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0015 SEA VIEW AVENUE
� �� r O .. f '1 1...,� ..�. f�1 ti _�'1 r-_. y ,r.. Town of Barnstable opt , Regulatory Services Richard V. Scali,DirectorSrA BARNSTABI,E '�"AS& Building Division 1679-2014 9.iA,e Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 Fax: 508-790-6230 July 15, 2014 Mr. James Crocker Crocker Enterprises,Ltd. 68 Wianno Ave Osterville,MA 02655 Re: 15 Sea View Avenue,Osterville,MA Dear Mr. Crocker,. The purpose of this letter is to confirm our conversation regarding the above referenced address. On July 11, 2014 a STOP WORK ORDER was issued because the shed structure which appears on the site plan of December 11, 2012 was demolished and a new structure was being erected in approximately the same location. The new structure is unpermitted/unregistered and is in violation of Zoning Ordinance 240-93 A sections 1 and 2. The work being performed is not normal repair; it is.a complete rebuild of a demolished building. The new structure increases and intensifies in both height and footprint the nonconformity of the previous structure. Further,the new structure fails to comply with the 30' front setback required in the RF-1 zone. The STOP WORK ORDER is in effect unless and until compliance with 240-93 B has been obtained, or until the new structure is removed. If you.have any questions or feel aggrieved by this decision,please do not hesitate to contact this office. Sincerely, Paul Roma Local Inspector IF ni - MN e N o ".- : isµV Bog "A 77- p-9 VA Mu IV, - 2146. LAW. 12 flANNO AYE �- � \. 4 � �9� - ,I ,gyp„,. � �. - 1 r --v MR, ��a 571h•�� "�,r :a�►= y•.� �-,�41 <r�ir� ���2Tar � Fy?�`v i, t n: f �: •�, i.,,. �° � _ �°, �� •,•.-�� ��'4r, d+�, 3 �tp ss ,�d�''f��,r7Crt a.. �'� 14`Ir -r,, �\ _.,mac: ' r..! +, •,� (,.- J u .,�' N-�Y, ,.1 .�,• T�� _{y.. i} �. "�t�,3' �/(i�'/, r t^f'J:. %srx �i i..��'' nJ- r' L'J• _ ^+�S �i _ .11i. t=mow 'a. }7�•�,� $.t ; -�'•�'e �. �,// !fi 9 •,'r /,� - ��^ _ t a iI ^ .`.8 . '� ':i "n �! •frJ �j:jf 1 ;li�l./j • jr !�A ..� e, ��. •`��t►/�., .! --.. '� or r�„s�'�7�y�-.� 1i`•..: �.�a' �• �� �� fr. i�:�,177; i� r_ !�s+�,°, .�. 'a': .�► par 7dj �•� 'tom S..'. � A7 '�*A� �• 4f ` ry pft Oak V►` / N r ` r_ ,,, E / '� /.• ..�•� .�. M ,,-,� ..Er - � !f �•� �"` , � .`i�r*, /.fit. L t'+��F �: �' /1 ' �... ILA }r 1 t — f•' IA e 11 �17, P -��'. wit. ��' J/ :� �� •'j\ -,-'.;+�:.. � � *� � 1�- � ,f1 .. -- 11� :rl �• l' i�pY �fwyk?��� � �xr f�.t ,1���1�`�J�� ��� � •.4 "f�s1P1 w's �'• �,; � '.�� 'x'r�°'"�°Yt�d, �yr�� �r�`�'� :� ,��"g ra�F��a�.� djfa���� �', � *,-i� 'y§�' -"1G ,:-•.+�,. Awl-'�,'.+�ai9�54� pt'� r y'ir� d '�..• � is`��{�`+-yl,�.�� .♦ Jyr+4�'�a� .- 4 �: � r` Y5t,L 4*i�rs�i{,�` ti,'r: 4 � 1GF17�w•• � ����r399��1 � ,.r. Y,` � 'ty, h.. i•®i�\�� Y� 1 I S�• 4 Wes___ � Y {' J • ,��w t� if • ;• � � r' - it ...•��r A•.i ,t.��'�-'� i i Page 1 of I ME ,1,-•t . �,�r�-~•,<.°,.:yea Tw.,l;.+t,�w.,� -y'y' �� ,�(l t RY. +r... . := i • 11 1• it •• 7/15/2014 y � a ov Y5. - 1�YMgr. r+" r r � 9' rp `� \ ,���� ({f' �� wit N��!•i�`k� 02/0[3/2014 /03I20;1.1111� i i i Parcel Detail Page 3 of 7 rah wwa u� 1 t' • .alaas - ago _ �►ice���� _ 1 r lit I " i 1 - A- �V{y�CMaaVII�V http://issgl2/intranet/propdata/ParcelDetail.aspx?ID=10540 7/15/2014 / ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 15 Sea View Avenue,Osterville City Barnstable Slate MA ZIP Code 02655 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, 'Right Side View' and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. .�.5- a. � '�F+'�-.,-fit �,• W .t ;t ty�•; � •,,. {✓��,/t^ .� •���l .Y� A.i�c • �^fp/••{��.�14.'"""'"fa•� _ �,,,,„�- ,�r�,n`�^,`•y"A'�--�jw�"'��r.. .. �.[!_�iay � t ^I: J1.ti �� F.►"". -� �- -� .,w�. :,a.,+1._•s;yffr.F:�. � r�9 _ s' lr:l'_ ' �� ` ..-•u. t ` ".`.I.. „l, �r "'s - y +. r4Y 3' wr-,�,... •+....w-• Fri • 7 v�,c.-'i+,� `ram'----•"`""'"'.....-•.ar''�`'t i tr.,- ,...rD' � �J'",XyF "'� �=.'. . rs'.iFlh'cdt:£� 1=?IIIINIIIIII�Itllllllllllll d!IIIIIIIIIIIII� ���+ �+ ..,• ~ � a •r i .t,.III �f, � �p`� �„ _a ' —r^�; "r�ir J lit_ I. is,4 +i."k,. rf•r= 1 p ll l �r ie'RevYl.01 � Jti �, "1K .4t{v lr rX�' •�.tl ' �'r -sr�t,�,t`r �Lei F,�{�� k��+�r`•i!• 2�'.� 1 i ��_.+•�+.` _<.,�i'"�`F. :.�.k. • c-fl(c5.��r..�..�.RA`�1c zw u a4 t `Ft� ✓.�,,- y-t+c ,r � i;• •' tit�t}� ,>,V,'i7 y iTt� ,�„�,, 1`aZ r�'�.t.,ij�ls' '"�Y�� i` ��iiti w��n� � T , .. ;r.. r rrSmaS 4� ^••� a�u��� is15���r'�si v •' ,>, . . ,k:s, .._...,��t.`➢!`� .. '.,sf •S:2!j i.- '•,a'{^'t•.� 7 Front View 9 April 2014 I FEMA Form 086-0-33(7/12) Replaces all previous editions. U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood/n.suranre Program Important: Read the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Leo Bertolami Policy Number: A2. Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Company NAIC Number: I 15 Sea View Avenue,Osterville City Barnstable State MA ZIP Code 02655 A3. Properly Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Assessors Map 162;Parcel 026-002 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.)Residential A5. Latitude/Longitude:Lat.41.61806 Long.-70.36856 Horizontal Datum: ❑ NAD 1927 ® NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9. For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage 834 sq ft b) Number of permanent flood openings in the crawlspace b) Number of permanent flood openings in the attached garage or enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade 0 c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑ Yes ❑ No d) Engineered flood openings? ❑ Yes ❑ No , SECTION B-FLOOD INSURANCE RATE MAP(FIRM)INFORMATION B1.NFIP Community Name&Community Number 82.County Name B3.State Barnstable;250001 Barnstable Massachusetts B4.Map/Panel Number B5.Suffix B6.FIRM Index Date B7.FIRM Panel 88.Flood B9.Base Flood Elevation(s)(Zone 0016 D 4-3-1978 EffectivelRevlsed Date Zone(s) AO,use base flood depth) 7-2-1992 V11 18.0 NGVD 810. Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9. ❑ FIS Profile ® FIRM ❑ Community Determined ❑ Other/Source: B11. Indicate elevation datum used for BFE in Item B9: ® NGVD 1929 ❑ NAVD 1988 ❑ Other/Source: B12. Is the building located Ina Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑ Yes ® No Designation Date: [I CBRS ❑ OPA SECTION C-BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) I Cl. Building elevations are based on: ❑ Construction Drawings' ❑ Building Under Construction' ® Finished Construction 'A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,ARIA,AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item AT In Puerto Rico only,enter meters. Benchmark Utilized:RM28 Vertical Datum: NGVD Indicate elevation datum used for the elevations in items a)through h)below. ®NGVD 1929 ❑NAVO 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a)Top of bottom floor(Including basement,crawlspace,or enclosure floor) 21.6 ®feet ❑meters b)Top of the next higher floor 30.8 ®feet ❑meters c)Bottom of the lowest horizontal structural member(V Zones only) 19.5 ®feel ❑meters d)Attached garage(top of slab) 20.0 ®feet ❑meters e)Lowest elevation of machinery or equipment servicing the building 23.8 ®feet ❑meters (Describe type of equipment and location in Comments) 0 Lowest adjacent(finished)grade next to building(LAG) 15.9 ®feet ❑meters g)Highest adjacent(finished)grade next to building(HAG) 19.8 ®feet ❑meters h)Lowest adjacent grade at lowest elevation of deck or stairs,Including structural support 16.9 ®feet ❑meters SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification Is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.i certify that the information on this Certificate represents my best efforts to Interpret the data available. ZN OF MgSS9 I understand that any false statement may be punishable by line or imprisonment under 18 U.S.Code,Section 1001. ❑ Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a $YEPHEN Cr�G ❑ Check here if attachments. licensed land surveyor? ❑ Yes ® No ALLYtV m Certifier's Name Stephen A.Wilson License Number 30216 U No. 021 o.S 30216 CiI Title Civil Engineer Company Name Baxter Nye Engineering&Surveying °� 9�c �O TEP arc. Address 78 North Street City Hyannis Stale MA ZIP Code 02601 ASS/ONAL�NG� Signature 51/__ � Date 5 6.2014 Telephone 508-771-7502 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. ELEVATION CERTIFICATE, page 2 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 15 Sea View Avenue,Osterville City Barnstable State MA ZIP Code 02655 Company NAIC Number: SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)Insurance agent/company,and(3)building owner. Comments Electrical Panel=Elev.23.8;HVAC on second floor=Elev 30.8 The bottom of the garage slab is elev.19.58 Signature Dale 5.6-2014 SECTION E-BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED)FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is Intended to support a LOMA or LOMR-F request,complete Sections A,B. and C.For Items E1-E4,use natural grade,If available.Check the measurement used.In Puerto Rico only,enter meters. i El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or C]below the HAG. b)Top of bottom floor(Including basement,crawlspace,or enclosure)is ❑feet ❑meters [I above or❑ below the LAG. E2. For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions),the next higher floor (elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3. Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. I E4. Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or❑below the HAG. E5. Zone AO only: If no flood depth number is available,Is the lop of the bottom floor elevated in accordance with the community's floodplain management ordinance? ❑Yes ❑ No ❑ Unknown.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE) or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owners or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here If attachments. SECTION G-COMMUNITY INFORMATION(OPTIONAL) The local official who Is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable Item(s)and sign below.Check the measurement used In Items G8-G10.In Puerto Rico only,enter meters. G1.❑ The Information In Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who Is authorized by law to certify elevation information. (Indicate the source and date of the elevation data in the Comments area below.) G2.❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3.❑ The following information(Items G4-G10)Is provided for community floodplain management purposes. 64.—[ Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feel ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 3 Building Photographs See Instructions for Item A6. IMPORTANT: In these spaces, copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Roule and Box No. Policy Number: 15 Sea View Avenue,Osterville City Barnstable State MA ZIP Code 02655 Company NAIC Number: If using the Elevation Certificate to obtain NFIP flood insurance,affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents, as indicated in Section A8. If submitting more photographs than will fit on this page, use the Continuation Page. „ f w r44 • t b.