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0100 SETH GOODSPEED'S WAY
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O N ' 3 0 � z w uzi twit �I m d EXISTING EX RIOR WALL ob NEW 12 WF 35 STEEL BEAM o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 C] a EXISTING EX RIOR WALL F o _z aa¢ z NEW NEW 4x 6 EXISTING SECOND FLOOR 10'WIDE z u COLUMN NEW BEAM TO SUPPORT THE SIDE OF NEW Ca p z w SECOND FLOOR AND FACE WALL 4x 6 >z o COLUMN o a a 29' SEE DETAIL F=+ a g �w B <� EXISTING FIRST FLOOR E 0 U FULL BLOCKING FULL BLOCKI G m FROM BEAM TO NEW FROM BEAM TO y m FOUNDATION FOUNDATION 3.5"CONC. x LALLY COLUMN EXISTING 0 F cmi w NEW FOUNDATIO Ea-N O 2'X2'X6" Q m CONC. 5 PAD z u'w °o m c � A o m m SECTION LOAD BRIDGE OVER ANCHOR BOLT. o a�ZH OF,fU o� rya COLULMN LANDS ON ANCHOR BOLT. n x o CULVE CUT ROD OFF AT NUT. CUT A WASHER w z SwNK SIZE HOLE IN A 2X6X12 AND PLACE w r+o.mo9t H OVER THE WASHER/NUT/ROD. a Q PLACE 2-2x6x 12 ON TOP AND UNDER w 0> ui F'r't/ONALG` THE 4x6 COLUMN. o W a aWo a a 2 0 a s 12 1s E AIL NOT TO SCALE o �A SCALE 1/4-=1' 9 a Town of Barnstable Building _ BAMSrAgM Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept �.t63p. Posted Until Final Inspection Has Been Made. Permit �� 1 ' Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-652 Applicant Name: GISELE DUARTE Approvals Date Issued: 05/05/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 11/05/2020 Foundation: Location: 100 SETH GOODSPEED'S WAY,OSTERVILLE M_ ap/Lot: 122-089 • � _ Zoning District: RC Sheathing: Contractor Name Framing: 1 Owner on Record: GERMAN,ANN E � �;� Address: 114 LINCOLN ROAD i Contractor License: , 2 HYANNIS, MA 02601 T- - Est. Project Cost: $40,000.00 Chimney: Description: ON BASEMENT WORK WILL BE TO ADD FLOOR AND DRY-WLL TO Permit Fee: $254.00 WALLS TO FINISH SPACE TO BE AS LAUNDRY AND RECREATION �I i Insulation: Fee Paid: $ 254.00 ROOM Final: ON FIRST FLOOR,WORK WILL BE TO REMOVE INTERIOR PARTITION_ _ Date:r 5/5/2020 BETWEEN KITCHEM, LIVING ROOM AND TV ROOM AND EXPANDING / ( 'TV ROOM INTO GARAGE. ON 2ND FLR.WORK WILL BE DONE TO Plumbing/Gas ' �`' EXPAND EXISTING CLOSET IN ONE OF TH EUPSTAIRS BEDROOMS g g: ( _ _ _ _ � Building Official Rough Plumbing: Final Plumbing: Project Review Req: PLANS SUBMITTED ATTACHED EMAIL. NO ADDITIONAL SMOKE DETECTOR OR UPGRADE PROPOSED OR REQUIRED. \1 Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access itreet or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. ' 11 ' �' Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed S�fA•!Np�A�i VY V�® Low Voltage Rough: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection _ a_ v S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. Fire Department "Nersons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 1U14L)11VG ............Application Number.Z.....C? 0 0 . ....................... RNerABLE, MASS. Permit Fee.................................Zoning District........................ TotalFee Paid ............................................................... ...... TOWN OF BARNSTABLE Permit Approval by...... ( ......................On... BUILDING PERMIT Map.......................................Parcel................(307 ............................. APPLICATION Section 1 — Owner's Information and Project Location Project Address 100 Village 05-Tc-(,,,( c Owners Name G iSCL(z 0Qa JU.Jork, SCANNED-- Owners Legal Address 1 L;c-3,7QoL, City State J-) Zip 6 0 1 Owners Cell # S0$ a'80 E-mail s Q Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate [] Accessory Structure E] Change of use El Demo/(entire structure) V] Finish Basement EJ Family/Amnesty 'E] Fire Alarm Rebuild EJ Deck Apartment El Sprinkler System Addition ❑ Retaining wall ❑ Solar Renovation El Pool El Foundation Only Other—Specify Section 4 - Work Description ba;�Cmex* . U)Crv- Aji I\ 1Qe AD acjc! �JQOV- a� d" -w,za -kin WA , L-,,Csi�b fl?xe -�n )ax krizeci a5 \a*-VAru ar�8 Or-, �-i -0 be 5k.-,,A:5 �Qe A MXMCG Last updated: 1/31/2020 Application Number.................................................... i Section 5—Detail Cost of Proposed Construction `-1►Q. a Square Footage of Project -3. 5M ,a7 Age of Structure Dig Safe Number # Of Bedrooms Existing 3 W— Total # Of Bedrooms (proposed) ,�6�D 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6— Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply El Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8— Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) i Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑, No Last updated: 1/31/2020 Application Number........................................... Section 9 — Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date Section 10 —Home Improvement Contractor Name Telephone Number Address City State Zip Registration Number Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption 'Home-Owners-Name: Q O Telephone Number Cell or Work Number q)� 2tO t�) 1 understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 78 R and the Town of Barnstable. ,, I Signature Date .00 2" APPLICANT SIGNATURE -Signature J 'UL Date '�" c--Print Name -T�;L:o O,,ac-TE Telephone Number -t `1 - 8~011 y �E-mail permit to: p�g-cs-�oo(sPdHo Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department C Zoning Board (if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approvak Section 13 — Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner date Print Name . i Last updated: 1/31/2020 SCANNED HOUSE REMODEL 1 00 SETH GODSPEED WAY, OSTERVILLE9 MA j HM C SAINK —-—-- —-—-—-—-—-—- -—-—- TY ...........PICAL MOTCB: 57 Ct:l STREET. MIDD a GRO.MA T�___-___-II' —-—-_'I'__ —- Frm "NAI.L4 V=n .............. T14— NO.OF COMMONG NAII WINDOW AND EXTERIOR DOOR SCHEDULE ..ol FRAMING WINDOWS MARK I:L NO.R....01 MA"U—ITUIIR U.— .MAR— --T... WALL FRAMING A NIT8 TOINATCH EXI—I.. V=1 A r a, .......... ._WA ADjACENT ......... r x V I' ................. FLOOR FRAMING V EXTERIOR DOORS I ...... OR..MILA. COLONIALW... I R.....L ALL"R. OW8 TO ee ANDERSEN 400 WITH COLOR HOT D-11NED AND SIMULATED DIIIOED LIBHTG IN.—, ..Ol VsNyLe.4eRjoR`AN PR.MED INTeRIDR.BATHROOM WINDOW^NDWINDOWB BELOW'T.or TeMpe.... ... ........... uvwp 6 oIe HLLHRT. WAY:OBTCRVILLe.MA C CI LINO BH6ATNINp WALL SHKATHINO OWD.TI CC— PERMIT SET COVER R...11........W ..P... R =741— L D my[p If Aq�• it °I m lz °a i °0 ! m Da I� i j� aEI z C I it mai ;A II I i I o m^m 'o42 ° i• j , i mDO 2 n -.. .. ..._ = ..° is I. _ 0 n i z v •°aa n° P 6 ( s• ° m in- 2 Z. it.i j oho 1cl n f I Q�• 2 °" n< iF B ily° — — � �" •" � i II r ° =o° 3 I� �� �• � ! a •! �i � ° "1 f i 1 ,, ni n• =y� °� r� ° nl of m m mP Zu �,t oml � �• m� o= o n Z. u68° ? m JUL i m ° i=�;inLnmo on:° °"m"[- c ° nZ m €9 D p�e•a o nO9 n h.0 2n o m < i i :C e� ®pg a zm m ° z° "'8=o a=o � n p MMzo, Vi ;D p °F c z n D °:M0; n; ° E i o a 7 °p o a � " � o 0 a= I III I w w u i PH o n m i m o I - =1 I ! _ I IIIIII��Im�yJ�I I I 8 lo - I I rna9l I I I _ I i II I I II i I I I — I III I �39e� 90pg o a m11nL o p-�r In a m m a ao °oa =god o o �p9 a 90o y mo o �,�, F u r °pZ i mzxini3 ":3 °;� ""rz C =a Fo zon. ���' ao 6 z o r y o5n nn :n9'9� ° 9®n sq `v z" zo t• o n n , °mm 'ao"Soda y=9 n _z 9or ° nom z ] m •`E ° i uo°a z z ins n' °mmn^ i0n o oo a°on ° g�°� 'Jm0.,'9 it mi n o 9 N�o®�:PEAA�NI,E�Bw UTILITY mwcwNl IAREA NOT ECREPTION =.... efiwwu wALts ee euwvEYEm nooN luwlo fEEE ARAOE EN nINEEw: IABOVEI JONN C B— Barnstable BldY12 ept B7 —BT,M MIODLCBORO,MA Approved by: /[ 4 Permit#: L >)a]6405N Itpinkl ) E><IBTNB BAB 6NENT PLAN}��1 FT.. oll ONTEB. GATE iB (, BATe:o.ovva F .wnnaem• 1{ MOUBS R-0— LI ions 6TN BO oe PEEO WA, OBTEwVILLE MA } Own.TRtef PLANE 6 IN AL EX 1 4 E><le'TINO PNO]OB ®tl A w wlVw aBNT avo r—--------- ii I m aq of ! I; y nD_G m i gI WP Of ; n y n x L_._--- np m x i I � z I oa = i — .:. !j n —�!------ uI a 6 p a i m ; ! ! r ! Z j 0 >_ a I _ i pi I a r: AlF7 I a o 3i ;i i nl ! li I !i ; 9 � ! • !! 7 i j i II 10 a o ! _ j _ _ ! oa p GE ms o a® n om I oa = I J� iiia�i' °oaQe m p v m�n o p-y r ;n v v m a a ;mc i �o�ao�a m�u zea o�-m # ny a d�Eu; up6g `I•1 z o = °oni A ^;o�;� oa a;F �"A on '` Z ° N o :1 ✓i 2 0 rw.h, G y ma E! R.2 3" " � m = 7 m � E amv_ aya^ A, am ;o^ p 9^, R 0AT : a a E E� 03 Do( rt �0���go$� �.