Loading...
HomeMy WebLinkAbout0391 SEA VIEW AVENUE s �9/ a .� . Q a C ��� 0 �II a � � it a [. 0 � e c ,. I� 0 �� A q _ ,. .: __ _:_ _. _ �:'��.. .. ,. _.. ,. __��_.,... ...�..r ,MU.. , } � u 0 c r G n ° t ,r o o " 0 o,. ° y n 0 off- �, " �•, I s.... °., , ,..n R.°$ p ° r ", ^ ° _ ., ° ° a � 0 o ° 0 ° ° p ° o ^ ° r, e o0 " ° n 0 : o , o e o , e ° ° - • ° c ° ' o ° P ° � .$ Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept aAaNsreei.e, MAS& Posted Until Final Inspection Has Been Made..e Permit �sa��� �t Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1031 Applicant Name: Julie Kavanagh Approvals Date Issued: 04/23/2020 Current Use: Structure Permit Type: Building- Deck Expiration Date: 10/23/2020 Foundation: Location: 391 SEA VIEW AVENUE,OSTERVILLE Map&qot. 138-031 Zoning District: RF-1 Sheathing: Owner on Record: VANDER WOLK, HOPE TR Contractor Name: DONALD L JONES JR Framing: 1 Address: 349 PLAZA BALENTINE Contractor License: CS-077189 2 SANTA FE, NM 87501 j � Est. Project Cost: $35,500.00 Chimney: Description: Replace existing deck with new 18'X 19'deck Permit Fee: $ 110.00 i Insulation: Fee Paid:l' $ 110.00 Project Review Req: ' Final: k Date: 4/23/2020 Plumbing/Gas Rough Plumbing: - -- -- -�-� :Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for inspection for the entire duration of the work until the completion of the same. I 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: 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 MGL c.142A). � Fire Department Building plans are to be available on site ,n� Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r 09� Via Town of Barnstable Building s 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. Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-642 Applicant Name: Julie Kavanagh Approvals Date Issued: 03/26/2020 Current Use: Structure Permit Type: Building-Demolition Expiration Date: 09/26/2020 Foundation: Location: 391 SEA VIEW AVENUE,OSTERVILLE Map/Lot: 1388031 � Zoning District: RF-1 Sheathing: Owner on Record: VANDER WOLK,HOPE TR Contractor Name'` POLHEMUS SAVERY DASILVA INC. Framing: 1 Address: 349 PLAZA BALENTINE Contractor License: 16.2587 2 SANTA FE, NM 87501 _ ` Est. Project Cost: $25,000.00 Chimney: Description: Demolish main house-single family { Permit Fee: $ 125.00 I f Insulation: Project Review Req: { Fee Paid. $ 125.00 Dater 3/26/2020 Final: Plumbing/Gas Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the`approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: 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. 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 MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable .Building s Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAE& Posted Until Final Inspection Has Been Made. Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-640 Applicant Name: Julie Kavanagh Approvals Date Issued: 03/26/2020 Current Use: Structure Permit Type: Building-New Construction-Rebuild After Expiration Date: 09/26/2020 Foundation: Teardown Map/Lot: 138-031 _ Zoning District: RF-1 Sheathing: Location: 391 SEA VIEW AVENUE,OSTERVILLE Contractor Name:­,,DONALD L JONES JR Framing: 1 Owner on Record: VANDER WOLK,HOPE TR Contractor License: CS-077189 2 Address: 349 PLAZA BALENTINE -— -- Est. Project Cost: $2,947,875.00 Chimney: SANTA FE, NM 87501 i � Permit Fee: $ 15,134.16 Description: Construct 4 bedrroom,4 bath, 2 & 1/2 bath single family home with ) Insulation: Fee Paid: $ 15,134.16 FEMA compliant crawl space/basement Date: 3/26/2020 Final: Project Review Req: FIRST FLOOR UNDER THREE THOUSAND SQUARE FEET PER pp #r/ Plumbing/GasSUBMITTED PLANS. y--- Rough Plumbing: \Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after:issuance. All work authorized by this permit shall conform to the approved application and the'approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. I `' } Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 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 MGL c.142A). ' Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: LICENSE OR PERMIT BOND BOND NO. S-891545 KNOW ALL MEN BY THESE PRESENTS THAT WE, Polhemus, Savery, DaSIva, Inc. of 157 Route 137 Harwich MA 02645 as Principal, and NGM Insurance Company a Florida corporation with its principal office at 4601 Touchton Rd East Ste 3400 Jacksonville, FL 32245-6000 , as Surety, are held and firmly bound unto Town of Barnstable MA in the sum of Eight Hundred Nine and 00/100 Dollars ($ 809 ), for the payment of which sum, well and truly to be made, we bind ourselves, our personal representatives, successors and assigns,jointly and severally,firmly by these presents. The condition of this obligation is such, that whereas the Principal has obtained, or shall obtain, a license or permit from the Obligee for License/Pemit at 391 Sea View Avenue, Osterville/Barnstable for the term commencing on the 6th day of February 2020 and ending on the 6th day of February 2021 NOW, THEREFORE, if Principal shall faithfully observe and comply with all terms of the underlying license or permit, i and all Ordinances, Rules and Regulations, and any Amendments thereto, applicable to the obligation of this bond, then this obligation shall become void and of no effect, otherwise to be and remain in full force and virtue. The Surety may, if it shall so elect, cancel this bond by giving thirty (30)days written notice to the Obligee and the bond shall be deemed-canceled at-the expiration of-said period; the-Surety remaining Liable, however subject-to all the terms; conditions and provisions of this bond,for any act or acts covered which may have been committed by the Principal up to the date of such cancellation. PROVIDED, HOWEVER,that this bond may be continued from year to year by certificate executed by the Surety hereon. Regardless of the number of years or terms this bond remains in effect, and regardless of the number and amount of claims that may be made,the maximum aggregate.liability of the Surety is limited to the penal sum of the bond. SIGNED, SEALED AND DATED on this 16th day of March , 2020 BUILDING DEPT Polhemus,Savery, DaSlva, Inc. By MAR 16 2020 Aaron D. Polhemus, President NGM Insurance Company By L4 A I Attorne -ih-Fact 1923 Nancy o dano-Ramos 68-QQ-0002a-06 ®NGM INSURANCE COMPANY POWER OF ATTORNEY A member of The Main Sheet Ame ica Group S-891545 KNOW ALL MEN BY THESE PRESENTS:That NGM Insurance Company,a Florida corporation having its principal office in the City of Jacksonville,State of Florida,pursuant to Article IV,Section 2 of the By-Laws of said Company,to wit: "SECTION 2.The board of directors,the president,any vice president,secretary,or the treasurer shall have the power and authority to appoint attomeys-in-fact and to authorize them to execute on behalf of the company and affix the seal of the company thereto,bonds,recognizances,contracts of indemnity or writings obligatory in the nature of a bond, recognizance or conditional undertaking and to remove any such attomeys-in-fact at any time and revoke the power and authority given to them." does hereby make,constitute and appoint Nancy Giordano-Ramos its true and lawful Attorney-in-fact,to make, execute,seal and deliver for and on its behalf,and as its act and deed bond number S-891545 dated February 6,2020 , on behalf of ****Polhemus, Savery, DaSIva, Inc.**** in favor of Town of Barnstable MA for Eight Hundred Nine and 00/100 Dollars($809 ) and to bind NGM Insurance Company thereby as fully and to the same extent as if such instrument was signed by the duly authorized officers of NGM Insurance Company;this act of said Attorney is hereby ratified and confirmed. This power of attorney is signed and sealed by facsimile under and by the authority of the following resolution adopted by the Directors of NGM Insurance Company at a meeting duly called and held on the 2nd day of December 1977. Voted:That the signature of any officer authorized by the By-Laws and the company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond,undertaking, recognizance or other written obligation in the nature thereof, such signature and seal,when so used being hereby adopted by the company as the original signature of such officer and the original seal of the company,to be valid and binding upon the company with the same force and effect as though manually affixed. IN WITNESS WHEREOF,NGM Insurance Company has caused these presents to be signed by its Vice President,General Counsel and Secretary and its corporate seal to be hereto affixed this 7th day of January,2020. NGM INSURANCE COMPANY By: n�c�lt,{_�(. o7G�tc� = 1823 _ Kimberly K.Law State of Florida, Vice President,General Counsel and Secretary " -County of Duval" " On this 7th day of January,2020,before the subscriber a Notary Public of State of Florida'in and for the County of Duval duly commissioned and qualified,came Kimberly K.Law of NGM Insurance Company,to me personally known to be the officer described herein,and who executed the preceding instrument,and she acknowledged the execution of same,and being by me fully swom,deposed and said that she is an officer of said Company,aforesaid:that the seal affixed to the preceding instrument is the corporate seal of said Company,and the said corporate seal and her signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Company;that Article IV,Section 2 of the By-Laws of said Company is now in force. IN WITNESS WHEREOF, I have hereunto set my hand and affixed by official seal at Jacksonville,Florida this 7th day of January, 2020. Navy Wh*UM K � d flotiEa Mn 1,Nancy Giordano-Ramos,Vice President of NGM Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said Company which is still in force and effect. IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Company at Jacksonville,Florida this 16th day of March 2020 ,o . __• 1923 � WARNING: Any unauthorized reproduction or alteration of this document is prohibited. TO CONFIRM VALIDITY of the attached bond please call 1-800-225-5646. TO SUBMIT A CLAIM: Send all correspondence to 55 West Street,Keene,NH 03431 Attn: Bond Claims. FEB/21/2020/FRI 01 :47 PM COMM Water Dept FAX No. 5084283508 P. 001/001 Centers-ille-Osterville-Marstons Mills Water Department PLO,BOX 369-1138 bL4Lv STREET OSTERVILLE,NUSSACETUSETTS 02655 tiE. °St wtivw•.commwater.com. w �$ OFFICE OF u am WATER M BOARD OF WATER CONMSSIONERS WATER SUPERINTENDENT DEFT. TEL.No.508428-6691 ~5 FAX,Io.508-428-3508 February 21,2020 Town of Barnstable Building Department Via Fax 508-790-6230 RE: 391 Sea View,Ave, Osterville To Whom It May Concern: This letter is to inform you that currently COMM Water Department does not have a water service connected to the main house at 391 Sea View Ave, Osterville. There is one listed at the garage building,which does not involve any proposed work done at the property. If you have, any questions regarding the above-mentioned property do not hesitate to contact our office Monday through Friday, 8:00AM until 4:30 QM. Thank you. Sincerely, Glenn Snell, Asst. Superintendent Centerville-Osterville-Marstons Mills Water Department CS/bf I 4 5II -RFA N CA-,� s U SL 3L4 1v 4 ,+ ll � � 4 - � - o � 1 1 I � � ��� � �l� ,.. t 391 i 4 _ l U4-+ t �C f f r- 9' l j o TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel mio;IL %'„ n� p Permit# 7/8 F �' ��eei+n-S N13 TABLE Health Division P003 01& gh-5®3 n� .