� �� 4-5 Rear View 9 April 2014 FEMA Form 086-0-33(7/12) Replaces all previous editions. ELEVATION CERTIFICATE, page 4 Building Photographs Continuation Page IMPORTANT:In these spaces,copy the corresponding Information from Section A. FOR INSURANCE COMPANY USE Building Street Address(Including Apt.,Unit,Suite,and/or Bldg.No.)or P.O.Route and Box No. Policy Number: 15 Sea View Avenue,Osterville City Barnstable State MA ZIP Code 02655 Company NAIC Number: If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View" and "Left Side View." When applicable, photographs must show the foundation with representative examples of the flood openings or vents,as Indicated in Section A8. I, d„�'; ,� � i0111111110 '1111111111111 -� M'•� i I duwrila •V � E - Y• ��S' III At r rT'r� ra' 7 �v n Front View 9 April 2014 I FEMA Form 086-0-33(7/12) Replaces all previous editions. S TOWN OF BARNSTABLE 1014 JUL 17 AM 9: 553 DIVISION EMail: Commonwealth of Massachusetts II �S'heet�Metal Permit =-1 Map I U 3-Pareel ��0 � S E P 9 2013 Date: —�� _ Permit Estimated Job Cost: $ 6 :10 TOWN OF BARNSTABLE PermitFee: $ Plans Submitted: YES NOJ� Plans Reviewed: YES NO Business License# - Applicant License# BusinessI mation: Property Owner/Job Location Information: Name. �� 6 Name:�� C�� /�G�Y �. ' Street: r24PV-- K 7 7 Street: l S S14V1��J �4-✓1S� City/Town. LCA� City/Town: A iS/1 o Gam-15" Telephone: §a Lb/ /Z _ Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES NO J-1 M- -unrestricted license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. f t. /2-stories or less Residential: 1-2 family J Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept. Approval Institutio _ Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work be completed: New Work: V Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: NS1lRANCE COVERAGE: insurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes No ❑ have a current liability p y q q f you have checked Yes• indicate th pe of coverage by checking the appropriate box below: k liability insurance policy Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage.required by Chapter 112 of the Aassachusetts General Laws,and that my signature on this permit application waives this requirement Check+Orie'Only Owner ❑ Agent ❑ Signaturr or,,,Owner's Agent,: 3y checking this box[-], I hereby certify that all of the details and information I have submitted(or entered)regarding'this application are true and iccurate to the best of my knowledge and that all sheet�metal work and installations performed under the permit issued for this application will be n 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 Progress Inspections Date Comments Final Inspection Date Comments Type of License: Y [-Master 11e .. ❑ Master-Restricted ity/Town ❑Joumeyperson Signature of Licensee - annit# ❑Joumeyperson-Restricted License Number /153 Check at www.mass.gov1dl2l spector Signature of Permit Approval i The Commonwealth of Massachusetts i Department oflnzdustrial Accidenzts Office of Investigation's '600 Washington Street Boston,MA 02-Ul www.mass.gov/dia Workers' Compensation Insurance Affidavit: Ririlrlers/Contractors/Electricians/PlumberS A Iicant Information Please Print Le gil Name(Bu=ss/Oqm:izati=.T&v;&an: t Address: l D:S� CS'7 Z City/Stafe/Zip'� 0 Phone.#: Are you an employer? Check the appropriate bow hype of project(required):: 1.❑ I am a employer with 4. ❑ I an a general contractor and I employees (fan and/or pit ire).*. bale hired fm sbb-contactors 6. New construction . 2.X I am a'sole proprietor or pad=- listed on the-attached sheet 7. []Remodeling ship and have no employees Tie sob-canfmcto s have 8. ❑Demolition working for me is any capacity, employe6 and have w103rs' [No workers' comp.incnranrp comp.incnran�r.,$ 9 El Bmlding addition required.] 5. "We,area corporation and.'its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing Eia-wark officers have e=iced their 11.❑Plmnlring repairs or additions myself [No workers, comp, rigbt of exemption per MGL 12. Roof incnranre required-]t c. 152, §1(4), and we have no ❑ �p� employees. [No workers' 13.❑ Other COnp.msur ace regmred.] *Any apPHcant the checks boa#1=st also M oot the s=ffim bdDw showing their war=ss'cQmpcnsst m policy mfo=afiom t Hnmeownaa who sub-tuns affidavit mffi-hng they azc domg all work and then hire oaten&eontracta�must mbar anew aMdwAtm&cang such. CDntm AE-s that d=.k this box mast attached sir additional sheet showing the name of the sub-contractnra and state whether ornot those eafitics have employ= If the sub-c=l ' s have eo3PIDYrrs,they nmstpwide their wad=,comp,poEcy M I am an employer that is providing workers'compensation insurance for my employees Belofv is the policy and job site informadom Inset ance Company Name: V Policy#or Self-ins.Lie,A E onDate: Job Site Address: y/ ; Attach a copy of the workers' compensation policy declaration pagE'(showmg the policy nrmtber and eapira#ion date). Faa¢re•to•secure coverage as regoaed under Section 25A of MGL,C. 152 can lead to the mmpositim of gal penalties of a fine up to $1,500.00 and/or one-year mzpris=neni; as well as civil penalties in the fr=of a STOP WORK ORDER and a fine of up to$250.00 a day against the violdnr. Be advised that a copy of this statement may be forwarded to the Office of o ID a verJficati om I ilo eby c u I ms'and penalties of perjury that the information provided above is true and correct. dire: a Date: Phone# S b Official use only. Do not write in this area,tb be conTleted by criy or town offL—W City or Town: PermitUcense# •Issuing Anfhority(circle one): 1.Bbard of Health 2.Bmldiilg Department 3.Ctyt Town Clerk 4.Electrical Inspector 5.PI tubing Inspector 6.Other Contact Person: . ' .Phone#: I COMMONWEALTH OF MASSACHUSET,S S . ✓�ie TJan>/nzo�uaea�t o�,�vccuaac�ucaetra . . ... . • • • DEPARTMENT OF PUBLIC SAFETY ,r PLUMBERS AND GASFIT 't RS Oil Burner Technician Certificate LICENSED AS A MASTER PI.1kMBER Number: BU 024924 ISSUES THE ABOVE LICENSE TO x 7 Expires: 11/01/2013 Tr.no: 1374.0 °CR A 1 G 'R BORDEN Restricted: 15,17 `Iv,.• BOX 157, CRAIG R BORDEN H AR W.1 M A 0 2 645 5 6 5 7 PO BOX 1577 HARWICH, MA 02645 05/01/14 15;11� t t sloner LICENSE NO. EXPIRATIONDATE SERIAL NO. Fold,Then Detach Along All Perforations. : COMM �EALTIH OF MASSACHU.SETTS CRAIG R BORDEN SHEET METALWORKERS = Commonwealth of Massachusetts AS A MASTER-.UNRESTRICTED ISSUES THE ABOVE LICENSE TO: Department of Public Safety Refrigeration Contractor License: RC-001839 . t l Pb' BOX 1577 I� GRBORDEN O BOX 1577 �* HARWICH, MA 02645 6577C WICHMA�2645 - :1833 11/28/13 7139:6EXPIRATION DATE SERIAL NO. Commissioner Expiration: Fold,Then Detach Along All Perforations 11/01/2014 A\ COMMON USETTS'>.�' j Commonwealth of Massachusetts DI\nSION OF PROFESSIONAL LICENSURE-BOARD OF! PLUMBERS AND GASFITTERS Department of Public Safety . LICENSED AS A JOURNEYMAN PLUMBER-,-;-:'> Pipefitter Master ISSUES THE ABOVE LICENSE TO: `` License: PM-0306490. ' C:?A I G R B O R D E N , CRAIG R BORDEN PO BOX 1577 HARWICH MA-2645, `.::BOX 1577 ,, - HAR 'ICH MA 02645-657: =` ' 17742 05/01/14 .1114�, Expiration:. Commissioner 11/01/2014 LICENSE • EXPIRATION DATE SERIAL NO. Fold;Then Detach Along All Perforations� � t Town of Barnstable f �= Regulatory Services } aesMI, .t �.+es Thomas F.Geiler,Director 1659. Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 www.town.barnstable.ma.as Office: 508-862-4038 Fax: 508-790-6230 Propettp Owner Must Complete acid Sigma This Section If Using A.Builder 40 t �v L A S 3-as of the subject property hereby authorize��Q�Q (� �sN to act on my bebai� in all matters relative to work authorized by this building pP,r„*t (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not-to be filled-before fence is installed and pools are not to\be utilized until all final inspections are performed and accepted. acc e o ppEcant Print Name Print Name Date Q:Fox2s:owxIWERMsSIOrWOoLs 'THE Town of Barnstable ( ; ;, Regulatory Services >.: MUMMA= : Thomas F.Geiler,Director RAMS �W 1.639. ,�� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 � _ Fax: 508-790-6230 a^"'''"^•_'"^'^LICENSE EX WnON / Please Print DATE- JOB LOCATION: number street village name home phone# work pho e CURRENT MAILING ADDRESS: (J city/town Vrm state zip code The current exemption for"homeowners"wa to include er-oc ied dwellings of six units or less and to allow homeowners to engage an individualo does n possess a license,provided that the owner acts as supervisor. DOF H OwNER - Person(s)who owns a parcel of land on wincid r intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or tures accessory to such use and/or farm structures. A person who constructs more than one home inperiod shall not be considered a homeowner. Such "homeowner"shall submit to the Building Orm acceptable to the Building Official,that he/she shall be responsible for all such work erformed undeemzit (Section 109.1.1) The undersigned"homeowner"assumes respo ibility for c liance with the State Building Code and other applicable codes,bylaws,rules and regulati The undersigned"homeowner"certifie that he/she understands e Town of Barnstable Building Department inspection procedures and qunements and that he/sh will comply with said procedures and requirements. Signaturrc i Approval of Building Of5ci Y Note: Thr -family dwellings containing 35,000 cubic feet or lar will be required to comply with the ' State Building C e Section 127.0 Construction Control HOMEOWNER'S'EXEMPTION. The C e states that "Any homeowner perforating work forwhich a.building pemtit's required shall be exempt from the provisions of this section ection 109,1.1 -Licensing of construction Supervisors);provided that ifthe hom er engages a person(s)for hire to do such work'that s Homeowner shall act as supervisor." any homeowners who use this exemption are unaware that they are assuming the resp sibilities of a supervisor(see Appendix Q, Rules gulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness results in serious problems,particularly whe a homeowner hires unlicensed persons. In this case,our Board cannot proceed against the u icensed person as it would with a licensed S sor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many coaununi' require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms`.homeexempt �I' ' � Town of Barnstable Building Department - 200 Main Street 9EO"ST" E. ' Hyannis, MA 02601 F1639. (508) 862'-4038 Certificate of Occupancy Application Number: 201205338 CO Number: 20140008 Parcel ID: 162026002 CO Issue Date: 02104114 Location: 15 SEA VIEW AVENUE Zoning Classification: RESIDENCE F-1 DISTRICT Proposed Use: SINGLE FAMILY HOME Village: OSTERVILLE Gen Contractor: SHIELDS,SCOTT Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: Building Department Signature Date Signed TOWN OF BARNSTABLE Bui-1ding 2.01205338 • B Pm'erARNSTABLE, Issue Date: 10/29/12 't 9 MASS. �A 1639• �� Applicant: SHIELDS SCOTT TFO MAC� Permit Number: B 20122640 Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/28/13 Location 15 SEA VIEW AVENUE Zoning District RF-1 Permit Type: REBUILD HOUSE AFTER TEARDOWN Map Parcel 162026002 Permit Fee$ 3,193.88 Contractor SHIELDS,SCOTT Village OSTERVILLE App Fee$ 100.00 License Num 65898 Est Construction Cost$ 626,250 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND f BUILD NEW 3 BEDROOM HOME IN ACCORDANCE TO SUBMITTED PLAMs CARD MUST BE KEPT POSTED UNTIL FINAL AND WPA FORMS ORDER OF CONDITIONS FOR SINGLE FAM USE INSPECTION HAS BEEN MADE. WHERE A e —,7. — CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: BERTOLAMI,JANE A TRS J--f�� ` r - / BUILDING SHALL NOT B CCUPIED UNTIL A FINAL Address: 6 PROCTOR STREET aG �� ` p INSPECTION HAS BEE DE. ACTON,MA 01720 Application Entered by: JL Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENIZS.0 LIC PROPERTY,NO 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 MAYBE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: 1. FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4. PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). ' , THAT IS V ISIBLE FROM THE STREET, BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 }�� ,�p� 1OW� Id 1 4/ 2 3 � � 1 Heating Inspection Approvals Engineering Dept Fire Dept i 2 Board of Health Insulation Certificate ,, Z / City Ar4wV County /� Subdivision Lot Number Permit Number Description of Installation ROOF Product �At;���-�� ®92- Lot Number Thickness (inches) 211r Thermal Resistance (R-Value) ? ATTIC J- Product �10�/ 1� d7�Ju/�/� �� �57 Lot Number Thickness (inches) Thermal Resistance (R-Value) CEILING����Q� Product Lot Number Thickness (inches) Thermal Resistance (R-Value) EXTERIO"ALL Product �PA�—D Or11 Lot Number Thickness (inches) : S Thermal Resistance (R-Value) �Z RAISED F OOR Product �� Lot Number Thickness (inche !.1_1 Thermal Resistance (R-Value) a,2 l SLAB FLOOR Product Lot Number Thickness (inches) Thermal Resistance (R-Value) Width (inches) FOUNDATION WALL Product Lot Number Thickness (inches) Thermal Resistance (R-Value) Declaration I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards. General Contractor(Builder) V License Number S' atur nd Titled �/ Date Sub- ntractor sulation Ins!K License Number Si natura Date � moo R. SHAY FOAM Insulation Certificate Jr' J�V PAUC--' nd Str et City County Subdivision Lot Number Permit Number Description of Installation ROOF Product 05Z Lot Number Thickness (inches) Thermal Resistance (R-Value) a9 lrpod"uct Lot Number Thickness (inches) Thermal Resistance (R-Value) Product� � n�2— Lot Number Thickness,(inches) Thermal Resistance (R-Value) —!;;q� EXTERIOR WALL Product 45109-e-4-1 Lot Number Thickness (inches) Thermal Resistance (R-Value) RAISED FLOOR Product Lot Number Thickness (inch s) 4e zz Thermal Resistance (R-Value) SLAB FLOOR Product Lot Number Thickness (inches) Thermal Resistance (R-Value) Width (inches) FOUNDATION WALL v. Product Lot Number Thickness (inches) Thermal Resistance (R Value) Declaration I hereby certify that the above insulation was installed in the building Eat the above location in conformance with the current Building Energy Efficiency Standards. General Contractor(Builder) License Number Sign re a d Titleeyz/! � Date Sub- tractor(Ins ation I Her) License Number, �` VAby Signature and Title Da , 7 �' . . SAY FOp C�-�- � sv� �3 ? as�a � � 4'a-e4s -- LiUe�ty 1V�L�tua1.