�^ "cs aim y �7 r I J ° o 0 W I I I m L m p _ I I P oo❑ I I 0 = I I I I i u® I I - I I I I - I I I �I a i I I I I I I I I I anoai " 0 9 D E S I9 9 O wA qP _ _ y p'30 a an`° u� L F3GI n , 4 Om0 niouo6n Eod i ooL ° 0 2pVp a°p ay n0^ 2 g ] b a E Onv ° _ upaa.x $TO oa 14 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 �Q<� www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): —Tu. ) Saaek Address: 600D. ,, ryr c City/State/Zip: aktUl k Phone#: f�4 011 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity.acitY• employees and have workers' 9. ❑Building addition [No workers'comp.koyance comp.insurance.: req �] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3 I u a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance requireA]t C. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: � ` C 'Sipnattre 1 Date: Phone#: OjTwW 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 Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the groimds 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 constrict buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sire to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents. (Mce of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax#617-727-7749 www.maw.gov/dia Lauzon, Jeffrey From: Lauzon,Jeffrey Sent: Tuesday, March 17, 2020 10:19 AM To: 'DUARTEFLOORS@HOTMAIL.COM' Cc: Lauzon, Jeffrey Subject: ViewPermit, Permit No:TB-20-652 Applicant, Please be advised that the above application has been reviewed and the following is noted: 1) The construction documents are incomplete. No framing plans submitted. No plans for the basement submitted. (11105.3) The application is denied pending the submission of the required documents. And, if aggrieved by this notice;you may appeal to the Building Appeals Board within 45 days in accordance with M.G.L. c. 143 § 100. Respectfully, Jeffrey Lauzon Chief Local Inspector (508) 862-4034 ieffrey.lauzon ,town.barnstable.ma.us 1 r I � o � � v V S � 4 � T o i • I I I I I I I I 0� I I I e _ I g� I I I I I I I � I �-I f ' TOWN OF :BARNSTABLE 24981 ' . Permit No. ----------------------------- s�n.rr Building Inspector .... Cash ---------------------------- �o 39. ` OCCUPANCY PERMIT Bond -------_-__`T--_--- � Issued to Osterville Heights Realty TruAddress lot #58 100 Seth Goodspeed Way, OsterAlle Wiring Inspector /� Inspection date Plumbing Inspector /f 0- Inspection date Gas Inspector �,�j_ _ Inspection date. Engineering Departmen£ Inspection date` Board of Health Inspection datexj ter. THIS PERMIT WILLfNOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE(BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ....... ._. ... 19..5►?2 ..................................................�-`--�.. .. ... g......✓A ABuildin Ins ector Y• /1 p '• �n 0 �a • lip Town of Barnstabl '.� *Permit# / - �p ° Regulatory Services „ tres 6 months from issue date Fr BARNSTABUEMASS Richard V.Scali,Director 4 j t63y. 06 i0fE0" p Building Division UR//Yac ?01I Paul Roma,Building Commissioner /9p 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us L� Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY I (�Map/parcel Number _ Not Valid without Red X-Press Imprint p� (� 1 . Property Address /0 0 —S E ! 1-1 Coo t / 4 PEE 6 WA V O s r F R L11 L L E Residential 'Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address /7'/J/I S 14 Gov c e w Z /l Contractor's Name e0 2 Telephone Number O _?10 Home Improvement Contractor License#(if applicable) `8 o?O a2 Email: C o i�e-y a�c%�o e�oo �•���„��,;f c Construction Supervisor's License#(if applicable) SSL _/O 6 O Pr ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor 4.l Elam the Homeowner I have Worker's Compensation Insurance 1 Insurance Company Name ��^C�e`�9� P�p �e C l off/ .rC 9S y /,c.yl p c� Workman's Comp.Policy# O —SO J 25 d 9 — O10 Copy of Insurance Compliance Certificate must accompany each permit. Permit Reoiiest(check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value - (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope O r must sign Property Owner Letter of Permission. A co f t Home Improvement Contractors License&Construction Supervisors License is req SIGNATURE: C:\Users\decollikWppData\Local\Microsoft\Windows\INetCache\Content.Outlook\L7U69LF2\EXPUSS(2).doc 01/25/17 Ucarjam Cg5L—"W 1 now _ llil�� - _� • � ���R ((�ii�JilGi�l4Prl(��G/r-((il.:.irlY•�l!a'��` ^ - — Office of Consumer Affairs&Business Regulation "Z= HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration i Office of Consumer Affairs and Business Regulation eg 'ration 183202 09/13/2017 10 Park Plaza-Suite 5170 ARMEN SAFARYAN Boston,MA 02116 DB/A COREY AND COREY EVGENY SUSHKO J 67 Sea St Apt A4 _ Hyannis,MA 02601 Undersecretary with ut signature �1e � Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration ARMEN SAFARYAN Type: supplement Card Registration: 183202 67 Sea St Apt A4 Expiration: 09/13/2017 Hyannis, MA 02601 1 G 20M-05n1 Update Address and return card. Mark reason for change. __...... CORE Y_ feta Th,e- o., _ :��, ,R o-, -_ ss 1672 FALMOUTH RD #117, CENTERVILLE, MA 02632 C .. .. ..KA R 0, Tr A Ki Tr n ^. MR 0, Q) 02- 19- Bic-, Q P, Qk 0, PF, at M,A, L January 24, 2017 ANN GERMAN 100 SETH GOODSPEED WAY Tel: 774-238-6211 OSTERVILLE,MA EM: germanreed@comcast.net COREY & COREY hereby propose to perform the following services in a neat and professional manner and in accordance with the manufacturer's specifications and local building codes. Remove and Haul Away All of the Old Asphalt Roofing Shingles(One Layer) on the Front Main Section of the House Only. Re Nail All Plywood Sheathing as needed. Supply and Install CERTAINTEED XT-25 : 25 YEAR WARRANTY, 10 YEAR SURE START PROTECTION,CLASS A Fii—RE RATE D, COPPER/CERAMIC STONES for a FULL 10 YEAR WARRANTY AGAINST ALGAE CONTAMINENT,HEAVY WEIGHT, 70 MPH WIND WARRANTY,CATEGORY I HURRICANE,STORM MURICANE NAILED (6 NAILS PER SHINGLE), FIBERGLASS BASED ASPHALT SHINGLES. COLOR: SLATE BLENDS Ty\_Icill V A P.Q 4 IZ0 Supply and Install RICK'S VENTED ALUMINUNM DRIP EDGE After Cutting an Opening at the Top of the Fascia Boards � (Z A T-h Supply and Install CERTAINTEED WINTER-GUARD (Ice& Water Shield )WATERPROOF UNDERLAYMENT SYSTEM on Roof Eaves& Under the Step Flashing on the Chimney. Supply and Install RHINO SYNTHETIC UNDERLAYMENT on the Rest of the Roof. Supply and Install AIR VENT SHINGLE VENT H RIDGE VENT on the Main Ridge. Clean and Remove Debris from work area after job is completed. TOTAL INVESTMENT ------------- $ 2250.00 f R O [fit i -ES T brie R,_ �,ofer'�s. POSSIBLE EXTRA CARPENTRY: Any Rotted or Otherwise Deteriorated Trim Boards, Plywood Sheathing,Missing Metal Flashing, Side Walling or Any Other Carpentry Needing Replacement will be done and charged for as an Extra: Materials Plus Labor at the Rate of$ 40.00 per Hour. PAYMENT SCHEDULE: A Deposit of One Half is due at the Signing of this Roof Proposal and the Final Payment for the Balance is Due Immediately Upon Completion. WORK SCHEDULE: All Roof Work is Scheduled for Completion Within 60 Days of Acceptance and Receipt of Deposit providing the Materials are Available. Therefore Deposits Received are Non-Refundable After a Three Day Cooling Off Period from the Date-of signing. This Proposal May Be Withdrawn By Us If Not Accepted & Deposited Received Within Thirty Days Or Before The Next Price Increase In Materials Please Make Checks Payable to: COREY & COREY COREY & COREY Warranties the Shingles and Labor for 5 years. CERTAINTEED Warranties the shingles and labor 100% for the First 10 Years. CERTAINTEED Warrants the Shingles up to a CATEGORY I HURRICANE-70 MPH WIND WARRANTY. CERTAINTEED Warrants the Shingles to be Algae Resistant for a Full 10 Years. COREY & COREY carries Workman's Compensation and Public Liability Insurance on the above work DATE OF ACCEPTANCE: ..2 O( '7 ACCEPTED BY: SUBMITTED BY: A� GERMAN C�IARI.ES COREY, CONSULTANT �I ��OWNER COREY & COREY The Commonwealth of Massachusetts .t • = -= Department of Industrial Accidents —: s-;.,.�.,� Ti 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 LevAly Name(Business/Organization/Individual):,4" G S s_ �o �: �d GO Y Address: City/State/Zip: Phone#: -S-d S' -7 7 02 ?/ G 0 Are on an employer?Check the appropriate box: Type of project(required): 1.(1I am a employer with C 4• ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance. g required.] 5- ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no 13.❑Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. �j ) Insurance Company Name:ff r ge J/G.- Pro le-C T r O r9 �n S'c-s_1`Q 17 e Policy#or Self-ins.Li c.