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0155 WEST BAY ROAD
p 1 � . f t n a f I Q f r O BROWN LINDQUIST FENUCCIO & RABER ARCHITECTS, INC. MEMORANDUM Date: 8/9/2016Ln �- To: Paul Roma, Acting Building Commissioner ' Town of Barnstable From: Kurt Raber, BLF&R Architects L Re: Wianno Golf Maintenance Facility- Changes to Plans for Buildin l"B" 00 03 n Hello Paul, You may recall that a few weeks ago I stopped by to discuss changes we hoped to make at the Wianno project, we also reviewed some plumbing changes which have since been installed and inspected. The enclosed floor plan illustrates the plan changes, which are limited to the interior of Building "B". The layout is similar to the permitted plans but we have simplified the construction details of the interior wall partitions. You will note that the rating of these walls is now one (1) hour vs the two (2) previously. We have changed the wall from two layers of gypsum to only one; the second layer will now be a cement or metal panel. These finishes were selected for durability and will add some fire resistance (but there is no approved U.L. Test for these assemblies). The code does not require a rated separation, but we will have a minimum of one (1) hour rating between the wash bay, pesticide mixing area, the pesticide storage room and the fertilizer storage rooms. I will also deliver a copy of this letter and plan to Inspector Martin McNeely at COMM Fire. Please call my office with any questions. 203 WILLOW STREET SUITE A 93B COURT ST.UNIT 22 YARMOUTHPORT,MA 02675 PLYMOUTH,MA 02360 PH 508-362-8382 PH 508-927-4127 WWW.CAPEARCHITECTS,COM Best regard , Kurt Raber Cc: Inspector M. McNeely, COMM Fire Darin Crippen, Wianno Club Dave Johnson, Wianno Club Michael Long, RJ Laughton Enc: (1) 24" x 36" Floor Plan "B" SK1.1 Plus (1) 11" x 17" Reduced Size Copy 203 WILLOW STREET SUITE A PH 508-362-8382 YARMOUTHPORT MA 02675 FAX 508-362-2828 WWW.CAPEARCHITECTS,COM ���� V � - I . ' '. , , � ! s' ` t�s ` r Shea, Sally To: jwilliams@ostervillemuseum.org Cc: Roma, Paul Subject: ViewPermit, Permit No:TB-16-1596;tb-16-1597 Jennifer, One thing I noticed that we did not get is a flame spread sheet. Please contact the Sherriff's Dept.This is a requirement as we need to know the Tent is flame resistant. Thank you I Sally Shea Assistant ZEO/Principal Permit Tech. Town of Barnstable Building Division 508-862-4031 4 rr. 1 a� a z ( Regulatory Services c Richard V. Scali,Director LUMWABI� ; Building Division BARNSTABLE MASS. ;U�lgry !�'.lfi WJ4ul:l 1639. Thomas Perry, CBO �ED1A0�6 Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TENT PERMIT .g� � _��� APPLICATION# 6 ISSU D ON BY CHECK ONE Residential Commercial NUMBER OF TENTS r PURPOSE OF TENT IF THIS IS A NON-PROFIT EVENT CHECK HERE �(ifnote blank) DIMENSIONS OF EACH TENT�-J'D y4 D —PNQ�AAW�`\- DATE TENT(s)UP v TAKEN DOWN O 'C2-1 ARE THERE SIDES ON THE TENT(S)? CHECK ONE YES NO If you checked yes you must attach a floor plan of the layout to insure proper egress for emergency purposes per the Building Code requirements. ATTACH THE FOLLOWING DOCUMENTS: $UILDI,I`f- ^jt.hT. tFLAME SPREAD SHEET FOR EACH TENT !JUN 17 2016 FLOOR PLAN OF INSIDE OF EACH TENT THAT HAS ASSEMBLY USE PROPERTY OWNER'S AUTHORIZATION IF THE APPLICANT IS NOT THE OO—WNER TOUV -n FABLE WORKMAN'S COMP.AFFIDAVIT(AND CERTIFICATE IF REQUIRED BY THE 0 4-11 � D PARTMENT OF INDUSTRIAL ACCIDENTS,INCLUDE POLICY INFORMATION PER FO��. _-.R� -I RUCTIONS). =/l5�—�� LOCATION OF TENT ON SITE(PLOT PLAN OR G.I.S.MAP SHOWING LOCATION) PROPERTY OWNER NAME aUMA ` APPLICANT 0 S ( Ci PRINT ' t..��-'� NA � �1��(,11 b L `I�YGNAT DAT RETURN WITH A COMPLETED APPLICAT N BETWEE THE HOURS OF 8-9:30 A.M OR 3-30-4.30 PM.M TO OBTAIN A HEALTH DEPARTME T APPROVA AFTER OBTAINING AN APPLICATION# FROM THE BUILDING DIVISION. If this is Town of Barnstable property,you must provide the property owner's authorization completed by the Town Manager.Using the Town Green?Call our Survey dept. at 790-6400 x 4939 to ensure water lines are preserved for staking purposes. If you are utilizing Aselton Park call Structures and Grounds 790-6320 Wt UL/� W 5 610 5 r/� V1 V)/1 U-��vy) - i Town of Barnstable Regulatory Services BARNST"BM Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I �� ,as Owner of the subject ro e � P m' C S here authorize W to act ln;m��qyehal , in all matters relative to work authorized by this building permit application for: .k' - i (Address of Job) ^ . '��j Wo Z O )A ,\Ju AAA ) acmd � (P igna a of Owner rate I Print e If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION i The Con:rrromverrltlr of hIassa rtsetts Deparhnewt of InduslWal Accidents Office of Investigations t1 600 Washington Street ��V ._.., Boston,?6IA 02111 fvunjwnas&gov/di.a Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeQibIv �Gl/ Name(BusinesstOrganizatian/I(ndividnai):�2� U1, 1/l,Q� � 1 hL ,L_0 1 �l Address: '� W 5 05�_ bamtd City/Stat&Zip:lJ R 0'Z�e:a7 ��LZ Q 223 9Z Are you an employer?Check the appropriat.box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full aad(or part-time). : have hired the sub-contractors 6. ❑New constauction. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition woding for me in any capacity. employees and have workers' 9. ❑Building addition[ No wotiaers'comp.insurance comp.msuranoe required.] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers'camp. right of exemption per MGL, 12. Roof rep-aim insurance required.]i c.152,§I(4),and we have no ❑ employees.[No workers' 13.0 Other comp.insurance required.] ;Any applicant that checks box pl mast also fill cr=the section below showing their wnrkere compensation policy information Homeowners who submit this affidavit indicating they are doing all want and then hire outside contractors mast submit anew affidavit indicating sack =Contractors that check this boot must attached an additional sheet shorting the name of the sub-contractors and state whether.or not those mfities bare employees. If the sub-conuacrnrs have employees,they moutptovide their workers'comp,policy number. I attt att etitployer fltatis protdding workers'conipetisatiort utsurarrea for trty employees. Below is thepolicy and job site information Insurance.Company Name: Policy#or Self-ins..Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a ropy 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 andror one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fide of up to$250-00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage�w fication_ I do hereby certify under the pains and penalties ofpequty.that the info rwiafion protzded abm�e&true and correct Sitmature: Date: Phone '. O cia�Use nly. Do not write in this area,to be completed by city or town ofJ4ciaL City or Town: PermitUrense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: 1 , Town of Barnstable. Regulatory Services uaxSr"LF, ; Thomas F.Geiler,Director 'b 116A39.. ,0� Building Division CFO MA't A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC i Map http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?pro... • 1 town of Barnstable Geographic Information System Newsearch Home I Help °Parcel Viewer C/u�stom Map Abutters xap Sue E■ Zoom Out"1"1",In r` to a Him Map: 116 Parcel: 086 Full 31 11711g Property 117135 11712aJ t t rJ 1171 Location: 155 WEST BAY ROAD Info to la0 103 Owner: OSTERVILLE HISTORICAL SOCIETY INC 1171M 1 #102 17131 090 foli0 � Location Information it ,io6� l0108 ® �G 1100 a3 Map O Parcel 116086 Location 155 WEST BAY ROAD 113031 1114 slog Acreage 1.71 acres IIm20 1171 116032 1117 0110 Current Owner ..139;1 , It�23 Mailing Address OSTERVILLE HISTORICAL SOCIETY t 12l 0370 11 INC 37g 110075C/81 0127 115034CND 'II0007 110003001 WEST BAY ROAD t 125 110 8130 01054 OSTERVILLE,MA 026SS 6140 ` • Extra e t Value(FY 2016) 8,700 n0001 131 Extra Features 138,700 � Out Buildings $133,100 `1 110o3e CF� `-4 Land $876,500 Buildings $240,600 \Y\ /1aa to Total Appraised $1,268,900 F t t0037 115040 n� la1 Assessed Value(FT 201 � • . Extra Features E38,700 IIW40 Out Buildings $133,100 \"1\ 110038 tea Land $876,500 Nicol 114097 s �y n006s tOS Buildings $240,600 V fill Total Assessed $1,288,900 I11 110046 nstruction Detail n70 7e ran Co 1te12e Sly In Cape Cod 1t101344 Model Residential 8II37 Ij'16 11� 1100422 ` Grade Average 11g0 tll7 1t00a7 Stories 1 3/4 Stories •� "in `geoe3l il�q Exterior Wall Wood Shingle J10 it" Roof Structure Gable/Hip n00w a2i negw Roof Cover Asph/F GIs/Cmp t44 ue0at 110ato }1/6 a1141 Interior Wall Plastered F2 t .1200it 307 FIRS 11m00 Interior Floor Wide Pine 1316� Meat Fuel Gas Meat Type Hot Water Set Scale 1°=153 I t.Aerial Photos ® I MAP DISCLAIMER AC Type Central Copyright 20052010 Tom of Sa;nuabto,MAN)rights reserved.Send questions orcomments to GIB Bona blovIA v1.2.5933 IP,oducocnl 1 of 1 6/1/16, 1:29 PM Urrlut Ut I Mt Mfifff BARNSTABLE COUNTY The Commonwealth of Massachusetts lk- 6000 Sheriff's Place,Bourne,MA 02532 „ A< 508.563.4300 Fax:508.563.4574 BCSO@bsheriff.net . .:ACCREDITED sheriff James M.Cummings 'l April 7, 2015 FOUNDED 1870 American Thomas Perry, Building Commissioner Correctional Association TOWN OF BARNSTABLE 200 Main Street Hyannis, MA 02601 14111iH�> ', a; Dear Mr. Perry: I have been asked to provide a letter regarding workers compensation coverage for commission on inmates in the custody of the Barnstable County Sheriff's Office who are erecting Accreditation of and dismantling tents for the Town of Barnstable. Rehabilitation Facilities These inmates are not paid wages for the services that they perform. They are providing a community service. They are not employees as a matter of Massachusetts law. They are not covered by worker's compensation insurance nor are they eligible to receive such. The Barnstable County Sheriffs Office itself is self-insured for its employees, the Community Service Officers;for worker's compensation purposes. Therefore, the Sheriffs Office does not maintain a worker's compensation policy. As an entity of the Commonwealth of Massachusetts, the Sheriff's Office is self-insured for all purposes. Please feel free to contact me if you have any questions in this regard. Very truly yours, Matthew urphy, Esquire == . Assistant Superintendent General Counsel =� /sdr Enclosures /N1E6R/TV PN#)FSS/#"ffSN COMPASS/ON ff"WOBK BARNSTABLE-BOURNE-BREWSTER-CHATHAM-DENNIS-EASTHAM-FALMOUTH-HARWICH MASHPEE-ORLEANS-PROVINCETOWN- SANDWICH-TRURO-WELLFLEET-YARMOUTH 01 Barnstable Regulatory Services O 2� Richard V. Scali, Director BARNWABM : Building Division BAt- L MASS. 1639. ��0� Thomas Perry, CRO �+Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 TENT PEIZ�IIT �j_ _ qAPPLICATION# ' I ISSUED ON BY CHECK ONE Residential Commercial NUMBER OF TENTS PURPOSE OF TENT �f 1���Li� , /,U QY l t ,{ kaaa IF THIS IS A NON-PROFIT EVENT CHECK HERE (if not leave blank) �l c I DIMENSIONS OF EACH TENT DATE TENT s U ( ), W� "TAKEN DOWN O ARE THERE SIDES ON THE TENT(S)? CHECK ONE YES NO If you checked yes you must attach a floor plan of the layout to insure proper egress for emergency purposes per the Building Code requirements. ATTACK THE FOLLOWING DOCUMENTS: BUILDING DEF'T. FLAME SPREAD SHEET FOR EACH TENT JUN 17 2016 FLOOR PLAN OF INSIDE OF EACH TENT THAT HAS ASSEMBLY USE PROPERTY OWNER'S AUTHORIZATION IF THE APPLICANT IS NOTi"'Ifgb OF BARNSTABLE HO EOWNER _ _WORKMAN'S COMP.AFFIDAVIT(AND CERTIFICATE IF REQUIRED BY THE 0-n �Le D PARTMENT OF INDUSTRIAL ACCIDENTS, INCLUDE POLICY INFORMATION PER FORM I RUCTIONS). -'o . 4 1 r LOCATION OF TENT ON SITE(PLOT PLAN OR G.I.S. MAP SHOWING LOCATION) PROPERTY OWNER NAME APPLICANT 0sic aPRIN � �� C �Q�- II `` N M)��I��I.'�,V� UL� GNA"T DAT RETURN WITH A COMPLETED APPLICAT N BETWEE 'THE HOURS OF 8-9:30 A.M OR PM.M TO OBTAIN A HEALTH DEPARTME T APPROVA AFTER OBTAINING AN APPLICATION# FROM THE BUILDING DIVISION. If this is Town of Barnstable property,you must provide the property owner's authorization completed by the Town Manager.Using the Town Green?Call our Survey dept. at 790-6400 x 4939 to ensure water lines are preserved for staking purposes. If you are utilizing Aselton Park call Structures and Grounds 790-6320 �tL � 1 Y's�nS osvj) IJ r Town of Barnstable o* aAuvsraet.e, Regulatory Services MAS& Thomas P. Geiler,Director i639. `0� 'CFO ra Building Division Tom Perry,)Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.ba rnstable,m a.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Dust Complete and Sign This Section If Using A Builder I, 1U U U�� n `�-�� 'j/l , as Owner of the subject$ roperty here authorize � � to act on my ehalf, in all matters relative to work authorized by this building permit application for: (Address of Job) c)- -\J c.l (Stignaewnerate Print i me If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&OWNERPERMISSION i QA � � Tlie Couzrrrorriveraltla of Kassa r�setts .Deparhnerrt of Indrestrial Accidents '— Office ofInvestigadons 600 Washittgtolr gireet Boston,MA 02111 �/� n ` � ._-----•, `�-`"� fu►ahw?.rrrassgm�/dia C./ 1, .f�a, Workers' Compensation.Insurance Affidavit: Builders/Co �nh-actor.s/Electrician s1Plumbers Applicant Information I Please Prim Leg ibIv Name(Bus¢1esst�OrganizaEianlfndniduai)_L_s V� ��4VY r(_C:�-1 Address: �, 1 l _ �� 3 � y I ( 1 City/Statel2io: S J l.�/ , 6 � M c �plZoe.— Are you an employer?Check the appropriat . o=: L❑ I am a employer with 4. JI ant a general contractor and I Type of project(required): 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 working for me in any capacity, employees aad have workers' g' ❑Demolition [No wotiaers'comp.insurance comp.msurauml 9. ❑Building addition required.] 5. El We are a corporation and its 10=❑Electrical repairs or additions 3.❑ I am a homeowner doing ail work officers have exercised their 11.El Plumbing myself [No workers'comp. right of exemption per MGL repairs or additions 12 ❑Roofrepasrs insurance required.]i c. 152, §1(4),and we have no employees.[No workers' 13.[]Other comp.insurance required.] 'Any appticmt.that checks box 91 must elso fill out the section below showing theirworkers'compensation policy information Hometrtvaers who submit this affidavit indicating they are doing all work and them hire outside contractors trmst submit anew affidavit indicating SIlCIL employe s. thst check this boa must attached an additional street shotriug the nine of the sub-contractors and state whether or not those entities have employees. if tbe.sub-contractors have employees,they mustptw-ide thejr worlrss'comp.policy number. I art all estpioyer that is prot.Rdutg workers'compensation insuralce for my employees. BeIOJv is the policy and job site inforrrcad011. Insurance.Company\Tame: Policy;9 or Self-ins.Lie.9: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of NfGL c. 152 can lead to the iruposition of criminal penalties of a fine up to$1,SOQ00 and/or one-year imprisonment,as well as ci-,it penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the--iolator. 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 ltereby .ettify render tFie.paid and penalties ofperju.ry that the informationprotzdedabove is true and correct Sian Pho : Z / 0(ji tt�ees nly. Do not n-rite in tit-is area,to be Completed by city or town official City or Tom n: PermdtUcense 4 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 tt• 6 i ATM:, 'down ®f Barnstable Regulatory Services tl e BAMSTABLE, tl 'Thomas F.Geiler,Director MASS. A�EOMP'tA,®� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number " street village "HOMEOWNER": name home phone fl work phone k CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the buildin.permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such I Iomeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomVccrti fi cation for use in your community. Q:\WPFILES\FORMS\homeexcmpt.DOC r Map. http://maps.townofbamstable.us/arcims/appgeoapp/map.aspx?pro... Town of Barnstable Geographic Information System timsearch I Home I Help Parcel Viewer Custom Map Abutters "-PSI- 0■ Zoom 0011111111 JIn • ltin/Q 1'° ® a'=]PG Map: 116 Parcels 086 Full Property 11713a 1073, Locations 155 WEST BAY ROAD Into 11717e 1SO 117132 180 177 In ISO 4102 Owners OSTERVILLE HISTORICAL SOCIETY INC 1171M 'I17131 IM title Iw Location Information nee'me� 110e drf-® ua063 Map 6 Parcel 116086 Jim �" Location 155 WEST BAY ROAD e071 1_ AV14 I1e4 Acreage 1.71 acres 130 imi lil 71 ,oil Current Owner 11e022 I131 ,1!'21 Mailing Address OSTERVILLE HISTORICAL SOCIETY I21) 1374 115034CNO � INC /126 IIW35CND 0127" IID67 � n010541 WEST BAY ROAD 0130 146a OSTERVILLE,MA 02655 I147 ♦ 11e061 Appraised (FY 2016) { I71 Extra Featuresres E38,700700 u Out Buildings $133,100 liar CFI^ . `s-1ji, Land $876,500 �s "110049 Buildings E240,600 (,\F/\1 • Will,, 'I s7� Total Appraised E1,288,9D0 7, slMtt • IT a Assessed Value(FY 2016) ime i � S ® Extra Features $38,700 G 06 Out Buildings $876$133,500 0Intel . I06� Land E876,500 heat ueD.w I "5De6 Lee Buildings $240,600 Its Total Assessed $1,288,900 I16030 116046 i17a Y�p1 Construction Detail s, Style Cape Cod _ s- . Ismaa Model Residential 110087 11110M to?1 1223 " itee� 11 W. Ileea2� Grade Average I?0 1 n7 SmTIaS 1 314 Stories \}V\ eoq 11epw �a m} I m Exterior Wall Wood Shingle 110:j tl2ost Roof Structure Gable/Hip nMm p1 �/ 0 IIM� Roof Cover Asph/F Gls;Xmp Ise FE t ,.1s00 =e0e0 ♦slid Ina Interior Wall Plastered 1 9203 I2D7 f1E� 110000 I Interior Floor or Wide Pine 121aS Heat Fuel Gas Heat Type Hot Water SCt Scale 1"=353 Aerial Photos ® MAP DISCLAIMER AC Type Central I CopyigN 2005-2010 Twvn tBemstaale,MAAll rights reserved.Sena 4aestions orwriments to GIS BmmteelelM v1.Z5833 IRodwUml 1 of 1 6/1/16, 1:29 PM 6"E urnucur inrantnirr :. . � BARNSTABLE COUNTY The Commonwealth of Massachusetts 6000 Sheriff's PlaceI Bourne MA 02532 e 508.563.4300 Fax:508.563.4574 BCSO@bsheriff.net ACCREDITED sheriff James M.Cummings April 7, 2015 FOUNDED 1870 American Thomas Perry, Building Commissioner Correctional Association TOWN OF BARNSTABLE 200 Main Street Hyannis, MA 02601 rA11�iN.�> Dear Mr. Perry: I have been asked to provide a letter regarding workers compensation coverage for Commission on inmates in the custody of the Barnstable County Sheriffs Office who are erecting Accreditation of and dismantling tents for the Town of Barnstable. Rehabilitation Facilities These inmates are not paid wages for the services that they perform. They are providing a community service. They are not employees as a matter of Massachusetts law. They are not covered by worker's compensation insurance nor are they eligible to receive such. The Barnstable County Sheriffs Office itself is self-insured for its employees, the Community Service Officers;for worker's compensation purposes. Therefore, the Sheriff's Office does not maintain a worker's compensation policy. As an entity of the Commonwealth of Massachusetts, the Sheriffs Office is self-insured for all purposes. Please feel free to contact me if you have any questions in this regard. Very truly yours, Matthew urphy, Esquire .0 . Assistant Superintendent General Counsel /sdr _ c Enclosures T /NTE6R/TY PROffSS/OMAI/SM COMPISS/ON ff"NOBr BARNSTABLE-BOURNE-BREWSTER-CHATHAM-DENNIS-EASTHAM-FALMOUTH-HARWICH MASHPEE-ORLEANS-PROVINCETOWN- SANDWICH-TRURO-WELLFLEET-YARMOUTH i N-21-2016 04:54 From:5085634574 Paae:1/4 �Myac jarea1th of Massachusetts � r BariLs$ablo County Correctional FacifitY 6000 5beafrg Placc,Downc,NU 02532 5oa563,43o0 Fa=SGB563AS74 HCSoQheh=iffnet , I�TE�O;tTY �t<edH PR0�55101>1AL1Sa1 lame�.Cug6�tinps Al ORK 'c Ln r-a -FOR VLY Si) � To: N l.y FaX: From: Subject: C•a Date: Al 1 9 A "Ya Total Number of pages including cover Ihtter: "omments: C" —RT -!S J�Mp_ T_&�&J r 7: e ,6 rw tFti7,3 FAX COVER SHEET WARMHO The Information contained in this fax message is intended only for the personal and confidential use of the recipients named above. -This message may be a commumication which, as such,is privaeged and confidentiaL If the reader of this message is not the intended recipient or_an agent responsible for delivering It to the intended recipients,you axe hereby notified that you have received the docu- ment in error and that any review,dissemination, or copying of this message is strictly prohibited_ If you have received this communication in error,please notify us immediately by phone and retina the original to us by ma:U.Thank•you. B ARNS LE-Boupm-IBI 's -CHATEL43I-DENM-EASTRAM-FAlL MO -EMWICR KASBPEE-ORLFANS-FROYI vcETowN-SANDWICH-'RUt0-WEUXUET-YARKOUTH JUN-21-2016 04:55 From:5085634574 Pa9e:2/4 IMPORTANT DOCUMENT Certificate of Flame Resistance Date of Shipment ISSUED BY 07/07/10 gistration Number F ."` Ono 140.1 ��1..aINDLISTRIES INC. Tent Identification 14877530 EVANSVILLE, INDIANA 47725 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable)and were supplied to: BARNSTABLE COUNTY CORRECTIONAL FACILITY 6000 SHERIFF'S PLACE BOURNE, MA 02532 G�5TF� 4�S GAL/,r0�� � Z -� Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code. All fabric has been tested and passes NFPA 701, CPAI 84. Serial# 8108985 0) Description of Item certified: CENTURY MATE EXPANDABLE END 40WX20 SNYDER WHITE VINYL Flame Retardant Process Used Will Not Be Removed By Washing .And Is Effective For The Life Of The Fabric SNYDER MFG NEW PHILADELPHIA OH Name of Applicator of Flame Resistant Finish ail Signed: - AN HOR INDUSTRIES INC JUN-21-2016 04:55 From:5085634574 Pa9e:3.14 IMPORTANT DOCUMENT Certificate of flame Resistance _ ISSUED BY Date of Shipment 07/07/10 � istration Number 140.1 n: INDUSTRIES INC-� Tent Identification 14 14877530 EVANSVILLE, INDIANA 47725 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable)and were supplied to: BARNSTABLE COUNTY CORRECTIONAL FACILITY 6000 SHERIFF'S PLACE BOURNE, MA 02532 G1STE CAL�� Zd y y Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code: All fabric has been tested and passes NFPA 701, CPA[ 84. Serial# 8108890C(1) Description of item certified: CENT MATE EXP END 4OX20 SNYDER WHITE WITH'BARN STAB LEO LOGO Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDER MFG NEW PHILADELPHIA-OH Name of Applicator of Flame Resistant Finish �-� Signed: � AN HOR INDUSTRIES INC JUN-21-2016 04:55 From:5085634574 Paee:4/4 IMPORTANT DOCUMENT Certificate of T&me Resistance ISSUED BY Date of Shipment 07/07/10 1IT ation Number lf� ' Tent Identification r-1212110 `��� aINDUSTRIES INC.Y 14877530 EVANSVILLE,INDIANA 47725 MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable)and were supplied to: BARNSTABLE COUNTY CORRECTIONAL FACILITY 6000 SHERIFF'S PLACE BOURNE, MA 02532 I Cy�5TZ: CAC/F��B N � Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code. All fabric has been tested and passes NFPA 701, CPAI 84. Serial# 8106402(8) Description of item certified: TENT WALL L&S2 6'1 OX22 WITH 2 CATHEDRAL WINDOW WALLS Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric TRIVANTAGE STATESVILLE NC Name of Applicator of Flame Resistant Finish Signed. AN HOR INDUSTRIES INC -21-2016 05:01 From:5085634574 Pa9e:1,2 ' � juwealth of Massachusetts � Barnstable County Correctioxlal FacllltY q 6000 5herUVePlace,Zaurne,MA.020i 508563.430o Fa.=508.363A574 BCSOQbsk►cciJisact . 3ItS.ifif9 sheriff �fi0 551®halfs�l Dames A Cummings COMPASSION IMMWORK FACSIMILE COVER LETT R N� P, ;FOR AID xy0 P,6QA1VV-1`-FiDR a—vty To: ���Y��RJ� /v� v l,� l Fax: 9 2> 30 From: � yE • N L Subject: C Date: ,;�P A 9� ` Total Number of pages including cover letter. _ ^omments: C-C-R 1 73:1? -1A0 4�K 4/99 COP�-r ZrV9- '?Q)V elk�r • • 5 COVER SHEET WNQ The Information contained in this fax message is intended only for the personal and eovfideatial use of the recipients named above. •'this message maybe a communication which, as such,is privileged and confidentiaL If the reader of this muessage is not the intended recipient or an agent responstible for delWeringit to the intended recipients,you are hereby notified that you have received the docu- ment in error and that any review,dissemination,or copying of this message is strictly prohibited. If you have received this commuuicatiou in error,please notify us immediately by phone and return the origipal to us by mad.'Thank you. BOURNE-)BREwsrER-CH i--D s-EAsnJAM-FA MOB-HARM a TYLAS PIZE-ORZL,E."$-FROVINCETOWN-SANDWICH-'I'RURO-WEUNUET-YiitMO T H '7 ° ff' . .SENTI �UMNI!MPORTANT DC.ClJMENT �����'��� N .Cer of leave of Mania Res is ice ISSUED BY C� REGISTRATION cK R Date of Shipment 5 m cn 5 NUMBERUdDUETRIES IMC.a 04123/08 m V LE INDIANA 4772 F140,01 � EVANS IL 5 Tent Identification MANUFACTURERS OF THE F)MISHED 04620438 TENT PRODUCTS DESCRIBED HEREIN 5 � This Is to certify that the materials described have been flame-retardant treated 5 for are Inherently noninflammable) and were supplied to: 00 m 80923 Royal Health Group Charitable Foundation 8 Lewis Point Rd Buzzards Bay MA 02532 5 r _ 5 Certification is hereby made that: The articles described on this Certificate have been treaters with a flame-retardant approved chemical and that the application of said chemical was done in conformance with Callfornla FIre Marshal Code, All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. o serial# 8108985(z) o - 5 Description of Item certified: Century Mate Expandable End, 40WAD yc> S Snyder White Vinyl -U Ir Flame Retardant Process Used Will INot Be Removed! By Washing And Is Effective For The Life Of The Fab/r�ic/� 5 N ., LLP guv e p is Signed: ---�' /sf' ("14 nL=r_mprmopar Nance of A plIcalor of Fiame Resistant Finish ANCHOR INDUSTRIES INC. _Pt Mr[jgP[PrJ�=PrPrJrJ�rlrJ�J�r� rJ�r1� r1�rltlitPtPrfJrJrJe�J��rJ�rP r�r�r�rJQ�CJ&PTffl Q TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map It � Parcel �� T „� �� Application Health Division �(,��SSc Date Issued ^7 S Conservation Division 1YLy �„�(�(je�s c e�, Application Fee Planning Dept. t 2SbO.S�i Permit Fee �� �- — Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address S 5 U e O &:4 R o G i Village 05+c-V plc, Owner f� fyo(e R S hi<�( C/O 5en ► 3 Address Telephone S 63 —?,go $Z r Permit Request Cov%.0 %ci Prti Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new 1�0t� Zoning District 9C Flood Plain Groundwater Overlay Project Valuation 130, 000 Construction Type �v�f 2 Lot Size_ G) 3 Grandfathered: ❑Yes ❑ No If yes, attacks entation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King Highwaq: ❑ s ❑ No au Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(s .ft) cn Number of Baths: Full: existing new Half: existing anew Number of Bedrooms: existing _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 X Yes ❑ No If yes, site plan review # Current Use (� S P 1'�v Proposed Use d "� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name ��A� �r�yCl Telephone Number 5_0 Address t r< w=�% t��rJ G h. License #__ U q ) 6 OZ Home Improvement Contractor# I (Z ,�3 G Email tA[0 �a �(064sbkcP(J" (4yt(-6� . Coves Worker's Compensation # L3C 009a �O 6a ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO e SIGNATURE DATE 11 01- M1 FOR OFFICIAL USE ONLY APPLICATION# r7 DATE ISSUED s MAP/PARCEL NO. ADDRESS VILLAGE { t OWNER w , k r DATE OF INSPECTION: FOUNDATION �dlS FRAME INSULATION 'j. FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL.BUILDING DATE CLOSED OUT- :,z ASSOCIATION PLAN NO. 27te Comtrro, nwaith q Massachusetts Department of Airidmstrid Accidents QTzce of InvestiRations 600 Washarzgfon&Y-eet Boston,MA 02II'I w#ov.mas&g&Wdia Workers' Compensation Insurance Affidavit:Builders/Contractors/FAectricians/Plumhers Applicant Infarmation , Ptease Print Legibly Name QksiaeW0rpni-zatioaffndivid=0: c�rn e r C 0 YI sl�I•U C`r f o g City/State/Zip: Acti I e A 0 Z G y Phone 9-- S-�B —'f 2 �r - 2 Z 2 Are you an employer?Check the appropriate box: I Type of_ al2l a contractor and project(r���- I..