� SURETY NOTICE OF CANCELLATION AND/OR TERMINATION CERTIFIED MAIL-RETURN RECEIPT REQUESTED N/A July 1, 2013 Town of Barnstable 200 Main Street Hyannis, MA 02601 N Bond Number: 601038675 �—' C> w Cross Reference: C r-- O Principal: Scott Shields e-s Present Penal Sum: 664 USD :v Bond Description: General Contracting at 15 Seaview Avenue, Osterville, MA 02655 Original Effective Date: September 5, 2012 Cancel Date: September 5, 2013 We hereby cancel the above referenced bond in accordance with the cancellation/termination provisions contained in the bond. If,for any reason,the effective date of this Notice does not fully comply with the cancellation/termination provisions contained in the bond,then this Notice shall be deemed amended to contain the earliest effective date which is in compliance with the provisions of the bond. REASON: Bond No Longer Needed Cancellation Reason Comments: i Non-Renewed REPLY TO: The Ohio Casualty Insurance Company j Boston 20 Riverside Road Mail Stop 03AN By: Weston, MA 02493-2281 800-647-1113 Fax: 866-547-4882 Attorney-in-Fact Robert Desharnais COD Obligee i ❑ Principal .❑ Producer I ❑ Home Office ❑ Underwriting Office Scott Shields 72 Briar Patch Road Osterville, MA 02655 LMIC-3200 PROJECT NAME: v ADDRESS: i PERMIT# 5 3 PERMIT DATE: Mrn: 1 Z 6L ' Via? LARGE ROLLED PLANS ARE IT, SOX SLOT Data entered in MAPS program on: B Y: KANAYO LALA, P.E. BSCE,MAKE,M.NSPE,M.SEI,MIE.(India),M.AMWS,M.ACI FOUR WEST ROAD WEST ACTON,MA 01720 LIC.#33710-C(NIA),9227(NI-1),84611(Nl),32768(VA),7736(V I) https:Hsites.goojzle.com/site/kanayolalape/ October 26, 2012 Building Inspectional and Zoning Department 200 Main Stree Hyannis, MA 02601 Attn: Mr. Thomas Perry, Commissioner Re: #15 Seaview Avenue I certify that proposed single family home at 15 Seaview Avenue in Osterville is designed to meet all of the requirements for a velocity flood zone and the Exposure"C"wind category in conformance with the provisions of the Current Edition of the Massachusetts State Building Code- IRC2009 as amended by 780CMR 51 and all other pertinent laws and the ordinances. �KANAY6 1Jf cn=Kanayo, o, ou=Lala, email=kanaY olala@ mail.c b�EfCISSEa�,tt ,/ �o_m,=c.=U S Sio AL ._- 1` _: 2012.10.26 10:46:12 -04'00' Kanayo Lala PHONE(978)337-LALA kanayolala@Lrmail.com FAX(978)263-1472 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map i'� Parcel �(Q Application # a 6 Health Division ' Date Issued z- Conservation Division Sf Ld Application Fee � cv�iMls aN Q.- Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 19ile A 4e Village D-C i£/1 al £ E JLI74 O �� Owner �£Z"T�'l ��'�47r :7�9 Address Telephone Permit Request �fjO,4%P_ S Z�g l2S Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay v� Project Valuation D Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new q� Number of Bedrooms: existing _new © p o Total Room Count (not including baths): existing new First Floor Doom Count' 0 ® i Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other N Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood, coal stove ❑ s ❑ No cn Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing -C new- size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: " Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION r (BUILDER OR HOMEOWNER) Nam /.e 1,�1�L>> 0A.1A*J (XZ- Telephone Number _D8-YDD 6-73 88 Address �-o HA —/ 7,4 Jv-j�-.5:t �� � 24., License# &.C— Od V-3 YK• 02-1075 Home Improvement Contractor# / 27 V-53 J A,r "e /NS'WRA'Vc't- Worker's Compensation # 76/3'8 o301 2�O/ 7- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /'7 % .9 • F Mgr FOR OFFICIAL USE ONLY }, A... ♦. Grp APPLICATION# I DATE ISSUED MAP/PARCEL NO. ' ADDRESS VILLAGE f OWNER,—, C i tr DATE OF INSPECTION: Er t,---FOUNDATION } FRAME INSULATION_:f FIREPLACE ^ r 4 ELECTRICAL: ROUGH FINAL ' I� r• PLUMBING: ROUGH FINAL GAS: , •;: ROUGH FINAL r g s r•FINAL BUILDINGi� } f DATE CLOSED OUT 3 k ASSOCIATION-PLAN NO.y r� r The Commonwealth of Massachusetts . Department of 1ft&zsfrlal Accidents Office of lnpadgatioirs . -600 FWashington Street _ Boston,MA 02111 71 www.mass gov/dia ' Workers' Compensation Tncrrrgnce Affidavit;Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LegiblyName( _. 12y.�/.cJ/GAfcc f �o o AJ4 S'ySo f!S •Address: �D f'T/�7�'-,c1 fr�s� �o •. City/State✓Zip: W. LlKaHor-! "4 Hi4 Phone.# Are you an employer?Check the appropriate bo= { 1.❑ I am a to with D •4. I am a ape of proj ect(required):: - �P 3'� ❑ general coi>fractor and I 5. New consi•rnrtt;r,„ employees(toll and/or part-tie).* have hired$ie sub=coairacton ❑ 2.❑ I am a'sole pioprietor or partner- listed on lhe-atiached sheet 7. ❑Remodetmg ship and have no employees These sub-contractors have 8. ❑Demolition working for me many capaciiy. employees.and have workers' [No workers' cow.insurance aa�..mci,ran�A#' 9. ❑BuYldiag addition required.] 5. ❑ We are a corpoiation and its 10.0 Electrical repairs or additions .3.❑ I am a homeowner doing in work officers have exercised their 11.❑Plumbing repairs.or' addi boas myself [No worj=, comp. right of examptian per MGL12.❑Roofrepa>rs inenrance regaired.]t c. 152, §1(4), and we have no employees. [No workers' 13.® Other Pro/2 comp.insurance req>iired.] *Auy applicant ffiat checks box#1 must also 57l out the section below showing ffieff workzcs'compensation policy infarmatian Homeowners who submit this of davit mch-tmg they are doing all work and thm but outside cantrzabon.mast submit anew affidavit mdicai�g such !Contractors that check this box nmst attached as additional sheet showing the name of the sub-contractors and std whe&sr ornot those entities have employees. If the sub`—contact—.have employees,theY mustprovidt:their worksrs'camp.policynumber. I am an employer that is prov-idng workers'compensation insurance for my employees. Bdvo is the policy acid job site information. Insurance Campany Name:_ , e R-- Policy#or Self-ins.Lin.#k "70i S (o 30/2C)i Z Expiration Date: O f ' Job Site Address: iS 4v19&) A0. Cily/szip:Attach a copy of the workers' compensation policy declarafion page'(showing the policy number and expiration date). Farlare,to.secure coverage as requd edunder Serum25A ofMGL c. 152 can lead to fe impositiom of penalties of'a uP to$1,500.00 and/or one-year imprisomment, as;weR as civil penalties in the form of a STOP WORK ORDER and a fine of np to$250.00 a day against the violitm Be advised that a copy of this sbh me tit may be forwarded to the Office of Inn ' ons of the WA for insurance cov verification. Ido hereby certify under thepains-andpenalties of pedwy that the information provided above is true and correct Date: Phone Official use only. Do not write b,fhis area, tb be completed by city or.town affzcia( City or Town: --------------- Permifi/License# •Issuing Anthority(circle one): .�1.Board of Health 2.Buading Department 3.City/Town Clerk 4.Electrical Intombing Inspector 6. Other Contact Person: Phone#: i 5/18/2012 3 : 45 : 38 PM 8935 0 02/02 DATE QAM/DD/YYY) CERTIFICATE OF LIABILITY INSURANCE 05/18/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS HO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES HOT 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 ISSURER(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 COST Minuteman Insurance Agency NAME: PHONE PAz 1 Burlington Woods Dr Ste 203 ('M° ° '' ('�` °°'` E-MAIL Burlington, MA 01803 ADDRESS: PRDOUCER CUSTOMER IDA. ISSUVED(S) APPORDING COVERAGE ®IC 6 rwUR D asUde A:A.I.M. Mutual Insurance Co 33758 Genesis Consolidated Services Inc IRSUffi D: One Burlington Woods Drive INSURER C: suite 203 INSURER D: Burlington, MA 01803 INSURER E: IDSlram P: 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 REQU3II@KMffT, TRW OR CONDITION OF ANY CONTRACT OR OTHER DOCM93FT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, TES INSURANCE AFFORDED BY THE POLICIES DESCRIBED 6RRIN IS SUBJECT TO ALL THE TERMS, RECLUSIONS AND CONDITIONS OP SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. r>Q POLICY BOMBER POLICY EFF POLICY SIN LIMITS Lv TYPE OF INSURANCE (AA/OARTT) (IDUAa/nTr) GENERAL LIABILITY RACE OCCURANCE 6 nCCWIERCIAL GENERAL LIABILITY DAMMAM PREIIISEBTO RINITED IER o0 oaaence) 6 1:111CLAIMB MADE OCCUR t®Es (a.ry om pex.an)11 8 eIMSONAI G ADV ImURY g GENERAL.AGGREGATE 6 GEB'L AGGREGATE LIMIT APPLIES ER: POLICY 11PROn CT❑I- PRODUCTS-COMP/Dp AEG 6 6 AUTOMOBILE LIABILITY C®II03D SINGLE LDIIT ❑-AUTO (ea apoidant) 6 ALL OWNED AUTOS LOY BODILY ISTI (Pee SCOEDIU.CD API0.4 person) 6 BODILY ffiImY(pe,a-idmt) 6 PROPERTY DAMAGE BIKED AUTOS (pee—id-t) 6 nNOR-OMRED AUTOS 6 ❑ 6 0104BRELLA LIAB1:1 OCCUR EACe OCCURRENCE 6 DEYCESS LIAB 11 CLAIMS MDR AE42EGATE 6 DEDUCTIBLE 6 ORESTNTION ( 8 WORDS COMPENSATION ® oTil- AND EMPLOYERS LIABILITY THE PROPRIETOR/PARTNERS/ EXECUTIVE OFFICERS ARE E.L. TACK ACCIDENT 6 1,000,000 A 0 1ncl ❑ excl 7015863012012 01/01/2012 01/01/2013 E.L. DISEASE-POLICY LIMIT 6 1,000,000 E.L. DISEASE-EA EMPLOYER 6 1,000,000 E DEms DESCRIPTION OP UPERATIONS M LOCATIONS: COVERAGE IS RESTRICTED TO EMPLOYEES LEASED TO BRANNICK BUILDING SYSTEMS LLC CERTIFICATE HOLDER CANCELLATION TOWN OF BARSTABLE BUILDING DEPARTMENT SHOULD ANY OF THE ABOVE DESCRINED POLICINS BE CANCELIM BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED ID ACCORDANCE WITH THE 200 MAIN STREET POLICY PROVISIONS. HYANNIS, MA 02601 A*°°MIE°UPREMMTAYIv°�C� 3055 05/18/2012 3:44PM (GMT-04:00) Fsoo—3P- 5367 o�TME Town of Barnstable Regulatory Services MASS Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A.Builder Q'N(� ,as Owner of the subject property hereby authorize ,���uUcG 1�e h� to act on my behalf, in all matters relative to work authorized by this budding permit �lr.QtJOio� �dk ®s'Zif-J Zlk / IA - O2GyY (Address of job) Pool fences and alarms are the responsibility of the applicant. .Pools are not to be filled before fence is installed and Pools are not to be utilized until all final inspections are performed and accepted. f ture of Owner Signature of Applicant. A A 9 160 IdAA Print Name Print Name �` 1:7 Az Date WORM&OWNERPERIMSIONPOOLS Town of Barnstable . "� Regulatory Services • snaxsrnara, • Thomas F.Geiler,Director .cD.59. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis;MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official . Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a"building permit is required shall be exempt from the provisions "of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Office o��o�umera��Bifsines"�a-Tion� =_ HOME IMPROVEMENT CONTRACTOR Registration:,�127453 Type: Expiration: �11:/_.112012 Individual BMW ER C.BRENNAN,<JR— WALTER BRENNAN JR 80 MATTAKESE W.YARMOUTH,MA'02673.'.; Undersecretary Massachusetts-Department of Public Sa y Board of Building Regulations and Standards Construction Supcn•isor License: CS-004389 WALTER C BB&NNAN�=- i f, 80 MATTAICLSE,RD NITE-2 W YARMOU.M MA 02673 Expiration Commissioner 01/21/2014 WINDOW SCHEDULE LCONTMCTORTOYERIFYALLWNDOWSWITHOWNERANDROUGHOPENNGS T NOTES: WITH WINDOW MANUFACTURER PRKIR TO ORDERWO Of WINDOWS , 1.)CONTRACTOR IS TO VERIFY ALL EXISTINGCONDITIONS TYPI MANUFACTURERS UNIT I ROUGH OPENING REMARKS 2A ERSEN RIESIMPACTG INOWINDOWSWHITEE%TERIORWIHIGXPROFILEEXTERNIR4IECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS ��ANOERSEN ADHMS4 Y-0'K 5'-1• COUBLEMUNG INTERIOR GRILLES.LOW{HP 4 GLALNO WITRIISCENE SCREENS6 METRO HAROWARE 6DIMENSIONSWTHE FIELD S ZONE 5A EOIXER OpESCRRTNE VALUES OR RESCHECKCUSTOM 1'-0•]i'-0' CIRCLE2.1 CONTACTOR TO VERIFY ALL INTERIOR 6 EXTERIOR MATERIALS, .. _ -_ 102.1.1W—UM PAE6CRIPTNENSULAT10N 6 FENESTRATION REOUREMENTSDETAILS.6 FINISHES IN THE FIELD WITH OWNERMM424 T�'•Y4' AW1IVJGC /'+ y11•L�Gc°r .....,.J.)RUI/GHOPENINGMEALHEIWtTOFWWMAVSAT ADNJO54 r-0'KS•4' OOUBLEXUNG SMO E OFT"CTOFt3 RtVitcY L+ p""' w"" `mw°O"m FIST FLOOR TO BE 6-4-ABOVE 6UOfLOOR E ppMODBO YJ'a6'-0' DOUBLEHUNO u m m m mau an.w, ..) NO ALL CONSTRUCTION TO CONFORM TO]BD CMR MA65ACHUSETTS F ACWM]4J B'J'a J'4' CASEMENT NULLED rHncaeaw -'11',I ] ApE Lppyuq.Us,4.-IDRBMIMV[IMNG STATE BULODIO CODE.BTH EDITION ANENDEMENT 6 IRCMOB O AOMe51 Y�-X ram' DOUBLEXUNG __ I_ LIL ,Bb<DNIOAIDUSP�wATEDOFATNNG-�-P—o.B—, 5.)THISPROPERIYISIN FLOODZONEAII ELEV.IBDFEET H ADH26.62 6J'K A•J' MULLED OOUBLEHUNG aoA,�ccnm,a -- - NUMB DA TONATTHa UlNTWAM D.)11UMPHEXPOSDRECWINDZONE AOIOBIB J'-0'A4'-0' DOUBLEHUNGSTORMWATCH fP I'T: LE BUILDING DEPT. DATE NRB ONroIBttllwcw.PTFn.I•pRAumaMATox6BNFAC AFDUwEMENTB ).)ALL SHEETS OF PLYWOOD WALL SHEATHM TO BE INSTALLED VERTICALLY. 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TEL918 Ill 525Z m DATE: `J 15 SEAVIEW AVENUE OSTERVILLE, MA ��yy,;.:;:;`-:` ""°"�"°°�m®°""'�" 8/28/2012 GENERAL STRUCTURAL GENERAL STRUCTURAL Iw—, GENERAL STRUCTURAL I�MvI - NOTES NOTES: NOTES: WALL FRAMING UPLIFT CONNECTIONS: I� e.