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HomeMy WebLinkAbout0126 WATERFIELD ROAD e TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel ( Applications D Health Division Date Issued nl`�VW Conservation Division Application Fee PlanningDept.P . Permit Fee (d Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis V Project Street Address Psi p- lD Village Owner s 1 1_- TD tfKS Address Telephone �- Permit Request �3 �4 Square feet: 1 st floor: existing •proposed end floor: existing proposed �Total new `�-- Zoning District J., Flood Plain Groundwater Overlay Project Valuation LDot) Construction Type Vi c b-L-2>l ~-P'�'� � Lot Size Grandfathered: ❑Yes ❑ No Ift0Id9EQQ'9 4prt in doc entation. Dwelling Type: Single Famil� Two Family ❑ Multi-Family (# u Age of Existing Structure Historic House: ❑Yes 2<o 'i ❑ e0'No T Basement Type:�ll ❑ Crawl ❑Walkout ❑ Other TO y 154K Basement Finished Area (sq.ft.) �`'' Basement Unfinished Area (sq.ft) E Number of Baths: Full: existing '-�^ new Half: existing new Number of Bedrooms: ' existing _new Total Room Count (not including baths): existing �Lnew First Floor Room Count Heat e a -FGel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Ce*,1rAPir! ]Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Deta�c ara e: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ .Barn: ❑ existing ❑ new size_ Attacood4e: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: ® r Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes Ao If yes, site plan review # Current Use Proposed Use 54t'w1 I:-:,- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) N�,er�l,�� G d� u C-n 0� Name p ,� Telephone Number Address��2' 'v 1 License # 05T�D- 1ZV VA-- C Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO �e d V P c) �' I L—t—• SIGNATUR DATE V Z FOR•OFFICIAL USE ONLY r APPLICATION# _ DATE ISSUED MAP/PARCEL N0. _ ADDRESS VILLAGE .�` OWNER DATE OF INSPECTION: y' = FOUNDATION FRAME i �. INSULATION FIREPLACE - ELECTRICAL: ROUGH FINAL t . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL . ' FINAL BUILDING DATE CLOSED OUT ' ASSOCIATION PLAN NO. L 6' �o Leteq ka(o SoV-,eS A,,O b!A-.,pr �eek SQv - - - — - - - - CCI _ S US V �o a� lO o�btiP � s �o Gca f ?7i��'ourrl�a�c�eaJ?th rzf�`irssr���irtset�s ' �epr�l�eti€a,�' sh'ia��ccic�eFrts iWashfizg4on&reeet • -- Bus€on,MA 02111 Workers' Cumpensati=IusarmceAffidaviL B-m-lderslContmd-or-,,WectricianslPlmnbers �icant I'ufm-inatign Please Prat Lev Na=C3.Usie,1;sfQrgazi2M'ion ndFvidual fz eiry{ ate�lsg 6 q t J Are .au an employer?Checicthe appropriate box: ' Type of project(req�ed}_ ❑ g I. I am a empla yzr u7tFi�_ I am a general contractor and 1 6_ ❑New construction: employees(nzll andfor part timed* lrave hirer the sdlxco1-,bM&0rr, Remode ling 7.❑ I•am a sole propaietor argar uer f sad on the attached sheet 7 ❑ ship a3qd haves no employees. These sob-con&actors have g".❑Demolitioa ff urnrl far 7T1P in any capaci employees=c1have wodcers' g. ❑Building addition Qom' co rasur"dnca comp-mcicrart� - 5. ❑ Tie are a corporation and its 10-❑EleCtacal repairs &or ad ons reg red 3_❑ f am a fiameautner doing all r�o� o ccer3 haveA.�scised their 1L❑Piumbingrepairs or additions mysel€[No wo6mm'comp_ tight of egemgfi ger have 1?❑Roo=repair ;��n�e reclni�d_�i c.152.§I{4),and we lts�e no �❑Other employees (No warm. ers' comp-insurance required_Z �ttqYanpHc &Stdid5b0xt-:1 also 01outtLsxtiaabeTaxshmvinZ9a-"sran3sea'eampessariaapoHc iammrmsaoa # naeoansrteho sahmit this& rda� ins':"^G�tieYar=duin�slftcao>c a t�enhiE ox�i ca n_�*+Fsnmst svbmkanawzdn -idL indirrIm sorb. Eco�rsfmtch-7k I,sb=must aasdei6aoalshea show in;tbeY�ofQL sub rcc rs>�stateuhe4hetarnotwmeensiti:sh i F1EptiQlRa;.Tfta-'saT}{ shore mnpIoy-e%dLey-mmtpmv,dL-$-dr Radmi' POBEY n m b&L .rant an euepl�r Hard is prmr:dirtg ivarbets'courpertstdirrtt insttratfts or m}r earpIaSees $elosv is tire pofcy are of, a infermariom ( `� lasurancecompanyName: SEC)Ci 4sl i- CM191ou-'e0 rQm_ 0-9- Lb-L�� Po-!"icy t or Self-ins-Ec- �•5 �`7c t�o/�;�� P Rafe: to Job Site A ddra:� i -.16 Attach a copy of the workere coxapensatioupolicy-declaration page(shawisg the policy number and expiration date). Failure to secure Coverage as requireduddet Soon 2 5A o€MGL a.157—can lead to the imposition of criminal penatt£es of a fma up to$U..Q0:OU andror one y-earimprismuncnt as weg as civil penab ies.in 1he farm of a STOP WORK ORDERaad a Ene of up to$250-00 a day against tine violator- Be advised that a copy of this statement maybe warded to the Office of Tavestiaatinns o€"the DIA for ins -cave ae,�-e Ca#ioa V ydfo hereby cart fy Mnder the s andparat€res g thattils i*rmadmprovided ahmw is bug avid correct sim stun . Dates PlioaCL e;= J0 - � S OjTCial use arty: Eya not mite in tills area to he completesd by Gdy artown ajgkiat City orTd u: - PermitUcense# Issuing Uf6-oc€fy,(circle one): L Soard.af$eaItll IEugau_Department 3.�-1rown Qer)s 4.Electrieal?Tspw a.Ph�b Ia�eciaF 6.Other Contact Pierson: Phony#: Client#: 16665 2MEAGHERCO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE 102912 129/2D/Y015 5 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Dowling 8r O'Neil Insurance Ag aCC, o E:e:508 775-1620 ac,No): 5087781218 973 lyannough Rd,PO Box 1990 E-MAIL Hyannis,MA 02601 ADDRESS: 5O8 775-1620 INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:National Grange Mutual Insuranc INSURED Meagher Construction Inc. INSURER B:Associated Employers Insurance INSURER C: Timothy Meagher INSURER D 776 Main Street INSURER E: Osterville,MA 02655 INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE NSR WVD POLICY NUMBER ADDLSUBR POLICY EFF MNWD�Y LIMITS A GENERAL LIABILITY MPT1250G 10/16/2015 10/1612016 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $50O OOO CLAIMS-MADE 51 OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY PRO- JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea..dent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per a.ZI $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION Y/N WCC5050054422015A 6/23/2015 06/23/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 OO OOO OFFICER/MEMBER EXCLUDED? a N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $100 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building Inspector ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE i ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S160266/M158764 JM1 i THE Tp� • 'BAa\!3rAuLE, MASS. 16 39. 0� Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ��C�r° ,u �' t`�`��1f�� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) S>ignaDof Owner: Date 1 f �--'1� E]�; t-,J Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEVIN MBuilding Chan es\EXPRESS PERM REXPRESS.doe Revised 061313 License or registration valid for individul use only �e !Cn�u�re��aioealt/e a���auac%craeCf g Y ,i> Office of Consumer Affairs&Business Regulation before the expiration date.-If found return to: i OME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration: -i62938 Type: 10 Park Plaza-S e 5170 Expiration:_-4/27/2017-- DBA Boston,MA 02 MEAdHER BROTHERS CONSTRUCTION MICHAEL MEAGHER JR l F --97 EMERALD LN `• j {? x�.r ., Not v wi out signature MARSTONSMILL,MA 02648 Undersecretary , t Unrestricted-Buildings of any use group which (991m3 of Massachusetts -Department of Public Safety contain less than 35,000 cubic feet ) Board of Building Regulations and Standards enclosed space. Construction Supervisor License: CS-102260 ``` IT" t MICHAEL S MEAt6R5A '�,. /f97 EMERALD LWE� ((( Marstons Mills NaFailure to possess a current edition of the Massachusetts O�wState Building Code is cause for revocation of this license. �i•i�ti�� For DPS Ucensing information visit: www.Mass.Gov/DPS Expiration _ Commissioner 1110512016 . 