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Home My WebLink About0087 SEAPUIT ROAD 4 X O -�� ..�� r .. � _... .�,, - .. i I 1 t i' r �, t �� . i ram, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I 2 Map Parcel 0 aol Application # Health Division Date Issued aa3 b�- Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board 4Z31/ZJ*- Historic - OKH Preservation /Hyannis Project Street Address '5� 7 S e�-A Pu i T P_L) Village 0� •>_&_P1 V/LILI E Owner A.),4- L Address �� 'Se -Pu lT KD i OS'TL-I�VILC,C Telephone g 5 17- 3( g 49,`19 q Permit Request e�X P R A/.s I oN of KI T-L H C NJ A^JC5 L-A vN DP-L-J 20d t--� , P-C-Mov q(_._ S i I N (r S Gf°E6-N Po QL(4 AT,t7 N&,,) G i__o S6b sL)(VI vvq eye_ ro RCt-F LN b H V---A Tr a9117 sF P) 32,no5r 230 Sj- Square feet: 1 st floor: existing proposed 2nd floor: existing proposed O Total new Zoning District Flood Plain C Groundwater Overlay Project Valuatio66R 071z�•`'Construction Type p I °A3 £,7;385 SF Lot Size Z A-64-0 S ` Grandfathered: ❑Yes `�ANo If yes; attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes �f No On Old King's Highway: ❑Yes ONo Basement Type: gFull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) o'2 755- Sr Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: -�� existing Qnew Total Room Count (not including baths): existing 10 new . First Floor Room Count Heat Type and Fuel: X Gas ❑ Oil ❑ Electric ❑ Other Central Air: WYes ❑ No Fireplaces: Existing 3 New Existing wood/coal stove: ❑Yes A No Detached garage: ❑ existing ❑ new size_Pool: existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage:/Wexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other ^' _cm _4 H N H L Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 0 Commercial ❑Yes No If yes, site plan review # z 70 Current Use �L-5�d&W�1_-- Proposed Use ��-�� ?7R APPLICANT INFORMATION (BUILD)ER OR HOMEOWNER) Name L' /V e"//-VGV 43U /Lq Telephone Number s 6 s Address F0 eox 3 9 9 License # 92 w• rA L M 0 u T),f ®2 5'% Home Improvement Contractor# IO Worker's Compensation # ,a�Ivy �2�33 `�5�- i ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,3o vi2N � SIGNATUR DATE :f r i FOR OFFICIAL USE ONLY r - APPLICATION# f: -DATE ISSUED 5 MAP/PARCEL N0. 5 ADDRESS VILLAGE OWNER { DATE OF-INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL 4 FINAL BUILDING a�2Z f S DATE CLOSED OUT ASSOCIATION PLAN NO.-' f EVE Tor, ` . Town of Barnstable Regulatory Services ` Bnxrr i e Thomas F.Geiler,Director s6gq. 10�' �E639 A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 February 6, 2012 C.H. Newton Builders, Inc. David Newton PO BOX 922 Falmouth, Ma. 02541 RE: 87 Seapuit Rd., Osterville Map: 118 Parcel: 1169 001 Dear Mr. Newton: This letter is in response to application number 201200326 submitted to construct a porch and kitchen extension at the above referenced address. Unfortunately, the application can not be approved at this time because there is currently an open building permit on the property for the construction of an inground pool. Permit number 91155 failed a final inspection on or about October 4, 2010 and to date has not brought the pool into compliance. No further building permits will be issued until such time the pool is brought into compliance. Please do not hesitate to contact this office with any questions. Respectfully, Me);ktl auzon Local Inspector (508) 862-4034 Po- l co,,�p l�•� �-lZ�I,Z�• Me Commonwealth of Massat husetts Department of Industrial Accidents Office of Investigafions 600 Washington.Street IV Boston,MA 02111 wm nrass gov/dia Workers' Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organza ou,&&vidnD: g W Tb N is/ 4&!2 f Address: PO S 0 City/State/Zip: w- flZe�y U �'1� Phone#_ ✓� '3�/��-3 Are you an employer?Check the appropriates T of project r 4. I am a general contractor and I Type. P I ( � � 1.❑ I am a employer with g 6. (]New construction employees(full and/or part-time).* have hived the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet_ 7. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition working for me in any capacity- employees and have wormers' 9�Building addition [No workers'comp.insurance comp-insurance required.] 5. ❑ We are a cotporation and its ME*]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.El Roof repairs insurance required.]Y c. 152,§1(4),and we have no employees-[No workers' 13.❑Other comp.insurance required.] :Any applicant that checks box#1 must also fill out the section below showing their wo*ers'compeusation policy informiation. I Homeowners wbo submit this affzdam indicating they are doing all waA and then hue outside contractors must submit sum aff davit indicating such- tCoutractors that check this boa must attached an additional sheet showing the name of the sub-oonttzumzs and state whew or not those entities ham employees. Uthe sub-coutractors bare employees,they smut provide their workers'comp.policy number. I am an employer that is prosiding workers'conitensrrrion insurance for my employ-em Below is the policy and job site information Insurance Company Name: I A- Policy#or Self-ins.Lie.#: 3 I N �� 1 Expiration Bate: Job Site Address: 91 S 5 PU 1 T �2D• city/state/zip: 1 U-F lt-(A Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the 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 un re pains and penalties of perjury that the information prm ded abm a is tare and correct Signature: Date: CNA�E (2— Phone#: 3- SS— 13 53 Offlcial rise only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 12/8/11 mail(2479x3229) .30.g Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO Building Commissioner, 200 Main Street, Hyannis,.MA 02601 www.town.barnstoble.ma.us ".4 Office- 508-862A038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. M6, N A kA -,as Owncr of the subject PmpertY hereby authorize G 4, /V. A.) L9 U I G.Q£k'.;S to act on my behA in all matters relative to work authorized by this building permit application for. 8`7 S EA Po , - 1J, o S77EIC-V i LL L- (Address of Job) Signature of Owner Date. • Ma b Print Name if Property Owner is applying for permit,please complete the Homeowners license Exemption Form on the reverse side. C1U=SWMDII lAppDat#U.O IV4icrosofllWmdowglTe mpomry Int=d CilcslContwt.Outloo"DV87AAZkWRESS da Revised 072110 https://mail.google.com/mail/?ui=2&ik=048b53e8ca&view=att... 1/1 Office of Consumer Affairs and Efusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement ContrActor Registration Registration: 107888 Type: Private Corporation Expiration: 8/10/2012 Tr# 201382 C.H. NEWTON BUILDERS, INC. DavidNewton -------._...------------------------------- -.._ POBOX 922 ----- -------- ------ ---- - .._.._ Falmouth, MA 02541 - ----- ----_..—.----------____---_. Update Address and return card.Mark reason for change. L_I Address ❑ Renewal 1_1 Employment Ej Lost Card PS-CA1 0 SOM-04/04-GlO1216 ✓/C Consumer & a�e`sRdac/z�a License or registration valid for individul use only �-\ Office of Consumer Affairs&business Regulation b Y HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 107888 Type: Office of Consumer Affairs and Business Regulation Expiration: 8/10/2012 Private Corporation 10 Park Plaza-Ate 5 170 VCNEWTON Boston,MA 021 BUILpERS;'•INC: David Newton [ � 549 Main Rd 28A W. Falmouth,MA 02541. Undersecretary Not valid without signature Massachusetts- Department of Public Si fctc , Board of Buililim.- Rc;ulations and Standards Construction Supervisor License `License: CS 46192 DAVID L NEWTON " PO BOX 922 FALMOUTH,;MA 02541 Expiration: 9/19/2013 Commissioner Tr#: 3883 e In accordance with the provisions of MGL c. 40, s. 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL C. 111,s.150A. This debris will be disposed of in: Bourne (Location of Facility) Signatur, f Permit Applicant 12/22/11 Date 1 IF A DUMPSTER IS USED IN EXCESS OF 7 CUBIC YARDS * ** A PERTWr FROM THE FIRE DEPARTMENT IS REQUIRED. \�� ° / h� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � OL Map Parcel 09 - ®OI Application # Health Division Date Issued Conservation Division Application ee Planning Dept. - Permit Fee Date Definitive Plan Approved by Planning Board b� 51 Zo/1 Z��1. Historic - OKH _ Preservation/Hyannis ` Project Street Address A7 4P_ce 62Q t.i_'PA . r. Village S*er-V She Owner .\A �-.`� Address 87 G�2 N� Telephone I�c�4�� `�L2� L95�� -31& -2'7` :5 Permit Request i Square feet: 1 st floor: existing 3, 15proposed ."2nd floor: existi4 proposed Total new Zoning District R� -k t'� Flood Plain 'z 0N1F_ 2- Groundwater Overlay - ZDP W P Yest� a1 Zcz� Project Valuation Construction Type 1�;c�cNcr-> iF-SrUP*P_` Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Z. Age of Existing Structure -Co \x%S Historic House: ❑Yes O'�lo On Old King's Highway: ❑Yes fTNo Basement Type: Z Full O'Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) © Basement Unfinished Area (sq.ft) ? �_7 S5 SF Number of Baths: Full: existing new Half: existing ` new r a O Number of Bedrooms: FJ existing new p Total Room Count (not including baths): existing new First FloorRoom Count Y7 Heat Type and Fuel: @rGas ❑Oil ❑ Electric ❑ Other Central Air: QYes ❑ No Fireplaces: Existing 2 New Existing wood/coal sto e: O-aYes 13 No 0 � � Detached garage: ❑ existing ❑ new size_Pool: �I existing ❑ new size _ Barn: existing.. ❑ new size_ Attached garage: CJexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0 No If yes, site plan review# Current Use Proposed Use Ze& 4-%M Q\ f 4 APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �� J`F`� V383 Address PC) SOY- `��9 License # e-)2_S`74 Home Improvement Contractor# In706R Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE M 'j s FOR OFFICIAL USE ONLY .i AP,,PLICATION# t DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER ; DATE OF INSPECTION: _ FOUNDATION r 4 , FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` E PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' ij FINAL BUILDING lo�t.6J1 041d(JIL - DATE CLOSED OUT , ASSOCIATION PLAN Nb y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Invesilgations 600 Washington Street lug Boston,Mass 02111 www massgov/dia Workers' Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name Business orgmizadon/Individual): C. H. NEWTON BUILDERS Address: P• O• BOX 922 City/State/Zip: FALMOUTH, M' 02541 Phone#• 5 0 8-5 4 8-13 5 3 Are ou an employer?Check the appropriate boa: Type of project(required): 1. I am an employer with 3 5 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).' have hired the sub-contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.j 9. ❑Building,addition required] 5.0 We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their myself [No workers'comp. right of exemption perm MGL 11. ❑Plumbing repairs or additions insurance required]t c. 152,§ 1(4),and we have no 12. ❑Roof repairs employees.[no workers' 13. ❑Other comp.insurance required.] 'Any applicant that checks bn#1 most also f H out the section below showing their workers'compensation policy Information tHomeowners who submit this affidavit Indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contactors that check this box must attach an additional sheet showing the name of the subcontractors and state whether or not those entities have emptoyees. if the sob-contractors have employees,they must provide their workers'comp policy number. I am an employe►that Is providing workers'compensation insurance for my employees Below Is the polky and Job site information. Insurance Company Name: ACADIA Policy#or Self-ins.Lic.#: B INDER3 3 4 9 5 8 Expiration Date: 1-1-13 i Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration(date). ' P po cY P g ( g Po cy P ( ) Failure to secure coverage as required under Section 25a of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of $250.00 a day against violator.Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify undath hs#ndpenallies of perjury that the information provided above is true and correct Si ature: AtDate: Print Name: David L. Newton Phone#: 5 0 8-5 4 8-13 5 3 Official use only Do not write in this area to be completed by city or town official City or Town: Permit/license#• Issuing Authority(circle one): I-Board of Heath 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact person: Phone#• 3 i Client#:3248 2NEWTONCH ' AC6RIX CERTIFICATE OF LIABILITY INSURANCE 01113f201.2 THIS CERTIFICATE iS ISSUED AS A MATTER OF NFORMATKKONLY 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 DOESNOT CONSTITUTE A CONTRACT BETWEEN THE-ISSUING INSURER(S),AUTHOR® REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT-tf the cert_te holder Is an ADDITIONAL INSURED,the pofiW*s)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 sodorsement(s). PRODUCER Dowling&O`Neil NA . 508 775-1� insurance Agency Ne SOBT781218 973 lyannough Rd., PO Box 1990 SS AFFORVOW COVERAGE NAICa Hyannis,MA 02601 Hyannis, INSURER A:Acadia Insurance C.H.Newton Builders,Inc. INSURER0: PO Box 399 1wU IER C West Falmouth,MA 02574 °moo: 16bNmt E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION MOUSER: 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 REOUIREMENT,TERM OR COHDnIONOF 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. LSM SHOWN MAY HAVE BEEN REDUCED BY PAD CLAIMS. TYPE OF smuRAN� 0111 OWN POLWY MINMIER LIMITS GENERALLIAednY EACHOCCIIRRENCE i eMpERCdLL GENERA.UABILRY oowrrDi. s ClA IS44ADE ❑OOCUR MEDEXP one reon S PERSONAL aADYINJURY S GENERAL AGGREGATE i GEMLAGGREGATELIWAPPLIESPER: PRODUCTS-COMPAPAGG $ POLICY PRD Mwc $ AUTOMOSILE LIABILITY ANY AUTO SOD1LY 1LMRV(Pw Person) Li WTOS AUTOGULED BOOLYNi11RY(Pereod0enp s IURFAAUTOS AHUI1OS ED aedderM $ s UMSREUA u" H EACH OCCURRENbE : EXCESS uric qA ODE AGGREGATE s DED I I RerDMON8 A vwRRbERSc wNn3"'M BMDEFW4958 01111OU20112 Wilms X WcsrATU• , AND EMPLOYERS?UAgSLff Y mm ER WIN "R EXq U a R 6�E MIA E.L EACH AOCM}R $500 ODD S yea ie,croeln NK) EL DISEASE-EA $600000 DESCRIPTION OF OPERATIONS below El.OLSEASE•PWCY U T $600 000 DESCRPTMOPOPERATONSRLOCATWNS/VENK3M(MadbACORDlei,AddklaplRwnrfeB ;;*Nmoregmmwn*dr" Job-IS Locust Street insurance coverage is ilmited to the terms,conditions,exclusions,other limitations and endorsements. Notting contained in the certificate of insurance shag be deemed to have altered,waived,or extended the coverage provided by tie policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Falmouth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WiLL Be DELIVERED IN 59 Town Hall Square ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 922 Falmouth,MA 02540 AUnWtIIZEoREPRESUCIAVA =C.C.''"'�'"mr.. O ISM2010ACORD CORPORATION.All rights reserved. ACORD 26(201 W06) 1 of 1 The ACORD name and logo are registered marks of ACORD #S90435/M90434 LS1 Office of Consumer Affairs and gusiness.Regulation 10 Park'Plaza - Suite.5170 Boston,:Massachusetts 02116 Horne Improvement-Contractor Registration Registration: 107888 Type: Private Corporation Expiration: .811012012 -Tr# 201382 'C:H: NEWTON.BUILDERS, INC. _ David Newton PO BOX 922 Falmouth.,-MA`02541 Update address and return card.Mark reason for change. Address .,7 j Rcneival I `j Employment j Lost.Card PS-CAI O 5oa4&004101210 ✓die i0osi+�errn�er� J r�aa�ao�iswsQ'e Ofrice of Consumer AtrArs a4[R slues Rigulation Ucense or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration data If found'return to: Registration: 107688 'Type: Office of Consumer Affairs and Business Regulation Expiration: 811=012 Private Corporation. 