per standard practices DO NOT SIGN THIS CONRACT IF THERE ARE ANY BLANK SPACES LewiSJW61don Representative Mary Ann To io 1490 South County Road Osterville, Massachusetts 02655 NOTICE. The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate alternative dispute resolution even where this section is not signed separately by the parties." Upon acceptance of this agreement, please initial payment schedule and sign agreement above your name. Keep one copy for your records and forward the other, along with your deposit check to Lewis& Weldon at 111 Airport Road, Hyannis, MA 02601. Please note that because of potential cost adjustments, this proposal is only valid for 60 days. i Lewis eldon Representative Mary Ann ocio 1490 South County Road Osterville, Massachusetts 02656 LEWIS &WELDON CUSTOM BUILDERS DESIGN + BUILD Allowance Breakdown Kitchen/Pantry Hardwood Floor Material $1,600.00 Breakfast Nook New Chandelier 7 $500.00 Formal Dining New Chandelier $1,200.00 Foyer New Chandelier $500.00 Foyer New Storm Door(L&M) $600.00 Foyer Wall Paper 1/2 Bath $250.00 Foyer Hardwood Floor Material $1,000.00 rMaster Bedroom New Carpet(L&M) $1,600.00 Interior doors $2,000.00 aster Closet New lighting Fixtures $250.00 Master Bath Remove and Replace Wall Paper $1,400.00 Master Bath Bathroom Sinks $750.00 Master Bath New Toilet $500.00 Master Bath Multi Head Shower Fixtures(L&M) $3 000.00 Master Bath New Jacuzzi Tub $3,000.00 Master Bath Vanity Faucets $1,000.00 Master Bath Shower Door $1,600.00 '��' 1tasl ovvanc �; ' x= $20,750.00 NOTE TO CUSTOMER: All Allowances are included in the proposed price. In the event the allovJance is in surplus of the actual cost of the product, Lewis and Weldon will apply a credit to the account and forward credit to the customer. iN9assachusctts - Dcpiu-tmcnt of Public Safety Board of Building Regulations and Standards / Construction Supervisor License License: CS 99230 Restricted to: 00 JASON COX 18 CHERRY STREET. HYANNIS, MA 02601 _ Expiration: 11/19/2011 1 ('nnmissi'O1'�' Tr#: 99230 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Ij Registrat ona 154680% 'I Ems—_ •�—__3/28 2009 I { ype:=Supplement Card 11 :i LEWIS&WELD'.N Ck7STQM=EABI I c 111 AIRPORT RD1 I HYANNIS, MA 02601 S < ' _. Administrator z License or,reg!s.t Oon valid for individul use only before the expiration date. If found return to: d Board of Buildmg:Regulations and Standards One Ashburton Place Rm.1301 Bostofi,'Ma.02108 , Not vai d thout signature J Board of Building gege ulati On' Standards j . — HOME IMPROVEMENT CONTRACTOR 1 Registration: 154680 Expiration:=3%28/2009 j' ATr# 254733 J ` _ TYpe=Pn�ate Corporation LEWIS&WELDO,N US p=I�=CgIBINETRY,LLC. CLARENCE HART'JR I 111 AIRPORT RD _ 1j HYANNIS, MA 02601 Administrator j r - License or registration,valid for.,mdividul use only I before ,the expiration date If found return to: B,oaudding Regulat�ons.and Standards rd of B One A Place Rm 1301 Ashburton�I Boston,Ma.02104 Not va d .ithou , 91 re / TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map zo Parcel v 1 0 Application# i Health Division Conservation Division " , Permit# Tax Collector Date Issued d� Treasurer Application Fee Planning Dept. Permit Fee I a 3 Date Definitive Plan Approved by Planning Board GE) 1/io)07 Historic-OKH Preservation/Hyannis Project Street Address l Y 90 S oNrl4 Co N ow TN 9-d Village osT6-2v,I161 MA- 02bSs . Owner Wey 4-,w N + lw&- aS E . —raGdo Address I y ya Sou-rw 6te ,,r1V Telephone 07-- 2-6-9- V3J 9 Permit Request 14 V_ >--Y Pool' 1-I-ows w,a u 6grr&foaM d- K-r rc r+Gsa a Al o yV I W 4-T 6-4_ o 4 14 C-0-r /d-ow,S G Square feet: 1st floor:existing proposed 2nd floor:existing proposed Total new N --z Zoning District Flood Plain Groundwater Overlay a ` Project Valuation y ovv Construction TypeCip 1 ;- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting do- tmentat&.. Dwelling Type: Single Family ®' Two Family O Multi-Family(#units) Age of Existing Structure /2 yts Historic House: ❑Yes 9 No On Old King's High ❑YE� ❑�N& Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other W m Basement Finished Area(sq.ft.) /1 S20 T4 F+ Basement Unfinished Area(sq.ft) "1 Number of Baths: Full:existing 3 new Half:existing new Number of Bedrooms: existing N new Total Room Count(not including baths):existing exi—sting 7 new First Floor Room Count Heat Type and Fuel: ®Gas ❑Oil ❑Electric ❑Other Central Air: Q Yes 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes O No Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:0 existing Cl new size Attached garage:O existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded O Commercial O Yes Cl No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Na6i-P& E I N•a ey A4-u-� Telephone Number (a L LIT Address 1 yye e.1 License# 4-5-VrEe V,>i 491 M 4- a z 6 6 J Home Improvement Contractor# 0 y-i F_ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE WZ,02�,6, ru d DATE 6 v W - tee. r FOR OFFICIAL USE ONLY , PERMIT NO. s � . DATE ISSUED • MAP/PARCEL NO. i ADDRESS VILLAGE OWNER N 4 DATE OF INSPECTION: FOUNDATION _r--\ 7/(3/o FRAME �WK 9 >10-7 yk- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 44 PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL r FINAL BUILDING f DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations a 600 Washington Street := Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): . 3�vyb.l AlS N"% AA;V Address: I cf ID S. you Vr?g lei City/State/Zip: 05-r"Vj IId? , A44- PhoneA �v �1- 2-5-4— V3/ `l Are you an employer?Check the appropriate box: Type of project(required):, 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors. 6. El New construction . 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.XI am a homeowner doing all work officers have exercised their l l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . 13.❑ Other comp. insurance required.] , *Any applicant that.checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is..the policy and job site information. Insurance Company Name: . Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. d do hereby ce ;fy under the pains-and penalties of perjury that the information provided above is true and correct. Vl f Si ature: � I Phone#: . (O f-7 y3 J y Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5..Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two.or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or.trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the' dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced�acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contiactor(s)name(s), addresses)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies'(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Torun Officials Please be sure that the affidavit is complete"and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to.contact you regarding.the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all-locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture . (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate tc give us a call. The Department's address,telephone-and fax number:. The.Commonwealth of Massachusetts. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax 4 617-727-7749 Revised 11-22-06 www.mass.gov/d.ia °FTME,�y Town-of Barnstable Regulatory Services > Thomas F.Geiler,Director Burl imcr Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 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. fr Type of Work: 0 F Po61— C-krsE Estimated Cost 0/coy ,kddress of Work: f q 40 S'. Co-,c t,ry �� o sr F-.cy�I c, rl.9 Q 2 b s S Owner's Nam 1'�A4,0 7vcuy Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 Building not owner-occupied Owner.pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD 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: Date Contractor Name Registration No. OR Date Owner's Name Q:fo=:homeaffidav I F1ME Town of Barnstable Regulatory Services BARNSTABLE, Thomas F.Geiler,Director y MASS. i639• `0� Building Division a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION G Please Print DATE: /+ JOB LOCATION: I7 T y V I "GC•,,mil/ Xd ®67-E'���A—o wJv4-- d z.to S3 number I� street village 'e "HOMEOWNER': jo,.��,a, P zq"Q 14-v.t) 76LLJ 345'10s yrVf &1 259--�/s name home phone# work phone# CURRENT MAILING ADDRESS: y rIJ GEsGi�i6ypH ,p� Ga MCo<p', 1L4 1),- O j7VZ city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department um inspection procedures and requirements and that he/she will comply with said procedures and req Nzr2 ents. Signature omeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION n Map 2Dj Parcel_� I Permit# Health Division ®� Date Issued S!D(Q Conservation Division 06 Fee 50' o O Tax Collector Z 4 4 EXISTING SEPTIC SYSTEM ._- Coot d Treasurer LIMITED TO�g OF BEDROOMS Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 1+ 16�.Ogjlj alkIll aA� Village C>S- -a k- % (Owner 1✓4liG� TOCI U Address ��� II�lG7T�N aNLG � Telephone /7" C; �51 �3�g Permit Request 36, UAI c a/ SC- 9_ 6- 4 ' e i+ tS Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation 5���� Zoning District Pe— Flood Plain Groundwater Overlay Construction Type �w�T Lot Size / 33 !?/C• Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full ❑Crawl O 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 . cn, �i Total Room Count(not including baths): existing new First Floor Room Count -- Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other E, a, rr Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stovi: ❑Yes ❑ No Detached garage:❑existing ❑new size 96existing new sizelf-9 50 Barn:❑existing ❑new' size Attached garage:❑existing ❑new size Shed:❑existing,❑Aew size Other: Zoning Board of Appeals Authorization ❑ Appeal# - Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# � � Proposed Use Current Use' �ADtw �+/ � BUILDER INFORMATION Name $A" e dgj�w% %dO�S Telephone Number Ad AD7D �a��1 � i7 License# dr A; 03 Home Improvement Contractor# Worker's Compensation# � ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE dam, sd� DATE y FOR OFFICIAL USE ONLY � a PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME (, :T r - _ t INSULATION y i- 0 FIREPLACE n N ;.. ELECTRICAL: R�OUGH FINAL PLUMBING: ROUQ H FINAL, N Rf GAS: ROUIGH FINAL O FINAL BUILDING Oho DATE CLOSED OUT ASSOCIATION PLAN NO. 9 _ 1' °FtMErti Town of Barnstable Regulatory Services r. r: Thomas F.Geiler,Director �Fo�,,�,+► Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us 4 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. Type of Work: Cv%V" ''►'� �► Estimated Cost 3d OD41 Address of Work: lqqa SOerl aA,17' i4+ ©s z Pv • ''t t Owner's Name771D 0>0 G C/ Date of Application: + �G I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH.UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF I hereby apply for a permit as the agent of the owner: Date Contractor Yame Registration No. OR Date Owner's Name QIonnslomeaffidav I 1 a / °f r° Town of Barnstable Regulatory Services B" ''StAgM Thomas F.Geiler,Director 'DtfDN1A'IA Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, i����IrT�c�c ,as Owner of the subject property hereby authorize 'RIcAtAW> 6EHvl I S ®-t1'r 5ff Gcir%% fL to act on my behalf, in all matters relative to work authorized by this building permit application for: (Addre of Job) J, -Dl S' ature of Owner Date -Toy', 0 Print Name Q:FORMS:OWNERPERMISSION 617 � a BOARD OF BUILDING REGULATIONS f License: CONSTRUCTION SUPERVISOR 4 NumberrCS;� 056174 j Expires.,03116/2007 Tr.no: 9623.0 Restricf®d:T.00 I 5 C U E BENOITD 54 GUSHISHING HILL RD.� NORWELL, MA 02061 Commissloner Board Of Building ng R utations and Standards HOME IMPROVEMENT CONTRACTOR License or registration valid for individul use only before the expiration date. If found return to: Registration: 105485 Board of Building Regulations and Standards Expiration:=j/1712006 One Ashburton Place Rm 1301 �a fType_ PPlement Card Boston,Ms.02108 SOUTH SHORE GUNITE POOL 8 S RMRD BEN v� 011' 7 Progress Ave. v� Chelmsford,MA 01824+ � G L"' �✓�°G`� �'' �_.. _ _ Administrator N valid w" out sig re f , 1.�� y '`A' '�Iv .,♦ /iY ��y � � fir' y o► y (� • d i_a.i'=. '';:`4�tUi-�':1`•..Y�:�,a � '=�-":-=^a-:u:_-�:ak!:r!