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HomeMy WebLinkAbout0295 SEAPUIT ROAD ������� V�� l �95 �� . _ � . r_ _ _ . �_ . _� _� ____.r.._.=. _ _ _ e i a { c i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 S Parcel Permit# Health Division — LGLR-41 i pW" Y/U/U) Date Issued Conservation Division S- T w k SX3-2T7® ��% I//���b Fee /� 3 2� Tax Collector ' '1, Aom.g 4a �C. • I SEPTIC SYSTEM MUST SE Treasurer de, ¢f tf, ; ' _ INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 APR 6 2001 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board u-1. TOWN REGl1La4TI0N Historic-OKH Preservation/Hyannis .Project Street Address aq_S7 E A P R o cars 7 fig ) PJ( Village Qv Owner Address ?7� OC.E A�4 A.cv-- M AJt c3itWi%p w� 026S5— Telephone 7 6 I - 367 —?,A od Permit Request (' pusrt�vcT N &F-OUN12 Di ALAJf:M2 SP4 — 6 UV/7-E. C o u S 7wucT7aN Square feet: 1 st floor: existing proposed-Sn 2nd floor: existing proposed Total new - Valuation 40.1 z,rco Zoning District Flood Plain , I Groundwater Overlay AF Construction Type GuWt -r - r Lot Size I. 115- Ae— Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9--- Two Family ❑ Multi-Family(#units) Age of Existing Structure / Historic House: ❑Yes ®-No On Old King's Highway: ❑Yes O-� Basement Type: CO�� bawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Cb Basement Unfinished Area(sq.ft) 18?Z. Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing_ new —' Total Room Count(not including baths): existing 8 new First Floor Room Count 7 Heat Type and Fuel: ❑Gas 0'6I ❑ Electric ❑Other _ Central Air: Er es ❑No Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes -9-W Detached garage:Ming ❑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 O­ITo If yes, site plan review# Current Use 5;i N c� t_m 5A7 wLt t_!� Proposed Use BUILDER INFORMATION Name im tA&rj c�f ,mac— Telephone Number _!t-o P -4 z P • 61 0l� Address x i C2 License# G S C214,171 l'7�-rE�vI L�,!2 , wl Home Improvement Contractor# 100111 Worker's Compensation# WC 9s!2 T$p03 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN Z!y M ACcm13Ep�_ v = Cd Main SIGNATURE DATE < FOR OFFICIAL USE ONLY r ,. PERMIT NO. DATE ISSUED -- ~ MAP/PARCEL NO.. ADDRESS, �`i -VILLAGE OWNER , . • DATE OF INSPECTION: FOUNDATION r .. FRAME INSULATION FIREPLACE t� ELECTRICAL: ROUGH . FINAL PLUMBING: ROUGH- •�� FINAL GAS: ROUGH 71 =' ;" FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. i The Commonwealth of Massachusetts Department of Industrial Accidents -- office ofinyestlgatioos - 600 Washington Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit ROME name: location: city phone# ❑ I am a homeowner performing all work myself. O I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. comoanyname: ROGERS & MARNEY, INC. address::• P.0. BOX 310 City: OSTERVILLE, MA 02655 phone#• 508-428-6106 insurance co. EASTERN CASUALTY policy# WC95798003 I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who the following workers' compensation polices: comnanv name: SEE ATTACHED SHEETS address: city: phone#: insurance:-co.- police# company name•, addressv-, city: phone#: insurance co. policy# Failure to secure coverage as required under Section 25A of A1GL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/w one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the UTA for coverage verification. I do hereby certify under the pains an penalties of perjury that the information provided above is true and correct Signature O r r Date Print name oo Phone# [check nly do not write in this area to be completed by city or town official : permit/license# flBuilding Uepartmcnt G-- oLicensing Board mmediate response is required 0Seleetmen's Office ollealth Department on: phone N. nOthcr ;• (revised L95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of(tire, 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 tite 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. I - MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. i City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you-in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. �'• r Gomm y. The Department's a�•tlr as, t len'tc and ;a:. :t :i.- _ . _ rite !)char?-r•.�n>:' ;:�: !.^rl�sit':�! ;►r_::_`.� _•_5 Mice of kniveshilatious 600 Washington Street Boston, Ma. 02111 fax 9: (617) 727-7749 phone 9: (617) 727-4901) ext. 406, 409 or 375 I SEP-15-00 02 :43 PM CUSTOM GUNITE POOLS INC 401 6251041 P. 01 L 'A' VJPWLNA,. Ty CERTIFICATE OF LIABILITY INSURANCE ' The Fe�t8].be c Com a r, TNIB CeAT1FICATe IO I8SUEO A8 A MA 07/18/00 T OF INFC VATiam 9 P Y ONLY AND CONFBRa NO RIGHTS WON THE CI°RTiRICATE 222 Milliken Blvd. 1 HOLDIA, TMIS CERTIFICATE 0083 NOT AMEND ecrev OR P.O. BOX 3220 Ai,TER THE COVERAGE AFMACED BY THE POU�IE8 BELOW. Fall River, bt11 02722 '�---.._..—.. .._.. . ....__. ..._._ _.�._ ........_,.._ INWA ERE AIEFORCINOCOVERAG@ usrOm Gunite Poole Inc. o �:%G-Q-taA:CNA Insurance t om�an` a _ 656 Righldnd Read r tier°" __. __.. _._..._..-_..--'— Tiverton, RI 028, -- -r 8 Irl9�•fi+�: �MAY OJ0:jA$0NBL.'MNCE L:&YW 6a0YHEfu ICbUED TO THE WSLR67 No.LlM FDURNIedT, TERM OR CON•:ITIOI 0;-NY CM?9A'R OR OTHF,A COC114IE1IT y A��TF�?OIi TZ �CV�pT CEATCICdT�MA�RH�T�'��E7STAgv, T}ie INZ°UglJ4CE +by THE?OLtdEs DEBC!gp6p HERuN IS SI;DJrGT TO P1L THE TEALAS p(ClU&01IEIYVCt�N01T10N6O.0opE9 A�f1EQATE.1N{T6 910AN NAY HAIL B@7v UGC BY r'AD tAAIMA. A Mtl O/'NIUPIANwE � L. __ ..-.___...,. .- b A iQD PALUAOi-.TY 'lO_07566 oATLIM1Ar0orml n.- ru_ien.�jt LIY:TI ! 65 �07/01/0o '07/01/01 .EAc-.-- �s110.00t000 _X IC"JY..�I��G1:3�NvfA`:Aw: t:Y _ �.._—.....__—.— t._ L- .�C:AIy9MAD[!X;Or;;Vp• rIAEDAYA:IflAnYoneC:01�{ 00 00 0..__ - i PFJdCAA'-0 A DV.N.iL4Y l6],�COa_►000 ._A(ALOL�W-E1.'%tt A)-FL _ ;.08N�PA:AG04i'rAT6 ;6? Q 0'+E'CDM RIOA }�AS?l: P0.'C.Y.L_:+iFyT._. •O'J I-- i •' jam....__. O_LOO.Q.. A !Autowoe�LoLIAetLiTv 8600i814707 _•. . . _. ..{.... .. I _.-•---.._'- . ...�..... .-----.___.. .. All :7U9�tiE�9,\QIFL:V 'J�O I j �Ih9fr'dA'ti 6.300,000 rX I -JAL I L/1 _^'r!Pa'.Dtj- •_—... . _ {TU5 _ L' OYtNEIA.'yE /' OS:YiA:IUAr { I t P accde� L— I _.......I PRO P?A Ty OA` Q" ' I AilT00ti:Y•EAA05,09STI3 ......._ aA Ac^t{ ' t ,A.,10 0*4 Yr A3G f wEtCEs1l,AEtlfY - - - �— ' .•.'' EAG�DGOURFISNC� 7 I �OCC_'L ��CLA Me'MACi: _...._I...--._.._.. . iI _ ATE __._._._.._�;.-.-..._... to-EIoN _�— ...._..... . _ ...._. A�WONKp9COMP6w9ATOwAwO i74O5B852 �O7%•29�00 j07/29/O1 I fiw '� � EII►.OYENtl LIAliuTY t '�, / --'• _ I zAS'e-EEA T_NALOY6E 6500•l. OTM1R .. �e.L.O TEAS e..POU^V.:N" 11500 •000.--.• i CEOCRP1D4OFO094ATONE/LOCATONOJYEMOLFb OIUE' aACOEGBYENOOgOEMCNT11PCn At.PgOVIO.ON1 CERTIFICATE MOLDER Anotauu V8UR1O:'MlUgENLLTTER CANC TION 3i'OULMANYOFTMEA60VIDUGA 110P01,0290ECANCELLE0 IUON[THE mt►.PATON Custom Gunite Pool®,Inc. DATETMEAMP,?At 9wUN0NOUNEAW'LLEwOEAVOgToMALU -D/YY VA:TTEN NOT:rETO THE CM.=•CATC HOLD PR NALIIG TO THE I FT.Mgt FAILURE M MO09MAl l NPO0 L 40 05V9ATi0t1 0A L I A 9-L TY0F AMYS'N;t VPON Tt 1:N3UN M,T9AQENT06R REMElLNTAT VEO .. _ A TNOAi><EO NE►REtDdTAT:yYE - AC'WD 2A-s(7/"l .of 2 ; -$18 412 NF 1 0 AQORD CORPORATION iM J on, l�Onb/IC4%tLUE¢l[/L 6�✓`GQJJ¢C BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Nurn r. CS 16174 Bi rthdate: 05/07d1'939 Expire Os:5/07/2002 Tr.no: 26118 Restricted o: 00 CHARLES D R ERS 300 BAXTER NEC � � RAADCTe%WQ MII 1 S MA w"A AAminiefrafnr 1� � ✓7G� V Q�V����NG(il"G(,G��fi'GGIj 0 I., Board of Bu.ildin.q Requlat.ion�, and Standards One Ashburton Place - Room 1301 Tr,,!r . ` .,ila:i;`. ': I';'i-. :.a. r.�.,:-, _t•.r=Y. t.r%1 HOME IMPROVEMENT CONTRACTOR '? Registra'.ioo� � ;_ M"�RNF_Y . IM - , 1i i$ Expirat ion. 6 9 02 Ch,a,'.1es R,c.,a••r; Typo: Pn rati,, Ostervi l le MA 0265 ROGERS 8 MARHY, INC. Charles Rogers �: h az&1" 445 MEST 8ARMAKE ROAN oF1NE Tay : ° The Town of Barnstable IIAIW6rAUM ' KAS& Department of Health Safety and Environmental Services 0 1639• � ATFp3yl. Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crosson Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT IIOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL c. 1,12A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or constriction 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: MN 6 RoUwlfl SP14 Est. Coster 000 Address of Work: 2.4 5- PU 17-- =-QP+t> Owner's Name DAy tZ_;> 8 1;PF—30 GREC � Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING 'rhiE1R OWN I'Enmi'r OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO '1'hIE ARBITRATION I'IZOCIZAM OR GUARANTY FUND UNDER hIGL c. 142A SIGNED UNDER I'ENAL'I'IES OF PERJURY I hereby apply fora permit as the agent of the owner: o l �OQQ� N/larr-ew tT'�nC• l 0013� Date Contractor Nnme Registration No. OR Dale Owner's Name v too 0004 10 OZI , 4 or rn p � ; A. r Z0 39dd ONI 9N3 NVAI-nns 5ZZEBZb809 b0:90 Z00Z/90/00 f �. TOWN OF BARNSTABLE BUILDING'PERMIT APPLICATION Map " Parcel Parcel Permit# Health Division 79 � ����'�� Date Issued Conservation Division F-IFS.0 q�UD 1440�fROM r.O.R, Fee • Tax Collector:._. .. �1 v �f/-o �S!2 S /1 SEPT►C SYSTE,uuj Treasurer t ,� , LL�C.Q&q 01 zfibb INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 ENVIRONMENTAL CODFAND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Z R-T S eo_pu�� 2A. �T tV Loys -77 ±2 Village _c+ew L1( e_ Owner Oa rtO 13rr eA Address neear, Ay'e.. Mo r61C 1,eS< MR- Telephone 7 A 1 • 3e.7• PIA 0o Permit Request C o 11 c�'T Vc+ ?_ x 2 2 Ae+ae�\ec� Arwo car- 0 M r a e �, Square feet: 1 st floor: existing proposed S2 8 2nd floor: existing _0 proposed effl�) Total new S-P- Estimated Project Cost,�i 3 200. °0 Zoning District 'K F'- 1 Flood Plain �i� Groundwater Overlay Construction Type -,<IoaaFc�c►►n,� Lot Size I J S' A e- Grandfathered: ❑Yes O No If yes, attach supporting documentation. Dwelling Type: Single Family O" Two Family ❑ Multi-Family(#units) Age of Existing Structure o Historic House: ❑Yes 8-116- On Old King's Highway: ❑Yes 4a-W Basement Type: ❑Full O Crawl' 0 Walkout -2,01fier -151-Ala Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing 3 new o Half: existing• G new CS Number of Bedrooms: existing -1 new Total Room Count(not including baths):existing ? new c First Floor Room Count Heat Type and Fuel: ❑Gas M'Oif O Electric ❑Other Central Air: Effe-s ❑No Fireplaces: Existing �— New Existing wood/coal stove: El Yes RWo Detached garage:❑existing View size?--I j z'Pool:❑existing ❑new size Barn:❑existing O new size Attached garage:0 existing ❑new size Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes 41T& If yes, site plan review# j Current Use S ihg le_ Proposed Use S a BUILDER INFORMATION Name, "C.rr4J =e« Telephone Number q2 8 •e,I n 6 Address k?�x 31 r) License# G S �5 l 6 t?,q � vt Ile . Ma; n 2( Home Improvement Contractor# \ob L3-1 Worker's Compensation# v(ff- 9 5-7 9 Soo 3 'ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN;PIV\ s SIGNATURE DATE _ 4 • 2 .00 i FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED ' MAP/PARCEL-IO. ' ADDRESS VILLAGE OWNER ' DATE OF INSPECTIOI�[y r FOUNDATION : � J FRAME INSULATION I FIREPLACE i ELECTRICAL: ROUGH FINAL I PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i FINAL BUILDING i DATE CLOSED OUT ; C ASSOCIATION PLAN NO.- F-IO c I ® ! t/ SO" 2., 16 C� Z z rj :zj- rn QD Ix ` v P•a�..y� i . P � . a r ''J G e n I ' 1 e� O� II d 0 i •w, . ;D P rri ryl 1 =:-I -�! I f Y f O I 7 Y 6 I E x ' c , C. L rri D R � � (� r e •p A I f G I n � I I or 04 Z o'• I rn m° --- -- - ° I I y Q n o � i n �9 c fe.•r-•ram I • n - (nO- m r e� - e I T LO I w — m I 10 Z i v .�o•• r ii' c" �o" t i �. ------------• Imo. I ! I ! i m - -----• O e � �' 2 I r Z I• T rn V L� m c e s y QL V/,�iiQD z o\ \ A 1 AjI//- / I m '� It Ct co ro 1 1 \\ ` ��� i/�' I I\ a C) I \ \ n CL M � / � &A :p /0 vg r ro III :p �ti q , ca 9-06-2002 11 :00AM FROM BOTELLO HOME CENTEP. 5084774279 P. 2 Z0'd -i101 j I I � I 1 1 °' = f 1 ;, o,, Oi o o, Q , ' f O S f �� _ 0 5 1 4 i --- - 0( 41 . 0� 4 i. ! 0 � 3 ! 0 ! � i� + ,� i 3 o f `0 3 0 3 ! P ' 0 s o s, i oil O CJ` O O t � I 9-O- o j 24-0-0 I. WOOQSTRUCTURESiINC Biddeford, Rine —1Aame�3r€LLZf Z�R j Truss tra�s�erreif" rom address: I ]a Telephone: 1-800-341-9612 59684 'Fax: 1-207-282-2423 Telephone: - I! Ott. ato.a mq~i, 4 I C—Ia- .1 - dA `i!n n1Xwn Rv: rrn P1i��� I /7.G1',4 "t P PAP l.C!i —Air r Bay 347 WSI QUOTE ra<po�+oruoo rays 1 i � Alfred Road Bosin CUSTOMER; MAosooau Park Biddeford.dur 04005 Botella Lumber Imo. QUOTE 1 SHIP TO: PO Box V QUOTE DATE 0!IM6M0 CiURES , Oslerville,MA 02666 22X24 HIP ROOF 1191n (508)4774132 01 ATTN:Mike Holzman D ,MA PREPARED 6Y: CHECKED 13Y- CUSTOMER POO - O a IA- DATE ORt1ERED: ORI7EIt TAKEN EIY: — DELlYERY DATE: , _ r 09/13/00cc ROOF TRUSSES r I r- PROFILE LAm QTY OVERJLLE NET —PITCH TYPE OVERHANG CIR LOADING C LUMBER 8PC ORG SIZE UNIT TOTAL r- PLY LENGT41 SPAN TOP. BpT Tett-TC6l-aal-Bclrn! i R33HI 1oP I.ert R PRICE PRICE pp1 2 22-00-00 22-00-00 0.0 0.0 SPECIAL 1-0M 01-0U PL 35- 7- 0-10 2 00-05408 0045 O rn _. 02A 2 22-00-00 22-00-00 6., 0.0 GIRDER i4o-00 at-oo-oo PL 35- 7. 0-10 7.00 ODos-Oe 00.06.0 r� m ,!5�1 003 g -00-00 09-00-00 6.0 .0.0 MONO 1.00.00 PL 35- 7- 0-10 2.00 OO l> OB 00 oz.0 M , Z::J 004 $ 7-00-00 07-00-00 6. 0. MONO 14)0-Du PC. 35- 7- 0-10 0 2.00 oa.aS-os oo-t►2 UI c� U05 0 -r-00.00 05-00-00 6.0 0.0 MONO 1.00-00 PL 35- 7. 0-10 7.OD 0a05de 00-02 M 006 u 3-GO-GO 03-00-fl0 0-0 0.0 MONO I A0 0o ±L311- 7- 0-so 2.00 00 0�00 oao¢007 q i2-07-0452-07-04 4.2 0.0 MONO -04-1'5 7- 0-10 ROOF SUB-TOTAL: $ ' FTEMS QTY ITEM TYPE KART NUMBER LENGTH P r U IT Wa/� R-IN•10 SIZE AND TYPE � ��E ar�icE PRICE ! 0�3 00-00-00 HANGER PACKAGE(TRUSS TO TRUSS ONLY) ITEMS SUB-TOTAL: $ l i —, The Cornmon wealth of Massachusetts Department of Industrial Accidents Office nlinyestigNIM - 600 Washington Street V Boston Mass. 02111 Workers' Compensation Insurance Affidavit name: location_ S ity Dhonc H I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity (,Tam an employer providing workers' compensation for my employees working on this job. Ism any name: 1i--n!R ers W a. rn V •.l._.t1C_ addreg9:.: x city: S�e r\.3 1A N 02- T!S phone N' So b in once t:o C ►4c r--19=—V—N C. policy lf�ul q 7 9 R O o I am a sole proprietor,general contractor, or homeowner(circle one) and have hired the contractors listed below who h::..- the following workers' compensation polices: company name• / *A,-H Cl> S)MS-r S address: city:: phone it insurance-cm:— city: phone N• i2surance co. policy fl Uk .. Failure to secure coverage as required under Section 25A of MCL 152 can 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 it fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to(lie Office of Investigations of the DIA for coverage verification. 1 do hereby certify under th pains and enalties of rjury that the information provider/above is true and correct. Signature Marne 00 Print numc 00 Y� a e Phone il Q2 Q '&(0 official use oniv do not write in this area to be completed by city or town official city or town: permit/license q rl Building Department 0Licensing Board f.. (]check if immediate response is required oSeleetmcn's Office 0Ilealth Department contact person: phone N; nOther i' (,-4cd M5 t'IA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an einlVoyee 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 ariy 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 , constn►ction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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 hav been presented to the contracting authority. SPARW Applicants - .. :. Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. MM City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding tite applicant. Pleas be sure to fill in the perniit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for'you cooperation and should you have any questions please do not hesitate to give us a call. The Department's address, tel:phc^c- nlid ::►x a .... :r. fl:c Cl)lua!'.':,:�r:'_:iil 1 .ri c:�:._:}c:t:t�,.: 1)Ct{:1Ct't'_a`_ �IfEtt;t,f @nuesiiJaliolts 600 Washington Street Boston, Ma. 02111 '"'''' fa'x JJ: (617) 71.7-7749 coRfl CERTIFICATE 4F LIABILITY INSURANCk1 DA03MMI8/0 / IYCO 1 03/28/00 PRODUCER ' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE McAlpine Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR SOD Post Office Sq ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. iterville MA 02632 �none: 508-771-0105 Fax:508-771-1258 INSURERS AFFORDING COVERAGE INSURED INSURER A: Vermont Mutual Insurance Co INSURER B: Savers Property6Ca alty Ins C Bay Colony Concrete Forms Inc INSURER C: Pilgrim Insuranc Company 32 Third Ave INSURER D: Osterville MA 02655 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICf I THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEgiVIS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POL{C PIRATION' LIMITS LTR( DATE MM/DDIYY DATE M/DD/YY GENERAL LIABILITY EACH OCCURRENCE S1,000,000 A g COMMERCIAL GENERAL LIABILITY BP17030923 03/30/00 3/30/01 FIRE DAMAGE(Any one fire) $ 50r000 CLAIMS MADE a OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s2,000,000 POLICY I E a LOC ' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ C ANY AUTO PMC7129126 03/11/00 03/11/01 (Ea accident) C ALL OWNED AUTOS PMC7129214 0 /30/00 03/30/01 BODILY INJURY S 2500000 X SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ SOOOOOO NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE S 1000000 (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESS LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE RETENTION $ I S WORKERS COMPENSATION AND I I X I TORY LIMffS I I ER B EMPLOYERS'LIABILITY WC 0000753-0 03/31/00 03/31/01 1 E.L.EACH ACCIDENT I S 100,000 I E.L.DISEASE-EA EMPLOYEE$ 100,000 E.L.DISEASE-POLICY LIMIT 1 S 50 0 r 0 0 0 OTHER i. i DESCRIPTION OF OPERATIONS/LOCAT104SIVEH{CLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Concrete Forms / CERTIFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION ROG ,p S 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Rogers 6 Marney NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL FAX#50 8-420-3550 PO Box 310 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Osterville MA 02655 REPRESENTATIVES. I John McAlpine ACORD 25-S(7/97) ©ACORD CORPORATION 1988 ..................... ........... RD :.::.C.ERA. F1:'C-il TE::...::: :::::::: .... ::.:...... ................................. ..........Q.F... . ABI.L[. :::1: :........ PRODUCER (508)994-9688 FAX (508)991-5461 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION UTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ''4 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. J BOX 5911 COMPANIES AFFORDING COVERAGE .......................................... . . _. ................_..........................................._..... NEW BEDFORD, MA 02 742-5 911 COMPANY Commercial Union Attn: Ext: A ..._... ..._...... .......................................................>....... ..................................................................................................................................... INSURED COMPANY Granite State Insurance Co Randall C. Agnew Electrical Contractors B Randall Agnew Electrical Contractors ..................................... ......... .................................................... ............................... . PO Box 1270 COMPANY Cotuit, MA 02635 C :............................................................................................................................................ COMPANY D .::.:,:: 44t� F�14::..:5.:.::................................................ THIS IS TO CERTIFY THAT TH... E POLICIES OF INS URANCE LISTED ED BELOW HAVE BEEN ISSUED TO TH . '...... E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ................. ..... CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE 'POLICY EXPIRATION LTR DATE(MMlDDlYY) DATE(MMlDD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 ..................... ................... X i COMMERCIAL GENERAL LIABILITY E PRODUCTS-COMP/OP AGG i$ 2,000,000 ........ CLAIMS MADE X :OCCUR :......... ......................... PERSONAL&ADV INJURY $ 1,000,000 q ::«<:>::......: ....... NBFB41863 11/16/1999 11/16/2000 :............................................ ..................... .... OWNER'S 8 CONTRACTOR'S PROT: EACH OCCURRENCE $ 1,000,000 ....................................... FIRE DAMAGE(Any one fire) :$ ..... ....... .......: .................................................... 100,000 .................................:...................................... MED EXP(Any one person) :$ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO 1,000,000 ALL OWNED AUTOS I ; i BODILY INJURY ... $ X SCHEDULED AUTOS (Per person) A ... .; CBXE04239 11/16/1999 11/16/2000 ... .................... ...... ..:........._.............._......... X : HIRED AUTOS : BODILY INJURY X NON-OWNED AUTOS (Per accident) $ : .................................................... PROPERTY DAMAGE $ 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT :$ ....... ANY AUTO OTHER THAN AUTO ONLY: :. .::.;:.::.::.::;•;•;::;.;.:: .......................,.:::..::::::::::::,::.:::.::::::.::. EACH ACCIDENT:$ ..................................................................................... AGGREGATE:$ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE........................:.g..... ..........................................;............................. OTHER THAN UMBRELLA FORM $ WORKERS COMPENSATION AND WC S ATU- OTH. ..........: TORY LIMITS: ER ?'s"""' EMPLOYERS'LIABILITY c;:>:>::•;;:::;:::;:::;;;2:•; :;:G::. EL @ACM ACCDE�NT S 500 OOJ B THEPROPRIETORI WC6039748 06/23/2000 06/23/2001 :..............................................:....................................... PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT 'S 500,OOI.} ................... ..... OFFICERS ARE: : EXCL EL DISEASE-EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLES/SPECIAL ITEMS CE::.T......................I .,.:. .,.;::::.>> 3>'. > :<> >:>s>:::: :i[«:>:::»:>::>::>:>::::>:>:>»>5:>`:>:>:'»::::::::::::....<» ::>: ,:,::. R....::... E FIE)LDER. .................::::::::.:::.:::::.:.::::.::::.:..............:.:::::::::::::. ..::::. ::::::::: ::::::::::::::: ..:.::.::::...............:.:.:.Dnl::::::.::::.::::::.::.::::.::.:.: X. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Rogers & Ma rney Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF ANY KIND U THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Osterville, MA 02655 AUTHOR REPRE NT IVE .... . r AtJo—kz..:-s:..��ss. .: .............................................:.:::::::.:::::::::::::::::.......................:.:::::::::::::.....................:::::::::.:::::::::.:::................:.::::::::::. f........k.........::::::..::::::::.:::::::::.::::::::::...:...............................:::::::::.....:.:.:::.:::...........:.::::::::.:.::::::::......................:..::::::::::::::::::::..........�A :...............:...:::::.::::.:......:.:.:::......:.::::::::.:::::::::::::.:. .................:::::::::::.:.:. ()RQRF?ORATTON.f9E • — Liberty Mutual Group LIBERTY PO Box 8094 MUt�Lm Wausau,WI 54402-8094 Telephone(800)653-7893 Fax(7-15)843-2650 March 7, 2000 ROGERS AND MARNEY PO BOX 310 OSTERVILLE,MA 02655- RE: Certificate of Workers Compensation Insurance Insured: DAVID BRODD 53 CLIFTON AVE CENTERVILLE,MA 02632 Policy Number: WC1-31S-492127-030 Effe ive: 2/18/2000 Expiration: 2/18/2001 Coverage afforded under Workers Compensatio aw of the following state(s): MA Employers Liability: Bodily Injury By Acci nt: $ 100,000 Each Accident Bodily Injury by Dis ase: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date, the above-referenced p 'cyholder is insured by Liberty Mutual Insurance Company under the policy listed above. The insurance afforded by the liste policy is subject to all the terms,exclusions and conditions, and is not altered by any requirement, ter or condition of any or other documents with respect to which this _ certificate may be issued._ This certificate is issued as a m ter of information only and confers no right upon you,the certificate holder. This certificate is not a insurance policy and does not amend,extend, or alter the coverage afforded by the policy listed a ove. If this policy is cancelled bef re the stated expiration date, Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is ez cuted by LB TY MUTUAL INSURANCE GROUP as respects such insurance as is afforded by those companies. cc: Insured: Producer of Record: DAVID BRODD OLDE CAPE COD INSURANCE AGENCY --=--- 53.CLIFTON-AVE - -- - -- ---- --- ------ C-- ---= ---------------- ----------- - CENTERVILLE,MA 02632 435 MAIN ST HYANNIS,MA 02601 3/7/2000 ESTINA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) S- Z 6 square feet X$25/sq. foot= 13. 2 00. PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X$??/sq. foot= Total Estimated Project Cost B. .. ��ce T�o�vnronwe� a�✓lla�ac7�u�aella BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 016174 B i rthdate: 05/07/1939 Expires:05/072002 Tr.no: 26118 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RDA RAAOCT/LJC 6AII I R MA n2w OrtminictraMr � fie U o��/G2aa�sa�c�et�s Board of Building Regulations and Standards One Ashburton Place _. Room 1301 S::')^tQn , M a^s a c hi.„'c:i-t..., !) ?11)R is rn. Irnpro,r�rrl�nt. C.-rli.r ;-t.;,Y .Strat..ion Regi^tr.at.ion" 1.00134 c•,nJr:ition: 6/ci/02 — T Y p e' P r i,.."a t•r r - ' ��ee iJomnnonweall�e o�✓llduac/e%r. HOME IMPROVEMENT CONTRACTOR Registration: 100134 POGiFRS & MARNEY , INC Expiration: 6/9/02 Char-Ies Rogers Type: Private Corporatio F' ,0 . Box 310 Ostervi I le MA 02655 R00ERS & MARNEY, INC. Charles Rogers 445 NEST BARNSTARE ROAD ADMINISTRATOR Osterville MA 02655 i 0p THE Tpfy : ° The Town of Barnstable a&M!YrAULF. Health UAS&, Department of 1t11 Safety and Environmental Services �p 1679• TFON1AyA Building Division 367 Main Street,IIyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no.