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0242 WIANNO AVENUE
�.'� r 9 i �� a �� i l y �� a .....�__�� _ -_.�...�.. �-•--, --..�. - - ....--� -�.. .. .'- � - -�-'-�.+ter._ _- -_ _ _ —� _ _ _ __ ....'"'rr.!+'K"r�.,•r€. �. .. +.+!.. IT.w..a.. .. _�, .�. _. _ .. ,. .. .. _.t.. -.._ .. Town of Barnstable Building BmsT,t Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on'Job and this Card Must be Kept MA Posted Until Final Inspection Has Been Made. Permit i639. s�� 3 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-20-1843 Applicant Name: VJ Enright Approvals Date Issued: 07/29/2020 Current Use: Structure Permit Type: Building-Fence Over 6'-Residential Expiration Date: 01/29/2021 Foundation: Location: 242 WIANNO AVENUE,OSTERVILLE Map/Lot: 140-148-0_02_x Zoning District: RC Sheathing: Owner on Record: WIANNO OSTERVILLE LLC f y Contractor Name`' VJ Enright Framing: 1 Address: 222 ROYAL PALM WAY l Contractor License: 3161exempt 2 PALM BEACH, FL 33480 j mm Est. Project Cost: $0.00 Chimney: Description: Furnish and install 89' of 8'tall cedar privacy !board fence with 5x5 ,) Permit Fee: $35.00 pressure treated posts,6" in from property line Insulation: Fee Paid:' $35.00 Project Review Req: - y � }_ Date: 7/29/2020 Final: } Plumbing/Gas i Rough Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afte�l� dRg.Official Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Rough Gas: This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. f -Final Gas: �1 The Certificate of Occupancy will not be issued until all applicable signatures by the Building-and-Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work:t - 1.Foundation or Footing Service: 2.Sheathing Inspection -1,/ Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed rr- 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Rough: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Low Voltage Final: Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: ea- lefence@comcast,net Town rig Rarnstable Btiuflding Department SerAfts BrIsA Plarenpoo COO + Budding Camhionet 200 M44 Swc4 Hyiuit*MA uW:1 www.towmbams1 MbI&waxrs OE=.SM.62-4038 Fax! SQL 7-904230 Propefty Co C1er Must Complete and Sign This Sectio-u. f Ud"-A 93 dcr = - - as Owner of thGaubj=property htr ip uthD z toacroe ..t>eW in atl;nlaticcs x+eiaave to audxAei cd Fay dis bviMi t pei init applic€tibn of �irf/,r'o Atr� a sT�E/Q!/lLLrlR:Q tt (Addmess of job) ' P001 fences and alz>ms are the ze"nsibility of die sappucalit Pbb1s .aao so be f 11ed o$utai.2ed before fence is iaasmDed cad all foal inVmcions arc pafoz ned and accepts. S" titre qEf i }er. Sign==of Ap .` Miff i �'a�a� J i1 i^ , i'tiot i\Mane Ir„(�,�t2 Pont.�lm� �'f l ,' ih�, vs7 R✓ Fc,5 (e Fen re. Cap � a.:VNi��u1N1N97f1J:7�741//tfWM7� .�:..�': '� .. .. 1 �w,a�n.a�s 4 - -� I _ o ' '6. g•It o •p y e Pd z _ •<f � - _ •• mac' t��� 1� � o m7?i e 11242 'Pmc0 Location 2 sty w/F r' Dwelling m� I"-Zo00t' S p i rae• ear vo.�e om. # /Total Parcal Area / 25,270tSr ASSESSORS REF.: Map 140, Parcel 148-2 / ZONE: RC Area (min.) 87,120SF (RPOD) yq Frontage (min) 20' E� Width (min) 100' c / Setbacks. Front 20' Side 10' Rear 10' r / FLOOD ZONE: °J Prepared For: Zane X Morino Number Osterville LLC 25001CO757J July 16, 2014 ' OVERLAY DISTRICT. AP — Aquifer Protection District / NOTES: / 1.) The structures shown were located on the ground by conventional survey methods on (or between) Fs. / 25/SEP/18 and 01/OCT/18. 9 9 mla 2.) The property line information shown hereon was compiled from available record information. 3.) This plan is not for recording and is not to be used for construction layout or deed description purposes. O 15 JO 45 60 FF£7 Sheet U apew - Title: J r V Plot Plan c�si Su, 4 1 23 West Bay Rd, suite G of 242 Wianno Ave scale f&n Of Osterw7fe MA 02655 1"=30 f:0,420-3"4��08)4 for BARNSTABLE (osterville) MASS os/ocr/1s VJECORP '4�ORo� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 07/14/2020 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER 508-775-6060 CONTACT Bryden&Sullivan Insurance Bryden&Sullivan Ins Agency PHONE 508-775-6060 FAX 508-790-1414 88 Falmouth Road A/c,No,Ext: A/C,No Hyannis,MA 02601 AD AIL Bryden&Sullivan Insurance INSURERS AFFORDING COVERAGE NAIC# INSURER A:NGM Insurance Company 14788 INSURED INSURER B:Associated Employers Insurance V' Corporation EAGLE FENCE INSURER C: 570 East Falmouth Hwy East Falmouth,MA 02536 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTRTYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR MPB5869S 01/01/2020 01/01/2021 DAMAGE TO RENTED occurrence) $ 500,000 X Business Owners MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- ❑LOC 2,000,000 JECT PRODUCTS-COMP/OP AGG $ OTHER: A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO M9093926 01/02/2020 01/02/2021 BODILY INJURY Perperson) 500,000 AUTOS WNEDONLY X AUTOSS�/UyLED BODILY INJURY Per accident $ 500,000 X AUTOS ONLY X AUUTOS ONLY Pe�acEclde^tDAMAGE $ 250,000 A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAB CLAIMS-MADE CU093926 01/01/2020 01/01/2021 AGGREGATE 1,000,000 DED I X I RETENTION$ 10000 B WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITYSTA LITE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N WCC500-50077782020A 01I01/2020 01/0112021 500,000 OFFICER/MEMBER EXCLUDED? �N N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT PROPERTY 10,404 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) FENCE DEALERS-Certificate issued for insurance verification. Job: 242 Wianno Ave.,Osterville,MA 02655 CERTIFICATE HOLDER CANCELLATION TOWN-28 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 DEPARTMENT AUTHORIZED REPRESENTATIVE 200 MAIN STREET HYANNIS, MA 02601 Bryden&Sullivan Insurance ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciam/Plumbers Applicant Information p / Please Print Legibly Name(Business/Organization/Individual): V xe Corp O/9 Fa �e Fence. 4". Address: 5.70 wnso kyA ff!, -y City/State/Zip: f' Fo�i+►oWrl, M4 o233 G Phone#: Are you an employer?Check the appropriate boa: Type of project(required): 1.Rrl am a employer with- q 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers'[No workers'comp.insurance comp.insurance.: 9. ❑Building addition Vied.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.[2 Other RACe comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContnactors that check this box must attached an additional sbeet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.Insurance Company Name:JA � sac(-)7 i Ern"I tr trs Mn S Policy#or Self-ins.Lic.#: [Al C G 5-00-SO o 7771920.0,4 Expiration Date:0 I f o t/A01 Job Site Address: �,N-2 W inn»o 4ve. City/State/Zip: Oc7-erw/4 t►4� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signstore: A -�trC! Date: CI Phone#: Og' o2.7K 0 S1 l OBj`kkd use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenam thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(17 also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance withfthe insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority" Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or UP does have employees,a policy is.required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confiimation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retained to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant Mat must submit multiple pennitdicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 wwRr:mass.gov/dia • BUILDINGD EPT. Application Number.......�..:`ov-/0 ............................. iA MASS. LE, ` 202O •.............Zoning District........................ M^� JUL 15 Permit Fee................... 039. ,0� TOWNOF BARNSTABLE Total Fee Paid .........:........::........................................... ...... TOWN OF BARNSTABLE pp y....... .. 7.. Permit Approval b ��.-.................On...... . BUILDING PERMIISCANNED Lf,( �/ `S Map.............�.•l•U•...............Parcel.....1147.6 . .............. APPLICATION Section 1 — Owner's Information and Project Location Project Address clycZ t Ji anno /tye— Village 6 STe/'V i it e i Owners Name Wianno QsRkyl tlt LLC. Owners Legal Address City State Zip Owners Cell # E-mail J S 1P,rn 4 71 Q 5 ina! Section 2 —Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet i ❑ Commercial Structure under 35,000 cubic feet ❑ Single/Two Family Dwelling Section 3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use f ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ❑ Sprinkler System r ❑ Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Foundation Only Other—Specify 8�Ta 11 Pri 1/ac y Fence F777Section 4 - Work Description I Farr sh and iMA411 89` o-F 8' Tall Cedar pri yaw board -fence ("i to SX 5 gows4re Treg ed POST-S. (o ;h �R,�•. ea;g±n& L;ne k Last updated: 1/31/2020 i Application Number:. '.....'113! ► :1.!.. .............................. Section 5—Detail Cost of Proposed Construction L1,Do0 Square Footage'of Proiect- Age of Structure Dig Safe Number # Of Bedrooms Existing Total # Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design s a Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing ❑ Gas ❑ Fire Suppression 1 ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom 7 1 1 Water Supply _ 0 Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway a l l Debris Disposal Facility: I am using a crane ❑ Yes ❑ No l Section 7— Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information I Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage i #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed, s Side Yard Required Proposed J Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No 1 Last updated: 1/31/2020 j i Application Number........................................... l Section 9— Construction Supervisor Name Telephone Number Address City State Zip License Number License Type Expiration Date Contractors Email Cell # I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. ' Signature Date Section 10 —Home Improvement Contractor Name E& FtnCe Cv-. Telephone Number SO$-PiO-3/G l Address S7o E,uT- Fd*%o&tj City E' FeJs.oj.A State PVL4 Zip 015M HY Registration Number &01 Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature 'yC Date '7tlyl-u Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number 1 understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature "�/ r�s. Date 711YIle Print Name V- T. C�nhfalf Telephone Number 909-27y-Ogg/ 14 E-mail permit to: eajje 7'tnce & C-omc,.STn cT Last updated: 1/31/2020 Section 12 — Department Sign-Offs Health Department ❑ Zoning Board (if required) El Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13 — Owner's Authorization I, See a;M4t,.0 , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner _ date, Print Name Last updated: 1/31/2020 Town of Barnstable Building 7 Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be Kept MAS& Posted Until Final Inspection Has Been Made.059. Pernllt D►� Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. Permit No. B-18-3849 Applicant Name: STEVEN MCELHENY BUILDERS INC Approvals Current Use: Structure Date Issued: 12/12/2018 Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/12/2019 Foundation: Location: 242 WIANNO AVENUE,OSTERVILLE Map/Lot: 140-148-002 Zoning District: RC Sheathing: Owner on Record: WIANNO OSTERVILLE LLC _.P Contractor Name: STEVEN MCELHENY BUILDERS INC Framing: 1 N q \ t Address: 222 ROYAL PALM WAY Contractor License: 157699 2 PALM BEACH, FL 33480 ~+ Est. Project Cost: $30,000.00 Chimney: F Description: CONSTRUCT SCREEN PORCH OVER PORTION OF EXISTING DECK Permit Fee: $203.00 i Insulation: WOOK FRAME ON SONOTUBE FOOTING Fee Paid:` $203.00 Project Review Req: SCREEN PORCH. NO CONDITIONED SPACE. �, Date: ./fs 12/12/2018 Final: le9 Plumbing/Gas Rough Plumbing: -_ —�-_ \Building Official � Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and thefapproved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Y /'� Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Final: 6.Insulation 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ • Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ❑ For commercial work,please take your plans directly to the fire depwtnent for approval Section 13—Owner's Authorization I, -,F r H Ir s r�L.S :•t , as Owner of the subject property hereby authorize '3:A• I V-sc_= to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) 116 Signature of Owner date S�c,a2.t dor Print Name Last updated 11n5/2018 i Mass. Corporations, external master page Page 1 of 2 William Francis Galvin Secretary of the Commonwealth of Massachusetts r� b s Corporations Division Business Entity Summary ID Number: 001153752 Request certificate New search Summary for: WIANNO OSTERVILLE LLC The exact name of the Domestic Limited Liability Company (LLC): WIANNO OSTERVILLE LLC Entity type: Domestic Limited Liability Company (LLC) Identification Number: 001153752 Date of Organization in Massachusetts: 12-05-2014 Last date certain: The location or address where the records are maintained (A PO box is not a valid location or address): Address: 242 WIANNO AVENUE City or town, State, Zip code, OSTERVILLE, MA 02655 USA Country: The name and address of the Resident Agent: Name: ROGER J. F. LEHRBERG Address: 38 BALCARRES ROAD City or town, State, Zip code, WEST NEWTON, MA 02465 USA Country: The name and business address of each Manager: Title Individual name Address MANAGER STEPHEN L. BROWN 184 BRADLEY PLACE, APT. 201 PALM BEACH, FL 33480 USA In addition to the manager(s), the name and business address of the person(s) authorized to execute documents to be filed with the Corporations Division: Title Individual name Address SOC SIGNATORY ROBERT L. GOREN 100 WILLOWBROOK DRIVE WAYLAND, MA 01778 The name and business address of the person(s) authorized to execute, acknowledge, deliver, and record any recordable instrument purporting to affect an interest in real property: http://corp.sec.state.ma.us/Corp Web/CorpSearch/CorpSummary.aspx?FEIN=001153752... 