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Home My WebLink About0295 WIANNO AVENUE G� �� A t a F M K /[ 1 ?I� I' a �.• t; �'� ( . I�' �. C e E 0 F ". %; �.. 4� ,: o �: �: j: Commonwealth of Massachusetts pF THE Tp� 'vo ` ..y Town of Barnstable BARNSTABLE. a69•39* ro 200 Main Street(508)862-4038 l �0 EOMAt4 PERMIT REPORT BY ADDRESS PIN _ Status Permit For Parcel ID Apllicant Work Description Inspection Inspected on Inspection Inspection Status Comment B-86966 Closed Conversion 140-126 RONALD W WELCH DET 2 CAR GAR,BATH/ Building Insulation 6/5/2006 Pass JLAU: LIV RM,BDRM,BATH ABOVE E-16-788 Closed Electrical-Add/Alter 140-126 Basement bath Electric Final 6/2/2017 PASS E-16-788 Closed Electrical-Add/Alter 140-126 Basement bath Electric Rough 4/25/2016 PASS Basement rough E-17-216 Closed Electrical-Add/Alter 140-126 Brian E Losordo back room,bar Electric Final 6/2/2017 PASS E-17-216 Closed Electrical-Add/Alter 140-126 Brian E Losordo back room,bar Electric Rough 2/7/2017 PASS E-2006-0195 Closed Electrical Service 140-126 NEW ENGLAND INTRUSION AND FIRE Electric Rough 5/15/2006 Pass WAMA: SECURITY DETECTION SYSTEM- CONSULTANTS EXPIRED E-2007-06574 Closed Electrical-Accessory 140-126 BOYAR,KEVIN INGROUND GUNITE Electric Final 9/29/2010 Pass WAMA: (Sheds,Pools,etc.) SWIMMING POOL 18'X40'WITH FENCE E-2007-06574 Closed Electrical-Accessory 140-126 BOYAR,KEVIN INGROUND GUNITE Electric Pool Final 11/8/2007 Pass WAMA: (Sheds,Pools,etc.) SWIMMING POOL 18'X40'WITH FENCE E-2010-04072 Issued Electical-Minor 140-126 FAGNANT,MICHAEL WIRING REPLAE EXPIRED ELECTRICAL ' PERMIT FOR A POOL E-2014-01949 Inactive Electrical-Accessory 140-126 VIOLA ASSOCIATES (VOID]1OX10 RAISED Electric Pool Final 5/16/2014 Pass WAMA: (Sheds,Pools,etc.) SPA(SHORT CONCRETE STRUCTURE), HEATED WITH WATER FEATURE. LOCATION IS ALREADY FENCED IN POOL EXISITING E-87557 Closed Electrical Service 140-126 LOSORDO,BRIAN TEMP SERVICE NEW Electric Service 10/17/2005 Pass WAMA: HOUSE-1479120 i 3 of 6 Commonwealth of Massachusetts CF THE T�� . Town of Barnstable ti BARNSTABLE. * 9Q MASS' ok200 Main Street(508)862-4038 �+AT*639. �0 SOMA<� PERMIT REPORT BY ADDRESS AddreSS: 295 WIANNO AVENUE,OSTERVILLE PIN Status Permit For: Parcel ID Apllicant Work Description Inspection, Inspected on Inspection Inspection Status' Comment B-16-831 Closed 41teration INTERIOR Work 140-126 KENDALL&WELCH Finish Basement,Family Building Final 6/15/2017 PASS Only-Residential CONSTRUCTION room Gym and bath B-16-831 Closed 4lteration INTERIOR Work 140-126 KENDALL&WELCH Finish Basement,Family Building Frame 4/26/2016 Pass Only-Residential CONSTRUCTION room Gym and bath B-16-831 Closed Alteration INTERIOR Work 140-126 KENDALL&WELCH Finish Basement,Family Building Insulation 4/29/2016 Pass Only-Residential CONSTRUCTION room Gym and bath B-2007-06574 Closed Pool-Inground 140-126 BOYAR,KEVIN INGROUND GUNITE Building Pool 11/8/2007 Pass JLAU:POOL SWIMMING POOL STEEL 18'X40'WITH FENCE B-2007-06574 Closed Pool-Inground 140-126 BOYAR,KEVIN INGROUND GUNITE Building Pool 1/7/2011 Fail RMCK:SNOW SWIMMING POOL COVERED 18'X40'WITH FENCE B-2007-06574 Closed Pool-Inground 140-126 BOYAR,KEVIN INGROUND GUNITE Building Pool 1/10/2011 Pass JLAU: SWIMMING POOL 18'X40'WITH FENCE B-2007-06997 Closed Shed-Residential-200 sf 140-126 PROPERTY OWNER 10X12' and under B-2014-01949 Issued Pool-Inground 140-126 VIOLA ASSOCIATES 1OX10 RAISED SPA Building Pool 5/23/2014 Pass PROM:STEEL (SHORT CONCRETE STRUCTURE), HEATED WITH WATER FEATURE. LOCATION IS ALREADY FENCED IN POOL EXISITING B-85898 Closed Demolition 140-126 RONALD W WELCH DEMO RESIDENTIAL STRUCTURE B-86922 Closed Conversion 140-126 RONALD W WELCH SIN FAM/4 BDRM/ATT Building Chimney 2/10/2006 Pass JFIT: GAR 1 1 of 6 Commonwealth of Massachusetts OF THE Tp� Town of Barnstable i1 6 9. 200 Main Street(508)862-4038 rfOMA�� PERMIT REPORT BY ADDRESS PIN Status Permit For ,Parcel ID Apllicant Work Description Inspection Inspected on, 'Inspection Inspection- Status Comment B-86922 Closed Conversion 140-126 RONALD W WELCH SIN FAM/4 BDRM/ATT Building Final 10/5/2007 Fail JLAU: GAR TEMPERED GLASS,ATTIC ACCESS INSULATE,NAIL GIRDER,GARA GE SEP B-86922 Closed Conversion 140-126 RONALD W WELCH SIN FAM/4 BDRM/ATT Building Final 10/11/2007 Pass JLAU: GAR B-86922 Closed Conversion 140-126 RONALD W WELCH SIN FAM/4 BDRM/ATT Building 9/28/2005 Pass JFIT: GAR Foundation B-86922 Closed Conversion 140-126 RONALD W WELCH SIN FAM/4 BDRM/ATT Building Frame 5/11/2006 Pass JLAU: GAR B-86922 Closed Conversion 140-126 RONALD W WELCH SIN FAM/4 BDRM/ATT Building Insulation 5/22/2006 Pass JLAU: GAR B-86966 Closed Conversion 140-126 RONALD W WELCH DET 2 CAR GAR,BATH/ Building Final 10/5/2007 Fail JLAU: LIV RM,BDRM,BATH INSULATION ABOVE FACING, TEMPERED GLASS B-86966 Closed Conversion 140-126 RONALD W WELCH DET 2 CAR GAR,BATH/ Building Final 10/11/2007 Pass JLAU: LIV RM,BDRM,BATH ABOVE B-86966 Closed Conversion 140-126 RONALD W WELCH DET 2 CAR GAR,BATH/ Building 10/11/2005 Pass JFIT: LIV RM,BDRM,BATH Foundation ' ABOVE B-86966 Closed Conversion 140-126 RONALD W WELCH DET 2 CAR GAR,BATH/ Building Frame 5/11/2006 Pass JLAU: LIV RM,BDRM,BATH ss ABOVE J 2 of 6 /U6 �PLI w0 �L Vo c Town of Barnstable Regulatory Services Thomas F.Geiler, Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office:508-862-4038 Fax:508-790-6230 RELEASE OF ELECTRICAL PERMIT ADDRESS 295 WIANNO AVE ELECTRICAL PERMIT NUMBERS 201401949 8 Today's Date 2118114 EFFECTIVE DATE OF RELEASE 912114 Attention Bill Amara(Electrical Inspector) I Michael Fagnant release the Electrical permits for the pool and spa at the address(295 Wianno Ave). The last electrical work I have completed would be the spa Rebor bonding,and was inspected 5116114.All other work has been completed by someone else,not known to my knowledge.As of 51161141 have not performed any other work at this property. The Tandy panel and connections for all pumps and lights to the Tandy system was not installed by Michael Fagnant. r Z C) Thank You -a Michael Fagnant l Grc`k - 0 �t Town of Barnstable �o Building Department - 200 Main Street STAB . # Hyannis, MA 02601 9 MASS 1639. . (508) 862-4038 rF0 MA'i A Certificate of Occupancy Application Number: 86966 CO Number: 20070247 Parcel ID: 140126 CO Issue Date: 10130/07 Location: 295 WIANNO AVENUE Zoning Classification: RESIDENCE C DISTRICT Village: OSTERVILLE Gen Contractor: WHELCH RONALD Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: —Ie L30% vp Building Department Signature Date Signed Town of Barnstable o� Building Department - 200 Main Street ASTABLE. * Hyannis, MA 02601 MASS 9�A z639. , (508) 862-4038 rFo�° Certificate of Occupancy Application Number: 86922 CO Number: 20070248 Parcel ID: 140126 CO Issue Date: 10/30/07 Location: 295 WIANNO AVENUE Zoning Classification: RESIDENCE C DISTRICT Village: OSTERVILLE Gen Contractor: WHELCH RONALD Permit Type: RC00 CERTIFICATE OF OCCUPANCY RES Comments: /a 67 Building Department Signature Date Signed bu PARCEL ID 140 126 _ EOBASE ID 7534, ADDRESS 295 .WIANNO AVENUE , 1� + s PHONE OSTERVILL$-` " ZIP �- LOT -.. BLOCK '' LOT S'I ZE TUBA DEVELOPMENT DISTRICT CO' 4 PERMIT 86922 DESCRIPTION SIN FAM4 4 BDRM�ATT GAR PERMIT TYPE BUILDR TITLE REBUILD AFTER 1EARDOWN CONTRACTORS: WHELCH RONALD Department of ARCHITECTS: Regulatory Services TOTAL FEES: $2,068.29 BOND $.00 �tME CONSTRUCTION COSTS $466,656_•00 1101 SINGLE FAM HOME DETACHED 1' PRIVATE A. �? . �► sa>iwsTasLE, Mass t 039. 1 BUILDING`S I SION BY 0 QI,, DATE ISSUED 09/16/2005 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MFOR (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. ECH- 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS ._.fJ n, 2 2 2 �A V 3 1 EATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 2 g 3.m7 BOARD OF HE LTH CPI 2 na q— 3 6 S '? gecl/b OTHER: SITE PLAN REVIEW APPROVAL #J� PILS r2r_ to-OL-O'7 WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. y +I 74,11 I s P ARCEL ID 140- 126 �RQY"E ID 753,4 ADDRESS 295 WIANNO AVERU PHONES OSTERVILLE Z � - �` r� LOT BLOCK TAT SIZE DBA DEVELOPMENT DISTRICT CO " PEW.IT`TYPE HUILDA DESCRIPTION NEW BUILDINGRtERMIT ACCESM,BDRM,BATH ABOVE , CONTRACTOR$: WHELCH RONALD 'Re artment of ARCHITECTS:, t�l s, , Ru�a�'ory Services ' TOTAL FEES: $671.49 ,r tbND $.00 �tME CONSTRUCTION COSTS $101,680.00 '� a� .. 328 OTHER NONRESIDENTIAL BLDG 1 PRIVATE BARNSTABLE, MASS. 1639. 4 BUIL-DING:PIYISION BY "MATE ISSttD 09/19/2005 EXPIRATION DATE THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN- CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED,SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. VISIBLEPOST THIS CARD SO IT IS BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS uSiNJ ell 2 V 2�,n ra� �'"�� • 2� 0 3 1 HEATING INSPECTIO APPROVALS ENGINEERING DEPARTMENT 2 &, —O 7 BOARD OF HEALTH 2 oo� —3C r ? OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. �yR�p��-5,.�-:;�P��+�.}k�� aa �"•�X.<�a .- '�y -�zy,_� �z.o -�a-�.�a"'` �;`;—�rv: 9i P � :� �' �-f. c�♦ �„�� ,v v.. _ ° ^r �r � .�Z `"� _63�c�. 'f��• �;�`_��.rr�� et5,�!� ��.,°eAvi ��,. ��°` rr. •'�. t�� \io l a�J:r J r F// Ykr.. \}h` r `., -�a�r �+, � ..�.G?il\ � •��`'��a� a lY xiyer, r=9 •t+T..�4 d�r�� 1r} /S ` r��1 t��i�•P�'o' � w �t� •¢,,�„ti - : --•'�n:ten' � �'��"�s y'"�d n r>r�� T `f� r 0��.} i s v t` + `. 'rW --e� i�- :"��_��' eo� �r j r!'.�..:.�`�.�'\ q' � R r '� - +:� 3y.♦ `�.7�� \J�_ Y,�� "` � �. •,.. 1u�-r" i +vr �,��.of•a "4., ♦ .� M• qi�'K✓ 4„� .--2. '1 n+j+S �' a✓V s j`- ram.��fla� c•1 ,.•_f *V1 v �Et r mr.� --A' `P +�rg..✓ z :-` // '� t �.' _ Ri} ld� � a > "tea -•_�' �.✓ ".y. ��F y7v�t'��'. �. �� ,+ L lr: - ��/,�,_^> 4 •'>} �srt� � ,S"�'�� r'•-� '�� r•a ', r i:�1 1 a. b �r �-�-r � �-':.t � �e �, --.,._-bid +�,�,� °�`a ��},,� �/�`• a,.t ::=ems..a`Y3r _.__�-�•--._a:t-�-._' •=.�.a':3�. ~*i?n � '\.,Y a r• - a � u s n. -¢v t'�'� - r �<�""��d"'r-��a�•Xi�i}�ry\ta��` _��i�j�j S�-h�Y� ��'+`�`` f • TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map �y� Parcel /Z ��Application # /e � y Health Division Date Issued Conservation Division �� Application Fee d Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address "q/;WlI Village Owner le"V t ; CZ,4 FYlQ f Address �l /,44/oo w 160 '10, dw' Telephone 417 9(0� (/�3 ��D,✓ / �y /l Permit Request /� 41A7a Fro i t/�C . &4 r/o/v S �C,C�'��y !�i✓eE� ��✓. �G�G BUrLT S�yr�l�G 'r'G-'lyrtf �G-D Square feet: 1 st floor: existing proposed 2nd floor: existing .proposed Total new Zoning District Flood Plain Groundwater Overlay ..Project Valuation 030kConstruction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attaci upportiY do&gmentation. .-. :: Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 7 Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings Highway: ❑ s ❑ 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 ew Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count j Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 0 existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 0 No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name V!d-4- #SSDC . Telephone Number 52:0 771 -.34S7 Address //0 RaSIN License # CS 07032 02 400 Home Improvement Contractor# 1,4 (043(0 Worker's Compensation # WC4 02I B000 -/h ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN"F9, SIGNATURE DATE 411/0 S I`- A- 1 FOR OFFICIAL USE ONLY i APPLICATION# 3 DATE ISSUED F MAP/PARCEL NO. ADDRESS VILLAGE y' OWNER ,y DATE OF INSPECTION: FOUNDATIO.Nw; �. FRAME r INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ;K- PLUMBING: ROUGH FINAL GAS: ROUGH FINAL --., 6.J FINAL BUILDING ` s DATE CLOSED OUT s ASSOCIATION PLAN NO. �. 4 y 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 146 Parcel 1Z(o •Application# Health Division OW Date Issued ' It 3r—)jn Conservation Division /�i J. Application Fee Tax Collector Permit Fee (co7. �J Treasurer f o�30�6� ,AFL Planning Dept. (/ Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 295 W i a i%no ANC_ Village OSknj►lIe 506 2128 -4900 Owner C,harks- Tacdatnico Address 295 Wianno 4ie- OMM11010 Telephone CID Roan WeAc h C- 508— 5(PU - 5341 Permit Request iMr*n1AA D061 Li ) 9yMGB 6 Square feet`1 st floor:existinl ro osed 2nd floor:q ,gJ p pexisting— proposed Total new Zoning District `` ;= Flood Plain Groundwater Overlay Project Valuations /oO�c Construction Type Gc�y►LTE 11�-(�PQ�JIU� SW I PAMIA1 COL Lot Size 0-4 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑Full 0 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 Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal.stove: ❑Yes ❑No Detached garage:0 existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:0 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 Y10LA45-50CAMS Telephone Number 56$ -771— MS7 Address 110 R051*R.4 LA. License# CS '7433 2 "A mus � MIIA oz(061 Home Improvement Contractor# 15 2-40-7 Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO REMNED FR4'M 5 iv�: 'TkOCK 8ANOM"EM DMP06M OE VYZAPTEC SIGNATURE DATE 161 It I07 FOR OFFICIAL USE ONLY APPLICATION# MfE ISSUED '*AP/PARCEL NO. ADDRESS VILLAGE ' OWNER DATE OF INSPECTION: y FOUNDATION FRAME 5`rF-gS INSULATION FIREPLACE a ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING NR 07 /,f k*4< K )/ (f s�!o✓B�ic� c _. DATE CLOSED OUT ASSOCIATION PLAN NO. ' The Commonwealth of Massachusetts Print Form Department of Industrial Accidents Office of Investigations I Congress Street,Suite 100 Boston, MA 02114-2017 y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Viola Associates,Inc. Address: 110 Rosary Lane, Unit A City/State/Zip: Hyannis, Ma. 02601 Phone#: 508-771-3457 Are you an employer?Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 30 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 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.]t c. 152, §1(4),and we have no Swiin Pool employees. [No workers' 13.❑✓ Othermm 9 comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Acadia Insurance Policy#or Self-ins. Lic.#:WCA0218000-16 Expiration Date: 4/19/14 Job Site Address: 295 Wianno Ave City/State/Zip: Osterville, Ma. 02655 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 ertify up de e pains and penalties ofperjury that the information provided above is true and correct.Date:_--- - Si nature: -- - - - - - - - - - - - Phone#: `�� 7�/ - 3-d 7 Official use only. Do not write in this area,to be completed by city or town offlciaL 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#: f ACC> CERTIFICATE OF LIABILITY INSURANCE D/31/ATE /DDMIYY) �� 3/31/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CNA NME: or oug AC Nthbor h Construct West Eastern Insurance Group LLC PHONE (508)393-7744 FAX, IC No: 155B Otis Street AIL ADORES INSURE S AFFORDING COVERAGE NAIC# Northborough MA 01532 INSURERA-Acadia Insurance Co!q2any 31325 INSURED INSURER B: Viola Associates Inc INSURERC: BOX 389 INSURERD: INSURER E: Centerville MA 02632-0389 INSURERF: COVERAGES CERTIFICATE NUMBER:2013 Master REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDU CED BY PAID CLAIMS. INSR ADDLSUBR TYPE OF INSURANCE POLICY NUMBER MMIDDY EFF MMIDD� LIMITS LTR GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300,000 A CLAIMS-MADE a OCCUR PA0217962-16 /29/2013 /29/2014 MED EXP(Any one person) $ 15,000 PERSONAL 8 ACV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY COMBINED SINGLELIMIT 11 , 000000 ANY AUTO BODILY INJURY(Per person) $ A ALLOWNED X SCHEDULED 0217963-16 4/29/2013 /29/2014 BODILY INJURY(Per accident) $ AUTOS X NON-OWNED PROPERTY DAMAGE $ X HIRED AUTOS AUTOS Per accident $ X UMBRELLA LIAR I X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTION$ UAS047783-11 /29/2013 /29/2014 $ A WORKERS COMPENSATION X I WC STATU- OTH- AND EMPLOYERS'LIABILITY FR ANY PROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBEREXCLUDED9 a NIA CA0218000-16 /29/2013 /29/2014 (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Perry Residence ACCORDANCE WITH THE POLICY PROVISIONS. 295 Wianno Avenue Osterville, MA 02655 AUTHORIZED REPRESENTATIVE Rosemary Fulham/SED ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025 on+nnsi m Tho aroRn name and Innn nro ronicfrarorl mnrlea of Arnpi1 ! Massachusetts -Department of PublicSafet~j Board-of Building Regulations and Standards Construction-Supervisor - ---- CS-07633-2--------=e- - _ 10"Md SOYAIC PO'130X'7I6 ---�- ry West Barnstable 161A 0 J�—of Expiration Commissioner 09/05/2015 - i �f3ice of Consumer Affairs&Business Regulation License or registration valid.for individul use o my OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regullattianis Registratinp- 136._ Type: 10 Park Plaza-Suite 5170 p' =-4 ::= Supplement Gard Boston,NIA 02116 S VIOLA ASSOCIATES`T: KFAN BOYAR P.O.