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0231 SEA VIEW AVENUE
a it n., Town of Barnstable Building eanxsrnsu. Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept fAAJM Posted Until Final.Inspection Has Been Made. Permit rua• Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-2244 Applicant Name: Henry Cassidy Approvals Date Issued: 08/18/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 02/18/2021 Foundation: Location: 231 SEA VIEW AVENUE,OSTERVILLE Map/Lot: 138-018 Zoning District: RF-1 Sheathing: Owner on Record: MARTORE,JOSEPH A&GRACIA C TRS Contractor Name:` HENRY E CASSIDY Framing: 1 Address: 1881 N NASH ST UNIT 1901 Contractor License: C 100988 2 ARLINGTON,VA 22209 Est. Project Cost: $6,500.00 Chimney: Description: Weatherization Permit Fee: $85.00 Insulation: Fee Paid: $85.00 Project Review Req: ' ( Date: 8/18/2020 Final: *G-/ azo�,_ Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the p pproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road a�d shall be maintained open for�ublic inspection for the entire duration of the Final Gas: work until the completion of the same. 2mit. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in IVIGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: �r»AcG� 5e5-Ij� i c)U t . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Pa cel O Permit# � 7 Health Division Date Issue , Conservation Division Z� T•�-- j Fee Tax Collector r�� - �i COMPLIANCE g� ®� � �nn � • E Treasurer- �-r� ���Loy1 SEP 2 0 20 �;��°r�LL 01 WITH I T Planning Dept. VIRONMENTAL COnE AND Date Defi6itive Plan.Approved by Planning Board BY 1 N RE sa d�--;1iS Historic-OKH Preservation/Hyannis Project Street Address 3 l - - - R Village Owner go/3eer u_Se,+H " oAA1_So e1 Address LRKE Fo07-sT. -TL 6004S Telephone $,!7 • 239 - 0957 Permit Request iFgsm ODE I_ yk77,ei62 — '13,4T-ilS. �f�. �K[sf/�r� edo"is AP_QCE 4* To 6WZ>2nnw_S - ,quare fee st floor: existing 30 83 proposed n 2nd floor: existing 2,202 proposed o Total new O Valuation 3Z 8E ?,A O oo Zoning District P—F ( Flood Plain Groundwater Overlay Construction Type�r,Do F?,9we! Lot Size .9S A-e, Grandfatliered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure i D0 4- Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: &r uil &1' rawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Number of Baths: Full: existing S new O Half: existing I new O Number of Bedrooms: existing new o Total Room Count(not including baths): existing 117 new n First Floor Room Count ?, Heat Type and Fuel: ❑Gas Oil ❑ Electric Cl Other Central Air: ❑Yes 2 o Fireplaces: Existing a- New 0 Existing wood/coal stove: ❑Yes 2-1 o� Detached garage:❑existing ❑new size Pool: sting ❑new size -- Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:8 a sting ❑new size Other: ---- Zoning Board of Appeals Authorization ❑ Appeal# Recorded El Commercial El Yes O'No If yes, site plan review# Current Use 5�1,N6 I-F- 1—_4 M/L Y Proposed Use S4M/=. BUILDER INFORMATION Name �bc,F p-s A of q g&g,5�1 XQyC, Telephone Number �S 66 •409 •6106 Address 6;X 1;51 O License# CS 016174 — rJ,4 Home Improvement Contractor# 1 no t39 Worker's Compensation# wr 9S?9 Aoo 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN r*1 Rco t4,r63Fiz SIGNATURE DATE 9 . 20' 0 J - FOR OFFICIAL USE ONLY PERMIT NO. GATE ISSUED MAP/PARCEL NO. �c E: r ADDRESS . VILLAGE OWNER `- _ Y DATE OF INSPECTION% . FOUNDATION FRAME INSULATIONS FIREPLACE t� 6-v ELECTRICAL: ROUGH-' ° .' FINAL PLUMBING: ROUGH FINAL . GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. FEE VALUE WORKSHEET LIVING SPACE (2000 sq ft or greater) square feet x$115/sq.foot= (less than 2000 sq ft) square feet x$96/sq. foot= (affordable housing) square feet x$57/sq.foot= (4013 or low income) GARAGE(UNFINISHED) square feet x$25/sq.foot= PORCH \ square feet x$20/sq. foot= DECK square feet x$15/sq. foot= ALTERATIONS/RENOVATIONS OF EXISTING SPACE cost= ..?3. . .Z . . . . . Total Project Fee Value Office Use Only Permit Fee I projcost FTME The Town of Barnstable UAMM U LF- Uuss Department of Health Safety and Environmental Services �A 1679• Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT IIOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL 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: 2£l4OV8T-1o/ 1 —Est. Cost �J3 $� Z�}�. 00 Address of Worlc: ?Z 1 5SAYly_ye/ 4V Owner's Name 10 8F2= su-sl+t4 MofZaX5:01V Date of Permit Application: 9 . Z O' o t 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 ONVN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TOT HE ARBITRATION PIZOGItAM OR GUARANTY FUND UNDER MCL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the owner:- NC too 13'q Date Contractor Name Registration No. OR 1):1ic Owner's Nnine C72ee L oncm4r�weall�i a�✓`lar�acyeurelL+ BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 016174 Expires:MOM= Tr.no: 26116 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RDA &4&0Q' Mq u11 If, AAA WFAA Ariminietnenr ✓fie Commanwea cl,,,, laafia;�effj s (=` Board of Building Requlat. ion:= and Standards r One Ashhurton Place - Room- 1301 t Mom•,.-. C7 ,`. ..-:,, • �� �0:� LL �; ,7; NOMc IM?ROUEMENT CONT3aC10? I �� R,gistratioi: 140�'J .:cC-,�,Z .?, M F.,.NEY . INC . k Expiratioa: 6/9/0% Chaff lam- F;c Type: Private forporatin. Ostervi l le MA 026` :;. ROGERS S MONEY, INc. Charles Rogers V51 WNSWIE RVI* ;lit iVil.. I RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET i NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE caD S2 8� square feet x$64/sq.foot= 3 15 —1O• x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft.l >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost I The Commonwealth of Massachusetts '= ( ' Department of Industrial Accidents Office offtesUgaUoos - 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit name: location: city phone q I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I km an employer providing wofkers' compensation for my employees working on this job. company names ROGERS & MARNEY. INC. address:• P.O. BOX 310 :a City; OSTERVILLE, MA 02655 phone#: 508-428-6106 i • insurance-co. EASTERN CASUALTY policy# WC95798003 I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who ha.: the following workers' compensation polices: company name: SEE ATTACHED SHEETS A .r address: city: phone*0: insurance co. polity N company name: address^< city:' phone p. insurance co. policy# Failure to secure coverage as required under Section 25A of INtCL 152 can lead to the imposition of criminal penalties of a fine up to S1500.00 aodiu< one years'imprisonment as well as civil penalties in the farm of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand thal'a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. =` ' t do hereby certify under the pains and-penalties,#f perjury that the information provided above is true and correct. Signature jv�et, L Ol�F Date Print narnc a p- OO Phone q SO 9 . 4Z$ 6 (06 official use only do not write in this area to be completed by city or town official city or town: permir/license t+ flRdilding Department =- 0Licensing Board O check if immediate response is required oSeleetmen's Office (3I1calth Department contact person: phone N; f 1Other (—;3cd)9S%.V i ACORD,. CERTIFICATE OF LIABILITY INSURANCE 06/26i2o 1 PROD UCE4-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSK- & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 414 COUNTY STREET HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. N0 BOX 5911 ` .tW BEDFORD, MA 02742-5911 INSURERS AFFORDING COVERAGE INSURED Randall C Agnew Electrical Contractors Inc INSURER A: Commercial Union PO Box 1270 INSURERB: Granite State Insurance Co Cotuit,' MA 02635 l/�^ INSURERC: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMB POLICY EFFECTIVE POLICY EXPIRATION LTR DATE IMMIDDIYYI DATE(MMIDDIYYI LIMITS GENERAL LIABILITY NBFB41863 11/16/2000 11/16/2001 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,000 CLAIMS MADE M OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPfOP AGG $ 2,000,000 POLICY PRO El LOC JRE AUTOMOBILE LIABILITY CBXE04239 11/16/2000 11/16/2001 CO a ED SINGLE LIMIT ANY AUTO accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ A X HIRED AUTOS - BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ 0 r GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO • OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND WC6 3895 06/23/2001 06/23/2002 ORYLIMUS OER EMPLOYERS'LIABILITY B E.L.EACH ACCIDENT S 500,000 E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I Rogers & Marney Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF AN ' U. E COMPANY,ITS ENTS OR P ESENTATIVES. Osterville, MA 02655 AUTHORIZED REPR ATIVE ACORD 25S(7/97) ©ACORD CORPORATION 1988 i ACCR�„ CERTIFICATE OF LIABILITY INSURANCF,�!2 °A07/16/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Northwood E shbaugh Iris. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Main St-root ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Hyannis MA 02601 INSURERS AFFORDING COVERAGE Phone: 508-771-1632 Fax:508-778-1789 IN3UtRE0 INSURER A; MWClIRP INSURER a: TRAVELERS David R. Cox Remodeling INSURERC: 6 Yarmouth4MA 02664 INSURER? INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANOING ANY R!CUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE I83UEO 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 REDUC60 BY PAD CLAIM& LMR TR TYPE OF INSURANCE POLICY NUMBER OA DA UNITE GINERALLIABHJTY EACH OCCURRENCE $500000 B COMMERCIAL GENERAL LIABILITY 5680887D470011001 FIRE DAMAGE(Any wm fro) I CLAIM6 MADE OCCUR MED EW IAny one Pvrwn) $5000 X Business Owners 03/14/01 03/24/02 PERSONAL aADVINJURY i GEPIERALAGGREGATE $1000000 OEN'L AGGREGATE LIMIT APPLIES PER: PF956UCT8-COMP/OP AGG I POLICY .PiERcOT Loc SL 500000 AUTOMOBILE UAMLITY COMBINED SINGLE LIMIT I ANY AUTO (En aeekwK)ALL OWNED AUTOS BODILY INJURY I SCHEDULED AUT08 (Pef W—) HIRED AUTOS BODILY INJURY I "ON-OWNED AUTOS IPer 9Cdtlentl PROPERTY DAMAGE I (Pa a¢ideM) GARAGE UABIUTY AUTO ONLY.EA ACC13ENT I ANY AUTO OTHER THAN EA ACC I AUTO ONLY; AGG ! E7tom UASIUTY EACH OCCURRENCE ! OCCUR CLAIMS MADE AGGREGATE i ! DEDUCTIBLE ! RETENTION ! ! WORKERS GOMrENSAIWN AND TORY LIMITS ER A EMPLOYERSUA3gJTY WCV2000834 07/15/01 07/15/02 E.L.EACH ACCIDENT $100000 E.L.DISEASE-EA EMPLOYE !100000 E.L.DISEASE-POLICY LIMIT I$500000 OTHER PROPERTY 6000 DESCRIrTM OF OPEFtATIONSfLOCATIONSMEMOLLVIEXCL 6 ADDED BY ENDORB ENTISPECIAL PROVISIONS Carpentry CERTIFICATE HOLDER N 1 ADDMONAL INWUM;INSURER LETTER: CANCELLATION ROGERS SHOULD ANY OF THE ABOVE DEBCRIBEO POUVES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL Z.Q_,DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 60 SMALL Rogers i Marney,, Inc. IMPOSE NO OBLIGATION OR LIAMIUTY OP ANY KIND UPON THE INSURER,ITS AGENTS OR P. O. Box 310 Osterville MA 02655 REPRIE a Au=REPnvE ACORD 26-8(W97) OACORD CORPORATION 1988 ' I ACORD CERTIFICATE OF LIABILITY INSURANCP�D K DATE(MM/DD/YY) O 1 04/04/01 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NortY�,.�*-6 Eshbaugh Ins. Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ge.5 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. jnnis MA 02601 INSURERS AFFORDING COVERAGE irtone: 508-771-1632 E'ax:508-778-1789 INSURED INSURER A: MASSWEST INSURANCE .INSURER B: . -EASTERN CASUALTY INS. COMPANY Harmon Painting, Inc. /Q INSURERC: P. 0. BOX 86 _ INSURER D: Osterville MA 02655 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION I LTR DATE MM/DD/YY DATE MM/DD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50000 CLAIMS MADE OCCUR MED EXP(Any one person) $ 5000 X Business Owners ART036057101 04/01/01 04/01/02 PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $2000000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2000000 POLICY JERK LOC CSL 1000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS X ER B EMPLOYERS'LIABILITY WC97798007 01/04/01 01/04/02. E.L.EACH ACCIDENT $ 500000 E.L.DISEASE-EA EMPLOYE $ 500000 E.L.DISEASE-POLICY LIMIT $500000 OTHER A Commercial Applica ART036057101 04/01/01 04/01/02 PROPERTY 25000 DESCRIPTION OF OPERATION S/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION ROGERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Rogers & Marney, Inc. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P. O. Box 310 Osterville MA 02655 REPRESENTATIVES AUTHORIZED DErRESENTAeE ACORD 25-S(7197) ©ACORD CORPORATION 1988 .:;.:.< .. .;;;:.r. ::::: :: ...:::;: ::;:.: ':::B11 o: :::.:: :: ;; ;: :.:>:.>::::.;>::::::::::::::::::;::::;::;::;:; DATE( ) [s [ :C: ...: :.;:::::;;:.;;:.::.;:.;:.;:.;:::.::.: I IUN ... : .:: .:: .:::L.E, 4. .:: .:: ::..:.::::::::::::::::::::::::::::::::::::::::.::::::::::::::::.:::::::::::: :.:. Fs.7...:....:.:::.....::..........................:.............:::::::::::::::::::::::.........:.:::::::::::::::::::::::::.:::::::::::::..........:.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::. ACORD .:.: 12 21 z000 PRODUCER (508)997-6061 FAX (508)991-3283 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ,t h e a s t e r n Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. . C. Box 79398 COMPANIES AFFORDING COVERAGE ..................................................................................................................................................... N. Dartmouth, MA 02747 COMPANY Merchants Insurance Co. Of NH, Attn: Joan Leger Ext: A .................................................................................................................................................:. ................................................................................................................................................ INSURED COMPANY Safety Insurance Co. David G Holcomb B Holcomb Plumbing & Heating ...................................................................................................... .......................................... /// COMPANY Merchants Mutual Insurance Com PO Box 170 C Osterville, MA 02655 ................................................................................................................................................ COMPANY D Q\lIARRGIi G. .......... 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�UBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . ........:................................................................................................................................ CO : TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION: LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GEN^cnALLIABILITY :GENERAL AGGREGATE $ 2,00•• 0,.. •••• 000 ..X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG : $ 0,000 2,00 CLAIMS MADE X OCCUR A >< CMP9138499 12/18/2000 2/18/2001 ,.�CH ... ...... ........1..000,000 PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT OCCURRENCE $ 1,000,000 .................................................................... ... FIRE DAMAGE(Any one fire) : $ 50,000 :....... .....................................................: ................. ..... ................................. ............ .. ..:..... .. MED EXP(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5. ANY AUTO ALL OWNED AUTOS ; BODILY INJURY $ ....... (Per person) X SCHEDULED AUTOS ............ .................1...0...0..,.09.0 ........................... 1500507 12 18/2000 12/18/2001 . HIRED AUTOS : :BODILY INJURY $ NON-OWNED AUTOS (Per accident) 300,000 .......... PROPERTY DAMAGE $ #......< ..................................................... 100,000 AU GARAGE LIABILITY . .TO ONLY-EA ACCIDENT :$ ........... ::::::::::•:::::::::::::::::::::::•:::: OTHER THAN AUTO ONLY: .............................. ANY AUTO .::.::::::::::::;:•::::::::::::::::::. EACH ACCIDENT: $ .................................................................................... AGGREGATE: $ EXCESS LIABILITY EACH OCCURRENCE $ ................... ..................................... UMBRELLAFORM : A.C....................................... ................................ : GREGATE :$ OTHER THAN UMBRELLA FORM $ RY LIMITS: ER : :::`;::: ::.....:' WORKERS COMPENSATION AND TO: ...... EMPLOYERS'LIABILITY EL EACH ACCIDENT $ lUU,00V C WCA9089132 12/18/2000 12/18/2001 .......................................... .. ........ THE PROPRIETOR/ INCL : EL DISEASE-POLICY LIMIT $ 50 0,0 0 0 PARTNERS/EXECUTIVE OFFICERS ARE: : EXCL EL DISEASE-EA EMPLOYEE: $ 100,0001 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS or any and all operations performed during the policy period. r AT.E;fO C/AN . CETIFI. :::::::::::::::::::......................::::::::::::::::::.::::.::.:::::::::::::::::::.;:.;::: ::::::::::: :::::::::::::::::::.:::::::::.::::::::: ...R.:........................................... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY Rogers & Marney Inc. OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Po Box 310 AUTHORIZED REPRESENTATIVE Osterville, MA 02655 Joan Leger .... . :: .. �AACORt�..COI:iP..C3�iAT#C�Pt.:......... ` TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel _ Permit# C5335 � Date Issued Health Division Conservation Division . J. �/J 0/ -3 / ° �3/z3�,t Fee 'L v Tax Collector :f,�i /�(�` , �;/ ice•/(- /l�a�2s SEPTIC SYSTEM MUST BE Treasure O INSTALLED IN COMPLIANCE Planning*t. ,' ` o� o ��,-,7� �oH.' WITH TITLE 8 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH LIJ Preservation/Hyannis NA •A Project Street Address 231 Seaview Ave. Osterville; MA r Y Village c/o Atty. Jay Burke Owner Hope M. Burke Address 21 CLston Mouse Rd. , Boston, MA Telephone Permit Request Environmental Remediation Services /7C1 eRAl � �N 61= r__0 rci� �T/JhJ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Mo,9-o Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes O No Basement Type: ❑Full ❑Crawl ` ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Ngrnber of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes O No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing Cl new size Pool:❑existing ❑new size Barn:O existing ❑new size Attached garage:O existing O new size Shed:❑existing Cl new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial O Yes O No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Nicholas Christiani Name Enviro—safe Corporation Telephone Number (508 )888-5478 Address P. O. Box 810 License# 990 East Sandwich, MA 02537 Home Improvement Contractor# 196415 . Worker's Compensation# WC 10 218 2 2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE AA - DATE / 0 FOR OFFICIAL USE ONLY " ' 33"5 PERMIT NO. ` • DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE� - � OWNER DATE OF INSPECTION. ' FOUNDATION FRAME .� INSULATION =� FIREPLACE ELECTRICAL: . ;ROUGH FINAL ' PLUMBING: '`.%ROUGH FINAL GAS: ROUGH '-- r- +- FINAL FINAL BUILDING DATE CLOSED OUT • toC-- � ASSOCIATION PLAN NO r" , ' � , The Commonwealth of Massachusetts �— Department of Industrial Accidents exce 011firesd®sdOOs _ 600 Washington Street - Boston,Mass. 02111 Workers' Corn ensation Insurance Affidavit i e; Enviro—Sa P.O. Box 810 East Sandwich, MA 02537 nomg�1rk Prp ert ovation Zit geavi w A�e. , Osterville MA hone# city❑ I am a homeowner performing all work _ ❑ I am a sole mo etor and have no one working in=ar �v°rlang on this job. .............. ensauon for my . 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I understand�d a copy of thb statement may be forwarded to the Office of Investigations of the DIA for oaverage vesfitdfon. I do hereby cffy under the pabn and pcnakim of perjury tkat the information pad above is trw•mid coned Si Nicholas Christia-ni Date 5/4/O1 • per# (508) 888-5478 Print setae onwd use only do not write in this area to be completed by city or town olndal perndyllunse# ❑Bundiag Departm� city or town: U*+-ensio g Board ` ❑sdectmen's Office ❑ wk if imumliste response is required _ o�Department contact person: phone#; 0mlad 9ros PrA) . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, associatign, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representative's 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 anthe grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. "MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe commonwealth nor any of its political subdivisions shall enter into any c itract 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. IFINAM Applicants {° Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits maybe 1 submitted to the Department of Industrial Accidents for canfirmatim of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retained to the city or town that the application for the peinrit or license is being requested,not the Department of Industrial Accidents. Should yam have any questions regarding the`law"or if you i are required to obtain a wod=S compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to frill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pe®it/liceose nsmbea which will be used as a reference number. The affidavits maybe t^ the Department by marl or FAX unless other arrangements have been made. The Office of Investigations would bike to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Oltice of Invesugaucas 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 7274900 eat. 406, 409 or 375 a Date: 05/03/01 Time: 01:26 PM To: Doris Christiani @ 15088889093 Page: 002-003 CORP. CERTIFICATE OF LIABILITY INSURANCE DATE 05/02/2001 'RODUCER (508)888-2244 FAX (508)833-0680 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bryden Insurance Agency Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 125 Route 6A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Sandwich, MA 02563 INSURERS AFFORDING COVERAGE NSURED Enviro-Safe Corporation INSURER A: Amer International Spec Lines Enviro-Safe Tanks INSURERB: Commercial Union Insurance Co PO Box 810 INSURERC American International Group E Sandwich, MA 02537 INSURER0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. -TR. TYPE OF INSURANCE POLICY NUMBER DATE POLICY EXPIRATION MM/OD C;WDATE MMlDD LIMBS GENERAL LIABILITY 2673765 03/01/2001 03/01/2002 EACHOCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 100,00 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 25,00 00 A PERSONAL&ADV INJURY $ j 000 00 GENERAL AGGREGATE $ 1,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 POUCYF—j P JECTRO- LOC AUTOMOBILE LIABILITY REN OF #CBX627272/CEDED 04/04/2001 04/04/2002 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY $ B X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) INCLUDE GARAGE LIABILITY AUTO ONLY-EAACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY. AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND WC6522363 09/17/2000 09/17/2001 TORYLIMITS ER EMPLOYERS'LIABILITY C E.L.EACH ACCIDENT $ 11000,000 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 11000,000 OTHER 7ESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS nvironmental Remediation Services, 231 Seaview Ave. , Osterville, MA 'ollution Liability Coverage on General Liability Included per Policy Form. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL Town of Barnstable Regulatory Services Building Division - Town Office Building 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Richard Stevens BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 367 Main Street OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE David Va'covec ACORD 25-S(7/97) ©ACORD CORPORATION 1988 NOTES 1.)ALL CONCRETE SHALL BE CLASS A, 3,000 PSC @ 28 DAYS WITH TYPE 1 ORDINARY PORTLAND CEMENT. 2.)ALL RE-BAR SHALL BE GRADE 60. I ' 3.)3"MINIMUM COVER ON ALL RE-BAR Existing Floor Joist 4.)FOOTING:TO BE PLACED ON CLEAN SAND THAT MEETS OR EXCEEDS 95% COMPACTION AS MEASURED BY STAND- 8"Sill ARD PROCTOR OR WITH CONTROLLED Anchor Bolt DENSITY FLOWABLE FILL. a •' a ° 5.)ALL DIMENSIONS SHALL BE VERIFIED overlapped at #4 at o.c., IN THE FIELD PRIOR TO CONSTRUCTION. • • •° � overla a comers;horizontal . 4 p0. 2n #4 Re-bar at 4'o.c. ..4 0 . Q 4'-0" 4 4. i OF A44 4 Proposed 8"Poured Concrete Wall dOHN M. �N V REFLLY CIVIL to o• No.36200 ., O Y o, 4 a s • s• . 3„ 2nx4n Key 4 Proposed Poured Concrete Footing #4 Re-bar at 4'O.C. e #4 Re-bar at 10",o.c. 3'-0" CROSS—SECTION Project HOPE M. BURKE OF PROPOSED FOUNDATION WALL �°RA",2lmUB 1KEo�DO Road,Bost,Joseph MA0221�,P.o A TO REPLACE PORTION OF Title: FOUNDATION REPAIR EXISTING FOUNDATION 231 Seaview Avenue,Osterville,Massachusetts TO BE REMOVED BENNETT & 01REILLY, INC. ENGINEERING,ENVIRONMENTAL,&SURVEYING SERVICES 1573 MAIN STREET,P.O.BOX 1667 BREWSTER,MA 02361 PHONE:(508)8%-6630 FAX(508)M 4687 DATE SCALE BY CHECK JOB NUACM 05/01/01 1"=1' ELS I DCB BO01-2924 e Town .ot 13arnstame BAMMABM Regulatory Services Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW _ SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Environmental Remediation EstimatedCost� i�U� Address of Work: 231 Seaview Ave. , Osterville, MA Owner's Name: Hope Burke, Atty Jay Burke, P.O.A. Date of Application: I hereby certify that: Registration is not required for the following irmon(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Enyiro Safe Corporation 126415 Date Contractor Name Registration No. OR , I Date Owner's Name q:forms:Affidav /ze 'ori.,iazueall/c BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 000990 Expires: 03/ 6/2002 no: 15028 - - Restricted To: 00 NICHOLAS P CHRISTIANI PO BOX 247 - FORESTDALE, MA 02644 Administrator 00-35.000 d enclosed space (MGL C.112 S.BOL) 1A-Masonry only 1 G-1&2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. ' I / I i DIG SAFE CALL CENTER: (888)344-7233 HONE IMPROVEMENT CON CTOR Registration: 6415 Expiration: 6/1/ Type: ndivi al NICHOLAS P. CHRISTIANI NICHOLAS CHRISTIANI ADMINISTRATOR 4 FOR [ROT RUN SANONICH MA 02563 I i a e A , ESTIMA TED PROJECT COST WORKSHEET Value � LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Value h . c c h )a a fc � + i Z � l �Q�ti1e r (� 5—�-- 23 � �Q0.0 ����.�, I�v� �� o� �� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 13S , Parcel t A Permit# Health Division ` �• 1 2 Oo I` 732 Date Issued Conservation Division ' O�R L43� AV-)44 P-3�e e Tax Collector ��«-�� 1e,64 T -7 Treasurer. - `� `D°� SEPT'9C *i to i EM MUST BE INSTALLED IN COMPLIANCE Planning Dept. VATH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANL TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address _ �3 S E I£w A-4 s•_ Village - 0-S73-: P,V I l,I- C Owner i�basg= A .,9usAg Mogetsonl Address 600 E. t, a7l2w16 7-g Z i2 D Telephone R17. 9ZY 04(5'7- 4-4VE Fom_S7 { �- 6 004 s— Permit Request St-�--�x tSTrst f[�-- L l'� , eA0hLS 7' HE w f L L Go is 6yG o F �•/fu+�1 y QM14 DAAMe 5 , -TWO gs!)PO-044r° M,�24 441 0c:� 134T -s , vrri,m &j 4)4 QN0As? eL41 , Fbavil 4 f9tr-5atPS. Square feet: 1st floor: existing 2 q 8 proposed t,2_96 2nd floor: existing 2,Zo proposed 11 /S/ Total new_Z9Y 9 Valuation 239. 91Z. p° Zoning District _(2.F- 1 Flood Plain - Uhl, Groundwater Overlay AP Construction Type ,c,e. Mom, Lot Size ,IR SS AG Grandfathbred: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 5r' Two Family ❑ Multi-Family(#units) of Age of Existing Structure 7.S'�^ Historic House: ❑Yes Ed'6 On Old King's Highway: ❑Yes ®'IVo Basement Type: 2<11 ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) _�,) Basement Unfinished Area(sq.ft) 1 Z 96 Number of Baths: Full: existing S' new Z Half: existing / new / Number of Bedrooms: existing new _� ( .y ---A CD Total Room Count including : existing ( g baths): g 1 C-7 new First Floor Room Count Heat Type and Fuel: Pd Gas ❑Oil ❑ Electric ❑Other Central Air: ;d Yes ❑No Fireplaces: Existing New I Existing wood/coal s�. e: ❑Y_,4? A.No Detached garage:❑existing ❑new size ^ Pool:❑existing ❑new size Barn:❑existin ❑newF•size rn Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes t9 No If yes, site plan review# Current Use 5/N64 Proposed Use _3,MAtC BUILDER INFORMATION Name IZoAe s 10-4 "I999F$?. Telephone Number S-0 4`Z8 .6io6 Address 15t>X 31 o License# C-5 o16174' 057'�',evj a 2 U'I0 DZG.�S Home Improvement Contractor# /Go 13!9� Worker's Compensation# WC '/516Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN 09 U►f4 om fig� VS ""(fam4e_myf�, SIGNATURE DATE 8 . 6 •OZ., FOR OFFICIAL USE ONLY PERMIT NO. DATPISSUED MAP/PARCEL NO f ADDRESS VILLAGE • r OWNER. DATE OF INSPECTION: FOUNDATION FRAME I 2 1 - INSULATION 'J S U - FIREPLACE�`� ELECTRICAL: ROUGH , =A > FINAL PLUMBING: ROUGH a " �' FINAL GAS: ROUGH FINAL FINAL BUILDING co DATE CLOSED OUT �, • .a ASSOCIATION PLAN NO. r I SST i z 23 1 I I l S Q.av ��u, i C v� 4g 0 C(I\ ,-al � Y r t F tNE raY The Town of Barnstable nAnrrsrnuI-F. . �A ;S � Department of Yicalth Safety and Environmental Services lf9. Dy� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crosson Pax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT IIOMC IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MQL c. 1,12A 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 whicli are adjacent to such residence or building be done by registered contractors, with certain exceptions, along witli other requirements. Type of Work: APPMto)V rst. Cost 2.,31 • Address of Work: Z S 1 54FA 0LCw AVE- Owners Na III e 3>r el— VAC.) L Date of Permit Application: 9 ' 6 - D 7, I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT Olt DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS To'I'I-II,. ARBITRATIOi`I PROGRAM OR GUARANTY FUND UNDER MCL c. I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 8.6-bZ '!� iAMW 49911 S-MG. too 13/1 • Date Contractor Name Registration No. OR 1)a{c Owner's Name I -62 ` Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100134 Type: Private Corporation Expiration: 6/9/2004 ROGERS & MARNEY, INC. _ Charles Rogers P.O. BOX 310 Osterville, MA 02655 Update Address and return card.Mark reason for change. Address ❑ Renewal ❑ Employment ❑ Lost Card ✓Z. ean.." a�/�laaaac�ucaelta _ Board of Building Regulations and Standards License or registration valid for individul use only _— HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: One Ashburton Place Rm 1301 Expiration:' 6/9/2009/2004 Boston,Ma.02108 Type: Private Corporation ROGERS&MARNEY_ ,INC. ' Charles Rogers 445 WEST BARNSTABLE ROAD Osterville,MA 02655 Administrator Not valid without si ature BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 016174 Expires: 05/0712004 Tr.no: 24057 f Restricted: 00 CHARLES D ROGERS 1 PO BOX 310 OSTERVILLE, MA 02655 Administrator ( • The Commonwealth of Massachusetts P1 --- Department of Industrial Accidents 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit name: location: ciry ;1hone ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity Mar, Pq I am an employer providing workers' compensation for my employees working on this job. .......... company name: ROGERS & MARNEY: address: P.O. BOX 310 city: OSTERVILLE.: -'MA'.0-2655 phone 9: (508) 42121-6106 insurance co. AMF.RTCAN INTERNATION' AT- -R01icV 9 ❑ 1 am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have a, the following workers' compensation polices: company,name: SEE ATTACHED SHEETS address: insurance ca. Do1icV comminv name: address- citv: phone insurance co. policy.4 Utt2'ch additional'she"t if niiii--�a ... ag— Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition or criminal penalties or a fine up to S1.500.00 and/or One VC2rs'imprisonment as-Cll 25 civil penalties in the form or 2STOF WORK ORDER and 2 fine or S1 00.00 a day against me. I understand that I copy or this statement May be for-%2rded to the Orrice or Investigations of the DIA for coverage verifil C26on. I do hereby cerrifj-under the in and enalties ofperjuty that the information provided above is true and correct. Sienatur-, P66EIES 4 MRf—'- q-- Print narne Phone -6/06 OM1621 use only do not -rice in this area to be completed by city or town official cir% or town: permit/license d nBuilding Department ft 01-icensin-B02rd 0 check if immediate response is required osticctm,*n-,orric, 0Hc2lth Department contact person-— phone Other- -$I,! PIA I I Aca � CERTIFICATE OF LIABILITY INSURANCkom SB DATE(MMIDDMf) SHO-1 06/10/02 PRObUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE WM. F. Bothek Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 311 Plymouth Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ` fax MA 02338 INSURERS AFFORDING COVERAGE _ _.Jne: 781-293-6331 Fax:781-293-2171 INSURED INSURER A: Travelers Insurance Group /&(.3e� INSURER B: Public Service Mutual So. Shore Heating & Cooling In INSURERC: 57 White s Path INSURERD: So. Yarmouth MA 02664 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR PO LIC EFFECTIVE POLIC EXPIRATION LTR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,0 0 0,0 0 0 B X COMMERCIAL GENERAL LIABILITY I-680-573D591-5 05/10/02 05/10/03 FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $1•,0 0 0,0 0 0 GENERAL AGGREGATE $2,0 0 0,0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2,0 O 0,0 0 O POLICY JEC 7 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,0 0 0,0 0 0 A ANY AUTO I-810-3685W63-3 03/01/02 03/01/03 (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIREDAUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTYDAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $1,0 0 0,0 0 0 B X OCCUR CLAIMSMADE ISF-CUP-1375WO21- 05/10/02 05/10/03 AGGREGATE $1,000,000 $ DEDUCTIBLE S RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER B EMPLOYERS'LIABILITY WC 017764 02 01/10/02 01/10/03 E.L.EACH ACCIDENT $ 500000 E.L.DISEASE-EA EMPLOYE $ 500000 E.L.DISEASE-POLICY LIMIT $ 500000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLESIEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICA E HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION ROGERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN P.O. Box 310 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL RogersJ & M IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville MA 02655 REPRESENTATIVES. William F. Borhek ACORD 25-S(7/97) ©ACORD CORPORATION 1988 H(rV .M 12/14/2001 PRODUCER' CS08)997-6061 FAX (S08)991-3283 Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 662 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 0. Box 79398. INSURERS AFFORDING COVERAGE t4. Dartmouth, MA 02747 INSURED David G Holcomb INSURER A: Merchants Insurance Co. Of NH, Holcomb Plumbing & Heating INSURERB: Arbella Protection Insurance PO Box 170 � INSURERC: Merchants Mutual Insurance Com Osterville, MA 0265S INSURERD: 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. LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY CMP9138499 12/18/2001 12/18/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ S0,000 CLAIMS MADE Fx I OCCUR MED EXP(Any one person) $ S,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PROECT LOC J AUTOMOBILE LIABILITY TBD 12/18/2001 12/18/2002 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ 100,000 B HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) / 300,000 PROPERTY AMAGE $ (Per accident) 2S0,000 GARAGE LIABILITY AUT9IONLY-EA ACCIDENT $ ANY AUTO O HER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND 4CA9089132 12/18/2001 1 /18/2002 TORYLIMITS ER EMPLOYERS'LIABILITY C E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEd$ 100,000 E.L.DISEASE-POLICY LIMIT 1$ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS or any and all operations performed during policy period. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & M a r n e y Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. O s t e r v i l l e, MA 0 2 6 S S AUTHORIZED REPRESENTATIVE Susan Niles c np+r u1 uc i i : e i a bur mac ins 508-771 -1258 p. l i 9�ORD_ CERTIFICATE OF LIABILITY INSURANC ;D 02 OA!04 7/0 DD/YY) j PRDDuFER _ YCO-1 1/02 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION McAlpine Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES 207 Poet Office Sq ALTER THE COVERAGE A AMEND,EXTEND OR ORDED BBYTTH POLICIES BELOW. � D. Centerville MA 02632 Pho -*,- -771-0 __" Fax:506- I INSURERS AFFORDING COVERAGE 8 InsuREo �- - •-'-- ----' I"JUReRA• _ Vermont Mutual Insurance_ Co INSURER E: Sav, rS Propert 6Casualt Ins_C . Say Colon Concrete Forms Inc Y" -- 33 INSURER Pilgrim Insurance Co an ostervillee MA 02655 -- — �suREJxe.__ -- --_._ I INSURER E: _....---- ......---...._..._ COVERAGES THE POLICIES OF!NSU4ANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMECi ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANO!NG ANY RECUIRENENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCIJP�ENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE MURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EkCLUSIONS AND CONDITIONS OF SUCH / POLICIES.AGGREGATE LIMITS SHOp.W MAY HAVE BEEN REDUCED BY PAID CllUMS. L R! TYPE OF INSUR 64CE POLICY NUkDBR —T_F Lje- IVETO PIRATIbl1?' -- --------- 1.OATE:MMMWYY OAAA�E iYY LIMITS - T---- -� GENERAL UABILITY A X COMMERCIAL GENERAL LIP.BIUTY EACH OCCURRENCE f Z OOO OOO SP17030923 i 03/30/02I 03/30/03 FIRE DAMAGE(Ai•ymefire). 350 000 _ _—J CLAIMS MADE-LJ OCCUR I I _. .... L..._--_._ —i I NED EXP(Ary me Perg,;�j S 5 r 000 j I PERSONAL B ACV INJURY $1,OOO,OOO - — GEi�RALAGCREcaT> $2 000 00_0__ GEML AGGREGATE LIMIT APPLIES PER I --_ T----- r .--_- POLICY r� EPRDC LOC II PRODUCES•Q6MP!OPAGG s 2,000,000 i —— NAUTOMOBILE LIABILITY i .ANY AUTO EO INq.D SINGLE LIMITALL OWNEC AUTOS t SCHEDULEDA'JTOS I BODILY INJURY (?eraersa,l .__._.._... 1$2500000 HIRED AUTOS PMC7129126 NDnowNEOAuros PMC7129214 03/11/O1 I3/11/02 BODILY 03/30/01 O3/11/02.' (Perzcadent) 35000000 00000 I PROPERTY OAJ-AAGE i f 1000000 t I(P-acc4ant) cARacE LIABIUTr L ANY AUTO !` I AUTO ONLY.EA ACCIDENT $ -... r EA ACC OTHER THAN $ AUTO ONLY: ._..._—..�.... ._—_...... _ __ EXCESS LIABILITY — AGG $ - OCCUR EACH OCCURRENCE $ CLAIMS MADE j I % AGGREGATE $ OEDUCTIBLE I $ 1 RETENTION S I, WORKERS COMPENSATION AND B EMPLOYERS'LIABRJTY iI• X TORY LIMITS WC 0000753-01 r -X TOR--- -...ER -- 03; 31/02 I 03/31/03 I E.L.EACH ACCIDENT , _ $100.000 E.LDISEASE AEMPLOY-E $100r.000 ....SE-F .—.__...... I07HER I \ — i/ EL.DISEASE-POLK;YLIMIT $500 000 I � j \DESCRIPTION OF OPERATIONS:LOCATIONSNEHICLESJEXCLUSICNS ADDED BY ENDORSEMEN'U.1; ECIAL PROVISIONS Concrete Construction CERTIFICATE HOLDER i N .ADDIiroNAL InSUREO;INSURER LETTER; CANCELLATION ROGERSI SHOULD ANY OF THE ABOVE DESCRIBED PCUCIES BE CANCELLED BEFORE THE EXPIRATION Rogers 6 Marney DATE THEREOF,Tric ISSUING INSURER WILL ENDEAVOR TO MAIL __DAYS WRITTEN FA%#508-420-3550 NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE:EFT.BUT FAILURE TO DO SC SHAL'_ FO BOX 310 IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville N.A 02655 REPRESENTATIVES. ACORD 25-S(71 7) John McAl ine CAC ORO CORPORATION 1988 UL:L io ui UO; Ona our mac ins OU43- IfI -Icae1 P. i • — DATE(MTlID01YY1 • ACORo CERT1FlCATE OF LIABILITY INSURAN?AS (DGBRl 10/18/01 THIS CERTIFICATE IS ISSUED A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Burlingame insurance ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 20F Poet Office Sq Centerville MA 02632 ; INSURERS AFFORDING COVERAGE --- Phoae: 508-771-010b Fax:508-771-1258 INSURER A: Ver=nt mutual Insurance Co _ IN,SUREO F INSURER B' Travelers P&C _ INSURER C: �-- Barger Masonry, In INSURER ^ PO Box 219 (J`\./ Cotuit MA 02635 INSUREIE: COVERAGES ABOVE ANY REQUIREMENT.EOINSUIUM OR LISTED EL OF ANY CONTRACT O OOTHER GOC THE IIJir ENT WITH RESPECT VEFO O NHVOGH THIS CERTIFICATE MAY 6E ISSUED SUCH MAY PERTAIN,THE INSURANCE AFFOROED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCYPELUSIONS AND CONDITCY PERIOD IN I A ED.NOTIONS OF SUCH POLICIES.P.GGREGATE LIMITS sHOWN MAY HAVE BEEN REDUCED BY PAID CLAWS. LINLLTS POLICY NUMBER D+1 MMfDD DATE MMfODrYV jtqgj�LTR TYPE OF INSURANCE EACH OCCURRENCE 500,000 GENERAL LIABILITY A g COMMERCIAL GENERA:UABILITY BP170131C2 09/26/O1 09/26/04 .FIRE OAP(An .nYc Ifs; S 50,000 MEI pEXwlAr, ,eaesma s 5,000 CLAIMS MADE OCCVR PER L&ADY IN:URY $ 500,000 ERAL AGGREGATE S 1,000,000. PRODUCTS COMPIOP AGG S 1,000,000. GEN•L AGGREGATE LIMIT APPLIES FER. FRO. LAC POLICv JECi i AUT r SINGLE OMIT DMOBILELIABYITY (E,e aod.nt) S ANY AUTO I GODLY MJL4tY 4 ALL OWNED ALTOS I(Per person) SCHEDULED AUTOS BODILY INJURY S HIRED AUTOS (Pe•accident) NON-OWNED AUTOS PROPERTY DAMAGE s _ (Per acoidml) AUTO ONLY•EA ACCICENT Is GARAGE LIABILITY ` EA ACC $ OTHER THAN ANY AUTO AUTO ONLY' AGO 3 TEACH OCCURRENCE 4 EXCESS LIABILITY AGGREGATE 4 OCCUR CLAIMS DE 4 4 DEDUCTIBLE 4 I RETcENTKN 4 TORY LIMIT S ER WORKERS COMPENSATION AND `` B EMPLOYERS'LIABILITY 7PJIIB-790X 7-7-01 l.0/09/O1 10/OS/C2 •e.L.EACHAaIOENr s 100,000 1 E.L.DISEASE•EA EMPLOYE 4 10 0,00 0- I— E.L.DISEASE•POLICY LIMIT S 50 O 900 4 OTHHR I — ) DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORS'^ NTIfi:PSCIAL PROVISIONS Masonry CERTIFICATE HOLDER N ADDITIONALINSUREOr INSURER LETTER: CANCELLATION ROGERS 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFOR=THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEA'!OR TO MAIL 1.0 DAYS WRITTEN Rogers & Marney NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO So SHALL FAX#508-420-3550 IMPOSE NO OBLIGAnoN OR LIABILITY OF ANY KIND UPON THE INSURER,ITS 4GENTs OF. PQ BOX 310 REPRESENTATIVES. OSterville NA 02655 4Robert Bu_ling(ame ---- QAGORD CORPORATION 1988 ACORD 26•S(7197) _F4 CORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) TM 06/25/2002 PRODUCER (508)994-9688 FAX (508)991=5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI A KEST'ENBAUM- ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 414 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. �W BEDFORD, MA 02742-5911 INSURERS AFFORDING COVERAGE INSURED Rana 1 C Agnew E ectr C tractors Inc INSURER A: Commercial Union PO Box 1270 /// / _ INSURERS: American Home Assurance Co Cotult, MA 02635 /// // INSURER C: / IIIJJJ��� INSURER D: 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. j INSR TYPE OF INSURANCE POLICY NUMBER POLICY FFECTI/YVE POLICY EXPIRATION LTR DATE MM/DDY DATE MM/DD/YY LIMITS GENERAL LIABILITY NBFB41863 11/16/2001 11/16/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire $ 300,000 CLAIMS MADE M OCCUR MED EXP(Any one per n) $ S,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERALA OGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODU S-COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY CBXE04239 11/16/2001 11/16/2002 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 11000,000 ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND C568-21-85 06/23/2002 06/23/2003 TORYLIMNC ITSI JOTH ER B EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,000 E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER l DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers and Marney BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF ANY KIND UPON THE COM NY,ITS AGENTS OR 4PIESENTATIVES. Osterville, MA 02655 AUTHORIZED REPRESENTATIVt04%. ACORD 25-S(7/97) /�:b ©ACORD CORPORATION 1988 2 S c,,,, t Q- w r�V I . i i ' � .� �----------------- �' r�-� 3 ---_� �� �- � � - j { .; . � - -- _ -_�- • � •.:=. 4^ _ .. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 0 I R , Permit# 46 13,3 —7 iABL E Health Division Date Issued `02 Conservation Division/__,S// S—/Ja S�3aJ 1 N 9 pp a(�a Application Fee y. Tax Collector_U/C /1 ��0 a'Z— r Permit Fee Treasurer PlanningDept. O S STEPI EWST BE P MEMO 37r LLE€D SIB COMPLIANCE Date Definitive Plan Approved by Planning Board t ?'ri TITLE 5 �''l�l�p 6 IW6 u���u u'u3nc �o�.:. aLo Historic-OKH Preservation/Hyannis CODE T0',;. J REGUL.P,TIONS Project Street Address ?31 's A V t ew A^/r-, . Village nst P-ev i i—%-F_ z pO —, wEs.r MrH.S ry K . Owner P_oZfQT & StISAnt Mop_ptS0 Address Le4ICtr Icoz¢Sr_ TL (.,02�,5-- Telephone 2.34 1 D 9S:7 Permit Request CnA4si-2uer ' /D`X 16 6 4ADFM 5ME0 AMP moot_ 146uSE yorT i4 Ager, A-CGELsoe V STIZUcTvr2 s'S lest 17-a MO HEA11 ' Square feet: 1 st floor: existing_n proposed KL 2nd floor: existing proposed Total new ;&V� Zoning District F_F- 1 Flood Plain A11A- Groundwater Overlay �} Project Valuation SS.ocb Construction Type y✓ag> ge4tvy _ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Er'Two Family ❑ Multi-Family(#units) Age of Existing Structure ;I oo +-_ Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes JRoNo Basement Type: mull eCrawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) o Basement Unfinished Area(sq.ft) ( 2 9 6 Number of Baths: Full: existing 7 new A / Half:existing Z new n Number of Bedrooms: existing ? new 0 Total Room Count(not including baths): existing /6 new O First Floor Room Count 8 Heat Type and Fuel: MIGS-s ❑Oil ❑ Electric ❑Other Central Air: �'es ❑No Fireplaces: Existing 3 New_ t Existing wood/coal stove: ❑Yes A No Detached garage:❑existing ❑new size Pool: Ming 'Cl new size Barn:❑existing ❑new size 10 IL b6 Attached garage:❑existing ❑new size Shed:O existing olew sizeARIC& Other., ,- PAL_ i4wsE Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes If yes,site plan review# Current Use Sr N 6,E 1��A ul I L I Proposed Use S C BUILDER INFORMATION Name 12o6sRs M A e.N2:q I Telephone Number Sze R - 12-8 .6 t 06 Address 1304s ,3t o License# GS D I (,('24 CLCa-( E QL2 L 1�%.Z : u►.4 A n2G��_ Home Improvement Contractor# 1 O D l3! Worker's Compensation# yA 7— ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN t3!j M 8CO OA159 iZ S RZ - ennfAAeANf DATE SIGNATURE /(hu •F; ZOoZ FOR OFFICIAL USE ONLY P;6, IT NO. DATE ISSUED MAP/PARCEL'NO. i ADDRESS VILLAGE OWNER DATE OF INSPECTION: ' FOUNDATION FRAME INSULATION FIREPLACE���. ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL r FINAL BUILDING !,I DATE CLOSED OUT E ASSOCIATION PLAN NO. i F THE Tpj � y'L The Town of Barnstable IIAItNyrAULE. . i 79 Department of Health Safety and Environmental Services ATforw�' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 J Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT IIOME IMPROVEMENT CONTRACTOR LAW 'SUPPLEMENT TO PERMIT APPLICATION MCL c. 142A requires flint the "reconstruction, alterations, renovation, repair, modernizntion, conversion, improvement, removal, demolition, or construction of nn nddition to any pre-existing owner occupied building containing nt least one but not more than four dwelling units or to structures whicli are adjacent to such residence or building be done by registered contractors, with certnin exceptions, along with other requirements. Type of Work: pool- ocusC Est. Cost S�, 000 • Address of Work: -SEA y%cw A.V r—. Owner's Name A+4 VWO'2q—ISbP! Date of Permit Application: I hereby certify that: Registration is not required for (lie following rcason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling, own, permit Notice is hereby Riven (lint: OW:Nb:RS PULLING THEM OWN I'l-lZ:MIT 01: DEALING WITH UNIZECISTEP.ED CONTIZACTOIZS FOR APPLICABLE II0l1E INIPROVEb1ENT WORD DO NOT FIAVr ACCESS TO THE AR131TIZATION I'IZOCiz.•t11 oi, CL(.m1..ANT1' rUND UNDER MCL c. I42A SIGNED U:NDE1 1)ENALTIrS 01-' I'LRJU!ZY I hereby apply for a pertuit :is the :tl;cnt of the owner: • Plov 9 ZOOL ZNC� loouyq Date Contractor Name Registration No. • i OR i l)a(e U��•ncr's lnntc r A The Commonwealth of Massachusetts -- Department of Industrial Accidents ONCe of/nyeSfIgNIMS 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit _ name: location7 city hone L I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ® I am an employer providing workers' compensation for my employees working on this job. - comoanv name: "ROGERS & MARNEYr -'INC.:. ' address: P.O. .BOX 310 city- OSTERVILLE,- MA.02655 phone"• (508) 4 R 6106 insurance co. AMERTCAN TNTERNATTONAT. -volicv# I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comoanv name: SEE ATTACHED SHEETS add recs: insurance co. - policy L comnanv name: address: city: — phone=• insurance co. 1201icv# .. , 'Attach additions !sheet tf nc_uun• ••- •• -• - -••"-'—""_" _ -_ _ _ _ _ Failure to secure coverage as required under Section 25A of MGL 152 can lead~to the imposition of criminal penalties ors fine up to S1 0.00 and/or one vears imprisonment as M ell as civil penalties in the form of a STOP WORD:ORDER and a fine of S100.00 a da%•against me. I understand that a coPe of this statement may be fon+arded to the Orrice or investigations of the DIA for coverage verification. /do hereby certify under the pains and pe alties of perjury that the information provided above is true and correct. Signature e6d es tM Date MOU ZeVZ. Print name PC Grr" y. COOK- Phone _+ i ofrcial use only do not -rice in this area to be completed by city or town official C ein or town: permit/license OBuilding DepaD k Licensing Boa O check if immediate response is required Selectmen's O contact person: phone r--10therE)Hcalth Depart 1 ` ACQR,P„ CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YY) 12/14/2001 PRODUCER (S08)997-6061 FAX (508)991-3283 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Southeastern Insurance Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 662 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. -0. Box 79398. INSURERS AFFORDING COVERAGE Dartmouth, MA 02747 INSURED David G Holcomb INSURERA Merchants Insurance Co. Of NH, Holcomb Plumbing & Heating INSURERB: Arbella Protection Insurance PO Box 170 �l/j�C� INSURERC: Merchants Mutual Insurance Com Osterville, MA 026SS INSURERD: 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. LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY CMP9138499 12/18/2001 12/18/2002 EACH OCCURRENCE $ 1,000,000 j X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire) $ 50,000 CLAIMS MADE Fxl OCCUR MED EXP(Any one person) $ S,000 A PERSONAL&ADV INJURY $ 11000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PROJECT LOC AUTOMOBILE LIABILITY TBD 12/19/2001 12/19/2002 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) B • ' 100,000 HIRED AUTOS ' BODILY INJURY /' $ NON-OWNED AUTOS (Per accident) tt 300,000 PROPERT1y6AMAGE $ (Per accident) 2 5 0,0 0 0 GARAGE LIABILITY AUTO/ONLY-EA ACCIDENT $ ANY AUTO E RHER THAN A ACC $ UTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR Q CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND CA9089132 �� 12/18/2001 1 /18/2002 TORYLIMITS ER EMPLOYERS'LIABILITY \\C E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYE $ 100,000 E.L.DISEASE-POLICY LIMIT 1$ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS or any and all operations performed during policy period. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10_DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & M a r n e y Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. O s t e r v i l l e, MA 02655 AUTHORIZED REPRESENTATIVE Susan Niles c DA-TE(MMIDDffYI g_oR� CERTIFICATE OF LIABILITY INSURANC `D S 1 04/09/02 THIS CERTIFI ATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Torthwood mahbaagh Ins• Agenay ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. � 405 West Main Street Hyannis MA 02601 INSURERS AFFORDING COVERAGE Phone508-771-1632 Fax:508-778-1789 1NBURERA. )r1A531aPE8T INSLYRANCE INSURES INSURER B: D'l�CARB . In �/� INSURER C. Harmon Painting, o INSURER a OOstervBlloe� 0265 INSURERS: COVERAGES lypUWEMENT97£RM OR CONDRION OF ANY CON'RAC14R OTHER DOCUMENTT WITe N RESPECT TO NWIPICHITHIS CERTIFICATE MAY BE 18U60 OR DING MAY PC'PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLVs'GNS AN O CONDiT10NS OF SUCH POLICIES.AL ATE LIMRS SHOWrI MAY HAVE BEEN REDUCED BY P.410 CLAIMS LItdRS F INSURANCE POLICY NUMBER TE M OATR I EACHOCCURRENCE I f lOOOOOO GENERALITY FIRE DAMAGE L4ny oae flra) S 5�0 Q Q Q— A COMMERCIAL GENERAL7OCCUR RT036057102 I I MED PXP(Any one Per�onl sl 5000 CLAIMS MADE 04/01/02 '; 04/01/03 I PERSONALSADVINJURY8uainees OwI i I GENERAL AGGREGATE _1$-' 000000 I P S-COMPIOP�GG i$ G&IL AGGREGATE LIMIT APPLIES PER ! i I RODUCT ` I, 1000000 POLICY CC LOc AUTOMOW.6 LIABILITY I CCMBI D SMGIE LIMIT $ AF ANY AUTO I CA0082603 1 04/01/02 04/01/03 IEs ;den') ALL OWNED AUTOS I BODILY INJURY (P-Pam)SCHEDULED AUTOS HIRED AUTOS BODILY INJURY 1 s (Par eccl0ert) ` NON-OWNED AUTOS I i I / PROPERTY DAMAGE s t y GARAOELUBIUTY ALTO ONLY-EA ACCIDENT S -- ANY AUTO I I I AUTO ONLY. EA ACC $ AOG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR 71 CLAIMS MADE \ ( AGGREGATE S i I S DEDUCTIBLE _ RETENTION S I I S WORKEA6 COMPENSATION AND TORY LIMRS ER rl EMPLOYERS'LIABILITY H I 822X567-4-02 01/04/02 01/04/03 1 E.L.EA';HACCIDENT s500000 E.L.DISEASE-EA EMPLOYE $500000 E.L.DISEASE-POLICY LIMIT I $500000 oTTa!R Alcommoraial Applioa ART036057102 I 0a/01/02i 04/01/03 PROPERTY 25000 A I Property Section IART036057102 Oa 01/02 , 04/01/03 DESCRIPTION OF OPEAATtOkWLOCATiONS'Vr,=LESIEXCL000INS ADDED BY ENDORSEMENTISPECLAL PROYI91pN9 CERTIFICATE HOLDER N j ADDITIONAL INSURED;INSURER LHTTER: CANCELLATION ROGERs SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXARAT1,04 DATE TNEREOF.THE ISSUING INSURER'WILL ENDEAVOR TO MAIL -2&_DAYS Y/R1TT Eti NOTICE TO THE CERTIFICATE MOLDER NAMED TO THE LEFT,SLIT FAILURE TO DO 80 SMALL Rogers s H&rney,, Inc. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENT3 OR P. 0. Boa 310 Qaterville MA 02655 REPREtENTATIVES- AUTHORIZED REPRE8eWMnYE ACORD 25-6(7197) 0ACORD CORPORATION 1988 Rpr 0.1 02 11 : 21a bur mac ins 508-771 -1258 p. l OJRD_ CERTIFICATE OF LIABILITY INSURANCklD 02 OA E(MM!°D/YY, YCO-1 04/01/02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McAlpine insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20Y Poet Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. D. ' Centerville MA 02632 Phane: 508-771-0105 Fax:508- B ' INSURERS AFFORDING COVERAGE INSURED INSURER A: _V_ermont Mutual Insurance Co �v NS~URERE: Savers PropertysCasualty Ins_ C Bay Colony Concrete Forms Inc IN;LSV.R C: Pilgrim Insurance Company OstervillevMA 02655 1j INSURER S: _I INSURER COVERAGES THE POUCIES OF INSURANCE LISTED BELOW HAVE SEEN ISSUED TO THE INSURED NAMED ABOVI:FOR THE POLICY PERIOD INDICATEO.NOTWITHSTANO:NG ANY RECUIRENENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS';ERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEfLM .EXCLUSIONS AND COND;TIONS OF SUCH !� POLICIES.AGGREGATE LIMITS SHO'NN MAY HAVE BEEN REDUCED BY PAID CI-AIMS. ILTR, TYPcOF:NSURANCE POLICY NUMBER OATE'MMR) TDATE MMIDO I-- _-- LIMITS GENERAL GENERAL LIABILITY ! ! EACH OCCURR=NCE QQQ QQQ _ _ A X COMMERCIAL GENERALLIA.BILITY ; BP17030923 i 03/30/02 03/30/03 I FIRE DAMAGE(Amy errefire) $$Q r QQQ -J CLAIMS MADE L J OCCUR I NED EAP(Any one peret0) $5 Q-Q PERSONAL B ACV INJURY I g 1 r QQQ QQQ -.._. GENERAL AGGREGATE... 4.2,0 00,0 0 0 GEN I.AGGREGATE LIMIT APPLIES PER: C F' -/ ,0 00,O DQ PRODU -COMP!OP AGG $2 POLICY r PE CT L O.r / ------- ......._— AUTOMOBILE LIABILITYI / . I COMBIfi()SINGLE LIMIT r CANY AUTO I(Ea a^_�cidont) i$ C ALL OV.RIEG AUTOS I I X SCHEDULED ALTOS BODILY INJURY HIRED !� I I� I $25_0. 0..0..0.-- 0 (Perper5on)....-I.. NCN-OV+NEDAliTOS 03/11/01 03/11/02 BOOILYINARY $5000000PMC7129214 03/30/01 03/11/02•' (parB"den;) PROPERTY DAMAGE I g 1000000 I I(Per accident) i GARAGE LIABILITY I I ! AUTO ONL'!• --IO EA ACCEN7 $ � I 1 ANY AUTO OTHER THAN EA.ACC $ AU TO ONLY: AGO $ ...... EXCESS LIABILITY iEACH OCCURRENCE $ OCCUR I CLAIMS MADE I AGGREGATE S HIUEOUCTIBLE RETENTION $ I $ WORKERS COMPENSATION AND ' -i X TORY LL43 I_•, ER ' EMPLOYERS'UABIUTY , , -------•—.-- B WC 0000753-01 03;31/O2 + 03/31/03 E.L.EAcHA.cc10ENr $100,000 ( I / E.L DISEASE-EA_EMPLOYEE $_100,000 \ _ E.!.DISEASE•POLK;YUMIT $500,000 OTHER \ / DESCRIPTION OF OPERAT(ONS;LOCATIONSNEHICLESIEXCLUS(CNS ADDED BY ENDORSEMEN'GRPE:.9AL PROVISIONS Concrete Construction \ CERTIFICATE HOLDER IN I ADDITIONAL INSURED:INSURER LETTER: CANCELLATION ROGERS 1 SHOULD ANY OF THE ABOVE DESCRIBED PCUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,T'r.E ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN Rogers 6 Marney NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE_EFT.BUT FAILURE TO DO SC SHAL'_ FAX#508-420-3550 FO BOX 310 IMPOSE Na OBLIGATION OR LIABILITY OF ANY KIND.UP•ON THE INSURER.ITS AGENTS OR Osterville N.A 02655 REPRESENTATIVES. John McAlpine ACORD 25-8(7197) CACORD CORPORATION 1988 ACO&A CERTIFICATE OF LIABILITY INSURANC OPGERl � 10/0707ID O4 DATE( /0 � /02 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Burlingame Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 20F Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Centerville MA 02632 Phone: 508-771-0105 Fax:508-771- INSURERS AFFORDING COVERAGE INSURED INSURERA: Vermont Mutual Insurance Co NSUP.F.R B:—Travelers P&C_ Barger Ma onryr In �INSURERC: _ PO BOX 21 NSURFR D: �— Cotuit DA 02635 — kNSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED IC THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NCI NWTMSTANDING ANY NEOUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER COCUMENT 1NITH RESPECT TO WHICH THIS CERTIFICATE MAY BErISSUEO OR MAY PERTAIN THE.INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT i O ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. p' TYPE OF INSURANCE POLICY NUtdBER mm MMIDLICY D/YY` I DATE 51MID —� LIMITS GENERAL LIABILITY i (IiACM OCCURRENCE 1 13500,000 A r}(1 COMMERCIAL GENERALLIABIL17Y BP17013142 09/26/01 1 09/26/04 FIREDAMAGE(Anyone"re) $5Q QQQ MCLAIMS MADE L_"'71 OCCUR ) I MED EX?(Any one parson) s5,000 _PERSONAL&ACV INJURY $500,000 _ GENERAL AGGREGATE 31,000,000. 1 G:N'L AGGREGATE Lima APPLIES PER'I I ! PRODUCTS•COMPIOP AGG $1,OOO 000. rPOLICY JET LOC — AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT I S ANY AUTO I (Ea accident) ALL OWNED ALTOS BODILY INJURY SC.,EDCLED AUTOS I (Per Person) S HIRED AUTOS t I BODILY INJURY I— 1 (Per atddsnt) S NON•OWNEO AUTOS _ I PROPERTY DAMAGE 1 (Per accider.0 S IrGARAGE LIABILITY I AUTO ONLY-EA NY ACCIDENT' $ I I A AUTO OTHER THAN EA AG—TIC : S )— AUTOONLY: A00 = EXCESS LIABILITY I EACHOCCURRENCE _ S OCCUR CLAIMS MADE f AGGREGATE I S I : —�DEDUCTIBLE r S RETENTION S I _ S WORKERS COMPENSATION AND TORY LIMITS I I ER'I OYERS'LIABILITY B EMPL 7PJUB-790X207-7-01 10/0 /01 I 10/09/02 E.L.EACH ACCIDENT is 100,000 7PJUB-79OX207-7-02 I 10/ /02 i 10/09/03 1 E.LDISEA3E•EAEMPLCYEE S 100 000. E.L.DISEASE•POLICY LIMIT S 500 000 OTHER I ! DESCRIPTION OF OPERATIONSItOCATIONSrVEHICLES'EXCLUSIONS 40DE0 BY ENDOR3EMENT:3PECIAL PROVISIONS ' Masonry i CERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION ROGEItSl I SHOULD ANY 0?THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION I DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10_DAYS VIRITTEN Rogers 6 Marney NOT!CE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO CO SO SMALL FAX#50 8-4 2 0-355C I IMPOSE NO OBLIGATION OR LIABILITY OF.ANY KIND UPON THE INSURER,ITS AGENTS OR PO Box 310 Osterville NA 02655 I REPRESENTATIVES. AUTHORIZED REPRESENTATIVI ACORD 25S(7197) — CACORD CORPORATION 1996 T '� 8SZT- TLG-80S sui Dew inq e6E =60 ZO GO 400 I CORD CERTIFICATE OF LIABILITY INSURANCE 6/25M/200 TM 06/25/2002 PRODUCE (508),994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION RUTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 414 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. M BEDFORD, MA 02742-5911 INSURERS AFFORDING COVERAGE INSURED Randall C Agnew Electri 1 C tractors Inc INSURER A: Commercial Union PO Box 1270 / / INSURERS: American Home Assurance Co Cotult, MA 02635 /// // INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. / INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE MM/DD/YY DATE MMIDDIYY GENERAL LIABILITY NBFB41863 11/16/2001 11/16/2002 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one fire $ 300,000 CLAIMS MADE M OCCUR MED EXP(Any one per n) $ 5,000 A PERSONAL&AD, INJURY $ 1,000,000 GENERAL GREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODU S-COMP/OP AGG $ 2,000,000 POLICY 7 PRO FI LOC JECT AUTOMOBILE LIABILITY CBXE04239 11/16/2001 11/16/2002 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ A X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION A $ WORKERS COMPENSATION AND C568-21-85 06/23/2002 06/23/2003 TORY LIMITS, I ER EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $ 500,000 B E.L.DISEASE-EA EMPLOYEE $ 500,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers and Marney BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF ANY KIND UPON THECOM NY,ITS AGENTS OR nP ESENTATIVES. Osterville, MA 02655 AUTHORIZEDREPRESENTATI ACORD 25-S(7/97) ©ACORD CORPORATION 1988 Board of Building Regula ions and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100134 Type: Private Corporation Expiration: 6/9/2004 ROGERS & MARNEY, INC. _ Charles Rogers P.O. BOX 310 Osterville, MA 02655 . Update Address and return card.Mark reason for change. p Address ❑ Renewal ❑ Employment Lost Card ✓lie V��a a��laasac�uta Board of Building Regulations and Standards License or registration valid for individul use only v HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 100134 Expiration: One Ashburton Place Rm 1301 ' 6/9l2004 Boston,Ma.02108 Type: Private Corporation ROGERS&MARNEY,INC:., Charles Rogers ' — 445 WEST BARNSTABLE ROAD Osterville,MA 02655 Administrator Not valid without si ature ✓lie ,°�nco�uueal� �✓l�d�� BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 016174 Expires: 05l07/2004 Tr.no: 24057 Restricted: 00 CHARLES D ROGERS PO BOX 310 � OSTERVILLE, MA 02655 , Administrator • l I RESIDENTIAL: • SHEDS - POOLS -DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ _ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25•00 $ i RELOCATION/IMOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ •O n I • Q:forms:dkcost eff:082301 Town of Barnstable Building .—.- --ter-----y,- ``—. .."'•_ , . _ ,_ Post This Card So That it is,Visible From the Street-Approved.Plans Must be Retained on Job and this Card Must be Kept " `�$ ;Posted Until Final Inspection'Has Been Made. 39. ;Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has Permit been made. 1 l.Jll 111 Permit No. B-17-3972 Applicant Name: Gene A Cormier Approvals Date Issued: 11/30/2017 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 05/30/2018 Foundation: System Map/Lot: 138-018 Zoning District: RF-1 Sheathing: Location: 231 SEA VIEW AVENUE,OSTERVILLE Contractor Name: Gene A Cormier Framing: 1 Owner on Record: MARTORE,JOSEPH A&GRACIA C TRS Contractor License: 1592 2 Address: 1881 N NASH ST UNIT 1901 Est. Project Cost: $4,000.00 Chimney: ARLINGTON,VA 22209 Permit Fee: $35.00 Description: Convert 6 Existing Smoke Detectors to Combination Smoke/CO in Insulation: Fee Paid:� $35.00 accordance with current code,replace incompatible Smoke Final: Detectors,and begin monitoring for CO. Date: 1 il/30/2017 Project Review Req: f Plumbing/Gas ~ Rough Plumbing: wilding Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT �b...... ivy Application Number.. RARP1Ed'ABI,E, Permit Fee..........42b... .D.0therFee........................ 1639. F� Total Fee Paid TOWN OF BARNSTABLE ... ..........on....����°1171...Permit Approval by.......... BUILDING PEST Map............1 f 3�............Pazcel.......I �...�.... ..................... APPLICATION Section I — Owners information and. Project Location Project Address R b I cj L M V i e W aV e Y1 u e_ Tillage OS J iJ,r��e Owners Name Jose LAW-s-oa- Owners Legal Address ,° 31 5 C 0kV,P_W a V e Vl u l? City sr ery;LLC State Ju 6 Zip ��55 Owners Cell# -"(�'w�9 - oG 9 9 E-mail Section 2 —Structural Use Single/Two Family Dwelling ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Section 3 —Type of Permit a / ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑Chang Fo use ❑ Demo%(entire structure) ❑ Finish Basement ❑ Family/Amnesty N 114reee ff Rebuild ❑ Deck Apartment o Me System it-❑ Addition ❑ Retaining wall ❑ Solar BLE ❑ Renovation ❑ Pool ❑ Insulation �Other-Specify Section 4—Detail 00 Cost of Proposed Construction �`/ 000Ir Square Footage of Project Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone.Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design i Last updated:11/7/2017 1 1 Section 5 w Work Description G'©aver^ � Lxi�r,;v,o �nnoteP p�'eesor-� �a eor���n�'►o� r; G J 'mil0Ve) C0 I]L'^e-e�rS . 0,U Ci.QMrdiYWai3On S1'C�fi 101Ce C.D QVl eCo r Yl W,.T ,, ' r I-e Y57 e0 L I r2 ok M 'I Yl Le s mou.e De-lee�0C.S ' "d, Pnep-tyk rnpyNAt!izor y)0 ror CO . Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage 'Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ®Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District F ( Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage . Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Hoard in the past? ® Yes ❑ No Last updated: 11/7/2017 � 1 i Section 9— Construction Supervisor Name (5 y1 CO e n r Telephone Number 130 8 - 3 J$ - Cb'))G Address '?0� DL lownatous ity�/• Yorvnow-x State} Zip o2(9�,3 . a -CEO License Number / 5 - C _License TypeSys,e m co�c� iration Date Contractors Email 1✓v� ee� eo d G1,Lat r rn.cort�Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation require by 780 CMR the Town of Barnstable.Attach a copy of your license. Signature s Date 1 ly 1�0 11 Section 10—Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code.. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date . Section 11 —Home Owners ]License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPIIICATT- SIGNATURE Signature D ate_tf 0417 Print Name -T(0 A' ' IA-AP-1 elephone Number E-mail permit to: 5a2es na 001413 aZaxrn . corn Last updated: 11/7/2017 } Section 12 —Deparfnie.�nt Sign-offs Health Department ❑ Zoning Board (if required) l Historic District ® Site Plan Review(if required) Eire Department ❑ Conservation ❑ I For commercial work,please take your plans directly to the fire depad mentfor approval Section 13 — Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to-work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name 1 v I ' I I i i Last updated: 11/7/2017 r 5rNcmx:t;nntlactrx[ICCn.''r u I5g2C Cape Cod.Alarm Co., Inc. All mployZei•6onded-And insund. 'IPA 'o4:oj T°wnhouse Road' Protection System chest YArmotnh,'MA 026.73 P1'OpOSaI v�u�v<apccoda7srm Ltirnmom 'releph.one: 1(800)4684300 Fitt: 1(508)398-5666 MS.CA Uient•Information rt �, i Email:info capccodalarm.coru• Bid L''0„� t�B T _ IFiFPA ..- 705EPH MARTORE 1AS).tlitti, ,Ijud ru w BUILDING �'t I. MAIN.HOUSE Proposal Numb& 9526 231•SEAVIEW AVENUE OST;=RVILLE, MA oi655 NOV 14 We 10/25/20I7 Phone 1(508)68'1-0900 Ext, Atuqt Rep. C036'Joshua ledger Email E�2ICC@EABARSNESS:COM TOWN OF BAFI S I2SLC PROTECTIVE SIGNALIK SYSTE14 E'1ONITORIK AGRM LENT- THIS AOREEMENrmad'e-and-entrad IntD.Ns day oreccMamce of this prop cI6al by,Nhd-betw&o CAPE COD ALARM CO.INC:hereinafter.edited the'C6mpany';and CtWORER tvelriaft&W7kd the'56sciribcr'. I,Company.aTecs to provide,orca4me to be provided at the address abode 2ndlcated the 5e vLe Arid/or C6nR)6ctlon saccifstd in Paragraph 4 hereof bdoW_ 2 Srrf>sait fr ag2e5 to pay co�,pt ny,Its suctc3sors and.assdgris,for'orKjorng rlonrtwfng the.annual chaige'as stated on this proposal'and pAyowe by caon srr as aksg stated on this Proposal in acham.wmtwoing the rust day:of'the month foilowing.thc'date of so taUOn Opmpleti0it and/or ctylnectlon'payzble itircltoghout the term of this Agreement 3.Pro. N tmc tibWISseEaer. dlarges arhd mormhly diarges fed the'leased fne%uoo In to`mneWon with st l es rendered under this Agrecmei t sMfl be paid directly tn'the Telephone Comisa•+Y by me S:Ibscribar. j 4.:The schedule d monituirS is.as•follows;,.PROreiGTIVE 51GNAUIiG SYSTEM MOIL TORING. 43-If Cape Cod Warm sired be required to place any sums mgstariding in i1 hands of anotherfW i'd.Itrtion,I agtee to pay aft Cost of C61fei tiop,including,but not raniu to atitxneyS IM-(W t0 exceed 33 1/3%)and court.costs' FINAHCF 04ARM: I have the right to-.pay the sums•Oue wfOln the.ctott:term granted%thout inarring a hnanoe•d+arge,If 1 160•n0t PaY WId1Nh said IVrrls,.l agreeto pay,in add"rion to the sums due;a rrndn�:ddrge of one and OrtZ'hW percedst oc.r month"(which•is'-an arv"percentag',e rate of 18%)on the next morWiry balance- S tf any agenc�y a<bureau handrq jurisd'xtion oc Sullstiitier by hts"oym'ati`r uests'tb rrteke any changes In the W50em as orlglnagy.prot Lk''ad,:Stibsab agrees to pay for the east a such cheatPer..The Sohsait)cr also.agrees to pay.