10 Park Plaza- to 5170 Boston.MA 021 C.H NEWTON BUILDERS.INC. EDavid Newton • .Jri-x 549 Main Rd 28A W.Falmouth,MA 02541 .Uoderseeretsry _R Not valid without signature - Massachusett'%- Della 11IlleI'll 41f R(ililic.Safe1% B►►;u-d of"t3uildinr Rc��ulatiuns and.St:u►ifactls Construction Supervisor License License: CS 46192 i DAVID L NEWTON PO BOX M. FALMOUTH, MA-02541 Expiration:.9(19RW 3 C�n�inii's<i�mer Tr;,' 3883 I l l Town of Barnstable Regulatory Services Tboam B.Ge%r,Director Building Division Timm=Perry,CBo Building Cown"09er 200 Main Street, Hyannis,MA 02601 www.towu.barnatable.ma.as Office: 509-862-4038 Fax: 508-79"230 Property Owner Must Complete and Sign This Section If Using A Builder /40 1`- WA kI as(honer of the subject property hereby authorize�rl— �Wl76i�. a/;Ls Q to act on my behalf m all matters relative to work authorized by this building pertniF applicauon filr. SEAPvi,-r tC O5'Mf-V16%%V (Address of Job) - Signature of )canerDate Print Namc ---^------•---- -- -•- If Property Owner It applying for permit,please complete the Homeowners Licence Exemption Form on the reverse side. C'`Utc•.K4rculhlcApplls��iu,ocelJNkmr,R•Winanwst'I'cmnorur.Irtngti i�Ic,U.'nn:nu t 4;�km►U N��'%7.4.47..J:k1'RFtiS.Arc Revised 072111) ><psJ/rtlail. •• �n • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION T OF �•'� O 6 0 0 00 /7 /-`0 Map /, 1 Parcel a 00d 5af Permit# Zl S HealthDivlsion '�Sa Q�/e Date Issued 1612-7 1 bV Conservation Division 0 Z �L SEPTIC SYST ` MRAQT 1.ao ao INSTALLED IN Tax Collector fist WITH 11TEUSe Treasurer :_—wmENVIRONMENTAL CODE AND Planning Dept. 1 REGULATIONS Date Definitive Plan pr y Planning Board —0 rhl/ST 0�37 tti �ON�_a �o� {{��{{��tt- �,;,t e y /Je ur• iT ydn Fin o►-,� G�rj-we- -�. Historic•C. Preservation/Fl" n►s P� tree►l ddross IV T 1T�'�/�`d�4 - Fax- G Villa9e Owner �d , /Vi i 7 Address 01 / Telephone r Permit Request e4u ' Ufne • Sl dL A- Square feet:1st floor existing proposed29_6J 2nd floor:existing proposed IS Total 7�� Zoning District T"' Flood Plain _ A -0 -cow Overlay Project Valuation B4® Construction Type �(" Lot Size Grandfathered: O Yes ❑No If yes,attach supporting documentation. CZ) , Dwelling T Single Family Two Family O Multi-Family #units I c� Age of Existing Structure '' Historic House: O Yes P6 No On Old King's Highway: O Yes f No N «D Basement Type:X Full O Crawl ❑Walkout ❑0ther Basement Finished Area(scift) Basement Unfinished Area(sq.ft) — Number of Baths: Full:existing new Half:existing new w m Number of Bedrooms: existing " new co M Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: AGas ❑Oil O Electric O Other Central Air: AYes O No Fireplaces:Existing • New 6mS• Existing wood/coal stove: O Yes O No Detached garage:O existing O new size Pool:O existing D new size barn:O existing O new size Attached garage:O existing Wriew size 2Y 3y Shed:O existing O new site Other. Zoning Board of Appeals Authorization O Appeal# "T Recorded O Commercial ❑Yes )(No If yes,site plan review# Current Use Proposed Use ' BUILD FORMATION , Namef'y1Ct �� /"lDvflEJ Telephone Number Addresslk 4 1040/`/ °S/ License# lrl t fh l M•11" " Home Improvement ContraKttorr�# o0'V'QQ a' Worker's Compensation#I& ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR ECT WILL BE TAKEN TO 11 l�i�e G/�r, ,rat• SIGNA '.RE Y DATE" �� i IT kT°W - C..,`X orJVO- 3P7 MOT L rev J Q via. 2._ --c�� License: CONSTRUGTI.QN SUPERV4OR Number: CS 052610 Birthdate:`12/13/1960 it Expires: 12/1312004 Tr.no: 6538 Restricted~ 00 JOHN A CRONIN 4 96 TELEGRAPH HILL MARSHFIELD, MA .U2050 Administrator c wt,ti A The Commonwealth of Massachusetts Department of Industrial Accidents Officeo/%s9g,711vos . _ = 600 Washington Street Boston,Maser 02111 Workers' Compensation Insurance Affidavit FPO_.�..O "MICNIMI'Mrs .s... ...; �.' city Dhone W. I am a homeowner performing all work myself. I am a sole proprietor and'have no one working in any capacity 0 I am an emploj�eir providing wort ers,compensation for my employees working on this job. fomnanv'name• ... .. . addr « ': .. ..:,::.. w,.. �., ;... Ifltff P]nM rn •.. ..,.,., ..... ., .,...:.,: �... �..•. �.:.::::�:�:�.�.�OOIit:Y.#%:;:;,,.�'.`:':::+w :i�.:.:.:.'.. I am a saitoWeinter,general contractor, (circle one)and have hired the contractors 1 who have -*6aAftHCM1zi21- orkers' compensation polices: addres s.. 0-Aa M 7. city- icy TM COM22nX name:'' eat.:.,. ... •, ..,•:. ..::�t:1}.,\:..::•.is y.Y}:n:::•:i•..::..�...••^ •.Kw•.i:ii�' }•::\:;: �:Tw>:M:: .K f"..,•• .... : .. �.. .. •.:: .... :....'x.-:tv..v.:..:+.. •` .$i:ids i:�:r,�:ivyn :}>.....w♦ 'f ,.. . .. .. :......,�:�. .: •:.,.•: .}:.,:.... ..ti.. ..,..:> a,.�w.•<b•;y}lkt�„b.,.Y•.'�,.:xcrr�.,t „<.,a.,..w• .... .. address, :,.., ...,:.. :. .... one insuranq.co .: ...:.:.::.::::..:... .:.:-:..._:.......,.,•. ..:.::. 'Ro�!�Ytl:.;< '``<:::::: Ate Jdoaa s t�ineeessarn Failure to secure coverage as required under Section 25A of MGL 152 an lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of SI00.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date Print ame Phone q official,use only do not write in this area to be completed by city or town official .� city or town: permitAieense M riBuilding Department Licensing Board :� O check if immediate response is required ❑Scicctmen's Once Health Department contact person:- phone 0; rlOther InvoW IRS PJAI � OCT-07-2004 10:51 WARREN TRASK ACCNTG 781 344 6902 P.01i01 BC CALO®2003 DESIGN REPORT- US I nursaay,UCtooer ur,ieuug iu:in Single 16" BCI®600s SP File Name: BC CALC Project:J01 Job Name: Sespult Description: Address: Specifier: Joe Russo City,State,Zip:Osterville,MA Designer: Jeremy Pereira Customer. Stock Building Supply Company: Warren Trask Company Code reports: NER 594,ICSO 5208 Misc: Standard Lead-40 pall 15 psi OC Spadn®16" Ak Bo,1314" B1,13/4" 6401bs LL 640 Ibs LL 240 lbs DL 240 Ibs DL Total Horizontal Length-24-00-00 General Date Load Summary Version: US Imperial ID Description Load Type Rol. Start End Type Value OCS Our. S. Standard Load Unf.Area Left DD-00-00 24-00-00 Live 40 psf 18" 100% Member Type: Joist Dead 15 psf 16" 900/0 Number of Spans: 1 Left Cantilever. No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Slope: o/t2 Moment 52801t-Ibs 66.8% 100% 2. 1-Internal Neg.Moment 0 ft-Ibs Na 100% OC Spacing: 16" End Reaction 880 Ibs 07.7% 100% 2 1 -Right Repetitive: Yes Total Load Defl, U460(0,62711) 78.3'/0 2 1 Construction Type:Glued Live Load Deft. U632(OAS&") 76.0% 2 1 Live Load: 4D f Max Dell, 0.627" 83.5% 2 1 Span/Depth 18.0 n/a 1 Dead Load: 15 PSI Partition Load: 0 PSI Notes Duration: 100 Design meets User specified(L/360)Total load deflection criteria. •DisClosure Design meets User specified(L/480)Live load deflection criteria. The completeness and accuracy of Design meets arbitrary(0.75")Maximum load deflection criteria. Minimum bearing length for 80 Is 13/411. the Input must be verified by anyone Minimum bearing length for B1 is 13/411. who would rely on the output as Entered/Displayed Horizontal Span Lengths)=Clear Span+12 min.end bearing+ 1/2 intermediate bearing evidence of suitability for a 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 it you have any questions,please call (800)232-0788 before beginning product installation. BC CALC@,BC FRAMERS,BCIS, BC RIM BOARD*M,BC OSB RIM BOARD^",BOISE GLULAMtm, VERSA-LAMS,VERSA-RIM®, VERSA-RIM PLUS@, VERSA-STRAND- " VERSA-STUDS,ALWOIST®and AJSTM are trademarks of Boise Cascade Corporation. Page 1 of 1 TOTAL P.01 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t Map Parcell , ?J ( Application# Health Division �✓ ° f `J ot Conservation Division �e �� T/D� /��i��/O� �y Permit# Tax Collector � ~ Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board EXISTIN SEPTIC SYSTEM Historic-OKH Preservation/Hyannis LIMITED TO=OF BEDROOMS Project Street Address >i --t- Village V Owner es+} a Address —7 k4 I t m S1 Telephone -7701 0—S^7 0-74� mo�vc__. �+If/1j Permit Request (7&11S`�ci " C — tyl QYD iil.G1 ®® a oo Gt Iyn!r, - Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay N(t) Project Valuation� C> Construction Type Lot Size C Grandfathered: ElYes ❑ No If yes, attach supporting documentation. ; Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: O Yes _O No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) CD c? Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes W(No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION 1 ,! Nam �S C-Telephone Number 1 �� 'tom Addres�s`]&J PLL( VI License# Qi't1 Home Improvement Contractor# O e'(2> C � 0� Worker's Compensation# j!4 TL 4 Z2- �`"7715®� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO VZ22U r L-C a SIGNATURE DATE Zk-I O� "t FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED i MAP/PARCEL NO: ADDRESS VILLAGE, OWNER i DATE OF INSPECTI'ON: F FOUNDATION FRAME INSULATION _ FIREPLACE ELECTRICAL: ROUGH FINAL m PLUMBING: ROUGH a v FINAL ° 1_ j GAS: ROUGH Q, - FINAL ' N 1 FINAL BUILDING VN ! U 2 rr DATE CLOSED OU,T Q ASSOCIATION PLAN NOS The Commonwealth of'Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street r Boston, MA 02111 w,Y IY.rnass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Inform2tion _ Please Print Le 'bl Name (Business/Organization/Individual):• Mez.� Address: 0 Ma V,�;t4" )LA City/State/Zi : - Phone#: Are ou an employer? Check the�appropriate box: Type of project(required): 1.WI am a employer with 4. ❑ I am a general contractor and I 6. [I New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet t Remodeling ship and have no employees These sub-contractors have 8'. ❑ Demolition working for me in any capacity.' workers' comp.insurance. g. ❑ Building addition [No workers' comp. insurance 5. ❑ We area corporation and its required.] officers have exercised their ME] Electrical repairs or additions 3.❑ I am a liomed ruer doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. _ c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other / comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy infonvation.' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContracton that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'connpensadon insurance for my employees. Below is the policy and job site f in ormatioac. t / Insurance Company Name: v�' ICOV111 �Jo T<- —_Z Policy#or Self-ins.Lic. #: Expiration Date: ©� Job Site Address:791 Is it a 12 0 1 .T �`�' City/State/Zip: a_kl/y W 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. 15.2 can lead to the imposition of criminal penalties of a fine up to$1,50Q.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the informations provided above is true and correct Sicnature ,� � Date: —2-4 `©�. Phone#•e_T Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3.City/Town Cleric 4.Electrical inspector 5.Plumbing Inspector . 6. Other j 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 adrrised 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 pemrits or licenses. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727=4900 ext 406 or 1-o77-MASSAFE Fax ; 617-727-7749 Revised 5-26-05 www.m.ass.gov/aia r °MEri Town of Barnstable Regulatory Services BWSTMAM"B Thomas F.Geiler,Director 1639.�A�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. !� Type of Work: Estimated CosA-T d w Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): F)Work excluded by law ❑Job Under$1,000 OBuilding not owner-occupied Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the,agent of the owner: Date Contractor Name Registration No. OR AT to Owner's Name Q:forms:homeaffidav RESIDENTIAL: SHEDS -POOLS—DECKS-OPEN PORCHES- GAZEBOS i FEE VALUE WORKSHEE'T APPLICATION FEE: $50.00 BUILDING PERMIT FEES: ACCESSORY STRUCTURES >120 sq.ft.(Sheds,gazebos,etc.) >120 sf-500 sf $ 35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ �© ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:forrns:dkcost REV:063004 I OMETQ� Town of Barnstable .� Regulatory Services Thomas F.Geiler,Director s639. plEa► Building Division. Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA b2601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder . as Owner of the subject property hereby authorize L C Z—C to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address 10A Job) '9 fa ignature of Owner ate Print Name , i Board Bn• li��,Q ' of ►ldinl:Rebulatio _ HOME I ns,airil Stan OVEMENT R s CONTRACTOR. .{: Lice.nse t orle 21066 . f before. gistration valid 2006 �e expirati for' ".. : x ` Board of Builiii6 on date f � dul use oql HOMESTEAD vale CorporaUo i oil A b i It, latio ound return to: . DAVID - n Boston orlon Place ns and Standards ��P GREGO d „ _. ,Ma.021.-68 Rm 1301 i LAIN �L1.'4RSHFIE . :..'.; LD M A 0205p � ' �-�ro r A, !voi�trator of d . .•. : withoutsi • :.il!?tilt ' ' � 1 ns � C N��R C►aTlO • �U @ ' �. '_ _ �CO�%n'ssio ref .,• '� • 1 - i •• A M Mar 27 2006 9: 05AM HOMESTEAD 7818341522 p. 1 ' acoRo CERTIFICATE OF LIABILITY INSURANCE OP ID T DATEIIAMIDD/YYYY} HOMEPRI 03 24 06 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE South River Insurance AgCy,Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 764 Plain Street, P.O. Box 428 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Marshfield MA 02050-0428 Phone: 781-837-1104 Fax:781-837-0189 INSURERS AFFORDING COVERAGE NAIC B INSURED INSURER A: Zurich-american INSURER B: Homestead Properties Inc; INSURER C: 764 Plain Stre t INSURER0: Marshfield MA �2050 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRINSRE TYPEO D FINSURANCE POLICY NUMBER ATE IUMlDO I DATE NM/DD/YYO LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY �- PREMISES(Ea NTEDnce $ CLAIMS MADE a OCCUR ;'",�.1 Cl�`�\ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GENL AGGREGATE LIMIT APPLIES PER: t'"l_. PRODUCTS-COMPIOP AGO $ POLICY FI PRO. J1 JECT Ll LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea aceicent) $ ALL OWNED AUTOS ' BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY I NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per eccideit) GARAGE LIABILITY AUTO ONLY-EA ACC IDENT 3 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA UABIUTY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ -'-- RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY TORY LIMIT$ I. I'JER ' A ANY PROPRIETOR/PARTNERIEXECUTIVE GZZUB77BOA2250-05 07/01/05 07/01/06 E.L.EACHACCIOENT c-s500000 OFFICERJMEMBEREXCLUDED? EL.DISEASE-EAEMPLOYEEi� SOO-0OO S yes, SPECIAALL PROMS PR a ROVI under SIONS below E.L.DISEASE-POLICY LIMIT "$:5000100 OTHER C,_D ;EI ' cn� DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES!EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r Jobsite: 87 Sepuit Rd Osterville, Nam, fax builder @ 508-420-4441 n N r rn CERTIFICATE HOLDER CANCELLATION BARNS TA SMOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 BD SHALL 37 Main Street IMPOSE NO OBLIGATION OR UABILITYOF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis MA 02601 REPRESENTATIVES. AUTHORRED EN E ACORD 25(2001108) c ACORD CORPORATION 1988 I Commonwealth of Massachusetts I Iq Ov ` Sheet Metal Permit Date: $ Permit Estimated Job Cost: $ 101 bOO Permit Fee: $ I OI 00 Plans Submitted: YES NO Plans Reviewed: YES NO 4 Business License# I W 0 Applicant License# Business Information: II ''�� Property Owner/Job Location Information: Name: Q. Ve Wrnon h i` (� , Name: L I t. MQ j Street: . C�? U)II a Street: 1 -eaoLa[� City/Town: City/Town: 04ey Telephone: 509^ q 5.— 1100 Telephone: No Photo I.D. required/Copy of Photo I.D. attached: YES NO— Siff Initial J-1 /M-1-unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family V1 Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. ✓ .over 10,000 sq. ft. Number of Stories ; p Sheet metal work to be completed: New Work: Renovation: HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: INSURANCE COVERAGE: I have Wcurrent liability`insurance policy or its equivalentwhich meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yes,indicate the type of coverage by checking the appropriate box below:. A liability insurance policy Other type of indemnity ❑ Bond El OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this boxEl,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct�inspection required prior to insulation installation: YES NO Proeress Inspections Date Comments Final Inspection - Date - - - - - - - - - - - —Comments- Type - Type of License: By ❑ Master Title ❑ Master-Restricted City/Town ❑Journeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number: Fee$ ❑ Check atwww.mass.aov/dpl r - Inspector Signature of.Permit Approval 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 Applicant Information 11 n Please Print Legib)), Name (Business/Organization/Individual): UJ - V�-0-n , !�J t��z P► n, G; ,�S N u.): n c_p). i n C_ . d" Address: L City/State/Lip: Wfs-i C� .:-4 ),, NlA o�l�b`/ Phone Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g_ ❑ Demolition working for me in any capacity. employees and have workers; 9. ❑ Building addition [No workers' comp_ insurance comp_ insurance.+ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions ❑ officers have exercised their 1 L Plumbing repairs or additions ,_ I am a homeowner doing all work g P myself. [No workers' comp_ right of exemption per MGL 12.0 Roof repairs insurance required.] I c_ 152, §1(4), and we have no employees_ [No workers' 13.❑ Other comp_ insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all wort: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. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: (A, U `w Policy#or Self-ins.Lic.#: W L� Z i/ o o j 3 c, ) 1 Expiration Date: / v 1 i Job Site Address: V r, k 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, 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. B / dv' dt copy of this statement may be forwarded to the Office of Investigations of the DTA for insurance ov age �erifi ti I do hereby certify under the pa and ,enal . s p that the information provided above is true and correct Si ature: \ Date: �� / l Phone Of use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: Client#:48736 VERNWHI DATE(MM/DD/YYYY) ACORD. CERTIFICATE OF LIABILITY INSURANCE 10/07/2011 J 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). ACT PRODUCER NE., NAME: Karen A.Walther,CISR Rogers&Gray Ins.So.Dennis PHONE 508.760.4630 ac No; 508.2582230 A/C No Exl 434 Route 134 �DRFss: waltherka@rogersgray-com P.O-Box 1601 INSURER(S)AFFORDING COVERAGE NAIC>Y South Dennis,MA 02660-1601 INSURER AArbella Mutual Insurance CO 17000 INSURED INSURER B:Wausau Underwriters Ins.CO W-Vernon Whiteley Plumbing &Heating INSURER C Company,Inc.