--BOX 389 :: '` j CENTERVILLE,MA 02632 Undersecretary ry . got valid wit hodt guature 03/25/2014 12,12 .6173308140 MEREDITH & GREW PAGE 01/01 Town of Barnstable Regulatory Services 4 =, g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner. 200 Main Sheet,Hy=is,MA 02601 www.town.barnstabla mSL s ' fax: 508-790-6230 Office: 503-862-403 8 Property Owner Must Complete and Sign This Section e ft % as Qwnes of t3he subject propettp T., V to act on my bcha]f he=cby suth0= a,-=attcas telati7e to work authotzed by this building permit (Address of Job) **pool fences and alarms are the responsibility of the applicant. Pools arz not to be-fled before•fence is instane'd and pools aze n6t't6-be utilized until all final inspections are performed aiad accepted. -r g• a of AP licant Signature of Owner per. -t?*]ar z P��_N=-. Date "Q;1;0RMs!0WN PERiZM1ONPO0i5 ' - RESIDENTIAL SWIMMING POOL BARRIER REQUIREMENTS Safety Cover/Alarms-Dwelling Exits shalt have one of the following: 1.Safety cover in compliance with ASTM F1346 or ---� 2.Alarms which sound continuously for a minimum of 30 N a seconds.Alarm deactivation switch for single entry must not last more than 15 seconds and must be>=54"(4'6")above threshold of door. Minimum Fence Height 48"(4')measured on side -r^r opposite pool + p Gate/Latch-Gate shall open away from pool and be self closing and self latching.Release Mechanism of latch shall i be>=54"(4'6")from bottom of gate.If R.M.<54"(4'6") _ 1 must be located on pool side of gate>=3"from top of gate t ± � and have no opening in gate>.5"within 18"of R.M. 3� ♦, ; e ; Rule 1-Horizontal Members spaced<45"(3'9") Vertical ♦e ♦ ♦+ ♦♦ .♦_ ♦ ♦ {F ♦♦ Members shall not exceed 1.75" • ••• i:-' /•/ •i a •i i �� 1 � ♦♦ ♦ ♦ ♦ ♦ ♦ ♦ "1 � ••�•i i1 •5 a ••♦ ♦ee ,11 1 ♦ ♦♦ ♦ ♦ ♦ ♦ ♦ ♦ ,♦.r , e. t:�� ,+ ♦ ♦ ♦ ♦ � ♦ ♦ ♦ � ♦ � ♦ ♦. Rule 2-Horizontal Members spaced>=45"(3'9")Vertical '• ':':• `•' " •' •�••' �'� +'i' ; • ♦♦♦ e♦ ♦i ♦♦ ♦♦ ♦♦ ♦♦ /♦ ♦ ♦♦ �♦ ♦♦ Members shall not exceed 4" ••• ••• •� •e0. e0•e , ♦ ♦• ° • • i♦ ♦ ♦ / ♦ • ♦ ♦� Chain Link-Maximum mesh size shall be<= 1.75" - squares _'_.. ; a�`,F':. r< �; max•; +'1"-'@ Lattice Fence-Maximum opening formed by f dimensional members<=1.75" 2"Maximum Vertical Clearance measured on opposite pool side I x ati 7w3 err, i. i y T r 1 • am . kf r F e ;y 1 WL• . t jr f, �r w 4 'All a i �` �`�`��'"'�� .��w.,:� ��a"-°cry �irw• ,. 1 � ;.�-i �., .{' `..�^}��u''W.� # °ate. '? ;.�µ .`"-•'�'* '��• .. 4_ -.i V4 (" aAt , rvr. r ek,�. ea � L�5 F Ultra-Reliable Latching System. The Life Saver Self-Closing gate uses only the most proven latch and hinge system. The Magna-Latch has been tested to more than 400,000 cycles.MAGNA-LATCH gate latches are magnetically triggered safety devices that have revolutionized the safety,reliability and child-resistance of swimming pool,childcare and household gates. The unique operating principle is brilliantly simple. As the gate swings shut, a powerful 'permanent' magnet draws a latch bolt from one housing into the other, latching it securely. No amount of shaking, pushing or pulling can disengage the latch. The concept is so advanced it boasts international awards for design excellence. The latch has been designed to meet strict international safety codes, including all codes relating to swimming pool gate safety. The dangerous problem of a gate"resting on the latching mechanism", appearing to be latched, is eliminated when using MAGNA-LATCH. The quiet and reliable latching action means MAGNA-LATCH incurs no mechanical resistance to closure, and so suffers none of the sticking,jamming and sagging problems associated with 'mechanical' gate latches. Tru-Close Hinges PATEtlrft! R tots a � Quality TRU-CLOSE gate hinges are the latest AVJVfrMfut'? AdMyrettasc� Avr fgvmd technology in adjustable, self-closing gate hinges for f6 sd swimming pools, households and other safety gate applications. These strong, revolutionary hinges are injection-molded from a special blend of glass-fiber reinforced polymers, which means they never rust, bind, wear, sag or stain. The superior strength and rust-free performance of TRU-CLOSE means the hinges offer double the life expectancy of any comparable product. The internal torsion spring is made of high-grade stainless steel to ensure smooth, powerful closure and long life, even in the harshest seaside or and environments. The patented, spring-loaded adjustor within most TRU-CLOSE hinges allows instant, incremental tension adjustment using only a screwdriver. Quick and easy! This clever adjustment feature overcomes the TRU-CLOSE hinges have been independently tested to comply with a range of international safety standards, especially those relating to pool fences and gates. The hinges are designed to outperform all comparable gate closing devices. They are the only safety hinges offering a lifetime warranty against rust or corrosion PG DAPT-2 Manual 1222081ayeut 1 5/14/09 12:42 PM Page 1 5. LOW BATTERY FUNCTION SWIMMING POOL SAFETY TIPS 6. INSTALLATION OF OPTIONAL SCREEN DOOR KIT When the 9-volt battery is low,the door alarm horn will chirp once every •Supervise children at all times. CONNECTING DOOR ALARMS LLATIO SWITCHES ON Es Installation Instructions 10 seconds--this means it is time to install a new battery,Battery life is -Never permit swimming alone.Never leave a child alone,even READ THE DOOR ALARM MANUAL FOR INSTALLATION ON ONE DOOR FIRST. THE SENSOR WIRES ARE PERMANENTLY CONNECTED TO THE DOOR approximately 1 year.Test your door alarm weeldy by opening the door to answer the telephone. ALARM.CONNECT BOTH SENSOR WARES COMING FROM THE DOOR ALARM and allowing the alarm to sound. •Always remove the entire solar Cover from a pool before TO THE SENSOR SWITCH ON THE DOOR FRAME.THEN USE THE SUPPLIED MODEL DAPT-2 SIGNAUNG swimming. JUMPER WARES TO CONNECT TO THE SCREEN DOOR SENSOR SWITCH _ MEETS UL 2017WARRANTY O r •Remember that alcohol and water safety do not mix. (SEE DIAGRAM BELOW).THE TWO SENSORS SHOULD BE HOOKED UP IN REPAIRS -Have your pool area fenced and the gate locked to prevent PARELLEL WITH EACH OTHER o ` unauthorized entry to the pool,and Install a gate alarm. •THE PLASTIC COVERS ON THE SENSOR SWITCHES a SENSOR e POOLGUARD is sold with a limited warranty to Cover defects in parts •Lock and secure all doors In the house which permit easy MAGNET MUST BE REMOVED BEFORE INSTALLATION I SENSOR —AS- and workmanship for one year from date of purchase.(Retain proof of access to the pool,and Install a door alarm. •SWITCHES GO ON THE FRAME BY THE DOOR SWITCH LISTED purchase).R Poolguard exhibits a defect,please call our Customer -Have a responsible adult teach swimming and water safety to •MAGNETS GO ON THE DOOR ITSELF-SEE PICTURE IN MANUAL , ♦-_-' � b' Service department at 1.800-242-7163.Unauthorized returns will not be your children. EQUIPMENT NEEDED accepted.Proper repair is only ensured when the unit is returned to the -Maintain dean,dear water In the pool. A.ONE DOOR ALARM AND 2 MOUNTING SCREWS pp ,_. ♦ ISO manufacturer. Visit our website at www.poolguard.com to fill out your •Do not swim during electrical storms. B.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET AND 4 SCREWS u�; I ♦ N snAu waanty registration information. •DO not permit bottles, glass, or sharp objects to be used FOR DOOR FRAME 8 DOOR ;`�' ♦ rr swrrw C.ONE SET OF SENSOR SWITCH AND SENSOR MAGNET,JUMPER WIRES, :�,,,E ♦ around the pool. AND 4 SCREWS E I'I •Ask your pool dealer how you can improve your pool _FOR SCREEN DOOR FRAME AND SCREEN DOOR ♦ N4ax safety—they will be glad to assist you. IF OYOU HAVE ANY QUESTIONS CALL US AT 1-800-242-7163 Y`V_ •Above all: remember that common sense, awareness, and MAINDOR SCREEN DOOR %NMNG caution will allow you to enjoy your pool. VNSENSsswrdDOOR ALARM Figure 1 iaa uora• Thehornis e5d6at 10feet irBiM INDUSTRIES,INC, NT P.O.Box 658 lED ' � � � �1 00 • PSSi��NORTH VERNON.IN 47265 Oa��UTaard� ww - P812J46.2648 P .7 ,n O.1 The product has been designed to aid in the detection of unwanted e JUMPER HORN intrusions into unsupervised areas. POOLGUARD DAPT-2 IS A Poo guard PBM INDUSTRIES,INC, www.pooiguard.com WIRES l SAFETY ALARM SYSTEM AND NOT A LIFE SAVING DEVICE. It MADE IN THE USA should be used in conjunction with the safety equipment currently in use ~ REV. HE Figure 5 SENSING . and should not abed existing safety procedures. WIRES ti TOWN OF BARNSTABLE BUILDING PERMIT APPLICAT, N Qc/ Permit# s I O Map ,,1�-)�• P reel l OK -- � p Health Division 1 O '` B� �NST, �O Date Issued - 5 Conservation Division 4 LI, _ , G Fee S 4 Tax Collector f ti Treasurer --- �� Planning Dept. Checked in By Date Definitive Plan Approved b Plann ingand s Approved By J Historic' r-e�en/Hyannis Project Street Address °f w wwean Avf. Village O 6TEYrvi�L E Owner VXAANdrp CnrmtE PA2TIuC-Rs LLL - Address Telephone C5a87 y 2O - 1804 Permit Request 1✓�1��lh�iT11 pnT 04 �x;srina ho��S[ Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation �� Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION �So=� 5- S3y� [�C@ Name pcl,�ALD W WELCH Telephone Number ��,>sj SG4-S722 Address $5 56 &A&,t'wE DaIyF License# lti_S. �o 8 3 4 u ATLKV 1LL•C . MA 01S._AG Home Improvement Contractor# 12 g y05 Worker's Compensation# WC2 3fS- 3VOIq-013' ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A l>Aw�i SIGNATURE Lj� DATE FOR OFFICIAL USE ONLY YERIal'NO. y , DATE ISSUED MAP/PARCEL NO. h`t ADDRESS , VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION FRAME 02I�v INSULATION � P�zl(z / FIREPLACES cs► 40 ELECTRICAL: ROUGH FINAL i PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 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):di r n Address: A(a /q7 k City/State/Zip: Ad ~Phone#: �� 57� '� '72 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. 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. $ ❑ Remodeling ship and have no employees These sub-contractors have 8. to Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition o workers' comp. insurance 5. ❑.We are a corporation and its [N 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL _ l l.❑ Plumbing repairs or additions ,and we have no myself. [No workers c. 152 comp. , §1(4) 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'camp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: - b Expiration Date: & S o(v Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to.the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under a pains andpenalties of perjury that the information provided above is true and correct: Signature: Date: Phone#: Official use only. Do not write in this area,to be completed by city,or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work,on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-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 affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permittlicense number which will be used as a reference number. In addition, an applicant that must submit multiple permittlicense 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you 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 5-26-05 www.mass.gov/dia J r °FTFIE rq Town of Barnstable °* Regulatory Services i BAItNSPABLE,MASS. Thomas F:Geiler,Director a ' �AfEo 39.i N% Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 '. Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subj�ctproperty hereby authorize 46t'jP"'/Cx Y:: to act on my behalf, in all matters relative to work authorized bythis building permit application for. �� l�Y/�fl�i✓y 4 t/c (Address of Job) 9'/4 5 ignature of Owner e Print Narne QTORMS:OWNERPERMISSION ' !'/e -Poavaaouuea�/ o�✓�aoacl�uaella ; J BOARD OF BUILDING REGULATIQNS . License: CONSTRUCTION SUPERVISOR Numbe�K....C, 083484 Bi:firJate Q7(_J.'r 1963 -/112006 Tr.no: 83484 6W - Restrtetg- RONALD W WE40 i 85 BRIGANTINE D:. 'Z� HATCHVILLE, MA Administrator i. Board of Building Regula 'o One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement,-Contractor Registration Registration: 128405 Type: Partnership Expiration: 4/5/2007 KENDALL & WELCH CONSTRUCTION DAMON KENDALL 54 KOMPASS DR. FALMOUTH, MA 02536 Update Address and return card.Mark reason for change. 4CA1 q, 50M-04105-PC8698 ❑ Address Renewal Employment Lost Cant Jlae-unit as u.49 o�✓�aa sae�auaelta 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: Registration: 128405 Board of Building Regulations and Standards Expiration: .4/512007 One Ashburton Place Rm 1301 Boston,Ma.02108 Type: 'Partnership KENDALL&WELCH CONSTRUCTION DAMON KENDALL / 54 KOMPASS DR. FALMOUTM,MA 02536 Administrator Not valid without signature J 5-18-1995 1 :A3AM FROM C MADERA 508 428 1205 p. 1 Centerville-Osterville-Marstons Mills Water Department P.O.BOX 369- 1138 MAIN STREET OSTERVILLE,MASSACHUSETTS 02655 ��`�sr �p OFFICE OF WATER i BOARD'OF WATER COMMISSIONERS WATER SUPERINTENDENT 'ry DEPT. TEL.No.508-428-6691 PAX No.508.428.3508 July 14, 2005 Town of Barnstable Building Dept. 367 plain Street Hyannis, MA 02601 Re: Account#2108 Wianno Cottage Partners, LLC Cornelius Madera 295 'Wianno Avenue Osterville, MA Gentlemen: On Thursday, July 14, 2005 we disconnected the water service at the.water main for the property mentioned above. It is our understanding that the owner plans to demolish the house, re-build and install a new water service at a later date. If you have any questions;please call our office at 508-428-6691. Very t ly yours, raig C cker Superintendent CC/jw f 5-25-1995 7:22PM FROM C MADERA 508 428 1205 P. 1 AUG-04'2005. THU 09:08 AM KEY5PAN ENERGY DELIVERY FAX We 17818904898 P. 01 KeySpan Energy OelivM 127 white,Path bogy ai'ivuy South Yarmouth,MA 02564 August 4,2005 Mr. Madera 295 Wianno Ave Osterville, MA 02655 i Re: 295 Wianno Ave, Osterville To Whom It May Concern: This fetter is to confirm that the natural gas service to the above referenced property, has been cut off and capped If you have any questions, please call 508-760-7530. Sincerely, Steve Jacobson- Field Supervisor i S-19-199S 8:39PM FROM C MADERA S08 428 120S P. 2 07i29i2.06S FRI 09:2L FAX NS?AR 2 002i002 ,q NSTAR One NSTAR Way EL ce TR/C Wccrwood.Missachus0%02090 OAS July 29,2005 To Wham It May Concern: The permanent electrical service and meters at the fallowing location have been confirmed removed: 295 Wianno Ave Osterville,MA 02655 Si icd for NSTAR lcctrlC r Jul 14 05 12: 04p COMM Water Dept. 508-428-3508 p. 2 Centerville-Osterville-ii-l.arstons Mills Water Department P.U. BOX 369- 1138 MAIN STRF.FT OSTERVILLE,MASSACHUS1sTTS 02655 OS Z p OFF)CE OF v WATER BOARD OF WNTER COh.01SSIONERS ?, DEPT. y W-OTER SUPERINIT-NDE.,NT q� TF.l...No.509--'8-649I S>ONS FAX No.50--425-3508 July 14, 2005 Town of BarnstaHe Building Dept. 367 Main Street Hyannis,MA 02601 Re: Account 42108 Wianno Cottage Partners, LLC CGentlem elius 11In er Wianno ikven e rville, MA On Thursday, Jul v 14. 2005 we disconnected the water service at the water main for the property mentioned above. It is our understanding that the owner plans to detnolish the house, re-build atld install a new water service at a later date. If you have any questions, please call our office at 508-428-6691. Very t ly yours, raig Cocker Superintendent CC;w J i i ~� 1HE The Town of Barnstable `pp BARMAT,'; E. MASS. p Department of Health Safety and Environmental Services 0 059. �0 prFD IMA Building Division - 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection J C 4 fy\ Location �j �, �.l t 0,1A Y-N c� Nx>L Permit Number 0 2 2 Owner Builder 7t�r A 1 V1 t 0 r� One notice to remain on job site,one notice on file in Building Department. The following items need correcting: Please call: 508-862-4038 for re-inspect' Inspected by '4 Date - 2 Z mAx .'�,. � •. cuDl�"l�t[`'Q'Kli. o�Aan�aR1� / ��1NtA4R� LU -mac x r�VWXOiM bktdWA 814 - 4 1.�2 �^' � ,,�. ,'� � F,�`_ �.' � ` $ _ { �' t ��:' �, - . - ! l �. - � f � �, �� '�, i .. .. � �� - . in � _.. \ .Ia .,\ M"�.� _ � 4 .'_�'. I t.. - d —_. ��• �'-� �� .� - - ,sue-�-----� } i I, _ _ . . - v ,., �.t. �'Z �. �� _ �''�� 'e'N` yr' ��: ��`. E3��_ '. I� I �� S �. - _ y. t .e. 1�,,I .