11/21/2018 Mass. Corporations, external master page Page 2 of 2 Title Individual name Address REAL PROPERTY ROBERT L. GOREN 100 WILLOWBROOK DRIVE WAYLAND, MA 01778 REAL PROPERTY STEPHEN L. BROWN 184 BRADLEY PLACE, APT. 201 PALM BEACH, FL 33480 USA ❑ ❑Confidential ❑Merger ❑ Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Annual Report - Professional Articles of Entity Conversion Certificate of Amendment v !View filings, Comments or notes associated with this business entity: i i I � New search http://corp.sec.state.ma.us/CorpWeb/CorpSearch/CorpSummary.aspx?FEIN=001153752... 11/21/2018 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizadon/Individual): 5N(X.,J-�E y t,( IC-Vlr Z9 ,44 C . Address: Z6 `66 �- 4 f¢6 City/State/Zip: Ca . T ✓tA.A ozG 5 Phone#: 5706 _ ^7`� - �� �,:x- Are you an employer?Check the appropriate bog: Type of project(required): 1.[]I am a employer with- 3 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for mein any capacity. employees and have workers' 9. ding addition [No workers' comp.insurance comp•insurance.t required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. (No workers' 13.[1 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hue outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: r,,-15;u ec.-lew CC ze&...P. Policy#or Self-ins.Lic.#: S'rwc, @f�5 VLD(o Expiration Date: 1 I-z.a i Job Site Address: 24L o Mhv ;Z- City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signattn e: ty, Date: Phone#: -4-7 `t- Official use only. Do not write in this area,to be completed by city or town ojj`icial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: I Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pumiant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public.work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the aMdavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Dgwtraent of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 4-24-07 VAM.mass.gov/dia a CERTIFICATE OF LIABILITY INSURANCE 02/0 i2o018 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 WANED,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 Paychex Insurance Agency Inc NA E- PAYCHEX INSURANCE AGENCY,INC. PHONE 150 SAWGRASS DRIVE 877-266 6850 FAx 585 389 7426 ROCHESTER,NY 14620 E-MAIL Certs@paychex.com INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: NorGUARD Insurance Company 31470 STEVEN MCELHENY BUILDER INC INSURER B: P.O.BOX 460 COTUIT,MA 02635 INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INS TYPE OF INSURANCE ADDL XBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS TR INSR D (MM/DDNYYY) (MMIDONYYY) GENERAL LIABILITY EACH OCCURRENCE $ _ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES(Ea—1 E=I E CLAIMS-MADF� ty one OCCUR MED EXP(Ar Person) $ PERSONAL&ADV INJURY E GENERAL AGGREGATE $ EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG y POLICY O PROJECT=LOC E AUTOMOBILE LIABILITY COMBINED SINGLE LIMB ANY AUTO $ (Ea accident) ALL OVWNED SCHEDULED BODILY INJURY $ AUTOS AUTOS (Per person) HIRED. �►A Cr— BODILY INJURY L O (Peracadent) PROPERTY DAMAGE $ (Per accident) $ UMBRELLA UA13 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMSMADE AGGREGATE $ DED I I RETENTION$ E WORKERS COMPENSATION AND X WC STATU- OTH- EMPLOYHI,S'UArWTY STWC941741 01/29/2018 01/29/2019 E.L.EACH ACCIDENT $ 100.000.00 ANY PROPRIETORIPARTTERIEXECUTIVE' OFFICERUMMER EXCLUDED? -M EL DISEASE---EA EMPLOYEE E 100,000.00 (Mandatory in NH) l ' I N/A EL DISEASE-POLICY LIMIT E 500,000.00 byes.dewft enter F-T DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedute,ff more apace is required) CERTIFICATE HOLDER CANCELLATION Steven McElheny Builder Inc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED ED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY ICIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2010105) 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD a n� • � A• e 1 t i.��.� t� z - �a�. Vl °7 .9 o r G 0 . € Q Pool @Parlaer;f tie 0 °7. ��'�� po y � p� 3 11 �S°` ♦ C11� Q 0�0� Location Map: ���,�. 2 sty w/F �ooa 1"=2,000f' S P Dwelling ^ fin C- 3r. . 70.6, a 20.1' 10°�(2C�.�0� 10.5 �. \ °•\y j 0° vi _ . � Paved �- Drive # / Total. Parcel Area s 25,2 70f SF a ASSESSORS REF.: �p0 6g� Map 140, Parcel 148-2 ZONE: RC Area (min.) 87,120SF (RPOD) A`/ e° Frontage (min) 20'�;�e Width (min) .100 Setbacks: Fron t 20' Side 10' Rear 10' o ;IC2 FLOOD ZONE: `� Prepared For: Zone XMap Number Wianno Osterville LLC 25001CO757J July 16, 2014 h � ory OVERLAY DISTRICT: AP — Aquifer Protection District t �v. NOTES: 1.) The structures shown were located on the ground by conventional survey methods on (or between) q 25/SEP/18 and 01/OCT/18. 2 °o lJj lJ� 2.) The property line information shown hereon was compiled from available record information. 3.) This plan is not for recording and is not to be 60 � �- used for construction layout or deed description ° 0 .00 purposes. 0 15 30 45 60 FEET Sheet # CapeSury Title: Dwg # Plot Plan C662_4 1 1 23 West Bay Rd, Suite G of 242 Wianno Ave Scale 1 Of I Osterville MA 02655 1'=30 BARNSTABLE (Osterville) MASS Date (508)420-3994 (508)420-3995 fox 05/OCT/18 copesurv@copecod.net e M , e: 1 S 1 ggP ! Z If 1 ! i E .............................. -- I F-I i ! i f j; ii �n o � i � N , r 0 L a a T E A F Y�P PI 2 D T I p I 1 j 1 r � I 1 .i 1 I r�i I: I i I tk. l ...................... .......... I 1 • I 1. i t } � � I i i l l ��'`N. I i t l i p I i � ! � I ' j � I j L. : ------- . ! I Li \\ i I . II ; I li I� s � D ' a r+ L M r W 41 : lbo `i: , 77 • 3 " to � 1 _VS , C y I I� - T I, U • L � OF Application Numbz...—/.f ................. BARPMABLF, INC-,DEP-1. MASS. Permit Fee.......................................Other Fee........................ 163 TotalFee Paid................................................................ ...... TOWN OF BX-P& TABLE Permit Approval by.,Iw-----------------------on... V BUILDING PERAUT Map.......... .....................Parcel...... ......................... APPLICATION Section 1 — Owner's Information and Project ]Location Project Address A,)T Village o jz-4 Owners Name i-A .-,ct Owners Legal Address Z4-z- 3 1-4 t) "t- City State A Zip 6 Z-C. S;_S Owners Cell# E-mail 4-1 W a 5 — Section 2 —Use of Structure Use Group_ r-1 Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,060 cubic feet 2rSingle/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction E] Move/Relocate E] Accessory Structure E] Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty El Fire Alarm Rebuild 0 Deck Apartment El Sprinkler System ❑ Addition ❑ Retaining wall Solar 2IR"enovation ❑ Pool El Insulation Other—Specify. Section 4 - Work Description C 0--1 15.T-2 C--r Last updated. 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction 3o,000 - Square Footage of Project i S°;x- 1-1 Age of Structure i q er 3 Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 0 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist (✓'Design Section 6—Project Specifics [ r Wiring ❑ Oil Tank Storage ❑ Smoke Detectors ❑ Plumbing [ Gas ❑ Fire Suppression ❑ HeatingSystem ❑ Masonry Chimney ❑y my y Add/relocate bedroom I:I Water Supply aPublic ❑ Private Sewage Disposal ❑ Municipal 0"On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway ' Debris Disposal Facility: r. z a �s 4,r- I am using a crane ❑ Yes Section 7—Flood Zone Flood Zone Designation , a i Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District fLG Proposed Use Lot Area Sq. Ft. $7,+zo S, Total Frontage 21,0 Percentage of Lot Coverage r 04,5 #of Dwelling Units (on site) Setbacks Front Yard Required -Ao ` Proposed 'ado S C A� Rear Yard Required i c, ' Proposed t o ,c ` Side Yard Required t o ' Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes No Last updated. 11/I5/2018 I r Application Number........................................... Section 9- Construction Supervisor Name S ��.� ,� �r •� Telephone Number -�{� - C�-L Address _`Fo 7,o x.4Go City ez--c,,,T State d- Zip o 7-&3 S License Number p,4-7 c -5 License Type C5 c- Expiration Date Contractors Email S'e::c 'r� Q,Q[ , Co Cell# I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your license. Signature Date I I ( ig Section 10-Home Improvement Contractor Name q Ty L)F_v C C-V—t-E i Zj'L'k1 Telephone Number 9 o'k fe---_ Address Sr, -Z o z>o, „I City rM 6 t�tj?n E. State y., 4 Zip 6 Z� Registration Number (S-1(Aq Expiration Date P o(z�.( (9 I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your KLC... Signature Date r i (I c� Section 11 -Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the riles and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signature (/mac Date ( r b-- i Print Name s a� v,-,���H���( Telephone Number S*-4-7-z-gq i�y- ail permit to: C,,..,o, I��,, 12c a o co Last updated: 11/15/2018 Section 12 —Department Sign-Offs i Health Department ❑ Zoning Board if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation For commercial work,please take your plans directly to the fire department for approval, Section 13— Owner's Authorization I, Ira- ;� �I� , as Owner of the subject property hereby � authorize C �L Q I-V� I ,c_ . to act on my behalf, in all matters relative to work authorized by Ihiis building permit application for: (Address of job) e , Signature of Owner date S Print Name Last updated: 11/152018 "rut TOWN TOWN OF BARNSTABLE Permit NoJ. 3 872 � BUILDING DEPARTMENT t ""'= I Cash TOWN OFFICE BUILDING 7 ,ML t6)V• HYANNIS,MASS.02601 Bond CERTIFICATE OF USE AND OCCUPANCY i Issued to Peter Smigowski Address Lot B2, 242 Wianno Avenue Osterville USE GROUP FIRE GRADING OCCUPANCY LOAD THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND.IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. December 17, .......................... 19 3.......... ..............Building Inspec o.r.............. tSARNSTABLE, MASSACHUSETTS. 1 BUILDING APERMIT e. DATE 19' / PERMIT NO. j83 e58I1 ,rPLICANT_ ADDRESS (NO.) (STREET) IC 0 N T R'S LICENSE) PERMIT TO STORY NUMBER OF DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) • ZONING AT (LOCATION) _ DISTRICT_ (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: AREA OR • c, VOLUME PERESTIMATED COST tiS FEE (CUBIC/SOUARE FEET) OWNER - .. .: ..... • BUILDING DEPT. ' ADDRESS .- BY ' �� �•fir �.,,_ _�6 ,__ � �- FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF TH15 PERMIT DOES-ROT RELEASE THE APPLICANT PROM'THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL 'APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE _ INSPECTIONS REQUIRED FOR PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN ELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. z. PRIOk TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MINAL INSPECTION TI TO LATHE FINAL INSPECTION HAS BEEN MADE. 3, FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS /wl ?2 a� 3 HEATING INSPECTION APPROVALS N INEERING DEPARTMENT 2 V B D OF HEALTH OTHER SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT W!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN BE TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTEN CONSTRUCTION. I PERMIT 15 ISSUED AS NOTED ABOVE. NOTIFICATION. ' 111 ) I o a i r,� r>,+ Ld• 1 k NYE cEeT«I EL7 Q° LOCATION CS 1 1'= �° V ILI.E T N.A-r T 14 r-- . r---r-.>Y W Dh TU) 5 uo%u tJ r7 Cot.1 CoN�PL�lS �l!ITN• THE SIL7tr:�.1►-1E �_� .,tom SE-rIaACIC �ZEgUIcZEMF--kJTs bP 'r'Ne �.1 5Tr4)0: r�) r_ LA .-IJEO ,• < g/.S,XTCtZ . aEG:ISCC-1Z�.b 1-AI�iD SUevcYo�zS 4-115 C7 C_ AW . IS LIoT BASEL7 U1� OSTEZV%L.L1✓ o ArCliSS rrZcJAA��.1 , SiJQv��( ¢ TSaF= Ut=CS�TS St1oe,�W L3C_ USLco Zc� 'JLT'C-P_Alt�l!