33 Town of Barnstable *Permit# Expires 6 months from issue date _d Regulatory Services Fee • Richard V.Scali,Interim Director Mld 1 Building Division X-PRESM PER I Y Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 MAR 2 3 2015 www.town.barnstable.ma.us TOWN O Fa 9 n D790 � EOffce: 508-862-4038 08 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Map/parcel Number OL ` Not Valid without Red X-Press Imprint Property Address 1 16 LjAr-r-Ci e-Q 04- J 06ke-cyi l teA AA Q a66�5' (?Residential Value of Work$ �j oaf Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Swrol-1 one& All Contractor's Name 4-Xz;n L111k+S CySTa�^�ovv`CS Telephone Number 509 ri 50 Fa I5 Home Improvement Contractor License#(if applicable) Email: Sec-A S a^ SCuS� �cS.cc Construction Supervisor's License#(if applicable) L a).77,5 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner 201 have Worker's Compensation Insurance Insurance Company Name hmel i �.v�Sc!<'o✓�GG��e✓1c7 T v.c_, Workman's Comp.Policy# W CC600 S0113`ici 2 QUA Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) A [�Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to vty►L-Vt c . AAA ❑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. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is require SIGNATURE: TAKEVIN_D\Build Changes\EXPRESS PERMIT�EXPRESS.doc Revised 061313 77ie Commonwealth of Massachusetts Department of Indushial Accidents Office of Investigations IF 600 Washington Street Boston,MA 02111 rvrvrumass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print Legibly Name(Budnes3/0rgmAzatiowlidividual): Seen � s �>s'w- �toV�tS Address: # 30 �U�' r LyA AA 01SU, City/Stat&Zip: Phone#. SO 965 '7a955 Are you an employer?Check the appropriate box: Type of project(required): 1.L.I lam a employer with _T 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 worloeas' 9. ❑Building addition [No wmters'camp.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 I LE]Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required]I c. 152,§1(4),and we have no employees-[No workers' 13.53 other (Ze comp.insurance required.] *Any applicant that checks boa#1 mast also fill out the section below showing their wo*ers'compensation policy info r>astion. ga i Homeowners wbo,submit this affidavit indicating they are doing all weak d then hue outside contractors Mast submit a new affidavit indicating such- koatracturs that chech ibis box must armched an additional sheet showing the nee of the sub-contractors and state whether or not those entities bwe employees. If the sub-co at.have employees,they must provide their workers'comp.policy number. I am an employer that fs providing tworkers'compensation insurance for my eaiptojve& Below is the policy and job site information, 11 S Insurance Company Name: A`me& L CP-c\-jaA Policy*or Self-ins.Lic.#: LJ LC- Sd O Sd U 3115 a O l 3 A Expiration Date: /Z Z 1/s Job Site Address: 1_U W-AevQeQ iA QSAa-"Ae,Z1A City/StaWZip:0SNnt'yAe0AA 026S,S 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c ;;(yy under t 'ns and penalties of perjury that the information protdded above is bate and correct Date: Phone#: 09 q579- as 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#4 aAszA. Town of Barnstable Regulatory Services Richard V.Scali,Interim Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I. SY'.r'C'on -,as Owner of the subject property hereby authorizew� i. S��lS�o�►��c+w�eS to act on my behalf, in all matters relative to work authorized by this building permit application for: 16 ( r_keCC_ea\3 Q 65kerV i Re A (Address of Job) of Owne aa kl Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. TAKEWN—Muilding Changes\EXPRESS PERMITNEXPRESS.doc Revised 061313 rfem AcoRU` CERTIFICATE OF LIABILITY INSURANCE �oyOJ2`01 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 