� Date Issued 2- 2�—O`? Conservation Division G s3 371GaW� ��► j 11 �' Application Fee L Tax Collector Cc (03 Permit Fee 412. 12 Treasurer f�t�y!S!01 Planning Dept. SEPTIC SYSTEFII MUST Date Definitive Plan Approved by Planning Board INSTALLED IN CCMPLIANCEVATH TITLE 5 Historic-OKH Preservation/Hyannis ENVIRONPAENTAL CODE AN[ 44 //11 TUwli gEZt? 1)Tn Project Street Address P►.S Village Owner Address Telephone Y�e- 13 7S Permit Request �4 Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new 0. Zoning District Flood Plain Groundwater Overlay Project Valuation4 d. 0 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 .&L✓ Historic House: ❑Yes X No On Old King's Highway: ❑Yes Cl No Basement Type: Full ❑Crawl ( Walkout ❑Other Basement Finished Area(sq.ft.) Base tent Unfinished Area(sq.ft) _TW(p . Number of Baths: Full: existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and F el: 'p�Gas ❑Oil ❑ Electric ❑Other Central Air: Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:Cl existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION y-J �Dq Name Telephone Number I A1/2 e Address d� License# t Home Improvement Contractor# Worker's Compensation# O �LOIdlad03 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 77j4l, t A . 1 FOR OFFICIAL USE ONLY c r PERMIT NO. { DATAISSUED - - MAP/PARCEL NO. ^ ADDRESS J VILLAGE ' OWNER 1 DATE OF INSPECTION: , FOUNDATION U3 / 1 • Jr9 FRAME `' Z"L�� ��F-o N r,•� .I'`'J, "" oA— INSULATION -- FIREPLACE 4 ELECTRICAL: ROUGH FINAL `� w PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING '9 231b CIcFa j Al! AE cn1 i E DATE CLOSED OUT ASSOCIATION PLAN NO. x ___ _ The Commonwealth of Massachusetts _.T.. '- Department of Industrial Accidents Ent.t- °=--�- = Oh9ce ol/aaesti9atioas _ ! _ 600 Washington Street - Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit name: location: • hone# city ❑ I am a homeowner performing all work myself. ❑ I am a sole %% rietor and have no one workin in ca achy % am a s%% 1ry/� din workers' co ensation far my employees working on this jab.t...,_.,•,.-,..t.....n,.......r +:r:y.:.,,t}: em 1 rove mP.............. .: ::::::......r...,:.:F.:...:.:..::•::::.::::.}::.::.i:.}';;.}:.::{!.};}::.}:.:;.i:{.Y.:........r......r.:::n.:::...t::.:::.;.::r........;,...::..t:.::.::}:.?:.i I am an P S .Yi.Y:;.}:.::.?}:.?:.}........:., ...{� ....... ........ .... ... ... ...........:.:....... ....... ..r.....n.!4.:LY.'yv:ii�i:j}it•: }:::�•::•4',?•J.4'•Y'w'4'vY'�.[ .1... .... ..... .......... ...... ...... .v:.:v::nv::::::.:::v} ::::::nt:;v:•:t:...:......m:.,........... r:4}:{4'v?}:;•}:•:q}::iY:i�i{t{:�•:...;r..Y:+.vi•fv.^:'•.v:'•: r .. ... ...... .,.. ....... n. ............ .................... :.:v:' vw::.v.v.v;:::::•}'. }-Y::}•?::{:.v.v:..n.•v n.v v:;:.:...v. ... ........ .......... .... .. .. ........ •::::::•, v.v.v::.:4.,, ... k:r::.::i4'v:h`::.:�•�:•}{.:•}^:i. ....r..... ........,... .............t... ............. ... .... .... ....... ................. „.. ,::. ,...........:... ..... v.v:::in.}:i•}}}:?4:v:::•.v .{K:iii?:':i?i:ii:: ..........v:::........•:•nw:............••:;;{.,inn.....:v: :: ... .. .............. .. .: ....}::::::: .ro Y.`}x�`:;v4i}Y{:•}i:}:;•Y:•Y:8nI ::....:.:... ...:.......:.}•.:::.::.. .......::;......:...,•;•:;.n?!;?.Y:..:�:•.. :'iii{::::.........:::::::...;4 ... .. ... ... ........ .. .................. :::.:......•:v:::::::n•.v ....:...h....h•:..-.}•., v:!ti�`,':;:;�G:vvi;Yi�'.:v;{r'(+• • ...... .. ........ ..... .., n.....- ....r.. ........ :.......}................:...... :..:Y.�....:nt4.W::�n:••t..;r..:.w:i:n:.{ •:vh\•:?:}`::%}:^i:'vi: .......... ... ..... .... }x.n.• ... : ... .. .............:•.v::::::......... ... r.v.v::.:.'- ..:::`?`:{:.}::::}n•:v::........n....:.:.vv:•w::::::kY.iYY�:4'+1•iii:f�':t�!':+4:.'{,w}:::.: ....... n.... ....:.u.. ....... ... :........nY:4}}}:O}Y}:•i:+.::::..:................v:::.:}?:4:•}};•}}:•Y4Y:...r..;n;...:v:rw:::n?v.v..........• ,....nnn,n....nt:..2..L,Yjv\.}.......... ..:.....:...n..-:•v..........•. v t:......:r.....:::: .. ....::::::..................................v .:vn..........n..t.:..:.< .rv..v............. n , ...... ...... ... .. ........ ... ........................n......:........."Y•.:....v......w.vn,::.::::::, ,:�}t..,.:iii:i:::v:: "vv v vi:t.}:K?•}};4}: ............................... .t.. ....... ..... .r.... ... ...... .... .... ... ..... ...................::v:v:v:••'- .....{...,:::.v.::::.v vnv+v:.... :.. .Li r:�C•i?.4..::..v:.. 1 .{:•:^?:•:^:.,•:.v:::::.v.v::• .:: ::v:.v :]. ,nv::::::n•:x:: ..}:;•i:•Y:vi}Y:4?}:vY:4:•:y::::::::.v:.w;:.......v:...........v...x:.. r.t ............... .n•:......•: :: :n. :.y .. .:....... .. ......._...... .. :..:.................:l4•..:. ::;?{.}:'•iti Yx"+ri';tiXjl:4}:r:- ' ......... .. .......:.......... w.:.:.•M•.vv::^::r•}•.y.}:•:;:.}}':Y•}'4 vi{ii:?•}i!?:ixt}:;:i:.':ii`:ji:i};•, 4:t.v•.v.•} 'tiC?•}.l'k•: v .�tl�E'ESS . .:...... - ...:...... ......:.::::.::::::•.v::::::.}:::•}.,........t•::..............:::.v::•i}i{!:;,:!4}}Y.•}}}:.:v.:t•.....-C:... ..,...}.•:•::::.v. �.:.:}•.v4 r,ti•',' }'•�+.i•:Y ':;:'::+:;i't-'?•::•?::.:;%ti�i:j�'�:"•1. 4:Yr}}Y`:;{!•i}Y}:4:4•bi}::•.{..•vn:•: ••::::..y::.b n.v.:..n..... ::.nv.::.-•v::.nn•..n•: ...',:i!i''.'iii:?:i.?:�}:is>.:jii:+{Kiiiiiii:Y :. :::.. .;..... 1. ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors ' slow who have the ' compensation olices: :::::::::n,::.::4•:n.:::ii:.;.n...,.,..v:: i;;.:.:.},:.}:;};}:;;};a;:.:�}}:{.;{ ;>:::;<{:; }..K:;>:<?,,;K:; wqr{.:;::<::;:; followingworkers mP . ....P...............:...:.:r:::::.�::::::::.::::::.�.�::::.::................. . :.n' .... .. ......... ,.......... .......... ..................:•::::•::::::.......................�:::::...r::::•:.ii:i:::::::•:::::;•:•}:;-:}}:;•}}YY;:.}:•}::::.. ?..t n!•t j 4.{s:i:`%•iiii ...... ...... ........... ......... ............. ......•...............w:n................w :::n•v:;w::n:•:,. .........f.:v.vx?.:.}.,i.::.•• n...:•::Y}:::v:•}••,v; ..r................... .. ..................................... ........ ..... :...... ..:..... ........r.... ....... r.n................n•r.......................:.:v::::..........- :::::.........r.....nv.::...,. ,v::•Y'•:w.r.....x:.:; Y� 44J'•{4.,:;..ti{}}}?:i:r. ......... .........................::•:::::::....................t ..............:•-• ......::.:.•:n•:.,•:::vxt;!o:•;Y:}:::4:YY::•:•:.r•.h-nv:r::..,;.r:•••:..:},••.. \.'.v-n:{•i:'w.? {v:Y}:•:{•}:•Y:•}{:::::;:ii:?!:i:r::n}•}:v;•.v}:;w;:•Y::•:.::}i:4::i�ii:}?v�?vii'•i4'•}};::::'}'+::•:C•i:4:?;?•:•:i:;4:•::::: :n•n•....................... ::::..v:::::•:nv.::::n. ..:..............:::::r:::}::?i:.}:•{{}.}••}•:�riY}i:{%��'ti?•i:;;�!iYYjC:ii:i?iiiiiiii i;vii4Fy iii:;ii:iii.a.. !4l\.v...... .t........ 'eom an ..name .......................::.:::.�:.�:::::: :;::}:::.�:............ r::::.:;...t.h!.<!,...:.;J•......:...... fit....,.,...,:.:•{{E., 4t:q:.:v.v: . ............. ............. :..............t. ............... ..v:::::v:::.v::::•:.v:•},::;.v::.v:?vw::vn}.v}:iY';•?::}••'i:• ....::+i':i•i:-.!v:nv:::::� h \ti;?Q r:.:.}:nw::::::.v .... r r. ....... ...............................v........ r:.n,•.:w:::::•::i ....:.. ...... F.. S:n. ..v n... ............... ................... v:,:4{•:::r:}•};::nyn:y}}::•Y?Yv:v::� Y:S:'':vh .........n .....r....... ....{,...fr........}..........................:v::::4n............ .n....,.......m:??•}}:•Y.Y:v:rF...r.r.n,...v.v.{;t+v,v..i.+••.4•::{`:;:i{:rix,'-v.C:;+ aY'+:n r.:...... ....... .......•.t.... .. ..... ......................:..v.+...,...• ......r:•:.:v.vn,............,.........•• ....r::rY•::•.v••x:•.}:nyt;•:i^.:::::.}::::w:• •nv.Y::�::i!.}}Y ........... .......... ............... ......t. MEN .,...r.. .................. ....................... ..t:.::r...t.,r:v::�• ..... .... .{.:}:.^•.}•n•:::F.t::ni{S:•n•Y.}`.is{4Y:.: .:........n.•:::v..............•v...., r..r...v.:.......n•......{.::r...................:w;, }..v::::.v;. { ,...r.....:{•}:K;4•:::::Y.:;i}n.:......, .r....v.... :............:::..nn.......•.::............C:•.v.:.,.n....r n..•:.v, .... w::;;;vY}}};;., v.:., C::.}:..:4!?.....y;•::n:,v{:i:: ............... ti 4.f{•n. ..,........ ..... .... v:%i}:4}Y%:}i:ti:i:4:•:ix!.:4:'•;4y;:}::::YY'{•ivi!{:.;}!;{;i::{n;,x•YY?;i;v}:;:! .:....:r:::::r{.}}tvi:0:t%:^'?i•'r!n::i::nv................... ........................::: .:v::::::::::!•i}i:{rii}i:•iiiii?:•}!}:iii}..,..... r:...tv•v:r•:::::x.;.}ny;.{..L/. .}W.�xrny�+4i}:+!::i':y:!: ..................::::::v......,.....•::?::::............n.::::::w:............:..w:::::....n.....v::::::::r.......:4:•Y:+.ufi ....r•:r?::•:{:w::+,.:... .n.v{.... r...,t..;}• ...............::.............:•::::......:......n..w:r.................. ................:•:::....n.....r...r....,v:......,.....•;.... ......... ..... ......... ......... ........... ................ n............ ........... ........... .r.. .r.., ........... ......: n........• ..............�w:•::.:........:. ..:.....:::::itr :.t Y:•i:v:.{}:ii.vn:?��.vk.:..rrri. ..... .:......... ............. .4..r. .... ......vt.... ...r.t.....:v.v::.4..Y..x.. .... ........�•........v.r4. ...... ... ... .nt ....... ............r :...................... ,.......::}:r....... ..............n........rnv.r...... ....:. ...v........n..........v...n. ...r......, r...........• ,}r... 4:x{::•}Y:S:}::ti{?.;,A:i++Y•Y}i:'.'}:\Y"..} . :...r..... ....r.n..•:.............. .{.rn..,.v.... .. ..........................r................................ .::yy.,v...... x:.v.}::•!':4:?;i!•?:: r.. .... .......... ........{..'}.' ....v...n.• ..r..................:v................................e. .,::i:4}i:;•}::..... .....,v.v4=:. ... ?.....{.: �A+i.v:.4i:4i:!•}4}:: •.r.• ....:...v.......................... .. :...v..........v v..................... ..........n...............:::.v..r...n.:... ... .v:•....:•.<:-if:'::?;i•:4i:;:fitiS:i:•}:•::' }\•...'},i ..:.r).... ....n.....w...... .,..Y.r:+:w.. ...........n}.•..............v ,....v............... „ ........ .......,.. ....,..,r.. .. ,... ... .....:........ ...t ................,•:::.,.:........... ...<•}:4:•r:::::::, :...,.Y...,.t...n•:::.,:?-:::::n:::?t•Yi:43}Y:n'•ii<'�Y'•••} ::ifi: .:... ..::::::.......r......fi:n•....... , }..:.. Y.{.;::.}:.}::,.:::::r::::.�:•:::::....:.t,.:::.�n.:..:.::t.:?::.�..::';:.::;.i:.Y ................ hone. !.v:....r...... ........ .......... h...... ... ....... .....:v.r v v:::::..:.:.... ..., t•.:;•:{;i{•.i•i:.Y}YY:4i}:4:v:iv.:•Yr{iiti{:ny;i i'^ti:L{vY;;:^�iF i`X;n<}'k:\:>:ti4{f{ ........... ... ..... ....................::..:.:.:::::n:...::.................' ...n::+•..,:. ...v:,}::•}Y:•:4Y:4:4:•}:•Y}Y:•.:0:':.;:ri}i....t v::�^'y:v.}. .................... ....:.:.............:.�::.-:::...............................:::::n•.�::::::::::.}••n•::rn..!.t:•Y:�?:;•Y:..:...t.,....::.:•i:;;.;4:;::•.•r.,. r..Y,r...tr:.t.,:Y. ::.4:.............n. .<•...... v•{•.v.•.v:v:w::•hv.:r.:f.. .xY..iM1...:•,•::•. ......... ....... ..,r....... ......... ...........n.....w::;v::.v:::::::::'{•Y}:•};•}:::nv....r....................r::?.:..:•:h:.: •:...r.........:•::.............:....:.... ......:}...n............::::..:.,.............:•.�....r...........s..:n4.................::.�::::.�:�::Y..:•,::........n.....:•:.{\..;..L...i•}:... ....,.,r.r..::...n.Y.