- Da t e AFFIDAVIT hIOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL c. 1,12A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: Z. C0.1C Getr0.a4... Est. Cost�31 200, Address of Work: 29S .See u. & Owner's Name DfKfI 6t`teC1 Date of Permit Application: 9 - 7• GQ I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITI•I UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO TIME ARBITRATION PROGRAM OR GUARANTY FUND UNDER h1GL c. 1,12A SIGNED UNDER PENALTIES OF PERJURY I hereby apply fora permit as the agent of the owner:. It •'] •oo MQ r ht 1 vtc.. d7w 100131 Date Contractor Nn c Registration No. OR Date Owner's Mime • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map S� Parcel-050 7 Permit# - g Health Division �y-79.� 9 �11 -�� Date Issued 2 c) Conservation Division 100W , Fee Tax Collector 9���j o00 g e�S _4& a.dw Ilpi Treasurer �' SYSTEM MUST BE [N `ALLED IN COMPLI CE Planning Dept. WITH TITLE 5 ✓�/' /''''L Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANDTOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address ZRS f_xrs -7 -P-9 Village r_ls-t-P�c Owner Mc. $wtcs Dlrbeto IL3ce Address ?-74 Ocean A'Je. Moarb1e' -ecA M_q Telephone ? 0( - 367• 7100 Permit Request ey:S -Iv\a n gt MaQ er u-. )r_ nnvg e:K IS�r-t 11 A -CLI e- A-r) tCtILM it 1.1 renowk j Square feet: 1 st floor: existing 25"6 proposed 54 2nd floor: existing 0 proposed O Total new 6;+&' Estimated Project Cost Ina K Zoning District f=- 1 Flood Plain � Groundwater Overlay Construction Type S ,9nnd -Q=v e, Lot Size I , lS ?lc_ Grandfathered:. ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ® _ Two Family ❑ Multi-Family(#units) Age of Existing Structure Irs Historic House: ElYes &11o_ On Old King's Highway: ❑Yes BITE Basement Type: BTull awl ❑Walkout ❑Other Basement Finished Area(sq.ft.) 0 Basement Unfinished Area(sq.ft) l 4�3?� Number of Baths: Full: existing 3 new Half: existing new •Number of Bedrooms: existing new n Total Room Count(not including baths): existing 7 new L First Floor Room Count `7 Heat Type and Fuel: ❑Gas Oil ❑ Electric ❑Other Central Air: QTes ❑No Fireplaces: Existing t New 6 Existing wood/coal stove: ❑Yes 5Vo' Detached garage:❑existing ❑new size ^ Pool:❑existing ❑new size -s—, Barn:❑existing ❑new size Attached garage:B existing ❑new size Ss ;- Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes O oo If yes,site plan review# Current Use S Proposed Use BUILDER INFORMATION Name 26a,p Ayr-ese _ .1 tic Telephone Number SZ)F ­q? F• (10 Address RnX 3 t o License#_('_5��1�,19 9 dcrier-v%I( e . lA/1 ufr . Home Improvement Contractor# \n n t 34 (»,6 S= Worker's Compensation# (A) ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN by__ _ SIGNATURE DATE _ l • DO L FOR OFFICIAL USE ONLY PERMIT NO. .DATE ISSUED MAP/PARCEL NO. f; ADDRESS e VILLAGE a OWNER a DATE OF OF INSPECTION'S FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ..Y fry DATE CLOSED OUT , ASSOCIATION PLAN NO. a,. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map S� Parcel 407 , 003 L F4 Permit# Health Division 9111/4W-dl.0 Date Issued T 2 Conservation Division 4�1� Qo Fee 95' �jC7 Tax Collector / l� oo �d (g 6'S -4& add%AO Treasurer _ , . GYST210 MiUSTT�NCE BE IN COMPLIPlanning Dept. I V rr3l WITH TITLE 5✓*P 4 `- ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH PreservationtHyannis / \ Project Street Address —ZqS Seo 0-1} ��. ! j��.i Lera -7 +!i Village J Owner Mc.dnArs Dswio l3ree Address 293 �r�n ►�.�e_�NAn.�e�,vo�W1a Telephone ?81• 367•79o0 1 Permit Request kI(j n A W1cester C onve.-- via— y VwA Square feet:1st floor:existing ZS4 8 proposed R�2nd floor.existing O proposed O Total new ss94 Estimated Project Cost_(-3 K- Zoning District 1=-1 Flood Plain dlA--Groundwater Overlay Construction Type 1-).A ��= e- Lot Size 1. lS A _ Grandfathered: O Yes O No If yes,attach supporting documentation. Dwelling Type: Single Family IBA Two Family O Multi-Family(#units) Age of Existing Structure IST Historic House: O Yes &Noo- On Old King's Highway: O Yes f9N-o Basement Type: Wull awl O Walkout O Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) l T?2- Number of Baths: Full:existing 3 new Half:existing new Number of Bedrooms: existing new n Total Room Count(not including baths):existing 7 new I First Floor Room Count '7 Heat Type and Fuel: El Gas Oil O Electric O Other Central Air: 01es O No Fireplaces:Existing I New Existing wood/coal stove: Cl Yes EFT Detached garage:O existing O new size Pool:O existing O new size Bam:O existing O new size Attached garage:Mxisting O new size Shed:O existing O new size Other. Zoning Board of Appeals Authorization O Appeal# Recorded O Commercial O Yes lam If yes,site plan review# Current Use SsnSls- 1=1., %kj Proposed Use BUILDER INFORMATION Name PD90`-�91 ►M o Th«r_ 3'Hr Telephone Number -ME •12.8•Cl of- Address R-n)K 31 n License# r S n i 6 t 7 q 0cIe,uj If e. 1nA ra. Home Improvement Contractor# I c-)n 134 c»_6ss Workers Compensation# I-)C-9 S7 4800� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN bu 1M0.enw�bwr- E SIGNATURE DATE %• I i • oCp �.• i. -� ra '. ! V,• ! to �'' - i ,%/ i' 1 L._� .L.. ` 1 -=_-���� / • 11, j i i i 1 3 1 �3 P,Z— ' �'R�ST�N6 Y��TCI�EN Z.QS S�APU�T �p , OS�Rvua.` D6cK ScA L. I i iC ' D E c K UVIN(, RM i OO OO P.►�iSEO t4EART1-R 1l vTc�t c N I DwU � IN �N 6 FRcoM �i ICED t�M. B2�E Eb 'p4Z o�'7S�D K 1TC►�E-rl P►:c� 2q.� SEi}�ucr 1zs� � osT�.12x�� u u—� gRGNKFAs T- A G NEW W)KID OW L)N IT- K N E.rV J� PN�-t o DR.S. M cry r— s-t A%Qz C-Asl NETS NEW w�NDa''v �14\SEP H�A�T�} K 00 00 f W .D ED W _ N- I r 1 � oo nz ' I o l c I 10 I i II� sl I I n' I T 1 I mDA 1 1 j i 11 1 N m I in Q l Will / j in yii � 7F-= i i B : iil � n -c Z G _ o z n f� -0 r � V1 Ij rn r 1. Sri • rZ7 iV N � x m H x 1 rD a u 0 v to r rp a o � a � 0 � I � l ' = i j � A n �► � r _h h s � o � o t� N Mfg f 1 Z M n Z n - —1 — ----- rn h � m -- L n I m i D i � z bl 1 i n Z fl i — I ? N Z (A - � ril z m o in 28 66 1 3 � 2 nj 0 ti y 3 -/ n; r 0 A f r =� ca Z oD i N in m i G �i y � f N A n � a rrn m y 0 rn X 70 n �° ° r 1 r� li- v � � O U n i 3 2 . n r Cr_ v r � co r ly f�� 091/28/1598 14:18 5084283115 SULLLIAN ENG INC PAGE 01 44- MWIVI83ON PLAN OF LAND IN BAAN8TAMA Barter i Mye# Inc.. surveyors 5--2V H March go,mm 44 CA a eyeQ+ a u 00) r s , BuEdlrlifon o1 lot S VIA p+s shown on Plan 5788-E r Filed with Oert. of Tftfs No. 118Ao R4019try District of Barnstable county APEVIi MWI(J"t"N JJtlt rr it lama f'r 1W OW AM1NM K t/ OL4. An•r/ow#t oav RNA AIV ter art. - MO i,. - LAND IaQIR1•pMraW OTPJ E wrar r, . � �? - ^^ •,••r — —— ',wpm"to"AW e0 rut at AN$us UWI/. AN" M~Ar MW4 JJ ESTIMA TED PROJECT COST M ORKSHEET Value LIVING SPACE (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq, foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq, foot= DECK square feet X$15/s � q. foot= a+►�c�S���c•-- ►8r uco OTHER F;g yA%J w F.%A^ Z glsbo square feet X$??/sq. foot= `_S . 00 Total Estimated Project Cost ppp, 00 ' T .1gS , 3o f p ✓die TDomvm4nwecz�i a�✓l� iudelYd BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number. CS 016174 B i rthdate: 05/07/1939 Expires: 05/072002 Tr.no: 26118 Restricted To: 00 CHARLES D ROGERS 300 BAXTER NECK RD �' i�✓' 9AAOCTniJC IUII I R MA wi;4A e'Iminicfralnr ✓lZP VCL�E?I,�i� KVC� 1. Board of Building Regulations and Standards One Ashburton Place - Room 1301 .Ic'lrii Imprir: � n'ien C r11.. _ ;,+,;. Re-7:i tra_.1.ion 0,? T y n^- n .i. .7 t r _'.F. :^ CC\ ✓ate rorx�nane�x all�i o�/Cla�vrrc%u e �\ HOME IMPROVEMENT CONTRACTOR Registration: 100134 ROc'ERS & MARNEY , INC ., Expiration: 6/9/02 Charles Rogers Type: Private Corporatio F, _U . 80)< 310 Osterville MA 02655 ROGERS & MARNEY, INC. Charles Rogers G� o-7fta/ 445 PEST BARNSTABLE ROAD ADMINISTRATOR Osterville MA 02bS�. i i I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 Release 3 I I I I Checked by/Date I I TITLE: Breed Renovation CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 9-18-2000 DATE OF PLANS: 9-18-00 PROJECT INFORMATION: Breed Residence 295 Seapuit Rd. Osterville, MA 02655 COMPANY INFORMATION: Rogers & Marney, Inc. Box 310 Osterville, MA 02655 NOTES: Ceiling calc. is based upon the rooms above the proposed family room. COMPLIANCE: Passes Maximum UA = 142 Your Home = 138 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 595 30.0 0.0 21 WALLS: Wood Frame, 16" O.C. 672 13.0 0.0 55 GLAZING: Windows or Doors 56 0.310 17 DOORS 54 0. 