&Chatham Sheetmetal, Inc INSURER o P.O.Box 1266 INSURER E: West Chatham,MA 02669-1266 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. INSR DL UB POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER WD MID L1MR5 A GENERAL LIABILITY APP463206 0/01/2011 1010112012 EACH OCCURRENCE $1 BOO 000 X COMMERCMaL GENERAL LIABILITY OPREMISE5 _aEoc�rrence $300,000 CLAIMS-MADE 51 OCCUR MED EXP(Any one Person) S 15,000 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER X PRODUCTS-COMP/OP AGG $2,000,000 POLICY X jE a LOC $ A AUTOMOBILEUABIUIY APP463271 0/01/2011 10/01/201 CEOMB accidenISINGLEUMIT g1 000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIREDAUTOS X A OS PROPERTYaccident) $ X rive Oth Car $ A X UMBRELLA UAB X OCCUR APP463274 0/01/2011 1010112012�EACH OCCURRENCE $4 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE s4,000,000 DED I X RETENTIONS$10 OOD is WORKERS COMPENSATION I WC STATU- OTH- B WCCZ11260053019 0/01/2011 10/01/201 X T AND EMPLOYERS'LIABILrTY ANY PROPRIETORIPARTNER/EXECUTIVE Y 1 N E.L.EACH ACCIDENT $5DO O00 OFFICER/MEMBER EXCLUDED? N. /A (Mandatory in NH) EL DISEASE-EA EMPLOYEE $5DO,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT I$5OO,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Sdxdule,if more space is required) Plumbing,Heating&HVAC 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 ©19 -2010 ACORD CORPORATION.Ali rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S72459/M72376 KW I COh�f�A01rWEP.LTH OF MiASSACHU:SETTS SHEET METAL WORKERS AS A BUSINESS "ISSUES THE ABOVE LICENSE TO: I' i ER-1C T 'WHITELEY W. VERNON WHITELEY PLBG AND HT Q, 28' VI' -LAGE LANDING Iv, P O 'B O X 126b J' CH`ATHAM MA 02669-`0000� i .160 12/22/12 97:00�2 ------------------------------ ......',COMMONWEALTH OF MASSACHUSETTS''` ca N Mu . . SHEET METALWORKERS 'AS A MASTER-UNRESTRICTED ISSUES THE ABOVE LICENSE TO: ERIC T WHITELEY m PO BOX 248 EST CHATHAM MA 02669-0248 2967 02/28/14 119423 ` C Fo!d,Then Detach Along All Perforations kM ,ik, 33 130 IN b' 1 I G, t MM'kk rll'�A.I�1 +W CHATiHgM fMA t�'f�` s. ,.;�,r- '�•�-�>Fi"`f,�a�•y�_�,�x-i'1 A2669��f a I/ tic rti �r3 x r F 1,,_{ r .a:I Gf III ',),i �Lrr.��• I -NEra�. 'Town of Barnstable ti Regulatory Services ` AARN6'LABLY- Thomas F. Geiler,Director `b z6sq. `e 'Bailding Division Tom Perry, Building Conunissioner 200 Main Strcct, Hyannis, MA,02601 www.town.barnstable.ma.us Office: 508-862.4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABurlder . CH ."a . as Ow er of the subject.properey hemby au`Lhorize to act on my behalf, La all titters izLEVE to work authorized by ibis bu�IdLL permit applica - -a for. ��iddl�SS Ol JOb) i Sibgnatum of Owner Date Priat Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on 'the reverse side. Q:FORMS:O WNEuERMIS3 jC)N Town of Barnstable Regulatory Services �FTNE rp� Thomas F. Geiler,Director Building Division RMWSTnBi.E. : Tom Perry,Building Commissioner �� 200 Main Street,Hyannis,MA 02601 RFD MA'S A Office: 508-862-4038 Fax: 508-790-6230 September 22, 2011 William & Susan Callahan 11741 Lake House Dr. N Palm Beach, Fl. 33408 RE: 87 Seapuit Rd., Osterville, Map: 118 Parcel: 119 001 Dear Property Owners: This letter shall serve as notice that the above referenced address currently has a building code violation that must be corrected. Specifically, the pool barrier installed does not meet the minimum requirements of 780 CMR. Please contact this office immediately for guidance to remedy the situation and bring the property into compliance. Thank you for your immediate attention in this matter. Respectfully, jke A/La on Local Inspector (508) 862-4034 Q:zoning5 PROJECT (( -i NAME: ViSl.0Y1 - �it-�c. Act con ADDRESS: PERNI7T# ZO ( ?_0 U 3 Q-k.P PERMIT DATE: M/P: LARGE ROLLED PEAKS ARE E%�: BOX ' SLOT - 7e Data-entered in MAPS program on: -� B Y: i s j TOWN OF BARNSTABLE ;.� certificate of occupancy PARCEL ID 000 '000 317 GEOBASE ID i ADDRESS . 87 SEAPUIT .ROAD PHONE OSTERVILLE ZIP - LOT LOT 17 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT PERMIT 90341 DESCRIPTION SIN FAM/ATT GAR/5 BDRM/#80215 PERMIT TYPE BC00 TITLE CERTIFICATE OF OCCUPANCY CONTRACTORS: Department of ARCHITECTS: Regulatory Services TOTAL FEES: $25.00 BOND.. . . .. . .. $.00. 111E CONSTRUCTION COSTS $.00 K � 756 CERTIFICATE OF OCCUPANCY 1 PRIVATE 1 *na §zna , MASS. i i �Y Ar 1639. A� Foy i BU - ISION BVT / O DATE ISSUED. 02/16/2006 EXPIRATION DATE r� .fi rNrr e , ` •--� W�� L Jet^ 1 TOWN -'OFh BARNSTABLE BUILDING PERMIT' PARCEL ASE ID ID }3riCO £r3 '� , ADDRESS 87, �SEAPUIT' ROAD ''I _ PHONE -aSTERVII;LE ZIP — t 1r`.� •.J n .y •+s r1:,! , r ' -^ ._ 10'T _Y }L0 1`��` r 'BLOCK LOT: SIZE. i DBA a;r f ;` _ DEVELOPMENT p. DISTRICT ,.tea r } F%.s• a xy.. t t 31 Y 'l '�`I �i+-C ..,t 1 •i'.!i.. . Y , .t fir,=.t ! .{. ,t .• _ - i 1 r 3 r t '! !,•l J y „1>..,�;F r y'1,;j r 't,,. .> r_..- r- .. v _-t'••.r PERMI' , ,DESCRIPTION -SINGLE FAMILY"W/ATTACHED GARAGE .FINISH ABO i PERMIT`1YPE BUILD ',� F, TITLES =x "°`" NEW ;MSIDENTIAL BLD.G PMT ' " ; I� Y :�k %. 1`ei �d,,.tt'�F t+X"j, ..;'"p4 *= y. yY .i�•w ''.'" j jr,�"� •krrY c� 1 i?. '}4.Lt.' '' .'.-::''' t�V'�J' ,:�a"`K�w ti� � _ .. I '�s s - ,r,r,,._ d t"•. a It ..o-e yvt.t .•t* ,s. J;'•n '�e CONTRACTORSHOMESTEADiiPRO +ERTIES>Y ...� Dpatmentof e „ ARCHITECTS.. y �'+. l A .. .F' S •x y�e•�+ ^1" k e t :1 , v'1':fI,C��r' i x .,. _ RegulatoySeices' (� �.'t ♦' 3 T�DC7 OOQTNNASDSLT3t t'iRa�tFA.'M3'H ECr'ZT Y(I,',*1 Ot"r a Nl2o xn�tC''pOT;-ST� Sp1q°t�::.tare<t'^d«%{'Y,jS r fi S.j\"+{�C ,'.1 .t,y.�.•-x'-,.•}'ntr•�' 1"YY4Y � ...... l.+dt*•7�x'.f>r-r��'* { .S rk + .. t a$bbb-7 440 ,00:� fi a, }k4,YYi 4,,,°`✓{,'l1 y._,...,�eL;`,"1�.,F.t�.+�'...?.{'F'� '�A,Q 4u�e�' F a°- h:•,s �?hz-,.,..*: :.' I'i ;.v't k1a {} '1t ^..x 'S N .{.'�� ! a.::� C^F'ay:'s' a - ri ;w }�YrA• ` -4d 1 ri r ,.�7 , '�` '• 'r •'R 4� � 's •1" '.rk r .w � l} s :-�'.. y� I, `r3°01 _' ='" " SINGLE< F+AM':HOM7�DETACH£D4a1';� '.; `PRIVATE, 0 r� I• f a % •r •).yti, -`Fay,'KyY�iif 4 A.,.✓a �:J 1 �j 2 �,s Y :W.r z J j � 7 r r } T.y+s F#t-f r t-�'t^"•P!' ! tr � c�'t r$'� 3a:.=� �o�n is t St7'i 1 I i ,"v...R Wt•.. :�' y:'4s +utir+`� i I� c.. — s'�`%.r.� r J ,,i�'} "�' .�� i � � sr, ( ,f r �Ji l'{.r{;,1.�.�,�,�;+y;'a F �•t -�{J .+ a., ., t i � .�,�MAS.S�ww�+, i �.i � ; tirFxt; �yra d q :fir✓r i h 171r ,r r{�' •tC-r a`t"' •3 ti �'`* Jay tw+ t1'z 6 = } \\\ •F '" '4. ��'v�,a 1 .� SR x S :a 'r'�- tG� "�b a1 'a +r;.ti f X ' .� .i' > _ ,� a b r •a :4 a I {t;,a a+ a� a qy+ -t P"�t 1 '� i , : � �A y��( 7'.f 1.� < � y aF �� '[ `;Y a! �-.� .+. .mot• fi .1.' ,r. -4r,..t" a .,- x � r.•.1 r i1 j. �I1 • yt•l'.. •eT4 f. !'..,•,, �` hti s^cYri �� 1 > +c "t• + `a ° rt >K�3'. ;5`'-y �, » .S.,K�":'i � t:•�- t y i a j:'$ �S tt.� ?-.yx,< µIX r t s, k.S.; n,S'h`1 r i � ( : '� 4-� '�i- �r c s l' h '{ar, t w � 'tr a vy. •{�,l d � N. p_ � '-1rF�. .�� ,w .aa,.it.�a 3. t:; �71 te�Y •, wn Y .3' {"yL✓.BIZ lr' r •f ti •� f f- ,r i i• `• 'i 5 �'1 1' .ityG a`k.ti.r,+lBU� DI 13v 1 \ II 'i: J ,1 t =l ti - �+r .6 !, ` •i. 7'141 `^ F . { "■■»\/V///11 Ip1' -•t F : p ',.<+ ¢ '.�rs r t 1 k,•3 a V�J> F�r�`.' ,+� .iry. ;� .;k t "7 ISSUED 10/r{�r7f2004 , EXPIRATION D-ATE ` - r » • ' y.. r 't, � f�;•, S{q ,,�+L a r' t'a r., ��rM ! ..}.... ha i 1�. 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 IPERMIT 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 r 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- 4 (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. 4.FINAL(INSPECTION BEFORE OCCUPANCYOCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. rr I` POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS RF (Ly-v\ Gl� - � � I 2 0 - oy. 4pj 2 vt 4 1 3., 1� _ _ HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT s' J 2 p ) HEALTH` OTHER: SITE PLAN REVIEW APPROVAL r n �i ��• �aCS�ti`zfZ Oo1`Iv-�X,, u WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS 4 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. Parc)l Detail Page 1 of 3 M4� y�S I�s. •�'ti7«]k1.. i... ..�, ,�:{ � NIMiYiii h1Ati5. �4 4 Yt� ;o. t:. r L•' ki 1- a Logged In As: Parcel De la I I Monday, Decem Nancy Larned Parcel Lookup Parcel Info Parcel ID 118-119-001 I Developer LOT 17 Lo Location 187 SEAPUIT ROAD I Pri Frontage Sec Road�^ I Sec Frontage Village 4 - I Fire District C-O-MM Sewer Acct! I Road Index 7777 Interactive r Map w ^( y+y - Owner Info Owner HOMESTEAD PROPERTIES, INC I Co-Owner I%CALLAHAN, WILLIAM F III & SUSF Streets 111741 LAKE HOUSE DR I Street2 r City F N PALM BEACH I State LJ Zip 33408 Country F - Land Info Acres 12.00 Use I Single Fam MDL-01�I zoning I RC Nghbd 0116 Topography�_ I Road Utilities I Location L - Construction Info Building 1 of 1 Year 2005 � Roof Gable/Hip I Ext Wood Shingle I Built --- ------ --. Struct Wall Effect 7172 � Roof lAsph/F GIs/Cmp I AC Central Area Cover Type style Cape Cod I wall Plastered I nt Bed Rooms 5 Bedrooms I Model Residential — Int Bath Floor 1 I Rooms 4 Full + 1 H Grade Luxury �I Type!Hot Air I Rooms http://issql/intranet/propdata/ParcelDetail.aspx?ID=7155 12/4/2006 Parcel Detail Page 2 of 3 32 PTO} �BASR fPrgj. BAS: Storied Heat Gas I Found- Poured Conc. «rs�' *° FUs 3 Fuel ation �B y BfAi k Permit History Issue Date Purpose Permit# Amount Insp Date Comrr 9/15/2003 New Construct 71482 $795,000 1/17/2006 12:00:00 AM - Visit History Date Who Purpose 11/9/2006 12:00:00 AM Paul Talbot Cyclical Inspection 8/11/2006 12:00:00 AM Jason Streebel In Office Review 8/10/2006 12:00:00 AM Martin Flynn Meas/Listed 7/31/2006 12:00:00 AM Jason Streebel In Office Review 7/11/2006 12:00:00 AM Erin Whittemore In Office Review 1/17/2006 12:00:00 AM Martin Flynn Meas/Listed 8/19/2005 12:00:00 AM John Greene CO Issued 6/15/2005 12:00:00 AM Martin Flynn Call Back Next 3/4/2004 12:00:00 AM Martin Flynn Bldg Permit N/C 12/4/2003 12:00:00 AM Paul Talbot Vacant Lot - Sales History Line Sale Date Owner Book/Page Sale P 1 4/11/2006 HOMESTEAD PROPERTIES, INC C179750 2 7/11/2003 GREGORY, DAVID & LORRAINE TRS C169789 3 6/15/1983 RABB, IRVING W C92461 4 4/11/2006 CALLAHAN, WILLAIM F, III & SUSAN C179751 $2 - Assessment History Save# Year Building Value XF Value OB Value Land Value Total Parce 1 2006 $851,800 $0 $12,500 $1,025,200 $1 2 2005 $0 $0 $12,500 $872,500 3 2004 $0 $0 $0 $736,500 4 2003 $0 $0 $0 $545,000 5 2002 $0 $0 $0 $545,000 ; http://issql/intranet/propdata/ParcelDetail.aspx?ID=7155 12/4/2006 L� Parcel Detail Page 3 of 3 t r � 6 2001 $0 $0 $0 $545,000 7 2000 $0 $0 $0 $251,100 8 1999 $0 $0 $0 $251,100 9 1998 $0 $0 $0 $251,100 10 1997 $0 $0 $0 $176,100 11 1996 $0 $0 $0 $176,100 12 1995 $0 $0 $0 $176,100 13 1994 $0 $0 $0 $246,500 14 1993 $0 $0 $0 $246,500 15 1992 $0 $0 $0 $273,700 16 1991 $0 $0 $0 $306,800 17 1990 $0 $0 $0 $306,800 18 1989 $0 $0 $0 $306,800 19 1988 $0 $0 $0 $141,200 20 1987 $0 $0 $0 $141,200 21 1986 $0 $0 $0 $141,200 Photos 0 Yid lot M II http://issql/intranet/propdata/ParcelDetail.aspx?ID=7155 12/4/2006 L - r Generated by REScheck-Web Software Compliance Certificate Energy Code: 2009 IECC Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 87 Sepuit Road Osterville,Massachusetts 02655 Compliance:Passes Compliance:7.3%Better Than Code Maximum UA:41 Your UA:38 The%Better or Worse Than Code Index reflects how close to compliance the house Is based on code trade-off rules. it DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. AssemblyGross Cavity Cont. Glazing UA or or D•• Perimeter • Wall:Wood Frame, 16in.o.c. 211 19.0 0.0 10 Window:Wood Frame,Single Pane 50 0.300 15 Floor:All-Wood Joist/Truss Over.Uncond.Space 226 36.0 0.0 6 Ceiling:Flat or Scissor Truss 226 36.0 0.0 7 Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Tide Signature Date Project Title: Report date: 12/01/11 Data filename: Page 1 of 4 Generated by REScheck-Web Software Inspection Checklist Ceilings: ❑ Ceiling:Flat or Scissor Truss,R-36.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall:Wood Frame,16in.o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window:Wood Frame,Single Pane,U-factor:0.300 For windows without labeled U-factors,describe features: Vanes Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor:All-Wood Joist/Truss Over Uncond.Space,R-36.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubstshowers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (a)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Project Title: Report date: 12/01/11 Data filename: Page 2 of 4 Materials Identification and Installation: 0 Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Cj Materials and equipment are identified so that compliance can be determined. El Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. ! O Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct constriction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. ❑ Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: 0 Circulating service hot water pipes are insulated to R-2. ❑ Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Ej Heated swimming pools have an on/off heater switch. O Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Project Title: Report date: 12/01/11 Data filename: Page 3 of 4 Lighting Requirements: 0 A minimum•of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: El Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement V). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 12/01/11 Data filename: Page 4 of 4 2009 iECC Energy V/1 Efficiency Certificate Insulation Rating R-Value Ceiling/Roof 36.00 Wall 19.00 Floor/Foundation 36.00 Ductwork(unconditioned spaces): Door Rating U-Factor SHGC Window 0.30 Door Heating& Cooling Heating System: Cooling System: Water Heater: Name: Date: Comments: The Commonwealth of Massachusetts Page 2 Department of Industrial Accidents Office of Investigations Uw 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Name: E(.y`fb111 J f L O &9S Address: n , City yV F14 L"C)J 1� M State A Zip• O �Z r7 Y Phone 5a, F Work site location(frill address) Comnanv name: AwG"l S Ly i fh/f9,°�� Excavation Address: 10 O F>b�C City EA-5 T r7—A Lt'lo y-n-4 Phone Insurance Co. A"C A`L>I tj Policy# w e G 3 !' C>o (-7 1 Comnanv name: &A `7 e'o L(D�t/y C 0,V CA i,'TL Foundation Address: PO y3o X` City 1 /-0 7-0 IT I/ l 4A Phone 57 C�k— y 2� Insurance Co. 'V L--?2 A-A o A 7 AA i)TV A Policy#� JAIC LV6 6 Comna• name:• �• V•.� `� tiY.a�` _ '�L'ir�rrh�"•N. � ..s ar�� nv � V /QpGJ Frame Address: City W A 2 t;I-(-)q M � M A Phone g D�- a d s - Siff y Insurance Co. �� V l ��GC M V'n/H (� Policy# Company name: C A-P LU /NS J Insulation Address: ' I P H5 5 W-�ecrlp�Jj�-I KzD City 1 ►'yl A,-, J Phone J��— 7" 1 2A Insurance Co. �� 5� I �1,�,,� Policy# WC A50 S2—S 90,- Company name: l�Dn tNl _N ��(./t v�{ (� -t— I� L 4 S T-U—�t�,— Drywall Address: q G 1'17A- S E �(� • Q City A—Sf SAgJDVV1C(4 Phone JrOF -30, Yi �f Insurance Co. 3,0 FEnj /N S . Policy# C5 w�L°T J 6 3 156o Company name: /1 N ZU) (I7 J Finish Address: City Phone Insurance Co. Policy# w Generated by REScheck-Web Software Compliance Certificate Energy Code: 20091ECC. Location: Barnstable,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 87 Sepuit Road Osterville,Massachusetts 02655 Compliance:Passes Compliance:7.3%Better Than Code Maximum UA:41 Your UA:38 The%Better or Worse Than Code Index reflects how dose to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minlmumcode home. Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Wall:Wood Frame,161n.o.c. 211 19.0 0.0 10 Window:Wood Frame,Single Pane 50 0.300. 15 Floor.All-Wood Joist/Truss Over Uncond.Space 226 36.0 0.0 6 Ceiling:Flat or Scissor Truss 226 36.0 0.0 7 Compliance Statement. The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Report date: 12/01/11 Data filename: Page 1 of 4 Generated by REScheck-Web Software Inspection Checklist Ceilings: ❑ Ceiling:Flat or Scissor Truss,R-36.0 cavity insulation Comments: Above-Grade Walls: ❑ Wall:Wood Frame,161n.o.c.,R-19.0 cavity Insulation Comments: Windows: ❑ Window:Wood Frame,Single Pane,U-factor.0.300 For windows without labeled U-factors,describe features: Varies Frame Type Thermal Break? Yes No Comments: Floors: ❑ Floor.All-Wood Joist/Truss Over Uncond.Space,R-36.0 cavity insulation Comments: Floor insulation Is installed in permanent contact with the underside of the subfloor decking. Air Leakage: ❑ Joints(including rim Joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space are weather-stripped and Insulated(without Insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill Insulation exists,a baffle or retainer is installed to maintain Insulation application. ❑ Wood-buming fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier.Installed on outside of air-permeable Insulation and breaks or joints In the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (a)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation Is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Comers,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: ❑ Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Project Title: Report date: 12/01/11 Data filename: Page 2 of 4 Materials Identification and Installation: ' Materials and equipment are installed in accordance with the manufacturers installation instructions. 0 Insulation is installed In substantial contact with the surface being insulated and In a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are dearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. O Al joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 111:2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: Where the primary heating system Is a forced air-fumace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. O For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. 