{i}:}}::::v^,r::. 'A,{ }.,ky;.;{Y!!?..t};.yr. .... :.r...... ..:.:... ....... ......... .....::..:::::.........� ,.n•,.•::�::.:�::: ...............t::•::;:;:n•::. :•:::.: ,.,...t...:�•r•.;•?.{:.,..,.,i'iL•:4}n!i:�::�i•:i.r•.•. ;3,.. :.,�:,{{:'.<:;. .rrn..r.x.v...n.......:n.............4.Yfi: .:...........tt ..... {:�.::}•{?•);;:,+.;:::{!:{:?%;?{•?:{•::{-:::!:;•?•n4:v:::.v:n:.. ...wv. ..::::::::v.••:•v::.v:•:.....::x:};r...v:nr..r,:.:::r::`::4•..r::.l:}:4}:{4};!4Y}:;vv.Y'•t:•}?:'Oi}Y}}.'•:4:•:ti{•.v:;4}:4}:^}:?4}i}}:^.:::::::...:r......:. ��� :.n.nv..::v........ • :. .:.,.. ., .. •r.}:....n?v:n.,f.:nvh{•:.S:.v.v.....::::::::...v::•v:.. .v. Ia�tl'L`Sl'IC�:CO':�:::r:::::{•:.:i!{•;•:;:<•:•}:{•?:.�::.::...::•:••:.. .............. ��/ /I WENEMENNUMN . .............. .. ....:�::..�.:.:::::::..}}:4}:::r�iY}:�Y?:::::i}i:::.Y:-%.:i;ii::�:5<�•."%::E::::::::.:::..� ,:+t}n.... ..,i;'•:....:.. ............................r ..r....r. ... ...................,..... ... ...... x:::.vx.v r.... v..F r^}Y:4•...{.:?:-rh;{•yF.^:'.4.!�yF.+{{..4'�ii;}i: .......... ......... rn r....... .. r}....v...n.• r.......r......... v:n:v.v:::::.,.... ::.w::::.:... r.. ............r.............r.../..n.....v..ry .....n.....,.... .................. ..................n•.yi'F.•}}ii}}}i:•i'F ......r....:x:n•;.....• ......:f...;;;•?F•w.:.r.•r..:..?.:.... .. .:..v,n•::::•.vnKn.- n,•.v ..:::.............:n.........•:w.........r...:...... ..r:..........v.....v n.................:. l... .n......rv<:fw,;, v... v.vh%, ti:•'4::v:;v:•}.;4i n v........... ......... .......n..n.....w::::::::::.v:•• ......n.......:• .............n......:nv:::::::.+.w.v:...•nv;: :;:r:....:::::n:•;{ti:i:::::- .., by v:.+•.....v••:•... ....... ..... .. }n. ......... ...........:v::::.v::n..................,. v:::::::... t..... rr.....:%::iw:r:.•h:::::.v:r•:..:.v:;:::::!�::YC4h+::.•Y.4h',i.}-:.,4h�:.}v{:v::•{': .........t.................. ...........t.k.. ..4............ .......r:::::::::::::4Y:•}?Y:•}Y:{v:::.v::::::::F�.v:.}}}}}Yi•4'F.::i+?i:!�I�i..n....•- F..,. F....... ..........{..h.....r. ...n..... .....r.. .... ... .. n......:r:r:::::•:r:::::.:..:........ r.... r........ ........... .n?.....v:.v.v:•.:::...................r:}:...:.:. ........::v..._ ...... ......n::n:....{n ......:::................r:•::.::v:.::.:::n::';:>:Yc;:'i;Y?:;:iY:iiY:•Yi:•i:•::::::.v:.v:::.. ....:......:.....i}... ........r..n. ............ ....rv:%;4;•}Yyi?Y}•4Y:{•}Y'J;x:::::.}•:::4}::ri':!fiYi'rii:i}}iii:;y r{:ryti,,{{'{{fC<{titintir.{'i:i'•iii{i" snt�a .................. ::. ....:.......... ...:r:::::.r..... {.:...:r.iii:•}:.}}:?>..:;::;:ispis{:i<::}?:.s;}:..�:.,.:..:,t......... ....z.. .... n. ... ...n. .....................:•..r................................................. n..v::x.r:{:::.}:4:;, ....... h•:Y.v;r.:.:n'.•Yv::•:• �{ .....:. ....... .....rr.r ....... .......... ......................:...::.............:......:::4;:.Y::..:.... ................x..... l++\k!:iY:::yYY:+'::<•Y:;ti}}v:: r.......... ........ .r.....x.•• ............. ............... ........................................:•::::::::.::. ......................:: .4...:.v..:n•.v::::::::::::::?:;fi:4!n:•;:?:•.•iY:{:::::.}Y:`}:•:y}vJ••.Y,4..:,7{:r:.:i..YY:................:v...n......`::::............w::.................r::...........:...:v:v..................... .... ..... ...... ........ ............. ....................:::::::•.�::::nv.v}:;4:;4;;;.;........v.:....:.......;.:.:........:v ?v:Y.�.vyvCr.:S..?..:n.:...y,.... 'r.}j:viii?:C4Y'+:F+i 4iifi'{i•>}}:;:•; 41•.. �::::;5:,+.•-is;:;:>;:}i:ii:j,:;$.; .. .. ....::....:......... ..:..:::.::......... v:::•Y::.vYY::::`'':!:!;!:!is iii:i!:::...::::•.>}..% .. ....... ............ :......... ........ ...........nv:•;::4}?inyv:;i w:::::::+v::+•:44., r:.»;n:•nv::....'...••.. r,..rr:••::nv:. .:...:....... n.......• ................ .....................::..................:::....... ,....:........:::..... .}}}:?i;Yi:w::v:••v::;:4-•:,•:,, :,•}.v�ii:•}}4:vn;•::. i{•;:.} h..:•::;i::.... ��#iiiiiif ii �%�' %%?;iii%iiiiii{iy` � ..+:`:ii::::•':::.`n:: .::in .......... ..........r. .................. u F:::??4:•}:{r+.,•}:•:i4>}.v::,,mYY-.v4.4h•}:?:•?..'•�v...v....... ...................,.,. r.t•:{;a:.;;.;,.;::n•.;;::::•:;:::Y}•?+:}:•::•};{•}}}iii:•i::!;}::::: :::n•::::•iYY}:.,;;::::::::4:;•}:•:;{!•::-:r•:•::::n•:r•::�:. ...............:.................r:.,..t,?;•}i::•i}Y:.:::;;;iiYi}}?Y:•:.is4}::!i!iii::L!:fiiiSi:}:??Yi::::.;}:+::.�::-::::•:::�:;::?:;::•}i}:4iY•:•}`:!•?:•}}:.}}:;}:•::::.�::::::... ,:::.;•:.�::.: •.••.�:: .. ..... ........ ...... .......... ........................................... r..r..v:;............•x::::::rF nfiCL};n:4}:i??{4}Jiv:}r:: r:nnv.-..r N:::.}:;. r ........ ...... ......... ......... .......... ......................: .........:::•.r..:r.v,::.,}}'•i::::....... ,.rr;r.... Y. :. 2':i!t 4:•:C•Y.}i}i} ........ ....... ....r..... .....:. ......... ...n...................n............... ..:::!W.C........ t:v+v:'4}};Y';vi,v:?:n.v:hv:.$:.:.nv.\nv ............ ........... .n....n„... ...n......• ............................................. ..:::.:::n...............v:.:.v..,...:v::.::, ....:..... v..::.:.v....:nC•:nt•}:::i::Y•i}}:'vi'w.,,,, N.;, L..::. •................ ................................v............. ....................::::.v:::::::::r::::n•�• ..................:•:vn. ......... r::::::...v:........... n..r..n...•::.4h>.•.•.v ivr+,;n}\:..::•.v:.:.. •.............:v:..........:v:.................•:... ........v:............r.....•?:......................n•n•.............v•:n:......,r.......:... ...... ..v::::::n...-v::...::.:........r:n•:{{{!:•.v::w....,.{....... , ............:::::::::::.v:}:v:nv...• ..n.:.n.... ................-::v:::.4•:::::::::::n:.............}...... Ji;.:v:::::::.,,, ......:n•:.:.:x:v.v;.;,v.;._.. ....::w;•:.........::.v::..........•:+v:+i.:........:..v;}........:::::::::::nw:nv::r:..................... v..v.:': �� /► ::::::.v::.v;::........l.;•v:............. ... ::}:v:nv?::::::::.:.;..:�::.}•nw:•::.•4x,:r•{+4:fi::•:':v:i:4Y`:4:w;:::::::;:w:.:v•::::nw:n:•.v:::w....;.....::�:•::�:::::::::::v:�::::::. •. ............:{:::. iU[1TSIICe:CO:<•s:iit::v:<;::i:;;•}:•Y. 4::.::::r:::::.:::::•::.;-::n•:::•:::::•.:::::.i::•:::.:n:.:. Fafiure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one yem+imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me: I understand that s copy of this statement may be forwarded to the Office of Investigations of the DU for coverage verification. I do hereby certify the and penalties of perjury that the information provided above is trw' d c rrect Date ,.. Signature l Print name i Phone# A official use only do not write in this area to be c pleted by city or town official city or town: permit/license 9 ❑Bnffding Department ❑Licensing Board response is required ❑Selectmen's Office ❑checkitimmediate rap q ❑Health Department contact person: phone 9; ❑Other (revised 9/95 PIA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,Partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or 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 contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplyingcompany names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and �:. date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you on policy,please call the Department at the number listed below. are required to obtain a workers' compensati City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pernutllicense number which will be used as a reference number. The affidavits maybe retarhR to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Iovesugauans 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 IME T Town of Barnstable Regulatory Services 9�BAMSrABM� Thomas F.Geiler,Director .s639 �0 Arf1659 a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, -improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: Estimated Cos 4 000, 6 0 Address of Work: 1�/ Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I herebyap p for a permit as the agent of a owner- Dat Con o Name Registration No. OR Date Owner's Name Q:forms:homeaffidav 7&ao CMR App—ih I Table I3.1Ib(continued) cited wiLh FOOD Fuel, j prtieriptiYe Packiga for onr smd Two-Faatity Rnideatial Buildings S _ ' Hceung/Cooling hTAXfMUrA 13zscsneas slab C1laring Glaring Ceiling Well Floor p�mcw Equipment Mcicnc}' all A='0%) U-Vales., R-vaiuel R-val=4 A-value Rw R vslud FerBc 3101 to 6500 Hating Degrre Day,' E Narmai 12'/. 0.40 38 13 19 10 6 Normal Q 12% 0.52 30 19 19 !0 6 IS AFUE s 12'/. 0.50 3E 13 19A N/A Normal 1. 15y. 0.36 31 13 b Normal U I S'/. -0.46 3 8 19 19 10A 15 AFUE 1S'/. 0.44 38 13 25 N/A 6 IS AFUE v 19 10 �y 15'/. 0.i2 1g 30 NIA Normal 18Y. 03Z 38 13 25 NIA N/A Normal X 0.42 3E 19 25 N/A 6 90 AFUE y IH/' 13 19 10 z 19% 0.42 3E 6 90 AFUE 18 19 19 AA 10 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: �2l° 3, SQUARE FOOTAGE OF ALL GLAZING- �20 4, %GLAZING AREA(0 DIVIDED BY#2): g, SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DFTERRMINING ENERGY REQUIREMENTS ARE AVAILABLE, ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: N0: YES; q-forms-f980303 a 5 , 780 CMR Appendix J Footnotes to Table J�.2.Ib: skylights, and Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall area, expressed as a percentage. Up to 1°/a.of the total glazing area may be excluded from the U-value requirement. For example,3 JV of decorative glass may be excluded from a building design witho 300 ft f glazing area. es must be tested and documented by the manufacturer in accordance with s After January 1, 1999, glazing U-valu the National Fenestration Rating Council (NFRC) test procedure, or taken from Table 7I.5.3a. U-values are for whole units: center-of-glass U-values cannot be used. s The eeiUng•R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation,thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 4 Wall R-values represent the sum-of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing, and interior drywall.For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R 6 insulating sheathing. 'Wall requirements apply to wood-frame or mass(concrete,masonry, log)wall constructions,but do not apply to metal-frame construction. s The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages)-Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 5d0%beloors ow conditioned must meet the same R-value requirement as above-grade walls. Windows and sliding glass basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. ''the R-value requirements are for unheated slabs.Add an additional R-2 far heated slabs. ' If the building utilizes elebtric resistance heating use compliance approach 3;4, or 5. If you plan to Install more than one piece of heating equipment.or more than one piece of cooling equipment, the equipment with the lowest r exceed the efficiency required by the selected package. efficiency must meet o For Heating Degree Day requirements of the closest city or town see•Table J5.2.1a NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable leve s. R-value requirements are for insulation only and do not include structural components. b) Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table 11.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0,35). c) If a ceiling,wall,floor,basement wall,slab-edge, or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R.