_h•i y 6139 1_ N N t••i f,i 0 5.GI•c 0 ; 74_i7 rD.i_i: 10Cl.0 � v o• j°' � o► d oo I d � y �o. .y TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map S Parcel Permit# / F ealth Division - Date Issued l _ Conservation Division Fee Tax Collector Application Fee Treasurer Planning Dept. Checked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address 1 4-10 —30 I t CAVn~1 VM Village Crar�i LIZ Owner ., Address cam Telephone 5 v&- Permit Request `�-� Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain undwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If ye , attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family nits) Age of Existing Structure Historic House: Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl Cl Walkout ❑ er Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) I Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new 1 Total Room Count(not incl ' g baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size :❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new s' Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site pla�' # Current Use TProposed Use BUILDER INFORMATION p Name < �( ! i Telephone NumberO Z Address LANE License# A VQAin� Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE �A_A [ DATE i 113�or rc FOR OFFICIAL USE ONLY d PERMIT NO. i DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER - } DATE OF INSPECTION: FOUNDATION FRAME s`} INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL A ' FINAL BUILDING DATE CLOSED OUT , ASSOCIATION PLAN NO. ii/ii �/_L1�L/�r�� //✓„i %//� !// �l�/ r.. ..vim.--G -�y :�:• %/ i% %i/r/, A"A1 i . ~:11 , • - • ., -P••1:.•.11. 1 - 1• .1 - : � Y 1 , � • - ■ • :�Y.11 :11 :.t HI_ , 1 11:11 1 ..1 11 .11 • M ^ ■ :! 11 :ill• • :.� : I.t 1111- ■ � 1'� . 11 I atl. . ❑ 1 1 1 11 � ..11 .11 ..111 tl 11 B11. • • . V 1 .. I .. MI 'M4� i . 11 . •1 •. �• :,/1 1 1 i :/ 1- 11,-•1.1.J, HII 1 •1 ,u 1.1 .1,1 .• i .,,•„ns,,�%l'rf/ir��7//i//r/!Ov%vunr�"i%%%/%%!%% �i/ // , / . . r i , ' C � .n•: i. 11 l i •1 1 �C�rttft��ct� Of llamt V . Manufacture Number SpE1�,RY � Date of Manufacture - 270 11 Marconi Ln Box 1�i 11/07/03 Marion, Mass 027 5 508/748-2581 vox c fax 5m/711!-VIOW web:sperrysalls.com * a-- all:sperrysails@capeFod.net This is to certify that the materials described have been flame-retardant treated (or are inherently nonflammable) And were supplied to: NAME: Sperry Tents 'CITY: Marion STATE: MA 02738 Certification is hereby made that: The articles described on this certificate have been treater with a flame-retardant approved chemical and that the application of said chemical was done in confor- . manse with California Fire Marshal Code, equal to or exceeds NFPA 701, CPAI 84 `- Method of application: Coated Type of cloth: Polyester UV, FIR, WR Color and weight of cloth: 7.2 oz Oyster Description of item.certified: 32 x 50 ft. Function Tent Flame Retardant Process Used Will Not Be Removed By.Washing And Is Effective For The Life Of.The Fabric Name of Applicator of Flame Resistant Finish Challangeku Signed: i. ,Jun 09 05 04:08p Nikki Sperry 508 748 3997 p.1 Town of Barnstable . Regulatory Services f 'Mmm 3r Gauw,Mmcwr Bading Didion Tom Perry, 330a lag cMabdo= • ZOO MdM 3ttle9 NYMb,MA 0=1 eww to�s�•a�blapoa.�s . oMees SOM624039 Fact: 508 790-6230 Ptaperty Owner Must Complete and Sign This Seetiwn ' If Using ABvslder Pe�ca�r s►w+ ;as eWAffafdie su;aFopexty h yaut$o:ize: S' r �' -to Iva 0amyb m vork 1y*k�ng �for is all ttiatte:s�3atim . r ss of Jab TiiN ami Z 'd B6EG-G9S-ETb sewe4S Ruu8d d60:S0 SO 60 unr LACORD CERTIFICATE OF LIABILITY INSURANCE Ro76 04-20-2005 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PAYCHEX AGENCY, INC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 210705 P: (877)287-1312 F: (877)287-1315 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 308 FARMINGTON AVE FARMINGTON CT 06032 INSURERS AFFORDING COVERAGE INSURED INSURERA:The Hartford Ins Group INSURER 8: SPERRY TENTS CORP INSURERC: 11 MARCON I LANE INSURER D: MARION MA 02738 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /N.SR TYPE OF INSIR4AAN]E POLICY NUMBER POLICYEFIFCTIVE POUCYEXP/RATION LIMITS GENERAL LIABBrIY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Anv one lire) $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ i GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP(OP AGG S POLICY PRO LOC AUTOMOBILE LLABRLTY COMBINED SINGLE LIMIT S ANY AUTO (Ea acciderri) ALL OWNED AUTOS BODILY INJURY S SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY S NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ S DEDUCTIBLE $ RETENTION S S WORKERS COMPENSA 77ONAAV X WC ORYSTATU- OTH- A EMPLOYERS'L/ABIL/fY 7 6 WEG NT4 310 01/01/0 5 01/01/0 6 E.L.EACH ACCIDENT $10 0 0 0 0 E.L.DISEASE-EA EMPLOYEE $10 0, 0 0 0 E.L.DISEASE-POLICY UMIT I$5 0 0 0 0 0 OTHER DESCRIPTION OF OPERA TIONS/LOL:ATIONSVEMCLES/EXCIUSMAIS ADDED BY EtWORSEMENTISPECm PROVISIONS - Those usual to the Insured' s Operations . CERTIFICATE HOLDER ADDIr/ONAL/NSURED.INSli!MIETTER. _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE 00 DAYS FOR NON-PAYMENT)TO THE CERTIFICATE PENNY STANTS HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR 1490 S. COUNTY RD. REPRESENTATIVES. OSTERVILLE, MA 02655 AQTUOR9FD REPRESENTA ACORD 25-S(7/97) ®ACORD CORPORATION 1988 '!�� IIIIIII �IIII�IIIIWIIIIII �V� =- � , �NIIII�III � ;►�� t� �1�i� iIIIIIIIIIII _ i ;�;IIIu�I181111H1;1� '. 1,Ll! I rl�ll I, i Illtruruu1�r11111111tI �-- �� IWIIIIIIUI IIIIIIIIIIIII ;; In uW�ii runrnrnrmrn WIIIIIIIIIWI -- I I '� � Iii�I11111111111111D�� � I ,- !�� .-.� - IIIIIIIIIIU 'J Iliilllllll, ! ©B ' Illilllllll� � , z ► _ i III fib . 7. k Q J gb qu �L jll; �n d a• -- m n a Y � � N P' g ICI ' e ' O a r a. 1 \ •�.a RT.M. � — tlti C sp q n r / UN (D U . A �C (0 V. � • i a 6 a N N >b b A O < o i '1}g Fs' Z a' s o n�'mv oR. p 13 �r 3 z P 115�3y r DATE MARCH,1994 reversed NORTHSIDE COPYRIGHT Ioe NO SCALE E L E V A T I O N S DESIGN �. II®Iw rta mo,o:w DESIGN AS NOTED a�.wT. IQ Run rc.oT SHEET FOR Bayside Building,Inc. ASSOCIATES a2 - 8 3 BAYBERRY SOUARE,CENTERVILLE,MA 02632 DISTINCTIVE RESIDENTIAL°CDMMERCUL DESIGN (508)771-1040 w Sf�ER VARuoUC()Mm w o1e)! 1 om m'�" REVISIONS CNEgCW �(aoaj H:-ulo (wq as:-oeo: A 4 te•-s .Pi 0 • 16'-Cr I6'-Cr IS'-0• IO'-V Z a r < a--.r °._�O O �' 8 v--- I H 4 H � O T._y� O Q 10._Y � o Jl' 1co+a o.«e ar A S, crN�u oaoa:a.war ra CA Z ei fJALILIJbk( � F- (h[.E_ DLC-K OUTS tUNElRR d'1aE19/E (bf OTHPL-) living ! tl[ • b IS'7.,Tf is E I Ctl VAULTED CEILING I u.e or eamr LJ - I ¢ a a � b5 Awo✓< dining I ' ;� 4 Y✓= I aa master k b a bedroom $ $e W9IlC 10' GOL IfiTEP10R f amily E a o e I b \ b (TYPIGL) COLUMNS _ I I,'F.18'G' S In r iO,'- 6'-1Ir ,'-0• 1 PAISED CEILING(11') p In W F� ; p IR V dR. h8 PLUMBING WALL _- 1 O L m g 3 LP closet ® a-. �e. I e _ 7 E o ---_ ? + a bat - S'-,• 10•-6 L FM -Jr c-y<v N I lY •- to r _ wi ' to swD i7F.1a C.TILE - +oyer ; -- 2+6=! 