>mmreemo.nre.u. sa aenoerwmoa �" n�`wm�e�im'�in w.'iu rm.�mrrouw.urnwaea,ws nwmu�roa"r _ rz"Y°z ,an neueue.. uamauawemuRarem.rn.<.oa "."u°Tua1°,a,�nmu�aoorO'�OfsreF'rO1n m°.r°°D e4f `�ro°r araamn mniu,:cre°ximn�ew''�Oma�rwcx emm .rzmare mrmeNi�.unn rea xoue.miearovne ^en•�O , � emmraaumex aaysmnrooamurorrurzw ' wm�mime..aaromune ro.n..rz.xnln�mu.m nmmmecrna o�TM.mnVamu waavnnwunaaomo a` nuaepnua`iM.air`ne wfrea'rvaU eeOa,n ae• aovmuvnnmu sauna m.n me.m eu.n w.oum..ffieae.a.rowrvw �nan�efm mriMO.a`O�wa'.nrc'.wro.w uwow.oro.rea ee.w wmiolwrrnmero. ��•�ea0"aDfp1O1`cr�w�`m�u.euo'.�ro e �awunan,w�.wr 2wa nmaovwro"nmeaeere".rrumna"nw+ emuitiala�e.lN. i n"erewaen A,naa n•ay.nurcee �. ,omr.,.r.w„m.aorrorxe r.um m.om.mnuom�.aawr Ranenmz n.uerearoser.nam ' t ROOF FRAMING CONNECTIONS . men... moron maM• uw,v.m,naa. muuu mw• C ro...mun a wrw. mmm LA- 0 .wa,.,.v n�u°Gr..vintOOrm.�;v��n".mvmioro�'nwee� s 0 n mernrro q , .Mono.,..mwnv..rrw.e,m eer.�.uwrz.a.rree � �T 0 od•"M I 1 1 0 "s w 0 O _= p I 1 _ I ---J* , I � 1 r---- --------------- oil 1 I �jll I 1 I1 I A. c � s I e SECOND FLOOR.SHEARVIIALL PLAN. aQ�COTUITBAYDESIGN.LLC NEW HOUSE FOR: :{�'' KANAYOIAIA• SCALE: DRANRNGNO.: , 43 BREWSTER ROAD ;'`3 '-• ,• Cl a siRUCNRAL P.E.ENWlEFRINO :`�� 1/4"-V-0" MASHPEE MA.02849 JETTY REALTY TRUST • �� �.:> ; FOUR WEST ROAD.ACTON-NA /\ FAxl50�ls3s-s4oz :`^'a,)_,r.,,. �+ TEL"'MM7W52 DATE: 12 15 SEAVIEW AVENUE OSTERVILLE, MA - ' D`""°"'°"°"°"�"°`m" wamn aiza1 0 1-°, C . i COTIJ IT AY DEBI 5N LLC ARCHITECTURAL DESIGN STEVEN COOK 43 BREWSTER ROAD PH:508-274-1166 MASHPEE MA 02649. FAX:508-539-9402 WWW.GOTUITBAYDESIGN.GOM STEVE@GOTUITBAYDESIGN.GOM 41 / Y_C.. !fit�_f�-�-/�- - - _ ��� 5 /�'�/�-rzc cf TZ-f� ��..► - l��c Sc ram- �c�, ,. Jos. D u WM U.S.DEPARTMENT OF HOMELAND SECURITY ELEVATION CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY. Expiration Date:July 31, 2015 'national Flood Insumncc Proilmm IMPORTANT:Follow the instructions on pages 1-9. SECTION A-PROPERTY INFORMATION FOR INSURANCE COMPANY USE Al. Building Owner's Name Leo Bertolami Policy Number: A2. BuildingStreet Address(including Apt.,Unit,Suite,and/or Bldg.No.)or PO.Route and Box No. Company NAIL Number: 15 Sea View Avenue City Osterville State MA ZIP Code 02655 A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Assessor Map 162; Parcel 026-002 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude: Lat. 41 618015 N Long. 070.36856 W' Horizontal Datum: ❑NAD 1927 ❑x NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9.For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No.of permanent flood openings in the crawlspace or b) Number of permanent*flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq in c) Total net area of flood openings in A9.b sq in d) Engineered flood openings? ❑Yes ❑No. d) Engineered flood openings? ❑Yes ❑No SECTION B-FLOOD INSURANCE RATE MAP(FIRM) INFORMATION Ell. NFIP Community Name&Community Number B2.County Name B3.State 250001 Barnstable I Massachusetts 84. Map/Panel Number B5.Suffix B6.FIRM Index Date 67.FIRM Panel Effective/ 88.Flood Zone(s) B9. Base Flood Elevation(s)(Zone Revised Date AD,use base flood depth) 0016 D 04/03/1978 07/02/1992 V11 El18.0 810.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item 89: ❑FIS Profile N FIRM ❑Community Determined ❑Other/Source: Bll.Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑NAVD 1988 ❑Other/Source: B12.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes ®No Designation Date: / / ❑CBRS ❑OPA SECTION C-BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: ❑Construction Drawings* ®Building Under Construction* ❑Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations-Zones Al-A30,AE,AH,A(with BFE),VE,V1-V30,V(with BFE),AR,AR/A,AR/AE,AR/41-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: RM 28 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. .N NGVD 1929 ❑NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 21 2 N feet ❑meters b) Top of the next higher floor 30 , 4 N feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) 20 3 N feet ❑meters d) Attached garage(top of slab) 20 2 N feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 30 4 N feet ❑meters (Describe type of equipment and location in Comments) 0 Lowest adjacent(finished)grade next to building(LAG) 16 0 N feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 18 5 N feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs, including 16 5 N feet ❑meters structural support SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.I certifythat the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. �Q�ItA OF MgSs+ ❑Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑Check here if attachments. licensed land surveyor? ❑Yes N No �O STEPHEN �G Certifier's Name license Number O IA/ N --d. Ste hen A.Wilson, P.E. 30216 y Title Company Name 216 Civil En ineer Baxter Nye En ineerin &Surveyinga9��'9��S11vQ.�0 EAddress cityState ZIP Code North Street Hannis MA 02601 as/ONALature Date Telephone 12/12/2012 508 771-7502 FEMA Form 086-0-33(7/12) See reverse side for continuation. Replaces all previous editions. l ELEVATION'CERTIFICATE, page 2 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE COMPANY USE Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or PO.Route and Box No. Policy Number:: 15 Sea View Avenue City State ZIP Code Company NAIC Number: Osterville MA- 02655 SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments HVAC,water heater&electrical panel are proposed to be located on the second floor. Signature K Date 12/12/2012 SECTION -BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONE A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items E1-E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,B,and C. For Items El-E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters." El.Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG. E2.For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions), the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3.Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4.Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5.Zone AO only:If no flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?❑Yes ❑No ❑Unknown.The local official must certify this information in Section G. SECTION F-PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G-COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8-G10.In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AD. G3. ❑ The following information(Items G4-G9)is provided for community floodplain management purposes. G4. Permit Number G5. Date Permit Issued G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments ❑Check here if attachments. FEMA Form 086.0.33(7/12) Replaces all previous editions. DEPART ENT OF U.S.FEDERAL EMERGENCY MANAGEMENT AGENCY ELEVATION .CERTIFICATE OMB No. 1660-0008 FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Iaswance Pmgmm IMPORTANT:Follow the instructions on pages 1-9. Expiration Date: July 31,.2015 SECTION A-PROPERTY INFORMATION «FOR SURANCECOMPANY US Al. Building Owner's Name Leo Bertolami `Policy Number,' fM� WIN A2. Buildingg Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or PO.Route and Box No. Comparry NAIL Number . 15 Sea View Avenue : City Osterville State MA ZIP Code. A3. Property Description(Lot and Block Numbers,Tax Parcel Number,Legal Description,etc.) Assessor Map 162; Parcel 026-002 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) Residential A5. Latitude/Longitude: Lat. 41 R1RnR N Long. 070 36856 W Horizontal Datum: ❑NAD 1927 0 NAD 1983 A6. Attach at least 2 photographs of the building if the Certificate is being used to obtain flood insurance. A7. Building Diagram Number 5 A8. For a building with a crawlspace or enclosure(s): A9.For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) sq ft a) Square footage of attached garage sq ft b) No,of permanent flood openings in the crawlspace or b) Number of permanent flood openings in the attached garage enclosure(s)within 1.0 foot above adjacent grade within 1.0 foot above adjacent grade c) Total net area of flood openings in A8.b sq ft c) Total net area of flood openings in A9.b sq ft d) Engineered flood openings? ❑Yes ❑No d) Engineered flood openings? ❑Yes ❑No SECTION B—FLOOD INSURANCE RATE MAP(FIRM) INFORMATION B1. NFIP Community Name&Community Number B2.County Name 83.State 25001 Barnstable Massachusetts B4. Map/Panel Number 85.Suffix 86.FIRM Index Date B7.FIRM Panel Effective/ B8.Flood Zone(s) 89. Base Flood Elevation(s)(Zone Revised Date AD,use base flood depth) 0016 D 04/03/1978 07/02/1992 V11 El18.0 B10.Indicate the source of the Base Flood Elevation(BFE)data or base flood depth'entered in Item B9: ❑AS Profile N FIRM ❑Community Determined ❑Other/Source: 811.Indicate elevation datum used for BFE in Item B9: ®NGVD 1929 ❑NAVD 1988 ❑Other/Source: 812.Is the building located in a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? ❑Yes N No Designation Date: / / ❑CBRS ❑OPA SECTION C—BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) Cl. Building elevations are based on: N Construction Drawings* ❑Building Under Construction* ❑Finished Construction *A new Elevation Certificate will be required when construction of the building is complete. C2. Elevations—Zones Al—A30,AE,AH,A(with BFE),VE,V1—V30,V(with BFE),AR,AR/A,AR/AE,AR/A1—A30,AR/AH,AR/AO.Complete Items C2.a—h below according to the building diagram specified in Item A7. In Puerto Rico only,enter meters. Benchmark Utilized: RM 28 Vertical Datum: NGVD 1929 Indicate elevation datum used for the elevations in items a)through h)below. N NGVD 1929 ❑NAVD 1988 ❑Other/Source: Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(including basement,crawlspace,or enclosure floor) 16 0 ®feet ❑meters b) Top of the next higher floor 21 0 N feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) 20 25 ®feet ❑meters d) Attached garage(top of slab) 20 2 N feet ❑meters e) Lowest elevation of machinery or equipment servicing the building 30 4 N feet ❑meters (Describe type of equipment and location in Comments) 0 Lowest adjacent(finished)grade next to building(LAG) 16 0 N feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) 18 5 N feet ❑meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including 16 5 ®feet ❑meters structural support SECTION D—SURVEYOR,ENGINEER, OR ARCHITECT CERTIFICATION I This certification is to be signed and sealed by a land surveyor,engineer,or architect authorized by law to certify elevation information.1 certify that the information on this Certificate represents my best efforts to interpret the data available. 1 understand that any false statement may be punishable by fine or imprisonment under 18 U.S.Code,Section 1001. 1"OF ❑Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a ❑Check here if attachments. licensed land surveyor? ❑Yes ❑No pa SppTLELP�yHEN CyG Certifier's Name License Number Stephen A.Wilson, P.E. 30216 CD Title Company Name v NflEPJE6 v/i Civil Engineer Baxter Nye En ineen g&Suuve in Address 78 North Street city State ZIP Code �0� 9FCi/ShF1�� Signature Da ennis MA Telephone 02601 GIs Signature V- 11/15/2012 508 771-7502 FEMA For 086.0-33(7/12) See reverse side for continuation. Replaces all previous editions. f ELEVATION CERTIFICATE, page 2 IMPORTANT:In these spaces,copy the corresponding information from Section A. FOR INSURANCE;COMPQN;Y`USE�- Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or P.O. Route and Box No. PoImy�Number � �a 15 Sea View Avenue City State ZIP Code Eompariy NAIC Number " d Osterville MA SECTION D—SURVEYOR, ENGINEER,OR ARCHITECT CERTIFICATION (CONTINUED) Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments HVAC,Water heater&electrical panel are proposed to be located on the 2nd floor. Signature Date 11/15/2012 SECTION E—BUILDING ELEVATION INFORMATION (SURVEY NOT REQUIRED) FOR ZONE AO AND ZOk A(WITHOUT BFE) For Zones AO and A(without BFE),complete Items El—E5.If the Certificate is intended to support a LOMA or LOMR-F request,complete Sections A,Band C. For Items El—E4,use natural grade,if available.Check the measurement used.In Puerto Rico only,enter meters. El.Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade(HAG)and the lowest adjacent grade(LAG). a)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the HAG.- b)Top of bottom floor(including basement,crawlspace,or enclosure)is ❑feet ❑meters ❑above or ❑below the LAG._ E2.For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9(see pages 8-9 of Instructions); the next higher floor(elevation C2.b in the diagrams)of the building is ❑feet ❑meters ❑above or ❑below the HAG. E3.Attached garage(top of slab)is ❑feet ❑meters ❑above or ❑below the HAG. E4.Top of platform of machinery and/or equipment servicing the building is ❑feet ❑meters ❑above or ❑below the HAG. E5.Zone AO only: If no Flood depth number is available,is the top of the bottom floor elevated in accordance with the community's floodplain management ordinance?