^ L�'T Lt i.1� a APPI_ICA.t�1T �=Tlr�� J .fr i�.Jl` '�,..) i .1: .. TOWN OE'' 13ARNSTAOL E BUILDING i)E;PARTMENT HOMEOWNER LICENSE EXEMPTION y 4. ease print. r f O LOCATION L 'r {y w ' Number Street ndd GLG ,C HOIp „ ress WNER /� /� / woes Sect :on 'p' ' o c it"'rr, Name �ir� Home Phone '• U.w rs�'r1T`r'LAILING SS ADD C, Town State Yes current exemption for "homeowners ' ygn'' a in s of six unite or was extended l ri' individual for less and to to include `owrie tfi'etowner' hire who allow such �afi, L.:.,•.: acts as su does not homeo ` t:.,r•,r,,,•:•, supervisor, Possess $ WA@Y8' tp. DFINITI license, 'Lrovfded`1yth�` '+�` Person sON OF HOMEOWNER: Fbtri;�• k ) who re owns a :r�. on whicl } a tern, :I `dwelling, attechr.,: i. /r-,ha resides or SfY ry, structures . ,� c � '^ one to s intends ao:- " ..tort°d shall not �°° .'.SJ , : :liC ... :�:..'..sory to auc six family Bu :.)e °„ `c; r_ r one h s /or ` he -Building ;.d`t'• Herne°: in nd home :f :that' she 9 o� ficial Such a two-year' �•"=•�`�. - aha °n a form homeow �, ,<. . . t„ 11 be ace c't )t ner s'A bi'- iriq bermlt , res onsible for f able to the Building shall' ,$'ubm :t(Section 109 all such work Of � :- ., 1 wo e f d9 f'ici >> ,�.9'.... 1 r orme uri ah` ..��';uridersigned "homeowner" :.,. . .Buildine Cod assumes :r'.egulaions. e and other a sponsibilit PP l.i.c ..e Y for c om ], :•, ,::,:•. �.� ,: codes P ianee' r by - wi. h'•rt}�e t„ hea�uriders rules igned -,home ,BarAsable Bu ner. 'BQuireme nc3 Uepartm i.f.i c :: rtt } •r.:.4er : nts nt inir Ir,, /she understa ..:... ....:::4� r r n s coon nds the. Towel n. t� OOER'S SIGNATURE Procedures and 7 0 .♦� N 1 ��,�.... .R_OVAL OF BUi T T '`.• - t,�'�l�h�� , ` t. ._ otes Three _...- _... _._. equr family dw red to c e.11ings 35 Comply p1Y with State B`1100U ic feet t o la ` s �o ldinr r g kh,l CQ e S r er • Sect 1 well a,;...,.: 2 7 . 0 a , Con rij {•.r ,Y AMODI , I 'ik rr''ll iI � I I• .�IL�' >9,i 4'� � i„I..I_'..I_: �III:I,I�/ �N! ---y ,.-"'«`ttt� 1V�k I �I t .!I flr: '�.•'/ N � hL �I r Irll �i.i�;rTl l-i_I• .:✓�,µ�_ '-- �.� '" ��� -- .�� �N �.�!ii'� �! ....y:._• J CFI � I _ � � I„ jl P'1 I c� L,I �;J I I l i jl I: I � �r,��.�� •' � - ",0 nn_•.J_J r JI I� �l l �� IIIII, 1y P II '� •I :Id.l •' Pro J m` � + l I`= I Jt ��_� �m,�YDly Jj EM - � •`� �t 1 L� 2 i a1 6 t � R tii:q i r`a=a i G'v n . I O n — NORTIISIDE "icNr o rt 11915 DESIGN s rcr o. a ,�t�,nira;:'I.fr_e�zr ASSOCIATES °P""" "7 f''IY'. �.-I I•/I r �t-�:;1'illU..LJ _ .I oc�..isnunw cowcaur or� .,o.o::+wr 7 a:o°... ;iii z< -.�x,_ ? n re .;•:�'. ?•r�i, .=-�7.•.•r• _�.- _— - -,.- '`<r. aTF," n• `-�r: a rs ` "' -r:. ..�.. r_ �..y ae,,.- :s:":- trs: ;. ^- L.'.�''t'P:. :.,,.y'..,�.�,i.,._&- ,...`^�' .�r,. ,�'- .�'y, .c`,.r'�'' _L•1.. x ..may.; `r `�`. ��.' ,: i:.,'.}::-_.�•:,3-'�"�i,_`x s' .+T r .1�:. � ..2 t^•,-,""°'—�-: ''mil :'3.1 _:r',•T. � ` -.4 r�,",:. �,'3.r ..Ey.y"{z,tr ::s ` 'az-�e� a•.,'.'��{' ,r.:i �C � a, ''-.:1-' ` 4 '? y +r. '.� � ",�._�?' � .ai -.....;_-:t. C:"^ .IT^'4Y ,, .� t<'�y T q<. :s 5< T: _ - � l r.c t-.- �.. y � _ i• F. .� ..�.: •ate <a...,'s ''x*.;"3:.�E .F'�. �;tr, r. s.t .i�*_ �s n :r.r�3-s�':' a 3` Ry- 4 .4 cf_...R � .,✓'L z:',�.�� t %;`5} �>`� '.,{. �_a f - �E -,4 ? e, ^µ. i..�r .4 > �M:K di 4 3. 0. y� KIN AV ° - - - -- J �nv WAIT n°Ae too 8'a @Mi38i; ' 6 uR SCN.j -` MIT JynN.4 •(a�{ _�, blu CHIMNEY DETAIL .c ' I IPA i � iq -77 LEA ' - 'ljCO1,.E' y9 1 � >»w.v .. � t.row e�cs• �Ivo Fewe mtn ... _Jib _ t, I--- JI -�� `.: � ��,•L .. .-GSYs.L6 � �"�� 1 "L21��iTSiOE ELE./e.-fio,.J 1 ` Assessor's office(e 1 st Floor): ,i r Assessor's-i ap and lot number t�q n, Pit rBK- OdpZ` yo*THE Tod Board of Health(34,floor): SEPTIC SY o a Permit number �� 1% _ "STALLED�M M Sewa s . - LEA IN COMP Engineering Department(3rd floor): ^1 Vr91T'FI tt House number- <y. GJS ' rFr�' �.� n.�� ��L�$ 'oo ,ayo• Definitive Plan Approved by Planning Board C. 19y j � �' �.C®® 6\ K. APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only N /q toP r. TOWN OF BARNS TVBAEBUILDING INSPECT0 .. �. t C1 APPLICATION FOR PERMIT TO (',iM °2 J N )c p TYPE OF CONSTRUCTION cl I 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location t 107 2_ !mil), /A Proposed Use Zoning District Fire District �ST Name of Owner —'P>e Address 755-- ��tSTI �� M•l�.l(s Name of Builder S ✓'�� Address Y—e- Name of Architect �� �J(� �5 Address Number of Rooms t ti Foundation TtaCX Exterior Roofing �`��� � Roofing —� fj � Floors Nk C� l 1 �� . Awl Interior ��j 9s�rw-,- — Q r ti E i Heating 7a� Plumbing 1�, I m'� Fireplace rt t W` f) ( Dclk Approximate Cost C*`aq • Area .pO 6 1� Diagram of Lot and Building with Dimensions e �1 op, dam" /q ^fVl OCCUPANCY PERMITS REOUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r ar ing the a ve construction. Name Construction Supervisor's License SMIGOWSKI, PETER No 35872 Permit For . 1 Story Single Family Dwelling i - • Location Lot B2 , 242 Wianno Avenue Osterville - Owner Peter Smigowski . Type of Construction Frame ` Plot Lot P 93 ermit Granted 1 _ 19 . �aecQQ.- Date'Sf Inspection 13 -� 19 D to mp a /7 19 1 6� ➢ _ii t 07. fi k ® - , rY 14zf /"� '17 pp t .-IC n5� •� � p Mle.el tr�.a 61�.:—� IG� I •. I T4. Yw. ram' Kp x _JJ H . I o _.,�.•_ P'-- � � �r 'r 1 ffK}ppn�� �� � R I I� o ��)r. S a c t � ( ' I, I _��.�' .e:\rc I :� -•Ss I ,'i �f m +� I�` � � i:: ��r' :3 h _ 4i •fin .. * I. , i � I .... u7111 ii ` 1• I is I`I 5 u 9 d L +I_ I i I' � Y, I'' n 4F ' "ICC` 6: d-e• erg ._.7 .° y,!5_ . �_ ooan '"I ,M l DESIGN star�a a cuastom r idcrux'far• A$SOCGITES .®". .. i _ w------------- ry i P Ut RN 13 I, o. . �. .III III � _: ai o A ��:�•.�;:'I I ' a' m j ; � as I C I �'� a 'I r;J�• I I J 'a fit\. o- .- 6°�` ^''�• +� ° , h I I� � `- t 4 I I III 1 i s �.. � I I ';I ° 1 �1.r F p r II � •i ,`� 1� cr'�. C . ' I <mw 110.. a 3 4 h R o•rtb�leh�.W Seccrdflaor Tian - o NORTN9M DEIGE- o.>E rMaon afar ha ar cusfcm residence fcr: a SN '• �e _ • �� 7 Mr, Mrssm'iski m y u. ASSOCIATES F o 0.teYvlll.e, Ma. • A .t r, _ C (� QQ 1 � 8 17 14 4. r I r I I. t..oak ! I i w , � z It PR IA ��r filmT[I.- zC 1 Ill — Z }then pq to ry}yp}$o I I' � 'fig• i� �,y��r�. f I ��•UYC{P�tQ" ' � I 9 '- � I, I FF. 7 � 1 ;t�{. �. r ��,pp`r 1 - -- — - Lai(- -•� l.• �� iz•. { r I �• Cyr. i i I�' � r } �+'� '� i W.A 17j1�{,�I •rr�c {{-- o®e.a.n Gera o rt. �o!■o F IM.Ay 0� y I U� •nV.V� •, '} eAecr moteGT Ca-uh—, �derr-e.far-: ...�','� orw. Mr. 4 Mm.SrniSpjpki _ a G!ealn G�tervi Ile,1`4al- f- I � t � 1 � • .5� Otis 1� p " n fir �'s' f � Y • n�1 � I`� gI `'� ' yy O � 5FF0 Ii 55 C ,a TtiC1 ),ate i R L�C. aA o�i0 f k. 011 A. �n Y` '• �� ' 0 F• p rL; t�k ti O.T TITIE COVIIIOM !OE MO. .�« �i weer U nroncr CLIo}'aY.S Y�kIMLe•Fof•5 '�7..... ow._�_ .•1 Y� . Ac°+T Mr 4 Hm. m �eYSYi l le. M PErE EerwoeE '-{c I E a N al" g + p } l ,1, I I ' i°. � I I I twl 'Il.,a I � IY, /��i.r� I• __ - v.- I i .I :;'� �(' i i 1 I I I I . I j _I,�I �1 I lo_ � I, r �• L � r _ IiI �., to d o,. 4. ._—__ Io. -?,aSoz- Sy �• i11to L1 77 I 1 TOc n • I I .' ff I I I I _ a'o� iy�� 2 J t^ p . SSs kk olreS�,reh4,In<Ia n aln. eowemlrc ' loeco ,,11..11�� ,�. r.--yrn l n� e Belle�:Vl�M:.� �I Gl l IC1 • mm. ow. r r . i me r wweer c.rl'.an. Y4%d'lJ.+'�c{or;c A/ "'7-! �• ......�. ..�. � olrc •erlew c �... I 't�� q�il ' 'S'. t91n�". CtA U � 7t&A Lb p � ute � yp J� KW�' Oun C4AAt'u{ GwLcL_rcy � � nu.n 9/ - 416l LT 'og d9a Ot III anI9,�.U� cu 0louA U ��I-syqo March 5 , 1992 Building Inspector Town of Barnstable Barnstable Ma . ,Dear Sir; I Peter Smigowski , am the owner of Lot B2 , 242 Wianno Ave. , Osterville, Ma . On Sept . 20, 1991 I was issued a Building . Permit (91-404) bythe Town iof' Barnstable Building Dept . . With Construction Financing not in place yet, I request a six month extension of said Building Permit . Very truly yours , L DONALD F. HENDERSON, P. C. ATTORNEY AT LAW 776 MAIN STREET HYANNIS, MASSACHUSETTS 02601 508-7 7 5-1904 FAX NO. 508-775-1952 PLEASE REFER TO FILE NO. September 19, 1991 DFH 3595 Mr. Joseph Daluz Building Inspector Town of Barnstable 397 Main Street Hyannis, MA 02601 Re: Lot B2, Wianno Avenue, Osterville Assessor's Map 140, Parcel 148.002 Dear Joe: In June of this year I met with you relative to the above-captioned lot, which, according to my research in the Barnstable County Registry of Deeds went into separate ownership on November 27, 1985. This property was previously owned by John T. Shields, Trustee of Shields Family Trust. In view of this, you felt that the lot was grandfathered, as it was "otherwise buildable" when the zoning by-law changed. I understand that Peter Smigowski and/or Mary Stark-Smigowski and/or Deercrest Realty Trust have filed for a building permit covering this lot and that you need this information in order to complete the application. As always, thank you for your courtesy and consideration. If you should have any questions, do not hesitate to call. Very truly yours, D(7WD F. HffiJ MON, P. C. Do d F. Henderson DFH/pbw cc: Lorraine Norgeot Joseph M. Haggerty, Esq. OF 'L SEpT', o OP i� I 99• .5 a' N 1 � . ley;. s� eopo u:'h `bu/eLL-14J j 1 ,V - _ .\. ..... Al / I! tL=1z)0' t � Of PMR - 1 s� •i t. SULLIVAN '"ft' \ Mo. 29133 c k�..2A fir, ` "P��i �/d. � •Dg A � :' ` �L144 .D q v TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION I I Map L Parcel i y� f/U Application #C?61026,3F6 Y Health Division Date Issued •/ �a Conservation Division Application Fee Planning Dept. Permit Fee J� Date Definitive Plan Approved by Planning Board 7/Z%/Z Historic - OKH _ Preservation / Hyannis v Project Street Address Z Y a• wi.newa 4 v�au e UJTPry,f e Village NfPyUl/le Owner A1l'o el o up 1,yone -FAI.4N1�41 Address PU 60x �/� �y4��1�✓, �iY,v AN Telephone 3-0 P 776, X/Uy Permit Request ?47H/Ldeni ��/',�//� OF P�/;,�,irti yyi/e��v ,��4�i IA) roll194-t#vov,& ��vd�o �y �Pu��>5 ✓�ow�` Utilt C' Uvvea,4. dv av� C 1�fPPa/✓ COG-e o)4p 7v ~toy,-�(ope I-elle l.e. v�f/oOv>,vy, /Awfi,,E, ltue/3.Pv"041V wSquare feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation /0/000 GU Construction Type Id DUD —,44M e Lot Size U 1 S? &CIZR- Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family U Two Family ❑ Multi-Family (# units) Age of Existing Structure /yy3 Historic House: ❑Yes Dilo On Old King's Highway: ❑Yes C-4o Basement Type: 4 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ' � Basement Unfinished Area (sq.ft) Number of Baths: Full: existing. new Half: existing / new Number of Bedrooms: 1 existing 0 new Total Room Count (not including baths): existing op new d First Floor Room Count Hept Type and Fuel: Galas ❑ Oil ❑ Electric ❑ Other Central Air: 1Z Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing Elnew size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: a3�existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: '�1 C) Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ CD Commercial ❑Yes UI/No If yes, site plan review# _ Current Use c/ 111 le fW& 111o1we- Proposed Use --- - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name / /2 �0 � Zrn/y� Telephone Number If 0 Mv-l- T E//-e J w01Z7,q V' Address /&Tr Z:A���� 9e License # Home Improvement Contractor# /OG7W we(_ '010X y70/ 2 0/ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING`FROM THIS PROJECT WILL BE TAKEN TO I/ttAc( U4 JTe- U/�e✓!//1,e X1 v14A//aJj?/t 140 0 Z 11;6 3 SIGNATURE G%�G� DATE 0 Ir` FOR OFFICIAL USE ONLY APPLICATION# x` DATE ISSUED MAP/PARCEL N0. ' ADDRESS VILLAGE ' OWNER - DATE OF INSPECTION: FOUNDATION 4 `r it FRAME INSULATION FIREPLACE ; ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL } GAS: ROUGH FINAL FINAL BUILDING r' DATE CLOSED OUT ' ASSOCIATION PLAN NO. Jy ti Client#:47298 CAPIHOM DATE(MM/DD/YYYY) ACORD.. CERTIFICATE OF LIABILITY INSURANCE 6/08/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(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 Karen Walther NAME: Rogers&Gray Ins.