&I am a employer with 4 ❑ I 6_ ❑New construction employees(full andlorpart-time)* have hired the sub-contractors. 2.❑ I am a sole proprietor or partner- listed on the attached sheet, y- ❑Remodeling ship and have no employees These vab-contractors have g- ❑Denwlitiou w for me in an ci employees and have workers' working Y� t5 4_ 4 Building addition [No workers'cc nip_am anre comp.mvurai a-a I rr_gntred] 5..❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I_❑Plumbing repairs or additions myself [No warkers'comp- nght.of em. tioa per MGL 12_.❑Roof repairs insurance required_)i c-152,§1(4),and we have no employees-[No workers' 13-0 Other comp-insurance required-J, *Amy appHcKoe that checks boa 11 mnst also U out the section below shaving[fhea- woriken compensation policy Wfunaxdion_ T Homeowners wbo submit this: indkstimg they ass doing sIl trorik and then hie outside contactors Est submit a new affid3s3t infirm such. tCoatactors that check this box mmi attached as additional sheet showing the name of the Safi-coat-ictors and staff whether or not these ezaities bMM employees_ If the sib-coutcactan have employees,they must provide their work-ess'comp.policy number. I am an employer that.is prmad&W trorkers'compenmut on insurance for my enrployem Belau is Ste po cy.artd job site infonnadian_ 11 Insurance Company flame: G CG+'1 f f e S�a•r C S� sL.(�•n c CU. _ uationDate: g 7—C Pury�1i or self-ins-Lim#: w c- n o R� 30 6 U ( Expiration Job Site Address: I�S Utz—1 61,y RCA, City/State/Zip: 03 YS V.f(e A,4 U Z 6 3 Attach a:ropy of the workers'compensation policy declaration page.(showing the policy number and expiration date). Failure to secure cov mge as required under Section,25A of MGL c. 152 can lead to the imposition ofcriminal penalties of a fine up to S 1,500.00 andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.0+0 a.day against the violator- Be advised that a copy of this statement may be forwarded to the Office of Im estigations of the DIA far invx-ance coverage veeffication- I do hereby a erfi ns and penatles ofperjury thatthe in f bnrtation prm d abcn a fs tnw and correct SiPnatur-e: Date: Phone#: Offrsial use only. Da n:ot unite in this area,to be completed by door town officiaL City or Town: PeradtUcense# j suing Authority(circle one): L Board of Health 2.Building Department 3.CityfTown Clerk 4.Electrical Inspector 5.Plumbing Inspector .6.Other Contact Person. Phone#: 6 Infoarmation and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the r receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the - dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also stars that"every state or IocaI licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for Pixy applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance Coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. Ja addition,an applicant that must submit multiple permit/license applications is any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is oa file for future permits or licenses. A new affidavit must be;filled out each year.Where a home owner or citizen is obtaining a license or pewit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: T ht Commonwealth of Massachusetts Department Qf Industrial Accidents Office ofiluvestigatioas 600 Washington Street Boston,MA G2111 Tel.A 617-727-49W ext 406 or 1-977 MASWE Revised 4-24-07 Fax#617-727-7749 www.mass�,govfdia I FPASCON-01 PAAS CERTIFICATE OF LIABILITY INSURANCE DATE 9120r( 9I2 /204 14 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 (508)676-0309 NAMEnc Ashley Paiva Viveiros Insurance Agency,Inc. PHONE 375Airport Road Arc No 508-689-2713 (Ac.No: 508324-4553 Fall River,MA 02720 ApoREss:APaiva@Viveirosinsurance.com INSURER(S)AFFORDING COVERAGE NAICC INSURER A:Granite State Insurance Co INSURED Fraser Construction LLC INSURERB: PO Box 1845 -INSURER C: COtult,MA 02635 INSURER0: INSURERE: ` INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVe F OR 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. EFF POLICY LTR TYPE OF INSURANCE INS WV0 POUCYNUMBER MMILDD FAIDD P LIMITS GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL UABILITY ` PREMISES Ea ocairrerce S CLPM MADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY $ GENERALAGGREGATE is GEN'LAGGREGATELUT APPLIES PER: PRODUCTS-COMPIOPAGG S POLICY jR0 LOC S AUTOMOSILE LIABILITY o TINEDaccident SINGLEhIIT $ ANYAUr0 BODILY INJURY(Per person) S ALL OWNED SCHEDULED BODILY INJURY(Per ac�dent) 4 AUTOS AUTOS HR2EDAUTOS NON-OWNED $ AUTOS (PERACCIOENT) 1 S UMBRELLALIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIhIS-MADE AGGREGATE S DEC) I I RETENTION S S WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X TOCYTA S ER A my OFFICEROPREMBERPE7A U wEx mm� Y® N rA C009930601 9/26/2014 9I2612015 EL EACH ACCIDErrr $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE S 500,000 (ryes,describe under DESCRIPTION OF OPERATIONS belwl E.L.DISEASE-POLICY Lmdrr s 500,000 DESCRIPTION OF OPERA71ONSI LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space Isrequired) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Division THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601- AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD i i Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-097668 `_�•.i i, ,, :ark:' DEAN C FRASER '- 104 TWAVN VIEW LANE' �s 41, EAST FALMOU�TH MA,u02536` ✓.�.M�J1/� ,� i,� Expiration Commissioner 06/07/2015 t - I Office of �- �r.�•�cr.�/i��ell� ��,... erAffairs and Business Reglation 101'ark Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration Reg"igtr ort 1125,W Type: DBA FRASER COUSTRUCTION Co. Ex'kafonc -3wr2ols Tr 237059 DEAN FRASER P.O. BOX I W COTU IT, MA 02635 [j Siva t -; l Update Address and rctnrn card-Mark reason for cka�e. �tl,.gy� Address ❑12eae-21 Q Employment Lost Card �-= OffreeofCaa�mcrAffairs&SaAs�lic�ulatioa Lieeuseor . crtE 1MPROVEIIQp1T COliT regisaasoav*Hd for ind"ividui nsc orgy e5�stration: RACTOR War&the expirahao data. 7ffound return to: `-� 192535 Type Office of Consumer Affairs and Business Re. ralati :ExpiraSon: 323l201S DBA 10ParkX'l=-Sake 5170 or! FRASER CONS1?UCMOX Co. Boston,5TA OZ116 DEAN ERASER 104TMNN VIEN LANE C �} E FALMOUTH,MA 0253U --- Undersecretary i•Tot VdIId Witllolli Sa.=tare E lti Town of Barnstable Regulatory Services • ILMMSTAKS, Thomas F.Geiler,Director .39 i6 � �0 39 Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Oovner Must Complete and Sign This Section - If Using A Builder I �env1 C CCU <<l vA✓�1 5 aster of the subject property hereby authorize ��s e C 5 �f c u 1 to act on my behalf, in all matters relative to work authorized by this building permit (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. Signature of Owner Signatur Applicant Oh Is,IV to Print Name Print Name Date Q:FORMS:OWNERPERMISSIONPOOLS 62012 Jordan Race From: eDEPConfirmation@massmail.state.ma.us Sent: Friday,January 16, 2015 10:09 AM f To: j.race@fraserconstructioncapecod.com Subject: eDEP Submittal Confirmation for DEP Transaction ID:715131 Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection.Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message,this email address will not receive messages. For assistance with eDEP Online Filing, please email the EEA Help Desk at mailto:helpdesk.eea@massmail.state.ma.us or call 617-626-1111. MassDEP is interested in how we can serve you better.To help us make improvements to eDEP, please take a minute to complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/service/online/edep-contacts- and-feedback.htm1. To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm. ************************************************************************************** DEP Transaction ID: 715131 Date and Time Submitted:01/16/2015 10:08:52 ************************************************************************************** Form Name:AQ 06-Construction/Demolition Notification Thank you for using eDEP Online Filing from the Massachusetts Department of Environmental Protection.Your transaction is complete and has been submitted to MassDEP. This email is your receipt for the eDEP Online Filing transaction described below. Please review it and keep a copy for your records. Please do NOT reply to this message,this email address will not receive messages. For assistance with eDEP Online Filing, please email the EEA Help Desk at mailto:helpdesk.eea@massmail.state.ma.us or call 617-626-1111. MassDEP is interested in how we can serve you better.To help us make improvements to eDEP, please take a minute to complete our eDEP Online Filing Survey at http://www.mass.gov/eea/agencies/massdep/service/online/edep-contacts- and-feedback.html. To contact MassDEP Programs, please see http://mass.gov/dep/about/contacts.htm. ************************************************************************************** DEP Transaction ID: 715131 Date and Time Submitted: 01/16/2015 10:08:52 ************************************************************************************** 1 i J _ Form Name: AQ 06-Construction/Demolition Notification Payment Information DEP code: 103146 Date: 1/16/2015 10:08:12 AM Amount ($): 100 Payment Detail: RACE JORDAN --AccountType-- AccountNumber****5846 ConfirmationNumber: ************************************************************************************** EMAIL ID OF THE USER: ].race@fraserconstructioncapecod.com ************************************************************************************** 2 PROJECT NAME: / 'i�,..s�-/y - I�R-v "� d SC 3 CQ ADDRESS: r PERMIT# PERMIT DATE:__ c�, I 1 M/P: 1 l l Lo LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: Z �� BY: I q/wpfiles/forms/archive ! TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 116 Parcel G�V' lication # Health Division ate Issued Conservation Division Application Feel Planning Dept. ^6 P rmit Fee 2�2-- ( y Date Definitive Plan Approved by Planning Board O 6 Historic - OKH Preservation / Hyannis Project Street Address I SS Nkl EST Pa F� Village CYS it,[ _P , . N Owner K a iln[ ei,( C(A I b Address I S S Telephone�5O.C ) Permit Request 8 U(� t" �-C�P�1Sa-(�� ��EA r.. Square feet: 1 st floor: existing—proposecfq 2nd or: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation5 1 nob Construction Type hr l Q ^ s Lot Size Grandfathered: ❑Yes ❑ No If yes, attachsupporting docut,entation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) {" ; 0 Age of Existing Structure i Historic House: ❑Yes 0 No On Old King's;Highway". ❑Yes 14 No --a Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other NO S✓a Srn�Fj,J r- N(3 V �&ie- Basement Finished Area(sq.ft.) 0 Basement Unfinished Area (sq.ft) Number of Baths: Full: existing O new n Half: existing 6 new O Number of Bedrooms: 6 existing _new Total Room Count (not including baths): existing 0 new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑Other 1 ► A f- Central Air: ❑ Yes %No Fireplaces: Existing O New O Existing wood/coal stove: ❑Yes-4 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 '01 Yes ❑ No If yes, site plan review# Current Use i l P C A Nv Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) 1 Name fiec-AdLEy e a68d&/,- Telephone Number Address C-). y-/- License # G5 L 4cl o'3 Home Improvement Contractor# A Worker's Compensation # N b ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO QV14-150 W Y454E Sf aUi RLA , 5f3.),J6 (,)rCin . (''l- SIGNATURE 1 DATE Y FOR OFFICIAL USE ONLY APPLICATION# MATE ISSUED MAP/PARCEL NO. 7 ADDRESS - VILLAGE OWNER DATE OF INSPECTION: ? FOUNDATION(I FRAME INSULATION j FIREPLACE ELECTRICAL: ROUGH FINAL - PLUMBING: ROUGH' FINAL t GAS: ROUGH FINAL FINAL BUILDING 3IZIIlZ cz SIIy�IL ® ,ill?�� DATE CLOSED`OUT - v IF � - ` ASSOCIATION PLAN NO. r The Commonwealth of Massachusetts r' Department of Industfial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www mass.gov1dia Workers' Compensation Insurance Affidavit: Builder's/Contractors/Electricians/plumbers r Applicant Information Please Print Lep_biy Name (Business/orgamzat anandmduaI): Address: City/State/ZiP: FOUSEQUE nR, d(aSIN Phone#: �� rE] Are you an employer? Check the appropriate box: 4. I am a en ect(required): . 1.❑ I am a employer with ❑ g eral contractor and Iemployees(full and/or part-time).* have hired the sub-contractorsonstruction 2.® I am a sole proprietor or partner- listed on the attached sheet. deling ship and have no employees These sub-contractors have lition working for me.in any capacity, employees and have workers[No workers'core.insurance comp.inc�mmce.t ng addition 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 1 I El Plumbing repairs or additions myself- [No workers' comp. right of exemption per MGL ur 12.[]Roof repairs insance required]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other 6 6 Kl f- G 1Q comp.insurance required.] . Any applicant that checks box#1 must also fill out the section below showing thew warkers'compen fvrmati sation policy inoa t Homeowners who submit this affidavit indicating they arc doing all work and then hue outside contractors must submit a new affidavit indicating such. tContractors that check this box must attacbcd an additional sheet showing the name of the sub-contractors and state whether or not those entities havc employees. If the sub-contractors have employees,they must provide their workers' Policy number, coMP•p cy I am an employer that is providing workers'compensation insurance for my employees Below is the po&7 and job site information. Insurance Company Name, Policy#or Self-ins.Lic.# Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the fors 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. Ido hereby certify under the pains andpenaMes ofPerjmY that the information provided above is true and correct Sienatum: Date Phone# QJTicial use only. Do not write in this area to be completed by city or town official City or Town: PermitUcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Otherontact Person: Phone#: 1 • AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' Engineering & AS*,Design Co., Inc. Project No.2011-323 155 West Bay Road November 15,2011 rxterville Historical Society r:crbcri F.Crosby Boat Shop (Addition) Q Check O Compliance 1.1 SCOPE WindSpeed(3-sec.gust)...................................................................................................................110 mph Q WindExposure Category...............................................................................................................................C Q 1.2 APPLICABILi i Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)....... 1 stories 5 2 stories Q Roof Pitch ..........................................................................(Fig 2) ...........................................3.5:12 s 12:12 Q MeanRoof Height ..............................................................(Fig 2).................................................. 14 ft s 33' Q Building Width,W...............................................................(Fig 3).................................................. 20 ft s 80' Q Building Length,L ..............................................................(Fig 3).................................................. 48 ft s 80' Q Building Aspect Ratio(L/W) ...............................................(Fig 4).....................................................2.4 s 3:1 Q Nominal Height of Tallest Opening2 ...................................(Fig 4)....................................9'See Note 2<_6'8" Q 1.3 FRAMING General compliance with framing connections....................(Table 2)................................................................ Q . ......... €'vaiis meeting requirements of 780 CMR 5404.1 Concrete................................................................................................... Piers Engineered Q 2.2 ANCHOPAr__TO`_ 5/8'Anchor Bolts imbedded nr 5!$°Prondeta-, I`e h_nic-al Anchors ag an altemative in mnrrrato only Bolt Spacing—general..........................................(Table 4).........................Piers 8'o.c. Engineered Q Bolt Spacing from endloint of plate .............................(Fig 5)..............................................................N/A Q Bolt Embedment—concrete.........................................(Fig 5)....................................................CBSQ66 Q PlateWasher...............................................................(Fig 5)..............................---....................CBSQ66 Q 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... Q Maximum Floor Opening Dimension...................................(Fig 6).....................................................N/A s 12' Q Full Height Wall Studs at rin,:01 ninnc:---= :.: — ; __ — N/A n n Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)........................................................WA s d Q Maximum Cantilevered Tor JoiSiS Supporting Loadbearing Walls or Shearwall................(Fig 8)........................................................N/A<_d Q Floor Bracing at Endwalls...................................................(Fig 9)..............................................................N/A Q Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)..............................N.'A Q Floor Sheathing Thickness.................................................(per 780 CMR Chapter 55)..............................N/A Q Floor Sheathing Fastening.................................................(fable 2)..........................................................N/A Q �• AWC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' d r) Engineering & Design Co., Inc. Maximum Building Dimension,L Nominal Height of Tallest Opening,.................... ' ...... DX/ S 0 SheathingT ........................CDX/WSP 0 (note 4).................. .. . 0 Edge Nail Spacing.........................................(Table 11 or note 4 if less).............................. ................. .. . ..4 in. 0 Field Nail Spacing (Table 11).....................................................12 in. Shear Connection(no.of 16d common nails)(Table 11).............................................3 Per Foot 0 Percent FulWeight Sheathing.......................(Table 11)..........(12%Required)(68%Available) 0 Wall Cladding Ratedfor Wind Speed?.............................................................. .................................................110 MPH Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) 0 Roof Overhang ...................................................(Figure 19)......1ft or Less s smaller of 2'or U3 0 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)..............................................U=407 plf 0 Lateral.............................................(Table 12)...............................................L=202 plf 0 Shear...............................................(Table 12)..........................................S=89 plf 0 Ridge Strap Connections,if collar ties not used per page 21... (Table 13)..................................T=278 plf 0 Gable Rake Outlooker.........................................(Figure 20)......1 ft or Lesss.smaller of 2'or U2 Tr_7 zr R24 r nnr!nections at Non_I oadbe-arinn Walls Proprietary Connectors Uplift................................................(Table 14)..............................................U=239 lb. 0 Lateral(no.of 16d common nails)...(Table 14)........................................L=202 b. 0 Roof Sheathing Type......................(per 780 CMR Chapters 58 and 59).......................CDX/WSP 0 Roof Sheathing Thickness..........................................................................................5/8 in.z 7/16"WSP 0 Roof Sheathing Fastening...........................................(Table 2)..............................8d(6'Edge 6"Field) 0 The compliance checkee _ with in exposure B.When a structure is located in exposure zone C,the checklist is used ws�sa�n guide to^eip determine f�Fcec that have been provided en this checklist have been - -- I AWC Guide to Wood Construction in High Wind Areas:I10 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' d d Engineering & Design Co., Inc. 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5).........9ft Timber Frame 510' Q Non-Loadbearing walls................................................(Fig 10 and Table 5).........9ft Timber Frames 20' Q Wall Stud Spacing ........................................................(Fig 10 and Table 5)...........Engineered 5 24"o.c. Q WallStory Offsets ........................................................(Figs 7&8)................................................N/A s d Q -. EX ERIOR WALLS' Wood Studs Loadbearing walls........................................................(Table 5)...........................................6x6-9 ft 0 in. Q Non-Loadbearing walls................................................(Table 5)............................................6x6-9 ft Oin. Q Gable End Wall Bracing' Full Height Endwall Studs............................................(Fig 10)............................................................N/A Q x x 4 Continuous Lateral Brace @ 6 ft.o.c...(Fig 11).............................................................. Doub:e Top Plate Splice Length ........................................................(Fig 13 and Table 6)............................................6 Q '`rnna-o„'no.of 16d common nails Table 6 24 be Q Loadaring Wail Connections -0.. -: __.::::.: „, !Qu.common nails)................................(Tables 7).............................................3 Per Stud Non-Loadbearing Wall Connections atc-...:fI.... -i 4 c.e :� ; Tcble 8 3 Per Stud Q .. . ............................... )............................................... t^ter!R_=^n0 tAla!I!l�cnin�c;r�r_rs-'l!a:�ac!._�_nin-h:,4 check all openings for compliance to Table 9) HeaderSpans ......... ................................... ..........(Table 9)......................................... 3 ft 0 in.511' Q Sill Plate Spans ........................................................(Table 9)..........................................3 ft 0 in.5 11' Q �:�i i �i,,r tir:�iG tn�,•nt,'et dsi .............(I able 9)..............................................................3 Q Ecc-inC Wc!!Cc ... it cc-d!c ct n: c but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)....................................... 12 ft 0 in.s 12' Q Sill Plate Spans...........................................................(Table 9)........................................12 ft 0 in.512" Q Full Height Studs(no.of studs)....................................(Table 9)..........................................................6x6 Q Exterior Wall She .0.:- -- n-='— --'ft- —S~-- n'M-'--"=---: .: Minimum Building Dimension,`dl! Nominal Height of Tallest Opening2 ..........................................................9'See Note2<-6'8° Q Sheathing Type..............................................(note 4)..............................1"Board Sheathing Q Edge Nail Spacing.........................................(Table 10 or note 4 if less)..............................4 in. Q Field Nail Spacing..........................................(Table 10).....................................................12 in. Q Shear Connection(no.of 16d common nails)(Table 10).............................................3 Per Foot Q Percent Full-Height Sheathing... Right... (Table 10)............ (54%Required)(40%Engineered) Q Percent Full-Height Sheathing... Left....(Table 10)............(54%Required)(40%Engineered) Q 5% Additional Sheathing for Wall with Opening>6'8.............................(Design Concept) Q �TME Town of Barnstable Re ato � ry Services Thomas F. Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.uus Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us' A.Builder s. as Owner of the subject property hereby authorize --`u=�--" `•.j to act on my behal� in all matters relative work authorized by this buildingermit P. vA (Addres o Job) **Pool fences and alarms are the responsibili of the applicant. are not to be filled before fence is installed and pools are not to be Pools utilized until all final inspections are performed and accepted. Signature �ofOwn�et �� tture of Ap ficant L �r �1..� Print Name Print Name Date QFORMS:OWNERPERMISSIONPOOLS IHE Town of Barnstable Regulatory Services • r >.�u a,MASS = Thomas F.Geiler,Director , 0 39. ��•� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8,62-40 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION �^ Please Print DATE: JOB LOCATION: S S U) O C T,Ey u\ 1, number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip.code The current exemption for"homeowners"was extended to include owner-oce ied�dwe% s 4of six units or less and to allow homeowners to engage an individual for hire who;does not possess�alicense',piovided that the owner acts as supervisor. 1 DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official f Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. :HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware'that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly. when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that.the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt • 1 �j Q A �u } Office of Consumer air.&B mess Regulation License r registration valid for individul pse oily --= HOME IMPROVEMENT CONTRACTOR before t�,expiration date. If found return to: E ,•, _ — - Registration: ,;121967 Type: . Office Consumer Affairs and'Business Regulation Expiration: 4'7-L3/2012 Individual 10 Park 'laza•-Suite 5170 f Boston, A 02116 B EY A. BRADLEY PADDOCK'� -� 24 DEBBIES LANE `•i.