❑Yes ❑No ❑Unknown.The local official must certify this information in Section G. SECTION F—PROPERTY OWNER(OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for Zone A(without a FEMA-issued or community-issued BFE)or Zone AO must sign here.The statements in Sections A,B,and E are correct to the best of my knowledge. Property Owner or Owner's Authorized Representative's Name Address City State ZIP Code Signature Date Telephone Comments ❑Check here if attachments. SECTION G—COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8—G10.In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by law to certify elevation information.(Indicate the source and date of the elevation data in the Comments area below.) G2. ❑ A community official completed Section E for a building located in Zone A(without a FEMA-issued or community-issued BFE)or Zone AO. G3. ❑ The following information(Items G4—G9)is provided for community floodplain management purposes. G4. Permit Number G5.Date Permit Issued G6.Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Construction ❑Substantial Improvement G8. Elevation of as-built lowest floor(including basement)of the building: ❑feet ❑meters Datum G9. BFE or(in Zone AO)depth of flooding at the building site: ❑feet ❑meters Datum G10.Community's design flood elevation: ❑feet ❑meters Datum Local Official's Name Title Community Name Telephone Signature Date Comments • r ❑Check here if attachments. FEMA Form 086.0.33(7/12) Replaces all previous editions. i '•�• fit, � s" r r,. y -- t�v Imp% s t .a q , y I •r.` r. TOWN OF BARNSTABLE BUILDING PERMIT A�-PL�N Map � a `y C Parcel Permit#' Health Division 4 /ZA11II Date Issued i tad Conservation Division y Jt,5c,_3-" 30� Application FeeZ- Tax Collector Permit Fee �— • �� Treasurer Dept. Ok— Planning r� Date Definitive Plan Approved by Planning Board Cl� Historic-OKH Preservation/Hyannis Project Street Address (5 5'�tk-0 `c No Village (!>.3't-e—c v 1 L(c - Owner t 4 VCU5� AG 1"dre s 4 `%0d c cA-jP(_ S; (f AC Telephone �� G/ !� ^ 'Y.D GO Permit Request A --t:�_V )c ( SA Z hte oo Uo bs Square feet: 1st floor: existing proposed I /J� 2nd floor: existing proposed?,/2 Total new L �� Zoning District — Flood Plain /.M Groundwater Overlay � Project Valuation 02�,.2-�� Construction Type Lot Size2 f'SRa d,S Ai,-,4Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure f (6 yr5 Historic House: ❑Yes Xi No On Old King's Highway: ❑Yes VNo Basement Type: PEull 4,Crawl ❑Walkout ❑Other -n Basement Finished Area(sq.ft.) TT/k Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing O new r �7 Number of Bedrooms: existing_ new H Total Room Count(not including baths): existing new First Floor Roo dount C? Heat Type and Fuel: O(Gas ❑Oil ❑Electric ❑Other PCentral Air: 4Yes ElNo Fireplaces: Existing t4 New f Existing wood/coal stove: Y.es O"No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new'size Attached garage:Cl existing 4new size Shed:❑existing ❑new size Other: &T-P(3 S Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes,site plan review# Current Us® Proposed Use BUILDER INFORMATION Name m_�r 44 (Ar Telephone Number _S_6 ? a- Address d z,rt C,.,V- Pia-� License# 6<_ k `7 b 6 S-A cv �E ( �i- (M./I- . G 2 Home Improvement Contractor# ?6 2 B Worker's Compensation#W(C S�_0C7 r c( 20 `2 6 I Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e """SIGNATURE DATEAuP 2 _ Z,b FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL Ia GAS: ROUGH FINAL FINAL BUILDING .,F DATE CLOSED`OUT` k ASSOCIATION-PLAN NO. �C;IVE,, Town of Barnstable y.. Regulatory Services Thomas F, Geiler, Director i679� Building Division Thomas perry, CB0, building Commissioner . 200 Main Street, Hyanais,MA 02601 www.t own..barnst a b h-m a.us Office: 508-862-�403 8 Fax: 508-790-6230 PLAN RE VIE W Owner: TF--TTy REALTY T-j.ksT Map/Parcel: 02L 002, Project Address IS S EA VIEW HA'Builder: The following items :were noted on reviewing: :N£E O . . U•TS L3.T y (S R L&T o FF ' L E7TF-12Z Fo R- D 0 2 00 M-PLZAN C.E. W=--rN 9*-Aia. 36.2- I&OV R312 S.3 NOT DErtiorj 3T�,4'tElms CS'C"K�TuRAI. NE-MAV-9- E I E.,A ?'/D 13FC -+ Z PeF-T.. S%AppoltrED oA PT-Lzox)ca Reviewed by: Date., VT-797 Tl S 72 Briar(Patch,Osten i&,5W 02655 Construction Supervisor License#65898: 508=737-2962' G (v v- c 1;7 st ut S T h.ID Ge- e tN:U,1 r-- a l C e G U r. v`e Vl—e-K4 Uf 1 S S�_V 14 L. U C,,& L) � ct"i 1) vL t, l -e� c i v VIAOU hU V w c4 0,1 1 L, e- DL.-> (/` CV- U V4--✓tA.ems' vc 0 �C0'" SI) t,C-. �� • a BARNsrikF, • 39. to 'Town of Barnstable Regulatory Services Thomas F.Geiler,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, J't�nL A. l4'hlurrni u.) L —, as Owner of the subject property hereby authorize t-_ S. S k I e.l&c_ to act on my behalf, in all matters relative to work authorized by this building permit application for: +5 Sea.Vim N(,n ut , 0)keyi 11(, YOA. (Address of Job) &'VJlamI 9 5 !a- ature of Owner Date .Ja.ahti }�• aev�oJc�mi, �rvsfe� Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\decollik\AppData\Loca]\MicrosoR\Windows\Temporary Intemet Files\Content.Outlook\DDV87AAZ\EXPRESS.doc Revised 072110 E`k 23391 Ps 1 1W3394 01-23-2009 a O I - 310 QUITCLAIM DEED I JANE A. BERTOLAMI of Acton,Middlesex County,Massachusetts for consideration paid and in full consideration of$10.00 I Grant to Jane A.Bertolami, Trustee of the JETTY REALTY TRUST,u/d/t dated September 30, 1993 which is recorded with the Barnstable Registry of Deeds in Book 8821 at page 235, of 6 Proctor Street, Acton,Middlesex County, Massachusetts 01720 With Quitclaim Covenants That certain parcel of land with the buildings and improvements thereon situated in Barnstable, 't Barnstable County,Massachusetts which is now known and numbered 150 Sea View Avenue, being Lot 2 on a plan of land entitled"Plan of Land in(Osterville)Barnstable,Mass for Nancy "J H. MacColl Trs."Drawn by Baxter&Nye, Inc. dated March 12, 1992 and is recorded with the Barnstable Registry of Deeds in Plan Book 488 as Plan No. 17 to which Plan reference is made for a more particular description of said parcel For my title see a deed recorded with Barnstable Registry of Deeds in Book 8884, page 279. The conveyance is subject and has the benefit of all easements,restrictions and other matters of record in so far as they are in force and applicable. Executed under seal this 10 day of September 2008. Al.pso n , Yn '�-OG 4(q Bk 23391 Pg 2 #3394 Jane A. Bertolanu Commonwealth of Massachusetts Middlesex, ss September�� ,2008 Then personally appeared the above named Jane A. Bertolami and, first having identified herself by presenting her Massachusetts Driver's License,then acknowledged that she executed the foregoing Deed freely and for its intended purpose,before me t IN6 Notary public l firR i � Commonwe2l h1f Jt my comm. *n �"?s Ae�Lz iy,20:1•. E,rs rt BARNSTABLE REGISTRY OF DEEDS L>1 � The Ohio Casualty Insurance Company tu��a 9450 Seward Road,Fairfield,Ohio 45014 I BOND Bond# 601038675 KNOW ALL MEN BY THESE PRESENTS:That we Scott Shields 72 Briar Patch Road Osterville MA 02655 Street Address City State ZIP Code (Full Name[top line]and Address[bottom line]of Principal) (hereinafter called the Principal)as Principal, and, The Ohio Casualty Insurance Company with principal offices at Fairfield, Ohio(hereinafter called the Surety)as Surety,are held and firmly bound unto Town of Barnstable 200 Main Street Hyannis MA 02601 Street Address City State ZIP Code (Full Name Itop line]and Address[bottom line]of Obligee) (hereinafter called the Obligee),in the penal sum of Six Hundred Sixty-Four xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx (Dollars)$ 664.00 for the payment of which well and truly to made, we do hereby bind ourselves, our heirs. executors, administrators, successors and assigns,jointly and severally,firmly by these presents. WHEREAS,the Principal has made or is about to make application to the Obligee for a License to General Contracting at 15 Seaview Avenue, Osterville, MA 02655 for a term beginning on September 5,2012 and ending on*September 5,2013 (*strike out if license or permit is for an indefinite term) NOW, THEREFORE, if the Principal shall indemnify the Obligee against any loss directly arising by reason of failure of said Principal to comply with the laws or ordinances under which said license or permit is granted, or any lawful rules or regulations pertaining thereto,then this obligation shall be void;otherwise to remain in full force and effect. PROVIDED,HOWEVER,AND UPON THE FOLLOWING EXPRESS CONDITIONS: 1. This bond shall be and remain in full force during the term of said license or permit unless canceled in accordance with paragraph 2 below;but if said license or permit was issued for a specific term,and is renewed for one or more specific terms,this bond will be extended to cover such additional term(s)upon the execution by the Surety of a Continuation Certificate, provided such certificate is acceptable to the Obligee. In no event , however, shall the liability of the Surety be cumulative from year to year or from period to period,nor exceed the penal sum written in this first paragraph of this bond. 2. The Surety shall have the right to terminate its liability by notifying the Obligee in writing ten(10)days in advance of its intention to do so. SIGNED,SEALED AND DATED September 5,2012 Scott S "elds By: a e Ohio Casualty nsurance Company By: Nancy Soule v Attorney- -Fact =4 S-3853 License or Permit Bond (Unnumbered) Principal:'Scott Shields POWER OF ATTORNEY Agency Name: DOWLING&O'NEIL THE OHIO CASUALTY INSURANCE COMPANY INSURANCE AGENCY Obligee: Town of Barnstable Bond Number:601038675 Know All Men by These Presents:That THE OHIO CASUALTY INSURANCE COMPANY,an Ohio Corporation,pursuant to the authority granted by Article IV, Section 12 ofthe Code of Regulations and By-Laws of The Ohio Casualty Insurance Company,do hereby nominate,constitute and appoint:Kelly C.Bolton,Martha A.Kenney, Robert W.Miller,Mark McCartin,Nancy Soule of Hyannis,Massachusetts its true and lawful agents)and attomey(ies)-in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES,excluding,however,any bond(s)or undertaking(s)guaranteeing the payment of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of said Company at their administrative offices in Fairfield,OH,in their own proper persons.The authority granted hereunder supersedes any previous authority heretofore granted the above named attomey(ies)-in-fact. In WITNESS WHEREOF,the undersigned officer ofthe said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of said Company this 12th day of July,2011. I-01Y INSGAZ cei �cPYOPAr, m s SEAL o 0Hlo p3 �y1 dad STATE OF WASHINGTON Gregory W.Davenport Assistant Secretary COUNTY OF KING On this 12th day of July,2011 before the subscriber,a Notary Public ofthe State of Washington,in and for the County of King,duly commissioned and qualified,came Gregory W. Davenport,Assistant Secretary of The Ohio Casualty Insurance Company,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me duly sworn deposes and says that he is the officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Seattle,State of Washington,the day and year first above written. MR Iy r NOTARY o(P•.PUBLIC i2? s•-;?• 0;= Notary Public in and for County of King,State of Washington My Commission expires December 9,2013 This power of attomey is granted under and by authority of Article IV,Section 12 ofthe By-Laws of The Ohio Casualty Insurance Company,extracts from which read: ARTICLE IV-Officers:Section 12.Power of Attorney. Any officer or other official ofthe Corporation authorized for that purpose in writing by the Chairman or the President,and subject to such limitation as the Chairman or President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bond,recognizances and other surety obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective powers of attomey,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal ofthe Corporation. When so executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary. I Any power or authority granted to any representative or attomey-in-fact under the provisions of this article may be revoked at any time by the Board,the Chairman,the President or by the officer or officers granting such power or authority. This certificate and the above power of attorney may be signed by facsimile or mechanically reproduced signatures under and by authority ofthe following vote ofthe board of directors of The Ohio Casualty Insurance Company effective on the 15th day of February,2011: VOTED that the facsimile or mechanically reproduced signature of any assistant secretary ofthe company,wherever appearing upon a certified copy of any power of attomey issued by the company in connection with surety bonds,shall be valid and binding upon the company with the same force and effect as though manually affixed. CERTIFICATE I,the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,the referenced By-Laws of the Company and the above resolution of their Board of Directors are true and correct copies and are in full force and effect on this date. 7 IN WITNESS WHEREOF,I have hereunto set my hand and the seal of the Company this 5th day of September r 2012 `iJP�SY INS& o �oRvoryrE m z SEAL o oHlo L3 °'Hl 1Nd David M.Carey Assistant Secretary Vie Comrnonwealtlt 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 Please Print LeLyibly Name (BusinesdOrkanization/Individual): '�_r Address: l '� ,t`r c c d-26 sr5 City/State/Zip: Phone-#: 50 Are you an employer? Check the appropriate box: Type 'f project(required): 1.V am a employer with _ 4. 