-So.Dennis PHONE FAX A/C No Ext: A/C No): 877-816-2156 434 Route 134 E-MAIL ADDRESS: South Dennis,MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC k 508 398-7980 INSURER A:National Grange Insurance Co. INSURED INSURER B;Associated Employers Insurance Capizzi Home Improvement,Inc. INSURER C Capizzi Enterprises,Inc. 1645 Newtown Road INSURER D: Cotuit,MA 02635 INSURERS: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTRR TYPE OF INSURANCE NSRL WVD POLICY NUMBER SUBR MM/DDY/YYYY EFF MM/DDY� LIMITS A GENERAL LIABILITY MPB1075H 6/08/2012 06/08/2013 EEACHGES OECTCURR�RENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PRAEMIS EaEocccuence $500 000 CLAIMS-MADE 51 OCCUR MED EXP Any one person $1 O 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY JE� El LOC $ A AUTOMOBILE LIABILITY M1M28044 6/08/2012 06/08/201 EDacc.Iciid O SINGLELIMIT $500,000 JXA NY AUTOBODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSAUTOS HIRED AUTOS X NON OWNED PROPERTY DAMAGE $ AUTOS Per accident rive Oth Car $ A X UMBRELLA LIAB OCCUR CUB1076H 6/08/2012 06/08/2013 EACH OCCURRENCE $5 000 000 EXCESS LIAB HCLAIMS-MADE AGGREGATE $5 000 000 DED I X RETENTION$10000 $ B WORKERS COMPENSATION WCC5010547012011 2/25/2011 12/25/201 X ER V�STORYTATU- OTH- AND EMPLOYERS'LIABILITYLIMITS ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1 000,000 OFFICER/MEMBER EXCLUDED? � N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $1 000 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1 000 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Workers Comp Information Included Officers or Proprietors CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE i ©198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #S82889/M82857 TLH Page 7 of 7 Capizzi Home Improvement Inc. Specifications and Estimates STATE OF MASSACHUSETTS LETTER OF AUTHORIZATION TO APPLY FOR A BUILDING PERMIT I, 42 1 C/ Get /0 , OWN THE.PROPERTY LOCATED AT IN ®� vrt`l'� , MASSACHUSETTS. I HAVE AUTHORIZED CAPIZZI HOME IMPROVEMENT TO ACT AS MY AGENT TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING CODE. I GIVE MY PERMISSION TO LESSEE TO APPLY FOR A BUILDING PERMIT IN ACCORDANCE WITH 780 CMR, THE MASSACHUSETTS STATE BUILDING�COF' ms/ SIGNATURE OF OWNER: T M c� OWNER'S ADDRESS: OWNER'S TELEPHONE: LESSEE'S SIGNATURE: LESSEE'S ADDRESS: LESSEE'S TELEPHONE: APLLICANT'S SIGNATURE: APPLICANT'S ADDRESS: 1645 Newtown Rd., Cotuit, MA 02635 APPLICANT'S TELEPHONE: 508-428-9518 RESPONSIBLE OFFICER: RESPONSIBLE OFFICER ADDRESS: RESPONSIBLE OFFICER TELEPHONE: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ,/ Please Print Legibly Name(Business/Organization/Individual): Al1,27t, !7l'Mt 7 /�V ?�'�EIJ�✓"� —LyC° Address: l(1 V r 4 eW-AIWA/ R# City/State/Zip: (b1� IV 4 Phone#: lr 6k Are an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insurance.t 9. Building addition required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13. Other comp.insurance required.] ✓e 4iL da *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'.tomp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. ,/ Insurance Company Name: 11 SfOC/,4f 0 ! 1r e�,` « ��R11,4/tl y Policy#or Self-ins.Lic.M �/ Q / 3Q -(3 +;L Expiration Date: Job Site Address: 1—V a2 w/gNNO #11C City/State/Zip:�,J-re,/U/Me_ *4, 02614 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpenalties ofperjury that the information provided above is true and correct Signature: ��� � Date: AzG/Z— Phone#: �� Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i UFce (pa�nir�toaxcoealC�a��ctd?ac�caleG�, _ ,_. .. OE fice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: e istration:.. Office of Consumer Affairs and Business Regulation 9 10'0740.:..., Type: 10 Park Plaza-Suite 5.170 xpiration,;.-6%2312014 Supplement Card CAPIZZI HOME IMPRO_ VEMENT INC. Boston MA 02116- ROBERT ELLSWORTH. ;:;N` t` _ I 1645Newton Rd. c���� �-7� s Cotuit,MA 02635 Undersecretary of valid without signature ZI Massachusetts-Department of Public Safety i � Board of Building Regulations and Standards Construction Supen'isor License: CS-061438 IUSt�Ts ROBERT T ELWORTB 69 PALMERAD ©fi f MASBPEE NfA 02641ti IVj(NJ Expiration Commissioner 10/15/2013 -9�,Vrldoj 5Mf4. tr p . �o Q-t (YWIM9 QGV 17 Was'.. >� 1d ' i i ly,Y�flc �3�� I . DI A COG/ 1•Q CA oF'THE r� Town of Barnstable � do Regulatory Services BARNSTABLEMASS. Thomas F. Geiler, Director y M,ass. g � . ,0 9.,8. Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 September 7, 2010 Alfred L. Penacho JR 39 Back St. Seekonk, MA 02771 RE: 242 Wianno Ave, Osterville Dear Mr. Penacho, It has come to our attention that the pool permit issued to the above reference address does not have a final inspection. In order to avoid further action from this office you need to arrange all required inspections. By Order, J hreauzon Building Inspector 508-862-4034 i Q:\WPFILES\LAUZONJ\POOL LETTERS\242wianno Penacho.DOC I °Ft A Town of Barnstable Regulatory Services * e MSSS.A Thomas F.Geiler,Director E16 prA � Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 June 4, 2009 Michel Mangalo PO BOX 2128 Hyannis, Ma. 02601 RE: 242 Wianno Ave., Osterville, Map : 140 Parcel : 148-002 Dear Mr. Mangalo: This letter is sent to confirm our prior discussions regarding construction at the above referenced address. As discussed, the additions to the ten foot by twelve foot shed must be moved to comply with required setbacks. Failure to bring the property into compliance by June 18, 2009 may result in fines for each day the property remains in non compliance. Please contact this office at(508) 862-4034 upon compliance or with any questions you may have. Thank you for your anticipated cooperation in this matter. By Order, &YZ AL Local Inspector Qzoning5 i 711�J64 SITE Zn)SP��L77uc`' pps�2UcJJ VZoi�ncN R.Esec.vE.O�A►�p�ic� ye,Ev``•vEJ� s I 1 : , i I 1 i • I i , 1 i , I 4d-0• e 1 l0. f e,_0• 1 i y10. b 0. r a e i , "> 1 a a ;• � 1 .I "----------^------ --------------- I " _ Q I I L------------------ ------- o ---I— 1 1• i W 1 1 n ' � I L-- __ • :"; I I L_ —I L_ pI I I 1 o�t.1/e• r 1 0•1 vie• r 4•-0' 4�0• L r— d-�• i I Q I 1 HHH I ! I o 1 I I I I 1 I L_________________ _—_ _Lil_ _ ------- - I __ ______ ____ _____ ! ---- ----- y-- - - =- -® -- -- ----- .�. m a > � o o ' rn my 1 F.• � O 1 m � . � A > -> > ,,a S� 41 t m SOD o � 07 ro ILI& L o o a �a �N� S,• r-• —I m 1: :b,,o. � 1 v,,o• ♦ _� �,,(b1 � • moo• �•��o� n g 1 4d-0• _.J • rn v 12w y4p ••e� I • a pip• ' ey 4 + GOpyrk t 02004 by"nth s.1w AeeOLlele4 . Th� PRAWN BY: e pjr;tL th,OrIgbia amrr.W 1JEGT: 2 41 X 4!0'pool�Uildiny fore Y-�NNeTHhAvI e�- lX capingnt Lau..the Orl *Lruct Ma m Of ul4 Finn # 1 5 7 7 +d One I.mrthorlrrdt0.lxm mct One end any 1 J ProfeaebnN Bultling Deelgner Homo uO tad 0 4ut pfa,sl Ior reuw la pwm,5 ced wlthaut expre»wlttan - 2 parmisalon of t,a De0lQner. , �IG��(_ �. 1�'l`•���0 vtV . _.ji._. AryAwepa lee.arrareOM/a oMeOlam !Kenneth Nadler P.s aQ! 1 es! LOCATION; mine mteedaea We"d er REVI510N5: — P. Pr.lim;.urr v..yn.4/lo/v4 j d RGo•�«ee C•va.+ruL+loe Pl.n. , '-' •N •residenial j"— r l�'e -- mdn.+are�ofr vLcau.o nMc onwntwo.tln.ee0.La.eleuewUto.f I'pr tA Mop O te----a nK4/se/04 vfeSsl4m bulldlmg design . . 2 Wiano pve) —truNlo F11—We./O4 7clal PA.BO 14yk 0.14AO2601.90D.79o.6422 --1- oe W.. L.mwl{aedae,Qwan.�•_.l__�. > i beroae thcraparo(b11tV Of U. bu 1ny1p:,-, 1tV I z . s r , S. r Vim• � b I y u � x I rn _> _ fit•==- =_=j� I - ,1`�, I I n $ II II 14'dlr9pXL 1.Mh..Ib'.d. I % LL 1 1 dG b.N YI.•41.4.mUar. • j I' I � I I II OI 1 _ I I � 14•dLl4 ore J•1.h..1b•..a - p --- II !I 1 J II rnrn I I � Ij __________ ' 17'•41/t� q�q• i 1 I • a I I \ } I 4 1/t•tDlA49.Ll.h.-.Ib•aa j 4 I (\ a I 91 w I w 4 /t•dG149.1.Mh.•Ib••4. I __ _ _ _ _ g G4.N YI• Iny w•r�Yh � Q r • I � a i II j a . du 4..tJ YI.k • . �1•� • 1/9 DG 4 b.J.l.h..1O1gG. w • O~F~ 2 mT� TI 41/t•d(A44.ylah..IN..a C !� Nf'm P^ ms U. I 4 � • �y T m� z£�mg• (� L _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ • yOZ m m1— K 1 1•-1 1•- • 4-0 e/e• ��)� •a�V S G.opyrl�d 02004 by K.M.th 90dier ASSOClet.b DRAWN BYi —` a R' rn.sep—r.prot.ctea undr rear.[ PROJECT• !�, o eopyrlgne l.au..7110 or1 hm irmwrof thte 2.4,X 4l0�pool 1.�Uildin for: ?p?et PL.yeuthorlredt.cale4uctone.ndeny Plan 1577 9 Ir-eNNZrHh�r�l- .I�. 1 1j Z an.home using thin fan Modl/tumor or Prafeeebnm 8u kn g V a.l®,er II�� p �I reuw b prohlb Led without exxpprress written •.-. �;� parml..lon of the D0eoer. A •� 4 Ml asn Lha mt..,eras W/w akwlon.I�annsth healer/�4.acola+e4..1 LOCATION: Inwnom.,mo.nwor...wor . j � REVISIONS, i o-.el.rwy��eolwh.donmr.eoor.,n.nt. sluli»b le ttw.et•ntten of wrv..y..�/I o/04 ' 1 rvr_s lvnal bulldln des[ n wwi�t. y...A..a eo.hveMm PL..4/0 0/0 4 1�. B 0 mr pwlgw prbr 10 W eetNn•�mat a 1._. _.I..._�. 2 4 2 wiAno Ave w�elwtr,rtba ae.e.de„uarh e.m.ftwtloe Fl.-7/G/o 4 '-'I" T-'I Taommerelal•realdantlar- I'-t-' eO"""`I°"eO"•UpACi tlie•eGOptK'• ,_•�_i I .L_.rl 1 r I•--i: L of these manrnu rW.ry PA.9oK 1144•Ny.We•MA 026O1•50a.740.9427 0.4 P.('�/lI�Pir MA dl.r+.p.nc4a.erro arW.roMwlps ' I ^� beral,uwrs.ponsblltyormr i 'I--f-"+'keedbr.ke.d..lgncom•wwwYeadaelgncan.l.-'h'-I-• bNeng rnntrrta.. r i Is�ae/,• e'-e1/, 1�101/,• ego• y. 1�1 p• ewe• ewe. 1:'�Q. „o• "a. o,• ; oe o; o d• 0 D+ ( ♦ AnJ.rreiP TW I„6 - r rw PG!D * Q r...f'-b I/p•„'-07/O• ( i .s.9'-!h/e`,dA lO d R ram.e'-b 1/p•,,•-p�/e` � ' �I _ C� �� ^� F F _ _ o "� t .< • .....•.. ._I3) i AfLn.ane LYG 9/I t 9 1 I O-,/PW41'O p P A.d.rr.no TWt„a „ rs.I 1•9 a/,•, 1 1'-• . R - � i •,�� I R N, �T l 0 ./ A 1" + + I (p ' t. � JE - ff ME p£ p£ o� •/ • y�w �I)p C�•cT l S p0 � 0 � : d!•, TV �� � �m0 � �j n 1tt$�//ll�n'i� r•? r�Tn " . ..0 •TY' p,-o, =ono, . . a r ♦ Vt f— ,�D• ,moo• ,gyp• 110• 1,0. ••• y m g 3�ro g. co • orn CC$a �J 11191/4• i 6�61/t• • tp`D I/,` O^1 • '7 NI as O� DNS a�� Copyrlght.•�oo,by lfanilafJl9edler Atsoclat.at. PROJECT: DRAWN BY, rj these pan+ore protected under rederd - * t:opy1ghtLaWwiheorlghalpurrheeerofehb PI�� �y 57 7 2 4'X 4l0'pool t'.lUildindj fort Y plan b euthorimdw consVuct ane and ony Apt wIspmhblt thbpla,ttexpraatlonpr 1YofetttmW a,W"UCSWP,r ray.a b prohbltad W thou[a en ulritten N pambelonoftheDaf er, M N G• �"f NG,�.LO ''o IG �L 0 _~ iiGenna4+4PAJIer A ,4+ L OGATIDN: M dw.p.we�.rror..wor".so- REVISIONS: q ,a.v e_4 blhe rote�mme:woro..,Wor o-nrtgs mnt.n.d on tlr.a daWivrnct PrelhA,ury oa•ynr,/to/o� — 7—'proPesslonal bulldin design r• PoN nroaglntoelle.teen,wn or O R•e.n.:d Ge,.rMtcflon Pten.,/:e/O, A A _.�. i 2 4 2 `t' aW'prlor to the commencameld Ganr,ruoFipn Plan.b/6/o4 YX lano Ave, carot�an�tNu4e Ne stance "j""'�`"'"�commerclal•reaidentlat'-'�--r"-' yer V i lle,t" A ll,a ot .aaa�„�e„U.,,a.� ra eon t 1,4.xymuee,,A o�eo i.aoa t 4o.e 4 aa'- �4-t m.craparole.•-1.and/or old..tdu •--1—•-{rceemc•tumetlgncom.uwWxemnlglieom.�.._.� - Decaw tnermpontlolltp of the ' GdN6,g aonvtctor. 7. a ITT • I DSO• 7�0• • f A V+ r I I , e � o --------------------------------- ' � '. Ginty gw L,NntI1n• ._ I I d 9 --------- ------ ---------� • P ' A•a,rwMrw.,,o—et,•Mu41 ]^¶} wm It,.---------- t,. '1 r 1 GYlry lb• q • T — --Gifm�ih.• is � Ad M LTL 0 a\ L-- Gg1M M• • a 6 Q � a o u S 2 T N�Nix �D m��moG • U V 0'-O' •f DSO• f 7••D• N • Ar'�•� = W v y CO •'e� �JJy W W Ny N2 m�yK A�4NS a� S GopyrOt 0]DD4by.KannethiaderAsloQat— ,aa.a pe+•are preteeted aMar Federal PROJECT: C GW'ryrlphtLaurs,Thaarlg�dpurchastrofthb Pla� 1 577 2 4r X 4llo� OOI p�WNBY• pan l•authorlaadto construct one and only I' t�uildinq for: one homeu.l4thI5pf n m"4fkatlon or Pt•aWrT-N hADLP.W—JP—, reuse bprohblted Wthout e+�ra••uq•Itcan fit Profeeabnal Building Designer permMlon or the Dealgrier. I G ✓h 0 REVISIONs. LOCATION: '"ij°'4°�"' •^'°r•'a���•• •1�enneMl+hndl er Ats o�iatcs 0 Pr'4416—y Cl"Ij—,/t 0/04 _ 1—• NNe rotas°mrnsbn,mNa fp; mZolbUlldlIl M.—4/ fg design ' 2 4 2_ V1/iano�.ve /aon•Vuctbn Rarde udN—I commercial•reslden[Ial—I'—'r L 1 PO.BOK 1149•NyeN11s,MAOZE01.30D�790.89ZZ— O4T eCVIIIer MA eelMwcuOn co�muwt0aw.cccpt.nee New doo,••ntf rW w . •1-- •-}-kaamerekeme• m•uwuuceaeaa al.r+epu�clea arro a�d/ar ombsla,r �—• becOma elr rapatulbtKg W uro mmdhg mnv.crar. o o� R t - Y 3' � ' o F Q * �; g •� 8 0 z b x w 0 F � - a ° A � Q `e J 31. 3rs / e 3 r e � F � p #• o x' 3 ' o r , B'-�• D'-4 I/2• �' %' eta ,/:• i U c t e • • -WiF" QIu COg+F •.: . f1 • �z p T; Z31 me!>7 as c g ym sb W,sa : 'U �•• rye =y ON g. . tnpm c$ y0 . zo �Ns r opyrlght.20-04__ Kenneth emu AeBOGIEtOY PROJECT• PRAWN BY: p�..r prneected.nmr�ederd 2 4'X 4 4, oo( GPIC.1. cte 114d rlQndpurchasero/ehk P�C9f9 1 tC 'p }�uildin9 for: Y-�IyµCTN 6ApLP J(L. pooh eutharlredto GOnetrucc ona.ndony J one home ue IL.d w ulmt MOdfk.tlon or Prof esclond 5uMng Dasher roue.h P-hb......d Wlth.ut a eee w or w P parmlulon Of the Deor, e 0 i' - —.I , I i Aey Mer.ptmd.,.rrareeMrer.Hahne REVISIONS, A�enneth�ostdler Aa aoGiataa f L.OGATION: ntnenote,amn,i.ro end.r 0 ' �. �rTr' tr�o6ge wrsehed on these dOOxronte p PrdlmlturyOKi,n•4/10/Oa etvrlM6rouy.to dr ettsntbn.i �' rvfesslcnalbulldin design. 2 4 2 °eWeptorwuwuxnmmr<mrx p-.n.* +1-pl-t,Pon.a/t0/09 1 ,p 0 �fA/ian0,4Ve• wrorotrueebnrrou.eipwtn Gen.4ruN{nn PI.M 7/O/O♦ _.I-... 7"'I--t'eammerGlal�reeldenEief T._.I-=r. mrotn.etbneawtWnee ttr sxuptexa PG.BOx 1149•Myende,MA o7601.500�790.tl927 j- I1 1A dlarlq�rleq o=N.r onWbrw I--j- keeobr.k.adeel�trgm•WWWkeadeol�tcom.j..-f._.r. kl.a tlrrap.mb11ty of tM ntmdrq G.ntrerior.