7'6.8•F : b z- T•-� ® SHOWER VAULTED CUUNc 1 al- kitchen 1 - nL� < - \ _ WNIRIPOOL TUB �_�- b ,O I •11'l.1 e', O n 10'-10• I F 1 T Imo:: 1- ,'0r.6'6 laUllar a— A, b b Y-6 nL-OW ! cLos .b akfast I`S5 ss.e' -- IS5 PM„ -_ ♦ I !�= O. I S q bn —.. _ ._i. �L.G Q b s3 k q IO1pI P,.LIGV —� - tC O-2 15�O'7YPL•.[•6,T: ...__1 a b Z o e•-Y ^� I.OLUF'WJ L 4'-6 dam.7WIS WALL.. j fl ...� W 1 10. W-0 2'-C te'-C r C, A s ,1- rzS garage s� o : ti to 3�/Z r-.,.) ... I71.6 dS•Q -ar• o m er I v o In • o I � S f i r s t f l o tor p l a n sl - I I seele t/!' m 1'-O' F co 6 A r- � � � N FI r 0 z NOTE: PRIOR TO CONSTRUCTION.CONTRACTOR lY MUST VERIFY ALL DIMENSIONS andW e.1M119 r ¢ C,",1 �� __ ;5 $ a mr1O0lons or assume Ina rCSp0(tt!bIl"py for eery ' Ipl•L� 'Sle VIA. diSaep2Mee er ITCp16Qteacies not b"M to the o' __ etI00Ifo00111,e dCsif/1Ct. \9� L FIS(FA-. L•rb - Q La Q V W In (n /��1 �F� y i I I ' I I I I I I I I - i I 1 I I 1 1 1 1 2•��0 _ - (o I m D S y I Q :O O O I OI O 1 HI s 1 ml o I �I o 1 1 -- , �'-m• Iz'-a• I I a p I o v .•la 1 S m m �� a Js O Q N I o q Q II N v 4 o I I 4 i i II II ' II i _ _ �'I z's•s I I I II I I r i Y d 0.. r 1 . I 0, A. ^l I 1 I i I 1 g'_p• ' �-(( I I ( I F ' m.O I I I I o 2'0-a8'6• � p w I I i B � Is•-ov En I --- ------ ----------- `----- i � I I m IFS I �I r 'y� I. I �a �io I i I R� i t N �a! I I� I E I A --- -------- — i UI + . O I i C Q uL z i eg N. ails—(.o� I,Da I �o I I yc I oE! ------------------ -------- I - -----�--- -'r--- , " I I I 0o o3 z �_ Tad 9 DATE MARCH,1994 reversed NORTHSIDE COPYRIGHT ,os NO SECOND FLOOR PLAN °•"m"°�""""'°°�• SCALE AS NOTED DESIGN i ^��^•�"°4• DESIGN aonlaort.a�nw,,a nm FOR m K'Iv'°°'®'°'""®'°"orm DRAWN SHEET Bayside Building,Inc. ASSOCIATES ,,. , , „�, 3 BAYBERRY SOUARE,CENTERVILLE,MA 02632COMMERCIAL °T"a"a•°"0"`0P•m A DI.,_. RESIDENTIAL h IVRT- DESIGN (soe)m_)oso i wlw smxw.r.auoumvortr•w 02673 o.Tp1�, 001�" REVISIONS CHECKED �(aoa).x:—xxlo (xoa)asx—•aox A Sq i = E • a'-O' 16'-0' 7 IB'-o" Is'-0' 20'-0' 3'-6' V m ah z Z 1 •• • I NOTE: PRIOR TO CONSIRUCTION.CONTRACTO(i. _____ _ ____a ___ __ I S I I 7-e MUST VERIFY All DIAIFTI$IDN$ an0/0I e.¢011g W •', •••,• \ I FA1IOilieAS 01 'S:tlr,V the responSAilil fm a 0 1 y p 1 • 1 MICRO-LAY BEAM-RUSH + I • I ' 011on6on of IlS Or in00nSISlenCiCS n01 W hY I aueniion 0l the Oesipncr• Ml0hl l0 IM I . w � A. • J B@ p I .J-41CRO-LAM BEAM-FLUSH -- Y r____________________ I 1 1 I 1/2'.12'GALV.ANCHOR BOLTS 1 g I^ I • I •' O B'0'0.C•(TYPICAL) $ ], I : I GO5 i gq1 IQ`i O�PE, n ', L---- - ------------- -------- II f o 1 8 S y :--------1D 4 R FULL BASEMENT I 1 IIII E 3'4;CONC.SLAB FLOOR ON e' I 1 rj IIII CLEAN CONPACTEl1 SAND BASE 1 • I o -3' i L' IJ._0. T IS'-O' 13'-0• y _ 1 ery Ix'-B' o c' I I I1 � I Io Q E— ��n II ---- I\\� ®� I 1 8 ���I �\� "'- . \\ \ \\ \:• '\ 1 (YiC/2 C%]O 8o "•"I I � J` \�s J. II 1 •O�W C 5 I 1 - IIII III -- III 3 WB.2A STEEL BEAM(A-36) COLUMN DI 1 + 1 IIII O STEEL I.LLLY II( 1 1 IIII ON 12'.36'.36" I '. 1 IIII (TYPICAL)GONG.FOOTING Itr----10 ti 111 I •�I u o 0 1 IS pp� IIF----ule .O III I 1 mF I I • NI I .. IIL____J.1- O 111 I Z •1 � I _ IIL____J112 'j F �� I11 I. III I 1 � Ilr I • 1 nE===tan_ 8 "I A a Y9'AB'POUREDCONCRETE FOUNDATION III I III IIII a ON IOrddB'CONCRETE FOOTING 1 y l ___III` IIIM ----- 1 I ---01----------- r i 2x(o'va IOTR14.FT4------ ---- ILI _ --- -•1• ♦ r-------•-- • I:+ 1 '.,r-- • , �. I LI .T--- 1 I FILL 1 I.„ I : 1 I I I C I Q I I J SS L __________J I I 112PjhEfrS 7.I KEYWAY W/N IRE ARS 1 I h.0 S 2•'O.t••3'YIN.IF TO EA All j• ------------ " ------ — I I I ~ Zc dL A I ~I 1 4-a 1 pq w y^ z-e rs" 8 S3 DEPRESS 12 O Q_ 1 1 4'0'18'POURED CONCRETE'FOUNDATION O OPENIN 1 I E•-1 ,� O 16,-0, 11'-0' 10'-6" I 1 WALL ON Id.16'CONCRETE FOOTINGS 1 (U A •� } EC o d' j�.• A I 1 '� O ED •ALLbAZE-I-tE.NTWINDOW`+-GU ¢m I I 1 it I ♦'CONC.SUB FLOOR ON CLEAN 1 1 O e7 1 I COMPACTED SAND BASE I 1 1 i 1 1 I 1 1 1 1 1 W f S� 1 1 1 \I O o u n d a t i. o n p l a n BA = o 1 I 1 U Z '1 1 '- "A V I 1 Cy V✓ ecele 1/P 1Dr I I of SO'-SO � S .LA I Q to 101.(c" r '26L I1Js f(c1,TL.Iw'f I Q .e'-e" :`I a w L---------t= yJr-----_--- r 4 I ELi G ,• r 0 g< o N - Z ci ^E{� �g m< s _ n MATCH SOR1T HT.TO AWN HOUSE R d N N N r, ~ .is i N r F F N N W N _ O N• --1 u O � � a • � s � � � � N ; „I H I, a N N u � �y 21 CD Y y}� x J > h] vUD' — --- s v no CD 6 ---- — n ° `---------- z c----------s 6� iV 9sy d-2'u,+�.+Tr O• 0000 6 8 r _� w co � w a d a L �Vm�T� 3��ir0 �� � �25 y y D 1 F-• PiR N z �� "�. E g F mH �Ypp � f� �� mF �•� �C y y �'• E Qz nI Q 3_ y 0 a33c DATE MARCH,1994 reversed NORTHSIDE cop RIGHT JOB NO S E C T 1 0 N S DESIGN �. . AS NOTED �wmc0.a u. DESIGN scALE OOtYlootlf.OQ RAMf YS WT SHEET FOR Bayside Building,lnc. ASSOCIATES N M,mod„a ,. � DRANK A 8- 8 3 BAYBERRY SOUARE,CENTERVILLE,MA 02632 DISTINCTIVE RESIDENTIAL h COMMERCIAL DESIGN • g ""�'T"O0"•O'"m (wa)771-1040 T•+ NNH ST m.rwuw m-.w 02675 �onatt�"1O oomrt REVISIONS CHECKED i F 92 o o w wg w r °g W B'-Y GLNG.Iff. 0 7'-K CWC.Ni. 5 91 o sF c q o y ®® ;day° d fl,_m c ®�®I y > s:+�.oa n 1�►yy. 6 ®®® �LL�D Q f� R �5 go n o rlr r 0 E 01 So: r CDGPI iFy ?a asyo (D ti r E P 3 - t t • r N• r---- ---- uNrx -- _--- - PL AN TiE�3al R • Q w gg $ I 14I o- N Is C-- G a f— O ' P • H C-t'• I I I i 0 € 0 I o 0 i -'7 1 = r� a m 1 1 G 4 •� 1 I o < 0 (D =2. � � IY W �' / �i W on r O N 11-4 1/2' PLT,WT. Tn g 1.•-D• 1B- u •gILI i n g g � •i ce P L A N T E R CAS MARCH,1994 reversed NORTHSIDE COPYRIGHT JOB NO SCALE S E C T 1 o N S DESIGN AS NOTED ��'� DESIGN FOR ASSOCIATES :µ, ' SHEET Bayside Building,Inc. ,Q..,a° DRAWN A7- 8 3 BAYBERRY SOUARE,CENTERVILLE,MA 02632 DISTINCTIVE RESIDENTIAL A COMMERCIAL DESIGN �^OYT rwsr or"rw° i°'"m 1.t —.ar m.—.wt Mw w oae» TO1"f00p1'O REVISIONS CHECKED (BDB)771-tew <ow)aoa_aato (awj w-000f 00110"^' mo' J O Pi alo nR.JSTs•IY o.c. alo ruLJsls 0 zO eEAJ•Ir�'/i+t9� K V/ ° u d ails COR-A-VENT a tl Pr t�c2 k4 2.12 RIDGE 00. 