310 17 FLOORS: Over Unconditioned Space 595 19.0 0.0 28 ------------------------------------------------------------------------------- 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 �j �c3•C?n TITLE: Breed Renovation MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Release 3 DATE: 9-18-2000 Bldg. l Dept. l Use I I CEILINGS: [ ] I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C. , R-13 I Comments/Location I I WINDOWS AND GLASS DOORS: [ ] I 1. U-value: 0.31 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ) No I Comments/Location I I DOORS: ( J I 1. U-value: 0.31 I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. When installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or 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 I 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 VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I 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 11 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 I manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing air and water systems. 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: [ ] I 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. ) 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 I Steam condensate any 1.0 1.0 1.5 2.0 I 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 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+" I 170-180 0. 5 1 1.0 1.5 2.0 I 140-160 0.5 1 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) ------------------------- —� The Commonwealth of Massachusells 16 Department of Industrial Accidents -== OffiCe 0/III0SU08110OS 600 Washington Street Boston Mass. 02111 Workers' Compensation Insurance Affidavit name_ location: coy phone N 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity Gram an employer providing wockerts' compensation for my employees working on this job. cam any name: [7!R eV,S ct L\Na. rV^)fV 1 LhC� addrsss-:_- x ` 31 O city: �STe-r,,p% 0 GSS nhoneN• S06 Q?� 8 insurapst co C 14TT—g 2 N G"o NLT Y policy a 1 am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who h::..- the following workers'compensation polices: ctimoanv name - address city phone#- insurance coa policy fl company name- :.:. . .:.......;.. city: phone N• insurance co. policy q Failure to secure coverage as required under Section 25A of MCL 152 can lead to the tmposition of criminal penalties of a fine up to S1.500.00 andmr one years'imprisonment as well as civil penalties in the form or a STOP WORK ORDER and it fine of S100.00 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 hereby certify under the pains and penalties of perjure•that the information provided above is true and correct. Signature Date Print name Phone N Ccontact ly do not write in this area to be completed by city or town official permiUlicensc q 0Building Department << Licensing Board mediate response is required oSeleetmen's Office 011ealth Department n: phone q; f-lOther R i' IrrviuJ 1P)S P1n1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of*hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or ariy 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 , constriction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, 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 hav been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions please do not hesitate to give us a call. v 'LLg all, IMa Tl►e Department's address, ind !,ix r. .af ce of pnuesii�aliofils 600 Washington Street Boston, Ma. I 021-11 i 54•. .r:f:►x /l: (61 /)'/27-7/ri9 i ;: ;:::, .i;..i:: :::::;:.. r ;::::::: ::::::;':::;;:;::;:;::;: DATE(MMIDD/YY) R?': F:1: ►" ::t :F.::L41::L1. :.:..I:NFU:FLAN:C. .::::::::::::::::::.::::.:::.: 06 22 2000 / / PRODUCER ACOR P E •5 08994-968;;:.:.;.:: .. FAX : THIS CER;.;� SS::;.:.;:.: ( ) 8 F (508)991--5461 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION UTKOWSKI & KESTENBAUM ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR •4 COUNTY STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. J BOX 5911 COMPANIES AFFORDING COVERAGE ......_.. NEW BEDFORD, MA 02742-5911 COMPANY Commercial Union Attn: Ext: A .......... ... ..... INSURED : COMPANY Granite State Insurance Co Randall C. Agnew Electrical Contractors RandallAgnew Electrical Contractors ...................................... .. . ... ................... ......................................................... . ... . . PO BOX 1270 COMPANY Cotuit, MA 02635 C COMPANY D Q1!I~EtA.. 5.................................................... THIS IS TO CERTIFY THAT THE POLICIES C ES O INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM A... � F� �THE BOVE OR E POLICYPERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO : TYPE OF INSURANCE POLICY NUMBER LTR ; PDATE(MMIDDlYY) 'OLICY EFFECTIVE PDATE(MM DD/Y OLICY ON; LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 ..............................................:............ ............ ......... X : COMMERCIAL GENERAL LIABILITY . PRODUCTS-COMP/OP AGG $ 2,000,000 ....... ............... ..... ........................ ............ CLAIMS MADE X :OCCUR PERSONAL&ADV INJURY :$ 1,000,000 q ......: :......: NBFB41863 11/16/1999 11/16/2000 ............................................ ........... .. ......... ........ OWNER'S 8 CONTRACTOR'S PROT: EACH OCCURRENCE $ 1,000,000 .................................... ................................................ FIRE DAMAGE(Any one fire) :$ 100,000 ................ ............:..................................... MED EXP(Any one person) :$ 5,000 AUTOMOBILE LIABILITY . COMBINED SINGLE LIMB $ ANY AUTO 1,000,000 ALL OWNED AUTOS / BODILY INJURY X : SCHEDULED AUTOS (Per person) $ A ...... CBXE04239 11/16/1999 ' 11/16/2000 ... ................... ...... ................................ r X HIRED AUTOS BODILY!NJURY $ ( X NON-OWNED AUTOS (Per accident) .....................................................: PROPERTY DAMAGE :$ 0 GARAGE LIABILITY AUTO ONLY-EA ACCIDENT :$ ....................... ................... ANY AUTO .. OTHER THAN AUTO ONLY: ......._...................................;:.:::.::::::::.::::.:::::::::::..:::::.. EACH ACCIDENT:$ ..............................................:.................................... AGGREGATE:$ EXCESS LIABILITY : EACH OCCURRENCE :$ ..............................................:....................................... UMBRELLA FORM AGGREGATE $ ............ .............................................................. . OTHER THAN UMBRELLA FORM g WORKERS COMPENSATION AND WC STATU- OTH-::: ::::?; .:......: ...;.TORY LIMITS.:.....:..EIZ..:::< :: ::::.:::.::.>..:: EMPLOYERS'LIABILITY EL EAC P.COCENT S 500. 00-13 B : THE PROPRIETOR/ WC6039748 06/23/2000 06/23/2001 .................................................................................... PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT $ 500,000 i :_.. .... ..... ........... OFFICERS ARE: EXCL_ EL DISEASE-EA EMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONS/VEHICLES/SPECIAL ITEMS i R. .. HOLD€ >><>>><>>> >>:><<>:> >:» >> >>< > :<::>:>:::::> 's:.... .............:; ':>:::>>:::> > >'.:::>>:Z<:>? ::><:::>' <:::::>:>''i::::<:::::::>:<:::>::>:»:;:> :::::<:>::>::::>' : >::: ::: >. R ..................................::::::::.:::::::::::::::::::.:.CAN.C€LLATION.....:............................:.. .:.::.:.::.::::::.::::::::::.:::.::.:::::.....::.: .: :.,.::::. ............................................ ..... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL I 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, I Rogers & Ma rn ey Inc BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY PO Box 310 OF ANY KIND THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Osterville, MA 02655 AUTHORI REPRE ENT IVE ACaRQ 255:: 1/95::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::.:......:::.::.;:.;:.;;;::>::>::>:::<:>:;:»;;;:;;»>::;::>:>::>::»>:::::«:>::>r::»::>;:::>::>::>:x:;:::>:;::.;:.;:.;::.;;:•;:.;:.;:.:-;:.;,;;.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:.;:: ...:.:....::::::::::::::::::::::::::::::::::::::::::.::.::::::::::::::.::::::::::::::::::::.....................................:.:.::::.:::::.:...........:::::::::::::::::::.::::::::::.::::.:::.::::.::.:R)AC iG0 iSTs ....................................k..................................................................................::::::::::::::::::::.::::::.::::::::..:.........:....:::::::::.....................................:.............:.:.:.:..::C)RD.:.::.:RPORAi[QE :..:.... IFI,Ir T IF, T C-- ^ Ir Fy A-M. • AA-711-11 C! z -------------------------------------------------------------------------------------------------------------------------------------- Th:z P fir;;'; :z :zz;;;.l. 