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0109 TOWER HILL ROAD
1 �� �� �; j 1 :� i f.� i �'� i r i L{{[[. t� ,i� • { {, 4 �. f r� 4 a �_ � 1 �. . �, [/[!1 Fa - �t� t '� f 4! tfrt 16' • k� Shea, Sally From: Grossman, Michael <mgrossman@commfiredistrict.com> Sent: Wednesday, August 09, 2017 3:30 PM To: Franey, Patrick; Lauzon,Jeffrey Cc: Shea, Sally Subject: 109 Tower Hill Rd Osterville 109 Tower Hill Rd passed smoke/CO inspection on 8/9/17. Sent from my iPad i a ti F BARNSTABLE BUILDING PERMIT APPLICATION f t �1 �IZI Map I I Parcel�lP.� 1 Application Health Division Date Issued Z'Z`�'t l Conservation Division CIV � Application Fee Planning Dept. : 4 f Permit Fee Date Definitive Plan Approved by Planning Board o I �� Historic - OKH Preservation/ Hyannis Project Street Address ICA (G tOef 1�:j l l ,sd l i�Village o5if V i l l e OwneOaMPS �'�' °�Cl✓1 10ICt�'Jd, Address )0I 1D IAf'T [-t 11 Telephone 50'9` 3CPq-�:i `7 Q 0S}e( V. I I�� IV p a-Co S S Permit Request A al d- 1546 d i l ►`Lin 4-D Square feet: 1 st fl r: existing 10 broposed 2nd floor: existing proposed 93 Total new W6 Zoning District lJ Flood Plain Groundwater Overlay Project Valuation )s0, 006 Construction Type 1L0 —b',q 0,ia Lot Size al t� ��'� S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure q 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 Number of Bedrooms: existingU new Total Room Count (not including baths): existing (a new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use 10 C) n i t Proposed Use YY)P. APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J-4y c, (N.C)CL Telephone Number o6 Address R 0) License # L 5 v G°I LI SCE y a S4--e ,--v� J I�_ i4- � Lo�� Home Improvement Contractor# 9--)S Email Sc n��� tic V"�r IZ_a».�'L� Worker's Compensation # C ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 10u2y) Va.r �_avd I SIGNATURE % DATE 0 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. µ a1 r ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION FRAME •= INSULATION . t FIREPLACE `ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING J DATE CLOSED OUT f 'F ASSOCIATION PLAN NO. I� - Massachusetts Department of Public Safety r �= Board of Building Regulations and Standards License: CS-094500 Construction Supervisory v � Via• JAMES S PEACOCK PO BOX 171 OSTERVILLE MA 02655 t A'l Expiration: Commissioner 07/22/2018 d U/GG' �Q6%%/.7Y1.(Y/LLUG'Clll�[�V'O�C6JJCl,C�FCJB�CJ Office of Consumer Affairs&Business Regulation License or registration valid for individual use only U19wHOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reg istration:;-0'�51853 Type: Office of Consumer Affairs and Business Regulation ��"'-- 10 Park Plaza-Suite 5170 Expirationn�:=-`z_7/7'/201;8 Private Corporation Boston,MA 02116 SCOTT PEACOCK'BUILD 12. ING=&=REMODELING INC JAMES PEACOCK 1046 MAIN STREET OSTERVILLE,MA 02655 Undersecretary Not valid without signature f ToWn of Barnstable ` Regulatory Services Richard V.Scali,Duector MCI► Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 wv►w.town.barnstablema.us Office- 508-862-4038 Fax: 508-79M230 Property Owner bust Complete and Sign This Section If Usitlg A Builder q Q r I 00 t ,as Owner of the subject property hereby authorize S N 042PCeeak to act on my beh4 in 0 matters relative to work authorized by this building peunit application for. J 09 T'a c.�=t —+I L h�d 0 s4v ryi 1( (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and.all final inspections are performed and accepted. igna e.of.Owner Signature of Applicant Print 1 ame Print I�tame d, f Date ` QFORWIS DWNMPERMISSIOI VOOLS 1 ' i The C9wmvn weu t,qp1auvch=e�t& Oirwe QfhwewVaftMu. Bbstm,MA 02M WarInere• fvFvt��nas�ga��c�ia � Iufm-��m - I fibers Please Print l 1VaffieifQfgaarmda1X <Sr_c - --F'Pa c�:� +-'i 1� j }�e:�,,-,fzle�'►Y re= p Q , 8 ) add i1r11� ��SS Phanti� care• u as employer?.Cheekthe.approprialebo= I. am a employes with d ❑I am a general couimctor a$d I Type of proles(rid}- employees(fuM aad&r pat_fimR:*. lmvelvredlhe sdv-cam 6- ❑New wog �.❑ I am a sale graprietor or IEed aie athd sheet 7_ e denp g. sMp and have no empla•ees These sub-caairactars have � El Demolition women;forme in 2tfy C3pa jJy employees andbave svodcess' [No 'cAmp-i'asmance camp-iamranml 9--N B•nildmg addition regattad.I 5. [] Eleefrical repairs ar ad&h-= 3-❑ I am a bameommer doing all Mork oiacers have cw razed their p �Sep�s or additions myself[No worIces'comp- oa eseuzgiiou per MGI. i mamrtce reTired..]Y c-M§I(4).andwe hweno U-❑B°orrepaim employees_[No wudze ' n—El other cost.insmance requked.1 'Any WffCM&68ccaedxbasRmseulenMoacfibes--ciabesEmnxshuagt�usnuaxmew�wu&ex�- S =t;hosab }dis®dam bdk&bmx fheymduimg91 MMAMaeawssaibdt0aactsf ch-3cfbsbotmusI�IIh �adbt�sie� �con�ro mPoy�Fsib mitana_cmes -dihmcss ofht steuhersornifMseeaiffEsharnvern e�3Qyees.Ift3tesnc car>rsF �nTo mer�sPmvide tb irarh�xs' .P-PQRW nun&= I am aye euiyi fltat-isprmrc UHZ spark=,couRectsWon uMwaraarsAr MY eM274 ee% BeFo34IS lllegulief and job safe mfornzatibm I�.ceCamgaayl'�Tame: C�"'�k.�-'7�_�. �•?�`��n' �/� 'Pohcy�or Self-ice Iic Tower ` . �!�!�� — �l - �G� �• l�giraiiuIII� v/•��- ��/ " Job Site Address_ dower � �I �r� , IV; Pt ( r vt ll� oa��-S Attach a-cagy of the workers'corapensatianpolicg declaratUM Rage(shawmg the PaRCY giber and "on date). Fa&m to secure as requirednader Section 25A o€M-GL a 1527 can lmd to Ste imposstiton of criminal penalties of a f=up to:SL54a eG andrar oliE:Y srillP It as weH asrival peuahie_s in the fG=of a STOP WORK OR Mand a Hne Of BPtO OO a dap asp the violator: Be advised that a copy of this sw=exd M;U be h.nvarded to tine Ofice of IIIvesEgafioas o€the DI_A,for insarartm cavmge v I do hereby under am pains �s thatt3ie ire araratiau a.� rY prmided abm�i^s�bug and cuffed t3,�rciaL onfy: Da rtt:t greats in ties niece,#a be CM24r&W by city artown aka£ CRY or Town: N •rtciNT,' Lwaing xity(dreTe one): L Berard Of Health Other .LffplTuFm Clerk 4.Detf ical hupecto S.Pl r f!. - Contact P'emm MOM 9^ 6 DATE(MNWDIYYW) ACIOR CERTIFICATE OF LIABILITY INSURANCE F07/22/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or 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 endorsements. PRODUCER - CONTACT NAME: Germani Insurance Agency PHONE 508 28 9194 FAX IC, No: 508 28-3068 908 Main Street IA N EMAIL Osterville,MA 02655 ADDRESS:certs@qermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC 0 INSURER A:SAFETY INS CO INSURED INSURER B Scott Peacock Building&Remodeling,Inc. P.O.Box 171 INSURER C: Osterville,MA 02655 INSURER D:Granite State-AIU Holdings INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LiR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYYI (MMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY BMA0022118 7/5/2016 7/5/2017 EACH OCCURRENCE $ 1000000 CLAIMS-MADE OCCUR DAMAGE (RENTED PREMISESS Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑PRO- JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIABI HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2016 6/22/2017 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBEREXCLUDED? ❑N N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached H more apace Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZED REPRESENTATIVE - 4:f�N ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD t � a0 /5oas�� oF�l ram, Town of Barnstable *Permit# Expires 6 months in issere dale y Regulatory Services Fees, . '* HAxxsrAarAf ^ t�A� 3.. . 0 Richard V. Scali;Interim Director i69 ��A�F0 NIA.h Building Division ' x-PRESS PERMIT Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 ,MAY3 .�.� www.town.bamstable.ma.us Office: 508-862-4038 TOVYl OFAAARo,ASTAah�� EXPRE PERMT APPLICATION. - RESIDENTIA . d''Ay �`Q A'ot Yolid without Red X-Press Imprint Map/parcel Number 11 I -" `' 'L) q Property Address 'Q _` r111 �—Ut a� [Residential Value of Work$ Minimum fee of$35.00 for work under$6000.00 Owner's Name&Addressa� Contractor's Name . \` -�`� '�' �W V�- Telephone Number Home Improvement Contractor License#(if applicable) I O I Email: lJ� 17c�1 l' ' Construction Supervisor's License#(if applicable) q91 ' ❑Workman's Compensation Insurance Che one: t I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must.accompany each permii. Pennit Re��4.u,�t(check box) [j e-roof(hurricane nailed (stripping old shingles) All.construction debris will be taken to ftyr ( PP g g ) ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side. ❑ Replacement Windows/doors/sliders.U-Value (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors-4 floor plans marked with red S and inspections required. w Separate Electrical&Fire Permits required. ''Where required: Issuance of this permit does not exempt compliance with other to Am department regulations,i.e.Historic,Conservation,etc. ***Note:, Property Owne st s• Proper Owner Letter of Permission. opy of a Ho el proveme Contractors License&Construction Supervisors License is req 're SIGNATURE: QA1VPFILES\F0 uilding permit forms\EXPRFSS. e Revised 061313 Town of Barnstable FYtiE Tp� . ti Regulatory Services . F f AIAM Thomas F.Geiler,Director F 619. Building Division Tom perry,Building Commissioner 200 Main Street,Hyannis,MA 0601 www.town.barnstable mains Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign' Thus Section If Using A Builder MPAW as Owner of the subject property hereby authorize to act on my behalf, IIJ in all matters relative to work authorized by this building petmit (Address of job) **Pool fences and alarms•are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Si ature of Owner ' a e of Applic Print Nine Print Name Date QTORMS:OWNERPERNSSIONP00L•S.6R012 27[Q Comygartivetzlth of Massachusetts Dgpartrneni of Iiuhistial Accidents Office of Investigadorls 600 Washington&reef Boston,MA a211I cutup.mas&gov1dia Workers' Compensation Inmmuce Affidavit:B:o ilders(ConfractorsMectricians/Plumbers Applicant Information Please Print Legibly Name ghmine organizationanaodwl): Address: City/statrizip. • W)n ( �2W�1 Phone#_ )� Are you an employ&DAeckthe appropriate box: T}fie of project(required): .L❑ I am a employer with 4. ❑ I am a geuerA etmtractor and I 6. ❑New cong(ruction )ftployees(full andlorpart-time)_* have hiredthe 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 S. ❑Demolition working for me in any capacity. employees and have workers' coin insurant�.t. 9. ❑Building addition (t�jt}WOr]Gf1S' comp.insurance P• � rtgnired"j ' 5. ❑ We are a corporatioanand its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers;/save exercised their ME]Plumbing repairs or additions myself,[No workers'comp. tight of esemptionper MGL 1 Roof insurance regaired.]t c. 152.§1(4),and we have no � repairs employees.