�, ....� 1 i+ +�. `• �...1 w � "; 'R � � �! . _ _. _ -A��- - _ r a ---------------- Z t 2 C�Y\� t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION— ,,,o Map I L _Parcel Permit# Healtli Division ��' 14'` Date Issued Consefvation Division 9 JAOJ Fee Tax Collector Treasurer Planning Dept. Checked in By I =' Date Definitive Plan Approved by Planning Board Approved By cn I av Historic-OKH Preservation/Hyannis _ � s Project Street Address �' aLN _ Village Owner Address Telephone Permit Request Square feet: 1st floor: existing proposed 2nd floor: existing proposed I Total newer valuation Z/Z�. to oy Zoning District Flood Plain Groundwater Overlay Construction Type kyo � Lot Size S`s If 5' Grandfathered: U46s O No If yes, attach supporting documentation. Dwelling Type: Single Family Er - Two Family O Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes W4d_ On Old King's Highway: Cl Yes G-flT Basement Type:. ull O Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 3`5-'7 Number of Baths: Full: existing new Half: existing new f Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: as O Oil ❑ Electric O Other Central Air: W<es O No Fireplaces: Existing New Existing wood/coal stove: 0 Yes GNdo Detached garage:0 existing ❑new size Pool:0 existing ❑new size Barn: 0 existing ❑new size Attached garage:0 existing O'no'ew size " Shed:O existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded 0 Commercial ❑Yes O No If yes, site plan review# Current Use Proposed Use /� BUILDER INFORMATION Name 4-Al t" 4"644 ' Telephone Number Addressi' �+ie- .�� License# e - $3y Sy f1,fr,*v LLE, vLl Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO TC f2t 7-y SIGNATUR DATE FOR OFFICIAL USE ONLY PERMIT NO. t DATE ISSUED - MAP/,'PARCEL NO. ADDRESS VILLAGE -OWNER P . DATE OF INSPECTION: FOUNDATION o�l t sL p 1 f FRAME INSULATION cob 5-12— e FIREPLACE C t� `Z - l�-C� 1 S C �,r. c \ 2 -72%v (, IV ELECTRICAL: ROUGH FINAL d ¢ + PLUMBING: ROUGH FINAL GAS: ROUGH FINAL _FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. u_ RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings $100.00 f Residential Addition $50.00 Alterations/Renovations $50.00 Change of Contractor/Builder $25.0.0 FEE VALUE WORKSHEET NEW LIVING SPACE G square feet x$96/sq.foot= x.0041= !`6 37,7p- plus from below(if applicable) ALTERATIONS/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.= !--S,Y3P, 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= -: QU (number) Deck x$30.00= (number) Fireplace/Chimney �_x$25.00 (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee Projcost Rev:063004 C PROPOSED RESIDENCE SK-1 WIANNO AV-E., OSTER�VIL E,MAM _jpo GENERAL NOTES AND MATERIAL SPECIFICATIONS• FOUNDATIONS 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. Work this plan with architectural plans by others. 3. Assumed net allowable soil bearing capacity,q=4000 psf,for a compacted medium sand/gravel composition. Other soils encountered,contact the Engineer of Record. Compact backfrll soils around perimeter with a vibratory compactor. Add sand/gravel mix,as required during compaction to provide final grade. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Steel reinforcing bars: new billet steel,ASTM A-615,Grade 60. Provide 2#5 perimeter ring at top of wall,max.2"clear. b.) Anchor bolts ASTM A307 galvanized,5/8"diameter, 12"long,w/2"hook,spaced at 4'-0"o/c max.,max. P-0"from jogs unless otherwise noted c:) Welded Wire Fabric:(optional)ASTM A185;furnish flat sheets. Install in top 1"of slabs-on-grade for temperature/shnnkage crack control. FRAMIlIG 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2.Structural Design Loads: Dead Loads:Actual Weight of Building Components or Cathedral Roof= 15 psf Ceiling= 12 psf 2nd Floor= 15 psf 1``Floor= 15 psf Live Loads:Snow Load=25 psf plus drift Attic Floor=20 psf 2ND Floor=30 psf 1 ST Floor = 40 psf Wind Load=21 psf 3. Structural Steel: (as required) a. ASTM A992 Grade 50;shop'paint with rust inhibitive paint. b. Thru-Bolts: ASTM A307, 1/2"diameter,punched holes in plates:9/16"diameter. c. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. d. Deflection Criteria: IJ360 total load deflection. 4.Timber Framing: a.All new timber framing:Spruce-Pine-Fir No.2'with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c.Laminated Veneer Lumber:All L.V.L.shall be MICRO=LAM L.V.L.(M.L.)with Fb 2925 psi, E=1,900 ksi,Fv--285 psi,Fc_per=750 psi,Fc_par=3035 psi. Parallam(PSL):All PSL shall be 1.9E ES with Fb=2900 psi,•E=2,000 ksi,Fv=290 psi,Fc_per=750 psi,Fc_par=2900 psi. Note that MicroLam and Parallam may be used interchangeably. 1. Deflection Criteria: U480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approwd prior to materials purchasing. 3. All rafters and joists shall align directly with studs below,provide additional studs as required. 4. Where flush framed joists to Microlam lumber,set beam%"lower to accommodate shrinkage. 3.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified herein. 4.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise.Bolt holes in wood shall be 1/32"larger than bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 5.Blocking: a.Blocking shall be solid blocking 2xpmirivnum,and full depth of member. Ao♦♦ b.Stud Walls:provide blocking at 8-0 o/c,maximum height ►► �N OF M qS c.Nailing Schedule: p S Solid Blocking to Bearing . 2-8d toenails ea.side ®o��MICHELE Blocking Between Studs 2-10d toenails e&end,or 2-16d end-nails ea.end g TU C. m 6.Nailing Schedule: All nailing shall be in accordance with Appendix C,unless noted herein specifically. 1 00 No.34774 ; ► Multiple Studs 16d @ 12"staggered ♦ STRUCTURAL� s a.All nails shall be common wire nails. O,c 9�Q/STEP�� m b.Sub-bore where;nails tend to split wood. ► ASS Cad 7. Headers less than 4'-0",use 3-2x6;all others per MA State Building Code Table 3606.2.6. /ON AL�a k �) E vjQzA_ , Ibe-0 677 f Z 3,5 (t) VIeK4F`( FLOOR JOIST / CONTINIXIUS NAILERS ,a ATTACHED W/(F)1/2' DIAL ST1'Ul� ToP@ 2 -Tj 1/4' THRU-BOLTS 1 24' OC• N e-1/e, 0 BOLTS l�aO.C.STAGGER 1 2XtILER 8' MIN. WOOD 1 EDGE DISTANCE i L ' PL �_`=_XXV SIMPSON JOIST HANGERS L V, 5v I6`S I it I I I 1 OF()3/¢ BOLT i E14GAGE STEEL COLUMN %A ST A1 I I I TO i 2�xTI10�X �� u" OR CONQTINUOUS VALL FOOTING i RASE PAL• �X_ X_Q_I— I I W1(2__)31¢I(0 v�/ 2). "D/A x l GENERAL OT AND MAT RIA SPECIFICATIONS, 1, Structural Steel, ASTM 0. 702 shop painted w/ rust Inhibitive paint (sd 1%i ) 2, Anchor Bolts, ASTM A510(Galv,), dla, expansion - type x �__' min, embedment. I 3. All workmanship to conform with American Institute of Steel Construction and Massachusetts State Bullding Code Latest Edition requirements. 4. mns Alelds to 1pe E70xx electrodes, Shop weld cap and base plates to coluAA 5. Coordinate dll: dimenslo.ns with Architectural Drawings, and field verify ►► jHOFNj where required, S MICHEL•ES C. TUDO(� �� O No.3477 c ► STRUCTgRAL s a� 9FGISTE�� ,. ►►►P �ONAL � � 9 �Id A& STEEL BEAM CONNECTIONS MI.CHELE C. TUDOR P / TO TIMBER FRAMING 'PE TO Structural Engineer (FLUSH FRAMED) 123 Cottonwood Lane Centerville, Mlassachusetts 02632 Drawn By: MCT Date: 1 M A u r e S7 U l r Checked By: Scale: none Alt TWen W, File Name: 1NGo Project No.:7-005_ SK--. 1 1 2.0k-S.�. MICROAAM® I6.V.I6. Side-Loaded Connection 13/4"and 3'/2"Members © Multiple Members r' ASSEMBLY "A" ASSEMBLY "B" ASSEMBLY "C" SSE MBL "D" SSE BLY "E" SSEMB "F" 2_pcs. 13/," 3 pcs. 13/4" 4 pcs. 13/4" 1 pc. 13/'1 1 c. 1 /4" 2 pcs. 31 pc. 3y2" 1 c. 1/2" 1 13/4„ 2- = -- I , r 1 34 P �.�}� Maximum Uniform Load appl edto either t '*,� EXAMPLE PROBLEM outside member(Ibs. per Iift1)F ", + ; 42 1 a y •� - t [ 300 PLF t C ��1 Nailed ConnecUon'�3), �' ,,: r� Through,bolted �/ a, 430 PLF. Multiple o E F '2�6wsfl6d '`31roUi'6dv � i � °2�ows,yv A§sembly ;•commori'wlre comm'rf wire n bolts.at 24" o.c. `a (see�pictares) �ai 12';,o'.c in e $• at 12'�o c �n � t, A r'wry 420 630 _ 580 �\ :- x' :: fp SOLUTION: First, check allowable load tables to orD.(5) 320 480 440 verify that 3 pcs. can carry the total load of 730 '` `T i plf with proper live load deflection criteria. Maxi- . 0 NOT APPLICABLE 390 mum load applied to either outside member is 430 plf. For a 3 pc. 13/4" multiple assembly, 2 #~+ 280 420 390 rows 16d nails at 12" o.c. is good for only 320 plf. Therefore, use 3 rows 16d nails at 12" o.c. (good for 480 plf). Alternate: 2 rows 112" bolts at 12" o.c. NOT APPLICABLE 1120 NOTES: 1 Verify adequacy of beam in allowable load tables, page 8.5 through 8.7. 2. Values listed are for 100% stress level. Increase 15% for snow loaded roof conditions or 25% for non-snow roof conditions where code allows. 3. "Nailed Connection" values may be doubled for 6" o.c. or tripled for 4" o.c. nail spacing. 4. "Bolted Connection" values may be doubled for 12" o.c., tripled for 8" o.c. or quadrupled for 6" o.c. Bolts are to be of material con- forming to ASTM standard A307 (machine bolts). Bolt holes are to be the.same diameter as the bolt, and located 2" from the top and bottom of the member. Washers should be used under head and nut. 5. For a three-piece member, the nailing specified is from each side. 6. Beams wider than 7" require special consideration by the design professional. 7. Table assumes the total load on composite member is applied from one side only. When beam is loaded from both sides, as in the example above, the connection requirements shown may be conservative. Consult your project engineer or your Trus Joist Represen- tative for assistance (Note: 16d nails are analyzed at 105 Ibs. each, 1/2 bolts at 560 lbs. each). AA��` ►�y�H OF MASS MICHELE 9G 1 Z C. TUDOR / 00, No.34774 L/�5 AoII70D r+ STRUCTURAL ► ONAL D STD-�'�,/`'l�" ''�•••�' 8.4 REV. 4/91 E � F, Town of Barnstable ° Regulatory Services BAW Thomas F.Geiler,Director �fc Building Division Tom Perry, Building Commissioner 200 Main Street, Riyannis,MA 02601 www:town.barnstable.ma.us Office: 508=862-4038_ - 9 =r Faxc,"508490=6230- : �Y ProP a Owner Must Complete and Sign This Section If Using A Builder lt/G7,9-L 0AL- Dae,4 ...,I,.. . .. �� _..;as Owner'.6f the:subject-property. . .... ..._ hereby authorize t�.t/�L� Gye L�N - 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 Q:FORMS 0 WNERPERMISSION Permit Number RFScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheck Software Version 3.6 Release 2 Data filename: Untitled.rck PROJECT TITLE: Wianno Cottage and boat house CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) WINDOW /WALL RATIO: 0.17 DATE: 09/07/05 DATE OF PLANS: 8/15/2005 PROJECT DESCRIPTION: Single Family home with 2 car garage and detached boat house DESIGNER/CONTRACTOR: Robert Steam COMPLIANCE: Passes Maximum UA= 781 Your Home UA= 598 23.4%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Facto UA Ceiling 1: Flat Ceiling or Scissor Truss 1380 30.0 0.0 48 Ceiling 2: Cathedral Ceiling(no attic) 345 30�0 0.0 12 Walls 1st floor: Wood Frame, 16" o.c. 2511 19.0 0.0 123 Window 1: Vinyl Frame:Double Pane with Low-E 315 0.330 104 Door 1: Solid 63 0.210 13 Door 2: Glass 84 0.320 27 Walls 2nd Floor: Wood Frame, 16" o.c. 1380 119.0 0.0 68 Window 2: Vinyl Frame:Double Pane with Low-E 253 0.330 83 Floor 1: All-Wood Joist/T russ:Over Unconditioned Space 2730 21.0 0.0 120 Furnace 1: Forced Hot Air, 90 AFUE Furnace 2: Forced Hot Air, 90 AFUE Air Conditioner 1: Electric Central Air, 12 SEER Air Conditioner 2: Electric Central Air, 12 SEER i 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 REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck 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%ofthe design load as specified in Sections 780CMR 1310 and J4.4. l Builder/Designer l/ L�- Date REScheck Inspection Checklist Massachusetts Energy Code REScheck Soffware Version 3.6 Release 2 ' DATE: 09/07/05 I f PROJECT TITLE: Wianno Cottage and boat house Bldg. t Dept. Use I I I Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation j Comments: [ ] I 2. Ceiling 2: Cathedral Ceiling (no attic), R-30.0 cavity insulation Comments: ' I Above-Grade Walls: [ ] I 1. Walls 1st floor: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: [ ] I 2. Walls 2nd Floor. Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: f I Windows: r [ ] 1. Window 1: Vinyl Frame:Double Pane with Low-E, U-fictor: 0.330 r For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ] Yes [ ]No Comments: [ ] I 2. Window 2: Vinyl Frame:Double Pane with Low-E, U-fictor 0.330 For windows without labeled U-factors, describe features: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: I Doors: [ ] I 1. Door 1: Solid, U-fictor: 0.210 Comments: [ ] I 2. Door 2: Glass, U-fictor: 0.320 Comments: t I Floors: [ ] I 1. Floor 1: AlI-Wood Joist/Truss:Over Unconditioned Space, R-21.0 cavity insulation Comments: I ' Heating and Cooling Equipment: [ ] I 1. Furnace 1: Forced Hot Air, 90 AFUE or higher Make and Model Number [ ] I 2. Furnace 2: Forced Hot Air, 90 AFUE or higher Make and Model Number [ ] 3. Air Conditioner 1: Electric Central Air, 12 SEER or higher Make and Model Number [ J I 4. Air Conditioner 2: Electric Central Air, 12 SEER or higher Make and Model Number I Air Leakage: [ ] I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope, recessed lighting fixtures shall meet one ofthe allowing requirements: 1. Type IC rated, manufactured with no penetrations between the inside ofthe recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfin (0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/112 pressure difference and shall be labeled. I Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented fiamed ceilings, walls, and floors. I Materials Identification: [ ] I Materials and equipment must be identified so that compliance can be determined. [ ] I Manus manuals f r all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values, glazing U-factors, and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. I Dud Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I Dud Construction: [ ] I All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ J I The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] I Thermostats are required fDr each separate HVAC system. A manual or automatic means to partially restrict or shut offthe heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity ofthe heating/cooling system is not greater than 125%ofthe design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. • I Swimming Pools: [ ] I All heated swimming pools must have an on/offheater switch and require a cover unless over 20% ofthe heating energy is from non-depletable sources. Pool pumps require a time clock. I Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 OF or chilled fluids below 55 IF must be insulated to the levels in Table 2. Table 1: 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 141 to 1„ Un 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 Pb en Sizes Pining System T3Mes Ranee(F) 2"Runouts V and Less 1.25" to 2" " Beating 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(fflr fred 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) r W. t. Town of Barnstable Regulatory Services &UMSTABM Thomas R Geiler,Director rE 1639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, lye"I- -- x C7%i4 , as Owner of the subject property hereby authorize �p�y.� -' tV t F(.�i f to act,on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) Signature of Owner a Print Name Q:FORMS:O WNERPERMISSION ✓� -P� �✓�aaaacluaett BOARD OF i BUILDING REGULATIONS. Licensd: CONSTRUCTION SUPERVISOR Number: CS 083484 Birthdate: 07/11/1963 - - Expires: 07/11/2006 Tr.no: 83484 i Restricted: 00-:_:.,__, RONALD W WELCH 85 BRIGANTINE DR ( �- HATCHVILLE, MA 02536 Administrator Board of Building Regula 'ons and Standards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Nome Improvement Contractor Registration Registration: 128405 Type: Partnership Expiration: 4/5/2007 KENDALL & WELCH CONSTRUCTION DAMON KENDALL - 54 KOMPASS DR. - ------ -- -- FALMOUTH, MA 02536 _...... Update Address and return card.Mark reason for change. 3-CA1 v 5QM-04!05-PCe698 Address Renewal Employment Lost Card �a ✓/e '6.1010114Y eallli �-- \__ Board of Building Regulations and Standards License or registration valid for individul use only -' .O HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ,.