0 Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: O Heated swimming pools have an on/off heater switch. Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Project Title: Report date: 12/01/11 Data filename: Page 3 of 4 Lighting Requirements: A minimum a 50 percent of the lamps in permanently Installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage>15 and<=40 (a)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: A permanent certificate Is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 12/01/11 Data filename: Page 4 of 4 2009 IECC Energy Efficiency Certificate Insulation Rating R-Value Ceiling/Roof 36.00 Wall 19.00 Floor I Foundation 36.00 Ductwork(unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 Door CoolingHeating& Heating System: Cooling System: Water Heater. Name: Date: Comments: f Nx Uatemme JUL-Ili-tul ll lut) IS: CI F. UUI I ' Ac0 IY CERTIFICATE OF LIABILITY INSURANCE DATE(IYM/DdriYY) 7 19 11 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, EXTENWOR 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. It the certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies mey require an endorsement A statement on this ce►tMeate does not confer rights to the certificate holder In lieu of such endorsamengs). PRODUCER N T NAME: United Insurance Agency, Inc. PHONEFAx IAA OR P-21. MCI: 199 Main Street _ P.O. Box 1013 PRODUCER 3068 Buzzards Bay, MA 02532 - INSURER(S)AFFORDIN3COVERAGE NAIC0 INSURED INSUR A:Providence Mutual E W Watson Inc INSURERB:ACE ProRerty 6 Casualt 20 Stockton Shortcut Road 1 c: Wareham, MA 02571 INSURRA INSURER!: 1 F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONCITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN R TYPE OFINSURANCE POUCrNUMBER EFF P �UNTB^ A- MEAALUABIUTY EACH OCCURRENCE 3 1.000.000 A X C"ERCIALGENERALLIABIUTY CFF0065601 7/12/11 7/12/12 ENTEo 3 50,000 CLAV444 1DE R OCCUR WED EW IA#V one can $ 5 000 PERSO141LAADVINJURr $ 1 000 000 GENERAL AOOREOATE 3 2 000 000 GEN'L AGGREGATE LIMIT APPLIES PEFt PRODUCTS-COMPIOPAGG 3 2,000,000 X POLICYFTFCT PRO- LOC 3 AUTOMOBILE UAeIUTY COMHBMeO SINGLE LIMIT 3 (Ee eHxleert) ANY AUTO BODILY INJURY(Per perem) $ ALL OWMEO AUTOS BODILY INJURY(Per amWeM) 3 SCHEOULED AUTOS PROPERTY DAMWGI f HIREOAUTOS NON OWNED AUTOS 3 i UWRELLAUAS OCCUR EACH OCCURRENCE 3 EXCESSUAD CLAINISAAADE 3 DEDUCTIBLE 3 RETENTION f 8 MKIKJTSCOMPENSATION TBA 7/12/11 7/12/3.2 X WCSTATuT OTH• INID EMPLOYERs'UABIUTY I Fa ANY PROPRIEMRIPARTNERAEXECUTNE YEN NSA E.L.EACHACODENT 3 1 000,000 OFFIOERIMEMBER EXCLUDED? (Mandabry In NH) E.L.DISEASE-EA-EMPLCYGG 3 1,000,000 Ml1aid dea "un ► OESCR do IPTIONOFOPERATIONSbelow -T EL.DISEASE-POLICYLMIT 3 1,0001000 DEUMIPTIONOFOPERATIONS/LOCATIONS/VEHICLES (AfteehACORDIQI,A0dMorulRormft ehedJe.NrnoreepBeelamqu ad) Carpentry •Certificate Holder is listed as Additional Insured onto GL CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED W CH Newton Builders ACCORDANCE W17H THE POLICY PROVISIONS. Fax (508)546-5330 98 Washington St, Suite 202 A REFIRE TA Boston, MA 02114 a9 ex ®1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25 42009109) The ACORD name and logo are registered marks of ACORD i Rx Date/Time JAN-20-2012(FRI) 06:40 3 1 P. 002 RightFax C3-1 1/20/2012 4 :47:03 AM PAGE 2/002 Fax Server ACORD. CERTIFICATE OF LIABILITY INSURANCE 01/20/2012 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(iss)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,ce"n policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endo►sement(s). PRODUCER CONTACT NAME: PHONE FAX UNITED INS AGCY INC (A/C,No,Ext): FAX (A/C,No): 199 MAIN ST E-MAIL ADDRESS: P O BOX 1013 PRODUCER BUZZARDS BAY,MA 02532 CUSTOMER ID a: 28JBG INSURER(S)AFFORDING COVERAGE NAIC If INSURED INSURER A: ACE AAIERICAN INSURANCE CONIPANY INSURER B: E W WATSON INC INSURER C: INSURER D: 20 STOCKTON SHORTCUT RD INSURER E: WAREHAM,MA 02571 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEDTOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF DATE POLICY EXP DATE TYPE OF INSURANCE POLICY NUMBER (MMIDDIYYYY) (MNADDIYYYY) LIMITS LTR INSR WVD GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE OCCUR. PREMISES(Ea occurrence) MED EXP(Any one person) $ PERSONAL 88 ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PROJECT LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WC STATUTORY LIMITS OTHER WORKER'S COMPENSATION AND EMPLOYERS LIABILITY YIN UB-4761PI88.11 07/12/2011 07/12/2012 E.L.EACH ACCIDENT $ 1.000.000 ANY PROPERITOR/PARTNER/EXECUTIVE N E.L.DISEASE-EA EMPLOYEE $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-POLICY LIMIT $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORICERS CONIP COVERAGE CERTIFICATE HOLDER CANCELLATION C H NEWTON BUILDERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 98 WASHINGTON ST.SUITE 202 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE BOSTON,MA 02114 John J. Lupica ACORD 25(2009/09) 1986-2009 ACORD CORPORATION. All rights reserved. Hx Uate/Time AIJU-Ib-LU1111UC) Ib: 10 r. uut )ater 8/16/2011 Time, 4r26 PM To, C.H. Newton ® 9,1508.548-5330 Rogers 6 Gray Ins. Pager 001 I ' Client#.4597 CCINSUL ATE(MM ACORD,. CERTIFICATE OF LIABILITY INSURANCE D 811 612 01 1 YY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER NAME: Margaret Young Rogers 8 Gray Ins.-So.Dennis FHONEAIc No. o E. :509-760.4602 Arc No): 508-258-2102 434 Route 134 oun ma ro ers ra com ADDRESS: Y g 9 9 Y P.O. Box 1601 CUSTOMER ID s: South Dennis, MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC INSURED INSURERA:Peerless Insurance 18333 Cape Cod Insulation Inc 455 Yarmouth Road INSURER e:Ohlo Casualty Insurance Company INSURER C:Atlantic Charter Insurance Hyannis,MA 02601 Commerce Insurance Company 34754 INSURERO: P Y INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. N TYPE Of INSURANCE OLICY EFF POpLICYy EXP POLICY NUMBER MMIDDIYYY MMIDDI'IV LIMITS A GENERAL LIABILfTY CBP0263063 /0112011 0410112012 EACH OCCURRENCE s1 000 000 DAMAGE I OMEN It X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100 000 CLAIMS-MADE Fx�OCCUR MED EXP(Any one person) $5 000 PERSONAL 8 ADV INJURY $11,000,000 GENERAL AGGREGATE s2,000,000 GENt AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG s2,000,000 POLICY r PRO• LOC f D AUTOMOBILE LIABILITY 11 MMBCKVMK D410111201111 0410112012 COMBINED SINGLE LIMIT (Eeaccident) 1,000,000 ANY AUTO BODILY INJURY(Per person) S ALL OWNED AUTOS BODILY INJURY(Per accident) f X SCHEDULEDAUTOS PROPERTY DAMAGE S X HIRED AUTOS (Per accident) X NON-OWNED AUTOS f f B UMBRELLA LIAR X OCCUR 11U01254514645 114101120111 0410112012 EACH OCCURRENCE f1 000 000 EXCESS LIAB CLAIMS-MADE AGGREGATE f1 000 000 DEDUCTIBLE $ X RETENTION S 10000 f WORKERS COMPENSATION WC STATU- OTH- C AND EMPLOYERS'LIABILITY WCA00525902 6130/2011 061301201 X ER ANY PRO PRIETORIPARTNEWEXECUTIVEY 1 N E.L.EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDE09 ❑N NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $500,000 If yes,descr be under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(Attach ACORO 101,Additional Remarks Schedule,If more space is required) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION C.H.Newton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE P.O. Box 399 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. West Falmouth, MA 02574 AUTHORIZED REPRESENTATIVE 0198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009109) 1 Girl The ACORD name and logo are registered marks of ACORD i1S70236IM681790 MEE AUG. 1 /. 2011 /:58AM HARI INSURANCE NU- 60/ P. 1 DATE(MN 1111 Y1 ACID CERTIFICATE OF LIABILITY INSURANCE D8/tTno11 I THIS TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS ALTER TIGHTS UPON THE C6 RE COVERAGE AFFORDED BY THE PO C ES ;TIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, ___Ol THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDERIS IMPORTANT; If the certi111 ficate holder is certain policies cDiesAmay S quire an n endorsement A statement ethe poriq I must be me on this ortifice eAdoes not 1confer 9hta)to the the terms and conditions of the policy, certificate holder in lieu of such endorsement(s). �N T Erica H O'Connor Fax (508)759.7368 i PRODUCER HART INSURANCE AGENCY,INC. PHONE (508)759-7326 No 243 MAIN STREET PO BOX 700 NAIC a INSURER S AFFORDING COVERAGE 39454 81}7ZARDS BAY,MA 025320700 -SAFETY INSURANCE COMPANY nJsuaER A: 29459 n15uma Richard Roenley Dry Walt,Inc msuRERe: TWIN CITY FIRE INSURANCE CO 9 Chase Road asua£Rc: Sandwich,MA 02563 INSURER D: INSURE a 11 E MSURER F i REVISION NUMBER: , COVERAGES CERTIFICATE NUMBER; FOR THE I�l THIS IS TO CERriFY THAT I NGOANY REQUIREMENT.TERM ORDCONDITION OF ANY CONTRAC ISSUED O R OTHEBELOWR DOCI DOCUMENT WIITNERESPECT TO LWN►CN THis i INDICATED. NOTWI PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HE IS SUBJECT 70 All THE TERMS. CERTIFICATE MAY BE ISSUED OR MAY PERREDUCED1 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN o Be oul�e EXP LIMITS� eP OOUC►NUMBER 1000000 INER TYPE OF INSURANCE 01110/2011 01/10/2012 EACH OCCURRENCE 3 BP00011492 E i 100000 A GENERAL LUBILLTT a COMMERCIAL GENERALLIAGIU MED EIfP ane pBfO"TY f 10000 1000000 CLAIMS MADE 10 OCCUR PERSONAL 3 ACV INJURY = GENEMLAGGREGATE S 2000000 PRODUCTS-OOMPIOPAGG 3 1000000 GEN'L AGGREGATE UrnT APFUES PER: POLICE PRO LOC OMat 051 E U T n AUTOMOGAR LJAeILm gODIl INJURY(Par Petal ti ANC AUTO III INJURY"aacM" S ALLONMED ArC EDULED ROP MAGE j AlNO"WNED 3 HIREDAUTOS ALTOS EACH OCCURRENCE UMBRELLAt1AB OCCUR AGGREGATE 1 EICE55UA6 CLAIMS-MADE s DED RETENriON! 07/10/2011 07/10/2012 WC 5TATU- OTH• B WoRxERs COMPENSATION 08WECTJ6338 500000 E.L.AND EMPLOYERS UAeIUT'r TIN E EACH ACGDFNT 3 ally 1A ANY PROPRIETOR/PARTNERIMECUTIVE NIA E.L.DISEASE-EA EMPLOYEE I SOOOOO jLisnaal NER E)ccwoEOT 500000 yyeBea as under E.L.DISEASE d •POLICY UMR DE$ It OF OPERATIONS below DESCRIPTION Of OPERATONS I LOCATIONS/VEMCL ES(Aaaoh ACORD 101.Addblanel Remarks achadula,N mon apata is latuindl Fax 508-548-5330 CANCELLATION CERTIFICATE HOLDER CH Newton Builders Inc attn:Deb SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZPD REPRESENTATIVE I ®1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD l Iu CERTIFICATE OF LIABILITY INSURANCE °ATE(`','"oIlYYYY) 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: It fix, certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be widorsed. If SUBROGATION IS WAIVED,stlhject to the terms and conditions of the policy,crrtaln policies may requlre an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such ondursumonl(s). PRODUCER CONTNAVE - __ Mycock Insurance Agency PHONE c -- (5U8) 428-3511 _--�r .N01: t50A) 420 559E 20 School Street, PO Box 937 E-MADDRESS: RJMvcock@mvcockagen_cy.coon__ _ COtuit, MA 02635 PRODUCER .CUSTOMER.ULq:_. ... 1934 _ -- _,—.— INSUFj R_K AFFOpRtls COVERAGE „-_ NAIC A INSURED INSURER A:Vermont Mutual Bay Colony Concrete Forms Inc INSURERS:Commerce Insurance P 0 Box 469 INSURERC:Norfolk S Dedham Cotuit, MA 02635 INSURER D,:Renaissance -Insurance, A ea ncv_.___.1 INSURER INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_. INSR - AODL!SUBR'. -V - POLICY EFF POUCY EXP - LTR TYPE OF INSURANCE INSPI ! POUCYNUMBER I MMlDD/YYYY) (MMIDEYYYYYII UTATS GENERALLIABILITY EACH OCCURRENCE 3 1 0001O00__- DAMAGETO RENTED A X COMMERCIAL GENE RALLIABILITY IBP11021056 3/30/11 3/30/12 -EgMSE1 Ea-o=mnce) $ -- 50,000___ -- _}CLAIMS-MADE �j OCCUR i ME EXP(Any one person) S 5,000 — _I. PERSONAL is ADV INJURY --- _ -- $ 1 000,000 I G£NERAI_AGGREGATE $ 2,000,000 GEN'L AGGREGATE PF TAFP_U_ESPER I + (_PRODUCTS-COMP/OPAGG I S 2000000. I POLICY 1 I r I LOC AUTOMOBILE LIABIUTY COMBINED SINGL E L NAIT (Ea accident) 3 1 1000,000 B ANYnuTD BCXDDD 6/18/lll 6/18/12, __� ! BODILY INJURY(Per person) $ C ALL OWNED AUTOS �91022473A 2/6/111 2/6/12- - — I-- ! I ,BODILY INJURY(Per accideN) $ I X I SCHEDULEDAUTOS I I PP.OPERrY DAMAGE �_ HIR£DAUTOS i ! I I4 I(Per accident) _ - Is 1,000,000 �— NONOWNED AUTOS UMBRELLA LIAR I OCCUR � EACH OCCURRENCE -. S _ EXCESS LIAB CLAIMS-MADE,( AGGREGATE _---, $ DEDUCTIBLE ; ! ---. _._ I S __—.— RETENTION S I i I $ D j WORKERS COMPENSATION I � IWC0002466 3/31/li' 3/31/12i I '.P/CSTATU- 10TH-1 ': XID EN.PLOYERS'UABILITY YIN 1 ! I 7 --�J�Y.L Gad ITS.___.i ER t_—_.. .. _.._— „NYPROPRIETORIPARTNCRrXECUTNE I 1 r _ OFFICEFAAEMSEREXCLUDED-) NI N/A� , �.L.EF..HiiCq(:cNT 5 1,000,000 (Mandatory In NH) J i i i E L.DISEASE-EA EMPLOYEE 3 1,000,000 _ If y0s,describe under I ------- ----- DESCRIPTION OF OPERATIONS below I I I E.L.DISEASE-POLICY 1.114 T S 1,000,000 I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addilional Remarks Schedule,it more space Is regif red) Concrete Forms Certificate Holder is listed as AI on CGL policy CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES DE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN CH Newton Builders Inc, ACCORDANCEWITH THE POLICY PROVISIONS. 919 Main St. Osterville, MA 02655 AUTHORIZED REPRESENTATIVE I c 1988.2009 ACO CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered(narks of ACORD A� CERTIFICATE OF LIABILITY INSURANCE �2/5 0 1"' 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 3ELOW. 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 CA TACT Sally Costello The Getchell Companies PMONE (978)897-7773 FAx .(978)897-1553 AIC_183 Great Road, Unit 15 EDDRESS PO Box 844 INSURER AFFORDING COVERAGE NAIL i Stow MA 01775 INSURERAAcadia Insurance 31325 INSURED INSURER B: Francisco Tavares, Inc. INSURERC: P.O. Box 398 INSURER D: 69 Old Meetinghouse Rd INSURERE: East Falmouth MA 02536 INSURER F• COVERAGES CERTIFICATE NUMBER.2011-2012 - new REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. iNSR TYPE OF INSURANCE ADUL SUOR POLICY EFF POLICY EXP LTR POLICY NUMBER MnXnynM IMMMDJYrM LIMITS GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 % COMMERCIAL GENERAL LIABILITY PREMISES Me ocourvermal S 250,000 A CLAIMS-MADE $❑OCCUR CPA 520273123 2/02/2011 2/02/2012 MEDEXP(Any one person) $ 5,000 PERSONAL a ADV MURY s 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEHL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 R POLtCY PRO LOC S ( AUTOMOBILE LIABILITY Con1BwE�SI LIMIT 11000,000 A ANY AUTO BODILY INJURY(Per person) S ALL OWNED %71 SCHEDULED 0344385 2/02/2011 2/02/2012 BODILY INJURY(Per accident) S AUTOS AUTOS NON-O$ MRED AUTOS $ AAUTOOSWNED PROPF32TY DAMAGE $ include I uninsured motorist BI split amd $ % UMBRELLA LIAB % OCCUR EACH OCCURRENCE S 5,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE s 5,000,000 DIED I I RETENTIONS A 520273117 2/02/2011 12/02/20121 S A WORKERS COMPENSATION WC STATU $ OTH AND EMPLOYERS'LIABILITY Y/NER OR"ANY PROPRIETORIPARTNER/EXECUTIVE❑ NIA E.L.EACH ACCIDENT S 1,000,000 OFFICERIMMEMBER EXCLUDED? 03100189 2/02/2011 2/02/2012 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEII S 1 000'000 11 yea,dasmbe under DESCRIPTION OF OPERATIONS be: E.L.DISEASE-POLICY LIMIT S 11000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,it more space Is required) C. H. Newton Builders, Inc. is named as an additional insured per form # AICG 65 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN C. H. Newton Builders, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 549 West Falmouth Highway AUTHORIZED REPRESENTATIVE P 0 Box 399 West Falmouth, MA 02574 Christina Dennehy/CRD C +i,54-1-1 O"- '( -%-*U,� ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS075nn1nrmni Th.ar npn n2—.—4 Inn-2m rn*rirc of Arnpn r Client#:3248 2NEWTONCH ACORD. ' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DONYYY) 01/13/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:if the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed.if SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling&O'Neil PHONE 508 775-1620 5087781218 A/C No Ezt: A/C No Insurance Agency E-MAIL 973 lyannough Rd., PO Box 1990 ADDRESS: Hyannis,MA 02601 INSURER(S)AFFORDING COVERAGE Nac r INSURER A:Acadia Insurance INSURED INSURER B: C.H.Newton Builders,Inc. PO Box 399 INSURER C: West Falmouth,MA 02574 INSURER 0: 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. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER ADDLSUBR MMO/DDDnYYF MMM1DDDmYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY PREMISES aaurrance $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREG ATE $ GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO 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 Per accident) $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ I EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION BINDER334958 1/01/2012 01/01/201 X is I OTH- AND EMPLOYERS'LIABILITY IER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 000 OFFICERIMEMBEREXCLUDED? � N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO II yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Job:18 Locust Street 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. CERTIFICATE HOLDER CANCELLATION Town of Falmouth SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 59 Town Hall Square ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 922 Falmouth,MA 02540 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S90435/M90434 LS1 1 of-Ctis92196t511 07-11-2�3 9s19 89 BAFMABLE LAW CWRT REGI57RV We,James M.Rabb and Betty A.Schafer,Trustees of the Seapuit Road Nominee Trust,u/d/t dated May 8, 1996 and registered with the Barnstable Registry District of the Land Court as Do cu e No.665185 r of 1010 Memorial Drive,Cambridge,Middlesex County,Massachusett v O I for consideration paid$1,830,000.00 grant to David T. Gregory and Lorraine Gregory, Trustee of THE DAVID AND WRRAM REALTY TRUST u/d/t dated July 10, 2003 and recorded with the Barnstable County Registry of Deeds/Land Court as Document No. with quitclaim covenants Ln L ko N O That land situated in Barnstable, in the County of Barnstable and Commonwealth of +' Massachusetts,bounded and described as Lot 2 on Land Court Plan 15055E. d y u For title,see Barnstable Registry District of the Land Court Certificate of Title Number 140607. m d WITNESS our hands and seals this day of June,2003. o•• -a �� 20 o i.• 'n o -•1 a t; i vLt t`�1.�:1�i' : d 3 m --4 —� I n m 1 tI-•, a o to r— X J es M.Rabb,Trustee of ce Seapuit Road Nominee Trust '•.:..•�`�+ 400 W o 4 e,sCCC =1 i in%= � � 1 tf7 C O 1 Betty A.Sc er,Trustee of the v ..Q, Li o 0 0 Seapuit Road Nominee Trust a NN � 0 � 1 COMMONWEALTH OF MASSACHUSETTS � ss: June ,5 ,2003 -^ Then personally appeared the above named, � Trustee as aforesaid, and ok acknowledged the foregoing instrument to be s/her free act and deed,before me, J Notary Public c� TWE— AF.DiMATtIA V Notary Public My Commissi o 'of Julvt • "rT COMMONWEALTH OF MASSACHUSETTS too ss: Junean s.2063Y J t , Then personally appeared the above named, Trustee as aforei4d, _�, :•'_, acknowledged the foregoing instrument to be his/he ee act and ed,before uie, r• "II'• '� O ..........` , S m A m '. M O Notary Public aim My Commis 3) Notary 07 N)m Mo weaM of Pubtaswchuurb c r M y Ju 126t 17,2n 0rss o g m TRUSTEE'S CERTIFICATE The undersigned,James M. Rabb and Betty A. Schafer, Trustees of the Seapuit Road Nominee Trust,u/d/t dated May 8, 1996 and registered with the Barnstable Registry District of the Land Court as Document No. 665185,hereby certify as follows: 1. That they are the sole Trustees of said Trust. 2. That said Trust has not been altered, amended or revoked except as of record in the Barnstable Registry District of the Land Court. 3. That none of the Beneficiaries of said Trust are minors or under any legal disability. 4. That all of the Beneficiaries of the Trust have authorized and directed the Trustees to convey property owned by the Trust known as 85 Seapuit Avenue,Barnstable, (Osterville District),Barnstable County, Mass u�e�t�s�f tl of $1,830,000.00, to David T. Gregory, Trustee o ea ty Trust or his Nominee,and in connection therewith to execute a Deed and such other documents as they deem necessary in order to effectuate said loan. 0- Signed and sealed this day of June, 2003. too Jams M.Rabb,Trustee of the Seapuit Road" Nodiinee Trust : °�' .IL c• Betty A. Sc6i6i, Trustee of the S uit Road Nominee Trust COMMONWEALTH OF MASSACHUSETTS ss: cum_ 2003 Then personally appeared the above-named,James M.Rabb,Trustee as aforesaid,and acknowledged the foregoing instrument to be his free act and deed and the free act and deed of the Seapuit Road Nominee Trust,before me, l�f c�- .402e Notary Public My Commi. oiMnrnn Notary RibGc Mmmonftalth OT MaMMUSettS My Commission Expires July 17,2009 << LOpo. J COMMONWEALTH OF MASSACHUSETTSA. �C6 , ss: 2063. ••,1„11�111,1., Then personally appeared the above-named, Betty A. Schafer, Trustee as aforesaid,and acknowledged the foregoing instrument to be her free act and deed and the free act and deed of the Seapuit Road Nominee Trust,before me, ' Notary Public My Commission Expires: THERESA F.DiMATTIA Commonwealthof Massach Used 5 My Commiss n Expires July 17,2008 BARNSTABLE REGISTRY OF DEEDS 126656.1/CTAL-00000 Docs9�9,5f2 07-17-2fl�3 9s19 CtfS:369789 6A106TOLE LM MM IEGISIRY We,Irving W.Rabb and Charlotte F.Rabb of 1010 Memorial Drive,Cambridge,Middlesex County,Massachusetts for consideration paid$545,000.00 grant to David T. Gregory and Lorraine Gregory, Trustees of THE DAtVID AND LoR$AIREREALTY ADS u/d/t dated July 10, 2003 and re istered with the Barnstable County Registry of Deeds/Land Court as Document No. S/b with quitclaim covenants in That certain parcel of land situated in Barnstable, (Osterville District), Barnstable County, W Massachusetts,more particularly described in Exhibit A attached hereto. 0 L9 4+ y 4J N u t0 N N O OA p I i ,�. a 9 m i o R1 n�i p X A Zc -c r t t x 4+ll. C M O m tNP 0 O M_ *0 M tV Lri N b<=I y WITNESS our hands and seals this GQS day of June,2003. o Irving W.Rabb a kct. CharlotteF.Rabb �.,,"�NTT14 COMMONWEALTH OF MASSACHUSETTS Middlesex,ss: June o? �,��tt�„ •`'• Then personally appeared the above named, Irving W. Rabb and Charlotte F. Rabb, and acknowledged the foregoing instrument to be their free act and deed,before me,' Notary Public THERFSA F.DiMATr[A My CO sslol~ra;c Commonwealth of Massachusetts My ComrifMion Expires JutV 17,2009 126646.1/030401-00000 . EXHIBIT A That land situated in Bamstable,in the County of Barnstable and Commonwealth of Massachusetts, bounded and described as Lot 5 on Land Court Plan 15055G. Said land is subject to the restrictions, agreements and reservation set forth in Document No. 157,135, and restrictions and agreements, unless released, modified, amended or waived, shall remain in force for a period of fifty(50)years from January,1960. Said Land is subject to the reservation of the right and easement as set forth in Document 313,891. For title,see Barnstable Registry District of the Land Court Certificate of Title Number 92461. 126646.1/030401-00000 AFFIDAVIT OF ATTORNEY The undersigned, an attorney at law, make the following statements of my own personal knowledge: rzvljj L- w l<-aaG A N11" 1. I am the attorney for *LDI `e F.(406 the grantor(s)./ e(s) [select one] named in the deed/me [select one]to which this affidavit is attached. I participated in the preparation of said deed/mparticipated in the closing of the transaction of which such deed/isagage is a part/advised the grantor(s)/gnwt+ee(-s)/fie as to the execution and delivery of such deed/mee[select appropriate facts]. 2. Subsequent to the preparation of such deedhriartMe, the following changes to the deed/mee were made at the time of delivery of the deed/mec;gagern the process of preparing to record the deed/rzalpp[select appropriate facts]: a) --fli L l'41i,,6 o F iN E r,-a c,,yTb.{,6` T i✓fir S Co,�.�•-c c T'E� �u (`C;YFo r m ;a TN E C o�r�v� F✓.0 m. �, b) iiF TiUEisL 7!laJ3��n�.;Nk 7�✓ia SnrD la!ri,��lvh r�GfiG7- c) 3. All such changes were made with the consent and approval of the grantor(s)/grsrAw(s)hnee [select appropriate facts] in order to conform the deed/mortgage to their intentions. Signed under the pains and penalties of perjury this 17 day of 0-14L•` , 20a3. Print name a 66W&� T- BBO# 37) 5a } tz;1snoo1 10 5ARN5TA5, R GISIP,0� DEEDS ~ I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I I I I Checked by/Date I I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 10-7-2004 DATE OF PLANS: 9-26-04 PROJECT INFORMATION: Lot 14 Seapuit Rd Osterville MA COMPANY INFORMATION: Homestead Properties Inc COMPLIANCE: PASSES Required UA = 845 Your Home = 747 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 3542 30.0 0.0 125 WALLS: Wood Frame, 16" O.C. 4189 19.0 0.0 252 GLAZING: Windows or Doors 436 0.340 148 GLAZING: Windows or Doors 252 0.280 71 DOORS 53 0.260 14 FLOORS: Over Unconditioned Space 2885 19.0 0.0 137 HVAC EQUIPMENT: Boiler, 80.0 AFUE HVAC EQUIPMENT: Air Conditioner, 10.0 SEER -------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer Date c MAScheck INSPECTION CHECKLIST ` Massachusetts Energy Cbde MAScheck Software Version 2.01 DATE: 10-7-2004 Bldg. 1 Dept. 1 Use I I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-19 I Comments/Location I I WINDOWS AND GLASS DOORS: [ J ► 1. U-value: 0.34 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ J No I Comments/Location [ ] I 2. U-value: 0.28 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I DOORS: [ ] I 1. U-value: 0.26 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I HVAC EQUIPMENT: [ ] 1 1. Boiler, 80.0 AFUE [ ] 1 2. Air Conditioner, 10.0 SEER I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: ( ) I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I MATERIALS IDENTIFICATION: ( ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be I provided. Insulation R-values and glazing U-values must be clearly I marked on the building plans or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4,4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 I Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 1 COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant 'below 40 1.0 1.0 1.5 1.5 I ( l I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" 1 0-1.25" 1.5-2.0" 2.0+" r I 170-180 0.5 I 1.0 1.5 2.0 I 140-160 0.5 I 0.5 1.0 1.5 I 100-130 0.5 I 0.5 0.5 1.0 I ----NOTES TO FIELD (Building Department Use Only)------------------------- 0 Town of Barnstable Regulatory Services n ow"S ur, Thomas F.Geller,Director Building Division 0 Tom Perry, Building Connmlasloner 200 Main Street, Hyannis,MA 02601 www,town.b erns table.ms.us office: 508.962.�4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize % 1(J to act on my behalf, in all matters relative to work authorized by this building permit application for: 40.7- 17 �-KI4 ft'V-• 12W Address job) Signature of er Date Print Name Q:FORM9:OWNHRPFRMIs9lON r Affidavit of Substantial Financial Interest 1 °� V of' ,{� , on oath depose and state as fol "ws: �L r 1. 1 am an applicant for a building permit for the property located atMMap. �, Parcel / The address of the property la 2. I have 1 CIC�' % legal or equitable I(Ores in the real property which Is the subject of the building permit application which is identified In paragraph 1 above. 3. With in the last twelve months from today's date, which Is W V 104- , the following individuals or entitles have had a 1% or greater legal or equitable interest in the real property which Is the subject of the building permit application which is identified in paragraph 1 above: Name Address 4. Within the last twelve months, from today's date, which is I have had :a 1% or greater legal or equitable interest in the following properties which have been the subject of a bullding permit applicatlon: Map/Parcel Address 5. Within this calendar year, I have submitted 2 building permit applications for property in which I have.a 1% or greater legal or equitable Interest. 6. Within the last ten days, 1 have submitted building permit applications for property in which I have a 1% or greater legal or equitable interest. 7. Within this month, I have submitted &19 building permit,applications for property in which I have a 1% legal or equitable interest. g. Within this month, I have received ® building permits for property In which I have a 1% legal or equitable interest. Signed under the pains and penalties of perjury,.this/Zday of cCr, 2004 ' 2001-0050/affln 1 0/LOTTERY/AFFIOAVIT RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 1 ®• Residential Addition $ 50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE -539.7 a2"21 V' 26 square feet x$96/sq. foot x.0041- plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0041¢ — plus from below(if applicable) GARAGES(attached&detached) fl w square feet x$32/sq. tt._ �l 2 x.0041= ACCESSORY STRUCTURE>120 sq.ft. f >120 s!'-500 sf $35.00 >500 sf-750 6f 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit; square feet x$96/sq.foot x.0041= STAND ALONE PERMITS Open Porch f x 330.00 (number) Deck x$30,00= �'�' • G' (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee ' Projeost ilev:063004 r7 ', 2 5 __ 'Y Zta cMtt AFPM'da 1TiLbid cattllaa ' a tar aae�Tx°'FtmUY Re+cld�atisl llatldlas�geaecd��'pQr'�a welt pr trlp&&F14U6 ' 1 hffl'(iMCw g�1ng/Cooling vm Wdi Floor g�meal P�� pjlulpmcru l3121eta�c� Q�a�ng GU� � 1t•Y1t�1� • �M) U•Yslwoc fl'vrl I'Y4Ud R.ystc,er • A�rd ' p e Q101 to a600 Halve p na Kom�s! 13 10 l0 6 Ncnnxl 17Sb 0.40 3i 19 19 10 i IS AFVE Q Icy, 0.12 70 19 10 Nortnsl R 1zv, 0130 91 ►3 is VA eA Nomul 0a6 3i 1g 19 to IJAFZJE 101A 0.44 36 1 . 79 NIA AA • Is A1� t! 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X lZl� !WON .&C& 07,rAr;V WM OWAW14ACE NOTE WDER XATEP [ A-r G.4717- l2Qt/-K6 F Z.4rM/.4s. . r-rAe W Y..2T.2lA/ oR•UY/A$- - . •_- v --o~`-,:• � EIIFC/AWV � Ta .s?r.QTF - ° f -4m l` r sar�v �rAt� STAttlpARO S 1✓uNM.UV6- POOL FLtQ XrwasrwTrc °: • 0. V IF AWtt> .�tr r.•s`.. /9vlOR�Lr. Cd4 �Y/l • FL7/ON •' i`�`r 'j� Rtr DYED 8� ORI�tMv 8y v ti I APPR / I//f �v /FRfO.O> :• y �•� A�taER-- ` ' SCALE O C/ :-. CF pwL l icENSED F"FESS10!(AL ENS �Ev O � owe- /- ••©� ST�r ifrtOTNY IIKALKER — CONSULTING ENGINEER _. .---i 4 WOOOSIOE AVE. 0 WESTPORT CT 068II o _ <' CL1DR fowrw S.�'i lze 6�v/ / L I�COtIS M0. IIU.t6fR MAIN OUTLET 7 P. 1014fXSS RVE- t " 9 ; 'G 0 . CNfL iysFa,FD. /`;/9 o igzv 10 00 rcL. �Z�< 6y1- 1:oB0 f1 It 7/ 7 TOWN 0 BARN L 3 ,y 19•-5- 75'-i• 74•-&- 1r-,• ��, 2012 All 30 f.' GI: n 6 -1 NEW HEADER(BEE a� -177 ACCESS/ GRES15 ,� .. _� DT1/iSlt+r'1 MARV \ \ ': TILT/TURN CLAD WINDOW ROUGH �\ \ \ \\ \ \ \ nunu9roow :..� OPENING 32-1/2" X �' \ \ Mec\ical& I� \ T 48-1/2" \ \ \ \ \ IFFU'+bEOPE•aI. h V,• CC RE 'TE dALI� . ) BILCO SCAPEWELL _ I\" W�'a" s MODEL 44862-42 - . \ \ \ / WITH BILCO \ \ Dance Studio SCAPEWELL DOME Weight Room MODEL 44842C `I\\ �( , X\ \ 71-`• Electrical Mechanical Room .\ r-LV W.UL N690R5 111 / LVL CvIP.T p`-•''-� \\� !' \ \ \ .\'\. \ \ \ \ � i-� v M A R V I N % — / NEW GIRT(7)1-,/+- _ _ I ACCESS/EGRESS 'I / z� / ` ) lx�-vrLVL rLVL RT'" 60,0 ssT.ssgw„e(s,,.ys eun�rommn.`9�1a TILT/TURN CLAD ~.; / �j % HANr TYP.)ER WINDOW ROUGH -r��L'�}� -�� - — ---- OPENING 32-I/2" X '•• hdo(eMVIC9dNJ --- --- - - — -- — ------- — / � .l 48-1/2" I' I REMOVE EXISTING s ' F =i LALLT COLUMN / 37'�` �rageRoom I'+ 197 qR kplpaao BmWmsroos+n.esnufaa � n1,sa � sr�cam.a eWc.csm9wie /I - Bath Room - 7 - - j ✓/J�/ / / / :u,ft - ,-j Sitting Room BILCO SCAPEWELL Cardio Room ,IMec amcal MODEL tt4862-42 I MmteNK9�t ED. - WITH BILCO ) -- - - - T/ El -7.�% ; 7T T / � Zo/ SCAPEWELL DOME _ ' ' ' � // i 93 MODEL tt4842C i `�____._ L/ �' `�Gf / / /�j ��/ �! //?: s//� / ! / i•� BASEMENT 77-Y 1JOi E ; 1�L-L— 'F1lrtSbt �tLl�`i6 {4'Etf.NTs 7-G � •UN>L6�S .o�1>E�w�S�. NDt�t�. BASEMENT PLAN SCALE: 1/4"=1'-O" _ - LOT I'4 81 SEAPUIT ROAD OSTERVILLE, MASSACHUSETTS Cedarville Design deslgnjremode./restore MODIFICATIONS TO BASEMENT James,D. Fosdick BASEMENT PLAN 8 4 0 8 16 k . Fri, 27 ,lui 2012 - 8:310m DRAWN BY: CEO. DES. SCALE: AS SHOWN EA87 Seapuit\CEDARMLLE DESIGN\Drowings\ 1�8��=1•-�� - P one:(1323,6 7-0701re Beach,MA;02562 i Phone:(508)367-0701 DESIGNED BY: DATE: 1/23/12 � l 87 Seopuit Rood CDS Al.dwg EITIaiI:CEdalVillEdeSlgflC9>aOI.COR1 x �� r CHECKED BY: LATEST REV.: 1/23/I2 A • ( ( NEW HEADER GSEE ON FIGURE 52) ! l"F',Lli�lftd'JObti� Mea za2ca!Roc I -I" HIGH X9'-8-1/2" WIDE OPENING IN I I EXISTING CONCRETE WALL Low dmy 6el,w 5unlen'nmg Rm.-- ttifAll CF tvll,�0?S \ \ LVL GIRT t2) 1-3/1" X 9--1/2" it i- - 1 - —' - - --- - - ---1 - -- -- - � i 0411-O`h41RKOR5 LVL GIRT O L TI L - - _ r�,� J yG� L- _J ,- i� NEW GIRT (2) 1-3/q" = < 9-i/2 o �(ARl �, r i I J I I X 9-1/2" LVL s - (2i I-3/4" " . o R. m LVL GIRT ! ANDE�SON 3 l I TYP ER No.22082 Lf REMOVE EXISTING �- - -� L — _. J L. _ J ti` ? LALLY COLUMN - Sauna 5team5hower ANDERSON ASSOCIATES _ Consulting Engineers ---�/ �---- P.Q. Fox 766 — AquapeuGlcs 5o5tonlan Steam 5hower/5aena Combo o Manomet, MA 02345 (508) 224-2267 Ini lcate5 HVAC 5041t ' I I - LOT 14 PARTIAL BASEMENT FLAN 81 SEAPUIT ROAD SCALE: OSTERVILLE. MASSACHUSETTS Cedarville Desi design-/remodel/restore MODIFICATIONS TO EXIST. BASEMENT Games D.Fosdick'r PARTIAL BASEMENT PLAN 2 0 2 4 6 8 10 Mon, 23 Jul 2012 - 5:28prn - `•P.O.Box.lm,Sagarnore Beach.MA 02562_. DRAWN BY: CED. DES,. SCALE: AS SHOWN 1�4 =1'-0" S C:\Uses\Jdfosdlck\Desktop\ "Phone;(WS)367-07,01 "' - - :` DE.SOGNED BY: ' DATE: 1/23,42 87 SEAPUIT STRUCTURALdrg Emall:cedaMledeslgrawtoolm - CHECKED BY: LATEST REV.: 1/23/12 LSX3X3/8 rA s2 , Io° CONCRETE LSX3X3/8 -- --— -- --- — - — — — — — — — — - — -- -- -- — — WALL (VERIFY) DETAIL I —� EMBEDMENT REMOVE CORNER AND �G� -_~�✓ FILL VOIDS WITH NEW OPENING I NON-SHRINK GROUT Lt �„ 2 2 LSX3X3/8 — - ---- --- _ 5/8" ANCHOR /d - i ! THREADED ROD SET 14 / `r IN EPDXY ADHESIVE ----- ----.