-------'__--=j�/ 4•i - a .i l .. i ' %.. -`.i C✓C.ICCY'2�J .i MARSTONS'MILLS, MA402648Fj ' Undersecretary Not valid i out signature ' I IVlassacI tts- Dcp',Wtm lic cnt Of $afeO - B.uurtl of Building Rc�ulatioiiti-and Shuul;trtls .., Constfucti��n:Supervisor License License: CS 48086 -- —" Restricted to: 00 BRADLEY. PADDOCK 24 DEBBIES,L: MARSTONS MILLS �MA 02664 ,.. .. Expiration:..3/28/2012 9761 Tr# 1 PADDOCK HOME IMPROVEMENT September 5, 2011 Brad Paddock P.O. box 1201 Forestdale MA. 02644 Cell 1-508-364-4643 House 508-428-4405 Construction Supervisor License#048086 Home Improvement License# 121967 Proposal Submitted To: Osterville Historical West Bay Road Osterville, MA We hereby propose to furnish materials and perform the labor necessary for the completion of A new boat shed off the back of existing Wianno Shed. This new shed will be built on 10" sonau tubes. The dimensions are 20" wide by 37' long. The new building will be attached to an existing building, by way of a ledger board lagged bolted to studs. Front wall will have 5 stationary windows and be approximately eight feet tall. The two side walls will have a door at each end. Measurement of doors will be 10' wide by 8'6"tall. All walls will be framed with 44 post set on sonau tubes and anchored down with Simpson post anchors. A 44 top plate and center support will be added for strength. Exterior sheathing will be 1x8 Eastern Rough Sawn. ter and ice roll roofing, prior We will cover roof with water g, to shingling roof with an Architect p - 30 year Certainteed Asphalt shingles. Price includes removal of all construction debris. All material is guaranteed to be specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work, and completed in a substantial workmanlike manner for the sum of Twenty-one Thousand Five Hundred Seventy- Five Dollars ($21,575.00)with payments made as follows: %: at start of job 25 %% way through Balance upon completion Page 1 r A second option would be to add a return wall wall with a hip roof. This new wall will be approximately 24' long. The wall will come off the existing shed at a 30 degree angle. This would eliminate the second door.This option will be additional. All material is guaranteed to be specified, and the above work to be performed in accordance with the drawings and specifications submitted for the above work, and completed in a substantial workmanlike manner for the sum of Thirty-one Thousand Three Hundred Dollars (31,300.00) with payments made as follows: 1/2 at start of job 25%% way through Balance upon completion Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements are contingent upon strikes, accidents, or delays beyond our control. Note: This proposal may be withdrawn by us if not accepted within 30 days. Respectfully Submitted Brad Paddock Per: PADDOCK HOME IMPROVEMENT ACCEPTANCE OF PROPOSAL The above prices,specifications and conditions are satisfactory and are hereby accepted.. You are authorized to do the work as specified. Payments will be made as outlined above. Date Signature Signature TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Permit# �" J j (� Health Division �� 0/OJ!�/vimY�)VQ)��II Date Issued cj ��b�� U3 F J Conservation Division D Fee 6_0 QD.. Tax Collector r :UST GE Treasurer ( ,� 11,�T 1_LEa IN CO.mAPLIAN. - Planning Dept. 11111TH TITLE S ' ' ENVIROIsf'.!IENTAL CODE AM Date Definitive Plan Approved by Planning Board TL1W f 4 REGULA.TIONS Historic-OKH Preservation/Hyannis ' e - lilt" Project Street Address 6.UCsT Village 057l;flL)yL�`C= ` Owner 0577—: Ji r it1s;���e -t. � �c�y Address WC-5, ; 6.-4y tey Telephone 55pp, y;_A 16,106 Permit Request Cn�r*s;x u��� R a ev X 3c` 0)06 ,J 1594' .5-�VED Square feet: 1 st floor: existing — r proposed 2nd floor: existing — proposed — Total new Estimated Project Cost 2Pr c c-r-a0 Zoning District Flood Plain' Groundwater Overlay Construction Type %tr /6C-7"-,t Lot Size Grandfathered: ❑Yes ❑No If yes,attach supporting documentation. M . Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure i//S Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full 0 Crawl ❑Walkout ❑Other _50A117. 7Z-J66—_5 Basement Finished Area(sq.ft.) Basement Unfinished Area'(sq.ft) Number of Baths: Full:existing _ new Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: O-Cr Q Oil . Cl Electric ❑Other Central Air: 9-Yes— 0 No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:O existing ❑new size Barn:0 existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name T/ImG5 me b-.4.tm s/ed,, abw/W_Telephone Number 6-08 5/-A0 z_eo�'_, Address a ti License# G-7 38 /OM 11 4-sS • 01b 4 s Home Improvement Contractor# /3.)9 1_ Worker's Compensation# e-�_5 9 u6 76 7X/5v Ao Z ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1ry�-�. ic� c�r•�-LF�� SIGNATURE d ` DATE �Z�/o3 FOR OFFICIAL USE ONLY • `T • PERMIT NO. DATE ISSUED E MAP/PAR CF� NO. - _ - � s ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION FRAME INSULATION , FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ; ; FINAL GAS: ROUGH l i i FINAL `. FINAL BUILDING 1 r :3 DATE CLOSED OUT ASSOCIATION PLAN NO. s .a - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application f Z� Health Division Date Issued - 4 1 1 b Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address J� Village J Owner Address 4941LZ Telephone ,ri ���ya� -3 7-6 Permit Request /X /1-3 �_44 I AZ ',/ - , `7 A�A' Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay 74'roject Valuation .V,00.000onstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ rYes amily (# units) Age of Existing Structure Historic House: ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other C)_ Basement Finished Area (sq.ft.) Basement Unfinished Area (sg6.fi< Y" a Number of Baths: Full: existing new Half: existing newi� Number of Bedrooms: existing _new Total Room Count (not in ding bath�): 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:0existing ❑ 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 Number41 ( l�/ Address License# �J �lo 7 f� 4 55 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS R SULTING FROM THIS PROJECT WILL BE TAKEN TO Aay V S INATURE DATE r.} FOR OFFICIAL USE ONLY F s 'AOLICATION# DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING r - I . . DATE CLOSED OUT ASSOCIATION PLAN NO. The Comwo;•lwalih of Massachusetts De parbntnt of Industrial Accidents D,fce of Investigations 600 Washington Street' Boston,K4 0211.1 . nWW.znass govldia Workers' Compensation Insurance Affidavit Budlders/Con#ractars/Electric ans/Ph tubers Apiplicant Information Please Print Legibly Name City/State/Zip: Phone 47 le Are u an employer?Check the appropriate box: Type of project(required): 1_ I am a employer with 1 'f_ ❑ I am a goal contractor and I 6 e=uw construction employees(full audfor part tom)-* have hired the sub-cont1actors 2.❑ I am a sole praprietof or partner- listed on the attached sheet. 7. ' Remodeling ship and have no employeeslhese sub-contractors have g- ❑Demolition. working for me 1n any capacity. employees and have workers' 9. ❑Building addition ivUike[s'CotSip insurance comp_insuranc I 5. ❑ We are a corporation aad its 10.❑Electrical repairs or additions required] 3_El I am a homeawaer doing all work officers have exercised� 11_❑Plumbing repairs or additions myself [No workers'comp right of exemption per IviGL 12.❑Roof repairs insurance required.]? c. 152, �1(4},and we have no employees [No workers' 13,D Other comp_insurance required.]. *Any apphcam that chedm box#1 must also fill out the section below showing their vicakets'compensation policy information_ I Homeowners who submit this affidavit indcating ttr;ey am doiag all wow and then hue outside contractors mast submit a new affidavit indicating such_ tCont mcwts that check this boor mast attached am additional sheet showing the name of the sub-contactors and state whether or not those entities have employees. Ifthe sub-wnt umis have employees,theymusiprAvide their *orisere comp.policy mmnber_ I aan ilia ernplo3,er fled isproviding worlrem'coiirpen advn it=ranee for nay empinyee.� Below is the policy and job site Insurance Company Name: Policy#or.Self-ins-Lie_#: Expiration Date: Jab Sine 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 S 1,500_00 andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to$250_QO a day against the violator. Be advised that a copy of this sta ment may be forwarded to the Office of h1vestizations of the DIA for insurance coverage verifrcadoa ' I do hereby certa y thepaiins and of 'sry dW 1he inforaraafiva provided above and correct. Si Date: 3 d Phone#: -29 Q iciai am only: Do not write iaa axarr,to be completed by city or totwi o f j�cial . City or Town:. PermitUcense# issuing Authority,(cirde one): 1..Board.of Health 2.Budding I3epartruent 3.Citfll own Clerk d.17ectrical l!nsper#or S.Ph- mbiug Inspector + Ot HARNSTABLE 9� ,0� Town of Barnstable I pTFD MA't A Regulatory Services Thomas F. Geiler,Director. Building Division Thomas Perry,CBO Building Commissioner 200 Main.Street, Hyannis,MA 02601 www.town.barnstable.ma.us ' Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder i D as Owner of the subject property Zhereby authorize n my behalf, in all matters relative t work authorize y this building permit application for: 15 I �e (Address of jot) MAACLI, Zo 13 Signature of Owner Date 14--1A 1 -h �o o Print Name roperty Owner is applying for permit,please complete the Homeowners License Exemption Form on,the erse side. QAWPFILESTORMSIbuilding permit formslEXPRESS.doc _ F� r Town of Barnstable Regulatory Services BARNSrABLE, " Thomas F. Geiler, Director tKass. E16 9�a`0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office:. 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: . o JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. • DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs'more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to*the'Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws, rules and regulations. The undersigned "homeowner"certifies that he/she;understands the Town of Barnstable Building-Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official 9 Note: Three-family dwellings containing 35,060 cubic feet or larger will be required to'corrply with'the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of.this section(Section 109.1.1 -Licensing of constructioh Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. • To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner - cehify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. , C... %CY"o CQQ A— _ .. .. Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License: CS-066147 _%:.1 CRAIG J RILEY `- PO BOX 382 OSTERVILLE NFA 02 155 i Expiration Commissioner 02/05/2015 ,per OTI. �`� License or registration valid for individul use only �\ Office of Consumer Affairs&B siness Regulation g HOME IMPROVEMENT CONTRACTOR before the expiration-date. If found return to: Registration:i.125799 Type: Office of Consumer Affairs and Business Regulation Expiration: 180'Q014 Private Corporatio�i. 10 Park Plaza-Suite 5170 Boston,MA 02116 C. ILEY BUILD ;W CRAIG RILEY 10 B WIANNO AVE: �' OSTERVILLE,MA 02655 1 Undersecretary N a ' thout signat I Client#: 10798 2RILEYCJ ACORDIM CERTIFICATE OF LIABILITY INSURANCE F VA I L(MMMDIYYYY) 03/06/2013 If'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 ofthe 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). PKOuuCtK CONTACT NAMt: Dowling&O'Neil PHONE 508 775-1620 I-A 5087781218 (AIC,Nu,E J): (A/C,Nul: Insurance Agency t-MAIL ADDRESS: 973 lyannough Rd., PO Box 1990 INSURERIS►AFFORDING COVERAGE NAIC9 Hyannis, MA 02601 INSURER A:National Grange Mutual Insuranc INSUKI=U INSURER B C.J_ Riley Builder, Inc. INSUMENC: P.O. Box 382 INSURER Osterville, MA 02655 : INSUKI=K t 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. NOTWrfHSTANDING 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. INSK ADULSUHR POLICY tFF POLICY hXP LI K TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/UU/YYYY) (MMIVDIYYYY) UMITS A GtNL-NALLIAtlILIIY MP059664 5/02/2012 05/02/201 I-ACHC1C%C%IIKHI-NcI- $1 000 000 X 'COMMERCIAL GENERAL LIABILITY DA MAGE TrFRE rNr urt nrr. $500 000 ClAIMR-Ma)I- n OC:C.IIK MI-1)FXP(Any mr.pmmnn) $10,000 PF-W ONAI R AU V INA IKY $1 000 000 GENERAL AGGREGATE $2,000,000 Ci-N'I.ACi[iRI-AA I I-I IMI I APPI IF;PFM: F1<0111IC IS-COMP/OP Awi $2,000,000 rOLICY PHO LOC $ AU OMOBILL UA131U I C:CIMHINHJ SINGI F I IMII (En duAdmll) $ j ANY AUTO BODILY INJURY(rm ymaun) $ ALL OWNED F7 SCHEDULED AI I I Cl AI I 1()R KCII111 Y IN.IIIKY(Prr nrr.Inrnl) $ NON-OWNFIJ PHOPFK IY I)AMAGI- $ HIRED AUTOS 41110:^, rm nlaidenl $ UMUK6LLA UA13 OCCUR FAC H OC,C;IIKKFNC;F $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ A WORKERS COMPENSATION AND tMPLOYtKS'LIAHILI I Y WC059664 5/05/2012 06/05/201 X ii'1Kv AMI1;, �KH ANY PHOPHIF I OKMAH I NFWFXFC:II I IV I-Y/N E.L.EACH ACCIDENT $500 000 OFFICERIMEMBER EXCLUDED? ENI N/A (Mand.lory In NH) I-.[.I11;iF4.iF-FA FMPI OYFF $500 000 If Yea,dewaibe undei II-SCKIP I ION OF OPFHAI IONS".nw E.L.DISEASE-rOLICY LIMIT $500,000 U6SCKIPI ION OF OPI=HA IIONS/LOCAIIONS I VI=NICLtS(Attich ACOKU 101,Additional Kamarks Schadula,If morn spaca Is raqulrad) Insurance coverage is limited to the terms, conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered, waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AU I HOKILtU KhPKLStNI A I IVt - Ou 1988.2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S 108202/M 108201 MAK 71 3 yd .serfh low= •� •' �,• � ~�� s' •ti}� ��'I�t1` A " � fir. `• ..-'r - •_ y '" \. �: �.` ✓;�•�' `rf*' .1`�1,.•`�;fi� tq'Y � f �;: r,�i'+.!!Jl• a .��� •~ � � • i` I M� fir. .: G=- r _ - .,: 'rat .�;►:�R._c► '�,�- _ � r, y _ .s �•r. ,; :�. �,?-�. ,ate. :c'• - ''i ti sue? w'�.� f -i• . , A `;t _ M w • • .��1. r _ r r 4 _ .��. �V.°+� a, i �" ,1.1'T :1�7i '`�'i1.,..� s, - GRc�ss 'SEC, (1 0 Osterville Historical Society,Inc. X 155 West Bay Road A Osterville,MA 02655 Request for Proposal(RFP) I. General Information The Osterville Historical Society,Inc.(hereinafter,"OHS")was established as a nonprofit museum dedicated to preserving the history of the Village of Osterville. The OHS is requesting bids to repair damage to a section(hereinafter, "area of repair"or"AOR")of the main house(hereinafter,"Parker House")located at 155 West Bay Road,Osterville,MA. E �.ci'�� 7:T.ln✓ f i TY?A( - V MI ft cgyAf ewr pF 'PLY wool V14jIfV4hF AtU,141 M1c.Wr CAp 9 %jl P/C. A2.06, G!ATM Tp43LG 9►/lbts SIP 0P OVA LLWA ExISS• FL il. 3'o�sT Pr- CON71NUOciS rAPEREb S lfatA I Va" 71b rlt�, The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 1 of 3 The Commonwealth of Massachusetts % ' f William Francis Galvin Secretary of the Commonwealth,Corporations Division F; „} One Ashburton Place, 17th floor �y• "� Boston MA 02108-1512 � •�f`r'6ti ��� Telephone: (617)727-9640 OSTERVILLE HISTORICAL SOCIETY, INC. Summary Screen Help with this form Request a Certificate The exact name of the Nonprofit Corporation: OSTERVILLE HISTORICAL SOCIETY,INC. Entity Type: Nonerofft Corporation Identification Number: 046113382 Old Federal Employer Identification Number(Old FEIN): 000000000 Date of Organization in Massachusetts: 11/23/1956 Date of Revival: 07/30/2002 Date of Dissolution: 12/11/1972 Current Fiscal Month/Day: / Previous Fiscal Month/Day: 12/31 • The location of its principal office in Massachusetts: No. and Street: 155 W. BAY RD. City or Town: OSTERVILLE State: MA Zip: 02655 Country: USA If the business entity is organized wholly to do business outside Massachusetts,the location of that office: No. and Street: City or Town: State: Zip: Country: The name and address of the Resident Agent: Name: No.and Street: City or Town: State: Zip: Country: The officers and all of the directors of the corporation: Title Individual Name Address(no PO Box) Expiration First,Middle,Last,Suffix Address,City or Town,State,Zip Code of Term PRESIDENT CAROL ALLEN 86 PARKER RD until successors are W BARNSTABLE,MA 02668 USA duly elected 8 qualified TREASURER JAMES EASTMAN 923 OLD POST ROAD until successors are COTUIT,MA 02635 USA duly elected& qualified CLERK GEORGE R.ROWLAND 104 GREAT BAY RD. until successors are OSTERVILLE,MA 02655 USA duly elected and qualified • VICE PRESIDENT WILL PRICE 44 STRATFORD RIDGE until successors are MASHPEE,MA 02649 USA duly elected and qualified http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True&... 3/6/2013 The Commonwealth of Massachusetts William Francis Galvin- Public Browse and Search Page 2 of 3 VICE PRESIDENT JA INE MARTIN 74 LAKEVIEW DRIVE until successors are CENTERVILLE,MA 02632 USA duly elected and qualified VICE PRESIDENT ;KATHLEEN CAPO until successors are 46 WEST STREET duly elected& OSTERVILLE,MA 02655 USA qualified ASST.TREASURER HUGH MACCOLL 144 CRYSTAL LAKE DRIVE until successors are OSTERVILLE,MA 02655 USA duly elected& qualified DIRECTOR BARNES RIZNIK 727 MAIN ST,UNIT B-2 until successors are OSTERVILLE,MA 02655 USA duly elided 8 qualified DIRECTOR KATHY SILVIA 44 ICE VALLEY until successors are OSTERVILLE,MA 02655 USA duly elided& qualified DIRECTOR MICHAEL SCHULZ 41 LAKEVIEW DRIVE until successors are CENTERVILLE,MA 02632 USA duly elided& qualified DIRECTOR C.ELDON LAWSON 26 EVANS ST. until successors are OSTERVILLE,MA 02655 USA duly elected and qualified DIRECTOR MARILYN COLMAN 941 SEA VIEW AVE. 12/31/2011 OSTERVILLE,MA 02655 USA • DIRECTOR ALISON AUDIBERT until successors are 173 LUMBERT'S MILL ROAD duly elected& CENTERVILLE,MA 02632 USA qualified DIRECTOR DAVID TRIMBLE 351 ELLIOTT ROAD until successors are CENTERVILLE,MA 02632 USA duly elided& qualified DIRECTOR RICHARD WEIR 80 POND ST. 12/31/2011 OSTERVILLE,MA 02655 USA DIRECTOR ANNE WILDMAN 318 TOWER HILL ROAD 12/31/2011 OSTERVILLE,MA 02655 USA DIRECTOR JOHN B.WILLIAMS 461 BAY LANE 12/31/2011 CENTERVILLE,MA 02632 USA Consent _ Manufacturer _ Confidential Data _ Does Not Require Annual Report Partnership _ Resident Agent _ For Profit _ Merger Allowed Select a type of filing from below to view this business entity filings: • http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True&... 3/6/2013 The Commonwealth of Massachusetts William Francis Galvin - Public Browse and Search Page 3 of 3 .a ALL FILINGS IrF Annual Report Application For Revival sy Articles of Amendment Articles of Consolidation-Foreign and Domestic C= View1F`ilings . I New.Search I � Comments O 2001-2013 Commonwealth of Massachusetts 0 All Rights Reserved Helo • I • http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.asp?ReadFromDB=True&... 3/6/2013 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application #c 1 Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board `�/1.q1 N Historic - OKH _ Preservation / Hyannis Project Street Address• Village �SrJ1 Owner gire- 41 so Address P'O . 1'JQX �j � �I (I e, Telephone Permit Request 5I r l n a r e -r Ak + Ca 1 Sfin �- c boo+ A)av- o-r m i es W r lace, W n W Ir eQ�cc� sfin ra x . 5 s �d U-dof ` des sh I I-ar. T _ Square feet: 1 st floor: existing proposed 2nd floor: existing roposed Total new Zoning District ��F��lood Plain Groundwater Overlay Project Valuation)3 5 5°01c"-onstruction 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 vBasement Finished Area(sq.ft.) Basement Unfinished Area (sq�ft)l ' Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new N) 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) /n (� Named U(k Telephone Number - a w " u n_I 1 Addr6A ,CJ • bD�ItJA31 License #_ 1113 1')o 0 U(O Q 1 Home Improvement Contractor# 1�43 I y Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO fl�� CIS oSC�� U S-I� SIGNATUREDATE (I [ � y . / . . FOR OFFICIAL USE ONLY . - % APPLICATION# ƒ --DATE |S QE 9m/, } a ,MAP/P RCELNO } ADDRESS ' ' \ VILLAGE E OWNER ` { DATE OF INSPECTION: { FOUNDATION / FRAME. . . . . ¥ i . INSULATION. , \ ., FIREPLACE \ \ ELECTRICAL: ROUGH FINAL— PLUMBING: ' § , . ROUGH ` J ^ FINAL � § ROUGH - FINAL GAS: ROUGH . . . z»tF NALBUILDING ! - � , - { �� • - . \ t -DATE CLOSED OUT © : . \ • ^ . ' { ASSOCIATION FLAN NO'- } . . . . The Commonwealth of Mass achusetts " I Department of Industrial Accidelits ' i t i Office of Investigations 1, , .-!e J600 Washington Street .Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): TW& �W Address: P Q box A3 ` City/State/Zip: MAIS 'AA 09UO� . ` Q Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.❑/I:am a employer with 4. ❑ I am a general contractor and I loyees(full and/or part-time).* have hired the sub-contractors 6. [] New construction 2. a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp, insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work 'right of exemption per MGL 1 1_.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12. 0( repairs insurance required.] t. employees. [No workers' comp. insurance required,] 13.❑Other "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 al5davir indicating such.kContractors that check this box must attached an additional sheet showing the name of the sub-contactors and their workers'comp,policy information.. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required 11'4r Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine " of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office"of Investigations of the DIA for insurance coverage verification, i I do hergby der e pa' d p nalties of perjury that the information provided a ove true and correct Si attire: Date: 1 ( f Phone#: 1 1 0 • ,5 7oD only. Do not write in this area,to be completed by city or town official n: Permit/License# hority(circle one):Health 2. Building Department 3. City/Town Clerk 4, Electrical Inspector 5. Plumbing Inspector son: Phone#; a J ' Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who iesides 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 bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of.a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter info any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority:" Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub,contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance: Limited Liability Companies (LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or UP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidaviL The affidavit should be retuned to the city or town that the application for the permit or Iicense is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please b'e sure that-the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for futture permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The-Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Bo.gtoa,MA 02111 Tel. # 617-727-49-0.0 ext 4.06 or 1-877-MASSAFE Revised 5=26-05 Fax # 617-727-7749 www.mass..gov/dia ,�Trti Town of Barnstable 0 i Regulatory Services MAHLz `�$ Thomas F. Geiler,Director 'Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstab l e.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, N -MlU 4k I I , as Owner of die ect subJj property" hereby authorize to act on my behalf, in all matters relative to work authorized by building permit application for. C (Address o rib) boom 4 of Owner Date I Pricey Name If Property Owner is ap l 'mg' for permit pl ease complete the Homeowners License Exemption Form on 'the reverse side. I " Q:FORM3:0VMF-RPERMISSIOT! Town of Barnstable - ti�•� Regul-atbry Services uxxsrAsr.> S Thomas F. Geiler,Director MASS. g 16sp-� � Building Division PrED M!a`l . Tom Perry,Building Commissioner 200 Maiti-Street,_Ayannis,MA•02601 www.town.b arnstabl e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LIMISE EXEMPTION Please Print DATE.- JOB LOCATION: number street village; I "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state rip code Tbr- current exemption for"homeowners"was extended to include owner-occupied dwellines of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor_ DEFIh1PIT0X OF HONIEOVrNER Persons)who owns a parcel of land on which he/she resides or iaiends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constrgcts more than tme home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Ofcial on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned`homeowner'assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"bomeowner"certifies that.he/shc understands the Town of Barnstable Building Department rninimuin inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signatiirc of Homeowner i Approval of Building Official Note: Thrce-family dwellings containing 3 5,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. BOh2EOWNER'S F—UmPTibx .The Code states that "Any homeowner performing work for which a building permit is rtquircd shaD be exempt from the provisions of this section.(Scetion 1D9.1.1 -Liccnsiiig of construction Supcnisors);provided that if the homcovmrr engages a parson(s)for hire to do such word that such Homeowner shall act as supervisor. 4-any homeowners who use this exemption are unaware that they are assuming the responsbilities of a supervisor(see Appendix Q. Rules&Regulations for LiccrIsing Construction Supervisors,Section 2.15) This lack of awareness bficn rlts in serious pro ms ble ,particularly when the homeowner hires unlicensed persons. In.this ease,our Board esu cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensues that the homeowner is fully¢wane of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that bc/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. I _ I Q:for rs:homccxcinpi ----------------- Massachusetts- Department of Puhlic Safety 7. Board of Buildin�,T RegTulations and Standards Construction Supervisor Specialty License License: CS SL 99138 " Restricted.to: ,RF.,WS : I i JAMES CURLEY 287 FULLER ROAD. i CENTERVILLE, MA 02632 Expiration: .1/28/2012 J Cummi.ssioner Try: 99138 + +/ Boa d o-B ndards—lld,�!=.ggf�t g41a1inns_ �„�•',�4 ` _ - •i� s���,a`..gls ration valic for indi 1-dul use only HO E IM.PROVEIV. NT CONTRACTOR before the a iration date. found eturn to: Re 'strafion Y�_24 0 ---•.Board-of_B.tri'dffi Rrigu9 'tid sand-S an.drards E ir•ation-:6 4p2 •g One Ashburt Place Rm 13 :=_=Type:1ndivid•al Boston,Ma. 0 108 James urley -a...:,:... James urley =-_ 287 Full r.Rd... - e, A 02632 :Administrator without re I E i STANL�Y.F. ALGER, JR A R C H T. E C T 38 LEONARD DRIVE I MA Reg No •1267 OSTERVIU-E MA Tel•'508 428-2363 0 2 6 5 5-2 4 1 6 I � . I I • i I - • I f " y ALGER ENTERPxISFS ARCHITECTURAL&ENGINEERING .� •NEW STRUCTURES • MODERNIZATION • SITE PLANNING DRAFTING ALTERATIONS RENDERINGS ADDITIONS MODEL BUILDING COMPUTER BASE WORK RESIDENCE STRUCTURE ENGINEERING SATELLITE SERVICES - v. • r I } i I' i, • I " r , Pipe Fnd W IANNO CLUB I Pipe Fnd - W OW 208.60' Nla b WIANNO CLUB V'4 NOTES: m. Meets and Bounds taken from ay PLAN OF LAND IN BARNSTABLE g. , 357•30'2S• Scale 30 feet to an inch 92.7V SEPT 1922 1 3� oonwn• Frederic O.Smith.C E Copy of part of plan filed in .✓�z; LAND REGISTRATION OFFICE C] z �,`,:sr,',��'�`. 9175A-DEC 29 1922 PROPOSED Building Locations taped from BOATHOUSE40' 30•x _ pipe monuments on westerly bounds and concrete monuments on northeast comer of site. No other bounds found. 9(t) �,y rasa:>, G\S�ERED AR�y�T No. 1267 ; r.:... ; A °' o OSTEP.V ILLE. '- <. Gravel Drive RIM W/ 3x ? Lawn Parkin z v ` N SITE PLAN ,•.• �� OSTERVILLE HISTORICAL SOCIETY finds Fn wtsT BAY ROAD•OSTERVILI.E•MA A,176•a8'd0• ALDER E.bP'4w Project No: AE9604 _ �-�-- 5TANLEY F.ALDER fR Acrna8'00 �` }�fIRANC6 os>Eavi DI�AA� Date: NOV 15.1996 1 B26ss • 2a16 DWG NO Td:...2383 F—S08 a28-Ti® KALL E R ® A ® GENERAL C.DIMENSIONS AND VFRIFYA IONS ONTHESIAND O( 1 CONDITIONS ON THE SITE - j Wianno t, Club c 208.60 W j O s r o t' I l I � `�", - H N t7 o C7 c+ Wianno Club 'A`) o m N 7 N o N t� _ r N C I V) 92.70 En Roland C. Ames ! B C« C" - 01 ^A Lm J • W m 0 192.93 144.92 _ -At.177°48'd0 _337 85_ "Az. 116'4840- PARKER ROAD � i e • vU n�L o a. "Ti a �• 'G • Z m = = N -- Ln oDD C C M �t CD � 0O (CD p JJcI� Cr v, . a M o cn O o ' p ���,5 3 C w r, ,..aos...a��7=!Y.r1•SY.'.:". e ,ti. �� yq;;.�v• �"�.y° xIM N � �p 4"'::F^«o.j='�+�.^ -,w+.Cm-r,.�io4-i+i�.� ''::..:i>a Ft _,in` 'X,•-.�.`y^„"�E°` �n u yy .. �_ —� —' ',.. .: rn..F• c,..A�l{..,.:i...... .�i�rro-ay. .� �`� ...�.... .. ... ..w+,vrv. .....f"_ �.'!•; _ �. .y,^�.µc5rk... �� o tax f t S cn C. co m m G � J r_ i f rD '�1141Po�0pJ Mt,�,.� �gF''1�IC, �1R.fip.S - i AP-r-4-1 ?c r A 5�if�t t 1-4 v�L9E Wltl� e���2.. /k i2 ReaF 4�0q•27��N�- L a �aM ->bulbt. a-xI-L Dar40VID,d �Xio /f 6` o P f-47- r f i axg I Y Board of Building Regulations One Ashburton Prace, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 03/14/1970 Number. CS 073865 Expires:03/1412004 Restricted To: 1G JAMES R MCGRATH 204 CRANVIEW RD BREWSTER, MA 02631 Tr.no: 18918 Keep top for receipt and change of address notification. Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 132935 Type: Private Corporation Expiration: 10/31/2004 MCGRATH POST & BEAM CO. JAMES MCGRATH -- - ----- --------- ------ 259 QUEEN ANNE RD. -------- - ----- --------- HARWICH, MA 02645 -- ----- --------- _....------- Update Address and return card.Mark reason for change. Address Renewal Employment Lust Card F ,: ✓�e 'taniaeaiuuealU o`;.�`lauac�uael�i ..... ..._.... ..__._..— .. = F—_i Board of Building Regulations and Standards License or registration valid for individul use only � eg Y .9 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: x ' Registration: 132935 Board of Building Regulations and Standards Expiration: 10/31/2004 One Ashburton Place Rm 1301 Type: Private Corporation Boston,Ma.02108 l MCGRATH POST&BEAM CO. JAMES MCGRATH 259 QUEEN ANNE RD. � HARWICH,MA 02645 Adminiorgtnr Not valid without sie ature - i t' The Commonwealth of Massachusetts Department of Industrial Accidents s Ofllce ollmsllpatlfis 600 Washington Street Boston, Mass. 02111 ' Workers' Compensation Insurance Affidavit Applicant. ii ani int Q�es+tr_VRiT�'T Tl�s"i>�t �nuau ��► nam•: Ica ion: ohonc_a ct l am a homeowner pertorming all work myself. I am a sole proprietor a;d halve no one working in any capacity `X I am an employer pro\iding workers' compensation for my employees working on this job. company name: address tC 0*. 3D a0D0 r;t �• insurance co. ._r_... '� �' policy p I am a sole proprietor. _eneral contractor, or homeowner(circle one) and have hired the contractors listed below%%ho have the following workers' compensation polices: company name: address: nnUry# insurance co. company narn insurance co, porlpv addresle Failure to secure coverage as r u►red under Section 25A of MGL 152 can lad to the imposition of criminal penalties of a flag aQ to 51.500 00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a flat of 5100A0 a day against me. 1 aaderstned that a copy of this statement may be forwarded to the Office of Investigations of the DIIA for coverage verifieatioa. t do-hereby certify under the pain an p nalt•es�jp ty that the information provided above is true and correct Signature au name J a �L/l 1 1 Phone# 030 ^a 0-0- Printrcheck l. do not A rite in this area to be completed by city or town official _ _.,,, permitAicense qrl8uildiag Department — - OLicensing filoard Selectmen's Office mediate response is required 0Healtb Department n: phone 0; BUILDING DEPARTMENT CONSTRUCTION SUPERVISOR FORM PLEASE PRINT: Job Location: Number Street Village Owner of Property: Construction Supervisor: ` Name License No. Phone No. Address: Licensed Designee: (If other than Supervisor) Name License No. 2.15 Responsibility of each license holder: 2.15.1 The license holder shall be fully and completely responsible for all work for which he is supervising. He shall be responsible for seeing that all work is done pursuant to the state building code and the drawings as approved by the building official. 2.15.2 The license holder shall be responsible to supervise the construction, reconstruction, alteration, repair,removal or demolition involving the structural elements of building and structures only pursuant to the state building code and all other applicable laws of the commonwealth, even though he, the license holder, is not the permit holder but only a subcontractor or contractor to the permit holder. 2.15.3 The license holder shall immediately notify the building official in writing of the discovery of any violations which are covered by the building permit. 2.15.4 Any licensee who shall willfully violate subsections 2.15.1,2.15.2 or 2.15.3 or any other section of these rules and regulations and any procedures, as amended, shall be subject to revocation or suspension of license by the board. 2.16 All building permit applications shall contain the name, signature and license number of the construction supervisor who is to supervise those persons engaged in construction, reconstruction, alteration, repair, removal of demolition as regulated by section 109.1.1 of the code and these rules and regulations. In the event that such licensee is no longer supervising said persons,the work shall immediately cease until a successor license holder is substituted on the records of the building department. 2.17 The license holder shall be responsible for requesting all required inspections. Failure to do so may be deemed a violation of the permit conditions. I have read and understand my responsibilities under the rules and regulations for licensing construction supervisors in accordance with section 109.1.1 of the state building code. I understand the construction inspection procedures and the specific inspection as called for by the building official. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the-requirements of MGL Ch.152 Yes No ❑ If you have checked ygs, please indicate the type coverage by checking the appropriate box. A liability insurance policy t - Other type of indemnity ❑ Bond ❑ OWNER'S INSU NCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 152 of e s IG tne Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Own r r wner's Agen Owner ❑ Agent Signature: Building Official Approval: For Office Use Only. Permit No. Date AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142A requires that the `reconstruction, alteration, 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 structures which are adjacent to such residence or building' be done by registered contractors, with certain exceptions, along with other requirements. � Type of Work: CJ'� � J Est. Cost Address of Work Owner Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000 Building not owner occupied Owner pulling own permit Other(specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed under penalties of perjury: I ereby apply for a permit as the agent of the owner: MbarI 32 3 S Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: HOMEOWNER LICENSE EXEMPTION PLEASE PRINT: DATE: JOB LOCATION: NAME STREET ADDRESS SECTION OF TOWN "HOMEOWNER" NAME HOME PHONE WORK PHONE PRESENT MAILING ADDRESS CITY OR TOWN STATE ZIP CODE The current exemption for `Homeowner' was extended to include owner—occupied dwellings of one or two units ! and to allow such homeowners to engage an individual for hire who does not possess a license, provided that such homeowner shall act as supervisor. (State Building Code Section 108.3.5.1) Definition of Homeowner: Person(s) who owns a parcel of land on which he /she resides or intends to reside,on which there is or is intended to be, a one or two family attached or detached structure assessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner;such"homeowner" shall submit to the building official, on a form acceptable to the building official,that he/she shall be responsible for all such work performed under the building permit. (Section 108.3.5.1) The undersigned `homeowner' assumes responsibility for compliance with the State Building Code and other applicable codes, by-laws, rules and regulations. The undersigned `homeowner' certifies that he / she understands the Town of Yarmouth Building Department minimum inspection procedures and requirements and that he / she will comply with said procedures and requirements. HOMEOWNER"S SIGNATURE APPROVAL OF BUILDING OFFICIAL INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch.142. Yes❑ No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws and that my signature on this permit application waives this requirement. _ Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ h:homeownrlicxxemp YOU WISH TO OPEN A BUSINESS? For Your Information: Business Certificates cost $40.00 for 4 years. A Business Certificate ONLY REGISTERS YOUR NAME in the Town (WHICH YOU MUST DO according to M.G.L. - it does not give you permission to operate). You must first obtain the necessary signatures on this form at 200 Main St., Hyannis. Take the completed form to the Town Clerk's Office, 1 t Fl., 367 Main St., Hyannis, MA 02601(Town Hall) and get the Business Certificate that is required by law. DATE Fill in please: APPLICANT'S YOUR NAME/CORPORATE N ME BUSINESS YOUR HOME ADDRESS: TELEPHONE # Home Telephone Number — — NAME OF NEW BUSINESS OR EIN: Have you been given appro� I fr m the b ilding. ivisi n? YES O ADDRESS OF BUSINESS` c u Cc` MAP/PARCEL NUMBER When starting a new business there are several hings you must do in order to be in compliance with the rules and regulations of the Town-of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St. — (corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. BUILDING COMMISSIONER'S OFFICE This individual has 5bpeqinformed y permit requirements that pertain to this type of business. COMMENTS: Auth rized Signature* 2. BOARD OF HEALTH This individual ha info med theperm• re irements that pertain to this type of business. A rized Signature** COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has b en inforrn e4of the lic using equirements that pertain to this type of business. Authorized Slgnla/ture** COMMENTS: I 4 ;. ` ` � - _ _ G�2J � . i Sign Permit BARFMtN s . * TOWN OF BARNSTABLE MASS 9� i6 •�rFG 39.�p� Permit Number: Application Ref: 201002575 20070463 Issue Date: 05/25/10 Applicant: OSTERVILLE HISTORIC SOC INC Proposed Use: Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 155 WEST BAY ROAD Map Parcel 116086 Town OSTERVILLE . Zoning District RC Contractor PROPERTY OWNER Remarks 5 TEMP SIGNS OST FARMERS MARKET 6/5 - 10/5 SIGNS POSTED EVERY FRI 8 - 5 Owner: OSTERVILLE HISTORIC SOC INC Address: WEST BAY ROAD OSTERVILLE, MA 02655 Issued By: PC —� >. . .:........::..............:. - . :.:;::>:: ;::::::>: :>::: >::>:::;::. .:..:...:.::.:: RD:. THAT..IS.VISLBLE..FROM.TAE.._.. . P.OS.T::T1lIS...CA SO. _ . .. .... . ...... . . _. .......::;::>:..«:>::;:;,::::::; IS J -S '6-1S �FIHE Tph, Town of Barnstable Regulatory Services BAR BLE ► ,,ASS ,g Thomas F. Geiler,Director i679. ♦0 A�f16.39. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 tom. www.town.barnstable.ma.us Office: 508-862-4038 Fax: -508-790-6230 Permit# Building Official approving............ Application for Sign Permit APPlica ^. -- — —M'---Assessors No.--------------- Sl�� Doin Business As:1-4 �� -_-__Telephone No.-— © i g4 -- -- ----- --- Sign Location Street/Road: � �_�d � ;;L( .�LQ ----------------- y- --------- Zoning District:- ------- Old Kings Highway? Yes/No Hyannis Historic District? Yes/No Property Owner Name:-------—------------------------------------Telephone:---------------- ^n 1' 1 Address: ------------------------------------------Village:---------------------- X Sign Contractor Name:------------------—--------------------------Telephone:------------------ Mailing Address:- ---------------------------------------- Please follow the cover directions.You must have an accurate rendition of sign with dimensions and - location. Is the sign to be electrified? Yes/No (Note:If yes, a mi-i�lg•permitis required) Width of buildin face-_-_-_---ft. x 10 =--------x .10 = --------- . g i Check one Reface existing sign---- or New-----Total Sq. Ft. of proposed sign (s) ------_-- If you have additiomd signs please attach a sheetlisL�lg each one with dimensions If refacing an existing sign.please provide a picture of the existing sign with dimensions. I hereby certify that I am the owner or that I have dne authority of dne owner to make this application, that the information is correct and that the use and construction shall conform to the provisions of §240-59 through §240-89 of the Town of Barnstable Zoning Ordinance. Signature of Owner/Authorized Agent:// z� ��% ------- Date SIGNS/SIGNREQU revised103009 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 116 Parcel o86 ((�� �,.Application # 2. Health Division "Date Issued Conservation Division Applicat o Fee= Planning Dept. PeZp ee Date Definitive Plan Approved by Planning Board ACT9Historic - OKH Preservation / Hyannis \ RF�O Project Street Address 155 West Bay Road \ Village Osterville Owner Osterville Historical Society Address 155 :West Bay Road, Osterville MA Telephone (50 ) 428-5861 PO Bbx 3; Osterville, MA 02655 Permit Request Replace foundation under the "Ell" wing of the David Cammett House .by excavating depth of existing foundation or to 4'-0" min. frost depth, whichever is greater, and pouring a 10" foundation stem wall on a 2'-0" footing per engineered plans Square feet: 1 st floor: existing proposed n/a-2nd floor: existing proposed mLa Total hew n/a Zoning District HB Flood Plain Groundwater OverlayAP Project Valuation $30,000 Construction Type V Lot Size 1,71 Acres Grandfathered: ❑Yes 13 No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(# units) Age of Existing Structure 1830 Historic House: I]Yes ❑ No On Old King's Highway: ❑Yes ] No Basement Type: ❑ Full R! Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) D/a Basement Unfinished Area (sq.-ft) no.4 Number of Baths: Full: existing.12 new n/a Half: existing n/a new n/a Number of Bedrooms: n/a existing _aliaew Total Room Count (not including baths): existing „/a new „/a First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric J! Other t10 Heat Central Air: ❑Yes %XNo Fireplaces: Existing 2 New Existing wood/coal stove: ❑Yes 11 No Not in use) Detached garage: ❑ existing ❑ new size_Pool: U 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 9 Yes ❑ No If yes, site plan review # Current Use Historical Museum Proposed Use Historical Museum APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Cape Associates; Inc. Telephone Number (508) 255-1770 Address 345 Massasoit Road, Eastham MA 02642 License # 14985 Home Improvement Contractor# 100110 I Worker's Compensation # MCC2000186012010 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Daniel's Recycl' g, Giddiah Hill Road, Orleans MA SIGNATURE DATE /0 -7 -(J i r ` FOR OFFICIAL USE ONLY 'APPLICATION# DATE ISSUED ! 1 MAP/PARCEL NO. t _ t i ADDRESS- VILLAGE 7 OWNER l DATE OF INSPECTION: _FOUNDATION' I ZI Zrll h FRAME i 1 2J I e INSULATION 4 FIREPLACE s ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL iGAS: ROUGH � FINAL ;FINAL BUILDING=; DATE CLOSED OUT ASSOCIATION PLAN-NO. i Centerville-Osterville-Marstons Mills Water Department P.O.BOX 369-1138 MAIN STREET OSTERVILLE,MASSACHUSETTS 02655 www.commw•ater.com OFFICE OF u wATE R A BOARD OF WATER COMMISSIONERS WATER SUPERIN D E PT.TENDENT -yJ' TEC_No.508428-6691 FAX.No.508-428-3508 VIA FAX 508 240 1473 October 14, 2010 Town of Barnstable Building Department 367 Main Street Hyaluus, Ma 02601 Re 14�Vest Bay Rd.-Ost. "Cammet House" C. Dear Mr. Perry: Please find this letter as notice that COMM does not provide water service to the above building to the best of our knowledge. Should you have any question please call. Sincerel _ C aig A,Crocker Superintendent i mybriefcasebldgdeptdemo L-d 809£8Zb809 ldaQ aaleM wwo0 ezz:zo m 96 100 FROM :WAY NE SCHMIDT ELECTRICIAN FAX NO. :5084287747 Oct. 13 2010 08:31PM P1 .. ...� WAYS 222 WilliKisiintj . 1�Arstons Mills, MA 02648 I U t�el� �'l4s fin �5C 6� h-ec e� C� national grid October 19, 2010 To: Town of Barnstable Attention: Thomas Perry Re:David Cammett House This letter is to notify you that after our investigation, it has been determined there is no gas being supplied to the David Cammett House located on the property of 155 West Bay Road, Osterville. If you have any questions please feel free to contact us at 781-907-2930 Sincerely, w"Z� OIL Diane L. Stevenm Customer Driven Construction diane.stevenin@us.ngrid.com 781-907-2930 781-522-1056 fax 40 Sylvan Road E-2 Waltham, Ma 02451 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street IWO` Boston, MA 02111 www.mass.gov/dia , Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nane(Business/Organization/Individual): 0 aloe- GZSSoCe'C� S Address: 3 t5 City/State/Zip: Eacj (0_n1k ., oa-(oi-( Phone 1 -7-7 0 Arree,y/ou an employer? Check the appropriate box: Type of project(required): 1.5? 1 am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ 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 working for me in any capacity. employees and have workers' corn insurance.$ 9. ❑ Building addition [No workers comp. insurance p• rewired. 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions q ] officers have exercised their 3.❑ 1 am a homeowner doing all work h i i 11.0 Plumbing repairs or additions myself ' right of exemption per MGL Y �o workers comp. 12.❑ of repairs insurance required.] t c. 152, §1(4), and we have no 11110 employees. [No workers' 13. Other lleuJ 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job.site information. Insurance Company Name: nct*, ,,�Oj Policy#or Self-ins. Lic. #:(Y)CO2_-a<;�V--60 I`2-Q 1 t> Expiration Date: Job Site Address: -"( ,`� City/State/Zip: b)1_kr\J"k-,(YI cl_ �Sis- 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 thi DIA for insurance coverage verification. I do hereby certify nder the pai a d n Ities of perjury that the information provided above is true and correct. Signature: Date: /0 ' 7-1 D Phone#: C5 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# ILLth suin Authority (circle one): Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: Phone#: ,. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s) name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, aie not required to carry workers' compensation insurance, If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext406 or 1-877-MASSAFE Fak # 617-727-7749 Revised 4-24-07 www.mass.gov/dia Client#: 43203 CAPEASS ACORD:., CERTIFICATE OF LIABILITY INSURANCE 08124`/2010 YY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Rogers & Gray Ins.-So. Dennis ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 434 Route 134 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P. 0. Box 1601 South Dennis, MA 02660-1601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: National Grange Insurance Co. Cape Associates,Inc. INSURERS: A.I.M. Mutual Insurance P.0. Box 1858 INSURER C: North Eastham, MA 02651 INSURERD: INSURER E: COVERAGES THE POLICIES OF INSURANCELISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERRA OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EFFECTIVE POLICY EXPIRATION LIMBS LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DDNY DATE MM/ODNY A GENERAL LIABILITY MSO41163 01/01/10 01/01/11 EACH OCCURRENCE s1000000 X COMMERCIAL GENERAL LIABILITY PREMI E TO REIJTEDn I $50 000 CLAIMS MADE �OCCUR MED EXP(Any ono person) S5 000 X PD Ded:250 PERSONAL a ADV INJURY S1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGkEGA'I E LIMIT APPLIES PER: PRODUCTS-COMPIUP AGG S2,000 000 POUCY PRO- LOC JECT A AUTOMOBILE LIABILITY M9041163 01/01/10 01/01/11 COMBINED SINGLE LIMIT s1 000,000 ANY AUTO (Ea accident? ALL OWNED AUTOS BODILY INJURY S (Per person) X SCHF.DULF.DAUTOS X HIRED AUTOS BODILY INJURY S (Per accidanl) X NON•01ANE0 AUTOS X Drive Other Car PROPERTYDAI,AAGE S (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY.AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S A I EXCESS/UMBRELLALIABILITY CU041163 01101/10 01/01/11 EACH OCCURRENCE s3,000,000 X OCCUR CI AIMS MADE. AGGREGATE 0,000,000 S DEOUCTIBI.E S X RETENTION s 1 OOOO S B WORKERS COMPENSATION AND MCC2000186012010 08124/10 08/24/11 X We STATUS OTH- EMPLOYER S'LIABILITY E.L.EACH ACCIDENT S500,000 ANY PROPRIF.TORIPARTNF.RIEXF.CUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE s500,OOO II yes.describe ender SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT s5O0 OOO OTHER r . DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _-D_ DAYS WRITTEN 200 Main Street NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL Hyannis, MA 02601 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001/08) 1 of 2 #S56169/M56168 MEE 0 ACORD CORPORATION 1488 irhux�'trs- NJ 8o:u•cl pt• DePartnrc.n 8uildin all t of Public Construction S ...ul:itit�rrs; S:ttet► ' License: Cg upervislo tnd Stuhda►d� Re-strict' 14985 LiCense d to: pp MICHAEL H COLE PO BOX 1858 ;.:. EASTHAM MA 02651 .5 .t ('unurri.vsiunr Expiration;212112012 rr#` 1534, 4 �+ Office.of Consumer Affairs and llusiness Regulation 10 Park Plaza - Suite 5170 I 'r Boston., Massachusetts 02116 n Home Improvement Contractor Registration Reqistration: 100110 Type: Private Corporation Expiration: 6/9/2012 Trq. 297673 CAPE ASSOCIATES, INC. MICHAEL COLE PO Box 1858 N. Eastham, MA 02651 - Update Address and return card.,dark reason for change. -I Address Renewal ! limploymeot I Lust Gard j OPS-CAI 0 501.1-OVO4-GIMIG 'ds n ll''egul tiun r License or registration valid for individul use only (Office of Consumer Affairs.f It sincss 11eRulatiun g 1 t1. �HOME IMPROVEMENT CONTRACTOR before lire expiration date. If found return to: Registration: 100110 Type: Office of Consumer Affairs pnd Business Regulation Expiration: 6/9/2012 Private Corporation lU Park t laia-Suite 5170 ,'21;!y'� Boston,CIA 02116 CAPE ASSOCIATES,INC. MICHAEL COLE c 345 Massasoit Rd N.Easlham,MA 02651:. Uudersecrclary Not valid without signature eDEP - MassDEP's OnlineFiling System Page 1 of 1 MassDEP Home I Contact Feedback I Tour I Privacy Policy MassDEP's Online Filing System USemame:SWIFTW Nickname:HURRICANE My eDEP 1 Forms® My Profile v. Help Receipt Forms Signature Payment Recelpt Summary/Receipt print receipt Exit Your submission is complete. Thank you for using DEP's online reporting system. You can select"My eDEP"to see a list of your transactions. DEP Transaction ID: 340705 Date and Time Submitted: 10/7/2010 12:00:36 PM Other Email : Form Name: AQ 06-Construction/Demolition Notification Payment Information DEP code: 49526 Date: 10/7/2010 11:59:44 AM Amount($): 85 Payment Detail: SWIFT WILLIAM --AccountType --AccountNumber****1079 Confirmation Number: Contractor Contractor Number Name Address, , Supervisor Project Monitor Lab M ey DEP MassDEP Home I Contact Feedback Tour Privacy Policy MassDEP's Online Filing System ver.9.9.9.00 2010 MassDEP https:Hedep.dep.mass.gov/Pages/PrintReceipt.aspx 10/7/2010 Massachusetts Department of Environmental Protection `� Bureau of Waste Prevention • Air Quality 100114481 f BW P AQ 06 Decal Number Notification Prior to Construction or Demolition Important: A. Applicability When filling out pp `� forms on the computer,use only the tab key A Construction or Demolition operation of an industrial, commercial, or institutional building, or to move your residential building with 20 or more units is regulated by the Department of Environmental Protection cursor-do not use the return (DEP) Bureau of Waste Prevention -Air Quality Control Regulations 310 CMR 7.09. Notification of key. Construction or Demolition operations is required under 310 CMR 7.09 (2) ten (10) days prior to any work being performed. The following information is required pursuant to 310 CMR 7.09. B. General Project Description 1. a'Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied Instructions residence of four units or less? ❑Yes Q No 1.All sections of b. Provide blanket decal number if applicable:this form must be Blanket Decal Number completed in order to comply with the 2. Facility Information: Department of Cammett House; Osterville Historical Museum Environmental Protection a. Name notification 1155 West Bay Road requirements of b.Address 310 CMR 7.09 Osterville MA 02655 -� c.Cit /Town d.State e.Zip Code (508)428-5861 cdhall@ostervillemuseum.org f.Tele hone Number area code and extension .E-mail Address(optional) 230 1 h.Size of Facility in Square Feet i.Number of Floors j. Was the facility built prior to 1980? ❑✓ Yes ❑ No k. Describe the current or prior use of the facility: Historical home shown as a museum I. Is the facility a residential facility? ❑ Yes ❑✓ No _o m. If yes, how many units? Number of Units r _0 3. Facility Owner: N Osterville Historical Society �o a.Name -o PO Box 3; 155 West Bay Road b.Address Osterville MA F02655 �c0 r(iQ !Town d.State e.ZipCode -o 428-5861 1 icdhall@ostervillemuseum.org f.Telephone Number area code and extension .E-mail Address(optional) O Cynthia Davis Hall �Q h.Onsite Manager Name ag06.doc•10/02 BWP AQ 06•Page 1 of 3 LlMassachusetts Department of Environmental Protection Bureau of Waste Prevention • Air Quality 1100114481 BW P AQ 06 Decal Number Notification Prior to Construction or Demolition General Statement: If B. General Project Description (cont. asbestos is found during a Construction or 4. General Contractor: Demolition Cape Associates, Inc. operation,all responsible parties a..Name must comply with 1345 Massasoit Road 310 CMR 7.00, b.Address _ and Chapter Eastham MA 02642 Chapterer 21 E of the General Laws of c.City/Town d.State e.Zip Code the Commonwealth. (508) 255-1770 1 Imhcole@capeassociates.com This would include, f.Telephone Number area code and extension . E-mail Address(optional) but would not be limited to,filing an Will swift asbestos removal h.On-site Manager Name notification with the Department and/or a notice of release/threat of C. General Construction or Demolition Description release of a hazardous substance to the 1. Construction or demolition contractor: Department,if applicable. Hayden Building Mov ers a. Name 84 Industry Road b.Address Marstons Mills MA 02648 c.City/Town d.State e.Zip Code (508)428-6380 f.Telephone Number(area code and extension) E-mail Address(optional) Bob Hayden h.On-site Manager Name 2. On-Site Supervisor: Bob Hayden On-Site Supervisor Name 3. Is the entire facility to be demolished? ❑ Yes ✓❑ No �N =0 4. Describe the area(s) to be demolished: _0 48' linear feet of stone foundation �N �O 10 5. If this is a construction project, describe the building(s)or addition(s)to be constructed: 10"concrete stem wall @ 4' or existing depth (>) ra 0 �d �Q ag06.doc•10/02 BWP AQ 06•Page 2 of 3 Mpssachusetts Department of Environmental Protection ■ Bureau of Waste Prevention • Air Quality 100114481 BW P AQ 06 Decal Number Notification Prior to Construction or Demolition Ll C. General Construction or Demolition Description (cont.) 6. a. If this is a demolition project, were the structure(s) surveyed for the presence of asbestos containing material (ACM)? ❑ Yes ❑✓ No If yes, who conducted the survey? b.Survevor Name c.Division of Occupational Safety Certification Number 10/25/2010 —� 12/03/2010 7. Construction or Demolition. a.Start Date(mm/dd/yyyy) b. End Date(mm/dd/yyyy) 8. a. For demolition and construction projects, indicate dust suppression techniques to be used: ❑ seeding ❑ paving ✓❑ wetting ❑ shrouding b. If other, please specify: ❑ covering ❑ other 9. For Emergency Demolition Operations, who is the DEP official who evaluated the emergency? N/A a.Name of DEP Official b.Title c.Date mm/dd/ of Authorization d.DEP Waiver Number D. Certification Cl) I certify that I have examined the Micheal Cole —o above and that to the best of my a. Print Name —o knowledge it is true and complete. The signature below subjects the b.Authorized Signature —N signer to the general statutes lPresident _o regarding a false and misleading c. Position/I Me o statement(s). Icape Associates, Inc. d.Representing _ r �(0 e.Date(mm/dd/yyyy) �o �d �Q ■ ag06.doc•10/02 BWP AQ 06•Page 3 of 3 ■ Oct 08 10 08:49a Cynthia Hall, Director 5084285861 P.1 of THE r unnxsrwnrX. MA-SS. j6yg , Town ofBarastable Regulatory Services Thomas I,. CeNer, Mr--cirjr 1-3 1 dij I n D j j..) T1,wrl-1:15 Pc.rvy, CB0 Boildi;ig Crmimissionoj- 200 Mail;SVCe[, Pl.cl 02601 Office: 54-S6-2-4 038 508-790-6230 Property ov...'ner A. Tusl Complete and 'TI-11S SCC*L-.1,01) It D sii b 1-`C V ty "C' .2c" on my bC1b;-1jT, 1-1e�eb-v aulhoyi-c in 211 .11AMI-S rebtivc cc, work .1(A)01:!it'd 1>1V 11L.15 0 U-i d 0 r: T 1-0;,8 p 1)�j.Canon t c,•C: (Ad dr o f jo bj A Signanirc oC Ovmer ue P ru' c Name IF Property Y Owner is applying ror perruit, .01cise ComPlele the License Exempfion Frrm'On (!!c reverse side- (:):',WPF)1:ES-%r0R NS',buddin g permit[brmskE.