• ---------- I I • I I I I 1 1 I I ;----------- I I 1 I I Ell ------------ I I 1 I f 1 • - o � I I I y I rti • I I U � 11 Z O I I ® I I = I I I I----------- ZP-P I I E03 El ------------ I I I I I I I 1 I I I I I I I 1 1 I 1 I I I I ✓ I I k I 1 I I I.I i• I I - • I I I I I,• I I 4 1 I • I I . I I ' I r-I------------ I I I I I I I I I I • 1 I • I I I I ------_---=- I I I I . S a' , I I I I O > I I I I I 1 I I _ I I I ' A � I I •p m I I ' I I 1 I I I _ I I u I I I I e •Q rn i i 1 ----------- 1 1 I I I I Z I I I 1 ® I I I I I I I I I I I I I 1 I I I I I I I I I------- I I I I I I 1 I • I I I I IFT I I I I e . , m O �/� N�N� 6a �9�� • V V! ••�pm0 O- t5A O • � Nd2 H 6Of~n0 •�`+ GOp1lMghc gs004 by Kenneth seder AeweleLa. . A mcseplmureproeectedulderromral PROJECT: 4 Y GL.1.hcl.euratheor+ghalvurche•srortnl• Flan # 1577 2.4c X 4l0�Pool1�uildin fort I�Ch�.JI;rH%hpL PRAHN BY, plan b euthorlrsdt.o construct one end only, 9 •p one homeu•hgthb Pon.MO�dlrikeU or •• P rau•e b7armbWon of the Designer,u.rRcen Profesfbntl BNNhq Daelgler r-�IGNIG� G• Nff.�G �o L OGATION• Ary�rm.0 le,«.er..wer onlrlon• � t>zevlsloNs: fl�snnath�oadler Ass.oGiate•c hw,ota.•am.we,w.ether o-.um0yg wrt•Mdon Ne•a don•enH O r Pra6nd,wy t7NG1n•1/1 0/01. •Iu1b.Awqs w w•tranuon m paN.adGes.truNtasPla•.�/tD/O♦ j'-'IoPesslvnalbulldingdt:slgn -�•-�-' 2 4 2D• p'i0rtoo1GO1°"""�n'"'c Crt,.hvcFion Plan.3/o/04 ._.�__ Y�/is4n0 Ave.�aV?. aeweu�wnnwemg wu 1 , r�eommerUel•reelelentlaf-"I'-'r-I ' een.nVcwnewnthucw w.r�pe•¢e -�- �Tv'l'CrVllle r. of W..doai w' Wql .I r0.9oa t 149•NyeNd%MAo]DOt•70D��90.D9» I M d.eryKy�en.wer omb.Wn. - -•j-••��c•adkreK•edeelencom•wuuUcs.deelQ,ccan.{—.j--I-.• acamwravcrolbthyo,w . 40Aq vnvauor. i E I I � t lir I f' I tl f' 61�0 Ie�O' 71 o• • d.'-O• b'-O• I F• a �~ I ---------------- 1� . v I ! I 1 1 L_______________ ___ _ __ I ' 1 Ir I E 1 L—____=__E (_'�'�__'_" ' •_ �o��_- Plumose trdn 1.h.a.. ` ^..�:'�• A I 2 I 1 I L---------- WO,14 a«..IL..m•L_TJ we•IaV A�_.l I 1 �1 we fl j 1 Iat 1/O' « loll 7/W ♦ 4'-O• « 9�0• L «_ 614 ' I Ir •� !� 1 I I 1• If -mow I � j 4 1r I f 1 •. 1 I . . 1 L________ _ _ _______ ___ _____ I I I fr E2 in ' p ! ;lD O S p m o 15 p M Z l0 `t• m Z G7 M• 2 rb � _ �� • O yO �rn.y r9• / i F' 6`0• « 17\O' « 17`r0• ,Ya « 640• ♦•('� •E y `U Xaz•• a'1 �1. 4d-O• O•• M Om CND •• v+ / AD' •y Z' j E'' �/ski T •-� • �w:..S g copyright•]00 ec4 by Kanneth Gamer A•eocletes, •^,•- Y,r'A 1 •• i PRAM BY, BY: sep The lvvprottadund•rreeerm Gop,plght Lewes The orlghel plrchmsmr of thb 2 4'X 4!0'Pool build imq for: 'r Man n 1577 YProfebnal Bu lepg Daelgner plmi b mlthorlredto construct one end only A one home using thb plea.rto�c9rl' atlon or C, rouse bpp-blon ofthe Designer.urlttan A r�iiGN>r� G. 1��NG1�Lo � •:1l msuep•n4ee,errors•M/p onleslans Kenneth h«tdler As ia1 es! N:L OGATIO In tm rota•.mmen•lora,endfor f RE V1510N5: - &=*cmeahed on tMoo docun:*nts O Pr.hfin.ry12-14-4/10/O4 roPesSlPnolbulldin design fnDai1 er eow•eeenemnw i -—e Gon.«ruNSeo �._. r. wer ro me comna�munt +. Pl.n.4/a.4 . . A 9 2 4 2 WiArlo,4ve _- et va.wulen na�eehaww I aon.trufrlonPI.—WWO4 -'�- leommerclal•realdentlaf i'-'jr met tlon araneaoa•n"enus' •�^ ._.I__I 1 i 1 . . O erviile 1"1�. aeruno tnern II of tlnun I P.O., 114�1•N 0.. o]a01. . .:90A9]]_I._. • merrepr.cb•arron•Mfm amb•lau •1-4_4 roksed IQM1LOm•uwudteedeelQllean ) p°n0m W WVdingvntrector. � t d s _ r � I • O r i �9 i >_ U � 14•p�G14ox1.1.1.r..la'.a i % � ii i� o _ _ I molo.M 6L.a4••••..td.r.. 11 a lj 11 I I I II Q II le•eww On.ill.t..lar..a 1 l i 1 1 I I rt'�tt I I e I I ______________________________________JJ - 17",1/e' 0�0' O If l ^ I - - - - - - - - - - - - -I R I O l 9 1/••DlA49.J.i.t.•IN..A V /e'14U44.I.M •10*— 4. r 4 1 4Ad In,.wr,Fr i iT A Ila p 4 j s � � t'+u a.neNwklwt a••.r,vr .7,�, �r r p Q �d •. ...,tips I O � l • } bu 4.W 1.u.r,t'r - A. �F N ; lJI)i I/II'DU44.J.kt.•IO•.,a. w � • O��g o f ^+ � l r • N ,mpg mm �63Tc7 41/t•rNA4V.Ll.r.•IUr.a. • ��t7S C� P H , J• /� • m 1No V / S 11 CoNrlot 02004 by Kmnoth Bader A—claF DRAWN BYt l� + C-ppylohe L1.T"pum we eoe g mpw' awb w PROJECT: 2 q�X 4!0'Pool uildine�for: r-M-NNOTH C plml b authorl»dto conetruoc one end-4 Flan # 1577 one home um q thb plmc•toll/kauen or rroiep•bM OWIdng Deshler .n p reu•ebprohmleed wlthoveeq+ra.•urkcen I ..•. C e pmmisslcn of the Detl�ar. M1GNa••• MyY.�I �% � - 1 G• 1• -•7G• `Lo Aecrepmlck•mar.mWaord••bu LOCATION: y�•'>, � O$T vw'n�.i•,br�°�u�w�q�•diOaLOdwdetL ea Fr4ffi ry112 4.4/10/04 j_i-Pry r-4 Je—trU4" FU 4/:e/04 fes gCg Q ! QWiA►0 Ave wp •tte commerclel•reden mIJ m � .d•ecy -erV{lle.MA6—.tv4+1.-Plw a/0/04 14 •`nuw•�WW of _—t_..}.ttsedbnkssdnl�wam•uwuuceedaeWncom..._.E.+. P ' bv9dna wnvoter.. 1��e a/4• e•-e 1/. d�1 0 1/+• ego• - b�P !�P I�1P DAD• D'-d I�IP 4�0• !b' P� pM Qa Op �a oa ' � AnLrN•PTWf 416 Y / r.e.e'J 9/e•.e�10•� 6 L 0 X 4 AnLr f44e � t •i♦ / a RAI • I QIJ a'rcon r 9 1 1 o-�/�w41 wo e g O p •n• ; Q uo.e/e J 0 o • A a a a a a ` •t(�n . j Va yQ a;p a� ad a� a •Q nm u1AP • �J' Q 0 r p T � Z' d-P lO�P 4�P 4�0• 4�P 4'-P 4�0' �'/l1 • N o,� z y L K • vJ I I.o 1/4• a, yob 1/!• ♦ 4d•'-P fe•e 1/4• A/Oj�•4� • _ •°. 7' GapyrlAa.a]004 by Ica"Wth BMWe.awan A♦eochrtaet DRAWN BYl h —P,.Wtadunda,red—d PROJECT: 2 4 X 4,V pool}�uildinyort f (�. oopyrtght 1.a The orl&el purche of thb Plan # 1577 I'-eRNGTH OSPAMER-4Z-. . • � t plan b mthorlmdto Ldl♦truce one end Dory • ate home w6tg thb pfmc Modlikaelon ar �rOfasabnel BidMng Deeper i � rmw bprohblcad uAthoucee�1�rrael urlttM A 1 pambelon of the Dealgnar. N I 1"16HCL. G• 1"ANl4AL-o LOCATION: ] I`BflRB}i1 ybillfDr�eS4.OG1A�•ft4 REVI910N5: ,•j o-eurmgewleetuw on w.eaaw�ence _ . --- -�--s_� Mai bebmpm to waetanebn of O Pr♦lhtdtury ONlgna 4/1 O/04 w DeYgner prior tow ed"U"*ma Nled Gonafnwtlon Ill.-4/!e/04 T—'Prvf'esslvnat hull. gdesign r• 2.4 2 of comwctlen.. whh GonelnitXian PI.-W41/04 TGOnlfnel•Glfil•resldemtlat,-'I—T—r" wroervalonconeueueaa w.rupeMu Os.4-ervillet MA abero+i•�wi'e..arrd�rime/m o�mb.lon. .� ka Sax 1149•XyanNe,MA°]601•l00.790.99]] become w reeponWlitp of U. _.1-.-�-keamer/keedeelgncom•ywyutemaelgrtcam.�.._.1--�.. biAabtg ben4aGter. Iola- !,0• . 4'°• 4 a• � I �r i` 1 g --------------------------------- ' GRIM Ihr (-,IOMIW I --------- ---------------� GIBM IN u I � �_^�d•rwMTWtl,o-t(4•Mb01 � ram.•i�o 0/4••,�e'I/D• O __—____ � Gilry Bn• Q 1 . I I a _ And•rwns tiTGO p _ 1 � �� � i ra O/-O I/!•v Opt o/,• � 4 L— GYLy M• D 0 � 1 0 n .� •ys p 0 0 =(I�+�•• pin O � Iq 22 • 1 Q �D _ •• fig �1 I. H.Q.- Ot bQ by r • 9 �r� Fs �.•E"m z y m W • vJ • Cy O NzO •••�• 2 �N teLP ,6•-P A�4/V, Q� S cOpyrl_qLW 04 by.1UII c.=. ltr ANocleteF ARAW N 6Y: rbe•e plow tre proe•cted ender P•dam PROJECT: 2 4'x q!o' ool 1�uildin forl copal wth-lzwedto gt epmch0lMd_%, PIOm # 1 577 �' 9 r�NH�rN OAME!F jp •� plmi b eutha.biq tO COn•%.mo One eld mly ma.OrohbiteNb L%Ou Modlik _IOr Profeeebnal ng D¢.Igner rau•a b pno Inwn OFt w a e••urltten pmmb•Icn Of tna Dn er. 1" 16HC . G. MANe4N-O o _ � _.i I � ! � � 1 � �,.. Nvm•vv.nd•n•+.or••In/a0idrlwu Q Kennet hndler A4.aoGiate4.1 LOCATION: � h tr.O e•wltthedtnavadbcuronts Rev IONS, I. Pr•I1min vy DHi9n.4/9 0/04 _ Ne o••Igner prior to tM Kiommtncsmme 0 R-4—Ae--tru."onPU-4/te/04 T""f'Pivfesslvnnlbulldingdesign -'i '�" 2 4 2 ton•.trv.hion Pl,n.•i/O/04 j i' commercial•residential'-'i'-'�"' V1/IAnO Ave or wn.e.�rclon rro�.a�wen Ldro4'Yetbn GorotltYt•!tin•cdtptt9re C 1._. _t O�kerville r1� of dn••doa,emt 'j—PD.BOx 1149•Nymbll0,MA 07 E01•108.�Y 90.B977�' • m�� °`ORO ° Or of U. bet'Ome Ille rbpdtl•�Ilty of U. i--1--T-keadierokeadesl m.wumkeadas -1—. _ blmmngm vrsw. I ' 1 • u i peF ool L i •+ L 3 FAA ts' 3 E € } tiL ° 7 x, bI ; o 41 o ?� - a - F z + a + ° P s b � C y M V N 7' P 5¢ ,• 3. � N n o r i i� i i c 4 >L e �/ •ape' 01" C�g�m•S (lt_Jl • T y o T i Z �M+ b • iy{-nO$ MM tb a • Pam• r•- $ 8 , N e 20�0+� Oy KpO�� • 1� tO • m Z14 00. ' iOGgNS 'a. � C-Wwt o2004 by K—nh bodto AeaOCIMea g mewpmearoproceccedunaerPederal PROJECT: DRAWN BY: c�,r�tt�.rneaNs<►a1Pv�hmarofw. PI611 1 57 7 '1 `}�x a!o'fool�uilclin9 for: , pant.MthokodW cOl WvGtaw andoay Y-�tiIIdCTH�IaPL one hotneee401spen Modlfk4Klen or Profewbnd su mng v4swer rxuw to pmhbltad adthoat a�r ee.-Ittan S Pe Wam of the Me 8 D Opp OpT�' .. 1RpC'tiroe.nIvM dfilsnvelocryFrb Jl7sne,.yn. -P1-''.j---k'.l'TX;�.`—".6-p-^9�n'-•6fM+yeeshnsN�l4va MnnaAd lO i]B6r0 1A•a4.040a�t7c90iaA �t92e24'. C. �O't�IG�eNrVI llleLl G• M AN4ALo LOCATION: rv4/10/414 'A..d 6onerW4i-P -4/9&/04 buldgn n desig laf- 2 4 2 Wiano 4ve 1l14commerca•rasiden AGtNtrOin 1da DdM euY6eG",aperwu�le.tnp,rom/r,Oaen"tKowlJa. p B0 MA poArn�spqJtreearb.e",.honv'reodsfdJonnwn no,,on Pnt,rYhau,'e4,eMe,k,a,ureemMro/s�iweea.�ndaeo mtraorssdpem onwyyrbwooe d•mrN•1n e°anr ronl`NetO m �b�dp�rsw.oi tlr i • 1 II _____-____ I I 1 1 1 1 I I r,----------- I I I I I I 1 I I I I I L9 I I I I I I I 1 I I I I I o ii A -11 I I I I Y { I I 1 I I I I 1 I O1 1 I I p :,I----------- = I I ® I I Z I I I I I I I I I I 1 I 'I I I I 1 I I I I I s• I'I k. 1 I 1 - f I I I LJ T. Iml t: Il I f I m --------- • 1 1 - I I I I I I 1 1 I I r-1 • .a I----------- � I I ' I I I I I I I I LJ I I tN 0 � S IN u I I - �. L J I I }• 1.1 +; II •� I I I I I I O I I t � I r I I I I I 1 I I I I I I 1 I I I J I1 --- 1 I --------L I I I I 1 I I 1 11. I I - I 1 , I I ^ • V- I I I • I � LJ----------- r o m z .- rZ � N �9 \ • �mC C, �rNNp 'r • y'm 6= � a •' Nm �•• iomo ON Mgt N=• �A NNE •'•� Off. O •' y g GapyrlAht.IIoo4 w Icanneth eadC Associate* , . + lhcaeparoarnprotee4dunderrederM , , DRAWNBYs Cpwwht1—rhoQMQY,mpw�Aa,ar�cm. PROJECT: 2 4 x 4!0 ool1! pIwisaathorimdtoeon•Wcta+eendonly , PI®fl 7 7 F' �uildina7J for: V-rw THeiAMc*-r— y =a home UON thin paint Modlfketlon or ProfaeslonB Daa reuse is proh®Iced without.+4�use urltten Bwlld4�g �� � permbslaaaithoDe.l�or. 5• ' 4annath Koadlar A4�oa:iata4 LOCATION; ��wup�a�p� u°m.'wa'worce"w' 1 REVISIONS: - o-.ama•cone.Mdon�• dv—cnt& Pr.limlvey DN14n 4/10/04. - ,�pYt;SSIDnOI bYiIdln design' woar�arm��dW wfommeaCamali ",Av de. trUc M.n Ft—4/S 6/04 1 ir-- B 8 r I I 2 4 � WiAno Ave acoruwp�wb�roa arormdaq uAth E' oon,tru�on pl.—g/v/o 4 �_ j_ r'�commeralel•raaldantlaf_.I_.r_T. L �L �o ewu,oa�a"ua wwe OW OW PO.BO.114..HWMWO,MAO]001.00D�790A4» ��T erVIIIP�1�/� d4erap�cMs, j�of wooa Wa -��- -ksadbnkeedaa wuwkeadee -� bacameM rropau0+lay of Na Town of Barnstable 1"Ole N LIF BARj4^TABL,E T"E'Owti°� Regulatory Services 2009�,� Thomas F.Geiler,Director 2 PM 2: 29 " B"R ASS. Building Division 9 ass. �a 16;9. iOtFp MPS s Tom Perry Building Commissioner —" — --- — 200 Main Street, Hyannis,MA 02601 DIVI—S, Office: 508-862-4038 Fax: 508-790-6230 COMPLAINVINQUIRY REPORT Date: D Rec'd by: l TJ °' T9 c44/b�►�J - Complaint Name:AI � AV � Map/Parcel. / Location n Address: dVcg 44 /i nl i\jio _A tL- Originator Name::PP�� Street: al f �,(�/ � A V, r Village: V/4LT- State: Zip: Telephone: no Complaint Description:A�`�1 %l D �� ��( ��t-I 1� rp. rJ f)Al l D lz�- + n-P AA� 4, W-Ec aV-T4� t:7--in -TD ,- C'-k-" : 6 U2 l 7" / R-D FOR OFFICE USE ONLY Inspector's Action/Comments Date: Inspector: Additional Info.Attached Q:fonns:complaint Proposed Pool Construction in osterville MA. Prepared For : Michel G. Mangalo Assessor's Map : Map 140 Parcels 148-002 & 161-002 Baxter, Nye & Holmgren, Inc. Community Panel Number : 250001 0016 D Registered Professional F.I.R.M. Map Zone C Engineers and Land Surveyors Plan References : Lot B2 @ Plan Book 407 Page 78 & Lot 6 @ L.C. Plan 16265 C 812 Main Street Deed References : Deed Book 11,030 e Pa 281 & Certificate of Title 148,379 Osterville, MA., 02655 g # Phone - (508) 428-9131 Fox - (508)-428-3750 Owner : Michel G. Mangalo & Lynne Tolanion Mangalo Job Number: 2003-060 Scale : 1" = 40' Date : 10/16/03 N/F HAGERTY TOTAL PARCEL AREA °s• "'_�� 06 s �' 25,230± SCE. FT. �4 0.58t ACRES A'I'oo �• �°7 � O `SFp N/F MAHONEY 000 CO 0BRICK �, ro .a r ti O) WALK 6+ �O. O� LOT B2 �� �G �� 0 uA � O^�/ .�� PB 407 PG. 78 �• �t� �P ti 'Oua, LU Q 'Do y `9�, �00 .�A REGISTERED CB DH r- a �'' CB DH FND ND 0 w '. L.C. PL. 16265 C d'0 (SEE DETAIL) Y F- m 00 $� PAVED DRIVE ®�AN <v Q \ z DETAIL / MAG NAIL a J N.T.S. / *� �� EL. 100.00' • �� N/F STEPANEK 00 �6��oryti \ a� cb PIN - / N/F MURPHY �� FND A F �d N/F SHEILDS � e � q� O$ 1. C / UP #22 p s� IQ •COBBLED DRIVE 00, /y SB PIN FND / 00. (SEE DETAIL) 00• oDETAIL �• O- N.T.S. Oo NOTES: ZONING DISTRICT: RC FRONT SETBACK: 20' SIDE & REAR SETBACKS: 10' MINIMUM FRONTAGE: 20' 00� MINIMUM WIDTH: 100' OVERLAY DISTRICTS: RPOD: RESOURCE PROTECTION OVERLAY DISTRICT �00• / AP: AQUIFER PROTECTION / DATUM: ASSUMED TBM: MAG NAIL SET IN DRIVEWAY EL. 100.00' I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON ARE LOCATED IN RELATION TO THE MONUMENTS SHOWN, p`�H or MgSf9 AND ARE NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. �� y THIS PLAN IS NOT TO'BE RECORDED NOR IS IT IN f TO BE USED TO ESTABLISH PROPERTY-LINES. C. . 29874 kGISTERED PROFESSIONAL LAND SURVEYOR DATE i 0 2 ,4 1 TWob � e OCT-06-20W 16:26 ANERICAN POOLS P.02 TOWN OFBmtN.STABLE BUILDING PERMIT APPLICATION Map Parcel Permit 4 Healln Divis�n Le�7/O"3 et S(JQP- I l � i n V Vpv,. Date Issued 4-1���- Appfrcation Fee Conservation Divrsion Permit Fee Tar Collector Treasurer SEPTIC SYSTEM MUST BE Planning Dept. IXISTA=IN COMPLIANCE Data DefiniWe PlanAppraved by Planning Board WITH TITLE 8 is ENVIRONMENTAL COIDE'ANC PreservatioNliyann Histaric-OKH p . ,� u ProjectStrestAddrm _ 2 's 0 ,�' V.C— — Village Owner.