-y.City,-State ar•Federal ta._ices;fees or:chatges now in f6r:ce or'hereafter imposed,applying to a is installatlon at+d service. 6,The aural term of this-Agreernertt is THREE YEARS from'the date ea(N Systerrids Instalkid Or o6inftb ted-at d becomes dperatiire and dwreafter for'consecki6v terms of c+ne(1)year unW Such time ai•elt W-rty"utlon t1hhy(30)days written notice,adU*O*WW+Pariyor fti irdeot to•tcrminatc the Agreement at the end of the ttnen wrrent term It is rurtho, agreod that after orw(1)year from:the date al this Agreement the, . Company rrhay petlodiplty adk>rt.Uhe setvlce cRwrge.V,9thin shirty(30)'dayS cf rer=eipt of notice of such aojttstrreril, the Sub56"ber nyty ttsmieate this Agr6cirnent 6y thirty(30)days written noike:16 the Company,pnyAded Subsblber is not in d�utt of arty terms or cerdltions'In the Agreement: 7,It is understngd:and agr*by the'parties that Company*is not liiwrer ono ttwt insusancc,if SNy;covcriN pms6nal Injury and.property boss*or•damaqe on.5ut,'scribees rrzmscs sthall be ohtiiir ; by the Subsa1]o&;that'the C&rz ariy'ls�lyehg paid IOrthe cunrieclin9 and/or mmonhoririg-of o sysiem ilcsigned to reduce tercafn risk of loss and that the amounts beingttharged by the Crxnpanyare floc Arfrhcl2nt touararitee th garno loss will om,r,the .the.Company is nor'assuming responsibll4y for any losses whicm may ottur'e r2rt if due to CorrtFarhy s negligetlt'performance or-faifureto perfwm any obligation uftderthis4greementr THE COMPANir DOES'NOT kAKE ANY REPRES&ITATSON OR WARRANTY,lXC1.11D11'.ANY IMPLIED VrARRANTY OF I,IERciik rAB1UTY OR FITNESS,THAT n E SYSTEM OR SERVICE SUPPUfO MAY NOT BE C014PROMISED OR TH+LTTHE SYS,'EM OR•SE:RVICES.WILL IN ALL CASES PR6gDI5 THE PROTEC1710N FOR WHICH IT'dS INTENDED, Slice lit K•imyiratffA!and'exttemelY dff dt to fix actual damages,if ariY,whlch;mey arise due too*faulty operaiioh orb he system cp failure Of sendces;pnin+40,if,notw#iIsiw%din the above proviSiOns,OWE stcM Use any Tray"dity bn the W-Of'd*ContOAY,Such fraWTity shath b:limited:ta.an.3mcaynt equal to one half the annual service charge provided herein or .$250 whbhever is greater.This sum shall:be cOrrtp"ardJ exd'us'rve and s2iaC'be Oid'and,rec,eired as liquidated damages erW trot as 8 perialty:'In tint'eAtTthyt 1 :St7b+i+rber%is(1eS irwac se the marrvrlum amount 0('suclh liquidated damages,Subsalber may,as a niagei r.or rlgtct,brain from Comparlya bIgher Mit by paying an additional anx7r ljpr6port*rked;t0 the inGease yr rquidated damages, Subscriber awees'to and•thrill k-demnify aM save harmless the Company,Its employees'and agerits;foi.and against all third party tlalms;Iawuois.amd tosses aneged W be.taused by Comparty'S performance,negGgertt ppfolniance or.'fallure W Oerfcam�obliga'tions tinder.this Agreement_ Sal B.SUbber herrbV"alitl>oritCS 1i�r Company to make inst�IL3tfoii.aridia conntxtlan at CcrriNny's:converttence.1f:Subscriber deSirminstallation 0r.connecko to be(lone-at a ume o6wthan nmrkd wbrking hours_Or On Yreek:eryk,a:kW'cost wfff.be.paki for.a'%tthe Subscylher at:Ccarhpan�s 5landard rates Arhy icstatl-don Or cgnne[EJOn diwge gttoted in 71tis Agreement is based upon Canparhy'perfotming the fnstaflatlon.or•connect7on vith its firth personnel.It,for any reason this installatio cr conrie[iron or any pan't1 woof roust be :P&I'tr tred by aASW COrttradom,said occonInLctlon is sub.Jed 16 rev.i foil, "rivs age CpCS not.cOirCl repairs.pue tl0 itwe„misuse;-Obns6u66c.n/reno+'ationsfugigrades,-andror acr$'of nature. t0.:it 6 u ood and,agr�.by the parfies that this Agreement tortctitutes:the entire Agreement between.the'pa.66.w thervA no verbal understanding or medd)•In any of ltie terrtiS of chi Pgreemwt This contrad may not tye cljdnged,niodif ed,or v�ded_cxcept by writing�nd.99ed'by an autlhgrized represertptive M the Carrigany9T1t6 Agreement shall not'bemme buX5n9 ah'the Company until;apprgved hyy'Compariys rtanagemenl ps;prwided below,SUBSCRISak H SY ACKN(rWLEDGES THAT HE RAS.READ MD' UNDEFtSTANOS TH15 EFfIIRE AGREEM£hrT:IF TliI5.i5 A HOh13 SOLICtTA non 5AIE,YOU,TNf BUYER,MAy CAfv'M T. IS TRANSACTION AT ANY TIKE PRIOR TO FtUNQGHT OF THE Tf J)&ONESS DAY AFTER DATE OF THIS TRANSACTION. CCA remmrn ds wireless rnonffaitn .Ir- 'g yot,use:teleph6n2 Ji tzs'tti2n live rao0mmenQ tislrlg a stdhddrd P O T S.tdc=d fine(Plain 016 Tdeptwne S6rol e)fbt all pfOW 1tro+rtonng. Tf yw natae CZNetV.0.I_P phone Segw-e-d'i)Sl'plea3e eUntacc your'Account Manaqt*r. ••Pertthlts Are Extra We Propose:hextby to haiiish.this Protedlon S)3Vem itduding rmAteriiif and Libor-complete In accordance with above spa frxzSons,tqr the'(otal Amotmt Shown,Ail material Is 9tWrarlttleG to3he es specified i111 woik,to be tArthpic[�d'durirtg normaf.W-riness hours Ina vvwkmanlfke manner according to standard practices.Arty alteration or dembon from the a0ove spe;rsitatiorts iwatying extra costs will be done.OnlY uP.On written.orders,•and will become an extra charge over and above the estintate. AN areemevnts contingent upon sU4..e�, aC[idt+tt5 or`deFdYs beyond our'core6l.Owner to carry fire,tornado an'd 00her nocCtsary Inswance.All—parts,&tat7pr guaranteed for one year. Addroonal Teirrx: 36.mx%th monitoring Contract required unless Oth%%se noted;lf'syStent R not monitored add 1200-00 to In_-atla5on amount,1Ve'recornmw.4 a daily test SIX0 per amth.Any 110VAC V10 k a not part of this Wdposat_YOij v ttl need to contract a licensed elarfcfan for any I(OVAC work. '••Carbon Morlo)ode,deteanrs,are tCquiredby law to be replaced every FIVE(5)Ycars.'(OONTACIFUS) Deposit Required;112 Down'fi Balance t}.re On Day Of 1rhstallati3n. A Late f!of$S.W1 or 1,5%per month;whdxKet is grwiter, will be•charged. All major.aedd cards accepted. ..-PLCkL55C'3115n%A Urt I IBE X Proposal 9516 www.CaveCodAlarm.Com +r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractorsf%elct,?i�,ians/Ltumbers Applicant Information Please Print Le ibl Name (Bu si ness/OrganizatiorAndi vi dual): CAPE COD ALARM CO., INC. NUV 142017 Address: 204 OLD TOWNHOUSE ROAD TOWN OEBARNSTABLE City/State/Zip:WEST YARMOUTH, MA 02673 phone #: (508) 398-6316 Are you an employer? Check the appropriate box: Type of project(required): 1. ✓0 1 am a employer with 30 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 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I L❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[3 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.Z Other(6VkV"} 1600114 5 k comp. insurance required.] *ok� °r *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: Associated Employers Ins., Co. Policy#or Self-ins. Lic. #: WCC-500-5006433-2017A Expiration Date: September 1, 2018 Job Site Address: O�3j Seawew 4VCYI to City/State/Zip: 051-Pe Viu? uQA OZ655 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der th pains vr�d penalties of perjury that the information provided above is true and correct. Sianature: Date: . /y 7 Q / Phone#: Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: BUILDING DEFT NOV 14 2017 TOWN OF BARNSTABLE s. OMfVIOtVWEALTH:OF.MA .SCHl7ETTS:,:>; Commonwealth of Massachusetts � . e ® ® a Department of Public Safety License: -000248 ` ELEGTRfCIANS, I -License Security Systems S >=:ISSUES THE.�F:OLLOWING LIC�E�i'dSE�AS A t" �`' I�E�(STEREI�SYSTEM�::G.QIVTRA.CTOR�'• � �� � '` : a GENE CORMIER _ Y GE,NEACORMIER Employer < Af?E COD:AL••AfZP CO INC `'uis': CAPE COD 'ALARM J 204 OLDTQ:INN`HOUSE Rq}' _> �W -WEST<YARMOUTH, IIIIA>:-:02673-1531 >.: n , Expiration: 1592 3 07131/2019:.<.>:;.;.<: 123442 Commissioner 11/07/2018 gqLcjAqLjgWu >3 m' �.NAII�.ONiJV ALTH;® IAAJCr�1.�GHU- TTS; 1. ® BAARM"'QE s;3 ElECT{2CCIANS;.; ISSl1�S THE FOLLOWINGZidbENSE °> S 'EG'.IiSTERED SYSTEM:TECHNrIC,IAN ,QE N:E A CORMIER''= SOUT[lD'Ef'ft MA :026:6.0:*26f7° w 1507 f3= s' 07/3112019::ax; %' 212805 'o �o Cf R N RIC/r TE OF UABU DATE(MM/DD/YYYY) �����J' �� A/30/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer ri hts to the certificate holder in lieu of such endorsements. PRODUCER CONTACT Rogers&Gray Ins.-Dennis Branch PANE: 434 Rte 134 PHONE .508-398-7980 IAIFAX .877-816-2156 South Dennis MA 02660 E-MAIL mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC If INSURERA:Allled World Surplus Lines Insurance Company 24319 [204 URED CAPECOD-54 INSURERB:Arbella IndemnityInsurance Company, Inc. 10017 pe Cod Alarm Co., Inc. INSURERC:Associated Employers Insurance Company11104 Old TownhouseRoadst Yarmouth MA 02673 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1330374015 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR INSUREDION NAMED ABOVE FOR OR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIRE E.NF,1TERM 0� OTNDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN igiE INSrI RARVAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE Ir'a t�`-r7-ll_t. POL INSD�IWVb. � ICY EXP F 78 ROLRCYNUMBER POLICY MM/DD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y tlY 5200178001_ 9/1/2017 9/1/2018 EACH OCCURRENCE $1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $100,000 MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 POLICY JET LOC PRODUCTS-COMP/OPAGG $5,000,000 OTHER: $ B AUTOMOBILE LIABILITY Y Y 1020005044 9/1/2017 9/1/2018 IN Ea acr'dent IN L L MI ANY AUTO $1 000,000 OWNED SCHEDULED BODILY INJURY(Per person) $ X ' HIR DS ONLY NON-OWNED AUTOS BODILY INJURY(Per accident) $ X AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE $ Per accident $ A UMBRELLA LIAB X OCCUR Y Y 5201058601 9/1/2017 9/1/2018 EACH OCCURRENCE $3,000,000 X EXCESS LIAB ENTION$0 CLAIMS-MADE I.AGGREGATE $3,000,000 DED X RET C WORKERS COMPENSATION PROPRIETOPARTNER IPERS AND EMPLOYERS'LIABILITY YIN N WCC50050064332017A 9/1/2017 9/1/2018 X STATUTE EOT RH ANYCERIMEMBER/EXCLUDE/EXECUTIVE E.L.EACH ACCIDENT_ $1,000,000 OFFICER/MEMBER EXCLUDED? ] NIA (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space is required) Certificate holder is provided additional insured status for ongoing and completed operations,primary/non-contributory including waiver of subrogation with respect to general liability when required in a written contractor agreement. Certificate holder is provided additional insured status with respect to auto liability when required in a written contract or agreement. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis MA 02601 AUT 212ED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. J ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ; W ^ O p Q m O O CIO Z Formal Living Room Z TL� �) Kitchen Dining Room Living Room �O Laundry s/co Foyer -Down � Bath �Up Parlor SlRoom kSitting Bath T Up Martore Residence Legend SMOKE DETECTORS REVIEWED 231 Seaview Ave. Osterville,MA Qs Smoke Detector NSTA E DI EP j1 DAT 1 st Floor(After) Lf T �� ?J Smoke/CO Detector FIRE DEPARTMENT DATE BOTH CIGNATURESARE REQUIRED FOR PERMITING i Bedroom Sitting Area s/co !S Bedroom Bedroom Bath �O Bath Bedroom V Study/ I UP sko �1 Down �' Down y0O Bedroom Open to Below ------------- Bath Bedroom Martore Residence Legend 231 Seaview Ave. Osterville,MA QS Smoke Detector 2nd Floor After s/co Smoke/CO Detector s/co Down Martore Residence Legend 231 Seaview Ave. Osterville, MA O Smoke Detector 3rd Floor Office (After) f s/co Smoke/CO Detector up To bulkhead Crawl ----------- 0 0 0 ° L--------------------- L-OOjI- Game Room Crawl Martore Residence Legend 231 Seaview Ave. Osterville, MA s Smoke Detector Basement(After)' s/co Smoke/CO Detector 61/02/1SS5 00: 34 9156E7906233 PAGE 02 Doc:096, 140 12-04-20 rt 12:03 BARNSTABLE LAND COURT RESISTRY Town of Barnstable y33 / Regulatory Services !t Thomas F.Geiler,Director • sAt+nsr�ats, � � , Building Division Tom Perry,Building Commissioner 200 Main Street, Hya=is,MA 02601 Office: 508-8.62-4038 Fax: 508-790-6230 AGREEMENT FOR ACCESSORY USE OF RESIDENTIAL BUILDINGS ASSOCIATED WITH RESIDENCE r I y I(We),the undersigned,being th:e owner(s)of property situated at 231 Seaview Avenue t e ru in i 1 1 A (w; a n n n) : MA,holding title Lander a deed recorded v6th the Barnstable County Registry of Deeds or Apr+.stable County District Registry of the Land Coot!n Book ,Paee or as Document *o. '7 _— - , being shown on Assessors' Map 138 as Parce'. 18 , hereby O agree, certifym ,warrant and represent to the Town of Barnstable that the accessory building to the resident: located an the sae parcel as above-described,which contains living quarters, is not intended for and shall not be used as a t-' permanent,separate aparm=t for year-round or summer occupancy,for rent in any fashion. C� The intended and authorized use is for the occasional guests associated with the residential use on the same '. premises. This separate unit shall not be used for a "Family Apartment" (as defiled in Zoning Ordinances) which cR Nvould require application and approval of a special permit and compliance vaith the Farrely Apartment Rules and w Regulations: This separate unit shall not be rented as an apartment or as a single room, or in any fashion, which t J , rental would be a violation of the Town of Ba_rnstable's rules,:egulatio7as,and zoning or 'inc This Agreement shall be duly recorded or filed at the Barnstable County Registry of Deeds/Land Court for the purpose of alerting future owners of the property of this binding Agreement concerning the use of the property as herein stated,whicb shall run with the land and binding future owners. The comideration for this A peernent is the issuance of a building perriur and/or certificate of occupancy by ri the Town of Barnstable Building Department, IN TNBSS our hands and seals this day cf 200 r — `�� n TOWN OF BARNSTABLE OWNER(S) By. _ `��ni','+ Building Commissioner �•y�- rrM COMMONWEALTH OF Ni SSACHUSETT BARNSTABLE COUNTY,SS Date Theo personally appeared the above-na-md owner) S 2 I \ ( S�, �`.i /'/.S� ✓ _ and made oath as to the truth of the foregoing instrument,before me. �. Notary Public/" My Cotwtvssion Expires: F OFFICIAL SEAL" Q:ward'eccotysgreeme„t Cathryn Laura Johnston ARY PUBLIC STATE OF ILLINOIS ommission Expires07/31/2005 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Maps Parcel 0t8 I Permit# Health Division Date Issued j Conservation Division /0 � � P/� �P°Z1 `1/ ' + Application Fee �! ! OU Tax Collector D b ® �. — ,r,D/lfjj/0 R Permit Fee Treasurer — C21 I(vi v� SEPTIC SYSTEM MUST BE O I IMSTALLED IN COMPLIANCE Planning Dept. 1f9PITH TITLE 5 �d� Date Definitive Plan Approved by Planning Board C� • .,� ENVIRONMENTAL CODIE'ANE I' 1 , ,� TC 104 REGULATIONS Historic-OKH Preservation/Hyannis .' ` Project Street Address '2.31 S£A y t t✓w Wy F_ ! 41 Village QST£9-V tN.1 C- oo _ SST _ Owner R00s¢T A - St%&R1K1 Mo Gut2 ksort Address �Ag m FoaZST' I mil. . 6o04S' Telephone 8'l?• ?A Al • otiS? Permit Request GoN,srQuCM 20, X soy /M r.R0yNo 6wyITE PooL S Pa N LO Square feet: 1st floor: existing proposed 1000 2nd floor:existing proposed Total new t 000 Zoning District R E - 1 Flood Plain N/A- Groundwater Overlay h P Project Valuation 85 ow.—' Construction Type GuN IT F_ Lot Size .RS AC_ Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. cm CD Dwelling Type: Single Family &Y" Two Family 0 Multi-Family(#units) Age of Existing Structure ioo + Historic House: 0 Yes ElNo On Old King's ftg way: &Yes No CD Basement Type: WFull &Crawl ❑Walkout 0 Other —e Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) Z Number of Baths: Full: existing '7 new O Half:existing 2 new o Number of Bedrooms: existing—_ new D Total Room Count(not including baths): existing 16 new o First Floor Room Count 8 Heat Type and Fuel: M Gas ❑Oil 0 Electric ❑Other Central Air: W" es 0 No Fireplaces: Existing 3 New o Existing wood/coal stove: ❑Yes ®'IT& Detached garage:0 existing ❑new size Pool:0 existing r"new size zogsb'Barn:0 existing ❑new size Attached garage:0 existing ❑new size Shed:0 existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial 0 Yes ®1 o If yes,site plan review# Current Use Q N it a C—/++ 41 t_ C? Proposed Use S M G BUILDER INFORMATION Name RoGF_,gs A y44 ESN tJ 4 . 2•NG, Telephone Number So 8 • K 2 8 • 6 I o A Address Scm 3 t o License# C,,5 616 t r7 y exSms p=y l,a 07_6S" — .— Home Improvement Contractor# t oo t RJ Worker's Compensation# INC. 6?_6-1 4/6Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN 19c? r1 ikanwtMe m C SIGNATURE DATE __ /D • /6 D Z r; FOR OFFICIAL USE ONLY PEIi,,MIT NO. - 3 r DATE ISSUED MAP/PARCEL NO. - ADDRESS I 2 VILLAGE OWNER - ~_DATE OF INSPECTION: r`FOUNDATION' �� `Z- Cj (� 4 FRAMES" •INSULATION ��� �• J� �• FIREPLAG` ELECTRICAL:ROUGH FINAL -Y PLUMBING: ROUGH;.'