#: WCC -TO® ---SO/S D Z/^Q O/6'4 Expiration Date: ? I ?I R d / 7 Job Site Address: /0 0 S Coocjsp e e d GJ City/State/Zip: V u @ r Attach a copy of the workers'compensation policy declaration pa a(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or-one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for' 1Qrance coverage verification. I do hereby ce fy de th p r penalties of perjury that the information provided above is true and correct .Signature: i Date: 0-2. 14 / Phone#: �� -7'74C---2 cr'D a Official use only. Do not write in this area,to be completed by city or town offciaL City or Town: Permit/License# i 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#• CERTIFICATE OF LIABILITY INSURANCE DATE(MM/20161fJ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Ashley Paiva Southeastern insurance Agency, Inc. PHONE . (508)997-6061 FAX 439 State Rd. A/C No:(508)990-2731 P.O. Box 79398 IE�.apaiva@southeasternins.com North Dartmouth MA 02747 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A Arbella Protection insurance 41360 Armen Safaryan, DBA: Corey and Corey INSURER B AEIC 67 Sea Street INSURER C: Unit A4 INSURER D: Hyannis MA 02601 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:2016-17 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF POLICY EXP $ COMMERCIAL GENERAL LIABILITYMM/DD MM/DD LIMITS EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE $ OCCUR DAMAGE TO RENTED PREMISES Ea occurrence S 100,000 9520046441 9/18/2016 9/18/2017 MED EXP(Arty one person) $ 5,000 PERSONALBADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMB APPLIES PER: X POLICY❑PRI LOC GENERAL AGGREGATE $ 2,000,000 JECT OTHER: PRODUCTS-Comp/op AGG S 2,000,000 AUTOMOBILE LIABILITY Employee Benefits $ EO�Maood�SINGLE ugr—r S ANY AUTO BODILY INJURY Per ALL OWNED SCHEDULED ( Person) S AUTOS NON-OWNED BODILY INJURY(Per accident) $ AUTOS HIRED AUTOS AUTOS AUTOS PROPERTY DAMAGE Per accident $ UMBRELLA LIAR $ OCCUR EACH OCCURRENCE EXCESS LIAB CLAIMS-MADE $ AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION S AND EMPLOYERS'LIABILITY YIN STATUTE OT ANY PROPRIETOR/PARTNER/EXECUnVEER OFFICER/MEMBER EXCLUDED?and a N/A El.EACH ACCIDENT $ 1 000 000 8 (Mandatory in WCC-500-5015091-2016A 9/18/2016 9/18/2017 yes,describe under EL DISEASE-EA EMPLO S D 1 000 000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Display Purpose Only THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE I Ashley Paiva/AMP ACORD 25 ©1988-2014 ACORD CORPORATION. All rights reserved. INS025 nniaol!(2014/01) The ACORD name and logo are registered marks of ACORD m s 2014 FEB 27 -rt10,37 .$ BARN3TME THIN CLERi i0�y�A Town of Barnstable -Xnniog*B;A'rd of Appeals Comprehensive PetrrW Decision and Notice Comprehensive Permit No. 2013.027 German Chapter-40B Comprehensive Permit Surhfmgryi G'Ahted with Conditions Date: February 12, 2014 Applicant: Ahn E. German Property Address: 100 Seth.Goodspeed's Way Osterville,MA Assessor's Map/Parcel: Map 122, Parcel 089 Zoning: RC Zoning District Recording Information: Deed Reference: Book 27798 Page 283 Date Application Filed January 14,201.4 - Date Hearing Opened Februaryy 12,"201.4 Date of Decision(Closed): February 12, 2614 Property Ownership: The applicant is Ann E. Germah, the owner and.'occupant df 160 Seth Goodspeed's.Way Osfeiville as evidenced by a deed recorded in the Barnstable County Registry of Deeds on November 1;.2d13 as Brook 27798 and page 283. A copy of which has been submitted for the record. Relief Requested: M.ss .Gerrnart has applied for a Comprehensive Permit py fsuant-to Chaptet 409 bf the,Geheral Laws of the Commonwealth of Massachusetts, and in accordance with §9-15 of the Code of.fhefow;n'of Barnstable, more commonly termed the°Accessory Affordable Apartment Program". The perF'nit is sought to allow for an affordable apartment accessory to a single family home as provided for in the Code of the Town of Barnstable as restricted to being affordable housing for qualified persons as required under Chapter 406. The zoning relief necessary for this Comprehensive hermit to be issued is that of a-variance to Section 240-13 (A) Principal permitted uses ih a RC Zoning Districts to.pertnitan.dedessory apartment unit within the upper level of the attached garage,The issuance of this Comprehensive Permit would allow for a separate,approximately 864-square feet.,-studio accessory affordable apartment. F ' b Town of Barnstable,Zoning Board of Appeals Decision red No0ce,Comprehensive Pennit No.2013.027-German 4. The accessory affordable unit is approximately 864 square feet in living area-and is to be Igcated above the attached gorage. 6. The applicant has been informed that the AAAP unit shall meet all applicable health and buiiding codes to be occupied grid that the Building Divisiari and Fire Department will also be inspecting the unit for compliance with all applicable building and fire codes.. . 6. The-house is se'ved-by public water and ptivate on site septic. The proposal has been rev evyed by Thomas McKean, Health Qirector;he stated no objection$to a total of three(3) bedrooms at the property. 7. On:December 3,2013Ann E.G.erman signed an Accessory Affordable Apaitrii6 t Program affidavit that commits, upon the receipt of a Comprehensive Permit,to the recording of a Regulatory Agreement and Declaration of Restrictive Covenants, in a form satisfactory to the Town Attorney,at the Barnstable County Registry of Deeds. These documents restrict the unit In perpetuity as an affordable rental unit. 8. The applicant is aware that the affordable unit shall be rented to a person or family whose income is 80%or less of the Area Median Income(AMi)of the Barnstable Metropolitan Statistical Area(MSA) and agrees that tent(including utilities)shall hot-exceed 30% of the monthly household income, of a household earning 80%of the median income, adjusted by household size. In the event that utilities are separately metered,the utility allowance established by the Town of Barnstable shall be deducted from rent ILv6I so.calculated. 9. According to the Massachusetts Departr>ietit of Housing and Community Development, as of Februa y.6, 2014 6.63% of the tow year round:holising stock qualifies as affordable housing units. The town has not reached the statutory minimum pf affordable housing under MGL Chapter 40B Section 20-23 or its implementing regulations. 10. The Town of B.arnstable's Comp.rrhensive Plan encourages the adaptive use of.existing housing-stock to create affordable units and the dispersal of these units th.r.:oughp.ut Barnstable. Summary; - The Hearing Officer ruled that the applicant Ann E. German has standing to apply for-a Comprehensive Permit under MG L Chapter 40B and the Town of'Barnstable's Accessory Apartment Program. The proposal is deemed consistent with local needs because it adequately promotes the objective of providing affordable housing for the Town of Barnstable without jeopardizing the health and safety of the occupants provided all conditions of the Comprehensive Permit are strictly followed. Conditions. Hearfng Officer Craig A. Larsoh ruled to grant Comprehensive Permit No. 2613-027 tivith conditions in accordance with MGL Chapter 46Y and Article 11 of Chapter Niue of the Code of the town 9f Barnstable, more commonly termed the"Accessory Affordable Apartment Program"to the applicant, Ann,(. German who is the owner and occupant of the property ioeated at 100 Seth Goodspeed's Way Osterville. -As seen on map 122 as.parcel 089. This-Comprehensive Permit allows for a studio apartment unit in accordi�nCe with-the follgwing conditions: 1. Occupancy of the affordable unit shall.not exceed one (1) person. 2. The ibtal mutter of bedrooms on the property Shall not exceed three(3). 3. The accessory unit shall NOT at.any tlrm be occupied by a fariijfy member of the owner. 4; All leases shall have a minimum term.of one year and have provislons ikat.require the tenant to prbiilde any and all fnforthation necessary to verify eligibility with the AAAP 3 d Town of Barnstable,Zoning Board of Appeals X)Oisio"n and Notice,Comprehensive Permit No.2013.027-German 15. Upgn any report from the Monitoring Agent that the terms and conditions of this permit are not being upheld, the Zoning Board of Appeals or its Hearing Officer may hold a hearing to show cause as to why this permit should not be revoked. 