[No workers' 13_El Other comp.insurance required.j *Anyapplksntthatchecksbox-#lmnstalsofilloutthesectionbelowshowingtheirworkers'compensationpolicyin5rmx on. T Homeowners wbo submit this affidavit indicating they are doing all ucak and then bi a outside contractors mast submit a new affidavit indicating such tCoutracturs that check this boat mint attached as additional sheet showing the name of tfre sub-cm=x m and state whether cc not those wAities have emptoyees. Ifthe suVcontractors hwe employEe%theymut provide their workers'comp.policymanber. I ant an employer thatis provilung workers'conipensadion insurance for my eitgdayer" Belaty is Hie policy and job site irtformatt`ar� Insurance CompauyName: Policy If or Self-ins.I iQ#: ExpirdtionDate. Job Site Address: City/Statelzip: 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 r 152 can lead to the imposition of rrimiaa l penalties of a fine up to$1,500.00 and/or one yearunprisonment.as well as cii it penalties in the form of a STOP STORK 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 c erification. Fro f,or'ei certify rttr r e pain an e a ofpetjury Hid the inform0ion provided above' a an correct S tune: Date: I O / Phone#: 0,j7!al usa only. Do not sprite in this area,lobe completed by city or town official , City or Town: Peruutucense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cit;/ravrn.Qerk 4.Electrical Inspector 5.Plumbing Inspector 6.Gther Contact Person: Phone!t: 6 t U Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction..Supervisor Specialty License: CSSL-099138 a i JAWSP CURLE.)� 287 FULLER ROAD 14 Centerville MA 0632 9,2 Expiration Commissioner 01/28/2016 f gull .;�.r -, qq11} r'� 1 >~. I 'rC •�' u 'rr�{, 3 , 1% `"' ;1�,L. ? �,a �: :p:l''!^ ?. 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Sincerely, Conor McInerney ConserVision Energy co tfa .rn 376 ROUTE 130,SUITE C SANDWICH,MA 02563 508-833-8384 WWW.CONSERVTODAY.COM r ' Scott Peacock 11u ,�a ; ; 112: NJ Building & Remodeling, Inc. ]Post Office Box 171 • 1046 Main Street,Suite 3 Ostervill.e, M.A.. 02655 phone 508-428-7600 • 508-428-7625 fax scott peacock(a�verizon.net FACSIMILE TRANSMITTAL SHEET To: From: Tfl P-Q 1. _ C,om.pany: ��. �� Date: Fax No.: �' ` ' I o-W Z- # of pages hicludxng cover page D LIRGENT I I FOR REVIEW ❑ I'LGASE REPLY . FOR YOUR USE Notes/Comments: I 15 yap - (SR d `t (Y1 s& ,61 GS ►�L�-� �� q-�z8�r� F■ . R-Vague — 7.a5 /Cri 1' ocnSlty 0.6 . 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V• 4C.:..�,�'.a::1tn:-.:;ti: ;.,::;�: .y,�::�.,r�?.r..L. :.,ram.. ��" •'•i'l-I At".'t!d'��•k1�.Iti:1.l..I c.A•,LI!1'l - ,�' h'�i+�,f,;r:'1,��tw.�/,y/. .rs�1,,fFrJ•I. �i1. A R-Value — 4,45 0-8lh'/t; :;� • •• • �:� -U!r:�.!tiT;�• - ::,,..'�%,"I�T1'RiF!^R*"cyT:�;''.�.�t.'L: ..P.�.!y..,.n, v'�'r7."{i^,t�i%]r:i�i'1"^�'r�'�,',^'�,'~�4+�;A.' '•'� r`:i��'"'r '••q�,i'-`^�°'"rii r �qRC.' - ;^'�, -'�i; .J�, � .�'�'i 'r.. 'i' �3It-.,.atya.!' '•^ ^. �a- o.. Imo. l,t: ,L�� � ::., � �, � ;�'•,:i,•. c .ti" �.v', _ . . ::.• � r,+ �.•;t,:,,,tF�[��J� 'r,.'.��,�.Jf .vr q:, b; w..4+'�L.~s►�i;1r.rs.�.�.£�`,�!r' �=t+: ��� 1� _: , �y��•�, ..tK �y,71�yp,S�'/'�y,,,� -rY Vlb�,rf•.1•r ��"'M:.•i`5.2�1•''-'�"r'tb�v:'ff:�DfiC.:�•..S�PoN .�il:�w�.�..-h' .,z.,,---.-..ter•--^�-----� •'--..r;:- ^.,..,..,,,•. i;'i 1S' ".'1•�r!rcS' ..t, "-...r rq — �r.����^r.r. -t.,�!:. •,..: '1 ... � .,� � ' F4,,_"�� ../. 't •4. .1`tr::'• �/ ;.I��:•��� , ^��rie,.`ry�::'�'I�P-•�.}.: •�•w�ti.in^� '.J't ryE ,,r. .t _ :.• "� .,Li7 ,;�; "�:1��t� .,,;�� ;� ';,iti.';c::�:�. �.,. -..nw.�•ti.'. r'- �r I ��:� �". •.,A.�.�.4��1:.,l.l.:+-r'�•;-':',1:,•",�� ��I�i•+��`..:�'j..l "ram •if'c������`n�.-•1....�a:At '•,a::. I�.:.;, 5. j:,y'y�l-.1 L��•''ti+i..+M.!:-•..,If�'ta,rl�Vl�:.n�..�f::C4r�j� �� i t.",i t.. .,�._�r.r..'Y n.SM1.. � 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #A 0 l Health Division Date Issued 2 Conservation Division Application Fe Planning Dept. Permit Fee V ' Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address D� c I`k Village ('`� Owner 00,120 �_tU Address S Telephone C-07_4 0 Permit Request V Y W � L37 w Square feet: 1 st floor: existing proposed '2nd floor: existing proposed �Total)ne Zoning District Flood Plain Groundwater Overlay Project Valuation 30 4 000 Construction Type W -� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Kd `� — Historic House: ❑Yes Uhgo On Old King's Highway: ❑Yes ❑ No 0 � ❑Basement Type: ' ❑ Crawl Walkout ❑Other Basement Finished Area (sq.ft.) O Basement Unfinished Area (sq.ft) i Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing b new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use , Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Numbers Address `� �JAX 1 " -'� License # 5 ®� g5YC S Home Improvement Contractor# l s�D 5_3 Email : Worker's Compensation # C P0000 f 5' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Y SIGNATURE DATE a l FOR OFFICIAL USE ONLY APPLICATION# I DATE ISSUED ' MAP/-PARCEL NO. y ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: lr�FOUNDATION;L )_u1e ;:tiD4f-�Cm—ij j,7 p[L m �-� -- PAL, ► ` FRAME 61 '-► ` �� r )INSULATION_.. ut,. :�1 -:;..fi� `r y FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH FINAL GAS: . _ _ ROUGH FINAL FINAL BUILDING!- DATE CLOSED OUT - ASSOCIATION.PLAN NO. _ M ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street j' Boston,MA 02111 ` www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information j Please Print Legibly Name(Business/Organization/Individual):��'PO)�.C& ��L�'(1�(�� 5 �� ��I� N�. IW Address:0 -) AA M N <<_T Slwkv7 C P D a0( ) 10 City/State/Zip:US1t)2- 11(F_ , a/l 11 02&) Phone#: 6-- qZ -_ 7G AWtmna employer?Check the appropriate box: Type of project(required): 1. 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. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ 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 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. i Insurance Company Name: CM rV1, PZC l IILSZ 'ems S. Policy#or Self-ins.Lic.#: wc_ U 7� f J�1'�oq Expiration Date: �Z-21 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$1,50.0.00 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 cer under the pains a d pe !ties of perjury that the information provided above is true and correct. Signature: - -�C� Date:,) Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACO" CERTIFICATE OF LIABILITY INSURANCE r ATE(MM/DDNYYY) 07/03/2013 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 Germani Insurance Agency NAME: 908 Main Street PHCNN Ext 508 428-9194 A/C No: 508 428-3068 Osterville,MA 02655 E-MAIL ADDRESS:certS ermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC p INSURER A:SAFETY INS CO INSURED Scott Peacock Building&Remodeling,Inc. INSURER B: P.O.Box 171 INSURER C: Osterville,MA 02655 INSURER D: Commerce&Industry Ins.Co. INSURER E: I INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP AR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYW MM/DD/YYYY LIMITS A GENERAL LIABILITY CP00001152 7/5/2012 7/5/2014 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS AUTOSNON-O PROPERTY DAMAGE $ Per accident $ I UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION% $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2013 6/22/2014 WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ 500,000 NI N/A (Mandatory in If yes,describe under E.L.DISEASE-EA EMPLOYEd$ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 21 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-094500 '� \\•.1..I"IN JAMES S PEACOOK PO BOX 171 OSTEVILLE MA-02632' ri Expiration Commissioner 07/22/2014 \_ Office of Consumer Affairs& Busi less Regulation !/J License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: 151853 Type: Office of Consumer Affairs and Business Regulation r, xpiration: 7/7/2014 Private Corporation 10 Park Plaza-Suite 5170 SCOTT PEACOCK BUILDING''& REMODELING INC Boston,MA 02116 JAMES PEACOCK 1046 MAIN STREET SUITE:7 OSTERVILLE,MA 02655 tlndcrsecret::ry Not valid without signature r� Y r ti Town of.B.arn-stable - Regulatory Services uxxsrABL.K y AfIR4 Thomas F.-Geller,Director i639- �� �Enr.'` BuitdingDivision Tom Perry,Building Commissioner 200 Main Street, ffyaanis, MA 02601 www.town.b arnstable.ma.us Office: S09-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, s 0&4r, ,,as Owner of the subject,property S ^_II �y� i here by authorize n I✓1tt5 a.-2 on my behalf, in all matters relative to work authorized by this buildiiig perriiit.application for. (� UW e- (V I (Address !of rob) Signs Owner Date Print Name .If Property Owner is applying forpe niitplease-Complete the Homeowners License Exemption Form-on-the reverse side. Q:FORM5:0 WNERPERMMS--ION CONSULTING "STRUCTURAL ENGINEER, INC. .53 Knox Trail, Suite 201 978-461-6100 Acton, MA 01720 www.cse-ma.com January 21, 2014 Richard P. Fenuccio Principal. Brown, Lindquist, Fenuccio & Raber, Architects,.Inc. 203 Willow Street- Suite A Yarmouthport, MA 02675 rick(o-)-capearch itects.com RE: Structural Review Cote Residence 109 Tower Hill Rd, Osterville, MA Dear Mr. Fenuccio: Consulting Structural Engineer Inc. (CSE) is pleased to submit this letter and attached documentation confirming our review of the addition to the single family residence at the referenced project location. We reviewed the drawings entitled Proposed Addition to the Cote Residence, dated January 21, 2014 as prepared by BLF&R Architects, Inc. To the best of our knowledge and belief, the structural systems defined on the referenced drawings and the attached documentation satisfy the relevant requirements of the Massachusetts State Building Code for 1&2 Family Dwellings, 81h ed. (MBSC). The attached Massachusetts Checklist for Compliance in 110 MPH high wind zone should be used to supplement the referenced drawings to define the required structural construction. Thank you for the opportunity to support you with this structural review. If you would like to discuss this project further or have any questions please feel free to contact the undersigned. Sincerely, ? h _.A BRAN 14, r/f A. l I -r d ry c 1" :t E-13-1 No.4607, - ` t1 Brian A. Walsh, P.E." Consulting Structural Engineer; Inc. Attachment:. Massachusetts Checklist for Compliance ^ A WC Gm&dexo Wood Constritction hiffigh Wind Areas: 1/0'inph Wind Zone Massachusetts Checklist for Co00pU^ance (700C.MR 5301-2JJ)/ �� `� Check � Compliance 11 SCOPE Wind Speed(3-aec gust)............. —............................................... ...................... — ........ ............11U mph X VVindExpuoueCategory---------------------- ....... .................... ------_—.......8 1.2APPUCAB|L[TY � Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) 9 stories :52 stories ^~ RoofPitch ..........................................................................(Fig 2) ......................... — ............. 1212 � MeanRoof Height ..............................................................(Fig 2).............. ...... ...........................90 ft :s 33' BuildingWidth,YV...............................................................