• FINAL ell AS: '� - ROUGHS I ; FINAL FINAL BUILDING ? := _ DATE,CLOSED OUT r e� ASSOCIATION PLAN:NO. _ I 4 �p THE T 1 1. The Town of Barnstable nwttnsrnu�. - ' " Department of Health Safety and Environmental Services �A 1639. �0 rFn Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT hIOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL c. 142A requires thnt the "reconstruction, alterations, renovation, repair, nwdernizntion, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing nt least one but not more than four dwelling units or to structures which are ndjncent to such residence or building be done by registered contractors, with certain exceptions,nlong with other requirements. Type of Work: 'r'N G R Ou?40 POOL- Est. Cost* 3S, OGp.°o Address of Work: Z3 ( SE V I Ft.y AYE Owner's Name Zd E6F-9,T SU G-A M I\AQ e-e A.S0 KI Date of Pernnit Application: 1 0 , 1 fo ' d Z 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 tint: OWNERS PULLING 'rl-IEIR OWN Pr12M1T Olt DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE. HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO TIME ARBITRATION PROGRAM OIt CUAILkNTY FUND UNDER MCL c. 1,12A `.SICNl.D UNDER PENALTIES OI-. PERJURY I Hereby apply for a permit as the agent of the owner: IQ l n o2_ A- MA12HFQ ZK6 tO013y • Date Contractor Name Registration No. OR Date Owner's Mime r _ The Commonwealth of Massachusetts Department of Industrial Accidents —_- J Ofllce vl/oyesUgaUuns 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit - 1i nt' 1eQtbly - - name: location: ctry i-hone L ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ® I am an employer providing workers' compensation for my employees working on this job. r company name: ROGERS & MARNE-Y '_INC ' ::...::: address: P.O. .BOX 310 tv: OSTERVILLE MA'.02655 phone" (508) 428 6106 insurance co. AMERTCAN TNT .RNA TONAT _polies - ❑ I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: SEE ATTACHED SHEETS address: n•: - phone a• insurance co. olicy= company name: address: city: phone-• insurance co. policy# : .. - - -,Attac a dttional sheet if Failure to secure coverage as required under Section 25A of;.4GL 152 can lead to the imposition of criminal penalties of a fine up to S1500.00 and/or one years'imprisonment as-ell as civil penalties in the form of a STOP WORD:ORDER and a fine of sioo.0o a day against me. I understand that a copy of this statement mav be for-^arded to the Office of Investigations of the DIA for coverage verification. /do hereby certifi•under a pains nd p alti ofperjury that the information provided above is true and correct. Signatur: e06 1M R WE Date /O - 16- 0Z Print name O C.17 Phone = S 428 . 61 CC_ r Orr[621 use only do not rite in this area to be completed by eics•or town official C ein or torn: permit/license# OBuilding Department t oLicensing Board t check:if immediate response is required �Selectmen•s Office []Health Department ontacc person: phone: 00ther sti n PW TUL-15-2002 MON 12.4'� FM MARK SYLVIA INSURANCE 5084209227 P. 02 A, oW M CERTIFICATE OF LIABILITY INSURANCE D07/15,2G02) PRODUCER 56 428-0440 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MARK W SYLVIA ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 770E MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE,MA 02655 INSURERS AFFORDING COVERAGE - -- --/� _.� ._.__._..._....__..... _..-- ... _......__.. INSURED I I,vsURER A: _FARM FAMILY CASUALTY INSURANCI=COMPANY NORTHSIDE LAND Ca C INsuRzF Fs: _._..-_........ .... R _. _..__....._.._. _..-._ .. PO BOX 2331�i�SUREII —•-.--.--...._. C: WEST BARNSTABL ,MA 02688 INSURER D: I I INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDAEOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIRENICNT,TERM.OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUEC OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS NO CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C_LAIMS. INERT— TYPE OF INSURANCE POLICY NUMBER POZTCYFFECl11J TPOLICY EXPIRATION I LIMITS GE1N1ERALLIABILITY I i I EACH CURRENCE S 00 I COM.U_RCIAL GENERA.LIABILITY 200-I X021 G - ffffff_ I FIR DAMAGE(Any ona(Ine) I S 5L7 GGQ I— 6-12-02 6.12.03 _..__.- ... . -- I I CLAIFIS rtaDfi X�OCCUR I I I ED ExP(anyoneForaDN_.�.6....._..._...._...6,000 _._... 1 PERSONAL d ADV INJURY 6 _ cENERaLAocREcATE 6 2000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODucrs•CO P10P a00 b 1,000,000 PRO- I I i__._...._.__...... I......____.._.._._._.... I POLICY i I JECT ' I!OC AUTOMOGILE LIABILITY I COM13INEO SINGLE LIMIT b ANY AUTO I I(Eo aocltlenq ALL OWNED AUTOS !BODILY INJURY S SCHEDULED AUTOS I I(Perpereon) HIR6DAUTOS j 6001LY.INJURY NON�OWNSO AUTCS {Peratogani) S i PROPERTY DAMAGE I I I(Paraacidem) GARAGE LUIBILfiY i A:JTOONLY-6A ACCIDENT I S - ANY AUTO eA ACC S I ATHER UTO OmY: _A.....-......... I GG 14 eXCESISL'ABILMY I 1?ACHOCCURRENCE — S (OCCUR CLAIMS HARE I I AGGREGATE S DEDUCTIBLE I b I RETENTION S I µµ.. $ WORKERS COMPENSATION AND I „-_,TORY LIMITS, _k,4.••__••_._... ._—_.. EMPLOYERS LIABILITY 12001 W6168 ?-13-02 7-13-03 E.L.EACH ACCIDENT s 500,000 E.L.DISEASE•EA EMPLOYEEEIS_ 500,600 E.L.DISEASE-POLICY LIMtT is 500,000 I OTHER j I I I DESCRIPTION OF OPERATIONS/LOCATION&VEFOCL69fEXC EONS ADDED BY ENOORSEMENTISPECUiL PROVISIONS LANDSCAPE GARDENING,SEPTIC TANK SYSTEM,STREET CLEANING I CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION 6HOULO ANY OF THk ABOVE DESCRIBED POLIME6 BE CANCELLED BEFORE THE EXPIRATION ` DATE THEREOF,TH5 ISSUING INSURER YII.L ENDEAVOR TO MAIL DAYS WRITTF_N NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE(LEFT,BUT FAILURE TO DO SO V.ALL I ROGERS AND MARNEY IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UFCN THE INSURER,ITS AGENTS OR EPRESEN TATIVE9. HORITED REPRESEN TATIV I I ACORD 25•S(7187) 0 ACORD CORPORATION 1888 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) IM A , I / �C(�'J L DATA 03/27/2eO2 10:02 5083366411 CUSTUM GUNITE POOLS PAGE 02 ACQP,D-,. CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATE IS ISSUED AS A MAl7I_'-R OF INfORtJlpTlply ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE I HOLDER. THIS CERTIFICATE DOES NOT AMEND. EXTEND ORI ALTER THE COVERA L vE AFFORDED BY THE POLICIES 8 LOW. tl 5m8 n 1 INSURERS AFFORDING COVERAGE (;[JNfTl.! !NC AmFRICAN F:QUITY IN':: CO .'R n IS1.,Mil .'I*Y. MlYil!Al. Nl-:W 'I' NIA V'169 I;Nl�Ul 'OVERAGES 1'41 t;011 fKLOW HAVE FJEF.N I$SjEC)To ri<INSUREr NAMED AOQV�FOF;THF POLICY A.14Y "�T.TFRM%1R Com.,mK)N CJF ANY CC)WIRA�1'0p,r)7r4F I< CA.W P-T N t W 0 11 t I-f'l' YO 01HIGH THIS C;EFR`iFIC.AI+ MP: ffi: D .y1 pi-RI.IVIl lli� :W�LIRANSI AFFORDED BY THE P0,_iCIES D:ESCRIBED H.ERFIN 19 Skl�jj'r.(;T WDAI I !'CRMS,. ANn(,oNimrinw.C4 Al'-Ckr-OAI I- IJM;Ia$H 0VIIII MAY riA.vE 8-LEN Rfi'0tXEo ay PAID C-.Alm S Tyvs OF Io OtIc'NobteER 5 IXUII,.II'V o X 1 00 J 1) 1(1 ACC 1 4 21-:)> cl If,/0 ()� At', 1 0 00 (10 0 I IL:V:lvW,4 YPIt I I-I Im- AL;l:fd 1: 014 WCAKERS rOWPI?NSATION A 0 1 92 0 ill 02:i 27 G; 0 0 043L 1%.i.: % lxo r; 0 C. 0 0 0 000 or Aooco WY FNOORIIIEMENT:wrCIAL PROVISWNS - i ERTIFICATE MOLDER i X AWITICNAk ;NsLjREV; INSURER I.E—TER, CANCELLATION -At A1301VE C'E3CA192V Mije.!ES BE C.AMGEP(.',SEPORE T4k EXPIR-1.0N PATE TkElllel.)F,-,md 13SUINO ImouRflit M1.1,ENCEAVLIR TO mAll j cl n.yn w.-TvEN I,>TmP w.Io.eq mxA n in rms i.rFr,ow, Si, llffl.)SE MO(;6L.UAY'ICK OR.LVISII.We pW ANY XINV UPON liE INSURER.ITS AO-&'!$OFRodcer5 and Xorn4'y pFk- vvp� iNIA A044 -_St ri Z; N II 11OX3Z 3' x 3 C'. 7-0 40 Zo- !AD- 5'- 16.6 ,zL_Z'O'7AV. TVP! -'A -T-1 c r"i t3 WATE --OWE-15AA7 IC ALLY IPILAC?-V -fzl14,CVffTE :SMALL WAVE A MIAMOM COIAME-6,iVe 0-4,V %V tTr !",V 6AAV DA6e !STTE)4QTU OF -4000 V e ZZ GAYS MA if.0 I f= imt-1145;4 --ce3 4 PO cc k 144 -IAI&LL CO�tr-,OrM ME-4 Ulp4atiM OF 4o VIAML'TeV5 A'r 4 FPL I C L--- AMP e-OCNESZ-5. % e K4 A X. '.V'ATS-q Oke -a. WALL :'LOOIZ F \VA Y ;71 " L -- — 3 r A L V-- V4 PA V41 TMA a-'MOO, -5e etL c- Rzop"W.WVA emle (!:;t:5 C LJ 0 IT t7 A L L- -TeWT109 FOOL CON6 & Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 100134 Type: Private Corporation Expiration: 6/9/2004 ROGERS & MARNEY, INC. _ Charles Rogers P.O. BOX 310 Osterville, MA 02655 Update Address and return card.Mark reason for change. oo Address Renewal R Employment ❑ Lost Card ✓fie i�ominza�z�uea�i a�✓j/laaczc�ivaeL�a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 100134 Board of Building Regulations and Standards Expiration: 6/9/2004 One Ashburton Place Rm 1301 . Boston,Ma.02108 Type: Private Corporation ROGERS&MARNEY,INC. Charles Rogers _ 445 WEST BARNSTABLE ROAD ^� ( — Osterville, MA 02655 Administrator Not valid without si ature 7/. TDo7rzvnatuuea�i a�✓� �ic�aet�b BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 016174 { -Exp ire s:.05107/2004 Tr.no: 24057 F Restricted: 00 CHARLES D ROGERS— PO BOX 310 OSTERVILLE, MA 02655 Administrator • i Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE:Morrison Residence CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,DetachedL� HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 08/06/02 DATE OF PLANS: 8-6-02 PROJECT INFORMATION: Construct addition per plan COMPANY INFORMATION: Rogers and Mamey,Inc. Box 310 Osterville,MA 02655 COMPLIANCE:Passes ,Maximum UA=501 Your Home=428 14.6%Better Than Code • Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Cathedral Ceiling(no attic) 368 30.0 0.0 13 Ceiling 2:Flat Ceiling or Scissor Truss 897 30.0 0.0 31 Wall 1:Wood Frame, 16"o.c. 2525 19.0 0.0 120 Window 1:Wood Frame,Double Pane with Low-E 268 0.350 94 Door 1: Glass 213 0.390 83 Door 2: Solid 40 0.660 26 Floor 1:All-Wood Joist/Truss,Over Unconditioned Space 1296 19.0 0.0 61 Air Conditioner 1: Electric Central Air, 12 SEER Furnace 1:Forced Hot Air,93 AFUE COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design as ecified in Sections 780CMR 1310 and J4.4. Builder/Designer 140662S A'VA i Ugq Date 8. 6•b2_ r f MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 08/06/02 TITLE:Morrison Residence Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: [ ] 2. Ceiling 2:Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [. ] 1. Wall 1: Wood Frame, 16" o.c.,R=19.0 cavity insulation Comments: Windows: [ ] 1. Window 1:Wood Frame,Double Pane with Low-E,U-factor: 0.350 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.390 #Panes Frame Type Thermal Break? [ ,] Yes [ ]No Comments: [ ] 2. Door 2: Solid,U-factor: 0.660 Comments: Floors: [ ] 1. Floor 1:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Air Conditioner 1: Electric Central Air, 12 SEER or higher Make and Model Number [ ] 2. Furnace 1:Forced Hot Air,93 AFUE or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfm(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-values,and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool'pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the levels in Table 2. f Table l: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 -1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-206 0.5' 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) i II I or Span Tables O.C. spacing ***THREE STAR *** 12" 16-8" 19'-10" 22'-7" 17'-4" 20'-8" 23-6" 26-1" 22'-5" 25-5" 28'-2" 25'-9" 29"-2" 32'-4" 354" 38'-3" 16" 15-2" 18'-1" 20%7" 15-10" 18'-10" 21'-5" 23'-10" 20'-5" 23'-2" 25-8" 23'-4" 26'-6" 29'-4" 32'-l" 34'-9" 19.2" 14'-4" 17'-l" 19'-5" 14'-11" 1IT-10" 20'-3" 22'-5" 19'-3" 21'-10" 24'-2" 22'-0" 24'-11" 27'-7" 30'-2" 32'-8" 24" 13-4" 15'-11" 18'-1" 13'-11" 16'-7" 18'-10" 19'-10" 17'-10" 19'-7" 19'-10" 20'-5" 23'-2" 25-8" 28'-0" 30'4" 32" 12'-2" 14'-4" 14'-8" 12'-8" 14'4" 14'4" 14'-10" 14'-8" 14'4- 14'-10" 18%4" 20'-2" 20'-3" 24'-8" 25-6" **** FOUR STAR **** 12" 1 V-6" 15-6" 17'-8" 1 V-6" 16-2" 18'-5" 20'-5" 17'-6" 19'-11" 22'-l" 20'-l" 22'-10" 25-3" 27'-7" 29--11" 16" 1V-6" 14'-1" 16-l" 1V-6" 14'-8" 16'-9" 18'-7" 15'-10" 18'-1" 20'-0" 18'-2" 20'-8" 22'-10" 25-0" 27'-l" 19.2" 10'-0" 13'-3" 15-l" 10'-0" 13'-10" 15-9" 17'-6" 14'-11" 17'-0" 18'-10" 1T-0" 19'-4" 21'-5" 23'-5" 25'-5" 24" 10'-0" 12"-4" 14'-0" 10%0" 12'-10" 14'-7" 16-2" 13'-10" 15'-9" 17'-5" 15-9" 17'- 11" 19'-10" 21'-8" 23'-6" 32" 9'-4" 11'-1" 12'4- 9'-9" 1 V-6" 13'-3" 14'-8" 12'-4" 14'-3" 14'-10" 14'-1" 16-2" 17'-11" 19'-7" 21'-2" * CODE APPROVED 12" 18'-5" 21'-11" 24'-11" 19'-2" 22'-11" 26-0" 28'-10" 24'-9" 28'-l" 31'-2" 28'-6" 32'-4" 35'-9" 39'-1" 42'-3" 16" 16-10" 20'-0" 22'-9" 17'-6" 20'-11" 23'-9" 264" 22'-7" 25-8" 28'-5" 25'-11" 29'-4" 32'-6" 35-6" 38'-5" 19.2" 15-11" 18%11" 21'-2" 16'-7" 19'-9" 22'-5" 24'-10" 21'-3" 24'-2" 24'-10" 24'-4" 27'-8" 30'-7" 33'-5" 36'-2" 24" 14'-9" 17'-0" 18'-11" 15-5" 18'-4" 19'-7" 19'-10" 19'-7" 19'-7" 19'-10" 22'-8" 25-8" 27'-2" 31'-1" 33'-7" 32" 12'-5" 14'-5" 14'-8" 13'-6" 14'-8" 14'4" 14'-10" 14'-8" 14'-8" 14'-10" 20'-0" 20'-2" 20'-3" 24'-8" 25-6" • Table values assume that sheathing is glued • Table values assume minimum bearing *** Live Load deflection limited to U480. and nailed to the joists. lengths without web stiffeners for joist depths of 16 inches and less. 18 and 20 inch joists **** Live Load deflection limited to U960 to • Table values represent the most restrictive of require web stiffeners. provide a floor that is much stiffer for simple or multiple span applications. the more discriminating purchaser. • This table was designed to apply a broad ¢ • Table values are based on residential floor range of applications. It may be possible to * Live Load deflection limited to I loads of 40 PSF live load and 10 PSF dead exceed the limitations of this table by as allowed by the building code. load. analyzing a specific application with the BC • Table values are the maximum allowable Calc software. clear distance between supports. MON The performance of a floor is a matter of opinion, the To improve the performance of a floor "feel" that might be acceptable to one person may not be system, a designer will frequently change acceptable to another. Many factors affect the perceived the deflection criteria from L/360 to L/480 performance of a floor system, some of them are: or higher. One way to accomplish this is by reducing the on-center spacing of the joist. • The depth of the joist The load capacity of the joist system will be • Continuous or simple spans increased but the "feel" of the floor system • Decking and flooring material will not be significantly changed. The • Gluing and nailing the decking stiffness of a floor system is significantly • On-center spacing of the joist system increased and the vibration is reduced by • Lack of drywall attached to underside of joist increasing the joist depth. To illustrate this, • Level bearings see the BCI span table above. . • Location of walls and furniture COPY 34 MF 2900Fb SP and 3080Fb DF P 00% Load Duration) KEY TO TABLE: Top figure=Allowable Total Load(plf] Middle figure=Allowable Live Load(plf] Bottom figures=Minimum Required Bearing Length at End/Intermediate Supports(inches] Design 13/4"Width-2900 Fb SP 31/2"Width-3080 Fb DF Sib..Width-3080 Fb DF 7"Width-3080 Fb DF Span N Ph" 91h" 117/e"j 14" 71/4" i 91/2" 117/8" 14" 16" j 18" 91/2" 117/s" ' 14" 16" 18" 20" 11 /e" 14" 16" 18" 20" 24" 776 I 1082 1450 1827 1526 2127 ( 2850 I 3591 4388 I 5304 3190 1 4275 5387 I 6583 17956 19549 5700 7183 8777 10608 112732 18197 6 762 i 1525 I I 1 i 1.6/33.714.6 1.5/3 213 12.7/3.4�3.4/4.3,4.2/5.2,5.1!6.3 2/3 -2.7/3.4 3.4/4.3.4.2/5.25.1/6.3;6.1/7.6 2.7/3.4.3.4/4.3'4.2/5.2'5.1/6.3 6.1/76 3110.9 479 759 996 1229 958 I 1.493 , - 24169I 288 7 30 4 2239 i2938 3624 I1 4331 5106 I5958 3917 ( 4832. 5775 16808 719/464 1.805i9878 322 72 643 1447 1.5/43 3 2 !2.7 3.3/4.2 .Si 1 217t ? 58 58 95 .9/32.5/3.13.1/3. 3.7/-4.64.3l-5.4 1.913 '2.513.113.1/3.911714.0-4.3/5.415.1/6.32.5/3.1;3.1/- .4 3913.714.64 5.2 1 1 1819 2150 I 2504 '651 236 2728 3225 3756 4326 2981 3638 4299 5008 1576810 65 370 72 3 �1 7 2 9 7467 1 8/3 24493I 3 . .8/3 2.41393.6.3.4/4.3 4.6/5.8 2.431.5/3 .8/3 2.6/3.2.3.1/3.9 1.5/3I 14I 1 , . . ,34 / 2.9/3.63.4/4.3I 4/5 4.6/5. 