-----_-------._-- LSX3X3/8 4 �,`�`SH°KARL �M�sgc . I _ R. 9'-82„ NOTE: ANDERSON PJo.22082 EPDXY ADHESIVE TO BE .g RF SIMPSON-SET-XP OR HILTI-HVA ADHESIVE SS Gam-/ -1 - ANDERSON ASSOCIATE Consulting Engineers 8 A L L OPENING ELEVATION P.O. Box 766 SCALE: Manomet, MA 02345 SECTION rA_'� DETAIL I (508) 224-2267 SCALE: (-I/2"=1'-O" S3 SCALE: 1-1/2"=1'-0" LOT 14 81 SEAPUIT ROAD F. a� OSTERVILLE, MASSACHUSETTS 1 0 1 2 3 Cedarville Design 1 3/4"=t'-0" 6e gnjr6c eflrestore , �' MODIFICATIONS TO EXIST. BASEMENT r }� SECTION DETAIL AND ELEVATION James b fqo dh k , . c, � R Mon, 2S Jul 2012 — 5:29p- t pQ Box1323, DRAWN BY: CED. DES. SCALE: AS SHOWN i 1 1/2"=1 —0" Segamore Beach MA 02b62 C:\Users\Jdfosdlck\Desktop\ _ .;:Phone:(608)36T-0701 t •.r r , u '' DESIGNED BY: DATE: 1/23/12 87 SEAPUIT SiRUCTURALdrg M _ EmeU c'_,1, ledeslgn®aol com �'I. ; " '; t CHECKED BY: LATEST REV.: 1/23/12 �- - 3-1/2" DIA. CONC. FILLED STEE': LALLY CJLU1 IN (2) I-3/4" X 9-I/2" �- 2a:12 �' 16" U.C. LVL GIRT 1- - - -- - - - - --1 (3) I-3/1" X !," NEW GIRT (2) a 1 LVL GIRD LVL GIRT 1-3/-1" X 971/2" LVL • -• = i I �ll ' ,-- (2) I-3/4" ' (=) 1 3/ t X 9-1/2 I. V1. GIRL LVL GIRT J SIMPSON HANGER SIM N ANGER HGUS9 1�i SO 10 ITYP.) , I � 1 3- 1/2" DI.�. CONC 2X12 it" O.C. - I FILLED STEEL LALLY _ COLUMN NEW GIRT (2) 1-3/4 X 9-I/2" LVL DEMOLISH EXISTING v REMOVE EXISTING i I LALLY COLUMN AND LALLY COLUMN ~ REPAIR EXISTING 1 I FLOOR AS NECESSARY ! �' (2.'• 1-3/4" X 9-1/2' I � I CUNG�_TE iv � STRIP FOOTING I I L\jL GiR i 3 1/2" DIA. CONC 3 1/2" DI CONC.it I r'LLED STEEL LALLY FILLET S T EEL LALLY I COLUMN COLUMN 1i. K,ARL 3-1/2" DIA CONC. I P' a I I u ANDERSON 3-1/2" DIA CONC. i FILLED STEEL LALLY / I No.22082 _LED STEEL LALL'! COLU11iJ -� i I �- CONCRETE SLAE COLUMN t I _ ANDERSON ASSOCIATES 1_I I i Consulting Engineers __ —_ ,—. �. � P.O. ?3ox 766 PLAN Manomet, MA 02345 SCALE: G e (508) 224-2267 a CONCRETE STRIP FOOTING -- _ _ r LOT 1-4 81 SEAPUIT ROAD OSTERVILLE, MASSACHUSETTS SECTION Cedarville Design ` a d-W remofti femore MODIFICATIONS TO EXIST. BASEMENT SCALE: 1-1/2"=1'—O" S3 PLAN AND SECTION James b.fosdick 1 O 2 3 P.O Boz1323.5agamoreBeach MA02562 F DRAWN BY: CED. DES. SCALE: AS SHOWN Mon. 23.kd 2012 — :x3spm 3/4"=1'—!)"' Ptme:(508).367-0701 � � DESIGNED BY: DATE: 1/23/12 Q\USm\jdfcsdlck\Dwktop\ t 87 SEAPUn STRUCTURALdrg Emalkcedarv111edeslgnodolcom CHECKED BY: LATEST REV, 1/23/12 Notes I.AssessorPaoad118-10,A1)8-121-M k Deed Reference:Load Court Certificate No.16978 i 2. Minimum Lot Arta-87120 Sq.Ft S.Plan Refacocc:Land Court Plans 1505 8 d:a Minimum Lot FroomWuM-a•12T 5' 6-Land Surveys:William AMcGovern,P.LS. 11 11Saimurm Lot Witttb Rd. &Taylor,lna Mialmum Yard Scdaets_From 30'Side 1Y Rear I S 844 Webster Seats Suim3 Zoo efVoicauBCm Lot Arco-87120 Sg.Ft Mufb6el4 MA.62010 LOCUS 0 0. MialmamLaFiaoar8e-20' OB7• MbLimm Lot Wah•100' it Mlaimum Yard Sotbecb-Fans 20'S/de la Reu la LOCUS MAP LG&FM 78.84• 4w 3.Ovw*Db>riser-Resource fttx m0",IWDLtrict an ) I Well Pmraxtm overlay Db&kt 440 14 tat,to — (Lee�al MFad 191r "" —_ 4 ' 74• err bJl�33 N7618'42� eta .. (PU (LReCHn)fad•(yJ1p• a. 9e J60.1j. 199.90 w+�` rya 4 77 (LRe�a)� / eta }e�ce 12 L fur rat14.87� �� )a ,�,8 LCx JM I d[ 9 teat Lrt4a Fad 4to /yy /tsGt j �7J k N! say to 4,gg7 '4t p.29' II`�'1 J4.70 E P%on$?at N85•s r'3sw is \ a' 0171•.2, 199.900076, •may. 8 ;rb ��`yy ,� � 4t0 I`0 .28II•a. Lao $rt At S78.27.40•E 91.48' LC Plan 150550 Eaeemont I 1,, 1J9.I �e S89'r1 w Lc&F latpxfim R.fuse str t t I N.1r/ lR,e) 4a Cert 142425 / —I N79'4059 I LO 17 co 18.6 7- I ' /7 w_ J 87385 Sq.Ft. // uJ a Shod Soo. Lot $ I 1 2.00 Acres / 39.14 ro, g I 1 Lot Shape Factor=16.4 ? / N �8 75 r N -n all: s•- LC&Pod I A 'TO Be h . \ Mac) 1 Re LCR Ad�Oe ) erz+'s+.E t7t.00' Cat to e'40 41'E 171.05' 'am s6r2 283-88 2'setiv / 42e ti + w oe RF J Roues a Zone RC . I 1 1 To Be 40 �• 04d emovad �t Lot 113 I.C.R.FM Ce LC&fad LC Pins 1725-14 � ) MM (Rea) Lot 6 Holbrook R.Davis I= LC Pier 11053H Cat 61264 / 1 H Nelson Pelts It °1 v Cart 117M5 Loto 103130 ,G $ 2.36Acres / Re d ,��io b ZOO Acres UpI d aDano Or 7 y LCB Fad 42J ..._..�.._._..__._ _.- _..._�....io.F-a..Qr•-.•,- _ _ _..•.�•.••_La Simpe.Fac 22.0 ,(Rm) re,2ce..- _ '• J LCA FM 0. C� ce t9 p5• h / �h 219 19 h 001�1 i� l LOt 18 = p� n / 248175 Sq.Ft.5.69 Acres /Ca ° \ / 4.03 Acres Upland " 30 Welland 1 L, / Lot Shape Factor-17.9 2/ Pocket A6 , N18-22.27•LI 359.38' Feld 15055 K " CM&U :::0 COURT (zj'� +' 271.25' _N8r21.37E — —— sky s - I '! itAY 2 5 M4 — — roti — — — — p 4°1t / 153.82• --••_�. "a"� Sr8'2J'JOw / , saytt 4r.96• CO 24 j 1165 9. ' � �G% _ / Lot 13 ter UP . i� I V d LC Plan 1301J1 5 48 t w m sar' Nj4 p8 1 ARobert L 3 Aysm K Wypcsb 431 20 h A, Celt 155597 (LCC&)Fad s ^/ \ . h 22 0.151•ce S18.42'40'W Sara Plan Of Land l In Barnstable (Osterville), MA. • A6l AL . C.O.M.M. Fire District (LCJ1 Fad , /s16'o7.45w Being A Subdivision Lot 2 On Plan '15055E ce too 41 / . 103.56' 107•M' NBrJs IBw . l And Lot 5 On Plan 15055G 177.J9 N8TJ4 751Y Ts2.08' 263.12' (Cole.) NBTJ4'Jsw 4" T6J.J?' _� IP.Fnd(Not Rm) SeapuitRoad (Plan) `°'io Traverse Closure N8TJ4•To1M °" Drawn For David And Lorraine Realty Trust 1c Raw Closure a"' d.7 2$ Scale 1"=40' 10 May 2004 4s0 u =•o Number o1 Sides 12 LCPtao26772V r7�J9' Angular Errors 00-01-12.5' Blue Haan Thar Revised May 21,2004(Rev.Lot Numbers) Northing Error -0.1503 Cat 6113986 ° Eosting Error 0.0637 Appvv under The Subdivisim Scale:1'-40' Absolute Error a. 0.1633 422 Dirmuon of Error d S 2758'27' W Control LA ' S y Perimeter >. 2486.485 y--�/A.��e�`/ I Cadfy That This Actual Survey Was Made On Tba Ground In o m a m 110 r6a Precision 1 Foot in 15231 / "� Betw Ouordaoce With 7be Laud Cast fnttrucdans Of 1989 On Or Balanced Closure Rost «'44 h"°b�2o And Apql 2°°r• Number of Sides - 12 y'X22 . -' r I'�J` 4`�..v. DRAWN BY EastnNorthtg Errorr= -0.0064 :�T�,.•'-0.0046 W_Ra lLaoddSur STENBECK& TAYLOR, INC. Absolute Error 0.0096 Dane !Cady Thar Cm�tions Grouoaaro Registered ProfeWonal Engineers and Lend Surveyors Direction of Error a S61.25.231Y Perimeter : 2486.474 Town Of8emst•ble The Same Now As At The Time Of The Oripml 01 errs tat $44 Webs rr street 9 Stile street Oa Precision 1 Foot in 259268 Piaonio8 Board ' Survey(No��nOOe) � Marshal to 3 02010 P.O.Box 630 Muhpee Caamoa4 /w r/lam .i d-,, 1/ awtn : c 4 0 01609 W.. '�" 788,437.82 108-139394 o Instrument NeacNoDetaminadmAaioCompliaxeWirhThe2onin8 Fac781-B37.8238 faa:108•SJ9-9J01 Topeon Total Station CTS - .312 O+dro+xo R n lim Ben Made Or Intended By The r/j / i AF;� �. •` w..umbst edur�aom FnuO:noa�pr.atx Precision - 3 (5mm+5ppm) Above Endmsemmt Oero Regisracd Lud ys - 6630 ZONING ,�0 PROVIDE ACCESS TO WITHIN 6' OF FINAL GRADE----- ALL Pi PING TO BE 4` DIA. SCHEDULE 4G PVC UNLESS NOTED t ZGNE: RC RF- 1 r Y ;e•►X MINIMUM LOT AREA 8712G Sf. 87120 Sf. vdlJtS 3.5.� - ZS ;�..� � Ur tl �• n,, MINIMUM YARD SETBACKS: ioo °• FRONT: �* GRADE r0 DRAIN BACKFILL 1 L!p ♦4!♦ i]s I` SIDE/REAR: 10 15 �,W �_ r^x PfASTnNE -� ala.. 4� ,,... ��,1� , , ^� . �aYle♦ pVpt ea .33.05 ?2 ,f -- -- -_- - ___= =_` __ ---, 10' Min. !�. s+• Q3 • �u YP� u `^c 32.20 ,Trench � -_� 314- _. 1 112 aa!! p z 10' MIN. L INLET TEE DOUBLE WASHED STONE_ ". .a .a The Lot Lies Within The Well Protection Overlay District '"� ` 1 ZABEL FILTER 32.42 __ __�-� -- - - The Lot Lies Within A D.E.P. Approved Zone II A uifer Protection District r w s s ( I I I I i u,t 11 pp �. �J With .Support Leg 37.00 5' ��- -? 3' 3' 3' Srdr Locus DESIGN CRITERIA ;>-r Mtn. THE LEACHING SYSTEM SHOWN ON THIS PLAN HAS BEEN DESIGNED PROVIDE 1500 GALLON SEPTIC 6' CRUSHED STONE 3r).()0 CROSS SECTION TANK wrrH THREE COVERS PRUh7L£ s 24.7 NOT To SCALE IN ACCORDANCE WITH THE MASSACHUSETTS STATE ENVIRONMENTAL CODE - 310 CMR 15.00 - TITLE 5 AND LOCAL BOARD OF HEALTH 5 OUTLfT D-BOX - NOT TO SCALE d o ^i L 0C,U S MAP RULES AND REGULATION WITH EXCEPTIONS, IF ANY, APPROVED BY THE Pk_ GRANTING AUTHORITY. ' % Lot v FLOW COMPUTATIONS • 244,849 S.F . 1. BUILDING USE: 5. 6 AC. - - ---- 2. NO. OF BEDROOMSsi�ntia! MW 00 J. DESIGN NO. OF PEOPLE_: 10 5 (��1 4' f`� °90 4. Dr_SIGN FLOW: � "V 39� e, '` � fie, ,,� 5. TOTAL DAILY FLOW: b W •.4, ti ``� `� Qj O ` ��. mod' _6, 6. GARBAGE GRINDER: NO (905 r �� .fir, '. '`''.°� k, -, , l urz.UECK `. ` . SEPTIC TANK CAPACITY � v DAILY DESIGN LOW , `gig' 3 `'. . .-' � , 'ti. ,. ,•, \` y .� � °`, `� 7 2 2 x M GPD = $)DO GALLONS v 3 USE 1500 GALLON SEPTIC TANK (TITLE 5 M!NIMUM) S 34 0_ 39 ' 35_ s 3 ,97 \ ; SOIL ABSORPTIONSYST"FNf , NJ v �07� g'C}9 �' 1. DESIGN PERCOLATION RATE: -2 Min/ln. E" q 34+ 3 2. SOIL CLASS: I Q -'` s 36 e r� 2 23 0 3. LONG TERM ACCEPTANCE RATE (LTAR): 0.74 " 36 t 6 , t N 4. TOTAL AREA REQUIRED - LOCAL CODE: Iff Sq.Ft. �- _ t w W --- ! tit tip` --- w.,�� ,` ��8" \ N ,�,� 5. TOTAL AREA REQUIRED - TITLE 5: V$rj Sq.Ft. 3t - 3-1 g Tren h 6V•5, 3 2,3 ,y' ', 1' 6. LEACHING SYSTEM USED: Three Leaching Trenches * °• -- 32 41 �'ropos,�, ` etas CIUtc► 42' Long X 3' Wide X 2' Deep 2 --- jar to \` -� 7. TOTAL LEACHING AREA PROPOSED 918 Sq.Ft. 30 �, 3 2 -- �'.;TP ol/ 0(,.. n Sept c`Tank f 7 22 RC / Ab = (3)(42 X 3) = 378 As = (3)(42+3+42+3)(2) = 540 y - 1: t 14 3 i r o- I e\ D 011� 1 378 + 540 = 918 Sq.Ft. juts . + Z W.METFR -' Semenr ! �� / {l, � �/ ' blaybalC& tiltation , t \ �; R� 8. TOTAL ALLOWABLE FLOW d 5 �` ence To Placed r ,/'� 11e 't ' r 38+ 2 3 , ;. 8+ r/ e r Acre � 1 __ _ .. � 4-�,,� rur � � � G,O LOCAL 330 gpd per Acre STATE 440 gpd per �`�� , r; 00' d' 36.5 ' 10V 7 lPrior To Conswctio>x 1 9 ' �\ `'� (330 X 194015)/40000 = 1600 GPD Allowable 9 28 ry 2 8 r \ a a c `°- ---�iB Cy 'Vlt __ 3s. ` 918 X 0. 74 = 679 Gallons per Day Proposed UP NOT•- Proposed f f �° '' 1z N✓ 9. WATER LEVEL: None Encountered to Elev. 24. 7 6 Bedroom Hou e d , ft►�t?ds t WL ?1 82,E 34 D -, 32+ , M, / 7+. 5 5+ 6 081 '"', � F`� '� � � .SCHEDULE OF ELEVATIONS r 26 �o •'� ___. Tol o a-- �.•�� a. a Lot 5 PROPOSED N �h + ' c: arffe :33 s is - / From '',._.Wetlands a� � 2 194,015 S.F. TOP OF FOUNDATION _ Varies n ) .. �'' f WL 20 2 IN .,, ,�, �, 285 n i' 4.45 Ac. BASEMENT FLOOR 27.5 oM� Q 58. 1 Proposed /� - j GARAGE FLOOR 33.5 o cn .-- 3.65E Ac• Upland l' �� ,,/r FLOWS: INVERT AT FOUNDATION 33.25 " ✓ `- WL r8 SEPTIC TANK - INLET 33.05 37 t 1, �, Exisr VIEW, s e ET 32.80 1 WL 3 a 1 _- OUTLET O 31 ' "e 7 39. 7 ' ,I w� 4 - Wt. 2 s _ + - O-BOX - INLET 32.42 1 s--- a - 7 o 18 OUTLET 32.25 `r, ...... zs �` -` + PIPE INV. - BEG. OF SYSTEM 32,20 v <1 U'4u n 5 wetland e-i- 3 �,, �� END F SYSTEM 32.00 Haybaie Deta*l N.T.S. �'2 ,° Pond ,l EXIST 10EW ' BOTTOM OF TRENCH 30.00 Construction x 9 ,/ s 14+-,4 '4+ e �` r' WL 17 REAK U 32. 7 ` �` Activity 4� Siltation E:cncc Water Level: None Encountered 24.7 .� I Ln LQ ��..� titakcd In `lore �� Place elf) �� , . r-•_� �j i `II !-,; ., ,.-'' �, �,,.F wr .., �� ,' s 3°�'E J 8 2 -CONSTRUCTION NOTES o . . _ !-� - I I_ 1 / ''` WL 32I� \, , �,; ,.BS.S2, EXlSr VIEW ; 1. CONSTRUCT SEWAGE SYSTEM AS DESIGNED IN ACCORDANCE 10+ 4 , y ?. r (EXIST w WITH THE STATE ENVIRONMENTAL CODE - TITLE 5 AND THE ^� e Benchm:ek : •o a, _ P s+ a, 10+ 4 RULES AND REGULATIONS OF THE LOCAL BOARD OF HEALTH. ^-G `"'' �� 7 t� ofC'oncr&N Bjund ' � v. 14.60 NI S.L . �... �� Wr 33 Wt, 2 -START � e 7 2. THE SEPTIC TANK SHALL BE PROVIDED WITH PROPER INLET AND e 9 `, A 1 ys� OUTLET TEES. THE INLET TEE SHALL EXTEND A MINIMUM OF 10 r r2 INCHES BELOW THE OUTLET FLOWLINE. THE OUTLET TEE SHALL CONSIST OF A ZABEL FILTER MODEL A 100 OR APPROVED Scale : 1 40 e ,� `10 9 WL 9 y ,� EQUAL. `r .Cb �� o 13 3. PROPOSED GRADING SHALL NOT CREATE A NUISANCE OR - �0 10 uo !ao l�o , 1r� �+2 ADDITIONAL FLOW ONTO THE STREET OR ABUTTING PROPERTIES. WL � r.� WL 11 ErVD 12 sssss"``` a a ' ------ __. INSPECTION NOTES o Test Hole Logs LeachingTrench Detail GENERAL NOTES IT IS THE RESPONSIB1L1TY OF THE INSTALLING CONTRACTOR TOTest Holes TP-1 & TP,2 Dug On lone 12, 200_� Pest Holes TP-101 Dug On .April 25, 200.3 NOTIFY THE LOCAL BOARD OF HEALTH AND THE DESIGN � Logged By William J. NfcGovern, L.S., S.E. Logged By IVIIIiarn ,l. McGovern, L.S., S.E. Cap E�'nd of Pipes ¢2, ENGINEER TO CONDUCT THE FOLLOWING CONSTRUCTION �j r4 1. THE LOT IS LOCATED IN FLOOD ZONE C, A 13 (el 12, A 1 1 (El. 1 1) INSPECTIONS: Wrtnessed.By Sam White -- t TP-101 35,9 j 3' -_--.-- - -.__ _.________ _____---____. _ -- -- - . __-- AS SHOWN ON F.I.R.M. MAP 25000 1 --00 1 8D DATED 35.B1 _._____.._.___ ____.__ ________.__.__- _ _.__ _.__.J REVISED July 2, 1992 1. EXCAVATION AND BOTTOM OF SYSTEM PRIOR TO SYSTEM l r i f' TP-1 9 Ow - L. Sand ?� 9 3' INSTALLATION. �� ~I - fall Tic 4:1j T p_2 ,(34.7) _ ___ ? __- 2. THERE ARE NO SURFACE WATER SUPPLY OR GRAVE=L PACKED '� �Y= 9 w - L. Sand a437 9. . - (33 2e" c1-=-ser, - �2.7) 3' Reserve WELLS WITHIN 400', NO TUBULAR PUBLIC WELLS WITHIN 250' 2• SYSTEM COMPONENTS INCLUDING INVERT ELEVATIONS PRIOR TO 8w - L. Sand 24" (33.1) • - - AND NO PRIVATE- POTABLE WELLS WITHIN 150 OF THE BACK FILLING SYSTEM. C1 - Sand 24 C t - Sand- (32.7) 1 31 40� 5 Outlet D-Box PROPOSED SANITARY SEVIAGE DISPOSAL SYSTEM. - v 3. FINAL GRADING. ^� 3 3. EXCEPT AS NOTED ON PLAN ABUTTER SEWAGE DISPOSAL -- _._. _ � YTzI ere Rate MS COULD NOT BE LOCATED. P.60� - 2 Min/In, - 31 �� 4. CHANGES TO EFFLUENT FLOW, GRADING OR LANDSCAPING EITHL R ON-SITE OR ADJACEN r. TO THE _SITE OR FAILING C Note : No Variances From T 11c Town Of Barnstable Board Of Health PROPERLY INSPECT OR PUMP THE SEPTIC TANK MAY EFT ECT Rules And Regulations And Stare Code Titic: 5 Are Requested L, 120" N Wader __ 25.9) --- - �' 9 Encountered THE PROPER FUNCTIONING OF THE LEACHING SYSTEM. - -- s`' t1J 120' Encountered (25.1) 120- 1(24.7) 5. THE OWNER SHALL_ INSPECT AND PUMP THE SE:PTiv' TANK Contractors are to No Watff 4 BID AND WORK FROM 3 Encountered u ANNUALLY. ::tBOARD OF HEALTH Job No. 6630 APPROVED PLANS ONLY Job No. 6630 PROVIDE ACCESS TO WITHIN 6' OF FINAL GRADE '� -� ZONING T � o 39.Ot ALL !PING T E 4 DG4 SCHEDULE 40 PVC UNLESS NOTED ZONE: RF- 1 � r-► 40.00 39.ft 39.0t 39.0t 37 0 2 MINIMUM YARD SETBACKS: c a r M d_ FRONT:30' SIDE:15' REAR:15' �O s GRADE TO DRAIN r-O�2 MIN SEAPUIT RD "p �. r� r� � 15 o s=0.01 MIN � ) -. (J�i ( 'R 1�T'I'�K(,1 V_ 10 MIN. Z THE LEACHING SYSTEM SHOWN ON THIS PLAN HAS BEEN DESIGNED Q `-a r� C x _ °i LEACHJNG TRENCH IN ACCORDANCE WITH THE MASSACHUSETTS STATE ENVIRONMENTAL `� - 0 10' MIN. "� INLET TEE 24" CRUSHED STONE CODE - 310 CMR 15.00 - TITLE 5 AND LOCAL BOARD OF HEALTH rr ZABEL FILTER 36.43 36.22 RULES AND REGULATION WITH EXCEPTIONS, IF ANY, APPROVED BY ON SUPPORT $ 36.00 THE PERMIT GRANTING AUTHORITY. ti - 36.26 LOCUS FLOW CONWUTATIONS � ` _`.j $� Q rz 7 PROVIDE 1500 GALLON 6 CRUSHED STONE 1. BUILDING USE: SINGLE FAMILY ��yy M 34.00 LOCUS MAP 2. N0. OF BEDROOMS: 5 `rV TANK WITH THREE COVERS PROFILE "s J r J '� 4 M ESHGW NO WATER TO EL 28.6 TP-202 3. DESIGN NO. OF PEOPLE: 10 J �. 5 OUTLET D-BOX NOT TO SCALE 4. DESIGN FLOW: 550 GPD o x 5. TOTAL DAILY FLOW: 550 GPD _ - R _ 6. GARBAGE GRINDER. NO 'o „� � 'V f KEY PLAN - WL E R SI-PTI(' TANK C:APA('ITY ® REMOVE ALL UNSUITABLE MATFRG4L FROM EXISTING GRADE (EL. �-1��1- 1�= -111= E I I�I I�I L-�I I 5 i I-J I I I I DAILY DESIGN FLOW 39.8) TO THE BOTTOM OF THE B HORIZON (EL. 36.4) AND i,�. E S 20070 72 ' BACKFlLL WITH CLEAN GRANULAR COMPACTED FILL TO EL 12.5 IN o° v°°° R ° V v v v o E 2 x 550 GPD = 1 100 GALLONS ACCORQANCE WITH 310 CMR 15.255. BACKFlLL °°° �o v°v o 5 V o v�° o o°°o R USE '1500 GALLON SEPTIC TANK (TITLE 5 MINIMUM) �' vvvv vvvvvvvvvv E V°°°VV°VvV V !� vvvvvvvvvv vvvvvvvvvv � ' EXCAVATION VOLUME = 210t CU. YOS. PEASTONE °°°°°°°°°° A °°°°°°°°°° E SOIL A BSC)R PTION S YSTEM or vvvvcvvcov vvvvvvvvvv § . ' v v v v v v v v v v • v v v v v v v v v v I1/ vvvv°° ° °°° R vvvv° °°°°° 1. DESIGN PERCOLATION RATE.-2 Min ln. '�+1 » PERCFlLL VOLUME 45t CU. YDS. 24 A I (ADJ. FOR 15X COMPACTION) 3/4' - i 1/2" °°°°°°°°°° ° R " Y, 0 w• O vvvvvvvvvv E v°v°°°vvvv (� ° °°°°°°°°° °°°°°°°°°° E 2. SOIL CLASS: 1 ` NOTE-CONTRACTOR TO VERIFY PRIOR TO CONSTRUCTION. DOUBLE WASHED STONE o 0 0 oevvvvvao°v° A vvvv v V V V V A f �° . ) �� FREE OF FINES AND SILT 3. LONG TERM ACCEPTANCE RATE (LTAR): 0.74 GPD/SF 4. TOTAL AREA REQUIRED - LOCAL CODE. 744 Sq.Ft. 4' /7 5. TOTAL AREA REQUIRED - TITLE 5: 744 S .Ft. 3os 4 12 4 LOCATED6. LEACHING SYSTEM USED: LEACHING TRENCHES j N -MAG NML EXISTING I ON NORTH SIDE OF SEAPUIT RD 7. TOTAL LEACHING AREA PROPOSED : 752 SF. DRIVEWAY -D-BOX S'�•19. `\`\\�\ EL 35'1D CROSS SECTION 8. TOTAL ALLOWABLE FLOW : 556 b „ x z ' 1500 GAL O 9. WATER LEVEL: NO WATER TO EL. 29.0 TP-1 J -a SEPTIC TANK jl `` NOT TO SCALE AI TRENCHES x (4 FT x 45 FT)-360 SF w V ^ As=2 TRENCHES x 2 FT(4 FT+45 FT+4 FT+45 FT)=392 SF ° At-752 SF • Cll ' ��' 2-4'X45' , pp d0 O _._ LEACHING `- _ SC NEDULE OF ELEVATIONS O TRENCHES ( PROPOSED AS-BUILT Qy` MI 1 I TOP OF FOUNDATION 40.00 dip P 2 9' 136.4' V �' BASEMENT FLOOR 32.50 EASEMENT _ GARAGE FLOOR 39.5 I PROPOSED PROPOSED FLOWS: INVERT AT FOUNDATION 37.39 5 BEDROOM w DRIVEWAY SEPTIC TANK - INLET /� ' 1 OUTLET 36.94 0 1 -0 • 3,2 poR� '� D-BOX INLET 36.43 OUTLET O z PIP 1 - S 36.22 g O Lot 17 ..cy �33 �l OF 6.00 END SYS 8 74 95 Sq. Ft. ` x N ,b ° S BOTTOM OF T FNCH S 4.00 s U w ' 00 Acres � O � D Cc Cc ° / D - �0X ~~ 79 , ~`' �., WATER LEVEL NO WATER TO EL 28.6 TP-202 • O o C) I ; .1500 GA!SEP1 I C TANK _; 1. CONSTRUCT SEWAGE SYSTEM AS DESIGNED IN ACCORDANCE TO BE DEMOLISHED ! . `` WITH THE STATE ENVIRONMENTAL CODE - TITLE 5 AND THE RULES AND REGULATIONS OF THE LOCAL BOARD OF HEALTH. » '� 2. THE SEPTIC. TANK SHALL BE PROVIDED WITH PROPER INLET AND ° E N i r OUTLET TEES. THE INLET TEE SHALL EXTEND A MINIMUM OF 10 z > » Goroge� 2 9 18 o a , 2 - 4 X 4 5 INCHES BELOW THE OUTLET FLOWLINE. THE OUTLET TEE SHALL 51 E ' CONSIST OF A ZABEL FILTER MODEL A 100 OR APPROVED _ / ��sr f - LEACHING HI N� � 2 ,- � ---__- EQUAL pp -- - TRENCHES Dec ` J� 3. PROPOSED GRADING SHALL NOT CREATE A NUISANCE OR ao 0 0 I N ADDITIONAL FLOW ONTO THE STREET OR ABUTTING PROPERTIES. 