<PR E'Smuu R c-v ised 072'10 COASTAL ENGINEERING COMPANY, INC. 260 Cranberry Highway, Orleans, MA 02653 ■ 508.255.6511 ■ Fax 508.255.6700 ■ coastalengineeringcompany.com December 21, 2010 Project No. C17370.00 Barnstable Building Division Attn.: Mr. Jeff Lauzon, Building Inspector 200 Main Street Hyannis, MA 02601 T: 508-862-4034 VIA EMAIL: ieffrey.IauzonCabtown.bamstable.ma:us Re: Cammett House 155 West Bay Road, Osterville, MA Dear Mr. Lauzon: We have reviewed the attached sketch plans outlining proposed substitution of x 2" galvanized strap anchor in lieu of anchor bolts specified on plan. Please accept this letter as our approval and certification that the proposed strap anchors as shown therein meets the design intent and Massachusetts State Building Code CMR—7th Edition requirements for building to foundation anchorage. Please let me know if you have any questions. Very truly yours, N o COASTAL ENGINEERING CO., INC. _ - -Z; OS A OF Sow OHN A. N� i o.33 6 G GIs S SS�OAlAL E��`� W John A. Bologna, P.E. President Attachments: Cammett House Structural Tie Downs, 2 sketch plans dated 12/20/2010 cc: Cynthia Hall, Executive Director, Osterville Historical Society Laura Watts, Cape Associates D:00CIC173001173701CorrespondencelLetter Barnstable Bldg Dept 122110.doc ■ Providing solutions for the benefit of our clients and community ■ c c c - - - -Z11 x � I�I00 Aq Al" PlAl FO ff GAI.,V , 130L,1'S w � �-- Igloo � N � \0� SIN TIE DOWNS ° SCALE: 1°°=P-O" jai c a ' A .� A ° a C u c c c A oq q F-XI511NG ROC r Cr5W-)W �x15rING FOUNPA11ON v, w � MAM POCKFr A IMAM FOCKF-�r ro PF, FIB INP WITH MOCK � WITH POCK qj,-�.PA5F, OF 13FFINIVE� OVEN p�Op05�1� NSW FOumt2 L-OCArION OF 10" FOUNPA11ON 5ir-IFIL, JAM TIE DOWN LOCALE `� SCALE: 1"=1'-0" 429 i oFt ra,,, Town of Barnstable Regulatory Services "�$"M SS. Thomas F. Geiler, Director Fo;p. Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us i Office: 508-862-4038 Fax: 508-790-6230 April 20, 2010 Michael F. Schulz, Esq. Law Offices of Albert J. Schulz William Charles Place 7 Parker Road Osterville, MA 02655-2034 RE: 155 West Bay Road, Osterville MA Dear Attorney Schulz: This letter is in regards to your client Osterville Historic Society Inc. regarding their desire to operate a farmers market at their site in Osterville. I have reviewed the letter you have provided and this still has not changed my opinion. In order to operate a farmers market it needs to operate in a Zoning District that allows retail unless one obtains relief from the permit granting authority, be it planning board or zoning board. Respect ly o as Perry, CBO Building Commission LAW.OFFICES OF ALBERT J. SCHULZ WILLIAM CHARLES PLACE 7 PARKER ROAD OSTERVILLE, MASSACHUSETTS 02655-2034 TELEPHONE(508)428-0950 FACSIMILE(508)420-1536 ALBERT J. SCHULZ MICHAEL F. SCHULZ aschulz@schulzlawoffices.com mschulz@schulzlawoffices.com March 18, 2010 Thomas Perry Building Commissioner `Q1 Town of Barnstable 200 Main Street Hyannis, MA 02601 VIA HAND DELIE VERY RE: Osterville Historical Society,Inc. Dear Mr. Perry: I am writing on behalf of my client, Osterville Historical Society, Inc. ("OHS") regarding their operation of a farmer's market at 155 West Bay Road, Osterville, Massachusetts ("locus") Q� for four(4)hours one day per week during the months of June through September. In our conversation a week ago you, as zoning enforcement officer for the Town, expressed your concern of such a use in a residential district. Based on the relevant law and facts that follow, I respectfully suggest that such a limited use of locus by an educational nonprofit is exempt from ,zoning requirements pursuant to M.G.L. c. 40A § 3, and accordingly request your concurrence on the same. Referred to as the Dover Amendment and codified at M.G.L. c. 40A § 3, no zoning ordinance or by law shall prohibit, regulate or restrict the use of land or structures for educational purposes on land owned or leased by a nonprofit educational corporation. See M.G.L. c. 40A § 3 (2010). There are two requirements which must be met in order to qualify for this statutory zoning exemption: (1)the land and/or structure used for the educational purposes must be owned or leased by a nonprofit educational corporation and(2)the primary or dominant purpose of the use must be for educational purposes. See Gardner-Athol Area Mental Health Association, Inc. et al. v. Zoning Board of Appeals of Gardner,401 Mass. 12, 15-16 (1987); see also Whittinsville Retirement Society, Inc. v. Town of Northbridge, 394 Mass. 757, 759-760 (1985). In the present situation, OHS has been the owner of locus since 1961. See Exhibit 1. Prior to its acquisition of locus, OHS filed its Articles of Incorporation with the Commonwealth of Massachusetts pursuant to section 501(c)(3) as an educational non-profit in 1956. By letter dated February 4, 1960, the Internal Revenue Service recognized that OHS was "organized and operated exclusively for educational purposes." See Exhibit 2. This 1960 status letter from the IRS is recognized as in full force and effect today. See Exhibit 3. OHS has not only maintained its longstanding and rich educational purpose in the Town for over 50 years, but as a vibrant educational nonprofit it continually seeks to improve and expand its educational offerings. For example, OHS conducts.various structured tours of its campus (buildings and exhibits housed therein) and walking tours of the village. OHS maintains a regular story hour for children and offers internship opportunities for high school, college and graduate students. See Exhibit 4. In 2009 alone, OHS opened its doors free of charge and educated approximately 800 students that live and go to school in the Town of Barnstable; a function OHS has provided in the past and will continue to do in the future. As an educational nonprofit located in a small village,the creation of a limited farmers market for four(4)hours one day per week from June through September does not operate to generate large amounts of cash for OHS. Rather, the farmers market's primary and dominant purpose is firmly grounded in education by creating awareness in the community of educational offerings of the OHS campus. This proposition is supported by the fact that during the farmer's market,the entire OHS campus is open, free of charge,to all that attend. Those attending can. take a guided tour, or can take in at their leisure the exhibits in the boat house, or any other portion of the campus. The goal is that those attending the farmer's market will see the wonderfully vast educational opportunities available at the OHS campus and will pass the word along to others. Based on the foregoing, I suggest that use of locus by OHS in the form of a limited farmers market meets both requirements of M.G.L. c. 40A § 3 to be exempt from zoning requirements. OHS will of course continue to meet all other requirements for locus. As always,please do not.hesitate to contact me should you have any questions. Very truly yours, echael F. Schulz MFS:Iaw Enclosures Thomas Perry, Building Commissioner 6 I ` EXHIBIT 1 fthdo yartn af Qr&lcam Dub i t GLADYS BROOKS THAYER TO OSTERVILLE HISTORICAL SOCIETY, INC. 4a JAN 171962 �f�f kKIIV.L)F" tIQSTR3A i ..................... ..............D.,'...b�S'f.. 19........ 1 at....................o'dod and......................mioutes............III. IReceived and entered WiUL............................................... ..................................................................................Deeds Book............................i'age............................. Attest: .............................................................................. .......... RtBister FROM THE OFFICE OF NODS$S WA"9M.INC. PubLIsmM -NDANO LEGAL FOANO 9orron MAta. Form 882 L I, GLADYS BROOKS THAYER, York, of15 East 91st Street, City, County and State of New �tR being unmarried, for consideration paid, grant to Osterville Historical Society, Inc., a corporation organized and existing under Massachusetts General LawA (Ter. Ed.), Chapter 180, and located in Osterville, • in the Town and County of Barnstable, Massachusetts, Ax with quttcialm countanto my undivided one-half interest in the land in Barnstable, in the County of Barnstable, Commonwealth of Massachusetts, bounded as described as follows: (Description and encumbrancm if say) Northerly by Crosby Road, two hundred sixty-seven and 54/100 (267.54) feet; Easterly by Parker Road, three hundred thirty-seven and 85/100 (337.85) feet; Southerly by lands now or formerly of Frank D. Allen and of i Roland C. Ames, one hundred seventy-four and 18/100 ! (174.18) feet; and I Westerly ninety-two and 70/100 (92.70) feet; Southerly ninety-seven and 42/100 (97,42) feet; and ! two hundred eight and 60 100 208.60) feet by land Westerly o 8h / ( i! now or formerly of the Wianno Club. i All of said boundaries are determined by the Court to I be located as shown on plan 9175-A dated Sept. 1922, drawn by Frederic 0. Smith, C. E., as modified and approved by the Court, and filed in the Land Registration Office at Boston, a copy of a portion of which is filed in Barnstable County Registry of Deeds in Land Registration Book 4 Page 78 with Certificate of Title No. 828. Subject to the Building and Zoning Laws of the Town of Barnstable, and to the two (2) Takings by the Town of Barnstable, the one dated May 2, 1929, establishing a 20-foot building line on Parker Road, and a 10-foot building line on West Bay Road (formerly Crosby Road) being filed and registered in the Barnstable Registry District of the Land Court as Document No. 4380, and the other, of an easement for the alteration of West Bay Road (formerly Crosby Road), dated April 6, 1938 and being filed and registered in said Registry District as Document No. 10142. Considergttion being nominal no Federal or Massachusetts transfer stamps are therefor required. h (• Inddiividual—Joint 1/Tenants—Tenants in Common—Tenants by the Entirety,) I �r i 4 Wltnraa........MX...........hand and seal this.........ll-.h................day of.......Jalwary................19...fa2 G'{.<..Ct✓.r.��. :�..<.fl ............. ................................................................................. .................................I................................................ I STATE OF NEW I'ORK COUNTY OF NEW YORKS$. Then personally appeared the abovi named GLADYS BROOKS THAYER and acknowledged the foregoing insttlkiment to be her act and d e me ..................... Nut&ry Public—Justict of the Peace My CWuniusion Expires .19 TI I-rd rF Vr; Yolk leer f -.0 (THB FOLLotinw.IS NOT A PART OF THE DEM.AND IS NOT TO BE RECOALCIED) rMAPTER 185,SECTION 11,GENERAL LAIM A deed in substance following the form entitled "Quitclaim Deed" shall when duly executed have the force and effect of a deed in fee simple to the grantee, his heirs and assigns, to his and their own use, with covenants on the part of the grantor, for himself, his heirs, executors, administrators and successors, with the grart(cle, his heirs, successors and assigns, that At the time of the delivery of such dccJ the premises were free from all encumbrances nude by him, and Ilut he will, and his heirs, executors and administrators shelf, warrant and defend the same to the grantee and his licirs, and assigns forever against the lawful daitas &ad demands of all lessons claiming by,through of under the grantor,but against none other. .1917 A PLAN OF LAND IN BARNSTABIZ Scale 30 feet to an inch "I'T.1922 Frederic 0. Smith, C.E. Too ROIM 6911 ID" 45 CROSBY .26754' A3.Or 147.99 9712 ® � o :Kk H Si O 174.18 Frank D. Allen O • ccw of d wpoft LAND RE ICI A* IV or.r . DEC. Soak arm plan so fat to an kv� 4,t&0pwr. tvhtvvj(v4r4vA4' ,bl-* P11'r filcil 7:4). u2u. EXHIBIT 2 U. S. TREASURY DEPARTMENT ' INTERNAL REVENUE SERVICE OFFICE OF THE DI6TRICT DIRECTOR 55 Tremont Street Boston 8, Kass. " >> Oeterville Historical SecietS Inc. z,. Bay- Street .x Ost•ervill e, Massachusetts. Attention: Ca.rri�-, L. Hinckley, preeid.ent r_tlemer,: ` it is the o-,irinn of tms offiaE, 'seed -*ion the eve rresontafl. t''Et rci.i "re exempt from Federel innomF 't '�••. ae atx orb! zaticn described in section 501(c) (3) of the Internal Bevenne Of 1?`.L. it is ul:n 'n ;,ou are orn- nized and onerated A tiia for educat;,onal prxj>Oses. dccor''.�_rti;ly► . you r!_ e not required to file e the character income try'Z'9f�1 mess ;;o^ chant; aracter of your orGanizaticn► this - W.-licr_ you Saari- cr,.)auized, ,T ;;our methOG Of operation. Any efth e ' should be reYortc,: to t;_c .;xempt Organization Section, 114 1p1Wio4�l; Boston 15 , M:B2:-chubett&, in ors ar that their effpe+ upon ro,,tr ® status _L4 be determined. Yol:. zxe regriired, however, to file sn informntion r9tuaCh',` A; .,. c;r 1 ?7t0—A, Fu`'^�k:'_1* , %ith the Exemp'`_ Organization Station, 1�4 III ";tA'. S treP*. 'O:;ton 15, Massachusetts, so long as this exemption 100afte eff--c' . "hi- for--. rs:: be obtained. from this office, and is be hied on or b raro the fifteertYi of the firth month fblletti ;` Y of Your < r. .u:F1 iLccolintir•g. period. .r ,.�r.tr:4utions me.da to you ars dec'_uctible by the 64Or6 pu tirt;, their taxable i ncone ir. the mrmier and to the extent ' section 17., w Bequests, legacies, devises or transfers to or f6k your > ' axe deductible In comyuting the value o: the taxable elitate O� a fo_ ede-al estate tax pux.rosr s n the meaner s;ncl. to the @tti . by section 205� and 2105 of the 195�: Code Gifts of ti * . prppe�ty: . .,; �• ;your use rare deductible it cornputine taxable gifts fat�.�'11K�g1•a#� ��: >;` �► p"roses in the mramer and to the extent provided by d ti'On :. . 1.054 Code. ;fir ,An y fit-) 4,'±v�;�•'. I , ' �et Cbter•rille His+��• •Soci� .,�:__ . Tn the event �•ou havc not f;.led a waiver of ea�tio� {� certificate in accordmnee withtit t?,e provisions of s®etion 312100 t ,. the Ccde, r.r liabil-it is i^-curre� b3. cu for the taMes + t!,e . edcral Insurauc ^or.' ribution cm �� bva�irtaa of the p -, under the Y eder,,�l Unemployment - c s2cti rr, cf quCc ACt. Your ttr,n+'_gin is.cal1CA t-, ��.e provisions of e6'ti0n r r r ur tiny fri U': t :e internal Rr-Venue Code o. . 9 older yo , re,fo=:ec if ?il ' suhata-ntiA1 mart of :your activities consists of day °. c� gin -��� or otherwise -..ttcmptin� on pr j, ; to irfls®nee le�slatioA, y'���<• cne in including the _,ublishing Ot' dt . ; o�.i pFu'tici�'f+.te i.n, or int. of a + s t .tement si , ar•7- �015 t icPl caLrP - on behalf =r• �ributing o... can i.i3ate A.r _ ''Il ;c office. Very. truly ;outs.,>_...Y 14 GAVAITAGY Di str t Director £i EXHIBIT 3 Internal Revenue Service Department of,he I reasury District 10 MetroTech Center Director 625'Fulton Street Brooklyn, NY 11201 Date: p E C 29 1993 Osterville Historical Person to Contact: Society, Inc. Patricia Holub Post Office Box 3 Contact Telephone Number: Osterville, MA (718) 488-2333 02655-0003 EIN: 04-6113382 Dear Sir or Madam: Reference is made to your request for verification of the tax exempt status of Osterville Historical Society, Inc_ A determination or ruling letter issued to an organization granting exemption under the Internal Revenue Code remains in effect until the -tax exempt i.:->tatus has been terminated, revoked or modified. Our records indicate that exemption was granted as shown below. Sincerely yours, hicia (V JuV Patricia Holub Manager, Customer Service Unit Name of Organization: Osterville Historical Society, Inc. Date of Exemption Letter: February 1960 ' Exemption granted pursuant to section 501(c) (3) of the Internal Revenue Code. Foundation Classification(.if applicable) : Not a private foundation as you are an organization" described in sections 509(a) ( 1) and 170(b) (1) (A) (vi) of the Internal Revenue Code. EXHIBIT 4 Osterville Historical Museum- Home of the Crosby Boats Page 1 of 2 O step� ; Azle Hlis`to><t><c��l �T�useum y. �s a - ,f Chocolate Festival 2010 Join us on February 6th for hot cocoa and cookies as you make an old-fashioned valentine just in time for the holiday. As part of the Osterville Chocolate Festival,this event is free and open to the public.Ages 4 and up are encouraged to create a heartfelt P� ►i;m valentine for their loved one and a soldier courtesy of Give2theTroops.org from 10 am f 't�UNr to 2 pm at the Museum. Free Admission. 1r during the Chocolate Festival February 6th, History Campus Programs 10 am-2 pm Osterville Historical Museum is dedicated to preserving the history of the village of Osterville.Located in the charming seaside village,the Museum complex sits on lovely grounds which are highlighted by an 18th century herbal garden and a 19th century ornamental garden.The Museum's permanent collection contains period decorative arts,furniture and ceramics.The two acre campus sits on a quiet street-a perfect spot to enjoy a picnic lunch or a cup of coffee on a sunny day. A Museum for kids! The Osterville Museum welcomes children of all ages. There are ' many activities for young visitors to choose from. The Kids'Detective Club is a scavenger hunt throughout all X a three buildings on campus and is ongoing during museum hours. As kids explore the three buildings, the rnd several educational P S� Y.f s� ?Gy' interactive displays to work with. From celestial navigation, to ship designs to sailor's valentines;kids enjoy and learn at the' same time.. Children's Story Hour:Every Thursday during the season the Museum holds a read-aloud program for ages 4-6 at 1!:00am, and ages 7-10 at 2:00pm. Kids love to hear stories about life in a small coastal New England village. EXHIBITS:June—September 2009 Dolls from Many Lands: This exhibits highlights the Museum's outstanding collection of dolls spanning two centuries. Dolls from many lands are brought together portraying-the different styles and workmanship that have gone into making up our childhood treasures. http://www.ostervillemuseum.org/index.html .3/11/2010 i Osterville Historical Museum - Home of the Crosby Boats Page 2 of 2 Osterville History: The Cape landscape is full of examples of the transient nature of life. From glacier formations to shifting sands, this body of land is constantly evolving;carrying with it generations Of inhabitants, their history and their stories. Osterville's history reflects these changes while preserving a unique heritage of the Cape. Hours: Wed 5:00 pm Walking tour The museum was open June 13th—Sept. 12th,2009 Thurs 1:30 pm to 4:30 pm Fri 9:30 am to 4:30 pm The museum is now closed for the season. See you Sat 9:30 am to 4:30 pm at the Chocolate Festival valentine-making event. Admission:Adults:$5.00,Children under 12 and members are free Private Tours:Appointments can be made through the office for private tours year-round.Please e- mail us at OHS@OstervilleMuseum.org or call us at(508)428 5861. The office is open year-round M-F 10:00 am-4:00 pm N OSTERVILLE FARMERS MARKETTM EVERY FRIDAY&SATURDAY IN SEASON FROM 8AM TO NOON!!! THANK YOU to everyone for supporting our Farmers' Market program. Merchants included local village shops and Cape Cod organic produce farmers. Please come back and join us again next year. A great, small museum bringing local history and people together. Osterville Historical Museum CLICK HERE for the latest 155 West Bay Road Directions: click here Osterville,MA Newsletter [Home] [History [Campus [Programs Calendar [Contact Us l Sho Links Copyright 2008-2009 Osterville Historical Society and Museum Osterville Historical Museum and Osterville Farmers Market are trademarks of Osterville Historical Society and Museum Designed and hosted by www.OhainWEB.com i http://www.ostervillemuseum.org/index.html 3/11/2010 IPrograms Page 1 of 1 i Programs at the Museum are separated into events and internships,as outlined below. EVENTS: CLICK HERE to see the list of events for this season ' INTERNSHIPS: • High School Internship Program • Undergraduate Internship Program �a • Graduate Internship Program Christmas The Osterville Historical Museum on Cape Cod was very excited to offer Internship positions for the 2009 season Village and is now proud to announce that the High School Program has been completely filled. Stroll The internships are unique opportunities for students of all ages to gain hands-on experience in the professional environment of an historic house museum.The Museum is the caretaker of a growing complex that includes three December buildings on a two-acre campus providing a rich environment from which to learn. l lth Please check the individual programs for further information about what was offered. Home Events [Internships) Copyright 2008-2009 Osterville Historical Society and Museum Osterville Historical Museum and Osterville Farmers Market are trademarks of Osterville Historical Society and.Museum. Designed and hosted by www.OhainWEB.com http://www.ostervillemuseum.org/html/programs.html 3/18/2010 i Town of Barnstable �oFt"E'Owti Regulatory Services Thomas F.Geiler,Director yB'a''"s`". Building Division �iOtFo 39. Tom Perry,Building Commissioner I 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Permit# 0 Gz 4 2Z I Application for Sign Permit Applicant: 6)5 J e(- (,(e� 4l S So G t e-� Map & Parcel # Doing Business As: Sa�- Telephone No. Sb 7 (�5}ic:����=�-owtj G Re'C-►- CFI Poi) SO.colcn �t,� I\c� " �5�. W P> Sign Location Q r Zoning District: Old Kings Highway? Y /No Hyannis Historic District? Ye No Property Owner Name: Telephone: Address: Village: Sign Contractor Name: 61 e'-I J b 41"t R- Telephone: Mailing Address: Description Please draw a diagram of lot showing.location of buildings and existing signs with dimensions, location and size of the new sign. This should be drawn on the reverse side of this application. Is the sign to be electrified? Yes Nso (Note:If yes, a wiring permit is required) Width of building face ft.x 10= x.10= Sq.Ft.of proposed sig I hereby certify that I am the owner or that I have the authority of the owner to make this applicatiort that t information is correct and that the use and construction shall conform to the provisions of§240-59 thro gh 40-89 of the Town of Barnstable Zoning Ordinancce.. Signature of Owner/Authorized Agent: ( -� • J -�-� Date: Permit Fee: Q Sign Permit was approve isapproved: Signature of Building Official: Date: In order to process application without delays all sections must be completed. Q:IWPFILESISIGNSISIGNAPP.DOC c Rev.9112106 FPO Op,. tee. s TW�4f- P/L?e ieAele-s �b �e I -- k) (V I i 9 IME Sign ° Permit BARN* STAB . , TOWN OF BARNSTABLE MASS. 9� 039. �� i0rF0 .�A� Permit Number. Application Ref: 200902422 20070303 Issue Date: 06/03/09 Applicant: OSTERVILLE HISTORIC SOC INC Proposed Use: TAX EXEMPT CHARITABLE ORG Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 155 WEST BAY ROAD Map Parcel 116086 Town OSTERVILLE Zoning District RC Contractor PROPERTY OWNER Remarks TEMPORARY SIGN FOR FARMERS MARKET THRS PM - FRI NOON 5/09-9/30/09 Owner: OSTERVILLE HISTORIC SOC INC Address: WEST BAY ROAD OSTERVILLE, MA 02655 Issued By: SS RD<. THAT I vI IBLE.FROM.TIE STREET" <>.:> POST TFIIS CA........ SO .. S::.:: .S. . INE r Sign TOWN Permit BARNSTABLE. OF BARNSTABLE MASS. 1639. A Permit Number: Application Ref: 200902422 20070303 Issue Date: 06/03/09 Applicant: OSTERVILLE HISTORIC SOC INC Proposed Use: TAX EXEMPT CHARITABLE ORG Permit Type: SIGN PERMIT Permit Fee $ 50.00 Location 155 WEST BAY ROAD Map Parcel 116086 Town OSTERVILLE Zoning District RC Contractor PROPERTY OWNER Remarks TEMPORARY SIGN FOR FARMERS MARKET THRS PM - FRI NOON 5/09-9/30/09 Owner: OSTERVILLE HISTORIC SOC INC Address: WEST BAY ROAD OSTERVILLE, MA 02655 Issued By: SS . I . 'LE.FR M T..HE.STgEET TI " IS SIB O P S:T:.THIS.:CARD:SO :::::::;:;;.:;::.:..:...... P. 1 Communication Result Report ( May. 12. 2010 10: 26AM ) 2) Date/Time ; May, 12, 2010 10: 25AM File. Page No. Mode D e s t i n a t ion Pg (s) Re.sul t Not Sent ---------------------------------------------------------------------------------------------=------ 9287 Memory TX 95084201536 P. 2 OK -------------------------------------=------------------------------------------------------------- Reason for error E. ,) Hang up or 1 i n e f a i 1 E. 2) Busy E. 3) No answer E. 4) No facsimile connection E. 5) Exceeded max. E—mail size Town of Barnstable $ 1 Regulatory Services Thorax°F.Gdlu,Direemr OjP Building Division Thum.Perry,CBO,Building COmllltrttnn°r 20D Mai°Stmi,Hyannla,MA 02601 ' www.bwn.bsrmtahlamaus Office:508-862AO38 Fax:508-790-6230 PLEASE FORWARD THE ATTACHED PAGE(S)TO: TO: ( 0/9 C e 5.12 // s ATTN: /�t�C`i4 E'/� SCHU�Z,� Est FAXNO: RE! FROM: DATE: SI,z O PAGE(s): (mcLUD3NG COVER sHEET) arrinwl Town of Barnstable Regulatory Services awxM� Thomas F. Geiler, Director �AIFo;ora��� 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 PLEASE FORWARD THE ATTACHED PAGE(S) TO: TO: 7` 1-C C 5 S ATTN: i FAX NO: `j O Y- RE: FROM: / �e r /Y DATE: /i z l/ d PAGE(S): (INCLUDING COVER SHEET) Rev:121901 05/XQ/2010 13:21 5084201536 ALBERT J SCHULZ EP PAGE 01/03 s LAW OFFICES OF ALBERT J. SCHULZ WILLIAM CHARLES PLACE TowN OF Bl i"STABL 7 PARKER ROAD t�� ``F Y /0 °H uS. OSTERVILLE, MASSACHUSETTS 02655-2034 TELEPHONE: (508) 428-0950 D1' FACSIMILE:_ (508) 420-1536 FACSIMILE COVER SHEET DATE: May 10, 2010 TO: Thomas Perry, Building Commissioner Arthur Traczyk, Regulatory Review/Design Planner Ruth Weil, Town Attorney FACSIMILE: (508) 790-6230 FROM: Michael F. Schulz, Esq. NO. OF PAGES (including this cover sheet): 3 RE: 155 West Bay Road, Osterville, MA Our File No. COMMENTS: CONFIDENTIALITY NOTICE: The information contained in this facsimile message and any attachment is confidential information intended for the individual to whom it is addressed. If you are not the Intended recipient, you are hereby notified that the disclosure, dissemination or copying of this communication Is strictly prohibited. If you have received this communication In error, please immediately notify us by telephone and return the original message to us via the U.S. Mail. Thank you. 05/1.Q/2010 13:21 5084201536 ALBERT J SCHULZ EP PAGE 02/03 LAW OFFICES OF ALBERT J. SCHULZ WILLIAM CHARJ,.FS PLACE 7 YATMER ROAD OSTERVT.1-LE, MASSACHUSFTTS 02655-203.4: TELEPHONE(50k7)428-6930 FACSIXTT.F.(rOB)420-3530 ALDERT J. SCHUL7. MICHAEL F.SCH7iT.7_ n cr,.hulz?schulzlawofFcec.cnm m.echW z0schulzlawof.Fcm�.com May 10, 2010 Thomas Perry Building Commissioner. Town of Barnstable 200 Main Street Hyannis, MA 02601 VL4 FACSIMILE: (508) 790-6230 RE: Letter regarding Osterville Historical Society,Inc. Dear Mr. Perry: I am writing to request that you, as zoning enforcement officer, place a letter in the .file regarding your determination that a Farmer's market at 155 West Bay Road, Osterville, MA, is in violation of the Town's zoning ordinance. Based on your representation that a letter would be placed in the file following our discussion of my March 18, 2010, letter, my client filed an appeal on April 12, 2010. At the time I hand delivered the appeal to Arthur Traczyk on April 12, 2010, I informed Art of the lack of such a letter in the file but that you had committed to put one in. I was present in Art's office as he walked across to your office to confirm that such a letter would in fact be placed in.the file. It is now two days before the scheduled zoning hearing and neither Art nor I have had success in obtaining such a letter from you. I respectfully request that you issue such a letter upon receipt of this facsimile and deliver a copy to Art. As always,please do not hesitate to contact me should you have any questions. . 