� Registration: 128405 Board of Building Regulations and Standards Expiration: 4/5/2007 One Ashburton Place Rm 1301 Type: Partnership Boston,Ma.02108 KENDALL&WELCH CONSTRUCTION DAMON KENDALL 54 KOMPASS DR. GL._.,,,-��y�.,✓ �lYi�YI:��- ,, ,�', .,.:��.,. � ,<.. FALMOUTH.MA 02536 Administrator Not valid without signature �-- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street • Q Boston,M4 02111 www.mass.gov/dia -Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/organization/Individual): O ebl Address:_ . k tf' City/State/Zip: Aq�.Vel/- ^gyp/ Phone#: -722 Are you an employer? Check the appropriate pox: Type of project(required): 1.❑ I am a employer with 4- am a general contractor and I 6. 10 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 $ ❑ Remodeling ship and have no employees These sub-contractors have 8.-J�JDemolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition ' comp. insurance 5. ❑ We are a corporation and its [No workers 10.❑ Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' .3.[:] Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information' t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy anal job site information. Insurance Company Name: Zilltlk Policy#or Self-ins. ADO h l xpiration Date: Job Site Address: City/State/Zip: (!6TE)2Vl j��_ 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi ins and penalties of perjury that the information provided above is true and correct Si atur . / Dater Phone#• Official use only. Do not write in this area,to be completed by city.or town official. City or Town: Permit/License# i 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 r 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 deehirA tb he-anwnployer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary, supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners) are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies,should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. 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 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 5-26-05 www.mass.gov/dia o�IKKE Town of Barnstable Regulatory Services. ` &ARNSTABIAMAM Thomas F. Geiler,Director 0 Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN _ N REVIEW Owner: 114 � G 2 e_. Map/Parcel: 140 2 j-'avz-viQr s L L Project Addres�.._a_1 (kl> nI, �,v,Builder:K2yt cb . 1( -"-(-A)e( G 1. The following items were noted on reviewing: 1ACL 2�aalrlQ-Q-�-QA U M S MI lr 4 �rcv d I'LJGQ� �7e`1 �u 'S 0'ev, (�ow ave- \ n S ` b Reviewed liy: Date: Nov 01 2007 3: OOPM BUYER BROKERAGE OF OSTERV 15084204450 P. 1 NOV-1-2007 03:22P FROM:PINE HMBOR 5087717070 TO:715084204450 P.1'1 , y wn of Bari ble egulatory Sc �'ces -mj Ur i = Thomes$,Gei2er,I for Sol— Building Div' 111. >n ?.�!CJl �aU� -2 f'i� 3, 54 T Perry,Bugdldg c J stoner 2 oin Street; Hysani 8 02601 .tawn.barnsta e.us Office: 508462-4038 v'y Fax: 508.790-623( W . SHED CdSTRATION . 120 si are feet or less Loc n of shad(address) Village , f. i Prope owner's name — Telepbo. . .qmber Size of Shed r Si Date E , HYaw H Main ftect Waterfront Histaric Distri l ' Old ' g';HlgbwayMstoric District Camrnissi jurisdiction? E r . Coma atlnn Commission(signature is requir l i Sign o boars for Conservation S.00.9:30& 0-4:30 a � PLEASE NOTE'. IF YOU AR$ THE JII mIC� tT OF ANY OF THE ABOVE COMMLSS[ONS,TIME MAYBE REVIEW PROC ND APPLICATION EPEE. PLEASE SU THE+APPROPHUTE ON20SMN FO AILS. 3 t S FORr.MUST E ACCO 1 WMD BY A lPL PLAN . f Q-ftma-0 icdmg >�voaas s f4 i SST CENTERVILLE-OSTERVILLE-MARSTONS MILLS FIRE DISTRICT DEPARTMENT OF FIRE-RESCUE&EMERGENCY SERVICES 1875 Route 28•Centerville, MA 02632-3117 1926 508-790-2375 x1 • FAX: 508-790-2385 John M.Farrington,Chief Martin O'L. MacNeely, Fire Prevention Officer Craig E.Whiteley,Deputy Chief Francis M. Pulsifer, Fire Prevention Officer October 1, 2007 W Thomas Perry- Building Commissioner Town of Barnstable 200'Main Street Hyannis, MA 02601 Dear Commissioner Perry: Pursuant to MGL Chapter 148 Section 28A, I am making you aware and request your interpretation of an apartment without secondary means of egress at: 295-B Wianno Avenue Osterville; MA While on a fire alarm inspection at this address, I observed an apartment over the garage in the rear of the structure. The apartment has a bedroom, living room and bathroom. There is no secondary means of egress from the unit as required by 780 CMR 3603.10.1. There is an open building permit for the structure. Please contact me with any questions you have relative to this situation at 508- 790-2375 Ext.l. Thank you for your attention to this issue. s f P a Sincerely, o CD —_—_ e 7 Francis M. Pulsifer Fire Prevention Officer r� w Cc: Robin Giagregorio "Commitment to Our Community" 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): Address: 110 RasftR ( LAj. City/State/Zip: Nftjt41S F 0�11�} Q 2tad 1 Phone.#: 5� - '�71- S? Are ou an employer? Check the appropriate box: Type of project(required):. 1.[ I am a employer with Q O 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6.: New construction . 2.❑ I am a"sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in an capacity. employees and have workers' Y P ty #. 9. ❑Building addition [No workers' comp.insurance comp. insurance.t' Electrical repairs or additions required-] 5. ❑ We are a corporation and its ❑ P 3.❑ I am ahomeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MG!, 12.❑Roof repairs insurance,required.]t c. 152, §1(4),and we have no employees. [No workers' . 43.[Other �N�I)N D comp. insurance required.] , 6VM11r_ M A& FML- *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached en 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. lam an employer that is providing workers'compensation insurance for my employees. Below islhe policy and job site information. Insurance Company Name: Q C14D 1 A 1/115. Co , Policy#or Self-ins.Lic.#: yJ CA O 2 $000 Expiration Date: 2 Job Site Address: Za S W 1&?1,/ A- AtOC City/State/Zip: 0STFAM 1 LL 1 MIA 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 maybe forwarded to the Office of Investigations of the bIA for insurance coverage verification. I do hereb"certify u er the pains-andpenalties ofperjury that the information provided above is true and correct: Sienature: Date: D I/ Phone 77) — S 7 7 - S- Official use only. Do not write in this area,'tb be completed by city or town ojficiaL 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#: KITTREDGE INSURANCE AG Fax:5083936983 Jul 26 2007 01:Q1pm.P002/002 f AC;QN , Ur—K I I1—It:A I t Ur. LIAtSILI I Y INSUKANGE CSR Cu VIOLAA5 07 26/07 PRODUCER THIS:CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS"NO RIGHTS UPON THE CERTIFICATE Kittredge Insurance Agency Inc HOLDER.THIS CERTIFICITE DOES NOT AMEND,EXTEND OR 155a Otis St. , P.O. Box 1129 . ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. r;orthboro MA 01532. Phone: SOB-393-7144 Fa -.508-393-6983 INSURERS AFFORDING'CqVERAGE NAIC# INSURED INSURERX Acadia InlI urance Company 31325 INSURER B: contlncntAl FosCeru.Ins. Co. 10804 Viola Associates Inc. INSURERC; Box 389 INSURER D: I Centerville MA 02632-0389 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED 9ELOW.HAVE BEEN ISSUED TOTHE:INSURED NAMED ABOVE FOR THE.POLICY.PERIOD INDIt ATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT VAN RESPECT TO WHICH THIS_CERTIFICA .MAY BE-ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES.DESCRIBED HEREIN IS SUBJECTTO.ALL'THE TERMS,EXCLUSIONS Al ID CONDmONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1 LTR NS TYPE OF INSURANCE POLICYNUMBER DATE MM/DD.POLICYCrM DATE MMIDD LIMITS GRNBRAL LIABILITY EACH OCCURRENCE I s 1,000,000 A X COMMERCIAL GENERAL LIABILITY CPA0217.962 04/29/07 04/29/0� PREMISESEmm s250,000 'CLAIMS MADE .C'OCCUR. i .'MED EXP(Anyone Par—) s 5,O 00 s 1,000, . .PERSONAL&ADV INJURY 000 GENERAL AGGREGATE s2,000 000 ' GF-WL AGGREGATE LIMIT APPLIES PER:' "POLICY:X JECT LOC PRODUCTS-COMPIOP AG'0 4 rO OO 000 I IEMP Ben. ' 1,000,000 AUTOMOBILE 1.IAMUTY - A ANY AUTO MAA0217963 04/2.9/07 04/29J0p COMBINED SINGLE LIMIT $1,000;.000 ALL OWNED AUTOS I ! BODILY-INJURY SCHEDULED AUTOS I .(Perpww) I$ X HIRED AUTOS 1 BODILY INJURY I$ X.'NON-OWNED AUTOS a (Perarade� PROPERTY DAMAGE S � (Par ecdaent) GARAGE LIABILITY 1 AUTO ONLY-EA ACCIDENT ' $ ANY AUTO . OTHER THAN EA ACC S AUTO ONLY. AGG S . EXCESS/UNBRELLII LIABILITY { EACH OCCURRENCE _ OCCUR CLAIMS'MADE AGGREGATE S S . `DEDUCTIBLE i s RETENTION 4 $ WORKERS COIaPEN9AT10N AND Fi TORCST T LIMITS ER EMPLOYERS'LIABILITY $ - ANY PROPRIETORlPARTNER/EXECUTNE wcA02.18000 7 04 04/2.9/0 ' 29/0E.L.E. EAC14ACCIDENT s 500000 / OFF)CERIMEMBEREXCLUDED9 i EL DISEASE-EAEMPLOYEE S 500000 :SP�CFYy` P � :F-LDISEASE•POUCYLIMIT-;-S500000 IAIPROVJS10NS:below......----- . :_:._ .. ,-.,- --:...:..__...-- OTHER a , DESCRIPMON.OF:OP2 AYION5I LOCATIONS/VEHICLES/EXCLUSIONS ADDED 13Y ENDORSEMENT/SPECIALPROVISION5 .:CERTIFICATE HOLDER CANCELLATION y SHOULD.ANY OF.THEABOVE DES(RIBEDPOLICIES:BECANCELLEn BEFORE THE EXPIRATIO'N )4M-IHF.TEOF,THE:ISSUING.IN RERWILLENDEAVORTOMAIL.20 DAYS I'URrTTTaN' TOWN OF 9ARNSTABLE NOTICETOTHECERTIF.ICATE•HO ER•NAmEDTOTHELEFT,BUT:FAILURET0n0'805NALL. BUILDING DEPT 200 MAIN ST IMPOSE-NO OBLIGATION_OR LIABI TY OF ANY KIND UPON THE INSURER,.fTS'A6ENTS OR HYANNIS, MA 02601 ,REPR ATIVES: AUTH REPRES T1VE ACORD 25(2001/D8) I 0 ACORD CORPDRATION 1938 07/10/2015 01 :23 FAX 5084284907 Z 001/001 Sep. 19. 2001. 1.1 ; 36AM Viola—Associates No, 0262 P. 2 Town of Barustable. 1 , i Regulatory, Services MAM sell, Thonin X Geller.Director Building Alvfeion Tom perry, mulldlag COMMUdoner ` 200 Mda sabot, RP=is,'MA 02601 w•r�tiv.tot�n.bernetableana.ua MOO; 308-80-.403 8 Pax; 50-790.6230 Property Owner Must Complete and Sign This Section If Using ABUilder as Owner of the subject prop / hertbYauthoriu to act on my beb4f, to in all masters r+el�tive ' wok authorized by tivs butld�g p�application for . ay . . s o Jo Suture of Ohcner rust N&= �t . a7ro�za�uuea�i ✓�aaaac�uaeka toard of Building Regulations and Standards Construction Supervisor License License: CS 76332 Birth�t:L'9/.5/1960 M' EzpiFaUort-�2009 Tr# 4218 i h Restrinicti c�0:0 KEVIN BOYAR j PO BOX 716 i W BARNSTABLE,MA 02668 Commissioner . GT1 �✓G Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration 5622 t Exp!ration'=4726/2009 Tr# 255175 !J Type,MPndividual KEVIN M BOYARy�M% � KEVIN BOYAR 1050 MAIN ST W BARNSTABLE,MA 02668 Administrator P�pE �ojf� Town of Barnstable Regulatory Services ygThomas F.Geiler,Director `�ArEorp`• Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: 6rVAJ/7E_ /N -il�s(OUAJV 7!?Z Estimated Cost 'Po'c C. Address of Work: oZ 95- A) i3 VAI& A AE . 057F-gula-C Owner's Name: p94-D*,(//C0 Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit 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: > /1§-7 /lpEr 's C s 76 .332 Da a Contractor Name Registration No. OR Date Owner's Name Q:fomis:homeaffidav Poolguard-Door Alarm Page 1 of 1 ooi u®rld® r � MADE IN USA MODEL: DAPT Door Alarm 'sins ME . �� VINE m1k POOLGUARDIPBM INDUSTRIES,INC.has been UL Listed under UL 2017 manufacturing pool alarms,door alarms,and gate Important Safety Feature alarms since 1982.All Poolguard products are proudly Complies With Building Codes Made in the USA.Poolguard Door Alarms comply with •Simple To Operate all building codes and are UL Listed under UL 2017.The •Automatic Reset majority of children that drown in pools go out the back Battery Powered door first and Poolguard's Door Alarm can help protect Easy To Install those doors. Affordable Price Pass Through Feature For Adults •Low Battery Indicator Horns are 85 dB at 10 feet POOLGUARD DOOR ALARM To find out more information about Pooltivard's Door Alarm model DAFT UL#55650,click Here The Door Alarm will sound in 7 seconds . Optional screen door kits can be when a child opens the door,and the purchased for the alarm,this kit allows alarm will continue to sound until an adult you to get air through your screen door comes to the door and resets the alarm. without the alarm sounding. • Poolguard Door Alarm will sound in 7 Poolguard Door Alarm uses one 9-volt seconds even if a child goes through the battery,(not included)with a battery life door and closes it behind them. of approximately one year. • The Door Alarm is always on and will . The Door Alarm is equipped with a low automatically reset under all conditions. battery indicator that will audibly alert you when your battery is getting low. Poolguard Door Alarm is equipped with an adult pass through feature that will Poolguard is the only door alarm that is allow adults to go through the door UL listed under UL2017 for water hazard without the alarm sounding. entrance alarm equipment. 1 Year Warranty---No.1 In Customer Service 1-800-242-7163 F1 Door Ala_m PDF.manuat <<HOME•In Ground Pool Alarm•Above Ground Pool Alarm•Gate Alarm•Door Alarm•Contact Us•Buy Poolguard http://www.poolguard.com/door.html 10/11/2007 ry � ti ,ram e �." x 'T" r, ♦ I - - all �_ � tS ow. - ram+%" � � ,�• _ _ ,� �'� �-'+. :� ;• ��S!? -..� � � �. _,,3ti�:Y.�s JL wir if 411. -,� �`!fie. � �r 'C 1 r r _ f� � yn h. �•. : lt�tv s fil -o .y l Y .tip +, ! + ii;r ., � ilk • 1 N. Y l" •• ` Yx- .,. ya, - r+.- j ,may. ^•� r8b _.e! �;y,r it ^`;,1 �,,4 {•a e .t 1 r ! o ,x �';'� .�` ! '� r 17:. Vf — i 1! .•.+< - + - _ _ �� .�i l„�,,,1'^ t ., r.. �' .R'•1_. „-. IN - L, _ ` - �.� '� r 7 �y.y �'k.s • 'y J . 3 - lk , •y�,�'` -, x�} - �-. ti,� .. -� v 9 ��W +d� ` La ` <.�-...J r r 1r'ri,,,+-T""+k�� 41. N,.. oFIKKE Town of Barnstable - �� Regulatory Services + BARNSTABLE. v MASS. Thomas F. Geiler, Director �A i63q. �0 tE039 p Building Division Thomas Perry, CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 March 20, 2008 Wianno Cottage Partners, LLC 27 Thyme Lane' Osterville, MA 02655 RE: Shed Permit for property located at 295 Wianno Avenue, Osterville, MA 02655 Permit #200706997 Sirs/Madams, Please find the enclosed Shed Permit.dated November 8, 2007. We have attempted to contact you on several occasions. This permit has been paid in full; therefore we are sending it to the address on record. If you have any questions, please contact us at(508) 862-4038. Thank you. C Nettie Berkeley Building Division Clerk Q:\WPFILES\NettieB\Permit Enclsd.doc x • TOWN OF BARNSTABLK _ lit G S3 MASS. 9� 039. YJ Application Ref: 200706997 20072788 Issue Date: 11/08/07 Applicant: WIANNO COTTAGE PARTNERS LLC Proposed Use.: MULTIPLE HOUSES ONE PARCEL Permit Type: SHEDS 120 SQ FT &UNDER Permit Fee $ 25.00 Location 295 WIANNO AVENUE Map Parcel 140126 Town OSTERVILLE Zoning District RC Contractor PROPERTY OWNER Remarks 1OX12' Owner: WIANNO COTTAGE PARTNERS LLC Address: 27 THYME LN OSTERVILLE, MA 02655 Issued By: A .....::;.:::::. ...::: : .:. ::..::::. ..... .. .. POST.T ARD:::S. : THAT:. SY:TB E �'.10 .:: :> REE'T` I C O S ... .. .. ..... .. .x...._.._.._.. .... .. . _5.... . ................ .. .... _ . . . . .... .. .. . TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION A4g Map " I!o-/2-6 Pa ceI Permit# (� q � Co Health DivisionJ�� RUJ �� Date Issued - -O Conservation Division Z df Fee u Tax Collector SYSTEM p(IS?ING,S Treasurer uMITED TO OF BEDROOM Planning Dept. .3 hecked in By Date Definitive Plan Approved by Planning Board Approved By Historic-OKH Preservation/Hyannis Project Street Address95' Village STE��GL� Owner /�i .�,,.a �'�� ,QTNt�s Z_Le- Address Telephone Permit Request r&„i iT) l?�,,,tz.�E d,— Square feet: 1st floor: existing proposed 2nd floor: existing proposed 00 Total new Valuation Zoning District Flood Plain Groundwater Overlay Construction Type '7c Lot Size/,7 Grandfathered: es ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑�o Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other 15 1_4!!�3 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) O Number of Baths: Full: existing new ,� Half:existing new Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: L9'Gas ❑Oil ❑ Electric ❑Other Central Air: &Ye"s' ❑ No Fireplaces: Existing New_ Existing wood/coal stove: ❑Yes �No Detached garage:❑existing whew sizeJYX3o 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 l a No If yes, site plan review# Current Use Proposed Use J BUILDER INFORMATION Name� LZI Telephone Number ( CA) S'�14- 27j? Address �S�.