16.This Comprehensive Permit shall NOT be transferable to any other person or entity without the prior approval of the Hearing Officer or Zoning Board of Appeals. This decision,the Regulatory Agreement and Declaration of Restrictive Covenants and all other necessary documents shall be recorded at the Barnstable County Registry of Deeds 17.Should ownership of the subject'pioperty transfer the permit holder identified herein shall notify the AAAP Coordinator and provide,within 60 days of the date of transfer, the name and current contact information for the new owner of the subject property. 18.This Comprehensive Permit shall be exercised, all conditions met, and the unit occupied within twelve 02. )months of its issuance or,it shall expire, Ordered: Comprehensive Permit number 2013-027 has been granted with conditions. A written copy of this decision was forwarded-to the Zoning Board of Appeals as required by the Code Chapter 241, section 11 of the Town of Barn m steble Adinistrative code. If after fourteen (14)days from that transmittal the members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be filed in the office of the Town Clerk Appeals of the final decision, if any,shall be made to the Barnstable Superior Court pursuant to MGL Chapter 40A,Section 17,within twenty(20)days after the date of the filing of this decision in the office of the Town Clerk. pplica as the right to appeal this decision as outlined in MGL Chapter 40B n 22. Craig A. Larson, Hearing Officer Date Signed I Ann Quirk,Clerk of the Town of Barnstable, Barnstable County,Massachusetts,.hereby certify that twenty(20)days have elapsed since the Zoning Board of Appeals filed this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this j ay of 2014 under the pains and penalties of perjury. Ann-Quirk,Town Clelk C{�tiSt17/•/0 • .) +ark - lb 5 { OZ 16P BARNSTABLE FIHEr TOWN CLERK O oty,� , + BARN8TABLE, + 19 FEB —7 Rl is :55 y hfABS: �A .%639. 10'� TFD MA'S a Town of'Barnstable Zoning Board of Appeals Decision and:Notice Conrnrehensive.Perm.it No.201.3-027—German Chapter 40B Comprehensive.Permit :Summary: Comprehensive Perinit:No. 201.3-02.7 is rescinded Applicant: Ann E. Gennan Property Address: 1.00 Seth Goodspeed's Way, Osterville, MA. Assessor's Map/Parcel: Map 122,.Parcel 089 Zoning: Residential C.Zoning District Deed'Referen.ce: Book 2.7798, Page 2.8.3. PermitReferenee: book28437,Page U Locus and Background: The applicant applied.for a Comprehensive Permit.under Chapter 40B of the General.Laws of the Commonwealth of Massachusetts,;and in accordance with Article.Hof Chapter Nine of the.Code of the town of Barnstable, more commonly termed.the"Accessory Affordable Housing Program." Comprehensive.Permit,Number 200-027 was issued.to the applicant on.February 12,201.4 and a Regulatory Agreement and.Declaration of:Restricted Covenants were recorded at the Barnstable County.Registry of Deeds on October 10,2014 in Book 28437,Page 86. Several years ago,.a requestby the applicant.to rescind this permit was-received. Procedural&Hearing-Summary: A public hearing to rescind Comprehensive Permit No. 2013-027 was duly advertised and notice sent to abutters and the property owner all in..accordance with MGL Chapter 4.0A. The hearing was opened on January 23, 2019 at which time the Hearing Officer, Alex..Rodolakis;made the. following f ndin.gs.an.d decision: Proposed.Findings of.Fact:. .................. 'town of Barnstable,Zoning Board of Appd.s. .Comprehensive PtimlitN6..2.013-027—C;er.maiiis..iesc[iiddd 1. The applicant, Ann E German, was granted Comprehensive Permit 2013-027 for.an -accessory affordable apartmentat 100 Seth Goodspeed's Way,,Ostei-ville,MA. 2. The applicant, Ann E. Geffnan, conununicated his intent to discontinue..pgrticipationm the AAAP Program.several years ago. 3, On December.18,-2019, the Adcesso-ry Apartment;Program C.d&dinatoflojoik action Ito_ rescind comprehensive permit,No. 2613.-027., Ordered: -Comprehensive Permit number,'2013,-q27. is rescinded. A written.copy of this decision shall be forwarded to-t-he Zoning Board of Appeal a&required by the Town of Barnstable Administrative Code Chapter.241, section 11. If after fourteen(14) days from that transmittal the Members of the Zoning.Board of Appeals takes no action to reverse the decision, this decision shall'become:final and a copy shall be the.filed. in the office of the.Town: Clerk. Appeals,of the einaldecisi6n,jf ahy:,.sha.It.be.made to the;Batristalfle, Superior Court pursuant to: MGL Chapter 40A, Section 17, within twenty Po -days, after- the date of the filing of this decision in the.office-of the Town Clerk. The, appi icant has the right to:appeal this decision as outline in L Chaptet 4013,Sect 2 1.ion 2... L ja�.0 �3 Z6�� AWleodolakis, Hearing Officer Date.Signed 1, Ann Quirk,Clerk of the Town.of Barnstable,.Barnstable County, Massachusetts,hereby certify that twenty (20).days have elapsed.since th,6 Zoning Board of Appeals filed this decision and that .no appeal of the decision has been filed.in the office of the Town.Clerk. Signedand..sealed this o day of under the.p4insand penalties of perjuly. , Ann Quirk,Town C-1 oil, o Wl'i' BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register i t �= S 7 '�.•� g �," �y� ' �� li �• Ivy,, oo • °S. 1 N 7 ?fin a (vO�V x, e �, SSSSSS li t'i ,•fit. . .w,Sn •J _ T t, L l,A N 32TIFIGA7toN LoT T61 G, WIAIY *ir �jl1 aIJf7TA, t� LG , PNA.-15, A r Q I l Zo, ie ALE: I VN• n NA V;. tiv A, 1_ k1 14 Imo. _ A 1 IJG K t�one:. �,✓I 1.11'. F A L &. o o`rld , M A..,S • the xbaais :of my'.knowledge,�information and ; certify to, -77w.,7ll�t" =Z , .�G_ ' ' ,tit#2as,s r�.�ult' of. a survey made on •the ground I ±;.nd' that:' ture,(s) are located, 'on tbs. site. 'a �{ w,ski I44&7-~*o zap�,a9 /3y-L�s•�3 lines and lines of ocoupation of 'the ts't e� ecas shown kereon. : . �N oc M�slr t0 s n sitvateA 'in Floor 7GOY18.1t/D�'!-��cSra�C.. p� WIL IAM rirAr��or♦I Iwrr Vi� ■i S �t y uatesY' o M. N WARWICK s f' # etf8r No. 19771 N w 4 J4,A`ses'sor's map and lot numberr.... .... ..... G ` v ` CF THE TO 3yAwage Permit number ............................... ....................... • Z BARNSTADLE. House number ............ . .D.............................. 900 NAG 3 O YAK a' TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...1 ........5 ��.. e...�.. 4..!.Y............................... Lam.. ©1) l�TYPE OF .CONSTRUCTION ........... ..... ........1.�.. .�.��.�....................................................... .............. .. ... ......19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................................................................ ................................................................................................................... , , Proposed Use .�-!. !t'.. G!�.......�.�?����L.,,`1............ .��... l� y��"� ................................................... Zoning District Fire District .�� ................................................... /.Y,,,/..,•..." .................................................. NameNj�ww 4;r� L/ .... ? ��r�i ) ....91�.44..Add ss ......... fist /.... / ........................... Name of Builder ��`�l�N �r�J....Address Name of Architect .Om.........................................Address Number of Rooms ........ /..........2..... / ....................Foundation d u-r. ....... .............. Exterior (20(m �/�f/ �rcrr�c '_ G .'��..Roofing ..... &4-/ ....:-?!.T�J �rG .... J......................................... Floors /'" 4 L(1�g Q Gl /�;��.7........Interior ..........f.), C' .... , .......... .......�'.............. ........................... Heating .... ....................................Plumbing ........... ..��............................................................ Fireplace ....../t'••D.................................................................Approximate Cost ....3 C..... el Definitive Plan Approved by Planning Board -----------________________19_______. Area ��' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH. Y J OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name .. ..... .................. .. ............... ...................... ........ Construction Supervisor's License ....................9/..... OSTERVILLE HEIGHTS�EALTY TRUST A=122-89 ✓ 1 za �89 No ..24.981... Permit for ,One Story Single Family Dwelling Location .,.Lot 58, 100 Seth Goodspeed Way Osterville Owner Osterville Heights Realty Trust Type of Construction „Frame ................................................................................ 