0 I am a general contractor and I 6.Type 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 g. HDemolition working for me in any capacity. employees and have workers' 9 Building addition k insurance comp. insurance.$ [No worers' comp. reququired S. � We are a corporation and its 10.❑Electrical repairs or additions 3. I a homeowner doing all work officers have exercised their 11_❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per IvIGL 12.❑Roof repairs insurance required]t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp,insurance required_] ''Any applicant that checla box#1 must also fill out the section below showing their workers'compcns4on policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors inust submit a new affidavit indicating such. IContractors that check this box must attached an additional sheet showing the name of the sub-conh-attors and state whether or not those entities have employers. if the sub-contractors have employees,they must providt their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. 1 Insurance Company Name:�NSS G C i �� e t t C C. Policy#or Self-ins. Lic. CC S`� o a7 N $ b Z G l Expiration Date: Job Site Address: 1 S S e A w e A y,e-L ta_s City/State/Zip: A e-J-u t (\_f Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to sp'=c coverage as required under Section 25A of MGL c. 152 can lead to-the imposition of rrimirial penalties of a fine tip 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 bIA for insurance coverage verification. I do hereby ce fy under the pains-an n o erjury that.the/information provided above is true and correct. Si afore: �+P Date: t.� 2 26 2- _ Phone 6 Offu:ial use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and hi ' t "U.CtiODS ,•_ :. :., 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 compliznce 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, i. necessary, supply sub-contractors)name(s), addresses) and phone number(s) along with their certificates)of insurance. Limited Liability Companies.(LLC) or Limited Liability Partnerships (LI2)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required Be advised that this affidavit may be submitted to the DepIndustrialent 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�ccnse number on the appropriate line. City or Towp Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of tho 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(licensc 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 onp affidavit indicating current policy information(if pecessary) and under"Job Site Address" the applicadt should write"all locations in (city or town)."A cbpy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a liccns c or permit not related to any business or commercial venture (i.e. a dog license or'permit to burn leaves etc.) said person is NOT required to complete this affidavit. The Ofce of Investigations would like to than 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,tclephone•and fax number: The C6mmonwc,4th of Massat huse-'is Dep.arthnent of ludustrial Accidents Office of hayestigatious 600 washmaton Street Boston, MA 02111 TO. # 617-727-4910.0 ext 4.06 Qr 1-S77-MASSAFE Fax# 617-727-7749 Revised 11-22.06 www..masS.gov/dia i Client#: 15130 2TRISDE ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/23/2012 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(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 COOMNTACT NA Dowling 8 O'Neil A/c°Nr o Ext,508 775-1620 qAC,Noy 5087781218 Insurance Agency E-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURER(S)AFFORDING COVERAGE NAIC# Hyannis,MA 02601 INSURER A:Landmark American Insurance Co INSURED TRI-S Development Corp. INSURERB:Associated Employers Insurance 72 Briar Patch Road INSURER C: Ostervllle,MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDNYM (MMMDNYM LIMITS A GENERAL LIABILITY LBA15641500 4/02/2012 0410212013 EACH OCCURRENCE $1 000 000 PXBIIPD MERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $100000 CLAIM ed:5 AI OCCUR MED EXP(Any one person) $5 000 Ded:500 PERSONAL SADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN1-AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY JE Q LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL AUTOS OWNED AUUTHQDULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB L]OCCUR EACH OCCURRENCE $ _ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ B WORKERS SA WCC5007148012012 5/01/2012 05/01/201 X WC ST OTH- AND EMPLOYERSYERS''LI LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTNE E.L.EACH ACCIDENT $5OO OOO OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 OOO If yes,'describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S98326/M98325 LS1 • 1 Massachusetts- Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License License: CS 65898 SCOTT S SHIELDS 72 BRIAR PATCH RD OSTERVILLE, MA 02655 ,i Expiration: 7/10/2013 ('nounissi„„.r Trt#: 21168 Off➢ce�iomer' airs ulini�3li"on" License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 170270 Type: Office of Consumer Affairs and Business Regulation 17 10 Park Plaza-Suite 5170 Expiration: rT"Ro13 Corporation Boston,MA 02116 kT!kjEVELOPMEWT-GG RP SCOTT SHIELDS.; 72 BRIAR PATCH ROAD;-`�;-�r OSTERVIL.LE,MA'0265S'<=-.,;;� Liideisec�eta °' rY Not .lid w out signature 1 4 1 ktME ra,; Town of Barnstable Regulatory Services r * * w * BARNSfABM y MASS. g Thomas F.Geiler,Director �A ><63q. IFDMA'�p Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 October 4, 2012 Scott Shields 72 Briar Patch Rd. Osterville, Ma. 02655 RE: 15 Sea View Ave., Osterville, Ma. Map: 162 Parcel: 026 002 Dear Mr. Shields: This letter is in response to application numbers 201205337 and 201205338 submitted to demolish an existing single family home and rebuild a new single family home at the above referenced address. Unfortunately, the applications are not approved at this time for the following reason(s): 1) Utility `shut off' letters for gas, electric, and water have not been submitted. 2) Compliance with 780 CMR R322.3.2 and R322.3.3 has not been demonstrated in the submitted construction documents. Enclosed please find the highlighted code references in regards to construction in coastal high hazard areas. Please review these requirements with your design professional and contact this office to review the construction documents submitted and any required changes. Respectfully, Wzon qLocal Inspector 0on@ jeffrey.lauz town.barnstable.ma.us (508) 862-4034 w � Y� y- i �'�I ,i '^s�` a.,f 4 L ;` - 1 �., ��f R�t�� �� t.s•7, '7r�.1�i-a� Ir ` TLs ' 1� �� QdpGC 1 o CJG:7GG4 vu y� p args�u. n �R 1 /,r r i PAW E::3 - p1Ula � ..�.-..w•a� . j ti M I William H.Nelson, Electrician License#E-26513 November 1, 2012 Town of Barnstable 200 Main Street Hyannis, MA 02601 Re: 15 Seaview Avenue, Osterville, MA To Whom It May Concern: I'm writing referencing the electric service status for the demolition of the residence located at 15, Seaview Avenue, Osterville, MA . Located on the street left-hand corner of the property is a detached meter socket with a main disconnect breaker as shown in the attached photo. The breaker is off and secured until I rework the area for a temporary service supplying construction needs Please let this letter stand as notice the electrical connections serving the existing building, located at 15 Seaview Avenue, Osterville, MA have been disconnected. Sincerely, William H. Nelson, Jr Electrician#E-26513 871 Bumps River Road, Centerville,MA 02632 Telephone (508) 428-0026 -NOV/01/2012/THU 02: 41 PM COMM Water Dept FAX No. 5084283508 P. 002 Centerville-Osterville-Marstons Mills Water Department P.O.SOX.369-1138 MAIN STREET OSTERVELLE,MASSACHUSET"TS 02655 www.commwater.com OFFICE of V WATER BOARD OF WATER CON IISSIONERS DEFT. WATER SUPERINTENAENT TBL.No.508-428-6691 FAX No.508-428-3508 November 1,2012 Town of Barnstable Building Dept. 367 Main Street Hyannis,MA 02601 i Re: Account#3097 Bertolami, Jane 15 Sea View Avenue 'Osterville,MA Gentlemen: On Thursday, November 1, 2012 we disconnected the water service at the curb stop for the property mentioned above. It is our understanding that the owner plans to demolish the house,rebuild and will have a new water service into the new structure at a later date. if you have any questions,please call our office at 508-428-6691. Very Y Y o ) Craig ocker Sup ntendent CC/jw "1937 to 2012 Celebrating 75 Years of Service" Foundation Certificati on in Osterville, -MA . Prepared For ' Jetty Realty Trust Assessor's Map: 162 Lot: 026/002 Baxter Nye Engineering & Surveying Address: 15 Sea View Avenue Registered Professional Community Panel Number 250001 0016 D Engineers and Land Surveyors F.I.R.M. Map Zones: C & V11 (EL. 18.0') 78 North Street, 3rd Floor Plan Reference: Lot 2 Plan Book 195 Page 149 Hyannis, MA 02601 Lot 2 Plan Book.488 Page 17 Phone — (508) 771-7502 Fax — (508)-771-7622 Job Number. 2009-039 Scale : 1" = 40' Date : 12-10-2012 D.E.P. FILE No. SE 3-4955 IwLou OD o� 0P�°♦� \ \ 0- cw \ +� Gw \ \ 4116 O _ „�'♦� ,4j0 FLOOD OPENING(TYP.) / . ,x \+� /tp � ♦1 BOTTOM OF OPENING \/ > \ - - - - / LOT 95 P 2 4 %55`A.. / �°c �► To Mom+ ?S�• �' O ��'S =cv 61 P ��� `� %`\ O PLO 99• g� 3O A� -15 Ir 0. i �! `rF • GOQ- �� 1P0 j\ P�9(� G�1L���° o 9A, sro tiF I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURE SHOWN HEREON IS IN � OF Mq_ COMPLIANCE WITH THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED M. WITHIN A SPECIAL FLOOD HAZARD AREA. oZz SHANE BRENNER THIS PLAN IS NOT T .Bf—RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. No.45917 / ��`FpsRFGiSTER�� /z— �NAC REGISTERE SSIONAL LAND SURVEYOR N BAXTER NYE ENGINEERING & SURVEYING DATE ���� i- 4 I gp/pD1APoC C EL-1T - (MM) 0/ `fQ 4•M r MMATm POSTS 1UPCON rEITEA ;�, f A ) .: I e 1� 8S ALIDe 1'SPACM BE WEN STAR TREADS UP"A _WM�.,a w w,I,,,WA W VIEW = ivEl= • , , ,, Y » w SEA �m M P two RAM. Locus YAP stale:V=2W Y M 4'IOf9C RAL 9� 1M LAWO G o Y a lY TREADS OR*PRDCW PlANKNO =ey 0D�10G ! G -�' + --- Y a a•CLEAT ON DADO 1.NO.18.S _ c ���f `` ----09- . E Bm6 U x MOD OF 90 MAM e D MIL 1OO'W tl�t AT MW 6_ G OAWAMIIID 80LT �'.� — •�r Avg �: ',' TOM of BARNSTA 3 E h ■ y AslEeoMa w LOOM AM 2 w�iwm OF tuym J LANaN LOT E e PIM Mm m tlti to �— m/YAL _—�-- -'--- K� -� I" s11FD �TDYN O + gyp _ REO!MIFs FENCE •t�Rt• '�' AD 't �,'°R'•'Q 1 - _- Lurm rs m Mom Par er an GRACE tm®or Pas" D Aonoe>MEEF cosal ,. AMR 0 OM Q' I J PAtMrla ELEVATED STAIRWAY DETAIL , , SM d PIA„ EDGEDQ RALNVAY ,-- ' @, 1O6T e�Mt=Alm r e° N.T.S. A tto J° ,J r ovOa'-G S 1 I j y mrr OEM=RFt Or+r+O gpCOAM I • ' DIDMiv D®Alm M A► SETr uR V1�� - 'a i W aO MAIM b STEEL sow MIL tm AM.®{{m Mt (NCya) �>� ' rA01Mwp � t� `�•O�'M '� Ano :�l�i'�o D' ---'-----N- - - neiD ao.s' sa a we tMo.frr/te' EOM .�•�' n� !J +/�_ Q� I p11�_ y Df�Alrt��1liiB lt� "�Li �fr !C__10•"_ +s 1!!�"'" A a>Q-- y a tMrmr uE ragas rw!a r®a atwn rut Msm ®�ts tt9m�ML tat r.x a®tpe _ �} diy_ M>0 A�„S(K��� - _ sv194®.D0D9wB®er>eEUD OLEO.DI rd .l 74 DODYN'IIM6 rM@ am raft D PLO`� '' �~ >'�J'--- ,; •;'/'-_ w- �, ) P�' U•�e��AAC=OM OF COMIL BAwiOom►DNAtIO !J PAD R m w 1S N 0AlO 1�C dA1m p10 m 1o1• as •wMwm A®BIBl ttaw®r DC®LM 4k, o `y.I •4'A "0 1J_ - may-' 1ED t11r 11 _ 7�1�PMW 2° •wrwelAI MdWMMWr�1.MRM VIEWAMrpi r Mr[rer.NO rm t =r11MD1Oe aMt:e MM ACK Map®Ira GM gTA� ?+ _ , _- -------`------ .AML O�eIAl�Al1O�s0w0et@1® L) __±'-s---"-- •1r mIMDO MULL mDIPJ�EYE Oitl�•.IC A.YNt mMIO D lm12 u®ryr�pATUmn® Dx amwctAtaa�r > also ter per,aua®Ar uo Ar 70 r,r rlstal ' -': --------------- ... c� r ORE r w r Irw D lm" A I®MO AMM[®IEM a w�Ol tr - •� relt>vas re c.m Dra><r tm mem rMm tot to MYaIrtM a ms�rwL ADn a t�raom w ADaaE®t --__-1CIFu� •lip.