6/75 11 21 1124 11278 (254 4 13.8I 3.8 1247 I 1 5 73 I 1087 12 86 t3.6I 3.4904.2 3.9114.9 1835 21631 I2 8/3.6 i 3.4854.2 3.9/14.9,4.5805.E 2.3 l 3 2 813.E 3 48 t4.2 i �� 5071 6505 2.3/3 ( 39/ .9 4.SIS.6I5.7/7.1 139 317 547 741 279 635 1164 1457 1711 1979 952 1745 2186 2567 2968 3393 2327 2915 3422 3958 4524 5760 191 12 1.533 15/3 2.2/214 93 1 36/3.8 15/3 15/93 2213 2813.513.314.1I3.814.8 1.54/3 i 2253 280/53.513.3/4.1 3.8/4.BI4.3/5.4 2�2/3 I28/43.5 13.3/4.1I3.8/4.8 4.3/5.4 15.5/6.9 109 248 I 465 636 218 497 I 977 1325 1552 1791 746 1466 1988 2328 ( 2686 3062 1955 2651 3104 3581 4083 1518 13 75 169 329 540 150 337 659 t079 506 988 1619 1317 1.5/3 1.5/3 2.1/3 2.8/3.5 1.5/3 1.5/3 3 2.8/35 3.2/4 3.7/4.7 1.5/3 2/3 2.8/3.5 3.214 3.7/4.7 4.2/5.3 2/3 ;�221159 .8/3.5 3.2/4 13.7/4.7 4.2/5.3;5.4l6.7 86 198 390 547 174 396 780 1165 1420 1635 595 1171 1747 2130 2452 2789 1561 2330 2840 3270 3719 4686 432 791 14 60 1.5/3 15/3 186l3 2.6/3.3 1593 15l03 1182/3 I2.663.3I 3.294 3.7/4.6 1.3°83 18/3 I2.6/93.3I 3'234 3.7/4.6 4.215.2 L8/3 (2.6/23.3I 3.234 ,3.7/4.6I4.215.2 5.3/6.6 70 160 316 476 140 321 82 1013 130E 1504 481 949 1520 1958 2256 2561 1265 2026 2611 3008 3415 4285 15 49 110 214 ( 351 98 220 429 703 1049 1493 329 643 11054 1573 2240 - 858 11405 2098 12987 I - 1.5/3 1.5/3 1.6/3 2.4/3 1.513 1.S13 1.5l3 2.4/3.1 3.1/3.9 3.6/4.5 1.513 19549 2.4/3.1 3.1/3.93.6/4.54.1/5.1 1.S13,2.413.1 3.1/3.9,3.6/4.5,4.1/5.tI5.2/6.4 40 16 1.5/3 1.5/3I15�3I238// 15/3 15813I1S583 2293I2.9t//3.73.6234.5 1.5/3I15303I22683 !2.9793.73844.541/5.1 IS/3 2'2/3I297/3.73.664.541/55.1 1947 5 6.3 47 108 2175 355 94 218 431 711 1013 1267 327 647 1067 1520 1901 2200 862 1423 2026 2535 2933 3658 720 17 1.5/3 1.5/3 15/3 21 75 14 413 1.5/3 ( 1513 1553 283 (2.8/3.SI3.5?4.3 15263 15?3 2/3 28g3.53.5 4.3I 4115 15893I 263 I2.8�3.SI3.554.3I 48/15 I5/6.2 16: 18 1.53 3 1.5/3 1.5/3 I 1 8033 1.5/3 I 1.5/3 1 15483 1 1.70/3 2.60/3.3 3.31/84.1 159/3 11.513 ( 1772 9/03 12.6/3.3I3.3/4.1 4�5 1.5/3 6 1.713813 2.6/3.3,3 3728 l 4.1 4371 /5 4.9/06.2 32 76 152 252 66 153 306 506 760 1011 230 459 759 1140 1517 1854 612 1012 1519 2023 2472 3189 19 24 54 105 t73 48 108 211 346 516 735 162 316 519 774 1t17 1512 422 691 1032 1470 2016 1.5/3 1.5/3 1.5/3 1.7/3 1.5/3 1.513 1.5/3 1.6/3 2.3/3I3.1/3.9 t.5/3� 1.5/3 1.613I2.3/33.1/3.93.8/4.7 1.51311.6/3 2.3I3I3.113.9I3.8/4.7I4.9I6.1 2997 20 1.2/3 11.46 3 1.513 9 111483 141 3 1 53 3 111813 1129 3 2.442 12.913.7 15 93 1 12/3 I 445 664 I 945 11296 362 I 593 85 1260 1728 12987 1.513 2.1/3 29/3.7 36/4.5 1.5/3 t 1.5/3 2.113 .2.9/3.7 13.6/4.5 4.8/6 20 48 I. 1 I I3 7 1 I 6 I I643 1 196 88 1 2596 5Sl 6 I1 722 31 / 13 3 2 4 0 94 22 445 665 94 I 199 2244 1.53 1. 3 3 3 .5/3 1.5/3 1.7/3 2.5/3.1 1.5/3 .5/3 1.5/3 1.7l3 2.5/3.1 3.3/4.1 1.5/3 1.513 .713I2.513.133/4.1 4.615.8 14I I7 1 I370I 531 108 I2.20 I3.61 .155 ( 7961 293 I489 464 1217524 6 4 5 0 739 0 1245 50 000 1728 6 I I 1.5/3 1.5/3 1. /. .5 . . 3 2.1/3 2.9/3.6 15/3 1.5/3 1.5/3 2.1/3 12.9/3.6i4.2/5.3 10 I 27 I56I 94 22 55 3I 1.113I 2.5l I .51 ( I I .58 1226 I138 I57 828 I1144 1847 787 5574 1394 202 90 165 270 403 8 26 9 2 4 67 19 42 82 135 201 I 12 1.5/3 1.513 1.5/3 1.53 1.5/3 1. 3 13 183 1 i 1.5/31285 3 302 4 3 .5/3 5/3 15/3 1.8/3 2.4/3 3a/4.9 B I II I 74 16I 42 88 I4 227 328 63 1 1932 224 I341 I492 2 1761299 I455 II 656 909 1586 51 1.5 113 1.5/3 1.5/31 1.5l3 .5/ .121 44 66 108 16 162 242 344 472 132 216 322 14593 26328 3 54 t5 34 3 . . . 0 . . . 5 .53 /3 1.5/3 .5l3 5/3 SI .13 3.160/48. 5 6 6 34 ( 59 12 33 70 119 182I1 264 49 .705 79 273 I396 59 .110397 238 1I365 528 I732 1284 830 / 1 27 / 1.27 t. 1.5 8/ 21 197 t � 384 176 262 373 572 85 15/3 1L .53 5/3 1.5/3 5 / 1151 5/ / / 5/15 ( 5 3 13 153 1S/3 53I1 .513 1.5/3 i i 15/3 ;1.813 i 3.214 • Total Load values are limited by shear,moment or deflection equal to U240. Total Load values Table values for Minimum Required Bearing Lengths are based on the allowable compression are the capacity of the beam in addition to its own weight. design value perpendicular to grain for the beam and the Total Load value shown. Other design Live Load values are limited by deflection equal to V360. considerations,such as a weaker support material,may warrant longer bearing lengths. Table Both the Total Load and Live Load values must be checked. Where a Live Load value is not values assume that support is provided across the full width of the beam. shown,the Total Load value will control. Double,triple or quadruple the 14/4"wide 2900 Fb SP Total Load and Live Load values to size Table values apply to either simple or multiple span beams. Span is measured center to center 2-ply.3-ply or 4-ply 2900 Fb SP beams. Minimum Required Bearing Lengths remain the same of supports. Analyze multiple span beams with the BC Calc software if the length of any span for any number of plies. is less than half the length of an adjacent span. t 3 members deeper than 14 inches are to be used as multiple-ply beams only. • Table values assume that lateral support is provided at each support and continuously along This table was designed to apply to a broad range of applications. It may be possible to exceed the compression edge Of the beam. the limitations of this table by analyzing a specific application with the BC Calc software. P ( QUERY PERMITS: QUERY END QUERY PERMITS PEN'fAMATION---------------------------------------------------------------- 01/10/02 ; PERMIT NUMBER 55993 PARCEL ID 138 018 231_SEA VIEW._AVENUE -� PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV _ DESCRIPTION. REMODEL INTERIOR/REROOF/RESIDE _ CONTRACTOR PERMIT FEE .1123 . 54 VARIANCE =� STATUS A ACTIVE CONSTRUCTION TYPE 434 GROUP TYPE 1 APPLICATION 09/24/2001 EXPIRATION VALUATION 338240 . 00 DATE ISSUED 09/24/2001 COMPLETED DEPARTMENT-----STATUS---DATE-----DEPARTMENT-----STATUS---DATE---- (N) EXT/ (P) REVIOUS/ (C) ONTRACTORS/ PR(0) PERTY/ (I)NSPECTIONS/ (H) ISTORY/ (F) EES/ (A) RCHITECTS/ (V) IOLATION/ (E)XIT This value is not among the valid possibilities /yteriGt L n Co M - ssg 93 Permit Number MECcheck Compliance Report Massachusetts Energy Code MECcheck Software Version 3.2 Release la Checked By/Date TITLE:Morrison Residence Window replacement CITY:Barnstable STATE:Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) DATE: 01/02/02 DATE OF PLANS: 11-14-01 PROJECT INFORMATION: 231 Sea View Ave. Osterville,MA COMPANY INFORMATION: Rogers and Mamey,Inc. NOTES: All windows and doors are Pella Architect series,aluminum clad, 5/8" insulating glass with low E. U values are as shown below. COMPLIANCE: Passes Maximum UA=702 Your Home=604 14.0%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 476 19.0 0.0 24 Ceiling 2: Flat Ceiling or Scissor Truss 1702 30.0 0.0 58 Skylight 2: Metal Frame with Thermal Break,Double Pane with Low-E 34 0.330 11 Wall 1:Wood Frame, 16"o.c. 3564 11.0 0.0 240 Window 1: Wood Frame,Double Pane with Low-E 480 0.033 16 Door 1: Glass 360 0.370 133 Door 2: Solid 23 0.360 8 Floor 2: All-Wood Joist/Truss,Over Unconditioned Space 2417 19.0 0.0 114 Furnace 1: Forced Hot Air, 87.1 AFUE Air Conditioner 1: Electric Central Air, 12 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in MECcheck Version 3.2 Release la. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 1251/( of the de ';IoWfied in Sections 780CMR 1310 and J4.4. Builder/Designer Date MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.2 Release la DATE: 01/02/02 TITLE:Morrison Residence Window replacement Bldg. Dept. Use Ceilings: [ ] 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-19.0 cavity insulation Comments: [ ] 2. Ceiling 2: Flat Ceiling or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall 1: Wood Frame, 16"o.c.,R-11.0 cavity insulation Comments: Windows: [ ] 1. Window 1: Wood Frame,Double Pane with Low-E,U-factor: 0.033 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: Skylights: [ ] 1. Skylight 2: Metal Frame with Thermal Break,Double Pane with Low-E,U-factor: 0.330 For skylights without labeled U-factors,describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: Doors: [ ] 1. Door 1: Glass,U-factor: 0.370 #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] 2. Door 2: Solid,U-factor: 0.360 Comments: Floors: [ ] 1. Floor 2:All-Wood Joist/Truss,Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] 1. Furnace 1: Forced Hot Air, 87.1 AFUE or higher Make and Model Number [ ] 2. Air Conditioner 1:Electric Central Air, 12 SEER or higher Make and Model Number Air Leakage: [ ] Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944, L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. F Vapor Retarder: ' [ ] Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values,glazing U-values,and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Sizing: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120°F or chilled fluids below 55°F must be insulated to the levels in Table 2. I• Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1" Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes )wing System Types Ran e F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) ,1 Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x252sos Transmittal No. Chapter 91 Waterways License Application -31d'CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment G. Municipal Zoning Certificate Joseph A. Martore and Gracia C. Martore, Trustees of the JKM Wianno Nominee Trust Name of Applicant 231 Sea View Avenue Nantucket Sound Barnstable Project street address Waterway (Ostervllle) Description of use.or change in use: To permit and maintain an existing stone revetment and stone groin constructed circa 1944/ 1945. To be completed by municipal clerk or appropriate municipal official: l "I hereby certify that the project described above and more fully detailed in the applicant's wateni ays license application and plans is not in violation of local zoning ordinances and bylaws." �g R a, Z Printed Name of MunicipalOfficial Date nature of Municipal Official dle City/Town 1,71 CH91App.doc-Rev.6/06 Page 6 of 13 I SARAH F.ALGER, P.C. TO W N G RAP,fIC:T'�.7 ATTORNEYS AT LAW FIVE PARKER ROAD•POST OFFICE BOX 449 2012 SEE 13 .'1 11: 13 OSTERVILLE,MASSACHUSETTS•02655 TELEPHONE:508-428-8594 FACSIMILE:508-420-3162 )OHN R.ALGER T'a �^?Tm 1931-2007 SARAH F.ALGER Two SOUTH WATER STREET sfa@sfapc.com NANTUCKET,MASSACHUSETTS•02554 TELEPHONE:508-228-1118 CHRISTINEA JENNESS September 13, 2012 FACSIMILE:508-228-8004 caj@sfapc.com Thomas Perry Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Chapter 91 License Application; 231 Sea View Avenue, Osterville, MA; � Assessor's Map 138, Parcel 018 Dear Mr. Perry, Enclosed herewith please find a Municipal Zoning Certificate along with copies of pages 1 through 5 of the Department of Environmental Protection Waterways License Application and plans for the above referenced project. -Kindly review the application, sign the Municipal Zoning Certificate and return it to our office in the enclosed envelope at your earliest convenience. Thank you for your assistance in this matter. Should you have any questions, or require anything further, please do not hesitate to contact our office. I Very truly yours, Catherine M. Valle Paralegal cmv enclosures r Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program x252so6 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment Important:When filling out A. Application Information (Check one forms on the computer,use NOTE: For Chapter 91 Simplified License application form and information see the Self Licensing only the tab key Package for BRP WW06. to move your cursor do not return use the return Name (Complete Application Sections) Check One Fee Application# i key- WATER-DEPENDENT- General (A-H) ® Residential with <4 units $175.00 BRP WW01a ❑ Other $270.00 BRP WW01b ❑ Extended Term $2730.00 BRP WW01c Forassistance .............................................................................................................................................................. in completing this Amendment(A-H) ❑ Residential with <4 units $85.00 BRP WW03a application,please — see the "Instructions". ❑ Other $105.00 BRP WW03b NONWATER-DEPENDENT- Full (A-H) ❑ Residential with <4 units $545.00 BRP WW15a ❑ Other $1635.00 BRP WW15b ❑ Extended Term $2730.00 BRP WW15c a Partial (A-H) ❑ Residential with <4 units $545.00 BRP WW14a ❑ Other $1635.00 BRP WW14b ❑ Extended Term $2730.00 BRP WW14c Municipal Harbor Plan (A-H) ❑ Residential with <4 units $545.00 BRP WW16a ❑ Other $1635.00 BRP WW16b ❑ Extended Term $2730.00 BRP WW16c Joint MEPA/EIR,(A-H) ❑ Residential with <4 units $545.00 BRP WW17a ❑ Other $1635.00 BRP WW17b ❑ Extended Term $2730.00 BRP WW17c --._.._.._.._.._.._..-.---.--._.._.._.._.._.._.._.._.._.._.._..-..-.._.._.._.._.._..-.._..-..-.--........-.--........-.--..-.._.._.._.._..-..-..-.._..-.._.._. Amendment(A-H) ❑ Residential with <4 units -$435.00 BRP WW03c ❑ Other $815.00 BRP WW03d ❑ Extended Term $1090.00 BRP WW03e CH91App.doc-Rev.6/06 Page 1 of 13 Massachusetts Department of Environmental Protection X252806 Bureau of Resource Protection - Waterways Regulation Program Transmittal No. Chapter 91 Waterways License Application -310 CIVIR 9.00 Water-Dependent, Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: J:osepfA:''_Maitore:valid; a grto_r.e'.Triasfees b� Ih.- .7 Trust s E-mail Address728 ho.No in T 1 r ngya.e....Road.. Mailing Address Note:Please refer F to the"Instructions". Greai; 4§j VA City/Town State Zip Code Telephone Number Fax Number 2. Authorized Agent(if any): sf6,6,06pb_Cbm` Name E-mail Address Mailing Address 0. t f* MA 02665 City/Town State Zip Code '508-428-8594 5.687420.'81 k Telephone Number Fax Number C. Proposed Project/Use Information 1 Property Information (all information must be provided): Owner Name(if different from applicant) '$ 41.613826 -70.374533 Tax Assessor's Map and Parcel Numbers Latitude Longitude MA 0265.5 Street Address and City/Town State Zip Code 2. Registered Land 0 Yes 0 No 3. Name of the water body where the project site is located: Nantucket Sound 4. Description of the water body in which the project site is located (check all that apply): Type Nature Designation El Nontidal river/stream 0 Natural El Area of Critical Environmental Concern Flowed tidelands ❑ Enlarged/dammed E] Designated Port Area El Filled tidelands El Uncertain El Ocean Sanctuary F] Great Pond ❑ Uncertain F-1 Uncertain CH91App.doc-Rev.6/06 Page 2 of 13 r Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program X252so6 Transmittal No. Chapter 91 Waterways License Application - 310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the "Instructions" To permit and maintain an existing stone revetment and stone groin. Stone groin installed under DPW license 2762 circa 1945 (apparently not recorded). Revertment installed by Commonwealth of Massachusetts circa 1944. At the time of installation, the revetment was above MHW. 6. What is the estimated total cost of proposed work(including materials & labor)? $none at present as - pfjoect is existing 7. List the name &complete mailing address of each abutter(attach additional sheets, if necessary). An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50' across a waterbody from the project. Joseph H. Burke 242 Sea View Avenue, Osterville, MA 02655 Name Address Priscilla D. Bellingrath, Tr. 215 Sea View Avenue, Osterville, MA 02655 Name Address Name Address D. Project Plans 1. I have attached plans for my project in accordance with the instructions contained in (check one): ® Appendix A(License plan) ❑ Appendix B (Permit plan) 2. Other State and Local Approvals/Certifications ❑401 Water Quality Certificate Date of Issuance ❑Wetlands File Number ❑ Jurisdictional Determination JD- File Number ❑ MEPA File Number ❑ EOEA Secretary Certificate Date ❑ 21E Waste Site Cleanup RTN Number CH91App.doc-Rev.6/06 Page 3 of 13 i Massachusetts Department of Environmental Protection Bureau of Resource Protection -Waterways Regulation Program X2528o6 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents must sign this page. All future application correspondence may be signed by the authorized agent alone. "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site at reasonable times for the purpose of inspection." "I hereby certify that the information itted in this application is true and accurate to the best of my knowledge." Q/o /2. Vz Applicant's i ature Date lob t L Proptl, Owner's signature(if differe than applicant) Date Agent's signature(if applicable) Date CH91App.doc•Rev.6/06 Page 4 of 13 r Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program x2528os Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Water-Dependent, Nonwater-Dependent,Amendment F. Waterways Dredging Addendum 1. Provide a description of the dredging project I ! ❑ Maintenance Dredging (include last dredge date & permit no.) ❑ Improvement Dredging I Purpose of Dredging 2. What is the volume (cubic yards) of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location (include separate disposal site location map) I 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by applicant and submitted to the Department. I CH91App.doc•Rev.6/06 Page 5 of 13 .. � � a rn'aam r[.UlxaxMRLL°IDtr o�o � / r V� ?\ ` 1 // - Ayn=wy -' 5USAN MCI S � e a Vie � " � 1 � noacrwu�rme....... O91'ERV I L LE f MASS� >A/ �O \\ i� r " 15.25• � \ j m+�l.aw.l_.,..r..,1..,.Mmoaeore�e®, � � 1 Y q ,gtol+ 1 7N,,1n.al s.mddaea as 80'21.20" � / � // - pnore .` 1 c„ . 00 01 � � gc1Y y+oN om 31 2 Sty?W / veRaw"lA� GAROCt{ DweIIJ7p c u � I 'i- ( \ aa�"`n�+�O'o- wt -�"• . no sAa�w.nv OPV 0 21-?`oR °.m°�t° s� v 10 _-20— — nTl�e to.onR FF ��cwnc� �� �- - _ •� i n - ,• i k - .'.• ..r20- r Top� � �.� .. ..,.,•" _ . ,vim .... ' — ... . — --- _ ———————— ' n / µea See sound - 0 tucke Nan __i-' --•- `\ ___ - - �:. ,- And'Ga dena9lPe d'4rdAii cool VPool W0e Date:09/26/02 , / O / RevisiaeI M°dMed Footprint per Cootnetora Request jDstr.02asm Mitt,* PREPARED BY. PREPARED FOR: I NoteslPovis/on: i SITE PLAN Sullivan Engineering, Inc. Caposu N suSAN MORRISON The property live information shove was compiled _ PROPOSED IMPROVEMENTS PO Box 659 7 Parkei Road 600 EAST WESTMINSTER from available record information and does not N AT Ostervllle, MA 02655 Ostervllle MA 02655 w represent an on the ground survey. 