39. 0 � o Lot 18 Existing �0 1 INSPECTION NOTES 8 � 248110 S .Ft. ��`' House eck RCS - q IT IS THE RESPONSIBILITY OF THE INSTALLING CONTRACTOR TO 5.69 A cres NOTIFY THE LOCAL BOARD OF HEALTH AND THE DESIGN '0' Deck ENGINEER TO CONDUCT THE FOLLOWING CONSTRUC77ON " PROPOSED INSPECTIONS: _ _ PROPOSED SCALE 1 = 4O 5 BEDROOM _➢ DRIVEWAY 1. EXCAVATION AND BOTTOM OF SYSTEM PRIOR TO SYSTEM � INSTALLATION. 0 20 40 80 120 160 � 2. SYSTEM COMPONENTS INCLUDING INVERT ELEVATIONS PRIOR TO SOIL DATA LOCAL CODE WAIVERS � � BACK FILLING SYSTEM. � 901LE- 1' = 4' LOCAL TITLE y RCH 3. FINAL GRADING. TP-201 REQUIRED • .e -2n2 REQUIRED PROGENERAL NOTES � - .4 S NONE 0 RdR Sand R&R ' ; LOCAL L UPGRADE I Lot 1. THE LOT I S LOCATED I N FLOOD ZONE C my Sand OC U G DE PROVISIONS L 7- 36.7 LOCAL TITLE y AS SHOWN ON F.I.R.M. MAP 250001 0018 D , 48" Cl 36.4 REGULATION REQUIREDREOUIMD (PROPOSED , 8 7495 Sq, Ft. DATED JULY 2, 1992. PA-2 A/k/Mk 48t- E-",4 .. s6• .s PR--2 rNw/w. NONE � (''� 0-1 W' 9 w n 2. THERE ARE NO SURFACE WATER SUPPLY OR GRAVEL PACKED IL) � c-m sad MA DEP VARIANCES �. OV Acres rl c-m Sand WELLS WITHIN 400 , NO TUBULAR PUBLIC WELLS WITHIN 250 LOCAL TITLE y ,j AND NO PRIVATE POTABLE WELLS WITHIN 150 OF THE Uj REGULATION LQUIQE'D UIRED / PROPOSED `�� PROPOSED SANITARY SEWAGE DISPOSAL SYSTEM. � 9 NONE �- 3. EXCEPT AS NOTED ON PLAN ABUTTER SEWAGE DISPOSAL 4 0 SYSTEMS COULD NOT BE LOCATED. � V, �30` e� �.o �3o sae !/ Q � _t w water � 130` Bottom ' _- ----- ---- -- � GRADING OR LANDSCAPING � �No *btw to 130 - - _ / �'; 4. CHANGES TO EFFLUENT FLOW, Q ✓ EITHER ON-SITE OR ADJACENT TO THE SITE OR FAILING TO Q Contract o ors are to / PROPERLY INSPECT OR PUMP THE SEPTIC TANK MAY EFFECT CLI }Y t? THE PROPER FUNCTIONING OF THE LEACHING SYSTEM. SORL o naN HOU3 I ID AND WORK FROM 0 EXCA �w W. zoo§ BOARD OF HEALTH I O EWVMYW � TE " THE OWNER SHALL INSPECT AND PUMP THE SEPTIC TANK EY�ILWTEn BY- 7EROMCE CHASE SR -S1FJ�EOK � TArialc n� APPROVED PLANS ONLY 5. wrn� 8V% IMM SrANM of R 82"TO' Sys SCALE 1 = 20 ANNUALLY. - --- - 3 b No. 6630 0 10 20 40 so 8o 6. THE LOCUS IS LOCATED IN A WELLHEAD PROTECTION OVERLAY DISTRICT. .lob No. 6630 Q i - ,. • R a y BAXTER NYEi J•. 1 1 •, `` .... . . . . I,. . .. : EN IN , G EERING & . _ p > \ i . SURVEY IN •r. ,..-. . .,.• �'i :+,,,. ?mow-_'._`i•'' �- ;.,.y- ' 14 :.1 .1,., ., `.- •• .� Registered Professional Engineers o. <, a •, . 1 3 r j , � ,��„ :(.: . _ , • and Land r -.'� .r s .,. ,; .�°,'• _ ,,.. Surveyors °f= ( 78 North Street 3rd Floor �• �• - Hyannis, Massachusettsr ,.._ .,• ;r,1-,' _.��,. �.1. ,r, r••, _ .�..., . ��, • ,, � l 02601 • ' �;,! ,.: ,,, {� �`� ', '"•�'. '', j/ �r •sty: ;•� Phone - 508 771-7502 Fax 08 771-7622 .:i.•�. .,�..• :Yryr' - 5 G ;- ,,. ♦ �: r z _�+. www.boxter n .com y'e _. 2 . r _- 76. •+. +ail, , � .. - •! \ ,.i •.: • •'. .'t�N - 2 c w .. L• , ti r, STAMP A M P 7� '- '- / __ -__ c 4.......• r' _ .ter ';` . �, ( •.:.:�. �•• STAMP r .. x 21.1 2T ,1 SQL-, q �.. -.... ., • .-'c•• >.I .--; fi. , .J� . .. I .. a .-2 \, ,: . t•,1,,,. 1 .. „ tsar• / x , W O \ I <;!.^: !`:� .,,t _ `, •>,, \ ,51� y; -•I,r,, . '� a /:�`>t7'Sl. r - _ 59 �H -�-, .� a--�r � 1 • I/. .�,. ''t'lit,iili, ELEC. BOX ,• � r 123 w � UP/LP 112/ �.. cis \� . 2%74 Locus M\` G Scale 1 2000 7- W � p Cl tR s G c g \S �' PROJECT BENCHMARK 1.0 \ \ �0 � - i x -i I V �. AI EL 38.09 (NGVD29) GENERAL NOTES CONSULTANT x 33.E max\ I T \G r r r \ TREES 36.7 D S K .. 1.) THE INTENT OF THIS PLAN IS TO DETAIL DXISTING SITE CONDITIONS AT LOCUS 31.E 7- see r ,\ ,•FREES ,� �� / \ c g • 1 r - 7� 30 2 2.) LOCUS AREA IS COMPRISED OF. J J , •33 3 CS \ CONSULTANT 3' c� 6p G v r r X ,-- _ \ 7g 35.6 � � 36.2 �" , \, s4 \ ASSESSOR'S MAP 118 PARCEL 119-001 2 ,r ` 11, \x ,8 �\ LAND COURT PLAN 15055G (PENDING) x �• / `\ G _ _--_•_ _ PENDING DECREE PLAN NOT ISSUED COPY OF PETRIONERS PLAN OBTAINED FROM a6 r' r r x r \ \ REGISTRY OF DEEDS - LOT 17 %��-a - / � ,� MAP 118 PARCEL 119 001 Q , _ MAIL BOXES `� ) J g r l l y \ J SOS S.F. r 37.$ \ _ r r ! / � r l l W �`_ l r'� GMT \ • \ CERTIFICATE OF TITLE: 179750 ,J' - r x 3 .4 I ,, 2.0 AC. t x 37.3 J r �3 c r I r , 7 3 UP/LP 112/7 \ HOMESTEAD PROPERTIES, INC. PREPARED FOR : , ,--_ --_, r r r �37.4 ,/� / x 38.5 ' / �8 � x� .1 -f - _ �� APPLICANT: C.H. NEWTON BUILDERS, INC. '� _ ,� `''- 919 MAIN STREET . *"��\?i BOX o r I/y 8.8EIEC. r C.H. NEWTON BUILDERS INC. 38.7 OSTERVILLE; MA 02655/.X 3�., , 3 ♦ 919 MAIN STREET x 36:2 - .. � 39.1 / 60 _- _ 3.) PROJECT BENCHMARK. AS SI•IOIYN ON THIS PLAN , � / i i / i v �, / - OSTERVILLE, MA 02655 { / 35.5 / -x 3�6 , �//NG x 38.2 ,-- ----__ r I � i : 1N ,� 39 0 1, ) ZONING INFORMATION / C�/ VENT PIPE- 2 _ r , TREES , / , / \ ; , x 37.4 0 - x - / , 9.3 � ZONING DISTRICT . RF 1 and RC Resrdertttoi P h .a i E OVER / � �TT' DRIVEWAY W STONE � � x 36.6 PAVED / x c �, I 9\1 x ,' ,, � Q' r r 3 D BOX tl+� , . .1 � � x 39.2 LANDSCAPE CURRENT.MINIMUM ZONING REQUIREMENTS RF-1 33.5 r / / I �� ht38.3 , � \\ / , ch' 3 � ( ) r U x /� EASEMENT t � 3 .9 r i 5 a r r T UGH hPi �a � 37.5 J /�� MIN. LOT AREA 87120 S.F. / _ .2 v . l Q• 3 2 9.7 / i \ 3 i r -, / �c�9 \ • (, / O �, o: SKETCFI WITH 3 2.5 �- -- S\ \ c < -j MIN. LOT FRONTAGE - 20 \ } \ r l 1/ 39.7 1 a CERTIFICATE 179750 } , CFI' �\ , Q \ \�" �..q , 3�.7 3, .. MIN. LOT WIDTH - 125 x 4,3 G 3 8 cv ' / \ / \ \ - li / 1500 GAL ,, I \ \ FRONT YARD 30 Y 1 1 �' � \ a.6 y I , < SIDE � REAR YARD 5 / 5 r 3 .7 I \ SEPTIC TANK I I ... 1 7 3./ x 34.2 + x 7 1�' x 8.6 o OVERLAY DISTRICTS. RP00, WP AND ZOC SALTWATER ESTUARIES \ / 7 1 \ r 3 � 38.7 _ / i / z P � I 39.D r c 9.7 \ 5 A TITLE SEARX21 HAS NOT BEEN RQIFT�RAED FOR THIS SIZE N' DETFRrMIVFD 3 I P X_z /- 52.6 33 _34.5 �, , 36;1 �� GPR TO BE NECESSARY, A TITLE SFiiRCH SHALL BE PERFORMED BY OTHERS. W p I x r I �a 1 ,OR 3 �. C y cp , : H �Np p� 38:7 !J 4.0 P t v J T 6 8 �lJ v 2 3' �P� A c 6,) THE PROPERTY LINE INFORMATION SHOWN S BASED ON CURRENT AVANAB`E REC012D NNFORAMTK�I r 12 S C, x 1 2 PL -_ t �. w CONSISTING OF PLANS AND DEEDS. , I r / 1 1 - \ , � � r � F.F.E.-4t.0 � �o � TREES x' 1 r �. r I t41 � , 1 NCE I �• ,� s ,� THE EXISTING FEATURES SHOWN HEREON MERE OBTAINED FROM AN ON THE GROUND FIELD \ / r 5 r s \ ,,0 SURVEY PERFORMED BY BAXTER NYE aIGNNEFRMG & SURVEYING ON NOVEMBER 10 & 11, 2011. 32.8 I yt > / r q/C 3 9.3 38.6 I x 9 9 I , , �� , 3 / 1 I r r •. .:: . :..... #8� 5 ,� BUftONrG AND OFFSET DMIONSIONS SHOWN ARE FROM 1RN1 BOARDS. ...... ...................... Y 7. COMMUNITY PAN W ) EL NUMBER: 250001 00160 � 0 I / :::::::::.:::::::: N 33.3 1 / / 40.2 THE FLOOD MSURAN( RATE MAP DEFINES THIS AREA AS ZONE C, ANON-HAZARD AREiI , 10 ti 1 OP F.F.E. 39.8 J 35.2 � I / 14Z3 �� ' 48.3• F.F.E.=40.9' � �, Z 8.) Co � / PROPOS7<D y100111dNY 3 to o O S o (0 x 3 6.6 --- CR o r N rr SITE IS NOT WITHIN AN A C.EC. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). \ i r \ P p EFN r r O ) nl RC 2p , , r �, N .0 1 40.6 w U . O • / ` ,' I r SITE L$ NOT WITFIM AN AREA OF ESTIMATED HABRAT OF RARE WN.DLJFE PER 1 w .3 �`., i \ DECK i s $ w Q NHESP MAP OCTOBER 1, 2010 `UTDIATED HABITATS OF RATE MALOL r Ja OWN r z x I 37.7 36.3 -5.6 , x3 .2 / F- / , � � W FOR USE WITH THE.MA WETLANDS PROTECTION ACT REGULATIONS (310 CMR 10. � zPyck ) - IE7 3 SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP OCTOBER 1 2010 • DEMOLISH E)OSTkNG 9CREFIN , � � � n , �, � I . 38.3 r CF W Q � m 3' /� /' PORCH AND REPLACE NI1H r ,' r I \ \ a CERflm VERNAL POOLS a t , oD 2 U W •� r x 34. f r , I NEW PORCH REFER In r OMM OE& TO REMAIN r •73 w ro SIZE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 2010 'PRIORITY rr^^ x � � I ARCMIECTURAL ORANWIG) I , x r , 3 0 3 5. , I 38!5 , HABITATS OF RARE SPECIES' FOR SPECES LMDER THE MASSACMISETTS ENQANGERED m x' R I I r - i r o � J l -+ / I I x 37.5 / - SPECES ACT RIMU ATIONS 321 CMR10. U r I r , � / �c __ � 3 z n- � O _ '1 / / / W • SITE IS WITHIN A STATE APPROVED ZONE N GROUND WATER RECHARGE PROTECTION AREA r / , / w f x 37.6 o- --k , 22/ w \ •_ , , �/ ,J _ _, SITE IS WI1HM A ZONE OF CONIRNBUTION TO A SALTWATER ESTIAARY (BARNSTABLE B.O.H. IG� ------_ / r P REG. 360-45). r 4.2 r p. 1 G x 3 7,4 E IN / 9. URILITY INFORMATION SHOWN HEREIN. o / M y - 1 y r 3 k _ _ S I THE CONTRACTOR SHALL CONTACT DIG SAFE(AT 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE a I x�' I / / O I - 137.0 a ALL DMING UTNITES, AT LEAST 72 HOURS PRIOR TO THE START OF CONSTRUCTION. THE LOCATION OF / II EXISTING UNDERGROUND CONDUITS AND LINES ARE SHOWN IN AN APPROXIMATE r I AP / 41.2� P � WAY ONLY MAY NOT BE LIMITED TO THOSE SHOWN HEREIN AND HAVE 8Ea RESEARCHED �x 36.1 r � ! 39.7 I / BASED ON THE RO cn x 34.2 ` \ Mq ! / I i _ AVAILABLE UTILITY RECORDS NOTED HEREON. THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR w I ATV / �\ __f _ _ o U _.__ ANY AND ALL QAMAGES WHICH MGIIT BE OCCASIONED BY THE.CONTRACTOR'S FAIL r / n�i URE TO LOCALE SNO , AND UTILITIES Y. N' EXACIL FIELD OONDIIIONS DEFERS FROM PLAN IIFORNATION, THE CONTRACTOR SHALL NOTIFY THE ENGINEER N►AIEDIATELY FOR POSSIBLE REDESIGN. 1 II } I ! w I ` , x 40.7 ; • EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM SEPTIC AS-BUILT PLAN PREPARED o I / TREES - BY STENBECK & TAYLOR INC.' DATED MAY 25 2005. I , � � '`-•r r � ' 1. • m 2 TOWN WATER SERVICE SHOWN ON THIS PLAN FROM C-O-MAI WATER DEPARTMENT SKETCH TV B0X{P0SSIBL-Y-ABANDONED) 0-3739-N t]A1ED 4/15/O5. o �� II I x 37.4 ,, , RF.1 • GAS LINE AND METER SHOO ON PLAN IS A COMBINATION OF DIG-SAFE MARKINGS WHICH WERE 37. -'" _41,E RC FIELD LOCATED BY THIS OFFICE AND NATIONAL GRID'S SKETCH So2623. SHEET TITLE �� , ' - • ELECTRIC LINE SHOWN ON THIS PLAN IS A COMBINATION OF FIELD LOCATED STRUCTURES AND � P N imposed Addition Plan _ _ A SKETCH PROVIDED BY NSTAR WHICH .STATES THAT LOCUS HOUSE IS FED UNDERGROUND FROM 1 - -W`J ELECTRIC Box (11/15/11). 121-002 1 ' '/ STOCKADE �_ . 3•41" M 118/ S 3 --- N McCARTHEY - IS-nNE JOHN & CHR N/F GORflON SHEET NO NCE LA M. & PAUUNE A• wRE C200 o 4 DATE : 12 12 2011 1 20 0 20 40 OEM U SCALE IN FEET SCALE : 1"= 20' 0 DRAWN/DESIGN BY: MTM CHECKED BY: MWE N JOB NO: 11 CADD FILE: 1 o ' i i ^0 XX C os ,. v CONCRETE WORK .STRUCTURAL LUMBER .,l ------- GENERAL- NOTES � a_ a y F a GENERAL4 _ n � t U ,. A. CODE CONFORMANCE A. CO CON Sa _ A DE FORMANCE ca u_ s S CONFORM TO THE 8TH �. ..WORKMANSHIP AND DETAIL SHALL C MATERIALS L g .ALL ,`. D _ ! t. `C 1 THE LATEST RECOMMENDATIONS N STANDARDS: NATIONAL:FOREST P61 . x INCLUDING COMPLY.WITH E ATIONS OF THE FOLLOWING S PRODUCTS ASSOCIATIO ON EDITION OF THE MASSACHUSETTS STATE,BUILDING CODE IRC 2009►NCL G N.NATIONAL DESIGN SPECIFICATION Z � c� tr . SPECIFICATIONS FOR U R WOOD ,NTS AND THE REFERENCE AC1301 SPE STRUCTURAL CONCRETE FOR BUILDINGS FOR CONSTRUCTION INCLUDING UP MASSACHUSETTS STATE CODE AMMENDME SUPPLEMENT J. o dY a3 W 0 PROJECT AC1315 DETAILING REINFORCING STEEL A�^A ARE APPLICABLE TO THIS P LL m INCLUDED THEREIN THAT STANDARDS � � • W � s MERICAN A INSTITUTE OF TIMBER CONS U FORMWORK TR CT10N . TIMBER CONSTRUCTION Z AC1347 FO s - +� E CONTRACT STANDARDS AITC 100. (�CONTRACTOR SHALL FAMILIARIZE HIMSELF WITH THE C BUILDING CODE E UI ...THE CONTRA _*ACI B L O E R Q REMENTS FOR STRUCTURAL CONCRETE DRAWINGSO ANY DISCREPANCIES SHALL BE BROUGHT T THE ATTENTION OF THE ACI 318 CHAPTER 22 BUILDING CODE REQUIREMENTS FOR STRUCTURAL PLAIN Z W -cfl d- PROCEEDING WITH THE AFFECTED WORK. ANY • U.S DEPARTMENT OF COMMERCE. PS 20 FOR LUMBER. PROJECT'ARCHITECT BEFORE PR G CONCRETE Q a) Co 00 gg VARIATIONS OR SUBSTITUTIONSZ S OF MATERIALS OR 'DETAILS FROM THOSE. d- r� US DEPARTMENT OF COMMERCE P 6 00 . N Y PRIOR APPROVAL OF THE B. MATERIALS TM E S 16 FOR SOFTWOOD PLYW D DRAWINGS MAY BE MADE ONLY WITH rn'INDICATED ON THE D 7 ; 0 4 ' PROJECT ARCHITECT. x c9 - - W U • AMERICAN WOOD PRESERVERS INSTITUTE ST 1 STANDARDS 8 APPROVED. READY<MIXED CONCRETE HAVING AN ULTIMATE Q CONCRETE d- m v _ o_ 0 OF 4000 PSI AT 28 DAYS.SLUMP 3 51NCHE5. �d COMPRESSIVE STRENGTH Q�► INCLUDING ALL ACCESSORIES COMPR SHOP.DRAWINGS FOR REINFORCING STEEL ) H I� B. MATERIALS v AND STRUCTURAL ST EEL SHALL BE SUBMITTED TO THE AR CHITECT AND A STAMPED � DEFORMED` BARS ASTU A615 GRADE 60EXCEPTTlAPPROVAL RECEIVED FABR CATION CAN PROCEED. REINFORCING U e o TI R RI - STMA 185 SOLID LUMBER 19/MAXIMUM MOISTURE CONTENT.:STIRRUPS MAYBE GRADE 40 WELDED WIRE FABRIC A • MODIFIED, ALTERED OR I� IN FRAMING OR STRUCTURAL MEMBERS ARE TO BE NO MA FR - Q • OR VERTICAL STUDS_ 2X4 2X6 SPRUCE PINE FIR STUD GRADE. FORMWORK SMOOTH-PLYWOOD FORMS FOR EXPOSED SLABS FORMWO CUT WITHOUT THE APPROVAL OF THE PROJECT ARCHITECT z , ACES -MEMBERS BOARD 'FORMS FOR FOOTINGS OR UNEXPOSED CONCRETE SURF ' SURFACES BO s' _' C C WIDER` NO EARTH FORMS PERMITTED. SPRUCE PINE FIR NO. 2 21N INCHES THICK AND • SAFETY DURING - _ - - SHALL BE RESPONSIBLE FOR ALL JOB THE_.CONTRACTOR 135 ,BASE DESIGN VALUES Fb 875 PSI 1I00 PSI REPETITIVE Fv PSI, m SHORING AND GUYING a BUT NOT LIMITED TO SHEE77NG' CONSTRUCTION INCLUDING NON METALLIC `NON SHRINK TYPE UNDER BASE PLATES OR BEARING E 1400 KSI ..GROUT LA S S BA E. i STRUCTURE BARRIERS AND SIGNAG PLATES I SOLID POSTS C NJUNIC 110N WITH THE AL L STRUCTURAL DRAWINGS SHALL BE USED IN O HEM FIR NO. 2 ; CUT10N C. EXE ARCHITECTURAL AND SO P DRAWINGS FCa860 PSI E-1400 KSI.H • CONCRETE. PLACE CONCRETE BY APPROVED METHODS OF ACI 304. j * - PLYWOOID WEB 1 JOISTS PREFABRICATED WOOD JOISTS WITH GRADE STRUCTURAL w NG ARE TO BE N DRAWI INDICATED, DETAILS SHOWN ON ANY UNLESS OTHERWISE IND - PLYWOOD YNEB APA STRUCTURAL 1 C AND• D A FLANGES OF MICRO LAM OR MACHINE O TO REINFORCING PLACE REINFORCING USING 'STANDARD BAR SUPPORTS CONSIDERED TYPICAL FOR ALL SIMILAR CONDITIONS. REINFO R R DISPLACEMENT'DURING CONCRETE ' STRESS RATED LUMBER UTILIZINGWAIFRPROOF GLUE.- PROVIDE PROPS CLEARANCE AND PREVENT LAP CONTINUOUS BARS 40 DIAMETERS • ALL CONSTRUCTION OPERATIONS. HALL BE RESPONSIBLE FOR THE GENERAL 'CONTRACTOR S LAMINATED VENEER.LUMBER .BEAMS .... .GLUE LAMINATED VENEER LUMBER OF C NIOUES TO NATION OF OTHER:TRADES AN D 1F H METHODS, CO-ORDINATION MEANS MEIN SOUTHERN PINE AS MANUFACTURED BY TRUS JOIST OF BOISE 'IDAHO OR MINIMUM CONCRETE COVER ,M I DIMENSIONS,.ELEVATIONS AND ;BUILDING ALL`DIMEN PRODUCE A 'SOUND AND DUALITY BULD G >< ;<PRODU , APPROVED EOUAL. Fv 285 PSI Fb 2600 PSI E-1900 000 PSI. R RESPONSIBLE GENERAL CONTRACTOR O R 'MUST BE VERIFIED BY THE GE CONDITIONS - CONCRETE PLACED AGAINST EARTH-3 IN. TRAD ES. _ ' BOLTS NUTS -F .WASHERS ASTM A307. WATER 11 IN.FORMED MED CONCRETE EXPOSED TO EARTH:WEATHER OR R 2 R / SLABS ON GRADE- 1 IN. FROM TOP. AILS COMMON 'WIRE EXCEPT BARBED N BRED NAILS AT PLYWOOD'SHEATHING. A � IN ALIGNMENT GALVANIZED NAILS AT EXPOSED FRAMING _ PROPERLY BRACE AND SHORE TO MAINTAIN FORMWORK P CCO ANCE WITH ACI 347. O ACCORDANCE DESIGN LOADS AND TOLERANCES IN A A METAL CONNECTORS APPROVED F R ITEMS M O PROPER TYPE+GAUGE AS SHOWN ON 8d a 4 EDGES JOINTS DRAWINGS -'GALVANIZED. w 8d 12 FIELD CI BARS SHALL BE PLACED IN ACCORDANCE WITH THE LATEST A BEEN DESIGNED FOR THE FOLLOWING LOADS IN REINFORCING B THE BUILDING STRUCTURE HAS RAFTERS CREINFORCING H2. w BUILDING EDITION OF THE CRSI RECOMMENDED PRACTICE`FOR PLACING eR ACCORDANCE WITH ::THE 8TH .EDITION OF THE MASSACHUSETTS STATE B 2x BLOCKING s s CONNECTOR AN FASTENERS Ea. AFTER `BARS. ._ALL S D STE ERS AT PRESSURE TREATED WOOD SHALL BE 16 OE .CODE AND IRC 2009 3 dT HEAVY DUTY GALVANIZED. RBCNA LE D8 32. 0 32s 32H• UND SNOW LOAD 30 PSF SNOW LOAD GROPROVIDE TWO #�5 BARS EACH SIDE OF ALL.OPENINGS IN WALLS AND SLABS F 8dOR E a.JAMB2 ROWS O- �-SNOW INCLUDED WHERE APPLICA _ • .5A TY DOWN �D DRIFTING AND SLIDING 1 D LOCATION OF s BARS TO EXTEND 24 BEYOND EDGE OF OPENINGS; FOR SIZE AN PLYWOOD APA.RATED SHEATHING WITH EXTERIOR E TERI R GLUE. Ea.RAFTER • W O SEE ARCHITECTURAL, MECHANICAL AND ELECTRICAL DRAWINGS. OPENINGS R ) FLOOR LIVE LOAD _ ROOF 518 THICK EXPOSURE 1 40120 SPAN RATING 3 ANGL E LIVING AREAS 40 PSF A2 a C ORDANCE WITH THE ACI a.SIDE DETAILS NOT'.SHOWN ON DRAWINGS SHALL BE IN A C E WALLS 12 THICK EXPOSURE 1 32 16 SPAN R - �A AT1NG- ' ^ ...SLEEPING AREAS 30 PSF . 