•MD A®r R 1K tllp D►MM>tl lt1 A OOP Ew1L IMIr + ATM/ � � •�v� IrYrw 611.B0�M= �/• O 0� •. 5 Ana .rarlmrt Aa lar 9Si w ape.twr p. IBM.. sm LOOM C 1�3 View Avenue mac w1u N 0.E.P.File/SE a �? FRMD FOR ar Jetty ReaRy'hvst L NO sm a 10 E m1E iM01 FORMS A•e Nap Mwt MORM ME MMOO Ape ARE SIM=7D 00NSDPA 1D10MAIMM WETLANDS PERMIT PLAN i OEM SVJMtP W 3-JOL �.�...�.��R LEGEND a SVWW wraps AID swap SPOLL MOM 10 APnlaaE drDMp aoDLs Propo Ad Second Beer •ALL Roar AMF w BE DRS®10 DRY MAI.OR Dr 700am RepalNRewace Stairway aJ o — mac or name d MOM MI FUMOM rMOVIRML HOW MVW w If 0=0 SAM OR sacR WE a sroo SOM tWMM AFFMID tMMRR WIODIG BAXTER NYE ENGINEERING&SURVEYING aq/DN Rp. COMM tM PR MML NOTE FMMp 7.PON*=FM AND LA MIS.Rt0 SMM FEET , RegicDPted Flofes®ottall3aglrmaM and IaEd SurveyarM LI LAre a A PlAMM PLAN SNYL ME MWD M OD6L MM WH ODRSDMM mMA O N 78 Nat SOW-31d Floor,HymDia MMMNtduse M=1 UP"A 4 ttMIIT PcU Ewr w PROACE RED SOLM FM OF MMMM Fham-(M)771-7502 Fax-(508)771-7622 Tract w ALEMMc MCnER GAM tOER GUY ME DATE 9/15/10 e RITE Nw>w 7b 0m 40 t w A.trtMw Mlr N O' SCALE DI FEET 1•-20Nam M mA•p rMlBt • �2009�2009-'0.T9�eurv'DY�r.rl.l.et�2009-•039NOF-a0ddep 2009-M -_ .. 4 It 16 Z, r {, 1. ALL SYSTEM COMPONENTS SHAD_ BE INSTALLED IN ACCORDANCE �..� . .. � , �+,_. �: ' �" �'�, .. �._, ,6r WITH TITLE V OF THE STATE SANITARY CODE DATED APRIL 21, �, _ °- -49 .l, r y . . .T 2006, AS AMENDED THROUGH THE DATE OF THIS PLAN. 'do ANY r ,,,. ., �• ,., . �77 1•-�r� LOCAL RULES do REGULATIONS APPLICABLE. � !F':. ..� .,-c„ • ;t :, •�•"..,,., . _ .� "l f.K. a 1rc_^n, .•:� � `vi. �J'�A. �a.► ' .,�»� ,j �i. � JTA�,E .,HMAR / IL ..- ... LEGEND � •.. -_ _ �., �. �.�;- SE 2.- ANY CHANGE TO THIS PLAN MUST BE APPROVED IN WRITING BY ,.,.__r__.4 __..._��,_.,; �,. .,, ,y�., - SET _ _ THE ENGINEER. ELEVATION INFORMATION MUST NOT. BE CHANGED -... :.. .�•`. •?� = 19.J1 / o� k EDGE OF PAVEMENT :?h, •�a rb .r`-'• ' L�14.; 'I EOP WITHOUT WRITTEN PRIOR APPROVAL BY THE ENGINEER. �D • WATER GATE U /L 68 Qr � .M>i;(�fi- ., � '� � +;::�,•s•. ,-� :°•�., % �.(INIG r pd Dq - • 3. WHEN CONSTRUCTION IS COMPLETED, PRIOR TO BACKFILLING, t ' 4 a CB DH FND CONCRETE RELINE DRI/ o / LL HOLE: FOUND NOTIFY THE BOARD OF HEALTH AGENT AND ENGINEER FOR W '45'S0 W INSPECTION. ',,r "•'�`'---�'ti'�, t '' ' 45 .�- 0 aY U %F s& '2 S W __---- �O ,t. 0 IX LIGHT .:JAL93 WT-icr WATER MAIN / a° " _� �� 4. ALL SANITARY DISPOSAL SYSTEM PIPING TO BE 4 SGHED 40 r.c . WVEN U P 68 2 o UTILITY POLE \ �1 / / PVC. UNLESS OTHERWISE NOTED HEREIN. W ^ + � ; A. o ■ SEWER CATCH BASIN 5. THE PLUMBING WITHIN THE HOUSE WILL HAVE TO BE MODIFIED 1' ce �_ ° 'gCONSTRUCTION. r 11 � FOR THIS PROPOSED C N NSEA d ' WIDE POSTS O STRUCTIO T o 6) CRETE / ■ ELECTRIC METER YOU 1 pN �+- �-, .,•c�., .• • , , L A Q, � HELD) y ►. ^ •.- ,,'n..y.+�•,/�f- - 'y. ems', �'ti_1-'�0 -. � TO THE C '" � �.- � � • . 7 1956 ' f G �- ° GAS METER 6. EXCAVATE UNSUITABLE MATERIAL AS NOTED, ( .• 'r r" . .. r ___ 2" 3S 60 PSIG Ci �� _ _--- 9.p ° + _ " ��rwYl - • ._ .. . �._ _- ._ _ j 1 .--- G �o� -------- D --- -�- • • - __ GUY HORIZON , FOR A HORIZ. DISTANCE OF 5 SURROUNDING THE M AILBox ° g LEACHING FIELD AND REPLACE WITH CLEAN SAND PER 310 CMR _ 15.255 TO THE TOP ELEVATION OF THE SAS. .�* E 952.7 `�, ° ARNSTABLE �>� Q FIRE HYDRANT - - N 6 TOWN OF B � _ - 7. INSULATE ALL PIPES AGAINST FREEZING AS REQUIRED WHEN . ■ EO CB/SEA _°s�, �ti �• '., �� SHED ���,,TOWN LANDING I+,��: Z LOCUS MAP Scale. 1 2OW _ _ LESS THAN 3' OF COVER. FNO L CLEAN SAND. 20. MS WO f ;> CRq COBBLE . o � I ,� `` 8. EXISTING CESSPOOLS ARE TO BE PUMPED AND FILLED WITH GENERAL NO 786.91 f g ��P Fi EDGED '- ' --- --- k J '8 CGiJCRETE POSTS 1.) lIE MIiF1Vr OF.INS PAIN 19 lt) OETAaI PROPOSED NbRK AT LOCUS LUT OF NiORK 5 yE o�� I ' 9. SON* THE CONTRACTOR SHALL CONTACT DIG SAFE (AT FOR SEPTIC I �� ti �9 p�n I / ��, �o =+ PARKING I ° 2) LOCIRS AREA IS COMPRISED OF 1-888-DIG-SAFE) AND UTILITY COMPANIES TO LOCATE ALL QONSIRUCTION I BLE -� WOE -� Qp�F S /--� ' '�_ D I ' ASSESSOR'S NAP 162 PARCEL o26 EXISTING UTILITIES, AT LEAST 72 HOURS BEFORE THE START OF / EDGED S ONE C) r` EXACT LOT 2 O PUN BOOK 195 PAGE 149 rn G/AL r�AY 18) ' RAI `�19 �� z �° TOCKADE ,gyp CONSTRUCTION. THE CONTRACTOR SHALL DETERMINE THE LOT 2 e PLAN B001c 488 PAGE 17 VI1 (EL r^ M1 I , zo BR ' 69 I' ' -pFNCE �,uP LPs4-5o UTILITIIESLOCATION�BEF RE BOTH HTHEZSTART OFONTALLY �ANY WORK. THE LOCATION EXISTING M � � CHAIN L}NK ` EXISTING UNDERGROUND UTILITIES ARE SHOWN IN AN APPROXIMATE o� PROCIR srnEfT ; m v, FENCE \ ( ��\ WAY ONLY, MAY NOT BE LIMITED TO THOSE SHOWN HEREON AND Ate. NA 01720 Ctj i 3' wERHAN OD POST I , HAVE NOT BEEN INDEPENDENTLY;VERIFIED BY THE OWNER OR ITS 3.) PRIMWY BENCIMMRK : AS SHONM ON PUN BENCHMARK: m - 7 REPRESENTATIVE. 35.6 i 18. STEEL GUARD RAN , ,6 RESPO SIBLE OR ANY AND ALL DAMAGCTOR ESSWHICH TO EM GHTYBE PROJECT BOOMW : RY3o EL = 11.87 (NGVM) SPIKE SET a ' LANDSCAPED �, : 19.42 u�P --- = o c 6Q �� +6 +�� �� DESIGN SCHEDULE ELEVATION OCCASIONED BY THE CONTRACTOR'S FAILURE TO LOCATE THE 4.) zoNlrrG MFORIM4TIOII x�x (NGVD) r g HOUSE F.E. - 19. ; �A fC � 6 + r -1�-_ UTILITIES EXACTLY. IF ELEVATION INFORMATION DIFFERS FROM PLAN ZONMIG OISTRICT : RF-t . ' PROPO ' - � ' p� Fd1NDA11�)i LUNG � � � °'----°--BOLLAROs �t�P) 17 INFORMATION,:.THE CONTRACTOR SHALL NOTIFY THE ENGINEER ( R'r wOOD D T EXISTING FINISH FLOOR 19.41 OVERLAY OfSTR1CIS RPOO a AP IMMEDIATELY FOR POSSIBLE REDESIGN. AT UTILITY CROSSINGS, 1 I `, PATIO = 19.E 63.8' -°'---- -�-- %' 'C VERIFY IN FIELD THE LOCATION INVERTS OF ELECTRIC, GAS " MN#NJM � a ,' -----__�s.__ ,-' - SEWER INVERT AT HOUSE 16.6 I Ito l J ' F.E. r '� ' SAC < r,RANITE -moo �� SEWER INVERT INTO SEPTIC TANK 16.4 / MNd, LOT AREA 43 S.F. -+ fa � w s 1STING CE:SSPpp�-S - cI BENGHEs -' - TELEPHONE do DATA/COMM AND RELOCATE IF CONFLICTING WITH - _ O i ` .a SYS S 11ON NOTE f8) SEWER INVERT OUT OF SEPTIC TANK 16.1 PROPOSED INVERTS CONTRACTOR SHALL PRESERVE ENGINEERS UNDERGROUND IRECTION. THE MIN. LOT FRONTAGE 20' o .SEE ------ UTILITIES AS FRONT YARD = 30' SIDE REAR YARD • 15'/15' cn 52•0 ,� + ID GRASS SEWER INVERT INTO DISTRIBUTION BOX 15.9 ', /; 's F STPT - REQUIRED. 5.) A IRE SEARCH W Wr BEEN PE7f IIED FOR INS SRE. F DETEIMO p s any- SEWER INVERT OUT OF DISTRIBUTION BOX 15.7 Z 2 v + - p NK __ - - TO BE NM SSW. A TITLE SEARCH SHALL BE PEAFORIED BY OMM D d '+ ' to LO ' ''" I ,_�'"PST A� - - =; 0. THE PROPOSED UTILITY CONNECTIONS SHOWN HEREON ARE � Z � , , c �1� ., �' - �- F Co ' , ' _ - _ ', � SEWER INVERT INTO S.A.S. 15.5 • 6 TIE PROPERTY LIE MMMTION SIM IS BASED ON CUIBTQR AMINME REn011D m ^? \ " ' s6 TOP O - - _ = SCHEMATIC. FINAL LAYOUT SHALL BE AS DETERMINED B f THE ) /FORIMTION OONSISRIG OF PIANS AtD DEEDS W r 544 tq• ,�� 6 ;t6 •,-, - - - _ " _ BOTTOM OF S.A.S. 13.5 APPROPRIATE UTILITY COMPANY. Z3.52� _ �ESN /, _ - -; _ NO GROUNDWATER OBSERVED TO ELEVATION 6.0 PEWDW BY a +G,WRW AAIIQSr 24. 2009 + ' 9 H W TER 6U __-- "s + _ - - S' m 7.) CO UNM PMEL. M ASM 25=1 0016 D C FLAG , , x- -- 6 _ c __ , IN:FLOOD NIStA011a RAZE IMP DEFILES IHLS AREA AS 201E C AND VI I (EL 18). PO E TR E I + O & ' _ - - -- T-- SOII, LOGS DATE:7/19/ZO10 ,b a) , �Q Wry "` S l BEACH I i •SIZE IS NOT NITIMi AN AC-EC. (AREA OF CRII0L DNIROM MENTAL OONCERN). G i • j a� K _ ;; Q) z CON C. PAD #P-12,997 •SITE IS NOT MR�1 AN AREA OF E3IWTED IMMfAT OF IbWE NIOLEE PER dB/SEAL 11� j i COP`' - 6 Z ----------------_ __ i NiESP MAP 1 TED HABITATS OF RATE NN.DI:lFE" O 4 9 " M H W 4-3-}�) ENGINEER: BOARD OF HEALTH AGENT: FOR 115E WN 1iNW,�iIETLXMM P�RaIEC'IION ACT MIL47 s 310 CNR 10).- (HELD) , co '6 ------- -- _-A �,3JBSFRVED � t -_ ?o Stephen A. Wilson P.E. ( ,, - �___ David W.Stanton,R.S. •�CERiIFID vERNAI POOLS., cEmFm vERJay.Pi001.PER NNESP WP OCroeEJT 1. 2006 to ; ' - ' tr - TEST PIT 1 TEST PIT 2 J -�_3--_ •SIZE 6 Wr WM A PWW NOW PER NHESP WIP OCIOBER 1, 20M 'PI1101UIY - G.S.E. = 19.0 t G.S.E. 18.0 t •« A,,,, *� ►Mamas OF ME -FOR OM WM 7W w��ManS E� Leaching A ea Requirements SPECES ALT, REGUTAIIONS (321 C RID). p - oBSER _- _-- -------`- � -- -'- +?, ?� 3 BEDROOMS AT 110 GPD BEDROOM = 330 GPD I10T iNRI11 STATE APPROYm 2dE GROUND NMTER RECIMRG'E PROTEC11oN + __ _ __ --s----- ' •SITE 6 Wr TIMW A ZONE OF OMNIRJBIIIION 70 A SALTNNTER ESRMRY(8.01L RE& M-45X p 0" NO GARBAGE GRINDER s•) - z AP Ap -3 r� •TIE COMT W70R SHALL CONTACT DIG SAFE(AT 1-80-01G. SAFE)NO UWTY C3PAfE510 LOG11E Sandy Loam Sandy Loam PERC RATE _ <5 MIN. / INCH (CLASS 1 ) ALL DWW UWIIE$, AT LEA8T 72 HOURS PRIOR TO INE START OF OOIISMX710K THE LOCATION OF $" - 10 YR 3 3 10" 10 YR 4 3 E I SIMIG UIDERG'RO M MEWS RUCIURE; UMES, COND M AND LIES ARE SHONN IN AN APPROIMMIE ' -- ° LIAR = 0.74 GPD/S.F MY ONLY wY NOT BE LYIED TO(NOSE SI ONM IERE)�I AID IMYE BEEl11 RESEVIDI D BISED ON TEE Z B B AMLABIJ:LIMY RECORD6 NOTED HEREON 1HE OON1R�f,'IOR AGREES TO BE FULLY RESPOIf56lE FOR MIN. LEACHING AREA OF S.A.S. ANY AND ALL DAWGE.S WM UM BE 000ISIONED BY THE CONIRICIOR'S FNIM TO LOCAIE SAD Sandy Loam Sandy Loam WR1S'IMMIRE MD URIIET DOCR.Y. F MD COf NIM OFFERS FROM RM WORM00K TN: CONIRWM R SHALL WW TIE EHG W NNE MIELY FOR POSSRE RE1ES161L / 330 GPD/ 0.74 GPD/S.F = 446 S.F. MIN. � _ -______-- ✓Dc� of •�� • 22" 10 YR 6/4 20" 10 YR 6 4 y � • Ep •LOCATION OF 00SIMrG CESSPOOLS FROM SEPTIC NVSPECTION REPORT BY SEPTIC SYSTEM oes E of wq r '� C C PROPOSED SYSTEM: 6 N CULTEC RECHARGER 330XL SERVICES COMPANY: DATED UN" 21, 2010. MHw ; +g D ER�Q 4_pR Medium Sand Medium Sand CHAMBERS WITH 1 STONE ON ALL SIDES (2 EFFECTIVE DEPTH) • WM LNE AppMp IS BJ�ED ON o7-T ON N -1> 10 YR 5/6 10 YR 5/8 RECORD AT' .. @ ��. . iFE CENIERN.IF--069ERYN1E-1MRSIarS MM1S MATER DEPARIIENT(SERVCE o 5O oo SIDEWALL AREA (44 + 6)2 x 2 DEPTH= 200 S.F. DATE 4/t/6e� q M. PERC A s5 NO WATER ENCOUNTERED BOTTOM AREAS (44' x 6') = 264 S.F. •OlS LINE KORIM110N PER NAIIOIML 6RD MJIP PMVEO ON AUGUST 2a 2ooa. _ �J RATE= <5 MIN/iN (Et_ 6.0) TOTAL EFFECTIVE LEACHING AREA = 464 S.F. ° " • ELE'CW LINE N�ORNAWN PER NSTAR ELECTRIC WP SHONIIIG OVERHEAD SERVICE FROM E 140 144 SEPTIC TANK SIZING: 330 PRD x 200% = 660 GAL - USE 1500 GALLON SEPTIC TANK H-20 POLE 68/2 V _ SITE LOCATION: 6 I CERTIFY THAT IN APRIL 1995, 1 HAVE PASSED THE SOIL EVALUATOR EXAMINATION APPROVED BY THE 15 Sea VI@'W Avenue Q� A FINISHED GRADE DEPARTMENT OF ENVIRONMENTAL PROTECTION AND THAT THE ABOVE ANALYSIS WAS PERFORMED BY ME N „ „�- \ \ \ \ \ CONSISTENT WITH THE REQUIRED TRAINING EXPERTISE AND EXPERIENCE DESCRIBED IN 310 CM ftteMlle, MA 36 MAX.-9 MIN. \/\//�'/�/\/�'/��j\//�' �'/ / COMPACTED FILL R 15.017. EDGE 0� 41'A,TER t_ .: :. . :. :. . . :. ... ..::. . . . . . . . PREPARED FOR \ p ..........:..................:....... SIGNATURE, DATE v zor� 2" OF PEA STONE � ;::::::::.�.,:.:.,......... OR FILTER FABRIC „ „ 3/4 TO , 1/2 Bertolam� DOUBLE AW TITLE WASHED STONE IIASFED Septic System Upgrade 1' 4' 1' DIST. LINE IN _ 6 N CtXTEC 330XL ip SECTON BAXTER NYE ENGINEERING & SURVEYING PLASTIC LEACHING CHAMBER DETAIL Registered Professional Engineers and Land Surveyors CULTEc NO SCALE EQUAL 78 North Street- 3rd Floor, Hyannis, Massachusetts 02601 44 PLAN VIEW Phone- (508) 771-75M Fax (508)771-7622 ,`(A OF Pq CONSTRUCT ACCESS MANHOLE OVER INLET TYPICAL SYSTEM PROFILE T AT LEAST 20 O 20 40 �� ST HEN ,9cyGn FINISHED TO TANK 0 FLOOR EL I FINISHED GRADE = 18.0E WITHIN 6" FINISH GRADE NOT TO SCALE SCALE IN FEET Board of Health ,"-20' G.30216 D.E.P. File #SE 3-055 (Proposed House) = 9 9 o Q ADJUST COVER 70 6" BELOW GRADE= 19.41 F `c FINISHED GRADE OVER TANK = . 18.0E FINISHED GR40E 0 _ '- VER D. BOX - 18.St INSPECTION PORT TO /ONAI E FINISHED GRADE OVER LEACHING TRENCH = 19.0t 3" BELOW GRADE Order Of Conditions Expires: 12-1-2014 8"MIN. VARIANCES REQUESTED: P� 9" (min) Cover 4" SCH. 40 PVC .3` min. 4" SCH. 40 PVC FIRST 2' (TO BE LEVEL) 36"((max) Cover g3� TYPICAL ,TITLE V e"(ITI�II. ® 2.0% OL2 min then 0'2.0% 2"Layer 1/8"to1/2" ® 2.0% PVc or 4 SCH. 40 PVC Peastone �,� 310 CMR 15.211(1) - TO ALLOW A SAS. TO BE 5 OFF A 110 ' cl TEES 14` PROPERTY LINE IN LIEU OF 10'. Conservation Commission / / INV. IN.=15.9 6" SUMP ■ ■ ■ FINISHED INV. IN.=16.4 INV. IN.=16.1 - ss on DATE. 7 21 10 BASEMENT GAS BAFFLE INV. IN. 15.7 FLOOR = , :::••": �.:.s•-".'. .:. •: :. 4" PVC/ 3 SRN► 8/30/1 ADD RESERVE AREA PROPOSED MUSE BARNSTABLE BOARD OF HEALTH 2 SAw 8/3o/t REVISE sEPnc srsrEll LocATION REINFORCED CONCRETE 6" CRUSHED DA���� STONE INV. IN.=15.5 FoonNc . . . -. - CHAPTER 360-1; SETBACK REQUIREMENTS - TO ALLOW A SEPTIC TANK 1 SARI 8/16/10 REVISE SEPTIC SYSTEM 777 -' -= `'` TO BE 78' FROM A COASTAL BANK IN LIEU OF 100' AND A SAS. TO BE Negative Determination Issued 9 8 2010 N0. BY DATE REMARKS 9T FROM A COASTAL BANK IN LIEU OF 100'. g / / DRAWN BY: MTM DESIGNED BY, SAW ICHECKED BY: SAW ORAWNG NLUM 5'IMIN Determination of Applicability Expires 9/8/2013 1500 GALLON SEPTIC TANK (H-20) DISTRIBUTION BOX 1 No Groundwater Observed o EIev. 6.0 Variance granted by Board of Health on 9/14/2010 0:\2009\2009-039\survey\worksheet\2009-039RDA.dwg TO BE INSTALLED ON A LEVEL STABLE BASE TO BE INSTALLED ON A LEVEL STABLE BASE 2009-039 {t .