05/1-;Q/2010 13:21 5084201536 ALEERT J SCHULZ EP PAGE 03/03 Very truly yours, l ichael F. Schulz N FS:Iaw cc: Zoning Board of Appeals Town of Barnstable,Legal Department l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel v� Application# � y Health Division Conservation Division Permit# Tax Collector Date Issued ,3 Treasurer Application Fee MI Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address `k�'� CP,&A AL_ _ �AAJ Village n Owner /�Y) Ada A&2&6Ze.�('ca St9 PO 04 Address SCAM _ Telephone 9s? Permit Request i 0&^A-46 00 ' Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing I new.. Number of Bedrooms: existing new rev alunt a, M Total Room Count(not including baths):existing new First Floor Roo `- Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other '7 2 u., Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coa stove: 0 Yes mr-- ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:Cl existing Cl new size Other: Zoning Board of Appeals Authorization ❑- Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# (;urrent Use Proposed Use BUILDER INFORMATION Name �n,P�cQ� Telephone Number Address License# 1r�g �tn .(tl'l� Qa( Y� Home Improvement Contractor# a Worker's Compensation# '?n A 53 P'�. 200`2 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT.WILL BE TAKEN TO 'SIGNATURE 0Qm p�l�/ Z-` DATE a_ra.J 10 LI FOR OFFICIAL USE ONLY, PERMIT NO. r N. ' DATE ISSUED MAP/PARCEL NO. N , ADDRESS VILLAGE `. OWNER t ; f DATE OF INSPECTION: a FOUNDATION r � FRAME INSULATION FIREPLACE f ELECTRICAL: ROUGH FINAL p PLUMBING: ROUGH FINAL GAS: ROUGH FINAL , FINAL BUILDING L� .. DATE CLOSED OUT ASSOCIATION PLAN NO. t y Town of Bairnstable Regulatory Services _ = Thomas F.Geiler,Director 0� 16.79. Building Division. Tom Perry, Building Commissioner 200 Main Street, IJyannis,MA 02601 www.town.barnstable..ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, p 60A (01')C.rg ,as.Owner of the subject property hereby authorize d Q2z wad to act on my behalf, in all matters relative to work authorized by this building permit application for. 1 16044 (Address of Job) r • ' stv�-, °�'�`lam� • Signature of Owner Date Print Name Q:FORMs:oVJNERPERMIS SIGN The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 wwvw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individu4: 6 2 a d e 4_&&Al r L- Address: a-( fD -�o �b t e_S LP4-ti E- City/Stat P: -N Phone#: Are y u an employer? Check the-appropriate boa: Type of project(required): 1. I am a employer with _ 4. ❑ I am a general contractor and I 6. ❑ New construction employees (fall and/or part tame).* have hired the sub-contractors• 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8: r] Demolition working for mein any capacity. workers' comp,insurance. . g, ❑ Building addition [No workers' Gorrip.insurance 5. ❑ We are a corporation and its required,] officers have exercised their 10.❑ Electrical repass or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers' comp. c. 152, §1(4),and we have no U Roof repairs insurance required.]t employees.(No workers' 13.� Other comp.insurance required.] . *Any applicant that cheeks box#1•rnust also fill out the section below showing their workers'compensation policyinformation: t Homeowners who submit this affidavit indicating they ass doing all work andthen hire outside contractors must submit a new affidavit indicating such. ZContractoss that check this boa must attached an additional sheet showing the tame ofthe sub-contractors and$ea workers'comp.polity information. I am an employer that Is providing workers'compensation Insurance for my employees. Below is the policy and job site Information. Insurance Company Name:_Qa z, Y_ nb j lz,e.l .Q Policy#or Self--ins.Lic. #: "7/),1/33 / h 06 7 Expiration Date: Job Site Address: 9V' &4 City/5tate/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$1,500.90 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250;00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Simafore: I&V 6&4 Date: Phone#: Official use only. Igo 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 S.Plumbing Inspector* 6. Other Contact Person: Phone#: Information. and Instructions z . . 4' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. ~M�, Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,.oral or written." An employer is defined as-"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged is 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 orbuilding appurtenant thereto shall notbecause of such employmentbe deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildingsdn the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the eommomvealth nor any of its political subdivisions shall, enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'.compensation affidavit completely,by checldng the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to'carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required.`Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The-affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of . Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies Mould muter(heir self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly: The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. = Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that mist submit multiple permitIcens a applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job.Site Address"the applicant should write"all locations in - : (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for fature permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would line to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-S77-MASSAFE Revised 5-26-05 .Fax# 617-727-7749 wwrv.m.ass.gov/aia i ' z ISSUE DATE 1112912007 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF.INFORMATION ONLY AND Miller McCartin CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE dba Dowling&O'Neil Ins Agcy DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 222 West Main Street Hyannis,MA 02601 COMPANIES AFFORDING COVERAGE INSURED Bradley A Paddock dba Paddock Home Improvement COMPANY A A.I.M.Mutual Insurance Co 24 Debbie's Lane LETTER Marstons Mills,MA 02648 tf mom+-.r.wPfaa- �:zi7� f1,->. ,�z Ly s,.ry ga. ir. o d'i r". } ,5r tO x p' x y.. ,..,.. e " r,.,wU-' h Gs. r� p .r° c 3'€t L,. ,Y.y�: aF F}' 't MUY 'y.i.Ftf CORAGES r. § ' ., s�w,rxxr„" ia',. td�.' �-�` .-r, 13 :„i'.iz ...:.:, ».J'Y;: d,»�»+t•�k'k 's T.arr�z«,n ,'�a .'�...''t�'x #a�,3 tz;l �o'?� a3$k�7�5�,is »' 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.REQUIREM ENT,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 EXPIRATIOND/ LIMITS LTR DATE(MM/DYY) DATE(MMIDD/YY) GENERAL LIABILITY GENERAL AGGREGATE - PRODUCTS-COM P/OP AGG. COMMERCIAL GENERAL LIABILITY PERSONAL&ADV.INJURY ==CLAIMS MADE=OCCUR EACH Q CURRENCE t =OWNER'S&CONTRACTOR'S PROT. 'FIRE DAMAGE(Anyo ne dre), _ .__._..._..._i .._.....,._..,_ ..,. ....... ...... _ __'-M ED:EXPENSE(Anyone prison)7 S 1 "'i AUTOMOBILE LIABILITY., .tj ✓' :i 1 + _.___. _.._._ ED SINGLE -...". ___.__........ ..._._...._._____.__ ..... y _ --••^• — - LIMR ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULEDAUTOS - (PaPmm) HIRED AUTOS NON-OWNED AUTOS BODILY INJURY GARAGE LIABILITY (Per accident) PROPERTY DAMAGE S - - EXCESS LIABILITY EACH OCCURRENCE - UMBRELLA FORM AGGREGATE OTHER THAN UMBRELLA FORM . , 11 :5_...._. '_. a�a WORKERS COMPENSATION AND STATUTORY LIMITS OTHER EMPLOYERS LIABILITY X HE PROPRIETOR/ EL EACH ACCIDENT 100,000 A ARNERS\EXECUrIVE" - FFICIERs ARE. 7021339012007 ° 06/06/2007 06/06/2008 EL DISEASE--POLICY LIMIT 500,000 _ EL DISEASE--EACH 100 000 EMPLOYEE COMMENTS/DESCRIPTION OF OPERATIONS OR LOCATIONS: BRADLEY A PADDOCK IS NOT COVERED BY THE WORKERS'COMPENSATION POLICY. ' pXw,� yp• ,.,�. gGf""rs'' 9r�u�.; �x �,.y?-<� z�",�: .� �;, vy>.y': .t >,.« �„r'1"''.".w° Pik•;3a var, �. ��" i ..�M.. ,lt,.t:e ° GERdTIFIGATE�HOLDERi .t�r'��. ',,1, nab a «!. CANCELLATION ,,5- MWIM, ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE-CANCELLED BEFORE THE EXPIRATION DATE j 1 HEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL.10 WRITTEN NOTICE TO THE CERTIFICATE TOBEY,LEARY { OLDER NAMED TO THE LEFT,BUT FAILURETO�MAILSUCH,NOTICE SHALL IMPOSE NO OBLIGATION _. R LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. 46A LAFRANCE AVENUE C�k C�a . HYANNIS,MA 02601-1990 UTHORIZED REPRESENTATIVE W Town of Barnstable *Permit# 3 3 2 OFTN£ Fvpires 6 months from issue date egulator Services F 9 yt�►ss g .BARN ' -Geiler,Director m �'°ifD'M�`tp, ...._.• :,. ;...._.:��.:...::..._..:..-Bufldbag Division- - —• '"Tom Perry, Building Commissioner . ...200.Main•Street,- Hyannis,MA02601----• - Office: 508-862-4038 - R � .�. Fax:'S08 90-6230'. .. ... -•'-�XPS��ERIGITT:�.'I'Y:I�A"Y'LON �=�-RESIDENTIA���L�'- 200r Not Valid without RedX-Press imprint TOWN Or BARRN -Fr�L,_ slap/parcel10mber p Property Address ,T Minimum fee of$25.00 for work under$6000.00 Residential Value of Work Owner's Name&Address l.,� A`E R S fiEQ l� tl ll , �1 Telephone Number Contractor's Name Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workmen's Compensation Insane Check one: I am a sole proprietor I am the Homeowner ❑ Ihave Worker's Compensation-Tnsurance Insane CompanyName Workmaa's Comp.Policy" Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) es All construction debris will be taken to�N CT\ 3C. � - Re-roof(stripping old shingles) • ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this perrmt does not exempt compliance with other town depmtnent regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. Signature ni�, is FQ �(� ,� l 1 ar Qgor='eXPMtr3 Revise063004 S .r 0 The Commonwealth of Massachusetts _ — Department of Industrial Accidents - Office oflnvestfgatlons 600 Washington Street, 7`h Floor --- Boston,Mass. 02111 Workers'Compensation Insurance Affidavit: Buildin lumbin /Electrical Contractors oniftinlyagil,Ili name 9J17 P A n(Dc�,Lc - address c�u ���.► l-I/�1V �i city state: rip e a phone# S C1 `Ll - 4 YU S' work site location(full address): ❑ I am a homeowner performing all work myself Project Type: ❑New Construction[]Remodel I'am a sole Droprietor and have no one Workiniz in any capacity. ❑Building Addition • ❑ I am an.em Toyer �ovidin workers'compensation for my�employees working on this job. ^; :r 'h'�' °^�'`�i'�`t r},e �<�f�'`��<'%. -Td•�-' .t�=S.'?s.�P.��4 \ „�i r'Y Lr. ''�'C'k ,�.� ��4 ':�:cr$.;. y-.:r� .[7. 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'�Gtir•. �.: IC; ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: _ `;,.a£,`=":`:t`: �:�.... •:er:s,+>';,+. :«?i:"" "f-t>. .�Y"oi-�.>. .ofa,.5^•.s�':'�r-. .a�. .u:.."Se.'��.., .k^ N- x� .s Y.. t .. rcb :a Uf. ;l;CC' �± S.W.. .;pp ��.r ,4 sp,... .•i�5p.� .-..� �SV:�. ...,'. .,t:. , :: .•:...,, , .. ..7,vw:Ag.:< , 2..:.M �_ !1L:Cli• 7:ns�'feF.c .!�'•4 t.`S'6�.!a>b.a>.::`:«>' S1�y '80(lre$$:",!ry+'.tr+e.•`F.r•_�.:».Bv.R'_3 .A...... ...y{ .Y.n:,J. ':•i`.1.!:r.> .. `3 S• S i ey y Y t' C• t [sl Y•i !,:6`.Fil$:>'a?^'ra�P sXaS_., %b•. _<'F�,"k+.;.c1"xi.:- r,r.f.,3. _t��0 tx n {•5' h.. '. °�`.:3':: •.i50 ``a� .``s:i'ai tF .�{,....a..•Je`S'i'�•s T' v. ary`N .�rP r"J ., '•r' ... 1 •+.taw` •!>i>': i ... u.K,.�.,a:YL.:t:.l,b.,.:»_,.....0 n.,>I:.e.:...,:ta_+!.+:_<..t• 3iti i:;M..•..::�....au�.:..7?E::r.Sf.;L�'i ..:1>;•. .. •F' f• - •t:� .,9..,. .:.vl:`.;.t'.;J,.y..!_,,.�,;;>:•:'{, L:�"}Fi ''•i>t: '•F.�' i� _ .r. .hn ;%r-,: .�is. �"L'41�:i• "(iv_A,i<. ..i�:-t-y•'�..-�,.l'., 1 t.`>l:.�r•.:„- :'Q•: •:<'iJ'v.),v,X', </��'�• :(.' :��':in. 1_ ..4'j: '•N:J�. :�Y�,•' '.D cle[� `.:">`. :.!')• .Z�v"t.. ->:'Y..a' .K�� may.<"`.> .,.i?ate ..F..�-$!�1.. .e'..��• :;ir-:.. _ •:y .erg yy�, �:•.: , ,<c.y. y, .•.:if..'.:"µ +<.£i� +,/�. '�1jC<n : , 2n's�I�'d'IY4�Ci�0":e-,�:�.ls._:_-..:::a.J,•. ..:.e..... .-�>' ,.:•: ,.... . •_,r:>;. - Failure to secare coverage as required under Section 25A of MGL 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$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature Date `)�`!�S i Print name Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# ❑Building Department' ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other (revised Sept 2002) IF Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a . dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all to may be submitted to the Department of Industrial Accidents for confirmation of insurance-coverage. Also be sure to sign and date the affidavit. The affidavit should be returned.to the city or town that the application for the permit or license is being requested,-not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if :- you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ENNAM The Department's address,telephone and fax number:. The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7th Floor Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617)727-4900 ext. 406 TOWN OF BARNSTABLE BUILDING PERMIT PARCEL ID 116 086 GEOBASE ID 5663 ADDRESS 155 WEST BAY ROAD PHONE OSTERVILLE ZIP - LOT BLOCK LOT SIZE DBA ` DEVELOPMENT DISTRICT CO PERMIT 72229 DESCRIPTION TWO 12"X18" SIGNS PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: PROPERTY OWNER Department of i ARCHITECTS: Regulatory Services TOTAL FEES: $50.00 BOND .00 t. CONSTRUCTION COSTS $400.00 � 753 �MISC. NOT CODED ELSEWHERE 1 PRIVATE snxsrnB , MA & s639. BUHAHN ISION BY s DATE ISSUED 10/14/2003 EXPIRATION DATE t Town of Barnstable Regulatory Services II �, Thomas F.Geiler,Director BARNSTA9 MASS, Building Division 1°rEp MAC a Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Tax Collector Treasurer *1222 � //�� Application for Sign Permit. Applicant: �s /1 U/ AIJ 701R/c91_�&cle- y Assessors No. Doing Business As: Telephone No. Sam 2 5 420 Sign Location Street/Road: 01�i7 Sfd `✓.�� /�� Bh.� ,fo, *fC 2, Zoning District: Old Kings Highway? Yes/No Hyannis Historic District? Yes/No- Property Owner Name: �sfe�Ull� /T/S7o�/�` ��G�� Telephone: r6,9-- �2S --54 is� nn Address: Village: a(fe2 y11 c , Ali Sign Contractor ` �,[ Name: vh�(�oN7 ar(� /,�d f /i,," e Telephone: Address: Village: Description Please draw a diagram of lot showing location of buildings and existing signs with dimensions,location and size of the new sign. This should be drawn on the reverse side of this application. j _r1a Is the sign to be electrified? Yes/No (Note:If yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make this application',that theme u� information is correct and that the use and construction shall conform to the provisions of Section�'3 of the Town ' of Barnstable Zoning Ordinance. :: g g � �// 3 �- 7 Signature,of Owner/Authorized Agent- Date: Uo ca �( rr *9 w M Size: /Z X /r- (/Z ) Permit Fee��� 7` — Sign Permit was approved: Disapproved: Signature of Building Official: Date: Signl.doc rev.122801 I . 1S Q6, TE-RVIL4 �_ �-! lS ToRICAL• U Scum !t '1 D6U �/VS / , a � � � S-� � _ L20 -- 2- 2s3 z6o hin f' 7oVs}Q� �l. u f e Z Loaki�,y r4s70(-- y .yl Engineering Dept. (3rd floor) Map l Parcel �[l� 3 ermit# -` House# 1J� �� % ate Issued Board of Health(3rd.floor)(8:15 -9:30/ 1:00-4:30) Z 6l-75 fF&A 1 Z c ,a+V Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - SEPTIC S DUST BE IN P11ANCE n p 19 �1Pttna s�Io TOWN OF BARNSTABLE TOWN & TIONS Building Permit Application Project Street Address Village et S Vi Lt-F- Owner �e,-JB9 VIL__L.€ I+ISTio2rc4t Address tt/j;!s;-y q ��j. 051-E-OCUILL-E Telephone 42.6 -fOta9.o Permit Request 70 GU 1 A.. 6 a 4•i S'T0 tr A-G-F_ Pf S,H O P L..;D f PJ(r- r First Floor to oo B square feet Second Floor 1.1 0 0 f3 square feet Construction Type Estimated Project Cost $ IJO, oyo M Zoning District Flood Plain Water Protection Lot Size 4 7 Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure storic Hou ElYes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walk t Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing ---Ne Half: Existing New No. of Bedrooms: Existing New Total Room Count(not including baths): Existi 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ 'Commercial ❑Yes ❑No If yes, site plan review# ZA- ;?2 r Current Use Az:4—rIC aJ 5GC Q -�4 Proposed Use VltiQ_ Builder Information Name 3)01mCr V,/I t-G,R4TR 4 aX, Telephone Number 1-4/0 "/,S d V '77f•52o 7 Address aq License# 3,-,) Home Improvement Contractor# L-0 L'37Y Worker's Compensation# A� '7oe LZ•<S( - Ol 9-b 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 fl DATE J/3 107 BUILDING PER T ENIED FOR THE FOLLOWING REASON(S) r s FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUEDt. MAP/PARCEL NO. •-7 11 Y A v:. ADDRESS } y VILLAGE,- OWNER e' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: R IN r FINAL GAS: _ R (�.D FINAL t .. FINAL BUILD' ' DATE CLOSED • °tea "' ,� t' ,a A co ASSOCIATION AN , .ate �„_ GYA g-yy . • a i t W. I t Pipe Fnd \4'IANNO CLUB Pipe Fnd I 208.60' •• ._ . o { WIANNO CLUB •4 �i I NOTES: DEL Meets and Bounds taken from i PLAN OF LAND IN BARNSTABLE .P,s,�a,t• .. ® Scale 30 feet to an inch s27a ;::.;:.>:.;<` .`•<: SEPT 1922 Frederic O. Smith,C E Copy of part of plan filed in /� '"""•''`" LAND REGISTRATION OFFICE ' 9175A-DEC 29 1922 O �-A, = y J. l�Z Building.Locations taped from C r f pipe monuments on westerly bounds and concrete monuments on northeast 1,+� cornerdg6�t .aji other bounds found. b'ARAt HTF � 9 No. 12-67 Q au^ %:SOS:: �`>�: �r�`?�• 1 C OSTEfiVILLE. U xk; : �'? ?':`::>•`.''ii::':: - y MASS. >:•::-�a: Gravel Drive Lawn Parkin �►�;� _ :?•r::: o Scale: "- Ll x 4 Z SITE PLAN for the OSTERVILLE HISTORICAL SOCIETY Bnds WEST BAY ROAD OSTERVILLE MA - - - - _Fn ti _ or nr •• ��—� -- 7648'40' ALDER En - AAA zz STANLEY F.A�LGER.JR Project o: AE9604 Az/77°aF'a0__ -- --.._. .._ -- - - --- --- - --ENTRANCE _ -::__ _,- 1- - _ 38 LEONARD DRIVE-- D - N OSTERVIL-E . >�, ate: T\TOV 15. 1996 - EClG/ 01.655 . 2416 _DALG ITT t r i i HARB�� 120 Great Western Road (508) 760-4500 P.O. Box 708 1L� �5 Fax (508)760-4930 M South Dennis, A 02660 Toll Free 1 (800)368-SHED D PRO 7433 . 58550 DEPARTMENT OF PUBLIC SAFETY 58550 IviONE ASHBURTON PLACE, RM 1301 BOSTON;;lA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE Number*.' Expires: . Restricted To: 1G n; : p D RAY JAMES D MCGRATH o Detach bottom, fold sign on PO BOX 708 �� "Z.;= Lback, and laminate license card. S DENNIS, HA 02660 Keep top for receipt and change of address notification. HOME IMPROVEMENT CONTRACTOR . Registration 109374 Type - INDIVIDUAL Expiration 09/11/98 PINE HARBOR BUILDING CO.,INC. JAMES D. Mc6RATH �OX 708/120 6T..{dESTERN RD Am&8sTRAmR S DENNI5 MA 02660 i _ The Commonwealth of Massachusetts Department of Industrial Accidents Office oflnyesGgations 600 Washington Street Boston, Mass. 02111 Workers' Compensation Insurance Affidavit f nnlicanl=mforntattoit::>.-`y> `s'--. k 7Please_P.RTNT•le�itil���: , �:,:a u� ter: — . .,:.. �-.,,. name: location: city phone 9 I am a homeowner performing all work myself. I am a sole proprietor and have no-one working in any capacity =77- I am an employer providing,workers' compensation for my employees working on this job. 4_1 com p any name•address: city: _ ... .. .... hone-#: insurance co. V olicv I am a sole proprietor, general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: ,. city: -:.:. phone# insurance co. nolicy# ::.. ,.. company name• a ress• ......... . city: phone#• insurance co: : .. .:.::..:. policy'#.. :.. . .. ttac_h additional s�ieet n'ecessan - - - _ _T'�'s•:�':.,;; `max�> 3� r„ ->> � � _'"_' Failure to secure coverage as required under Section 25A of NIGL 152 can'lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one}•ears'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may he forwarded to the Office of Investigations of the DIA for coverage verificatibn. I do hereby certify under t pai n alt• erjury that the information provided above is true and correct Signature Y Date Print name Phon e► / 1 # � f=-official use only do not-write in this area to-be completed by city or town official :A city or town: permit/license q OBuilding Department ` 0Licensing Board Q check if immediate response is required OSelectmen's Office QHealth Department contact person: phone±; rOther ,.w r Y 4 d�- .. toms e orr TtLLL I j, f V i e cv eQ i2 Vic '-ti ti g r l�C-IAO c&a"%— /Loa P W� j7E c Cz?X— Hill I 11 .11 L�- r� . ..._ .� i ✓_'�.i 1�i O{�'f'� Viral Flo, R plaN u � �✓i a i✓,✓o ,$ev;o R i 25' xe' to " I i y Ll,�iaNA/0 T4N4p/� EnVineering Dept. (3rd floor) Map ( 6 Parcel b0''`F-eerrmit# House# �6 'Po►��-Erate Issued Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) IKE►by,_ Definitive Plan A ved by Planning Board 19 • BARMABLE. TOWN OF BARNSTABLE Building Permit Application Project Street Address �J�J� 6!57— 13,0 Pp . Village O Owner__ �J' (1 /`f�gY Address G 5T— ,tea . Telephoned ��(® Permit Request 45/1e7&VF 4�F)(/Zy,0(- --,eooF' D/0 RV14Z>A(1(_- ,!fE - r05rr om Or First Floor At= square feet Second Floor 4,44:__ square feet Construction Type Estimated Project Cost $ 6?Z " Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No DwellingType: Single Family yp g y ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure r7,) Historic House ❑Yes N�40 On Old King's Highway ❑Yes `9fNo Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing Half: Existing /"�"" ::::2 No.of Bedrooms: Existing New Total Room Count(not including baths): Existin liew First Floor Room Count Heat Type and Fuel: Ll Gas ❑Oil ❑Electric ❑ t Central Air ❑Yes' �No Fireplaces: Existing ew Existing wood/coal stove ❑Yes o Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) • ❑Attached size _ ( ) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use �J,(J� J� _ Proposed Use 7 R >j�.- Builder Information Name r �� Telephone NumberouZ�7c3CJ� Address 41Q:�f, l-3 Z? License# LZLLS 41 4— Home Improvement Contractor# `Ow✓z- 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 DATE 9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) g kv FOR OFFICIAL USE ONLY o PERMIT NO. DATE ISSUED a MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME , INSULATION FIREPLACE -`ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. THE The Town- of Barnstable � g Department of Health Safety and Environmental Services BuiIding Division ' 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax:.- 508-790-6230 Building Commi: For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. �A /��- c��""/i��v ��� Est:Cost Type of Work: Address of Work: Owner's Name Date of Permit Application:. I hereby Y certif that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. _Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME MOROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY IF=hereb ;�r a permit as the agen o er. 3� Date Contractor Name Registration No. nu 4 Tlie Canny a tirculth ufatascachuscttr Department of Industrial Accidents 1 Y I • � '• 011iceallayest/ga1/ans 600 Ih'usltinrlua Street y;• �" Btistutt. Ma-Y.T. 02111 `-• Wurkers' Compensation Insurance Affid:wit Alililicint inforniatititi Plcis 1'R ^itily - - na1nc Incition <% 1-7 7 �, �� � Phone e I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity r I am an employer providing workers' compensation for m% employees working on this job. oat ,any name, atlrlresc• city nhnnr 11- insurnncc co. IicV tt - -- —,• — —..._� .._ Cl I am a sole P P ro rietor, eneral contractor. or homeowner(circle otte) and have hired the contractors listed beiow who nr e the following workers' compensation polices: cnm anV nnrnc• arldrecc- city hone d• niicV M 77 conirinnv nntnc: nticlresc� hnnc d- clt�" insurnncc c __ ,y.•-!_�6 -t�--�j•4;.I�.• ! "wJ• .w�.�•.Ir �.�in.�N V.L._/w/V r_.r_�.—.w.w_Y�•r�a'w_.• Attach additional sheet if necesia_ry •,�••.,.�..� S. �� =-=-_ -- - ' Failure to secure cnc•crace as required under Section Z5A of t11GL 152 can lead to the imposition of criminal penalties of a line up to 51S00.UU andiu: unc,cars* imprisonment:,.well:ts ci,•il penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that cop%,of this%tatcntcnt may be furwnrded to the Oflice of Investigations of the DIA for coverage Verification. I do hercbt•cerrift•tintler tlt • ias d c s of perjun•that the information provided above is true utt co ec1 5 � g Si;naturc Date Print name ` Phones �oflicial use unit' do not„•rite in tins arcs to be cumpleted by city or to%vn official cin or town: permit/license i{ r'•tBuilding Department • Licensing Buard check if imrnediatc respunsc is required Selectmen s Offiec �•: aticatth Department • contact person: - phone#: M0111cr � `�lze -�anvaw�uuealbi a�.�aoeac/zuaet(a I .. �. _ .T_ C ReftIi ted To: !G lug DEPARTI{311T OF PUBLIC SAFETY 56769 . CONSTRJCTION SUPERVISOR LICEN'SE FO Nuaber:''` Expires: 1G - 1 & 2 redly Roes Resl r tted,To:,`1G 'Failure to possess a current edition of the t Massachusetts State Building Code MAS J ORO PK is cause for revocation of this license. ",PO BOX 602 ''`MAP,STONS HI11S, NA 02648: . . 1 , ' �ie��oommonalea�DE�.�aaea�auaetle 'HOME IMPROVEMENT CONTRACTOR Registration _100032 ' 1 Type - DBA f Expiration' • 06/08/98 F O'ROURKE BUILDING CO'. 1` Thomas J. O'Rourke, Q�oz 602/26 Dove Ln .,A oMNis1uoroa . arstons Mills MA 02648 1 + 1 � oF� • anaxsenBI. • 059. � The Town of Barnstable Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner February 5, 1997 Mari Poss, President Osterville Historical Society 296 Eel River Road Osterville, MA 02655 RE: SPR-005-97 Osterville Historical Society, 155 West Bay Road, Osterville (116/086).Proposal: Boat house to house Wianno Senior and Wianno Junior sailboats. Dear Ms. Poss, The above referenced site plan was reviewed and administratively approved. Please note that this property is listed in the Town's Inventory of Historic Places. I Please be informed that a building permit is necessary prior to any construction. Upon completion of all work, the letter of certification required by Section 4-7.8 (7) of the Town of Barnstable Zoning Ordinances must be submitted. Also, all signage must be discussed with Gloria Urenas of this Department. Should you have any questions, please feel free to call. Respectfully, Ralph Crossen Building Commissioner I � _ I - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION t l Map /,� Parcel. Permit# Health Division Date Issued Conservation Division Fee Tax Collector D !CL-- Treasurer SEPT➢C SYSTEM MUST O INSTALLED 44 CC 9 L.I >"�':''.Planning Dept. `s��'hTLE Date Definitive Plan Approved by Planning Board NTAL CODS AIM Historic-OKH Preservation/Hyannis TOWN REGULATIOMS Project Street Address /�S S Gt/�S�T 19,E-,7' T Village LQ L, L L Owner SDI Address /d d. 23,d x •1 i Telephone 5716 2 "-1' Permit Request ZA—/ /;Z 3c 2v' A, d 'AfiD -,?Y Zi&E Aid 72) BE Square feet: 1st floor: existing proposed �240 2nd floor: existing proposed Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type AIWOU Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Wiffiber of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count I 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 XNo If yes, site plan review# --Current Use _ Proposed Use 5;We_.4►�'� BUILDER INFORMATION `Name:=-� ZZ Telephone Number Uv moo„ On AdOdre ss License# X J. 00V Home Improvement Contractor# D 2-e Worker's Compensation# ALL CONSTRUCTION DEBRIS LTING FROM THI PROJECT WILL BE TAKEN TO - SIGNATURE DATE "y= ia.