�Rtif. d2; License# 0234S�j IJAk9le[/e 114,9 =S36 Home Improvement Contractor# 123405' Worker's Compensation# WC- 331-,535'1-775g0/S ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4A9.i/,c ALA A SIGNATURE DATE q�//cam FOR OFFICIAL USE ONLY PE14MIT NO. 15ATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME S O& INSULATION FIREPLACE ;� O ELECTRICAL: RolG FINAL PLUMBING: FINAL GAS: IrU�I FINAL I�i�jj m FINAL BUILDING ca DATE CLOSED OUT • ASSOCIATION PLAN NO. .� { RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE , New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 Building Permit Amendment $25.00 'EE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= 2 x.0041= l )2`1/1 9 . ) 7- plus from below(if applicable) ALTEPUTIONSMENOVATIONS 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 _ _.5 2 x.0041= 4A 1 ACCESSORY STRVCTURE>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 o Open Porch _,x$30.00= (number) Deck x$30.00= (number) Fireplace/Chlmney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) permit Vee Projcost Rev:063004 .Qv_ Town of Barnstable Regulatory Services sysT^HUB, _ Thomas F.Geiler,Director nsass. i639. a`° Buildin Division rFo�r g Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 ` ' Fax: 508-790-6230 - Peinrit no: Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION i MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with'other requirements. Type-of Work:_==l7 U/ t+et(t7l;) 6L',4ge A4 : Estimated Cost . 00 Address of Work: Gir_%��4,A-i�r/ ✓r DS7 F7ei/LC C Owner's Name: 10/C 4 L M v¢Q oed Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000. OBuilding 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: > $ ALL 416-&1-1. leea^CJ",t /0-1 co/ D g Dat Contractor N e Registration No. OR Date Owner's Name Q:forms:homeaffidav 25- t ,cco � te��,r� uQ .�� Co y z b 2 . x — 441 , lAt I i I i i �i � � o� l� Town of Barnstable ° Regulatory Services i Thomas F.Geiler,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www:town.barnstable.ma.us Office: 508=862-4038.; _ _ - ".� z: L= Fax,`°508`-790=62>30 > ` _ .ry Property Owner Must Complete and Sign This Section If Using A Builder /1ie4 L pt,4 D&2.4 _- as Owner of the subject property. = . hereby authorize ,Rclys4t_y to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) SSl3Z.Aos- Signature of Owner Date Print Name Q:FORMS:OWNERPERMSSION _ J �lze TDomvnza�u'uea�a�✓uccaaac�ucael�4 ' BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR ; AA J I Number: CS 083484 Birthdate: 07/11/1963 Expires:07/11/2006 Tr.no: 83484 '-� -- Restricted:-0014t RONALD W WELCH 85 BRIGANTINE DR F-2"-- - HATCHVILLE, MA 02536 - Administrator Board of Building Regula 'ons and Standards U. One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 128405 Type: Partnership Expiration: 4/5/2007 KENDALL & WELCH CONSTRUCTION DAMON KENDALL 54 KOMPASS DR. -- -- --- FALMOUTH, MA 02536 Update Address and return card.Mark reason for change. 3-CA1 0 5OM-04/05-PC88698G / Address E] Renewal Employment Lost Card p� ✓lte •(uo��a��cu�c�ueacG/6 u�✓!"�.a;f�ic�t[lve�d 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: Registration: 128405 Board of Building Regulations and Standards Expiration: 12840 One Ashburton(Place Rm 1301 T Boston,Ma.02108 Type: Partnership KENDALL&WELCH CONSTRUCTION DAMON KENDALL 54 KOMPASS DR. � I �%�_�- 7,��p FALMOUTH,MA 02536 Administrator Not valid without signature + Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheck Software Version 3.6 Release 2 Data filename: C:\Program Files\Check\REScheck\Boat house 295 wianno.rck PROJECT TITLE: Boat House Garage CITY: Barnstable STATE: Massachusetts HDD: 6137 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other(Non-Electric Resistance) WINDOW /WALL RATIO: 0.26 I DATE: 09/02/05 DATE OF PLANS: 8/15/05 PROJECT DESCRIPTION: 24x29 stricture DESIGNER/CONTRACTOR: Kendall and Welch Construction COMPLIANCE: Passes Maximum UA= 122 Your Home UA= 97 20.5%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor A Ceiling 1: Flat Ceiling or Scissor Truss 635 30.0 0.0 22 Wall 1: Wood Frame, 16" o.c. 375 49.0 0.0 15 Window 1: Wood Frame:Double Pane with Low-E 96 0.340 33 Door 1: Solid 21 0.040 1 Floor 1: All-Wood Joist/T russ:Over Unconditioned Space 776 30.0 0.0 26 Furnace 1: Forced Hot Air, 90 AFUE Air Conditioner 1: Electric Central Air, 12 SEER COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the Massachusetts Energy Code requirements in REScheck Version 3.6 Release 2 (formerly MECcheck) and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. The heating load for this building, and the cooling.load if appropriate, has been determined using the applicable Standard . !n REScheck Inspection Checklist Massachusetts Energy Code REScheck Software Version 3.6 Release 2 DATE: 09/02/05 PROJECT TITLE: Boat House Garage Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1: Flat Ceiling or Scissor Truss, R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] I 1. Wall 1: Wood Frame, 16" o.c., R-19.0 cavity insulation Comments: I Windows: [ ] I 1. Window 1: Wood Frame:Double Pane with Low-E, U-factor: 0.340 For windows without labeled U-factors, describe£atures: #Panes Frame Type Thermal Break? [ ]Yes [ ]No Comments: I Doors: [ ] I 1. Door 1: Solid, U-factor: 0.040 Comments: I Floors: [ ] I 1. Floor 1: All-Wood Joist/Truss:Over Unconditioned Space, R-30.0 cavity insulation Comments: � I Heating and Cooling Equipment: [ ] I 1. Furnace l: Forced Hot Air, 90 AFUE or higher Make and Model Number [ ] I 2. Air Conditioner 1: Electric Central Air, 12 SEER or higher Make and Model Number I Air Leakage: [ ) I Joints, penetrations, and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope, recessed lighting fixtures shall meet one of the fbllowing requirements: 1. Type IC rated, manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated, in accordance with Standard ASTM E 283, with no more than 2.0 cfin (0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or L57 lbs/#2 pressure difference and shall be labeled. I f Vapor Retarder: [ ] Required on the warm-in-winter side of all non-vented flamed ceilings, walls, and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. [ ] Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] Insulation R-values, glazing U-factors, and heating and cooling equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] Ducts shall be insulated per Table J4.4.7.1. Duct Construction: [ ] All accessible joints, seams, and connections of supply and return ductwork located outside conditioned space, including stud bays or joist cavities/spaces used to transport air, shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] The HVAC system must provide a means fDr balancing air and water systems. Temperature Controls: [ ] Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut offthe heating and/or cooling input to each zone or floor shall be provided. Heating and Cooling Equipment Siang: [ ] Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. Circulating Hot Water Systems: [ ] Insulate circulating hot water pipes to the levels in Table 1. Swimming Pools: [ ] All heated swimming pools must have an on/offheater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] HVAC piping conveying fluids above 120 OF or chilled fluids below 55 OF must be insulated to the levels in Table 2. I i Table 1: 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 ILP to V Up to 1.25" 1.5" to 2,011 Ova 2" 170-180 a 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 Si= Pining System Types Range(F) 2" Runouts 1" and Less 1.25" to 2" "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) r 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 I i The Commonwealth of Massachusetts Department of Industrial Accidents ^ Office of Investigations 600 Washington Street s Boston,MA 02111 �•J www mas&gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business/Orpnization/Individuan: �4 '�L� £W��1f L••us/r��f ens . Address:_ �� fox I�f78 i✓, ><x ,tl r4A G��S'� City/State/Zip: Phone sy, S 72Z Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4.ZLam a general contractor and I 6. ZNew construction employees (full•and/or part time).* have hired the sub-contractors listed on the attached sheet$ ❑ Remodeling 2.El am a sole proprietor or partner- , ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein any capacity, workers' comp.insurance. g• ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL ILE] Plumbing repairs or additions myself:[No workers' comp. c..152,§1(4),and we have no 12.❑ Roof repairs insurance r t employees. [No workers � ed], 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: `• t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp:policy infor * tion I am an employer that is providing workers'compensation insurance for my employees.•Below is the policy and job site. information.Insurance-Company Name: z1ZIPrA Policy#or Self-ins.Lic. #: C-231-5 3,W--77yojs' Expiration Dater �ID 7 Job Site Address: 2q S W�9NN0 �f City/State/Zip:, (jAr4i2k. zdA OAS•$ 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,.0Q 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 maybe forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby certi ie p ' and penalties of perjury that the information provided above is true and correct: Signatur . Date: Phone#: 2 Z; Official use only. Do not write in this area,to be completed by city or town officiat 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' under for theirctm plooy hire, , Pursuant to this statute, an employee is defined as ...every person m the service of an Y express or implied,oral or written." association,porporationor other legal entity,or any two or more An employer is defined aa.:an npdivedleal,.;patuerslup;: . . . 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,p artnership, association or other legal entity,employing employees. Howev..er:tl�e 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 woiktin such dwelling house or el 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 rommonwealtli for any applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." 25C 152 ter , states `Neither the commonwealth nor any of its-political subdivisions shall Additionally,MGL chap .. § (� . enter into any contract for the performance of public work until acceptable.'evidence of compliance with the insurance Iequirements 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 numbers) along with their certificates)of es (LLC)or Limited Liability Partnerships(LLP)with no employees other than the insurance. Limited Liability Compani members or partners, are not required to carry workers compensation insurance. If an LLC or LLP does have policy is required. Be advised that this affidavit may be submitted to the Department of Industrial employees a p Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain.a workers' compensation policy,please call the Department at the number listed below. Self-insured . companies should enter their self-insurance license number on the appropriate lime. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the botm 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/hcense number which will be used as a reference member. In addition, an applicant t/license applications in any given year,need only submit one affidavit indicating current that must submit multiple Permi 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 pemut�.orlicenses..Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lille 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 9f JUVestigations . ,• 600-Washingf on.S eet� . Boston,MA 02.111. Tel. #617-7-27-4900 ext 406 or 1-.877-MASSAFE Fax#617-7274749 Revised 5-26-05 wwwmass.gov/dia i OFINE rqy, Town of Barnstable do r r Regulatory Services r snr ie'MASS. Thomas F.Geiler,Director MASS. ''OrF039.�p � Building Division Thomas Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 I July 29, 2010 Viola Associates Kevin Boyer 110 Rosary Lane Hyannis, MA 02601 Re: 295 Wianno Ave. Osterville Dear Mr. Boyer, It has come to our attention that permit #200706574 for a pool at the above referenced property has not had a final building inspection or a final electrical inspection. The electrical permit has expired due to inactivity and a new one must be obtained by the electrician. In order to avoid further action please obtain the required inspections. If you have any questions please call. Sincerely d*Lva uzon Building Inspector 508-862-4034 q/jenkins TOWN OF BARNSTABLE BUILDING`PERMIT APPLICATION i Map-,. ( �0 Parcel Application.# Health Division Date Issued Conservation Division Application Fee . Planning Dept. BUILDING DEPT. Permit Fee Date Definitive Plan Approved by Planning Board A nn 1)� 7(11f I nj I% v "•O Historic- OKH _ Preservation / Hyannis 0 l_ TOWN OF BHni 151mij - QVI l I Ill Project Street Address L.--v! /I✓ Cp 1l Village OS el'i/!!l4e Owner ��/tL-e4 ��/��L/ Address Telephone Permit Request ^ice &r-5/11 en 'i 4$� ��M �Oc�� C.�c�•� Square feet: 1 st floor: existing p osed �2nd floor: existing�Gproposed Total ne n� Zoning District Flood Plain Groundwater Overlay Project Valuation,�- aoc> Construction Type 641001 Lot Size a� Grandfathered: es q*6`_If yes, attach supporting documentation. Dwelling Type: Single Family A5., Two Family ❑ Multi-Family (# units) Age of Existing Structure O Historic House: ❑Yes DkNo On Old King's Highway: ❑Yes 4No Basement Type: ' *Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing_ new �_ Half: existing l new Number of Bedrooms: existing O new � Total Room Count (not including baths): existing _ new First Floor Room Count Heat Type and Fuel: OGas ❑ Oil - ❑ Electric ❑ Other Central Air: YkYes ❑ No Fireplaces: Existing . New Existing wood/coal stove: ❑Yes ❑ No Detached garage:Xexisting ❑ new size_Pool:),existing ❑ new size Barn: ❑ existing ❑ new size_ Attached garage: dexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ) -No If yes, site plan review# l Current Use ��SiG► 1�/,�� Proposed Use i�✓q L- I APPLICANT.INFORMATION (BUILDER OR HOMEOWNER) Name Jqn,O.n Kf�nj a f l Telephone Number Address Z L'fi o�/I�`p l4-�'� License #C.S'-0 7O0EG 2-&SS Home Improvement Contractor# I � -. // Email am iit ,,��_ ke4d A I�Ot,1 v J l e�G�, � Workerfin. 's Compensation # b AL19Q O ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SSGI/I jkz,IeI4 ��✓ OQ�� SST SIGNATURE /' DATE FOR OFFICIAL USE ONLY r APPLICATION # DATE ISSUED 1 " MAP/PARCEL NO. , ADDRESS VILLAGE OWNER DATE OF,INSPECTION: , i FOUNDATION t FRAME — INSULATION FIREPLACE -ELECTRICAL: ROUGH -+ FINAL PLUMBING: ROUGH FINAL s GAS: ROUGH FINAL FINAL BUILDING ' DATE CLOSED OUT . ASSOCIATION PLAN NO. REWORK PIPES IN THIS AREA?? UP '-0 3' SP Existing Basement � J M O O unL Window 5 4 BATH -� s•-t r 1— VTR MIL GARAGE FAMILY GAME ROOM F i 1 I - I I __ REWORK PIPES I L——— _y GYM IN THIS AREA?? L--------- x J-, N E%ISTING n Cd coLUMNs�� -- Existing Basement > SOFFR- ECREE —— — E3EpAg�VE WindowtM:U7t 1 \ LL O M FURNACE 1 \ 2'4 O I 1 BAR I0 R HW I� HALLWAY F�) SMO E DETEMRS REVIEWE Z 1l 8 � = a Ceiling Height 92"finished ceiling height. w BARN TABLE BUILDING DEPT. DATE o V CEDAR LL c ,� CLOSET E ZBN Z � 0 FIRE DEPARTMENT DATE w CO z � BOTH SIGNATURES ARE REQUIRED FOR PERMITTING a d 2 t"'�I U A z ♦ m Existing Basement Window e�oy v O w ♦ Go s. O P. A In + i i .the C111riz11i02"i',gdth o *assr clju setfs _ �ep�r��errt v��ndzrsfl+�al Accide�rts i y - Of1-ce 00nvws,6gatioxrs 600 Wash invoi"o Street Boston,, jVA 0#jyj rvtvtr gosD"rurkers" Compensation In plcuut n3Imaian suranCe davt:M�d deiinm/Cuntrarto�cs/Elec hzcianS/P1Umbers Maine{BusiQe t ganiz [ion d�,al) Please.Print Lev-bl. �d we c Address- 0 --------------- At'eyoarm r?Io �an e p Ye Check the appropriate box- i i 1-0 I am a employer with 4. I am a general confractor and I Type of project(requited.- i employee$(felt sudl`or part-time).* Iieve hired Oe sub-Contra 2•❑ I am a sole p ctozs 6 ❑ Idew constructiotn F�pzieta>t or artnet- afled oathe attach'd sheet 7. §4Recmdeling s d have as esuploi�ees. Tiaese sub-caatrac#qrs have [u` b for in any capacib, employees:indhave wot4cers' g' ❑Demolition No wotioers' comp.itsurd=e comp.iusurattmi I q. regtured J 5 I ❑Building additioa 3-❑ I am.a homeou��er doing ❑ �We are a t orpM. tro and its 1�0:❑Electrical repairs; all worle o�cen have•e�erci ed Ze�r or a dditians u P"e-If[No warkers'comp. tight of ex 11.❑Plumbing or additions insurance re eazgt on ger MGL tluized_j? C. 152,§I(4y,andu�e have as 12..❑Roofrepairs employees.