� tf� �,_ Z!IAI* Telephone U7WC/ r O O L Pertnir Request W isAY9 Al Square feet:t st floor_existing prapnaed 2nd(loot,existing proposed Total new Zoning District Flood Plain G►ounowzrer Overlay Project Valuation Construction Type - r yAZr 1 Lot Size GrandlatheW. O AS •0 No I!yes,attach supperting documentation, Owelfmg Type; Single Fam4 Two Family O Mu&Family(f units Age of Existing Structure Historic House: Yes ONO On Old Kng's Highway O Yes ONO C7 8asemeAtTyps: O Fun CI Crawl O Wa4tout O Other Swemerit Finished Area Basement finished Ar (sg,ff) Number of Baths: Full:crsting nrw Hall:existing new — Number of Bedroom eoeang new Total Room Count(not iridt. ing baths):erdlliitA new First Floor Room Count _ Heat Type and Fuel:�C 004 O Electric O fter t Cernrat Air. U Yes O No FireNaces existing New Uaatg wood►coaf stove: O Yes O No ..-i D c� Detached garage:O 0116311119 O siz AM e___ Pool:O e"tutg O new s"e Ba"O 0ii_ting D now s¢e C Anarhad garage O existing r7 new see Shed:O e:fisting O new size Oler. — c? _ t Zoning Board of Appe*Ad►horizatien O Appeal A Recorded O U0 i =' o -� Cornmercizd ❑Yes (3 No it yes,site plan review$ Current Use "wed Use rri A BUILDER INFORMATION Name -ar-�� L " �`�u �r Telephone Number Agdreis *5 License it d I $F Lh/.11 17? --- 0,1'7`) I Home Improvement Conlractor Waftrs compens.0on R ((,i LOD W ^ r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE TOTAL P.02 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0 Parcel / . Q©� Permit*# Health Division ef i 0 -7 o3 Date Issued Conservation Division t foric Application Fee Tax Collector A , Permit Fee (o Treasurer b Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner &C Zr 1*14. 1*0i dres `3 Telephone SU Z O 2 0 2 Permit Request C/ C 0 L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type G vti1 7 Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family A Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new j Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel:Xj Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No i Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY p 14. PERMIT NO: DATE ISSUED MAP/PARCEL NO. --" ADDRESS VILLAGE OWNER' i.F. DATE OF INSPECTION: FOUNDATION E \t= •S =,� �� ( l '2 03 FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL r o PLUMBING: ROUGH FINAL f r GAS: ROUGH FINAL FINAL BUILDING uv DATE CLOSED OUT ASSOCIATION PLAN NO. f . -: ;:- _• ' ✓�ie V�omrinza�ruuea� o�✓�/�aclucaelt6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ; Number: CS 017091 1 Birthdate:.1:2/11 L1948 • r Ezpires:.12/_11/2003 Tr.no: 9541 Restricted:.00. ALFRED L PENACHO.-JR 39 BACK STa SEEKONK, MA 02771 Administrator i • � ✓fie -����� ���1 . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards lug Regisfration:_.100284 One Ashburton Place Rm 1301 Expiration:=:6/1,5/2004 Boston,Ma.02108 Type; Private Corporation AMERICAN SWIMMING POOLS,C Aged Penacho,Jr. 540 Arcade Ave. _„ -- Seekonk,MA 02771Administrator Not valid without si naVre r - 0310.41'02 MON 11:41 FAX 617 252 5115 IDINE RESTAURANT GROUP �002 _ The Commonwealth of Massachmsetts , �.•_- - Departmetit of Industrial Accidents - _. 600 Washington Street Boston, Mass 02111 Workers' Compensation [nsarance Affidavit ^A- ♦l G✓//a-A✓41'v p� itv C�, „ Phone Z3 CI I am a homeowner performing all work myself. -- �] I and a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. 0MLPaD. name• �' (SS '—'1 X4 t ��S GAI�P Andreas: � Y1:1.`iS _ ssx: M - 33Lq .- uho�s 1 n C I /� - I. # 64 O [� I am a sole proprietor, general contt•aetor,or homeowiner.(eircle one) and have hived the contractors Iisted below whe.havt the following workers'compensation polices: Comantlname: — phone 9: •n r 4 curnpariv lt1�ltravice co. _ - • Failure to secure Coveragt as required under Section 25A or. 151 can lead to the imposition of criminil penattics orA fine up to SISMQG end/or one years'imprisonment is well ss civil penalties in the form of a STOP WORK ORDER and it line ofS100.00 a day sgainst me,.I understand ihar'a COPY of this statement may be forwarded to the Office of Investigsticat or the DIA for Coverage verification. 1 do hereby eertijy under the par nd penalfies of perjury that the Infornmtiom provided above is True and correct. Signature ��3. Date Print name L O L �^ Phone#. - 7J�jb - UN CCI'2nly do not write in this Area to be campleted by city or town olYciai permit/license# nBuildinp Department iriceasing Board mmediate response is requiredSelectmen's Office(_Health Departmentn phone p- !e—itd 3191 Ptnl I' OCT-06-2003 16:25 AMERICAN POOLS P.01 r Town of Barnstable � " . Regulatory Services_ Z1� Thomas F.Geller,Director iai lea]Division �aD • Building Commimmuer TomYerry, g 200 Main Street, FIymxa s,MA 02601 Fax: 508-790-6230 Office: S08-862-4038 Pets�t ao. . Date A>a=Avrr ECOba D0ROVEbMjT CONTRACTOR LAW S NpLEMENr TO PER1V=AppTJCATION MGL c, 142A te4 a is tb-U tU"recanstruction,alterations,nnovaiinn,rcpm made 3t30�,eonvetsioq jMrove=U%teoval,dezalstso4 or construction of an addition to any pre-existing o�er-or-vain d building wndaiaiug at least one but not more tkaa four dwelling tmim or to stmr-toes which arc adjacent to such residence or building be done by registered condors,with certaia ty;eeptiofls,along arith other J L Estimated Cost 4� pQ Type of Address of WOA-- ��L owners Nam: Date of Applicitiou= I hereby certify that. R gistmt ion is aot required for the fallowitag reason(s): MWork C=Wded by lace C Job Dada S1,000 OBUming not oV=-oCC*ed Flow rpulliag owaperIIat notice is hereby given that 0-%NlEF g�LIIdG THM OWN PERMIT ORDEALING WIIH tiriREGtS'LERED CONTRACTORS FOR A pLICABLE.RONX IMPROVEMENT WORK DO Not BAVE ACCESS TO THE ppT)�ATION RROGRA111 OR GUARAI�"PY FUND Lfi'DER DdGL c.142A. SIGNED=ERPENALTMS OF PERJURY I>=by apply for a permit as the agent of the owner_ j ���� �� wins CV►'�� /0d�� Date Contractor Name lLcgi stratioa No. R / G . Date - Owner's 2��ame ACORD CERTIFICATE OF LIABILITY INSURANC R MJ DATE(MMIDDNY) 1 08/08/03 iODUCER ` THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ichardson-Cuddy Ins Agncy Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Park Street - P.O. Box 388 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ttleboro MA 02703-0388 'hone' 508-222-5252 INSURERS AFFORDING COVERAGE SURED INSURER A: Acadia Insurance Company INSURER B: American Swimming Pools Corp & INSURER C: 540 Arcade Avenue INSURER D: Seekonk MA 02771 INSURER E: OVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. R TYPE OF INSURANCE POLICY NUMBER' E POLICY DATE"MMIDO/YY DATE MMIDDm LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1000000 X COMMERCIAL GENERAL LIABILITY CNA0041860-15 07/01/03 07/01/04 FIRE DAMAGE(Any one fire) $250000 CLAIMS MADE Q OCCUR MED EXP(Any one person) $ 5 0 0 0 PERSONAL BADVINJURY $ 1000000 GENERAL AGGREGATE $2000000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2 0 0 0 0 0 O POLICY JEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT i ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ $ WORKERS COMPENSATION AND TORY LIMBS ER EMPLOYERS'LIABILITY IUIH- WCA0041862-14 07/01/03 07/01/04 E.LEACHACCIDENT $ 100000 EL DISEASE-EA EMPLOYE $ 10 0 0 0 0 OTHER EL DISEASE-POL U ICY $500000 :SCRIPTION OF OPERATIONSILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS ERTIFICATE HOLDER N ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES: AUTHORIZED REPRESENTATIVE Mark S. Cuddy CORD 25-S(7197) ©ACORD CORPORATION 1988 Existing Conditions in Osterville MA. Prepared For : Michel G. Man olo Assessors Map : Map 140 Parcels 148-002 & 161-002 Baxter, Nye & Holmgren, Inc. Community Panel Number : 250001 0016 D Registered Professional F.I.R.M. Map Zone : C Engineers and Land Surveyors Plan References : Lot B2 ® Plan Book 407 Page 78 & Lot 6 ® L.C. Plan 16265 C 812 Main Street Deed References : Deed Book -11,030 Page 281 & Certificate of Title 148,379 Osterviile, MA., 02655 g � Phone - (508) 428-9131 Fox - (508)-428-3750 Owner : Michel G. Mangalo & Lynne Tolonion Mangalo Job Number: 2003-060 Scale : 1" = 40' Date : 09/11/03 LEGEND & ABBREVIATIONS N/F HAGERTY @ GAS GATE � • MAG NAIL SET /O u'�a• D4 WATER GATE/SHUTOFF TOTAL PARCEL AREA 0. U( YARD LIGHT UP-0- UTILITY POLE EP EDGE OF PAVEMENT 25,230t SQ. FT. / SB STONE BOUND 0.58t ACRES ?PB 407 PG. 78 CB o CONCRETE BOUND ?• �� FND FOUND N/F MAHONEY DH DRILL HOLE O� �%K- oo %K O 0� �0P \0� � O Q�Off• �� � ti O� WALK �,�0• U a � �� 9 �, 99 90''r ?' LOT 100.3 � a Z ��. REGISTER D 97 CB DH 0 a CB DH FND 99.7 9 L. PL. 162 5 C ND a �'��i (SEE DETAIL) x gyp,0•. yF 99.9 100.1 00. �X 99.4 m v PAVED DRIVE ,c .0, z DETAIL / ti MAG NAILg 00.3 PGA' 97.8 \ a < N.T.S. / 0 EL. 100.00' �� ��0 98.5 \• N/F STEPANEK ��� 100. 00.0 --N/F MURPHY - CB PIN FND 99.9 / Y s 00 N/F SHEILDS 99.$ S. 0 9.8 / UP #/22 0 99. 99.6 1 0.0 ? •COBBLED DRIVE SB PIN FND 0p• 9, (SEE DETAIL) O 99.7 • DETAIL` `r�" oO. /NOTES. N.T.S �O•. ZONING DISTRICT: RC / FRONT SETBACK: 20' SIDE & REAR SETBACKS: 10' MINIMUM FRONTAGE: 20' MINIMUM WIDTH: 100' � 0. OVERLAY DISTRICTS: RPOD: RESOURCE PROTECTION OVERLAY DISTRICT ?�• / AP: AQUIFER PROTECTION / DATUM: ASSUMED TBM: MAG NAIL SET IN DRIVEWAY EL. 100.00' I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON ARE LOCATED IN RELATION TO THE MONUMENTS SHOWN, -;�'j JUHi s ifs AND ARE NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. , / • 1 •• ;� 29874 n•,� TEeE° �' EGISTERE PROFESSIONAL LAND SURVEYOR DATE Ai °�" l OWN OF BARNSTABLE BUILDING PERMIT APPLICATION QZ� i6/-oaL o Map Parcel 0 �`�U ' i � Permit# Health Division co +ems : �` �2 � ^ Date Issued — f' - L) Conservation Division Application Fee r Tax Collector 2 7��0 Permit Feed' o Treasurer_ X- `71/ 0(L Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address � 1 /V p vim or Village Osi�-n VILL4 Owner M/CN-45L N111014 L0 ,/ Address Telephone Q�08) 7 7 '6 ,W yT Permit Request $; e 2�✓� �� 4:29:�il ®mac-RbYle- usC_ Square feet: 1st floor: existing �Iv ±proposed 119A 2nd floor: existing.... proposed Total new a Zoning District Flood Plain Groundwater Overlay Project Valuation �� Construction Type W00A Lot Size -zs z 30 Sc? t'i Grandfathered: ❑Yes 0 No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure /0 Y/- Historic House: ❑Yes ZNo On Old King's Highway: O Yes ,J20No Basement Type: 'Full ❑Crawl O Walkout O Other / Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) sNo Number of Baths: Full: existing #13 new J Half:existing new �f Number of Bedrooms: existing new 0 �-- & Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: 'Gas ❑Oil O Electric ❑Other Central Air: ❑Yes 4 No Fireplaces: Existing New D Existing wood/coal stove: ❑Yes &No f icac IC Detached gapp:❑existing ' new size D Pook.0-existing ❑new size,20 YL& Barn:❑existing ❑new size Attached garage:grexisting ❑new size Shed:9 existing ❑new size 1Ar Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded O Commercial ❑Yes C 9'/No If yes, site plan review# Current Use J1E, I q Proposed Use '/ BUILDER INFORMATION 1L� Name �3 � n- 11�� Telephone Number �(p Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ,,SIGNATURE DATE t� FOR OFFICIAL USE ONLY PERMIT NO. � r DATE ISSUED - MAP/PARCEL NO. ADDRESS ,t� VILLAGE OWNER ' DATE-OFINSPECTION: FOUNDATION l S 2 S C 'S ' FRAME Cj l\ 7 CU INSULATION ] ,/) 2_ —k—' — FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. r I ;a R AL ESIDENTI BUILDING PEP FEES APPLICATION FEE , New Buildings $100.00 ►/ Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEvv LIVING SPACE _square feet x$96/sq.foot= ± h v x.0041= plus from below(if applicable) AI,7'ERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x.0041= plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft._ x.0041= ACCESSORY STRUCTURE>120.sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit. square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch -_____x$30.00= • (number) . Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground SwimmingPool $60.00 Above Ground Stivimming Pool S25.00 - Relocation/Moving $150.00 (plus above if applicable) permit Pee .� Projcost Rev:063004 Daniel E. Braman, P.E. 189 Harbor Point ltd. �'�l t'G1r{r�L �• ►`� 1►i rq AA— Cummaqu4 MA 02637-0361 2�2 �N I, Is.�� � . .1w•� . 'PV c>.a c-c: t23o 4- oA- �c sc�ri o� STRucTu�z�- STEEL '' clams G--o1���.►-c�� 'FLoom .-�.�-•� ts�s�., L.C..,� 40�s�� tJl�c, �oc►p.i tc .2S� C�c�. w exl5 4b,cI'L2 *R! A o h u Sg 8-ac is d.w�-rs�o�s d•� �rorn ah ore, �k�� -ems • e° o� DANIEL E. BRAM a STRUCTURAL a NO.36595 , RAMSBEAM V2 . 0 - Gravity Beam Design Licensed to: Dan Braman, P.E. '1r JoY}: Mar�galo, 242 Wianno, Oster. Steel Code: AISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W8X15 Fy = 36. 