-Value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). r RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 / 8 j FEE VALUE WORKSHEET NEW LIVING SPACE �—square feet x$96/sq.foot= 1 S 2 U x.0031= 3 sT i 2 plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft , >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$96/sq.foot= 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 $150.00 (plus above if applicable) Permit Fee;41 ? projcost Town of Barnstable Regulatory Services ye ss ' asg` Thomas F.Geiler,Director `6°tEo,39,.�0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder LVas Owner of the subject property hereby authorize ^��► to act on my behalf, in all matters relative to work autho ' ed by this building permit application for: 1964 elf- (Address of Job) 1/11)1-3 Sa of Owner Date Print Name Q:FORM&O WNERPERMISS ION & Board of B uildmg Regulations HOME IM4 and Standards V � Q EMENT CONTRACTO !_oFl`� R 5799 C.J.RILEY BOI ' .- ate L Corporation CRAIG RILEY 1322 MAIN T. fy< ' OSTERVILLE Sv, MA 02655 - Administrator Glie BOARD � i °�✓ moc/u�vel2 License: OF BUILt)ING REGULgTIpNS CONSTRUCTION Numbg ;,CS SUPERVISOR 066147 Btr—th 02105219_67 �4Pries `fir•/.r I Tr.no: 8032 ' ResErieted CRA•IG J RILEY i PO BOX 382 t _ IOSTERVILLE, Administrator .r� 1� Town of Barnstable *Permit# ;'ABLE RegWatory Services -7 TOWN - i'� Richard V.Scali,Director Building Division Tom Perry,CSO,Budding Commissioner 200 Main Street,Hyannis,MA 02601 www.towmbamstable ma us Office: 508462-4038 Fax:508-790-6230 EXPRESS r � P\ERMIT IDE+APPL1CATTON - RES NTIAIr ONLY Number V Map/parcel1 I Not Vabd,orfhnut BwX Press D,3pnxt CC Property Address 39 I 1SSPavie-uJ &t_ [ Residential Value of Work$ 7/. /2 Nfimnmum fee of$35.00 for work under$6000.00 Owner's Name&Address C. 11 dn�etr �(/a� —39l A V� Contractor's Name �/�Si 1/�rJG �;. ��n,'i /� Telephone Ntnnber ``7 CS,r - ?,R, �I Z_ Home Improvement Contractor License (if applicable) _ ,5�& Email: ng.,,.A r cr,-��•a_s;r..xr��:rn c��a�'c r!_ Cc.T Construction Supervisor's License#(if applicable) 9 (r,6 S ZWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner [have Worker's Compensation Insurance Insurance Company Name r-7 r a ll o�z �c, T Sc., Workman's Comp_Policy# b t; s s7 10,Q Z v co© t Copy of Insurance Compliance Certificate must accompany each permit Permit Re (check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will betaken to S Rvt2[w ❑Re roof(hurricane nailed)(not stripping Going over existing layers of roof) ❑ Re-side ❑ Replacement Wimdows/doors/sliders.U-Value (maximum 32)'#of windows #of doors; ❑ Smoke/Carbon Monoxide.detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. "Where ncquutd: bumcc o£tis oeand does notcmmpt compliance with c&a town dcpavment regulsucas,Le.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required_ SIGNATURE: Q:\WFMM'T0M,1 .1di g rms c Revised 040215 I ' holvan 5612763184 P. 1 .............. ................................................................................................ ........................ .............. 1016 P. 1 6. IN)() 0: 0N F r a st C o t 1A s tr u,c til 0 T C 31 Bowdoin Rd. Mashpee, IMA 02-640 ........... LAv)y.fr,,,s-r-orstnA-cl-ioncaDecod.coriI PAX 1-508-42,8-01233/f PHONE 1-508-428-2292 CS4-'7r_r%S HICL#iM536 2/24/16 N 6, 1 loT3e Vanderwalk 77 4-038-6500 mob A.6 4 r 391 Seaview Ave. Osterville Ma I F PRASSR Ok:liereby proposes to pe--.Ibrm tk�efollov,-Ln.g senices 111 a eci-fkatoms ar-.d neat, prwessiori�il mianrwr 41 accordiance wiLh the mavuifacfmnev's �ip local bulilding code. Red Cedfar 2��!gf PerE'- _ion 'Red r SM ftsvz� and f-USURA 8"4 ion Ceda In- Supplyr am- d lkxxistaH Benjamin ObdYker'. --odar by-nnihor UEIderlgaympmanat aus'DO&F and la'stau- 301b aNyr-thetic felt underalaymentr Supply and install ice water barrie.r: 31 an eavc* and vaXle-y-s, cueeks' Vertical, wall pemetmtkms' -18" 0 n' Oal rakes- sup .opty and vvistaH wit'lu- 316 g-rade I a-14* stabile t 0 eZ Supp'E ple and, Red, Copz. Ridge Cap, Siep Flashing, Skirt rlhushirq� Drip 2--dgep� aIIA T�pe VaLleys havestm-enram. $41,1"5 cL� r. whofte Cedar Sidewe" Oil-, g��y a-Lkppjy amd Im-stall Nev-!White Ced-ar !RR r The eommomveakh ofManadlr=etis Rv mtnetzt qfLvdas&idAccide7ds T ice afL"esagatiams. 600 Wasiiurgion JS Wet Boston,VA 02111 tv€vt ma=9-Ovfdia Workers' Campenia aaInsua-mce Affidavk$ceders CAIRtracWrsMedikianslPh=hers Applicant Iiafarmafian Please Priut Lev Name t UM.EMlMg Address: ' 0 4-1 ? 3 C— Phone C'- 4 7_1;Z-- Z 7 Are you an employer?Clieckthe appropriate bar; Type of project(req�e—d): I.[ I am a 1 with 4 ❑I am a general cordmctur and I employees andlorpart-ime)--s $avelvredthe suti-contractors 6- ❑New cowauctioa 2.❑ I am a sole proprietor orgarluer- Tisted on the attached sheet 7. ❑Remodeling shy and have no employees . dress sub-contractors have g- ❑Demolition, •b7addn,- for-e in any sty employees anAlme,wodoess' We Workers'cormp.fiL%=nce comp- 9. ❑Building addifion reTiLmd j 5. ❑ We are a cogxnalia n and ifs 10-❑Electricd repairs or adcr#ions officersbaveesercised theft 3.❑ F am a home-owner doing all worlr 11-❑Plumbingrepsirs or additions Mysem[No wocrkecs'Camp- i�#t of esempti-oli per MGL 12.❑Roof repairs +*+s ce required-j Y c.152,§1(4�andwe have no employees.[No woros' 13-❑Dyer cowp-insm=c a reTirpd-] 'ekap apph��at chedsbm rl mast ilia fiIIaortthe sedia¢beSowshaAiag tLeawo3cers'mtupeasatiaapaT�cpi�nzms�ab �ssmevwueLs�cho sabmdt dris�dac� S 8tep sse daia;sIf�a�c sad d�haz aatdde ca samsc saLiait a nezca�3tiQt SUCb ZCaa�cm�'d=ch—T tbkboxm=xttch the sab-ca�zsxndstdetchetherar=f meemdtieshzve OmP3ayees.If he sdt-c�bxve employee%theymnstpmsiL-&hi!a wades c mp.pone mmehez lam an erliPlvysr tliatis prat zicg�oor$¢zs'comp¢rrsrrfiarl ufszirance jet�*¢mPln3�es. $¢Toro is Yha palicy artri jolt zrte informalian Insurance Company-ame: C-7", rl f tz z -Policy a-or self im uc.;�_�1, C4 G 0( 0 Job Site Address= 36 5-6t V/GtJ-) Citp/StaWZkr LLc&�+/�1�� Adach a coirf of the worker-e conxpeusatianpolicy declaration page(showing the policy amber and expiration date). Failure to secure coverage as required.nnder Seclfon 25A of MCZ c•1572 can,lead to the imposition of crimimai penalties of a fine up to SUOaOa andfar one yearimpsisomaeud�as well as civil peualtigs in the farm of a STOP WORK ORDERand a fine of up to$25tLOO a day against the violator_ Be aid-trised'that a copy of this sbkme±+t maybe finvarded to the Office of 1mvesEigations of the DFA Rw insurance coverage vedffcadoo- I cTO Frsreiiy carlify under die and penaMes afgerlury dint Ms v f pemided ahm a Is bus a-ad correct Si on Phone iF 'r-S O y- Lf Oaiaid aw an£y. Do fiat write in tlns ara,to be wsp7et¢d by tstp arto"vs a,�rcr I Giy or' awn: Permiff cease; Iss-ing-An:ffimrky(drde one): L Board ofHe:slth 3 ling Department I CkyfToren Clerk 4-Electrical lugm tar• S.Phrmbig Fnspectar 6.Other Contact Person: ?how#- _-. _ 6 &/W, vlec�lu x, Office of Co smnerAf&=,—md Buses.Regr•Iati-o-m- 14-PakPlaza.-Stele SM Boston,Ma-sschwetts 02116 Home IMPM-7e=nt CCUtractar Regi t fion Type DBA E�a25arr 3MM17 263...E-7 FR.ASER OOxlFS i RLigr[ON CO. DEAN ;RASER P.D.BOX'1845 CO t UIT,MA 02535 Epa2teAddrem=4 ear=cu'&2Ea-krmw=_orzh=_-P- M+ c ter•: n Address a new 3 [)Tm�ioy. t _Tam�E 4;922c�pcm o�rcor. �e O:6cecffCo===A a =aemseor partidforira ala--&only OYiEWk2OVE4dM+L;CO?Z-RACTOP. Z"go=a:= 20 K 912-335- Tyg3 Or2ofCoaarxerAiisarin�ssiaess�_T�Epn "�� Fxg'u3Ea�- alL7L7 Dak litParkk3za-S�ct5178 ' BostCu.b7A071I6- . tFAS=-R COIISTRUCOON CO_ MAN F;?ASEF> IO&TWIRIVI VEJLAQyM e.FAWCI TM MA 02535 Vad��p Tat orTi3 witixo�a�+ra R • ` dllassacnusa:s-7�a�rran;o°=u.`.iic airy u oc=rd Of Build-Inc K=gu;arlc;.s and S anaards C'onsrruci on Supervicur i 4canse:CS-097666 DEAN C FRASM= 104 TWM VMW LANE:3i —_ EAST FALMOUM MA.=a0 3b 06/07=17 f TOWN OF BARNSTABLE ` CERTIFICATE OF,OCCUPANCY PARCEL ID 138 031 GEOBASE ID 7314 ADDRESS 391 SEA VIEW AVENUE PHONE OSTERVILLE ZIP - LOT BLOCK LOT SIZE " DBA DEVELOPMENT DISTRICT CO PERMIT 81814 DESCRIPTION GUEST HOUSE/071881 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department Of 'tARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tME CONSTRUCTION COSTS $.00j 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE I� 0 ++ BARNSTABLE, # MASS. FD MP BU ING 'ION BY DATE ISSUED 01/19/2005 EXPIRATION DATE V s TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY PARCEL ID 138 031 GEOBASE ID 7314 ADDRESS 391 SEA VIEW AVENUE PHONE OSTERVILLE ZIP - LOT ` BLOCK LOT SIZE i DBA DEVELOPMENT DISTRICT CO pgg�IT 77Bg77Bggg U ggM i PERMIT TYPE BT000 � CPIPTION TEMPT OCCUPANCY PERMIT1881 i CONTRACTORS: RILEY, CRAIG J. Departmentof ARCHITECTS: Regultory Services TOTAL FEES: $25.00 BOND � CONSTRUCTION COSTS $.00 TME 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE 0� • • BARNSTABLE, " MAS& 039. BUILDING DIV I DATE ISSUED 08/23/2004 EXPIRATION DATE Y ~� MO.1w AL Il'1 Ui. 74?Ca,y'iik-b1.:r�+ • PARCFL ID 138 031 , GEOBASE ID 7;314 ADDRESS 391 SEA VIEW AVENUE PHONE _TQ-ANNO d+rJS7�i1� Z I P LOT; BLOCK LOT SIZE] DBA DEVELOPMENT ' DISTRICT CO � . PERMIT 71881 DESCRIPTION 2 BDRM GUEST HOUSE/DE&f'z. ' ~' r PERMIT TYPE BADDI TITLE BUILDING PERMIT ADDITION CONTRACTORS: RILEY,. CRAIG J- Department of ARCHITECTS: Regulatory Services r III 'TOTAL FEES: . $462- 12 I I 'BOND $_00 I CONSTRUCTION COSTS $115,200.00 z j I , I .. 434 RESID-ADD/ALT/CONY �.: 1 PRIVATE II:+U"' » BARNSTABLE, + I IL A1� I I Fp Mp�l I BUI-IJD.ING DIVISION BY",fi %/­1�4 A DATE ISSUED 09/29/2003 EXPIRATION DATE I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY'ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION'RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ELECTRICAL,PLUMBING AND MECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. C�uMMEMPTelimi BUILDING INSPECTION AP ROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2m o A �- 1 - o4 .3i T° 3/ �v-It 611 h� .I f", I 2 lYi;'-'^ re C 2� 2 d�k1w, t 61, TL, 9 l 3 �!r<s-F�P S 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 BO RD OF HEALTH s $ Z3�eV �tA eke d� � �_v03-17 � OTHER: �"04M �t7 SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED'UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED-AS- TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 1 I • t n , • , t } it L r I ' t I� A)o x TOWN OF BARNSTABLE TEMPORARY CERTIFICATE OF OCCUPANCY PARCEL ID 138 031 GEOBASE ID 7314 ADDRESS 391 SEA VIEW AVENUE PHONE ' OSTERVILLE ZIP - LOT BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PENT TYPE BTC00 DESCRIPTION TEMP HOUSE PERMIT CONTRACTORS: RILEY, CRAIG J. Department of i ARCHITECTS: P Regulatory Services TOTAL FEES: $25.00 BOND $.00 �tME CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE 1 PRIVATE • BARNSPABLE, • MASS. i s639. BUH,DING DIVISION i BY i DATE ISSUED 08/23/2004 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS i PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED I FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS I 2.PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. IPOST THIS CARD • IT IS VISIBLE FROM STREET I I BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ,I .I 1 I I 2 2 2 .I I I ,I I .I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT • I � J I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. F:. . I I I i I I I I I I j I I I I I • I • I I I ' I I I I I I I I • I Sea V. 1e 0g32 40) 25 •00 V erg 31 1.0' t 0.