1.1 L IBM e a i a 12 2,10 ROOF RAFTERS•f 6 O.C. A u n^ W Own- 12 Z U 3 Sr EnCLMA \ 12. a E O aB CWG.JSTS o W�, 88 sl sl FM bedroom Welk In closetAN 1 Ni f` TfOTAC PLYWD.SUBFLOOR \� AwTsp�wP�+� _ second floor framing plan 1/Y CYPS.BO.ON Icl STRIPPING Pi2><10 ilD01t JOISTS O/E O.C. O 2a6 PLUMB.WALL Q WINDOW BOXED OUT G W/2/2 12 AROUND dining kitchen �. W �.y J J io �1 M 91DT&G PLYWO.SUBFLOOR T z,c�fuo�e7q'ac, b z 2.6 EXTER.WALL W/S 1/f U^ FBCLINA,1/Y PLYING, 10/LOOR JOISTS O 1('O.0 • -;)j; SNU7WNC,TYPAR NOOSE WRAP O W /Y�IY CAW. 2' P.T.SILL PLATE 6 FEICLMA a SIDING AS SHOWN ON ELEV S V Q /1 AB. O.C. Wg.24 b7L•bN• O 'd N full basement J 1/Y NA,SRULLY W Z COLUMN ON IYIJCac m O CONIC.EDOPNC E'-'- m T9'a6'CONIC.FOUNDATION WALL y/(C00C.STAB FLOOR ON > V a ONIo��16 CONIC.FOOTING CLEAN COMPACTED SAND BASE 01 W 0: CO t O In t` d 28'-0' 01 WC] CF'X)�Y''� F S3�] Z section thru main house NOTE: PRIgR 70 CONSTRUC110N,CONTRACT(IT A 8 MUST VERIFY ALL DIMENSIONS anent exisli mil! acele 1/4� 1'-0" d�'sc4iehe Pa,Idesl a Sblconsh encies snd s�bagM M 1 W attention of the deapner. Q W Q N X I I 225'�a p m �o.vNa,4T tof.J N ' N 22.4•.43 OF aa+�FO wcMn • y.a�aa MAP t2o RC 70 1,o T1-/AT 7-1-/E -�aCATiOA/ 0577E-2vicD ovuDA rionl S",�/OWN yE,2EO.1/COM,dL Y.S WI;17,V SCA L E- ���SD p.4 TE juvE Z9,,IW5; 7`1-1,--- ,S"14;16,C ANO Sec- TBA Gk .4EQI/�r -,F =ems ors' 7-.4/,=- 7"oN/iV�F •�•C Q it/ .2E.�E.�Eit/G'E- 8,4,e.vSTA aLE A,vo /.S Ilar L07- S 7l0,9' E S� pATE= 29 95 ,gAX7�9,E?�.VyE Apt/ AEG/.STE.2El� l�Q.�/p SU.e�EYa� /N.ST,E�U�/��c/T SU.2YEY� Th�E QSTE.21i/.C,G�'a �9.4SS. c - ; COMMONWEALTH OF MASSACHUSETTS R> _LQ DErAMWENT OF INDUSTRIALACCID.UIITS 600 WASHINGTON STREET BOSTON, MASSACHUSEITS 02111 games Canpoei; �:pm..nrsstOne' WORKERS' COMPENSATION INSURANCE AFFIDAVIT (licensedpermiaee) with i principal place of business/residence at: (GtylSr ueMp) do hereby certify, under the pains and penalties of perjury,thar. (J I am an employer providing the following workers' compensation coverage for my employees working on this job. * 'Al� Insurancc Company Policy Number O I am a sole proprietor and have no one working for me. ( J I am a sole proprietor. 00-s contractor r homeowner (circle one) and have hired the contractors lured below who have the following woompensation insurance policies: J Name of Contnaor Insurance Company/Policy Number Name of Contnaor Insurance Company/Policy Number Name of Contraczor Insurance Company/Policy Number Q 1 am a homeowner performing all the work myself. NOTE .Please bc,awuc ttzt wbilc bomeownen woo empiov persons to do munteoLoer. eoustruetioo or mpair waric on a 6-miiint of not more uat tn' rec untu to wotca the oomeowner ciao resiou or on the ptounda appurzraant tDcrceo are not eenerail� eonriocrrc to be em_oiovrn unorr the Q•orxen Comneasauon Act (C' C 152.sect- 1(5)). appiia w tioo by a boroeooer for a license or permit may enceace the ieEal sure of am cmpioyrr under the C>rorken' Compeautioo Act 1 understand that : enp••or thus st3tc-rnt will be forwuceo to the Deoaru-nent of Indusmal Aeoaena' OFnec of 1muranae for C0Yc--Jz-e yrn—lu.ton and : sa: :aiiure to iccure cayrczrc as mcuircc unocr Secuon _5A of VtGi 15: = lead to the imposition of c-Li Per'2J0� eensisane of : IInc or tie to S1 500.00 and/or impruont:e:.t of up to one yes and okv per:aiucs in Eh form of a Stop wo-K Omer ane a fine of S100.N a day a€a:ns- mc. r SUBCONTRACTOR'S INSURANCE ENGINEEER: BAXTER & NYE ENG: (L) FIREMENS FUND - S30MXX80564866 (W) LIBERTY MUTUAL - WC1312595563023 EXCAVATION & SEPTIC: DRISCOLL, JJ: (L) U S F & G - HGL 110093 (W) U S F & G - 7708711936 FOUNDATION: BAYSIDE FOUNDATIONS: (L) COMMERCIAL UNION -: ABR406267 (W) LIBERTY MUTUAL. - WC1312201785044 WELLS: DENNIS SCANNELL (L) TRAVELERS - 660873E5627COF92 (W) WAUSAU - 151300062926 CELLAR/GARAGE FLOORS: MICHAEL BROWN: (L) AETNA - MP0023672849 FRAMERS: ROBERT DORRER: (L) TRAVELERS - W680526K991TIA9 (W) AETNA - 006C0023972416C MICHAEL DUFFLEY: (L) COMMERCIAL UNION - NBF821356 (W) LIBERTY MUTUAL - WC1312492127024 ROOFER & SIDEWALL: JOHN MEE: (L) AMERICAN STATES - 01CD1486783 (W) TRAVELERS - 6NUB448K275894 MASON: SHERMAN, WAYNE: (L) COMMERCE INS CO - N60689 (W) WAUSAU INS 7 TO BE ASSIGNED ELECTRICIAN: CHAVES ELECTRIC: (L) HANOVER INS. - LHN2964649 (W) MISCELLANEOUS INS CO. - 0708878 91 1 PLUMB & HEAT: WHITELY PLUMBING: (L) TRAVELERS - 660365K1782COF9 (W) EASTERN CASUALTY - POLICY IN MAIL ALARM SYSTEM: BALTIC SECURITY: (L) FIRST FINANCIAL - FF0131 G400831 (W) COMMERCIAL UNION - CB0743379 CENTRAL VAC: VACUUM HOUSE: MERRIMACK MUTUAL - SBP1608045 INSULATION: MAP INSULATION: (L) AMERICAN STATES - 02CC326435-3 (W) U S F & G - 7711099932 SHEETROCK: MEL REED: (L) WORCESTER INS - CB817530 (W) COMMERCIAL UNION - CBH557387 INTERIOR TRIM: DAVID'S REMODELING: (L) COMMERCIAL UNION - NB F821442 DAVID BIK: (L) MERCHANTS INS GRP- BCM0278579150 (W) TRAVELERS - 176K337-8-94 OAK INSTALLER: ROBERT BUDDEN: (L) NORTHERN ASSUR. - NBF528652 PAINTING: CAMPBELL PAINTING: (L) TRAVELERS - 1680251K4083COF (W) AMERICAN POLICY - WCC 186604 ROUSSEAU, AL (L) MERCHANTS MUTUAL - 8CM0278570179 (W) EASTERN CASUALTY - ??? GARAGE DOORS: ALL CAPE GARAGE DOOR: (L) U S F & G - BSC14667590301 (W) COMMERCIAL UNION - CBH573757 STORMS & GUTTERS: ALUMINUM PRODUCTS: (L) AETNA - MP0021014146 (W) AETNA - JC89258880 OAK FINISHER: AMERICAN FLOORS: (L) TRAVELERS - 680 342W754-0 CARPET, VINYL & TILE: CARPET BARN: (L) VERMONT MUTUAL - SBP6507393 (W) PHOENIX INS. - 6NUB476J652794 WIRE SHELVING: CAPE COD CLOSETS: (L) U S F & G - BSC146983441 APPLIANCES: KITCHEN APP.L MART: (L) FIREMENS FUND - AZC80453098 (W) HARTFORD INS CO _ 77WZNB1603 MIRRORS & SHOWER DOORS: L & M GLASS: (L) COMMERCIAL UNION - CBR409003 (W) U S F & G - 0071439933 LANDSCAPE & SPRINKLER: COY'S BROOK: (L) COMMERCIAL UNION - ABR345850 (W) CIGNA COMPANIES - C41138178 DRIVEWAYS: NORTHERN SEALCOAT: (L) MARYLAND CASUALTY- EPA18716945 (W) THE PHOENIX - UB387K530 COMMONWEALTH I DEPARTMENT OF PUBLIC SAFETY _ S �' R�prrh•Mpo>�1rMalQttl/rAt OF _ONE ASHBORTO.N�LAcE,�,-_ li &�Btl!101AB c� MASSACHUSETTS "I SOS`IC/ 161 $"a LICENSE CAUTION EXPIRATION DATE CONSTR. SUPERVISOR - 04/1 9/1 9 96 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE .1 n— °r"[/A�� 06/30/1993 0.05645 � PRINT IN APPROPRIATE . BOX ON LICENSE. BRIAN .T DACEY =p 62 FERBROOK :LANE BLASTING OPERATORS CENTERVILL MA 02632 MUST INCLUDE PHOTO. I m F r PHOTO(BLASTING OPR ONLY) FiF L O-0 NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY PAS HEIGHT: STAMPED-..OR-SIGNATURE OF MMISSIONER THIS DOCUMENT MUST 8. CEK;EE pppp----N���� « SIGN NAME IN FULL ABOVE SIGNATURE LINE ' CARRIED ON THE PERSON O' IGNATURE OF U THE HOLDER WHEN EN 1I. I, msB OTHERS-RIGHT THUMB PRINT GAGED INTHIS OCCUPATIph. _ 't TJS516 N -PATA 51146L- FAM1W •d- . $EVVWMJr -PAIL,( FLOW A x N o= AAo OD SEPft e tANIL 44o x ISo yo=660 5GE .QL.AW 04 a4e4I • 6•EMS F �£ 1500 SAL. V112RKAL PIT �-aT S . 