0 ksi Total Beam Length (ft) = 10 . 25 Top Flange Braced By Decking LOADS: Self Weight = 0 . 015 k/ft Line Loads (k/ft) : j Distl Dist2 DL1' DL2 Pre DLl Pre DL2 , LL1 LL2 0. 00 10. 25 0. 180 0. 180 0. 000 0 . 000 0. 480 0. 480 SHEAR: Max V (kips) = 3. 46 fv (ksi) = 1. 74 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp Flange i kip-ft ft ft fb Fb fb Fb Center Max + 8 . 9 5. 1 0. 0 1. 00 9. 02 -24 . 00 9. 02 24 . 00 Controlling 8 . 9 5. 1 0. 0 1. 00 9. 02 24. 00 --- --- REACTIONS (kips) : Left Right DL reaction 1 . 00 1. 00 Max + LL reaction 2 . 46 2 . 46 Max + total reaction 3. 46 3. 46 DEFLECTIONS: Dead load (in) at 5. 13 ft = -0 . 035 L/D = 3533 Live load (in) at 5. 13 ft = -0. 086 L/D = 1436 Total load (in) at 5. 13 ft = -0 . 120 L/D = 1021 BC CALL® 2003 DESIGN REPORT - US Monday, February 28,2005 11:26 Single 14" BCI® 900s SP File Name: M Mangalo_Wiano.BCC:J02 Job Name: Michel G. Mangalo Description;TYPICAL SECOND FLOOR JOIST Address: 242 Wiano Avenue Specifier: City,State,Zip:Osterville,MA Designer: Joe Madera Customer: Company: Shepley Wood Products Code reports: NER 594, ICBO 5208 Misc: Standard Load-40 psf 1 10 psf OC Spacing 16" t ems,„al FfM BO, 1-3/4" 640 Ibs LL B1, lbsbs'L 640_ L 160 Ibs DL 160 Ibs DL Total Horizontal Length-.24-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 24-00-00 Live 40 psf 16" 100% Member Type: Joist Dead 10 psf 16" 90% Number of Spans: 1 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location . Moment 4800 ft-Ibs 46.2% 100% 2 1 -Internal I, Slope: 0/12 Neg. Moment 0 ft-Ibs n/a 100% OC Spacing: 16" End Reaction 800 Ibs 55.2% 100% 2 1 -Left Repetitive: Yes Total Load Defl. U530(0.543") 45.3% 2 1 Construction Type:Glued Live Load Defl. U663(0.435") 72.4% 2 1 Max Defl. 0.543" 54.3% 2 1 Live Load: 40 psf Span/Depth 20.6 n/a 1 Dead Load: 10 psf Partition Load: 0 psf Notes Duration: 100 Design meets Code minimum(U240)Total load deflection criteria. Disclosure Design meets User specified(U480)Live load deflection criteria. 1 Design meets arbitrary(1")Maximum load deflection criteria. The completeness and accuracy of Minimum bearing length for BO is 1-3/4". the input must be verified by anyone Minimum bearing length for.131 is 1-3/4". who would rely on the output as Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing evidence of suitability for a particular application. The output above is based upon building code-accepted design properties and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. " BC CALCO, BC FRAMER®;BCI®, BC RIM BOARD M, BC OSB RIM BOARDTM', BOISE GLULAMM VERSA-LAM®,VERSA-RIM®; ` VERSA-RIM PLUS®, a ' VERSA-STRAND'rm, VERSA-STUDS,ALLJOISTO and AJSTm are trademarks of Boise Cascade Corporation. Page 1 of 1 soiswBC CALC® 2003 DESIGN REPORT - US Monday, February 28,2005 11:26 Single 9 1/2" AJSTM 20 MSR File Name: M Mangalo_Wiano.BCC:J01 Job Name: Michel G. Mangalo Description:TYPICAL FIRST FLOOR JOIST Address: 242 Wiano Avenue Specifier: City,State,Zip:Osterville, MA Designer: Joe Madera Customer: Company: Shepley Wood Products Code reports: ISR-1144 Misc: �. Standard Load 40 psf 110 psf OC Spacing 16" 12-00-00 12-00-00 BO, 1-1/2" B1, 3-1/2" B2, 1-1/2" 280 Ibs LL 800 Ibs LL 280 Ibs LL 60'lbs DL 200 Ibs DL ' 60 Ibs DL Total Horizontal Length-24-00-00 General Data Load Summary Version: US Imperial ID Description Load Type Ref. Start End Type Value OCS Dur. S Standard Load Unf.Area Left 00-00-00 24-00-00 Live 40 psf 16" 100% Member Type: Joist Dead 10 psf 16" 90% Number of Spans: 2 Left Cantilever: No Controls Summary Right Cantilever: No Control Type Value %Allowable Duration Load Case Span Location Moment 1200 ft-Ibs 35.3% 100% 2 2-Left Slope: 0/12 Neg. Moment -1200 ft-Ibs 35.3% 100% 2 1 -Right OC Spacing: 16" End Reaction 340 Ibs 29.7% 100% 4 1 -Left Repetitive:• Yes Int. Reaction 1000 Ibs 34.1% 100% 2 2-Left Construction Type:Glued Cont.Shear 500 Ibs 43.1% 100% 2 2-Left Total Load Defl. U1556(0.093") 15.4% 4 1 Live Load: 40 psf Live Load Defl. U1796(0.08") 26.7% 5 2 Dead Load: 10 psf Total Neg. Defl. -0.028" 5.6% 5 1 Partition Load: 0 psf Max Defl. 0.093" 9.3% 4 1 Duration: 100 Span/Depth 15.2 'n/a 1 Disclosure Notes The completeness and accuracy of Design meets Code minimum(U240)Total load deflection criteria. the input must be verified by anyone Design meets User specified(U480)Live load deflection criteria. who would rely on the output as Design meets arbitrary(1")Maximum load deflection criteria. *evidence of suitability for a Minimum bearing length for BO is 1-1/2". particular application. The output Minimum bearing length for B1 is 3-1/2". above is based upon building Minimum bearing length for B2 is 1-1/2". code-accepted design properties Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing and analysis methods. Installation of BOISE engineered wood products must be in accordance with the current Installation Guide and the'applicable building codes. To obtain an Installation Guide or if you have any questions,please call (800)232-0788 before beginning product installation. i BC CALC®, BC FRAMER®, BCI®, BC RIM BOARD-, BC OSB RIM BOARD-, BOISE GLULAM-. VERSA-LAM®,VERSA-RIM®, VERSA-RIM PLUS®, VERSA-STRANDT"" VERSA-STUDS,ALLJOISTO and AJSTM are trademarks of Boise Cascade Corporation. Page 1 of 1 �OFTHE Tp� Town of Barnstable Regulatory Services A A ` BAMSrABLE, ' Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date 5 ' AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. � [ �r��ur pD�L I-�_sc �� ooD i Type of Work: ����� � ` Estimated Cost .4 Address of Work: V Owner's Name: 1�i C",�t_ W/y 6 A W Date of Application: 130 t I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ®Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. !� OR Date wner' Name 0 _200 Q:forms:homeaffidav r The Commonwealth of Massachusetts Department of Industrial Accidents' 600 Washington Street s Boston,Mass. 02111 . y Workers' Com ensation.Insurance Affidavit-General Businesses /'!' 1's'Pe"•� yfiWfq} i Se-0s Y+•rr-W}�r 'T...w• .•.. �.1- , .-:'t"•.'7�d91 address `r ��'�• state: / ziv: yhone# work site location(full address)' ❑ I am.a sole proprietor and have no one Business Type: ❑Retail❑RestaurantBar/BatingEstablishment working in any capacity. ❑Office❑ Sales(mcluding•Real Estate,Autos etc.)' ❑I am an em to er with em to es(full& art time'. Q01her �I am an,employer providing workers' compensation for my employees working on this,fob.: 'an •paTne: eaaress: '��f. .i•k�: >r..... .?Y...'�• :i°'.• .:ro. •t.c� .i'=y-:.::: �i hone#:-- ! I am a sole proprietor and have hired the independent contractors listed below who hav a following workers' compensation polices: cOIII 138II IIflID'e`: . ` �yl... •.Y:+.. .7. +.'is�.':i.. '>.' .. ..: ti:•! .+i> .. address' :L;f :,,.•�• a .. •:.._ :::�: :i .:ice" .t -:'i: 1":I !`::�t. 'r•S.;r. .� (...h,;• , r' insurance co. .'x AM r'w `.e. ±o1ic ;#. : `fN,zi`: :•.• .1:,::: •.:;:: ':�. �'i';,,,:;::.r.•."•. 'ter;; :t.'• :..:• :�•i: coin-an. nea�e:• / _� .`•. _ address' r' ,..: msurancecb:'. . .:..•.. •._::..-.:... •:.>.::....•,.::r�:i_ . : : ::'.�.'��:;:,;:•_%.;.. Fallure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civllpenalties in the foim of a STOP FVORK ORDER and a fine of$100.00 a day against me. I understand that it copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify u dear the aIV in an�g ties of per' ie inIbrmation provided above is true and co.fact Signature 1��. Date Print name / / /(�� _l�}N Phone !05 I L/ official use only do not write in this area to be completed by city or town official city or town: permit/iicense# ❑Building Department . _ ❑Licensing Board ❑'check if immediate response is required ❑Selectmen's Office ❑Health Departmeni contact person• phone#; ❑Other (revised Sept 20M) Information and Instructions Massachusetts GeneralLaws chf pter�152 section 25 requires all employers to provide workers' comGeneralpensation for their. law', an employee is.defined as every person in the service of another finder arty contract employees: As quoted from the 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 mare of j 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 employsperswis to do.maintenance, construction or repair work on such dwelling house or on the grounds or ereto shall not because of such,employment.be deemed to be an employer. building appurtenant th . MGL chapter 152 section 25 also-staies that every state'or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the.commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required. Additionally, neither the commonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until of compliance with the insurance requirements.of this chapter have been presented to the contracting . acceptable evidence authority. Applicants Please fill in the workers'compensation affidavit completely,by checking the box that applies to your situation:.`Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted . to the Department•of Industrial Accidents-for confirmation of insurance coverage. Also'be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regardii*'the 'law"or if you are required to obtain a:workers'.-compensation policy,please call the Department at the number listed below. , City or Towns . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event'the Office of Investigations has to contact you regarding the applicant Please be sure to fill.in the permit/license number.which will be used as a reference number. The.affidavits.may.be.retumed to the Department bY.mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have a questions, please do not hesitate to give us a call. The Departrnent's address,telephone and fax number: The Commonwealth Of Massachusetts- Department of Industrial Accidents titftce of lavesti�atlens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext:406 1 DF1HE Tn, Town of Barnstable Regulatory Services Thomas et-F Geller,:Dlreor: &UMSTABLE, MASS. i639• .•� Building Division. Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 a. , . . .. www.town.barnstable.ma.us __._.. .... Office:, 508-862-4038 _ ,. ; .. = Fax:, 508-790-6230 HOMEOWNER LICENSE°EXEMPTION - Please Print DATE: JOB LOCATION: 2 / number street village ..HOMEOWNER":/ZIr,�L IW�/�I-D Sv `{ef —Z Z 3 7 ;> C — Z/ c/ Y C� name home phone# work phone# CURRENT MAILING ADDRESS, O k ( 2 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 " su ep rvisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that.he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Sig ature of H eowrier Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor: On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt s Permit Number MECcheck Compliance Report Checked By[Date Massachusetts Energy Code MECcheck Software Version 3.4 Release 1 Data filename:Mangalo.mck TITLE:24x46 Pool house CITY:Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) DATE: 05/05/04 DATE OF PLANS: 516104 PROJECT INFORMATION: Michle G.Mangalo 242 Wiano Ave Osterville,MA. COMPANY INFORMATION: Kenneth Sadler Associates P.O.Box 1149 Hyannis,MA 02601 508.790.3922 CS#030020 COMPLIANCE: Passes Maximum UA=297 Your Home=268 9.8%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling 1: Flat Ceiling or Scissor Truss 447 38.0 0.0 13 Ceiling 2:Cathedral Ceiling(no attic) 398 30.0 0.0 14 Wall 1:Wood Frame, 16"o.c. 450 15.0 0:0 27 Window 1:Wood Frame:Double Pane with Low-E 94 0.310 29 Wall 2:Wood Frame, 16"o.c. 388 15.0 0.0 23 Window 2:Wood Frame:Double Pane with Low-E 20 0.310 6 Door 1: Glass 47 0.310 15 Door 2: Glass 20 0.260 5 Wall 3:Wood Frame, 16"'o.c. 590 15.0 0.0 41 Window 3:Wood Frame-Double Pane with Low-E 56 0.310 17 Wall 4:Wood Frame, 16"o.c. 391 15.0 0.0 25 Window 4:Wood Frame:Double Pane with Low-E 66 0.310 20 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1012 30.0 0.0 33 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 Massachusetts Energy Code requirements in MECcheck Version 3.4 Release 1 and to comply with the mandatory requirements listed in the MECcheck Inspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Builder/Designer , .