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0269 WEST BAY ROAD
o 0 1 r. _ _ _ _ ,_ -^ - __ - F� Town of Barnstable • sT^ems • Growth Management Department Barnstable Historical Commission pTFO W1Ay� www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk 2014 OCT 24 AN11:57, George Jessop,AIA Nancy Shoemaker Len Gobeil BARNSTABLE TOWN CLERK Ted Wurzburg Paul Arnold,Alternate DECISION Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F Applicant/Property Owner: David & Colleen Cappellucci Subject Property: 269 West Bay Road, Osterville Assessor's Map/Parcel: 116/109 Hearing Date: October 21, 2014 Pursuant to the Barnstable Historical Commission Chair's determination on September 25, 20i4 a duly advertised and noticed public hearing was held on October 21, 2014 to determine whether the significant building identified as the single family dwelling on this property is preferably preserved and whether demolition delay would be imposed for the partial demolition of the dwelling on the parcel addressed as 269 West Bay Road, Osterville. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote,found that in accordance with Chapter 112-F the demolition of the portions of the single family dwelling are not preferably preserved significant buildings. The portions of the single family dwelling to be demolished are identified in plans submitted by Northside Design Associates dated July 7, 2014 and are attached to this decision. In accordance with Chapter 112-3 F, the Commission determined by a unanimous vote that the demolition of the portions of the single family dwelling would not be detrimental to the historical, cultural or architectural heritage or resources of the Town. L-a,t,wa, Y0U*, g October 23, 2014 a Laurie Young, Chair Date y 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 BARNSTABLE Town of Barnstable Growth Management Department Barnstable Historical Commission www.town.bamstable.ma.us/histodcalcommission NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING,.... 17 Full Demotion -iyartial Demolition Date of Application 2�/Z-71141 Building Address: rtli iu&7Sr atZ Number Street -Assessoesmap# /Ab Assessor's Parcel# 00 Village ZIP Property Owner: �.*'/(i;> C� Name Phone# Property Owner Mailing Address(if different than building address) eflle4'el) Property Owner e-mail address: if FC- Contractor/Agent: e t> COLC Af g5"a-Im-5-,0 6- S3 Y Contractor/Agent Mailing Address: Z2A1 We-Le-1.4 it i-I. 4w 6 V-.-,67��_e 14 Contractor/Agent Contact Name and Phone M ee,1,e!577 STi-T-Y9 es-(f 9 Name Phone# Contractor/Agent Contact e-mail address:_ !F. -130 X !f!241 4'95-T;�',,,-az'-E4 LL4 Detail of Demolition Proposed: d1D I) :j ,417'#44- aa., FAV111- 1-/ /;y di�&21X o-F 7 Type of New Construction Proposed: �Oy e- Provide information below to assist the Commission in making the required determination regarding the status of the Building in accordance with Article 1, § 112 Year built: Additions Year Built: Is the Building listed on the National Register of Historic Places or is the building located in a National Register District? No Yes operty Owner gent Signature May,2014 r Town of Barnstable ,,,ST„B,$ = BARNSTABLE M, Growth Management Department Barnstable Historical Commission Eo rnn'r' www.town.bamstable.ma.us/histodcalcommission Jo Anne Miller Buntich,Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Acting ChairNice Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Gark Nancy Shoemaker Len Gobeil Ted Wurzburg _ Paul Arnold,Alternate Chapter 112 Historic Properties,Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 269 West Bay Road,Osterville Map 116/Parcel 109 Pursuant to Intent to Demolish Portions of Single Family Home The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address stamped by the Town Clerk on September 17,2014. This structure,located at 269 West Bay Road,Osterville,MA is a 1 '/z story shingle style house and is architecturally significant in terms of period and style of the neighborhood. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. 200 Main Street,Hyannis,MA 02601.(o)508.862-4786.(f)508-862-4784 367 Main Street,Hyannis,MA 02601(o)508-862.4678(f)508-862.4782 Town of Barnstable Geographic Information System September 17,2014 11 s1 zs ¢-�� !L Li 1044 1 A__f o 116017 i160a2 116124 16127 E3 #73 '#34 116013 #330 ® p� oL f 116023 118123 115022 116128 ELF 116014 # 22 116010 Sr6 #306 11�Is 0339 q~iQO #18 116026 A IIW24 lye. 0 288 116027 116130 04 08 030 116026 1Mill #5 g �® # 321 11 116012 #1a 00, ® 116110 1 09 1 0 ♦Was IW87 60�� `� 'S297 #� d#269 116111 1� 007 #289 0 #30 r • �rl ® 1/6t08 016 118089 22 0, #116129 pis 0�`Q ® 75 116117 023 #330 118112 1# 4 116004 93 #fit 118108 118092 #91 870 116003 116134 060 116105 116113 #99 041 .n 11 96 II91 #5� #58 116119 118104 116103 #18 1 20"` 'F �t #7 n6099 116093 DISCLAIMERS:This m Is for lane purposes od. It Is not ad Map:116 Parcel:109 map planning P� Y adequate for legal Selected Parcel N boundary determination or regulatory Interpretation. Enlargements beyond a scale of Owner.CBA VENTURES LLC Total Assessed Value:$874600 V-100'may not meet established map accurM standards.The parcel Ines on this map tH E are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner.%CAPPELLUCCI,DAVID F& Acreage:0.27 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:269 WEST BAY ROAD such as building locations. Buffer �! f1 i w ♦r s r Ir �. or *fit «1's�< '� s, iy .. ^ IYF��.� '►. �.. � � it+�� �i.. � w a • �. '4.J�. Ms•° is t _. .M-�" r . t o I r +!. '•t. .:t�'. �; •: '..� _ r+:K•}...�C-r:eve•' y,� �"`rF�,1 s . a, f � ` � � �, t' � { k{°'i,�.`i� '4 �i.. i 1 x 479 pixels) 11 i of 1 I i _ ►.tom � �_[ �_ - (FL 1 1: PM West Rey Rd 96.48' .40" E 1 90.28' - . 19 , 2 - / R =. 30.00', L = JZ56' N 0; ZONE: Front Yard 20' / � C (RP OD)— R D). Area (min) 87,120 S c i :.....:::,. " Font (min) 2 0' ... tgmin) 100' �dh Setiac .• Front 20' Approx; He System Side 10' X f / Rear 10' A � I o 3q CJ t 426.1'/ C �* 21.1' ¢' A, Sketch Showing Possible Building Envelope At 269 West Bay Rd Osterville MA - �' CapeSury I � y0 7 Parker Road Osterv!!!e MA 02655 R 05 10 15 20 30 40 FEET (508)420-3994 (508)420-3995 fax capesurv9capecod.net I t=)FRONT ELEVATION01 ' LLFJI Uli 't r LEFT SIDE. ELEVATION j r a g l7miAll a , MA REAR ELEVATION E Im - 3 Al 01 NJ f a IL�' IM W __r,R16NT. SIDE ELEVATION � i H 4 a • 6 Q ' ��eS�Ne 1. r..uarencn,waa m.0 ec Sxep m'ae fnlEta ana'rtnvE Av:E� t.ut EnEmr va,u peat ae u.p.roc v..Eci - orrtarHse egr<a 1 DOlr:0.Vr91pYLL t'D3Y .r<vwmcneoaa aPE.�mus a[�:r[ raga rao tE,wcvaaan ��r[b[ l-- <ODxlWt;l�e 61aLL VERFI ♦.♦.bQ eYr ���\ ,u.ce rMrt[ � �!SlWJC�Chb CONrQA<tyt .eSW E!aZlipeLilrl I,A NY YSSYD OR PSOfDffGf \ OESA5,�9. DENEMLNDTE>f . bratir enr e.ut[ W� Kendall Welch � - <YNli[alArA lw RIGHT ELEVATION' _ WEST nEnoeEA- ® DESIGN SIDF. N wssocurn °'auerTAY O I DESIGN LLC <wecoi: a'.w- �[MOPOIED CAPPELLUCCI � + \ RESIDENCE (Avg !� .=61 ,Ell IQIL �Li I69 WEST BAY aO. OSTE 'K7 aV0.lE.v,1 1ii 11(� fr�'I ELEVATIONS V•,4y FRONTELEVATION erneur.ro J NORTH e!e A.3 I I �..0 ex:�acn muw a«u ecnsv sacww onaav�wr©. �..ua ov uucwau — i o�¢xxsE icro. v.rcr. { wsr[a _ icr•:n.craos�uvwsr �.a...[r.:� ••'*[ uv:swvnouceronoa:na i•. .�i.. •s.s'� rne.roo�mw.nsaa .ssnes�orumrr rrn�. •n ncvcre. urE . — C \LEFT ELEVATION - Kendall Welch EAST ot:smrEn. - � 2�OR7'IISIDE nFSIc� ASSOCIA7L' :-� Pa�[Dw f{ - CNr.O.W>.e GG:vl. •�Ma�m* m.c.i.z ,I ,,,,;.,,.,,.�.w• mreeruwteuew[Ea. •�, ,a •— —'.-- TAYLOR — DESIGN LLC .c..oe.ie a[a�w [ T .• I I . ••� I IIII�I li I IIII III II II IIIIIII II 1 III.II II glll IIII�i ' �.: ED i i SJ j OAPPELLUCCI RESIDENCE -:. xN _ P iY rm—lP a EL T r EVAT�IONS REAR ElEVAT10N SOMH a wr A.4 " rmu 4 �Yi u:wia Wu,ow. eEueCuoc a=�.• eFDu p a'OL tsOEea cnuro[Ro+en >OMR.CtoR 61aL'\'ERRTV atweawwiArammaa �wroormeugwmau 4 DaRRACfaiOVll\41iT 4'AdMBttlela Wtp1:0 D96TICip1 m1iMCIOR �.._� KAR4)ROMIDl6lIv fOR hli Y.6.R�W Om04Fkt1 Tk.:saaniorTRE PATIO ,:..'... OEKERAL MOTESMASTER BEDROOM I I KR Q �O_G.. .. �c REwm+ ara. 1 —= — — — — ---------------- + .IT—_—Eil" B --_ I1 �LMNG ROOM __p — $endell Wtleh 1 II arswrn: 1'1 __ I NOR•[HSIDS 1 ❑ 1 MASTER SA ASSOCIA \enao MUDRM. -:;A—' BATH mRucna.\�Ew°fccq TAYLOR DESIGN LLC muv. GAGE _ �.I WOROOM 02•�� EAV. FOYER OM 1J,r CAPPELLUCCI RESIDENCE Ti nan uwc. 70 WEST Gr RO rom PGO ffypp yvy f�tl e�C.IRi: iRl6: j �6^'�"e•Ge•'�' sc FIRST FLOOR ea.. PLAN M ouE+m.�,o o® .• oes u,aae.Ra ro a We„ K01 A.1 �7 c...__� �.w.emeo.e.•m o• - oc ALL cxtE,mu w.Lu aY,L iYm p,coc U.Ttl L ALL>lIDN'i4fiLLfi 6MA',l O6II.p+COG uAENt Oi,OneENottA L NtIatRACTOR6wLL YFRFY NLMno0.rrt0iv1a0Bs6s oRM W O!C1fiRt+0 M-0SOt.a a 06Nt4t:01,SWILL VfllP'/ cowstkT tV0p V f01f1RLt:TW O]NTRAC:OR AQtNmousd,mam taR' {�- MY W9ppq>IpppPlCi I' •+----'—._�i� QI�l.�5 MT8NW0•fl TO T,OArmD. Gw 9ESO,Eq. GENERAL NOTE! k •� �i ROOF DECK � �i ,n aenccv o.Tc I� . ed.aO w. BTH MFTT`• u EDOOl ®a°.`•n°a.-inOYR MW till RS lDE . .... DSluASS�A j ��w•r —-•• , I Bt0.C11F'YOL4 6GR' -. .._._. ...... -__-__ ..� +.... ... .. _ ........ ___.._ ..+ •••• LOR DESIGN LLC R4 I1t N ,Wl � x= w.. wua I 6,AW I CAPPELLUCCI RESIDENCE M WEST BAY RM ...._.._.... OSTERVAL2.L Tt48, SECOND FLOOR PLAN r.n�.',.:•••mm�w.v+maae-voPoia..�o.�o r�`.i. a.ae>r+i.m sur Ki.c .io�>�a:oioo» �s,ea•.avu tr axe,Rti.a aev Swma T •w,r+e.om.w,�o wniui wim voac••arm Rv2.a.eruav w Atm,w,Ki wr„r,K„wr.cruaR'a wTacroe. > t® T• {Jn,t KFY 1Mt .�1�rGvnM01 C-._..� ,..+an rDa cewro Mlfi � - o r<•ox> rnn. 4 CF1ME Town of Barnstable • BA WABLL • Growth Management Department 1639. �� Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Len Gobeil 2014 OCT L4 At111:57 Ted Wurzburg Paul Arnold,Alternate BARNSTABLE TOWN CLERK ' DECISION Summary: Demolition Delay Not Imposed Pursuant to Chapter 112 Historic Properties, Section 112-3 F Applicant/Property Owner: David & Colleen Cappellucci Subject Property: 269 West Bay Road, Osterville Assessor's Map/Parcel: 116/109 Hearing Date: October 21, 2014 Pursuant to the Barnstable Historical Commission Chair's determination on September 25, 2014 a duly advertised and noticed public hearing was held on October 21, 2014 to determine whether the significant building identified as the single family dwelling on this property is preferably preserved and whether demolition delay would be imposed for the partial demolition of the dwelling on the parcel addressed as 269 West Bay Road, Osterville. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112-F the demolition of the portions of the single family dwelling are not preferably preserved significant buildings. The portions of the single family dwelling to be demolished are identified in plans submitted by Northside Design Associates dated July 7, 2014 and are attached to this decision. In accordance with Chapter 112-3 F, the Commission determined by a unanimous vote that the demolition of the portions of the single family dwelling would not be detrimental to the historical, cultural or architectural heritage or resources of the Town. La-twLr e, Yo-t� October 23, 2014 Laurie Young, Chair Date 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 130125 Map 116 Parcel /0 2 Application # Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address r A6 !g� —I Td Village r Owner Dea vi,A d�' C D l been I Add ess Telephone II / Permit Request R cy I tpS(� a c t4zU GY/ d �2 Square feet: 1 st floor: existing proposed 2nd floor: existing Nd'o proposed Total new 27P Zoning District Flood Plain A F 2 Groundwater Overlay �lo Project Valuation C7 , C:�J Construction Type .1 Lot Size 12,c)24 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family tB., Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: C Yes �L On Old King's Highway: ❑Yes YNo Basement Type: ❑ Full (,Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing Y new Half: existing new J Number of Bedrooms: existing &new Total Room Count (nbt including baths): existing new © First Floor Room Count Heat Type and Fuel: aXGas ❑ Oil ❑ Electric ❑ Other QD _ Central Air: 4Yes ❑ No Fireplaces: Existing New Existing w�./coal stove: DYes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Bar existing_.❑ new size_ Attached garage:Aexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: --1 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ _ ' �s cam, Commercial ❑Yes 4-No If yes, site plan review # Current Use Fes Proposed Use 9- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 02 j491780W( �^ � . Telephone Number 24 0/ O� Address 1�2 80* Ll°t 0 License # C's 7A??e (2 c/-t7(e o 7,t S Home Improvement Contractor Email o'g, can vke"wf Ong kl e/44 i-eb Worker's Compensation # 1;4 81S6 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Spa a-/" I SIGNATURE DATE t FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED` ` MAP/PARCEL N0: i. ADDRESS - VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME � -; P_�.. -► 3�'�' ��- 7- ��- jS� �' INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ' pr PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING iz DATE CLOSED OUT ;' ASSOCIATION,PLAN NO.'-- - r 27te Commonwealth of Vassuchrrsetts D8purtrnen;<t of hulmstrial Accidents Office of lnves4a#ions 600 Washington Street Boston,MA 02H2 wmv.in ass,goiVdia Workers' Compensation Insurance Affidavit:B.udders/ContractorsJEiectricians/Plumbers Applicant Information ly 1 /�," /, Please Print Lefib Name(Busmess/O gauization/Individnal): �`!aa 4( � 6k I exl �. con sr. Address: D f tf Oto City/StatelZip-_ t�V I i-S I& Phone4 _ Are you an employer?Check the appropriate box: T , of o'ect(required): 3'l� p=' J L❑ I am a employer with�_ 4. DgJ am a general contractor and I 6- ❑New construction employees(full andlor part-time).