*001 t_202 ,8, eLn �- w New Concrete Foundation O 10X.4' ,V � 16.0' \ h a \ ^ 2 o � � cry � 71.4' � 3 EFERENCES: Assessors Mop: 138 i Parcel: 031 #3s/ `n Cert.: #45522 ' Dµ L, ZONE:RF-1 Setbacks: Front: 30'm in Side: 15'min Rear: 15'min m Wetland Li- 0 �>ZZ I c�i4o_. O N I 3 I certify that the foundation VA- I shown hereon conforms to the ul c; I setback requirements of the Zoning Bylaws of the town m I of Barnstable. H OF,�e_ I� D 48 7 ys RICNARD N R. LNF AEUx CIOy. MNw #3431 - SOu nd ��FFSSto�P U U J PLOT PLAN Wintuc;Ket IN BARNSTABLE _(Osterville).- _ -- NOTES: MASS, 1.) The structures shown were located on the ground DATE: 191NOV103 SCALE: 1"=50' 0 25 50 75 100 FEET by conventional survey methods on (or between) 24/APR/00 and 19/NOV/03. PREPARED FOR: 2.) The property information shown hereon was Jefferson F Vander Wolk compiled from available record information and PO Box 1310 does not represent an actual on the ground survey. Delray Beach FL 33447 3.) This plan is not for recording and is not PREPARED BY: to be used for construction layout or deed CapeSury description purposes. 7 Parker Road Osterville MA 02655 DWG #: C3932pl FIELD BY. RRL/WHK/MDH (508) 420-3994 / 420-3995fox I ' .et Town of Barnstable *Permit i b l �7�5 2, Qj � Expires, onths from issue date Regulatory Services Fe .PERMIT ze Richard V.Scali, Director CT 29 2014 Building Division Tom Perry'cBo,Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address321 W I (p Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address hdxuadvx7_0 a4 QI 10, Contractor's Name 1 Telephone Number Home Improvement Co tractor Lic/se#(if applicable) 1 / Email: Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I ajn a sole proprietor ❑ lam.the Homeowner I have Worker's Compensation Durance Insurance Company Name Workman's Comp.Policy# ACC Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑RVeReplacement roof(hurricane nailed)(not stripping. Going over existing layers of roof) -side Windows/doors/sliders.U-Value (maximum 35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Impro ent Contractors License&Construction Supervisors License is re tred. SIGNATURE: Ale Q:\WPFILES\FORMS\buil mg permit s SS.doc Revised 061313 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers ApOlicant Information `Please Print Leeibly Name(Business/Organization/Individual): / Address: City/State/Zip: 2dne#: p2*'Ze 3 Are an emplo r?Check the appropriate box: Type of project(required): 1. I am a employer with_ 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• x 9. ❑Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.[1 Other comp:insurance required.] 'Any applicant that checks box V1 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 insuran for my employees. Below is thepolicy andjob site information. Insurance Company Name: do Policy#or Self-ins.Lic.#: CC) Expiration Date: Job Site Address: 4, City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u der t airs d 1ties of perjury that the information provided above ' true Ynd correct Si ature: Date: ,9 Phone#: ` Official use only. Do not write in this area,to be completed by city or town official City or Town:- Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the .members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the.application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled.out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. . The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 WashiVon Street . Boston,NIA 02111 Tel. #617-727-4900 ext 406 or 1-877-NIASSAFE Fax# 617-727-7749 Revised 4-24-07 www,mass,gov/dia i �oF'THE r Tow' of Barnstable Regulatory Services 9�,�M T6ornas.F. Gefler;Director i65fl• �� . Building DiYision Tom Perry,Building Gomnaissioner 200 Main Street;Hyannis,MA 02601 w."Jown.barnstabl e.ina.us Officer 508-862-4038 Fax: 508-.790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I L , a=Own-er of the"subject property hereby authorizeX2 tb act on mybebalf, all'matters relative to work autbo z" d ytbis building pern-u pplication for: 99 zz , S" .:o Owner Date `Prnt IV If Pro Owner is applying for permit please complete the Horneownets License Exen ption.Form on the reverse side. I a } .Massachusetts -Departfnent of Public Safety ._ Board of Building Regulations and Standards Womnaancoalt/i a vaclmweli Construction Supen-isor Office oflMnsumer Affairs&Busibess Regulation LiAnse: CS-066147 J kfjegi ype:OMIMPROVEMENT CONTRACTORstration: 125799 TCRAIG J RILEYxpiration: ,.1/30/2016. Private Corporati PO BOX 382` C.J.RILEY BUILDER INC OSTERVILLE,WA CRAIG RILEY �� +�`' Expiration 10 B WIANNO AVE. - Commis sioner ' •02/0512015 OSTERVILLE,-MA 02655 Undersecretary17 ti. . - 4• .y.. ,f .• !?�-`ds .�'�''. 1..- ff� ••"s 9�Yit`srti' 'Y'd • r;�," ,� � �� 1 Katy- _ , a� � t c �'i✓�,v �'. ublic Safety '. Department,off` Massachusetts Standards ul ations,2f ,f. Board of Building Reg Construction Supervisor r.. License: CS-066147 5' t CRAIG J RILEY 1 pOB&,382WA 02G d OSTERVE s,. Expiration 02/0512015 Commissioner • V. � ,.License orTr istration valid'for individul use only r before the e3ction date. If found return to: , . y Office of Cons Affairs and Business Regulation p 3 �te.5170 10 Park Pla a � ce - Boston,MA,�0211R of y it a t sign .. r ,.`• of -. s tw. ;k to• _ i len : iututs "ZKILtYG.I DATE(MM/DD/Yl'YY) ACORD,. CERTIFICATE OF LIABILITY INSURANCE 07/30/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil PHONE 508 775-1620 A/c No Ext: AIC No): 5087781218 Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC i Hyannis, MA 02601 INSURER A:National Grange Mutual Insuranc INSURED INSURER B: C.J. Riley Builder, Inc. INSURER C P. 0. Box 382 ' Osterville, MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. NSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMBS LTR INSR WVD POLICY NUMBER MM/DD MM/DD A GENERAL LIABILITY MP059664 5/02/2014 05/02/2015 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES ERE o NTE°nce $500 000 CLAIMS-MADE FX-]OCCUR MED EXP(Any one person) $10 000 PERSONAL&ADV INJURY $1,000,000 ' GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 PRO- . $ ? POLICY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Peraccident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ $ 1 WCA WORKERS COMPENSATION WC059664 5/05/2014 05/05/201 X To y Llm,T OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived, or extended the coverage provided by the policy provisions. I CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1. of 1 The ACORD name and logo are registered marks of ACORD #S134967/M134966 LS1 Feb 04 04 O5: O9p C J Riley Builder 508 778 0268 p. l J� d C.J. Riley Builder, Inc. P.O.Box 382 Osterville, Massachusetts 026,55 508-428-6376 Fax 508-778.0268 PACSDZnJL TRANSUMALAMMT ac m6Q�tdri VATL gas Q Lw=xT FOR R1VMV I]PLUn C0 N? CI FLBA.SE lR nT - n/ j/4 14q l I Feb 04 04 05: 09p C J Riley Builder 508 778 0268 p. 2 —1 BOISE" BC CALC® 2003 DESIGN REPORT - US Wednesday, February 04,2004 13:38 Double 1 3/4" x 9 1/2" VERSA-LAM®3100 SP File Name: 391 SeaviewAve.BCC: RB04 Job Name: 391 Seaview Avenue Descri tion: BAY WINDOW r Address: 391 Seaview Avenue Specifier: jec-idt City,State,Zip:Osterville,MA Designer. Jeremy Pereira Customer: Shepley Wood Products Company: Shepley Wood Products Code reports: ICBO 5512, NER 629 Misc: Connection Diagram Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are: 16d Sinker Nails b=3" c=5-1/2" a d=12" - - -• i C s - � I Page 2 of 2 Feb 04 04 05: 09p C J Riled Builder 508 778 0268 p. 3 BOISE' BC CALC® 2003 DESIGN REPORT - US Wednesday,February 04,2004 13:38 Double 1 3/4" x 9 112" VERSA-LAM(E)3100 SP File Name: 391 Seaview Ave.BCC: RB04 Job Name: 391 Seavlew Avenue Description: BAY WINDOW Address: 391 Seaview Avenue Specifier lec- t City,State,Zip:Osterville,MA Designer: Jeremy Pereira Customer: Shepley Wood Products Company: Shepley Wood Products Code reports: ICSO 5512,NER 629 Misc: 0 .-12 -2--- -F �1�---_-- i Standard Lozd-25 sf 15 sf Tributary P I � P Mary 01-00-00 GO B1 1603 lbs ILL 1503 Ibs LL 576 Ibs DL 576 Ibs DL Total Horizontal Length-10-06-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Our. S Standard Load Unf.Area Left 00-00-00 10.06-00 Live 25 psf 01-00-00 116% Member Type: Roof Beam Dead 15 psf 01-00-00 90% Number of Spans: 1 1 ext wall Trapezoidal Left 00-00-00 Live 0 plf n/a 90% Left Cantilever: No 05-03-00 Live 0 plf n/a 90% Right Cantilever: No 00-00-00 Dead 0 plf n/a 90% 05-03-00 Dead 80 plf n/a 90% Slope: 0112 2 ext wall Trapezoidal Right 00-00-00 Live 0 plf n/a 90% Tributary: 01-00-00 05-03-00 Live 0 plf n/a 90% 00-00-00 Dead 0 plf n/a 90% 05-OMO Dead 80 plf n/a 90% 3 Conc.Pt. Left 03-00.00 03.00-00 Live 1472lbs n/a 115% Live Load: 25 psf Dead 238 Ibs n/a 90% Dead Load: 15 psf 4 Conc.Pt. Right 03-00-00 03-00-00 Live 1472 Ibs n/a 115% Partition Load: 0 psf Dead 238 Ibs n/a 90% Duration: 115 Controls Summary Disclosure Control Type Value %Allowable Duration Load Case Span Location The completeness and accuracy of Moment 55546 ft-Ibs 40.8% 115% 2 1 -Internal the input must be verified by anyone Neg.Moment 0 ft-Ibs n/a 100% who would rely on the output as End Shear 2136 Ibs 28.9% 115% 2 1 -Left evidence of suitability for a Total Load Defl. 1.1462(0.273") 39.0% 2 1 particular application. The output .Live Load Dell. L1627(0.201") 38.3% 2 1 above is based upon building Max Defl. 0.273" 27.3% 2 1 code-accepted design properties and analysis methods. Installation Notes of BOISE engineered wood Design meets Code minimum(L/180)Total load deflection criteria. products must be in accordance Design meets Code minimum(L/240)Live load deflection criteria. with the current Installation Guide Design meets arbitrary(1")Maximum load deflection criteria. and the applicable building codes. Minimum bearing length for GO is 1-1/2". To obtain an installation Guide or if Minimum bearing length for B1 is 1.1/2". you have any questions,please call Member Slope=0,consider drainage. (600)232-0788 before beginning Entered/Displayed Horizontal Span Length(s)=Clear Span+112 min.end bearing+112 intermediate bearing product installation. SC CALC®,BC FRAMER®, BCIO, BC RIM BOARDTM,BC OSB RIM BOARDTM,BOISE GLULAMTM. VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDTM, VERSA-STUDO,ALLJOISTO and AJSTM are trademarks of Boise Cascade Corporation. Page 1 of 2 r ISSUED BY THE STOCV INSURANCE COMPANY HEREIN CALLED THE COMPANY' GRANITE STATE INSURANCE COMPANY 0103090-00 WC 009-93-0601 13102 013-82-0915-50 • PE LVAN FRASER CONggTRUCTION, LLC IAIGI P.O. BOX 1845 COTUIT, MA 02635-2443 An AIG company EXECUTIVE OFFICES: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE- WC990610 175 Water Street New York, NY 10038 KEATING GROUP INC THE WORKERS COMPENSATION AND EMPLOYERS 144 TURNPIKE ROAD LIABILITY POLICY INFORMATION PAGE SUITE 150 SOUTHBOROUGH MA 2-0000 INSURED IS PREVIOUS POLICY NUMBER LIMITED LIABILITY COMPANY RENEWAL 009 0601 OTHER WORKPLACES NOT SHOWN ABOVE SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE- WC990610 ITEM 2 POLICY PERIOD 1201 A.M.standard time at the insured's mailing add ress FROM 09/26/15 To 09/26/16 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500,000 policy limit Bodily Injury by Disease $ 5001000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WI WV D. This policy includes these endorsements and schedules: SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE- WC990612 ITEM The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Premium Basis Rate Per Estimated Classifications Code Number Total Remuneration $ltfd of Re- Premium ❑X Annual❑3Year mune rattan ❑X Annual ❑3Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE- WC7754 TAXES/ASSESSMENTS/SURCHARGES EXPENSE CONSTANT(EXCEPT W M ERE APPLICABLE BY STATE) MINIMUM PREMIUM $500 rift TOTAL ESTIMATED ANNUAL PREMIUM If Indicated below,interim adjustments of premium shall be made: ❑ Semi-Annually ❑ Quarterly ❑ Monthly DEPOSITPREMIUM 08125115 PARSIPPANY � 5 5 82 Issue Date Issuing Office Authorized Representative WC 00 00 01A &4W(RoVd 04(0B) I ho.1 van 5612763184 p. 2 .................... ........... ............................................................................................... 