(Fig 3)............................ ................. ft 00' BuildingLength. L --------------------'(Fig 3).....................................—....... M 80' Building Aspect Ratio(L/W) — ' ' ------------(�Q4)---------------' | Nominal Height of Tallest Opnnno" ------�V�O4}--------' ' � � *�/��_�8�^ | ��~ -----� — ---� — ---- / | 1 � FRAMING . General compliance with framing connections.....................(Table 2).......... ......................................... ........... 2.1 FOUNDATION Found,��W�|ome�ng ��i��r��7�C�R��.1 . Cnnorote—........... ......................... ............... ................. .................................................. ConcreteMasonry ................................................................ ' ---------------------. `u 2.Z ANCHORAGE TOFOUNDATION | 5@^Anchor Bolts imbedded or5/8`Proprietary Mechanical Anchors on | i noonnneoon|y, � 8obSpodng—general ---.'----'.-- --'��b|o4)—'_l|����'g���------ ��� in. Bolt Spacing from end/joint ofplate ---------.(F� 5)--------.---'6-l�� in.sO^ 12^ BnhEmbedmend—ouncre�-------_.' ---'(Fig 5)......... .......................... ........... in. a7` Bolt Embedment—maaunry.................................... ...(Fig 5)..................................... ...... in. a15` PlateWasher.......... ................. ..................................(Fig 5)........................................ 3^x3^x�� 31 FLOORS� ^� Floor framing member spans checked ...............................(per 7O0CMR Chapter 55)..... .............................. ~^ Maximum Floor Opening Dimension............... ...................(Fig O)... .................... ..........................___fts12' Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig G)....................................... x^A Maximum Floor Joist Setbacks xu�� 8upporUngLoadbaahngVVoUuorSheanwoU-----.(F� 7)---------_-------� h sd �^ Maximum Cantilevered Floor Joists Supporting Loodbeohng Walls cn/ShoanmaU................(Fig 0............................. ...................... ft sd Floor Bracing atEndwab.........—_........... .......................(Fig 0.................................................... ' � Floor Sheathing Type ....................... ................................(per 78OCK4R Chapter 55)....... Floor Sheathing Thickness ................................................(per 78UC Chapter 55).......... ....... _in. � Floor Sheathing Fastening....... ............... ........—:............(Table 2)—.I, _d nails a\ �—�jn edge/J�infield 4.1 WALLS VVaU . Height LoagUoahngwaUo-----_------------(F� 1O and Ta�*5)--------- ft � 10y ~~ woUo__-------------.�lg 1O and Tab�5)-----_--.}��.# s2I VVaUStud Spacing -----------------1—(Fig10ondTable5)------.I k> in� :524"o.u. — --- VVoUStoryOfsets ........................................................(Figs 7& @.............. ............................___ft :5d xJLA | � ' ' 4.2 EXTERIOR WALLS' � Wood Studs Lo— walls...... — ....... — .......' — .......(Table 5)--- . . —�---� ft in. mon LoaUUeahng Uo — —..-----.pable5>----------2x � in. ^r Gable End Wall Bracing ' FullHeight EngwoU Studs............................................(Fig 10.............. ................................................... VVSP Attic Floor Length................................................(Fig 11)......----.--------'. �e��8 ZZIA Gypsum CoU�gLong� (�VVSP not uoed) ------(F� 11)------------,-- �a0.3VV and 2x4 Continuous Lateral Brace @G ft. o.c ' (Fig 11)...................... ....... —........ ................ � cx1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft. spacing iSplice Length n end joist or truss bays_ i Double Top Plate ---------`--'(Fig 13 and Table G)..... ----'�-----Splice Connection (no.of 16d common nails) .............(Table O)....................... ............................... ��� w~~ ' A WC Guide to Wood Construction in High Wind Arms: 1.10 mph Wind zone z Massachusetts Checklist for Compliance (780 C:MR-5301.2.1.1)1 Loadbearing Wall Connections Lateral (no. of 16d common nails)...............................(Tables 7).................................................... .. ' Non-Loadbearing Wall Connections Lateral (no. of 16d common nails)...............................(Table 8)........................................................ t Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9).................................. ft in. <_ 11' Sill Plate Spans ........................................................(Table 9).............................:.... ft q in.<_ 11, ✓ Full Height Studs (no. of studs)...................................(Table 9)........................................................ 3 !/ Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) able 9 .................................. b ft in.< 12, Header Spans............... .................................... ........R ) Sill Plate Spans...........................................................(Table 9).................................. ft z-i. in. <_ 12" Full Height Studs(no. of studs)....................................(Table 9)........................................................ ✓ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously` Minimum Building Dimension,W I= v vSv 4, , ;4 ' L7slX'S O> Nominal Height of Tallest Opening2 ..............................................................................b= s 6'8" SheathingType.............................................(note 4)..................................................... -^� Edge Nail Spacing.........................................(Table 10 or note 4 if less)....................... %in. Field Nail Spacing.........................................(Table 10)................................................. I;:;�' in. ✓ Shear Connection no. of 16d common nails) )(Table 10)........................................................ Percent Full-Height Sheathing.......................(Table 10)....................................................�% i. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... Maximum Building Dimension, L r'�' 5 0�"•i (sr,�11 Zj G j`'T FLp R— OTt"r 1 14 I 'Z0Vr'D9 EA Nominal Height of Tallest Opening ............... ................... ..............................t,_5 <_6'8„ ✓ �r .p or- Al t Sheathing Type............................. ...............(note 4)......................................................7 lb 057 Edge Nail Spacing.........................................(Table 11 or note 4 if less)....................... q in. ✓ Field Nail Spacing .........................................(Table 11).................................................t;4 in. riZ 1 � to Shear Connection (no.of 16d common nails)(Table 11).......................................................? '� Percent Full-Height Sheathing.......................(Table 11)................................................... % V 3,4/. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... =) A Wall Cladding Ratedfor Wind Speed?............................................................. ................................................................ t/ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website). Roof Overhang ...................................................(Figure 19) ............. i ft<_smaller of 2'or L/3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors d) S A d- A w7< '1Z � Uplift................................................(Table 12)............................................ U=1-70 plf �✓'� Lateral.............................................(Table 12).............................................L=i" Inplf Shear..............................................(Table 12).............................................S= ?-7 plf Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= `t) 7 plf Gable Rake Outlooker.........................................(Figure 20) ............. i' ft<_smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Lc�OKcYuT < Proprietary Connectors Uplift................................................(Table 14)............................................. U= lb. r�1, A Lateral (no. of 16d common nails)...(Table 14).......................................L= lb. A Roof Sheathing Type...................................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness........................................... ......................�.............,...... in. >_7/16"WSP Roof Sheathing Fastening...........................................(Table 2).....F .... ' .... .. )................. _ L✓�. Notes: 1. This checklist shall be met in its entirety, excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b 2. Exception: Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated 42-grade. f - 3 L4 P AWC Guide to Wood Construction in HMI Wind Areas: 110,tni p l Wind Zone Massachusetts Checklist for Compliance (780C11R5301.2.f,>). ' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below: Vertical and Horizontal Nailing for Panel Attachment '-WHEN THIS EDGE RESTS ON FRAMING LIS£Sd NAILS AT 6"o r_ --- if ' II ii ti It 1/ ii It Y U 1 it 11 11 { 11 Ii 11 11 /1 it I1 it 1 11 It 11 1 1.1 t•1 it 11 II � I 1 11 IL Q /1 1 11 11 r 1 Ir r 11 it a I{ C it It Y0 1h. 11 1 Ir it /1 1 11 11 1 1•I 11 It � 1 I t Q 11 11 Itj 1 a IJ 1.t X i1 I/. It 1 I d I it 6 1 1 71 W II V II It ~ 1 •1 � II it 11 {J _t i 11 t1 1 NAFLSPACWG I PANE1 cl t See Detail on Next Page. Vertical and Horizontal Nailing for Panel Attachment A WC Guhle to Wood Construction rn.11igh.. Whirl AYens: .l1 f)nzpli Wind Zvne Massachusetts Checklist for Compliance (780 C M*R 5301.2.1.1.)' r i L Q 4 it-' i r � r r tr r r � r � r �r r� m Z61 FRAMING MEMBERS i r EDGE 94TERMEDIATE r (f r r r l , 3.caw. �`..� C -i r. r 'a :. l, !`JA;X- Q`4- STAGGERED 3'MIEL NAIL PATTERN PANEL PAWE'_EDGE DOUBLE NAIL EDGE SPAQNG DETAIL' Detail Vertical and Horizontal Nailing for Panel Attachment REScheck Software Version 4.5.0 C. Compliance .Certificate NJ Project Cote Residence Energy Code: 2009 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: Addition Orientation: Bldg. faces 270 deg. from North Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 109 Tower Hill Road James and Megan Cote Rick Fenuccio Osterville, MA 02655 109 Tower Hill Road Brown Lindquist Fenuccio&Raber Osterville, MA 02655 203 Willow Street megan.toland@comcast.net Suite A Yarmouthport, MA 02675 508-362-8382 kathryn@capearchitects.com Compliance: 28.9%Better Than Code Maximum UA: 38 Your UA: 27 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies. Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Wall 1: Wood Frame, 16" o.c. 69 20.0 0.0 0.059 4 Orientation: Right side Window 1:Vinyl Frame:Double Pane with Low-E 7 0.029 0 Orientation: Right side Wall 2: Wood Frame, 16" o.c. 108 20.0 0.0 0.059 5 Orientation: Front Window 3: Wood Frame:Double Pane with Low-E 23 0.029 1 Orientation: Front Wall 3: Wood Frame, 16" D.C. 70 20.0 0.0 0.059 4 Orientation: Left side Window 2: Wood Frame:Double Pane with Low-E 6 0.029 0 Orientation: Left side Ceiling 1: Cathedral Ceiling 210 38.0 0.0 0.027 6 Floor 1:All-Wbod,Joist/Truss:Over Unconditioned Space 199 30.0 0.0 0.033 7 Project Title: Cote Residence . Report date: 01/17/14 Data filename: HA Current Projects\Residential\Cote Page 1 of 2 Res idence\Admin\Miscellaneous\ResCheck\ResC heck.rck Compliance Statement. The proposed building design described here is consistent with the building plans,specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in RESchec Version 4.5.0 a d to comply with t e mandatory requireme s I' ted i Scheck Insp tion Checklist. uii o � r //1i� a 7A Name Title Signa ure Dat Project Title: Cote Residence Report date: 01/17/14 Data filename: H:\_Current Projects\Residential\Cote Page 2 of 2 Res idence\Admin\Miscel Ian eous\ResCheck\ResCheck.rck TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION _D�21 Map Parcel Application.# ' Health Division Date Issued l Conservation Division Application Fee jT Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board P Historic - OKH _ Preservation / Hyannis Project Street Address Village Owner Aro S Address \C�°� aura' WAN kcw.,A Telephone Permit Request JsAc�. JD n &n ct.4�c , hs'_\c' �.U.\ Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuations ,�(�,� 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 L? o Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft):Ei. o ZE Number of Baths: Full: existing new Half: existing o 1 3 `.p Number of Bedrooms: existing _new a Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil El Electric ❑ Other . rs Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ,❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # Current Use Proposed Use- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 2' Name C,n C�n-r ELT c\R�c t\Q& Telephone Number O 7�—`r533�S3<8 Address ?) �. c�v�aRe \�O Sv�:�2,L License # \0_;)�9`i f5 W\C\n , ,A k A 6_;).ST._7, Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 120 it,I 1 Z - i :t � FOR OFFICIAL USE ONLY APPLICATION# , . i . DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r, 4 OWNER DATE OF INSPECTION: FOUNDATION ` FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH t • FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT --� ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Print-Fdrm, ` Department of Industrial Accidents Office of Investigations ' 1 Congress Street, Suite.100 Boston,MA 02114-2017 UV www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/lndividual):CONSERVE ENERGY INC. d.b.a CONSERVISION ENERGY Address: 376 ROUTE 130, SUITE C City/State/Zip:SANDWICH. MA 02563 Phone#: 508-833-8384 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 6 4. ❑ 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑ Building addition [No workers'comp.insurance comp. insurance.* required.]uired. 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I I.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.91 OtherWEATHERIZATION comp. insurance required.] "Any applicant that checks box ill 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 ornot 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: SELECTIVE INSURANCE COMPANY OF THE SOUTH Policy#or Self-ins.Lic.#:WC7956539 Expiration Date:3/15/13 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cerd under the ains and enalties o er'u that the information provided above is true and correct. Si nature: Date• Phone#:508-833-8384 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Realth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: • Client#:68880 CONSER ACORD. CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIMDM'M 03/15/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),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 endorsemengs). PRODUCER ICONTACT NAME: Rogers&Gray Insurance Agency,Inc. PHOHE 508 398-7980 — ^X 434 Route 134 E-MAJL'e tt). `(ac No): ADDRESS: South Dennis,MA 02660 INSURERS AFFORDING COVERAGE NAIL 0 508 398-7980 INSURER A:Selective Ins.Co.of the South INSURED INSURER B Conserve Energy,Inc. —w 376 Route 130.STE C INSURERC: �-- Sandwich,MA 02563 INSURER o` --- --- 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 REOUIREMENT,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 DDL SU POL CCV EFF ppppLICY EXP LTjt TYPE OF MSURANCE INS POLICY NUMBER MMIDD/YYY11�IMM100 LIMBS A GENERAL LIABILITY X ,S2011299 3/14120!2 0311412013 EACH OCCUURRENCE E 1,000.000 X COMMERCIAL GENERAL LIABILITY .PREMIS ENTErtencel CLAIMS•MAOE . ^I OCCUR :'.M�ED_._E_XPP�(Any one person) E 1 O O00 _.. PERSONAL&ADv INJURY S1, 00,000 GENERAL AGGREGATE E3 000,000 ._ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOP AGG E 3,000,000 X POLICY PRO•jE LOCI �---- f AUTOMOBILE LIABILITY t(Ea eBd ED SINGLE LIMn —1 E ANY AUTO BODILY INJURY(Per peracm) E ALL OWNED SCHEDULED r - i BODILYURv Per' aWOent f AUTOS AUTOS i !, ( ) NON-OWNEDUTO PROr OPERTV DAMAGE — •W HIRED AUTOS AUTOS {, 6 r !tPer accidem) _ E I �r E A uMBRELu LUB X occuR I X : S2011299 3114/2012103/141201 EACH OCCURRENCE E1 000,000 X EXCESS LUa CLAIMSMwEI AGGREGATE E3 OOO 000 DED I X RETENTION O I .._.I. _ —..� E WORKERS COMPENSATION WC STATU. I .OTH A WC7956539 3/1412012 i 03/14/201�X TORY LIMLT,3 ._ER AND EMPLOYERS'LIABILITY .. ANY PROPRIETORMARTNER/EXECUTIVE YIN ESL-EACH ACCIDENT __ tE100 OOO OFFICERIMEMBER EXCLUDED'+ NIA: (Mandatory In NH) I E.L.DISEASE-EA EMPLOYEEi$100 000 tt Yei,0Guibe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT r s50Q OOO I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is Mquired) Excluded officers under workers'comp-Conor and Courtney McInerney. Blanket ade itonal Insured coverage applies under CGL. CERTIFICATE HOLDER CANCELLATION Thielsch Engineering,Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE g g, THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 195 Francis Ave. ACCORDANCE WITH THE POLICY PROVISIONS. Cranston,RI 02910 AUTHORIZED REPRESENTATIVE 0198 -2010 ACORO CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S788991M78898 DDR } Massachusetts -Department of Puohc Safety 9Caridt(`B,ui'dSugLReg fiaponsland Standards License. CSSL-102778 CONOR D N1CINERYEY 39 SIASCONSETDRIV F SAGAMORE BEACH MA 02i62 it. " w �.�.-•JJ�ut�.. � .. Exfr;�ation ConNmssionet 08/19/2014 = Office of Ooosumer '1'fa,s Bdsiness iY'e`g`ula"6oP License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 171251 Type: Office of Consumer Affairs and Business Regulation Explratlon: 3/1/2014 Partnership 10 Park Plaza-Suite 5170 V-0VUR Boston,MA 02116 VE ENERGY CONOR MCINERNEY n 376 ROUTE 130 SUITE C SANDWICH,MA 02563 Uudersccremr n y _ .- -- — ot valid without signature 4. OWNER AUTHORIZATION FORM e&44 '(Owner's Name) Name) ' owner of the property located at lob -tower 14*01 (Property Address) (Property Address) ' i hereby authorize d A) y1 C (Subcontractor) J-- an authorized subcontractor for RISE Engineering, to act on my behalf to obtain a building permit and to perform work on my property. �J i Owner's Signatuu Date • �577 Assessor's map and lot number .." �� of Tod Sewage Permit number BAMSTsnLE, i House number ..�U 1.;q.r !... ...���.........R:��........O le/t✓I if 90 rnea 0� i ?. p t639. \0 i 0Moa' ETC N OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT. TO ....�". 01.f/sh/.........` ............................................................................... TYPE OF CONSTRUCTION ... ......0.,1,7,/),mT em........................................................ ..................:,6.............:...19. .5 TO THE INSPECTOR OF BUILDINGS: ~ The undersigned hereby applies for a permit according to the following information: Location ..../.U.. ...:f it l a"2.... .{. .1........QD.:........ ............................................................................. ProposedUse ....................................................................................................................................:........................................ ZoningDistrict ............................................ ...........................Fire District ......................... Name of Owner ...F.O. Qrr...........6"o.tV tr.Y.Ct.................Address ...../.GG ....'.,f.�{�(.!.1� .:....d�{f...f........./.Z.............6...�.T..e..R.vt N e. Name of Builder ..rA:fn...... ......(6Ai,.1'.?t!:1 y...Address ...........��...I-QR_fNIV& P2.Q ..... Name of Architect ..................... .,t....k v c: Number of Rooms .........1.�2....................................................Foundation ..el-?............ ... .................................... Exterior ....... f...... ......��...................Roofing ........., .Mr' "?! +' c�� .......................................... Floors ..................Interior �d � �.. .................................................................... .................. ........ ............................................. Heating Plumbing .:...........................................'................. .... FireplaceJf� pp..................................................................................Approximate Cost ..��� .�..�,'.�.............................................. .... Definitive Plan Approved by Planning Board -----------_______-----------19________. Area i v"4k) 13.,.7— ...`3'. g>� Diagram of Lot and Building with Dimensions Fee ��'."':�"�.�'....... ................. SUBJECT TO APPROVAL OF BOARD.,OF HEALTH —_ l y e X 6`tk �on�tia..r ��etc —' } P00IT1UN PQP __..0 C 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 .... �P ?: !?�, ........... GOLDING, ROBERT A=117-068 No .................27592 ...................Permit for ADDITION ................. Single Family Dwelling...................... ............. Location .199..Tbwer...H:.Llj...Road........................ ........... .. ..... ........ Osterville ............................................................................... Robert Gold' Owner ..............................4D9............................. Type of Construction .....TKan.I.Q......................... . ................................................................................ Plot ............................ Lot ................................ Permit Granted •March .8. ...............19 85 ....................... Date of Inspection ..................................... 19 Date Completed .............................. . ......19 G Assessor's map and lot number �� � THE l0�` Sewage Permit number .......:................................................ ASB9TAD i `... / J.. . I . O B LE, House number U. ..... QG✓ ...................................... l 11 s rasa �p 1639. \00 TOWN OF BARNSTAB�LE BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... ........ ............................................................................. r TYPE OF CONSTRUCTION ... . ......An0.zT..�a.A.V........................................................ ................... �. .................19. 5 G TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...l.U..9...fQ.✓. .2...1471.1.1............0...........wn� V 1.. C•............................................................................ ProposedUse ............................................................................................................................................................................. ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner ...Roier-i ...........Caj—O .r!.0.................Address G/. /...Gl 2 . � C3, /Z Uo Name of Builder ..0.� ......440,111.......(20 79e!t(; Address ...�.�...r�'rZ!v.0� ....12.b.:... ..6V 30..aa....>!5!4.r..(3�o3s Name of Architect �C.F'!Z.f..GU!V�1f............................Address �CiG...IYI/al�►(..5'T l`1YA".................................. ........... ........ i Number of Rooms .........C�....................................................Foundation ............ .................................... .......... Exierior ....... o.Q� :SW/1VGG.4-P.................Roofing ......... ....................................... —�+.. .... ............... ............... n . .... . l / Floors / �L�.........................................................Interior ..............N��� 4........................... . ..... ............... .... ..................................... Heating Plumbing .............................. ..............................................c.... .......... ...... .................................... Fireplace pplS�j.(�®®..................................................................................Approximate. Cost ......... ................................................ Definitive Plan Approved by Planning Board -----------_______-----------19________. Area ..4jQ.o.... :7F/ Diagram of Lot and Building with Dimensions Fee ov SUBJECT TO APPROVAL OF BOARD OF HEALTH , t6weR 1f�1 Rp E G, �no���o�r 1c�Tc>,e t- bc-01 ppO�'r�UN 3o � S,LaI� 0 Lj 1 2 i OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ... .. ............................. Construction Supervisor's License ......C),3 T U)MING, ROBERT No 275K.... Permit for ADDITION................ ......................... Location .... Road ........................... .....................05.te ..ille.....................;............. Owner .,RQb.ex:t.,Q.Q1d!P.9................................. Type of Construction ............................. ............................................................................... Plot ............................. Lot ................................ Permit Granted .......March...8.,..................19 85 ........... Date of Inspection ....................19 Date Completed ........ ...................19 CAssessor's Office(1st floor) Map .. �� " / - Lot D(D i>�errrrit`# A, `rvation Office(4th floor) Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Fee Engineering Dept.(3rd floor) House#1 � Planning Dept. t floor/School Admin. Bldg.) = sARN ABIZ. Definitive P pr ed by Planning Board 19 - '•1 )9•♦•�� TOWN OF"BARNSTABLE. uilding Permi licati Project Stre ddress /0 / o Village ��lJ�/ 2 /`�19J.S 0,2 a-5_�� o F S�Owner 0 b�/''; G©A0 /"V-F .Address Telephone Permit Request Total 1 Story Area(include 1 story garages&decks) square feet Total 2 Story Area(total of 1st&2nd stories) square feet �a Estimated Project Cost $ - db 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 Basement Type: Finished Historic House Unfinished Old King's Highway 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 Bam None Sheds Other ; Builder Information p p Name��! �a C�.Z�/��i i��i�.3 40 14 Telephone Number F00 0 Address A66Y_ License# �,-7 -� 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 SIGNATURE -_-5-, -DATE / / ? ,P5 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) - FOR OFFICIAL USE ONLY " '+ PERMIT NO. #10452 DATE ISSUED Sept 19; 1995 MAP/PARCEL NO. 117.068 �1 ADDRESS 109 Tower Hill Road VILLAGE Osterville, MA 02655 R t , OWNER Robert E. Golding DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i ELECTRICAL: ROUGH FINAL ' PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING .. t DATE CLOSED OUT ASSOCIATION PLAN NO. PaulI QQ laa &SONS COMMERCIAL AND INDUSTRIAL ROOFING Sandy MacLean Sales Representative _ P.O.Box 930 800-698-5569 Marston Mills,MA 02648 (508)428-1177 A Roofing'Family Since 1927 . df� • The Town '-of Barnstable 9,S Deartment of Health Safety and Environmental Services p � Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790.6n7 Ralph Crossen F= 508 775-33" Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMT 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 c=eptions,along with other requirements. . `Type of Work: Est-Cost Address of Work: 0 ✓ Owner.Name: ,/ Date of Permit Application: 7 I hereby certify that: ' Registration is not required for the following reason(s): Work eoduded by law Job under S1.000 Building not owner-oaCrpied pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISZE>IED 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 hcrcby apply for a permit as the agent of the owner. Date Contractor name Registration No. OR Date Owner's name r. The Commonwealth of Massachusetts Department of Industrial Accidents ' IN of/ceo//nvest/gat/offs d 6O0 ri ashitigion Street Boston,Mass. 02111 Workers' Compensation Insurance Affidavit '_...`.�.�„�•,�_..__...�....__.......+,-r+.�• r—.r.A �� ._. _ _ b •+••+raw.gs.•r..�•-+.+.sov�,•.t..r.�. .. -+nLcant information: Please PRIIYT'le tb - -'• '�"'" ___. ' 11 name: location: City Phone# 1 am a homeowner performing all work myself e5II am5ma�sole proprietor and have no one working in any capacity � .a• ..� •.a�ASS^'!�.�^•'?r i^'�!�.� w!rT}w�r�+�!+r'Y�.�e•.e:v'..wrT+e+*'sn�.+.ay.,y.. !-•.� /+.ri. '�.. s� Lz'rv'%,lf� �i3's'o:: •'• �'•�� .tS`i:i' �' ei -- 0 1 am an employer providing workers' compensation for my employees working on this job. ompany name: address: city: phone#• insurance co. policy# 0 1 am a sole propriet ,general contras or r homeowner(circle one)and have hired the contractors listed below who have the following workers co pe a ton lices: com an name, �ddres Zosurance co. i-. '`6'+ if,�-`i�"� _ yCJI•✓.vri.,.:.Hv1re^a-r.Y^':.':7'.._�.v ,_;'+A'r�• ;f :•Zt i9.�..��' :7�:!^�_' "SIC..!'."'...^;.^'�S company- name: address: ;city: phone#• insurance co. policy# .A 1 . . h,.o._. .... ....._.—.__,,.z,... ... : ttnch'addinal'shc.el if.necessa ;p.�_.�i?_t` L1";p i ,;:. ::e.►c;.• �:<'rv,a T {r _ t--� t' F31Hure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to$1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a cope of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehr certif unrler the pains and penalties of per t th information provided above is true and correct. ,/ Sienature � Date/ 19 1,9 ,5;V0' Print name / J• Phone#✓ F-0o 6 l S>--,S's WIF e_ official use only do not write in this area to be completed by city or town official city or town. permitAicense# rilluilding Department oLicensing Board Lcontact hk if immediate response is required c3Sclectmen's Office oHcalth Ucpartmcnt ' person: phone#;_ MOther (revised 1'95 P)A) . 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 enrplottee is defined as every person in the service ofanother and'eFany contract of hire, express or implied, oral or written. An enrphnver 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 We commomvealth for any applicant-.%,Iio leas 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. t c-.- - --y .F.,.�,..., ... ..C,�.T: :'l:.'C., :� ','. .::'4{M1w t -.c •..,µ ..'(1 t',L i t Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. Tlte- 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. 'c ,i �.t+a .. ,,,i. r.; ice +.+' "S City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at tite bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile 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. c:....••-r�..r'��--;cv+:¢n-r;.._s+e.,.r�rr,+•w.v-.r��e:.varr.- "':T.:',':'.^-'.- ..i, ti,:a:.'_ :.D•-.,;u.• .:�:.trr.�' :•.:`-'rR..t't'Je+!�!4'•'arc"'rr"�. • F.w.: . . ;... _ .. "`Yev^ 1:.Jfi.e1 .a,.....-:%^..�.,:ii:.::'n The Department's address, telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations -K 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 .:CERTIFICATE OF INSURANCE '� sz� r , 'W"? 't ISSUE DATE(MM/0D/Yl) - , 3 Wr 9 / 1 1 /95 •a:a�-.... ✓y ..+nx•,.,+n!{.!iy.'.rt a:�5 e..t•,.., ..�... ..,. .... .:S.S4t�t'.3,.C.'�-' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE DM$INAN&C°OCKER INS,AGY,INC. POLICIES BELOW. P.O. BOX429 COMPANIES AFFORDING COVERAGE ORLEANS. MR 02553 ..._....__._._..-.-_._.__......_._._._...__.._.._._....._........_......-._._..._._......-..._......._..._......_----------- COMPANY A i LETTER Maryland Casualty Insurance Co . _....__._......._.__......._....__.____.._....__..._...__...._....._...._____..---...._............._......_.....___...a COMPANY INSURED LETTER BAmerican Policyholders Insurance Co . aul J . Cazeault etal I COMPANY —^ LETTER C )BA Paul J . C a z e a u l t & Sons Roofing :.-_.__._.._.---.-.----......--.-------.-.---..._---•--._.._._.___._._.__._.__—_.__.._...__._._._..._.......___..._._....... . . O . BOX 278 1 I COMPANY i LETTER D r l e a n s , MA 02653 COMPANY LETTER E COVERAGES •:. .,'F.<i'� .a� �u.G..: 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY GENERAL AGGREGATE $1 .----- Q Q Q Q Q Q _.........._._....._. . . ...._. X X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG: a1 , 0 Q.0 ,O O O A - CLAIMS MADE--X OCCUR. C F P 2 5 5 5 2 8 1 2 5/ 1 /9'5 5/ 1 /9 6 PERSONAL&ADV.INJURY $ 5002000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE :$ 500 000 FIRE DAMAGE(Any one fire) :E 50 Q Q Q MED.EXPENSE(Any one person) $ 5 , 000 AUTOMOBILE LIABILITY __.... COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS i BODILY INJURY NON-OWNED AUTOS (Per accident) $ • i i GARAGE LIABILITY _-- " j PROPERTY DAMAGE .$ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM ; AGGREGATE ;$ _ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION ) ! X STATUTORY LIMITSEACH ACCIDENT I$1 0 0� Q 0 0__-- AND WCC1861950195 18/9 /95 8/9/96 DISEASE—POLICY LIMIT ' EMPLOYERS'LIABILITY 1 DISEASE—EACH EMPLOYEE $1 Q Q Q Q 0 OTHER I I i i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS R fi n 0o g CERTIFICATE HOLDER CANCELLATION.. _ _. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE j EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO ? MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. }j AUTHORIZED REPRESENTATIVE ©ACORD CORPORATION 1990 I I , COMMONWEALTH OF MASSACHUSEJS BOARD IN PLUMBERS--AN-D GASF ITTE IMPORTANT NOTICE GF LICENSED- IkS''NN:-LTD-ULPG PERMITS FOR PLUMBING AND GAS FITTING ISSUES T PI 'DCENSE TO INSTALLATIONS ON STATE OWNED OR USED �.. FACILITIES MUST BE FILED AT THE r OFFICE OF THE STATE BOARD. TYPE PAUL J CkZE 0.12T".": ? 