* have bired the subcontractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and haze no employees These sub-contractors have g- ❑Demolition w for me many capacity_ employees and have workers' orking y 9_ ❑Building ad'ditian [No workers' comp.insurance comp_insurantce I required-] 5_❑ We are a corporation and its 10_.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I-❑Plumbing repairs or additions. myself [No workers'camp- right ofexm. tionper MGL 12-0 Roof repairs insurance required.]t c_152,§1(4),and welizveno, employees-[No workers' 13-0 other comp_insurance-mquired.l *Any applic mt that checks boa;;1 mast also fill out the section below showing rhea woAeis"compensation policy infarmadm3- T Homeowners vrho submit this affidsvrt indkAbarg they are doing all waak and then hire outside contractors trmst subunt a new aifidarit irne irglin ve such- tcontmctors that rhea this box must attached an additional sheet shawing the name of ifte mb-oonft3ctors and state vrhedwr ocnot those edifies have employees. If the sub-conttactors hwe employees,they must provide their works'comp.policy atm3ber. I am are-employer iliatispnt�idiag trorkers'compensation insurance for rtty employees. Helots is Ste policy raid job site info rm atiom Insurance Compauy-Name: Policy 9 or Self-ins-Lines:l/A Expiration Date. ,��/,� ` Job Site Address: 2(7 `'[ C����` tEj— CityMate/Zip: Vf,( /'Pi17 ("lit- G O� Att$ch.a copy of the workers'compensation policy declaration page.(showing the policy number and expiation date). Failure to secure c6 erage as requiredunder 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 ORDERand a fine 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 verification- _ -- ... ... .. .. ._. - . .- .._..-. _ . ._- ......- - ... ........ -_..- . ...-_ _. .... . . I do here sander the pai�n/ a idpenalties afperjuty Statilie information prmided aboue is b7w and correct G Bate: Phone i# ©UmaI tue only. Do trot write in this area,to be compacted by city or town o�iciaL Citv or Town:. PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CityffoRn Clerk 4-Electrical Inspector S.Pfumbinng Inspector 6.Other Contact Person: Phone#: 6 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 Iocal licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonweal th.,for arty 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." I 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 ceuiificate(s)of insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance_ If an LLC or LLP does have employees, a policy is required- Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. 'Ilie affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Departrient 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 'n 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 add acn,an applicant that must submit multiple pcmitllimnse applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit mist be tilled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (Le, a dog license or permit to bum 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 Lave any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commanwealth of Massachusl-tM Depa-e merit of hidustrial Aocidenta Offke oflavesf ptims 600 WasMngtaa Sizleet Boston,IAA G21 I I Tel. #f 17-727--4900 w 406 or 1-877 7 ASSAFE Revised 4-24-07 Fax#617-727-7 749 w w.mass govldia I Rightfax 142-1 3/17/2014 8 : 17 : 57 AM PAGE 2/002 Fax Server t CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYVY) T. IFICATE 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. rzlilS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: MURRAY&MACDONALD INS PHONE FAX 550 MACARTHUR BLVD (A/C,No,Ext): (A/C,No): BOURNE,MA 02532 A MAIL ADDRESS: 75NHN INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY KENDALL&WELCH CONSTRUCTION INC INSURER B: INSURER C: INSURER D: PO BOX 490 INSURER E: OSTERVILLE,MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDIN= 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. WSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MM\DD\YYYY) (MMADD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL P PMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE �OCCUR. PREMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: ENERAL AGGREGATE $ POLICY 0 PROJECT LOC RODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-5033P435-14 02/06/2014 02/06/2015 LIMITS ANY PROPER ITORlPARTNER/EXECUTIVE a OFFICER/MrW 00 A E.L.EACH ACCIDENT $ 500, 0 MBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 It yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERA-nONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. FCERTIFICATE HOLDER CANCELLATION .... TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED _`200 MAIN 5T BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONg.7,; HYANNIS,MA 02601 AUTHORIZED REPRESENTATIVE c ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988-2010 ACORD E6R PIVIUMM,iA • is reserved. i ACC>R& CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 10/29/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Michael Edwards NAME: Lawrence Carlin Insurance Agency PHONE FAX (508)540-7100 A/C No:(SOB)540-8426 230 Jones Road ooREss:Michael@lawrencecarlin.com INSURERS AFFORDING COVERAGE NAIC# Falmouth MA 02540 INSURER ANorfolk & Dedham Mutual Ins Cc INSURED INSURER B.Technology Insurance Cc Cape Cod Mechanical Systems Inc. INSURERC: 8 Fruean Avenue INSURER D: INSURER E: South Yarmouth MA 02664 INSURER F: COVERAGES CERTIFICATE NUMBER:2013 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRSUBR LTR TYPE OF INSURANCE vfvnPOLICY NUMBER MMIDD%YEY1 V POLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY AMA NT�6 PREMISES Ea occurrence _ $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY r PRO- LOC $ AUTOMOBILE LIABILITY Ea acBciNdt?°tSINGLE LIMIT 11000,000 A ANY AUTO BODILY INJURY(Per person) $ ALLOWNED X SCHEDULED 91275445A 12/22/2013 12/22/2014 AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-0VvNED PROPERTY DAMAGE AUTOS Per accident $ Uninsured motorist combined $ 50,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB EACH AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,0()0 OFFICER/MEMBER EXCLUDED? N I A (Mandatory In NH) C3067846 9/21/2014 9/21/2015 E.L.DISEASE-EA EMPLOYE $ 1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS 1 VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION stefan@osterville.com SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kendall and Welch Construction ACCORDANCE WITH THE POLICY PROVISIONS. 874 Main St. i1 PO Box 490 AUTHORIZED REPRESENTATIVE Osterville, MA 02655 David Lawrence/MEDWAR "� � nG _ ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025nn+nnsini Tha A(`opin nama and Innn arc ranictarari marlec of A(:npn r .10/01/2014 WED 15: 42 FAX 508 564 5531 Bouchie Insurance 2001/001 Aco CERTIFICATE OF LIABILITY INSURANCE oATE(MMroaYYYY) 10/1 14 ---THS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 'ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES 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 endorsemen s. PRODUCER CONTACT NAM: _____ _ _ Robert E Bouchie Jr. Insurance PHONE 5O8 564-5560 - �- Fa(AIx N (508> 564-5531 1352 Route 28A ADDDRE PO Box 400 SS., info@ Bouchie Insurance.corn Cataumet, MA 02534 INSURERRS AFFORDING COVERAGE NAICI► INSURER A:Western Heritage INSURED iNsuRERe_Hartford Tom Costa Building & Framing :INSURERC — 29 Lady Slipper Lane INSURER INSURER D Mashpee, MA 02649 IWSURERE: _...-_..-..--- -•-- -.-......-•-•---.. INSURER F: -- -__...-_-- -- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AOOISUBR POCICYEFF POUCyy LTR TYPE OF INSURANCE POLICY NUhBER MIOD/Y MullDDIYYYY LIMITS A GENERALLlABIL1TY SCP0988790 7/31/14 7/31/15 EACH OCCURRENCE $ 1j.0001000 X COMMERCIAL GENEPALLIABILITY DAMAGE TO RENTED rVl PREMISES(=a_ '="L__ $ _S 00,000 _. -- CLAIMS-MADE u OCCUR M_ED_D?LAnyEno person.)-_ $ •�---J OOo PERSONAL&ADVINJURY $ 1 .000 000 GENERAL AGGREGATE_ $ 2,000,000 GEN'L AGGREGATE LIMITAPPLIESPER PRODUCTS-COMPIOPAGG $ 2,000,000 X POLICY PROJECT LOC -- AUTOMOBILE LIABILITY ty81N D IN L Ea accldeM _ __ $ ANYAUTO BODILY INJURY(Per person) $ ALLOWN=D SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) $ HIRED AUTOS NON-OWNED PROPEf7rfOAMAGE -- AUTOS jeer acddenl)..-_- $ — $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR -- CLAIMS-M4DE AGGREGATE $--- -- --- DED RETENTION$ -- -^--- $ -�—^ B AND EMPLKERS CERS'LIAILIT 6S60UB0296M85713 9/21/14 9/21/15 X, WCSTATU- OTH- ANDEMPLOYERS'LIABILITY Y/N ANY PROPRIETORIPARTNERIEXECUTNE -=T ER .__...._ -.__.._..._ _.. OFFICERIMEMBEREXCLUDED9 N/A E.L.EACHACgCENT _•,-_,__ $_^-lOO,000 If (Mandatory to and E.L.OISEASE-EA EMPLOYEE $ 1001.000 tf YYes.describe under - DESCRIPTIONOFOPE RATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kendall & Welch Construction ACCORDANCE WITH THE POLICY PROVISIONS. 32 Wianno Avenue, Unit #5 Osterville, MA 02655 AUTHORIZED REPRESENTATIVE Robert E. Bouchie Jr. ©1988 2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The AC ORD name and logo are registered marks of ACORD Phone: Fax: (508) 428-4907 E-Mail: r 1/10/2014 2:58:06 PM PST (GMT-8) FROM: 100005-TO: 15084284907 Page: 2 of 2 ACCWEPCERTIFICATE OF 1IABILITY INSURANCE DATE(MM/OD/YYYV) 4 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 CONS ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED EPRESENTATIVE 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 requireian endorsement. A statement on this certificate does not confer rights-to the certificate holder in lieu of such endorsements . PRODUCER DOWLING &O'NEIL INSURANCE AGENCY CONTACT NAME: 973 IYANNOUGH ROAD 2ND FLOOR PO BOX 1990 PHONE C A/c No): HYANNIS, MA 02601-1 9 90 E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: 00 INSURED DETAIL SIDING CONSTRUCTION INC INSURERS: 55 WOLLEY ROAD INSURERC: HYANNIS MA 02601 INSURERD: INSURER E: ' INSURERF: COVERAGES CERTIFICATE NUMBER: 189156.73 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER LTR TYPE OF INSURANCEINSR VD POLICY NUMBER MM DDV/YYYV) (MM/DDfYYYYj LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES.Es occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY PRO LOC $ AUTOMOBILE LIABILITY I a ecci ent G $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED PROPERTY AMAGE AUTOS Per accident $ $ UMBRELLA LIA6 OCUR EACH OCCURRENCE $ EXCESS LIAR HLcA,MS-.ADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION WC5-31 S-383887-01r3 12/22/2013 12/22/2014 WC STATU- �T�{ AND EMPLOYERS'LIABILITY Y/N ✓ TORY LIMITSANY ER OFFICER/EIMBER EXCLUDED ECUTNE I N/A E.L.EACH ACCIDENT $ 500000 (Mandatory in If yes,describe a under E.L.DISEASE-EA EMPLOYEE $ 500000 under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Reriarks Schedule,if more space Is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE KENDALL AND WELCH BUILDING & REMODELING THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 846C MAIN ST ACCORDANCE WITH THE POLICY PROVISIONS. OSTERVILLE MA 02655 AUTHORIZED REPRESENTATIVE Jeff Eldridge ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD CER Th7 NO.: 18115§73 CLIENT CODE: 1577160 Didi Oangas 1/10/201q 2:50:03 PMIPage 1 of 1 This certificate cancels and supersedes ALL previously issued certificates. 0 CERTIFICATE OF j LIABILITY INSURANCE DATE (MMMDIYYYY) 12/05/2014 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 POLICIIS 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 pllicy(les) 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 Phone: 508-540-6161 Fax: 508457-7660 CONTACT NAME: Bob Alliettta ALMEIDA&CARLSON INSURANCE AGENCY INC. j PHONE — — --— — — —'--' --- P.O.BOX 554 ! (ac,Ne,Exl:__508 888-0207 FA" 508 88 FALMOUTH MA 02541 E-MAIL ADDRESS: ralliettT@almeldacarlson.com — INSURER(S)AFFORDING COVERAGE NAIC# INSURE __ I INSURER :XS Brokers Insurance Agency,Inc. D -----.__—. -I , FUCCILLO READY MIX INC INSURERS Chartis!Insurance Co - 548 THOMAS LANDERS RD I INSURER C E FALMOUTH MA 02536 _ INSURER D: i INSURER INSURER F COVERAGES CERTIFICATE NUMBER: 29053 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOVY HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITIION 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 INSR POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE OF INSURANCE ADDL SUB R POLICY EFF POLICY EXP LTR INSR wvD POLICY NUMBER _ IMnvODr FF _ LIMITS (MM/DD/YVYV)— A GENERAL LIABILITY CS0245926001 11/30/14 11/30/15 EACH OCCURRENCE —1 g----1���p�000 X COMMERCIAL GENERAL LIABILITY f ! DAMAGE TO RENTED PREMISES(Es(_Ess 0muure—)_ $ 50,000 CLAIMS-MADE I-XI OCCUR ( I i i I MED_EI XP(Any one person) —I $ 5,000 PERSONAL&ADV INJURY ! $ 1,000,000 I { i i GENERAL AGGREGATE $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ' I i i —' PR PRODUCTS-CDMP/OP AGG I $ 1�Q�Q�00p POLICY JEC —I LOC 1 I I 00 AUTOMOBILE LIABILITY I- —'----- — I$ 1 COMBINED SINGLE LIMIT — ANY AUTO i (Ea amidenq !$ ALL OWNED SCHEDULED ! I BODILY INJURY(Per person)�!I—$ AUTOS AUTOS ` !BODILY INJURY(Per accident $ HIRED AUTOS NON-OWNED ; I ( ) UTOS i I PRr OPERTV DAMAGE --I—_— —� I(Peraccltlenq i $ ( r— i $ UMBRELLA LIAB OCCUR 1 EACH OCCURRENCE —I$ EXCESS LIAB (CLAIMS-MADE AGGREGATE $ DED I IRETENTION$ B WORKERS COMPENSATION WC006430256 06/14/14 06/14/15 WC STATU- OTIi — AND EMPLOYERS' LIABILITY TORY LIMITS ER $ ANY PROPRIETOR/PARTNERIEXECUTIVE YIN I _ OFFICERIMEMBER EXCLUDED? E.L.EACH ACCIDENT $ 500,000 NH) N NIA I _ (Mandatory In and E.L.DISEASE-EA EMPLOYEE $ 500 0w 11 yes,desaibe antler _ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500 0t10 ----�---- _ I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Rerryarks Schedule,if more space is,required) — I i CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE KENDALL AND WELCH CONSTRUCTION ( THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: Bob Allietta ACORD 25(2010/05) The ACORD name and logo 1 ©1988 2010 ACORD CORPORATION. All rights reserved. �re registered marks of ACORD I , r Jul. 21. 