'Plot ............................ Lot ................................ Permit Granted p ....A..ril...22.'.............19 83 Date of Inspection ....................................19 Date Completed ......................................19 C Ov X111 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 12Z Parcel G $9 Permit# 43080 Health Division P 3-11 Ze:� /y e 7f _ Date Issued ( Z - 1 4 1 Conservation Division 12 Fee'�Y 7/- 73 Tax Collector SEPTIC SYSTEM MUST BE INSTALLtD Treasurer OTMO xANCE ENVIRONUUM Planning Dept. ••' TOWN REGULATIONS CODE AND Date Definitive Plan Approved by Planning Board �710700= Irg Historic-OKH Preservation/Hyannis a Project Street Address 1067 _ Gc eh ez"Uo ,So-ee (2Q Village 0 S74ef- 1/i 11-e Owner Ge,,�-Mgh Address SA.4 Telephone / Permit Request -4 W Cat Gy1a i,/i d o bH 6oli PeA x ac f � rim O o O {tPG/ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed , Total new_ Estimated Project Cost Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size y3 AC Grandfathered: ❑Yes 0 No If yes,attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure S Historic House: ❑Yes XNo On Old King's Highway: ❑Yes )d No Basement Type: Full ❑Crawl 0 Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) �y y/ O/ ¢Jl/�G/ Number of Baths: Full: existing O new Oh-2 Half:existing new Number of Bedrooms: existing i WO new 0 h Total Room Count(not including baths): existing IS- new First Floor Room Count Heat Type and Fuel: $(Gas ❑Oil ❑Electric O Other Central Air: ❑Yes )kNo Fireplaces: Existing Qh 4e New n d Existing wood/coal stove: ❑Yes )kNo Detached garage:O existing ❑new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage:O existing )(new size o CG Shed:14 existing ❑new size / Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name a D C'm Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY , PERMIT NO. DATE ISSUED - MAP/PARCEL NO. - ADDRESS VILLAGE OWNER � t f DATE OF INSPECTION: FOUNDATION FRAME IT,Z - INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL PLUMBING: 11004(FI r. FINAL co ' GAS: RO_ Q 'U FINAL FINAL BUILDING pV S + to m DATE CLOSED OUT p . ASSOCIATION PLAN N®. S W ab 3.1 U i a E _ I - Department of Industrial Accidents I. — I . Office 811Mstf gaMoos 600 Washington Street . Boston,Mass. 02111 • Workers' Com ensation Insurance Affidavit �%, name: e . location�y d d •5' OQ t,/G/S/ city a,S5--e%/ / Ile . M ,7 phone `� 2 YY f$J I am a homeowner performing all work myself. ❑' I am a sole proprietor and have no one workin in aav ca acity .::::/%%%%%%!:::::%/%///////%%%/%%%%%%%//%/%/%%%%/%:::::://///O//%%/ /%/%/////%%%%%/��%%%/��%%%%%��%/%/%/%/%/%%/%/�/ ///- 11//-11 1; ❑ I am an employer providing workers'compensation for my employees working on this job. tOM"", . . IDp Y :...... ... :.: .iiTm tl` ....,`..:...::::...............phone.# . X. .:::.; insuran :.:.:. ..... olicv.#"::: .. ....... ::.::::.:.:::.::::::::.::::::::..::..::::._.:. .. ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: . .......;:;:<:;;:. ;:..;:a;:;:C >':.......... '':`• ::'''% ::' '? :; :? « : * ::::2 ::�::':::::::':: .:::::::::::::::.:::::::::::: ::::: ::::: %......:: :::::: .... coIDbanv n ID ::.:.::::.........::::::... ......:::.;.:.::.:.:.::.;.:..:.::::..::::.:::::.:::::::.::.. :.::::::.:::.:.:::::::.:::::::::::. .... ............................... .......... address::' :<;><:::;<:<:>::>::>::<>:>:::::::;:::' >::::;:::... ::.::::.::::::. :::.::::::.::.:;:.;:;:•;:;.;:.;:.;>:.;:•;::.:<.;:.;:a>:.;;:.;:::>:<::5::::::::;::::>::>::»:<:»:<:»::>: :::.:::...: ::. 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SHOW tY• ..... .............phone#..........:....... ,..::.:....................... >s»>':'> : ::: <:< ZI]UrBnCe O: >2>:<%?':` < `: t•{: ' ::'. :' ::.:: ': `': ' "`' r: ':::`' ?':::` +' ' ::::61i is' # ` ::::>::` r`: `'< '< ::::::r::.::::::;:;. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of erfmtnal penalties of a fine up to$1,500.00 and/or one years'imprisonment as wen as dva penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against nm I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verincadon. I do hereby c the pains and pen ojperjury that the 'formation provided above is&w.and eorred Signature Date —/) —/) f2 _ t/ Priest name J `� Phone#-V) ;L • of$dal use only do not write in this area to be completed by city or town ofHdal city or town: terse# p�� ❑Building Departrnemt ❑check if immediate response is required ❑Licenffig Board ❑Selectmen s Office contact person: hone#• _ ❑H��Department P ❑Other (revised 9/95 PJA) i . Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to.construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance-,with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying company names,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be,returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you.regarding the applicant. Please be sure to fill in the pemiit/license number which will be used as a reference number. The affidavits may be returned io the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imlestlgatlons 600 Washington Street Boston, Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 eat. 406, 409 or 375 E MIP 8317 CENSUS TRACT # 229 Dunnin Forman Kirrane, & Terry DEED BOOK 7828 PAGE 29 Ann E. German PLAN BOOK 311 PAGE 77 LOT 8 NT: same ASSESSORS PLAN PLOT MORTGAGE INSPECTION PLAN of LAND LOCATED AT 100 SETH GOODSPEED WAY CENTERVILLE, MASSACHUSETTS SCALE : 111= 401 NOVEMBER 20, 1997 LOT 57 - 10 5.00' LOT 4o QG AZE80 ' LOT 58 1 BI S 90 SF \ - s H E 0 148.51' -� 10o a9'�3�y 155.00 1 STOP,-( LOT 5S 161 W LOT 41 �,U o E W EN G LAK1 D TL UE 40 �f � f TtL.EG P A P H Co. "PX iS��Hq �aaS c� EA EM \0 = EDIT 1 , 1 4-9.3 9' SETH GOODSPEED WA-( I CERTIFY TO DUNNING, FORMAN, KIRRANE, & TERRY, PLYMOUTH MORTGAGE, AND ITS TITLE INSURANCE COMPANY, THAT THERE ARE NO VISIBLE ENCROACHMENTS OR EASEMENTS ' EXCEPT AS SHOWN AND THAT THIS PLAN WAS PREPARED UNDER MY IMMEDIATE SUPER— VISION . THE LOCATION OF THE DWELLING AS SHOWN HEREON b•� ��., IS IN COMPLIANCE WITH THE LOCAL APPLICABLE ZONING BY—LAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS . - f' 1- THE DWELLING SHOWN HERE DOES NOT FALL WITHIN j ..;;.. "r' ';1 1 A SPECIAL FLOOD HAZARD ZONE AS DELINEATED ON A MAP OF COMMUNITY #250001-0015C DATED 8/19/85 BY THE F. I .A. r Kenneth R. Ferreira Engineering, Inc. P.O. Box 1903 New Dedford,.MA 02741-1903 508 992-0020 •Fax:508 992-3374 GENERAL NOTES: (1) The declarations made above are on the basis of ■y knowledge, information*, and belief as the result of a mortgage plot plan tape survey inspection made to the normal standard of care of registered land surveyors practicing in Massachusetts. (2) Declarations are made to the above named client only as of this date. (3) This plan was not made for recording purposes, For use in preparing deed descriptions or for con- structions. (4) Verifications of properly line dimensions, building offsets, fences, or lot configuration may be accomplished only by an accurate instrument survey. MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2 , 01 Familyroom/ Master Bedroom/ Garage Addition DATE: 12-8-1999 Bldg. l Dept . l Use CEILINGS: [ } I 1 . R-38 Comments/Location [ ] I 2. R-30 Comments/Location WALLS: [ ] I 1 . Wood Frame, 16" O.C. , R-15 Comments/Location I WINDOWS AND GLASS DOORS: [ ] ( 1 . U-value; 0 , 31 For windows without labeled U-values, describe features: 9 Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location [ ] I 2 . U-value: 0 , 31 For windows without labeled U-values, describe features: # Panes Frame Type Thermal Break? [ ] Yes [ ] No Comments/Location I FLOORS: [ ] I 1 . Over Unconditioned Space, R-21 Comments/Location I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed , When installed in the building envelope, recessed lighting fixtures shall meet one of the following requirements: 1 . Type IC rated. manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent .air leakage into the unconditioned space, 2. Type IC rated. in accordance with Standard ASTM E 283, with no more than 2 . 0 cfm (0 . 944 L/s) air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1 . 57 lbs/ft2 pressure difference and shall be labeled . I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings, walls, and floors. I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can V I DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer' s installation instructions, Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. The HVAC system must provide a means for balancing I air and water systems. I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ ] I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4. 