pollcypes) must be endorsed U 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 Ileu of such endorsement(s). PRODUCER Phone:50864"161 Far 508-457-76M CONTACT Bob A10etta ALMEIDA&CARLSON INSURANCE AGENCY INC. PN�E m (508)888-0207 fA/C.Nnk (508)888-0550 P.O.BOX 554 =L , rallietta@almetdacarison.com FALMOUTH MA 02641 INSURERS)AFFORDING COVERAGE NAICB RISUIMA :Arch Specialty Insurance Co oasultms AEIC SEAN WATTS CUSTOM HOMES PO BOX 737 INSURER C EAST FALMOUTH MA 02536 INSURER D: INSURER F INSURER COVERAGES CERTIFICATE NUMBER: 29423 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 C O SU ICIES.L{MITS SHOWN MAY BEEN R D BY PA D INSR TYPE OF INSURANCE wSR WVD POLICY NUMBER POLICY EFF vOUerE7� LIMITS A GENERA UAeanY AGL0008642-01 01/24/15 01124/16 EACH OCCURRENCE_ $ 1,000,000 twTv E TO RENTED 50,000 X COMMERCIAL GENERAL LIABILITY PREEaSES(Ea ommm») $ CLAIMSAADE OCCUR MED.EXP(Arty one person) S _ 5,000 X BLANKET ADI L INSUREDS PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000,000 GENL AGGREGATE LIMIT APPLIES PER PRODUCTS-C OMPIOP AGG S 2,000,000 POLICY PRO Loc I S JEU AVMMOBRE UAaMM cEaacc[def Sa/GtJct.udrr (En eeadmt) S ANY AUTO BODILY INJURY(Per person) S ALL OWNED CHEDTO, LLmBODILY INJURY(Pera )AUTOSHIREDAUfOSWNED -- S UMBRELLA UA8 OCCUR EACH OCCURRENCE $ _ EXCESS UA13 (CLAIMS-MADE AGGREGATE S DED I RETENTION$ S B WORIMM COMPENUTION WCCSOO50113492013A 09=14 09122H5 TORYLQ s ER $ AND EUPL.OYERW LUUW TY YIN ANY PROMETORIPA C� E.L.EACH ACCIDENT S 100,000 OFRCEPJAEAIBER EXCUIDEM? NIA EL DISEASE-EA EMPLOYEE S 100,000 (ManddM In NM) If yes.desalbeunder E.L.DISEASE-POLICYUMrr s 500,000 DESCWPTIoN OF OPERATIONS oato., t DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101.Additional Remartca Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED RH+RESENTATNE Attention: Bob Allietta ACORD 25(2010105) 01988 2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD i Office o� fC,-,ePA airs Bdsiii�Regulan10 1 Lich or registration valid for individul use only "OWE YMPRO�fEtflEfi3 COKSRACTOR be{OTe the expbv�date. If found return to: zi Registration -.:174152 Type: of Ca Registration: and Business Regulation Expiration: 1/2/2017 DBA 10 Park P�-Suite 5170 Boston,MLA 12316 S S CUSTOM"HOMES SEAM WATTS ] 3� ` 30 BAPTISTE LANE EAST FALMOUTH,MA 02536 Undersecretary 4 Massachusetts -Department o'-' � a �a =s Unrestricted-Buildings of any use group which Board of Building Regulations a ^zlrana contain less than 35,000 cubic fed(991m)of i enclosed space. Currstrucrinr. Super'isnr y' i icense: :S-O a2753 SEAN D WATTS 30 BAPTISTE I1'� } East Falmouth MA 02SX Failure to possess a current edition of the Massachusetts aState Building Code is cause for revocation of this license. !72, 1 ff' oLtIO2M LForPS"licensing information visit: www.Mass.Gov/DPS Cotnan►ssror:er I 1 i i t `,l OSTERVILLE . ROUTE 2d ' B PS RI �f R0 LOT 9 N R O LOCUS UPOLE I O • � Qp2 rn � 'C.BAS. S8210'S0"E 9y Q O,S 272.39 `` 44.3' / LOCUS MAP � 1 LOCUS INFORMATION I 44.8' LOT 10 PLAN REF: 119/97 I � � AREA=32,640f S.F. TITLE REF: 27088/61 ..... PARCEL ID: MAP 119 PAR. 21 � ZONING: "RC" "WP" "SEP" IN STATE ZONE II W=K SETBACKS: FRONT 20', SIDE 10', REAR 10' POLE PARCELID: FLOOD ZONE: "X" WIND EXPOS: "B" 2 O� 119/34-03 COMMUNITY PANEL: 25001CO544J DATED:07/16/14 #126 M CERTIFIED PLOT PLAN I // 44.9' L 13'0 �p (FOR PROPOSED ADDITIONS) PROPOSED LOCATED AT: CB/DH PROPOSED " DECK ' 126 WA TE R F I E L D ROAD HYD. BULKHEAD 5,0' 29.7' 12.8' ��� �� OSTERVILLE, MA. PREPARED FOR: ul 576.1150"f M EAGH ER CONSTRUCTION o OWNER: SHARON KENNEDY 28s.s7 DECEMBER 13, 2015 LOT 11 / PARCEL ID: 119/34-02 POLE Stk OF.�Gis /� EDWARD�� E. A. S. GRAPHIC SCALEA. �� SURVEY, INC. STONE N 30 0 1s 30 80 120 729 pow No.•2898 >e SANDWICH,1 MA. 02563 F� i s ( IN FEET ) { No 1 in = 30 ft. , �3'� BUS:(508)888-3619 CELL:(508)527-3600 /Z SHEET 1 OF 1 J 1802