6 1 2, 1 2 P Id 0 Investma-ent', $2,50 3A Supply-an Ingtat, New Ru'bbef. m-Of an flat -mnor awk, back n . 'ro "On- Gua.-rante-2 Any contrac-or cam pt-,I ce your roof for less by matting comners a-ad utilizing cheap and LrL-,,V(I-_d !a.bor• It",:-- 'mpoftunt to lknoi.,,t what L's art' i8nt inch, in the. roof you choose foe vour home. You don"t.warct to be left with an it" rior roqjI_bL.,;It by an untramed laborf"Orce. That's why Fraser Construction afters th--Ironclad, Lawest j.nf)estme,",r Guarantee. _Not only do you receit.,e a state-of-the-art. roojfbutit by highly skilled craftsmen, yua also receive peace of mimli knowi.nq do, Q�t4zzir,6_ve yov.-.r roof for the lowest i.nvestrnear-possible. lj'yQ-u I'later discover a compovable roof less mortey thl'o-i-, th_­ one constricted.for your hom , w-t,- :Vail poy the diter, ence plus a $50 bo?'LLIS. AU we a%,sk is the comparison appe . be- " les-ro-appleS.' "W,� have no quar-rels with the may. : ith tower pmces, 6or- he knows what his p"duct is gporth." PAYMENT S ARE DVE IMUZEDUTELY AFTER .10,R- e_'OMP7KZTLSQN7 i/3 Initial payme.m.. remaislder to b- paid upor. comple0on Fayments accepted use: CASH- MMECK-MIJASTERCARD -VISA-ATWERTICAN EXPRESS Ati).-pavvii-mrs not iammedimellypaid upoajolb completion will ba charpd day after 11k viver,5 day Face period tipon day of job cimplLytimm Please note thait all pricing is contingent upon currLnt Lnarkct pricing. 11'r contract is not acccfpted vrithin thirty days of date of proposal, change, in. price Tn;7,.N, occur elme to devivLion in knaterial Lxic-z. Anr cleviation or alveration from IJbcnvz -_--peci1fication. will be executed upon w-itten orders ar-,d tk-iU become sLri extf a charge over and above Vne emam—ate. All agTee-axer'm (,ontingesnt upon strik--s, accidents or delays are bcycmd mar control. Owmev sh6uld r Doc: 1s21Os393 12-28-2012 12:28 Ct f�: 199245 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED I,JEFFERSON F.VANDER WOLK, a married man,of Gulf Stream,Florida,as a gift, grant to HOPE VANDER WOLK as Trustee of 2012 TRUST FOR HOPE POWELL VANDER WOLK UNDER AGREEMENT DATED DECEMBER 21,2012,as evidenced by a Trustee Certificate pursuant to M.G.L. c. 184 §35,to be recorded herewith,and having a mailing address of 37 Manor Way,Osterville,Massachusetts,02655, with QUITCLAIM COVENANTS, that certain parcel of land, together with any buildings thereon, located in Barnstable (Osterville),Barnstable County,Massachusetts,now known and numbered as 391 Sea View Avenue, OstervilIe,being bounded and described as follows: LOT 30 LAND COURT PLAN 17484 Said land is conveyed subject to real estate taxes assessed by the Town of Barnstable for the fiscal year 2013. Subject to and together with any and all matters of record insofar as the same are in full force and applicable. For title,refer to Certificate of Title No.45522. I, the above-named Grantor, hereby certify that the above premises were not my primary residence nor was it the primary residence of my spouse. r - WITNESS my hand and seal this day of December,2012. J fferson F.Vander Wolk STATE OF FLORIDA COUNTY OF On this "' day of December, 2012,before me,the undersigned notary public, personally appeared Jefferson F.Vander Wolk,proved to me through satisfactory evidence of identification,which was FIDr,&, J)riyPdi 0?y�,_.to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose. GRACE GURE M MYCDM #EE 116�s NO Y PUBLICY Prin ed Name: My mmission ires: BARNSTABLE REGISTRY OF DEEDS r Doc: 1 s 210 s 393 12-28--2012 12:28 Ctf 4: 199245 BARNSTABLE LAND COURT REGISTRY QUITCLAIM DEED I,JEFFERSON F.VANDER WOLK, a married man,of Gulf Stream,Florida,as a gift, grant to HOPE VANDER WOLK as Trustee of 2012 TRUST FOR HOPE POWELL VANDER WOLK UNDER AGREEMENT DATED DECEMBER 21,2012,as evidenced by a Trustee Certificate pursuant to M.G.L. c. 184 §35,to be recorded herewith,and having a mailing address of 37 Manor Way,Osterville,Massachusetts,02655, with QUITCLAIM COVENANTS, that certain parcel of land, together with any buildings thereon, located in Barnstable (Osterville),Barnstable County,Massachusetts,now known and numbered as 391 Sea View Avenue, Osterville,being bounded and described as follows: LOT 30 LAND COURT PLAN 1748-4 Said land is conveyed subject to real estate taxes assessed by the Town of Barnstable for the fiscal year 2013. Subject to and together with any and all matters of record insofar as the same are in full force and applicable. For title,refer to Certificate of Title No.45522. I, the above-named Grantor, hereby certify that the above premises were not my primary residence nor was it the primary residence of my spouse. WITNESS my hand and seal this day of December,2012. J fferson F.Vander Wolk STATE OF FLORIDA COUNTY OF -141 On this day of December, 2012,before me,the undersigned notary public, personally appeared Jefferson F.Vander Wolk,proved to me through satisfactory evidence of identification,which was Dc;yRxt 9jTtg to be the person whose name is signed on the preceding or attached document,and acknowledged to me that he signed it voluntarily for its stated purpose. ' I �k Wcom tE NO Y PUBLI Mc E�ES:July28,2015 Prin ed Name: i, somanwnoWywoa Undwwra� My mmission ices: BARNSTABLE REGISTRY OF DEEDS holvan 5612763184 p. 3 ........................ M r. 16. 10'16 2 13 Py- eraser E. 1034 . -3 a carry necessary insurance upon the above work.. We, if not accepted within thirty days may withdram.-this proposal. Work Permit I (Sign Name) giie Fraser Construction the permission - U11 a- - doneng d � at idress) FRASER CONSTRUCTION, LM Carries Worl=an's COMPMS&UM &nd Public Liability insurance on the above work, ce-ftificate smailable u-pon request. DATE OF -A.CCEPTANCE: -3 Homeowner Fraser Construction, L]Lc I, JEFFERSON F. VANDER WOLK of Delray Beach, Florida, the owner of real estate located at 391 Sea View Avenue, Osterville, Massachusetts, shown as Lot 31 on Assessor's Map 138 on oath depose and say that the guest house I am about to construct on said premises is solely for the use of my guests and will never be rented separately by me or anyone else. Witness my hand and seal this 26`h day of September, 2003. 4efferson F. VanderWolk COMMONWEALTH OF MASSACHUSETTS COUNTY OF BARNSTABLE Sept. 26, 2003 Then personally appeared the above-named Jefferson F. Vander Wolk, and made oath that the foregoing statements are true and he signed the same as his free act and deed, before me OTARY -UBLIC - My Coriffnission Expires: .-�--�-7 moo<p Rpr 04 03 11 : 04a p. 2 .L Z r -07 ? 8 d w• :IVA]VTUCKET SOUA'U ONE `�QI!IE;.0 AM�•� "` � �y� r w. COASTAL BASE FLOOD ELEVATIONS AYYIv i OF 0.0 N.G.V.D. j ONE C fq Ifs \ G ROAD S7►D� ZONE B i c CL 49. Al s ZONE A13Co ti'• � ;�'Z _!— '' �- � � � �. __ ._ _- -, co T i A 1 �2�-• • ) CD z CD , 1 ZONE \A 7 (EL 16) cr— �i� , z Federal Emergency Management Agency Washington, D.C. 20472 DEC 17 1996 I CERTIFIED MAIL (116) RETURN RECEIPT REQUESTED Mr. Warren Rutherford Case Number: 96-01-027P Town of Barnstable Manager Community: Town of Barnstable, Town Hall Barnstable County, 367 Main Street Massachusetts Hyannis, Massachusetts 02601 Community No. : 250001 Dear Mr. Rutherford: On May 1, 1996 and May 17, 1996, you were issued Letters of Map Revision (LOMRs) that reflected proposed modified base flood elevations affecting the Flood Insurance Rate Map (FIRM) for the Town of Barnstable, Barnstable County, Massachusetts. The 90-day appeal periods that were initiated on May 20, 1996 and June 4, 1996, when the Federal Emergency Management Agency published notifications of proposed base (it annual chance) flood elevation determina- tions for the Town of Barnstable in the Cape Cod Times, have elapsed. The Agency has received no valid requests for changes in the modified base flood elevation determinations. Therefore, the modifications specifically noted in our May 1, 1996 and May 17, 1996 LOMRs are considered effective. This action has the effect .of revising the community's current FIRM, dated July 2, 1992, for both floodplain management and flood insurance purposes. These changes will not appear on the community's FIRM until the next physical map revision. The modifications are pursuant to Section 206 of the Flood Disaster Protection Act of 1973 (P.L. 93-234) and are in accordance with the. National Flood Insurance Act of 1968, as amended, (Title XIII of the Housing and Urban Development Act of 1968, P.L. 90-448) 42 U.S. C. 4001-4128, and 44 CFR Part 65. For insurance rating purposes, the community number is 250001 and must be used for all policies and renewals. Under the above-mentioned Acts of 1968 and 1973, the Agency must develop criteria for floodplain management. In order for the community to continue participation in the National Flood Insurance Program, the community must use the modified base flood elevations to carry out the floodplain management measures of the Program. These modified base flood elevations will also be used to calculate the appropriate flood insurance premium rates for all new buildings and their contents. If you have any questions, please contact your Consultation Coordination Officer, Mr. Albert A. Gammal, Jr. , Mitigation Division of the Federal Emergency Management Agency in Boston, Massachusetts at (617) 223-9561. Sincerely, Frederick H. Sharrocks Jr. , Chief Hazard Identification Branch ' Mitigation Directorate CC: Mr. Ralph Crossen, Town of Barnstable Building Inspector Ms. .Leslie Fields, Aubrey Consulting, Inc. Mr. Peter Sullivan, P.E. , Baxter & Nye, Inc. State Coordinator . . __ �\ ,_, � i � , '� -- r - SAGIFAX 915103 2:11PM OOWLIN&VtnW.LINSI1✓WNCE dMILCT1+1 PAGE 1 ACORD,, CERTIFICATE OF LIABILITY INSURANCE 09/15/03'°""'Y' DICER THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency,In(;. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main St.PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# !NSURED INSURER A:Associated Employers Insurance Compa C.J.Riley Builder,Inc. INSURER B: P.0.Box 382 . INSURER C: OsteNille MA 02655 ,INS UREF D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY FERIOD INDICATED.NOTWITHSTANDING ANY REQUIREIAENT,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 TH E TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPEOFIN9URANCE POLICYNUMBEFI DATE MM DD FIGDATE MM DD LIMITS GENERAL LIABILITY EACHOCCURRENCE S COMMERCIAL GENERAL LIABV! . DAMAGE TO RENTED $ CLAIMS MADE GCCUR. L MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'I.AGGREGATELI:MITAPPLIE'SPE..: PRODUCTS-COMPJOPAG S POLICY JECT LOC AUTOMOBILE LIABILITY COMSiNEDSINGLE LIMIT ANYA'JTO (Eaaccident) $ ALL OWNED AUTOS ' BOOILYINJURY $ i SCHEDULED AUTOS (Per person) HIREDAUTOS i BOOILYINJURY $ . NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EAACC S OTHER THAN AUTOONLY: AGG $ EXCESSJUMBRELLALIABILITY EACHOCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S i $ DEDUCTIBLE $ RETENTION IS $ A WORK ERSCOMPENSA.TIONAND WCC5001591012003 05/05/03 05/05/04 WCST IMITS OF EMPLOYERS'LIABILITY TDR R ANY PROPRISTOR//PARTNER/EXECUTIVE EL.EACHACCIDENT $100000 OFFICER(MEMBER EXCLUDED? E.L.DISEASE:EA EMPLOY a100 000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIRAI S500,000 OTHER I I DESCRIPTION OFOPERATIONS J LOCATIONS(VEHICLES J EXCLUSIONS ADDED BYENDORSEMENT JSPECIAL PROVISIONS RE:Mr.&Mrs.Van Der Wolk Operations performed by.the named insured subject to policy conditions and exclusions. CERTIFICATE HOLDER CANCELLATION SHOULD ANYOF THE ABOVE DESCR;BEDPOLICIES BE CANCELLED BEFORE THE EXPIRA Town of Barnstable DATETHEREOF,THEISSUING INSURER WILL ENDEAVOR TO MAIL 1n DAYS WRITTEN 367 Main Street NOTICETO THE CERTIFICATE HOLDER NAMEDTO THE LEFT,BUTFAILURETO DO90SHAL Hyannis,MA 02601 IMPOSE NO08 LIGATION ORLIASILITYOFANYKINDUPON THE INSURER,ITS AGENTSOR Atten:Building Department REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) 1 of 2 #31540 MA ' . 0 ACORD CORPORATION 1988 0 - .The Town IMF of Barnstable O, ►O rg� O N BABNSTABL Department of Health Safety and Environmental Services 9 MASS. 0a ,e3s• .0 prfCMp�p _ Building Division 367 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: to �l oLn�, L( � Map/Parcel: VIUe i`J y� ProjectAddress391 SOCK lelw'� Builder: .� 2 f - r VA f ' The following items were noted on reviewing: -"r-c>>> t I Q eL i M Q In C 1 0,M o -V- 11 1 e, 2 �rayId -P C" U10X— -::2 U Q 22, '1' ( e C4 lA 1) ` UJ 0 �l,, . a ` 4 f Reviewed by: \ /h --I/— Date: q:building:forms:review Feb 03 04 06: 14p C J Riled Builder 508 778 0268 p. l C.J. Riley Builder, Inc. P.O. Box 382 Ostcrville,Massachusetts 02655 508.428-6376 Fax 508-778-0268 t FACSQKJLB nUNSUMAL,9RE7 T1RAM 7aX MrsO tt On ��� "���� TOTaL .O! II�QIJDIIfl3 COYtar !!!<OtJE MJidEL Q I7 T POD RBYJa� 0 PLUU CO w I3 nun Ripur Z�L�Li'� � ID REVISIONS Q O ZONE REV DESCRIPTION DATE APPROVED w O O O CONNECTION OF 2 OR 3 PLY MEMBERS CONNECTION OF 4 PLY MEMBERS a USE 16o NAILS FOR 1-3/4" LVL 3.. 12o NAILS FOR 1-1/2" LVL REFER TO DETAIL NALE L O p � O O O m cc 12" O.C. o EACH FACE `�, td ' C TWO ROWS UP TO 12" DEEP ASTM.'A-307 (OR BETTER) BOLTS THREE ROWS OVER 12" DEEP 1/2" DIAMETER, IL FENDERWASHERS BOTH FACES m (USE FOR UP TO 3 PLIES MAXIMUM) NAILED CONNECTION BOLTED CONNECTION CONNECTION OF 2 OR 3 PLY MEMBERS CONNECTION OF 4 PLY MEMBERS m J m O fV Shepley NAILING AND BOLTING PATTERN m Wood Products ��(A' SIZE FSCM NO. DWG NO. REV o SCALE SHEET N IFeb 03 04 06: 14p C J Riled Builder 508 778 0268 p. 3 • �;$•E' BC CALC® 2003 DESIGN REPORT - US Friday,November07,200314:42 Single 11 7/8" AJST"^ 10 APG File Name: 391 SeaviewAve.BCC:Level 11J_18a Job Name: 391 Seaview Avenue Description: 1st Floor Max Span Joists Address: 391 Seaview Avenue Specifier: jec-idt City,State,Zip:Osterville,MA Designer: Jeremy Pereira Customer: Shepley Wood Products Company: Shepley Wood Products Code reports: BOCA 22.09,SBCCI 9707D,ICBO PFC•55D4 Misc: Standard Load-40 pst 110 psf OC Spacing 16" BO,1-1/2" B1, 1-12, 432 Ibs LL 432 Ibs LL 108 Ibs DL 108 Ibs DL Total Horizontal Length-16-02-04 General Data Load Summary Version: US Imperiai ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 16-02-04 Live 40 psf 16" 100% Member Type: Joist Dead 10 psf 16" 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 2184 ft-Ibs 59.6% 100% 2 1 -Internal Slope: 0/12 Neg.Moment 0 ft-Ibs nla 100% OC Spacing: 16" End Reaction 540 Ibs 47.2'% 100% 2 1 -Left Repetitive: Yes Total Load Defl. U727(0.267") 33.0% 2 1 Construction Type:Glued Live Load Defl. U909(0.214") 52.8% 2 1 Max Defl. 0.267" 26.7% 2 1 Live Load: 40 psf Span/Depth 16.4 n/a 1 Dead Load: 10 psf Partition Load: 0 psf Notes Duration: 100 Design meets Code minimum(U240)Total load deflection criteria. Disclosure Design meets User specified(U480)Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for B0 is 1-1/2". Me input must be verified by anyone Minimum bearing length for B1 is 1-1/2". who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a Connector Manufacturer: Simpson Strong-Tie®Company Inc. particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. BC CALC®,BC FRAMER®, BCI®, SC RIM BOARDTM,BC OSB RIM BOARDTm.BOISE GLULAM1m, VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRAND-, VERSA-STUD®,ALLJOISTS and AJS'm are trademarks of Boise Cascade Corporation. Page 1 of 1 Feb 03 04 06: 15p C J Riley Builder 508 778 0268 p. 4 ° BC CALCC 2003 DESIGN REPORT - US Friday,November 07,2003 14:42 Triple 1 3/4" x 18" VERSA-LAM(E) 3100 SP File Name: 391 SeavlewAve.BCC :Level 1\8_1 Job Name: 391 Seaview Avenue Des cri tion:tiara a Door Head r Address: 391 Seaview Avenue Specifier: jec-idt City,State,Zip:Ostervlle,MA Designer. Jeremy Pereira Customer: Shepley Wood Products Company: Shep!ey Wood Products Code reports: ICBO 5512,NER 629 Misc: - ! Standard Load 40 psf j 10 psf Tributary08-01-031 T- --__..__._...... -— -— — --- -- - ---.... _...__.._...__......_.------- - BO B1 6134 Ibs LL 6134 Ibs LL 3107 Ibs DL 3107 Ibs DL Total Horizontal Length-19.08-08 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur. S Standard Load Unf.Area Left 00-00.00 19-08.08 Live 40 psf 08-01-08 100% Member Type: Floor Beam Dead 10 psf 08-01-08 90% Number of Spans: 1 1 Unf. Lin. Left 00-00-00 19-08.08 Live 0 plf n/a 90% Left Cantiever- No Dead BO plf n/a 90% Right Cantilever: No 2 Unf.Area Left 00-00-00 19-08-08 Live 35 psf 08-06-00 115% Dead 15 psf 08-06-00 90% Slope: 0/12 Tributary: 08-01-08 Controls Summary Control Type Value %Allowable Duration Load Case Span Location Moment 45534 ft-lbs 56.6% 115% 3 1 -Internal Neg.Moment 0 ft-Ibs nla 100% Live Load: 40 psf End Shear 7835 Ibs 37.3% 115% 3 1 -Left Dead Load: 10 psf Total Load Deft. V379(0.624") 63.3% 3 1 Partition Load: 0 psf Live Load Defl. U571 (0.414") 63.0% 3 1 Duration: 100 Max Defl. 0.624" 62.4% 3 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(L/240)Total load deflection criteria. the input must be verified by anyone Design meets Code minimum(1-/360)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1')Maximum load deflection criteria. evidence of suitability for a Minimum bearing length for B0 is 2-1/8". particular application. The Output Minimum bearing length for B1 is 2.118". above is based upon building Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+112 intermediate bearing code-accepted design properties and analysis methods. Installation Connection Diagram of BOISE engineered wood Nailing schedule applies to both sides of the member. products must be in accordance Member has no side loads. with tha current Installation Guide and the applicable building codes. Connectors are: 16d Sinker Nails To obtain an Installation Guide or if you have any questions,please call a=2„ d —— (800)232-0788 before beginning b=3" product installation. a C=T' -.. . BC CALCO,BC FRAMER®, BCI®, d-12 n BC RIM BOARD-, BC OSB RIM e=3" BOARDT",BOISE GLULAMTm, " VERSA-LAM®,VERSA-RIM®, l VERSA-RIM PLUS®, a I~ VERSA-STRANDT", VERSA-STUD®,ALLJOISTO and AJST"'are trademarks of e Boise Cascade Corporation. Page 1 of 1 e CO a GEND d(y P+ I ® NEW CONCRETE CONSTRUCTION 4y�1 '1111 ' NOTES I A PROVIDE BASEMENT WINDOWS AND VENTILATION j1 I I AS REOUIRED 'P I 1 11 B STORM DRAINAGE PROVIDE I SQUARE INCH OF - . LOWER PER 1 SQUARE FOOT OF BASEMEN FLOOR AREA , II II - C ALL UTILITIES TO BE INSTALLED ABOVE FLOOD - 11 I1 - PLANE ELEVATION EL 12 II 11 4 ' I LEGEND j1 II II II @)SO SMOKE DETECTOR ` I II t �A CENNG FAN I � EXHAUST FAN I GUNG LIGHT-IOW VOLTAGE HALOGEN-HALO M j1 j1 R101B,.1<1BP - I jl 11 � OB CBLWO LIGHT•CNANOBIER-IW OWNEA 11 11 CEILING LIGHT-PORCELAIN SOCKET-SURFACE WA:AG THIEPITT•TP10011.1009WAV.WATERPROOF II OO LANDSCAPE LIGHT-EXTERIOR•WATERPROOF II I I Ao- WALL LIGHT -PORCELAIN SOCKET 7HEPITT-TP7800-ioWWAV- GE EXTERIOR-WATERPRO01 WALLUGHT•BYOWNER 11 U ---UNDER CARNET STRIP HALOGEN•ALKCO 11 - I I GFlE�. DUPLEX OURETGFl II 11 •1� � DUPLEX OUTLET-BASEBORD I 1_________________ 1 A� DUPLEX OUTLET T-VAFF \ B& DUPLEX OUTLEr3'6'AFF.GFI/ / FI I I 7P C� OIfPIE%OUTIET-EXTERIOR I ___-1 II TO.FIN OUADRIPLEX CUTLET I --- I I I I I I I I ® DUPLEX FLOOR OUTLET " I i I I I L_ ____ ________________J.�________—_______14 _ AD— TELEPHIONE•LINE j I I I ® CABLE TV ______________ --------- ---- -�- rn-----------------\ 1 � j S_ SWITCH3•E•AFF J I I NOTEB / I I \ NOTES I i i Sd— SWITCH-DIMMER • 1 L I / 11 \ I I \ I 1 Sr_ BWRCH•TIREE WAY I f I I / I \ I I 1 I 1 1 I i CO BETE Srd— SWITCKDIMMER-THREE WAY I I i I 1 / \\ 1 1 '% 0 STEREO SPEAKER-WALlFlB HOSES® ' I 1 I I I .. 001 \ I 70' 1 1 I I 1 I I ly T O FIN I I 1 1 — T O FIN 1 1 / LOW POINT \\ I I 1 \\ 1 I 1 1 j � NOTEC \ 1 I 1 I �---------------J— —I ' I \ I 1 1 1 t---------------i-D-=?= ____---=�L i 8R 70' 7T 391 SEAVIEW SMOKE DETECTORS O.K. AVENUE NSTABLE BUILDING DEPT. r-------------------------------�'\ _____________ r-----T —r————— r i A�owa d:azr I I 1 I A •'�•�Q��A ------------------� i r �fl ARI I 1 I 7 � y/ !� KFFD A.AMA R SON ID i ------------------------- 44 k' O 2 C7 ¢ No.8097 I 1-----------------1+-- ---L1__I 'L K / ___________ ___________J 1 BOSTO ti 1 � • L________________________ _______L__—__--____—_________________—J 193 Atr L-Road OrremOe,ddarroadrtuov OdAJJ A ,♦ .. � JOB 478d7J9- o BASEMENT ' FLOOR PLAN 5•P 17.-P Date: Sple - O BASEMENT FLOOR PLAN Dm%vR By, 0 1 2 a 3 FT L A2'. LEGEND 40'.0• NEW 2 X A WALL CONSTRUCTION _\ NEW2 X S WALLCONSTRUCTION 1 \I \ I O NEW MASONRY CONSTRUCTION S - SMOKE DETECTOR I • NOTES O A PROVIDE SMOKE DETECTORS AB REQUIRED 1 IN IMMEDIATE VICINITY OF ALL BEDROOMS 1 IN ALL BEDROOMS i IN EACH STORY INCLUDING THE BASEMENT i PER 1200 SF OF FLOOR AREA 8 GARAGE TO BE CONSTRUCTED AS I HOUR FIRE- RATED ENCLOSURE \ \ C PROVIDE Z4r HEADER ABOVE r-3-WINDOW OPENING FOR FUTURE DOOR `\ LEGEND e6D SMOKE DETECTOR ............ `... A CEIUM FAN ....... EXHAUST FAN ..... .......... CENNO LI LOW VOLTAGE HALOGEN........ ........ A lup MR-Id,hO18P •IIAIO ....... ......... ......... ......... •.••••••.• O CEILING LIGHT-CHANDELIER•BY OWNER .............. ............ ............ ••••••.••. ••..... "-""' © CEILING LIGHT-PORCELAIN SOCKET-SURFACE WICAC THEDSCAPE GH•EXTERV-WATERPROOF O LANDSCAPE LIGHT-E%TEPoOR•WATERPROOF •............ •..•. a- WALL LIGHT•PORCELAIN SOCKET-SURFACE WICAOE •.............. ""•-•'O' K •.............. ••••••••••• THEPITT IM -TPMW-I(XXWAV•EXTERIOR-WATERP 1 \. . ............. ........... .._...... \ \ I ............. ... ......... ............ ...........� 70, WALL UGHT.BY OWNEA ................ ............... e.. ..y.. .... T O F ---UNDER CABINET STRIP HALOGEN•ALKCO .. .... II OFl� DUPLEX OULETGFl ... ..... e OUPLEXOUTLETAAS EBORD Ae- DUPLEX OIITLEf3'-B'AFF 1 j Be- DUPLEX OUTLE7J'-6-AFF•GFI I C(Dl, DUPLEX OUTLET-EXTERIOR 1 V I ___________________________________________ i & OUAORIPLE%OUTLET 1 e DUPLEX FLOOR OUTLET I 1 I At>-- TELEPHONE-LINEA j 1 I I A 05 �A I © N I I I CABLE LIVING ROOM A S- SWITCH3'•G'AFF I I I I 104 , © i SC- SWITCH-DIMMER S,- SWITCI4THREE WAY 1 O T.O FIN 1 ; l\ Sid- SWITCH-DIMMER-THREE WAY ________J J 1 \\\ ___________________________________�___ _ T ® STEREO SPEAKER-WALLCLG HOSE BIB 1 I 0 I ' 1 I 1 qp OR p 11 A B 391 SEAVIEW 1 j 77 /S• 1 1 F •'T p 1 I 1 , , 1•....5. . T O FIN. X29X2 p T I I R....... lol (D..... FOYER ----:—= p I I DRESSING l i i ..... _— ° j 106 O I �•.•.• •.•••••• ® AVENUE STORAGE ROOM qp f ...D...... HALL -- -- 1 ' D I 1 ' -1db j CL 1 I 1 I ___ I 2 ® p 108 IBA � I 1 I IDB 6R .0' ' BE ; © I T l0FI 7 ARI OnrmI4Ma xNusm I I P REED A.MORRISON — 1 '------- -- -----— ,►\ ti EO ARC A dVs1 I LL__ TipL---------------- ------ No. 097 I � I " N' w L_______________________________________________________________� V �r /n�•' .A OTrrml4 bu's Avettr OAJ! 50.4 f28dJA ^_ FIRST FLOOR PLAN Date: &ale s-D• n-o• 18'-D- 9003 prawn 1/4•c l'-V O p 1 2 s e FIRST FLOOR PLAN pwn Ry. �. 1 ° A3 i 1 - ----------' 1 I I I ,1 -------- II I I i i I I -- --------I L--------- ------T----------"i'L----------------�--7 I i ,z ,2 to ,0 10 I I I 12 I r I I � s I ------------ 1 , I 1 1 1 I I - � 1 1 l I I 1 1 ' Dale I 1 I I i I 391 SEAVIEW I 11 1 I AVENUE I I 1 12 12 is to17 ------------------------------ i 02M I I I I L___J_J REED A.MORRISON ------ �m�, ------------------------------ I I f L______________ ______________J __________________________ 19311wm lbnd ` Oiternne,dfarmefan� O16,! 7W 12SAM ROOF PLAN - Date scdc 9121p3 114*.1'-0' p 1 2 C s O ROOF PLAN D. nBy. FT ° A4 NOTES 0 A. PROVIDE BASEMENT"COWS AND VENTI AT AS REQUIRED • B. STORM DRAINAGE PROVIDE 1 SQUARE INCH H 1� LOUVER PER 1 SQUARE FOOT OF BASEMENT FLOOR AREA . C ALL UTILITIES TO BE INSTALLED ABOVE ROOD PLANE ELEVATION EL 12. D. CONSTRUCTION DETAILS TO MATCH EXISTING DETAILS OF ADJACENT STRUCTURE ® MATERIALS NOTES 8 2S WOOD TREL LIS 31 CONCRETESLAB•4• 12 32 E N WALL (��\� CONCRETE FOOTING O t2 2t 3.8 MASONRY CHCONCRETE IMNEY 21 ,OD .. 10D __ 621 CORNERCEDAR SBOARD LES ----------------- ----------:---- 63D WOODSHUTTER r--------------- ---� 1 , am WOOD LOUVER 1 ' 7.15 COPP6H ROOFING at WOOD DOOR -�1{�24U ' , 1}24a 8.2 WOOD ANDGLASB DOOR 7 T.O.PLATE ---_--_- '( T.O RATE BI WOOD WINDOW-DOUBLE HUNG .' . . . 1' •. ..... �( ......I BS WOOD WWDOW-HOPPER as WOOOWINDOW•F ED 11: E3... _ LJ ..... FB FM II T.0FINFLOOR r____________________________ ________ __ _ _ __ _ _ _ _ __ _ T.O.FIN, -__ -_ _____ _____ __ __--_________ _ _- __---____- ICI r rrn El1 S I I j I 11 I I 1 I I'1 I I I NOTE B NOTE B 7.11 I ®® 7.a ' I I 1 I I I I I I 1 1 _______________ __________ _____- ____ I_________-_ -_____-__-_________-______ BASEMEN __ _ _ ___ __ _ _____ _ ___Y__7___________ __I.-__- J______--________-_________-I - I 1 I I I I I I I -III BASEMENT I- --- T.O.SLAB•LP I 1 I 1 I I I I I III T.O.SLAB LP 1 11 I I I 1 I I , ----_-_-_- I I J_ L---------------L-1____-___-_____L_-L_-_-_-r1---------- ------_Lr _ 1 J........... - ----____J= _L 1 I 1 I J --T -_r r _7 - r r-T--r--------- ------------------------r- _______________�_�_ i_�_____ L___________J_______�L�_J 1L_L1____________ I___L_1--_L_____--___J___ ________-__-___-L__J OSOUTH ELEVATION • O WEST ELEVATION DM lam 391 SEAVIEW AVENUE 10� ® - - 12 2, 21 - ® Q,D 2401 T.O.PLATE ___________________________ T.O.PLATE �' �• CrI..__....._........... ..:..._.� .. I I I...._................... .. iIIi � .......... '� 1;1 III1 II11 1I11 I11I - R®o.InAao.DM6SfO RRISONz ...._.................. ........._....® I1� 11. . . IIz, ml r AicAmct . II . laa .... 7 DFI :124 .. ___ _ _________ ____ _______________,_________--__ ___-___ . .. - FIRST FLOOR .. ..' . 111 ___________________________ __________________________ -_____--____-___-_1 I T.O FIN r---------------- r-------� ___------------------T 1 � I I 1 I j j NOTE A I 1 I 1 LPL PmIAd Bfab.aAvssm TO' 7.0' I ' ' I I sol4laanl I T.O.B SLAB LP I ;----------------------------, , ------- 1I II BASEMENT r------- ' r------------------------------------------------1 '_'_ L ' ' T.°.sLAe•LP ' ' ' I J. ' I I ELEVATIONS L LI 11 , I , , I 1 1 I ______________ _____________ - L_ L __________-_____--_____--_-___----_______--__ L L I T r________-_ ,__ T_____,_ �__ r_ , r T1T `S J---L-------------------------�---1-----J---1------------------L--J L--J--L------1----1---L---------------------------------------------,---L---=`-� Data S,alc 912M 1M'=I•-V O NORTH ELEVATION EAST ELEVATION - Dr o / zmBr• Fr ° A5 A FlYMIO,EN�TL9 WIfIW H1'OF GJaOE TO BE fl PAE N1000 l V;5?EA5T0MW2Xe p� . •• UNIE98OIIEAVIHE NQIEO. `tea LEGEND • � OA 2X 0611T O.F '{� O 2%/08 le-0.C. © 2X 12®10`0C I I 1 , 1 / , I I 1 1 I I I , 1 I , I I I I l I I _ I j I , I I II I I II I I I 1 1 I I I , I I I 1 I 1", -4- 4z+_ I 11________ —__ OROOF FRAMING PLAN 0 n n u 11 n . II n u n n II 391 SEAVIEW AVENUE fl i—____ __—yL__— \ 1 II j I __J I �♦ / I j I 11 1 I Ona.lnt A/awrimem I � ` I 1 r 1 I I l i I —1 ' i i i i -- REED A.MORRISON • i 1 I I � /e L i i t I I I � � j Nc61en I i 1 I 1 • I I ♦ ♦`I ♦♦`� I 1�(6 r I • I � I I I 11 II I / I j --------------- I L_—_____ I I L ----- ___ _ I 1D3 Pmtn Road e L________________ L____—____ 0-nk, M+ O . SOX lJb8&& ,7D D i FRAMING PLANS Dal. S. 912W 11ra 1'-U' O FIRST FLOOR FRAMING PLAN 0 2 e e le OFIRST FLOOR CEILING FRAMING PLAN Dm-n By. ® A7 wnEs 0 A CONSTRUCTION DETAILS TO MATCH EXISTING DETAILS OF ADJACENT STRUCTURE ' MATERIALS NOTES 25 WOOD TRELLIS 9.1 OONCRETESLAB-P - .._...........................__..............._.................................._..........._...__..2, 1., CONCRETE FOUNDATION WALL 38 DRAW PIPE ...................................__........._...............................__.... 3.7 CONCRETE FOOTING MASONRY CHIMNEY ..._.............'........_...._.........._...._....._........_._..._.._._.......®7 S.e f D1A.STEEL LQ1Y COLUMN 91 2X4 I \ I10 8.2 2X8 \VVI 8.3 2X8 e6 2X 12 e ..................................._.._........,9 BB 2X B PLATE-PRESSURE TREATED 87 PLYWOOD SHEATHING ................................_.._.........� 6.12 BLOCKING CROWN ............._.................._._. ....�. 4i4 cORHIFFn�AaO r%5M S.15 WOOD TRIM-5W 8.18 WOOD TRIM•5W' . ® 8.17 WOOD TRIM-1X3 i 1 8.18 WOOD BASE-C S. WOOD LATICE•3W x 2171 8.21 CEDAR SHINGLES 8.22 WOOD THRESHOLD WITH DRIP 8.23 WOOD DRIP J� 830 WOOD SHUTTER -FT7t S.31 CEDAR VAPOR DECKING 71 BARRIER ...............................:..� 7.2 INSULATION-R-11 73 WSULATION.R•19 7.4 RIGID INSULA71ON 7.8 WATERPROOFING .__.........._.._...._....._� 7.9 COPPER FLASHING 710 ROOFING FELT -3Df 7.12 BUILDING PAPER 7.10 COPPER SCREEN/VENT B1 WOOD DOOR % .............................. ® 8.4 WOODWIIDOW-Dd18LEM1NG 9.1 GYPSUM BOARD-I& 8.3 GYPSUM BOARD-WATER RESISTANT 9.4 STONESIULMRESHOLD 9.5 CERAMIC FLOOR TIE 9.6 CERAMIC WALLTIE 9.7 TILE BASEBOARD 9.8 WOOD STRIP FLOORING 15.3 WATER CLOSET O .........._.................... ®j .._......_.................... 1B 2 Dam lax _..._...........................1 i ..._................................__................. � .......................................................... � 391 SEAVIEW €._......_................. . ....................... _......� AVENUE ........................................._...............................E ,2 tOD -�j}•2A.a 7 T.O.PLATE I v. _._._.._......_......_........_...................................... t 0txm9r,Alaaa<Aeum / I......_......_......... I IO2W I..._.__...._..__... FLIMI I i 1.._..............._.. I I I..__........_..__.. 1 I ..__.._........__.. i i REED A.M�ORRISON • 1 .......... I.............._...... I I I................ % II 1...._............__.... I I �BASEMENT 1._._.._......_.._... 1 I - -- -------------"'------------ I - .. F18A IRST FLOOR T.O.FM. _____________J .........g -r I ..._.... z..... .. g Z 1I --------------------- I ___ 1 I 1 1 193 Palo RaaG 1 1 1 1 m 1 ________________________ ___ - o-&.AA a.ams • 7.01 I I 5M.2387/9 -mil} I 7 BASEMENT T.O.SLAB•LP -- - --- -1-- L--J .............._._........... ------------------ ------------ _.. SECTIONS - ------ - -----------r---I ------------------ -------------- ------ ------------------ D31c S..] Saw 1w. BUILDING SECTION 0 1 2 9 Draw B O1 O WALL SECTION Y SCALE'3W.,•a ° A6 \ \ \ CB Ham., Wetland Llmlt Flagged \ byENSRu General Notes: Z•' 1. Paved Swale and leach pit set at low point. drrur Neck \.• _ \ 2. Leach pit designed for 25-year event. se ti• �"� o• 18 I)� •. •,is 3. Septic system to be upgraded to compile with Title 5 and Board of Health ° ° a • Standards. o y • �. ° ,4 . ' ,> . Paved Swale and leach 4. Roof runoff to be recharged via French drains along the drip edge. C0CVS= pit set at low point 5. Proposed addition to comply � • � ce \ p p y with State Building Code and FEMA IA, requirements v. 19 1.30 00, a . — \ LOCUS PLAN \ TA,Nim CONS L 1748-3 Scale I'�= 2000' 1 \ Li_L N G Edge °f po►ternyl \ \ 8 FBA Assessors Map 138 Parcel 31 _/ �/ \\ / �`• /� I "° �O /' Groundwater roun w ter Protection Zone A� _ Zoning RF- / \ o �ON�'r "'" t� /•yam <� Setbacks Front 30' / ' I D} V '...I ....... �/ 1 ............... qi , Side 15' D 1�I�P` N �. ,— Rear 15 N / o g 'C' ��Av Cn i a• 4 h /PR P� OR�� C. 00 U = sky / C) Q` C04 Ill 1 0 \ \ Ill i e o / o Sep XCIA a nwr su>,Cr AL&Mst / / / � l � �' l / / ��'e/�ip9 � •Lip � I I 3 7/6� / I` o �' \ III �� \ \ �� ` � n ti• / CbI N l \III l POAC •. \\ AFnX NrswtU: ,j ee AFerso,-) f 1l2nd er Gvo/K. ���� .3 9i Sea. V,'euw Iq ve, Csferr/%/e // ( k I m :: `\ \\\`\ �° •.• / � raorrGcrioc.�ror1: V) TbIs project has ji been ietued an Order of Condidm cp OILc oa NI F Order dCooditionsnotyet •. d JuN 9 LUW Jefferson F. Vander Wolk rri N OF \ \ c t f 45522 7WE plan win be cous on bldaw / (A / \ \ BARNSTABLE CONSERVATION PETER ......................... SULLIVAN —=_ l` \Jll t Area w land Lrmlt \\\\\\\ \\ L�09Ac r NO.29733 �\ ���� f 0 F16gged by ENSR �\ \ \ \ Oj� Dc CIVIL - - � \ � / / \ \ h� U,� Note The intent of this plan is to secure Directions to Site: From Hyannis, take Route 28 towards Osterville; Left onto Conservation Commission approval \ \ 0stervi1e West Barnstable Road to end; Left onto Main Street d bear hh It is not to be used for construction. P 0C C.0 sz5> K � R1C TAN I I an ear right at the only. fork in he village onto Wianno Ave.; Follow Wianno Ave. to end and take a right onto The drawing is only valid with an 1l/1 . oo Aooco RETAItYING WgLt_ _ I Sea Viow Ave.-house is on the left #391 original stamp and signature. RIaV►510N 9/5100 ApD►TIONAL PAVED DRIVEWAY — Title: PREPARED BY. PREPARED FOR: Notes/Revision: s SITE IMPROVEMENTS �a �CS��C�I The property line information shown was compiled Cb Sullivan ]Engineering, Inc. � JEFFERSON F, VANDER WOLK from available record information and does not 391 SEA VIEW AVENUE Po Box 659 7 Parker Road 2801 NORTH OCEAN BLVD. represent an on the ground survey. OSTERVI LLE, MASS. Osterville, MA 02655 Osterville MA )2655 y. (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420—:.995 fax GULF STREAM , FLA. The topography and detail shown was obtained ° by conventional survey methods. 30 0 15 30 60 12o Field: RRL/RJM Draft: The datum used is NGVD Date: August 10, 2000 Scale: ' _30" Comp.: Review: Pro j. # Drawing # C3932 l ATTACHMENT A / 90