2- toga-! L �t'f f 2 s�a�c 51DEW" AWA - 3-7 1 sF 37] Sf X 2 S v- UT CoM So• Co CITY Ro AD ?MOM APFA '� 151 SF 0sTF-1tv I LIE151 INb `rOrAL VAIL :n0)V s A4o 6PD hOIL. PEVzoL.AT1oN RAM s � �IN ZMiN o2LESS OF tnt�►a� /�E'R . � S1►LINAN ' WNW Mo•23733 R i29 gl TF SL Coen P V.C Z yKT Gil.ANr aas T LMAZU SAu� ofrAL wAOUP Aim YR##4 rl : Atl..Sttucn►e�� s» dE3ZriF�rzD FWr Fu►N Lo4ATiow • cnTsmv,L.LE 1 �I o . . ! PLAN __, P-EFirRE�IC.E 1 Ct7 T-Y '-'*kr THE T7o os4bAro N , LoT S 'glow u NMWW coMV�*�6S tivrrµ `T11E SroEEWS 4� t50. I:otot,lD .wrt I V ,hoop 1111W4. PLAN, EMo¢3Eb; �!: 28, 1 OM 3 ?2oFe5 0W4L LAft SuEVaycaS 7014 F1.AQ -1-S Ncr• 4ED OW 'AN i441MME�1T' tw l I_ 4 EU41 N ea$ Surzv f THE. � F:FiETS .404oLU y01'. BE � o�tz►�1u.E MAC , uSCD TD E-.eiTABU5N RZope=ry"U WeS APPLI CA WT' B"S'tv6 B'uj�,u j_ Co (g r 5 N 6�r 2 5 bC '$u>6 Lo I wC.. ZOOE KL 20 boho • If IS M6 Tf Q ' Ar I ' Aa-oio AP S 24odc 01 -46 t. SDUTI4 . :R� Co0 ty: N►IFI /E?ER i : - RpAp SULUVAW i O -16 29733- G f n G 9 ` D n i n 6 ! G ! 6 ! G 9 Western Surety C n G ! G ! G 9 G 9 i ! LICENSE AND PERMIT BOND For County, City,Town or Village Only-Not Valid for Bonds Required by the State. Not Valid for Contract, u i Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond. n G n KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-4 Z.6 9 Hp O O Thatwe, Bayside Building , Inc . of the Village of Centervi a State of Massa h ,s s as Principal, , and WESTERN SURETY COMPANY, a Corporation duly licensed to do business in the State of Massachusetts , as Surety, are held and firmly bound unto the Town of Barnstable , State of Massachusetts , Obligee, in the amount (Valid only when a County, City,Town or Village is named as Obligee) of Seven hundred twenty and 00/100************* DOLLARS ($ 720. 00******) (NOT VALID FOR MORE THAN$25,000) lawful money of the United States, to be paid to the said Obligee, for which payment well and truly to be made, we bind ourselves and our legal representatives, jointly and severally. THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been licensed to construct a single family dw lling at Lot 5 South County Road , OstPrvi l l P , MA 02655 190 feet frantage by the Obligee. NOW THEREFORE; if the Principal shall faithfully perform the duties and comply with the laws and ordinances (including all amendments), pertaining to the license or permit, then this obligation to be void, othe `rw sd."To.'!f0miain in full force and effect for a period commencing on the 12 t h day of ���� 19 9 5 , and ending on the 12 t h day o 19 9 6 , unless renewed by continuation certificate. s�->�':9 bond may�be, rminated at any time by the Surety upon sending notice in writing to the Obligee and to rmcipal, in careq the Obligee or at such other address as the Surety deems reasonable, and at the expira- f o"of®th ty 've (35�days from the mailing of notice or as soon thereafter as permitted by applicable law, w iC lever is'tate 't i6 and shall terminate and the Surety shall be relieved from any liability for any subsequent act'6�'px��o'i yssi §'�o �he Principal. 1 7 t h day of / 1995 . Principal Principal Countersigned WESTERN UT Y C O M P A N Y ! , i By By ` Dowling O'Neil In u rance es' a gent President fl o li O*bEDGMENT OF SU ETY n F J g& O'N�,Corporate Officer) STATE OF SOUTH DAKOdr County of Minnehaha a Agency, Inc On this day of ,before me, the undersigned officer, personally appeared Joe P.Kirby ,who acknowledged himself to be the aforesaid officer of WESTERN SURETY COMPANY,a corporation, and that he as such officer,being authorized so to do, executed the foregoing instrument for the purpose therein contained, by signing the name of the corporation by himself as such officer. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. i S. BARNES NOTARY PUBLIC SOU Notary Public, South Dakota n SEAL soul DAKOTA SEAL ,I, ry ; My Commission Expires 1-22-99 Western Surety y Company p y ® ForrA 849—6-93 ►A���'�.��e��%»�:�%�rnb%��..:r + 1-605-336-0850 ' f J f U 4 y F U ACKNOWLEDGMENT OF PRINCIPAL (Individual or Partners) STATE OF P P ss e P County of P d f U On this day of ,before me personally appeared ; e P ;'tlfyr;t); ;. e + ,�; C�''� J 6 ` 6 • 1 = -1 1. `xif U 6 F known to me;to be the•individual__ described in and who executed the 'foregoing instrument and y.� L acknowledged to me that_he*19 execut4'Ae".same. My commission expires Notary Public ACKNOWLEDGMENT OF PRINCIPAL (Corporate Officer) STATE OF ss County of On this day of ,before me, personally appeared , who acknowledged himself to be the of ' ' = , a corporation, and that he as such officer being authorized so to do, executed the foregoing instrument for the pur- poses therein contained by signing the name of the corporation by himself as such officer. My commission expires J - = Notary Public f - P P � f• f E e 6 f ICI c f G e e n C n F+1 cd P P a C3 P f f f N f P \ z zz :~ J V) a tl f � o z z 6 nL1 W Q) e P W 4d P 1—� C W 91 6 P , , f i The Town of Barnstable Department of Health, Safety and Environmental Services t�+strsreurt.E. Building Division HAM 1659. 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Daze: GA Name 6 ° r Phone # �� �g—4 / Address 9 Village: DSP �vt �I-°— Type of Business: LSt��Cc (A�_p< Map/Lot: l 0 16 0 o os- INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling. there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • Tliere are no external alterations to the dwelling-which are not customary in residential buildings, and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occ:upadon. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be y included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree-with the above restrictions for my home occupation I am registering Applicant: Date: a is Office 1st floor Map LotLie / -ad Permit# Y4,5—j Conservation Office 4th floor _Date Issued (v Board of Health 3rd floor) En ineer-ifi De t.' 3rd floor House# ���o INSTALL PLi14 �CE rC; Planfiing Dept. (1st floor/School Admin.Bldg.): 1��6 � C / D Definitive Plan Approved by Planning Board 19 C! TO MU� ®NS A A lications r : 0-9:30 a.m. & 1:00-2:00 .m. �0 JQ L w(A a t TOWN OF BARNSTABLE Building Permit Application Protect Street ress �gU LrlT F ` Village Fire District .c Owner `! J(�1� Address Telephone `7 Z y Perm it'Rcquest: LJ /l ,ltJ fL!! y� �.rJyi �ir . v /.L/ti l7--/�- a Zoning District Flood Plain C- Water Protection 6'P Lot Size 55Z 06 6 Grandfathered Zoning Board of ApMls Authorization Recorded Current Use 44-CC4{ Proposed Use Construciion Type /..1,f7tCl r / Eaistine Information Dwelling Type: Single Family V Two family Multi-family Age of structure Aw (yaw % Basement tvpe Historic House Finished Old Kings Highway Unfinished ' f N_ umber of Baths �� No.of Bedrooms .1 Total Room Count(not including baths) 7 First Floor Heat TyDe and Fuel Central Air LZ4 Fireplaces l Garage: Detached Other Detached Structures: Pool Attached gj QA Barn None Sheds Other Builder Information Name A J/ Telephone number Z 71_l O Z Q Address License# -/ECfie G d Z 6 3 Z. Home Improvement Contractor# Worker's Compensation # WC-1 312 2 Zp /7 j f 3 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 1 Pro'ect Cost as-, r&v 'S ev Fee � SIGNATURE DATE & �6'5 F BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 'r BPERM T 1 1 �Q o 00/ , 00s FOR OFFICE USE ONLY ADDRESS VILLAGE-- OWNER -Age-WA:4�� ze:4gel DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING: DATE CLOSED Ofit.: ° ASSOCIATE PLAN NO: TOWN OF BARNSTABLE CERTIFICATE OF OCCUPANCY PARCEL ID 120 001 005 GEOBASE ID ' 42984 ADDRESS 1490 SOUTH COUNTY_ ROAD PHONE Osterville ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT_'T DISTRICT CO PERMIT 10714 . (DESCRIPTION SINGLE` FAMILY DWELLING PERMIT TYPE BC00 TITLE CERTIFICATE OF OCBMW00hent of Health, Safety CONTRACTORS: and Environmental Services ARCHITECTS: ► TOTAL FEES: 1ME BOND $.00 . CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE HARN3PABLE, OWNER DACEY, BRIAN T TRSFp ;{ ADDRESS THE PARK TRUST ' 3 BAYBERRY. SQ CENTERVILLE MA BUILD V SI DATE ISSUED 10/04/1995 EXPIRATION DATE BY Q DIVISION APPROVALS FOR CERTIFICATE OF OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION BUILDING: DATE: COMMENTS: PLUMBING: DATE: COMMENTS: ` ELECTRICAL: DATE: COMMENTS: GAS: DATE: COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIME.. TOWN OF 13ARNSTABLE µ, CERTIFICATE OF OCCUPANCY PARCEL ID 120 001 005 GEOBASE ID 42984 ADDRESS , 1490 SOUTH COUNTY ROAD PHONE , Osterville ZIP - LOT 5 BLOCK LOT SIZE DBA DEVELOPMENT _? DISTRICT CO PERMIT 10714 DESCRIPTION SINGLE FAMILY DWELLING L0f101"_-*3'15 71 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCH@MYnent of-Health,Safety CONTRACTORS: and Environmental Services ARCHITECTS: 4 TOTAL FEES: �TNE BOND $.00' � Qi► CONSTRUCTION COSTS $.00f' i 753 MISC. NOT CODED ELSEWHERE HA><txsrABI.E, MASS. 039. OWNER DACEY, BRIAN T TRS. Ep �`� ' ADDRESS THE PARK TRUST 3 BAYBERRY SQ CENTERV I LLE MA BUILDING ','I V O DATE ISSUED 10/04/1995 EXPIRATION DATE BY ,��'-- THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION.RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- . (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 f 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVEDTHE STRUCTION WORK IS NOT STARTED WITHIN SIX. CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 I I i I i i I I I I TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 120 001 005 `-tEOBASE ;D , 42984 1 ADpRE'SS i,4190 SOUTH COUNtr ROAD Ae ! ; 1 19 •E r PHON7 Cpterville z P, _0T, c i� 1 5 BLOCK. i )BA T ' ., ,j LOT 'SIZE DEVELO MENt 'A' - '+ ' DISTRICT CO S461 DESCRIPTION TION CONSTRUCT ' :'?RMIT ,.YPE' BC�IT TT ,, T NEW. HOME W/"7,8 TITLE 5 SEPIPIC Si': m T LD L1TL NEW RES/COMM BLDG PERMIT ' Department of HealthSafety c, TTT;lLCTORS: BAYSIDL BUILDING; INC '�;�'�H1�'1 EC'^S; � ;! .y and Environmental Services F.E'Eo• $250 00 i q i31a $ 00 ,s us . _`(►: TRCJ��TrOiy „�,"i.' � $735 000-00 � � ;� 1 � f _1.01 AM HOME DETACHED j (, DACEY, PRIAN T `?RS � � 3a � 039. ;THE PARK .1RUST` _ -3 BAYBTmy- c CENTERiiI-r LE�� • .� ,� s B DATE SIO/ FXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PARE 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 OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED APPROVED PLANS MUST BE RETAINED ON JOB AND FOR ALL CONSTRUCTION WORK: WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVAI,S PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS �lB�a 2 !—/N 2 3 1 HEA NG INSPECTION APPROVALS ENGINEERING DEPARTME;,4 2 / ]a�9' �� �F L 5 OT,H ER: SITE PLAN REVIEW APPROVAL 01 �a 0 WORK SHALL NOT PROCEEV 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 ORWRITTENNOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227 .-08/17/2006 11:36 FAX 508 421 3984 B R ARCHITECTS 1> 002 i B E N 0 1 T R E A R D 0 N A R C H I T E C T S A. R C '! 1 T E C I U R E U R B A N D E S I G N Mr. Jeff Lauzon Inspector of Buildings Town of Barnstable 200 Main Street Hyannis,MA 02601 August 17,2006 Dear Mr.Lauzon: Re: Ridge Beam Design Tocio Pool House 1490 South County Road Village of Osterville,MA This is to certify that I have reviewed the framing and designed the ridge beam(5 '/4 x 14 LVL)depicted.on the structural drawing S 1.0 dated 08/14/06 in accordance with the accepted structural engineering practice to support the live and dead loads required by the Massachusetts State Building Code, Sixth Edition. Respectfully submitted, Aw J.THt)MAS REARDON K No.7437 � IfOATitBDflOgGN Thomas Reardon Architect C Copy: Mr. Doug Tocio T E I. 5 0 8 4 2 1 '3 9 0 0 F A X 5 0 8 a 2 1 3 9 8 4 2 8 7 P A R K A V E N U E W 0 R C E S T E R M A 0 1 6 0 9 08/17/2006 11:35 FAX 508 421 3984 B R ARCHITECTS z001 BENOIT REARDON ARCHITECTS A R C H I T E C T U R E URBA N DE SIGN 1FACSIMILE TRANSMITTAL SHEET To: FROM: jwor- Torn Reardon COMPANY: DATF: 'Power 64seoy 6.('?.0 FAX NUMBER: TOTAL NO.OF PAGES INCLUDING COVER: S0$, 'y4o. G Z 3O - PHONF..NUMBER: SENDER'S REFERENCE NUMBER: RE: ^Vcto post 6*010U: YOUR REFERENCE NUMBER: r.{4 o S dvT++ Ga a wt�{ lzc0. o g77ec�V te.t.�� ttest< ❑URGENT ❑FOR REVIEW ❑PLEASE COMMENT ❑ PLEASE REPLY ❑PLEASF.RECYCLE NOTES/COMMENTS: I.