8 STRAP TY 32 AILING MANUAL AC1315. H DETAILING U SUBFLOORS 3 4 THICK.TONGUE-1-GROOVE 16 8 FROM CO RNERS) .., s 60 F DECKS PS CS16 Ea.JAMB ' C� : , STUD PLATE DOWN ' OR 3 2 O.C. ; OVER PLA - EXPOSURE B ' STRUCT URAL STEEL - . : . SIDES a� VELOCITY 110 MPH 3 SEC GUST E .,�-WIND _ WIND VEL ) PRESSURE TREATED;WOOD AT ALL'EXPOSED FR,4MING`WITH APPROVE CLEAR D R BORNE PRESERVATIVE ALL MEMBERS TO BE STAMPED BY A. CODE CONFORMANCE WATER APPROPRIATE O AGENCY . H8 Ea. • AGE FOUNDATIONS ' JACK STUD 00 SPECIFICATIONS FOR DESIGN, FAB i ON AND ERECTION OF AISC R THE GN RCATI X CUTION LY INSTALL THE EXECUTION E REQUIRED TO PROPER..EXCAVATE TO LINES AND GRADES STRUCTURAL STEEL FOR BUILDING C LL ,� UNDISTURBED SOIL OR CONTROLLED STRUCTURAL BA KFI FOUNDATIONS ON U L WOOD MEMBERS TO BE NAILED IN ACCORDANCE WITH IRC 2009 TABLE R602.3. s - - AL CT ARCHITECT. `:REMOVE ALL'SILTY TOPSOIL OR BY THE PROJECT A H NS APPROVED .1 D1.1M 002 STRUCTURAL AL WELDING SPECIFICA710 AWS Dl 2 TR R G / PLYWOOD SHALL BE NAILED AT 6 O.0 AT ALL JOINTS AND EDGES+ 10 , M UNDER SLABS ON GRADE AL EXCAVA770NS f MATERIAL' FROM OBJECTIONABLE OTHER SUPPORTS PLYWOOD SUB-FLOOR SHALL BE U O.0 AT GLUED TO JOIST STEEL,CONTTR CTI'ON MANUAL'--13TH EDITION.N ANY CONCRETE AISC Tl_ SHALL BE DRY BEFORE PLACING APPRO AD IVE REFER TO SHEAR`•YA E RE NAILING WITH VED HES SEC B -ORE LL 1TONS AND DETAILS AS AS REQU/RED.FOR NAILING OTHER THAN NOTED ABOVE.DETA T A BUILDINGS AND BRIDGES ..r APPROVED SOIL A SC CODE OF STANDARD PRACTICE FOR STEEL BUI D RE TO E PLAC ED ON APPR AI .EXTERIOR WALL FOOTINGS A B ADJACENT GROUND SURFACE AISC 303 05. ..:BELOW THE LOWEST'ADJ )MINIMUM DEPTH -0E-4 FT C WITH MANUFACTURERS PROVIDE NA/LING AT ALL CONNECTORS IN ACCORDANCE U O ' G ANY ADJUSTMENT OF EL EVATIONS OF FOOTINGS E T O FREEZING. POSED T EX M N A DNS. i RECOM E D 11 I PROJECT B.MATERIALS .APPROVAL OF THE PR FIELD CONDITIONS MUST HAVE THEEXPRESSED OTTOM INDICATED THUS 0 • PLYWOOD WEB 1 JOISTS INSTALL IN ACCORDANCE WITH PLANS PROVIDING ATION OF B ARCHITECT ESTIMATED ELEV f I AR _ _ A23 ANGLE AL L CUTS:BLOCKING 'PERMANENT AND TEMPORARY BRACING AND BRIDGING STRUCTURAL WIDE FLANGE SHAPES ASTM A992 50. , OR CLIPS Ea.SIDE U] _ FASTEN WITH APPROVED NAILS • OR CONTROLLED , NATURAL UNDISTURBED SOIL BEARING CAPACITY N TU SOIL 6 30 CSl x J +� 36.STRUCTURAL SHAPES PLATES ASTM A 32 O.C.'; OTHER STR CTU 'PRESSURE OF 2000 ,BEARING PR HAVING AN ALLOWABLE BE STRUCTURAL BACKFILL H STR P. POUNDS PER SO. FT. (TY ) w - - -'COLUMNS ASTM A 500 GRADE B F 46 KSI. ' ..TUBE COL Y .LACED IN 6 s D GRANULAR MATERIAL P CAVA710N WITH APPROVE BACKFILL .THE EX � CTIONS ASTM A325. . BOLTS-CONNE N J I R CONTENT r UM MOISTURE DENSITY AT OPTIMUM D COMPACTED TO 95/DENS IN. LAYERS AN , ANCHOR BOLTS AS TM A307. 4 16 . RIM V 77ON HAS BEEN : CS16 Ea.JAMB d R BOTTOM OF EXCA A D BY ASTM D1557 METHOD D AFTER AS .DEFINE U NG ELECTRODES E70XX SERIES ..:BENT UNDER SILL PROJECT ARCHITECT. WELDING APPROVED BY THE PRCL s L STEEL TNT SYSTEM ON AL FLOOR N ONLY AFTER WALLS ARE PAINT 2 COAT EXTERIOR PA FI ING AGAINST FO UNDATION'WALLS TO BE DONE. .BACK LL JOIST CS16x30 32 ON C. EXECUTION R SILL. BRAC ED TO PREVENT M BEND UNDER Z +� POSSIBLE BY WELDING I Q FABRICATE TO GREATEST EXTENT FABRICATION: SHOP F FABRI TffEN HD II U] II II f~- S HOLES 'AND , . I O BEAM STIFFENERS "COLUMN CAPS AND BASE 5 8+x8 S MPS N DE ALL B PROM l I II Ir , n I I I I _; 5 8+x8 W - t I . , TffEN HD AB 32 �JJ EMBERS PREPARED FROM BP 5/8-3 F-- SHOP_ DRAWINGS FOR STEEL M CONNECTIONS. . SUBMIT FOUNDATION ' w O w PROCEEDING WITH FABRICATION. ' WASHER Ea. IONS FOR APPROVAL BEFORE FIELD DIMENSIONS, JAMB OR 32 O.C. Z PLATES AND ALL NECESSARY. J ERECTION: PROVIDE .ANCHOR .BOLTS LEVELINGLA Q HARDWARE TO `ERECT THE STEEL PLUMB LEVEL AND 'SQUARE PROVIDE cc , R WALLS ARE IN PLACE. W UNTIL FLOORS O TEMPORARY BRACING Z +� BURNSAND SIMILAR , W L FIELD TOUCH UP ALL ABRASIONS CONTRACTOR SHALL DEFECTS IN PAINT OF THE STRUCTURAL STEEL EXTERIOR WALL FRA MING SECTION A 0 TYPICAL WIND CONNECTIONS AT EX 10 M.P.H. _C WIND SPEED 1 VL BEAM L SEE PLAN 40 DIAMETERS BARS PROVIDE U AR CENTERLINE I HU C 40 DIA --- I - 2 0 MIN. _ TO MATCH HORIZ. MIN. HANGER 3 1k4 VERTICAL MIN.o _ 1 0 NF IN CORNER BARS WALL REI SEA SIZE+SPACING. BEAM ACE POST 0 MIN. o ACE POST CAP BEAM 0 0 BEAM CAP 0 0 POST HUG HANGER , STIFF PLATE SEE PLAN �u z zLE CLIP� 40 DIA. ZSTND. DOUBLE ANG_ CAP.PLATE 3 8 MIN �- IF ' CONNECTION 4 _ t HORIZONTAL O THRU PLATE b 2 0 MIN. N N ST 3 8 MIN.ABU PO ( ) ; LAP BARS OR :_ REINFORCING N BASE r CONTINUOUS PROVIDE CO RNER BEAM TO BEAM BEA M TO COLUMN BEAM TO C 24 5 ADDED AT END OF BARS AS SHO WN. WHERE OTHERWISE :....COLUMN U? WHERE SIZE OF BARS WALL RE TYPICAL CONNECTION DETAILS �2 C'"J tf J Cfl NOT SHOWN. 34 1 0 d� NOTE: CONNECTOR SIZE TO BE DETERMINED BY DIFFER LAP LARGER END DETAIL CORNER DETAIL SIZE. (UNLESS OTHERWISE NOTED ON PLAN `SIZE OF MEMBERS BEING SUPPORTED L TYPICAL POST CAP AND BASE CONNECTIONS TYPICAL CONCR ETE WALL DE TAILS TYP ICAL STEEL DETAILS TY r S-1 Cr Cr x °p SEAPUIT RD Z � v 0 .r 4: PBM z TOP OF STAKE 48.44' NAILED TO TEE S 22•72 12728' S c7•40 � EL. = 41.00 LOCUS MAP a. 60 7.. 59,�„ , L.C.B. Fnd. 44'6,7' L ZONING NOTES yy (Rec.) �B,NotF�d MINIMUM ZONE. RFYARD SETBACKS: S�7 79, FRONT. 30' SIDE: 15' REAR: 15' 4 77 sg» SCHEDULE OF ELEVATIONS 2 , F Da� Proposed AS-BUILT _portion Of Parcel 118-119 TOP OF FOUNDATION 40.00 40.99 A Lot 17 / FLOWS: INVERT AT FOUNDATION 37.39 38.24 ca 0 87 495 SCl'.Ft. 4s 3 SO' SEPTIC TANK INLET 37.19 37.63 o z ' .-� Landscape OUTLET 36.94 37.48 w 2.00 Acres °�BG a Vent / ��a eme�t 67.22 D-BOX - INLET 36.43 36.84 w u, Paved �.. 3 OUTLET 36.26 36.69 00 qo Drive 15 N --�„S8: PIPE INV. - BEG. OF SYSTEM 36.22 36.61 Seca 1 END OF SYSTEM 36.00 35.92 N tic TO 1° 5' 3 .5 BOTTOM OF TRENCH 34.00 33.92 BREA�0 3 WATER E ELKOUT(NO WATER TO EL 28.6 -` 122.5' A' ate TIES TO SYSTEM � 39.9 ToAoof No• o, 34.3 \yti) 5 aqh nce t =t40r, �It„ba-bl� 4�':±t �/�Dog�c°tfon AC 34.0' BC 15.0' f Self Latching Gate - 6 \By Owner 4U. .8 39 ' / AE 58.0 BE 40.5 -r, \ e�rck AF 62.0 BF 52.0' p 37.9 `l• Q O 6 Gated Fnc/ 40 Deck N c0 X- �/ fi° Pergola F%or'Ted p s ►� , AG 16.0 BG 38.0 o ~- ��c \ E/�4I. rch Cv .� 10 39.7 cy c� g ,� ---- Pool c - .. NOTES to Dde o N 9� 8. o ��. ^��• °"' ,•.,_..39--- I CERTIFY. N �, �4itting Wall 4 8 9 By Owner 104.9' 1. THE LOCUS IS LOCATED IN FLOOD ZONE t�9 ►e�'" lop of Wall C (AREA OF MINIMAL FLOODING) AS SHOWN ;fit °4 40.8 EI=40.0 ON F.I.R.M. MAP NO. 250001 0018D A 40.4 DATED REVISED JULY 2, 1992. 9.s -� � r� 2. THE BUILDING LOCATION AS SHOWN ON THIS 83.4' N ' PLAN IS THE RESULT OF AN INSTRUMENT L.C.B. Fnd. 00 (Rec.) N Cd SURVEY. N83'29'18 E �-" e F '�s \_ C 284.a5 f�f Josr-.PH sy ' McGCvERN No.-^9692 "' REGISTERED ND SURVEYOR 6ATE -' 36---- -- EXhiirlNG CONTOURS v PROPOSED CONTOURS SCALE 1 „ 40' 0 20 40 80 120 160 Drawn For: HOMESTEAD PROPERTIES Drawn By: CT Revisions S TENBECK & TA YL n D INC. checked By. ' Registered Professional Engineers and Land Surve ors PLAN SHOWING PROPOSED „- g g Y i Scale. 1 -40 POOL AREA Since 1951 844 Webster Street 9 Steeple Street Date: 2006 Suite 3 P.O. Box 630 LOT 17 SEAPUIT ROAD Job No.: 6630 Marshfield, Ma. 02050 Mashpee Commons,Ma. 02649 MA 781-834-8591 508-539-9300 OSTER V 1LLE Plan No.:6630 SEAPUIT Fax: 781-837-8238 Fax : 508-539-9301 Pool www.stenbeckandtaylor.com Email:sandt@gis.net BAXTER NYE ENGINEERING & yr� a<�, ..�.,� , ,,,, < '"`.." ;t,.''�• ova�, 's`* t � 1....� z'�.,�*y x� 1�f `. �t t` �y, '.. �I •x f`^?c a t '`� a 1 r ' C xf^.'k° 1' ,. t \ r 1YM4 /� y� T 4a ,✓ frq ��i . ° .: $a E I � v. SURVEYING (tY l4ryr� "w� .. "..� r't�} I �aT?.> 1T�• "�� ♦"r" + .-? " :z'v�vJ'.." -.v-• $¥ 'ter `'`!'c ,` -sy.\7a .r` �y _' $_,• � = ... x - b , s Registered Professional Engineers I gm_ �.•(l .9 t a ♦ ar-••s a+M n. ' `•.$! " /`/p`f,.�. i *?'^C di •a g w$ 4t and Land Surveyors �:.... y t s�.s t1aT • +" a>•" � ao f `Y,x:`t ''°`/,#c y4?s..•�, �� tip tf.;.�'ip�' -.� Y �."�i`r � a\'1.r ' � r':?J �,�S �<.. "9r" �t-.h A" � ,'Y'• .[ 1. Y+' j'-"'.,r `/'/r`G-� +•3( �s axx f r C t j" ,{�..� f 11®y.M_•-yam• r .vyhl' - Y' 1, .. ,.,, Lox C✓"` ik,"4aV g. 3 ,E nr1 ,'e "..,�"-/ �'✓4 .- ,, ca Q 8 t��t Fm��!f 1j r,-''k'1 C�t,; �,�*s .�a_✓PMi � �t ry x •. t o, ,,,-$Sja n 3rd Floor North Street Hyannis, Massachusetts 0260 1 Oqw mr7 ,; vN < , ?ibA `mow =` 6� Phone - (508) 771--7502 1 sa, 41 r l"�.*,Fr raV.. a7 r S t}!' a lblld a "E`t +ri''U ate•{ j wit .� <'�.95_ x ,a - -7622 t Fax (508) 771 't\'4'l ,4. "^t1 I. •• y (Rlaf6a '1T a �-0f'.i+� t. -.j t y # .q 1 s�S • _Y�,. s .� t , www.boxter-nye.com ___„ ! d �x�'er sG . y om #4 a u'tiym e 1 r? q+` :Fry lyy., &i a , l3 ru.,r rY 1 € Ar0.'hf3 =x O G ,/�# �;E y0 s>�� a •a2 f A� '�• (^'9r$ 7 t j, r44]_`4�' t tJf+ ? k �.• �� '- ,ab.,...+,a `� ��` .� "Sj. `{•� 'fr Yam=♦7",°. � e a ri fA aF�'1,t i 1 ♦ �'�e4 � �1 i)'#a 1R4, a s�: STAMP STAMP "r► G !l aM -• 'f t .N r ♦ P,r 6s l t Bit } : frr ,Ax ;P yJ '• , t r°"' ( ,r ea /,, �{ ,} f7v{°'f.'yr'+Y_'"'.,€r .Py #� ;.� `� p�- :� ./ -�� GJ �.,,.,� _r ..># P.'r;yCa•r * a.'�G AI„f,1' .{` 3d`Or �` ..rmaa' ^r-y t, t 'mkii,,A. - a77'" C. -a't.a'wy� 6fc1 • y h�" '•"..�''.' 3` ArBox i y 1 �� (' na.si s & r3lstbat `'°: '� f i�`� Fly ^� u 7. 27.1 `"� w .cif59 � � $� I �� --,� 40 Ay R K - i Yt f' .r+rt,., r ;• -' / 028.3 i . Q f ►� `� 71 Locus a Scale ELEC. BOX W r 123. �5 -^�"' w UP/LP 112/9 ` G ��c Map Scale I _ 2000' J90 \ �'`� `mac v CONSULTANT ' GENERAL NOTES • 1, // // C G r x 30,� ' L. - 1 A i �.�' 6 � \ (� '� �`'•c PROJECT BENCHMARK g� • / -3 / x 34.5 / v �� MAG NAIL .o 0 !! ' ,4 � G EL.=38.09 (NGVD29) x 33.2 / / •1 ,, 1.) THE INTENT OF THIS PLAN IS TO DETAIL EXISTING SITE CONDITIONS AT LOCUS TREES - R3 I -'' o' �\ ` �.,� c Z 2. LOCUS AREA IS COMPRISEDOF.19 CONSULTANT / 31.2 - _ _ C I o ' o o 0 36.7 S �17 . O `'`�'► c o U ASSESSOR'S MAP 118 PARCEL 119-001 o' ,'TREES / /- '�Sao gV 2 z c, LAND COURT PLAN 15055G (PENDING) 1 !` �' 3 ' 3..33, C.3 " CS c z (PENDING - DECREE PLAN NOT ISSUED - COPY OF PETITIONERS PLAN OBTAINED FROM x 35.6 �6 x 36.2 0 0' x 3, ' ( o �� 3 �,IpE) `sp#7.8 1964 c REGISTRY OF DEEDS) - LOT 17 .6/l s / _ �'2' /' o o ' o '� x 3P •11' �� .,gip CERTIFICATE OF TTU. 179750 PREPARED FOR : MAP 118 PAR�EL'119-001 �'' Q // f ,'" w\� MAIL BOXES `G ` HOMESTEAD PROPERTIES, INC. o' $7�85 S.F. o' 37.8 K / / G - APPLICANT: C.H. NEWTON BUILDERS, INC.. C.H. NEWTON BUILDERS, INC. o o / ( J ! /� 3�, GHT ` 919 MAIN STREET / x 3 .4 1 �1 2.0 AC. t - CCg �, OSTERVILLE, MA 02655 �� , x 37.3 x 38.6 / UP/LP 112/' 7 •�„ 919 MAIN STREET x�� o0 1 - _ o / o s.8 �, o x�3..1 37.4• !/' 38.5 „` 3.) PROJECT BENCHMARK. AS SHOWN ON THIS PLAN OSTERVILLE, MA 02655 (PAINT MARKED) t �8.8 ELEC. BOX v o' �/V 1 38.7 1 3 x 37. / PROPOSED DRIVEWAY , 4•) ZONING INFORMATION 33.6 r / ! 6.2 -, / 39.1 / ZONING DISTRICT : RF-1 and RC (Residential) x 35.5 3�.9 R/� // - �-x J/ !! ACHIIy 38.2 ,'- 4C� - - yP 39.0 6 CURRENT MINIMUM ZONING REQUIREMENTS (RF-1): x-� r ! (INCH VENT PIPE TREES 52.0 ! 2 37.4 x 39.3 F,� �. MIN. LOT AREA = 87,120 S.F. / .6 PAVED DRIVEWAY W/ STONE OVER IX 00 1 .> MIN. LOT FRONTAGE 20' 3 5.I D-BOX N / C / lti x 39.2 LANDSCAPE `�� / x 33.5 / , o p� fit 38.3 c 3 •.9 / gQ�/ Q c�3 EASEMENT MIN. LOT WIDTH = 125' - / <34.2 ' Q� 37.5 / 3 2 2�� LIGHT 39.7 G' `'Q" Y FRONT YARD = 30' SIDE dt REAR YARD 15' / 15' / o �'4CH SKETCH WITH \32 5 I / 1 \ L `r a CERTIFICATE 179750 C t. OVERLAY DISTRICTS: RPOD, WP AND ZOC SALTWATER ESTUARIES x 38 � 3�.7 3 / x 34.3 37.8 // \F \ 38.6 1500 GAL � CZ / ' / w 3 .7 u. 0 35.1 \ / SEPTIC TAN (PAINT MARKED) ;�I I 5.) A TITLE SEARCH HAS NOT BEEN PERFORMED FOR THIS SITE. IF DETERMINED x3.7 x 34.2 ' i �� tf x�.7 !; h� , � ;.7 I I '38.a 8.6PROPOSED RIVEWAY / TO BE NECESSARY, A TITLE SEARCH SHAD. BE PERFORMED BY OTHERS. _ / `J'�" I I NDSC / 6, THE PROPERTY LINE INFORMATION SHOWN IS BASED ON CURRENT AVAILABLE RECORD INFORMATION 33.C1`1 Z 0 �. L-C 38.9 gPFD 39.0 c *39.7 ) CONSIS71NG OF PLANS AND DEEDS. 33.3 P� .p x 3 6�- 33.7 ' p I � � .� �'' ` P x�9. `� 2.6 j 34.5 w 36.1 `��. G PO 3 v x / Q0 ( 3' l �� yea• TILT' 1 8 8C LAA/DSCAP fD 38.7 �,�' THE EXISTING SURVEY PERFORMED FEATURES SHOWN HEREON WERE OBTAINED FROM AN ON THE GROUND FIELD `'4.0 I / � 122 \ R. 5 .�. �wF_w 1/2 w PL. ,� RAM NYE ENGINEERING dt SURVEYING ON NOVEMBER 10 & 11, 2011. I 70 \ •� F.F.E.=41.0'-Y 17 , �o ~ TREES BUILDING AND OFFSET DIMENSIONS SHOWN ARE FROM TRIM BOARDS. 3.3 / / ' ET ONCE 1 I ,��43 6 /� 32.8 J / 1 !' PICK /i (J A/c 53' 8.3' o f �38.6 \� x ,o 7•) COMMUNITY PANEL NUMBER. 250001 0016D y-t 087 5.5• r i THE FLOOD INSURANCE RATE MAP DEFINES THIS AREA AS ZONE C, A NON-HAZARD AREA WO Y_32.9' 133.1 / / ! / ! 39 -- - _ z�sr 7--"'80.1'_. cc to I / / !! I / / 1 0, DNZ Y wooD /"' / 8.) ENVIRONMENTAL INFORMATION: C m 33.3 r' 34.1 ! // / �, LNG / / / 40.2 cc C4 / C' %� / / • SITE IS NOT WITHIN AN A.C.E.C. (AREA OF CRITICAL ENVIRONMENTAL CONCERN). 3.0 /�yF / / 1 \ F.F.E.=39.8' ,y h / � J � O x 35.2 ' I / / r SITE IS NOT WITHIN AN AREA OF ESTIMATED HABITAT OF RARE WILDLIFE PER Q 3' F.F.E.=40.9' / as O NHESP MAP OCTOBER 1, 2010 "ESTIMATED HABITATS OF RATE WILDLIFE" F- CL •� x 36.6 tl -- \ 0 2OO' j1 d / N o FOR USE WITH THE MA WETLANDS PROTECTION ACT REGULATIONS (310 CMR 10).' � � � ( / 40.63 g 0 • SITE DOES NOT CONTAIN A CERTIFIED VERNAL POOL PER NHESP MAP OCTOBER 1, 2010 / �.3 \ / Ck / w Q "CERTIFIED VERNAL POOLS.' W ♦^ •` ! / / 136.3 x 5.6 / 37.7 f x 3�.2t / Z • �✓ SITE IS NOT WITHIN A PRIORITY HABITAT PER NHESP MAP OCTOBER 1, 2010 'PRIORITY O / / / I ! 38.3 c 3 Q HABITATS OF RARE SPECIES' FOR SPECIES UNDER THE MASSACHUSETTS ENDANGERED o: <33.4 / / / I ) 1 1 / , c Z SPECIES ACT, REGULATIONS (321 CURIO). � a x 34.4 / / � i p f / / I I // / 3 ao • SITE IS WITHIN A STATE APPROVED ZONE N GROUND WATER RECHARGE PROTECTION AREA. x 35.5 oo x 38!5 0 x 36.9/ I 1 / l / / 0 / 37.8 ; 0 x 37 j/ / v • SITE IS WITHIN A ZONE OF CONTRIBUTION TO A SALTWATER ESTUAY (BARNSTABLE B.O.H. Z / o w REG. 360-45). o x 37.6 ! Q 9.) UTILITY INFORMATION SHOWN HEREIN: a - 1 ¢ 11f - 'I m 4. ' �o0 37.8 �' / / PJ- /3�� • THE CONTRACTOR SHALL CONTACT DIG SAFE(AT 1-M-DIG-SAFE) AND UTILITY COMPANIES TO LOCATEcc 5 Sr0 , r\ °` ALL EXISTING UPUTIES, AT LEAST 72 HOURS PRIOR TO THE START,OF CONSTRUCTION. THE LOCATION OF L' x 37.4 Hf _ ` co EXISTING UNDERGROUND INFRASTRUCTURE U11UTIES, CONDUITS-AND LINES ARE SHOWN IN AN APPROXIMATE w f ) � / I / // x 38.4 / r R ( _'t� -+ WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREIN AND HAVE BEEN RESEARCHED BASED ON THE o ' / o o AVAILABLE UTILITY RECORDS NOTED HEREON. THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR / I / 37.o 3 o ANY AND ALL DAMAGES WHICH MIGHT BE OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE SAID / I .5 / / l / x� 1 2 M INFRASTRUCTURE AND UTILITIES EXACTLY. IF FOLD CONDITIONS DIFFERS FROM PLAN INFORMATION, THE w x 36.1 APPh'a 39.7 1 CONTRACTOR SHALL NOTIFY THE ENgNEER IMMEDIATELY FOR POSSIBLE REDESIGN. ►- & x 34.2 ( � � I 20 X/iyq� / 1 / _. - - - - _ f of 1 ron o r ! 1 0 w , / 1 I / • EXISTING SEPTIC SYSTEM INFORMATION OBTAINED FROM SEPTIC AS-BUILT PLAN PREPARED } BY STENBECK & TAYLOR, INC., DATED MAY 25, 2005. m o ` \ `� / / \\ • TOWN WATER SERVICE SHOWN ON THIS PLAN FROM C-O-MM WATER DEPARTMENT SKETCH Z x 40.7 \ ` 1 0-3739-N DATED 4/15/05. �38.0 / TREES R 41.2 o • GAS LINE AND METER SHON ON PLAN IS A COMBINATION OF DIG-SAFE MARKINGS WHICH WERE FIELD SHEET TITLE . ■ 39.7 I TV`BOX- (POSSIBLY ABANDOAED) LOCATED BY THIS OFFICE AND NATIONAL GRIDS SKETCH S02623. Existing Conditions Plan 1 x 37.4 // � RF,1 • ELECTRIC LINE SHOWN ON THIS PLAN IS A COMBINATION OF FIELD LOCATED STRUCTURES AND 0 37. aVE RC A SKETCH PROVIDED BY NSTAR WHICH STATES THAT LOCUS HOUSE IS FED UNDERGROUND FROM W /o / ELECTRIC BOX (11/15/11). 283.88' �t SHEET NO 0 118�12,_o02 !! / STOCKADE. FENCE S '33'41• Wof55 9 clso o ¶ cCAR ' ! 1 I `A� JOHN & CHRIS NE M i N/F VUNE A. GORDON i-L16 r„, DATE : 12 12 2011 pA 7 NCE AN 20 0 20 40 ' LASE � rrStE � �fx MENNEN i a ' I I "-I - C �• SCALE IN FEET SCALE : 1"= 20' i i DRAWN/DESIGN BY: MTM CHECKED BY: MWE JOB NO: 2011-063 C A D D FILE: 2011-063EC.dw ------------ o , --- L.C".B. Fncl (Rec•.) 00 0 S*7U. . \ 4059 f Rd. r` �40. 74 ' SeaPU'�t s�'16'4211 22.72 48.44 , N7 L. B. Fnd. ti 60> 79 C. 40 5 ,e �`'�� ''�9' 'du t_OCUS 199.90 (Rec.) She .9, 18.84 �1� Srg•r �2' L �9��,, L.C.B.. I iut. 44 67' � .C.B. Fnd.(Rec.)(Rec.) L.C.B. FndI (R L� A,j)f LOCUS MA� 44. 7o 44617 E plon Dist. r � I °n Do's t. J,�•�.9 58 F � .. CO 'r• Pdvtdl4ld��t v v (,, o E Notes 1. Zoning : RF-I & RPOD Ovcrlay Dig re Minimum Lot Area - 87120 Sy.Ft. Lot 4 0(09 t�o�\`� o Minimum Lot Frontage - 20' LC Plan 1SUSSC; 122.5' nao Zo r ��s 318 Milllinum Lot Width - I25' o\ � Minimum Yard Setbacks - Front 30' Side 15' R` Jayueline R. Jean �i�. m rya -gp° Cert. 14242_S 0� 5y'�, is� o Fo ndato 80 3' �� 2. Deed Reference : Lind Court Certificate No. 169789 1,2 ' �^ n /o >> H N�� 3. Plan Reference : Land Court Phins 15055 E& G z 0 � o o�o� � � `�: 4. Land Surveyor: William J. McGovern, P.L.S. . o 2 m Lot 17 N o Stenheck& Taylor, Inc. o I 0 944 Webster Street Suite 3 n ' 0 87385 Sq.Ft. Marshfield. MA. 02050 o 0 2.00 ,1 cres Lot Shape Factor= 10.4 P ' ' N L.C.B. Fn(l I N (Rec.) �J 00 L.C.B. Fnd. Cd (Rec.) 1 71 .D0 N82-21 ,51 (o ,� 284.1 Lot 6 LC Plan 1505511 I Nelson Peltz V. Celt. 157655 O I Certify That: .. 1. The Foundation Location Shown Is Based Ujx)n An Instrument Survey And Conforms To The Zoning By-Laws Of The Town Ol'Barnstable, MA WUM 2. The Lot Is Located In Flood Zone C(A Non Flood Hazard Zone)As Shown On SCALE 1 = 40' X P F.1.R.M. Map No. 250001 0018 D, Dated July 2, 1992. No.39M 20 40 80 120 160 Date Registered Land Survevor / wn For: David And Lorraine Realty Trust REVISIONS Drawn By__ Ms S TEI\IBCCK c�c TA YL OR, �I1l C. As-Built Pl -- __ _ checked B TMc Registered Professional Engineers and Land Surveyors an scale : 1 — 40 Since 1951 844 Webster Street 9 Steeple Street Showing Foundation Location Date 11 10 04 Suite 3 f. 0. BOX 630 �7 —��— -- owww.stenbeckondto)4or.com Marsh field, Ma. 02050 Mosh ee Commons Ma. 0264: Lot 17 - Seav Road __ Job No. 6630 781-8-34-8591 508-539-9300 ]� ^ ___ Plan: 6630—FndAsBuilt -ax: 781--837-8238 Fox : 508-539-9301 Barnstable (Ostervllle), 1V11� Email sandt®gis.net