4. I [ ] I SWIMMING POOLS: All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from i non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: HVAC piping conveying fluids above 120 F or chilled fluids below 55 F must be insulated to the following levels (in. ) : PIPE SIZES (in. ) HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1 . 25-2" 2 . 5-4" Low pressure/temp. 201-250 1 . 0 1 . 5 1 . 5 2 . 0 Low temperature 120-200 0 . 5 1 . 0 1 . 0 1 . 5 Steam condensate any 1 . 0 1 . 0 1 . 5 2 . 0 COOLING SYSTEMS: Chilled water or 40-55 0 . 5 0 . 5 0 . 75 1 . 0 I refrigerant below 40 110 1 . 0 1 , 5 1 . 5 I [ ] I CIRCULATING HOT WATER SYSTEMS: Insulate circulating hot water pipes to the following levels (in, ) : I I PIPE SIZES (in. ) NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS HEATED WATER TEMP (F) : RUNOUTS 0-1" 0-1 . 25" 1 . 5-2 . 0" 2 . 0+" I 170-180 0 . 5 I 1 . 0 1 . 5 2 . 0 I 140-160 0 . 5 I 0 . 5 1 . 0 1 . 5 I 100-130 0 . 5 0 . 5 0 . 5 1 . 0 ----NOTES TO FIELD (Building Department Use Only)------------------------- a I I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # MAScheck Software Version 2 . 01 1 I Checked by/Date I I CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 12-8-1999 DATE OF PLANS: 12/6/99 TITLE: Familyroom/ Master Bedroom/ Garage Addition PROJECT INFORMATION: Andrew Reed and Ann German 100 Seth Goodspeed Rd. Osterville.MA COMPANY INFORMATION: Kenneth Sadler Associates P.O. Box 1149 Hyannnis, MA 02601 508 . 790 . 3922 NOTES: Does not enclude Garage/ Shop area. COMPLIANCE: ,V�gsES Required UA = 227 Your Home = 224 Area or Cavity Cont , Glazing/Door Perimeter R-Value R-Value U-Value UA CEILINGS 624 L, 3,8.'0 0 . 0 19 CEILINGS 660 30.0.1 0 . 0 23 WALLS: Wood Frame. 16" O.C. 887 15-A 0 . 0 68 GLAZING: Windows or Doors 116 0 . 310 36 GLAZING: Windows or Doors 81 0 , 310 25 FLOORS: Over Unconditioned Space 1201 21 . 0 010 53 -- --------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application , The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the design load as specified in Sections 780CMR 13 .0•'and J4. 4 . Builder/Design e r'' c��� j `"� Date `� �� ESTIMATED PROJECT COST WORKSHEET Value LIVING SPACE 001 square feet X $55/sq. foot= GARAGE (UNFINISHED) square feet X $25/sq. foot= �Q PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= OTHER square feet X $??/sq. foot= Total Estimated Project Cost S2 7 (� 4 g990915b 9 tdT9` 10 Office: 503462-4033 Raioh Crossen Fax: 509-790-6230 Building Comrr:: HOMEOWNER LICENSE EXEMPnON Please Print 9 JOB L='nON: 00 !�e-AA r mtmaer :reset village •HC)MEOwN>R;AJ A gn 1,41)APw liP-a name home phone o worc phone x CIJRRF.WMAUMGADDRMS:�P1!5� ac,)( 2 C r- eisylwwn state zip coae 'Ihe current exemption for "was exsmded to include! led dweilinn of six units or Less and to allow homeowners to engage an individual for hire who does not possess a license,=Vided that the fl er acts a<tnn�;ser. DEFIlNMON OFHOMEOWNM persons)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 str=Mres accessory to such use=dlor farm saitctures. A person who constructs more than one hoarse 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 heAe Shall be=nnsiffle for all work*+erfbTmed t_mder the�mil.dlner"emit. (Section I09.1.1) The.undersigned"homeowner'assumes responsibility for compliance with the State Building Code and other applicable cadet,bylaws;rates and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that helshe will comply with said Procedures and 7quircmeym SI of Appmvai of Building OMMCWW Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to campiv with the Stare Building Code Section 127.0 Consuncrion Control. HOMEOWNER'S ECEIUIP'ITON he Code states thac "�,hom ner eow pafotntiag work for which a building penmt is required shall be exemat from the provisions of this session(Section 109.1.1-1,loemsjag of eoosmmdon Supervison1'provided that if the homeowner engages a persons)for him to do such work.tba tsuch Homeowner shall as as supervisor." the responsibilities of a supervisor(see Many hon wwr en who ar o use this cz=ption e sm wwc that they are assuunng respo su p Appendix Q.Rufes&Regulations for i.lcensing Construed=Supervisors.Section Z1S) T his lack of awareness often tssults in serious ptublcum pattieuiady when the homeowner hires uniiceaud persons. In this easy am Board cannot proceed against the unlicensed person as itwould with a lierucci Supervisor. he homeowner acting as Supervisor is ultimately responsible. To easms that the homeowner is fully aware of his/her rmponsibiliti=manY cormnuside s zequira as part of the permit application.that the homeowner certify that ficishe understands the rteponsibilidcs of a Supervisor. on the fast page of this issue is a form currently used by scversi towns. You may cars to amend and adopt such a formicextifiarion for use in your community. tinerq�O� ' The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Ralph Cressen Fax: 508-790-6230 Building'Commissioner Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. / Type of Work: Ca1j ca G1 P C of �i - Gh Estimated Cost Address of Work: 0 _S Owner's Name: of Date of Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job Under S1,000 Building not owner-occupied KOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No. OR &Z12da20_,1 Date .7Owner's Name I q:fb ms:Affidav Assesso* map and lot number ..... - ` �� F THE T -ehewage Permit number �3 r Z/ 0 ............ � , c �gg �yy i ,iki-S'/ALU ���+ +1:V cov,✓.'�( r BAHBSTIIDLE, i House number �: 0 s 1AA°a M o��9!i� h.�b��l �O 2639• �00� �'Q YPY a• 4 N1 ��, a�"n ' TOWN OF -BARN ;TXRLE r BUILDING INSPECTOR APPLICATION FOR PERMIT TO .......A. ........C. .� ........l'{...C........... .K............................... TYPEOF CONSTRUCTION ........... �....... �........�.............................................................. .................... -... ......, TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according /to the following information: Location ....A U �� ................................................................................................................................................................... .............. Proposed Use .v./ L� �� /L .1���., �!� C ................................................... ......... ................................. .......... ............. ........ Zoning District ......................................................Fire District �' Nam ofl w' ( r�Ll-/� 27". 6 i4.TT.... '7 L...Ad'dfess �� �! .Y. /�........... '.I. ..................... ................ ....................... .... .. ............... I n Name of Builder DIz,S'1� J ...Address // .......... ...... .. .................... .................................................................................... Nameof Architect ... .../f;,/...............................................Address .................................................................................... Number of Rooms ...........1..........2..... .........................Foundation Y' .d......e-6A1(a..( Exteriordl !�... .�. L .�..Roofing (T.?Z'..1...... ..... .... .......... .... .... .......... ...... Floors / D$ . ' ' '�f' ......Interior ........t� � .. ` Q`...`\ Heating ..../.r.Lil�. , �.�....................................Plumbing ........... ..f�............................................................ Fireplace ...../V..�...................................................................Approximate Cost 3 2, Definitive Plan Approved by Planning Board ----------------_-___ - - -------I 9-------. Area .... ....`.�......... 7 JS Diagram of Lot and Building with Dimensions Fee l — SUBJECT TO APPROVAL OF BOARD OF HEALTH JA1� � I �U OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name 99// Construction Supervisor's License .......... „(......... OSTERVILLE HEIGHTS REALTY T 'ST 24981 One Stqr No ................. Permit for ................... . .............. Single Family Dwelling .. ............................................................................... Lot 58, 100 Seth Goodspeed Way Location ................................................................ Osterville ............................................................................... Qs'terville Heights Realty Trust Owner .................................................................. Frame Type of Construction .......................................... .............................................................................. Plot, Lot. ................................ April 22, 83 Permit-Granted ............................... Date of lnso,99640. 16...........................19 Dat4 C6mpleted ............. 9 � I 79 1ch � Y � e � � Q T I � l I F � 1 1 o 0 } n Z - D ` D d y 0 p �. '�.r. .""'"^�' Plon• 1 70� P—� ' y Masi sr♦�sdroom/4d�+ian for: au"nBr � """w:..a>o.o.m'°"""'" /4A(17�Cyy(LCCI7 wnd/aNN 4�1`faW neMlt�lloAp�eF.,R... R 941msth O.J.r A..64,p l LOCATION: AID OPrNimn..ry D..iy�./I/0/9q rvhsskM aem Qe9 9ID 00 hsiii Lpaa,Fs"w..y .wi.ripro?�• S � FS, y 6 j T� r i i IF N 'rt? - v' ii o �s II• � �ij� Ri if a�+a T3 ei ut • ' i � IIF o ii t i ; ___—------_--- ' 9 i o �i f I I I at i i1 - � I .r ----------------- °o A S Z - 17 - Iz � .„w",,,„r";"�„;,q PIOn• i 70� -�= •'9 i"f pedroom Addi}ion for: oanw�+to: qAM g 41. ANOr-1=W F-r-cv Ana A.NN GET-M,45.N O mnsgpg 9�em.eFh vwder Meocufeo i LOCATION: e" Pr.lrm�,,.-,,o.si t t i9i9 a resslate aiam�aes g� 6c°srrvcr�Pl. t timiee — .commeciv-.ntamitr�-1-. I OO�Ja}h GoodsPaad Way .r.,.:.L .tot, Wzi Os}arvillt.MA. L ! {mot D � i TIff- 0 � - -- ! t 9 C H 3 -LIH-11--A- -1. o p �0 2 d O c L 1 i �*„e•'.^•�;�'�•'•""�"."" PROJECT KT• oa�rN er. Flom• 1�O� � � — 'fp0��M`�s+ar C�sdroom Addi}ion for: � I`tldtGTHo a►Jew�eev and iJJt l GCrI iocnnon: � wqt 97Ni, 9� sth ai.�dl�r M,soGutse 7 pr.l�:n.y o..::,y.�11/9/99 - prvraslvneiowldn�o-sl�� I OOya+h Gpadzpsad WAY Gar.strwh'nnP4ns 1 t/W 99 I I I IeommeiUo-rmornutl _ os+ar./ala.rqa. 7 :i c <`r`P .\t E 7� i c ....... —cji - EliT�. { i t -3 n l? a O 0 � Y z .� PRO KT• 4ara / uarwn er. wr 7„�•,,,,�,,,p„a, d tie 1.lastar C�adroom Addition for: .a a Plon• I J06 Fc ederNv lua. ANC-F-r-w F-Cev and ANN Ge-P-rtAN Qa7Naons r°s�—th h.A—A--7u* s i LOCATION: OiT.limi.vyoecy,r.i I/9/99 e5sk�mlbul devg� 1 0024i{iLtood adlMw Gok tna:tim:PL.,a t/6✓99 rammerda•,maenuai�_f—'- -.FA Y i._ �L i 1 i � - S a t i i V ZZZ °2 of °2 2 I (� ' r..w.,��.•...°.�.•-�• ��+ ' PRO ECi: lwarae�6/F(as�6r 1!)6drOOT Addi}ion for: D.�uirer. Plan• 12) rcMJGIN v+xrF F. ..,...> a..o: '. AI r--'F— YV MO arul A Lf�1'.iAN LOCATION- �6 � Y-anns#h hwdlsr A»ocisYse atvrnons Opr.rm„�y os,�yM.r l/9/49 _'ppfe551ggthJtAn�deSi� T I 00GJa}114DOdbP66d Waj. aon..trw.#onN.�r s/m/ea comnerue-r®tamir .Osi'6rvilla,MA. o p - � ! f _ � 4 f 4 i < t Z By'.EC'4.`n•�^�w'�`•+�,'�°"� PROJT Gwrag 4ia/MAa er P�adroom AJA ion for: pB'`NN ° �. � : =•a.- Plen• i fob A.E �s.1e.am•e. rCM4hOl.¢41. aNPF-r-W F-ee-v And A W ar-F-MAN LOCATION: Alb 0Y190Ni 0—;4-11ee - vrvta9amiouilmnaGest�-. - IOO<ae}h40adspacdWAY ao�trw,t:,•pi.� amie9 I ico�:•>aa.rammar-!-!-'r Z-rville.MA. y h= S { u ti a'Y 0 P w s � � . � ���`�UUUU 9 • `t' . i F of m �a 6 s /�• f, a u.v�.es„•�•.°��" PROJECT: Man• 1 706 �+a� y T"las+er padroom Addition for: oar er: e =•_, »�:•��" AN15PP—CW r—eCp and ANN 4ET—MAN O o LOCATION: n mnv°Ns 8°arme#h/Jwda A»oau#s4 O ? p..i�mi".•�.o.si�•,.11/9/99 fGS9am10JtAnB°Ciipi �- 1 OOGJe#JiLwodsPced Way co�r��rn.wM !/b/99 — •com mUm•.eraewm i Os+erville,1-1A. �ƒ/ t � / \ � J©2 X . a GIRD§2 } t / . a. |' S' Ra # } 7ff R 7\! f _ . � { > ! • _ f � | 2 k z % . . • � � � ! / � | _ • . � | . { . � ` . • & . . _ R.. i�o "� �r_xn�r��_Ad_rf k ` �. _ *�r-w��.-��4�MA — , � � �q m��m�_ Lim* J :± 1002,4#4,0,4�<WAY. . [ . I " ii 1 i 8 i i i ii i u i i � > i i � o Q 1 n �v.w•.«... •e^+,^�� PROIKT: Garage/Master P>edroam",W ion For: M°> Rr. a ��°a:o=�,:��.>^ Plan• 1 306 reN�eT>Io�D�F-F. s ANPr-Cw(=CCP and ANN QCF-MAN LOCATION: YtNSONi OPr•fnnLuPy O.slq�.c �/9/99 GSSRbICNtU111Q UG51J�"-T- I 0047eth LpodsPeed Way Go�str,v.1'bn Pi,.�s 1 t/@I99 -;--, , cGemnUal-.eumrns Z-er%llle,MA. uva.a,e�q,m•i u�v _ l . I _ I i i i > i i o � \ (d i n w.w•��M•--�+•^r•`• PRO1KT; 4arage/Mas}er k�edroom Addis ionfor: oar +er: + w..n.�•�•_�.,.d'�an` .Plan• 1�06 re.uerHc�v�.tp_.P-. r •""'..,�"a"� •:�`�-^.. ANC e-W r—CCI�1 and ANN GtT—MAN O m -o��sth ro.�dsr P.esoiutss LOCATION: gl� PreGm„�.ry o.o�gM.�1/9/99 -{yrvressimdouumng ark I OOGWAy e—t—vr Pw� Zr ville.MA. Rim:'° �pm�yi Aa BARNSTABLE TOWN CLERK �OF 1HE Tp� 1.9 FEB -7 All 55 • IlARNSTABLE, y MASS. i63p. 1� AlFD MA'S tl Town of Barnstable Zoning Board of'Appeals Decision and Notice Comprehensive Permit No. 2013-027—German Chapter 40B Comprehensive Permit Summary: CComprehensiueP,er"m'tNo' 20%3t02?7jisjC ndOl Applicant: Ann E. German Property Address: 100 Seth Goodspeed's Way, Osterville, MA Assessor's Map/Parcel: Map 122, Parcel 089 Zoning: Residential C Zoning District Deed Reference: Book 27798, Page 283 Permit Reference: Book 28437, Page 86 Locus and Background: The applicant applied for a Comprehensive Permit under Chapter 40B of the General Laws of the Commonwealth of Massachusetts, and in accordance with Article 11 of Chapter Nine of the Code of the town of Barnstable, more commonly termed the"Accessory Affordable Housing Program. Comprehensive Permit Number 2013-0.27 was issued to°the applicant on February 12, 2014 and a Regulatory Agreement and Declaration of Restricted Covenants were recorded at the Barnstable County Registry of Deeds on October 10, 2014 in Book 28437, Page 86. Several years ago, a request by the applicant to rescind this permit was received. Procedural & Hearing Summary: A public hearing,to rescind Comprehensive Permit No. 2013-027 was duly advertised and notice sent to abutters and the property owner all in accordance with MGL Chapter 40A. The hearing was opened on January 23,2019 at which time the Hearing Officer,Alex Rodolakis, made the following fndings and decision: Proposed Findings of Fact: i Town of Barnstable,Zoning Board of Appeals Comprehensive Permit No.2013-027—German is rescinded 1. The applicant, Ann E. German, was granted Comprehensive Permit 2.0.13-027 for an accessory affordable apartment at 100 Seth Goodspeed's.Way, Osterville, MA. 2. The applicant, Ann E. German, communicated his intent to discontinue participation in the AAAP Program several years ago. 3. On December 18, 2018, the Accessory Apartment Program Coordinator took action to rescind, comprehensive permit No. 2013-027, Ordered: Comprehensive Permit number 2013-027 is rescinded. A written copy of this decision shall be forwarded to the Zoning Board of Appeal as required by the Town of Barnstable Administrative Code Chapter 241, section 11. If after fourteen(14) days from that transmittal the Members of the Zoning Board of Appeals takes no action to reverse the decision, this decision shall become final and a copy shall be the filed in the office of the Town Clerk, Appeals of the final decision, if any, shall.be made to the Barnstable Superior Court pursuant to MGL Chapter 40A, Section 17, within twenty (20) days after the date of the: filing of this decision in the office of the Town Clerk. The applicant has the right to appeal this decision as outlineJ in MGL Chapter 40B, Section 22. Ale' Rodolakis, Hearing Officer Date Signed I, Ann Quirk, Clerk of the Town of Barnstable, Barnstable County, Massachusetts, hereby certify that twenty(20) days have elapsed since the Zoning Board of Appeals filed.this decision and that no appeal of the decision has been filed in the office of the Town Clerk. Signed and sealed this day of f�rPaPGCA�L� under the pains and penalties.of perjury. Ann Quirk,Town �i .G t� �iT•�°u° r BARNSTABLE REGISTRY OF DEEDS John F. Meade, Register 2 i c Assessor' `_ Parcel GP�ermit# NO 7�. Conservation Office(4th floor)(8:30-9:30/1:00 2:0 - TS"ate Issued �,- 119 6 } Board of Health7(3rd floor)(8:15 -9:30/1:00-4:45 e Engineering Dept.(3rd floor) House# �ALL�� � �nl=or7School Adff=M" SCE lt 19 TOWN OF BARNSTABLE ^P AND Build* Permit Application ss Village r Owner Address ' ,Telephone ' ZF --s3 'J --Permit Request i ! X 42 _ _��4 First Floor square feet ; Second Floor square feet Estimated Project Cost $ a d6" Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type Commercial Residential Dwelling Type: Single Family ✓ Two Family Multi-Family Age of Existing Structure Q -t Basement Type: Finished Historic House /Ud Unfinished Old King's Highway /J d Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds J Other Builder Information Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO - ASIGNATURE - DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) ' FOR OFFICIAL USE ONLY t PE ; IT NO. 10 f Dz` ISSUED I P/PARCEL NO t J DRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME' INSULATION FIREPLACE, ELECTRICAL: ROUGH FINAL PLUMBING:„ ROUGH FINAL GAS: -ROUGH FINAL r c � � FINAL BUILDING DATE CLOSED OtiJT- % tit ASSOCIATION PLANNO., �` Tile CummunH-Cully of MassaCIM. m. =j.' Department of Industrial Accidents -! office Wig sesoff9affs �, . ►; .