2014 1 : 37PM No, 0068 P. 1/2 A(;uKly CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDO1WYn 07/21/203.4 :BELOW. HISCERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,1EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED 1EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an on,dorsoment. A statement on this certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER I NAME:CONTACT Karen Bernier Southeastern Insurance Agency, Inc. PA"Ic°No Ezt: 508.997.6061 ac No): 508.990.2731 439 State Rd. E-MAIL P.O. Box 79398 I ADDRESS: VKUUUtK CUSTOMER to N: North Dartmouth, MA 02747 INSURER(S)AFFORDING COVERAGE NAICN INSURED INSURERA: Merchants Insurance Group Rons Excavating Inc. I 81 Echo Road, Unit #1 INSURERS:INSURERC: Mashpee, MA 02649 INSURERD: INSURER E: ! INSURER F: COVERAGES CERTIFICATE NUMBER: 025 ' REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE:INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI.THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMIDD MMIDD FOLICYEFF P LIMITS GENERAL LIABILITY CMF914824 05/01/2014 ,05/01/2015 EACHOCCURRENCE $ 1,000,00 X COMMERCIAL GENERAL LIABILITY PREMISES SES Ea GE TO RENTED TEDoccurrenco $ 100,000 CLAIMS-MADE M OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS-COMP/OP AGG $ 21000,000 POLICY PPERO- El LOC AUTOMOBILE LIABILITY MCA701391 08/16/2013 f08/16/2014 COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) $ 1,000,000 A X SCHEDULED AUTOS BODILY INJURY(Per accident) $ 11000,000 X PROPERTY DAMAGE $HIRED AUTOS (Per accident) 1,000,000 X NON-OWNED AUTOS I $ $ UMBRELLA LIAB OCCUR I EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION WCA9094537 05/01/2014 ;05/01/2015 X WcsTATu X oTH AND EMPLOYERS'LIABILITY YIN TORY LIMITS I ER ANY PROPRIETOR/PARTNER/ A OFFICERIME BER EXCLUDEED�CUTIVE D NIA E.L.EACH ACCIDENT _ $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ S00,000 D es,describe under NO OFFICER EXCLUSION ESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 I DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additlona!Remarks Schedule,If more space Is required) I I CERTIFICATE HOLDER CANCELLATION FAX: 508.428.4907 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Kendall & Welch Building and Remodeling AUTHORIZED REPRESENTATIVE P 0 Box 490 Os erville, MA 02655 Karen Bernier O 1980-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD i �t►+e rq,=� Town of Barnstable +' Regulatory Services vRARNSTABt >:>~� Richard V.Scali,Director �A i63q. lE MP'�A 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, ��f"l Le e11,�6 de-1 as Owner of the subject J property hereb authorize / y to act on my behalf, in all matters relative to work authorized by this building permit application for. o?& 7 IVV-� J 4r1i , eA 4 (Add ss 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. /-A Y-011� ignature er Signature of Applicant Print ame Print Name v _l Date r . Q:FORM S:OWNTERP ERMIS SIONPOOLS Town of Barnstable Regulatory Services ��°Purrs roky Richard V_Scali,Director Building Division. < saa.Nsrasr r; Tom Perry,Building Commissioner brass 7659- ��� 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 "HO ,I✓E. OWNER": ' 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 Persbn(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 I 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 &ReguIations 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 is your community. Q:\WPFILES\FORMS\building permit fonns\EXPRESS_doc ' Revised 061313 Generated by REScheck-Web Software Compliance Certificate Project Cappalucci Permit Energy Code: 2012 IECC Location: Barnstable, Massachusetts Construction Type: Single-family Project Type: Alteration Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 269 West Bay Road Kendall and Welch Construction Osterville, Massachusetts 02655 P.O. Box 490 Osterville, Massachusetts 02655 508-428-4900 Compliance: Passes Compliance: 1.4%Better Than Code Maximum UA: 288 Your UA: 284 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or or Door UA Perimeter U-Factor Existing Floor:All-Wood Joist/Truss Over Uncond.Space --- --- --- --- --- Exemption: Framing cavity not exposed. New Floor Area:All-Wood joist/Truss Over Uncond.Space 728 38.0 0.0 0.026 19 First Floor Walls:Wood Frame, 16in.D.C. 1,140 21.0 0.0 0.057 50 New First Floor WindowsWindow:Wood Frame, 2 Pane w/Low-E 123 0.320 39 Sliders and Fixed Panels:Glass 126 0.320 40 Door: Solid 19 0.190 4 Second Floor Walls Existing:Wood Frame, 16in. D.C. --- --- --- --- --- Exemption: Framing cavity not exposed. New Walls Second Floor:Wood Frame, 16in.D.C. 1,079 21.0 0.0 0.057 52 Window:Wood Frame, 2 Pane w/Low-E 112 0.320 36 Crawl Space Door:Solid 10 0.190 2 Slider: Glass 39 0.320 12 Ceiling: Flat or Scissor Truss 1,010 38.0 0.0 0.030 30 Mechanical Equipment Description . - Forced Hot Air Gas 78 AFUE Electric Central Air Electric 13 SEER Forced Hot Air Gas 78 AFUE Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 1 of 9 Description Electric Central Air Electric 13 SEER Compliance Statement: The proposed building design described here is consistent with the building plans, specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 5.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date i Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 2 of 9 i REScheck Software Version 5.5.0 Inspection Checklist Energy Code: 2012 IECC Requirements: 100.0% were addressed directly in the REScheck software Text in the "Comments/Assumptions" column is provided by the user in the REScheck Requirements screen. For each requirement, the user certifies that a code requirement will be met and how that is documented, or that an exception is being claimed. Where compliance is itemized in a separate table, a reference to that table is provided. Section Plans Verified Field Verified # Pre-Inspection/Plan Review Value Value Complies? Comments/Assumptions & Req.ID 103.1, !Construction drawings and ❑Complies :Requirement will be met. 103.2 documentation demonstrate ❑Does Not [PR111 ;energy code compliance for the ;building envelope. ❑Not Observable ❑Not Applicable 103.1, ;Construction drawings and ❑Complies ;Requirement will be met. 103.2, documentation demonstrate ❑Does Not 403.7 ;energy code compliance for [PR3]1 ,lighting and mechanical systems. ❑Not Observable ISystems serving multiple ❑Not Applicable ; :dwelling units must demonstrate ;compliance with the IECC ; ;Commercial Provisions. 302.1, Heating and cooling equipment is; Heating: Heating: ;❑Complies ;Requirement will be met. 403.6 sized per ACCA Manual S based Btu/hr Btu/hr ;0Does Not [PR2]2 on loads calculated per ACCA Manual J or other methods ; Cooling: Cooling: ;❑Not Observable Btu/hr Btu/hr : approved by the code official :(:]Not Applicable Additional Comments/Assumptions: 1 JHigh Impact(Tier 1) 2 'Medium Impact(Tier 2) 3 Low Impact(Tier 3) Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 3 of 9 2012 IECC Foundation Inspection Complies? Comments/Assumptions 303.2.1 AP rolective covering is installed to ;❑Complies ;,Requirement will be met. [F011]2 proect exposed exterior insulation QDoes Not and extends a minimum of 6 in. below ; grade. ,❑Not Observable; ;❑Not Applicable 403.8 Snow-and ice-melting system controls;❑Complies ;Exception: Requirement is not applicable. [FO12]2 installed. ;❑Does Not :❑Not Observable' ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) 2 Medium Impact(Tier 2) F_ Low Impact(Tier 3) Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 4 of 9 Section Plans Verified Field Verified # Framing/Rough-In Inspection Value Value Complies? Comments/Assumptions & Req.ID 402.1.1, ;,Door U-factor. U- U- ;❑Complies ;See the Envelope Assemblies 402.3.4 ; :❑Does Not ;table for values. [FRl]1 ; ® ;[-]Not Observable ❑Not Applicable 402.1.1, ;Glazing U-factor(area-weighted U- U- ;❑Complies ;See the Envelope Assemblies 402.3.1, average). ;❑Does Not :table for values. 402.3.3, 402.3.6, ;❑Not Observable 402.5 ;❑Not Applicable [FR2]1 303.1.3 ;U-factors of fenestration products ❑Complies :Requirement will be met. [FR4]1 ;are determined in accordance ❑Does Not :with the NFRC test procedure or ❑Not Observable ;taken from the default table. ❑Not Applicable 402.4.1.1 ;Air barrier and thermal barrier ❑Complies ;Requirement will be met. [FR23]1 ;installed per manufacturer's ❑Does Not instructions. ❑Not Observable ❑Not Applicable 402.4.3 ;Fenestration that is not site built ❑Complies ;Requirement will be met. [FR20]1 :is listed and labeled as meeting ❑Does Not iAAMA/WDMA/CSA 101/I.S.2/A440 ;or has infiltration rates per NFRC [-]Not Observable 400 that do not exceed code ❑Not Applicable limits. '402.4.4 IC-rated recessed lighting fixtures ❑Complies !Requirement will be met. [FR16]2 sealed at housing/interior finish ❑Does Not and labeled to indicate<_2.0 cfm leakage at 75 Pa. [-]Not Observable []Not Applicable 403.2.1 ;Supply ducts in attics are ; R- R- ;❑Complies ;Requirement will be met. [FR12]1 :insulated to>_R-8.All other ducts R_ R_ ;❑Does Not iin unconditioned spaces or ;outside the building envelope are; :,[]Not Observable insulated to>_R-6. ;❑Not Applicable 403.2.2 ;All joints and seams of air ducts, ❑Complies ;Requirement will be met. [FR13]1 !air handlers,and filter boxes are ❑Does Not sealed. ❑Not Observable ❑Not Applicable 403.2.3 Building cavities are not used as ❑Complies :Requirement will be met. [FR15]3 ducts or plenums. ❑Does Not 01 ❑Not Observable ❑Not Applicable 403.3 HVAC piping conveying fluids ; R- ; R- ;❑Complies ;Exception: Requirement is [FR17]2 above 105 9F or chilled fluids ;❑Does Not ;not applicable. below 55 QF are insulated to>_R- 3 ;❑Not Observable ❑Not Applicable 403.3.1 ;Protection of insulation on HVAC ❑Complies ;Exception: Requirement is [FR24]1 piping. [:]Does Not :not applicable. ❑Not Observable ❑Not Applicable 403.4.2 Hot water pipes are insulated to R- R- ;❑Complies ;Requirement will be met. [FR18]2 >_R-3. QDoes Not ;❑Not Observable ❑Not Applicable 1 JHigh Impact(Tier 1) -2- Medium Impact(Tier 2) 3: Low Impact(Tier 3) Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 5 of 9 r Section Plans Verified J�e:ld Verified# Framing/Rough-In Inspection Value alue Complies? Comments/Assumptions & Req.ID 403.5 Automatic or gravity dampers are ❑Complies ;Requirement will be met. [FR19]2 installed on all outdoor air ❑Does Not J intakes and exhausts. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) -1 Medium Impact(Tier 2) 3' Low Impact(Tier 3) Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 6 of 9 Section Plans,Verified.. Field"Verified ' # Insulation Inspection Value " Value Complies? Comments/Assumptions & Req.ID r. . i 303.1 All installed insulation is labeled ❑Complies ;Requirement will be met. provided. [IN1.3]� or the installed R-values ❑Does Not ❑Not Observable ❑Not Applicable 402.1.1, (Floor insulation R-value. R- R- ;❑Complies ;See the Envelope Assemblies 402.2.6 ;❑ Wood ;❑ Wood ;❑Does Not ;table for values. [IN1]1 ❑ Steel ❑ Steel ;❑Not Observable UNot Applicable ; 303.2, :Floor insulation installed per ❑Complies ;Requirement will be met. 402.2.7 manufacturer's instructions, and ❑Does Not ; [IN2]1 in substantial contact with the :underside of the subfloor. ❑Not Observable i ❑Not Applicable 402.1.1, ;Wall insulation R-value.If this is a; R- R- ;❑Complies ;See the Envelope Assemblies 402.2.5, ;mass wall with at least 1/2 of the ❑ Wood ❑ Wood :❑Does Not ;table for values. 402.2.E ;wall insulation on the wall ❑ Mass ❑ Mass ;❑Not Observable ' [IN3]1 ;exterior,the exterior insulation ; requirement applies(FR10). ;❑ Steel ;❑ Steel UNot Applicable ; ; 303.2 ;Wall insulation is installed per ❑Complies ;Requirement will be met. ' [IN4]1 :manufacturer's instructions. ❑Does Not ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) "Medium Impact(Tier 2) JUI Low Impact(Tier 3) Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 7 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 402.1.1,4 ;Ceiling insulation R-value. R- ; R- ;❑Complies ;See the Envelope Assemblies 02.2.1,40 i ❑ Wood ;❑ Wood ;❑Does Not ;table for values. 2.2.2,402.; ❑ Steel ❑ Steel :❑Not Observable 2.6 [Fill' UNot Applicable ; , 303.1.1.1,;Ceiling insulation installed per ❑Complies ;Requirement will be met. 303.2 !manufacturer's instructions. ❑Does Not [FI2]' ;Blown insulation marked every 300 ft2. ❑Not Observable ' ❑Not Applicable 402.2.3 Vented attics with air permeable ❑Complies ;,Requirement will be met. [FI22]2 insulation include baffle adjacent ❑Does Not to soffit and eave vents that extends over insulation. ❑Not Observable ❑Not Applicable 402.2.4 ;Attic access hatch and door R- R- ;❑Complies ;Requirement will be met. [FI31' :insulation >_R-value of the ! ;❑Does Not adjacent assembly. ;❑Not Observable . r UNot Applicable 402.4.1.2 ;Blower door test @ 50 Pa. <=5 ACH 50= ACH 50 = ;❑Complies :Requirement will be met. [F[17]' :ach in Climate Zones 1-2,and ;❑Does Not ® ,<=3 ach in Climate Zones 3-8. ; j❑Not Observable UNot Applicable 403.2.2 ;Duct tightness test result of<=4 ; cfm/100 ; cfm/100 ;❑Complies :Exception: Requirement is [FI4]' :cfm/100 ft2 across the system or ft2 ft2 ;❑Does Not ;not applicable. <=3 cfm/100 ft2 without air ! ❑Not Observable handler @ 25 Pa. For rough-in ; ;tests,verification may need to ❑Not Applicable ;occur during Framing Inspection. 