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N- ­ a O; , Wj,. fiAlP L hP1 h Z . . L, l, L z H I i wn L ----------------------------------------------------------------/---------------------- ----- ---------------------------------------- - - P.1 I Typ; 61 1 7 r -,;4 z • ri i.. i. ...._._.. . ----------------------- - ----------------------------------7------------------------------------------------------------------------ 1,r-ir.111FRAll 1 1 QR 11 1 TV RF.nn0NqN v 4 1)/4 0 f .......L .......... ......... . WI I. JJ V!mv 1 a 1 1!11!c ev I I a I it ♦ relic E A A ----------------------------------------------------- ---------------------- -------------------------------------------------------- R I OTnmnu F ! MH ITV ! 15 In n s llr,/ 7',1 p,/qq R,,nn I:-..;d ----------- ---------- I ....... V!...im;_:'. i !M!t I n! '.. ... "J inn ---- --------------------------------------- ---------------------------------------------- -- - --------------------------------- 1 F'Xr F c C IL'!An R 1!_1 T v n Q a ---- ------------------------------------ ------------------------------------------------------------------------------------------ • I i unRVFR'� fllMPFkl;A T 1 nH tl4lr qoE.i�1pn? 1 1 i P,q q i?/Ip/on I_____________________________aX.."... -.. .- i _ "' i __ __ '' r-.- 1-1.iA I M i I'In (FAA arc.: 7--- .-_''j'.--.1. ,.,_: .I F!mt.P!-nvF9.q' ;A P .1 --------------------- --- -- ----------------------------------------------------------------------------------------- MITHFR ----------------------------I--------- ----------------------------------------------------------------------------------------------------- ... . ...... NY OM A!! P!HMR!,NG. 0, HFr�j!Hfi UFUTIMIN --------------------------------------------------------------------------------------------------------------------------------------- I=M T Tl T 7%rt'T:l TJr%T 7'%=R. 7%hl E-T T -A M T L 1� ...k.-Z'l 1 flL4 1�,.U.0 fl L .n .1, 1 ah..,u d;zr L vol'.1 V oilf=c 0 MANTV n w n A!m- Ir.1 v .7 1 L I C i 7 L P nsTcol.1,I I I c mr, 0,-,ccc . ........1;;, I an I T♦t n ------------------------------------------------------------------------------- 7;:.,. POT V t, cr to OTT lu !-r.,!.i!F -------------------------------------------------------------------------------------------------------------------------------------------------- -.4coRD CERTIFICATE OF LIABILITY INSURANC ID KG DATE 05/2DD/0) O-1 5/25/ 0 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Eshbaugh Ins. Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 805 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ' '.nnis MA 02601 -one: 508-771-1632 Fax:508-778-1789 INSURERS AFFORDING COVERAGE INSURED INSURER A: MASSWEST INSURANCE INSURER B: EASTERN CASUALTY INS. COMPANY Harmon Painting, Inc. INSURERC: P. 0. BOX 86 INSURER D: Osterville MA 02655 I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE MM/DD/YY DATE MMIDD/YY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 A X COMMERCIAL GENERAL LIABILITY ART036057100 04/01/00 04/01/01 FIRE DAMAGE(Any one fire) $ 50000 CLAIMS MADE a OCCUR MED EXP(Any one person) $5000 PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PERI J� PRODUCTS-COMP/OPAGG $2000000 POLICYF_j jE°T ED LOC r AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS I BODILY INJURY L SCHEDULED AUTOS / (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) ! PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY /I AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ /GARAGE THAN / AUTO ONLY: AGG $ EXCESS LIABILITY / EACH OCCURRENCE $ OCCUR CLAIMS MADE / AGGREGATE $ $ DEDUCTIBLE / $ RETENTION $ TATI $ WORKERS COMPENSATION AND TORY LIMITS X ER B EMPLOYERS'LIABILITY WC97798007 O1/OJ/00 01/04/01 E.L.EACH ACCIDENT s500000 E.L.DISEASE-EA EMPLOYE $ 500000 t I i i E.L.DISEASE-POLICY LIMIT 1 $ 500000 OTHER 1 A Commercial Applica TBD \ 04/i 01 /00 04/01/01 DESCRIPTION OF OPERATION S/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS N CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER:_ CANCELLATION � ROGERS SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 20 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Rogers & Marney,, Inc. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P. O. Box 310 Osterville MA 02655 REPRESENTATI GAG � Hous ccounts ACORD 25-S(7/97) ©ACORD CORPORATION 1988 FTHE Tp� ° The Town of Barnstable UA !TrA1nE. Muss, Department of Health Safety and Environmental Services �A i6J9. Tfo►na�" Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Datc AFFIDAVIT IIOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MCL c. 1d2A 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 (cast one but not more than four dwelling units or to structures which arc adjacent to such residence or building be done by registered contractors, with certain exceptions, along with other requirements. Type of Work: Zes%ouc h1 t 1 a Est. Cost 63.0 000. Oo Address of Work: 2. 9S S9 PO Owner's Name tC� 2'ree� Date of Permit Application: C� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given That: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MCL c. 1d2A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as tlic agent of the owner: 4 '19 Qo t2m v cs j Ma mey , . 'tic_ 1601311 Date Contractor Name Registration No. OR Date Owner's Name Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program W 052741 Transmittal No. Chapter 91 Waterways License Application -310 CnnR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment G. Municipal Zoning Certificate David Breed Name of Applicant 295 Seapuit Road Dam Pond Barnstable Project street address Waterway (Osterville) Description of use or change in use: To add a 7'4"x 12'float to an existing licensed pier. To be completed by municipal clerk or appropriate municipal official: "I hereby certify that the project described above and more fully detailed in the applicant's waterways license application and plans is not in violation of local zoning ordinances and bylaws." rz o PrWftM N e of Munici fficial Dat te r 2 c OJ P� Signature of Municipal Official itie Crty/Town CH91App.doc•Rev. 10/02 Page 6 of 17 �f ... r Assessor's map and lot number -••- ., THE ypi Sewage Permit number BJE House number = MAGM LS, S ........... ,.:;...., ...�....`... ................................. 9�q, b 'F0 MAY d� TOWN OF BARNSTABLE -'0 BUILDING INSPECTOR APPLICATION FOR PERMIT TO ��!✓U��.�t...... //9�/J?z.. /.y.............................. ..........:............. .............:.......:.. TYPE OF CONSTRUCTION ......�dlQ!1�.......... "�.��.U..C. �..4.�.....................................� . ........................ ................!.............19 5! TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....OF ......f6q .6-.c�.....✓S.Csy,.....................::(,'/..,�T�Lr!! .................................................................. ProposedUse ...—rX47.�r ..... ., c?.!aac. . ...... . ..! ................................................................................. Zoning District ...�.../9� F r r.............�.��`.,.......:..........................Fire District ...t ..F ............................................i.................... Name of Owner .............................Address 4.FF....5c. . ..... Name of Builder" Address 9 fC C �/ 1, Y i J Nameof Architect ..................................................................Address ..........�......................................................................... Number of Rooms ....:..4 ........................................................Foundation .......... ................... Exierior ....G✓fto..................................................................Roofing ... . .5� ! 1../...........,.............................................. • G Floors ....11,,-�1tr_1,, o?1..V.......................................................Interior 4...................................................... Heating ......a!a .....1��rg7E.�. ...Q.- . 1l......Plumbing ....C!]•? :C ........ .. v'G..