&Tz*4-OA) 4 oe-S c�bW. TEL 508 421 3900 287 PARK AVENUE WORCESTER MA 01609 FAX 508 421 3984 B E N 0 1 T R E A R D 0 N A R C H ITECTS A R C H I T E C T U R E U R B A N D E 5 I G N Mr. Jeff Lauzon Inspector of Buildings Town of Barnstable 200 Main Street Hyannis, MA 02601 June 19, 2007 Dear Mr. Lauzon: Re: Tocio Pool HouseT1490-Southr'CoO' oaR d, Ostervill'e, MA The proposed pool house utilizes a structural ridge beam consisting of a 5 %Z"x 14" LVL to span 24'-0". This structural member meets or exceeds the applicable requirements of the Massachusetts State Building Code, Sixth Edition. Res ectf illy submitted, a Ate'`' , Qy, I THOMMAS REARDON, - 7 J. homas Reardon No.7437' qx NORTH BOROUGH •ia. Architect OF Copy: Doug Tocio cyl� T E L 5 0 8 4 2 1 3 9 0 0 F A X 5 0 8 4 2 1 3 9 8 4 2 8 7 P A R K A V E N U E W 0 R C E S T E R M A 0 1 6 0 9 Lewis and Weldon Custom Cabinetry ' Mary Anne Tocio 111 Airport Road South County Road Hyannis, MA Osterville, MA 02655 508-778-5757 617-851-5007 Cell Fax 508-778-5111 02-05-09] Kitchen Not To Scale I #3 104 24 11/2 283/8 141/4-11 /2-141/4 283/8 11/2 1 1/2 1 1/2 � � II r 11,/2 3 24 5 27 ❑ 2 95_ 4 t O O g 96J 55 ❑ 37 3s v - f #4 103 . 94 24 5/8 ' 1 v2 39 42=29 4014 11/2 34+1 ,, 29 vz 32 11I/2_g1 3s3/a - 53 ''_- 63 5�-. 64 88 '41� 2 -� 26 `__.�, O 533 ..REF36 31 14Iv4 463 Extend wall ' for Crown 66 95 1/2 16 47 A sle No 07 106 107 81, 32 7/8 g7 70 4 . _ .�� .0� ,� : . 2393178i8 66 4 5/8 r 1 1/2 18 1/2 3 18 1/2 1 1/2 #1 4 \ 53 1/4 2. 71. _ I v v „ 22 273/4 a to a 60 / 1 vz-1503 11/t{3 v 4 � 74 �751475-21_. . . 3/77i 1s 12 — #16 102 .t ..Door37 #14 , 76 1/2 19 18 a 5114 120 168, a3 ; 17 +� 0 , 11/293/8 - 11/2 181/4 11/2 -#6 ` 10 56 51 84 110 112 1e 59 s6 3/e 58 19 ..Win6 #7 651/4 #10 #12 36 110 1/8 #11 14 3/4 #13 36 36 36 1 i ..Win64 i Lewis and Weldon Custom Cabinetry --- - -Mary Anne Tocio 111 Airport Road 1490 South County Road Hyannis, MA Osterville, MA 508-778-5757 r � 617-851-5007 Cell Fax 508-778-5111 [02-05-09] Pantry Not To Scale #21 60 V. ..Door37 ..Door37 r #6 60 #a 5 7 0 �./�/80.�/�/ 69 3/4 j1 #1s 73 3/4 � 73 3/4 I • i Existing non bearingwall to q. o 4 5 s 76 _ '° 54 J . be removed 21/4 161/2 0 2 1/4 5 80 2 1 78 16 16 16 16 Ili ' 2 1/4 14 3/8 26 3/4 14 3/6 2 1/4 1 Lewis and Weldon Custom Cabinetry Mary Anne Tocio 111 Airport Road South Count Road Hyannis, MA 508-778-5757 Osterville, MA 02655 617-851-5007 Cell Fax 508-778-5111 02-05�09 Kitchen Not To Scale a3 200 3/4 104 24 1I1/2 283/8 141/4-1 11 I111/2 11/z/2-141/4 263/8 11/2 h/2 3 za . 27 ❑ 2 95 0 4 O O , 3I 30 ` 96 55 ❑ 37 3s " a4 103 94 245/8 - 1 vz • 39 4z 29 '401a» Vz 341/2 1 1 32 29 1/2 11I/2-91 39 3/a 53 �} 63 5� 64 88 1� 2 a 6 °�» _ 't °�533 ..REF36 31 J i 141/4 463 + Extend wall �pIN��" 0- �I..OV6-0 for Crown E' $fit Y f/,,/"�$ (�f° ,c�r�y°tea f ®,(y¢� a 2 16 3/8 /Y �+J"'[ �" '.s"'i�'I�.X'` ) ' . ss,/z 47 . 5/8 4 107 81' 32 7/8 87 70 4 ` ' ..� 22 r .. 23 ,," fi9 3/78i8 66 45/8358 a, 42 531/4 ,D 1 v. V 22 3/77i1 1s 112 a16 102 '3 ..Door37 r a14 76 1/2 1 19 18 23- 120 118 e13 15 17 ,�20 11/293/81711 t/2 1 tm 1 1/2 ^ { 1 1/z 1s vat 1e 1/4 1 uz as 10 51 56 84 110 112 1e 59 66 3/8 58 18 a7 ..Win64 65 1/4 a 10 1 a 12 a9 1101/8 all 14 3/4 a13 36 36 36 I .Win64 " • 1 I Lewis and Weldon Custom Cabinetry - - -Mary Anne Tocio 111 Airport Road 1490 South County Road Hyannis, MA Osterville, MA 508-778-5757 617-851-5007 Cell Fax 508-778-5111 02-05-09] Pantry Not To Scale #21 60 A • ..Door37 ..DooW #6 60 #a Intl 73 3/4 7 0 (�� 6•!� 733/3/4 69 3/4 ,Existing non bearingwall to be removed t. r 4 21/4 181/2 _ - 37 �. .:21/4 5 80 2 1 78 16 16 16 16 1I 2 1/4 14 3/8 26 3/4 14 3/8 2 114 - PROPOSED: TOCIO POOL HOUSE OSTERVILLE,MA III - z Z.J�-a Ii ?t •, � /_4 s-e.•x..�.,,..0 � - :✓ - it 5.4.14 I - - p� - •" J; _�_____ .._ - TOM'R DON/ARCHITECT EAR C HIT E 7 SUNSET ONIYE,NONTNHOROUGN,W 01572 i I IG '�'t_' rP z.-.a cyrc�oaa 1;a:-._� '•c.—� ' eo-re.gceu s .:'v-�u:c I �1 w i �,o - ! f n I i FC4T_4V�•!i+D I t �•` �T. ' i ,O tny.o-a- - . t • y . i t : y. / \ < paeg _ ._LF•::.:E:. �,F I�-a ... .._.. ./•.. ©TOM REARDON I-ARCHITECT . _ tc�_�F.: =/�'`• o NO. 1 DATE :REVISION: 7:_:- A a ARDON 1 t t t I I r r ealoual I - V i i, 7. 422 5' DwimNa NeirE: �-+ 3. _J cw -4a < - i �_— 1 .. . W. - -_ . �' FLOOR PLAN�`-, F,... ELEVATIONS' . - ,,' VROJECT HUMDER: Dm—ol: 2006A JTR • .-� .+�1'-�-_- .r`�/.�'7 In_!�-� L��1 =.LI:�Fi�'-i; I 3 � t � \% 1' '� - •:. =�/s-_ 1 AS NOTED 7.saoc .OMMIIND N{AIGEP• ..5 . .... .. 'PFOJECTNPME: .. . .:, .. _, .. - .. .. .-.: .. PROPOSED' POOL HOUSE 1 OSTERVILLEA __ L� — -- — °i TOM.REARDON/ARCHITECT T SUNSET DRIVE,NORTHOOA0000;KA MU2 i ..'.:,..lip•.-•+ � . . t-� � :-, "'� 1 N! t �'• _-�'<�: is I -...................-" Z'I -• y t • ' T '• , 1 • - I _— -O: ,©TOM REARDON'1 ARCHITECT z—o ..,r-.::,v<.r_. NO. DATE REVISION: amew I i ' IORRISOIIOI m ",..' .. p2'el 'I �oRa No xaeE � 1 F 'STRUCTURAL — NS TAILS • !s f i i , PLA� �BtDE��� , _ ' j �'I -. ��ll� � PROJECT NU4feER: DRAWN Br: IOOS.A JTR. DATE: S NO 4 Gr< t } s � so., Existing Conditions @ 1490 South County Road. , Osterville, Ma. Prepared For Douglas Tocio Assessor's Map: 120 Lot: 001/006 Baxter Nye Engineering & Surveying Community Panel Number 250001 0018 D Registered Professional F.I.R.M. Map Zones: C Engineers and Land Surveyors Plan Reference: Land Court Plan 7697E N Sheet 1 Of 2 78 North Street, '3rd Floor Certificate of Title: C 138,520 Hyannis, MA 02601 Phone — (508)-771-7502 Fax — (508)-771-7822 Owner. Mary Ann Tocio Job Number. 2006-020_cpp2 Scale : 1" = 50 Date 07-11-2006 . 00, SB/DH FND HELD 297.66' (RECORD) _ 297.63, (FIELD)' CB/DH FND HELD 10 CB/DH FND y �f C o 0 1 �\�iG,O PO � ti CON S�OC�p,O i, o� 6 S 4 5a��3� 1 . W 5 65�� c9 ZBg' A � co 3 W <O ' n • V U J / / I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE FOUNDATIONS SHOWN HEREON ARE LOCATED IN RELATION TO THE MONUMENTS SHOWN AND ARE NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. . THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. gem REGISTERED PRO ON LAND SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE o7_ 'Leo V 0 0 10 LIS � t 14 • Z� 10 �. ERR isIts l4 10, 17 IZ •.•Lnf'1MO^ �i 1'1 �� �04 10 4 44, kA tz fA Li 'r, S t�� o• �n �� h 1%) o.� oOlt a b O Z � fA .,� ,j ,�4�'�• ,: .i. . ''. ' Yam.:•;�, • V - d s�• I A► ' lk �, I . I' I • y 1. o TA • i•.1 Jr ow • � ti� •. l I/VE ~ 2'MAIN DRAIN 40 1 WE -� td wr Zlo . �► Z CA •'l I O, 2'REILRN' `1 . _...7V SPA —� • > ,- - —HYDRO .EEr 31* 0 In I O �� 2'MAINDWAIN-- -M FROM SPA -~ •0 xy y i o o a w M 2'MAINDRAIN FROM SPA h. q' c m F't LS - tkN i ['Nf-T O} Stm L- t76AL 1_tCs4�lh TL ST Ti�T" .-I L" TO 7-tCx IIT . TS' C U ilEAN�L'I- CAN CAL • - ��� ,','� �� S��F LVITC�I�I�I L.- F;; -70 G VfTf-S 16 _ - r 8 :_ F'o t�1aI7I4T 1 p#4 tv ' OF MAP 120 AAA �C-p0�10�3A Cry C 7- A: zor 7lo S 7 ` IoA 7-� ' 2 1A 0��.5-F7-� . 5yal.✓�t/ -�.�-,C�✓LI.� �c%T �F �����- /�,��?' I�AIc;t��- �vic_�-:: .'� . l yo l cwYN D� lze � l