[No Woft�zers' 11❑O.ther 'Any apgUcsntrtE,ar Checks box l Comp.insutrauceregiured.Ji outthesectioabeIowshvssinglh?anro 'e°mPensatiaa Policy who submit ibis af5dat�i fCantnc[orsIL't check ibis bm must attached an a iu�theyam doing a1F waaic and tfiea line o utsidecontcac P li<9 iaform�rrJon dditianal sixeet shoRaig typ of lhs sob c�irt"to =st submit a newaffdaeit indicatin McT] j eatp9oyees Ifthesubtoatactnrsbace empIo3<ees,ifie}zuvst sod state wlseth� arnotibose entitieshave Q theJi nrorkers crnnP!Policynumber- I smart eutpint�rr flsatrspratrrtl$rg tlrorkers'ronapert osah rt irirarzce irarmrrtion jdr rri}*encplvy�ees. getoav is*he oIi. j /� P cy arrd job sitcr I IusurailceCaiuPaa3'l�ame: l I ap- / l� I Policy or Self-ius.Uc.4 y. �1:b Irirat ion Date: 2 p 2 Job%te Addr=:2 0i,s &el o 7 !AiEtach a,copy 4 Cify/Stafe� (7 afthe gage as j1ed. under npolicp declar11 on page(sha the - _i OL61�" !Failure,fin secure covers (fine up to$F,SQO.OU as req erinader Section.25A of MGL c 157 wrag p0 c3':tnrurlaer and espii�tion date). aad ar one-yearimprisonmm�t as well as ci�ril c�a lead to-the imipositioa of criminal pena�es of a ,of ug to$250-00 a day aaa• Peaaites.ia the farm of m�; p�,r(3RIF ORD lavesEi y b tnsf the violator. rad.er cl disc.a copy of this'statement May be forwargled fo the Offices of d a fszse ��offtie DIA far insurance cavera� „e y'�ca#ion. I rfa hereb. t Ujfder the pains arlrt patlab< :S a T .fF�1u fiTiatt/re ira,farrrirlfiartprm�r d¢b."9.is'blue and carrect Sitraatu - Gjiy, �)� / 0� © Data y— Offlcial use artFy: ,Do flat arr/te in tlris.areir,to be eaampLated by ci'0 artotctr'a;i'ciat City or Tarts: rwuing AutlgtTri _PermitiJ icerrse# � (d cleone).: —=—__ L.Boar$of Health 3.81111ding Deparhnent 3. 6.Other dTo�rn Clerlt 4-Xlectrical Inspector Contact Person: �.E=hauspe]ctor --- - — - - --- Phone#: i 6 1 ; s r Town Oif Barmtable E SSIRNCP1Rr]P F Richard V Smli,;,?hector m Buff#ig Divasi0n TomPerrp,E;mZdt;Commi sioner 200 MaIIx Street,Hy=ds,MA.02601 www awnlarnsfablesoa.us i Office: 5084862-4038 ` Fay 508-790-6230 Propeity-Owner Must Complete ; Y:p SigA Thss Section If�CJs ing A udder , Aeit1l; - j p pIas Qwn�r of-the sub ect ro e j hErebp authorize /��/C�/�(f.,-Gli e k74: ez;,115 _to act ou mybehA in all matters relative-to work authorized bythis building permit application for. (.Address of Job) • tPoolfences and al=3s are the r sponsibiilhyof the applicant Pools are not to be f led or t ffl ed before fence is installed and all final ' inspections are peiformed and.accepted. Igp � of Signature of Applicant 217&all KM&A- Print Name Pzi=Name D I - QF0RMS.0 WNEUE=MDIZ00IS r AWC Guide to Wood Construction,in High Wind Areas: 110 mph Wind Zone 1Vdassachose>rts Checklrstifor Cornpliance(780 CIM>R 5301.2.1.1)t Loadbearing Wall Connections Lateral(no. of endnalled 16d common nails)„i........, (T ) Non-Loadbearing Wall Connections i able 7 ......... Lateral(no.of endnailed '16ci common nails).,.L , Load Bearing Wall Openings(record largest o ""•• (Table 8)........................................... . _ 9 opening' but check all o ' bi Header Spans openings for compliance to Table 9) (Table 9 Sill Plate Spans ).................................._ft .................:..........(Table 9 11' Full Height Studs (no.of studs).......... )""""" _ ft_ Non-Load Bearing Wall O .............. ..........(Table 9).,...................................................... Header Spans Openings(record largest opening but check all openings for compliance to Table 9) ....................................... (Table ).................................._ft Sill Plate Spans.... � 9 """"' _,In.512' Full Height Studs(no.of stu(Is). )"'•••'........................... _ft In.s 12` Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously9)Minimum Building Dimension,W Nominal Height of Tallest O enin SheathingType....... P 92 ... ....... ................................................................ _ ................. ........(note 4).. _,5 6'8" Edge Nall Spacing cf........... ((able 10 or note 4 if less).. Field Nall Shear Connection( .....,,""""'`""""(Table 10) no.of 16d con ............................................. _in. non hails)(Table 10 "" Percent Full-Height Sheathing ) o _— ..................... (Table 10)........... 5%Additional Sheathing for Wall with Opening 6'8"(Design Concepts).....................o _ Maximum Building Dimension,L Nominal Height of Tallest Opening2.......i Sheathing Type.... .. ................ ............... ,.1......_5 6'8" ..................................:...... note 4 Edge Nall Spacing ( ) P 9 ...........................(Table 11 or note 4 If less)........................_in. Field Nail Spacing............... (Table 11) Shear Connection(no,of 16d common ......•_In. Percent Full-Height Sheathingn ni'ils)(Table 11)...................................................... _ .......................(Table 11)....................... 5%Additional Sheathing for Wall,with Opening>6'8"(Design Concepts)............... Wall Cladding — c Rated for Wind Speed?..............••, . ................................... ........... 5.1 ROOFS Roof framing member spans checked? (For Rafters use AWC Span Too Roof Overhang .......................... "" P I,see BBRS Website) _ ....... .:...(Figure 19 ..........Truss or Rafter Connections at Loadbearing.. Walls I ) .... ft 5 smaller of 2'or L/3 Proprietary Connectors Uplift.......................................... .. Table 12 1. ( )............................................U= pf Lateral "" I '......................................... ...(Table 12 Shear. ).............................................L ._Pif (Table 12)............................................S= ....................... =pif Ridge Strap Connections,If collar ices not used per�page 21...,,(Table 13 Gable Rake Outlooker............. )..............................T=-- -plf �...(Figure 20).............._ft s smaller of 2'or V2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors ' Uplift......................... (Table 14) Lateral(no.of 16d common nails ............................................ """' able 14 ••••••••••U' lb. Roof Sheathing Type......... )...(T )................................c.......L==lb. .....I.......I...••••••••••••••••••......(per 780 CMR Chapters 58 and 59 Roof Sheathing Thickness..................... ) ........ Roof Sheathing Fastening " "'''"""" •• In.a 7/16"WSP Notes: ........................(Table 2)............................. 1. This checklist must be met In its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its QIptirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 C. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to aft.shall be permitte when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2i in,nominal thickness,pressure treated#2-grade, fmf or mafio and. Tms� uefioaas r : Massachusetts Geheral Laws chapter 152 requires III employers to provide workers'compensation for their employees_ Pm stsant'to this statute,an fwpiayee is defined as." .every person in the service of another under any contract ofh re, express or implied, oral or written.' An ezrnIoyer is defied as"an individnaI,partnersh�,association,corporation or other legal entity,or any two or more of the foregoing engaged in a j oart enterprise,and including the legal mpresentatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other Iegal entity,employing employees. However the owner of a dwell house having not more than three apartments and who resides therein,or the occupant ofthe - dwelling house of another who employs persons to do ivamtmance,constcacti.on or repair work on such dwelling house or oa the grounds or building apprn frnant thereto shaI�l not because of such employment be deemed to be an employer." MGL chapter 152,§25C(t7 also s•;aies that"every state or local licensing agehcy 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 evideiz i e of compliance with the biwrance.coverage required-" Additionally,MGL chapter 152,§.Z5C(7)states"Keithesthe commonwealth nor fiy ofits political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance. requirements of this chapter have been presented to the contracting authojity." AppIicauts ! Please fl1 obt the worker'compensation affidavit co 1 pletely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), addresses)and phone number(s) along with their certtficafe(s)of innuance. Limited Liability Companies(LLC)orLnni dLiabilityPExtuerships(LLP)with no employees other than the members or parbaers,are not require-d to carry workers l compensation insurance. If an LLC"or LLP does have employees, apolicy is requited. Be advised that this of idayitmaybe submit(2;d to the Depa-L-Iment of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be retimmed to the city or town fbrat the application for !e ra�.s permit or lice is being requested,not the Department of Industrial Accidents. Should you have any questions re ardmg the law or ifyou are required to obtain a worker' compensation policy,please call the:Department at the n�umberlisted below Self-insured companies should enter their self-insuranco license number on the appropriate line. I' City or Town Officials Please be sore that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to f M out in the event the Office 'of Investigations has to contact you regarding the applicant Please be sure to f M in the permit/lice-MV number which�wrll be used as a reference number. In addition,an applicant that must submit multiple p ern Wlicense applications m y given year.need only submit one affidavit indicating current i policy information(if necessary)and under"Job Site A se'the applicant should write-"all locations in ' (city or town)."A copy of the-affidavit that has been officially ped or marked bythe city or town maybe provided to the ' applicant as proof that a valid affidavit is on file for epermits or licenses Anew affidavit must be.filled out each year.Where a home owner or citizen is obtaining a license or pcLknot related to any business or commercial venture a dog license or permit to bum leaves etc.)said pers�n is NOT=paired to complete this affidavit The Office of Investigations wound lr:e to iharrk you in advance for ym cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number; Thy CCGUaG nWz an of Massachusetf;g Depart nent of iludus dal Accdents G��e�a��ve�g�tlo.AS 6�4�a,�hin�tan Suet JaQsto l MA Q= 1 U ' TO- .4"617-'27-4900 pixt*D6 or 1-•8.77-MAJSS.ATE Revised 4-24-07 Fax Eli-` �- 4 mas gagfdi� ; j � J AC40 CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 01/27/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE VOLDER. 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 NAME CONTACT Andrew Roth MURRAY& MACDONALD INSURANCE SERVICES, INC. PHCN o E 1• (508)289-4152 ac No: E-MAIL ADDRESS: aroth@mmisi.com 550 MACARTHUR BLVD. _ INSURERS AFFORDING COVERAGE NAICIf BOURNE MA 02532 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: LEE ANDERSEN \v INSURERC: INSURER D P 0 BOX 993 INSURER E: FORESTDALE NIA'02644 INSURER F: COVERAGES CERTIFICATE NUMBER: 27140 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MOLDDY EFF POLICY M DDY� LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTEIT_ CLAIMS-MADE DOCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY 0 JPEQ LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA LIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ / $ WORKERS COMPENSATION /� STATUTE ERH AND EMPLOYERS'LIABILITY ANYPROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED9 I NIA N/A N/A VWC10060184662015A 04/08/2015 04/08/2016 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required)` Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy In force on the date that this certificate was issued(unless the expiration date on the above policy precedes the Issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kendall &Welch Construction Inc. ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 490 AUTHORIZED REPRESENTATIVE ��I Osterville MA 02655 Rightfax 142-1 6/24/2015 6: 10 : 43 AM PAGE 2/002 Fax Server . :ew DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS ^9 R01FICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. S CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE ACONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE PRODUCER. CERTIFICATE O IMPORTANT:If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER CONTACT NAME: ALMEIDA&CARLSON INS PHONE FAX PO BOX 554 (A/C,No,Ezt): (A/C,No): E-MAIL FALMOUTH,MA 02540 ADDRESS: 24DGH INSURER(S)AFFORDING COVERAGE NAIC tJ INSURED INSURER A: HARTFORD UNDERWRITERS INSURANCE COMPANY DESTEFANO,JOSEPH G.DBA JOSEPH G.DESTEFANO INSURER B: INTERIOR INSURER C: INSURER D: ' 49 WINDSOR ROAD INSURER E: SANDWICH,MA 02563 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: O 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 ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MmookyYYY) (MMDD\YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY - DAMAGE TO RENTED $ CLAIMS MADE a OCCUR. PREMISES(Ea occurrence) IVIED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY [:]PROJECT[—]LOC PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X WC STATUTORY OTHER EMPLOYER'S LIABILITY Y/N UB-0650N822-15 06/18/2015 06/18/2016 I LIMITS ANYPROPERITOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? O WA E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE WORKERS'COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR DESTEFANO,JOSEPH G.. CERTIFICATE HOLDER CANCELLATION KENDALL AND WELCH CONSTRUCTION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED PO BOX 490 BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIg1,0. ; y __ AUTHORIZED REPRESENTATIVE "_'W" " DATE(MM/DD/YYYY)AC�® AC� CERTIFICATE-OF LIABILITY INSURANCE 8/18/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED ',EPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. PORTANT: 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 rieu of such endorsement(s). PRODUCER CONTACT Lesley Garrigus, CIC Murray & MacDonald Insurance Services, Inc. PHONEo Ext (508)540-2400 A/c No:(508)289-4111 550 MacArthur Blvd. r� ADDRESS:lesley@riskadvice.com ,\ INSURERS AFFORDING COVERAGE NAIC# Bourne MA 02532 - \\�� INSURERA:Arbella Protection Insurance 41360 INSURED INSURERB:National Liability & Fire Insurance Colony Insulation Inc., D&W Rea lt Trust INSURERC: 28 Jonathan Bourne Road INSURER D: INSURER E: PQcasset MA 02559 INSURER•F: COVERAGES CERTIFICATE NUMBER:15-16 Master GL REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M/DD YY MMIDDNYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,0( A CLAIMS-MADE �X OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) $ 100,0( 8500028928 .8/18/2015 8/18/2016 MED EXP(Any one person) $ 5,0( PERSONAL&ADV INJURY $ 1,000,0C GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,0 C POLICY PRO- ❑ X JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,0C OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,0C Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL O Ix SCHEDULED AUUTOSS AUTOS1020005705 8/18/2015 8/18/2016 BODILYINJURY(Peraccident) $ X HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident Underinsured motorist Blsplit $ 20,0( X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,0( A EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I X I RETENTION$ 10,000 4600028929 8/18/2015 8/18/2016 $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 5001 0C B OFFICER/MEMBER EXCLUDED? N] NIA V9WC516109 8/18/2015 8/18/2016 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,0C — — ll'yss,tlescribe-und6r --- - — -- -— — .