`....... .;< . Fireplace ...: „.......................................................................Approximate Cost , .1I..7..0..C7.O:d D 6-f r2 9 c- Sfl o Definitive Plan Approved by Planning Board -----------__—___------------19 . Area Q4 di ............... ..... .... Diagram of Lot and Building with Dimensions Fee r SUBJECT TO APPROVAL OF BOARD OF HEALTH A i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ............................................... f _ THOMPSON, J. .R. A= 95-7-3 tVVVVV/ � No ,27098 Permit for ..One Story . ........Single Family Dwelling Location t Road ..............Os tervi l le ............................................. Owner J. R. Thanpson ...................................... Type of Construction Frame ...................... r� - - ................................................................... -- Plot ............................ Lot ................................ Permit Granted ......`;Octbber.:16, :_3_ 19 84 Date of Inspection Date Completed ......................................19 It 3 Z 7 TOWN OF BARNSTABLE 27098 Permit No. ----•------------___--- Building Inspector Cash _—�— X OCCUPANCY PERMIT Bond _—------------- J. R. Thompson Issued to Address 295 Seapuit Road, Osterville / sir Wiring Inspector f -�' ' ^ Inspection date Plumbing Inspector'�e r.1,. s Inspection date Gas Inspector "'`"/ U Inspection date Engineering Department `j/'�,_ �, Inspection date L� i Board of Health --- �; r;� Inspection date - �! THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING J CODE. /� f //,J / f� /A /j./.._ ......... �._ 19.. � u. ..... - �. ......_ _. Building Inspector J. TOWN OF BARNSTABLE e BUILDING DEPARTMENT 1 ssaasr = TOWN OFFICE BUILDING � rua HYANNIS, MASS. 02601 e MEMO TO: Town Clerk FROM: Building Department DATE: An Occupancy Permit has been issued for the building authorized by ..�. Building Permit $k.............. ........ ...........................................................................».._.......»......... ..l.l. �.» ' issued to ..................».........»... .:.._.»».... .».»»..... --•.. »....»..». ..»._.»»»»»»»»_:..» » ».» »» Please release the performance bond. J 61- Assessor's mbp and lot:.number ...., . ..... ... �� y�FTHEtO ' Q Sewage .Permit number ... �� INSTALLED 9 , C9 \ \ / ry_ t ARNSTAXLE, i House number a�•�:.`.?— ... sB EL 039. a,. M �0 YFY p. TOWN OF I N�61,.TB, L,E BUILDING iNSPECTORcommjSya , APPLICATION FOR PERMIT TO ..X1W,�./C......,5. ,..�!�!1. ...........................1.. TYPE OF CONSTRUCTION .....�[/ao,0..........CO.&Xf f�t.V.fitl0, ..................................... ......................... r .. ............................... I9�y�.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....Q.'f.. ......,I1C�9 .11.t ..... .......................S lyTlo.,e ................................................................. ProposedUse .... ...... .F ...... E, /.a��^✓. �.................................................................................. Zoning District ... /9 e... ...t..........................Fire District ...C..�t— Q Name of Owner ..............................Address OfF....S�E/f '/� ..../..PG.j Q.z1.z,Tc Kvl/ ...... Name of Builder' Address .1�.9......A;�?!lY....... 7"........6,F�✓l�.evJ 1z` ........................ h �Y i i ✓ Nameof Architect .....................:............................................Address .................................................................................... Number of Rooms ....... ..........................................................Foundation ,j,aczets:,o.......... A................... Exterior ....6/Qcra..................................................................Roofing ..., SY.P�!�i(../...'` ....................................................... Floors ....1119'a".'.A49.......................................................Interior .-5&.Ckf�d 4.......... .................................................. .. e 7 g i r-t o cA.......... �'G " �• Heating .�Q..�k.%,1....../.�!w........,(E1.�6�........�..�..�......Plumbin.g � ,O� �........................ ..... . ..... Fireplace ...Cr!........................................................................Approximate Cost-0�42-o...1...ap.O-d c,........ .. ................... Definitive Plan Approved by Planning Board ---------------____-----------19_______. Area ............................. ........ .. Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ,X? Name 7-0�4—SO N, J. R. ,,,No .?7.098..... Permit for .............. ................Single Fami1.Y ..................... Vocation t..........Rc)ad............................ ... Osterville ................................................................................ Owner ...J-...R..-.....Thco .... .. ...... son................................ Type of Construction FX:d=.............................. ................................................................................ Plot ............................... Lot ................................ October 16, 19 84 Permit.6ranted ................................. rDote of.Anspection ....................................19 Completed- .................19 Date Comr i SULLIVAN ENGINEERING INC. 7 PARKER ROAD/P O BOX 659 OSTERVILLE, MA 02655 Peter Sullivan P. E. Mass Registration No. 29733 psullpe@aol.com phone 508-428-3344 fax 508-428-3115 June 30, 2004 Building Commissioner Town of Barnstable 200 Main Street Hyannis, MA 02601 RE: Waterways License Permit Application Breed/295 Seapuit Road, Osterville Dear Building Commissioner, Please find enclosed a Municipal Zoning Certificate along with the Department of Environmental Protection Waterways License application and plan. We have received an approval from the Conservation Commission, file number SE3-4284. Would you please review and sign the Municipal Zoning Certificate and return it to me in the enclosed self addressed stamped envelope. Thank you for your assistance in this matter. If you have any questions, please contact the office. Very truly yours, qL�� 0 Peter Sullivan, . E. Sullivan Engineering Inc. Enclosures Members,of American Society of Civil Engineers, Boston Society of Civil Engineers Massachusetts Department of Environmental Protection '1 Bureau of Resource Protection - Waterways Regulation Program W 052741 Transmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent, Nonwater-Dependent,Amendment B. Applicant Information Proposed Project/Use Information 1. Applicant: David.Breed �t1 Name E-mail Address 273;,Qcean;.Avenue Mailing Address Note: Please refer iEkKe_ to the"Instructions" Marbleheaadd MA 01945 City/Town State Zip Code work617=367-7400 Telephone Number Fax Number 2. Authorized Agent(if any): Peter Suilivan P7E./Sullivan Er gineering Inc psullpe@aol:com Name E-mail Address 7 Paker`R6k/P-'O 6&z 659 Mailing Address Osterville MA 02655 City/Town State Zip Code 508-428-3344 568--4-28-3115 Telephone Number Fax Number C. Proposed Project/Use Information 1. Property Information (all information must be provided): • •s Owner Name(if different from applicant) Map 095.Pa6el`007003 Tax Assessor's Map and Parcel Numbers Latitude Longitude 295 Seapuit Road,'Barnstable(Osierville) MA 02656 Street Address and City/rown State Zip Code 2. Registered Land ®Yes ❑ No 3. Name of the water body where the project site is located: Dam Pond 4. Description of the water body in which the project site is located (check all that apply): Type Nature Designation ❑ Nontidal river/stream ® Natural ❑Area of Critical Environmental Concern ® Flowed tidelands ❑ Enlarged/dammed ❑ Designated Port Area ❑ Filled tidelands ❑ Uncertain ❑ Ocean Sanctuary ❑ Great Pond ❑Uncertain ❑ Uncertain CH91App.doc•Rev. 10/02 Page 2 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program W 052741 Transmittal No. (,. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment C. Proposed Project/Use Information (cont.) Select use(s)from Project Type Table 5. Proposed Use/Activity description on pg.2 of the "Instructions" Add a 7'4"x 12'float to an existing licensed pier. The float is to launch canoes, kayaks and dinghies in navigalbe waters so as not to have to drag them across the salt marsh.. The pier is for recreatonal boating. 6. Is the project a pre-1984 existing structure AND less than 600 square feet? ❑ Yes ® No 7. Is the project a post-1984 existing or new structure, less than 300 square feet AND water dependent? ® Yes ❑ No 8. What is the estimated total cost of proposed work(including materials& labor)? $2500.00 9. List the name&complete mailing address of each abutter(attach additional sheets, if necessary). An abutter is defined as the owner of land that shares a common boundary with the project site, as well as the owner of land that lies within 50' across a waterbody from the project. Roanld W. & Daine D. Chestnut Enterprises, 311 Miller Ave., Suite C-1, Mill Valley, CA Miller, Trustees 94941 Payson a. Jones c/o 124 Washington Street, Foxboro, MA 02035 Verdolino& Lowey PC Address Name Address D. Project Plans 1. 