403.2.2.1 ;Air handler leakage designated ❑Complies ;Exception: Requirement is [FI24]' :by manufacturer at<=2%of ❑Does Not not applicable. :design airflow. ❑Not Observable ❑Not Applicable 403.1.1 Programmable thermostats ❑Complies [FI9]2 installed on forced air furnaces. ❑Does Not Q. ❑Not Observable []Not Applicable 403.1.2 Heat pump thermostat installed ❑Complies :Exception: Requirement is [FI10]2 on heat pumps. ❑Does Not ;not applicable. []Not Observable 111Not Applicable 403.4.1 Circulating service hot water 11lComplies ;Exception: Requirement is [FI11]2 systems have automatic or ❑Does Not :not applicable. accessible manual controls. ❑Not Observable ❑Not Applicable 403.5.1 All mechanical ventilation system ❑Complies ;Requirement will be met. [FI25]2 fans not part of tested and listed ❑Does Not HVAC equipment meet efficacy and air flow limits. ❑Not Observable ❑Not Applicable ; 404.1 ;75%of lamps in permanent ❑Complies [FI6]' ;fixtures or 75%of permanent ❑Does Not ;fixtures have high efficacy lamps. []Not Observable Does not apply to low-voltage lighting. ❑Not Applicable 1 I High Impact(Tier 1) 2 Medium Impact(Tier 2) 3' Low Impact(Tier 3) Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 8 of 9 Section Plans Verified Field Verified # Final Inspection Provisions Value Value Complies? Comments/Assumptions & Req.ID 404.1.1 Fuel gas lighting systems have ❑Complies ;Requirement will be met. [FI23]3 no continuous pilot light. ❑Does Not ❑Not Observable ' ❑Not Applicable 401.3 Compliance certificate posted. ❑Complies ;Requirement will be met. [FI7]2 ❑Does Not J, ❑Not Observable ❑Not Applicable 303.3 Manufacturer manuals for ❑Complies :Requirement will be met. [FI18]3 mechanical and water heating ❑Does Not J systems have been provided. ❑Not Observable ❑Not Applicable Additional Comments/Assumptions: 1 High Impact(Tier 1) Medium Impact(Tier 2) 3'. Low Impact(Tier 3) Project Title: Cappalucci Permit Report date: 12/19/14 Data filename: Page 9 of 9 I 8/ 2012 IECC Energy 1 Efficiency Certificate Insulation Rating R-Value Above-Grade Wall 21.00 Below-Grade Wall 0.00 Floor 38.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Door Rating U-Factor SHGC Window 0.32 Door 0.32 CoolingHeating& Forced Hot Air 78 AFUE Electric Central Air 13 SEER Forced Hot Air 78 AFUE Electric Central Air 13 SEER Water Heater: Name: Date: Comments ` R j 1L SHEET NO. s. TAYLOR DESIGN —C. CALCULATED BY�''Z FAAm. TEL Lt-?-fk 14, CHECKED BY �� ALE jAn� KrE•���c..L.: �.,.1��.e.�-�_ C.a►�a..s-r ay.c-t,.orJ. _ �.�,p�, _. _ .. 3_p.4C44.J 5VtT. 5.. S_TA4'r. eft . . ........... .... ,�ii�C-stv�610. C...�.�tY�.�_. .St-so...-.__��'�.oG�.�5. I�rsa�V•._ ...._ _. . 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V .........................................:................... .......................................... ................. .... .................. ................... ... . .. .......... .. r a i , ..........:.............................ate. e -�r2.._......:........_- .....�9..�'Z...3.0 ...... -...3... ..Z,_e....... ©...tom.. ....................................................................................................................................._.........�_._..._...._.._.:......... ...... .... _ ..... ..... ................... ...... ..... ..... ...... ...... ..... ..... ..... ......................... ..... OFtME,p,Y Town of Barnstable $^MST•,BLE. Growth Management Department �`bArh J9' .e`0� Barnstable Historical Commission FD MA'S www.town.barnstable.ma.us/h'istoricalcommission Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Chair . Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker 2014 OCT 24 AN11:5 i Len Gobeil Ted Wurzburg Paul Arnold,Alternate BARINSTOBLE TiJNIN CLERK DECISION __—Summ-ary:— - -- - —----Demtiliti6rr-DetaTliol-ITaVu.-ed-Pursa-ant-to—Ch-apter-1-12-Historic - Properties, Section 112-3 F Applicant/Property Owner: David & Colleen Cappellucci Subject Property: 269 West Bay Road, Osterville Assessor's Map/Parcel: 11.6/109 Hearing Date: October 21, 2014 Pursuant to the Barnstable Historical Commission Chair's determination on September 25, 2014 a duly advertised and noticed public hearing was held on October 21, 2014 to determine whether the significant building identified as the single family dwelling on this property is preferably preserved and whether demolition delay would be imposed for the partial demolition of the dwelling on the parcel addressed as 269 West Bay Road, Osterville. After review and consideration of public testimony, application and record file, the Commission by a unanimous vote, found that in accordance with Chapter 112-F the demolition of the portions of the single family dwelling are not preferably preserved significant buildings. The portions of the single family dwelling to be demolished are identified in plans submitted by Northside Design Associates dated July 7, 2014 and are attached to this decision. In accordance with Chapter 112-3 F, the Commission determined by a unanimous vote that tl-re demolition of the portions of the single family dwelling would not be detrimental to the historical, cultural or architectural heritage or resources of the Town. L-"w.i Yov," October 23, 2014 Laurie Young, Chair Date 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 r, Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supervis.or License: CS-070086 DAMON L REND L 48 KONIPASS DI-` FALMOUTH MR 02 Expiration Commissioner 11/21/2016 -----`(92e rP6,,/tovv&rrtr'1X,o1C%Gluddrtclictdet.6 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date' If found return to: egistration: "9.28405 Type: Office of Consumer Affairs and Business Regulation 'Expiration:. 4/5/2015 Partnership 10 Park Plaza-Suite 5170 Boston,MA 02116 KENDALL&WELCR CONSTRUC,710N ON KENDALL 54 K 54 i<OMPASS DR. �• FALMOUTH,MA 02536 Undersecretary Not valid without signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supctvisor t License: CS-083484 RONALD W W ELbI " r 85.BRIGANTINEAR ;, T HATCHVILLE M-A t-72--- Expiration Commissioner 07/11/2016 �e�anuntaruuertlC�o�C�/�r'rcddac�tcdeC(d Office of Consumer Affffirs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Registration—.' Type: 10 Park Plaza-Suite 5170 Expiration,4%512_015/�?„ Supplement Card Boston,MA 02116 KENDALL&WELCH_%NSTRCT.CJION `� ' l RONALD WELCH +.a� �--F g P.O.BOX 490 OSTERVILLE,MA 02655 Undersecretary Not valid without signature r Commonwealth of Massachusetts 1v Sheet Metal Permit ,l Date: -7 p Permit# C�o Estimated Job Cost: $ L'k JUL 2 0 2015 Permit Fee: $ S Plans Submitted: YES NUO1V OF BARNSTAB Reviewed: YES NO LE Business License# Applicant License# 5 i d I Business Information: Property Owner/Job Location Information: nn +�� _ -' 4 v<< :( Name: c-L; p C L , Name: 100 Q 1' (� l Street: t-, Street: a6zl (&JS f oil City/Town: City/Town S�e_X V L Telephone:�U_ L,f— J Xy Telephone: Tab q 30a' Photo I.D. required/Copy of Photo I.D.attached: YES•)C, NO J-1 e5- Lestricted Staff initial license J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq.ft. 11�over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: HVAC ✓ Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/Vents Air Balancing Provide detailed description of work to be done: i-a"� INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes No❑ If you have checked Yes•indicate the type of coverage by checking the appropriate box below: 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 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: BY [Raster Title ❑Master-Restricted Cityfrown ❑Joumeyperson Signature of Licensee Permit# ❑Joumeyperson-Restricted License Number: • Fee$ ❑ Check at www.mass.govldpl inspector Signature of Permit Approval i �_ � !���- �� °?fat --• Fr O ��l I-WlFi I ! ✓. 1 _; •&-:- � _.. x .may-^,?.�.�` � .:,g.::.y .<sy,;,;;x% t?'`-_ *<:;'C:;�;..;e;^min::f•Y:.:.Y.,;:)1^,. ' . `ism t x.., Fs' • aJ_ �..... ��h�,��,,� x,.F r; ,F Y-wiy>�;sE rr •�> K-+r .y d. �+�`.nr+..v _ . �.z �,.a`," -�Yf�-$�fF,�w�.-�,¢�ti ^r.. s a,;.� x i�x t".z'�r'��• 3 Fro" I .r Y fi µ..me :. y� -� a � / K r aSSME - �o_:,s•.-f_s'+.��.�,o'',.,,Lt�lw�r•^°i��,_t�k✓��'7�t0xv,!+5"`� XS«j f'�',a l� i Town of Barnstable Regulatory Services � Thomas F.Gefler,Director ' µp R Building Division Tom Perry,Bnflding Commissioner 200 Main Sawt 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 a v c cSL CcL,p Q Q V 4- ,as Owner of the subject J property hereby authorize C-tL.cre Lu X cc.µ w`cw� 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 before fence is installed and pools are not to be utilized until all final inspections are performed and accepted. e of Owner Signature of Applicant Print Name Print Name Date Q:F0R MS:OWNERPERMISS10NP00LS " The Commonwealth of Massachusetts Deparhnent.of Industrial Accidents O ice of Investigations 600 Washington Street Boston,MA 02111 %ww.mass gov/dia Workers' Compensation Insurance Affidavit Binders/Conti-actorsMectricians/Plambers Applicant Information Please Print.Leizibly Name(Easiness/t?rgani�tirnn/3ndividual}: C�0 -a"_ G 9 i c tit -Address:— .5 City/State/Zip: - ddo PhoneA: C U 'c,,)--b,--q34�- Are you an employer?Check the appropriate box: -Type of pioject(required):, 1. m a employer with '> 4. 1 am a general contractor and I 6. ❑New construction . employees(full and/or part-time).*. have hired the sub-contractors 2.El am a'sole proprietor or partner- listed on the-attached sheet 7. Remodeling ship and have no employees 'These sub-contractors have 8. ❑Demolition and have workers' working for me�any capacity. � employees 9. []Building addition [No workers'comp.insurance. comp.insurance# ] 5. We are a corporation and its 10.❑Electrical repairs or additions required.3.❑ I am a homeowner doing all work officers have exercised their l l.❑Phmobing repairs or additions m—y self_ [No workm'camp right of exemption per MGL 12.❑Roofrepairs instance required.]t c.152,§1(4),and we have no 13.❑06= employees.[No workers' comp.insurance required.] °Any applicant lbat checks box#1 must also M oat the section below showing their wodi=s'compensation policy it formation. t HoMeow=n who snhmit this affidavit indicating they art doing all work and then hie outside wn=tods mast subdmt a new affidavit indicating su<ti. tConttactws that check this box nnut attached der additional shed showing the name of the nub-contractors and state whether or not those entities bate edtdployees. If the sub-contractnts bave employ=,they mnstprovidt their woti=1 comp.potitynaimber. I am an employer that is providing workers'compensation insurance for my employees. Below is the polity and job site information. Insurance Company Name: ,2 Gin dti cJ Wc�. L� / Policy#or Self-ins.Lic.# 3 0(o� 17 G Exp tionDatE: / a ` ft� Job Site Address: 02 Al O( f /J/a:tE 2 City/Stabelzip: �'tS��—Ile Attach a copy of the workers'comptm #ou.policy declarafion.page-(showing the policy number and expiration date). Faf"hue,to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of miminal penalties of a fine tip to$1,500.00 and/or one-yen imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of tap to$250.00 a day against tht: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 cerdfy under thepains•andpenalties ofperjury that ilia infortnadion provided above is a and correct si lure: Date: Phone#• Offu:ial use only. Do not write in this area,to be completed by city or.town qfficiaL City or Town: PermitUcense# .Issuing Authority(ccirde one): .1.Board of Health 1.Building Department 3.City/Town Clerk 4.llectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: -Phone#: f i t ' ACORO® DATE(MMIDDIYYYY) 1`� CERTIFICATE OF LIABILITY INSURANCE 1/20/2015 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 erfdorsement(s). PRODUCER CONTACT Michael Edwards NAME: Lawrence Carlin Insurance Agency PHONE (508)540-7100 FAX No:(5081540-8426 230 Jones Road ADDRESS:Michael@ lawrencecarlin.com INSURERS)AFFORDING COVERAGE NAIC 0 Falmouth MA 02540 INSURER ANorfolk & Dedham Mutual Ins Co INSURED INSURER B TechnolO Insurance Cc Cape Cod Mechanical Systems Inc. INSURER C: B Fruean Avenue INSURER D: INSURER E: South Yarmouth MA 02664 INSURERF: COVERAGES CERTIFICATE NUMBER:2013 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCEADDLSUBR POUCY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIOD/YYVY MMIDD/YYYY GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE To RENTED COMMERCIAL GENERAL LIABILITY PREMISES Ea occu nee $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ POLICY 7 PRO LOC $ AUTOMOBILE LIABILITY EOMBBIINEDISINGLE LIMIT $ 1 000 000 ANY AUTO BODILY INJURY(Per person) $ A ALLOWNED SCHEDULED 91275445A 12/22/2014 12/22/2015 AUTOS X AUTOS BODILY INJURY(Per accident) S NON-OWNED PROPERTY DAMAGE $ X HIREDAUTOS M AUTOS Per accident Uninsured motorist combined $ 50,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED FTRETENTIONS $ B WORKERS COMPENSATION WC STATU- OTF+ AND EMPLOYERS'LIABILITY TOR ER ANY PROPRIETOR/PARrNER/EXECUTIVE YIN N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory In NH) WWC3067846 9/21/2014 9/21/2015 E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $ 11000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Building Dept. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 David Lawrence/MEDWAR ACORD 25(2010105) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 mmnnsi m Tha Ar:r)pn name onri Innn era ranictararf marke of Ornpn i 'elephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 r • CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: `je(CL, nn JOB SITE ADDRESS: a�' /M DATE: 1111K AREA THICKNESS R-VALUE _ Ceiling. — Cathedral Ceiling` — Garage Ceiling — Basement Ceiling — Slopes Exterior W all 3 — Garage Hs-e. W all — Walkout Wall. — Cathedral W all — I54 100, Blockers 4r &I — overhang — Stair/Risers — 1 Z-31 - All R-values and thickness measurements are deemed to be accurate by the following installers: TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM Arnthane ThermalGuard CC2 �y i7 TECHNICAL DATA SHEET PRODUCT NAME PHYSICAL CHARACTERISTICS Property Value Test Method �����n Density(nominal): 2.0 lb/ft3 '"ASTM D-1622 i `R-value: 7/inch ASTM C-518 ThbrmalGuard CC2 . Compressive Strength: 35 PSI ASTM D1621-94 Tensile Strength: 70 PSI ASTM D 1623-78 PRODUCT DESCRIPTION Dimensional Stability: <4%A ASTM D 21.26 Closed Cell Content: 96% ASTM D 2856 ThermalGuard CC2 is a fast set,closed- Air Permeability: .002 L/sm2(@ 75 Pa @ 1") ASTM E283 celled,245fa-blown spray polyurethane Vapor Permeability: .8 Perms @ 2" ASTM E96 foam(SPF)insulation designed for use Fungus Growth: None ASTM G21 in residential&commercial structures, Service Temperature: 250'F(120'C)* exterior foundation or perimeter insulation,below grade applications, Servketemperatures will vary depending onapplication. Contact yourArnthane Technical Representativejor i recommendations and limitations. Always test 77uermalGuard CC2 for suitabilityforyourparticular application in exterior tank/pipe insulation and etc. a safe manner. ThermalGuard CC2 is applied as a . LIQUID PROPERTIES 1 liquid and expands 25x in seconds to fill Property Value Test Method and seal building cavities of any shape Viscosity(A) 200-250 CPS ASTM D-2196 and size. It.exhibits superior thermal Viscosity(B) 1100-1300 CPS ASTM.D-2196 insulation,air-barrier,and sound Weight Per Gallon(A) 10.25 lbs/gal ASTM D-1475. attenuation properties compared to Weight Per Gallon(B) 9.4 lbs/gal ASTM D-1475 conventional insulation materials. REACTIVITY PROFILE Once fully cured ThermalGuard CC2 Property Value remains rigid maintaining significant Cream Time: 2-3 seconds @ 25'C(77 OF) structural strength and thermal Rise Time: 12-16 seconds @ 25*C(77 OF): insulation properties in adverse conditions across a wide variety of COMBUSTION PROPERTIES applications. Property Value Tes Method Flame Spread Index: <25 'ASTM E-84 MANUFA4ffT URER Smoke Development: 5450 ASTM E-84 ThermalGuard CC2 is manufactured PACKAGING&STORAGE exclusively by ' Drum Weight(A) 551 lbs 1 Drum Weight(B) 5001bs Arnthane Inc. Total Set Weight 1051 lbs 1002 West Main Street Storage Temperature Range(STR) 60—80 OF Richmond',MO 64085 %Shelf Life at STR 6 months P.816.776.3015 F.816.776.3215 *Do not allow material to freeze. Do not preheat or recirrulare(B)material as it will cm.1se frothing atd loss of www.arnthane.com. blowing agent. Storage at temperances above or below STR may shorten shelf life and cause degradation or loss of blowing agent. Cold material will develop higher viscosity which can cause during processing such as pump CORROSION cavitation and poor mixture of(A)and(B)components. Far best processing performance during application(A) and(B)drum temperatures should be behveen 60 F—80. i ThermalGuard CC2 is chemically& PROCESSING PARAMETERS physically compatible with all common Processing Pressure Range: 900-1400 PSI* I building materials including electrical Processing Temperature Range: 115—145 OF* wiring,wood,metal,concrete,plastic Substrate Temperature Range: 35—105 OF (PVC),copper,vinyl,and glass. Ambient Temperature: 35—1.05 OF Substrate Moisture Content: <19%' INSTALLATION Yield: 3800-5000 Board Feet Per Set* Maximum Lift Thickness: 4 inches** ThermalGuard CC2 must be spray. applied using approved equipment.Use 'Proeessingparometers&yields can vary widely depending on substrate temperature,type&condition,ambient 1:1 ratio proportioning system that can temperature,elevation,humidity,equipment and other factors: During installation the applicator must observe the quality.and characteristics ofthe foam and adjust equipment temperature.&pre iMe settings as needed to i achieve the specified temperature and accommodate these variables in order to ensure optimum yield,proper adhesion,proper cell structure,and pressure Iequ rements. performance of the foam. 'ALWAYS test 7henrAlGuvrd CC2 at desired thickness in a safe manner prior to insulating structure to ensure that it can be safely installed at the desired lift thickness without risk of charring or combustion. It is the erclusive responsibility ofthe applicator to achieve proper lh thickness for safe application. Safe 10 thickness may vary from application to application. 1002 W Ma Richmond,Mi P 8163 ® F 816.7w. rnt wwarnth; A. - harse Spray Foam I lan"w ,1 P�raf a'U " i �.. 4�1-4I o .rk•tct jj 2!! ,,,�-r� „' `.`? _ _ rise rk$ s 6 FL} rfa ThermalGuard ThermalGuard ThermalGua CC2 OCI 0(:�.5 & 0C.5R Nominal Density: 2.0 Ib/ft3. Nominal Density: 1.0 Ib/ft3 Nominal Density. .5 lb/ft3 CC2 R-value: 7.Olin R-value: 5.24/in 0C.5 R-value: 3.8/in Compressive Strength: 45 PSI Compressive Strength: 7 PSI 0C.5R R-value: 4.3/in • Vapor Permeability: 0.8 Perms @ 2" Vapor Permeability: 3.6 Perms @ 5" Compressive Strength: 0.6 F Vapor Permeability: 4.2 Perms Product Description Product Description Product Description ThermalGuard CC2 is a semi-rigid,fast.set, ThermalGuard OC1 is a soft, fast-set, ThermalGuard. OC.5 & OUR ar( closed-celled, spray polyurethane foam open-celled, 100% - water-blown spray low-density,open-celled;100%water-blow (SPF)insulation system designed for use as polyurethane foam (SPF) insulation system polyurethane foam (SPF) insulation a high performance thermal insulation. designed for use in residential & commercial designed for use in residential&commerc wall,attic,and roof-deck applications. attic, and roof-deck applications. Both p can reduce energy consumption by up to 51 ThermalGuard CC2 is a spray-applied insulate & air-seal the structure in a sing) system suitable for a variety of insulation ThermalGuard OC1 can reduce energy ThermalGuard OUR is a bio-renewable I compared to conventional insulation applications including in-plant, tank & consumption in structures by o s ems that exhibits superior fire-resistance propert pipeline, residential & commercial n systems increased R-value. ThermalGuard OC.S construction, foundation and below.grade because it insulates&air seals in a single step. optimized for iialallation in cold tempe applications where compressive strength or down to 150 F. ThermalGuard OC1 is applied as,a liquid and :'ifipact resistance are desired, expands over 40x in approximately 8 seconds to ThermalGuard OC.5 &'OCSR are appliec fill and seal building cavities of any shape and liquid and expand over 100x in approxim, "Thermal Guard' CC2 is applied as a liquid size. It exhibits superior thermal insulation, seconds to fill and seal building cavities and expand 25x in a approximately 12 air-barrier, and sound attenuation properties shape or size. They deliver superior ti seconds to form,a smooth, durable surface over conventional insulation materials and has insulation, air-barrier, and sound atten • perfect for the application of primers or been proven to improve indoor air quality & properties compared to conventional inst finish coatings. comfort. materials and contribute to a healthy indoc )utdoor environment. Town of Barnstable .. °F IKE Tp,_ BAHNSfA91iE. - Regulatory Services 9 MASS. - `� .6,q• Building Division CEO MAC� �l' 200 Main Street,Hyannis,MA 02601 j Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection_ Location �)L (o 1 ll N Permit Number Owner Builder One notice to remain on job site,one notice on file in Building Department. The following items need correcting: (D Rz ZTV s7-9 45 I N SPA del ELF a- Please call: 508-862-4038 f re-inspection. Inspected-by Date S ;I A ASSESSOR'S REFERENCE: FLOOD ZONE: . Map 116, Parcel 109 Zones AE(12) & X w/0.27.chance ZONE: FEMA Map # 25001CO757J RC (RPOD) - July 16, 2014 M Area (min.) 87,120ID .SF Width°�min) '1002D OVERLAY DISTRICT: Setbacks: AP — Aquifer Protection District Fron t 20' Side 10' Rear 10' West . Bay Rd (40' Wide Public Way) • Lot 2 ` E�EE12) o. ' �\ 12,026±SF P A — 33.1' L —77 7.56' �\ cn 2% chance) o+ �\ cNo / P L 0 1 X Sty W/F 1KQ Dwelling 1........ 6.4' _......_ / Original House 's A o G/ aG w Concrete, F undation,' TOF EI=12.9' (NAVD-'88) ,_ - / Trus 9 ~'NSF a\1ocobi o Trs. �Q Q6 `�• �^. Joan M & J onom canton �S [ ,1 V R� 0- 1t+e A- Joan SJ 0- I certify that the foundation shown hereon conforms to R the setback requirements of RICHARO the Zoning Bylaws of the PLOT PLAN � o. 3434312 Y t40: town of Barnstable. 269 West Ba Road 'p N � � s� BARNS TABLE OJ t (Osterville). NOTES: MASS, DATE: 021APRI15 SCALE: 1"-30' 1.) The structures shown were located on the ground 0 15 30 45 60 FEET by conventional survey methods on (or between) 23/OCT/13 and 31/MAR/15. PREPARED FOR: • 2.) The property line information shown .hereon was David & Colleen Cappellucci compiled from available record information. 3.). This plan is not for recording and is not to be PREPARED BY: CapeSury used for construction layout or deed description purposes. 23 West Bay Rd, Suite G DWG #:C331_4g1 cpp 1 FIELD BY. WHK/KAR Osterville MA 02655 (508) 420-3994 / 420-3995fox MMAN � � ola � r r �'aQi' ok � � 1r�;a�iP +.ls �� ,. by � !•�';r •.fti �� ��;= ��+. "='a3�5,r i � !\� ���jp�� .3 �. r• � �r+�, '�;��•"�.r5�,�•�tl�r�`a�r�.�!`•�h -__ l � �Y.r`�' ) _ o �S`��5 i,o a �'1 S # f?�,t r J. .yr��9S+• I�.i'". ��d� � `. �•` �r� � ly ."Y Y.'� i� ��sv. �a`�..�4 r ri r !4' �`+�!1 r S ,�;�;��5•.�•� �� ��� � 1 �" �• ;e I i, n i4? 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'. •� y 269 West Bay Rd. , Ost 3/19/2015 PROJE NAME• p l S�, ADDRESS: PERMIT# d L4 U Qj(7COe PERMIT DATE: M/P' LARGE ROLLED PLANS ARE IN: BOX SLOT Data entered in MAPS program on: , Z BY: 'r q/wpfiles/forms/archive Town of Barnstable Growth Management Department BARNSTABLE • enxrrsrnet� ST Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Laurie Young,Interim Chair ' 1 '_ `; F t f i'3� George Jessop,AIA Lt__ JL Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Gil t,1-:I ABLE I I I iIh i' L R• Len Gobeil L,-���.1<„_,I�fuLL i v-i':y�f'�'_.�1_C�`+�.i" Ted Wurzburg Paul Arnold,Alternate September 24,2014 Re: Intent to Demolish Portions of Single Family Home 269 West Bay Road,Osterville MA Map 116, Parcel 109 Charles Tardanico Q o o P 0 Box 628 C Osterville, MA 02655 0 �. Ann Quirk,Town Clerk 367 Main Street, Hyannis, MA 02601 Wj JThomas Perry, Building Commissioner ' 200 Main Street, Hyannis MA 02601 M Pursuant to the attached decision, please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on October 21,2014 at 4:00pm, 367 Main Street, Hyannis,2°d Floor, Selectmen's Conference Room. This public hearing will be advertised,notices sent to abutters and a notice form will be posted on the building or other visible site on the property The applicant is responsible for advertising and mailing costs associated with the pubic hearing. Please contact Marylou Fair at 508.362.4787 or Marylou.fair@town.bamstable.ma.us for processing information. Sincerely, Laurie K.young Laurie K.Young,Chair 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(1)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(1)508-8624782 Town of Barnstable BAMSTABLE '"MASS ' ' Growth Management Department 6 �FOMAr� Barnstable Historical Commission www.town.bamstable.ma.us/historicalcommission Jo Anne Miller Buntich, Director COMMISSION MEMBERS: Marylou Fair,Administrative Assistant Laurie Young,Acting ChairNice Chair George Jessop,AIA Marilyn Fifield,Clerk Nancy Clark Nancy Shoemaker Len Gobeil Ted Wurzburg rJi �:RU_Ti:�:� TI�IliF,4!' f c Paul Arnold,Alternate Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 269 West Bay Road,Osterville Map 116/Parcel 109 Pursuant to Intent to Demolish Portions of Single Family Home The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address, stamped by the Town Clerk on September 17, 2014. This structure, located at 269 West Bay Road, Osterville, MA is a 1 '/2 story shingle style house and is architecturally significant in terms of period and style of the neighborhood. In accordance with Chapters 112-2 and 112-3(D), Barnstable Historical Commission Chair has determined that this structure is a significant building. 200 Main Street,Hyannis,MA 02601 (o)508-862-4786(f)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862-4678(f)508-862-4782 Op Bea„ BARNSTABI,E 573 Town of Barnstable �° ° Growth Management Department Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission ; ,-,t,j,_T, NOTICE OF INTENT TO DEMOLISH A SIGNIFICANT BUILDING 2011 Date of Application_ l�7�/ ��� I i ��t; ❑Full Demotion ©—f�rtial Demolition Building Address: Number Street ,���E�✓cGCr CGS Assessor's Map# 116 Assessor's Parcel # 40 Village l ZIP Property Owner: ,-Wi' cv �GLE�iV ���'�/�c`GL v c c i✓ 6/7 <,5—J — �,4� Name Phone# ai77� Property Owner Mailing Address (if different than building.address) 827 Z ' fy Property Owner e-mail address: Contractor/Agent: koNIN C t). J,tr�Z,G 5-166 S 3 y17> Contractor/Agent Mailing Address: WEL4-/4 e!42 hCiVQ,.9L t,y&�c N Contractor/Agent Contact Name and Phone#: . ii1_ 6J,9LL Name Phone# Contractor/Agent Contact e-mail address: h. d. 1,3©X !4(q CF bL4 o�� S.