- — -- - - — DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ 500 0( DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Certificate holder is named as additional insured/contractor on Commercial General Laibility per CG2010 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Kendall & Welch Construction Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 1478 ACCORDANCE WITH THE POLICY PROVISIONS. North Falmouth, MA 02556 1-! AUTHORIZED REPRESENTATIVE DATE(MMIDDIYYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 10/30/1_ 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(5), 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 )terms and conditions of the policy,certain policies may require an endorsement. A.statement on this certificate'does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: C:G Robert E Bouchie Jr. Insurance PHONE FAX 508 564-5560 Ic No: (508) 564-5531 1352 Route 28A ADDRESS: info@BouchieInsurance.com PO Box 400 �� INSURE S AFFORDING COVERAGE NAIC# Cataumet, MA 02534 INSURERA:S&H Underwriters Western Heri INSURED INSURER B:Hartford Tom Costa Building & Framing INSURERC: 29 Lady Slipper Lane INSURER D: Mashpee, MA 02649 INSURERE: 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 ANDCONDITIONS OFSUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUM3ER MIDDIY MMIDDIYYYY LINTS A GENERALLIABILITY SCP1043428 7/31/15 7/31/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISES( RENTED Ea occurrence) $ 100,000 CLAIMS-MADE Fx_1 OCCUR ME EXP(Anyone person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AG G R EGA TE L IMI T APP LIE S PE R PRODUCTS-OOMPIOPAGG $ 24000,000 JECT El X1 POLICY PRO- LOC $ AUTOMOBILE LIABILITY EaNeBcc'dano SINGLE LIMTT $ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS `1 NON-OWNED Pe ROaPERdTY DAMAGE $ HIREDAUTOS _ AUTOS UM3RELLALIAB __OCCUR EACH OCCURRENCE $ EXCESSLIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION 6S60UB0296M85715 9/21/15 9/21/16 X WTORC LIMIT OTH- AND EMPLOYERS'LIABILITY ANY FROPRIETORIPARTNER/EXECUTIVE YIN E.L.EACHACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? y N I A (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE $ 100,000 If YYes describe under DESG�RIPTIONOFOPE RATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Kendall & Welch Construction ACCORDANCE WITH THE POLICY PROVISIONS. 32 Wianno Avenue, Unit #5 Osterville, MA 02655 AUTHORIZED REPRESENTATIVE Sha Aabesa MurrayandMacDonald ( 1/1 ) 04/04/2016 01 : 56 : 37 PM -0400 AC o� CERTIFICATE OF LIABILITY INSURANCE DATE(MMID D/vYYV) `� 04/04/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(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 endorsements . PRODUCER CONTACT NAME: Sharon Rabesa MURRAY& MACDONALD INSURANCE SERVICES, INC. A"CNo E,1: (508)289-4160 n/C No E-MAIL ADDRESS: sharen@hskadvice.com 550 MACARTHUR BLVD. INSURERS AFFORDING COVERAGE NAIC# BOURNE MA 02532 INSURERA: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B KENDALL & WELCH CONSTRUCTION INC INSURERC: INSURER D: PO BOX 490 INSURER E: OSTERVILLE MA 02655 INSURER F COVERAGES CERTIFICATE NUMBER: 41995 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, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR LTR TYPE OF INSURANCE INSO Vivo POLICY NUMBER MM/DD/YYYY MM/DD YYVV LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ JEGT POLICY PRO LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SEa acddent IN LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTYDAMAGE $ HIREDAUTOS AUTOS Peracddent $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DIED I I RETENTION$ $ WORKERS COMPENSATIONER AND EMPLOYERS'LIABILITY YIN X STATUTE ERA ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEM13EREXCLUDED? N/A N/A WA 6S60UB5033P43516 02/06/2016 02/06/2017 (Mandatory In NH) E.L.DISEASE-EAEMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below I I E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace Is required) Workers'Compensation benefits will be paid to Massachusetts employees only. Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool atwww.mass.gov/lwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable-Building Dept ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 _:',•-� i �'' Daniel M.Cro4v�y, CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs an&Business Regulation 10 Park Plaza= Suite 5170 Boston, Massachwetts 02116 Home Improvement Cbtr?ator Registration Registration: 128405 �.i ..::': ,• ::: ,::;: :::.:'�! r: Type: Partnership Expiration: 4/5/2017 Tr# '267441 KENDALL & WELCH CONSTRUCTJ,QN: :. =' -.;, . _•_:,. DAMON KENDALL i P.O. BOX 490 OSTERVILLE, MA 02655 "t .� -V Update Address and return card.Mark reason for change `--' Address Renewal Employment Lost Card SCA 1 is 20M-05/11 (92e�rnirmwazcueai o�C�/� a�uaetla Office of Consumer Affairs&Business Regulation License or.registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: /4 8405 Type: Office of Consumer Affairs and Business Regulation Expiration: � 2@ -7- Partnership 10 Park Plaza-Suite 51'10 Boston,MA 02116 KENDALL&WELCH;;a SrT �xGON DAMON KENDALL 54 KOMPASS DR. FAL•MOUTH,MA 02536 ` Undersecretary Not valid without signature LJ�%eG/ ✓1i �_��1 1> ��t;GfJ��G.��l:%Y/U.y Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home ImprovemetZNontractor Registration Registration: 128405 Type: Supplement Card t f i ::::' ' Expiration: 4/5/2017 KENDALL & WELCH CONSTRUCTj'w-= RONALD WELCH -) P.O. BOX 490 f , OSTERVILLE, MA 02655 Update Address and return card.Mark reason for change. SCA1 0 2oM-Mil Address 0 Renewal Employment .D Lost Card �pomvt�aooeurea to ao/aoeM ileP.of Cnnsnmer Affairs&Rusinecs Repulatinn T.ioenco nr rpaktratinn valid far individul nre nniv 1 Massachusetts-Department of Public-Safety Board'ofBuiiding:Reguiationeand Stanza z= Construction Supervisor License: C$4700 6:.i 'x DANYON L>KM 48 KOMPASS Dlir r FALMOUTH Kff-:0253� ' 4 r l --0 1 . : Expiration Commissioner 11/21%2016 .' I I Massachusetts-Department bf Public Safety �J 'Board of Building Regulations and Standardz a onstY:i�4ion 5upen•i�or � . }r License,CS483484 RONALD W WEL 85 BRIGANTIIVF. R - HA�'CHVII.I.E IY�A 02 6� 9 Expiration Commissioner 07/11/2016 (92- .66 rpanunzoauuealty o/'C�/Glaaaccc/ucae •••�• Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: egistration: •;f28405 Type: Office of Consumer Affairs and Business Regulation xpiration:E 4Af U 7^ Partnership 10 Park Plaza-Suite 5170 , Boston,MA 02116 KENDALL&WELCH:CCSNSTF 1 PION DAMON KENDALL y` 54 KOMPASS DR. FALMOUTH,MA 02536 All Undersecretary Not valid without signature V/ie�pomcn�zorzcuea�o��%�laaaac�uQeCl3 ice of Consumer Affairs&Business Regulation License or registration valid for individul use only E IMPROVET} NT CONTRACTOR before the expiration date. If found return to: WExpiratio istratiom :::` Office of Consumer Affairs and Business Regulation ��805� Type: 10 Park Plaza-Suite 5170 ;=475j 1� ,:r Supplement Card Boston,MA 02116 KENDALL&WELCH•. Ajr° lJ.CI.ON - :-- RONALD WELCH 54 KOMPASS DR.. FALMOUTH,MA 02536 Undersecretary Not valid without sign he Town of Mqrnstae sA 1 Department of Health Safety and Environmental Services melding Division 367 Main Street,Hyannis,NIA 02601 Office: 508-862-4038 Fax: 509-990-6230 PLAN RE LEM Owner: W,civtr o C'� o_�c� h 2�" Lac_ Map/Parcel: t _ Project Address: 2 `4 V V\nt-- ky --- Builder: The following items were noted on reviewing: rA j(2 Reviewed by: q Date: 94 / ` Notes: _ :... ZONE: FLOOD ZONE: - 1.) The property line and topographic information RC Zone C was obtained from the Tawn of Barnstable GS. Area (min.) 87,120 SF Community Panel No. L , �o * ' Fionto e (min) 20' #250001 0016 0 2.) For actual property lire infccnation Width (min) 100' July 2, 1992 see Land Court Plan 2664-78. ••`'••' ••• '�• pan'.' Setbacks: :• •+d°' : i ,1.,,`a. I J.) The datum used is NGVO '29, a fixed mean •� Front 20' u••• n _ ,., Side 10' I sea level datum. :fit. '••'•,j••. •f,. �,' 'Rear 10 r 4.) The intent of this plan is for the permitting of the septic upgrade only, and is only valid •r Neek .r '•r OVERLAY DISTRICT: with an original stamp and signature. ?F - AP — Aquifer Protection District C SeO�' i ''• I As Shown on Plan Entitled I ��' a, •� ,'��_. 'Revised Groundwater Protection Overlay Districts" — April, 1993 36 t 36 LOCATION MAP: Scale: 1' = 2000' f ASSESSORS REF.: Map 140, Parcel 126 1' _� 1 ' G 3 TH ' 20' Lot Si : 0.6 Acres MVSo ° 10' Field e a Min LIJ Existing Ret. Wall o o Proposed o 7 Bedroom Septic Upgrade o " F I Dwelling 0 r � e-Plumb I W W R C 4 Sewer Line I i / evil i XNote: Existing Sept Systems To Be j Removed Or bandoned 225.00 O 1 ; 1 34 . Tine. SITE PLAN Prepared By: Sullivan Engineering, .Inc. Prepared For: Date: Jude 21, 2004 co PROPOSED SEPTIC UPGRADE Richard & Andrea Marie Cain -� PO Box 659 1 AT ' 295 Wionno Avenue SCalet 1' =, 30' -' 295 WIANNO AVENUE osterJille, MA 02655_ Osterville, MA. 02655 BARNSTABLE, (osTERv►LLE) MASS (5o8) -3344(S08PE28o3`0`^fax •� ` - o Project #: 24006 ^, i REWORK PIPES IN THIS AREA 77-7 il f L7 //ZZ/////ZZZ//Z/ UP M fV I O SHOWE UTILITY 3'-0x3'-0'7 � SP = o BATH u: z fi• - FAMILY I �''_ TREADMILL GARAGE CAME ROOM 4 i ,.—' - I cn ■ _ — REWORK PIPES L — — — IN THIS AREA 71 L--------- X GYM11 < 4— N EXISTING —,Lc" — — — — COLUMNS —« o0 N SOFFIT— OfTEEQ 11 — — — — S ABOVE — — — \ — — — BEAM LVL BEAM ABOVE — ¢ a u I 1 I 1 FURNACE LL c I \ I 1 I \ 6-0"BAR DOOR ------__= HW � I \ I I 1 O BASEMENT "W I TV 1 I z o CLn — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — � 1 X "Q140 0 W / S05 M KE DETECTORS REVIEWED CEDAR A NCa'�� QLL CLOSET �p E s y,No� ?pis j w m Q M BARNSTABLE BUILDING DEPT. DATE z 02 Lu a 3 r Q FIRE DEPART-------------- MENT DATE _ _ _ _ _ _ _ _ _ _ _ _ _ _ m � NL) BOTH SIGNATURES ARE REQUIRED fOR PERMITT/NG . 1 — — — — — — — __. U z ♦ m I Ln o .�� • ��. ��f�= � -fin C�. ; _;� ' .. WIANNO COTTAGE PARTNERS,LLC 1 _ 27 T67m,L... T.1•303 509 5782 F..,SOS 429 1205 EL EL TA UlIFEY ol1BE mcmmto, ) wIANNO COTTAGE & ID� /o to to Pm n BOATHOUSE RNA 7a1-Tm. EL♦ V iD EIBI 800E min 0 0 o a o a o _ TIP_ . -- 0 - .; RID OSi3 m 80111 SIMGS soon-TIP. id • �10L MIER-1m. , �- i1B1_2lD RODR Cahn-TA. TA Y OL WL pro nlIIl3M-TV. . Pm n rAMML-TV. Il IEM IH:Q Pm n 1101 H ILJ TA. art VBM-TN. _ E.EOdd 50➢5-DRICR RSBLA ® f381 ISf Dfi . El35lOE TRENA -rl E.- l• E0lli REAR ELEVATION SMOKE DETECTOR EVIEWED L vaT.To 3 � U B BUIL ING D PT. DATE { FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING 10 } Tn a�asET RUBE swan . ,it m amid � soca trtt2Y - to to to Pm In IFI¢ 10� DO Tat-m. — Fm n �. BRKW-TN. • - a® � TW E a a I'm in T6 Rdl f0101 lal-11P. 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Pc,r af�ori ONWRAC(OR SHALL VERIFY AND COMPLY WRIT ALL LOCAL CODES. if 166r DN o�y COFRRAC(OR ASSUMES ALL RESPOSIRLLM. �� A-1.0 I9.d. 1/r-id WIANNO COTTAGE PARTNERS.LLC 27 Tbso.1. • O.ror•Ille.NA 0263S SOS 507 570=P.x:SO0120 1205 "`R'°r WIANNO r W-,0,K t-0 yt ,tc t-0 2/t „aAr COTTAGE & 't' '��"° -""` BOATHOUSE tJ' ,Yd , ,Y !� _ Y-e Y1• Y4 2/4r s-0 s/Ir s-6 ye• s-0 2/t r�,/t s-n• J-0 yt s� t-2,/t Y-0 yt Y-e yr ----------- I I I I I I 1 I I I mU2p BMW I I 1 � BfSs ,'e. I I ' lumm 1 I • I L._ �� 2a.0�16�yE . _ h - mN m _ 1 BF�1 Z�L7fx QLS Say L46 (prr0,.vo.+tBEDFOW IP-7 yt toL I,- $ t-d W-3 51e ,S-2 S/t H „'-2,K Y o• 1 „ W RL ww b1� 2 OR.RMM mus PWa� • q O Zx t2i 11•Y- I '.I�db I seu•Imo—— s RIMKx Ru - (j,�� u/w �a� ..}i: I zxloelL•� 7-ar 7-P 7-c2r-0• - 5 -Y�o /�/ '�-r�� ,r� amm arts �r i1 U � xr11 I 0 �� Y 1 18 N°1 1 XA11 �^? �, .rag x 1•q�? lo CT It� 3 6 4O1• 5!17/1r a S-,C J-1V ' 47 -L•V• .Gab. 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W®1 ORElplI 9Om MAIN HOUSE SECTIONS SECTION 1 VCeFd CONTRACTOR TO VERIFY ALL OBIEN90N5 IN THE FIELD. . CONTRACTOR%ULL VERIFY AND COMPLY WRH p1.� O.rtw ALL LOCAL CODES. or4 CONTRACTOR AS%MES ALL RESPOSIER '. - - a.d. A.3.0 • oe D,l,s/sD! WIANNO COTTAGE PARTNERS. LLC 27 Thy.-L... O—"Ill.•H^02153 T.1:SO$509 5702 F...500 420 1205 WIANNO COTTAGE & BOATHOUSE I 1-Y0.QMER ----- -----ols , � I 1 � / I r - �m Sam (4)4 r LLVIS' �1d2 L'k;,fir, ' y' L W7S� 4•L50 1 L.IL�•• Ga1'M JOJ4 _ _ - TT i i i I i I SSOHE(✓df—\ I ----- ---- '-- "---- ----- -- ----- `---- '-- ---- ---- 'I e I J I ' 1 \� T 7ft P. 9C- ------ ' '1 1 � 1 1 I I Lk8 �•.{EiL I I• ^v..,,�� 1 Al2 iQ12 1212 At2 tQi2 tOD2 r---- 5109E /rfiJ11 jf SIDE • SIfSF 516E ��"+`J�T 4RE 96F 900E --- I I � 1 b - I 1 \ 1 I et S106E IlOK� EMI SIX OF to Ot9I � Q d I trra I oaf ' . 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(„ 2oc h- .r.7PT'c�-e+DJ Sn•yi 07-r �e•.a�6owty s, CONTRACTOR SHALL VERIFY AND COMPLY MAM Kl'LOCK CODES, or... r*frwL eWc,J 0.2 Jn/41•c itA'C t Yf CONTRACTOR ASSILIMES ALL RESPOSIDRHY. e mar L -5.0 'Q.� OB/IS/2005 I �I ` WIANNO COTTAGE PARTNERS. LLC 17 Th7m• L.s• • O[[•r.111.•MA 03653 • _ - T.1:SOB 509 5781:P.;;;SOt 128 1705 WIANNO COTTAGE & 7rd BOATHOUSE rd V-13/4r rd gd V-41/4 .. 41-7 3/6' r-7 y0• 1-10 Var r-to, Cd Y-W Cd 3,-tC e-? S-ur C-P S-1 7/r ow Sd T 9 — — — (NOi01) beia6 6 At. "' � §T 11tIOt O1Vi 1S-0 3/6• r-10 1/ ---, -0 1/r S-ir 2Y-11 1/4r hI t/r 3 6'l,�x l4 I.Nu ldM1•. � qq 1LO m-K.fAr — - aw m» c A� CRU®aa0D19m01 k ID-1i7 F-• )1 t 14 j.11. - - - - - � a Y teak:=, Y w J L J — .e� ` _ to I 11•l'0 S;wID»lL 3 CT1r.) - Y 1 1 ti T '°; � m I I I 9rAd1GO0 "03/r It 1712 Ile r-2t/r r t 1 4! gF,aW a-,jw 4 W- 7/r _ _ _ L J - c3)!- ?v 4F t.q. ttLL,r § y sinucnrvn`.L I I v =,AV I1 11 § cImp �14 -1 f� oA�Ac iK i1R = O d I LT co_- L_ -� �y,n .�L.»•rin.A.r.e.ca...b. � .�t e �� ry,�rG ,K'�'P P 7.. 1� 14' W?- ji L C..tn - ows r -r SLDPE - L J A.- r tmmm 9[0tl Q 4 1 1 11 1 cii I S . �. s 7 Q mC 9AD�1t f R:— i 1 WBm alAM1-gOf1u+11y &Sam COOK AlA 61a1 _ L 10UD®OI pl — �r mw t a�IL�►1 _ Mm uPlle+g�.o`µrAt. DIM law I'llasawAfm 2--07A' 3rd r-[3/4- 30'-t0• Y-0 3/6• 1 m Y ll•�11+ e Nd y yM-S. �ta[Ja-r.p.wa—AtA- • 1•.2aY5✓KRT �atw3 tt[t It'✓<s7��4L•�i c--V",nc-+l C-Wr I Ham[- [r/5 ptwSTT— ✓AT[nL.s'10F• Bad MAIN HOUSE BASEMENT PLAN BASEMENT PLAN I�wNDRryaI �L p,a - VO•.T-Cr 1, 1•CONTRACTOR TO VERIFY ALL DWEI410N5 IN FIELD.fo[Afet� . • SY!'� Asa c [f-a ya�o-o. oiYi o.e-FwL1.Y wt*u S+V6..L L[.�.-sous �.Fvs If.CONRACTOR aucw--sdANDC COMPLY rnf�.roa.srytvr b.�11wei cm-0 EuN.ldrt[,LS Q.CONTW�CfOR STWLL VERFY AND COMRY ALL LOCAL CODES. . I F CONTRACTOR ASSUMES ALL RESPOSDRf11. �• zx!oCa Lo`.%r me fa rar//wC'lQ °/ 0 ey A.0.0 PROJEC I NAME: ADDRESS: �S [�J!(; V, V,O s �-VI PERMIT# PERMIT DATE: LARGE PLANS ARE FILED IN: BANKERS BOX oS 4 o? FILED ALPHABETICALY BY STREET INFORMATION SHEET FILED IN STREET FILE q/wpfiles/forms/archive/BANKERSB OX l c e � East Ba7 Rd \. / eck \ / 0'" Lake 00 �b 0e b lqe \ ya'2a Gl C o�4 /• ; � •\ � ,each .ne 5 ®®+ �� • \`rya;\ .�.C.� �' �..�".S M.A. � ' \ AS..cESSORS DATA: o \ \ \ 140-126 SEPTIC , � � `',r '\ \ \ .\ LOCUS ADDRESS. SYSTP, - E , AREA s 295 WIANNO AVE,, OSTERVILLE p \ \ c° 61.4' \ \ REFERENCE PLAN LC`2664-78 c� 'xistin� \ \ ZONING DISTRICT RC � Storm Drain �. \ \ \ • or BUILDING SETBACKS. \ FRONT 20' \ SIDE AND REAR -- 10' \ YDVt �.EXISTING 0�PMI5Cr _ \ 00 DWELLING AP AND RPOD 0 _ \ EXISTING . G' ?_3 PATIO { ° FE M DATA: ZONE "C PANEL 250001 0016 D { { MAP REV DULY 2, 1992 �o { { -- 28.4' - 90 s, I ( { { { 25,87 .ft. c yFo 41 { { A 0 PZ ca t _PZa r2 c I La ri c l ,> —- -- Prepared For. op --EXISTING GRAPHIC SCALE -- `CARRIAGE— .pp O yes, HOUSE ,ram 20 p to 20 40 ao 095 W1ANNO A VEIVU ' �'. � � e ch sett � Ostcrvzll Massa _u s 1 inch 20 f PROPOSED ` Scale.- 1" = 20' Date: October 4, 2007 POOL HOUSE Prepared By.- Stephen J.' Boyle and Associates 42 Canterbury Lane, E. Faknouth, MA 02536 00 sA AA - Telephone: 5081540•-2534 38 .00 ®bo N or 41 Ss�®� �c R vz -Sr io.z_x �31vc 1 S PSG\STERF� yGJ�w� O 6 o STEPHEN v DOYLE > 'Op A q #3 •N.4 n i - is NO. DATE DESCRIP7 ON BY GENERAL SPECIFICATIONS SIZE. DEPTH: REF ERENCE E NUMBER TILE: COPING: : (i ;,; DECK:TYPE: 12 walls 8 floor Il jots EXISTING PATIO: N/A --- s.:f _..... .. � „ �., �„�� FINISH:TYPE: rt ._.+.. .,. ; PUMP.TYPE. SIZE. TBD FILTER.TYPE. SIZE: TO BE DETERMINED ; _.. HEATER.TYPE. SIZE. SKIMMERS: - LIGHT.TYPE. RE QD. € � POOL CONTROL. I I CLEANING SYSTEM. < t SANITIZATION SYSTEM. I OTHER: I _ >$ € ,, SPA SPECIFICATIONS SIZE. ..... ELEVATION. ,. , , THERAPY.JETS. THERAPY PUMP. CONTROLS: HT: n ; 12 O:G. TYfi�: 1�YVL. SPILLWAY:. O1�lT. TYI~'. � ) C. , OTHER. $$ 5 12iiO.G. .w. , THROU&H OUT ENTIiz i 8 rain fall �YD�O�T�T(G I��L I�F VALVE note I spa Ii ht in trou h �F 12 O.G. E.N. p J g INST,�L ��R' M�NU� GT u�� s r GIFIG TIONs T�IROUC�t� :OUT ENTIRE r~'OOL. FLOOR -all boo Notes. - 2 000 . assume maximum safe soil I bear in pressure,- , gp I - � I urbed _ d Est 2 . III pools are to be aged on natures I un _ _p p r n E Qom "acted rams I ar f i l l . sub`so Subsoil bees i _ material or _ -J w p .. _ _ � + � , ., tationMARKA- loam and � � �r . . :,a strata shall be free from all �e e r .. iG material . � a ;, or_ an � M + g n floor I I `wa l Is m � wall and ba�`�fil a ainst Roo walls until a � �. Do not lase , g p stren th . 