'a€ rj-i Jj% LT PO BOX 27-ORLEANS �`�r„ :;K-A, 02653-19700447 3077 05/01/96 7004 FaNk�to acv-�::a a eortaa COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY _ � wot*pv.�.:a carton OF ONE ASHBORTON PLACE Cod*/aaaa#aforraroaaNC MASSACHUSETTS BOSTON,MA 02108 of tA1alls41400% 12576 LTA C'E rg S is CAUTION EXPIRATION DATE C O ;S T R. SS U P E R V I S O R 10/20./1995 EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE 06/30/1993 026325 PRINT IN APPROPRIATE BOX ON LICENSE. g PAUL J I"AZEAULT 1 5--50 MAIN S T BLASTING OPERATORS C USTERVILLE M1 17Zb55 MUST INCLUDE PHOTO. m PHOTO(BLASTING OPR ONLY) FEf U V Q.a n �q�+ NOT VALID UNTO,SIGNED BY LICENSEE AND OFFICIALLY , J HEIGHT: STAMPED•OR.SIGNATURE OF THE COMMISSIONER ^' �'�'"�• 1959Cate THIS DOCUMENT MUST BE �— A « SIGN NAME IN FULL ABOVE SIGNATURE LINE CARR'EDONTHE PERSONOF itE OF LICENSEE .. .. .ems THE HOLDER WHEN EN- OTHERS•RIGHT THUMB PRIN T GAOEOWTHSOC"ATION. ER !✓ =' "�v fie 1�a�►���Io�uuea,� o�����2c�el�a ! HOME IMPROVEMENT CONTRACTORS REGISTRATION Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston , Massachusetts 02108 I l HOME IMPROVEMENT CONTRACTOR ------ Registration 103714 Expiration 07/09/96 r � J Type - PARTNERSHIP I , Paul J . Cazeault & Sons Roofing ! Pau1 'J. Cazeault I I 22 Giddialt Rd. P .O. Box 2781 I nriaAnc MA 09ASI cad TOWN OF BARNSTABLE ' BUILDING PRRMIT PARCEL ID 117 068 GEOBASE ID 5796 r ADDRESS 109 TOWER HILL ROAD PHONE Osterville ZIP,;' - LOT BLOCK LOT SIZE DBA DEVELOPMENT. DISTRICT CO PERMIT I LETPTION BILINEIGPERMIT TYPE BROOF TT BUILDING. PRMTMpa ment of Health, Safety CONTRACTORS: CAZEAULT ROOFING and Environmental Services Ii ARCHITECTS: `. TOTAL FEES: ' $50.00' 1 BONS $.0p Arr CONSTRUCTION COSTS , $2,400.00 750 ROOFING AND SIDING 1 PRIVATE Pl '. • MA88. OWNER GOLDI NG, ROBERT, E & ADDRESS GOLDING BARBARA 121 46TH AVE AFT 2K ST PET.ERSBG FL - ' BUILD . ,C DI YSIW�N DATE ISSUED 09/19/1995 EXPIRATION DATE /.&-e DIVISION APPROVALS FOR CERTIFICATE OF-OCCUPANCY TO BE SIGNED BY EACH DIVISION HEAD UPON COMPLETION r BUILDING:'. DATE: COMMENTS: 1" r t PLUMBING: DATE: COMMENTS: ` 1 ELECTRICAL: DATE: COMMENTS: GAS: DATE`. COMMENTS: CONSERVATION: DATE: COMMENTS: OKH: DATE: COMMENTS: HISTORIC: DATE: COMMENTS: FIRE DEPT.: DATE: COMMENTS: OTHER: DATE: COMMENTS: ,. 3 TURN THIS IN TO THE BUILDING COMMISSIONER AFTER ALL SIGN-OFFS ARE COMPLETED.A CERTIFICATE OF OCCUPANCY WILL BE ISSUED AT THAT TIMEi TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 11.7 068 GEOBASE ID 5796 e ADDRESS 109 TOWER HILL ROAD PHONE Osterville ZIP — LOT BLOCK LOT SIZE r� DBA DEVEIOPMENT DISTRICT -CO PERMIT 10452 DESCRIPTION RESHINGLE W/RIDGFLVENT PERMIT TYPE BROOF TITLE BUILDING PERMIT PDkFA "anent of Health, Safety CONTRACTORS: CAZEAULT ROOFING and.Environmental Services ARCHITECTS: TOTAL FEES: BOND $5$.00 CONSTRUCTION COSTS $2,400.00 Q� 750 ROOFING AND SIDING 1 _ PRIVATE Pat163 OWNER GOLDING, ROBERT E & Epp ADDRESS GOL-DING BARBARA 121 46TH AVE APT 2K ST PETERSBG Ft.. BUILD G�DI N DATE ISSUED 09/19/1.995 EXPIRATION DATE. I THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY-OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED-PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE THIS CARD KEPT POSTED UNTIL FINAL INSPECTION 1.FOUNDATIONS OR FOOTINGS PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF-OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 I ' I 1 � I 2 2 2 I I 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT I I 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL ' WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY. VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. 508-790-6227- { I BUILDING PERMI T \S�ERED AR+Cy� r cc) FFR,Gcc��� Proposed Addition to the Cote_ Residence ` No. Cr _ w 1 /f y YARMOUTHPORT, `3 MA G�J 11A 109 Tower Hill,- Road T OF Ci 14 Osterville, MA (MAP 1 1 7/PARCEL 068) 4 ,_ , Ill find,•, ARCHITECTS GENERAL CONTRACTOR BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. SCOTT PEACOCK BUILDING &REMODELING, INC. 203 WILLOW STREET SUITE A,YARMOUTHPORT,MA 02675 1046 MAIN STREET OSTERVILLE,MA 02655 TEL.(508)362-8382 FAX.(508)362-2828 TEL.(508)428-7600 WWW.CAPEARCHITECTS.COM CONSULTING LAND SURVEYORS CONSULTING STRUCTURAL ENGINEERS CAPESURV CONSULTING STRUCTURAL ENGINEER, INC. 7 PARKER ROAD OSTERVILLE,MA 02655 53 KNOX TRAIL,SUITE 201,ACTON,MA 01720 TEL.(508)420-3994 FAX.(508)420-3995 `• TEL.(508)428-3344 FAX.(508)428-9617 WWW.CAPESURV.COM WWW.CONSULTINGSTRUCTURALENGINEER.COM o ISSUED FOR PERMIT APPLICATION 1 /21 2014 A t \S�E�ARDy, �GOWL FE E p SCIIEDU.1� OF DRAWINGS No. 7789' N ABBREVIATIONS SYMBLOS a ar T«r\`jam t 3 � ~ m ��'%aa.4 a, . AB. ANCHOR BOLT MGT. HEIGHT NORTH ARROW OSMEETS�VERSMEET irt�.;f'y ,IF:;w�a :'•.' .•... y�YA fdOUMTAHPOR CO A.F.F. ABOVE FINISH FLOOR M.M. HOLLOW METAL ACT. ACOU5TCAL TILE INSUL INSULATION A0.1 DRAWING SCM®l1LE,PROJECT DATA tpf�! , r- N11M ALUMINUM INT. !NIFP.IOR SECTION INDICATOR SITE SURVEYS. 1 t ;{k'. �' FM ANOD ANODIZED Jr. JOINT �M' LETTER IN TOP HALF OF CIRCLE SITE + k ATLAG. LAG BOLT INDIUECIFIC SECTION. SPI.O ARCHITECTURAL SITE PLANL AI01 THE MIMBER AND LETTER."IHE .y _ I• BSMT B45 BA ENT LAM. UVd INATE DEMOLITIONn.r BIT BITUMINOUS LAV. LAVATORY BOTTOM HALF INDICATES THE RW. (,, ✓¢ S.rl'8.i DI.O DEMOLITION PUWS t ELEVATIONS �SOUt/1 BLK BLOCK L 181GTI7 No.WHICH TMF SFCIION APPEARS - / BLKG BLOCKING MFR MANUFACTURER ARCHITECTURAL ` NTda- .•brE:N'o?J Street BOTT BOTTOM M.O. MASONRY OPENING +455 NCiY SPOT ELEVATION A1.0 FLOOR RAW. �,ro •) I. _1.y ,.. ;•,•.:'.7r� C 45.5 E CaSTNG SPOT ELEVATION A I.1 REFLECTED CEILING t ROOF PLAN a7 B.O.W BOTTOM OF WALL MAT. MATERIAL BM BEAM MAX MAXIMUM �/ A2.0 EXTERIOR ELEVATIONS ceA.scuc --- f Location Plan: 0 BLDG B1IWING MEOI.MECHANIOAL 45 CONITOUR LINE -` ..`; `r`P.9_' , .I• CPT CARPET MIN. MINIMUM 0— COLUM N COORDINATES I REFERENCE !u°.O BUILDING SECTIONS _ ,.Y � Scut _::ceJa' U GRID LINES AGO INTERIOR aEVATIONS -�� ,J��•Y / j 6MT CASEMENT MID. MOUNTED �° I Z � CK CPU IK(ING) N . NUMBER A7.0 WINDOW t DOOR SCHEDULES, s' _ -,-- y - _ i - ASSESSORS REF.: CLG CBUNG NOM. NOMINAL N�TX' Nv° :7.P°•un Jeff W 8 LP/EL DETAILS t ELEVATIONS _ _ �i,, G105 CLOSET N.I.C. NOT IN CONTRACT v Elt'ONF ELEVATION STRUCTURAL Y, ,V : "•" _ ZONE: COL COLUMN N.T.S. NOT TO SCALE IR0 SO.I STRUCTURAL NOTES '? `i ' CONC CONCRETE' O.C. ON CENTER - INTERIOR ELEVATION MIMBEPS 91.0 STRUCTURAL FOUNDATION PLAN 8 �/a" r' % ,�\J`•' vi 0 O4U CONCRETE MASONRY LINT OH. OVERHEAD j Alet �I INDICATE ELEVATION NUMBBR 1 S I.I STRUCTURAL RRST PIAOR t ROOF .2 f - 3 ){a' CON5T C0NSTRUCTION. OPNG.OPENING x' ` % -�' i '-/� arynYe;,iN�lr. Z H CONi CONTINUOUS ANT. PAINT O LETTER INDICATES THE DRAWING FRAMING RAN / - _ ":5.. i ` ..O.t ZC J U WHERE ELEVATIONS ARE I' - -. •`~`~ �+'.y i+ T L Y, 5r4.ie' Z H i CL CONTINUOUS, JOINT Pro. PAINTED I Rel �_ CTSK COUNTERSUNK PNL PANEL LOCATED _ / �,,.. .lu �♦'.T �"-i�- 3: = �B i' ° Y .0' .f ■■ RBI ;� I Proposed Adcrftn $*.� L'AM1y // \` O U R OET OETAR PART. PARTITION Vlcw Nalre \. 'Ad Deck f % �,' G l C C to DA DIAMETER PL PLATE Qj ELEVATION TAG y :_,,.,, �_ _ _ 7 ..- N �`• FLOOD ZONE: m Q _. DM DIMENSION PVS. PLASTER y-�� a° 1 '/ /aS d,.q ti C°�Tn Il/Prrd Na 6 Roam name 7 -.x g*� R / ,a a ' ��o psnrJ: �.. . DR DOOR P.LAM.PLASTIC LAMINATE ROOM TAG _ Ot DOUBLEMUNG PLBG. PLUMBING (101), �a"'"'•' yz. DRWR DRAWER RYWDPLxY000 Legend: -i_.,,,'S%=Y:_- _ ``(, y ! OVERLAYDISTRfCT ONG(5)DRAWING(5) P.T. PRESSU RE TREATED tot DOOR TAG r'•'s., -�•� - r OF DRINKING FOUNTAIN Q.T. QUARRYTILE ti C:cr Tr - _ -•"3:-_'�•�.,I DV DISHWASHER READ REQUIRED . Il WINDOW TAGk.r EIEC EIECTRI ALI REF. RERGERATOR �� O e rv>t ,y e•o9v + - EL ELEVATION REV. REVISIONS 0 WALLTYPE M. ELEVATOR R. RISER IL--j '>''BS•uarhvl° 'd"'••. +u w (//// O . @4ER BAERGENCY RD. ROOF DRP1N N 9J 00'W E /� ° ® finch Rurr •r3+a'"b• ^, EQ. FOI AL RM. ROOM D5teK0 PROPERLY LINE TAG �O11C'"c -0 G W ea5T DeSTNG &0. ROUGH OPENING O OR DL SECT. SECTION Name PROPERTY TAG/ACRES m--.r. —cPa— •ee�.,ate i _, 7� EJ. DPANSION JOINT SCMED.SCHEDULE '"T'°° -z5-- -. Hm -•rt-: C 5 0 �� } V„ W. DEPOSED SPEC. SPECIFICATIONS Area ✓✓✓ ,•: O ' ENT. DTBRIOR SL 51DEUGHT �ccr/' rya Plan Of Proposed Addition&Deck ^, •� OO Q REVISION MARK CapeSul Y •James 8 Megan Cote n°ah^^="�"•'°••°•='�'^m y 1 `o U Q Fl FINISHED STD. STANDARD of -Syr,mwe tc 1 otbhat)}•>,c.N.R.=w.Y arn}' N F.N.0. FIRE ALARM SIP snEtFAPOLf At 109 Tower Hill Road 109 Tower Hill Rd _Pw«r•,.a xt•m�,sa✓c zz;At.J,'!s `1:/JP+/ra s'1 C F.B.O.FURNISHFDBYOWNER 5TL STEEL BARNSTABLE r<h10,,;1,°� MA �' .,BM — eoNCRETE nw a ter: �.: Osteivflle MA 02655 z)o°wr •r:�e°...W..w I.r. "¢c8I_gl 7�� F.E. FIRE EXTINGUISHER SUSP.SUSPENDED —0 v - FL F=R(ING) THE. THICK BRICK V FLUOR FLUORESCENT TAB. TOPABOTTOM ^` FT FOOT TAG MNGUEAGROOVE Q LY W L FIG. FOOTING T..P. TOP OF FOUNDATION ` \ COS BLOCK FND. FOUNDATION T'W. TOP OF WALL Q =,��••� iwa.KF�t L� f V/ � O 'W MURK FURREDRNG) T. TREAD _ d Y .} .. GAS GAS TYP. TYPICAL 'l:i:: i:::\ PLYWOOD x •s¢..•. 4 '�j 'S r. US � O GALV. GALVANIZED UNFIN.UNFINISHED - G.•. G.C. GENERAL CONTRACTOR V.I.F. VERIFY IN FIELD �-^..- O U GL. GLASS/GU•ZING VIN. VINYL STEEL TO }St S..L GR GRADING VCL VINYL COMPOSITION TILE (b C',i �" •.DkSrr 0". GYPSUM BOARD VWC. VINYL WALL COVERING - HDBD HARDBOARD LU CL WC. WATER CL05ET ® ROUGH MBER. HDVD.HARWOOD W. WIDEWIDTM {� Street � _ -._ 'Y;•' :� -:-. HVPC.HEATING,VENTILATING,t W/ WITH .... rSOUt11 "LNde-PL�br!:N'ov NRCWARE NING W/0 V/IR10UT FINISH LUMBER .! HDYR HARDWARE W.W.M.WELDED WIRE MESH '- WD. WOOD RUGID INSULATION _ _ _ '°•�^� - .. - , •.ft •.•;: 1^.? a _ TITLE: Location Plan: yyyy�y-y•�yy --_...I _ .�: ..R;,,9:' �. �,� ,•.,.44J3• GATT INSULATION � I, —'- _ DRAWING' c Ar •�,� ASSESSORS REF.: SCHEDULE, EARTH ----"-•-—.-- -'' 'c_ _ _`- Nvv 7.Pxn J6E ZONE: 0 GRAVEL / JECT _ DATA O&SITE .7.LJ 3(RPM) �;6�'J' SURVEYS DOM PACTED FILL WELDED WIRE MESH rG� r); r s: 1" , ' FLOOD ZONE: D4�Ise' -._._ PROPERTY LINE ,co..uv+l,•wrolwt aN a. 1/212014 rwLENIER LINE z.:vvz _ REVISCNIS Legend: OVERLAY DISTRICT.' �„y, �a4 `. ..,,.. ' 6-Cn•.•Ca<:a iolccYon L•hW:t �- pp Q ::9rt Pohl N�P•• 'a,i'a,i �W ' r� wu/I,s. S AVr Col.fa.u.D me'lay. . Area Seheduk(NSF) ^ '� .F9 �r:n Rnrn °r�Aa'•Vp/'6••• - /� DRAWINGS ARE 'EXISTING BASEMENT AREA 906DIZAWq SP ! �.ca:vc,•�• REPRESENTATIONAL.ONLY PROPOSED BASEMENT AREA 9G'SF \J _ �' 1002 51- m:•vw+I.n _ O�ry rnhflm Cm'rw. C 5 r0 75 _"7 S'C .0 f i'r KG PROJEU DO NOT SCALE EXISTING FIRST FLOOR AREA 944 Sr L' # PROPOSED FIRST FLOOR AREA 1045F 'h"tZ !v` Existing Conditions Plan •Pave lV: .r;Rr:ni.ne d.: CapeSury James&Megan Cote ^�^° 1 `° DRAWINGS 04B5F 1,1 Of 109 Tower Hill Road ;Pm=.Pxd `" AUG "' vaNGNo.: EXISTING SECOND FLOOR AREA 478 SF gle;.