—s— Detail of Demolition Proposed: A D 13 '; :4 " tl .eS T f,_Pvwr— —f� `s4.9 9Tr 9 1)92QM 95 4 C r� Chtr�i 47 Type of New Construction Proposed: "y1� Provide information below to assist the Commission in making the required determination regarding the status of the Building in accordance with Article 1, § 112 Year built: �����— Additions Year Built: Is the Building listed on the National Register of Historic Places or is the building located in a National Register District? No Yes 0 Xoperty Owner gent Signature May,2014 f w Town of Barnstable *Permit# Expires 6 months from Issue date Regulatory Services Fee X.PRESS PERMIT Thomas F.Geiler,Director Building Division FEB. 8 2006 Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 TOWN OF BARNSTABLE www.townbarnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - -RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number / log Property Address lbq ® T E R V 1 residential Value of Work 100o Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address QY_A1 ))fes Uk 10 c d s W33 Contractor's Name .�� �1 CA Z,Q/ACI h Telephone Number'. Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) 114Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner VII have Worker's C--ommp�ensation Insurance Insurance Company Name Workman's Comp.Policy# y ECCELS ED U!�AD 5 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box ' c- 11 `A 's to-roof(strippmg old shingles) All cons ction debris will be taken to LaA U ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors Licens is required. SIGNA Q:Forms:expmtrg Revise071405 r Property Owner Must Complete & Sign This Form If Using a Roofer / Builder. (Please return this form with your signed contract, thank you) 1 (print) R-o beer � C• /Mco*-v 'S �h , as Owner of the subject property hereby authorizes Paul J. Cazeault & Sons Roofincy Inc. To act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ;z c q LvF,,S i a q-y, n-D r 6 S T)VLV(L-L-6 �.t Signature of owner (, e� Date Tel# 8G0 - (9s7 -_ Y6z7 (k) Ir . ` o - fie B oard of Building Regulat on an =cmars One Ashburton Place - Room 1301 Boston. Massachusetts 02109 Home Improvement':Contractor Registration Registration: 103714 Type: Private Corporation Expiration: 7/9/2006 PAUL J. CAZEAULT & SONS, Paul Cazeault 1031 MAIN ST OSTERVILLE, MA 02658 Update Address and return card.Mark reason for chang OP8-CAI Q 50M•04l04-G101216 Address Q Kenewal Employment Lost Card 1 /. tJOOILI/t0')LC!/GdCl/6 0�✓[�LQ�M�CU-0l'. .,._ ...._. Board or Building Regulations and Standards - HOME IMPROVEMENT CONTRACTOR License ur registration valid for iutlividnl use only Rogistratlon:. 103714 before the expiration d:Uc. 11'1'uund rcturo to: Expiratlon::7/92006 Iloartl of Building Regulations:u1ul 51:111tlards Onc ANliburtoo Place Itu1 1301 - ypo Private Corporation Itustun, Nla.02108 PAUL J.CAZEAULT;E,.SONS,.111C:; .,_..._.______...._.__.. . ...�_._._ Paul Cazeault '.I :'"i`�;=! ✓!ie 1�oommravr 00✓lGaJdac%uaeljd 1031 MAIN ST OSTERVILLE,MA 02650 P-- BOARD OF BUILDING REGULATIONS I Administrator : License: CONSTRUCTION SUPERVISOR Nt. Numbe!.:,A$ 026325 Birthdate:`'10/20/1959 Ex iris "10/26/2007 Tr.no: 7696.0 ' Restricted{_;;00=�•',. i PAUL J CAZEAUL-T`- 1031 MAIN ST OSTERVILLE, MA 02655'P 1 Commissioner , va 11Zr%Vo_Lt, few utnoo — _Administrator,.--'' 6771 Board of Buildin egulati.ons One Ashburton Pace, Rm 1301 Boston, Ma 02108-1618 License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 10/20/1959 Number: CS 026325 Expires: 10/20/200.7 Restricted To: 00 PAUL J CAZEAULT s' - =..:'. ;,; _ 1.031 MAIN ST OSTERVILLE, MA 02655 Tr.no. 7696.0 Keep top for receipt and change of address notification. DPS-CAl G 5OM-04/05-PC8698 76 Assessor's'Office 1st floor Map' I Ito Lot 10 _ Permit# tq Conservation O1lli6e Oth floor +��1r - _�60ey ® � Date Issued // Board of Health Ord floor - va En incerin Dept. 3rd floor House# �t Planning Dept. Ost floor/School Admin..Bld KAM ..� Definitive Plan Approved by Planning Board 19 t639. (Applications processed 8:30-9:30 a.m.& 1:00-2:00p.m.) Z C1d, ' IN 0 TOWN OF BARNSTABLE Building Permit Application Proiect Street Address e�5' CI-trT Village Fire District STG�e iri /'l Owncr le'-7 . 4 A*7 e- /'e- Address -?,4 ✓JR-y• Ur S7' Telephone ��-19-D L 9 - C/7 Y 7 ,p Permit Reouest: Zoning District �'C-�r-11-4n o Flood Plain Water Protection Lot Size • 27 Grandfathered Zoning Board of Appeals Authorization Recorded Current Use -f -m �� Proposed Use Construction Eaistine Information Dwelling Type: Single Family ✓ Two family Multi-family Age of structure r V2 s Basement type Historic House Finished Old King's Highway Unfinished Number of Baths No. of Bedrooms �3 0 Total Room Count(not including baths) 7 First Floor iCG Heat Type and Fuel 6D e-N &9-.4le_q Central Air /UO' Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Namc Telephone number Address License# Home Improvement Contractor# Worker's Compgnsation # 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 i Pro'ect Cost JG,D vz- av Fee J,�0 SIGNATURE _ - DATE BUILDING PE T DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONLY ' ADD 269 West Bay Road VIILAGE Osterville OWNER John E. Lamere s DATE OF INSPECTION: FOUNDATION 1 FRAME INSULATION - a ,FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ~;,- -AROUGH FINAL FINAL BUILDING:. DATE CLOSED,OUT: ASSOCIATE PLAN NO. t COMN40NTWEA_LTH OF NASSACHUSETTS M7 N'DUSTRL1J—ACCIDENTS o^ rrSS�ne' WORKERS' COWENSATTION II'qSURANCEAFFIDAVIT I, ✓1 !—ct vY1 -•e (liccnscc/ptxminee) /J with a P -odPal+lacac—o£busizress/raidcnoc at 06 _ C <5F-e 6�v 111 f VI w 0 s s- (Gry/statcMp) do hereby certify,under the pains and pcnalrics of perjury;that. j J I am an employer providing the following workers'compensation coverage for my employees working on this job. lnsurancc Company Policy Numbcr {] I am a sole proprictor and have no one working for inc. { J I ;m z sole proprictor, general contraaor or homeowner (circle onc)and have hired the contraaors liszcd bclow who hive the following workers' compensation insurance policies: Dame of Contractor Insurance Company/Poliey Numbcr N-mc of Commaor Insuuancc Company/Policy Number Nzmc of Contmaor Insurance Company/Policy Numbcr 12m a homeowner per:orming all the wort:myself. NOTE Plcasc be a,a c :hat while borrcowrcrs�+=o croloy persons to do maintenance,construction or repair wort:on cwcllir.g of not more thaw three uniu in v'bieb the bomcowzcr a1w resiecs or on the Froun<ls appurtenant thereto arc not Eencr—Dy consiccrct to b<employers s ,cr the"Wor,ccrs' Cor:.�crs-:.ion Ac;(G1L C- 15?,sccz. 1(5)). appltc=lion by a boracoWacr for a license or perr-if rn:v evidence the lcFa1 st=u:s of:.n cmploycr unc.cr 6c Gorl:crs'Compensation Act_ unccr:;�:c t1:t a copy of s::tener,t—IL be fo.—rdcc to the Dct:a:meat of Industrial Aeadenu'OfTiee of Insurance for.co-crate vcnion:ad that facture tc secure cover-mac zs rccci:cf unccr Scctio,35f:of 1�GL 152 ern]cad to the imposition of- In penalucs ccr:i:rr.-cf: fine of up to S 1 SGC-.GC z.dlor 1 pr C �c:;cup to c nc yc-:: a .0 uY.l pcnaltics in tttc form of a Stop CJork Ordcr and a fine of S)00.00: day a : cs. ..._. / , i�ncd Lhis dzy of JV6 U `-e m Ue j , )9 i enscc/Pcrmirree Licensor/Pcrmittor 7, �7e� i I TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. Wo �DATE ,. ..... _. JOB LOCATION Number Street addr ss :. Section of:•town �= "HOMEOWNER" �-G � -^e S OLlZ '7 Name Home hone P Work phone.:.. PRESENT MAILING ADDRESS VV) City town State Zip code The current exemption for "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be - considered a homeowner. Such "homeowner"- shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work oerformed under the buildin ermit. (Section 109.1.1) The undersigned "homeowner" assumes responsibilityfor compliance with the Stat Building Code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department minimum L'Ispection procedures and requirements and that he/she will comp with said ?cedur s and requirements. HOMEOWNER'S SIGNATURE _ APPROVAL OF BUILDING OFFI AL Note: Three family dwellings 35, 000 cubic feet, or larger, will be required to comply with State Building Code Section 127. 0, Construction Control. HOME O6:NE?' S EXEMPTION The code state that: "Any ,� Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109. 1. 1 - Licensing of Construction Supervisors) ; provided that,.if Home Owner engages a person(s) for hire to do such work, that. -such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware 'that they are assuming the responsibilities of a supervisor (see .Appendix Q, Rules and for licensing Construction Supervisors; ;Section 12. 15) .',' -Thi ' '-lack of awareries often results in serious problems; particularly when the' Home .Owner hires unlicensed persons. In this case 'our Board cannot proceed against'.%,;the inlicensed person as it would with licensed Supervisor. ... The.-Home-'•bwiier actin as supervisor is- ultimately' responsible: To ensure that the Home Owner is fully aware of his/her. responsib ilities,. man communities require, as part of, the'•permit application, that the 'Home Owner certify. that he/she understands' the' responsibilities of a supervisor.�' On the last page of this issue is a form currently used by - several towns. You may care to amend and adopt such a form/certification foi use in your community. Y ' ZL� iP j of�rqw The To'A -n of B- i-ris .-ible • �r..> I ) III [Id I i ... �::i 'i� .i[Id I IlvI roll III l'rlt:il 367 Main Strew_,Hyannis MA 02601 Office: 508 79"227 Ralph Chen Fax 508 775 3344 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME MPROVEMENT CONTRACTOR LAW CTTPPT.FMF-N*T TO PF.RMTT A PPr WA-TTnNT MGL c.I42A requires that the"reconstruction,alterations,renovation,repair,mo(Iernization,,conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner opctipied building containing at least one but not more than four dw�elking units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements- T)pc of Work::_ A pP iTr a64 Est.Cost 4,Crzr>, Address of Work: 26�9 1421,r ,t �p 45�5 [,-,g V i LL&4 Owner Name:_ J D u gt LAtl av�,rz- Date of Permit Application: I hereby certify that. Registr2tion is not required for the following re2son(s): Wort:cxcludcd b,•law Job under S1,000 Building not owner-oaupied / Owncr pulling own peanut Notice is hcrcbN•given that: OWNTERS PULLING TFJ-TR OWN PER.`.4TTOR DEALTNG NM-H LTNTREGISTERED CO�'TRACTORS FOR APPLICABLE HOME INTRO\T,�-NT \t'ORK DO NOT HAVE ACCESS TO THE ARBT7R1%T10N PP.OGRA T•;OR GUARAM'FU)`'D UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcbc 2ppl,, for 2 TY_'Mlft 2s dic 2�cnt cf t is a\%.cr- Date Contractor name Registration No. OR Date Owner's name df _ . . . '" i .a ,i L� � i�� �- � l� _ Gt�t�t�l �� I -----�--,-----� � 11 .. I ��� � I � � �L.. ;�- ,... � ' i �� i � � ,� I. �. ,li ..r �jn SS �. .4.�,� �i! i �4 �M � t 1 �1 ' i ..._.. y`..�....._, i $�� 1 " Ces��, �G•H i ��wfzEL FL)TCN �Fs MovCL FYl$i, I3T:� _LJALL — — — I o U.S VA IKD, II I 0 1b- R6r►ovw- E�`�ST I I ? [L Zwrcd LOAD r7 iLi K4 94'HT- t--r- n E?�ISTINGs '� 2 X 4- OA" FT3kMI 1-f4- IL'rO,C 1 f4StJ I C T lt2r"9au> a I �•u�sT.) NEw� i&P LA r-r l~ ri v a ir7 D P I CALF t2 • Q3 S { IJ�o Ft.►TLN•17`. CJ!)4"69rif� O�F� V$rA4L- Tb (' HAHkAtb5 E.S� '' I- IATCN CK�Si � � S C I I R -11 KUL•Fit[DVQ GXISi, I - • I N�s.w � s�. s -G .. " -P t-U-rc u R- �9 ZtYsut:, Ta N mw7 C[ Ak..,L 1,C r�.�w� r spk�a GKIs-r t%rsAW� (N�c,�� SPA�� MAs. �HvsK . rl r �r•X I GT,� � �` • i 1,40 s LR L►) �2 �t - -D N N 9Tr/ i //� � Asses ors map and tot numbed ..;.... ...: . .... ......... ........... THE • � Sewage Permit number ........ J (J Z BABH9TADLE, i House number ......,.......n............. / .1..,............. ................. 900 . rb 9 e0� TOWN OF BARNSTABLE BUILDING INSPECTOR. APPLICATION -FOR PERMIT TO ...........f�...`... ........f...........e... K.......... ................ ............................. TYPEOF CONSTRUCTIQN .................. ........................................ ........... ... ................... .... . . .................................... e. v tJc ......1�...............19. !.'. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... �� -t�/(_......� ....1...�. ...t%C `� � ... E.ve ...le .......d ;�'cJ(//�................ 6 ProposedUse .... ........................................................................... ................................'......................................................... i ZoningDistrict ........................................................................Fire District ..... /�. .................................... .............................. Name of Owner ...�.A.,N.... ......:...................Address_ /ag•T Jp-� �c! OST�.Qu���t.::. .:.. Name of Builder /�� u� /o-y. /��irlade�✓Address •�eX `�'SU. cap �e211i/�1C.:../I!�'°9`" J.................. ....... v e v R/7 �/ / Name of Architect �..... / 5�.......... .c'd ........t..............Address emu........ Numberof Rooms ..................................................................Foundation .............................................................................. Exterior .....................................................................:..............Roofing .................................................................................... Floors .....................Interior ................,................................................. ................................................................. .................. Heating ...................................................................................Plumbing ...................... Fireplace ... ...................................................... ..........Approximate Cost ./7w... .......... ............................ .... .... ..... Definitive Plan Approved by Planning Board _____________ _ _ ...... >r�%.... �. ---— ---- 9 — Area .......... Diagram of Lot and Building with Dimensions`-•. 9 9 Fee ........