231 SEAVIEW AVE (50e)42e-.u44(50e)426-att5 tax (508)410-3994(508)410-3995 lax LAKE FOREST,IL 60045 The topography and detail shown was obtained ° OSTERVILLE,MA I by conventional survey methods. N 20 0 10 20 40 eo F1eld: M0H1W4K i Draft: RRL The datum used it NGVD'29. Dote: Scale: Comp.:MOH/RRL Re New September 12, 2001 1"=20' PrOJ # C-462 Drawing C462g1 -------- - —-------- _ _ N _ � S [[ + 7g SCALE: 1"=2Jo! - _ In 8T " ;\ 115 139 WIN 162 114 138 ' .y_ ."� D113 p f ('( 6�`uIII rn i I x '` .d. �,°—'- .,, ,, � W ✓ \, _ \�" �',3�,`\ �/ // win` - - \\ WIN 1` •T� 15 will ,..� =L ' J win �`�3Q ✓ ps +s ..`•, _ =.ti _ wgla wGi31 1 ''fJ,Jr'f'f� •" '�`rl�u \\ y i t \ wppn��,�• 41EARN �. D win i L - x� � rIN Will . \ 1-' x�� ,,,n \ 44 05211 Q It, ----_ xi -- win;� 2 -2win It ul 1 `.'I a itk"(a r r J,n ,ter IL,IN la - W I ID Nantucket Sound i i t • i I� _ I !' T� 04- Ca , FLOOR PLAN —FOUNDATION PLAN ` FRAME PLAN lb.-0" d cHEWLS t�)c b FT 6E NL,} N J, ' TO &TS 63) I IP o JO - - I- F- ?Svl zsyl I'-o° i 2'_q'iL• Z._gllt' 4•-l0• i_q.lZ•• y._9•lz. � ,s'_1' � V•' 10 � S-?• �. � • S-1 4I-lol S• 11 t &Y 6 RgFT£29 Ib O•G ® ® I 1 B•R.C.P£QFfiCTIoN, SHINbI£} 5" EAibS, _ EDq� OR£gTNE� 12 IS,b FPLT .Y �g COX SHEATH IHb 1 O.G. II - _ Z-ZAL H6noeti;'TY(' �Xb,`10 O5 IIL _ ---- — a —1- _ ❑ 7 VZ•GOK slt£ATHIn QNY:Z,S IT, Ib•WC.SHINVGf — I1 1 r 1 — - - L SIMPSON P6E9( 'r--— --._. .._ f l t —I-T rl 1 1 S V 8 FL co Z. f%o oDOwN�STAN &xb P.T,3o15T5 16"O.C. N OTF; - S•.CONL. PI£Q I Doo2 T•B•O, - R 16HT SIDE PEAR L EFT SIDE FRONT r zy (b nQE- --- — - V Q.-£l7 PCOTI46 SECTION 3•x V GtYi'fE� ,xb �801� a QEp N14D r I MORRISON RESIDENCE SCALE: �4 1' APPROV ED BY: DRAWN BY DATE. 1.y.pZ REVISED GARDEN SHED DRAWING NUMBER 231 SEA VIEW AVE ,[) _/ POOL FL OOP PLAN FOUNDATION PLAN 3n_p 14•-p.. 22._p. ly.-D.. 14'-o'• 1 e I PeuN D♦T10N ycNr I � I I � � 1 i I p¢.,NOIR\oN ..e.rr, 1 I 1 I 11 o ' KITCHEN RECREATION RM. CHANGING RM CRA'NL i UNEXCA%ATE0 COMPACTED i CRAWL o , I e •2c 2( - A,.nt 2° '� � I 1 �'3:-oys ., _ e.t ; i La=:'celu ciwp, ; - i L3".,_oucr no 1 0 O.O 2b {B 6B c 6r - 1 1 13'-6`T I 22'- 8" I I 1�•-ts•' I I - p I I I 1 r y I I Nrfio.w<cess. ' arse Nent4 vuvee sLne I j -�.e.{rp>n<ay, I t {1 •a l I IB c.c tN�NOcc{S ^ <{e'Kty¢�DLE_vcMr Q Q • 2+�O name 0o vwwZ ¢�(O `L.0 enp\pZt .c. IB R.C.lO cc noc3 @¢c xT\at<\r RT¢\Y iY�o n�ocL qwc tx0 Rn Rc«S Ib oC-TV P, —_ SOih`l� 1/C`N� tx 6�,(C�e•ao2 T16/< IN c�I<T I T 1 :II - 2.\�xII�B Lrl uenoEL L l Sf:'re�� Vc.h o. . _ 3^E+fN\YL-�Yi L-lsb w�r.ow ® ® e TYo Laq Sryo.-- e•G.-TYO ' 'Iz' GOX qNG nTr(IN(. -TYY —'—�--_-- 7 C—"•- � 9YY Y.T:Fo{r �`t06 Sy0 Fc. ]IT LeN<.Ana 2YID.YT. all Y.rG,L., all FRONT EL EVATION .__ $C¢�C.vGyNOnT�0a1 yN Cr Cw+M 6D/ConGnclLD 8 COrC o.cq [_T-V V.� VnnoP¢oo PlN f. 1 $`GONL. FbyND T.oW 2a Y'Fom��L YO - 3` D—r—zz- rr F 1 __—__— — r LL--_... .... .._. ......_ ._.—._..._ _.. ._. .- LEFT SIDE REAR PIGHT SIDE MOPPISON ID.\p•p2 POOL HOUSE ! 23l SEA VIEW AVE. • EON R YS L KE V� �J SEA VIEW Q� AVE. ROJECT LOCUS LOCUS PLAN N/F SCALE:1.25,000 HYANNIS QUAD. PRISCILLA D. BELLINGRATH Of.127747 168t z � o N 1 uy 11 w 3 w EXISTING N ExisnNc GROIN O . DWELLING (1 1 O,t) • u'1 Y cn h Z cri In O � � J Z U EXISTING REVETMENT Z (265'f) S1128'40"E 58t' N HO S08'19'10"E 158t' a o � o Q� o SHEET 1 OF 2 PLAN VIEW SCALE: 1" = 50' 50 0 25 50 100 PLAN ACCOMPANYING PETITION OF JKM WIANNO NOMINEE TR. 231 SEA VIEW. AVENUE OSTERVILLE, MA TO MAINTAIN AN EXISTING STONE GROIN AND REVETMENT IN NANTUCKET SOUND SEPTEMBER 1, 2012 SULLIVAN ENGINEERING, INC. OSTERVILLE, MA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . 1 �5,5-- " 4 1 3 MHW EL. = 2.4 2 0 MLW EL. _ -0.4 -.1 -2 -3 -4 EXISTING STONE GROIN X-SECTION SCALE: 1" = 5' 5 0 2.5 5 10 15 EXISTING LA WN 10 5 MHW 17L. = 2.4 . . . . . . ML.w L. _ -0..4. . . . . . . . ... . . . . . . . . . . . . . . 0. . . �. . .. �. . . �. . . � �. . . . . . . . . . . . . cf) EXISTING N -5 BANK STONE WALL EXISTING GRADE EXISTING STONE GROIN 20'± 20'± 110'.f � mco o « o PROFILE VIEW Z - rp "n z '" SCALE 1" = 20' � a? N N 20 0 10 20 40 o z r N C rn n ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . LCO / w ea Ave _ / ` - ie S115.2 '2J 5. °E • /� p5 // \ w?5 Ed a of P ——— \ 1 1 20"E / �24' \ 80.2 ' / 44.7' 133.93 d / rd Of Of 4- �20 /23' // 0wr 231 2 Sty W/r /l \ Dwelling J� Pod C--t+ �o 7.►r5 \ le i 1 " "�,/—\\ �-'p• ptT \ —— —— �i F o —20- 2 Gaee+ate . . Top oI • . __�� � � _ �15" .w.•.^^'..•.•.^"" " �- _ ............. . ... .... ..... Sao 1tAeon. " Sao L _ ��\ / ii/ Un Sod Nantu Title: PREPARED BY: PREPARED FOR: Notes/Revlslon: Sullivan Engineering, Inc. CapeSury tn - m PO Box 659 7 Parker Road Osterville, MA 02655 Ostervllle MA 02655 l (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 lox l DRAFT � �J 20 a 10 20 40 80 Fleld: MDHIWHK Draft: RRL 9-/1 7 10 Dote: Scale: Comp.: MDH/RRL Review: September 12, 2001 1"=20' Praj # C-462 Drawing # C462gl I 9 � - 5 a . all ®Ono - r.3 0o � I a FRONT ELEVATION FMI nn c�aoq a MORR/SON RESIDENCE Lj - O.Ti: R{vOW RIGHT SIDE ELEVATION EXISTING ELEVATIONS 231 SEAV/EW AVE �A-1 ' swo rLeoR � � o0 oa a T FL-GL LEFT SIDE ELEVATION L"D FUD P. . 2w'F�m2 0 6ll i • a . 1'r REAR ELEVATION MO PPISON RESIDENCE •MfD EXISTING ELEVATIONS 231 SEAVIEW AVE. �A-2 i I Sly- O�• `� 4 I 9 7 lid 8 sl QEEA.K.FAS.T _DtA'LNG--B_QoM• _k. VING ROOM ILL. I lO o /�1 0 I o�. �e S i I K/ TCHEN ae 112_ °o: 1 i I A i arao off s" 2` ['s FOYER /07_ — PANTRY 104 crav o« r• ' — .6 bL SUNROOM l08 POTTtNG HALL • e 1 SHED 10l 0 OFFICE 102 10'3 pown P PlY e `• 105 29�-6 u♦ Sol_5 n�- FIRST FLOOR PLAN A40PPISON RESIDENCE wn: 9•I B•o: nave�n EXISTING FLOOR -PLA N 231 SEAVIEW AVE. A-3 c ROOF pg ROOF ° il j b _ SOUTH : SOUTHWEST SLT.T-LN-O RM 209 BEDR00M..2l0 2b S0UTh1 EAST + � BEDROOM 207 by r Pe 6 e , • y. L 2L+6 Z 26. n e o °sou rawEsr ' e �e QATH 211 a 2y ljA—LL_2!E rr HALL -- -- O�O BA TH 215 e y N 1 + - Y EAST +b 6 a BEDROOM 206 2 c°. 6e GUEST SE. 6UESr sW. H �s'e N,ORTH NQR_THWEST- EEDROOM,_.20/�6 ,BeEDROOM 202 ?j,oN Q��jROOM 2/4 BEDROOM 213. 2�s • e NA L L 2 00 Ci0.N6 0eeur •N b O bye GOES r NE. GUEST NW Q.EDR OOM 204 ze; BE DRCOM 205 i - -- -- - - ------- < ROOF � c SECOND FLOOR PLAN MORPISON ' RESIDENCE yqp- �. .., ow..r«.. wn 9•�8•01 ewer° EXISTING FLOOR PLAN 231 SEAV/EW AVE, A-4 I i I � I 1 1 i I I FNI I I I J I I I 1 v- I T- - - - - - - - - - - - - - - - FLAT ROOF p I I I � I 1 P i I _ 1 ' 1 - 1 I ROOF PLAN MORRI SON.- .PES10ENCE - 9•le•GI �O EXISTING ROOF PLAN A-5 V V Y EXISTING H:OUS E I® T SMOKE DETECTORS i II _ RS O.K. u-. �EXISTING HCUe-4 , S BUILDING DEPT. LEEi SOUTH EL EVATION WEST EL. EVATIO^d ® 1T T + EY,IS TII•IF LIN t IiTT TT- , HOUSE I 1 'I MC PPISON RESIDENCE FIR 0 Ali T ELF VA. TION' EAST c — TIC. 6 02 T! --- --- E L E VA T IONS 231 l>rA VILW Avt. A.�I.�.. 1 TbP °,sua Te„°u�c� o-o•• .. .cl -D'n'� `----_ ...�T.'= __ rao wa ct.. -'1•!L+ we zze z.n��e2 T.O.F; '1�2'y — i.2%g' — — — — • 7:1 erncn .P �e�sr* '1'•eYg" + I•�s I �;rov oo-c-a?.-1'-9`/gam a I c.S�a6 '10-BYy� 1 O • 1O — --- � _ `l.._..._. T.O.W.:-il%,•' T.O.w.: 1•-zyg' -C-C Ib 0.(4. I I v•-o' I I I I t p7/ate Ia.nt ,o .,.s.cl: 14 Srt I Ib'-V�t� I 11-iot I T.O.w - I-LYp•• 2 6r I I I , 1 I I 12•b'�i -•'oI -o+•o ' I ' 31'1• _ _ _ I 1 b -O to o' Isr FLOOR FRAMING PLA1�I FOUNDATION PLAN c _ - _—_-- --. .—.-._. . ..._. _ _ r✓IOP,R iSON R ES I DENC e b�oz FRAAIINC PLANS 231 SEA VIEW AVE, AW7°`• I B'_p•' ,B'.p" q'.g4c" -7 0 8 - 0 18• O• 1, B•IC I1 I I l I 4 I I LSq 1Z O;C, N I 'La10 Q4GTE¢S Ib o.C,. - TW. 1 • I I 1 I I ( I I I S Y t QYt-L�v.\. I• �� DI i I I i ,F JYc• a+c l..%c. S'�9% 9"L� ♦....�. I I i I I i Po- �` L •• � e�oFE I e I I I RI RE _�--- ' SYo"x aYL Lv.l. J' % V'Ic I. I I ' 14 9�• I I i I I I I( - Jv• o Iti• .C.i I I i vs 0.�.v*'E. 6 I 2x to zn 1 o (71?p1-ate--- II ' I I' a• I I I —— - .o I - i I I ! I I 20-o" 20•-O• ROOF FR!'.MLc PLAN < 2NO FLOOR FRAME ,'U,'OPP/SON RESIDENCE 6bo2 FRAMING PLANS 231 SEA V1EVY AVE. 1 ! isr-a• BREAKFAST p DiNIN6 LIVING El I 'T -o" m ! i KI TCHEN i 29� 2� i1 h U Q / O CDyEREO FLYER _ 4 PORCH PANTRY / a ' l � I W � SUNR0om Q) � � I N O POT TIN G I SHED _ LAUNDRY J POWDER COVERED PORCH pul �-��o,-y�� FIRST FLOOR PLAN MORRISON RESIDENCE B�b Oz EXISTING CONDITIONS 231 SEA VIEW AVE °`" 1 2S�- O� Ig'-o• BATH — I I '� ✓,ASTER_. SJI TE S BEDROOM I I _a w/.C. m I C _ S T P BA TH ` - UD j S GFFICE HALL I I BEDROGM BEDROOM BATH L- oN 9EDP,OGM. I rr, S LI BATH — _ S I •i I, I N DPI I I BEDROOM BEDROOM. SECOND FLCOR PLAN MOPRISON RESIDENCE yy..- 1- ..D..D... o. r.�•z EXISTING CONDI T IONS 231 SEA VIEW AVE E-2•°'^ I I I Z$.- SIC .. L X ISTj NCB e-o 9-p. f�c� ,4 O V �G_ :m� — �11 O U S be Be bo ems- IIF •.o' Dact .( N Z'jl , I Deck � � oecK S_9 P/auT�y 6qt.. I2991 '� z991 '76 ez D¢¢csrx,l i 6 E P 200o1 S ��--�-- - O i � 6D81 5A-T F{rn 1L Ff F � 2 I U T I l�p M I I O -;D � r3-¢wow I I M:ILI QEDF—oorl F� I r w I � ' I I I t3'M1wo�• �— � i I - . i o° -m 7 z9`I I•y I ' I I !I :O' T-- 2-I•. I f I N: i t b - I \b B���(6 d� i- II -b- 3 •I�-99i" �� I - °`/a- i I' NI 1! 2b z`68 b � ``.``\`` �I��' v I e9sv p m 2y � � 4-IO'li - b-3Po o<r y�-IOI� `_O lC/1� it OI�I H V. O I _� y i ��`� 244I 2941 IQ _I 3359 t 1 3353PO r�;ORRrS0N !RESIDENCE FLODP PLANS 231 SEA VIEW Svc. oo.A.2� I .. i� / i • - 2<12 CIDb� � • • _2ri10¢AFT6,t$ - ��CDri SwEPrw�NG 1�1. FEAT �0.\OGE ` E iev oe 4•Dee x3'-B" s e•Y ppoeEtt, v c ro �f D CeIt1V1 —T- I Ib"O. (T•<P.� _ - R'90 F.G. 'SXSy.9T�OM I . I d-it6 MSPO¢¢ �f CT\iTlnb NousE 1 1 1 p I 1 I (TV PIcnt) _ �• x"T<G RYweop(c♦Vtn� SY1T 9�z• Y.y C riIZT\N(. HOUSE E too oP cyD Gt�•e-11 _ U' 4� 2x6 SNDS Ib' o.G. 3.2+b •�<Poey •-I �_ _- Lno 0.. 0z"BL.=, 2S0 <e¢Ic5 - I/t••LOJ< SM[gTw•n4 I I I 12•tr 16" o.G. V1Po4 One¢.ER T xx9'I", PP¢TTIOuS .( Y P) Ib•. w.L. aµlvb\GS L+? •ry I1�1� •`' RIS6e=�4 — I r� s$� .......j.... Y\ DG -'Cc.YcDl R-10. F.6.TMSVL.-(T'tP� ZTS•tt.rGePt6¢/ J O.G.L ESo SERIES IE O.G. � � DYDT LeV<E •D- LeYG FOY..D.r,e.l _ _r roP..xr o+..e ..e yyTveno_ E-- aETw�Y�N4 w tt i I I ¢Ices:7�•r =tAa eP Let - I��Lf TOD .: \o'-v4a I �-covc..+t•a REAR SECTICAl LEFT SEC TIOA/ ' zr Ii ¢IDbr_ 9q"Lot syLvrn�Nc Ill ' V GEDAe_6CE PTuL2 i t O' CTI1TiNb � I . is' ¢.eC`PLCGL.T�eu I I I I I ��y`O` µoJSP su•' CS S'� I I I Z'� F�G�S.•SUL-TY P, 2 �i•OGe .L••T � -- ' Z 10 V. L 1 L" O. I 2hr0 1 _- _ ..P POQ ane¢ILZ 16"W.C.i4.albt l,. j I TS. PtV WMp (GIV Gp� I I Z��O•` 3(\TFC RYw•'eD0-(G♦KO) I .... .. _. 9'E•GG.I, L60 see\E5 a o•G. -? -. _ _. .. __ r ^. _. _ _ _ _ _... - FRONT 9'%z"e.cs aro1se\¢s I �i � 4'S<\ S�Vti• SECTION sVD P i �-T,<G. _. coo-(bIJRD) I p Tq b PLYWOOD -/GLVtO� i j ! •, --IppI��YY 1y- Ir Iq .._ -h..h h._ A ._rt_- n.�_ _- _ __ _..-_ xaeP`.LI L •../ • __ + __-__ _ ...._ .....__...._�_.-. _ L 9 .••_-,._ a 0... 19 S.an ._ .. ..__._... .. \\l/$" 6.G.L• i.SU SEV-•Ei \6.O.G. lo- PeY.te Y•• 6etr_ � .-(. - _._I � '. L I. I u _..�... I . rt R-21 P e.tu<uL -TYP "6¢ecoD_ r' Z.Z. PE eIe< doVocV 10" LO1C. FPVNOPYIe4 ' wn♦t --- '� 4E P4 nLT pD+•e rtey_D. ° A�OPP/SON PESIDENCE I ee.�.e.Ds P\ !GIH T SECTION O-F-nL z2` ` `� SECTIONS 23J SEA V/EtN AVE Barnstable, LTER�� AEGAUGING OWNER OF RECORD MA WPM TmB: FLOW Hope M.,Burke S.W.L. FLOW VECTOR Ct£ 12777 k Lot A,L.C.Plan 9596-A 3.34 S 61°W Ctf. 12846 3.28 t (241°) L.C.P1. 17322 A 3.39 . :00 NOON TME: HIGH 1p S.W.L. FLOW VECTOR �l?cps 2.73 S 300 E - � $ 2.81 (150°) r _ LOCUS 3.74 SOUND KEY MAP LEGEND b LCB Land Court Bound BENCBAI R K, — — Top of Bank TAG BOLT#105 Elevation=25.00(Assumed) SEAVIEW AVENUEsn1 UP#28122 Edge of Pavement ... . .. . 115.25' 133 , — n n 100,from Top of Bank-� -A :_ .d HB-3 W x� SEE DETAIL N 9 y 100'imm FHW-�_ Shed — — r CIO Pool 0 0 #231 Dwelling 1a-5nKw-2 0- of Bank -- ---r AREA OF PROJECTED APPiwdmate Location of SOLUTE FATE-POTENTIAL `r GROUNDWATER M PACT Stone Revetement as shown on GIS Map p (1� llh Water( q� W PLAN VIEW ' p Scale 1"=40' PLANIMETRIC INFORMATION WAS SCALED FROM TOWN OF BARNSTABLE G.I.S. UNIT MAP THIS PLAN WAS NOT PREPARED FROM AN INSTRUMENT SURVEY AND UNDER NO CIRCUMSTANCES SHOULD THE DISTANCES, BEARINGS AND/OR FEATURES SHOWN BE USED TO ESTABLISH PROPERTY LINES Project: HOPE M. BURKE w clo RU",BURKE 8t DONOHUE,Joseph Burks,P.O.A. 21 Custom House Road,Boston,MA 02110 Title: RELEASE ABATEMENT MEASURE 231 Seaview Avenue, Osterville,Massachusetts BENNETT & 01—R—E—iLLY, INC. ENGINEERING,ENVIR6NMENTAL,dt SURVEYING SERVICES 1573 MAIN STREET,P.O.BOX 1667 BREWSTER,MA 02361 PHONB:(5"8%-"" FAX(SW 9%-4W DATE SCALE BY CHECK JOB NUMBER 12/26/00 AS NOTED CAS/e I DCB B000-2924 � GRO DATE:12l12M WELL T.O.C. MW-1 28.61 MW-2 28.63 MW-3 28.16 TB-7/MW-3 DATE:12/13/00 WELL T.O.C. MW-1 .28.61 i MW-2 .28.6 MW-3 28.1 Paved Driveway AREA OF SIGNIFICANT SOIL BRACT (>S-I/ Location of UST 15'(L)X12'(W)X5-20'(D)— 100 CU. YE / k HB-2 AREA OF PROPOSED SOIL REMOVAL FOR REMEDIAL SYSTEM INSTALLATI h 15'(L)X15V)X15'(D) 125 CU.YDS. Port DETAIL OP RELEASE AREA Scale 1"=6' HB-2 TB-6 BGS 0 GU-0(EU-28f NGVD) • Former -1 ' • .. UST . .•» :�� t»is •• HB-1 J -s BGs. • . r• •�••. . . %- -,;. . -. �,:• ; •.•- ' - • clean Medium 15 _» [BDL] .» [2.4]• :r '•,» 20 _ . •, •r[20.001 (BRL) GROUNDWATER 25 UNCONFINED AQUIFER 30 [#�]TOV(ppm)from PID Jar Headspace Field Testing ( TPH(mg/kg)from Laboratory Results Test Sample Location DETAIL OF RELEASE AREA (CROSS-SECTION A-A') Scale 1"=.6 i LOB �— / ° ■warts run sUMMAL start / 5USAN Mokiz sop Ave � / / ??� \ errsicaxrs NAMEZ3 1 S a wi s w AV F ew / / 09tER14I L_LE, MASS_ 1 w ' ` ° / � �. / ,. g �5.25 ''; Tbts M.'ect has afrev:y been 1..,,ea an Order of Coediflom Nq 1130\ OR Check one ipHW_ .054.0 / \ Order of Cosdidaoe new e41 i. , ❑ \ / Lawn ° EDUS d a of pown,ent / i y / 2 — — .. sTO ` I3le plan sill h.oonsidaed oa .21 20 / v� \ 1 /1 ° Q�GU�PR G -4111 �b133.g3 LA 10 �rFnd / P LM. i ,9 PA ° ll V N� i 0 z P J e. pp \PM`e /' 1 ��� � �o ps�ED O�� to yvt''� ' ��05 0 2 � 231 � _ - s PeR�t+N�AL GARO�tY 23 o�oN� 2 sty w/F ?3 PP-r�'� \� -WooJ Dwelling ✓ ' � OYN TO / 0 • LOMTI ( I P� A� 8�� .�' BARD SANTUIRY rn o Gam`' \NCr .NI _ 26 to -91M \m�— o 20 —21—�oR ��DEGK -� i / : l �-- —= Q� fence rri _ .1 Co Qn PGA Q\ ool•�N � / / / g ";s .,,,A �— �15!' CIJ ATNE CV-DAR LaM71 • r. �/ U / 0 1 I Co_ Top of ,...�►• �15 „t, ,-f•..". • -- / - — ••ram 0 — — Msonseo Ar 2 n e � — / / und Ket S mean y - - / /31� / O _ _ _ _ _ UC / / 00 - , , _ _ __ _ - - Nan �(-2)� \ — /� Modified Pool Footprint. Added Pool House Date:09/26/02 And Garden Shed.Additional Plantings. Revision► L Modified F rint r Contractors R est Dote:02l15M2 Tfle:, PREPARED BY: PREPARED FOR: Notes/Revision: SITE PLAN Sullivan En�r ineerin�r Inc. Ca e�jU CV SUSAN MORRISON The property line information shown was compiled J Z3- b b� from available record information and does not �� 1�3 PROPOSED IMPROVEMENT S Po Box sss 7 Park9r Road 600 EAST WESTMINSTER represent an on the ground survey. AT Osterville, MA 02655 Osterville Mf 02655 LAKE FOREST, IL 60045 N (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fax ' v 231 5EAVIEW AVE The topography and detail shown was obtained OSTERVILLE MA by conventional survey methods. 20 0 10 20 40 80 Field: MDH/WHK Draft: RRL The datum used is NGVD 129. Comp.: MOH/RRL Review: Date: Scale: September 12, 2001 1 "=20 Prof # c-462 Drawing # C462gl q60601 LCB Fnd / °/ °/ °/ / . Atie ?? eW -- D NOTE: For landscaping design,including parking areas, / � 'Sea \ I — 5' \ landings,w steps,terraces patios,decks 115.2 g , P � ,P , 23 retaining walls,pool house,generator,gardens, '20rF- pergola,and plantings see plan by Phyllis W. Cole Landscapes. Lawn / 1 Ede of P°ven'jent — f / v / 133 g3 y H ?a� Cs / I PROPOSED , /L Fnd /1g / / /ADDITIONS I o -o D Lawn 70 /23 / B�\ck , \ # 231 Ile i 2 Sty W/F \ I Dwelling I Y�1 Ct. / \\ oQpsEp EXT.CONC.PATIO 0 Lawn / \ eR TO BE REMOVED — — — co � •�� `-- —_ � ~ I T Lawn 10,CO— z W L — 26.7' MSL \ �N�f j —21 — E�ISTINGY� i � \ FF' Nu' \ - - - - -_—i nce ° 20— Cb 41 J o — — Lawn to LAO . , Y . ....- c_t=g=kJ- �20 / i / / .� Top o . _ •� � 15' / .... .� .. ... — 15 ..... ..... ..... ... ... Sea n— — ........._ ................. — / Ari 2� sea — - - - - i Mean - - 90un O — — - — tucKet anN �✓ Revision Da Modified Footprint per Contractors Request te: 02r15/02 Title: PREPARED BY. PREPARED FOR: Notes/Revision: SITE PLAN Sullivan Engineering, Inc. Capezo"36 l!ry SUSAN MORRISON The property line information shown was compiled PROPOSED IMPROVEMENTS from avail p r, PO Box 659 7 Parker Road 600 EAST WESTMINSTER able record information and does not AT Osterville, MA 02655 Osier vibe MA 62655 represent an on the ground survey. 2 (508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3F95 fax LAKE FOREST, IL 60045 31 SEAVIEW AVE The topography and detail shown was obtained ° OSTERVILLE, MA by conventional survey methods. �y 20 0 10 20 40 8o Field: MDH/WHK Draft: RRL Date: Scale: The datum used is NGVD '29. September 12, 2001 1 "—20 � _0 Comp.: MDH/RRL Review: -+ Proj. # C-462 Drawing ,# C462g1