•Ase.nv 109 Tower Hill Rd Pw.Ba JBt.een 18,/n✓c_z'',wc/rt nR/tti. i BARNSTABLE MA ostervme MA tnrss 1 478 SP (OsteMiiel (w'N's•.w,• 4Wr�.t••_tr '$CHI:ql 25285E AO. , I t s� u .�081i .a ' T HI u •` ,`•'�f CD TBM E1=41.7' / Top of Magnall ///.+���v a O q ohw oh w ohw ohw aVemen ge 1 ` R41.3'® / I / :• �. 4 East B .. h O UWide h W (30 — Public Way) street % 1 Pavement Ede ` S88'19'00 39.95' — — — i ' / Location Plan: Scale: 1"=2.000±' \ _stockade °� ,�� \ - i ' _ _ _ Al \ ASSESSORS REF: Map 117, Parcel 068 ...............: 24Q�\ rtv ii/ Lawn \ 1 A6+\ --;� Law 4s_ `!-- �' ZONE: ni 00 \ o RC ,a m / o — _ _45 Area (min.) 87,120 SF (RPOD) "•. / T- _ '1 Frontage (min) 20 ! i 4y` O 1 p� Width (min) 100' i Setbacks: i Exist Septic Front 20' um / As Per BOA 109 .. Side 10' As—built Cord 1 St W F � — / �\ J Rear 10' Dwelling / :' ; < _¢6_Q 4 ° FLOOD ZONE: Lawn O 3 1 a Zone C Community Panel No. p_ #250001 0016 D + - _ \ ` i O July 2, 1992 Legend: Rn46. _R��.9 i OVERLAY DISTRICT: Q''�l/nk v / -47 GP - Groundwater Protection District ° Cedar Tree en�-�- Sign 1 o—o_o/ \ o s ` at 11AS �o Light Post 16094' o ffi Holly Tree © Water Gate (round) �7j28'10aw ° ° jkCVA/ + p,RO R ± QD Drain Manhole Robert �� N Dathy y \ I O // �1HEv3 3 2 0 ® Catch Basin Z8/141 8-Ye \-- / +D T40 Deciduous Tree Guy 0 Utility Pole OHW— Overhead Wires + Coniferous Tree _ _25_ — Elevation Contour 05 10 15 20 30 40. FEET Sheet # Title: Prepared or: Notes Revisions: Scale: Existing Conditions Plan CapeSury fames & Megan Cote ) 1"=20' 1. The information shown hereon was O, f 109 Tower Hill Road obtained by an on the ground survey Date: of 7 Porker Rood 109 Tower Hill Rd performed between 191AUG 22/AUG/13. 061SEP113 Osterville MA 02655 BARNSTABLE (Osterville) MA (508)420-3994 pesurvccopec5 fax Osterville MA 02655 2.) Datum used is approx mean sea level. W9 C813g1 copesurv®capecod.net us 00, A. CD w 1 TBM 0=41.7' T � Top of Mognall obi 4' '• �a' � _ � ln CIL ohw ohw w ohw ohw a •.] a 'o- 1 avemen 9e 1 \ R=41.3'® Re41:3' - 1 � �SOUt w (30' Wide — Public Way) Street a. o / / • �. r , rs 1 � .I �4' �\ / \ / / / O Q _ t ' •,ems ` :. f Pavement Ede 1 / / ° �� �- • !'.alb �3 l \ 139.95' - - - / / ° / Location Plan: o \ , - -_ \ \ \ \ __ __ / _ o� / / Scale: 1"=2,000±' / O- \ Sto \ RS �b °k°de ° -° / ,' _ ASSESSORS REF: If I "• \ \ / _ Map 117, Parcel 068 / & � ti __ \ j Lawn \ A _ -'� Lawn 1 o 3e \ \ w ZONE: N o A s per 6 t!° O f `' RC „a �/ / �S�b�%%t , J/ ` _ �f �45 Area (min. 87,120 SF (RPOD) Z ; j- _ Frontage min) 20' i� Width (min) 100' �i Setbacks: / f l �' ::' 's':::::• 3 Fron t 20' i ems• i � Side 10' 1/r Sty W/F \ J Rear 10' a e Proposed Addition Dwelling �,qad Deck FLOOD ZONE: tine`s__. _ 'o :'cv, v- � Lawn O a3 1 _ � Zone C 6 a Community Panel No. _ p #250001 0016 D + _ Former Deck& Walks / July 2, 1992 Le end: - _ TO Be Rem�ve� i o �' f R=48. R=4s.9 OVERLAY DISTRICT: a'oi„ -47 / GP. - Groundwater Protection District _�+k Fy,� `� � � f ° Cedar Tree ` ` -o- Sign _OHO/ \ 0 3 �M oc 64s Light Post 160,94 Holly Tree © Water Gate (round) /V7�26,10"W ° Drain Manhole Robert u N� I ��11 RICHARD R + ® Catch Basin 8 28 i4iy A gaffe \ \ \- O // NO 343L-HEUREUo 0 Deciduous Tree -0 Guy \ j o,� 4 1SSEQ`�• Q O Utility Pole \ 3 k 9v —OHW— Overhead Wires Coniferous. Tree _ _25_ - Elevation Contour -aR_ / 0 5 10 15 20 30 40 FEET + T Sheet # Title: repare or: Notes Revisions: SCO16: Plan Of Proposed Addition &� Deck CapeSury James & Megan Cote ) 1"=20' _ 1. The information shown hereon was At 109 Tower Hill Road obtained by an on the ground survey Date: 7 Parker Road 109 Tower Hill Rd performed between 191AUG 22/AUG/13. 171,1AN114 Of Osterville MA 02655 BARNSTABLE (Osterville) MA (508)420-3994 (508)420-3995 fax Ostervllle MA 02655 2.) Datum used is approx mean sea level. W9•C813gl capesurv®copecod.net �EFILEO ARg QWL F ��TR�� zr o a No. 7789 A 0 Y HPO Jy . C Zoning Analysis Summary = co _,_ \ < Project Name/Owner. Cote Residence 7 — —' ------•— O Property Address: 109 Tower Hill Road,Osterville,MA ! r = U Map&Parcel Reference: Map 117,Parcel 068 \\I, U E ? ' Z Building Use Group: R-Residential I r---------------- LL Zoning By-Law Reference: Chapter 240.Zoning(Town of Barnstable)ence: Site Plan Refer i J_ { Cn z Zoning District: RC-Residence C District >Flood Plain Zone/District: Zone C U Allowed Uses: Single Family Residential Dwelling(Detached) \'•,` .' I \ 1: z < d >Applicable Overlay Districts):GP-Groundwater Protection District L I 1 RPOD-Resource Protection District Q NH ESP Applicability: sl '`� '� ; i\ _ ■c {(s��j Zoning Issues Requirement(s) By-Law Ref. Proposed Comments Area&Bulk Regulations: �t.f.``\\r I 1LJ 1 11 ILJ I II o + Minimum Lot Size: 87.120 SF 240-13 13,949 SF ;T•; i I 1 I I \ / ° \ Minimum Frontage: 20'-0" 240-13. 109'-0" Min.Front Yard Setback: 20'-0" 240-13 23'-3" Min.Rear Yard Setback: 10'-0" 240-13 89'-6" I 1 r-1 rn '. '•; Min.Side Yard Setbacks: 17-0" 240-13 20'-9" I Maximum Building Height 30'-0"2 1/2"St. 240-13 22'-0" I \t— i II i�j J {: %:'� '\'"G �°' 0 Height Definition I \1 ��---�J ;, "1 1 'cS U Q 'i \ .li ` r O C r. Maximum Lot Coverage N/A I 1 � l e`r�`sr'ra"Yi , `' i \ O C G Maximum Building Covra ege N/A j �;' \':;l i �� i ��^u :'+ i \• 1 \ , -A Q Lv j O CD CIL i •'�� __ I + -. f' / LI •,1 ""LA AYi O TME i' •�:,,`::`,:\\:.`, !, \ ARCHITECTURAL I = r SITE PLAN "r- -- ------- -------- -----i---- - " •�. �J�J�/ DATE ISA.EO: 1121/2014 ! d I - / DRAM BV: KG I TOWER HILL ROAD PPOJECTA ' ARCWIECIURAL SIZE R/1N DRAWING NO.: NOTE:INFORMATION ON THIS PLAN WAS TAKEN FROM A SITE SURVEY PREPARED BY CAPESURV,DATED 9/6/2013. C r I ,O s� z , Z Xx -LLU-LLm- DO I 1�4 I � II n I III IIIII � III I .� e Inne�l���� i ii ii R rI �r LlL AE A 11 III I �rI I — I-- �g - I I �IIJ_L I � 1I I as�8 I rg II II. II IL�I I I o m Z O SIN �IIM 4 �I� O O N p,O / s'a vz• Iz•-car c-z• a-o• � � ' a 2 -.41 R i I r it - I jJ�Ifk fl dl� 8 R o i o�llll I� i �R ,� i � •� 3�N 91I I 8 P Illi 1 , n i I iei __=====i of ! K I I I I IIAIIL Ijlll II rutMQ r-saa• I 1 le I L______—J III --- IP •'�Ia ,I I � A �L_�l� ���-�i I I€ ; �IIIrIIIIrIIIIr TII IIIIr 11, R g --� ?r---� �g R Ill➢)�.}) IP - ----P-- ---p---1 _ I g Ir�r `?I0O ` � AID cl 10 N Proposed Addition to the ®_ Z z p ( ( BROWN LIND6IUIST FENUCCIO&R E wWO� o # DO Cote Residence III. 1 II ARCHITECTS INC. a� RAC F z '20J NULONSIfE9.5UEA MBOBJ008302 Cn vaameunvrnl.nv.aeoro vasav Q02e Z p a 9 0 109 Tower Hill Road 0 . 'Cn � Osterville, MA m ETTS t . rn I I I o _ -____-_I -_ _ ¢5 �65ya I O -�.____I -.---._r____ 1 8 Lz "'€F�gAqaqq ���"000>�F�4F99. o I. r. l �, .-.. +'-a T. iytlp A �ygf,SR, eRCRnmreg S'FbR9gT 17 I�— —F 1 - -�" iri—- - 4 4"RGRoo"e$ gcoS'" s�4g� iiqFg�e FF $.O�C e.Fg�R1 I$ '� S R � 6 n I I I �s'-+• I � o� � C 6 R r,' 4R- �- q5fl 'A �..I ® Q I R �o-�z''aN+wl v-sa+• uucc I I a � R � �R �Y.fib^ - 1 I o I 9 1 _ I I I I � 1 1 I 1 -' Je I I ---L-------I ` - 7 ............ ....... ...... ....... ...... ' Ib Q 0 - - RR 8" a I py I m - ---------------- +-r I u 6 z o '--------------- LJ i i > 1 ____ I 1 1 Q -A------ — _ S B ------- ------- - ---------- - - a y.OS'+�7r ' Re R� OZ 4 rn S� --I----- - ----- I ---- b I I l I N J J a W SD .T _ m Proposed Addition to the BROWN LINDQUIST FENUCCIO&RABER DZ g o Cote Residence I(I1 1[II ARCHITECTS INC. �OWWO0 �R z ?E .� w 0 R u L� J 0 2W CWSTKB.MEA MSOB�lQ-8782 C ICH ' � yPRMd11MO11.M401b70, FA%FDB.U22B28 ^ D R� v/lP p a z 109 Tower Hill Road N Osterville, MA T a oco • s7 � � � 7���y SETTS ' a Y-11/Z' la•-c - ---- -----=- -----------t ---, rn O(1 m D • I I I _ I m 01 go 1 11 1 A 4 `° 1 y I 1 ad IP 8 8 - a — m0 O N m n R I as m ,"„�o op Q a — 1 N Fn s a� 1 LXi _ rnQ€ Dmmx:uuxmm - x W „ L--- --- - ----- -J Lp, L L OB09lD BIAM G L D�D=CD BWA � �� R O O O O .8 3 g i rw � I :n i I Ip IP I I I ' I I ApQ D•-o uz• Ir-c srr c•.a• v-o• t?Z I I I I � I • 1 I r-----F-------t------ -----}--� IyAgg • I I � YA�� s I^ + ns.l:I:•r- ava•:,-;- _•,.r:I'_r. I r.;.•.r;i^;. I �1f> I . 1 n2 I F I I I 1 1 e 14 I 1 I I 1 I I _ I _ I I I _ 1 I 1 1 I I ' I 1 I I I } I I WI -------------------J L------------- ------ --- s-J Q I ` I N Proposed Addition to the ® g p r r BROWN LINDQUIST FENUCCIo&RABER 00 D o Cote Residence (II�III' ARCHITECTS INC. + n m 203MOM5i1E9.MER ale 4w_lea z o YPAmxxffW 1I.M m75 Fm D]BJ .mm 109 Tower Hill Road y y a o fn m ' Osterville, MA m y errs \S�ERED AlpCy�r . QWL T No. 7 9 Gi cu RMOUT 0 T, J MA A B C D E E D C B A -OF , o•-D Irz• a•-care c-z• r-o - g-o• c-z• Iz•-c ve r-v ur < cd ••-•�.-:__ , MICAl R00r 9YSiPr, , I I �%•�=''� �. � U � YIGrtxNRALrurnuT-1.Row" ' o 1. au m G9T[Y Raor snumlrc,Jwxfl Z W . 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DC I _ EOARDO—TIW.UNIARIRD II I I Id CDWLU NC mRNG 4L I 1 eaRD$Alm TRW,UNIYNRD ypNLR 9PXw !Il rQN9TNX[0 RIR WM[QDAR lV _1 I _ I GOrcl[9AwG: � YR LICD.OR09UA[TO ���.���.• I. .��.•������ �' IQ-9TAwm RNI WXR QDAR ATCX L0911XL, '� ' 1 1 XDrGl6.[%f0914 TO ' I ' TQI QC3OHL.� I.x WXOGxYOCG WIfCNGI 1—L O /1� J•t lJ .. I YAXOGNYRAR%IL 9YO101 i t___'J . r I Cp91WL GIIRIGDRr I[YNX DYNRAl rW9x1 r BASEMENT C SI_A8 /1 CANCRCf[w mX r�90X I r _ _ _ DvaOr rODmta srt 9TRUCOIIAI _________.......___._____.......______.._...__. ' ouwww _ _ _______._._.............E B_O.FOOTWG O _ .._____________________________.___________________________.__.__________________— _B.O_FOO4pTWG L1 ___________— _ _ 40r_0 O Z NORTH ELEVATION 3 1/S2U1H 1A1lON C1` 0 p _ O S a a• 4 a o In 3 u l Q n•.ev+• Q I I I I a9A I TIRE: . I I EXTERIOR _ ELEVATIONS Id NC RA%L W I J NC TIDY WLT W TD'. 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' �OwR►W - u 203 llQ STKS.SLQEA M6MUQ882 a ' � o YMlACMIIIPOli.M401Cr76 FA%WBJ0229z8 �'� ,(% p s N o 109 Tower Hill Road o 0, 9� A Osterville, MA = V m O of SETTS I ' „Z nee AI'i Z I 1 O __ a z 9 iF===6Hi =-_ Z n O a m �yF� Bilpl — X\ ,I i \`nld II .� . II ¢ Ili \Il 41 gsi� • nr—for—,� r--T- r, I �� f L n. ^`\ n III I p III Illl III- m 3z• Ili \null I� t➢ nL T�JIIL-�_J II - @ Go 4� IL---mull T ygyg��pe .. ' ra= ' — Qt o IF null I I so ,p o I � I Im p A z s o I� Im °!o € z O y O I� Z 'Zom V �gC v S2 Z E A fig.. z I I c.z• T • II 0 I zm , a �A 22 zF 8 g I ? l II a I Al'i -W MW'.G rouse •RIOP09eD AIMInON §0 9 I I I rrll v s n 1 I ® a.L. n N I N _z 1 1 I I §� s•.o •.c• m I----------------------------- I s•-sya• , � . . ° ---- - ---, E----- ___ ` n II � �d � 3 �•` Z � �S' � F===�1 II I MVM 11 d°Im li Y� Q L.L �dlo p R O E v A `EOo z t ml a1�g � Q O s IF _ m Proposed Addition to the w� z o M p r},7 BROWN LINDQUIST FENUCCIO&RABE �O D z v E Z �I� 1�I ARCHITECTS INC. RI y� F�+'i Cote Residence En M 40]NYLCANSTNEG.SINEA lal aonamenez Y OZ YARLICU0POIi.W 02178 FM 1509,W 2828 Q G j. s o ° 109 Tower Hill Road T 1— CD V N co Osterville, MA ,n CI yUSETTS L 77 a c (D 1 sa m ° 3 Q d c 3 ' a a off - F 8 $ 20 v $8 3 E a F e v a z C . s 8 o v a £ e o ° P o ssZ Z Le 70 N O - COI o a Q O N (D FSS 99 S u a a = E - - 7 rn N Its 1 A: 3 � N � 0 'g 0 nzu 1 0; b a 3 r " rn • fl8 �"2 R 8 � �� .7 8 P €g 2 � O z g Z • Af O 8 a6 � �, �6 o R 0m � $ » 73 c o � rn = �a� z Q ° n (D 8 t9 r � N - N •m o n ' pg2 V A y P P n7T 77 - n n 0 iR S _ I o Proposed Addition to the •®BROWN LINDQUIST FENUCCIO&RABERr'. �II( 1 II ARCHRECTS INC.DD '=T' ozCote Residence 203 UL STMS.RREA MOM-300 1B2! oWMOUW01.M OX75 FA% ,a 2-282B� 109TowerHillRoad 9.0 Osterville, MA c= Z�GG JR F y =J a dW 'ajjiNajs0 J c Y C o PIDOd II!H Jem0i 60 L 0 eLaazvicewxv3 otozovw'Iroeurawun H Y,^ O } v LBCPODCBDD1tl V3"13381SNOfi W& O O O VH d III III aouepped eJo0 �ONE S10311H02 Zy z C MO d9GVd V 0I30f1N3j 1sinaGN11 NMOUB i i i i au j 01 uoi jippy pesodoad a b gas S" q 14 -0 j a �J�UH s � CAI' 12116 ° a Z X R- a 9 e �6° J�X Ins M� b a�? 