_o,/.:77=.................... SUBJECT TO APPROVAL OF BOARD OF HEALTH Se"I A5 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . ................. .................................................. LAMERE, JOHN A=116-109" No Permit for .....Build A Deck .......................... Accessory to Dwelling................. ............................................................ Location .2.6.9...We.s ...t... Road ..... .. .. ............................. Osterville ............................................................................... Owner-...John Lamere ............................................................... Type of Construction .....F.r.ame......................... .. .. ....... ................................. ................) Plot ............................ Lot ............................ Permit Granted ....June.... ...19 81 Date of Inspection ...... .............. ............. ...19 Date Completed ........Z......................19 PERMIT REFUSED .......................... ......... 19 .............................................................. ................. ................. .... ...................... ................ ........... .................... ..................................................................... ......... Approved ................................................ 19 ............................................................................... ................................................................................. Assessor's map and lot number ..�`((//(( .......... ?CFTHEt0 �� .........Sewage Permit number ......:�< UPVC _ House number ......o .Cc.. ......:.. . ................................... INSTALLED IN CO 00.16' ee� WITH TITLE MAI a` ` E X- 1 NTAL CO® TOWN OF BARNSTA . Ul.�BTlpi�� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .........! 'v. l.C...../aZ ..... eC.! :..............................................................:. TYPEOF CONSTRUCTION ................... .............................................................................................................. ..... ........1...............19.4��.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby �applies for a permit accord,i/ng to the following information:/ // Location ...�dR.!�-t% -.....L � �?!Q /�.`...:...... �ff�... !(.�................ Proposed Use ......................................... ......................./..`. 25 . .................................................................................................. ..... . ZoningDistrict ........................................................................Fire District ....C/.............................................................. Name of Owner ...�IrJh. ..... .lQ./.����......................//...Address .��.s.L.....��.Rj?....��....................N.°......f......�.i.� .... Name of Builder V,D/ rA...../. '.9f..1 1. :.. 6n7a.�e��rddress .... ......... yw.........ew.. ��-e.... ............ .. ........ Name of Architect -n N....(.e .......U!v.. �/7..�j' ( P � 0. h? � ..........Address ....f,...... .....`.5......................,�.�-�f.. S Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing ...................................................................... Floors ............................................................:.............Interior .................................................................................... Heating ..................................................................................Plumbing ......................... ........ Fireplace ..................................................................................Approximate Cost . v................... ......... .......... Definitive Plan Approved by Planning Board -----------________----------19________. Area ...... ✓�^....� ............ Diagram of Lot and Building with Dimensions 9 9 Fee .............1............................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Ba nstable regarding the above construction. Name .. .... ......................... .......................................... � LAMOIDE, JOBN - ' ' 23192 Build Deck No -----.. Permhfor ------------ . ' AuCoeoomry to Dvvellioo ` ' -----------------_=~^-----. - ` Location ...369...\Ve��t..I}�y�. _____. ` ....................Oot���vill��__________—'----� ^~` ~�6� . . . o �ame� Owner —����!-----.��.---.. . `--' ---. ' Type of Construction —�� �p�—'------.�jl _ ~ � ~~ -------------------'------. ' `^~ � . � Plot ............................ Lot ................................ ~ Permit Q,onh*6 ...........Joue l2...........lV 81 '_ ( . / ` 'Dote of Inspection ------------lq � x �r_ jr,- �_^ ' Date Completed -------^�`.-a—.]g ° �� ^ y PERMIT REFUSED ' � ' ' -----------.---------.. 19 ' - ' ` .---------------...`-------.— � ` ` | ' ^ . � --.—,.—��.,—... .............`................ ~----. ' . . .—.---.—,`_---.------_....... ` � . —.----.-+---.--------------- � . ` Approved ................................................ lQ ' ---------.'+---~..---------- ------------------------'-- ' ' + | Assessor's map and lot numb r ...//a -./��./.....� � TN E. Sewage Permit number . ...7...... .��...:............................... SEPTIC SYSTEM MUST B INSTALLED IN COMPL" BAHMAO& E, House number rb a � WITH TITn E 5 '''� 39-Ar 0 MAY TOWN OF BAR ;: �, $' '� BUILDING INSPECTOR APPLICATION FOR PERMIT TO .... S 04Q 4( 9 I .��. . ............................................................... TYPE OF CONSTRUCTION ........... 11`?^.... .....1Q.q.. '"""a"fi0 THf'INSPECTOR' OF-BUILDINGS.. ..; , , . ..: .:- .,.,.. _,.,.: The undersigned hereby applies for a permit according to the following information: Location ..!19`:. .I...I�Uq-6 - Li...V1LX.. £ 1-.. 1VC.. 1;•.................................. ProposedUse ...L (,t.�4y,.Y� ................................................................................................................................................. Zoning .........Fire District ...C�.. ,. .h!1.. .. g District .........................��...((.''............jj................ �•.(......`........................................ Name of Owner .... �t"�r� ....!. ` ........................Address 1.. Nameof Builder ...................................................Address .................................................................................... .Name of Architect ..................................................................Address ..................................................................................... Number of Rooms ....... ........................................................Foundation ...c!-�.4...S..h.4.S. ...................................... Exlerior ......SAl1AC`1............................................................Roofing .4.4;;t 1A1 ............................................................ lrltT?. WA.. -A- Floors ...............................................Interior .. .. ............. .................................... Heating �r.............................................................Plumbing .......................... ti............................................. . Fireplace ..................................................................................Approximate Cost ....................... .:�. ............ ................... Definitive Plan Approved by Planning Board -----------_____—-----------19_______. Area C' Diagram of Lot and Building with Dimensions Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable retarding the above construction. Name�.... ... ... . .......... ................................ 1'enanty, Steven 116-109 sewage 79-711 No ...29.7.72.. Permit for ••••f?emodel••➢weliing ............................................................................... 4 s Location .1ot..2••1�••Ba Bd.j..�.Be}...Rive�r'••Rd. � ,f7•• y • .................. ............................:.......... Owner ...Steven...T•enanty................................. Type of Construction ..........Frame..................... ................................................................................ Plot .....:...................... Lot ................................ r' Permit Granted .............Qc.taber..26.....19 79 Date of Inspection .........................::.........19 Date Completed .................�,� .........19 PERMIT REFUSED ........ 44E•{. ... ............................ 19 ......... k-.n ................... ......................................................... . .............. ............................................. W Approved ..................... 19 ' ............................................................................... /A-Sd_z Assessor's map and lot number ..... ..✓.......,C�. �pF TN E. �Q y0 Sewage Permit number .0..........��...:............................... Z 33AUSTIkDLE, i House number '........................................................................._ y NAB& �p 1639- ♦� 'E0 MAI a` TOWN OF BARNSTABLE BUILDING INSPECTOR APPL ATION FOR PERMIT TO` .1'N(.C(....... ...c:w e.. 1 hG .......: (�... J.. TYPEOF CONSTRUCTION ..... * `t., ............................................................................................................. ...........:..;JC;`...r..k-.?:........ `' :.....19. ".... '^ TO THE INSPECTOR OF BUILDINGS: - The undersigned hereby applies for a permit ff according to the following information: A Location ......?......... f C?,5 ... �U�L.. �i..........� L.... C�` .! ..: ................................ , ProposedUse nJ i..P . .......... ................................................................................................................................................. Zoning District �I p Ill Fire District ......../......;..a.........: <, Name of Owner ....�..?. V?� IC'r��l \�—�1 ..Address (� L�„S,? c�Yc��„ S%cr�n�: .F:.. Nameof Builder .:Sct.k`` ...................................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ?........................................................Foundation ..r.'r? :k.j...........�G : ._ ................................... Exterior ........... > rll.....�f.............................�.,.;.........................Roofingt`>�n�:(.t............................................................ Floors ................................................Interior ..An" .lx ..................................................... a Heating .............................................................Plumbing ..................... ..................................................... Fireplace ..:...............................................................................Approximate Cost ............. ,(} Definitive Plan Approved by Planning Board -----------__ ----. Area ��:.... ----- ---------1 9--- ,...... .. Diagram of Lot and Building with Dimensions Fee ........................... SUBJECT TO APPROVAL OF BOARD OF HEALTH I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Named. .....................,tG.. ........... �......�........................4•.' Tenanty, Steven 116-109 sewage,jl9-711 _. S No ..2.1.7.7.2:... Permit for Remodel••Diwela•ing ............................ .�................................ � f Location ..to.t..2.-W-....Bay... 1•••River Rd, .f ...................O.Ster..Val.e...................................... Owner ..Stever...T.enanty................................... Type of Construction ..... ... :name....................... ......................................./...................................... Plot ...................... Lot ......AZ................... Permit Granted .............. s ctoher.....26.19 79 Date of Inspection ...... ............................19 Date Completed .... ..................................19 PERMIT REFUSED j ;...1.�,/..... ...... 19 .................... L........... ................................... ............................................................................... ............................................................................... Approved................................................. 19 ............................................................................... Air Leakage Property Organization HERS Kendall Welch Home Energy Raters LLC. Confirmed 269 West Bay Rd. 888-503-2233 12/16/2015 Osterville, MA 02655 Andrew Popielarski Rating No:19653 RaterID:5363711 Weather:Barnstable,MA Builder West Bay 269 Kendall Welch West Bay rd 269 C.blg Whole House Infiltration i Blower Door Test _ Heating _ Cooling NaturalACH-M � �— �0.17 W0.13 4ACH @ 50 Pascals 2.85 2.85 'CFM®25 Pascals 8031 803 CFM @ 50 Pascals 1260 1260 Eff. Leakage Area (sq.in) 69.2 69.2 Specific Leakage Area 0.00015 0.00015 IELA/100 sf shell(sq.in) 0.87 0.87 Duct Leakage Leakage to Outside Units t.� CFM @ 25 Pascals 93 t CFM25 / CFMfan 0.0557 , :CFM25 / CFA 0.0294 )CFM per Std 152 N/A ICFM per Std 152 / CFA dN/A !CFM @ 50 Pascals 146 �Eff. Leakage Area (sq.in) 8.01 'Thermal Efficiency N/A l Total Duct Leakage Units 6FM25/CFA Total Duct Leakage i 0.0294 i Ventilation Mechanical -� 1 Exhaust Only ,Sensible Recovery-Eff. (%) 0.01 Total Recovery Eff. (%) 0.0 !Rate (cfm) 76 lHours/Day 20.0+ Fan Watts 21.0 rCooling Ventilation Natural Ventilation ASHRAE 62.2 - 2010 Ventilation Requirements For this home to comply with ASHRAE Standard 62.2 -2010 Ventilation and Acceptable Indoor Air Quality in Low-Rise Residential Buildings, a minimum of 62 cfm of mechanical ventilation must be provided continuously, 24 hours per day. Alternatively, an intermittently operating mechanical ventilation system may be used if the ventilation rate is adjusted accordingly. For example, a 123 cfm mechanical ventilation system would need to operate 12 hours per day, as long as the system operates to provide required average ventilation once each hour. REM/Rate -Residential Energy Analysis and Rating Software v14.5.1 This information does not constitute any warranty of energy cost or savings. ©1985-2014 Architectural Energy Corporation, Boulder, Colorado. 