1 have attached plans for my project in accordance with the instructions contained in (check one): ® Appendix A(License plan) ❑ Appendix B (Simplified License plan) ❑ Appendix C(Permit plan) 2. Other State and Local Approvals/Certifications ❑ 401 Water Quality Certificate Date of Issuance ❑ Wetlands SE3-4284 File Number ❑ Jurisdictional Determination JD- File Number ❑ MEPA File Number. ❑ EOEA Secretary Certificate Date ❑ 21 E Waste Site Cleanup RTN Number i CH91App.doc-Rev. 10/02 Page 3 of 17 I Massachusetts Department of Environmental Protection Ll 052741 Bureau of Resource Protection - Waterways Regulation Program Tasmittal No. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent,Nonwater-Dependent,Amendment E. Certification All applicants, property owners and authorized agents must sign this page. All future application correspondence may be signed by the authorized agent alone.' "I hereby make application for a permit or license to authorize the activities I have described herein. Upon my signature, I agree to allow the duly authorized representatives of the Massachusetts Department of Environmental Protection and the Massachusetts Coastal Zone Management Program to enter upon the premises of the project site.at reasonable times for the purpose of inspection." "I hereby certify that the information submitted in this application is true and accurate to the best of my knowledge." Applicant's signature Date perty Crvuner s signature(if different than applicant) Date Agent's-signature(if applicable) Date APPLICANTS FILING A SIMPLIFIED APPLICATION STOP HERE CH91App.doc•Rev. 10/02 Page 4 of 17 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Waterways Regulation Program T1ra sm�ca4No. Chapter 91 Waterways License Application -310 CMR 9.00 Simplified,Water-Dependent, Nonwater-Dependent,Amendment F. Waterways Dredging Addendum ,� / 1. Provide a description of the dredging project / 1! ❑ Maintenance Dredging (include last dredge date& permit no.) ❑ Improvement Dredging Purpose of Dredging 2. What is the volume(cubic yards) of material to be dredged? 3. What method will be used to dredge? ❑ Hydraulic ❑ Mechanical ❑ Other 4. Describe disposal method and provide disposal location (include separate disposal site location map) 5. Provide copy of grain size analysis. If grain size is compatible for beach nourishment purposes, the Department recommends that the dredged material be used as beach nourishment for public beaches. Note: In the event beach nourishment is proposed for private property, pursuant to 310 CMR 9.40(4)(a)1, public access easements below the existing high water mark shall be secured by applicant and submitted to the Department. CH91App.doc-Rev. 10/02 Page 5 of 17 SHEET BREED 2 of 2 30'PRIVATE WAY OSTERVI LLE,MASS. TO SEAPUIT ROAD SULLIVAN ENGINEERING INC. S 35009 16 W OSTERVILLE,MASS. JUNE 15,2001 4'-p'� 2"""RAILING,I _ 0) SIDE ON LY ctn o) 0 - EL. 6.5 10°-12°PILINGS HZ o ro Q 2% 10°DECKING t4i o 2 O� m WATER co ' ELECTRICITY �Y�� E.H.W.3.5 ham /03�� 6oy4 M.HW.2.5 _ { >3, sGs�q oQ M.L.W.O.0 . . . . . 3"xB"BRACING i sTo\ \I �qyc" 4 00 SECTION B- B 1 \ 1k, SCALE; 1"=4' 0 2 4 8FT. N \ O0 \� \\+ w �� o '\ \ �oQ GiLij N Z "�YY�ffYLL M\ \ \ STD 1S o�,�`� o \ ,Q' s s c / / /��/i� /i y�• -2.0 \ � / ice/ / i�►.� 2.6 -5.8 �i 4CC -2.6 ST44s , I /i�j/�� // •• -5.5 -5.0 i -2.9 -6.6 F i-5.0 PRp !w' P 6.8 -4.0 -5.4 D PON SOUNDINGS BASED ON -5 6 M.L.W. DATUM. -6.0 ppM �\pP\- OVERALL SITE PLANIf '"fkisr� SCALE: I = 50 M0ORiNGS 0 25 50 100 FT NOTES: 1 E FOR OVERALL SITE PLAN SEE SHEET 2 of 2. o' g0G A<< y 4 4r Pp, i FOR PROPERTY LINE INFORMATION SEE LAND COURT CERTIFICATE ti N 149168 AT THE BARNSTABLE COUNTY REGISTRY OF DEEDS. FOR PROPOSED FLOAT SEE SE3- 3817. o o yGJ� FOR EXISTING PIER SEE WATERWAYS LICENSE PLAN No. 8561 aARMY n BUNKER CORPS OFENGINEERS PERMIT No. CENAE-CO-R- 199902484. HILL z RE o 11 � ,s gEAP V11 RD. x 1 f-� LOCUS MAP I j4 �f SCALE: 1:25 000 COTUIT QUAD I 58 FROM MLW EXISTING I 1 Q STAIRS I EXISTING 4'WIDE PIER aTO __ �► A REMAIN B"-} 3'x 14'RAMP A Q �0 I O 0 Y ACCESS STAIRS I PROPOSED IO'x2O' B : -- FLOAT I 5 BENTS (a) 12' = 60' 10 1 10' EXISTING 8'x16'FLOAT 80' VERALL _� p I `"I PLAN SCALE: I =20� �OTgs SALT MARSH 58' FROM M.L.W. 80' OVERALL 60' 10, I ' HANDRAILONE I SIDE ONLY ELEV 6.5 E.H.W. 3.5 —--� M.H.W. 2.5 �l . . . . .. . . . . . . M.L.W..0.0 . PROPOSED IO'x 20' ACCESS STAIRS ��� FLOAT BOTH SIDES EXISTING 3'x14� RAMP SECTION A-A SCALE: I "= 20' xu\ L � � .�y• -1. 0 10 20 40FT SHEET IO2 PLAN ACCOMPANYING PETITION OF DAVID BREED 295 SEAPUIT ROAD OSTERVILLE , MASS. FOR CONSTRUCTION 81 MAINTAINING A FLOAT IN DAM POND JUNE 15, 2001 SULLIVAN ENGINEERING INC. OSTERVILLE.MASS. � � L.,,•ro..ekr.reb a«�awe -..- , :e F �"')r.•e ^B- r.+s°eeRgy ,ya• �- r CXWSjRUCTjot4 '5"t L CflMFtY WITH LATESj l:DtrlOtl of MgvvLlcaaLc coDC cR ESL,ILaNc, oRDINANCF_•. 2 CONTRACTOR SHALL VERIFY ALL DIMENJIOtA_ AND CO OIjIONS(Hewµ ON jtIIS SNEET)OR S`Tm- " • a' W s o r's FL� L DCK ANANC)YA7ZO �ARE/a AROUND PPOCY_ l:L�.K co.c.•.o 04lALL JLOP'E. A\YAY FFetYA POOL—. h I" s:dI �u«o.,e•:,-0.•_ I LTeown-o.e 4,•°• / ' _ -r4 PRQ�IDE DRAINAGEAgpUND POOL IF \vATER 15 teal 1 I-} .�r ! --_J I \ z•Reae ErICOUNTERED.NOGROUNDvATERAT POOL LEVEL. J. I ,.luau - S POOL sNALL BE a-o IAN.CCEP IF C"A -- 504-gD usE0. �\ , to r t^asu+• c w ��• I I I -s 6 POOL EQUIP-ENj (FILjF_RS,PUMP,HCATER,ErC•)SHALL �c c•xt.:.E� —�'"'Y t a t'•1°') i I NOT LOCAjED IN QMUaREO FR:*t OR 310E YARDS. :•:CPEf L>'•w 4:13t•.Ve. / toe cr Slrre. , �" . 60IL:SHAD Be UNDISIURBM kJURAL(1000 P?S.F�CNZ I L. .f 1 APFRCYVEO COAkPALTED FILL ^^;?WI+ . �ry CONCRE�: PREUINAT)GALL PLACED CONCRt"� IZ-o'. 'SHALL HAVE A M1NttnUM MPf2C551VC- •3T NGpi s-cf. \VI NOT 1ApRE j}A14 9=d .Gc=_. _.• OF 2��1 AT 2B Cse.YS, 1" I L0QGITVDII..'.I_ SECTION 2 )UNP AIObR 0Pn04AL R2BS3fD 0GRr µ104E. 4.5 PAR1,5 SAND Ta ONG PART CEI�ERV` BY VoLUv�t-' ARE) 3 GALLONS OF\VATER n?,S\CK t:ECCo SCAU SC-606rtaft of CE:KEMT.- z fv..rtwr.0 r sort..( 1'tE44r�t�I�p�Iu� tssttfawf.[eow•la'etGosAtFl +11 : 1 GEcK ~+ wr YncST'�tr a 6 •' DeIX , 1 A nb•E (mac w.~A rpyq°�L�TASK) ? ^� PLACE �'�,p ly/S(�AS/`S� ut'�1sj11��OT t�. 1 _ �bnta�r U t_ " _{ to RtwfaRCIKG 51tEL SMALL CONFoRY\ Lq CS - _ 1 •I I Nrc#1 Soto r I ''�1 I 'AIRw gSTi\.ZP5=A-WS.DESIGN CASED CK Ua000 • '" _•/ RS.1: LAP ALL B4.QS RKTt4AUlt\ 40 aM4G(CR-5 -T�' f;��o• /' �ITIr- 4D '3 ` -Al- S ES PLIC At4D CA�I'RS .J� _•_ J'•Cr, i/,. o W - JootE e ,% AS µtab Torura •� ` 1 - , e, ::;�I C (b.e*.• !ovary, Juz MECXAA CPL_ OG AICGS'(D HOLD 5T1 EL It, -- I MCI 'ia�a,i.i; PtAca AI D,mNTAIrl 2�CLEARANCE 5EItvEEN CARE}! t- f nvE:rerrioDtl+Ru NID:ST=L. • — - •f li ;II. rae Toflrs�P5oc71o•/ `_'r?• $EALIUC� DETAIL ! 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E ---- — — --- S .36049,05' E' N/salty Trust / ,/ S 283 .27' tons DrMe------- 2 8.06 C)art, Pond R �li / / / / \ ---------/--------- ----------- ------- / / , i / ,,- _--- \ '-- 33— \ �\\\ \� 30 \ �\\\\\\\\ \�\• / / / 1 Sty W/'F \\ Dwelling — ��\ / \ \ � \ � ��\\ VVA \\\�• � � V A _ �` �,� �vim, . Existing Pler 121.71 CB/bH 170t Fnd Dom Pond \ \ op of Coastal Bank C) sEA�U�� �v Title: -....... -. ......-..- PREPARED BY.- � I NOTES: E FOR OVERALL SITE PLAN SEE SHEET 2 of 2. o' 01015 i P0. i FOR PROPERTY LINE INFORMATION SEE LAND COURT CERTIFICATE di 149168 AT THE BARNSTABLE COUNTY REGISTRY OF DEEDS. jx �. JCj � '` a �G BUNKER " FOR EXISTING PIER SEE WATERWAYS LICENSE PLAN No.9265 BARMY RIDLL CORPS OFENGINEERS PERMIT No. CENAE-R-200102016 z SEAPUIT RD. _ x 3: LOCUS MAP I Jo: �. I y �� SCALE: 1:25 000 COTUIT QUAD I 58" FROM M LW " EXISTING ( Y Q STAIRS I EXISTING 4'WIDE PIER TO A REMAIN 3'x 14'RAMP A ) RAMP Bs;o- it ACCESS STAIRS EXISTING I0'x20' FLOAT 5 BENTS P 12' : 60' 1 10' I 10 80' V RA :Yi PROPOSED 7'-4"x Q 12'FLOAT Q I PLAN SCALE:I =20' Torg SALT MARSH 58' ' FROM M.L.W. 80' OVERALL - 4�N 60' 10' ' PROPOSED 7'4" HANDRAILONE 12'FLOAT SIDE ONLY ELEV,6.5 A, I EAW. 3.5 — — — — - — —- M.H.W. 2.5 - M.L.W. 0.0 _ EXISTING 10'x 20' ACCESS STAIRS 7 -3 9 r . FLOAT BOTH SIDES -2.1 SOUNDINGS BYSULLIVAN �� RAMPING 3 xl4 ENGINEERING INC 3/26/04 SECTION A-A SCALE: I"= 20' 0 10 20 40FT ' PLAN ACCOMPANYING PETITION SHEET I of 2- OF DAVID BREED 295 SEAPU IT ROAD OSTERVILLE , MASS. FOR CONSTRUCTION & MAINTAINING AFLOAT IN DAM POND JUNE25,2004 SULLIVAN ENGINEERING INC. OSTERVILLE MASS. SHEET 2 of 2 30'PRIVATE WAY BREED To sEAPUIT Roao OSTERVI LLE,MASS. SULLIVAN.ENGINEERING INC. S 35009'16°W OSTERVILLE,MASS. 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