--..` �� . �;� '60/ Street Bmwon,JIM= 02111 �- Workers' Compensation Insurance AffidavitZn-1N-"n*;nfnrrmnnt on _ am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity ,��• I am an employer providing workers' compensation for my employees working on this job. cm-rapany name: addresse phone fh cur�nce co policy$0 --r 1 am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who ha% the following workers' compensation polices: comanny n•t address: phone nolicv ft . m ny name, city: phone 0: in,gurnnee co. '• polies# . .. . .Attach additidiial'shtiet if aeeeaso.,� pe Failure to seenre coverage as required under Section 25A of A1GL 152 an lad to the imposition of eri = naltits of a fine up to S1.500A0 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. t understand that a copy of this statement ma. be forwarded to the Olrice of investigations of the DIA for coverage VMflestion. ! o hereby certify and• the pains and penalti of perjury that the infonnavion pnWded ab is ime and correct Print name f�ht�y-�t-r� Rj� Phone r ofticial use only do not write in this area to be completed by city or town oMcial city or town: permit/Ilceae# nBnitding Department EjWcensittg Bnard check if immediate response is required OSelectmea'a 0tlice 13tiaitb Department contact person• phone 11; nOther f Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for the employees. As quoted From the "law-, an emplitme is defined as every person in the service ofanother under any contract of hire, express or implied. oral or written. An cmplorcr is defined as an individual. partnership. association. corporation or other legal entity, or any two or mor the fore=oink; 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 ill Owner of a dweilinL house !raving not more than three apartments and who resides therein, or the occupant of the dwelling; !rouse of another who employs persons to do maintenance, construction or repair work on such dwelling ho or on the `_rounds or building appurtenant thereto shall not because of such employment be deemed to be an employe: MGL chapter 152 section _'5 also states that even,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 commomi-ealth for any applicant ,who has not produced acceptable evidence of compliance with the in coverage required. Additionally. neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public Nwork until acceptable evidence of compliance with the insurance requirements of this chapter 1i been presented to the contracting authority. ( .. '.�� .. . . - .. 'ek::t•t% .\^` �.�"�'q'�,.y.+'!: t�..:..n�.a�iro.'.!. �y.:: _ .�u�•r;+� .r•-?l?._'.7r. `�•ay :'�'��..-. Applicants Please `ill in the workers' compensation affidavit coinpietely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. ... .. .... >:• :=.:• -. .. . :,�`.: .'M•,y',•''.. ...e::`'t2�.•.• -a..:'.• ems' .3 .. City or Tun-tis Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom o the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pler be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned t the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questior please do not hesitate to give us a call. r,w....e�— ..•....-.ter......•. _ �.,.. _ -- - +� _. ., The Department's address. telephone and fax number. The Commonwealth Of Massachusetts ». Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 - fax#: (617) 727-7749 nhnnp #- (617) 727-4900 ext. 406, 409 or 375 � The Town of Barnstable a & Department of Health Safety and Environmental Services � Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790-6n7 Ralph Cms!= Faye 508 775-33" Building Commissior For office use only Permit no. Date AFFIDAVIT HOME EffROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,.removal, demolition, or construction of an addition to any pm-e sting owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. �Q �� v Type of Work: (/�.2�' � Est- Cost Address of Work: Ov6mer.Name: Date of Permit Application: — 9 I hereby certifv that: Registration is not required for the following reason(s): Work excluded by law _Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WI'IH L�NREGIZ I ERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL C. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner•. Date Contractor name Registration No. OR ' 9i� riumer'-.name . TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION P ase print. . DATE ' / ... : JOB LOCATION Number Street addre Section of town . . "HOMEOWNER" _ Name 37Y'� Home phone Work phone PRESENT 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 such homeowners to engage an in- dividual 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 re- side, on which there is, or is intended to be, a one to six 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 Officii on a form acGp-ptable to the Building Official, that he/she shall be res onsib- for all such work Performed under the building (Section 109 permit. p . 1.1) The undersigned "homeowner" assumes . responsibility for compliance with the StE Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Departm minimum inspection procedures and requirements and that he/she will comp with said procedures and requirements. HOMEOWNER'S SIGNATURE• ' APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. . r HOME OWNER'S EXEMPTION The code state that: "Any Home Owner 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 Home Owner engages a person (s) for hire to do such work, that such Home Owne shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for licensing Construction* Supervisors, Section 2. 15) . This lack of awarene often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case our Board cannot proceed against the inlicensed person as it would with licensed Supervisor. The Home Owner.' acti as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, ma. communities require, as part of the permit application, that the Home Owner 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 to amend and adopt such a form/certification for use in your community. ax lO poi'' � TO t ,r � J 4tf w.,'�i�� "' ^�.•' �:'�"„ � rt _ 1. � HYANNIS HARBORSIDE WALK - ROUTE INSTRUCTIONS HYANNIS ARMORY TAKE RIGHT OUT OF ARMORY ONTO SOUTH STREET TAKE RIGHT ONTO OLD COLONY TAKE LEFT ONTO BAY STREET TAKE RIGHT ONTO OCEAN STREET TAKE RIGHT ONTO GOSNOLD 1.5 - TAKE LEFT ONTO SEA STREET TAKE LEFT ONTO HYANNIS AVENUE TAKE LEFT ONTO TYANOUGH _. 2.3 - REST STOP #1 AT ISLAND ON LLFT'-_.-._" - TAKE RIGHT ONTO WACHUSETT TAKE RIGHT ONTO SCUDDER BEAR LEFT ONTO HYANNIS PORT/CRAIGVILLE BEACH ROAD TAKE LEFT AT STOP CONTINUING ON CRAIGVILLE BEACH.ROAD 4.6 - REST STOP #2 - CRAIGVILLE BEACH HOUSE ON LEFT TAKE RIGHT AT LIGHTS ONTO SOUTH MAIN STREET TAKE RIGHT AT BANK OF BOSTON ON WEST MAIN STREET 8.0 - REST STOP #3 - CAPE COD MELODY TENT ON RIGHT. GO AROUND ROTARY GETTING ON SOUTH STREET BACK TO ARMORY a . y I• 'i•?J.C.^,Vi'i L',":a; ',�a.= :'�l�;.in,•6 rJ .�'l�..'•�1:� �r�r:��'_ .•�;f� :'�� ,.:. . � .�v,�.r, .. .. •�� . . . .••n .. .. ,.... ., • • . �.... . ...... ... . ....,: �- os9 1:f 4k- 67 do " qt,�n •4 ate-- -. a;5f}•�.. 14 t� ,s�� is.W��r..,�.�. •f"•. .-as•w r:ate:^ { � ,.���•t:a ��i, 7, r N I.F.� �,� O �1��. 'L-�.��'L � /•+ y- , � ��.�' 3, � w ♦ h: Yy'�^' i4ti.y,Y- � !Y M �.. i - �•.t. �.yl I' {'y - .. 1T Z-h F �.M �vui.) C:�ATIUNA (fV-f s'2TI If-IGAT10� 4p7t. i LOT �! `SETLI c:,t• oP �t�fcEDSWd j, a; A h 2 It_ Zo It,GALP- I"• '�jC 4? Y I • _}rif`,'•. till/lv1 h/! wd, V- btu IGI.-. = d hJ4 Abe''basie =of kno��leit�p information and S, �►': ge �,certify'�:to I �s ro$u1t of:a surve made„on:'the. ground f::Wd%`that:., ture.(s)i,,tire located: 'on tbe, site as. s ,. fgCsr.ip/ wr4,► W 7-am-J.0 tz:"Ot�4' My-Lad,3 4;lUes and:-lines ,of ocoupation ..of.,the �N o� WAa-.shown hereon. : ���L �. a to °;si,tua ed in Flood•-Sone;;%/o�;�,4 per✓G' o� wILLAMq� a , ; WARWICK '^ No 107) 9 j � "� 3 4 a ` u?� rt •, 9 �f� �4i Q- �' (�illi I�' SuR�� yy11 S.,r,