�� s .t47i $` } r r � 8,,40 Bay L f(�t�.,• t j v a 1 •I,N>t� . tN6�fi ~t � '�.:�'y �t ti �t�sr•..L��t, Oweh ,j i 13 SE K• P-pl_ ENCH STAKEEL. = 19.71 � ►.A (NGVD) 4 x 4 TREATED POSTS l UP/LP68/1 g 9' ON CENTER e 'i "�`A. >t;:;�,.,P ~• ` ,�p •`'�!v�•' SITE 4 ALLOW 1" SPACING BETWEEN STAIR TREADS :'tll`�`► '*�"'I~'(':,5 ,, `^ ��• I f U/P 68/2 S W W r RELATE SLOPE OF STAIR > + _y, W ' WATER IN W10 MA w TO SLOPE OF GROUND y' ' EEXISTINVIEW AVENTJ GRADE ^ 'oySEACB/DH y,,§ 2" x 4" HAND RAIL • %*M D `� 2" x 4" KICK RAIL `. MUS MAP Scale: 10 0 1931 E/tYOUTI r+� FN r'� ti PSIG 1956 G G i (H�� "a�� `° a �^ �' ? 2" x 12" TREADS OR "PROCELL" PLANKING 2" BS 60 �_ G_ — - ' ------------ `� ,�' h. hSnP/iV ? 2" x 4" CLEAT OR DADO GENERAL NOTES : _ - -- .._._X :ws�, � GALVANIZED BOLT ®A�t� � �7 —Xda `r` ,�,a CONCRETE BLOCKS 0 —X � _ 1.) THE NVIENf OF TMS PLAN IS TO DETAIL PROPOSED MtORK AT LOCUS 50 95 �� -'• — — �� N ,�•� �E OVABLE END SECTION 2.) LOCUS AREA IS COMPRISED OF EOP S o CB SEAL . `,.`� a a a (IF REQUIRED) SHED � �:+�,c�,r .`�����' �'� . ASSESSORS MAP 162 PARCEL 026/002FND � 9 %R % ,� LOT 2 O PLAN BOOK 195 PAGE 149 (HELD - EENCE ��.' -- �� -\ % I �'� " ,. ��,� LOT 2 O PLAN BOOK 488 PAGE 17 I�• WOOD o � �% ,.- � 7Li6.91' - llAp MVRK �lJ o ����1P' �q / ,� CARRY POSTS 5' BELOW GRADE APPLICANT: 6 PROCTOR r +� �i _��ti �9 m owo I / COHBLE = I -t 144 ELEVATED STAIRWAY DETAIL ' 017� \ {!vA TwAr \ P s • 25 Z I 3.) PRINNtY BENCHMARK : AS SFiONIN ON PLAN EDGE111 D c� — --_ -I YBACK� NE o RAIN %y 6:9 O N.T.S. EL 11.87 PROJECT RDICHIMM : RM30 ,p BR II � �., NGVD29 i i OD / "6`9 g� 4•) ZONING INFORMATION • �' 3` OVEp`jANG , to I ZONING DISTRICT : RF-1 (ReWdWi6d) �n BENCHMARK: rx % �� Z rn �• OVERLAY DISTRICTS RPOO O AP SPIKE SET .9 pED % EL. = 19.42 up to LANDSCA 6, � A?Eal W OILD LIALL7NIK• p C --4- MOM" ZONING REQUIREMENTS (NGVD) w r g G C C x 6� '- fr*1 MN. LOT AREA - 43.560 S.F. c•°i �� S I ' ApiD SECOND DWELLING � /VEM'LAIYDMAiC � � MN. LOT FRONTAGE - 20' 3 I \\ • STONE 1-STORY WDOD - U 2 � � ` � P '' F.F.E. 1g.14' 15 63.8' LOT FRONT YARD = 30 SIDE O REAR YARD = 15%15' '' I i15 �s -r> u'� L 1 I 5.) TO BE WCE'SSAW,A SEARCH SHALLSiNLL BE PERFORMED BY OTHM PROPOSM � P.B. 195 PG 149 x 0 _ �'� '� Llwr GIB Nt71P1�C ' , 544 sq. ft. cn 52 0`, . 22 S. Z , 1� $ S '�u z ," ,��� 0.52 Acres 6.) THE PROPERLY LIE W ORNAWN SIM IS LIIISED ON CURRENT NAA.ABLE RECORD P�ne AREA TO MEAN TW 00 TTON CONSLSTIS of PLANS AND WERE TIE ExIsrIIG FFi1TURES SHOWN HEREC�1 ItI:RE 08TANED FROM AN ON 1HE GROUND FIELD SURVEY PERFORMED BY BAXIER W ENGIEERIIG & SURV M ON AUGUST 24, M v -*1 a �� +,ter �, + ,-��� '6 HIGH WATER r �o ' - t,t 7.) COMM N TTY PANEL NUMBER: 250001 0016 D FF 1 - 6 i P14 LiUVaNV IG5 TIE FLOOD MS"ICE RAZE MAP DEFNES TM AREA AS ZONE C AND W 1 (EL 18). - ; v0 _ t/) C G' , ' __ �5, _ •SITE IS NOT WTHIN AN A.C.EC. (AREA OF CRIR(.AL MA WNMDffAL CONCERN). ,ems cSrAIRWA r ' �S' %d'---� `M1 -- - t� • SITE IS NOT I1111/i AN AREA OF BS'07ED WMIAT OF RARE KDLIE PER OCfCEER 1, 2008 TSTWTED WWATS OF RITE WtOL FE' _, _ ,.:_ n :4 i • g�lA - _ fL _ _ _ _ M MI M L,T E MA WM MOS PRMEC-"'j ACr'&"ir�fRAA11 IS (310 CW itS).' R5 PL _ _ IC (HEM) � �. Z PDo1. ,..�?% � `. `;' �� �'; ,_ - S - v 6 � •511E DOES NOT CONTAN A CERTIFIED VERNAL. PER NHESP MAP OCIOBER 1 2008 --- 'CERIEIFD VERNAL. POOLS.• N `' - 4� - -- -- •SITE LS NOT NIM A PRIOR W M MAT PER NHESP WP OCT�R 1, 2006 •PRIOR111' W1 MIS OF RARE SPECIES-S- FOR SPECS LWOER THE WISSACNUSETPS OVOIG'ERED - SPECKS ACT REGlM110t�LS (321 CMR10). ST p,IR + c8---'----- .,� .STYE IS NOT VW A STALE APPROVED ZONE' I GROUND OILER RM*RGE PROTECT DON AREA ------ --"- -- , -- --- ` , Qr P •SITE IS NOT IL►IM A ZONE OF OONLRDUflON TO A SALIIMTER ESTIAARY (8 O.H. REG. 3W-45). kS - 2 Q of 9.) Uff MFORIUTION SHOW FE F"t �' - - - •THE CONTRACTOR SIMLL CONTACT DIG SAFE(AT 1-898-DIG-SAFE) AND UTILITY COIPMIES TO LOCATE -" -3 Q, ALL E 0SM UWTEs, AT LEAST 72 HOURS PRIOR TO THE START OF CONSIRUCTION. THE LOCATION OF EXISTING UNDERGROLIO 01FRASTRUCLIIRE; UR111ES. CMOUMS AND LIVES ARE SHOWN N AN APPROXMNTE -~ _ Q Q MY ONLY, WY NOT BE LWED 70 CHOSE SHOWN HUM MO NAVE BEER REXAROIED BASED ON THE +. _- -- _ .. . AWL40LE UTIM RECORDS HOLED HEREON. THE CONTRACTOR AGREES TO BE FULLY RESPONSIBLE FOR ANY AND ALL QAMACfS NTiCH MKiIR BE OCGISIONED BY THE aDI1IRACTOR'S FAUIfE TO LOCALE SAID NFR4STRUCIIJRE AND UTtW EXACLLY. E FIELD CONDITIONS DIFFERS FROM PLAN NFO WTION, THE 1ER CONTRACTOR SHALL NOTIFY THE ENGWM A#AVATELY FOR POSSIBLE REDESIGN. VD • flERE IS NO RECORD AT THE BOARD OF WAL.TH FOR A SEPTIC SYSTEM. • OTER LIE AND APPURTENANT OFMOITION 6 BASED ON SIETCH 0-mv-T ON DATE 411166). MHW : 4- RECORD AT THE COVIERVNLE-OSIERV�lE-WIRSIONS MILS DATER DEPA OOff (SERVICE IV D O OtJXD •W LIVE P FDRW710N PER N 70K GRID Ww PROVIDED ON AUGUST 28, 2009. • ELECTRIC LINE INFORMATION PER NSTAR ELECTRIC MAP SHOWING OVERHEAD SERVICE FROM POLE 68/2. o E z K SITE LOL;ATION: XT U 15 Sea View Avenue �r o � ost�lie, Ma D.E.P. File #SE 30 /�! EDGE of WATERPREPARED FOR CONSO VATroN NOTES: Jetty Realty Trust "of Mgs�9c I. NO WORK IS TO BE DONE UNTIL FORMS A & B ALONG WITH REQUIRED nu ALLY m PHOTOGRAPHS.ARE sLJBMrrrED TO CONSERVATION COMMISSION. . . MIETL,AHDS PERMIT PLAH N .30216 2. DOSTING STAIRWAY: SE 3-2426. �a ---� o,�9�GISTEP�� 3. STAIRWAY LANDINGS AM SPACING SHAD. CONFORM TO APPLICABLE BUILDING !CODES. Proposed Second Floor FsS�QNAL - LEGEND 4. ALL ROOF RUNOFF TO BE DIRECTED TO DRY WELLS OR DRIP TRENCHES. Repair/Replace Stairway , —'EDP — EDGE OF PAVEMENT 5. REMOVE DASTING PAVED DRIVEWAY. NEW DRIVEWAY TO BE CRUSHED STONE s o OR OTHER PERMEABLE MATERIAL I� WATER GATE 6. SEPTIC SYSTEM UPGRADE APPROVED UNDER DH-1o04s. BAXTER NYE ENGINEERING & SURVEYING CB/DH FND o CONCRETE BOUND/DRILL L HOLE FOUND 7. PROPOSED PATIO AND LANDINGS = 210 SQUARE FEET Registered Professional Engineers and Land Surve o1'S Y ix �� e. A PLANTING PLAN SHALL BE PREPARED IN CONSULTATION wmN CONSERVATION COMMISSION 78 NOrth Street- 3rd Floor, Hyannis,Massachusetts 02601 U/P 68/2 -0 UTILITY POLE STAFF TO PROVIDE 420 SQUARE FEET OF MITIGATION. y Phone- (508) 771-7502 Fax - (508) 771-7622 ■ CATCH BASIN e ELECTRIC METER of GAS METER —� GUY WIRE , DATE: 9/15/10 Q FTRE HYDRANT 20 0 20 40 1 SW fO/20/t AW wl� UM Now MOO SCALE IN FEET N0. BY DATE REMARKS 1"=20' DRAWN : MTM DESIGN : SAW CHECKED BY; SAW DRAWING NUMBER 0:\2009\2009-039\survey\worksheet\2009-039NOI—add.dwg -- _-- =-- 2009-039 WINDOW SCHEDULE 1. CONTRACTOR TO VERIFY ALL WINDOWS WITH OWNER AND ROUGH OPENINGS NOTES. WITH WINDOW MANUFACTURER PRIOR TO ORDERING OF WINDOWS 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS TYPE MANUFACTURER'S UNIT ROUGH OPENING REMARKS 2. ANDERSEN A-SERIES IMPACT GLAZING WINDOWS WHITE EXTERIOR W/ HIGH PROFILE EXTERIOR I ECC2009 RESIDENTIAL ENERGY EFFICIENCY DETAILS A ANDERSEN ADH2654 2'-6" x 5'-4" DOUBLEHUNG & INTERIOR GRILLES. LOW-E HP 4 GLAZING W/TRU-SCENE SCREENS & METRO HARDWARE & DIMENSIONS IN THE FIELD CLIMATE ZONE 5A (USE EITHER PRESCRIPTIVE VALUES OR RESCHECK CALCULATION 2.) CONTRACTOR TO VERIFY ALL INTERIOR & EXTERIOR MATERIALS, B IfCUSTOM 1'-6" x 1'-6" CIRCLE TABLE 402.1 .1 (MINIMUM PRESCRIPTIVE INSULATION & FENESTRATION REQUIREMENTS) �� DETAILS, & FINISHES IN THE FIELD WITH OWNER C AAN2424 2'-4" x 2'-4" AWNING FENESTRATION SKYLIGHT CEILING WOOD FRAMED WALL FLOOR BASEMENTWALL BASEMENTSLAB CRAWLSPACEWALL D " " ADH3054 3'-0" x 5'-4" DOUBLEHUNG U-FACTOR U-FACTOR R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE R-VALUE 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT � �� �� 6� �� FIRST FLOOR TO BE 6'-8" ABOVE SUBFLOOR E ADH3060 3-0� x -0 DOUBLEHUNG 0.35 0.60 3e 20 30 10/13 10(2 FT. DEEP) 10/13 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS F ACW2034-3 6-0" x 3'-4" CASEMENT MULLED FALSE CHECK RAIL NOTES: STATE BUILDING CODE, 8TH EDITION AMENDEMENT & IRC2009 G ADH2454 2'-4" x 64" DOUBLEHUNG 1. R-VALUES ARE MINIMUMS & U-FACTORS ARE MAXIMUMS. 2. 10/13 MEANS R=15 CONTINUOUS INSULATED SHEATHING ON THE INTERIOR OR EXTERIOR 5.) THIS PROPERTY IS IN FLOOD ZONE Vtl ELEV. 18.0 FEET H ADH2640-2 5'-0" x 4'-0" MULLED DOUBLEHUNG PLYWOOD PANELS OR FABRIC SHIELD OF THE HOME OR R=13 CAVITY INSULATION AT THE INTERIOR OF THE BASEMENT WALL 6.) 110 MPH EXPOSURE C WIND ZONE J ADH3048 3'-0" x 4'-8" DOUBLEHUNG STORMWATCH FOR THESE WINDOWS 3. REFER TO IECC 2009 CHAPTER 4 FOR ALL INSULATION &ENERGY REQUIREMENTS 7.) ALL SHEETS OF PLYWOOD WALL SHEATHING TO BE INSTALLED VERTICALLY, K ACW2044-3 6-0" x 3'-4" CASEMENT MULLED FALSE CHECK RAIL OR HORIZONTALLY W/ BLOCKING AT EDGES, 3"EDGE/12" FIELD NAILING L " CUSTOM 2'-4" x 6'-9"± PICTURE VERIFY HEIGHTS IN THE FIELD WHEN 8•) ALL LVL LUMBER/BEAMS TO BE 1.9e U480 LOAD M FRAMING AFTERCUSTOM 2'-4" x 4'-9"± PICTURE WINDOWS AT 68"ABOV LANDINGS.UNG 9.) SEE CERTIFIED PLOT PLAN DEVELOPED BY BAXTER NYE SURVEYING & N if CUSTOM 2'-4" x 3'-9"± PICTURE ALIGN GRILLES IN EACH WINDOW TO ENGINEERING FOR ALL PROPOSED & EXISTING DETAILS MATCH. 10.) FOLLOW ALL MANUFACTURER'S SPECIFICATIONS FOR INSTALLATION OF ALL P ADH2644 2'-6" x 4'-4" DOUBLEHUNG SIMPSON COMPONENTS 11.) ALL CONCRETE USED FOR FOUNDATION WALLS, FOOTINGS & SLABS TO BE 3000 PSI 16'-8"t 15'-4"t 28'-O" 12.) VERIFY ALL PLUMBING & ELECTRICAL DETAILS W/ OWNERS ON THE SITE DURING FRAMING CONSTRUCTION 8'-6" 8'-z' 2'-8" 3'4" 3'4" 3'-4" 2'-8" # 3'-5' 3'-2" 11'4" 2-10" 3'-0" 4'-2 13.) THIS SITE IS IN THE 110 MPH WIND BORNE DEBRIS AREA, EXPOSURE "C" C & WITHIN ONE MILE OF NANTUCKET SOUND PER STATE OF 3'-4" A6 3'-4" MASSACHUSETTS WIND SPEED MAPS 14.) GLAZING PROTECTION PER 780 CMR 5301 .2.1.2 TO BE IMPACT GLAZING 7'-s" E E E E 7'-s" VERIFY ALL WIND BORNE DEBRIS PROTECTION REQUIREMENTS W/ OWNERS PRIOR TO START OF CONSTRUCTION TEMPERED TEMPERED TEMPERED TEMPERED 15.) TIMBER FRAMING TO BE SPRUCE/PINE/FIR NO. 2 GRADE I D 16.) PROVIDE UTILITY INSTALLATIONS FROM STREET TO NEW HOUSE b ANDERSEN ANDERSEN � A6 THIS WALL TO BE FRAMED WITH A-SERIES A-SERIES VIA UNDERGROUND CONNECTIONS TO COMPLY W/ALL LOCAL CODES 1 3/4"x 5 1/2" LVL STUDS FROM IMPACT GLAZING IMPACT GLAZING FLOOR TO CEILING,BALLOON 6068R 6068LLL 17.)ALL EXPOSED SIMPSON PRODUCTS & FASTENERS TO BE MADE OF STAINLESS STEEL FRAMED W/BLOCKING. b b a AZEK DECKING 18.)ALL AZEK TRIM TO BE PAINTED WHITE & ALL JOINTS/NAIL HOLES SEALED. B ° SUNROOM °N (VERIFY COLOR) 19.)ALL WINDOWS & DOORS TO HAVE SILL PANS & ICE/WATER SHIELD FLASHING b A6 13° 9'-9 3/4" Lo b L in `3"'—'-0" G b 2'-7 7I/8G" 2'-7 7/9G' b1'-6" SIN F r --n jJ j L b CL DW O O D BUILT-IN II II BUILT-IN (D RANGE CABINETS CABINET ALL SKITCHEN GAS FIREPLACE 9z TEMPERED (VERIFY KITCHEN VERIFY ALL DETAILS MFR. &MANTLELAYOUT W/OWNER) W/OWNERS 34 GAS FIRE PL ACE MASTER 4'0" VERIFYDETAILS BEDROOM 64 ISLAND MFR. &MANTLE LIVING "' 3' " — — — — — — — — D tbv cn -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- I I I ROOM I( W/OWNERS IREF 12'-4" 6-5" 7'-8" 2'-5" 3-5' UP BUILT-IN C CABINETS ZD ( O© pOOR rm © z OMUDROOM B" DIA. COLUMNS ICLOS. x A CC NcZ_�7 oN ao © III N PCjE © 3'-8" — — — LINE OF S.F. bo ••• bo DINING ABOVEFOYER 3HO ER )FFO O L - - - _ - - - - � x ROOM N N I ZV N y OPEN TO ® ? I z FT � ABOVE a W.1.C.6. I PDR. x UP � MASTER OUTS EN W. PO C m ROOM BATH I ORWI��NSOMAgp X�pVg in S.L. S.L. U W/D A „ O.N.00 a b A A fb N MASONRY 9,0" STEP N pOR N I TRP 4SOM PgpVE A A b _ A A D p.N.D A6 oz RWI�RPNSOMPgpVE 9' 0" A6 ABOVE COL°UIMN 90"X p.H�pOA. OF 2.0„ 5'-5" 8'4" 4'-7" 0" 3'-2 3'-2 0" 4'-7" 8'-0" 5'-5" 5'-0" 6-9" GANG' C APR©N wo. 35' 01'-10" 3'-41/2 18'-0" 8 18'-0" 9'-0' p. 5'-2 1/2" 44'-0" 16'-C NEW FIRST FLOOR = 1915 S.F. NEW SECOND FLOOR = 1420 S.F. O SMOKE DETECTOR TOTAL S.F. = 3335 S.F. CARBON MONOXIDE DETECTOR I E TOR FIRST FLOOR PLAN_ © C GARAGE = 840 S.F. ® HEAT DETECTOR UNFINISHED STORAGE = 968 S.F. REVISED: 10/24/2012 FOR FLOOD ZONE NOTE 5 THE DESIGNER SHALL BE NOTIFIED IF ANY ERRRS OR OMISSIONS AE FOUND ON ' COTUIT BAY DESIGN, LLC THESE DRAWINGS PRIOR TO START OF SCALE : DRAWING NO. : RUCTION. THE BUILDING 43 B REWSTE R ROAD • WILL CON BE RESPONSIBLE FORT E CONTENTTOR IN THESE DRAWINGS IF CONSTRUCTION 1 /4" - 1 '-0" MAS H P E E ,MA. 02649 COMMENCES WITHOUT NOTIFYING THE PH. (508) 274-1166 JETTY REALTY TRUST DESIGNER OF ANY ERRORS SOLELY OMISSIONS. THESE DRAWINGS ARE FOR THE FAX 508 539-9402 OF THE OWNER NOTED.ANY OTHER USE OFE DATE : THESE DRAWINGS REQUIRES THE WRITTEN 15 SEAVIEW AVENUE OSTERVILLE , MA CONSENT OF THE DESIGNER UNDER THE 8/2 3/20 1 2 ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 1990.