4 hate obtafined � des pure �. JAL �-. Al I oo l f I oors shall be lased on a l -� lay er of p p . � 0 proctor _ ��/ standard ro _ gushed stone compacted o , - p p - t dens it at the optimum moisture content. _ p y , STfi�'UGTUizAL NOTES sh otcrete 1 . Shot�rete mixture form: word- del ivery, placement and 1 . All yp NAME: . constr uction is to conform to the Massachu setts PERRY RES . - II re uirem ent s of AGI . reinforcement shall I conform o a �i, and a l 1 a I icable pro duct and 'des i n state bu i i d in code a DDRESS: N AVE J _pp_ p g A 295 WIAN 0 otherwise no ted. the se 506 .2 �� latest edition unless _ standard s . bsene of s ecEf iG items from , _ ZIP: p . ASTM G Type, Portland tland clnr. OSTERVILLE MA . Gon�rete materials shall be draw in s does not in f or that the contracto r i s reI ie�e d 2 yp . J es shall be nor ma RES.PHONE . BUS.PHONE: cement., San d and ravel a re at from the statutoryrode re uirem tints . g gg �i, • te ' we i ht and conf orm o ASTM Gs Standards . JJ roes methods f construct ion sha ll g 2 . III materials and meth o not meetin STM G�� standards may be, used ro l� provided p AT J DATE of orm o the approved rules and standar ds for g CUS TOMER SIGNATURE. G.O. , pp a materials/ tests and re u firemen is of ace ted pro �o nstru�tion tests demonstrat es the sho t�rete can . p, p , • • e :VIOLA. meet s ecif ied re uire'me'nts. All concrete, shall b -time as I fisted in Appendix of the p en ineerin practice � assoc�TEs g g p pp - 'ren th f � in 28 _a fined . Gon�ret e compressive ire st (� ) air-entrained . J NIT A p 110 ROSARY LANE U Massachusetts Sta te, �uildin Gode . , I; A 2 01 " work � 000 s HYANN S,M 0 6 days, ill p _ 508 771 3457 VIOLAASSOCIATES.GOM DRN.BY. DATE. Lf: REV.NO.: DATE: NOV 26.13 SCALE 3/8 -1 STRUCTURAL NOT'S F 1. All construction is to conform to the Massachusetts 2. 4...,vA AL State Building Code and all applicable product and design standards. Absence of specific items from these" drawings does not infer that the contractor is relieved ' �P1 from the statutory code requirements. N 2. Ali materials and methods of construction shall y H ®NA n1c. ADDITIONAL #3 @ 12" O.C. VERT. conform to the approved rules and standards for 9 BEYOND TRANSITION PT. STAY 18" materials, tests, and requirements of accepted 260CranbeMrHWY. teans,MA02653 BELOW TOP OF BOND BM. DOWN engineering prcctice 'as listed in Appendix A of the 508i55.651tFm5�8.255.6700 THE :COVE & LAP 1'-8" MIN, Massachusetts State Building Code, #3 ® 12" O.C. E.W, INTO FLOOR AREA THROUGH OUT ENTIRE POOL WALLS Pool Notes m #4 DWL. 12" O.C. TYP.. � 1. Assume maximum safe soil bearing pressure - 4,000 TYP. (3)#4 CONT. TYP. psf. i 2. All pools are to be placed on natural undisturbed -_ ._ _ - -- — - -- .--._- -- - - - --- - -- — - --- --I- - a_.. -....---�._._.. .-- :._ .. �........ 2'-6' MAX 2'-6" MAC, BACK 4 INCREASE TO 6 -- ---�--- - - i-- -- i I I J - material or compacted granular;:fill. Subsoil bearing FILL ALLOWED IN EXPANSIVE SOILS I,, ` __ L - i k -, i I i i j' BACK FILL strata shall be fi,ee from all vegetation, loam and - - - _ ....--- • i i organic material. i . 4. D not place ba fill against pool walls until all walls o yk o i t' have obtained 7 day cure strength. 5. All pool floors shall be placed on a 4'-6" layer of NOTE: INCREASE SHOTCRETE ��- �- l r` y crushed stone compacted to;95% Standard Proctor fit THICKNESS TO 9" IN FREEZING � Density where expansive soils are encountered. OR EXPANSIVE SOILS. TRANSITICNN PT. oa N y 6. Pools floors shall bear on natural undisturbed soil or ADDITIONAL #3 x 5'-0" E.W. Q on controlled compacted fill. Remove existing fill material _ 0 FLOOR TRANSi',±C)N PT, where necessary and replace with clean granular fill - - -y- PLACE 1" FROM ; IOP OF SLAB compacted in 6"-8" layers ;to obtain 95% standard proctor density at the optimum moisture content. Shotcrete HYDROSTATIC RELIEF VALVE #3 '® 12 O.C. E.W. U INSTALL PER MANUFACTURER'S 1.Shotcrete mixture, form-work, delivery, placement and THROUGH OUT ENTIRE 00 SPECIFICATIONS reinforcement shall conform to all requirements of ACI POOL FLOOR 1 Z 506.2-95 (fatest edition), unless otherwise noted. 2. Concrete materials shall be, ASM C Type 1 Portland O POOL Q� /� �' cement. Sand and gravel aggregates shall be normal TYP. 0 O O L REIN FOR CM E � '1� C 9 1 0 weight and conform to .ASTM Cds Standards. Aggregate , S£.L not meeting AS1"M 033 standards may be used provided „ = 1'--0" pre construction tests demonstrate the Shotcrete can SCALE: • meet specified requirements. All c rete shall be } HOF S, air-entrained. Concrete compressiv strength, (f'c) in 28 S9�, days, shall be in accordance with 1 318-02 as follows: o OHNA. �L NA '�\> All concrete work -- 3,000 p 10, 3. All mixing, transporting, placing and curing of concrete shall be done in'-accordance with 'the �� C'/STE�� "'recommendations of the American Concrete Institute. ass/ONAt v 2. Reinforcing steel shall be deformed bars conforming eiVil.. :l.i..6 .. . •� �� - , •.,•av ..J V, cxc•spt vVh-. i',i C> bars may conform to ASTM. A615, Grade 40, All reinforcing bars welded to a steel section should be of welding grade 40, SYM. S-1 S-1 k. 1 2'-6" MAX. BACK FILL ALLOWED 5' RADIUS JJ d ~ 2'-6" MAX. BACK TRANSITION PT. 2'-6" MAX. BAC FILL ALLOWED - FILL ALLOWED co 5' RADIUS oj ¢ 0) 7 o I ..� 1 00 HYDROSTATIC ••'i RELIEF VALVE cn 01 MAX. SLOPE Uj U u Q.J 8`�J J6-\ /~ t-u SCALE: n, = 110-, 0., o Lu 4 HYDROSTATIC RELIEF VALVE f INSTALL PER MANUFACTURER' SCALE SPECIFICATIONS 1 AS NOTED DEEP END SHALLOW END SYM. LATEST REVISION i 8'-9" DEPTH MAX. 5'-0" DEPTH MAX. DATE 2'-6" MAX, BACK o DRAWN SY -g-O/ FILL ALLOWED N EJL 9 ! POOL, O N S T U C T,I O➢�9 S E C TI O��D � �Q CHECKED 9Y 2' RAID. ir) SCALE: ►, 110-0'" PLAN < SCALE: 1» — 1,-0„ o v Note: All pools shall be constructed to assure ®, dimensional compliance with section 421 of the g ECTI Ob� ' i c Massachusetts State Building Code 760 CMR. SCALE' » — 1'--C`I" w a 1 OF SHEErs o PROJECT NO. ,,,- OCU o East Bay Rd eck / , 0��• ,•' Po /. ✓. , Lake .00 OL \'A\ ASSESSORS .DATA: \ \ \ \ 140-126 SEP"I:I C LOCUS ADDRESS., AREA 1 `' , \ \ \ \ \\. 295 �YIANNO AVE, OSTERVILLE 61.4' \ \ \\ REFERENCE PLAN. LC 2664--78 ` ZONING DISTRICT- RC L'xisting � Storm Drain \ BUILDING SETBACAS.- \ \ SIDE AND REAR -- 10' 4 i EXISTING '` \ 0VERLA.Y DISI ICT ,a©4 DWELLING -" \ AP AND RPOD 23' EXISTING — \ PATIO �J< FEdIA DATA: ZONE ,,C,,, -- �� PANEL 250001 0016 D MAP REV- DULY 2 1992 III ��° O o I I 28.4' ICI a -1bQ(3° ilil .SOT 90 I . I I � I i I I I ( �5,875�•sq.ftr ��,� v 1 s�os� 41' � I III III � II1 ► �� 1 1 _OQ PROPOSED BLUESTONE 1� �l4 t �Plca i2 C7-f -La (d APRON --EXISTING— GRAPHIC SCALE Prepared Fors F f --CARRIAGE HOUSE 20 0 10 20 40 80 �? 5 Y/'11'.11 V.� 'Y l.,/ .0 1 VENUE VCJ E � In IN ,ET Ustervzlle, Massa c.h use t is 1 inch 20 ft. PROPOSED Scale,• 1 = 20 Date: October 4, 2007 �D POOL HOUSE �o Prepared By.- Stephen J. Doyle and Associates 42 Canterbury Lane, E. Falmouth, MA 02536 38' 100 °�A�°d a Telephone. 5081540•-2534 or i ftiss �.3 J c �� r �G\STERF�C�G� by e QSTEPNEN �N S DOYLE 6 ' 10 ©/ NO. DATE DESCRIP77ON BY \ \ 33 \ / , OCU �rl East Bay Rd Neck `�0 � \ 32 Po Cr al Lake V t cl'lb a .jacl' ease 50 35 � 4�Je / \ ♦ c��,d� � \ S �,e �e� / / ♦ oo \ o \\ \`"��\ L O C' 1 36 ASSESSORS DATA: 33 140-126 LOCUS ADDRESS. � I pp 36� / v '^ `� ` �s d �\ \ 295 WIANNO AVE, OSTER VILLE REFERENCE CERT 152007 d t,A. 34 \ REFERENCE PLAN LC 2664-78 37 :......'v . . \ 61' _,,ram\ ) O \ \ 35\ 4 I ` Existing \. \ ZONING DISTRICT- RC \� \ 1 Storm Drain \ \ ♦ \ \ \ BUILDING SETBACKS: FRONT - 20' ak \ \ \ SIDE AND REAR - 10' O VERLA Y DISTRICT AP AND RPOD / 35 / \ \ LOT COVER BY STRUCTURES. \ �` ♦ EXISTING = 8.59 13 Holly PROPOSED = 16.8. p ti 37 \;... 58.21 \ �e4 FEMA DATA: ZONE "C" PANEL 250001 0016 D MAP REV- JULY 2, 1992 36 /28 /♦ ,fib l 15 Spruce I ♦^` ♦/ \To / ��19 �, 7q' I ♦ / ed 35.9' �0 1 05 / x I 25 �04 ♦ / L T 90 105 18" a ♦/ 0 25, 75fsq.ft. // /// 3.4 b 0 �o , Sz to Plar� of Land Too os� 36 / GRAPHIC SCALE Prepared For. 32.6'`s�� 20 a 10 20 40 80 295 WIANNO A VEIV UE 0 �. 49' 18 k In IN FEET ) Os tervllle, Massachusetts 1 inch = 20 ft. Scale: I" = 20' Date: August 17, 2005 Prepared By.- Stephen J. Doyle and Associates 42 Canterbury Lane, E. Falmouth, MA 02536 BM. TOP CB FND. '00 Telephone: 5081540-2534 ELEV 35.41' 900 ap"''',�� R e vi i ® z BZ o c DATUM.• NGVDf �� e OO � a All, jii .1 NO. DATE DESCRIPTION BY \ \ 33 / -�0CU \ < �o - East n Bay Rd 40 / / 32 Cr al Luke 000 10 vy a 35 34 o \ ASSESSORS DATA.- 0 140-126 , LOCUS ADDRESS.- 00�65 `�� s_ `�1/ •, <^,,••� • \I ♦` • ` �� /.� ,�`�� \ \\ 295 KANNO AVE OSTERVILLE REFERENCE CERT.- 152007 34 i / \ \ \ 35\ \ REFERENCE PLAN. LC 2664--78 7,MA - DISTRICT RC e \ (J _Existing \� \ 4 ' \ \ ♦ Storm Drain \ \ 37 \ \ b'tIILDl.VG SE7b'4CKS i I FRONT - 20' ' + S :.� �.•/ ,?(" C£,:31: d :-. � � \ / \ � � � 0iL1cLAI' DISTRICT- AP AND RPOD ` LOT COVER .F1Y STNUCTURES.• 74 EXISTIA j 13" Holly t =: / e� PROPOSED = 16.89 37 `=::.. 58.21 ::;\ e`�a� / �� I'EMA DATr^.: ZONL�' "C., a �e �e PANEL APRED 250001 JULY 216 992 36 15" Spruce 701' 35.9E �� ( os / ♦ L T 90 105 18 a 25, 75 sq.ft. _ // //♦ 3X 4 ��`�° ,Sl t ie Pl a -rz o f L a n cl c- 36 /♦ GRAPHTC SCALE Prepared For. 32.6 20 0 10 20 40 80 295 WIANN E'O A VENUE 18" k 0' In �. 49' IN FEET Os terville Massachusetts ) � 00 �J 1 inch = 20 ft. Scale: I" = 20' Date: August 17, 2005 Prepared By.- Stephen J Doyle and Associates 42 Canterbury Lane, E. Falmouth, MA 02536 BM• TOP CB FND. 00 XAA♦a Telephone: 5081540-2534 ELEV. 35.41E g00 ✓►- -„ �� e vi a--x BZoc � DATUM NGVDf . � � c'ccHtN m� ► -- a NO. L DATr_ -DESCRIPTION BY \ / �0 e S. oc o East Bay Rd eck Po al Lake L O C' T T,S� MAP \ \ \ ASSESSORS DATA: \ \ \ \ 140-126 LOCUS ADDRESS' 295 WIANNO A VE, OSTERVILLE REFERENCE CERT 152007 \ \ REFERENCE PLAN LC 2664 78 / Existing \ \ \ \ ZONING DISTRICT RC Storm Drain \ \ BUILDING SETBACKS- FRONT — 20' /Existing Poured SIDE AND REAR \ Concrete -, _\ _- DISTRIC Foundation \ 0 AP AND RPOD T FEMA DATA: ZONE "C" \ PANEL 250001 0016 D \ MAP REV DULY 2, 1992 A LOT 90 \\ \\ o0 ! 25,875t-sq.ft. Fo unda t ' n Certification Plan Misting Poured GRAPHIC SCALE Prepared For. O Concrete / Foundation �\ 20 0 10 20 40 80 295 WIANNO AVENUE In NMI IN FEET ) Os t er vill e, Massachusetts 1 inch = 20 ft. / Scale. I" = 20' Date: October 15, 2005 Prepared By.- Stephen J. Doyle and Associates 42 Canterbury Lane, E. Falmouth, MA 02536 Op Telephone: 5081540-2534 •00 A Re visa ® a-a BZcz c> cS QSTEPHEN I HEREBY CERTIFY THAT THE STRUCTURES' ARE SHOWN O ON THE PLAN AS THE✓FEMT ONE G UND. a q �� P DATE 1 STEPHEN J 1DOME PLS °® F�ss� y°� � so %I vr NO. DATE DESCRIPTION BY j - - ------------ Revisions No. Description Date SMOKE DETECTO REVIEWED ,\�\ FLASHING ® WDWS AS REQ)D. - TYP. \\ — g BUILDING DEPT. , DATE 12 ' FIRE DEPARTMENT DATE BorH SIQNArURIwS ARE REQUIRED FOR PERHMINO 12 - \ ;I.- �Lr_ I \\\ 12 12:12 j 4/0/$/ I ) j� i i \' �: RED CEDAR SHINGLES - t_.', J 4" M T 1. GLR I ER - TYP. p RED CEDAR SHIN'GL.S PTD. VID. COLUMN TALL CARRIAGE HOUSE - -- --r __-(— �! r:;.r r nnnnn i:3)1 �� G II I ^4 9 � ' --- i L I I I� L r 1-- I ? i I ' ` PAD. WD TRIL - TYP. -- W/ WINDOWS - TYP. PTD. WD. TRIM - TYP. I I - Key Plan BRICK VENEER - TYP. FRONT ]ELEVATION Drawing'ride BOAT HIQUSE 1/4 =1-0 ELEVATIONS & SECTION CONTRACTOR TO VERIFY ALL DIMENSIONS IN THE FIELD. Job Number Drawing No. CONTRACTOR SHALL VERIFY AND COMPLY WITH ALL LOCAL CODES. Drawn by Checked ... CONTRACTOR ASSUMES ALL RESPOSIBILITY. AsTO Date 08/15/2005 Plot scale 12'X2O' WOOD LOUVER i s VENT W/ 1/4' TRIM RED CEDAR SHINGLES `�\\ 12 % -�' �\\\ 12 12 12 12:12 PTD. WD. PAYE TRIM — % ,� � � /� ED — — =_-- - —OUTDOOR SHOWER -- -- — — — RED CEDAR SLATS TO hPTCH SHINGLES PTD. WD.. SHUTTERS — TYP. I I lz—RED CEDAR SHINGLES —� r RIGHT ELEVATION WIANNO COTTAGE PARTNERS, LLC 27 Thyme Lane Osterville , MA 02655 Tel: 508 509 5782 Fax: 508 428 1205 WIANNO COTTAGE Bi BOATHOUSE a r `y►�`SHOFNj,�s�d RED CEDAR S i PdGLES o o�� M►CHELE sgcy TUDOR - s Co N0.34774 s 5:12 : STRUCTURAL co , 12:12 12:12 S Z71JO-, 4' MTL GUTTER - TYP. PTD. WD. SHUTTERS - TYP. a a ® a a RED CEDAR SHINGLES 1 3" DIA. MTL DOWNSPOUT-TYP. lo PTD. W WD. TRIM - TYP. BRICK VENEER - TYP. - SmmP LEFT ELEVATION 1/4"=T-0° lv ��-- 2X1f; RIDGE LA FLUSH !SEAM 12 2X4,RAFTERS 0 160 O.C. / RED CEDAR SHINGLES r mum GLUED do NAILED 87E KEN) 2X6 0 16' O.C. 12 %� 12 5 Mt . WD. RAKE TRIM - TYP. 12 12 12 12:12 12 �12 ' BEDROOM 4' WALL r' RED CEDAR SHINGLES //� / �� Ib►2�. — i RED CEDAR SHINGLES N00PTD. WD. TRIM — TYP. 4 o 2-GAR GARAGE/ 'coBOATHOUSE ^ a RED CEDAR SHINGLES ------------- i cn i i cn co 00 OUTDOOR SHOWER NOTE: INSULATE AND PROVIDE RED CEDAR SLATS FIREPROOFING 0 GARAGE AS REQUIRED. , BRICK VENEER — TYP. =1 11 1 I 1=1 11=1 11= =1 I I-I 11-I 11=,111=1 I I-I I I=111I-III=1 I I=1 I I=1 -III=1 I El I I=1 I I=1II=1 I El I I=1 I I=1 I El 11= ---II=1 I I=1 w/ 2 # 5 « L�,�2 =111=111=I I I=111-I 1=I I I=I I a a I=I I a I=111=1 I a I 1=I I I= I I I I=111=1 I El I =I I I=I I I=I I I=I I la El 1-111=I I I- / v p '-=1 11=1 I I-1 I I-I 11- -1 11=1 I I-III-1 I I-III=1 I I-I 11=1 I I=1 11=1 I I=11 i- 1-111=1 11=1 11=1 11=1 11=1 11=1 I�- '11=1 11=1 I I- -- 11=1 I I-1 I htJ I-I 11=1 11=1 I I III- -"'=I I I-1 I El I El 11=1 I I-I I I-I I -I 11=1 11=1 I I-I 11=1 11=1 I M i' -1 I_I=1 11= I = _ -1 I I=1 I I=1 1- I I=1 =1 I I_i I I-1 I I=1 I I=1 I I=1 11=1 11=1 11-1 I I-I I Ed�' =1 11=1 - = 1= o ` u I=1 I I=1 I I- -_11 - - X - 8 w D c-- — _� =1i1=III-111 I I I .I' _ — I__I I I=1 11=1 I 1 it I I- It�' -�I I III=1 I III 1111- . •� I-I I I-I I I1=1 I = C •� III-1 I II I II SECTION REAR ELEVATION 1/4"=1'-0" 32'-0' WIANNO COTTAGE PARTNERS, LLC 18'-101/2" 4'-0' 5'-91/2' 3'-4' 9" 27 Thyme Lane Osterville , MA 02655 OUTDOOR Tel: 508 509 5782 Fax: 508 428 1205 o SHOWER 2'-6' 1'-6" 1'-10" � 0 H.B. I I I I PEDEST N t I I I I 1 R ® 1/4" �V• I I I .I.F Q'8 PWDR. o /"J o STORAGE HANDRAIL WIAN N O UNDER STAIR (— 7(2DI I A COTTAGE & TAIR I , o BOATHOUSE L�J 11'-4" 3'-8' 4'-4" PORCH m �. N m N 2-CAR ' 9 WOOD COLUM GARAGE ►°"�`°°a BEAM ABOVE C. ' TUDC?R 9 .C) No. 34,'i4 S1 RUM URAL j Jp A VERIFY FIREPROOFING OF A7.0 I BOAT HOUSE W/CODE) '►��rC� �Ea� j � �jL7r> r z- .ST3W�7V _ u k 4-)1,7$-h ((�87,5 (-gt✓ t,l/1,, � ,n �2 STL' cr��t"►'l !}�oVtz P � �`/�- `f' lz s - o .L�� 11'-4• � __� ' s L ^ H.B. x 2ND FLOOR BATH PLUMBIN ! l l� CHASE . 1J� `+ 2 k 8' X 7' SEC. O.H. DOOR 8' X 7' SEC. O.H. DOOR G� GAD 2-8 8-0 2-8 8-0 2-8 24'-0* 7'-9" 12' X 32'-9" FIRST FLOOR PLAN 1/4"=T-0" 24'-O" 5'-8' 6'-40 12'-0' 2'-4 CENTER WINDOW 0 GABLE - - - - - - - - - co `d CD p I iI , Lo HANDRAIL N is '.� y� I ATTIC I I I •d. STAIR 0. N LMNG ROOM �� - - - - - - - - - J —ATTIC i — — ACCESS i iV 110 N d. I cm N • FIRST FLOOR iv WALL BELOW I o 4'-2' 3'-10' 2'-8" 3'-4" 6'-0` A iv 01 S� BEDROOM N 6' Wes- © N MTf DOOR O Co BATHRO cV F � ;d in in o i 3'-9" 2'-6' 3'-9' 7'-0' ol 17'-0" 3'-0' 4'-O" 24'-0" SECOND FLOOR PLAN A 1/4"=1'-0" fl e-)T5 3 � 7 4 a Stamp �sAAAaa ►+��N OF Mg4c e� MIC1-1 LE 32'-0' c. .� TUL 13 m vo 34774 �+ e` ST 8'-9' RUCTURAL a, lAL ;{a FLAT WORK FOR OUTSIDE o SHOWER. PROVIDE DRAIN IF NECESSARY. z Z NlJl�zo �!L 100r itw-i TS B-�• f-- NOTE: 4 %" TO FACE OF BRICK (TYP) IRevisions CONC"�I — . I I ( No. Description Date TOILET RISER o �I o ' R O'-Oft - r • I I I I I 4 DROP R DROP �• (— — — — � — TIRE STOP R Cn w R uI t'fW(: �t AA Qti VAPhR RARPIFL? FOOTING Co l I ON 0USH�D GRAVEL I I dtLuw—iYr. -a VjI (a lv-W 2-IxwZ IN 4P 01% I tC� _ I ^ Key Plan o I C, 6 / r " 2'-8' 8'-0" 2'-8" 8'-0" 24'-0' 8'-0" 9" 32'-0" ,i=- Drawing Title - -- BOAT HOUSE FOUNDATION / FLOOR ROOF PLANS FOUNDATION FLAN 1/4"=T-0" CONTRACTOR TO VERIFY ALL DIMENSIONS IN THE FIELD. Job Number Drawing No. CONTRACTOR SHALL VERIFY AND COMPLY WITH ALL LOCAL CODES. Drawn by CONTRACTOR ASSUMES ALL RESPOSIBILITY. Checked A06,0 Date 08/15/2005 Plot scale 1/4"=1'-0° 4' MTL GUTTER D.S. D.S. cr- r- - - - - - - - - - - - - - — — — — — — — — — — — — — — — - - - - - - - - - -I I I W � d Lid -7 Zp�C�Ie"�� N i `. . CONCEALED EPDM FLASHING 4'MIN. EACH SIDE OF RIDGE (TYP) RED CEDAR RIDGE SHINGLE ROOF FASCIA LINE CN cn I N W I I CONCEALED EPDMI I —� I 5:12 o FLASHING 4°MIN. 4' MTL GUTTER I EACH SIDE OF RIDGE (TYP) SLOPE _ I f%I i MKI ocLnw I RED CEA.R �_ _ _ ..... .... SHINGLE ROOF I D.S. Z,- 2x ('o I 4' MTL GUTTER 1 I I BEARING WALL BELOW 12:12 12:12 SLOPE SLOPE D.S. L - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D.S. FASCIA LINE PROVIDE WMe VENTS AS REQUIRED. ROUF PLAN to Cp 1/4"=T-0"