1.ALL IXTERpR NNLL95NALL BE 218Q 16'O.O UIeEGH . OINETMISE NDTEA LALLW—WLL1L SHLLL ' O ®,B'ONdE55 OTIERwSE NOTTED. a ODNTRACTORS VERRY —� ALL VR10pW AONGN OPENP PRIOR TOOROERWGw4DOP9 b]RAKe Tbn I CONLRACTOR$HALL T. L'OnPPlnE aaa.s ALLDIND19 IOR 10 6f R/•KE i4ut vwA DONSiRUCTmfM PR OON,RACTOR PAdTfO NNrt[ AGSULffGRESPWSISILTCT . ANY WSSOG OR OMD]RREO[ 60 - OILENSM)NS OONT TO • \.. Tlfi Aii'M10NOF cFTN iXE qIg/ DESgNW. A9PINLT RwI YIOGL[ ® ® ✓ GENERAL NOTES Asw.LT¢wr DNmcu PRpvvEO$ECd1D f_ _..... ®� ® NO, REVLm WE J1 fy.iaT��Piu'I?Lome, — —.——.—.=. • am�cxv�mmmnmsl�wze BUOLEIE: Kendall Welch wusmLrnDN e RIGHT ELEVATION WEST NORTHSIDE DEs GNER: DESIGN ASSOCIATES F� uNTeD—Te `_T PLOs bu PRWOSe mRUCMULEwwEER: TAYLOR l/ DESIGN LLC h]W[e Tom pIV/ rtT t ��PrtW uY�Ti ® [d009rte�L T b P�R1[Z!e q 0 C TRin EO nOULDOG . � v--P wm yW�PROPOSED CAPPELLUCCI x ® ® ©❑o ® ® ® ®� E RESIDENCE .. ®® _ ® ® _ 1 �1 x69WESTBAr RO. F� OSTERVILLE.IAl. f� PG LIST.�oR © [ELEVATIONS . .. ............................ V C�FRONT ELEVATIONELQ P NORTH D I® ECT e; sl�Er A.3 Wes, OF mna 4 L - _ ---- - - — ---- - - - - '- i - ■■. — LII��:cu�rlJ�IIII�LI�IIIII ��:,,��,....,.,....,.,. ■fie - - - - - © u u me I Omni "I -_ . -- ■ ■ ■ �IIIIIiIiiIII�I�IIIICI_I�Illl�lllll�l�llllllpll'IIII�lllllplll!IIII�IIIIIIIII II�Illlilll� .............................. /: ....I.................... - e - .,,...,.........W...,....,.,,... .,......,.....,,....................... ............ ......,. ......... .._.... ............. ,.................. ..........,.,....,.,.............,..... ...... ...........,...,..,...,..,..... ......... ..,...,..,...,..,..., .. ■ , .. : : ... . . ... . . .. I I I ........... ■ � it I II W 1.ALLEATERIORVALIBSHALL O xAs®t6'O.OUNIEbs OTNERAISE NDTED. x.ALL W MOR MLIS S— m DCA 0 t O.c.UNLESS OTWR—NOTED. 1 OONTRACTdi SNALL-- .LNANOO.VRO—DPENW • PRgR TOORDERPIG VatH0ON5. a.CONTRACTOR SNAIL VMFY ALLOIRENS—SM TO CONSTR TM.CONTRACTOR A66UMES RESPONSISLLItt FOR ANY SMSNR SRORRECf pN AU NOT F THE T i0 OESA . OF THE _ CESIGNEIt. PATIO MD1� GENERAL NOTES ,,,OD aae MASER BEDROOM = r——� �; �r snras rwco Lae FNOD sues 1 KIPC6HEN Y I No. REVIS— D•TE 1 DINING ROO e:N°N oa. --- —� — ----------- + "e 7 I 0O0.pER: I I I LIVING ROOM Kendall Welch I I I Loos ll w. oEswaER: I I I � USIGN IDE � I � DFSIGN II I MASTER BAT ��• w MUD RM. - ---- I BATH Aaae AE.acm r2— 9TRpCTUPAL TAYLORENpwEER: -- I DESIGN LLC S—P: GARAGE —— -—2- O1Q'e ® = BEDROOM#2 A LAV, FOYER E _ PRatcT: Ao.ticAe A01Mro PROPOSED E� ExK.N CAPPELLUCCI RESIDENCE Nt MOOR�ry ,nm so.rr. S WEST G STERVILLE,LE,M. men ]00�.� TI1LE: . IxMPI1L�L iLLQ I f AR 6E]EO. cwea:eo ro MNc A vo o. FIRST FLOOR PLAN uxE:lmro 0 1 x e EDT e: steer ' W L 1 KEY 1b01 E TO A•1 0 EeSTPL E AGu1-DE wALL9 Awp C_____] wALlEfroee R[nOv[o MTE: OF `OR$TORA'AMNINJ ® P—*ED 7RI14 .ALL E%T RWALl55NALL DE}%e®tE O.C.UNtE55 OT—E NOTED. -TNT INTERgR WALLS— RE]%.HERMSE O NNLE59 Oi NOTED. 1OONTRACTOR5IWLLVERRY ALL VANDOYV Ro—OPENWOS MM TOOROERM WNDOv.S. A CONTRACTOR—VER- ALLDINEN5g PRIOR TO CWSTROCTION.OONTRACTOR Am— FOR ANYN NOORert]O.— DIMENSpKS NOT BROOOHT TO THEATTENTIONOFTME OFSEiNER. GENERAL NOTES ROOF DECK NO. REVLSION WTE vrGD BUhOER _ O I'll nn WEe�ch BATH _ LOFT xne oEsoNER: •_ __ •"••NUL nP.R.m �"— BEDROOM NORTHSIDE ADwc.e A _ owue ADwue I ?4e DESIGN ------------------ WaN Da. ASSOCIA'fkS LOFT LLi 11— � AO.OiO STRLGTUPAI ENGWEEII'vaw DESIGN LLC croa _• NUL ss ..Au m NAL STAMP: PROTECT: PROPOSED a eTaaee 4 CAPPELLUCCI RESIDENCE 268 WEST BAY RO. OSTERVILLE.MA. TN E: E""a`Q.0 PaEVEN oN o ALL HwDa D SECOND FLOOR NFL 'wK FAQ Pde2" o � ALL fa.,nL:wT";Rea NTD aF NDa°1Liv u'oec Dev De P- A Acne e`:aee oe awL¢;Tmra N"°OuOP jaimTaaw Tue l ovENl.�c OEVKE ll 19 i STULED M rNe ruNUF.eTuacan nrraDcrrwD. o e —ECT•: 6NEET WA KEY Te-01 A.2 _ o e& O _ APaxLV Wi4DE [__-_=7 Nu.L•l TO Be a[roVED WTE; OF wa s*oari"`ma`rAESc:wi°` ® P NAus TEEnA 4 - P West BayRd ZONE: "''.. °�';��: :�- • x11.s -�9fi,48' DIRECTIONS: Rc „: x11.1 0 c •. N 8930 40" E Area (min. 87,120 SF(RP00) 4 From Hyannis - Follow Route 28 towards Osterville; Fronts a (min) 20" _7 1- 90 28' � Take a left at lights onto Osterville West Barnstable Width min) 1 0' 12) Road; Take a left on to Main Street; When entering Setbal s: s. �12 E(E� ) _p - 30� village bear right onto Parker Road; Take a right Front 20' ;.• a� o , art n onto West Boy Road; Site is on the comer of Eel Side 10' �r s s: ab Chance) L = 37. N N' � River Road; Rear 10' �'� ;j° YUS�� Ch°n X(o�2% 33.02' X m FLOOD ZONE: r r Front Yard 20� ____.___.._.. --•--•- / -•--� CD Zones AE12 (EL .12), X (0.2Z) I I-•- . N _ _ • t-; ,-•___••w..__._------ 1 , POSED •� / � � � Community Panel No •f-1 t I I ---- --- t.- - �: / n 2Jul y 1 0757 J ' ; SEPTIC..T+ANK � �� I 1`---.-_..._..•-_�_-._..___-____ __.-f �'•-.. t •1 \ July i6, 2004 0 / y� O I 1 __.:' _ Location Map: ,� - / ��. OVERLAY DISTRICT. NS/ 1 x12.5 A -rox-Se tic S tern i j l,-z000f' AspPer BOH Asbullt Card EXISTING < RPOD - Resource Protection Overlay District v_r I (Permit 2013-044) 12.5 Z312.8' 1 SEPTIC ITANI- DESIGN DATA AP - Aquifer Protection District � I //T�� Single Family Estuarine Overby District ASSES REF.: m e� 1 . TO BE FEMa�/ED `� Map 116 Parcel 109 k11 9 x12 D O / \ 3 Bedroom Qa 110 GPD / I 0 / % \ No Garbage Grinder ° I D O ! Total Daily Flow-330 GPD al I 269 SEPTIC TANK N i 1 X Sty W/F / �O�b 330 GPD x 200%-660 GAL Required O j Dwelling ' /o�� p Provide 1500 Gal Tank F.F. EL. 13.65 12.5 x1z• " ,'Q� o"'' �D X .11 (BENCH MARK)/ oo �° a SEPTIC NOTES 1 26.1/' 25' �' OLD LEA C COCA TI PIT ON) 1.Location of Utilities Shown on Thus Plan Are Approx.At Least 72 Hours xl2.2xl2'3 PROPOSED x12.7 / (APPROX• Prior to Any Excavation For This Project the Contractor Shall Make 6.1' / i TO BE REMOVED ' 1 ADDITIONS the Required Notification to Dig Safe(1-888-344-7233). 2.The Contractor is Required to Secure Appropriate Permits From Town i I Agencies For Construction Defined by This Plan. 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall Be Constructed of Class 150 Pressure Pipe and Shall be Water Tested to j xl 5 !/r��' Assure Watertightness. In General,Water Lines Shall be Constructed in Slab EI 12.86 / /'��+J h Coordination With COMM Water,and Shall be in Accordance Wood Deck With 248 CMR 1.00-7.00&310 CMR 15.00. x12.4x12.14 Conc / . /' 4.A Minimum of 9"of Cover is Required for All Components. 1 21 1' 5.All Structures Buried Three Feet or More or Subject to Vehicular Traffic to be H-20 Loading.It is the Engineer's xl�.41 / irr F7 1191See Note 6 (typ.) Recommendation that H-20 Always be Used. Lot 2 / %/ F.G. EL 1250 6.Install Watertight Risers and Covers to Within 6"of Finished Grade j 12,026±SF / / Over Septic Tank Inlet and Outlet If H-20 provide 18"ring and rover. 7.Septic System to be Installed in Accordance With 310 CMR 15.00& / // EL 1o.0 248 CMR 1.00-7.00 Latest Revision and the Town of Bamstable burtaffirosed Canitm 70 1500 Gallon Board of Health Regulations. 1�M IN� H-20 9 5 xtsttn 8.All Piping to be Sch.40 PVC. Septic Tank D-Box(See Note 5) 10.The Separation Distance Between the Septic Tank Inlets and - /�y� ��•� r Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend To Be Installed 0n a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" -I o e ompaeted Base Below the Flow Line,and Shall be Equipped With a Gas Baffle. DEVELOPED PROFILE OF SYSTEM / NOT TO SCALE / I TITLE site Plan PREPARED BY.• PREPARED FOR: NOTES Proposed Improvements Ca eS�ry 1.) The property line information shown was to Sullivan Engineering, IIIc. p David Colleen Ct7PP811UCC1 compiled from available record information. m w t PO Box 659 23 West Bay Road, Suite G H ) The structures were located from an Osterville, MA 02655 Osterville MA 02655 2. eon d 269 West Bay Road (508)428-3344(508)428-9617 fax (508) 420-3994(508) 420-3995 fax the ground conventional survey performed. Ycapesury0capecad.net Barnstable ( � Mass. I 20 0 10 20 40 3.) The topography is NAw '88. � Osterville Draft: JOD Field: I _i DATE' December 18 2014 SCALE.• 1°-20' Review: PS Comp.: Project: 31016 Project: C578 s�kyy• I West Bay.. Rd - Y _ � ZONE: x11.1 - _ - --1.9f2 48' DIRECTIONS: RC N 89'30 40" E ae ` I Area (min- 87,120 SF (RPOD) � \ \ From Hyannis Follow Route 28 towards Osterville; ) ` 90.28' _ \ Fronts a min 20' u n \\ \ Take a left at lights onto Osterville West Barnstable Width Tin) 100 �� • t, t E�E�12) - 30 0 Road; Take a left on to Main Street When entering setbac�s: ` QQ village bear right onto Parker Road; Take a right Front 20' e tax an >t oo °» , u / L = 37.5�6' onto West Boy Road; Site is on the comer of Eel Side 10' J` / Chance) N River Road, Rear 10' 0 aO 2/ 33.02' X Front Yard 20� / / \ -P FLOOD ZONE: Q D \ Zones Community EL, 12). X 0 2% AE1 . ...............................................: PROPO 1 Community Panel No. 5 Lr 7 / K �1250001 0757 J ............ Ep TIC :TAN / :......................................................................: . S o 1 .9 July 1 2004 j :•.. cop 1 1 =2,000t .............. / •�` Location Map: I x12.5 Approx Septic system OVERLAY DISTRICT: As Per BOH A.-SNt Card EXISTING 1 / RP00 - Resource Protection Overlay District (Permit 2013-044) 1?8 SEPTIC /TANK DESIGN DATA AP - Aquifer Protection District cn l 12.5 . TO BE �EMO,'VED `v Single Family Estuarine Overlay District ASSESSORS REF.: Rl m I I O�' " Mop 116 Parcel 109 h11 9 xl D O / \ l -3 Bedroom Q 110 GPD p I _ �1 / / \ / No Garbage Grinder a I I 26 9 C7 O / / 1 Total Daily Flow=330 GPD ti i 1 X Sty W/F m / ,�b 1 SEPTIC TANK oDwelling / /�� 330 GPD x 200/=660 GAL Required o I D well in g / Provide 1500 Gal Tank F.F. EL. 13.65 t2.5 x12. ....,3, /4.1 O o•X -i (BENCH MARK) .QJ �°` �, PIT SEPTIC NOTES 2 2x 26.1/ 25 GJ OLD LEAC LEACH TI ON) t 1.Location of Utilities Shown on This Plan Are Approx.At Least 72 Hours 1' PROPOSED x12.7 / ! (APPROX• Prior to Any Excavation For This Project the Contractor Shall Make / % TO BE REMOVED ADDITIONS ` the Required Notification to Dig Safe(I-888-344-7233). 2.The Contractor is Required to Secure Appropriate Permits From Town I / % Agencies For Construction Defined by This Plan. 31 / !O1& a1• 3.Wherever Sewer Lines Must Cross Water Supply Lines Both Lines Shall xl 5 j N. yj� Be Constructed of Class 150 Pressure Pipe'and Shall be Water Tested to / r` Assure Watertightness. In General,Water Lines Shall be Constructed in c I ��r�J Coordination With COMM Water,and Shall be in Accordance slab EI 1 / /Wood Deck ` With 248 CMR 1.00-7.00&310 CMR 15.00. x12.4x12.14 COnC / ; 1 / 4.A Minimum of 9"of Cover is Required for All Components. j /*21 1' 5.All Structures Buried Three Feet or More or Subject xiR-41 / / FF Fl 13AI to Vehicular Traffic to be H-20 Loading.It is the Engineer's j Lot 2 F.G. EL 1 0 / See Note 6 (typ.) Recommendation that H-20 Always be Used. / % 2.5 j 12,026tSF 6.Install Watertight Risers and Covers to Within 6"of Finished Grade % Over Septic Tank Inlet and Outlet. if H-20 provide 18"ring and cover. 7.Septic System to be Installed in Accordance With 310 CMR 15.00& / EL 10.0 248 CMR 1.00-7.00 Latest Revision and the Town of Barnstable i� Instgaw TO Proposed conf m Rfar E 1500 Galion Board of Health Regulations. \ / �•� , To Any Nbrk H-20 5 xistin 8.All Piping to be Sch.40 PVC. / Septic Tank (See Note 5) D-Box 10.The Separation Distance Between the Septic Tank Inlets and fiblbyRfaft Outlets Shall be No Less than the Liquid Depth.Inlet Tees Shall Extend / 59 �P�ZN OF Mgss�c o oee omptaclted Base a Minimum of 10"Below the Flow Line.Outlet Tees Shall Extend 14" l_•�� ���. 06 �� y Below the Flow Line,and Shall be Equipped With a Gas Baffle. JOHN C, s� c� c' CAI DEVELOPED PROFILE OF SYSTEM NOT TO SCALE / FSS/ONAI 1 TITLE Site Plan PREPARED BY. PREPARED FOR: NOTES: Proposed Improvements Ca eSury 1.) The property line information shown was = p p Sullivan Engineering, Inc. p David & Colleen Cappellucci compiled from available record information. r /� PO Box 659 23 West Bay Rood, Suite G R1 At Osterville, MA 02655 Osterville MA 02655 2.) The structures were located from an on '{ 269 West Bay Road (508)428-3344(508)428-9617 fax (508) 420-3994 (508) 420-3995 fax the ground conventional survey performed. capesurvOcapecodnet I _� Barnstable,(ostervi►►e) Mass. 3.) The topography is NAVD '88.� 20 0 '0 20 40 - � Draft: JOD Field: DATE: December 18, 2014 SCALE: 1„-20' Review: PS Comp.: Project: 31016 Project: C578 i WE S 7- ip Y 90 I s ELINE 4tsT BAY R 0 A D rn ROAD w 0 Q l a 00 ° r , N 00 Y / co O cO O m m 43.3' % frl Z O 11) EXIS h Q J N FAMILYNpbV SINGLE I / r 6.0• , 0 1s. HSE # 269 7.0. � �� �• s• .0• — N. O R1 1�7'8• m ; 22.8' Cb of / 17.3' �l� 70 X 40001 0 X O ' O N R=83.06 RIGHT OF WAY CB/DH FND NOTE: LOCUS IS DEFINED BY PLAN BOOK 70 PAGE 19 SEE ALSO PLAN BOOK 14 PAGE 53 DEED REFERENCE: 8952/219 w ASSESSORS MAP 116 PARCEL 109 a o N I CERTIFY THE STRUCTURE SHOWN ON LOT 1 OF v THIS PLAN IS LOCATED IN RELATION TO THE MONUMENTS Z SHOWN; FIELD LOCATION DATE: 10/28/94 OHN R ELLIS, PLS N TE & NYE, INC. 812 AIN STREET — N OSTERVILLE, MASS., 02655 D N Z � Go LOCUS LOCATED WITHIN FLOOD ZONE C, AN AREA OF r a o MINIMAL FLOODING PER COMMUNITY PANEL No. 25001 O cr c, ry 0016 D (REVISED: JULY 2, 1992). u, z CERTIFIED PLOT PLAN LOT 2 — PLAN BOOK 70 PAGE 19 #269 WEST BAY ROAD IP FND OSTERVILLE, MASS. f FOR n A -P o JOHN E. LAMERE, ET UX OF �sl r0 m -0 SCALE: 1" = 30' 10/31/94 yG� Q' (n Z Ln BAXTER & NYE, INC � 29874 812 MAIN STREET �tE�,o,Q LCCB/SEAL FND OSTERVILLE, MASS., 02655 / 94152 (PL01) I