— Date �' MECcheck Inspection Checklist Massachusetts Energy Code MECcheck Software Version 3.4 Release 1 DATE: 05/05/04 TITLE: 24x46 Pool house Bldg. I Dept. I Use I I I I Ceilings: [ ] 1 1. Ceiling 1: Flat Ceiling or Scissor Truss,R-38.0 cavity insulation I Comments: [ ] 1 2. Ceiling 2: Cathedral Ceiling(no attic),R-30.0 cavity insulation I Comments: I I Above-Grade Walls: [ ] 1 1. Wall 1: Wood Frame, 16"o.c.,R-15.0 cavity insulation I Comments: [ ] 1 2. Wall 2: Wood Frame, 16"o.c.,R-15.0 cavity insulation I Comments: [ ] 1 3. Wall 3:Wood Frame, 16"o.c.,R-15.0 cavity insulation I Comments: [ ] 1 4. Wall 4:Wood Frame, 16"o.c.,R-15.0 cavity insulation I Comments: I Floors: [ ] 1 1. Floor 1:All-Wood Joist/Truss:Over Unconditioned.Space,R-30..0 cavity insulation I Comments: I I Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air I leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures I shall meet one of the following requirements: 1 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture I and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 1 2. Type IC rated,in accordance with Standard ASTIv1 E 283,with no more than 2.0 cfm(0.944 1 Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. I I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed Ceilings,walls,and floors. I i I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating I equipment must be provided. [ ] I Insulation R-values and glazing U-factors must be clearly marked on the building plans or specifications. I I I Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. i . I Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside I conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed I using mastic and fibrous backing tape installed according to the manufacturer's installation I instructions. Mesh tape may.be omitted where gaps.are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. I I Temperature Controls: ( ] I Thermostats are required for each separate HVAC system. A manual or automatic means to I partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as I specified in Sections 780CMR 1310 and AA. I I Circulating Hot water Systems: [ ] I Insulate circulating hot water.pipes.to the.levels in Table 1. I I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 OF or chilled fluids below 55'F must be insulated to the I levels in Table 2. I Table]: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating- Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range(F) 2"Runouts l"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD(Building Department Use Only) I I r n DOCv725.210 05-04-W 02,27 CTF0148379 BRRNSTRBLE LRND COURT REGISTRY. I LINDp M.DAVIDSON,TRUSTEE of the SLTTTON NOMINEE TRUST,under ti .,_ ♦nhlo q District of 28,1992 and recorded us tye'ga,--,a".,I Registry aretion of Trust dated JawatY for consideration paid and he Land Court as Document NO-690839, of Weston,Mss � nnn.Qn),DOLLARS, rant n consideration of THi OSUAND .husANwbanvvfd anLv"d wife,as tem by the e ; S, oMICHELMANGALO and LYNNE It MANOALO 'CS MA 0265S, ,Vith QUITCLAIM COVEN a oth of 242 Wianno Avenue. C)stervi e. n parcel of vacant land.Situated offWianno Avenue.in Land Co 15 C and•, ., r„_.. :..... OVigy►`of Barnstable,Massachusetttt shown as LO•{ tV 9 For title Bee Certificate of No.I439SB. DSTEE HEREBY wa AANTS AND REPRESENTS —IHE UNDERSIGNED TRUZ THAT THE 5UTTON N01yJME TRUST SET FORTH ABOANyIWAY, THAT 'SHE i 4 FORCE AND EFFE•'`T• HAS NOT BEEN -AMENDED IN BENEFICIARIES ARE OF FULL AGE AND ARE NOT UNDER DISABILITY. AND ..•,m�rni S ARE jreF FULL AIJTHORIZ.ED BY THE BENEFICIARIES OF SAID THAT „nL TRUST TO EXECUTE AND DELIVER THIS DEED. .• EV WITNESS my hand and seal this,r 1'k day of 19 �" Linda M.Davidson,Trustee LAND COOK; BOSTON, the land t etra desatbad will be shown on' sU l T ON NOMINEE TRUST our swap'l to loflow as at rAPR 26 t998 zw As'o 0W110H MY) REv: low A wi ore. 14-°M ,. ,,... H� STATE()F t!Fvle.NIA- o5ro4� ..,.T.. � � DATE: Apk�/-Sol l�� .. 210 N�ln IL"'Z'juiv I i of �'' tt1TAL 71AD inda personally appearod the above free-nam Then persona y M. Davidson,Tn+ate,sa of and acknowledged the foregoing to be h� y ' deed,before me qDi "il i3�27 ;.� BARNS TABLE COUNTY Cam' TAX I REGISTRY OF DEEDS {d A TRUE COPY,ATTEST Y PUBLIC ne N 917M y Commission Expires: 1C* m 17_,.:4 :9r "' '-°"' In COMMA1161156 a ' tl! MARY PUKIC CWF011Mu► N o•ro ' C? *' ►a Aewar aunr ANSTABLE REGISTRY OF IJEDS! N Gas t n OK.N r001 �, -a C5 to - d\ �J o,INS The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services MASS- u 0 Building Division -- 367 Main Street,Hyannis, MA 02661. Mice: 508-8624038 ?az: 508-790-6230 PLANT REVIEW Owner:. 11 i s In Q 4/�Ulg G CL, C) Map/Parcel: 1 (> 4 0 U 2 ProjectAddress:2A Lu twn n o Kvp_ Builder: Dl-U 1/l Q-V- The following items were noted on reviewing: . rou i C 2 k 4 a4u v- Q Q-, Q-MR, 3G 0 , C)LY� 1 0 to 04 Reviewed by: Date: �/ ' �69� -tl-I , AN A VIP Ah Al II 1 t e c V � C L 3 7 0 e � � , 1 c � 2 ® v o d o d c z_ _ °F IME rOwti Town of Barnstable Regulatory Services � V 9AB `E� Thomas F.Geiler,Director 1659. �0 AlEota Building Division Peter F.DiMatteo,Building Commissioner M 367 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 00 PERMIT# 5�5-94-- FEE: $ SHED REGISTRATION 120 square feet or less o��a c, nil Jf�clU� 05 ;rz( r !15 Location of shed(address) Village Property owner's name Telephone number a 4 2— Size of Shed MapTarc�gl# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? / Conservation Commission(signature required) �' /O ( // PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:083001 _ I i Zv Q a a M 1 01 v"MWs a C. N r E CEeTlF1EL7 PLbT-LOCATIO)-i S a^"1'—v LL C.— t�W,T t P T 4A T- T N t= Cot.l (fDAAPLYS W ITI-A TWG SIIIE.I.I►-it= 1 �_� .,tom SET$ACV- QC-QUIZSMEWTS 6P TNC- T-T_-- 1] Il,Vl-r),.A 1 VI1 IPLObID {LQtF.I' � REG.ISIZJZ�D t-aI.1� SUZVE*(Otzs 14t5 a1_AW - IS WOT BASE'S M-4 OSTEZV%LL6 o ArC,4S5, rr_>rJ.cn E�.!; SUc�vc�{ ¢T1��- UFCS�'rS St-1owLD ; CT '� C� C3L= USco Tcj oerczmt%4t, LO:T' LIWa-5 APPL.IC,e.tiT' � C_�� J�..iC�W.�1� �..) r G�- ° TOWN OF BARNSTABLE Building Department - Foundation Permit DateQ I Permit # Ff ;331 7 A., 41'1 Name / V� AN QY1 a G I r� 4 Location 2Av (,j,.jiahn nsp. of Bldgs. APPROVED TOWN OF BARNSTABLE ❑ GAS ❑ WIRING ❑ PLUMBING UILDING MAY-27-2005 11:47A FROM:JK H0.49RR9 ENG. INC 150842B3750 f T0:85087712211 P.2 I Foundation Certification in Osterville MA. red For : Michel a Mon ato Ass Uv: JAW 140 Poroete 148-M a t61-002 Baxter, Nye & 14dmgren. Inc Cammlydlq PanA td1anber: 251=1 0016 D Rcgbtered Profesvonat FJ R,U.LAtp Zone: C Engt mm and Land S vveyma Plat Refeencte: Lot 82 0 Plan Back 407 Page 78 a Lot 6 A I.C.Plan 16265 C 812 Yoke Street Deed Refermm:Deed Beck 11,0,3D Page 281 a Cetilkate of Title 114&M new._ e�e.VA. Oww. 4 Witt Is"t4alge(D a Lymw rataldrsl t4angdo ,,,�,,, mrn-aw scale: 1•=40' Data: 5/27/05 N/P NACIMTV 1.11 TOTAL PARCEL AREAa i • 8.58t ACRES 6 0 N/F UAHWAEY d` Pa 407 P&28 8 L� o y g sEPnc misto+ ex �o-d - � 1$t�aFAINOS xAtx �DN b RQ661k7tID 2 \ PAVED DRIVE C PL 1e200 C \ a3 MAC N QKvs. // 0 N/F StFPANEx / 4f \ f10 N/F 91E8DS W / N 15 ► j4 / — s ; \ v memED Imp DMVE 06 59 y� � a/:a ' /10Nalc as11ec1 ae ,g, • / FRONT SE1BAQt: 2C SCE Q REAR g1BAa(s.101 / MINUM FRONTAGE- tar r \ ema um VA07 a 100• OVERLAY 05TIMM �Y RPCO:RE901RRE PROTEC710"OVM AY 067ma Nbl AP. AGUM PtDIMON I CATLIN: AS51lIID a lets UAc�SET IN DRVEWAY e i 0 1 tzx�Y MAT m BE HST OF ktt KTNMRE11tiE DE E76STIliG ,�a fotatDA Smw T LarA eugu IS�Dte�i 9f7Kf1lmM0RIttAEPAAISA. �M M RAN B may m 8E RLUdm18 NOR a R N m BE USED 1D ESTABLISH F MTY-wu 5-2?-89 jLAND SIWl M DATE s I SeohL�E Rct umc o 74 7. j I Foundation Certification in Osterville MA. tMEW For : Michel 6 Aimqab Aasemers Mop: Mep 140 Paeft 148-M Jt I81-W e � a HOlr11gI811� � sty P&W Wrhw: 250081 OW 0 RagLsLar.d PLoTmeiaLd F1R,11.MW Zan: C and toed S NVUS Fkn Rakrum e:lot 82 O Ran Boot W Pogo 78&Lot 8 O I.C.Ran"M C 812 Mab Sb+ed ed Refaemm:Due Book 1t,AT0 Page 281 R 1br1�km d Wh f 118.718 .sa. 0 AIA, WAS Oe Do* � -p°°3 woo L0�-L>80- Oww..Michel B MwWb d tpm Tdanton Mmgdo aen.e.a 1ao1� le: 1 So 10' Dda: Sm IW KAWM • IOTAL PARCEL AREA y� do • omh Acm O ♦ � � ♦ N/l YJf11atEY M 78 M LWATOI COSBm g sa so-me a 6-4D-200t <aD"iMn L� RED `PAVED oRne � rL.rcsaa e � A /l s Luo a LL/C grow= / up MURR+t � FRO / UP s � s / \ , mAALSD DRna • � "Q b O �1101®IC OISTR O RC �1 S�F, !1FAR SE m2.f I� moAm waft tort K AW DL oravelBilr e 6i Et NOW i - 1 �r t» LNT BEST W Mr oLaTwc OF osN NfJ�all JS IED . Q iiAQIDA800 Si M 8II1LA<b�tldetflFY1S sm M LOT LWAM MIN A YM$L ROOD LBIM JWA pN . WRANLSOYMBERWROMIStT 10 BE USM 10 ESDaW LAm Swam CAN . � 1 ht.lE Amt m o 74 7. L/ �g Erogosed New Construction in Osterville . MA: Pre Bred For Michel G. Man alo. Assessors Map :. Map 140 Parcels 148-002 & :161 . 002 Baxter, Nye &. Holmgren, Inc. Community Panel Number : 250001 0016 D Registered Professional F.1.R.M, Map Zone : C Engineers and Land Surveyors Plan References : Lot 82 0 Plan Book .407 Page 78 & Lot:6. 0 LC.- Plan 16265.0 812 Main Street Deed References : Deed Book 11,030 Page 281 & Certificate o Title . P f 148,379 O -913lle, MA,, 02655 . � hone - (508) 4289131 Fax- (508)-428-3750 Owner*: Michel G. Mangalo & Lynne. Talanian Mangolo. Job Number. 2oo3-oso Scale. : 1° _ 40' Date : 6/24/04 N/F HAGERTY. TOTAL PARCEL AREA 25,230t SQ..FT. .: 0.58f ACRES Ao b;l O� . �h N/F MAHONEY .� ,. •� ,gyp, 41 BRICK, r LOT B2 ,p; ,. by' WAL .O � y 6 O` PB 407 PG. 78 ?�:. ti?�`�k,{ \ . p•/� APPROXIMATE ��'�Q` o. `q oy 0 a LOCATION EXISTING �. '� 2 C�' SEPTIC SYSTEM. M PER BOH RECORDS �. G���F . . CB OH 6-23=2004. ND g0. CB DH FND 9�.�0; (SEE DETAIL)' , m o REGISTERED PAVED DRIVE v r L.C. PL. 16265 C z.c z . DETAIL . / Z. MAC NAIL J EL. 100.00' Q o: N/F.STEPANEK • / N/F MURPHY �FND � b N/F SHEILDS. e . �s C9 / UP #22 .COBBLED DRIVE SB PIN FND / (SEE DETAIL) s Ago . O DETAIL �, o• /NOTIIES. N.T.S. � ZONNG DISTRICT: RC ,t, / FRONT SETBACK: 20' SIDE.& REAR SETBACKS: 10' MINIMUM FRONTAGE: 20' ` ! MINIMUM WIDTH: '100' 41� OVERLAY DISTRICTS: RPOD: RESOURCE PROTECTION OVERLAY DISTRICT Te� / AP. AQUIFER PROTECTION / DATUM: ASSUMED TBM; MAG NAIL SET IN DRIVEWAY EL, 100.00' I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE PROPOSED NEW CONSTRUCTION SHOWN HEREON IS LOCATED IN RELATION TO THE MONUMENTS SHOWN, ��H a� AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. ��P y THIS PLAN IS NOT TO BE RECORDED NOR IS IT a a TO BE USED. 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' l a3 L� , ahh � I certify that this property is located CERTI A ED PLOT PLAN in flood hazard Zone C (outside the 500 year flood) as identified by the Depart- LOCATION B��'`ls��Q4E �� ✓�tcE�. ment of Housing and Urban.Development(HUD) . SCALE DATE f�wE /Z Zoo7 . Date Tiiu � � '�2 Zoo � PLAN REFERENCE ;2e' EDWAS �6 ?8 9EC�St � I CERTIFY THAT THE EX!STiNG F�.,v�s�Tir��( I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON . or eafiements except as shown and that this plan was prepared under my immediate i supervision� _ DATE JN�.!Z ?-°07G����-�,�4,. '� .1 M"2&L ,osI y/ f E T , %mil REGISTERED LAND SURVEYOR Cj � N So43c � -7 SF 0 3 to c Qj S� • t sEr B ' (8, 0&0 sF ri ` vM Ss �. 1 •`{• �+ ' y .'. .' t�i�2Tl�e 0 � a N � .1 TZ> D \ S •' r y 1 ,•.� a +, I/IIII` � 1 O ! S q d1k 1 { TAlBLEr(ce?Tu?-v 1 ► IFIO ; . T lz0f 3ImQ.T' -6cl4LC I = 3 0 � � F Res•= - ' • �. , y C lIYMTn°ib Q.. F Y/� .•n, -�v � i L '•1 ' CuA2LE�s U 12 DIG SAFE NO. GENERAL & DETAIL SPECIFICATIONS 1 T 9 3 6 I ' PT REA SQ. T r i}. .. i. i �° i P OL SHAPE REF `NO. i rI of PERIMETER I FT COPING ki "t a , • �' � TILE COLOR TILE LE CO O . POOL CAPACITY GALS. FILTER M"'Ms 1 5 ..f' PUMP � MOTOR H.P. '. bELF'A � TY ..� SKIMMER MO RETURN LINES MAIN DRAIN BACKWASH. TO l CHLORINATOR f"' * r-c v>. , UNDERWATER LIGHT 1 10 VOLTS �CqIVATTSC �GC7,�U BOARD SIZE -tfl BOARD SUPPORT NU N �. GRAB RAILS �a�'4 TYPE C P ANCHORS IN WALL LADDER. CU ROPE and FLOATS G HEATER SIZE • ''BTU INPUT NATURAL GAS E PROPAN ElOTHER FUEL ., �. GAS LINE BY.,O �� VENTED,BY. C�Yv A , I �"�( ELECTRIC BY. TIME CLOCK ELEC TRICAL BONDING BY. b g '�- WATER FOR GUNITE 014 DECKING POOL CLEANER GRADING POOL SETBACK Rear Side 3 SW MOUT �'�- � ✓'�'` C) SLIDE � 1`4 -.�-... �. HAND RAIL W. 1NATERTABLE CONDITION _ --__ R. ,.S_C) BEAM 1-1 -FT,6 _ _ FT12 FILL 11 AWAY ❑ D.O.P. E POOL COVER TYPE ,y F C. PLASTER FINISH {e�',w.., �•-,�'.`� ��1' t�1, X HYDROTHERAPY SPA Depth..� _�_.._ �- • SIZE JETS _._ JET_ PUMP.H.P. KI M R`.._ S M E r , E .� �. MAIN DRAIN ..rt,. RETURN w . t� ti AIR BLOWER ,. r/ t � �-- a ` LIGHT , yu FILTER C .X .- HEATER V/ HLORINATOR'. , NAME ADDRESS Vtl€ �t �s �s a CITY �� � a. -.,"�'. � 026 r��' �- PHONE D rf N G ; F1 ()EAe - B ADDRESS Scale. /s - 1 -® 'NO GRADINGUNLESS SPECIFIED NOTEs AMERIC.AN taU KITE POOLS N`SWIMMING POOLS COR P. P. day o f : A DIVISION OF AMERICA S I G i fP Ion or ®W N ER. To determine approximate elevation o 00 P pY M1..: b' ordinance. Ga tes to e excavation: Pool area to be fenced per state and localo d E:.A E. i self self closing and se latching.se as P.O. BOX 248 -� 2 4... 'SEEKONK, MASS. 0277 0 8 a o OWNER. To wet'down concrete structure at least two o times daily - 7 77 08 36 5 It ark e ... 5 3 -a will m ,.' t fall l s it .. minimum of seven days. Do'not use rubber hose o 00 ::... ... .. r interi plaster.o P y l 9 C? � � REG. ` 1 I A. N , R.I. REG.'NO. 2 7 M0 OWNER. Extra charge for watertable condition. DATE C T OWN BY: K D BY REF. NO. -