�---� e FOR OFFICIAL USE ONLY PERMIT-fNO. s DATE ISSUED M4P/PARCEL NO. ADDRESS VILLAGE OWNERM1 d DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL a PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 .) 1.1.).go,k1 r 1 t�t��%;ra�q�r•�wur�w����/!/�/le�'/!!/���������/�%!!/�/- .�s�:��% ;%%: -'%.��i��i�%i����������������.������.G�!!!!%/%�� .1 MIX TIM. r� �r• ■ 1• r•111_. ••1•. .�.1.1.111 1 •I•. 11 ■ 11 . . .. 1•I .11. I • r. . 1 ••1 ..... • 1 .11 •-:IIK«, ///////////,%////////////////%//�///////////////i//////////////////////////////////ii/i///////////////////iiii/ii///i i•:i/iii!/i is i/iii'��"'i%���!"'�""'!���//i/ii///////i/i////////////////////////////////////////////////////////.Y///r1f •, - r1 1 .1••Ir • a • cn1 1 •.•-• •nn•-. .:1• ul r•i n - u•!11 n k. , :111 •1 ••1•wIH � JI 1111• 01• •1 1 I 1 _1 1 . -• 1. 1 1 1 � ,..; v�..�.. .. �:� �: ,:;.;��:. .!,::.......::.:@2't lrtiro:ci.. .:;,,�cc)�o.,.:ioir�.v.•::Y�•"::-%i a��94>tJ`o"i}.<:: :� Fa::'>^c �i:x:M^„',.`�3�tx"�ai�i':d�.�'»ied`?R.. >%>' .'. ., .:�•E;gF.. ... '' �oxo,'.«.'x'r.'j5"`i=%'6.t��t�!':�>::�;;:::J•c" ><��'`'•.. :icoa..:::;�;�;:ki�' `.;''('•:'a�s:.:J:ox o :�: 1 'ka:•! 'io>riA c. 4•0�ii:.4:''�\'< 5,.„p�a.i�::4 '"^"x43g`f??<o�n �:i:%:CO,�' •:oq:oR:k< M\ .:... ...tots:"• \e: -:�<c%cj�R:SFo h::; ' , • >a. 'No.J7Ra.jk:c.:;!:..�\' :�:. �•34fi'42` .a: w T. 1 1 1 111 :111 ��• /��*r � / � / 1• city or town, ULWM=c Board . response . _ ' eWs • Health r 3• Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide%vorkers• compensation for th. r empiovees. As quoted from the"law", an employee is defined as every person in the service of another under any co= of hire, e-�cpress or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal eatIltP, or any two or more of the-foregoing engaged is a join enterprise, and including the legal represeatanves of a deceased employer, or the 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,ortbe occupant of the dwelling house of another who employs persons to do maintenance, crosttueticn or repair wane on such dwelling house or on the orOUnds cr 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 Uceasiugrageney shallVwithhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has table evidence of compliance with the hmu=ce age ed•.*Additionaily,netih�rthe not produced acce commonwealth nor any of its political subdivisions shall enter into airy caatr=for�the perfb=m=of public work UMUI acceptable evidence of compliance with the insurance requires of this chapter have been piescated / the c�} aurliorrty Applicants `. Please fill is the workers' compensation affidavit completely,by cbecldngthe.boxthat applies to your Site and Supplying canrpaay names,address and phone numbers along with a¢fcate of insurance as an affidavits may be snbmiaed to the Department of Industrial Accidents for c of insmm=coverage. Also be sure to sign and U date the affidavit 'Ilse affidavit sbauld be.resumed to the city artownthatthe application forthe pc=it or license is bong requested,not the Depart==t of hWust dai Accidents- Should yaa have any questions g "law"or if you are required to obtain a wod= cpmpensaticia policy,please call the Departm=at the number listed below. /�NEY// > City or Towns I The D has provide a space atthe bottom of th-- Please be sure that the affidavit is complete and printed Iegrb y. epar�� P Ii�. ttm affidavit for you to fill out in the event the Office of Invrs *gatians-has to cacotact you,regm fug the apP be sure to fill is the pe llicease numbs=which wM be used as a refermca ni a er- The affidavits may be==EER to the Department by mail or FAX unless other a=mzcmmtr have beenmade. The Office of Investigations would Ir7ce to thank you is advance for you cooperation and should you have nay Questions. please do 11 not hesitate to,give us a call. •- The Depaiaaeat's address,telephone and fax number. f .t , ,'i;; �`, 4' ''� , -`;' t The Commonwealth Of Massachusetts Department of Industrial Accidents 0mce of laves catfods 600 Washington street Boston,AI& 02111 fax.#: (617) 727-7749 phone #: (617) 727-4900 exL 406, 409 or 375 F THE Tp� , The Town of Barnstable g Regulatory Services �''°rEo 3My{►�0 Thomas F. Geiler,Director, Building Division Peter F. DiiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permi t no.-Sa+ Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction.alterations.renovation.repair,modernization.conversion, improvement.removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions.along with other requirements. Type of Work: /-&,ye_ Estimated Cost 5/—SV2 ._ Address of Work.— Owner's Name: z9jr' 6 Date of Application: i I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law ❑Job Under$1,000 ❑Building not owner-occtpied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WTTH UNREGISTERED CONTRACTORS FOR APPLICABLE RATION PROGRAM OR GUARANTY FUND UNDER MGLc. ACCESS TO THE ARBITRATION 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply fo�r[a permit as the agent of,the owner. Date Contractor Name Re,,,,.ation No. - Ds Date Owner's j Owner's ame q:forms:A ffidav:rev-070601 RESIDENTIAL: SHEDS - POOLS-DECKS-OPEN PORCHES- GAZEBOS DETACHED GARAGES FEE VALUE WORKSHEET ACCESSORY STRUCTURES >120 sq.ft.(Sheds,detached garages,gazebos,etc.) >120 sf-500 sf $35.00 $ >500 sf-750 sf 50.00 $ >750 sf- 1000 sf 75.00 $ >1000 sf- 1500 sf 100.00 $ >1500 sf—USE NEW BUILDING PERMIT APPLICATION DECKS x$30.00= $ (Number) PORCHES x$30.00= $ (Number) IN GROUND SWIMMING POOL $60.00 $ ABOVE GROUND SWIMMING POOL $25.00 $ RELOCATION/MOVING $150.00 $ (Plus above fee if applicable) PERMIT FEE $ Q:fonns:dkcost eff:082301 OSTERVILLE HISTORICAL SOCIETY, Inc. P.O. Box 3 OSTERVILLE,MASSACHUSETTS 02655 • y btA =A�vd . QAJ _ Os�� I �+ xi7 0 Me�m- P fi i Jo CounT� S� � Ost/u� v3o�, � , -1ro �e�-�ece sin afi y��J y q,�, be. d000 by ''i„rk - ��lo � aa8 - 7or5)�r -W,e 0511u �� lle 4;SetD(A C-O l 50 CIAe—�. !{ag � a13B s I WISE•SWA•JONE-ARaRTEM xt rx..emraa w ' _ <�ae�vuTsvn - C � r -y.- OU,9�FMS OF PRNO,O :-. 5 QT It OU140E FI1��iRN/NO l —�e.R T,'PN•JLL C Fao,ao+ ,roancsTe ONC 4 1 I I I ewFoor eF:b wa►vn] . I e NOTES � s , FOUNDATION PLAN E F ix- 3 \ ` eT REVISIONS: v-n• 'va 2 F _ __ _ _ _ mum NOVEINBER 18,2011 •• aco s,Ew NO CHANGES THIS SHEET 1 ............................. r aKELEMOP TI@^..E 1N0 aFP3 ND a)OIQOS I I I I I I I wr � n�tra TIE FEID rowsEove ois,vamo aeve as,ousnw�ros,r<u. � . ............................ IJ 11 aaEcrorowavrewe+c Fos,sroeeu . ........................... QPuE ro FAQ OF E]u:11W Tm 9pMDA9 FWSmE I . ........................... . • ............................. I Historical Society Ostervllle Herbert F.Crosby Boat Shop 155 West Bay Road I Ostervdie.Cape Cod.MA 02655 ❑� —\� I I I I TITLE Proposed Storage Shed Addition , Foundation Plan —_\J I ewTtJmx SCALE: 114'=1•-T DATE:November 4,2011 � oRAWN:GJ DRAWING NUMBER A.0 1 ISSUED FOR REMEWIPERMIT O WSE•SURMA•JONES- I 7 T WISE,SURMA4010-ARCHf1F.C1'S I I Re.e.,araa eu (R15)99T3/r! l p I I OUIIDOE Fw OF 5 hC NR.;'t AROUOPEWEIeR OASIe E/DTMLL'4 ��(Sr ONLE EW TFAW TM IIIE aFENNDIR RavroREaflve OPROML �/ casam,alRs-�TOfAL aaalt6lmr � PRE{ROINEERED.YONDMitR \ 1+ / RDDFTRIeses O uon NOTES — rRaF nc sic eeEwm ' - Lt BOTior tMolmaF'11089 mS11P GIR061 SIRCRIEO 4 DN tEVYe1P P0818 REu)RO/R — — — — — rosIEwTNRo aF Ensrvo — . BMED 3MFw 1e00ER4 eElEwRltl�laDOFTROss I soacaR RAROER wTi1C11W . wRE POSTEDDOVl14S'OIMHiYA13 EIfE1D ElOOP TR169 wN AOQ1101Y1 OF OIRDSB VATRrM'POSISTQWIVI NReS Em wY6OTIMT1N163 EIOW41 PAMOFI umaE SEC w EIR6a6 CMERIOF fTAIE OF EAYIDEi FLOOR RY ASr OFFDSRIO eucffm TRERIDO( �—elan.naM eAocEIOSIDO RO01ws vall E Wfte OTcaD. r80ugm PAT LNMRASHRDOF REVISIONS: 6TwOQERED lOP wlo eOfiW,VR U7lQIII rovwu AMAe RE01>DiFD Will ODPf61 Op POST AlO eFwYIRw1 fOUWTIOR MIIIDO STEP R/li/OQ Drir.RorleAwrowmnwaF euuno NOVEMBER 16,2011 ... ROOF FRAMING PLAN RFYRII?Ii§sEEypyr§_.,,. „r- . ............................ . ............................ . ............................ . ............................ . ............................ :era . ............................ BC D E F G . ............................ T} : . ............................ rura ra ro r ro r ro ra ra . ............................ I I I I I I . ^ OU190E FAfX 6 iR11YNO V — — - - - - - : b .:...:: A E V 0u ............ rical Soci ety HOstervllI Hlsto I............................... II d II II I.i%............. ::::iiii:;g:%:r',. Herbert F.Crosby Boat Shop is ' •155 WW Bay Road [ . ......� II � - 1 Ostervilie,Cape Cod.MA 02655 TITLE Pro Storage II p II V N Proposed Boat Sto e Q I it Q > . Shed Addition Floor&Roof Fram ing 9 Pl ans o- — — :: _ :_ I II II 0 I 0 0 . a n .::.:..............::::::....:: : : ::: :::: ::_<:_ SCALE: 114•-V-(r Lw [..... DATE:November 4,2011 DRAW GI i 6ECT11¢r.r FO;iTADAMSTCORIER6 F]09TSD . euuna roFRowDe wRuuRD suawCE raR S STRMPMOFORVMCALSOMWAMp DRAWING NUMBER FLOOR PLAN A-02 QP _ •.. - _ ISSUED FOR REVIEW/PERMrf O WSE•SURMA.JONES-ARCHTECTS WISE•SURMA•JONES-ARCA= �. ...... .. .. 0 ... ....... ..... . ................. HIM 1 Ir m IE ��9I IYi: mwm,T woo If yl Ir: ca,ana,cna+ar oornw I Eq II LLW. �aa�os IE 31 IE IE 31 IE I[ 31 If If 31 IE IE 31 If REVISIONS: .NW.mf FR Ag�Qi1....................... MI SC.REVISIONS SEE'NOTES BOAT SHEDS-WEST ELEVATION .... - ......................................................... ......................................................... ......................................................... ......................................................... ......................................................... ......................................................... ......................................................... ......................................................... D C�R � I- I ,,-�'� ' I 0; „„�R,o,r I l m Osterville Historical Society. sxyu veuct CM S I II Herbert F.Crosby Boat Shop � i I � ,j I I L� l 155 West Bay Road FP 6.�• Osterville,Cape Cod,MA 02655 -4 I^C� I,fI ® ® ® TITLE OVtuw OF r: : C_::1I3:I ? 7 : : :IIP1 II ,:,: .,I� w .: 1ilIl:; III Proposed' Boat Storage Shed AdditionY.oe XV " ° r: r WWTAs Exterior Elevations eaosoa WaMmauumw { ! SCALE:1/1-=1-0'I toaEm k : 11.. : . :Ill . :I:III: : Ill: :III : III: :Ill I DATE, DRAWN: DRAGJ er4,2011 IE II :II . • I I I I I I I I DRAWING NUMBER BOAT SHEDS-NORTH ELEVATION A-03 ISSUED FOR REVIEW/PERMIT •• OVN8E•SURMA•JONES•ARCIQTEC'rS WISE•SURMA•IONES-AROUIECfS kR ............ . ... .......... i E, I F' I ` IK . ............ ... p�E/DW Amflgl . ... ,1?CVER,ffi FY1,OjFAYE 1RY ' :tl: :tl 8 tl: 1,GR5 BUREIg9 EE)mO .. .... .............. ........ ..... .... .............':.'.11:.::..:.:.'�U'::':::': :.:.::'::..:"::. :tl: 0 :II:: w„ORO DKA STRAPRPIM M W ELEVAQ. . 0B : Q � F. I W sEvA MBCURED . .. ............. .. 6,EP R/1S,ODATNKUflOff.IIAICIIW ..... .............. .:.':':' '_•:�T':.'�:':'Cz'4.::.::i.':::f%T':::...:..• NOTES . .. .. .. .. .. ':':•.':'.::i': �r ".'.'. .. .. .. .. .. - .. REVISIONS: NOVEMBER 16,2HIS S.•E.Er•••••••_•••.•. ...BER....................... NO REVISIONS THIS SHEET ......................................................... PARTIAL SOUTH ELEVATION ......................................................... ., . ......................................................... . ......................................................... ......................................................... ......................................................... ......................................................... ......................................................... ......................................................... ......................................................... Q Q Q • - t I :: : . . Osterville Historical Society fHerbert F.Crosby Boat Shop:I I _ ' 155 west Bay Road OsterviQe.Cape Cod,MA 02655 3 I iI ��. iIi rrrl.E •<�I I Y.'' ` 3 I 5 EewTVgWD00e Proposed Boat Storage i i I I ` 3 I TorAT��,A4A� Shed Addition e affo=pa Exterior Elevations 31 I1: 31 i 31 IF: i i 31 SCALE: 1/4'=1'-0" DATE:November4,2011 31 11: 31 DRAWN:GJ • DRAWING NUMBER . BOAT SHEDS-EAST ELEVATION A-04 ISSUED FOR REVIEW/PERMIT 0 WSE•SURMA•JONESMCIeTEC1s TI 9VLSB,SURMA•J0N8-ARCHff'ECfS ,P I rC1}' 2P8i' P Nem BeEfalA W i , (SOB)PJ1.9III I I MD o �r .7 �� IAkI I I I I II IL�I;1 IAkI p1 1 1 1 NOTES SOUTHT END FRAMING SCHEMATIC EAST END FRAMING SCHEMATIC 12 2 REVISIONS: NOVEMBER 16,2011 .1Wf5C.. ......................................................... mad :Px} ......................................................... p4 ......................................................... TRUSS'A'SCHEMATIC TRUSS'B SCHEMATIC ......................................................... 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SYPSpI POST BASe CBSQfb SRRKON POST MW®SOY 1 I remr�ePoaoN— I I oRs w asPINR�cerawenw i. j OSterville Historical Society TFOFOOr M4 FOOr i i ' N0 i i Herbert F.Crosby Boat Shop i PRECL�PMCW MI OF,NEse - I I I FnonwaroeNETEWR CF WM� I 1 URO PAR ElGllf®t I I EXWTMLro T0A0MIE HERS OP ExiaI.AfEA+FroAmna I 1 155 West Bay Rona QIARELEO8 RIR90NOLD I I Osterville•Cape Cad,MA 02655 TITLE ===1 yygLLSECTION Cd�'WIANNOSHED' I___I Proposed Boat Storage eeuEalr•,•a �. Shed Addition Framing Schematics SCALE:3/4•=1*4- WALL SECTION a EXTERIOR WALL WALL SECTION Cad LEAN-TO SHED DATE: �Nomer e,201 1 sa1E sr,•.ra .eaue aN••ra DRAW GJ DRAWING NUMBER A-06 ISSUED-FOR PERMIT O W1SE•SURMA•JONES-ARCHTECTS ED AR STAM ,`c,` E• Rq �� ' • ' B'N. , 61 D 8'A7. 9'A2.1 62 ' ry P B.P3. 26-0' No. 10563 ErA'' 1 BA BA Q , � gARNSl^f" 3xlzcLwD sa j jRP1L `5 CONCfiEfE B1 e e e r e SLAB^—v <O .� 3'-(rV'-O•DOOR, I TYPICAL OF(3) r'. 1 C 1 w m cmi t Q m cmi FERTILIZER F D r cd k� >STORAGE I o I iE 10a I o lavxlDa U ` z3 Ba P }} { Dom TYPICAL c r w 6 ° _ AMC ACCESS U HATCH I r I. O Z ) �U e I HR FIRE RATED 6 FINRDI PANEfS BY G C I (21.88') O U WEIAL STUDS PAMRION N e e e c � � Y EXTEND LIP TO c I — n�rni s u� B•A3. METAL CEILING( B•A3. I vARRRON. BLOCIING AS REQUIRED _ �FRAN9NG ABOVE TO SECURE TOP PLATE FRAMING ABO ELOOGVC AS LATE ED 70 SEWFE TOP PLATE ... I. e .SHELVES BY BY MOMCN METALCOUNIG NG.I1P. BYMOMaN OWF&R 1111� METAL TRACK TOP PLATE METAL TRACK TOP PUTS ! e I I A I I .: 5 CCNCRETE .' J I I i I I I swB--1t � U 1 1 I Q m 16-0'WIDE L_L b'METAL STUD Q 16'O.C. 6'METAL SRA @ 16'O.C.FASTEN �•A2.1 i EXTEND UP f0 I i HR FIRE RATED 6'• € :..9 I CONCRETE PPfRON J — w -0 FASTEN PS SPECIFIED AS SPECIFIED METAL CH I I BFNdNG PARTRION I I - Lu w ^, 'I•LAYER 5/8•G1VS FIRE RATED EACH 'I•LAYER.51W GWB FIRE RATED EA01 ( j� I ( : C 1 I: O� B6 � J v CON lOV SIDE,ALL JOINTS STAGGERED SIDE.ALL JOINTS STAGGERED I I Z LL b b y 7Q J /n (/ ONE SIDE.wVlgEPANEL VERTICAL SIDING, .J O (D F� SMOOTH.FINISH PER ROOM FINISH 1 SCHEME.ALL JOINTS STAGGERED HAFDIEPANEL VERTICAL SIDING, I I 1 PVC SUMP -N• F--- Z (,/) OTHER SIDE IS COWREGATED METAL PPNEi SMOOTH.FINISH PER ROOM FINISH I 1 I 1 Z Q W uj SUPPLIED BY M ORTON.INSTALLED BY G.C. SCHEDULE.ALL JgMS STAGGERED H7 FIRE RATED 6 I 'k < J IR-19)BATr WSUATION IIR-1 C)BAR INSUAiION i I I METAL STUE PAMITION I 13•Az., hETP1 RUNNER FASTEN AS SPECIFIED i0 METAL RUNNER FASTEN AS SPECIFIED TO ! I L— T J I I Z FLOOR BELOW.ON FOAM SEAL CASKS FLOOR BELOW,ON FOAM SEAL GASIOT m �4/�J L� NG.IYP. NG.1YP. I a Y'- 1 I _ 'I V I PESTICIDE:; 6•DIAM.GALVANIZED L.L_ wJ W ROORFWSH PER ROOM FIN915CHEDlAE FLOOR FINISH PER ROOPA FIMSH SCHEDUF �. I - 'B MIXING BAY 2d' I-0'..• STEEL BOLLARD. TYPICAL PUMP ROOM 1 )02 O 10s 1E' A FWRDI PPNEIS TYPE'B'TYPICAL NON BEARING u1s7 ,1 HOUR y TYPE"A"TYPICAL NON BEARING uzB7 1 HOUR I t I zev w INTERIOR WALL W/6'METAL STUD DFSION wma INTERIOR WALL W/6'METAL STUD T)ESIGIJ wwA EXTEND UP TO a r°1. Iuvl�l e W , I' METAL CEILING w (21.88') € .. •: < LEVEL STAB b M$iAl SR1D5 132 {p I.p- TITLE: METAL CENNG 8LOCIONG AS REQUIRED ,t., BELOW PUMPS PART" TO SECURE TOP PLATE .r "BIT 11 BY MORTCIV FRAMING A80JE - _ ¢ ,CORREGATED METAL PANEL F- R""" I � BUILDING FLOOR &B INSTP1;SUPPLIED I CALDQNG.TYP. I e' . REFLECTED 25MSG GALV.STEEL 7/BV 5/8' I 3z12 GUnRD .t 1 O 2�A RADK CEILING PLANS HAT CHANNEL @ 2a•O.C. PERIMETER METAL TRACK TOP PLATE I RAR c 1 0 2 PERPENDICULAR TO rRooF rrRLssEs ;.6 o 1 yB•TYPE S OR 5.12' 121 LAYERS 5'B•FIRE-SHED I 3 CONCRETE SCREWSAS SPECIFIED GWB.TYPE'C' 6-METAL STUD®16'O.C. ' FASTEN AS SPECIFIED 0.. (z1 ez) ,+ J, DATE ISSUED: TYPICAL CEILING ASSEMBLY A3' I 02.05.2016 — — — — — — — — — CD)PEST.STORAGE rLAYERse GwBFRERAiEOEACH t, PVC SUMPry 1 a RNDSIO S: Revision Date N >; SIDE,ALL JOINTS STAGGERED I I 1 HOUR i 2 06.22.2016 DESIGN 1P515 }1 .. 8 HARDIEPANEL VERTICAL SIDING. 3 08.08.2016 SMOOTH,FINISH PER ROOM FINISH SCHEDULE.ALL JOINTS STAGGERED d (21.88') O IR-19)BATT INSUAIION ? METAL RUNNER FASTEN AS SPECIFIED TO OOR BELOW.ON FOAM SEAL GA-90 R• O H D - 3A 1.2 GUARD CAUXIRG.TYP. FLOOR HNSH PER ROOM FW91 SO4DUUE ' €Q 4 BB I :. 88. .. ( — — — — BB DRAWN BY. 5 sa SGK DRAWING NO.: 3a D TYPE'C'TYPICAL BEARING uL2BJ �'Az.l I �OIJCRETE A�rtoN a ' _ �•A2.1 WALL W/6'METAL STUDS oESIGNam 1 HOUR _ .,.::...,.. , < ... 2/.83 '>:'.'. : II BITS K 1 R 1 q as 1D-0' ta'a B BUILDING"B"-WALL&CEILING ASSEMBLY DETAILS BUILDING"B"-REFLECTED CEILING PLAN METAL STUDS OPTION BUILDING"B" FLOOR PLAN METAL STUDS OPTION B 1 1 62 GROSS AREA=2,184 SQ.FT. 1 1/2" .r COLLAR _ 7-S KOOF P.,—C,+ ASPNALT S AimGLP,S f ROOF 6oAQDINC, / I KArT� , 2 oN � • 1 1 " /��F1ooR Qc�+Rol�+� S�fPLfFP r • - _ - (y'X y.0 TO P A L 4t�'1 .n/� E N Q L AP ao 1 J p1,2c �Ns 1 I X - �/ 6 POST • I i 7 Z"<U PR�NOLE D SIIL �/I - `ZN OF JAMES E. EGA -- � srauc FiAI � N �• g 3 � �L2oGc/ o-d�'(� I No. 1 GISTER��\.;`��` x �' ss/o11A1 Ox g J PINE HARBOR BO 0 q R WOO` PRODU �"o r .SCALE _ %8 — OAiS�TTA:� STRUCTURAL GENERAL NOTES CONOtETE NOTES(FOUNDATION AND SLABS-ON /r� WOOD FRAMING NOTES CONCRETE MASONRY(C.M.U. NOTES Fan NGlivi:.i:.l�ll`IG ) CHIMNEY BASE ONLY) 10M[PANY,INC. 1.ALL STRUCTURAL WORK SMALLL CONFORM ro IN=PROJECT DOCUMENTS,INCLUDING THE FOLUOWIGOOHEI0G101.CONCRETE MIXTURE FORM-WORN.DELIVERY AND PIACEMENr SMA L CONFORM TOALLRECIG 1.AL FRAYING LUMBER SMA L CONFORM TO THE LATER EDOON OF THE APA'ATIONAL DESIGN STANDARDS: (LATER EDITION).UIIIJ59 OMFRWISTi N01E0. DIQlTS�'�]01 SPECIFICATION FOR WOOD CONSTRUCTION".NIO SUPPLEMENT T)ESGN VALLp FOR WOW 1• BLOCK SMALL CONFORM TO ASIY CBp-8](SPE)7FIUTKW FOR LOAD BFNONO CONCRETE MASONRY UMITSI.NORMAL WOGNf. IEDGvmaI F-50IA®6700 DSES] A THE WSSACIRISETTS STATE BLIUDINO COOS SEVENTH EDITION.AND All.orN1OT AGENCIES INNING JURBDICIIOK PORTAND Comw.SVC AND GRAVEL AGOREGAES.CONCRETE SHALL: CONSTRUCTION.LATEST EDITION.MAKIMWRI MOISTURE CONTENT SINLL BE IB>L L ALL UNITS SMALL BE RACED W RUNNING BOND PATTER• L CONCRETE WTEML4 SMALL BE TYPE 1 OR 2 SW23S.ES11 Fu:30E3f7.E700 BL M. CODE REOWEMENTS FOR REINFORCED CONCRETE'W]19-LATEST LTXTxIN) BE ACCORDANCE ON�jl FgEJ S•,y�"�6�E GTH.(Pc)IN 20 DAY&WHEN TOM IN L PRESSURE TREATED WOOD MEMBERS USED FOR PLACEMENT AGAINST CONCRETE OR MASONRY( �i COMCJEIE WqR-3,(GO PS PLATES,ETC.)94ALL BE PRESSURE TREATED'MIN NCO PRESERVATIVE,OR APPROVED EQUAL TO 1 MORTAR SMALL CONFORM TO ASTM C270 TYPE AS SPEIfaIED,MORTAR SINLL BE FRE Wy C TIE WOOD FRANC CONSTRUCTION MNIMiN„LATEST E11I1011.AYFJaGVI FOMENT 8 PAPER ASSOCAT101L MINIMUM RETENTION OF Da PCF IN ACCORDANCE WITH AWFA Cl PREPARED AND UNIFORMLY UM IN THE RAID or I PART PORTAID CEMDR.1/4 PART UME OR 1 THE WORM CONCRETE SLUMP FOR'FOUNDATION WALS,FOOT"M PDB.ETC.SMALL BE 1•UNLESS USING A HYDRATED LIME,3 1/2 PART DAMP LOOSE SAND. D.THE NATIONAL DESIGN SPECIFICATION FOR WOOD CONSTRUCTION(N05),LATEST EDTnOX SUPER-RASST"m WTMIN TIE COIKAETE MX. IE W EAS SLUMP SMALL RANGE TROY a-TO a•AT PORT DF DEPOSIT. 3.TIE FRAMING LUMBER SHALL BE OF THE FOLLOWING MINIMUM CRAM AND SPECIES FOR THE THE MAXIMUM CONCRETE SLUMP FOR SLABS S/U11 BE 1'.AL CONFiiETE SMALL BE-ENTRAINED TO SR(1/- IX). SPEOTED USE.AL LUMBER WALL BE GRADE RAMPED BY A REMOOM CANONIC AGENCY AND SMALL /.MASONRY WON SKILL BE WO W THE PRESCRIBED MORTAR AND PROPERLY BONDED AND KLYm L ME CONTRACTOR SMALL PROVIDE TEMPORARY SHOOS AND BRACING NO MOOS SAFE ALL BOORS ROOFS WALLS w ALL L//N' TRANSPORTING,PIAGdIG AND g11OG OF CONCRETE THE BE SURFACE DRY. INTO THE ADJACENT MASONRY WORN(OgREiS)AT LVEEY COURSE. - AND ADJACENT PROPERTY AS PROTECT CONDITIONS IEOLIRE RECOMMENDATIONS OF THE CURRENT AMIRICIIN CONCRETE INSTITUTE 9�FIDIG A WWLINES 1 ALL CONSTRUCTION IS TO CONFORM TO ME CURRENT MASSAACHUSETTS RATE BUILDING CODE AND ALL APPLICABLE SDI AND G DIMENSIONAL LUMBER S.THE TEST BLOCK COURSE ON RDONJO STALL BE FILLED$LAIR MATH SPOGTED GROUT. PRODUCT NO DESIGN STANDARDS ABSENCE OF SPECIFIC ITEMS FROM THESE DRAWINGS DOES NOT INFER THAT THE 1 NO SLABS-ON-ORAOE HAVE BEER DESIGNED FOR BUOYANCY,UPLIFT FOflLE.q pUE TO GROUNDWATER OR rL00gMC FOR EXPOSER PRESSURE TRPATEO MEMBERS-�I COMPRESSIVE CUTOUT FOR FILNG CAT WITH REAR OF BOLD BNSILS SMALL BE 2.300 N YNMUY ,./ fd11IWL'fOR S REIEVEo FROM TIE STANfORY 000E RFOlRRE1ElIS &ALL GROUT SMAL BE NON-9BNNK ND MON-MErNUNC WTM A MWWM VOLUMS.IART PORT AT 2B DAYS AND OF FWD KING"E TO ,PA TS MAXIMUM IN ME RATIO O • CW JU S SDIAG I OT S,000 PA NNE -R.00N JOSis A BEAMS/2 SOUTIIER YELLOW PINE VVM M 1 THE GROU A1HD CE IS L 2 NTH PA3 D MNB IN TO 3 POTS NS30M. OANP LOOSE A ALL MATERIALS AND METHODS EN CONSTRUCTIONCACCEPTED SMALL CONIC Pro THE S APPROVED RULES AND STANDARDS TOTS CORP.)MAXIMUM APPLICATION WILIAL 55 OF APO UNCLE COMMON BASES SMALL BE 1 I/2'.USE sgAG1CUT 212(SqA FB-B73 PST.E- 1.IIEa PSI SArO WHERE 1Mf.GeOUf SPACE S 1155 11YN 3 INg1F$W ITS IFAST g1RIKGN. YAIERALM TG51B.AND amuIRIOUILDI OF ACCEPTED EITINNERING PRACTICE A9 LaTED IN PART K(700 CYST loom) WRP• OR APPROVED Bowl. SMALL. d TIE MMASSN7aaEm RATE BUIOWIO CODE.7TH EOr110N. 7.RETNFTIROFC STEEL SMALL BE MEN QUORUM BARS COIFORMOD TO AST,MIS GRADE B0.EXCEPT WHERE NOTED. (SX33&LARGER)POSTS /FFIG-5223PPSI.E°-BRED PSI' 7COIMSTRUENT FLUID . BE As FLVD A9 POSSIBLE FOR Paux810 WRIgUf s[GBCAIGN a THE 1 ME CONTRACTOR SMALL VERIFY ALL DIMENSIONS AND CONDITIONS N THE FIELD PROM TO CONMOICNG WORK ANY RUSTED BARS WILL BE.RM ED ATELY REJECTED AD REDUWlD TO BE REPLACED AT No ADDITIONAL COST. . DISCREPANCY BETWEEN WHAT IS 94OW'N ON THE DRAWINGS AND ACTUAL FOLD CONDITIONS SAIL BE REPORTED BACK ELB NON-F]rPOSEG MEMBERS- S'HYOMT®AW IIF E SMALL OORRM TO ASIM C207.QUICK LIRE SMALL CONFORM TOASTM CS EN TO THE OILER IN WRITING BEFOH[ ATT PROCEECING W ANY WORK B.DETAILING /C of COH RawaRmkM ES INRD AND ACCESSOR SNAIL BE ACCORDANCE%WN M PUBLICATION 313 . AND CURRENT CR9 SPECi1GDlg6 LATEST EDRIN& _PLOOR JIMM R BEAMS/2 SPRUCE PINE FIR A A AGGREGATE FOR YOtDR SMALL CONFORM TO ASTM C111.AGGIEDIIR FOR GROUT SMALL CONFORM &CPFJWCS TROUGH ME FRANC AND FOUNDATION MAr NOT ALL BE SHOWN ON THESE ORNNMM THE DERMAL F'B 87S PSI.E- I./E11•P9 TO ASRI CIOw0. WIITTAL70R SMALL EXAMINE THE ACTUAL FIELD CONDITIONS FOR TE REX.FED OPE OM AS HE SMAL PROVIDE /:PKTOIiIOC LLNTMw•TF]PEATIRiC RENFDRCEEB AS R[011tim RY A/31ffOJ.IN-AL 9/�AID wMla WHILE NO ADDITIONAL FRNGIG AND REINFORCING STEEL FOR ALL OPENINGS WHERE RRDUXED,THE GENERAL CONTRACTOR SAIL RE16ORCEMENT IS INDICATED ON OAWINCS -STUDS /2 SPRUCE PINE FIR 10.THE USE Gi'ACMDITIRES WILL 41G7 BE PERMITTED IN THE CROUr OR MORTAR UNLESS DRAW 9 S ALL E DROUGHT HIT ALL THE ARY DEVIATION ATTENTION THE FOR REV STOMA ON THE STRUCTURAL 1&UNLESS DTERWIN SHOWN ON TIE BRANUM RFDiOR'LG STEM BALL BE PLACED ro PROVIDE TIE F<- Itao P9.E- I./Fa P9 9BSTANMINO DATA S SUBMITTED ro AND APPROVED Of THE RRUCY R/L DGINECR. DRMIIILEGt SMALL UROIOII!ro TIE THCGIFIIYS 1ILipAC ATIFHTOI FOR RLVIEI. 7.OmoM VERTICAL LIVE LOADS; BOT'O'I� J'MPMA CONCRETE R I1.ALL MAS - .... -roABERS AND PDSIS I2 HEY FAR ONRY ACCESSORIES SMALL HAVE A CURRENT CORNU1aS ifQ'Olff FROM THE BA.CA OR LC FOMm Soo M FOOTINGS: 2• (SI S&LARGER) FC-SOO PSL E- I.DEE PSI O.4 AND STALL BE SUBIFTED TO TrE EIGNE3A FOR APPROVAL PRIOR TOOKCf11E11G. fID016. FOUNDATION WALLS 1 1/2' ( IPIDVSMIG OFL ALL CJM U.THE 71W CXTIOK MASSACHUSETTS BUILDING CODE VERTICAL R13WORCDAET SMALL (As SIZED ON WALLS TO BE ROMFORM ON ACCORIMICE WON THE Ap%m RCNY*RGNQ DWOS) 2- (•DESIGN VALUES ADJUSTED ONLY BY CM) ••OE90/VALUES Nor ADJUSTED) RE: 0.LATERAL RESIGN ASSUYP IOMi` - If.SILL RATE ANCHORS(AS S®ON OWES)TD BE ASM A307 GRADE'A'SrF"LL OR,Ea'3M,31a SIAMIEES9 IY CONCRETE IOU nr MAID SPEED,110 UP".EXPOSURE CAR:C.IIPORAIICC FACTOR 1.0 SIFFM BOLTS EMBEDDED.INTO TOP OF CONCRETE iOROAllg1 WALL AT MRAOMILOM SPACING OF]FT.ON OEITFR AND e w DETAILS OF WOOD FRAMING G SUCH AS NALNO,BLOCKING.BRIGCL FIRESIORbG,ETC SMALL H BWS.!MORLOM SPACING-m'OC HORS TIME LANEUL OEM IN'ONLY REFER ro ANCHMN OF MEN SILL MEMBEN AID TALI O a EXSIM WALL /L MAXIMUM FROM EACH DISCONTINUOUS END.UNLESS NOTED OMEEW6T,REFER ro DRA14D pETAIL1 ALL HOq® CONFORM ro THE LATEST EDITION Oi THE HATGIIAL oESMCR SPECIFICATION(Ai'M),THE IDLBER /a BNM MkX MIW SPACING-3r OC s7lAI/G ro NEW aAn AM EVALUMITIgI 0 THE BALANCE 0 M COMM sTRLIGl1AE B HOT PART OF 716 Dacx AnaHaR BOLTS SMALL BE EMBEDDED 12'HEN.INTO CONCRETE CONSTRUCTION MANUAL(ONO),AND ARNXIIEORIML fiAARWCS STANDARD er RAMSE7 A SIFFIPER. /a BUS,YAORIY SPACING-11'OC /7 BUR,MMAXMILW SPACING-/a•W I.NOTIFY THE SIRIRSIGN, DIq/ER CU ANY ARCHITECTURAL Mgpi'G11W OR DIMENSION DANCES THAT MAY AFFECT IL ALL LOMITILILIDIS REI/EORO]E/f SAL BE TAPPED NO BM gA1EFE S MAGI JK LWEFSS Nolen OMERa16E. S.USE FILLY MµED META.CONNECTORS(USP.SI PSOM OR EOwL).JOIST OR ETA,WINGERS WHEN (DRESS OTHER WISE HOED ON DETAILS) THE STMGTAwIL 1TE31Dl JOISTS OR BENS FRAME INTO OrNER JOSM OR BEAMS.PROVIDE METAL POST CAPS AND BASES FOR 11 IIOIE201ffK WALL AND FOOTING aEDIFORNNG 9KNL BE WNTHIJOLB AID SAL HAVE Nf.DEg1�eEDS ON AL POSTS.REFER ro FRAMING RAN FOR CONNECTOR TYPES DEFORMED R REINFORCEMENT ED AT SMALL BE CENTER09WITS E7cC As 0 CONTINUOUS t�NORM 'iTFPS REINFORCED I&N' FOLLOWING OF A53711ED SOIL PROPERTIES HAVE BEEN 1691 FOR TIE FOUNDATION AND NAB-ON-0tME DESIGN. ENFK9MLS AT CO ES NG INTERSECTION%OR PROVIDE r-0'X r-0•CORKER BAR SIZE ro MATCH.AS SHOWN IJIWf REOIf OF Sm: im POP ON TYPICAL BAR PLACING CIEULS . TRUSS WITH I SOL BENOC CAPACITY. I TOW(UAL) G A NAILS. L CORM C AND AND FACTORS SDFOSEDWHICH R THE D MATH om M HOf-RIP BALLS AT ALL WALL I(IFRSECTIOH& DEPTH OF GROUNDWATER BELOW FINISH CRADC ASSUM D GREATER TAN 10 Fr. BE AMR'304 ALL 16STATORS AND FASIEELS MARMOT ARE USED WITH PRS9IE TRfAIED WOOD SMALL AS rO'X V SHALL PROVIDE SA(2)H BARS AT ALL STIES OF WALL RE OR STEPS IN FOURCATfON WALS AS WELL MA Am 3D/M]la STANlE59 STEEL 11 HT. ro RECEIVE VERTICAL REINFORCEMENT SAL NONE SPECIFIED IKHIOLIf RACED ro THE FULL As r-aG X r-o-DINNER eARB ro tE IN mmMLIWs<r R/WALL RtaFRRco1G. HEIGHT. 