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D r.v vz• it-c sa n c-z• \./ r•o fll . 0 o m A I rrr� u ---------------- A N Z it - m m P - T - z•.o 1=g1 r io• 1• R 0 --'--------`- - ------------- m i.. __.___...- _____________ _ I m Pao Cn m ---------------- — � zEa III 'KK} m ---------'---_- # _ >? Il 3 Z --------------- a E R T m X s N Z I g I I I I -n Q I -______. r= I O I _-------------'- _-' - —1- — - —- N --.—.._-e--- I I I 0 0 N. m Z t � 4 £ g 0 Proposed Addition to the •r }®(n BROWN LINDQUIST FENUCCIO&RABER z # ! " a C � Cote Residence III !1 II ARCHITECTS INC. D O �p �J 0 0 ("� zwN CWSMET.AAEn n,ao W-03e2 ~ O l'n .. VNUACUI1POlT.W0001° FA%®BJ°'1QBTB T 0 T O 0 p a z o 109 Tower Hill Road _ m z r Osterville, MA ��=z USETT S J • O rn D Y-7112• 12•-G 5'+' C-2' nu • I oYel:R�g II� aA �A oR • °:8E8s 1e np I I �g pIG•o4 E l; 'cb 41-i Aj- u z.10 61co4 o I I A I t - I I I I I I I rn D 9'-1 Iz• � 12'-c9+• C-2' Q a-a 41 I 2fi2 I _F PH>e€�H�� P € II P70 '4a I � w dF 8 �A R @ � h O IIM.i11G t.E®I C 04 F25 t p.�rgg R O ��4 Gilt N . I - o V I I 1 I I I I cn Proposed Addition to the •®BROWN LINDQuisT FENUCCIO&RAB aO,NW� o g �'� Cote Residence III tI"1II ARCHITECTS.INC. RICH., oT � - � � r � zwwuayslr�Gt.susn GNeaeamwez OZ � z C vonMounvGm.wox,e FAX eue�ozneze �, a -no 109 Tower Hill Road v Osterville, MA US ,1• LEGEND a _ N CD F —— 98 —— EXISTING CONTOUR � o o x 100.98 EXISTING SPOT GRADE o- eet Q.--Z6 PROPOSED CONTOUR South Stf + 0 ,`47 = H.{V--- OVERHEAD WIRES �Itl EXISTING WATER SERVICE LOCUS Ben chm ark Set _ Outside Cor./Conc. Lndg. F` TEST PIT = o EL.=102.34 (Assumed) te�ce /i �\ BENCHMARK o ON r Main St co ` a + 102,56\ �, 00 O.. wlonno �Ave Rd �• �\ ` � 10 O.,84 � 10 .45 ��. LOCUS MAP NOT TO SCALE + 102,57 �02 81 ' — 102.77 1 _30__ -_ 2.8''_ + `' o� GENERAL NOTES: � ... + •1b2,55 —_[_7�RE�-- 1_ J TP-2 �`�� ` 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL 103,28 edge of clearing 2 8 102.61 .8. S S BOARD OF HEALTH AND THE DESIGN ENGINEER. y4nt;� 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS _[- 1�i02, '' ��S )r r•� OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE 102,97 102,35 6 + �2' n LOCAL RULES AND REGULATIONS EXCEPT AS REQUESTED BELOW: 0 ? ;�A t^e`I�� n -310 CMR 15.405(1)(b): PROPOSED i' J,rJ, I &r, 1) A 2' variance to the 3' maximum cover requirement, for 5' of SEPTIC,,-- —____-----___ VENT �', rt.� L3 max. cover. S.A.S. shall be vented and rated H-20. .+'102,79 TANJC' --4� 013,7- 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR . DECK 1 2.25 �,� 0 0 Ee�ce_ i;�� ' 3'$Il, TO DESGN IE INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE R. 102,6+ �� _oae�' 8,99 \� OF MASS 4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 102,45 4' 1-0 � �o-0e__— J y�`�P� q�tiG FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN p ❑L '1 o PETER T. ENGINEER BEFORE CONSTRUCTION CONTINUES. 102 63 + 102,21 �' I ,� McENTEE N 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 102.57 EXISTING 101172 ; ` lug' CIVIL 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF + HOUSE (#109) 101.10 �� t �, o. 35109 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF T.O.F.=f03.53f �1 1� / ��� ER� HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. 97.16.,' APN 117-068 g r 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. 13,914 S.F.f �� E + J �gg' o,�' , -,EXISTING CESSPOOL 2`l0. 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS O AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE -- --'��-- '} 101.52� \ QPRpER o 96 clix �� 0�0 �4"IN V.(IN)=98.3f DIRECTED BY THE APPROVING AUTHORITIES. O CBN • �1 98•�8 — �0�� ''� TO BE PUMPED, FILLED W/ v'�, 'O �O 96,64 i SAND & ABANDONED 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY 101.66 �' QF,_v'l0� PAVED` \� ec� CONSTRUCTION.OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING ��j �e� 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 101.41 / DRIVEWAY p G � 101,75 • Q / V IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND �o + ��.'a� 1p� 5 r,�, �i 96,46 9 a� �[' REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). p/ �C\ v 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE cis /A8,26 �� edAe • INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. \� CBN , 13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND 96.31 IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY. PROPOSED SEPTIC SYSTEM UPGRADE PLAN 0 10005 ,� 109 TOWER HILL ROAD, ' OSTERVILLE, MA 7Q �' ' � Prepared for: Capewide Enterprises, P.O. Box 763, Centerville, MA 02632 ' �133 25' ? OWNER OF RECORD Engineering by: SCALE DRAWN JOB. NO. ' R`� .23' 97.06 ' SARAH ELIZABETH AMICO TRS Engineering WOYks, Inc. 1"=20' P.T.M. 114-10 99,17 9 GOLDING FAMILY REALTY TRUST 9 9 97,68 109 TOWER HILL ROAD 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO. OSTERVILLE, MA 02655 (508) 477-5313 2/19/10 P.T.M. 1 Of 2 I I l SMOKE ®ETEOTO REVIE ED i Aq S �8 BARNSTABLE BUILDING DEPT. DA I I I FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING KITCHEN — I I I I OBSMT ACCESS PWDR RM® BELOWTOBE COVERED OR I b INFILLED I I CLOSET BENCH —_——— ——j UP ` 8'T Y-6 TJ• ----------- -------------- WALK-IN CLOSET CLOSET z ------------- ------------ y WE � MASTER BATH UP U �+ LIVING ROOM zasa ((^/, 4 7 FT.VAN. 0 osMASTER BEDROOM � w CSC ` OFFICE V I I I I I I PROPOSED FIRST FLOOR PLAN �t ,f I I I I ' 5 FT. d j KNEEWALL I I I _ . I o T-6'CEILINGLINE I ADDITIONAL ` _ �------ I 293SF FLOOR j I AREA I , TI--------------- - -- - �I �I --------------- WINDOW 5 IT. KNE WALL I I _ I 15.0' I PROPOSED SECOND FLOOR PLAN I I I . I , 4:4 1� 0 00�■ o r771 = :=jEIE:] 0 I m m D z I N O N - I IN N 1II- j r n PEE- III IE - aU-11-IIII-11.1ill 11 lilt 111111 111111 11 lilt 111111 11 till I 1111111 11 till 11111 Fri 00 PROPOSED RIGHT ELEVATION o r �'Bb�sNdb Ilpl BJ'oNMo� a I 4 iI NOTE: TO PREVENT BREAKOUT, THE PROPOSED 2 FINISH GRADE SHALL NOT BE LESS THAN EL.=97.8 FOR A DISTANCE OF 15' AROUND THE PERIMETER OF THE S.A.S. — J 2.8 SEPTIC TANK PROPOSED S.A.S. PROPOSED D—BOX $0• --TR _--- INSTALL RISERS & COVERS OVER INLET & INSTALL RISER & WATERTIGHT INSTALL INSPECTION PORT OVER END UNIT VENT 50. — T.O.F. OUTLET AND SET TO 6" OF FINISH GRADE COVER SET TO 6" OF GRADE EXISTING F.G. EL.=101.7t F.G. EL: 102.3E F.G. EL: 102.8(MAX.) 4g.5 �g.5' fMAINTAIN 2% GRADE (MIN.) OVER S.A.S. DECK ^ �. a INSPECTION L 11' L 1O'(MAX) 1 MIN.) = = PORT ® pc� ( S=1% (MIN.) ® S=1% (MIN.) 4"S=1% ®SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC s" 1o"I s' 10.38" TO EXISTING JBAFFUE INVERT INV.=98.00 48" LIQUID I _I HOUSE (#109) LEVEL A INV.=97.37 '-' 2 ROWS OF 6.UNITS AT 5.0'/UNIT)= 30' T.O.F.=103.53E GAS INV.=97.64 PROPOSED INV.=97.47 INV.=97.75 D—BOX SOIL ABSORPTION SYSTEM (PROFILE) ESTABLISH VEGETATIVE COVER PROPOSED SEPTIC TANK S•A•S•LAYOUT PERC SAND TO TOP OF CHAMBERS TIE IN TO EXISTING 4" SEWER P AT, OR ABOVE, INV.=98.30 15.5 —�I (3) s" DIA OUTLETS , 16" � 2" NOTES: TOP EL.=97.83 �' . F:::..,c• 1) SEPTIC TANK & D—BOX SHALL BE SET LEVEL AND TRUE INV. EL.=97.37 TO GRADE ON A MECHANICALLY COMPACTED SIX INCH CRUSHED I STONE BASE, AS SPECIFIED IN 310 CMR 15.221(2). BOTTOM. EL.=96.50 y 1s.s• 12' —{ 6' i 8" - 2.83 2.83' 2) INSTALL INLET & OUTLET TEES AS REQUIRED. 5' MIN. ABOVE BOTTOM OF 3) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE T.P. EXCAVATION OR G.W. 5.7' Top Yew H-10 LOADING Section 2" AS MANUFACTURED BY TUF—TITE, ZABEL OR EQUAL. EXISTING SUITABLE 4) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE NO G.W., EL=91.5 (TP-1) = MATERIAL D—BOX INVERTS PRIOR TO CONSTRUCTION. USE 2 ROWS OF 6—ADS Arc 36HC UNITS IN TRENCH CONFIGURATION WITH NO STONE 63.25" SEPTIC SYSTEM PROFILE TYPICAL. SECTION N.T.S. 16" DESIGN CRITERIA SOIL' LOG 34.5" DATE: FEBRUARY.16, 2010 (REF#12,843) NUMBER OF BEDROOMS: 3 BEDROOMS SOIL EVALUATOR:'.PETER McENTEE PE SOIL TEXTURAL CLASS: CLASS I WITNESS: DAVID STANTON R.S. HEALTH AGENT TOP VIEW DESIGN PERCOLATION RATE: <5 MIN/IN ELEV. TP— 1 DEPTH ELEV. TP-2 DEPTH 60" DAILY FLOW: 330 G.P.D. 102.5 0"' 102.8 0" _ A A END CAP END CAP DESIGN FLOW: 330 G.P.D: SANDY LOAM SANDY LOAM FRONT VIEW SIDE VIEW 10YR 4/2 10YR 4/2 END CAP GARBAGE GRINDER: NO , ' 102.2 4" 102.3 6" REAR/TOP VIEW LEACHING AREA REQUIRED: (330) = 445.9 S.F. BLOAMY SAND BLOAMY SAND NOTE: UNIT CONFIGURATION AND AVAILABILITY SUBJECT SIDE VIEW 10YR 5/8 10YR 5/8 TO CHANGE WITHOUT NOTICE. PRODUCT DETAIL MAY 74 99.8 C1 32"' 100.0 C1 34" DIFFER SLIGHTLY FROM ACTUAL PRODUCT APPEARANCE, PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY 34 48" 4640 TRUEMAN BLVD ak PROPOSED D—BOX:: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED PERC PERC pffcs- 46"� HILLIARD, OHIO 43026 Arc 36HC DETAIL 60" ADVANCED DRAINAGE SYSTEIAS•INC. UNITS MUST BE STAMPED H-20 USE 2 ROWS OF 6-ADS Arc 36HC UNITS IN FINE SAND FINE SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN TRENCH CONFIGURATION WITH NO STONE 2.5Y 7/3 2.5Y 7/3 109 TOWER HILL ROAD, OSTERVILLE, MA (GENERAL USE APPROVAL FOR 7.80 SF/LF IN TRENCH CONFIGUATION) Prepared for: Capewide Enterprises, P.O. Box 763, Centerville, MA 02632 2 x 30' TRENCHES = 60' C Engineering by: SCALE DRAWN JOB. NO. 60' x 7.80 SF/LF = 468 SF 9t.5 132" 9t.8 132" TUTS P.T.M. 114-10 PERC RATE <2 MIN/IN. ("Cl" HORIZON) Engineering Works, Inc. DESIGN FLOW PROVIDED: 0.74(468.0 S.F.) = 346.3 G.P.D. NO GROU14DWATER ENCOUNTERED 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. (508) 477-5313 2/19/10 P.T.M. 2 Of 2 WPM' --- — � � fiU g , S�EREDAR�h/ FFN�TFc� 0 U N — /-89 ' ° .cEUERALuoTPs: 3 ^ YARMOUT ORT, rorxxnvraxamxwAu tu Oro Schrduk(x5P) • 0.y J ygRc orRCTonluun[nARov®rronxi[cmcacamuroxrnorodccnggla:Anoxmcovoldxc -uuaxmm omaarc ru Nl[,doR moRlu[ro auwam L pl louTgxAxo lxnAum la TOWN aR NcovARraxrRmulRdom. wml au(mx•oR ADMmlfl rarnNNalu wNta mrtam E%IMA STIN68ASEMENf AREA 9OC Bery - Aumana!ruoR ro x]duAnox wml rRaa roAW AxD nR argAl.]. Rcrxttx AYARixrw u.! ra Ilo vo.Tsmwvovxccna42gm ra wwllxc x]RMl4uu Xwt aTlac]roR]AvxY[rarrnlaRrouu - PROPOSED BASEMENT ARPA �T F pR ocrzcra munox]lwu mxrawrom[rouordc� -•!'j! 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