7.ALL WOW PRODUCTS SMALL BE SHOED IN A DRY LOCATION.LUMBER PRODUCTS WHICH ARE NOT IS,REINFORCING BARS MAY MOT BE M9DE0 WITHOUT APPROVAL Or THE STRUCTURAL ENOIF®L WHEN APPROVED. KEPT DRY WILL BE(IMMEDIATELY REJECTED NG RECLINED TO BE REPLACED BY THE CONTRACTOR AT NO M DOMES SMALL BE PROMDED N THE FOUNDATION WALLS TO MATCH BON SZE AND LOCATION OF FOUNDATION NOTES WELDING OF REINFORCING BARS SMALL BE IN ACCORDANCE WON THE CIWENr A s. ADDITIONAL COST. . . (MASONRY WALL REDEOCEBNr.EXCEPT AS OTHERWISE NOTED.REFER TO oWLWINGs FOR spoom ti 1 CONCRETE SMALL BE PROTECTED AGAINST FROST UNTIL PROM IS WNR CONCRETE NSMALLETED.PROVIDE PROPER CONETE &IN CASE SMALL JOISTS.RAFTERS,BEAMS.POSTS.STUDS COMMS OR ANY MM FRAMING YOABER BE °E�&ALL a 1.ALL FOOTINGS SMALL BEAR LEVEL ON UNDISTURBED.ACCEPTABLE SOIL OR STRUCTURAL COMPACTED PROTECTION OR HEAT IN COLD WEATHER AND MAINTAIN PROM CURING PROCEDURES IN ACCORDANCE WITH ALL CUT,NOTCHED,ORRLLR.OR OMEEMSE MOOBim WMMOR THE WRITTEN APPROVAL OF THE STRUCTURAL 11 REFER TO DRAWINGS FOR C.Y.U.WALL LOCATIONS ANO OM26YO6. FILL(AS SPECIFIED).HAVING A MINIMUM MADWARE BEARING CAPACITY OF 1.0 TON PER SQUARE FOOT. CURRENT AO CODE OF STANDARD PRACTICE SPECIFICATIONS AND GLXDEINCS 84CRUM L SUBSOIL BEARING STRATA SMALL BE FREE FROM AL VE(iTATXXL IOAY,A1G ORGAGC MATFRaAL ALL S&T. 17.NL REIIIFORCNO BVS sIW1 BE fSID BENT N ACCOIDMIIZ ro ME PIDPEE RAgI ERMIL^NED BP TE Id 9.ALL NALS SMALL BE NDaIIAR TIRO NNLS,IMP. 14 ALL OPE/GS IN CILU.WALLS THAT FX®24 94CIES IN OTHER COMCTON SMALL LAVE(1) LOAM AND OTHER UNACCEPTABLE SOL MATERIALS SMALL BE EXGVATED AND RFl10VED FROM THE if AT AL UNDER NO CIRCUMSTANCES 9ALL HEAT BE APPLIED TO TIIE BARS TO OBTAIN BETCB, /a ADDITIONAL.BAR ON AL 9DES OF OPETWIID FXiDNODIb 21 ATTEST BEYOND-Comm OF OPENING FOUNDATION AND SLAB-OM-GRADE LOCATIONS SPECIFIED COMPACTED.STRUCTURAL FILL 9MLL BE SUBSTITUTED AT 17.'REWAOE(2)IS(IIGNY SIZE)VERTICAL RFIMFORCLC BARS FULLY GROUTED AT ESD CELL OF sBAL TESL IOCITID6 1&FOOTS SMALL IIE OEM PRIOR THEIR THE CRECTJOK REINFORCING BNB WHICH ARE MATED WIN FORM OIL OR MIT ALL DSOMMUCS WALLS AND IDLER ALL LINTEL NIGLI BEAR G Amm DOER BOND BREAKING MATERIAL WILL BE REJECTED AND WILL REQUIRE REPL mm AT NO AORMWIL COST TO THE 3.IF BEARING MATERIALS(OTHER TIM THOSE DESCRIBED ABOVE)WITH A LOWER ALLOWABLE BEARING OWNS.FONT DO.SMALL NOT BE PETROIfLY BASED IF DETERMINED(BY ME ENGINEER OR ARCHMECT)TO BE A I&UNUEM OTERISE NOTED OR SHOWN ON BANS AD SOMICOM CONCRETE MASONRY SOD- CAPACITY THAN 1.0 TOM PER SQUARE FOOT ARE ENCOUNTERED(AS OETEIMNED BY THE CONTRACTOR). COMPATIBILITY Is=WITH WATERPROOFING OR DwPR00F1N4 TEMPORARY IACIONG AND SHORD7G NOTES BEAMS ARE RFDURm AT EACH FLOOR LEVEL AND SHALL HAVE(2)/a RERIFOK7IG BATS SET S/•' THE UNSUITABLE MATERIALS SHIAUL BE REMOVED AND REPLACED WITH SUITABLE MATERIAL AS SPECIFIED AND APPROVED BY THE STRUCTURAL ENGINEER 19.CONCRETE MAY COMTAN FLY-ASH OR SIAD,IF PROPOSED IN UK OSCJL EACH SMALL SATISFY ALL AO AND ASW CLEAR FROM THE BOTTOM OF A STANDARD UNTEL ROCK me FLAILED WHIN 2.300 PSI SPEDFIED 1.THE CONTRACTOR LUST PROVIDE SAT:COMPLETE AND ADEOLATE TEMPORARY STRUCTURAL SUPPORT GROUT.PROVIDE BOLD BEAMS AT ALL TOP COURSES IN WALE CURRENT REQUIREMENTS AND SPD7FHG11LYRS SUBMIT MATERIAL DATA SHEEN AND Ap CERTIFICATIONS TO EICAEEIi FOR TO1.BOr70M OF FUOTfIG4'SMALL BE NO LESS THAN/'-0'BELOWFIW9/GRADE. RAVEN. OR SHORING. u0.AS RE0 INSTALL FOINDATIOl9 AND FRAMING WON A5 SHOWN ON THE VERTICAL WALL REINFORCING LING TO PENETRATE INTO OR THROUGH BOND BEAMS. ORAWWCS S.DO NOT RACE BACIIFILL ON EC FOUNDATION WALL.WALLS. ALL FLOORS aRACMO THESE WALLS G ARE m.ADOITIOM or WATER TD CONCRETE IDOLS AT THE SITE B HOT AiJDWE6 91CN CONCRETE 5141LL BE IMMEDIATELY . S PLACE AND COMPLETELY CONNECTED.MPACTED ALL WAIL$,PARS,LTC.SIMULTANEOUSLY NA11G EACH EIEX.'IED. L THE CMIRING M LUST PROVIDETHE LOAD M LATERAL ERAONG.ALL SHORES MUST BEDoom CARRIED DOWN 510E WREN SPECIFIED OR ACCEPTABLE COMPACTED Hlll.. ro TIRO BF/JNNIG MAIIIML ANp TE LOAD MUST BE AOEOw7ELY SPREAD OLJf ON THE EXISIIG SOIL 21.All CONCRETE SMALL 8E RE'Ap-YOKED AT RAM COMPLYING.MAIM ASIY C/I AND ASTY C7118.SJIC YO/IG S NOT G.ALL FOOTINGS SOUL BEC RACED SOILS. A 8' MPA OF TO GRINNED STONE ATOP SREA.ER 'WALED' 1 REM LOADS TO BEAMS AND ONS. SMALLTEMPORARY RE RACED IN SUET SHORING MNOF T ro TRANSFER ALL ENSIDG Labs R REV F LL EARNS TE PLIED LY DS UNTOKINC ANCFOUND of THE D CONNECTIONS STRICTURE FILL OR PROOFROLLED ACCEPTABLE SOILS. COMPACTED ro 837c MQaHFIED PROCTOR DENSITY.AFTER n.I2WR eArs FOR SOGIIPE PLACEMENT AND POSITIONING of RFDIiDPCIq RED ARE ro BE PROVIDE IN No CASE IS REOUO®ro RELIEVE ALL EGSTING APPLIED LOADS UNTIL NEW FOUNDATIONS AND COIDIECTIOIS � REMOVAL OF COMUNSPACTED IN MATERIALS.BACKFILL UNDER ANY PORTION OF THE BUILDING FOUNDATIONS SHALL BRICK.WOW.OR OTHER NON-CONFORIG RUIFORCING STEEL 51FPORIS BE USED.MA SPKLG OF MESH HAVE®N COMPLETELY RACED AND SECURED. JAGS MO NOT BE REIEVFD.NOR SHORES REMOVED. SHIA L BE lX2YPACIFD W 8'TO 8•LIFTS OF 9sR MODIFIED PROCTER DENSTY. SUPPORT OHMS SMALL BE 18'IN EACH oRECIOI. UNTL AL NEW CONSTRUCTION WON B COIPLLTE THEREBY TRANSFTNIMC APPLIED LOADS TO MON •' MJE STRUCTURAL ELEMENTS.CONTRACTOR To SUBMIT THE INT010m JACKING AND SHORING SOLE ro THE 7. TROLL ON GRADE STALL DEAR O SPECIFIED STONE ATOP ACCEPTABLE E NECESSARY AND SOILS OR ON STRUCTURAL CROW DER FOR APPROVAL PROR TO STARTM WOOL CLEAN GRANULAR COMPACTED MPA REMOVE 6* 8' FALL MATERIAL WHERE NECESSARY AND REPLACE TY A DAYS NOTIFY ENGINEER SCHEDULED FOR INSPECTION OF COMPLETED INSTALLATION00NOTPL OF REINFORCEMENT IHf AT LEAST 7W0(VA RILL MORN CLEAN 4YWARAR FILL COMPACTED IN e'-B'UYQS ro OBTAIN 951 MODIFIED PROCTOR DENSITY AT DAYS PRIOR ro SOIEDUED RAXI'LEM OF WMCRETE W NOT PL.10E CONCRETE WITHOUT Plagl APPROVAL Of THE - W THE OPTIMUM,OSTURE CONTENT.WHERE SLABS ARE PLACED ON UNDISTURBED SUB SCoLS,PROVIDE A STRUCTURAL FNm1EFR w DURING THE CONSTRUCTION PHASE IT S THE RLSPdt9DLIY OF THE CONTRACTOR TO PROVIDE ALL NECESSARY TEMPORAR/SHORING AND BRACDJG TO MAKE THE STRUCTURE STABLE APO RLWB BEFORE �rA S'COMPACTED LAYER OF SPECIFIED CRUSHED STONE OIRECRY BELOW THE STARS • COMPLETION OF CORECTOIS TEMPORARY BRACING SAL NOT BE REMOVED UNTIL THE STRUCTURAL Q 2C ALL MORTAR USED W THE EXTERIOR DMIX STORE VENEER CONSTRUCTION W SMALL INCLUDE"AGJRYL M•WRIER EASED FRAME S PROPERLY SECURED TO THE LATERAL LOAD RESISTING ODAINTS W THE STRUCTURE. THE IN[C✓2'+y &TOP W FOOTINGS E(T.O..TOP OF FOUNDATIONBASE WALL R•EXISTING TOP OF ICONCRETEAND PARS ACRYLIC BONWG AND YOgFYINC AOYOITOE AS MANUFACTURED BY THMgD.BASF. (r.O.P.) STABUIY OF TIE FRAME OUNINO ERECTION S THE CONTRACTORS REESPON�IlY. �W AND TOP OF CONCRETE B (THE C VALUES ARE BASED UPON EXISITNC ELEVATIONS AND 5H1ALL BE CONFIRMED AS SUCH RY THE CONTRACTOR. a 9.7HON IN STRUCTURAL ENGINEER ASSUMES NO RESPONSIBILITY FOR THE VALIDITY OF THE SUBSURFACE a Cool rrY W LV 10.NO FOUNDATION OR STAB SIlAl1 BE PLACED IN MARTEN OR ON FROZEN GROUND.SUCH FOUNDATION AN �j U I LOB OR SLAB WILL BE IMMEDIATELY REJECTED D REQUIRED TO BE FULLY REPLACED AT NO ADDITIONAL z�W 0 COST OR CONTRACT TIME EXTENSION. 11,ALTHOUGH GROUNDWATER ISSUES DURING CONSTRUCTION ARE NOT EXPECTED TO BE AN ISSUE THE COMPACTOR SMALL PROVIDE ALL SUFFICIENT MEANS OF SITE DEWATENNG,AS NECESSARY,TO ENSURE (.T�E.y'a A4 FOUNDATIONS AND SLABS ARE PLACED AS SPECIFIED. Uy .I 12.AL FOUNDATIONS SHALL BE DAMP-PROOFED FULL HEIGHT WITH'SONNEBORN MASTIC OR ILA Cn O w SEMI-MASTIC"(BASF).APPLY TWO(2)COATS MINIMUM UNLESS TROWEL APPLIED(I COAT)TO ACHIEVE A W Ya-WET I"THICKNESS.W NOT DACKFILL FOR AT LEAST 18 HOURS. (S-HW,E•- L IS SITELTURA FILL:IMPORTED STRUCTURAL FILL MUST BE FREE OF ORGANIC.FROZEN.OR OTHER OEIETER10U5 `,�•y [-' MATERIAL AND CONFORM TO THE GRADATION REOU/EM OM OUTLINED DEIGN.STRCTURAL FILL SHOULD BE C•fir PLACED IN LOOSE LIFTS NOT EXCEEDING 12 INCHES THICK FOR SELF-PROPO ED VIBRATORY ROLLERS.AND 8 `✓'C. INCHES FOR WBRATORY PLATE COMPACTORS. SrRUGNRA FILL SHALL BE PLACED WITHIN THE FOOTING-BEARING (IH:IV)ZONE AND BELOW ALL SLABS W SIEVE SIZE STRUCTURAL FILL'(PERCENT PASSING BY WEIGHT) - -I ^O U 1 8' 00 H-1 3' coo ca'00 Q3/w" 1a-9a - ` b NO. a 35-80 IFL1J />< NO. 10 25-0 O NO. 10-50 IC W NO. m0 2 - . •NOTES: THREE INCH MAXIMUM PA0-RTI1CLE SIZE WITHIN 12 INCHES OF SLAB GRACE 9 J 14.CRUSHED STONE SHALL BE'Si"ANGULAR.WASHED STONE(NO FINES)OF LIMESTONE OR GRANITE al QUARRY, COMPACTED TO ACHIEVE AN EQUIVALENT OF 95x MODIFIED PROCTOR DENSITY COMPACTION. 5 OF MgSs ° JOHN tiG SALE O AS NOTED g° DESIGN Br 3 U (f) DAM/U DARE ONIN10 U 3 3776 OMWN BY c PROCEDURAL NOTE M Q" U/JEA 4 O ! GILDED BY THIS SPECIFIED STRUCTURAL DESIGN FOR FOUNDATION REPLACEMENT INCLUDES THE REQUIREMENT FOR 0 (j�S T�aV �ECV DAM T9; TEMPORARILY SUPPORTING THE EXISTING'ELL'WING OF THE BUILDING.AND EXCAVATING BELOW ME BUILDING FOR \ j • FORMING D PLACING NEW FOUNDATIONS M SMALL E REQUIRED PROCESS FOR PLACING CONCRETE ALL INCLUDE A G .MA SUPER-PLASTCED OR SELF-CONSOLIDATING CONCRETE MIX RESIGN(TO BE SUBMITTED TO THE STRUCTURAL /ONAL EKG NEER FOR IEW Y1000 PILLS)AND,PLACIG THE N ALL SILL CONCRETE BOLTS S 4LL WALLS FULL HEIGHT.MONOUTHICALLY.TO EHEu DFRODE O EL - L BE TEMPLATE TIED IN PLACE THEREBY S CASTING IN PLACE WET-STCUNG OF ANCHOR BOLTS INTO CONCM RETE is NOT AMAwED.CMU OR MASONRY _ FOUNDATION CONSTRUCTION TO C FOUNDATION WALLS IN NOT ALLOWED. (� "ISSUED FOR CONSTRUCTION" 2.SHEETS `A. PROJECT:WD. C17J70.00 i OASTAL NGINEERING ONTANY,INC. 260 Cfa6M Nq•.Ork m MA 026" SUSM5.6511 F¢50&155.6700 EXISTING 7'xr TIMBER BEAM' TO BE REMOVED AND EXISTING NATURAL STONE REPLACED W/ NEW P.T. 8x8 FOUNDATION OF MAIN ' SILL BEAM. TYP. BUILDING. i Ex/57 s727,vE To ,2EMi9/N. u .ci m m REINFORCE ALL EXISTING FLOOR.XISiS W/ NEW � ' (2)-1 Wx5W LW ,IENSTS 0 24 -O.Q• (MAX. W SPACING). CONNECT NEW FLOOR JOISTS TO Jb/ 3 m amF l E)aSTING JOISTS W1 Y4 DIA x 6 LONG '- TIMBERLOK`SCREWS 0 8' O.C. STAGGERED.'ALL �t'f�t.4l�6 or I NEW'JOISTS SHALL BE PLACED ON THE FAR SIDE OF THE EMSTING JOISTS:'� O THE ROOT CELLAR ENTRY. WHEN VIEWED sic oPer.qu,ey 1n�c f 44oGt � FROM` ;:. `. EXISTING PLANKING TO REM FINISHED T.O. EXISTING - A Sim. BE�� FINISHED FLOOR �- ( EXISTING FRAMING WAS NOT FULLY ACCESSIBLE a ",cvo c/�Ivgc ELEVATION -OW 5-2 DURING COASTAL ENGINEERING'S EVALUATION -AS SUCH SOME FRAMING ASSUMPTIONS HAVE BEEN PLACED AS PART OF THIS DESIGN. A-.4 ot, �!o•,/&TB' ( EXISTING 6't x6' TIMBER ` SILL BEAM TO BE REMOVED * �T 'sT A I AND REPLACED W/ NEW �� P.T. 8x8 SILL BEAM. TYP. COD, S-2 ur f~_ w OA JJ '� !�� 3�5 ter✓/' � — NEW P.T. 5x5 POST BELOVY � z EXISTING 6"t x6" TIMBER U cn p SILL BEAM TO BE REMOVED A Sim_ REINFORCE ALL EXISTING Fl_OOR JOISTS W/ NEW (2)-1 x5X* LVL JOISTS ® 24, O.C. (MAX. a xx U j:��--- AND REPLACED W/ NEW S-2 SPACING). CONNECT NEW FLOOR JOIST5 TO EXISTING JOISTS W/ Y4 DIA. x 6' LONG TIMBERLOK a P.T. 8x8 SILL BEAM, TYP. SCREWS ® 6' O_C. STAGGERED. STAINLESS STEEL SIMPSON FACE MOUNT HANGERS CAN BE USED Z IN THIS AREA OF THE FIRST FLOOR FRAMING. _ NOTE:, THE STRUCTURAL ENGINEER MAY ISSUE FRAMING CHANGES FOR THIS AREA AFTER THE V O a `- - EXISTING BUILDING HAS BEEN SHORED AND IS FULLY ACCESSIBLE FOR REVIEW OF EXISTING Q FRAMING.CONDITIONS: OS o 3 C7 �ZN OF Mgss . gOti O . q m JOHN N . m 3 � w T FLOOR FRAMING PLAN FIRS SCALE: 1/4"=1'-0" N 33776 �� AS NOTED � � f �� STE G��� I�.� DAM/W DATE A DRA.NBY O&WIo CTTECRED BY DAM • I S-2 I� 2OF 1sHEETS I _ p PROJECT.NO. CI73 70 .00 B �nRated primary scope of work following description is a list of the anticipated minimum scope,of work to be completed as required ie OHS and according to the sketch attached herein. Square footages are approximate for AOR. All c to be completed in AOR as indicated on sketch attached herein. .Remove/store and re-install three down spouts within AOR Remove siding from wall labeled AOR on sketch Remove corner boards labeled CB on sketch Remove bottom twelve inches (12")of wall sheathing along entire wall - Install new twelve inch(12")wide strip of plywood sheathing over wall framing/rim joist along wall Install a tapered continuous solid shim atop protruding concrete foundation Install continuous rolled lead over concrete foundation and up wall. Caulk-in overlapping seams (®° eu in lead Lead must wrap around comer of adjacent wall that projects 3"+/-in front of AOR Install three foot wide(36") strip of self adhering ice&water shield membrane over lead and up b wall ®� Install lx8 PVC Azek water table frieze board along bottom of wall Install white drip cap over water table frieze board typical tall Typar or equal wall sheathing underlayment over balance of wall in area of repair(Tyvek tall X A8 Install 15#tar paper spline at corner boards Install PVC Azek trim on corners-size to match existing _ Install Rebutted and Re-squared(R&R)Clear white cedar shingles on entire wall labeled AOR Fill nail holes and prime new corner board trim Apply a minimum of one coat of paint on new corner board trim-Benjamin Moore,Moore Guard or Sherwin Williams Duration accepted 7 �- 1VEw .iM�r l� ,A3Li+". `r'�A`7td b1EICT-WOF WATR' -YASLI �N off.® ° NHS' a tol.PiL6w -rP)m -m P-&-M AIN . P'tx j et er 7-mieA 7v fF-e M A10 LINE BEARING DIST ANCE E f ,, . � ... ;�•y.�;'�';,��' "�"•s N 63° 14'So" E 18.04' L 1 :. Gs FouNa C] '?� 3 -•. "r +;� +' �''. , f 20.oE7 33.21 ;�. �5:.1 7-44 S 1 O, 1 9' Z 0" c ® s ate valve }- �C e�•� �h>�s ,��,1 '�' , � ;���1. r�,,'*• L2 J G 2. 32.573 C6/ FOUp.. �7.80, ``'33t,d4 O o CV3.3 , Y ,, t, E t • + 's•46 a w ' PI t 3 � ~�33.55 ater PINDLE C� Cwky;i r, t• tr 'SS •. , . ,.. gote valve z ® � --�., , r", x 33.73 33.3 s� a$ t �- P .lrt r li � CB O i` ti �, •! 00 LL 1 CB FOUND 35.20 34. U • 4.0 "' rn o �. 3 24 r d • 34.67' x 34. .58 ( m 1141. 00 1�- ;Z C• awe ....: . d 34.52 1 �\ ,� n\�d "' 4• F s 7 �.- 34. \0 32.4b �• o 0- LQCUS MAP ,4a � co���e 4.4 NTS ' x 34 g Ste4 ' 39.68 5.21 ` 35.21 FOUND / c� eo _ 33.7 33.5 x �$7 `gL�t` ,r ` x 35 x 35.25 0v��p\a 34.0 a ems'' • N K �� i5/78 Q\or�ea E \'36 34.3 a i #6 8.©�tng 5A0 x 35.11 35�$ 6 �6 de �� X 35.70 eG�� 034.1 �; \ 55 g9 32.36 " 'L bt`C� h• i1 33.16 4 . 3 1 6 t► ,. 5.8 e 3 24 35.s2 �E,. •yy� ad� �`� �p�Z oa � ST8/DH FOUND O8 lag 6" 35.6 , . t� 1 0 .69CB FOUND _ x 34.64 X 33.51 7.48 l •+�Ci9 x 35.67 98 G 35.532.38 ' 3- 2 1 6.14 1' X 33.62 % 32.58 � � P 32.44 50 . fi ' ® dIP 1 w x STe/ 5 lam' 4 35.28 +•�Jn�6..,-,".., t I F D t•�' x 34.91 I •''�3.27 g� 32.2Z RPM 34.47 b1y 5.G6 0 N 35.9 x a4."'' ,,0010 \5t\NG\\IV. ,. ' R�r CB/D 32. 09• 3 ' 1'8" ''33.55 OR..-''� FOUt� 34104 �. I' 1 G • x 34.42 t ZOWIG DISTRICT: RC ���•� \ " x 34.80 i� 2 OVERLAY DISTRICT: AP P t 35. BUILDING SETBACK REQUIREMENTS , 20" FRONT= 20 SIDE= 10 REAR= 10 x 35.42 t l 2.74 t ` x 33.70 x A,7 10- ' LOCUS PROPERTY IS COMPRISED OF: x• 34.91 10,1 33 33 33,2 8 1 6 ASSESSORS MAP: 116 PLOT: 86 s" 0 4.7 3.a �, " DEFD REFERENCE: CERT. 828 t x 33.94 3.6 #63/0 3 4 t \,�,S" 18 91 � » 12' - ' 12" r � 02 PUN REFERENCE: LAND COURT 9175A I 34.46 16" r 5 16" 32.07 4 s' 12" COMMUNITY PANEL NUMBER 250001 0016 D t 10 3�a. _ 33.94 3 1 t _ x 34.10 _ ct1` C ► 34.�7 _ . ,_ _ r F.LR.M. IaAF' ZONE t .j .`» " w t t , 14,3 S 35.35 ` 169 1� 18 t k 1 4" 35.25 Hf� 12" 6�'�N :y t t pP g 33.36 tt ` '• 3 35.0 `SUNG ¢ 35�' »1 .` .2 \ t " 4*9 33.6 " 33.1 sI \ �' ► 6 � F' . All UNDERGROUND "�fIITIES ARE APPROXIMATE AND 5 SHOULD BE VER{FEED 1, THE FIELD PRIOR TO ANY . CONSTRUCTION BY THE LI)NTRAr'T" t1 �1 -0-34. �, c� x 34s2 , 4.57 x 33.76 STK� 334.63 3.6 "'''�, K 4" SET �n x 33.75 ,� 18 �7 t` x 33.70 �\ �,, 1 - 8 ,� 7 • 31.92 1 34150 � N F•F P� 3 x 33.72 16 3 i t 10" r 2 1 t �y xy�3 Cif qH POUND M . 33.14 1 x .".58 36 •.t 32 38 LEGEND p CONCRETE/STONE BOUND \ \ 6" ` 33.7 fi7 i 0 I.P. IRON.PIPE � x 32.98 , West Bay Ltd. & Parkor Rd •U- UTILITY POLE Qo GAS GATE VALVE 1 t ` Y 33.31 11 CATCH BASIN °� 33.1 ® DRAINAGE MANHOLE 1 1 F" 3 i x 32.98 wt OSt ►111�: lI�aSSacl1�lSettS (9 SEWER MANHOLE �, 04 VALVE " �, 12 v • • PREPARED FOR Q FIRE HYDRANT t 12c f ® FLAG POLE x 33.58 33.0 SIGN " . 3 4sterviile historic Society 33 C GUY WIRE ; 1 24 12» 7 1 32 ND 2" TREE tt 4 101 8 �,.. .3 ii , ...�.�... . - t 34. 1 �,, /` . 3'3 " '•;;;�✓ TITLE • x 32.89 (Det" EmAstin Conditions i SHRUB t` t.p. " � 6 :-•"'. �� 33.C� X .78 , ' t UP�t#Y �' r` '�,:r� t � 10" 9� 'g'� �N 3.29 •: 31.7 ` TREE t t� .- �0 •. 33.8 , 3 2 .93 3 `•32.17 3 as PK/NAlL SET TREE `, �,/"s�,�� 3 31:7 32.7 Baxter, Nye & HolnigCen, Inc. t t ex� 2" " . . `. r - .. Re 'stered Professional t tt 1�1'3384 .8t3 �' 32.3 to .. - t t LCB/SEAL 32.8 .r d °o HEDG. \ , 34.29 ;,.rng re x 3z.o r Enfreers and Land Surveyors existing z ' e o 812 Maus Street,4stery lle,MA 02655 75t470+ - SM �. building o`N x 33.06 33.1 \,1NE�pH •. t:81 EE LINE a o S�oE ��I,,./' Phone-(508)428-9131 Fax-(508)428-3750 1.73+/ .�� oP N �° a� R gala -, .; 4A x 32.28 w �-� 33.64 ��3 Ab5 A6 5 �0 2.1 32.47 f ,r./M'"r► 32.2C31.98 �SL1r9 \ x 32.37 � I 33A6 ' DATE: 6 15 2001 � '� •--��.• • •� .87 SCAL :1"=20' / f CB 01a 0irny.• REV. DATE: REMARKS Ix 31.23 , DRAWING kUMB14 H: 2001 2001-025 survey\worksht\2001025ec.dwg - - -- - - - --- -------- -_--- JOB 01 --------- _ -. __ _ __ . __ ___ _ _ ___ _ __ _______ ___ _.. - __ _ ____ _ __ _ __ __ _ -_____ __ __ ___________ __ _._, e_ __- _ ___ __ _ __ STAMP: �i I��iII ii ij:i;Ii!�:1i:�;I��i1::�I��iILII�I;II�Ii;i I�I:�i:I!j���I:i::!!.�i:�;iiIiI:I I�I:I�III�:!�I:i�;!Ii II I I.I /T I�-I':...1....-,.,I.�.�.�.-1-1,I-1I.It1,...,,4 I-..I--�..,,-I._;1i,-.m,__om�(:."&@ a/r-'-�1. 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FASTEN B A2.1 `:':: "1 HR FIRE RATED 6" ; ( �..I @ @ EXTEND UP TO I t - cv I w AS SPECIFIED ..,METAAL STUDS' >' ,: W FASTEN AS SPECIFIED METAL CEILIING _ = I ", BEARING PARTITION I I, ,, W 1 LAYER 5/8 GWB FIRE RATED EACH 1 LAYER 5/8 GAB FIRE RATED EACH , I.'� •.,� i o, 66 _ - I Z SIDE, ALL JOINTS STAGGERED SIDE, ALL JOINTS STAGGERED I ; ._ , , I' ,' , .' , LL _ I"� �, - _ _ - , O o o �� �_ I �" o - o - Q U) 1 �� 4 O � co X Z N I� : - I -''_- '' , ONE SIDE,HARDIEPANEL VERTICAL SIDING, I - ' O �--- o W I i_,_ I - SMOOTH,FINISH PER ROOM FINISH -- c�. - . % __. __ T ___ I „ 1 PUC SUMP . _ _-�_ _ ___ - ANE V TI IN E� - SCHEDULE,ALL JOINTS STAGGERED - HARDIEP L ER CAL SID G, ., I 1 , W t - - SMOOTH,FINISH PER ROOM FINISH _, i W OTHER SIDE IS CORREGATED METAL PANEL I - . , ALL JOINTS STAGGERED .J SUPPLIED BY MORTON, INSTALLED BY G.C. 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""_ ( U V �7 I FLOOR & : .. - - :. . ^ .R I , .. � • AULKfNG.TYP. - C I � ','r 25MSG GALV.STEEL 782 5 8" 3x12 GUARD ,` CTL D /8 / 20GA J-TRACK _ ,.. •' r HAT CHANNEL @ 24 O.C. _'> METAL TRACK TOP PLATE I RAIL I Z PERPENDICULAR TO ROOF TRUSSES @PERIMETER I ,= I C? C I ING NS 22') E L PLA I WASH BAY I `�� ", , ' 1 5/8 TYPE S OR S-12 (2)LAYERS 518 FIRE-SHIELD ,,5 CONCRETE y SCREWS AS SPECIFIED GWB,TYPE "C" 101 I SLAB b METAL STUD @ I b O.C, B B :. . . (d 921) DATE ISSUED: FASTEN AS SPECIFIED I _ „B"A3• „B"A3. 02 . 05 . 2016 TYPICAL CEILING ASSEMBLY - - - - - - - - - r_ _. - - - - �- ` - - I PEST. STORAGE "1"LAYER 5/8"GWB FIRE RATED EACH I +- I-, REVISIONS: PVC SUMP 2'EJ, 1,o, SIDE, ALL JOINTS STAGGERED I, . I NO. R@VISIOn Date Ut 263 1 HOUR i 2 06 . 22 . 2016 DESIGN#P515 3 08 . 08 2016 HARDIEPANEL VERTICAL SIDING, . - 1 ' ; SMOOTH, FINISH PER ROOM FINISH SCHEDULE,ALL JOINTS STAGGERED 11 I (21.88') O (R-19)BATT INSULATION C { 84 METAL RUNNER FASTEN AS SPECIFIED TO .I I'. 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FT. __ /2 - -O ------- / - B1 4�� -011 B2 ---- _ --------- -- - / BAXTER NYE ENGINEERING & Z co SURVEYING Q7 J, Registered Professional Engineers z and Land Surveyors 78 North Street — 3rd Floor I Hyannis, Massachusetts 02601 A i Phone — (508) 771-7502 r -a CB H CB FOUND o Fax — (508) 771—7622 + FOUND . E o " Q www.baxter—nye.com L-37 8 18 - 6� O CV ^� / g � w STAMP STAMP 11 'hg < P~ k�• CB/LP FOUND CB/DH (L Z 51�- FOUND OHM F- Q L \ �� ELLIS `^I CB FOUND 000 m TD374 Y ;! 1 00 Z 24" U) 04 a 0L ; CONSULTANT O? / 3 OUND \ t� E � � s•��e. k°�•��• 36" '00 By\�\ - CONSULTANT o / \4 depW /, (1) 12-12-2011: BARNSTABLE BOARD OF HEALTH INDICATES THEY / HAVE NO RECORD OF THE EXISTING SEPTIC LOCATION, SIZE OR INSTALLATION DATE OF THE SEPTIC SYSTEM AT THIS SITE. 24" ck f � STB/DH FOUND o fla�psle 6. b�gop\w �cr� '�� (2) EXISTING FEATURES SHOWN ON THIS PLAN WERE LOCATED BY PREPARED FOR / ,9'e'L ' FOUND Q brpk \ SURVEY ON OR ABOUT 06-2001 BY BAXTER. NYE & HOLMGREN, INC. 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V 0 •�• \ \ Z TO-SHED F E• 16 W O I` L ao 36" \ a CL a 0 0 6" m: 00 \ \ I Z N p \\ \\ 16, PROPOSED NEW CONSTRUCTION b+`gt��`�`i�Q�GO t�0 \ a \ \ 12 12" NEW BOAT SHED 0. \\ \ 24 12" CB/DH FOUND 143: 2 CONCRETE PIERS A w \ N 0 \ 2- W \ 10" 9k 080 o 100 co PK/NAIL XSET p \ \\ ex� 2-• CB/DH OUND Z \ \ LCB/SEAL \ SHEET T I T L E Nw Proposed New existing Z ex`' 'n9 v,� building NQ N 10 I Construction S\oto cel SITE DETAIL SHOWN ON THIS PLAN REPRESENTS AN EXISTING SHEET N O CONDITIONS SURVEY BY BAXTER. NYE do HOLMGREN, INC. ON APRIL 5 �� 18. 2001. THIS SURVEY AND RESULTANT LOCATIONS HAVE NOT \ BEEN UPDATED TO REFLECT CURRENT EXISTING CONDITIONS. C100 e D A T E : 12/12/2011 20 0 20 40 CB/DH FOUND SCALE IN FEET SCALE : 1" = 20' #65-1.5 29 r LINE BEARING DISTANCE L 1 N 63° 14'S0" E 18.04' �+'�!r+III ,�'� • y� i,V 5�,• t+. L2 S 10 19 '3 0" E 20.06 33.21 CB/DH CB FOUND FOUND 3 32.44 0 xt' .- \J Jr� y�`y y +r r'+ I { ® as ate valve ti ti y �•EW 32.573� 18" Q { +r ''r` y'+S r 5Gy y •�t� 1J4 CB/ FOU p{LL R- 7.80' � � .44 � ' LO u$ 3.30 �`� 5 p N ' 33 1� .,' 6 water 8 >' W I 5 rlth3+r^ x. 3 80 gate valveCD PINDLE g t f„A ti ti ti P� h x 33.73 CB 33.36 z Y"`ti I ` /...'.� f FOU D O } �� ♦ ~ Q � ti CB FOUND 35.20 Y ® u _ u'... ;•:r;'34.0 x 4. 924" 34. ` 00 m O 0 U. y ,r I 34.52 .\,�� { SI r -1 i.- Z /,� /I �`34 ed 3 24"x\4. o �. �wir .r #6 17 / Z_ ,. \ /�/ Nye 32.48 N LOCUS MAP �- o �4 , x 34 �\ ��' 9�LeP 4.4 s 0W ..3 .68 /� 5.21 s ` NTS N 6k � �`..� -••34.9 35.21 FOUND' o. 7 \5tiS e �/> .- 5Jy36"35. x 35.25 \/�� gJ\LO\NG 33,7 33.5 x `.00 �+a7 A4 e \NO 34.0 �. Q 34.3 0 / } #6 8 6� U*: 2 K o_ 1 '. 5 x 35.11 �\ 35 a 26 3q 6 de° x 35.70 e. 69 ` 32.36 ice' -11 p\K '�°j. g- w �`3 34.1 35.91 24" ���2 bt`oK A '� 1 STB/DH FOUND 35.82 \i, 359a 6b(der ,3. ' 2 h 33.16 0 08 flagp ® 35:85 Y 6 35.6 3�h9 0 :69C6 FOUND x 34.64 i �: 9p<de� 1S x 33.51 6" _9 7.48 00r, i 32 x 35.67 G gv\�8 35.5 /16y. 00 � 36.14 \cam(\N 57 6 f\ d r' �� o \, P\ore 2 x 32.38 ge ce 033. ♦ t� i P° y4p�cKek x 33.62 32.44♦ 63-1 ' i 32.58 . 6 a y STB/ 5 24 x 35.28 ® ' ♦ O F D 5.6610 3 x 34.91 -=�53 32.7 g: 32.22 34.47 : y llf�� �R0 ' 609 D , 3 n N 35.9 x 34.07 ��.��� \S��NG\�EPVE ��r 32. 34.�641 18 CB/D GPR x 34.42 f 33.55 EX OR��'� FOU D x 34.80 t P ; t` ♦ 24" i-�S�s'' _.•-r'33.62 "x \ 2 O�ERLAYNING DDISTRICT: RAP ♦ 35. 20 BUILDING SETBACK REQUIREMENTS JD32.74 ++ x 35.42 �L % FRONT= 20 SIDE= 10 REAR= 10 t x 33.70 x 1��, ;r �7 t +t » 10" ♦ LOCUS PROPERTY IS COMPRISED OF: + t x 34.91 33.2 ,� t + " -0- 3 . 4 t+ ; „ ' 6" 03, 334.7 s" 6 ASSESSOR'S MAP: 116 PLOT: 86 #63/20 i t14" 18 x 9 x 33.94 3.67 v- 3.8 Y t "1 12" DEED REFERENCE: CERT. 828 t t 34.46 16" 12 12" o PLAN REFERENCE: LAND COURT 9175A t t ♦ 4 8" .�d 12" 32.07 t f ♦ x 34.10 �� 10 A t 34!67 12 33.94 COMMUNITY PANEL NUMBER 250001 0016 D 7 12"� t t F 3 4� » g" F.I.R.M. MAP ZONE C - - 35.35 1 --\24 - - 35.25 S/�EQ - A�� 5�69 �r1 10" , 18 8 - _ - - -- x-. 35.0 12 aP BP - + "d 3 G 8 69 33.36 ! 33.64�X\SF F R 2 t t 0 9 33.1 53 ALL UNDERGROUND UTILITIES ARE APPROXIMATE q -0-34. �, �� x 34.s2 OXIMATE AND c*� r SHOULD BE VERIFIED IN THE FIELD PRIOR TO ANY �0( x 33.76 4.57 12" 8 CONSTRUCTION BY THE CONTRACTOR 3 STK/SET.63 3.6, K » 4 rr3��7 x 33.75 � " o a x 33.70 EX�S�� RN'1 8 x >y i 18 �� t 34,t50 � N gOP�� gh ey 5 ky, 7 31.92 + O, x 33.72 16 " t t ♦y»'�3 ��`1' 10 } CB/DH FOUND t t ' " 33.14 LEGEND x 33.58 36 32 38 o CONCRETE/STONE BOUND ; ; 6"'• 33.7 I.P. IRON PIPE .67 1 32. 1 -0- UTILITY POLE � ; ♦ x 32.98 �� �. West Bay Rd. & Parker Rd. Qo GAS GATE VALVE ; tt ` x 33.31 - ® CATCH BASIN + ` QD DRAINAGE MANHOLE t t ♦ "w 3 1 tee 33.1 QS SEWER MANHOLE t t ♦ - 1� �- x 32.98 ,c� Osterville Massachusetts � FIRE VALVE tt ++ ,�, 38l2 12" 12" e\y� ' PREPARED FOR ® FLAG POLE +t ✓` x 33.58 SIGN t t 24 "y " » 33.0 1.58 � � � � C GUY WIRE 12 74 12"• 3 , 3 Osterville Historic Society TREE 10" 1 FOUND ty � tt ♦ 10 8 ,--r 3F FOUNO SHRUB � ` s •. 33. 2" - ��. ♦ ■ ■ ■ ■ `�-0- 34" 3 6 �,y 33.� x 32.89 ♦ TITLE UP.�#Y C� 1 3.6 j� ` x 32.78 02.5 EAsting Conditions TREE e C" 1J" �i;K* 3.29 8" 31.7 -010-1 `` `` ♦ �✓�d9es 3 231. 3 i TREE ♦ �/._'',�-:Szr9 J .2 ;3 17 3 3 48 PK/NAIL SET .93 C eX` ♦ 3 7 2 p 1. 3 _ ... '. ♦ 12" 31.7 32. - B�DH OUD 5 64 , Baxter, Nye & Holmgren, Inc. LC3/SEAL 6.88 Y�"t,J� �` c!, ---HEDGE ` 4.29 32.8 �' 32.3 N Registered Professional 3 �:;, �red9e5 x 32.0 a Engineers and Land Surveyors existing EE LINE . ,47011� 9Q. �. building A0 �O CB r:ai ex 03 812 Main Street,Osterville,MA 02655 1.73+, _ ACM Nam♦ x 33.06 33.1 5\owN�g��Nj Phone- 508 428-9131 Fax- 508 428-3750 �,♦o? RaP� OH Lo r �_ r 33.64 61 O. 0e�.,�� x 32.28 �, ` `' 2.1 j �p./� \\pe �... 3 :2(�1.98 e ♦ .0001, 13 ♦ _33,A6-` •�!� eX`s x 32.37 .87 SCALE:1"=20' DATE: 6/15/2001 b CB DH FOUND REV. DATE: REMARKS 31.23 DRAWING NUMBER H:\2001 2001 -025 surve worksht 2001025ec.dw JOB # 2001 -025 TOWN - OF BARNSTABLE i . i 33A"STSBLE, i "6 9 , BUILDING INSPECTOR OM a' APPLICATION FOR PERMIT TO ...... ....... ....................... .............. TYPE OF CONSTRUCTION ..... ............... ................................................................... 44-0/ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby ��applies for a permit according to the/following information Location .......... ....... ............0.....jpt, ... ProposedUse ............................................................................................................................................................................. ZoningDistrict ..................................................................:.....Fire District .............................................................................. Nameof Owner ............ . . ......... Address ....... ...................... ............................... Name of Builder .�..`. �?r< +P ..Address ....../&. .......................................... O ������e Name of Architect .......... .........Address 41 Number of Rooms .................................................................Foundation ...........:......:.,.......,.................... : :........................ Exterior ....... .............. .......ems . :..........Roofing ............�, °' .... .......... Floors ....................................................Interior ..........C!c! .................................... Heating ............y.'"�:�.`.�r�:�....W::.:::., ..................................Plumbing ............ . ?-®- - ............................................ Fireplace ............0........................ ..........................................Approximate Cost ........ 0_V_V P-0 ...'.:........... .................................0... Difinitive Plan Approved by Planning Board ________________________________19 Diagram of Lot and Building with Dimensions /�/® 67 f%v � r I hereby agree to conform to all the Rules and Regulations of t own of Barnstable regarding the above construction. Name ... .� QatezviIIe 81otoriomI 8noimtv l�Ab� ^�~,� add to Historical No -----... Permit for ................................. _..800iet��..lnziId±ng 155 �est ^,~~'"e' --'--'---'---~--------'' � OsterviIIa ----'---------'------------'' Owner ...OsterviIIe—BiatmzioaI..8oclatJr Type ofConstruction ..............frame_____.. ' . . . � - —'—'--~------------------'^—' Plot ............................ Lot ___________ - . . � Permit Granted ..........������—�---'—.lg 68 , � Date of Inspection --..---------]g . � . � Dote Comp Completed -- —`----]Q ~ ' ' ` ; PERMIT REFUSED ' -----.-.- --- lV . �---------.. � . '-----------------------'--'' | , . '----.--.-----.------.------,— —.--.----------..-----.-----, ' . ----.-----.----....—...-------. / . ) ^ ` � Approved .............................................. lA ------------------------.-- ` . ` ----------~---.------....—... ' �